Involution of tradition and existential authenticity of the resident group in Nyuh-Kuning village

Author(s):  
Jeong Hun Jeong
Keyword(s):  
2016 ◽  
Vol 19 (1) ◽  
pp. 105-118 ◽  
Author(s):  
Andrea Mendes Araújo ◽  
Temístocles Bezerra de Sousa Neto ◽  
Ângelo José Gonçalves Bós

Objective To identify the demographic, environmental, economic, functional, and health characteristics and the lifestyle habits of elderly persons considering their degree of institutionalization. Method A cross-sectional observational study was carried out of individuals in long-term care institutions for the elderly (resident group) in João Pessoa in the state of Paraíba, those on the waiting list (waiting list group) for such institutions, and those who did not demonstrate interest in being institutionalized (non-waiting list group). Fifty elderly persons per group were interviewed, paired by sex, age and education level. Results The non-waiting list group had a higher proportion of married individuals (p<0.0001), mean number of children (p=0.0068), number of homeowners (p=0.0060) and less difficulty going out, with a higher frequency of activities. The waiting list group presented a higher proportion of individuals living alone (p=0.0089), and a lower frequency and more difficulty going out. There was no significant difference in the functional capacity of the three groups (p=0.2019). Conclusion There were differences among the three groups; however, the waiting list group had much more similar characteristics to the resident group than the non-waiting list group. Elderly persons on waiting lists to be institutionalized represent a neglected social group both in terms of research and public policies.


2017 ◽  
Vol 5 (1) ◽  
pp. 87-101 ◽  
Author(s):  
X. Albacete ◽  
T. Toivonen ◽  
M. Salonen ◽  
P. Saarsalmi ◽  
M. Kolehmainen

2020 ◽  
Vol 217 (4) ◽  
Author(s):  
Ivan Ting Hin Fung ◽  
Poornima Sankar ◽  
Yuanyue Zhang ◽  
Lisa S. Robison ◽  
Xiuli Zhao ◽  
...  

Increasing evidence has challenged the traditional view about the immune privilege of the brain, but the precise roles of immune cells in regulating brain physiology and function remain poorly understood. Here, we report that tissue-resident group 2 innate lymphoid cells (ILC2) accumulate in the choroid plexus of aged brains. ILC2 in the aged brain are long-lived, are relatively resistant to cellular senescence and exhaustion, and are capable of switching between cell cycle dormancy and proliferation. They are functionally quiescent at homeostasis but can be activated by IL-33 to produce large amounts of type 2 cytokines and other effector molecules in vitro and in vivo. Intracerebroventricular transfer of activated ILC2 revitalized the aged brain and enhanced the cognitive function of aged mice. Administration of IL-5, a major ILC2 product, was sufficient to repress aging-associated neuroinflammation and alleviate aging-associated cognitive decline. Targeting ILC2 in the aged brain may provide new avenues to combat aging-associated neurodegenerative disorders.


2006 ◽  
Vol 120 (4) ◽  
pp. 474 ◽  
Author(s):  
Jonathan G. Way ◽  
David L. Eatough

We document the use of very narrow, linear corridors (termed “micro-corridors”) that facilitated movements by both a transient and a resident group of eastern Coyotes (Canis latrans) in a heavily urbanized area in north Boston, Massachusetts. Two corridors are discussed: one, a railroad line through downtown Boston; and two, a hole in a cemetery fence giving access to two separated cemeteries in a region of intense human development. Coyotes can be good subjects to illustrate the use of fragmented landscapes because they are common and thus are abundant enough to study yet are wary and avoid novel things and generally avoid people.


2018 ◽  
Vol 84 (4) ◽  
pp. 543-546
Author(s):  
Motahar Hosseini ◽  
Astha Bhatt ◽  
Gopal C. Kowdley

Ultrasound (US) is fast becoming an extension of the physical examination in most surgical settings. Unfortunately, few residency programs offer a formal US training curriculum to their general surgical residents. This study aimed to assess the efficacy of a formal US training module for general surgery residents. We studied the degree of improvement observed between junior and senior residents. A training-based study was conducted to evaluate baseline knowledge and skills. Subsequently, a formal didactic and practical training program for our surgery residents was instituted. Residents were then scored in various categories. A total of 18 surgical residents comprising 10 junior and 8 senior residents completed our US training module. There was no significant improvement in the scores of the senior resident group. In the junior group, the written test, image detection, optimization, and interpretation categories improved significantly after completion of the training module. Comparison of improvement in scores between junior and senior residents revealed a significantly better improvement in the junior group than in the senior group. Early training of surgical residents can significantly improve US performance in junior residents. This early training has the benefit of increased utilization of bedside US for diagnostic and procedural purposes. Interestingly, even without formal training, skill acquisition of senior residents is noted to occur during modern surgical training.


Author(s):  
Sung Wook Chang ◽  
Seok Won Lee ◽  
Han Cheol Jo ◽  
Dong Hun Kim ◽  
Ye Rim Chang

Abstract Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a salvage technique changing the paradigm in the management of non-compressible torso hemorrhage. However, training for the REBOA procedure is rarely performed. The endovascular training for REBOA (ET-REBOA) course was conducted to develop the endovascular skills of participants. Methods: Sixteen residents and 12 specialists participated in this educational course. All participants were provided with pre-course learning materials that consisted of a lecture on the introduction of REBOA and a demonstration video clip a week before the course. The ET-REBOA course consisted of two sections: an ultrasound-guided sheath insertion on the puncture model, and a balloon manipulation on the vascular circuit model. A 13-item procedure checklist and the time required to perform the procedure were examined. Pre/post self-reported confidence score and course satisfaction questionnaire was obtained. Results: Twenty-eight participants performed the 56 REBOA procedures. Seven of 16 residents failed their first attempt. On the first attempt, the median total time for REBOA from ultrasound-guided vascular access to balloon inflation was 1139 ± 250 s in the resident group and 828 ± 280 s in the specialist group. The median shortened time for completion was 273 s in the resident group and 290 s in the specialist group. A significant decrease in procedure task time was observed between first and second attempt in the resident group (p = 0.016), specialist group (p = 0.004), and in total amongst all participants (p < 0.001). Conclusion: The ET-REBOA course significantly decreased the time taken to perform the REBOA procedure with high satisfaction of the participants. The course could be an effective curriculum for the development of endovascular skills for performing REBOA.


Author(s):  
Evan Ritter ◽  
Manpreet Malik ◽  
Rehan Qayyum

Hospitals are establishing procedure services to address resident training and patient safety. We examined whether a hospitalist procedure service affects a patient’s hospital length of stay (LOS) and the time from admission to paracentesis (A2P). We queried our electronic medical records for all inpatient peritoneal fluid samples from July 1, 2016, to May 31, 2019. LOS and A2P time were compared among patients who had paracentesis by the procedure service, by residents, or by radiology. Of the 1,321 procedures, 509 (38.5%) were performed by the procedure service. In the adjusted analysis, as compared with procedure service, the group that underwent paracentesis by the radiology service had a 27% longer LOS (95% CI, 2%-58%) and 40% longer A2P time (95% CI, 5%-87%). The resident group had shorter A2P (–19%; 95% CI, –33% to 0.2%; P = .05) than the procedure service group but similar LOS. To our knowledge, this is the first study that suggests patient-centered benefits of a hospitalist procedure service.


2001 ◽  
Vol 8 (1) ◽  
pp. 46 ◽  
Author(s):  
Sarah Keene Meltzoff ◽  
Michael Lemons ◽  
Yair G. Lichtensztajn

Caught between the sea and one of the world’s driest deserts, Pisagua’s coastal desert landscape is being transformed by the ways people utilize its natural isolation and rich protected waters. Periodically, these waters are altered by El Niño events. As distinct stakeholders -- fishermen, political activists, government planners, tourists and developers -- appropriate the site, their competing voices and identities alter the patterns of resource use. The most consistent resident group is a small number of fishermen, who have been willing to forego modern infrastructure to live in Pisagua’s harsh natural, political, and economic isolation. Because of this isolation, three separate national administrations have utilized the town as a political prison. The fishermen visualize political ghosts roaming the wooden ruins of this once thriving nitrate port. Developers today, however, aim to sanitize local political history in order to create a tourist “paradise”, and are being aided by a government plan to incorporate Pisagua into the core Chilean economy. Political activists, who use Pisagua as a pilgrimage site to indemnify the horrors of the past, protest this planas one of political sacrilege. The plan also has concrete ramifications for the fishing families of Pisagua, who not only struggle with scarcity during major El Niño events, but now face encroaching tourism as globalization encompasses their space. The resident grassroots community leader has proffered additions to the plan that directly benefit the community. He is a former political activist with visions of a community-based “paradise” that would incorporate the marginal voices of the fishermen. We discuss his role as part of an approach which views identity and livelihood as practical and essential elements of any economically viable management plan. We examine shifting identity roles in light of the Pisagua plans, and frame our discussion within the context of three overlapping climate changes: economic, political, and environmental. This lays the foundation for a suggested adaptive management strategy that serves the economic needs of Pisagua through a recognition of the importance of stakeholder identity and livelihood.Key words: Pisagua, Chile, political ecology, ethnography, space and place, identity,livelihood, environment, El Niño, climate change, political activism, pilgrim,globalization, fisheries, migration, tourism, MPA, co-management.


PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 191-197 ◽  
Author(s):  
Gail B. Slap

Adolescents receive care from different specialists whose training may affect the quality of care. To measure possible effects, all 80 level 1 and level 3 pediatric and medical residents at one institution completed a questionnaire that asked if they planned to care for adolescents and determined their attitudes and skills for 30 relevant tasks. The mean age chosen for transfer of care from a pediatrician to an internist was 18.7 years by the pediatric residents and 16.6 years by the medical residents (P = .00001). Skill in obtaining histories; staging puberty; screening for scoliosis; performing pelvic examinations; diagnosing delayed puberty, psychiatric disorders, or learning disabilities; immunizing; and treating knee and hip pain more often were thought to be important by pediatric residents (88% to 100%) than by medical residents (40% to 75%) (P &lt; .02). More than 70% of PL-3 but fewer than 50% of ML-3 residents rated themselves skilled for these tasks (P &lt; .05). Fewer than 60% of each resident group rated themselves skilled in contraception. Both groups rated themselves underskilled in adolescent history-taking; counseling; evaluation of psychopathology; and treatment of dysmenorrhea and hypertension. In both groups, the decision to care for an adolescent was negatively influenced by the presence of a psychosocial disorder. In conclusion, both pediatric and medical residents plan to care for adolescents, and both recognize deficiencies in their training. Pediatric residents, however, are more confident of their skills in adolescent care than are medical residents.


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