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Although over eighty percent of the country is Muslim, Indonesia is marked by an extraordinary diversity in language, ancestry, culture, religion and ways of life. This book focuses on the Christian Dani of West Papua, providing a social and ethnographic history of the most important indigenous population in the troubled province. It presents a fascinating overview of the Dani’s conversion to Christianity, examining the social, religious and political uses to which they have put their new religion. Based on independent research carried out over many years among the Dani people, the book provides an abundance of new material on religious and political events in West Papua. Underlining the heart of Christian-Muslim rivalries, the book questions the fate of religion in late-modern times.

This paper describes a queueing model of telephone operator staffing and the application of the model. The Bell System has used the model to reduce the cost of meeting its service criteria, for planning purposes, and to help explain to regulatory agencies changes in service measurement criteria. The model deals with large server team sizes, bimodal service time distributions, nonstationary arrivals, customer abandonments and reattempts, and certain priority queueing structures.

This chapter contains sections titled: Introduction Key dimensions of interprofessional teamwork Growing support for interprofessional teamwork The emergence of teamwork Professionals' experiences of teamwork Conclusions and implications

Background Current stroke research suggests that there are differences between females and males regarding incidence, stroke risk factors, stroke severity, outcome, and mortality. The few studies that have investigated sex differences in rehabilitation 8–12 months poststroke found that males are more independent, compared to females. Objectives To investigate if there is a difference in the improvement of independence in activities of daily living (ADL) between females and males in the acute phase (first 2 weeks) of stroke rehabilitation in a Danish population. Methods A prospective cohort study enrolling patients admitted to the hospital's rehabilitation ward with a stroke diagnosis from January 1, 2016, to March 17, 2017. Baseline and follow‐up data regarding the primary outcome, Barthel‐100 index, were analyzed using an adjusted linear mixed model. Results The study included 206 patients (83 females). Females were older at admission and more males lived with a partner. No differences in stroke severity or any of the risk factors were found. There were no differences between female and male scores at baseline. In the adjusted linear mixed model, quantifying the difference between follow‐up and baseline Barthel‐100 score, females increased their Barthel‐100 score by 20.8 points (95% confidence interval (CI) 15.4–26.3) and males with 29.0 points (95% CI 24.6–33.4). Conclusion In a homogeneous sample of stroke survivors undergoing specialized 24‐h stroke rehabilitation for 11–14 days, females were more dependent in ADL than males. Females are more dependent than males in activities of daily living after stroke rehabilitation

Background COVID-19 put a stop to the operative experience of surgical residents, leaving reassignment of the team, to the frontlines. Each program has adapted uniquely; we discuss how our surgical education changed in our hospital. Study Design A retrospective review of changes in general surgery cases, bedside procedures, and utilization of residents before and during the pandemic. Procedures were retrieved from electronic medical records. Operating room (OR) cases 1 month before and 5 weeks after the executive order were collected. Triple lumen catheter (TLC), temporary hemodialysis catheter (HDC), and pneumothorax catheter (PC) insertions by surgical residents were recorded for 5 weeks. Results Before the pandemic, an average of 27.9 cases were done in the OR, with an average of 10.1 general surgery cases. From March 23 to April 30, 2020, the average number of cases decreased to 5.1, and general surgery cases decreased to 2.2. Elective, urgent, and emergent cases represented 83%, 14.6%, and 2.4% prior to the order and 66.7%, 15.1%, and 18.2%, respectively, after the order. Bedside procedures over 5 weeks totaled to 153, 93 TLCs, 39 HDCs, and 21 PCs. Conclusion Repurposing the surgical department for the concerns of the pandemic has involved all surgical staff. We worked with other departments to allocate our team to areas of need and re-evaluated daily. The strengths of our team to deliver care and perform many bedside procedures allowed us to meet the demands posed by this disease while remaining as a cohesive unit.

Adolescents' empathy is an essential socio-emotional concept that helps mediate friendships and family relationships. Year 10 boys, aged 15-17 years, were invited to participate in a five-day experiential education program (Design Week) based on a social equity challenge using a Design Thinking concept. Students worked in small groups, mentored by experts. Student groups developed innovative solutions to support women who experienced domestic and family violence. As a key outcome, students' empathy measured by the Comprehensive State Empathy Scale increased significantly from a baseline of 63% to 75% at post-test, representing a large effect size (d= 1.06). Six empathy subscale factors were also significantly increased (p= <0.05). The program was feasible and was rated by teachers and students as engaging, relevant to learning, and learning about complex social issues. This paper presents a case study of the Design Week program, shown to be worthy of further testing with secondary school adolescents.

The aim of this study was to compare the physical capacities of strength and speed of soccer players of different competition level. Forty two (n=42) soccer players were divided into three groups according to competition level: football players of higher division (n=14), football players of middle division (n=14) and football players of lower division (n=14). All groups were evaluated for maximal isometric force, explosive force at 100 msec, peak force relative to body mass, rate of force development, squat and drop jump heights of 20 cm, drop jump heights of 30 cm drop jump heights of 40 cm, pedaling rate and 10 m sprint time. Football players of higher division presented significantly (p<0.05) higher maximal isometric force, explosive force at 100 msec, vertical jump height, pedaling rate, and 10 m sprint time in comparison with the football players of middle division and football players of lower division. Also we observed statistically significant differences in selected variables between football players of middle division and football players of lower division. [PUBLICATION ABSTRACT]

The growing geriatric population in the United States has created an increasing need for palliative medicine services across the range of medical and surgical specialties. Yet, palliative medicine lacks the resources to carry such a workload itself. Geriatric Palliative Care addresses this need by encouraging individual specialties to \"own\" the management of elderly with the same vigor as they \"own\" other key management competencies within their specialty. This clinically focused and highly practical handbook, which compliments the more comprehensive text Geriatric Palliative Care by Sean Morrison and Diane Meier (Oxford University Press, 2003), encourages this process of learning and ownership across many medical specialties. Designed to be readable and easily accessible to a range of health care providers, Geriatric Palliative Care outlines specific strategies for caring for specific palliative care issues common in elderly patients. The handbook also provides evidence based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.

Interdisciplinary rounds (IRs) have been proposed to improve staff communication and reduce LOS. There have been no studies of IRs on an inpatient telemetry ward. Patients on a telemetry unit of a community hospital were randomly assigned to either an IR intervention or standard care. Charts were reviewed to determine LOS, patient characteristics, and indirect indices of quality of care. Intervention: Daily work rounds, in which resident physicians, nurses, and ancillary staff meet to discuss patients on the team. Results: 84 patients were enrolled, 42 randomized to the intervention and 42 to standard care. There was no significant difference in LOS. Indirect measures of quality of care (dietician, pharmacist, or physical therapist visit) did not differ. In a multiple linear regression model, only abnormal laboratory data, the presence of dementia, and the presence of a home health aid significantly predicted LOS. Conclusion: IRs did not decrease LOS in a telemetry ward. Whereas a potential benefit of IRs in other settings cannot be ruled out, this study emphasizes the importance of rigorous testing of strategies to enhance the quality or reduce the costs of inpatient care.