Globalisation, Economics and Professionalism

This paper presents an analysis of the effect of globalisation and attendant economic factors on the global practice of medicine, medical education, medical ethics and medical professionalism.The authors discuss the implications of these trends, citing case scenarios in the healthcare insurance, medical tourism, pharmaceutical industries, the educational systems as well as in clinical practice, to illustrate the impact of globalisation and economics on professionalism. Globalisation, on the one hand, offers benefits for the global practice of medicine and for medical education. On the other, globalisation can have negative effects, particularly when the main driver is to maximize profitability across national boundaries rather than concern for human well-being. Appraising the effect of globalisation on professionalism involves assessing its effects at the intrapersonal, interpersonal, and institutional levels, and its effects on society at large

The Effects Of Logging On Canopy Structure And The Physical Environment Of A Lowland Dipterocarp Forest Of Central Kalimantan

ABSTRACT The main effect of logging is to create an artificial disturbance regime resulting in canopy gaps and disturbance to soil, seedlings and the forest understory. The effects of logging on the physical environment of a lowland dipterocarp forest in central Kalimantan are being investigated as part of the Indonesian-UK Tropical Forest Management Programme. A range of approaches are being applied to characterise these impacts. The effects of logging on canopy cover, seedling density and soil disturbance are recorded using a "quick assessment" technique to produce low resolution maps of the plots before and following logging. More detailed information about changes in canopy structure is determined using image analysis of hemispherical canopy photographs. Canopy structure influences most physical processes of importance in the forest ecosystem. The most obvious effect is to increase the amount of radiation penetrating the canopy to the forest floor. The change in the radiation balance of the forest affects many biological and physical processes, notably seedling regeneration and the sub canopy microclimate. The light environment, soil temperature and rainfall interception are used as examples to show the effects of logging on the forest system using data collected from an area of recently logged forest adjacent to currently unlogged permanent sample plots. Kata Kunci.: physical environment - forestry - logging - kalimanta

Enhancing Doctors and Healthcare Professionals Patient-care Role through Actor-training: Workshop Participants’ Responses

Workshops for 'Applying Techniques from Actor-training to Performativity of Doctors and Healthcare Practitioners' were held in 2013 and 2014 within Yong Loo Lin School of Medicine, National University of Singapore. We conclude from participants’ responses that the workshops were well received and that there were revelations in understanding and potential changes in approach to “acting in the role” of a doctor, nurse and other healthcare worker. Participants understood that acting is not about hiding but about playing one’s role more effectively. Actors are superbly trained in the nuances of observation, body awareness, and in relating effectively to others. This goes beyond mere role-playing and communication training to encompass an embodied understanding that may enable trainees to be more creative and genuine within themselves, and more effective with patients and other staff

Does High BMI Influence Hospital Charges in Children Undergoing Adenotonsillectomy?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/93757/1/oby.2008.234.pd

Impact of the provision of safe drinking water on school absence rates in Cambodia:a quasi-experimental study

Education is one of the most important drivers behind helping people in developing countries lift themselves out of poverty. However, even when schooling is available absenteeism rates can be high. Recently interest has focussed on whether or not WASH interventions can help reduce absenteeism in developing countries. However, none has focused exclusively on the role of drinking water provision. We report a study of the association between absenteeism and provision of treated water in containers into schools

QCD and strongly coupled gauge theories : challenges and perspectives

We highlight the progress, current status, and open challenges of QCD-driven physics, in theory and in experiment. We discuss how the strong interaction is intimately connected to a broad sweep of physical problems, in settings ranging from astrophysics and cosmology to strongly coupled, complex systems in particle and condensed-matter physics, as well as to searches for physics beyond the Standard Model. We also discuss how success in describing the strong interaction impacts other fields, and, in turn, how such subjects can impact studies of the strong interaction. In the course of the work we offer a perspective on the many research streams which flow into and out of QCD, as well as a vision for future developments.Peer reviewe

When conventional treatment fails: the role of intravenous immunoglobulin in recurrent pregnancy loss secondary to antiphospholipid syndrome

Recurrent pregnancy loss (RPL) is a well-recognized complication of antiphospholipid syndrome (APS). First line therapy consists of low dose aspirin and heparin. Despite conventional therapy some women fail to achieve a successful pregnancy outcome. We describe the case of a patient who had two live births following intravenous immunoglobulin therapy despite previous failure with conventional therapy for RPL in the setting of APS. We will summarize the available literature on intravenous immunoglobulin for this indication