Nearly 80% of the worldwide burden of epilepsy is borne by resource-poor countries. The quality of epilepsy care in these countries is compromised by numerous factors, including poverty, illiteracy, inefficient health-care systems, and social stigma. In this article, Kurupath Radhakrishnan highlights these difficulties and suggests practical solutions, drawing on his own experiences in southern India. Of the 50 million people with epilepsy worldwide, around 80% reside in resource-poor countries, which are ill-equipped to tackle the enormous medical, social and economic challenges posed by epilepsy. The capability to identify people with epilepsy and provide cost-effective care is compromised by widespread poverty, illiteracy, inefficient and unevenly distributed health-care systems, and social stigma and misconceptions surrounding the disease. Several studies have reported that a large proportion of patients with epilepsy in resource-poor countries never receive appropriate treatment for their condition, and many, although diagnosed and initiated on treatment, soon discontinue treatment. The high cost of treatment, a lack of availability of antiepileptic drugs, and superstitious and cultural beliefs contribute to a large epilepsy treatment gap. A substantial proportion of the current burden of epilepsy in resource-poor countries could be minimized by educating the public about positive features of life with epilepsy, informing primary and secondary physicians about current trends in the management of epilepsies, scaling up routine availability of low-cost antiepileptic drugs, and developing cost-effective epilepsy surgery programs. A comprehensive epilepsy care model should consider the marked heterogeneity of the disorder and its variable effects on the patient, family and community.

Challenges in the management of epilepsy in resource-poor countries.

Much has been written on the respondent’s perspective but fewer studies have recognized that “perspectives other than those drawn from the discipline come into play for the interviewer” (Warren in Handbook
of interview research, Sage, Thousand Oaks, CA, 2002: 84). In the article we show that the interviewer uses different strategies of identity management and different standpoints as resources to accomplish and account for one of the main interviewer’s duties, namely to achieve an “understanding of the world from the subjects’ points of view” (Kvale in Interviews: An introduction to qualitative research interviewing, Sage, Thousand Oaks, CA, 1996: 1). We examine instances in which the interviewer displays a “neutral” posture, showing adherence to her institutional identity, and instances in which she positions herself as an “embodied subject,” disclosing her personal involvement, stepping out of the role and displaying an identity and a standpoint in common with that of the interviewee. We show how such strategies of identity management (1) prompt either identification or divergence of viewpoints between the interviewer and the interviewees; (2) affect the degree of intimacy among participants and spontaneity in conversation. By means of these two strategies, we discuss, the interviewer accomplishes and accounts for her professional ability to understand the interviewees’ standpoints. In particular such strategies are two ways of accounting for an ethical relationship with the interviewees, which, respectively, emphasize either the impartiality or the reciprocity in understanding. Our purpose is not to suggest that one strategy is to be preferred on the other, but, rather, to illustrate how both the “neutral” and the “embodied” posture are situated practices through which the interviewer attempts to preserve the respondents’ viewpoint on the narrated events.

Preserving the Respondent’s Standpoint in a Research Interview: Different Strategies of ‘Doing’ the Interviewer

Toolkit Approach To Integrating Library Resources Into The Learning Management System

The family is subjected to a variety of increasingly higher prescriptions coming from various institutional contexts, a phenomenon known as the deprivatization of the domestic environment. In this context, the paper presents a qualitative research, based on Grounded Theory, analysing the effects of deprivatization on parenting, on how it is defined, regulated and modelled in terms of respecting the ideology children’s rights as promoted by the Convention on the Rights of the Child. In this approach, our attention is focused on parent education programs in Romania, especially those in the rural areas, bearing in mind the magnitude of the impact of the new ideologies on the traditional Romanian family culture.

The deprivatization of family and its effects on parenting in Romania

Strategic environmental assessment policy integration model for solid waste management in Malaysia

6 – Challenges and issues

The Ryerson University Library has recently adopted a team-based management model in order to ameliorate growing pressures on service points consistent with increased demand for interlibrary loans, growing circulation activity, stagnant staffing levels, and a larger influx of students as a result of the “double cohort.” The opportunity to redesign the entrance of the Library has allowed the Library to plan for a merger of Interlibrary Loan with Circulation and Reserve. The background to this merger and library goals are discussed.

/pdf/restructuring-the-academic-library-team-based-management-and-408694n41i.pdf

Restructuring the academic library: Team-based management and the merger of interlibrary loans with circulation and reserve

Purpose – The purpose of this paper is to identify the factors associated with the successful implementation of a shared interlibrary loan (ILL) system by the Ontario Council of University Libraries (OCUL), a consortium of 20 Ontario universities.Design/methodology/approach – The paper is a descriptive review of the approaches taken in the consortial implementation of OCLC's VDX software. The paper elaborates on the building‐blocks and barriers to success as they were experienced, first by participants in OCUL's centralized implementation activities, and second at the local level by staff at Ryerson University Library, a member institution. Now end users can simultaneously search world‐wide catalogues, submit and track progress of requests, and receive materials rapidly. System functionality includes auto‐mediated interlibrary loans (direct requesting); use of link‐resolver software to transfer citation information from borrowing library catalogues to ILL request forms; and ISO peer‐to‐peer messaging.Find...

/pdf/key-factors-for-consortial-success-realizing-a-shared-vision-1aaokr1u67.pdf

Key factors for consortial success: realizing a shared vision for interlibrary loan in a consortium of Canadian libraries

Introduction: How e-reserve responds to a changing user culture and copes with issues and challenges Overview of e-reserve: History and scope Access and delivery of e-reserve (1): Blackboard - how resources are integrated within a course management system Access and delivery of e-reserve (2): Creative approaches - how software designed for other purposes can be adapted or utilized New digital media formats: Streamed video Challenges and issues Possible strategies: Collaboration, integration and interaction are the keystones for survival or expansion of e-reserve service.

New Approaches to E-Reserve: Linking, sharing and streaming

Ryerson University Libraryin Toronto, Canada, embarked on an electronic reserve pilot project in 2004. The project soon took on new directions, including integration with Blackboard, using its new Content Management System (January 2005), employment of SFX links to offer database options for accessing articles (April 2005) and experiment with streaming a digitized video (May 2005). The reasons for these innovations are multifold. User's convenience of access via a portal like Blackboard is paramount. The SFX multi-database menu is revolutionizing electronic reserve access, though the concept has yet to be tested widely. Streaming AV content is ideal for distributed learning. From the staff perspective, the OpenURL Connector for SFX links is convenient for locating databases and creating links. SFX links are maintained centrally by the Collections Team in the Library and may reduce the occurrences of broken links. Some technical issues remain to be resolved. Extra library authentication after the ...

/pdf/e-reserve-in-blackboard-chalk-it-up-to-collaboration-ffmn9rzgai.pdf

E-Reserve in Blackboard: Chalk It Up to Collaboration

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