WorldWideScience

Sample records for building equitable health

  1. El papel de la Sociedad Civil en la construcción de sistemas de salud equitativos The role of the civil society in the building of equitable health systems

    Directory of Open Access Journals (Sweden)

    Román Vega Romero

    2011-06-01

    Full Text Available Objetivo Proveer evidencias sobre la contribución de la Sociedad Civil a la construcción de sistemas de salud equitativos. Fuente de datos Se revisaron diferentes fuentes de información, buscadores y bases de datos, entre ellas, Google, los sitos Web de las Naciones Unidas, el Training and Research Support Centre, The Southern Africa Regional Network for Equity in Health, la Iniciativa sobre la Sociedad Civil de la OMS, la OPS e iniciativas públicas y privadas. Los artículos que se revisaron incluyeron archivos de investigación, artículos publicados con revisión de pares, literatura gris, revisiones sistemáticas de documentos e informes especializados sobre el tema. Algunas de las las palabras clave empleadas fueron: personas centradas en sistemas de salud, equidad y políticas públicas, organizaciones no gubernamentales y sistemas de salud, organizaciones no gubernamentales y acción intersectorial en salud. Síntesis de los datos Las evidencias muestran que la Sociedad Civil ha podido contribuir a constituir sistemas de salud equitativos por su enfoque centrado en las personas y en la población, en la acción intersectorial por la salud y en el empoderamiento y movilización social. Sin embargo, muchas acciones de organizaciones de la Sociedad Civil también han sido funcionales a las políticas globales y nacionales que defienden intereses privados del mercado. Tales acciones en algunos casos han sido focalizadas, mínimas, sesgadas e insignificantes en relación con los desafíos de la equidad en salud, o han servido para ocultar la falta de compromiso de los gobiernos con los pobres, vulnerables y excluidos. Conclusiones Se hace necesaria una perspectiva ética y política general orientada a reconocer y fortalecer el papel de la Sociedad Civil para mejorar la salud y reducir las inequidades en salud.Objective To provide evidence on the contribution of the civil society to the building of equitable health systems. Data source

  2. Introduction: priority setting, equitable access and public involvement in health care.

    Science.gov (United States)

    Weale, Albert; Kieslich, Katharina; Littlejohns, Peter; Tugendhaft, Aviva; Tumilty, Emma; Weerasuriya, Krisantha; Whitty, Jennifer A

    2016-08-15

    Purpose - The purpose of this paper is to introduce the special issue on improving equitable access to health care through increased public and patient involvement (PPI) in prioritization decisions by discussing the conceptualization, scope and rationales of PPI in priority setting that inform the special issue. Design/methodology/approach - The paper employs a mixed-methods approach in that it provides a literature review and a conceptual discussion of the common themes emerging in the field of PPI and health priority setting. Findings - The special issue focuses on public participation that is collective in character, in the sense that the participation relates to a social, not personal, decision and is relevant to whole groups of people and not single individuals. It is aimed at influencing a decision on public policy or legal rules. The rationales for public participation can be found in democratic theory, especially as they relate to the social and political values of legitimacy and representation. Originality/value - The paper builds on previous definitions of public participation by underlining its collective character. In doing so, it develops the work by Parry, Moyser and Day by arguing that, in light of the empirical evidence presented in this issue, public participatory activities such as protests and demonstrations should no longer be labelled unconventional, but should instead be labelled as "contestatory participation". This is to better reflect a situation in which these modes of participation have become more conventional in many parts of the world. PMID:27468772

  3. Avoiding Unintended Bias: Strategies for Providing More Equitable Health Care.

    Science.gov (United States)

    Van Ryn, Michelle

    2016-01-01

    Research shows that unintentional bias on the part of physicians can influence the way they treat patients from certain racial and ethnic groups. Most physicians are unaware that they hold such biases, which can unknowingly contribute to inequalities in health care delivery. This article explains why a person's thoughts and behaviors may not align, and provides strategies for preventing implicit biases from interfering with patient care. PMID:27089675

  4. Evaluation of a website that promotes social connectedness: lessons for equitable e-health promotion.

    Science.gov (United States)

    Osborne, Katy; Patel, Katherine

    2013-01-01

    The online provision of health information and services has been viewed as having the potential to inform and empower health consumers and, ultimately, to promote better health. The Internet can be an innovative tool to deliver services to 'hard-to-reach' population groups, including geographically isolated populations. However, the online platform raises questions regarding the equitable distribution of health services. In this paper we examine a case study of a website that aims to promote health by fostering social connectedness. The website provides information to connect people to locally based community events across Australia. We draw on evaluation findings to examine the socioeconomic and geographical distribution of website usage. A descriptive analysis of web usage statistics revealed a gradient whereby more information is listed and viewed about events in affluent socioeconomic areas. Furthermore, the analysis showed that a greater proportion of information listed and viewed related to urban areas. These results are consistent with broader gradients of Internet access and usage. Drawing on these findings, we identify implications for online health promotion across different population groups, particularly for interventions that do not incorporate an explicit equity focus. PMID:23987586

  5. Integrated Building Health Management

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract: Building health management is an important part in running an efficient and cost-effective building. Many problems in a building’s system can go...

  6. Negotiating equitable access to influenza vaccines: global health diplomacy and the controversies surrounding avian influenza H5N1 and pandemic influenza H1N1.

    OpenAIRE

    Fidler, David P.

    2010-01-01

    As part of the PLoS Medicine series on Global Health Diplomacy, David Fidler provides a case study of the difficult negotiations to increase equitable access to vaccines for highly pathogenic avian influenza A (H5N1) and pandemic 2009 influenza A (H1N1).

  7. Equitable rationing of highly specialised health care services for children: a perspective from South Africa.

    OpenAIRE

    Landman, W A; Henley, L D

    1999-01-01

    The principles of equality and equity, respectively in the Bill of Rights and the white paper on health, provide the moral and legal foundations for future health care for children in South Africa. However, given extreme health care need and scarce resources, the government faces formidable obstacles if it hopes to achieve a just allocation of public health care resources, especially among children in need of highly specialised health care. In this regard, there is a dearth of moral analysis ...

  8. Health information generation and utilization for informed decision-making in equitable health service management: The case of Kenya Partnership for Health program

    Directory of Open Access Journals (Sweden)

    Solomon Nzioka M

    2005-06-01

    self-medication and five others who never sought health care. Innovative means of involving the community in health information management and utilization such as PIMIRA are hence the best ways of guaranteeing equitable delivery of health services that are accessible and sustainable by the community.

  9. Critical cultural competence for culturally diverse workforces: toward equitable and peaceful health care.

    Science.gov (United States)

    Almutairi, Adel F; Rondney, Patricia

    2013-01-01

    In this article, we argue that attaining equity, and therefore peace in health care delivery, necessitates that nursing and other health care professions more carefully attend to the sociocultural context in which health care is delivered. That sociocultural context includes culturally diverse patients, families, and communities, as well as health care providers who are themselves culturally diverse. We draw on findings from Almutairi's doctoral research with health care providers in Saudi Arabia to argue for what he has identified as critical cultural competence for health care providers. In so doing, we explicate the complexity of cultural and linguistic issues and power relations induced by race, class, and gender that can contribute to vulnerabilities for health care providers and recipients alike. PMID:23907302

  10. Mental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations

    Directory of Open Access Journals (Sweden)

    Jenkins Rachel

    2010-06-01

    Full Text Available Abstract Background Although most donor and development agency attention is focussed on communicable diseases in Kenya, the importance of non-communicable diseases including mental health and mental illness is increasingly apparent, both in their own right and because of their influence on health, education and social goals. Mental illness is common but the specialist service is extremely sparse and primary care is struggling to cope with major health demands. Non health sectors e.g. education, prisons, police, community development, gender and children, regional administration and local government have significant concerns about mental health, but general health programmes have been surprisingly slow to appreciate the significance of mental health for physical health targets. Despite a people centred post colonial health delivery system, poverty and global social changes have seriously undermined equity. This project sought to meet these challenges, aiming to introduce sustainable mental health policy and implementation across the country, within the context of extremely scarce resources. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning, sustained intersectoral policy dialogue at national and regional level; establishment of a health sector system for coordination, supervision and training of at each level (national, regional, district and primary care; development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at national, regional, district and local levels; public education; and integration of mental health into health management systems. Results The programme has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, annual operational plans, mental health policy guidelines

  11. Does harmonization of payment mechanisms enhance equitable health outcomes in delivery of emergency medical services in Thailand?

    Science.gov (United States)

    Suriyawongpaisal, Paibul; Aekplakorn, Wichai; Tansirisithikul, Rassamee

    2015-12-01

    There are different reimbursement rates by the various insurance schemes in Thailand, which include the Universal Coverage scheme (UCS), civil servant medical benefit scheme (CSMBS) and social security scheme (SSS). Hence, there are concerns about inequitable care standards. Harmonization of the rates of emergency medical services has been started since April 2012. This study analyzed the impact of harmonization on clinical outcomes in private hospitals. Analysis of 22 900 records of the dataset accrued from April 2012 to June 2013 using multiple logistic modelling revealed that beneficiaries under UCS were the worst off [Odds ratio 2.56 95% of confidence interval: 2.35 to 2.80 for non-trauma and 2.19 (1.59-3.0) for trauma, corresponding to 21.26 and 25.09% of bad outcomes, respectively] in terms of not improved or dead outcomes at discharge compared with those under the CSMBS (8.45 and 12.78%, respectively) controlling for age, sex, hospital location, triage priority code, length of stays and adjusted Relative weight (RW) score. Using propensity score, matching analysis found the outcome rates of not improved including dead were highest in UCS 26.27% for trauma and 21.26% for non-trauma patients. Payment mechanism alone is inadequate to ensure equitable distribution of health outcomes in provision of emergency medical care by private providers in urban settings across the country. A secondary finding was that patients accessing hospital services directly showed better improvement or lower in-hospital mortality compared with access through formal pre-hospital means (P < 0.001). Plausible explanations have been discussed with policy implications and recommendations for further studies. PMID:25797471

  12. Towards health-equitable globalisation : rights, regulation and redistribution : final report to the Commission on Social Determinants of Health.

    OpenAIRE

    Labonté, Ronald; Blouin, Chantal; Chopra, Mickey; Lee, Kelley; Packer, Corinne; Rowson, Mike; Schrecker, Ted; WOODWARD, David; et al.

    2007-01-01

    Globalisation, in a broad sense, holds considerable potential for improving human health, while presenting many challenges. At base, the key challenge for the Commission is to understand how globalisation affects people’s access to social determinants of health (SDH) and, given an explicit concern with equity, how that access is distributed. The approach taken by the Globalisation Knowledge Network (GKN) to assist with this task emphasized the economic aspects of globalisation ...

  13. Dampness in buildings and health

    DEFF Research Database (Denmark)

    Bornehag, Carl-Gustaf; Blomquist, G.; Gyntelberg, F.;

    2001-01-01

    epidemiological literature. A literature search identified 590 peer-reviewed articles of which 61 have been the foundation for this review. The review shows that "dampness" in buildings appears to increase the risk for health effects in the airways, such as cough, wheeze and asthma. Relative risks are in the......Several epidemiological investigations concerning indoor environments have indicated that "dampness" in buildings is associated to health effects such as respiratory symptoms, asthma and allergy The aim of the present interdisciplinary review is to evaluate this association as shown in the...

  14. ‘Expanding your mind’: the process of constructing gender-equitable masculinities in young Nicaraguan men participating in reproductive health or gender training programs

    Directory of Open Access Journals (Sweden)

    Virgilio Mariano Salazar Torres

    2012-08-01

    Full Text Available Background: Traditional forms of masculinity strongly influence men's and women's wellbeing. Objective: This study has two aims: (i to explore notions of various forms of masculinities in young Nicaraguan men participating in programs addressing sexual health, reproductive health, and/or gender equality and (ii to find out how these young men perceive their involvement in actions aimed at reducing violence against women (VAW. Design: A qualitative grounded theory study. Data were collected through six focus groups and two in-depth interviews with altogether 62 young men. Results: Our analysis showed that the informants experienced a process of change, labeled ‘Expanding your mind’, in which we identified four interrelated subcategories: The apprentice, The responsible/respectful man, The proactive peer educator, and ‘The feminist man’. The process showed how an increased awareness of gender inequities facilitated the emergence of values (respect and responsibility and behavior (thoughtful action that contributed to increase the informant's critical thinking and agency at individual, social, and political levels. The process was influenced by individual and external factors. Conclusions: Multiple progressive masculinities can emerge from programs challenging patriarchy in this Latin American setting. The masculinities identified in this study show a range of attitudes and behaviors; however, all lean toward more equitable gender relations. The results suggest that learning about sexual and reproductive health does not directly imply developing more gender-equitable attitudes and behaviors or a greater willingness to prevent VAW. It is paramount that interventions to challenge machismo in this setting continue and are expanded to reach more young men.

  15. Animal health and globalization: the challenge of equitable and sustainable policies in the context of developing countries

    OpenAIRE

    Luis Carlos Villamil J.; Jaime Ricardo Romero P.; Natalia Cediel B.

    2008-01-01

    Globalization is a mega trend which has differentiated influences on developing countries. Veterinary Public Health and Animal Health are analyzed under globalization context on developing world. Relations among animal health and human health, knowledge society, urban development, consumer perceptions, animal production systems, agricultural policies, international trade and education are discussed. This study highlights both, the need to get adapted to challenges and opportunities offered by...

  16. Dampness in Buildings and Health

    DEFF Research Database (Denmark)

    Clausen, Geo; Rode, Carsten; Bornehag, Carl-Gustaf;

    1999-01-01

    on air distribution in indoor spaces. Particularly, using CFD models, it should be possible to study the local conditions in the vicinity of the human body.· Modelling and experimental investigation of humidity transfer and energy consumption in buildings. The research aims at establishing complete...... factors that influence the well being of occupants in the indoor climate. The perspective of this knowledge should be widened such that it will be possible to carry out an integral optimisation of a high indoor air quality in durable, low energy consuming buildings.While located at DTU, the centre will....... The main themes are:· Continued research in human perception of indoor air quality, especially by identification of the factors that may cause annoyance to the occupants. Such annoyances may be emissions from materials or biological activity, and is often linked to the dampness of buildings.· Studies...

  17. Buildings' integral role in good health.

    Science.gov (United States)

    Hall, Chris

    2014-05-01

    As reported in last month's HEJ, the new Sustainable Development Strategy for the Health, Public Health and Social Care System for 2014-20 rightly emphasises the importance of the built environment to health and well-being. Chris Hall, the BRE's health sector lead, says this message 'stretches far beyond hospitals and healthcare buildings into the communities and homes that people live in'. Here he highlights some of the key elements relating to the current carbon efficiency of healthcare buildings, considers the impact of 'good' housing on health and preventing illness, and looks forward to a series of joint IHEEM and BRE 'Building Sustainable Development' mini-conference events planned in the run-up to October's Healthcare Estates 2014 event in response to the new Strategy, designed to share ideas and good practice on sustainable estates issues. The first takes place in London later this month (see panel below). PMID:24930185

  18. Buildings and Health. Educational campaign for healthy buildings. Educational material

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    In recent years health and comfort problems associated with the indoor climate have come to constitute a problem in Sweden. To come to grips with this a nationwide educational campaign on Buildings and Health is being run. It is directed to those involved in planning, project design, construction and management of buildings. The objective is to convey a body of knowledge to the many occupational and professional groups in the construction sector on how to avoid indoor climate problems in homes, schools, offices and other workplaces. The campaign is being run by the Swedish National Board of Housing and Planning and the Swedish Council for Building Research, in co-operation with various organizations and companies in the construction industry, and with municipalities and authorities. The knowledge which is being disseminated through the campaign is summarized in this compendium. figs., tabs.

  19. How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review

    OpenAIRE

    McCollum, Rosalind; Gomez, Woedem; Theobald, Sally; Taegtmeyer, Miriam

    2016-01-01

    Background Community health workers (CHWs) are uniquely placed to link communities with the health system, playing a role in improving the reach of health systems and bringing health services closer to hard-to-reach and marginalised groups. A systematic review was conducted to determine the extent of equity of CHW programmes and to identify intervention design factors which influence equity of health outcomes. Methods In accordance with our published protocol, we systematically searched eight...

  20. Community-based participatory research: a capacity-building approach for policy advocacy aimed at eliminating health disparities.

    Science.gov (United States)

    Israel, Barbara A; Coombe, Chris M; Cheezum, Rebecca R; Schulz, Amy J; McGranaghan, Robert J; Lichtenstein, Richard; Reyes, Angela G; Clement, Jaye; Burris, Akosua

    2010-11-01

    There have been increasing calls for community-academic partnerships to enhance the capacity of partners to engage in policy advocacy aimed at eliminating health disparities. Community-based participatory research (CBPR) is a partnership approach that can facilitate capacity building and policy change through equitable engagement of diverse partners. Toward this end, the Detroit Community-Academic Urban Research Center, a long-standing CBPR partnership, has conducted a policy training project. We describe CBPR and its relevance to health disparities; the interface between CBPR, policy advocacy, and health disparities; the rationale for capacity building to foster policy advocacy; and the process and outcomes of our policy advocacy training. We discuss lessons learned and implications for CBPR and policy advocacy to eliminate health disparities. PMID:20864728

  1. Building consensus on key priorities for rural health care in South Africa using the Delphi technique

    Directory of Open Access Journals (Sweden)

    Marije Versteeg

    2013-01-01

    Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.

  2. A struggle for equitable partnerships

    DEFF Research Database (Denmark)

    2015-01-01

    Drawing on positioning theory this study investigates how Somali diaspora mothers actively struggle to be recognized by teachers in Danish public schools as equitable partners in their children’s education. The study takes into account the historically and politically constituted conditions for p...

  3. 7 CFR 1400.8 - Equitable treatment.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Equitable treatment. 1400.8 Section 1400.8... AND SUBSEQUENT CROP, PROGRAM, OR FISCAL YEARS General Provisions § 1400.8 Equitable treatment. (a... Administrator deems necessary to provide fair and equitable treatment to such person or legal entity....

  4. Designing for health in school buildings

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette; Jensen, Bjarne Bruun; Larsen, Kristian; Kural, René

    2015-01-01

    Aim: To investigate the kinds of knowledge practitioners use when planning and designing for health in school buildings. Methods: Twelve semi-structured qualitative interviews were conducted with architects, teachers and officials to investigate use of knowledge in the making of school buildings....... Results: Practitioners drew on many kinds and sources of knowledge, but in particular they made use of concepts, examples or pictures or thought-provoking knowledge. However, the interviews indicate a number of hurdles for efficient knowledge sharing between research and practice: (1) a considerable...... discrepancy between kinds of knowledge used by practice and knowledge traditionally produced by research; (2) research-knowledge and practice-knowledge form two circuits and the flow from one circuit to the other is weak; (3) practitioners’ knowledge was often based on experience and therefore person...

  5. Strategies for gender-equitable HIV services in rural India

    OpenAIRE

    Sinha, Gita; David H Peters; Bollinger, Robert C.

    2009-01-01

    The emergence of HIV in rural India has the potential to heighten gender inequity in a context where women already suffer significant health disparities. Recent Indian health policies provide new opportunities to identify and implement gender-equitable rural HIV services. In this review, we adapt Mosley and Chen's conceptual framework of health to outline determinants for HIV health services utilization and outcomes. Examining the framework through a gender lens, we conduct a comprehensive li...

  6. Building the national health information infrastructure for personal health, health care services, public health, and research

    Directory of Open Access Journals (Sweden)

    Detmer Don E

    2003-01-01

    Full Text Available Abstract Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries. The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin

  7. Building capacity in health research in the developing world.

    OpenAIRE

    2004-01-01

    Strong national health research systems are needed to improve health systems and attain better health. For developing countries to indigenize health research systems, it is essential to build research capacity. We review the positive features and weaknesses of various approaches to capacity building, emphasizing that complementary approaches to human resource development work best in the context of a systems and long-term perspective. As a key element of capacity building, countries must also...

  8. Can Sierra Leone maintain the equitable delivery of their Free Health Care Initiative? The case for more contextualised interventions: results of a cross-sectional survey

    OpenAIRE

    Vallières, Frédérique; Cassidy, Emma Louise; McAuliffe, Eilish; Gilmore, Brynne; Bangura, Allieu S.; Musa, Joseph

    2016-01-01

    Background In 2010, the Ministry of Health and Sanitation in Sierra Leone launched their Free Health Care Initiative (FHCI) for pregnant and lactating mothers and children under-5. Despite an increase in the update of services, the inequitable distribution of health services and health facilities remain important factors underlying the poor performance of health systems to deliver effective services. This study identifies current gaps in service delivery across two rural locations served by t...

  9. Environmental Health And Building Related Illnesses

    Directory of Open Access Journals (Sweden)

    Li-Li Chan

    2008-12-01

    Full Text Available Malaysia has good environmental laws toprotect the outdoor environment and public health.However there are no laws governing indoor air quality(IAQ and the knowledge among the public about itsimportance is also lacking. Environmental professionalsthink it is not a priority and this influences the policydecisions in the country. Therefore there is a need tocreate awareness by way of research, education andother promotional activities. What is much needed atthis time is the establishment of standards for theconduct of risk assessment studies. To establishstandards we need reliable data which can be used todevelop appropriate guidelines for the purpose ofmitigation and adaptation programmes. IAQ can havesignificant influence on health resulting in drop inproductivity and economy of a country. It has beenestimated that in the US, building related illnesses(BRI symptoms have a relationship with decrease (3 to5% in work performance in an affected populationresulting in an annual loss of US$60 billion in revenue.However, based on efficient management programmesthey have also projected that the potential annualsavings can be in the region of US$10 to 30 billion. Thisestablishes that fact that good management programmesbased on efficient guidelines is of economic value to acountry and wellbeing of the population. The IMU hasembarked on a research programme to collect themuch-needed data for the framing of a good IAQguideline for Malaysia.

  10. The role of higher education in equitable human development

    Science.gov (United States)

    Peercy, Chavanne; Svenson, Nanette

    2016-04-01

    As developing countries continue to battle poverty despite strong economic growth, understanding the relationship between equity and human development becomes increasingly important. In this context, equity is not equivalent to equality for any specific outcome such as health status, education or income. It is an objective ideal whereby people's achievements are increasingly dependent upon personal effort, choice and initiative rather than predetermined characteristics such as race, gender and socioeconomic background. As such, equity becomes an issue of moral equality based on the belief that people should be treated as equals, with equal access to life chances. This ideal pursues equal access to public services, infrastructure and rights for all citizens, including the right to education. While evidence suggests that education builds healthier, richer, more equitable societies, research on this has focused predominantly on primary and secondary schooling. The authors of this paper begin with an extensive review of existing research and relevant literature. In the second part of their article, they then report on their own study which furthers the discussion by exploring connections between tertiary education and development using equity as a reflection of human development - a holistic extension of economic development. After extracting relevant data from a number of available world reports by the United Nations, the World Bank and other organisations, they carried out a cross-national statistical analysis designed to examine the relationship between tertiary enrolment levels and a composite equity variable. Their results indicate a strong association between higher post-secondary education levels and higher levels of social equity.

  11. The role of higher education in equitable human development

    Science.gov (United States)

    Peercy, Chavanne; Svenson, Nanette

    2016-03-01

    As developing countries continue to battle poverty despite strong economic growth, understanding the relationship between equity and human development becomes increasingly important. In this context, equity is not equivalent to equality for any specific outcome such as health status, education or income. It is an objective ideal whereby people's achievements are increasingly dependent upon personal effort, choice and initiative rather than predetermined characteristics such as race, gender and socioeconomic background. As such, equity becomes an issue of moral equality based on the belief that people should be treated as equals, with equal access to life chances. This ideal pursues equal access to public services, infrastructure and rights for all citizens, including the right to education. While evidence suggests that education builds healthier, richer, more equitable societies, research on this has focused predominantly on primary and secondary schooling. The authors of this paper begin with an extensive review of existing research and relevant literature. In the second part of their article, they then report on their own study which furthers the discussion by exploring connections between tertiary education and development using equity as a reflection of human development - a holistic extension of economic development. After extracting relevant data from a number of available world reports by the United Nations, the World Bank and other organisations, they carried out a cross-national statistical analysis designed to examine the relationship between tertiary enrolment levels and a composite equity variable. Their results indicate a strong association between higher post-secondary education levels and higher levels of social equity.

  12. ‘Expanding your mind’: the process of constructing gender-equitable masculinities in young Nicaraguan men participating in reproductive health or gender training programs

    OpenAIRE

    Salazar Torres, Virgilio Mariano; Goicolea, Isabel; Edin, Kerstin; Öhman, Ann

    2012-01-01

    Background: Traditional forms of masculinity strongly influence men’s and women’s wellbeing. Objective: This study has two aims: (i) to explore notions of various forms of masculinities in young Nicaraguan men participating in programs addressing sexual health, reproductive health, and/or gender equality and (ii) to find out how these young men perceive their involvement in actions aimed at reducing violence against women (VAW).Design: A qualitative grounded theory study. Data were collected ...

  13. Global mental health: transformative capacity building in Nicaragua

    OpenAIRE

    Sapag, Jaime C.; Herrera, Andrés; Trainor, Ruth; Caldera, Trinidad; Khenti, Akwatu

    2013-01-01

    Background: Mental health is increasingly recognised as integral to good public health, but this area continues to lack sufficient planning, resources, and global strategy. It is a pressing concern in Latin America, where social determinants of health aggravate existing inequities in access to health services. Nicaragua faces serious mental health needs and challenges. One key strategy for addressing gaps in mental health services is building capacity at the primary healthcare and system leve...

  14. Building codes: An often overlooked determinant of health.

    Science.gov (United States)

    Chauvin, James; Pauls, Jake; Strobl, Linda

    2016-05-01

    Although the vast majority of the world's population spends most of their time in buildings, building codes are not often thought of as 'determinants of health'. The standards that govern the design, construction, and use of buildings affect our health, security, safety, and well-being. This is true for dwellings, schools, and universities, shopping centers, places of recreation, places of worship, health-care facilities, and workplaces. We urge proactive engagement by the global public health community in developing these codes, and in the design and implementation of health protection and health promotion activities intended to reduce the risk of injury, disability, and death, particularly when due to poor building code adoption/adaption, application, and enforcement. PMID:26935404

  15. Assessing the health and hygiene performance of apartment buildings

    OpenAIRE

    Cheung, AKC; Lau, SSY; Wong, WS; Lung, DPY; Chau, KW; Ho, DCW; Wong, SK; Leung, HF

    2004-01-01

    The recent global outbreak of Severe Acute Respiratory Syndrome has aroused public concern on environmental health and hygiene. Develops a practical assessment scheme for assessing the health and hygiene performance of apartment buildings in Hong Kong. The scheme involves assessing a hierarchy of building factors that have a bearing on environmental qualities, and thus occupants' health. Proposes an index method to integrate the assessment outcomes into a simple and user- friendly performance...

  16. Building Successful Partnerships in Health Literacy

    Science.gov (United States)

    McIntyre, Sue; Dale, Helen; Gabler, Carol

    2010-01-01

    Health literacy, the ability to obtain and understand information and services to make good health decisions, has received much attention recently. Literacy is a stronger predictor of health status than age, income, race, ethnicity, employment status, or educational level. Inadequate health literacy costs the United States an estimated $100-$236…

  17. Building capacity in health research in the developing world

    Directory of Open Access Journals (Sweden)

    Mary Ann Lansang

    2004-10-01

    Full Text Available Strong national health research systems are needed to improve health systems and attain better health. For developing countries to indigenize health research systems, it is essential to build research capacity. We review the positive features and weaknesses of various approaches to capacity building, emphasizing that complementary approaches to human resource development work best in the context of a systems and long-term perspective. As a key element of capacity building, countries must also address issues related to the enabling environment, in particular: leadership, career structure, critical mass, infrastructure, information access and interfaces between research producers and users. The success of efforts to build capacity in developing countries will ultimately depend on political will and credibility, adequate financing, and a responsive capacity-building plan that is based on a thorough situational analysis of the resources needed for health research and the inequities and gaps in health care. Greater national and international investment in capacity building in developing countries has the greatest potential for securing dynamic and agile knowledge systems that can deliver better health and equity, now and in the future.

  18. PERCEPTION OF BUILDING CONSTRUCTION WORKERS TOWARDS SAFETY, HEALTH AND ENVIRONMENT

    OpenAIRE

    C.R. CHE HASSAN; O.J. BASHA; W.H. WAN HANAFI

    2007-01-01

    The construction industry is known as one of the most hazardous activities. Therefore, safety on the job site is an important aspect with respect to the overall safety in construction. This paper assesses the safety level perception of the construction building workers towards safety, health and environment on a construction job site in Kuala Lumpur, Malaysia. The above study was carried out by choosing 5 selected large building construction projects and 5 small building construction projects...

  19. Motivators, enablers, and barriers to building allied health research capacity

    OpenAIRE

    Golenko X; Holden L; Pager S

    2012-01-01

    Susan Pager1, Libby Holden2, Xanthe Golenko21Queensland Health Metro South, 2School of Medicine, Griffith University, Brisbane, Queensland, AustraliaPurpose: A sound, scientific base of high quality research is needed to inform service planning and decision making and enable improved policy and practice. However, some areas of health practice, particularly many of the allied health areas, are generally considered to have a low evidence base. In order to successfully build research capacity in...

  20. Learning from doing the EquitAble project: Content, context, process, and impact of a multi-country research project on vulnerable populations in Africa

    Directory of Open Access Journals (Sweden)

    Mac MacLachlan

    2014-06-01

    Full Text Available Background: The ‘EquitAble’ project carried out content analyses of policies and collected and analysed qualitative and quantitative data concerning access to health services in Sudan, Malawi, Namibia and South Africa. Our particular concern was to address the situation of people with disabilities, although not in isolation from other marginalised or vulnerable groups.Objectives: This article reports on the content, context, process and impact of project EquitAble, funded by the European Commission Seventh Research Framework Programme, which brought together researchers from Ireland, Norway, South Africa, Namibia, Sudan and Malawi.Method: After the 4-year project ended in February 2013, all members of the consortium were asked to anonymously complete a bespoke questionnaire designed by the coordinating team. The purpose of the questionnaire was to capture the views of those who collaborated on the research project in relation to issues of content, context, process and impact of the EquitAble project.Results: Our results indicated some of the successes and challenges encountered by our consortium.Conclusion: We identified contextual and process learning points, factors often not discussed in papers, which typically focus on the reporting of the ‘content’ of results.

  1. Global mental health: transformative capacity building in Nicaragua

    Directory of Open Access Journals (Sweden)

    Jaime C. Sapag

    2013-09-01

    Full Text Available Background: Mental health is increasingly recognised as integral to good public health, but this area continues to lack sufficient planning, resources, and global strategy. It is a pressing concern in Latin America, where social determinants of health aggravate existing inequities in access to health services. Nicaragua faces serious mental health needs and challenges. One key strategy for addressing gaps in mental health services is building capacity at the primary healthcare and system levels. Objective: Using the framework of best practice literature, this article analyses the four-year collaborative process between the National Autonomous University of Nicaragua in León (UNAN-León and the Centre for Addiction and Mental Health (CAMH in Canada, which is aimed at improving mental healthcare in Nicaragua. Design: Based on a critical analysis of evaluation reports, key documents, and discussion among partners, the central steps of the collaboration are analysed and main successes and challenges identified. Results: A participatory needs assessment identified local strengths and weaknesses, expected outcomes regarding competencies, and possible methodologies and recommendations for the development of a comprehensive capacity-building programme. The partners delivered two international workshops on mental health and addiction with an emphasis on primary healthcare. More recently, an innovative Diploma and Master programme was launched to foster interprofessional leadership and effective action to address mental health and addiction needs. Collaborative activities have taken place in Nicaragua and Canada. Discussion: To date, international collaboration between Nicaragua and CAMH has been successful in achieving the jointly defined goals. The process has led to mutual knowledge sharing, strong networking, and extensive educational opportunities. Evidence of effective and respectful global health capacity building is provided. Lessons learned and

  2. Lessons Learned and Challenges in Building a Filipino Health Coalition

    OpenAIRE

    Aguilar, David E.; Abesamis-Mendoza, Noilyn; Ursua, Rhodora; Divino, Lily Ann M.; Cadag, Kara; Gavin, Nicholas P.

    2008-01-01

    In recent years, community-based coalitions have become an effective channel to addressing various health problems within specific ethnic communities. The purpose of this article is twofold: (a) to describe the process involved in building the Kalusugan Coalition (KC), a Filipino American health coalition based in New York City, and (b) to highlight the lessons learned and the challenges from this collaborative venture. The challenges described also offer insights on how the coalition develop...

  3. Multicriteria analysis of health, comfort and energy efficiency in buildings

    NARCIS (Netherlands)

    Roulet, C.A.; Flourentzou, F.; Foradini, F.; Bluyssen, P.; Cox, C.; Aizlewood, C.

    2006-01-01

    In order to comply with sustainable development policy, the minimum that buildings should achieve are a healthy, comfortable and energy-efficient environment. Criteria for individually assessing each of the many criteria are known: the occupant's perceived health; the provided thermal, visual and ac

  4. 31 CFR 391.2 - Equitable considerations.

    Science.gov (United States)

    2010-07-01

    ... waiver provision in 4 CFR 102.13(g) may be extended. Such waiver will be considered on a case-by-case... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Equitable considerations. 391.2 Section 391.2 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued)...

  5. What is health resilience and how can we build it?

    Science.gov (United States)

    Wulff, Katharine; Donato, Darrin; Lurie, Nicole

    2015-03-18

    Whether a community is in the path of a natural disaster, the target of an act of terror, or simply striving to meet the demands of increasingly dense urban populations, a community resilience paradigm can help communities and individuals not just to mitigate damage and heal, but to thrive. This article discusses experiences from recent, large-scale disasters to explore how community resilience might serve as a sustainable paradigm for organizing public health and medical preparedness, response, and recovery. By strengthening health systems, meeting the needs of vulnerable populations, and promoting organizational competence, social connectedness, and psychological health, community resilience encourages actions that build preparedness, promote strong day-to-day systems, and address the underlying social determinants of health. Thus, community resilience resonates with a wide array of stakeholders, particularly those whose work routinely addresses health, wellness, or societal well-being. PMID:25581148

  6. Building a sustainable Academic Health Department: the South Carolina model.

    Science.gov (United States)

    Smith, Lillian Upton; Waddell, Lisa; Kyle, Joseph; Hand, Gregory A

    2014-01-01

    Given the limited resources available to public health, it is critical that university programs complement the development needs of agencies. Unfortunately, academic and practice public health entities have long been challenged in building sustainable collaborations that support practice-based research, teaching, and service. The academic health department concept offers a promising solution. In South Carolina, the partners started their academic health department program with a small grant that expanded into a dynamic infrastructure that supports innovative professional exchange and development programs. This article provides a background and describes the key elements of the South Carolina model: joint leadership, a multicomponent memorandum of agreement, and a shared professional development mission. The combination of these elements allows the partners to leverage resources and deftly respond to challenges and opportunities, ultimately fostering the sustainability of the collaboration. PMID:24667204

  7. Occupational safety and health issues associated with green building

    OpenAIRE

    Terwoert, J.; Ustailieva, E.

    2013-01-01

    This e-fact provides information on the work-related risk factors and the occupational safety and health (OSH) issues associated the planning and construction of green buildings, their maintenance, renovation (retrofitting), demolition, on-site waste collection. Some of these OSH risks are new compared with traditional construction sites and are associated with new green materials, technologies or design. Other risks are well-known to the construction sector but they arise in new situations o...

  8. Building peace through participatory health training: a case from Cambodia.

    Science.gov (United States)

    Ui, S; Leng, K; Aoyama, A

    2007-01-01

    This qualitative study examines the significance and effectiveness of participatory health training as a tool for peace building. It does so by analysing a case of training for 'health promoters' run by a Cambodian government health agency. The authors observed participants during the training and interviewed those involved in the courses. A developing capacity for coexistence and reconciliation between individuals who had been on opposite sides during the years of Khmer Rouge terror and continuous internal war was observed among both participants and trainers. Factors embodied in the training that facilitated favourable changes in self and in relations with others were identified as: (1) 'space for dialogue' was created by concrete common public health interests and urgent needs; (2) training took place 'live-in' style in a rural setting; (3) course contents and methods were consistent with peace education; (4) trainers had a conscious function as role models; and (5) there was continuity of effort and consequent accumulation of experience. To build peace, as well as conducting training directly on a technical topic, these essential factors need to be incorporated in the training programmes. PMID:19283628

  9. Neuroplasticity and Clinical Practice: Building Brain Power for Health.

    Science.gov (United States)

    Shaffer, Joyce

    2016-01-01

    The focus of this review is on driving neuroplasticity in a positive direction using evidence-based interventions that also have the potential to improve general health. One goal is to provide an overview of the many ways new neuroscience can inform treatment protocols to empower and motivate clients to make the lifestyle choices that could help build brain power and could increase adherence to healthy lifestyle changes that have also been associated with simultaneously enhancing vigorous longevity, health, happiness, and wellness. Another goal is to explore the use of a focus in clinical practice on helping clients appreciate this new evidence and use evolving neuroscience in establishing individualized goals, designing strategies for achieving them and increasing treatment compliance. The timing is urgent for such interventions with goals of enhancing brain health across the lifespan and improving statistics on dementia worldwide. PMID:27507957

  10. Health effects associated with energy conservation measures in commercial buildings

    International Nuclear Information System (INIS)

    Indoor air quality can be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. Health effects that could arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, to the irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. Results are reported in two volumes. Volume 1 summarizes the results of the search of the peer-reviewed literature on health effects associated with a selected list of indoor air contaminants. In addition, the report discusses potential health effects of polychlorinated biphenyls and chlorofluorocarbons. All references to the literature reviewed are found in this document Volume 2. Volume 2 provides detailed information from the literature reviewed, summarizes potential health effects, reports health hazard ratings, and discusses quantitative estimates of carcinogenic risk in humans and animals. Contaminants discussed in this report are those that; have been measured in the indoor air of a public building; have been measured (significant concentrations) in test situations simulating indoor air quality (as presented in the referenced literature); and have a significant hazard rating. 38 refs., 7 figs., 23 tabs

  11. Health effects associated with energy conservation measures in commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Stenner, R.D.; Baechler, M.C.

    1990-09-01

    Indoor air quality can be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. Health effects that could arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, to the irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. Results are reported in two volumes. Volume 1 summarizes the results of the search of the peer-reviewed literature on health effects associated with a selected list of indoor air contaminants. In addition, the report discusses potential health effects of polychlorinated biphenyls and chlorofluorocarbons. All references to the literature reviewed are found in this document Volume 2. Volume 2 provides detailed information from the literature reviewed, summarizes potential health effects, reports health hazard ratings, and discusses quantitative estimates of carcinogenic risk in humans and animals. Contaminants discussed in this report are those that; have been measured in the indoor air of a public building; have been measured (significant concentrations) in test situations simulating indoor air quality (as presented in the referenced literature); and have a significant hazard rating. 38 refs., 7 figs., 23 tabs.

  12. A research agenda for helminth diseases of humans: health research and capacity building in disease-endemic countries for helminthiases control.

    Science.gov (United States)

    Osei-Atweneboana, Mike Y; Lustigman, Sara; Prichard, Roger K; Boatin, Boakye A; Basáñez, María-Gloria

    2012-01-01

    Capacity building in health research generally, and helminthiasis research particularly, is pivotal to the implementation of the research and development agenda for the control and elimination of human helminthiases that has been proposed thematically in the preceding reviews of this collection. Since helminth infections affect human populations particularly in marginalised and low-income regions of the world, they belong to the group of poverty-related infectious diseases, and their alleviation through research, policy, and practice is a sine qua non condition for the achievement of the United Nations Millennium Development Goals. Current efforts supporting research capacity building specifically for the control of helminthiases have been devised and funded, almost in their entirety, by international donor agencies, major funding bodies, and academic institutions from the developed world, contributing to the creation of (not always equitable) North-South "partnerships". There is an urgent need to shift this paradigm in disease-endemic countries (DECs) by refocusing political will, and harnessing unshakeable commitment by the countries' governments, towards health research and capacity building policies to ensure long-term investment in combating and sustaining the control and eventual elimination of infectious diseases of poverty. The Disease Reference Group on Helminth Infections (DRG4), established in 2009 by the Special Programme for Research and Training in Tropical Diseases (TDR), was given the mandate to review helminthiases research and identify research priorities and gaps. This paper discusses the challenges confronting capacity building for parasitic disease research in DECs, describes current capacity building strategies with particular reference to neglected tropical diseases and human helminthiases, and outlines recommendations to redress the balance of alliances and partnerships for health research between the developed countries of the "North" and

  13. Measuring hygiene and health perfomance of buildings: a multidimensional approach.

    Science.gov (United States)

    Capolongo, S; Buffoli, M; Oppio, A; Rizzitiello, S

    2013-01-01

    This paper proposes an innovative and transparent methodology to support the "ASL Milano" (Local Health Agency) in the hygiene and health evaluation of construction projects, in order to highlight their positive and negative performance beyond the requirements imposed by the current laws and regulations regarding buildings' hygiene performance, which are too old and therefore unsuitable to ascertain the real quality of indoor environments. The compliance with laws or regulations, mostly out of date, and the assessment of performance involving only a part of the current emerging needs and problems, in fact, should be considered as a necessary, although not a sufficient step, to ensure high quality indoors. Consequently, it is necessary to identify and test an assessment tool which could provide an effective and flexible support for the development of hygiene and health statements regarding projects at building scale (new construction, conversion of the existing, rehabilitation, extension, change of use, etc). The assessment tool suggested by this paper is tailored for the metropolitan area of the city of Milan, but its evaluation framework could be developed and applied to other contexts. PMID:23471453

  14. PERCEPTION OF BUILDING CONSTRUCTION WORKERS TOWARDS SAFETY, HEALTH AND ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    C.R. CHE HASSAN

    2007-12-01

    Full Text Available The construction industry is known as one of the most hazardous activities. Therefore, safety on the job site is an important aspect with respect to the overall safety in construction. This paper assesses the safety level perception of the construction building workers towards safety, health and environment on a construction job site in Kuala Lumpur, Malaysia. The above study was carried out by choosing 5 selected large building construction projects and 5 small building construction projects respectively in and around Kuala Lumpur area. In the present study, an exhaustive survey was carried out in these 10 project site areas using a standard checklist and a detailed developed questionnaire. The checklist comprised 17 divisions of safety measurements which are considered and perceived to be important from the safety point of view and was assessed based on the score obtained. The questionnaire comprised the general information with 36 safety attitude statements on a 1-5 Likert scale which was distributed to 100 construction workers. The results of the checklist show the difference of safety levels between the large and small projects. The study revealed that the large projects shown a high and consistent level in safety while the small projects shown a low and varied safety levels. The relationship between the factors can be obtained from the questionnaire. They are organizational commitment, factor influencing communication among workmates, worker related factors, personal role and supervisors’ role factors, obstacles to safety and safe behavior factors and management commitment at all levels in line with the management structure and risk taking behavioral factors. The findings of the present study revealed invaluable indications to the construction managers especially in improving the construction workers’ attitude towards safety, health and environment and hence good safety culture in the building construction industries.

  15. Equitable setting target by using DEA

    Directory of Open Access Journals (Sweden)

    Kavous Soleimani Damane

    2015-01-01

    Full Text Available One application of DEA to apply fixed costs to input sourcear or setting target in out put that is done by decision maker for units. At first, Mr Cook and Kress in troduced DEA as an approach for allocating fixed costs, many people introduced such models [3]. For completing this issue, one model for equitable allocation of costs or sorce was introduced by Wade D. Cook and Joe Zhu [6]. In this proposal obtaining a model for fixed equtable setting target in units was proposed in order to efficiency before and after the setting target nevar changed.

  16. Capacity building for global health diplomacy: Thailand's experience of trade and health.

    Science.gov (United States)

    Thaiprayoon, Suriwan; Smith, Richard

    2015-11-01

    A rapid expansion of trade liberalization in Thailand during the 1990s raised a critical question for policy transparency from various stakeholders. Particular attention was paid to a bilateral trade negotiation between Thailand and USA concerned with the impact of the 'Trade-Related Aspects of Intellectual Rights (TRIPS) plus' provisions on access to medicines. Other trade liberalization effects on health were also concerning health actors. In response, a number of interagency committees were established to engage with trade negotiations. In this respect, Thailand is often cited as a positive example of a country that has proactively sought, and achieved, trade and health policy coherence. This article investigates this relationship in more depth and suggests lessons for wider study and application of global health diplomacy (GHD). This study involved semi-structured interviews with 20 people involved in trade-related health negotiations, together with observation of 9 meetings concerning trade-related health issues. Capacity to engage with trade negotiations appears to have been developed by health actors through several stages; starting from the Individual (I) understanding of trade effects on health, through Nodes (N) that establish the mechanisms to enhance health interests, Networks (N) to advocate for health within these negotiations, and an Enabling environment (E) to retain health officials and further strengthen their capacities to deal with trade-related health issues. This INNE model seems to have worked well in Thailand. However, other contextual factors are also significant. This article suggests that, in building capacity in GHD, it is essential to educate both health and non-health actors on global health issues and to use a combination of formal and informal mechanisms to participate in GHD. And in developing sustainable capacity in GHD, it requires long term commitment and strong leadership from both health and non-health sectors. PMID:25339636

  17. Indoor environmental and air quality characteristics, building-related health symptoms, and worker productivity in a federal government building complex.

    Science.gov (United States)

    Lukcso, David; Guidotti, Tee Lamont; Franklin, Donald E; Burt, Allan

    2016-01-01

    Building Health Sciences, Inc. (BHS), investigated environmental conditions by many modalities in 71 discreet areas of 12 buildings in a government building complex that had experienced persistent occupant complaints despite correction of deficiencies following a prior survey. An online health survey was completed by 7,637 building occupants (49% response rate), a subset of whom voluntarily wore personal sampling apparatus and underwent medical evaluation. Building environmental measures were within current standards and guidelines, with few outliers. Four environmental factors were consistently associated with group-level building-related health complaints: physical comfort/discomfort, odor, job stress, and glare. Several other factors were frequently commented on by participants, including cleanliness, renovation and construction activities, and noise. Low relative humidity was significantly associated with lower respiratory and "sick building syndrome"-type symptoms. No other environmental conditions (including formaldehyde, PM10 [particulate matter with an aerodynamic diameter conditions, or together, were hierarchically associated with the following: increased absence, increased presenteeism (presence at work but at reduced capacity), and increase in reported symptom-days, including symptoms not related to respiratory disease. We found that in buildings without unusual hazards and with environmental and air quality indicators within the range of acceptable indoor air quality standards, there is an identifiable population of occupants with a high prevalence of asthma and allergic disease who disproportionately report discomfort and lost productivity due to symptoms and that in "normal" buildings these outcome indicators are more closely associated with host factors than with environmental conditions. We concluded from the experience of this study that building-related health complaints should be investigated at the work-area level and not at a building

  18. An equitable way to pay for universal coverage.

    Science.gov (United States)

    Rasell, E

    1999-01-01

    This article describes a way to finance universal health care coverage that preserves much of the current financing system and replaces funds obtained from regressive sources with revenue from more progressive ones. New funding would be needed for 24 percent of health expenditures and would be raised through an increase in the federal personal income tax. Premiums are eliminated since their cost is the same to everyone regardless of income. Cost sharing and out-of-pocket spending for medically necessary services are also abolished. In a more equitably financed system, employers would pay a new payroll tax that raised the same amount of money they currently spend for employee health insurance premiums; this would require a payroll tax of about 7 percent. Revenue from an increase in federal personal income taxes would replace household out-of-pocket expenditures for medically necessary services and payments for insurance premiums. For the average, middle-income family, the tax increase would total $731 in 1998. In exchange for the tax increase, no American or American employer would need to buy health insurance or face out-of-pocket charges for any medically indicated health care. PMID:10079403

  19. Perceived health and comfort in relation to energy use and building characteristics

    NARCIS (Netherlands)

    Roulet, C.A.; Johner, N.; Foradini, F.; Bluyssen, P.; Cox, C.; Oliveira Fernandes, E.; Müller, B.; Aizlewood, C.

    2006-01-01

    Within the European research project Health Optimisation Protocol for Energy-efficient Building (HOPE), 96 apartment buildings and 64 office buildings (of which approximately 75% have been designed to be energy-efficient) were investigated. The building characteristics were assessed according to a c

  20. Two-out degree equitable domination in graphs

    Directory of Open Access Journals (Sweden)

    Ali Sahal

    2013-09-01

    Full Text Available An equitable domination has interesting application in the contextof social networks. In a network, nodes with nearly equal capacitymay interact with each other in a better way. In the societypersons with nearly equal status, tend to be friendly. In thispaper, we introduce new variant of equitable domination of agraph. Basic properties and some interesting results have beenobtained.

  1. 20 CFR 222.34 - Relationship resulting from equitable adoption.

    Science.gov (United States)

    2010-04-01

    ... RAILROAD RETIREMENT ACT FAMILY RELATIONSHIPS Relationship as Child § 222.34 Relationship resulting from... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Relationship resulting from equitable... adopted child. A claimant will have the relationship of an equitably adopted child for annuity and...

  2. 34 CFR 300.137 - Equitable services determined.

    Science.gov (United States)

    2010-07-01

    ... Private Schools § 300.137 Equitable services determined. (a) No individual right to special education and related services. No parentally-placed private school child with a disability has an individual right to... 34 Education 2 2010-07-01 2010-07-01 false Equitable services determined. 300.137 Section...

  3. European project HOPE (Health Optimization Protocol for Energy-efficient Buildings)

    NARCIS (Netherlands)

    Bluyssen, P.M.; Cox, C.W.J.; Maroni, M.; Boschi, N.; Raw, G.; Roulet, C.A.; Foradini, F.

    2003-01-01

    In January 2002, a new European project named HOPE (Health Optimization Protocol for Energy-efficient Buildings) started with 14 participants from nine European countries. The final goal of the project is to provide the means to increase the number of energy-efficient buildings, i.e. buildings that

  4. Designing Equitable Antiretroviral Allocation Strategies in Resource-Constrained Countries

    Directory of Open Access Journals (Sweden)

    Wilson David P

    2005-01-01

    Full Text Available Background Recently, a global commitment has been made to expand access to antiretrovirals (ARVs in the developing world. However, in many resource-constrained countries the number of individuals infected with HIV in need of treatment will far exceed the supply of ARVs, and only a limited number of health-care facilities (HCFs will be available for ARV distribution. Deciding how to allocate the limited supply of ARVs among HCFs will be extremely difficult. Resource allocation decisions can be made on the basis of many epidemiological, ethical, or preferential treatment priority criteria. Methods and Findings Here we use operations research techniques, and we show how to determine the optimal strategy for allocating ARVs among HCFs in order to satisfy the equitable criterion that each individual infected with HIV has an equal chance of receiving ARVs. We present a novel spatial mathematical model that includes heterogeneity in treatment accessibility. We show how to use our theoretical framework, in conjunction with an equity objective function, to determine an optimal equitable allocation strategy (OEAS for ARVs in resource-constrained regions. Our equity objective function enables us to apply the egalitarian principle of equity with respect to access to health care. We use data from the detailed ARV rollout plan designed by the government of South Africa to determine an OEAS for the province of KwaZulu-Natal. We determine the OEAS for KwaZulu-Natal, and we then compare this OEAS with two other ARV allocation strategies: (i allocating ARVs only to Durban (the largest urban city in KwaZulu-Natal province and (ii allocating ARVs equally to all available HCFs. In addition, we compare the OEAS to the current allocation plan of the South African government (which is based upon allocating ARVs to 17 HCFs. We show that our OEAS significantly improves equity in treatment accessibility in comparison with these three ARV allocation strategies. We also

  5. Building institutions for health and health systems in contexts of rapid change.

    Science.gov (United States)

    Bloom, Gerald; Wolcott, Sara

    2013-11-01

    Many Asian countries are in the midst of multiple interconnected social, economic, demographic, technological, institutional and environmental transitions. These changes are having important impacts on health and well-being and on the capacity of health systems to respond to health-related problems. This paper focuses on the creation of institutions to overcome information asymmetry and encourage the provision of safe, effective and affordable health services in this context of complexity and rapid change. It presents a review of literature on different approaches to the analysis of the management of system development and institution-building. There is a general agreement that the outcome of an intervention depends a great deal on the way that a large number of agents respond. Their response is influenced by the institutional arrangements that mediate relationships between health sector actors and also by their understandings and expectations of how other actors will respond. The impact of a policy or specific intervention is difficult to predict and there is a substantial risk of unintended outcomes. This creates the need for an iterative learning approach in which widespread experimentation is encouraged, good and bad experiences are evaluated and policies are formulated on the basis of the lessons learned. This enables actors to learn their roles and responsibilities and the appropriate responses to new incentive structures. The paper concludes with an outline of the information needs of managers of health system change in societies in the midst of rapid development. PMID:23313497

  6. Energy analysis and renovation proposal for the community health centre Fužine building

    OpenAIRE

    Strmljan, Eva

    2016-01-01

    European environmental policy demands a transition toward nearly zero-energy buildings. Its goal is to reduce energy consumption and increase the use of renewable energy sources. In the diploma thesis, different building energy parameters needed to evaluate energy efficiency are presented and calculated for the Community health Centre Fužine building. Firstly an analysis was carried out to determine whether the building complies with the c...

  7. Perceived health and comfort in relation to energy use and building characteristics

    Energy Technology Data Exchange (ETDEWEB)

    Roulet, C.-A.; Johner, N. [Ecole Polytechnique Federale, Lausanne (Switzerland); Foradini, F. [E4Tech S., Lausanne (Switzerland); Bluyssen, P.; Cox, C. [TNO Built Environment and Geosciences, Delft (Netherlands); Oliveira Fernandes, E. De [IDMEC-FUEP, Porto (Portugal); Mueller, B. [Technical University of Berlin, Berlin (Germany); Aizlewood, C. [Building Research Establishment, Watford (United Kingdom)

    2006-09-15

    Within the European research project Health Optimisation Protocol for Energy-efficient Building (HOPE), 96 apartment buildings and 64 office buildings (of which approximately 75% have been designed to be energy-efficient) were investigated. The building characteristics were assessed according to a checklist during a walk-through survey. Occupant questionnaires were used to determine satisfaction about comfort (thermal visual, acoustical and indoor air quality (IAQ)) and their health (Sick Building Syndrome and allergies). Building-averaged collected data are compared, looking for correlations between building characteristics on one hand, and perceived comfort and health on the other hand. Strong correlations are found between perceived IAQ, thermal, acoustic and lighting comfort, confirming results from other studies. Significant correlations between the perceived comfort and building related symptoms were also found, comfortable and healthier buildings being well distinct from uncomfortable ones. Differences of perceived comfort or health between low- and high-energy buildings show that it is possible to design buildings that are healthy, comfortable and energy efficient. (author)

  8. Prospects for equitable growth in rural sub-Saharan Africa

    OpenAIRE

    Haggblade, Steven; Hazell, Peter B.

    1988-01-01

    Improving agricultural technology equitably in Africa has been difficult in the past because of the vast differences, as well as weak institutions and infrastructure in its many regions. However, the prospects for equitable growth are good for several reasons. The distribution of land has not deteriorated, and there are few landless people in Africa. Technical packages do not favor large farms over small ones, and Africa's social institutions support people with a safety net for sources of in...

  9. "We can move forward": challenging historical inequity in public health research in Solomon Islands

    OpenAIRE

    Speare Richard; Muse Alwin; Harrington Humpress; Fa'anuabae Chillion E; Asugeni Rowena; MacLaren David J; Redman-MacLaren Michelle L; Clough Alan R

    2010-01-01

    Abstract Background In resource-poor countries, such as Solomon Islands, the research agenda on health is often dominated by researchers from resource-rich countries. New strategies are needed to empower local researchers to set directions for health research. This paper presents a process which seeks to enable a local and potentially more equitable research agenda at a remote hospital in Solomon Islands. Methods In preparation for a health research capacity-building workshop at Atoifi Advent...

  10. Building a culture of health: A new framework and measures for health and health care in America.

    Science.gov (United States)

    Trujillo, Matthew D; Plough, Alonzo

    2016-09-01

    For generations, Americans' health has been unequally influenced by income, education, ethnicity, and geography. Health care systems have operated largely apart from each other and from community life. The definition of health has been the "absence of illness," rather than the recognition that all aspects of our lives should support health. Today, a growing number of communities, regions, and states are working to redefine what it means to get and stay healthy by addressing the multiple determinants of health. The requirements of federal health care reform are changing who has access to care, how care is paid for and delivered, and how patients and providers interact. Coordinated efforts to promote wellness and prevent diseases are proliferating among a diverse set of stakeholders. These developments in health and in society present a window of opportunity for real societal transformation-a chance to catalyze a national movement that demands and supports a widely shared, multifaceted vision for a Culture of Health. To address this challenge, the Robert Wood Johnson Foundation has embarked on a strategic direction to use the tools of a large national philanthropy to catalyze a social movement which we are calling Building a Culture of Health. This article presents the Foundation's new model for a Culture of Health, the trans-disciplinary research that developed a set of metrics that tie to the model, and the community engagement activities undertaken in the development of both the model and metrics. The model and associated metrics and extensive communication, in addition to partnership, and grant funding strategies, represent a culture change strategy being implemented over 20 years. Addressing underlying inequities in health affirming life conditions and improving social cohesion across diverse groups to take action to improve theses condition lay at the heart of this strategy. PMID:27405727

  11. Building Systems for Universal Health Coverage in South Korea

    OpenAIRE

    Na, Sanggon; Kwon, Soonman

    2015-01-01

    This paper broadly examines the development process of Korea’s health care system toward the achievement of Universal Health Coverage. Korea implemented a series of health care reforms after a rapid expansion of population coverage to improve efficiency and equity in financing and delivery of health care. The authors also investigate changes in the governance structure of Korea’s national health Insurance, which is now represented by two agencies: National Health Insurance Service (NHIS) and ...

  12. Capacity Building and Financing Oral Health in the African and Middle East Region.

    Science.gov (United States)

    Mumghamba, E G; Joury, E; Fatusi, O; Ober-Oluoch, J; Onigbanjo, R J; Honkala, S

    2015-07-01

    Many low- and middle-income countries do not yet have policies to implement effective oral health programs. A reason is lack of human and financial resources. Gaps between resource needs and available health funding are widening. By building capacity, countries aim to improve oral health through actions by oral health care personnel and oral health care organizations and their communities. Capacity building involves achieving measurable and sustainable results in training, research, and provision of care. Actions include advancement of knowledge, attitudes and skills, expansion of support, and development of cohesiveness and partnerships. The aim of this critical review is to review existing knowledge and identify gaps and variations between and within different income levels in relation to the capacity building and financing oral health in the African and Middle East region (AMER). A second aim is to formulate research priorities and outline a research agenda for capacity building and financing to improve oral health and reduce oral health inequalities in the AMER. The article focuses on capacity building for oral health and oral health financing in the AMER of the IADR. In many communities in the AMER, there are clear and widening gaps between the dental needs and the existing capacity to meet these needs in terms of financial and human resources. Concerted efforts are required to improve access to oral health care through appropriate financing mechanisms, innovative health insurance schemes, and donor support and move toward universal oral health care coverage to reduce social inequality in the region. It is necessary to build capacity and incentivize the workforce to render evidence-based services as well as accessing funds to conduct research on equity and social determinants of oral health while promoting community engagement and a multidisciplinary approach. PMID:26101338

  13. Building

    OpenAIRE

    Seavy, Ryan

    2014-01-01

    Building for concrete is temporary. The building of wood and steel stands against the concrete to give form and then gives way, leaving a trace of its existence behind. Concrete is not a building material. One does not build with concrete. One builds for concrete.

  14. The new library building at the University of Texas Health Science Center at San Antonio.

    Science.gov (United States)

    Kronick, D A; Bowden, V M; Olivier, E R

    1985-04-01

    The new University of Texas Health Science Center at San Antonio Library opened in June 1983, replacing the 1968 library building. Planning a new library building provides an opportunity for the staff to rethink their philosophy of service. Of paramount concern and importance is the need to convey this philosophy to the architects. This paper describes the planning process and the building's external features, interior layouts, and accommodations for technology. Details of the move to the building are considered and various aspects of the building are reviewed. PMID:3995205

  15. Efficient and equitable HIV prevention: A case study of male circumcision in South Africa

    Directory of Open Access Journals (Sweden)

    Verguet Stéphane

    2013-01-01

    Full Text Available Abstract Background We determine efficient, equitable and mixed efficient-equitable allocations of a male circumcision (MC intervention reducing female to male HIV transmission in South Africa (SA, as a case study of an efficiency-equity framework for resource allocation in HIV prevention. Methods We present a mathematical model developed with epidemiological and cost data from the nine provinces of SA. The hypothetical one-year-long MC intervention with a budget of US$ 10 million targeted adult men 15–49 years of age in SA. The intervention was evaluated according to two criteria: an efficiency criterion, which focused on maximizing the number of HIV infections averted by the intervention, and an equity criterion (defined geographically, which focused on maximizing the chance that each male adult individual had access to the intervention regardless of his province. Results A purely efficient intervention would prevent 4,008 HIV infections over a year. In the meantime, a purely equitable intervention would avert 3,198 infections, which represents a 20% reduction in infection outcome as compared to the purely efficient scenario. A half efficient-half equitable scenario would prevent 3,749 infections, that is, a 6% reduction in infection outcome as compared to the purely efficient scenario. Conclusions This paper provides a framework for resource allocation in the health sector which incorporates a simple equity metric in addition to efficiency. In the specific context of SA with a MC intervention for the prevention of HIV, incorporation of geographical equity only slightly reduces the overall efficiency of the intervention.

  16. Reorienting health services with capacity building: a case study of the Core Skills in Health Promotion Project.

    Science.gov (United States)

    Yeatman, H R; Nove, T

    2002-12-01

    This paper presents a case study of the application of a framework for capacity building [Hawe, P., King, L., Noort, M., Jordens, C. and Lloyd, B. (2000) Indicators to Help with Capacity Building in Health Promotion. NSW Health, Sydney] to describe actions aimed at building organizational support for health promotion within an area health service in New South Wales, Australia. The Core Skills in Health Promotion Project (CSHPP) arose from an investigation which reported that participants of a health promotion training course had increased health promotion skills but that they lacked the support to apply their skills in the workplace. The project was action-research based. It investigated and facilitated the implementation of a range of initiatives to support community health staff to apply a more preventive approach in their practice and it contributed to the establishment of new organizational structures for health promotion. An evaluation was undertaken 4 years after the CSHPP was established, and 2 years after it had submitted its final report. Interviews with senior managers, document analysis of written reports, and focus groups with middle managers and service delivery staff were undertaken. Change was achieved in the three dimensions of health infrastructure, program maintenance and problem solving capacity of the organization. It was identified that the critically important elements in achieving the aims of the project-partnership, leadership and commitment-were also key elements of the capacity building framework. This case study provides a practical example of the usefulness of the capacity building framework in orienting health services to be supportive of health promotion. PMID:12406922

  17. Building Global Health Research Competencies at the Undergraduate Level

    Science.gov (United States)

    Hatfield, Jennifer M.; Hecker, Kent G.; Jensen, Ashley E.

    2009-01-01

    Faculty from the University of Calgary's bachelor of health sciences (BHSc) Global Health Program argue for the development of "global health research competencies" to prepare students for international placements in low- and middle-income countries. These competencies include the ability to define and describe (a) how to use the concept of health…

  18. Building a culture of health of future teachers

    OpenAIRE

    Vera Tolmacheva

    2013-01-01

    The article reflects some aspects of the formation of the culture of the health of a future teacher. Considered are the main this is an Ethnography of development of the content of the health culture of the future teachers, as well as the representatives of the positive dynamics of health status of the future specialists.

  19. Life in the Big City: Building a Culture of Health

    OpenAIRE

    Lumpkin, John

    2014-01-01

    This commentary describes Culture of Health, which is the RWJF vision of a shared expectation of the value of health, of individuals and organizations with the capacity to promote widespread well-being, and of healthy lifestyles and access to high-quality health care for everyone.

  20. Methodology developed for the energy-productive diagnosis and evaluation in health buildings

    Energy Technology Data Exchange (ETDEWEB)

    Martini, I.; Discoli, C.; Rosenfeld, E. [Instituto de Estudios del Habitat (IDEHAB), Facultad de Arquitectura y Urbanismo, Universidad Nacional de La Plata, La Plata, Buenos Aires (Argentina)

    2007-07-01

    The public health network in Argentina consists of a wide variety of buildings presenting a complex system of services and structures. In order to modulate and study the energy behaviour of each type of health facility, a database of Energy-Productive Building Modules (Modulos Edilicios Energeticos Productivos: MEEP) was built. This involved evaluating the interactions among physical spaces, building envelope, infrastructure, and equipment usage with the energy consumption, for each specialty service provided in the most common buildings present in the health service network. The MEEP database enables investigators to: (i) Obtain detailed information on each facility. (ii) Identify variables critical to an energy consumption perspective. (iii) Detect areas of over consumption and/or inadequate infrastructure. (iv) Gather essential reference material for the design of health facilities and other similar sectors. The information of each MEEP can be summarized in typological charts. (author)

  1. Adapting to Students' Social and Health Needs: Suggested Framework for Building Inclusive Models of Practice

    Science.gov (United States)

    Schwitzer, Alan M.

    2009-01-01

    Objective: This article builds on earlier discussions about college health research. The author suggests a 5-step framework that research practitioners can use to build models of practice that accurately address the needs of diverse campus populations. Methods: The author provides 3 illustrations, drawn from published research examining college…

  2. Equitable Financial Evaluation Method for Public-Private Partnership Projects

    Institute of Scientific and Technical Information of China (English)

    KE Yongjian; LIU Xinping; WANG Shouqing

    2008-01-01

    The feasibility study of a public-private partnership (PPP) project is regarded as one of the critical factors for successful implementation,but unfortunately the common financial evaluation methods currently used only represent the benefits of the private sector.There is,therefore,an urgent need to develop an equitable financial evaluation method for PPP projects.This paper presents a comprehensive literature review that examines international practices.An equitable financial evaluation method was then developed taking into account the inherent characteristics of PPP projects using six separate indicators and Monte Carlo simulations.The result for a bridge project in Romania shows that the method combines the viewpoints of all the relevant stakeholders to achieve an equitable financial evaluation of PPP projects.

  3. The Internet. Building knowledge & offering integrated solutions to health care.

    Science.gov (United States)

    Russo, H E

    2000-07-01

    Technology is changing the way we do things, including how the health care community provides information and services to the public. Disparate populations, once separated by distance and time, will experience dramatic changes as they become part of a global community. Fundamental changes will continue to occur in the way health information is received, utilized, exchanged and stored. This article explores access to the Internet as well as applications of interactive health technology and the emerging issues surrounding technology use. PMID:11010439

  4. Leadership, institution building and pay-back of health systems research in Mexico

    Directory of Open Access Journals (Sweden)

    González-Block Miguel

    2009-09-01

    Full Text Available Abstract Background Health systems research is being increasingly called upon to support scaling up of disease control interventions and to support rapid health sector change. Yet research capacity building and pay-back take years or even decades to be demonstrated, while leadership and institution building are critical for their success. The case of Mexico can be illustrative for middle income countries and emerging economies striving to build health research systems. Methods Historical reflection suggests the relationship between health sector reforms and economic crisis, on the one hand, and research capacity building and payback, on the other. Mexico's post-revolutionary background and its three health sector reforms are analyzed to identify the emphases given to health systems research. Results The first wave of health reform in the 1940s emphasized clinical and epidemiological research. Health systems research was not encouraged in a context of rapid economic development and an authoritarian regime. In contrast, health systems research was given a privileged place with the second wave of health reforms in the 1980s, which addressed health system coordination, decentralization and the universal right to health in a context of a deep economic crisis. The third wave of health reforms between 2003 and 2006 was based on the health system models proposed through research in the 90s. The credibility gained by research institutions was critical to ensure government uptake. Research influence can be traced through the role it played in defining a problem, in designing innovative insurance mechanisms and in establishing evaluation frameworks. It is argued that the Ministry of Health's budget increase of 56% between 2003 and 2006 and the reductions in inequity are pay-back to research investments since the 1980s.

  5. Health profile of workers in a ship building and repair industry

    Directory of Open Access Journals (Sweden)

    Vaishali R Lokhande

    2014-01-01

    Full Text Available Background: The modern ship building industry, which encompasses the ship yards and marine equipment manufacturing, is an important and strategic industry. The various activities in modern ship building, maintenance, and repair have to be carried out at heights, or in closed confined spaces along with the added risk of exposure to chemicals and metal fumes. These activities expose the workers to various health hazards. Aims: This study was carried out with an aim to assess the health profile of workers in the ship building industry and to assess the occupational health issues related to ship building. Settings and Design: It was a cross-sectional study carried out on 100 randomly selected workers in a ship building yard in Mumbai, and their health profile was studied. Materials and Methods: The workers were enquired for history of co-morbidities, addictions and personal protective equipment use, health-related complaints, and were examined systemically as well as for bedside tests for hearing and detailed systemic examination as per the history or co-morbidity. Results: The important observations were those of prevalence of addictions (69%, irregular use of personal protective equipments (PPEs among 50% of paint workers, presence of hypertension (20%, overweight (53%, osteoarthritis (10%, hearing loss (25%, and poor self-care. Conclusions: Health education to the workers regarding occupational hazards and lifestyle diseases along with more emphasis on the use of PPEs with regular health examination needs reinforcement.

  6. The urban context: a place to eliminate health disparities and build organizational capacity.

    Science.gov (United States)

    Gilbert, Keon L; Quinn, Sandra Crouse; Ford, Angela F; Thomas, Stephen B

    2011-01-01

    This study seeks to examine the process of building the capacity to address health disparities in several urban African American neighborhoods. An inter-organizational network consisting of a research university, community members, community organizations, media partners, and foundations was formed to develop a community-based intervention designed to provide health promotion and disease prevention strategies for type 2 diabetes and hypertension. In-depth qualitative interviews (n = 18) with foundation executives and project directors, civic organization leadership, community leaders, county epidemiologist, and university partners were conducted. Our study contextualizes a process to build a public health partnership using cultural, community, organizational, and societal factors necessary to address health disparities. Results showed 5 important factors to build organizational capacity: leadership, institutional commitment, trust, credibility, and inter-organizational networks. These factors reflected other important organizational and community capacity indicators such as: community context, organizational policies, practices and structures, and the establishment of new commitments and partnerships important to comprehensively address urban health disparities. Understanding these factors to address African American health disparities will provide lessons learned for health educators, researchers, practitioners, foundations, and communities interested in building and sustaining capacity efforts through the design, implementation, and maintenance of a community-based health promotion intervention. PMID:21271434

  7. Claim Your Space: Leadership Development as a Research Capacity Building Goal in Global Health

    Science.gov (United States)

    Airhihenbuwa, Collins O.; Ogedegbe, Gbenga; Iwelunmor, Juliet; Jean-Louis, Girardin; Williams, Natasha; Zizi, Freddy; Okuyemi, Kolawole

    2016-01-01

    As the burden of noncommunicable diseases (NCDs) rises in settings with an equally high burden of infectious diseases in the Global South, a new sense of urgency has developed around research capacity building to promote more effective and sustainable public health and health care systems. In 2010, NCDs accounted for more than 2.06 million deaths…

  8. Building on research evidence to change health literacy policy and practice in England

    DEFF Research Database (Denmark)

    Rowlands, Gillian; Berry, Jonathan; Protheroe, Joanne;

    2015-01-01

    Background: Health literacy is important because of the high proportion of the population with skills below those needed to become and stay healthy, and the resultant negative impact on people’s lives. A recent study in England has shown that, as is true in other industrialized nations......, a significant proportion of people (43–61%) have literacy and numeracy skills below those needed to fully understand and use health materials. This paper describes a project designed to build on these findings with key stakeholders to develop an action plan to address a mismatch between population skills...... service, and industry perspectives. Suggested topics for action fell into four areas; improving health services, building health literacy skills in the population and workforce, recognizing the importance of public information developed outside the health arena, and funding for health literacy research...

  9. Public University Entry in Ghana: Is It Equitable?

    Science.gov (United States)

    Yusif, Hadrat; Yussof, Ishak; Osman, Zulkifly

    2013-01-01

    Public universities in Ghana are highly subsidised by the central government and account for about 80 per cent of university students in the country. Yet issues of fairness in terms of entry into the public university system have so far hardly been addressed. To find out whether participation in public university education is equitable, the…

  10. CETA: Is It Equitable for Women? A Rand Note.

    Science.gov (United States)

    Berryman, Sue E.; And Others

    A study assessed whether the Comprehensive Employment and Training Act (CETA) equitably allocates its training, employment, occupational, and wage benefits by sex. To analyze the sex equity of CETA's resource distribution, researchers used data from the Continuous Longitudinal Manpower Survey (CLMS) for fiscal 1976, 1977, and 1978 CETA enrollees.…

  11. Building diversity in a complex academic health center.

    Science.gov (United States)

    South-Paul, Jeannette E; Roth, Loren; Davis, Paula K; Chen, Terence; Roman, Anna; Murrell, Audrey; Pettigrew, Chenits; Castleberry-Singleton, Candi; Schuman, Joel

    2013-09-01

    For 30 years, the many diversity-related health sciences programs targeting the University of Pittsburgh undergraduate campus, school of medicine, schools of the health sciences, clinical practice plan, and medical center were run independently and remained separate within the academic health center (AHC). This lack of coordination hampered their overall effectiveness in promoting diversity and inclusion. In 2007, a group of faculty and administrators from the university and the medical center recognized the need to improve institutional diversity and to better address local health disparities. In this article, the authors describe the process of linking the efforts of these institutions in a way that would be successful locally and applicable to other academic environments. First, they engaged an independent consultant to conduct a study of the AHC's diversity climate, interviewing current and former faculty and trainees to define the problem and identify areas for improvement. Next, they created the Physician Inclusion Council to address the findings of this study and to coordinate future efforts with institutional leaders. Finally, they formed four working committees to address (1) communications and outreach, (2) cultural competency, (3) recruitment, and (4) mentoring and retention. These committees oversaw the strategic development and implementation of all diversity and inclusion efforts. Together these steps led to structural changes within the AHC and the improved allocation of resources that have positioned the University of Pittsburgh to achieve not only diversity but also inclusion and to continue to address the health disparities in the Pittsburgh community. PMID:23886998

  12. Synthesis of vibration control and health monitoring of building structures under unknown excitation

    International Nuclear Information System (INIS)

    The vibration control and health monitoring of building structures have been actively investigated in recent years but often treated separately according to the primary objective pursued. In this study, a time-domain integrated vibration control and health monitoring approach is proposed based on the extended Kalman filter (EKF) for identifying the physical parameters of the controlled building structures without the knowledge of the external excitation. The physical parameters and state vectors of the building structure are then estimated and used for the determination of the control force for the purpose of the vibration attenuation. The interaction between the health monitoring and vibration control is revealed and assessed. The feasibility and reliability of the proposed approach is numerically demonstrated via a five-story shear building structure equipped with magneto-rheological (MR) dampers. Two types of excitations are considered: (1) the EI-Centro ground excitation underneath of the building and (2) a swept-frequency excitation applied on the top floor of the building. Results show that the structural parameters as well as the unknown dynamic loadings could be identified accurately; and, at the same time, the structural vibration is significantly reduced in the building structure. (paper)

  13. Building A Health Care Data Warehouse for Cancer Diseases

    Directory of Open Access Journals (Sweden)

    Osama E.Sheta

    2012-11-01

    Full Text Available This paper presents architecture for health care data warehouse specific to cancer diseases which could be used by executive managers, doctors, physicians and other health professionals to support the healthcare process. The data today existing in multi sources with different formats makes it necessary to have some techniques for data integration. Executive managers need access to Information so that decision makers can react in real time to changing needs. Information is one of the most factors to an organization success that executive managers or physicians would need to base their decisions on, during decisionmaking. A health care data warehouse is therefore necessary to integrate the different data sources into a central data repository and analysis this data.

  14. Copula Correlation: An Equitable Dependence Measure and Extension of Pearson's Correlation

    OpenAIRE

    Ding, A. Adam; Li, Yi

    2013-01-01

    In Science, Reshef et al. (2011) proposed the concept of equitability for measures of dependence between two random variables. To this end, they proposed a novel measure, the maximal information coefficient (MIC). Recently a PNAS paper (Kinney and Atwal, 2014) gave a mathematical definition for equitability. They proved that MIC in fact is not equitable, while a fundamental information theoretic measure, the mutual information (MI), is self-equitable. In this paper, we show that MI also does ...

  15. A realist synthesis of the effect of social accountability interventions on health service providers’ and policymakers’ responsiveness

    OpenAIRE

    Lodenstein, Elsbet; Dieleman, Marjolein; Gerretsen, Barend; Broerse, Jacqueline EW

    2013-01-01

    Background Accountability has center stage in the current post-Millennium Development Goals (MDG) debate. One of the effective strategies for building equitable health systems and providing quality health services is the strengthening of citizen-driven or social accountability processes. The monitoring of actions and decisions of policymakers and providers by citizens is regarded as a right in itself but also as an alternative to weak administrative accountability mechanisms, in particular in...

  16. A cost effective wireless structural health monitoring network for buildings in earthquake zones

    International Nuclear Information System (INIS)

    The design, programming and implementation of a cost effective wireless structural health monitoring system (wSHMs) is presented, able to monitor the seismic and/or man-made acceleration in buildings. This system actually operates as a sensor network exploiting internet connections that commonly exist, aiming to monitor the structural health of the buildings being installed. Key-feature of wSHMs is that it can be implemented in Wide Area Network mode to cover many remote structures and buildings, on metropolitan scale. Acceleration data is able to send, in real time, from dozens of buildings of a broad metropolitan area, to a central database, where they are analyzed in order to depict possible structural damages or nonlinear characteristics and alert for non-appropriateness of specific structures. (paper)

  17. 20 CFR 234.14 - Payment to an equitably entitled person.

    Science.gov (United States)

    2010-04-01

    ... RETIREMENT ACT LUMP-SUM PAYMENTS Lump-Sum Death Payment § 234.14 Payment to an equitably entitled person. (a) An equitably entitled person's funds used to pay burial expenses may consist of: (1) The individual's... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Payment to an equitably entitled person....

  18. Ergonomics on the Build Colombian Health of Workers

    Directory of Open Access Journals (Sweden)

    Jairo Ernesto Luna García

    2014-06-01

    Full Text Available The health of workers in Colombia traverses multiple challenges and difficulties, starting from the national, political and economic context, crossroads living social security system and the trends in the world of work. Faced with this situation, the ergonomics as a field of knowledge and action has multiple possibilities of contribution, which depend on not to see this disciplined reduced to a technical dimension, but encourage their contribution within a framework of action located and contextualized. Although it has emphasized the action of ergonomics in its contribu-tion to the prevention of muscle-skeletal disorders, their contribution to the health of workers can be very important, in a setting of search of the labor and social welfare as a complement to the prevention of occupational risks.

  19. Carolinas HealthCare attends to patients, amenities; builds business.

    Science.gov (United States)

    Rees, T

    2000-01-01

    Carolinas HealthCare System has grown into a nearly two billion dollar entity by focusing on patient needs and amenities in its health care facilities. Growth of the system, the largest in North and South Carolina, is due in large part to Harry A. Nurkin, president and CEO, who started out with a run-down hospital for indigents. With the approval of the hospital board, Nurkin launched a marketing effort that included taking a lesson from the founders of the Holiday Inn hotel chain. He remodeled and developed facilities that are pleasing to patients and visitors, moved patient parking closer to the hospitals' front doors, taught key hospital personnel the basics about marketing, aligned the system with ABA and NFL teams and conducted an aggressive advertising program. PMID:11143133

  20. Building the occupational health team: keys to successful interdisciplinary collaboration.

    Science.gov (United States)

    Wachs, Joy E

    2005-04-01

    Teamwork among occupational health and safety professionals, management, and employees is vital to solving today's complex problems cost-effectively. No single discipline can meet all the needs of workers and the workplace. However, teamwork can be time-consuming and difficult if attention is not given to the role of the team leader, the necessary skills of team members, and the importance of a supportive environment. Bringing team members together regularly to foster positive relationships and infuse them with the philosophy of strength in diversity is essential for teams to be sustained and work to be accomplished. By working in tandem, occupational health and safety professionals can become the model team in business and industry delivering on their promise of a safe and healthy workplace for America's work force. PMID:15853292

  1. Organizational Leadership For Building Effective Health Care Teams

    OpenAIRE

    Taplin, Stephen H.; Foster, Mary K.; Shortell, Stephen M.

    2013-01-01

    The movement toward accountable care organizations and patient-centered medical homes will increase with implementation of the Affordable Care Act (ACA). The ACA will therefore give further impetus to the growing importance of teams in health care. Teams typically involve 2 or more people embedded in a larger social system who differentiate their roles, share common goals, interact with each other, and perform tasks affecting others. Multiple team types fit within this definition, and they al...

  2. Building Sustainable Health and Education Partnerships: Stories From Local Communities

    OpenAIRE

    Blank, Martin J

    2015-01-01

    BACKGROUND Growing health disparities have a negative impact on young people's educational achievement. Community schools that involve deep relationships with partners across multiple domains address these disparities by providing opportunities and services that promote healthy development of young people, and enable them to graduate from high school ready for college, technical school, on-the-job training, career, and citizenship. METHODS Results from Milwaukie High School, North Clackamas, ...

  3. The effect of renovating an office building on occupants' comfort and health

    DEFF Research Database (Denmark)

    Pejtersen, Jan; Brohus, H.; Hyldgaard, C.E.; Nielsen, J.B.; Valbjørn, O.; Hauschildt, P.; Kjærgaard, S.K.; Wolkoff, P.

    An intervention study was performed in an office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet floor material was replaced with a low......-emitting vinyl floor; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation, including a questionnaire study of the occupants' comfort and health, was performed before and after the intervention. The intervention was performed after detailed...

  4. Building a strong foundation : integrating land use and health

    International Nuclear Information System (INIS)

    This presentation described the City of Hamilton's commitment to sustainability with reference to its long-term vision for land use, roads and cars that will affect the environment, society and the economy for 2020. The presentation outlined land use decisions that affect air quality, the economy, personal health, and community well-being in terms of commuting time and mobility. The action plan adopted by the City of Hamilton involves an integrated approach which considers all systems and their relationships in order to manage interacting systems for a positive result. tabs., figs

  5. A guide and glossary on post-positivist theory building for population health.

    Science.gov (United States)

    Carpiano, R M; Daley, Dorothy M

    2006-07-01

    This guide and glossary focuses on the role of theory and conceptual models within population health research. Upon discussing the critical need for theory in conducting interdisciplinary research, it provides strategies for crafting theories that can be empirically tested and a glossary of theory building terms that are useful for guiding research. In addition to general concepts, the glossary includes some terminology commonly found in the social sciences, whose well established traditions and practices of formal theory building may be particularly informative for epidemiologists and other population health researchers who have minimal formal social science training, but study social factors in their research. PMID:16790824

  6. National public health law: a role for WHO in capacity-building and promoting transparency.

    Science.gov (United States)

    Marks-Sultan, Géraldine; Tsai, Feng-Jen; Anderson, Evan; Kastler, Florian; Sprumont, Dominique; Burris, Scott

    2016-07-01

    A robust health infrastructure in every country is the most effective long-term preparedness strategy for global health emergencies. This includes not only health systems and their human resources, but also countries' legal infrastructure for health: the laws and policies that empower, obligate and sometimes limit government and private action. The law is also an important tool in health promotion and protection. Public health professionals play important roles in health law - from the development of policies, through their enforcement, to the scientific evaluation of the health impact of laws. Member States are already mandated to communicate their national health laws and regulations to the World Health Organization (WHO). In this paper we propose that WHO has the authority and credibility to support capacity-building in the area of health law within Member States, and to make national laws easier to access, understand, monitor and evaluate. We believe a strong case can be made to donors for the funding of a public health law centre or unit, that has adequate staffing, is robustly networked with its regional counterparts and is integrated into the main work of WHO. The mission of the unit or centre would be to define and integrate scientific and legal expertise in public health law, both technical and programmatic, across the work of WHO, and to conduct and facilitate global health policy surveillance. PMID:27429492

  7. Health effects associated with energy conservation measures in commercial buildings

    International Nuclear Information System (INIS)

    Indoor air quality can conceivably be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. The health effects that could potentially arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, as well as irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. The results of this search are reported in two volumes. Volume 1 is a summary of the results of the literature search; Volume 2 is the complete results of the literature search and contains all references to the material reviewed. 16 tabs

  8. Health effects associated with energy conservation measures in commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Stenner, R.D.; Baechler, M.C.

    1990-09-01

    Indoor air quality can conceivably be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. The health effects that could potentially arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, as well as irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. The results of this search are reported in two volumes. Volume 1 is a summary of the results of the literature search; Volume 2 is the complete results of the literature search and contains all references to the material reviewed. 16 tabs.

  9. Building a regional health equity movement: the grantmaking model of a local health department.

    Science.gov (United States)

    Baril, Nashira; Patterson, Meghan; Boen, Courtney; Gowler, Rebekah; Norman, Nancy

    2011-01-01

    The Boston Public Health Commission's Center for Health Equity and Social Justice provides grant funding, training, and technical assistance to 15 organizations and coalitions across New England to develop, implement, and evaluate community-based policy and systems change strategies that address social determinants of health and reduce racial and ethnic health inequities. This article describes Boston Public Health Commission's health equity framework, theory of change regarding the elimination of racial and ethnic health inequities, and current grantmaking model. To conclude, the authors evaluate the grant model and offer lessons learned from providing multiyear regional grants to promote health equity. PMID:21160329

  10. The UK, health and peace-building: the mysterious disappearance of Health as a Bridge for Peace.

    Science.gov (United States)

    Rushton, Simon; McInnes, Colin

    2006-01-01

    The problem of how to build peace in post-conflict societies continues to loom large for governments and development agencies worldwide. This article examines the involvement of the UK development community in the creation of the World Health Organization's 'Health as a Bridge for Peace' (HBP) programme. It argues that the new development policy context brought in by the United Kingdom Labour administration in 1997 appeared to provide fertile ground for health-sector initiatives such as these to become an important part of the UK's peace-building strategy, but that HBP in fact failed to take root. The role of individuals, the changing departmental focus of the Department for International Development (DFID), its relationship with WHO, and the absence of persuasive evidence for the efficacy of HBP are highlighted as being crucial in explaining the policy's mysterious disappearance. PMID:16749475

  11. Implementing change in health professions education: stakeholder analysis and coalition building.

    Science.gov (United States)

    Baum, Karyn D; Resnik, Cheryl D; Wu, Jennifer J; Roey, Steven C

    2007-01-01

    The challenges facing the health sciences education fields are more evident than ever. Professional health sciences educators have more demands on their time, more knowledge to manage, and ever-dwindling sources of financial support. Change is often necessary to either keep programs viable or meet the changing needs of health education. This article outlines a simple but powerful three-step tool to help educators become successful agents of change. Through the application of principles well known and widely used in business management, readers will understand the concepts behind stakeholder analysis and coalition building. These concepts are part of a powerful tool kit that educators need in order to become effective agents of change in the health sciences environment. Using the example of curriculum change at a school of veterinary medicine, we will outline the three steps involved, from stakeholder identification and analysis to building and managing coalitions for change. PMID:17446631

  12. Are Ontario Teachers Paid More Equitably? Do Local Variables Matter?

    Directory of Open Access Journals (Sweden)

    Xiaobin Li

    2010-05-01

    Full Text Available This study investigated whether Ontario’s education funding reform of 1998 made teacher salaries more equitable. It also examined whether selected local variables had the same influence on teacher salaries in 2001-02 as they did in 1995-96 before the reform. Average teacher salaries before the reform in 1995-96 and after the reform in 2001-02 among school boards and among census divisions were compared to see whether the variation in teacher salaries increased or decreased. A partial correlation analysis was conducted to examine the influence on teacher salaries from local variables, which were derived from a literature review. This study finds that (a teachers are paid more equitably today than before the reform, and (b local variables no longer really matter, as a result of the changed provincial funding formula.

  13. Addressing the "Global Health Tax" and "Wild Cards": Practical Challenges to Building Academic Careers in Global Health.

    Science.gov (United States)

    Palazuelos, Daniel; Dhillon, Ranu

    2016-01-01

    Among many possible benefits, global health efforts can expand the skills and experience of U.S. clinicians, improve health for communities in need, and generate innovations in care delivery with relevance everywhere. Yet, despite high rates of interest among students and medical trainees to include global health opportunities in their training, there is still no clear understanding of how this interest will translate into viable and sustained global health careers after graduation. Building on a growing conversation about how to support careers in academic global health, this Perspective describes the practical challenges faced by physicians pursuing these careers after they complete training. Writing from their perspective as junior faculty at one U.S. academic health center with a dedicated focus on global health training, the authors describe a number of practical issues they have found to be critical both for their own career development and for the advice they provide their mentees. With a particular emphasis on the financial, personal, professional, and logistical challenges that young "expat" global health physicians in academic institutions face, they underscore the importance of finding ways to support these career paths, and propose possible solutions. Such investments would not only respond to the rational and moral imperatives of global health work and advance the mission of improving human health but also help to fully leverage the potential of what is already an unprecedented movement within academic medicine. PMID:26244256

  14. Dissemination of an Electronic Manual to Build Capacity for Implementing Farmers’ Markets with Community Health Centers

    OpenAIRE

    Guest, M. Aaron; Freedman, Darcy; Alia, Kassandra A.; Brandt, Heather M.; Friedman, Daniela B.

    2015-01-01

    Community-university partnerships can lend themselves to the development of tools that encourage and promote future community health development. The electronic manual, “Building Farmacies,” describes an approach for developing capacity and sustaining a community health center-based farmers’ market that emerged through a community-university partnership. Manual development was guided by the Knowledge to Action Framework and experiences developing a multi-vendor, produce-only farmers’ market a...

  15. IMPEDIMENTS TO WOMEN’S EQUITABLE EMPLOYMENT: GLOBAL SCENARIO

    Directory of Open Access Journals (Sweden)

    Farida Faisal

    2011-07-01

    Full Text Available The ambivalent record of progress on issues of gender equality is reflective of the impediments to women’s equitable employment. This paper presents facts on global gender inequality in general, while specifically focusing on gender discrimination in the labour market and formal organisations. The Gender Mainstreaming strategy is presented as a viable option to overcome the obstacles restricting women from attaining their productive potential.

  16. IMPEDIMENTS TO WOMEN’S EQUITABLE EMPLOYMENT: GLOBAL SCENARIO

    OpenAIRE

    Farida Faisal

    2011-01-01

    The ambivalent record of progress on issues of gender equality is reflective of the impediments to women’s equitable employment. This paper presents facts on global gender inequality in general, while specifically focusing on gender discrimination in the labour market and formal organisations. The Gender Mainstreaming strategy is presented as a viable option to overcome the obstacles restricting women from attaining their productive potential.

  17. Azerbaijan: How Equitable is Access to Higher Education?

    OpenAIRE

    Aliyev R.

    2011-01-01

    This paper aims to shed light on some of the issues that impede the development of higher education sector in Azerbaijan, focusing on the growing inequality in the educational outcomes at the secondary level and the ensuing unequal access in higher education. It assesses the performance of the education sector in the Republic of Azerbaijan in terms of ensuring equitable access in higher education (H.E.) across the country. A comparison of university admission rates among different groups in q...

  18. Equitable commerce: the mediaeval origins of American anarchism

    OpenAIRE

    Rodion Belkovich

    2013-01-01

    Traditional ideas sometimes turn into revolutionary ones because of changing circumstances in which they continue to exist. Their revolutionary appearance, however, might be intentionally accentuated by the new followers of these ideas. Consequently, a legitimate and respectable tradition of thought becomes marginal and ridiculed. It is an aim of the history of political thought then to reveal the true origins of these ideas. This paper focuses on one such case, namely, the equitable commerce...

  19. Instruments for an equitable management of shared waters

    Directory of Open Access Journals (Sweden)

    Ruxandra M. Petrescu-Mag

    2010-02-01

    Full Text Available Concepts of Integrated Water Resources and River Basins Management are considered as key points to the question of how conflict can be avoided and international waters be managed. Over the last fifty years, countries have been engaged in more than 500 conflictive events over water. Almost 90% were disagreements over infrastructure and water quantity allocation. The Convention on the NonnavigationalUses of International Watercourses (1997 provides an important template for cooperation and equitable transboundary water-sharing.

  20. Building Global Health Through a Center-Without-Walls: The Vanderbilt Institute for Global Health

    OpenAIRE

    Vermund, Sten H.; Sahasrabuddhe, Vikrant V.; Khedkar, Sheetal; Jia, Yujiang; Etherington, Carol; Vergara, Alfredo

    2008-01-01

    The Institute for Global Health at Vanderbilt enables the expansion and coordination of global health research, service, and training, reflecting the university's commitment to improve health services and outcomes in resource-limited settings. Global health encompasses both prevention via public health and treatment via medical care, all nested within a broader community-development context. This has fostered university-wide collaborations to address education, business/economics, engineering...

  1. Species richness, equitability, and abundance of ants in disturbed landscapes

    Science.gov (United States)

    Graham, J.H.; Krzysik, A.J.; Kovacic, D.A.; Duda, J.J.; Freeman, D.C.; Emlen, J.M.; Zak, J.C.; Long, W.R.; Wallace, M.P.; Chamberlin-Graham, C.; Nutter, J.P.; Balbach, H.E.

    2009-01-01

    Ants are used as indicators of environmental change in disturbed landscapes, often without adequate understanding of their response to disturbance. Ant communities in the southeastern United States displayed a hump-backed species richness curve against an index of landscape disturbance. Forty sites at Fort Benning, in west-central Georgia, covered a spectrum of habitat disturbance (military training and fire) in upland forest. Sites disturbed by military training had fewer trees, less canopy cover, more bare ground, and warmer, more compact soils with shallower A-horizons. We sampled ground-dwelling ants with pitfall traps, and measured 15 habitat variables related to vegetation and soil. Ant species richness was greatest with a relative disturbance of 43%, but equitability was greatest with no disturbance. Ant abundance was greatest with a relative disturbance of 85%. High species richness at intermediate disturbance was associated with greater within-site spatial heterogeneity. Species richness was also associated with intermediate values of the normalized difference vegetation index (NDVI), a correlate of net primary productivity (NPP). Available NPP (the product of NDVI and the fraction of days that soil temperature exceeded 25 ??C), however, was positively correlated with species richness, though not with ant abundance. Species richness was unrelated to soil texture, total ground cover, and fire frequency. Ant species richness and equitability are potential state indicators of the soil arthropod community. Moreover, equitability can be used to monitor ecosystem change. ?? 2008 Elsevier Ltd.

  2. The role of partnership in capacity building in public health nutrition - experience of malaysia.

    Science.gov (United States)

    Awin, Narimab

    2002-03-01

    Public Health emphasizes the plurality of the determinants of health of individuals, families and communities. Nutrition, as a major determinant of health, is itself influenced by a multitude of determinants that are under the purview of several agencies. Thus, inter-sectoral collaboration among the relevant agencies is imperative for promoting optimal health and nutrition such a partnership is manifested in the development and implementation of the National Plan of Nutrition (NPAN) of Malaysia pursuant to the International Conference on Nutrition (ICN) held in 1992. While the overall coordination of NPAN is at the Family Development Division in the Ministry of Health, the body that sees to the coordination is again a multi-agency group in the form of the National Coordinating Committee for Food and Nutrition (NCCFN). The NCCFN has representation for the nine thrust areas of NPAN that cut across various sectors including health, agriculture, education, community development and economic planning. Capacity building is a central strategy in the NPAN through the creation of positions and special budgetary allocations, and the implementation of activities including research, training, development of dietary guidelines and the National Nutrition Policy. This policy will be a major driving force for strengthening and building of capacity for nutrition-related activities, and more importantly it will facilitate a coordinated and coherent approach to capacity building, including sharing of resources. PMID:22692442

  3. Beyond Learning Management Systems: Designing for Interprofessional Knowledge Building in the Health Sciences

    Science.gov (United States)

    Lax, Leila; Scardamalia, Marlene; Watt-Watson, Judy; Hunter, Judith; Bereiter, Carl

    2010-01-01

    This paper examines theoretical, pedagogical, and technological differences between two technologies that have been used in undergraduate interprofessional health sciences at the University of Toronto. One, a learning management system, WebCT 2.0, supports online coursework. The other, a Knowledge Building environment, Knowledge Forum 2.0,…

  4. Partnerships for vaccine development: building capacity to strengthen developing country health and innovation

    OpenAIRE

    Hanlin, Rebecca

    2008-01-01

    Product Development Public-Private Partnerships (PDPs) are mechanisms used to incentivise health innovation for neglected diseases. PDPs undertaking clinical trial research in developing countries work – collaborate – at the interface of innovation and healthcare activities. Within the literature around innovation systems collaborative activity is deemed to build important organisational processes creating stronger institutions and enabling environments by increasing knowledge ...

  5. Mental health promotion in the health care setting: collaboration and engagement in the development of a mental health promotion capacity-building initiative.

    Science.gov (United States)

    Horn, Michelle A; Rauscher, Alana B; Ardiles, Paola A; Griffin, Shannon L

    2014-01-01

    Health Compass is an innovative, multiphased project that aims to transform health care practice and shift organizational culture by building the capacity of Provincial Health Services Authority (PHSA) health care providers to further promote the mental health and well-being of patients and families accessing PHSA's health care services. Health Compass was developed within a health promotion framework, which involved collaboration and engagement with stakeholders across all partnering PHSA agencies. This approach led to the development of an educational and training resource that contributes to increased capacity for mental health promotion within the health care setting. Based on interviews with Health Compass' internal Project Team and findings from a Stakeholder Engagement Evaluation Report, this article outlines the participatory approach taken to develop the Health Compass Mental Health Promotion Resource and E-Learning Tool. A number of key facilitators for collaboration and engagement are discussed, which may be particularly applicable to the implementation of a mental health promotion program or initiative within a complex health care setting. PMID:23493801

  6. The political undertones of building national health research systems – reflections from The Gambia

    Directory of Open Access Journals (Sweden)

    Bloch Paul

    2009-05-01

    Full Text Available Abstract In developing countries building national health research systems is a movement similar to a political leadership contest. Increasingly, political campaigns to select leaders depend less on ideologies and political messages and more on promising change that will promptly improve the quality of life of the voters. In this process the benefits and risks of every action and statement made by the candidates are carefully assessed. Approaches currently promoted to strengthen health research within ministries of health in developing countries place emphasis on implementing logical steps towards building national health research systems including developing a national health research policy and strategic plan, conducting a situational analysis of research in the country, setting a national health research agenda, establishing research ethics and scientific committees, and building human and institutional capacity for health research management and conduct. Although these processes have successfully improved the standards of health research in some settings, many developing countries struggle to get the process going. One reason is that this approach does not deal with basic questions posed within a ministry of health, namely, "What is the political benefit of the ministry assuming control of the process?" and "What are the political implications for the ministry if another institution spearheads the process?" Seen from the perspective of non-governmental organizations, academic institutions and donors trying to support the processes of strengthening national health research systems, one of the foremost activities that needs to be undertaken is to analyze the political context of national health research and, on that basis, plan and implement appropriate political health research advocacy initiatives. This includes the development of explicit messages on the political benefits to the leadership in the ministry of health of their role in the

  7. Jonathan Rosen: building a dynamic union-based health and safety program.

    Science.gov (United States)

    Rosen, Jonathan; McLaughlin, Kaci; Slatin, Craig

    2014-01-01

    Jonathan Rosen has spent more than 30 years building union-based health and safety programs. In the 1970s he was a union activist. In 1980 he became a union health and safety committee chair at a Milwaukee manufacturing firm. Following that, he had a nearly 20-year career with the New York State Public Employees Federation (PEF). He trained as an industrial hygienist and developed a highly regarded public sector union-based health and safety program. PEF's Health and Safety Department supported a network of union health and safety committees. Program accomplishments included innovative work on workplace violence prevention, indoor environmental quality, infectious diseases, and ergonomics. Mr. Rosen promoted collaboration among unions, helped support new activists, advocated tirelessly for injured workers, and formed an effective alliance with researchers. Rosen discusses essential strategies for mobilizing union members and gaining commitment to health and safety from unions, employers, and policy makers. PMID:25053608

  8. [National health strategies in the world and its enlightenment to build healthy China].

    Science.gov (United States)

    Shi, X M

    2016-08-01

    The national health strategy is a reflection of a country on overall value and development vision of national health, and conducting this strategy will enhance and promote national development and people's welfare. In the current situation of building Healthy China during the 13th Five-Year Plan, it is important to learn experiences in this area from developed countries. This article mainly presents detailed introduction of the formulation, the implementation and the characteristics of National Health Strategies from the United States, United Kingdom and Japan, and also presents suggestions for the construction of Healthy China. PMID:27539518

  9. Building Interdisciplinary Research Capacity: a Key Challenge for Ecological Approaches in Public Health

    Directory of Open Access Journals (Sweden)

    Lindsay P. Galway

    2016-06-01

    Full Text Available The shortcomings of public health research informed by reductionist and fragmented biomedical approaches and the emergence of wicked problems are fueling a renewed interest in ecological approaches in public health. Despite the central role of interdisciplinarity in the context of ecological approaches in public health research, inadequate attention has been given to the specific challenge of doing interdisciplinary research in practice. As a result, important knowledge gaps exist with regards to the practice of interdisciplinary research. We argue that explicit attention towards the challenge of doing interdisciplinary research is critical in order to effectively apply ecological approaches to public health issues. This paper draws on our experiences developing and conducting an interdisciplinary research project exploring the links among climate change, water, and health to highlight five specific insights which we see as relevant to building capacity for interdisciplinary research specifically, and which have particular relevance to addressing the integrative challenges demanded by ecological approaches to address public health issues. These lessons include: (i the need for frameworks that facilitate integration; (ii emphasize learning-by-doing; (iii the benefits of examining issues at multiple scales; (iv make the implicit, explicit; and (v the need for reflective practice. By synthesizing and sharing experiences gained by engaging in interdisciplinary inquiries using an ecological approach, this paper responds to a growing need to build interdisciplinary research capacity as a means for advancing the ecological public health agenda more broadly.

  10. SEI1: Sensor Networks for Real Time Monitoring State of Health of Buildings

    OpenAIRE

    Monica Kohler; Paul Davis; Igor Stubailo; John Wallace

    2005-01-01

    A testbed for structural health monitoring uses the embedded 72-sensor seismic network in the UCLA Factor building which records continuous data at 500 Hz. In addition, a 15-station prototype wireless seismic monitoring array has been developed and tested. It is based on the Crossbow mote technology and will be run side by side with digitzers in Factor for comparison.The Mica-2 mote network is controlled by Wisden software and is designed to monitor local areas such as buildings. Data from...

  11. Revitalising primary healthcare requires an equitable global economic system - now more than ever.

    Science.gov (United States)

    Sanders, David; Baum, Fran E; Benos, Alexis; Legge, David

    2011-08-01

    The promised revitalisation of primary healthcare (PHC) is happening at a time when the contradictions and unfairness of the global economic system have become clear, suggesting that the current system is unsustainable. In the past two decades, one of the most significant impediments to the implementation of comprehensive PHC has been neoliberal economic policies and their imposition globally. This article questions what will be required for PHC to flourish. PHC incorporates five key principles: equitable provision of services, comprehensive care, intersectoral action, community involvement and appropriate technology. This article considers intersectoral action and comprehensiveness and their potential to be implemented in the current global environment. It highlights the constraints to intersectoral action through a case study of nutrition in the context of globalisation of the food chain. It also explores the challenges to implementing a comprehensive approach to health that are posed by neoliberal health sector reforms and donor practices. The paper concludes that even well-designed health systems based on PHC have little influence over the broader economic forces that shape their operation and their ability to improve health. Reforming these economic forces will require greater regulation of the national and global economic environment to emphasise people's health rather than private profit, and action to address climate change. Revitalisation of PHC and progress towards health equity are unlikely without strong regulation of the market. The further development and strengthening of social movements for health will be key to successful advocacy action. PMID:19955097

  12. Does Integrating Family Planning into HIV Services Improve Gender Equitable Attitudes? Results from a Cluster Randomized Trial in Nyanza, Kenya.

    Science.gov (United States)

    Newmann, Sara J; Rocca, Corinne H; Zakaras, Jennifer M; Onono, Maricianah; Bukusi, Elizabeth A; Grossman, Daniel; Cohen, Craig R

    2016-09-01

    This study investigated whether integrating family planning (FP) services into HIV care was associated with gender equitable attitudes among HIV-positive adults in western Kenya. Surveys were conducted with 480 women and 480 men obtaining HIV services from 18 clinics 1 year after the sites were randomized to integrated FP/HIV services (N = 12) or standard referral for FP (N = 6). We used multivariable regression, with generalized estimating equations to account for clustering, to assess whether gender attitudes (range 0-12) were associated with integrated care and with contraceptive use. Men at intervention sites had stronger gender equitable attitudes than those at control sites (adjusted mean difference in scores = 0.89, 95 % CI 0.03-1.74). Among women, attitudes did not differ by study arm. Gender equitable attitudes were not associated with contraceptive use among men (AOR = 1.06, 95 % CI 0.93-1.21) or women (AOR = 1.03, 95 % CI 0.94-1.13). Further work is needed to understand how integrating FP into HIV care affects gender relations, and how improved gender equity among men might be leveraged to improve contraceptive use and other reproductive health outcomes. PMID:26837632

  13. Are we ready to build health systems that consider the climate?

    Science.gov (United States)

    Mayhew, Susannah; Van Belle, Sara; Hammer, Michael

    2014-04-01

    At last, climate change does appear to have entered mainstream consciousness. In the scientific community, the climate change debate has shifted from focusing on establishing the truth of the claim that climate change is a reality to warming public opinion to the cause and acknowledging that climate change will have far-reaching effects on how we build, organize and manage climate-responsive social systems including health care systems. There is particular urgency to the debate for health services and systems in low income countries where some of the worst effects of climate change will be felt and where health systems are already over-stretched due to long-term lack of investment, a double burden of disease (preventive and non-communicable), a crisis in human resources and governance deficiencies. Despite the urgency, the health care systems development community appears insular in its interests and actions, and a clear leader that could coordinate the activities of different researchers, research bodies, policy makers and international organizations across relevant sectors including disaster management, climate and health care systems, has yet to emerge. This essay considers the political landscape, possible leaders and why it is necessary for health systems' professionals to move beyond the health sector in order to secure support for health and health care systems development in a post-Millennium Development Goals development framework that is defined by climate change. PMID:24366158

  14. Viewing equitable practices through the lens of intersecting identities

    Science.gov (United States)

    Lyons, Renée; Dsouza, Nikeetha; Quigley, Cassie

    2016-04-01

    This review explores Archer, Dawson, Seakins, and Wong's "Disorienting, fun or meaningful? Disadvantaged families' experiences of a science museum visit" by examining the analytic frameworks guiding this study. To expand on Archer et al.'s use of feminist post-structuralist theories of identity we draw from the theory of intersectionality to provide a more robust framework for analyzing barriers to engagement within an informal learning space. Our response to this work ends by exploring the types of solutions generated from an intersectionality framework—solutions aimed at transforming institutional programs and practices to create more equitable spaces for learning.

  15. Equitable benefit-sharing or self-interest?

    Energy Technology Data Exchange (ETDEWEB)

    Swiderska, Krystyna

    2010-09-15

    A legally binding protocol on access to genetic resources and benefit-sharing is to be adopted by the 193 governments that are party to the Convention on Biological Diversity in October 2010 in Nagoya, Japan. The protocol aims to ensure that the benefits derived from the use of genetic resources are shared fairly and equitably with biodiversity-rich but financially poor countries. This could help reverse the rapid loss of biodiversity and genetic resources. But unless governments make some major progress in their final negotiating session, the protocol will make little difference.

  16. Equitable Strong Edge Coloring of the Joins of Paths and Cycles

    Institute of Scientific and Technical Information of China (English)

    Tao WANG; Ming Ju LIU; De Ming LI

    2012-01-01

    For a proper edge coloring c of a graph G,if the sets of colors of adjacent vertices are distinct,the edge coloring c is called an adjacent strong edge coloring of G.Let ci be the number of edges colored by i.If |ci - cj| ≤ 1 for any two colors i and j,then c is an equitable edge coloring of G.The coloring c is an equitable adjacent strong edge coloring of G if it is both adjacent strong edge coloring and equitable edge coloring.The least number of colors of such a coloring c is called the equitable adjacent strong chromatic index of G.In this paper,we determine the equitable adjacent strong chromatic index of the joins of paths and cycles.Precisely,we show that the equitable adjacent strong chromatic index of the joins of paths and cycles is equal to the maximum degree plus one or two.

  17. The effect of renovating an office building on occupants' comfort and health

    DEFF Research Database (Denmark)

    Pejtersen, Jan; Brohus, H.; Hyldgaard, C.E.;

    1999-01-01

    -emitting vinyl floor; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation, including a questionnaire study of the occupants' comfort and health, was performed before and after the intervention. The intervention was performed after detailed......An intervention study was performed in an office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet floor material was replaced with a low...... laboratory studies on alternative flooring materials and alternative ventilation strategies. The occupants' adverse perceptions and symptoms were significantly reduced by the intervention. The improvement of the indoor climate was most pronounced in the cellular offices, where both the floor material...

  18. Occupational health and safety: Designing and building with MACBETH a value risk-matrix for evaluating health and safety risks

    Science.gov (United States)

    Lopes, D. F.; Oliveira, M. D.; Costa, C. A. Bana e.

    2015-05-01

    Risk matrices (RMs) are commonly used to evaluate health and safety risks. Nonetheless, they violate some theoretical principles that compromise their feasibility and use. This study describes how multiple criteria decision analysis methods have been used to improve the design and the deployment of RMs to evaluate health and safety risks at the Occupational Health and Safety Unit (OHSU) of the Regional Health Administration of Lisbon and Tagus Valley. ‘Value risk-matrices’ (VRMs) are built with the MACBETH approach in four modelling steps: a) structuring risk impacts, involving the construction of descriptors of impact that link risk events with health impacts and are informed by scientific evidence; b) generating a value measurement scale of risk impacts, by applying the MACBETH-Choquet procedure; c) building a system for eliciting subjective probabilities that makes use of a numerical probability scale that was constructed with MACBETH qualitative judgments on likelihood; d) and defining a classification colouring scheme for the VRM. A VRM built with OHSU members was implemented in a decision support system which will be used by OHSU members to evaluate health and safety risks and to identify risk mitigation actions.

  19. Helping Hands in Haiti: Examining the Sustainable Strategies of Partners In Health and Build Change

    OpenAIRE

    Neiman, Andrew Joseph

    2015-01-01

    Much has been written on the negative aspects of non-governmental organizations (NGOs) in Haiti and elsewhere as organizations have been criticized for squandering donor funds, back room decision making and operations, and for creating a cycle of dependence between developing and developed countries. On the other hand, many NGOs have done good work in their respective nations. This paper examines the projects of two NGOs working in Haiti: Build Change and Partners In Health. Drawing on observ...

  20. Building a funded research program in cancer health disparities: considerations for young investigators

    OpenAIRE

    Heather M. Ochs-Balcom; Phillips, Lynette S.; Nichols, Hazel B.; Martinez, Elena; Thompson, Beti; Ojeifo, John; Rebbeck, Timothy R.

    2015-01-01

    A workshop entitled “Building a funded research program in cancer health disparities” was held at the 38th Annual American Society of Preventive Oncology (ASPO) Meeting. Organized by the Junior Members Interest Group, the session addressed topics relevant to career development for cancer disparities investigators. Such considerations include the development of research programs on a backdrop of existing multi- and trans-disciplinary teams, recognizing opportunities for advancing their researc...

  1. Integrating Building Information Modeling and Health and Safety for Onsite Construction

    OpenAIRE

    Ganah, Abdulkadir; John, Godfaurd A.

    2014-01-01

    Background Health and safety (H&S) on a construction site can either make or break a contractor, if not properly managed. The usage of Building Information Modeling (BIM) for H&S on construction execution has the potential to augment practitioner understanding of their sites, and by so doing reduce the probability of accidents. This research explores BIM usage within the construction industry in relation to H&S communication. Methods In addition to an extensive literature review, a questionna...

  2. Hazard identification checklist: Occupational safety and health issues associated with green building

    OpenAIRE

    Terwoert, J.; Ustailieva, E.

    2013-01-01

    This checklist accompanies the e-fact on the same topic and aims to help identify the potential hazards to workers’ safety and health associated with the planning and construction of green buildings, their maintenance, renovation (retrofitting), demolition, and on-site waste collection. It also gives examples of preventive measures to address these hazards. Some of these OSH hazards are new compared with traditional construction sites and are associated with new green materials, technologies ...

  3. Are Biophilic-Designed Site Office Buildings Linked to Health Benefits and High Performing Occupants?

    OpenAIRE

    Tonia Gray; Carol Birrell

    2014-01-01

    This paper discusses the first phase of a longitudinal study underway in Australia to ascertain the broad health benefits of specific types of biophilic design for workers in a building site office. A bespoke site design was formulated to include open plan workspace, natural lighting, ventilation, significant plants, prospect and views, recycled materials and use of non-synthetic materials. Initial data in the first three months was gathered from a series of demographic questions and from int...

  4. Building capacity without disrupting health services: public health education for Africa through distance learning

    Directory of Open Access Journals (Sweden)

    Igumbor Ehi

    2009-04-01

    Full Text Available Abstract The human resources crisis in Africa is especially acute in the public health field. Through distance education, the School of Public Health of the University of the Western Cape, South Africa, has provided access to master's level public health education for health professionals from more than 20 African countries while they remain in post. Since 2000, interest has increased overwhelmingly to a point where four times more applications are received than can be accommodated. This home-grown programme remains sensitive to the needs of the target learners while engaging them in high-quality learning applied in their own work contexts. This brief paper describes the innovative aspects of the programme, offering some evaluative indications of its impact, and reviews how the delivery of text-led distance learning has facilitated the realization of the objectives of public health training. Strategies are proposed for scaling up such a programme to meet the growing need in this essential area of health human resource capacity development in Africa.

  5. Continuing Education Effects on Cultural Competence Knowledge and Skills Building among Health Professionals

    Directory of Open Access Journals (Sweden)

    Marla B. Hall

    2013-08-01

    Full Text Available Racial and ethnic minority health data from a national perspective indicates there is much to learn in the public health workforce about the ongoing health disparities crisis. This suggests a level of urgency to assist our public health professionals in obtaining specific skills sets that will assist them in working better with vulnerable populations. The purpose of this research is to assess cultural competence knowledge and programmatic skill sets, utilizing an explorational case study, of individuals employed within an urban public health department. In order to effectively evaluate these constructs, a quantitative research approach was employed to examine participants’ knowledge and competencies of the subject matter. This data was further analyzed to determine if continuing education participation and training was correlated to the levels of culturally competent practice engagement and self-reported confidence. In addition, researchers obtained data on the availability of employer sponsored training opportunities. The data suggested when health professionals engage in cultural competence education, their level of awareness of unique characteristics between ethnic and racial minorities increased. Those who exhibited the healthiest behaviors, as it relates to effectively working with diverse populations, had a heightened sense of knowledge related to culture and healthcare services. Continuing education in cultural competence is an essential strategy for improving public health employees’ effectiveness in working with diverse clients and reducing racial and ethnic health disparities. As the finding illustrated, training programs must incorporate educational components which foster skill building to enable subsequent culturally appropriate clinical interactions.

  6. Building a knowledge translation platform in Malawi to support evidence-informed health policy.

    Science.gov (United States)

    Berman, Joshua; Mitambo, Collins; Matanje-Mwagomba, Beatrice; Khan, Shiraz; Kachimanga, Chiyembekezo; Wroe, Emily; Mwape, Lonia; van Oosterhout, Joep J; Chindebvu, Getrude; van Schoor, Vanessa; Puchalski Ritchie, Lisa M; Panisset, Ulysses; Kathyola, Damson

    2015-01-01

    With the support of the World Health Organization's Evidence-Informed Policy Network, knowledge translation platforms have been developed throughout Africa, the Americas, Eastern Europe, and Asia to further evidence-informed national health policy. In this commentary, we discuss the approaches, activities and early lessons learned from the development of a Knowledge Translation Platform in Malawi (KTPMalawi). Through ongoing leadership, as well as financial and administrative support, the Malawi Ministry of Health has strongly signalled its intention to utilize a knowledge translation platform methodology to support evidence-informed national health policy. A unique partnership between Dignitas International, a medical and research non-governmental organization, and the Malawi Ministry of Health, has established KTPMalawi to engage national-level policymakers, researchers and implementers in a coordinated approach to the generation and utilization of health-sector research. Utilizing a methodology developed and tested by knowledge translation platforms across Africa, a stakeholder mapping exercise and initial capacity building workshops were undertaken and a multidisciplinary Steering Committee was formed. This Steering Committee prioritized the development of two initial Communities of Practice to (1) improve data utilization in the pharmaceutical supply chain and (2) improve the screening and treatment of hypertension within HIV-infected populations. Each Community of Practice's mandate is to gather and synthesize the best available global and local evidence and produce evidence briefs for policy that have been used as the primary input into structured deliberative dialogues. While a lack of sustained initial funding slowed its early development, KTPMalawi has greatly benefited from extensive technical support and mentorship by an existing network of global knowledge translation platforms. With the continued support of the Malawi Ministry of Health and the

  7. Building interdisciplinary leadership skills among health practitioners in the 21st century: an innovative training model

    Directory of Open Access Journals (Sweden)

    Preeti eNegandhi

    2015-10-01

    Full Text Available Transformational learning is the focus of 21st century global educational reforms. In India there is a need to amalgamate the skills and knowledge of medical, nursing and public health practitioners and to develop robust leadership competencies among them. This initiative proposed to identify interdisciplinary leadership competencies among Indian health practitioners, and to develop a training program for interdisciplinary leadership skills through an Innovation Collaborative. Medical, nursing and public health institutions partnered in this endeavour. An exhaustive literature search was undertaken to identify leadership competencies in these three professions. Published evidence was utilized in searching for the need for interdisciplinary training of health practitioners, including current scenarios in inter-professional health education and the key competencies required. The interdisciplinary leadership competencies identified were: self-awareness, vision, self-regulation, motivation, decisiveness, integrity, interpersonal communication skills, strategic planning, team-building, innovation and being an effective change agent. Subsequently, a training program was developed and three training sessions were piloted with 66 participants. Each cohort comprised of a mix of participants from different disciplines. The pilot training guided the development of a training model for building interdisciplinary leadership skills and organizing interdisciplinary leadership workshops. The need for interdisciplinary leadership competencies is recognized. The long-term objective of the training model is integration into the regular medical, nursing and public health curricula, with the aim of developing interdisciplinary leadership skills among them. Although challenging, formal incorporation of leadership skills into health professional education is possible within the interdisciplinary classroom setting using principles of transformative learning.

  8. [From health promoting school perspectives to discuss the building of school-community partnership].

    Science.gov (United States)

    Chang, Li-Chun; Huang, Song-Yuan; Wu, Fei-Lin

    2005-06-01

    In the wake of the WHO's health promotion campaign health promotion schools have gained currency in Europe and the United States. The Department of Education in Taiwan has proposed a "school health promotion program" and the Department of Health a "program to build healthy schools" The goal of these programs was to create a holistic environment for school health and put the concepts of "school-family-community partnership" into practice. Although difficulties, such as school-centered perspectives, ambiguous definitions of "community" and shortage of funding, human resources and long-term planning impeded the program, this article, based on literature and practical experience, presents the "school-community model" and the strategies that it applied to organize the school-community health promotion committee to plan long-term programs and to assess the needs and resources of schools and communities on a collaborative basis. It contends, furthermore, that integrating community services into curriculums in order to enable students to appreciate the meaning of partnership, and involving the community in the planning process, can achieve the goal of effectively promoting the health of both the school and the community. PMID:15986306

  9. Building community disaster resilience: perspectives from a large urban county department of public health.

    Science.gov (United States)

    Plough, Alonzo; Fielding, Jonathan E; Chandra, Anita; Williams, Malcolm; Eisenman, David; Wells, Kenneth B; Law, Grace Y; Fogleman, Stella; Magaña, Aizita

    2013-07-01

    An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory-specifically, the focus on incorporating equity and social justice considerations in preparedness planning and response. We also examine the challenges of integrating community resilience with traditional public health practices and the importance of developing metrics for evaluation and strategic planning purposes. Using the example of the Los Angeles County Community Disaster Resilience Project, we discuss our experience and perspective from a large urban county to better understand how to implement a community resilience framework in public health practice. PMID:23678937

  10. School Mental Health: The Impact of State and Local Capacity-Building Training

    Directory of Open Access Journals (Sweden)

    Sharon Stephan

    2015-12-01

    Full Text Available Despite a growing number of collaborative partnerships between schools and community-based organizations to expand school mental health (SMH service capacity in the United States, there have been relatively few systematic initiatives focused on key strategies for large-scale SMH capacity building with state and local education systems. Based on a framework of ten critical factors for capacity building, as well as existing best practices, two case studies were utilized to develop a replicable capacity-building model to advance interagency SMH development. Seventy education and mental health stakeholders from two selected states participated in baseline assessments of skill com-petency and critical factor implementation followed by two-day trainings (one in each state; 29 (41% of the participants also completed a six month follow-up assessment. Targeted competencies increased significantly for participants from both states, with large effect sizes (d = 2.05 and 2.56, from pre- to post-training. Participant reports of critical factor implementation increased significantly for one of the two states (t[15] = -6.40, p < .001, d = 1.77. Results inform specific training recommendations for stakeholders and collaborative teams, as well as policy implications to support future development of SMH service capacity.

  11. Claim Your Space: Leadership Development as a Research Capacity Building Goal in Global Health.

    Science.gov (United States)

    Airhihenbuwa, Collins O; Ogedegbe, Gbenga; Iwelunmor, Juliet; Jean-Louis, Girardin; Williams, Natasha; Zizi, Freddy; Okuyemi, Kolawole

    2016-04-01

    As the burden of noncommunicable diseases (NCDs) rises in settings with an equally high burden of infectious diseases in the Global South, a new sense of urgency has developed around research capacity building to promote more effective and sustainable public health and health care systems. In 2010, NCDs accounted for more than 2.06 million deaths in sub-Saharan Africa. Available evidence suggests that the number of people in sub-Saharan Africa with hypertension, a major risk factor for cardiovascular diseases, will increase by 68% from 75 million in 2008 to 126 million in 2025. Furthermore, about 27.5 million people currently live with diabetes in Africa, and it is estimated that 49.7 million people living with diabetes will reside in Africa by 2030. It is therefore necessary to centralize leadership as a key aspect of research capacity building and strengthening in the Global South in ways that enables researchers to claim their spaces in their own locations. We believe that building capacity for transformative leadership in research will lead to the development of effective and appropriate responses to the multiple burdens of NCDs that coexist with infectious diseases in Africa and the rest of the Global South. PMID:27037144

  12. Effect of renovating an office building on occupants' comfort and health.

    Science.gov (United States)

    Pejtersen, J; Brohus, H; Hyldgaard, C E; Nielsen, J B; Valbjørn, O; Hauschildt, P; Kjaergaard, S K; Wolkoff, P

    2001-03-01

    An intervention study was performed in a mechanically ventilated office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet was replaced with a low-emitting vinyl floor material; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation was performed before and after the intervention. Over a 2-week period, the occupants completed a daily questionnaire regarding their comfort and health. Physiological examinations of eyes, nose and lungs were performed on each occupant. Physical, chemical and sensory measurements were performed before and after the intervention. The renewal of the flooring material was performed after a sensory test of alternative solutions in the laboratory. Before the floor material was installed in the office building, a full-scale exposure experiment was performed in the laboratory. The new ventilation strategy and renovation of the HVAC system were selected on the basis of laboratory experiments on a full-scale mock-up of a cellular office. The severity of occupants' environmental perceptions and symptoms was significantly reduced by the intervention. PMID:11235227

  13. Building healthy communities: establishing health and wellness metrics for use within the real estate industry.

    Science.gov (United States)

    Trowbridge, Matthew J; Pickell, Sarah Gauche; Pyke, Christopher R; Jutte, Douglas P

    2014-11-01

    It is increasingly well recognized that the design and operation of the communities in which people live, work, learn, and play significantly influence their health. However, within the real estate industry, the health impacts of transportation, community development, and other construction projects, both positive and negative, continue to operate largely as economic externalities: unmeasured, unregulated, and for the most part unconsidered. This lack of transparency limits communities' ability to efficiently advocate for real estate investment that best promotes their health and well-being. It also limits market incentives for innovation within the real estate industry by making it more difficult for developers that successfully target health behaviors and outcomes in their projects to differentiate themselves competitively. In this article we outline the need for actionable, community-relevant, practical, and valuable metrics jointly developed by the health care and real estate sectors to better evaluate and optimize the "performance" of real estate development projects from a population health perspective. Potential templates for implementation, including the successful introduction of sustainability metrics by the green building movement, and preliminary data from selected case-study projects are also discussed. PMID:25367986

  14. Building capacity for evidence informed decision making in public health: a case study of organizational change

    Directory of Open Access Journals (Sweden)

    Peirson Leslea

    2012-02-01

    Full Text Available Abstract Background Core competencies for public health in Canada require proficiency in evidence informed decision making (EIDM. However, decision makers often lack access to information, many workers lack knowledge and skills to conduct systematic literature reviews, and public health settings typically lack infrastructure to support EIDM activities. This research was conducted to explore and describe critical factors and dynamics in the early implementation of one public health unit's strategic initiative to develop capacity to make EIDM standard practice. Methods This qualitative case study was conducted in one public health unit in Ontario, Canada between 2008 and 2010. In-depth information was gathered from two sets of semi-structured interviews and focus groups (n = 27 with 70 members of the health unit, and through a review of 137 documents. Thematic analysis was used to code the key informant and document data. Results The critical factors and dynamics for building EIDM capacity at an organizational level included: clear vision and strong leadership, workforce and skills development, ability to access research (library services, fiscal investments, acquisition and development of technological resources, a knowledge management strategy, effective communication, a receptive organizational culture, and a focus on change management. Conclusion With leadership, planning, commitment and substantial investments, a public health department has made significant progress, within the first two years of a 10-year initiative, towards achieving its goal of becoming an evidence informed decision making organization.

  15. Building Learning Health Systems to Accelerate Research and Improve Outcomes of Clinical Care in Low- and Middle-Income Countries

    OpenAIRE

    English, Mike; Irimu, Grace; Agweyu, Ambrose; Gathara, David; Oliwa, Jacquie; Ayieko, Philip; Were, Fred; Paton, Chris; Tunis, Sean; Forrest, Christopher B.

    2016-01-01

    Mike English and colleagues argue that as efforts are made towards achieving universal health coverage it is also important to build capacity to develop regionally relevant evidence to improve healthcare.

  16. 20 CFR 219.40 - Evidence of relationship by equitable adoption-child.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Evidence of relationship by equitable adoption-child. 219.40 Section 219.40 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE... relationship by equitable adoption—child. (a) Preferred evidence. If the claimant is a person who claims to...

  17. Structural Health Monitoring of Tall Buildings with Numerical Integrator and Convex-Concave Hull Classification

    Directory of Open Access Journals (Sweden)

    Suresh Thenozhi

    2012-01-01

    Full Text Available An important objective of health monitoring systems for tall buildings is to diagnose the state of the building and to evaluate its possible damage. In this paper, we use our prototype to evaluate our data-mining approach for the fault monitoring. The offset cancellation and high-pass filtering techniques are combined effectively to solve common problems in numerical integration of acceleration signals in real-time applications. The integration accuracy is improved compared with other numerical integrators. Then we introduce a novel method for support vector machine (SVM classification, called convex-concave hull. We use the Jarvis march method to decide the concave (nonconvex hull for the inseparable points. Finally the vertices of the convex-concave hull are applied for SVM training.

  18. Effect of renovating an office building on occupants' comfort and health

    DEFF Research Database (Denmark)

    Pejtersen, Jan; Brohus, H.; Hyldgaard, C. E.;

    2001-01-01

    with a low-emitting vinyl floor material; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation was performed before and after the intervention. Over a 2-week period, the occupants completed a daily questionnaire regarding their comfort...... and health. Physiological examinations of eyes, nose and lungs were performed on each occupant. Physical, chemical and sensory measurements were performed before and after the intervention. The renewal of the flooring material was performed after a sensory test of alternative solutions in the laboratory....... Before the floor material was installed in the office building, a full-scale exposure experiment was performed in the laboratory. The new ventilation strategy and renovation of the HVAC system were selected on the basis of laboratory experiments on a full-scale mock-up of a cellular office. The severity...

  19. Equitable Written Assessments for English Language Learners: How Scaffolding Helps

    Science.gov (United States)

    Siegel, Marcelle A.; Menon, Deepika; Sinha, Somnath; Promyod, Nattida; Wissehr, Cathy; Halverson, Kristy L.

    2014-10-01

    This study investigated the effects of the use of scaffolds in written classroom assessments through the voices of both native English speakers and English language learners from two middle schools. Students responded to assessment tasks in writing, by speaking aloud using think aloud protocols, and by reflecting in a post-assessment interview. The classroom assessment tasks were designed to engage students in scientific sense making and multifaceted language use, as recommended by the Next Generation Science Standards. Data analyses showed that both groups benefitted from the use of scaffolds. The findings revealed specific ways that modifications were supportive in helping students to comprehend, visualize and organize thinking, and elicit responses. This study offers a model for both sensitizing teachers and strengthening their strategies for scaffolding assessments equitably.

  20. Building Capacity to Use Earth Observations in Decision Making for Climate, Health, Agriculture and Natural Disasters

    Science.gov (United States)

    Robertson, A. W.; Ceccato, P.

    2015-12-01

    In order to fill the gaps existing in climate and public health, agriculture, natural disasters knowledge and practices, the International Research Institute for Climate and Society (IRI) has developed a Curriculum for Best Practices in Climate Information. This Curriculum builds on the experience of 10 years courses on 'Climate Information' and captures lessons and experiences from different tailored trainings that have been implemented in many countries in Africa, Asia and Latin America. In this presentation, we will provide examples of training activities we have developed to bring remote sensing products to monitor climatic and environmental information into decision processes that benefited users such as the World Health Organization, Ministries of Health, Ministries of Agriculture, Universities, Research Centers such as CIFOR and FIOCRUZ. The framework developed by IRI to provide capacity building is based on the IDEAS framework: Innovation (research) Around climate impacts, evaluation of interventions, and the value of climate information in reducing risks and maximizing opportunities Demonstration E.g. in-country GFCS projects in Tanzania and Malawi - or El Nino work in Ethiopia Education Academic and professional training efforts Advocacy This might focus on communication of variability and change? We are WHO collaborating center so are engaged through RBM/Global Malaria Programme Service ENACTS and Data library key to this. Country data better quality than NASA as incorporates all relevant station data and NASA products. This presentation will demonstrate how the IDEAS framework has been implemented and lessons learned.

  1. The Global Network for Women's and Children's Health Research: A model of capacity-building research.

    Science.gov (United States)

    Koso-Thomas, Marion; McClure, Elizabeth M

    2015-10-01

    In response to the global effort to accelerate progress towards the Millennium Development Goals 4 and 5, a partnership was created between the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the Bill and Melinda Gates Foundation to establish the Global Network for Women's and Children's Health Research (Global Network) in 2000. The Global Network was developed with a goal of building local maternal and child health research capacity in resource-poor settings. The objective of the network was to conduct research focused on several high-need areas, such as preventing life-threatening obstetric complications, improving birth weight and infant growth, and improving childbirth practices in order to reduce mortality. Scientists from developing countries, together with peers in the USA, lead research teams that identify and address population needs through randomized clinical trials and other research studies. Global Network projects develop and test cost-effective, sustainable interventions for pregnant women and newborns and provide guidance for national policy and for the practice of evidence-based medicine. This article reviews the results of the Global Network's research, the impact on policy and practice, and highlights the capacity-building efforts and collaborations developed since its inception. PMID:26043962

  2. Strengthening health promotion in hospitals with capacity building: a Taiwanese case study.

    Science.gov (United States)

    Lee, Chiachi Bonnie; Chen, Michael S; Chien, Sou-Hsin; Pelikan, Jürgen M; Wang, Ying Wei; Chu, Cordia Ming-Yeuk

    2015-09-01

    Organizational capacity building for health promotion (HP) is beneficial to the effective implementation of HP in organizational settings. The World Health Organization (WHO) Health Promoting Hospitals' (HPHs) initiative encourages hospitals to promote the health of their stakeholders by developing organizational capacity. This study analyzes an application case of one hospital of the HPH initiative in Taiwan, characterizes actions aiming at building organizational support to strengthen health gains and identifies facilitators of and barriers to the implementation of the HP in this hospital. Case study methodology was used with a triangulation of various sources; thematic analysis was used to analyze qualitative information. This study found a positive impact of the HPH initiative on the case hospital, such as more support from leadership, a fine-tuned HP mission and strategy, cultivated pro-HP habits of physical activities, a supportive intramural structure, an HP-inclusive system, improved management practices and enhanced staff participation. Transformational and transactional enablers are of equal importance in implementing HPH. However, it was also found that the case hospital encountered more transactional barriers than transformational ones. This hospital was hindered by insufficient support from external environments, leadership with limited autonomy and authority, a preference for ideals over professionalism, insufficient participation by physicians, a lack of manpower and time, a merit system with limited stimulating effect, ineffective management practices in weak central project management, a lack of integration, insufficient communication and an inability to inculcate the staff on the importance of HP, and inadequate staff participation. Several implications for other hospitals are suggested. PMID:24449706

  3. Economic, Environmental and Health Implications of Enhanced Ventilation in Office Buildings

    Science.gov (United States)

    MacNaughton, Piers; Pegues, James; Satish, Usha; Santanam, Suresh; Spengler, John; Allen, Joseph

    2015-01-01

    Introduction: Current building ventilation standards are based on acceptable minimums. Three decades of research demonstrates the human health benefits of increased ventilation above these minimums. Recent research also shows the benefits on human decision-making performance in office workers, which translates to increased productivity. However, adoption of enhanced ventilation strategies is lagging. We sought to evaluate two of the perceived potential barriers to more widespread adoption—Economic and environmental costs. Methods: We estimated the energy consumption and associated per building occupant costs for office buildings in seven U.S. cities, representing different climate zones for three ventilation scenarios (standard practice (20 cfm/person), 30% enhanced ventilation, and 40 cfm/person) and four different heating, ventilation and air conditioning (HVAC) system strategies (Variable Air Volume (VAV) with reheat and a Fan Coil Unit (FCU), both with and without an energy recovery ventilator). We also estimated emissions of greenhouse gases associated with this increased energy usage, and, for comparison, converted this to the equivalent number of vehicles using greenhouse gas equivalencies. Lastly, we paired results from our previous research on cognitive function and ventilation with labor statistics to estimate the economic benefit of increased productivity associated with increasing ventilation rates. Results: Doubling the ventilation rate from the American Society of Heating, Refrigeration and Air-Conditioning Engineers minimum cost less than $40 per person per year in all climate zones investigated. Using an energy recovery ventilation system significantly reduced energy costs, and in some scenarios led to a net savings. At the highest ventilation rate, adding an ERV essentially neutralized the environmental impact of enhanced ventilation (0.03 additional cars on the road per building across all cities). The same change in ventilation improved the

  4. Economic, Environmental and Health Implications of Enhanced Ventilation in Office Buildings

    Directory of Open Access Journals (Sweden)

    Piers MacNaughton

    2015-11-01

    Full Text Available Introduction: Current building ventilation standards are based on acceptable minimums. Three decades of research demonstrates the human health benefits of increased ventilation above these minimums. Recent research also shows the benefits on human decision-making performance in office workers, which translates to increased productivity. However, adoption of enhanced ventilation strategies is lagging. We sought to evaluate two of the perceived potential barriers to more widespread adoption—Economic and environmental costs. Methods: We estimated the energy consumption and associated per building occupant costs for office buildings in seven U.S. cities, representing different climate zones for three ventilation scenarios (standard practice (20 cfm/person, 30% enhanced ventilation, and 40 cfm/person and four different heating, ventilation and air conditioning (HVAC system strategies (Variable Air Volume (VAV with reheat and a Fan Coil Unit (FCU, both with and without an energy recovery ventilator. We also estimated emissions of greenhouse gases associated with this increased energy usage, and, for comparison, converted this to the equivalent number of vehicles using greenhouse gas equivalencies. Lastly, we paired results from our previous research on cognitive function and ventilation with labor statistics to estimate the economic benefit of increased productivity associated with increasing ventilation rates. Results: Doubling the ventilation rate from the American Society of Heating, Refrigeration and Air-Conditioning Engineers minimum cost less than $40 per person per year in all climate zones investigated. Using an energy recovery ventilation system significantly reduced energy costs, and in some scenarios led to a net savings. At the highest ventilation rate, adding an ERV essentially neutralized the environmental impact of enhanced ventilation (0.03 additional cars on the road per building across all cities. The same change in ventilation

  5. Are Biophilic-Designed Site Office Buildings Linked to Health Benefits and High Performing Occupants?

    Directory of Open Access Journals (Sweden)

    Tonia Gray

    2014-11-01

    Full Text Available This paper discusses the first phase of a longitudinal study underway in Australia to ascertain the broad health benefits of specific types of biophilic design for workers in a building site office. A bespoke site design was formulated to include open plan workspace, natural lighting, ventilation, significant plants, prospect and views, recycled materials and use of non-synthetic materials. Initial data in the first three months was gathered from a series of demographic questions and from interviews and observations of site workers. Preliminary data indicates a strong positive effect from incorporating aspects of biophilic design to boost productivity, ameliorate stress, enhance well-being, foster a collaborative work environment and promote workplace satisfaction, thus contributing towards a high performance workspace. The longitudinal study spanning over two years will track human-plant interactions in a biophilic influenced space, whilst also assessing the concomitant cognitive, social, psychological and physical health benefits for workers.

  6. Health impacts due to personal exposure to fine particles caused by insulation of residential buildings in Europe

    Science.gov (United States)

    Gens, Alexandra; Hurley, J. Fintan; Tuomisto, Jouni T.; Friedrich, Rainer

    2014-02-01

    The insulation of residential buildings affects human exposure to fine particles. According to current EU guidelines, insulation is regulated for energy saving reasons. As buildings become tighter, the air exchange rate is reduced and, thus, the indoor concentration of pollutants is increased if there are significant indoor sources. While usually the effects of heat insulation and increase of the air-tightness of buildings on greenhouse gas emissions are highlighted, the negative impacts on human health due to higher indoor concentrations are not addressed. Thus, we investigated these impacts using scenarios in three European countries, i. e. Czech Republic, Switzerland and Greece. The assessment was based on modelling the human exposure to fine particles originating from sources of particles within outdoor and indoor air, including environmental tobacco smoke. Exposure response relationships were derived to link (adverse) health effects to the exposure. Furthermore, probable values for the parameters influencing the infiltration of fine particles into residential buildings were modelled. Results show that the insulation and increase of the air-tightness of residential buildings leads to an overall increase of the mean population exposure - and consequently adverse health effects - in all considered countries (ranging for health effects from 0.4% in Czech Republic to 11.8% in Greece for 100% insulated buildings) due to an accumulation of particles indoors, especially from environmental tobacco smoke. Considering only the emission reductions in outdoor air (omitting changes in infiltration parameters) leads to a decrease of adverse health effects. This study highlights the importance of ensuring a sufficient air exchange rate when insulating buildings, e. g. by prescribing heat ventilation and air conditioning systems in new buildings and information campaigns on good airing practice in renovated buildings. It also shows that assessing policy measures based on the

  7. Developing Evidence for Structural Approaches to Build a Culture of Health: A Perspective from the Robert Wood Johnson Foundation

    Science.gov (United States)

    Mockenhaupt, Robin; Woodrum, Amy

    2015-01-01

    We believe that reframing the conversation to creating a culture around health rather than focusing on discrete actions or activities will capture national consciousness and enable us to make new progress as a nation. Thus, in 2014, the Robert Wood Johnson Foundation (RWJF) announced a new vision to help build a "Culture of Health" to…

  8. Health monitoring methodology based on exergetic analysis for building mechanical systems

    International Nuclear Information System (INIS)

    Exergetic analysis is not often performed in the context of retrocommissioning (RCX); this research provides insight into the benefits of incorporating this approach. Data collected from a previously developed RCX test for an air handling unit (AHU) on a college campus are used in an advanced thermodynamic analysis. The operating data is analyzed using the first and second laws and retrofit design solutions are recommended for improved system performance; the second law analysis is particularly helpful because it requires few additional calculations or data collections. The thermodynamic methodology is extended to a building's cooling plant, which uses a vapor compression refrigeration cycle (VCRC) chiller. Existing chiller data collected for the design of automated fault detection and diagnosis methodology is used. As with the AHU analysis, the second law analysis locates irreversibilities that would not be determined from a first law analysis alone. Plant data representing both normal and faulty operation is used to develop a chiller model for assessing performance and health monitoring. Data is analyzed to determine the viability of health monitoring by performing an exergy analysis on existing data. Conclusions are drawn about the usefulness of exergetic analysis for improving system operations of energy intensive building mechanical systems.

  9. Building a common pediatric research terminology for accelerating child health research.

    Science.gov (United States)

    Kahn, Michael G; Bailey, L Charles; Forrest, Christopher B; Padula, Michael A; Hirschfeld, Steven

    2014-03-01

    Longitudinal observational clinical data on pediatric patients in electronic format is becoming widely available. A new era of multi-institutional data networks that study pediatric diseases and outcomes across disparate health delivery models and care settings are also enabling an innovative collaborative rapid improvement paradigm called the Learning Health System. However, the potential alignment of routine clinical care, observational clinical research, pragmatic clinical trials, and health systems improvement requires a data infrastructure capable of combining information from systems and workflows that historically have been isolated from each other. Removing barriers to integrating and reusing data collected in different settings will permit new opportunities to develop a more complete picture of a patient's care and to leverage data from related research studies. One key barrier is the lack of a common terminology that provides uniform definitions and descriptions of clinical observations and data. A well-characterized terminology ensures a common meaning and supports data reuse and integration. A common terminology allows studies to build upon previous findings and to reuse data collection tools and data management processes. We present the current state of terminology harmonization and describe a governance structure and mechanism for coordinating the development of a common pediatric research terminology that links to clinical terminologies and can be used to align existing terminologies. By reducing the barriers between clinical care and clinical research, a Learning Health System can leverage and reuse not only its own data resources but also broader extant data resources. PMID:24534404

  10. Dampness in buildings as a risk factor for health effects. European multidisciplinary review of the entire literature (EUROEXPO)

    DEFF Research Database (Denmark)

    Bornehag, Carl-Gustaf; Sundell, Jan

    2002-01-01

    The scientific literature on health effects associated with "dampness" in buildings including literature between 1998 and 2000 has been reviewed by a European group (EUROEXPO). The group consisted of scientists with experience from medicine, epidemiology, toxicology and engineering. Of the 104...... reviewed articles 52 were excluded as they were judged as background papers or "non-informative" or "inconclusive" or the study did not present data on exposure, health effects or analysis of the association between exposure and health. The review group concluded that "dampness" in buildings is a risk...

  11. Building capacity for Health Impact Assessment: Training outcomes from the United States

    Energy Technology Data Exchange (ETDEWEB)

    Schuchter, Joseph [Berkeley, CA (United States); Rutt, Candace, E-mail: awr8@cdc.gov [Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity, 4770 Buford Highway MS/F-77, Atlanta, GA 30341 (United States); Satariano, William A. [University of California Berkeley, School of Public Health, Division of Community Health and Human Development, Berkeley, CA (United States); Seto, Edmund [University of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA (United States)

    2015-01-15

    Background: Despite the continued growth of Health Impact Assessment (HIA) in the US, there is little research on HIA capacity-building. A comprehensive study of longer-term training outcomes may reveal opportunities for improving capacity building activities and HIA practice. Methods: We conducted in-depth interviews with HIA trainees in the United States to assess their outcomes and needs. Using a training evaluation framework, we measured outcomes across a spectrum of reaction, learning, behavior and results. Results: From 2006 to 2012, four organizations trained over 2200 people in at least 75 in-person HIA trainings in 29 states. We interviewed 48 trainees, selected both randomly and purposefully. The mean duration between training and interview was 3.4 years. Trainees reported that their training objectives were met, especially when relevant case-studies were used. They established new collaborations at the trainings and maintained them. Training appeared to catalyze more holistic thinking and practice, including a range of HIA-related activities. Many trainees disseminated what they learned and engaged in components of HIA, even without dedicated funding. Going forward, trainees need assistance with quantitative methods, project management, community engagement, framing recommendations, and evaluation. Conclusions: The research revealed opportunities for a range of HIA stakeholders to refine and coordinate training resources, apply a competency framework and leverage complimentary workforce development efforts, and sensitize and build the capacity of communities. - Highlights: • We interviewed HIA trainees in the United States to assess longer-term outcomes. • Training appeared to catalyze a range of beneficial partnerships and activities. • Trainees reported outstanding needs for specific skills and competencies. • There are various opportunities to improve training and capacity-building.

  12. Building capacity for Health Impact Assessment: Training outcomes from the United States

    International Nuclear Information System (INIS)

    Background: Despite the continued growth of Health Impact Assessment (HIA) in the US, there is little research on HIA capacity-building. A comprehensive study of longer-term training outcomes may reveal opportunities for improving capacity building activities and HIA practice. Methods: We conducted in-depth interviews with HIA trainees in the United States to assess their outcomes and needs. Using a training evaluation framework, we measured outcomes across a spectrum of reaction, learning, behavior and results. Results: From 2006 to 2012, four organizations trained over 2200 people in at least 75 in-person HIA trainings in 29 states. We interviewed 48 trainees, selected both randomly and purposefully. The mean duration between training and interview was 3.4 years. Trainees reported that their training objectives were met, especially when relevant case-studies were used. They established new collaborations at the trainings and maintained them. Training appeared to catalyze more holistic thinking and practice, including a range of HIA-related activities. Many trainees disseminated what they learned and engaged in components of HIA, even without dedicated funding. Going forward, trainees need assistance with quantitative methods, project management, community engagement, framing recommendations, and evaluation. Conclusions: The research revealed opportunities for a range of HIA stakeholders to refine and coordinate training resources, apply a competency framework and leverage complimentary workforce development efforts, and sensitize and build the capacity of communities. - Highlights: • We interviewed HIA trainees in the United States to assess longer-term outcomes. • Training appeared to catalyze a range of beneficial partnerships and activities. • Trainees reported outstanding needs for specific skills and competencies. • There are various opportunities to improve training and capacity-building

  13. The Contribution of Equitation Science to Minimising Horse-Related Risks to Humans

    Science.gov (United States)

    Starling, Melissa; McLean, Andrew; McGreevy, Paul

    2016-01-01

    Simple Summary Equitation science describes an approach to horse training and riding that focuses on embracing the cognitive abilities of horses, their natural behaviour, and how human riders can use signalling and rewards to best effect. This approach is concerned with both horse welfare and rider safety, and this review discusses how equitation science can minimise risk to humans around horses and enhance horse welfare. Abstract Equitation science is an evidence-based approach to horse training and riding that focuses on a thorough understanding of both equine ethology and learning theory. This combination leads to more effective horse training, but also plays a role in keeping horse riders and trainers safe around horses. Equitation science underpins ethical equitation, and recognises the limits of the horse’s cognitive and physical abilities. Equitation is an ancient practice that has benefited from a rich tradition that sees it flourishing in contemporary sporting pursuits. Despite its history, horse-riding is an activity for which neither horses nor humans evolved, and it brings with it significant risks to the safety of both species. This review outlines the reasons horses may behave in ways that endanger humans and how training choices can exacerbate this. It then discusses the recently introduced 10 Principles of Equitation Science and explains how following these principles can minimise horse-related risk to humans and enhance horse welfare. PMID:26907354

  14. Putting Management Capacity Building at the Forefront of Health Systems Strengthening; Comment on “Management Matters: A Leverage Point for Health Systems Strengthening in Global Health”

    OpenAIRE

    Yeager, Valerie A.; Jane Bertrand

    2016-01-01

    The current limited focus on management in global health activities is highly problematic given the amounts of financial and human resources that are pouring into health system strengthening interventions and the complexity of clinical operations across settings. By ensuring that public health and healthcare practitioners in domestic and international settings receive management training in their educational programs and that we build management capacity among individuals already in the healt...

  15. Statewide Community-based Health Promotion: A North Carolina Model to Build Local Capacity for Chronic Disease Prevention

    OpenAIRE

    Marcus Plescia, MD, MPH; Suzanna Young, RD, MPH; Rosemary L. Ritzman, PhD, MSN

    2005-01-01

    Background Public health faces major challenges to building state and local infrastructure with the capacity to address the underlying causes of chronic disease. We describe a structured statewide approach to providing technical assistance for local communities to support and develop health promotion capacity. Context Over the last two decades, the North Carolina Statewide Health Promotion program has supported local approaches to the prevention and control of chronic disease. In 1999, a majo...

  16. Azerbaijan: How Equitable is Access to Higher Education?

    Directory of Open Access Journals (Sweden)

    Aliyev R.

    2011-03-01

    Full Text Available This paper aims to shed light on some of the issues that impede the development of higher education sector in Azerbaijan, focusing on the growing inequality in the educational outcomes at the secondary level and the ensuing unequal access in higher education. It assesses the performance of the education sector in the Republic of Azerbaijan in terms of ensuring equitable access in higher education (H.E. across the country. A comparison of university admission rates among different groups in question acts as a fairly good proxy for most aspects of equity in access in higher education. For that reason, this analysis first considers the disparity in higher education admission rates between urban and rural areas. After establishing geographical (urban-rural disparities in the transition to H.E., it continues to present arguments to suggest that a considerable part of the existing regional inequality in Azerbaijan is attributable to unequal educational choices and opportunities. Specifically, it shows how cross sectional data are consistent with the initial assumption that the H.E. system in Azerbaijan is significantly predisposed to students from urban areas and affluent families, and how current educational policies and regulations exacerbate inequitable access.

  17. Building capacity in health facility management: guiding principles for skills transfer in Liberia

    Directory of Open Access Journals (Sweden)

    Dahn Bernice T

    2010-03-01

    Full Text Available Abstract Background Management training is fundamental to developing human resources for health. Particularly as Liberia revives its health delivery system, facility and county health team managers are central to progress. Nevertheless, such management skills are rarely prioritized in health training, and sustained capacity building in this area is limited. We describe a health management delivery program in which a north and south institution collaborated to integrate classroom and field-based training in health management and to transfer the capacity for sustained management development in Liberia. Methods We developed and implemented a 6-month training program in health management skills (i.e. strategic problem solving, financial management, human resource management and leadership delivered by Yale University and Mother Patern College from Liberia, with support from the Clinton HIV/AIDS Initiative. Over three 6-month cycles, responsibility for course instruction was transferred from the north institution to the south institution. A self-administered survey was conducted of all participants completing the course to measure changes in self-rated management skills, the degree to which the course was helpful and met its stated objectives, and faculty members' responsiveness to participant needs as the transfer process occurred. Results Respondents (n = 93, response rate 95.9% reported substantial improvement in self-reported management skills, and rated the helpfulness of the course and the degree to which the course met its objectives highly. Levels of improvement and course ratings were similar over the three cohorts as the course was transferred to the south institution. We suggest a framework of five elements for implementing successful management training programs that can be transferred and sustained in resource-limited settings, including: 1 use a short-course format focusing on four key skill areas with practical tools; 2 include

  18. Investigation of natural radioactivity concentration in building materials and the impact to human health

    International Nuclear Information System (INIS)

    Full text: Human health is burdened by the everyday exposure in natural radioactivity caused by materials used for the construction and decoration of their houses. This study focus on the determination of the natural radioactivity concentration of various building materials used for interior and exterior constructions located in Greece. Natural radionuclides (U-238, Th-232 and K-40) concentration in specially prepared samples of these materials is measured utilizing the direct gamma-counting method. These values are presented as specific activities (Bq Kg-1) for each radionuclide in every constructing material while the overall results are tabulated, analyzed and compared with similar data from other studies. Additionally, the radiobiological impact to humans exposed to this specific radiation is investigated by estimating the probable radiation dose uptake (in mSv per year) and comparing it with the maximum permissible absorbed dose to humans as given by the world standards. (authors)

  19. Evaluating the scope for energy-efficiency improvements in the public sector: Benchmarking NHSScotland's smaller health buildings

    Energy Technology Data Exchange (ETDEWEB)

    Murray, Joe; Burek, S. [School of the Built and Natural Environment, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA (United Kingdom); Pahl, O. [Caledonian Environment Centre, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA (United Kingdom)

    2008-03-15

    The National Health Service in Scotland (NHSScotland) has, in recent years, done much to reduce energy consumption in its major healthcare buildings (hospitals). On average, a reduction of 2% per year has been achieved since 2000, based on hospital buildings. However, there had been little or no attention paid to smaller premises such as health centres, clinics, dentists, etc. Such smaller healthcare buildings in Scotland constitute 29% of the total treated floor area of all NHSScotland buildings and, therefore, may contribute a similar percentage of carbon and other emissions to the environment. By concentrating on a sample of local health centres in Scotland, this paper outlines the creation of an energy benchmark target, which is part of a wider research project to investigate the environmental impacts of small healthcare buildings in Scotland and the scope for improvements. It was found that energy consumption varied widely between different centres but this variation could not be linked to building style, floor area or volume. Overall, it was found that a benchmark of 0.2 GJ/m{sup 3} would be challenging, but realistic. (author)

  20. A Human Rights Based Political Economy for a De-growth Based Equitable Development

    OpenAIRE

    Branco, Manuel

    2008-01-01

    Within a scenario of de-growth many may conclude that development in general, and equitable development in particular, may become outdated concepts and aspirations. In their minds this would immediately put the de-growth philosophy amidst the reactionary ideas and would favour world wide resistance to de-growth. The purpose of this paper is to explore institutional principles and tools that allow the conciliation between de-growth and equitable development, namely within economic thought. In ...

  1. Building Social Capital Through a Peer-Led Community Health Workshop: A Pilot with the Bhutanese Refugee Community.

    Science.gov (United States)

    Im, Hyojin; Rosenberg, Rachel

    2016-06-01

    Despite the high health and mental health care needs, resettled refugees often face cultural and linguistic challenges that hinder the access to appropriate and timely interventions and services. Additionally, such concepts as preventive health or mental health treatment are foreign to this population, which creates additional burdens to the refugee community that already have difficulty navigating a complex health care system in the U.S. To address multiple and complex gaps in health and mental health support for the refugee community, requested is an innovative approach that can convey culturally responsive and effective interventions for health promotion, such as peer-based health education. Few studies have been conducted on the effectiveness of peer-led community health interventions with refugee populations in the U.S. resettlement context. However, peer-led interventions have been shown to be effective when working with cultural minorities and interventions in an international context. Adopting a social capital framework, the current study conducted qualitative evaluation on the impact of a pilot peer-led community health workshop (CHW) in the Bhutanese refugee community. A hybrid thematic analysis of focus group discussion data revealed the improvement in health promotion outcomes and health practice, as well as perceived emotional health. The results also showed that the peer-led CHW provided a platform of community building and participation, while increasing a sense of community, sense of belonging and unity. The findings posit that a peer-led intervention model provides culturally responsive and effective tools for building social capital and promoting community health in the refugee community. PMID:26578350

  2. [Capacity Building for Prevention and Health Promotion for Children and Parents in a Deprived Urban Quarter: Lenzgesund].

    Science.gov (United States)

    Süß, W; Nickel, S; Wolf, K; Trojan, A

    2015-09-01

    In 2005 the local health authority Hamburg-Eimsbüttel developed a prevention programme for the disadvantaged quarter "Lenzsiedlung" which has been implemented by the stakeholders committee "Round Table Lenzgesund" and other partners led by the health authority. The Department of Medical Sociology and Health Economics of the University Medical Centre had taken on the accompanying analysis and long-term evaluation with a mixture of qualitative and quantitative methods for health reporting and evaluation and a new instrument for measuring capacity building in the quarter (KEQ). PMID:23954981

  3. Carbon emissions and an equitable emission reduction criterion

    International Nuclear Information System (INIS)

    In 1995 the world-wide carbon emissions reached 5.8 billion metric tonnes per year (GTC/y). The Kyoto protocol calls for a reduction of carbon emissions from the developed countries (Annex I countries) of 6-8% below 1990 levels on the average, and unspecified commitments for the less developed (non-Annex I) countries. It is doubtful that the Kyoto agreement will be ratified by some parliaments, especially the USA Congress. Furthermore, it is shown that if the non-Annex I countries will not curtail their carbon emissions drastically, the global emissions will soar to huge levels by the middle of the next century. An equitable emission criterion is proposed which may lead to a sustainable rate of growth of carbon emissions, and be acceptable to all countries of the world. The criterion links the rate of growth of carbon emissions to the rate of growth of the Gross Domestic Product (GDP). A target criterion is proposed R = 0.15 KgC/SGDP, which is the current average for western European countries and Japan. This allows for both the growth of the GDP and carbon emissions. However, to reach the target in a reasonable time, the countries for which R≤ 0.3 would be allowed a carbon emission growth rate of 1%./y, and countries for which R≥ 0.3, 0.75%/y. It is shown that by 2050 the world-wide carbon emissions would reach about 10 GTC/y, which is about 3 times less than the Kyoto agreement would allow. (Author)

  4. Project TEACH: A Capacity-Building Training Program for Community-Based Organizations and Public Health Agencies.

    Science.gov (United States)

    Sauaia, Angela; Tuitt, Nicole R; Kaufman, Carol E; Hunt, Cerise; Ledezma-Amorosi, Mariana; Byers, Tim

    2016-01-01

    Project TEACH (Teaching Equity to Advance Community Health) is a capacity-building training program to empower community-based organizations and regional public health agencies to develop data-driven, evidence-based, outcomes-focused public health interventions. TEACH delivers training modules on topics such as logic models, health data, social determinants of health, evidence-based interventions, and program evaluation. Cohorts of 7 to 12 community-based organizations and regional public health agencies in each of the 6 Colorado Area Health Education Centers service areas participate in a 2-day training program tailored to their specific needs. From July 2008 to December 2011, TEACH trained 94 organizations and agencies across Colorado. Training modules were well received and resulted in significant improvement in knowledge in core content areas, as well as accomplishment of self-proposed organizational goals, grant applications/awards, and several community-academic partnerships. PMID:23480898

  5. Building workforce capacity for ethical reflection in health promotion: a practitioner's experience.

    Science.gov (United States)

    Axford, Annabel; Carter, Drew

    2015-12-01

    Health promotion does not have a code of ethics, although attempts have been made to assist practitioners in their understanding and application of ethical concepts. This article describes and analyses one such attempt, sustained from 2006 to 2014 in rural South Australia. The attempt comprised capacity-building activities that were informed by principles of organisational change management, especially the principle of creating champions. The article also presents a framework (largely comprising ethical questions) that may help practitioners as a prompt and guide to ethical reflection. The framework was developed to be as accessible as possible in light of the diverse educational backgrounds found in rural settings. Finally, the article highlights some philosophical dimensions to the framework and defends its role, proposing that ethical reflection is integral to good practice and never simply the province of theorists. The article does all this with a view to stimulating discussion on how to increase the frequency and quality of ethical reflection undertaken by health promotion practitioners. PMID:26686061

  6. Building partnerships towards strengthening Makerere University College of Health Sciences: a stakeholder and sustainability analysis

    Directory of Open Access Journals (Sweden)

    Pariyo George W

    2011-03-01

    Full Text Available Abstract Background Partnerships and networking are important for an institution of higher learning like Makerere University College of Health Sciences (MakCHS to be competitive and sustainable. Methods A stakeholder and sustainability analysis of 25 key informant interviews was conducted among past, current and potential stakeholders of MakCHS to obtain their perspectives and contributions to sustainability of the College in its role to improve health outcomes. Results The College has multiple internal and external stakeholders. Stakeholders from Uganda wanted the College to use its enormous academic capacity to fulfil its vision, take initiative, and be innovative in conducting more research and training relevant to the country’s health needs. Many stakeholders felt that the initiative for collaboration currently came more from the stakeholders than the College. External stakeholders felt that MakCHS was insufficiently marketing itself and not directly engaging the private sector or Parliament. Stakeholders also identified the opportunity for MakCHS to embrace information technology in research, learning and training, and many also wanted MakCHS to start leadership and management training programmes in health systems. The need for MakCHS to be more vigorous in training to enhance professionalism and ethical conduct was also identified. Discussion As a constituent of a public university, MakCHS has relied on public funding, which has been inadequate to fulfill its mission. Broader networking, marketing to mobilize resources, and providing strong leadership and management support to inspire confidence among its current and potential stakeholders will be essential to MakCHS’ further growth. MakCHS’ relevance is hinged on generating research knowledge for solving the country’s contemporary health problems and starting relevant programs and embracing technologies. It should share new knowledge widely through publications and other forms of

  7. Transnational Strategies for the Promotion of Physical Activity and Active Aging: The World Health Organization Model of Consensus Building in International Public Health

    Science.gov (United States)

    Chodzko-Zajko, Wojtek; Schwingel, Andiara

    2009-01-01

    In this paper we focus our attention on an examination of the four-step process adopted by the World Health Organization (WHO) in its systematic campaign to promote physically active lifestyles by older adults across the 193 WHO member states. The four steps adopted by the WHO include (1) Building Consensus Among Professionals; (2) Educating the…

  8. Building Capacity of Occupational Therapy Practitioners to Address the Mental Health Needs of Children and Youth: A Mixed-Methods Study of Knowledge Translation

    OpenAIRE

    Bazyk, Susan; Demirjian, Louise; LaGuardia, Teri; Thompson-Repas, Karen; Conway, Carol; Michaud, Paula

    2015-01-01

    A 6-mo building capacity process designed to promote knowledge translation of a public health approach to mental health among pediatric occupational therapy practitioners empowered change leaders to articulate, advocate for, and implement practice changes.

  9. A strategic approach to public health workforce development and capacity building.

    Science.gov (United States)

    Dean, Hazel D; Myles, Ranell L; Spears-Jones, Crystal; Bishop-Cline, Audriene; Fenton, Kevin A

    2014-11-01

    In February 2010, CDC's National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Disease (STD), and Tuberculosis (TB) Prevention (NCHHSTP) formally institutionalized workforce development and capacity building (WDCB) as one of six overarching goals in its 2010-2015 Strategic Plan. Annually, workforce team members finalize an action plan that lays the foundation for programs to be implemented for NCHHSTP's workforce that year. This paper describes selected WDCB programs implemented by NCHHSTP during the last 4 years in the three strategic goal areas: (1) attracting, recruiting, and retaining a diverse and sustainable workforce; (2) providing staff with development opportunities to ensure the effective and innovative delivery of NCHHSTP programs; and (3) continuously recognizing performance and achievements of staff and creating an atmosphere that promotes a healthy work-life balance. Programs have included but are not limited to an Ambassador Program for new hires, career development training for all staff, leadership and coaching for mid-level managers, and a Laboratory Workforce Development Initiative for laboratory scientists. Additionally, the paper discusses three overarching areas-employee communication, evaluation and continuous review to guide program development, and the implementation of key organizational and leadership structures to ensure accountability and continuity of programs. Since 2010, many lessons have been learned regarding strategic approaches to scaling up organization-wide public health workforce development and capacity building. Perhaps the most important is the value of ensuring the high-level strategic prioritization of this issue, demonstrating to staff and partners the importance of this imperative in achieving NCHHSTP's mission. PMID:25439247

  10. Design and implementation of a structural health monitoring and alerting system for hospital buildings in the United States

    Science.gov (United States)

    Ulusoy, Hasan S.; Kalkan, Erol; Fletcher, Jon Peter B.; Friberg, Paul; Leith, W. K.; Banga, Krishna

    2012-01-01

    This paper describes the current progress in the development of a structural health monitoring and alerting system to meet the needs of the U.S. Department of Veterans Affairs to monitor hospital buildings instrumented in high and very high seismic hazard regions in the U.S. The system, using the measured vibration data, is primarily designed for post-earthquake condition assessment of the buildings. It has two essential components – sensing and analysis. The sensing component includes all necessary firmware and sensors to measure the response of the building; while the analysis component consists of several data processing modules integrated into an open source software package which compresses a large amount of measured data into useful information to assess the building’s condition before and after an event. The information can be used for a rapid building safety assessment, and to support decisions for necessary repairs, replacements, and other maintenance and rehabilitation measures.

  11. The Global Role of Health Care Delivery Science: Learning from Variation to Build Health Systems that Avoid Waste and Harm

    OpenAIRE

    Mulley, Albert G.

    2013-01-01

    This paper addresses the fourth theme of the Indiana Global Health Research Working Conference, Clinical Effectiveness and Health Systems Research. It explores geographic variation in health care delivery and health outcomes as a source of learning how to achieve better health outcomes at lower cost. It focuses particularly on the relationship between investments made in capacities to deliver different health care services to a population and the value thereby created by that care for individ...

  12. Equitable long term care for the elderly immigrants

    OpenAIRE

    2012-01-01

    Background: The recent studies conducted among the health professionals representing long term care have shown that working with the elderly immigrants involves a range of challenges. One of the typical challenges is to adjust care service to the individual needs so that it maintains the patient’s integrity and dignity. The Norwegian health care system is built on the principles of equal access, equal quality and equal health outcomes. At the same time, it requires that health care takes into...

  13. Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign.

    Science.gov (United States)

    Schutzbank, Andrew; Fernandopulle, Rushika

    2014-03-01

    Iora Health is a primary care delivery company creating de novo primary care practices with the mission of restoring humanity to health care. To support our very different and evolving model of team-based primary care we realized we needed to build our own electronic health record (EHR). This perspective shares four key lessons from the software development process: the tight relationship between delivery innovation and software development, the benefits of Agile development, the value of having the clinicians at all levels as part of the software development team, and different ways to think about clinical information. PMID:26250083

  14. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions. Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework. Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure. Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  15. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework.Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  16. Strengthening of primary health care: Key to deliver inclusive health care

    Directory of Open Access Journals (Sweden)

    Rajiv Yeravdekar

    2013-01-01

    Full Text Available Inequity and poverty are the root causes of ill health. Access to quality health services on an affordable and equitable basis in many parts of the country remains an unfulfilled aspiration. Disparity in health care is interpreted as compromise in ′Right to Life.′ It is imperative to define ′essential health care,′ which should be made available to all citizens to facilitate inclusivity in health care. The suggested methods for this include optimal utilization of public resources and increasing public spending on health care. Capacity building through training, especially training of paramedical personnel, is proposed as an essential ingredient, to reduce cost, especially in tertiary care. Another aspect which is considered very important is improvement in delivery system of health care. Increasing the role of ′family physician′ in health care delivery system will improve preventive care and reduce cost of tertiary care. These observations underlie the relevance and role of Primary health care as a key to deliver inclusive health care. The advantages of a primary health care model for health service delivery are greater access to needed services; better quality of care; a greater focus on prevention; early management of health problems; and cumulative improvements in health and lower morbidity as a result of primary health care delivery.

  17. Dampness in buildings and health. Dampness at home as a risk factor for symptoms among 10 851 Swedish children (DBH-Step 1)

    DEFF Research Database (Denmark)

    Bornehag, Carl-Gustaf; Sundell, Jan; Hagerhed, L.;

    2002-01-01

    With the overall aim of identifying health-relevant exposures in "damp" buildings, an interdisciplinary epidemiological study started in Sweden in 1999, namely "Dampness in Buildings and Health" (DBH). The first step of the study (carried out during spring 2000) included a cross...

  18. Building Interdisciplinary Leadership Skills among Health Practitioners in the Twenty-First Century: An Innovative Training Model.

    Science.gov (United States)

    Negandhi, Preeti; Negandhi, Himanshu; Tiwari, Ritika; Sharma, Kavya; Zodpey, Sanjay P; Quazi, Zahiruddin; Gaidhane, Abhay; Jayalakshmi N; Gijare, Meenakshi; Yeravdekar, Rajiv

    2015-01-01

    Transformational learning is the focus of twenty-first century global educational reforms. In India, there is a need to amalgamate the skills and knowledge of medical, nursing, and public health practitioners and to develop robust leadership competencies among them. This initiative proposed to identify interdisciplinary leadership competencies among Indian health practitioners and to develop a training program for interdisciplinary leadership skills through an Innovation Collaborative. Medical, nursing, and public health institutions partnered in this endeavor. An exhaustive literature search was undertaken to identify leadership competencies in these three professions. Published evidence was utilized in searching for the need for interdisciplinary training of health practitioners, including current scenarios in interprofessional health education and the key competencies required. The interdisciplinary leadership competencies identified were self-awareness, vision, self-regulation, motivation, decisiveness, integrity, interpersonal communication skills, strategic planning, team building, innovation, and being an effective change agent. Subsequently, a training program was developed, and three training sessions were piloted with 66 participants. Each cohort comprised a mix of participants from different disciplines. The pilot training guided the development of a training model for building interdisciplinary leadership skills and organizing interdisciplinary leadership workshops. The need for interdisciplinary leadership competencies is recognized. The long-term objective of the training model is integration into the regular medical, nursing, and public health curricula, with the aim of developing interdisciplinary leadership skills among them. Although challenging, formal incorporation of leadership skills into health professional education is possible within the interdisciplinary classroom setting using principles of transformative learning. PMID:26501046

  19. [Advances and challenges in building the national health research system in Peru].

    Science.gov (United States)

    Yagui, Martín; Espinoza, Manuel; Caballero, Patricia; Castilla, Teresa; Garro, Gladys; Yamaguchi, L Patricia; Mormontoy, Henry; Mayta-Tristán, Percy; Velásquez, Aníbal; Cabezas, César

    2010-09-01

    The objective of this paper is to present the situational status of the National Health Research System of Peru (NHRS), the lessons learnt during the building process, the opportunities to improve it and the challenges. A description of the functions of the peruvian NHRS is done, in relation to governance, legal framework, research priorities, funding, creation and sustainability of resources and research production and utilization. It describes that in Peru we excert governance in research, we count with regulations, policy and research priorities, these last developed in the framework of a participatory, inclusive process. The conclusion reached is that the challenges of the peruvian NHRS are to consolidate the governance and to develop the mechanisms to articulate the stakeholders involved in research, to improve the resources allocation for research and innovation, to elaborate a plan for the development of human resources dedicated to research, to develop institutions and regional competences in order to perform research, and to link research in order to solve problems and make national research policies sustainable. PMID:21152732

  20. The Contribution of Equitation Science to Minimising Horse-Related Risks to Humans.

    Science.gov (United States)

    Starling, Melissa; McLean, Andrew; McGreevy, Paul

    2016-01-01

    Equitation science is an evidence-based approach to horse training and riding that focuses on a thorough understanding of both equine ethology and learning theory. This combination leads to more effective horse training, but also plays a role in keeping horse riders and trainers safe around horses. Equitation science underpins ethical equitation, and recognises the limits of the horse's cognitive and physical abilities. Equitation is an ancient practice that has benefited from a rich tradition that sees it flourishing in contemporary sporting pursuits. Despite its history, horse-riding is an activity for which neither horses nor humans evolved, and it brings with it significant risks to the safety of both species. This review outlines the reasons horses may behave in ways that endanger humans and how training choices can exacerbate this. It then discusses the recently introduced 10 Principles of Equitation Science and explains how following these principles can minimise horse-related risk to humans and enhance horse welfare. PMID:26907354

  1. The Contribution of Equitation Science to Minimising Horse-Related Risks to Humans

    Directory of Open Access Journals (Sweden)

    Melissa Starling

    2016-02-01

    Full Text Available Equitation science is an evidence-based approach to horse training and riding that focuses on a thorough understanding of both equine ethology and learning theory. This combination leads to more effective horse training, but also plays a role in keeping horse riders and trainers safe around horses. Equitation science underpins ethical equitation, and recognises the limits of the horse’s cognitive and physical abilities. Equitation is an ancient practice that has benefited from a rich tradition that sees it flourishing in contemporary sporting pursuits. Despite its history, horse-riding is an activity for which neither horses nor humans evolved, and it brings with it significant risks to the safety of both species. This review outlines the reasons horses may behave in ways that endanger humans and how training choices can exacerbate this. It then discusses the recently introduced 10 Principles of Equitation Science and explains how following these principles can minimise horse-related risk to humans and enhance horse welfare.

  2. Addressing the “Global Health Tax” and “Wild Cards”: Practical Challenges to Building Academic Careers in Global Health

    Science.gov (United States)

    Dhillon, Ranu

    2016-01-01

    Among many possible benefits, global health efforts can expand the skills and experience of U.S. clinicians, improve health for communities in need, and generate innovations in care delivery with relevance everywhere. Yet, despite high rates of interest among students and medical trainees to include global health opportunities in their training, there is still no clear understanding of how this interest will translate into viable and sustained global health careers after graduation. Building on a growing conversation about how to support careers in academic global health, this Perspective describes the practical challenges faced by physicians pursuing these careers after they complete training. Writing from their perspective as junior faculty at one U.S. academic health center with a dedicated focus on global health training, the authors describe a number of practical issues they have found to be critical both for their own career development and for the advice they provide their mentees. With a particular emphasis on the financial, personal, professional, and logistical challenges that young “expat” global health physicians in academic institutions face, they underscore the importance of finding ways to support these career paths, and propose possible solutions. Such investments would not only respond to the rational and moral imperatives of global health work and advance the mission of improving human health but also help to fully leverage the potential of what is already an unprecedented movement within academic medicine. PMID:26244256

  3. Modeled effects of an improved building insulation scenario in Europe on air pollution, health and societal costs

    DEFF Research Database (Denmark)

    Bønløkke, Jakob Hjort; Holst, Gitte Juel; Sigsgaard, Torben;

    2015-01-01

    insulation scenario in Europe would have substantial benefits on health through improvements in air pollution. Health effects and societal cost savings may significantly counterbalance investment costs and should be taken into account when evaluating strategies for mitigation of global warming....... the resulting effects on health and economy. Methods: Projected energy savings between 2005 and 2020 were calculated for an improved building insulation scenario and a business as usual scenario. The resulting changes in emissions (e.g. from power plants) were used in the Comprehensive Air......-Quality Model with extensions. Mean annual changes in the main air pollutants were derived for each country. World Health Organization (WHO) and European Union (EU) data on populations and on impacts of pollutants were used to derive health effects and costs. Effects on indoor air quality were not assessed...

  4. Building equitable community-academic research collaborations: Learning together through tensions and contradictions

    Directory of Open Access Journals (Sweden)

    Naomi Nichols

    2013-09-01

    Full Text Available This article explores the findings from a multi-method study of a community-university research alliance (Assets Coming Together for Youth that brings together multidisciplinary academics, graduate student research assistants, community stakeholders and youth research interns. The project undertook evaluative and reflexive research to better understand how these different partnership group members experienced the collaborative process. The article draws on focus group discussions with the four stakeholder groups, in-depth interviews with youth research interns and an online partnership assessment survey of partnership group members. Data highlight people’s ambivalence toward the partnership process. Despite a shared desire to collaborate, it is difficult to maintain a process that mobilises the outcomes of collaboration for the mutual benefit of all stakeholders. In this article, we explore three key factors that shape people’s perspectives on the partnership process: historical and institutional relations; structures for communicating across difference; and opportunities for learning. A close examination of these three factors suggests that ongoing opportunities for communication about, and learning from, people’s ambivalence (that is, uncertainty or hesitation supports a positive and productive partnership process. Keywords: Community-academic research, collaboration, process, equity, learning, youth

  5. Empowering health personnel for decentralized health planning in India: The Public Health Resource Network

    Directory of Open Access Journals (Sweden)

    Prasad Vandana

    2009-07-01

    Full Text Available Abstract The Public Health Resource Network is an innovative distance-learning course in training, motivating, empowering and building a network of health personnel from government and civil society groups. Its aim is to build human resource capacity for strengthening decentralized health planning, especially at the district level, to improve accountability of health systems, elicit community participation for health, ensure equitable and accessible health facilities and to bring about convergence in programmes and services. The question confronting health systems in India is how best to reform, revitalize and resource primary health systems to deliver different levels of service aligned to local realities, ensuring universal coverage, equitable access, efficiency and effectiveness, through an empowered cadre of health personnel. To achieve these outcomes it is essential that health planning be decentralized. Districts vary widely according to the specific needs of their population, and even more so in terms of existing interventions and available resources. Strategies, therefore, have to be district-specific, not only because health needs vary, but also because people's perceptions and capacities to intervene and implement programmes vary. In centrally designed plans there is little scope for such adaptation and contextualization, and hence decentralized planning becomes crucial. To undertake these initiatives, there is a strong need for trained, motivated, empowered and networked health personnel. It is precisely at this level that a lack of technical knowledge and skills and the absence of a supportive network or adequate educational opportunities impede personnel from making improvements. The absence of in-service training and of training curricula that reflect field realities also adds to this, discouraging health workers from pursuing effective strategies. The Public Health Resource Network is thus an attempt to reach out to motivated

  6. Global health partnerships: building multi-national collaborations to achieve lasting improvements in maternal and neonatal health

    OpenAIRE

    Ramaswamy, Rohit; Kallam, Brianne; Kopic, Dragica; Pujic, Borislava; Owen, Medge D.

    2016-01-01

    Background In response to health care challenges worldwide, extensive funding has been channeled to the world’s most vulnerable health systems. Funding alone is not sufficient to address the complex issues and challenges plaguing these health systems. To see lasting improvement in maternal and infant health outcomes in the developing world, a global commitment to the sharing of knowledge and resources through international partnerships is critical. But partnerships that merely introduce weste...

  7. A New Dynamic Building Health Monitoring Method Based on the Hilbert-Huang Transform

    Directory of Open Access Journals (Sweden)

    Sheng-Chung Su

    2014-01-01

    Full Text Available The theoretical solution for a Multiple-Degree-Of-Freedom (MDOF structure is composed of a combination of several individual modes. When we demonstrate the actual response directly on the time-frequency spectrum, the energy distribution is usually concentrated at some range of frequencies, with the temporal variations of each band clearly shown. Those variations in the frequencies are the actual structure performances even though those _ _ are not coming from the theoretical solutions. Using the Hilbert-Huang Transform (HHT the modal behaviors can be obtained easily by directly reading the time-frequency spectrum. To find Structural-Health-Monitoring (SHM information, some numerical steps are found helpful. Including the signal enhancement skills, the time-frequency domain amplification function (T.F.AF, the modal temporal variation curve (MTVC and the instantaneous frequency application. We develop a new method called the HHT SHM method; both experiment measurement and building observation are used to show the performance and method-validation. The procedures are described as follows. The original signal is first transferred into the wave-propagating properties, the T.F.AF. The T.F.AF can give dynamic parameter results through all phases in an earthquake event. After adopting useful modal information from the T.F.AF, which is called the MTVC. The MTVC contains detailed SHM information that enables observers to read the modal behavior. This is a new way to explore SHM information from actual records. These MTVCs can be used to explore the vivid differences in structure healthy conditions that might be ignored by other observers.

  8. Uncertainty quantification in structural health monitoring: Applications on cultural heritage buildings

    Science.gov (United States)

    Lorenzoni, Filippo; Casarin, Filippo; Caldon, Mauro; Islami, Kleidi; Modena, Claudio

    2016-01-01

    In the last decades the need for an effective seismic protection and vulnerability reduction of cultural heritage buildings and sites determined a growing interest in structural health monitoring (SHM) as a knowledge-based assessment tool to quantify and reduce uncertainties regarding their structural performance. Monitoring can be successfully implemented in some cases as an alternative to interventions or to control the medium- and long-term effectiveness of already applied strengthening solutions. The research group at the University of Padua, in collaboration with public administrations, has recently installed several SHM systems on heritage structures. The paper reports the application of monitoring strategies implemented to avoid (or at least minimize) the execution of strengthening interventions/repairs and control the response as long as a clear worsening or damaging process is detected. Two emblematic case studies are presented and discussed: the Roman Amphitheatre (Arena) of Verona and the Conegliano Cathedral. Both are excellent examples of on-going monitoring activities, performed through static and dynamic approaches in combination with automated procedures to extract meaningful structural features from collected data. In parallel to the application of innovative monitoring techniques, statistical models and data processing algorithms have been developed and applied in order to reduce uncertainties and exploit monitoring results for an effective assessment and protection of historical constructions. Processing software for SHM was implemented to perform the continuous real time treatment of static data and the identification of modal parameters based on the structural response to ambient vibrations. Statistical models were also developed to filter out the environmental effects and thermal cycles from the extracted features.

  9. Customer centered health care: why managed care organizations must capitalize on new technology to build brands and customer loyalty.

    Science.gov (United States)

    Fell, D

    1998-01-01

    Now, more than ever, health care organizations are desperately trying to reach out to customers and establish stronger relationships that will generate increased loyalty and repeat business. As technology, like the Internet and related mediums, allow us to do a better job of managing information and communication, health care executives must invest the time and resources necessary to bring these new advances into the day-to-day operations of their businesses. Those that do will have a head start in building their brand and their customer loyalty. PMID:10181710

  10. Knowledge-Based Energy Damage Model for Evaluating Industrialised Building Systems (IBS) Occupational Health and Safety (OHS) Risk

    OpenAIRE

    Abas Nor Haslinda; Blismas Nick; Lingard Helen

    2016-01-01

    Malaysia’s construction industry has been long considered hazardous, owing to its poor health and safety record. It is proposed that one of the ways to improve safety and health in the construction industry is through the implementation of ‘off-site’ systems, commonly termed ‘industrialised building systems (IBS)’ in Malaysia. This is deemed safer based on the risk concept of reduced exposure, brought about by the reduction in onsite workers; however, no method yet exists for determining the ...

  11. How a Beacon Community Program in New Orleans Helped Create a Better Health Care System By Building Relationships Before Technology

    OpenAIRE

    Khurshid, Anjum; Brown, Lisanne

    2014-01-01

    Introduction: In the aftermath of Hurricane Katrina, much of New Orleans’ healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans’ large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce t...

  12. The Building Blocks Collaborative: advancing a life course approach to health equity through multi-sector collaboration.

    Science.gov (United States)

    Shrimali, Bina Patel; Luginbuhl, Jessica; Malin, Christina; Flournoy, Rebecca; Siegel, Anita

    2014-02-01

    Too many children are born into poverty, often living in disinvested communities without adequate opportunities to be healthy and thrive. Two complementary frameworks-health equity and life course-propose new approaches to these challenges. Health equity strategies seek to improve community conditions that influence health. The life course perspective focuses on key developmental periods that can shift a person's trajectory over the life course, and highlights the importance of ensuring that children have supports in place that set them up for long-term success and health. Applying these frameworks, the Alameda County Public Health Department launched the Building Blocks Collaborative (BBC), a countywide multi-sector initiative to engage community partners in improving neighborhood conditions in low-income communities, with a focus on young children. A broad cross-section of stakeholders, called to action by the state of racial and economic inequities in children's health, came together to launch the BBC and develop a Bill of Rights that highlights the diverse factors that contribute to children's health. BBC partners then began working together to improve community conditions by learning and sharing ideas and strategies, and incubating new collaborative projects. Supportive health department leadership; dedicated staff; shared vision and ownership; a flexible partnership structure; and broad collective goals that build on partners' strengths and priorities have been critical to the growth of the BBC. Next steps include institutionalizing BBC projects into existing infrastructure, ongoing partner engagement, and continued project innovation-to achieve a common vision that all babies have the best start in life. PMID:23807714

  13. The global role of health care delivery science: learning from variation to build health systems that avoid waste and harm.

    Science.gov (United States)

    Mulley, Albert G

    2013-09-01

    This paper addresses the fourth theme of the Indiana Global Health Research Working Conference, Clinical Effectiveness and Health Systems Research. It explores geographic variation in health care delivery and health outcomes as a source of learning how to achieve better health outcomes at lower cost. It focuses particularly on the relationship between investments made in capacities to deliver different health care services to a population and the value thereby created by that care for individual patients. The framing begins with the dramatic variation in per capita health care expenditures across the nations of the world, which is largely explained by variations in national wealth. The 1978 Declaration of Alma Ata is briefly noted as a response to such inequities with great promise that has not as yet been realized. This failure to realize the promise of Alma Ata grows in significance with the increasing momentum for universal health coverage that is emerging in the current global debate about post-2015 development goals. Drawing upon work done at Dartmouth over more than three decades, the framing then turns to within-country variations in per capita expenditures, utilization of different services, and health outcomes. A case is made for greater attention to the question of value by bringing better information to bear at both the population and individual levels. Specific opportunities to identify and reduce waste in health care, and the harm that is so often associated with it, are identified by learning from outcome variations and practice variations. PMID:23797914

  14. Gap between technically accurate information and socially appropriate information for structural health monitoring system installed into tall buildings

    Science.gov (United States)

    Mita, Akira

    2016-04-01

    The importance of the structural health monitoring system for tall buildings is now widely recognized by at least structural engineers and managers at large real estate companies to ensure the structural safety immediately after a large earthquake and appeal the quantitative safety of buildings to potential tenants. Some leading real estate companies decided to install the system into all tall buildings. Considering this tendency, a pilot project for the west area of Shinjuku Station supported by the Japan Science and Technology Agency was started by the author team to explore a possibility of using the system to provide safe spaces for commuters and residents. The system was installed into six tall buildings. From our experience, it turned out that viewing only from technological aspects was not sufficient for the system to be accepted and to be really useful. Safe spaces require not only the structural safety but also the soundness of key functions of the building. We need help from social scientists, medical doctors, city planners etc. to further improve the integrity of the system.

  15. Self-reported health and comfort in 'modern' office buildings: first results from the European OFFICAIR study.

    Science.gov (United States)

    Bluyssen, P M; Roda, C; Mandin, C; Fossati, S; Carrer, P; de Kluizenaar, Y; Mihucz, V G; de Oliveira Fernandes, E; Bartzis, J

    2016-04-01

    In the European research project OFFICAIR, a procedure was developed to determine associations between characteristics of European offices and health and comfort of office workers, through a checklist and a self-administered questionnaire including environmental, physiological, psychological, and social aspects. This procedure was applied in 167 office buildings in eight European countries (Portugal, Spain, Italy, Greece, France, Hungary, the Netherlands, and Finland) during the winter of 2011-2012. About 26 735 survey invitation e-mails were sent, and 7441 office workers were included in the survey. Among respondents who rated an overall comfort less than 4 (23%), 'noise (other than from building systems)', air 'too dry', and temperature 'too variable' were the main complaints selected. An increase of perceived control over indoor climate was positively associated with the perceived indoor environment quality. Almost one-third of office workers suffered from dry eyes and headache in the last 4 weeks. Physical building characteristics were associated with occupants' overall satisfaction (acoustical solutions, mold growth, complaints procedure, cleaning activities) and health (number of occupants, lack of operable windows, presence of carpet and cleaning activities). OFFICAIR project provides a useful database to identify stressors related to indoor environmental quality and office worker's health. PMID:25727348

  16. Preservice Elementary Teachers' Self-Efficacy Beliefs about Equitable Science Teaching: Does Service Learning Make a Difference?

    Science.gov (United States)

    Cone, Neporcha

    2009-01-01

    This pilot study investigated the effect of community-based service learning on the self-efficacy beliefs of preservice elementary teachers in regards to equitable science teaching and learning. Using the Self-Efficacy Beliefs About Equitable Science Teaching (SEBEST) instrument (Ritter, Boone, & Rubba, 2001), pre- and posttest data from 32…

  17. 78 FR 16845 - Equitrans, L.P.; Equitable Gas Company, LLC; Notice of Application

    Science.gov (United States)

    2013-03-19

    ..., Pennsylvania 15222, and Equitable Gas Company, LLC (EGC), 225 North Shore Drive, Pittsburgh, Pennsylvania 15212... (NGA) requesting that the Commission grants approval to abandon, by transfer from Equitrans to EGC, a pipeline lateral designated as the H-153 Line and all equipment and associated appurtenances. Also,...

  18. The implementation of equitable teaching strategies by high school biology student teachers

    Science.gov (United States)

    Scantlebury, Kate; Butler Kahle, Jane

    Teachers can perpetuate stereotypic cultural beliefs regarding girls' ability in, aptitude for, and suitability for science by their teaching practices and behaviors. As teachers have a major influence on girls' career choices their equitable teaching practices in the classroom are important to encourage all students, but especially girls, to continue with science. Researchers have studied science classrooms and have defined common strategies and practices that can help create an equitable classroom environment. The purpose of this study was to determine if high school biology student teachers could transfer learned equitable teaching strategies to actual teaching and the support conditions necessary for that transfer. Two support conditions were assessed: cooperating teacher and peer group support. Seven preservice teachers were placed into three groups. One group had both support conditions, the second group had only one condition (peer support), and the third group did not have either support condition. Both qualitative and quantitative data sources were collected. Results showed that preservice teachers could transfer learned equitable teaching into actual teaching practice. However, they were more successful in achieving the transfer if they were supervised by cooperating teachers who are sensitized to the issue of gender equity in education. Being involved in a peer support group was not as crucial to using the strategies as having a supportive cooperative teacher.

  19. 12 CFR 614.4590 - Equitable treatment of OFIs and Farm Credit System associations.

    Science.gov (United States)

    2010-01-01

    ... differences in credit risk and administrative costs to the Farm Credit Bank or agricultural credit bank. (c... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Equitable treatment of OFIs and Farm Credit System associations. 614.4590 Section 614.4590 Banks and Banking FARM CREDIT ADMINISTRATION FARM...

  20. Prospective Teacher Beliefs about Liberative and Oppressive Mathematics Teaching Practices: A First Step toward Equitable Instruction

    Science.gov (United States)

    Yow, Jan A.

    2012-01-01

    This article reports findings from a study conducted within a teacher education program to help highlight the importance of equitable instruction of mathematics for all students. The researcher developed four scenarios of her oppressive and liberative teaching practices. Prospective teachers were then asked to write scenarios describing their…

  1. A Methodology for Equitable Performance Assessment and Presentation of Wave Energy Converters Based on Sea Trials

    DEFF Research Database (Denmark)

    Kofoed, Jens Peter; Pecher, Arthur; Margheritini, Lucia;

    2013-01-01

    This paper provides a methodology for the analysis and presentation of data obtained from sea trials of wave energy converters (WEC). The equitable aspect of this methodology lies in its wide application, as any WEC at any scale or stage of development can be considered as long as the tests are p...

  2. 20 CFR 632.87 - Equitable provision of services to the eligible population and significant segments.

    Science.gov (United States)

    2010-04-01

    ... eligible population and significant segments. 632.87 Section 632.87 Employees' Benefits EMPLOYMENT AND... Program Design and Management § 632.87 Equitable provision of services to the eligible population and... system is in place to afford all members of the eligible population within the service area for which...

  3. Demographic Inertia Revisited: An Immodest Proposal to Achieve Equitable Gender Representation among Faculty in Higher Education

    Science.gov (United States)

    Marschke, Robyn; Laursen, Sandra; Nielsen, Joyce McCarl; Rankin, Patricia

    2007-01-01

    Progress toward equitable gender representation among faculty in higher education has been "glacial" since the early 1970s (Glazer-Raymo, 1999; Lomperis, 1990; Trower & Chait, 2002). Women, who now make up a majority of undergraduate degree earners and approximately 46% of Ph.D. earners nationwide (National Center for Education Statistics [NCES],…

  4. Seeing Culture and Power in Mathematical Learning: Toward a Model of Equitable Instruction

    Science.gov (United States)

    Hand, Victoria

    2012-01-01

    This paper is centered on creating equitable opportunities for learners in mathematics education. Through observations of teacher practice, the paper seeks to theorize how teachers enact their dispositions toward mathematics instruction. These observed propensities, in relation to teachers' aims for students to "take up their space" in and beyond…

  5. What about Language while Equitably Assessing Science?: Case Studies of Preservice Teachers' Evolving Expertise

    Science.gov (United States)

    Lyon, Edward G.

    2013-01-01

    The three case studies, drawing on qualitative analysis of surveys, interviews, program artifacts, and classroom observation, describe secondary science preservice teachers' evolving expertise at providing opportunities for linguistically diverse students to learn and demonstrate what they have learned (i.e., equitable assessment). The teachers…

  6. Undermining Racism and a Whiteness Ideology: White Principals Living a Commitment to Equitable and Excellent Schools

    Science.gov (United States)

    Theoharis, George; Haddix, Marcelle

    2011-01-01

    This article reports on six White urban principals who came to administration with a commitment to create more equitable and excellent schools for students from marginalized communities. These leaders made strides in raising student achievement, creating a climate of belonging for students, staff, and families, and increasing access to learning…

  7. 75 FR 39994 - AXA Equitable Life Insurance Company, et al.; Notice of Application

    Science.gov (United States)

    2010-07-13

    ..., Branch Chief, Office of Insurance Products, Division of Investment Management at (202) 551-6795... considered the Insurance Company's size, financial condition, and its reputation for service in selecting... COMMISSION AXA Equitable Life Insurance Company, et al.; Notice of Application July 7, 2010....

  8. Keeping Kids Moving: How Equitable Transportation Policy Can Prevent Childhood Obesity--What It Is

    Science.gov (United States)

    Robert Wood Johnson Foundation, 2012

    2012-01-01

    The nation faces an obesity crisis, especially among low-income children and children of color. Today, nearly one-third of children and adolescents are overweight or obese, and physical inactivity is a leading cause of this epidemic. Equitable transportation policy that fosters healthy, opportunity-rich communities has a critical role to play in…

  9. Noticing Children's Participation: Insights into Teacher Positionality toward Equitable Mathematics Pedagogy

    Science.gov (United States)

    Wager, Anita A.

    2014-01-01

    This article describes how teachers in a professional development course responded to what they noticed about children's participation in elementary mathematics classrooms and how what they noticed was connected to the teachers' positionality toward equitable mathematics pedagogy. Findings suggest that a lens of participation supported…

  10. Integrating open-source technologies to build low-cost information systems for improved access to public health data

    Directory of Open Access Journals (Sweden)

    Oberle Mark W

    2008-06-01

    Full Text Available Abstract Effective public health practice relies on the availability of public health data sources and assessment tools to convey information to investigators, practitioners, policy makers, and the general public. Emerging communication technologies on the Internet can deliver all components of the "who, what, when, and where" quartet more quickly than ever with a potentially higher level of quality and assurance, using new analysis and visualization tools. Open-source software provides the opportunity to build low-cost information systems allowing health departments with modest resources access to modern data analysis and visualization tools. In this paper, we integrate open-source technologies and public health data to create a web information system which is accessible to a wide audience through the Internet. Our web application, "EpiVue," was tested using two public health datasets from the Washington State Cancer Registry and Washington State Center for Health Statistics. A third dataset shows the extensibility and scalability of EpiVue in displaying gender-based longevity statistics over a twenty-year interval for 3,143 United States counties. In addition to providing an integrated visualization framework, EpiVue's highly interactive web environment empowers users by allowing them to upload their own geospatial public health data in either comma-separated text files or MS Excel™ spreadsheet files and visualize the geospatial datasets with Google Maps™.

  11. Effect of renovating an office building on occupants' comfort and health

    DEFF Research Database (Denmark)

    Pejtersen, Jan; Brohus, H.; Hyldgaard, C. E.; Nielsen, Jan Bach; Hauschildt, P.; Kjærgaard, S. K.; Wolkoff, Peder

    2001-01-01

    An intervention study was performed in a mechanically ventilated office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet was replaced with....... Before the floor material was installed in the office building, a full-scale exposure experiment was performed in the laboratory. The new ventilation strategy and renovation of the HVAC system were selected on the basis of laboratory experiments on a full-scale mock-up of a cellular office. The severity...... a low-emitting vinyl floor material; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation was performed before and after the intervention. Over a 2-week period, the occupants completed a daily questionnaire regarding their comfort and...

  12. The Role of Higher Education in Equitable Human Development

    Science.gov (United States)

    Peercy, Chavanne; Svenson, Nanette

    2016-01-01

    As developing countries continue to battle poverty despite strong economic growth, understanding the relationship between equity and human development becomes increasingly important. In this context, equity is not equivalent to equality for any specific outcome such as health status, education or income. It is an objective ideal whereby people's…

  13. Evaluation of facade performance, in terms of thermal comfort for health center building, EMU

    OpenAIRE

    Khakzar, Golrokh

    2014-01-01

    ABSTRACT: Nowadays, because of lack of traditional sources of energy and high maintenance cost, building as a one of the major energy consumer and its problems in hot and humid regions become one of the main concerns of architects and designers. Also, there is a growing global interest in the impact of human activities on the environment in respect to global warming. The increment of energy demand in the developing world and global warming issues define the need for buildings with fewer probl...

  14. Continuing Education Effects on Cultural Competence Knowledge and Skills Building among Health Professionals

    OpenAIRE

    Hall, Marla B.; Jeffrey J. Guidry; McKyer, E. Lisako J.; Corliss Outley; Danny Ballard

    2013-01-01

    Racial and ethnic minority health data from a national perspective indicates there is much to learn in the public health workforce about the ongoing health disparities crisis. This suggests a level of urgency to assist our public health professionals in obtaining specific skills sets that will assist them in working better with vulnerable populations. The purpose of this research is to assess cultural competence knowledge and programmatic skill sets, utilizing an explorational case study, of ...

  15. Building effective service linkages in primary mental health care: a narrative review part 2

    OpenAIRE

    Parker Sharon; Holdsworth Louise; Perkins David; Fuller Jeffrey D; Kelly Brian; Roberts Russell; Martinez Lee; Fragar Lyn

    2011-01-01

    Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health ...

  16. Building a community of practice:the Mental Health in Higher Education website

    OpenAIRE

    Tang, Lynn; Anderson, Jill

    2008-01-01

    Mental Health in Higher Education, a project of the Higher Education Academy, aims to enhance learning and teaching about mental health in UK higher education. This article introduces the Mental Health in Higher Education website which has recently been relaunched. It outlines its key role in the development of our emerging community of practice.

  17. Building better research partnerships by understanding how Aboriginal health communities perceive and use data: a semistructured interview study

    Science.gov (United States)

    Young, Christian; Tong, Allison; Sherriff, Simone; Kalucy, Deanna; Fernando, Peter; Muthayya, Sumithra; Craig, Jonathan C

    2016-01-01

    Objective To describe the attitudes and beliefs of health professionals working in Aboriginal Community Controlled Health Services (ACCHS) towards the access, usage and potential value of routinely obtained clinical and research data. Design, setting and participants Face-to-face, semistructured interviews were conducted with 35 health professionals from 2 urban and 1 regional ACCHS in New South Wales. The interviews were transcribed and themes were identified using an adapted grounded theory approach. Results Six major themes were identified: occupational engagement (day-to-day relevance, contingent on professional capacity, emphasising clinical relevance), trust and assurance (protecting ownership, confidence in narratives, valuing local sources), motivation and empowerment (engaging the community, influencing morale, reassuring and encouraging clients), building research capacity (using cultural knowledge, promoting research aptitude, prioritising specific data), optimising service provision (necessity for sustainable services, guiding and improving services, supporting best practice), and enhancing usability (ensuring ease of comprehension, improving efficiency of data management, valuing accuracy and accessibility). Conclusions Participants were willing to learn data handling procedures that could further enhance health service delivery and enable more ACCHS-led research, but busy workloads restrict these opportunities. Staff held concerns regarding the translation of research data into beneficial services, and believed that the outcome and purpose of data collection could be communicated more clearly. Promoting research partnerships, ensuring greater awareness of positive health data and the purposes of data collection, and communicating data in a user-friendly format are likely to encourage greater data use, build research capacity and improve health services within the Aboriginal community. PMID:27113239

  18. Strategies for capacity building for health research in Bangladesh: Role of core funding and a common monitoring and evaluation framework

    Directory of Open Access Journals (Sweden)

    Mahmood Shakeel

    2011-07-01

    Full Text Available Abstract Background There is increasing interest in building the capacity of researchers in low and middle income countries (LMIC to address their national priority health and health policy problems. However, the number and variety of partnerships and funding arrangements can create management problems for LMIC research institutes. This paper aims to identify problems faced by a health research institute in Bangladesh, describe two strategies developed to address these problems, and identify the results after three years of implementation. Methods This paper uses a mixture of quantitative and qualitative data collected during independent annual reviews of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B between 2006 and 2010. Quantitative data includes the number of research activities according to strategic priority areas, revenues collected and expenditure. Qualitative data includes interviews of researchers and management of ICDDR,B, and of research users and key donors. Data in a Monitoring and Evaluation Framework (MEF were assessed against agreed indicators. Results The key problems faced by ICDDR,B in 2006 were insufficient core funds to build research capacity and supporting infrastructure, and an inability to direct research funds towards the identified research priorities in its strategic plan. Two strategies were developed to address these problems: a group of donors agreed to provide unearmarked pooled core funding, and accept a single common report based on an agreed MEF. On review after three years, there had been significant increases in total revenue, and the ability to allocate greater amounts of money on capacity building and infrastructure. The MEF demonstrated progress against strategic objectives, and better alignment of research against strategic priorities. There had also been changes in the sense of ownership and collaboration between ICDDR,B's management and its core donors. Conclusions The

  19. Health risk assessment for the Building 3001 Storage Canal at Oak Ridge National Laboratory, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    This human health risk assessment has been prepared for the Environmental Restoration (ER) Program at the Oak Ridge National Laboratory (ORNL), Oak Ridge, Tennessee. The objectives of this risk assessment are to evaluate the alternatives for interim closure of the Building 3001 Storage Canal and to identify the potential health risk from an existing leak in the canal. The Building 3001 Storage Canal connects Buildings 3001 and 3019. The volume of water in the canal is monitored and kept constant at about 62,000 gal. The primary contaminants of the canal water are the radionuclides 137Cs, 60Co, and 90Sr; a layer of sediment on the canal floor also contains radionuclides and metals. The prime medium of contaminant transport has been identified as groundwater. The primary route for occupational exposure at the canal is external exposure to gamma radiation from the canal water and the walls of the canal. Similarly, the primary exposure route at the 3042 sump is external exposure to gamma radiation from the groundwater and the walls of the sump. Based on the exposure rates in the radiation work permits (Appendix C) and assuming conservative occupational work periods, the annual radiation dose to workers is considerably less than the relevant dose limits. The potential risk to the public using the Clinch River was determined for three significant exposure pathways: ingestion of drinking water; ingestion of contaminated fish; and external exposure to contaminated sediments on the shoreline, the dominant exposure pathway

  20. "EUROPART". Airborne particles in the indoor environment. A European interdisciplinary review of scientific evidence on associations between exposure to particles in buildings and health effects

    DEFF Research Database (Denmark)

    Schneider, T.; Sundell, Jan; Bischof, W.;

    2003-01-01

    The relevance of particle mass, surface area or number concentration as risk indicators for health effects in non-industrial buildings has been assessed by a European interdisciplinary group of researchers (called EUROPART) by reviewing papers identified in Medline, Toxline, and OSH. Studies...... number concentrations can be used as generally applicable risk indicators of health effects in non-industrial buildings and consequently that there is inadequate scientific evidence for establishing limit values or guidelines for particulate mass or number concentrations....

  1. BUILDING A PLATFORM FOR TRANSLATIONAL RESEARCH IN CHRONIC NON-COMMUNICABLE DISEASES TO ADDRESS POPULATION HEALTH IN PERU

    Science.gov (United States)

    Miranda, J. Jaime; Bernabé-Ortiz, Antonio; Diez-Canseco, Francisco; Málaga, Germán; Cardenas, María K.; Carrillo-Larco, Rodrigo M.; Pesantes, M. Amalia; Araya, Ricardo; Boggio, Oscar; Checkley, William; García, Patricia J.; León-Velarde, Fabiola; Lescano, Andrés G.; Montori, Victor; Pan, William; Rivera-Chira, Maria; Sacksteder, Katherine; Smeeth, Liam; García, Héctor H.; Gilman, Robert H.

    2014-01-01

    The CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia, was created in 2009 with support from the United States National Heart, Lung, and Blood Institute (NHLBI). The vision of CRONICAS is to build a globally recognised Centre of Excellence conducting quality and innovative research and generating high-impact evidence for health. The Centre’s identity is embedded in its core values: generosity, innovation, integrity, and quality. This review has been structured to describe the development of the CRONICAS Centre, with a focus on highlighting the ongoing translational research projects and capacity building strategies. The CRONICAS Centre of Excellence is not a risk-averse organisation: it benefits from past experiences, including past mistakes, and improves upon them, and thus challenges traditional research approaches. This ethos and environment is key to fostering innovation in research. PMID:25754562

  2. Building a Culture of Health Informatics Innovation and Entrepreneurship: A New Frontier.

    Science.gov (United States)

    Househ, Mowafa; Alshammari, Riyad; Almutairi, Mariam; Jamal, Amr; Alshoaib, Saleh

    2015-01-01

    Entrepreneurship and innovation within the health informatics (HI) scientific community are relatively sluggish when compared to other disciplines such as computer science and engineering. Healthcare in general, and specifically, the health informatics scientific community needs to embrace more innovative and entrepreneurial practices. In this paper, we explore the concepts of innovation and entrepreneurship as they apply to the health informatics scientific community. We also outline several strategies to improve the culture of innovation and entrepreneurship within the health informatics scientific community such as: (I) incorporating innovation and entrepreneurship in health informatics education; (II) creating strong linkages with industry and healthcare organizations; (III) supporting national health innovation and entrepreneurship competitions; (IV) creating a culture of innovation and entrepreneurship within healthcare organizations; (V) developing health informatics policies that support innovation and entrepreneurship based on internationally recognized standards; and (VI) develop an health informatics entrepreneurship ecosystem. With these changes, we conclude that embracing health innovation and entrepreneurship may be more readily accepted over the long-term within the health informatics scientific community. PMID:26153003

  3. Community Engaged Leadership to Advance Health Equity and Build Healthier Communities

    Directory of Open Access Journals (Sweden)

    Kisha Holden

    2015-12-01

    Full Text Available Health is a human right. Equity in health implies that ideally everyone should have a fair opportunity to attain their full health potential and, more pragmatically, that no one should be disadvantaged from achieving this potential. Addressing the multi-faceted health needs of ethnically and culturally diverse individuals in the United States is a complex issue that requires inventive strategies to reduce risk factors and buttress protective factors to promote greater well-being among individuals, families, and communities. With growing diversity concerning various ethnicities and nationalities; and with significant changes in the constellation of multiple of risk factors that can influence health outcomes, it is imperative that we delineate strategic efforts that encourage better access to primary care, focused community-based programs, multi-disciplinary clinical and translational research methodologies, and health policy advocacy initiatives that may improve individuals’ longevity and quality of life.

  4. A garage-building programme for the city of Vienna and resulting air quality. Related health aspects

    Energy Technology Data Exchange (ETDEWEB)

    Tvrdy, C.; Walter, R. [Inst. of Environmental Medicine of the City Council of Vienna (Austria)

    1995-12-31

    Urban traffic influences air quality in cities considerably. This is particularly true for the medieval parts of the big European cities, which have not been designed for today s heavy traffic. A problem closely associated with city traffic, is the lack of parking lots, particularly for residents. In Vienna, the parking problem is tackled by the building of underground car parks. In the next years more than 50 large garages (>100 sites) are being planned. The main goal is the clearing of the beautiful old places and streets of Vienna from the bulk of parking vehicles and supplying the citizens with parking spaces in the neighbourhood. According to a recent decision of the City Council of Vienna the construction of `large garages` (>100 parking spaces) requires an official approval by various local authorities. Among them are those responsible for town design and architecture, for fire precaution and fire fighting, for city traffic, for planning and building and for environmental health. In this context the Institute of Environmental Medicine of the City Council of Vienna faced the task of establishing criteria for a health risk assessment linked with `large garages`. Health-risks may be caused by air pollution and noise. This presentation deals with the air pollution problem. Air pollution problems may occur due to traffic in and out of the garage, by insufficient ventilation systems and by construction failures. In the garage programme the health officers have to bring evidence that residents of the houses with underground car parks and residents in the close neighbourhood are not exposed to any health risk due to air pollution

  5. BUILDING TIES”: USE OF DIALOGUE IN PROMOTING HEALTH OF THE ELDERLY

    OpenAIRE

    Alessandra Aniceto Ferreira Figueirêdo; Thalmo da Costa Barros

    2014-01-01

    This paper aims to describe educational activities, developed with a group of the elderly in the city of Itaporanga-PB. These activities relate to the practice of health education for discussion of hypertension and diabetes, constituted by professionals in primary care of psychology, pharmacy, physiotherapy and social service core to support family health (NASF), along with the health teams family (FHS ) of the city. The groups were built by elderly between 68 and 75 years of both sex...

  6. A Health Department’s Collaborative Model for Disease Surveillance Capacity Building

    OpenAIRE

    Konkwo, Ikechi; Harmon, Robert G.; Livingood, William C.; BryantIII, Thomas; Zaheer, Saad

    2013-01-01

    Objective Highlight one academic health department’s unique approach to optimizing collaborative opportunities for capacity development and document the implications for chronic disease surveillance and population health. Introduction Public Health departments are increasingly called upon to be innovative in quality service delivery under a dwindling resource climate as highlighted in several publications of the Institute of Medicine. Collaboration with other entities in the delivery of core ...

  7. Share of Nations in 37 International Public Health Journals: An Equity and Diversity Perspective Towards Health Research Capacity Building

    Directory of Open Access Journals (Sweden)

    E de Leeuw

    2011-12-01

    Full Text Available Background: This paper contributes to further exploration of inequity in access to health research capacity development by examining the representation of different nations in international public health journals. It also aims to examine the degree of diversity that exists in these journals.Methods: This study is a descriptive survey. It was done with objective sampling on 37 ISI health journals on October of 2008.The number and nationality of people in different editorial positions of the journals was identified. The second analy­sis involved recalculating the numbers obtained for each nation to the population size of nations per million inhabitants. In order to better compare countries in terms of presence in editorial team of the journals, a ‘public health editor equity gap ratio' (PHEEGR was developed.Results: Low income countries have occupied none of the leadership positions of chief editor or associate /assistant chief editors and middle income countries at maximum shared less than 5 percent. The PHEEGR gap in access to the different editorial positions between highest to the lowest representation of countries was 16/1 for chief editors, 12/1 for associate editors , 335/1 for editorial boards and 202/1 for associate editorial boards. However, after normalizing the data to the country's population, the gap increased significantly.Conclusion: There is an imbalance and possibly even inequity in the composition of editorial boards and offices of interna­tional health journals that should be paid significant attention. This can contribute to fill the equity gap exists between health in developing and developed countries.

  8. Building Research Integrity and Capacity (BRIC): An Educational Initiative to Increase Research Literacy among Community Health Workers and Promotores.

    Science.gov (United States)

    Nebeker, Camille; López-Arenas, Araceli

    2016-03-01

    While citizen science is gaining attention of late, for those of us involved in community-based public health research, community/citizen involvement in research has steadily increased over the past 50 years. Community Health Workers (CHWs), also known as Promotores de Salud in the Latino community, are critical to reaching underserved populations, where health disparities are more prevalent. CHWs/Promotores provide health education and services and may also assist with the development and implementation of community- and clinic-based research studies. Recognizing that CHWs typically have no formal academic training in research design or methods, and considering that rigor in research is critical to obtaining meaningful results, we designed instruction to fill this gap. We call this educational initiative "Building Research Integrity and Capacity" or BRIC. The BRIC training consists of eight modules that can be administered as a self-paced training or incorporated into in-person, professional development geared to a specific health intervention study. While we initially designed this culturally-grounded, applied ethics training for Latino/Hispanic community research facilitators, BRIC training modules have been adapted for and tested with non-Latino novice research facilitators. This paper describes the BRIC core content and instructional design process. PMID:27047588

  9. Building Research Integrity and Capacity (BRIC: An Educational Initiative to Increase Research Literacy among Community Health Workers and Promotores

    Directory of Open Access Journals (Sweden)

    Camille Nebeker

    2015-10-01

    Full Text Available While citizen science is gaining attention of late, for those of us involved in community-based public health research, community/citizen involvement in research has steadily increased over the past 50 years. Community Health Workers (CHWs, also known as Promotores de Salud in the Latino community, are critical to reaching underserved populations, where health disparities are more prevalent. CHWs/Promotores provide health education and services and may also assist with the development and implementation of community- and clinic-based research studies. Recognizing that CHWs typically have no formal academic training in research design or methods, and considering that rigor in research is critical to obtaining meaningful results, we designed instruction to fill this gap. We call this educational initiative “Building Research Integrity and Capacity” or BRIC. The BRIC training consists of eight modules that can be administered as a self-paced training or incorporated into in-person, professional development geared to a specific health intervention study. While we initially designed this culturally-grounded, applied ethics training for Latino/Hispanic community research facilitators,  BRIC training modules have been adapted for and tested with non-Latino novice research facilitators. This paper describes the BRIC core content and instructional design process.

  10. Building Resilience against Climate Effects—A Novel Framework to Facilitate Climate Readiness in Public Health Agencies

    Directory of Open Access Journals (Sweden)

    Gino D. Marinucci

    2014-06-01

    Full Text Available Climate change is anticipated to have several adverse health impacts. Managing these risks to public health requires an iterative approach. As with many risk management strategies related to climate change, using modeling to project impacts, engaging a wide range of stakeholders, and regularly updating models and risk management plans with new information—hallmarks of adaptive management—are considered central tenets of effective public health adaptation. The Centers for Disease Control and Prevention has developed a framework, entitled Building Resilience Against Climate Effects, or BRACE, to facilitate this process for public health agencies. Its five steps are laid out here. Following the steps laid out in BRACE will enable an agency to use the best available science to project likely climate change health impacts in a given jurisdiction and prioritize interventions. Adopting BRACE will also reinforce public health’s established commitment to evidence-based practice and institutional learning, both of which will be central to successfully engaging the significant new challenges that climate change presents.

  11. Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care.

    Science.gov (United States)

    Dawson-Rose, Carol; Cuca, Yvette P; Webel, Allison R; Solís Báez, Solymar S; Holzemer, William L; Rivero-Méndez, Marta; Sanzero Eller, Lucille; Reid, Paula; Johnson, Mallory O; Kemppainen, Jeanne; Reyes, Darcel; Nokes, Kathleen; Nicholas, Patrice K; Matshediso, Ellah; Mogobe, Keitshokile Dintle; Sabone, Motshedisi B; Ntsayagae, Esther I; Shaibu, Sheila; Corless, Inge B; Wantland, Dean; Lindgren, Teri

    2016-01-01

    Health literacy is important for access to and quality of HIV care. While most models of health literacy acknowledge the importance of the patient-provider relationship to disease management, a more nuanced understanding of this relationship is needed. Thematic analysis from 28 focus groups with HIV-experienced patients (n = 135) and providers (n = 71) identified a long-term and trusting relationship as an essential part of HIV treatment over the continuum of HIV care. We found that trust and relationship building over time were important for patients with HIV as well as for their providers. An expanded definition of health literacy that includes gaining a patient's trust and engaging in a process of health education and information sharing over time could improve HIV care. Expanding clinical perspectives to include trust and the importance of the patient-provider relationship to a shared understanding of health literacy may improve patient experiences and engagement in care. PMID:27080926

  12. [Nutritional challenges in the Brazilian Unified National Health System for building the interface between health and food and nutritional security].

    Science.gov (United States)

    Rigon, Silvia do Amaral; Schmidt, Suely Teresinha; Bógus, Cláudia Maria

    2016-01-01

    This article discusses the establishment of inter-sector action between health and food and nutritional security in Brazil from 2003 to 2010, when this issue was launched as a priority on the government's agenda. A qualitative study was developed according to constructivist epistemology, using key-informant interviews in the field's nationwide social oversight body. Advances and challenges in this process are addressed as analytical categories. The National Food and Nutrition Policy (PNAN) was mentioned as the link between the two fields, decentralized through a network with activity in the states and municipalities. However, the study found political, institutional, and operational obstacles to the effective implementation of the PNAN in the Brazilian Unified National Health System and consequently to a contribution to the advancement of Health and Food and Nutritional Security in the country. The predominance of the biomedical, curative, and high-complexity model was cited as the principal impediment, while health promotion policies like the PNAN were assigned secondary priority. PMID:27049315

  13. Rebuilding health systems to improve health and promote statebuilding in post-conflict countries: a theoretical framework and research agenda.

    Science.gov (United States)

    Kruk, Margaret E; Freedman, Lynn P; Anglin, Grace A; Waldman, Ronald J

    2010-01-01

    Violent conflicts claim lives, disrupt livelihoods, and halt delivery of essential services, such as health care and education. Health systems are often devastated in conflicts as health professionals flee, infrastructure is destroyed, and the supply of drugs and supplies is halted. We propose that early reconstruction of a functioning, equitable health system in countries recovering from conflict is an investment with a range of benefits for post-conflict countries. Building on the growing literature about health systems as social and political institutions, we elaborate a logic model that outlines how health systems may contribute not only to improved health status but also potentially to broader statebuilding and enhanced prospects for peace. Specifically, we propose that careful design of the core elements of the health system by national governments and their development partners can promote reliable provision of essential health services while demonstrating a commitment to equity, strengthening government accountability to citizens, and building the capacity of government to manage core social programs. We review the conceptual basis and extant empirical evidence for these mechanisms, identify knowledge gaps, and suggest a research agenda. PMID:19850390

  14. Are doctors the structural weakness in the e-health building?

    Science.gov (United States)

    Hannan, T J; Celia, C

    2013-10-01

    Progressive evaluations by the Organization for Economic Co-operation and Development (OECD) demonstrate that health care is now or becoming unaffordable. This means nations must change the way they manage health care. The costly nature of health care in most nations, as a percentage of Gross Domestic Product (GDP) seems independent of the national funding models. Increasing evidence is demonstrating that the lack of involvement by clinicians (doctors, nurses, pharmacists, ancillary care and patients) in e-health projects is a major factor for the costly failures of many of these projects. The essential change in focus required to improve healthcare delivery using e-health technologies has to be on clinical care. To achieve this change clinicians must be involved at all stages of e-health implementations. From a clinicians perspective medicine is not a business. Our business is clinical medicine and e-health must be focussed on clinical decision making. This paper views the roles of physicians in e-health structural reforms. PMID:24134174

  15. Building Teams in Primary Care: What Do Nonlicensed Allied Health Workers Want?

    OpenAIRE

    Saba, George W.; Taché, Stephanie; Ward, Lisa; Chen, Ellen H.; Hammer, Hali

    2011-01-01

    Introduction: Nonlicensed allied health workers are becoming increasingly important in collaborative team care, yet we know little about their experiences while filling these roles. To explore their perceptions of working as health coaches in a chronic-disease collaborative team, the teamlet model, we conducted a qualitative study to understand the nature and dynamics of this emerging role.

  16. O desafio da política de atendimento à infância e à adolescência na construção de políticas públicas eqüitativas The challenge of health care provision for children and adolescents as part of equitable public policies

    Directory of Open Access Journals (Sweden)

    Maria Helena Magalhães de Mendonça

    2002-01-01

    Full Text Available O trabalho analisou a nova política social que se configurou pela assimilação da noção de proteção social integral com vistas à eqüidade. Os seus pressupostos marcaram a reforma social contida no texto constitucional de 1988 e nas leis regulamentadoras dos direitos assegurados ­ assistência social, saúde e educação públicas ­ nos anos 90. Mostrou-se que, no contexto precedente, a população jovem no Brasil apresentava situação de grande vulnerabilidade, em face da sua posição na estrutura social, reforçada pelo acesso diferenciado a bens e serviços públicos. A análise da política de atendimento para a infância e adolescência, que enfatizou a intersetorialidade e redefiniu os programas e ações sociais e de saúde, nos anos 90, não pretendeu ser conclusiva, mas apontou algumas tendências na reordenação da política de assistência pública para o população jovem pobre, compatíveis com alguns avanços dos indicadores sociais de vulnerabilidade na área da saúde, educação e trabalho na década. Contudo, considerou-se que essa reorientação renovou a tensão entre a focalização nos segmentos mais vulneráveis, com seletividade das ações a serem oferecidas e a universalização com integralidade da proteção social.The author analyzes the new social policy shaped by the assimilation of the notion of integral social protection with a view towards equity. The premises marked the social reform contained in the wording of the 1988 Constitution and in the laws regulating the respective rights during the 1990s, including public social assistance, health care, and education. The article demonstrates how, in the former context, Brazil's children and adolescents were subject to great vulnerability due to their position in the country's social structure, aggravated by differential access to public goods and services. An analysis of the health care policy for children and adolescents, emphasizing an inter

  17. Front-line worker engagement: greening health care, improving worker and patient health, and building better jobs.

    Science.gov (United States)

    Chenven, Laura; Copeland, Danielle

    2013-01-01

    Frontline workers have a great deal to contribute to improving environmental sustainability of their employers and the health of workers and patients. This article discusses a national project of the Healthcare Career Advancement Program, funded by the U.S. Department of Labor to support green jobs development. Implementation was accomplished through a labor/management collaboration between union locals and 11 employers in four regions throughout the United States. The project developed and implemented a model of training and education for environmental service workers and other frontline health-care workers in hospital settings that supported systems change and built new roles for these workers. It empowered them to contribute to triple bottom line outcomes in support of People (patients, workers, the community), Planet (environmental sustainability and a lower carbon footprint), and Profit (cost savings for the institutions). In the process workers more clearly articulated their important role as a part of the healthcare team and learned how they could contribute to improved patient and worker health and safety. PMID:23896075

  18. Building a culture of health: promoting healthy relationships and reducing teen dating violence.

    Science.gov (United States)

    Schubert, Kristin

    2015-02-01

    Our society is faced with an epidemic of partner violence that has far-reaching consequences. As viewed through a public health lens, prevention of teen dating violence can thwart this epidemic from starting and spreading. The Robert Wood Johnson Foundation's Culture of Health strategy aims to reduce negative outcomes and promotes overall well-being. This supplement affirms our dedication to a Culture of Health by generating an evidence base to prevent teen dating violence and promote healthy relationships across the life span. PMID:25620451

  19. Uncertainty analysis of practical structural health monitoring systems currently employed for tall buildings consisting of small number of sensors

    Science.gov (United States)

    Hirai, Kenta; Mita, Akira

    2016-04-01

    Because of social background, such as repeated large earthquakes and cheating in design and construction, structural health monitoring (SHM) systems are getting strong attention. The SHM systems are in a practical phase. An SHM system consisting of small number of sensors has been introduced to 6 tall buildings in Shinjuku area. Including them, there are 2 major issues in the SHM systems consisting of small number of sensors. First, optimal system number of sensors and the location are not well-defined. In the practice, system placement is determined based on rough prediction and experience. Second, there are some uncertainties in estimation results by the SHM systems. Thus, the purpose of this research is to provide useful information for increasing reliability of SHM system and to improve estimation results based on uncertainty analysis of the SHM systems. The important damage index used here is the inter-story drift angle. The uncertainty considered here are number of sensors, earthquake motion characteristics, noise in data, error between numerical model and real building, nonlinearity of parameter. Then I have analyzed influence of each factor to estimation accuracy. The analysis conducted here will help to decide sensor system design considering valance of cost and accuracy. Because of constraint on the number of sensors, estimation results by the SHM system has tendency to provide smaller values. To overcome this problem, a compensation algorithm was discussed and presented. The usefulness of this compensation method was demonstrated for 40 story S and RC building models with nonlinear response.

  20. Wandering of the modal parameters in existing building: application to structural health monitoring

    OpenAIRE

    Gueguen, Philippe

    2012-01-01

    Ambient vibrations in building is of increasing interest for applications in mechanical engineering, civil engineering and earthquake engineering. With advances in data acquisition systems (number of measurement points, continuous recording, low-noise instrument) and advances in signal processing algorithms, further and better studies can be conducted on civil engineering structures for evaluating their modal parameters and their physical properties. This study is focused on long- and short-t...

  1. Privacy protection and public goods: building a genetic database for health research in Newfoundland and Labrador

    OpenAIRE

    Kosseim, Patricia; Pullman, Daryl; Perrot-Daley, Astrid; Hodgkinson, Kathy; Street, Catherine; Rahman, Proton

    2013-01-01

    Objective To provide a legal and ethical analysis of some of the implementation challenges faced by the Population Therapeutics Research Group (PTRG) at Memorial University (Canada), in using genealogical information offered by individuals for its genetics research database. Materials and methods This paper describes the unique historical and genetic characteristics of the Newfoundland and Labrador founder population, which gave rise to the opportunity for PTRG to build the Newfoundland Genea...

  2. Tobacco Control and Health Advocacy in the European Union: Understanding Effective Coalition-Building

    OpenAIRE

    Weishaar, Heide; Collin, Jeff; Amos, Amanda

    2015-01-01

    Introduction: Coalitions of supporters of comprehensive tobacco control policy have been crucial in achieving policy success nationally and internationally, but the dynamics of such alliances are not well understood. Methods: Qualitative semi-structured, narrative interviews with 35 stakeholders involved in developing the European Council Recommendation on smoke-free environments. These were thematically analyzed to examine the dynamics of coalition-building, collaboration and leadership ...

  3. "Fair and Equitable Treatment" in Investment Treaties: Function of general provisions (Japanese)

    OpenAIRE

    KOTERA Akira

    2008-01-01

    Bilateral investment treaties (BITs) typically obligate a contracting country to grant "fair and equitable treatment" (hereinafter referred to as "fair treatment") to the investments of other contracting country's investors, such as their subsidiaries. In the past, the fair treatment obligation attracted scant attention due to the abstractness of the provision; such was certainly the case in Japan. However, the fair treatment obligation in recent years jumped into the spotlight as the provisi...

  4. Radon health hazards of some rocks of Iranian origin, frequently used as building stones

    International Nuclear Information System (INIS)

    Radon exhalation rate from various types of stones, used inside the living buildings, is a major factor for evaluation of the environmental radon level. To verify the significance and lethal impacts of this unknown and obscure source of radiation upon the people around the world, the exhaled radon gas concentrations from the rocks, granodiorite, granite, limestone and aragonite, and the effect of their block sizes on the exhalation rate, have been studied. The block samples, collected from their ores, were transferred to plastic containers in which the CR-39 detectors could properly be placed and air tightened, for concentration measurements. The results show the radon concentration of 7.4 ± 0.8, 6.6 ± 0.6, 0.08 ± 0.02 and 0.09 ± 0.02 kBq m-3 for granodiorite, granite, limestone and aragonite, respectively. The corresponding annual dose values in a closed environment are: 186 ± 20, 166 ± 15, 2.5 ± 1 and 2 ± 1 mSv y-1. These absorbed dose values indicate that granodiorite and granite when used inside the buildings could increase the risk of various cancers while aragonite and limestone have much lower risks and are recommended for use inside the buildings. The former ones when used in the closure areas remedial action should be implemented. The results do not show obvious dependence between the rock size of the samples and their radon exhalation rate. (author)

  5. Health informatics and analytics - building a program to integrate business analytics across clinical and administrative disciplines.

    Science.gov (United States)

    Tremblay, Monica Chiarini; Deckard, Gloria J; Klein, Richard

    2016-07-01

    Health care organizations must develop integrated health information systems to respond to the numerous government mandates driving the movement toward reimbursement models emphasizing value-based and accountable care. Success in this transition requires integrated data analytics, supported by the combination of health informatics, interoperability, business process design, and advanced decision support tools. This case study presents the development of a master's level cross- and multidisciplinary informatics program offered through a business school. The program provides students from diverse backgrounds with the knowledge, leadership, and practical application skills of health informatics, information systems, and data analytics that bridge the interests of clinical and nonclinical professionals. This case presents the actions taken and challenges encountered in navigating intra-university politics, specifying curriculum, recruiting the requisite interdisciplinary faculty, innovating the educational format, managing students with diverse educational and professional backgrounds, and balancing multiple accreditation agencies. PMID:27274022

  6. Student internships with unions and workers: building the occupational health and safety movement.

    Science.gov (United States)

    Bateson, Gail

    2013-01-01

    One of the most successful programs to recruit young professionals to the occupational safety and health field was launched more than 35 years ago, in 1976. Created by the Montefiore Medical Center's Department of Social Medicine collaborating with Tony Mazzocchi of the Oil, Chemical and Atomic Workers International Union (OCAW), it placed medical, nursing, and public health students in summer internships with local unions to identify and solve health and safety problems in the workplace. The experience of working with and learning from workers about the complex interactions of political, economic, and scientific-technological issues surrounding workplace conditions inspired many students to enter and stay in our field. Many former interns went on to make important medical and scientific contributions directly linked to their union-based projects. Former interns are now among the leaders within the occupational health and safety community, holding key positions in leading academic institutions and governmental agencies. PMID:23896070

  7. Metabolomics: building on a century of biochemistry to guide human health

    OpenAIRE

    German, J. Bruce; Hammock, Bruce D.; Watkins, Steven M.

    2005-01-01

    Medical diagnosis and treatment efficacy will improve significantly when a more personalized system for health assessment is implemented. This system will require diagnostics that provide sufficiently detailed information about the metabolic status of individuals such that assay results will be able to guide food, drug and lifestyle choices to maintain or improve distinct aspects of health without compromising others. Achieving this goal will use the new science of metabolomics – comprehensiv...

  8. The Open System Interconnection as a building block in a health sciences information network.

    OpenAIRE

    Boss, R W

    1985-01-01

    The interconnection of integrated health sciences library systems with other health sciences computer systems to achieve information networks will require either custom linkages among specific devices or the adoption of standards that all systems support. The most appropriate standards appear to be those being developed under the Open System Interconnection (OSI) reference model, which specifies a set of rules and functions that computers must follow to exchange information. The protocols hav...

  9. Building Resilience on Adolescent Mental Health Associated with Emerging Risk and Protective Factors among Ethnic Groups

    OpenAIRE

    Arat, G

    2014-01-01

    A bulk of studies have focused on systematically catalogued risk and protective factors (e.g., parental monitoring, peer, neighborhood support) in terms of adolescent mental health status concerning resilience; however, they did not display any improvement regarding adolescent mental health, particularly in school-based interventions. Therefore, I suggested that whether other emerging factors (e.g., nutrition, physical activity) could be beneficial to promote effective school-based interventi...

  10. Building interdisciplinary leadership skills among health practitioners in the 21st century: an innovative training model

    OpenAIRE

    Preeti eNegandhi; Himanshu eNegandhi; Ritika eTiwari; Kavya eSharma; Sanjay P Zodpey; Zahiruddin eQuazi; Abhay eGaidhane; Jayalakshmi eN.; Meenakshi eGijare; Rajiv eYeravdekar

    2015-01-01

    Transformational learning is the focus of 21st century global educational reforms. In India there is a need to amalgamate the skills and knowledge of medical, nursing and public health practitioners and to develop robust leadership competencies among them. This initiative proposed to identify interdisciplinary leadership competencies among Indian health practitioners, and to develop a training program for interdisciplinary leadership skills through an Innovation Collaborative. Medical, nur...

  11. Toward the way forward: building an emergency mental health system for Israel

    OpenAIRE

    Schreiber, Merritt D.

    2015-01-01

    A number of related changes have evolved over the past 25 years: the development of a truly national disaster mental health service in Israel; progress in the science of risk, resilience and evidence base care for those suffering from traumatic stress related disorders; and the development of conceptual models of population level disaster mental health response in the context of emergency management systems such as the Incident Command System. In a recent IJHPR article, Bodas, et al. report o...

  12. Developing public health competencies through building a problem-based learning project

    OpenAIRE

    Loureiro, Isabel; Sherriff, Nigel; Davies, John Kenneth

    2009-01-01

    Abstract Aim In order to tackle the major challenges faced by public health over recent decades, there is a pressing need for an appropriately competent work force. Therefore, investment is required in the development of the necessary pedagogical strategies to deliver such competencies and thereby enable public health professionals to effectively perform their core functions. Drawing primarily upon on the work and experiences of the EC-funded PHETICE (Pub...

  13. Supervision as an educative process: Building Emancipatory Harm Reduction paradigm with a mental health team

    Directory of Open Access Journals (Sweden)

    Luciana Cordeiro, Aline Godoy

    2014-08-01

    Full Text Available Introduction: The contemporary drug consumption has been highlighted in the public policies and by the media. Different forms of coping with this issue are being constructed. Emancipatory Harm Reduction, an antiprohibitionist social movement based on the development of critical conscience about the reality in order to transform it, is one of them. Objective: To discuss the supervision process of a public community mental health institution focused on treatment of problematic consumption of drugs in a municipality of the state of San Paulo, aiming to transform the mental health team practices, reflecting about the health production process and their work process. Method: A Collective Health theoretical framework was used to base the supervision in an emancipatory educative process. The process occurred in six meetings with the health care team. Results: The supervision was configured as a critical educative process, and its objective was the emancipation of the institution’s workers and users. Discussion: The supervision process based on critical theoretical framework enhanced the development of the mental health team practices, based on Emancipatory Harm Reduction.

  14. Building a Thriving Nation: 21st-Century Vision and Practice to Advance Health and Equity.

    Science.gov (United States)

    Cohen, Larry

    2016-04-01

    It is a great time for prevention. As the United States explores what health in our country should look like, it is an extraordinary time to highlight the role of prevention in improving health, saving lives, and saving money. The Affordable Care Act's investment in prevention has spurred innovation by communities and states to keep people healthy and safein the first place This includes growing awareness that community conditions are critical in determining health and that there is now a strong track record of prevention success. Community prevention strategies create lasting changes by addressing specific policies and practices in the environments and institutions that shape our lives and our health-from schools and workplaces to neighborhoods and government. Action at the community level also fosters health equity-the opportunity for every person to achieve optimal health regardless of identity, neighborhood, ability, or social status-and is often the impetus for national-level decisions that vitally shape the well-being of individuals and populations. PMID:27037285

  15. Analysis of indoor air pollutants checklist using environmetric technique for health risk assessment of sick building complaint in nonindustrial workplace

    Directory of Open Access Journals (Sweden)

    Syazwan AI

    2012-09-01

    Full Text Available AI Syazwan,1 B Mohd Rafee,1 Hafizan Juahir,2 AZF Azman,1 AM Nizar,3 Z Izwyn,4 K Syahidatussyakirah,1 AA Muhaimin,5 MA Syafiq Yunos,6 AR Anita,1 J Muhamad Hanafiah,1 MS Shaharuddin,7 A Mohd Ibthisham,8 I Mohd Hasmadi,9 MN Mohamad Azhar,1 HS Azizan,1 I Zulfadhli,10 J Othman,11 M Rozalini,12 FT Kamarul131Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, 2Department of Environmental Science/ Environmental Forensics Research Center (ENFORCE, Universiti Putra Malaysia, Selangor, 3Pharmacology Unit, Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, 4Department of Therapy and Rehabilitation, Faculty of Health Science and Biomedical Engineering, Universiti Teknologi Malaysia, Johor, 5Department of Environmental Management, Faculty of Environmental Studies, Universiti Putra Malaysia, Selangor, 6Plant Assessment Technology (PAT, Industrial Technology Division, Malaysian Nuclear Agency, Bangi, 7Department of Environmental and Occupational Health Science, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, 8Department of Mechanical Engineering, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia, Johor, 9Department of Forest Production, Faculty of Forestry, Universiti Putra Malaysia, Selangor, 10Faculty of Built Environment and Architect, Universiti Teknologi Malaysia, Johor, 11Department of Counselor Education and Psychology Counseling, Faculty of Educational Studies, Universiti Putra Malaysia, Selangor, 12Occupational Safety, Health and Environment Unit, Multimedia University, Jalan Multimedia 63100 Cyberjaya, Selangor, 13ERALAB SDN. BHD. (Environmental Research and Analytical Laboratory Sdn. Bhd., Selangor, MALAYSIAPurpose: To analyze and characterize a multidisciplinary, integrated indoor air quality checklist for evaluating the health risk of building occupants in a nonindustrial

  16. Building effective service linkages in primary mental health care: a narrative review part 2

    Directory of Open Access Journals (Sweden)

    Parker Sharon

    2011-03-01

    Full Text Available Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health care. Methods A narrative and thematic review of English language papers published between 1998 and 2009. An expert reference group helped formulate strategies for policy makers. Studies of descriptive and qualitative design from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted on factors reported as enablers or barriers to development of service linkages. These were tabulated by theme at clinical and organisational levels and the inter-relationship between themes was explored. Results A thematic analysis of 30 papers found the most frequently cited group of factors was "partnership formation", specifically role clarity between health care workers. Other factor groups supporting clinical partnership formation were staff support, clinician attributes, clinic physical features and evaluation and feedback. At the organisational level a supportive institutional environment of leadership and change management was important. The expert reference group then proposed strategies for collaboration that would be seen as important, acceptable and feasible. Because of the variability of study types we did not exclude on quality and findings are weighted by the number of studies. Variability in local service contexts limits the generalisation of findings. Conclusion The findings provide a framework for health planners to develop effective service linkages in primary mental health care. Our expert reference group proposed five areas of

  17. Integrating Continuing Professional Development With Health System Reform: Building Pillars of Support.

    Science.gov (United States)

    Davis, David A; Rayburn, William F

    2016-01-01

    Clinical failures sparked a widespread desire for health system reform at the beginning of the 21st century, but related efforts have resulted in changes that are either slow or nonexistent. In response, academic medicine has moved in two directions: (1) system-wide reform using electronic health records, practice networks, and widespread data applications (a macro pathway); and (2) professional development of individual clinicians through continuous performance improvement (a micro pathway). Both pathways exist to improve patient care and population health, yet each suffers from limitations in widespread implementation. The authors call for a better union between these two parallel pathways through four pillars of support: (1) an acknowledgment that both pathways are essential to each other and to the final outcome they intend to achieve, (2) a strong faculty commitment to educate about quality improvement and patient safety at all education levels, (3) a reengineering of tools for professional development to serve as effective change agents, and (4) the development of standards to sustain this alignment of pathways. With these pillars of support integrating continuing professional development with health system reform, the authors envision a better functioning system, with improved metrics and value to enhance patient care and population health. PMID:26556296

  18. Concentrations of volatile organic compounds at a building with health and comfort complaints.

    Science.gov (United States)

    Weschler, C J; Shields, H C; Rainer, D

    1990-05-01

    For four separate periods over a 1-yr span, the concentrations of volatile organic compounds (VOCs) have been measured at a facility with a history of occupant complaints. The reported symptoms were characteristic of "sick building syndrome." This study was initiated to determine if VOC levels were higher than those measured in "complaint-free" buildings and, if so, to identify sources and other factors that might contribute to the elevated concentrations. VOCs were collected with passive samplers, using a sampling interval that lasted from 3 to 4 weeks. Following collection, the samplers were extracted, and the compounds in the extract were separated and identified using standard gas chromatographic-mass spectrometric procedures. Over 40 different organic compounds with concentrations in excess of 1 microgram/m3 were identified; several species had values greater than 100 micrograms/m3. For each of the first three sampling periods, the total concentration of VOCs detected using this methodology was in excess of 3 mg/m3. Sources of the identified compounds included cleaning products, floor wax, latex paints, and reentrained motor vehicle exhaust. However, the dominant source was the hydraulic system for the buildings' elevators. Compounds were volatilizing from the hydraulic fluid used in this system. Neither the elevator shafts nor the mechanical room housing the fluid reservoirs were vented to the outside. The problem was compounded by the relatively small amount of outside air used for ventilation at this facility (less than 6 L/sec [12 cfm]/occupant or about 1/4 air change/hr). At such low ventilation rates, compounds with strong sources can achieve high steady-state concentrations within the facility. Recommendations have been made to reduce the VOC levels at this site. Although implementing the recommendations will be costly, even a slight improvement in employee productivity will offset these costs. PMID:2346114

  19. Fuzzified Data Based Neural Network Modeling for Health Assessment of Multistorey Shear Buildings

    Directory of Open Access Journals (Sweden)

    Deepti Moyi Sahoo

    2013-01-01

    Full Text Available The present study intends to propose identification methodologies for multistorey shear buildings using the powerful technique of Artificial Neural Network (ANN models which can handle fuzzified data. Identification with crisp data is known, and also neural network method has already been used by various researchers for this case. Here, the input and output data may be in fuzzified form. This is because in general we may not get the corresponding input and output values exactly (in crisp form, but we have only the uncertain information of the data. This uncertain data is assumed in terms of fuzzy number, and the corresponding problem of system identification is investigated.

  20. The challenge of managing health and safety when conserving historic buildings

    OpenAIRE

    MacConville, Brendan; McMullan, Caroline

    2011-01-01

    ABSTRACT Last November the Palace of the Gladiators in Pompeii collapsed. It was 2,000 years old and had survived the eruption of Vesuvius and nearly 200 years of tourism. Neglect and unseasonably heavy rains were blamed for the loss of the building (despite its rather grand name it was only forty square metres in area). This is a dramatic example of loss of heritage. The difficulty facing conservation experts charged with salvaging damaged heritage like this is to balance the need to s...

  1. Building alliances for improving newborn health in Latin America and the Caribbean.

    Science.gov (United States)

    Miller-Petrie, Molly K; Mazia, Goldy; Serpa, Magdalena; Pooley, Bertha; Marshall, Margaret; Meléndez, Carlos; Vicuña, Marisol

    2014-07-01

    The regional Latin American and Caribbean (LAC) Neonatal Alliance and national neonatal alliances in Bolivia, El Salvador, and Peru were studied through in-depth interviews and a review of publications. Findings were analyzed to distill successful strategies, structures, and tools for improving neonatal health by working through alliances that can be replicated at the regional or national level. The studies found the following factors were the most critical for successful outcomes from alliance work: inclusion of the Ministry of Health as a leader or primary stakeholder; a committed, diverse, technically expert, and horizontal membership; the presence of champions for neonatal health at the national level; development of a shared work plan based on feasible objectives; the use of shared financing mechanisms; the use of informal and dynamic organizational structures; and a commitment to scientific evidence-based programming. The relationship between the regional and national alliances was found to be mutually beneficial. PMID:25211677

  2. Health beliefs related to diarrhea in Haitian children: building transcultural nursing knowledge.

    Science.gov (United States)

    Kirkpatrick, S M; Cobb, A K

    1990-01-01

    Regardless of where they live or under what circumstances, mothers throughout the world seem to have a compelling desire to provide the best possible health care for their children (Huston, 1979). Haitian mothers living in the Dominican Republic were no exception. The health beliefs and practices of these mothers related primarily to diarrhea among their children which demonstrated a concern and resourcefulness that is commendable. The results of this study clearly indicate the importance of transcultural nurses conducting culturally relevant research as a basis to develop sound health programs in developing countries. Diarrhea was identified as the single most important threat to a child's health in these communities. That mothers did not know about the correct ingredients and/or proportions for oral rehydration solutions (Western views) was of interest. Although the Dominican government makes some commercial packets of ORS, most of the women interviewed did not have ready access to this product. This finding reflected the need for transcultural nurses to offer to teach mothers how to make ORS using the sugar, salt, and water they had available. Since the mothers' perception that diarrhea was a dangerous threat to their children's health, was verified by childhood mortality statistics in the bateys, it would seem that ORS could make a significant impact on the health status of the children. Breastfeeding also was a major health belief factor associated with the treatment of diarrhea. Even though the majority of mothers believed breast feeding should be continued if a child had diarrhea, a number believed it should be discontinued. Nurses working with CHWs will need to emphasize the importance of breastfeeding and help them to develop creative ways of communicating this information to the mothers. The second most dangerous threat to the child identified by the mothers was respiratory ailments. This suggests a new area of concentration for future research and

  3. Building Partnerships With Rural Arkansas Faith Communities to Promote Veterans’ Mental Health: Lessons Learned

    Science.gov (United States)

    Sullivan, Greer; Hunt, Justin; Haynes, Tiffany F.; Bryant, Keneshia; Cheney, Ann M.; Pyne, Jeffrey M.; Reaves, Christina; Sullivan, Steve; Lewis, Caleb; Barnes, Bonita; Barnes, Michael; Hudson, Cliff; Jegley, Susan; Larkin, Bridgette; Russell, Shane; White, Penny; Gilmore, LaNissa; Claypoole, Sterling; Smith, Rev. Johnny; Richison, Ruth

    2014-01-01

    Background The Mental Health–Clergy Partnership Program established partnerships between institutional (Department of Veterans’ Affairs [VA] chaplains, mental health providers) and community (local clergy, parishioners) groups to develop programs to assist rural veterans with mental health needs. Objectives Describe the development, challenges, and lessons learned from the Mental Health–Clergy Partnership Program in three Arkansas towns between 2009 and 2012. Methods Researchers identified three rural Arkansas sites, established local advisory boards, and obtained quantitative ratings of the extent to which partnerships were participatory. Results Partnerships seemed to become more participatory over time. Each site developed distinctive programs with variation in fidelity to original program goals. Challenges included developing trust and maintaining racial diversity in local program leadership. Conclusions Academics can partner with local faith communities to create unique programs that benefit the mental health of returning veterans. Research is needed to determine the effectiveness of community based programs, especially relative to typical “top-down” outreach approaches. PMID:24859098

  4. An exploration of equitable science teaching practices for students with learning disabilities

    Science.gov (United States)

    Morales, Marlene

    In this study, a mixed methods approach was used to gather descriptive exploratory information regarding the teaching of science to middle grades students with learning disabilities within a general education classroom. The purpose of this study was to examine teachers' beliefs and their practices concerning providing equitable opportunities for students with learning disabilities in a general education science classroom. Equitable science teaching practices take into account each student's differences and uses those differences to inform instructional decisions and tailor teaching practices based on the student's individualized learning needs. Students with learning disabilities are similar to their non-disabled peers; however, they need some differentiation in instruction to perform to their highest potential achievement levels (Finson, Ormsbee, & Jensen, 2011). In the quantitative phase, the purpose of the study was to identify patterns in the beliefs of middle grades science teachers about the inclusion of students with learning disabilities in the general education classroom. In the qualitative phase, the purpose of the study was to present examples of instruction in the classrooms of science education reform-oriented middle grades science teachers. The quantitative phase of the study collected data from 274 sixth through eighth grade teachers in the State of Florida during the 2007--2008 school year using The Teaching Science to Students with Learning Disabilities Inventory. Overall, the quantitative findings revealed that middle grades science teachers held positive beliefs about the inclusion of students with learning disabilities in the general education science classroom. The qualitative phase collected data from multiple sources (interviews, classroom observations, and artifacts) to develop two case studies of reform-oriented middle grades science teachers who were expected to provide equitable science teaching practices. Based on their responses to The

  5. Building the Diversity Bridge Abroad: The Journey to Implement Cultural Competent Health Care in Lausanne, Switzerland

    Science.gov (United States)

    Casillas, Alejandra; Paroz, Sophie; Dory, Elody; Green, Alexander; Vu, Francis; Bodenmann, Patrick

    2016-01-01

    Introduction: Although the United States has been central in bringing cultural competency into the discussion of high-quality care, health systems all over the world are faced with the effects of global immigration and the widening disparities gap between socioeconomic classes. Lausanne University Hospital is one of five Swiss academic medical…

  6. Building the Case for Delivering Health Promotion Services within the Vocational Rehabilitation System

    Science.gov (United States)

    Ipsen, Catherine; Seekins, Tom; Ravesloot, Craig

    2010-01-01

    Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

  7. Integrating Medical and Environmental Sociology with Environmental Health: Crossing Boundaries and Building Connections through Advocacy

    Science.gov (United States)

    Brown, Phil

    2013-01-01

    This article reviews the personal and professional processes of developing an interdisciplinary approach to understanding the complex issues of environmental health in their community, political-economic, social science, and scientific contexts. This interdisciplinary approach includes a synthesis of research, policy work, and advocacy. To examine…

  8. WORKPLACE CHARACTERISTICS ASSOCIATED WITH HEALTH AND COMFORT CONCERNS IN THREE OFFICE BUILDINGS IN WASHINGTON, DC

    Science.gov (United States)

    Nearly 4000 employees of a Federal Agency in Washington, DC were surveyed in March of 1989 to determine their health symptoms, comfort concerns, and reports of odor during the previous year. Their personal characteristics and perceptions of workplace conditions were also determin...

  9. BUILDING TIES”: USE OF DIALOGUE IN PROMOTING HEALTH OF THE ELDERLY

    Directory of Open Access Journals (Sweden)

    Alessandra Aniceto Ferreira de Figueirêdo

    2014-05-01

    Full Text Available This paper aims to describe educational activities, developed with a group of the elderly in the city of Itaporanga-PB. These activities relate to the practice of health education for discussion of hypertension and diabetes, constituted by professionals in primary care of psychology, pharmacy, physiotherapy and social service core to support family health (NASF, along with the health teams family (FHS of the city. The groups were built by elderly between 68 and 75 years of both sexes, these being conducted in community centers, health facilities close to family. To implement these activities, were used: data projector, computer, stereo and CD player, blowing balls, sheets of paper, projection screen, speaker , microphone, chairs and tables. It was considered that were discussed pathologies that afflict this group, this action caused the service users could reflect not only on hypertension and diabetes, but also about themselves, about their daily lives through knowledge and practices shared that enabled their involvement with the care of the self and the production of life through a conscious and autonomous attitude .

  10. Building Recipes and Understanding Nutrition for Cancer-Survivor Health (BRUNCH)

    Science.gov (United States)

    Urowitz, Sara; Chiu, Winnie; Cockburn, Moira; Dunlop, Barbara; Fierini, Daniela; Himel, Danielle; Jones, Erin; Pulandiran, Menaka; Smith, James; Wiljer, David

    2012-01-01

    A multidisciplinary team from the health and culinary sectors developed and evaluated nutritious recipes for cancer-survivors to inform and support healthy eating post-cancer. Participants in the study indicated that they were likely to incorporate the recipes into their diets, and that it would help them change their eating habits. (Contains 1…

  11. A chance for change : building an outcome monitoring feedback system for outpatient mental health care

    NARCIS (Netherlands)

    Jong, Kim de

    2012-01-01

    The principal aim of this thesis was to develop an outcome monitoring feedback model for Dutch outpatient mental health care in the Netherlands and to test whether providing feedback to therapists and patients can improve treatment outcomes. Data on patient progress collected in outpatient centers i

  12. Group model building: a participatory approach to understanding and acting on systems.

    Science.gov (United States)

    Siokou, Christine; Morgan, Rebecca; Shiell, Alan

    2014-01-01

    With mounting appreciation of the complexity of chronic disease, there is a growing need to understand the systemic causes of current health trends. This will support the development of a prevention system and the use of systems thinking to achieve better, more equitable and more sustainable health outcomes. With new language and a need to change our thinking, the push towards systems practice in preventive health is challenging, and calls for a method to support its application. Group model building (GMB) is a participatory approach that is widely used to build the capacity of practitioners to think in a systems way. However, it is a resource-intensive approach that requires high-level buy-in and the investment of time. We discuss the evidence, including a systematic review of the literature examining the effectiveness of GMB approaches across a wide range of contexts. The results of the review are generally positive and suggest that GMB improves problem understanding, increases engagement in systems thinking, builds confidence in the use of systems ideas and develops consensus for action among diverse stakeholders. PMID:25828443

  13. Building communication strategy on health prevention through the human-centered design

    OpenAIRE

    Karine de Mello Freire; Caio Marcelo Miolo de Oliveira

    2016-01-01

    It has been identified a latent need for developing efficient communication strategies for prevention of diseases and also, design as a potential agent to create communications artifacts that are able to promote self-care. In order to analyze a design process that develops this kind of artifact, an action research in IAPI Health Center in Porto Alegre was done. The action’s goal was to design a strategy to promote self-care to prevent cervical cancer. The process was conducted ...

  14. A chance for change: building an outcome monitoring feedback system for outpatient mental health care

    OpenAIRE

    de Jong, Kim

    2012-01-01

    The principal aim of this thesis was to develop an outcome monitoring feedback model for Dutch outpatient mental health care in the Netherlands and to test whether providing feedback to therapists and patients can improve treatment outcomes. Data on patient progress collected in outpatient centers in the Netherlands were used to predict the functioning of patients at the end of treatment and the rate of change. In addition, two feedback studies were conducted. In the first study the effect of...

  15. NURSES' PROFESSIONAL COMPETENCE COMPONENTS SELF-ASSESSMENT IN BUILDING A POSITIVE HEALTH CARE ENVIRONMENT

    OpenAIRE

    Miķelsone, Madara; Renigere, Ruta; Dreimane, Sandra

    2016-01-01

    Nurses' professional competence consists of several interrelated components, which during interacting of critical thinking, reflection and experience, characterizes the essence of the profession of nurses. Critical thinking applies not only to the educational process, it is an expression the nurses’ responsible and professional action during the health care process. Critical thinking and reflection make up of various specific competence component interactions of nurses professional healthcare...

  16. Supervision as an educative process: Building Emancipatory Harm Reduction paradigm with a mental health team

    OpenAIRE

    Luciana Cordeiro, Aline Godoy; Cassia Baldini Soares

    2014-01-01

    Introduction: The contemporary drug consumption has been highlighted in the public policies and by the media. Different forms of coping with this issue are being constructed. Emancipatory Harm Reduction, an antiprohibitionist social movement based on the development of critical conscience about the reality in order to transform it, is one of them. Objective: To discuss the supervision process of a public community mental health institution focused on treatment of problematic consumptio...

  17. Building a high quality medical data architecture for multiple uses in an integrated health care environment

    OpenAIRE

    Boterenbrood, Frank; Krediet, Irene; Goossen, William

    2014-01-01

    Objective: The aim was to create a reliable information provisioning system in healthcare for both care and research processes, based on existing data standards and standardized electronic messages. The research question is: How can a Clinical Data Ware House (CDWH) be developed for standardized basic patient data, generic nursing data and data about oncology nursing, allowing management of Electronic Health Record data, electronic data exchange and data analytics? Materials and methods: The ...

  18. Integrated Methodologies Based on Structural Health Monitoring for the Protection of Cutural Heritage Buildings

    OpenAIRE

    Lorenzoni, Filippo

    2013-01-01

    In the last decades the need for an effective seismic protection and vulnerability reduction of strategic structures and particularly the architectural heritage determined a growing interest in Structural Health Monitoring (SHM) as a measure of passive mitigation of earthquake effects. The object of monitoring is to identify, locate and classify type and severity of damages induced by external actions or degradation phenomena and to assess their effects on the structural performance. In this ...

  19. The Science Behind Health Information Technology Implementation: Understanding Failures and Building on Successes

    OpenAIRE

    Unertl, Kim M; Novak, Laurie L.; Gadd, Cindy S.; Lorenzi, Nancy M.

    2012-01-01

    Everyone attending the AMIA conference has likely either heard about or had firsthand experience of a failed health information technology implementation. The line dividing failed implementations from successful ones frequently seems perilously thin, dependent on people and organizational factors as much as on technology design. What implementation lessons have informatics researchers and practitioners learned from prior failures and successes? Can the research domain of Implementation Scienc...

  20. Building Viable Fitness Brands: Importance of Brand Communication Strategies in Attracting Potential Health Club Members

    Directory of Open Access Journals (Sweden)

    Antonio S. Williams

    2014-09-01

    Full Text Available The purpose of this study was to empirically examine antecedents of sport consumer-based brand equity in the fitness segment of the sport industry (i.e., participatory sport. The proposed framework consisted of market-induced (e.g. word-of-mouth, electronic word-of-mouth and organization-induced antecedents (e.g. price, place that have been theoretically proposed, but not tested. An 18-item paper-based survey was administered to a convenience sample of health club prospects (N= 213. The questionnaire consisted of items measuring price (three items, brand awareness (two items, brand association (three items, electronic word-of-mouth (eWOM (three items, word-of-mouth (WOM (three items, and place (four items. The relationship between independent (i.e., price, place, WOM, eWOM and dependent variables (i.e., brand awareness, brand association within the proposed model were tested using a multiple linear regression analysis (MLR. The results of the proposed model indicated that the four proposed antecedents accounted for a total of 30% of the variance in brand awareness and 14% of the variance in brand association. Specifically, price and WOM were significant predictors of brand awareness as well as brand association. The findings suggest that organization controlled brand strategies such as price, and organic brand communications such as WOM, help shape the perceptions potential health club members have with the health club brand.

  1. Building sustainability indicators in the health dimension for solid waste management 1

    Science.gov (United States)

    Veiga, Tatiane Bonametti; Coutinho, Silvano da Silva; Andre, Silvia Carla Silva; Mendes, Adriana Aparecida; Takayanagui, Angela Maria Magosso

    2016-01-01

    ABSTRACT Objective: to prepare a list of sustainability indicators in the health dimension, for urban solid waste management. Methods: a descriptive and exploratory study performed jointly with 52 solid waste specialists, using a three-steps Delphi technique, and a scale measuring the degree of importance for agreement among the researchers in this area. Results: the subjects under study were 92,3% PhD's concentrated in the age group from 30 to 40 years old (32,7%) and 51% were men. At the end of the 3rd step of the Delphi process, the average and standard deviation of all the proposed indicators varied from 4,22 (±0,79) to 4,72 (±0,64), in a scale of scores for each indicator from 1 to 5 (from "dispensable" to "very important"). Results showed the level of correspondence among the participants ranging from 82% to 94% related to those indicators. Conclusion: the proposed indicators may be helpful not only for the identification of data that is updated in this area, but also to enlarge the field of debates of the environmental health policies, directed not only for urban solid waste but for the achievement of better health conditions for the Brazilian context. PMID:27508905

  2. Structural health and dynamic behavior of residential buildings: field challenges in the rehab of damaged reinforced concrete

    Directory of Open Access Journals (Sweden)

    Chalhoub M. S.

    2014-01-01

    Full Text Available Reinforced concrete buildings require special consideration under dynamic excitations due to their anisotropic material properties. Strain compatibility equations are used in concrete analysis and design with assumptions about the stress and strain field across member section and member length. However, these assumptions fall short of describing real life behavior when concrete elements deteriorate, age or undergo cyclic loading. This paper addresses the structural health of reinforced concrete buildings and proposes an analytical model to account for concrete damage through loss of bond. The proposed model relates steel loading that causes bond distress to design parameters such as development length and bar properties, and therefore could be complemented by field measurement. The paper proposes a diagnosis method and discusses the sustainability of the structure by assisting in a simplistic decision rule as to whether to perform minor fixes, major rehabilitation, or disposal. Emphasis is placed on the difference between reversible and irreversible effects of cyclic loading on structural behaviour, and draws a distinction between damage to the girder and damage to the column in the overall structural system. The model is compared to empirical results to address field challenges faced when the structure is subjected to severe conditions in its ambient environment, or to unusual loading. Deterioration in concrete causes alteration in its composite behavior with the reinforcing steel. This affects the fundamental period of the structure, and its response to seismic loading.

  3. Global Health Education in Pulmonary and Critical Care Medicine Fellowships.

    Science.gov (United States)

    Siddharthan, Trishul; North, Crystal M; Attia, Engi F; Christiani, David C; Checkley, William; West, T Eoin

    2016-06-01

    A growing number of pulmonary and critical care medicine fellowship programs in the United States offer global health training opportunities. Formal, integrated global health programs within pulmonary and critical care fellowships are relatively new but are built on principles and ideals of global health that focus on the mutually beneficial exchange of knowledge and social justice. Although core competencies consistent with these overarching themes in global health education have not been formalized for pulmonary and critical care trainees, relevant competency areas include clinical knowledge, international research training, cultural competency, and clinical and research capacity building. Existing global health education in U.S. pulmonary and critical care medicine training programs can generally be classified as one of three different models: integrated global health tracks, global health electives, and additional research years. Successful global health education programs foster partnerships and collaborations with international sites that emphasize bidirectional exchange. This bidirectional exchange includes ongoing, equitable commitments to mutual opportunities for training and professional development, including a focus on the particular knowledge and skill sets critical for addressing the unique priorities of individual countries. However, barriers related to the availability of mentorship, funding, and dedicated time exist to expanding global health education in pulmonary and critical care medicine. The implementation of global health training within pulmonary and critical care medicine programs requires continued optimization, but this training is essential to prepare the next generation of physicians to address the global aspects of respiratory disease and critical illness. PMID:26974557

  4. Building an effective competitive intelligence system for health care service providers.

    Science.gov (United States)

    Festervand, T A; Lumpkin, J R

    1990-01-01

    With the increasing competitiveness of the health care marketplace, the need for information by service providers has increased concomitantly. In response to this need, strategic and competitive intelligence systems have emerged as a vital source of information. This article establishes a basis for the development and operation of a competitive intelligence system. Initially, strategic and competitive intelligence systems are conceptualized, then followed by a discussion of the areas which are candidates for inclusion in the intelligence system. The remainder of the article focuses on system development and operation. Attention also is directed toward information utilization and integration. PMID:10106847

  5. The SAIL Databank: building a national architecture for e-health research and evaluation

    Directory of Open Access Journals (Sweden)

    Thompson Simon

    2009-09-01

    Full Text Available Abstract Background Vast quantities of electronic data are collected about patients and service users as they pass through health service and other public sector organisations, and these data present enormous potential for research and policy evaluation. The Health Information Research Unit (HIRU aims to realise the potential of electronically-held, person-based, routinely-collected data to conduct and support health-related studies. However, there are considerable challenges that must be addressed before such data can be used for these purposes, to ensure compliance with the legislation and guidelines generally known as Information Governance. Methods A set of objectives was identified to address the challenges and establish the Secure Anonymised Information Linkage (SAIL system in accordance with Information Governance. These were to: 1 ensure data transportation is secure; 2 operate a reliable record matching technique to enable accurate record linkage across datasets; 3 anonymise and encrypt the data to prevent re-identification of individuals; 4 apply measures to address disclosure risk in data views created for researchers; 5 ensure data access is controlled and authorised; 6 establish methods for scrutinising proposals for data utilisation and approving output; and 7 gain external verification of compliance with Information Governance. Results The SAIL databank has been established and it operates on a DB2 platform (Data Warehouse Edition on AIX running on an IBM 'P' series Supercomputer: Blue-C. The findings of an independent internal audit were favourable and concluded that the systems in place provide adequate assurance of compliance with Information Governance. This expanding databank already holds over 500 million anonymised and encrypted individual-level records from a range of sources relevant to health and well-being. This includes national datasets covering the whole of Wales (approximately 3 million population and local provider

  6. Using Social Network Analysis To Map Participation And Non-participation In Health Promotion and Community-building Among Vulnerable Populations

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke

    capacities for collective and collaborative problemsolving is seen as key to successful community building (Kretzmann and McKnight, 1993). By using social network analysis and Bourdieu’s definition of capital, this study aimed to identify patterns of participation and non-participation in a community......-building project aiming at increasing upward mobility and social capital within the area and increase equity in health. This presentation will outline the tensions and contradictions which accompany policies and interventions that seek to strengthen local communities as a means of promoting health. Emerging...... and maintaining more heterogeneous social networks outside the stigmatised neighbourhood....

  7. Upending the social ecological model to guide health promotion efforts toward policy and environmental change.

    Science.gov (United States)

    Golden, Shelley D; McLeroy, Kenneth R; Green, Lawrence W; Earp, Jo Anne L; Lieberman, Lisa D

    2015-04-01

    Efforts to change policies and the environments in which people live, work, and play have gained increasing attention over the past several decades. Yet health promotion frameworks that illustrate the complex processes that produce health-enhancing structural changes are limited. Building on the experiences of health educators, community activists, and community-based researchers described in this supplement and elsewhere, as well as several political, social, and behavioral science theories, we propose a new framework to organize our thinking about producing policy, environmental, and other structural changes. We build on the social ecological model, a framework widely employed in public health research and practice, by turning it inside out, placing health-related and other social policies and environments at the center, and conceptualizing the ways in which individuals, their social networks, and organized groups produce a community context that fosters healthy policy and environmental development. We conclude by describing how health promotion practitioners and researchers can foster structural change by (1) conveying the health and social relevance of policy and environmental change initiatives, (2) building partnerships to support them, and (3) promoting more equitable distributions of the resources necessary for people to meet their daily needs, control their lives, and freely participate in the public sphere. PMID:25829123

  8. Deconstructing myths, building alliances: a networking model to enhance tobacco control in hospital mental health settings.

    Science.gov (United States)

    Ballbè, Montse; Gual, Antoni; Nieva, Gemma; Saltó, Esteve; Fernández, Esteve

    2016-01-01

    Life expectancy for people with severe mental disorders is up to 25 years less in comparison to the general population, mainly due to diseases caused or worsened by smoking. However, smoking is usually a neglected issue in mental healthcare settings. The aim of this article is to describe a strategy to improve tobacco control in the hospital mental healthcare services of Catalonia (Spain). To bridge this gap, the Catalan Network of Smoke-free Hospitals launched a nationwide bottom-up strategy in Catalonia in 2007. The strategy relied on the creation of a working group of key professionals from various hospitals -the early adopters- based on Rogers' theory of the Diffusion of Innovations. In 2016, the working group is composed of professionals from 17 hospitals (70.8% of all hospitals in the region with mental health inpatient units). Since 2007, tobacco control has improved in different areas such as increasing mental health professionals' awareness of smoking, training professionals on smoking cessation interventions and achieving good compliance with the national smoking ban. The working group has produced and disseminated various materials, including clinical practice and best practice guidelines, implemented smoking cessation programmes and organised seminars and training sessions on smoking cessation measures in patients with mental illnesses. The next challenge is to ensure effective follow-up for smoking cessation after discharge. While some areas of tobacco control within these services still require significant improvement, the aforementioned initiative promotes successful tobacco control in these settings. PMID:27325123

  9. Flavanols and vascular health: molecular mechanisms to build evidence-based recommendations.

    Science.gov (United States)

    Fraga, Cesar G; Oteiza, Patricia

    2014-10-01

    Observational studies as well as public awareness and ancient medicine identify tea, wine and cocoa as healthy foods. Further compilations of epidemiological data reinforce the healthy properties of the grape, tea and cocoa derived foods and drinks made from, especially when considering cardiovascular disease, some cancers and other inflammation-related pathologies. Flavanols have emerged as bioactives responsible for such health effects, and flavanol-rich foods have been used in clinical studies. Results of these studies show a major participation of flavanols in mechanisms positively affecting endpoints of cardiovascular disease, i.e. hypertension and vascular function. In line, based on the chemistry (bioavailability and molecular structure of flavanol and target entities) several physiological mechanisms have been described backing the epidemiological and clinical studies. In summary, the discussion for defining evidence-based recommendations for flavanols is based on: a) the extensive research done and the positive results obtained support the incorporation of flavanol-rich foods as part of a healthy diet, this is a cost-effective action to ameliorate silent undesirable conditions as it is chronic inflammation; b) the fact that cardiovascular health seems especially sensitive to the beneficial effects of flavanols: based on clinical and mechanistic studies showing that certain flavanols, favor NO production; and c) the increasing technical possibilities to evaluate flavanols in foods and biological samples. Supported by UBACyT 20020120100177, CONICET PIP-20110100752, and ANPCyT PICT 2012/0765. PMID:26461285

  10. Theoretical and Practical Premises in Building Up the Health Public Policies in the Field of Transplant

    Directory of Open Access Journals (Sweden)

    Cristina GAVRILUŢĂ

    2013-12-01

    Full Text Available The existing data at European level situate Romania on the last places regarding the rate of organ donation. This fact is also an indicator of the effect of the health policies in Romania in the field of transplant. The research carried out (the study on the population’s attitudes towards the organ donation, the study on the theme of organ transplantation as presented in the Romanian media, and the study on the opinions of the ER doctors, neurologists and neurosurgeons regarding the organ donation and transplantation show different models of approaching the issue of transplant in the European area. The investigations carried out among doctors identify a series of issues which relate, on the one hand, to the cultural component, and, on the other hand, to the structure and functioning of the Romanian health system. The survey carried out in Iași in 2012 shows favorable attitudes towards organ donations in the conditions of a lack of information and of a less effective policy regarding organ donation.

  11. A case study on processes in team building and performance improvement at Government Health Centers in Rajasthan, India

    Directory of Open Access Journals (Sweden)

    Bhaskar Purohit

    2015-01-01

    Full Text Available Introduction: Public healthcare system in India suffers from poor performance mainly due to the severe shortage and high absenteeism of healthcare providers. The performance is further affected due to low productivity and competencies of the already existing healthcare providers. While management training (with a special focus on human resource issues to address the shortage to healthcare providers has gained some importance in recent past, there has been a very limited focus on how to use the exiting workforce effectively. With this backdrop, training health providers in issues pertaining to team effectiveness becomes very crucial. The case study discusses some of the dimensions of team building, as well as processes involved in performance improvement including problem identification, prioritization, and problem-solving process as demonstrated by health system improvement teams (HSIT′s. Materials and Methods: HSIT′s have been constituted and are functional at 238 secondary level facilities in Rajasthani. The case writer interacted with five HSIT′s from two districts in Rajasthan. We were able to speak to about four to five members from each team for all the five facilities. The information for the case was gathered in two ways. The first was use of an instrument on team building that was given to each member of the team to gauge their individual perception about various team building aspects. The second was with the help of group discussions that were done with all the team members for each all the five teams. All those who were present and willing to be part of the discussion were given instruments and were included in group discussions. As this was an exploratory case study, the sample size was small and, therefore, the findings from group discussion and instruments have been presented together without any quantification of the data. Results: The findings of the case study indicate moderate team empowerment. While HSIT′s were clear

  12. The quantum algebra $U_q(sl_2)$ and its equitable presentation

    OpenAIRE

    Ito, Tatsuro; Terwilliger, Paul; Weng, Chih-wen

    2005-01-01

    We show that the quantum algebra $U_q(sl_2)$ has a presentation with generators $x,x^{-1},y,z$ and relations $x x^{-1}=1$, $x^{-1} x=1$, $\\frac{qxy-q^{-1}yx}{q-q^{-1}}=1$, $\\frac{qyz-q^{-1}zy}{q-q^{-1}}=1$, $\\frac{qzx-q^{-1}xz}{q-q^{-1}}=1$. We call this the equitable presentation. We investigate the action of $x,x^{-1},y,z$ on finite-dimensional $U_q(sl_2)$-modules.

  13. Is the high-risk strategy to prevent cardiovascular disease equitable?

    DEFF Research Database (Denmark)

    Wallach Kildemoes, Helle; Diderichsen, Finn; Krasnik, Allan;

    2012-01-01

    ABSTRACT: BACKGROUND: Statins are increasingly prescribed to prevent cardiovascular disease (CVD) in asymptomatic individuals. Yet, it is unknown whether those at higher CVD risk - i.e. individuals in lower socio-economic position (SEP) - are adequately reached by this high-risk strategy. Aim......: To examine whether the Danish implementation of the strategy to prevent cardiovascular disease (CVD) by initiating statin (HMG-CoA reductase inhibitor) therapy in high-risk individuals is equitable across socioeconomic groups. METHODS: Design: Cohort study. Setting and participants: Applying individual...

  14. Replacing The Responsibility to Protect: The Equitable Theory of Humanitarian Intervention

    Directory of Open Access Journals (Sweden)

    Ciarán Burke

    2009-01-01

    Full Text Available In this article, Ciarán J. Burke argues that the ‘Responsibility to Protect’ initiative has failed. Burke presents a series of fundamental flaws, both with the doctrine advanced by the ICISS, and with the subsequent attempts to incorporate it into the international legal framework. Burke opines that equity, as a source of international law, should instead be used to shed fresh light on the debate, keeping the discourse within the law and away from subjective ethics, and drafting a novel framework which he dubs ‘equitable humanitarian intervention’.

  15. Developing more open and equitable relationships with industry to improve advancements in clinical research in dermatology.

    Science.gov (United States)

    Campa, M; Ryan, C; Menter, A

    2016-06-01

    Relationships between physicians, scientists, and the pharmaceutical industry can be complicated by conflicts of interest. Honest and equitable relationships, however, are essential to the advancement of dermatologic clinical research. Several factors can increase transparency in clinical trials including preregistration of clinical trials, reporting of all data produced from clinical trials, non-industry ownership of clinical trial data, clarity of statistical methods and publication of both positive and negative results. Through collaborative, scientifically rigorous studies, physicians and industry can achieve significant advances in dermatologic care. PMID:27317287

  16. Team-building through sailing: effects on health status, job satisfaction and work performance of health care professionals involved in organ and tissue donation.

    Science.gov (United States)

    Ponzin, Diego; Fasolo, Adriano; Vidale, Enrico; Pozzi, Annalaura; Bottignolo, Elisa; Calabrò, Francesco; Rupolo, Giampietro

    2015-01-01

    The aim of this study was to evaluate the effects of a team-building learning project on job satisfaction, psychological wellbeing, and performance of health care workers involved in the process of organ and tissue donation. The project was conducted between June and September 2011 and consisted of two one-day meetings and a one week sailing, involving 20 staff members. GHQ-12, MBI-HSS, and 25 items taken from the Multidimensional Organizational Health Questionnaire (MOHQ) were used to assess health status, burnout, and job satisfaction. Results of the descriptive analyses were expressed as mean ± SD and as counts and percentages; Chi-square test was used to evaluate statistical significance of differences before and after the initiative. 6 (30,0%) participants showed the likelihood to suffering from anxiety and depression (i.e. recognized as 'cases' by the GHQ-12), 3 (15.0%) of them at baseline and 3 (15.0%), different from the previous ones, in the post-intervention. The presence of stress was revealed in 9 (45.0%) and 12 subjects (60.0%) before and after the experience, respectively (6 subjects showed the presence of stress in both circumstances). We documented 4 burnout cases, 3 (15.0%) at baseline and 1 (5.0%) after the experience. Nevertheless, about 80% of the participants showed a high degree ofjob satisfaction, in terms of positive influence of job in the professional satisfaction and of clear satisfaction for the organization, during both evaluation. In respect to 2010, the number of organ donors and that of ocular tissue donors improved of about 16% and 10%, respectively, during the year of the project and in the following year (mean value). We recognize that our team-building project for personnel involved in the stressful and demanding setting of organ and tissue donation, worthwhile and recompensing at the same time, possibly influenced the personal commitment and the quality of job provided. The high level of stress showed by participants should be

  17. Towards building the oral health care workforce: who are the new dental therapists?

    Science.gov (United States)

    Blue, Christine M; Lopez, Naty

    2011-01-01

    In 2009, Minnesota Governor Pawlenty signed into law a bill approving the creation of a new dental team member: the dental therapist. The intent of this legislation was to address oral health disparities by creating a dental professional who would expand access to dental care in Minnesota. This study aimed to describe the characteristics of the first class of dental therapy students at the University of Minnesota and to ascertain the values and motivations that led them to choose a career in dental therapy. Four surveys were used to create the composite profile of the ten students in this first dental therapy class: 1) the California Critical Thinking Skills Test, 2) the Learning Type Measure, 3) the Attitudes Toward Healthcare Survey, and 4) a values and motivation survey that included demographic data. The results of the surveys revealed interacting influences of the students' background, personal self-concept, and environment leading to a career decision to pursue dental therapy. PMID:21205726

  18. Knowledge-Based Energy Damage Model for Evaluating Industrialised Building Systems (IBS Occupational Health and Safety (OHS Risk

    Directory of Open Access Journals (Sweden)

    Abas Nor Haslinda

    2016-01-01

    Full Text Available Malaysia’s construction industry has been long considered hazardous, owing to its poor health and safety record. It is proposed that one of the ways to improve safety and health in the construction industry is through the implementation of ‘off-site’ systems, commonly termed ‘industrialised building systems (IBS’ in Malaysia. This is deemed safer based on the risk concept of reduced exposure, brought about by the reduction in onsite workers; however, no method yet exists for determining the relative safety of various construction methods, including IBS. This study presents a comparative evaluation of the occupational health and safety (OHS risk presented by different construction approaches, namely IBS and traditional methods. The evaluation involved developing a model based on the concept of ‘argumentation theory’, which helps construction designers integrate the management of OHS risk into the design process. In addition, an ‘energy damage model’ was used as an underpinning framework. Development of the model was achieved through three phases, namely Phase I – knowledge acquisitaion, Phase II – argument trees mapping, and Phase III – validation of the model. The research revealed that different approaches/methods of construction projects carried a different level of energy damage, depending on how the activities were carried out. A study of the way in which the risks change from one construction process to another shows that there is a difference in the profile of OHS risk between IBS construction and traditional methods.Therefore, whether the option is an IBS or traditional approach, the fundamental idea of the model is to motivate construction designers or decision-makers to address safety in the design process and encourage them to examine carefully the probable OHS risk variables surrounding an action, thus preventing accidents in construction.

  19. Building communication strategy on health prevention through the human-centered design

    Directory of Open Access Journals (Sweden)

    Karine de Mello Freire

    2016-03-01

    Full Text Available It has been identified a latent need for developing efficient communication strategies for prevention of diseases and also, design as a potential agent to create communications artifacts that are able to promote self-care. In order to analyze a design process that develops this kind of artifact, an action research in IAPI Health Center in Porto Alegre was done. The action’s goal was to design a strategy to promote self-care to prevent cervical cancer. The process was conducted from the human centered design approach - HCD, which seeks to create solutions desirable for people and feasible for organizations from three main phases: a Hear, in which inspirations are originated from stories collected from people; b Create, which aims to translate these knowledge into prototypes; and, c Deliver, where the prototypes are tested and developed with users. Communication strategies were supported by design studies about visual-verbal rhetoric. As results, this design approach has shown adequate to create communication strategies targeted at self-care behaviors, aiming to empower users to change their behavior.

  20. Building new computational models to support health behavior change and maintenance: new opportunities in behavioral research.

    Science.gov (United States)

    Spruijt-Metz, Donna; Hekler, Eric; Saranummi, Niilo; Intille, Stephen; Korhonen, Ilkka; Nilsen, Wendy; Rivera, Daniel E; Spring, Bonnie; Michie, Susan; Asch, David A; Sanna, Alberto; Salcedo, Vicente Traver; Kukakfa, Rita; Pavel, Misha

    2015-09-01

    Adverse and suboptimal health behaviors and habits are responsible for approximately 40 % of preventable deaths, in addition to their unfavorable effects on quality of life and economics. Our current understanding of human behavior is largely based on static "snapshots" of human behavior, rather than ongoing, dynamic feedback loops of behavior in response to ever-changing biological, social, personal, and environmental states. This paper first discusses how new technologies (i.e., mobile sensors, smartphones, ubiquitous computing, and cloud-enabled processing/computing) and emerging systems modeling techniques enable the development of new, dynamic, and empirical models of human behavior that could facilitate just-in-time adaptive, scalable interventions. The paper then describes concrete steps to the creation of robust dynamic mathematical models of behavior including: (1) establishing "gold standard" measures, (2) the creation of a behavioral ontology for shared language and understanding tools that both enable dynamic theorizing across disciplines, (3) the development of data sharing resources, and (4) facilitating improved sharing of mathematical models and tools to support rapid aggregation of the models. We conclude with the discussion of what might be incorporated into a "knowledge commons," which could help to bring together these disparate activities into a unified system and structure for organizing knowledge about behavior. PMID:26327939

  1. Building an international health management graduate curriculum: analyzing faculty survey results.

    Science.gov (United States)

    Coyne, Joseph S; McLaughlin, Eric; Cantoni, Lorenzo

    2007-01-01

    The development of an international graduate program requires thorough analysis, awareness of the risks involved, and the constraints unique to a particular institution. An assessment of three critical questions must be answered. First, what are the host university investment requirements? Second, what is the degree of enhancement of educational outcomes for the host university? Third, what is the contribution to the international reputations of the host university? This paper presents the result of a survey about these three questions of international educators attending the Third International Conference on Healthcare Systems meeting in Charleston, West Virginia. The results of this survey suggest that there is much to be gained in the educational outcomes and international reputation for both the host campus and the international campus yet the investment is significant. Perhaps of greatest importance is funding, and if possible, external funding is advised. This will attract both high quality students and faculty to participate and/or enroll, thus strengthening the program. There appears to be no optimal strategy or single model that can maximize the educational outcomes and international reputation while minimizing the degree of investment simultaneously. Further research is needed on what is successful and what is not, in terms of investment of time and effort. Hopefully, such research will contribute to higher quality international health management graduate programs that achieve the stated business and educational goals of all parties to reduce the risk of investing both time and money in a new educational venture. PMID:18214077

  2. Accelerate Implementation of the WHO Global Code of Practice on International Recruitment of Health Personnel: Experiences From the South East Asia Region; Comment on “Relevance and Effectiveness of the WHO Global Code Practice on the International Recruitment of Health Personnel – Ethical and Systems Perspectives”

    OpenAIRE

    Viroj Tangcharoensathien; Phyllida Travis

    2016-01-01

    Strengthening the health workforce and universal health coverage (UHC) are among key targets in the heath-related Sustainable Development Goals (SDGs) to be committed by the United Nations (UN) Member States in September 2015. The health workforce, the backbone of health systems, contributes to functioning delivery systems. Equitable distribution of functioning services is indispensable to achieve one of the UHC goals of equitable access. This commentary argues the World Health Organization (...

  3. Research and Evaluations of the Health Aspects of Disasters, Part VIII: Risk, Risk Reduction, Risk Management, and Capacity Building.

    Science.gov (United States)

    Birnbaum, Marvin L; Loretti, Alessandro; Daily, Elaine K; O'Rourke, Ann P

    2016-06-01

    There is a cascade of risks associated with a hazard evolving into a disaster that consists of the risk that: (1) a hazard will produce an event; (2) an event will cause structural damage; (3) structural damage will create functional damages and needs; (4) needs will create an emergency (require use of the local response capacity); and (5) the needs will overwhelm the local response capacity and result in a disaster (ie, the need for outside assistance). Each step along the continuum/cascade can be characterized by its probability of occurrence and the probability of possible consequences of its occurrence, and each risk is dependent upon the preceding occurrence in the progression from a hazard to a disaster. Risk-reduction measures are interventions (actions) that can be implemented to: (1) decrease the risk that a hazard will manifest as an event; (2) decrease the amounts of structural and functional damages that will result from the event; and/or (3) increase the ability to cope with the damage and respond to the needs that result from an event. Capacity building increases the level of resilience by augmenting the absorbing and/or buffering and/or response capacities of a community-at-risk. Risks for some hazards vary by the context in which they exist and by the Societal System(s) involved. Birnbaum ML , Loretti A , Daily EK , O'Rourke AP . Research and evaluations of the health aspects of disasters, part VIII: risk, risk reduction, risk management, and capacity building. Prehosp Disaster Med. 2016;31(3):300-308. PMID:27025980

  4. The Public Health Exposome: A Population-Based, Exposure Science Approach to Health Disparities Research

    Directory of Open Access Journals (Sweden)

    Paul D. Juarez

    2014-12-01

    Full Text Available The lack of progress in reducing health disparities suggests that new approaches are needed if we are to achieve meaningful, equitable, and lasting reductions. Current scientific paradigms do not adequately capture the complexity of the relationships between environment, personal health and population level disparities. The public health exposome is presented as a universal exposure tracking framework for integrating complex relationships between exogenous and endogenous exposures across the lifespan from conception to death. It uses a social-ecological framework that builds on the exposome paradigm for conceptualizing how exogenous exposures “get under the skin”. The public health exposome approach has led our team to develop a taxonomy and bioinformatics infrastructure to integrate health outcomes data with thousands of sources of exogenous exposure, organized in four broad domains: natural, built, social, and policy environments. With the input of a transdisciplinary team, we have borrowed and applied the methods, tools and terms from various disciplines to measure the effects of environmental exposures on personal and population health outcomes and disparities, many of which may not manifest until many years later. As is customary with a paradigm shift, this approach has far reaching implications for research methods and design, analytics, community engagement strategies, and research training.

  5. Promoting Community Health and Eliminating Health Disparities Through Community-Based Participatory Research.

    Science.gov (United States)

    Xia, Ruiping; Stone, John R; Hoffman, Julie E; Klappa, Susan G

    2016-03-01

    In physical therapy, there is increasing focus on the need at the community level to promote health, eliminate disparities in health status, and ameliorate risk factors among underserved minorities. Community-based participatory research (CBPR) is the most promising paradigm for pursuing these goals. Community-based participatory research stresses equitable partnering of the community and investigators in light of local social, structural, and cultural elements. Throughout the research process, the CBPR model emphasizes coalition and team building that joins partners with diverse skills/expertise, knowledge, and sensitivities. This article presents core concepts and principles of CBPR and the rationale for its application in the management of health issues at the community level. Community-based participatory research is now commonly used to address public health issues. A literature review identified limited reports of its use in physical therapy research and services. A published study is used to illustrate features of CBPR for physical therapy. The purpose of this article is to promote an understanding of how physical therapists could use CBPR as a promising way to advance the profession's goals of community health and elimination of health care disparities, and social responsibility. Funding opportunities for the support of CBPR are noted. PMID:26251479

  6. Work plan and health and safety plan for Building 3019B underground storage tank at Oak Ridge National Laboratory, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Burman, S.N.; Brown, K.S.; Landguth, D.C.

    1992-08-01

    As part of the Underground Storage Tank Program at the Department of Energy's Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee, this Health and Safety Plan has been developed for removal of the 110-gal leaded fuel underground storage tank (UST) located in the Building 3019B area at ORNL This Health and Safety Plan was developed by the Measurement Applications and Development Group of the Health and Safety Research Division at ORNL The major components of the plan follow: (1) A project description that gives the scope and objectives of the 110-gal tank removal project and assigns responsibilities, in addition to providing emergency information for situations occurring during field operations; (2) a health and safety plan in Sect. 15 for the Building 3019B UST activities, which describes general site hazards and particular hazards associated with specific tasks, personnel protection requirements and mandatory safety procedures; and (3) discussion of the proper form completion and reporting requirements during removal of the UST. This document addresses Occupational Safety and Health Administration (OSHA) requirements in 29 CFR 1910.120 with respect to all aspects of health and safety involved in a UST removal. In addition, the plan follows the Environmental Protection Agency (EPA) QAMS 005/80 (1980) format with the inclusion of the health and safety section (Sect. 15).

  7. Work plan and health and safety plan for Building 3019B underground storage tank at Oak Ridge National Laboratory, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Burman, S.N.; Brown, K.S.; Landguth, D.C.

    1992-08-01

    As part of the Underground Storage Tank Program at the Department of Energy`s Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee, this Health and Safety Plan has been developed for removal of the 110-gal leaded fuel underground storage tank (UST) located in the Building 3019B area at ORNL This Health and Safety Plan was developed by the Measurement Applications and Development Group of the Health and Safety Research Division at ORNL The major components of the plan follow: (1) A project description that gives the scope and objectives of the 110-gal tank removal project and assigns responsibilities, in addition to providing emergency information for situations occurring during field operations; (2) a health and safety plan in Sect. 15 for the Building 3019B UST activities, which describes general site hazards and particular hazards associated with specific tasks, personnel protection requirements and mandatory safety procedures; and (3) discussion of the proper form completion and reporting requirements during removal of the UST. This document addresses Occupational Safety and Health Administration (OSHA) requirements in 29 CFR 1910.120 with respect to all aspects of health and safety involved in a UST removal. In addition, the plan follows the Environmental Protection Agency (EPA) QAMS 005/80 (1980) format with the inclusion of the health and safety section (Sect. 15).

  8. Peace-building and reconciliation dividends of integrated health services delivery in post-conflict Burundi: qualitative assessments of providers and community members.

    Science.gov (United States)

    Christensen, Cathryn; Edward, Anbrasi

    2015-01-01

    While demonstrating causality remains challenging, several 'health-peace' mechanisms have been proposed to describe how health systems contribute to peace-building and stability in post-conflict settings. A qualitative study was undertaken in southern Burundi to identify drivers of social tension and reconciliation in the catchment area of Village Health Works, a health services organisation. Key informant interviews and focus group discussions were conducted in early 2014 with a total of one hundred and twenty community members and staff representing a range of conflict and recovery experience. Themes emerging from these interviews indicated mechanisms at the individual, household, community, and regional levels through which health provision mitigates tensions and promotes social cohesion. This peace dividend was amplified by the clinic's integrated model, which facilitates further community interaction through economic, agricultural and education programmes. Land pressure and the marginalisation of repatriated refugees were cited as drivers of local tension. PMID:25875719

  9. The Purpose of the Cataloging for Matters of Equitable Access: Spanish-Language Cataloging and "Everyday" Approaches of Non-Native English Speakers

    Science.gov (United States)

    Adamich, Tom

    2009-01-01

    While teacher-librarians embrace the concept of equitable access when they select "multicultural" materials to include in their collections, plan special programs, and teach lessons on a variety of topics, what do they do to make equitable access a part of their online catalogs? Have they achieved (or nearly achieved) a consistent level of…

  10. Public health challenges for universal health coverage.

    Science.gov (United States)

    Tripathy, Radha Madhab

    2014-01-01

    The effective functioning of any health system requires an efficient public health service. Every human being has the right to enjoy "the highest attainable standard of health," which can be fulfilled by giving every man an affordable and equitable health system he deserves and demands. In these years, complex health changes have complicated the situation in India. Most important gaps in the health care include an understanding of the burden of the disease and what leads to and causes ill health, the availability and use of appropriate technology in the management of disease, ill health and health systems that have an impact on service delivery. Universal Health Coverage (UHC) has the potential to increase economic growth, improve educational opportunities, reduce impoverishment and inequalities, and foster social cohesion. Steps taken for achieving UHC will address the public health challenges and vice versa. PMID:25116820

  11. The process of development of a prioritization tool for a clinical decision support build within a computerized provider order entry system: Experiences from St Luke's Health System.

    Science.gov (United States)

    Wolf, Matthew; Miller, Suzanne; DeJong, Doug; House, John A; Dirks, Carl; Beasley, Brent

    2016-09-01

    To establish a process for the development of a prioritization tool for a clinical decision support build within a computerized provider order entry system and concurrently to prioritize alerts for Saint Luke's Health System. The process of prioritizing clinical decision support alerts included (a) consensus sessions to establish a prioritization process and identify clinical decision support alerts through a modified Delphi process and (b) a clinical decision support survey to validate the results. All members of our health system's physician quality organization, Saint Luke's Care as well as clinicians, administrators, and pharmacy staff throughout Saint Luke's Health System, were invited to participate in this confidential survey. The consensus sessions yielded a prioritization process through alert contextualization and associated Likert-type scales. Utilizing this process, the clinical decision support survey polled the opinions of 850 clinicians with a 64.7 percent response rate. Three of the top rated alerts were approved for the pre-implementation build at Saint Luke's Health System: Acute Myocardial Infarction Core Measure Sets, Deep Vein Thrombosis Prophylaxis within 4 h, and Criteria for Sepsis. This study establishes a process for developing a prioritization tool for a clinical decision support build within a computerized provider order entry system that may be applicable to similar institutions. PMID:25814483

  12. Healing Africa? Reflections on the peace-building role of a health-based non governmental organization operating in eastern Democratic Republic of Congo.

    Science.gov (United States)

    D'Errico, Nicole C; Wake, Christopher M; Wake, Rachel M

    2010-01-01

    Whilst there are convincing theoretical arguments about the peace-building potential of the health sector, case studies documenting its interventions remain limited. This article contributes to the existing 'Peace through Health' literature by considering the model of HEAL Africa, a health-based non-governmental organization operating in Eastern Congo. Several of HEAL Africa's projects seek to prevent and reduce key risk factors; for conflict, and to contribute to longer term rehabilitation. Many of these interventions are born out of HEAL's emphasis on providing emergency health care--and the neutrality, legitimacy, access and longevity which this generates. However, this focus also tends to act as a limiting factor on the application and resourcing of its conflict prevention and reconstruction efforts. Whilst this case study warns against overstating the potential role of the health sector in promoting peace, HEAL's activities provide evidence of the types of positive contributions that can be made in practice. The role of the health sector, equipped as it is with useful tools for conflict transformation, should therefore be considered more proactively by the peace-building community. PMID:20718286

  13. Promoting health, building community.

    Science.gov (United States)

    Artis, Bobby

    2005-01-01

    As part of its mission to honor human dignity and to care for the poor and vulnerable, Catholic Healthcare Partners (CHP), Cincinnati, has made a systemwide commitment to address housing needs in the communities it serves. A priority for the system is providing safe, affordable housing options for the low-income elderly. CHP's approach goes beyond "bricks and mortar," however. The system aims not only to provide a home for senior adults but also to enrich their lives. Through various activities and support services, CHP's senior living complexes in Kentucky, Ohio, Pennsylvania, and Tennessee offer residents an opportunity to live in a vibrant community. CHP facilities have developed a variety of initiatives to enhance residents' lives. Among these are: spiritual care services, nurses who serve as a resource to low-income elders, a short-stay shelter for seniors in transition, a service referral program, and therapy to help elders remain independent. In order to offer these comprehensive services to senior adults, CHP relies on partnerships with a variety of organizations and on funding from both the federal government and private investors. Especially as the nation's population ages, CHP continues to make its housing ministry a strategic priority. PMID:15807065

  14. Equitable Partnerships for Mutual Learning or Perpetuator of North-South Power Imbalances? Ireland-South Africa School Links

    Science.gov (United States)

    Gallwey, Susan Kresky; Wilgus, Gay

    2014-01-01

    This study examines how various components of a school-linking programme between Ireland and South Africa either support Development Education's goal of sustainable, equitable partnerships that enable mutual learning between Northern and Southern countries or, instead, promote power imbalances that reify stereotypic images of weak, needy…

  15. Domains of Core Competency, Standards, and Quality Assurance for Building Global Capacity in Health Promotion: The Galway Consensus Conference Statement

    Science.gov (United States)

    Allegrante, John P.; Barry, Margaret M.; Airhihenbuwa, Collins O.; Auld, M. Elaine; Collins, Janet L.; Lamarre, Marie-Claude; Magnusson, Gudjon; McQueen, David V.; Mittelmark, Maurice B.

    2009-01-01

    This paper reports the outcome of the Galway Consensus Conference, an effort undertaken as a first step toward international collaboration on credentialing in health promotion and health education. Twenty-nine leading authorities in health promotion, health education, and public health convened a 2-day meeting in Galway, Ireland, during which the…

  16. Equity in health in unequal societies: meeting health needs in contexts of social change.

    Science.gov (United States)

    Bloom, G

    2001-09-01

    The paper explores the implications for health policy of the segmentation of society into social groups with very different levels of income and wealth. Discourses on equity in health are presently dominated by a debate between 'European' and 'American' models of health delivery. This has led to a focus on ideal outcomes rather than practical options for organising and financing health services in poor countries undergoing rapid change. The paper argues for a more explicit acknowledgement of the dynamic character of health development and the political nature of the negotiations regarding the use of government powers. Unregulated markets for health care are neither equitable nor efficient. Government must play a role in supporting the organisation of health services used by different social groups. Countries with low levels of inequality may be able to provide universal access to relatively sophisticated health services. Otherwise, governments need to operate within a segmented system. This means the negotiation of strategies to reduce the burden of sickness and premature death, whilst meeting the needs of different social groups. The discussion is organised in terms of the powers of government to require individuals and institutions to transfer resources for social uses, enforce regulations and generate and disseminate information. The paper concludes that governments committed to equity-enhancing health development need to increase their capacity to facilitate coalition building and manage change. It proposes an international public health legal framework that might include a definition of minimum standards for certain health services, to be underwritten by national and international financial commitments. PMID:11459627

  17. Housing as a Social Determinant of Health: Exploring the Relationship between Rent Burden and Risk Behaviors for Single Room Occupancy Building Residents.

    Science.gov (United States)

    Bowen, Elizabeth A; Mitchell, Christopher G

    2016-01-01

    A growing body of health determinants research recognizes that housing and health are intimately linked. This study explores the relationship between rent burden (the ratio of rent to income) and health risk behaviors among a sample of single room occupancy (SRO) building residents. Cross-sectional data were gathered from a sample of 162 residents living in privately owned, for-profit SROs in Chicago. Findings indicated that participants who had full rental subsidies and thus were designated in a no-rent-burden category were more likely to engage in risk behaviors including illicit drug use, having multiple sexual partners, and having sex without a condom, in comparison to participants with moderate or high-rent burdens. These findings suggest that interventions to increase housing stability and affordability and bolster reliable income sources (in addition to rental subsidies) may be key in reducing risk behaviors and improving health for vulnerably housed populations such as SRO residents. PMID:27167535

  18. Beyond the cathedral: building trust to engage the African American community in health promotion and disease prevention.

    Science.gov (United States)

    Ford, Angela F; Reddick, Karen; Browne, Mario C; Robins, Anthony; Thomas, Stephen B; Crouse Quinn, Sandra

    2009-10-01

    Effective efforts to eliminate health disparities must be grounded in strong community partnerships and trusting relationships between academic institutions and minority communities. However, there are often barriers to such efforts, including the frequent need to rely on time-limited funding mechanisms that take categorical approaches. This article provides an overview of health promotion and disease prevention projects implemented through the Community Outreach and Information Dissemination Core (COID) of the Center for Minority Health, within the Graduate School of Public Health at the University of Pittsburgh. The COID is one of five Cores that comprised the University of Pittsburgh's NIH Excellence in Partnerships for Community Outreach, and Research on Disparities in Health and Training (EXPORT Health) funded from 2002 to 2007 by the National Center on Minority Health and Health Disparities. Based in large part on the success of the community engagement activities, in 2007, the National Center on Minority Health and Health Disparities, National Institutes of Health, designated the CMH as a Research Center of Excellence on Minority Health Disparities. COID major initiatives included the Community Research Advisory Board, Health Disparity Working Groups, Health Advocates in Reach, Healthy Class of 2010, and the Healthy Black Family Project. Lessons learned may provide guidance to other academic institutions, community-based organizations, and health departments who seek to engage minority communities in changing social norms to support health promotion and disease prevention. PMID:19809000

  19. Gender and health promotion: a multisectoral policy approach.

    Science.gov (United States)

    Ostlin, Piroska; Eckermann, Elizabeth; Mishra, Udaya Shankar; Nkowane, Mwansa; Wallstam, Eva

    2006-12-01

    Women and men are different as regards their biology, the roles and responsibilities that society assigns to them and their position in the family and community. These factors have a great influence on causes, consequences and management of diseases and ill-health and on the efficacy of health promotion policies and programmes. This is confirmed by evidence on male-female differences in cause-specific mortality and morbidity and exposure to risk factors. Health promoting interventions aimed at ensuring safe and supportive environments, healthy living conditions and lifestyles, community involvement and participation, access to essential facilities and to social and health services need to address these differences between women and men, boys and girls in an equitable manner in order to be effective. The aim of this paper is to (i) demonstrate that health promotion policies that take women's and men's differential biological and social vulnerability to health risks and the unequal power relationships between the sexes into account are more likely to be successful and effective compared to policies that are not concerned with such differences, and (ii) discuss what is required to build a multisectoral policy response to gender inequities in health through health promotion and disease prevention. The requirements discussed in the paper include i) the establishment of joint commitment for policy within society through setting objectives related to gender equality and equity in health as well as health promotion, ii) an assessment and analysis of gender inequalities affecting health and determinants of health, iii) the actions needed to tackle the main determinants of those inequalities and iv) documentation and dissemination of effective and gender sensitive policy interventions to promote health. In the discussion of these key policy elements, we use illustrative examples of good practices from different countries around the world. PMID:17307954

  20. Equitable water allocation in a heavily committed international catchment area: the case of the Komati Catchment

    Science.gov (United States)

    Nkomo, Sakhiwe; van der Zaag, Pieter

    This paper investigates water availability and use in the Komati catchment. The Komati catchment is shared by Swaziland and South Africa and forms part of the Incomati basin, with Mozambique as the third riparian country. In 2002 the three countries reached agreement about how the scarce water should be allocated, based on the principle of equitable and sustainable utilization, as stipulated by the SADC Protocol. The Komati catchment has five main water uses: afforestation, irrigation, the environment, urban/industrial/mining (UIM), and interbasin water transfers (for industrial use). In addition, South Africa and Swaziland have committed themselves to satisfy a certain cross border flow to downstream Mozambique. Frequently, debate has arisen between users and riparian countries on the direction that water resources development has taken in the catchment. Downstream farmers have often complained about interbasin transfers taking place in the upstream portions of the catchment. There has also been animosity about effecting environmental flow releases. A relatively simple, spreadsheet-based water resources model (Waflex) was developed to analyse water availability and use under current and future scenarios. The results were then compared to results obtained from another model that was used in a joint study by Mozambique, South Africa and Swaziland. The Waflex model showed a high degree of consistency with the one used for comparison, especially in terms of trends. It was found that the recent completion of two new dams has improved water supply to irrigation in the two countries. Future water demands will result in appreciable shortages for irrigation and domestic use. The agreed maximum development levels will soon outstrip the ability of the catchment’s supply. The paper shows that a combination of measures will be required to ensure equitable and sustainable water utilisation in the Komati catchment. These will have to be agreed by the riparian countries

  1. STACHYBOTRYS CHARTARU Trichothecene Mycotoxins and Damp Building-Related Illness: New Insights into a Public Health Enigma

    Science.gov (United States)

    Damp building-related illnesses (DBRI) include a myriad of respiratory, immunologic, and neurologic symptoms that are sometimes etiologically linked to aberrant indoor growth of the toxic black mold, Stachybotrys chartarum. Although supportive evidence for such linkages is limite...

  2. Building Research Integrity and Capacity (BRIC): An Educational Initiative to Increase Research Literacy among Community Health Workers and Promotores

    OpenAIRE

    Camille Nebeker; Araceli López-Arenas

    2015-01-01

    While citizen science is gaining attention of late, for those of us involved in community-based public health research, community/citizen involvement in research has steadily increased over the past 50 years. Community Health Workers (CHWs), also known as Promotores de Salud in the Latino community, are critical to reaching underserved populations, where health disparities are more prevalent. CHWs/Promotores provide health education and services and may also assist with the development and im...

  3. How can community health programmes build enabling environments for transformative communication?: Experiences from India and South Africa

    OpenAIRE

    Campbell, Catherine; Cornish, Flora

    2010-01-01

    Whilst much research has examined how to empower poor community members to identify the social roots of health problems and articulate demands for health-enabling living conditions, less is known about how to create receptive social environments where the powerful are likely to heed the voices of the poor. This paper seeks to characterise the social environments in which community-led health programmes are most likely to facilitate effective and sustainable health improvements, using three di...

  4. A Healthy Investment: Building the Facilities to Train the Next Generation of Nursing and Allied Health Professionals

    Science.gov (United States)

    Woods, Bob

    2013-01-01

    A growing number of community colleges are investing in new facilities and programs to train health care workers in a variety of professions, including nursing, radiology, health information technology, physical therapy, dentistry, and surgical technology. Community colleges have historically offered job training programs in health care, but with…

  5. Equitable tuberculosis care in the North West of England: analysis of tuberculosis cohort review data

    Science.gov (United States)

    Squire, S. B.; Cleary, P.; Davies, S.; Wake, C.; Dee, K.; Walker, J.; Farrow, S.; McMaster, P.; Woodhead, M.; Sloan, D. J.

    2016-01-01

    SUMMARY BACKGROUND: In the United Kingdom, tuberculosis (TB) predominantly affects the most deprived populations, yet the extent to which deprivation affects TB care outcomes is unknown. METHODS: Since 2011, the North West TB Cohort Audit collaboration has undertaken quarterly reviews of outcomes against consensus-defined care standard indicators for all individuals notified with TB. We investigated associations between adverse TB care outcomes and Index of Multiple Deprivation (IMD) 2010 scores measured at lower super output area of residence using logistic regression models. RESULTS: Of 1831 individuals notified with TB between 2011 and 2014, 62% (1131/1831) came from the most deprived national quintile areas. In single variable analysis, greater deprivation was significantly associated with increased likelihood of the completion of a standardised risk assessment (OR 2.99, 95%CI 5.27–19.65) and offer of a human immunodeficiency virus test (OR 1.72, 95%CI 1.10–2.62). In multivariable analysis, there were no significant associations. CONCLUSIONS: TB patients in the most deprived areas had similar care indicators across a range of standards to those of individuals living in the more affluent areas, suggesting that the delivery of TB care in the North West of England is equitable. The extent to which the cohort review process contributes to, and sustains, this standard of care deserves further study. PMID:27155181

  6. Equitable fund allocation, an economical approach for sustainable waste load allocation.

    Science.gov (United States)

    Ashtiani, Elham Feizi; Niksokhan, Mohammad Hossein; Jamshidi, Shervin

    2015-08-01

    This research aims to study a novel approach for waste load allocation (WLA) to meet environmental, economical, and equity objectives, simultaneously. For this purpose, based on a simulation-optimization model developed for Haraz River in north of Iran, the waste loads are allocated according to discharge permit market. The non-dominated solutions are initially achieved through multiobjective particle swarm optimization (MOPSO). Here, the violation of environmental standards based on dissolved oxygen (DO) versus biochemical oxidation demand (BOD) removal costs is minimized to find economical total maximum daily loads (TMDLs). This can save 41% in total abatement costs in comparison with the conventional command and control policy. The BOD discharge permit market then increases the revenues to 45%. This framework ensures that the environmental limits are fulfilled but the inequity index is rather high (about 4.65). For instance, the discharge permit buyer may not be satisfied about the equity of WLA. Consequently, it is recommended that a third party or institution should be in charge of reallocating the funds. It means that the polluters which gain benefits by unfair discharges should pay taxes (or funds) to compensate the losses of other polluters. This intends to reduce the costs below the required values of the lowest inequity index condition. These compensations of equitable fund allocation (EFA) may help to reduce the dissatisfactions and develop WLA policies. It is concluded that EFA in integration with water quality trading (WQT) is a promising approach to meet the objectives. PMID:26205280

  7. Equitable utilisation and effective protection of sharing transboundary water resources:international rivers of western China

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Western China includes 12 provincial divisions (the 7 provinces of Sichuan, Guizhou,Yunnan, Shaanxi, Gansu, Qinghai and; 5 autonomous regions of Tibet, Ningxia, Xinjiang, Inner Mongolia and Guangxi; and one city of Chongqing), which comprise 71.4% of the national land area,28.5% of the national population and produce 17.5% of the national GDP in China. There are 17countries that have riparian relationships with western China, most of which are water-short countries. All are listed by UN ESCAP as countries with potential water crisis. The co-operative development and coordinated management of international rivers in western China is an important step toward the implementation of the national Great Western Development program. Taking into account of the national strategy and object hierarchy, as well as the development demand of the western region, it is necessary to pursue the multi-disciplinary study of the equitable allocation,utilisation, and eco-environment protection of transboundary water resources in the region. Such efforts will undoubtedly provide scientific evidence and support for the decision-making of the environmental protection and ecological construction and management in the western regions, the enforcement of the sub-regional economic co-operation, mitigation of trans-boundary conflicts, and enhancing bio-diversity conservation.

  8. Great expectations. Can international emissions trading deliver an equitable climate regime?

    International Nuclear Information System (INIS)

    Climate change equity debates tend to focus on achieving a fair and global 'allocation' of emission rights among countries. Allocation proposals typically envision, if implicitly, two purposes for international emissions trading. First, trading is expected to serve as a cost-effective means of promoting compliance with emissions targets. Second, trading is posited as a means to generate financial transfers, typically from industrialized to transitioning and developing countries. This article investigates the common assumption that international emissions trading will effectively serve both of these purposes. We conclude that the two purposes might not be mutually supportive, and that efforts to use international emissions trading as a financial transfer mechanism may potentially undermine cost-effectiveness goals. International emissions trading on a global scale would create new risks in terms of both cost-effectiveness and environmental performance, some of which will be challenging to manage. In particular, uncertainties over market prices and trading eligibility, coupled with the costs of participation, may together be the Achilles heel of some allocation proposals that entail large financial transfers from industrialized to developing countries. Any proposal for an 'equitable' allocation of emission allowances, we conclude, must be cognizant of the risks and costs implied by a reliance on international emissions trading. We offer some suggestions to this end

  9. Exploring the use of the interactive systems framework to guide school mental health services in post-disaster contexts: building community capacity for trauma-focused interventions.

    Science.gov (United States)

    Taylor, Leslie K; Weist, Mark D; DeLoach, Kendra

    2012-12-01

    Over the past two decades schools have been identified as the de facto mental health system for youth. Therefore, improving and expanding school mental health (SMH) has become a pressing agenda item for researchers, practitioners, policy makers, and funders. Advancing this agenda includes not only translating intervention research into practice within schools, but building capacities for these interventions to occur. The interactive systems framework (ISF) of Wandersman and colleagues, and the focus of this special issue, provides guidance in bridging the gap between research and practice through multisystem capacity building. There is some evidence that application of the ISF has helped to build capacity for SMH in states, but this evidence is preliminary. In addition, application of the ISF has not occurred in SMH at the community level or in relation to the specific stresses a community undergoes in relation to a disaster. The purpose of this article was to conduct a preliminary attempt to connect these three areas-the ISF, SMH and strengthening SMH through the ISF to better address impacts of a community level disaster; in this case, we explore the impacts of Hurricane Katrina on New Orleans schools, their students and families, and SMH programming within them. PMID:22434328

  10. Building on a YMCA's health and physical activity promotion capacities: A case study of a researcher-organization partnership to optimize adolescent programming_.

    Science.gov (United States)

    Bush, Paula Louise; García Bengoechea, Enrique

    2016-08-01

    School-based physical activity programs are only effective for increasing adolescents' school-based physical activity. To increase out-of-school-time physical activity, complementary community programs are warranted. Partnerships between universities and community organizations may help build the capacity of these organizations to provide sustainable programs. To understand capacity building processes and outcomes, we partnered with a YMCA to build on their adolescent physical activity promotion capacity. Together, we designed and implemented means to evaluate the YMCA teen program to inform program planning. For this qualitative case study, emails and interviews and meetings transcripts were collected over 2.5 years and analyzed using inductive and deductive thematic analysis. Findings illustrate that the YMCA's workforce and organizational development capacities (e.g., evaluation and health promotion capacity and competence) were increased through our partnership, resource allocation, and leadership. We responded to YMCA partners' perceived needs, yet guided them beyond those needs, successfully combining our complementary objectives, knowledge, and skills to generate an integrated program vision, rationale, and evaluation results. This provided YMCA partners with validation, reminders, and awareness. In turn, this contributed to programming and evaluation practice changes. In light of extant capacity building literature, we discuss how our partnership increased the YMCA's capacity to promote healthy adolescent programs. PMID:27161649

  11. Modelling energy savings in the Danish building sector combined with internalisation of health related externalities in a heat and power system optimisation model

    International Nuclear Information System (INIS)

    A substantial untapped energy saving potential rests in the building sector and is expected to play an important role in achieving reduction of environmental impacts of energy. In order to utilise this potential, effective policy measures need to be adopted to remove the existing barriers and create incentives. For that purpose, the cost effective energy saving options together with an optimal level of savings and expected environmental benefits have to be identified. The paper reports on a study that analyses these questions by including heat-saving measures in buildings into an energy system optimisation model of the Danish heat and power sector. The achieved optimal level of heat savings reaches 11% of projected heat demand in 2025 under the model assumptions. Moreover, the analysis reveals the importance of considering energy conservation options in a system wide perspective. Furthermore, the results suggest that changes in the energy generation sector are the prime driver behind the reduction of environmental externalities of energy. Heat savings in buildings play only a small role under model assumptions. - Highlights: ► Heat savings in buildings are analysed together with a heat and power system. ► Heat savings compete with electricity to heat technologies, mainly heat pumps. ► Cost effective heat-savings bring small decrease in health impacts and CO2 emissions. ► Cost-effectiveness of heat savings depends on the marginal heat generation technology

  12. Study on Health Management Method for Office Workers in City Buildings%城市楼宇办公人员健康管理方法研究

    Institute of Scientific and Technical Information of China (English)

    李莉; 丁玎

    2012-01-01

    [目的]通过对楼宇员工健康现况的调查、健康干预,评价在楼宇开展办公人员健康管理方法的有效性. [方法]对467名城市办公人员开展问卷调查、健康体检,将其中137名脂代谢和糖代谢障碍的办公人员分为干预组64人和对照组73人,进行综合性健康干预. [结果]经综合健康管理模式干预后的健康知识知晓率较干预前提高了11.7%,与对照组相比有明显提高. [结论] “三级医院技术指导—社区卫生服务中心实施与管理—街道相关部门协调支持—楼宇办公人员积极参与”的新型综合健康管理模式在健康促进方面有显著效果.楼宇健康管理应根据办公人员主要健康问题和需求,由社区卫生服务中心制定健康管理计划,协同楼宇工会、街道办事处等机构部门合作完成.%[Objective ] To compare health status of office workers in city buildings before and after health interventions, and to evaluate effectiveness of health management conducted in commercial buildings. [ Methods ] A total of 467 office workers participated in a questionnaire survey and physical examination, in which 137 with lipid metabolism and glucose metabolism disorders were divided into an intervention group (64) and a control group (73). The latter group received an integrated health intervention. [ R6SUltS ] After intervention, the awareness rate of health knowledge in the intervention group was significantly increased by 11.7%, compared with the control group. [ Conclusion ] The new mndel of integrated health management, which is technically directed by tertiary hospitals, implemented and managed by community health center, coordinated and supported by sub-district departments, and actively involves office workers, showed remarkable results on health promotion. Health management for office workers should be based on their major health problems and demands and be carried out with joint efforts of sectors mentioned above.

  13. Children’s right to equitable education: A welfare state’s goal in times of Neoliberalism

    OpenAIRE

    Francia, Guadalupe

    2011-01-01

    This article employs Social Representations Theory as a theoretical instrument to analyse the right of children to an equitable education. It analyses how social representations of students and students’ performances can be used by political actors as an interpretation system to manage contradictions in the equity education policies implemented in Sweden. A textual analysis of website propaganda of eight political parties produced for the Swedish electoral campaign in 2010 is used as research...

  14. I fondi strutturali in un’Europa allargata: un trade-off tra efficienza ed equità?

    OpenAIRE

    Claudio Di Berardino

    2008-01-01

    I fondi strutturali in un’Europa allargata: un trade-off tra efficienza ed equità? - Il presente lavoro mira a descrivere i principali effetti prodotti dai Fondi comunitari sulla coesione regionale europea. Nel corso di questi anni le regioni povere dell’Europa, beneficiarie dei Fondi strutturali, hanno manifestato in media buone prestazioni di crescita. Tuttavia, la maggiore dinamicità non è stata tale da ridurre significativamente le disparità. L’efficacia della politica di coesione appare ...

  15. Equity in health care financing: The case of Malaysia

    OpenAIRE

    Sach Tracey H; Whynes David K; Yu Chai

    2008-01-01

    Abstract Background Equitable financing is a key objective of health care systems. Its importance is evidenced in policy documents, policy statements, the work of health economists and policy analysts. The conventional categorisations of finance sources for health care are taxation, social health insurance, private health insurance and out-of-pocket payments. There are nonetheless increasing variations in the finance sources used to fund health care. An understanding of the equity implication...

  16. Does the Dutch Building Decree 2012 guarantee air quality? Quality is essential for productivity and health; Bouwbesluit 2012 garantie voor luchtkwaliteit? Kwaliteit essentieel voor productiviteit en gezondheid

    Energy Technology Data Exchange (ETDEWEB)

    Vollebregt, R.

    2011-10-15

    Poor indoor air quality in new buildings is a common problem. According to the Health Council scientific evidence is lacking that it is necessary to tighten ventilation requirements in the Building Decree . GGD Netherlands are advocates for stricter rules. Several studies show that the productivity in offices and the academic performance of children will benefit. [Dutch] Slechte kwaliteit van de binnenlucht in nieuwe gebouwen is een veel voorkomend probleem. Volgens de Gezondheidsraad ontbreken echter wetenschappelijke aanwijzingen dat het noodzakelijk is de ventilatie-eisen in het Bouwbesluit aan te scherpen. GGD Nederland pleit wel voor strengere regels. Diverse onderzoeken laten zien dat de productiviteit op kantoor en de leerprestaties van kinderen daarbij gebaat zijn.

  17. The fight against the greenhouse effect. Equity and efficiency; La lutte contre l'effet de serre. Equite et efficacite

    Energy Technology Data Exchange (ETDEWEB)

    Vallee, A. [Paris-12 Univ., 94 - Creteil (France)

    2003-07-01

    The author discusses the definition of an equitable division rule of the global effort of greenhouse gases emissions decrease, the research of the economic efficiency, the flexibility mechanisms and the emissions trading. (A.L.B.)

  18. Importance of Building Code

    Directory of Open Access Journals (Sweden)

    Reshmi Banerjee

    2015-06-01

    Full Text Available A building code, or building control, is a set of rules that specify the minimum standards for constructed objects such as buildings and non building structures. The main purpose of building codes are to protect public health, safety and general welfare as they relate to the construction and occupancy of buildings and structures. The building code becomes law of a particular jurisdiction when formally enacted by the appropriate governmental or private authority. Building codes are generally intended to be applied by architects, engineers, constructors and regulators but are also used for various purposes by safety inspectors, environmental scientists, real estate developers, subcontractors, manufacturers of building products and materials, insurance companies, facility managers, tenants and others.

  19. Building core capacities at the designated points of entry according to the International Health Regulations 2005: a review of the progress and prospects in Taiwan

    Science.gov (United States)

    Chiu, Hsiao-Hsuan; Hsieh, Jui-Wei; Wu, Yi-Chun; Chou, Jih-Haw; Chang, Feng-Yee

    2014-01-01

    Background As designated points of entry (PoEs) play a critical role in preventing the transmission of international public health risks, huge efforts have been invested in Taiwan to improve the core capacities specified in the International Health Regulations 2005 (IHR 2005). This article reviews how Taiwan strengthened the core capacities at the Taoyuan International Airport (TIA) and the Port of Kaohsiung (PoK) by applying a new, practicable model. Design An IHR PoE program was initiated for implementing the IHR core capacities at designated PoEs. The main methods of this program were 1) identifying the designated PoEs according to the pre-determined criteria, 2) identifying the competent authority for each health measure, 3) building a close collaborative relationship between stakeholders from the central and PoE level, 4) designing three stages of systematic assessment using the assessment tool published by the World Health Organization (WHO), and 5) undertaking action plans targeting the gaps identified by the assessments. Results Results of the self-assessment, preliminary external assessment, and follow-up external assessment revealed a continuous progressive trend at the TIA (86, 91, and 100%, respectively), and at the PoK (77, 97, and 99.9%, respectively). The results of the follow-up external assessment indicated that both these designated PoEs already conformed to the IHR requirements. These achievements were highly associated with strong collaboration, continuous empowerment, efficient resource integration, and sustained commitments. Conclusions Considering that many countries had requested for an extension on the deadline to fulfill the IHR 2005 core capacity requirements, Taiwan's experiences can be a source of learning for countries striving to fully implement these requirements. Further, in order to broaden the scope of public health protection into promoting global security, Taiwan will keep its commitments on multisectoral cooperation, human

  20. Building core capacities at the designated points of entry according to the International Health Regulations 2005: a review of the progress and prospects in Taiwan

    Directory of Open Access Journals (Sweden)

    Hsiao-Hsuan Chiu

    2014-07-01

    Full Text Available Background: As designated points of entry (PoEs play a critical role in preventing the transmission of international public health risks, huge efforts have been invested in Taiwan to improve the core capacities specified in the International Health Regulations 2005 (IHR 2005. This article reviews how Taiwan strengthened the core capacities at the Taoyuan International Airport (TIA and the Port of Kaohsiung (PoK by applying a new, practicable model. Design: An IHR PoE program was initiated for implementing the IHR core capacities at designated PoEs. The main methods of this program were 1 identifying the designated PoEs according to the pre-determined criteria, 2 identifying the competent authority for each health measure, 3 building a close collaborative relationship between stakeholders from the central and PoE level, 4 designing three stages of systematic assessment using the assessment tool published by the World Health Organization (WHO, and 5 undertaking action plans targeting the gaps identified by the assessments. Results: Results of the self-assessment, preliminary external assessment, and follow-up external assessment revealed a continuous progressive trend at the TIA (86, 91, and 100%, respectively, and at the PoK (77, 97, and 99.9%, respectively. The results of the follow-up external assessment indicated that both these designated PoEs already conformed to the IHR requirements. These achievements were highly associated with strong collaboration, continuous empowerment, efficient resource integration, and sustained commitments. Conclusions: Considering that many countries had requested for an extension on the deadline to fulfill the IHR 2005 core capacity requirements, Taiwan's experiences can be a source of learning for countries striving to fully implement these requirements. Further, in order to broaden the scope of public health protection into promoting global security, Taiwan will keep its commitments on multisectoral cooperation

  1. What does the scientific literature tell us about the ventilation-health relationship in public and residential buildings?

    OpenAIRE

    Carrer, Paolo; WARGOCKI Pawel; FANETTI Annaclara; BISCHOF Wolfgang; de Oliveira Fernandes, Eduardo; Hartmann, Thomas; KEPHALOPOULOS Stylianos; PALKONEN Susanna; Seppanen, Olli

    2015-01-01

    Objective of this paper is to examine whether the available epidemiological evidence provides information on the link between outdoor air ventilation rates and health, and whether it can be used for regulatory purposes when setting ventilation requirements for non-industrial built environments. Effects on health were seen for a wide range of outdoor ventilation rates from 6-7 L/s per person, which were the lowest ventilation rates at which no effects on any health outcomes were observed i...

  2. Nuestro Futuro saludable: connecting public health research and community development in partnership to build a healthy environment

    OpenAIRE

    Martinez, Linda S.; Ndulue, Uchenna; Peréa, Flavia C.

    2011-01-01

    Caribbean Latinos are the largest Latino group in Boston, primarily located in the Jamaica Plain (JP) neighborhood. There are various macro-level public health issues that result from the built environment in JP, factors which can create and sustain health disparities. Caribbean Latino youth are a priority group in JP, and it is important to address the causes of disparities early in life to promote good health. Presented here is an integrated research-and-action model to engage community sta...

  3. 'The full has never been told': building a theory of sexual health for heterosexual Black men of Caribbean descent.

    Science.gov (United States)

    Crowell, Candice N; Delgado-Romero, Edward A; Mosley, Della V; Huynh, Sophia

    2016-08-01

    Research on Black sexual health often fails to represent the heterogeneity of Black ethnic groups. For people of Caribbean descent in the USA, ethnicity is a salient cultural factor that influences definitions and experiences of sexual health. Most research on people of Caribbean descent focuses on the relatively high rate of STIs, but sexual health is defined more broadly than STI prevalence. Psychological and emotional indicators and the voice of participants are important to consider when exploring the sexual health of a minority culture. The purpose of this study was to qualitatively explore how heterosexual Black men of Caribbean descent define and understand sexual health for themselves. Eleven men who self-identified as Black, Caribbean and heterosexual participated in three focus groups and were asked to define sexual health, critique behaviours expertly identified as healthy and address what encourages and discourages sexual health in their lives. Findings point to six dimensions of sexual health for heterosexual Black men of Caribbean descent. These include: heterosexually privileged, protective, contextual, interpersonal, cultural and pleasurable dimensions. There were some notable departures from current expert definitions of sexual health. Recommendations for further theory development are provided. PMID:26907581

  4. Evaluating the consequences of retrofitting residential multi-family buildings on indoor environmental quality, comfort, health and user satisfaction

    NARCIS (Netherlands)

    Kluizenaar, Y. de; Jong, P. de; Cornelissen, H.J.M.; Vliet, M.R.A. van

    2015-01-01

    Within the European project RETROKIT a systemic approach is being developed for retrofitting existing multi-family residential buildings. Modular combination of (semi-) prefabricated technological solutions will be demonstrated in three case studies. The part of the study described here aims to eval

  5. A Community-Based Food System: Building Health, Wealth, Connection, and Capacity as the Foundation of Our Economic Future

    OpenAIRE

    Bendfeldt, Eric S.; Walker, Martha; Bunn, Travis; Martin, Lisa; Barrow, Melanie

    2008-01-01

    An examination and exploration of the Martinsville region's capacity for expanding agricultural production,creating value-added products, potential to build and utilize the local food and farming system to meet growing demand and to be a foundational economic developmental tool.

  6. Building a Pacific health workforce in New Zealand: Initial findings from a transition project in first year health sciences at university. A Practice Report

    Directory of Open Access Journals (Sweden)

    Faafetai Sopoaga

    2011-07-01

    Full Text Available Pacific peoples are a migrant minority ethnic group in New Zealand. They suffer disproportionately from poor health and education outcomes compared to the total population, and share similar socio-economic challenges with Māori the indigenous people of New Zealand. Improving education outcomes can contribute to improving health outcomes. Pacific peoples are poorly represented in the health workforce. The Pacific Orientation Program at Otago (POPO initiative is a new program seeking to provide a holistic approach to improving academic outcomes for Pacific students in health sciences in New Zealand. The program involved setting up systems for support, monitoring performance and addressing concerns early in the first year at university. This article outlines the development of the program, lessons learnt, and early indications of its usefulness in improving academic outcomes for Pacific students studying first year health sciences at university.

  7. The inverse of managed health.

    Science.gov (United States)

    Borremans, V

    1978-01-01

    In providing a non-professional view on health, on health in a desirable modern world, the modern form of "medicalized health" is contrasted with the conception of health among the Aztecs before the arrival of the Spaniards. Health was "medicalized" in the 1960s; the medical model of health care was determined mostly by what physicians do. Since that time, 4 distinct professional approaches each have challenged the monopoly of doctors over the definition of health. 1 of the key mistakes of modern civilization is to assume that there is only 1 health - a universal health, which is given in the form of health services and imposed on the people. In actuality, there are many different kinds of health - as many as there are cultures. In modern society health will be high when 2 conditions are met: 1) when society distributes equitably what it produces; and 2) when society produces just barely as many goods and services as are needed to equip people equitably with the tools they need for the most effective level of autonomous action. The answer is not simply to redistribute health. People need to be involved in determining their own health needs. A lesson can be learned from what the Spaniards did to the Aztecs in Mexico. In 1519 there was a population of 25 million in Mexico, but by 1608 there were just 1 million after the Spaniards had begun their campaign to bring health to the Aztecs. PMID:12260676

  8. Paradigm for Distributive & Procedural Justice in Equitable Apportionment of Transboundary Ganges Waters Under Changing Climate & Landuse

    Science.gov (United States)

    Tyagi, H.; Gosain, A. K.; Khosa, R.; Anand, J.

    2015-12-01

    Rivers have no regard for human demarcated boundaries. Besides, ever increasing demand-supply gap & vested riparian interests, fuel transboundary water conflicts. For resolving such disputes, appropriation doctrines advocating equity & fairness have received endorsement in the Helsinki Rules-1966 & UN Convention-1997. Thus, current study proposes the principle of equitable apportionment for sharing Ganges waters as it balances the interests & deservedness of all stakeholders, namely, India & its 11 states, Bangladesh, Nepal, & China. The study endeavors to derive a reasonable share of each co-basin state by operationalizing the vague concepts of fairness & equity through an objective & quantitative framework encompassing proportionality & egalitarianism for distributive & procedural justice. Equal weightage factors reflecting hydrology, geography & water use potential are chosen for fair share computation, wherein each contender ranks these factors to maximize his entitlement. If cumulative claims exceed the water availability, each claimant puts forth next ranked factor & this process continues till the claims match availability. Due to inter-annual variability in few factors, scenarios for Rabi & Kharif seasons are considered apart from cases for maximum, upper quartile, median, lower quartile & minimum. Possibility of spatial homogeneity & heterogeneity in factors is also recognized. Sometimes lack of technical information hinders transboundary dispute resolution via legal mechanisms. Hence, the study also attempts to bridge this gap between law & technology through GIS-based SWAT hydrologic model by estimating the Ganges water yield, & consequent share of each riparian for range of flows incorporating e-flows as well, under present & future climate & landuse scenarios. 82% of India's territory lies within interstate rivers, & therefore this research is very pertinent as it can facilitate the decision makers in effective interstate water conflict resolution.

  9. Health, hope, and human development: building capacity in public housing communities on the U.S.-Mexico border.

    Science.gov (United States)

    Mata, Holly; Flores, Maria; Castañeda, Ernesto; Medina-Jerez, William; Lachica, Josue; Smith, Curtis; Olvera, Hector

    2013-11-01

    In this paper we highlight results from our recent survey of public housing residents living in the U.S.-Mexico border region. Our data inform our interdisciplinary (public health, education, environmental engineering, sociology) efforts to improve health and educational equity in our community, and provide ripe opportunities for policy advocacy. PMID:24185141

  10. Building a University-Community Partnership to Explore Health Challenges among Residents at Extended-Stay Hotels

    Science.gov (United States)

    Lewinson, Terri

    2014-01-01

    Extended-stay hotels are housing solutions for some older adults on the fringe of street homelessness. Research indicates that these environments can produce negative health outcomes for older adults. Strategies for managing negative environmental conditions must be identified to help older adults manage health outcomes. This paper describes a…

  11. Addressing Student Mental Health Needs by Providing Direct and Indirect Services and Building Alliances in the Community

    Science.gov (United States)

    Kaffenberger, Carol J.; O'Rorke-Trigiani, Judith

    2013-01-01

    Given that 20% of students experience mental health issues that interfere with school performance and most of these students will turn first to their school for help, school counselors need to consider how they can best serve this population. This article describes how school counselors can address the mental health needs of students by providing…

  12. Lessons in Building Capacity in Sexuality Education Using the Health Promoting School Framework: From Planning to Implementation

    Science.gov (United States)

    Ollis, Debbie; Harrison, Lyn

    2016-01-01

    Purpose: The health promoting school model is rarely implemented in relation to sexuality education. This paper reports on data collected as part of a five-year project designed to implement a health promoting and whole school approach to sexuality education in a five campus year 1-12 college in regional Victoria, Australia. Using a community…

  13. From Nothing to Something: The Nuts and Bolts of Building a Mentoring Program in a Health Sciences College

    Science.gov (United States)

    Franko, Debra L.

    2016-01-01

    In this paper, I report the development of a mentoring program in a College of Health Sciences comprised of schools of nursing, pharmacy, and health professions (which include physical therapy, speech pathology and audiology, applied psychology, and physician assistant programs) at a large private university. Although university-wide mentoring…

  14. Millennium development goals and eye health

    Directory of Open Access Journals (Sweden)

    Hannah B Faal

    2012-01-01

    Full Text Available In September 2000, world leaders made a commitment to build a more equitable, prosperous and safer world by 2015 and launched the Millennium Development Goals (MDGs. In the previous year, the World Health Organization and the International Agency for the Prevention of Blindness in partnership launched the global initiative to eliminate avoidable blindness by the year 2020-VISION 2020 the Right to Sight. It has focused on the prevention of a disability-blindness and recognized a health issue-sight as a human right. Both global initiatives have made considerable progress with synergy especially on MDG 1-the reduction of poverty and the reduction in numbers of the blind. A review of the MDGs has identified the need to address disparities within and between countries, quality, and disability. Noncommunicable diseases are emerging as a challenge to the MDGs and Vision 2020:0 the Right to Sight. For the future, up to and beyond 2015, there will be need for both initiatives to continue to work in synergy to address present and emerging challenges.

  15. New dialogue for the way forward in maternal health: addressing market inefficiencies.

    Science.gov (United States)

    McCarthy, Katharine; Ramarao, Saumya; Taboada, Hannah

    2015-06-01

    Despite notable progress in Millennium Development Goal (MDG) five, to reduce maternal deaths three-quarters by 2015, deaths due to treatable conditions during pregnancy and childbirth continue to concentrate in the developing world. Expanding access to three effective and low-cost maternal health drugs can reduce preventable maternal deaths, if available to all women. However, current failures in markets for maternal health drugs limit access to lifesaving medicines among those most in need. In effort to stimulate renewed action planning in the post-MDG era, we present three case examples from other global health initiatives to illustrate how market shaping strategies can scale-up access to essential maternal health drugs. Such strategies include: sharing intelligence among suppliers and users to better approximate and address unmet need for maternal health drugs, introducing innovative financial strategies to catalyze otherwise unattractive markets for drug manufacturers, and employing market segmentation to create a viable and sustainable market. By building on lessons learned from other market shaping interventions and capitalizing on opportunities for renewed action planning and partnership, the maternal health field can utilize market dynamics to better ensure sustainable and equitable distribution of essential maternal health drugs to all women, including the most marginalized. PMID:25467178

  16. Public Ends, Private Means : Strategic Purchasing of Health Services

    OpenAIRE

    Alexander S. Preker; Liu, Xingzhu; Velenyi, Edit V.; Baris, Enis

    2007-01-01

    Public Ends, Private Means: Strategic purchasing of value for money in health services is part of a series of World Bank publications on ways to make public spending on health care more efficient and equitable in developing countries. It reviews the underlying economics in terms of agency theory, behavioral science, contract theory, transaction costs, and public choice theory. It provides a ...

  17. Building relationships with physicians. Internal marketing efforts help strengthen organizational bonds at a rural health care clinic.

    Science.gov (United States)

    Peltier, J W; Boyt, T; Westfall, J E

    1997-01-01

    Physician turnover is costly for health care organizations, especially for rural organizations. One approach management can take to reduce turnover is to promote physician loyalty by treating them as an important customer segment. The authors develop an information--oriented framework for generating physician loyalty and illustrate how this framework has helped to eliminate physician turnover at a rural health care clinic. Rural health care organizations must develop a more internal marketing orientation in their approach to establishing strong relationship bonds with physicians. PMID:10173904

  18. Building Analytic Capacity, Facilitating Partnerships, and Promoting Data Use in State Health Agencies: A Distance-Based Workforce Development Initiative Applied to Maternal and Child Health Epidemiology

    OpenAIRE

    Rankin, Kristin M; Kroelinger, Charlan D.; Rosenberg, Deborah; Barfield, Wanda D.

    2012-01-01

    The purpose of this article is to summarize the methodology, partnerships, and products developed as a result of a distance-based workforce development initiative to improve analytic capacity among maternal and child health (MCH) epidemiologists in state health agencies. This effort was initiated by the Centers for Disease Control’s MCH Epidemiology Program and faculty at the University of Illinois at Chicago to encourage and support the use of surveillance data by MCH epidemiologists and pro...

  19. Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

    Directory of Open Access Journals (Sweden)

    Aline Guerra Aquilante

    2015-01-01

    Full Text Available This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB, known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i expansion and qualification of actions; (ii work conditions; (iii care; (iv access; and (v planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6% were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

  20. Estimation of the state of health of students of the I course of build university attributed to task medical force.

    Directory of Open Access Journals (Sweden)

    Kozlova A.Yu.

    2012-11-01

    Full Text Available The different approaches are considered near the estimation of the state of health of students. General description of the state of health and activity of students is resulted on its maintenance. It is marked that different rejections have 30% students in a state of health, disease of temporal or permanent character. The students of the first course of university took part in research. It is set that unsatisfactory physical preparation is observed 43% students, good - at 37,2%, excellent at 20%. On the whole there is a tendency to the decline of motive activity of students of the I course, frequent violations of the mode of sleep and feed. The system of recommendations is developed for employments by a physical culture and sport. It is marked that for maintenance and optimization of resources of organism of students of the I course the correctly organized athletic health work is needed.

  1. Building Interdisciplinary Leadership Skills among Health Practitioners in the Twenty-First Century: An Innovative Training Model

    OpenAIRE

    Negandhi, Preeti; Negandhi, Himanshu; Tiwari, Ritika; Sharma, Kavya; Zodpey, Sanjay P.; Quazi, Zahiruddin; Gaidhane, Abhay; Jayalakshmi N.,; Gijare, Meenakshi; Yeravdekar, Rajiv

    2015-01-01

    Transformational learning is the focus of twenty-first century global educational reforms. In India, there is a need to amalgamate the skills and knowledge of medical, nursing, and public health practitioners and to develop robust leadership competencies among them. This initiative proposed to identify interdisciplinary leadership competencies among Indian health practitioners and to develop a training program for interdisciplinary leadership skills through an Innovation Collaborative. Medica...

  2. Closing the mental health gap in low-income settings by building research capacity: Perspectives from Mozambique

    OpenAIRE

    Sweetland, Annika C.; Oquendo, Maria A.; Sidat, Mohsin; Santos, Palmira F.; Sten H Vermund; Duarte, Cristiane S.; Arbuckle, Melissa; Wainberg, Milton L.

    2014-01-01

    Neuropsychiatric disorders are the leading cause of disability worldwide, accounting for 22.7% of all years lived with disability (YLDs). Despite this global burden, fewer than 25% of affected individuals ever access mental health treatment; in low-income settings, access is much lower, though non-allopathic interventions through traditional healers are common in many venues. Three main barriers to reducing the gap between individuals who need and those who have access to mental health treatm...

  3. The role of short-term volunteers in a global health capacity building effort: the Project HOPE-GEMC experience

    OpenAIRE

    Rominski, Sarah D; Yakubu, Jamila; Oteng, Rockefeller A.; Peterson, Matt; Tagoe, Nadia; Bell, Sue Anne

    2015-01-01

    Background Increasingly, medical students and practicing clinicians are showing interest in traveling to low-income settings to conduct research and engage in clinical rotations. While global health activities have the potential to benefit both the individual and the host, there can be challenges. We describe one way to harmonize the desire of volunteers to have a meaningful impact on the health care delivery system in a developing country with the needs of that country. Methods The Project H...

  4. Integrating open-source technologies to build low-cost information systems for improved access to public health data

    OpenAIRE

    Oberle Mark W; Sorensen Svend S; Hillringhouse Elizabeth A; Hoskins Richard E; Yi Qian; Fuller Sherrilynne S; Wallace James C

    2008-01-01

    Abstract Effective public health practice relies on the availability of public health data sources and assessment tools to convey information to investigators, practitioners, policy makers, and the general public. Emerging communication technologies on the Internet can deliver all components of the "who, what, when, and where" quartet more quickly than ever with a potentially higher level of quality and assurance, using new analysis and visualization tools. Open-source software provides the o...

  5. Building better systems of care for Aboriginal and Torres Strait Islander people: findings from the Kanyini health systems assessment

    Directory of Open Access Journals (Sweden)

    Peiris David

    2012-10-01

    Full Text Available Abstract Background Australian federal and jurisdictional governments are implementing ambitious policy initiatives intended to improve health care access and outcomes for Aboriginal and Torres Strait Islander people. In this qualitative study we explored Aboriginal Medical Service (AMS staff views on factors needed to improve chronic care systems and assessed their relevance to the new policy environment. Methods Two theories informed the study: (1 ‘candidacy’, which explores “the ways in which people’s eligibility for care is jointly negotiated between individuals and health services”; and (2 kanyini or ‘holding’, a Central Australian philosophy which describes the principle and obligations of nurturing and protecting others. A structured health systems assessment, locally adapted from Chronic Care Model domains, was administered via group interviews with 37 health staff in six AMSs and one government Indigenous-led health service. Data were thematically analysed. Results Staff emphasised AMS health care was different to private general practices. Consistent with kanyini, community governance and leadership, community representation among staff, and commitment to community development were important organisational features to retain and nurture both staff and patients. This was undermined, however, by constant fear of government funding for AMSs being withheld. Staff resourcing, information systems and high-level leadership were perceived to be key drivers of health care quality. On-site specialist services, managed by AMS staff, were considered an enabling strategy to increase specialist access. Candidacy theory suggests the above factors influence whether a service is ‘tractable’ and ‘navigable’ to its users. Staff also described entrenched patient discrimination in hospitals and the need to expend considerable effort to reinstate care. This suggests that Aboriginal and Torres Strait Islander people are still

  6. [The Emerging Voices for Global Health Initiative: an intensive capacity-building effort for young researchers from the South].

    Science.gov (United States)

    Hercot, D; Keugoung, B; Zerbo, A; Appelmans, A; Van Damme, W

    2012-01-01

    Researchers from developing countries, French-speaking nations in particular, are underrepresented in the international biomedical and health literature. Various initiatives seek to address this problem. This article presents the experience of the Emerging Voices for Global Health (EV4GH) program. This initiative provided 52 young researchers from developing countries with intensive skills and content training, with an assortment of complementary components: training in scientific writing and presenting skills, immersion in global health and health systems research, an innovative presentation of their work at the 52nd colloquium of the Institute of Tropical Medicine in Antwerp, and an active role in the first Global Symposium on Health Systems Research, supervised by a team of experienced researchers/coaches who supported them in the publication of a scientific essay. This approach targeting researchers in developing countries and combining the development of skills and knowledge through the publication process, merits reproduction and encouragement. Young researchers from developing countries should not miss out on the second version of this program in October 2012 in Beijing, China. PMID:22868718

  7. Is the high-risk strategy to prevent cardiovascular disease equitable? A pharmacoepidemiological cohort study

    Directory of Open Access Journals (Sweden)

    Wallach-Kildemoes Helle

    2012-08-01

    Full Text Available Abstract Background Statins are increasingly prescribed to prevent cardiovascular disease (CVD in asymptomatic individuals. Yet, it is unknown whether those at higher CVD risk – i.e. individuals in lower socio-economic position (SEP – are adequately reached by this high-risk strategy. We aimed to examine whether the Danish implementation of the strategy to prevent cardiovascular disease (CVD by initiating statin (HMG-CoA reductase inhibitor therapy in high-risk individuals is equitable across socioeconomic groups. Methods Design: Cohort study. Setting and participants: Applying individual-level nationwide register information on socio-demographics, dispensed prescription drugs and hospital discharges, all Danish citizens aged 20+ without previous register-markers of CVD, diabetes or statin therapy were followed during 2002–2006 for first occurrence of myocardial infarction (MI and a dispensed statin prescription (N = 3.3 mill. Main outcome measures: Stratified by gender, 5-year age-groups and socioeconomic position (SEP, incidence of MI was applied as a proxy for statin need. Need-standardized statin incidence rates were calculated, applying MI incidence rate ratios (IRR as need-weights to adjust for unequal needs across SEP.Horizontal equity in initiating statin therapy was tested by means of Poisson regression analysis. Applying the need-standardized statin parameters and the lowest SEP-group as reference, a need-standardized statin IRR > 1 translates into horizontal inequity favouring the higher SEP-groups. Results MI incidence decreased with increasing SEP without a parallel trend in incidence of statin therapy. According to the regression analyses, the need-standardized statin incidence increased in men aged 40–64 by 17%, IRR 1.17 (95% CI: 1.14-1.19 with each increase in income quintile. In women the proportion was 23%, IRR 1.23 (1.16-1.29. An analogous pattern was seen applying education as SEP indicator and among subjects

  8. Using Administrative Health Data to Identify Individuals with Intellectual and Developmental Disabilities: A Comparison of Algorithms

    Science.gov (United States)

    Lin, E.; Balogh, R.; Cobigo, V.; Ouellette-Kuntz, H.; Wilton, A. S.; Lunsky, Y.

    2013-01-01

    Background: Individuals with intellectual and developmental disabilities (IDD) experience high rates of physical and mental health problems; yet their health care is often inadequate. Information about their characteristics and health services needs is critical for planning efficient and equitable services. A logical source of such information is…

  9. Analysis of indoor air pollutants checklist using environmetric technique for health risk assessment of sick building complaint in nonindustrial workplace

    OpenAIRE

    Syazwan, Aizat

    2012-01-01

    AI Syazwan,1 B Mohd Rafee,1 Hafizan Juahir,2 AZF Azman,1 AM Nizar,3 Z Izwyn,4 K Syahidatussyakirah,1 AA Muhaimin,5 MA Syafiq Yunos,6 AR Anita,1 J Muhamad Hanafiah,1 MS Shaharuddin,7 A Mohd Ibthisham,8 I Mohd Hasmadi,9 MN Mohamad Azhar,1 HS Azizan,1 I Zulfadhli,10 J Othman,11 M Rozalini,12 FT Kamarul131Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, 2Department of Environmental Science/ Environmental Forensics Research Center (ENFOR...

  10. Building on transformative learning and response shift theory to investigate health-related quality of life changes over time in individuals with chronic health conditions and disability.

    Science.gov (United States)

    Barclay-Goddard, Ruth; King, Judy; Dubouloz, Claire-Jehanne; Schwartz, Carolyn E

    2012-02-01

    A major goal of treatment for people living with chronic illness or disability is self-management leading to optimized health-related quality of life. This change process has been described in the adult education literature as transformative learning, while in health-related quality of life research, response shift has emerged as a key concept. Response shift and transformative learning literature were reviewed, and the theoretical frameworks of the 2 concepts were compared and contrasted. Response shift is described as a change in internal standards, values, or definition of a construct (eg, health-related quality of life) over time, commonly seen in individuals with chronic illness. In the context of chronic illness, transformative learning is described as a complex process of personal change including beliefs, feelings, knowledge, and values. Transformative learning is often triggered by the diagnosis of a chronic illness. This results in a critical reflection of taken-for-granted assumptions and leads to new ways of thinking, influencing personal changes in daily living. Comparing the models of response shift and transformative learning in chronic illness, the catalyst in response shift appears comparable with the trigger in transformational learning; mechanisms to process of changing; and perceived quality of life to outcomes. Both transformative learning and response shift have much to offer health care providers in understanding the learning process for the person living with chronic illness or disability to optimize their quality of life. Suggestions for future research in response shift and transformative learning in individuals with chronic health conditions and disability are proposed. PMID:22289229

  11. Radon in buildings

    International Nuclear Information System (INIS)

    This guide is intended to inform designers, householders and other building owners about the radon problem and to help in deciding if there is need to take any action to reduce radon levels in their homes or other buildings.It explains what radon is, how it enters buildings and what effect it may have on health. Reference is made to some of the usual ways of reducing the level of radon and guidance is given on some sources of assistance

  12. Improving health care globally : a critical review of the necessity of family medicine research and recommendations to build research capacity

    NARCIS (Netherlands)

    Weel, C. van; Rosser, W.W.

    2004-01-01

    An invitational conference led by the World Organization of Family Doctors (Wonca) involving selected delegates from 34 countries was held in Kingston, Ontario, Canada, March 8 to12, 2003. The conference theme was "Improving Health Globally: The Necessity of Family Medicine Research." Guiding confer

  13. Capacity-Building for African American Mental Health Training and Research: Lessons from the Howard-Dartmouth Collaborative Summer School

    Science.gov (United States)

    Hipolito, Maria M. S.; Malik, Mansoor; Carpenter-Song, Elizabeth; Whitley, Rob

    2012-01-01

    Background: Many psychiatric residents have traditionally received little-or-no training in cross cultural approaches to psychiatric training and research. Method: The Dartmouth-Howard Collaboration summer school training program had a 5-year grant to explore approaches to enhancing understanding of cultural factors in mental health treatment and…

  14. The Los Angeles County Community Disaster Resilience Project - a community-level, public health initiative to build community disaster resilience.

    Science.gov (United States)

    Eisenman, David; Chandra, Anita; Fogleman, Stella; Magana, Aizita; Hendricks, Astrid; Wells, Ken; Williams, Malcolm; Tang, Jennifer; Plough, Alonzo

    2014-08-01

    Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest-posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports. PMID:25153472

  15. Community capacity-building in disaster mental health resilience: a pilot study of an academic/faith partnership model.

    Science.gov (United States)

    McCabe, O Lee; Marum, Felicity; Mosley, Adrian; Gwon, Howard S; Langlieb, Alan; Everly, George S; Kaminsky, Michael J; Links, Jonathan M

    2012-01-01

    We describe an academic/faith partnership approach for enhancing the capacity of communities to resist or rebound from the impact of terrorism and other mass casualty events. Representatives of several academic health centers (AHCs) collaborated with leaders of urban Christian-, Jewish-, and Muslim faith-based organizations (FBOs) to design, deliver, and preliminarily evaluate a train-the-trainer approach to enhancing individual competencies in the provision of psychological first aid and in disaster planning for their respective communities. Evidence of partner commitment to, and full participation in, project implementation responsibilities confirmed the feasibility of the overall AHC/FBO collaborative model, and individual post-training, self-report data on perceived effectiveness of the program indicated that the majority of community trainees evaluated the interventions as having significantly increased their: (a) knowledge of disaster mental health concepts; (b) skills (self-efficacy) as providers of psychological first aid and bereavement support services, and (c) (with somewhat less confidence because of module brevity) capabilities of leading disaster preparedness planning efforts within their communities. Notwithstanding the limitations of such early-phase research in ensuring internal and external validity of the interventions, the findings, particularly when combined with those of earlier and subsequent work, support the rationale for continuing to refine this participatory approach to fostering community disaster mental health resilience, and to promoting the translational impact of the model. An especially important (recent) example of the latter is the formal recognition by local and state health departments of program-trained lay volunteers as a vital resource in the continuum of government assets for public health emergency preparedness planning and response. PMID:23350227

  16. 卫生法学的概念及基本范畴辨析%The Basic Framework of the Concept of Health Law

    Institute of Scientific and Technical Information of China (English)

    李筱永

    2011-01-01

    Health Law is a legal science that study the health law (normative law ),and the phenomenon of the law (law of life )and its related issues. Through the phenomenon of the health law ,we can find that pursuing human health is the best interest of the health law, the essence of the health law views social welfare as the legal interest, and its essence is to make health service more equitable. Building the basic law that regards the health right as the core is the top priority of health law.%卫生法学是研究卫生法、卫生法的现象及其与卫生法相关问题的一门法律科学.透过卫生法现象不难发现,卫生法以追求人的生命健康为最大利益,卫生法的本质是以社会公益为法益的法律,其实质就是让卫生服务更加公平.制定以健康权为核心的卫生基本法是卫生法学的重中之重.

  17. Optimization and Cost of Energy of Renewable Energy System in Health Clinic Building for a Coastal Area in Tamil Nadu, India Using Homer

    Directory of Open Access Journals (Sweden)

    U. Suresh Kumar

    2014-11-01

    Full Text Available The renewable energy potential of coastal areas of Tamil Nadu, India ranks along with the utmost in the world. This study proposes optimization and cost of energy of different hybrid renewable energy system to power a health clinic in that building. The National Renewable Energy Laboratory (NREL optimization computer model for distributed power, “HOMER,” is used to estimate the optimization and its cost of energy. The implementation of RE systems to supply Rural Health Clinics will contribute to reduce both electricity generation cost and to reduce the consumption of fuel while improving health care and quality of life in these isolated coastal regions. We conclude that using the PV+Wind+Diesel+Battery system for these types of applications in justified on technical and economic grounds. The experimental results show that the least cost of energy at Rs 5.00/KWh, is obtained from above said system and also experiment result shows that the COE decreases with 0% of interest. It is noted, that the PV+Wind+Diesel+Battery hybrid system shows the lowest COE and high amount of Renewable energy.

  18. How can community health programmes build enabling environments for transformative communication? Experiences from India and South Africa.

    Science.gov (United States)

    Campbell, Catherine; Cornish, Flora

    2012-05-01

    Much research has examined how to empower the poor to articulate demands for health-enabling living conditions. Less is known about creating receptive social environments where the powerful heed the voices of the poor. We explore the potential for 'transformative communication' between the poor and the powerful, through comparing two well-documented case studies of HIV/AIDS management. The Entabeni Project in South Africa sought to empower impoverished women to deliver home-based nursing to people with AIDS. It successfully provided short-term welfare, but did not achieve local leadership or sustainability. The Sonagachi Project in India, an HIV-prevention programme targeting female sex workers, became locally led and sustainable. We highlight the strategies through which Sonagachi, but not Entabeni, altered the material, symbolic and relational contexts of participants' lives, enabling transformative communication and opportunities for sexual health-enabling social change. PMID:21604108

  19. Reverse Migration, the Black Church and Sexual Health: Implications for Building HIV/AIDS Prevention Capacity in the Deep South

    Directory of Open Access Journals (Sweden)

    Pamela Payne Foster

    2016-04-01

    Full Text Available The Black Church has long been purported as being strongly influential in the lives of Blacks in America. Recent U.S. census data trends highlight a “reverse migration” pattern where Blacks are moving back to the South from larger metropolitan areas in other U.S. geographical regions. This migration pattern parallels the increasing HIV/AIDS prevalence among Blacks in the Deep South. This paper reviews both the historical and current migration patterns among Blacks, as well as the current HIV/AIDS epidemic among Blacks in the Deep South. Thereafter, the authors discuss an existing framework for increasing HIV/AIDS prevention capacity through a conceptual connection of migration, religion and sexual health. The authors use case studies to support the proposed framework. It is hoped that the framework could be used to address HIV/AIDS health disparities and other chronic diseases affecting Blacks in America.

  20. What does the scientific literature tell us about the ventilation-health relationship in public and residential buildings?

    DEFF Research Database (Denmark)

    Carrer, Paolo; Wargocki, Pawel; Fanetti, Annaclara;

    2015-01-01

    Objective of this paper is to examine whether the available epidemiological evidence provides information on the link between outdoor air ventilation rates and health, and whether it can be used for regulatory purposes when setting ventilation requirements for non-industrial built environments. E...... regulative purposes, unless the required ventilation rates are related to actual exposures and are prescribed only when full advantage of other methods for controlling exposures has been taken....

  1. Supporting early career health investigators in Kenya: A qualitative study of HIV/AIDS research capacity building

    OpenAIRE

    Daniels, Joseph; Nduati, Ruth; Kiarie, James; Farquhar, Carey

    2015-01-01

    Introduction Strategies to transfer international health research training programs to sub-Saharan African institutions focus on developing cadres of local investigators who will lead such programs. Using a critical leadership theory framework, we conducted a qualitative study of one program to understand how collaborative training and research can support early career investigators in Kenya toward the program transfer goal. Methods We used purposive sampling methods and a semi-structured pro...

  2. Building the field of population health intervention research: The development and use of an initial set of competencies.

    Science.gov (United States)

    Riley, Barbara; Harvey, Jean; Di Ruggiero, Erica; Potvin, Louise

    2015-01-01

    Population health intervention research (PHIR) is a relatively new research field that studies interventions that can improve health and health equity at a population level. Competencies are one way to give legitimacy and definition to a field. An initial set of PHIR competencies was developed with leadership from a multi-sector group in Canada. This paper describes the development process for these competencies and their possible uses. Methods to develop the competencies included key informant interviews; a targeted review of scientific and gray literature; a 2-round, online adapted Delphi study with a 24-member panel; and a focus group with 9 international PHIR experts. The resulting competencies consist of 25 items grouped into 6 categories. They include principles of good science applicable though not exclusive to PHIR, and more suitable for PHIR teams rather than individuals. This initial set of competencies, released in 2013, may be used to develop graduate student curriculum, recruit trainees and faculty to academic institutions, plan non-degree professional development, and develop job descriptions for PHIR-related research and professional positions. The competencies provide some initial guideposts for the field and will need to be adapted as the PHIR field matures and to meet unique needs of different jurisdictions. PMID:26844160

  3. Assessing Sustainable Behavior and its Correlates: A Measure of Pro-Ecological, Frugal, Altruistic and Equitable Actions

    Directory of Open Access Journals (Sweden)

    Blanca Fraijo-Sing

    2013-02-01

    Full Text Available Measures of sustainable behavior (SB usually include the self-report of activities aimed at the conservation of the natural environment. The sustainability notion explicitly incorporates both the satisfaction of human needs and the need of conserving the natural environment. Yet, the assessment of sustainable behaviors rarely considers the protection of the social environment as situation to investigate. In this paper, we propose the use of an instrument assessing SB, which includes the report of pro-ecological and frugal actions in addition to altruistic and equitable behaviors. The responses provided by 807 Mexican undergraduates to a questionnaire investigating those four instances of SB were processed within a structural equation model. Emotional (indignation due to environmental destruction, affinity towards diversity, happiness and rational (intention to act factors assumedly linked to sustainable behavior were also investigated. Significant interrelations among pro-ecological, frugal, altruistic and equitable behaviors resulted, suggesting the presence of a higher-order-factor that we identified as SB. This factor, in turn, significantly correlated with the rest of the investigated pro-environmental factors.

  4. Training and Capacity Building in LMIC for Research in Heart and Lung Diseases: The NHLBI-UnitedHealth Global Health Centers of Excellence Program.

    Science.gov (United States)

    Bloomfield, Gerald S; Xavier, Denis; Belis, Deshirée; Alam, Dewan; Davis, Patricia; Dorairaj, Prabhakaran; Ghannem, Hassen; Gilman, Robert H; Kamath, Deepak; Kimaiyo, Sylvester; Levitt, Naomi; Martinez, Homero; Mejicano, Gabriela; Miranda, J Jaime; Koehlmoos, Tracey Perez; Rabadán-Diehl, Cristina; Ramirez-Zea, Manuel; Rubinstein, Adolfo; Sacksteder, Katherine A; Steyn, Krisela; Tandon, Nikhil; Vedanthan, Rajesh; Wolbach, Tracy; Wu, Yangfeng; Yan, Lijing L

    2016-03-01

    Stemming the tide of noncommunicable diseases (NCDs) worldwide requires a multipronged approach. Although much attention has been paid to disease control measures, there is relatively little consideration of the importance of training the next generation of health-related researchers to play their important role in this global epidemic. The lack of support for early stage investigators in low- and middle-income countries interested in the global NCD field has resulted in inadequate funding opportunities for research, insufficient training in advanced research methodology and data analysis, lack of mentorship in manuscript and grant writing, and meager institutional support for developing, submitting, and administering research applications and awards. To address this unmet need, The National Heart, Lung, and Blood Institute-UnitedHealth Collaborating Centers of Excellence initiative created a Training Subcommittee that coordinated and developed an intensive, mentored health-related research experience for a number of early stage investigators from the 11 Centers of Excellence around the world. We describe the challenges faced by early stage investigators in low- and middle-income countries, the organization and scope of the Training Subcommittee, training activities, early outcomes of the early stage investigators (foreign and domestic) and training materials that have been developed by this program that are available to the public. By investing in the careers of individuals in a supportive global NCD network, we demonstrate the impact that an investment in training individuals from low- and middle-income countries can have on the preferred future of or current efforts to combat NCDs. PMID:27102019

  5. Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.

    Directory of Open Access Journals (Sweden)

    Abhishek Singh

    Full Text Available OBJECTIVES: Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child health during antenatal visits. This paper investigates the inequalities in advice provided by public health workers to women during antenatal visits in rural India. METHODS AND FINDINGS: The District Level Household Survey (2007-08 was used to compute rich-poor ratios and concentration indices. Binary logistic regressions were used to investigate inequalities in advice provided by public health workers. The dependent variables comprised the advice provided on seven essential components of maternal and child health care. A significant proportion of pregnant women who attended at least four ANC sessions were not advised on these components during their antenatal sessions. Only 51%-72% of the pregnant women were advised on at least one of the components. Moreover, socioeconomic inequalities in providing advice were significant and the provision of advice concentrated disproportionately among the rich. Inequalities were highest in the case of advice on family planning methods. Advice on breastfeeding was least unequal. Public health workers working in lower level health facilities were significantly less likely than their counterparts in the higher level health facilities to provide specific advice. CONCLUSION: A significant proportion of women were not advised on recommended components of maternal and child health in rural India. Moreover, there were enormous socioeconomic inequalities. The findings of this study raise questions about the capacity of the public health care system in providing equitable services in India. The Government of India must focus on training and capacity building of the public health workers in communication skills so that they can deliver

  6. Hospitality Invites Sociability, Which Builds Cohesion: a Model for the Role of Main Streets in Population Mental Health.

    Science.gov (United States)

    Izenberg, Jacob M; Fullilove, Mindy Thompson

    2016-04-01

    The aim of this study was to investigate the contribution of main streets to community social cohesion, a factor important to health. Prior work suggests that casual contact in public space, which we call "sociability," facilitates more sustained social bonds in the community. We appropriate the term "hospitality" to describe a main street's propensity to support a density of such social interactions. Hospitality is a result of the integrity and complex contents of the main street and surrounding area. We examine this using a typology we term "box-circle-line" to represent the streetscape (the box), the local neighborhood (the circle), and the relationship to the regional network of streets (the line). Through field visits to 50 main streets in New Jersey and elsewhere, and a systematic qualitative investigation of main streets in a densely interconnected urban region (Essex County, New Jersey), we observed significant variation in main street hospitality, which generally correlated closely with sociability. Physical elements such as street wall, neighborhood elements such as connectivity, inter-community elements such as access and perceived welcome, and socio-political elements such as investment and racial discrimination were identified as relevant to main street hospitality. We describe the box-circle-line as a theoretical model for main street hospitality that links these various factors and provides a viable framework for further research into main street hospitality, particularly with regard to geographic health disparities. PMID:26955815

  7. Participatory support to farmers in improving safety and health at work: building WIND farmer volunteer networks in Viet Nam.

    Science.gov (United States)

    Kawakami, Tsuyoshi; Van, Vhu Nhu; Theu, Nguyen Van; Khai, Ton That; Kogi, Kazutaka

    2008-10-01

    The government of Viet Nam places a high priority on upgrading the quality of farmers' lives. Providing adequate occupational safety and health (OSH) protection for all farmers is an important challenge. The Ministry of Labour, Invalids and Social Affairs (MOLISA) of Viet Nam trained WIND (Work Improvement in Neighbourhood Development) farmer volunteers. From 2004-2007, MOLISA in cooperation with ministries of health and agriculture trained 480 WIND farmer volunteers in selected 14 provinces. Trained farmer volunteers trained their neighbouring farmers and expanded their networks. The WIND training programme produced in Cantho, Viet Nam in 1996, was used as the core training methodology. The WIND action-checklist, good example photo-sheets, and other participatory training materials were designed for WIND farmer volunteers as practical training tools. The volunteers trained 7,922 farmers. The trained farmers implemented 28,508 improvements in materials handling, work posture, machine and electrical safety, working environments and control of hazardous chemicals, and welfare facilities. The provincial support committees organized follow-up workshops and strengthen the WIND farmer volunteer networks. The system of WIND farmer volunteers proved effective in extending practical OSH protection measures to farmers at grassroots level. The system of WIND farmer volunteers was adopted in the First National Programme on Labour Protection and OSH of Viet Nam as a practical means in OSH and is now further expanding within the framework of the National Programme. PMID:18840935

  8. Literature survey on building-related health, comfort, productivity and sickness absence with respect to energy consumption; Literatuuronderzoek gebouwgebonden gezondheid, comfort, productiviteit en ziekteverzuim in relatie tot energiegebruik

    Energy Technology Data Exchange (ETDEWEB)

    Boerstra, A.C.; Leijten, J.L.; Haans, L. [BBA Binnenmilieu, Rotterdam (Netherlands)

    2006-09-15

    The aim of the literature survey on the title subjects was to test the following hypotheses: (1) measures to improve the public health and thermal comfort of occupants in buildings result in an improvement of the energy efficiency and thus save energy; (2) measures to reduce absence caused by illness of occupants in buildings also result in an improvement of the energy efficiency and thus save energy; (3) measures to improve the productivity of occupants in buildings also result in an improvement of the energy efficiency and thus save energy. [Dutch] In opdracht van het ministerie van VROM voert SenterNovem het Kompas programma voor energiebewust wonen en werken uit. Dit programma heeft als doel bij te dragen aan de vermindering van CO2-uitstoot van de gebouwde omgeving. Het onderdeel Utiliteitsbouw van het Kompas programma beoogt relevante beslissers en beienvloeders binnen de U-bouw te voorzien van instrumenten en informatie waarmee zij energiebesparing kunnen realiseren in de utiliteitsbouw. Sinds enige jaren hanteren diverse programma's binnen Kompas de strategie om de motivatie voor energiebesparing te verhogen door het item te koppelen aan gezondheid in de meest brede zin des woords. De specifieke claims zijn als volgt samen te vatten: kiezen voor energiebesparing is (vaak) ook kiezen voor bevordering van de gezondheid van gebouwgebruikers, verhoging van het comfort, beienvloeding van de productiviteit en verlaging van het ziekteverzuim. Een literatuuronderzoek is uitgevoerd rond de genoemde thema's, waarbij zowel Nederlandse als buitenlandse literatuur bestudeerd is. et doel van het literatuuronderzoek is toetsing (waar? niet waar?) van de volgende hypotheses: (1) Maatregelen gericht op verbetering van de gezondheid van gebouwgebruikers (bv. minder 'Sick building klachten') en verbetering van het comfort leiden ook tot verbetering van de energieprestatie (verlaging van het energiegebruik); (2) Maatregelen gericht op verlaging van het

  9. The health and well-being of Indigenous drug and alcohol workers: results from a national Australian survey.

    Science.gov (United States)

    Roche, Ann M; Duraisingam, Vinita; Trifonoff, Allan; Tovell, Amanda

    2013-01-01

    The increasing demand for alcohol and other drug (AOD) treatment services among the Australian Indigenous population, complex organisational challenges and limitations, and high unemployment rates are likely to negatively impact Indigenous AOD workers' health and well-being. Building the capacity of Indigenous AOD workers is vital, as they play a crucial role in the delivery of treatment services and offer essential support to their communities. A national online survey was conducted to examine organisational, workplace and individual factors that might contribute to levels of stress and well-being among workers who provide services to Indigenous clients. A total of 294 eligible surveys were completed; 184 (63%) from Indigenous and 108 (37%) from non-Indigenous AOD workers. Multiple regression models were conducted to assess the significant predictors of mental health and well-being, job satisfaction, emotional exhaustion, and turnover intention. Indigenous AOD workers typically experienced above average levels of job satisfaction and relatively low levels of emotional exhaustion. However, 1 in 10 reported high levels of emotional exhaustion, a key predictor of turnover intention. Indigenous workers also experienced significantly lower levels of mental health and well-being and greater work/family imbalance, which was a significant contributor to emotional exhaustion. The findings highlight the importance of implementing workforce development strategies that focus on achieving culturally appropriate, equitable and supportive organisational conditions for Indigenous AOD workers. Preventing or managing levels of stress, ensuring adequate and equitable salaries and benefits, and providing more opportunities for career and personal growth may increase job satisfaction and reduce turnover intention among Indigenous workers in the drug and alcohol field. PMID:22425037

  10. Health assessment of natural radioactivity and radon exhalation rate in granites used as building materials in Lebanon

    International Nuclear Information System (INIS)

    Measurements of specific activities (Bq kg-1) of gamma-emissions from radioactive nuclides, 238U, 226Ra, 214Bi, 232Th, 212Pb and 40K, contained in 28 granite types, used as building materials in indoors in Lebanon, were performed on the powdered granites. The concentration of the nuclides, 226Ra, 232Th and 40K, in the granites varied from below detection level (BDL) to 494 Bq kg-1, BDL to 157.2 Bq kg-1 and BDL to 1776 Bq kg-1, respectively. 226Ra concentration equivalents, CRaeq, were obtained and ranged between 37 and 591 Bq kg-1, with certain values above the allowed limit of 370 Bq kg-1. Calculated annual gamma-absorbed dose in air, DaR, varied from 17.7 to 274.5 (nGy h-1). Annual effective dose, E (mSv y-1), of gamma radiations related to the studied granites and absorbed by the inhabitants was evaluated. E (mSv y-1) ranged from 0.09 to 1.35 mSv y-1. Some granite types produced E above the allowed limit of 1 mSv y-1 set by ICRP. Values of 222Rn mass exhalation rate, EM (mBq kg-1h-1), in granite powder were obtained using the CR-39 detector technique. Diffusion factors, f, in 23 granite types were calculated with f ranging between (0.1±0.02)x10-2 and (6.6±1.01)x10-2. (authors)

  11. Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems

    Directory of Open Access Journals (Sweden)

    Takian Amirhossein

    2012-04-01

    Full Text Available Abstract Background A commitment to Electronic Health Record (EHR systems now constitutes a core part of many governments’ healthcare reform strategies. The resulting politically-initiated large-scale or national EHR endeavors are challenging because of their ambitious agendas of change, the scale of resources needed to make them work, the (relatively short timescales set, and the large number of stakeholders involved, all of whom pursue somewhat different interests. These initiatives need to be evaluated to establish if they improve care and represent value for money. Methods Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England’s National Health Service’s Care Records Service (NHS CRS. Results/discussion We advance two key arguments. First, national programs for EHR implementations are likely to take place in the shifting sands of evolving sociopolitical and sociotechnical and contexts, which are likely to shape them in significant ways. This poses challenges to conventional evaluation approaches which draw on a model of baseline operations → intervention → changed operations (outcome. Second, evaluation of such programs must account for this changing context by adapting to it. This requires careful and creative choice of ontological, epistemological and methodological assumptions. Summary New and significant challenges are faced in evaluating national EHR implementation endeavors. Based on experiences from this national evaluation of the implementation and adoption of the NHS CRS in England, we argue for an approach to these evaluations which moves away from seeing EHR systems as Information and Communication Technologies (ICT projects requiring an essentially outcome-centred assessment towards a more interpretive approach that reflects the situated and evolving nature of EHR seen within

  12. [Epidemiology of "sick buildings"].

    Science.gov (United States)

    Sterling, T D; Collett, C; Rumel, D

    1991-02-01

    The indoor environment of modern buildings, especially those designed for commercial and administrative purposes, constitutes a unique ecological niche with its own biochemical environment, fauna and flora. Sophisticated construction methods and the new materials and machinery required to maintain the indoor environment of these enclosed structures produce a large number of chemical by-products and permit the growth of many different microorganisms. Because modern office buildings are sealed, the regulation of humidification and temperature of ducted air presents a dilemma, since difference species of microorganisms flourish at different combinations of humidity and temperature. If the indoor environment of modern office buildings is not properly maintained, the environment may become harmful to its occupants' health. Such buildings are classified as "Sick Buildings". A review of the epidemiology of building illness is presented. The etiology of occupant illnesses, sources of toxic substances, and possible methods of maintaining a safe indoor environment are described. PMID:1784964

  13. ACCESS TO PUBLIC OPEN SPACE: IS DISTRIBUTION EQUITABLE ACROSS DIFFERENT SOCIO-ECONOMIC AREAS

    OpenAIRE

    Mohammad Javad Koohsari

    2011-01-01

    During the past decade, the role of the built environment on physical activity has been well investigated by public health, transportation and urban design scholars and it has been shown that different aspects of the built environment can influence physical activity Public open spaces (POS) like parks have many health benefits and they can be important settings and destinations for having physical activity. Inequality in access to POS which may influence the amount of physical activity can be...

  14. Voluntary Health Insurance expenditure in low- and middle-income countries: Exploring trends during 1995–2012 and policy implications for progress towards universal health coverage

    OpenAIRE

    Pettigrew, LM; Mathauer, I

    2016-01-01

    Background Most low- and middle-income countries (LMIC) rely significantly on private health expenditure in the form of out-of-pocket payments (OOP) and voluntary health insurance (VHI). This paper assesses VHI expenditure trends in LMIC and explores possible explanations. This illuminates challenges deriving from changes in VHI expenditure as countries aim to progress equitably towards universal health coverage (UHC). Methods Health expenditure data was retrieved from the WHO Global Health E...

  15. Critical Medical Anthropology – a voice for just and equitable healthcare

    Directory of Open Access Journals (Sweden)

    Anna Witeska-Młynarczyk

    2015-05-01

    Full Text Available The article presents a paradigm current in contemporary medical anthropology – Critical Medical Anthropology (CMA, which merges political-economic approaches with a culturally sensitive analysis of human behaviour grounded in anthropological methods. It is characterized by a strongly applied orientation and a devotion to improving population health and promoting health equity. The beginning of CMA dates back to the 1970s when the interdisciplinary movement called [i]the political economy of health [/i]was developed. Today, CMA has grown into one of three major perspectives used in anthropological research devoted to health, illness and wellbeing. The author discusses the origins, key concepts and CMA’s usefulness for social research, and its significance for the design of effective policies in the realm of public health. Examplary interventions and ethnographic researches are introduced and wider usage is advocated of such works and methods by bureaucrats and medical staff for understanding the patients’ behavior, and the influence of social, economic and political factors on the workings of particular health systems.

  16. Telemedicine: The Assessment of an Evolving Health Care Technology.

    Science.gov (United States)

    Reich, Joel J.

    Telemedicine, the use of bidirectional telecommunications systems for the delivery of health care at a distance, could create a more equitable distribution of medical care. Many medical tasks can be performed at a distance although some require the presence of a physician's assistant. Cost-benefit analysis of this service is difficult and requires…

  17. Metatranscriptome Sequencing of a Reef-building Coral Elucidates Holobiont Community Gene Functions in Health and Disease

    Science.gov (United States)

    Timberlake, S.; Helbig, T.; Fernando, S.; Penn, K.; Alm, E.; Thompson, F.; Thompson, J. R.

    2012-12-01

    The coral reefs of the Abrolhos Bank of Brazil play a vital ecological role in the health of the Southern Atlantic Ocean, but accelerating rates of disease, particularly white plague, threaten this ecosystem. Thus, an understanding of white plague disease and diagnostic tests for it are urgently needed. The coral animal is associated with a distinct microbiome, a diverse assemblage of eukaryotes, bacteria, and viruses. That these microbes have a great influence on the health of the coral has been long known, however, most of their functions are still mysterious. While recent studies have contrasted healthy and white-plague-associated communities, the causative agents and mechanisms of the disease remain unknown. We collected fragments of healthy and diseased corals, as well as post-disease skeleton, from 12 colonies of the genus Mussismilia, the major component of the reef structure in the Abrolhos bank, and increasingly, a victim of white-plague disease. Fragments were flash-frozen in situ, and prepped for culture-free high throughput sequencing of gene transcripts with the Illumina II-G. While the membership of the microbial communities associated with coral has been previously described, the a coral holobiont community's gene function has, to date, never been assayed by this powerful approach. We designed a bioinformatics pipeline to analyze the short-read data from this complex sample: identifying the functions of genes expressed in the holobiont, and describing the active community's taxonomic composition. We show that gene functions expressed by the coral's bacterial assemblage are distinct from those of the underlying skeleton, and we highlight differences in the disease samples. We find that gene markers for the dissimilatory sulfate reduction pathway more abundant in the disease state, and we further quantify this difference with qPCR. Finally, we report the abundant expression of highly repetitive transcripts in the diseased coral samples, and highlight

  18. Building health behavior models to guide the development of just-in-time adaptive interventions: A pragmatic framework.

    Science.gov (United States)

    Nahum-Shani, Inbal; Hekler, Eric B; Spruijt-Metz, Donna

    2015-12-01

    Advances in wireless devices and mobile technology offer many opportunities for delivering just-in-time adaptive interventions (JITAIs)-suites of interventions that adapt over time to an individual's changing status and circumstances with the goal to address the individual's need for support, whenever this need arises. A major challenge confronting behavioral scientists aiming to develop a JITAI concerns the selection and integration of existing empirical, theoretical and practical evidence into a scientific model that can inform the construction of a JITAI and help identify scientific gaps. The purpose of this paper is to establish a pragmatic framework that can be used to organize existing evidence into a useful model for JITAI construction. This framework involves clarifying the conceptual purpose of a JITAI, namely, the provision of just-in-time support via adaptation, as well as describing the components of a JITAI and articulating a list of concrete questions to guide the establishment of a useful model for JITAI construction. The proposed framework includes an organizing scheme for translating the relatively static scientific models underlying many health behavior interventions into a more dynamic model that better incorporates the element of time. This framework will help to guide the next generation of empirical work to support the creation of effective JITAIs. PMID:26651462

  19. Controle social no Sistema Único de Saúde: subsídios para construção de competências dos conselheiros de saúde Social control in the Unified Health System: subsidies to build health counselors' skills

    Directory of Open Access Journals (Sweden)

    Rosângela Minardi Mitre Cotta

    2010-01-01

    Full Text Available Este artigo discute a experiência do curso de capacitação de conselheiros de saúde do município de Viçosa-MG, com base na perspectiva de sensibilização para o exercício consciente do controle social, possibilitando assim a construção de um sistema de saúde mais justo e igualitário, segundo o ideal pensado pelo movimento da reforma sanitária brasileira. Realiza uma abordagem qualitativa sobre as dinâmicas apresentadas no curso, sendo este baseado na metodologia ativa de ensino-aprendizagem. A metodologia participativa e a utilização de estratégias que privilegiaram a sistematização do conteúdo, assim como a reflexão sobre os referenciais teóricos, apresentados a partir da correlação dos temas com as experiências práticas, foram fundamentais para ampliar e aprofundar o processo de empoderamento dos conselheiros. Como resultado, foi possível identificar alguns desafios para o exercício do controle social, como a importância da participação ativa e da necessidade de buscar informações e trocar experiências. Destarte, destaca-se que a participação dos conselheiros de saúde em oficinas de capacitação aparece como uma possibilidade de superação das dificuldades de implementação das conquistas legais, ao sensibilizar estes atores sociais para transpor a posição de meros expectadores passivos em protagonistas na construção de um sistema de saúde universal e equitativo.This paper discusses the experience of the training course for health counselors in the city of Viçosa, Minas Gerais State, from the perspective of awareness of the conscious exercise of social control, thus enabling the construction of a more fair and equitable health system, according to the ideal of the movement of the Brazilian health reform. We perform a qualitative approach on the dynamics presented in the course, which is based on the methodology of active teaching and learning. The participatory methodology and use of strategies that

  20. Resource flows for health care: Namibia reproductive health sub-accounts

    OpenAIRE

    Mbeeli Thomas; Samahiya Muine; Ravishankar Nirmala; Zere Eyob; Kirigia Joses M

    2011-01-01

    Abstract Background Implementing initiatives to achieve the targets of MDG 5 requires sufficient financial resources that are mobilized and utilized in an equitable, efficient and sustainable manner. Informed decision making to this end requires the availability of reliable health financing information. This is accomplished by means of Reproductive Health (RH) sub-account, which captures and organizes expenditure on RH services in two-dimensional tables from financing sources to end users. Th...

  1. [Inequity in health: its historical development].

    Science.gov (United States)

    Salaverry García, Oswaldo

    2013-01-01

    Health inequity, main issue of contemporary debates on public health, is based on philosophical and historical concepts that date back to the idea of justice from classic Greece. The Aristotelian approach on distributive justice and its higher form, epiekeia or equity, has been reviewed, as well as how this evolves from the Middle Ages and modernity to the heart of the debate of a variety of thinkers such as liberal Rawls and Nobel laureate Amartya Sen. On this conceptual debate lies the World Health Organization version that links equity to health determinants and intends to make it operational through the equitable provision of health services. PMID:24448954

  2. Rethinking the Affordable Care Act's "Cadillac tax": A More Equitable Way to Encourage "Chevy" Consumption.

    Science.gov (United States)

    Nowak, Sarah; Eibner, Christine

    2015-12-01

    The Affordable Care Act's "Cadillac tax" will apply a 40 percent excise tax on total employer health insurance premiums in excess of $10,200 for single coverage and $27,500 for family coverage, starting in 2018. Employer spending on premiums is currently excluded from income and payroll taxes. Economists argue that this encourages overconsumption of health care, favors high-income workers, and reduces federal revenue. This issue brief suggests that the Cadillac tax is a "blunt instrument" for addressing these concerns because it will affect workers on a rolling timetable, does relatively little to address the regressive nature of the current exclusion, and may penalize firms and workers for cost variation that is outside their control. Replacing the current exclusion with tax credits for employer coverage that scale inversely with income might allow for regional adjustments in health care costs and eliminate aspects of the tax exclusion that favor high-income over low-income workers. PMID:26702468

  3. Engaging youth of color in applied science education and public health promotion

    Science.gov (United States)

    Sprague Martinez, Linda; Bowers, Edmond; Reich, Amanda J.; Ndulue, Uchenna J.; Le, Albert An; Peréa, Flavia C.

    2016-03-01

    Participation in inquiry-based science education, which focuses on student-constructed learning, has been linked to academic success. Whereas the benefits of this type of science education are evident, access to such high-quality science curriculum and programming is not equitable. Black and Latino students in particular have less access to supplementary science programming, and fewer opportunities to engage in inquiry-based education. This paper describes outcomes associated with an inquiry-based out-of-school time science education program, Nuestro Futuro: Applied Science Education to Engage Black and Latino Youth (NFASE), which sought to build the capacity of middle school students of color to 'think' like health scientists from diverse disciplinary perspectives. The program was designed with the intent of (1) improving student attitudes toward and motivation for science and (2) increasing active and engaged citizenship (AEC). NFASE students explored health inequity and the social determinants of health locally and engaged in developing health promotion, outreach and education efforts targeted to their peers, parents/families, and community. Interest in the program was high overall, but implementation was not without challenges. Although evaluation outcomes indicate that there were no statistically significant changes in science-related attitudes or motivation, students reported significant increases in neighborhood social connection, as well as overall AEC.

  4. Participatory health research within a prison setting: a qualitative analysis of 'Paragraphs of passion'.

    Science.gov (United States)

    Ramsden, Vivian; Martin, Ruth; McMillan, Jennifer; Granger-Brown, Alison; Tole, Brenda

    2015-12-01

    The purpose of this research was to engage, empower and enhance the health and well-being of incarcerated women. The integration of primary health care, community-based participatory research, a settings approach to health promotion, and transformative action research guided the design of this study. A partnership between incarcerated women who became peer-researchers, correctional staff, and academic researchers facilitated the equitable contribution of expertise and decision-making by all partners. The study was conducted in a short sentence (two years or less), minimum/medium security Canadian women's correctional centre. Of the approximately 200 women that joined the research team, 115 participated in writing a 'paragraph of passion' while incarcerated between November, 2005 and August, 2007. Participatory, inductive qualitative, narrative and content analysis were used to illuminate four themes: expertise, transformation, building self-esteem, as well as access and support. The women organized monthly health forums in the prison to share their new knowledge and life experience with other incarcerated women, correctional staff, academics, and community members, and in doing so have built bridges and relationships, some of which have lasted to the present day. PMID:25312768

  5. The use of emerging technology to build health promotion capacity in regions with diversity in language and culture.

    Science.gov (United States)

    Perry, Martha W; Mittelmark, Maurice B

    2006-01-01

    Today in the human development arena, three actors play complementary, sometimes competing, and even conflicting roles on the world stage: governments, commercial enterprises and non-governmental organisations. Given their mission and available resources, each of these interact in different ways between each other, but have the same basis and needs for communication among each other. Two of the factors that come into play in these actors' operations are technology and internationalisation. We currently live the digital era brought on by the technological revolution. This has provided international actors with speed and flexibility over traditional communication formats to disseminate their work and collaborate more closely in real time and across geographical, cultural and language barriers. In order to be efficient and effective, these actors have begun and must continue to engage in this global transformation. All this is relevant to the IUHPE as a global organisation with members in over 90 countries. The hundreds of cultures and languages of our members enrich our ability to advocate for health in every corner of the world. However, our diversity can hinder our effectiveness. Language barriers separating even neighbours can make collaborative work difficult. There are several solutions that the IUHPE is adopting to bridge this divide, among them, using Information and Communication Technology (ICT). Within this context, this paper examines the different multi-dimensional dialogue and information platforms offered by ICTs today and its future developments. This will include advantages and limitations with regard to both technological and financial nuances. The use of technology will be defined in relation to the implications for knowledge acquisition, conversation and action. The scenarios include the web as a global resource database and ICTs, including machine translation, for one-on-one and multi-party communication. In a world that is increasingly entwined

  6. Disentangling the Effects of Nonmetro Location and Student Poverty on School Performance/Improvement: Implications for Equitable Excellence in Kentucky Public Schools.

    Science.gov (United States)

    Reeves, Edward B.

    2003-01-01

    Effects of student poverty and location on school accountability scores were examined using hierarchical linear modeling and data from 1,115 Kentucky schools in 171 districts. Positive effects of nonmetro location were found, but they did not erase the strong negative effect of poverty. Projections indicate that equitable excellence will not be…

  7. Indoor and Outdoor Monitoring of Volatile Organic Compounds in School Buildings: Indicators Based on Health Risk Assessment to Single out Critical Issues

    Directory of Open Access Journals (Sweden)

    Gianluigi de Gennaro

    2013-11-01

    Full Text Available Children are more sensitive to pollutants than adults and yet they spend large amounts of time in school environments where they are exposed to unknown levels of indoor pollutants. This study investigated the concentrations of the most abundant volatile organic compounds (VOCs in eight naturally ventilated school buildings in Italy. The schools were chosen to include areas with different urbanization and traffic density characteristics in order to gather a more diverse picture of exposure risks in the different areas of the city. VOCs were sampled for one week in the presence/absence of pupils using diffusive samplers suitable for thermal desorption inside three classrooms at each school. The samples were then analyzed with thermal desorption-gas chromatography-mass spectrometry (TD-GC-MS. In addition, outdoor measurements were carried out in the yard at each school. VOC identification and quantification, and indoor/outdoor concentration plots were used to identify pollutant sources. While some classrooms were found to have very low VOC levels, others had a significant indoor contribution or a prevalent outdoor contribution. High concentrations of terpenes were found in all monitored classrooms: a-pinene and limonene were in the range of 6.55–34.18 µg/m3 and 11.11–25.42 µg/m3 respectively. Outdoor concentrations were lower than indoors for each monitored school. Indicators based on health risk assessment for chronic health effects associated with VOCs (either carcinogenic or non-carcinogenic were proposed to rank sites according to their hazard level.

  8. "Investing in Care: A Strategy for Effective and Equitable Job Creation"

    OpenAIRE

    Antonopoulos, Rania; Kim, Kijong; Masterson, Tom; Zacharias, Ajit

    2010-01-01

    Massive job losses in the United States, over eight million since the onset of the 'Great Recession,' call for job creation measures through fiscal expansion. In this paper we analyze the job creation potential of social service-delivery sectors-early childhood development and home-based health care-as compared to other proposed alternatives in infrastructure construction and energy. Our microsimulation results suggest that investing in the care sector creates more jobs in total, at double th...

  9. Reactor building

    International Nuclear Information System (INIS)

    The whole reactor building is accommodated in a shaft and is sealed level with the earth's surface by a building ceiling, which provides protection against penetration due to external effects. The building ceiling is supported on walls of the reactor building, which line the shaft and transfer the vertical components of forces to the foundations. The thickness of the walls is designed to withstand horizontal pressure waves in the floor. The building ceiling has an opening above the reactor, which must be closed by cover plates. Operating equipment for the reactor can be situated above the building ceiling. (orig./HP)

  10. Analysis on the Mechanism of Portability of Social Health Insurance%社会医疗保险便携性机制探析

    Institute of Scientific and Technical Information of China (English)

    崔仕臣

    2011-01-01

    社会医疗保险机制是保证便携性的前提,便携性是实现人们公平地获得健康权和医疗保险制度可持续发展的基础条件.因此,要实现社会医疗保险便携性,体现社会公平正义,推进城市化建设,保证社会医疗保险制度的可持续发展,需要构建科学合理的社会医疗保险便携性机制.%Social health insurance system is a prerequisite to ensure portabilily portability is to achieve equitable access to people's health and health insurance system for sustainable development.Therefore, to achieve the portability of social health insurance, to achieve social fairness and justice, to promote the construaion of the city, and to ensure the social health insurance system for sustainable development , we need to build a scientific and rational mechanism of portability of social health insurance

  11. [Definition and adoption of a building code based on biological and ecological sustainability in the Local Health Authority 11 of Empoli (Tuscany Region, Central Italy): strengths and areas for improvement].

    Science.gov (United States)

    Petronio, Maria Grazia; Battisti, Francesca

    2016-01-01

    Built environment is an important social determinant of health, but nowadays local health authorities (LHAs) have lost their competences in the issuing of building permits, especially since a new legislation introduced the possibility of personal declaration of conformity. They are also usually excluded from the urban planning process. At the same time, in recent years construction of buildings has been developed with insufficient regard to environmental health requirements, proper exposure to sunlight and winds, comfort, building materials, consumption of resources, and waste production. To deal with these issues, an interdepartmental working group was set up under the direction of the Department of Prevention of the LHA of Empoli (Tuscany Region, Central Italy), with members of the Regional Environmental Protection Agency, along with experts of the 15 Municipalities included in the LHA territory and members of other local institutions. The objective of the Working Group was to define and propose as mandatory a set of rules for local governments aimed at regulating construction activities according to criteria of environmental sustainability, eco-efficiency, comfort, and healthiness of living areas, at the same time encouraging the responsible use of natural resources, the reduction of energy consumption and the use of renewable energy sources in order to place environmental safety and health at the heart of all building activities. Experts of six Municipalities joined the working group and the regulation framework was adopted (and made legally binding) in 8 out of 15 Municipalities, with an almost complete overlap with participation in the working group. The active participation of experts, whose work consists in examining municipal building, permits, and declarations, has therefore marked the difference in the transition from theory to practice. The level of know-how attained by the participants and their motivation and enthusiasm have been so relevant in the

  12. Strengthening of primary health care: Key to deliver inclusive health care

    OpenAIRE

    Rajiv Yeravdekar; Vidya Rajiv Yeravdekar; M A Tutakne; Neeta P Bhatia; Murlidhar Tambe

    2013-01-01

    Inequity and poverty are the root causes of ill health. Access to quality health services on an affordable and equitable basis in many parts of the country remains an unfulfilled aspiration. Disparity in health care is interpreted as compromise in ′Right to Life.′ It is imperative to define ′essential health care,′ which should be made available to all citizens to facilitate inclusivity in health care. The suggested methods for this include optimal utilization of public resources and increasi...

  13. A primary evaluation on capability building regarding health promotion strategl derelopment%健康促进策略发展能力的初步评价

    Institute of Scientific and Technical Information of China (English)

    董胜利; 任学锋; 许文青; 安家敖

    2001-01-01

    significance. Conclusion The result showed that the provincial-level planners have an inadequate capability in developing health promotion strategies, the capability building for strategy development is badly needed and has achieved a primary effect through training. In consideration of only 60% of relevant key elements have been considered in the improved proposals as a whole, it's recommended that the training be renewed and strengthened so as to push an ongoing progress in health promotion strategy development and planning.

  14. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg

    2010-12-31

    IBACOS researched the constructability and viability issues of using high performance windows as one component of a larger approach to building houses that achieve the Building America 70% energy savings target.

  15. Solar building

    OpenAIRE

    Zhang, Luxin

    2014-01-01

    In my thesis I describe the utilization of solar energy and solar energy with building integration. In introduction it is also mentioned how the solar building works, trying to make more people understand and accept the solar building. The thesis introduces different types of solar heat collectors. I compared the difference two operation modes of solar water heating system and created examples of solar water system selection. I also introduced other solar building applications. It is conv...

  16. ACCESS TO PUBLIC OPEN SPACE: IS DISTRIBUTION EQUITABLE ACROSS DIFFERENT SOCIO-ECONOMIC AREAS

    Directory of Open Access Journals (Sweden)

    Mohammad Javad Koohsari

    2011-12-01

    Full Text Available During the past decade, the role of the built environment on physical activity has been well investigated by public health, transportation and urban design scholars and it has been shown that different aspects of the built environment can influence physical activity Public open spaces (POS like parks have many health benefits and they can be important settings and destinations for having physical activity. Inequality in access to POS which may influence the amount of physical activity can be a reason for lower physical activity among deprived neighbourhoods. This paper aims to examine whether objective access to public open spaces (POS like parks is equally across the different socio-economic status (SES areas in the City of Melbourne. Objective access to POS was measured in network distance using geographic information systems (GIS and area SES was obtained using the SEIFA (Socio-Economic Indexes for Areas index. The results showed there was a significant difference in access to POS according to the SES areas. There was a significant negative correlation between the access to POS and the SES areas in which lower SES areas had poorer access to POS in comparison with the higher ones.

  17. Building 2000

    International Nuclear Information System (INIS)

    This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  18. Carbon Budget Proposal: An Institutional Framework for an Equitable and Sustainable World Climate Regime%Carbon Budget Proposal: An Institutional Framework for an Equitable and Sustainable World Climate Regime

    Institute of Scientific and Technical Information of China (English)

    Pan Jiahua; Chen Ying

    2011-01-01

    Consensus on reducing greenhouse gas emissions has been reached at the technical and political level. However, as the issue involves economic costs and the right to develop, the international institutional framework for addressing greenhouse gas emissions has consistently failed to balance the demands of impartiality and sustainability. However, a sustainable carbon budget proposal is undoubtedly achievable if the global carbon budget (the total amount of carbon permitted by climate security) is made an absolute constraint. If a preliminary distribution was made among the world's population on a per capita basis, the total limited global carbon budget could not only meet basic needs but also ensure the proposal's equitable. Taking into account historical emission levels and future needs, we should carry out carbon budget transfer payments and devise a corresponding funding mechanism to ensure efficient allocation under the proposal. Unlike the phase-by-phase progress and provisional goals of the Kyoto Protocol, the carbon budget proposal outlined above is a comprehensive and holistic package. Due to the politicization of the climate change issue, however, many technical issues can only be worked out through international political and diplomatic negotiations.

  19. Marine biotechnologies and synthetic biology, new issues for a fair and equitable profit-sharing commercial use.

    Science.gov (United States)

    Bloch, Jean-François; Tardieu-Guigues, Elisabeth

    2014-10-01

    The sea will be a source of economic development in the next years. Today the research works in marine biotechnologies supply new products and processes. The introduction in the laboratories of a new technology, synthesis biology, is going to increase the possibilities of creation of new products. Exploitation of product stemming from marine biodiversity has to be made with regard to various rights among which industrial property law, maritime law and the Convention on BioDiversity. All participants involved in the promotion of research in marine biotechnology must address the fair and equitable sharing of any commercial exploitation. Carrying out work involving synthetic biology has increased the number of unanswered questions about how operators should manage in order to avoid any threat of being sued for infringements of IP rights or for alleged bio-piracy. This paper, by no means exhaustive in the field, analyzes some of the issues raised on the modification to the landscape in marine biotechnology by the advent of synthetic biology. Such issues indicate how important the collaboration between researchers, industrialists, lawyers is for allowing proper use of marine biotech. PMID:25116370

  20. The Key Network Technology Analysis of Building Regional Health Information Platform%构建区域卫生信息平台的关键网络技术分析

    Institute of Scientific and Technical Information of China (English)

    唐婧; 聂志华

    2012-01-01

    随着新医改的逐步深入,对卫生信息化的要求不断提高,建立区域卫生信息平台成为卫生医疗系统迫在眉睫的重要工作。文章分析了构建区域卫生信息平台的关键网络技术。并在此基础上探讨了区域卫生信息平台的功能及实现,建立了实现医疗卫生领域各业务系统信息共享的区域卫生信息平台,以供相关工作人员参考。%With the gradual deepening of new health care reform, there is higher requirement of health information technology, and the establishment of regional health information platform has become the imminent important work of health care system. This article analyzed the key network technology of building a regional health information platform, and discussed the function and implementation of regional health information platform on this basis, andestablished business system information sharing regional health information platform for the fields of health care, providing reference for related workers.

  1. Building 2000

    International Nuclear Information System (INIS)

    This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  2. Beyond Traditional Measures of Success in STEM: Predictors of STEM Bachelor's Degree Recipients' Values Toward Using Research and Sociopolitical Involvement to Promote a More Equitable Society

    OpenAIRE

    Garibay, Juan

    2014-01-01

    Recent figures on the state of poverty within the U.S. and throughout the world suggest that even though advancements in science and technology (S&T) have had a tremendous impact on human capacity, the overall impact of S&T on creating a more equitable world remains limited. Despite the importance of preparing socially responsible graduates in science, technology, engineering, and mathematics (STEM) to address the current state of poverty and inequality, higher education research focused on S...

  3. Radioactivity in building materials

    International Nuclear Information System (INIS)

    The present report, drawn up at the request of the former Minister of Public Health and Environmental Affairs of the Netherlands, discusses the potential radiological consequences for the population of the Netherlands of using waste materials as building materials in housing construction. (Auth.)

  4. Focusing Resources on Effective School Health: A FRESH Start to Enhancing the Quality and Equity of Education. World Education Forum 2000. Final Report = Accorder la priorite a un programme efficace de sante scolaire: Une maniere FRAICHE (FRESH) d'aneliorer la qualite et d'accroitre l'equite dans le domaine de l'education. Forum mondial 2000 sur l'education. Rapport final = Recursos efectivos en salud escolar: Un enfogue NUEVO para mejorar la calidad y la equidad educativa. Foro Mundial par la educacion 2000. Informe final.

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This booklet, written in English, Spanish, and French, describes the foundation and reasoning behind the partnership to Focus on Resources on Effective School Health (FRESH), making the case that an effective school health program: responds to the greater number of school-age children and the greater proportion of those children attending school;…

  5. Mould growth on building materials

    DEFF Research Database (Denmark)

    Fog Nielsen, K.

    Mould growth in buildings is associated with adverse health effects among the occupants of the building. However actual growth only occurs in damp and water-damaged materials, and is an increasing problem in Denmark, due to less robust constructions, inadequate maintenance, and too little...... ventilation. This project was started to determine if mycotoxins are produced in damp and water-damaged buildings as well investigating the influence of environmental conditions (humidity and temperature) on the production of fungal growth and secondary metabolism....

  6. Energy-efficient timber buildings

    OpenAIRE

    Zbašnik-Senegačnik, Martina; Kitek Kuzman, Manja

    2015-01-01

    The choice of materials for a building with high energy efficiency becomes much more important and strategies for reducing the use of primary energy for the production of materials and components becomes key. The positive trend towards wooden construction is dictated by international guidelines, where a wooden building is an important starting point, not only for low-energy, but also low-emission building with exceptional health and safety aspects. In Europe, the most comprehensiv...

  7. Laboratory Building.

    Energy Technology Data Exchange (ETDEWEB)

    Herrera, Joshua M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-03-01

    This report is an analysis of the means of egress and life safety requirements for the laboratory building. The building is located at Sandia National Laboratories (SNL) in Albuquerque, NM. The report includes a prescriptive-based analysis as well as a performance-based analysis. Following the analysis are appendices which contain maps of the laboratory building used throughout the analysis. The top of all the maps is assumed to be north.

  8. Building blocks for meta-synthesis: data integration tables for summarising, mapping, and synthesising evidence on interventions for communicating with health consumers

    Directory of Open Access Journals (Sweden)

    Kaufman Caroline A

    2009-03-01

    Full Text Available Abstract Background Systematic reviews have developed into a powerful method for summarising and synthesising evidence. The rise in systematic reviews creates a methodological opportunity and associated challenges and this is seen in the development of overviews, or reviews of systematic reviews. One of these challenges is how to summarise evidence from systematic reviews of complex interventions for inclusion in an overview. Interventions for communicating with and involving consumers in their care are frequently complex. In this article we outline a method for preparing data integration tables to enable review-level synthesis of the evidence on interventions for communication and participation in health. Methods and Results Systematic reviews published by the Cochrane Consumers and Communication Review Group were utilised as the basis from which to develop linked steps for data extraction, evidence assessment and synthesis. The resulting output is called a data integration table. Four steps were undertaken in designing the data integration tables: first, relevant information for a comprehensive picture of the characteristics of the review was identified from each review, extracted and summarised. Second, results for the outcomes of the review were assessed and translated to standardised evidence statements. Third, outcomes and evidence statements were mapped into an outcome taxonomy that we developed, using language specific to the field of interventions for communication and participation. Fourth, the implications of the review were assessed after the mapping step clarified the level of evidence available for each intervention. Conclusion The data integration tables represent building blocks for constructing overviews of review-level evidence and for the conduct of meta-synthesis. Individually, each table aims to improve the consistency of reporting on the features and effects of interventions for communication and participation; provides a

  9. Los jóvenes y la salud. Construcción de grupos en función de representaciones sobre salud y enfermedad Adolescents and health. Group-building based on representations of health and disease

    Directory of Open Access Journals (Sweden)

    Silvana Inés Weller

    1997-09-01

    Full Text Available El objetivo de este trabajo fue indagar la existencia de diferentes "grupos" de jóvenes en función de sus representaciones alrededor de la salud y la enfermedad. En la construcción de estos "grupos" se busca incorporar conceptos tradicionalmente relegados al estudio de la subjetividad. Se trabajó con una encuesta cerrada que se aplicó sobre 400 jóvenes escolarizados. El procesamiento de los datos se realizó con el análisis de correspondencias múltiples, una técnica de análisis multivariado especialmente diseñada para trabajar con un alto número de variables cualitativas. El estudio permitió despejar ocho "tipos" de jóvenes ­ los asustados, los que cierran los ojos, los hipocondríacos, los sensuales, los felices, los amargados, los que miran al mundo y los que miran su ombligo. Estos resultados indicarían la necesidad de diversificar las estrategias de indagación e intervención en terreno dirigidas a esta población.This study explores the presence of different "groups" of adolescents based on their representations of health and disease. Concepts traditionally linked to the study of subjectivity were incorporated into the building of these "groups". Four hundred students participated in the survey. Data were analyzed through multiple correspondence analysis, a multivariate approach especially designed to work with large numbers of qualitative variables. Eight groups of adolescents were detected, described as follows: frightened; tends to close eyes; hypochondriac; sensual; happy; embittered; outgoing (looks out on the world; and introspective (contemplates own navel. The results highlight the importance of diversifying research and interventions focusing on this age bracket.

  10. Is the use of particle air filtration justified? Costs and benefits of filtration with regard to health effects, building cleaning and occupant productivity

    DEFF Research Database (Denmark)

    Bekö, Gabriel; Clausen, Geo; Weschler, Charles J.

    2008-01-01

    building and HVAC cleaning. Conversely, losses of occupant productivity due to sensory offending pollutants emitted from used ventilation filters can lead to significant economic losses. The results of the present analysis are strongly dependent on several key input parameters; consequently, the...... sensitivity of the results to these parameters was evaluated as part of this study. The study also acknowledges that the benefits-to-costs ratio depends on the perspective of the stakeholder: the employer renting the building is impacted by occupant performance and building energy costs; the building owner is...... even a small decrease in productivity caused by sensory pollutants emitted from used ventilation filters have the potential to substantially exceed the annual economic benefits of filtration. Further studies are required to determine if meaningful benefits can be obtained from more frequent filter...

  11. Oral health of building construction workers: an epidemiological approach Saúde bucal de trabalhadores da construção civil: abordagem epidemiológica

    Directory of Open Access Journals (Sweden)

    Nilce Emy Tomita

    2005-03-01

    Full Text Available This cross-sectional study aimed at evaluating the oral health conditions of building construction workers from a city in the mid-west region of São Paulo, Brazil. This study involved 219 male subjects, aged 17 to 72. The definition of a random sample utilized the functional number of each worker as a criterion to the raffle, which took into account all 450 subjects registered in the Working Accidents Prevention Program. The examination of oral health conditions by DMFT index and need of treatment were carried out according to WHO criteria (1997. This paper reports the prevalence of caries according to age, occupation, and educational level. Among the 219 workers examined, the mean DMFT was 16.9. Amongst the younger workers (Este estudo transversal foi delineado para avaliar as condições de saúde bucal de trabalhadores da construção civil em município da região centro-oeste do Estado de São Paulo. Foram examinados 219 indivíduos do sexo masculino, com idades entre 17 e 72 anos. O levantamento das condições bucais foi realizado em processo de amostragem aleatória simples, a partir do total de 450 inscritos na MEGA-SIPAT 2000 (Semana Interna de Prevenção de Acidentes do Trabalho. Foi utilizado o índice CPOD (cárie dentária e necessidade de tratamento odontológico, segundo metodologia proposta pela Organização Mundial da Saúde (1997. Neste estudo, são descritas a prevalência de cárie segundo a idade, ocupação e escolaridade. Entre os 219 trabalhadores examinados, o valor CPOD apurado foi 16,9. Os trabalhadores mais jovens (<25 anos de idade apresentaram média de 21,3 dentes sem necessidade de tratamento, enquanto os mais velhos mostraram necessidades progressivas de tratamento restaurador e reabilitador (p<0,001. Verificou-se índice CPOD de 15,6 para os trabalhadores de áreas administrativas e 21,7 para os mestres-de-obras, sem significância estatística. Houve aumento do índice CPOD segundo a idade, para todos os

  12. The Yokes of Gender and Class: The Policy Reforms and Implications for Equitable Access to Education in Kenya

    Directory of Open Access Journals (Sweden)

    Njoki Nathani Wane

    2003-09-01

    Full Text Available Kenya, a former British colony, attained its political independence in 1963. Despite its political independence, Kenya inherited a colonial education system that was based on segregation and exclusion because of race, culture, class, and gender. This is a qualitative analysis examining the education system in Kenya. In the analysis, we explore gender and class barriers that may inhibit education for women in Kenya. We review existing secondary literature on policy documents; reflect on our experiences and observations; and also reflect on interviews with Njeri and Nyokavi, who live in the 21st century ‘post-colonial’ Kenya. As Kenyan women from subsistence-farming backgrounds, we, the authors, seemed destined to remain at the very bottom of the hierarchical education structure established during the colonial period. We explore the impact of contemporary, globally and locally mandated education policy reforms and emerging social service provision partnerships. These are often packaged as policy reforms and viable strategies of a just, equitable, and fair distribution of opportunities for all, meant to correct the colonial disparities. Our arguments are informed by the system's discursive framework (Wane 2000b and the anti-colonial discursive framework (Amadiume 1989, 1997; Dei 1999, 2000; Oyewumi 1997; Wane 2002. The analysis authenticates that, since independence, Kenya has realized tremendous educational growth at all levels. However, such educational reforms have resulted in the exclusion of many children who are from low socio-economic groups, in essence replacing the racial segregation of the colonial system with cultural and class-based inequities of the post-colonial society.

  13. 信托受益权的法律性质探讨%The Legal Nature of Equitable Title

    Institute of Scientific and Technical Information of China (English)

    李晓桃; 聂迎; 袁晓东

    2012-01-01

    It is a controversial issue what kinds of right the equitable title belongs to,regardless in civil law system or in common law system.Trust performs a significant role in modern commercialization and financial field,as well as is widely applied in the field of securities investment funds,trusts and asset securitization.Chinese Trust Act adopts contract theory and provides a series of compulsive and standard items,in order to response to our social requirement.Therefore,we should absorb other theories to perfect trust system,such as property theory and enterprise theory.%对于"信托受益权"究竟是一种什么样的权利,无论是英美法系还是大陆法系持续争论了百余年。信托在现代商业和金融交易领域发挥着重要作用,我国广泛应用于证券投资基金、资金信托和资产证券化中。我国《信托法》是法律对信托社会需求的回应,更多地采纳了合同理论,为信托合同提供了一套强制性的标准化条款。我国应借鉴"物权说"完善信托财产登记制度,吸收"企业组织"理论强化信托的资产分割功能。

  14. Translating Latin American/US Latina frameworks and methods in gender and health equity: linking women's health education and participatory social change.

    Science.gov (United States)

    Shapiro, Ester R

    This article applies transdisciplinary approaches to critical health education for gender equity by analyzing textual and political strategies translating/culturally adapting the U.S. feminist health text, Our Bodies Ourselves (OBOS), for Latin American/Caribbean and U.S. Latina women. The resulting text, Nuestros Cuerpos, Nuestras Vidas (NCNV), was revised at multiple levels to reflect different cultural\\sociopolitical assumptions connecting individual knowledge, community-based and transnational activist organizations, and strategic social change. Translation/cultural adaptation decisions were designed to ensure that gender-equitable health promotion education crossed cultural borders, conveying personal knowledge and motivating individual actions while also inspiring participation in partnerships for change. Transdisciplinary approaches integrating critical ecosystemic frameworks and participatory methods can help design health promotion education mobilizing engaged, gender-equitable health citizenship supporting both personal and societal change. PMID:24366020

  15. Modifying and developing health behavior.

    Science.gov (United States)

    Green, L W

    1984-01-01

    The literatures on both behavior modification and behavioral development have engendered innovations in public health programs, addressing problems of patient adherance to preventive and therapeutic regimens, delay in seeking diagnosis of illness symptoms, risk-taking behavior, and other aspects of lifestyle associated with health. Because most of this literature derives from psychology, there has been a distinct bias in the construction of interventions, pointing them directly at individuals, usually in a counseling or small group mode of delivery. These developments served public health well enough during a decade or so when the preoccupation was with utilization of health services and medical management of chronic diseases. With the publication of the Lalonde Report in Canada in 1974, the passage of Public Law 94-317 in 1976 in the United States, and similar initiatives in other English-speaking and European countries, the recognition of the greater complexities of lifestyle development and modification in the absence of symptoms has taken hold. Policy makers and public health workers seek a more efficient and equitable set of strategies to meet the behavioral health challenges of modern society without placing the entire weight of responsibility for behavior on the individual or on therapeutic practitioners. Concurrently, on a more global scale and in the developing countries, a concern has emerged for strategies that give individuals, families, and communities a greater role in deciding their own health priorities. The convergence of these two trends--one seeking to distribute responsibility for lifestyle more equitably and the other seeking to distribute responsibility for planning health programs more equitably --calls for policies, strategies, and interventions that will place similar emphasis on health education and organizational, economic, and environmental supports for health behavior. The combination of these elements of support for behavior calls, in

  16. Economic Efficiency or Gender Equality: Conceptualizing an Equitable “Social Framing” for Economic Evaluations to Support Gender Equality in Disaster Risk- and Environmental-Management Decision-Making

    Directory of Open Access Journals (Sweden)

    Cheney Shreve

    2016-07-01

    Full Text Available It is unlikely that cost–benefit approaches will be effective in identifying investments that support gender equality without a relevant “social framing”. Criteria for a “social framing” are lacking, yet cost–benefit approaches often guide investment decisions for disaster risk and environmental management. Mainstream approaches typically do a poor job identifying and characterizing costs and benefits, and often fail to address distributive concerns (i.e., how costs and benefits may be distributed throughout society, to whom, etc.. Gender-blind investments may project responsibility for equality “problems” onto one sex, potentially augmenting gender inequalities and disaster risk. This article examines evidence from the gender, disaster, and development literature to identify distributive concerns and criteria for an equitable “social framing” for economic evaluations. Primary distributive concerns identified regard assumptions of women’s homogeneity, agency, “active” participation, and the influence of customary practice and displacement on disaster vulnerability. The need for a “gender-responsive” “social framing” that considers the needs of men and women in relation to one another is evident. Second, cost–benefit studies focused on gender equality concerns are reviewed and the “social framing” is critiqued. Results show most studies are not “gender-responsive”. Women’s health concerns, often exacerbated by disasters, are sidelined by assumptions regarding distributive concerns and reductive outcome measures.

  17. Cambodia Health System Review: The Current Policies and Strategies of the Health System’s Governance, Financing, and Service Delivery

    OpenAIRE

    Peat, Steve

    2013-01-01

    Cambodia’s health system is in a period of transition as policy innovation and reform began in 1996. Importantly, the Ministry of Health (MoH) and donor agencies have undergone a series of policy shifts in an attempt to strengthen the health system in order to provide equitable access to health care for the population. This paper will describe the health system’s governance, financing and service delivery functions in regards to their current situation and recent innovations that aim to impro...

  18. Transforming health policies through migrant user involvement:Lessons learnt from three European countries

    OpenAIRE

    Cláudia Freitas; Manuel García-Ramirez; Arild Aambøc; Sandra C. Buttigieg

    2014-01-01

    Designing and implementing equitable health policies requires the involvement of all stakeholders. However, disadvantaged groups are under-represented in European health participatory mechanisms. Migrants and ethnic minorities (MEMs), for example, are consistently left out of policy-making fora. Additionally, MEMs lack a voice on the programmes that are intended to benefit them. This can jeopardize the responsiveness of health policies to MEM needs and undermine the development of diversity s...

  19. Veterinary education for global animal and public health, D.A. Walsh : book review

    Directory of Open Access Journals (Sweden)

    C.M.E. McCrindle

    2010-05-01

    Full Text Available This 28th annual volume published by the World Organisation for Animal Health (OIE, addresses the need for a global shift in the way veterinary students are taught veterinary public health (VPH. As well as taking the lead in prevention and control of animal diseases, the OIE develops health and welfare standards to promote food security and equitable international trade in animals and animal products.

  20. A Review and Comparative Analysis of Security Risks and Safety Measures of Mobile Health Apps

    OpenAIRE

    Karen Scott; Deborah Richards; Rajindra Adhikari

    2015-01-01

    In line with a patient-centred model of healthcare, Mobile Health applications (mhealth apps) provide convenient and equitable access to health and well-being resources and programs that can enable consumers to monitor their health related problems, understand specific medical conditions and attain personal fitness goals. This increase in access and control comes with an increase in risk and responsibility to identify and manage the associated risks, such as the privacy and security of consum...

  1. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    ‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which......, which gives the book a challenging contribution to the existing body of knowledge....

  2. Pursuing Clean Energy Equitably

    OpenAIRE

    Newell, Peter; Phillips, Jon; Mulvaney, Dustin

    2011-01-01

    This paper explores the opportunities for a ‘just transition’ to low carbon and sustainable energy systems; one that addresses the current inequities in the distribution of energy benefits and their human and ecological costs. In order to prioritize policies that address energy poverty alleviation and sustainability concerns, national action and higher levels of international cooperation and coordination are required to steer public policy towards a broader range of public interests. This als...

  3. Reactor building

    International Nuclear Information System (INIS)

    The present invention concerns a structure of ABWR-type reactor buildings, which can increase the capacity of a spent fuel storage area at a low cost and improved earthquake proofness. In the reactor building, the floor of a spent fuel pool is made flat, and a depth of the pool water satisfying requirement for shielding is ensured. In addition, a depth of pool water is also maintained for a equipment provisionally storing pool for storing spent fuels, and a capacity for a spent fuel storage area is increased by utilizing surplus space of the equipment provisionally storing pool. Since the flattened floor of the spent fuel pool is flushed with the floor of the equipment provisionally storing pool, transfer of horizontal loads applied to the building upon occurrence of earthquakes is made smooth, to improve earthquake proofness of the building. (T.M.)

  4. Building Languages

    Science.gov (United States)

    ... family's native language) is taught as the child's second language through reading, writing, speech, and use of residual ... that parents can use to help their child learn language. There are many types of building blocks, and ...

  5. The health capability paradigm and the right to health care in the United States.

    Science.gov (United States)

    Ruger, Jennifer Prah

    2016-08-01

    Against a backdrop of non-ideal political and legal conditions, this article examines the health capability paradigm and how its principles can help determine what aspects of health care might legitimately constitute positive health care rights-and if indeed human rights are even the best approach to equitable health care provision. This article addresses the long American preoccupation with negative rights rather than positive rights in health care. Positive health care rights are an exception to the overall moral range and general thrust of U.S. legal doctrine. Some positive rights to health care have arisen from U.S. Constitutional Eighth Amendment cases and federal and state laws like Medicare, Medicaid, the State Children's Health Insurance Program, the Emergency Medical Treatment and Active Labor Act, and the Patient Protection and Affordable Care Act. Finally, this article discusses some of the difficulties inherent in implementing a positive right to health care in the U.S. PMID:27543139

  6. The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience

    OpenAIRE

    David Eisenman; Anita Chandra; Stella Fogleman; Aizita Magana; Astrid Hendricks; Ken Wells; Malcolm Williams; Jennifer Tang; Alonzo Plough

    2014-01-01

    Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Proj...

  7. Asbestos in Buildings: What You Should Know.

    Science.gov (United States)

    Safe Buildings Alliance, Washington, DC.

    Thirty-one critical questions about asbestos, its use in school buildings, and the risks it poses to health are answered in this booklet. Issued by the Safe Buildings Alliance, an incorporated association of manufacturers that once supplied asbestos-containing materials for building construction, the booklet's purpose is to provide information…

  8. Taking forward a 'One Health' approach for turning the tide against the Middle East respiratory syndrome coronavirus and other zoonotic pathogens with epidemic potential.

    Science.gov (United States)

    Zumla, Alimuddin; Dar, Osman; Kock, Richard; Muturi, Matthew; Ntoumi, Francine; Kaleebu, Pontiano; Eusebio, Macete; Mfinanga, Sayoki; Bates, Matthew; Mwaba, Peter; Ansumana, Rashid; Khan, Mishal; Alagaili, Abdulaziz N; Cotten, Matthew; Azhar, Esam I; Maeurer, Markus; Ippolito, Giuseppe; Petersen, Eskild

    2016-06-01

    The appearance of novel pathogens of humans with epidemic potential and high mortality rates have threatened global health security for centuries. Over the past few decades new zoonotic infectious diseases of humans caused by pathogens arising from animal reservoirs have included West Nile virus, Yellow fever virus, Ebola virus, Nipah virus, Lassa Fever virus, Hanta virus, Dengue fever virus, Rift Valley fever virus, Crimean-Congo haemorrhagic fever virus, severe acute respiratory syndrome coronavirus, highly pathogenic avian influenza viruses, Middle East Respiratory Syndrome Coronavirus, and Zika virus. The recent Ebola Virus Disease epidemic in West Africa and the ongoing Zika Virus outbreak in South America highlight the urgent need for local, regional and international public health systems to be be more coordinated and better prepared. The One Health concept focuses on the relationship and interconnectedness between Humans, Animals and the Environment, and recognizes that the health and wellbeing of humans is intimately connected to the health of animals and their environment (and vice versa). Critical to the establishment of a One Health platform is the creation of a multidisciplinary team with a range of expertise including public health officers, physicians, veterinarians, animal husbandry specialists, agriculturalists, ecologists, vector biologists, viral phylogeneticists, and researchers to co-operate, collaborate to learn more about zoonotic spread between animals, humans and the environment and to monitor, respond to and prevent major outbreaks. We discuss the unique opportunities for Middle Eastern and African stakeholders to take leadership in building equitable and effective partnerships with all stakeholders involved in human and health systems to take forward a 'One Health' approach to control such zoonotic pathogens with epidemic potential. PMID:27321961

  9. Expanding Options. A Model to Attract Secondary Students into Nontraditional Vocational Programs. For Emphasis in: Building Trades, Electronics, Health Services, Machine Shop, Welding.

    Science.gov (United States)

    Good, James D.; DeVore, Mary Ann

    This model has been designed for use by Missouri secondary schools in attracting females and males into nontraditional occupational programs. The research-based strategies are intended for implementation in the following areas: attracting females into building trades, electronics, machine shop, and welding; and males into secondary health…

  10. To Strengthen the Supervision of Medical Services to Build a Well-being Health Insurance%加强医疗服务行为监管共建医疗保险民生大业

    Institute of Scientific and Technical Information of China (English)

    占伊扬; 宋宁宏; 万彬; 王虹

    2014-01-01

    人民健康是医保事业与医疗事业共同的宗旨和目标,为实现这一目标,医保、医院应共同加强对医疗服务的监管。本文从制度建设、政策宣传、考核方式及医院医保创新管理四个方面总结江苏省人民医院医保监管体系,为进一步提高医院自身医保管理提供借鉴。%People's health is a common objectives of medical insurance and medical services. To achieve this goal, the department of health care and hospitals should work together to strengthen the supervision of medical services. The article introduced the health care management system in Jiangsu Provincial Hospital in the aspects of institution building, policy advocacy, assessment methods and innovative health care management, therefore to provide reference for hospitals to improve their management of health care.

  11. Ethical concerns in international occupational health and safety.

    Science.gov (United States)

    London, Leslie; Kisting, Sophia

    2002-01-01

    The number of preventable occupational health and safety (OHS) tragedies that occur yearly requires a deeper examination of the ethics that inform health and safety policies and practices. This article selects a few industrial sectors for closer examination to illustrate challenges and opportunities. Topics addressed include: equitable distribution of resources, ethically acceptable global standards for OHS for all workers, and international use of pesticides and the export of banned chemicals. The authors focus on the relationship between less developed and developed countries and attempt to identify areas of collaboration and potentially positive channels for addressing shortcomings. The agricultural sector is examined in particular because of the major role this sector plays in developing countries. Finally, the authors examine the impact of globalization on the international ethical practice of OHS, especially in relation to vulnerable and marginalized groups such as women, children, and informal sector workers, and conclude with recommendations for working towards more equitable global ethical standards in international OHS. PMID:12225928

  12. La Palabra Es Salud: A Comparative Study of the Effectiveness of Popular Education vs. Traditional Education for Enhancing Health Knowledge and Skills and Increasing Empowerment among Parish-Based Community Health Workers

    Science.gov (United States)

    Wiggins, Noelle

    2010-01-01

    Popular education is a mode of teaching and learning which seeks to bring about more equitable social conditions by creating settings in which people can identify and solve their own problems. While the public health literature offers evidence to suggest that popular education is an effective strategy for increasing empowerment and improving…

  13. The dynamics of health and return migration.

    Directory of Open Access Journals (Sweden)

    Anita A Davies

    2011-06-01

    Full Text Available The increasing importance and complexity of migration globally also implies a global increase in return migration, and thus an increased interest in the health of returning migrants. The health of returning migrants is impacted by the cumulative exposure to social determinants and risk factors of health during the migration process, during the return movement, and following return. Circular migration often occurs among the diaspora, which can result in the transfer of knowledge and skills that contribute to development, including health system strengthening. Migrants with dual nationality often return to countries with better health services than their country of origin when they are sick and can not get care at home. To maintain and improve the health of returning migrants, multi-sectoral policies at global and national levels should facilitate access to appropriate and equitable health services, social services, and continuity of care across and within borders.

  14. [Linguistic minorities in Canada and health].

    Science.gov (United States)

    Bouchard, Louise; Desmeules, Martin

    2013-10-01

    Official language minorities (Francophones outside of Quebec and Anglophones in Quebec) make up about 6.4% of the Canadian population. Even though the Canadian constitution gives legal equality status to French and English, there is still room to ask if this equality is maintained in the health sector. In other words, do Francophone and Anglophone communities of Canada have the same health profiles regardless of their minority or majority status? Do they have access to the same health services and in the same conditions? The objective of this paper is to identify the health issues associated with belonging to a linguistic minority. Our research allows us to highlight the social and health disparities that can be attributed to belonging to a minority. In the Canadian context, which has two official languages, an equitable health policy will have to take into consideration language as a determinant of health. PMID:24289938

  15. Mould growth in buildings

    OpenAIRE

    Holme, Jonas

    2010-01-01

    Many studies around the world have reported that moisture-related problems in buildings (i.e., dampness) increase the risk of health effects such as respiratory symptoms, asthma and allergy in both adults and children. However, there is only limited knowledge about which agents in indoor air or dust cause the reported health effects. Biological pollutants such as moulds is one of the explanations that has been suggested. The principal objective of this PhD study has been to increase the knowl...

  16. Considering Accreditation in Gerontology: The Importance of Interprofessional Collaborative Competencies to Ensure Quality Health Care for Older Adults

    Science.gov (United States)

    Goldberg, Lynette R.; Koontz, Jennifer Scott; Rogers, Nicole; Brickell, Jean

    2012-01-01

    The health care needs of older adults can be complex and multifaceted. Safe, effective, equitable, and person-centered service provision relies on skilled interprofessional, team-based practice. Too often, students seeking a career specializing in gerontology are not exposed to such interprofessional, team-based learning and practice during their…

  17. Towards universal university buildings

    OpenAIRE

    Heylighen, Ann; Michiels, Sam; Van Huffel, Sabine

    2006-01-01

    The paper presents a recent initiative at the Katholieke Universiteit Leuven (K.U.Leuven) that explores ways to stimulate knowledge exchange between building users and professionals. Within the context of the university’s diversity policy, students of the Architecture department and professionals of the Technical Services (TS) and Environment Health & Safety Service (EHS) team up with personnel and students with disabilities to assess the ‘universality’ of the campus. The aim i...

  18. Strategies for Eliminating Health Inequities: A Framework for Change

    OpenAIRE

    Burley, Theresa Madeline

    2015-01-01

    The most  important  challenge  for  health  professionals  is  promoting  health" equity. The WHO  (2008)  asserts  better  living  conditions,  equitable  distribution  of  wealth, and mechanisms to prevent and monitor inequities will result in health equity. The problem at the center of this capstone is how difficult it is to promote health equity and implement strategies  for change. Barriers  t...

  19. Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

    OpenAIRE

    Agyepong, Irene A; Aryeetey, Geneieve C; Nonvignon, Justice; Asenso-Boadi, Francis; Dzikunu, Helen; Antwi, Edward; Ankrah, Daniel; Adjei-Acquah, Charles; Esena, Reuben; Aikins, Moses; Arhinful, Daniel K.

    2014-01-01

    Background Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured ...

  20. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    ‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which...... evolves from a simple establishment of a contractual relationship to a central and strategic part of construction. The authors relate to cultural, ethical and social and behavioural sciences as the fundamental basis for analysis and understanding of the complexity and dynamics of the procurement system...

  1. Competence Building

    DEFF Research Database (Denmark)

    Borrás, Susana; Edquist, Charles

    The main question that guides this paper is how governments are focusing (and must focus) on competence building (education and training) when designing and implementing innovation policies. With this approach, the paper aims at filling the gap between the existing literature on competences on the...... one hand, and the real world of innovation policy-making on the other, typically not speaking to each other. With this purpose in mind, this paper discusses the role of competences and competence-building in the innovation process from a perspective of innovation systems; it examines how governments...... and public agencies in different countries and different times have actually approached the issue of building, maintaining and using competences in their innovation systems; it examines what are the critical and most important issues at stake from the point of view of innovation policy, looking...

  2. Modelling energy savings in the Danish building sector combined with internalisation of health related externalities in a heat and power system optimisation model

    DEFF Research Database (Denmark)

    Zvingilaite, Erika

    2013-01-01

    A substantial untapped energy saving potential rests in the building sector and is expected to play an important role in achieving reduction of environmental impacts of energy. In order to utilise this potential, effective policy measures need to be adopted to remove the existing barriers and...... system optimisation model of the Danish heat and power sector. The achieved optimal level of heat savings reaches 11% of projected heat demand in 2025 under the model assumptions. Moreover, the analysis reveals the importance of considering energy conservation options in a system wide perspective....... Furthermore, the results suggest that changes in the energy generation sector are the prime driver behind the reduction of environmental externalities of energy. Heat savings in buildings play only a small role under model assumptions. © 2012Elsevier Ltd. All rights reserved....

  3. Building Bridges

    DEFF Research Database (Denmark)

    The report Building Bridges adresses the questions why, how and for whom academic audience research has public value, from the different points of view of the four working groups in the COST Action IS0906 Transforming Audiences, Transforming Societies – “New Media Genres, Media Literacy and Trust...... in the Media”, “Audience Interactivity and Participation”, “The Role of Media and ICT Use for Evolving Social Relationships” and “Audience Transformations and Social Integration”. Building Bridges is the result of an ongoing dialogue between the Action and non-academic stakeholders in the field of audience...

  4. Building core capacities at the designated points of entry according to the International Health Regulations 2005: a review of the progress and prospects in Taiwan

    OpenAIRE

    Chiu, Hsiao-Hsuan; Hsieh, Jui-Wei; Wu, Yi-Chun; Chou, Jih-Haw; Chang, Feng-Yee

    2014-01-01

    Background: As designated points of entry (PoEs) play a critical role in preventing the transmission of international public health risks, huge efforts have been invested in Taiwan to improve the core capacities specified in the International Health Regulations 2005 (IHR 2005). This article reviews how Taiwan strengthened the core capacities at the Taoyuan International Airport (TIA) and the Port of Kaohsiung (PoK) by applying a new, practicable model.Design: An IHR PoE program was initiated ...

  5. The Quality of Collaboration among Medical Research Centers, Universities, Health Executives and the Community in İran

    OpenAIRE

    Asefzadeh, Saeed

    2005-01-01

    A health research system is defined as a system for planning, coordinating, monitoring and managing health research resources and activities, and for promoting research aimed at effective and equitable national health development. This study was conducted to describe the quality of mutual collaboration among medical research centers, universities, executive organizations and the community. In this situation analysis qualitative methods were applied. In-depth interviews were held with the ...

  6. Uzbekistan: health system review.

    Science.gov (United States)

    Ahmedov, Mohir; Azimov, Ravshan; Mutalova, Zulkhumor; Huseynov, Shahin; Tsoyi, Elena; Rechel, Bernd

    2014-01-01

    Uzbekistan is a central Asian country that became independent in 1991 with the break-up of the Soviet Union. Since then, it has embarked on several major health reforms covering health care provision, governance and financing, with the aim of improving efficiency while ensuring equitable access. Primary care in rural areas has been changed to a two-tiered system, while specialized polyclinics in urban areas are being transformed into general polyclinics covering all groups of the urban population. Secondary care is financed on the basis of past expenditure and inputs (and increasingly self-financing through user fees), while financing of primary care is increasingly based on capitation. There are also efforts to improve allocative efficiency, with a slowly increasing share of resources devoted to the reformed primary health care system. Health care provision has largely remained in public ownership but nearly half of total health care expenditure comes from private sources, mostly in the form of out-of-pocket expenditure. There is a basic benefits package, which includes primary care, emergency care and care for certain disease and population categories. Yet secondary care and outpatient pharmaceuticals are not included in the benefits package for most of the population, and the reliance on private health expenditure results in inequities and catastrophic expenditure for households. While the share of public expenditure is slowly increasing, financial protection thus remains an area of concern. Quality of care is another area that is receiving increasing attention. PMID:25689490

  7. Sustainable Buildings

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.; Elle, Morten

    The scientific community agrees that: all countries must drastically and rapidly reduce their CO2 emissions and that energy efficient houses play a decisive role in this. The general attitude at the workshop on Sustainable Buildings was that we face large and serious climate change problems that...

  8. Energy Efficiency Building Code for Commercial Buildings in Sri Lanka

    International Nuclear Information System (INIS)

    1.1.1 To encourage energy efficient design or retrofit of commercial buildings so that they may be constructed, operated, and maintained in a manner that reduces the use of energy without constraining the building function, the comfort, health, or the productivity of the occupants and with appropriate regard for economic considerations. 1.1.2 To provide criterion and minimum standards for energy efficiency in the design or retrofit of commercial buildings and provide methods for determining compliance with them. 1.1.3 To encourage energy efficient designs that exceed these criterion and minimum standards

  9. Energy Efficiency Building Code for Commercial Buildings in Sri Lanka

    Energy Technology Data Exchange (ETDEWEB)

    Busch, John; Greenberg, Steve; Rubinstein, Francis; Denver, Andrea; Rawner, Esther; Franconi, Ellen; Huang, Joe; Neils, Danielle

    2000-09-30

    1.1.1 To encourage energy efficient design or retrofit of commercial buildings so that they may be constructed, operated, and maintained in a manner that reduces the use of energy without constraining the building function, the comfort, health, or the productivity of the occupants and with appropriate regard for economic considerations. 1.1.2 To provide criterion and minimum standards for energy efficiency in the design or retrofit of commercial buildings and provide methods for determining compliance with them. 1.1.3 To encourage energy efficient designs that exceed these criterion and minimum standards.

  10. E-Social Astuteness Skills for ICT-Supported Equitable Prosperity and a Capable Developmental State in South Africa

    Science.gov (United States)

    Mitrovic, Zoran; Taylor, Wallace; Sharif, Mymoena; Claassen, Walter; Wesso, Harold

    2013-01-01

    Over 350 national and international delegates at the 2nd e-Skills Summit and the International Telecommunication Union (ITU) Global ICT Forum on Human Capital Development have agreed that the e-skilling agenda in South Africa is making a "profound difference" but still not sufficient to build a capable developmental state. The delegates…

  11. Ensuring the Equitable Distribution of Teachers: Strategies for School, District, and State Leaders. TQ Research & Policy Brief

    Science.gov (United States)

    Behrstock, Ellen; Clifford, Matthew

    2010-01-01

    National and state-level policies recognize the critical role that talented teachers play in ensuring that all students learn and in building capacity for instructional excellence in schools. Teachers influence student learning more than any other factor in the school, and the dividends of effective teaching are cumulative (see "Defining the…

  12. Health Facility General Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — This featured Application Programming Interface (API) page serves as a reference for developers who are building tools that interact with the data on Health Data...

  13. Health Facility Certification Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — This featured Application Programming Interface (API) page serves as a reference for developers who are building tools that interact with the data on Health Data...

  14. Equity in Distribution of Health Care Resources; Assessment of Need and Access, Using Three Practical Indicators

    OpenAIRE

    Habib Omrani-Khoo; Farhad Lotfi; Hossein Safari; Sanaz Zargar Balaye Jame; Javad Moghri; Milad Shafii

    2013-01-01

    Abstract Background Equitable distribution of health system resources has been a serious challenge for long ago among the health policy makers. Conducted studies have mostly ever had emphasis on equality rather than equity. In this paper we have attempted to examine both equality and equity in resources distribution. Method This is an applied and descriptive study in which we plotted Lorenz and concentration curves to describe graphically the distribution of hemodialysis beds and nephrologist...

  15. Advancing Sustainability through Urban Green Space: Cultural Ecosystem Services, Equity, and Social Determinants of Health

    OpenAIRE

    Viniece Jennings; Lincoln Larson; Jessica Yun

    2016-01-01

    Urban green spaces provide an array of benefits, or ecosystem services, that support our physical, psychological, and social health. In many cases, however, these benefits are not equitably distributed across diverse urban populations. In this paper, we explore relationships between cultural ecosystem services provided by urban green space and the social determinants of health outlined in the United States Healthy People 2020 initiative. Specifically, we: (1) explore connections between cultu...

  16. What variables should be considered in allocating Primary health care Pharmaceutical budgets to districts in Uganda?

    OpenAIRE

    Mujasi, Paschal N; Puig, Jaume

    2015-01-01

    Objectives: A key policy question for the government of Uganda is how to equitably allocate primary health care pharmaceutical budgets to districts. This paper seeks to identify variables influencing current primary health care pharmaceutical expenditure and their usefulness in allocating prospective pharmaceutical budgets to districts. Methods: This was a cross sectional, retrospective observational study using secondary administrative data. We collected data on the value of pharmaceuticals ...

  17. Achieving universal health coverage goals in Thailand: the vital role of strategic purchasing

    OpenAIRE

    Tangcharoensathien, Viroj; Limwattananon, Supon; Patcharanarumol, Walaiporn; Thammatacharee, Jadej; Jongudomsuk, Pongpisut; Sirilak, Supakit

    2014-01-01

    Strategic purchasing is one of the key policy instruments to achieve the universal health coverage (UHC) goals of improved and equitable access and financial risk protection. Given favourable outcomes of Universal Coverage Scheme (UCS), this study synthesized strategic purchasing experiences in the National Health Security Office (NHSO) responsible for the UCS in contributing to achieving UHC goals. The UCS applied the purchaser–provider split concept where NHSO, as a purchaser, is in a good ...

  18. 军队干部保健对象综合健康评估指标体系构建%Building a comprehensive health assessment indicators systems for health management of military officers

    Institute of Scientific and Technical Information of China (English)

    张宏雁; 董军; 吴海云; 何昆仑; 赛晓勇; 何耀; 秦银河

    2010-01-01

    In line with the new WHO definition for health and reference of comprehensive health assessments of elderly overseas, the paper screened and set the weight for comprehensive health assessment indicators for military officers, establishing a general health assessment model as a result 402 military officers were subject to Comprehensive Health Assessments, and the outcomes were compared with subjective assessment of experts. The results of both methods are highly coincidental. It proves Comprehensive Health Assessment as a scientific quantitative health assessment method, with promising perspectives in health management in the future.%依据世界卫生组织(WHO)的健康新定义,参考国外老年综合健康评估方法,对军队干部保健对象综合健康评估指标进行筛选和权重确立,从而构建综合健康评估指标体系和评估模型.对402名军队干部保健对象进行综合健康评估,并与专家主观评估对照,取得良好的一致性.说明综合健康评估是一种较科学的健康量化测评方法,在健康管理方面有良好的应用前景.

  19. An Integrative Structural Health Monitoring System for the Local/Global Responses of a Large-Scale Irregular Building under Construction

    Directory of Open Access Journals (Sweden)

    Se Woon Choi

    2013-07-01

    Full Text Available In this study, a practical and integrative SHM system was developed and applied to a large-scale irregular building under construction, where many challenging issues exist. In the proposed sensor network, customized energy-efficient wireless sensing units (sensor nodes, repeater nodes, and master nodes were employed and comprehensive communications from the sensor node to the remote monitoring server were conducted through wireless communications. The long-term (13-month monitoring results recorded from a large number of sensors (75 vibrating wire strain gauges, 10 inclinometers, and three laser displacement sensors indicated that the construction event exhibiting the largest influence on structural behavior was the removal of bents that were temporarily installed to support the free end of the cantilevered members during their construction. The safety of each member could be confirmed based on the quantitative evaluation of each response. Furthermore, it was also confirmed that the relation between these responses (i.e., deflection, strain, and inclination can provide information about the global behavior of structures induced from specific events. Analysis of the measurement results demonstrates the proposed sensor network system is capable of automatic and real-time monitoring and can be applied and utilized for both the safety evaluation and precise implementation of buildings under construction.

  20. Administrative building

    OpenAIRE

    Vokatá, Kateřina

    2015-01-01

    The task of my master´s thesis was to work up a project and a check of a bearing steel construction the multi-storey office building with a garage in Brno. The building is composed of five storey office section and two storey of garage. Ground dimension of administrative part is 38,8m x 35m with distance of pillars 7m,6m and 6,4m. The structural height of floor is 3,5m.Garage is designed with dimensions 36m x 24,8m with structural height of floor 3,5m. Distance of pillars is 5,6m, 6,4m and 7,...