Interprofessional practices of physiotherapists working with adults with low back pain in Québec's private sector: results of a qualitative study.

BACKGROUND: Collaboration and interprofessional practices are highly valued in health systems, because they are thought to improve outcomes of care for persons with complex health problems, such as low back pain. Physiotherapists, like all health providers, are encouraged to take part in interprofessional practices. However, little is known about these practices, especially for private sector physiotherapists. This study aimed to: 1) explore how physiotherapists working in the private sector with adults with low back pain describe their interprofessional practices, 2) identify factors that influence their interprofessional practices, and 3) identify their perceived effects. METHODS: Participants were 13 physiotherapists, 10 women/3 men, having between 3 and 21 years of professional experience. For this descriptive qualitative study, we used face-to-face semi-structured interviews and conducted content analysis encompassing data coding and thematic regrouping. RESULTS: Physiotherapists described interprofessional practices heterogeneously, including numerous processes such as sharing information and referring. Factors that influenced physiotherapists' interprofessional practices were related to patients, providers, organizations, and wider systems (e.g. professional system). Physiotherapists mostly viewed positive effects of interprofessional practices, including elements such as gaining new knowledge as a provider and being valued in one's own role, as well as improvements in overall treatment and outcome. CONCLUSIONS: This qualitative study offers new insights into the interprofessional practices of physiotherapists working with adults with low back pain, as perceived by the physiotherapists' themselves. Based on the results, the development of strategies aiming to increase interprofessionalism in the management of low back pain would most likely require taking into consideration factors associated with patients, providers, the organizations within which they work, and the wider systems.

Centre de negocis : Barcelona Business World

Anàlisi, disseny i implementació de dues aplicacions (una plana web i una intranet), ambdues relacionades amb un centre de negocis anomenat Barcelona Business World.

Iowa's Maternal Health, Child Health and Family Planning Business Plan, January 2014

• Promotes access to regular preventive health care services for children through contracts with 22 agencies covering all of Iowa’s 99 counties • Fosters age appropriate growth and development by promoting early identification of children’s health concerns and referral for diagnosis and treatment • Assists families to establish medical and dental homes for their children • Targets low income families – children on Medicaid and those who are uninsured and under insured • Strives to meet family needs and remove barriers to accessing health care by linking families to community-based, culturally appropriate services

Représentations sociales et représentations intimes de la maladie. Quelques réflexions d'un clinicien [Social and private representations of cancer. A clinician's point of view]

This paper discusses social representations in scientific communications and private ones that are linked to the individual imagination. Social representations, in a limited sense, are useful for the development of preventive messages, but of little benefit to clinical work. We highlight some non-explicit aspects of scientific discourse that impact on treatment: projected beliefs and values. We tackle the relationship between the concepts of representation, imagination, identity and temporality in the individual approach of the cancer patient.

Small-scale non-industrial private forest ownership in the United States : rationale and implications for forest management

Abstract

Analysis of the present (and impact) of women in business organizations in contemporany Spanish democracy. The impact of Spanish law of equality reviewed

Since its approval, in 2007, the Spanish Law of Equality (LO 3/2007) has been the target of many scholars on gender issues. Those analyses (and those previous to the first observable results of the Spanish Law of Equality), have largely prioritized political representative institutions and political parties as the main arenas to assess the impact of the new regulation. Nevertheless, to make a comprehensive analysis of the increase and impact of the presence of women in contemporary democracies one cannot exclude the existence of many other crucial actors in our pluralist systems, such as business organizations.In this line, in order to widen the knowledge on the presence of women in Spanish contemporary democracy, as well as to further assess the impact of Spanish Law of Equality on the presence of women in economic and political life, our paper will look at the gender bias of the executive committees in the Spanish Chambers of Commerce and business associations during the period 20010-2012. By placing those actors at the front sight, we aim to contribute with new empirical insights to the current debate on this topic.

Estudio del Business Intelligence y desarrollo de un Cuadro de Mando para el Análisis de Ventas

El Business Intelligence ha pasado en los últimos 20 años de ser un capricho de unos pocos CIO, que podían permitirse destinar partidas presupuestarias para tal efecto, a convertirse en una realidad ya presente en muchas de las grandes empresas o una necesidad urgente para las que todavía no han implantado un sistema de esas características.La primera parte del presente documento, denominada “Estudio del Business Intelligence”, presenta una introducción a dicho concepto, desde la base. Explicando los conceptos teóricos clave necesarios para entender este tipo de soluciones, más adelante se comentan los componentes tecnológicos que van desde los procesos de extracción e integración de información a cómo debemos estructurar la información para facilitar el análisis. Por último, se repasan los diferentes tipos de aplicaciones que existen en el mercado así como las tendencias más actuales en este campo.La segunda parte del documento centra su foco en la implantación de un Cuadro de Mandos para el análisis de las ventas de una empresa, se identifican las diferentes fases del proyecto así como se entra en detalle de los requerimientos identificados. En último lugar, se presenta el desarrollo realizado del Cuadro de Mandos con tecnología Xcelsius, que permite exportar a flash el resultado y visualizarlo en cualquier navegador web.

Impact of engineered nanomaterials on health : considerations for benefit-risk assessment

Nanotechnology encompasses the design, characterisation, production and application of materials and systems by controlling shape and size at the nanoscale (nanometres). Nanomaterials may differ from other materials because of their relatively large specific surface area, such that surface properties become particularly important. There has been rapid growth in investment in nanotechnology by both the public and private sectors worldwide. In the EU, nanotechnology is expected to become an important strategic contributor to achieving economic gain and societal and individual benefits. At the same time there is continuing scientific uncertainty and controversy about the safety of nanomaterials. It is important to ensure that timely policy development takes this into consideration. Uncertainty about safety may lead to polarised public debate and to business unwillingness to invest further. A clear regulatory framework to address potential health and environmental impacts, within the wider context of evaluating and communicating the benefit-risk balance, must be a core part of Europe's integrated efforts for nanotechnology innovation. While a number of studies have been carried out on the effect of environmental nanoparticles, e.g. from combustion processes, on human health, there is yet no generally acceptable paradigm for safety assessment of nanomaterials in consumer and other products. Therefore, a working group was established to consider issues for the possible impact of nanomaterials on human health focussing specifically on engineered nanomaterials. This represents the first joint initiative between EASAC and the Joint Research Centre of the European Commission. The working group was given the remit to describe the state of the art of benefits and potential risks, current methods for safety assessment, and to evaluate their relevance, identify knowledge gaps in studying the safety of current nanomaterials, and recommend on priorities for nanomaterial research and the regulatory framework. This report focuses on key principles and issues, cross-referencing other sources for detailed information, rather than attempting a comprehensive account of the science. The focus is on human health although environmental effects are also discussed when directly relevant to health