8 research outputs found
An annotated catalogue of selected works for clarinet by South African composers
No full textThe dissertation consists of an annotated catalogue of nineteen selected works for clarinet by South African composers. These are presented in chronological order, based on the year of composition. A short biographyof the composer is given before the work is discussed. Of the analysed works, all those for solo clarinet or for clarinet and piano have been graded. A thesis of a similar nature, written in 1989 by L.A. Hartshorne, entitled ""The Compositions for Clarinet by South African Composers"", contains details of twenty-four works written between 1928 and circa 1981. The majority of the compositions analysed in the current dissertation were written from around 1981 onwards, and to some extent, therefore, this research could be seen as complementary to the information contained in the aforementioned thesis. An addendum lists all the South African works featuring solo clarinet that the author was able to trace. These include solo works, cham ber works for up to nineteen instruments and concerto-type works with strings or orchestra
Linking Primary Care with Public Health: Reducing Barriers and Enhancing Facilitators to Collaboration
No full textPurpose: This study identifies facilitators and barriers to collaboration between primary care offices and health education resources available in county health departments and Cooperative Extension (CE) agencies. Methods: As part of a prevention collaborative aimed at linking primary care practices with county health education resources, in-depth semi-structured interviews were conducted and audio-recorded with twelve key informants from participating family medicine clinics and the community agency staff who had worked with these practice members to establish partnerships. Interviews inquired about the history of collaboration, factors promoting and inhibiting collaboration, and recommendations for others interested in building collaborations. Analysis employed a grounded theory approach and used an iterative group analysis process to identify salient themes. Results: Facilitators of successful linkages included: (1) face-to-face meetings between clinics and community resource agents (e.g., health educators) to discuss shared interests, (2) joint decisions about how the relationship should be structured, (3) periodic assessments of the successes and challenges, and (4) development of a champion within the physician offices-often a non-physician-to assure continued contact and accomplishment of proposed goals. Specific barriers identified included time pressures, personnel turnover, and absence of funding to support collaboration. Conclusions: A number of common barriers arise when attempts at community participation originate from primary care offices across a number of different types of communities. With increased awareness of these barriers, they may be identified early when primary care offices attempt to form linkages with community resources; structuring clinics' chronic care models with the goal of minimizing these barriers may be one way to improve patient access to these resources.Master of Public Healt
Improving Access to Hepatitis C Treatment for Uninsured Patients in Southeast Georgia
No full textBackground: In this brief report, we discuss enhancing access to hepatitis C treatment for uninsured patients in Southeast Georgia.
Methods: Through our screening program for hepatitis C virus (HCV) infections in a local safety net emergency department, the Comprehensive AIDS Resources Emergency (CARE) Initiative studied the rates of linkage to care for newly diagnosed patients with HCV and sought ways to improve linkage to care for those who did not have health insurance.
Results: Our multidisciplinary team partnered with a local federally qualified health center (FQHC) and a wholesale laboratory service to offer affordable care options, thus increasing the percent of uninsured patients who were linked to care for the treatment of their chronic HCV infections.
Conclusions: The creative use of non-invasive laboratory testing from non-traditional sources, and collaboration with pre-existing community partners is one way to make the care of chronic HCV infection attainable by uninsured and underinsured patients
Empowering Family Physicians to Control HIV Infection in Rural Communities
No full textRural communities often lack providers who are comfortable caring for people living with HIV/AIDS (PLWHA). Family physicians are ideal providers to engage communities in HIV prevention, and care for PLWHA in areas that lack access to specialists. We implemented a comprehensive HIV management model into our residency curriculum to prepare residents to manage HIV in rural primary care settings
Interaction Effects of Maternal Sexually Transmitted Infections with Prenatal Care Utilization Status on Preterm Birth and Low Birthweight: U.S. National Data
No full textThis case-control study aimed to test interaction between the most common sexually transmitted infections (STIs) (i.e., chlamydia, gonorrhea, and syphilis) and prenatal care (PNC) utilization status on preterm birth (PTB) (<37 weeks gestation) and low birthweight (LBW) (<2500 g). We used data of participants with singleton live births (N = 3,418,028) from the 2019 United States National Vital Statistics System. There were 280,206 participants in the PTB group and 3,137,822 in the control group, and 221,260 participants in the LBW group and 3,196,768 in the control group. Nearly 1.9% of the participants had chlamydia, 0.3% had gonorrhea, and 0.2% had syphilis. Interaction effects of STIs with PNC utilization status on the risk of PTB and LBW were tested on the multiplicative and additive scales. Using measures of the relative excess risk of interaction (RERI), the attributable proportion of interaction (AP), and the synergy index (S), we observed the highest significant synergistic interaction between syphilis and inadequate PNC utilization increasing the risk of PTB (RERI 2.12, AP 38%, and SI 1.88), and between gonorrhea and inadequate PNC utilization increasing the risk of LBW (RERI 1.03, AP 28%, and SI 1.64). Findings from this study help improve our understanding of disease etiology and inform prevention planning
The Utilization of a Syringe Services Program in a High-Risk Homeless Community in Savannah, Georgia
No full textBackground: In the United States, there was a 6-fold increase in opioid overdose deaths from 2015 to 2020, which has resulted in the legalization of Syringe Services Programs (SSPs) in Georgia. SSPs are community-based, harm reduction programs that provide primary and secondary prevention to improve the overall health and well-being of people who inject drugs (PWIDs) and the community as a whole. In this study, we implemented a SSP with an overdose education and naloxone distribution (OEND) and needle exchange program (NEP), to assess the population needs of a high-risk homeless community and determine the efficacy of such program. Method: In partnership with a federally funded mobile healthcare for the homeless, the program provided education on overdose prevention and response, and safe needle practices such as the risks of sharing needles, maintaining sterility, and proper needle disposal. In addition, the study recorded the number of participants receiving services, quantity of syringes and naloxone kits distributed, and amount of used syringes properly disposed of. Expected Results: We will analyze the data collected from the SSP to better understand the syringe, naloxone, and syringe disposal needs of the community. By establishing a SSP, we plan to lower the threshold to harm reduction services and ensure adequate supplies are available for sterile injection and opioid overdoses. Our efforts focus on establishing an effective and sustainable SSP to reduce opioid-related mortalities and intravenous drug-associated infections. Conclusion: Harm reduction is the fundamental core of SSPs. Although SSPs face several financial, structural, and social barriers to implementation, nearly three decades of research support the safety, effectiveness, cost-savings, and reduction of opioid overdose mortalities and transmission of infections of SSPs. In this study, we will implement an SSP to better understand the resources required to achieve our intended outcomes of a safer community
The virtual image : Brazilian literature in English translation
No full textThe
aim of this thesis is to
examine
how the virtual
image
of Brazil
and
its literature is
constructed
in the Anglo-American world. To this
end, a survey of
Brazilian literary
works
in English translation was
carried out.
Having
gathered this data, it became
possible to establish
correlations
between the historical
moments when such translations
were made, when their number
increased,
and the events occurring at
those times in the international
panorama, as well as to look into the
role of sponsors, publishers and translators in the
selection and
production of such translations.
The data
also allowed a profile of
Brazilian literary
works
in
English translation to be drawn. It became
possible to suggest that
such works
fall into four
main categories:
`authorial
works',
'topical
works',
`ambassadorial
works'
and `consumer-oriented
works'.
In
order
to look
more closely
into how the translation process
has helped to
shape
the
virtual
image
of Brazilian literary
works
in
the Anglo-American world, an analysis of a sample of
translations
of
such works was made. Included in this
sample were
the translations
of works
by Machado de Asis, by Indianist
and
Regionalist
wirters,
culminating
in
an examination of translations of
GuimarAes Rosa's
works.
Having looked
at these aspects of
the translation
process, what
remained
to be done
was to investigate
to what extent
Brazilian
literary
works
in English translation
are read
by the English-
speaking public.
To this
end, a survey of availability and
library
readership was undertaken. Finally,
a reading experiment was carried
out
in
which native speakers of
English
were asked to read the short
story
'A terceira
margem
do
rio',
by GuimarAes Rosa.
The
conclusion attempts to pull all these threads together and
to indicate directions for further
research
Deux rites de passage dans la « Nouvelle narration argentine » : Romance de la negra rubia de Gabriela Cabezón Cámara et Matate amor de Ariana Harwicz
No full textNous nous intéressons dans cet article, à la notion de rite de passage. Le rite de passage est un acte qui marque le passage symbolique vers un nouveau statut à travers une médiation matérielle (par le corps). Nous pouvons lire dans cette définition l’idée condensée par Bourdieu selon laquelle le rite consiste à « agir sur le réel en agissant sur la représentation du réel » (Bourdieu, 1982 : 58). Dans les œuvres étudiées, la représentation de l’inscription sur la peau serait alors une mise en abyme de l’inscription sur le papier. L’écriture, comme intervention sur le réel, peut être perçue comme rite de passage puisqu’en agissant sur les représentations elle agit d’une certaine manière sur le réel social, discursif, personnel, selon les cas. Ainsi nous nous demanderons que disent/représentent les rites de passage de la littérature argentine et de leurs auteures dans deux œuvres de la « Nueva Narrativa Argentina » : Romance de la negra rubia de Gabriela Cabezón Cámara (auteure argentine née à Buenos Aires en 1968) et Matate amor de Ariana Harwicz (auteure argentine née à Buenos Aires en 1978). Dans ces deux romans, les protagonistes que l’on peut considérer comme des doubles de leurs auteures, s’infligent des actes « symboliques » corporels – la protagoniste de Romance de la rubia negra s’immole par le feu au début du roman, puis se fait transplanter le visage de son amante ; celle de Matate amor se mutile en traversant la baie vitrée de sa maison- que nous considérons être des rites de passage en ce qu’ils marquent leur passage d’un statut à un autre et qu’ils inscrivent dans la chair leur devenir « autre » : le devenir d’une société double qui inclut la marge pour l’un, le devenir mère et l’exil pour l’autre. Dans un premier temps nous étudierons la structure de chaque roman en relation avec la structure de rite de passage, puis nous aborderons les différentes significations de ces passages, enfin nous étudierons la question de l’écriture comme rite de passage vers une écriture singulière, vers une écriture engagée, vers une « Nueva narrativa argentina ».En este artículo, nos interesamos en la noción de rito de paso. El rito de paso es un acto que marca el paso simbólico hacia un nuevo estatuto mediante una mediación material (mediante el cuerpo). Podemos leer en esta definición la idea condensada por Bourdieu según la cual el rito consiste en “actuar en lo real actuando en la representación de lo real” (Bourdieu, 1982 : 58). En las obras estudiadas, la representación de la inscripción en la piel sería una mise en abyme de la inscripción en la hoja de escritura. La escritura, como intervención sobre lo real, puede ser percibida como rito de paso ya que actuando en las representaciones, actúa en cierta medida en lo real social, discursivo, personal, según los casos. Nos preguntaremos que dicen/representan los ritos de paso en dos obras de la “Nueva narrativa argentina”: Romance de la negra rubia de Gabriela Cabezón Cámara (autora argentina nacida en Buenos Aires en 1968) et Matate amor de Ariana Harwicz (autora argentina nacida en Buenos Aires en 1978). En ambas novelas, las protagonistas que podemos considerar como dobles de sus autoras, se infligen actos “simbólicos” corporales – la protagonista de Romance de la negra rubia se quema a lo bonzo al principio de la novela y luego se trasplanta la cara de su novia; la de Matate amor se mutila atravesando el ventanal de su casa. Interpretamos esos actos como ritos de paso en el sentido en que marcan el paso de las protagonistas de un estatuto a otro e inscriben en la carne su devenir “otro”: uno, el devenir de una sociedad doble que incluye el margen; el otro, el devenir-madre y el exilio. En un primer tiempo, estudiaremos la estructura de cada novela en relación con la estructura del rito de paso; luego abordaremos las significaciones diversas de estos pasos; para terminar estudiaremos la cuestión de la escritura como rito de paso hacia una escritura singular, comprometida, hacia una “nueva narrativa argentina”.In this article, we are interested in the notion of « rite of passage ». The rite of passage is an action which marks the symbolic passage towards a new status through a material mediation (with the body). In this definition we can read Bourdieu’s condensed idea according to which the rite consists in “acting on the reality by acting on the representation of the reality”(Bourdieu, 1982: 58). In the studied works, the representation of the representation on the skin would therefore be a “mise en abyme” of the inscription on the paper. The writing, as an intervention on the reality, can be seen as a rite of passage because by acting on the representations it acts, in a way, on the social, discursive and personal reality, as appropriate. Thus, we will wonder what the rites of passage of the Argentine literature and their female authors mean in two works of the “Nueva Narrativa Argentina”, Romance de la negra rubia from Gabriela Cabezon Camara (Argentine author born in 1968 in Buenos Aires) and Matate amor from Ariana Harwicz (Argentine author born in 1978 in Buenos Aires). In thus two novels, the protagonists, that we can consider as the copies of their authors, impose symbolics physicals acts to themselves – the protagonist from Romance de la negra rubia sacrifies herself by the fire at the beginning of the novel, then she makes her lover’s face transplanted on her; the one in Matate amor mutilates herself going through the glass window of her house- that we consider being rites of passage because they mark the passage of the status to another one and they register in their flesh the future “other”: the future of a double society which includes the margin for one, the mother future and the exile for the other. Al first we will study the structure of each novel in relation with the structure of the rite of passage, then we will tackle the different meaning of these passages, finally we will study the question of writing as a rite of passage towards a singular writing, towards a committed writing, towards a “Nueva narrative argentina”
