Is The Burden of Medical Education Affecting Ethics of Medical Treatment?

A substantial number of medical students in India have to bear an enormous financial burden for earning a bachelor's degree in medicine referred to as MBBS (bachelor of medicine and bachelor of surgery). This degree program lasts for four and one-half years followed by one year of internship. A postgraduate degree, such as MD, has to be pursued separately on completion of a MBBS. Every medical college in India is part of a hospital where the medical students get clinical exposure during the course of their study. All or at least a number of medical colleges in a given state are affiliated to a university that mainly plays a role of an overseeing authority. The medical colleges usually have no official interaction with other disciplines of education such as science and engineering, perhaps because of their independent location and absence of emphasis on medical research. However, many of the medical colleges are adept in imparting high-quality and sound training in medical practices including diagnostics and treatment. The medical colleges in India are generally of two types, i.e., government owned and private. Since only a limited number of seats are available across India in the former category of colleges, only a small fraction of aspiring candidates can find admission in these colleges after performing competitively in the relevant entrance tests. A major advantage of studying in these colleges is the nominal tuition fees that have to be paid. On the other hand, a large majority of would-be medical graduates have to seek admission in the privately run medical institutes in which the tuition and other related fees can be mind boggling when compared to their public counterparts. Except for candidates of exceptionally affluent background, the only alternative for fulfilling the dream of becoming a doctor is by financing one's study through hefty bank loans that may take years to pay back. It is often heard from patients that they are asked by doctors to undergo a plethora of diagnostic tests for apparently minor illnesses, which may financially benefit those prescribing the tests. The present paper attempts to throw light on the extent of disparity in cost of a medical education between state-funded and privately managed medical colleges in India; the average salary of a new medical graduate, which is often ridiculously low when compared to what is offered in entry-level engineering and business jobs; and the possible repercussions of this apparently unjust economic situation regarding the exploitation of patients.

Visualization Summit 2007: Ten research goals for 2010

At the first international Visualization Summit, more than 100 international researchers and practitioners defined and assessed nine original and important research goals in the context of Visualization Science, and proposed methods for achieving these goals by 2010. The synthesis of the whole event is presented in the 10th research goal. This article contributes a building block for systemizing visualization research by proposing mutually elaborated research goals with defined milestones. Such a consensus on where to go together is only one step toward establishing visualization science in the long-term perspective as a discipline with comparable relevance to chemistry, mathematics, language, or history. First, this article introduces the conference setting. Second, it describes the research goals and findings from the nine workshops. Third, a survey among 62 participants about the originality and importance of each research goal is presented and discussed. Finally, the article presents a synthesis of the nine research goals in the form of a 10th research goal, namely Visualizing Future Cities. The article is relevant for visualization researchers, trend scouts, research programme directors who define the topics that get funds. © 2007 Palgr aveMacmillan Ltd. All rights reserved.

When Worlds Collide: Changing Cultures in 21st Century Education

This publication captures the outputs of a JISC infoNet conference held in February 2004 in the Royal York Hotel, York. The event was entitled ‘When Worlds Collide’ because it aimed to explore the cultural differences between the different communities involved in developing and supporting learning environments hence the event was promoted in collaboration with ALT and UCISA. We defined learning environment in the broadest sense to encompass all of the structures, systems and processes that impact on the learning experience. For many this is summed up in the term Managed Learning Environment (MLE) although others favour alternative terminologies. The event was thus unusual in that it brought together people, from learning and teaching, MIS, library, administrative and senior management backgrounds, that don’t often get the opportunity to network with one another.

Olympic Coast National Marine Sanctuary Area to be Avoided (ATBA) Education and Monitoring Program

The National Marine Sanctuaries Act (16 U.S.C. 1431, as amended) gives the Secretary of Commerce the authority to designate discrete areas of the marine environment as National Marine Sanctuaries and provides the authority to promulgate regulations to provide for the conservation and management of these marine areas. The waters of the Outer Washington Coast were recognized for their high natural resource and human use values and placed on the National Marine Sanctuary Program Site Evaluation List in 1983. In 1988, Congress directed NOAA to designate the Olympic Coast National Marine Sanctuary (Pub. L. 100-627). The Sanctuary, designated in May 1994, worked with the U.S. Coast Guard to request the International Maritime Organization designate an Area to be Avoided (ATBA) on the Olympic Coast. The IMO defines an ATBA as "a routeing measure comprising an area within defined limits in which either navigation is particularly hazardous or it is exceptionally important to avoid casualties and which should be avoided by all ships, or certain classes of ships" (IMO, 1991). This ATBA was adopted in December 1994 by the Maritime Safety Committee of the IMO, “in order to reduce the risk of marine casualty and resulting pollution and damage to the environment of the Olympic Coast National Marine Sanctuary”, (IMO, 1994). The ATBA went into effect in June 1995 and advises operators of vessels carrying petroleum and/or hazardous materials to maintain a 25-mile buffer from the coast. Since that time, Olympic Coast National Marine Sanctuary (OCNMS) has created an education and monitoring program with the goal of ensuring the successful implementation of the ATBA. The Sanctuary enlisted the aid of the U.S. and Canadian coast guards, and the marine industry to educate mariners about the ATBA and to use existing radar data to monitor compliance. Sanctuary monitoring efforts have targeted education on tank vessels observed transiting the ATBA. OCNMS's monitoring efforts allow quantitative evaluation of this voluntary measure. Finally, the tools developed to monitor the ATBA are also used for the more general purpose of monitoring vessel traffic within the Sanctuary. While the Olympic Coast National Marine Sanctuary does not currently regulate vessel traffic, such regulations are within the scope of the Sanctuary’s Final Environmental Impact Statement/Management Plan. Sanctuary staff participate in ongoing maritime and environmental safety initiatives and continually seek opportunities to mitigate risks from marine shipping.(PDF contains 44 pages.)

The shape of fisheries to come. Some thoughts on fisheries development and education with special reference to aquaculture

A brief discussion is presented on the current situation regarding world fisheries and the future role of aquaculture. The various components involved in fisheries, and affecting all changes in fisheries through time, include the biology of the species involved, environment, technology/engineering and socio-economics. The importance of education in fisheries and aquaculture development is also examined

Cultura corporal: pesquisa com adolescentes do Centro Cultural Cartola (CCC) Rio de Janeiro

A definição mais plausível para esta pesquisa é aquela onde a adolescência se estabelece de acordo com a história de vida e o contexto sociocultural no qual o sujeito está inserido, que envolve, na transição para a fase adulta, transformações na mente, na personalidade, no comportamento e principalmente no corpo. O grupo das adolescentes pesquisadas encontra-se numa fase da vida de descobertas, mudanças (psicológicas identitárias e acima de tudo corporais) assim como todo e qualquer sujeito que encontra-se nessa fase da vida. Com a entrada na adolescência, ocorre a formação de grupos no qual as adolescentes vão se identificar. Cada grupo tem a sua marca, o seu estilo, e o corpo parece ser o grande tradutor dessa nova fase, os efeitos de comparação começam a surgir, o medo de não ser aceita pelo grupo faz com que a adolescente recorra a métodos que acredita ser eficazes na busca de um eu ideal e consequentemente um corpo ideal. Esta pesquisa discute as idealizações corporais das jovens encontradas durante a realização da pesquisa de campo, e as ligações que existem entre essa idealização e as constituições desse ideal sob a concepção do movimento corporal. A análise de dados se baseou em interpretações psicológicas acerca dos desenhos realizados pelas adolescentes. Visto que a Comunidade da Mangueira é um espaço multicultural (estilos de músicas, danças, esportes, entre outros), mas que em comum tem o corpo como o principal tradutor dessas vivências. A busca pelo corpo ideal está longe de ser integralmente satisfeito, sendo a cultura a grande responsável pela elaboração emocional, mental e principalmente corporal das adolescentes do grupo de Jazz do CCC. A aplicação da metodologia do Grupo Operativo teve como um dos objetivos desconstruir e reestruturar o imaginário das adolescentes o conceito de corpo ideal, que atualmente é visto de forma rígida e estereotipada pela sociedade contemporânea. Tal ferramenta foi muito útil no processo de desconstrução do conceito de corpo ideal por parte das meninas. As dinâmicas utilizadas tiveram como objetivos despertar novos olhares sobre o corpo, assim como criar situações onde as jovens pudessem buscar o melhor de si, mas sem fugir da própria realidade corporal.

Analysis and evaluation of public health policy in Cuba : progress on millennium development goals

[EN] The main objective of this project is to analyze Cuban public health policy and the Millennium Development Goals, especially those linked to the issue of health, presenting their potential and strengths with a well-defined time horizon (2000-2015). The Millennium Development Goals are the international consensus on development and was signed as an international minimum agreement, with which began the century. The MDGs promote various goals and targets, with the corresponding monitoring indicators, which should be achieved by all countries for the present year. Health is an area that is at the center of the Millennium Development Goals, which reinforce each other to get a true human development itself. The research was done through theoretical frameworks of social production of health and disease, social justice and the power structure. A retrospective analysis of Cuban economic and social context is performed in order to study whether health-related MDGs are likely to be completed by the deadline on the island and likewise, the main parameters related to health compared with those of the neighboring countries in the Americas.

Juiz de Fora-MG: uma análise da reestruturação urbana entre o discurso e a realidade

Para a compreensão da cidade de Juiz de Fora na contemporaneidade, devemos lançar um olhar no seu passado, foi quando se estabeleceram as bases históricas que a tornaram uma cidade polarizada com grande importância na Zona da Mata Mineira. Cidade de porte médio, de fácil acesso através de rodovias e ferrovias, se localiza próximo às grandes metrópoles nacionais: Rio de Janeiro, São Paulo e Belo Horizonte. Juiz de Fora caracteriza-se por significativas alterações que não só afetaram seu antigo espaço urbano, mas também determinaram uma nova configuração, e tem sido foco de atração de grandes empreendimentos da construção civil, de instituições de ensino superior, de eventos culturais e artísticos, de investimentos em geral, ocasionando um crescimento econômico em diversos setores, principalmente de serviços e do imobiliário. Reunindo, fatos históricos e empíricos, o presente trabalho pretende contribuir com a reflexão sobre o planejamento estratégico e sua aplicação em uma cidade média mineira que seguiu a ótica catalã. Baseou-se na premissa do processo de globalização na qual as grandes cidades se encontram, isto é, transformar a cidade em protagonistas nas relações do mundo atual. Tendo como objetivo a análise do planejamento urbano atual de Juiz de Fora, através das intervenções urbanísticas, seu processo de crescimento e suas problemáticas urbanas. Mas, também, identificar os elementos centrais na produção do espaço: discutir o planejamento estratégico da cidade; suas ações; os serviços essenciais dentro do espaço urbano do município e como tudo isso afeta a população local. Juiz de Fora vem repetindo o modelo e o discurso dominante das grandes cidades capitalistas, marcado pela lógica do mercado e pela apropriação diferencial da riqueza e consequentemente gerando um consumo diferenciado. O espaço da cidade passa a ser vendido e torna-se foco da atuação de diferentes atores, com objetivos diversos. Apresentaremos dois exemplos concretos: o primeiro está situado na região Leste da cidade uma das mais pobres que é o Alto Três Moinhos, caracterizando-se em um bairro de população carente; o outro está situado na região Central da cidade que é o bairro Dom Bosco, caracteriza-se por ser um bairro carente que está localizado ao meio de grandes intervenções urbanísticas da cidade. Diante desse contexto, suscitando o debate entre o discurso e a realidade que nos leva a uma reflexão para o delineamento do quadro da política urbana atual do município.

A política de bonificação e avaliação em larga escala : tensões e intenções implicadas no trabalho docente em escolar estaduais do Rio de Janeiro

O presente trabalho investiga as tensões e intenções da política de bonificação elaboradas pela Secretaria de Estado e Educação do Rio de Janeiro (2011-2014), tendo como objetivo: identificar que configurações o trabalho docente tem assumido após a implementação da política de bonificação, a partir da perspectiva de professores; caracterizar os aspectos relativos à qualidade entre uma escola que recebe a bonificação e outra que não recebe e identificar indícios da natureza da qualidade que permeia a escola que recebe a bonificação. Todavia, a investigação das relações estabelecidas no contexto escolar pela política de bonificação, também perpassa por questões importantes na atualidade como: a contribuição da cultura do exame na confecção de indicadores e de que forma isso interferiu nas ações da Secretaria. Para tanto, os relatos dos docentes, a respeito das experiências tecidas na implantação da bonificação na escola, construíram a parte central do trabalho. A escolha da metodologia qualitativa, com uma grande contribuição do paradigma indiciário e nos estudos sobre performatividade, foi justificada pelo seu poder de ver na complexidade das relações praticadas na escola um grande potencial para o entendimento e significado das tenções existentes no cotidiano escolar. Assim, para um amplo entendimento, também foram investigados os movimentos que ocorreram para a implementação da primeira política de bonificação do Estado do Rio de Janeiro, nomeada de Nova Escola. Além disso, foram pesquisadas políticas de bonificação docente em outros estados. Contudo, os indícios apresentados, inicialmente, deixaram dúvidas sobre a real eficácia da bonificação. Afinal, qual a qualidade promovida por essa política de bonificação?

Educação a distância na formação pedagógica de preceptores: avaliando a construção de ambientes colaborativos

O Núcleo de Apoio Psicopedagógico ao Residente (NAPPRE) em parceria com a Coordenadoria de Desenvolvimento Acadêmico (CDA) do Hospital Universitário Pedro Ernesto (HUPE) da Universidade do Estado do Rio de Janeiro (UERJ), desenvolve desde 2010 o Curso de Formação Pedagógica para a Prática da Preceptoria (CFPPP) curso de extensão na modalidade aperfeiçoamento, tendo como eixos estruturantes cuidado, educação e gestão. Sustentado nos princípios e diretrizes do Sistema Único de Saúde (SUS) e orientado pelas Diretrizes Curriculares Nacionais de Graduação em Saúde (DCNs), o curso apresenta-se como uma estratégia de Educação Permanente em Saúde (EPS) desta instituição utilizando, tanto nas atividades presenciais como na educação à distância, metodologias ativas para o desenvolvimento da competência pedagógica do preceptor. O projeto político pedagógico do curso valoriza a integração dos profissionais de diferentes categorias para o trabalho em equipe. O alcance dos objetivos educacionais e a construção de projetos de intervenção a serem desenvolvidos nas instituições de origem durante o curso exige interação constante dos participantes e desenvolvimento de espaços colaborativos facilitados por estratégias mistas de educação em atividades presenciais e à distância. Considerando que, aproximadamente, 57% da carga horária do curso corresponde à atividades no ambiente virtual de aprendizagem é fundamental compreender a relevância e funcionalidade deste modelo pedagógico para promover a aprendizagem e induzir práticas colaborativas interdisciplinares compreendidas como um caminho para o desenvolvimento da capacidade criativa, da solidariedade e da inteligência coletiva favorecendo a autonomia crescente, individual e coletiva, a autoria e a produção de cuidado e educação. Estes são elementos constitutivos de práticas educacionais coerentes com as necessidades de formação dos profissionais para qualificar o cuidado em saúde no nosso País. Este projeto de pesquisa tem como objetivo principal avaliar como a Educação à Distância (EaD) favorece a construção de ambientes colaborativos na formação pedagógica de preceptores. Trata-se de um estudo de caso único, retrospectivo, com duas unidades de análise, explanatório, intrínseco e educacional. São integrantes dessa pesquisa, como participantes, todos os preceptores da 1 e 2 turmas (anos 2010 e 2011 respectivamente). O planejamento educacional do curso foi contextualizado considerando as competências pedagógicas que são objetivos de aprendizagem. Foram analisados documentos produzidos de forma individual e coletiva durante as etapas do curso. Os dados quantitativos foram analisados através de estatística descritiva e a análise dos dados coletados no material documental foi por análise de conteúdo segundo as proposições de Bardin com identificação de núcleos e/ou validação destes núcleos através das nuvens de palavras construídas através do wordle.

Design considerations for a micro aerial vehicle aerodynamic characterization facility at the University of Florida research and engineering education facility

This paper describes the design considerations for a proposed aerodynamic characterization facility (ACF) for micro aerial vehicles (MAVs). This is a collaborative effort between the Air Force Research Laboratory Munitions Directorate (AFRL/MN) and the University of Florida Research and Engineering Education Facility (UF/REEF). The ACF is expected to provide a capability for the characterization of the aerodynamic performance of future MAVs. This includes the ability to gather the data necessary to devise control strategies as well as the potential to investigate aerodynamic 'problem areas' or specific failings. Since it is likely that future MAVs will incorporate advanced control strategies, the facility must enable researchers to critically assess such novel methods. Furthermore, the aerodynamic issues should not be seen (and tested) in isolation, but rather the facility should be able to also provide information on structural responses (such as aeroelasticity) as well as integration issues (say, thrust integration or sensor integration). Therefore the mission for the proposed facility ranges form fairly basic investigations of individual technical issues encountered by MAVs (for example an evaluation of wing shapes or control effectiveness) all the way to testing a fully integrated vehicle in a flight configuration for performance evaluation throughout the mission envelope.

All-optical switching application of germano-silicate optical fiber incorporated with Ag nanocrystals

银纳米晶体掺杂的高非线性石英光纤的全光转换应用

企业经营风险决策的组织行为学研究

This thesis has investigated the risk preferences of the Chinese company managers in kinds of simulated decision situations and their perceptions of risk concerning types of business decisions. Four studies are conducted: Study I is utility analysis. 214 company managers and 46 middle - school headmasters have responded to Utility Measurement Survey. The results indicate: (1) The risk preferences of the managers vary in the different decision situations. In most of the situations, most of the managers are risk aversion; In few situations, they are risk-seeking. (2) In some of the decision situations, there are significant differences on risk preference between business managers and school headmasters, male managers and female managers, senior managers and junior managers, managers with high qualifications and managers with low qualifications, non-state-owned firms' managers and state-owned firms' managers, medium-small sized firms' managers and large-sized firms' managers. In the other situations there aren't significant differences between them. (3) In all of the decision situations, so significant differences on risk preference are found among managers with different marriage, experience, age and education. Study II is risky decision simulation. The Risky Decision Situations Simulation Survey is administered to 82 company managers. The result indicates that firm culture, business condition, survival limit and risk preference of the superior influence the managers' risk decision-making behavior. Study III is perceptions of business decision risks. 68 company managers have filled in Decision Cases Risk Perception Inventory. The results indicate: (1) Inaccurate market analysis and prediction, instable politics and the changes of economic policy are the more risky elements to strategy decision. (2) Erroneous market analysis and prediction, appearance of new technology and the changes of market demands are the more risky elements to investment decision. (3) Poor quality control, backward technology and too large stocks are the more risky elements to production decision. (4) Shortage of development fund, wrong choice in development project and limitation of the development ability are the more risky elements to new production development decision. (5) No payment of the foreign partner's capital, the changes of national relevant policy, difficulty in marketing, too high selling prices of foreign partner's equipments are the more risky elements to joint-venture decision. (6) Unfamilarity with oneself and misjudgement in qualification of oneself are the more risky elements to personnel decision. (7) Bad market of the product, defects in product quality and the changes of consumers demands are the more risky elements to marketing decision. (8) Wrong strategy and ambiguous goals are the more risky elements to public relation decision. (9) Violation of the law, ambiguous goals and poor creation are the more risky elements to advertisement decision. (10) Deterioration of diplomatic relations, unsuitable products for foreign consumers and unfamilarity with foreign market are the more risky elements to international business decision. Study IV is structured interview. 5 company managers have answered all questions of the Interview Questionnaire. The results indicate: (1) The managers think that risks are the possible unfavourable consequences of decisions; (2) The self-ratings of the managers coordinate with the results of utility measurement; (3) The managers admit that risks always accompany bussiness decision; (4) Individual difference is found among managers on risk perception. This thesis has also pointed out the important implications of the research and discussed several further questions.

Planning for Conjunctive Goals

The problem of achieving conjunctive goals has been central to domain independent planning research; the nonlinear constraint-posting approach has been most successful. Previous planners of this type have been comlicated, heuristic, and ill-defined. I have combined and distilled the state of the art into a simple, precise, implemented algorithm (TWEAK) which I have proved correct and complete. I analyze previous work on domain-independent conjunctive planning; in retrospect it becomes clear that all conjunctive planners, linear and nonlinear, work the same way. The efficiency of these planners depends on the traditional add/delete-list representation for actions, which drastically limits their usefulness. I present theorems that suggest that efficient general purpose planning with more expressive action representations is impossible, and suggest ways to avoid this problem.

Student use of electronic information services in further education

Urquhart,C., Thomas, R., Spink, S., Fenton, R., Yeoman, A., Lonsdale, R., Armstrong, C., Banwell, L., Ray, K., Coulson, G. & Rowley, J. (2005). Student use of electronic information services in further education. International Journal of Information Management, 25(4), 347-362. Sponsorship: JISC