Health management contracts in Costa Rica from a comparative perspective

Includes bibliography

Strategies of Representation, Relationship, and Resistance: British Women Travelers and Mormon Plural Wives, c. 1870-1890

During the 1870s and 1880s, several British women writers traveled by transcontinental railroad across the American West via Salt Lake City, Utah, the capital of the Church of Jesus Christ of Latter-day Saints, or Mormons. These women subsequently wrote books about their travels for a home audience with a taste for adventures in the American West, and particularly for accounts of Mormon plural marriage, which was sanctioned by the Church before 1890. "The plight of the Mormon woman," a prominent social reform and literary theme of the period, situated Mormon women at the center of popular representations of Utah during the second half of the nineteenth century. "The Mormon question" thus lends itself to an analysis of how a stereotyped subaltern group was represented by elite British travelers. These residents of western American territories, however, differed in important respects from the typical subaltern subjects discussed by Victorian travelers. These white, upwardly mobile, and articulate Mormon plural wives attempted to influence observers' representations of them through a variety of narrative strategies. Both British women travel writers and Mormon women wrote from the margins of power and credibility, and as interpreters of the Mormon scene were concerned to established their representational authority.

Patients' compliance with physician's advice in Costa Rica

The penetration of the western-developed pharmaceutical industry in developing nations has had an impact not only on access to medicines but also on the value attached to medicines and the way they are consumed. People in developing countries have more faith in medicines than in doctors. Medicines constitute a large share of government health expenses but little emphasis has been placed on how medicines are being used. This dissertation includes a discussion on the penetration of pharmaceuticals in the Costa Rican society, a thorough literature review on patients' compliance with medical recommendations (including studies conducted in developed and developing countries, factors affecting adherence, issues involved in measuring compliance, treatment compliance models, and strategies to improve patients' recollection and compliance with medical recommendations), results of a compliance survey conducted in Costa Rica, and a presentation of a compliance model for developing societies.^ The Costa Rican survey includes observations on 505 medical encounters involving 13 general practitioners and 1 pediatrician in 1 urban and 2 rural clinics. Home visits yielded information on patients' adherence to medical recommendations on 404 patients and 988 medicines. The level of patients' adherence in Costa Rica is similar to what has been documented in developed societies but the strategies to improve adherence are different. Costa Ricans are prone to follow the behaviors advertised through the media or recommended by persons they consider knowlegeable in health matters and with whom they can have a personal relationship. Programs to improve adherence to medical regimens should include mass media campaigns, a re-organization of the way drugs are being dispensed, and educating health professionals to communicate and establish meaningful relationships with their patients. ^

Isotopic composition of water in fog, rain, throughfall and stemflow in the Monte Verde, Costa Rica

Fog deposition, precipitation, throughfall and stemflow were measured in a windward tropical montane cloud forest near Monteverde, Costa Rica, for a 65-day period during the dry season of 2003. Net fog deposition was measured directly using the eddy covariance (EC) method and it amounted to 1.2 ± 0.1 mm/day (mean ± standard error). Fog water deposition was 5-9% of incident rainfall for the entire period, which is at the low end of previously reported values. Stable isotope concentrations (d18O and d2H) were determined in a large number of samples of each water component. Mass balance-based estimates of fog deposition were 1.0 ± 0.3 and 5.0 ± 2.7 mm/day (mean ± SE) when d18O and d2H were used as tracer, respectively. Comparisons between direct fog deposition measurements and the results of the mass balance model using d18O as a tracer indicated that the latter might be a good tool to estimate fog deposition in the absence of direct measurement under many (but not all) conditions. At 506 mm, measured water inputs over the 65 days (fog plus rain) fell short by 46 mm compared to the canopy output of 552 mm (throughfall, stemflow and interception evaporation). This discrepancy is attributed to the underestimation of rainfall during conditions of high wind.

Geochemistry of oceanic crust beneath Costa Rica

Resolving flow geometry in the mantle wedge is central to understanding the thermal and chemical structure of subduction zones, subducting plate dehydration, and melting that leads to arc volcanism, which can threaten large populations and alter climate through gas and particle emission. Here we show that isotope geochemistry and seismic velocity anisotropy provide strong evidence for trench-parallel flow in the mantle wedge beneath Costa Rica and Nicaragua. This finding contradicts classical models, which predict trench-normal flow owing to the overlying wedge mantle being dragged downwards by the subducting plate. The isotopic signature of central Costa Rican volcanic rocks is not consistent with its derivation from the mantle wedge (Feigenson et al., 2004, doi:10.1029/2003GC000621; Herrstom et al., 1995, doi:10.1130/0091-7613(1995)023<0617:VILCAW>2.3.CO;2; Abratis and Woerner, 2001) or eroded fore-arc complexes (Goss and Kay, 2006, doi:10.1029/2005GC001163) but instead from seamounts of the Galapagos hotspot track on the subducting Cocos plate. This isotopic signature decreases continuously from central Costa Rica to northwestern Nicaragua. As the age of the isotopic signature beneath Costa Rica can be constrained and its transport distance is known, minimum northwestward flow rates can be estimated (~63-190 mm/yr) and are comparable to the magnitude of subducting Cocos plate motion (approx85 mm/yr). Trench-parallel flow needs to be taken into account in models evaluating thermal and chemical structure and melt generation in subduction zones.

The genus Callistethus (Coleoptera: Scarabaeidae: Rutelinae) in the Neotropics: new data and new species from Costa Rica

The species Callistethus carbo sp.n., C. flavodorsalis sp.n., C. fuscorubens sp.n., C. lativittis sp.n., C. levigatus sp.n., C. macroxantholeus sp.n., C. microxantholeus sp.n., C. multiplicatus sp.n., C. parapulcher sp.n., C. pseudocollaris sp.n. and C. stannibractea sp.n. from Costa Rica are described. Synonymy of Callistethus kolbei (Ohaus, 1897) with Callistethus specularis (Bates, 1888) is proposed. A phylogenetic analysis based on the genes 16S, COI and 28S is carried out for Costa Rican species and diagnostic morphological features for the genus are tested on it for phylogenetic signal. An identification key for Callistethus species of Costa Rica is provided. The distribution patterns of Callistethus species in Costa Rica are discussed.

Lithium isotopic composition of pore fluids and sediments in the Costa Rica subduction zone

Pore fluid and sediment Li concentrations and isotopic ratios provide important insights on the hydrology, sediment contribution to the arc volcanoes and fluid-sediment reactions at the dominantly non-accretionary Costa Rica subduction zone. Ocean Drilling Program Site 1039 in the trench axis provides a reference section of 400 m of the incoming sediments, and Site 1040, situated arcward from the trench, consists of a deformed sedimentary wedge and apron sediments, the décollement, and the partially dewatered underthrust sediment section. At the reference site, pore fluids show important isotopic variations (delta6Li=-21.7 to -37.8 per mil), reflecting the interplay of in situ alteration of volcanic material and ion exchange with clay minerals. In the basal section, a reversal of Li concentration and delta6Li toward seawater values is observed, providing supporting evidence for a lateral seawater flow system in the upper oceanic basement underlying this sediment section. At Site 1040, pore fluid of the lower deformed wedge sediments and within the décollement is enriched in Li and the isotopic compositions are relatively light, suggesting infiltration of a deep-seated fluid. The delta6Li value of -22 per mil of this Li-enriched fluid (261 µM), when compared with the delta6Li value of the subducted sediment section (-11 per mil), suggests that the deep source fluid originates from mineral fluid dehydration and transformation reactions at temperatures of 100 to 150°C, consistent with the temperature range of the up-dip seismogenic zone and of transformation of smectite to illite. The distribution of Li and its isotopes in the underthrust section are similar to those at the reference site, indicating near complete subduction of the incoming sediments and that early dewatering of the underthrust sediments occurs predominantly by lateral flow into the ocean. The hemipelagic clay-rich sediment section of the subducting plate carries most of the Li into this subduction zone, and the pelagic diatomaceous and nannofossil calcareous oozes contain little Li. The Li isotopes of both the clay-rich hemipelagic sediments and of the pelagic oozes are, however, similar, with delta6Li values of -9 to -12 per mil. The observations that (1) the delta6Li values of the underthrust sediments are distinctly lower than that of the mantle, and (2) the lavas of the Costa Rican volcanoes are enriched in Li and 7Li, provide an approximation of the contribution of the subducted sediments to the arc volcanoes. A first order mass balance calculation suggests that approximately half of the Li flux delivered by subducted sediments and altered oceanic crust into the Middle American Trench is recycled to the Costa Rican arc and at most a quarter of sedimentary Li is returned into the ocean through thrust faults, primarily the décollement thrust.

Parnaso costarricense; selección esmerada de los mejores poetas de Costa Rica,

"Vocablos costarricenses": p. [187]-199.

Women beware women: detective fiction and critical discourse stylistics

This article examines the work of four contemporary writers of detective fiction (P.D. James, Amanda Cross, Sara Paretsky and Ruth Rendell/Barbara Vine) from a critical discourse stylistics perspective with the objective of raising the reader’s awareness of the ideological processes that are manifested in the language of these texts. It considers how these writers deal with stereotypical assumptions, how they cope with socially-determined traditional roles and verify whether their choices result in the articulation of an alternative discourse. The investigation arrives at some identifiable cultural and linguistic characteristics which may be singular to this new group of writers. We suggest that by challenging traditional representations of women, these writers may be offering a reconstruction of the genre.

Central American refugees in Costa Rica

The conflicts of the past decade in Central America have produced substantial refugee movements into neighboring nations. Costa Rica has had to cope with an influx of refugees and migrants as large as 10 percent of its population. This work presents a case study of the situation in Costa Rica, focusing on the issue of refugee integration into the host society. It draws on qualitative field research conducted in that country during 1986. The study discusses the evolution of the Costa Rican state's response to the refugee crisis and analyzes the characteristics and impact of policies undertaken by various state bureaucracies. It also describes the assistance efforts of the United Nations High Commissioner for Refugees and private voluntary organizations, along with their interaction with the Costa Rican state. The study concludes that the government's need to maintain firm control of refugee programs has overshadowed its commitment to refugee integration. In so doing, the humanitarian purpose of refugee assistance has been compromised.

Integration of Colombian refugees in Costa Rica : an ethnographic approach to the refugees' legal, economic, and social experiences

This qualitative study, based on interviews to 17 refugee families, attempts to identify the reasons behind the lack of integration of Colombian refugees in Costa Rica. The model of Immigrant Modes of Incorporation and the studies of Alejandro Portes and Julia Sensenbrenner about the sources of social capital on migrant communities provided the theoretical framework used to identify the roots of the integration challenges. The findings suggest that Costa Rican policies towards the reception and integration of Colombian refugees are exclusionary. The host labor market is marked by sentiments of xenophobia towards the sample population while reported cases of persecution in the country also inhibit this population's economic integration. The lack of social capital sources contributes to inhibit this community's development, despite their participation in informal networks. There were signs of collective action. Yet, the refugee community fails to come together, while it also seems alienated from the community of Colombian entrepreneurs in Costa Rica.

CONSTRUCCIÓN DE ESPACIOS DE INFORMACIÓN PARA GARANTIZAR EL ACCESO AL CONOCIMIENTO EN LAS POBLACIONES INDÍGENAS: EL CASO DE COSTA RICA

Esta ponencia se basa en el proyecto CENTRO DE CONOCIMIENTO PARA GRUPOS INDÍGENAS CENTROAMERICANOS (GEIC), coordinado por la Escuela de Bibliotecología, Documentación e Información (EBDI) de la Universidad Nacional de Costa Rica, (UNA), su objetivo es “proponer la construcción de espacios de información para la población indígena, a partir del proyecto CENTRO DE CONOCIMIENTO PARA GRUPOS INDÍGENAS CENTROAMERICANOS y con esta ponencia se pretende presentar las lecciones aprendidas durante 2003-2007, años de recolección y análisis de datos, de establecimiento de relaciones, de coordinar actividades y ejecutar acciones tendientes a garantizar el cumplimiento al derecho de acceso a la información de las poblaciones indígenas costarricenses.El objetivo de GEIC fue crear un Centro de Conocimiento sobre/de Grupos Étnicos Indígenas Centroamericanos que sirviera de eje central para la consolidación del desarrollo de procesos tendientes a fortalecer la temática y el desarrollo de los grupos étnicos indígenas centroamericanos.El proyecto inició en el 2003, pero al no contar con personal permanente, se interrumpe su proceso hasta enero de 2004, con el desarrollo de la primera etapa, que comprende implementar cinco objetivos en Costa Rica. En posteriores etapas se espera integrar a los demás países centroamericanos.La población indígena costarricense corresponde a 63,876 personas, representando el 1.6% de la población nacional; existen ocho grupos socioculturales indígenas distintos, Cabécares, Bribris, Ngäbe, Térrabas, Borucas, Huetares, Malekus y Chorotegas, habitan en 24 territorios y hablan en 6 idiomas indígenas. A ellos se deben sumar poblaciones indígenas migratorias como los Miskitos de Nicaragua y Ngäbes de Panamá que trabajan en la producción agrícola en distintas zonas del país. El Proyecto GEIC, buscó la ejecución de la propuesta de creación de una unidad de información especializada en asuntos indígenas, en Shiroles Talamanca, para esto se realizó una investigación diagnóstica en la zona, determinando los recursos disponibles: tecnológicos, humanos, económicos y educacionales. En la actualidad se está gestionando y buscando financiamiento en instituciones locales, nacionales, e internacionales para cubrir los costos, aspecto que resulta un poco difícil por la falta de valoración de la importancia de la información en las comunidades indígenas.Otra actividad paralela a ésta es la construcción de un portal disponible en la dirección: http://www.una.ac.cr/bibliotecología/proyectogeic, y que fue avalado por las comunidades indígenas, con la participación de los y las protagonistas. En esa oportunidad se les explicó cada sección del mismo y se les solicitó sus observaciones y comentarios al respecto para involucrarlos(as) y se sintieran apropiados(as) de la misma.

DOCUMENTARY DIRECTED PRACTICE CONTROL IN CANTON PURISCAL, SAN JOSE, COSTA RICA

The Directed Practice Seminar was developed under the theme Document Control in Canton Puriscal, San Jose Costa Rica. The practice consisted of a process of identification, collection, description, analysis and typing of documents Puriscal of historical, scientific and cultural, to publicize the county's documentary heritage, thus contributing to the Costa Rican national literature, and also promote the rescue culture of the peoples, a task that performs modern librarianship.The search, identification and collection of documents that have been published or not, in and to the Canton Puriscal was thorough and in all possible formats: books, journals, letters, brochures, memos, videos, newspaper articles, manuscripts , periodicals, electronic resources, among others.

Copyrights in Costa Rica

The copyright has been the subject of discussion in national and international forums, which involve lots of interests, both personal and economic. Costa Rica has been the exception.Its importance and the protection that the country's legal system provides, is such that many of the benefits received as a nation (exemptions, preferential tariffs, export quotas) have been subject to the protection that the Costa Rican government granted this fees.