Introduction

Author(s):  
Miguel Tinker Salas
Keyword(s):  

The first thing most people outside of Venezuela know about the country is its former president, Hugo Rafael Chávez Frías, one of the most charismatic and controversial leaders in the Western Hemisphere in the last one hundred years, whose death in 2013 traumatized the...

Author(s):  
James B. Bell

In step with the gradually unfolding imperial policies of the successive governments of King Charles I and later monarchs, the Church of England was extended to the northern part of the Western hemisphere between 1662 and 1829. Under the supervision of the Board of Trade and Plantations until 1701, and the Society for the Propagation of the Gospel in Foreign Parts from that year, decade after decade an increasing number of men of differing origins and places of collegiate education in Britain came to serve missions of the Church in early America. The ranks included natives of England, Wales, Scotland, Ireland, and the American colonies, who were supported by the SPG or the legislatures of the provinces in which the Church was established. Development was shaped by imperial policies and administration over 160 years amid rising populations, changing political situations, and the consequences of war and diplomacy.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Åse Lundin ◽  
Anna Bergenheim

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.


2021 ◽  
pp. 096777202110347
Author(s):  
Gabriel E Andrade

The management of the coronavirus disease 2019 pandemic will require huge worldwide vaccination efforts. In this endeavour, healthcare workers face the twofold challenge of reaching remote areas, and persuading people to take the vaccine shots. As it happens, this is nothing new in the history of medicine. Health workers can take inspiration from Francisco Xavier Balmis, a Spanish physician of the 19th century who realised the importance of Jenner's vaccine against smallpox, and led a big successful expedition to administer the vaccines in the Spanish colonial possessions of the Western hemisphere and Asia. This article presents a biographical sketch of Balmis, focusing on his expedition.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
L. F. Aranguren Caro ◽  
F. Alghamdi ◽  
K. De Belder ◽  
J. Lin ◽  
H. N. Mai ◽  
...  

Abstract Background Enterocytozoon hepatopenaei (EHP) is an enteric pathogen that affects Penaeus vannamei and Penaeus monodon shrimp in many SE Asian countries. In the western hemisphere, EHP was reported for the first time in 2016 in farmed P. vannamei in Venezuela. Anecdotal evidence suggests that EHP is more prevalent in grow-out ponds where the salinity is high (> 15 parts per thousand (ppt)) compared to grow-out ponds with low salinities (< 5 ppt). Considering that P. vannamei is an euryhaline species, we were interested in knowing if EHP can propagate in P. vannamei in low salinities. Results In this study, we described an experimental infection using fecal strings as a source inoculum. Specific Pathogen Free (SPF) P. vannamei were maintained at three different salinities (2 ppt, 15 ppt, and 30 ppt) while continuously challenged using feces from known EHP-infected P. vannamei over a period of 3 weeks. The fecal strings, used as a source of EHP inocula in the challenges, was sufficient to elicit an infection in shrimp maintained at the three salinities. The infectivity of EHP in shrimp reared at 2 ppt, 15 ppt, and 30 ppt salinities was confirmed by PCR and histopathology. The prevalence and the severity of the EHP infection was higher at 30 ppt than at 2 ppt and 15 ppt. Conclusion The data suggests that fecal strings are a reliable source of EHP inoculum to conduct experimental challenges via the fecal-oral route. An EHP infection can occur at a salinity as low as 2 ppt, however, the prevalence and the severity of the EHP infection is higher at a salinity of 30 ppt.


The Auk ◽  
2021 ◽  
Author(s):  
Emma I Greig ◽  
Eva Kinnebrew ◽  
Max L Witynski ◽  
Eric C Larsen

Abstract Most birds that show geographic variation in their songs discriminate between local and foreign songs, which may help them avoid unnecessary conflicts with vagrant individuals or similar-sounding congeners. However, some species respond equally to foreign and local songs, which may be useful if foreign individuals present territorial threats or if there are no sympatric congeners to avoid. Species without sympatric congeners are not commonly tested in playback studies, but they offer an opportunity to see how song variation and recognition unfolds when the pressure to avoid similar congeners is absent. Here, we use Verdins (Auriparus flaviceps), a monotypic genus of songbird with no confamilials in North America, to explore song variation and recognition in a species living without close relatives. We assessed geographic variation in song across the Verdin range and conducted a playback experiment using exemplars from 2 acoustically divergent and geographically distant regions as treatments. We found significant geographic variation in song that mapped well onto ecologically distinct desert regions. We found that Verdins had stronger vocal responses to local-sounding songs, but had equal movement responses to local-sounding and foreign songs. These results are similar to results found in other species without sympatric congeners and provide an example of a species that investigates acoustically divergent conspecific songs, despite recognizing salient differences in those songs.


Sign in / Sign up

Export Citation Format

Share Document