Journal articles on the topic 'One Arm Point Cultural Program'

The paper brings about the results of a research carried out within the project the Importance of Plants in Roma Culture, which on the one hand was dedicated to collecting of intangible cultural heritage of Roma on names of plants in Romani language and how they are used by Roma people in folk medicine, customs, religious celebrations, and, on the other hand to comparison between symbolic uses of certain plants in Serbian and Roma Culture. The research aim was to collect the names of plants in Roma language and to identify their use in folk medicine, customs, religious celebrations, as well as to compare the symbolism of certain plants in Serbian and Roma culture, i.e. to establish potential similarity of symbolism of plants in certain Roma ritual practice with the symbolism of plants in Serbian traditional culture through comparative analysis. For the purpose of the research, a number of students attending the program of first and second level of studies in Romani language at the Preschool Teacher Training College "Mihailo Palov" in Vrsac, supported by their mentors, according to the method of (semi-structured) interview collected data on names and symbolism of 38 different plants in Roma culture in Zabalj, Pirot, Jazak and Vrsac). Consulting relevant literature, the collected linguistic material was analyzed and classified, to be subsequently supported by theoretical impulses and findings of previous research. The obtained results, even though on the small scale sample, confirmed the assumptions that the symbolism of certain plants in Roma culture is similar of even the same in certain ritual practice as the symbolism of plants in the Serbian culture, as well as that certain names of plants are the same as those in majority of population (Serbs) Roma people live by. The research findings may serve as a starting point for more comprehensive research of the subject, as well as a motivation for further deeper research on intangible cultural heritage of Roma in Serbia. The research itself and the way it was conducted did certainly empowered the students, having provided them with the training on how to conduct a field interview, inspiring them to engage in further activities directed to preservation of Roma culture, as well as nurturing of multicultural dialogue, enriching the teaching material in a number of courses, especially within the program in Romani language.

The Slovak Republic is a country of a deeply rooted Catholic religion and rich cultural, religious and craft tradition. The authors, in their own research, primarily focus on a group of pilgrims, believers, mostly Roman Catholic and Greek Catholic, who are inhabitants of the Slovak Republic (not necessarily the region in which the object of interest is located). The research is based on geographic and sociological selection. The authors define the research object as cultural and historical secular monuments—museums, castles, chateaux, and the like—located in the centre attractive for this group of tourists, that is to say, in places connected with pilgrimage sites, cathedrals, historically important objects from the point of view of religious belief in individual regions of the Slovak Republic. The aim of the authors is to provide the management of these objects with valuable recommendations reasonably justified by the result of their research, in the context of attracting the target group to visit a selected cultural object not directly related to the tourist activity of the target group, but located in the region of which the target group expresses a strong interest, solely for reasons of religious belief and pilgrimage. The primary research phase target of the authors was to solve the problem of the existence of a specific spectrum of common dominant motivation factors of pilgrimage tourist participation as a target group of exploration of activities and an offer of secular objects in the region (see Materials and Methods, H1). We analysed the results of our research through the SPSS program. We used the factor analysis method to extract the key motivation factors, and we have extracted key factors using principal component analysis and VARIMAX rotation in the right-angle system (rotated solution), clusters, assuming that each corresponds to one of the expected motivation factors. Detailed research conception and methodology as well as the results are described in the article.

The article deals with the problem of increasing the regions’ role in international and foreign economic cooperation of the Soviet Union in 1955–65. The aim of the research is to study the dynamics of the visits of foreign countries’ leaders to Sverdlovsk Oblast, which was traditionally considered as “closed.” Based on the results of the study, the stages of diplomatic activity in the region are identified. It was found that 1955–59 and 1963–65, when 18 visits of leaders of capitalist, socialist and developing countries to Sverdlovsk Oblast were organized and held, were the most eventful periods in this regard. The programs of the visits to the territory of the oblast were analyzed. Based on the results of the analysis, the average length of stay in Sverdlovsk Oblast, the preferred period for a trip to the Middle Urals, and general principles and features of organizing the reception of eminent guests in Sverdlovsk Oblast were determined. It was revealed that the Sverdlovsk Oblast Committee of the CPSU approved a list of 64 institutions which were recommended for foreign delegations to visit. The article highlights the key objects and facilities that were shown to foreign guests. It was found that the main point of the program of almost all delegations was a visit to Uralmash. Foreign guests also visited other industrial enterprises, including those which were located within the 40–50 km radius of the administrative center of the region, the city of Sverdlovsk. The article reveals the importance of the role assigned to the cultural program (visiting the Geological Museum and theaters). Sojourn in Sverdlovsk Oblast allowed eminent guests to see the potential of one of the country’s industrial centers in person and facilitated placing orders in the oblast for the needs of the economy of foreign countries. In addition, an ideological task was solved: the peaceful stance of the Soviet Union which possessed powerful defense potential was demonstrated to the guests. The author concludes that the involvement of the USSR’s regions in the processes of international cooperation was effective. At the same time, the adjustment of the country’s foreign policy in the mid-1960s was marked by a trend towards a decrease in the number of trips of foreign countries’ top officials to the regions of the USSR, including Sverdlovsk Oblast, within the framework of official and working visits.

Objective National and international medical organizations and boards have recognized the importance of Evidence Based Medicine (EBM) and emphasized that EBM training should be included in medical education programs. Although some Turkish medical schools have developed and implemented EBM training programs, no validated Turkish language assessment tool has been available to compare the effectiveness of these training programs to national or international standards. The aim of this study is to cross-culturally adapt the Fresno Test, which is a validated English language tool utilized worldwide in the assessment of EBM training. Methods This study is a cross-sectional validation study, which was performed in two stages: Cross-cultural adaptation of the Fresno Test into Turkish; and evaluation of the psychometric properties, validity, reliability and responsiveness, of the Turkish version of the Fresno Test. Results The content validity of the test was evaluated by experienced physicians in the field of Evidence-Based Medicine, and the content validity index was 1.00. The Cronbach α coefficient was 0.78 on the post-test results. The intraclass correlation (ICC) coefficient and the kappa analysis were calculated to evaluate inter-rater reliability. The ICC coefficients ranged from 0.66 to 0.97 for pre- and post-test results. The Kappa coefficients were 1.00 for all pre-test and post-test questions except one post-test question which was 0.89. The change score of the Fresno Test was used to evaluate responsiveness. The students' score of the Turkish Fresno Test was 49.9 ±18.2 pre-training and 118.9 ±26.3 post-training with a change of 69 points (95% CI, 63.9–74.2). The Cohen’s effect size was 3.04 (95% CI, 2.6–3.5) indicating a very large change in scores. Conclusions The Turkish adapted Fresno Test used to evaluate students’ success and program effectiveness is a valid and reliable measurement tool. It will be of great benefit for the comparison of the effectiveness of Turkish education programs nationally and cross-culturally.

Objective National and international medical organizations and boards have recognized the importance of Evidence Based Medicine (EBM) and emphasized that EBM training should be included in medical education programs. Although some Turkish medical schools have developed and implemented EBM training programs, no validated Turkish language assessment tool has been available to compare the effectiveness of these training programs to national or international standards. The aim of this study is to cross-culturally adapt the Fresno Test, which is a validated English language tool utilized worldwide in the assessment of EBM training. Methods This study is a cross-sectional validation study, which was performed in two stages: Cross-cultural adaptation of the Fresno Test into Turkish; and evaluation of the psychometric properties, validity, reliability and responsiveness, of the Turkish version of the Fresno Test. Results The content validity of the test was evaluated by experienced physicians in the field of Evidence-Based Medicine, and the content validity index was 1.00. The Cronbach α coefficient was 0.78 on the post-test results. The intraclass correlation (ICC) coefficient and the kappa analysis were calculated to evaluate inter-rater reliability. The ICC coefficients ranged from 0.66 to 0.97 for pre- and post-test results. The Kappa coefficients were 1.00 for all pre-test and post-test questions except one post-test question which was 0.89. The change score of the Fresno Test was used to evaluate responsiveness. The students' score of the Turkish Fresno Test was 49.9 ±18.2 pre-training and 118.9 ±26.3 post-training with a change of 69 points (95% CI, 63.9–74.2). The Cohen’s effect size was 3.04 (95% CI, 2.6–3.5) indicating a very large change in scores. Conclusions The Turkish adapted Fresno Test used to evaluate students’ success and program effectiveness is a valid and reliable measurement tool. It will be of great benefit for the comparison of the effectiveness of Turkish education programs nationally and cross-culturally.

This paper discusses economic and ethical issues that bring about certain limitations in human resource management as one of the basic organizational functions, through which the organization’s relationship with employees is expressed. The aim of this paper is to point out the ethical dimension of human resource management as a key organizational function, which has economic, but at the same time ethical responsibilities. In elaborating this problem, we started from the basic assumption that human resource management as an organizational function and theoretical concept should balance between economic and ethical requirements, which depends on the attitudes of managers as decision makers. In addition to the analysis of the existing literature in this field, an empirical research was conducted to verify the stated assumptions on the basis of a survey questionnaire, which explored the attitudes of managers. The results were processed by statistical methods in the SPSS program. The significance of this paper derives from the importance of employees for the organization and the sensitivity of the human dimension of the organization in relation to the economic one. Bad condition in human resources management in BiH and Serbia, as the countries on which our research is focused, with unfavorable situation on the labor market, low level of perception of needs by managers and knowledge (professionalism) required for experts in this field to achieve necessary influence and affirm an effective concept and practice, opens opportunities for unethical actions of organizations. Unethical practices can be generated by ignorance, employers ’greed for quick profits, and weak institutional influence. High distance of power is an unfavorable cultural factor that encourages the arbitrariness of individuals and prevents social control of the behavior of organizations. In these wanderings and undefined directions of institutional development, in these countries there is room for corruption, poor law enforcement (incomplete reform of the judicial system), insufficiently defined protection of private property, strong influence of political parties in all spheres of life, political and economic connection, significant share of state property, etc. On the ground of egalitarian culture, high social inequality and impoverishment of the majority of the population is created, which negatively affects education, health and distracts attention from the civic control of the government. Therefore, in the research we started from the assumption that the primary evaluation of the human and social function of business and employees as a purpose, not a means, positively affects the ethical practice of human resource management, which we tested over the average response of respondents employed in different positions in the organization. The results obtained are presented in the paper. Keywords: Business Ethics, Ethics, Employees, Economics, HRM, Organization.

This study took systematic science as key researching angle, which took folk sports as a gradually evolution active system, and regarding disciplines development as the key motivation on folk sports system evolution. Through the distinguishment from internal and external negative factors of folk sports system, the author thought that the main factors of restraining folk sports disciplines system development existing in three areas: the first area is the developing strategic crisis of disciplines; the second one is the crisis of folk sports disciplines construction and disciplines system; and the last one is the local folk sports cultural development crisis. The study points out that only to construct sound disciplines system of folk sports in China, which can get sustainable development, if rather not, a great number of excellent traditional cultural folk sports programs face to be extincted, this manner is beneficial and great significance to reserve and pass down the traditional folk sports.

PURPOSE This study was designed to determine if recombinant interferon alfa-2a (rIFN alpha-2a) could prolong remission duration and/or survival in patients with limited-stage small-cell lung cancer (SCLC) who achieved an objective response to chemoradiotherapy. A secondary end point was to assess the toxicity of chronic IFN administration. PATIENTS AND METHODS One hundred seventy-one of 215 eligible patients achieved an objective response and were eligible to receive rIFN alpha-2a (3 million units [MU]/m2 subcutaneously three times per week escalated to 9 MU/m2 as tolerated) or observation for 2 years. RESULTS One hundred thirty-two of 140 registered patients were eligible. Sixty-four patients were randomized to receive IFN and 68 to observation alone. The median time from randomization to progression was 9 months on the IFN arm and 10 months on the observation arm (P = .72). The overall median survival time was 16 months on the observation arm versus 13 months on the IFN arm (P = .77). Significant toxicities occurred in the rIFN alpha-2a arm. Grade 3 or higher toxicities included malaise, fatigue, and/or lethargy (30%), leukopenia (14%), neutropenia (13%), dyspnea (13%), nausea (11%), and respiratory infection (6%). Forty-three patients discontinued treatment due to intolerable side effects. CONCLUSION rIFN alpha-2a in the dose and schedule used in this study failed to prolong response duration or survival in patients with limited-stage SCLC who had previously responded to an induction chemoradiotherapy program. Failure may have been partly related to poor tolerance and inability to complete therapy.

Coordination is essential in the design of dynamic control strategies for multi-arm robotic systems. Given the complexity of the task and dexterity of the system, coordination constraints can emerge from different levels of planning and control. Primarily, one must consider task-space coordination, where the robots must coordinate with each other, with an object or with a target of interest. Coordination is also necessary in joint space, as the robots should avoid self-collisions at any time. We provide such joint-space coordination by introducing a centralized inverse kinematics (IK) solver under self-collision avoidance constraints, formulated as a quadratic program and solved in real-time. The space of free motion is modeled through a sparse non-linear kernel classification method in a data-driven learning approach. Moreover, we provide multi-arm task-space coordination for both synchronous or asynchronous behaviors. We define a synchronous behavior as that in which the robot arms must coordinate with each other and with a moving object such that they reach for it in synchrony. In contrast, an asynchronous behavior allows for each robot to perform independent point-to-point reaching motions. To transition smoothly from asynchronous to synchronous behaviors and vice versa, we introduce the notion of synchronization allocation. We show how this allocation can be controlled through an external variable, such as the location of the object to be manipulated. Both behaviors and their synchronization allocation are encoded in a single dynamical system. We validate our framework on a dual-arm robotic system and demonstrate that the robots can re-synchronize and adapt the motion of each arm while avoiding self-collision within milliseconds. The speed of control is exploited to intercept fast moving objects whose motion cannot be predicted accurately.

SUMMARYLearning control is a new approach to the probelm of skill refinement for robotic manipulators. It is considered to be a mathematical model of motor program learning for skilled motions in the central nervous system.This paper proposes a class of learning control algorithms for improving operations of the robot arm under a geometrical end-point constraint at the next trial on the basis of the previous operation data. The command input torque is updated by a linear modification of present joint velocity errors deviated from the desired velocity trajectory in addition to the previous input. It is shown that motion trajectories approach an e-neighborhood of the desired one in the sense of squared integral norm provided the local feedback loop consists of both position and velocity feedbacks plus a feedback term of the error force vector between the reactive force and desired force on the end-point constrained surface. It is explored that various passivity properties of residual error dynamics of the manipulator play a crucial role in the proof of uniform boundedness and convergence of position and velocity trajectories.

This paper analyses a successful cultural change experience within a large organization, Telefonica Group, a firm with a staff of over 148 000 people and whose volume of customers worldwide overcomes one hundred million, which allows it to maintain a clear leadership position in the Spanish-speaking telecommunications sector. Telefonica has passed from an informatic culture to an informational culture and is currently consolidating an E-culture that will enable it to become a true E-company. With the aim of keeping its leadership position, Telefonica designed Programa Lider.es (Leader Program.es), the main objective of which was the evolution of its business model towards E-business, a transformation that would make it possible to take advantage of the possibilities offered by new technologies and the Internet and create value by participating in businesses related to the digital era. The implementation of this program was not easy. This paper analyses the pillars that underpinned the whole process, the organizational support structure that was created with this purpose and the different stages the process went through. Finally, a summary of the positive points detected, the mistakes made and the lessons learnt is provided at the end of the paper.

In Australia, Aboriginal and Torres Strait Islander people have approximately three-fold higher rates of diabetes than non-Indigenous Australians. Point-of-care testing, where pathology tests are conducted close to the patient, with results available during the patient consultation, can potentially deliver several benefits for both the Indigenous client and the health professional team involved in their care. Currently, point-of-care testing for diabetes management is being conducted in over 180 Aboriginal and Torres Strait Islander Medical Services as part of a national program called Quality Assurance for Aboriginal and Torres Strait Islander Medical Services (QAAMS). The cultural safety of the Program was reviewed by sourcing the views of the QAAMS Indigenous Leaders Team in a focus group setting and by surveying the point-of-care testing operators enrolled in QAAMS, via an electronic questionnaire. The current study confirms that QAAMS remains a culturally safe program that fills a permanent and positive niche within the Indigenous health sector. The study demonstrates that QAAMS provides a convenient and accessible ‘one-stop’ pathology service for Indigenous clients with diabetes and empowers Aboriginal Health Workers to have a direct role in the care of their diabetes clients.

This is a case study of the Australian company Jonathan M. Shiff Productions and its ‘tween’ program, action series H2O: Just Add Water. The program has sold in 150 countries including the United States, where it was ‘the first non-American live action to be bought by Nickelodeon in America’ and screens every Sunday night as family entertainment. It is also the highest rating children's drama series on Nickelodeon UK. While Australia's content regulations are important to its production, of critical importance is ZDF Enterprises, the commercial arm of one of Germany's two public service broadcasting channels, and worldwide distributor and production partner for all Jonathan M. Shiff productions. Case studies such as the following provide useful insights into the shape and operations of mediascapes elsewhere, and where our own media environment may be heading. They also offer a glimpse into the way the international market place is organising along forms of cooperation designed to facilitate global distribution of cultural content. A central proposition of this case study is that the structural conditions of multi-channel environments require certain adjustments in form, content and business modelling that have essentially coalesced around the operation of brand management.

The renewal of society is a broad term in its original sense but in the context of the article, it is linked with issues of depopulation, territorial polarization, and shrinking processes in Latvia. One of the “hot points” for local governments has been finding ways to attract people and promote the development of rural territories for the past decades. Both theoretical and practical solutions for maintaining rural society and promoting the renewal of society are the development of the cultural environment. Cultural activities directly affect public participation, cooperation among the population, the development of creativity, and promotion of inclusive society, health and society renewal. As recent investigations show, cultural environment is broadly developing in rural territories of Latvia. The research of cultural environment as a potential for the renewal of society of Latvia is a novelty due to the beginning of the National Research Program for the period 2014–2017 funded by the Government of Latvia (EKOSOC LV projects 5.2.4., 5.2.8.). The aim of the article is to analyze cultural environment as a potential for renewal of society in rural territories of Latvia. The research object is planning and development documents of local governments, different agents of rural territories. The results of the study reveal development of cultural environment in rural regions in Latvia. However, these practices are fragile yet and need support. They can bring forth new social and economic structures and serve as promoters of the smart development of rural territories in Latvia. For this reason, local governments should create their strategies to appreciate and support cultural activities as their potential for renewal of rural society.

As universities are increasingly attracting students from a wider range of cultural and ethnic backgrounds, one of the challenges faced by educational developers is preparing academics to teach in a cross-cultural environment. In order to do this, teacher development programs often need to be adapted and up-dated. A widely-recognised starting point in this process is the examination of teachers’ conceptions of teaching. This paper presents a small-scale, qualitative study which looks at the conceptions of teaching held by lecturers from different ethnic and educational backgrounds at a multicultural university in the United Arab Emirates. The university in question is a small, off-shore campus of a western university. Building on existing research in this field, a phenomenographic approach is taken in which the participants were interviewed and the resulting transcripts were analysed for emerging categories of conceptions of teaching. Four qualitatively different categories were found, which had some similarities to previously established categories, but which also added some interesting dimensions to the particular context of this study, especially the emphasis placed on the syllabus. The categories are: syllabus transmission; syllabus comprehension; syllabus adaptation; and independent learning. The categories found are hierarchical and represent a general move from a teacher-focused approach to one which is more student-centred. The findings of this study were used as a starting point to revise the teacher development program at the university. Although the study is confined to one university, it is relevant to educational developers in similar off-shore institutions in the Gulf region.

Tourism is an important economic sector in Indonesia. Natural and cultural resources are important components of tourism in Indonesia. Banyuwangi is one of the regencies in East Java which is located on the eastern point of Java. This is the largest regency of Java island with total area reaching 5782.50 km2. It attracts tourists to come. Among the factors the charm of its nature and culture. The rich of natural and cultural resources encourages local government to more aggressively promote Banyuwangi as regency eligible to be one of favorite Indonesia tourism destinations. Banyuwangi government has continually promoted the tourism objects and attractions through Department of Culture and Tourism. The study is aimed to examine the implementation of the program. To know the strengths, weaknesses, opportunities and threats of the program. This research used descriptive qualitative method. It involves organizing, accounting for and explaining the data (Cohen et al, 2007: 461). Data collection method in this study include observation, interviews, and documentation. The data were analyzed by using SWOT analysis. SWOT analysis is used to formulate the recommendations in order to produce a model or right strategy for village-based English training. The result of the research have eleven supporting factors and have eight obstacle factors of English training program. In the Tamansari and Bangsring.

The aim of this research is to find a place of the cultural and historical heritage of a certain region in the territory of the Republic of Serbia in the citizens' conscience mental mapping and to detremine the tourist potential of that heritage. The research was conducted in a multidisciplinary way, through consulting legal acts, relevant literature of recent date and through field research through a survey (398 respondents). The territory of the Raška and Rasina administrative districts was chosen for the research for two reasons: it is the territory that represents the core of the Serbian medieval Nemanjić's and Lazarević' state. Also, it is a territory through which the route of the new highway, the Morava Corridor, will pass in the near future, and further research will be able to follow the economic and tourist development of this particular area after its construction. At the end of the paper, the heritage of Raška and Rasina administrative territory is defined and cultural institutions are emphasized as its bearers. Cultural institutions are regarded, not only as bearers of cultural development of local communities, but also as institutions that are main carriers and guardians of national identity and cultural tourism that can contribute to defining and the preservation of that national identity as well as the economic development and branding of a particular region. By processing the survey data and insight into the legal and strategic regulations of the Republic of Serbia, it was concluded that it is necessary, both at the national and local level, to work on the adoption and implementation of necessary, but lacking, strategies, acts, strengthening culture, cultural institutions and related cultural tourism, and in order to define the national identity of the Sernbian citizens through mapping key identity points. Such a national program can be implemented through cultural institutions, ie protection institutions (in the first place museums), which have been proven to continue to enjoy the trust of citizens. In addition, in today's time of instant culture, Instagram and Facebook history lessons, unverified data and mythologizing of certain historical figures and events, there is a need to strengthen cultural institutions that critically interpret history, culture and heritage, in ways that are adapted to the modern citizen of Serbia. Such institutions do not have as a target audience only organized school groups of children who are brought to local museums by their teachers, their target audience can and must be absolutely every citizen, and that means modernization of outdated permanent exhibitions, ie formation of new ones because there are cases of museum institutions which do not have permanent exhibitions. In that sense, considering the ways in which it is possible to bring the desired audience to museums and other cultural institutions, close cooperation of the museum professionals with local tourist administrations is needed, which are certainly interested in increasing the number of tourists and visitors, and for that, tourist attractions are necessary. In this paper, we have shown, through a survey of nearly 400 respondents, that among the citizens of Serbia there is a great interest in culture, history and heritage which have the potential of tourist attractions. In that sense, for the needs of the research, one administrative - geographical unit of the territory of Raska and Rasina administrative districts has been singled out, through which the route of the Moravian Corridor will pass in the near future. In order to place this territory on the Serbian and European market as a unique tourist destination, it is necessary to bind all existing cultural institutions, local and regional tourist administrations and tourist organizations as well as other interested stakeholders (caterers, hotels, private accommodation, small craftsmen…). One of the ways to connect all participants, ie stakeholders, in a certain territory is through the formation of a Destination Management Organization that would coordinate their work and serve as a link between the Ministries operating at the national level and local city and municipal authorities.

Purpose By applying the principles of real-time biopsy, biomarker-based, adaptively randomized studies in non–small-cell lung cancer (NSCLC) established by the Biomarker-Integrated Approaches of Targeted Therapy for Lung Cancer Elimination (BATTLE) trial, we conducted BATTLE-2 (BATTLE-2 Program: A Biomarker-Integrated Targeted Therapy Study in Previously Treated Patients With Advanced Non-Small Cell Lung Cancer), an umbrella study to evaluate the effects of targeted therapies focusing on KRAS-mutated cancers. Patients and Methods Patients with advanced NSCLC (excluding sensitizing EGFR mutations and ALK gene fusions) refractory to more than one prior therapy were randomly assigned, stratified by KRAS status, to four arms: (1) erlotinib, (2) erlotinib plus MK-2206, (3) MK-2206 plus AZD6244, or (4) sorafenib. Tumor gene expression profiling–targeted next-generation sequencing was performed to evaluate predictive and prognostic biomarkers. Results Two hundred patients, 27% with KRAS-mutated (KRAS mut+) tumors, were adaptively randomly assigned to erlotinib (n = 22), erlotinib plus MK-2206 (n = 42), MK-2206 plus AZD6244 (n = 75), or sorafenib (n = 61). In all, 186 patients were evaluable, and the primary end point of an 8-week disease control rate (DCR) was 48% (arm 1, 32%; arm 2, 50%; arm 3, 53%; and arm 4, 46%). For KRAS mut+ patients, DCR was 20%, 25%, 62%, and 44% whereas for KRAS wild-type patients, DCR was 36%, 57%, 49%, and 47% for arms 1, 2, 3, and 4, respectively. Median progression-free survival was 2.0 months, not different by KRAS status, 1.8 months for arm 1, and 2.5 months for arms 2 versus arms 3 and 4 in KRAS mut+ patients (P = .04). Median overall survival was 6.5 months, 9.0 and 5.1 months for arms 1 and 2 versus arms 3 and 4 in KRAS wild-type patients (P = .03). Median overall survival was 7.5 months in mesenchymal versus 5 months in epithelial tumors (P = .02). Conclusion Despite improved progression-free survival on therapy that did not contain erlotinib for KRAS mut+ patients and improved prognosis for mesenchymal tumors, better biomarker-driven treatment strategies are still needed.

Introduction: The national rate of obesity in US Hispanic/Latinos exceeds all other major ethnic subgroups and represents an important health disparity. Plant-based diet interventions that emphasize whole plant foods with minimal processing and less refined grains and sugar have shown have shown great promise in control of obesity, but there is a paucity of data translating this treatment effect to disparate populations. The objective of our study was to evaluate the efficacy of the Healthy Eating Lifestyle Program (HELP) for accomplishing weight management in a hospital-based, family centered, culturally tailored, plant-based diet intervention for Hispanic/Latino children who were overweight or obese. Methods: Our mixed methods evaluation included: (1) A one arm study to measure changes in body mass index (BMI) from pre- to post-intervention, and (2) A stakeholder analysis of the program staff. Results: For children ages 5–12 years who were overweight/obese, we found no evidence of excess weight gain evidenced by BMI Z scores (Zpost-pre = −0.02, p = 0.11). Among the parent/guardians who were overweight or obese, we found a decrease in BMI that was stronger in men (BMI post-pre = −0.75 kg/m2, p = 0.01) than in women (BMI post-pre = −0.12 kg/m2, p = 0.30). A program strength was the cultural tailoring of the plant-based diet choices. Conclusions: The evaluation raises the possibility that incorporating intervention components of HELP (plant-based food choices, family-based, cultural tailoring) into pediatric weight management can improve the standard of care.

PurposeThe purpose of this study was to investigate the personal and contextual factors that influence entrepreneurial intention between two student populations from the United States and Portugal.Design/methodology/approachThe data were obtained through the Entrepreneurship Education Project, a large study that collected over 17,000 responses from students in 70 countries. A subset of this data resulted in 3,008 responses from students in the United States and 1,026 respondents in Portugal. The model predicted that entrepreneurial intention would be influenced by entrepreneurial capital and entrepreneurial self-efficacy (ESE), and that the model results would be stronger in the US than in Portugal.FindingsThe main effect hypotheses were supported while moderating effect hypotheses were not, although post hoc analysis revealed some interesting culturally relevant anecdotes.Research limitations/implicationsThis study contributes to the generalizability of previously established antecedents of entrepreneurial intention to two highly different cultural contexts – the United States and individuals from Portugal. The cross-sectional, correlational nature of the survey limits the findings to one point in time.Practical implicationsFindings suggest that having the opportunity to start a business as part of entrepreneurship education may provide useful in not only enhancing ESE but also in entrepreneurial intentions. Programs might consider including starting a business, either a new venture, or as part of a corporate program as part of the degree requirement. It may be that starting a business will provide critical experience students need to choose entrepreneurship as a career.Originality/valueThis research explored the similarities and differences in characteristics between students from a highly individualistic nation with low uncertainty avoidance (United States) and one that is more collectivist and less uncertainty avoidant (Portugal). Findings highlight the importance of entrepreneurial capital, ESE and the role that culture plays in students' entrepreneurial intentions.

Aim. To study non - stationary and semi - stationary forms of health - improving services of multifunctional regional social welfare centers and determine satisfaction with their quality. Material and methods. The annual reports of state budgetary institutions of Territorial Centers for Social Welfare for 2017, projects to ensure healthy longevity. A survey of 210 respondents was conducted (average age - 71 years) of the participants in the Moscow Longevity project about satisfaction with the provision of recreational services of Territorial Centers for Social Welfare. Statistical analysis included the study of the absolute and relative values of the indicators obtained. Results. An analysis of the activities of 6 organizations of the Moscow Territorial Centers for Social Welfare revealed the implementation of all federal and regional programs, as well as two of them - local projects to stimulate active longevity. Women (68%) and persons with a higher education (48%) prevailed among the surveyed participants in the Moscow Longevity project. The frequency of chronic diseases and the attendance of medical care increased with age of the respondents. The average cost of purchasing drugs amounted to 25% of the monthly pension. Within one to three years, 54% of respondents used the services of Territorial Centers for Social Welfare. The analysis of satisfaction with the quality of social and health services showed high rates (4.7-4.9 points out of 5) for the criteria “Goodwill and competence of employees”, “Organization of educational, physical, leisure and social and cultural activity”. Average values (4.5-4.6 points) were obtained for the criteria “Openness and availability of information about the services provided” and “Comfort of conditions for the provision of services”. The lowest number of points - 4.2 - was obtained according to the criterion "Organization of medical and pharmaceutical care". Conclusions. In addition to federal and regional programs, organizations of the Moscow Territorial Centers for Social Welfare also implement local projects to stimulate active longevity. The majority of respondents use the services of Territorial Centers for Social Welfare for more than one year and positively evaluate their activities, but consider it expedient to increase the semi - stationary and non - stationary bases of the Territorial Centers for Social Welfare, create conditions for the provision of medical and medicinal care.

PURPOSE As part of the Novartis Signature Program, this study evaluated the efficacy of ribociclib (selective cyclin-dependent kinase 4/6 [CDK4/6] inhibitor) in patients with cyclin D–CDK4/6 pathway–aberrant tumors. METHODS This was a phase II, single-arm, signal-seeking study in patients with advanced malignancies that had progressed on or after standard treatment. Prior identification of tumor CDK4/6 mutation or amplification, CCND1/3 amplification, or CDKN2A mutation or loss was required. Clinical benefit (defined as the proportion of patients with response or stable disease at ≥ 16 weeks) was the primary end point. RESULTS From 61 centers in the United States, 106 patients (median age, 62.5 years) were enrolled across multiple malignancies. The patient population was heavily pretreated (median number of prior therapies, three; range, 0 to 19). Median progression-free survival was 1.8 months (95% CI, 1.8 to 1.9). In patients with solid tumors, the clinical benefit rate was 18.1% (n = 19 of 105) and the overall response rate was 2.9% (n = 3 of 105); three partial responses occurred in patients with adenocarcinoma (unknown primary), soft tissue sarcoma, and urothelial carcinoma. No tumor cohort met the prespecified criteria for success. The most common adverse events suspected to be related to treatment were neutropenia (30.2%; decreased neutrophils, 15.1%), fatigue (31.1%), and nausea (29.2%). Fatigue and nausea were typically mild. Only one incident of febrile neutropenia was experienced (grade 3). CONCLUSION No new or unexpected safety signals were observed in this heavily pretreated patient population. Although responses were seen in tumors with CCND1– CDK4/6 amplifications, the primary end point was not met, suggesting additional evaluation of ribociclib, possibly as combination therapy, is needed.

The use of point-supported systems in glass façades and floors has become widespread due to their excellent structural properties. The combination of glass and metal, frequently found in modern architectural norms and expressions, has highlighted the role of such systems and the need for constant optimization of their design. This research paper aims to examine the influence of modifying several geometrical parameters such as the thickness and the weight of the structural spider connectors, the arm-core ratio of the spider, the thickness of the glass panel and the spider arm cavities on the structural performance of a spider connector produced by one of the market-leading manufacturers. Therefore, a parametric finite element analysis is performed, where four alternative versions of the spider are constructed, in addition to the reference version, using ANSYS software program. The numerical model of the reference spider is verified against experimental data from the manufacturer of the structural spider connector. A total number of twelve case studies that consist of different combinations of spiders and glass’ thickness are examined, five for the façade and seven for the floor glazing system. The focus of the numerical investigation is placed on the spider itself and the results of the parametric finite element analysis are presented and discussed. The effectiveness of having core cavities and hollowed-out arms in spiders is proven. The use of stronger but heavier spiders is an acceptable alternative if they are connected to larger glass panels that results in reducing the number of spiders without increasing significantly the total weight of the glazing system.

Abstract In 1197–1199 an anonymous scholar completed the translation of twenty-four medical works from Latin into Hebrew, which he listed in a Preface he wrote to the entire corpus. Some seventeen of these translations are extant. The translator describes himself as a Jew who took baptism but subsequently repented. His self-image as an apostate is reflected in his referring to himself as “Doeg the Edomite,” an appellation we also use. Doeg’s motivation to embark on his gigantic translation project was to keep Jews from flocking at the doors of Christian doctors, who prescribe to them medicines containing impure foodstuffs. Doeg also followed the aim of “enlightening” the Jews and reports that he was taken to task for this. The works translated by Doeg, which we seek to identify, mostly belong to the Salerno corpus. We argue that Doeg is likely to have worked in the setting of a Latin medical school, where the books he put into Hebrew were used in a program of learning. Doeg’s use of Occitan vernacular words transliterated in Hebrew letters allows us to conclude that he lived in the Midi, suggesting that he was in contact with medical scholars in Montpellier. Doeg’s corpus of translations is a significant index to the medical texts valued in Montpellier and sheds light on both Hebrew and Latin intellectual history. Comparisons of Hebrew passages from Doeg’s translations with their Latin Vorlagen allow us to conclude that for the most part Doeg translated literally, although at times reverting to paraphrases or shortening his texts. We argue that, whereas in the domains of philosophy and science most translations in the Midi were made from Arabic, in medicine Latin-into-Hebrew translations were fairly frequent already in the thirteenth century. Doeg’s story points to the causes of this difference: the medical field was one, comprising Jewish and gentile doctors and patients, with the ensuing collaborations or competition over patients compelling Jewish doctors to avail themselves of the best available knowledge.

The current context of growing religious and cultural diversity requires, from societies, an adequate management of the expression of religious diversity in different social spheres, including the workplace. Muslim women who wear the hijab are one of the social groups that most frequently suffer prejudice and discrimination in work settings due to the intersection of multiple forms of discrimination, including gender, ethnic origin, religion and the use of a visible religious symbol. With the aim of exploring the experiences of Muslim women with hijab and identifying barriers and opportunities in their access to employment in Catalonia (Spain), a qualitative study with a communicative orientation was conducted, involving twelve communicative daily-life stories with Muslim women who wear the hijab and eleven in-depth interviews with a communicative orientation with other relevant actors in the fields of training and employment (employers, managers of internship programs, political representatives, etc.). The findings revealed some pending challenges and effective pathways to improve the employment and social inclusion of Muslim women wearing the hijab. The implications of the study point to the need to incorporate respect for diversity as a necessary value to move towards more inclusive societies.

The TRANSFOR (Transatlantic Education for Global Sustainable Forest Sector Development) program has promoted international student and staff exchanges among four Canadian (Alberta, British Columbia, New Brunswick and Toronto) universities and universities in four European countries (Germany [Freiburg], Finland [Joensuu], Sweden [Swedish University of Agricultural Sciences, Umeå] and the United Kingdom [Bangor University, Wales]). The program incorporated five components: one or two semester study visits for undergraduate forestry students, working internships, summer field courses, study visits for academic staff, and TRANSFOR project meetings. The summer field courses were a highly innovative part of the program and allowed students to spend three to four weeks learning about forestry activities and challenges on a continent different from that of their home institution. The program fostered internationally focused understanding of forest ecology and management, as well as economic and cultural factors, as will be required to develop effective international standards for sustainable forest management. Most student participants reported that it was a very positive experience and a high point of their education. Key words: international exchange, undergraduate forestry students, internships, field courses, international forestry

This paper covers the period from 1937 to 1945, the period of the establishment and works of the Serbian Cultural Club. The paper will discuss the political circumstances in the Kingdom of Yugoslavia in wich Serbian Cultural Club was founded, as well as the program goals and its activities in Bosnia and Herzegovina. Special emphasis will be put on the period of the Second World War in the Bosnia and Herzegovina and the former common state and the activities of the Serbian Cultural Club in the Second World War. The work and achievement of the program goals of the Serbian Cultural Club in the Second World War will be presented through the work of the Exile Government in London and the activities of the Chetniks Movement in the Bosnia and Herzegovina and the former common state. The Serbian Cultural Club was formed as a form of political association and activity, which included politicians, public workers, scientists, members of various political organizations, representatives of state and parastate bodies and organizations, under the slogan "Serbs for Reunion". The club acted as a unique and homogeneous organization, regardless of the composition of the membership, with the goal of saving Serbia and Serbs. This most clearly expressed his overall activity, composition and degree of influence on state policy. The most important issues of state or Serbian nationalist policy for the interest of the Government were discussed in the Club, so the club had an extensive network of boards and several media. Professor and Rector of the University of Belgrade, Dr. Slobodan Jovanović, was elected the first president of the Serbian Cultural Club. He was the ideological creator of this organization (and he set out the basic tasks and goals of the Club). The vice presidents were Dr. Nikola Stojanović and Dr. Dragiša Vasić, and Dr. Vasa Čubrilović the secretary. Dr. Stevan Moljevic was the president of the board of the Serbian Cultural Club for the Bosnian Krajina, based in Banja Luka. According to Dinić, the initiative for the formation of the Serbian Cultural Club was given by Bosnian-Herzegovinian Serbs Dr. Nikola Stojanović, Dr. Vladimir Čorović, Dr. Vladimir Grčić and Dr. Slobodan Jovanović. The activities of the Serbian Cultural Club can be divided into two stages. The first from its founding in 1936 until the signing of the Cvetković-Maček agreement, and the second from 1939 to 1941. The program of the Serbian Cultural Club was a sum of Greater Serbia programs of all major political parties that operated in Serbia with the help of state institutions. The goals of the Serbian Cultural Club were mainly: expansionist policy of expanding Serbian rule to neighboring areas, denying the national identity of all other Yugoslav nations and exercising the right to self-determination. The program goals of the Serbian Cultural Club were to propagate Greater Serbian ideology. With its program about Greater Serbia and its activities, the Serbian Cultural Club has become the bearer of the most extreme Serbian nationalist aspirations. After the Cvetković-Maček agreement of August 1939, the Serbian Cultural Club demanded a revision of the agreement, calling for a Serbo-Croatian agreement based on ethnic, historical or economic-geographical principles. The adoption of one of these principles was to apply to the entire area inhabited by Serbs. The subcommittees of the Serbian Cultural Club in Bosnia and Herzegovina had the primary task of working to emphasize its Serbian character, and after the Cvetkovic-Macek agreement to form awareness that the whole of Bosnia and Herzegovina should enter the Serbian territorial unit. With the prominent slogan "Wherever there are Serbs - there is Serbia", the Serbs in Bosnia and Herzegovina were marked as the "vigilant guardian of the Serbian national consciousness". The leadership and most of the members of the Serbian Cultural Club joined the Chetnik movement as Draža Mihailović's national ideologues. The policy of the militant Greater Serbia program and Serbian nationalism of the Serbian Cultural Club was accepted as the program of Draža Mihailović's Chetnik movement. Some of Draža Mihailović's most important associates belonged to the Serbian Cultural Club. The main political goals of the Chetnik movement are formulated in several program documents. The starting point in them was the idea of a "Greater and Homogeneous Serbia", which was based on the idea that Serbs should be the leading nation in the Balkans.

The aim of this planning project is to ensure prompt and efficient emergency health services to all people in the regional territory of Tuscany, and to establish suitable conditions for an efficient intervention by the National Health Service in situations brought about by unforeseen events which may have serious, often disastrous, consequences. This effort — quite demanding from an organizational and economic point of view — may be successful only if we assume that the time-space unpredictability of emergencies cannot be understood in absolute terms, but in relation to a series of conditions and situations present in everyday reality. Only by reducing to the minimum the unpredictability factor both quantitatively and qualitatively this purpose can be achieved. Risk factors should thus be accurately related to the territory's population distribution, geomorphology, and socio-health conditions.Since emergency medical care must be carried out without delay, each response must involve all components, concomitantly or in sequence so that the intervention is not regarded as concluded at any one stage. It must be open to integration best suited to the situation. There is need for a multidisciplinary approach to emergencies from the first response to definitive care.The model of health services planning necessary to achieve all this envisages a series of interventions — 1) to develop interconnections between intramural medicine and health services carried out in the field in order to allow rational use of existing structures, such as the emergency department; 2) to establish coordination focal points which can ensure, outside a hospital, the same level of treatment in emergency situations that will be carried out intramurally, despite the unavoidable changes in methodology; and 3) to activate information and self-training programs designed to encourage the development of a cultural and operative relationship between the health services and the needs of the community.

The Ichthys LNG Project is one of the most complex oil and gas developments ever attempted. One challenge of the construction phase was undertaking a major dredging program to create a safe shipping channel and berthing area for LNG carriers through Darwin Harbour to the onshore processing facilities at Bladin Point. Dredging was also undertaken to create a trench in Darwin Harbour for the gas export pipeline. The dredging program took about 16 months to remove more than 16 Mm3 of rock and sediment, with a six month break during the first dry season due to environmental uncertainties. Ongoing discussions with key stakeholders and the community prior to the start of dredging affirmed the social, cultural and economic values placed on Darwin Harbour by local residents. Plans were developed to provide key stakeholders and the wider community with transparent information on the project’s dredging, environmental monitoring and research findings. The key focus of the campaign was marine safety and an integrated and tailored approach was used to deliver this message. Valuable insights and lessons were gained from other major dredging programs undertaken in Australia and used in planning. The Ichthys LNG Project dredging program included a combination of initiatives that, when implemented together, led to environmentally and socially responsible outcomes.

The issue of training in the tourism sector is one of the most priorities. Today tourism is the most promising, rapidly developing social, cultural, and leisure activities. The article describes tourist activities from the point of view of its staffing. The main purpose is to identify the peculiarities of professional education in the field of tourism, to define a circle of competences, which a specialist in this field should have. The specificity of the regions of our country requires more attention to the development of skills in the sphere of tourism. System of professional education in the sphere of tourism should be comprehensive, i. e. it should foresee professional integration of theory and practice, formation and correction of professional values, motivation, and quality and virtues of personality. Tourism development is one of the promising directions of optimization of cultural and social-economic growth of life of population of regions. The experience of the Olympic and Paralympics games in Sochi in 2014 shows that the organization of international sports events allows to implement projects and programs for the optimization and development of tourist potential. In this regard, most of the educational institutions of regions and cities aim at training highly qualified personnel not only in tourism, but also in related fields. Modern trends in the tourism sector must respond to prevailing needs, the education and training of specialists in the sphere of tourism. Training should be tailored to actual customers of present and future tourist market. Thus, the article aims to examine the specifics of formation of professional competencies of personnel of tourism sector, which are necessary for the future development of the tourism industry of our country and its separate regions.

When smallpox threatened the Mexican province of Guanajuato in October 1797, Juan de Riaño, the Intendant of Guanajuato, instituted a program of inoculation to protect the children of his province against the disease. Realizing that many parents would resist having their children inoculated, he decided to provide an example by having his own six children inoculated first, thereby encouraging other parents to bring their children forward. Accordingly, a physician made deep scratches in the arms of his children, three of whom were under the age of five, and rubbed organic matter containing live smallpox virus into the wounds. Thanking Riaño for this gesture, Dr. Juan de Islas praised him for showing “true mercy for your children, banishing the timidity from the minds of others.” Nor was their timidity entirely unjustified. People occasionally died from inoculation, for inoculation provided immunity by artificially inducing a case of smallpox, but one that was usually benign. The risk of dying from inoculation was much lower than from contracting smallpox naturally. That was the point Riaño was trying to make to the people of Guanajuato.

Background, the objective of the research. From the perspective of interpretative discourse, C. Saint-Saëns’s heritage widens the contemporary views of his performance career and explains the nature of his pianoforte mentality. Moreover, an interpretative approach is becoming an important part of its investigation methodology, which makes it possible to state the aim of the paper, which is to determine the priorities of C. Saint-Saëns as being an outstanding virtuoso performer of his historical era (what is necessary to understand his artistic mentality). According to the aim of the paper, the following practical tasks have been solved: 1) lay down the requirements for a pianist when performing C. Saint-Saëns’s pianoforte cycles; 2) determine the artist’s most performed solo pianoforte works nowadays (namely the cycles). The methodological basis of the research is a comprehensive approach based on the unity of historical biographical, genre-style and performance research methods that emphasize the importance of the piano work of a unique French artist for modern generations of performers. The results of the research. The analysis of the performances of young C. Saint-Saëns has become obvious that at the beginning of his performance career, he was far from the traditional image of a pianist-virtuoso typical for the first half of the 19th century and has represented the model of a pianist-interpreter of classical music pieces, according to new cultural tendencies. In the middle of the 1860s C. Saint-Saëns shifted his genre-style priorities in his concert performance and widened the geography of his audience outside France to Germany, England and Russia. The French virtuoso improved his repertoire by performing the works of contemporary composers. However, the tendency towards romantic repertoire did not prevent him from including of J.-Ph. Rameau’s and J. S. Bach’s works into his concert program. Beginning from the 1890s to the end of C. Saint-Saëns’s performance career (1921), his own works made the basis of his concert programs also. Having systematized of C. Saint-Saëns’s repertoire, four performance preferences have been distinguished: 1) interest in the works of Baroque composers and French national culture of pre-classical period; 2) returning to Viennese classicists as the basis of a pianist’s concert repertoire in the new historical era; 3) having romanticists’ works serving as the example of modern performer’s repertoire in the second half of the 19th century; 4) producing his own music pieces and transcriptions. Based on summarizing the repertoire preferences, in terms of their stylistics and the increase in the significance of the historical interpretation of other composers’ works, which can be traced in C. Saint-Saëns’s statements and recommendations, it has been concluded that at the beginning of the 20th century his performance style corresponded to the one typical for new post-romantic performers – “interpreters-generalists” (according to O. Kandynskyi-Rybnikov, 1991). The comparison of C. Saint-Saëns’s solo concert programs of different years and the genre and style orientation of the piano compositions created by him in the corresponding periods shows a noticeable interconnection of two major areas of his creative activity – concert and composing. In his early period, he interpreted, as a pianist, mainly the classical music pieces (especially Beethoven’s). And his own Op. 3, Bagatelli, was created under the influence of the Viennese classicism music. In his mature period (starting from the middle of the 1860s), which was connected with C. Saint-Saëns’s concert tours outside France and the enrichment of his repertoire with the works by F. List, F. Chopin, F. Mendelssohn, R. Schumann, there was a shift of the composer’s genre and style priorities: he composed the concert etudes of the Op. 52, program pieces of the Album Op. 72. Finally, in his late period (from the 1890s), except for his own music pieces, the basis of C. Saint-Saëns’s concert programs consists of the works of classicists. At those times, his Suite Oр. 90, Six Etudes op. 135 for left hand and Six Fugues Op. 61 were created, which shows the author’s interest in the genre models of European Baroque. The fundamental principles of C. Saint-Saëns’s pianoforte mentality has been distinguished: virtuosity and simultaneous accuracy of applying expressive means; clarity and accuracy of instrument sound together with the delicacy and flexible manner of intoning; in terms of the interpretation of historically remote composers’ pieces (pre-classical, classical and early-romantic periods), the attempts to approximate the tone to the authentic sound pattern. Taking into account the composer’s performance style and the tasks set in the score of his works, the requirements for a pianists needed for the interpretation of C. Saint-Saëns’s pianoforte cycles have been laid down: high level of performance technical preparation; analytical skills, wide kit of mental sound patterns that integrates the features of various historical and style eras, from Baroque to PostRomanticizm. As for the panorama of the interpretative versions of C. Saint-Saëns’s piano works, every cycle has quite rich performance history, which is proved by numerous professional recordings. Over the last decade, more and more recordings of C. Saint-Saëns’s pianoforte cycles have been appearing, which contributes to the popularization of the pianoforte heritage of the French artist. Most of them have been created by French pianists. However, the geography of the recordings is quite wide: Italy, the USA, Switzerland, Hungary, Austria, Russia, Germany. Unfortunately, in Ukraine the piano cycles are almost unknown and are rarely performed; there are no known audio recordings of their performance by outstanding Ukrainian pianists. Conclusion. In search of a starting point in mastering the principles of interpretation of French piano culture, the study of the creative activity by C. Saint-Saëns today has advantages over the study of other French composers of the mid XIX – early XX century, because there is a large amount of material available that reveals its artistic, in particular performing, priorities. All the above indicates the need to popularize the piano heritage of C. Saint-Saens in the modern globalized world and proves the importance of an interpretological approach to its understanding. The latter reveals the essence of the piano style of a unique artist who, in his creative evolution, has gone from classicromantic attitudes to examples of his own nео-stylistic thinking, which dominates the art of the twentieth century.

Tourism is one of the leading sectors of Central Sumba District. In addition to natural environment, Central Sumba has rich of traditional culture that maintained in their social life. Kampung Pasunga, located in Anakalang village, is one of traditional village that have been designated as a Tourism Village by the local government. Kampung Kabondok, located in Makatakeri Village, not yet established as a tourist village but it has a great tourism potential because of their cultural traditions. This Service Learning Program focuses on mentoring and empowering the community in order to develop the tourism village. The participants for about 4 wk stay with the local community to be able to understand the problems faced and then provide recommendations that need to be done. Infrastructure, quality of human resources, and tourism promotion are key problems in the development of a tourism village. Approach method and socializing with residents become a very important point, to ensure the proposed programs are the real need of the community. The final outcome are proposed programs or recommendations that divided into short, medium and long term, that will be presented to local community and stakeholders, as consideration for the local development plan.

AbstractThe nutritional status of children in the 3 refugee camps at Qorioley, Somalia, was studied in Dec, 1979-3an 1980. Out of the 13,000 children under 5 in a total camp population of 49,000, a sample of 1700 was selected for measurements. Food and water supplies and environmental hygiene were also evaluated. Growth in weight was near normal from birth to 7 mo. age, slowed sharply during 7-24 mo. (as compared with reference curves), and picked up during 24-60 mo., to become nearly parallel to, although lower than, the normal curve. The arm circumference curve was similar. Growth curve for height, on the other hand, was closer to the reference curve. The curve for head circumference was normal. These data clearly point to malnutrition one of the major indices of poor health. Food supply for 3000 cal daily per child was theoretically available (not counting medically ordered supplements), but in many cases did not reach the children because of cultural food taboos and it having been sold to obtain other goods.

Slampt Underground Organisation was conceived in 1992 by Rachel Holborow and Pete Dale, issuing music, fanzines and ephemera from then until 2000. Perceived as a record label, Slampt sold tens of thousands of units and seems to have had a significant impact on particular individuals who might or might not be best described as ‘fans’. This article uses the author’s archives and reflections to collate detail, much of it not publically available before, about a label/distributor/organization, which has already been a point of interest to several researchers and journalists but which is nonetheless unknown to most, even in punk-related music scenes, in the present century. The author, as one half of Slampt’s de facto leading partnership, reveals that this status as a largely forgotten arm of 1990s UK punk is not entirely accidental: Dale and Holborow actively believed in ephemerality as an ideal, particularly in punk. Using this case as a starting point, the article asks whether punk really ought to be as fixated on documenting its past, finding its place in museums/galleries and gaining recognition in rock history. Is punk about collectible objects, about a particular mode of subjectivity or, perhaps, about a phenomenological combination of the two? The irony of the author writing the article at this time is acknowledged: Slampt is being written back in to punk history, even if only in the margins, through the act of publishing this piece. Nonetheless, the article is based around the assumption that the present and the future will always be more important than the past.

The term “fortress landscape” is a holistic one which involves coverage and terrain adapted for defensive purposes. The specificity of the historical heritage of the Polish cultural landscape is expressed in a great number of such objects, some of which have been absorbed by its cities. A case in point is the Warsaw Fortress. A significant part of its fortification has survived to this day. Due to its spatial structure, manner of use and condition, the Fortress constitutes a valuable element of Warsaw’s natural system. At the same time, it should be noted that this element is important due to being a tourist attraction and is an example of qualified military tourism. Military tourism is one of the most popular types of modern tourism. Its elements are frequently integrated into the urban green area system. Moreover, due to its specific spatial structure, the Fortress provides a unique element enriching the cultural landscape of the city. In this paper, a historical background of the Warsaw Fortress is analyzed with a special emphasis on its cultural value and public perception. The methods used in the study include a cultural value assessment, the WNET method, a survey questionnaire and both PCA and PCC statistical methods. The analysis showed that the landscape value of the Fortress received 70% of the maximum possible rating in the conducted survey. What is more, the Warsaw Fortress was also evaluated using all the assessment criteria. The study shows that the entry of the fortress elements into the city’s natural system is perceived as being valuable, although it often lacks a specific program. Consequently, the Warsaw Fortress should be subject to landscape protection with a view towards revitalization, along with introducing a recreational program.

Background: Perceived socio cultural pressure to become thin has an important impact on eating disorder during adolescence, but less is known about knowledge and prevalence of eating disorders in Nepal. Adolescents face special problems that are less common during childhood. Several studies indicate that the prevalence of eating disorders has been increased among adolescents. Objectives: The aim of the study was to identify the level of knowledge, and prevalence of eating disorders (ED) among adolescents. Specific objectives: To calculate the BMI of the respondents and to associate the BMI with prevalence of eating disorder. Methods: This was a cross-sectional survey in which adolescent girls were selected through purposive non probability sampling technique. The study was based on self-reported questionnaires including eating attitudes test (EAT-26) and BMI measurement. To analyze the obtained data, to calculate the level of knowledge, prevalence and BMI the chi-square was measured. Results: According to diagnostic criteria of EAT-26, 34 students (27.2%) were at risk of ED and scored above the recommended cut-off point on EAT-26. More than fifty percent (60%) of the students had inadequate knowledge, one third (38.40%) had moderate knowledge and very minimal (1.6%) of the students had adequate knowledge regarding eating disorders. BMI calculation reveled that more than half (54.4%) had a normal BMI, one third (28%) were under weight, 16% were overweight and 1.6% were obese. Conclusions: The above results concluded that there is need to conduct structured teaching programs for improving level of knowledge regarding eating disorders and reduce the risk of eating disorders and its effects.

This article reveals in a new way the relationship of Abay's worldview with modern philosophy, pedagogy, psychology, cultural studies, sociology, political science; from a scientific and theoretical point of view, the harmony of the poet’s works with the works of religious educators of Islam is substantiated. Along with this, the article explores the image of the prototype in new literary works about Abai, the objectivity of the description of Kazakh life in them. Abaeology is a comprehensive branch of the study of the spiritual culture of the Kazakh people, so modern Abaeology is one of the relevant topics. A set of new studies is needed to study the classical literary heritage of Abay and its traditions from the point of view of the psychology of art. The article touches on the problems of the popularity of Abay's works among the foreign Kazakh diaspora, developing a program, the scientific and methodological foundations of studying Abay's work in their schools. New directions of research in this area and contemporary topical problems of Abaystudies are determined.

Brief Description of the Program: Increased drug use among young people is of major concern the world over. It is seen as one of many so-called 'at risk' behaviours characteristic of young people. Drug taking can have grave health consequences for some young people, especially for those who are experiencing a level of mental disturbance, such as depression. Young people coming from disadvantaged and marginalised circumstances are also more likely to be vulnerable, and can become easy victims of drug trafficking. In this respect, young people in Australia of Asian backgrounds appear to be one among many groups being drawn into the drug culture. The families in these communities appear generally reticent and fearful of drug issues, almost to the point of denying that a problem exists. Some young people taking to drugs are known to be disowned by their parents. At the same time there is very little in languages other than English or culturally appropriate information on drugs. Such information, if available, can be used in sensitive and strategic ways to raise the awareness of families of Asian backgrounds on drugs and young people, in the context of intergenerational tensions in parenting.

Increasing preoccupations and interest manifested for the Romanian language as a foreign language compose a focused and clear expression in the volume “Romanian as a foreign language. Methodology and cultural applicability”, launched at the Turku University publishing house, Finland (2018). The editors, Paul Nanu (Department of Romanian Language and Culture, University of Turku, Finland) and Emilia Ivancu (Department of Romanian Studies of the Adam Mickiewicz University of Poznań, Poland) with this volume, continue a series of activities dedicated to the promotion of the Romanian language and culture outside the country borders. This volume brings together a collection of articles, previously announced and briefly presented at a round table organized by the two Romanian lectors, as a section of the International Conference “Dialogue of cultures between tradition and modernity”, (Philological Research and Multicultural Dialogue Centre, Department of Philology, Faculty of History and Philology, “1 Decembrie 1918” University of Alba Iulia). The thirteen authors who sign the articles are teachers of Romanian as a foreign language, either in the country or abroad. The challenge launched by the organisers pointed both at the teaching methods of Romanian as a foreign language – including the authors’ reflections upon the available textbooks (Romanian language textbooks) and the cultural implications of this perspective on the Romanian language. It is probably no accident that the first article of the aforementioned volume – “Particularities of teaching Romanian as a foreign language for the preparatory year. In quest of “the ideal textbook’’ (Cristina Sicoe, University of the West, Timișoara) – brings a strict perspective upon that what should be, from the author’s point of view, “the ideal textbook”. The fact that it does not exist, and has little chances ever to exist, could maybe be explained by the multitude of variables which appear in practice, within the didactic triangle composed by teacher – student – textbook. The character of the variables is the result of particular interactions established between the components of the triad. A concurrent direction is pointed out by the considerations that make the object of the second article, “To a new textbook of Romanian language as a foreign language’’ (Ana-Maria Radu-Pop, University of the West, Timișoara). While the previous article was about an ideal textbook for foreign students in the preparatory year of Romanian, this time, the textbook in question has another target group, namely Erasmus students and students from Centres of foreign languages. Considering that this kind of target group “forms a distinct category”, the author pleads for the necessity of editing adequate textbooks with a part made of themes, vocabulary, grammar and a part made of culture and civilization – the separation into parts belongs to the author – that should consider the needs of this target group, their short stay in Romania (three months to one year) and, last but not least, the students’ poor motivation. These distinctive notes turn the existent RFL textbooks[1] in that which the author calls “level crossings”, which she explains in a humorous manner[2]. Since the ideal manual seems to be in no hurry to appear, the administrative-logistic implications of teaching Romanian as a foreign language (for the preparatory year) should be easier to align with the standards of efficiency. This matter is addressed by Mihaela Badea and Cristina Iridon from the Oil & Gas University of Ploiești, in the article “Administrative/logistic difficulties of teaching RFL. Case study”. Starting from a series of practical experiences, the authors are purposing to suggest “several ideas to improve existent methodologies of admitting foreign students and to review the ARACIS criteria from March 2017, regarding external evaluation of the ‘Romanian as a foreign language’ study programme”. Among other things, an external difficulty is highlighted (common to all universities in the country), namely the permission to register foreign students until the end of the first semester of the academic year, meaning around the middle of February. The authors punctually describe the unfortunate implications of this legal aspect and the regrettable consequences upon the quality of the educational act. They suggest that the deadline for admitting foreign students not exceed the 1st of December of every academic year. The list of difficulties in teaching Romanian as a foreign language is extremely long, reaching sensitive aspects from an ethical perspective of multiculturalism. This approach belongs to Constantin Mladin from Ss. Cyril and Methodius University in Skopje, Macedonia, who writes about “The role of the ethical component in the learning process of a foreign language and culture. The Macedonian experience”. Therefore, we are moving towards the intercultural competences which, as the author states, are meant to “adequately and efficiently round the acquired language competences”. In today’s Macedonian society, that which the author refers to, a society claimed to be multiethnic, multilingual and pluriconfessional, the emotional component of an intercultural approach needs a particular attention. Thus, reconfigurations of the current didactic model are necessary. The solution proposed and successfully applied by Professor Constantin Mladin is that of shaking the natural directions in which a foreign language and culture is acquired: from the source language/culture towards the target language/culture. All this is proposed in the context in which the target group is extremely heterogeneous and its “emotional capacity of letting go of the ethnocentric attitudes and perceptions upon otherness” seem to lack. When speaking about ‘barriers’, we often mean ‘difficulty’. The article written by Silvia Kried Stoian and Loredana Netedu from the Oil & Gas University of Ploiești, called “Barriers in the intercultural communication of foreign students in the preparatory year”, is the result of a micro-research done upon a group of 37 foreign students from 10 different countries/cultural spaces, belonging to different religions (plus atheists), speakers of different languages. From the start, there are many differences to be reconciled in a way reasonable enough to reduce most barriers that appear in their intercultural communication. Beneficial and obstructive factors – namely communication barriers – coexist in a complex communicational environment, which supposes identifying and solving the latter, in the aim of softening the cultural shock experienced within linguistic and cultural immersion. Several solutions are recommended by the two authors. An optimistic conclusion emerges in the end, namely the possibility that the initial inconvenient of the ethnical, linguistic and cultural heterogeneity become “an advantage in learning the Romanian language and acquiring intercultural communication”. Total immersion (linguistic and cultural), as well as the advantage it represents as far as exposure to language is concerned, is the subject of the article entitled “Cultural immersion and exposure to language”, written by Adina Curta (“1 Decembrie 1918” University of Alba Iulia). Considered to be a factor of rapid progress and effectiveness of acquisition, exposure to language that arises from the force of circumstances could be extended to that what may be named orchestrated exposure to language. This phrase is consented to reunite two types of resources, “a category of statutory resources, which are the CEFRL suggestions, and a category of particular resources, which should be the activities proposed by the organizers of the preparatory year of RFL”. In this respect, we are dealing with several alternating roles of the teacher who, besides being an expert, animator, facilitator of the learning process or technician, also becomes a cultural and linguistic coach, sending to the group of immersed students a beneficial message of professional and human polyvalence. A particular experience is represented by teaching the Romanian language at the Sapienza University of Rome, Italy. This experience is presented by Nicoleta Neșu in the article “The Romanian language, between mother tongue and ethnic language. Case study”. The particular situation is generated by the nature of the target group, a group of students coming, on the one hand, from Romanian families, who, having lived in Italy since early childhood, have studied in the Italian language and are now studying the Romanian language (mother tongue, then ethnic language) as L1, and, on the other hand, Italian mother tongue students who study the Romanian language as a foreign language. The strategies that are used and the didactic approach are constantly in need of particularization, depending on the statute that the studied language, namely the Romanian language, has in each case. In the area of teaching methodology for Romanian as a foreign language, suggestions and analyses come from four authors, namely Eliana-Alina Popeți (West University of Timișoara), “Teaching the Romanian language to students from Romanian communities from Serbia. Vocabulary exercise”, Georgeta Orian (“1 Decembrie 1918” University of Alba Iulia) “The Romanian language in the rhythm of dance and hip-hop music”, Coralia Telea (“1 Decembrie 1918” University of Alba Iulia), “Explanation during the class of Romanian as a foreign language” and Emilia Ivancu (Adam Mickiewicz University of Poznań, Poland), “Romanian (auto)biographic discourse or the effect of literature upon learning RFL”. The vocabulary exercise proposed to the students by Eliana-Alina Popeți is a didactic experiment through which the author checked the hypothesis according to which a visual didactic material eases the development of vocabulary, especially since the textual productions of the students, done through the technique that didactics calls “reading images”, were video recorded and submitted to mutual evaluation as well as to self-evaluation of grammar, coherence and pronunciation. The role of the authentic iconographic document is attested in the didactics of modern languages, as the aforementioned experiment confirms once again the high coefficient of interest and attention of the students, as well as the vitality and authenticity of interaction within the work groups. It is worth mentioning that these students come from the Serbian Republic and are registered in the preparatory year at the Faculty of Letters, History and Theology of the West University of Timișoara. Most of them are speakers of different Romanian patois, only found on the territory of Serbia. The activity consisted of elaborating written texts starting from an image (a postcard reproducing a portrait of the Egyptian artist Eman Osama), imagining a possible biography of the character. In the series of successful authentic documents in teaching-learning foreign languages, there is also the song. The activities described by Georgeta Orian were undertaken either with Erasmus students from the preparatory year at the “1 Decembrie 1989” University of Alba Iulia, or with Polish students (within the Department of Romanian Studies in Poznań), having high communication competences (B1-B2, or even more). There were five activities triggered by Romanian songs, chosen by criteria of sympathy with the interests of the target group: youngsters, late teenagers. The stake was “a more pleasant and, sometimes, a more useful learning process”, mostly through discovery, through recourse to musical language, which has the advantage of breaking linguistic barriers in the aim of creating a common space in which the target language, a language of “the other”, becomes the instrument of speaking about what connects us. The didactic approach, when it comes to Romanian as a foreign language taught to students of the preparatory year cannot avoid the extremely popular method of the explanation. Its story is told by Coralia Telea. With a use of high scope, the explanation steps in in various moments and contexts: for transmitting new information, for underlining mechanisms generating new rules, in evaluation activities (result appreciation, progress measurements). Still, the limits of this method are not left out, among which the risk of the teachers to annoy their audience if overbidding this method. Addressing (Polish) students from the Master’s Studies Program within the Romania Philology at the Adam Mickiewicz University of Poznań, Emilia Ivancu crosses, through her article, the methodological dimensions of teaching Romanian as a foreign language, entering the curricular territory of the problematics in question by proposing an optional course entitled Romanian (auto)biographic discourse”. Approaching contact with the Romanian language as a foreign language at an advanced level, the stakes of the approach and the proposed contents differ, obviously, from the ones only regarding the creation and development of the competence of communication in the Romanian Language. The studied texts have been grouped into correspondence/epistolary discourse, diaries, memoires and (auto)biography as fiction. Vasile Alecsandri, Sanda Stolojan, Paul Goma, Neagoe Basarab, Norman Manea, Mircea Eliade are just a few of the writers concerned, submitted to discussions with the help of a theoretical toolbox, offered to the students as recordings of cultural broadcasts, like Profesioniștii or Rezistența prin cultură etc. The consequences of this complex approach consisted, on the one hand, of the expansion of the readings for the students and, on the other hand, in choosing to write dissertations on these topics. A “tangible” result of Emilia Ivancu’s course is the elaboration of a volume entitled România la persoana întâi, perspective la persoana a treia (Romania in the first person, perspectives in the third person), containing seven articles written by Polish Master’s students. Master’s theses, a PhD thesis, several translations into the Polish language are also “fruits” of the initiated course. Of all these, the author extracted several conclusions supporting the merits and usefulness of her initiative. The volume ends with a review signed by Adina Curta (1 Decembrie 1918 University of Alba Iulia), “The Romanian language, a modern, wanted language. Iuliana Wainberg-Drăghiciu – Textbook of Romanian language as a foreign language”. The textbook elaborated by Iuliana Wainberg-Drăghiciu (“1 Decembrie 1918” University of Alba Iulia) respects the CEFRL suggestions, points at the communicative competences (linguistic, sociolinguistic and pragmatic) described for levels A1 and A2, has a high degree of accessibility through a trilingual dictionary (Romanian-English-French) which it offers to foreign students and through the phonetic transcription of new vocabulary units.

Purpose The aim of this study is to determine what pre-college characteristics predict college success for students of color enrolled within science, technology, engineering and mathematics programs, as measured by cumulative grade point average (GPA) after three years of initial enrollment. Design/methodology/approach To increase the generalizability by avoiding a single-year focus, the sample includes 954 first-year students entering one predominantly White research university during Fall 2010, Fall 2011 and Fall 2012 (Allen and Bir, 2011); GPAs were collected following three years of initial enrollment. IBM statistical package for the social sciences (SPSS) Statistics 22 was utilized to conduct correlation and multiple linear regression analyses. Findings Within all conditional models, after controlling for multiple variables, the number of advanced placement (AP) credits, standardized test scores and specific type of high school GPA were significantly related to cumulative college GPA after three years of enrollment. However, when multiple forms of high school GPA were included within a full model, only the number of AP credits and standardized test scores remained statistically related to cumulative college GPA. Further, high school core GPA is more strongly correlated with cumulative college GPA after three years of enrollment than overall high school GPA, high school science GPA and high school mathematics GPA. Originality/value This study adds to prior research by identifying that high school core GPA is an important predictor of college success and that the cumulative effect of enrollment within AP credits may be more beneficial than the cumulative effect of involvement within dual enrollment courses.

Background Alcohol use and anxiety disorders commonly co-occur, resulting in a more severe clinical presentation and poorer response to treatment. Research has shown that approach bias modification (ApBM) and interpretation bias modification (IBM) cognitive retraining interventions can be efficacious adjunctive treatments that improve outcomes for alcohol use and social anxiety, respectively. However, the acceptability, feasibility, and clinical utility of combining ApBM and IBM programs to optimize treatments among comorbid samples are unknown. It is also unclear whether integrating ApBM and IBM within each training session or alternating them between each session is more acceptable and efficacious. Objective This paper describes the protocol for a randomized controlled pilot trial investigating the feasibility, acceptability, and preliminary efficacy of the Re-train Your Brain intervention—an adjunct web-based ApBM+IBM program—among a clinical sample of emerging adults with hazardous alcohol use and social anxiety. Methods The study involves a three-arm randomized controlled pilot trial in which treatment-seeking emerging adults (18-30 years) with co-occurring hazardous alcohol use and social anxiety will be individually randomized to receive the Re-train Your Brain integrated program, delivered with 10 biweekly sessions focusing on both social anxiety and alcohol each week, plus treatment as usual (TAU; ie, the model of care provided in accordance with standard practice at their service; n=30); the Re-train Your Brain alternating program, delivered with 10 biweekly sessions focusing on social anxiety one week and alcohol the next week, plus TAU (n=30); or TAU only (n=30). Primary outcomes include feasibility (uptake, follow-up rates, treatment adherence, attrition, and adverse events) and acceptability (system usability, client satisfaction, user experience, and training format preference). Secondary efficacy outcomes include changes in alcohol approach and interpretation biases, social anxiety, and alcohol use (eg, drinks per day, binge drinking, drinking motives, severity of dependence, and cravings). The primary end point will be posttreatment (6 weeks postbaseline), with a secondary end point at 3 months postbaseline. Descriptive statistics will be conducted for primary outcomes, whereas intention-to-treat, multilevel mixed effects analysis for repeated measures will be performed for secondary outcomes. Results This study is funded from 2019 to 2023 by Australian Rotary Health. Recruitment is expected to be completed by mid-2022 to late 2022, with follow-ups completed by early 2023. Conclusions This study will be the first to evaluate whether an ApBM+IBM program is acceptable to treatment-seeking, emerging adults and whether it can be feasibly delivered via the web, in settings where it will ultimately be used (eg, at home). The findings will broaden our understanding of the types of programs that emerging adults will engage with and whether the program may be an efficacious treatment option for this comorbidity. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12620001273976; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364131 International Registered Report Identifier (IRRID) PRR1-10.2196/28667

Background In the Netherlands, human papillomavirus (HPV) vaccination uptake remains low. To improve informed decision making (IDM) and HPV vaccination acceptability, we systematically developed an interactive, web-based tailored intervention to which mothers of Dutch girls were invited to participate. Objective The aim of this study was to provide insight into the intervention’s working mechanisms by evaluating (1) program use, (2) program acceptability, and (3) the relationship of program use with program acceptability and intervention effects (ie, dose-response relationship). Methods Only mothers from the intervention arm of a randomized controlled trial that assessed the effectiveness of the web-based, tailored intervention were included in this study. They were invited to visit the website of the web-based intervention between baseline (January 2015, just before access to the intervention) and follow up (March 2015, prior to the first HPV vaccination). Indicators for program use were time of website use (ie, duration of intervention exposure) and completeness (ie, proportion of all available web pages visited). HPV vaccination uptake registered by Praeventis was used as the primary outcome. Secondary outcomes were IDM, decisional conflict, and social-psychological determinants of HPV vaccination uptake. Results Among the 3995 invited mothers, 2509 (62.80%) logged on to the website, 2239 of whom (89.24%) visited at least one page of the intervention components. On average, mothers spent 21.39 minutes (SD 12.41) on the website and completed 50.04% (SD 26.18%) of the website components. Participants rated the website 7.64 (SD 1.39) on a 10-point scale. Program acceptability was significantly associated with completeness (β=4.36, P<.001), but not with time of website use (β=–.07, P=.77). Intention-to-treat analysis (N=3995) showed a significant positive effect of completeness on all outcome measures (all P<.003; Bonferroni-corrected α=.05/15 factors), including on HPV vaccination uptake. Time of website use had a significant positive effect on all outcomes (all P<.003), except for uptake (P=.20), risk perception when not vaccinated (P=.14), subjective norms (P=.03), and habit (P=.01). Conclusions Program use and acceptability of the intervention were adequate. Completeness was positively associated with acceptability. Furthermore, positive effects (ie, dose-response effects) were found for completeness and time of website use on the mothers’ IDM, decisional conflict, and almost all of the social-psychological determinants of HPV vaccination acceptability. In addition, the extent to which mothers completed the intervention had a positive impact on their daughters’ vaccination uptake. This indicates that the web-based, tailored intervention fits well with the mothers’ needs, and that completeness of use is essential for improving HPV vaccination uptake, acceptability, and IDM. Program use should therefore be promoted. Trial Registration Netherlands Trial Register NTR4795; https://www.trialregister.nl/trial/4795

Background The majority of cigarette smokers want to quit someday but are not ready to commit to long-term abstinence. However, available smoking cessation treatments are not well-suited to meet the needs of these ambivalent smokers. Low-cost, high-reach mobile health (mHealth) interventions may be a cost-efficient means of offering assistance to ambivalent smokers, yet there are currently no evidence-based options available for this group. Objective The aim of this study was to develop and preliminarily evaluate the core content for an mHealth program targeting adult smokers who are ambivalent about quitting. The core content consisted of a series of “personal experiments” similar to those tested as part of a counseling intervention in prior work, including brief cognitive or behavioral tasks designed to boost readiness for changing smoking behavior. Methods We conducted individual user interviews (N=3) to refine program content, and then conducted a one-arm pilot study (N=25) to assess user receptivity and the potential impact of the experiments on motivation and self-efficacy to quit or reduce smoking. Results In user interviews, participants liked the concept of the personal experiments. Participants in the pilot study found a medium-fidelity prototype to be highly acceptable. After watching a brief orientation video that explained how the program works, most participants (80%, 20/25) indicated that it sounded interesting, primarily because it did not require any commitment to quit. All participants (100%, 25/25) completed all 7 experiments, including a 24-hour quit attempt, although not all were able to refrain from smoking for a full day based on qualitative feedback on the experiment. The mean rating of usefulness of the overall program was 4.12 (SD 1.09) out of 5, and the average rating of the difficulty of the experiments was 2.16 (SD 1.18) out of 5. At the last assessment point, 92% (23/25) of the participants indicated that they were more interested in either quitting or cutting back than when they began the program, and 72% (18/25) said that if the program had included a free trial of nicotine replacement therapy, they would have used it to try to quit smoking. Conclusions This formative work confirmed that ambivalent smokers are willing to use and will remain engaged with an mHealth intervention that employs the novel concept of personal experiments to enhance their motivation for and ability to quit smoking. The addition of action-oriented treatment (self-help and free nicotine replacement therapy, quitline referral) could further support users’ efforts to stop smoking and remain quit.

A needs assessment study was conducted to explore the types of issues or challenges IMG trainees encounter and the experiences of Program Directors with teaching this unique group. Both groups were asked to rate the importance of a series of issues in a horizontal curriculum using a 5-point Likert Scale. These issues fell under one of the following categories: Clinical Skills and Knowledge, Other Skills, Communication and Working Relationships, Macro Issues and Other Work-Related Issues. The scale was then collapsed to a 3-point Likert scale. Results were used to develop a horizontal curriculum for incoming IMGs to help ease their transition into residency training within the Canadian context. The majority of program directors (93%) and IMG trainees (63%) surveyed agreed that a horizontal curriculum for IMGs should be developed. Program Directors indicated that basic clinical skills and communication with team members were important to include (79% and 90%, respectively). IMGs felt that Marco Issues were importance in a horizontal curriculum, namely an orientation about the Canadian healthcare system and site hospitals (71% and 59%, respectively), followed by communication with patients (67%). Significant differences were found with regards to the inclusion of communication with other residents and the inclusion of orientation sessions on the Canadian Health Care System and site hospitals. These findings demonstrate there is a need for a core IMG curriculum. There is a slight disparity regarding what specific topics to include but a consensus between both groups exists on the primary domains of communication, inclusion of specialty specific skills and knowledge as well as professional interaction. Kraemer M. Educational Challenges of International Medical Graduates in Psychiatric Residents. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry 2006; 34(1):163-171. Whelan GP. Coming to American: The integration of the International Medical Graduates into the American Medical Culture. Academic Medicine 2005; 81(2):176-178. Majumdar, B, Keystone JS, Cuttress LA. Cultural Sensitivity Training among Foreign Medical Graduates. Medical Education 1999; 33:177-184.

Background Internet-based cognitive behavioral therapy (ICBT) is a treatment approach recently developed and studied to provide frontline treatment to adolescents with anxiety disorders. Objective This study aimed to pilot procedures and obtain data on methodological processes and intervention satisfaction to determine the feasibility of a definitive randomized controlled trial (RCT) to test the effectiveness of a self-managed ICBT program, Breathe (Being Real, Easing Anxiety: Tools Helping Electronically), for adolescents with anxiety concerns. Methods This study employed a two-arm, multisite, pilot RCT. Adolescents aged 13 to 17 years with a self-identified anxiety concern were recruited online from health care settings and school-based mental health care services across Canada between April 2014 and May 2016. We compared 8 weeks of ICBT with ad hoc telephone and email support (Breathe experimental group) to access to a static webpage listing anxiety resources (control group). The primary outcome was the change in self-reported anxiety from baseline to 8 weeks (posttreatment), which was used to determine the sample size for a definitive RCT. Secondary outcomes were recruitment and retention rates, a minimal clinically important difference (MCID) for the primary outcome, intervention acceptability and satisfaction, use of cointerventions, and health care resource use, including a cost-consequence analysis. Results Of the 588 adolescents screened, 94 were eligible and enrolled in the study (49 adolescents were allocated to Breathe and 45 were allocated to the control group). Analysis was based on 74% (70/94) of adolescents who completed baseline measures and progressed through the study. Enrolled adolescents were, on average, 15.3 years old (SD 1.2) and female (63/70, 90%). Retention rates at 8 weeks were 28% (13/46; Breathe group) and 58% (24/43; control group). Overall, 39% (14/36) of adolescents provided feedback on completion of the Breathe program. Adolescents’ scores on a satisfaction survey indicated a moderate level of satisfaction. All but one adolescent indicated that Breathe was easy to use and they understood all the material presented. The most frequent barrier identified for program completion was difficulty in completing exposure activities. The power analysis indicated that 177 adolescents per group would be needed to detect a medium effect size (d=0.3) between groups in a definitive trial. Data for calculating an MCID or conducting a cost-consequence analysis were insufficient due to a low response rate at 8 weeks. Conclusions Adolescents were moderately satisfied with Breathe. However, program adjustments will be needed to address attrition and reduce perceived barriers to completing key aspects of the program. A definitive RCT to evaluate the effectiveness of the program is feasible if protocol adjustments are made to improve recruitment and retention to ensure timely study completion and increase the completeness of the data at each outcome measurement time point. Trial Registration ClinicalTrials.gov NCT02059226; http://clinicaltrials.gov/ct2/show/NCT02059226.

Conservation effort and knowledge on coral reef ecosystem are necessary to protect marine ecosystem. Coral reef ecosystem is very important to support marine biota especially fishes and benthos. The presence of coral reef indirectly support local people income, therefore is is necessary to conserve coral reef ecosystem. District of South Waigeo is one of tourist area as well as preserve area in Raja Ampat Regency of Papua Barat Province. The aim of this study is to identify the current condition of coral reef in Saporken Village of South waigeo District. Data were collected by survey method using coral reefs Point intercept transect method, observation and interviews to determine the social, economic and cultural impact., and measures taken to manage coral reef management in village Saporkren Marine Protected Areas. The results showed that knowledge Saporkren Village community, the conservation community knows about how destructive such arrests are not carried out the bombing, while the traditional way people work is local wisdom. Condition of coral cover in the village of Marine Protected Areas Saporkren in good condition (live coral cover=51%) and very good water quality, flow velocity at high tide ranged from 4.25 to 22.3 cm/sec and the flow velocity at low tide over small ranging from 5.07 to 19.60 cm/sec, salinity ranged from 32–35‰ and wave height ranged from 0.75 m. Based on the results of this study concluded that: Village community know Saporkren conservation activities of local government programs, and the traditional way to preserve coral reef still implemented.Key words: Conservation, coral reefs, Saporkren village, Raja Ampat.

Formation of the difficult and branched out network of the unions with the American Indian tribes, based on mutually advantageous economic and military-political relations was one of the main features of the French colonial regime in Canada of XVII century. As a result, in the first decades of XVII century the most outstanding representatives of secular and spiritual colonisation of New France (Champlain, Recollects and Jesuits) started working out the most effective strategy of Franco-Amerindian rapprochement and the cooperation, embodied in the program francization, i.e., ideas of acculturation and assimilation of the native population of Canada by Frenchmen as basic means of social and economic and political development of a colony. Catholic missionaries including members of a Jesuit order were interested in realisation of this program at the initial stage of development of new territories and formation of a colonial infrastructure, as material basis of their apostolate activity among the American Indian peoples. From this point of view, Civilisation of Indians on the French sample was considered priority in relation to Christianization. In the process of Jesuit mission network expansion among the cores of trading and military colony partners and the Jesuit missionary transformation into the main intermediary in Franco-Amerindian relations in the middle of XVII century, on the one hand, and growth of contradictions with the secular colonial power on a wide spectrum of problems (including trade in alcoholic drinks), Jesuits began to audit initial positions of the francization program, resulted in 2nd half of the century to full refusal of them and the statement of a primacy of the religious reference over the cultural.

Middle ear disease is one of the most common childhood illnesses (Kokko 1974) and often results in hearing loss. This type of conductive hearing loss is endemic among Aboriginal children in particular. Between twenty-five and fifty percent of Aboriginal primary school age children are affected by hearing loss at any point in time (Quinn 1988). However, Aboriginal children's hearing loss is often not identified, in part because of ‘masking’ due to cultural differences. The awareness of possible hearing loss among non-Aboriginal children is usually prompted by children's behaviour. For example, the children don't follow directions and fail to answer questions. However, among Aboriginal children these behaviours may also be attributed to cultural differences in appropriate social behaviour (Harris 1980). Therefore, concern about possible hearing loss is less likely to emerge on the basis of the behaviour of Aboriginal children (Price 1981, Howard 1991). This means identification of Aboriginal children's hearing loss often occurs only if children are tested, usually as part of a hearing screening program. However, in some areas of the Northern Territory at least, the likelihood of Aboriginal student's hearing being screened has actually diminished in recent years.

The purpose of this paper is to determine the impact of strength training modes on the dynamics of training effects in 8-year-old boys. Materials and methods. The study participants were 48 boys aged 8. The experiment was performed using a 22 factorial design. The study implemented the first variant of the combined method for developing arm and shoulder muscles (station І), strength of abdominal muscles (station ІІ), strength of back muscles (station ІІІ), and strength of leg muscles (station IV). The study materials were processed using the IBM SPSS 22 statistical analysis program. Discriminant analysis was performed. The study examined the impact of four variants of strength load on the immediate training effect (ITE1) after performing exercises at four stations, the immediate training effect (ITE2) after training, and the delayed training effect (DTE) 24 hours after training. Results. The findings indicate that each of the variants of strength load can be effectively used depending on educational objectives of both one or a series of physical education lessons, and also show that the ITE and DTE of strength training depend on the initial level of fitness and the total amount of strength training in a physical education lesson. Conclusions. The findings point to the possibility of using a discriminant function to assess and predict the development of strength in 8-year-old boys. The study confirmed the effectiveness of using factorial designs to obtain objective data on the dynamics of training effects in primary school pupils.