An exploration of the needs and goals of the health professional and patient in a medical consultation

This Study is the first phase of a three-phase study continuing over three years. Twent)' health professionals from different disciplinary backgrounds (medical doctors, nurses, allied health professionals) and 20 patients across a range of medical condidons, education, gender, and socio-economic backgrounds, pardcipated in one-on-one semi-structured interviews. Participants described their experiences and percepdons of both effecdve and sadsfying medical consultations and dissadsf)'ing and ineffecdve ones. They also discussed their individual goals and needs in the consultation process. Results indicated that while there were some similarides in consultation goals and needs between health professionals, there were also clear differences across the different discipUnes. In addition, there were clear differences in goals and needs across the twenty padents. These findings are discussed within the framework of communicadon accommodadon theor}' (CAT) and the linguisdc model of padent pardcipadon (LMOPP) and focus on understanding the different dynamics that underpin varying health professional and padent interacdons.

Breeding Rice for Drought-Prone Environments

A large portion of the world’s poor farm in rainfed systems where the water supply is unpredictable and droughts are common. In Asia, about 50% of all the rice land is rainfed and, although rice yields in irrigated systems have doubled and tripled over the past 30 years, only modest gains have occurred in rainfed rice systems. In part, this is because of the difficulty in improving rice varieties for environments that are heterogeneous and variable, and in part because there has been little effort to breed rice for drought tolerance. Information available for other cereals (for example, maize, Bänziger et al 2000) and for wheat and the limited or circumstantial evidence available for rice indicate that we can now breed varieties that have improved yield under drought and produce high yields in the good seasons. This manual aims to help plant breeders develop such varieties. While the manual focuses on drought tolerance, this must be integrated with the mainstream breeding program that also deals with agronomic adaptation, grain quality, and pest and disease resistance. Mackill et al (1996) have written a guide to the overall improvement of rice for rainfed conditions. This manual should be seen as an amplification of and updating of the section on drought tolerance in that book. Because final proof of many approaches for breeding drought-tolerant rice is not yet available, and because some aspects may not work in all environments and germplasm, we recommend that you use this manual with caution. Test the suggested approaches and only implement them on a large scale if they are effective and realistic for your own situation

Molecular breeding for rainfed lowland rice in the Mekong Region

In the past 20 years, the rice-breeding program in Thailand had little success in developing new cultivars to replace Kao Dawk Mali 105 (KDML105) and Kao Khor 6 (RD6). Main reason is a poor adoption of new cultivars by farmers due to poor adaptation of new cultivars to the rainfed environments, susceptibility to diseases and insect pests and unacceptable grain qualities. The conventional breeding program also takes at least 15 years for releasing new cultivars. New breeding strategy can be established to shorten period for cultivar improvement by using marker-assisted selection (MAS), rapid generations advance (RGA), early generation testing in multi-locations for grain yield and qualities. Four generation of MAS backcross breeding were conducted to transfer gene and QTL for bacterial blight resistance (BLB), submergence tolerance (SUB), brown planthopper resistance (BPH) and blast resistance (BL) into KDML105. Selected backcross lines, introgressed with target gene/QTL, were tolerant to SUB and resistant to BLB, BPH and BL. The agronomic performance and grain quality of these lines were as good as or better than KDML105.

Therapeutic goals for otherwise healthy diabetic cats

The principle goals of treating diabetes in cats are to correct the major clinical signs of diabetes (weight loss, polydipsia / polyuria, and polyphagia or inappetence), and to prevent diabetic ketoacidosis. Additional goals are to minimize the risk of hypoglycaemia by appropriate dose adjustment of insulin or oral hypoglycaemic agents. Appropriate therapy of cats may also lead to diabetic remission, although currently it is not possible at diagnosis to predict which cats are more likely to go into remission. Treatment that is most effective in correcting hyperglycaemia is more likely to lead to remission by facilitating the recovery of the pancreatic cells from glucose toxicity.