Sample records for base case community

  1. Adult Health Learning and Transformation: A Case Study of a Canadian Community-Based Program (United States)

    Coady, Maureen


    This article describes a case study of adult learning in a Canadian multisite Community Cardiovascular Hearts in Motion program. The researcher highlights the informal learning of 40 adult participants in this 12-week community-based cardiac rehabilitation/education program in five rural Nova Scotia communities. The effects of this learning and…

  2. Project-Based Learning Communities in Developmental Education: A Case Study of Lessons Learned (United States)

    Butler, Alison; Christofili, Monica


    This case study tracks the application of project-based learning (PBL) during four separate college terms at Portland Community College in Portland, Oregon. Each term follows a different learning community of first-term college students enrolled in a program of developmental education (DE), reading, writing, math, and college survival and success…

  3. Using Analysis of Governance to Unpack Community-Based Conservation: A Case Study from Tanzania. (United States)

    Robinson, Lance W; Makupa, Enock


    Community-based conservation policies and programs are often hollow with little real devolution. But to pass a judgment of community-based or not community-based on such initiatives and programs obscures what is actually a suite of attributes. In this paper, we analyze governance around a specific case of what is nominally community-based conservation-Ikona Wildlife Management Area (WMA) in Tanzania-using two complementary sets of criteria. The first relates to governance "powers": planning powers, regulatory powers, spending powers, revenue-generating powers, and the power to enter into agreements. The second set of criteria derive from the understanding of governance as a set of social functions: social coordination, shaping power, setting direction, and building community. The analysis helps to detail ways in which the Tanzanian state through policy and regulations has constrained the potential for Ikona WMA to empower communities and community actors. Although it has some features of community-based conservation, community input into how the governance social functions would be carried out in the WMA was constrained from the start and is now largely out of community hands. The two governance powers that have any significant community-based flavor-spending powers and revenue-generating powers-relate to the WMA's tourism activities, but even here the picture is equivocal at best. The unpacking of governance that we have done, however, reveals that community empowerment through the processes associated with creating and recognizing indigenous and community-conserved areas is something that can be pursued through multiple channels, some of which might be more strategic than others.

  4. Community-Based Tourism - Option for Forest-Dependent Communities in 1A IUCN Protected Areas? Cameroon Case Study

    Directory of Open Access Journals (Sweden)

    Burgin Shelley


    Full Text Available In developing countries, ‘exponential’ growth in IUCN protected lands has occurred in the last 25 years. Approximately 6% of protected areas are ‘Strict Nature Reserve[s]’ (1A with emphasis on conservation and strict restrictions on human access. Before Bakossi Forest Reserve (Cameroon had 1A protection, 95% of local families used the Reserve for their livelihood. They farmed cash crops, collected fire wood, timber, and food with incomes equivalent to US$35,000/annually/family. Post-protection, the Reserve’s local communities lacked support to develop alternative livelihoods, and 75% reported being intercepted illegally trespassing by Reserve guards. Without illegal activity economic impacts would have been substantially greater. Protection has also meant foregone national income from timber and coffee exports. We used Bakossi Forest Reserve as a case study to identify issues facing local communities excluded from the Reserve that traditionally provided their livelihood. We also investigated potential alternative family livelihoods based on critical evaluation of the literature. We identified ‘exceptional’ community-based tourism potential. We also found that Cameroon was the first African country to develop community-based forestry with the dual roles of conservation and poverty alleviation. Using this model, community-based tourism could be a cost-effectively initiative to deliver the same dual roles as community-based forestry.

  5. Suicide by people in a community justice pathway: population-based nested case-control study. (United States)

    King, Carlene; Senior, Jane; Webb, Roger T; Millar, Tim; Piper, Mary; Pearsall, Alison; Humber, Naomi; Appleby, Louis; Shaw, Jenny


    The elevated risk of suicide in prison and after release is a well-recognised and serious problem. Despite this, evidence concerning community-based offenders' suicide risk is sparse. We conducted a population-based nested case-control study of all people in a community justice pathway in England and Wales. Our data show 13% of general population suicides were in community justice pathways before death. Suicide risks were highest among individuals receiving police cautions, and those having recent, or impending prosecution for sexual offences. Findings have implications for the training and practice of clinicians identifying and assessing suicidality, and offering support to those at elevated risk.

  6. Community-based enterprises and the commons: The case of San Juan Nuevo Parangaricutiro, Mexico

    Directory of Open Access Journals (Sweden)

    Alejandra Orozco-Quintero


    Full Text Available Commons scholarship has tended to focus on the administration and use of commons by individuals and households and less so on collective enterprises that extract, transform and market what they harvest from the commons. In this paper, we consider Nuevo San Juan, a Mexican case that is well known in the community forestry and commons literature. In San Juan, indigenous community members who hold the rights for the commons are also the members of the enterprise that transforms and markets goods from the commons. We argue that such a strategy is one way to confront internal and external pressures on a commons. We draw upon the transcripts of 40 interviews undertaken during 2006 which are analyzed using a framework developed from the social, community-based and indigenous enterprise literature. Our goal was to utilize this framework to analyze the San Juan Forest Enterprise and understand its emergence and formation as a long-standing community-based enterprise that intersects with a commons, and thereby identify factors that increase chances of success for community enterprises. We found that by starting from the community-based and indigenous enterprise literature and using that literature to engage with thinking on commons, it was possible to consider the enterprise from the perspective of a regulatory framework rather than from the poles of dependency and modernization theories in which much commons work has been based. Enterprise and commons intersect when both are guided by core cultural values and the enterprise can become a new site for the creation of social and cultural cohesion. We also found that there were a number of necessary conditions for commons-based community-enterprises to retain internal and external legitimacy, namely: (1 leadership representative of the broad social mission rooted in the customary institutions, values and norms of the community; (2 accountability of enterprise leaders to the memberships they represent; and (3

  7. Community-based case-control study of childhood stroke risk associated with congenital heart disease


    Fox, CK; Sidney, S.; Fullerton, HJ


    © 2015 American Heart Association, Inc. BACKGROUND AND PURPOSE - : A better understanding of the stroke risk factors in children with congenital heart disease (CHD) could inform stroke prevention strategies. We analyzed pediatric stroke associated with CHD in a large community-based case-control study. METHODS - : From 2.5 million children (aged 30-fold (odds ratio, 31; confidence interval 4-241) increased risk of stroke in children with CHD when compared with controls. After excluding periop...

  8. Economic Evaluation of Community-Based Case Management of Patients Suffering From Chronic Obstructive Pulmonary Disease

    DEFF Research Database (Denmark)

    Sørensen, Sabrina Storgaard; Pedersen, Kjeld Møller; Weinreich, Ulla Møller


    was the incremental cost-effectiveness ratio (ICER) as cost per quality-adjusted life year (QALY) from the perspective of the healthcare sector. Costs were valued in British Pounds (£) at price level 2016. Scenario analyses and probabilistic sensitivity analyses were conducted in order to assess uncertainty......Objectives To analyse the cost effectiveness of community-based case management for patients suffering from chronic obstructive pulmonary disease (COPD). Methods The study took place in the third largest municipality in Denmark and was conducted as a randomised controlled trial with 12 months...... value used by the National Institute of Health and Care Excellence (NICE). No formally established Danish threshold value exists....

  9. How does community context influence coalitions in the formation stage? a multiple case study based on the Community Coalition Action Theory

    Directory of Open Access Journals (Sweden)

    Honeycutt Sally


    Full Text Available Abstract Background Community coalitions are rooted in complex and dynamic community systems. Despite recognition that environmental factors affect coalition behavior, few studies have examined how community context impacts coalition formation. Using the Community Coalition Action theory as an organizing framework, the current study employs multiple case study methodology to examine how five domains of community context affect coalitions in the formation stage of coalition development. Domains are history of collaboration, geography, community demographics and economic conditions, community politics and history, and community norms and values. Methods Data were from 8 sites that participated in an evaluation of a healthy cities and communities initiative in California. Twenty-three focus groups were conducted with coalition members, and 76 semi-structured interviews were conducted with local coordinators and coalition leaders. Cross-site analyses were conducted to identify the ways contextual domains influenced selection of the lead agency, coalition membership, staffing and leadership, and coalition processes and structures. Results History of collaboration influenced all four coalition factors examined, from lead agency selection to coalition structure. Geography influenced coalition formation largely through membership and staffing, whereas the demographic and economic makeup of the community had an impact on coalition membership, staffing, and infrastructure for coalition processes. The influence of community politics, history, norms and values was most noticeable on coalition membership. Conclusions Findings contribute to an ecologic and theory-based understanding of the range of ways community context influences coalitions in their formative stage.


    Directory of Open Access Journals (Sweden)

    Logan Macnair


    Full Text Available This article presents a case study of the recently conceived and ongoing counter-extremism campaign, Voices Against Extremism, a campaign designed and implemented by university students from Vancouver, Canada. Through a multifaceted approach that includes extensive use of social media, academic research, and grassroots community activities and involvement, Voices Against Extremism operates under the mission statement of countering and preventing violent extremism and radicalization through the humanization of minority groups and through the education and engagement of the silent majority. This article examines the effectiveness of this campaign as a proactive counter-radicalization strategy by outlining its specific components and activities. Based on the results of this campaign, suggestions are then offered regarding specific counter-extremism and counter-radicalizations policies that may be adopted by law enforcement, policymakers – or any other organizations concerned with countering and preventing radicalization and violent extremism – with a specific focus on the potential benefits of proactive and long-term social and community engagement.

  11. Systems thinking tools as applied to community-based participatory research: a case study. (United States)

    BeLue, Rhonda; Carmack, Chakema; Myers, Kyle R; Weinreb-Welch, Laurie; Lengerich, Eugene J


    Community-based participatory research (CBPR) is being used increasingly to address health disparities and complex health issues. The authors propose that CBPR can benefit from a systems science framework to represent the complex and dynamic characteristics of a community and identify intervention points and potential "tipping points." Systems science refers to a field of study that posits a holistic framework that is focused on component parts of a system in the context of relationships with each other and with other systems. Systems thinking tools can assist in intervention planning by allowing all CBPR stakeholders to visualize how community factors are interrelated and by potentially identifying the most salient intervention points. To demonstrate the potential utility of systems science tools in CBPR, the authors show the use of causal loop diagrams by a community coalition engaged in CBPR activities regarding youth drinking reduction and prevention.

  12. Determinants of skilled attendance for delivery in Northwest Ethiopia: a community based nested case control study

    Directory of Open Access Journals (Sweden)

    Mengesha Zelalem Birhanu


    Full Text Available Abstract Background The fifth Millennium Development Goal calls for a reduction of maternal mortality ratio by 75% between 1990 and 2015. A key indicator to measure this goal is the proportion of births attended by skilled health personnel. The maternal mortality ratio of Ethiopia is 676 deaths per 100,000 live births. Skilled birth attendance is correlated with lower maternal mortality rates globally and in Sub-Saharan Africa. However, the proportion of births with a skilled attendant is only 10% in Ethiopia. Therefore identifying the determinants of skilled attendance for delivery is a priority area to give policy recommendations. Methods A community based nested case control study was conducted from October 2009 – August 2011 at the University of Gondar health and demographic surveillance systems site located at Dabat district, Northwest Ethiopia. Data were obtained from the infant mortality prospective follow up study conducted to identify the determinants of infant survival. A pretested and structured questionnaire via interview was used to collect data on the different variables. Logistic regression analysis was used to identify the determinants of skilled birth attendance. Strength of the association was assessed using odds ratio with 95% CI. Results A total of 1065 mothers (213 cases and 852 controls were included in the analysis. Among the cases, 166 (77.9% were from urban areas. More than half (54% of the cases have secondary and above level of education. Secondary and above level of education [AOR (95%CI = 2.8 (1.29, 3.68] and urban residence [AOR (95%CI = 8.8 (5.32, 14.46] were associated with skilled attendance for delivery. Similarly, women who had ANC during their pregnancy four or more times [AOR (95%CI = 2.8 (1.56, 4.98] and who own TV [AOR (95%CI = 2.5 (1.32, 4.76] were more likely to deliver with the assistance of a skilled attendant. Conclusions Women’s education, place of residence, frequency of antenatal

  13. Fostering Teacher Learning Communities: A Case Study of a School-Based Leadership Team's Action Research (United States)

    Fischer, Kenneth Brian


    The purpose of this study is to examine how a school-based leadership team identifies and alters school conditions to foster the development of TLCs. Many educators, school leaders, and politicians have embraced teacher learning communities (TLCs) as a vehicle for school reform. Despite the considerable documentation of the capability for TLCs to…

  14. Analysing a Web-Based E-Commerce Learning Community: A Case Study in Brazil. (United States)

    Joia, Luiz Antonio


    Demonstrates the use of a Web-based participative virtual learning environment for graduate students in Brazil enrolled in an electronic commerce course in a Masters in Business Administration program. Discusses learning communities; computer-supported collaborative work and collaborative learning; influences on student participation; the role of…

  15. Community-based tourism and local culture: the case of the amaMpondo

    Directory of Open Access Journals (Sweden)

    Andrea Giampiccoli


    Full Text Available Tourism, managed constructively, can play a role in poverty alleviation and community development. This paper suggests ways in which Community-based tourism (CBT can be used as a strategy to develop poor communities. Looking at the specific social context of contemporary rural Mpondoland, which is characterised by high degrees of poverty, illiteracy, malnutrition and unemployment, the paper considers ways in which local culture itself can contribute towards positive CBT outcomes. Local culture is not only seen as a tourism attraction, but also a resource upon which CBT development can be built. This paper considers various ways in which the local cultural context can be linked to CBT development, thereby enhancing the CBT development process.

  16. Case Study Report: Community-Based Monitoring Systems for REDD+ in Guyana

    Directory of Open Access Journals (Sweden)

    Helen Bellfield


    Full Text Available A fundamental component of initiatives to reduce emissions from deforestation and forest degradation (REDD+; will be the development of robust and cost-effective measuring, reporting, and verification (MRV instruments for national forest monitoring and safeguard information systems. It is increasingly recognized that community-based monitoring (CBM offers a positive model for greater participation and engagement of indigenous and forest-dependent communities within a REDD+ framework. Yet plans for CBM within REDD+ MRV systems remain limited, and there are currently relatively few concrete examples of CBM informing national forest monitoring systems. This paper outlines findings from a community MRV project with Amerindian communities in the North Rupununi, Guyana; and demonstrates that a CBM approach can enable key REDD+ requirements: in understanding local deforestation drivers and measuring carbon stocks; and for providing information on safeguards through social and environmental assessments. In addition, the authors discuss community capacity-building on smartphone technology for monitoring as a challenging yet viable pathway for scaling the use and adoption of indigenous knowledge and local skills for REDD+ programs.

  17. Mobile devices for community-based REDD+ monitoring: a case study for Central Vietnam. (United States)

    Pratihast, Arun Kumar; Herold, Martin; Avitabile, Valerio; de Bruin, Sytze; Bartholomeus, Harm; Souza, Carlos M; Ribbe, Lars


    Monitoring tropical deforestation and forest degradation is one of the central elements for the Reduced Emissions from Deforestation and Forest Degradation in developing countries (REDD+) scheme. Current arrangements for monitoring are based on remote sensing and field measurements. Since monitoring is the periodic process of assessing forest stands properties with respect to reference data, adopting the current REDD+ requirements for implementing monitoring at national levels is a challenging task. Recently, the advancement in Information and Communications Technologies (ICT) and mobile devices has enabled local communities to monitor their forest in a basic resource setting such as no or slow internet connection link, limited power supply, etc. Despite the potential, the use of mobile device system for community based monitoring (CBM) is still exceptional and faces implementation challenges. This paper presents an integrated data collection system based on mobile devices that streamlines the community-based forest monitoring data collection, transmission and visualization process. This paper also assesses the accuracy and reliability of CBM data and proposes a way to fit them into national REDD+ Monitoring, Reporting and Verification (MRV) scheme. The system performance is evaluated at Tra Bui commune, Quang Nam province, Central Vietnam, where forest carbon and change activities were tracked. The results show that the local community is able to provide data with accuracy comparable to expert measurements (index of agreement greater than 0.88), but against lower costs. Furthermore, the results confirm that communities are more effective to monitor small scale forest degradation due to subsistence fuel wood collection and selective logging, than high resolution remote sensing SPOT imagery.

  18. Formulation of an Integrated Community Based Disaster Management for Hydroelectric facilities: The Malaysia Case (United States)

    Hijazzi, Norshamirra; Thiruchelvam, Sivadass; Sabri Muda, Rahsidi; Nasharuddin Mustapha, Kamal; Che Muda, Zakaria; Ghazali, Azrul; Kamal Kadir, Ahmad; Hakimie, Hazlinda; Sahari, Khairul Salleh Mohamed; Hasini, Hasril; Mohd Sidek, Lariyah; Itam, Zarina; Fadhli Mohamad, Mohd; Razad, Azwin Zailti Abdul


    Dams, however significant their contributions are to the society, are not immune to failures and diminishing lifespan not unlike other structural elements in our infrastructure. Despite continuing efforts on design, construction, operation, and maintenance of dams to improve the safety of the dams, the possibility of unforeseen events of dam failures is still possible. Seeing that dams are usually integrated into close approximities with the community, dam failures may consequent in tremendous loss of lives and properties. The aims of formulation of Integrated Community Based Disaster Management (ICBDM) is to simulate evacuation modelling and emergency planning in order to minimize loss of life and property damages in the event of a dam-related disaster. To achieve the aim above, five main pillars have been identified for the formulation of ICBDM. A series of well-defined program inclusive of hydrological 2-D modelling, life safety modelling, community based EWS and CBTAP will be conducted. Finally, multiple parties’ engagement is to be carried out in the form of table top exercise to measure the readiness of emergency plans and response capabilities of key players during the state of a crisis.

  19. Developing an Interventional Pulmonary Service in a Community-Based Private Practice: A Case Study. (United States)

    French, Kim D; Desai, Neeraj R; Diamond, Edward; Kovitz, Kevin L


    Interventional pulmonology (IP) is a field that uses minimally invasive techniques to diagnose, treat, and palliate advanced lung disease. Technology, formal training, and reimbursement for IP procedures have been slow to catch up with other interventional subspecialty areas. A byproduct of this pattern has been limited IP integration in private practice settings. We describe the key aspects and programmatic challenges of building an IP program in a community-based setting. A philosophical and financial buy-in by stakeholders and a regionalization of services, within and external to a larger practice, are crucial to success. Our experience demonstrates that a successful launch of an IP program increases overall visits as well as procedural volume without cannibalizing existing practice volume. We hope this might encourage others to provide this valuable service to their own communities.

  20. Korean Patient-Perceived Satisfaction Scale of Community-Based Case Management Services (Korean-PSCCM): Development and Psychometric Evaluation. (United States)

    Park, Claire Su-Yeon; Yoon, Saunjoo L; Yun, Soon-Nyung; Park, Eunok


    This study aimed to develop and psychometrically test an instrument for measuring patient-perceived satisfaction with community-based case management services in Korea. The study was conducted in 4 phases: Phase I, development of the instrument; Phase II, pilot testing of the instrument; Phase III, a large-scale study to test reliability and validity; and Phase IV, conversion of the new instrument from Korean to English. The new instrument was determined to have six factors-advocacy of case manager, outcome of care, communication skills, practice of a healthy lifestyle, referral, and recognition of risk factors-and also shown to be reliable.

  1. A case study of a distance-based public health nursing/community health nursing practicum. (United States)

    Vandenhouten, Christine; Block, Derryl


    Facilitating a distance-based public health/community health nursing practicum for RN to BSN students posed challenges and opportunities. Challenges included time involved in arranging the practicum, relationship building with agencies and staff, communicating with students, and the need for flexible practicum scheduling. Exposure to practice models from across the nation allowed students to compare and contrast these public health nursing models. Programs planning to offer this type of course should consider faculty workload particularly during the semester prior to teaching the practicum.

  2. Engaging homeless youth in community-based participatory research: a case study from Skid Row, Los Angeles. (United States)

    Garcia, Analilia P; Minkler, Meredith; Cardenas, Zelenne; Grills, Cheryl; Porter, Charles


    Growing evidence highlights the benefits to youth of involvement in community-based participatory research. Less attention has been paid, however, to the contributions youth can make to helping change health-promoting policy through such work. We describe a multi-method case study of a policy-focused community-based participatory research project in the Skid Row area of downtown Los Angeles, California, where a small group of homeless youth worked with adult mentors to develop and conduct a survey of 96 homeless youth and used the findings to help secure health-promoting policy change. We review the partnership's work at each stage of the policy-making process; its successes in changing policy regarding recreation, juvenile justice, and education; and the challenges encountered, especially with policy enforcement. We share lessons learned, including the importance of strong adult mentors and of policy environments conducive to sustainable, health-promoting change for marginalized youth.

  3. Community-Based Coastal Resource Management (CB-CRM: a Case Study f Mariveles, Bataan, Philippines

    Directory of Open Access Journals (Sweden)

    Andrew Lou L. Mungcal


    Full Text Available This paper addressed the issue of sustainable coastal resource management through a successful Community-Based Coastal Resource Management (CB-CRM Program in the Municipality of Mariveles, province of Bataan in the Philippines. The paper investigated how governance and institutional and legislative framework, and the concept of sustainable development complemented each other to promote good local eco-governance in the management and protection of finite local marine resources. Specifically, it analyzed how the local fisherfolk community of Mariveles utilized efficiently their finite marine resources in the context of eco-governance. It also investigated how the cooperative efforts of various stakeholders: peoples’ organizations (POs, local government unit (LGU, and a non-government organization (NGO in Mariveles, Bataan affected their coastal resources against environmental degradation and exploitation. This paper would benefit POs, LGUs, and NGOs in their quest for sustainable management and conservation of their limited coastal resources. This paper yielded the following findings. First, POs and NGOs engage when NGOs can strengthen the POs’ capacity building through the transfer of skills and technology, when NGOs can enhance the POs’ indigenous knowledge, and when NGOs are more knowledgeable of formal venues of LGU participation. Second, LGUs, NGOs and POs engage when POs and NGOs can complement each other to strengthen their capacity building, and when NGOs can help implement environmental programs that are beneficial to the POs. Third, NGOs and POs engage when POs are threatened by elite power, and when NGOs want their environmental issues on LGU’s legislative agenda. Finally, NGOs and POs engage when they see possible LGU cooperation. Participant observation through focus group discussion (FGD and key informants’ interview of different stakeholders was a primary source of information in formulating the aforementioned conclusions

  4. Community-based Forest Resources Management in Nigeria: Case study of Ngel Nyaki Forest Reserve, Mambilla Plateau, Taraba State, Nigeria

    Directory of Open Access Journals (Sweden)

    T.I. Borokini


    Full Text Available In Nigeria, human communities are found within or beside forest ecosystems, depending onthese ecosystems for survival. Their forest exploitation is considered a threat to conservation efforts,leading to constant conflicts between Government, law enforcement agencies and the communities. Thebest solution is a win-win system of participatory community-based forest resources management, inwhich the communities are regarded as stakeholders rather than as threats. This paper explains theadoption of this approach in Ngel Nyaki Forest Reserve, Mambilla Plateau, where the communities weretrained in establishment and management of forest plantations with readily available market for theirtimber; employment for some of the community youths as well as community development projects.This paper calls for the adoption of this system in other protected areas in Nigeria, while theGovernment should provide basic amenities for the communities as alternatives to those forest products.Keywords: Community-based forest management, Ngel Nyaki Forest Reserve, Protected areas, Nigeria.

  5. Concept and Method of Asset-Based Community Development Planning: A Case Study on Minlecun Community in Chongqing’s Yuzhong District

    Institute of Scientific and Technical Information of China (English)

    Huang; Ling; Liu; Yang; Xu; Jianfeng


    With the transformation of the Chinese economy from an extensive growth to intensive development, city development is also gradually turning from incremental construction to stock management. Community, as a basic unit of human settlements, is an important platform to build and improve the social governance capability. In 2013, Shiyoulu Jiedao Offi ce of Yuzhong District led the 1st urban community development planning, which was a milestone of Chongqing’s city regeneration and governance innovation. This paper focuses on two key issues: how to understand the community values and make the community development planning based on the above, and how to integrate with the local forces so that the community development planning can be integrated into the action plan. Combined with the practice of Minlecun Community Development Planning, using the concept of asset-based community development, a comprehensive survey is conducted on community assets(including three aspects of physical, human, and social capital), and a community comprehensive planning strategy is formulated which covers two parts: the optimization of community spaces and the upgrading of community governance. The paper explores the local-based community planning theories and methods from such aspects as value attitude, public participation, role transformation of urban planners, and others.

  6. Community-based active tuberculosis case finding in poor urban settlements of Phnom Penh, Cambodia: a feasible and effective strategy.

    Directory of Open Access Journals (Sweden)

    Natalie Lorent

    Full Text Available In light of the limitations of the current case finding strategies and the global urgency to improve tuberculosis (TB case-detection, a renewed interest in active case finding (ACF has risen. The WHO calls for more evidence on innovative ways of TB screening, especially from low-income countries, to inform global guideline development. We aimed to assess the feasibility of community-based ACF for TB among the urban poor in Cambodia and determine its impact on case detection, treatment uptake and outcome.Between 9/2/2012-31/3/2013 the Sihanouk Hospital Center of HOPE conducted a door-to-door survey for TB in deprived communities of Phnom Penh. TB workers and community health volunteers performed symptom screening, collected sputum and facilitated specimen transport to the laboratories. Fluorescence microscopy was introduced at three referral hospitals. The GeneXpert MTB/RIF assay (Xpert was performed at tertiary level for individuals at increased risk of HIV-associated, drug-resistant or smear-negative TB. Mobile phone/short message system (SMS was used for same-day issuing of positive results. TB workers contacted diagnosed patients and referred them for care at their local health centre.In 14 months, we screened 315.874 individuals; we identified 12.201 aged ≥ 15 years with symptoms suggestive of TB; 84% provided sputum. We diagnosed 783, including 737 bacteriologically confirmed, TB cases. Xpert testing yielded 41% and 48% additional diagnoses among presumptive HIV-associated and multidrug-resistant TB cases, respectively. The median time from sputum collection to notification (by SMS of the first positive (microscopy or Xpert result was 3 days (IQR 2-6. Over 94% commenced TB treatment and 81% successfully completed it.Our findings suggest that among the urban poor ACF for TB, using a sensitive symptom screen followed by smear-microscopy and targeted Xpert, contributed to improved case detection of drug-susceptible and drug-resistant TB

  7. Blessings for All? Community-Based Ecotourism in Bali Between Global, National, and Local Interests – A Case Study

    Directory of Open Access Journals (Sweden)

    Christian Byczek


    Full Text Available As a major island destination in South-East Asia, Bali has won a global reputation as one of the last paradises on earth. As one of the largest industries in the world, global tourism is utilised by the governments of many developing countries as an agent for development and national integration. However, local communities level the criticism that mass tourism has not only brought economic growth but also caused ecological and social costs. In reaction to the excessive developments of the past decades, local Balinese have started to actively implement community-based tourism. The ecotourism village-network Jaringan Ekowisata Desa seeks a more sustainable approach to tourism through stronger ownership and the minimisation of negative ecological impacts. The case study presented is based on fieldwork which took place in 2010. It aims to find answers to the questions of whether and to what extent community-based ecotourism initiatives may constitute a sustainable alternative to the negative effects associated with mass tourism. --- Bali gilt innerhalb der Tourismusindustrie als Inbegriff von Exotik und als eines der letzen Paradiese auf Erden. Seit jeher werden die vielfältigen Auswirkungen des Tourismus auf der Insel kontrovers diskutiert. Während vornehmlich Eliten an der in nationalem Interesse forcierten Tourismusentwicklung der südostasiatischen Top-Destination profitieren, kritisiert die einheimische Bevölkerung unzureichende Mitspracherechte und die Vernachlässigung von Nachhaltigkeitskriterien. In Reakti- on wurden seitens der Balinesen Projekte des gemeindebasierten Tourismus ins Leben gerufen. Das Ökotourismus-Dorf-Netzwerk Jaringan Ekowisata Desa ist eine solche Initiative, die sich der lokalen Eigentümerschaft und der Minimierung negativer ökologischer Folgen verschreibt. Anhand der hier präsentierten Fallstudie zu dem zivilgesellschaftlichen Projekt soll beantwortet werden, inwiefern gemeindebasierter Ökotourismus eine

  8. Linking case management and community development. (United States)

    Austin, Carol D; McClelland, Robert W; Gursansky, Di


    Case management, in various forms, is now institutionalized as a core part of policy and programs designed to deliver home- and community-based services to older adults. The case management role, in theory, requires attention to both client and system goals, although in practice the system goals that have received most attention have been gatekeeping and resource allocation. While case managers have been admonished to find and develop resources in the community, this has primarily taken the form of including informal services in individual client care plans. What has been missing is focused attention to the potential of the community as a nurturing environment with the capacity to support older adults and their caregivers. Sustainable care for older adults cannot be achieved by formal service and family support alone. This article proposes the creation of linkages between case managers, who build the service arrangements for older people, and community developers, who are responsible for building community capacity and social capital. It is argued that this linkage is essential for establishing the foundations of a caring community with the capacity to support older people.

  9. The GeoCitizen-approach: community-based spatial planning - an Ecuadorian case study. (United States)

    Atzmanstorfer, Karl; Resl, Richard; Eitzinger, Anton; Izurieta, Xiomara


    Over the last years, geospatial web platforms, social media, and volunteered geographic information (VGI) have opened a window of opportunity for traditional Public Participatory GIS (PPGIS) to usher in a new era. Taking advantage of these technological achievements, this paper presents a new approach for a citizen-orientated framework of spatial planning that aims at integrating participatory community work into existing decision-making structures. One major cornerstone of the presented approach is the application of a social geoweb platform (the GeoCitizen platform) that combines geo-web technologies and social media in one single tool allowing citizens to collaboratively report observations, discuss ideas, solve, and monitor problems in their living environment at a local level. This paper gives an account of an ongoing participatory land-zoning process in the Capital District of Quito, Ecuador, where the GeoCitizen platform is applied in a long-term study.

  10. A Case Study of Teacher Reflection: Examining Teacher Participation in a Video-Based Professional Learning Community (United States)

    Steeg, Susanna M.


    Professional learning communities (PLCs) constitute worthwhile spaces in which to study teacher participation in the reflective practices that have potential to shift their teaching. This qualitative case study details the interactions between dual-language and ELL teachers in a grade-level PLC as they met together to confer over video-clips of…

  11. Community response to artemisinin-based combination therapy for childhood malaria: a case study from Dar es Salaam, Tanzania

    Directory of Open Access Journals (Sweden)

    Nyato Daniel J


    Full Text Available Abstract Background New malaria treatment guidelines in Tanzania have led to the large-scale deployment of artemether-lumefantrine (Coartem®, popularly known as ALu or dawa mseto. Very little is known about how people in malaria endemic areas interpret policy makers' decision to replace existing anti-malarials, such as sulphadoxine-pyrimethamine (SP with "new" treatment regimens, such as ALu or other formulations of ACT. This study was conducted to examine community level understandings and interpretations of ALu's efficacy and side-effects. The paper specifically examines the perceived efficacy of ALu as articulated by the mothers of young children diagnosed with malaria and prescribed ALu. Methods Participant observation, six focus group discussions in two large villages, followed by interviews with a random sample of 110 mothers of children less than five years of age, who were diagnosed with malaria and prescribed ALu. Additionally, observations were conducted in two village dispensaries involving interactions between mothers/caretakers and health care providers. Results While more than two-thirds of the mothers had an overall negative disposition toward SP, 97.5% of them spoke favourably about ALu, emphasizing it's ability to help their children to rapidly recover from malaria, without undesirable side-effects. 62.5% of the mothers reported that they were spending less money dealing with malaria than previously when their child was treated with SP. 88% of the mothers had waited for 48 hours or more after the onset of fever before taking their child to the dispensary. Mothers' knowledge and reporting of ALu's dosage was, in many cases, inconsistent with the recommended dosage schedule for children. Conclusion Deployment of ALu has significantly changed community level perceptions of anti-malarial treatment. However, mothers continue to delay seeking care before accessing ALu, limiting the impact of highly subsidized rollout of the drug

  12. Partner's engagement in community-based health promotion programs: a case study of professional partner's experiences and perspectives in Iran. (United States)

    Bahraminejad, Nasrin; Ibrahim, Faisal; Riji, Haliza Mohd; Majdzadeh, Reza; Hamzah, Azimi; Keshavarz Mohammadi, Nastaran


    Community-based health promotion requires effective participation and partnership of diverse and numerous stakeholders from community as well as external professional organizations. Although effective partnership of stakeholders is often the key for success of health promotion practice and research, but this has proved to be a complex and challenging task. This study is an exploratory study to identify professional stakeholder's perspectives and experiences toward the partner's engagement challenges in community-based participatory research conducted in Population Research Centers in Iran. A qualitative study design with in-depth semi-structured interviews as data collection method was chosen. Using purposeful sampling technique, policy-makers and managers (mainly academics) involved in community-based participatory research in these centers were invited to be interviewed. Data were collected to the point where no new information was forthcoming. All interviews were taped and transcribed. To provide answers for research questions, qualitative content analysis was employed to extract emerging main themes from numerous cods. Findings were categorized in three main themes as Partnership's relationship and trust issues, Partnership's individual issues and Partnership's system issues. Although community-based participatory research in Iran benefits from more than a decade history and some physical infrastructures, but it seems that public health experts and researchers and other partner organizations are lagging behind in terms of capacities and competencies required to effectively utilize the available structure and opportunities. Hence, capacity development, both among professional partners and community may be the main way forward to tackling the future challenges for strengthening community actions but should include both levels of individuals and systems.

  13. Introducing Participatory Curriculum Development in China's Higher Education: The Case of Community-Based Natural Resource Management (United States)

    Gubo, Qi; Xiuli, Xu; Ting, Zuo; Xiaoyun, Li; Keke, Chen; Xiaowei, Gao; Miao, Ji; Lin, Liu; Miankui, Mao; Jingsong, Li; Yiching, Song; Zhipu, Long; Min, Lu; Juanwen, Yuan; Vernooy, Ronnie


    This article describes and reflects on a novel course developed at China Agricultural University to introduce Community-Based Natural Resource Management at the postgraduate level. This course, part of a larger educational renewal initiative addressing the current reform of China's higher education system, was developed through a participatory…

  14. Modelling of occupational respirable crystalline silica exposure for quantitative exposure assessment in community-based case-control studies

    NARCIS (Netherlands)

    Peters, Susan; Vermeulen, Roe; Portengen, Lutzen; Olsson, Ann; Kendzia, Benjamin; Vincent, Raymond; Savary, Barbara; Lavoue, Jerome; Cavallo, Domenico; Cattaneo, Andrea; Mirabelli, Dario; Plato, Nils; Fevotte, Joelle; Pesch, Beate; Bruening, Thomas; Straif, Kurt; Kromhout, Hans


    We describe an empirical model for exposure to respirable crystalline silica (RCS) to create a quantitative job-exposure matrix (JEM) for community-based studies. Personal measurements of exposure to RCS from Europe and Canada were obtained for exposure modelling. A mixed-effects model was elaborate

  15. Final base case community analysis: Indian Springs, Nevada for the Clark County socioeconomic impact assessment of the proposed high- level nuclear waste repository at Yucca Mountain, Nevada

    Energy Technology Data Exchange (ETDEWEB)



    This document provides a base case description of the rural Clark County community of Indian Springs in anticipation of change associated with the proposed high-level nuclear waste repository at Yucca Mountain. As the community closest to the proposed site, Indian Springs may be seen by site characterization workers, as well as workers associated with later repository phases, as a logical place to live. This report develops and updates information relating to a broad spectrum of socioeconomic variables, thereby providing a `snapshot` or `base case` look at Indian Springs in early 1992. With this as a background, future repository-related developments may be analytically separated from changes brought about by other factors, thus allowing for the assessment of the magnitude of local changes associated with the proposed repository. Given the size of the community, changes that may be considered small in an absolute sense may have relatively large impacts at the local level. Indian Springs is, in many respects, a unique community and a community of contrasts. An unincorporated town, it is a small yet important enclave of workers on large federal projects and home to employees of small- scale businesses and services. It is a rural community, but it is also close to the urbanized Las Vega Valley. It is a desert community, but has good water resources. It is on flat terrain, but it is located within 20 miles of the tallest mountains in Nevada. It is a town in which various interest groups diverge on issues of local importance, but in a sense of community remains an important feature of life. Finally, it has a sociodemographic history of both surface transience and underlying stability. If local land becomes available, Indian Springs has some room for growth but must first consider the historical effects of growth on the town and its desired direction for the future.

  16. Challenges from Tuberculosis Diagnosis to Care in Community-Based Active Case Finding among the Urban Poor in Cambodia: A Mixed-Methods Study.

    Directory of Open Access Journals (Sweden)

    Natalie Lorent

    Full Text Available While community-based active case finding (ACF for tuberculosis (TB holds promise for increasing early case detection among hard-to-reach populations, limited data exist on the acceptability of active screening. We aimed to identify barriers and explore facilitators on the pathway from diagnosis to care among TB patients and health providers.Mixed-methods study. We administered a survey questionnaire to, and performed in-depth interviews with, TB patients identified through ACF from poor urban settlements in Phnom Penh, Cambodia. Additionally, we conducted focus group discussions and in-depth interviews with community and public health providers involved in ACF, respectively.Acceptance of home TB screening was strong among key stakeholders due to perceived reductions in access barriers and in direct and indirect patient costs. Privacy and stigma were not an issue. To build trust and facilitate communication, the participation of community representatives alongside health workers was preferred. Most health providers saw ACF as complementary to existing TB services; however, additional workload as a result of ACF was perceived as straining operating capacity at public sector sites. Proximity to a health facility and disease severity were the strongest determinants of prompt care-seeking. The main reasons reported for delays in treatment-seeking were non-acceptance of diagnosis, high indirect costs related to lost income/productivity and transportation expenses, and anticipated side-effects from TB drugs.TB patients and health providers considered home-based ACF complementary to facility-based TB screening. Strong engagement with community representatives was believed critical in gaining access to high risk communities. The main barriers to prompt treatment uptake in ACF were refusal of diagnosis, high indirect costs, and anticipated treatment side-effects. A patient-centred approach and community involvement were essential in mitigating barriers

  17. Institutional review board challenges related to community-based participatory research on human exposure to environmental toxins: A case study

    Directory of Open Access Journals (Sweden)

    Rudel Ruthann A


    Full Text Available Abstract Background We report on the challenges of obtaining Institutional Review Board (IRB coverage for a community-based participatory research (CBPR environmental justice project, which involved reporting biomonitoring and household exposure results to participants, and included lay participation in research. Methods We draw on our experiences guiding a multi-partner CBPR project through university and state Institutional Review Board reviews, and other CBPR colleagues' written accounts and conference presentations and discussions. We also interviewed academics involved in CBPR to learn of their challenges with Institutional Review Boards. Results We found that Institutional Review Boards are generally unfamiliar with CBPR, reluctant to oversee community partners, and resistant to ongoing researcher-participant interaction. Institutional Review Boards sometimes unintentionally violate the very principles of beneficence and justice which they are supposed to uphold. For example, some Institutional Review Boards refuse to allow report-back of individual data to participants, which contradicts the CBPR principles that guide a growing number of projects. This causes significant delays and may divert research and dissemination efforts. Our extensive education of our university Institutional Review Board convinced them to provide human subjects protection coverage for two community-based organizations in our partnership. Conclusions IRBs and funders should develop clear, routine review guidelines that respect the unique qualities of CBPR, while researchers and community partners can educate IRB staff and board members about the objectives, ethical frameworks, and research methods of CBPR. These strategies can better protect research participants from the harm of unnecessary delays and exclusion from the research process, while facilitating the ethical communication of study results to participants and communities.

  18. Community-based river management in Southeast Sulawesi, Indonesia: a case study of the Bau-Bau River. (United States)

    Manan, A; Ibrahim, M


    In this paper we explain the current condition of the Bau-Bau River, examine community participation for management of the river system, and consider options for improving the institutional capacity for a community-based approach. This assessment is based on a research project with the following objectives: (1) analyse the biophysical and socio-economic condition of the river as a basis for future planning; (2) identify current activities which contribute waste or pollution to the river; (3) assess the status and level of pollution in the river; (4) analyse community participation related to all stages of river management; and (5) identify future river management needs and opportunities. Due to the increasing population in Bau-Bau city, considerable new land is required for housing, roads, agriculture, social facilities, etc. Development in the city and elsewhere has increased run-off and erosion, as well as sedimentation in the river. In addition, household activities are generating more solid and domestic waste that causes organic pollution in the river. The research results show that the water quality in the upper river system is still good, whilst the quality of water in the vicinity of Bau-Bau city, from the mid-point of the watershed to the estuary, is not good, being contaminated with heavy metals (Cd and Pb) and organic pollutants. However, the levels of those pollutants are still below regulatory standards. The main reasons for pollution in the river are mainly lack of management for both liquid and solid wastes, as well as lack of community participation in river management. The government of Bau-Bau city and the community are developing a participatory approach for planning to restore and conserve the Bau-Bau River as well as the entire catchment. The activities of this project are: (1) forming institutional arrangements to support river conservation; (2) implementing extension initiatives to empower the community; (3) identifying a specific location to

  19. Meeting Rural Demand: A Case for Combining Community-Based Distribution and Social Marketing of Injectable Contraceptives in Tigray, Ethiopia (United States)

    Prata, Ndola; Weidert, Karen; Fraser, Ashley; Gessessew, Amanuel


    Background In Sub-Saharan Africa, policy changes have begun to pave the way for community distribution of injectable contraceptives but sustaining such efforts remains challenging. Combining social marketing with community-based distribution provides an opportunity to recover some program costs and compensate workers with proceeds from contraceptive sales. This paper proposes a model for increasing access to injectable contraceptives in rural settings by using community-based distributers as social marketing agents and incorporating financing systems to improve sustainability. Methods This intervention was implemented in three districts of the Central Zone of Tigray, Ethiopia and program data has been collected from November 2011 through October 2012. A total of 137 Community Based Reproductive Health Agents (CBRHAs) were trained to provide injectable contraceptives and were provided with a loan of 25 injectable contraceptives from a drug revolving fund, created with project funds. The price of a single dose credited to a CBRHA was 3 birr ($0.17) and they provide injections to women for 5 birr ($0.29), determined with willingness-to-pay data. Social marketing was used to create awareness and generate demand. Both quantitative and qualitative methods were used to examine important feasibility aspects of the intervention. Results Forty-four percent of CBRHAs were providing family planning methods at the time of the training and 96% believed providing injectable contraceptives would improve their services. By October 2012, 137 CBRHAs had successfully completed training and provided 2541 injections. Of total injections, 47% were provided to new users of injectable contraceptives. Approximately 31% of injections were given for free to the poorest women, including adolescents. Conclusions Insights gained from the first year of implementation of the model provide a framework for further expansion in Tigray, Ethiopia. Our experience highlights how program planners can

  20. Meeting rural demand: a case for combining community-based distribution and social marketing of injectable contraceptives in Tigray, Ethiopia.

    Directory of Open Access Journals (Sweden)

    Ndola Prata

    Full Text Available BACKGROUND: In Sub-Saharan Africa, policy changes have begun to pave the way for community distribution of injectable contraceptives but sustaining such efforts remains challenging. Combining social marketing with community-based distribution provides an opportunity to recover some program costs and compensate workers with proceeds from contraceptive sales. This paper proposes a model for increasing access to injectable contraceptives in rural settings by using community-based distributers as social marketing agents and incorporating financing systems to improve sustainability. METHODS: This intervention was implemented in three districts of the Central Zone of Tigray, Ethiopia and program data has been collected from November 2011 through October 2012. A total of 137 Community Based Reproductive Health Agents (CBRHAs were trained to provide injectable contraceptives and were provided with a loan of 25 injectable contraceptives from a drug revolving fund, created with project funds. The price of a single dose credited to a CBRHA was 3 birr ($0.17 and they provide injections to women for 5 birr ($0.29, determined with willingness-to-pay data. Social marketing was used to create awareness and generate demand. Both quantitative and qualitative methods were used to examine important feasibility aspects of the intervention. RESULTS: Forty-four percent of CBRHAs were providing family planning methods at the time of the training and 96% believed providing injectable contraceptives would improve their services. By October 2012, 137 CBRHAs had successfully completed training and provided 2541 injections. Of total injections, 47% were provided to new users of injectable contraceptives. Approximately 31% of injections were given for free to the poorest women, including adolescents. CONCLUSIONS: Insights gained from the first year of implementation of the model provide a framework for further expansion in Tigray, Ethiopia. Our experience highlights how

  1. Humidifier Disinfectants Are a Cause of Lung Injury among Adults in South Korea: A Community-Based Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Ji-Hyuk Park

    Full Text Available An outbreak of lung injury among South Korean adults was examined in a hospital-based case-control study, and the suspected cause was exposure to humidifier disinfectant (HD. However, a case-control study with community-dwelling controls was needed to validate the previous study's findings, and to confirm the exposure-response relationship between HD and lung injury.Each case of lung injury was matched with four community-dwelling controls, according to age (±3 years, sex, residence, and history of childbirth since 2006 (for women. Environmental risk factors, which included type and use of humidifier and HD, were investigated using a structured questionnaire during August 2011. The exposure to HD was calculated for both cases and controls, and the corresponding risks of lung injury were compared.Among 28 eligible cases, 16 patients agreed to participate, and 60 matched controls were considered eligible for this study. The cases were more likely to have been exposed to HD (odds ratio: 116.1, 95% confidence interval: 6.5-2,063.7. All cases were exposed to HDs containing polyhexamethyleneguanidine phosphate, and the risk of lung injury increased with the cumulative exposure, duration of exposure, and exposure per day.This study revealed a statistically significant exposure-response relationship between HD and lung injury. Therefore, continuous monitoring and stricter evaluation of environmental chemicals' safety should be conducted.

  2. A systems approach to modeling Community-Based Environmental Monitoring: a case of participatory water quality monitoring in rural Mexico. (United States)

    Burgos, Ana; Páez, Rosaura; Carmona, Estela; Rivas, Hilda


    Community-Based Environmental Monitoring (CBM) is a social practice that makes a valuable contribution to environmental management and construction of active societies for sustainable future. However, its documentation and analysis show deficiencies that hinder contrast and comparison of processes and effects. Based on systems approach, this article presents a model of CBM to orient assessment of programs, with heuristic or practical goals. In a focal level, the model comprises three components, the social subject, the object of monitoring, and the means of action, and five processes, data management, social learning, assimilation/decision making, direct action, and linking. Emergent properties were also identified in the focal and suprafocal levels considering community self-organization, response capacity, and autonomy for environmental management. The model was applied to the assessment of a CBM program of water quality implemented in rural areas in Mexico. Attributes and variables (indicators) for components, processes, and emergent properties were selected to measure changes that emerged since the program implementation. The assessment of the first 3 years (2010-2012) detected changes that indicated movement towards the expected results, but it revealed also the need to adjust the intervention strategy and procedures. Components and processes of the model reflected relevant aspects of the CBM in real world. The component called means of action as a key element to transit "from the data to the action." The CBM model offered a conceptual framework with advantages to understand CBM as a socioecological event and to strengthen its implementation under different conditions and contexts.

  3. Conservation, livelihoods and tourism: A case study of the Buhoma-Mukono Community-based Tourism Project in Uganda

    NARCIS (Netherlands)

    Ahebwa, W.M.; Duim, van der V.R.


    In developing countries, communities neighboring protected areas continue to bear a disproportionate amount of the costs associated with conservation. Traditional community livelihood strategies such as hunting, logging, and plant harvesting are seen as major threats to protected areas. Therefore, p

  4. A community-based case-control study of asthma and chronic bronchitis in relation to occupation

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, D.; Donan, P.T.; Cowie, H.A.; Miller, B.G.; Soutar, C.A.


    A community-based epidemiological study was conducted in the West Lothian and Central Regions of Scotland in 1994 by postal questionnaire to investigate the associations between occupations previously held and prevalent symptoms of asthma and chronic bronchitis. 50% of the 34,000 questionnaires were returned. The prevalence of asthma was estimated to be 8% and that of chronic bronchitis was 15%. The prevalence of asthma and of chronic bronchitis related to work was estimated to be 0.5% and 2.2% respectively. Clinical assessments of a sample of respondents confirmed the reliability of diagnoses of asthma using a self-administered questionnaire, but suggested that the work-relatedness of asthma was less reliably diagnosed. Asthma symptoms were particularly implicated with employment in the food processing, catering and textiles industries. Chronic bronchitis symptoms were associated with dusty jobs such as coal mining metal processing and manufacturing of electrical products.

  5. Design, and participant enrollment, of a randomized controlled trial evaluating effectiveness and cost-effectiveness of a community-based case management intervention, for patients suffering from COPD

    DEFF Research Database (Denmark)

    Sørensen, Sabrina Storgaard; Pedersen, Kjeld Møller; Weinreich, Ulla Møller


    patients were randomized into two groups: the case-managed group and the usual-care group. Participant characteristics were obtained at baseline, and measures on effectiveness and costs were obtained through questionnaires and registries within a 12-month follow-up period. In the forthcoming analysis......Background: Case management interventions are recommended to improve quality of care and reduce costs in chronic care, but further evidence on effectiveness and cost-effectiveness is needed. The objective of this study is the reporting of the design and participant enrollment of a randomized...... controlled trial, conducted to evaluate the effectiveness and cost-effectiveness of a community-based case management model for patients suffering from chronic obstructive pulmonary disease (COPD). With a focus on support for self-care and care coordination, the intervention was hypothesized to result...

  6. User fluctuation in communities: a forum case

    CERN Document Server

    Petrushyna, Zinayida


    Understanding fluctuation of users help stakeholders to provide a better support to communities. Below we present an experiment where we detect communities, their evolution and based on the data characterize users that stay, leave or join a community. Using a resulted feature set and logistic regression we operate with models of users that are joining and users that are staying in a community. In the related work we emphasize a number of features we will include in our future experiments to enhance train accuracy. This work represents a ?first from a series of experiments devoted to user fluctuation in communities.

  7. Three Community College Case Studies (United States)

    Wojtysiak, Joseph; Sutton, William J., II; Wright, Tommy; Brantley, Linda


    This article presents three case studies that focus on specific projects that are underway or have been completed. In the first case study, Joseph Wojtysiak and William J. Sutton, II discuss the Green Center of Central Pennsylvania, which is designed to serve as the state's preeminent source for education, training and public information about…

  8. International Journal of Web Based Communities

    DEFF Research Database (Denmark)


    Special Issue on Knowledge Communication, culture and communities of practice in web based communities. ......Special Issue on Knowledge Communication, culture and communities of practice in web based communities. ...

  9. Public facility planning in urban villagers' community based on Public Participation GIS: a case study of Wuhan new urban areas (United States)

    Li, Jun; Zeng, Zheng; Yu, Yang


    As a unique group in China's urbanization, "urban villager" is the concern of various parties of the society. From "farmers" to "urban residents", urban villagers' means of production and life style change dramatically. At present, public facility planning in urban villagers' community always fail to meet their particular demands. Taking PPGIS as an instrument, the paper analyzes the present status of public facilities in urban villagers' community and the new demand on public facilities from the changing production means and life style. The purpose is to put forward suggestions for public facility setting in urban villagers' community and offer theoretic guidance and proposal for Wuhan new urban areas. PPGIS is gradually being applied to social science researches in recent years. Through the integrated platform, it can achieve the objective of communication, coordination, cooperation and collaboration of different interests. In this research, ephemeral mapping, sketch mapping, scale mapping and aerial photographs are used to acquire spatial data of public facilities and attribute data of urban villagers in their community. Through the comparison of data, the research shows that while urban villagers in Wuhan new urban areas gradually accept city life, they inevitably maintain certain rural habits and customs. Therefore, the public facility planning in this particular kind of communities can neither be treated equal as countryside facility planning, nor simply adopt the practice in urban residential areas' planning; rather the planning system should take into account facilities of different categories at all levels, communities of different types and residential groups.

  10. Chapter 11. Community analysis-based methods

    Energy Technology Data Exchange (ETDEWEB)

    Cao, Y.; Wu, C.H.; Andersen, G.L.; Holden, P.A.


    Microbial communities are each a composite of populations whose presence and relative abundance in water or other environmental samples are a direct manifestation of environmental conditions, including the introduction of microbe-rich fecal material and factors promoting persistence of the microbes therein. As shown by culture-independent methods, different animal-host fecal microbial communities appear distinctive, suggesting that their community profiles can be used to differentiate fecal samples and to potentially reveal the presence of host fecal material in environmental waters. Cross-comparisons of microbial communities from different hosts also reveal relative abundances of genetic groups that can be used to distinguish sources. In increasing order of their information richness, several community analysis methods hold promise for MST applications: phospholipid fatty acid (PLFA) analysis, denaturing gradient gel electrophoresis (DGGE), terminal restriction fragment length polymorphism (TRFLP), cloning/sequencing, and PhyloChip. Specific case studies involving TRFLP and PhyloChip approaches demonstrate the ability of community-based analyses of contaminated waters to confirm a diagnosis of water quality based on host-specific marker(s). The success of community-based MST for comprehensively confirming fecal sources relies extensively upon using appropriate multivariate statistical approaches. While community-based MST is still under evaluation and development as a primary diagnostic tool, results presented herein demonstrate its promise. Coupled with its inherently comprehensive ability to capture an unprecedented amount of microbiological data that is relevant to water quality, the tools for microbial community analysis are increasingly accessible, and community-based approaches have unparalleled potential for translation into rapid, perhaps real-time, monitoring platforms.

  11. Towards a Community-Based Integrated Institutional Framework for Ecotourism Management: The Case of the Masebe Nature Reserve, Limpopo Province of South Africa

    Directory of Open Access Journals (Sweden)

    C. C. Boonzaaier


    Full Text Available Since it was first adopted in the 1980s, the Community-based Natural Resource Management (CBNRM approach has played a significant role in environmental management. This paper argues that for the CBNRM approach to be relevant, functional, and sustainable, it has to be based on existing local institutional (authority structures, which may have to be adapted, and it may even require new institutions to be created to comply with the requirements of sustainable nature conservation. The main aim of this paper is to propose a CBNRM model based on existing local community (authority structures and to investigate its usefulness in an African setting. The Langa Ndebele chiefdom in the Limpopo Province of South Africa serves as a case study because it displays all the features necessary to explore the possible application of the proposed CBNRM model. Data was gathered by means of field research which involved detailed interviews and discussions with functionaries of the relevant institutions at grassroots level. Specific recommendations relating to the use of the model are made.

  12. A community-based organization: the Las Mercedes Project. (United States)

    Murphy, John W


    Using the Las Mercedes Project as an example, the aim of this article is to discuss the philosophy and practice of community-based projects. At the core of such projects is a shift in understanding the nature of community. A community, in this case, represents a reality that persons construct that determines the character of rules, norms, and the focus and style of interventions. Additionally, community-based organizations, such as the Las Mercedes Project, are fully participatory, decentered, and carry the imprint of a community's members. Community-based projects, in this regard, improve the likelihood of creating successful interventions.

  13. Social justice and resource utilization in a community-based organization: a case illustration of the role of the occupational therapist. (United States)

    Braveman, Brent; Suarez-Balcazar, Yolanda


    Social justice and occupational justice have received increased attention in the occupational therapy literature. This evolving discourse has focused on establishing a connection between the effects of social injustice and the resulting negative influences on occupational participation. This literature has also addressed the role of occupational therapists in responding to social injustice at the societal, population, or individual levels. We examine the two most well-known theories of social justice to understand the responsibility of organizations, institutions, or governments in providing for people who have experienced difficulties in maintaining self-sufficiency. We use two case examples to illustrate how community-based organizations act as brokers of human, financial, and other resources and the challenges they face in distributing these resources in a manner consistent with social justice concepts. Finally, we suggest how an occupational therapist might assist such organizations in fairly distributing resources by applying occupational therapy paradigmatic knowledge and skills.

  14. Community-Based Tourism and Peasant Differentiation: Considerations from an Andean case Turismo rural comunitario y diferenciación campesina: Consideraciones a partir de un caso andino

    Directory of Open Access Journals (Sweden)

    Jordi Gascón


    Full Text Available In the last years, Community-Based Tourism has created expectations in many latin american rural communities as an strategy to increase their income and to diversify the sources of this income. But it is an activity that is not free of risks. From a specific case (Amantaní Island, Titikaka Lake, Peru, the article studies one of these risks: the impact of tourism in the socio-economical communitarian cohesion.En los últimos años, el turismo rural comunitario se ha presentado como un instrumento adecuado para aumentar la renta de la población campesina y diversificar sus fuentes de ingresos. Pero se trata de una actividad económica que no está exenta de riesgos. A partir de un caso específico (la isla peruana de Amantaní, en el Lago Titicaca el artículo estudia uno de ellos: el impacto del turismo en la cohesión socioeconómica comunitaria.

  15. Community detection based on network communicability (United States)

    Estrada, Ernesto


    We propose a new method for detecting communities based on the concept of communicability between nodes in a complex network. This method, designated as N-ComBa K-means, uses a normalized version of the adjacency matrix to build the communicability matrix and then applies K-means clustering to find the communities in a graph. We analyze how this method performs for some pathological cases found in the analysis of the detection limit of communities and propose some possible solutions on the basis of the analysis of the ratio of local to global densities in graphs. We use four different quality criteria for detecting the best clustering and compare the new approach with the Girvan-Newman algorithm for the analysis of two "classical" networks: karate club and bottlenose dolphins. Finally, we analyze the more challenging case of homogeneous networks with community structure, for which the Girvan-Newman completely fails in detecting any clustering. The N-ComBa K-means approach performs very well in these situations and we applied it to detect the community structure in an international trade network of miscellaneous manufactures of metal having these characteristics. Some final remarks about the general philosophy of community detection are also discussed.

  16. Opportunities and constraints for community-based conservation: The case of the KwaZulu-Natal Sandstone Sourveld grassland, South Africa

    Directory of Open Access Journals (Sweden)

    Sizwe S. Nkambule


    Full Text Available Background: South Africa is characterised by high levels of biodiversity and species endemism alongside critical levels of socio-economic vulnerability, demonstrating potential for conservation practices that provide both environmental and social benefits. It is argued that communitybased conservation (CBC practices can be strategically positioned to achieve environmental conservation objectives as well as promote local-level socio-economic development. The KwaZulu-Natal Sandstone Sourveld (KZNSS vegetation type is classified as endemic (to KZN, South Africa, and is at present listed as endangered. Additionally, one of the KZNSS grassland patches occurs adjacent to the low-income peri-urban community of iNanda. The study examined local community uses and perceptions of the vegetation type. Objectives: To examine the uses, perceptions and attitudes displayed by the iNanda community towards the KZNSS grassland patch. Furthermore, it is hoped that the results of this study can be utilised to inform the potential use of CBC strategies within socio-economic contexts such as iNanda. Method: A mixed methodological approach was adopted, focusing on iNanda as the case study. One hundred households were purposively interviewed. Descriptive and chi-square statistical tests were carried out to examine main data trends. Results: Respondents displayed alarming levels of unemployment (61% and 34% relied on state grants as a source of household income. Households used the grassland for subsistence (51%, grazing (14%, recreational (13% and cultural purposes (12%. Respondents displayed limited awareness of conservation and the ecological importance of the grassland. However, respondents recognised the need to conserve the grassland based on their perception of changes to the adjacent patch. Conclusion: Potential grassland conservation plans should consider the current use displayed by respondents. Participatory approaches to conservation such as CBC initiatives

  17. Elevating "Low" Language for High Stakes: A Case for Critical, Community-Based Learning in a Medical Spanish for Heritage Learners Program (United States)

    Martinez, Glenn; Schwartz, Adam


    Critical approaches to Spanish heritage language (SHL) pedagogy have called for more meaningful engagement with heritage language communities (Leeman, 2005). In a recent survey, furthermore, SHL students expressed a desire for more community-based activities in SHL curricula (Beaudrie, Ducar, & Relano-Pastor, 2009). This paper reports on the…

  18. Seeing beyond fertiliser trees : a case study of a community based participatory approach to agroforestry research and development in western Kenya

    NARCIS (Netherlands)

    Kiptot, E.


    Key words: village committee approach, agroforestry, improved tree fallows, biomass transfer, realist evaluation, soil fertility, adoption, dissemination.   The thesis explores and describes various processes that take place in the implementation of a community based participatory initiative known a

  19. Design, and participant enrollment, of a randomized controlled trial evaluating effectiveness and cost-effectiveness of a community-based case management intervention, for patients suffering from COPD

    Directory of Open Access Journals (Sweden)

    Sørensen SS


    Full Text Available Sabrina Storgaard Sørensen,1 Kjeld Møller Pedersen,1 Ulla Møller Weinreich,2,3 Lars Holger Ehlers,1 1Danish Center for Healthcare Improvements, Faculty of Social Sciences and Faculty of Health Sciences, Aalborg University, Aalborg East, Denmark; 2Department of Respiratory Medicine, Aalborg University Hospital, Aalborg, Denmark; 3The Clinical Institute, Aalborg University Hospital, Aalborg, Denmark Background: Case management interventions are recommended to improve quality of care and reduce costs in chronic care, but further evidence on effectiveness and cost-effectiveness is needed. The objective of this study is the reporting of the design and participant enrollment of a randomized controlled trial, conducted to evaluate the effectiveness and cost-effectiveness of a community-based case management model for patients suffering from chronic obstructive pulmonary disease (COPD. With a focus on support for self-care and care coordination, the intervention was hypothesized to result in a reduced number of COPD-related hospital admissions. Patients and methods: The design was a randomized controlled trial conducted from 2012 to 2014 with randomization and intervention at patient level. The study took place in Aalborg Municipality, a larger municipality in Denmark. A total of 150 COPD patients were randomized into two groups: the case-managed group and the usual-care group. Participant characteristics were obtained at baseline, and measures on effectiveness and costs were obtained through questionnaires and registries within a 12-month follow-up period. In the forthcoming analysis, effectiveness will be evaluated on COPD-related hospital admissions, mortality, health- related quality of life, and self-care. An economic evaluation will examine the cost-effectiveness of case management against current usual care from the perspective of the health care sector. Results: Baseline characteristics were comparable between the two groups except for the

  20. Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico. (United States)

    Mendes, Rosilda; Plaza, Veronica; Wallerstein, Nina


    Health promotion programs are commonly viewed as value-free initiatives which seek to improve health, often through behavior change. An opposing view has begun to emerge that health promotion efforts, especially ones seeking to impact health policy and social determinants of health, are vulnerable to political contexts and may depend on who is in power at the time. This community-based participatory research study attempts to understand these interactions by applying a conceptual model focused on the power context, diverse stakeholder roles within this context, and the relationship of political levers and other change strategies to the sustainability of health promotion interventions aimed at health policy change. We present a case study of a health promotion coalition, New Mexico for Responsible Sex Education (NMRSE), as an example of power dynamics and change processes. Formed in 2005 in response to federal policies mandating abstinence-only education, NMRSE includes community activists, health promotion staff from the New Mexico Department of Health, and policy-maker allies. Applying an adapted Mayer's 'power analysis' instrument, we conducted semi-structured stakeholder interviews and triangulated political-context analyses from the perspective of the stakeholders.We identified multiple understandings of sustainability and health promotion policy change, including: the importance of diverse stakeholders working together in coalition and social networks; their distinct positions of power within their political contexts; the role of science versus advocacy in change processes; the particular challenges for public sector health promotion professionals; and other facilitators versus barriers to action. One problem that emerged consisted of the challenges for state employees to engage in health promotion advocacy due to limitations imposed on their activities by state and federal policies. This investigation's results include a refined conceptual model, a power

  1. Depression and Obesity/Overweight Association in Elderly Women: a Community-Based Case-Control Study. (United States)

    Ahmadi, Seyed Mehdi; Keshavarzi, Sareh; Mostafavi, Seyed-Ali; Bagheri Lankarani, Kamran


    Overweight/obesity and depression are common among women especially in the elderly and can lead to unfavorable outcomes. We aimed to determine the association of overweight with depression and also to find any correlation of depression with some anthropometric indices in old women. A total of 94 depressed elderly women were compared with 99 non-depressed controls. The structured diagnostic interview based on DSM-IV were performed to diagnose depression, and Geriatric Depression Scale (GDS) was completed to rate it. Anthropometric indices were measured and compared between groups. Pearson correlation coefficients were determined for linear relations between variables. Odds Ratio of obesity and overweight in depressed subjects comparing with normal participants was 1.45 (95%CI=0.63-3.32). A significant correlation was observed between BMI and GDS score (r=0.231, P-value=0.001). Total body fat (P-value=0.001) and BMI (P-value=0.016) were significantly higher in depressed women than non-depressed women. Despite the significantly higher total body fat and BMI among old women with depression, only a weak correlation was seen between BMI and GDS score.

  2. Rural Governance, Community Empowerment and the New Institutionalism: A Case Study of the Isle of Wight (United States)

    Clark, David; Southern, Rebekah; Beer, Julian


    This article compares two different institutional models--state-sponsored rural partnerships and community-based development trusts--for engaging and empowering local communities in area-based regeneration, using the Isle of Wight as a case study. Following a critical review of the literature on community governance, we evaluate the effectiveness…

  3. Community-based recreational football

    DEFF Research Database (Denmark)

    Bruun, Ditte Marie; Bjerre, Eik; Krustrup, Peter


    disease, diabetes and osteoporosis. Epidemiological evidence points to a positive effect of regular physical activity on all-cause and prostate cancer mortality and current clinical evidence supports the use of exercise in cancer rehabilitation. However, the external validity of existing exercise studies...... is limited and the majority of prostate cancer survivors remain sedentary. Hence, novel approaches to evaluate and promote physical activity are warranted. This paper presents the rationale behind the delivery and evaluation of community-based recreational football offered in existing football clubs under...... the Danish Football Association to promote quality of life and physical activity adherence in prostate cancer survivors. The RE-AIM framework will be applied to evaluate the impact of the intervention including outcomes both at the individual and organizational level. By introducing community-based sport...

  4. A Case Study of Peer Educators in a Community-Based Program to Reduce Teen Pregnancy: Selected Characteristics Prior to Training, Perceptions of Training and Work, and Perceptions of How Participation in the Program Has Affected Them (United States)

    Beshers, Sarah C.


    This investigation is a case study of peer educators in a community-based teen pregnancy prevention program. Research questions focused on identifying ways in which peer educators differed from other teens and exploring the perceptions of the peer educators about their experience in the program and the ways in which it has affected them. Data were…

  5. Emerging issues on the sustainability of the community based rural water resources management approach in Zimbabwe: A case study of Gwanda District

    Directory of Open Access Journals (Sweden)

    Thulani Dube


    Full Text Available Although there is considerable on-going debate about the suitability and sustainability of community based water resources management (CBWRM in Africa as a water provision strategy, evidence shows that this approach has gone a long way in promoting access to clean water amongst rural African communities. CBWRM provides an alternative approach to water provision for rural communities. This paper examines how the strategy has been operationalised in Gwanda District in Zimbabwe. The paper examines the experiences of rural communities in using CBWRM. Data was collected using focus group discussions, key informant in-depth interviews and a survey of 685 households in Gwanda district across five wards. The findings of this study are that 67% of the surveyed rural communities in Gwanda depended on community managed water resources mostly in the form of boreholes and protected wells. High rates of nun-functional sources were reported at 60-70% in most wards. Several system weaknesses were noted in the current CBWRM set-up including a depletion of committee memberships, inadequate community resources, limited agency and government support. This paper makes several recommendations on strengthening the capacity of CBWRM in Zimbabwe and Africa.

  6. Case-based reasoning

    CERN Document Server

    Kolodner, Janet


    Case-based reasoning is one of the fastest growing areas in the field of knowledge-based systems and this book, authored by a leader in the field, is the first comprehensive text on the subject. Case-based reasoning systems are systems that store information about situations in their memory. As new problems arise, similar situations are searched out to help solve these problems. Problems are understood and inferences are made by finding the closest cases in memory, comparing and contrasting the problem with those cases, making inferences based on those comparisons, and asking questions whe

  7. Environmental exposure to BDE47 is associated with increased diabetes prevalence: Evidence from community-based case-control studies and an animal experiment (United States)

    Zhang, Zhan; Li, Shushu; Liu, Lu; Wang, Li; Xiao, Xue; Sun, Zhenzhen; Wang, Xichen; Wang, Chao; Wang, Meilin; Li, Lei; Xu, Qiujin; Gao, Weimin; Wang, Shou-Lin


    Brominated flame retardants exposure has been associated with increasing trends of diabetes and metabolic disease. Thus, the purpose of this study was to provide evidence of polybrominated diphenyl ethers (PBDEs) exposure in relation to diabetes prevalence and to reveal the potential underlying mechanism in epidemiological and animal studies. All the participants received a questionnaire, health examination, and the detection of 7 PBDE congeners in serum in two independent community-based studies from 2011 to 2012 in China. Male rats were exposed to 2,2’4,4’-tetrabromodiphenyl ether (BDE47) for 8 weeks to explore its effects on glucose homeostasis and potential mechanisms using high-throughput genomic analysis. Among the 7 congeners, BDE47 showed significant high detection rate and concentration in cases in Study I and Study II. Every tertile of BDE47 exposure significantly increased the risk of diabetes prevalence in Study I (Ptrend = 0.001) and Study II (Ptrend diabetes pathway and three gene ontology terms involved in glucose transport were enriched. The results indicated that environmental exposure to BDE47 was associated with increased diabetes prevalence. However, further prospective and mechanistic studies are needed to the causation of diabetes in relation to BDE47.

  8. Block-based Community in China’s Social Housing Development:A Case Study on Old City Renovation of Kashgar,Xinjiang Uygur Autonomous Region

    Institute of Scientific and Technical Information of China (English)


    Through the analysis of the international definition and classification of slums,this paper explores the development of China’s social housing system and the renovation of the Old City of Kashgar.It argues that one of the issues in China’s social housing system is to solve the problems of the scarcity of spatial elements and the lack of developmental driving force in large mixed communities of the Han and minority nationalities.Then it examines the elements of renovation and approaches based on a survey of the local residents in different parts of Kashgar City.Comparing the international development of traditional residential quarters and block-based communities,the paper points out that the block-based community is preferred for its impartiality and sustainability,and applies this mode to the renovation of the Old City of Kashgar in the form of design guidelines.

  9. The impact of stakeholder values and power relations on community-based health insurance coverage: qualitative evidence from three Senegalese case studies. (United States)

    Mladovsky, Philipa; Ndiaye, Pascal; Ndiaye, Alfred; Criel, Bart


    Continued low rates of enrolment in community-based health insurance (CBHI) suggest that strategies proposed for scaling up are unsuccessfully implemented or inadequately address underlying limitations of CBHI. One reason may be a lack of incorporation of social and political context into CBHI policy. In this study, the hypothesis is proposed that values and power relations inherent in social networks of CBHI stakeholders can explain levels of CBHI coverage. To test this, three case studies constituting Senegalese CBHI schemes were studied. Transcripts of interviews with 64 CBHI stakeholders were analysed using inductive coding. The five most important themes pertaining to social values and power relations were: voluntarism, trust, solidarity, political engagement and social movements. Analysis of these themes raises a number of policy and implementation challenges for expanding CBHI coverage. First is the need to subsidize salaries for CBHI scheme staff. Second is the need to develop more sustainable internal and external governance structures through CBHI federations. Third is ensuring that CBHI resonates with local values concerning four dimensions of solidarity (health risk, vertical equity, scale and source). Government subsidies is one of the several potential strategies to achieve this. Fourth is the need for increased transparency in national policy. Fifth is the need for CBHI scheme leaders to increase their negotiating power vis-à-vis health service providers who control the resources needed for expanding CBHI coverage, through federations and a social movement dynamic. Systematically addressing all these challenges would represent a fundamental reform of the current CBHI model promoted in Senegal and in Africa more widely; this raises issues of feasibility in practice. From a theoretical perspective, the results suggest that studying values and power relations among stakeholders in multiple case studies is a useful complement to traditional health

  10. Exploring impacts of multi-year, community-based care programs for orphans and vulnerable children: a case study from Kenya. (United States)

    Larson, Bruce A; Wambua, Nancy; Masila, Juliana; Wangai, Susan; Rohr, Julia; Brooks, Mohamad; Bryant, Malcolm


    The Community-Based Care for Orphans and Vulnerable Children (CBCO) program operated in Kenya during 2006-2010. In Eastern Province, the program provided support to approximately 3000 orphans and vulnerable children (OVC) living in 1500 households. A primary focus of the program was to support savings and loan associations composed of OVC caregivers (typically elderly women) to improve household and OVC welfare. Cross-sectional data were collected in 2011 from 1500 randomly selected households from 3 populations: program participants (CBCO group, n=500), households in the same villages as program participants but not in the program (the local-community-group = Group L, n=300), and households living in nearby villages where the program did not operate (the adjacent-community-group, Group A, n=700). Primary welfare outcomes evaluated are household food security, as measured by the Household Food Insecurity Access instrument, and OVC educational attainment. We compared outcomes between the CBCO and the subset of Group L not meeting program eligibility criteria (L-N) to investigate disparities within local communities. We compared outcomes between the CBCO group and the subset of Group A meeting eligibility criteria (A-E) to consider program impact. We compared outcomes between households not eligible for the program in the local and adjacent community groups (L-N and A-N) to consider if the adjacent communities are similar to the local communities. In May-June 2011, at the end of the OVC program, the majority of CBCO households continued to be severely food insecure, with rates similar to other households living in nearby communities. Participation rates in primary school are high, reflecting free primary education. Among the 18-22 year olds who were "children" during the program years, relatively few children completed secondary school across all study groups. Although the CBCO program likely provided useful services and benefits to program participants, disparities

  11. An academic, business, and community alliance to promote evidence-based public health policy: the case of primary seat belt legislation. (United States)

    Goldzweig, Irwin A; Schlundt, David G; Moore, Wayne E; Smith, Patricia E; Zoorob, Roger J; Levine, Robert S


    An academic, business, and community alliance comprising 285 organizations, including 43 national groups represented on a Blue Ribbon Panel organized by the U.S. Secretary of Transportation, targeted Arkansas, Florida, Mississippi, Minnesota, Tennessee, and Wisconsin for high involvement/intervention consisting of community organization and other political action to support passage of primary seat belt laws. State-level alliance activities began in January 2003. All six states enacted a primary seat belt law between 2004 and 2009. From January 2003 to May 2010, passage of primary legislation was 4.5 times as likely (95% CI 1.90, 10.68) in states with high versus low alliance involvement. Positive interaction between high alliance involvement and offers of federal incentives may have occurred as well. This evidence of success suggests that academic-business-community alliances for action to promote evidence-based public health policy may be effective.

  12. Planning for Community Based Tourism in a Remote Location

    Directory of Open Access Journals (Sweden)

    Sharon Harwood


    Full Text Available Remote areas are difficult to access, tend to lack critical infrastructure, are highly susceptible to shocks in the marketplace, and are perceived by industry to possess limited development opportunities. Accordingly a community orientated and territorial approach to development planning in a remote area will be more successful than a top down industry based approach [1]. Given the limitations of being remote, the case study community examined in this research manages and sustains a bird watching tourism product within a global market place. This paper examines how a remotely located community in the Arfak Mountains of West Papua overcomes these difficulties and plans for community based tourism (CBT in their locale.

  13. Community-Based Social Marketing Training Guide (United States)

    The Community-Based Social Marketing (CBSM) Training Guide and recycling toolkit provides an overview of how to increase the adoption of sustainable behaviors and recycling practices with a community.

  14. Community-based technology transfer in rural aquaculture: the case of mudcrab Scylla serrata nursery in ponds in Northern Samar, Central Philippines. (United States)

    Baticados, Didi B; Agbayani, Renato F; Quinitio, Emilia T


    Finding aquaculture development approaches to open up livelihood opportunities for the rural poor and in mainstreaming smallholder fish farmers to reduce poverty remain a challenge. This paper examines the community-based technology transfer mechanism of mudcrab nursery in ponds and its socioeconomic impacts on smallholder mudcrab growers in Northern Samar, Philippines. Results indicated that the technology is a viable enterprise done by a straight culture system method, which is the rearing of crablets from aquaculture technologies.

  15. A case study on knowledge communication based on friends-list links in the science blogging community at

    Institute of Scientific and Technical Information of China (English)

    Junping; QIU; Feifei; WANG; Houqiang; YU

    2011-01-01 is the leading online portal serving the Chinese scientific community.This paper intends to analyze the interdisciplinary and intradisciplinary knowledge communication patterns based on friends-list links in the blog community at by using hyperlink analysis and social network analysis.The major findings are:1)More bloggers have an academic background in management science and life science;2)there are some core actors in co-inlink network and co-outlink network,who take the lead in engaging with knowledge exchange activities and produce a great influence on interdisciplinary communication;3)interactive relationships commonly exist between a blogger and those on his/her friends list,and the most linked-to blogs usually play a key role in generating interactive communication;4)management science has the highest co-inlink count with life science or information science and it has the highest co-outlink count with life science or mathematical and physical science;5)management science and life science have the greatest impact on information science and the interdisciplinary knowledge communication will also produce relatively significant influence on the development of information science discipline.It is our hope that this research can serve as a reference source for the future studies of academic virtual communities,and the development of mechanisms for facilitating increased engagement in knowledge exchange activities in academic virtual communities.

  16. Issues for Community Development: Some Case Studies. (United States)

    Oliver, Quintin; And Others


    Includes "Community Development in Areas of Political and Social Conflict" (Oliver); "Women and Development in Peru" (Barrig); "Some Reflections on Community Development Experiences in Brazil" (O'Gorman); "Informal Networks for Pre-School Children in a Black Community in South Africa" (Lines); "The…

  17. Towards a "Learning Community": The Case of Rana Primary School. (United States)

    Cocklin, Barry


    Case study of a small elementary school in rural New South Wales (Australia) found that the community's history, the size of the school, and the relationship between school staff, students, and stakeholders contributed to development of a learning community. Suggests that becoming a learning community involves an ongoing, developmental, and…

  18. Integrating Community into the Classroom: Community Gardening, Community Involvement, and Project-Based Learning. (United States)

    Langhout, Regina Day; Rappaport, Julian; Simmons, Doretha


    Culturally relevant, ongoing project-based learning was facilitated in a predominantly African American urban elementary school via a community garden project. The project involved teachers, students, university members, and community members. This article evaluates the project through two classroom-community collaboration models, noting common…

  19. Community Development Strategic Planning with a Focus on Social Variables, Case study: Tollab Community of Mashhad

    Directory of Open Access Journals (Sweden)

    E. Mafi


    and strategic planning and systemic planning displaced. Strategy means having central long term aims and thinking about their access methods. Strategic planning is a systematic planning method in making continuity among priority action by considering pros and cons (abilities and resources of organization and opportunities and threats (outer factors and affective cases on organization with essential procedure to reach organization mission. This study tries to reply three following questions:-. Where are we now?-. Where do we want to go?-. How do we reach that?Various models are introduced for strategic planning procedure, but their communal property is their cycling and planning process, at this manner that they begin from inner and outer periphery recognition and after underpinning the strategies lead to executive phase and all phases evaluate and feedback affects are checked. SWOT model in terms of date consequence is last model in underpinning strategic planning that is one of the most efficient among qualitative models. From this model᾿s point of view, an appropriate strategy makes strengths and opportunities extreme and weaknesses and threats at least. In executive phase of SWOT avoiding of weaknesses and threats is necessary and must consider the weaknesses as potential to making strength and threats as a power to making opportunity.2-2- Community DevelopmentOne of the negative effects of traditional comprehensive plans is gravitating toward totalism and incorporating the methods and solutions and for reaction to compensate this basic deficient, the strategic planning trends to planning and designing in small scales and human tangible subjects in community domain. Thus, nowadays urban planning and management attention assigned to lower and more objective levels of urban life, community is most appropriate base to access to urban sustainable development, cause ecologic relationships to general experiences and under community covenant and stakeholder moral

  20. Community-Based Integrated Watershed Management

    Institute of Scientific and Technical Information of China (English)

    Li Qianxiang; Kennedy N.logbokwe; Li Jiayong


    Community-based watershed management is different from the traditional natural resources management. Traditional natural resources management is a way from up to bottom, but the community-based watershed management is from bottom to up. This approach focused on the joining of different stakeholders in integrated watershed management, especially the participation of the community who has been ignored in the past. The purpose of this paper is to outline some of the important basic definitions, concepts and operational framework for initiating community-based watershed management projects and programs as well as some successes and practical challenges associated with the approach.

  1. Influences on Case-Managed Community Aged Care Practice. (United States)

    You, Emily Chuanmei; Dunt, David; Doyle, Colleen


    Case management has been widely implemented in the community aged care setting. In this study, we aimed to explore influences on case-managed community aged care practice from the perspectives of community aged care case managers. We conducted 33 semistructured interviews with 47 participants. We drew these participants from a list of all case managers working in aged care organizations that provided publicly funded case management program(s)/packages in Victoria, Australia. We used a multilevel framework that included such broad categories of factors as structural, organizational, case manager, client, and practice factors to guide the data analysis. Through thematic analysis, we found that policy change, organizational culture and policies, case managers' professional backgrounds, clients with culturally and linguistically diverse backgrounds, and case management models stood out as key influences on case managers' practice. In the future, researchers can use the multilevel framework to undertake implementation research in similar health contexts.

  2. Study on Yunnan Province minority community tourism development and the construction of harmonious community---Based on the analysis of some typical cases%云南省少数民族社区旅游开发与和谐社区建设的研究--基于几个典型案例的分析

    Institute of Scientific and Technical Information of China (English)



    In recent years,in research and development work in the community tourism,development of minority community tourism is an important research content,but only consider the community tourism development is far from enough,community construction is a must consider the research content. Therefore,development of minority community tourism and the construction of harmonious community combined research,emphasizing community participation,community residents benefit assignment problem,the construction of a harmonious community has more practical value and significance. An empirical study on the typical case of community tourism development and construction of harmonious community based,is to focus on these problems.%近年来,在社区旅游的开发研究中,少数民族社区旅游开发是一个重要的研究内容,但仅仅考虑社区旅游开发是远远不够的,社区建设也是一个必须考虑的研究内容。因此,将少数民族社区旅游开发与和谐社区建设结合起来进行研究,强调社区参与、社区居民利益分配问题、和谐社区建设更具有现实的价值和意义。基于典型案例的社区旅游开发与和谐社区建设的实证研究,就是围绕这些问题进行的。

  3. Community Health Workers Support Community-based Participatory Research Ethics: (United States)

    Smith, Selina A.; Blumenthal, Daniel S.


    Ethical principles of community-based participatory research (CBPR)— specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability—stem from the work of Kurt Lewin and Paulo Freire. These are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communities for research purposes (the U.S. Public Health Service Tuskegee Syphilis Study being the most notorious) has left a legacy of mistrust of research and researchers. The purpose of this article is to examine experiences and lessons learned from community health workers (CHWs) in the 10-year translation of an educational intervention in the research-to-practice-to-community continuum. We conclude that the central role played by CHWs enabled the community to gain some degree of control over the intervention and its delivery, thus operationalizing the ethical principles of CBPR. PMID:23124502

  4. Community-based management of Tricholoma matsutake (S. Ito and S. Imai Singer: a case study of South Korean mountain villages

    Directory of Open Access Journals (Sweden)

    Terry van Gevelt


    Full Text Available Tricholoma matsutake (S. Ito and S. Imai Singer commercialisation provides significant economic benefits to rural communities, mainly in China, Japan and South Korea. Recently, a growing body of research has questioned the impact of commercialization on harvesting behavior and the supply of matsutake. One key question arising from this literature is whether or not community-based management (CBM has a positive impact on matsutake supply. I surveyed nine mountain villages in Gangwon and North Gyeongsang provinces in South Korea. Four villages were found to have begun CBM of matsutake in the mid-1980s to early-1990s. All four villages continued to engage in CBM as of September 2013. Data suggest that CBM has had a positive impact on matsutake supply, although the exact magnitude and explanatory power of CBM is uncertain. Analysis of the nine villages suggests that CBM may not be a feasible strategy in all villages due to existing property rights regimes and that an external catalyst may be required in villages where harvesters do not perceive any economic benefit to CBM.

  5. Planning for Community Based Tourism in a Remote Location


    Sharon Harwood


    Remote areas are difficult to access, tend to lack critical infrastructure, are highly susceptible to shocks in the marketplace, and are perceived by industry to possess limited development opportunities. Accordingly a community orientated and territorial approach to development planning in a remote area will be more successful than a top down industry based approach [1]. Given the limitations of being remote, the case study community examined in this research manages and sustains a bird watc...

  6. GROUP: A gossip based building community protocol


    Baraglia R.; Dazzi P.; Mordacchini M.; Ricci L; Alessi L.


    The detection of communities of peers characterized by similar interests is currently a challenging research area. To ease the diffusion of relevant data to interested peers, similarity based overlays define links between similar peers by exploiting a similarity function. However, existing solutions neither give a clear definition of peer communities nor define a clear strategy to partition the peers into communities. As a consequence, the spread of the information cannot be confined within a...

  7. 社区糖尿病患者痴呆患病率调查%Prevalence of dementia in diabetics: a community-based case-control study

    Institute of Scientific and Technical Information of China (English)

    熊云云; 赵倩华; 郭起浩; 罗剑锋; 丁玎; 洪震


    目的 调查社区糖尿病患者痴呆患病率,计算年龄别、性别患病率,并与非糖尿病组相比较.方法 对上海市某社区50岁以上常住居民中糖尿病患者及与其年龄、性别相匹配1:1对照的非糖尿病患者进行调查.运用问卷采集人口学及病史资料,MMSE筛查认知功能.对于文盲≤19分、小学≤21分、初中及以上文化程度≤24分者,进一步给予成套神经心理学量表检查,依据DSM-Ⅳ诊断痴呆.结果 糖尿病患者中痴呆患病率[4.75%(23/484),95%CI:3.03%~7.04%]高于非糖尿病患者[2.24%(11/490),95%CI:1.13%~3.98% X~2=4.54,P=0.03].糖尿病组60~69、70~79和80岁以上各年龄段的痴呆患病率分别为1.94%(2/103)、4.43%(9/203)和14.12%(12/85)(趋势X~2=18.04,P<0.01);非糖尿病组相应年龄段痴呆患病率分别为1.43%(2/140)、2.86%(6/210)和5.00%(3/60,趋势X~2=4.58,P:0.03).糖尿病组女性和男性痴呆患病率分别为6.55%(19/290)和2.06%(4/194,X~2=5.18,P=0.02);非糖尿病组女性和男性痴呆患病率分别为3.01%(9/299)和1.05%(2/191).结论 糖尿病患者中痴呆患病率显著高于非糖尿病患者,2组痴呆患病率均随年龄增大而升高,并且女性痴呆患病率高于男性.%Objective To determine prevalence of dementia in diabetics and non-diabetics, and in different age and gender groups. Methods A case-control study was conducted among participants aged 50 and over in Jing' an temple community in Shanghai. Subjects in diabetics group were matched to non-diabetics groups for age and sex with 1:1 matching. Personal information and case history were collected through questionnaire. The subjects were screened for dementia using the Mini Mental State Examination (MMSE). Subjects that screened positively (indicated by an MMSE score below 19, 21 and 24 among those with illiteracy, elementary school and above junior middle school education, respectively) were subsequently examined by a series of neuropsychological tests. Based

  8. Water storage capacity of the natural river valley - how sedge communities influence it. Case study of Upper Biebrza Basin (Poland) based on ALS and TLS data (United States)

    Brach, Marcin; Chormański, Jarosław


    The exact determination of water storage capacity in river valley is an important issue for hydrologists, ecologist and flood modellers. In case of natural river valley, the dense and complexity vegetation of the natural ecosystems can influence the proper identification of the water storage. Methods considered to be sufficient in other cases (urbanized, agricultural) may not produce correct results. Sedge communities in natural river valleys form characteristic tussocks, built from the species roots, other organic material and silt or mud. They are formed due to partial flooding during the inundation, so the plants can survive in hard, anaerobic conditions. They can growth even up to 0.5 meters, which is not so visible due to very dense vegetation in the valleys. These tussocks form a microtopography or a river valley. Currently, the most commonly used technology to register the terrain topography is an Airborne Laser Scanning (ALS), but in the case of the tussocks and the dense vegetation it generates high errors on elevation in the areas of the sedges (Carex appropinquata). This study concerns the Upper Biebrza Valley which is located in the northeastern Poland. For purpose of our work we used Terrestrial Laser Scanner (TLS) technology to determine microtopography of selected fields. Before measurements, the green part of the sedge was cut in selected measurements fields. It make possible to register only tussocks shape. Next, step was collection of the airborne ALS data of the valley with density of 8 points/sq m. The experimental field was divided on two sub-fields: one was cut and scanned using TLS before ALS collection, while the second after. Data collected as ALS and the TLS were then compared. The accuracy of the ALS data depends on the land cover of an area, while TLS accuracy is around 2 millimeters (when georeferenced it depends on the accuracy of reference points - in our case it was made using GPS RTK which gave us accuracy of few centimeters). The

  9. Leadership to Build a Democratic Community within School: A Case Study of Two Korean High Schools (United States)

    Kang, Young Taek; Printy, Susan


    This article aims to explore how democratic community is manifest in schools in Korea. It also tries to examine how leadership, specifically transformational leadership, functions in shaping a democratic community within a school. Toward this aim, we have conducted a case study of two religious high schools in Korea. Based on the findings from the…

  10. Case Management in Community Corrections: Current Status and Future Directions (United States)

    Day, Andrew; Hardcastle, Lesley; Birgden, Astrid


    Case management is commonly regarded as the foundation of effective service provision across a wide range of human service settings. This article considers the case management that is offered to clients of community corrections, identifying the distinctive features of case management in this particular setting, and reviewing the empirical evidence…

  11. University-Community Engagement: Case Study of University Social Responsibility (United States)

    Chile, Love M.; Black, Xavier M.


    Corporatisation of universities has drawn parallels between contemporary universities and business corporations, and extended analysis of corporate social responsibility to universities. This article reports on a case study of university-community engagement with schools and school communities through youth engagement programmes to enhance…

  12. The impact of nature-based tourism on bird communities: a case study in Pallas-Yllästunturi National Park. (United States)

    Huhta, Esa; Sulkava, Pekka


    Nature-based tourism and recreation within and close to protected areas may have negative environmental impacts on biodiversity due to urban development, landscape fragmentation, and increased disturbance. We conducted a 3-year study of disturbances of birds induced by nature-based tourism over a recreational gradient in the Pallas-Yllästunturi National Park and its surroundings in northern Finland. Bird assemblages were studied in highly disturbed areas close to the park (a ski resort, villages, and accommodation areas) and in campfire sites, along hiking routes (recreational areas) and in a forest (control area) within the park. Compared with the forest, the disturbed urbanized areas had higher abundances of human-associated species, corvid species, cavity and building nesters, and edge species. The abundances of managed forest species were higher in campfire sites than in the forest. Hiking trails and campfire sites did not have a negative impact on open-nesting bird species. The most likely reason for this outcome is that most campfire sites were situated at forest edges; this species group prefers managed forests and forest edge as a breeding habitat. The abundances of virgin forest species did not differ among the areas studied. The results of the study suggest that the current recreation pressure has not caused substantial changes in the forest bird communities within the National Park. We suggest that the abundances of urban exploiter species could be used as indicators to monitor the level and changes of urbanization and recreational pressure at tourist destinations.

  13. The Impact of Nature-Based Tourism on Bird Communities: A Case Study in Pallas-Yllästunturi National Park (United States)

    Huhta, Esa; Sulkava, Pekka


    Nature-based tourism and recreation within and close to protected areas may have negative environmental impacts on biodiversity due to urban development, landscape fragmentation, and increased disturbance. We conducted a 3-year study of disturbances of birds induced by nature-based tourism over a recreational gradient in the Pallas-Yllästunturi National Park and its surroundings in northern Finland. Bird assemblages were studied in highly disturbed areas close to the park (a ski resort, villages, and accommodation areas) and in campfire sites, along hiking routes (recreational areas) and in a forest (control area) within the park. Compared with the forest, the disturbed urbanized areas had higher abundances of human-associated species, corvid species, cavity and building nesters, and edge species. The abundances of managed forest species were higher in campfire sites than in the forest. Hiking trails and campfire sites did not have a negative impact on open-nesting bird species. The most likely reason for this outcome is that most campfire sites were situated at forest edges; this species group prefers managed forests and forest edge as a breeding habitat. The abundances of virgin forest species did not differ among the areas studied. The results of the study suggest that the current recreation pressure has not caused substantial changes in the forest bird communities within the National Park. We suggest that the abundances of urban exploiter species could be used as indicators to monitor the level and changes of urbanization and recreational pressure at tourist destinations.

  14. Collaborative Communities Through Coproduction : Two Case Studies

    NARCIS (Netherlands)

    Frieling, Margreet A.; Lindenberg, Siegwart M.; Stokman, Frans N.


    Many local councils aim to (re)connect citizens to public planning. This article presents the Collaborative Communities through Coproduction (3C) method as a way to establish cooperation between residents and professionals in improving neighborhood livabiliy. The authors describe common challenges t

  15. Differences in fungi present in induced sputum samples from asthma patients and non-atopic controls: a community based case control study

    Directory of Open Access Journals (Sweden)

    van Woerden Hugo Cornelis


    Full Text Available Abstract Background There is emerging evidence for the presence of an extensive microbiota in human lungs. It is not known whether variations in the prevalence of species of microbiota in the lungs may have aetiological significance in respiratory conditions such as asthma. The aim of the study was to undertake semi-quantitative analysis of the differences in fungal species in pooled sputum samples from asthma patients and controls. Methods Induced sputum samples were collected in a case control study of asthma patients and control subjects drawn from the community in Wandsworth, London. Samples from both groups were pooled and then tested for eukaryotes. DNA was amplified using standard PCR techniques, followed by pyrosequencing and comparison of reads to databases of known sequences to determine in a semi-quantitative way the percentage of DNA from known species in each of the two pooled samples. Results A total of 136 fungal species were identified in the induced sputum samples, with 90 species more common in asthma patients and 46 species more common in control subjects. Psathyrella candolleana, Malassezia pachydermatis, Termitomyces clypeatus and Grifola sordulenta showed a higher percentage of reads in the sputum of asthma patients and Eremothecium sinecaudum, Systenostrema alba, Cladosporium cladosporioides and Vanderwaltozyma polyspora showed a higher percentage of reads in the sputum of control subjects. A statistically significant difference in the pattern of fungi that were present in the respective samples was demonstrated using the Phylogenetic (P test (P  Conclusion This study is novel in providing evidence for the widespread nature of fungi in the sputum of healthy and asthmatic individuals. Differences in the pattern of fungi present in asthma patients and controls merit further investigation. Of particular interest was the presence of Malassezia pachydermatis, which is known to be associated with atopic dermatitis.

  16. Overlapping Community Detection based on Network Decomposition (United States)

    Ding, Zhuanlian; Zhang, Xingyi; Sun, Dengdi; Luo, Bin


    Community detection in complex network has become a vital step to understand the structure and dynamics of networks in various fields. However, traditional node clustering and relatively new proposed link clustering methods have inherent drawbacks to discover overlapping communities. Node clustering is inadequate to capture the pervasive overlaps, while link clustering is often criticized due to the high computational cost and ambiguous definition of communities. So, overlapping community detection is still a formidable challenge. In this work, we propose a new overlapping community detection algorithm based on network decomposition, called NDOCD. Specifically, NDOCD iteratively splits the network by removing all links in derived link communities, which are identified by utilizing node clustering technique. The network decomposition contributes to reducing the computation time and noise link elimination conduces to improving the quality of obtained communities. Besides, we employ node clustering technique rather than link similarity measure to discover link communities, thus NDOCD avoids an ambiguous definition of community and becomes less time-consuming. We test our approach on both synthetic and real-world networks. Results demonstrate the superior performance of our approach both in computation time and accuracy compared to state-of-the-art algorithms.

  17. Negotiation of values as driver in community-based PD

    DEFF Research Database (Denmark)

    Gronvall, Erik; Malmborg, Lone; Messeter, Jörn


    and design things; and different accounts of values in design. Inspired by the concept of design things, and as a consequence of the need for continuous negotiation of values observed in all three cases, we suggest the concept of thinging as fruitful for creating productive agonistic spaces with a stronger...... attention towards the process of negotiating values in community-based PD....

  18. Community-based knowledge translation: unexplored opportunities

    Directory of Open Access Journals (Sweden)

    Armstrong Rebecca


    Full Text Available Abstract Background Knowledge translation is an interactive process of knowledge exchange between health researchers and knowledge users. Given that the health system is broad in scope, it is important to reflect on how definitions and applications of knowledge translation might differ by setting and focus. Community-based organizations and their practitioners share common characteristics related to their setting, the evidence used in this setting, and anticipated outcomes that are not, in our experience, satisfactorily reflected in current knowledge translation approaches, frameworks, or tools. Discussion Community-based organizations face a distinctive set of challenges and concerns related to engaging in the knowledge translation process, suggesting a unique perspective on knowledge translation in these settings. Specifically, community-based organizations tend to value the process of working in collaboration with multi-sector stakeholders in order to achieve an outcome. A feature of such community-based collaborations is the way in which 'evidence' is conceptualized or defined by these partners, which may in turn influence the degree to which generalizable research evidence in particular is relevant and useful when balanced against more contextually-informed knowledge, such as tacit knowledge. Related to the issues of evidence and context is the desire for local information. For knowledge translation researchers, developing processes to assist community-based organizations to adapt research findings to local circumstances may be the most helpful way to advance decision making in this area. A final characteristic shared by community-based organizations is involvement in advocacy activities, a function that has been virtually ignored in traditional knowledge translation approaches. Summary This commentary is intended to stimulate further discussion in the area of community-based knowledge translation. Knowledge translation, and exchange

  19. Digital Technology, Diabetes and Culturally and Linguistically Diverse Communities: A Case Study with Elderly Women from the Vietnamese Community (United States)

    O'Mara, Ben; Gill, Gurjeet K.; Babacan, Hurriyet; Donahoo, Daniel


    Objective: To report the processes and outcomes of a case study on digital technology, diabetes and culturally and linguistically diverse (CALD) communities. Design: The qualitative study was based on a literature review, consultations and testing of a framework through workshops and an interactive information session. Setting: Consultations,…

  20. The Land Use and Cover Change in Miombo Woodlands under Community Based Forest Management and Its Implication to Climate Change Mitigation: A Case of Southern Highlands of Tanzania

    Directory of Open Access Journals (Sweden)

    Z. J. Lupala


    Full Text Available In Tanzania, miombo woodland is the most significant forest vegetation with both ecological and socioeconomic importance. The vegetation has been threatened from land use and cover change due to unsustainable utilization. Over the past two decades, community based forest management (CBFM has been practiced to address the problem. Given the current need to mitigate global climate change, little is known on the influence of CBFM to the land use and cover change in miombo woodlands and therefore compromising climate change mitigation strategies. This study explored the dynamic of land use and covers change and biomass due to CBFM and established the implication to climate change mitigation. The study revealed increasing miombo woodland cover density with decreasing unsustainable utilization. The observed improvement in cover density and biomass provides potential for climate change mitigation strategies. CBFM also developed solidarity, cohesion, and social control of miombo woodlands illegal extraction. This further enhances permanence, reduces leakage, and increases accountability requirement for carbon credits. Collectively with these promising results, good land use plan at village level and introduction of alternative income generating activities can be among the best options to further reduce land use change and biomass loss in miombo woodlands.


    Directory of Open Access Journals (Sweden)

    Edmar Silva Oliveira


    Full Text Available This paper aims to demonstrate to the infestation of Aedes aegypti and dengue cases that occurred in the rural communities covered by the municipality of Assis Chateaubriand – PR. The survey was conducted during 2009, divided into two stages, to survey the infestation was used to house infestation (IIP. Five communities were considered positive when the presence of Aedes aegypti infestation levels of communities was higher Charmed the West, Newfoundland, Nice. These data showed that higher rates will be higher infestation rate risk of people being affected by the mosquito. Dengue cases occurred more frequently in communities that had high rates of infestation. The population through prevention and awareness is one way to prevent the spread of the dengue mosquito Aedes aegypti in rural communities.

  2. Lupus and community-based social work. (United States)

    Schudrich, Wendy; Gross, Diane; Rowshandel, Jessica


    Systemic lupus erythematous (SLE) is a chronic autoimmune disease that disproportionately strikes women of color. SLE patients frequently experience physical, emotional, and social challenges that often result in unmet biopsychosocial needs. Because of the nature of the disease and the needs of patients, agencies serving SLE patients that engage in community-based social work can positively impact their clients' lives. The S.L.E. Lupus Foundation participates in a myriad of community-based social work practices to help address the needs of their clients. These services include helping economically disadvantaged patients access appropriate services within their communities, building awareness about SLE in society, connecting with government officials at all levels, and collaborating with health care organizations to serve those affected by SLE. Specific examples of community-based activities at the S.L.E. Lupus Foundation are described in detail.

  3. Multi-level natural resources governance based on local community: A case study on semi-natural grassland in Tarōji, Nara, Japan

    Directory of Open Access Journals (Sweden)

    Daisaku Shimada


    Full Text Available Japan is facing a bio-diversity crisis as a result of rapid industrialisation. The Japanese Ministry of the Environment formulated a National Biodiversity Strategy based on the Convention on Biological Diversity signed at the Earth Summit in 1992. After an amendment in 2002, the National Biodiversity Strategy addressed three crises in biodiversity: over-exploitation and development that destroys habitats, underutilisation (the satoyama problem and artificially introduced factors (chemicals, alien species and so on. This paper focuses on the second problem. Secondary natural environments called satoyama have been created and maintained over the centuries by human activity. Because natural environments in Japan have been affected by human-induced disturbances for 35,000 years, many species have evolved in response to these disturbances. If the human activities cease, many of the species that have evolved to survive in managed environments become threatened. Many satoyama have been managed as commonage or common lands, called iriai in Japan. One natural resource system created by commoners is semi-natural grassland, and economic modernisation has led to abandonment of traditional management practices on these grasslands – one of the more evident changes in Japanese iriai practices. Before industrialisation, semi-natural grasslands were managed as a source of green manure, as a harvest for roofing materials (thatch and as pasture for animals. After industrialisation, however, introduction of chemical fertilizers, changes in building practices and importation of animal feeds rapidly decreased the use value of these grasslands for local residents. On the other hand, their value as public goods – as historical, cultural landscapes and places of biodiversity – which concern a much broader population than the local community – became relatively more important. The resulting problem is how to manage this resource with its new value for new

  4. Benchmarking Alumni Relations in Community Colleges: Findings from a 2012 CASE Survey. CASE White Paper (United States)

    Paradise, Andrew; Heaton, Paul


    In 2011, CASE founded the Center for Community College Advancement to provide training and resources to help community colleges build and sustain effective fundraising, alumni relations and communications and marketing programs. This white paper summarizes the results of a groundbreaking survey on alumni relations programs at community colleges…

  5. Mobile Recommendation Based on Link Community Detection

    Directory of Open Access Journals (Sweden)

    Kun Deng


    Full Text Available Since traditional mobile recommendation systems have difficulty in acquiring complete and accurate user information in mobile networks, the accuracy of recommendation is not high. In order to solve this problem, this paper proposes a novel mobile recommendation algorithm based on link community detection (MRLD. MRLD executes link label diffusion algorithm and maximal extended modularity (EQ of greedy search to obtain the link community structure, and overlapping nodes belonging analysis (ONBA is adopted to adjust the overlapping nodes in order to get the more accurate community structure. MRLD is tested on both synthetic and real-world networks, and the experimental results show that our approach is valid and feasible.

  6. On the applicability of surrogate-based Markov chain Monte Carlo-Bayesian inversion to the Community Land Model: Case studies at flux tower sites (United States)

    Huang, Maoyi; Ray, Jaideep; Hou, Zhangshuan; Ren, Huiying; Liu, Ying; Swiler, Laura


    The Community Land Model (CLM) has been widely used in climate and Earth system modeling. Accurate estimation of model parameters is needed for reliable model simulations and predictions under current and future conditions, respectively. In our previous work, a subset of hydrological parameters has been identified to have significant impact on surface energy fluxes at selected flux tower sites based on parameter screening and sensitivity analysis, which indicate that the parameters could potentially be estimated from surface flux observations at the towers. To date, such estimates do not exist. In this paper, we assess the feasibility of applying a Bayesian model calibration technique to estimate CLM parameters at selected flux tower sites under various site conditions. The parameters are estimated as a joint probability density function (PDF) that provides estimates of uncertainty of the parameters being inverted, conditional on climatologically average latent heat fluxes derived from observations. We find that the simulated mean latent heat fluxes from CLM using the calibrated parameters are generally improved at all sites when compared to those obtained with CLM simulations using default parameter sets. Further, our calibration method also results in credibility bounds around the simulated mean fluxes which bracket the measured data. The modes (or maximum a posteriori values) and 95% credibility intervals of the site-specific posterior PDFs are tabulated as suggested parameter values for each site. Analysis of relationships between the posterior PDFs and site conditions suggests that the parameter values are likely correlated with the plant functional type, which needs to be confirmed in future studies by extending the approach to more sites.

  7. Case Based Reasoning: Case Representation Methodologies

    Directory of Open Access Journals (Sweden)

    Shaker H. El-Sappagh


    Full Text Available Case Based Reasoning (CBR is an important technique in artificial intelligence, which has been applied to various kinds of problems in a wide range of domains. Selecting case representation formalism is critical for the proper operation of the overall CBR system. In this paper, we survey and evaluate all of the existing case representation methodologies. Moreover, the case retrieval and future challenges for effective CBR are explained. Case representation methods are grouped in to knowledge-intensive approaches and traditional approaches. The first group overweight the second one. The first methods depend on ontology and enhance all CBR processes including case representation, retrieval, storage, and adaptation. By using a proposed set of qualitative metrics, the existing methods based on ontology for case representation are studied and evaluated in details. All these systems have limitations. No approach exceeds 53% of the specified metrics. The results of the survey explain the current limitations of CBR systems. It shows that ontology usage in case representation needs improvements to achieve semantic representation and semantic retrieval in CBR system.

  8. Cohesion Based Personalized Community Recommendation System

    Directory of Open Access Journals (Sweden)

    Md Mamunur Rashid


    Full Text Available Our life is totally engaged by the progressive growth of online social networking. Because, millions of users are interconnecting with each other using different social media sites like Facebook, Twitter, LinkedIn, Google+, Pinterest, Instagram etc. Most of the social sites like Facebook, Google+ allow users to join different groups or communities where people can share their common interests and express opinions around a common cause, problem or activity. However, an information overloading issue has disturbed users as thousands of communities or groups are creating each day. To resolve this problem, we have presented a community or group recommendation system centered on cohesion where cohesion represents high degree of connectedness among users in social network. In this paper, we emphasis on suggesting useful communities (or groups in term of Facebook that users personally attracted in to join; reducing the effort to find useful information based on cohesion. Our projected framework contains of the steps like: extracting sub-network from a social networking site (SNS, computing the impact of amity(both real-life or social and SNS connected, measuring user proclivity factor, calculating threshold from existing communities or groups of a user and lastly recommending community or group based on derived threshold. In result analysis part, we consider the precision-recall values by discarding community or group one at a time from the list of communities or groups of a certain user and checking whether the removed community or group is recommended by our proposed system. We have evaluated our system with 20 users and found 76% F1 accuracy measure.

  9. Programa de fortalecimiento de capacidades: reflections on a case study of community-based teacher education set in rural northern Peru (United States)

    Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don


    This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the Proyecto de Mejoramiento de la Educación Básica). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities, we offer reflections on a teacher education initiative which sought to support action-orientated inquiries as a mechanism for school/community development. Set against a background of poverty, hunger, isolation and an "educational crisis", we outline our pedagogy and describe two projects. We then reflect on the influences of our engagements and on associated tensions and ambiguities in our methods. We hope that such discussions might offer insights for others involved in international school/community development projects of this type.

  10. Lessons Learned From Community-Based Approaches to Sodium Reduction (United States)

    Kane, Heather; Strazza, Karen; Losby PhD, Jan L.; Lane, Rashon; Mugavero, Kristy; Anater, Andrea S.; Frost, Corey; Margolis, Marjorie; Hersey, James


    Purpose This article describes lessons from a Centers for Disease Control and Prevention initiative encompassing sodium reduction interventions in six communities. Design A multiple case study design was used. Setting This evaluation examined data from programs implemented in six communities located in New York (Broome County, Schenectady County, and New York City); California (Los Angeles County and Shasta County); and Kansas (Shawnee County). Subjects Participants (n = 80) included program staff, program directors, state-level staff, and partners. Measures Measures for this evaluation included challenges, facilitators, and lessons learned from implementing sodium reduction strategies. Analysis The project team conducted a document review of program materials and semi structured interviews 12 to 14 months after implementation. The team coded and analyzed data deductively and inductively. Results Five lessons for implementing community-based sodium reduction approaches emerged: (1) build relationships with partners to understand their concerns, (2) involve individuals knowledgeable about specific venues early, (3) incorporate sodium reduction efforts and messaging into broader nutrition efforts, (4) design the program to reduce sodium gradually to take into account consumer preferences and taste transitions, and (5) identify ways to address the cost of lower-sodium products. Conclusion The experiences of the six communities may assist practitioners in planning community-based sodium reduction interventions. Addressing sodium reduction using a community-based approach can foster meaningful change in dietary sodium consumption. PMID:24575726

  11. Programa de Fortalecimiento de Capacidades: Reflections on a Case Study of Community-Based Teacher Education Set in Rural Northern Peru (United States)

    Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don


    This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the "Proyecto de Mejoramiento de la Educacion Basica"). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities,…

  12. Programa de Fortalecimiento de Capacidades: Reflections on a Case Study of Community-Based Teacher Education Set in Rural Northern Peru (United States)

    Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don


    This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the "Proyecto de Mejoramiento de la Educacion Basica"). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities, we offer…

  13. Innovation technological energetics in rural communities. Case of study community of “Manantiales”, Villa Clara, Cuba

    Directory of Open Access Journals (Sweden)

    Raul Olalde Font


    Full Text Available This investigation is framed in the analysis of impacts in the local development starting from the taking of decisions on projects of rural energy in Cuban communities that have as economic main activity the agricultural sector, illustrated the results of a case study where the technological most viable options are selected under the optics of the improvement of indicators of community resources. The methods and used materials are characteristic of a field work with application model are characterized for the taking of decisions in the energy area and their sources SURE, as geographical region the community isolated rural “Manantiales” linked to the agrarian sector in the republic of Cuba and the present period review in the thematic one approached. The main indicators are sketched in each resource of the rural community under the optics of the SURE in their version 3.0, as well the characterization of the prediction of the impacts at each technological option on the resources, is exhibited a mean of impacts and the classification of the technologies according to the level of achievements contribute to the indicators of community resources, obtaining as a result that the hydro energy technology is the most viable option with a value of 100 points in the scale from 0 to 100, followed by the GRID with 91.11 and of the photovoltaic systems based on silicon panels with 90.57, in this case all technologies contribute a significant level of achievements to the local community development.

  14. Community based curriculum in psychiatric nursing science



    M.Cur. The purpose of this study is to describe guidelines for a Community Based Curriculum in Psychiatric Nursing Science for a nursing college in KwaZulu Natal. The study consists of 4 phases. To reach the purpose of the study, a situational analysis was done in 3 phases to identify the principles for a Community Based Curriculum in Psychiatric Nursing Science. In Phase I - a document analysis of relevant government policies and legislation was conducted to obtain the principles of menta...

  15. Community Based Networks and 5G

    DEFF Research Database (Denmark)

    Williams, Idongesit


    The deployment of previous wireless standards has provided more benefits for urban dwellers than rural dwellers. 5G deployment may not be different. This paper identifies that Community Based Networks as carriers that deserve recognition as potential 5G providers may change this. The argument....... The findings indicate that 5G connectivity can be extended to rural areas by these networks, via heterogenous networks. Hence the delivery of 5G data rates delivery via Wireless WAN in rural areas can be achieved by utilizing the causal factors of the identified models for Community Based Networks....

  16. Sociolect-Based Community Detection

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, William N.; Salter, William J.; Farber, Robert M.; Corley, Courtney D.; Dowling, Chase P.; Beeman, William O.; Smith-Lovin, Lynn; Choi, Joon Nak


    "Sociolects" are specialized vocabularies used by social subgroups defined by common interests or origins. We applied methods to retrieve large quantities of Twitter data based on expert-identified sociolects and then applied and developed network-analysis methods to relate sociolect use to network (sub-) structure. We show that novel methods including consideration of node populations, as well as edge counts, provide substantially enhanced performance compared to standard assortativity. We explain these methods, show their utility in analyzing large corpora of social media data, and discuss their further extensions and potential applications.

  17. Engineering Hybrid Learning Communities: The Case of a Regional Parent Community

    Directory of Open Access Journals (Sweden)

    Sven Strickroth


    Full Text Available We present an approach (and a corresponding system design for supporting regionally bound hybrid learning communities (i.e., communities which combine traditional face-to-face elements with web based media such as online community platforms, e-mail and SMS newsletters. The goal of the example community used to illustrate the approach was to support and motivate (especially hard-to-reach underprivileged parents in the education of their young children. The article describes the design process used and the challenges faced during the socio-technical system design. An analysis of the community over more than one year indicates that the hybrid approach works better than the two separated “traditional” approaches separately. Synergy effects like advertising effects from the offline trainings for the online platform and vice versa occurred and regular newsletters turned out to have a noticeable effect on the community.

  18. President Bush's Faith-Based & Community Initiative. (United States)

    White House Office of Faith-Based and Community Initiatives, Washington, DC.

    Despite efforts by the federal and state governments to battle social distress, there are many people who still suffer from poverty and despair. People are calling out for help. For years, faith-based and community groups have been assisting these people and others in need. The federal government has not often been a willing partner to these…

  19. Improving information for community-based adaptation

    Energy Technology Data Exchange (ETDEWEB)

    Huq, Saleemul


    Community-based adaptation aims to empower local people to cope with and plan for the impacts of climate change. In a world where knowledge equals power, you could be forgiven for thinking that enabling this type of adaptation boils down to providing local people with information. Conventional approaches to planning adaptation rely on 'expert' advice and credible 'science' from authoritative information providers such as the Intergovernmental Panel on Climate Change. But to truly support the needs of local communities, this information needs to be more site-specific, more user-friendly and more inclusive of traditional knowledge and existing coping practices.

  20. Benchmarking Alumni Relations in Community Colleges: Findings from a 2015 CASE Survey. CASE White Paper (United States)

    Paradise, Andrew


    Building on the inaugural survey conducted three years prior, the 2015 CASE Community College Alumni Relations survey collected additional insightful data on staffing, structure, communications, engagement, and fundraising. This white paper features key data on alumni relations programs at community colleges across the United States. The paper…

  1. The value of community participation in disease surveillance: a case study from Niger. (United States)

    Ndiaye, Serigne M; Quick, Linda; Sanda, Ousmane; Niandou, Seydou


    A team of researchers, including one behavioral scientist (S.M.N.) and three epidemiologists (L.Q., O.S. and S.N.) conducted community analyses to assess the social and cultural factors that affect the detection and reporting of disease cases in a surveillance system, using acute flaccid paralysis (AFP) surveillance in Niger as a case study. Over a 60-day period in the country, the research team reviewed written field reports and interviewed epidemiologists, nurses, community members and persons in governmental and non-governmental organizations. Overall, we found that the logistical difficulties of travel and communication, which are common in developing countries, constrain the conventional surveillance system that relies on epidemiologists visiting sites to discover and investigate cases, particularly in rural areas. Other challenges include: community members' lack of knowledge about the possible link between a case of paralysis and a dangerous, communicable disease; lack of access to health care, including the low number of clinics and health care workers; cultural beliefs that favor seeking a local healer before consulting a nurse or physician; and health workers' lack of training in AFP surveillance. The quality of surveillance in developing countries can improve if a community-based approach is adopted. Such a system has been used successfully in Niger during smallpox-eradication and guinea worm-control campaigns. In a community-based system, community members receive basic education or more extensive training to motivate and enable them to notify health care staff about possible cases of disease in a timely fashion. Local organizations, local projects and local leaders must be included to ensure the success of such a program. In Niger we found sufficient quantities of this type of social capital, along with enough local experience of past health campaigns, to suggest that a community-based approach can improve the level of comprehensiveness and sensitivity

  2. Setting health priorities in a community: a case example

    Directory of Open Access Journals (Sweden)

    Fábio Alexandre Melo do Rego Sousa

    Full Text Available ABSTRACT OBJECTIVE To describe the methodology used in the process of setting health priorities for community intervention in a community of older adults. METHODS Based on the results of a health diagnosis related to active aging, a prioritization process was conceived to select the priority intervention problem. The process comprised four successive phases of problem analysis and classification: (1 grouping by level of similarity, (2 classification according to epidemiological criteria, (3 ordering by experts, and (4 application of the Hanlon method. These stages combined, in an integrated manner, the views of health team professionals, community nursing and gerontology experts, and the actual community. RESULTS The first stage grouped the identified problems by level of similarity, comprising a body of 19 issues for analysis. In the second stage these problems were classified by the health team members by epidemiological criteria (size, vulnerability, and transcendence. The nine most relevant problems resulting from the second stage of the process were submitted to expert analysis and the five most pertinent problems were selected. The last step identified the priority issue for intervention in this specific community with the participation of formal and informal community leaders: Low Social Interaction in Community Participation. CONCLUSIONS The prioritization process is a key step in health planning, enabling the identification of priority problems to intervene in a given community at a given time. There are no default formulas for selecting priority issues. It is up to each community intervention team to define its own process with different methods/techniques that allow the identification of and intervention in needs classified as priority by the community.

  3. Setting health priorities in a community: a case example (United States)

    Sousa, Fábio Alexandre Melo do Rego; Goulart, Maria José Garcia; Braga, Antonieta Manuela dos Santos; Medeiros, Clara Maria Oliveira; Rego, Débora Cristina Martins; Vieira, Flávio Garcia; Pereira, Helder José Alves da Rocha; Tavares, Helena Margarida Correia Vicente; Loura, Marta Maria Puim


    ABSTRACT OBJECTIVE To describe the methodology used in the process of setting health priorities for community intervention in a community of older adults. METHODS Based on the results of a health diagnosis related to active aging, a prioritization process was conceived to select the priority intervention problem. The process comprised four successive phases of problem analysis and classification: (1) grouping by level of similarity, (2) classification according to epidemiological criteria, (3) ordering by experts, and (4) application of the Hanlon method. These stages combined, in an integrated manner, the views of health team professionals, community nursing and gerontology experts, and the actual community. RESULTS The first stage grouped the identified problems by level of similarity, comprising a body of 19 issues for analysis. In the second stage these problems were classified by the health team members by epidemiological criteria (size, vulnerability, and transcendence). The nine most relevant problems resulting from the second stage of the process were submitted to expert analysis and the five most pertinent problems were selected. The last step identified the priority issue for intervention in this specific community with the participation of formal and informal community leaders: Low Social Interaction in Community Participation. CONCLUSIONS The prioritization process is a key step in health planning, enabling the identification of priority problems to intervene in a given community at a given time. There are no default formulas for selecting priority issues. It is up to each community intervention team to define its own process with different methods/techniques that allow the identification of and intervention in needs classified as priority by the community. PMID:28273229

  4. Case-control study of the relationship of functioning to suicide in a community-based sample of individuals with schizophrenia in China. (United States)

    Kasckow, John; Liu, Nancy; Phillips, Michael R


    Suicide is a leading cause of premature death among people with schizophrenia. Some studies indicate that increased difficulties in functioning are associated with suicidality in persons with schizophrenia. We conducted a secondary analysis of 74 suicides (cases) and 24 accidental deaths (controls) among persons with schizophrenia identified in a national psychological autopsy study in China. Between cases and controls, we compared the effect of schizophrenia on work, daily activities, emotions, social relationships and self-care at the time the illness was most severe. There was no difference in the overall maximum dysfunction associated with the illness between groups. None of the 5 measures (work, activities, emotions, relationships, self-care) were different between the two groups. This study of individuals with DSM-IV schizophrenia who died by suicide in a non-western culture only partially supports findings from clinical studies in western cultures.

  5. The keys to governance and stakeholder engagement: the southeast michigan beacon community case study. (United States)

    Des Jardins, Terrisca R


    Community-based health information exchanges (HIEs) and efforts to consolidate and house data are growing, given the advent of Accountable Care Organizations (ACOs) under the Affordable Care Act and other similar population health focused initiatives. The Southeast Michigan Beacon Community (SEMBC) can be looked to as one case study that offers lessons learned, insights on challenges faced and accompanying workarounds related to governance and stakeholder engagement. The SEMBC case study employs an established Data Warehouse Governance Framework to identify and explain the necessary governance and stakeholder engagement components, particularly as they relate to community-wide data sharing and data warehouses or repositories. Perhaps the biggest lesson learned through the SEMBC experience is that community-based work is hard. It requires a great deal of community leadership, collaboration and resources. SEMBC found that organizational structure and guiding principles needed to be continually revisited and nurtured in order to build the relationships and trust needed among stakeholder organizations. SEMBC also found that risks and risk mitigation tactics presented challenges and opportunities at the outset and through the duration of the three year pilot period. Other communities across the country embarking on similar efforts need to consider realistic expectations about community data sharing infrastructures and the accompanying and necessary governance and stakeholder engagement fundamentals.

  6. Community-Based Field Experiences in Teacher Education: Possibilities for a Pedagogical Third Space (United States)

    Hallman, Heidi L.


    The present article discusses the importance of community-based field experiences as a feature of teacher education programs. Through a qualitative case study, prospective teachers' work with homeless youth in an after-school initiative is presented. Framing community-based field experiences in teacher education through "third space" theory, the…

  7. Unraveling Ethics: Reflections from a Community-Based Participatory Research Project with Youth (United States)

    Walsh, Christine A.; Hewson, Jennifer; Shier, Michael; Morales, Edwin


    There is limited literature describing the ethical dilemmas that arise when conducting community-based participatory research. The following provides a case example of ethical dilemmas that developed during a multi-method community-based participatory action research project with youth in Calgary, Alberta, Canada. Several ethical dilemmas emerged…

  8. Consulting, Mediating, Conducting, and Supporting: How Community-Based Organizations Engage with Research to Influence Policy (United States)

    Winton, Sue; Evans, Michael P.


    Grounded in critical policy theories and democratic conceptions of research, case studies of three community-based organizations, one in Canada and two in the U.S., were analyzed to determine if and how the groups engaged with research in their efforts to influence education policy. The findings demonstrate that the community-based organizations…

  9. Probing community nurses' professional basis: a situational case study in diabetic foot ulcer treatment. (United States)

    Schaarup, Clara; Pape-Haugaard, Louise; Jensen, Merete Hartun; Laursen, Anders Christian; Bermark, Susan; Hejlesen, Ole Kristian


    Complicated and long-lasting wound care of diabetic foot ulcers are moving from specialists in wound care at hospitals towards community nurses without specialist diabetic foot ulcer wound care knowledge. The aim of the study is to elucidate community nurses' professional basis for treating diabetic foot ulcers. A situational case study design was adopted in an archetypical Danish community nursing setting. Experience is a crucial component in the community nurses' professional basis for treating diabetic foot ulcers. Peer-to-peer training is the prevailing way to learn about diabetic foot ulcer, however, this contributes to the risk of low evidence-based practice. Finally, a frequent behaviour among the community nurses is to consult colleagues before treating the diabetic foot ulcers.

  10. The ‘community’ in community case management of childhood illnesses in Malawi

    Directory of Open Access Journals (Sweden)

    Wanga Z. Zembe-Mkabile


    Full Text Available Background: Malawi has achieved a remarkable feat in reducing its under-5 mortality in time to meet its MDG 4 target despite high levels of poverty, low female literacy rates, recurrent economic crises, a severe shortage of human resources for health, and poor health infrastructure. The country's community-based delivery platform (largely headed by Health Surveillance Assistants, or HSAs has been well established since the 1960s, although their tasks and responsibilities have evolved from surveillance to health promotion and prevention, and more recently to include curative services. However, the role of and the form that community involvement takes in community-based service delivery in Malawi is unclear. Design: A qualitative rapid appraisal approach was utilised to explore the role of community involvement in the HSA programme in Malawi to better understand how the various community providers intersect to support the delivery of integrated community case management by HSAs. Twelve focus group discussions and 10 individual interviews were conducted with HSAs, HSA supervisors, mothers, members of village health committees (VHCs, senior Ministry of Health officials, district health teams, and implementing partners. Results: Our findings reveal that HSAs are often deployed to areas outside of their village of residence as communities are not involved in selecting their own HSAs in Malawi. Despite this lack of involvement in selection, the high acceptance of the HSAs by community members and community accountability structures such as VHCs provide the programme with legitimacy and credibility. Conclusions: This study provides insight into how community involvement plays out in the context of a government-managed professionalised community service delivery platform. It points to the need for further research to look at the impact of removing the role of HSA selection and deployment from the community and placing it at the central level.

  11. Collective prediction based on community structure (United States)

    Jiang, Yasong; Li, Taisong; Zhang, Yan; Yan, Yonghong


    Collective prediction algorithms have been used to improve performances when network structures are involved in prediction tasks. The training dataset of such tasks often contain information of content, links and labels, while the testing dataset have only content and link information. Conventional collective prediction algorithms conduct predictions based on the content of a node and the information of its direct neighbors with a base classifier. However, the information of some direct neighbor nodes may be not consistent with the target one. In addition, the information of indirect neighbors can be helpful when that of direct neighbors is scant. In this paper, instead of using information of direct neighbors, we propose to apply community structures in networks to prediction tasks. A community detection method is aggregated into the collective prediction process to improve prediction performance. Experimental results show that the proposed algorithm outperforms a number of standard prediction algorithms specially under conditions that labeled training dataset are limited.

  12. Community Organisations, Misiones and Integration of Barrios of Caracas: The Case of the CAMEBA Upgrading Project

    NARCIS (Netherlands)

    A. Ayala Alemán (Alonzo)


    textabstractThe paper is an attempt to analyse the likely effects of compensatory social programmes such as Misiones Bolivarianas on community organisations in barrios and their participation in the planning and implementation of barrio upgrading projects, based on the case of the CAMEBA project in

  13. Cost of dengue and other febrile illnesses to households in rural Cambodia: a prospective community-based case-control study

    Directory of Open Access Journals (Sweden)

    Margolis Harold S


    Full Text Available Abstract Background The average annual reported dengue incidence in Cambodia is 3.3/1,000 among children Methods In 2006, active fever surveillance was conducted among a cohort of 6,694 children aged ≤ 15 years in 16 villages in Kampong Cham province, Cambodia. Subsequently, a case-control study was performed by individually assigning one non-dengue febrile control from the cohort to each laboratory-confirmed dengue case. Parents of cases and controls were interviewed using a standardized questionnaire to determine household-level, illness-related expenditures for medical and non-medical costs, and estimated income loss (see Additional file 1. The household socio-economic status was determined and its possible association with health seeking behaviour and the ability to pay for the costs of a febrile illness. Additional File 1 2006 cost study survey questionnaire, Cambodia. the questionnaire represents the data collection instrument that was developed and used during the present study. Click here for file Results Between September and November 2006, a total of 60 household heads were interviewed: 30 with dengue-positive and 30 with dengue-negative febrile children. Mean total dengue-related costs did not differ from those of other febrile illnesses (31.5 vs. 27.2 US$, p = 0.44. Hospitalization almost tripled the costs of dengue (from 14.3 to 40.1 US$ and doubled the costs of other febrile illnesses (from 17.0 to 36.2 US$. To finance the cost of a febrile illness, 67% of households incurred an average debt of 23.5 US$ and higher debt was associated with hospitalization compared to outpatient treatment (US$ 23.1 vs. US$ 4.5, p Conclusion In Cambodia, dengue and other febrile illnesses pose a financial burden to households. A possible reason for a lower rate of hospitalization among children from poor households could be the burden of higher illness-related costs and debts.

  14. Community Garden Information Systems: Analyzing and Strengthening Community-Based Resource Sharing Networks (United States)

    Loria, Kristen


    Extension professionals play an increasingly central role in supporting community garden and other community-based agriculture projects. With growing interest in community gardens as tools to improve community health and vitality, the best strategies for supporting these projects should be explored. Due to the importance of inter-personal networks…

  15. Urban Community, poverty and corruption: the case of Annaba, Algeria

    Directory of Open Access Journals (Sweden)

    Nadji KAHOUA


    Full Text Available The population in the most Mediterranean countries, particularly in Algeria, is concentrated to the urban communities, cities with more or less importance, urban and coastal regions. This trend of rapid growth of the urban communities leads to multiple consequences both economically and socially on the use of resources and their distribution. The urban is the area where cross the resources, the population and the production activities and yours management. To analyze the corruption as a phenomenon triple (economic, social and institutional through an urban community (as Annaba’s case in this research it may well prove very fruitful in terms of lessons on this central phenomenon and its impacts in the North African countries.

  16. Social Networks and Community-Based Natural Resource Management (United States)

    Lauber, T. Bruce; Decker, Daniel J.; Knuth, Barbara A.


    We conducted case studies of three successful examples of collaborative, community-based natural resource conservation and development. Our purpose was to: (1) identify the functions served by interactions within the social networks of involved stakeholders; (2) describe key structural properties of these social networks; and (3) determine how these structural properties varied when the networks were serving different functions. The case studies relied on semi-structured, in-depth interviews of 8 to 11 key stakeholders at each site who had played a significant role in the collaborative projects. Interview questions focused on the roles played by key stakeholders and the functions of interactions between them. Interactions allowed the exchange of ideas, provided access to funding, and enabled some stakeholders to influence others. The exchange of ideas involved the largest number of stakeholders, the highest percentage of local stakeholders, and the highest density of interactions. Our findings demonstrated the value of tailoring strategies for involving stakeholders to meet different needs during a collaborative, community-based natural resource management project. Widespread involvement of local stakeholders may be most appropriate when ideas for a project are being developed. During efforts to exert influence to secure project approvals or funding, however, involving specific individuals with political connections or influence on possible sources of funds may be critical. Our findings are consistent with past work that has postulated that social networks may require specific characteristics to meet different needs in community-based environmental management.

  17. Fostering sustainable behavior through community-based social marketing. (United States)

    McKenzie-Mohr, D


    Psychology has a central role to play in speeding the transition to a sustainable future, because a central aspect of sustainability is widespread behavior change. To date, however, most programs promoting sustainable behavior have featured information-intensive campaigns that make little use of psychological knowledge. Community-based social marketing is an attractive alternative approach in which promoters identify the activity to be promoted and the barriers to this activity and then design a strategy to overcome these barriers, using psychological knowledge regarding behavior change. The strategy is piloted to test its effectiveness and later evaluated when it is implemented on a broader scale. Unlike many information-intensive campaigns, community-based social marketing has been shown to have a much greater probability of promoting sustainable behavior. Two case studies are provided to illustrate the approach and its possible results.


    Institute of Scientific and Technical Information of China (English)

    Ling Weiqing; Yan Junwei; Wang Jian; Xie Youbai


    The current method of case-based design (CBD) can be well practiced for configuration design in which design experience knowledge is involved.However, since the design case is confined to a certain application domain, it is difficult for CBD to be applied to conceptual design process that develops concepts to meet design specifications.Firstly, a function factor description space is erected to provide an exhibition room for all functions of design cases.Next, the approach for identifying the space state of function factor in description space is proposed, including the determination of the similarities between function factors of design case.And then a general object-oriented representation for design case is presented by bringing the class of function and in-out flow into the current case representation.Finally, a living example for electro-pet design that illustrates the implementation of the method for case-based conceptual design based on distributed design case repositories is described.

  19. Assessing participatory practices in community-based natural resource management: experiences in community engagement from southern Africa. (United States)

    Dyer, J; Stringer, L C; Dougill, A J; Leventon, J; Nshimbi, M; Chama, F; Kafwifwi, A; Muledi, J I; Kaumbu, J-M K; Falcao, M; Muhorro, S; Munyemba, F; Kalaba, G M; Syampungani, S


    The emphasis on participatory environmental management within international development has started to overcome critiques of traditional exclusionary environmental policy, aligning with shifts towards decentralisation and community empowerment. However, questions are raised regarding the extent to which participation in project design and implementation is meaningful and really engages communities in the process. Calls have been made for further local-level (project and community-scale) research to identify practices that can increase the likelihood of meaningful community engagement within externally initiated projects. This paper presents data from three community-based natural resource management (CBNRM) project case studies from southern Africa, which promote Joint Forest Management (JFM), tree planting for carbon and conservation agriculture. Data collection was carried out through semi-structured interviews with key stakeholders, community-level meetings, focus groups and interviews. We find that an important first step for a meaningful community engagement process is to define 'community' in an open and participatory manner. Two-way communication at all stages of the community engagement process is shown to be critical, and charismatic leadership based on mutual respect and clarity of roles and responsibilities is vital to improve the likelihood of participants developing understanding of project aims and philosophy. This can lead to successful project outcomes through community ownership of the project goals and empowerment in project implementation. Specific engagement methods are found to be less important than the contextual and environmental factors associated with each project, but consideration should be given to identifying appropriate methods to ensure community representation. Our findings extend current thinking on the evaluation of participation by making explicit links between the community engagement process and project outcomes, and by

  20. Innovative community services for rape victims: an application of multiple case study methodology. (United States)

    Campbell, R; Ahrens, C E


    A qualitative multiple case study design was used to examine communities across the United States that have developed coordinated community-based programs to assist rape victims. Previous studies have suggested that coordinated community programs help victims obtain needed resources and services. This study provided a follow-up examination of how and why these programs are helpful to rape victims. In-depth interviews were conducted with rape victim advocates, rape crisis center directors, police officers, prosecutors, doctors, nurses, and rape survivors from 22 communities with coordinated programs. A comparison sample of 22 communities with fewer coordinated programs was also obtained. Results indicated that the high coordination communities had three types of programs to address sexual assault: coordinated service programs, interagency training programs, and community-level reform groups. Although not all of these programs directly address service delivery for rape victims, they help create a community culture that is more responsive to victims' needs. The research team and participants developed an explanatory model of why these program are effective in addressing rape victims' needs. This model hypothesizes that coordinated programs reflect an understanding of the multiple contexts of service delivery and embody that knowledge in services that are consistent with victims' needs. Narrative data from the interviews with service providers and rape survivors are used to develop and support this model.

  1. ASCO's Community Research Forum: addressing challenges of community-based research from the grass roots. (United States)

    Robert, Nicholas; Lilenbaum, Rogerio; Hurley, Patricia


    ASCO's Community Research Forum is a solution-oriented venue for community research sites to overcome barriers to conducting clinical trials. The key objectives of the Forum are to (1) convene community-based researchers to identify challenges to conducting research that ASCO can address, (2) develop solution-oriented projects to address these challenges to facilitate clinical trial participation in community research settings, and (3) shape ASCO programs and policies to support members engaged in community research. The Community Research Forum holds an annual in-person meeting that convenes physician investigators, research administrators, research nurses, and clinical research associates from community-based research programs and practices. To meet identified needs, the Community Research Forum has developed the ASCO Clinical Trial Workload Assessment Tool and the ASCO Research Program Quality Assessment Tool. Both of these tools will be available to the public in 2014. The Forum is currently exploring the concept and potential metrics of a research certification program to formally assess community-based research programs, and to identify gaps and areas to improve the program in order to meet quality standards. The Community Research Forum's website aims to serve as a go-to resource for community-based physician investigators and research staff. The Community Research Forum will continue to provide a forum for community-based researchers to network, share challenges, and develop initiatives that provide solutions and facilitate the conduct of clinical trials.

  2. A comparison of gastroenteritis in a general practice-based study and a community-based study.

    NARCIS (Netherlands)

    Wit, M.A.S. de; Kortbeek, L.M.; Koopmans, M.P.G.; Jager, C.J. de; Wannet, W.J.B.; Bartelds, A.I.M.; Duynhoven, Y.T.H.P. van


    We compared gastroenteritis cases that consulted a general practitioner (GP) with those who did not in a community-based study and also with those in a GP-based study. We aimed to identify factors associated with consultation, and with inclusion of cases by GPs, and secondly to study the effects on

  3. Trait-based approaches to zooplankton communities

    DEFF Research Database (Denmark)

    Lichtman, E.; Ohman, M.D.; Kiørboe, Thomas


    Zooplankton are major primary consumers and predators in most aquatic ecosystems. They exhibit tremendous diversity of traits, ecological strategies and, consequently, impacts on other trophic levels and the cycling of materials and energy. An adequate representation of this diversity in community...... and ecosystem models is necessary to generate realistic predictions on the functioning of aquatic ecosystems but remains extremely challenging. We propose that the use of trait-based approaches is a promising way to reduce complexity while retaining realism in developing novel descriptions of zooplankton...... traits, such as body size and motility, transcend several functions and are major determinants of zooplankton ecological strategies. Future developments of trait-based approaches to zooplankton should assemble a comprehensive matrix of key traits for diverse groups and explore it for general patterns...

  4. Case-based medical informatics

    Directory of Open Access Journals (Sweden)

    Arocha José F


    Full Text Available Abstract Background The "applied" nature distinguishes applied sciences from theoretical sciences. To emphasize this distinction, we begin with a general, meta-level overview of the scientific endeavor. We introduce the knowledge spectrum and four interconnected modalities of knowledge. In addition to the traditional differentiation between implicit and explicit knowledge we outline the concepts of general and individual knowledge. We connect general knowledge with the "frame problem," a fundamental issue of artificial intelligence, and individual knowledge with another important paradigm of artificial intelligence, case-based reasoning, a method of individual knowledge processing that aims at solving new problems based on the solutions to similar past problems. We outline the fundamental differences between Medical Informatics and theoretical sciences and propose that Medical Informatics research should advance individual knowledge processing (case-based reasoning and that natural language processing research is an important step towards this goal that may have ethical implications for patient-centered health medicine. Discussion We focus on fundamental aspects of decision-making, which connect human expertise with individual knowledge processing. We continue with a knowledge spectrum perspective on biomedical knowledge and conclude that case-based reasoning is the paradigm that can advance towards personalized healthcare and that can enable the education of patients and providers. We center the discussion on formal methods of knowledge representation around the frame problem. We propose a context-dependent view on the notion of "meaning" and advocate the need for case-based reasoning research and natural language processing. In the context of memory based knowledge processing, pattern recognition, comparison and analogy-making, we conclude that while humans seem to naturally support the case-based reasoning paradigm (memory of past experiences

  5. Building climate change adaptation on community experiences: Lessons from community-based natural resource management in southern Africa

    Energy Technology Data Exchange (ETDEWEB)

    Chishakwe, Nyasha; Murray, Laurel; Chambwera, Muyeye


    This publication, produced in collaboration with WWF Southern Africa, looks at how community-based natural resource management (CBNRM) can inform and contribute to climate change adaptation at the community level, specifically to community-based adaptation (CBA) to climate change. It provides a framework for analysing the two approaches at conceptual and practical levels. Using case studies from southern Africa, the publication demonstrates the synergies between CBA and CBNRM, most important of which are the adaptation co-benefits between the two. While local incentives have driven community action in CBNRM, it is the evolution of an enabling environment in the region, in the form of institutions, policies, capacity and collaboration which characterises the scaling up of CBNRM to national and regional levels.

  6. Volume of Home and Community Based Services and... (United States)

    U.S. Department of Health & Human Services — Volume of Home- and Community-Based Services and Time to Nursing-Home Placement The purpose of this study was to determine whether the volume of Home and Community...

  7. Assessing community perspectives of the community based education and service model at Makerere University, Uganda: a qualitative evaluation

    Directory of Open Access Journals (Sweden)

    Okullo Isaac


    Full Text Available Abstract Background Community partnerships are defined as groups working together with shared goals, responsibilities, and power to improve the community. There is growing evidence that these partnerships contribute to the success and sustainability of community-based education and service programs (COBES, facilitating change in community actions and attitudes. Makerere University College of Health Sciences (MakCHS is forging itself as a transformational institution in Uganda and the region. The College is motivated to improve the health of Ugandans through innovative responsive teaching, provision of service, and community partnerships. Evaluating the COBES program from the community perspective can assist the College in refining an innovative and useful model that has potential to improve the health of Ugandans. Methods A stratified random sample of 11 COBES sites was selected to examine the community’s perception of the program. Key Informant Interviews of 11 site tutors and 33 community members were completed. The data was manually analyzed and themes developed. Results Communities stated the students consistently engaged with them with culturally appropriate behaviour. They rated the student’s communication as very good even though translators were frequently needed. Half the community stated they received some feedback from the students, but some communities interpreted any contact after the initial visit as feedback. Communities confirmed and appreciated that the students provided a number of interventions and saw positive changes in health and health seeking behaviours. The community reflected that some programs were more sustainable than others; the projects that needed money to implement were least sustainable. The major challenges from the community included community fatigue, and poor motivation of community leaders to continue to take students without compensation. Conclusions Communities hosting Makerere students valued the

  8. Identity theft in community mental health patients: two case reports. (United States)

    Klopp, Jonathon; Konrad, Shane; Yanofski, Jason; Everett, Anita


    Identity theft is a serious problem in the United States, and persons with enduring mental illnesses may be particularly vulnerable to becoming victims of this crime. Victims of identity theft experience a variety of consequences that include financial loss and serious emotional distress. Little is known about the impact of identity theft on individuals with mental illnesses. The two cases from a community mental health center presented in this article demonstrate many of the facets that may be associated with an increased risk for becoming the victim of identity theft. A summary of preventive steps as well as steps involved in resolving the crime once one has become a victim are presented.

  9. UCLA Community College Review: Performance Indicators and Performance-Based Funding in Community Colleges (United States)

    Zarkesh, Maryam; Beas, Allison Marcela


    This review explores the context in which performance indicators and performance-based funding in community colleges have emerged as a means of measuring institutional effectiveness in community colleges. The article presents the history and context for performance indicators in community colleges and discusses the benefits and drawbacks of the…

  10. Community-Based Nursing versus Community Health Nursing: What Does It All Mean? (United States)

    Zotti, Marianne E.; And Others


    Offers practice models for community-based nursing and community health nursing that demonstrate the different roles, philosophies, and activities of the two approaches. Points to curriculum changes that are needed to prepare students to practice in an increasingly community-oriented health care industry. (Author)

  11. Using Community Health Workers in Community-Based Growth Promotion: What Stakeholders Think (United States)

    Afulani, Patience A.; Awoonor-Williams, John K.; Opoku, Ernest C.; Asunka, Joseph


    The Nutrition and Malaria Control for Child Survival Project is a community-based growth promotion project that utilizes Community Health Workers (CHWs), referred to as Community Child Growth Promoters (CCGPs), as the principal change agents. The purpose of this study was to identify perceptions of key stakeholders about the project and the role…

  12. Microbial Community Structure of Casing Soil During Mushroom Growth

    Institute of Scientific and Technical Information of China (English)

    CAI Wei-Ming; YAO Huai-Ying; FENG Wei-Lin; JIN Qun-Li; LIU Yue-Yan; LI Nan-Yi; ZHENG Zhong


    The culturable bacterial population and phospholipid fatty acid (PLFA)profile of casing soil were investigated at different mushroom (Agaricus bisporusI cropping stages.The change in soil bacterial PLFAs was always accompanied by a change in the soil culturable bacterial population in the first flush.Comparatively higher culturable bacterial population and bacterial PLFAs were found in the casing soil at the primordia formation stage of the first flush.There was a significant increase in the ratio of fungal to bacterial PLFAs during mushroom growth.Multivariate analysis of PLFA data demonstrated that the mushroom cropping stage could considerably affect the microbial community structure of the casing soil.The bacterial population increased significantly from casing soil application to the primordia formation stage of the first flush.Casing soil application resulted in an increase in the ratio of gram-negative bacterial PLFAs to gram-positive bacterial PLFAs,suggesting that some gram-negative bacteria might play an important role in mushroom sporophore initiation.

  13. The local community development and the community-based tourism : a comparative conceptual analysis

    Directory of Open Access Journals (Sweden)

    Sylvie PARENT


    Full Text Available According to the authors of this paper, mass tourism does not generate the development of local communities but rather their devitalization. This paper presents a cross-literature survey on community-based tourism and local community development. It proposes some links between these two approaches and asserts that community-based tourism can be a strategy to trigger local community development. It address the conditions under which the convergence of these two approaches may allow the launching of development initiatives liable to counter the devitalization and impoverishment process which characterizes certain mass tourism oriented places.

  14. 'A Farmer, a Place and at least 20 Members': The Development of Artifact Ecologies in Volunteer-based Communities

    DEFF Research Database (Denmark)

    Bødker, Susanne; Korsgaard, Henrik; Saad-Sulonen, Joanna


    In this paper, we present a case study of an urban organic food community and examine the way the community shapes its artifact ecology through a combination of appropriation of freely or cheaply available tools, and the long-term effort of building the community's own website. Based on participa......In this paper, we present a case study of an urban organic food community and examine the way the community shapes its artifact ecology through a combination of appropriation of freely or cheaply available tools, and the long-term effort of building the community's own website. Based...... on participatory observation, content analysis of communication documents, and a series of interviews, we see how the collection of artifacts that a community uses to support their practice form what we refer to as their community artifact ecology. A community artifact ecology is multifaceted, dynamic and pending...

  15. Community-based natural resource management

    DEFF Research Database (Denmark)

    Treue, Thorsten; Nathan, Iben

    ) and how this concept may be used as a development strategy. CBNRM has the triple objective of poverty reduction, natural resource conservation and good governance. The opportunity and challenge is to pursue these objectives simultaneously, as they are not, by default, mutually supportive. Lessons learnt...... from CBNRM will be useful when designing community-based climate adaptation strategies. Thus, this note is a contribution to an ongoing debate as well as a product of the long-standing experiences of Danida's environmental portfolio. CBNRM is not a stand-alone solution to secure poverty reduction......, resource conservation and good governance, and whether other resource management systems would be better will always be subject to context analysis and political debate. Accordingly, CBNRM is rather a development process and constant power struggle. Thus, even after years of implementation, donors...

  16. Community-based knowledge transfer and exchange: Helping community-based organizations link research to action

    Directory of Open Access Journals (Sweden)

    Lavis John N


    Full Text Available Abstract Background Community-based organizations (CBOs are important stakeholders in health systems and are increasingly called upon to use research evidence to inform their advocacy, program planning, and service delivery efforts. CBOs increasingly turn to community-based research (CBR given its participatory focus and emphasis on linking research to action. In order to further facilitate the use of research evidence by CBOs, we have developed a strategy for community-based knowledge transfer and exchange (KTE that helps CBOs more effectively link research evidence to action. We developed the strategy by: outlining the primary characteristics of CBOs and why they are important stakeholders in health systems; describing the concepts and methods for CBR and for KTE; comparing the efforts of CBR to link research evidence to action to those discussed in the KTE literature; and using the comparison to develop a framework for community-based KTE that builds on both the strengths of CBR and existing KTE frameworks. Discussion We find that CBR is particularly effective at fostering a climate for using research evidence and producing research evidence relevant to CBOs through community participation. However, CBOs are not always as engaged in activities to link research evidence to action on a larger scale or to evaluate these efforts. Therefore, our strategy for community-based KTE focuses on: an expanded model of 'linkage and exchange' (i.e., producers and users of researchers engaging in a process of asking and answering questions together; a greater emphasis on both producing and disseminating systematic reviews that address topics of interest to CBOs; developing a large-scale evidence service consisting of both 'push' efforts and efforts to facilitate 'pull' that highlight actionable messages from community relevant systematic reviews in a user-friendly way; and rigorous evaluations of efforts for linking research evidence to action. Summary

  17. Place-power-prognosis: Community-based conservation, partnerships, and ecotourism enterprises in Namibia

    Directory of Open Access Journals (Sweden)

    Arthur Frederick Hoole


    Full Text Available Namibia’s community-based natural resource management program (CBRNM and communal conservancies have gained international acclaim for rural poverty alleviation and wildlife conservation on the commons. Community-based ecotourism enterprise development has played a central role in the generation of community revenues, employment and additional benefits. The place of community-based ecotourism enterprises in the evolution of Namibia’s conservancies is examined. A participatory rural appraisal (PRA approach was conducted in Namibia as part of recent doctoral research in 2006 and 2007, featuring participant observation, semi-structured key informant interviews and structured communal villager interviews. Findings demonstrate some tangible successes of community-based ecotourism enterprise development, as well as emerging issues in related benefits distribution and power brokering. The case of the Torra Conservancy is profiled as a leading model for success in partnerships between conservancies, as community-based conservation institutions, and tourism enterprises. The experience of Ehi-rovipuka Conservancy is also detailed, to illuminate challenges and prospects for replicating the Torra model. Power relationships between and among private enterprise, community, and the state are elucidated. Ecotourism enterprise development can contribute successfully to community-based conservation. But, issues of power sharing, governance and competition necessitate the further evolution of commons institutions to capture future, sustainable benefits from community-based conservation premised on wildlife and related ecotourism development.

  18. Community-Based Learning: The Core Competency of Residential, Research-Based Universities (United States)

    Fischer, Gerhard; Rohde, Markus; Wulf, Volker

    Traditionally, universities focus primarily on instructionist teaching. Such an understanding has been criticized from theoretical and practical points of view. We believe that sociocultural theories of learning and the concepts of social capital and social creativity hold considerable promise as a theoretical base for the repositioning of universities in the knowledge society. To illustrate our assumption, we provide case studies from the University of Colorado and the University of Siegen. These cases indicate how approaches to community-based learning can be integrated into a curriculum of applied computer science. We also discuss the role these didactical concepts can play within a practice-oriented strategy of regional innovation.

  19. On the applicability of surrogate-based Markov chain Monte Carlo-Bayesian inversion to the Community Land Model: Case studies at flux tower sites: SURROGATE-BASED MCMC FOR CLM

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Maoyi [Earth System Analysis and Modeling Group, Pacific Northwest National Laboratory, Richland Washington USA; Ray, Jaideep [Sandia National Laboratories, Livermore California USA; Hou, Zhangshuan [Hydrology Technical Group, Pacific Northwest National Laboratory, Richland Washington USA; Ren, Huiying [Hydrology Technical Group, Pacific Northwest National Laboratory, Richland Washington USA; Liu, Ying [Earth System Analysis and Modeling Group, Pacific Northwest National Laboratory, Richland Washington USA; Swiler, Laura [Sandia National Laboratories, Albuquerque New Mexico USA


    The Community Land Model (CLM) has been widely used in climate and Earth system modeling. Accurate estimation of model parameters is needed for reliable model simulations and predictions under current and future conditions, respectively. In our previous work, a subset of hydrological parameters has been identified to have significant impact on surface energy fluxes at selected flux tower sites based on parameter screening and sensitivity analysis, which indicate that the parameters could potentially be estimated from surface flux observations at the towers. To date, such estimates do not exist. In this paper, we assess the feasibility of applying a Bayesian model calibration technique to estimate CLM parameters at selected flux tower sites under various site conditions. The parameters are estimated as a joint probability density function (PDF) that provides estimates of uncertainty of the parameters being inverted, conditional on climatologically-average latent heat fluxes derived from observations. We find that the simulated mean latent heat fluxes from CLM using the calibrated parameters are generally improved at all sites when compared to those obtained with CLM simulations using default parameter sets. Further, our calibration method also results in credibility bounds around the simulated mean fluxes which bracket the measured data. The modes (or maximum a posteriori values) and 95% credibility intervals of the site-specific posterior PDFs are tabulated as suggested parameter values for each site. Analysis of relationships between the posterior PDFs and site conditions suggests that the parameter values are likely correlated with the plant functional type, which needs to be confirmed in future studies by extending the approach to more sites.

  20. Ranking Institutional Settings Based on Publications in Community Psychology Journals (United States)

    Jason, Leonard A.; Pokorny, Steven B.; Patka, Mazna; Adams, Monica; Morello, Taylor


    Two primary outlets for community psychology research, the "American Journal of Community Psychology" and the "Journal of Community Psychology", were assessed to rank institutions based on publication frequency and scientific influence of publications over a 32-year period. Three specific periods were assessed (1973-1983, 1984-1994, 1995-2004).…

  1. The Implementation of IGE and Related Home-School-Community Relations Programs and Activities: Seven Case Studies. Theoretical Paper No. 64. (United States)

    Miles, William R.; And Others

    Each of the seven case studies in this report describes the school and community, the implementation of Individually Guided Education (IGE) programs, and home-school-community relations programs and activities, and analyzes the home-school-community relations programs and activities. The selection of the seven schools was primarily based on the…

  2. A 17-Year Case Study of an Elementary School's Journey: From Traditional School to Learning Community to Democratic School Community (United States)

    Cate, Jean McGregor; Vaughn, Courtney Ann; O'Hair, Mary John


    This case study explores one elementary school's 17-year evolution from a traditional Title I elementary school into a learning community and, eventually, a high-achieving democratic school community. The investigation adds specificity and context to the existing theoretical framework outlining this change process. The school's journey is…

  3. Developing a community-based flood resilience measurement standard (United States)

    Keating, Adriana; Szoenyi, Michael; Chaplowe, Scott; McQuistan, Colin; Campbell, Karen


    Given the increased attention to resilience-strengthening in international humanitarian and development work, there has been concurrent interest in its measurement and the overall accountability of "resilience strengthening" initiatives. The literature is reaching beyond the polemic of defining resilience to its measurement. Similarly, donors are increasingly expecting organizations to go beyond claiming resilience programing to measuring and showing it. However, key questions must be asked, in particular "Resilience of whom and to what?". There is no one-size-fits-all solution. The approach to measuring resilience is dependent on the audience and the purpose of the measurement exercise. Deriving a resilience measurement system needs to be based on the question it seeks to answer and needs to be specific. This session highlights key lessons from the Zurich Flood Resilience Alliance approach to develop a flood resilience measurement standard to measure and assess the impact of community based flood resilience interventions, and to inform decision-making to enhance the effectiveness of these interventions. We draw on experience in methodology development to-date, together with lessons from application in two case study sites in Latin America. Attention will be given to the use of a consistent measurement methodology for community resilience to floods over time and place; challenges to measuring a complex and dynamic phenomenon such as community resilience; methodological implications of measuring community resilience versus impact on and contribution to this goal; and using measurement and tools such as cost-benefit analysis to prioritize and inform strategic decision making for resilience interventions. The measurement tool follows the five categories of the Sustainable Livelihoods Framework and the 4Rs of complex adaptive systems - robustness, rapidity, redundancy and resourcefulness -5C-4R. A recent white paper by the Zurich Flood Resilience Alliance traces the

  4. Case Study: Nashville. Needle-Moving Community Collaboratives (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul


    Communities face powerful challenges that require powerful solutions: a high-school dropout epidemic, youth unemployment, teen pregnancy. In an era of limited resources, those solutions must help communities to achieve more with less. A new kind of community collaborative--an approach that aspires to significant community-wide progress by…

  5. Case Study: Philadelphia. Needle-Moving Community Collaboratives (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul


    Communities face powerful challenges that require powerful solutions: a high-school dropout epidemic, youth unemployment, teen pregnancy. In an era of limited resources, those solutions must help communities to achieve more with less. A new kind of community collaborative--an approach that aspires to significant community-wide progress by…

  6. Overlapping Communities Detection Based on Link Partition in Directed Networks

    Directory of Open Access Journals (Sweden)

    Qingyu Zou


    Full Text Available Many complex systems can be described as networks to comprehend both the structure and the function. Community structure is one of the most important properties of complex networks. Detecting overlapping communities in networks have been more attention in recent years, but the most of approaches to this problem have been applied to the undirected networks. This paper presents a novel approach based on link partition to detect overlapping communities structure in directed networks. In contrast to previous researches focused on grouping nodes, our algorithm defines communities as groups of directed links rather than nodes with the purpose of nodes naturally belong to more than one community. This approach can identify a suitable number of overlapping communities without any prior knowledge about the community in directed networks. We evaluate our algorithm on a simple artificial network and several real-networks. Experimental results demonstrate that the algorithm proposed is efficient for detecting overlapping communities in directed networks.  

  7. Integrating community based disaster risk reduction and climate change adaptation: examples from the Pacific (United States)

    Gero, A.; Méheux, K.; Dominey-Howes, D.


    It is acknowledged by academics and development practitioners alike that many common strategies addressing community based disaster risk reduction and climate change adaptation duplicate each other. Thus, there is a strong push to integrate the two fields to enhance aid effectiveness and reduce confusion for communities. Examples of community based disaster risk reduction (DRR) and climate change adaptation (CCA) projects are presented to highlight some of the ways these issues are tackled in the Pacific. Various approaches are employed but all aim to reduce the vulnerability and enhance the resilience of local communities to the impacts of climate change and disasters. By focusing on three case studies, elements of best practice are drawn out to illustrate how DRR and CCA can be integrated for enhanced aid effectiveness, and also look at ways in which these two often overlapping fields can be better coordinated in ongoing and future projects. Projects that address vulnerability holistically, and target the overall needs and capacity of the community are found to be effective in enhancing the resilience of communities. By strategically developing a multi-stakeholder and multi-sector approach, community projects are likely to encapsulate a range of experience and skills that will benefit the community. Furthermore, by incorporating local knowledge, communities are far more likely to be engaged and actively participate in the project. From selected case studies, commonly occurring best practice methods to integrate DRR and CCA are identified and discussed and recommendations on how to overcome the common challenges also presented.

  8. Integrating community based disaster risk reduction and climate change adaptation: examples from the Pacific

    Directory of Open Access Journals (Sweden)

    A. Gero


    Full Text Available It is acknowledged by academics and development practitioners alike that many common strategies addressing community based disaster risk reduction and climate change adaptation duplicate each other. Thus, there is a strong push to integrate the two fields to enhance aid effectiveness and reduce confusion for communities. Examples of community based disaster risk reduction (DRR and climate change adaptation (CCA projects are presented to highlight some of the ways these issues are tackled in the Pacific. Various approaches are employed but all aim to reduce the vulnerability and enhance the resilience of local communities to the impacts of climate change and disasters. By focusing on three case studies, elements of best practice are drawn out to illustrate how DRR and CCA can be integrated for enhanced aid effectiveness, and also look at ways in which these two often overlapping fields can be better coordinated in ongoing and future projects. Projects that address vulnerability holistically, and target the overall needs and capacity of the community are found to be effective in enhancing the resilience of communities. By strategically developing a multi-stakeholder and multi-sector approach, community projects are likely to encapsulate a range of experience and skills that will benefit the community. Furthermore, by incorporating local knowledge, communities are far more likely to be engaged and actively participate in the project. From selected case studies, commonly occurring best practice methods to integrate DRR and CCA are identified and discussed and recommendations on how to overcome the common challenges also presented.

  9. Use of Case-Based Learning in Dental Hygiene Curricula. (United States)

    Vaughan, Dina Agnone; DeBiase, Christina B.; Gibson-Howell, Joan C.


    A survey investigated the extent of use of case-based learning in 141 dental hygiene programs. A majority of responding schools use the approach, most frequently in clinical dental hygiene, community dental health, and dental science courses. Proportion of instructional time was greatest in the content areas of special needs, ethics, medical…

  10. Lessons for Research Policy and Practice: The Case of Co-enquiry Research With Rural Communities

    Directory of Open Access Journals (Sweden)

    Emily Caruso


    Full Text Available This article explores the relationship between institutional funding for research and community-based or co-enquiry research practice. It examines the implementation of co-enquiry research in the COMBIOSERVE project, which was funded by the European Commission’s Seventh Framework Programme for research and innovation, between the years 2012 and 2015. Research partnerships between Latin American and European civil society organisations, research institutions, and Latin American rural communities are analysed. Challenges for effective collaboration in co-enquiry and lessons learned for research policy and practice are outlined. Based on our case study we suggest that: (1 the established values and practices of academia seem largely unfavourable towards alternative forms of research, such as co-enquiry; (2 the policies and administrative practices of this European Commission funding are unsuitable for adopting participatory forms of enquiry; and (3 the approach to research funding supports short engagements with communities whereas long-term collaborations are more desirable. Based on our case study, we propose more flexible funding models that support face-to-face meetings between researchers and communities from the time of proposal drafting, adaptation of research processes to local dynamics, adaptation of administrative processes to the capacities of all participants, and potential for long-term collaborations. Large-scale funding bodies such as European Commission research programmes are leaders in the evolution of research policy and practice. They have the power and the opportunity to publicly acknowledge the value of partnerships with civil society organisations and communities, actively support co-enquiry, and foment interest in innovative forms of research.

  11. Community Structure Detection Algorithm Based on the Node Belonging Degree

    Directory of Open Access Journals (Sweden)

    Jian Li


    Full Text Available In this paper, we propose a novel algorithm to identify communities in complex networks based on the node belonging degree. First, we give the concept of the node belonging degree, and then determine whether a node belongs to a community or not according to the belonging degree of the node with respect to the community. The experiment results of three real-world networks: a network with three communities with 19 nodes, Zachary Karate Club and network of American college football teams show that the proposed algorithm has satisfactory community structure detection.  

  12. Therapeutic community and community education - a client based research at Häkkinen Juvenile Home


    Jokirinne, Jari; Johnsen, Kristin


    This research was a client-based qualitative research with a deep background research on therapeutic community end community education. The basis of the empirical research is Häkkinen Juvenile Home in Jyväskylä, which is an educative community that specializes in youth with drug with drug experimenting and addictive behavior. The idea of the research came from the researchers’ common interest in youth work and substance care, as well as an interest in deepening own knowledge about therapeuti...

  13. Data Producers Courting Data Reusers: Two Cases from Modeling Communities

    Directory of Open Access Journals (Sweden)

    Jillian Wallis


    Full Text Available Data sharing is a difficult process for both the data producer and the data reuser. Both parties are faced with more disincentives than incentives. Data producers need to sink time and resources into adding metadata for data to be findable and usable, and there is no promise of receiving credit for this effort. Making data available also leaves data producers vulnerable to being scooped or data misuse. Data reusers also need to sink time and resources into evaluating data and trying to understand them, making collecting their own data a more attractive option. In spite of these difficulties, some data producers are looking for new ways to make data sharing and reuse a more viable option. This paper presents two cases from the surface and climate modeling communities, where researchers who produce data are reaching out to other researchers who would be interested in reusing the data. These cases are evaluated as a strategy to identify ways to overcome the challenges typically experienced by both data producers and data reusers. By working together with reusers, data producers are able to mitigate the disincentives and create incentives for sharing data. By working with data producers, data reusers are able to circumvent the hurdles that make data reuse so challenging.

  14. Acceptability by community health workers in Senegal of combining community case management of malaria and seasonal malaria chemoprevention

    DEFF Research Database (Denmark)

    Tine, Roger Ck; Ndiaye, Pascal; Ndour, Cheikh T;


    Community case management of malaria (CCMm) and seasonal malaria chemoprevention (SMC) are anti-malarial interventions that can lead to substantial reduction in malaria burden acting in synergy. However, little is known about the social acceptability of these interventions. A study was undertaken...... to assess whether combining the interventions would be an acceptable approach to malaria control for community health workers (CHWs).......Community case management of malaria (CCMm) and seasonal malaria chemoprevention (SMC) are anti-malarial interventions that can lead to substantial reduction in malaria burden acting in synergy. However, little is known about the social acceptability of these interventions. A study was undertaken...

  15. Ethical and Professional Norms in Community-Based Research (United States)

    Campano, Gerald; Ghiso, María Paula; Welch, Bethany J.


    In this article Gerald Campano, María Paula Ghiso, and Bethany J. Welch explore the role of ethical and professional norms in community-based research, especially in fostering trust within contexts of cultural diversity, systemic inequity, and power asymmetry. The authors present and describe a set of guidelines for community-based research that…

  16. Inside case-based reasoning

    CERN Document Server

    Riesbeck, Christopher K


    Introducing issues in dynamic memory and case-based reasoning, this comprehensive volume presents extended descriptions of four major programming efforts conducted at Yale during the past several years. Each descriptive chapter is followed by a companion chapter containing the micro program version of the information. The authors emphasize that the only true way to learn and understand any AI program is to program it yourself. To this end, the book develops a deeper and richer understanding of the content through LISP programming instructions that allow the running, modification, and

  17. Community Detection Based on Link Prediction Methods

    CERN Document Server

    Cheng, Hui-Min


    Community detection and link prediction are both of great significance in network analysis, which provide very valuable insights into topological structures of the network from diffrent perspectives. In this paper, we propose a novel community detection algorithm with inclusion of link prediction, motivated by the question whether link prediction can be devoted to improve the accuracy of community partition. For link prediction, we propose two novel indices to compute the similarity between each pair of nodes, one of which aims to add missing links, and the other tries to remove spurious edges. Extensive experiments are conducted on benchmark data sets, and the results of our proposed algorithm are compared with two classes of baselines. In conclusion, our proposed algorithm is competitive, revealing that link prediction does improve the precision of community detection.

  18. Community-based dialogue: engaging communities of color in the United states' genetics policy conversation. (United States)

    Bonham, Vence L; Citrin, Toby; Modell, Stephen M; Franklin, Tené Hamilton; Bleicher, Esther W B; Fleck, Leonard M


    Engaging communities of color in the genetics public policy conversation is important for the translation of genetics research into strategies aimed at improving the health of all. Implementing model public participation and consultation processes can be informed by the Communities of Color Genetics Policy Project, which engaged individuals from African American and Latino communities of diverse socioeconomic levels in the process of "rational democratic deliberation" on ethical and policy issues stretching from genome research to privacy and discrimination concerns to public education. The results of the study included the development of a participatory framework based on a combination of the theory of democratic deliberation and the community-based public health model which we describe as "community-based dialogue."

  19. A Cervical Cancer Community-Based Participatory Research Project in a Native American Community (United States)

    Christopher, Suzanne; Gidley, Allison L.; Letiecq, Bethany; Smith, Adina; McCormick, Alma Knows His Gun


    The Messengers for Health on the Apsaalooke Reservation project uses a community-based participatory research (CBPR) approach and lay health advisors (LHAs) to generate knowledge and awareness about cervical cancer prevention among community members in a culturally competent manner. Northern Plains Native Americans, of whom Apsaalooke women are a…

  20. Career Advancement for Low-Income Workers through Community College and Community-Based Organization Partnerships. (United States)

    Roberts, Brandon

    An increasing number of community colleges (CCs) and community-based organizations (CBOs) are now working in partnership to develop education and training programs enabling low-income workers to gain the education and skills necessary to obtain higher-wage jobs and develop a foundation for lifelong learning and career advancement. The following…

  1. A Small, Rural Community College's Role in Community-Based Programming. (United States)

    Paris, Howard S.; And Others


    Chronicles the efforts of North Carolina's James Sprunt Community College to improve the quality of life for residents of its service area through the use of community-based programming (C-BP). Reviews the C-BP process utilized at the college, highlighting the formation of three planning teams charged with developing coalitions, strategic plans,…

  2. Community Based Learning and Civic Engagement: Informal Learning among Adult Volunteers in Community Organizations (United States)

    Mundel, Karsten; Schugurensky, Daniel


    Many iterations of community based learning employ models, such as consciousness raising groups, cultural circles, and participatory action research. In all of them, learning is a deliberate part of an explicit educational activity. This article explores another realm of community learning: the informal learning that results from volunteering in…

  3. WebGIS based community services architecture by griddization managements and crowdsourcing services (United States)

    Wang, Haiyin; Wan, Jianhua; Zeng, Zhe; Zhou, Shengchuan


    Along with the fast economic development of cities, rapid urbanization, population surge, in China, the social community service mechanisms need to be rationalized and the policy standards need to be unified, which results in various types of conflicts and challenges for community services of government. Based on the WebGIS technology, the article provides a community service architecture by gridding management and crowdsourcing service. The WEBGIS service architecture includes two parts: the cloud part and the mobile part. The cloud part refers to community service centres, which can instantaneously response the emergency, visualize the scene of the emergency, and analyse the data from the emergency. The mobile part refers to the mobile terminal, which can call the centre, report the event, collect data and verify the feedback. This WebGIS based community service systems for Huangdao District of Qingdao, were awarded the “2015’ national innovation of social governance case of typical cases”.

  4. Assessment of Community Event–Based Surveillance for Ebola Virus Disease, Sierra Leone, 2015 (United States)

    Crowe, Samuel J.; Jasperse, Joseph; Privette, Grayson; Stone, Erin; Miller, Laura; Hertz, Darren; Fu, Clementine; Maenner, Matthew J.; Jambai, Amara; Morgan, Oliver


    In 2015, community event–based surveillance (CEBS) was implemented in Sierra Leone to assist with the detection of Ebola virus disease (EVD) cases. We assessed the sensitivity of CEBS for finding EVD cases during a 7-month period, and in a 6-week subanalysis, we assessed the timeliness of reporting cases with no known epidemiologic links at time of detection. Of the 12,126 CEBS reports, 287 (2%) met the suspected case definition, and 16 were confirmed positive. CEBS detected 30% (16/53) of the EVD cases identified during the study period. During the subanalysis, CEBS staff identified 4 of 6 cases with no epidemiologic links. These CEBS-detected cases were identified more rapidly than those detected by the national surveillance system; however, too few cases were detected to determine system timeliness. Although CEBS detected EVD cases, it largely generated false alerts. Future versions of community-based surveillance could improve case detection through increased staff training and community engagement. PMID:27434608

  5. Ontodog: a web-based ontology community view generation tool. (United States)

    Zheng, Jie; Xiang, Zuoshuang; Stoeckert, Christian J; He, Yongqun


    Biomedical ontologies are often very large and complex. Only a subset of the ontology may be needed for a specified application or community. For ontology end users, it is desirable to have community-based labels rather than the labels generated by ontology developers. Ontodog is a web-based system that can generate an ontology subset based on Excel input, and support generation of an ontology community view, which is defined as the whole or a subset of the source ontology with user-specified annotations including user-preferred labels. Ontodog allows users to easily generate community views with minimal ontology knowledge and no programming skills or installation required. Currently >100 ontologies including all OBO Foundry ontologies are available to generate the views based on user needs. We demonstrate the application of Ontodog for the generation of community views using the Ontology for Biomedical Investigations as the source ontology.

  6. Establishing a Learning Community to Support Research and Scholarly Training: A Case Study (United States)

    Mills, Jane; Birks, Melanie; Francis, Karen


    This paper examines the concept of learning communities as defined in the literature. An existing case study is described, and the issues that facilitated and constrained the development of this learning community are considered and discussed. Strategies to address threats to the ongoing viability and usefulness of a learning community to support…

  7. Community College Students' Experiences with Financial Aid Policies and Practices: A Critical Case Study (United States)

    White, Julie A.


    This case study describes community college students' experiences with governmental financial aid policies and institutional financial aid processes at an urban community college campus in the Northeastern United States. Drawing from theories of social justice, conceptions of social capital, and institutionalist analyses of the community college…

  8. A Community Coalition Board Creates a Set of Values for Community-based Research

    Directory of Open Access Journals (Sweden)

    Daniel S. Blumenthal, MD, MPH


    Full Text Available BackgroundResearchers generally agree that communities should participate in the community-based research process, but neither a universally accepted approach to community participation nor a set of guiding principles exists.ContextThe Morehouse School of Medicine Prevention Research Center was established in 1999 with the support of a grant from the Centers for Disease Control and Prevention. Its partners include a low-income, predominantly African American community, six public agencies, and two other academic institutions. A Community Coalition Board was established to represent the partners. The majority of the board is community members; it serves in a governance rather than an advisory capacity, with the community acting as the senior partner in interactions with the medical school, the agencies, and other academic institutions.MethodsThe Community Coalition Board developed a set of research priorities and a set of 10 community values, or principles, to guide research. A board committee reviews each protocol to ensure they uphold the values.ConsequencesThe Community Coalition Board has been using the values since 1999, and in this article we describe its experience. After an initial period that included some disagreements between researchers and community members on the board, relationships have been good, and protocols have been approved with only minor changes.InterpretationAlthough the established community values reflect universally acknowledged principles of research ethics, they also address local concerns. An equal partnership between community members and researchers is most beneficial if the partners can agree on a set of values to govern research.

  9. Community based clinical program: the Medunsa physiotherapy students` experience

    Directory of Open Access Journals (Sweden)

    N. P. Taukobong


    Full Text Available Backgound: The aim of community based clinical training is tproduce graduates who are responsive to the health needs of their communit It is envisaged that upon completion of training graduates would go back an serve their respective communities following exposure to community need Program evaluation should therefore allow students to express the inadequacie and strengths of the program.Aim: To evaluate the community-based clinical program through student's experiences.Methodology: A qualitative research design was used. End of block students reports for both third (8 and fourth (15 year physiotherapy students (n = 23 were used to collect the data. Responses in the reports were grouped into the following categories for purpose of data analysis: feeling about the block, suggestion/s and supervision.Results: The students described the community based clinical program as an unique learning experience which equipped them with the understanding of life within communities. Sixty five percent (65% expressed satisfaction with the supervision given. The main complaints were amounts of paper work involved and clinical workload.Conclusion: The student's experiences indicated that the community-based clinical program within the MEDUNSA physiotherapy department realizes the goal of community-based clinical training as determined by WHO, except for inclusion of some multi-professional approaches and adaptation of the supervision provided.

  10. Model-based clustering in networks with Stochastic Community Finding

    CERN Document Server

    McDaid, Aaron F; Friel, Nial; Hurley, Neil J


    In the model-based clustering of networks, blockmodelling may be used to identify roles in the network. We identify a special case of the Stochastic Block Model (SBM) where we constrain the cluster-cluster interactions such that the density inside the clusters of nodes is expected to be greater than the density between clusters. This corresponds to the intuition behind community-finding methods, where nodes tend to clustered together if they link to each other. We call this model Stochastic Community Finding (SCF) and present an efficient MCMC algorithm which can cluster the nodes, given the network. The algorithm is evaluated on synthetic data and is applied to a social network of interactions at a karate club and at a monastery, demonstrating how the SCF finds the 'ground truth' clustering where sometimes the SBM does not. The SCF is only one possible form of constraint or specialization that may be applied to the SBM. In a more supervised context, it may be appropriate to use other specializations to guide...

  11. An Abnormal Psychology Community Based Interview Assignment (United States)

    White, Geoffry D.


    A course option in abnormal psychology involves students in interviewing and observing the activities of individuals in the off-campus community who are concerned with some aspect of abnormal psychology. The technique generates student interest in the field when they interview people about topics such as drug abuse, transsexualism, and abuse of…

  12. Emergence of Virtual Communities as Means of Communication: A Case Study on Virtual Health Care Communities (United States)

    Argan, Mehpare Tokay; Argan, Metin; Suher, Idil K.


    Like in all areas, virtual communities make their presence felt in the area of healthcare too. Virtual communities play an important role in healthcare in terms of gathering information on healthcare, sharing of personal interests and providing social support. Virtual communities provide a way for a group of peers to communicate with each other.…

  13. The Impact of Community Violence on School-Based Research (United States)

    Velsor-Friedrich, Barbara; Richards, Maryse; Militello, Lisa K.; Dean, Kyle C.; Scott, Darrick; Gross, Israel M.; Romeo, Edna


    Research conducted on youth exposure to violence has generally focused on documenting the prevalence of community violence and its emotional and behavioral implications. However, there is a dearth of information related to the impact of violence on the implementation and evaluation of community and school-based programs. This commentary examines…

  14. Generating weighted community networks based on local events

    Institute of Scientific and Technical Information of China (English)

    Xu Qi-Xin; Xu Xin-Jian


    realistic networks have community structures, namely, a network consists of groups of nodes within which links are dense but among which links are sparse. This paper proposes a growing network model based on local processes, the addition of new nodes intra-community and new links intra- or inter-community. Also, it utilizes the preferential attachment for building connections determined by nodes' strengths, which evolves dynamically during the growth of the system. The resulting network reflects the intrinsic community structure with generalized power-law distributions of nodes' degrees and strengths.

  15. Fuzzy Case-Based Reasoning System

    Directory of Open Access Journals (Sweden)

    Jing Lu


    Full Text Available In this paper, we propose a fuzzy case-based reasoning system, using a case-based reasoning (CBR system that learns from experience to solve problems. Different from a traditional case-based reasoning system that uses crisp cases, our system works with fuzzy ones. Specifically, we change a crisp case into a fuzzy one by fuzzifying each crisp case element (feature, according to the maximum degree principle. Thus, we add the “vague” concept into a case-based reasoning system. It is these somewhat vague inputs that make the outcomes of the prediction more meaningful and accurate, which illustrates that it is not necessarily helpful when we always create accurate predictive relations through crisp cases. Finally, we prove this and apply this model to practical weather forecasting, and experiments show that using fuzzy cases can make some prediction results more accurate than using crisp cases.

  16. Cultural Relevance for Rural Community Development in China: A Case Study in Bai, Jingpo and Huyaodai Communities of Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    Cai Kui; Du Juan; Dai Cong; Hu Huabin


    A three-year study over the Bai, Jingpo and Huayaodai communities in Yunnan Province reveals that the community development is significantly influenced in various ways by such cultural factors as the concepts of development; concepts and traditions of inter-community relationships, consumption, marriage and gender; patterns of decision-making and production, resource and income allocation; as well as the role of information dissemination systems, religion and ritual. Based on the analysis over the interactive relevance between each factor and community development, some strategies and methods for dealing with such a cultural relevance in development projects are recommended.

  17. Community structure in traffic zones based on travel demand (United States)

    Sun, Li; Ling, Ximan; He, Kun; Tan, Qian


    Large structure in complex networks can be studied by dividing it into communities or modules. Urban traffic system is one of the most critical infrastructures. It can be abstracted into a complex network composed of tightly connected groups. Here, we analyze community structure in urban traffic zones based on the community detection method in network science. Spectral algorithm using the eigenvectors of matrices is employed. Our empirical results indicate that the traffic communities are variant with the travel demand distribution, since in the morning the majority of the passengers are traveling from home to work and in the evening they are traveling a contrary direction. Meanwhile, the origin-destination pairs with large number of trips play a significant role in urban traffic network's community division. The layout of traffic community in a city also depends on the residents' trajectories.

  18. The Fatigue of Compassionate Service-Learning: A Qualitative Case Study in Community Psychology

    Directory of Open Access Journals (Sweden)

    Marco Gemignani


    Full Text Available In service-learning university courses, it is often difficult to support an effective and healthy balance between performance in the field and students’ engagement in their community service. Based on the author’s teaching experience, this article presents a qualitative case study on the experiences of compassion, fatigue, responsibilization, and identification as they were reported by students and observed in the field. I conceptualize these experiences as linked to three main themes: the students’ first practical use of psychology-related knowledge, the social construction of their professional identity, and the perceived effectiveness of their field work. This study concludes with an argument to consider experiences of compassion as constructive although challenging components of service-learning courses. I suggest interpreting psychological and relational challenges as occasions for self-knowledge, engagement with the field, and understanding of the limits of power and responsibility in community service.

  19. Exploring New Firm Creation Out of Brand Communities: The Case of LEGO

    DEFF Research Database (Denmark)

    Hienerth, Christoph; Lettl, Christopher; Biskjaer, Michael Mose


    of entrepreneurship studies by examining the conditions under which new firms emerge out of these social networks. Our empirical setting is the global LEGO brand community. As a well-known pioneering firm that is constantly experimenting with new ways of collaborating with its fan and customer base, LEGO recently...... invited lead users to start up new companies under its brand name. In this study, we use an explorative multiple case study design to identify patterns in this new firm creation process. Our findings show that each party derives specific returns in this entrepreneurial process: The LEGO company benefits...... from the identification and exploitation of attractive business opportunities and the reduction of entrepreneurial risk. At the same time, the entrepreneurial lead users benefit from brand transfer and from the crucial support of the brand community in the entrepreneurial process. Moreover, the LEGO...

  20. A causal loop analysis of the sustainability of integrated community case management in Rwanda. (United States)

    Sarriot, Eric; Morrow, Melanie; Langston, Anne; Weiss, Jennifer; Landegger, Justine; Tsuma, Laban


    Expansion of community health services in Rwanda has come with the national scale up of integrated Community Case Management (iCCM) of malaria, pneumonia and diarrhea. We used a sustainability assessment framework as part of a large-scale project evaluation to identify factors affecting iCCM sustainability (2011). We then (2012) used causal-loop analysis to identify systems determinants of iCCM sustainability from a national systems perspective. This allows us to develop three high-probability future scenarios putting the achievements of community health at risk, and to recommend mitigating strategies. Our causal loop diagram highlights both balancing and reinforcing loops of cause and effect in the national iCCM system. Financial, political and technical scenarios carry high probability for threatening the sustainability through: (1) reduction in performance-based financing resources, (2) political shocks and erosion of political commitment for community health, and (3) insufficient progress in resolving district health systems--"building blocks"--performance gaps. In a complex health system, the consequences of choices may be delayed and hard to predict precisely. Causal loop analysis and scenario mapping make explicit complex cause-and-effects relationships and high probability risks, which need to be anticipated and mitigated.

  1. A trait-based approach for examining microbial community assembly (United States)

    Prest, T. L.; Nemergut, D.


    Microorganisms regulate all of Earth's major biogeochemical cycles and an understanding of how microbial communities assemble is a key part in evaluating controls over many types of ecosystem processes. Rapid advances in technology and bioinformatics have led to a better appreciation for the variation in microbial community structure in time and space. Yet, advances in theory are necessary to make sense of these data and allow us to generate unifying hypotheses about the causes and consequences of patterns in microbial biodiversity and what they mean for ecosystem function. Here, I will present a metaanalysis of microbial community assembly from a variety of successional and post-disturbance systems. Our analysis shows various distinct patterns in community assembly, and the potential importance of nutrients and dispersal in shaping microbial community beta diversity in these systems. We also used a trait-based approach to generate hypotheses about the mechanisms driving patterns of microbial community assembly and the implications for function. Our work reveals the importance of rRNA operon copy number as a community aggregated trait in helping to reconcile differences in community dynamics between distinct types of successional and disturbed systems. Specifically, our results demonstrate that decreases in average copy number can be a common feature of communities across various drivers of ecological succession, supporting a transition from an r-selected to a K-selected community. Importantly, our work supports the scaling of the copy number trait over multiple levels of biological organization, from cells to populations and communities, and has implications for both ecology and evolution. Trait-based approaches are an important next step to generate and test hypotheses about the forces structuring microbial communities and the subsequent consequences for ecosystem function.

  2. Cohesion Based Personalized Community Recommendation System


    Md Mamunur Rashid; Kazi Wasif Ahmed; Hasan Mahmud; Md. Kamrul Hasan; Husne Ara Rubaiyeat


    Our life is totally engaged by the progressive growth of online social networking. Because, millions of users are interconnecting with each other using different social media sites like Facebook, Twitter, LinkedIn, Google+, Pinterest, Instagram etc. Most of the social sites like Facebook, Google+ allow users to join different groups or communities where people can share their common interests and express opinions around a common cause, problem or activity. However, an information overloading ...

  3. Community Advisory Boards in Community-Based Participatory Research: A Synthesis of Best Processes

    Directory of Open Access Journals (Sweden)

    Susan D. Newman, PhD, RN, CRRN


    Full Text Available Community-based participatory research (CBPR is a paradigm to study and reduce disparities in health outcomes related to chronic disease. Community advisory boards (CABs commonly formalize the academic–community partnerships that guide CBPR by providing a mechanism for community members to have representation in research activities. Researchers and funding agencies increasingly recognize the value of the community’s contribution to research and acknowledge that community advisory boards are a key component of successful CBPR projects. In this article, we describe the best processes for forming, operating, and maintaining CABs for CBPR. We synthesize the literature and offer our professional experiences to guide formation, operation, and maintenance of CABs.

  4. Resettlement of communities The case study of Jaguaribara: A resilient community (Northeast of Brazil

    Directory of Open Access Journals (Sweden)

    Isabelle Amorim


    Full Text Available This paper examines the displacement of the inhabitants of Jaguaribara (Northeast Brazil who were resettled due to the construction of the “Castanhao”. #e Government planned a new city to shelter the inhabitants from “Old Jaguaribara” that was $ooded due to the over$owing of the dam. #e case of Jaguaribara provides another perspective for analysing the consequences of the resettlement of the community, elucidating - besides the impoverishment risks - the protective factors that came up during the process of resistance against the construction of the dam, in the light of the concept of resilience. In order to capture the various dimensions of this process, qualitative primary data were used as the main source, together with documentation made by NGOs and professionals involved during the process of resistance against the construction of the dam, as well as semi-structured interviews. #e enhancement of resilience in Jaguaribara represented the possibility to transform isolated individuals into a powerful integrated group that could combine forces, catalyse collective gains as well as articulate and defend common interests.

  5. Enhancing Community Detection By Affinity-based Edge Weighting Scheme

    Energy Technology Data Exchange (ETDEWEB)

    Yoo, Andy [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Sanders, Geoffrey [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Henson, Van [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Vassilevski, Panayot [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)


    Community detection refers to an important graph analytics problem of finding a set of densely-connected subgraphs in a graph and has gained a great deal of interest recently. The performance of current community detection algorithms is limited by an inherent constraint of unweighted graphs that offer very little information on their internal community structures. In this paper, we propose a new scheme to address this issue that weights the edges in a given graph based on recently proposed vertex affinity. The vertex affinity quantifies the proximity between two vertices in terms of their clustering strength, and therefore, it is ideal for graph analytics applications such as community detection. We also demonstrate that the affinity-based edge weighting scheme can improve the performance of community detection algorithms significantly.


    Institute of Scientific and Technical Information of China (English)

    GUI Yan-li; FANG Yan-gang; LIU Ji-sheng


    This paper introduces a new concept of community-based ecotourism (CBET) that originated in foreign countries.Then it analyzes the significance ofCBET development in nature reserve (NR).The authors think that community participation is the evitable choice of nature reserve's conservation and development.CBET,as the self-improved model of ecotourism,can promote tourism community sustainable development.Based on the stakeholder analysis of CBET in NRs,this paper addresses the reality,especially the problem of CBET development in NRs of China.In order to develop CBET in NRs of China,this paper takes some suggestions to promote the community participation:1)gradual political empowerment,2) deep level economic incentive,3) widespread educational support,4) impartial distribution of community benefits,and 5) stakeholders cooperation.

  7. Financial impact of community-based dental education. (United States)

    Bailit, Howard L


    The financial impact of community-based dental education on dental school and community clinic budgets is a major issue. The evidence suggests that community experiences for dental students of fifty or more days, if effectively managed, can increase school net revenues due to the following factors: 1) the community rotations increase student productivity, approximating the loss of dental school clinical income; 2) the reallocation of unused clinical resources at the dental school reduces student clinic deficits; 3) schools and federally qualified health centers (FQHCs) that share surplus student patient revenues generate additional net income; and 4) enrollment of more students without additional new facilities and faculty increases total school tuition revenues. For FQHC dental clinics, student rotations increase the number of patients treated and may generate surplus revenues. Community-based dental education also provides schools and clinics important non-financial advantages.

  8. A Community Case Study on Underage Drinking Prevention. (United States)

    National Association of Governors' Highway Safety Representatives.

    The National Association of Governors' Highway Safety Representatives (NAGHSR), with funding from the National Highway Traffic Safety Administration (NHTSA), pilot tested a comprehensive underage drinking prevention program in a number of communities across the country. In 1995, NAGHSR launched the effort in five communities, which received…

  9. A local fuzzy method based on “p-strong” community for detecting communities in networks (United States)

    Yi, Shen; Gang, Ren; Yang, Liu; Jia-Li, Xu


    In this paper, we propose a local fuzzy method based on the idea of “p-strong” community to detect the disjoint and overlapping communities in networks. In the method, a refined agglomeration rule is designed for agglomerating nodes into local communities, and the overlapping nodes are detected based on the idea of making each community strong. We propose a contribution coefficient to measure the contribution of an overlapping node to each of its belonging communities, and the fuzzy coefficients of the overlapping node can be obtained by normalizing the to all its belonging communities. The running time of our method is analyzed and varies linearly with network size. We investigate our method on the computer-generated networks and real networks. The testing results indicate that the accuracy of our method in detecting disjoint communities is higher than those of the existing local methods and our method is efficient for detecting the overlapping nodes with fuzzy coefficients. Furthermore, the local optimizing scheme used in our method allows us to partly solve the resolution problem of the global modularity. Project supported by the National Natural Science Foundation of China (Grant Nos. 51278101 and 51578149), the Science and Technology Program of Ministry of Transport of China (Grant No. 2015318J33080), the Jiangsu Provincial Post-doctoral Science Foundation, China (Grant No. 1501046B), and the Fundamental Research Funds for the Central Universities, China (Grant No. Y0201500219).

  10. Synthetic socioeconomic based domestic wastewater hydrographs for small arid communities

    KAUST Repository

    Elnakar, H.


    A model was developed to predict synthetic socioeconomic based domestic wastewater hydrographs for the small arid communities. The model predicts the flow hydrograph for random weekdays and weekends based on the specific socioeconomic characteristics of the community. The main socioeconomic characteristics are the composition of the community, the different user behaviours in using water appliances, and the unit discharges of such appliances. Use patterns of water appliances are assumed to vary for the various members of the community and the type of day. Each community is composed of several social categories such as the employee, working woman, stay home woman, stay home child, students etc. The use patterns account for the stochastic nature of use in terms of number of uses, duration of the use and times of use in the day. Randomly generated hydrographs are generated for weekdays and weekends along with synthetic hydrographs of non-exceedance. The model was verified for a small residential compound in Sharm El Shiekh - Egypt using 11 days of flow measurements performed in summer. The synthetic hydrographs based on assumed water use patterns of the various members of the community compared reasonably with the measured hydrographs. Synthetic hydrographs can be derived for a community under consideration to reflect its socioeconomic conditions and thus can be used to generate probability based peaking factors to be used in the design of sewerage systems pumping facilities, and treatment plants. © 201 WIT Press.

  11. Community-Based Participatory Research Conceptual Model: Community Partner Consultation and Face Validity. (United States)

    Belone, Lorenda; Lucero, Julie E; Duran, Bonnie; Tafoya, Greg; Baker, Elizabeth A; Chan, Domin; Chang, Charlotte; Greene-Moton, Ella; Kelley, Michele A; Wallerstein, Nina


    A national community-based participatory research (CBPR) team developed a conceptual model of CBPR partnerships to understand the contribution of partnership processes to improved community capacity and health outcomes. With the model primarily developed through academic literature and expert consensus building, we sought community input to assess face validity and acceptability. Our research team conducted semi-structured focus groups with six partnerships nationwide. Participants validated and expanded on existing model constructs and identified new constructs based on "real-world" praxis, resulting in a revised model. Four cross-cutting constructs were identified: trust development, capacity, mutual learning, and power dynamics. By empirically testing the model, we found community face validity and capacity to adapt the model to diverse contexts. We recommend partnerships use and adapt the CBPR model and its constructs, for collective reflection and evaluation, to enhance their partnering practices and achieve their health and research goals.

  12. Community-based enterprises: The significance of partnerships and institutional linkages

    NARCIS (Netherlands)

    Seixas, Cristiana Simão; Berkes, Fikret


    Community-based institutions used to be driven by local needs, but in recent decades, some of them have been responding to national and global economic opportunities. These cases are of interest because they make it possible to investigate how local institutions can evolve in response to new challen

  13. Dropping out of Ethiopia’s Community Based Health Insurance scheme

    NARCIS (Netherlands)

    A.D. Mebratie (Anagaw); R.A. Sparrow (Robert); Z.Y. Debebe (Zelalem); G. Alemu (Getnet ); A.S. Bedi (Arjun Singh)


    textabstractLow contract renewal rates have been identified as one of the challenges facing the development of community based health insurance schemes (CBHI). This paper uses longitudinal household survey data to examine dropout in the case of Ethiopia’s pilot CBHI scheme, which saw enrolment incre

  14. Adapting Scenario-Based Curriculum Materials to Community College Technical Courses (United States)

    Yarnall, Louise; Toyama, Yukie; Gong, Bowyee; Ayers, Catherine; Ostrander, Jane


    Community college educators seek to infuse their workforce courses with more "real world" activities. This 3-year case study examined how 7 instructors and 78 students in California and Texas responded to the changes involved in implementing one type of reform program--the scenario-based curriculum (Schank, 1997). The study shows that…

  15. New Practices of Farm-Based Community-Oriented Social Care Services in The Netherlands

    NARCIS (Netherlands)

    Hassink, Jan; Grin, John; Hulsink, Willem


    Social care services provided by farmers provide a community-based collaboration that can empower people and improve their quality of life. The objective of this study was to increase understanding of the collaboration between care organizations and farmers. The study involves 4 cases, and all st

  16. The Teacher and the Community: A Case Study of Teacher-Community Relations among the Zapotec and Mixtec Indians of Oaxaca, Mexico. (United States)

    Densmore, Kathleen


    Studies teacher-community relations in a community where teachers are becoming more involved in indigenous community issues. Argues that formal teacher education tends to emphasize modernity and consumer culture at the expense of distinct local customs. Draws connections between the case study and low-income minority communities in the United…

  17. Community owned solutions for fire management in tropical ecosystems: case studies from Indigenous communities of South America. (United States)

    Mistry, Jayalaxshmi; Bilbao, Bibiana A; Berardi, Andrea


    Fire plays an increasingly significant role in tropical forest and savanna ecosystems, contributing to greenhouse gas emissions and impacting on biodiversity. Emerging research shows the potential role of Indigenous land-use practices for controlling deforestation and reducing CO2 emissions. Analysis of satellite imagery suggests that Indigenous lands have the lowest incidence of wildfires, significantly contributing to maintaining carbon stocks and enhancing biodiversity. Yet acknowledgement of Indigenous peoples' role in fire management and control is limited, and in many cases dismissed, especially in policy-making circles. In this paper, we review existing data on Indigenous fire management and impact, focusing on examples from tropical forest and savanna ecosystems in Venezuela, Brazil and Guyana. We highlight how the complexities of community owned solutions for fire management are being lost as well as undermined by continued efforts on fire suppression and firefighting, and emerging approaches to incorporate Indigenous fire management into market- and incentive-based mechanisms for climate change mitigation. Our aim is to build a case for supporting Indigenous fire practices within all scales of decision-making by strengthening Indigenous knowledge systems to ensure more effective and sustainable fire management.This article is part of the themed issue 'The interaction of fire and mankind'.

  18. Hyperbolic mapping of complex networks based on community information (United States)

    Wang, Zuxi; Li, Qingguang; Jin, Fengdong; Xiong, Wei; Wu, Yao


    To improve the hyperbolic mapping methods both in terms of accuracy and running time, a novel mapping method called Community and Hyperbolic Mapping (CHM) is proposed based on community information in this paper. Firstly, an index called Community Intimacy (CI) is presented to measure the adjacency relationship between the communities, based on which a community ordering algorithm is introduced. According to the proposed Community-Sector hypothesis, which supposes that most nodes of one community gather in a same sector in hyperbolic space, CHM maps the ordered communities into hyperbolic space, and then the angular coordinates of nodes are randomly initialized within the sector that they belong to. Therefore, all the network nodes are so far mapped to hyperbolic space, and then the initialized angular coordinates can be optimized by employing the information of all nodes, which can greatly improve the algorithm precision. By applying the proposed dual-layer angle sampling method in the optimization procedure, CHM reduces the time complexity to O(n2) . The experiments show that our algorithm outperforms the state-of-the-art methods.

  19. Community-Based Research as a Mechanism to Reduce Environmental Health Disparities in American Indian and Alaska Native Communities

    Directory of Open Access Journals (Sweden)

    Cynthia Agumanu McOliver


    Full Text Available Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA Science to Achieve Results (STAR tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees—tribal community leaders and members and academic collaborators—have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research.

  20. 基于公共空间价值建构的社区规划--以广州北京街3个传统社区为例%Construction of Community Planning Based on Public Spatial Value:A Case Study of the Three Traditional Communities in Beijing Street Subdistrict, Guangzhou

    Institute of Scientific and Technical Information of China (English)

    宋立新; 周春山


    In the study of public space value, the social action theory puts forward a framework of social action research based on the“field”structural space, and provides a practical method for the construction of public space value. Community has become an important carrier of the construction of public space value in the background of the appearance of public space value crisis in western countries, and has gradually become an important means to reconstruct the community public space value for its nature of social action. At present, the community planning in China, which practices as the local exploration innovation in the framework of urban planning system, has been difficult to adapt to the continuous growth of community action need under the background of civil society. Taking Yanyunxi, Liushuijing and Longzang communities in Beijing Street Subdistrict of Guangzhou as examples, the study shows that the three communities are facing the problems of deepen heterogeneous, reduced community capital, and obstacles of community action under the impact of business culture. To build more tolerance, more open, and more energetic sustainable communities has become the common desire and demand of the community residents. This paper discusses the construction of community operation space and the method of community promoting action, trying to construct community planning system to meet the public space value demand from the perspectives of“organization”and“field”with the new institutionalism theory.%  在公共空间价值研究中,社会行动理论提出基于“场域”空间结构化的社会行动研究框架,并为公共空间价值建构提供了实践论方法。在西方国家出现的公共空间价值危机背景下,社区逐渐成为构建公共空间价值的重要载体,社区规划因其社会行动本质,逐步成为重构社区公共空间价值的重要手段。目前我国社区规划的实践作为城市规划制度体系框架之

  1. HIV/AIDS, beersellers and critical community health psychology in Cambodia: a case study. (United States)

    Lubek, Ian; Lee, Helen; Kros, Sarath; Wong, Mee Lian; Van Merode, Tiny; Liu, James; McCreanor, Tim; Idema, Roel; Campbell, Catherine


    This case study illustrates a participatory framework for confronting critical community health issues using 'grass-roots' research-guided community-defined interventions. Ongoing work in Cambodia has culturally adapted research, theory and practice for particular, local health-promotion responses to HIV/AIDS, alcohol abuse and other challenges in the community of Siem Reap. For resource-poor communities in Cambodia, we recycle such 'older' concepts as 'empowerment' and 'action research'. We re-imagine community health psychology, when confronted with 'critical', life-and-death issues, as adjusting its research and practices to local, particular ontological and epistemological urgencies of trauma, morbidity and mortality.

  2. Z-Score-Based Modularity for Community Detection in Networks. (United States)

    Miyauchi, Atsushi; Kawase, Yasushi


    Identifying community structure in networks is an issue of particular interest in network science. The modularity introduced by Newman and Girvan is the most popular quality function for community detection in networks. In this study, we identify a problem in the concept of modularity and suggest a solution to overcome this problem. Specifically, we obtain a new quality function for community detection. We refer to the function as Z-modularity because it measures the Z-score of a given partition with respect to the fraction of the number of edges within communities. Our theoretical analysis shows that Z-modularity mitigates the resolution limit of the original modularity in certain cases. Computational experiments using both artificial networks and well-known real-world networks demonstrate the validity and reliability of the proposed quality function.

  3. Online Communities: The Case of Immigrants in Greece (United States)

    Panaretou, Ioannis; Karousos, Nikos; Kostopoulos, Ioannis; Foteinou, Georgia-Barbara; Pavlidis, Giorgos

    Immigrants in Greece are an increasing population, very often threatened by poverty and social exclusion. At the same time Greek government has no formal policy concerning their assimilation in Greek society and this situation generates multiple problems in both immigrants and native population. In this work we suggest that new technology can alleviate these effects and we present specific tools and methodologies adopted by ANCE, in order to support online communities and specifically immigrant communities in Greece. This approach has the potential to support immigrant communities' in terms of the organization of personal data, communication, and provision of a working space for dedicated use. The Information System's operational features are also presented, along with other characteristics and state-of-the-art features in order to propose a general direction to the design of online communities' mechanisms.

  4. A seed-expanding method based on random walks for community detection in networks with ambiguous community structures (United States)

    Su, Yansen; Wang, Bangju; Zhang, Xingyi


    Community detection has received a great deal of attention, since it could help to reveal the useful information hidden in complex networks. Although most previous modularity-based and local modularity-based community detection algorithms could detect strong communities, they may fail to exactly detect several weak communities. In this work, we define a network with clear or ambiguous community structures based on the types of its communities. A seed-expanding method based on random walks is proposed to detect communities for networks, especially for the networks with ambiguous community structures. We identify local maximum degree nodes, and detect seed communities in a network. Then, the probability of a node belonging to each community is calculated based on the total probability model and random walks, and each community is expanded by repeatedly adding the node which is most likely to belong to it. Finally, we use the community optimization method to ensure that each node is in a community. Experimental results on both computer-generated and real-world networks demonstrate that the quality of the communities detected by the proposed algorithm is superior to the- state-of-the-art algorithms in the networks with ambiguous community structures.

  5. Study on Case-Based Fixture Design

    Institute of Scientific and Technical Information of China (English)


    Fixture is an important manufacturing activity. A fixture design system based on case-based reasoning (CBR) is proposed in this paper. A new method of case representation on the basis of fixture function is presented, where the case representation is constituted of workpiece knowledge, processing feature knowledge, and fixture feature knowledge. Running the prototype system shows that the knowledge representation method, using cases, is a better way to transform and explain the design knowledge.

  6. How evidence-based practices contribute to community integration. (United States)

    Bond, Gary R; Salyers, Michelle P; Rollins, Angela L; Rapp, Charles A; Zipple, Anthony M


    Since the groundbreaking work of the Robert Wood Johnson Conference in 1998 identifying six evidence-based practices (EBPs) for people with severe mental illness (SMI), the mental health field has moved in the direction of re-examination and redesign of service systems. Surprisingly, one area that has not been fully explicated is the role that EBPs play in promoting community integration. In this paper, we explain how community integration is a unifying concept providing direction and vision for community mental health for people with SMI. As one crucial aspect of the recovery process, community integration clarifies the link between EBPs and recovery. We propose an alternate view, grounded in the empirical literature, to the assertion by Anthony, Rogers, and Farkas [2003, Community Mental Health Journal, 39, 101-114] that "EBP research has rarely demonstrated a positive impact on recovery related outcomes."

  7. Keys to the Community : A multiple case study into professional legitimation in community development practice

    NARCIS (Netherlands)

    Gradener, Jeroen


    This study examines how community development professionals obtain a sense of legitimacy in their work with local communities. In a comparative study derived from field research in Chelsea (USA), Amsterdam (The Netherlands ) and Doornkop (South Africa) the building blocks of their sense of legitimac

  8. The Hannibal Community Survey; A Case Study in a Community Development Technique. (United States)

    Croll, John A.

    Disturbed by the community's negative attitude toward its prospects for progress, the Hannibal (Missouri) Chamber of Commerce initiated a community self-survey to improve the situation. The questionnaire survey concentrated on felt needs relationg to city government, retail facilities and services, recreation, religion, education, industrial…

  9. The European hadron therapy community touches base

    CERN Multimedia

    Audrey Ballantine, Manuela Cirilli, Evangelia Dimovasili, Manjit Dosanjh, Seamus Hegarty


    The European hadron therapy community gathered in Stockholm from 3 to 5 September for the annual ENLIGHT workshops. Three of the four EC-funded projects born under the umbrella of ENLIGHT (see box) were discussed in the prestigious Nobel Forum at the Karolinska Institutet.   Souvenir photo from the ENLIGHT workshops On its second birthday, the PARTNER Initial Training Network was especially under the spotlight, as the European Commission conducted a formal project review bringing together the institutes, companies and young researchers involved. The 21 PARTNER researchers experienced the thrill of presenting their work in this privileged setting. During the coffee breaks, they joked about this being their only chance in life to speak in the Nobel Forum – but who knows what these brilliant young minds will achieve! They certainly impressed the European Commission’s Project Officer Gianluca Coluccio and Expert Reviewer Kaisa Hellevuo, who stated that PARTNER is a showcase proj...

  10. Professional Learning Communities as a Leadership Strategy to Drive Math Success in an Urban High School Serving Diverse, Low-Income Students: A Case Study (United States)

    Huggins, Kristin Shawn; Scheurich, James Joseph; Morgan, James R.


    Utilizing a qualitative case-study design, this study explored how a mid-sized urban high school professional learning community was used as a reform effort to increase student achievement in mathematics on standards-based assessments. From a year-long interaction with the math professional learning community, which consisted of 3 school leaders…

  11. Community based prevention programs targeting all injuries for children (United States)

    Spinks, A; Turner, C; McClure, R; Nixon, J


    Objective: Community based models for injury prevention have become an accepted part of the overall injury control strategy. This systematic review of the scientific literature examines the evidence for their effectiveness in reducing all-cause injury in children 0–14 years of age. Methods: A comprehensive search of the literature was performed using the following study selection criteria: community based intervention study; children under 14 years; outcome measure was injury rates; and either a community control or an historical control was used in the design. Quality assessment and data abstraction were guided by a standardized procedure and performed independently by two authors. Data synthesis was in tabular and text form with meta-analysis not being possible due to the discrepancy in methods and measures between the studies. Results: Thorough electronic and library search techniques yielded only nine formally evaluated community based all-cause child injury prevention programs that have reported actual injury outcomes. Of these nine studies, seven provided high level evidence where contemporary control communities were used for comparison; the remaining two used a pre and post-design or time trend analysis where historical data from the community were used as the comparison. Only three of the seven studies with contemporary control communities found significant effect of the intervention; the two studies without controls noted significant reductions in injury rates after the intervention period. Conclusion: There is a paucity of research from which evidence regarding the effectiveness of community based childhood injury prevention programs can be obtained and hence a clear need to increase the effort on developing this evidence base. PMID:15178676

  12. A Community Based Systems Diagram of Obesity Causes.

    Directory of Open Access Journals (Sweden)

    Steven Allender

    Full Text Available Application of system thinking to the development, implementation and evaluation of childhood obesity prevention efforts represents the cutting edge of community-based prevention. We report on an approach to developing a system oriented community perspective on the causes of obesity.Group model building sessions were conducted in a rural Australian community to address increasing childhood obesity. Stakeholders (n = 12 built a community model that progressed from connection circles to causal loop diagrams using scripts from the system dynamics literature. Participants began this work in identifying change over time in causes and effects of childhood obesity within their community. The initial causal loop diagram was then reviewed and elaborated by 50 community leaders over a full day session.The process created a causal loop diagram representing community perceptions of determinants and causes of obesity. The causal loop diagram can be broken down into four separate domains; social influences; fast food and junk food; participation in sport; and general physical activity.This causal loop diagram can provide the basis for community led planning of a prevention response that engages with multiple levels of existing settings and systems.

  13. Governing through community allegiance: a qualitative examination of peer research in community-based participatory research. (United States)

    Guta, Adrian; Flicker, Sarah; Roche, Brenda


    The disappointing results of many public health interventions have been attributed in part to the lack of meaningful community engagement in the planning, implementation, and evaluation of these initiatives. Community-based participatory research (CBPR) has emerged as an alternative research paradigm that directly involves community members in all aspects of the research process. Their involvement is often said to be an empowering experience that builds capacity. In this paper, we interrogate these assumptions, drawing on interview data from a qualitative study investigating the experiences of 18 peer researchers (PRs) recruited from nine CBPR studies in Toronto, Canada. These individuals brought to their respective projects experience of homelessness, living with HIV, being an immigrant or refugee, identifying as transgender, and of having a mental illness. The reflections of PRs are compared to those of other research team members collected in separate focus groups. Findings from these interviews are discussed with an attention to Foucault's concept of 'governmentality', and compared against popular community-based research principles developed by Israel and colleagues. While PRs spoke about participating in CBPR initiatives to share their experience and improve conditions for their communities, these emancipatory goals were often subsumed within corporatist research environments that limited participation. Overall, this study offers a much-needed theoretical engagement with this popular research approach and raises critical questions about the limits of community engagement in collaborative public health research.

  14. A hydrogen-based subsurface microbial community dominated by methanogens. (United States)

    Chapelle, Francis H; O'Neill, Kathleen; Bradley, Paul M; Methé, Barbara A; Ciufo, Stacy A; Knobel, LeRoy L; Lovley, Derek R


    The search for extraterrestrial life may be facilitated if ecosystems can be found on Earth that exist under conditions analogous to those present on other planets or moons. It has been proposed, on the basis of geochemical and thermodynamic considerations, that geologically derived hydrogen might support subsurface microbial communities on Mars and Europa in which methanogens form the base of the ecosystem. Here we describe a unique subsurface microbial community in which hydrogen-consuming, methane-producing Archaea far outnumber the Bacteria. More than 90% of the 16S ribosomal DNA sequences recovered from hydrothermal waters circulating through deeply buried igneous rocks in Idaho are related to hydrogen-using methanogenic microorganisms. Geochemical characterization indicates that geothermal hydrogen, not organic carbon, is the primary energy source for this methanogen-dominated microbial community. These results demonstrate that hydrogen-based methanogenic communities do occur in Earth's subsurface, providing an analogue for possible subsurface microbial ecosystems on other planets.

  15. A Modularity Degree Based Heuristic Community Detection Algorithm

    Directory of Open Access Journals (Sweden)

    Dongming Chen


    Full Text Available A community in a complex network can be seen as a subgroup of nodes that are densely connected. Discovery of community structures is a basic problem of research and can be used in various areas, such as biology, computer science, and sociology. Existing community detection methods usually try to expand or collapse the nodes partitions in order to optimize a given quality function. These optimization function based methods share the same drawback of inefficiency. Here we propose a heuristic algorithm (MDBH algorithm based on network structure which employs modularity degree as a measure function. Experiments on both synthetic benchmarks and real-world networks show that our algorithm gives competitive accuracy with previous modularity optimization methods, even though it has less computational complexity. Furthermore, due to the use of modularity degree, our algorithm naturally improves the resolution limit in community detection.

  16. A community-based framework for aquatic ecosystem models

    DEFF Research Database (Denmark)

    Trolle, Didde; Hamilton, D. P.; Hipsey, M. R.;


    aim to (i) advance collaboration within the aquatic ecosystem modelling community, (ii) enable increased use of models for research, policy and ecosystem-based management, (iii) facilitate a collective framework using common (standardised) code to ensure that model development is incremental, (iv......Here, we communicate a point of departure in the development of aquatic ecosystem models, namely a new community-based framework, which supports an enhanced and transparent union between the collective expertise that exists in the communities of traditional ecologists and model developers. Through...... a literature survey, we document the growing importance of numerical aquatic ecosystem models while also noting the difficulties, up until now, of the aquatic scientific community to make significant advances in these models during the past two decades. Through a common forum for aquatic ecosystem modellers we...

  17. Evaluation of the integrated community based home care model

    Directory of Open Access Journals (Sweden)

    LR Uys


    Full Text Available In 1999-2000 the Integrated Community-Based Home Care model for the care of people with AIDS in communities were implemented in seven sites across the country. The post-implementation evaluation showed that most respondents felt that the model could be replicated if a functioning and informed network including all partners, and a strong management team were in place. The effects of the project were mainly positive for all stakeholders (hospice, clinic, hospital, PWA and their carers, professionals and other community members. Hospitals and community- based services became more aware of and involved in the needs of PWA and felt that the model enabled them to address these needs. PWA and their carers felt supported and respected.

  18. Approaches to dog health education programs in Australian rural and remote Indigenous communities: four case studies. (United States)

    Constable, S E; Dixon, R M; Dixon, R J; Toribio, J-A


    Dog health in rural and remote Australian Indigenous communities is below urban averages in numerous respects. Many Indigenous communities have called for knowledge sharing in this area. However, dog health education programs are in their infancy, and lack data on effective practices. Without this core knowledge, health promotion efforts cannot progress effectively. This paper discusses a strategy that draws from successful approaches in human health and indigenous education, such as dadirri, and culturally respectful community engagement and development. Negotiating an appropriate education program is explored in its practical application through four case studies. Though each case was unique, the comparison of the four illustrated the importance of listening (community consultation), developing and maintaining relationships, community involvement and employment. The most successful case studies were those that could fully implement all four areas. Outcomes included improved local dog health capacity, local employment and engagement with the program and significantly improved dog health.

  19. Case-based reasoning a concise introduction

    CERN Document Server

    López, Beatriz


    Case-based reasoning is a methodology with a long tradition in artificial intelligence that brings together reasoning and machine learning techniques to solve problems based on past experiences or cases. Given a problem to be solved, reasoning involves the use of methods to retrieve similar past cases in order to reuse their solution for the problem at hand. Once the problem has been solved, learning methods can be applied to improve the knowledge based on past experiences. In spite of being a broad methodology applied in industry and services, case-based reasoning has often been forgotten in



    Argan, Mehpare Tokay; ARGAN, Metin; Idil K. SUHER


    Today, like in all areas, the Internet has had an important effect in the area of health as well. With the development of the Internet many new and different applications have developed and one of the most important of these are probably virtual communities. Virtual communities, which are used as a tool for providing information and word of mouth communication, have become a widely used marketing tool in the area of healthcare services in recent years. A virtual community is a group that does...

  1. Ecotourism and community development: case studies from Hainan, China. (United States)

    Stone, Mike; Wall, Geoffrey


    The connections between people, parks, and tourism have received significant attention in recent years, recognizing the potential for mutually beneficial relationships. Ecotourism has been promoted and widely adopted as a strategy for funding conservation initiatives, while at the same time contributing to the socioeconomic development of host communities and providing for quality tourism experiences. Parks are among the most common ecotourism destinations. Employing interviews, observations and secondary sources, this study assesses the current status of ecotourism at two protected areas in Hainan, China, where it is being promoted as a strategy for balancing regional economic growth and conservation objectives. Through an evaluation of the existing tourism-park-community relationships, opportunities and constraints are identified. Ecotourism development was found to be at an early stage at both study sites. Socioeconomic benefits for the local communities have been limited and tourism activity has not contributed revenues towards conservation to date. Community residents, nevertheless, generally support conservation and are optimistic that tourism growth will yield benefits. In light of the study findings and the salient literature, planning direction is offered with the intention of enhancing the capacity of ecotourism to generate benefits for both communities and the parks, and thus contribute to the sustainable development of the region more generally. Lessons derived have broad applicability for ecotourism destinations elsewhere.

  2. Merging and scoring molecular interactions utilising existing community standards: tools, use-cases and a case study. (United States)

    Villaveces, J M; Jiménez, R C; Porras, P; Del-Toro, N; Duesbury, M; Dumousseau, M; Orchard, S; Choi, H; Ping, P; Zong, N C; Askenazi, M; Habermann, B H; Hermjakob, Henning


    The evidence that two molecules interact in a living cell is often inferred from multiple different experiments. Experimental data is captured in multiple repositories, but there is no simple way to assess the evidence of an interaction occurring in a cellular environment. Merging and scoring of data are commonly required operations after querying for the details of specific molecular interactions, to remove redundancy and assess the strength of accompanying experimental evidence. We have developed both a merging algorithm and a scoring system for molecular interactions based on the proteomics standard initiative-molecular interaction standards. In this manuscript, we introduce these two algorithms and provide community access to the tool suite, describe examples of how these tools are useful to selectively present molecular interaction data and demonstrate a case where the algorithms were successfully used to identify a systematic error in an existing dataset.

  3. ESSEA: Inquiry-Based, Online Learning Communities (United States)

    Schwerin, T. G.


    The Earth System Science Education Alliance (ESSEA) is a partnership between the Institute for Global Environmental Strategies (IGES) and the Center for Educational Technologies (CET) at Wheeling Jesuit University, through funding from NASA's Earth Science Enterprise. ESSEA is supporting universities, colleges, and science education organizations in offering Earth system science online graduate courses that have been developed within the CET at Wheeling Jesuit University. ESSEA has created a national professional development program aimed at improving the knowledge, skills, and resources of Earth system science educators, offering state-of-the-art, rigorous, online courses to promote understanding of Earth system science. The three available ESS courses use an innovative instructional design model and are delivered over the Internet - they feature student-centered, knowledge-building virtual communities, the optimal method for teaching and learning. Participants in these exciting professional development courses experience online, collaborative learning, while mastering new content that addresses National Education Science Standards; develop confidence in using technology; design new classroom activities; and identify new Earth system science resources. The courses have been successfully implemented for both in-service and pre-service teacher education.

  4. Impact of community-based immunization services.

    Directory of Open Access Journals (Sweden)

    Sing K


    Full Text Available The knowledge, attitude and practice of mothers toward childhood immunization was surveyed in 2 neighborhoods in greater Bombay, India. The areas were a slum of 75,000 called Malavani, and a nearby area called Kharodi. Measles and triple (DPT or DPV vaccines were available at local health centers, 1.5 km away at the most; oral polio vaccines were given by field workers to the Malavani community to children in their homes, but only in the center for those in Kharodi. BCG tuberculosis vaccinations were available to all, but from a center 5 km away. Malavani mothers had significantly better knowledge of triple and measles vaccines, but knowledge about BCG was similar in the 2 groups. Slightly more women from Kharodi expressed negative attitudes toward immunization. Coverage of children, established from clinic records, was significantly better in the Malavani area: 91% vs. 58% for polio; 71% vs 61% for BCG (n.s.; 85% vs. 55% for triple vaccine; and 21% vs 1% for measles. Evidently, visitation by field teams with polio vaccinations affected mothers′ knowledge and practice for other immunizations available only at the center.

  5. Community-based oil spill response in Alaska

    Energy Technology Data Exchange (ETDEWEB)

    Banta, J. [Prince William Sound Regional Citizen' s Advisory Council, Anchorage, AK (United States); Munger, M. [Cook Inlet Regional Citizen' s Advisory Council, Kenai, AK (United States)


    The Prince William Sound Regional Citizen's Advisory Council and the Cook Inlet Regional Citizen's Advisory Council are independent, non profit organizations formed in 1989 following the Exxon Valdez oil spill to promote the concept of community-based oil spill response (COSR) in their respective regions. COSR involves local citizens in responding to oil spilled in waters they rely upon for income, recreation and subsistence. The 2 advisory councils recently held a Community Oil Spill Response Forum to review the status of existing COSR teams and to share information about past and future COSR-related efforts. The meeting served as an information exchange process about regulatory programs, COSR variations in communities and harbors, training, and personnel issues. Key groups attending the forum were harbor masters, Alaska Department of Environmental Conservation, United States Coast Guard, existing COSR teams, oil response organizations, local community governments, and volunteers from the advisory councils. This paper was based on the notes taken from the forum. It was agreed that the current system is inadequate in its response to small spills that are frequently associated with non-tank vessels. It was suggested that improved capacity for community-based response could address the situation. It was also suggested that work groups should meet on an annual or biannual basis to continue to educate responders and communities about oil spill response. 7 refs.

  6. How Macromedia Used Blogs to Build Its Developers' Communities: A Case Study (United States)

    Cheng, Jingli


    Business organizations are using blogs as a conversational technology to help build a community of practice where knowledge exchange and sharing actively take place. This case study examines how Macromedia used blogs to build its developers' communities and become more organizationally effective. Four major types of interactions between the…

  7. Cultural Capital and Innovative Pedagogy: A Case Study among Indigenous Communities in Mexico and Honduras (United States)

    Gregorcic, Marta


    This article introduces case studies of innovative approaches to pedagogy among indigenous Mayan communities in Chiapas (Mexico) and Lencan communities in Intibuca (Honduras). Innovative approaches to researching alternative theories and practices of pedagogy are used by the author to develop an epistemology of critical pedagogy and its potential…

  8. Auditing and Evaluating University-Community Engagement: Lessons from a UK Case Study (United States)

    Hart, Angie; Northmore, Simon


    The growing importance of community and public engagement activities in universities has led to an increasing emphasis on auditing and evaluating university-community partnerships. However, the development of effective audit and evaluation tools is still at a formative stage. This article presents a case study of the University of Brighton's…

  9. Establishment and Implementation of the Balingasay Marine Protected Area: A Community-Based Approach

    Directory of Open Access Journals (Sweden)

    Severino Salmo III


    Full Text Available A community-based approach in the establishment and implementation of a marine protected area (MPA in Balingasay, Bolinao, Pangasinan is presented. The factors necessary to facilitate the successful establishment and implementation of a community-managed MPA include heightening of environmental awareness, community mobilization, and legal/institutional and financial assistance. A heightened environmental awareness encouraged the community to undertake resource management action. The formation of a people’s organization, SAMMABAL (Samahan ng mga Mangingisda at Mamamayan ng Balingasay, was crucial in assessing environmental problems (e.g., overfishing and identifying the establishment of an MPA as a management tool to address the problem. SAMMABAL was also instrumental in eliciting community support for the issuance of a municipal ordinance in the establishment of the MPA. Subsequently, the organization initiated the patrolling of the MPA. Institutions involved in the community-based management of the MPA also included the multi-sectoral council (BRMC – Balingasay Resource Management Council and representatives from the barangay council and the municipal government. This institutional arrangement has proven to be very resilient, indicating a high probability of sustaining its successes despite some obstacles and shortcomings. Clear delineation of the role and functions of the institutions and the stakeholders was essential in advancing the initiative. This case study will draw on the lessons from the experience of a four-year community-managed MPA.

  10. Building Rural Communities through School-Based Agriculture Programs (United States)

    Martin, Michael J.; Henry, Anna


    The purpose of this study was to develop a substantive theory for community development by school-based agriculture programs through grounded theory methodology. Data for the study included in-depth interviews and field observations from three school-based agriculture programs in three non-metropolitan counties across a Midwestern state. The…

  11. Curriculum-Based Learning Communities Centered within a Discipline (United States)

    Zrull, Mark C.; Rocheleau, Courtney A.; Smith, M. Corinne; Bergman, Shawn M.


    This article focuses on curriculum-based learning communities (LCs). In these LCs, manipulation of the curriculum is intentional and often innovative, with the overarching goals of developing meaningful connections among students, between students and faculty, and between students and their coursework. The variety of curriculum-based models…

  12. Strategies in Mobilizing Coastal Communities for Community-Based Coastal Resource Management in Bolinao, Pangasinan

    Directory of Open Access Journals (Sweden)

    Jacquelyn Pinat


    Full Text Available The Marine Fishery Resources Management Project (MFRMP hopes to facilitate partnership between the local government unit and the local communities in managing the coastal resources of Bolinao. Mobilization, both at the community and municipal levels, has been very important in promoting community-based strategies in coastal resources management. The community organization process in the municipality has gone through several levels; and different organizations have been formed. In empowering individuals and organizations, strategies tend to be varied and fluid depending on the need, the reason for mobilization, and the resources at hand. The Bolinao experience showcases different strategies used in implementing the resource enhancement, coastal zoning, harvest regulation, and capability building components of the program. These have included the formation of people's organizations, the mobilization of zonal action teams for each of the four zones, the creation and orientation of fishery and aquatic resources management councils at the barangay and municipal levels, and the active collaboration with the local government unit. These strategies and approaches have provided the people and the communities a wealth of experience and lessons that provide helpful insights in undertaking different endeavors. The strategies employed in the mobilization activities have significantly contributed to the empowerment of communities and individuals who are the primary managers of their resources.

  13. Considerations for community-based mHealth initiatives: insights from three Beacon Communities. (United States)

    Abebe, Nebeyou A; Capozza, Korey L; Des Jardins, Terrisca R; Kulick, David A; Rein, Alison L; Schachter, Abigail A; Turske, Scott A


    Mobile health (mHealth) is gaining widespread attention for its potential to engage patients in their health and health care in their daily lives. Emerging evidence suggests that mHealth interventions can be used effectively to support behavior change, but numerous challenges remain when implementing these programs at the community level. This paper provides an overview of considerations when implementing community-based mHealth initiatives, based on the experiences of three Beacon Communities across the United States that have launched text messaging (short message service, SMS) pilot programs aimed at diabetes risk reduction and disease management. The paper addresses lessons learned and suggests strategies to overcome challenges related to developing text message content, conducting marketing and outreach, enrolling participants, engaging providers, evaluating program effectiveness, and sustaining and scaling the programs.

  14. Categorizing Bugs with Social Networks: A Case Study on Four Open Source Software Communities

    CERN Document Server

    Zanetti, Marcelo Serrano; Tessone, Claudio Juan; Schweitzer, Frank


    Efficient bug triaging procedures are an important precondition for successful collaborative software engineering projects. Triaging bugs can become a laborious task particularly in open source software (OSS) projects with a large base of comparably inexperienced part-time contributors. In this paper, we propose an efficient and practical method to identify valid bug reports which a) refer to an actual software bug, b) are not duplicates and c) contain enough information to be processed right away. Our classification is based on nine measures to quantify the social embeddedness of bug reporters in the collaboration network. We demonstrate its applicability in a case study, using a comprehensive data set of more than 700,000 bug reports obtained from the Bugzilla installation of four major OSS communities, for a period of more than ten years. For those projects that exhibit the lowest fraction of valid bug reports, we find that the bug reporters' position in the collaboration network is a strong indicator for ...


    Institute of Scientific and Technical Information of China (English)


    This paper focused on the integration of case base and relational database management system (RDBMS). The organizational and commercial impact will be far greater if the case-based reasoning (CBR) system is integrated with main stream information system, which is exemplified by RDBMS. The scalability, security and robustness provided by a commercial RDBMS facilitate the CBR system to manage the case base.The virtual table in relational database (RDB) is important for CBR systems to implement the flexibility of case template. It was discussed how to implement a flexible and succinct case template, and a mapping model between case template and RDB was proposed. The key idea is to build the case as the virtual view of underlying data.

  16. Characterization of coastal urban watershed bacterial communities leads to alternative community-based indicators

    Energy Technology Data Exchange (ETDEWEB)

    Wu, C.H.; Sercu, B.; Van De Werhorst, L.C.; Wong, J.; DeSantis, T.Z.; Brodie, E.L.; Hazen, T.C.; Holden, P.A.; Andersen, G.L.


    Microbial communities in aquatic environments are spatially and temporally dynamic due to environmental fluctuations and varied external input sources. A large percentage of the urban watersheds in the United States are affected by fecal pollution, including human pathogens, thus warranting comprehensive monitoring. Using a high-density microarray (PhyloChip), we examined water column bacterial community DNA extracted from two connecting urban watersheds, elucidating variable and stable bacterial subpopulations over a 3-day period and community composition profiles that were distinct to fecal and non-fecal sources. Two approaches were used for indication of fecal influence. The first approach utilized similarity of 503 operational taxonomic units (OTUs) common to all fecal samples analyzed in this study with the watershed samples as an index of fecal pollution. A majority of the 503 OTUs were found in the phyla Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria. The second approach incorporated relative richness of 4 bacterial classes (Bacilli, Bacteroidetes, Clostridia and a-proteobacteria) found to have the highest variance in fecal and non-fecal samples. The ratio of these 4 classes (BBC:A) from the watershed samples demonstrated a trend where bacterial communities from gut and sewage sources had higher ratios than from sources not impacted by fecal material. This trend was also observed in the 124 bacterial communities from previously published and unpublished sequencing or PhyloChip- analyzed studies. This study provided a detailed characterization of bacterial community variability during dry weather across a 3-day period in two urban watersheds. The comparative analysis of watershed community composition resulted in alternative community-based indicators that could be useful for assessing ecosystem health.

  17. Characterization of coastal urban watershed bacterial communities leads to alternative community-based indicators.

    Directory of Open Access Journals (Sweden)

    Cindy H Wu

    Full Text Available BACKGROUND: Microbial communities in aquatic environments are spatially and temporally dynamic due to environmental fluctuations and varied external input sources. A large percentage of the urban watersheds in the United States are affected by fecal pollution, including human pathogens, thus warranting comprehensive monitoring. METHODOLOGY/PRINCIPAL FINDINGS: Using a high-density microarray (PhyloChip, we examined water column bacterial community DNA extracted from two connecting urban watersheds, elucidating variable and stable bacterial subpopulations over a 3-day period and community composition profiles that were distinct to fecal and non-fecal sources. Two approaches were used for indication of fecal influence. The first approach utilized similarity of 503 operational taxonomic units (OTUs common to all fecal samples analyzed in this study with the watershed samples as an index of fecal pollution. A majority of the 503 OTUs were found in the phyla Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria. The second approach incorporated relative richness of 4 bacterial classes (Bacilli, Bacteroidetes, Clostridia and alpha-proteobacteria found to have the highest variance in fecal and non-fecal samples. The ratio of these 4 classes (BBC:A from the watershed samples demonstrated a trend where bacterial communities from gut and sewage sources had higher ratios than from sources not impacted by fecal material. This trend was also observed in the 124 bacterial communities from previously published and unpublished sequencing or PhyloChip- analyzed studies. CONCLUSIONS/SIGNIFICANCE: This study provided a detailed characterization of bacterial community variability during dry weather across a 3-day period in two urban watersheds. The comparative analysis of watershed community composition resulted in alternative community-based indicators that could be useful for assessing ecosystem health.

  18. Demystifying Virtual Communities of Practice: A Case Study of IBM (United States)

    Kok, Ayse


    The purpose of this proposed research study is to empirically explore the nature of virtual communities of practice (CoP) in a global organisation within the context of its International Corporate Volunteer (ICV) Program. This study investigates whether and how the use of virtual CoP evolves and becomes embedded within this organization. Following…

  19. Community College Budgeting and Financial Planning Issues: A Case Study (United States)

    Krieger, Jennifer


    Soon after his election in 1995, Kentucky governor Paul E. Patton instituted a plan to restructure the commonwealth's system of postsecondary education to create a more efficient system designed to prepare Kentuckians for jobs in the new era. While Patton looked at all of postsecondary education, he focused on the 29 community and technical…

  20. An audit of hospital based outpatient infusions and a pilot program of community-based monoclonal antibody infusions.

    LENUS (Irish Health Repository)

    Doran, J-P


    INTRODUCTION: Infliximab, a chimeric monoclonal antibody to tumour necrosis factor alpha, is administered as an intravenous infusion requiring a costly hospital day case or inpatient admission. METHODS: An audit of all current therapies given by intravenous infusions in an outpatient setting in St Vincent\\'s University Hospital (SVUH) was undertaken. Furthermore, in conjunction with TCP homecare, we established in a general practise health clinic, the first Irish community infusion centre for the administration of infliximab in August 2006. RESULTS: All outpatient departments indicated that they would favour a centralized hospital infusion unit. There were no adverse events and the mean global satisfaction improved in the community infliximab infusion pilot programme of seven patients. CONCLUSION: This study suggests efficiencies in providing centralized infusion facilities, while the community based infusion of infliximab is feasible and safe in this small cohort and identifies the community infusion unit as a viable and cost efficient alternative for administration of infliximab.

  1. 社区旅游的网络治理框架:一个案例分析%A Network Framework for Community-Based Tourism: A Case Study

    Institute of Scientific and Technical Information of China (English)

    锁利铭; 马捷; 经戈


    社区旅游(CBT)是以社区的全面参与为基础,集合多部门共同协作实现旅游可持续发展的一种旅游发展模式.论文以CBT的利益相关者与社区关系的分析为基础,提出网络治理的行政型网络治理(NAO)模式是改善CBT绩效的一种制度创新.文章构建了CBT的网络治理框架,并以江苏常熟的CBT发展为案例,提出了网络治理的重点领域和关键要素.%Taking Changshu in Jiangsu as an example, this paper elaborates a network framework and its applications for community-based tourism (CBT). It begins by outlining different definitions of CBT. Next it identifies who will be the stakeholders in the CBT and how relationship influences the structure of network. Specific proposition regarding important fields and key factors is efficient way to improve network governance for CBT is presented.

  2. A robust University-NGO partnership: Analysing school efficiencies in Bolivia with community-based management techniques

    Directory of Open Access Journals (Sweden)

    Joao Neiva de Figueiredo


    Full Text Available Community-based management research is a collaborative effort between management, academics and communities in need with the specific goal of achieving social change to foster social justice. Because it is designed to promote and validate joint methods of discovery and community-based sources of knowledge, community-based management research has several unique characteristics, which may affect its execution. This article describes the process of a community-based management research project which is descriptive in nature and uses quantitative techniques to examine school efficiencies in low-income communities in a developing country – Bolivia. The article describes the partnership between a US-based university and a Bolivian not-for-profit organisation, the research context and the history of the research project, including its various phases. It focuses on the (yet unpublished process of the community-based research as opposed to its content (which has been published elsewhere. The article also makes the case that the robust partnership between the US-based university and the Bolivian NGO has been a determining factor in achieving positive results. Strengths and limitations are examined in the hope that the experience may be helpful to others conducting descriptive quantitative management research using community-engaged frameworks in cross-cultural settings. Keywords: international partnership, community-engaged scholarship, education efficiency, multicultural low-income education.

  3. The practice of neogeography in community-based organizations (United States)

    Oberle, Patrick

    Neogeography and Volunteered Geographic Information (VGI) are two terms that have emerged recently to describe the practice of geography by those not formally trained in it as a discipline and spatial data provided by individuals through social media and other Web-based tools. Both neogeography and VGI can be directly linked to the growth of various online mapping websites and applications that allow for the creation of electronic maps that are interactive, adaptable, and easily shared via the Internet and Web. As recent phenomena, the practice of neogeography and VGI is not well understood, nor are the links these new fields have to previously established knowledge on Geographic Information Systems and its associated practices. This thesis attempts to fill this knowledge gap through a participatory study of neogeographic practice. Using a participatory workshop format, I observed and documented representatives of community-based organizations in Syracuse, NY as they encountered online mapping tools for the first time. I followed up with two of those organizations in longer case studies to better understand how organizations with no obvious geographic focus come to see geography as a way of communicating complex ideas about space. This study revealed that while the technical complexity of the online mapping software continues to prove to be a hindrance to its use, there remains space for professional geographers to interact with laypeople who make maps. Furthermore, such engagement is necessary to begin to understand the issues involved with location-based information and privacy, access to data, and ability to use and communicate geographic concepts and knowledge.

  4. What is the role of a case manager in community aged care? A qualitative study in Australia. (United States)

    You, Emily Chuanmei; Dunt, David; Doyle, Colleen


    This study aimed to explore the perceptions of case managers about their roles in providing community aged care in Australia. Purposeful sampling was used and 33 qualitative semi-structured interviews with 47 participants were conducted. Participants were drawn from a list of all case managers working in aged care organisations that provided publicly funded case-managed community aged care programmes in the State of Victoria, Australia. Participant selection criteria included age, gender, job titles, professional backgrounds, practice locations, organisational attributes and organisational size. Data collection was implemented between September 2012 and March 2013. Thematic analysis was performed. Participants believed that case managers performed diverse roles based on clients' needs. They also articulated 16 important roles of case managers, including advisors, advocates, carers, communicators, co-ordinators, educators, empowering clients, engaging clients and families, liaising with people, managing budgets, navigators, negotiators, networking with people, facilitators, problem solvers and supporters. However, they were concerned about brokers, mediators and counsellors in terms of the terminology or case managers' willingness to perform these roles. Moreover, they perceived that neither gatekeepers nor direct service provision was case managers' role. The findings of this study suggest that case managers working in community aged care sectors may be more effective if they practised the 16 roles aforementioned. With the value of helping rather than obstructing clients to access services, they may not act as gatekeepers. In addition, they may not provide services directly as opposed to their peers working in medical care settings. The findings will also assist organisations to design job descriptions specifying case managers' roles and associated job responsibilities. Clear job descriptions will further benefit the organisations in staff recruitment, orientation

  5. A Community-Based Approach to Identifying Influential Spreaders

    Directory of Open Access Journals (Sweden)

    Zhiying Zhao


    Full Text Available Identifying influential spreaders in complex networks has a significant impact on understanding and control of spreading process in networks. In this paper, we introduce a new centrality index to identify influential spreaders in a network based on the community structure of the network. The community-based centrality (CbC considers both the number and sizes of communities that are directly linked by a node. We discuss correlations between CbC and other classical centrality indices. Based on simulations of the single source of infection with the Susceptible-Infected-Recovered (SIR model, we find that CbC can help to identify some critical influential nodes that other indices cannot find. We also investigate the stability of CbC.

  6. Community Clustering Algorithm in Complex Networks Based on Microcommunity Fusion

    Directory of Open Access Journals (Sweden)

    Jin Qi


    Full Text Available With the further research on physical meaning and digital features of the community structure in complex networks in recent years, the improvement of effectiveness and efficiency of the community mining algorithms in complex networks has become an important subject in this area. This paper puts forward a concept of the microcommunity and gets final mining results of communities through fusing different microcommunities. This paper starts with the basic definition of the network community and applies Expansion to the microcommunity clustering which provides prerequisites for the microcommunity fusion. The proposed algorithm is more efficient and has higher solution quality compared with other similar algorithms through the analysis of test results based on network data set.

  7. Community-Based Rural Tourism: A Proposed Sustainability Framework

    Directory of Open Access Journals (Sweden)

    Kayat Kalsom


    Full Text Available Many tourism projects run by community in the rural areas are labelled as Community-based Rural Tourism (CBRT, a type of a more ‘responsible’ tourism that contributes to sustainable development. However, a framework is needed to enable planners and managers to understand its criteria thus ensuring that the CBRTs fulfil the sustainability requirement. This paper presents findings from a literature review on previous writings in this topic. Findings from an analysis on the criteria of a sustainable CBRT product are discussed. It is found that in order for it to play a role in sustainable development, a CBRT product must focus on competitive management, resource conservation, and benefit creation to the community. The three elements need to be supported, in turn, by community involvement and commitment. As the proposed conceptual framework of sustainable CBRT product can be a basis for further research in CBRT, it offers producing theoretical and practical implications.

  8. [Team-based community psychiatry: importance of context factors and transferability of evidence from studies]. (United States)

    Weinmann, S; Gühne, U; Kösters, M; Gaebel, W; Becker, T


    The German Society for Psychiatry, Psychotherapy and Neurology (DGPPN) guidelines on psychosocial interventions for people with severe mental illness appraise the transferability of results of trials evaluating community-based mental health services to the German situation. This assessment has to draw on research results on factors determining effectiveness. This must be seen against the background of a lack of high-quality trials in Germany. The article discusses system, context and setting factors related to the transfer of evidence on community-based service models from other countries. These issues are discussed on the basis of evidence concerning the models of case management, assertive community treatment and community mental health teams. International differences in study findings are highlighted and the importance of treatment-as-usual in influencing study results is emphasized. The more control services including elements of community-based care there are and the less the pressure to reduce inpatient treatment (threshold to inpatient care admission), the smaller the relative effect sizes of innovative care models will be.In the absence of direct evidence, careful examination of transferability is required before introducing health care models. Research has revealed solid evidence for several factors influencing the effects of innovative community mental health care. Among key factors in the care of people with severe mental illness, home visits and joint team responsibility for both psychiatric and social care were identified. This evidence can facilitate the adaptation of successful mental health care models in Germany.

  9. 基于文化适应性评价的社区主导旅游开发模式研究——以朗德苗寨为例%Evaluation the Model of Community-led Tourism Development Based on Cultural Adaptation: A Case Study of Langde Miao Village

    Institute of Scientific and Technical Information of China (English)

    黄虹; 曹兴平


    本文以贵州省黔东南州雷山县朗德苗寨社区主导旅游开发模式为案例,探讨其社区主导式旅游开发参与机制与苗族“议榔”文化传统的适应性,寻找中国旅游开发中社区参与模式与社会文化系统因素的深层逻辑关系,揭示其现象背后的规律及相关性。%China's practice in rural tourism community participation faces a lot of difficulty and the communi- ties are always out of control to some extent. Community participation as an institutional arrangement always pene- trates in different time, space and stages of development in different countries, regions and communities with the corresponding political and cultural background. In process of mutual interact, the western community involvement theories can not be directly applied to technical analysis without considering cultural conflict. Only in-depth analy- sis of the cultural background, the participation pattern can be selected to adapt the operation of political, economic and cultural systems in communities. However, previous studies rarely focus on adaptive localization and cultural adaptation in community participation. On the basis of existing literatures, the research will be an exploratory at- tempt to deep into the community and cultural background levels. In this paper, after comprehensive consideration of two factors such as level of community-based community in- volvement and the cultural heterogeneity, the author takes Langde Miao village as a case to research the adaptation of the community participation mechanism and Miao cultural tradition called "Yilang". Langde Miao village locates in Leishan County of Guizhou Southeast State and developed the typical community-led tourism development model. The aim of this article is looking for the relationship between Chinese community participation in tourism develop- ment and the social and cultural system to reveal the laws and relevance behind the phenomenon. Cultural

  10. Case-based Agile Fixture Design

    Institute of Scientific and Technical Information of China (English)


    In order to realize the agility of the fixture design, such asreconfigurability, rescalability and reusability, fixture structure is function unit-based decomposed from a fire-new point of view. Which makes it easy for agile fixture to be reconfigured and modified. Thereby, the base of case-based agile fixture design system info is established.Whole case-based agile fixture design model is presented. In which, three modules are added relative to the other models, including case matching of fixture planning module, conflict arbitration module and agile fixture case modify module. The three modules could solve the previous problem that the experience and result are difficult to be reused in the process of design.Two key techniques in the process of the agile fixture design, the evaluation of case similarity, and restriction-based conflict arbitration, are listed. And some methods are presented to evaluate the similarity and clear up the conflict.

  11. Member Perceptions of Informal Science Institution Graduate Certificate Program: Case Study of a Community of Practice (United States)

    Ball, Lois A.

    This research attempted to understand the experiences of a cohort of informal and formal science educators and informal science institution (ISI) community representatives during and after completion of a pilot graduate certificate program. Informal science educators (ISEs) find limited opportunities for professional development and support which influence their contributions to America's science literacy and school science education. This emergent design nested case study described how an innovative program provided professional development and enabled growth in participants' abilities to contribute to science literacy. Data were collected through interviews, participant observations, and class artifacts. The program by design and constituency was the overarching entity that accounted for members' experiences. Three principal aspects of the ISI certificate program and cohort which influenced perceptions and reported positive outcomes were (1) the cohort's composition and their collaborative activities which established a vigorous community of practice and fostered community building, mentoring, and networking, (2) long term program design and implementation which promoted experiential learning in a generative classroom, and (3) ability of some members who were able to be independent or autonomous learners to embrace science education reform strategies for greater self-efficacy and career advancement. This research extends the limited literature base for professional development of informal science educators and may benefit informal science institutions, informal and formal science educators, science education reform efforts, and public education and science-technology-society understanding. The study may raise awareness of the need to establish more professional development opportunities for ISEs and to fund professional development. Further, recognizing and appreciating informal science educators as a diverse committed community of professionals who positively

  12. 乡村旅游社区参与路径:基于惠安县大、小岞民俗村的个案研究%Community Participation of Rural Tourism:A Case Study based on a Small and Big Zuo Folk Village of Hui’an County

    Institute of Scientific and Technical Information of China (English)

    聂芳; 方旭红


    Effective participation of the community residents in the development pathof rural tourism is an urgent research topic. This paper adopts literature research method, field observation and depth interview. It studies communi⁃ty participation in rural tourism development path in big and small zuo folk villages in Hui ’an county,Fujian Province. The research analysis the present situation and characteristics of the rural community participation in rural tourism, and then to summarized the paths of the community participation which based on the four major stakeholders,the gov⁃ernment, the investors of tourism, tourists and residents. The path of community participation in case provides helpful experience for other place, making the rural tourism become the local affairs which all community parties willing to participate in should be concerned.%社区居民有效参与乡村旅游发展是一个亟待破解的研究课题。文章采用文献研究、实地调研等方法,就福建省惠安县大、小岞民俗村社区参与乡村旅游发展进行研究。分析了案例地的社区参与现状、参与特征,总结出基于政府、旅游投资者、旅游者和当地居民四大利益相关者群体社区参与路径的成功经验,为乡村旅游发展中参与各方自觉自愿地参与社区各种活动或事务提供借鉴。

  13. Analysis about Knowledge Communication Network Based on Friends Link in the Blog Community --A Case Study of the Blog Community in www, sciencenet, cn%基于博客社区好友链接的知识交流状况分析——以科学网博客为例

    Institute of Scientific and Technical Information of China (English)

    邱均平; 王菲菲


    本文综合采用链接分析法以及社会网络分析法,从好友链接的基本属性和特点、好友共入链、博主共出链、博主一好友互链等角度深入探讨了科学网博客虚拟社区内基于好友链接关系的学科间以及学科内部直接或间接的知识交流情况,以期对学术型虚拟社区内学术共同体的发掘、知识交流网络的特点以及相关的引导促进机制提供一定的研究参考。%The paper constructed and analyzed the interdisciplinary and intra-disciplinary knowledge communication network based on friends links in the blog Community of the Science net from the aspects of characteristics and attributes of friends links, friends-co-inlink, bloggers-co-outlink and bloggers-friends inter-link using a combination of Hyperlink Analysis and Social Network Analysis, in order to provide some references to the study of exploration of academic community, the characteristics of knowledge communication and mechanisms of the guidance and promotion in the academic virtual community.

  14. Child Sexual Abuse: A Case Study in Community Collaboration. (United States)

    Faller, Kathleen Coulborn; Henry, James


    A study investigated the effectiveness of a collaborative approach to the case management of child sexual abuse. Data from 323 criminal court files found a sex offense confession rate of 64 percent and plea rate of 70 percent. Fifteen cases went to trial and in six the offender was convicted. (Contains references.) (Author/CR)

  15. Case Study of Capacity Building for Smoke-Free Indoor Air in Two Rural Wisconsin Communities

    Directory of Open Access Journals (Sweden)

    Shelly Mahon, MS


    Full Text Available BackgroundDespite national declines in smoking prevalence, disparities that pose challenges to tobacco control efforts exist among rural manufacturing populations. This community case study sought to better understand the dynamics and nuances that facilitate or impede capacity-building efforts in rural communities.ContextTwo rural manufacturing communities in Wisconsin with similar demographic characteristics were chosen for study. One represented farming communities with close proximity to a metropolitan area, and the other represented more isolated communities.MethodsThe qualitative case study used a collaborative approach to collect data in four areas of research: 1 community context, 2 coalition functioning, 3 partnerships, and 4 strategy implementation. Data were analyzed using standard content analysis and triangulated for clarity and consistency.ConsequencesAlthough not all the factors found to influence capacity-building efforts were unique to rural environments, the effects were impacted by rural isolation, small population sizes, local attitudes and beliefs, and lack of diversity and resources. Differences in coalition leadership and strategy implementation influenced the effectiveness of the capacity-building efforts in each community, bringing attention to the unique nature of individual contexts.InterpretationImplementing capacity-building efforts in rural communities requires skilled and dedicated local leaders who have ready access to training and support (i.e., technical, emotional, and financial. Pairing of rural communities with greater use of distance technologies offers a cost-effective approach to reduce isolation and the constraints of financial and human resources.

  16. Community capacity for sustainable community-based dengue prevention and control:domain, assessment tool and capacity building model

    Institute of Scientific and Technical Information of China (English)

    Charuai Suwanbamrung


    In order to understand the community capacity for sustainable community-based dengue prevention and control, this paper proposes the approach of a previous study about meaning and domains of dengue prevention and control, an assessment tool and a community capacity building model for sustainable community-based dengue prevention and control in the Southern Thailand. A study of dengue community capacity domains was conducted by utilizing a qualitative method, whereby ten initial community domains were identified by means of a literature review, in-depth interviews of sixty community leaders, and eight focus group discussions with sixty non-leaders in four sub-districts of southern Thailand. In the final study, there were 14 identifiable domains in leaders group and 11 domains in non-leaders. The resulting dengue community capacity-assessment tool (DCCAT) consisted of two parts:one for leaders (DCCAT-L) and the other for non-leaders (DCCAT-NL). DCCAT-L was composed of 115 items within 14 domains and 83 items within 11 domains for the DCCAT-NL. The key domains of leaders and non-leaders had a partial overlap of domains such as critical situation management, personal leadership, health care provider capacity, needs assessment, senses of community, leader group networking, communication of dengue information, community leadership, religious capacity, leader group and community networking, resource mobilization, dengue working group, community participation, and continuing activities. The application of the new tool consisted of five steps:1) community preparation, 2) assessment, 3) a community hearing meeting, 4) interventions, and 5) conclusion and improvement step. All stakeholders in the community should use the new tool based on a clear understanding of the measurement objectives, the desired outcomes, resources available and characteristics of their community. If communities need to develop and build dengue community capacity, then the designed pre

  17. Assessing the educational and support needs of nursing staff serving older adults: a case study of a community coalition/university partnership. (United States)

    Perry, Tam E; Ziemba, Rosemary


    Given the expected changes in demography and dependent care ratios, communities are preparing for the needs of older populations. Sometimes, communities form coalitions to address health-care needs. This case study evaluates a coalition/university partnership formed to assess the educational and support needs of nursing staff who are taking care of older adults across all service settings in one geographically defined community. A 17-member community-based coalition contracted with researchers from an external university to determine the perceptions of three key stakeholder groups: older adults and their families, all levels of nursing staff, and agency administrators. By applying principles of Participatory Action Research (PAR), this case study presents the challenges faced in the community-based coalition/university research team partnership. This coalition/research partnership is unique, differing from most academic examples of PAR because nursing professionals initiated the partnership.

  18. Inter-organisational communication for patients being case managed by community matrons. (United States)

    Thomas, Paul; Stoddart, Gilly; Nota, Johnny; Teh, Ling; Wells, Victoria; Dhillon, Gouri; Leese, Yvonne


    Background Poor communication between community matrons (CMs), in-hours and out-of-hours (OoH) general practitioners (GPs) causes uncertainty and inefficiencies. Setting A practice-based commissioning group in West London and the associated CMs who case manage high users of hospital services. Question What helps good communication between CMs, GPs and OoH services to ensure that the right patients are case managed and hospital admissions are avoided? Methods Whole system participatory action research, with four stages: 1) identify communication problems as perceived by a wide range of stakeholders; 2) draw a diagram of the existing communication system, and with stakeholders redraw this to overcome its weaknesses; 3) pilot the changes proposed; 4) gain consensus among stakeholders about policy. Results Stakeholders agreed that standards should be adopted to improve communication for the care of patients who are case managed by CMs. Routine passage of information between GP, CMs and the OoH services would achieve this, and is feasible. Specifically: routine information (termed Special Patient Notes) should be sent to the OoH service about vulnerable patients, including those who are case managed by CMsclear information about CM attachment to general practices and how to refer to them should be easily accessibleGPs and CMs should meet quarterly for mutual learning and to discuss patientsthe OoH service electronically should cascade information to GPs, CMs and others named in the Special Patient Notescommissioners should routinely gather data to compare clusters of general practices for i) referrals to CMs, ii) posting Special Patient Notes, iii) unscheduled consultations and hospital admissions of all patients including those being case managed. Discussion This project revealed system-wide communication problems for the care of patients being case managed by CMs, and ways to overcome these. Commissioners could insist that these are adopted locally, and gather data to

  19. Factors Influencing Risk of Premature Mortality in Community Cases of Depression: A Meta-Analytic Review

    Directory of Open Access Journals (Sweden)

    Amanda J. Baxter


    Full Text Available Background. Depressive disorders are associated with substantial risk of premature mortality. A number of factors may contribute to reported risk estimates, making it difficult to determine actual risk of excess mortality in community cases of depression. The aim of this study is to conduct a systematic review and meta-analysis of excess mortality in population-based studies of clinically defined depression. Methods. Population-based studies reporting all-cause mortality associated with a clinically defined depressive disorder were included in the systematic review. Estimates of relative risk for excess mortality in population-representative cases of clinical depressive disorders were extracted. A meta-analysis was conducted using Stata to pool estimates of excess mortality and identify sources of heterogeneity within the data. Results. Twenty-one studies reporting risk of excess mortality in clinical depression were identified. A significantly higher risk of mortality was found for major depression (RR 1.92 95% CI 1.65–2.23, but no significant difference was found for dysthymia (RR 1.37 95% CI 0.93–2.00. Relative risk of excess mortality was not significantly different following the adjustment of reported risk estimates. Conclusion. A mortality gradient was identified with increasing severity of clinical depression. Recognition of depressive symptoms in general practice and appropriate referral for evidence-based treatment may help improve outcomes, particularly in patients with comorbid physical disorders.

  20. Virtual communities of practice in web-based second language learning

    DEFF Research Database (Denmark)

    Petersen, Karen Bjerg


    Abstract The work of Lave and Wenger on learning in 'communities of practice' has evoked a considerable response in e-learning environments through-out the world including Denmark in the last few decades. Within the development of web-based second language learning, the ideas of learning...... on language interaction and case studies of e-learning language platforms within the area of teaching Danish as a second language for adult foreigners. The concepts of communities of practice are also discussed and developed....... in communities of practice and of situated and collaborative learning have deeply inspired educators and teachers and, to a certain degree, become the theoretical and practical framework for developing web-based learning platforms, while findings from this research indicate that students perceive e-learning...

  1. Building a Mien-American house: A case study in school-community relations (United States)

    Hammond, Lorie A.


    Researchers and policymakers agree that schools and parents must work together if they are to provide the sustenance, services, and support which children need to be successful in our increasingly complex society. (Clark, 1983; Comer, 1980, 1996; Clinton, 1995; Epstein, 1995, 1996). Unfortunately, the social and academic success of language minority students is often adversely affected by the alienation of parents from school culture and by the "deficit" view which teachers hold of language minority parents' academic and parenting skills (Boggs, 1985; Delgado-Gaitan, 1990; Heath, 1983; Lareau, 1987, 1989; Philips, 1983). This case study describes the attempts of one school site to build academic and social bridges between immigrant families from a Southeast Asian Hill Tribe, the Iu Mien, and a mainstream elementary school. This effort is facilitated by a constructivist approach to curriculum in which parents, teachers, and children create an intercultural space---a school community garden---as a context in which academic dialogue can occur. Various strategies which enable inter-cultural learning are described, including the use of students as ethnographers, of parents as expert teachers, and of teachers as cultural brokers. The study also considers the cultural conflicts and understandings which occurred when American teachers and Mien parents built a Mien field-house together: a structure which became symbolic of their blended lives. Through both a descriptive narration and interviews with various participants, the study analyzes (a) community-based curriculum development, led by practitioner reformers, as a way to enable language minority students to be academically successful within their own life worlds, as well as (b) the political and bureaucratic forces which make community-based reforms difficult to sustain. This study employs qualitative research strategies within an action-research context in which the author plays the dual role of practitioner reformer

  2. Bacterial communities in tetrachloroethene-polluted groundwaters: a case study. (United States)

    Kotik, Michael; Davidová, Anna; Voříšková, Jana; Baldrian, Petr


    The compositions of bacterial groundwater communities of three sites contaminated with chlorinated ethenes were analyzed by pyrosequencing their 16S rRNA genes. For each location, the entire and the active bacterial populations were characterized by independent molecular analysis of the community DNA and RNA. The sites were selected to cover a broad range of different environmental conditions and contamination levels, with tetrachloroethene (PCE) and trichloroethene (TCE) being the primary contaminants. Before sampling the biomass, a long-term monitoring of the polluted locations revealed high concentrations of cis-1,2-dichloroethene (cDCE) and vinyl chloride (VC), which are toxic by-products of the incomplete bacterial degradation of PCE and TCE. The applied pyrosequencing technique enabled known dechlorinators to be identified at a very low detection level (study revealed that only a few species dominated the bacterial communities, with Albidiferax ferrireducens being the only highly prominent member found at all three sites. Only a limited number of OTUs with abundances of up to 1% and high sequence identities to known dechlorinating microorganisms were retrieved from the RNA pools of the two highly contaminated sites. The dechlorinating consortium was likely to be comprised of cDCE-assimilating bacteria (Polaromonas spp.), anaerobic organohalide respirers (mainly Geobacter spp.), and Burkholderia spp. involved in cometabolic dechlorination processes, together with methylotrophs (Methylobacter spp.). The deep sequencing results suggest that the indigenous dechlorinating consortia present at the investigated sites can be used as a starting point for future bioremediation activities by stimulating their anaerobic and aerobic chloroethene degradation capacities (i.e. reductive dechlorination, and metabolic and cometabolic oxidation).

  3. Multi-objective community detection based on memetic algorithm.

    Directory of Open Access Journals (Sweden)

    Peng Wu

    Full Text Available Community detection has drawn a lot of attention as it can provide invaluable help in understanding the function and visualizing the structure of networks. Since single objective optimization methods have intrinsic drawbacks to identifying multiple significant community structures, some methods formulate the community detection as multi-objective problems and adopt population-based evolutionary algorithms to obtain multiple community structures. Evolutionary algorithms have strong global search ability, but have difficulty in locating local optima efficiently. In this study, in order to identify multiple significant community structures more effectively, a multi-objective memetic algorithm for community detection is proposed by combining multi-objective evolutionary algorithm with a local search procedure. The local search procedure is designed by addressing three issues. Firstly, nondominated solutions generated by evolutionary operations and solutions in dominant population are set as initial individuals for local search procedure. Then, a new direction vector named as pseudonormal vector is proposed to integrate two objective functions together to form a fitness function. Finally, a network specific local search strategy based on label propagation rule is expanded to search the local optimal solutions efficiently. The extensive experiments on both artificial and real-world networks evaluate the proposed method from three aspects. Firstly, experiments on influence of local search procedure demonstrate that the local search procedure can speed up the convergence to better partitions and make the algorithm more stable. Secondly, comparisons with a set of classic community detection methods illustrate the proposed method can find single partitions effectively. Finally, the method is applied to identify hierarchical structures of networks which are beneficial for analyzing networks in multi-resolution levels.

  4. Data management for community research projects: A JGOFS case study (United States)

    Lowry, Roy K.


    Since the mid 1980s, much of the marine science research effort in the United Kingdom has been focused into large scale collaborative projects involving public sector laboratories and university departments, termed Community Research Projects. Two of these, the Biogeochemical Ocean Flux Study (BOFS) and the North Sea Project incorporated large scale data collection to underpin multidisciplinary modeling efforts. The challenge of providing project data sets to support the science was met by a small team within the British Oceanographic Data Centre (BODC) operating as a topical data center. The role of the data center was to both work up the data from the ship's sensors and to combine these data with sample measurements into online databases. The working up of the data was achieved by a unique symbiosis between data center staff and project scientists. The project management, programming and data processing skills of the data center were combined with the oceanographic experience of the project communities to develop a system which has produced quality controlled, calibrated data sets from 49 research cruises in 3.5 years of operation. The data center resources required to achieve this were modest and far outweighed by the time liberated in the scientific community by the removal of the data processing burden. Two online project databases have been assembled containing a very high proportion of the data collected. As these are under the control of BODC their long term availability as part of the UK national data archive is assured. The success of the topical data center model for UK Community Research Project data management has been founded upon the strong working relationships forged between the data center and project scientists. These can only be established by frequent personal contact and hence the relatively small size of the UK has been a critical factor. However, projects covering a larger, even international scale could be successfully supported by a

  5. Community based mangrove management: a review on status and sustainability. (United States)

    Datta, Debajit; Chattopadhyay, R N; Guha, P


    Community Based Mangrove Management (CBMM) has been advocated by both academia and governing agencies as a viable alternative for sustainably managing the ecologically important mangrove forests which are disappearing rapidly worldwide. Drawing insights from diverse sustainability issues, capabilities and performances of worldwide CBMM initiatives were examined in this paper. Higher numbers of CBMM initiatives were reported from South Asia and lesser from South America and Africa. Identification of the causes of degradation at a site and use-specific zonal replantations with respect to species associations were identified as major criteria of ecological sustainability. Regarding economic sustainability, transformation of potential uses of mangroves known by local communities into actual ones was found to be necessary. Proper disbursement of accrued benefits among community members irrespective of their socio-cultural status is also a major concern. Restructuring of CBMM institutions by ensuring participation of subsistence based users in decision-making and resource sharing have been identified as a prime determinant of institutional sustainability. However, limited number of studies on socio-political and institutional aspects as well as impacts of globalization induced socio-cultural transformations of communities on CBMM had been actually found. More focused researches on these aspects had been recommended for better community management of these highly stressed forests.

  6. Managing Tourism in the Greater Mekong Region (GMS: A Case Study of Chiang Khan Community, Northeast Thailand

    Directory of Open Access Journals (Sweden)

    Rawee Hanpachern


    Full Text Available This study aims to examine complex ‘sustainability’ aspects of the Community-based tourism concept in tourism and destination management in the Greater Mekong Sub-region (GMS. This research is conceptualized in assessing the potential for Community-Based Tourism (CBT development in Chiang Khan, a small village by the Mekong River in the Northeast of Thailand. For collecting data, semi-interviews questions are designed. Focus-group discussion and indepth interviews are carried to include tourism stakeholders of the destination. This study argues that although a community may contain many tourism assets, it is not the only factor necessary for a ‘sustainable’ tourism to be developed in that community. Through a case study, its natural features, cultural activities, local lifestyle and the serene landscape of its location are exemplified as the important community-based tourism assets. However, a number of complex components and holistic approaches that worked well together Chiang Khan becoming a sustainable tourism destination. There elements and approaches that contribute to starting up Chiang Khan as a sustainable tourist destination include: its unique features of recreational activities and local businesses, knowledge and skills of the locals to develop tourism related businesses, and direct proper marketing strategies.

  7. Evidence-based practice: reflections from five European case studies. (United States)

    Baeza, Juan I; Fraser, Alec; Boaz, Annette


    Background Evidence-based practice (EBP) is now the accepted orthodoxy in clinical practice and developed from evidence-based medicine. EBP is based on a specific type of evidence that is derived from studies based on randomised controlled trials (RCT). This type of evidence is suited to acute medical care and is more problematic for other clinicians such as nurses and therapists, particularly when they are situated within community or primary care settings. Setting Five stroke care services in England (2), Sweden (2) and Poland (1). Aims To reflect on the evidence gained from these case studies to shed light on various aspects of EBP. This paper focuses on three key issues: (1) the importance of context for evidence, (2) the nature of knowledge, and (3) professional hierarchies. Methods Five qualitative case studies into stroke care were carried out in England, Sweden and Poland. One hundred and twenty semi-structured interviews were carried out with a range of healthcare staff who provided specialised and non-specialised stroke care in acute, community and primary care between October 2010 and September 2011. Medical doctors, nurses and different therapists were included in the samples in all five case studies. For this paper, we reflect on some aspects of this work to illuminate the different interprofessional perspectives relating to EBP in stroke care. Results The lack of RCT-based evidence in the community and primary care sectors can lead to the clinicians working in these sectors being perceived as having a lower status. Clinicians use both tacit and encoded knowledge to guide their practice and there existed both intraand interprofessional tensions in these two types of knowledge. The professional hierarchy of stroke teams varies with national context and the role of the non-specialists is less valued in stroke care.

  8. Beyond the Four Walls: Community-Based Learning and Languages (United States)

    O'Connor, Anne


    At a time when languages in universities are under pressure, community-based learning language courses can have many positive benefits: they can increase interest in language learning, they can foster greater engagement with learning, and they can encourage active learning, creativity and teamwork. These courses, which link the classroom and the…

  9. The Importance of Infrastructure for Support for Community Based Learning (United States)

    Rosenberg, Helen; Karp, Debra


    The Community Based Learning (CBL) Certificate and the Civic Honors Program provide unique opportunities for students to receive college credit for their civic participation. The authors describe these programs and the historical and administrative changes at the University of Wisconsin-Parkside, which created an environment for their development…

  10. An Honors Interdisciplinary Community-Based Research Course (United States)

    Dunbar, David; Terlecki, Melissa; Watterson, Nancy; Ratmansky, Lisa


    This article describes how two faculty members at Cabrini College--one from biology and the other from psychology--incorporated interdisciplinary community-based research in an honors course on environmental watershed issues. The course, Environmental Psychology, was team-taught in partnership with a local watershed organization, the Valley Creek…

  11. Birthing Support and the Community-Based Doula (United States)

    Abramson, Rachel; Breedlove, Ginger K.; Isaacs, Beth


    This article is excerpted from the authors' "The Community-Based Doula: Supporting Families Before, During, and After Childbirth", published in 2006 by "ZERO TO THREE." In the U.S., many new parents are socially isolated and lack access to ongoing caring and support because of poverty, immigration, language barriers, or the growing mobility and…

  12. Community-Based Learning: Practices, Challenges, and Reflections (United States)

    Morton, Mavis


    This paper will highlight an innovate practice in teaching and learning by reflecting on two fourth-year sociology seminar classes that participated in a community-based learning project at York University. Fifty students collaborated in three to six person teams to work on a problem/issue identified by one of five not-for-profit organizations who…

  13. Community-Based Social Marketing: Involvement in Health Programs. (United States)

    Farmer, Frank L.; Clarke, Leslie L.; Flocks, Joan D.; Bryant, Carol A.; Romund, Camilla S.; Albrecht, Stan L.


    Two community-based projects employed social marketing to design and implement interventions to promote health. The Arkansas project involved key informant interviews, actuarial analysis, citizen and student surveys, and participant observation. The Florida approach included focus groups and provider, worker, and employer surveys. (Contains 25…

  14. Three Initiatives for Community-Based Art Education Practices (United States)

    Lim, Maria; Chang, EunJung; Song, Borim


    Art educators should be concerned with teaching their students to make critical connections between the classroom and the outside world. One effective way to make these critical connections is to provide students with the opportunity to engage in community-based art endeavors. In this article, three university art educators discuss engaging…

  15. Evaluation of a Community-Based Aging Intervention Program (United States)

    Hsu, Hui-Chuan; Wang, Chun-Hou; Chen, Yi-Chun; Chang, Ming-Chen; Wang, Jean


    This study evaluated the outcome and process of a community-based aging intervention program for the elderly in Taiwan. The program included education on nutrition and dietary behavior and on physical activities. Outcome and process evaluations were conducted. The program may have had some effects on decreasing some dietary behavioral problems and…

  16. Which Microbial Communities Are Present? Sequence-Based Metagenomics (United States)

    Caffrey, Sean M.

    The use of metagenomic methods that directly sequence environmental samples has revealed the extraordinary microbial diversity missed by traditional culture-based methodologies. Therefore, to develop a complete and representative model of an environment's microbial community and activities, metagenomic analysis is an essential tool.

  17. Community-Based Solid Waste Management: A Training Facilitator's Guide. (United States)

    Peace Corps, Washington, DC. Information Collection and Exchange Div.

    Urban environmental management and environmental health issues are of increasing concern worldwide. The need for urban environmental management work at the local level where the Peace Corps works most effectively is significant, but training materials dedicated specifically to community-based solid waste management work in urban areas are lacking.…

  18. Pulmonary Embolism Mimicking Community Acquired Pneumonia: A Case Report

    Directory of Open Access Journals (Sweden)

    Ibrahim Koc


    Full Text Available Acute pulmonary trombo embolism is a form of venous thromboembolism that is common and sometimes even may be fatal. Patients might present with variable clinical presentation and often have non-specific complaints which make the diagnosis challenging. Here we aimed to report a thirty years old male who was diagnosed with community acquired pneumonia but further investigations revealed pulmonary embolism. A thirty years old male presented to our clinic with right sided chest pain and shortness of breath. Chest radiograph revealed right sided consolidations and pleural effusion. His physical examination revealed high body temperature (38 C° and oxygen saturation on room air was 85 %. The patient did not respond to the antibiotherapy and oxygen supply. Computed tomography angiography of the chest revealed right sided pulmonary embolism with pneumonia. Blood and sputum cultures revealed no bacteria. Cardiovascular disease panel revealed heterozygous mutation in prothrombine G20210A and metilentetrahidrofolate reductase (MTHFR C677T. In conclusion pulmonary embolism may mimic community acquired pneumonia thus clinicians must be carefull during the diagnostic process.

  19. Community Knowledge Sharing and Co-Production of Water Services: Two Cases of Community Aqueduct Associations in Colombia

    Directory of Open Access Journals (Sweden)

    Valeria Llano-Arias


    These new forms of citizenship based on claims of sovereignty over natural, common goods are gradually transforming Colombian democratic space. The article draws on debates around active citizenship, deepening democracy, and participatory communication approaches to explain the aims of community organisations and the mechanisms by which they are self-organising and managing water at the local level.

  20. CaseWorld™: Interactive, media rich, multidisciplinary case based learning. (United States)

    Gillham, David; Tucker, Katie; Parker, Steve; Wright, Victoria; Kargillis, Christina


    Nurse educators are challenged to keep up with highly specialised clinical practice, emerging research evidence, regulation requirements and rapidly changing information technology while teaching very large numbers of diverse students in a resource constrained environment. This complex setting provides the context for the CaseWorld project, which aims to simulate those aspects of clinical practice that can be represented by e-learning. This paper describes the development, implementation and evaluation of CaseWorld, a simulated learning environment that supports case based learning. CaseWorld provides nursing students with the opportunity to view unfolding authentic cases presented in a rich multimedia context. The first round of comprehensive summative evaluation of CaseWorld is discussed in the context of earlier formative evaluation, reference group input and strategies for integration of CaseWorld with subject content. This discussion highlights the unique approach taken in this project that involved simultaneous prototype development and large scale implementation, thereby necessitating strong emphasis on staff development, uptake and engagement. The lessons learned provide an interesting basis for further discussion of broad content sharing across disciplines and universities, and the contribution that local innovations can make to global education advancement.

  1. Stakeholders' perceptions of integrated community case management by community health workers: a post-intervention qualitative study.

    Directory of Open Access Journals (Sweden)

    Denise L Buchner

    Full Text Available Integrated community case management (iCCM involves delivery of simple medicines to children with pneumonia, diarrhea and/or malaria by community health workers (CHWs. Between 2010 and 2012, an iCCM intervention trial was implemented by Healthy Child Uganda. This study used qualitative tools to assess whether project stakeholders perceived that iCCM improved access to care for children under five years of age.The intervention involved training and equipping 196 CHWs in 98 study villages in one sub-county in Uganda in iCCM. During the eight-month intervention, CHWs assessed sick children, provided antimalarials (coartem for fever, antibiotics (amoxicillin for cough and fast breathing, oral rehydration salts/zinc for diarrhea, and referred very sick children to health facilities. In order to examine community perceptions and acceptability of iCCM, post-intervention focus groups and key respondent interviews involving caregivers, health workers, CHWs and local leaders were carried out by experienced facilitators using semi-structured interview guides. Data were analyzed using thematic analysis techniques.Respondents reported increased access to health care for children as a result of iCCM. Access was reportedly closer to home, available more hours in a day, and the availability of CHWs was perceived as more reliable. CHW care was reported to be trustworthy and caring. Families reported saving money especially due to reduced transportation costs, and less time away from home. Respondents also perceived better health outcomes. Linkages between health facilities and communities were reportedly improved by the iCCM intervention due to the presence of trained CHWs in the community.iCCM delivered by CHWs may improve access to health care and is acceptable to families. Policymakers should continue to seek opportunities to implement and support iCCM, particularly in remote communities where there are health worker shortages.

  2. The Importance of Documenting and Including Traditional Wisdom in Community-Based Ecotourism Planning

    Directory of Open Access Journals (Sweden)

    Vesna Đukić


    Full Text Available This article accords to the theory of community-based tourism, which represents a concept that respects natural and cultural resources of a particular community and encourages participation of its members in the process of tourist product creation. The article operates in the planning phase and aims to give insights into the process of establishing the groundwork for community-based tourism. The key element is documenting and illustrating everything that could be a part of what is known as “traditional wisdom,” namely, the skills and knowledge of traditional life practices. The methods of case study, content analysis, and observation of the village of Omoljica, Serbia, were used. The positive aspect of this locality is reflected in the existing short-term initiatives of organizations and individuals engaging in preserving traditional practices, but without systematic, long-term planning and management of community-based tourism, these individual efforts to revalue traditional life practices would stay unrecognizable and invisible for visitors and stakeholders. Thus, the main goal of this article is to understand the relation between short-term bottom-up initiatives and long-term top-down strategic planning of specific ecotourism destinations, one that would embrace the traditional ways of rural community life. The contribution of this study, in addition to documenting and illustrating “traditional wisdom” of the specific rural community placed in the protected area which encompasses a particular local social system, will be reflected in the creation of a set of guidelines for sustainable, rural, community-based ecotourism as a soft-driver development of protected areas near big cities of the postsocialist countries.

  3. The virtual group identification process: a virtual educational community case. (United States)

    Yu, Chia-Ping; Young, Mei-Lein


    Because the Internet provides an alternative forum for the social interaction of professional groups, understanding how these groups form as virtual communities (VCs) in cyberspace is crucial. In this study, we observe the social interactions of teachers belonging to the largest VC in Taiwan and analyze discourse on an important educational policy, using content analysis to ascertain how virtual group identity is established. Our primary findings show that among the seven identity categories characterizing professional virtual group identity, both alliance and kinship types of identities are the main forces behind the formation of a virtual group. In contrast, the affection, attachment, bonding, closeness, and nostalgia types of identities show minimal effect. Moreover, leadership of the virtual group plays a critical role in the group setting, and participants play a part in restoring a positive sense of self or in shaping the group identity as they encounter threats in this dynamic environment.

  4. Advances In Mining Engineering Education: A Case For Learning Communities

    Directory of Open Access Journals (Sweden)

    Michael Hitch


    Full Text Available Mining engineering involves the design, planning and management of operations for the development, production and eventual rehabilitation of resource extraction. These activities draw on a diverse set of skills. University of British Columbia mining engineers have traditionally been highly regarded for their strengths in the technical aspects of mining and mineral process but also for their understanding of the application of principles of sustainability and social responsibility. The current view of the UBC Mining curriculum demands the integration of aspects of environmental and social sciences shaping the future of tertiary engineering education. The solution is developing a curriculum that is focused on key learning objectives that are a reflection of all these external pressures. This paper examines the challenge of curriculum reform and the emergence of learning communities at the Norman B. Keevil Institute of Mining Engineering at the University of British Columbia, Canada.

  5. Building Communities in Higher Education: The Case of Nursing (United States)

    Andrew, Nicola; Lopes, Amélia; Pereira, Fátima; Lima, Ilda


    The historic and current case to retain a focused clinical nursing identity within an academic context is explicit; however there is tension between the need for excellence in teaching and research, and obligation to maintain a credible clinical identity. Nursing is politically and vocationally advanced but, arguably, weaker academically.…

  6. Farmers' Markets in Rural Communities: A Case Study (United States)

    Alfonso, Moya L.; Nickelson, Jen; Cohen, Danielle


    Background: Although the potential health benefits of farmers markets have been discussed for years, there is a dearth of literature to aid health educators in advocating for the development of local farmers markets. Purpose: The purpose of this manuscript is to present a case study of a rural farmers market in southeast Georgia with emphasis on…

  7. Role of Knowledge Based Communities in Knowledge Process

    Directory of Open Access Journals (Sweden)

    Sebastian Ion CEPTUREANU


    Full Text Available In the new economy, knowledge is an essential component of economic and social systems. The organizational focus has to be on building knowledge-based management, development of human resource and building intellectual capital capabilities. Knowledge-based management is defined, at company level, by economic processes that emphasize creation, selling, buying, learning, storing, developing, sharing and protection of knowledge as a decisive condition for profit and long-term sustainability of the company. Hence, knowledge is, concurently, according to a majoritiy of specialists, raw material, capital, product and an essential input. Knowledge-based communities are one of the main constituent elements of a framework for knowledge based management. These are peer networks consisting of practitioners within an organization, supporting each other to perform better through the exchange and sharing of knowledge. Some large companies have contributed or supported the establishment of numerous communities of practice, some of which may have several thousand members. They operate in different ways, are of different sizes, have different areas of interest and addresses knowledge at different levels of its maturity. This article examines the role of knowledge-based communities from the perspective of knowledge based management, given that the arrangements for organizational learning, creating, sharing, use of knowledge within organizations become more heterogeneous and take forms more difficult to predict by managers and specialists.

  8. Embracing a competency-based specialty curriculum for community-based nursing roles. (United States)

    Levin, Pamela F; Swider, Susan M; Breakwell, Susan; Cowell, Julia M; Reising, Virginia


    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties.

  9. A layer reduction based community detection algorithm on multiplex networks (United States)

    Wang, Xiaodong; Liu, Jing


    Detecting hidden communities is important for the analysis of complex networks. However, many algorithms have been designed for single layer networks (SLNs) while just a few approaches have been designed for multiplex networks (MNs). In this paper, we propose an algorithm based on layer reduction for detecting communities on MNs, which is termed as LRCD-MNs. First, we improve a layer reduction algorithm termed as neighaggre to combine similar layers and keep others separated. Then, we use neighaggre to find the community structure hidden in MNs. Experiments on real-life networks show that neighaggre can obtain higher relative entropy than the other algorithm. Moreover, we apply LRCD-MNs on some real-life and synthetic multiplex networks and the results demonstrate that, although LRCD-MNs does not have the advantage in terms of modularity, it can obtain higher values of surprise, which is used to evaluate the quality of partitions of a network.

  10. Community-based Participatory Research: Necessary Next Steps

    Directory of Open Access Journals (Sweden)

    Zubaida Faridi, MBBS, MPH


    Full Text Available Community-based participatory research (CBPR is gaining increasing credence among public health researchers and practitioners. However, there is no standardization in assessing the quality of research methods, the effectiveness of the interventions, and the reporting requirements in the literature. The absence of standardization precludes meaningful comparisons of CBPR studies. Several authors have proposed a broad set of competencies required for CBPR research for both individuals and organizations, but the discussion remains fragmented. The Prevention Research Centers (PRC Program recently began a qualitative assessment of its national efforts, including an evaluation of how PRCs implement CBPR studies. Topics of interest include types of community partnerships; community capacity for research, evaluation, and training; and factors that help and hinder partner relationships. The assessment will likely contribute to the development of a standard set of competencies and resources required for effective CBPR.

  11. Community referral in home management of malaria in western Uganda: A case series study

    Directory of Open Access Journals (Sweden)

    Nsungwa-Sabiiti Jesca


    Full Text Available Abstract Background Home Based Management of fever (HBM was introduced as a national policy in Uganda to increase access to prompt presumptive treatment of malaria. Pre-packed Chloroquine/Fansidar combination is distributed free of charge to febrile children Methods A case-series study was performed during 20 weeks in a West-Ugandan sub-county with an under-five population of 3,600. Community drug distributors (DDs were visited fortnightly and recording forms collected. Referred children were located and primary caretaker interviewed in the household. Referral health facility records were studied for those stating having completed referral. Results Overall referral rate was 8% (117/1454. Fever was the main reason for mothers to seek DD care and for DDs to refer. Twenty-six of the 28 (93% "urgent referrals" accessed referral care but 8 (31% delayed >24 hours. Waiting for antimalarial drugs to finish caused most delays. Of 32 possible pneumonias only 16 (50% were urgently referred; most delayed ≥ 2 days before accessing referral care. Conclusion The HBM has high referral compliance and extends primary health care to the communities by maintaining linkages with formal health services. Referral non-completion was not a major issue but failure to recognise pneumonia symptoms and delays in referral care access for respiratory illnesses may pose hazards for children with acute respiratory infections. Extending HBM to also include pneumonia may increase prompt and effective care of the sick child in sub-Saharan Africa.

  12. Dynamic systems and the role of evaluation: The case of the Green Communities project. (United States)

    Anzoise, Valentina; Sardo, Stefania


    The crucial role evaluation can play in the co-development of project design and its implementation will be addressed through the analysis of a case study, the Green Communities (GC) project, funded by the Italian Ministry of Environment within the EU Interregional Operational Program (2007-2013) "Renewable Energy and Energy Efficiency". The project's broader goals included an attempt to trigger a change in Italian local development strategies, especially for mountain and inland areas, which would be tailored to the real needs of communities, and based on a sustainable exploitation and management of the territorial assets. The goal was not achieved, and this paper addresses the issues of how GC could have been more effective in fostering a vision of change, and which design adaptations and evaluation procedures would have allowed the project to better cope with the unexpected consequences and resistances it encountered. The conclusions drawn are that projects should be conceived, designed and carried out as dynamic systems, inclusive of a dynamic and engaged evaluation enabling the generation of feedbacks loops, iteratively interpreting the narratives and dynamics unfolding within the project, and actively monitoring the potential of various relationships among project participants for generating positive social change.

  13. Slow-down or speed-up of inter- and intra-cluster diffusion of controversial knowledge in stubborn communities based on a small world network


    Marcel eAusloos


    Diffusion of knowledge is expected to be huge when agents are open minded. The report concerns a more difficult diffusion case when communities are made of stubborn agents. Communities having markedly different opinions are for example the Neocreationist and Intelligent Design Proponents (IDP), on one hand, and the Darwinian Evolution Defenders (DED), on the other hand. The case of knowledge diffusion within such communities is studied here on a network based on an adjacency matrix bui...

  14. Community Education and Evidence-based Knowledge Use

    Directory of Open Access Journals (Sweden)

    N mohaghegh


    Full Text Available Introduction: Utilizing as well as transferring knowledge can be provided via motivating teachers, educating researchers, better utilizing of evidence and creating communication between members of the scientific communities based on the needs of the community and community education. Therefore, the present study mainly aimed at evaluating the process of knowledge production and use of evidence in the research centres of Tehran and Iran University of Medical Sciences. Moreover, this study intended to investigate its application in improving the health system and community education of students.   Methods: In this descriptive cross-sectional study, the study population finally consisted of 68 research centres affiliated to Tehran and Iran University of Medical Sciences. In order to glean the study data, a questionnaire was utilized by Nejat et al. in two fields of “knowledge production” and “promote using of evidence”, and the study data were analyzed using SPSS (version 18.   Results: The production and use of knowledge status in Tehran and Iran medical universities in regard with “knowledge and evidence production” used in decision-making was reported in a favourable condition. Moreover, an unfavourable condition was revealed regarding “promoting use of evidence” which needs proper intervention.   Conclusion: The study finding revealed that at the beginning of the formulation of each research, identifying the specific audience of the study results causes the produced evidence and knowledge to be applicable. This leads to conducting research in accordance with the needs of community. As a result, status of medical universities in Iran necessitates to be reviewed. Ameliorating production status and promoting evidence-based knowledge can lead to a significant qualitative development in community education.

  15. Developing a Culture of Assessment through a Faculty Learning Community: A Case Study (United States)

    Schlitz, Stephanie A.; O'Connor, Margaret; Pang, Yanhui; Stryker, Deborah; Markell, Stephen; Krupp, Ethan; Byers, Celina; Jones, Sheila Dove; Redfern, Alicia King


    This article describes how a diverse, interdisciplinary team of faculty formed a topic-based faculty learning community. Following an introduction to faculty learning communities and a brief discussion of their benefit to faculty engaged in the process of adopting new technology, we explain how our team, through a competitive mini-grant…

  16. Community natural resource management: the case of woodlots in Northern Ethiopia

    NARCIS (Netherlands)

    Gebremedhin, B.; Pender, J.; Tesfay Belay, Girmay


    This paper examines the nature of community management of woodlots and investigates the determinants of collective action and its effectiveness in managing woodlots, based on a survey of 100 villages in Tigray, northern Ethiopia. Despite limited current benefits received by community members, the wo

  17. Service-Learning and Emergent Communities of Practice: A Teacher Education Case Study (United States)

    Kaschak, Jennifer Cutsforth; Letwinsky, Karim Medico


    This study investigates the unexpected emergence of a community of practice in a middle level mathematics and science methods course. The authors describe how preservice teacher participation in a collaborative, project-based service-learning experience resulted in the formation of a community of practice characterized by teamwork, meaningful…

  18. Understanding the Business Case for Telemental Health in Rural Communities. (United States)

    Lambert, David; Gale, John; Hartley, David; Croll, Zachariah; Hansen, Anush


    Telemental health has been promoted to address long-standing access barriers to rural mental health care, including low supply and long travel distances. Examples of rural telemental health programs are common; there is a less clear picture of how widely implemented these programs are, their organization, staffing, and services. There is also a need to understand the business case for these programs and assess whether and how they might realize their promise. To address these gaps, a national study was conducted of rural telemental health programs including an online survey of 53 programs and follow-up interviews with 23 programs. This article describes the current landscape and characteristics of these programs and then examines their business case. Can rural telemental health programs be sustained within current delivery systems and reimbursement structures? This question is explored in four areas: need and demand, infrastructure and workforce, funding and reimbursement, and organizational fit and alignment.

  19. Livelihood Sustainability and Community Based Co-Management of Forest Resources in China: Changes and Improvement (United States)

    Chen, Haiyun; Shivakoti, Ganesh; Zhu, Ting; Maddox, David


    Community-based co-management (CBCM) has been applied in some communities near natural reserves in China. This paper uses Gansu Baishuijiang National Natural Reserve in China as a case study for livelihood improvements under CBCM projects. We demonstrate change from 2006 to 2010 in five classes of livelihood capital (social, human, natural, physical and financial capitals), illustrating the effectiveness of CBCM projects. Specifically, there are increases in mean family income and improvements in forest conservation. However, some problems in the design and implementation of CBCM projects remain, including the complicated social and political relationship between government and community, social exclusion and uneven application of benefits within communities, and the lack of integration of indigenous cultures and traditional beliefs. Attention for special groups in community and improving the design of CBCM Projects. Study shows that under the cooperation of government, CBCM projects and local community residents, the harmonious development of sustainable livelihood improvement and forest resources conservation will be an important trend in the future.

  20. Balancing power among academic and community partners: the case of El Proyecto Bienestar. (United States)

    Postma, Julie


    Balancing power among academic and community partners, addressing community-identified needs, and strengthening community capacity are ethical values unique to community-based participatory research (CBPR). Negotiation of these values in one CBPR environmental justice project was evaluated to advance the environmental and occupational health of a Hispanic agricultural community in central Washington State. Data were collected through document review and participant observation. Applied conversation and discourse analysis were used to interpret the data. Within the organization, farmworkers primarily served an advisory role. Facilitation style influenced how participants negotiated environmental justice. Research goals were advanced in the project, but no direct actions were taken to improve farmworker health. Implementing CBPR's ethical values requires a willingness to confront institutional and interpersonal challenges, and offers a vision of research that builds knowledge and strengthens communities.

  1. Innovations in community-based nursing education: transitioning faculty. (United States)

    Carter, Kimberly Ferren; Fournier, Maggie; Grover, Susan; Kiehl, Ermalynn M; Sims, Kathleen M


    The health-care climate is changing rapidly and in ways that challenge the abilities of professionals who provide health care. Nursing educators are preparing professional nurses who can think critically, use sound clinical judgment, and participate as full partners in shaping health-care delivery and policy. Therefore, many schools of nursing, including five schools of nursing whose experiences are synthesized in this article, are revising their curricula to a community-based nursing perspective. Strategies to assist faculty in the transition to a community-based nursing curriculum include using change theory, creating a supportive environment, reducing tension and isolation, and evaluating. Potential challenges during transition include addressing grief and loss, overcoming the tedium of curricular development, moving the revision along while allowing opportunities for faculty input and consensus building, exploring alternative pedagogies, managing faculty workload and qualification issues, and preparing for transition. Outcomes include a more complete understanding of the community client as a partner in the delivery of health care, increased visibility and role modeling to potential future candidates for health careers, cultural transformations within a university, and promotion of the overall health of a community.

  2. Community based rehabilitation: a strategy for peace-building

    Directory of Open Access Journals (Sweden)

    Hodgson Jennifer


    Full Text Available Abstract Background Certain features of peace-building distinguish it from peacekeeping, and make it an appropriate strategy in dealing with vertical conflict and low intensity conflict. However, some theorists suggest that attempts, through peace-building, to impose liberal values upon non-democratic cultures are misguided and lack an ethical basis. Discussion We have been investigating the peace-building properties of community based approaches to disability in a number of countries. This paper describes the practice and impact of peace-building through Community Based Rehabilitation (CBR strategies in the context of armed conflict. The ethical basis for peace-building through practical community initiatives is explored. A number of benefits and challenges to using CBR strategies for peace-building purposes are identified. Summary During post-conflict reconstruction, disability is a powerful emotive lever that can be used to mobilize cooperation between factions. We suggest that civil society, in contrast to state-level intervention, has a valuable role in reducing the risks of conflict through community initiatives.

  3. Content patterns in topic-based overlapping communities. (United States)

    Ríos, Sebastián A; Muñoz, Ricardo


    Understanding the underlying community structure is an important challenge in social network analysis. Most state-of-the-art algorithms only consider structural properties to detect disjoint subcommunities and do not include the fact that people can belong to more than one community and also ignore the information contained in posts that users have made. To tackle this problem, we developed a novel methodology to detect overlapping subcommunities in online social networks and a method to analyze the content patterns for each subcommunities using topic models. This paper presents our main contribution, a hybrid algorithm which combines two different overlapping sub-community detection approaches: the first one considers the graph structure of the network (topology-based subcommunities detection approach) and the second one takes the textual information of the network nodes into consideration (topic-based subcommunities detection approach). Additionally we provide a method to analyze and compare the content generated. Tests on real-world virtual communities show that our algorithm outperforms other methods.

  4. Developing a Deeper Understanding of Community-Based Pedagogies with Teachers: Learning with and from Teachers in Colombia (United States)

    Sharkey, Judy; Clavijo Olarte, Amparo; Ramírez, Luz Maribel


    Here we share findings from a 9-month qualitative case study involving a school-university professional development inquiry into how teachers develop, implement, and interpret community-based pedagogies (CBPs), an asset-based approach to curriculum that acknowledges mandated standards but begins with recognizing and valuing local knowledge. After…

  5. Risk factors for levofloxacin-nonsusceptible Streptococcus pneumoniae in community-acquired pneumococcal pneumonia: a nested case-control study. (United States)

    Kang, C-I; Song, J-H; Kim, S H; Chung, D R; Peck, K R; So, T M; Hsueh, P-R


    This study was performed to evaluate the clinical features of community-onset levofloxacin-nonsusceptible pneumococcal pneumonia and to identify risk factors for levofloxacin resistance. Using the database of a surveillance study of community-acquired pneumococcal infections in Asian countries, we conducted a nested case-control study to identify risk factors for levofloxacin-nonsusceptible S. pneumoniae in community-acquired pneumonia in adults. Of 981 patients with pneumococcal pneumonia, 46 (4.7 %) had levofloxacin-nonsusceptible S. pneumoniae, of whom 39 evaluable cases were included in the analysis. All cases were from Korea, Taiwan, and Hong Kong. Among patients with levofloxacin-susceptible S. pneumoniae, 490 controls were selected based on patient country. Of the 39 cases of levofloxacin-nonsusceptible pneumococcal pneumonia, 23 (59.0 %) were classified as healthcare-associated, while 164 (33.5 %) of the 490 controls of levofloxacin-susceptible S. pneumoniae (P = 0.001) were classified as healthcare-associated. Multivariate analysis showed that previous treatment with fluoroquinolones, cerebrovascular disease, and healthcare-associated infection were significantly associated with levofloxacin-nonsusceptible pneumococcal pneumonia (all P < 0.05). Levofloxacin-nonsusceptible pneumococci pose an important new public health threat in our region, and more information on the emergence and spread of these resistant strains will be necessary to prevent spread throughout the population.

  6. Examining Enabling Conditions for Community-Based Fisheries Comanagement: Comparing Efforts in Hawai'i and American Samoa

    Directory of Open Access Journals (Sweden)

    Arielle S. Levine


    Full Text Available Much attention in global fisheries management has been directed toward increasing the involvement of local communities in managing marine resources. Although community-based fisheries comanagement has the potential to address resource conservation and societal needs, the success of these programs is by no means guaranteed, and many comanagement regimes have struggled. Although promising in theory, comanagement programs meet a variety of political, social, economic, ecological, and logistical challenges upon implementation. We have provided an analysis of two community-based fisheries comanagement initiatives: Hawai'i's Community-Based Subsistence Fishing Area (CBSFA legislation and American Samoa's Community-Based Fisheries Management Program (CFMP. Although Hawai'i's initiative has struggled with only two CBSFAs designated, neither of which has an approved management plan, American Samoa's program has successfully established a functioning network of 12 villages. We have explored the factors contributing to the divergent outcomes of these initiatives, including cultural and ethnic diversity, the intactness of traditional tenure systems and community organizing structures, local leadership, and government support. Differences in program design, including processes for program implementation and community involvement, supportive government institutions, adequate enforcement, and adaptive capacity, have also played important roles in the implementation of comanagement regimes on the two island groups. The different outcomes manifested in these case studies provide insight regarding the conditions necessary to enable successful community-based comanagement, particularly within U.S.-affiliated jurisdictions.

  7. Self-optimization, community stability, and fluctuations in two individual-based models of biological coevolution

    CERN Document Server

    Rikvold, Per Arne


    We compare and contrast the long-time dynamical properties of two individual-based models of biological coevolution. Selection occurs via multispecies, stochastic population dynamics with reproduction probabilities that depend nonlinearly on the population densities of all species resident in the community. New species are introduced through mutation. Both models are amenable to exact linear stability analysis, and we compare the analytic results with large-scale kinetic Monte Carlo simulations, obtaining the population size as a function of an average interspecies interaction strength. Over time, the models self-optimize through mutation and selection to approximately maximize a community fitness function, subject only to constraints internal to the particular model. If the interspecies interactions are randomly distributed on an interval including positive values, the system evolves toward self-sustaining, mutualistic communities. In contrast, for the predator-prey case the matrix of interactions is antisym...

  8. Community-based surveillance to monitor trends in unaccompanied and separated children in eastern DRC. (United States)

    Rubenstein, Beth L; Spencer, Craig; Mansourian, Hani; Noble, Eva; Munganga, Gustave B; Stark, Lindsay


    Children who are separated from their families and usual caregivers in emergencies face a multitude of risks. The humanitarian community lacks methods to systematically capture changes in the frequency and nature of such separations over time. A mobile phone-based community surveillance system was piloted in the Democratic Republic of the Congo. The goal was to identify new cases of unaccompanied and separated children on a weekly basis. Over an 11-week period, community focal points reported 62 cases of separation across 10 communities. The majority of children had been under the care of their parents prior to separation. More than half of the children were unaccompanied, meaning that they were living without an adult relative or customary caregiver. The pilot results suggest that implementing a mobile phone-based surveillance system in a humanitarian setting may be feasible and cost-effective and fills a critical gap in the measurement of separated and unaccompanied children in emergencies. A longer pilot to better understand how the system performs over time is recommended.

  9. Epidemiology of rheumatic diseases in Mixtec and Chontal indigenous communities in Mexico: a cross-sectional community-based study. (United States)

    Julián-Santiago, Flor; García-García, Conrado; García-Olivera, Imelda; Goycochea-Robles, María Victoria; Pelaez-Ballestas, Ingris


    This study aimed to estimate the prevalence of musculoskeletal (MSK) disorders and rheumatic diseases in the Chontal and Mixtec indigenous communities in the state of Oaxaca, Mexico, using the Community-Oriented Program for the Control of Rheumatic Diseases (COPCORD) methodology. After cross-culturally validating the COPCORD questionnaire for these communities, we conducted a cross-sectional, analytical, community-based census study using a house-to-house method. Positive cases of MSK disorders were assessed by primary care physicians and rheumatologists. The study population included participants aged ≥18 years from the indigenous communities of San Antonio Huitepec and San Carlos Yautepec. A total of 1061 persons participated in the study. Mean age was 46.9 years (standard deviation 19.9; age range 18-97 years); 642 (60.5 %) were women; 483 participants (45.5; 42.4-48.5 %) had MSK pain in the previous 7 days. Diagnoses were back pain 170 (16.0 %; 95 % confidence interval [CI] 13.8-18.3); osteoarthritis 157 (14.7 %; 95 % CI 12.7-17.0); rheumatic regional pain syndrome 53 (4.9 %; 95 % CI 3.7-6.4); rheumatoid arthritis 4 (0.3 %; 95 % CI 0.1-0.9); dermatomyositis 1 (0.09 %; 95 % CI 0.0-0.5); ankylosing spondylitis 1 (0.09 %; 95 % CI 0.0-0.5); systemic lupus erythematosus 1 (0.09 %; 95 % CI 0.02-0.5); and gout 1 (0.09 %; 95 % CI 0.0-0.5). 53.2 % had not received medical treatment for their disease. The prevalence of MSK disorders in indigenous communities in the Mixtec and Chontal regions is very high. The most common rheumatic diseases found were back pain and osteoarthritis. A high percentage of participants had not received medical care.

  10. Building an evidence-based multitiered system of supports for high-risk youth and communities. (United States)

    Kingston, Beverly E; Mihalic, Sharon F; Sigel, Eric J


    The mental, emotional and behavioral health problems of high-risk youth and youth living in high-risk communities are not inevitable and can be prevented. A shift from the nation's focus on treating disease and illness after it occurs to a concentrated effort on preventing the root causes of these problems is needed. Prevention science suggests a comprehensive multitiered approach that provides evidence-based prevention supports for children and youth at each developmental stage and across multiple social contexts is likely to result in the greatest health impact and return on investment. However, actually implementing this approach at a neighborhood level has remained a challenge and an ongoing research gap especially in high-risk communities. This article describes a process and provides a case study example for implementing a comprehensive, multitiered approach in a high-risk community. This includes assessing and prioritizing the specific needs of individuals and communities; selecting evidence-based programs based upon assessed needs; and creating a continuum of programs to improve the health and well-being of youth across developmental age spans, social contexts, and levels of risk. Operational details and challenges for organizing and implementing this comprehensive approach are also described. We estimate that the collective impact of a multitiered evidence-based approach, implemented with fidelity, could conservatively result in a 30 to 40% reduction in problem behaviors. (PsycINFO Database Record

  11. Bacterial Community Structure and Dynamics During Corn-Based Bioethanol Fermentation. (United States)

    Li, Qing; Heist, E Patrick; Moe, Luke A


    Corn-based fuel ethanol facilities mix enzymatically treated, gelatinized corn starch with water to generate a "mash" that is used as the substrate in large-scale (∼500,000 gallon) yeast-based fermentations. In contrast to other food and beverage fermentations (e.g., cheese, wine), bioethanol production is presumed to be optimal when bacteria are absent from the fermentation-thus maximizing conversion of glucose to ethanol-yet the facilities are not sterilized. Culture-based analysis has suggested that lactic acid bacteria occupy this niche and, under certain circumstances, can outcompete the dedicated fermentation yeast for nutrients. Here, we use 16S rRNA gene amplicon sequencing to probe bacterial community structure during bioethanol fermentation. Nineteen total batches from five corn-based fuel ethanol fermentation facilities were analyzed. From each batch, five samples were taken. This includes the contents of the yeast propagation tank at inoculation, three samples taken at intervals during the fermentation, and a sample taken at the end of fermentation. Bacterial community structure was compared with time, between facility, between fermentor, between batches from the same fermentor, and against environmental variables within each fermentation. Communities were dominated by members of the Firmicutes and Proteobacteria phyla, with lactic acid bacteria dominating the communities in two of the five facilities. In the other facilities, Proteobacteria (largely members of the Pseudomonas and Escherichia-Shigella genera) outcompete the lactic acid bacteria. In most cases, the yeast propagation tank inoculum imparted a rich bacterial community, but the batches vary regarding whether this inoculum was the primary driver of the fermentation community structure.

  12. Clinical data analysis of 19 cases of community-acquired adenovirus pneumonia in immunocompetent adults. (United States)

    Yu, Hong-Xia; Zhao, Mao-Mao; Pu, Zeng-Hui; Wang, Yun-Qiang; Liu, Yan


    The aim of this study was to investigate the characteristics of clinical manifestations, laboratory tests and imaging changes of community-acquired adenovirus pneumonia in immunocompetent adults. A retrospective study was performed on 19 adult community-acquired adenovirus pneumonia cases in Yantai, whereby the clinical data were collected and analyzed. Of 19 cases, 14 (73.68%) had fever and 17 (89.47%) had cough symptoms. Moreover, 14 cases (73.68%) had normal white blood cell counts, while 11 cases (57.89%) exhibited a reduction in lymphocyte proportion. Among the 19 cases, 17 cases exhibited lesions in a single lung, while 2 cases involved bilateral lungs. The lesions predominantly exhibited ground glass-like changes. The clinical manifestations of adult community-acquired adenovirus pneumonia patients with normal immune functions were mild, with such presenting symptoms as fever, cough, and sputum; most patients did not exhibit high levels of white blood cells or low lymphocyte counts, and the imaging features (ground glass-like effusion) were indicative of single-lung involvement.

  13. Evaluating complex community-based health promotion: addressing the challenges. (United States)

    Jolley, Gwyneth


    Community-based health promotion is poorly theorised and lacks an agreed evidence-base. This paper examines characteristics of community-based health promotion and the challenges they present to evaluation. A review of health promotion evaluation leads to an exploration of more recent approaches, drawing on ideas from complexity theory and developmental evaluation. A reflexive analysis of three program evaluations previously undertaken as an evaluation consultant is used to develop a conceptual model to help in the design and conduct of health promotion evaluation. The model is further explored by applying it retrospectively to one evaluation. Findings suggest that the context-contingent nature of health promotion programs; turbulence in the community context and players; multiple stakeholders, goals and strategies; and uncertainty of outcomes all contribute to the complexity of interventions. Bringing together insights from developmental evaluation and complexity theory can help to address some evaluation challenges. The proposed model emphasises recognising and responding to changing contexts and emerging outcomes, providing rapid feedback and facilitating reflexive practice. This will enable the evaluator to gain a better understanding of the influence of context and other implementation factors in a complex setting. Use of the model should contribute to building cumulative evidence and knowledge in order to identify the principles of health promotion effectiveness that may be transferable to new situations.

  14. A Greedy Algorithm for Neighborhood Overlap-Based Community Detection

    Directory of Open Access Journals (Sweden)

    Natarajan Meghanathan


    Full Text Available The neighborhood overlap (NOVER of an edge u-v is defined as the ratio of the number of nodes who are neighbors for both u and v to that of the number of nodes who are neighbors of at least u or v. In this paper, we hypothesize that an edge u-v with a lower NOVER score bridges two or more sets of vertices, with very few edges (other than u-v connecting vertices from one set to another set. Accordingly, we propose a greedy algorithm of iteratively removing the edges of a network in the increasing order of their neighborhood overlap and calculating the modularity score of the resulting network component(s after the removal of each edge. The network component(s that have the largest cumulative modularity score are identified as the different communities of the network. We evaluate the performance of the proposed NOVER-based community detection algorithm on nine real-world network graphs and compare the performance against the multi-level aggregation-based Louvain algorithm, as well as the original and time-efficient versions of the edge betweenness-based Girvan-Newman (GN community detection algorithm.

  15. Getting better at chronic care in remote communities: study protocol for a pragmatic cluster randomised controlled of community based management

    Directory of Open Access Journals (Sweden)

    Schmidt Barbara


    Full Text Available Abstract Background Prevalence and incidence of diabetes and other common comorbid conditions (hypertension, coronary heart disease, renal disease and chronic lung disease are extremely high among Indigenous Australians. Recent measures to improve quality of preventive care in Indigenous community settings, while apparently successful at increasing screening and routine check-up rates, have shown only modest or little improvements in appropriate care such as the introduction of insulin and other scaled-up drug regimens in line with evidence-based guidelines, together with support for risk factor reduction. A new strategy is required to ensure high quality integrated family-centred care is available locally, with continuity and cultural safety, by community-based care coordinators with appropriate system supports. Methods/design The trial design is open parallel cluster randomised controlled trial. The objective of this pragmatic trial is to test the effectiveness of a model of health service delivery that facilitates integrated community-based, intensive chronic condition management, compared with usual care, in rural and remote Indigenous primary health care services in north Queensland. Participants are Indigenous adults (aged 18–65 years with poorly controlled diabetes (HbA1c>=8.5 and at least one other chronic condition. The intervention is to employ an Indigenous Health Worker to case manage the care of a maximum caseload of 30 participants. The Indigenous Health Workers receive intensive clinical training initially, and throughout the study, to ensure they are competent to coordinate care for people with chronic conditions. The Indigenous Health Workers, supported by the local primary health care (PHC team and an Indigenous Clinical Support Team, will manage care, including coordinating access to multidisciplinary team care based on best practice standards. Allocation by cluster to the intervention and control groups is by simple

  16. Game-based versus traditional case-based learning (United States)

    Telner, Deanna; Bujas-Bobanovic, Maja; Chan, David; Chester, Bob; Marlow, Bernard; Meuser, James; Rothman, Arthur; Harvey, Bart


    ABSTRACT OBJECTIVE To evaluate family physicians’ enjoyment of and knowledge gained from game-based learning, compared with traditional case-based learning, in a continuing medical education (CME) event on stroke prevention and management. DESIGN An equivalence trial to determine if game-based learning was as effective as case-based learning in terms of attained knowledge levels. Game questions and small group cases were developed. Participants were randomized to either a game-based or a case-based group and took part in the event. SETTING Ontario provincial family medicine conference. PARTICIPANTS Thirty-two family physicians and 3 senior family medicine residents attending the conference. INTERVENTION Participation in either a game-based or a case-based CME learning group. MAIN OUTCOME MEASURES Scores on 40-item immediate and 3-month posttests of knowledge and a satisfaction survey. RESULTS Results from knowledge testing immediately after the event and 3 months later showed no significant difference in scoring between groups. Participants in the game-based group reported higher levels of satisfaction with the learning experience. CONCLUSION Games provide a novel way of organizing CME events. They might provide more group interaction and discussion, as well as improve recruitment to CME events. They might also provide a forum for interdisciplinary CME. Using games in future CME events appears to be a promising approach to facilitate participant learning. PMID:20841574

  17. Successful case-based reasoning applications 2

    CERN Document Server

    Jain, Lakhmi


    Case-based reasoning paradigms offer automatic reasoning capabilities which are useful for the implementation of human like machines in a limited sense. This research book is the second volume in a series devoted to presenting Case-based reasoning (CBR) applications. The first volume, published in 2010, testified the flexibility of CBR, and its applicability in all those fields where experiential knowledge is available. This second volume further witnesses the heterogeneity of the domains in which CBR can be exploited, but also reveals some common directions that are clearly emerging in recent years. This book will prove useful to the application engineers, scientists, professors and students who wish to develop successful case-based reasoning applications.

  18. Engaging nursing students and community partners in the development of decision cases. (United States)

    Head, Barbara A; Bays, Cathy


    Decision case method teaching uses open-ended cases to stimulate decision making and critical thinking skills in the classroom. The cases are taken from actual practice experience and are developed in great detail with the goal of engaging learners in the actual dilemma as encountered by the case protagonist. This method has proven effective in preparing students for actual practice in fields such as medicine, nursing, and social work, but one barrier to this pedagogical approach is the lack of available relevant cases. This article describes how senior nursing students partnered with community practitioners to develop cases and subsequently used the cases in teaching activities with their fellow students. Outcomes of the project supported such an approach as a valuable learning assignment and method for improving critical thinking abilities.

  19. The impact of social media based brand communities on brand trust in tourism industry

    Directory of Open Access Journals (Sweden)

    A. Khanlari


    Full Text Available Building and maintaining brand trust has long been a major concern for marketers. One of the latest marketing concepts is social media based marketing. With the widespread use of social media, a group of marketers decided to make a linkage between social media and brand communities. In order to take advantage of both brand communities and social media, many firms are utilizing social media to develop brand communities. While offline brand communities had been sufficiently studied, few researches have been done about online brand communities, particularly the new phenomenon of “social media based brand community”. As brand communities are growing in popularity, both marketers and researchers must gain more insight on this phenomenon. This paper aims to determine the impact of social media based brand community on brand trust in tourism industry. For this purpose, we investigated Setareh Almas Hali Tour and Travel Agency as our case study. This is an applied research using descriptive-correlational survey method and structural equation modeling. From among the statistical population consisting of 100,000 people, 384 people were selected using Morgan table. Since some of the questionnaires were likely to be not completed, the total sample was 410. To perform the opinion poll, the questionnaire was placed in various social media within a specified time period. As the research model was supposed to be examined in social media, the data were collected through an online opinion poll in social media. Data collection tool was a multiple-choice questionnaire which enabled to assess the research variables. In general, the required data were collected using library and questionnaire methods. The validity and reliability of the questionnaire were established by Cronbach’s alpha coefficient method. According to the results, total validity for 27 items of the questionnaire was 90%. After collecting the questionnaires, we analyzed the data using LISREL

  20. Providing choices for a marginalized community. A community-based project with Malaysian aborigines. (United States)

    Kaur, P


    In 1991, the Family Planning Association (FPA) of the Malaysian state of Perak initiated a community-based development project in the remote Aborigine village of Kampung Tisong. The community consists of approximately 34 households who survive on an average income of about US $37. Malnutrition is pervasive, even minor ailments cause death, more serious afflictions are prevalent, and the closest government clinic is 20 kilometers away and seldom used by the Aborigines. 70% of the children have access to education, but parental illiteracy is a serious educational obstacle. The goals of the FPA program are to 1) promote maternal and child health and responsible parenthood, 2) provide health education, 3) encourage women to seek self-determination, and 4) encourage the development of self-reliance in the community as a whole. The first step was to survey the community's culture, beliefs, and health status with the help of the Aborigines Department and the village headman. After a series of preliminary meetings with other agencies, the FPA began to provide activities including health talks, health courses and demonstrations, medical examinations and check-ups, and first aid training. Environmental protection and sanitation measures were included in the educational activities, and following the traditional "mutual aid system," a small plot of land was cleared for vegetable production. Vegetable gardens and needlecraft will become income-producing activities for the women. Attempts to motivate the women to use family planning have been hindered by the fact that the health of 2 women deteriorated after they began using oral contraceptives. Positive changes are occurring slowly and steadily, however, and the FPA has been instrumental in having the settlement included in a program for the hardcore poor which will provide new housing and farming projects.

  1. [Promotion of community-based care in Africa: example of community general practice in Benin]. (United States)

    Caplain, Roland; Yacoubou, Ismaïl; Adedemy, Didier; Sani, Alidou; Takam, Sandrine; Desplats, Dominique


    Considerable effort has been made to provide rural African populations with basic health care, but the quality of this care remains unsatisfactory due to the absence of first-line GPs. This is a paradoxical situation in view of the large number of physicians trained in medical schools in French-speaking Africa and Madagascar. of the lack of GPs working in rural areas is a real concern, as many young doctors remain unemployed in cities. For more than 20 years, the NGO Santé Sud has proposed a Community General Medicine concept, which, combined with a support system, has allowed the installation of more than 200 community GPs in Mali and Madagascar. The advantage of this concept is that it provides family medicine and primary health care in the same practice. Since 2009, Santé Sud supports an installation project in rural areas of northern Benin, where community GPs work independently, as a complementary partner of the public sector. Since 2013, the installation process comprises a university degree created with the University of Parakou Faculty of Medicine. Based on this experience in Benin, the authors show that the presence of a first-line general practitioner is an original strategy that provides a major contribution to health promotion : reducing health inequalities between rural and urban populations, allowing women to receive medically assisted childbirth close to home, developing family planning activities, education and health care for chronic diseases, strengthening health coverage by participating in vaccination campaigns, etc. Due to their functions and proximity, community GPs represent an added value for health promotion.

  2. Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers

    DEFF Research Database (Denmark)

    Lerbæk, Birgitte; Aagaard, Jørgen; Andersen, Mette Braendstrup;


    The context of care in assertive community treatment (ACT) can be precarious and generate ethical issues involving the principles of autonomy and paternalism. This focus group study examined case managers' situated accounts of moral reasoning. Our findings show how they expressed strong moral...... obligation towards helping the clients. Their moral reasoning reflected a paternalistic position where, on different occasions, the potential benefits of their interventions would be prioritised at the expense of protecting the clients' personal autonomy. The case managers' reasoning emphasised situational...

  3. Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers: A Focus Group Study

    DEFF Research Database (Denmark)

    Lerbæk, Birgitte; Aagaard, Jørgen; Andersen, Mette;


    The context of care in assertive community treatment (ACT) can be precarious and generate ethical issues involving the principles of autonomy and paternalism. This focus group study examined case managers’ situated accounts of moral reasoning. Our findings show how they expressed strong moral...... obligation towards helping the clients. Their moral reasoning reflected a paternalistic position where, on different occasions, the potential benefits of their interventions would be prioritised at the expense of protecting the clients’ personal autonomy. The case managers’ reasoning emphasised situational...

  4. Engaging stakeholder communities as body image intervention partners: The Body Project as a case example. (United States)

    Becker, Carolyn Black; Perez, Marisol; Kilpela, Lisa Smith; Diedrichs, Phillippa C; Trujillo, Eva; Stice, Eric


    Despite recent advances in developing evidence-based psychological interventions, substantial changes are needed in the current system of intervention delivery to impact mental health on a global scale (Kazdin & Blase, 2011). Prevention offers one avenue for reaching large populations because prevention interventions often are amenable to scaling-up strategies, such as task-shifting to lay providers, which further facilitate community stakeholder partnerships. This paper discusses the dissemination and implementation of the Body Project, an evidence-based body image prevention program, across 6 diverse stakeholder partnerships that span academic, non-profit and business sectors at national and international levels. The paper details key elements of the Body Project that facilitated partnership development, dissemination and implementation, including use of community-based participatory research methods and a blended train-the-trainer and task-shifting approach. We observed consistent themes across partnerships, including: sharing decision making with community partners, engaging of community leaders as gatekeepers, emphasizing strengths of community partners, working within the community's structure, optimizing non-traditional and/or private financial resources, placing value on cost-effectiveness and sustainability, marketing the program, and supporting flexibility and creativity in developing strategies for evolution within the community and in research. Ideally, lessons learned with the Body Project can be generalized to implementation of other body image and eating disorder prevention programs.

  5. Citizen Science for Post-disaster Sustainable Community Development in Ecologically Fragiel Regions - A Case from China (United States)

    Liu, Wei; Ming, Meng; Lu, Ye; Jin, Wei


    The world's mountains host some of the most complex, dynamic, and diverse ecosystems and are also hotspots for natural disasters, such as earthquake, landslide and flood. One factor that limits the mountain communities to recover from disasters and pursue sustainable development is the lack of locally relevant scientific knowledge, which is hard to gain from global and regional scale observations and models. The rapid advances in ICT, computing, communication technologies and the emergence of citizen science is changing the situation. Here we report a case from Sichuan Giant Panda Sanctuary World Natural Heritage in China on the application of citizen science in a community reconstruction project. Dahe, a mountainous community (ca. 8000 ha in size) is located covering part of the World Heritage's core and buffer zones, with an elevation range of 1000-3000 meters. The community suffered from two major earthquakes of 7.9 and 6.9 Mw in 2008 and 2013 respectively. Landslides and flooding threat the community and significantly limit their livelihood options. We integrated participatory disaster risk mapping (e.g., community vulnerability and capacity assessment) and mobile assisted natural hazards and natural resources mapping (e.g., using free APP GeoODK) into more conventional community reconstruction and livelihood building activities. We showed that better decisions are made based on results from these activities and local residents have a high level of buy-in in these new knowledge. We suggest that initiatives like this, if successfully scale-up, can also help generate much needed data and knowledge in similar less-developed and data deficient regions of the world.

  6. The "Boom" and "Bust" Patterns of Communities within the Energy Rich Region of West Virginia: A Case Study of Moundsville (United States)

    Kiger, Brandon S.

    The increasing worldwide demand for energy will provide Energy Rich Regions (ERRs) the opportunity to increase their wealth and quality of living. However, a reoccurring pattern of boom and bust cycles in ERRs suggests the need for more sustainable development strategies. A mixed methods approach (case study) is employed to explore the "wicked human problems" occurring in one community, Moundsville, WV and to discover development patterns that might inform sustainable development strategies for the future. This study explores briefly the distant past development patterns, and in greater detail the pre-boom and most current boom in natural gas. First, data will be derived from a conceptual "Energy Rich Region Template" that explores the sustainability of development from the inclusive wealth forms of natural, human, and physical capital. The qualitative data analysis software (MAXQDA) is used to systematically collect and organize data and information into a community-wide knowledge base (specifically the seven years of city council minutes). This framework can assist future research dedicated to similar cases. Furthermore, this case may support communities and or policymakers in the development of a programming guide for converting the natural capital into other reproducible capital forms, thus avoiding the development cycle of boom and bust.

  7. Extension of the preliminary rulings procedure outside the scope of Community law: The Dzodzi line of cases

    Directory of Open Access Journals (Sweden)

    Saulius Lukas Kaleda


    Full Text Available The Dzodzi line of cases evidence that the functioning of the preliminary rulings procedure under Article 234 EC is not restricted to the scope of Community law, but extends also to the cases governed by national law referring to certain Community provision or concept. Most controversially in the context of this far-reaching pronouncement, the Court dismissed the views expressed by its Advocates General, actually, in all the cases of this type (recently in Roman Angonese , 6 June 2000. Ten years after the judgment in Dzodzi has been delivered, the future development of the tendency seems to be still open to radically different solutions. A compromise solution may be found in the acceptance of jurisdiction in comparable situations, ascertained on the basis of relationship between the interpretation and the facts of a particular case. This solution should be based on the assessment of the ability to provide helpful interpretation and the possibility to define a legal problem precisely, as a prerequisite for the full exchange of arguments. Then, it could provide a consistent attitude of the Court towards all the cases on the admissibility of references under Article 234 EC. The uncertainty inevitably following such a solution could be outweighed by the need to retain a flexible and cooperative attitude.

  8. A Case Study of How Professional Learning Communities Influence Morale and Rigor in the Classroom (United States)

    McDonough, Jessica S.


    The purpose of this qualitative case study was to explore how professional learning communities influence teacher morale and rigor in the classroom. Participants of the study consisted of six to eight core subject teachers from two 4-A high school campuses in southeast Texas. Two focus group interviews were conducted, one at each school, and…

  9. Community Participation and Policy in Educational Reform Efforts: A Case Study of Knott County, Kentucky. (United States)

    Dixon, Marion W.

    A case study of an economically distressed rural Kentucky school district examined the theory that educational policy can enable community participation and that participation can enable policy implementation by affecting school governance and expanding the services provided. Primary data were gathered via interviews with four parent participants,…

  10. Community of Practice or Affinity Space: A Case Study of a Professional Development MOOC (United States)

    Jones, Kyle M. L.; Stephens, Michael; Branch-Mueller, Jennifer; de Groot, Joanne


    Massive Open Online Courses (MOOCs) have brought about new questions regarding the construction of virtual learning environments and course delivery systems. One such question that researchers and instructors alike are considering is the role of community in learning spaces. This paper uses a professional development (PD) MOOC as a case study to…

  11. Hazardous Waste Management and Community Involvement in Canada: The Case of Montreal's Rural-Urban Fringe. (United States)

    Andre, Pierre; And Others


    Deals with conflicts associated with the management, disposal, and storage of hazardous wastes from the perspective of interests expressed in the local community. Analyzes three case studies to demonstrate the changing roles and relative importance of local and nonlocal interests. Draws conclusions regarding the significance of the analysis for…

  12. The Impact of Management Decision-Making on Student Success in Community Colleges: A Case Study (United States)

    Alt, Albert G.


    This case study examined a multi-college community college district in northern California in a primarily rural area, to understand how their practices compared to management best practices designed to improve student success, barriers that may exist in implementing best practices, and how the institution may improve its own practices. The problem…

  13. Community Arts Programs: Cohesion and Difference Case Studies. Henry Street Settlement and El Museo del Barrio (United States)

    Kiebert-Gruen, Cathleen


    A comparative case study of two cultural institutions, Henry Street Settlement and El Museo del Barrio, founded almost eighty years apart, were involved in social justice causes and community arts. Although both of these institutions participated in the political activism of their time, they also demonstrated an important adaptability. They were…

  14. Responses to Islam in the Classroom: A Case of Muslim Girls from Minority Communities of Interpretation (United States)

    Merchant, Natasha Hakimali


    Coinciding with the rise of "Islamophobia" in the United States is a small but growing set of educational scholarship around the curricular impact of and response to Islamophobia. The qualitative case study discussed in this manuscript aims to contribute to this conversation by investigating how Muslim girls from minority communities of…

  15. Relationship Depth in Community Food Security: Lessons from a Case Study of the Campus Kitchens Project (United States)

    Himmelheber, Sarah


    This article presents an instrumental case study of one branch of the nationally networked food recovery and redistribution program, the Campus Kitchens Project (CKP). Inquiry is focused on developing a better understanding of the relationship between this CKP branch and its community partners, as well as recognizing the potential for CKP branches…

  16. Building a Community-Academic Partnership: Implementing a Community-Based Trial of Telephone Cognitive Behavioral Therapy for Rural Latinos

    Directory of Open Access Journals (Sweden)

    Eugene Aisenberg


    Full Text Available Concerns about the appropriate use of EBP with ethnic minority clients and the ability of community agencies to implement and sustain EBP persist and emphasize the need for community-academic research partnerships that can be used to develop, adapt, and test culturally responsive EBP in community settings. In this paper, we describe the processes of developing a community-academic partnership that implemented and pilot tested an evidence-based telephone cognitive behavioral therapy program. Originally demonstrated to be effective for urban, middle-income, English-speaking primary care patients with major depression, the program was adapted and pilot tested for use with rural, uninsured, low-income, Latino (primarily Spanish-speaking primary care patients with major depressive disorder in a primary care site in a community health center in rural Eastern Washington. The values of community-based participatory research and community-partnered participatory research informed each phase of this randomized clinical trial and the development of a community-academic partnership. Information regarding this partnership may guide future community practice, research, implementation, and workforce development efforts to address mental health disparities by implementing culturally tailored EBP in underserved communities.

  17. Community based needs assessment in an urban area; A participatory action research project

    Directory of Open Access Journals (Sweden)

    Ahari Saeid


    Full Text Available Abstract Background Community assessment is a core function of public health. In such assessments, a commitment to community participation and empowerment is at the heart of the WHO European Healthy Cities Network, reflecting its origins in health for all and the Ottawa Charter for Health Promotion. This study employs a participation and empowerment plan in order to conduct community assessment. Methods The method of participatory action research (PAR was used. The study was carried out in an area of high socio-economic deprivation in Ardabil, a city in the northwest of Iran, which is currently served by a branch of the Social Development Center (SDC. The steering committee of the project was formed by some university faculty members, health officials and delegates form Farhikhteh non-governmental organization and representatives from twelve blocks or districts of the community. Then, the representatives were trained and then conducted focus groups in their block. The focus group findings informed the development of the questionnaire. About six hundred households were surveyed and study questionnaires were completed either during face-to-face interviews by the research team (in case of illiteracy or via self-completion. The primary question for the residents was: 'what is the most important health problem in your community? Each health problem identified by the community was weighted based on the frequency it was selected on the survey, and steering committee perception of the problem's seriousness, urgency, solvability, and financial load. Results The main problems of the area appeared to be the asphalt problem, lack of easy access to medical centers, addiction among relatives and unemployment of youth. High participation rates of community members in the steering committee and survey suggest that the PAR approach was greatly appreciated by the community and that problems identified through this research truly reflect community opinion

  18. Performance of a community detection algorithm based on semidefinite programming

    CERN Document Server

    Javanmard, Adel; Ricci-Tersenghi, Federico


    The problem of detecting communities in a graph is maybe one the most studied inference problems, given its simplicity and widespread diffusion among several disciplines. A very common benchmark for this problem is the stochastic block model or planted partition problem, where a phase transition takes place in the detection of the planted partition by changing the signal-to-noise ratio. Optimal algorithms for the detection exist which are based on spectral methods, but we show these are extremely sensible to slight modification in the generative model. Recently Javanmard, Montanari and Ricci-Tersenghi (arXiv:1511.08769) have used statistical physics arguments, and numerical simulations to show that finding communities in the stochastic block model via semidefinite programming is quasi optimal. Further, the resulting semidefinite relaxation can be solved efficiently, and is very robust with respect to changes in the generative model. In this paper we study in detail several practical aspects of this new algori...

  19. Community-based adaptation to climate change: an update

    Energy Technology Data Exchange (ETDEWEB)

    Ayers, Jessica; Huq, Saleemul


    Over a billion people - the world's poorest and most bulnerable communities – will bear the brunt of climate change. For them, building local capacity to cope is a vital step towards resilience. Community-based adaptation (CBA) is emerging as a key response to this challenge. Tailored to local cultures and conditions, CBA supports and builds on autonomous adaptations to climate variability, such as the traditional baira or floating gardens of Bangladesh, which help small farmers' crops survive climate-driven floods. Above all, CBA is participatory – a process involving both local stakeholders, and development and disaster risk reduction practitioners. As such, it builds on existing cultural norms while addressing local development issues that contribute to climate vulnerability. CBA is now gaining ground in many regions, and is ripe for the reassessment offered here.

  20. Data Publication: The Role of Community-Based, Disciplinary Repositories (United States)

    Lehnert, Kerstin; Hsu, Leslie


    Data publication is increasingly recognized as a new paradigm to achieve broad and open access to data for their re-use while ensuring proper citation and attribution of the data to their creator. Current models of data publication include special data journals, institutional repositories, and programmatic or disciplinary repositories. This presentation focuses on the critical role that community-based disciplinary repositories should play, using the example of the IEDA data facility ( Disciplinary repositories ensure that data publication is successfully implemented and adopted by the science community, so that it can fulfill its promise to advance data reuse, enhance reproducibility of scientific results, and offer new opportunities for scientific discoveries. Disciplinary repositories are ideally poised to address the challenges that can lead to 'data reuse failure' (Rees 2010), which in turn obstruct the successful development and implementation of new data infrastructures for the sciences. Among these challenges are: professional motivation for investigators to publish the data; effort and economic burden of publication; discovery and long-term accessibility of data; adequate documentation of data provenance (measured parameters, uncertainty, reproducibility, materials, methods, data manipulation); and usability (file formats, interfaces to software tools for data analysis, visualization, modeling). The relevant function of a disciplinary repository is to coordinate and bridge the needs of its community with recognized requirements for data curation and demands of evolving technologies. IEDA meets that function, gathering regular guidance from the community, developing community-approved best practices and guidelines; providing guidance and tools to investigators that facilitate the process of data publication; and performing data quality control. IEDA's sustainable infrastructure supports the discovery and access of the data, and IEDA

  1. Base of tongue schwannoma: a case report. (United States)

    Ying, Yu-Lan Mary; Zimmer, Lee A; Myers, Eugene N


    Both malignant and benign lesions may be found on the base of the tongue, including metastasis from other sites. Various surgical approaches to the base of tongue have been described. Here, we report a case of a 26-year-old woman with a schwannoma in the base of tongue removed through a suprahyoid pharyngotomy approach. The biology and pathology of schwannoma in the oral cavity are discussed. The advantage of the suprahyoid pharyngotomy approach for complete excision of a mass in the base of tongue is demonstrated.

  2. Mining Data from Weibo to WeChat: A Comparative Case Study of MOOC Communities on Social Media in China (United States)

    Zhang, Ke


    This article starts with an overview on China's MOOC phenomenon and social media, and then reports a comparative, multiple case study on three selected MOOC communities that have emerged on social media in China. These representative MOOC communities included: (a) MOOC Academy, the largest MOOC community in China, (b) Zhejiang University of…

  3. Community mobilization and community-based participatory research to prevent youth violence among Asian and immigrant populations. (United States)

    Le, Thao N; Arifuku, Isami; Vuong, Linh; Tran, Gianna; Lustig, Deborah F; Zimring, Franklin


    Many community mobilization activities for youth violence prevention involve the researchers assisting communities in identifying, adapting, and/or tailoring evidence-based programs to fit the community needs, population, and cultural and social contexts. This article describes a slightly different framework in which the collaborative research/evaluation project emerged from the community mobilization activities. As will be discussed, this collaborative, sustained partnership was possible in the context of the Center on Culture, Immigration and Youth Violence Prevention's (UC Berkeley ACE) community mobilization activities that brought the issue of youth violence, particularly among immigrant and minority populations, to the forefront of many of the community partners' agendas. The East Bay Asian Youth Center (EBAYC) was one of the partners that came to the table, which facilitated the community-based engagement/mobilization. UC Berkeley ACE collaborated with EBAYC to evaluate an after-school program and an alternative probation program serving a diverse youth and immigrant population, including African Americans, Asians, and Hispanics. This article describes UC Berkeley ACE's community mobilization activity and the collaborative partnership with EBAYC, discusses how the evaluations incorporated community-based principles in design and practice, and presents some findings from the evaluations.

  4. Emergence of Raoultella ornithinolytica on O'ahu: a case of community-acquired R. ornithinolytica urinary tract infection. (United States)

    Nakasone, Elizabeth S; Kaneshiro, Ricky; Min, Kathleen; Tokeshi, Jinichi


    Human infection with Raoultella ornithinolytica is rare, with only ten cases having been reported previously. This case report describes a local patient diagnosed with community-acquired R. ornithinolytica urinary tract infection in 2014.

  5. Correlates of mothers' perception of their communities' social capital: a community-based study. (United States)

    Pascoe, John M; Specht, Sandy; McNicholas, Caroline; Kasten, Eileen; Spears, William; Looman, Wendy


    Psychosocial issues have been recognized as important factors in children's health for decades. This study documents the relation among several important psychosocial variables (e.g., mothers' depressive symptoms) and a new instrument that assesses parents' perception of their communities' social capital. Mothers were recruited from their children's primary care (PC) pediatricians' offices within the Southwestern Ohio Ambulatory Research Network or from a children's hospital developmental clinic (DC). Mothers completed a questionnaire that included the Social Capital Scale (SCS), Children with Special Health Care Needs Screener (CSHCNS), Pediatric Quality of Life Inventory, Maternal Social Support Index and the Center for Epidemiologic Studies Depression Scale (CES-D). Mothers were sorted into three subgroups based on site of recruitment (PC or DC) and results of the CSHCNS. The sample (N = 620) was also sorted into terciles based on SCS scores. Mean SCS was about 73 for each of the three subgroups. Compared to mothers in the highest SCS tercile, mothers in the lowest SCS tercile reported lower education, lower income and higher CES-D median scores. The SCS subscale "sense of belonging" had an inverse correlation with CES-D scores (r = -.248, p communities' social capital. Compared to mothers in the highest one third of SCS scores, mothers in the lowest one third were more likely to report less education and income as well as more depressive symptoms. A decreased sense of belonging in their communities was also correlated with more depressive symptoms. The SCS is a new useful tool for investigators and clinicians who work with children and their families.

  6. [Integral approach by the case manager and the community nurse to a complex case of diabetes mellitus in the home]. (United States)

    Prats-Guardiola, Marta; López-Pisa, Rosa María


    We present the case of a patient with long-term and clinically complex Diabetes Mellitus. She was taking part in the home care program in Primary Care. The complications of her DM affected her quality of life: blindness, kidney failure, treated with hemodialysis, and a cerebrovascular attack. We describe the evaluation following Virginia's Henderson model. This evaluation was made in the patient's home after she was discharged from the socio-health centre where she was admitted as her right leg was amputated at a supracondylar level. It was designed a care plan between the community nurse and the case manager using NANDA, NOC and NIC taxonomy. The care plan was carried out as a joint effort between the community nurse and the case manager who coordinated the planning with the rest of professionals. Results were evaluated 6 months after the initial assessment. This case, which had a high dependence and a high clinical complexity, required a multidisciplinary approach and the integration of different professionals, services and institutions to implement the patient's treatment. Because of all the above, it is important to mention the case management function to guarantee continuity, and overall and integrated care.

  7. Communities of Practice and the Mediation ofTeachers' Responses to Standards-based Reform

    Directory of Open Access Journals (Sweden)

    Chrysan Gallucci


    Full Text Available This paper evaluates the usefulness of a sociocultural approach for analyzing teachers’ responses to the professional learning demands of standards-based reform policies. A policy-oriented case study of the practice of six elementary teachers who worked in two high poverty schools in a demographically changing district in the state of Washington is summarized. Key findings of that study conclude that communities of teaching practice are sites for teacher learning and are mediators of teachers’ responses to standards-based reform. Characteristics of the communities of practice, including their relative strength and openness (to learning, influence the degree to which teachers work out negotiated and thoughtful responses to policy demands. The present paper discusses the efficacy of Wenger’s (1998 theory of learning for the study of policy to practice connections.

  8. Cultural and Rhetorical Bases for communicating knowledge in web based communities

    DEFF Research Database (Denmark)

    Kampf, Constance; Kommers, Piet


    This call for papers invites papers focused on theoretical frameworks or empirical research which highlights the cultural and/or rhetorical aspects of communicating knowledge in web based communities. We are looking for work that brings together methods and perspectives across disciplines......Cultural and Rhetorical Bases for communicating knowledge in web based communities How can we extend learner-centred theories for educational technology to include, for instance, the cultural and rhetorical backgrounds which influence participants in online communities as they engage in knowledge...... communication processes? To begin to answer this question, we are looking for papers which engage concepts such as: communities of practice (Wenger 1998) the emerging field of knowledge communication the connections between communicating knowledge and discourse structures cultural situatedness of communication...

  9. Engaging diverse communities participating in clinical trials: case examples from across Africa

    Directory of Open Access Journals (Sweden)

    Doumbo Ogobara


    Full Text Available Abstract Background In the advent of increasing international collaborative research involving participants drawn from populations with diverse cultural backgrounds, community engagement becomes very critical for the smooth conduction of the research. The African Malaria Network Trust (AMANET is a pan-African non-governmental organization that sponsors and technically supports malaria vaccine trials in various African countries. Case description AMANET sponsored phase Ib or IIb clinical trials of several malaria vaccine candidates in various Africa countries. In Burkina Faso, Mali and Tanzania trials of the merozoite surface protein 3 -- in its Long Synthetic Peptide configuration (MSP3 LSP -- were conducted. In Mali, the apical membrane antigen 1 (AMA1 was tested, while a hybrid of glutamate rich protein (GLURP and MSP3 (GMZ2 was tested in Gabon. AMANET recognizes the importance of engaging with the communities from which trial participants are drawn, hence community engagement was given priority in all project activities conducted in the various countries. Discussion and evaluation Existing local social systems were used to engage the communities from which clinical trial participants were drawn. This article focuses on community engagement activities employed at various AMANET-supported clinical trial sites in different countries, highlighting subtle differences in the approaches used. The paper also gives some general pros and cons of community engagement. Conclusions Community engagement enables two-way sharing of accurate information and ideas between researchers and researched communities, which helps to create an environment conducive to smooth research activities with enhanced sense of research ownership by the communities.

  10. Case management of malaria fever at community pharmacies in Pakistan; a threat to rational drug use

    Directory of Open Access Journals (Sweden)

    Hassali MA


    Full Text Available Objective: To document the case management of uncomplicated malaria fever at community pharmacies located in the two major cities of Pakistan; Islamabad (national capital and Rawalpindi (twin city. Method: A comparative, cross-sectional study was designed to document the management of uncomplicated malaria fever at community pharmacies in twin cities of Pakistan through simulated patient visits. Visits were conducted in 238 randomly selected pharmacies to request advice for a simulated patient case of malaria. The pharmacy’s management was scored on a checklist including history taking and provision of advice and information. Kruskal-Wallis test and Mann-Whitney U test were used to compare management of uncomplicated malaria fever by different types of dispensers working at community pharmacies situated at different locations in the twin cities.Results: The simulated patients were handled by salesmen (74.8%, n=178, pharmacist (5.4%, n=13 and diploma holders (19.8 %, n=47. Medication was dispensed in 83.1 % (n=198 of the visits, but only few of the treated cases were in accordance to standard treatment guidelines for malaria. However, in 14.8% (n=35 of the cases the simulated patients were directly referred to a physician. There was a significant difference observed in the process of history taking performed by different dispensers (e.g. pharmacist, pharmacy assistant, pharmacy diploma holders and salesman while no significant differences in the provision of advice by these dispensers was observed. Pharmacists were seen more frequently involved in the process of history taking if available at the community pharmacies. On the other hand, no significant differences were observed in the case management (history taking and provision of advice for the treatment of malaria fever among community pharmacies situated at different locations (e.g. near hospital/super market/small market in the twin cities.Conclusion: The results of the study revealed that

  11. Simulation and case-based learning

    DEFF Research Database (Denmark)

    Ørngreen, Rikke; Guralnick, David


    Abstract- This paper has its origin in the authors' reflection on years of practical experiences combined with literature readings in our preparation for a workshop on learn-by-doing simulation and case-based learning to be held at the ICELW 2008 conference (the International Conference on E...

  12. A new freshwater biodiversity indicator based on fish community assemblages. (United States)

    Clavel, Joanne; Poulet, Nicolas; Porcher, Emmanuelle; Blanchet, Simon; Grenouillet, Gaël; Pavoine, Sandrine; Biton, Anne; Seon-Massin, Nirmala; Argillier, Christine; Daufresne, Martin; Teillac-Deschamps, Pauline; Julliard, Romain


    Biodiversity has reached a critical state. In this context, stakeholders need indicators that both provide a synthetic view of the state of biodiversity and can be used as communication tools. Using river fishes as model, we developed community indicators that aim at integrating various components of biodiversity including interactions between species and ultimately the processes influencing ecosystem functions. We developed indices at the species level based on (i) the concept of specialization directly linked to the niche theory and (ii) the concept of originality measuring the overall degree of differences between a species and all other species in the same clade. Five major types of originality indices, based on phylogeny, habitat-linked and diet-linked morphology, life history traits, and ecological niche were analyzed. In a second step, we tested the relationship between all biodiversity indices and land use as a proxy of human pressures. Fish communities showed no significant temporal trend for most of these indices, but both originality indices based on diet- and habitat- linked morphology showed a significant increase through time. From a spatial point of view, all indices clearly singled out Corsica Island as having higher average originality and specialization. Finally, we observed that the originality index based on niche traits might be used as an informative biodiversity indicator because we showed it is sensitive to different land use classes along a landscape artificialization gradient. Moreover, its response remained unchanged over two other land use classifications at the global scale and also at the regional scale.

  13. A new freshwater biodiversity indicator based on fish community assemblages.

    Directory of Open Access Journals (Sweden)

    Joanne Clavel

    Full Text Available Biodiversity has reached a critical state. In this context, stakeholders need indicators that both provide a synthetic view of the state of biodiversity and can be used as communication tools. Using river fishes as model, we developed community indicators that aim at integrating various components of biodiversity including interactions between species and ultimately the processes influencing ecosystem functions. We developed indices at the species level based on (i the concept of specialization directly linked to the niche theory and (ii the concept of originality measuring the overall degree of differences between a species and all other species in the same clade. Five major types of originality indices, based on phylogeny, habitat-linked and diet-linked morphology, life history traits, and ecological niche were analyzed. In a second step, we tested the relationship between all biodiversity indices and land use as a proxy of human pressures. Fish communities showed no significant temporal trend for most of these indices, but both originality indices based on diet- and habitat- linked morphology showed a significant increase through time. From a spatial point of view, all indices clearly singled out Corsica Island as having higher average originality and specialization. Finally, we observed that the originality index based on niche traits might be used as an informative biodiversity indicator because we showed it is sensitive to different land use classes along a landscape artificialization gradient. Moreover, its response remained unchanged over two other land use classifications at the global scale and also at the regional scale.

  14. Community-based Ecotourism in Tenganan Dauh Tukad: An Indigenous Conservation Perspective

    Directory of Open Access Journals (Sweden)

    I Ketut Sardiana


    Full Text Available AbstractCommunity-based ecotourism involves conservation, business, and community development. It is a subset of nature-based tourism that are owned and managed by the community and used to improve the well-being of its community members. Research conducted in Indigenous Tenganan Dauh Tukad Village, Bali. This paper examines the linkage of community participation in ecotourism with the conservation practices and perspectives. This study revealed that there is a positive linkage between community participation to their practices and perspective of conservation. This includes conservation of biodiversity environment and cultural heritage of the local community.

  15. Community-Based Research: From Practice to Theory and Back Again. (United States)

    Stoecker, Randy


    Explores the theoretical strands being combined in community-based research--charity service learning, social justice service learning, action research, and participatory research. Shows how different models of community-based research, based in different theories of society and different approaches to community work, may combine or conflict. (EV)

  16. Community-Based Equity Audits: A Practical Approach for Educational Leaders to Support Equitable Community-School Improvements (United States)

    Green, Terrance L.


    Purpose: To equitably transform urban schools of color and the neighborhoods where they are nested requires approaches that promote community equity and foster solidarity among a range of stakeholders. However, most school-community approaches solely focus on improving school-based outcomes and leave educational leaders with little guidance for…

  17. Evaluation of Community Health Education Workshops among Chinese Older Adults in Chicago: A Community-Based Participatory Research Approach (United States)

    Dong, Xinqi; Li, Yawen; Chen, Ruijia; Chang, E-Shien; Simon, Melissa


    Background: Health education is one of the proven ways to improve knowledge and change health attitudes and behaviors. This study is intended to assess the effectiveness of five health workshops in a Chinese community, focusing on depression, elder abuse, nutrition, breast cancer and stroke. Methods: A community-based participatory research…

  18. Evaluating Community Readiness to Implement Environmental and Policy-Based Alcohol Abuse Prevention Strategies in Wisconsin (United States)

    Paltzer, Jason; Black, Penny; Moberg, D. Paul


    Background: Matching evidence-based alcohol prevention strat- egies with a community's readiness to support those strategies is the basis for the Tri-Ethnic Community Readiness Model (CRM). The purpose of this evaluation was to assess the association of a community's readiness to address alcohol abuse in their community with the…

  19. Evaluating Community Readiness to Implement Environmental and Policy-Based Alcohol Abuse Prevention Strategies in Wisconsin (United States)

    Paltzer, Jason; Black, Penny; Moberg, D. Paul


    Background: Matching evidence-based alcohol prevention strat- egies with a community's readiness to support those strategies is the basis for the Tri-Ethnic Community Readiness Model (CRM). The purpose of this evaluation was to assess the association of a community's readiness to address alcohol abuse in their community with the implementation of…

  20. Exploring the conceptualization of program theories in Dutch community programs: a multiple case study. (United States)

    Harting, Janneke; van Assema, Patricia


    Our objective was to evaluate whether the limited effectiveness of most community programs intended to prevent disease and promote health should be attributed to the quality of the conceptualization of their program theories. In a retrospective multiple case study we assessed the program theories of 16 community programs (cases) in the Netherlands (1990-2004). Methods were a document analysis, supplemented with member checks (insider information from representatives). We developed a community approach reference framework to guide us in reconstructing and evaluating the program theories. On the whole, programs did not clearly spell out the process theories (enabling the implementation of effective interventions), the program components (interventions) and/or the impact theories (describing pathways from interventions to ultimate effects). Program theories usually turned out to be neither specific nor entirely plausible (complete and valid). The limited effectiveness of most community programs should most probably be attributed to the limited conceptualization of program theories to begin with. Such a failure generally also precludes a thorough examination of the effectiveness of the community approach as such.

  1. A case of community-acquired Acinetobacter junii-johnsonii cellulitis. (United States)

    Henao-Martínez, Andrés F; González-Fontal, Guido R; Johnson, Steven


    Acinetobacter skin and soft tissue infection outside of the traumatic wound setting are rare occurrences. The majority of cases occur in the presence of significant comorbilities and by Acinetobacter baumanii. Herein a case is reported of community-onset, health-care-associated, non-traumatic cellulitis caused by Acinetobacter, species junii-johnsonii with bacteremia. This is the first reported case of Acinetobacter junii-johnsonii skin and soft tissue infection. Hemorrhagic bullae might be one of the clinical features of Acinetobacter cellulitis.

  2. Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba. (United States)

    Toledo, Maria E; Rodriguez, Adriana; Valdés, Luis; Carrión, Rigoberto; Cabrera, Georgina; Banderas, Digna; Ceballos, Enrique; Domeqc, Mireya; Peña, Carilda; Baly, Alberto; Vanlerberghe, Veerle; Van der Stuyft, Patrick


    During the dengue outbreak that struck Santiago de Cuba in 2006-2007, we conducted an observational study in the Mariana Grajales district, the former setting of a community trial for Aedes aegypti control. In the trial, community working groups (CWG) had been created in 29 randomly selected intervention house blocks, and routine vector control activities alone were conducted in the remaining 30 control blocks. The CWG elaborated and implemented with the population plans and activities to reduce Aedes infestation. They were still functional in 2006 and continued organizing community-based environmental management activities. The attack rate of dengue fever during the outbreak was 8.5 per 1000 inhabitants in the former intervention blocks and 38.1 per 1000 inhabitants in the control blocks, which corresponds to a relative risk of 4.5 (95% CI 3.1-6.5). There was a significantly higher proportion of unaffected intervention blocks, and affected blocks had on average substantially less cases than affected control blocks. This study indicates that community-based environmental management inserted in the routine A. aegypti control programme can not only sustainably curb vector infestation but also have an impact on dengue transmission.

  3. Foundation species influence trait-based community assembly. (United States)

    Schöb, Christian; Butterfield, Bradley J; Pugnaire, Francisco I


    Here, we incorporate facilitation into trait-based community assembly theory by testing two mutually compatible facilitative mechanisms: changes in the environmental filter, causing either an increase in the range of trait values (i.e. a range expansion effect) and/or a shift in trait distributions (i.e. a range shift effect); and changes in trait spacing, suggesting an effect on niche differentiation. We analyzed the distribution of three functional traits - leaf dry matter content, specific leaf area and lateral spread - of plant communities dominated by a cushion-forming foundation species at four sites differing in elevation and aspect. We found support for environmental filtering and niche differentiation mechanisms by cushions, with filtering effects (in particular range shifts) increasing with environmental severity at higher elevation. The effect size of cushions on trait distribution was similar to that of environmental gradients caused by elevation and aspect. The consideration of intraspecific trait variability improved the detection of cushion effects on trait distributions. Our results highlight the importance of facilitation in the modification of taxonomic and functional diversity of ecological communities, and indicate that facilitation can occur through combined effects on environmental filtering and niche differentiation, with strong environmental context dependence of each mechanism.

  4. Potential for Integrating Community-Based Monitoring into REDD+

    Directory of Open Access Journals (Sweden)

    Arturo Balderas Torres


    Full Text Available Countries at the United Nations Framework on the Convention on Climate Change (UNFCCC have decided to engage local communities and indigenous groups into the activities for the monitoring, reporting and verification (MRV of the program to reduce emissions from deforestation and forest degradation and increase carbon removals (REDD+. Previous research and projects have shown that communities can produce reliable data on forest area and carbon estimates through field measurements. The objective of this article is to describe the framework that is being created for REDD+ under the UNFCCC to identify the potential inclusion of local information produced through community-based monitoring (CBM into monitoring systems for REDD+. National systems could use different sources of information from CBM: first, local information can be produced as part of public programs by increasing sample size of national or regional inventories; second, government can collect information to produce carbon estimates from on-going management practices implemented at local level driven by access to local direct benefits (e.g., forest management plans, watershed conservation; third, national data systems could include information from projects participating in carbon markets and other certification schemes; and finally information will be produced as part of the activities associated to the implementation of social and environmental safeguards. Locally generated data on carbon and areas under different forms of management can be dovetailed into national systems and be used to describe management practices, complement existing information or replace Tier 1/2 values with more detailed local data produced by CBM.

  5. Social responsibility and educational communication in communities accessed by the works: a case study. IEGA - enterprise implementations for gasene

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Elisangela Assis de; Farias, Aline Marianne Magalhaes [LP Empreendimentos, Rio de janeiro, RJ (Brazil); Marques, Yanna Oliveira [Cia. Nacional de Dutos (Conduto S/A), Duque de Caxias, RJ (Brazil); Penido, Rita de Cassia [Sinopec Brasil, Rio de Janeiro, RJ (Brazil)


    Construction and assembly in a gas pipeline project is a constant study of realities and in some cases situations which involve interferences in communities, the company's interests must be wholly integrated with the primary need of the project which is to construct with Social-Environmental Responsibility, establish a good relationship, respect the communities values in which the project passes through and around and surround itself with measures guaranteeing safety, information about the activities and cause minimal impact in the day to day lives of the residents. At Spread 2A of the Pipeline project Cacimbas-Catu, the necessity to develop a specific project for the communities surrounding the access areas was elaborated principally because the topography only permitted the transportation of pipes, equipment and personnel to pass through these areas. This unique situation was drafted based on the transit of vehicles and heavy machinery, through communities with a low IDH (Human Development Index), dangerous living conditions and a high demographic density. Preventive and pacifying actions for Communities and Social responsibility were drafted and developed, involving a multidisciplinary collective effort with other sectors of the project, applying a global theme to ensure safety for the residents around the access areas, also to divulge information in regards to project activities, establish ethical and transparent communication and implement measures that assist in building a solid relationship between the enterprise and community, anticipating risky situations and possible conflicts. This Case Study has as an objective to present projects that were developed in the area of Communication and Social Responsibility in the Access Communities and that, proved effective, became standard within the entire work force's Trainings and Daily Safety, Environmental, and Occupational Health Dialoguing. During the development of the Project 'Street of Leisure

  6. Business and faith: key community partnerships for school-based health centers. (United States)

    Juszczak, L; Moody, J K; Vega-Matos, C


    School-based health centers need to form partnerships with organizations in the community. These relationships are essential to the viability of the centers because they can provide support and resources. However, benefits should be accrued by all partners, not just the health centers. Although there are many communities for school-based health centers to connect to, this article focuses on two integral ones--communities of business and faith. Key findings from a project formed to develop communication strategies and to generate support from the business community are reviewed. Recommendations for school-based health centers in approaching the business community are provided. Similarities and differences between communities of faith and strategies of develop relationships with these communities are presented. School-based health centers are encouraged to understand the characteristics and priorities of their partners in communities of business and faith, and to pursue strong relationships with both communities.

  7. Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum. (United States)

    Smith, Selina A; Blumenthal, Daniel S


    Ethical principles of community-based participatory research (CBPR)--specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability--stem from the work of Kurt Lewin and Paulo Freire. These are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communities for research purposes (the U.S. Public Health Service Tuskegee Syphilis Study being the most notorious) has left a legacy of mistrust of research and researchers. The purpose of this article is to examine experiences and lessons learned from community health workers (CHWs) in the 10-year translation of an educational intervention in the research-to-practice-to-community continuum. We conclude that the central role played by CHWs enabled the community to gain some degree of control over the intervention and its delivery, thus operationalizing the ethical principles of CBPR.

  8. The Internal Mechanism Analysis of Community Governance Innovating under the Transformation of Maintaining Stability-based on Four Typical Case Studies in Shenzhen%转型维稳下社区治理创新的内在机制探析--基于深圳市四个典型样本案例研究

    Institute of Scientific and Technical Information of China (English)



    ,which based on a overall regulating by a single government,so the traditional way,maintaining stability does. Fiercer contradiction among the various subjects worsens the instability of community related to blocked interest expression channel of multiple groups. Constructing multi-platform helps to expand the channels of interest expression of differ-ent subjects in the community,and it also plays an important role in alleviating the contradiction of the community. By considering four typical cases,this paper finds that community governance innovation is constantly toward mul-tiple co-governance development. Regardless of whether the initiative launched or midway participation,grass-roots government is promoting community governance innovation leader. It is significantly important to analyze the underlying mechanism that the local governments act on innovation of community governance .Constructing multi-variate power negotiation platform. In fact,for maintaining grassroots stability is strategic choice under the transfor-mation crisis,as well as the behaviors of developing innovation when faced social needs. Transforming government functions,switching unified governance mode,strong local governance,building community governance mode based on multivariate cooperation,which are founded on maintaining stability,are required as the change of com-munity structure.

  9. Removing barriers to rehabilitation: Theory-based family intervention in community settings after brain injury. (United States)

    Stejskal, Taryn M


    Rehabilitation professionals have become increasingly aware that family members play a critical role in the recovery process of individuals after brain injury. In addition, researchers have begun to identify a relationship between family member caregivers' well-being and survivors' outcomes. The idea of a continuum of care or following survivors from inpatient care to community reintegration has become an important model of treatment across many hospital and community-based settings. In concert with the continuum of care, present research literature indicates that family intervention may be a key component to successful rehabilitation after brain injury. Yet, clinicians interacting with family members and survivors often feel confounded about how exactly to intervene with the broader family system beyond the individual survivor. Drawing on the systemic nature of the field of marriage and family therapy (MFT), this article provides information to assist clinicians in effectively intervening with families using theory-based interventions in community settings. First, a rationale for the utilization of systems-based, as opposed to individual-based, therapies will be uncovered. Second, historically relevant publications focusing on family psychotherapy and intervention after brain injury are reviewed and their implications discussed. Recommendations for the utilization of systemic theory-based principles and strategies, specifically cognitive behavioral therapy (CBT), narrative therapy (NT), and solution-focused therapy (SFT) will be examined. Descriptions of common challenges families and couples face will be presented along with case examples to illustrate how these theoretical frameworks might be applied to these special concerns postinjury. Finally, the article concludes with an overview of the ideas presented in this manuscript to assist practitioners and systems of care in community-based settings to more effectively intervene with the family system as a whole

  10. Mathematical decision theory applied to land capability: a case study in the community of madrid. (United States)

    Antón, J M; Saa-Requejo, A; Grau, J B; Gallardo, J; Díaz, M C; Andina, Diego; Sanchez, M E; Tarquis, A M


    In land evaluation science, a standard data set is obtained for each land unit to determine the land capability class for various uses, such as different farming systems, forestry, or the conservation or suitability of a specific crop. In this study, we used mathematical decision theory (MDT) methods to address this task. Mathematical decision theory has been used in areas such as management, finance, industrial design, rural development, the environment, and projects for future welfare to study quality and aptness problems using several criteria. We also review MDT applications in soil science and discuss the suitability of MDT methods for dealing simultaneously with a number of problems. The aim of the work was to show how MDT can be used to obtain a valid land quality index and to compare this with a traditional land capability method. Therefore, an additive classification method was applied to obtain a land quality index for 122 land units that were compiled for a case study of the Community of Madrid, Spain, and the results were compared with a previously assigned land capability class using traditional methods based on the minimum requirements for land attributes.

  11. Digital Communication and a Concern with the Community: A Case Study in a Cooperative Credit Araguaina, Brazil

    Directory of Open Access Journals (Sweden)

    Rumeninng Abrantes Santos


    Full Text Available This article seeks to address the attributes of Digital Communication used by a cooperative of Credit to meet the seventh cooperative principle of Concern for Community. The same occurred in a credit union in the city of Araguaina Tocantins, with the aim of identifying the digital communication developed by the cooperative. The article begins with a literature review on the emergence of cooperative, then the conceptualization of the credit union and its history in Brazil, then the cooperative principles and their evolution, conceptualizations of concern for the community, digital communication, social marketing and the presentation and analysis of results. The methodology was based on the case study, which according to Yin (2001 it is important because it is the reality studied. The research showed that the performance of the cooperative is geared entirely to their members and do not have a lot of focus related to social actions, but it promotes actions to attract members and to promote community development through digital media. Another important result of the research was that the principle addressed is one of the goals of the cooperative that aims to meet the interests, promote the welfare of members and the entire community where the cooperative operates.

  12. Consistency with evidence-based treatments and perceived effectiveness of children's community-based care. (United States)

    Haine-Schlagel, Rachel; Fettes, Danielle L; Garcia, Antonio R; Brookman-Frazee, Lauren; Garland, Ann F


    This study examined whether delivery of psychotherapeutic strategies consistent with common elements of evidence-based (EB) treatments for child disruptive behavior problems was associated with parents' report of treatment effectiveness. The intensity of delivery of practice elements consistent with EB treatments was coded from a random sample of 538 videotaped psychotherapy sessions with 157 children/families and 75 therapists from six community-based clinics. Multilevel regression analyses tested whether intensity of EB practice elements was associated with parents' report of treatment effectiveness after 4 months, controlling for intensity of other practice elements. Results indicate parents reported greater perceived treatment effectiveness when community-based treatment included more intensive delivery of practice elements consistent with EB treatments to children. These findings may reassure providers about the acceptability of EB practice elements and may motivate efforts to integrate EB practice elements more intensively into community-based care.

  13. Facilitators' perceptions of problem-based learning and community-based education

    Directory of Open Access Journals (Sweden)

    Paula P du Rand


    Full Text Available In 1997 the School for Nursing, University of the Orange Free State, changed from the traditional lecture method of teaching to problem-based learning and from a curative to a community-based approach. Lecturers from a traditional environment became facilitators and new skills such as listening, dialogue, negotiation, counselling and problemsolving were expected from them. Besides the role change, the environment changed from a structural classroom to an unstructured community. The aim of this research was to determine the perceptions and experiences of facilitators in problem-based learning and community-base education. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  14. A comprehensive HIV stigma-reduction and wellness-enhancement community intervention: a case study. (United States)

    French, Heleen; Greeff, Minrie; Watson, Martha J; Doak, Coleen M


    We describe the implementation of a comprehensive HIV stigma-reduction and wellness-enhancement community intervention that focused on people living with HIV (PLWH), as well as people living close to them (PLC) from six designated groups. A holistic multiple case study design was used in urban and rural settings in the North West Province, South Africa. Purposive voluntary sampling was used to recruit the PLWH group; snowball sampling was used for the PLCs. Data were analyzed by means of open coding and text document analysis. The comprehensive nature of the intervention ensured enhancement in relationships in all groups. The increase in knowledge about stigma, coping with it, and improved relationships led to PLWH feeling less stigmatized and more willing to disclose. PLCs became aware of their stigmatizing behaviors and were empowered to lead stigma reduction in their communities. Many community members were reached through these initiatives.

  15. Leadership style in the deaf community: an exploratory case study of a university president. (United States)

    Kamm-Larew, Deborah; Stanford, Jevetta; Greene, Robert; Heacox, Christopher; Hodge, Warren


    A qualitative mini-case study of I. King Jordan and his leadership style explores the influence of a transformational leader on Gallaudet University and the Deaf community. The study features a template-style semistructured interview with Jordan regarding his perceptions of leadership and his personal insights. The study highlights the attributes of transformational leadership and encourages further research into leadership as a tool for change in the Deaf community and the disability rights movement. This exploration of the leadership style of Gallaudet's first Deaf president is especially timely; the study was conducted between Jordan's retirement announcement and the Gallaudet Board of Trustees' decision to rescind an offer to his announced successor to become the university's next president. That tumultuous transition accentuated the disconnect between Jordan's transformational, charismatic leadership style, which affected generations of the Deaf community, and his followers' dissatisfaction with his management and successor planning.

  16. 某社区产褥期接受三次家庭访视的产妇健康状况分析%Maternal Health Status During Puerperium: A community-based retrospective analysis of 338 cases

    Institute of Scientific and Technical Information of China (English)

    林晓英; 郭玲; 刘素珍; 杨梅兰; 高喜莲


    Objective To find out the current status and the influence factors of maternal health during puerperium, and to provide an evidence to improvement the home visiting service provided by community health nursing. Methods The data of maternal health status of 338 puerperae who accepted three -time home visiting during puerperium were retrospectively analyzed. Results The proportion of cesarean section was high to 71% and there were significant differences among the puerperae with different ages and degrees of education ( P < 0. 05 ). Some 61. 2% of them had hypogalactia, and there was significant difference among the puerperae of different age groups ( P < 0. 05 ). Only 47. 9% of the puerperae insisted pure breastfeeding during one month of puerperium. Univariate analysis revealed that the hypogalactia had a remarkable influence to breastfeeding ( P =0. 00 ); 53. 3% of the puerperae had sub - involution of uterus, 52. 1% had the prolonged lochia; and only 5. 3% had other disorders or health problems. Conclusion It is important to improve the home visiting service, to enhance the health promotion work for perinatal women, and raise their self - managing healthability so as to ensure the maternal health and life quality.%目的 分析某社区产妇接受产后家庭访视期间的健康状况及其影响因素,明确家庭访视的效果.方法 回顾性分析338例产妇的家庭访视资料.结果 选择剖宫产产妇比例较大(占71.0%),不同年龄、文化程度产妇对分娩方式的选择差异有统计学意义(P<0.05);61.2%的产妇曾有乳汁不足问题,且在不同年龄段产妇间的差异有统计学意义(P<0.05);1个月内产妇全程纯母乳喂养执行率低(47.9%),单因素分析显示乳汁不足对母乳喂养有明显影响(P=0.00);产妇子宫复旧不佳(53.3%)问题突出,主要是恶露延迟(52.1%),但其他疾病或健康问题发生率较低(5.3%).结论 社区卫生服务中心应从提高自身访视质量出

  17. Community-based benchmarking of the CMIP DECK experiments (United States)

    Gleckler, P. J.


    A diversity of community-based efforts are independently developing "diagnostic packages" with little or no coordination between them. A short list of examples include NCAR's Climate Variability Diagnostics Package (CVDP), ORNL's International Land Model Benchmarking (ILAMB), LBNL's Toolkit for Extreme Climate Analysis (TECA), PCMDI's Metrics Package (PMP), the EU EMBRACE ESMValTool, the WGNE MJO diagnostics package, and CFMIP diagnostics. The full value of these efforts cannot be realized without some coordination. As a first step, a WCRP effort has initiated a catalog to document candidate packages that could potentially be applied in a "repeat-use" fashion to all simulations contributed to the CMIP DECK (Diagnostic, Evaluation and Characterization of Klima) experiments. Some coordination of community-based diagnostics has the additional potential to improve how CMIP modeling groups analyze their simulations during model-development. The fact that most modeling groups now maintain a "CMIP compliant" data stream means that in principal without much effort they could readily adopt a set of well organized diagnostic capabilities specifically designed to operate on CMIP DECK experiments. Ultimately, a detailed listing of and access to analysis codes that are demonstrated to work "out of the box" with CMIP data could enable model developers (and others) to select those codes they wish to implement in-house, potentially enabling more systematic evaluation during the model development process.

  18. Customizing a rangefinder for community-based wildlife conservation initiatives (United States)

    Ransom, Jason I.


    Population size of many threatened and endangered species is relatively unknown because estimating animal abundance in remote parts of the world, without access to aircraft for surveying vast areas, is a scientific challenge with few proposed solutions. One option is to enlist local community members and train them in data collection for large line transect or point count surveys, but financial and sometimes technological constraints prevent access to the necessary equipment and training for accurately quantifying distance measurements. Such measurements are paramount for generating reliable estimates of animal density. This problem was overcome in a survey of Asiatic wild ass (Equus hemionus) in the Great Gobi B Strictly Protected Area, Mongolia, by converting an inexpensive optical sporting rangefinder into a species-specific rangefinder with visual-based categorical labels. Accuracy trials concluded 96.86% of 350 distance measures matched those from a laser rangefinder. This simple customized optic subsequently allowed for a large group of minimally-trained observers to simultaneously record quantitative measures of distance, despite language, education, and skill differences among the diverse group. The large community-based effort actively engaged local residents in species conservation by including them as the foundation for collecting scientific data.

  19. Case study of attempts to enact self service tobacco display ordinances: a tale of three communities (United States)

    Bidell, M.; Furlong, M.; Dunn, D.; Koegler, J.


    OBJECTIVE—To examine self service tobacco displays (SSTDs) and youth retail tobacco access by comparing longitudinal illegal tobacco sales rates in three communities in Santa Barbara County, California, that considered or implemented ordinances banning SSTDs. A confirmatory survey was also conducted to substantiate the longitudinal data.
DESIGN—A longitudinal case study design was utilised. Five undercover tobacco buys were conducted between 1994 and 1997 (n = 332). In addition, one confirmatory survey was conducted in a geographically separated area, which had no ordinances banning SSTDs (n = 57).
RESULTS—Decreases in youth buy rates were reported in all three communities. Most notably, the first city to enact a SSTD ban, Carpinteria, achieved a 0% sales rate, which was maintained throughout the study period. In contrast, Santa Barbara and Goleta experienced considerable drops in their illegal sales rates, but neither community obtained results as dramatic as those found in Carpinteria. The confirmatory survey showed that 32.1% of stores with SSTDs sold cigarettes to minors; this compares to a sales rate of 3.4% in stores without SSTDs (χ2 (1) = 8.11, p = 0.004).
CONCLUSIONS—Efforts to enact self service bans are likely to meet with retail and tobacco industry opposition, as was the case in this study's three communities. The process of community debate, resultant publicity surrounding the issue, and enactment of SSTD ordinances may serve to not only increase merchant awareness of youth tobacco laws and their penalties but also may contribute to reduced youth cigarette sales rates. Implications and limitations of the findings are discussed.

Keywords: self service tobacco displays; youth tobacco access; community tobacco control efforts PMID:10691760

  20. The effectiveness of community-based cycling promotion: findings from the Cycling Connecting Communities project in Sydney, Australia

    Directory of Open Access Journals (Sweden)

    Merom Dafna


    Full Text Available Abstract Background Encouraging cycling is an important way to increase physical activity in the community. The Cycling Connecting Communities (CCC Project is a community-based cycling promotion program that included a range of community engagement and social marketing activities, such as organised bike rides and events, cycling skills courses, the distribution of cycling maps of the area and coverage in the local press. The aim of the study was to assess the effectiveness of this program designed to encourage the use of newly completed off-road cycle paths through south west Sydney, Australia. Methods The evaluation used a quasi-experimental design that consisted of a pre- and post-intervention telephone survey (24 months apart of a cohort of residents (n = 909 in the intervention area (n = 520 (Fairfield and Liverpool and a socio-demographically similar comparison area (n = 389 (Bankstown. Both areas had similar bicycle infrastructure. Four bicycle counters were placed on the main bicycle paths in the intervention and comparison areas to monitor daily bicycle use before and after the intervention. Results The telephone survey results showed significantly greater awareness of the Cycling Connecting Communities project (13.5% vs 8.0%, p Conclusion Despite relatively modest resources, the Cycling Connecting Communities project achieved significant increases in bicycle path use, and increased cycling in some sub-groups. However, this community based intervention with limited funding had very limited reach into the community and did not increase population cycling levels.

  1. Case-based Influence in Conflict Management (United States)


    published in a book of essays on cyber analogies that he commissioned (Axelrod, 2014). The third phase of the project developed a mathematical ...phase analyzed how historical analogies are used to make sense of novel events, comparing historical analogies invoked in three events in newspapers...from five countries. Case-based reasoning was found to be very common, with almost one historical analogy per article (963/1061). The second phase

  2. A community-based, interdisciplinary rehabilitation engineering course. (United States)

    Lundy, Mary; Aceros, Juan


    A novel, community-based course was created through collaboration between the School of Engineering and the Physical Therapy program at the University of North Florida. This course offers a hands-on, interdisciplinary training experience for undergraduate engineering students through team-based design projects where engineering students are partnered with physical therapy students. Students learn the process of design, fabrication and testing of low-tech and high-tech rehabilitation technology for children with disabilities, and are exposed to a clinical experience under the guidance of licensed therapists. This course was taught in two consecutive years and pre-test/post-test data evaluating the impact of this interprofessional education experience on the students is presented using the Public Service Motivation Scale, Civic Actions Scale, Civic Attitudes Scale, and the Interprofessional Socialization and Valuing Scale.

  3. Exploring Partnership Functioning within a Community-Based Participatory Intervention to Improve Disaster Resilience (United States)

    Gagnon, Elizabeth; O'Sullivan, Tracey; Lane, Daniel E.; Paré, Nicole


    Disasters happen worldwide, and it is necessary to engage emergency management agencies, health and social services, and community-based organizations in collaborative management activities to enhance community resilience. Community-based participatory research (CBPR) has been widely accepted in public health research as an approach to develop…

  4. Mechanisms of Power within a Community-Based Food Security Planning Process (United States)

    McCullum, Christine; Pelletier, David; Barr, Donald; Wilkins, Jennifer; Habicht, Jean-Pierre


    A community food security movement has begun to address problems of hunger and food insecurity by utilizing a community-based approach. Although various models have been implemented, little empirical research has assessed how power operates within community-based food security initiatives. The purpose of this research was to determine how power…

  5. Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living

    DEFF Research Database (Denmark)

    Mikkelsen, Bent Egberg; Novotny, Rachel; Gittelsohn, Joel


    There is increasing interest in integrated and coordinated programs that intervene in multiple community settings/institutions at the same time and involve policy and system changes. The purpose of the paper is to analyse three comparable cases of Multi Level, Multi Component intervention programs...... the potential of ML-MC community-based public health nutrition interventions to create sustainable change. The paper proposes methodology, guidelines and directions for future research through analysis and examination strengths and weaknesses in the programs. Similarities are that they engage and commit local...... stakeholders in a structured approach to integrate intervention components in order to create dose and intensity. In that way, they all make provisions for post intervention impact sustainability. All programs target the child and family members' knowledge, attitudes, behavior, the policy level...

  6. Connecting teens to caring adults in a school-based health center: a case study. (United States)

    Blacksin, Beth A; Kelly, Patricia J


    The traditional medical care system is generally unable to provide the broad health and wellness services needed by many adolescents, especially those from low-income and racial/ethnic minority communities. Using a theoretical framework adapted from Bronfenbrenner's ecological model of multiple influencers, this case study examined how a school-based health center was able to provide a network of connections for adolescents to caring adults within the school and the local community. Contributors to this network were the creation of a student-centered community with access to adolescent-friendly services, providers acting as connectors, and care of the whole adolescent.

  7. Tourism Planning: A Case Based Approach

    Directory of Open Access Journals (Sweden)

    Muhammad Khalid Khan


    Full Text Available This study is an attempt to investigate the tourism marketing and attraction strategies adopted by various countries. A case study based approach is adopted in this study. On the basis of investigation of tourism development strategies adopted by various countries, suggestions are also made at the end. These suggestions are aimed to increase visitors our tourists’ base in a country. These suggestions can be used by any country to increase visitors or tourists. Future directions are also given at the end.

  8. Using community development theory to improve student engagement in online discussion: a case study

    Directory of Open Access Journals (Sweden)

    Elisabeth Skinner


    Full Text Available Online discussion can be designed to develop the skills and confidence of students as well as providing an opportunity for constructing knowledge. If students decide not to participate or join too late, they put their own development and the quality of the learning community at risk. This article reflects on a first term undergraduate experience of a series of online discussion activities which failed to inspire timely and constructive participation. The case study identifies flaws in the design of the discussion, constructed using Salmon's five-stage model, and shows how easy it is to miss the point when designing an online activity. Participation is a pre-requisite for developing community so this article discusses how professional community development workers identify and overcome barriers to participation strengthening engagement in a community by stimulating personal and emotional interests. In the case study, discussion topics failed to strike a personal chord with many students. This has implications for designing activities that engage each student's interest from the outset so that participation in the discussion becomes a truly creative experience.

  9. Community hoarding task forces: a comparative case study of five task forces in the United States. (United States)

    Bratiotis, Christiana


    During the past decade, many community task forces have formed to address hoarding problems that come to public attention. Such task forces provide a societal-level intervention to assist people with the most severe cases of hoarding, who do not voluntarily seek or want help for their hoarding behaviour. This qualitative study of five U.S. hoarding task forces included sites selected for their diversity of purpose, approaches to hoarding intervention and community geography, composition and resources. Data were collected during the period of September 2007-March 2008. The case study methodology used multiple forms of data, including semi-structured interviews, analysis of documents, small group interviews and investigator observation. This study captured the perspectives of public and private sector service providers such as mental health, housing, social service, public health agencies and community enforcement organisations (fire, police, legal, animal control) to examine how task forces organise and operate and the emerging practice and policy changes. Study findings suggest that structural factors (e.g. leadership, purpose, funding and membership) impact hoarding task force viability, that participation on a task force influences practice and policy decisions about hoarding, and that social work can expand its role in task force leadership. Task forces may be a mechanism for improving community policies about hoarding and mechanisms for addressing other social problems across multiple sectors.

  10. Community Involvement in Geoconservation: A Conceptual Approach Based on the Geoheritage of South Angola

    Directory of Open Access Journals (Sweden)

    Alexandre Oliveira Tavares


    Full Text Available In this work, it is argued that effective protection of geological objects displaying heritage value requires the local community’s involvement in all geoconservation actions, i.e., inventory, evaluation, conservation, valuation and monitoring procedures, and not only at the final part of the process, when it is expected from local communities that the physical integrity of such objects is guaranteed. Community involvement in geoheritage inventory and evaluation procedures can be appraised by using a classification system that integrates both the geoheritage properties displayed by the geological objects and usually recognized by geoscientists (i.e., relevance grade and the social role attributed to geological objects by communities outside Earth scientists that arise from the public perception of such objects (i.e., abstract perceptiveness. Using two case studies from southern Angola (Huíla Province where both social and scientific components were taken into account in geoheritage evaluation procedures (Tundavala and Leba geosites, we propose a conceptual community-based model, which can be applicable to geoconservation purposes and actions in other African regions and converging with the main goals of the “African Alive Corridors” initiative.

  11. What do you see? A case study of community college science pedagogy (United States)

    Calhoun, Chantae M.

    Community colleges educate almost half of all American undergraduates. These students include but are not limited to under-prepared high school graduates, and individuals who are working full-time while attending school, as well as students of diverse cultural, socioeconomic, and ethnic backgrounds. With such a diverse student population, science educators may find it difficult to teach science, especially since the language of science is exceptional and contains some inner hierarchy that most other disciplines do not (Osborne, 2002). This qualitative case study examined a community college science faculty member notion's learning to use visual illustrations in science instruction through a collaborative professional development approach. Through this study, insights were gained on how to implement relevant science pedagogy at this community college. Narratives are used to tell the story of a community college science instructor's experience using visual illustrations through science concepts (e.g. cell structure, cellular transport, and metabolism) taught. Narratives reflect the science instructor's story leading to further studies in multiliteracies, professional development, and student perception of visual images in community college setting.

  12. Case-based Reasoning in Conflict Negotiation in Concurrent Engineering

    Institute of Scientific and Technical Information of China (English)


    Case-based reasoning (CBR) is a kind of analogous reasoning that is widely used in artificial intelligence. Conflicts are pervasive in Concurrent Engineering design environment. Conflict negotiation is necessary when conflicts occur. It is difficult to resolve conflicts due to several reasons. An approach to resolving conflicts by case-based reasoning is proposed in this paper. The knowledge representation of conflict negotiation cases, the judgment of case similarity, the retrieval model of cases, the management of case bases, and the process of case-based conflict negotiation are studied. The implementation structure of the Case-based Conflict Solving System (CCSS) is also given.

  13. Case fatality ratio and mortality rate trends of community-onset Staphylococcus aureus bacteraemia

    DEFF Research Database (Denmark)

    Tom, S; Galbraith, J C; Valiquette, L;


    Lethal outcomes can be expressed as a case fatality ratio (CFR) or as a mortality rate per 100 000 population per year (MR). Population surveillance for community-onset methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) Staphylococcus aureus bacteraemia was conducted in Canada, Australia......-onset S. aureus bacteraemia, particularly MSSA, is associated with major disease burden. This study highlights complementary information provided by evaluating both CFR and MR....

  14. Impact of Mercury Use in Artisanal Gold Mining on Community Health: Kahama Case Study, Tanzania


    Kalwani, Jumanne Daudi; Fumbuka, Colorine


    This study is part of the main research carried out in 2010 which investigated social economic impact of uncontrolled artisanal mining on local communities and the environment using a case study of sampled gold mining sites in selected villages in Lunguya and Segese wards in Kahama District, Tanzania. The methodology involved a study sample size of 210 households, forming 70% of the targeted mining villages. They were interviewed on various social economic variables related to artisanal minin...

  15. The Role of Emotions in Contributors Activity: A Case Study on the GENTOO Community


    Garcia, David; Zanetti, Marcelo Serrano; Schweitzer, Frank


    We analyse the relation between the emotions and the activity of contributors in the Open Source Software project Gentoo. Our case study builds on extensive data sets from the project's bug tracking platform Bugzilla, to quantify the activity of contributors, and its mail archives, to quantify the emotions of contributors by means of sentiment analysis. The Gentoo project is known for a period of centralization within its bug triaging community. This was followed by considerable changes in co...

  16. A rare case of community acquired Burkholderia cepacia infection presenting as pyopneumothorax in an immunocompetent individual

    Institute of Scientific and Technical Information of China (English)

    Suman S Karanth; Hariharan Regunath; Kiran Chawla; Mukhyaprana Prabhu


    Burkholderia cepacia (B. cepacia) infection is rarely reported in an immunocompetent host. It is a well known occurence in patients with cystic fibrosis and chronic granulomatous disease where it increases both morbidity and mortality. It has also been included in the list of organisms causing nosocomial infections in an immunocompetent host, most of them transmitted from the immunocompromised patient in which this organism harbors. We report a rare case of isolation of B. cepacia from the bronchoalveolar lavage fluid of an immunocompetent agriculturist who presented with productive cough and fever associated with a pyopneumothorax. This is the first case of community acquired infection reported in an immunocompetent person in India.

  17. A rare case of community acquired Burkholderia cepacia infection presenting as pyopneumothorax in an immunocompetent individual

    Directory of Open Access Journals (Sweden)

    Suman S Karanth


    Full Text Available Burkholderia cepacia (B. cepacia infection is rarely reported in an immunocompetent host. It is a well known occurence in patients with cystic fibrosis and chronic granulomatous disease where it increases both morbidity and mortality. It has also been included in the list of organisms causing nosocomial infections in an immunocompetent host, most of them transmitted from the immunocompromised patient in which this organism harbors. We report a rare case of isolation of B. cepacia from the bronchoalveolar lavage fluid of an immunocompetent agriculturist who presented with productive cough and fever associated with a pyopneumothorax. This is the first case of community acquired infection reported in an immunocompetent person in India.

  18. Engaging and sustaining adolescents in community-based participatory research: structuring a youth-friendly community-based participatory research environment. (United States)

    LoIacono Merves, Marni; Rodgers, Caryn R R; Silver, Ellen Johnson; Sclafane, Jamie Heather; Bauman, Laurie J


    Community-Based Participatory Research partnerships typically do not include adolescents as full community partners. However, partnering with adolescents can enhance the success and sustainability of adolescent health interventions. We partnered with adolescents to address health disparities in a low-income urban community. In partnering with youth, it is important to consider their developmental stage and needs to better engage and sustain their involvement. We also learned the value of a Youth Development framework and intentionally structuring a youth-friendly Community-Based Participatory Research environment. Finally, we will raise some ethical responsibilities to consider when working with youth partners.

  19. Pyrosequencing Based Microbial Community Analysis of Stabilized Mine Soils (United States)

    Park, J. E.; Lee, B. T.; Son, A.


    Heavy metals leached from exhausted mines have been causing severe environmental problems in nearby soils and groundwater. Environmental mitigation was performed based on the heavy metal stabilization using Calcite and steel slag in Korea. Since the soil stabilization only temporarily immobilizes the contaminants to soil matrix, the potential risk of re-leaching heavy metal still exists. Therefore the follow-up management of stabilized soils and the corresponding evaluation methods are required to avoid the consequent contamination from the stabilized soils. In this study, microbial community analysis using pyrosequencing was performed for assessing the potential leaching of the stabilized soils. As a result of rarefaction curve and Chao1 and Shannon indices, the stabilized soil has shown lower richness and diversity as compared to non-contaminated negative control. At the phyla level, as the degree of contamination increases, most of phyla decreased with only exception of increased proteobacteria. Among proteobacteria, gamma-proteobacteria increased against the heavy metal contamination. At the species level, Methylobacter tundripaludum of gamma-proteobacteria showed the highest relative portion of microbial community, indicating that methanotrophs may play an important role in either solubilization or immobilization of heavy metals in stabilized soils.

  20. Intelligent community management system based on the devicenet fieldbus (United States)

    Wang, Yulan; Wang, Jianxiong; Liu, Jiwen


    With the rapid development of the national economy and the improvement of people's living standards, people are making higher demands on the living environment. And the estate management content, management efficiency and service quality have been higher required. This paper in-depth analyzes about the intelligent community of the structure and composition. According to the users' requirements and related specifications, it achieves the district management systems, which includes Basic Information Management: the management level of housing, household information management, administrator-level management, password management, etc. Service Management: standard property costs, property charges collecting, the history of arrears and other property expenses. Security Management: household gas, water, electricity and security and other security management, security management district and other public places. Systems Management: backup database, restore database, log management. This article also carries out on the Intelligent Community System analysis, proposes an architecture which is based on B / S technology system. And it has achieved a global network device management with friendly, easy to use, unified human - machine interface.


    Directory of Open Access Journals (Sweden)

    Luluk Maslucha


    Full Text Available Indonesia as one of the biggest Muslim countries in the world are very rich in the quality and quantity ofmosques architecture. The largest number of mosques in Indonesia is designed, built, and developed by localcommunities. Unfortunately, the potention of these kind of mosques is often unconsciously forgotten in thefield of architectural studies. Therefore, this research is held to define these mosques’ spatial andarchitectural design aspects which were considered as appropriate for the needs of their local communities’.As a descriptive-qualitative architectural research, the methods employed in this research are (1 fieldsurveying, (2 architectural documenting, and (3 informal interview, which were held in three purposivesample of mosques: Masjid An-Nur Jagalan, Masjid Gading Pesantren, and Masjid Jami’ Kauman Malang. Thesethree mosques were chosen because of their close relations with their surrounding communities and their longtime developments by their local societies. The result of this study shows that some specific spatial andarchitectural elements which were found in these community based mosques are (1 the scale, size, and depthof space, (2 the classification and the placement of space, (3 the architectural expressions, (4 the openness,the boundaries, and the relationship between spaces, (5 the athmospherical qualities of space, (6 theclassification of the users in spaces, (7 the intensity of the users in spaces, and (8 the manner and theposition of the users in spaces.

  2. Multiple phases in modularity-based community detection

    CERN Document Server

    Schülke, Christophe


    Detecting communities in a network, based only on the adjacency matrix, is a problem of interest to several scientific disciplines. Recently, Zhang and Moore have introduced an algorithm in [P. Zhang and C. Moore, Proceedings of the National Academy of Sciences 111, 18144 (2014)], called mod-bp, that avoids overfitting the data by optimizing a weighted average of modularity (a popular goodness-of-fit measure in community detection) and entropy (i.e. number of configurations with a given modularity). The adjustment of the relative weight, the "temperature" of the model, is crucial for getting a correct result from mod-bp. In this work we study the many phase transitions that mod-bp may undergo by changing the two parameters of the algorithm: the temperature $T$ and the maximum number of groups $q$. We introduce a new set of order parameters that allow to determine the actual number of groups $\\hat{q}$, and we observe on both synthetic and real networks the existence of phases with any $\\hat{q} \\in \\{1,q\\}$, wh...

  3. Community-based distributive medical education: Advantaging society

    Directory of Open Access Journals (Sweden)

    Tracy J. Farnsworth


    Full Text Available This paper presents a narrative summary of an increasingly important trend in medical education by addressing the merits of community-based distributive medical education (CBDME. This is a relatively new and compelling model for teaching and training physicians in a manner that may better meet societal needs and expectations. Issues and trends regarding the growing shortage and imbalanced distribution of physicians in the USA are addressed, including the role of international medical graduates. A historical overview of costs and funding sources for medical education is presented, as well as initiatives to increase the training and placement of physicians cost-effectively through new and expanded medical schools, two- and four-year regional or branch campuses and CBDME. Our research confirms that although medical schools have responded to Association of American Medical Colleges calls for higher student enrollment and societal concerns about the distribution and placement of physicians, significant opportunities for improvement remain. Finally, the authors recommend further research be conducted to guide policy on incentives for physicians to locate in underserved communities, and determine the cost-effectiveness of the CBDME model in both the near and long terms.

  4. Local perceptions on social-ecological dynamics in Latin America in three community-based natural resource management systems

    Directory of Open Access Journals (Sweden)

    Maria del Mar Delgado-Serrano


    Full Text Available Several examples of community-based natural resource management in Latin American social-ecological systems exist in which communities control the management of common-pool resources. Understanding community perceptions of the performance of these systems is essential to involve communities in sustainable management strategies. In this analysis of three areas in Colombia, Mexico, and Argentina, we analyzed the local perceptions of the social and environmental challenges faced by these social-ecological systems and how these challenges and drivers affect their resilience. To do this, we combined prospective structural analysis to unravel stakeholders' perceptions of each system's functioning along with network analysis to assess resilience. We identified external variables as the most influential variables in the Colombian and Argentine cases. In the Mexican case, larger influence is exerted by internal variables, particularly those linked to the governance system. The case study analysis revealed that the community-based natural resource management approach needs external support and recognition to work effectively. In the Argentine and Colombian cases, megaprojects were perceived as controllers with medium or strong influence but low dependence. The use of ancestral knowledge (Colombia, the history of land use (Mexico, and the history of the artisanal fishery (Argentina were all perceived as common challenges to community-based natural resource management. In terms of social-ecological resilience, framed within the three-dimensional model of the adaptive cycle, all three social-ecological systems were considered to be highly connected and resilient but with different degrees of capacity or cumulative potential.

  5. Participatory Design to Enhance ICT Learning and Community Attachment: A Case Study in Rural Taiwan

    Directory of Open Access Journals (Sweden)

    Yi-Ting Huang


    Full Text Available This study used observation and interviews with participants in “PunCar Action” to understand how participatory design methods can be applied to the education of rural individuals in information and communication technology (ICT. PunCar Action is a volunteer program in which ICT educators tour the rural communities of Taiwan, offering courses on the use of digital technology. This paper makes three contributions: First, we found that participatory design is an excellent way to teach ICT and Web 2.0 skills, co-create community blogs, and sustain intrinsic motivation to use Web applications. Second, PunCar Action provides an innovative bottom-up intergenerational ICT education model with high penetrability capable of enhancing the confidence of rural residents in the use of ICT. Third, the content of basic courses was based on applications capable of making the lives of elderly individuals more convenient, and the advanced course was based on the co-creation of community blogs aimed at reviving the core functions of communities and expanding local industry. Our research was conducted with the use of a non-quantitative index to measure ICT learning performance of participants from a rural community. The results show that PunCar Action emphasizes interpersonal communication and informational applications and creates a collaborative process that encourages rural residents to take action to close the digital divide.

  6. HCI challenges for community-based disaster recovery

    NARCIS (Netherlands)

    Streefkerk, J.W.; Neef, M.; Meesters, K.; Pieneman, R.; Dongen, K. van


    In disaster recovery, responding professional organizations traditionally assess the needs of communities following a disaster. Recent disasters have shown that volunteer capacities within the community are not yet integrated in recovery activities. To improve the efficiency of responding profession

  7. Space for innovation for sustainable community-based biofuel production and use: Lessons learned for policy from Nhambita community, Mozambique

    Energy Technology Data Exchange (ETDEWEB)

    Schut, Marc, E-mail: [Communication and Innovation Studies, Wageningen University and Research Centre, P.O. Box 8130, 6700 EW Wageningen (Netherlands); Paassen, Annemarie van, E-mail: [Communication and Innovation Studies, Wageningen University and Research Centre, P.O. Box 8130, 6700 EW Wageningen (Netherlands); Leeuwis, Cees, E-mail: [Communication and Innovation Studies, Wageningen University and Research Centre, P.O. Box 8130, 6700 EW Wageningen (Netherlands); Bos, Sandra, E-mail: [Social Engineer and SME-specialist, FACT Foundation, Eindhoven (Netherlands); Leonardo, Wilson, E-mail: [Plant Production Systems, Wageningen University and Research Centre, Wageningen (Netherlands); Lerner, Anna, E-mail: [Climate Change Mitigation Team, Global Environment Facility, World Bank, Washington, DC (United States)


    This paper provides insights and recommendations for policy on the opportunities and constrains that influence the space for innovation for sustainable community-based biofuel production and use. Promoted by the Mozambican government, Nhambita community established jatropha trials in 2005. Initial results were promising, but crop failure and the absence of organized markets led to scepticism amongst farmers. We start from the idea that the promotion of community-based biofuel production and use requires taking interactions between social-cultural, biophysical, economic, political and legal subsystems across different scales and levels of analysis through time into account. Our analysis demonstrates that heterogeneous farming strategies and their synergies at community level should be carefully assessed. Furthermore, national and international political and legal developments, such as the development of biofuel sustainability criteria, influence the local space in which community-based biofuel developments take place. We conclude that ex-ante integrated assessment and creating an enabling environment can enhance space for sustainable community-based biofuel production and use. It may provide insights into the opportunities and constraints for different types of smallholders, and promote the development of adequate policy mechanisms to prevent biofuels from becoming a threat rather than an opportunity for smallholders. - Highlights: > This paper explores space for innovation for community-based biofuel production and use. > Heterogeneous farming strategies and their synergies at community level are key. > Farmers have little trust in jatropha due to crop failure and absence of markets. > (Inter)national biofuel policies influence space for local biofuel production and use. > Policies should focus on ex-ante integrated assessment and creating an enabling environment.

  8. Exploring user-producer interaction in an online community : The case of Habbo Hotel

    NARCIS (Netherlands)

    Slot, M.


    This article attempts to explore the user-producer interaction in the online community of Habbo Hotel. Based on desk research, interviews, an online survey among more than 3000 Habbo Hotel users in The Netherlands and online discussion groups with 45 Habbos, three specific issues that illustrate the

  9. Determinants of prompt and adequate care among presumed malaria cases in a community in eastern Rwanda

    NARCIS (Netherlands)

    Ingabire, Chantal Marie; Kateera, Fredrick; Hakizimana, Emmanuel; Rulisa, Alexis; Muvunyi, Claude; Mens, Petra; Koenraadt, Sander; Mutesa, Leon; Vugt, Van Michele; Borne, Van Den Bart; Alaii, Jane


    Background: In order to understand factors influencing fever/malaria management practices among community-based individuals, the study evaluated psychosocial, socio-demographic and environmental determinants of prompt and adequate healthcare-seeking behaviours. Methods: A quantitative household (

  10. Lessons for Research Policy and Practice: The Case of Co-Enquiry Research with Rural Communities (United States)

    Caruso, Emily; Schunko, Christoph; Corbera, Esteve; Ruiz Mallén, Isabel; Vogl, Christian R.; Martin, Gary; Arrázola, Susana; Bandeira, Fábio Pedro; Calvo Boyero, Diana; Camacho Benavides, Claudia; Cardoso, Thiago Mota; Chan-Dzul, Albert; Conde, Esther; del Campo García, Carlos; Huanca, Tomás; Sampaio, José Augusto Laranjeiras; Oliveros Lopez, Sara; Porter-Bolland, Luciana; Ruiz Betancourt, Olga


    This article explores the relationship between institutional funding for research and community-based or co-enquiry research practice. It examines the implementation of co-enquiry research in the COMBIOSERVE project, which was funded by the European Commission's Seventh Framework Programme for research and innovation, between the years 2012 and…

  11. An instrument for the assessment of diarrhoeal severity based on a longitudinal community-based study (United States)

    Lee, Gwenyth; Peñataro Yori, Pablo; Paredes Olortegui, Maribel; Caulfield, Laura E; Sack, David A; Fischer-Walker, Christa; Black, Robert E; Kosek, Margaret


    Objective Diarrhoea is a significant contributer to morbidity and is among the leading causes of death of children living in poverty. As such, the incidence, duration and severity of diarrhoeal episodes in the household are often key variables of interest in a variety of community-based studies. However, there currently exists no means of defining diarrhoeal severity that are (A) specifically designed and adapted for community-based studies, (B) associated with poorer child outcomes and (C) agreed on by the majority of researchers. Clinical severity scores do exist and are used in healthcare settings, but these tend to focus on relatively moderate-to-severe dehydrating and dysenteric disease, require trained observation of the child and, given the variability of access and utilisation of healthcare, fail to sufficiently describe the spectrum of disease in the community setting. Design Longitudinal cohort study. Setting Santa Clara de Nanay, a rural community in the Northern Peruvian Amazon. Participants 442 infants and children 0–72 months of age. Main outcome measures Change in weight over 1-month intervals and change in length/height over 9-month intervals. Results Diarrhoeal episodes with symptoms of fever, anorexia, vomiting, greater number of liquid stools per day and greater number of total stools per day were associated with poorer weight gain compared with episodes without these symptoms. An instrument to measure the severity was constructed based on the duration of these symptoms over the course of a diarrhoeal episode. Conclusions In order to address limitations of existing diarrhoeal severity scores in the context of community-based studies, we propose an instrument comprised of diarrhoea-associated symptoms easily measured by community health workers and based on the association of these symptoms with poorer child growth. This instrument can be used to test the impact of interventions on the burden of diarrhoeal disease. PMID:24907244

  12. [A case of tongue base schwannoma]. (United States)

    Xie, Huishan; Yang, Feng; Zhuo, Mingying


    Published reports of benign nerve sheath tumors of the oropharynx especially at tongue base are extremely rare. They may slowly growing but represent a potential threat to the airway, prompt diagnosis and treatment are vital. To our knowledge, this case presents the rare clinical condition and the first giant one. Due to the rarity, awareness of the possibility of a schwannoma in various otolaryngological conditions is an important step in making a correct clinical diagnosis. Here we represent a rare case of a giant schwannoma that arose from valleculae projecting to supraglottis to cause swallowing difficult but no breathing problem. The mass was completely removed, and no recurrence during next 2 years follow-up.

  13. Developing measures of community-relevant outcomes for violence prevention programs: a community-based participatory research approach to measurement. (United States)

    Hausman, Alice J; Baker, Courtney N; Komaroff, Eugene; Thomas, Nicole; Guerra, Terry; Hohl, Bernadette C; Leff, Stephen S


    Community-Based Participatory Research is a research paradigm that encourages community participation in designing and implementing evaluation research, though the actual outcome measures usually reflect the "external" academic researchers' view of program effect and the policy-makers' needs for decision-making. This paper describes a replicable process by which existing standardized psychometric scales commonly used in youth-related intervention programs were modified to measure indicators of program success defined by community partners. This study utilizes a secondary analysis of data gathered in the context of a community-based youth violence prevention program. Data were retooled into new measures developed using items from the Alabama Parenting Questionnaire, the Hare Area Specific Self-Esteem Scale, and the Youth Asset Survey. These measures evaluated two community-defined outcome indicators, "More Parental Involvement" and "Showing Kids Love." Results showed that existing scale items can be re-organized to create measures of community-defined outcomes that are psychometrically reliable and valid. Results also show that the community definitions of parent or parenting caregivers exemplified by the two indicators are similar to how these constructs have been defined in previous research, but they are not synonymous. There are nuanced differences that are important and worthy of better understanding, in part through better measurement.

  14. Integrated community case management in Malawi: an analysis of innovation and institutional characteristics for policy adoption. (United States)

    Rodríguez, Daniela C; Banda, Hastings; Namakhoma, Ireen


    In 2007, Malawi became an early adopter of integrated community case management for childhood illnesses (iCCM), a policy aimed at community-level treatment for malaria, diarrhoea and pneumonia for children below 5 years. Through a retrospective case study, this article explores critical issues in implementation that arose during policy formulation through the lens of the innovation (i.e. iCCM) and of the institutions involved in the policy process. Data analysis is founded on a documentary review and 21 in-depth stakeholder interviews across institutions in Malawi. Findings indicate that the characteristics of iCCM made it a suitable policy to address persistent challenges in child mortality, namely that ill children were not interacting with health workers on a timely basis and consequently were dying in their communities. Further, iCCM was compatible with the Malawian health system due to the ability to build on an existing community health worker cadre of health surveillance assistants (HSAs) and previous experiences with treatment provision at the community level. In terms of institutions, the Ministry of Health (MoH) demonstrated leadership in the overall policy process despite early challenges of co-ordination within the MoH. WHO, United Nations Children's Fund (UNICEF) and implementing organizations played a supportive role in their position as knowledge brokers. Greater challenges were faced in the organizational capacity of the MoH. Regulatory issues around HSA training as well as concerns around supervision and overburdening of HSAs were discussed, though not fully addressed during policy development. Similarly, the financial sustainability of iCCM, including the mechanisms for channelling funding flows, also remains an unresolved issue. This analysis highlights the role of implementation questions during policy development. Despite several outstanding concerns, the compatibility between iCCM as a policy alternative and the local context laid the

  15. Comparative Study of Base Community Relations in Japan (United States)


    of tension surrounding a given base is determined less by major crimes that get the most academic and media attention, but rather by pacifist ...while there are certainly sincere pacifists on the islands, there is a group of activists and politicians who have grown extremely adept at using the...However, in these two cases as well, while they certainly provide ammunition to the pacifist left in general, the crimes have fallen short of

  16. Proposing Community-Based Learning in the Marketing Curriculum (United States)

    Cadwallader, Susan; Atwong, Catherine; Lebard, Aubrey


    Community service and service learning (CS&SL) exposes students to the business practice of giving back to society while reinforcing classroom learning in an applied real-world setting. However, does the CS&SL format provide a better means of instilling the benefits of community service among marketing students than community-based…

  17. Community-Based Indigenous Digital Storytelling with Elders and Youth (United States)

    Iseke, Judy; Moore, Sylvia


    Indigenous digital storytelling and research are as much about the process of community relationships as they are about the development of digital products and research outcomes. Indigenous researchers, digital storytelling producers, and academics work in different communities with research collaborators who are indigenous community members,…

  18. Virtual communities for elderly healthcare: user-based requirements elicitation

    NARCIS (Netherlands)

    Klooster, van 't Jan-Willem; Beijnum, van Bert-Jan; Pawar, Pravin; Sikkel, Klaas; Meertens, Lucas; Hermens, Hermie


    Virtual communities for elderly healthcare have a potential to improve the community building process and to facilitate care services through support for activities, participation and information needs. This paper expounds on this idea by proposing a mobile virtual community (MVC) platform for elder

  19. Capacity building for health through community-based participatory nutrition intervention research in rural communities. (United States)

    Downey, Laura H; Castellanos, Diana Cuy; Yadrick, Kathy; Threadgill, Paula; Kennedy, Betty; Strickland, Earline; Prewitt, T Elaine; Bogle, Margaret


    Since its inception, capacity building has been a stated goal of the Delta Nutrition Intervention Research Initiative, a tri-state collaboration in the Lower Mississippi Delta to address high rates of chronic disease. Textual analysis of project documents identifies and describes strategies carried out to foster capacity building. Strategies to build community capacity include fostering participation, cultivating leadership opportunities, training community members as co-researchers, securing community resources, and implementing the intervention together. Incorporating capacity-building approaches in health promotion and nutrition-intervention programming in rural communities provides a means to enhance potential for sustainability of health outcomes and developed effectiveness.

  20. Exploring Student Engagement and Collaborative Learning in a Community-Based Module in Fine Art

    Directory of Open Access Journals (Sweden)

    John McGarrigle


    Full Text Available This article is based on masters research1 into student and civic engagement using a case study of an innovative Community Based Module in a Fine Art degree course (McGarrigle, 2009. 2 (Flyvbjerg, 2006 notes that contrary to some common misunderstandings around case study research, it is possible to use individual case study to test theory particularly in relation to falsification. The research presented here is based on student’s repsonses to Coates’ (2007 quantitative study of student engagement and attempts to test his engagement typology which identifies the terms passive, intense, independent or collaborative to apply to students’ approaches to online and general campus learning. In a participatory action research framework, low agreement was found between students (n=13 and lecturers (n=3 in assigning these terms to student postings to online discussion fora. This presents a challenge to the validity of such a narrow typology, and discussions with this student group suggested the addition of ‘adaptive’ as a valid student approach to the varied demands of third level learning. Further evidence from the case study found greater student collaboration in discussion fora when linked to practical course activity. Qualitative analysis of discussion threads using conversation analysis provided evidence for collaboration in deeper knowledge construction when supported by lecturers’ contributions. Collaborative approaches to learning may support learning within a social constructivist paradigm, though acknowledgement must be made of the context of an individualistic society where competition may present real or imagined barriers to student collaboration. An argument is made for Pedagogies for Community Engagement to promote these ways of learning to in order to develop active and engaged citizens of the future.

  1. Recommendations for scale-up of community-based misoprostol distribution programs. (United States)

    Robinson, Nuriya; Kapungu, Chisina; Carnahan, Leslie; Geller, Stacie


    Community-based distribution of misoprostol for prevention of postpartum hemorrhage (PPH) in resource-poor settings has been shown to be safe and effective. However, global recommendations for prenatal distribution and monitoring within a community setting are not yet available. In order to successfully translate misoprostol and PPH research into policy and practice, several critical points must be considered. A focus on engaging the community, emphasizing the safe nature of community-based misoprostol distribution, supply chain management, effective distribution, coverage, and monitoring plans are essential elements to community-based misoprostol program introduction, expansion, or scale-up.


    Directory of Open Access Journals (Sweden)

    N. Grazhevska


    Full Text Available The article examines the impact of social capital characteristics of local communities on the effectiveness of the community-based approach to economic development. The conclusion that such social capital characteristics as (antipaternalism, solidarity and cooperation have the greatest importance for the economic development is made based on the analysis of UNDP and the European Union project “Community-based approach to local development”. It was hypothesized that the creation of community organizations could be an effective mechanism to actualize the existing social capital of rural communities in Ukraine.

  3. Consultation in university-based and community-based infectious disease practices: a prospective study. (United States)

    Sexton, D J; Corey, G R; Ingram, C W; Morris, V M; Haywood, H B


    Infectious disease physicians in university and community practices completed a standard data form following each of 1,366 inpatient consultations during a 7-month period. The rate of consultation was higher in the university practice than in the community practice (3.4 vs. 1.8 per 100 discharges, respectively). Known or suspected bacterial pathogens accounted for more than half of all consultations in both practice groups. The three organ systems most commonly affected by infection were pulmonary (20% in university practice vs. 19% in community practice), skin and soft tissue (13% in university practice vs. 20% in community practice), and musculoskeletal (12% in university practice vs. 16% in community practice). Bloodstream infection, pneumonia, unexplained fever, osteomyelitis, urinary tract infection, and cellulitis were the six most common disease processes that led to consultation in both practice groups. The percentage of patients with noninfectious diseases and the percentage for whom a change in antimicrobial therapy was advised was nearly identical in both practice settings. Physicians in private practice performed more consultations on weekends (20% vs. 11% in university practices, P consultants in community practices are nearly identical to those of their colleagues in university-based practices.

  4. The Potential of GIS as a Management Tool for Avenue Trees Population in Small Communities; a Case Study of Idi-Shin Community, Ibadan, Nigeria (United States)

    Olokeogun, O. S.; Akintola, O. O.; Abodunrin, E. K.


    This study demonstrates the potentials of Geographic Information System (GIS) as a management tool for avenue trees (Street trees) populations in small communities (using Idi-Ishin community, Ibadan, Nigeria as a case study). GIS is a decision support system which integrate data or set of data from different sources, bringing them under the same referencing system in a computer system. An Ikonos Imagery (1m Spatial Resolution) of the study area was digitized to produce a digital map using ArcGIS 10.1 version. The avenue trees species ≥ 5cm diameter at breast height (DBH) was selected for enumeration. These trees were then measured and tagged. The Height, Girth and Geographic location (X &Y coordinate) of the trees were measured with Haga altimeter, Girthing tape and Hand held Global Positioning System (GPS) respectively. The species and families of the trees enumerated were also identified. Data were analysed for basal area (BA) and volume (V). A total number of 43 avenue trees were assessed in Idi-Ishin Community. Roystonea regia accounted for the majority of the avenue trees (25.58%), followed by Polyanthia longiflora (23.26%), Gliricida seprium (20.93%), Eucalyptus toreliana (13.95%), Delunix regea (6.98%). However Terminalia catapa, Terminalia radii, Azadrachita indica and Newbodia levis had the same abundance of 2.33%. It was also observed that the benefits derived from these avenue trees includes; Carbon sequestration, Beautification, Wind break and shade. A spatial relational database was created for the assessed avenue trees using ArcCatalog of ArcGIS 10.1 version. Based on the findings from the study (which serves as baseline information for the management of the avenue trees in the study area), it was therefore recommended that subsequent assessment should be carried out at 3-5 year interval in other to ensure proper and continuous monitoring and updating of the data.

  5. Community-based control of Aedes aegypti by using Mesocyclops in southern Vietnam. (United States)

    Sinh Nam, Vu; Thi Yen, Nguyen; Minh Duc, Hoang; Cong Tu, Tran; Trong Thang, Vu; Hoang Le, Nguyen; Hoang San, Le; Le Loan, Luu; Que Huong, Vu Thi; Kim Khanh, Ly Huynh; Thuy Trang, Huynh Thi; Lam, Leonie Z Y; Kutcher, Simon C; Aaskov, John G; Jeffery, Jason A L; Ryan, Peter A; Kay, Brian H


    We previously reported a new community-based mosquito control strategy that resulted in elimination of Aedes aegypti (Linn.) in 40 of 46 communes in northern and central Vietnam, and with annual recurrent total costs (direct and indirect) of only $0.28-$0.89 international dollars per person. This control strategy was extended to four provinces in southern Vietnam in Long An and Hau Giang (2004-2007) and to Long An, Ben Tre, and Vinh Long (2005-2010). In a total of 14 communes with 124,743 residents, the mean ± SD of adult female Ae. aegypti was reduced from 0.93 ± 0.62 to 0.06 ± 0.09, and the reduction of immature Ae. aegypti averaged 98.8%. By the final survey, no adults could be collected in 6 of 14 communes, and one commune, Binh Thanh, also had no immature forms. Although the community-based programs also involved community education and clean-up campaigns, the prevalence of Mesocyclops in large water storage containers > 50 liters increased from 12.77 ± 8.39 to 75.69 ± 9.17% over periods of 15-45 months. At the conclusion of the study, no confirmed dengue cases were detected in four of the five communes for which diagnostic serologic analysis was performed. The rate of progress was faster in communes that were added in stages to the program but the reason for this finding was unclear. At the completion of the formal project, sustainability funds were set up to provide each commune with the financial means to ensure that community-based dengue control activities continued.

  6. Poisoning and suicide by cyanide jewelry cleaner in the US Hmong community: a case series. (United States)

    Garlich, Fiona M; Alsop, Judith Ann; Anderson, Deborah L; Geller, Richard J; Kalugdan, Theresa Thao; Roberts, David J; Thomas, Lindsey C


    Over 200 000 persons of Hmong ethnicity live in the United States. The majority of this Southeast Asian ethnic group live in California, Minnesota and Wisconsin. Tradition plays a strong role in the Hmong population, and difficulty in assimilation into "Western ways" has been reported to result in depression and suicide attempts. Some products sold at Southeast Asian ethnic markets are well-known within the Hmong community to be lethal but are essentially unknown to the outside community. We describe eight cases in which cyanide-containing products were ingested by Hmong patients. Seven cases were suicide attempts involving the ingestion of a locally-purchased substance intended for cleaning metal, coins, or jewelry. One case involved the fatal ingestion of a cyanide-containing "herbal" cure. In the majority of the cases, cyanide was not initially suspected, and treatment was delayed due to lack of information regarding the product ingested. In the two patients who survived, the cyanide antidote kit (sodium nitrite, amyl nitrite, and sodium thiosulfate) was administered early. Clinicians should be aware that unusual and potentially lethal products are easily available at ethnic markets. Cyanide toxicity should be suspected, and empiric antidote therapy initiated early, in patients of Hmong or Southeast Asian descent who present with sudden and unexplained cardiovascular collapse and metabolic acidosis, especially in the setting of a suspected suicidal ingestion.

  7. Tailoring science outreach through E-matching using a community-based participatory approach.

    Directory of Open Access Journals (Sweden)

    Bernice B Rumala


    Full Text Available In an effort to increase science exposure for pre-college (K-12 students and as part of the science education reform agenda, many biomedical research institutions have established university-community partnerships. Typically, these science outreach programs consist of pre-structured, generic exposure for students, with little community engagement. However, the use of a medium that is accessible to both teachers and scientists, electronic web-based matchmaking (E-matching provides an opportunity for tailored outreach utilizing a community-based participatory approach (CBPA, which involves all stakeholders in the planning and implementation of the science outreach based on the interests of teachers/students and scientists. E-matching is a timely and urgent endeavor that provides a rapid connection for science engagement between teachers/students and experts in an effort to fill the science outreach gap. National Lab Network (formerly National Lab Day, an ongoing initiative to increase science equity and literacy, provides a model for engaging the public in science via an E-matching and hands-on learning approach. We argue that science outreach should be a dynamic endeavor that changes according to the needs of a target school. We will describe a case study of a tailored science outreach activity in which a public school that serves mostly under-represented minority students from disadvantaged backgrounds were E-matched with a university, and subsequently became equal partners in the development of the science outreach plan. In addition, we will show how global science outreach endeavors may utilize a CBPA, like E-matching, to support a pipeline to science among under-represented minority students and students from disadvantaged backgrounds. By merging the CBPA concept with a practical case example, we hope to inform science outreach practices via the lens of a tailored E-matching approach.

  8. Soil microbial communities of postpyrogenic pine forests (case study in Russia) (United States)

    Maksimova, Ekaterina


    Soil microbial communities of postpyrogenic pine forests (case study in Russia) Ekaterina Maksimova Saint-Petersburg State University, Department of Applied Ecology, Saint-Petersburg, Russian Federation Institute of Ecology of Volga basin, Togljatty city, Russian Federation Soils, affected by catastrophic wildfires in 2010, were investigated in pine woods of Togljatty city, Samara region with the special reference to soil biological parameters. The analysis of microbial community of pine wood soils was carried out. It was revealed that wildfires have a negative impact on structure and functional activity of the microbial community postpyrogenic soils. In particular, they influence on values of eukaryotes-prokaryotes ratios, on CO2 emission intensity and on microorganisms functional state (as it was determined by microbial metabolic quotient) after wildfires. It has been revealed that microbial biomass values and basal respiration rate shows the trend to decrease in case of postfire sites compared with control (in 6.5 and 3.4 times respectively). The microbial biomass and basal respiration values have annual natural variability that testifies to a correlation of this process with soil hydrothermal conditions. However, it was also noted that wildfires don't affect on measured microbiological parameters in layers situated deeper than top 10 cm of soil. An increasing of the values, mentioned above, was observed 2-3 years after wildfires. Zone of microorganisms' activity has been moved to the lowermost soil layers. A disturbance of soil microbial communities' ecophysiological status after the fire is diagnosed by an increase of microbial metabolic quotient value. The metabolic activity of the microbial community decreases in a row: control→crown fire→ground fire. That testifies to certain intensive changes in the microbial community. High-temperature influence on microbial community has a significant effect on a total amount of bacteria, on a length of actinomycetes

  9. Evaluation of a Telerehabilitation System for Community-Based Rehabilitation

    Directory of Open Access Journals (Sweden)

    Jamie L Schutte


    Full Text Available The use of web-based portals, while increasing in popularity in the fields of medicine and research, are rarely reported on in community-based rehabilitation programs.  A program within the Pennsylvania Office of Vocational Rehabilitation’s Hiram G. Andrews Center, the Cognitive Skills Enhancement Program (CSEP, sought to enhance organization of program and participant information and communication between part- and full-time employees, supervisors and consultants. A telerehab system was developed consisting of (1 a web-based portal to support a variety of clinical activities and (2 the Versatile Integrated System for Telerehabilitation (VISyTER video-conferencing system to support the collaboration and delivery of rehabilitation services remotely.  This descriptive evaluation examines the usability of the telerehab system incorporating both the portal and VISyTER. Telerehab system users include CSEP staff members from three geographical locations and employed by two institutions. The IBM After-Scenario Questionnaire (ASQ and Post-Study System Usability Questionnaire (PSSUQ, the Telehealth Usability Questionnaire (TUQ, and two demographic surveys were administered to gather both objective and subjective information. Results showed generally high levels of usability.  Users commented that the telerehabilitation system improved communication, increased access to information, improved speed of completing tasks, and had an appealing interface. Areas where users would like to see improvements, including ease of accessing/editing documents and searching for information, are discussed.         

  10. Evaluation of a telerehabilitation system for community-based rehabilitation. (United States)

    Schutte, Jamie; Gales, Sara; Filippone, Ashlee; Saptono, Andi; Parmanto, Bambang; McCue, Michael


    The use of web-based portals, while increasing in popularity in the fields of medicine and research, are rarely reported on in community-based rehabilitation programs. A program within the Pennsylvania Office of Vocational Rehabilitation's Hiram G. Andrews Center, the Cognitive Skills Enhancement Program (CSEP), sought to enhance organization of program and participant information and communication between part- and full-time employees, supervisors and consultants. A telerehabilitation system was developed consisting of (1) a web-based portal to support a variety of clinical activities, and (2) the Versatile Integrated System for Telerehabilitation (VISYTER) video-conferencing system to support the collaboration and delivery of rehabilitation services remotely. This descriptive evaluation examines the usability of the telerehabilitation system incorporating both the portal and VISYTER. Telerehabilitation system users include CSEP staff members from three geographical locations and employed by two institutions. The IBM After-Scenario Questionnaire (ASQ) and Post-Study System Usability Questionnaire (PSSUQ), the Telehealth Usability Questionnaire (TUQ), and two demographic surveys were administered to gather both objective and subjective information. Results showed generally high levels of usability. Users commented that the telerehabilitation system improved communication, increased access to information, improved speed of completing tasks, and had an appealing interface. Areas where users would like to see improvements, including ease of accessing/editing documents and searching for information, are discussed.

  11. Capacity building for health through community based participatory nutrition intervention research in rural communities (United States)

    Building community capacity for health promotion in small rural communities is essential if health promotion research is to yield sustainable outcomes. Since its inception, capacity-building has been a stated goal of the Delta Nutrition Intervention Research initiative, a tri-state collaboration in ...

  12. The Community Barometer: A Breast Health Needs Assessment Tool for Community-Based Organizations (United States)

    Lounsbury, David; Rapkin, Bruce; Marini, Lisa; Jansky, Elizabeth; Massie, Mary Jane


    This article presents findings from the ACCESS Project focusing on the impact of an outreach initiative that used "data sharing" as a mechanism to establish a wide variety of academic-community partnerships for cancer awareness. The Community Barometer, a brief needs assessment tool developed for this purpose, was used to collect data from…

  13. Management of children’s acute diarrhea by community pharmacies in five towns of Ethiopia: simulated client case study

    Directory of Open Access Journals (Sweden)

    Abegaz TM


    Full Text Available Tadesse Melaku Abegaz,1 Sewunet Admasu Belachew,1 Tamrat Befekadu Abebe,1 Begashaw Melaku Gebresilassie,1 Fitsum Sebsibe Teni,2 Habtamu Gebremeskel Woldie3 1Department of Clinical Pharmacy, School of Pharmacy, Gondar University, Gondar, 2Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Hospital Pharmacy, Debremarkos Teaching and Referral Hospital, Debremarkos, Ethiopia Background: Acute diarrhea is the major cause of child morbidity and mortality in low-income nations. It is the second most common cause of death among children <5 years of age globally. The indispensable role of community pharmacists is clearly observed in the prevention and treatment of diarrhea. However, there is a paucity of data on how community pharmacies manage acute childhood diarrhea cases in Ethiopia. This study aimed to evaluate the experience of community pharmacies in the management of acute diarrhea in northern Ethiopia.Methods: A simulated case-based cross-sectional study was conducted in community pharmacies from five towns of northern Ethiopia between April 2015 and September 2015. Convenience sampling technique was used to select sample towns. A structured questionnaire was organized to collect the information. Descriptive statistics, chi-squared test, one-way analysis of variance, and binary logistic regression were performed to describe, infer, and test for association between the variables. SPSS for Windows Version 21 was used to enter and analyze the data. A 95% confidence interval and P-value of 0.05 were set to test the level of significance.Results: Approximately 113 community pharmacies were visited to collect the required data from five towns. Majority (78, 69% of them were located away from hospitals and health care areas. Nine components of history taking were presented for dispensers. Regarding the patient history, “age” was frequently taken, (90

  14. Mucormycosis in two community hospitals and the role of infectious disease consultation: a case series

    Directory of Open Access Journals (Sweden)

    Dai Y


    Full Text Available Yue Dai,1 James W Walker,1 Ruba A Halloush,2 Faisal A Khasawneh3 1Department of Internal Medicine, Texas Tech University Health Sciences Center, 2Amarillo Pathology Group, 3Section of Infectious Diseases, Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, TX, USA Background: Mucorales are ubiquitous filamentous fungi that can cause a devastating, invasive infection. This order has become an increasingly important pathogen during the last two decades, due to the dramatic increase in patients with predisposing factors. The aim of this retrospective study was to report the clinical characteristics, therapeutic options, and outcomes of patients diagnosed with mucormycosis in community hospitals in Amarillo, Texas, and to reflect on the role of infectious disease (ID physicians in managing this potentially life-threatening problem. Patients and methods: This was a retrospective chart review of patients hospitalized with mucormycosis in two community hospitals in Amarillo between January 1, 2001 and December 31, 2011. Results: Ten patients were diagnosed with mucormycosis during the study period, with a mean age of 58.8 years. There were five cases of pulmonary infection, two cases of cutaneous infection, two cases of rhinocerebral infection, and one case of gastrointestinal infection. Poorly controlled diabetes was the most common risk factor, identified in six patients, followed by hematological malignancy, immunosuppression, and trauma. ID physicians were consulted in all cases, albeit late in some cases. Nine patients received antifungal therapy, and five patients received surgical debridement. Lipid formulations of amphotericin B were prescribed for eight patients, used alone in two cases, and combined with caspofungin and posaconazole in one and five cases, respectively. One patient was treated with posaconazole alone. Eight patients were discharged from the hospital alive. The mortality rate at 6-month

  15. SOCIAL ENTREPRENEURSHIP AS AN APPROACH TO COMMUNITY DEVELOPMENT : a case study of social entrepreneurship in Kathmandu, Nepal


    Khatiwada, Prabesh


    ABSTRACT Khatiwada, Prabesh. Social entrepreneurship as an approach to community development: a case study of social entrepreneurship in Kathmandu, Nepal. 66 pages. 1 appendix. Language: English. Autumn 2014. Diaconia University of Applied Sciences. Degree Programme in Social Services. Bachelors of Social Services, Focus in Community Development Work. This is a qualitative and descriptive study. The aim of the research is to study the role of social entrepreneurship in community devel...

  16. Community-acquired vancomycin-resistant Enterococcus faecium: a case report from Malaysia. (United States)

    Raja, N S; Karunakaran, R; Ngeow, Y F; Awang, R


    Vancomycin-resistant enterococci (VRE) are formidable organisms renowned for their ability to cause infections with limited treatment options and their potential for transferring resistance genes to other Gram-positive bacteria. Usually associated with nosocomial infections, VRE are rarely reported as a cause of community-acquired infection. Presented here is a case of community-acquired infection due to vancomycin-resistant Enterococcus faecium. The patient had been applying herbal leaves topically to his cheek to treat a buccal space abscess, resulting in a burn of the overlying skin. From pus aspirated via the skin a pure culture of E. faecium was grown that was resistant to vancomycin with a MIC of >256 microg ml-1 by the E test and resistant to teicoplanin by disc diffusion, consistent with the VanA phenotype. The organism was suspected of contaminating the leaf and infecting the patient via the burnt skin. This case highlights the need for further studies on the community prevalence of VRE among humans and animals to define unrecognized silent reservoirs for VRE, which may pose a threat to public health.

  17. Valuing and Sustaining (or Not the Ability of Volunteer Community Health Workers to Deliver Integrated Community Case Management in Northern Ghana: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    Karen Daniels

    Full Text Available Within the integrated community case management of childhood illnesses (iCCM programme, the traditional health promotion and prevention role of community health workers (CHWs has been expanded to treatment. Understanding both the impact and the implementation experience of this expanded role are important. In evaluating UNICEF's implementation of iCCM, this qualitative case study explores the implementation experience in Ghana.Data were collected through a rapid appraisal using focus groups and individual interviews during a field visit in May 2013 to Accra and the Northern Region of Ghana. We sought to understand the experience of iCCM from the perspective of locally based UNICEF staff, their partners, researchers, Ghana health services management staff, CHWs and their supervisors, nurses in health facilities and mothers receiving the service. Our analysis of the findings showed that there is an appreciation both by mothers and by facility level staff for the contribution of CHWs. Appreciation was expressed for the localisation of the treatment of childhood illness, thus saving mothers from the effort and expense of having to seek treatment outside of the village. Despite an overall expression of value for the expanded role of CHWs, we also found that there were problems in supporting and sustaining their efforts. The data showed concern around CHWs being unpaid, poorly supervised, regularly out of stock, lacking in essential equipment and remaining outside the formal health system.Expanding the roles of CHWs is important and can be valuable, but contextual and health system factors threaten the sustainability of iCCM in Ghana. In this and other implementation sites, policymakers and key donors need to take into account historical lessons from the CHW literature, while exploring innovative and sustainable mechanisms to secure the programme as part of a government owned and government led strategy.

  18. Relationship to the River: The Case of the Muar River Community

    Directory of Open Access Journals (Sweden)

    Bahaman A. Samah


    Full Text Available Problem statement: Muar River which located in Johor, is an important river in Malaysia. Previously Muar River had a huge influence on the socio-economic status of the community. It has been used as the sources of income, protein and as well as the major mode of transportation for the community and traders. However, does the Muar River still has that influences on this modern day? The answer of this pertinent question will fulfill the main objective of this study which is to discover Muar River relationship with its surrounding community. Approach: In addition to relationship with the river, this quantitative study was conducted to determine the Muar River community agreement towards initiative to develop the river. A total of 300 respondents from 19 villages along Muar River were selected based on the simple random sampling. Results: Based on the analysis of the results, it can be concluded that Muar River still has a lot to offer to its surrounding community especially for the recreational activities (fish and prawn fishing. A large majority of Muar River community have a moderate and high level of agreement towards the river development. Further analysis performed revealed that income per month, number of household, age, distance to Muar River and period of staying in the areas had significant relationships with agreement towards river development. Conclusion/Recommendations: It is recommended that additional recreational facilities can be added, events at national and international level especially on fish and prawn fishing can be held at Muar River and campaign on the importance of river development and the danger of river pollution can be conducted.

  19. Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Douglas P. Olson


    Full Text Available Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.

  20. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration. (United States)

    Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H


    This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness.

  1. Our Environment, Our Health: A Community-Based Participatory Environmental Health Survey in Richmond, California (United States)

    Cohen, Alison; Lopez, Andrea; Malloy, Nile; Morello-Frosch, Rachel


    This study presents a health survey conducted by a community-based participatory research partnership between academic researchers and community organizers to consider environmental health and environmental justice issues in four neighborhoods of Richmond, California, a low-income community of color living along the fence line of a major oil…

  2. Sharing Control: Developing Research Literacy through Community-Based Action Research (United States)

    Juergensmeyer, Erik


    This article suggests that the methodology of community-based action research provides concrete strategies for fostering effective community problem solving. To argue for a community research pedagogy, the author draws upon past and present scholarship in action research and participatory action research, experiences teaching an undergraduate…

  3. Community-Based Urban Teacher Education: Theoretical Frameworks and Practical Considerations for Developing Promising Practices (United States)

    Noel, Jana


    Traditional campus-based teacher education programs, located on college or university campuses, have been criticized for being removed from the "real world" of community life, and a number of programs have moved directly into urban communities in order for preservice teachers to become immersed in the life of the community. This article…

  4. Erecting Closets and Outing Ourselves: Uncomfortable Reflexivity and Community-Based Research (United States)

    Reed, Sarah J.; Miller, Robin Lin; Nnawulezi, Nkiru; Valenti, Maria T.


    Feminist scholars and community psychologists have argued that reflexivity is a necessary component to conducting socially conscious research. Reflexivity, however, is rarely evident in community psychology. In this article, we share the uncomfortable realities that surfaced during a community-based research project in which we adapted and…

  5. Empowering communities in combating river blindness and the role of NGOs: case studies from Cameroon, Mali, Nigeria, and Uganda

    Directory of Open Access Journals (Sweden)

    Meredith Stefanie E O


    Full Text Available Abstract The control of onchocerciasis is not only a major success story in global health, but also one of the best examples of the power of public-private partnership at the international level as well as at the national level. The onchocerciasis story is also a leading example of the contribution of a group of called Non-Governmental Development Organizations (NGDO to operational research which resulted in important changes in treatment strategies and policies. The four case studies presented here illustrate some key contributions the NGDOs made to the development of “community directed treatment with ivermectin” –CDTI, in Africa, which became the approved methodology within the African Programme for Onchocerciasis Control (APOC. The partnership between the international, multilateral, government institutions and the NGDO Coordination Group was the backbone of the APOC programme’s structure and facilitated progress and scale-up of treatment programmes. Contributions included piloting community–based methodology in Mali and Nigeria; research, collaboration and coordination on treatment strategies and policies, coalition building, capacity building of national health workforce and advocacy at the national and international level. While the Onchocerciasis Control Programme (OCP and APOC provided leadership, the NGDOs working with the national health authorities played a major role in advocacy evolving the community methodology which led to achieving and maintaining- treatments with ivermectin for at least 20 years and strengthening community health systems.

  6. Sense of community: perceptions of individual and group members of online communities

    NARCIS (Netherlands)

    Kommers, Piet; Bishop, Jonathan


    This chapter addresses the relation community-society in the case of Web-based constellations; how is society represented if we meet Web-based communities? Why are Web-based societies kept invisible while Web-communities emerge as a quasi-natural consequence of Web presence? Did Web-communities flou

  7. Base of Tongue Tuberculosis: A Case Report

    Directory of Open Access Journals (Sweden)

    Carlos Chiesa Estomba


    Full Text Available Introduction: Tuberculosis is an infectious disease that has displayed increasing incidence in the last decades. It is estimated that up to 20% of tuberculosis cases affect extra-pulmonary organs. In the ENT area, soft palate and tongue are the least probable locations.   Case Report A 62-year-old female with a history of rheumatoid arthritis and treatment with corticosteroids and Adalimumab, developed a foreign body sensation in the pharynx accompanied by a sore throat and halitosis. The laryngoscopy with a 70 degree rigid telescope showed an ulcerated hypertrophic lesion in the right vallecula of about 2-3 cm in the base of the tongue. Acid-alcohol resistant bacilli were found positive for M. tuberculosis, through the Ziehl Neelsen method and Löwenstein culture the patient was treated with tuberculostatic medication. Conclusion:  TB is a possible diagnosis when in the presence of an ulcerated lesion at the base of the tongue, accompanied by sore throat, dysphagia, or foreign body sensation.

  8. Autonomy and hierarchy in two slave communities: the cases of George (Alabama, United States, 1847 and Lino (Vassouras, Brazil, 1871

    Directory of Open Access Journals (Sweden)

    Fábio Pereira de Carvalho


    Full Text Available This article seeks argue that the search for autonomy among slaves necessarily created hierarchies within the community where they were inserted. Through two cases compared, George in U.S. and Lino in Brazil, seeks to show that a notion of slave community was built by the social actors who were part of it

  9. Soviet Jewish Community Strategies, Concerning Memory Perpetuation (Erection of Memorials to Jews-Fascism Victims Case Study

    Directory of Open Access Journals (Sweden)

    Alexandra Tcherkasski


    Full Text Available The article, case studying the memorials erection, shows the process of Jews, victims of Nazism memory perpetuation by the Jewish Community within the Soviet Republics in postwar, what difficulties the Jewish Communities and groups of initiators faced, trying to prove the Jewish identity of the graves and gain adoption of Jewish symbols on memorials and memorial signs to fascism victims.

  10. Enhancing voluntary participation in community collaborative forest management: a case of Central Java, Indonesia. (United States)

    Lestari, Sri; Kotani, Koji; Kakinaka, Makoto


    This paper examines voluntary participation in community forest management, and characterizes how more participation may be induced. We implemented a survey of 571 respondents and conducted a case study in Central Java, Indonesia. The study's novelty lies in categorizing the degrees of participation into three levels and in identifying how socio-economic factors affect people's participation at each level. The analysis finds that voluntary participation responds to key determinants, such as education and income, in a different direction, depending on each of the three levels. However, the publicly organized programs, such as information provision of benefit sharing, are effective, irrespective of the levels of participation. Overall, the results suggest a possibility of further success and corrective measures to enhance the participation in community forest management.

  11. Case fatality ratio and mortality rate trends of community-onset Staphylococcus aureus bacteraemia. (United States)

    Tom, S; Galbraith, J C; Valiquette, L; Jacobsson, G; Collignon, P; Schønheyder, H C; Søgaard, M; Kennedy, K J; Knudsen, J D; Ostergaard, C; Lyytikäinen, O; Laupland, K B


    Lethal outcomes can be expressed as a case fatality ratio (CFR) or as a mortality rate per 100 000 population per year (MR). Population surveillance for community-onset methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) Staphylococcus aureus bacteraemia was conducted in Canada, Australia, Sweden and Denmark to evaluate 30-day CFR and MR trends between 2000 and 2008. The CFR was 20.3% (MSSA 20.2%, MRSA 22.3%) and MR was 3.4 (MSSA 3.1, MRSA 0.3) per 100 000 per year. Although MSSA CFR was stable the MSSA MR increased; MRSA CFR decreased while its MR remained low during the study. Community-onset S. aureus bacteraemia, particularly MSSA, is associated with major disease burden. This study highlights complementary information provided by evaluating both CFR and MR.

  12. Perceptions of Social Support from Pregnant and Parenting Teens Using Community-Based Doulas


    Breedlove, Ginger


    Few studies have examined community-based doula care during the childbearing period. This descriptive study was designed to explore and describe the perceptions of disadvantaged pregnant and parenting teens (N = 24) who received support from culturally matched, community-based doulas. Their reported perceptions included enhanced knowledge about childbearing, support during childbirth, self-care, and early attachment to the newborn. Participants concurred that the community-based doula interve...

  13. Community-based enterprises: The significance of partnerships and institutional linkages

    Directory of Open Access Journals (Sweden)

    Cristiana Simão Seixas


    Full Text Available Community-based institutions used to be driven by local needs, but in recent decades, some of them have been responding to national and global economic opportunities. These cases are of interest because they make it possible to investigate how local institutions can evolve in response to new challenges. A promising set of cases comes from the UNDP Equator Initiative, a program that holds biennial searches to find and reward entrepreneurship cases that seek to reduce poverty and conserve biodiversity at the same time. What can we learn from these local entrepreneurship cases that seem to be playing at the global level? Here we focus on partnerships and horizontal and vertical linkages in a sample of ten Equator Initiative projects. We find that successful projects tend to interact with a large array of support groups, typically 10 to 15 partners. Based on information from on-site research, these partners include local and national NGOs; local, regional and (less commonly national governments; international donor agencies and other organizations; and universities and research centers. These partners provide a range of services and support functions, including raising start-up funds; institution building; business networking and marketing; innovation and knowledge transfer; and technical training. These findings indicate that a diverse variety of partners are needed to help satisfy a diversity of needs, and highlight the importance of networks and support groups in the evolution of commons institutions.

  14. Community-based tourism in practice: evidence from three coastal communities in Bohuslän, Sweden

    Directory of Open Access Journals (Sweden)

    Lindström Kristina N.


    Full Text Available Local involvement in tourism development is defined as a key issue for sustainable tourism, however it is often questioned and less seldom implemented in reality. Reasons behind this condition are lack of knowledge and practical experience on community-based tourism as a bottom-up approach. In this paper it is argued that local involvement in tourism development is both a democratic right and a strategic destination management tool. The paper scrutinizes a process of collaboration and local participation in a tourism development project within three coastal communities on the Swedish West Coast. A mixed-methods approach was employed in the project with the specific aim of investigating attitudes to the community and tourism development and of involving community stakeholders in exploring alternative avenues of tourism development. The article describes four phases of the process of local involvement in a tourism development project: step 1, formation of a representative project group and negotiation of community-based approach; step 2, consulting local stakeholders and employing a mixed-methods approach; step 3, elaborating results with local stakeholders; step 4, increased community collaboration.

  15. Digital animation as a method to disseminate research findings to the community using a community-based participatory approach. (United States)

    Vaughn, Nicole A; Jacoby, Sara F; Williams, Thalia; Guerra, Terry; Thomas, Nicole A; Richmond, Therese S


    Community-based participatory research (CBPR) has garnered increasing interest over the previous two decades as researchers have tackled increasingly complex health problems. In academia, professional presentations and articles are major ways that research is disseminated. However, dissemination of research findings to the people and communities who participated in the research is many times forgotten. In addition, little scholarly literature is focused on creative dissemination of research findings to the community using CBPR methods. We seek to fill this gap in the literature by providing an exemplar of research dissemination and partnership strategies that were used to complete this project. In this paper, we present a novel approach to the dissemination of research findings to our targeted communities through digital animation. We also provide the foundational thinking and specific steps that were taken to select this specific dissemination product development and distribution strategy.

  16. Community-Based Management of Diabetes in Nepal: Exploring the Potential Role of Female Community Health Volunteers

    DEFF Research Database (Denmark)

    Gyawali, Bishal


    and treat type 2 diabetes. We suggest that involving Female Community Health Volunteers (FCHVs) of Nepal offering culturally appropriate health promotion may be the blue print for community-based management programmes tackling type 2 diabetes. We aim to explore the potential role of FCHVs of Nepal...... for diabetes management at community level. It is anticipated that the study can give valuable information regarding effectiveness, acceptability, and feasibility of an innovative way to improve diabetes management in low resource settings......., and this is particularly apparent in the South Asian countries, including Nepal. Despite the growing burden and chronic nature of type 2 diabetes, prevention and control of this disease is far from adequate in these settings. One possibility could be through the involvement of community health workers to prevent, diagnose...

  17. Burden of leprosy in Malawi: community camp-based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Msyamboza Kelias P


    Full Text Available Abstract Background Although leprosy was eliminated globally in 2000, the disease continues to be the significant cause of peripheral neuropathy, disability and disfigurement in some developing countries. However, recent population-based prevalence data are lacking to inform evidence-based renewed commitment for the final push for leprosy elimination at national and sub-national levels. Methods Community camp-based cross-sectional descriptive study was conducted in four selected districts. World Health Organisation guidelines and tools for leprosy elimination monitoring were used to evaluate the Malawi National Leprosy Programme. Results A total of 6,338 people (60% females, 35% children aged less than 15 years were examined for leprosy and other skin diseases. Prevalence of skin diseases was 18%, the commonest being fungal (9%, eczema/dermatitis (3% and leprosy (1%. Of the fungal skin conditions, pityriasis versicolor and Tinea capatis were the commonest (22% and 21% respectively then Tinea corporis (9%, Tinea cruris (6% and Tinea pedis (2%. A total of 66 leprosy cases were detected out of 6,338 people screened giving a prevalence of 104.1 per 10,000 population (range by district 67.1 to 194.1. Of the leprosy cases, 37 were new, 6 were defaulters and 23 were on treatment, 30 were females and 9 were children aged less than 15 years old. Of the 37 new leprosy cases, 9 (24.3% were children, 25 (67.6% had 1–5 leprosy lesions and 8 (21.6% had grade 2 disability. The most frequent location of leprosy lesions was the head and neck (24.1%, arms (24.1%, chest (17.2%, legs (13.8%, back (13.8% and abdomen (7.0%. Between 2006 and 2011, trends of leprosy prevalence and detection increased, prevalence/detection ratios were over 1 and cure rates by cohort analysis of 2009 multibacillary and 2010 paucibacillary cases were 33% and 63% respectively far below the expected 80% although the national prevalence remained at less than 1 case per 10

  18. Interfirm communities

    DEFF Research Database (Denmark)

    Bergenholtz, Carsten


    . These results yield a paradox which the present paper aims to address. Based on an in-depth case study of how a high-tech small firm organizes its interfirm activity, I show how a hybrid social relation, that is neither weak nor strong, is a useful conception for interfirm communities. Hereby, the study also......Strong and trust-based ties are usually related to homogeneous and complex knowledge, while weak ties are associated with heterogeneous and simple knowledge. Interfirm communities have been shown to depend on trust-based ties, while also relying on getting access to heterogeneous knowledge...

  19. Extracting Communities of Interests for Semantics-Based Graph Searches (United States)

    Nakatsuji, Makoto; Tanaka, Akimichi; Uchiyama, Toshio; Fujimura, Ko

    Users recently find their interests by checking the contents published or mentioned by their immediate neighbors in social networking services. We propose semantics-based link navigation; links guide the active user to potential neighbors who may provide new interests. Our method first creates a graph that has users as nodes and shared interests as links. Then it divides the graph by link pruning to extract practical numbers, that the active user can navigate, of interest-sharing groups, i.e. communities of interests (COIs). It then attaches a different semantic tag to the link to each representative user, which best reflects the interests of COIs that they are included in, and to the link to each immediate neighbor of the active user. It finally calculates link attractiveness by analyzing the semantic tags on links. The active user can select the link to access by checking the semantic tags and link attractiveness. User interests extracted from large scale actual blog-entries are used to confirm the efficiency of our proposal. Results show that navigation based on link attractiveness and representative users allows the user to find new interests much more accurately than is otherwise possible.

  20. Strengths-Based Partnerships: A School-Family-Community Partnership Approach to Empowering Students (United States)

    Bryan, Julia; Henry, Lynette


    When school counselors team and collaborate with school personnel, families, and community members to foster strengths-based partnerships, they are able to implement classroom, schoolwide, and community-based programs and interventions that support and empower children and families. Strengths-based partnerships utilize the assets found in schools,…

  1. Supporting Indicators for the Successful Solid Waste Management Based on Community at Rawajati, South Jakarta


    Muhammad Furqan


    Community-based waste management is one of the strategies that can be used to overcome the problems of garbage that exist today. However, community-based waste management system could not be implemented as a whole in Indonesia and sometimes some areas are trying to do community-based waste management do not work well and is not sustainable. The purpose of this study was to determine the indicators of success in supporting community-based waste management in Urban Rawajati RW III, South Jakart...

  2. A Comparison of School-Based and Community-Based Adherence to Wraparound during Family Planning Meetings (United States)

    Nordness, Philip D.


    A number of recent studies have begun to examine how the wraparound approach is adhered to during family planning meetings in community-based settings. However, no studies have compared wraparound family planning meetings across community-based and school-based settings. The purpose of this study was to examine adherence to the wrap-around process…

  3. Weighting links based on edge centrality for community detection (United States)

    Sun, Peng Gang


    Link weights have the equally important position as links in complex networks, and they are closely associated with each other for the emergence of communities. How to assign link weights to make a clear distinction between internal links of communities and external links connecting communities is of vital importance for community detection. Edge centralities provide a powerful approach for distinguishing internal links from external ones. Here, we first use edge centralities such as betweenness, information centrality and edge clustering coefficient to weight links of networks respectively to transform unweighted networks into weighted ones, and then a weighted function that both considers links and link weights is adopted on the weighted networks for community detection. We evaluate the performance of our approach on random networks as well as real-world networks. Better results are achieved on weighted networks with stronger weights of internal links of communities, and the results on unweighted networks outperform that of weighted networks with weaker weights of internal links of communities. The availability of our findings is also well-supported by the study of Granovetter that the weak links maintain the global integrity of the network while the strong links maintain the communities. Especially in the Karate club network, all the nodes are correctly classified when we weight links by edge betweenness. The results also give us a more comprehensive understanding on the correlation between links and link weights for community detection.

  4. The Effect of Community-Based Prevention and Care on Ebola Transmission in Sierra Leone (United States)

    Rogers, Braeden; Lee, Sylvia; Bhatnagar, Aarunima; Wolman, Yaron; Monasch, Roeland; Hipgrave, David; Salama, Peter; Kucharski, Adam; Chopra, Mickey


    Objectives. To examine the acceptability, use, effects on early isolation, and contribution to Ebola virus disease (EVD) transmission of Community Care Centers (CCCs), which were rapidly deployed in Sierra Leone during an accelerated phase of the 2014–2015 EVD epidemic. Methods. Focus group discussions, triads, and key informant interviews assessed acceptability of the CCCs. Facility registers, structured questionnaires, and laboratory records documented use, admission, and case identification. We estimated transmission effects by comparing time between symptom onset and isolation at CCCs relative to other facilities with the national Viral Hemorrhagic Fever data set. Results. Between November 2014 and January 2015, 46 CCCs were operational. Over 13 epidemic weeks, 6129 patients were triaged identifying 719 (12%) EVD suspects. Community acceptance was high despite initial mistrust. Nearly all patients presented to CCCs outside the national alert system. Isolation of EVD suspects within 4 days of symptoms was higher in CCCs compared with other facilities (85% vs 49%; odds ratio = 6.0; 95% confidence interval = 4.0, 9.1), contributing to a 13% to 32% reduction in the EVD reproduction number (Ro). Conclusions. Community-based approaches to prevention and care can reduce Ebola transmission. PMID:26890176

  5. Community-based study of circumcision practices in Nigeria

    Directory of Open Access Journals (Sweden)

    Lukman Olajide Abdur-Rahman


    circumcisionist, nurses, and doctors in 1 in 4, 1 in 5, and 1 in 10 cases of circumcision, respectively. Traditional open (classical circumcision technique was mostly used (40.4%, followed by Plastibel TM (ring type (32.6%, and ′group′ circumcision was practiced among 41.2% of respondents. Post-circumcision complications were seen in 116 (33.7% of circumcised children examined. Conclusion: Circumcision practice in Ilorin is still higher among the traditional circumcisionists, despite of high hospital delivery. Female circumcision and ′group′ circumcision were also being practiced, using mainly the traditional open circumcision technique. The high rate of circumcision complications indicate the need for proper enlightenment and retraining of health care providers and traditional circumcisionists on the safe methods available. The government should involve the religion and opinion leaders in the community to assist in the prevention of negative and harmful traditional practices including female circumcision.

  6. Combining Healthcare-Based and Participatory Approaches to Surveillance: Trends in Diarrheal and Respiratory Conditions Collected by a Mobile Phone System by Community Health Workers in Rural Nepal.

    Directory of Open Access Journals (Sweden)

    David J Meyers

    Full Text Available Surveillance systems are increasingly relying upon community-based or crowd-sourced data to complement traditional facilities-based data sources. Data collected by community health workers during the routine course of care could combine the early warning power of community-based data collection with the predictability and diagnostic regularity of facility data. These data could inform public health responses to epidemics and spatially-clustered endemic diseases. Here, we analyze data collected on a daily basis by community health workers during the routine course of clinical care in rural Nepal. We evaluate if such community-based surveillance systems can capture temporal trends in diarrheal diseases and acute respiratory infections.During the course of their clinical activities from January to December 2013, community health workers recorded healthcare encounters using mobile phones. In parallel, we accessed condition-specific admissions from 2011-2013 in the hospital from which the community health program was based. We compared diarrhea and acute respiratory infection rates from both the hospital and the community, and assigned three categories of local disease activity (low, medium, and high to each week in each village cluster with categories determined by tertiles. We compared condition-specific mean hospital rates across categories using ANOVA to assess concordance between hospital and community-collected data.There were 2,710 cases of diarrhea and 373 cases of acute respiratory infection reported by community health workers during the one-year study period. At the hospital, the average weekly incidence of diarrhea and acute respiratory infections over the three-year period was 1.8 and 3.9 cases respectively per 1,000 people in each village cluster. In the community, the average weekly rate of diarrhea and acute respiratory infections was 2.7 and 0.5 cases respectively per 1,000 people. Both diarrhea and acute respiratory infections

  7. Case base classification on digital mammograms: improving the performance of case base classifier (United States)

    Raman, Valliappan; Then, H. H.; Sumari, Putra; Venkatesa Mohan, N.


    Breast cancer continues to be a significant public health problem in the world. Early detection is the key for improving breast cancer prognosis. The aim of the research presented here is in twofold. First stage of research involves machine learning techniques, which segments and extracts features from the mass of digital mammograms. Second level is on problem solving approach which includes classification of mass by performance based case base classifier. In this paper we build a case-based Classifier in order to diagnose mammographic images. We explain different methods and behaviors that have been added to the classifier to improve the performance of the classifier. Currently the initial Performance base Classifier with Bagging is proposed in the paper and it's been implemented and it shows an improvement in specificity and sensitivity.

  8. Sharing best practices through online communities of practice: a case study

    Directory of Open Access Journals (Sweden)

    Johnson Peter


    Full Text Available Abstract Introduction The USAID-funded Capacity Project established the Global Alliance for Pre-Service Education (GAPS to provide an online forum to discuss issues related to teaching and acquiring competence in family planning, with a focus on developing countries' health related training institutions. The success of the Global Alliance for Nursing and Midwifery's ongoing web-based community of practice (CoP provided a strong example of the successful use of this medium to reach many participants in a range of settings. Case description GAPS functioned as a moderated set of forums that were analyzed by a small group of experts in family planning and pre-service education from three organizations. The cost of the program included the effort provided by the moderators and the time to administer responses and conduct the analysis. Discussion and evaluation Family planning is still considered a minor topic in health related training institutions. Rather than focusing solely on family planning competencies, GAPS members suggested a focus on several professional competencies (e.g. communication, leadership, cultural sensitivity, teamwork and problem solving that would enhance the resulting health care graduate's ability to operate in a complex health environment. Resources to support competency-based education in the academic setting must be sufficient and appropriately distributed. Where clinical competencies are incorporated into pre-service education, responsible faculty and preceptors must be clinically proficient. The interdisciplinary GAPS memberships allowed for a comparison and contrast of competencies, opportunities, promising practices, documents, lessons learned and key teaching strategies. Conclusions Online CoPs are a useful interface for connecting developing country experiences. From CoPs, we may uncover challenges and opportunities that are faced in the absorption of key public health competencies required for decreasing maternal

  9. Exploratory Visualization of Graphs Based on Community Structure (United States)

    Liu, Yujie


    Communities, also called clusters or modules, are groups of nodes which probably share common properties and/or play similar roles within a graph. They widely exist in real networks such as biological, social, and information networks. Allowing users to interactively browse and explore the community structure, which is essential for understanding…

  10. Bringing Systems Thinking into Community-based Environmental Management (United States)

    The U.S. EPA’s ‘Sustainable and Healthy Communities Research Program’ is developing methods and tools to assist communities in making decisions that lead to more just and environmentally sustainable outcomes. Work includes collaborative development of system...

  11. Engaging underserved audiences in informal science education through community-based partnerships (United States)

    Bouzo, Suzanne

    This thesis explores the impact of the Science Education and Engagement of Denver (SEED) Partnership on three of its participant families. The partnership, consisting of large informal science organizations, as well as small community-based organizations, created its programming based on prior research identifying barriers to minority participation in informal science education programs. SEED aims to engage youth and families of emerging populations in science and nature. Three families were examined as a case study to have an in depth investigation about their involvement in the programs sponsored by the partnership. Findings suggest a positive impact on participant feelings and engagement in science and nature. Future recommendations are made for furthering programming as well as conducting a larger scale, more comprehensive program evaluation. This research addresses prior studies that have identified several barriers toward participation of underserved audiences in informal science education programs and how the SEED partnership has addressed specific identified barriers.

  12. Adaptive Management and Social Learning in Collaborative and Community-Based Monitoring: a Study of Five Community-Based Forestry Organizations in the western USA

    Directory of Open Access Journals (Sweden)

    Heidi L. Ballard


    Full Text Available Collaborative and community-based monitoring are becoming more frequent, yet few studies have examined the process and outcomes of these monitoring approaches. We studied 18 collaborative or community-based ecological assessment or monitoring projects undertaken by five community-based forestry organizations (CBFs, to investigate the objectives, process, and outcomes of collaborative ecological monitoring by CBF organizations. We found that collaborative monitoring can lead to shared ecological understanding among diverse participants, build trust internally and credibility externally, foster social learning and community-building, and advance adaptive management. The CBFs experienced challenges in recruiting and sustaining community participation in monitoring, building needed technical capacity for monitoring, and communicating monitoring results back to the broader community. Our results suggest that involving diverse and sometimes adversarial interests at key points in the monitoring process can help resolve conflicts and advance social learning, while also strengthening the link between social and ecological systems by improving the information base for management and increasing collective awareness of the interdependence of human and natural forest communities.

  13. Location of Bioelectricity Plants in the Madrid Community Based on Triticale Crop: A Multicriteria Methodology

    Directory of Open Access Journals (Sweden)

    L. Romero


    Full Text Available This paper presents a work whose objective is, first, to quantify the potential of the triticale biomass existing in each of the agricultural regions in the Madrid Community through a crop simulation model based on regression techniques and multiple correlation. Second, a methodology for defining which area has the best conditions for the installation of electricity plants from biomass has been described and applied. The study used a methodology based on compromise programming in a discrete multicriteria decision method (MDM context. To make a ranking, the following criteria were taken into account: biomass potential, electric power infrastructure, road networks, protected spaces, and urban nuclei surfaces. The results indicate that, in the case of the Madrid Community, the Campiña region is the most suitable for setting up plants powered by biomass. A minimum of 17,339.9 tons of triticale will be needed to satisfy the requirements of a 2.2 MW power plant. The minimum range of action for obtaining the biomass necessary in Campiña region would be 6.6 km around the municipality of Algete, based on Geographic Information Systems. The total biomass which could be made available in considering this range in this region would be 18,430.68 t.

  14. A Case-Based System for Construction Project Risk Management

    Institute of Scientific and Technical Information of China (English)

    YANG Lan-rong; ZHANG Jin-long


    This paper presents a Case-Based system for assisting construction project managers in identifying risk factors and the corresponding construction project risk. The construction project risk identification model captures the case, acquired from previous completed construction projects and experience. A prototype is developed based on the proposed Case-Based system to determine risk factors along with their risk effects.

  15. A novel dynamical community detection algorithm based on weighting scheme (United States)

    Li, Ju; Yu, Kai; Hu, Ke


    Network dynamics plays an important role in analyzing the correlation between the function properties and the topological structure. In this paper, we propose a novel dynamical iteration (DI) algorithm, which incorporates the iterative process of membership vector with weighting scheme, i.e. weighting W and tightness T. These new elements can be used to adjust the link strength and the node compactness for improving the speed and accuracy of community structure detection. To estimate the optimal stop time of iteration, we utilize a new stability measure which is defined as the Markov random walk auto-covariance. We do not need to specify the number of communities in advance. It naturally supports the overlapping communities by associating each node with a membership vector describing the node's involvement in each community. Theoretical analysis and experiments show that the algorithm can uncover communities effectively and efficiently.

  16. Using Model-based Overlapping Seed Expansion to detect highly overlapping community structure

    CERN Document Server

    McDaid, Aaron F


    As research into community finding in social networks progresses, there is a need for algorithms capable of detecting overlapping community structure. Many algorithms have been proposed in recent years that are capable of assigning each node to more than a single community. The performance of these algorithms tends to degrade when the ground-truth contains a more highly overlapping community structure, with nodes assigned to more than two communities. Such highly overlapping structure is likely to exist in many social networks, such as Facebook friendship networks. In this paper we present a scalable algorithm, MOSES, based on a statistical model of community structure, which is capable of detecting highly overlapping community structure, especially when there is variance in the number of communities each node is in. In evaluation on synthetic data MOSES is found to be superior to existing algorithms, especially at high levels of overlap. We demonstrate MOSES on real social network data by analyzing the netwo...

  17. Local Community Detection in Complex Networks Based on Maximum Cliques Extension

    Directory of Open Access Journals (Sweden)

    Meng Fanrong


    Full Text Available Detecting local community structure in complex networks is an appealing problem that has attracted increasing attention in various domains. However, most of the current local community detection algorithms, on one hand, are influenced by the state of the source node and, on the other hand, cannot effectively identify the multiple communities linked with the overlapping nodes. We proposed a novel local community detection algorithm based on maximum clique extension called LCD-MC. The proposed method firstly finds the set of all the maximum cliques containing the source node and initializes them as the starting local communities; then, it extends each unclassified local community by greedy optimization until a certain objective is satisfied; finally, the expected local communities will be obtained until all maximum cliques are assigned into a community. An empirical evaluation using both synthetic and real datasets demonstrates that our algorithm has a superior performance to some of the state-of-the-art approaches.

  18. A decision model for selecting sustainable drinking water supply and greywater reuse systems for developing communities with a case study in Cimahi, Indonesia. (United States)

    Henriques, Justin J; Louis, Garrick E


    Capacity Factor Analysis is a decision support system for selection of appropriate technologies for municipal sanitation services in developing communities. Developing communities are those that lack the capability to provide adequate access to one or more essential services, such as water and sanitation, to their residents. This research developed two elements of Capacity Factor Analysis: a capacity factor based classification for technologies using requirements analysis, and a matching policy for choosing technology options. First, requirements analysis is used to develop a ranking for drinking water supply and greywater reuse technologies. Second, using the Capacity Factor Analysis approach, a matching policy is developed to guide decision makers in selecting the appropriate drinking water supply or greywater reuse technology option for their community. Finally, a scenario-based informal hypothesis test is developed to assist in qualitative model validation through case study. Capacity Factor Analysis is then applied in Cimahi Indonesia as a form of validation. The completed Capacity Factor Analysis model will allow developing communities to select drinking water supply and greywater reuse systems that are safe, affordable, able to be built and managed by the community using local resources, and are amenable to expansion as the community's management capacity increases.

  19. Challenges for Community-Based Forest Management in the KoloAla Site Manompana (United States)

    Urech, Zora Lea; Sorg, Jean-Pierre; Felber, Hans Rudolph


    Following the IUCN 5th World Congress on Protected Areas in 2003, the then-President of Madagascar decided to increase the area of Madagascar's protected areas from 1.7 to 6 million ha. To combine the aims of protection and timber production, a new concept was developed through the establishment of community-based forest management (CBFM) sites, called KoloAla. However, experience shows that similar management transfers to communities in Madagascar have only been successful in a very few cases. We aimed to explore the success to be expected of this new approach in the particular case of the Manompana corridor at Madagascar's eastern coast. In a first step, the readiness of the corridor's resource users for CBFM has been analysed according to the seven resource users' attributes developed by Ostrom that predict an effective self-organized resource management. In a second step, we explored how KoloAla addresses known challenges of Madagascar's CBFM. Analyses lead in a rather sober conclusion. Although KoloAla attempts to address the goals of poverty alleviation, biodiversity conservation and timber production under a single umbrella, it does so in a rather non-innovative way. Challenges with regard to the state's environmental governance, agricultural inefficiency and thus deforestation remain unsolved.

  20. Role of local community in tourism development: Case study village Zabrega

    Directory of Open Access Journals (Sweden)

    Belij Маrija


    Full Text Available Studies and researches on the role of a local community in tourism development of rural areas emphasize the significance of inhabitants’ attitudes about the state and perspectives of this activity. In this context, in the professional literature, the term CBT (community-based tourism is used, which implies the involvement of local communities and planning of tourism development. The aim of the study is to determine the local population’s influence on starting an initiative for a tourist arranging of the village Zabrega in the Municipality of Paraćin, especially the sacral objects in the Crnica River Gorge. The following methods were applied: method of direct observation, analysis, synthesis, interview and survey in which the questions were of a closed and open type. Results of the research survey were analyzed in the software package for statistical processing and analysis of the data SPSS 20.00. It has been stated that the population has a positive attitude about the Society Petrus, which is the main organizer of the activities when the prosperity of the village Zabrega is in question, and that the local community is interested in engaging in the tourist activities, as demonstrated by numerous practical examples. [Projekat Ministarstva nauke Republike Srbije, br. 176017 i br. 176008