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[en] To investigate the knowledge and attitudes of patients towards lumbar puncture (LP), its complications, and indications. In a questionnaire survey, patients who were referred to the general neurology outpatient clinic at Nemazee Hospital in Shiraz, Iran, from January 2007 to January 2008 were invited to complete a questionnaire consisting of items on demographic and socioeconomic variables, experiences with LP and complications, and knowledge of and attitudes regarding LP. A total of 410 patients were recruited (58% women, mean age 33.2 + - 2.7 years). Poor knowledge of LP was highly prevalent (92.6%), and negative attitudes toward LP were also common (63%) among our patients. Skepticism regarding LP was directly related to lack of information (p=0.00007). Lower socioeconomic status, lower educational level, and residence in rural areas were associated with being less well informed about LP, but interestingly those who had experience with LP before were better informed and had more positive attitudes. It is possible to overcome reluctance to undergo LP through education of its indications, contraindications, and complications. (author)
[en] Aim of the study: To identify the priority strategy for the strengthening of the chestnut supply chain through a participatory approach. Area of study: Mugello-Val di Sieve inTuscany region (Italy). Material and methods: The data were collected by administering a questionnaire to a sample of 126 chestnut growers (83 chestnut growers enrolled and 43 not enrolled in the Consortium of “Marronedel Mugello Protected Geographical Indication”) to identify the priority objectives and activities to develop the chestnut supply chain. Main results: It is necessary to develop a diversified strategy to stimulate the chestnut production and simultaneously enhance the marketing of the product in order to revive the chestnut cultivation inTuscany region. The main activities to be pursued are the implementation of silvicultural treatments of chestnut orchards and the integrated fight against chestnut gall wasp to increase the productivity and strengthen the “Marronedel Mugello Protected Geographical Indication” brand. Research highlights: Participatory approach is a fundamental instrument to define a common strategy to strengthen chestnut supply chain at local level.
[en] The background of any developmental process where a country or community is concerned is energy, and rural development is no exception. Common to all developing countries are the problems with reticulation mainly because of population distribution and distance from the source. (Author)
[en] Introduction: The Faculty of Medicine, Makerere University is the oldest health professions training institution in East Africa having started in 1924. The radiography degree course started in 2001 and Makerere remains the only institution in the East African region offering this degree course. The faculty adopted a Problem based Learning/Community based education curriculum in order to stimulate students' interests to consider working in rural areas. Attracting and retaining radiographers and other health professionals in rural areas is a recognized problem in Uganda and overseas and strategic actions to enhance the rural health workforce and its ability to deliver the required services are paramount. A range of factors in different domains can be associated with recruitment and retention. By consulting students, some of these factors can be identified and addressed. Methodology: It was a descriptive exploratory study involving 31 students. Data was collected through a questionnaire and focus group discussions. Results: 58% of the students reported that they would consider rural radiography practice while 42% would not. Key motivational factors cited to work in rural areas were; attractive salaries/incentives, community based training curricular, opportunities for further training and well equipped rural health facilities. Conclusion: This study has shown that students would consider working in rural areas provided the working conditions are improved upon.
[en] The field marketing practices of Superior Propane in rural Ontario are illustrated. In the Smithville area, Superior's customer base consists of agricultural, industrial, commercial, and residential customers, plus a large market for auto propane. A 6,900 ft2 showroom presents a representative selection of the wide range of appliances using propane. Superior's Smithville branch is one of the top five in Canada, in terms of volume. To expand business beyond its traditional branch structures, Superior has an Independent Partners Program which is aimed at all phases of business including independent sales agents, conversions, propane fuel stops, appliance installations, and building contractors. In Keswick, located in the summer resort region on the south shore of Lake Simcoe, Superior's base load is 40% commercial and 20% each agricultural, residential, and automotive. A new 4,100 ft2 showroom was recently constructed with separate display units for each appliance. The new building has brought increases in auto propane and appliance sales. The different branches of Superior Propane are able to tailor their marketing programs according to local needs by choosing the appropriate programs from those available at head office. 5 figs