Accessing public healthcare in Oslo, Norway: The experiences of Thai immigrant masseuses

Background: Thai massage is a highly gendered and culturally specific occupation. Many female Thai masseuses migrate to Norway as marriage migrants and as such are entitled to the same public healthcare as Norwegian citizens. Additionally, anyone who is not fluent in Norwegian is entitled to have an interpreter provided by the public healthcare system. Norway and most other countries aspire to universal health coverage, but certain immigrant populations continue to experience difficulties accessing appropriate healthcare. This study examined healthcare access among Thai migrant masseuses in Oslo. Methods: Guided by access to healthcare theory, we conducted a qualitative exploratory study in 2018 with Thai women working as masseuses in Oslo, Norway. Through semi-structured in-depth interviews with 14 Thai women, we explored access to healthcare, health system navigation and care experiences. We analyzed the data using thematic analysis and grouped the information into themes relevant to healthcare access. Results: Participants did not perceive that their occupation limited their access to healthcare. Most of the barriers participants experienced when accessing care were related to persistent language challenges. Women who presented at healthcare facilities with their Norwegian spouse were rarely offered interpreters, despite their husband’s limited capacity to translate effectively. Cultural values inhibit women from demanding the interpretation services to which they are entitled. In seeking healthcare, women sought information about health services from their Thai network and relied on family members, friends and contacts to act as informal interpreters. Some addressed their healthcare needs through self-treatment using imported medication or sought healthcare abroad. Conclusions: Despite having the same entitlements to public healthcare as Norwegian citizens, Thai migrants experience difficulties accessing healthcare due to pervasive language barriers. A significant gap exists between the official policy that professional interpreters should be provided and the reality experienced by study participants. To improve communication and equitable access to healthcare for Thai immigrant women in Norway, health personnel should offer professional interpreters and not rely on Norwegian spouses to translate. Use of community health workers and outreach through Thai networks, may also improve Thai immigrants’ knowledge and ability to navigate the Norwegian healthcare system.publishedVersio

La gastronomía y la identidad cultural según los docentes de ciencias sociales de las instituciones educativas del nivel secundario del distrito de Santa María

El presente trabajo: “LA GASTRONOMIA Y LA IDENTIDAD CULTURAL SEGÚN LOS DOCENTES DE CIENCIAS SOCIALES DE LOS CENTROS EDUCATIVOS DE NIVEL SECUNDARIO DE LA JURISDICCIÓN DE STA. MARIA”, es un compromiso que trata de investigar con el propósito de conseguir la licencia en Educación de Ciencias Sociales y Turismo de UNJFSC, Huacho. Los métodos utilizados se ubican en el interior de dicho compromiso básico es de modelo elemental, de rango representativo, de correlación, no efectivo y la teoría diseñada es: “La gastronomía se articula a la identidad cultural según los profesores de Ciencias Sociales de los centros Educativos de secundaria de la jurisdicción de Sta. María”. En esta labor, el colectivo en análisis quedo definido en 221 docentes de los CC.EE. de Sta. María. En esta labor se concretó la usanza de un modelo probabilístico con 25 docentes de Historia en los CC.EE. las herramientas principales empleadas en esta faena son las interrogantes, las cuales se aplicaron a la inicial y sucesiva inconstante. evidenciando la existencia de un vínculo en cuanto a la gastronomía y la identidad cultural según los profesores de Ciencias Sociales de los centros Educativos de secundaria de la jurisdicción de Sta. María, de magnitud muy buena. La autora Palabra clave: gastronomía, identidad, cultural

Inherent vs. Induced Loop Gain Abnormalities in Obstructive Sleep Apnea

Unstable ventilatory chemoreflex control, quantified as loop gain, is recognized as one of four key pathophysiological traits that contribute to cause obstructive sleep apnea (OSA). Novel treatments aimed at reducing loop gain are being investigated, with the intention that future OSA treatment may be tailored to the individual's specific cause of apnea. However, few studies have evaluated loop gain in OSA and non-OSA controls and those that have provide little evidence to support an inherent abnormality in either overall chemical loop gain in OSA patients vs. non-OSA controls, or its components (controller and plant gain). However, intermittent hypoxia may induce high controller gain through neuroplastic changes to chemoreflex control, and may also decrease plant gain via oxidative stress induced inflammation and reduced lung function. The inherent difficulties and limitations with loop gain measurements are discussed and areas where further research are required are highlighted, as only by understanding the mechanisms underlying OSA are new therapeutic approaches likely to emerge in OSA

Who is the Teacher and Who is the Student? The Dual Service- and Engaged-Learning Pedagogical Model of Anatomy Academy

Anatomy Academy is a simultaneous service-learning experience for preprofessional school undergraduate students and preclinical professional students acting as classroom paraprofessional teachers (Mentors), and engaged-learning experience for fourth to sixth grade elementary school children (Students). Using didactic and kinesthetic active learning teaching strategies in small-group classroom environments, Mentors taught anatomy, physiology, and nutrition concepts to Students. In this study of the program's early years (2012-2014), overall objectives of improving Mentors' pedagogical confidence; and Students' science interest, science knowledge, and exercise self-efficacy were assessed. Mentors showed (89% response of 595 surveyed) improvement in content delivery (P < .001), student engagement (P < .001), classroom management (P < .001), and professionalism (P = .0001). Postprogram Mentor reflections were categorized into 7 major themes that demonstrated personal growth through the service-learning opportunity: (1) realization of an ability to make a difference in the world now; (2) acknowledgment of the importance of listening in teaching; (3) recognition that lives can and will change with "a little love"; (4) insight into the effectiveness of guiding Students through material rather than lecturing; (5) awareness of the value of respect in the learning environment; (6) cognizance of the power of individualized attention to motivate Students; and (7) reflection of one's own personal growth through the open influence of Students. Students showed (88% response of 1259 surveyed) improvement in science knowledge (P = .014) and exercise self-efficacy (P = .038), but not science interest (P = .371). Thus, while Students are learning more science and becoming more aware of their health, we need to be more overt in our presence as scientists in the educational arena

GOriders

En el presente trabajo de investigación se lleva a cabo la idea de negocio del desarrollo de una página web móvil que está enfocada en brindar información amplia sobre las ciclovías, talleres técnicos, un Marketplace, tips de vida sana y talleres interactivos para la comunidad. Está dirigido a ciclistas desde los 18 a 24 años de edad de Lima Metropolitana. Esta idea surgió a partir del escaso conocimiento de las nuevas ciclovías que se aperturaron a principios de año, y para ampliar la visibilidad de los talleres técnicos, los cuales brindarán apoyo a los ciclistas con algún desperfecto de su bicicleta que acontezca de manera imprevista durante su trayecto. Para confirmar esta necesidad en el mercado y validar la idea, se procedió a realizar distintas encuestas a usuarios potenciales y a expertos para recopilar las opiniones de nuestro modelo de negocio. Asimismo, se realizó la evaluación a los encuestados para medir sus interacciones a través de nuestros canales de venta.  Posterior a ello, se realizó la validación del concierge, en el cual se llegó a la conclusión que las promociones serán realizadas en nuestros tres canales como: Instagram, Facebook y Página Web oficial de GOriders con el objetivo de poder adquirir un mayor impacto sobre nuestro público objetivo. Así mismo, los experimentos llevados a cabo reforzaron los aprendizajes obtenidos en cada uno de estos respectivamente. Finalmente, el plan financiero nos muestra resultados sobre los beneficios obtenidos frente a los recursos empleados, lo cual indica que la idea de negocio presentada es rentable en el mercado.The present research work is implemented with the business idea of ​​developing a mobile web page focused on providing extensive information on bikeways, technical support, marketplace, healthy lifestyle tips, and interactive workshops for the community. This project was aimed for 18 to 24 years-old cyclists from Metropolitan Lima. This idea arises from the limited information available about bikeways that were recently opened in the city at the beginning of this year, and to increase the visibility of an enterprise bike shop that able to provide supplies and technical support to cyclists experiencing unexpected damages occurred along their journeys. To confirm the market demands and the validation of ideas, different surveys were carried out with potential users and experts to gather opinions on our business model. In addition, we evaluated the interaction with customers through different sale channels. After conducting a concierge test, our results suggested that sale promotions should be carried out on three sale channels, including Instagram, Facebook and the official “GOriders” website to have a great impact on our target audiences. The experiments carried out reinforced the learning obtained in each of these respectively. Finally, the financial plan showed us results on the benefits obtained compared to the resources used, which suggest that our business idea presented is profitable on the market.Trabajo de investigació

Mesophyll diffusion conductance to CO 2: An unappreciated central player in photosynthesis

Mesophyll diffusion conductance to CO 2 is a key photosynthetic trait that has been studied intensively in the past years. The intention of the present review is to update knowledge of g m, and highlight the important unknown and controversial aspects that require future work. The photosynthetic limitation imposed by mesophyll conductance is large, and under certain conditions can be the most significant photosynthetic limitation. New evidence shows that anatomical traits, such as cell wall thickness and chloroplast distribution are amongst the stronger determinants of mesophyll conductance, although rapid variations in response to environmental changes might be regulated by other factors such as aquaporin conductance.Gaps in knowledge that should be research priorities for the near future include: how different is mesophyll conductance among phylogenetically distant groups and how has it evolved? Can mesophyll conductance be uncoupled from regulation of the water path? What are the main drivers of mesophyll conductance? The need for mechanistic and phenomenological models of mesophyll conductance and its incorporation in process-based photosynthesis models is also highlighted.The study was financially supported by the Estonian Ministry of Science and Education (grant SF1090065s07), the Spanish Ministry of Science and Innovation through projects BFU2008-01072 (MEFORE), AGL2009-11310/AGR, BFU2011-23294 (MECOME) and CGL2009-13079-C02-01 (PALEOISOTREE), and the European Commission through European Regional Fund (the Estonian Center of Excellence in Environmental Adaptation), and the Marie Curie project MC-ERG-246725 (FP7). J.P.F. is supported by the Ramón y Cajal program (RYC-2008-02050). A.G. had a Swiss National Science Fellowship (PA00P3_126259). M.M.B. and C.R.W are supported by Future Fellowships from the Australian Research Council (FT0992063 and FT100100024). C.D. was supported by a grant from the French government and by the cooperation project Tranzfor (Transferring Research between EU and Australia–New Zealand on Forestry and Climate Change, PIRSES-GA-2008-230793) funded by the European Union

Systems-Scale Analysis Reveals Pathways Involved in Cellular Response to Methamphetamine

Background: Methamphetamine (METH), an abused illicit drug, disrupts many cellular processes, including energy metabolism, spermatogenesis, and maintenance of oxidative status. However, many components of the molecular underpinnings of METH toxicity have yet to be established. Network analyses of integrated proteomic, transcriptomic and metabolomic data are particularly well suited for identifying cellular responses to toxins, such as METH, which might otherwise be obscured by the numerous and dynamic changes that are induced. Methodology/Results: We used network analyses of proteomic and transcriptomic data to evaluate pathways in Drosophila melanogaster that are affected by acute METH toxicity. METH exposure caused changes in the expression of genes involved with energy metabolism, suggesting a Warburg-like effect (aerobic glycolysis), which is normally associated with cancerous cells. Therefore, we tested the hypothesis that carbohydrate metabolism plays an important role in METH toxicity. In agreement with our hypothesis, we observed that increased dietary sugars partially alleviated the toxic effects of METH. Our systems analysis also showed that METH impacted genes and proteins known to be associated with muscular homeostasis/ contraction, maintenance of oxidative status, oxidative phosphorylation, spermatogenesis, iron and calcium homeostasis. Our results also provide numerous candidate genes for the METH-induced dysfunction of spermatogenesis, which have not been previously characterized at the molecular level. Conclusion: Our results support our overall hypothesis that METH causes a toxic syndrome that is characterized by the altered carbohydrate metabolism, dysregulation of calcium and iron homeostasis, increased oxidative stress, and disruption of mitochondrial functions

Enterococcus faecalis: pathogen of relevance in endodontic treatment failures

Enterococcus faecalis is a microorganism related to different disease including endodontic infections. Due to its presence in the root canals after completing an endodontic treatment, its is related to the faulures of these tratments. This bacterium has variety of virulence factors such as hemolysin, gelatinase and its ability to resist multiple antimicrobials make it an extremely aggressive microorganism. It is a pathogen present in bacteremia and systemic disease. This review will allow to know a litle more about this micoorganism trying to focus on the infectious processes of the root canals.