The Impact of Language on the Relationship Between Spanish-Speaking Women and Their Healthcare Providers

The impact of language on the relationship of trust between Spanish-speaking women and their healthcare providres was examined through a questionnaire survey at Esperanza Health Center in Northeast Philadelphia. Eighty percent of the participants (n=25) felt it was very important to have a Spanish-speakin doctor, even if a translator was available. Forty-four percent (n=11) stated they would be less likely to follow health advice from a doctor who did not speak Spanish. Fifty percent (n=12) of the participants preferred to see a female doctor, although this was not correlated with any other findings. This resesarch suggests that the language barrier is an important contributor to lack of trust in the relationship between Spanish-speaking women and their health providers

Travel stories and travelers. Transdisciplinary approaches and proposals for a history of Europe

The article proposes the theme of the history of travel and travelers for a comprehensive approach to teaching and learning history for active citizenship education. In particular, we analyze briefly on the historical ways: itineraries, routes, and cultures. From the routes of faith to the itineraries and routes of trade to the routes of conflict (European explorations and conquests in the Americas, from the crusades to the world wars) and their participants; your travel and trade

Evaluation of Mixing-Limited Quasi-Global Wind-US Model for HIFiRE 2 Flowpath

A Reynolds-averaged Navier-Stokes computational model featuring a mixing-limited, quasi-global chemical kinetics approach for an ethylene-methane fuel mixture is described and used in a validation effort against the Hypersonic International Flight Research Experimentation (HIFiRE) Direct Connect Rig experimental data for flight Mach numbers of 5.84, 6.5, and 8.0. An average error level between the numerical predictions and corresponding experimental measurements for static pressure along the engine flowpath is found to be within approximately 10%, for the two lowest Mach number cases, without calibration. Key features of the numerical flowfield development are identified, including regions within the combustor found to be significantly mixing-limited for each fuel type. The sensitivity of the results to turbulent Schmidt is also briefly examined

A Numerical and Experimental Evaluation of the Turbulent Heat Flux in a Heated Jet in Crossflow

The injection of fully-developed turbulent heated air from a tube into a cooler turbulent duct flow is examined, as an analogy to film cooled turbine blades. Scale Resolving Simulations (SRS) are used to examine the flow numerically. A Detached Eddy Simulation (DES) methodology is examined but found to be ineffective at correctly capturing the physics of the flow. A Large Eddy Simulation (LES) numerical model is developed and applied in which tube and duct turbulence inflow effects are emulated using a divergence-free synthetic eddy method (SEM). The LES sensitivity to the synthetic inflow turbulence is examined with a series of simulations with the SEM inflow toggled on and off. The effects of turbulence in the coolant tube are found to the most critical for accurate prediction. For direct comparison, a hot-wire experiment is conducted within the ERB test cell SW-6 at NASA Glenn Research Center. Excellent agreement is obtained for these numerical and experimental results related to velocity, temperature, and heat flux, for a blowing ratio of 1.2, and involving a 36 K temperature difference. The relative effect on the solutions of tube and duct inflow turbulence is systematically evaluated. The impact of inherent low-pass filtering of temperature measurements and probe wire offset on the experimental results are addressed. The validity of the gradient diffusion hypothesis, fundamental to Reynolds-Averaged Navier-Stokes (RANS) models, is evaluated

A cross-sectional study of the income sources of primary care health workers in the Democratic Republic of Congo.

BACKGROUND: In the Democratic Republic of Congo (DRC), the state system to remunerate health workers is poorly functional, encouraging diversification of income sources and corruption. Given the central role that health workers play in health systems, policy-makers need to ensure health workers are remunerated in a way which best incentivises them to provide effective and good quality services. This study describes the different sources and quantities of income paid to primary care health workers in Equateur, Maniema, Kasai Occidental, Province Orientale and Kasai Oriental provinces. It also explores characteristics associated with the receipt of different sources of income. METHODS: Quantitative data on the income received by health workers were collected through baseline surveys. Descriptive statistics explored the demographic characteristics of health workers surveyed, and types and amounts of incomes received. A series of regression models were estimated to examine the health worker and facility-level determinants of receiving each income source and of levels received. Qualitative data collection was carried out in Kasai Occidental province to explore perceptions of each income source and reasons for receiving each. RESULTS: Nurses made up the majority of workers in primary care. Only 31% received a government salary, while 75% reported compensation from user fees. Almost half of all nurses engaged in supplemental non-clinical activities. Receipt of government payments was associated with income from private practice and non-clinical activities. Male nurses were more likely to receive per diems, performance payments, and higher total remuneration compared to females. Contextual factors such as provincial location, presence of externally financed health programmes and local user fee policy also influenced the extent to which nurses received many income sources. CONCLUSIONS: The receipt of government payments was unreliable and had implications for receipt of other income sources. A mixture of individual, facility and geographical factors were associated with the receipt of various income sources. Greater co-ordination is needed between partners involved in health worker remuneration to design more effective financial incentive packages, reduce the fragmentation of incomes and improve transparency in the payment of workers in the DRC

The Natural Variance of the Arabidopsis Floral Secondary Metabolome

Application of mass spectrometry-based metabolomics enables the detection of genotype-related natural variance in metabolism. Differences in secondary metabolite composition of flowers of 64 Arabidopsis thaliana (Arabidopsis) natural accessions, representing a considerable portion of the natural variation in this species are presented. The raw metabolomic data of the accessions and reference extracts derived from flavonoid knockout mutants have been deposited in the MetaboLights database. Additionally, summary tables of floral secondary metabolite data are presented in this article to enable efficient re-use of the dataset either in metabolomics cross-study comparisons or correlation-based integrative analysis of other metabolomic and phenotypic features such as transcripts, proteins and growth and flowering related phenotypes

Shot, scene and keyframe ordering for interactive video re-use

This paper presents a complete system for shot and scene detection in broadcast videos, as well as a method to select the best representative key-frames, which could be used in new interactive interfaces for accessing large collections of edited videos. The final goal is to enable an improved access to video footage and the re-use of video content with the direct management of user-selected video-clips