Non-oncologist Physician Knowledge of Radiation Therapy at an Urban Community Hospital.

Radiation therapy (RT) is a crucial part of cancer care, but previous work suggests that many non-radiation oncologist physicians are uncomfortable referring for RT. To evaluate training and understanding of RT, the authors sent invitations to complete an online questionnaire to all physicians at a community hospital in Bronx, NY, which asked about oncology training and self-rated and objective knowledge of RT. Out of 247 invited participants, 87 responded (35%). Among responders, 19 were attending physicians (22%) and 66 (76%) were residents. Seventy-two percent of respondents reported caring for > 5 cancer patients in the past month, but 54% reported never referring patients for RT. Sixty-nine percent of respondents stated they received no radiation oncology training in medical school, and 36% reported no general oncology training. Approximately half believed themselves to be "somewhat knowledgeable" about RT indications (48%), benefits (53%), and side effects (55%). Objective assessment mean score was 6.2/12 (median 7) for all respondents; Respondents with internal medicine specialization scored higher than others (mean 7.7 vs 3.5; p < 0.01). Scores did not differ between attending and resident physicians, resident post-graduate levels, or receiving oncology training in medical school. The factors most commonly cited as affecting RT referral decisions were type of cancer, patient wishes, family wishes, poor functional status, and life expectancy. Many physicians are unaware of RT effectiveness or indications, which may affect referral patterns. Previous oncology training was not associated with higher knowledge scores.

Bergeyella zoohelcum Bacteremia from Therapy Dog Kisses.

Bergeyella (B.) zoohelcum is a non-motile, aerobic, gram-negative rod, with only a few cases in the literature. Most of the human infections are related to dog or cat bites; however, there are also reports related to the ingestion of food prepared with goat's blood. We present a case of Bergeyella zoohelcum bacteremia in a patient with acquired immunodeficiency syndrome (AIDS) following close contact with their service dog. To the best of our knowledge, this is the first case of B. zoohelcum bacteremia in an AIDS patient.

Desigualdades Rurales en Colombia: Aportaciones para el Logro de los Objetivos de Desarrollo Sostenible / Rural Inequalities in Colombia: Contributions for the Achievement of the Sustainable Development Goals / Desigualdades rurais na Colômbia: Contribuições para o cumprimento das Metas de Desenvolvimento Sustentável

Resumen Introducción: Las brechas de desigualdad entre zonas urbanas y rurales a nivel mundial y en especial en países en vía de desarrollo como Colombia, son cada vez mayores. Objetivo: Entre los principales fines de los Objetivos de Desarrollo Sostenible -ODS-, está la disminución de dichas brechas. En este artículo son analizados algunos indicadores que evidencian las diferencias existentes entre los territorios urbanos y rurales en Colombia, y la manera como el sector de la economía social y solidaria, especialmente el sector cooperativo, ha contribuido en dicho fin. Materiales y Métodos: Lo anterior bajo un enfoque social cualitativo con método comparativo que busca a partir de la descripción y análisis estadístico de indicadores socioeconómicos, la relación entre el cumplimiento de los ODS y la contribución del sector cooperativo en algunas zonas del país. Los resultados sugieren que en Colombia el mayor déficit de indicadores y carencias son congruentes. Conclusión: los ODS, se encuentran en las zonas rurales debido a la existencia de factores estructurales que harán muy difícil el cumplimiento y aporte de nuestro país a la agenda del 2030, por lo que se requiere de manera urgente la intervención de otros actores.

Abstract Introduction: The inequality gaps between urban and rural areas worldwide and especially in developing countries such as Colombia, are increasing. Objective: Among the main purposes of the Sustainable Development Goals -ODS-, is the reduction of these gaps. In this article, some indicators that show the differences between urban and rural territories in Colombia are analyzed, and the way in which the social and solidarity economy sector, especially the cooperative sector, has contributed to this end. Materials and Methods: The foregoing under a qualitative social approach with a comparative method that seeks from the description and statistical analysis of socioeconomic indicators, the relationship between compliance with the SDGs and the contribution of the cooperative sector in some areas of the country. The Results suggest that in Colombia the greatest deficit of indicators and deficiencies are consistent. Conclusion: the SDGs are found in rural areas due to the existence of structural factors that will make it very difficult for our country to comply with and contribute to the 2030 agenda, therefore that the intervention of other actors is urgently required.

Resumo Introdução: As lacunas de desigualdade entre áreas urbanas e rurais em todo o mundo e especialmente em países em desenvolvimento como a Colômbia estão aumentando. Objetivos: Entre os principais objetivos dos Objetivos de Desenvolvimento Sustentável -ODS-, está a redução dessas lacunas. Neste artigo, são analisados alguns indicadores que mostram as diferenças entre os territórios urbano e rural na Colômbia e a forma como o setor da economia social e solidária, especialmente o cooperativista, tem contribuído para esse fim. Materiais e métodos: O anterior sob uma abordagem social qualitativa com um método comparativo que busca a partir da descrição e análise estatística dos indicadores socioeconômicos, a relação entre o cumprimento dos ODS e a contribuição do setor cooperativo em algumas áreas do país. Os Resultados: sugerem que na Colômbia os maiores déficits de indicadores e deficiências congruentes. Conclusão: os ODS encontram-se nas áreas rurais devido à existência de fatores estruturais que dificultarão o cumprimento e a contribuição de nosso país para a agenda 2030, portanto que a intervenção de outros atores é necessária com urgência.

La administración pública cooperativa en Colombia: su fortalecimiento antes que su desaparición / The cooperative public administration in Colombia: its strengthening before its disappearance

A raíz de la intención clara del gobierno nacional de Colombia de acabar con la figura asociativa denominada Administración Pública Cooperativa mediante la presentación de un proyecto de ley, se presenta una justificación y sustento del por qué debe esta figura asociativa fortalecerse en vez de acabarse. Dicha justificación se basa en aspectos tanto de tipo legales como sociales e históricos...