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Although organizations and researchers have long pointed to the impact of migration on the development of countries of origin, one can hardly deny the bright spotlight and the rapid resurgence within policy debates, that the migration-development nexus enjoys over recent years. European politicians, inter-governmental organizations and academics alike un-equivocally point out that migration if managed appropriately, could bring the proverbial ‘win-win-win’ result for migrants themselves, sending, and receiving countries. So much so that, circular migration is being advocated as the solution to the migration challenges facing the European Union (EU) today. However, at a closer look, the evidence found is contradictory at best and largely depends on how development is defined and the breadth with which remittances are measured. Thus, this paper seeks for greater knowledge of this contemporary movement of persons, without which the EU will continue to develop policies and recommendations that may sat-isfy their member states, but not their intended audience. Starting with the Gastarbeiter programmes of the 1960-70s and concluding with the recent EU Blue Card initiative, this paper will conclude that the overall contribution of migrants to development is dependent on a scheme’s ability to a) encourage ‘return of innovation’ and b) broaden its outlook on non-financial remittances. Using the International Organization for Migration’s (IOM) Migration for Development in Africa (MIDA) Italy-Ghana/Senegal programme, and based on Ionescu’s four point criteria for successful circular migration policy, this paper will evaluate the MIDA Italy framework and suggest means by which its successes could be magnified.

Although organizations and researchers have long pointed to the impact of migration on the development of countries of origin, one can hardly deny the bright spotlight and the rapid resurgence within policy debates, that the migration-development nexus enjoys over recent years. European politicians, inter-governmental organizations and academics alike un-equivocally point out that migration if managed appropriately, could bring the proverbial ‘win-win-win’ result for migrants themselves, sending, and receiving countries. So much so that, circular migration is being advocated as the solution to the migration challenges facing the European Union (EU) today. However, at a closer look, the evidence found is contradictory at best and largely depends on how development is defined and the breadth with which remittances are measured. Thus, this paper seeks for greater knowledge of this contemporary movement of persons, without which the EU will continue to develop policies and recommendations that may sat-isfy their member states, but not their intended audience. Starting with the Gastarbeiter programmes of the 1960-70s and concluding with the recent EU Blue Card initiative, this paper will conclude that the overall contribution of migrants to development is dependent on a scheme’s ability to a) encourage ‘return of innovation’ and b) broaden its outlook on non-financial remittances. Using the International Organization for Migration’s (IOM) Migration for Development in Africa (MIDA) Italy-Ghana/Senegal programme, and based on Ionescu’s four point criteria for successful circular migration policy, this paper will evaluate the MIDA Italy framework and suggest means by which its successes could be magnified.

Although organizations and researchers have long pointed to the impact of migration on the development of countries of origin, one can hardly deny the bright spotlight and the rapid resurgence within policy debates, that the migration-development nexus enjoys over recent years. European politicians, inter-governmental organizations and academics alike un-equivocally point out that migration if managed appropriately, could bring the proverbial ‘win-win-win’ result for migrants themselves, sending, and receiving countries. So much so that, circular migration is being advocated as the solution to the migration challenges facing the European Union (EU) today. However, at a closer look, the evidence found is contradictory at best and largely depends on how development is defined and the breadth with which remittances are measured. Thus, this paper seeks for greater knowledge of this contemporary movement of persons, without which the EU will continue to develop policies and recommendations that may sat-isfy their member states, but not their intended audience. Starting with the Gastarbeiter programmes of the 1960-70s and concluding with the recent EU Blue Card initiative, this paper will conclude that the overall contribution of migrants to development is dependent on a scheme’s ability to a) encourage ‘return of innovation’ and b) broaden its outlook on non-financial remittances. Using the International Organization for Migration’s (IOM) Migration for Development in Africa (MIDA) Italy-Ghana/Senegal programme, and based on Ionescu’s four point criteria for successful circular migration policy, this paper will evaluate the MIDA Italy framework and suggest means by which its successes could be magnified. / Arts, Faculty of / Central Eastern Northern European Studies, Department of / Graduate

Excerpt: The Institute of Medicine’s (IOM) seminal report, The Future of Nursing: Leading Change, Advancing Health in 2010, addressed recommendations that included increasing the number of baccalaureate and doctoral nursing graduates; allowing advanced practice nurses to practice to the upper limit of their education; allowing nurses to be interprofessional, collaborative leaders; implementing nurse residency programs; providing opportunities for life-long learning; and enabling nurses to assume leadership positions in which the outcome is advancing health and healthcare. In October 2011, prior to the annual Tennessee Nurses Association convention, a preconference was held to discuss this report, the implications of the recommendations for Tennessee, the preliminary findings of a statewide survey on the educational recommendations (results to be published shortly), and the activities in place and/or planned to occur across the state. The nurses of northeast Tennessee have been working on these recommendations prior to this report and continue to do so since the report. This article will review these efforts.

ABSTRACT WOMEN TRAFFICKING IN TURKEY: INTERNATIONAL COOPERATION AND INTERVENTION Arslan, Selin MS., Department of Gender and Women&rsquo / s Studies Supervisor: Prof. Dr. Yusuf Ziya &Ouml / zcan December, 2006, 217 pages. This study has focused on analyzing the women trafficking in Turkey and the international cooperation and interventions which Turkey has done in years between 2004 and 2006. While mentioning efforts on combating human trafficking and international cooperation and interventions, the support of International Organization for Migration (IOM), the leading intergovernmental organization working against trafficking, which Turkey became member in 2004, should be mentioned as well. This study is trying to show the efforts of Turkey in the situation of combating with an organized crime, a gross human rights violation-especially after becoming member of the International Organization for Migration. Before discussing the situation and efforts in Turkey on counter trafficking the realization of women&rsquo / s rights the emergence of the women&rsquo / s discourse within the international arena and the international debate on trafficking especially after the Trafficking in Persons Report (TIP) have been introduced and discussed in detail. Such a beginning facilitated conceptualization of (1) the evolution of the emergence of conscious on trafficking crime in the international arena (2) the sprout of the idea and perception of &ldquo / combating trafficking crime&rdquo / in Turkish society and (3) the transformation of the Turkish context related to trafficking issues in the light of discussions emerged by the support of IOM Turkey.

Trafficking in persons is a phenomenon that threatens not only basic human rights but also source, passage and destination countries / therefore, it rightfully draws international attention. Being a global threat, it necessitates cooperation and intervention. The aim of the thesis is to analyze anti-trafficking efforts in Turkey by focusing on a particular international initiative. To this end, the International Organization for Migration (IOM) is selected as a case and its activities in Turkey are mentioned with the ultimate goal of questioning its effectiveness in the process of fighting against trafficking in persons. The thesis examines the phenomenon of trafficking in persons with a conceptual analysis by dwelling upon the objectives, function and perspective of the IOM. It concentrates on the IOM, which actively assists the Turkish government in every aspect of migration and in combating human trafficking with a particular focus on trafficking in women through the counter-trafficking program implemented in 2004. The thesis also aims at evaluating whether international and local actors take effective actions that cover both the prevention and punishment of trafficking in women, and the protection of victims&rsquo / rights. The binding international legal instrument on the subject matter, the UN Trafficking Protocol of 2000, will be referred to and different approaches to the evaluation of the problem will be mentioned so as to present the focal points of the varying goals.

Einleitung: SSEP sind etabliert, um Patienten intraoperativ zu überwachen, wenn sie sich Operationen im zerebrovaskulären System unterziehen. Das EEG ist eine weitere Methode zur neurophysiologischen Überwachung. In dieser Studie wurde die Wertigkeit des simultanen Ableitens von SSEP und EEG Signalen untersucht. Methode: Dreizehn Patienten (7 Frauen, 6 Männer, mittleres Alter 53.5 Jahre), welche sich dem Clipping eines intrakraniellen Aneurysma unterzogen, wurden eingeschlossen. Die SSEP Latenz 1 (Lat1), Latenz 2 (Lat2) und Amplitude (Amp) wurden kontinuierlich gemessen. Verminderung der Amplitude > 50% oder Verlängerungen der Latenzen > 10% gegenüber den Ausgangswerten wurden als signifikante Ereignisse bewertet. Das EEG wurde mittels einer subduralen Grid-Elektrode gemessen. Alpha % (Al%), Alpha-Delta-Ratio (ADR) und Total Power (TP) wurden ausgewertet. Resultate: Circa 9000 Einzelwerte wurden analysiert. Statistisch signifikante Korrelationen traten zwischen Al% und Amp (K=0.5) auf. Dabei zeigten sich die Veränderungen im EEG (Al%) 6 Minuten vor Ereignissen im SSEP (Amp). Statistisch signifikante Korrelationen traten ebenfalls zwischen Al% und Amp-Ereignissen (K=-0.4) auf. In 6/7 Patienten traten die Al%-Änderungen 7 Minuten vor den Amp-Änderungen auf. Noch stärkere Beziehungen ergaben sich zwischen Lat2 und allen EEG Modalitäten, jedoch reichte die Gesamtzahl der Datenpunkte nicht aus, um statistische Signifikanzen herzuleiten. Schlussfolgerung: Dies ist die erste Beschreibung von signifikanten Beziehungen zwischen quantitativem SSEP und EEG während zerebrovaskulären Operationen. Das quantitative EEG hat das Potenzial, frühe ischämische Ereignisse eher zu detektieren als dies mit SSEP möglich ist. / Introduction: SSEP is established for monitoring patients undergoing cerebrovascular procedures. EEG is another means of neurophysiologic monitoring. The value of a simultaneous SSEP and EEG monitoring was investigated. Methods: Thirteen patients (7 women, 6 men; mean 53.5 years) undergoing cerebral aneurysm clipping were included. SSEP Latency 1 (Lat1), Latency 2 (Lat 2) and Amplitude (Amp) were measured. An Amp decrease >50% or prolongation of Lat >10% were considered significant events. Subdural grid electrodes were utilized to measure EEG. Alpha% (Al%), Alpha-Delta Ratio (ADR) and Total Power (TP) were computed. Results: Approximately 9000 values were analyzed. Statistically significant correlations occurred between Al% and Amp (K=-0.5). EEG (Al%) changes occurred 6 minutes prior to SSEP (Amp) changes. Statistically significant correlations between Al% and Amp events (K0-0.4) occurred, with Al% values changing 7 minutes prior to Amp values in 6/7 patients. A stronger relationship was found between Lat 2 and EEG modalities, but there were not enough data points to achieve statistical significance. Conclusion: This is the first description of significant relationships between quantitative SSEP and EEG during cerebrovascular surgery. Quantitative EEG has the potential to detect early ischemic events prior to SSEP.

Occupational exposure limits are generally decreasing and traditional samplers used for quantifying occupational exposures have numerous limitations: cost, disposability, detection of low concentrations, and some even fail to match international inhalable sampling conventions. A low cost, high-flow (10 L min-1) inhalable prototype sampler was developed from the 37-mm cassette and tested in previous studies. These studies called for additional field testing as an area and personal sampler. The sampler was paired with the IOM (2 L min-1), a traditional inhalable air sampler, and deployed in metal working facilities. The samplers were compared to determine whether the prototype matched the IOM and whether the new sampler could improve the sensitivity for detecting lower concentrations of metals. The following processes were sampled: welding, grinding, soldering, pouring, sawing, tending and shooting guns. A total of 21 out of 28 paired samples had detectable metals out of 15 possible metals. There were seven out of eight personal samples and 14 out of 20 area samples with detectable metal concentrations. The average sample time was seven hours, but ranged from 4.2 – 8.3 hours. The most common metals that were detected on 10 or more samples were iron, manganese, zinc, copper, and lead. Metal concentrations collected by the two samplers were not statistically different for the aggregate metal concentrations collected (p = 0.67), metals collected by sample type, personal or area (p = 0.52) or by particle “sizes,” small or large (p = 0.40), collected from the processes. While the samplers were not statistically different, linear regression equations to assess the sampler relationships showed that there were significant differences between the two samplers. Over the total metal concentrations collected, the prototype collected about 71% of what the IOM collected. By sample type, the prototype performed better during area sampling as opposed to personal sampling and by particle size, the prototype performed better in the collection of smaller, heat generated particles, as opposed to larger, mechanically generated particles. Though minor differences were found between concentrations detected on the prototype and IOM, it was determined that in general, these differences were negligible in their interpretation and comparison to occupational exposure limits. Plots also indicated that the prototype sampler performs well at sampling low concentrations of metals, however, only a small amount of metals were detected on the prototype that were not found on the IOM, therefore, the improvement of sensitivity was not assessed. High-flow sampling was hindered by the ability of air sampling pumps to maintain the required operation flow rate of 10 L min-1 for the duration of a work shift. Additional field studies are needed to determine whether the sensitivity for detecting lower concentrations of metals can be improved.

The Health Professions Education: A Bridge to Quality (IOM, 2003) proposed strategies for higher education leaders and faculty to transform their institutions in ways that address the healthcare problems. This study provides higher education leaders and faculty with empirical data about the processes of change involved to implement the core competency of healthcare informatics. I chose the core competency of health care informatics as a base from which to conduct semi-structured interviews with faculty and college leaders at three schools of nursing intending to capture their stories about how healthcare informatics has been implemented, what strategies were used, and why they were selected. All three nursing schools used patient case scenarios loaded into electronic health records in their computerized human simulation laboratories. Participants' at all three nursing programs reported increased use of the pedagogical approaches of active learning and problem-based learning in these simulation labs. These approaches encourage greater faculty-student and student-to-student interaction, engender more self-directed learning, and do a better job of providing students with a process for integrating previous learning. University of Kansas and Large State University Schools of Nursing demonstrated results that substantiate the viability of the Mobile Model for Transformational Change. One school used almost all the suggested methods and achieved transformation; the other, which used some of the methods, was not transformed. I suggest the model would benefit from specific ways of detecting the breadth in the application of the change markers and from the addition of strategies for creating a breadth of intensity to the change processes. The components of the model relating to the structural and cultural markers of change need to be further developed to focus on the breadth of change. Finally, I suggest the Mobile Model needs greater emphasis on and clarification of the role and nature of intentionality in the change process, as well as a greater focus on the relationship between the core strategies, support strategies, and the breadth of change. The intent of college leaders is important, in part because without it the breadth of change required for transformational change is not likely to be achieved.