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Investigating Barriers to Early Cancer Detection for Rural Indian Women: A Qualitative Analysis of Cancer Outreach in Dehradun, Uttarakhand
Get PDFThis study examines barriers to early detection for women’s specific cancers in rural India in and around Dehradun, Uttarakhand, within the framework of existing health outreach programs from tertiary hospitals in the state. The burden of cancer mortality within India is disproportionately affecting women living in rural populations considering the current health education and health care infrastructure in place. Barriers of knowledge, access to knowledge, economic condition, geography, and cultural norms are all examined within this study in the context of early cancer detection. National Indian health policy is currently framed to address the burden of cancer within India; however, early cancer detection for rural Indian women has not been adequately addressed with various policy changes over the last few decades considered continually increasing incidence and mortality rates. Therefore, this study, in examination of these barriers to early detection, seeks to provide a framework for future health policy in adequately addressing and successfully reducing cancer mortality rates for rural women within India
The Making and Re-making of Dolpo Identity: A Case Study of Do-Tarap
Get PDFThe unbelievably harsh environment in Dolpo forces people to be self-sufficient based on agriculture and husbandry, two sectors that complement each other very well. The condition also requires plentiful communal works for survival. Dolpo’s geographical isolation on the one hand, limits Dolpo-pas from encountering others, and on the other hand, prevents the presence of the central government. Before the 1960’s, Dolpo still remained as a politically autonomous region under the Kingdom of Nepal. However, based on interviews conduced with both local villagers and outsiders such as governmental officials and Nepalese, the paper argues that, starting from the 1960’s, Dolpo-pas began to realize the importance for them to reach the government, not only for the political rights they are granted by the constitutions, but also for the increasing need of support from the government. This transformation, of people from avoiding interactions with the government to taking initiative reaching and actively engaging with government, is made possible by Nepal’s state building project, education development, economic prosperity and the shift of international politics. During the past fifty years, Dolpo-pas’ political, economical, social and cultural identities are in constant changes of the making and remaking process, by both international and domestic forces. Although approaching the state is accompanied with many difficulties such as the ongoing ignorance from the government and social and economic instability, with negotiating, resisting and readaptating the changes, Dolpo-pas are thriving in the Nepali society. That being said, there are still potential problem that might generated from Dolpo-pas’ advocations for the local communities, so maybe alternatives are needed to improve the situations
The History of US-Iran Relations and its Effect on the JCPOA Negotiations
Get PDFRelations between the United States and the Islamic Republic have ranged from limited to non-existent over the past 36 years, and have been impeded by threatening rhetoric and perceived betrayals on both sides. The elections of Barack Obama and Hassan Rouhani allowed for relations to move forward, but both presidents are hampered by people within their governments who are unwilling to let go of ingrained threat perceptions and distrust of the other. Despite these challenges, the P5+1 and Iran managed to create the Joint Comprehensive Plan of Action for Iran’s nuclear program, which can be used as a starting point for a diplomatic thaw. This paper follows the history of US-Iran relations, and analyzes how this tumultuous past has affected the P5+1 and Iran’s nuclear negotiations. Both are studied through secondary research as well as interviews with experts on the Islamic Republic. This paper adds to the body of knowledge on US-Iran relations, and analyses of the JCPOA
Las percepciones de los profesionales de la salud sobre los cuidados paliativos en diferentes sectores de salud en la Ciudad de Buenos Aires / Perceptions of health professionals about palliative care in different health sectors in the City of Buenos Aires
Get PDFInformación contextual: Los cuidados paliativos son un campo de medicina para pacientes con enfermedades avanzadas o terminales. El propósito de la medicina paliativa es mejorar la calidad de vida de los pacientes y su familia y cuidar los síntomas físicos, psicológicos, sociales y espirituales. Los equipos interdisciplinarios compuestos de médicos, enfermeros, trabajadores sociales, psicólogos y otros tienen un papel esencial en el cuidado del paciente en una manera completa. Los cuidados paliativos son importantes porque todos tienen el derecho a ser acompañados en el final de la vida. En Argentina, los cuidados paliativos se han desarrollado considerablemente y existen en el sector público, privado y obras sociales. Hay diferentes maneras en que los pacientes reciben los cuidados paliativos. Algunos pacientes están internados en un hospital o un hospice, otros reciben atención ambulatoria en una clínica o hospital pero viven en sus hogares y algunos, típicamente en el sector privado, reciben cuidado domiciliario. Recientemente, la especialidad de medicina paliativa fue reconocida formalmente en Argentina. Existe legislación sobre los cuidados paliativos en algunas provincias y ciudades pero no hay una ley nacional de cuidados paliativos. El objetivo de esta investigación es investigar el funcionamiento del sistema de los cuidados paliativos desde la perspectiva de los profesionales de salud que trabajan en el sector público y privado. Metodología: Esta investigación es cualitativa con fuentes primarias y secundarias. Las fuentes primarias son entrevistas con profesionales de salud que trabajan en el campo de la medicina paliativa. En total, siete profesionales, cuatro médicos y tres enfermeros, de seis diferentes instituciones, dos públicas, dos privadas y dos ONGs fueron entrevistados. Las entrevistas contienen preguntas sobre lo que son los cuidados paliativos, por qué el médico o enfermero eligió una carrera en los cuidados paliativos, cómo funciona la medicina paliativa en su institución y si su institución puede responder a todas las necesidades de los pacientes, cuáles son los problemas con el acceso a los cuidados paliativos y qué se necesita cambiar en el futuro para mejorar los cuidados paliativos para los pacientes. Resultados: Los médicos y enfermeros entrevistados tienen una visión de los cuidados paliativos muy similar a la definición de la Organización Mundial de la Salud (OMS). Ellos expresaron la importancia de un abordaje holístico hacia el paciente con el objetivo de cuidar en vez de curar y también destacaron la expansión del alcance de los cuidados paliativos. Muchos de los profesionales eligieron los cuidados paliativos como una especialidad porque vieron a los pacientes abandonados y el daño potencial de la medicina moderna cuando solamente tenía el objetivo de curar, no cuidar. La mayoría de los profesionales trabajan con equipos completos y piensan que sus equipos podrían responder a todas la necesidades de los pacientes. Las distintas instituciones tienen una mezcla de pacientes internados, ambulatorios y de cuidado domiciliario. La diferencia más grande entre el sector público y privado es que el sector público no tiene cuidado domiciliario, más allá de algunas ONGs. Los problemas mencionados están relacionados con las derivaciones, el acceso a los opioides y los equipos incompletos, entre otros. Además, los profesionales dieron sus perspectivas sobre los cambios necesarios: es necesaria una mayor educación sobre los cuidados paliativos, la gente necesita reconocer su derecho y demandar más servicios, el sistema necesita más organización, los cuidados paliativos necesitan más financiamiento y el modelo de hospice necesita más desarrollo
Afrochilenos en rumbo al reconocimiento como pueblo tribal Una investigación sobre los factores históricos y culturales de los Afrodecendientes en Arica
Get PDFAfrochileans have been in the dark for several centuries due to the efforts of the Chilean government to completely ignore the existence of people of color in the country. Since the beginning of the 21st century cultural and political organizations of afrochileans have been created to fight against the invisibility of the black community in Chile, aiming to be recognized as a tribal group by the state. In this study, I researched the historical and cultural factors that influence the recognition of the afrochileans as a tribal group according to El Convenio 169 of the International Labor Organization. To accomplish this investigation I based my research on three specific themes. First was to determine the historical background that has influenced the process of the afochilean movement in Chile but more specifically in the city of Arica. Then I examined the relationship between the State and the political and cultural organizations of afrochilean and lastly, I determined the political and cultural framework of the organizations for their demands against the government. In order to collect the data I moved to the city of Arica in the north of the country, since there is where there is a stronger presence of afrochileans and is also where the social movement started. I interviewed three of the most influential and known political leaders of the afrochielan movement in Arica who have been involved in promoting and creating public policies that will favor the afrochilean community in the education, health and political areas. In addition, I had the opportunity to engage and take part in several activities, such as cultural demonstrations and meetings with representatives of The Chilean Ministry of Culture and Development. The process of reparation has been difficult due to the lack of attention by the government, even though there has been support from several representatives who stand alongside the afrochileans. The main demands include the category of afrodescendiente in the 2017 census, constitutional recognition, and the application of el Convenio 169 that would give afrochileans justification for their demand of recognition. It’s necessary to point out that Chile is a very centralized country that continues to believe in the European model that was instilled in the society during colonial times, and even with progress that has been made by the afrochilean organizations it’s going to take the effort of not only the afro community but also of the indigenous groups to bring the government to recognize its multiculturalism and from there push for the recognition of every cultural group that exist in the country
Audience vs. Art: The Plight of the Contemporary Bengali Filmmaker
Get PDFThis document is a 2015 survey of contemporary Bengali Cinema, which is primarily composed of (1) a brief history of the industry from its origins to the present day and (2) a survey of the careers of six prominent, active Bengali directors: Goutam Ghose, Buddhadeb Dasgupta, Aparna Sen, Sekhar Das, Srijit Murkerji, and Kamaleshwar Mukerjee. The guiding question for the research was How does a Bengali director express him/herself honestly within the economic restrictions serving the Bengali audience? Research was conducting by watching 71 films, conducting 11 interviews, including 7 interviews with directors, including each director mentioned above. The conclusion of this paper is that Bengali Cinema output is inexorably tied to its audience mindset and that the current nostalgic/conservative Bengali imaginary poses an usually difficulty (though not impossible) challenge for Bengali directors who wish to innovate their form. The story and impact of Satyajit Ray is briefly discussed, particularly with regard to the turning point in Indian cinema that came with Panther Panchali
TAMING THE TEESTA: EXPLORING THE HOLISTIC EFFECTS OF HYDROELECTRIC DAM DEVELOPMENT ON THE TEESTA RIVER THROUGH DOCUMENTARY FILM
Get PDFSince time immemorial, the Lepcha people have called the Himalayan region that makes up the modern state of Sikkim their home and have held sacred the rivers, mountains, and forests that make up the biologically diverse region. Over the past two decades, India’s rapid development has generated a powerful thirst for electricity, and the country has increasingly looked to the cold, powerful rivers thundering from the Himalayas to supply that desired power. Hydroelectric projects have been proposed and implemented throughout the Himalayan region. Nowhere, however, are the dams as numerous or their effects as acutely felt as in India’s northwestern state of Sikkim, where a ‘cascade’ of run‐of‐the‐river hydroelectric projects is springing into existence. There, on the Teesta River, multiple dam projects threaten the rich biodiversity of the region, the livelihoods of those who live along the Teesta’s course, and the very existence of the Lepcha people’s most cherished river. Through documentary film, this project examines three crucial and oftoverlooked repercussions of hydroelectric projects on the Teesta River: the threat posed to the endangered Golden Masheer fish, the problems faced by those who receive compensation from the National Hydroelectric Power Cooperation for damages caused by dam development, and the degradation wrought upon the Lepcha people’s cultural identity. The film does so by examining the individual stories of stakeholders who feel the effects of these ramifications most severely. Through formal and informal interviews with stakeholders and experts alike, this film offers a holistic perspective of and draws awareness to the river as the region’s pulsing lifeline. Additionally, the project sheds light on the reasons India has turned so fervently to hydroelectric development. Finally, the film looks to the future in an attempt to spur dialogue among Indians and interested parties around the globe
Curandera, Partera, Bush Doctor
Get PDFThe Atlantic Coast of Nicaragua is a region that has historically been subject to colonization through severe environmental degradation, ethnic cleansing, exploitation of work, and an imposing language. Within this oppression, indigenous and afrodescendent communities of the Atlantic Coast, formally known as RAACS (South Caribbean Coast Autonomous Region), have lost centuries worth of language, tradition, and homes in just a few decades. My documentary looks at how communities resist an imposing government and globalization through the revitalization of their traditions, specifically traditional medicine. It delves into the issues of modern colonialism in these communities, and how organizations, government programs, and individuals are able to heal their communities by remembering their ancestral curing practices
Experiential Language Learning: A Short-Term Study Abroad Program to Quetzaltenango, Guatemala for Canton High School
Get PDFCanton High School (CHS) is a 485 student, small upper-middle class public school located in Canton, Connecticut. The mission of the school involves preparing productive, tolerant and responsible citizens with the character and independence to embrace and contribute to the global world. However, CHS is limited in its ability to provide students with opportunities to connect with the world outside of Connecticut and the United States, both linguistically and culturally. Although the majority of Canton students take a language class freshman year, the number of students continuing on in learning a language drops every year thereafter. Many students state that they are unmotivated to learn a language because they do not see a usage for it outside of the classroom. In addition, although the high school does offer a few international trips, these programs are only offered and financially affordable to a small group of students and focus more on site seeing and cultural exposure rather than linguistic development and guided reflection.
The Experiential Language Learning program was designed to provide students with an opportunity to fully immerse themselves in the Spanish culture and language. Participants in the program will live for in Quetzaltenango, Guatemala for three weeks with host families. During their time in country, students will take intensive Spanish classes hosted by Casa Xelaju, volunteer at La Pedrera Community Project, and participate in cultural activities and excursions. This program aims to provide CHS students with an affordable opportunity to practice their Spanish in an immersive and authentic setting as well as to motivate students to continue learning about the world around them in order to become productive, tolerant, and responsible citizens of the globe
Significance of a New Student Orientation Within International Education Agencies Offering Higher Education Online: Development of Communication, Computer, and Team-Building Skills at Haitian Connection Network (HCN)
No full textThis paper addresses the need for international education to implement new student orientations within cross-border education organizations offering higher education programs online through distant learning. Haitian Connection Network (HCN) offers the opportunity for students in throughout Haiti to earn a certificate/diploma/degree by providing the infrastructure necessary for online learning without a student orientation. The analysis was conducted through an environmental study scan of informal student observations and discussions, in addition to a formal student and staff survey. Knight’s (2006) research on cross-border education, the communication model with emphasis in virtual communication, and Scagnoli’s (2001) research on the purpose and strategies of orientations for online learning have contributed to the theoretical foundations regarding the significance of student preparation in tertiary virtual learning across international borders. The creation of the HCN program and participant goals and objectives are established to require the skillful development of a 5-day orientation curriculum for all new students entering higher education online learning to attend. The purpose of this research is to create a replicable student orientation that will fill present gaps discovered in effective communication, teambuilding, and computer technology skills, and to increase earlier learning success for students pursuing higher education online. The New Student Orientation Program (NSOP) seeks for students to gain academic and social skills that will contribute to long-term educational and professional success in Haiti.
Keywords: orientation, new student, Haiti, Haitian Connection Network (HCN), online, higher education, distant learning, computer skills, communication, virtual learning, teambuildin