International Survey of Peritoneal Dialysis Training Programs

2006 ◽  
Vol 26 (6) ◽  
pp. 658-663 ◽  
Author(s):  
Judith Bernardini ◽  
Valerie Price ◽  
Ana Figueiredo ◽  
Aase Riemann ◽  
Dora Leung

Objective To survey nurses around the world about current practices for peritoneal dialysis (PD) home training programs. Design Random sampling of nurses to complete a written survey from the International Society for Peritoneal Dialysis Nursing Liaison Committee. Settings United States, Canada, South America (Brazil, Columbia), The Netherlands, Hong Kong. Methods Surveys and responses were sent by fax whenever possible, or by regular mail, or hand carried, or conducted by telephone. Results were stratified by geographic areas as well as by cumulative responses and were expressed as medians with ranges. Kruskal–Wallis was used to evaluate differences in responses. Associations between variables were tested with Pearson correlation. Univariate regression analysis was used to evaluate the impact of variables on peritonitis rates. Variables with p < 0.10 were included in a multivariate analysis. Results A total of 317 nurses responded: 88 in the United States, 46 in Canada, 58 in South America, 58 in Hong Kong, and 67 in The Netherlands. This represented 37% of all surveys distributed. Respondents had a median of 12 years’ experience in nephrology (range 1 – 35 years), but only 31% had a formal background in adult education. Nearly half received their guidance to patient training from a nurse colleague, 11% were guided by a corporate colleague, and 8% were simply self-taught. Clinics responding had a median of 30 PD patients (range 1 – 400) and reported they trained a median of 8 patients per year (range 0 – 86). Reported peritonitis rates were a median 0.46 per year or 1 episode every 26 months. Peritonitis rates, however, were not known by 53% of respondents. Total training time per patient had a very wide range of hours, from 6 to 96. There was no correlation between training time and peritonitis rates among the study respondents ( p = 0.38), nor with any other variables. Conclusions There is wide variation in practices for PD patient training programs within countries and around the world. Training time did not appear to be related to peritonitis rates. Randomized trials of training practices are needed to determine which approaches produce the best outcomes for patients.

1997 ◽  
Vol 24 (1) ◽  
pp. 117-141 ◽  
Author(s):  
T. A. LEE

This study represents part of a long-term research program to investigate the influence of U.K. accountants on the development of professional accountancy in other parts of the world. It examines the impact of a small group of Scottish chartered accountants who emigrated to the U.S. in the late 1800s and early 1900s. Set against a general theory of emigration, the study's main results reveal the significant involvement of this group in the founding and development of U.S. accountancy. The influence is predominantly with respect to public accountancy and its main institutional organizations. Several of the individuals achieved considerable eminence in U.S. public accountancy.


2012 ◽  
Vol 7 (3) ◽  
pp. 363-381 ◽  
Author(s):  
Marco Varkevisser ◽  
Frederik T. Schut

AbstractIn markets where hospitals are expected to compete, preventive merger control aims to prohibit anticompetitive mergers. In the hospital industry, however, the standard method for defining the relevant market (SSNIP) is difficult to apply and alternative approaches have proven inaccurate. Experiences from the United States show that courts, by identifying overly broad geographic markets, have underestimated the anticompetitive effects of hospital mergers. We examine how geographic hospital markets are defined in Germany and the Netherlands where market-oriented reforms have created room for hospital competition. For each country, we discuss a landmark case where definition of the geographic market played a decisive role. Our findings indicate that defining geographic hospital markets in both countries is less complicated than in the United States, where antitrust analysis must take managed care organisations into account. We also find that different methods result in much more stringent hospital merger control in Germany than in the Netherlands. Given the uncertainties in defining hospital markets, the German competition authority seems to be inclined to avoid the risk of being too permissive; the opposite holds for the Dutch competition authority. We argue that for society the costs of being too permissive with regard to hospital mergers may be larger than the costs of being too stringent.


2021 ◽  
Vol 1 (10) ◽  
pp. 149-166
Author(s):  
Dmitry V. Gordienko ◽  

The paper examines the interests of Russia, the United States and China in the regions of the world and identifies the priorities of Russia's activities in Europe, Central Asia and the Caucasus, the Asia-Pacific region, the Arctic, Africa, the Middle East and Latin America, their comparative assessment with the interests of the United States and China. An approach to assessing the impact of possible consequences of the activities of the United States and China on the realization of Russia's interests is proposed. This makes it possible to identify the priorities of the policy of the Russian Federation in various regions of the world. The results of the analysis can be used to substantiate recommendations to the military-political leadership of our country. It is concluded that the discrepancy between the interests of the United States and China is important for the implementation of the current economic and military policy of the Russian Federation.


2017 ◽  
Vol 8 (1) ◽  
pp. 23-31
Author(s):  
Jakub Majkowski

This essay will firstly address the extent of Stalin’s achievements in leading the course for domestic policy of the Soviet Union and its contribution towards maintaining the country’s supremacy in the world, for example the rapid post-war recovery of industry and agriculture, and secondly, the foreign policy including ambiguous relations with Communist governments of countries forming the Eastern Bloc, upkeeping frail alliances and growing antagonism towards western powers, especially the United States of America.   The actions and influence of Stalin’s closest associates in the Communist Party and the effect of Soviet propaganda on the society are also reviewed. This investigation will cover the period from 1945 to 1953. Additionally, other factors such as the impact of post-war worldwide economic situation and attitude of the society of Soviet Union will be discussed.    


Author(s):  
Weiyi Li ◽  

China and the United States share significant differences in social ideology and cultural backgrounds, resulting in many differences in narrative, humanistic expression, communication and target market positioning of films with the similar theme. This essay takes The Captain and Sully as examples. Through analysis and summary, the writer finds that the differences in social ideology and cultural background have an impact on the narrative tactic, target market, the production, and the circulation strategy of films. For example, at the narrative theme level, The Captain is country-centered, while Sully pays more attention to the inner changes of the characters. In terms of production, The Captain pays more attention to the excitement brought to the audience watching the movie, while Sully pays more attention to the movie story itself. In the choice of target market, the target market of The Captain is positioned in China, while Sully positioned in the world. The distinctive choices of plot and theme of the two films reflect the differences in cultures and ideologies of the two countries. The purpose of this essay is to provide film workers with new creative ideas through analysis, and to lead readers to think.


2020 ◽  
Vol 38 (3) ◽  
pp. 331-333
Author(s):  
Shannon Li

Due to the coronavirus disease 2019 (COVID-19) pandemic, the American Society for Indexing (ASI) annual conference scheduled for April 2020 switched to an online venue. The conference had 80 attendees overall, hailing from the United States, Canada, England, Scotland, the Netherlands, Germany, France, and India. Shannon Li reports on the program and reflects on the experience of meeting online with other indexers around the world rather than in the usual in-person conference format.


Super Bomb ◽  
2020 ◽  
pp. 71-86
Author(s):  
Ken Young ◽  
Warner R. Schilling

This chapter examines the controversy's real or assumed moral and political aspects. Moral repugnance inflected the scientific judgments of Oppenheimer's General Advisory Committee, triggering discussion of the relative moral significance of thermonuclear bombing, the use of the atomic bomb, and the mass urban bombing campaigns of 1942–1945. More immediate concerns centered on the impact a decision to develop thermonuclear weapons might have on the pattern of international relations. Given a paucity of intelligence, the effects on the Soviet Union's own weapons program, and thereby on the United States' vulnerability, could only be guessed at. The chapter thus considers if the development of the Super would restore the status quo ante-1949 or lead to a thermonuclear arms race and ultimate stalemate—or even the end of the world.


Author(s):  
Claradina Soto ◽  
Toni Handboy ◽  
Ruth Supranovich ◽  
Eugenia L. Weiss

This chapter describes the impact of colonialism on indigenous women with a focus on the experience of the Lakota women on the Cheyenne River Sioux Tribe Reservation in South Dakota. It explores the experiences of indigenous women as related to history, culture, intrapersonal violence, and internalized oppression. A case study of a Lakota woman is provided as an example of strength and triumph in overcoming adversity and being empowered despite the challenges of marginalization faced by many Native Americans in the United States and indigenous women throughout the world. The chapter discusses how readers can be advocates and actively engage in decolonizing and dismantling systems of oppression to protect future generations and to allow indigenous communities to heal and revitalize.


2010 ◽  
pp. 77-86
Author(s):  
Stephen M. Mutula

The level of e-readiness of the digital economy is expected to vary across different jurisdictions. The e-readiness ranking of nations, which has been a regular undertaking by various agencies since 2000, demonstrates that the world is, indeed, moving steadily into a new digital era, and that by extension, businesses are increasingly operating in the digital economy. The 2008 e-readiness ranking of nations and similar previous rankings suggest that collectively, the world is steadily moving up the e-readiness charts; for example, average e-readiness rose by 0.15 to 6.39 in the 2008 rankings, up from 6.24 in the previous year, with the United States being the 2008 global ereadiness leader (with 8.95), followed closely by Hong Kong, which advanced up by two places (The EIU/IBM Business Institute for Business Value, 2008).


2020 ◽  
Vol 7 (2) ◽  
pp. 177-201
Author(s):  
Md Abdul Mannan

As China rises, Sino–US competition for influence in East and Southeast Asia has become inescapable. China’s growing influence on its south-western neighbour, Myanmar, is a case in point. The impact of China’s rise is more strongly felt, politically and economically, in Myanmar than elsewhere in the world. This article asks the follow question: What explains China’s more aggressive political and economic clout in Myanmar than elsewhere in the world? To answer this question, this article argues that Myanmar holds a unique importance to China’s balancing act against the preponderance of American power in a unipolar world. Most of the available literature on China’s inroads into Myanmar focus on China’s geopolitical and strategic interests. With such focus, existing literatures take on Myanmar’s importance to China in terms of China’s politics of resource extraction that meets the requirement of its overall economic development. There is no denying it—resource extraction is important for China in order to feed its expanding economy. But hardly any study frames Myanmar’s special weight in China’s politics of resource extraction from the perspective of Beijing’s balancing act against the United States (US). China’s balancing act is characterized by an ‘economic prebalancing’ strategy. The strategy is rooted in China’s grand strategy of acquiring ‘comprehensive national strength’, and more precisely, it is embedded in Beijing’s ‘peaceful development’ strategy. The article asserts that Myanmar is critically important in China’s economic prebalancing strategy against the United States.


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