Latin America and the Caribbean are increasingly experiencing the effects of climate change. Over the past two decades, the countries in the region have experienced as many as 1 350 natural disasters ...attributable to the climate, affecting more than 170 million people.We analysed climate risks in Latin America and the Caribbean, expanding the analysis to understand what these risks imply for the financial sector, particularly for banks. We conclude that the aggregate physical climate risk of the banking sector is the highest in the Caribbean while for transition risk the picture is more homogenous. Finally, we note that capital flows for climate projects in the Latin America and the Caribbean region have been lagging other regions in the world. Against the backdrop of considerable financing needs, the international financial community and public development banks have an important role to play to support both public and private green investments providing long-term, patient funding at affordable rates and sharing part of the risks.
Večina ljudi, ki se danes upokoji, živi v partnerstvu. V študiji sem raziskala, kakšne spremembe doživljajo pari pri pre hodu (enega ali obeh) v upokojitev, kako jih dojemajo in ocenjujejo ter katere ...strategije in vzorce obvladovanja pri tem uporabljajo. S pomočjo utemeljene teorije, ki sta jo razvila Glaser in Strauss (1967), sem raziskala položaj osmih parov in ene samske osebe, pri čemer sem uporabila problemske intervjuje po Witzlu (1989). Teoretični model pojasnitve, ki sem ga razvila v študiji, temelji na ideji teoretične vloge. Glavna naloga za obvladovanje prehoda v upokojitev je, da se na individualni ravni in ravni para na novo organizira niz vlog.
Most data related to cutaneous melanoma survivors' health behaviour comes from epidemiological studies and is predominantly concerned with safe-sun behaviour and self-examination. Data regarding ...other changes of health behaviour are scarce and so are qualitative studies in this realm. The aim of our research is to acquire insight into the experiences of patients with cutaneous melanoma in Slovenia. How did they react to the diagnosis, which changes did they introduce in their health behaviour and how do they assess the role of family doctors?
Using the qualitative approach of collective case reports, a demographically diverse group of patients with different forms and stages of cutaneous melanoma was selected. Semi-structured interviews conducted by a psychologist were recorded and transcribed verbatim. For data processing, the approach of Qualitative Content Analysis was applied.
We integrated interviewees' experiences after the diagnosis of cutaneous melanoma in several subcategories: either they did not introduce any changes or they mentioned changing their habits when exposed to the sun and performing skin self-examination; they also emphasized their ways of dealing with stress and raising awareness about melanoma among family members and friends. The role of family doctors in the prevention and care appears unclear; even contradictory.
We obtained insight into the experiences of Slovenian patients with cutaneous melanoma. The interviewees prioritised safe behaviour in the sun, strengthening of psychological stability and raising awareness about melanoma. Findings will be used in the creation of a structured questionnaire for national epidemiological survey.
The identification of patients infected and/or colonised by methicillin resistant
(MRSA) is necessary for the timely introduction of measures for infection control. We compared the diagnostic ...efficacy of combinations of MRSA surveillance swabs routinely taken by health institutions in the country.
All surveillance samples, which were sent for a microbiological analysis to detect MRSA with the culture method in 2014, in the three departments for medical microbiology of the National Laboratory for Health, Environment and Food, were included in this study.
Among 65,251 surveillance cultures from 13,274 persons, 1,233 (2.1%) were positive (490 positive persons). Prevailing positive surveillance cultures were throat swabs (31.3%), followed by nose swab (31.2%), skin swab (18.9%), perineum (16.4%) and wound swabs (1.4%). The contribution of other samples, such as aspirate, urine and excreta, was under 1%. We found no statistically significant differences in the frequency of detection of a positive patient, if the combination of samples NTS (nose, throat, skin) or NTP (nose, throat, perineum) was analysed. However, statistically significant differences were confirmed when any of the anatomic sites would be omitted from the sets of NTP and NTS (chi square; p<0.01). Adding additional samples resulted in only 24 additional positive patients (4.9%).
The results indicate that increasing the number of surveillance cultures above three does not add much to the sensitivity of MRSA surveillance, the exception could be wound. The swabs from the perineum and from the skin are exchangeable.
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