scholarly journals Memorias de un médico en el Protectorado español de Marruecos a mediados del siglo XX

Aldaba ◽  
2017 ◽  
pp. 207
Author(s):  
Pere Miret Cuadras
Keyword(s):  
Rural Area ◽  
Personal Experience ◽  
Medical Professional ◽  
Limited Resources ◽  
Endemic Diseases ◽  
Rural Doctor ◽  
Siglo Xx

En este trabajo el doctor Pere Miret Cuadras narra sus vivencias como médico rural en varias cabilas del Protectorado Español en Marruecos, casi todas en el ámbito rural. Su experiencia personal permite abordar el estado de la sanidad y la medicina entre los años 1954 y 1958 en los destinos de Beni Ahamed, el Telata de Ketama, Jemis de Anyera y Tetuán. La vocación profesional del profesional médico tenía que hacer frente a múltiples dificultades de toda índole, caso de la lucha contra enfermedades endémicas como la sífilis, el paludismo, la lepra, y otras dolencias contra las que la Administración luchaba con medios reducidos y muchas veces contra hábitos sociales y culturales que no ayudaban a la erradicación de las enfermedades.In this work, doctor Pere Miret Cuadras narrates his experiences as a rural doctor in several kabyle of the Spanish Protectorate in Morocco, almost entirely within the rural area. His personal experience allow us to understand the condition of health and medicine between the years 1954 and 1958 in the destinations of Beni Ahamed el Telata de Ketama, Jemis de Anyera and Tetuan. The professional vocation of the medical professional had to face multiple difficulties of any nature, For example; the fight against endemic diseases such as syphilis, malaria, leprosy, and many other diseases, which the administration had to deal with limited resources, and more often than not against social and cultural habits that did not help to the eradication of diseases.

scholarly journals La gripe española y crisis de mortalidad en Salta, Argentina. A principios del siglo XX

2013 ◽  
Vol 5 (10) ◽  
pp. 269-300
Author(s):  
Adrián Carbonetti ◽  
Néstor Javier Gómez ◽  
Víctor Eduardo Torres
Keyword(s):  
Excess Mortality ◽  
Social Inequalities ◽  
Mortality Rates ◽  
Endemic Diseases ◽  
Spanish Flu ◽  
The Impact ◽  
Siglo Xx ◽  
Second Wave ◽  
Epidemic Diseases ◽  
Overall Mortality

La sociedad salteña, a principios del siglo XX, se caracterizaba por importantes desigualdades de tipo social, que a su vez cristalizaban en problemas en el ámbito de la salud y la educación. Con tasas de mortalidad general e infantil muy altas, ocasionadas por el impacto de dolencias endémicas y epidémicas, la población debía lidiar con graves problemas de salud. No obstante, en 1919 esa situación se agravó, a las epidemias y endemias se sumó la segunda oleada de la pandemia de “gripe española” generando una crisis de mortalidad. En este artículo se pretende analizar el papel  que habría tenido  la segunda oleada de gripe española en la provincia y en los Departamentos de la misma que habría generado esta crisis. Para ello se realiza un análisis de carácter cuantitativo con base a datos provistos por la Dirección de Estadísticas de la Provincia de Salta (Argentina), con los cuales se generarán tasas de mortalidad y sobremortalidad que se relacionarán con datos provistos por el censo de población de 1914 proyectados, este análisis será relacionado con datos cualitativos que provee el único  periódico de la época encontrado.Palabras claves: salud, pandemia, gripe española, Salta.Spanish Flu and Mortality Crisis  in Salta, Argentina.  In Early Twentieth CenturyAbstract In the early twentieth century, Salta’s society was characterized by significant social inequalities that were also expressed in the field of health and education. With high overall mortality and infant mortality rates due to the impact of endemic and epidemic diseases, the population had to deal with serious health problems.  In 1919, the situation worsened: in addition to epidemics and endemic diseases, the second wave of the “Spanish flu” appeared, resulting in a mortality crisis. The article aims to analyze the role that the second wave of the Spanish flu could have played in Salta and its departments’ crisis.  In order to do this, an analysis based on quantitative data provided by the Bureau of Statistics of the Province of Salta will carry out. The statistical data will be used to generate mortality rates and excess mortality that will be related with projected data based on the 1914 Census. This data will also be related with the qualitative information obtained from the only newspaper found from that historical period.Keywords: health, pandemic, spanish flu, Salta.

scholarly journals The role of the clinical tutor – a personal experience

1990 ◽  
Vol 14 (3) ◽  
pp. 164-165
Author(s):  
Jeffrey R. Jones
Keyword(s):  
Medical School ◽  
Rural Area ◽  
Royal College ◽  
Personal Experience ◽  
North Wales ◽  
Area North ◽  
The University

The role of the clinical tutor may differ from that set out in the helpful guidelines given by the Royal College of Psychiatrists. It may differ depending on the setting of the training for instance. I was made clinical tutor some three and a half years ago for a large, mainly rural area – North Wales. The area does not have its own medical school, but is associated with the University of Wales College of Medicine, at Cardiff, some 150 miles away.

Developing the Potential of the Gifted Disadvantaged in South Africa

2007 ◽  
Vol 23 (2) ◽  
pp. 201-206 ◽  
Author(s):  
Surgeon Xolo
Keyword(s):  
South Africa ◽  
South African ◽  
Rural Area ◽  
Personal Experience ◽  
Career Guidance ◽  
Intervention Programs ◽  
Mathematically Gifted ◽  
South Africans ◽  
Kwazulu Natal ◽  
The World

In dealing with this topic I will draw from my personal experience as a former disadvantaged gifted South African from the underdeveloped rural area in KwaZulu-Natal. I will commence my argument by stating that every child born in this world has some kind of gift which, if well developed, can benefit the community, the nation or even the world in general. However, I painfully but willingly accept that not everyone is mathematically gifted. Subsequently I will proceed to suggest things that can be done in order to help the gifted disadvantaged South Africans. This assistance will include motivation, career guidance, and different kinds of specialised intervention programs. Having pointed out all these factors, I will conclude by appealing to all concerned to help in the process of developing the potential of the gifted disadvantaged in South Africa.

scholarly journals La pandemia de gripe de 1918-1919 en territorio asturiano: de padecimiento histórico a enfermedad emergente cien años después / The Influenza pandemics of 1918-1919 in Asturian territory: Analysis of a 100-year process going from historical suffering to emerging disease

Ería ◽  
2019 ◽  
Vol 1 (1) ◽  
pp. 79-97
Author(s):  
Luis Vicente Sánchez Fernández ◽  
Pedro Arcos González ◽  
Rolando Neri Vela ◽  
Elisa Hernández Martín
Keyword(s):  
Twentieth Century ◽  
Mortality Rate ◽  
Rural Area ◽  
Influenza Pandemic ◽  
The Other ◽  
Urban Structure ◽  
Influenza Pandemics ◽  
Taux De Mortalité ◽  
The One ◽  
Siglo Xx

La pandemia de gripe de 1918 y 1919 ha sido considerada una de las mayores catástrofes sanitarias del siglo xx. España alcanzó una tasa de mortalidad de 13,03 por mil habitantes. Este estudio pone de manifiesto una realidad diferenciadora en el Principado de Asturias, por un lado: Oviedo, Gijón y Avilés como núcleos urbanos con una tasa de mortalidad de 8,84 por mil habitantes y de otro Cangas del Narcea representativode una zona rural donde la enfermedad duró más tiempo y causó una mortalidad significativamente mayor. Esta gripe es una enfermedad que sigue activa entre nosotros.La pandémie de grippe de 1918 et 1919 en Espagne a étéconsidérée comme l’une des plus grandes catastrophes sanitaires du xxe siècle, atteignant un taux de mortalité de 13,03 pour mille habitants. Cette étude montre de différents impacts de l’épidémie dans les zones urbaines et rurales de la Principauté des Asturies. Dans les zones urbaines d’Oviedo, de Gijón et d’Avilés, le taux de mortalité était de 8,84 pour mille habitants, tandis que dans la zone rurale de Cangas del Narcea, la maladie a duré plus longtemps et a entraîné une mortaliténettement plus élevée. Bien que présentant des différences épidémiologiques et temporelles, la grippe reste une maladie périodiquement présente parmi nous.The 1918/19 influenza pandemic has been considered one of the biggest health disaters of the twentieth century. In Spain it reached a mortality rate of 13.03 per thousand inhabitants. This study shows a distinct reality in the Principality of Asturias, on the one hand we have Oviedo, Gijón and Avilés as centers of urban structure with a mortality rate of 8.80 per thousand inhabitants. On the other hand, Cangas del Narcea, representing a rural area, where the disease lasted longer and caused a significantly higher mortality. Flu is a disease that is still active today. 

Continuum of Care Following Sports-Related Concussion

2020 ◽  
Vol 29 (3) ◽  
pp. 1389-1403
Author(s):  
Jessica Brown ◽  
Kelly Knollman-Porter
Keyword(s):  
Young Adults ◽  
Life Span ◽  
Sports Injuries ◽  
Continuum Of Care ◽  
Medical Professional ◽  
Structured Interviews ◽  
Youth Athletes ◽  
Speech Language Pathologist ◽  
History Of ◽  
Injury Reporting

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.

Practical Resources for Provision of Services to Culturally and Linguistically Diverse Users of AAC

2015 ◽  
Vol 22 (1) ◽  
pp. 25-39
Author(s):  
Elena Dukhovny ◽  
E. Betsy Kelly
Keyword(s):  
Best Practices ◽  
Augmentative And Alternative Communication ◽  
Linguistically Diverse ◽  
Intervention Strategies ◽  
Culturally And Linguistically Diverse ◽  
Limited Resources ◽  
Flexible Systems ◽  
Alternative Communication ◽  
Practical Applications ◽  
Provision Of Services

According to the 2010 U.S. Census, over 20% of Americans speak a language other than English in the home, with Spanish, Chinese, and French being the languages most commonly spoken, aside from English. However, few augmentative and alternative communication (AAC) systems offer multilingual support for individuals with limited functional speech. There has been much discussion in the AAC community about best practices in AAC system design and intervention strategies, but limited resources exist to help us provide robust, flexible systems for users who speak languages other than English. We must provide services that take into consideration the unique needs of culturally and linguistically diverse users of AAC and help them reach their full communication potential. This article outlines basic guidelines for best practices in AAC design and selection, and presents practical applications of these best practices to multilingual/multicultural clients.

Unknown and Under-Researched: The Anatomy of Drinking Under Control Programs

2017 ◽  
Vol 63 (5) ◽  
pp. 277-288
Author(s):  
Harald Klingemann ◽  
Justyna Klingemann
Keyword(s):  
Quality Of Life ◽  
Harm Reduction ◽  
Evaluation Studies ◽  
Mission Statements ◽  
Community Response ◽  
Limited Resources ◽  
Admission Criteria ◽  
Control Programs ◽  
Institutional Order

Abstract. Introduction: While alcohol treatment predominantly focuses on abstinence, drug treatment objectives include a variety of outcomes related to consumption and quality of life. Consequently harm reduction programs tackling psychoactive substances are well documented and accepted by practitioners, whereas harm reduction programs tackling alcohol are under-researched and met with resistance. Method: The paper is mainly based on key-person interviews with eight program providers conducted in Switzerland in 2009 and up-dated in 2015, and the analysis of reports and mission statements to establish an inventory and description of drinking under control programs (DUCPs). A recent twin program in Amsterdam and Essen was included to exemplify conditions impeding their implementation. Firstly, a typology based on the type of alcohol management, the provided support and admission criteria is developed, complemented by a detailed description of their functioning in practice. Secondly, the case studies are analyzed in terms of factors promoting and impeding the implementation of DUCPs and efforts of legitimize them and assess their success. Results: Residential and non-residential DUCPs show high diversity and pursue individualized approaches as the detailed case descriptions exemplify. Different modalities of proactively providing and including alcohol consumption are conceptualized in a wider framework of program objectives, including among others, quality of life and harm reduction. Typically DUCPs represent an effort to achieve public or institutional order. Their implementation and success are contingent upon their location, media response, type of alcohol management and the response of other substance-oriented stake holders in the treatment system. The legitimization of DUCPs is hampered by the lack of evaluation studies. DUCPs rely mostly – also because of limited resources – on rudimentary self-evaluations and attribute little importance to data collection exercises. Conclusions: Challenges for participants are underestimated and standard evaluation methodologies tend to be incompatible with the rationale and operational objectives of DUCPs. Program-sensitive multimethod approaches enabled by sufficient financing for monitoring and accompanying research is needed to improve the practice-oriented implementation of DUCPs. Barriers for these programs include assumptions that ‘alcohol-assisted’ help abandons hope for recovery and community response to DUCPs as locally unwanted institutions (‘not in my backyard’) fuelled by stigmatization.

A Typology of Caregiving Situations and Service Use in Family Carers of Older People in Six European Countries

GeroPsych ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Mirko Di Rosa ◽  
Christopher Kofahl ◽  
Kevin McKee ◽  
Barbara Bień ◽  
Giovanni Lamura ◽  
...  
Keyword(s):  
Health Services ◽  
Older People ◽  
Support Services ◽  
Family Caregiving ◽  
Service Use ◽  
European Countries ◽  
Limited Resources ◽  
Family Carers ◽  
Policy Initiatives ◽  
Typology Of Care

This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.

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