Foreign Scientists at the National Institutes of Health: Ramifications of U.S. Immigration and Labor Policies

2003 ◽  
Vol 37 (2) ◽  
pp. 421-443 ◽  
Author(s):  
Sergio Díaz-Briquets ◽  
Charles C. Cheney

This article describes the findings of a study undertaken to shed light on some of the factors that determine the employment of foreign biomedical scientists in the United States by examining their presence at the National Institutes of Health (NIH). NIH was selected as the focus of the study for its unique combination of characteristics. It is a federal agency with the ambiance of academe that carries out biomedical research and training internally while supporting like activities externally through grant- and contract-based linkages with a host of academic institutions and biotechnology firms in the United States and abroad. Over a two-year period, in-depth interviews were conducted with more than 200 stakeholders at the NIH campus and elsewhere, as well as ethnographic observations. The study identified several hitherto unreported important functions that NIH plays in facilitating the inflow of talented foreign scientists to meet its manpower needs and those of the broader national economy.

2017 ◽  
Vol 44 (6) ◽  
pp. 16-30 ◽  
Author(s):  
Simón Pedro Izcara Palacios

Migrant flows crossing Mexican territory into the United States along the Gulf route are mainly driven by a demand for cheap labor. The decrease in the number of migrants wishing to cross the border to escape the violence in Mexico has turned undocumented migrants into a rare and valuable commodity. The increasing costs of migrant smuggling as a result of organized crime and the activities of the immigration authorities have prompted employers to finance this activity to ensure that they receive enough workers. In-depth interviews with 70 migrant smugglers shed light on the function and participation of the different actors involved in migrant smuggling. El flujo migratorio que atraviesa el territorio mexicano a través de la ruta del golfo para llegar a los Estados Unidos aparece impulsado principalmente por la demanda de mano de obra barata. El descenso del número de personas dispuestas a cruzar la frontera debido a la violencia que ha afectado a México ha convertido a los indocumentados en una mercancía escasa y valiosa. El incremento de los costes de esta actividad debido a la incursión de los grupos delictivos y las autoridades migratorias ha hecho que los empleadores hayan tenido que financiar el tráfico de migrantes para abastecerse de mano de obra. Entrevistas en profundidad a setenta polleros arrojan luz sobre la función y participación de los diferentes actores involucrados en el tráfico de migrantes.


2015 ◽  
Vol 43 (2) ◽  
pp. 177-200
Author(s):  
Stephen Gageler

James Bryce was a contemporary of Albert Venn Dicey. Bryce published in 1888 The American Commonwealth. Its detailed description of the practical operation of the United States Constitution was influential in the framing of the Australian Constitution in the 1890s. The project of this article is to shed light on that influence. The article compares and contrasts the views of Bryce and of Dicey; Bryce's views, unlike those of Dicey, having been largely unexplored in contemporary analyses of our constitutional development. It examines the importance of Bryce's views on two particular constitutional mechanisms – responsible government and judicial review – to the development of our constitutional structure. The ongoing theoretical implications of The American Commonwealth for Australian constitutional law remain to be pondered.


2021 ◽  
Vol 10 ◽  
pp. 216495612110233
Author(s):  
Malaika R Schwartz ◽  
Allison M Cole ◽  
Gina A Keppel ◽  
Ryan Gilles ◽  
John Holmes ◽  
...  

Background The demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare. Objective The main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs. Methods We conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities. Results 218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality. Conclusion Primary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.


2019 ◽  
Author(s):  
Andrew D. Sobel ◽  
Davis Hartnett ◽  
David Hernandez ◽  
Adam E. M. Eltorai ◽  
Alan H. Daniels

Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.


PEDIATRICS ◽  
1972 ◽  
Vol 50 (6) ◽  
pp. 961-963

This year marks the 42nd anniversary of the American Academy of Pediatrics. From its original 35 members, in this short span of years, the Academy has become a progressive, rapidly growing, vigorous group of more than 14,000 Fellows-four-fifths of all the United States pediatricians and a representative percentage of the pediatricians in Central and South America and Canada. During this interval, the Academy has consistently developed its programs and activities to advance and promote the health and welfare of children. Yet for the first 35 years we were basically an educational, disease-oriented organization, with little impact on community-oriented medical services, or on the socioeconomics of health care. Fortunately in the past several years there has been a decided change in the policies, priorities, and direction of the Academy. This is best reflected by its recent expanded goals and objectives in a complete revision of Article III, Section I of its Constitution. Even though we are still primarily disease-oriented physicians, we must not forget the problems that are deterrents to good health. We can hardly expect mcdicine to solve every social, political, and economic ill of the ghetto, suburbia, and the rural areas of our country; however, we do have an important role to play and we do have an important contribution to make in our communities. These areas, large or small and wherever they may be, will not have the same medical health and manpower needs, nor the same priorities, and will continually need our individual and collective attention. The United States has more physicians per capita than all but three or four other nations.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Deepak Agrawal ◽  
Rajeev Jain

Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.


2021 ◽  
Vol 12 ◽  
pp. 0
Author(s):  
Ana Luisa Calvillo Vázquez ◽  
Guillermo Hernández Orozco

It was sought to know the meaning of deportation for Mexicans who were returned from the United States in the last decade, based on their ideas, attitudes, and beliefs, from the educational approach and the analysis of content as a methodological strategy. Empirical material consisted of 25 digital narratives from the public archive “Humanizing Deportation,” six in-depth interviews conducted between 2016 and 2017 in Tijuana, Baja California, and five historical testimonies located in bibliographic sources. Findings show that post-deportation irregular re-emigration underlines a political behavior of resistance that suggests the existence of a culture of deportation, which differs from the culture of migration and the culture of clandestine border crossing, even though the current penalty for illegal reentry has inhibited or postponed these practices.


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