Die Erzählstrategien in ausgewählten Romanen von Barry Unsworth (German Edition)

---

Photovoice, participant observation, and semi-structured interviews were used to create visual and written narrative portraits of Karen parents. Narrative analysis revealed that Karen parents had constructed a counter-narrative in Burma and Thailand that enabled them to resist assimilation into the dominant ethnic culture; by contrast, their narrative of life in resettlement in the U.

Keystone characteristics that contributed to cultural resilience were identified to be the community garden and education as a gateway to a transformed future. Anchored in a cultural tradition of farming, these Karen parents gained perspective and comfort in continuity and the potential of self-determination rooted in the land. Therefore, a cross-cultural learning community for Karen elementary school students that incorporates the Karen language and Karen self-sustaining knowledge of horticulture would be an appropriate venue for building a climate of reciprocity for science learning.

Caring for the Karen. A newly arrived refugee group. Since , Minnesota has seen an influx of refugees from Burma. Many of these newcomers came from the Karen state and spent time in refugee camps in Thailand before resettling in the United States. To better understand the health needs of this population, the authors of this article conducted chart reviews at a St. Paul family medicine clinic that serves a number of Karen refugees and reviewed formal data from the Minnesota Department of Health's Refugee Health Program.

Here, they briefly describe this community, the cultural issues that could affect health care providers' ability to care for Karen patients, and the health concerns of these refugees. Tales of Wayward Girls and Immoral Women: Tice Chicago, University of Illinois Press, , p. In spite of the availability of modern medicines, Karens preferred herbal remedies provided by the Traditional Knowledge Practitioners TKPs , who served as their healers. Hence, the aim of this study was to collect information from TKPs and determine the significance of plants utilized for medicinal purposes. The informant consensus factor ICF in relation to medicinal plants used was also estimated and analysed.

Field research was conducted in three villages of Middle Andaman, inhabited by Karens , during October - February TKPs were interviewed with a questionnaire-guided ethno-medical survey protocol. Use of 78 medicinal plant species belonging to 71 genera encompassing 48 families was recorded during the survey. These plants were used to treat 38 different ailments, and divided into ten categories of use. The highest ICF value 0. The Zingiberaceae and Fabaceae families exhibited the highest number of species, and the plants with the highest use values were Typha angustifolia L.

Among the several plant parts used, leaves were mostly preferred for preparation of medicines. Water was the main excipient used for mixing the herbs.

Buy for others

This study documents the use of medicinal plants by Karens of the Andaman and Nicobar Islands. Phytochemical and pharmacological aspects of these plants need to be studied, to confirm their efficacy and safety, and determine their potential use in modern medicine. In her case, she is a groundbreaker. In the early s, she refined her skills in ergonomics in order to have the necessary work analysis tools. Her research has investigated several professions orderlies, cleaning workers, cashiers, etc..

Karen Messing has published several important scientific books and. Full Text Available This study is informed by funds of knowledge and culturally responsive teaching studies that aim to explore and legitimize the cultural knowledge immigrant children bring to their communities and schools. In aggregate, this paper addresses issues germane to Karen education including; 1 background information on Karen educational experiences prior to resettlement, including a review of their journey from Thailand to the U. The Case of Three Karen Brothers. This study explores the social and cultural uses of digital literacies by adolescent immigrants to cope with their new lives in the United States.

This case study focuses on three adolescent ethnic Karen brothers. Two years of participant observations in their home and Karen community, accompanied by formal and informal interviews, served as the…. This research explored how Karen first-generation refugees from Burma elementary students engaged with the Next Generation Science Standards NGSS practice of constructing scientific explanations based on evidence within the context of a cross-cultural learning community.

In this action research, the researcher and a Karen parent served as…. The Karen , an ethnic minority group in Burma, have experienced a prolonged state of exile in refugee camps in neighboring Thailand because of ethnic conflict in their home country. Nursery schools in the three largest Karen refugee camps aim to promote the psychosocial development of young children by providing a child-centered, creative,….

Researchers and the translational reality. Interview with Karen Aboody. Karen Aboody has first-hand experience of taking a potential therapy from the laboratory into clinical trials. Here, she shares with us the challenges and rewards of going from bench to bedside, and why all biomedical researchers need to know what it takes to make the transition if they want the best chance of seeing their discoveries used to help patients. After gaining experience in pathology, gene therapy and biotechnology, she joined City of Hope COH in to head a translational research laboratory focused on therapeutic stem cell applications for invasive and metastatic solid tumors.

In , she received US FDA approval for a first-in-human clinical trial for neural stem cell-mediated therapy for high-grade glioma patients. She recently founded a clinical-stage biopharmaceutical company, TheraBiologics Inc. Traditional knowledge on medicinal plant of the Karen in northern Thailand: We studied traditional medicinal plant knowledge among the Karen in northern Thailand. To compare traditional medicinal knowledge in 14 Karen villages in northern Thailand and determine culturally important medicinal plant species in each Karen village.

We interviewed 14 key informants and non-specialist informants about their traditional knowledge of medicinal plants. We tested normality of the data and correlations with distance to the nearest city using Kolmogorov-Smirnov tests and Spearman's rank correlation coefficient. Cluster analysis and cultural importance index CI were calculated for the similarity of medicinal plant used and culturally importance medicinal plant species among Karen villages respectively.

In total medicinal plant species were used. Number of medicinal plants used positively correlate with distance to the nearest city. Relatively low similarities of medicinal plant species and different CI values for species among the different areas were found. Traditional medicinal plants still play an important role in medicinal practice of the Karen. Local environments, availability of medicinal plant and distance between Karen villages and the nearest city affect the amount of traditional medicinal knowledge in each Karen village.

The medicinal plants in this study with high CI values might give some useful leads for further biomedical research. We report on the high intensity, high contrast double chirped-pulse amplification CPA Ti: By use of an optical parametric chirped-pulse amplification OPCPA preamplifier that is seeded by a cleaned high-energy pulse, a background amplified spontaneous emission ASE level of 10 relative to the peak main femtosecond pulse on the picosecond timescales demonstrated with an output energy of 1.

This system which uses a cryogenically-cooled Ti: Karen women expressed gratitude for and understanding of perinatal care in Buffalo, and providers described Karen patients as agreeable but shy. Karen doulas offered an alternative view that exposed women's many questions and concerns, and described how doula training empowered them as patients' advocates. Low self-efficacy, trauma histories, and cultural expectations may contribute to Karen women's seeming agreeability.

Validation of a brief mental health screener for Karen refugees in primary care. Karen refugees from Burma are one of the largest refugee groups currently resettling in the USA. Karen people have endured decades of civil war and human rights violations, leaving them more likely to develop serious mental health disorders. There is a noted lack of brief, culturally validated tools present in primary care settings for detecting posttraumatic stress disorder PTSD and major depressive disorder MDD in Karen refugees. To create the Karen Mental Health Screener, a five-question screening tool used to identify depression and PTSD and to validate it against a clinical reference standard.

This validation study was conducted during a primary care visit. Both the questionnaire and the relevant sections of the SCID-IV were rigorously translated and administered by trained researchers along with a trained Karen interpreter. A final five-question screener was created with very strong performance characteristics. The Karen Mental Health Screener is a valid measure for detecting PTSD and major depression in Karen people from refugee backgrounds presenting in a primary care setting.

Published by Oxford University Press. For permissions, please e-mail: Karen and Lawa medicinal plant use: We here tease apart the ethnopharmacological knowledge of plants in two Thai villages to determine to which degree the uses are particular to individual ethnic groups and to which degree they are part of a generalized and uniform set of widespread medicinal plants used over a large geographic range. We compared Karen and Lawa knowledge of medicinal plants in the Mae Cheam watershed of northern Thailand, where both ethnic groups have settled and share ecological conditions for resource extraction.

We were interested in documenting the degree to which these two ethnic groups use the same or different medicinal plant species. The use of the same plant species by the two groups was considered a sign of uniform and cross-cultural local knowledge, whereas the use of different medicinal plants by each group was considered a sign of culturally specific local knowledge that developed within each ethnic group.

We inventoried the plant species in different habitats around one Karen village and one Lawa village using stratified vegetation plots and using semi-structured questionnaires we interviewed 67 key informants regarding their use of plants for medicine. We used Jaccard's Index JI This index relates the number of shared species to the total number of species to analyze the similarity of medicinal plant use between the two villages. A total of species of medicinal plant species in 87 genera and 41 families were identified and they were used to cure 35 ailments. Engaging Karen refugee students in science learning through a cross-cultural learning community.

In this action research, the researcher and a Karen parent served as co-teachers for fourth- and fifth-grade Karen and non- Karen students in a science and culture after-school programme in a public elementary school in the rural southeastern United States. Photovoice provided a critical platform for students to create their own cultural discourses for the learning community. The theoretical framework of critical pedagogy of place provided a way for the learning community to decolonise and re-inhabit the learning spaces with knowledge they co-constructed.

Narrative analysis of video transcripts of the after-school programme, ethnographic interviews, and focus group discussions from Photovoice revealed a pattern of emerging agency by Karen students in the scientific practice of constructing scientific explanations based on evidence and in Karen language lessons. This evidence suggests that science learning embedded within a cross-cultural learning community can empower refugee students to construct their own hybrid cultural knowledge and leverage that knowledge to engage in a meaningful way with the epistemology of science.

Full Text Available While international humanitarian access in Burma has opened up over the past decade and a half, the ongoing debate regarding the appropriate relationship between politics and humanitarian assistance remains unresolved. This debate has become especially limiting in regards to protection measures for internally displaced persons IDPs which are increasingly seen to fall within the mandate of humanitarian agencies.

Conventional IDP protection frameworks are biased towards a top-down model of politicallyaverse intervention which marginalises local initiatives to resist abuse and hinders local control over protection efforts. Yet such local resistance strategies remain the most effective IDP protection measures currently employed in Karen State and other parts of rural Burma.

Product details

Addressing the protection needs and underlying humanitarian concerns of displaced and potentially displaced people is thus inseparable from engagement with the "everyday politics" of rural villagers. This article seeks to challenge conventional notions of IDP protection that prioritise a form of state-centric "neutrality" and marginalise the "everyday politics" through which local villagers continue to resist abuse and claim their rights.

Human platelet antigens in Burmese, Karen and north-eastern Thais. The knowledge of antigen frequencies in a population is essential for the evaluation of patients suffering from immune-mediated platelet disorders. No individuals homozygous for HPA-1bb, -2bb, -4bb, -5bb and -6bb were detected. HPA-1a, -2a, -4a, -5a and -6a were present in all samples of Burmese and Karen origin. HPA-1b, -2b, -4b, -5b and -6b were rare in these populations. However, HPA-1b, -2b, -3a, -3b, -4b, -5b, -6b, a and b may likely stimulate alloantibodies in these populations.

Literacy Practices in a Family Literacy Context. The lack of research about the Karen , one of ethnic groups from Myanmar limits literacy educators charged with educating this refugee population in public schools. In this case study the authors explore the literacy practices of Karen families when at school and in their homes and within an ESL family literacy program. The case of these….

Predicting prediabetes in a rural community: Diabetes is a growing epidemic in both urban and rural communities worldwide. We aimed to survey fasting plasma glucose FPG status and awareness of diabetes in the rural Karen ethnic community. We investigated the predictors of impaired fasting plasma glucose IFG status, which would be easily applicable for prevention of diabetes in a rural community.

This was a community-based cross-sectional study conducted at Thasongyang, the most north-western district in Thailand. A total of Karen ethnic rural residents were included in the study. FPG, body mass index, and waist circumference were prospectively measured. We assessed the awareness of diabetes and lifestyle-related health behavior with closed questionnaires in a rural community setting. On screening for FPG, It is necessary to promote awareness of diabetes among the Karen ethnic community.

Application of simple evidence-based predictors of the prediabetic state may lead to timely and effective prevention of diabetes in rural settings. Narratives and the Constitution of a Common Identity: The Karen in Burma. The KNU has claimed and fought for political autonomy and independence from the Burmese government for more than a half century. The influence of administrative leadership: This department highlights nursing leaders who have demonstrated a commitment to patient care leadership and innovation in practice, policy, research, education, and theory.

The Karen instruments for measuring quality of nursing care: Valid and reliable instruments for measuring the quality of care are needed for evaluation and improvement of nursing care. Previously developed and evaluated instruments, the Karen -patient and the Karen -personnel based on Donabedian's Structure-Process-Outcome triad S-P-O triad had promising content validity, discriminative power and internal consistency.

The objective of this study was to further develop the instruments with regard to construct validity and internal consistency. This prospective study was carried out in medical and surgical wards at a hospital in Sweden. A total of 95 patients and personnel were included. The instruments were tested for construct validity by performing factor analyses in two steps and for internal consistency using Cronbach's alpha coefficient. The first confirmatory factor analyses, with a pre-determined three-factor solution did not load well according to the S-P-O triad, but the second exploratory factor analysis with a six-factor solution appeared to be more coherent and the distribution of variables seemed to be logical.

The Karen -patient and the Karen -personnel instruments have achieved acceptable levels of construct validity. The internal consistency of the instruments is good. This indicates that the instruments may be suitable to use in clinical practice for measuring the quality of nursing care. Alloantibodies against HNA are implicated in a number of clinical conditions, including immune-mediated neutropenia and transfusion reactions. A total of unrelated healthy Thais, Burmese and Karen was included in this study.

This is in contrast to the situation reported in Caucasian and African populations. No individuals were found to be homozygous for HNA-4bb. The probability of developing alloantibodies against HNA-4a was low in these populations and every population in Asia. This is the first study that reported the allele frequencies of HNA-1, -3, -4, and -5 in a large sample of healthy unrelated individuals from ethnic Thais, Burmese and Karen.

Our results indicated the high possible risk of HNA-1, -3 and -5 alloimmunisation in these populations. Fisher Eds Digital Inclusion: Measuring the Impact of Information and Community Technology. This is the first report on human leukocyte antigen HLA allele and haplotype frequencies at three class I loci and two class II loci in unrelated healthy individuals from two ethnic groups, Burmese and Karen , originally from Burma Myanmar , but sampled while residing in Thailand.

The data are important in the fields of anthropology, transplantation and disease-association studies. Herausforderungen eines Waffenstillstandsabkommens im Karen -Staat. Full Text Available Burma Myanmar has seen some of the longest-running insurgencies in the world, which have had a devastating effect on local populations and the country as a whole. Major challenges have occurred since the ceasefire and future developments are uncertain.

This article seeks to provide some insights into a ceasefire group, to analyse the failures and successes of the ceasefire accord, and to outline future challenges to the country. Dieser Artikel gibt einen Einblick in eine Waffenstillstandsgruppe, analysiert die Erfolge sowie Misserfolge des. Patient- and family-centered care is a central tenet of nursing practice. This concept has evolved to include patient partnerships, patient engagement, and patient activation. This column differentiates these concepts and describes the core principles embedded in the overriding intention of ensuring that patients and their families or significant others are orchestrators of their health and their care plans.

The meaning and value of traditional occupational practice: This case study sought to understand the meaning of restoring traditional weaving as an occupation among Karen women from Burma who now live in an urban city in the United States and to examine the impact of weaving on their daily lives in terms of identity, empowerment, social support, and opportunities for entrepreneurship. The story of one Karen woman, Paw Law Eh, is described.

Her story exemplifies the negative consequences of restricted access to familiar and meaningful daily activities, or "occupations", the relationship between occupation and self-identity, how participation in valued occupations can enhance social networks, and the restorative effects that are possible when engagement in meaningful occupations are maintained or restored.

Her story demonstrates that occupational therapists have the skills and opportunity to contribute significantly to the well-being of Karen women by supporting the restoration of the occupation of weaving. This article examines factors influencing English language education, participation and achievement among Karen refugee women in Australia. Data were drawn from ethnographic observations and interviews with 67 participants between and , collected as part of a larger qualitative study exploring the well-being of Karen refugee women in…. Admixed origin of the Kayah Red Karen in Northern Thailand revealed by biparental and paternal markers.

Moreover, an admixed origin of the KA forming three population groups was observed: Our genetic results thus agree with findings in linguistics that Karenic languages are ST languages that became heavily influenced by TK during their southward spread. A result of the Mongol invasions during the 13th century A. Ethnomedicinal plants used for digestive system disorders by the Karen of northern Thailand. Digestive system disorders have a substantial effect on worldwide morbidity and mortality rates, including in Thailand, where the majority of the rural areas have a lack of proper sanitation and awareness about disease prevention.

This has led to the prevalence of different types of digestive diseases. Karen people in Thailand still use medicinal plants as first aid remedies in treating these diseases. Therefore, this study aimed at documenting the plants used to cure and prevent different types of digestive system disorders by Karen people of Chiang Mai Province, northern Thailand.

Ethnomedicinal data were collected from six key informants and non-specialist informants regarding their traditional knowledge of medicinal plants. The study revealed that 36 medicinal plant species belonging to 31 genera and 24 families were used to treat digestive system disorders. The most prevalent plant families were Zingiberaceae 6 species , Euphorbiaceae 4 species and Fabaceae 4 species. Leaves were the most commonly used plant part accounting for The highest ICF values were recorded for carminative disorders, stomachaches, geographic tongue, constipation, appetite stimulants and food poisoning 1.

The highest fidelity level values were recorded for Punica granatum Medicinal plants still play an important role among Karen culture. The present information on these medicinal plants, which have. Medicinal plants from swidden fallows and sacred forest of the Karen and the Lawa in Thailand. Many ecosystem services provided by forests are important for the livelihoods of indigenous people.

Sacred forests are used for traditional practices by the ethnic minorities in northern Thailand and they protect these forests that are important for their culture and daily life. Swidden fallow fields are a dominant feature of the agricultural farming landscapes in the region. In this study we evaluate and compare the importance of swidden fallow fields and sacred forests as providers of medicinal plants among the Karen and Lawa ethnic minorities in northern Thailand. We made plant inventories in swidden fallow fields of three different ages , , years old and in sacred forests around two villages using a replicated stratified design of vegetation plots.

Subsequently we interviewed the villagers, using semi-structured questionnaires, to assess the medicinal use of the species encountered in the vegetation survey. We registered a total of species in genera and 82 families. Although the sacred forest overall housed more species than the swidden fallow fields, about equal numbers of medicinal plants were derived from the forest and the fallows. Of the 32 medicinal plant families Euphorbiaceae and Lauraceae had most used species in the Karen and Lawa villages respectively.

Sacred forest are important for providing medicinal plant species to the Karen and Lawa communities in northern Thailand, but the swidden fallows around the villages are equally important in terms of absolute numbers of medicinal plant species, and more important if counted as proportion of the total number of species in a habitat. This points to the importance of. War trauma and torture experiences reported during public health screening of newly resettled Karen refugees: Karen refugees have suffered traumatic experiences that affect their physical and mental health in resettlement. The United States Centers for Disease Control and Prevention recommends assessing traumatic histories and mental health symptoms during initial public health screening.

This article reports the traumatic experiences that Karen refugees were able to describe during a short screening and contributes knowledge to existing human rights documentation systems. Four semi-structured and open-ended items asked about lifetime experiences of war trauma and torture. Interviews were completed with adult, Karen refugees during their initial public health screening.

Additional codes were created to describe experiences not captured by existing codes. All participants who reported war trauma or torture stories were able to describe at least one event. New war trauma codes proposed include: New torture codes include: Karen refugees were able to report traumatic experiences in the context of a brief health screening.

The findings confirm existing reports of human rights violations against Karen people and suggest that additional codes be added to the HURIDOCS Micro-thesauri system that is used by torture treatment centers. Understanding the nature of traumatic experiences of this group is important for health providers working. Assessing awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand.

Hypertension is currently a global health concern. Rural and minority populations are increasingly exposed to risk factors as a result of urbanization, leading to hypertension and cardiovascular disease. We conducted a survey in the rural Karen community in Thasongyang District, Tak Province, Thailand, with the aims of determining: This was a community-based, cross-sectional survey of rural Karen residents.

A set of questionnaires assessing lifestyle-related health risk behaviors and awareness and knowledge of hypertension were used. Blood pressure, fasting plasma glucose, weight, height, and waist circumference were measured. Median systolic and diastolic blood pressures were range mmHg and 70 range mmHg, respectively. Multinomial logistic regression analysis showed that people in the Karen community who were aware of hypertension were less likely to be current smokers odds ratio [OR] 0.

Overall, our survey showed that less than half of the Karen community had such knowledge and awareness. It is urgently necessary to promote knowledge, awareness, and health literacy among the ethnic Karen tribes to prevent hypertension and associated CVDs. Parents and children exposed to war and relocation have high rates of negative relational and mental health outcomes. This study tested the feasibility of implementing an adapted evidence-based parenting intervention for contexts of trauma and relocation stress.

Eleven Karen refugee caregivers from Burma participated in the intervention. Participants and a focal child completed ethnographic interviews as well as structured assessments at baseline and follow-up. Caregivers reported changes in their teaching, directions, emotional regulation, discipline, and child compliance. Children reported changes in these areas and in positive parent involvement. Caregivers reported higher mental health distress immediately after the intervention, potentially due to increased awareness. Researchers made personalized referrals for counseling services as needed.

Children reported a decrease in mental health symptoms. Median systolic and diastolic blood pressures were range — mmHg and 70 range 60—80 mmHg, respectively. Our objective was to explore the ways in which displaced Karen mothers expressed emotions in narrative accounts of motherhood and displacement. We contextualized and analyzed interview data from an ethnographic study of birth and emotions among 15 displaced Karen mothers in Australia. We found that women shared a common symbolic language to describe emotions centered on the heart, which was also associated with heart "problems.

A metaphoric schema of emotional terms centered on the heart was connected to embodied expressions of emotion related to illness of the heart. This and other embodied responses were reactions to overwhelming difficulties and fear women endured due to their exposure to political conflict and global inequity. Global Culture, Island Identity: This important book sheds light on the interplay of hierarchy and equality, the local and the global, and the Caribbean and the European in the cultural history of Nevis.

In addition to bringing recent theoretical concerns with transnationalism and identity to Caribbean studies, Karen Olwig directs Caribbean ethnology away from static conceptions of kinship and household, religion and social life, and African cultural retentions, and toward an integration of kinship, gender, This study aimed to survey the prevalence, patterns of antibiotic resistance, and clinical factors associated with antibiotic resistance in Helicobacter pylori among the Karen and Hmong mountain people of Thailand.

We recruited dyspeptic patients in the Maesod district, Tak Province, Thailand. All subjects underwent upper gastrointestinal endoscopy, and three antral gastric biopsies were obtained for rapid urease tests and culture. A total of subjects were enrolled; Helicobacter pylori infection was present in Antibiotic resistance was present in Karen subjects had the highest prevalence of MNZ resistance MNZ plus fluoroquinolone There was no association between clinical factors and antibiotic resistance.

MNZ resistance was prevalent, whereas fluoroquinolone- and multidrug-resistant H. Perceptions of nursing care quality, in acute hospital settings measured by the Karen instruments. The objectives of this study were to measure the quality of nursing care from the perspectives of patients and personnel and to compare these perspectives. The perception of quality in nursing care is affected by patient needs and it is common that patients and personnel disagree on the nature of the quality.

Thus, it is important to measure the quality from both perspectives. A total of 95 patients and personnel from surgical and medical wards at a hospital in Sweden participated. The Karen instruments were used for data collection. A scale index was used for comparison of the perspectives. The patients and personnel were satisfied with the quality of care and there were no obvious differences in the total index. The different subscales indicated areas of lower care quality in need of improvement. The quality of the care seemed to be satisfactory from the perspectives of both the patients and the personal.

Further analysis from the subscale or a variable level is needed to define areas of lower care quality. Measurements have to be carried out continuously to guarantee care quality over time, as a result of organisational changes and financial cutbacks. The system can deliver short pulses with an energy of 30 J and pulse duration of 30 fs after compression with a contrast level of better than Such performance in high field science will give rise to the birth of new applications and breakthroughs, which include relativistic particle acceleration, bright x-ray source generation, and nuclear activation.

The protons are accelerated in the Target Normal Sheath Acceleration regime, which is suitable for many applications including as an injector into a beamline for medical use, which is one of our objectives. Household ecology and out-migration among ethnic Karen along the Thai-Myanmar border. Full Text Available Background: Local migration in developing-world settings, particularly among rural populations, is an important yet understudied demographic process.

Research on migration in such populations can help us test and inform anthropological and demographic theory. Furthermore, it can lead to a better understanding of modern population distributions and epidemiologic landscapes. The purpose of this study was to investigate the potential relationships between household- and individual-level factors on out-migration among Karen villagers along the Thai-Myanmar border. We found that the number of household members is predictive of increased out-migration. Finally, adult males were much more likely to move out of the household than were adult females.

While household-level factors are important with regard to out-migration, the relationships between such household-level factors and out-migration are complex and vary by the individual's age and sex. Our study offers two novel concepts to household demography and migration studies. Second, we show that household level factors are important at units of time two-week intervals that are not normally studied by demographers. The purpose of this study was to examine CVD-related health beliefs and lifestyle issues among Karen refugees resettled in the US.

A high-salt diet, physical inactivity, and smoking were major lifestyle problems. Participants who adhered to a low-salt diet considered themselves to be susceptible to CVD. Most participants did not engage in regular PA. Regular PA was associated with less perceived susceptibility to CVD and greater perceived benefits of a healthy lifestyle for decreasing the likelihood of CVD.

Each refugee population may require individualized strategies to promote PA and a healthy diet.

Free online reading

Future studies should develop health education programs that are specifically designed for Karen refugees and evaluate such programs. In addition to health education programs on healthy lifestyle choices, tobacco cessation programs seem to be necessary for Karen refugees. At the same time, it is important to foster strategies to increase the utilization of preventive care among this population by promoting free or reduced-fee resources in the community to further promote their health. Knowledge of communicable and noncommunicable diseases among Karen ethnic high school students in rural Thasongyang, the far northwest of Thailand.

The double burden of communicable and noncommunicable diseases NCD is an increasing trend in low- and-middle income developing countries. Rural and minority populations are underserved and likely to be affected severely by these burdens. Knowledge among young people could provide immunity to such diseases within a community in the long term. In this study we aimed to assess the knowledge of several highly prevalent NCDs diabetes, hypertension, and chronic obstructive pulmonary disease [COPD] and several highly incident communicable diseases malaria and diarrheal diseases among Karen high school students in a rural district in far northwest of Thailand.

The aim of the study is to explore information for devising life-course health education that will be strategically based in schools. Questionnaires for assessing knowledge regarding diabetes, hypertension, COPD, malaria, and diarrheal diseases were delivered to all Karen high school students attending Thasongyang high school. A total of students returned the questionnaires.

Experts' validation and split-half reliability assessment was applied to the instrument. Familial risk factors of diabetes and hypertension were not known to more than two thirds of the students. Except obesity and physical inactivity, lifestyle-related risk factors were also not known to the students. Though living in a malaria-endemic area, many of the Karen students had poor knowledge about preventive behaviors.

Half of the students could not give a correct answer about the malaria and hygienic practice, which might normally be traditionally relayed messages. Except obesity and physical. Chshmaritian third from right with from left to right: Antimalarial efficacy of nine medicinal plants traditionally used by the Karens of Andaman and Nicobar Islands, India. Full Text Available The aim of this study was to assess the antimalarial activity of nine medicinal plants used by Karens of Andaman and Nicobar Islands, against Plasmodium falciparum chloroquine-sensitive MRC-2 isolate.

The methanol extracts were obtained by cold percolation method and in vitro antimalarial activity was assessed using M-III method. The results indicated that out of nine plant species tested, four plants, viz. Contemporary Perspectives on Change. Full Text Available In his recent book on the contemporary politics of social work, Powell nominates Jan Fook and Karen Healy as two Australian authors who have made significant contributions to the radical or critical social work tradition. I have chosen to review them together, as each, in different ways, attempts to achieve the same purpose.

That is, they attempt to provide a convincing account for adopting a critical approach to practice in the contemporary conditions of the 21st century and, in doing so, re-invigorate the radical tradition of social work practice. My first comment, important for the readership of this international journal, is that both books easily 'travel' beyond the Australian context. Piloting community-based medical care for survivors of sexual assault in conflict-affected Karen State of eastern Burma.

Given the challenges to ensuring facility-based care in conflict settings, the Women's Refugee Commission and partners have been pursuing a community-based approach to providing medical care to survivors of sexual assault in Karen State, eastern Burma. This new model translates the World Health Organization's Clinical Management of Rape Survivors facility-based protocol to the community level through empowering community health workers to provide post-rape care.

The aim of this innovative study is to examine the safety and feasibility of community-based medical care for survivors of sexual assault to contribute to building an evidence base on alternative models of care in humanitarian settings. A process evaluation was implemented from July-October to gather qualitative feedback from trained community health workers, traditional birth attendants, and community members.

Two focus group discussions were conducted among the highest cadre health care workers from the pilot and non-pilot sites. In Karen State, eight focus group discussions were convened among traditional birth attendants and 10 among women and men of reproductive age. Qualitative feedback contributed to an understanding of the model's feasibility. Pilot site community health workers showed interest in providing community-based care for survivors of sexual assault.

Traditional birth attendants attested to the importance of making this care available. Community health workers were deeply aware of the need to maintain confidentiality and offer compassionate care. They did not raise safety as an excess concern in the provision of treatment. Data speak to the promising "feasibility" of community-based post-rape care. More time, awareness-raising, and a larger catchment population are necessary to answer the safety perspective. The pilot is an attempt to translate facility-based protocol to the community level to offer solutions for settings where traditional methods of post-rape care are not.

Public knowledge of diabetes in Karen Ethnic rural residents: The public knowledge of diabetes is important for prevention of disease.

Forgot Password?

This study aimed to evaluate knowledge of diabetes, risk factors, and the common warning signs of diabetes and complications among community participants in a rural Karen ethnic community. Participants were asked to answer a questionnaire regarding their knowledge of diabetes. Fasting blood glucose testing, blood pressure measurement, and body mass index BMI assessment were provided to the participants. The study was conducted at Thasongyang district, Tak province, Thailand. A total of Karen rural residents were included in the study. The response rate to the questionnaires was Half of the participants knew diabetes is a noncommunicable disease needing lifelong treatment.

Overall, one-third of the community participants could correctly answer the knowledge assessment questions regarding risk factors and common features of diabetes. Female participants had poorer diabetes knowledge than the males. The public knowledge of diabetes, as represented by this sample of the Karen ethic community, is alarmingly low. There is significant gender difference in knowledge level. Culturally tailored and gender-sensitive diabetes health education interventions are urgently needed in this minority ethnic community.

Ressurrection by Machado de Assis. Latin American Literary Review Press, Review of Financial Intelligence for Entrepreneurs: Financial Intelligence for Entrepreneurs: Harvard Business Press, Short, easily digested cha Current prevalence of intestinal parasitic infections and their impact on hematological and nutritional status among Karen hill tribe children in Omkoi District, Chiang Mai Province, Thailand. Intestinal parasitic infection represents a substantial problem for children living in rural or limited resources areas and significantly relates to anemia and nutritional status.

This study aimed to determine the current prevalence of intestinal parasitic infections among school-age children of Karen hill tribe population in Omkoi District, Chiang Mai Province, Thailand and assess the impact of intestinal parasitic infection on hematological and nutritional status in those children.

Stool samples were collected and examined for intestinal parasitic infection through formalin-ether concentration method. Blood samples were collected for hematological and iron analysis. The overall prevalence of intestinal parasitic infection was The most common pathogenic parasite was Trichuris trichiura In addition, non-pathogenic amoeba, Entamoeba coli was observed with a high prevalence rate Anemia and eosinophilia prevalence were 6.

Eosinophilia was significantly more prevalent in children with intestinal parasitic infection compared to uninfected children. Among children, A high prevalence infection rate was significantly associated with eosinophilia, but independently related to anemia and iron deficiency. Intestinal parasitic infections are endemic in school-age children of Karen hill tribe population in Omkoi District.

These data highlight the need for an integrated approach to control transmission of intestinal parasites and improve the health and sanitation status of Karen hill tribe children in Thailand. Baseline characteristics of patients with heart failure and preserved ejection fraction included in the Karolinska Rennes KaRen study.

Karolinska Rennes KaRen is a prospective observational study to characterize heart failure patients with preserved ejection fraction HFpEF and to identify prognostic factors for long-term mortality and morbidity. To report characteristics and echocardiography at entry and after weeks of follow-up. Overall, patients did not return for the follow-up visit, including 13 patients who died 2. Few patients had signs of electrical dyssynchrony ClinicalTrials. Emphasizing the agency of people who become refugees, the article is concerned to point out the important role of religious networks in providing humanitarian assistance, shelter and mobility to stateless Karen refugees.

I examine how the Baptist church network in close partnership with the Karen National Union is able or not able to mobilize refugees for proselytization. Karen refugee leaders and KNU-pastors find analogies in the bible to find an explanation to the suffering of the Karen civil population in the war.

The article is interested in the nexus and overlap of humanitarian ideology, Christianity and nationalism in the transitional space between Thailand and Burma. Providing case-studies of individual refugees, the article gives ethnographic sketches from the refugee camp, the countryside and humanitarian assistance to the internally displaced. Methamphetamine use and correlates in two villages of the highland ethnic Karen minority in northern Thailand: Despite increasing social and cultural mixing among residents of highland and lowland Thai societies, however, little is known about methamphetamine use among ethnic minority villagers in the highlands.

Methods A cross-sectional survey examined Karen villagers from a developed and a less-developed village on February 24 and March 26, to evaluate the prevalence and social correlates of methamphetamine use in northern Thailand. Data were collected in face-to-face interviews using a structured questionnaire. Results The response rate was Methamphetamine was used mostly by males and was significantly related to primary or lower education; to ever having worked in town; to having used opium, marijuana, or heroin in the past year; and to ever having been diagnosed with a sexually transmitted infection STI.

Community engagement and the social context of targeted malaria treatment: The spread of artemisinin-resistance in Plasmodium falciparum is a threat to current global malaria control initiatives. Targeted malaria treatment TMT , which combines mass anti-malarial administration with conventional malaria prevention and control measures, has been proposed as a strategy to tackle this problem.

The effectiveness of TMT depends on high levels of population coverage and is influenced by accompanying community engagement activities and the local social context. Community engagement consisted of a range of activities to communicate the local malaria situation including anti-malarial drug resistance and asymptomatic malaria , the aims of the TMT project, and its potential benefits. Community engagement was seen by staff as integral to the TMT project as a whole and not a sub-set of activities. Attitudes towards TMT including towards community engagement showed that developing trusting relationships helped foster participation.

After initial wariness, staff received hospitality and acceptance among villagers. Offering healthcare alongside TMT proved mutually beneficial for the study and villagers. A handful of more socially-mobile and wealthy community members were reluctant to participate. The challenges of community engagement included time constraints and the isolation of the community with its limited infrastructure and a history of conflict. Community engagement had to be responsive to the local community even though staff faced time constraints.

Understanding the social context of engagement helped TMT to foster respectful and trusting relationships. The complex relationship between the local context and community engagement complicated evaluation of the community strategy. Full Text Available http: Vitamin A status of the minority ethnic group of Karen hill tribe children aged years in Northern Thailand.

Vitamin A deficiency VAD is the most common cause of childhood blindness in the developing world. This paper reported results from a study of vitamin A status and malnutrition of the minority ethnic group of Karen hill tribe children aged years in the north of Thailand. The Karen is the largest mountain ethnic minority "hill tribe" group in Thailand.

No customer reviews

All children were examined by a qualified medical doctor and were assessed for their vitamin A intakes using 24 hours dietary recall. Thai food composition table from Ministry of Health, Thailand were used as references. The results were compared with the Thai Recommended Dietary Allowances. Children aged years and years were separately analysed due to the differences in Thai Recommended Dietary Allowances between the two age groups. A whole blood of microL was obtained by "fingerstick" for determination of serum vitamin A.

Descriptive statistics were used to analyse the data. The future of nursing: A conversation with Jacqueline Fawcett. Janie Butts and Dr. Nurses have long attempted to secure a unique identity for the profession. Many scholars are now promoting an interdisciplinary framework for nursing practice. Fawcett is convinced that interdisciplinary practice poses a danger for nursing to lose its identity and that interdisciplinary practice cannot be successful if members of each discipline do not understand the conceptual models, practice, and research of their own discipline.

Karen Rich interviewed Dr. Jacqueline Fawcett about her views related to discipline-specific knowledge and nursing's future. The authors conclude that Fawcett's scientific foundation gives nursing the solidarity and power necessary to determine the unique internal goods of its practice. Interview by Lecia A. Karen Davis is president of The Commonwealth Fund, a national philanthropy engaged in independent research on health and social policy issues.

Davis is a nationally recognized economist, with a distinguished career in public policy and research. Before joining the Fund, she served as chairman of the Department of Health Policy and Management at The Johns Hopkins School of Public Health, where she also held an appointment as professor of economics. She served as deputy assistant secretary for health policy in the Department of Health and Human Services from to , and was the first woman to head a U. Public Health Service agency. Before her government career, Ms.

Davis was a senior fellow at the Brookings Institution in Washington, DC; a visiting lecturer at Harvard University; and an assistant professor of economics at Rice University. A native of Oklahoma, she received her PhD in economics from Rice University, which recognized her achievements with a Distinguished Alumna Award in In the spring of , Ms. Davis received an honorary doctorate in human letters from John Hopkins University. In , she was selected for the Academy Health Distinguished Investigator Award for significant and lasting contributions to the field of health services research in addition to the Picker Award for Excellence in the Advancement of Patient Centered Care.

Davis has published a number of significant books, monographs, and articles on health and social policy issues, including the landmark books HealthCare Cost Containment, Medicare Policy, National Health Insurance: Value of exercise echocardiography in heart failure with preserved ejection fraction: KaRen is a multicentre study designed to characterize and follow patients with heart failure and preserved ejection fraction HFpEF.

Exercise-induced changes in echo parameters might improve our ability to characterize HFpEF patients. Image acquisitions were standardized, and analysis made at end of follow-up blinded to patients' clinical status and outcome. In total, 60 patients having standardized echocardiographic acquisitions were included in the analysis. Tricuspid regurgitation TR peak velocity during exercise were 3. Exercise TR was independently associated with HF-hospitalization or death after adjustment on baseline clinical and biological characteristics.

Exercise echocardiography may contribute to identify HFpEF patients and especially high-risk ones. Our study suggested a prognostic value of TR recorded during an exercise. Published on behalf of the European Society of Cardiology. Is cardiac resynchronization therapy an option in heart failure patients with preserved ejection fraction? Justification for the ongoing KaRen project. The relevance of electrical and mechanical dyssynchrony has been demonstrated in heart failure with reduced ejection fraction.

Recent small studies suggest that both electrical and mechanical left ventricular dyssynchrony are sometimes present in patients with heart failure and preserved ejection fraction HFPEF. These data remain controversial and a robust validation of this hypothesis has to be achieved. In the present paper, we review in detail the concepts and try to justify the ongoing KaRen registry. This is a prospective, multicentre, international, observational study to characterize the prevalence of electrical or mechanical dyssynchrony in HFPEF and the resultant effect on prognosis. Patients are enrolled currently at the time of an acute congestive episode.

The diagnosis of HFPEF is made according to clinical data, natriuretic peptides and echocardiography for the measurement of ejection fraction. Once stabilized, patients return for a hospital check-up. They undergo clinical and biological evaluation, electrocardiography and Doppler echocardiography. Thereafter, patients are followed every six months, for at least 18 months for mortality, and heart failure-related and non-cardiovascular hospitalizations.

Vaateplatvorm Grand Canyoni kohal. Francis Soleri ministeeriumihoone Pariisis. Eduardo Souto de Moura projekteeritud eramu basseiniga Portugalis. Britta ja Francesco Buzzi villa Itaalias. Konkursist Vockerode elektrijaama rekonstrueerimiseks Saksamaal. Portugali arhitekti Alvaro Leite Siza Viera projekteeritud eramu.

Get fast, free shipping with Amazon Prime. Get to Know Us. English Choose a language for shopping. Not Enabled Word Wise: Not Enabled Screen Reader: Enabled Amazon Best Sellers Rank: Amazon Music Stream millions of songs. Amazon Advertising Find, attract, and engage customers. Amazon Drive Cloud storage from Amazon. Alexa Actionable Analytics for the Web. AmazonGlobal Ship Orders Internationally. Amazon Inspire Digital Educational Resources. Amazon Rapids Fun stories for kids on the go.

Amazon Restaurants Food delivery from local restaurants. ComiXology Thousands of Digital Comics. East Dane Designer Men's Fashion. Shopbop Designer Fashion Brands. Withoutabox Submit to Film Festivals.

• plantilla de plan de negocios para un acuario de peces exóticos almacenar en español! (Spanish Edition)
• Sunshine Meals - 2011 Edition: A Solar Cookbook with Mouthwatering Recipes
• Pain-Relieving Procedures: The Illustrated Guide
• Wild Native - Erotic Short Story for Women
• Some Kind Of Love
• DANCE ON WILD ICE (Dance for a Diamond Book 2)