Sample records for case community analysis

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

    Robinson, Lance W; Makupa, Enock


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

  2. Integrated community case management in Malawi: an analysis of innovation and institutional characteristics for policy adoption. (United States)

    Rodríguez, Daniela C; Banda, Hastings; Namakhoma, Ireen


    In 2007, Malawi became an early adopter of integrated community case management for childhood illnesses (iCCM), a policy aimed at community-level treatment for malaria, diarrhoea and pneumonia for children below 5 years. Through a retrospective case study, this article explores critical issues in implementation that arose during policy formulation through the lens of the innovation (i.e. iCCM) and of the institutions involved in the policy process. Data analysis is founded on a documentary review and 21 in-depth stakeholder interviews across institutions in Malawi. Findings indicate that the characteristics of iCCM made it a suitable policy to address persistent challenges in child mortality, namely that ill children were not interacting with health workers on a timely basis and consequently were dying in their communities. Further, iCCM was compatible with the Malawian health system due to the ability to build on an existing community health worker cadre of health surveillance assistants (HSAs) and previous experiences with treatment provision at the community level. In terms of institutions, the Ministry of Health (MoH) demonstrated leadership in the overall policy process despite early challenges of co-ordination within the MoH. WHO, United Nations Children's Fund (UNICEF) and implementing organizations played a supportive role in their position as knowledge brokers. Greater challenges were faced in the organizational capacity of the MoH. Regulatory issues around HSA training as well as concerns around supervision and overburdening of HSAs were discussed, though not fully addressed during policy development. Similarly, the financial sustainability of iCCM, including the mechanisms for channelling funding flows, also remains an unresolved issue. This analysis highlights the role of implementation questions during policy development. Despite several outstanding concerns, the compatibility between iCCM as a policy alternative and the local context laid the

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

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


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

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

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


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

  5. The Northwest Indiana Center for Data and Analysis: A Case Study of Academic Library Community Engagement (United States)

    Sandberg, Scott; Morris, Cele; Sutherland, Timothy


    This paper details community engagement activity of an academic library coordinated within a broader university strategic plan. The Anderson Library at Indiana University Northwest (IU-Northwest) supports a service called the Northwest Indiana Center for Data and Analysis. Created in 1996 with funding made available from the Indiana University…

  6. A Case Study Analysis of a Constructionist Knowledge Building Community with Activity Theory (United States)

    Ang, Chee S.; Zaphiris, Panayiotis; Wilson, Stephanie


    This article investigates how activity theory can help research a constructionist community. We present a constructionist activity model called CONstructionism Through ACtivity Theory (CONTACT) model and explain how it can be used to analyse the constructionist activity in knowledge building communities. We then illustrate the model through its…

  7. The case for human agency, well-being, and community reintegration for people aging in prison: a statewide case analysis. (United States)

    Maschi, Tina; Morrisey, Mary Beth; Leigey, Margaret


    This study profiled 2,913 adults aged 50 and older sentenced to a statewide correctional system and their parole eligibility status with implications for community reintegration, resettlement, and recovery needs. The research team developed the Correctional Tracking Data Extraction Tool to gather official data and personal and legal characteristics from a state department of corrections website. The majority of older prisoners were men from racial/ethnic minorities between the ages of 50 and 59 with a range of minor to serious offenses. Time served in prison ranged from 1 month to 45 years; more than 40% were eligible for parole within 5 years. These findings underscore the need for an intervention that can address the differing typologies and individual-level and systemic issues that gave rise to the aging prisoner population. Promising practices that address elements of a conceptual model in prison and community reintegration and recovery for older adult prisoners are reviewed.

  8. Cost-Benefit Analysis of Green Infrastructures on Community Stormwater Reduction and Utilization: A Case of Beijing, China (United States)

    Liu, Wen; Chen, Weiping; Feng, Qi; Peng, Chi; Kang, Peng


    Cost-benefit analysis is demanded for guiding the plan, design and construction of green infrastructure practices in rapidly urbanized regions. We developed a framework to calculate the costs and benefits of different green infrastructures on stormwater reduction and utilization. A typical community of 54,783 m2 in Beijing was selected for case study. For the four designed green infrastructure scenarios (green space depression, porous brick pavement, storage pond, and their combination), the average annual costs of green infrastructure facilities are ranged from 40.54 to 110.31 thousand yuan, and the average of the cost per m3 stormwater reduction and utilization is 4.61 yuan. The total average annual benefits of stormwater reduction and utilization by green infrastructures of the community are ranged from 63.24 to 250.15 thousand yuan, and the benefit per m3 stormwater reduction and utilization is ranged from 5.78 to 11.14 yuan. The average ratio of average annual benefit to cost of four green infrastructure facilities is 1.91. The integrated facilities had the highest economic feasibility with a benefit to cost ratio of 2.27, and followed by the storage pond construction with a benefit to cost ratio of 2.14. The results suggested that while the stormwater reduction and utilization by green infrastructures had higher construction and maintenance costs, their comprehensive benefits including source water replacements benefits, environmental benefits and avoided cost benefits are potentially interesting. The green infrastructure practices should be promoted for sustainable management of urban stormwater.

  9. A Community Organizing Case Study: An Analysis of Cap-It's Strategy to Prevent the Location of a Toxic Waste Incinerator in Their Community. (United States)

    Jacobs, J


    With the great proliferation of chemical manufacturing in the past half-century, the dilemma of dealing with the waste produced has become an increasing problem facing communities. One method that is gaining increased acceptance by both government and industry is incineration. Many citizens have formed groups to protest these facilities because of their concerns about health risks, especially exposure to carcinogens. This case study profiles one such group, CAP-IT, a collection of middle-class residents living in a small working-class town and their successful battle to prevent the siting of a hazardous waste incinerator. CAP-IT's strategy will be critiqued using methods advanced by Lee Staples, Nicholas Freudenburg and Kurt Lewin to demonstrate the power of community organizing activities.

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

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


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

  11. Navigating digital publics for playful production: A cross-case analysis of two interest-driven online communities

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    Ksenia A. Korobkova


    Full Text Available This article argues that the set of skills and strategies associated with managing digital publics online represent an emergent literacy practice of importance to literacy researchers and educators. Drawing on two case studies of online communities popular with contemporary youth to learn, play, and socialize, we articulate how youth participants strategically negotiate multiple audiences online with varying levels of publicity in order to achieve learning outcomes. In one case, players of a popular production-centered video game share their content in ways that garner the specific kind of audience and feedback they need for their projects. In another, members of an online fan fiction community analyze and negotiate expectations of their audience in order to craft media that garners attention and sustains readership. Both examples identify how skills centered on navigating and managing publics – that is, multiple audiences that are permeable across a wider public online – constitute a recognizable and important “new literacy” in digitally mediated learning environments. We situate our empirical studies in sociocultural theories of learning and historicize the work in contemporary digital cultures and the general move from the writer-reader relationship to writer-audience relationships to more complex relationships within digital publics. The article ends with considerations for literacy researchers, policymakers, and practitioners interested in technology-mediated practices of today’s youth.

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

    Chile, Love M.; Black, Xavier M.


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

  13. Three Community College Case Studies (United States)

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


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

  14. Wakefield: Community and Library Analysis. (United States)

    Trumpeter, Margo C.; Donahue, Mary Ellen

    This community analysis was conducted in order to characterize and identify the information needs of the Wakefield community, and library services and use were evaluated to determine how well the library meets these needs. The study included an examination of the history of the town and its physical characteristics, economic development, and…

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

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


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

  16. Retrospective qualitative analysis of ecological networks under environmental perturbation: a copper-polluted intertidal community as a case study. (United States)

    Ramos-Jiliberto, Rodrigo; Garay-Narváez, Leslie; Medina, Matías H


    The coast of Chañaral Bay in northern Chile has been affected by copper mine wastes for decades. This sustained perturbation has disrupted the intertidal community in several ways, but the mechanisms behind the observed shifts in local biodiversity remain poorly understood. Our main goal was to identify the species (lumped into trophic groups) belonging to the Chañaral intertidal community that, being directly affected by copper pollution, contributed primarily to the generation of the observed changes in community structure. These groups of species were called initiators. We applied a qualitative modelling approach based only on the sign and direction of effects among species, and present a formula for predicting changes in equilibrium abundances considering stress on multiple variables simultaneously. We then applied this technique retrospectively to identify the most likely set of initiators. Our analyses allowed identification of a unique set of four initiators in the studied intertidal system (a group of algae, sessile invertebrates, a group of herbivores and starfish), which were hypothesized to be the primary drivers of the observed changes in community structure. In addition, a hypothesis was derived about how the perturbation affected these initiators. The hypothesis is that pollution affected negatively the population growth rate of both algae and sessile invertebrates and suppressed the interaction between herbivores and starfish. Our analytic approach, focused on identifying initiators, constitutes an advance towards understanding the mechanisms underlying human-driven ecosystem disruption and permits identifying species that may serve as a focal point for community management and restoration.

  17. Chapter 11. Community analysis-based methods

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


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

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

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

  19. Ion Torrent PGM as tool for fungal community analysis: a case study of endophytes in Eucalyptus grandis reveals high taxonomic diversity. (United States)

    Kemler, Martin; Garnas, Jeff; Wingfield, Michael J; Gryzenhout, Marieka; Pillay, Kerry-Anne; Slippers, Bernard


    The Kingdom Fungi adds substantially to the diversity of life, but due to their cryptic morphology and lifestyle, tremendous diversity, paucity of formally described specimens, and the difficulty in isolating environmental strains into culture, fungal communities are difficult to characterize. This is especially true for endophytic communities of fungi living in healthy plant tissue. The developments in next generation sequencing technologies are, however, starting to reveal the true extent of fungal diversity. One of the promising new technologies, namely semiconductor sequencing, has thus far not been used in fungal diversity assessments. In this study we sequenced the internal transcribed spacer 1 (ITS1) nuclear encoded ribosomal RNA of the endophytic community of the economically important tree, Eucalyptus grandis, from South Africa using the Ion Torrent Personal Genome Machine (PGM). We determined the impact of various analysis parameters on the interpretation of the results, namely different sequence quality parameter settings, different sequence similarity cutoffs for clustering and filtering of databases for removal of sequences with incomplete taxonomy. Sequence similarity cutoff values only had a marginal effect on the identified family numbers, whereas different sequence quality filters had a large effect (89 vs. 48 families between least and most stringent filters). Database filtering had a small, but statistically significant, effect on the assignment of sequences to reference sequences. The community was dominated by Ascomycota, and particularly by families in the Dothidiomycetes that harbor well-known plant pathogens. The study demonstrates that semiconductor sequencing is an ideal strategy for environmental sequencing of fungal communities. It also highlights some potential pitfalls in subsequent data analyses when using a technology with relatively short read lengths.

  20. Ion Torrent PGM as tool for fungal community analysis: a case study of endophytes in Eucalyptus grandis reveals high taxonomic diversity.

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    Martin Kemler

    Full Text Available The Kingdom Fungi adds substantially to the diversity of life, but due to their cryptic morphology and lifestyle, tremendous diversity, paucity of formally described specimens, and the difficulty in isolating environmental strains into culture, fungal communities are difficult to characterize. This is especially true for endophytic communities of fungi living in healthy plant tissue. The developments in next generation sequencing technologies are, however, starting to reveal the true extent of fungal diversity. One of the promising new technologies, namely semiconductor sequencing, has thus far not been used in fungal diversity assessments. In this study we sequenced the internal transcribed spacer 1 (ITS1 nuclear encoded ribosomal RNA of the endophytic community of the economically important tree, Eucalyptus grandis, from South Africa using the Ion Torrent Personal Genome Machine (PGM. We determined the impact of various analysis parameters on the interpretation of the results, namely different sequence quality parameter settings, different sequence similarity cutoffs for clustering and filtering of databases for removal of sequences with incomplete taxonomy. Sequence similarity cutoff values only had a marginal effect on the identified family numbers, whereas different sequence quality filters had a large effect (89 vs. 48 families between least and most stringent filters. Database filtering had a small, but statistically significant, effect on the assignment of sequences to reference sequences. The community was dominated by Ascomycota, and particularly by families in the Dothidiomycetes that harbor well-known plant pathogens. The study demonstrates that semiconductor sequencing is an ideal strategy for environmental sequencing of fungal communities. It also highlights some potential pitfalls in subsequent data analyses when using a technology with relatively short read lengths.

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

    Oliver, Quintin; And Others


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

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

    Cocklin, Barry


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

  3. User fluctuation in communities: a forum case

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    Petrushyna, Zinayida


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

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

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    E. Mafi


    mashhad. Mashhad, IranBarghamdi, Hadi. (2008. Effect of clearance of Ghorbat Neighborhood on social capital. Social welfare quarterly, V28: 26-283Clark, david. (1996. Urban World/ Global City. London and New York: routledge pubclose, david. W. (2007. A model for strategic social planning in a fishng economy. vascos, pp:373-398. Dalir, Karim Hosseinzade. & Others. (2009. Analysis and Qualitative Assessment of Urban Sustainability Measures in the Tabriz City Journal of Urban - Regional Studies and Research, V 2: 1-18Danca, Anthony. C. (2010. What is SWOT Analysis, Downloaded from SWOT Analysis: http://www. stfrancis. edu/content/ba/ghkickul/stuwebs/btopics/works/swot. htmFellahat, Mohammad sadegh. (2006. Sence of place and Its indexes. HonarHaye Ziba. vol26: 57-66Foroozande dehkodi, Lotfollah. (2008. Strategic planning model. Management sience, vol 45: 97-111Friedman, john. (1993. Toward anon euclidion mode of planning. JAPA journal, Autumn, pp: 43-44. Fukuyama, Francis. (2000. The order end, review of social capital and maintaining it. translated by Gholam Abbas Tavassoli. Tehran: Jahan emruz pubGiddens, Anthony. (1999. The Third Way: The Renewal of Social Democracy. translated by Manoochehr Saboori. TehranHaji poor, Khalil. (2006. Neighborhood Based planning. HonaHaye Ziba, vol6: 37-46.Hemati, Reza. (2007. Social capital, methodological challenges and measurment tools. Social capital and economic development conferranceIbrahim Poor, Eisa. (2009. The Analysis of Effective Factors in the Expansion of Coastal Region of Chabahar Tourism through SWOT Model. Journal of Urban - Regional Studies and Research, V 1:107-128Imani Jajarmi, Hossein. (2006. Neighborhood life and cultural development. Tehran. Tehran municipality.Imani Jajarmi, Hossein. (2008. Historic-cultural characteristic of community management of neighborhood in Iran. Iranian Journal of anthropology, V8.Khakpor, Baratali. & others. (2009. The role of capital in the regional stable development case study: Sajjad area

  5. A Semiotic Analysis of Cyber Emoticons (A Case Study of Kaskus Emoticons in the Lounge Forum at Kaskus-the Largest Indonesian Community

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    Didi Sukyadi


    Full Text Available Kaskus emoticons have been used widely in cyber, whether in Kaskus forum or blogs and other Instant Messengers (IMs. The use of emoticon in the forum is believed to be the latest way in communication among members. The use of emoticons is necessary to overcome the constraints of online communication, the need of being expressive and time limited. Kaskus emoticons are culturally unique because they are created by Indonesian online users without resorting to western style emoticons. Even though emotion is something universal, the way of how certain community represents it through emoticons is interesting to note. This study is aimed at exploring the significance of Kaskus emoticons in the Lounge forum at Kaskus, the Largest Indonesian Community. The analysis is rooted on semiotics, particularly Roland Barthes’ orders of signification involving five emoticons appearing in the Lounge forum at the site. The findings show that the emoticons have meaning and functions as a way to communicate, particularly in the online forum. It serves as a means of (visual communication between users to emphasize the statement in online communication, and to show mood of one’s state of feeling so that others can easily acquaint his thoughts. More to the point, emoticons are treated as alteration for some words and their meanings are associated with linked circumstances.


    Institute of Scientific and Technical Information of China (English)



    [Objective] To understand the characteristics and causes of accidental injury of the elderly in community, in order to provide bases for preventing the occurrence of accidental injuries. [Methods] Retrospectively summarized the reports about 384 elderly cases of accidental injury in community. [Results] Homes and roads were the main sites for injury accidents; falling down and falling in accidental injuries were the main reasons for the elderly; accidental injury easily leaded to fractures of the elderly. [Conclusion] Physical characteristics of the elderly easily lead to accidental injury; improving the environment and facilities, preventing falls and preventing osteoporosis are the focuses in preventing accidental injuries; it should establish and improve accident prevention network.%[目的]了解社区老年人意外伤害的特点与原因,为防范意外伤害的发生提供依据. [方法]回顾性总结某社区卫生服务中心从2007年6月~2009年12月的384例社区老年人意外伤害报告. [结果]家中和公路是老年人发生意外伤害的主要场所;跌倒、坠落是老年人意外伤害的主要原因;老年人意外伤害易导致骨折.[结论]老年人的身体特点易导致意外伤害;改善环境设施、预防跌倒、预防骨质疏松症是防范意外伤害的重点;应建立健全意外伤害防护网络.

  7. Microbial Community Structure of Casing Soil During Mushroom Growth

    Institute of Scientific and Technical Information of China (English)

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


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

  8. Seniors' Online Communities: A Quantitative Content Analysis (United States)

    Nimrod, Galit


    Purpose: To examine the contents and characteristics of seniors' online communities and to explore their potential benefits to older adults. Design and Methods: Quantitative content analysis of a full year's data from 14 leading online communities using a novel computerized system. The overall database included 686,283 messages. Results: There was…

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

    Day, Andrew; Hardcastle, Lesley; Birgden, Astrid


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

  10. 324例产后抑郁症患者的发病因素分析及社区医疗干预效果%Etiology Analysis of Postpartum Depression and Community Health Care: Retrospective Analysis of 324 Cases

    Institute of Scientific and Technical Information of China (English)

    胡成珍; 陈志萍


    目的:探讨产后抑郁症的相关发病因素,为社区干预性治疗提供理论依据.方法:对324例产妇采用Edinburgh产后抑郁量表(EPDS)及自行设计的调查表进行回顾性调查分析.结果:产后抑郁症的发生率为11.42%(37例),夫妻感情、家庭条件和亲人关怀是产后抑郁症发生的重要影响因素(P<0.05);分娩年龄、分娩方式和妊娠妇女的文化程度可能是产后抑郁症发病的相关因素,但无统计学意义;社区干预治疗28例患者(75.7%)抑郁症状明显改善.结论:社区医疗工作者为妊娠妇女提供产前产后的医疗干预以及有效的社会支持是预防和降低妊娠妇女产后抑郁发病率的重要手段.%Objective:To investigate the related risk factors of postpartum depression,and provide a theoretical basis for community health care.Methods:The retrospective analysis of 324 cases,with the maternal Edinburgh Postnatal Depression Scale(EPDS) and self-designed questionnaire,was done.Results:The occurrence of postpartum depression was 11.42%.The marital relations,family condition and care were important factors of postpartum depression (P<0.05),while the birth age,mode of delivery and maternal education level may be those relevant factors of postpartum depression(but P>0.05).The depressive symptoms were significantly improved in 28 patients with the community intervention therapy (the improved rate,75.7%).Conclusions:Community health workers can provide prenatal and postnatal care for pregnant women,as well as medical intervention and effective social support,which is important to prevent postpartum depression and reduce its incidence.

  11. Collaborative Communities Through Coproduction : Two Case Studies

    NARCIS (Netherlands)

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


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


    Directory of Open Access Journals (Sweden)

    Edmar Silva Oliveira


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

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

    Paradise, Andrew; Heaton, Paul


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

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

    Directory of Open Access Journals (Sweden)

    Raul Olalde Font


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

  15. Microbial community analysis using MEGAN. (United States)

    Huson, Daniel H; Weber, Nico


    Metagenomics, the study of microbes in the environment using DNA sequencing, depends upon dedicated software tools for processing and analyzing very large sequencing datasets. One such tool is MEGAN (MEtaGenome ANalyzer), which can be used to interactively analyze and compare metagenomic and metatranscriptomic data, both taxonomically and functionally. To perform a taxonomic analysis, the program places the reads onto the NCBI taxonomy, while functional analysis is performed by mapping reads to the SEED, COG, and KEGG classifications. Samples can be compared taxonomically and functionally, using a wide range of different charting and visualization techniques. PCoA analysis and clustering methods allow high-level comparison of large numbers of samples. Different attributes of the samples can be captured and used within analysis. The program supports various input formats for loading data and can export analysis results in different text-based and graphical formats. The program is designed to work with very large samples containing many millions of reads. It is written in Java and installers for the three major computer operating systems are available from

  16. Community-associated methicillin-resistant Staphylococcus aureus transmission in households of infected cases : a pooled analysis of primary data from three studies across international settings

    NARCIS (Netherlands)

    Knox, J; Van Rijen, M; Uhlemann, A-C; Miller, M; Hafer, C; Vavagiakis, P; Shi, Q; Johnson, P D R; Coombs, G; Kluytmans-Van Den Bergh, M; Kluytmans, J; Bennett, C M; Lowy, F D


    Diverse strain types of methicillin-resistant Staphylococcus aureus (MRSA) cause infections in community settings worldwide. To examine heterogeneity of spread within households and to identify common risk factors for household transmission across settings, primary data from studies conducted in New

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

    Directory of Open Access Journals (Sweden)

    Shelly Mahon, MS


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

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

    Directory of Open Access Journals (Sweden)

    Fábio Alexandre Melo do Rego Sousa

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

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

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


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

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

    Directory of Open Access Journals (Sweden)

    Sven Strickroth


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

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

    Paradise, Andrew


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

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

    Andre, Pierre; And Others


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

  3. Social network analysis community detection and evolution

    CERN Document Server

    Missaoui, Rokia


    This book is devoted to recent progress in social network analysis with a high focus on community detection and evolution. The eleven chapters cover the identification of cohesive groups, core components and key players either in static or dynamic networks of different kinds and levels of heterogeneity. Other important topics in social network analysis such as influential detection and maximization, information propagation, user behavior analysis, as well as network modeling and visualization are also presented. Many studies are validated through real social networks such as Twitter. This edit

  4. [A phylogenetic analysis of plant communities of Teberda Biosphere Reserve]. (United States)

    Shulakov, A A; Egorov, A V; Onipchenko, V G


    Phylogenetic analysis of communities is based on the comparison of distances on the phylogenetic tree between species of a community under study and those distances in random samples taken out of local flora. It makes it possible to determine to what extent a community composition is formed by more closely related species (i.e., "clustered") or, on the opposite, it is more even and includes species that are less related with each other. The first case is usually interpreted as a result of strong influence caused by abiotic factors, due to which species with similar ecology, a priori more closely related, would remain: In the second case, biotic factors, such as competition, may come to the fore and lead to forming a community out of distant clades due to divergence of their ecological niches: The aim of this' study Was Ad explore the phylogenetic structure in communities of the northwestern Caucasus at two spatial scales - the scale of area from 4 to 100 m2 and the smaller scale within a community. The list of local flora of the alpine belt has been composed using the database of geobotanic descriptions carried out in Teberda Biosphere Reserve at true altitudes exceeding.1800 m. It includes 585 species of flowering plants belonging to 57 families. Basal groups of flowering plants are.not represented in the list. At the scale of communities of three classes, namely Thlaspietea rotundifolii - commumties formed on screes and pebbles, Calluno-Ulicetea - alpine meadow, and Mulgedio-Aconitetea subalpine meadows, have not demonstrated significant distinction of phylogenetic structure. At intra level, for alpine meadows the larger share of closely related species. (clustered community) is detected. Significantly clustered happen to be those communities developing on rocks (class Asplenietea trichomanis) and alpine (class Juncetea trifidi). At the same time, alpine lichen proved to have even phylogenetic structure at the small scale. Alpine (class Salicetea herbaceae) that

  5. 老年社区获得性肺炎42例临床分析%Clinical analysis of 42 cases of elderly patients with community acquired pneumonia

    Institute of Scientific and Technical Information of China (English)



    目的探讨老年社区获得性肺炎(CAP)的临床特点及治疗效果.方法对42例老年CAP患者的临床资料进行回顾性分析.结果42例老年CAP病原学检测阳性率为50.0%,肺炎链球菌占阳性患者的57.1%,支原体占阳性患者的28.6%,混合感染占阳性患者的19.0%.先经验治疗,根据痰培养+药敏结果和病情变化再调整治疗方案.疗程7~14d.39例达到痊愈或显效,治疗有效率为92.9%.结论肺炎链球菌仍是引起老年CAP最常见的病原体,不典型致病菌感染日益增多,同时有部分为混合感染.头孢他啶联合阿奇霉素或莫西沙星治疗效果好,不良反应少.%Objective To investigate the clinical characteristics and treatment effects of elderly community acquired pneumonia. Methods A retrospective analysis was done in 42 cases of elderly patients with community acquired pneumonia. Results From 42 cases of patients 50.0% were with positive pathogen, 57.1%(12 patients) were with streptococcus pneumoniae, 28.6%(6 cases) were mycoplasma pneumoniae and 19.0%(4 cases) were with mixed infections. We chose antibiotics according to clinical experience at first,then changed according to the result of sputum culture and pathogenetic condition.Through clinical treatment of 7-14 days,39 patients(92.9%)had distinct improvement.Conclusion Streptococcus pneumonia is still the most common pathogen caused elderly CAP, non-typical pathogenic bacteria are increasing and mixed infections accounting for a certain proportion. The effect of ceftazidime combined with azithromycin or moxifloxacin in treatment of elderly CAP is satisfied with less adverse reactions.

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

    Directory of Open Access Journals (Sweden)

    Nadji KAHOUA


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

  7. Metagenomic analysis of microbial communities and beyond

    DEFF Research Database (Denmark)

    Schreiber, Lars


    From small clone libraries to large next-generation sequencing datasets – the field of community genomics or metagenomics has developed tremendously within the last years. This chapter will summarize some of these developments and will also highlight pitfalls of current metagenomic analyses....... It will illustrate the general workflow of a metagenomic study and introduce the three different metagenomic approaches: (1) the random shotgun approach that focuses on the metagenome as a whole, (2) the targeted approach that focuses on metagenomic amplicon sequences, and (3) the function-driven approach that uses...... heterologous expression of metagenomic DNA fragments to discover novel metabolic functions. Lastly, the chapter will shortly discuss the meta-analysis of gene expression of microbial communities, more precisely metatranscriptomics and metaproteomics....

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

    Directory of Open Access Journals (Sweden)

    Denise L Buchner

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

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

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


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

  10. The Role of Emotions in Contributors Activity: A Case Study on the GENTOO Community


    Garcia, David; Zanetti, Marcelo Serrano; Schweitzer, Frank


    We analyse the relation between the emotions and the activity of contributors in the Open Source Software project Gentoo. Our case study builds on extensive data sets from the project's bug tracking platform Bugzilla, to quantify the activity of contributors, and its mail archives, to quantify the emotions of contributors by means of sentiment analysis. The Gentoo project is known for a period of centralization within its bug triaging community. This was followed by considerable changes in co...

  11. Exploring the conceptualization of program theories in Dutch community programs: a multiple case study. (United States)

    Harting, Janneke; van Assema, Patricia


    Our objective was to evaluate whether the limited effectiveness of most community programs intended to prevent disease and promote health should be attributed to the quality of the conceptualization of their program theories. In a retrospective multiple case study we assessed the program theories of 16 community programs (cases) in the Netherlands (1990-2004). Methods were a document analysis, supplemented with member checks (insider information from representatives). We developed a community approach reference framework to guide us in reconstructing and evaluating the program theories. On the whole, programs did not clearly spell out the process theories (enabling the implementation of effective interventions), the program components (interventions) and/or the impact theories (describing pathways from interventions to ultimate effects). Program theories usually turned out to be neither specific nor entirely plausible (complete and valid). The limited effectiveness of most community programs should most probably be attributed to the limited conceptualization of program theories to begin with. Such a failure generally also precludes a thorough examination of the effectiveness of the community approach as such.

  12. A comprehensive HIV stigma-reduction and wellness-enhancement community intervention: a case study. (United States)

    French, Heleen; Greeff, Minrie; Watson, Martha J; Doak, Coleen M


    We describe the implementation of a comprehensive HIV stigma-reduction and wellness-enhancement community intervention that focused on people living with HIV (PLWH), as well as people living close to them (PLC) from six designated groups. A holistic multiple case study design was used in urban and rural settings in the North West Province, South Africa. Purposive voluntary sampling was used to recruit the PLWH group; snowball sampling was used for the PLCs. Data were analyzed by means of open coding and text document analysis. The comprehensive nature of the intervention ensured enhancement in relationships in all groups. The increase in knowledge about stigma, coping with it, and improved relationships led to PLWH feeling less stigmatized and more willing to disclose. PLCs became aware of their stigmatizing behaviors and were empowered to lead stigma reduction in their communities. Many community members were reached through these initiatives.

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

    Institute of Scientific and Technical Information of China (English)



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

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

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


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

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

    Seldon, Willa; Jolin, Michele; Schmitz, Paul


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

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

    Seldon, Willa; Jolin, Michele; Schmitz, Paul


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

  17. Community hoarding task forces: a comparative case study of five task forces in the United States. (United States)

    Bratiotis, Christiana


    During the past decade, many community task forces have formed to address hoarding problems that come to public attention. Such task forces provide a societal-level intervention to assist people with the most severe cases of hoarding, who do not voluntarily seek or want help for their hoarding behaviour. This qualitative study of five U.S. hoarding task forces included sites selected for their diversity of purpose, approaches to hoarding intervention and community geography, composition and resources. Data were collected during the period of September 2007-March 2008. The case study methodology used multiple forms of data, including semi-structured interviews, analysis of documents, small group interviews and investigator observation. This study captured the perspectives of public and private sector service providers such as mental health, housing, social service, public health agencies and community enforcement organisations (fire, police, legal, animal control) to examine how task forces organise and operate and the emerging practice and policy changes. Study findings suggest that structural factors (e.g. leadership, purpose, funding and membership) impact hoarding task force viability, that participation on a task force influences practice and policy decisions about hoarding, and that social work can expand its role in task force leadership. Task forces may be a mechanism for improving community policies about hoarding and mechanisms for addressing other social problems across multiple sectors.

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

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


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

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

    Directory of Open Access Journals (Sweden)

    Jillian Wallis


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

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

    DEFF Research Database (Denmark)

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


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

  1. Análise espacial dos casos humanos de esquistossomose em uma comunidade horticultora da Zona da Mata de Pernambuco, Brasil Spatial analysis of schistosomiasis human cases in the horticultural community of Zona da Mata of Pernambuco state, Brazil

    Directory of Open Access Journals (Sweden)

    Onicio Batista Leal Neto


    Full Text Available O objetivo deste trabalho foi descrever a distribuição espacial da esquistossomose na comunidade horticultora de Natuba, Vitória de Santo Antão, Pernambuco. Foi conduzido um inquérito parasitológico, onde foi examinado o material fecal de 310 moradores da comunidade. Os casos positivos para Schistosoma mansoni foram georreferenciados e incluídos no croqui da localidade, gerando os mapas de distribuição espacial com estimadores de kernel. Os resultados apresentaram uma alta prevalência para esquistossomose, com 28,4% da população parasitada. Outros parasitos foram encontrados em 25,8% da população. O uso das ferramentas de geoprocessamento permitiu mapear e compreender a distribuição dos casos de esquistossomose no espaço ocupado pela comunidade, destacando e relacionando locais de menor altitude (passíveis de alagamento, com uma maior frequência de casos humanos. Estudos como este fornecem informações para que os serviços de saúde local possam intervir e promover mudanças para que indivíduos residentes em áreas com baixas condições habitacionais minimizem sua exposição ao risco de contrair a esquistossomose.The objective of this study was to describe the spatial distribution of schistosomiasis in horticultural community of Natuba, district of Vitória de Santo Antão, Pernambuco state. It was conducted a parasitological survey, examined the fecal material of 310 community residents. The cases positive for Schistosoma mansoni were geocoded and included in the computerized template of the community, generating maps of spatial distribution with kernel estimators. The results showed a high prevalence of schistosomiasis, with 28.4% of the parasites. Other parasites were found in 25.8% of the population. The use of GIS tools to map and understand the possible distribution of cases of schistosomiasis in the space occupied by the community highlighting and listing locations of lower elevation (able to flooding, with a

  2. Interspecific associations and community structure: A local survey and analysis in a grass community

    Directory of Open Access Journals (Sweden)

    WenJun Zhang


    Full Text Available Interspecific associations in the plant community may help to understand the self-organizing assembly and succession of the community. In present study, Pearson correlation, net correlation, Spearman rank correlation, and point correlation were used to detect the interspecific (inter-family associations of grass species (families using the sampling data collected in a grass community of Zhuhai, China. We found that most associations between grass species (families were positive associations. The competition/interference/niche separation between grass species (families was not significant. A lot of pairs of grass species and families with statistically significant interspecific (inter-family associations based on four correlation measures were discovered. Cluster trees for grass species/families were obtained by using cluster analysis. Relationship among positive/negative associations, interspecific relationship and community succession/stability/robustness was discussed. I held that species with significant positive or negative associations are generally keystone species in the community. Although both negative and positive associations occur in the community succession, the adaptation and selection will finally result in the successful coexistence of the species with significant positive associations in the climax community. As the advance of community succession, the significant positive associations increase and maximize in climax community, and the significant negative associations increase to a maximum and then decline into climax community. Dominance of significant positive associations in the climax community means the relative stablility and equilibrium of the community. No significant associations usually account for the majority of possible interspecific associations at each phase of community succession. They guarantee the robustness of community. They are candidates of keystone species. Lose of some existing keystone species might be

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

    Yu, Chia-Ping; Young, Mei-Lein


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


    Directory of Open Access Journals (Sweden)

    Silvena DENCHEVA


    Full Text Available Internet has changed the way companies interact with customers. Customers have become the active part of the communication with business. Virtual communities are the most popular implication of the usage of Internet into business world. The article presents the nature of virtual communities and how they are functioning in the hospitality industry. The web site of hotel Dobruzda-Dobrich has been analyzed regarding its Internet presence. Internet marketing strategy for improving its internet presence is presented in the paper.

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

    Mills, Jane; Birks, Melanie; Francis, Karen


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

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

    Coady, Maureen


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

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

    White, Julie A.


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

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

    Clark, David; Southern, Rebekah; Beer, Julian


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

  9. The Analysis of 32 Cases with Sudden Death in a Community Health Service Center%社区卫生服务中心32起猝死案例分析

    Institute of Scientific and Technical Information of China (English)

    杜虹; 顾桂国; 唐敏


    Objective To explore the causes of 32 sudden death cases in a community health service center in almost five years, to strengthen medical quality at community health service center and to provide the basic safety regulation as well as reasonable suggestions. Methods The material reports of 32 cases according to 45 community health service centers in Shanghai district from 2007 to 2011 were analyzed retrospectively. All patients died in hospital less than 24 h and the medical accidents must be identified. The causes of death and treatment fault were analyzed. Results 26(81. 25% ) cases of death were caused by medical technology faulty ;5( 15. 63% ) cases were due to medical staff irresponsibility and using incorrect medicine leading to anaphylactic shock; 1 case was alcohol poisoning death. All the cases were involved medical negligence 55 times, the top five were as follows: improper disposal 16 times,accounting for 50. 00% of the total number of cases; misdiagnosis 10 times,accounting for 31. 25% of the total number of cases;improper told 9 times, accounting for 28. 13% of the total number of cases; irregular case file writing 7 times,accounting for 21. 88% of the total number of cases;lack of responsibility lead to drug allergy 5 times,accounting for 15. 63% of the total number of cases. Conclusion In order to improve the quality of medical care at community health center,avoid medical disputes,in addition to the leadership to strengthen management,the key was to strengthen the legal knowledge of training, set up good ethics, strengthen the professional knowledge of the study and improve the basic skills, regulate the case file writing,abide by conventional diagnosis and treatment,and regulate the referral process.%目的 本文对近5年来某区社区卫生服务中心发生猝死的32起案例进行回顾分析,为加强社区卫生服务中心医疗质量和安全提供依据,并提出合理建议.方法 根据2007~2011年上海某区45家社区卫生服

  10. Enhancing voluntary participation in community collaborative forest management: a case of Central Java, Indonesia. (United States)

    Lestari, Sri; Kotani, Koji; Kakinaka, Makoto


    This paper examines voluntary participation in community forest management, and characterizes how more participation may be induced. We implemented a survey of 571 respondents and conducted a case study in Central Java, Indonesia. The study's novelty lies in categorizing the degrees of participation into three levels and in identifying how socio-economic factors affect people's participation at each level. The analysis finds that voluntary participation responds to key determinants, such as education and income, in a different direction, depending on each of the three levels. However, the publicly organized programs, such as information provision of benefit sharing, are effective, irrespective of the levels of participation. Overall, the results suggest a possibility of further success and corrective measures to enhance the participation in community forest management.

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

    Institute of Scientific and Technical Information of China (English)

    Cai Kui; Du Juan; Dai Cong; Hu Huabin


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

  12. Assessment and application of national environmental databases and mapping tools at the local level to two community case studies. (United States)

    Hammond, Davyda; Conlon, Kathryn; Barzyk, Timothy; Chahine, Teresa; Zartarian, Valerie; Schultz, Brad


    Communities are concerned over pollution levels and seek methods to systematically identify and prioritize the environmental stressors in their communities. Geographic information system (GIS) maps of environmental information can be useful tools for communities in their assessment of environmental-pollution-related risks. Databases and mapping tools that supply community-level estimates of ambient concentrations of hazardous pollutants, risk, and potential health impacts can provide relevant information for communities to understand, identify, and prioritize potential exposures and risk from multiple sources. An assessment of existing databases and mapping tools was conducted as part of this study to explore the utility of publicly available databases, and three of these databases were selected for use in a community-level GIS mapping application. Queried data from the U.S. EPA's National-Scale Air Toxics Assessment, Air Quality System, and National Emissions Inventory were mapped at the appropriate spatial and temporal resolutions for identifying risks of exposure to air pollutants in two communities. The maps combine monitored and model-simulated pollutant and health risk estimates, along with local survey results, to assist communities with the identification of potential exposure sources and pollution hot spots. Findings from this case study analysis will provide information to advance the development of new tools to assist communities with environmental risk assessments and hazard prioritization.

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

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


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

  14. Soil microbial communities of postpyrogenic pine forests (case study in Russia) (United States)

    Maksimova, Ekaterina


    Soil microbial communities of postpyrogenic pine forests (case study in Russia) Ekaterina Maksimova Saint-Petersburg State University, Department of Applied Ecology, Saint-Petersburg, Russian Federation Institute of Ecology of Volga basin, Togljatty city, Russian Federation Soils, affected by catastrophic wildfires in 2010, were investigated in pine woods of Togljatty city, Samara region with the special reference to soil biological parameters. The analysis of microbial community of pine wood soils was carried out. It was revealed that wildfires have a negative impact on structure and functional activity of the microbial community postpyrogenic soils. In particular, they influence on values of eukaryotes-prokaryotes ratios, on CO2 emission intensity and on microorganisms functional state (as it was determined by microbial metabolic quotient) after wildfires. It has been revealed that microbial biomass values and basal respiration rate shows the trend to decrease in case of postfire sites compared with control (in 6.5 and 3.4 times respectively). The microbial biomass and basal respiration values have annual natural variability that testifies to a correlation of this process with soil hydrothermal conditions. However, it was also noted that wildfires don't affect on measured microbiological parameters in layers situated deeper than top 10 cm of soil. An increasing of the values, mentioned above, was observed 2-3 years after wildfires. Zone of microorganisms' activity has been moved to the lowermost soil layers. A disturbance of soil microbial communities' ecophysiological status after the fire is diagnosed by an increase of microbial metabolic quotient value. The metabolic activity of the microbial community decreases in a row: control→crown fire→ground fire. That testifies to certain intensive changes in the microbial community. High-temperature influence on microbial community has a significant effect on a total amount of bacteria, on a length of actinomycetes

  15. Worst-case analysis of heap allocations

    DEFF Research Database (Denmark)

    Puffitsch, Wolfgang; Huber, Benedikt; Schoeberl, Martin


    In object oriented languages, dynamic memory allocation is a fundamental concept. When using such a language in hard real-time systems, it becomes important to bound both the worst-case execution time and the worst-case memory consumption. In this paper, we present an analysis to determine...... the worst-case heap allocations of tasks. The analysis builds upon techniques that are well established for worst-case execution time analysis. The difference is that the cost function is not the execution time of instructions in clock cycles, but the allocation in bytes. In contrast to worst-case execution...... time analysis, worst-case heap allocation analysis is not processor dependent. However, the cost function depends on the object layout of the runtime system. The analysis is evaluated with several real-time benchmarks to establish the usefulness of the analysis, and to compare the memory consumption...

  16. Using Correspondence Analysis in Multiple Case Studies

    NARCIS (Netherlands)

    Kienstra, Natascha; van der Heijden, Peter G.M.


    In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study thi

  17. Using correspondence analysis in multiple case studies

    NARCIS (Netherlands)

    Kienstra, N.H.H.; van der Heijden, P.G.M.


    In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study thi

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

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


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

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

    Directory of Open Access Journals (Sweden)

    Isabelle Amorim


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

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

    National Association of Governors' Highway Safety Representatives.

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

  1. Community Analysis of Global Financial Markets

    Directory of Open Access Journals (Sweden)

    Irena Vodenska


    Full Text Available We analyze the daily returns of stock market indices and currencies of 56 countries over the period of 2002–2012. We build a network model consisting of two layers, one being the stock market indices and the other the foreign exchange markets. Synchronous and lagged correlations are used as measures of connectivity and causality among different parts of the global economic system for two different time intervals: non-crisis (2002–2006 and crisis (2007–2012 periods. We study community formations within the network to understand the influences and vulnerabilities of specific countries or groups of countries. We observe different behavior of the cross correlations and communities for crisis vs. non-crisis periods. For example, the overall correlation of stock markets increases during crisis while the overall correlation in the foreign exchange market and the correlation between stock and foreign exchange markets decrease, which leads to different community structures. We observe that the euro, while being central during the relatively calm period, loses its dominant role during crisis. Furthermore we discover that the troubled Eurozone countries, Portugal, Italy, Greece and Spain, form their own cluster during the crisis period.

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

    Densmore, Kathleen


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

  3. Case Fatality among Patients Hospitalized for Community-acquired Pneumonia according to Initial Antibiotic Treatment. A Comparison of Two Case Series

    Directory of Open Access Journals (Sweden)

    Luis Alberto Corona Martínez


    Full Text Available Background: community-acquired pneumonia is one of the major health problems worldwide and in the hospital of Cienfuegos.Objective: to determine the changes in the relationship between the type of antimicrobial agent used empirically at admission and case fatality for community-acquired pneumonia in two case series designed at different times.Methods: an observational, descriptive study was conducted to compare two case series of patients hospitalized due to the condition under study. The relationship between the antimicrobial agents selected (amoxicillin/sulbactam, cefuroxime, ceftriaxone and cefotaxime and case fatality was analyzed taking into account potentially confounding variables. In the statistical analysis, the Chi-square test was used to compare the proportions, and Fisher's exact test was applied, with a 95% confidence level (p <.05. Results: in the two case series, the same pattern was observed in terms of the antimicrobial agents associated with the lowest and highest case fatality: cefuroxime and cefotaxime, respectively. In contrast to the A series, the B series showed a more uniform behavior of case fatality with the use of the antimicrobials selected, which meant a considerable reduction in case fatality among patients treated initially with third-generation cephalosporins in the B series. In this sense, the most significant impact on case fatality was observed in patients receiving ceftriaxone.Conclusions: cefuroxime remains the initial empirical antimicrobial agent associated with the lowest case fatality among patients with community-acquired pneumonia. In the second case series, a clear reduction in case fatality was found in patients treated with ceftriaxone and cefotaxime.

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

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


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

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

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

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

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

    NARCIS (Netherlands)

    Gradener, Jeroen


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

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

    Croll, John A.

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

  8. Metagenomic analysis of soil microbial communities

    Directory of Open Access Journals (Sweden)

    Đokić Lidija


    Full Text Available Ramonda serbica and Ramonda nathaliae, rare resurrection plants growing in the Balkan Peninsula, produce a high amount of phenolic compounds as a response to stress. The composition and size of bacterial communities in two rhizosphere soil samples of these plants were analyzed using a metagenomic approach. Fluorescent in situ hybridization (FISH experiments together with DAPI staining showed that the metabolically active bacteria represent only a small fraction, approximately 5%, of total soil bacteria. Using universal bacteria - specific primers 16S rDNA genes were amplified directly from metagenomic DNAs and two libraries were constructed. The Restriction Fragment Length Polymorphism (RLFP method was used in library screening. Amongst 192 clones, 35 unique operational taxonomic units (OTUs were determined from the rhizosphere of R. nathaliae, and 13 OTUs out of 80 clones in total from the library of R. serbica. Representative clones from each OTU were sequenced. The majority of sequences from metagenomes showed very little similarity to any cultured bacteria. In conclusion, the bacterial communities in the studied soil samples showed quite poor diversity. .

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

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


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

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

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


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

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

    Institute of Scientific and Technical Information of China (English)

    邱均平; 王菲菲


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



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


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

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

    Stone, Mike; Wall, Geoffrey


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

  14. Analysis of algorithms beyond the worst case

    NARCIS (Netherlands)

    Balcan, Maria-Florina; Manthey, Bodo; Röglin, Heiko; Roughgarden, Tim


    This report documents the program and the outcomes of Dagstuhl Seminar 14372 "Analysis of Algorithms Beyond the Worst Case". The theory of algorithms has traditionally focused on worst-case analysis. This focus has led to both a deep theory and many beautiful and useful algorithms. However, there

  15. Risk prediction in the community: A systematic review of case-finding instruments that predict adverse healthcare outcomes in community-dwelling older adults.

    LENUS (Irish Health Repository)

    O'Caoimh, Rónán


    Few case-finding instruments are available to community healthcare professionals. This review aims to identify short, valid instruments that detect older community-dwellers risk of four adverse outcomes: hospitalisation, functional-decline, institutionalisation and death. Data sources included PubMed and the Cochrane library. Data on outcome measures, patient and instrument characteristics, and trial quality (using the Quality In Prognosis Studies [QUIPS] tool), were double-extracted for derivation-validation studies in community-dwelling older adults (>50 years). Forty-six publications, representing 23 unique instruments, were included. Only five were externally validated. Mean patient age range was 64.2-84.6 years. Most instruments n=18, (78%) were derived in North America from secondary analysis of survey data. The majority n=12, (52%), measured more than one outcome with hospitalisation and the Probability of Repeated Admission score the most studied outcome and instrument respectively. All instruments incorporated multiple predictors. Activities of daily living n=16, (70%), was included most often. Accuracy varied according to instruments and outcomes; area under the curve of 0.60-0.73 for hospitalisation, 0.63-0.78 for functional decline, 0.70-0.74 for institutionalisation and 0.56-0.82 for death. The QUIPS tool showed that 5\\/23 instruments had low potential for bias across all domains. This review highlights the present need to develop short, reliable, valid instruments to case-find older adults at risk in the community.

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

    Butler, Alison; Christofili, Monica


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

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

    Cheng, Jingli


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

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

    Gregorcic, Marta


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

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

    Hart, Angie; Northmore, Simon


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

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

    Kang, Young Taek; Printy, Susan


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

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

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


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

  2. Teaching Ethics by Case Analysis. (United States)

    Fromer, Margot Joan


    Starting with basic philosophic positions and principles, nursing students can be helped to analyze ethical dilemmas of increasing complexity. A hypothetical situation is presented and discussed as an example of a case study used to teach these principles. (CT)

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

    Directory of Open Access Journals (Sweden)

    Burgin Shelley


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

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

    Kok, Ayse


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

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

    Krieger, Jennifer


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

  6. Community evolution mining and analysis in social network (United States)

    Liu, Hongtao; Tian, Yuan; Liu, Xueyan; Jian, Jie


    With the development of digital and network technology, various social platforms emerge. These social platforms have greatly facilitated access to information, attracting more and more users. They use these social platforms every day to work, study and communicate, so every moment social platforms are generating massive amounts of data. These data can often be modeled as complex networks, making large-scale social network analysis possible. In this paper, the existing evolution classification model of community has been improved based on community evolution relationship over time in dynamic social network, and the Evolution-Tree structure is proposed which can show the whole life cycle of the community more clearly. The comparative test result shows that the improved model can excavate the evolution relationship of the community well.

  7. Are Pathogenic Leptospira Species Agents of Community-Acquired Pneumonia? Case Reports of Leptospirosis Presenting as Pneumonia. (United States)

    Gasem, M Hussein; Farida, Helmia; Ahmed, Ahmed; Severin, Juliţte A; Suryanto, Agus; Isbandrio, Bambang; Verbrugh, Henri A; Hartskeerl, Rudy A; van den Broek, Peterhans J


    We report four Indonesian cases meeting the clinical and radiological criteria for community-acquired pneumonia and other findings suggestive of leptospirosis. Quantitative PCR (qPCR) analyses of serum and urine samples and serology confirmed the diagnosis of leptospirosis in each. Results of qPCR analysis of throat swabs were concordant with those obtained with acute-phase serum samples, which suggests its potential for use as a noninvasive diagnostic tool for leptospirosis.

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

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


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

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

    Faller, Kathleen Coulborn; Henry, James


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

  10. The Role of Emotions in Contributors Activity: A Case Study on the GENTOO Community

    CERN Document Server

    Garcia, David; Schweitzer, Frank


    We analyse the relation between the emotions and the activity of contributors in the Open Source Software project Gentoo. Our case study builds on extensive data sets from the project's bug tracking platform Bugzilla, to quantify the activity of contributors, and its mail archives, to quantify the emotions of contributors by means of sentiment analysis. The Gentoo project is known for a considerable drop in development performance after the sudden retirement of a central contributor. We analyse how this event correlates with the negative emotions, both in bilateral email discussions with the central contributor, and at the level of the whole community of contributors. We then extend our study to consider the activity patters on Gentoo contributors in general. We find that contributors are more likely to become inactive when they express strong positive or negative emotions in the bug tracker, or when they deviate from the expected value of emotions in the mailing list. We use these insights to develop a Bayes...

  11. Microbial communities of the Costa Rica Margin: contamination controls and community analysis (United States)

    Martino, A. J.; Biddle, J.; House, C. H.


    Most microbiology work in marine subsurface sediments has been focused in the upper 100-200 meters of sediment, as the switchover from advanced piston coring (APC) to extended core barrel coring (XCB) generally occurs around this depth. This leads to large increases in drilling-induced contamination and interferes in molecular studies. Here, we utilized deep 16S rRNA sequencing of DNA from both the subsurface sediments and the drilling fluid as a strategy for separating sequence information originating from drill-fluid contamination from that which represents the indigenous microbial communities of the sediments. This permitted a characterization of both sediment microbial communities and drilling-fluid communities that was thorough enough to confidently show the differences in the communities. Examination of the results suggests that sequences originating from drilling fluid may be only a minor portion of the data obtained from even the deepest XCB cores examined, and further that the different community composition of the drilling fluid should permit the subtraction of contaminating lineages from the analysis. As part of this work, we also show an extensive community composition analysis of multiple samples from two drilling sites of IODP Expedition 334, on the upper plate of the subduction zone between the Cocos plate and the Caribbean plate, off the Costa Rica Margin. Preliminary analysis of the sequence data suggests that the bacterial communities at both the upper slope site (1379) and the mid-slope site (1378) are dominated by Chloroflexi, Nitrospirae, Actinobacteria, Planctomycetes, and Proteobacteria, while Archaeal communities are dominated by the Miscellaneous Crenarchaeotal Group. Using universal primers revealed that the relative dominance of Bacteria to Archaea differs between the two sites, and the trends of increasing and decreasing abundance with depth are nearly opposite between the sites. At site 1379, the Bacterial to Archaeal relationship seems

  12. Anemia situation analysis and countermeasures of 48 cases of community gestation women%社区妊娠期孕妇贫血情况48例分析与对策

    Institute of Scientific and Technical Information of China (English)



    Objective:To explore the anemia situation of gestational woman in this community,analyze the influence of gestational anemia on pregnant women and fetal and put forward corresponding prevention and treatment measures.Methods:The clinical data of 48 cases of pregnant women during gestational stages were analyzed retrospectively,the incidence of anemia on early stages, metaphase stages and late pregnancy were analyzed and the corresponding prevention measures were putted forward.Results:The anaemia rate of pregnant women in community was 8.6% and the pregnancy anemia occurred in the middle and late pregnancy, which had certain correlation with pregnant women life diet and accordance to the doctor's advice or not.Conclusion:Gestation anemia often occured in the middle of the pregnancy and late pregnancy,so fully prepared for pregnancy were needed.Scientific and reasonable adjusting the diet structure,balanced nutrition,following the doctor's advice to detecte and treat anemia condition in the hospital timely could reduce the pregnant anemia during pregnancy and minimize the damage of anemia to pregnant women and fetus during pregnancy.%目的:探究本社区妊娠期孕妇贫血情况,分析妊娠期贫血对孕妇及其胎儿的影响,并提出相应的预防与治疗措施。方法:回顾性分析实施围产期保健的48例妊娠期孕妇的临床资料,分析孕早期、孕中期与孕晚期的贫血发生率,并提出相应的防治措施。结果:社区内妊娠期孕妇贫血率8.6%,妊娠期孕妇贫血多发生在孕中期和孕晚期,且和孕妇的生活饮食结构、是否遵医嘱有一定关联。结论:妊娠期贫血常发生于孕中期和孕晚期,故需充分做好孕前准备。科学合理地调整饮食结构,保持营养均衡,遵照医嘱按时到医院进行产前检查及时发现并治疗贫血,以减少妊娠期孕妇的贫血情况,最大限度降低孕期贫血给孕妇及胎儿带来的危害。

  13. Bayesian model-based cluster analysis for predicting macrofaunal communities

    NARCIS (Netherlands)

    Braak, ter C.J.F.; Hoijtink, H.; Akkermans, W.; Verdonschot, P.F.M.


    To predict macrofaunal community composition from environmental data a two-step approach is often followed: (1) the water samples are clustered into groups on the basis of the macrofauna data and (2) the groups are related to the environmental data, e.g. by discriminant analysis. For the cluster ana

  14. Metagenomics meets time series analysis: unraveling microbial community dynamics

    NARCIS (Netherlands)

    Faust, K.; Lahti, L.M.; Gonze, D.; Vos, de W.M.; Raes, J.


    The recent increase in the number of microbial time series studies offers new insights into the stability and dynamics of microbial communities, from the world's oceans to human microbiota. Dedicated time series analysis tools allow taking full advantage of these data. Such tools can reveal periodic

  15. Exploring Twitter communication dynamics with evolving community analysis

    Directory of Open Access Journals (Sweden)

    Konstantinos Konstantinidis


    Full Text Available Online Social Networks (OSNs have been widely adopted as a means of news dissemination, event reporting, opinion expression and discussion. As a result, news and events are being constantly reported and discussed online through OSNs such as Twitter. However, the variety and scale of all the information renders manual analysis extremely cumbersome, and therefore creating a storyline for an event or news story is an effort-intensive task. The main challenge pertains to the magnitude of data to be analyzed. To this end, we propose a framework for ranking the resulting communities and their metadata on the basis of structural, contextual and evolutionary characteristics such as community centrality, textual entropy, persistence and stability. We apply the proposed framework on three Twitter datasets and demonstrate that the analysis that followed enables the extraction of new insights with respect to influential user accounts, topics of discussion and emerging trends. These insights could primarily assist the work of social and political analysis scientists and the work of journalists in their own story telling, but also highlight the limitations of existing analysis methods and pose new research questions. To our knowledge, this study is the first to investigate the ranking of dynamic communities. In addition, our findings suggest future work regarding the determination of the general context of the communities based on structure and evolutionary behavior alone.

  16. Erythroderma: analysis of 247 cases

    Directory of Open Access Journals (Sweden)

    Cidia Vasconcellos


    Full Text Available The profile of 247 patients with erythroderma during a 23 year period from January, 1962 through March, 1985, with a follow-up period ranging from 1 to 26 years were analysed. The patients presented with diffuse erythema, scaling and pruritus of more than 2 months' duration, and the age ranged from 16 to 60 years. Psoriasis was the most frequent underlying disease with an estimated frequency of 44.9%, the reaction to the use of drugs appeared in 7.3% of total cases and association with reticulosis showed a frequency of 4.1%. The cause of the erythroderma could not be determined in 29.2% of the cases. Sex differences in terms of underlying diseases were not observed. One or more skin biopsies along with the clinical findings were diagnostic or suggestive of the underlying disease in 63.6% of the cases. Repeated skin biopsies are recommended as the best method for etiologic diagnosis of erythroderma. At P=0.05 significance level, masculine/feminine ratio of 2 : 1 was found. The question arises wether causal agent of erythroderma may not be somehow related to different exposure by sex to environmental antigens.

  17. Correlation network analysis applied to complex biofilm communities.

    Directory of Open Access Journals (Sweden)

    Ana E Duran-Pinedo

    Full Text Available The complexity of the human microbiome makes it difficult to reveal organizational principles of the community and even more challenging to generate testable hypotheses. It has been suggested that in the gut microbiome species such as Bacteroides thetaiotaomicron are keystone in maintaining the stability and functional adaptability of the microbial community. In this study, we investigate the interspecies associations in a complex microbial biofilm applying systems biology principles. Using correlation network analysis we identified bacterial modules that represent important microbial associations within the oral community. We used dental plaque as a model community because of its high diversity and the well known species-species interactions that are common in the oral biofilm. We analyzed samples from healthy individuals as well as from patients with periodontitis, a polymicrobial disease. Using results obtained by checkerboard hybridization on cultivable bacteria we identified modules that correlated well with microbial complexes previously described. Furthermore, we extended our analysis using the Human Oral Microbe Identification Microarray (HOMIM, which includes a large number of bacterial species, among them uncultivated organisms present in the mouth. Two distinct microbial communities appeared in healthy individuals while there was one major type in disease. Bacterial modules in all communities did not overlap, indicating that bacteria were able to effectively re-associate with new partners depending on the environmental conditions. We then identified hubs that could act as keystone species in the bacterial modules. Based on those results we then cultured a not-yet-cultivated microorganism, Tannerella sp. OT286 (clone BU063. After two rounds of enrichment by a selected helper (Prevotella oris OT311 we obtained colonies of Tannerella sp. OT286 growing on blood agar plates. This system-level approach would open the possibility of

  18. Metagenomic analysis of the microbial community in kefir grains. (United States)

    Nalbantoglu, Ufuk; Cakar, Atilla; Dogan, Haluk; Abaci, Neslihan; Ustek, Duran; Sayood, Khalid; Can, Handan


    Kefir grains as a probiotic have been subject to microbial community identification using culture-dependent and independent methods that target specific strains in the community, or that are based on limited 16S rRNA analysis. We performed whole genome shotgun pyrosequencing using two Turkish Kefir grains. Sequencing generated 3,682,455 high quality reads for a total of ∼1.6 Gbp of data assembled into 6151 contigs with a total length of ∼24 Mbp. Species identification mapped 88.16% and 93.81% of the reads rendering 4 Mpb of assembly that did not show any homology to known bacterial sequences. Identified communities in the two grains showed high concordance where Lactobacillus was the most abundant genus with a mapped abundance of 99.42% and 99.79%. This genus was dominantly represented by three species Lactobacillus kefiranofaciens, Lactobacillus buchneri and Lactobacillus helveticus with a total mapped abundance of 97.63% and 98.74%. We compared and verified our findings with 16S pyrosequencing and model based 16S data analysis. Our results suggest that microbial community profiling using whole genome shotgun data is feasible, can identify novel species data, and has the potential to generate a more accurate and detailed assessment of the underlying bacterial community, especially for low abundance species.

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

    Directory of Open Access Journals (Sweden)

    Amanda J. Baxter


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

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

    Lowry, Roy K.


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

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

    Anzoise, Valentina; Sardo, Stefania


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

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

    Directory of Open Access Journals (Sweden)

    Ibrahim Koc


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

  3. Sensitivity analysis in the WWTP modelling community – new opportunities and applications

    DEFF Research Database (Denmark)

    Sin, Gürkan; Ruano, M.V.; Neumann, Marc B.


    design (BSM1 plant layout) using Standardized Regression Coefficients (SRC) and (ii) Applying sensitivity analysis to help fine-tuning a fuzzy controller for a BNPR plant using Morris Screening. The results obtained from each case study are then critically discussed in view of practical applications......A mainstream viewpoint on sensitivity analysis in the wastewater modelling community is that it is a first-order differential analysis of outputs with respect to the parameters – typically obtained by perturbing one parameter at a time with a small factor. An alternative viewpoint on sensitivity...

  4. Metagenomics meets time series analysis: unraveling microbial community dynamics. (United States)

    Faust, Karoline; Lahti, Leo; Gonze, Didier; de Vos, Willem M; Raes, Jeroen


    The recent increase in the number of microbial time series studies offers new insights into the stability and dynamics of microbial communities, from the world's oceans to human microbiota. Dedicated time series analysis tools allow taking full advantage of these data. Such tools can reveal periodic patterns, help to build predictive models or, on the contrary, quantify irregularities that make community behavior unpredictable. Microbial communities can change abruptly in response to small perturbations, linked to changing conditions or the presence of multiple stable states. With sufficient samples or time points, such alternative states can be detected. In addition, temporal variation of microbial interactions can be captured with time-varying networks. Here, we apply these techniques on multiple longitudinal datasets to illustrate their potential for microbiome research.

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

    Directory of Open Access Journals (Sweden)

    Michael Hitch


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

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

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


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

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

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


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

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

    Postma, Julie


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

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

    Directory of Open Access Journals (Sweden)

    Wanga Z. Zembe-Mkabile


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

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

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


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

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

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


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

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

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


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

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

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


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

  14. Matrix composition and community structure analysis of a novel bacterial pyrite leaching community. (United States)

    Ziegler, Sibylle; Ackermann, Sonia; Majzlan, Juraj; Gescher, Johannes


    Here we describe a novel bacterial community that is embedded in a matrix of carbohydrates and bio/geochemical products of pyrite (FeS(2)) oxidation. This community grows in stalactite-like structures--snottites--on the ceiling of an abandoned pyrite mine at pH values of 2.2-2.6. The aqueous phase in the matrix contains 200 mM of sulfate and total iron concentrations of 60 mM. Micro-X-ray diffraction analysis showed that jarosite [(K,Na,H(3)O)Fe(3)(SO(4))(2)(OH)(6)] is the major mineral embedded in the snottites. X-ray absorption near-edge structure experiments revealed three different sulfur species. The major signal can be ascribed to sulfate, and the other two features may correspond to thiols and sulfoxides. Arabinose was detected as the major sugar component in the extracellular polymeric substance. Via restriction fragment length polymorphism analysis, a community was found that mainly consists of iron oxidizing Leptospirillum and Ferrovum species but also of bacteria that could be involved in dissimilatory sulfate and dissimilatory iron reduction. Each snottite can be regarded as a complex, self-contained consortium of bacterial species fuelled by the decomposition of pyrite.

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

    Des Jardins, Terrisca R


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

  16. 某社区产褥期接受三次家庭访视的产妇健康状况分析%Maternal Health Status During Puerperium: A community-based retrospective analysis of 338 cases

    Institute of Scientific and Technical Information of China (English)

    林晓英; 郭玲; 刘素珍; 杨梅兰; 高喜莲


    Objective To find out the current status and the influence factors of maternal health during puerperium, and to provide an evidence to improvement the home visiting service provided by community health nursing. Methods The data of maternal health status of 338 puerperae who accepted three -time home visiting during puerperium were retrospectively analyzed. Results The proportion of cesarean section was high to 71% and there were significant differences among the puerperae with different ages and degrees of education ( P < 0. 05 ). Some 61. 2% of them had hypogalactia, and there was significant difference among the puerperae of different age groups ( P < 0. 05 ). Only 47. 9% of the puerperae insisted pure breastfeeding during one month of puerperium. Univariate analysis revealed that the hypogalactia had a remarkable influence to breastfeeding ( P =0. 00 ); 53. 3% of the puerperae had sub - involution of uterus, 52. 1% had the prolonged lochia; and only 5. 3% had other disorders or health problems. Conclusion It is important to improve the home visiting service, to enhance the health promotion work for perinatal women, and raise their self - managing healthability so as to ensure the maternal health and life quality.%目的 分析某社区产妇接受产后家庭访视期间的健康状况及其影响因素,明确家庭访视的效果.方法 回顾性分析338例产妇的家庭访视资料.结果 选择剖宫产产妇比例较大(占71.0%),不同年龄、文化程度产妇对分娩方式的选择差异有统计学意义(P<0.05);61.2%的产妇曾有乳汁不足问题,且在不同年龄段产妇间的差异有统计学意义(P<0.05);1个月内产妇全程纯母乳喂养执行率低(47.9%),单因素分析显示乳汁不足对母乳喂养有明显影响(P=0.00);产妇子宫复旧不佳(53.3%)问题突出,主要是恶露延迟(52.1%),但其他疾病或健康问题发生率较低(5.3%).结论 社区卫生服务中心应从提高自身访视质量出

  17. The iSchool Community: A Case Study of iConference Reviews

    DEFF Research Database (Denmark)

    Bogers, Toine; Greifeneder, Elke


    A fair review process is essential to the success of any scientific conference. In this paper we present an analysis of the reviewing process of the 2014-2015 iConferences as well as a demographic analysis of the iConference community as a whole. The results show a clear need for making...... cover all the aspects represented by the review scores. The results of our study provide the iSchool community with a descriptive analysis of its community and a better understanding of its review process....... the reviewer pool more representative of the iSchool community as a whole by including more women and more researchers from Asian institutions. Other recommendations are to improve the continuity of the reviewer pool and to provide clearer instructions to reviewers to ensure that written reviews explicitly...

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

    Campbell, R; Ahrens, C E


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

  19. Head raising analysis and case revaluation

    Directory of Open Access Journals (Sweden)

    Ager Gondra


    Full Text Available This paper shows that Basque relative clause construction follows the Head Raising Analysis: the CP of the relative clause is a complement to the external D and the Head of the relative clause, base-generated inside the TP, moves to the specifier position of the CP. This analysis predicts that the raised DPwill show a TP-internal Case. However, this is not the case, and the DP manifests the Case associated with the main clause. In order to address these Case inconsistencies, Precariousness Condition is proposed. This condition states that a DCase valued u-feature is precarious until it is sent to Spell-Out and therefore, the value is visible for further targeting by a c-commanding Probe.  Evidence for this multiple Agree operation comes from a DP long distance extraction.

  20. Rocky-shore communities as indicators of water quality: a case study in the Northwestern Mediterranean. (United States)

    Pinedo, Susana; García, María; Satta, Maria Paola; de Torres, Mariona; Ballesteros, Enric


    The collection of 152 samples from the upper sublittoral zone along the rocky coasts of Catalonia (Northwestern Mediterranean) was carried out in 1999 in order to test the suitability of littoral communities to be used as indicators of water quality in the frame of the European Water Framework Directive. Detrended correspondence analysis were performed to distinguish between different communities and to relate communities composition to water quality. Samples collected in reference sites were included in the analysis. Mediterranean rocky shore communities situated in the upper sublittoral zone can be used as indicators of the water quality: there is a gradient from high to bad status that comprises from dense Cystoseira mediterranea forests to green algae dominated communities. The geographical patterns in the distribution of these communities show that the best areas are situated in the Northern coast, where tourism is the main economic resource of the area, and the worst area is situated close to the metropolitan zone of Barcelona with high population and industrial development. Thus, Mediterranean sublittoral rocky shore communities are useful indicators of water quality and multivariate analysis are a suitable statistical tool for the assessment of the ecological status.

  1. Thanatophoric dysplasia: case-based bioethical analysis

    Directory of Open Access Journals (Sweden)

    Edgar Abarca López


    Full Text Available This paper presents a case report of thanatophoric displasia diagnosed in the prenatal period using ultrasound standards. The course of the case pregnancy, birth process, and postnatal period is described. This report invites bioethical analysis using its principles, appealing to human dignity, diversity and otherness, particularly in the mother-child dyad and their family. An early diagnosis allows parental support as they face the course of this condition and its potentially fatal outcome.

  2. Smoothed analysis: analysis of algorithms beyond worst case

    NARCIS (Netherlands)

    Manthey, Bodo; Röglin, Heiko


    Many algorithms perform very well in practice, but have a poor worst-case performance. The reason for this discrepancy is that worst-case analysis is often a way too pessimistic measure for the performance of an algorithm. In order to provide a more realistic performance measure that can explain the

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

    Kiger, Brandon S.

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

  4. A decision model for selecting sustainable drinking water supply and greywater reuse systems for developing communities with a case study in Cimahi, Indonesia. (United States)

    Henriques, Justin J; Louis, Garrick E


    Capacity Factor Analysis is a decision support system for selection of appropriate technologies for municipal sanitation services in developing communities. Developing communities are those that lack the capability to provide adequate access to one or more essential services, such as water and sanitation, to their residents. This research developed two elements of Capacity Factor Analysis: a capacity factor based classification for technologies using requirements analysis, and a matching policy for choosing technology options. First, requirements analysis is used to develop a ranking for drinking water supply and greywater reuse technologies. Second, using the Capacity Factor Analysis approach, a matching policy is developed to guide decision makers in selecting the appropriate drinking water supply or greywater reuse technology option for their community. Finally, a scenario-based informal hypothesis test is developed to assist in qualitative model validation through case study. Capacity Factor Analysis is then applied in Cimahi Indonesia as a form of validation. The completed Capacity Factor Analysis model will allow developing communities to select drinking water supply and greywater reuse systems that are safe, affordable, able to be built and managed by the community using local resources, and are amenable to expansion as the community's management capacity increases.

  5. The Impact of Culture On Smart Community Technology: The Case of 13 Wikipedia Instances

    Directory of Open Access Journals (Sweden)

    Zinayida Petrushyna


    Full Text Available Smart communities provide technologies for monitoring social behaviors inside communities. The technologies that support knowledge building should consider the cultural background of community members. The studies of the influence of the culture on knowledge building is limited. Just a few works consider digital traces of individuals that they explain using cultural values and beliefs. In this work, we analyze 13 Wikipedia instances where users with different cultural background build knowledge in different ways. We compare edits of users. Using social network analysis we build and analyze co- authorship networks and watch the networks evolution. We explain the differences we have found using Hofstede dimensions and Schwartz cultural values and discuss implications for the design of smart community technologies. Our findings provide insights in requirements for technologies used for smart communities in different cultures.

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

    Head, Barbara A; Bays, Cathy


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

  7. Being a case manager for persons with borderline personality disorder: perspectives of community mental health center clinicians. (United States)

    Nehls, N


    The scope of case management has expanded to include persons with chronic, nonpsychotic disorders, in particular, persons diagnosed with borderline personality disorder. Despite more widespread use, literature about case management for persons with this disorder is limited. To address this gap in knowledge, a study of the day-to-day experiences of case managers who care for persons with borderline personality disorder was conducted. Seventeen community mental health center case managers gave their informed consent to participate in individual, in-depth interviews. The interviews were analyzed using an interpretive phenomenological research approach. The analysis showed a pattern of monitoring self-involvement. The case managers monitored themselves in terms of expressing concern and setting boundaries. These shared practices highlight a central and unique component of being a case manager for persons with borderline personality disorder, that is, the case manager's focus of attention is on self. By focusing on the self, case managers seek to retain control of the nature of the relationship. The author asserts that the matter to be resolved is not to determine whether retaining or relinquishing control is better, but rather, how best to help practitioners maintain a helpful relationship over time with persons who have borderline personality disorder. In an effort to accomplish this goal, questions about current helping practices and suggestions for working collaboratively with persons who have this diagnosis are provided.

  8. 社区银行的内涵特征、历史沿革与模式创新--基于中外社区银行的内容分析与案例研究%The Connotation, Characteristics, History and Mode Innovation of Community Banks---A Content Analysis and Case Studies at Home and Abroad

    Institute of Scientific and Technical Information of China (English)



    本研究梳理了社区与社区银行的概念,通过对14组代表性定义的内容分析和编码发现传统社区银行的实质就是中小型商业银行。社区隐含了社区银行的覆盖范围、服务对象和业务特征,其服务对象没有实质差别。研究提出了社区银行的四个维度和特征,分别是银行规模、覆盖范围、服务对象和业务种类。监管机构和美国提出者更关注银行规模,而研究者特别是中国研究者更重视覆盖范围。因此,“地理范围论”和“资产规模论”基本成立,而“国别论”理论差别不大,“所有制论”和“形态论”并不成立。通过案例研究和实地调研归纳出社区银行的三种主要模式:即美国的“关系信贷”、澳大利亚的“特许经营”和中国的“金融生态”模式。其中,“特许经营”模式变相扩大了银行规模和覆盖范围两个维度,而“金融生态”模式扩展和丰富了银行规模、覆盖范围和业务种类。最后,结合发达国家的先进经验,有针对性地提出四点建议,并构建了中国社区银行建设的特征与要素模型。%This study reviews the concept of community and community bank .Then, we find the essence of traditional community bank is small and medium commercial bank through the definition of 14 repre-sentative groups for content analysis and coding .Community implies coverage , customers and types of business of community bank , and there is no real difference in the customers .We propose four dimen-sions and characteristics of community banks , namely bank (asset) size, coverage, customer and busi-ness type.Regulatory agencies and the U.S.researchers are more concerned about bank (asset) size, researchers particular Chinese pay more attention to coverage .Therefore , the“geographical scope view”and “scale of assets view” basically right , and the“country difference view” theoretically same ,

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

    DEFF Research Database (Denmark)

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


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

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

    DEFF Research Database (Denmark)

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


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

  11. Population behaviors and language maintenance--a case of the Korean-speaking community in China. (United States)

    Zhou, Qingsheng


    With the regard to language maintenance, one of the most successful in over fifty of ethno-linguistic communities in China is the Korean community with more than two millions of Korean-speakers, in which there have been Regulations Regarding the Ethnic Language Use, and a maintenance-orientated and bilingual education system. However, language attrition comes to be occurring in the Korean community because more than two hundred thousands of Korean-speaking migrants have streamed from the Korean-rural community to the Chinese-urban community for the last twenty years. This paper, in urban-anthropological and sociolinguistic perspectives, is aiming at an analysis of the cause of population moves and the urbanization process of the Korean community as well as their impact on the language maintenance and bilingual education in the Korean community. It is mainly divided into four sections, namely, (1) the situation of Korean-speaking community; (2) the problem of language maintenance; (3) the impact of Korean-speakers moves on language maintenance; (4) the impact of negative growth of population, and (5) the impact of uneven ratio of female population.

  12. Analysis of the communities of an urban mobile phone network (United States)

    Botta, Federico; del Genio, Charo I.


    Being able to characterise the patterns of communications between individuals across different time scales is of great importance in understanding people’s social interactions. Here, we present a detailed analysis of the community structure of the network of mobile phone calls in the metropolitan area of Milan revealing temporal patterns of communications between people. We show that circadian and weekly patterns can be found in the evolution of communities, presenting evidence that these cycles arise not only at the individual level but also at that of social groups. Our findings suggest that these trends are present across a range of time scales, from hours to days and weeks, and can be used to detect socially relevant events. PMID:28334003

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

    NARCIS (Netherlands)

    A. Ayala Alemán (Alonzo)


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

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

    McDonough, Jessica S.


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

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

    Dixon, Marion W.

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

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

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


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

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

    Alt, Albert G.


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

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

    Kiebert-Gruen, Cathleen


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

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

    Merchant, Natasha Hakimali


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

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

    Himmelheber, Sarah


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

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

    Directory of Open Access Journals (Sweden)

    Mengesha Zelalem Birhanu


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

  2. Determining patterns of variability in ecological communities: time lag analysis revisited

    NARCIS (Netherlands)

    Kampichler, C.; Van der Jeugd, H.P.


    All ecological communities experience change over time. One method to quantify temporal variation in the patterns of relative abundance of communities is time lag analysis (TLA). It uses a distance-based approach to study temporal community dynamics by regressing community dissimilarity over increas

  3. Mining Data from Weibo to WeChat: A Comparative Case Study of MOOC Communities on Social Media in China (United States)

    Zhang, Ke


    This article starts with an overview on China's MOOC phenomenon and social media, and then reports a comparative, multiple case study on three selected MOOC communities that have emerged on social media in China. These representative MOOC communities included: (a) MOOC Academy, the largest MOOC community in China, (b) Zhejiang University of…

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

    Directory of Open Access Journals (Sweden)

    Honeycutt Sally


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

  5. Emergence of Raoultella ornithinolytica on O'ahu: a case of community-acquired R. ornithinolytica urinary tract infection. (United States)

    Nakasone, Elizabeth S; Kaneshiro, Ricky; Min, Kathleen; Tokeshi, Jinichi


    Human infection with Raoultella ornithinolytica is rare, with only ten cases having been reported previously. This case report describes a local patient diagnosed with community-acquired R. ornithinolytica urinary tract infection in 2014.

  6. [Integral approach by the case manager and the community nurse to a complex case of diabetes mellitus in the home]. (United States)

    Prats-Guardiola, Marta; López-Pisa, Rosa María


    We present the case of a patient with long-term and clinically complex Diabetes Mellitus. She was taking part in the home care program in Primary Care. The complications of her DM affected her quality of life: blindness, kidney failure, treated with hemodialysis, and a cerebrovascular attack. We describe the evaluation following Virginia's Henderson model. This evaluation was made in the patient's home after she was discharged from the socio-health centre where she was admitted as her right leg was amputated at a supracondylar level. It was designed a care plan between the community nurse and the case manager using NANDA, NOC and NIC taxonomy. The care plan was carried out as a joint effort between the community nurse and the case manager who coordinated the planning with the rest of professionals. Results were evaluated 6 months after the initial assessment. This case, which had a high dependence and a high clinical complexity, required a multidisciplinary approach and the integration of different professionals, services and institutions to implement the patient's treatment. Because of all the above, it is important to mention the case management function to guarantee continuity, and overall and integrated care.

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

    Directory of Open Access Journals (Sweden)

    Alejandra Orozco-Quintero


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

  8. Engaging diverse communities participating in clinical trials: case examples from across Africa

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    Doumbo Ogobara


    Full Text Available Abstract Background In the advent of increasing international collaborative research involving participants drawn from populations with diverse cultural backgrounds, community engagement becomes very critical for the smooth conduction of the research. The African Malaria Network Trust (AMANET is a pan-African non-governmental organization that sponsors and technically supports malaria vaccine trials in various African countries. Case description AMANET sponsored phase Ib or IIb clinical trials of several malaria vaccine candidates in various Africa countries. In Burkina Faso, Mali and Tanzania trials of the merozoite surface protein 3 -- in its Long Synthetic Peptide configuration (MSP3 LSP -- were conducted. In Mali, the apical membrane antigen 1 (AMA1 was tested, while a hybrid of glutamate rich protein (GLURP and MSP3 (GMZ2 was tested in Gabon. AMANET recognizes the importance of engaging with the communities from which trial participants are drawn, hence community engagement was given priority in all project activities conducted in the various countries. Discussion and evaluation Existing local social systems were used to engage the communities from which clinical trial participants were drawn. This article focuses on community engagement activities employed at various AMANET-supported clinical trial sites in different countries, highlighting subtle differences in the approaches used. The paper also gives some general pros and cons of community engagement. Conclusions Community engagement enables two-way sharing of accurate information and ideas between researchers and researched communities, which helps to create an environment conducive to smooth research activities with enhanced sense of research ownership by the communities.

  9. Case management of malaria fever at community pharmacies in Pakistan; a threat to rational drug use

    Directory of Open Access Journals (Sweden)

    Hassali MA


    Full Text Available Objective: To document the case management of uncomplicated malaria fever at community pharmacies located in the two major cities of Pakistan; Islamabad (national capital and Rawalpindi (twin city. Method: A comparative, cross-sectional study was designed to document the management of uncomplicated malaria fever at community pharmacies in twin cities of Pakistan through simulated patient visits. Visits were conducted in 238 randomly selected pharmacies to request advice for a simulated patient case of malaria. The pharmacy’s management was scored on a checklist including history taking and provision of advice and information. Kruskal-Wallis test and Mann-Whitney U test were used to compare management of uncomplicated malaria fever by different types of dispensers working at community pharmacies situated at different locations in the twin cities.Results: The simulated patients were handled by salesmen (74.8%, n=178, pharmacist (5.4%, n=13 and diploma holders (19.8 %, n=47. Medication was dispensed in 83.1 % (n=198 of the visits, but only few of the treated cases were in accordance to standard treatment guidelines for malaria. However, in 14.8% (n=35 of the cases the simulated patients were directly referred to a physician. There was a significant difference observed in the process of history taking performed by different dispensers (e.g. pharmacist, pharmacy assistant, pharmacy diploma holders and salesman while no significant differences in the provision of advice by these dispensers was observed. Pharmacists were seen more frequently involved in the process of history taking if available at the community pharmacies. On the other hand, no significant differences were observed in the case management (history taking and provision of advice for the treatment of malaria fever among community pharmacies situated at different locations (e.g. near hospital/super market/small market in the twin cities.Conclusion: The results of the study revealed that

  10. The institutional space of community initiatives for renewable energy: a comparative case study of the Netherlands, Germany and Denmark

    NARCIS (Netherlands)

    Oteman, M.I.; Wiering, M.A.; Helderman, J.K.


    Background Community initiatives for renewable energy are emerging across Europe but with varying numbers, success rates and strategies. A literature overview identifies structural, strategic and biophysical conditions for community success. Our analysis focuses on institutional structure, as we de

  11. Factors Associated With Weight Change in Online Weight Management Communities: A Case Study in the LoseIt Reddit Community (United States)

    Ribeiro, Antonio; Couto Silva, Ana Paula; Meira Jr, Wagner


    Background Recent research has shown that of the 72% of American Internet users who have looked for health information online, 22% have searched for help to lose or control weight. This demand for information has given rise to many online weight management communities, where users support one another throughout their weight loss process. Whether and how user engagement in online communities relates to weight change is not totally understood. Objective We investigated the activity behavior and analyze the semantic content of the messages of active users in LoseIt (r/loseit), a weight management community of the online social network Reddit. We then explored whether these features are associated with weight loss in this online social network. Methods A data collection tool was used to collect English posts, comments, and other public metadata of active users (ie, users with at least one post or comment) on LoseIt from August 2010 to November 2014. Analyses of frequency and intensity of user interaction in the community were performed together with a semantic analysis of the messages, done by a latent Dirichlet allocation method. The association between weight loss and online user activity patterns, the semantics of the messages, and real-world variables was found by a linear regression model using 30-day weight change as the dependent variable. Results We collected posts and comments of 107,886 unique users. Among these, 101,003 (93.62%) wrote at least one comment and 38,981 (36.13%) wrote at least one post. Median percentage of days online was 3.81 (IQR 9.51). The 10 most-discussed semantic topics on posts were related to healthy food, clothing, calorie counting, workouts, looks, habits, support, and unhealthy food. In the subset of 754 users who had gender, age, and 30-day weight change data available, women were predominant and 92.9% (701/754) lost weight. Female gender, body mass index (BMI) at baseline, high levels of online activity, the number of upvotes

  12. A case of community-acquired Acinetobacter junii-johnsonii cellulitis. (United States)

    Henao-Martínez, Andrés F; González-Fontal, Guido R; Johnson, Steven


    Acinetobacter skin and soft tissue infection outside of the traumatic wound setting are rare occurrences. The majority of cases occur in the presence of significant comorbilities and by Acinetobacter baumanii. Herein a case is reported of community-onset, health-care-associated, non-traumatic cellulitis caused by Acinetobacter, species junii-johnsonii with bacteremia. This is the first reported case of Acinetobacter junii-johnsonii skin and soft tissue infection. Hemorrhagic bullae might be one of the clinical features of Acinetobacter cellulitis.

  13. Analysis of the causes of forty-one cases of needle-stick injury of community nurses%社区护士针刺伤41例原因分析

    Institute of Scientific and Technical Information of China (English)



    Objective:To investigate and analyze the occurrences of the needle stick injuries to the nurse in Huating community to provide a basis for formulating corresponding preventive measure. Method:The occurrence of needle stick injury to the Huating community nurses from 2010/01-2012/12 was investigated with the designed questionnaire by literature review by the special personnel in charge. Result:There were 41 nurses injured in the past 3 years, and the incidence was 90%. The causes of the accidents were to put undeserved syringe needle cap and sleeve ampoule, treatment of the needle used and un-appropriate placement of the needle puncture. The rate of occupational protection education was 84.2%, the knowledge awareness of occupational protection was 62.6%. Conclusion:There are high occurrence rates of needling injuries among the nurses of Huating community, and the cause is the low level of consciousness and the lack of knowledge to the occupational exposure protection. The next step should be to carry out systematic training and management, reduce the occurrence of accidental injury of the nurses.%  目的:调查华亭社区护理人员针刺伤的发生情况并进行分析,为制订相应预防措施提供依据。方法:回顾文献设计调查问卷,调查华亭社区护士2010年1月-2012年12月3年内针刺伤的发生情况,由专人负责问卷发放和收集,并对问卷进行数据分析。结果:过去3年内护士针刺伤发生14人(41人次),占73.7%,原因主要为:套针帽和套安瓿、处理用毕的针头和被不适当放置的针头刺伤。护士职业防护教育接受率为84.2%,职业防护知识知晓率为62.6%。结论:华亭社区护理人员的针刺伤发生率较高,对职业暴露防护意识和知识不足,下一步应进行系统化的培训和管理,减少护理人员意外伤害的发生。

  14. Eco-Preferences and Actors Behind: Case Study on Academic Community in Lithuania

    Directory of Open Access Journals (Sweden)

    Renata Dagiliute


    Full Text Available Consumption induces various environmental impacts, therefore change of consumption patterns, and decrease in related environmental burden are key issues of sustainable consumption. Promotion of environment friendly local products is related with willingness to pay for such products and factors behind. This paper examines willingness to pay and preferences within product attributes like price, quality and origin of young consumers in Lithuania. Survey results reveal that the majority of respondents are willing to buy environmentally friendly products, but in some cases the price might negatively influence consumer decision. Particular product analysis has shown that if not environment friendly then local products have preference. Nevertheless, results also indicate the need for further improvement in the education of academic community on the impact of goods and services on the environment. Revising the content of the study programmes and inner sustainability policies of universities could be the options for the improvement in this field and in sustainability in general.DOI:

  15. Digital Communication and a Concern with the Community: A Case Study in a Cooperative Credit Araguaina, Brazil

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    Rumeninng Abrantes Santos


    Full Text Available This article seeks to address the attributes of Digital Communication used by a cooperative of Credit to meet the seventh cooperative principle of Concern for Community. The same occurred in a credit union in the city of Araguaina Tocantins, with the aim of identifying the digital communication developed by the cooperative. The article begins with a literature review on the emergence of cooperative, then the conceptualization of the credit union and its history in Brazil, then the cooperative principles and their evolution, conceptualizations of concern for the community, digital communication, social marketing and the presentation and analysis of results. The methodology was based on the case study, which according to Yin (2001 it is important because it is the reality studied. The research showed that the performance of the cooperative is geared entirely to their members and do not have a lot of focus related to social actions, but it promotes actions to attract members and to promote community development through digital media. Another important result of the research was that the principle addressed is one of the goals of the cooperative that aims to meet the interests, promote the welfare of members and the entire community where the cooperative operates.

  16. 96例2型糖尿病患者社区健康干预效果分析%96 cases of patients with type 2 diabetes community health intervention effect analysis

    Institute of Scientific and Technical Information of China (English)



    目的:探讨2型糖尿病患者健康干预方法和效果,提高糖尿病患者的生活质量。方法:通过成立糖尿病俱乐部、集中健康讲座、发放健康小册子、饮食干预、运动干预和用药指导等措施,对社区100名2型糖尿病患者实施健康干预。结果:2型糖尿病患者干预前后在糖尿病知识知晓、饮食控制、合理运动、按时用药、血糖达标等方面均有显著性差异(均P<0.05)。结论:健康干预对2型糖尿病患者控制血糖,改善生活质量有显效。%Objective To study the patients with type 2 diabetes health intervention method and effect, improve the quality of life in patients with diabetes. Methods Through the establishment of diabetes, centralized health club lectures, out pamphlets health, diet intervention and exercise intervention and medication guide, to the community of 100 to implement health interventions in patients with type 2 diabetes. Results In patients with type 2 diabetes in knowledge about diabetes mellitus before and after the intervention, reasonable diet, sports, medicine on time, blood glucose control is at target, etc, all have significant difference (P<0.005). Conclusion Health interventions in patients with type 2 diabetes control blood sugar, improve the quality of life have to bite.

  17. Microbial community analysis in biotrickling filters treating isopropanol air emissions. (United States)

    Pérez, M Carmen; Alvarez-Hornos, F Javier; San-Valero, Pau; Marzal, Paula; Gabaldón, Carmen


    The evolution of the microbial community was analysed over one year in two biotrickling filters operating under intermittent feeding conditions and treating isopropanol emissions, a pollutant typically found in the flexography sector. Each reactor was packed with one media: plastic cross-flow-structured material or polypropylene rings. The communities were monitored by fluorescence in situ hybridization (FISH) and denaturing gradient gel electrophoresis (DGGE) analysis of the 16S rRNA region. After inoculation with activated sludge, the biotrickling filters were operated using inlet loads (ILs) from 20 to 65 g C m(-3) h(-1) and empty-bed residence times (EBRTs) from 14 to 160 s. Removal efficiencies higher than 80% were obtained with ILs up to 35 g C m(-3) h(-1) working at EBRTs as low as 24 s. There was an increase in the total percentage of the target domains of up to around 80% at the end of the experiment. Specifically, the Gammaproteobacteria domain group, which includes the well-known volatile organic compound (VOC)-degrading species such as Pseudomonas putida, showed a noticeable rise in the two biotrickling filters of 26% and 27%, respectively. DGGE pattern band analysis revealed a stable band of Pseudomonas putida in all the samples monitored, even in the lower diversity communities. In addition, at similar operational conditions, the biotrickling filter with a greater relative abundance of Pseudomonas sp. (19.2% vs. 8%) showed higher removal efficiency (90% vs. 79%). Results indicate the importance of undertaking a further in-depth study of the involved species in the biofiltration process and their specific function.

  18. CORSSA: The Community Online Resource for Statistical Seismicity Analysis (United States)

    Michael, Andrew J.; Wiemer, Stefan


    Statistical seismology is the application of rigorous statistical methods to earthquake science with the goal of improving our knowledge of how the earth works. Within statistical seismology there is a strong emphasis on the analysis of seismicity data in order to improve our scientific understanding of earthquakes and to improve the evaluation and testing of earthquake forecasts, earthquake early warning, and seismic hazards assessments. Given the societal importance of these applications, statistical seismology must be done well. Unfortunately, a lack of educational resources and available software tools make it difficult for students and new practitioners to learn about this discipline. The goal of the Community Online Resource for Statistical Seismicity Analysis (CORSSA) is to promote excellence in statistical seismology by providing the knowledge and resources necessary to understand and implement the best practices, so that the reader can apply these methods to their own research. This introduction describes the motivation for and vision of CORRSA. It also describes its structure and contents.

  19. Comparing patient and provider perceptions of home- and community-based services: social network analysis as a service integration metric. (United States)

    Ryan, David P; Puri, Manveen; Liu, Barbara A


    Integrated home- and community-based services (HCBS) for frail seniors require a unique style of teamwork and collaboration. In four case studies, patient perceptions of teamwork and collaboration among their HCBS care providers are compared with those of the providers themselves using network analysis. The degree of coherence between these perceived networks are examined using network analytics, and network visualizations are discussed. The value of network analysis in research on HCBS is considered.

  20. Leadership style in the deaf community: an exploratory case study of a university president. (United States)

    Kamm-Larew, Deborah; Stanford, Jevetta; Greene, Robert; Heacox, Christopher; Hodge, Warren


    A qualitative mini-case study of I. King Jordan and his leadership style explores the influence of a transformational leader on Gallaudet University and the Deaf community. The study features a template-style semistructured interview with Jordan regarding his perceptions of leadership and his personal insights. The study highlights the attributes of transformational leadership and encourages further research into leadership as a tool for change in the Deaf community and the disability rights movement. This exploration of the leadership style of Gallaudet's first Deaf president is especially timely; the study was conducted between Jordan's retirement announcement and the Gallaudet Board of Trustees' decision to rescind an offer to his announced successor to become the university's next president. That tumultuous transition accentuated the disconnect between Jordan's transformational, charismatic leadership style, which affected generations of the Deaf community, and his followers' dissatisfaction with his management and successor planning.

  1. Case study of attempts to enact self service tobacco display ordinances: a tale of three communities (United States)

    Bidell, M.; Furlong, M.; Dunn, D.; Koegler, J.


    OBJECTIVE—To examine self service tobacco displays (SSTDs) and youth retail tobacco access by comparing longitudinal illegal tobacco sales rates in three communities in Santa Barbara County, California, that considered or implemented ordinances banning SSTDs. A confirmatory survey was also conducted to substantiate the longitudinal data.
DESIGN—A longitudinal case study design was utilised. Five undercover tobacco buys were conducted between 1994 and 1997 (n = 332). In addition, one confirmatory survey was conducted in a geographically separated area, which had no ordinances banning SSTDs (n = 57).
RESULTS—Decreases in youth buy rates were reported in all three communities. Most notably, the first city to enact a SSTD ban, Carpinteria, achieved a 0% sales rate, which was maintained throughout the study period. In contrast, Santa Barbara and Goleta experienced considerable drops in their illegal sales rates, but neither community obtained results as dramatic as those found in Carpinteria. The confirmatory survey showed that 32.1% of stores with SSTDs sold cigarettes to minors; this compares to a sales rate of 3.4% in stores without SSTDs (χ2 (1) = 8.11, p = 0.004).
CONCLUSIONS—Efforts to enact self service bans are likely to meet with retail and tobacco industry opposition, as was the case in this study's three communities. The process of community debate, resultant publicity surrounding the issue, and enactment of SSTD ordinances may serve to not only increase merchant awareness of youth tobacco laws and their penalties but also may contribute to reduced youth cigarette sales rates. Implications and limitations of the findings are discussed.

Keywords: self service tobacco displays; youth tobacco access; community tobacco control efforts PMID:10691760

  2. Using Social Network Analysis to Evaluate Community Capacity Building of a Regional Community Cancer Network (United States)

    Luque, John; Tyson, Dinorah Martinez; Lee, Ji-Hyun; Gwede, Clement; Vadaparampil, Susan; Noel-Thomas, Shalewa; Meade, Cathy


    The Tampa Bay Community Cancer Network (TBCCN) is one of 25 Community Network Programs funded by the National Cancer Institute's (NCI's) Center to Reduce Cancer Health Disparities with the objectives to create a collaborative infrastructure of academic and community based organizations and to develop effective and sustainable interventions to…

  3. A Case for Staff Development in the California Community College System. (United States)

    Lavrakas, Lefteris

    Using Kurt Lewin's concept of "a dynamic balance of forces", the direction and strength of change tendencies related to staff development in California community colleges were identified through force-analysis. The forces of heritage/tradition, awareness, money, organizational climate, time, reward system, and formal system were examined for their…

  4. Using community development theory to improve student engagement in online discussion: a case study

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    Elisabeth Skinner


    Full Text Available Online discussion can be designed to develop the skills and confidence of students as well as providing an opportunity for constructing knowledge. If students decide not to participate or join too late, they put their own development and the quality of the learning community at risk. This article reflects on a first term undergraduate experience of a series of online discussion activities which failed to inspire timely and constructive participation. The case study identifies flaws in the design of the discussion, constructed using Salmon's five-stage model, and shows how easy it is to miss the point when designing an online activity. Participation is a pre-requisite for developing community so this article discusses how professional community development workers identify and overcome barriers to participation strengthening engagement in a community by stimulating personal and emotional interests. In the case study, discussion topics failed to strike a personal chord with many students. This has implications for designing activities that engage each student's interest from the outset so that participation in the discussion becomes a truly creative experience.

  5. What do you see? A case study of community college science pedagogy (United States)

    Calhoun, Chantae M.

    Community colleges educate almost half of all American undergraduates. These students include but are not limited to under-prepared high school graduates, and individuals who are working full-time while attending school, as well as students of diverse cultural, socioeconomic, and ethnic backgrounds. With such a diverse student population, science educators may find it difficult to teach science, especially since the language of science is exceptional and contains some inner hierarchy that most other disciplines do not (Osborne, 2002). This qualitative case study examined a community college science faculty member notion's learning to use visual illustrations in science instruction through a collaborative professional development approach. Through this study, insights were gained on how to implement relevant science pedagogy at this community college. Narratives are used to tell the story of a community college science instructor's experience using visual illustrations through science concepts (e.g. cell structure, cellular transport, and metabolism) taught. Narratives reflect the science instructor's story leading to further studies in multiliteracies, professional development, and student perception of visual images in community college setting.

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

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    Sylvie PARENT


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

  7. Case fatality ratio and mortality rate trends of community-onset Staphylococcus aureus bacteraemia

    DEFF Research Database (Denmark)

    Tom, S; Galbraith, J C; Valiquette, L;


    Lethal outcomes can be expressed as a case fatality ratio (CFR) or as a mortality rate per 100 000 population per year (MR). Population surveillance for community-onset methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) Staphylococcus aureus bacteraemia was conducted in Canada, Australia......-onset S. aureus bacteraemia, particularly MSSA, is associated with major disease burden. This study highlights complementary information provided by evaluating both CFR and MR....

  8. Impact of Mercury Use in Artisanal Gold Mining on Community Health: Kahama Case Study, Tanzania


    Kalwani, Jumanne Daudi; Fumbuka, Colorine


    This study is part of the main research carried out in 2010 which investigated social economic impact of uncontrolled artisanal mining on local communities and the environment using a case study of sampled gold mining sites in selected villages in Lunguya and Segese wards in Kahama District, Tanzania. The methodology involved a study sample size of 210 households, forming 70% of the targeted mining villages. They were interviewed on various social economic variables related to artisanal minin...

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


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


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

  10. A rare case of community acquired Burkholderia cepacia infection presenting as pyopneumothorax in an immunocompetent individual

    Institute of Scientific and Technical Information of China (English)

    Suman S Karanth; Hariharan Regunath; Kiran Chawla; Mukhyaprana Prabhu


    Burkholderia cepacia (B. cepacia) infection is rarely reported in an immunocompetent host. It is a well known occurence in patients with cystic fibrosis and chronic granulomatous disease where it increases both morbidity and mortality. It has also been included in the list of organisms causing nosocomial infections in an immunocompetent host, most of them transmitted from the immunocompromised patient in which this organism harbors. We report a rare case of isolation of B. cepacia from the bronchoalveolar lavage fluid of an immunocompetent agriculturist who presented with productive cough and fever associated with a pyopneumothorax. This is the first case of community acquired infection reported in an immunocompetent person in India.

  11. A rare case of community acquired Burkholderia cepacia infection presenting as pyopneumothorax in an immunocompetent individual

    Directory of Open Access Journals (Sweden)

    Suman S Karanth


    Full Text Available Burkholderia cepacia (B. cepacia infection is rarely reported in an immunocompetent host. It is a well known occurence in patients with cystic fibrosis and chronic granulomatous disease where it increases both morbidity and mortality. It has also been included in the list of organisms causing nosocomial infections in an immunocompetent host, most of them transmitted from the immunocompromised patient in which this organism harbors. We report a rare case of isolation of B. cepacia from the bronchoalveolar lavage fluid of an immunocompetent agriculturist who presented with productive cough and fever associated with a pyopneumothorax. This is the first case of community acquired infection reported in an immunocompetent person in India.

  12. Fracture Penis: An Analysis of 26 Cases

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    G.V.Soundra Pandyan


    Full Text Available The aim of this study was to review the pattern of penile fracture occurrence, its clinical presentation, diagnosis, management, and outcome at our center. A retrospective analysis of 26 patients with penile fractures treated at our hospital from January 1997 to January 2005 was carried out. We noted an incidence of 3.5 cases per year, occurring more commonly in unmarried men. Of our study group, 28 episodes of penile fractures occurred in 26 patients. Hospital presentation after trauma varied from 2 h to 21 days. Masturbation was the main initiating causative factor and penile hematoma was the most common clinical finding. Nearly 81% noticed the characteristic click prior to the fracture. Clinical diagnosis was adequate in a majority of the cases. Midshaft fractures with right-sided laterality were more frequent in this series. The tear size ranged from 0.5—2.5 cm with a mean of 1.1 cm. All cases, but one, were treated by surgical repair using absorbable sutures. Out of three cases treated conservatively, two failed to respond and had to be treated surgically. False fracture with dorsal vein tear was present in two cases. Involvement of bilateral corpora was seen in one patient. Infection was the most common early complication, while pain with deviation was the late complication. In our experience, clinical findings are adequate enough to diagnose fracture penis in a majority of cases. Surgical exploration with repair of the tear is recommended both in early and delayed presentations. There was no noticeable relationship to the time of initial presentation or with the size and site of tear to the final outcome.

  13. Pyrosequencing Based Microbial Community Analysis of Stabilized Mine Soils (United States)

    Park, J. E.; Lee, B. T.; Son, A.


    Heavy metals leached from exhausted mines have been causing severe environmental problems in nearby soils and groundwater. Environmental mitigation was performed based on the heavy metal stabilization using Calcite and steel slag in Korea. Since the soil stabilization only temporarily immobilizes the contaminants to soil matrix, the potential risk of re-leaching heavy metal still exists. Therefore the follow-up management of stabilized soils and the corresponding evaluation methods are required to avoid the consequent contamination from the stabilized soils. In this study, microbial community analysis using pyrosequencing was performed for assessing the potential leaching of the stabilized soils. As a result of rarefaction curve and Chao1 and Shannon indices, the stabilized soil has shown lower richness and diversity as compared to non-contaminated negative control. At the phyla level, as the degree of contamination increases, most of phyla decreased with only exception of increased proteobacteria. Among proteobacteria, gamma-proteobacteria increased against the heavy metal contamination. At the species level, Methylobacter tundripaludum of gamma-proteobacteria showed the highest relative portion of microbial community, indicating that methanotrophs may play an important role in either solubilization or immobilization of heavy metals in stabilized soils.

  14. Microbial community analysis of a full-scale DEMON bioreactor. (United States)

    Gonzalez-Martinez, Alejandro; Rodriguez-Sanchez, Alejandro; Muñoz-Palazon, Barbara; Garcia-Ruiz, Maria-Jesus; Osorio, Francisco; van Loosdrecht, Mark C M; Gonzalez-Lopez, Jesus


    Full-scale applications of autotrophic nitrogen removal technologies for the treatment of digested sludge liquor have proliferated during the last decade. Among these technologies, the aerobic/anoxic deammonification process (DEMON) is one of the major applied processes. This technology achieves nitrogen removal from wastewater through anammox metabolism inside a single bioreactor due to alternating cycles of aeration. To date, microbial community composition of full-scale DEMON bioreactors have never been reported. In this study, bacterial community structure of a full-scale DEMON bioreactor located at the Apeldoorn wastewater treatment plant was analyzed using pyrosequencing. This technique provided a higher-resolution study of the bacterial assemblage of the system compared to other techniques used in lab-scale DEMON bioreactors. Results showed that the DEMON bioreactor was a complex ecosystem where ammonium oxidizing bacteria, anammox bacteria and many other bacterial phylotypes coexist. The potential ecological role of all phylotypes found was discussed. Thus, metagenomic analysis through pyrosequencing offered new perspectives over the functioning of the DEMON bioreactor by exhaustive identification of microorganisms, which play a key role in the performance of bioreactors. In this way, pyrosequencing has been proven as a helpful tool for the in-depth investigation of the functioning of bioreactors at microbiological scale.

  15. A Comparative Analysis of Community Wind Power DevelopmentModels

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark; Wiser, Ryan; Wind, Tom; Juhl, Dan; Grace, Robert; West, Peter


    For years, farmers in the United States have looked with envy on their European counterparts ability to profitably farm the wind through ownership of distributed, utility-scale wind projects. Only within the past few years, however, has farmer- or community-owned windpower development become a reality in the United States. The primary hurdle to this type of development in the United States has been devising and implementing suitable business and legal structures that enable such projects to take advantage of tax-based federal incentives for windpower. This article discusses the limitations of such incentives in supporting farmer- or community-owned wind projects, describes four ownership structures that potentially overcome such limitations, and finally conducts comparative financial analysis on those four structures, using as an example a hypothetical 1.5 MW farmer-owned project located in the state of Oregon. We find that material differences in the competitiveness of each structure do exist, but that choosing the best structure for a given project will largely depend on the conditions at hand; e.g., the ability of the farmer(s) to utilize tax credits, preference for individual versus cooperative ownership, and the state and utility service territory in which the project will be located.

  16. GeoChips for Analysis of Microbial Functional Communities

    Energy Technology Data Exchange (ETDEWEB)

    Van Nostrand, Joy D.; Wu, Liyou; He, Zhili; Zhou, Jizhong


    Functional gene arrays (FGA) are microarrays that contain probes for genes encoding proteins or enzymes involved in functions of interest and allow for the study of thousands of genes at one time. The most comprehensive FGA to date is the GeoChip, which contains ~;;24,000 probes for ~;;10,000 genes involved in the geochemical cycling of C, N, P, and S, as well as genes involved in metal resistance and reduction and contaminant degradation. This chapter details the methods necessary for GeoChip analysis. Methods covered include preparation of DNA (whole community genome amplification and labeling), array setup (prehybridization steps), hybridization (sample and hybridization buffers), and post hybridization steps (slide washing and array scanning).

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

    Directory of Open Access Journals (Sweden)

    Emily Caruso


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

  18. Valuing and Sustaining (or Not the Ability of Volunteer Community Health Workers to Deliver Integrated Community Case Management in Northern Ghana: A Qualitative Study.

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    Karen Daniels

    Full Text Available Within the integrated community case management of childhood illnesses (iCCM programme, the traditional health promotion and prevention role of community health workers (CHWs has been expanded to treatment. Understanding both the impact and the implementation experience of this expanded role are important. In evaluating UNICEF's implementation of iCCM, this qualitative case study explores the implementation experience in Ghana.Data were collected through a rapid appraisal using focus groups and individual interviews during a field visit in May 2013 to Accra and the Northern Region of Ghana. We sought to understand the experience of iCCM from the perspective of locally based UNICEF staff, their partners, researchers, Ghana health services management staff, CHWs and their supervisors, nurses in health facilities and mothers receiving the service. Our analysis of the findings showed that there is an appreciation both by mothers and by facility level staff for the contribution of CHWs. Appreciation was expressed for the localisation of the treatment of childhood illness, thus saving mothers from the effort and expense of having to seek treatment outside of the village. Despite an overall expression of value for the expanded role of CHWs, we also found that there were problems in supporting and sustaining their efforts. The data showed concern around CHWs being unpaid, poorly supervised, regularly out of stock, lacking in essential equipment and remaining outside the formal health system.Expanding the roles of CHWs is important and can be valuable, but contextual and health system factors threaten the sustainability of iCCM in Ghana. In this and other implementation sites, policymakers and key donors need to take into account historical lessons from the CHW literature, while exploring innovative and sustainable mechanisms to secure the programme as part of a government owned and government led strategy.

  19. Integrating software architectures for distributed simulations and simulation analysis communities.

    Energy Technology Data Exchange (ETDEWEB)

    Goldsby, Michael E.; Fellig, Daniel; Linebarger, John Michael; Moore, Patrick Curtis; Sa, Timothy J.; Hawley, Marilyn F.


    The one-year Software Architecture LDRD (No.79819) was a cross-site effort between Sandia California and Sandia New Mexico. The purpose of this research was to further develop and demonstrate integrating software architecture frameworks for distributed simulation and distributed collaboration in the homeland security domain. The integrated frameworks were initially developed through the Weapons of Mass Destruction Decision Analysis Center (WMD-DAC), sited at SNL/CA, and the National Infrastructure Simulation & Analysis Center (NISAC), sited at SNL/NM. The primary deliverable was a demonstration of both a federation of distributed simulations and a federation of distributed collaborative simulation analysis communities in the context of the same integrated scenario, which was the release of smallpox in San Diego, California. To our knowledge this was the first time such a combination of federations under a single scenario has ever been demonstrated. A secondary deliverable was the creation of the standalone GroupMeld{trademark} collaboration client, which uses the GroupMeld{trademark} synchronous collaboration framework. In addition, a small pilot experiment that used both integrating frameworks allowed a greater range of crisis management options to be performed and evaluated than would have been possible without the use of the frameworks.

  20. Relationship to the River: The Case of the Muar River Community

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    Bahaman A. Samah


    Full Text Available Problem statement: Muar River which located in Johor, is an important river in Malaysia. Previously Muar River had a huge influence on the socio-economic status of the community. It has been used as the sources of income, protein and as well as the major mode of transportation for the community and traders. However, does the Muar River still has that influences on this modern day? The answer of this pertinent question will fulfill the main objective of this study which is to discover Muar River relationship with its surrounding community. Approach: In addition to relationship with the river, this quantitative study was conducted to determine the Muar River community agreement towards initiative to develop the river. A total of 300 respondents from 19 villages along Muar River were selected based on the simple random sampling. Results: Based on the analysis of the results, it can be concluded that Muar River still has a lot to offer to its surrounding community especially for the recreational activities (fish and prawn fishing. A large majority of Muar River community have a moderate and high level of agreement towards the river development. Further analysis performed revealed that income per month, number of household, age, distance to Muar River and period of staying in the areas had significant relationships with agreement towards river development. Conclusion/Recommendations: It is recommended that additional recreational facilities can be added, events at national and international level especially on fish and prawn fishing can be held at Muar River and campaign on the importance of river development and the danger of river pollution can be conducted.

  1. Management of children’s acute diarrhea by community pharmacies in five towns of Ethiopia: simulated client case study

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    Abegaz TM


    Full Text Available Tadesse Melaku Abegaz,1 Sewunet Admasu Belachew,1 Tamrat Befekadu Abebe,1 Begashaw Melaku Gebresilassie,1 Fitsum Sebsibe Teni,2 Habtamu Gebremeskel Woldie3 1Department of Clinical Pharmacy, School of Pharmacy, Gondar University, Gondar, 2Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Hospital Pharmacy, Debremarkos Teaching and Referral Hospital, Debremarkos, Ethiopia Background: Acute diarrhea is the major cause of child morbidity and mortality in low-income nations. It is the second most common cause of death among children <5 years of age globally. The indispensable role of community pharmacists is clearly observed in the prevention and treatment of diarrhea. However, there is a paucity of data on how community pharmacies manage acute childhood diarrhea cases in Ethiopia. This study aimed to evaluate the experience of community pharmacies in the management of acute diarrhea in northern Ethiopia.Methods: A simulated case-based cross-sectional study was conducted in community pharmacies from five towns of northern Ethiopia between April 2015 and September 2015. Convenience sampling technique was used to select sample towns. A structured questionnaire was organized to collect the information. Descriptive statistics, chi-squared test, one-way analysis of variance, and binary logistic regression were performed to describe, infer, and test for association between the variables. SPSS for Windows Version 21 was used to enter and analyze the data. A 95% confidence interval and P-value of 0.05 were set to test the level of significance.Results: Approximately 113 community pharmacies were visited to collect the required data from five towns. Majority (78, 69% of them were located away from hospitals and health care areas. Nine components of history taking were presented for dispensers. Regarding the patient history, “age” was frequently taken, (90

  2. Community College Student Mental Health: A Comparative Analysis (United States)

    Katz, Daniel Seth; Davison, Karen


    This study explores community college student mental health by comparing the responses of California community college and traditional university students on the American College Health Association-National College Health Assessment II (ACHA-NCHA II). Using MANOVA, we compared community college and traditional university students, examining…

  3. Poisoning and suicide by cyanide jewelry cleaner in the US Hmong community: a case series. (United States)

    Garlich, Fiona M; Alsop, Judith Ann; Anderson, Deborah L; Geller, Richard J; Kalugdan, Theresa Thao; Roberts, David J; Thomas, Lindsey C


    Over 200 000 persons of Hmong ethnicity live in the United States. The majority of this Southeast Asian ethnic group live in California, Minnesota and Wisconsin. Tradition plays a strong role in the Hmong population, and difficulty in assimilation into "Western ways" has been reported to result in depression and suicide attempts. Some products sold at Southeast Asian ethnic markets are well-known within the Hmong community to be lethal but are essentially unknown to the outside community. We describe eight cases in which cyanide-containing products were ingested by Hmong patients. Seven cases were suicide attempts involving the ingestion of a locally-purchased substance intended for cleaning metal, coins, or jewelry. One case involved the fatal ingestion of a cyanide-containing "herbal" cure. In the majority of the cases, cyanide was not initially suspected, and treatment was delayed due to lack of information regarding the product ingested. In the two patients who survived, the cyanide antidote kit (sodium nitrite, amyl nitrite, and sodium thiosulfate) was administered early. Clinicians should be aware that unusual and potentially lethal products are easily available at ethnic markets. Cyanide toxicity should be suspected, and empiric antidote therapy initiated early, in patients of Hmong or Southeast Asian descent who present with sudden and unexplained cardiovascular collapse and metabolic acidosis, especially in the setting of a suspected suicidal ingestion.

  4. Role of local community in tourism development: Case study village Zabrega

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    Belij Маrija


    Full Text Available Studies and researches on the role of a local community in tourism development of rural areas emphasize the significance of inhabitants’ attitudes about the state and perspectives of this activity. In this context, in the professional literature, the term CBT (community-based tourism is used, which implies the involvement of local communities and planning of tourism development. The aim of the study is to determine the local population’s influence on starting an initiative for a tourist arranging of the village Zabrega in the Municipality of Paraćin, especially the sacral objects in the Crnica River Gorge. The following methods were applied: method of direct observation, analysis, synthesis, interview and survey in which the questions were of a closed and open type. Results of the research survey were analyzed in the software package for statistical processing and analysis of the data SPSS 20.00. It has been stated that the population has a positive attitude about the Society Petrus, which is the main organizer of the activities when the prosperity of the village Zabrega is in question, and that the local community is interested in engaging in the tourist activities, as demonstrated by numerous practical examples. [Projekat Ministarstva nauke Republike Srbije, br. 176017 i br. 176008

  5. Mucormycosis in two community hospitals and the role of infectious disease consultation: a case series

    Directory of Open Access Journals (Sweden)

    Dai Y


    Full Text Available Yue Dai,1 James W Walker,1 Ruba A Halloush,2 Faisal A Khasawneh3 1Department of Internal Medicine, Texas Tech University Health Sciences Center, 2Amarillo Pathology Group, 3Section of Infectious Diseases, Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, TX, USA Background: Mucorales are ubiquitous filamentous fungi that can cause a devastating, invasive infection. This order has become an increasingly important pathogen during the last two decades, due to the dramatic increase in patients with predisposing factors. The aim of this retrospective study was to report the clinical characteristics, therapeutic options, and outcomes of patients diagnosed with mucormycosis in community hospitals in Amarillo, Texas, and to reflect on the role of infectious disease (ID physicians in managing this potentially life-threatening problem. Patients and methods: This was a retrospective chart review of patients hospitalized with mucormycosis in two community hospitals in Amarillo between January 1, 2001 and December 31, 2011. Results: Ten patients were diagnosed with mucormycosis during the study period, with a mean age of 58.8 years. There were five cases of pulmonary infection, two cases of cutaneous infection, two cases of rhinocerebral infection, and one case of gastrointestinal infection. Poorly controlled diabetes was the most common risk factor, identified in six patients, followed by hematological malignancy, immunosuppression, and trauma. ID physicians were consulted in all cases, albeit late in some cases. Nine patients received antifungal therapy, and five patients received surgical debridement. Lipid formulations of amphotericin B were prescribed for eight patients, used alone in two cases, and combined with caspofungin and posaconazole in one and five cases, respectively. One patient was treated with posaconazole alone. Eight patients were discharged from the hospital alive. The mortality rate at 6-month

  6. SOCIAL ENTREPRENEURSHIP AS AN APPROACH TO COMMUNITY DEVELOPMENT : a case study of social entrepreneurship in Kathmandu, Nepal


    Khatiwada, Prabesh


    ABSTRACT Khatiwada, Prabesh. Social entrepreneurship as an approach to community development: a case study of social entrepreneurship in Kathmandu, Nepal. 66 pages. 1 appendix. Language: English. Autumn 2014. Diaconia University of Applied Sciences. Degree Programme in Social Services. Bachelors of Social Services, Focus in Community Development Work. This is a qualitative and descriptive study. The aim of the research is to study the role of social entrepreneurship in community devel...

  7. Community-acquired vancomycin-resistant Enterococcus faecium: a case report from Malaysia. (United States)

    Raja, N S; Karunakaran, R; Ngeow, Y F; Awang, R


    Vancomycin-resistant enterococci (VRE) are formidable organisms renowned for their ability to cause infections with limited treatment options and their potential for transferring resistance genes to other Gram-positive bacteria. Usually associated with nosocomial infections, VRE are rarely reported as a cause of community-acquired infection. Presented here is a case of community-acquired infection due to vancomycin-resistant Enterococcus faecium. The patient had been applying herbal leaves topically to his cheek to treat a buccal space abscess, resulting in a burn of the overlying skin. From pus aspirated via the skin a pure culture of E. faecium was grown that was resistant to vancomycin with a MIC of >256 microg ml-1 by the E test and resistant to teicoplanin by disc diffusion, consistent with the VanA phenotype. The organism was suspected of contaminating the leaf and infecting the patient via the burnt skin. This case highlights the need for further studies on the community prevalence of VRE among humans and animals to define unrecognized silent reservoirs for VRE, which may pose a threat to public health.

  8. Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

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    Douglas P. Olson


    Full Text Available Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.

  9. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration. (United States)

    Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H


    This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness.

  10. Feature Analysis and Modeling of the Network Community Structure

    Institute of Scientific and Technical Information of China (English)

    袁超; 柴毅; 魏善碧


    Community structure has an important influence on the structural and dynamic characteristics of the complex systems.So it has attracted a large number of researchers.However,due to its complexity,the mechanism of action of the community structure is still not clear to this day.In this paper,some features of the community structure have been discussed.And a constraint model of the community has been deduced.This model is effective to identify the communities.And especially,it is effective to identify the overlapping nodes between the communities.Then a community detection algorithm,which has linear time complexity,is proposed based on this constraint model,a proposed node similarity model and the Modularity Q.Through some experiments on a series of real-world and synthetic networks,the high performances of the algorithm and the constraint model have been illustrated.

  11. Autonomy and hierarchy in two slave communities: the cases of George (Alabama, United States, 1847 and Lino (Vassouras, Brazil, 1871

    Directory of Open Access Journals (Sweden)

    Fábio Pereira de Carvalho


    Full Text Available This article seeks argue that the search for autonomy among slaves necessarily created hierarchies within the community where they were inserted. Through two cases compared, George in U.S. and Lino in Brazil, seeks to show that a notion of slave community was built by the social actors who were part of it

  12. Soviet Jewish Community Strategies, Concerning Memory Perpetuation (Erection of Memorials to Jews-Fascism Victims Case Study

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    Alexandra Tcherkasski


    Full Text Available The article, case studying the memorials erection, shows the process of Jews, victims of Nazism memory perpetuation by the Jewish Community within the Soviet Republics in postwar, what difficulties the Jewish Communities and groups of initiators faced, trying to prove the Jewish identity of the graves and gain adoption of Jewish symbols on memorials and memorial signs to fascism victims.

  13. Networked Community Change: Understanding Community Systems Change through the Lens of Social Network Analysis. (United States)

    Lawlor, Jennifer A; Neal, Zachary P


    Addressing complex problems in communities has become a key area of focus in recent years (Kania & Kramer, 2013, Stanford Social Innovation Review). Building on existing approaches to understanding and addressing problems, such as action research, several new approaches have emerged that shift the way communities solve problems (e.g., Burns, 2007, Systemic Action Research; Foth, 2006, Action Research, 4, 205; Kania & Kramer, 2011, Stanford Social Innovation Review, 1, 36). Seeking to bring clarity to the emerging literature on community change strategies, this article identifies the common features of the most widespread community change strategies and explores the conditions under which such strategies have the potential to be effective. We identify and describe five common features among the approaches to change. Then, using an agent-based model, we simulate network-building behavior among stakeholders participating in community change efforts using these approaches. We find that the emergent stakeholder networks are efficient when the processes are implemented under ideal conditions.

  14. Metagenomic analysis of microbial community in uranium-contaminated soil. (United States)

    Yan, Xun; Luo, Xuegang; Zhao, Min


    Uranium tailing is a serious pollution challenge for the environment. Based on metagenomic sequencing analysis, we explored the functional and structural diversity of the microbial community in six soil samples taken at different soil depths from uranium-contaminated and uncontaminated areas. Kyoto Encyclopedia of Genes and Genomes Orthology (KO) groups were obtained using a Basic Local Alignment Search Tool search based on the universal protein resource database. The KO-pathway network was then constructed using the selected KOs. Finally, alpha and beta diversity analyses were performed to explore the differences in soil bacterial diversity between the radioactive soil and uncontaminated soil. In total, 30-68 million high-quality reads were obtained. Sequence assembly yielded 286,615 contigs; and these contigs mostly annotated to 1699 KOs. The KO distributions were similar among the six soil samples. Moreover, the proportion of the metabolism of other amino acids (e.g., beta-alanine, taurine, and hypotaurine) and signal transduction was significantly lower in radioactive soil than in uncontaminated soil, whereas the proportion of membrane transport and carbohydrate metabolism was higher. Additionally, KOs were mostly enriched in ATP-binding cassette transporters and two-component systems. According to diversity analyses, Actinobacteria and Proteobacteria were the dominant phyla in radioactive and uncontaminated soil, and Robiginitalea, Microlunatus, and Alicyclobacillus were the dominant genera in radioactive soil. Taken together, these results demonstrate that soil microbial community, structure, and functions show significant changes in uranium-contaminated soil. The dominant categories such as Actinobacteria and Proteobacteria may be applied in environmental governance for uranium-contaminated soil in southern China.

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

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    Marco Gemignani


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

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

    DEFF Research Database (Denmark)

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


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

  17. Case fatality ratio and mortality rate trends of community-onset Staphylococcus aureus bacteraemia. (United States)

    Tom, S; Galbraith, J C; Valiquette, L; Jacobsson, G; Collignon, P; Schønheyder, H C; Søgaard, M; Kennedy, K J; Knudsen, J D; Ostergaard, C; Lyytikäinen, O; Laupland, K B


    Lethal outcomes can be expressed as a case fatality ratio (CFR) or as a mortality rate per 100 000 population per year (MR). Population surveillance for community-onset methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) Staphylococcus aureus bacteraemia was conducted in Canada, Australia, Sweden and Denmark to evaluate 30-day CFR and MR trends between 2000 and 2008. The CFR was 20.3% (MSSA 20.2%, MRSA 22.3%) and MR was 3.4 (MSSA 3.1, MRSA 0.3) per 100 000 per year. Although MSSA CFR was stable the MSSA MR increased; MRSA CFR decreased while its MR remained low during the study. Community-onset S. aureus bacteraemia, particularly MSSA, is associated with major disease burden. This study highlights complementary information provided by evaluating both CFR and MR.

  18. Community-enhanced Network Representation Learning for Network Analysis

    CERN Document Server

    Tu, Cunchao; Zeng, Xiangkai; Liu, Zhiyuan; Sun, Maosong


    Network representation learning (NRL) aims to build low-dimensional vectors for vertices in a network. Most existing NRL methods focus on learning representations from local context of vertices (such as their neighbors). Nevertheless, vertices in many complex networks also exhibit significant global patterns widely known as communities. It's a common sense that vertices in the same community tend to connect densely, and usually share common attributes. These patterns are expected to improve NRL and benefit relevant evaluation tasks, such as link prediction and vertex classification. In this work, we propose a novel NRL model by introducing community information of vertices to learn more discriminative network representations, named as Community-enhanced Network Representation Learning (CNRL). CNRL simultaneously detects community distribution of each vertex and learns embeddings of both vertices and communities. In this way, we can obtain more informative representation of a vertex accompanying with its commu...

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

    DEFF Research Database (Denmark)

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


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

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

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


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

  1. Bacterial community analysis of Tatsoi cultivated by hydroponics. (United States)

    Koo, Ok K; Kim, Hun; Kim, Hyun J; Baker, Christopher A; Ricke, Steven C


    Tatsoi (Brassica narinosa) is a popular Asian salad green that is mostly consumed as a source of fresh produce. The purpose of this study was to assess the microbial diversity of Tatsoi cultivated in a hydroponic system and of its ecosystem. Tatsoi leaves, nutrient solution, and perlite/earth samples from a trickle feed system (TFS) and an ebb-and-flow system (EFS) were collected and their microbial communities were analyzed by pyrosequencing analysis. The results showed that most bacteria in the leaves from the TFS contained genus Sporosarcina (99.6%), while Rhizobium (60.4%) was dominant in the leaves from the EFS. Genus Paucibacter (18.21%) and Pelomonas (12.37%) were the most abundant microbiota in the nutrient solution samples of the TFS. In the EFS, the nutrient solution samples contained mostly genus Rhodococcus and Acinetobacter. Potential microbial transfer between the leaves and the ecosystem was observed in the EFS, while samples in the TFS were found to share only one species between the leaves, nutrient solution, and earth. Together, these results show that the bacterial populations in Tatsoi and in its ecosystem are highly diverse based on the cultivation system.

  2. Designing healthy communities: A walkability analysis of LEED-ND

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    Adriana A. Zuniga-Teran


    Full Text Available Prevailing city design in many countries has created sedentary societies that depend on automobile use. Consequently, architects, urban designers, and land planners have developed new urban design theories, which have been incorporated into the Leadership in Energy and Environmental Design for Neighborhood Development (LEED-ND certification system. The LEED-ND includes design elements that improve human well-being by facilitating walking and biking, a concept known as walkability. Despite these positive developments, relevant research findings from other fields of study have not been fully integrated into the LEED-ND. According to Zuniga-Teran (2015, relevant walkability research findings from multiple disciplines were organized into a walkability framework (WF that organizes design elements related to physical activity into nine categories, namely, connectivity, land use, density, traffic safety, surveillance, parking, experience, greenspace, and community. In this study, we analyze walkability in the LEED-ND through the lens of the nine WF categories. Through quantitative and qualitative analyses, we identify gaps and strengths in the LEED-ND and propose potential enhancements to this certification system that reflects what is known about enhancing walkability more comprehensively through neighborhood design analysis. This work seeks to facilitate the translation of research into practice, which can ultimately lead to more active and healthier societies.

  3. Leadership, Social Capital and Coastal Community Resource Governance: the Case of the Destructive Seaweed Harvest in West Bali. (United States)

    Warren, Carol

    This paper concerns resource governance in a remote Balinese coastal community, which faces severe environmental challenges due to overexploitation and habitat destruction. It explores some of the issues raised in 'social capital' debates regarding leadership and public participation toward sustainable natural resource governance. Given the strength of Balinese customary law and the high degree of participation required in the ritual-social domain, Bali represents a model context for examining these issues. Through a case study of destructive resource exploitation and evolving rules-in-use, this paper analyses the ambiguous role of 'bonding' social capital and the complexities of negotiating collective action on environmental problems where conflicting interests and dense social ties make local action difficult. The paper finds that a more complex appreciation of vertical (authority) and horizontal (solidarity) relationships between leaders and ordinary villagers is required, and that a more nuanced institutional bricolage and exploratory scenario approach to analysis of evolving rules in use would enhance associated policy interventions.

  4. Species Abundance in a Forest Community in South China: A Case of Poisson Lognormal Distribution

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    Zuo-Yun YIN; Hai REN; Qian-Mei ZHANG; Shao-Lin PENG; Qin-Feng GUO; Guo-Yi ZHOU


    Case studies on Poisson lognormal distribution of species abundance have been rare, especially in forest communities. We propose a numerical method to fit the Poisson lognormal to the species abundance data at an evergreen mixed forest in the Dinghushan Biosphere Reserve, South China. Plants in the tree, shrub and herb layers in 25 quadrats of 20 m×20 m, 5 m×5 m, and 1 m×1 m were surveyed. Results indicated that: (i) for each layer, the observed species abundance with a similarly small median, mode, and a variance larger than the mean was reverse J-shaped and followed well the zero-truncated Poisson lognormal;(ii) the coefficient of variation, skewness and kurtosis of abundance, and two Poisson lognormal parameters (σ andμ) for shrub layer were closer to those for the herb layer than those for the tree layer; and (iii) from the tree to the shrub to the herb layer, the σ and the coefficient of variation decreased, whereas diversity increased. We suggest that: (i) the species abundance distributions in the three layers reflects the overall community characteristics; (ii) the Poisson lognormal can describe the species abundance distribution in diverse communities with a few abundant species but many rare species; and (iii) 1/σ should be an alternative measure of diversity.

  5. The ethnographically contextualized case study method: exploring ambitious achievement in an American Indian community. (United States)

    Gone, Joseph P; Alcántara, Carmela


    This article demonstrates the empirical viability of the Ethnographically Contextualized Case Study Method (ECCSM) for investigating interrelationships between cultural and psychological processes. By juxtaposing two relevant forms of data--original interview material from a single respondent and existing ethnographic evidence--the inherent idiographic limitations of the case study approach for pursuing the psychological study of culture might be transcended. Adoption of the ECCSM for the exploration of cultural ideals among an elderly Native American respondent revealed both the personal and cultural significance of ambitious achievement within this tribal community, calling into question the conventional wisdom within multicultural psychology that Native Americans are culturally disposed to passive, submissive and noncompetitive psychological orientations. This application of the proposed methodology demonstrates how important empirical insights may be obtained in unusually efficient and nuanced ways at the confluence of culture and psychology.

  6. Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature

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    Musa A. Garbati


    Full Text Available Background. Isolated tricuspid valve endocarditis in the absence of risk factors in the community setting is very rare and can be easily missed in patients with hitherto normal valves. Case Presentation. We present a case of a 49 year old gentleman who presented with generalized body aches, fever, and jaundice and was initial diagnosed as hepatitis. He subsequently developed recurrent episodes of panic attacks and shortness of breath and later multiple skin abscesses. Further investigations excluded pulmonary embolism but revealed multiple abscesses in the body including the lungs. Blood cultures and culture from abscesses grew S. aureus. An initial transthoracic echocardiogram was normal. A transesophageal echocardiogram subsequently confirmed endocarditis on a normal natural tricuspid valve and multiple lung abscesses. He was successfully treated with appropriate antibiotics. Conclusion. We discuss the pathogenesis of this patient's presentation highlight the need for assessment and proper evaluation of patients with unexplained bacteremia.

  7. A Political Analysis of Community Influence over School Closure (United States)

    Finnigan, Kara S.; Lavner, Mark


    This study seeks to understand community member participation in and influence over an urban school district's school closure process. Data from interviews with School Board members, district administrators, and community members, as well as district documents and newspaper articles suggest that district administrators limited participation…

  8. Community characteristics associated with HIV risk among injection drug users in the San Francisco Bay Area: a multilevel analysis. (United States)

    Bluthenthal, Ricky N; Do, D Phuong; Finch, Brian; Martinez, Alexis; Edlin, Brian R; Kral, Alex H


    Community characteristics have been associated with racial and ethnic health disparities for a wide range of ailments and conditions. Previous research has found that rates of AIDS cases among injection drug users (IDUs) vary by community characteristics. However, few studies have examined whether community characteristics are associated with HIV risk behaviors among IDUs. To address this gap in the literature, we examined the associations between census-tract-level community characteristics and injection-related and sex-related HIV risk behaviors among IDUs in the San Francisco Bay Area. Individual HIV risk behaviors were collected from 4,956 IDUs between 1998 and 2002. Using 2000 US census data, we constructed four census-level community measures: percent African American, percent male unemployment, percent of households that receive public assistance, and median household income. All community variables were measured continuously. Multilevel modeling was used to determine if community characteristics were associated with recent (in the last 6 months) receptive and distributive syringe sharing, multiple sex partners, and unprotected sex risk while controlling for potential individual-level confounders. In bivariate analysis, most of the census-tract-level community characteristics were significantly associated with injection-related HIV risk, while no community characteristics were associated with sex-related risk. However, results from multivariate multilevel models indicate that only percent African American in a census tract was associated with receptive [adjusted odds ratio (AOR) = 0.93; 95% confidence interval (CI) = 0.89, 0.99] and distributive syringe sharing (AOR = 0.94; 95% CI = 0.92, 0.99), net of individual-level characteristics. Accounting for individual-level factors in the multivariate model in the sex-related risk models revealed a significant inverse relationship between percent African American and propensity to engage in unprotected sex (AOR = 0

  9. Evaluation of Integrated Community Case Management in Eight Districts of Central Uganda (United States)

    Mubiru, Denis; Byabasheija, Robert; Bwanika, John Baptist; Meier, Joslyn Edelstein; Magumba, Godfrey; Kaggwa, Flavia Mpanga; Abusu, Jackson Ojera; Opio, Alex Chono; Lodda, Charles Clarke; Patel, Jaanki; Diaz, Theresa


    Objective Evidence is limited on whether Integrated Community Case Management (iCCM) improves treatment coverage of the top causes of childhood mortality (acute respiratory illnesses (ARI), diarrhoea and malaria). The coverage impact of iCCM in Central Uganda was evaluated. Methods Between July 2010 and December 2012 a pre-post quasi-experimental study in eight districts with iCCM was conducted; 3 districts without iCCM served as controls. A two-stage household cluster survey at baseline (n = 1036 and 1042) and end line (n = 3890 and 3844) was done in the intervention and comparison groups respectively. Changes in treatment coverage and timeliness were assessed using difference in differences analysis (DID). Mortality impact was modelled using the Lives Saved Tool. Findings 5,586 Village Health Team members delivered 1,907,746 treatments to children under age five. Use of oral rehydration solution (ORS) and zinc treatment of diarrhoea increased in the intervention area, while there was a decrease in the comparison area (DID = 22.9, p = 0.001). Due to national stock-outs of amoxicillin, there was a decrease in antibiotic treatment for ARI in both areas; however, the decrease was significantly greater in the comparison area (DID = 5.18; p<0.001). There was a greater increase in Artemisinin Combination Therapy treatment for fever in the intervention areas than in the comparison area but this was not significant (DID = 1.57, p = 0.105). In the intervention area, timeliness of treatments for fever and ARI increased significantly higher in the intervention area than in the comparison area (DID = 2.12, p = 0.029 and 7.95, p<0.001, respectively). An estimated 106 lives were saved in the intervention area while 611 lives were lost in the comparison area. Conclusion iCCM significantly increased treatment coverage for diarrhoea and fever, mitigated the effect of national stock outs of amoxicillin on ARI treatment, improved timeliness of treatments for fever and ARI and saved

  10. Evaluation of Integrated Community Case Management in Eight Districts of Central Uganda.

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    Denis Mubiru

    Full Text Available Evidence is limited on whether Integrated Community Case Management (iCCM improves treatment coverage of the top causes of childhood mortality (acute respiratory illnesses (ARI, diarrhoea and malaria. The coverage impact of iCCM in Central Uganda was evaluated.Between July 2010 and December 2012 a pre-post quasi-experimental study in eight districts with iCCM was conducted; 3 districts without iCCM served as controls. A two-stage household cluster survey at baseline (n = 1036 and 1042 and end line (n = 3890 and 3844 was done in the intervention and comparison groups respectively. Changes in treatment coverage and timeliness were assessed using difference in differences analysis (DID. Mortality impact was modelled using the Lives Saved Tool.5,586 Village Health Team members delivered 1,907,746 treatments to children under age five. Use of oral rehydration solution (ORS and zinc treatment of diarrhoea increased in the intervention area, while there was a decrease in the comparison area (DID = 22.9, p = 0.001. Due to national stock-outs of amoxicillin, there was a decrease in antibiotic treatment for ARI in both areas; however, the decrease was significantly greater in the comparison area (DID = 5.18; p<0.001. There was a greater increase in Artemisinin Combination Therapy treatment for fever in the intervention areas than in the comparison area but this was not significant (DID = 1.57, p = 0.105. In the intervention area, timeliness of treatments for fever and ARI increased significantly higher in the intervention area than in the comparison area (DID = 2.12, p = 0.029 and 7.95, p<0.001, respectively. An estimated 106 lives were saved in the intervention area while 611 lives were lost in the comparison area.iCCM significantly increased treatment coverage for diarrhoea and fever, mitigated the effect of national stock outs of amoxicillin on ARI treatment, improved timeliness of treatments for fever and ARI and saved lives.

  11. Sharing best practices through online communities of practice: a case study

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    Johnson Peter


    Full Text Available Abstract Introduction The USAID-funded Capacity Project established the Global Alliance for Pre-Service Education (GAPS to provide an online forum to discuss issues related to teaching and acquiring competence in family planning, with a focus on developing countries' health related training institutions. The success of the Global Alliance for Nursing and Midwifery's ongoing web-based community of practice (CoP provided a strong example of the successful use of this medium to reach many participants in a range of settings. Case description GAPS functioned as a moderated set of forums that were analyzed by a small group of experts in family planning and pre-service education from three organizations. The cost of the program included the effort provided by the moderators and the time to administer responses and conduct the analysis. Discussion and evaluation Family planning is still considered a minor topic in health related training institutions. Rather than focusing solely on family planning competencies, GAPS members suggested a focus on several professional competencies (e.g. communication, leadership, cultural sensitivity, teamwork and problem solving that would enhance the resulting health care graduate's ability to operate in a complex health environment. Resources to support competency-based education in the academic setting must be sufficient and appropriately distributed. Where clinical competencies are incorporated into pre-service education, responsible faculty and preceptors must be clinically proficient. The interdisciplinary GAPS memberships allowed for a comparison and contrast of competencies, opportunities, promising practices, documents, lessons learned and key teaching strategies. Conclusions Online CoPs are a useful interface for connecting developing country experiences. From CoPs, we may uncover challenges and opportunities that are faced in the absorption of key public health competencies required for decreasing maternal

  12. George Washington Community High School: analysis of a partnership network. (United States)

    Bringle, Robert G; Officer, Starla D H; Grim, Jim; Hatcher, Julie A


    After five years with no public schools in their community, residents and neighborhood organizations of the Near Westside of Indianapolis advocated for the opening of George Washington Community High School (GWCHS). As a neighborhood in close proximity to the campus of Indiana University-Purdue University Indianapolis, the Near Westside and campus worked together to address this issue and improve the educational success of youth. In fall 2000, GWCHS opened as a community school and now thrives as a national model, due in part to its network of community relationships. This account analyzes the development of the school by focusing on the relationships among the university, the high school, community organizations, and the residents of the Near Westside and highlights the unique partnership between the campus and school by defining the relational qualities and describing the network created to make sustainable changes with the high school.

  13. Traditional Mechanisms of Resolving Conflicts over Land Resource: A Case of Gorowa Community in Northern Tanzania

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    Maria Emanuel


    Full Text Available Traditional mechanisms for conflicts resolutions in Tanzania have been playing a major role to bring harmony and peace among members of the society. These mechanisms are created within a social-political structure of every community. They have been shaped by the realities that are happening in every community, making them unique to each community. Among Gorowa of Babati in Northern Tanzania conflict and conflict resolution mechanisms have never been static. They have been changing gradually over time as influenced by the nature and dynamics of the socio-political and economic activities. However, despite the fact that, traditional mechanisms contributes much to peace and security in promoting development, no through study have been done to underscore the nature of conflicts and their mechanisms for resolution among Gorowa community. Therefore, this paper tried to fill this gap by analyzing the nature of land conflict and the mechanisms for their resolutions. The study applied qualitative approach in exploring the causes, nature of land conflict and the mechanisms of resolving them. Qualitative approach was mostly used to gather views and opinions of respondents about the nature of land conflict and their mechanism of resolving. Also, quantitative approach was used to supplement the information whereby numerical and statistical data were gathered. The instruments used to collect data were interview, focus group discussions and observation. The study population included experts for conflicts resolution and other members of the community with sample size of 140 respondents. The analysis of the data was done through Statistical Package for Social Scientists (SPSSx computer programmes. The main findings of the study showed that, over 75% of the respondent agreed that, land shortage for pasture and cultivation, water scarcity, livestock and family relationships were the main causes of conflicts in Gorowa community. About 60% of respondents had the

  14. The Analysis of a Murder, a Case Study (United States)

    Dinan, Frank J.; Szczepankiewicz, Steven H.; Carnaham, Melinda; Colvin, Michael T.


    The analysis of a Murder case study can be used in general chemistry or nonscience major chemistry courses to teach data handling and analysis in a non-laboratory context. This case study will help students to respond more enthusiastically and with more interest to a set of material placed before them related to a real case rather than…

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

    Ball, Lois A.

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

  16. Community Cognition Investigation and Research on Tourists Disaster of Mountain Tourism-taking Taibai Moutain as a Case Study

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    Zhao Jian-Chang


    Full Text Available The aim of the study focus on the community cognition to disasters of tourism taking the disasters frequently happens in Taibai Mountains as the case. The research covers people’s cognition in tourist destination, which is closely related to the development and the economy in tourism. The age, education, occupation, income and the degree of relation to the tourism are also the important factors. The cognition of the community is the disasters influence, the disasters avoidance, the disasters knowledge and the disasters research. It is found that the elderly, higher education and income groups in community have more requirements to tourism development; community young people, local people and engaged in tourism business or management groups are not satisfied with the community benefits which gets through the development of tourism at present; more elderly, civil servants and workers staff in community know about the influence of the tourism disasters to social, economic and cultural in scenic spots; the young people, local and engaged in tourism business and management groups of community know more about prevention work of tourism disaster; higher education and youth groups in community have more knowledge of tourism disaster; more community civil servants are skeptical to the study of tourism disaster. Analyzing the results from the tourist areas, this research can offer advice to local governments and the administrations of the tourism, esp. develop the community avoidance ability in order that the system of the avoidance administration could be established.

  17. Tangled Narratives and Wicked Problems: A Complex Case of Positioning and Politics in a Diverse School Community (United States)

    Nguyen, Thu Suong Thi; Scribner, Samantha M. Paredes; Crow, Gary M.


    The case of Allen Elementary School presents tangled narratives and wicked problems describing the multidimensionality of school community work. Using multiple converging and diverging vignettes, the case points to the distinctiveness of individual experience in schools; the ways institutionalized organizational narratives become cultural…

  18. Illusions of Resilience? An Analysis of Community Responses to Change in Northern Norway.

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    Helene Amundsen


    Full Text Available This article contributes to our understanding of community resilience. Community resilience is the ability of a community to cope and adjust to stresses caused by social, political, and environmental change and to engage community resources to overcome adversity and take advantage of opportunities in response to change. Through an analysis of local responses to multiple challenges, six dimensions of community resilience were found in one village in northern Norway. These dimensions; community resources, community networks, institutions and services, people-place connections, active agents, and learning; are activated in processes and activities in the village to respond to current challenges. Although this corroborates findings from other community resilience research, this research suggests that community resilience is both complex and dynamic over time. Although communities may consider themselves resilient to today's challenges, the rate and magnitude of expected systemic global changes, especially climate change, means that future resilience cannot be taken for granted. This work concludes that there is a risk that community resilience may be an illusion, leading to complacency about the need for adaption to multiple factors of change. Hence, the ability of communities to actively engage in reflexive learning processes is of importance for both adaptation and future resilience.

  19. PatientsLikeMe the case for a data-centered patient community and how ALS patients use the community to inform treatment decisions and manage pulmonary health. (United States)

    Frost, J; Massagli, M


    What happens when patients go online to not only discuss health and daily living but to share detailed health data? PatientsLikeMe is an online platform where patients with life-altering conditions share structured information about symptoms, treatments, and outcomes, view individual and aggregated reports of these data, and discuss health and garner support on forums and through private messages. In this case study, we describe the components of this platform and how people with Amyotrophic lateral sclerosis have used the site to manage and improve pulmonary health. A qualitative analysis of forum content containing preset terms reveals patterns in use. As in other online communities, members of PatientsLikeMe offer one another support based on their own personal experience and advise each other on both medical issues and how to improve day-to-day life. Unique to this patient platform, members tailor questions and consults by referencing concrete data displayed for each patient member. PatientsLikeMe adds data into patient investigations on how to improve daily life and long term health outcomes.

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

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


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

  1. A Translation Case Analysis Based on Skopos Theory

    Institute of Scientific and Technical Information of China (English)



    This paper is a translation case analysis based on Skopos Theory.This paper choose President Xi’s New Year congratulations of 2015 as analysis text and gives the case analysis.This paper focuses on translating the text based on Skopos Theory.

  2. What Attracts People to Visit Community Open Spaces? A Case Study of the Overseas Chinese Town Community in Shenzhen, China

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    Yiyong Chen


    Full Text Available A well-designed open space that encourages outdoor activity and social communication is a community asset that could potentially contribute to the health of local residents and social harmony of the community. Numerous factors may influence the use of each single space and may result in a variety of visitors. Compared with previous studies that focused on accessibility, this study highlights the relationship between the utilization and characteristics of community open spaces in China. The Overseas Chinese Town community in Shenzhen is regarded as an example. The association between the number of visitors and space characteristics is examined with multivariate regression models. Results show that large areas with accessible lawns, well-maintained footpaths, seats, commercial facilities, and water landscapes are important characteristics that could increase the use of community open spaces. However, adding green vegetation, sculptures, and landscape accessories in open spaces has limited effects on increasing the outdoor activities of residents. Thus, to increase the use of community open spaces, landscape designers should focus more on creating user-oriented spaces with facilities that encourage active use than on improving ornamental vegetation and accessories.

  3. Molecular analysis of microbial communities in endotracheal tube biofilms.

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    Scott Cairns

    Full Text Available BACKGROUND: Ventilator-associated pneumonia is the most prevalent acquired infection of patients on intensive care units and is associated with considerable morbidity and mortality. Evidence suggests that an improved understanding of the composition of the biofilm communities that form on endotracheal tubes may result in the development of improved preventative strategies for ventilator-associated pneumonia. METHODOLOGY/PRINCIPAL FINDINGS: The aim of this study was to characterise microbial biofilms on the inner luminal surface of extubated endotracheal tubes from ICU patients using PCR and molecular profiling. Twenty-four endotracheal tubes were obtained from twenty mechanically ventilated patients. Denaturing gradient gel electrophoresis (DGGE profiling of 16S rRNA gene amplicons was used to assess the diversity of the bacterial population, together with species specific PCR of key marker oral microorganisms and a quantitative assessment of culturable aerobic bacteria. Analysis of culturable aerobic bacteria revealed a range of colonisation from no growth to 2.1×10(8 colony forming units (cfu/cm(2 of endotracheal tube (mean 1.4×10(7 cfu/cm(2. PCR targeting of specific bacterial species detected the oral bacteria Streptococcus mutans (n = 5 and Porphyromonas gingivalis (n = 5. DGGE profiling of the endotracheal biofilms revealed complex banding patterns containing between 3 and 22 (mean 6 bands per tube, thus demonstrating the marked complexity of the constituent biofilms. Significant inter-patient diversity was evident. The number of DGGE bands detected was not related to total viable microbial counts or the duration of intubation. CONCLUSIONS/SIGNIFICANCE: Molecular profiling using DGGE demonstrated considerable biofilm compositional complexity and inter-patient diversity and provides a rapid method for the further study of biofilm composition in longitudinal and interventional studies. The presence of oral microorganisms in

  4. Analysis of two cases with bronchopulmonary neurofibromatosis

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    Yuan Ting


    Full Text Available Abstract Neurogenic tumor of lung is very rare. Only few cases have been reported in the literature. We present here two cases of bronchopulmonary neurofibromatosis in two adults. In both cases, attempts at imaging failed to diagnose the case, and it was the histological study that ensured the diagnosis of neurofibromatosis. Biopsy specimens showed bundles of spindle-shaped cells mixed with collagen, and on immunohistochemistry some cells were positive for S-100 protein.

  5. Molecular Analysis Research at Community College of Philadelphia (United States)


    institutions. The project aims to validate the work of current graduate students and continue on Dr. Salerno’s postdoctoral project (Salerno et al., 2012...essential tool in completing this research project. Funds for training students on the V3 Western Workflow were obtained through a Community College ...partnership in proteomics research between The Community College of Philadelphia and Philadelphia University. Training Component: 4-5 students

  6. Quantifying the impact of community quarantine on SARS transmission in Ontario: estimation of secondary case count difference and number needed to quarantine

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    Laflèche Julie ML


    Full Text Available Abstract Background Community quarantine is controversial, and the decision to use and prepare for it should be informed by specific quantitative evidence of benefit. Case-study reports on 2002-2004 SARS outbreaks have discussed the role of quarantine in the community in transmission. However, this literature has not yielded quantitative estimates of the reduction in secondary cases attributable to quarantine as would be seen in other areas of health policy and cost-effectiveness analysis. Methods Using data from the 2003 Ontario, Canada, SARS outbreak, two novel expressions for the impact of quarantine are presented. Secondary Case Count Difference (SCCD reflects reduction in the average number of transmissions arising from a SARS case in quarantine, relative to not in quarantine, at onset of symptoms. SCCD was estimated using Poisson and negative binomial regression models (with identity link function comparing the number of secondary cases to each index case for quarantine relative to non-quarantined index cases. The inverse of this statistic is proposed as the number needed to quarantine (NNQ to prevent one additional secondary transmission. Results Our estimated SCCD was 0.133 fewer secondary cases per quarantined versus non-quarantined index case; and a NNQ of 7.5 exposed individuals to be placed in community quarantine to prevent one additional case of transmission in the community. This analysis suggests quarantine can be an effective preventive measure, although these estimates lack statistical precision. Conclusions Relative to other health policy areas, literature on quarantine tends to lack in quantitative expressions of effectiveness, or agreement on how best to report differences in outcomes attributable to control measure. We hope to further this discussion through presentation of means to calculate and express the impact of population control measures. The study of quarantine effectiveness presents several methodological and

  7. Community relations and child-led microfinance: a case study of caregiving children in Kenya. (United States)

    Skovdal, Morten


    Rampant levels of AIDS and poverty have made many children in sub-Saharan Africa the primary caregivers of their ageing or ailing guardians. This paper reports on a social action fund initiative that brought caregiving children together to set-up and run income generating activities as a group with the aim of strengthening their coping capabilities. To further our understanding of child-led microfinance activities, this paper explores how intra-community relations can both facilitate and undermine child-led activities, and how these activities in turn can further strengthen some intra-community relations. Twenty-one children (aged 12-17) and six guardians participated in this study. Data included draw-and-write compositions (n=21), essays (n=16), workshop notes and proposals (n=8) and in-depth interviews (n=16). A thematic analysis revealed that the children actively drew on the expertise and involvement of some guardians in the project as well as on each other, developing supportive peer relations that helped strengthen their coping capabilities. However, the children's disenfranchised position in the community meant that some adults took advantage of the child-led activities for their own personal gain. Some children also showed a lack of commitment to collective work, undermining the morale of their more active peers. Nevertheless, both guardians and the children themselves began to look at caregiving children differently as their engagement in the project began to earn them respect from the community - changing guardian/child relations. The paper concludes that microfinance interventions targeting children and young people must consider children's relationships with each other and with adults as key determinants of Project success.

  8. Development of Community Mental Health Services: The Case of Emilia‐Romagna Italian Region

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    Angelo Fioritti


    Full Text Available Italian psychiatry has gained International attention after its radical reform of 1978, which established the progressive closure of mental hospitals and the establishment of community services throughout the country. However it is technically inappropriate to talk about Italian psychiatry as the devolution process has transferred to the regions all competences about policy, planning and evaluating health services. This explains the variety of “community psychiatries” that can be found along the peninsula and the reasons of interest that can arise from their comparison. The development of community psychiatry in Emilia‐Romagna, a region of 4 million inhabitants in Northern Italy, has proceeded through two partially overlapping phases of deinstitutionalization (1978‐1997 and development of integrated mental health departments (1990‐2008. The analysis of raw data about allocation of resources and professional capital development give way to tentative comparisons with the current Portuguese situation of implementation of a similar reform. In 2006 the regional Council launched a three year project aimed at rethinking the welfare system and the integration of social and health services, considering the dramatic social and demographic changes occurring in the region. This project has implied also a three year process of redrafting mental health policy finalised in the Emilia‐Romagna Mental Health Action Plan 2009‐2011 approved by the council in March 2009. It basically follows two strategies: integration of health and social services and further qualification of health services. The former is pursued through a reshaping of the planning and commissioning bodies of both health and social services, previously separated and now merging. They are taking responsibility on many issues related to mental health care, such as prevention, mental health promotion, supported employment, supported housing, subsidies, self‐help. The improvement of

  9. The Use of Qualitative Content Analysis in Case Study Research


    Florian Kohlbacher


    This paper aims at exploring and discussing the possibilities of applying qualitative content analysis as a (text) interpretation method in case study research. First, case study research as a research strategy within qualitative social research is briefly presented. Then, a basic introduction to (qualitative) content analysis as an interpretation method for qualitative interviews and other data material is given. Finally the use of qualitative content analysis for developing case studies is ...

  10. Location of gliomas in relation to mobile telephone use: a case-case and case-specular analysis

    DEFF Research Database (Denmark)

    Larjavaara, Suvi; Schüz, Joachim; Swerdlow, Anthony;


    approaches: In a case-case analysis, tumor locations were compared with varying exposure levels; in a case-specular analysis, a hypothetical reference location was assigned for each glioma, and the distances from the actual and specular locations to the handset were compared. The study included 888 gliomas......The energy absorbed from the radio-frequency fields of mobile telephones depends strongly on distance from the source. The authors' objective in this study was to evaluate whether gliomas occur preferentially in the areas of the brain having the highest radio-frequency exposure. The authors used 2...... from 7 European countries (2000-2004), with tumor midpoints defined on a 3-dimensional grid based on radiologic images. The case-case analyses were carried out using unconditional logistic regression, whereas in the case-specular analysis, conditional logistic regression was used. In the case-case...

  11. Use of combinatorial pharmacogenomic testing in two cases from community psychiatry

    Directory of Open Access Journals (Sweden)

    Fields ES


    Full Text Available Eve S Fields,1 Raymond A Lorenz,2 Joel G Winner2 1Northwest Center for Community Mental Health, Reston, VA, USA; 2Assurex Health, Mason, OH, USA Abstract: This report describes two cases in which pharmacogenomic testing was utilized to guide medication selection for difficult to treat patients. The first patient is a 29-year old male with bipolar disorder who had severe akathisia due to his long acting injectable antipsychotic. The second patient is a 59-year old female with major depressive disorder who was not ­responding to her medication. In both cases, a proprietary combinatorial pharmacogenomic test was used to inform medication changes and improve patient outcomes. The first patient was switched to a long acting injectable that was not affected by his genetic profile and his adverse effects abated. The second patient had her medications discontinued due to the results of the genetic testing and more intense psychotherapy initiated. While pharmacogenomic testing may be ­helpful in cases such as these presented here, it should never serve as a proxy for a comprehensive biopsychosocial approach. The pharmacogenomic information may be selectively added to this comprehensive approach to support medication treatment. Keywords: pharmacogenomics, adverse effects, risperidone, nortriptyline, paliperidone



    Bernard Chazovachii; Cephas Mutami; John Bowora


    This paper seeks to assess the contribution of community gardens on food security in rural livelihoods development in Mberengwa ward 27. Despite the introduction of community gardens in ward 27, poverty persisted amongst the vulnerable groups in the district. Both qualitative and quantitative methods were used in collection of data through questionnaires, interviews and focused group discussions (FGDs). Analysis was done using descriptive statistics and content analysis. This study revealed t...

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

    Hammond, Lorie A.


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

  14. Community Health Seeking Behavior for Suspected Human and Animal Rabies Cases, Gomma District, Southwest Ethiopia.

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    Tsegaye Tewelde G/hiwot

    Full Text Available Timely presentation to appropriate health service provider of sick animals/humans from zoonotic diseases like rabies is important for early case/outbreak detection and management. However, data on community's health seeking practice for rabies in Ethiopia is limited. Therefore the objective of this study was to determine community's health seeking behavior on rabies, Southwest Ethiopia.A cross-sectional survey was conducted from January 16-February 14, 2015 to collect data from 808 respondents where the respondents were selected using multistage sampling technique. Data were collected using interviewer administered structured questionnaire by trained epidemiology graduate level students. Data were entered to Epidata version 3.1 and analyzed using SPSS version 20 for windows.Eight hundred three (99.4% respondents participated in the study. Out of 28 respondents who reported their family members' exposure to rabies, 8 of them replied that the exposed family members sought treatment from traditional healers. More than nine in ten respondents perceived that humans and domestic animals with rabies exposure should seek help of which 85% of them suggested modern health care facilities as the preferred management option for the sick humans and domestic animals. However, among those who reported sick domestic animals, near to 72% of them had either slaughtered for human consumption, sold immediately, visited traditional healer, given home care or did nothing for the sick domestic animals.Majority of the respondents had favorable perception of seeking treatment from modern health care facilities for rabies. However, significant number of them had managed inappropriately for the sick domestic animals from rabies. Hence, raising awareness of the community about management of sick domestic animals from rabies and the need for reporting to both human and animal health service providers is needed.

  15. Citizen participation overplanned: the case of a health project in the Guatemalan community of San Pedro la Laguna. (United States)

    Paul, B D; Demarest, W J


    Citizen involvement is a widely endorsed but often elusive goal in community betterment projects. An initiative by the major of San Pedro attracted funds to build a clinic and hire a doctor and attracted an American health educator to direct the project. Contrary to plan, the director's insistence on creating a representative community committee discouraged rather than increased participation. The case chronicles the interplay of interests and strategies and points toward potentially more productive approaches to issues of leadership, factionalism and public participation.

  16. Funding Ohio Community Colleges: An Analysis of the Performance Funding Model (United States)

    Krueger, Cynthia A.


    This study examined Ohio's community college performance funding model that is based on seven student success metrics. A percentage of the regular state subsidy is withheld from institutions; funding is earned back based on the three-year average of success points achieved in comparison to other community colleges in the state. Analysis of…

  17. Using Social Network Analysis to Understand Sense of Community in an Online Learning Environment (United States)

    Shen, Demei; Nuankhieo, Piyanan; Huang, Xinxin; Amelung, Christopher; Laffey, James


    This study uses social network analysis (SNA) in an innovative way to describe interaction and explain how interaction influences sense of community of students in online learning environments. The findings reveal differences on sense of community between two similarly structured online courses, and show unique interaction patterns for students in…

  18. Impact of plant invasions on local arthropod communities: a meta-analysis

    NARCIS (Netherlands)

    van Hengstum, T.; Hooftman, D.A.P.; Oostermeijer, J.G.B.; van Tienderen, P.H.


    1. Invasive plants can have a major impact on local plant and animal communities. However, effects of plant invasions on arthropod communities and the potential drivers have rarely been studied. 2. We present a meta-analysis of 56 studies on the impact of plant invasions on abundance and richness of

  19. Newspaper Content Analysis in Evaluation of a Community-Based Participatory Project to Increase Physical Activity (United States)

    Granner, Michelle L.; Sharpe, Patricia A.; Burroughs, Ericka L.; Fields, Regina; Hallenbeck, Joyce


    This study conducted a newspaper content analysis as part of an evaluation of a community-based participatory research project focused on increasing physical activity through policy and environmental changes, which included activities related to media advocacy and media-based community education. Daily papers (May 2003 to December 2005) from both…

  20. Course-Shopping in the Urban Community Colleges: An Analysis of Student Drop and Add Activities. (United States)

    Hagedorn, Linda Serra; Maxwell, William B.; Cypers, Scott; Moon, Hye Sun; Lester, Jaime

    This study examines the course shopping behaviors of approximately 5,000 community college students enrolled across the nine campuses of the Los Angeles Community College District in spring 2001. The sample students are representative of the district. For the purpose of this analysis, the authors define course shopping as: (1) cyclic shopping, the…

  1. Principal response curves: analysis of time-dependent multivariate responses of biological community to stress

    NARCIS (Netherlands)

    Brink, van den P.J.; Braak, ter C.J.F.


    In this paper a novel multivariate method is proposed for the analysis of community response data from designed experiments repeatedly sampled in time. The long-term effects of the insecticide chlorpyrifos on the invertebrate community and the dissolved oxygen (DO)–pH–alkalinity–conductivity syndrom

  2. Analysis of community-level mesocosm data based on ecologically meaningful dissimilarity measures and data transformation

    NARCIS (Netherlands)

    Tebby, Cleo; Joachim, Sandrine; Brink, Van den Paul J.; Porcher, Jean Marc; Beaudouin, Rémy


    The principal response curve (PRC) method is a constrained ordination method developed specifically for the analysis of community data collected in mesocosm experiments, which provides easily understood summaries and graphical representations of community response to stress. It is a redundancy an

  3. Shared Governance in the Community College: An Analysis of Formal Authority in Collective Bargaining Agreements (United States)

    McDermott, Linda A.


    This qualitative study examines shared governance in Washington State's community and technical colleges and provides an analysis of faculty participation in governance based on formal authority in collective bargaining agreements. Contracts from Washington's thirty community and technical college districts were reviewed in order to identify in…

  4. University-Community Engagement: A grid-group analysis

    Directory of Open Access Journals (Sweden)

    David Low


    Full Text Available University-community engagement involves complex issues, entangling multiple and interacting points of view, all of which operate in a wider dynamic evolving social environment. For this reason, there is often disagreement about why engagement is necessary or desirable, and whether there is one optimal method to practice it. To address this issue, I argue that university-community engagement can be examined as a form of enquiry. In this view, engagement is viewed as a system that arises through the recognition of the dissent it embodies. As such, enquiry functions to process disagreements into diverse methods of communication. Most of the disagreements utilised by universities are derived from external sources, thus university-based enquiry must necessarily involve a dialogue with a broader community or environment. In this sense, university-community engagement can be viewed most generally as a method that processes disagreements into shared understandings through enquiry. To demonstrate how university-community engagement functions from an enquiry point of view, I use Mary Douglas’ grid-group diagramming method to develop a critical typology for classifying university-community engagement. My modified grid-group diagram provides a structured typological space within which four distinct methods of university-community engagement can be identified and discussed – both in relation to their internal communicational characteristics, and in relation to each other. The university-engagement grid-group diagram is constructed by locating each of Douglas’ four quadrants within Charles Peirce’s four methods of enquiry. Peirce’s work is introduced because each of his four methods of enquiry deals specifically with how disagreements are processed and resolved. When Peirce’s methods for fixing belief are located in Douglas’ grid-group diagram, they create a sense-making framework for university-community engagement. It is argued

  5. An analysis of a low-energy, low-water use community in Mexico City (United States)

    Bermudez Alcocer, Jose Luis

    This study investigated how to determine a potential scenario to reduce energy, water and transportation use in Mexico City by implementing low-energy, low-water use communities. The proposed mixed-use community has multi-family apartments and a small grocery store. The research included the analysis of: case studies, energy simulation, and hand calculations for water, transportation and cost analysis. The previous case studies reviewed include: communities in Mexico City, Mexico, Austin, Texas, Phoenix, Arizona, New York City, New York and San Diego, California in terms of successful low-energy, low-water use projects. The analysis and comparison of these centers showed that the Multifamiliar Miguel Aleman is an excellent candidate to be examined for Mexico City. This technical potential study evaluated energy conserving measures such as low-energy appliances and efficient lighting that could be applied to the apartments in Mexico City to reduce energy-use. The use of the simulations and manual calculations showed that the application of the mixed-use concept was successful in reducing the energy and water use and the corresponding carbon footprint. Finally, this technical potential study showed taking people out of their cars as a result of the presence of the on-site grocery store, small recreation center and park on the ground floor also reduced their overall transportation energy-use. The improvement of the whole community (i.e., apartments plus grocery store) using energy-efficient measures provided a reduction of 70 percent of energy from the base-case. In addition a 69 percent reduction in water-use was achieved by using water-saving fixtures and greywater reuse technologies for the complex. The combination of high-efficiency automobiles and the presence of the on-site grocery store, small recreation center and park potentially reduced the transportation energy-use by 65 percent. The analysis showed an energy cost reduction of 82 percent reduction for

  6. Community violence and urban childhood asthma: a multilevel analysis. (United States)

    Sternthal, M J; Jun, H-J; Earls, F; Wright, R J


    We examined the association between community violence exposure and childhood asthma risk in a multilevel, multimethod, longitudinal study controlling for individual- and neighbourhood-level confounders and pathway variables. Analyses included 2,071 children aged 0-9 yrs at enrolment from the Project on Human Development in Chicago Neighborhoods. Multilevel logistic regression models estimated the likelihood of asthma, controlling for individual-level (child's age, sex, race/ethnicity, maternal asthma, socioeconomic status and family violence in the home) and neighbourhood-level confounders (concentrated disadvantage, collective efficacy and social disorder), and pathway variables (maternal smoking, breastfeeding). In adjusted analyses, medium (OR 1.60, 95% CI 1.17-2.19) and high levels (OR 1.56, 95% CI 1.12-2.18) of community violence were associated with increased asthma risk, relative to low levels. The increased asthma risk remained for African Americans when models included community violence and all other individual-level covariates, but attenuated to borderline nonsignificance when further adjusting for collective efficacy. Community violence is associated with asthma risk when controlling for individual- and neighborhood-level confounders. Neither community violence, nor the other individual-level factors, fully accounted for the excess asthma burden among African Americans. These data suggest that public health interventions outside the biomedical model may be needed to reduce asthma in disadvantaged populations.

  7. Perspective for Aquaponic Systems: "Omic" Technologies for Microbial Community Analysis. (United States)

    Munguia-Fragozo, Perla; Alatorre-Jacome, Oscar; Rico-Garcia, Enrique; Torres-Pacheco, Irineo; Cruz-Hernandez, Andres; Ocampo-Velazquez, Rosalia V; Garcia-Trejo, Juan F; Guevara-Gonzalez, Ramon G


    Aquaponics is the combined production of aquaculture and hydroponics, connected by a water recirculation system. In this productive system, the microbial community is responsible for carrying out the nutrient dynamics between the components. The nutrimental transformations mainly consist in the transformation of chemical species from toxic compounds into available nutrients. In this particular field, the microbial research, the "Omic" technologies will allow a broader scope of studies about a current microbial profile inside aquaponics community, even in those species that currently are unculturable. This approach can also be useful to understand complex interactions of living components in the system. Until now, the analog studies were made to set up the microbial characterization on recirculation aquaculture systems (RAS). However, microbial community composition of aquaponics is still unknown. "Omic" technologies like metagenomic can help to reveal taxonomic diversity. The perspectives are also to begin the first attempts to sketch the functional diversity inside aquaponic systems and its ecological relationships. The knowledge of the emergent properties inside the microbial community, as well as the understanding of the biosynthesis pathways, can derive in future biotechnological applications. Thus, the aim of this review is to show potential applications of current "Omic" tools to characterize the microbial community in aquaponic systems.


    Directory of Open Access Journals (Sweden)

    Logan Macnair


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

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

    Directory of Open Access Journals (Sweden)

    Nsungwa-Sabiiti Jesca


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

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

    CERN Document Server

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


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

  11. A Comparative Analysis of Community Detection Algorithms on Artificial Networks

    CERN Document Server

    Yang, Zhao; Tessone, Claudio Juan


    Many community detection algorithms have been developed to uncover the mesoscopic properties of complex networks. However how good an algorithm is, in terms of accuracy and computing time, remains still open. Testing algorithms on real-world network has certain restrictions which made their insights potentially biased: the networks are usually small, and the underlying communities are not defined objectively. In this study, we employ the Lancichinetti-Fortunato-Radicchi benchmark graph to test eight state-of-the-art algorithms. We quantify the accuracy using complementary measures and algorithms' computing time. Based on simple network properties and the aforementioned results, we provide guidelines that help to choose the most adequate community detection algorithm for a given network. Moreover, these rules allow uncovering limitations in the use of specific algorithms given macroscopic network properties. Our contribution is threefold: firstly, we provide actual techniques to determine which is the most sui...

  12. Case study: Promoting community resilience with local values – Greenland's Paamiut Asasara

    DEFF Research Database (Denmark)

    Berliner, Peter; Larsen, Line Natascha; de Casas Soberón, Elena


    The chapter describes the programme Paamiut Asasara. The programme mobilised the local community from locally defined values and promoted shared community resilience as well as individual and family resilience.......The chapter describes the programme Paamiut Asasara. The programme mobilised the local community from locally defined values and promoted shared community resilience as well as individual and family resilience....

  13. Empowering Students through Service-Learning in a Community Psychology Course: A Case in Hong Kong (United States)

    Chan, Kevin; Ng, Eddie; Chan, Charles C.


    This article chronicles a service-learning (SL) subject on community psychology in Hong Kong (n = 26) and elaborates on how students experience concepts, frameworks, and values in community psychology and put them into practice at servicelearning settings. Upon acquiring basic concepts in community psychology, including sense of community,…

  14. Conceptualizing age-friendly community characteristics in a sample of urban elders: an exploratory factor analysis. (United States)

    Smith, Richard J; Lehning, Amanda J; Dunkle, Ruth E


    Accurate conceptualization and measurement of age-friendly community characteristics would help to reduce barriers to documenting the effects on elders of interventions to create such communities. This article contributes to the measurement of age-friendly communities through an exploratory factor analysis of items reflecting an existing US Environmental Protection Agency policy framework. From a sample of urban elders (n = 1,376), we identified 6 factors associated with demographic and health characteristics: access to business and leisure, social interaction, access to health care, neighborhood problems, social support, and community engagement. Future research should explore the effects of these factors across contexts and populations.

  15. Understanding interactions in virtual HIV communities: a social network analysis approach. (United States)

    Shi, Jingyuan; Wang, Xiaohui; Peng, Tai-Quan; Chen, Liang


    This study investigated the driving mechanism of building interaction ties among the people living with HIV/AIDS in one of the largest virtual HIV communities in China using social network analysis. Specifically, we explained the probability of forming interaction ties with homophily and popularity characteristics. The exponential random graph modeling results showed that members in this community tend to form homophilous ties in terms of shared location and interests. Moreover, we found a tendency away from popularity effect. This suggests that in this community, resources and information were not disproportionally received by a few of members, which could be beneficial to the overall community.

  16. Microbial community structural analysis of an expanded granular sludge bed (EGSB) reactor for beet sugar industrial wastewater (BSIW) treatment. (United States)

    Ambuchi, John Justo; Liu, Junfeng; Wang, Haiman; Shan, Lili; Zhou, Xiangtong; Mohammed, Mohammed O A; Feng, Yujie


    A looming global energy crisis has directly increased biomethanation processes using anaerobic digestion technology. However, much knowledge on the microbial community structure, their distribution within the digester and related functions remains extremely scanty and unavailable in some cases, yet very valuable in the improvement of the anaerobic bioprocesses. Using pyrosequencing technique based on Miseq PE 3000, microbial community population profiles were determined in an operated mesophilic expanded granular sludge bed (EGSB) reactor treating beet sugar industrial wastewater (BSIW) in the laboratory scale. Further, the distribution of the organisms in the lower, middle and upper sections within the reactor was examined. To our knowledge, this kind of analysis of the microbial community in a reactor treating BSIW is the first of its kind. A total of 44,204 non-chimeric reads with average length beyond 450 bp were yielded. Both bacterial and archaeal communities were identified with archaea predominance (60 %) observed in the middle section. Bayesian classifier yielded 164 families with only 0.73 % sequences which could not be classified to any taxa at family level. The overall phylum predominance in the reactor showed Firmicutes, Euryarchaeota, Chloroflexi, Proteobacteria and Bacteroidetes in the descending order. Our results clearly demonstrate a highly diverse microbial community population of an anaerobic reactor treating BSIW, with distinct distribution levels within the reactor.

  17. Analysis of Computer Science Communities Based on DBLP

    CERN Document Server

    Biryukov, Maria; 10.1007/978-3-642-15464-5_24


    It is popular nowadays to bring techniques from bibliometrics and scientometrics into the world of digital libraries to analyze the collaboration patterns and explore mechanisms which underlie community development. In this paper we use the DBLP data to investigate the author's scientific career and provide an in-depth exploration of some of the computer science communities. We compare them in terms of productivity, population stability and collaboration trends.Besides we use these features to compare the sets of topranked conferences with their lower ranked counterparts.

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

    Directory of Open Access Journals (Sweden)

    Valeria Llano-Arias


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

  19. Recruitment Campaigns as a Tool for Social and Cultural Reproduction of Scientific Communities: A case study on how scientists invite young people to science (United States)

    Andrée, Maria; Hansson, Lena


    Young people's interest in pursuing science and science-intense educations has been expressed as a concern in relation to societal, economic and democratic development by various stakeholders (governments, industry and university). From the perspective of the scientific communities, the issues at stake do not necessarily correspond to the overall societal aims. Rather, initiatives to recruit young people to science are also ways for the scientific community to engage in the social and cultural reproduction of itself. For a community to survive and produce a future, it needs to secure regeneration of itself in succeeding generations. The aim of this study is to, from a perspective of social and cultural production/reproduction, shed light on an initiative from the scientific community to recruit young people to science education. This is a case study of one recruitment campaign called the Chemistry Advent calendar. The calendar consists of 25 webcasted films, produced and published by the science/technology faculty at a university. The analysed data consist of the films and additional published material relating to the campaign such as working reports and articles published about the campaign. The analysis focussed on what messages are communicated to potential newcomers. The messages were categorised by means of a framework of subjective values. The results are discussed both from a perspective of how the messages mirror traditions and habits of the scientific community, and in relation to research on students' educational choices.

  20. SmashCommunity: A metagenomic annotation and analysis tool

    DEFF Research Database (Denmark)

    Arumugam, Manimozhiyan; Harrington, Eoghan D; Foerstner, Konrad U;


    the quantitative phylogenetic and functional compositions of metagenomes, to compare compositions of multiple metagenomes and to produce intuitive visual representations of such analyses. AVAILABILITY: SmashCommunity is freely available at CONTACT:

  1. Professional communities and student achievement - a meta-analysis

    NARCIS (Netherlands)

    Lomos, Catalina; Hofman, Roelande H.; Bosker, Roel J.


    In the past 3 decades, the concept of professional community has gained considerable momentum in the theoretical and empirical studies in this field. At the same time, the concept has faced conceptual and methodological difficulties in that as yet no universal definition has been formulated and that

  2. Pyrosequencing analysis of the bacterial community in drinking water wells. (United States)

    Navarro-Noya, Yendi E; Suárez-Arriaga, Mayra C; Rojas-Valdes, Aketzally; Montoya-Ciriaco, Nina M; Gómez-Acata, Selene; Fernández-Luqueño, Fabián; Dendooven, Luc


    Wells used for drinking water often have a large biomass and a high bacterial diversity. Current technologies are not always able to reduce the bacterial population, and the threat of pathogen proliferation in drinking water sources is omnipresent. The environmental conditions that shape the microbial communities in drinking water sources have to be elucidated, so that pathogen proliferation can be foreseen. In this work, the bacterial community in nine water wells of a groundwater aquifer in Northern Mexico were characterized and correlated to environmental characteristics that might control them. Although a large variation was observed between the water samples, temperature and iron concentration were the characteristics that affected the bacterial community structure and composition in groundwater wells. Small increases in the concentration of iron in water modified the bacterial communities and promoted the growth of the iron-oxidizing bacteria Acidovorax. The abundance of the genera Flavobacterium and Duganella was correlated positively with temperature and the Acidobacteria Gp4 and Gp1, and the genus Acidovorax with iron concentrations in the well water. Large percentages of Flavobacterium and Pseudomonas bacteria were found, and this is of special concern as bacteria belonging to both genera are often biofilm developers, where pathogens survival increases.

  3. A Learning Community's Potential Academic Impact: A Qualitative Analysis (United States)

    Firmin, Michael W.; Warner, Susan C.; Rose, Stephanie Firebaugh; Johnson, Courtney B.; Firmin, Ruth L.


    Learning Communities (LC) in higher education can serve as powerful connectors among individuals, particularly when integrating minority and White students. We conducted 24 in-depth interviews, using qualitative research methodology, with the 2004 cohort of LC students from a private, selective, Midwest university. Seniors at the time of…

  4. Defining Campus Violence: A Phenomenological Analysis of Community Stakeholder Perspectives (United States)

    Mayhew, Matthew J.; Caldwell, Rebecca J.; Goldman, Emily Grey


    The purpose of this study was to derive an empirically based understanding of campus violence. Grounded in a communication paradigm offered by sociolinguistic scholars, we adopted a phenomenological approach for conducting and analyzing 23 interviews from campus community stakeholders, including students, staff, faculty, administrators, and…

  5. Community College Mission Influence on Culture: An Organizational Analysis (United States)

    Stephens, E. Gerome


    Strong agreement of mission and culture has been found in more effective colleges (Fjortoft & Smart, 1994). For leaders, the culture of an organization provides the context for which decisions about organizational change processes can be made (Malm, 2008). The purpose of this study was to explore the culture present within a community college…

  6. Improving financial performance by modeling and analysis of radiology procedure scheduling at a large community hospital. (United States)

    Lu, Lingbo; Li, Jingshan; Gisler, Paula


    Radiology tests, such as MRI, CT-scan, X-ray and ultrasound, are cost intensive and insurance pre-approvals are necessary to get reimbursement. In some cases, tests may be denied for payments by insurance companies due to lack of pre-approvals, inaccurate or missing necessary information. This can lead to substantial revenue losses for the hospital. In this paper, we present a simulation study of a centralized scheduling process for outpatient radiology tests at a large community hospital (Central Baptist Hospital in Lexington, Kentucky). Based on analysis of the central scheduling process, a simulation model of information flow in the process has been developed. Using such a model, the root causes of financial losses associated with errors and omissions in this process were identified and analyzed, and their impacts were quantified. In addition, "what-if" analysis was conducted to identify potential process improvement strategies in the form of recommendations to the hospital leadership. Such a model provides a quantitative tool for continuous improvement and process control in radiology outpatient test scheduling process to reduce financial losses associated with process error. This method of analysis is also applicable to other departments in the hospital.

  7. Educational Cost Analysis in Action: Case Studies for Planners -- II. (United States)

    Coombs, Philip H.; Hallak, Jacques

    This document is the second in a series of three documents, which together contain 27 case studies on the uses of cost analysis in educational planning. The case studies are presented to help planners and administrators see how cost analysis can be used to improve the efficiency of their educational systems, or to get the best value existing…

  8. Educational Cost Analysis in Action: Case Studies for Planners -- III. (United States)

    Coombs, Philip H.; Hallak, Jacques

    This document is the third in a series of three documents, which together contain 27 case studies on the uses of cost analysis in educational planning. The case studies have been presented to help planners and administrators see how cost analysis can be used to improve the efficiency of their educational systems, and to get the best value from…

  9. Educational Cost Analysis in Action: Case Studies for Planners -- I. (United States)

    Coombs, Philip H.; Hallak, Jacques

    This document is the first in a series of three documents, which together contains 27 case studies on the uses of cost analysis in educational planning. The case studies have been presented to help planners and administrators see how cost analysis can be used to improve the efficiency of their educational systems, or how to get the best value from…

  10. Teaching Case: Analysis of an Electronic Voting System (United States)

    Thompson, Nik; Toohey, Danny


    This teaching case discusses the analysis of an electronic voting system. The development of the case was motivated by research into information security and management, but as it includes procedural aspects, organizational structure and personnel, it is a suitable basis for all aspects of systems analysis, planning and design tasks. The material…

  11. Analysis on Affecting Factors of Community Tourism Development-A Case from Baihuazhou Area of Ji’nan City%社区旅游发展影响因素分析--以济南百花洲片区为例

    Institute of Scientific and Technical Information of China (English)

    李玮娜; 刘海玲


    社区旅游作为一种以社区为基础,将目的地建设、旅游业发展与社区规划布局相结合的旅游发展模式,对实现区域旅游业的可持续发展具有重要意义。本文选取济南百花洲片区作为案例,运用问卷调查法,从居民参与旅游发展的意愿和对旅游影响的感知两个方面分析了百花洲片区社区旅游发展的影响因素。研究结果表明,百花洲片区居民对旅游业发展普遍抱有正面积极态度、分享旅游发展成果并参与承担旅游发展责任的意愿水平较高是当地社区旅游发展的有利条件;居民参与旅游发展具体事项的意愿有待提升、对旅游发展带来的部分影响持消极态度是当地社区旅游发展的限制因素。最后指出,对社区居民进行旅游教育与培训、在旅游规划中吸纳社区观点并尊重居民的社会需要、注重对旅游社会影响的研究和监测是培育社区旅游发展机制的关键。%Community tourism is a community-based tourism development model, which integrating the destination construction, the development of tourism industry and community planning. Community tourism has an important signiifcance upon the sustainable development of regional tourism. Selecting Baihuazhou area of Ji'nan city as a case, and using questionnaire survey method, this paper analyzes the influence factors of its development of community tourism from two aspects: the residents’ participation willingness and their perception of tourism impact. The results show that there are two advantages for the development of community tourism in the Baihuazhou area: the residents’ positive attitude to tourism development, and their high level willingness of sharing the achievements and responsibilities of tourism development;and there are two limiting factors to the development of the local community tourism: the lower residents' willingness to participate in the details of tourism development

  12. Structured Case Analysis: Developing Critical Thinking Skills in a Marketing Case Course (United States)

    Klebba, Joanne M.; Hamilton, Janet G.


    Structured case analysis is a hybrid pedagogy that flexibly combines diverse instructional methods with comprehensive case analysis as a mechanism to develop critical thinking skills. An incremental learning framework is proposed that allows instructors to develop and monitor content-specific theory and the corresponding critical thinking skills.…

  13. Multiplex social ecological network analysis reveals how social changes affect community robustness more than resource depletion. (United States)

    Baggio, Jacopo A; BurnSilver, Shauna B; Arenas, Alex; Magdanz, James S; Kofinas, Gary P; De Domenico, Manlio


    Network analysis provides a powerful tool to analyze complex influences of social and ecological structures on community and household dynamics. Most network studies of social-ecological systems use simple, undirected, unweighted networks. We analyze multiplex, directed, and weighted networks of subsistence food flows collected in three small indigenous communities in Arctic Alaska potentially facing substantial economic and ecological changes. Our analysis of plausible future scenarios suggests that changes to social relations and key households have greater effects on community robustness than changes to specific wild food resources.

  14. Community analysis of biting midges (Culicoides Latr.) on livestock farms in Denmark

    DEFF Research Database (Denmark)

    Nielsen, S. A.; Banta, G.; Rasmussen, Anne-Marie;


    This study presents descriptive statistics and community analysis of adult biting midges trapped at 16 livestock farms by means of light traps on Zealand and Lolland-Falster, Denmark. A total of 9,047 male and female Culicoides divided into 24 species, were caught. Biotic and abiotic factors...... ranging from presence of different host species (cattle or sheep/goats), presence of small woody areas or wetlands in the surrounding landscape, and agricultural practice (organic or conventional) were included in the community analysis. Only differences in the Culicoides communities between conventional...

  15. 社区卫生服务中心门诊腹痛患者244例诊治情况分析%Analysis of diagnosis and treatment of 244 cases of patients with abdominal pain in outpatient services of community health service center

    Institute of Scientific and Technical Information of China (English)



    目的:分析某社区卫生服务中心门诊腹痛患者伴随症状及病因,探索门诊腹痛诊治过程中的注意事项及腹痛诊断思维。方法:2013年1-12月收治腹痛患者244例,回顾性分析其临床资料。结果:244例腹痛患者中,102例伴恶心呕吐,86例伴腹泻,28例伴反跳痛,5例伴牵涉痛,19例有发热。腹痛病因最后确诊为急性胃肠炎等18种疾病,病例数及百分比排在前5位的疾病有急性胃肠炎92例(38.70%)、胆囊炎及胆结石34例(13.92%)、急性阑尾炎17例(6.97%)、泌尿系结石及感染12例(4.92%)、急性盆腔炎11例(4.51%)。另有腹痛患者诊断为心肌梗死、心肌炎和癫痫等。结论:腹痛病因较为复杂,社区门诊医师应完善自己的知识结构,打破固有的思维定势,进一步扩大腹痛病因诊断方面的知识面,以减少误诊和漏诊。%Objective:To analyze the associated symptoms and etiology of patients with abdominal pain in outpatient services of community health service center,to explore the matters needing attention in the course of diagnosis and treatment of abdominal pain and abdominal pain diagnosis thinking.Methods:244 patients with abdominal pain were selected from January to December 2013.The clinical data were retrospectively analyzed.Results:In 244 cases of patients with abdominal pain,102 cases accompanied with nausea and vomiting;86 cases had diarrhea;28 cases had rebound pain;5 cases had referred pain;19 cases had fever.The cause of abdominal pain finally diagnosed as acute gastroenteritis and other 18 kinds of diseases.The case number and percentage of the top five diseases were acute gastroenteritis in 92 cases(38.70% ),cholecystitis and gallstones in 34 cases(13.92% ),17 cases(6.97%) of acute appendicitis,urinary calculi and infection in 12 cases(4.92%),11 cases(4.51%) of acute pelvic inflammatory disease.In addition,some abdominal pain were diagnosed with myocardial infarction

  16. Evaluation of next generation sequencing for the analysis of Eimeria communities in wildlife. (United States)

    Vermeulen, Elke T; Lott, Matthew J; Eldridge, Mark D B; Power, Michelle L


    Next-generation sequencing (NGS) techniques are well-established for studying bacterial communities but not yet for microbial eukaryotes. Parasite communities remain poorly studied, due in part to the lack of reliable and accessible molecular methods to analyse eukaryotic communities. We aimed to develop and evaluate a methodology to analyse communities of the protozoan parasite Eimeria from populations of the Australian marsupial Petrogale penicillata (brush-tailed rock-wallaby) using NGS. An oocyst purification method for small sample sizes and polymerase chain reaction (PCR) protocol for the 18S rRNA locus targeting Eimeria was developed and optimised prior to sequencing on the Illumina MiSeq platform. A data analysis approach was developed by modifying methods from bacterial metagenomics and utilising existing Eimeria sequences in GenBank. Operational taxonomic unit (OTU) assignment at a high similarity threshold (97%) was more accurate at assigning Eimeria contigs into Eimeria OTUs but at a lower threshold (95%) there was greater resolution between OTU consensus sequences. The assessment of two amplification PCR methods prior to Illumina MiSeq, single and nested PCR, determined that single PCR was more sensitive to Eimeria as more Eimeria OTUs were detected in single amplicons. We have developed a simple and cost-effective approach to a data analysis pipeline for community analysis of eukaryotic organisms using Eimeria communities as a model. The pipeline provides a basis for evaluation using other eukaryotic organisms and potential for diverse community analysis studies.

  17. High-Resolution Melt Analysis for Rapid Comparison of Bacterial Community Compositions

    DEFF Research Database (Denmark)

    Hjelmsø, Mathis Hjort; Hansen, Lars Hestbjerg; Bælum, Jacob


    and fertilization treatments. The HRM analysis identified a shift in the bacterial community composition in two of the treatments, both including the soil fumigant Basamid GR. These results were confirmed with both denaturing gradient gel electrophoresis (DGGE) analysis and 454-based 16S rRNA gene amplicon......In the study of bacterial community composition, 16S rRNA gene amplicon sequencing is today among the preferred methods of analysis. The cost of nucleotide sequence analysis, including requisite computational and bioinformatic steps, however, takes up a large part of many research budgets. High......-resolution melt (HRM) analysis is the study of the melt behavior of specific PCR products. Here we describe a novel high-throughput approach in which we used HRM analysis targeting the 16S rRNA gene to rapidly screen multiple complex samples for differences in bacterial community composition. We hypothesized...

  18. [Analysis of abortions at a community maternity hospital in Bangui]. (United States)

    Sepou, A; Ngbale, R; Yanza, M C; Domande-Modanga, Z; Nguembi, E


    Abortion, i.e., early termination of pregnancy, has few complications when it occurs spontaneously. However self-inflicted abortion (SIA) often leads to more or less serious complications. In view of the increasing number of abortion cases in our department, we undertook this yearlong transversal study to evaluate the incidence of SIA in the department, determine the demographic characteristics of the women that practiced SIA, and identify the complications of SIA. Only ongoing or incomplete abortions were studied. Amenorrhea not related to pregnancy or associated with ectopic pregnancy was excluded from study. Clinical and demographic data were noted on forms specially designed by the research team. Data analysis yielded the following findings. Abortion accounted for 719 of the 5292 hospitalizations (13.6%) in gynecology unit, including 43.4% of SIA. Mean patient age was 24.7 years (range, 13 to 39). Spontaneous abortion was more likely to be observed in married women than in students who usually presented SIA. Wanted pregnancy was more likely to be reported by married women than by single woman who posed the problem of unwanted pregnancy. Students had more SIA. The main reasons for practicing SIA were financial (61.5%). The most common methods used for SIA were drug combinations (39.1%) and mechanical tools (26.0%). All severe complications such as infection and death were observed in women who practiced SIA. The high incidence of SIA in the department was especially disturbing due to the young age of the women involved and the severity of the complications. More action is needed to spread information on contraceptive methods in schools and universities to avoid unintended pregnancies that drive young people to practice SIA.

  19. Newcomer Integration in Online Knowledge Building Communities: Automated Dialogue Analysis in Integrative vs. Non-Integrative Blogger Communities

    Directory of Open Access Journals (Sweden)

    Nicolae Nistor


    Full Text Available Online knowledge building communities (OKBC reunite participants engaged in collaborative discourse. OKBCs can be made „smart“ by adding tools that predict how likely an OKBC is to integrate newcomers in existing dialogues and socio-cognitive structures. Starting from Bakhtin’s dialogical approach and polyphony theory, and building on the concept of inter- animation of voices, this study explores the relationship between newcomer integration and dialogue quality in OKBCs. The automated analysis tool “Important Moments” was employed to compare two dialogues, from an integrative and from a non-integrative blog-based OKBC. In the former, the concepts, lexical chains and inter-animation moments occurred more frequently than in the latter. Also, newcomer comments were linked to less lexical chains in the integrative community than in the non-integrative OKBC. These findings suggest close relationships between dialogue quality and newcomer integration, which can be used for designing smart OKBCs.

  20. Predicate Argument Structure Analysis for Use Case Description Modeling (United States)

    Takeuchi, Hironori; Nakamura, Taiga; Yamaguchi, Takahira

    In a large software system development project, many documents are prepared and updated frequently. In such a situation, support is needed for looking through these documents easily to identify inconsistencies and to maintain traceability. In this research, we focus on the requirements documents such as use cases and consider how to create models from the use case descriptions in unformatted text. In the model construction, we propose a few semantic constraints based on the features of the use cases and use them for a predicate argument structure analysis to assign semantic labels to actors and actions. With this approach, we show that we can assign semantic labels without enhancing any existing general lexical resources such as case frame dictionaries and design a less language-dependent model construction architecture. By using the constructed model, we consider a system for quality analysis of the use cases and automated test case generation to keep the traceability between document sets. We evaluated the reuse of the existing use cases and generated test case steps automatically with the proposed prototype system from real-world use cases in the development of a system using a packaged application. Based on the evaluation, we show how to construct models with high precision from English and Japanese use case data. Also, we could generate good test cases for about 90% of the real use cases through the manual improvement of the descriptions based on the feedback from the quality analysis system.

  1. Analysis of Community Detection Algorithms for Large Scale Cyber Networks

    Energy Technology Data Exchange (ETDEWEB)

    Mane, Prachita; Shanbhag, Sunanda; Kamath, Tanmayee; Mackey, Patrick S.; Springer, John


    The aim of this project is to use existing community detection algorithms on an IP network dataset to create supernodes within the network. This study compares the performance of different algorithms on the network in terms of running time. The paper begins with an introduction to the concept of clustering and community detection followed by the research question that the team aimed to address. Further the paper describes the graph metrics that were considered in order to shortlist algorithms followed by a brief explanation of each algorithm with respect to the graph metric on which it is based. The next section in the paper describes the methodology used by the team in order to run the algorithms and determine which algorithm is most efficient with respect to running time. Finally, the last section of the paper includes the results obtained by the team and a conclusion based on those results as well as future work.

  2. Boston Community Energy Study - Zonal Analysis for Urban Microgrids (United States)


    Hatziargyriou, H. Asano, R. Iravani, and C. Marnay, “Microgrids,” Power and Energy Magazine , IEEE 5(4), 78–94 (2007). [18] M. Stadler, “Effect of Heat These microgrids typically exploit combined heat and power (CHP) systems to increase the overall energy efficiency, while increasing grid...simulation. The community energy simulation reflects certain policies of the City of Boston, including increasing affordability, increasing power grid

  3. Perceived community environmental influences on eating behaviors: A Photovoice analysis. (United States)

    Belon, Ana Paula; Nieuwendyk, Laura M; Vallianatos, Helen; Nykiforuk, Candace I J


    People's perceptions of local food environments influence their abilities to eat healthily. PhotoVoice participants from four communities in Alberta, Canada took pictures of barriers and opportunities for healthy eating and shared their stories in one-on-one semi-structured interviews. Using a socioecological framework, emergent themes were organized by type and size of environment. Findings show that, while availability and access to food outlets influence healthy eating practices, these factors may be eclipsed by other non-physical environmental considerations, such as food regulations and socio-cultural preferences. This study identifies a set of meta-themes that summarize and illustrate the interrelationships between environmental attributes, people's perceptions, and eating behaviors: a) availability and accessibility are interrelated and only part of the healthy eating equation; b) local food is synonymous with healthy eating; c) local food places for healthy eating help define community identity; d) communal dining (commensality) does not necessarily mean healthy eating; e) rewarding an achievement or celebrating special occasions with highly processed foods is socially accepted; f) food costs seemed to be driving forces in food decisions; g) macro-environmental influences are latent in food decisions. Recognizing the interrelationship among multiple environmental factors may help efforts to design effective community-based interventions and address knowledge gaps on how sociocultural, economic, and political environments intersect with physical worlds.

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

    Directory of Open Access Journals (Sweden)

    Andrew Lou L. Mungcal


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

  5. Retrosternal Goiter: Analysis of 42 Cases

    Directory of Open Access Journals (Sweden)

    Alkýn Yazýcýoðlu


    Full Text Available Aim: Cases that were operated due to diagnosis of retrosternal goiter were examined in terms of age, gender, complaints, diagnosis methods, surgical methods and postoperative complications. Material and Metod: The records of 42 cases operated due to retrosternal goiter between January 2006 and April 2012 were retrospectively evaluated. Results: Of the 42 cases, 16 (38.1% were male and 26 (61.9% were female; mean age was 56.4 years (range 31 – 79. 10 patients (23.8% were asymptomatic and the most frequent complaint was dyspnea (n = 18, 42.9%. A collar-incision was used in 22 patients (52.4%, collar + sternotomy to 5 patients (11.9%, and right thoracotomy to 8 patients (19.0%. The most frequently observed thyroid pathology was nodular hyperplasia (n = 32, 76.2% and 5 patients (11.9% were diagnosed with thyroid carcinoma. The average duration of hospital stay was 5.6 days (2 – 16 and hypoparathyroidic hypocalcemia was determined in 2 patients (4.8%; no mortality was observed. Discussion: Collar incision is adequate for excision in most cases of retrosternal goiter. Sternotomy or thoracotomy can be safely applied with low morbidity rate to cases with suspected adjacency to mediastinal structures.  

  6. Designing Program Roadmaps to Catalyze Community Formation: A Case Study of the Long-Term Stewardship Science and Technology Roadmapword

    Energy Technology Data Exchange (ETDEWEB)

    Dixon, Brent; Hanson, Duane; Matthern, Gretchen


    A number of broad perspective technology roadmaps have been developed in the last few years as tools for coordinating nation-wide research in targeted areas. These roadmaps share a common characteristic of coalescing the associated stakeholder groups into a special-interest community that is willing to work cooperatively in achieving the roadmap goals. These communities are key to roadmap implementation as they provide the collaborative energy necessary to obtain the political support and funding required for identified science and technology development efforts. This paper discusses the relationship between roadmaps and special-interest communities, using the recently drafted Department of Energy's Long-Term Stewardship Science and Technology Roadmap as a case study. Specific aspects this roadmap's design facilitated the development of a long-term stewardship community while specific realities during roadmap development impacted the realization of the design.

  7. Public health and health services development in postconflict communities: a case study of a safe motherhood project in East Timor. (United States)

    Marlowe, Penny; Mahmood, Mohammad Afzal


    Armed conflict causes suffering in many countries; it contributes to poor health and hinders health services development. The effects of conflict are evidenced by weakened community structures and can make reconstruction efforts challenging. East Timor has a history of prolonged conflict and saw a resurgence of internal violence in 2006. This participant observation study discusses considerations for implementing public health and health systems development projects in postconflict settings using a case study of a maternal and child health project. It illustrates the importance of appreciating the historical context and community dynamics when implementing development projects. The sequelae of conflict are often characterized by reduced human resource development capacity, distrust of hierarchy, and limited capacity for resource mobilization. Working in such postconflict communities requires flexibility in program design, stronger efforts for community capacity building, and rebuilding trust between various stakeholders.

  8. The Avalon Gardens Men's Association: A Community Health Psychology Case Study. (United States)

    Borg, Mark B


    This article follows the development and progress of the US Department of Housing and Urban Development's 'Healthy and Safe Communities' initiative as it was implemented by a community empowerment organization during a four-year community revitalization project in the aftermath of the Los Angeles riots. The author explores practical aspects of Community Health Psychology through assessing the ways in which its organizing principles were manifest in community-wide processes of individual and community change in one low-income housing project in South Central Los Angeles called Avalon Gardens. Specifically highlighted is how a group of African American and Latino men in the community created a group forum that helped foster, support and sustain an empowerment process that supported health promotion, health consciousness and significant health improvement in the community.

  9. An analysis of 1018 cases of ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chu Wan; Suh, Jeong Soo; Lee, Kwan Seh; Kim, Ki Hwan; Im, Chung Gie; Chang, Kee Hyun; Yeon, Kyung Mo; Han, Man Chung; Choo, Dong Woon [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Ultrasound is an especially helpful diagnostic tool in assessing various diseases in various organs as well as differentiating cystic masses from solid ones, with ease safety, reproducibility, and high accuracy. Authors analyzed total 1018 cases of ultrasonography that were studied in last seven months from March. 15. 1979 to October. 31. 1979, at the Department of Radiology, Seoul National University Hospital. The results were as follows: 1. Among the 1018 cases, 421 cases were male and 597 cases of female. The age distribution was from several months to 83 years, and 88% of all cases were in 20 to 69 years of age. 2. Sites of scanning; Liver, G.B. and biliary systems 376, thyroid 185, kidney 192, pelvis 121, abdomen 70, pancreas 48, eyeball 14, and other 12. 3. Hepatobiliary system 376; Normal 174, hepatomegaly 12, hepatoma 7, metastases 6, abscess 6, cirrhosis 2, hepatic cyst 1, hemangioma 1, agenesis of left lobe 1. 4. G.B. stones 106, cholecystitis 35, biliary tree dilatation 13, enlarged G.B. 7, C.B.D. stone 5, cystic duct stone 4, C.B.D. cancer 6, G.B. cancer 1, choledochal cyst 1, non-visualized G.B. 8. 5. Thyroid, 185; Nodule 147 -- solid 56, cystic 70, complex 21, Diffuse enlargement 29, normal scan 7, unidentified 2. 6. Pancreas, 48; Normal 17, pancreastitis 4, pancreatic cancer 22, pseudocyst 4, unidentified 1. 7. Abdomen 77 (excluding liver, G.B. and pancreas); Normal scan 31, solid tumor 14 - lymphoma group 12, mesenchyma origin 2, multiple lymph node enlargement 13, aortic aneurysm 4, retroperitoneal mass 2, subphrenic abscess 2, abdominal wall abscess 2, unknown solid mass 4, not contributory 4. 8. Kidney, 194, Normal scan 44, size and markings for biopsy 75, hydronephrosis 21, renal cyst 8, polycystic disease 8, solid renal tumor 10, renal stone 7, agenesis or hypoplasia 2, contracted kidney, both 7, enlarge kidney due to lymphoma and compensatory hyperplasia 5, renal tbc 2, perirenal abscess 1, perirenal hematoma 1, movable kidney 1, bladder tumor

  10. How do we know? An assessment of integrated community case management data quality in four districts of Malawi. (United States)

    Yourkavitch, Jennifer; Zalisk, Kirsten; Prosnitz, Debra; Luhanga, Misheck; Nsona, Humphreys


    The World Health Organization contracted annual data quality assessments of Rapid Access Expansion (RAcE) projects to review integrated community case management (iCCM) data quality and the monitoring and evaluation (M&E) system for iCCM, and to suggest ways to improve data quality. The first RAcE data quality assessment was conducted in Malawi in January 2014 and we present findings pertaining to data from the health management information system at the community, facility and other sub-national levels because RAcE grantees rely on that for most of their monitoring data. We randomly selected 10 health facilities (10% of eligible facilities) from the four RAcE project districts, and collected quantitative data with an adapted and comprehensive tool that included an assessment of Malawi's M&E system for iCCM data and a data verification exercise that traced selected indicators through the reporting system. We rated the iCCM M&E system across five function areas based on interviews and observations, and calculated verification ratios for each data reporting level. We also conducted key informant interviews with Health Surveillance Assistants and facility, district and central Ministry of Health staff. Scores show a high-functioning M&E system for iCCM with some deficiencies in data management processes. The system lacks quality controls, including data entry verification, a protocol for addressing errors, and written procedures for data collection, entry, analysis and management. Data availability was generally high except for supervision data. The data verification process identified gaps in completeness and consistency, particularly in Health Surveillance Assistants' record keeping. Staff at all levels would like more training in data management. This data quality assessment illuminates where an otherwise strong M&E system for iCCM fails to ensure some aspects of data quality. Prioritizing data management with documented protocols, additional training and

  11. Revising the Community of Inquiry Framework for the Analysis of One-to-One Online Learning Relationships (United States)

    Stenbom, Stefan; Jansson, Malin; Hulkko, Annelie


    In online learning research, the theoretical community of inquiry framework has been used extensively to analyze processes of inquiry among learners and instructors within a community. This paper examines a special case of community of inquiry consisting of only one learner and one instructor. Together they engage in an online coaching discourse…

  12. Are pathogenic leptospira species agents of community-acquired pneumonia? case reports of leptospirosis presenting as pneumonia

    NARCIS (Netherlands)

    M.H. Gasem; H. Farida (Helmia); A. Ahmed (Ahmed); J.A. Severin (Julitte A.); A. Suryanto (Agus); B. Isbandrio; H.A. Verbrugh (Henri); R.A. Hartskeerl (Rudy); P.J. Van Den Broek (Peterhans J.)


    textabstractWe report four Indonesian cases meeting the clinical and radiological criteria for community-acquired pneumonia and other findings suggestive of leptospirosis. Quantitative PCR (qPCR) analyses of serum and urine samples and serology confirmed the diagnosis of leptospirosis in each. Resul

  13. Using Bronfenbrenner's Ecological Theory to Understand Community Partnerships: A Historical Case Study of One Urban High School (United States)

    Leonard, Jack


    Although the value of school-community partnerships is unquestioned, the reasons for success and failure are not sufficiently understood. This mixed-methods case study examines 60 years of partnering at one urban high school, using Bronfenbrenner's ecological systems theory to better understand the effect on student development as measured by…

  14. A Triple Helix Strategy for Promoting SME Development: The Case of a Dried Banana Community Enterprise in Thailand (United States)

    Yuwawutto, Sauwapa; Smitinont, Thitapha; Charoenanong, Numtip; Yokakul, Nattaka; Chatratana, Sonchai; Zawdie, Girma


    This paper examines the university-industry-government relationship as a mechanism for enhancing the efficiency and competitiveness of small and medium-sized enterprises (SMEs). The case of a community enterprise producing dried banana products in the north of Thailand is used to demonstrate the significance of the Triple Helix model for business…

  15. Challenging Common Sense: Cases of School Reform for Learning Community under an International Cooperation Project in Bac Giang Province, Vietnam (United States)

    Saito, Eisuke; Tsukui, Atsushi


    This paper aims to discuss the challenges in the process of building a learning community in Vietnamese primary schools. Five lessons emerge from the cases. First, changing teachers' beliefs is time-consuming. Second, because of the reluctance of teachers to change, large-scale delivery of the educational project should be critically revisited…

  16. Unethical Leadership in Higher Education and the Precarious Journey to Recovery: A Case Study of the Alabama Community College System (United States)

    Kelly, Donald L.


    Recent events of the Alabama Community College System are examined as an historical organizational case study. Critical events are noted along with associated professional literature related to those events and actions. While the study attempts to explain the organizational culture that allowed the rise of unethical leadership, the primary focus…

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

    Steeg, Susanna M.


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

  18. Understanding the Factors that Characterise School-Community Partnerships: The Case of the Logan Healthy Schools Project (United States)

    Thomas, Melinda; Rowe, Fiona; Harris, Neil


    Purpose: The purpose of this study is to examine the factors that characterise effective school-community partnerships that support the sustainability of school health initiatives applied within a health-promoting schools approach. Design/methodology/approach: The study used an explanatory case study approach of five secondary schools…

  19. Promoting Community Wellbeing: The Case for Lifelong Learning for Older Adults (United States)

    Merriam, Sharan B.; Kee, Youngwha


    Community wellbeing is a function of many factors working in concert to promote an optimal quality of life for all members of a community. It is argued here that the promotion of lifelong learning among older adults can significantly contribute to community wellbeing. The aging society is a worldwide phenomenon presenting both opportunities and…

  20. "It Really Comes Down to the Community": A Case Study of a Rural School Music Program (United States)

    VanDeusen, Andrea


    Communities, schools, their music programs, and the individuals who participate in these groups are tied to the social, cultural, and political contexts in which they reside. Schools are often connected to their communities, and are often deeply cherished in rural communities. School music programs hold the potential to influence a small…

  1. Examining the Development of a Teacher Learning Community: The Case of a Video Club (United States)

    van Es, Elizabeth A.


    Learning communities have become a widespread model for teacher development. However, simply bringing teachers together does not ensure community development. This study offers a framework for the development of a teacher learning community in a video club. Qualitative coding of video data resulted in characterizing the evolution of the video club…

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

    DEFF Research Database (Denmark)

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


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

  3. Genetic Association Analysis under Complex Survey Sampling: The Hispanic Community Health Study/Study of Latinos (United States)

    Lin, Dan-Yu; Tao, Ran; Kalsbeek, William D.; Zeng, Donglin; Gonzalez, Franklyn; Fernández-Rhodes, Lindsay; Graff, Mariaelisa; Koch, Gary G.; North, Kari E.; Heiss, Gerardo


    The cohort design allows investigators to explore the genetic basis of a variety of diseases and traits in a single study while avoiding major weaknesses of the case-control design. Most cohort studies employ multistage cluster sampling with unequal probabilities to conveniently select participants with desired characteristics, and participants from different clusters might be genetically related. Analysis that ignores the complex sampling design can yield biased estimation of the genetic association and inflation of the type I error. Herein, we develop weighted estimators that reflect unequal selection probabilities and differential nonresponse rates, and we derive variance estimators that properly account for the sampling design and the potential relatedness of participants in different sampling units. We compare, both analytically and numerically, the performance of the proposed weighted estimators with unweighted estimators that disregard the sampling design. We demonstrate the usefulness of the proposed methods through analysis of MetaboChip data in the Hispanic Community Health Study/Study of Latinos, which is the largest health study of the Hispanic/Latino population in the United States aimed at identifying risk factors for various diseases and determining the role of genes and environment in the occurrence of diseases. We provide guidelines on the use of weighted and unweighted estimators, as well as the relevant software. PMID:25480034

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

    Miles, William R.; And Others

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

  5. ESIP Federation: A Case Study on Enabling Collaboration Infrastructure to Support Earth Science Informatics Communities (United States)

    Robinson, E.; Meyer, C. B.; Benedict, K. K.


    toolbox of collaborative development resources including Amazon Web Services to quickly spin-up the testbed instance and a GitHub account for maintaining testbed project code enabling reuse. Recently, the Foundation supported development of the ESIP Commons (, a Drupal-based knowledge repository for non-traditional publications to preserve community products and outcomes like white papers, posters and proceedings. The ESIP Commons adds additional structured metadata, provides attribution to contributors and allows those unfamiliar with ESIP a straightforward way to find information. The success of ESIP Federation activities is difficult to measure. The ESIP Commons is a step toward quantifying sponsor return on investment and is one dataset used in network map analysis of the ESIP community network, another success metric. Over the last 15 years, ESIP has continually grown and attracted experts in the Earth science data and informatics field becoming a primary locus of research and development on the application and evolution of Earth science data standards and conventions. As funding agencies push toward a more collaborative approach, the lessons learned from ESIP and the collaboration services themselves are a crucial component of supporting science research.


    Directory of Open Access Journals (Sweden)

    Max Joseph Herman


    Full Text Available ABSTRACT Background: Up to now there are more than 60 schools of pharmacy with a variety of accreditation level in lndonesia. Previous study found that the standard of pharmaceutical services at various service facilities (hospitals, primary health care and community pharmacy can not be fully implemented because of the limited competency of pharmacist. This study was conducted to identify the qualification of pharmacist who delivers services in community pharmacy in compliance with the Indonesian Health Law No. 36 of 2009. As mandated in the Health Law No. 36 of 2009, the government is obliged to establish minimum requirements that must be possessed. Methods: This cross sectional study was conducted in 2010 at 2 community pharmacies in each of 3 cities, i.e. Bandung, DI Yogyakarta and Surabaya. Other than ten pharmacists delivering services in community pharmacies, there were pharmacists as informants from 4 institutions in each city selected, i.e. six pharmacists from two Schools of Pharmacy, three pharmacists from three Regional Indonesian Pharmacists Association,six pharmacists from three District Health Offices and three Provincial Health Offices. Primary data collection through in-depth interviews and observation as well as secondary data collection concerning standard operating procedures, monitoring documentation and academic curricula has been used. Descriptive data were analysed qualitatively Results: The findings indicate that pharmacists' qualification to deliver services in a community pharmacy in accordance with the Government Regulation No. 51 of 2009, Standards of Pharmacy Services in Community Pharmacy and Good Pharmaceutical Practices (GPP was varied. Most pharmacists have already understood their roles in pharmacy service, but to practice it in accordance with the standards or guidelines they are still having problems. It is also acknowledged by pharmacists in other institutions, including School of Pharmacy, Regional

  7. Organizational analysis of three community support program models. (United States)

    Reinke, B; Greenley, J R


    Little attention has been paid to the organizational and administrative characteristics of effective community support programs for the chronic mentally ill. The authors analyzed three successful support programs in Wisconsin that employ three different models of service delivery: one provides services through caseworkers who carry specialized caseloads, another through local nonprofessionals who work with a centrally located program coordinator, and the third through a team of various mental health workers. Each program has tailored its organizational process to suit the types of clients it sees, the size of its catchment area, and the availability of other professional resources. The interrelated strengths and weaknesses of each model are discussed.

  8. Community involvement in health services at Namayumba and Bobi health centres: A case study

    Directory of Open Access Journals (Sweden)

    Jane F. Namatovu


    Full Text Available Background: Community involvement has been employed in the development of both vertical and horizontal health programmes. In Uganda, there is no empirical evidence on whether and how communities are involved in their health services.Aim and Setting: The aim of this study was to establish the existence of community involvement in health services and to identify its support mechanisms in Namayumba and Bobi health centres in Wakiso and Gulu districts, respectively.Methods: Participants were selected with the help of a community mobiliser. Key informants were selected purposively depending on their expertise and the roles played in their respective communities. The focus group discussions and key informant interviews were audio-recorded and transcribed verbatim. The transcripts were analysed manually for emerging themes and sub-themes.Results: Several themes emerged from the transcripts and we categorised them broadly into those that promote community involvement in health services and those that jeopardise it. Easy community mobilisation and several forms of community and health centre efforts promote community involvement, whilst lack of trust for health workers and poor communication downplay community involvement in their health services.Conclusion: Community involvement is low in health services in both Namayumba and Bobi health centres.


    Directory of Open Access Journals (Sweden)

    Matsyura A.V.


    Full Text Available The problem of the mathematical analysis of the number dynamics of the nesting waterbirds for the islands of the south of Ukraine is examined. The algorithm of the evaluation of changes in the number of island birds is proposed. Data of the long-term monitoring of the number of birds were analyzed according to this algorithm. The necessity of the implementation of the statistical indices together with the graphic representation of island birds’ turnover is proved. The trends of population dynamics are determined for the key species. The discussed procedure of the complex evaluation is proposed for the management planning of the island bird species and their habitats. The performed analysis of the number dynamics of the key-stone breeding island birds showed that, with the exception of little tern, the population status and the prognosis of number are sufficiently favorable. From the data of long-term monitoring we came up with the conclusion about the existence of island habitats with carrying capacity to maintain the additional number of breeding birds. In the case of unfavorable conditions like strengthening of anthropogenic press, concurrent interrelations, deficiency of feed resources or drastic reduction of breeding biotopes, the birds due to turnover are capable to successfully react even without reducing their number and breeding success. The extinction rate of the breeding bird species from the island sites directly correlates with the number of breeding species. For the species with equal abundance, the extinction probability is higher for birds, whose numbers are unstable and characterized by significant fluctuations. This testifies the urgency of the constant monitoring and analysis of the number dynamics of breeding bird species in region. The suggested procedure of analysis is recommended for drawing up of management plans and performing of prognoses of number of breeding island bird species. More detail analysis with use of

  10. The Educational Community and the School: A Case Study, by Means of the Combination of Different Techniques, of a Public Secondary School in Argentina

    Directory of Open Access Journals (Sweden)

    Mirta Giacobbe


    Full Text Available Research projects in which qualitative and quantitative techniques are combined entail the difficulty of an integral interpretation of the results, due to the particular characteristics of these two approaches. In this article the methodology applied in a case study carried out in an educational institution is described. The study was especially directed towards discovering the particular elements of teacher training which can hinder a constructive teaching practice, ascertaining the role that each of the educational actors performs in the construction of their school, and identifying the characteristics of the educational community that shape the performance of the institution. The study involved the collection, processing and analysis of materials relating to students, teachers, parents and administrators. Each group is addressed methodologically in a different way. Low levels of school performance and difficulties in the integration of the educational community were found. Some proposals for rectifying them are presented here.

  11. Microbial community analysis of anaerobic reactors treating soft drink wastewater.

    Directory of Open Access Journals (Sweden)

    Takashi Narihiro

    Full Text Available The anaerobic packed-bed (AP and hybrid packed-bed (HP reactors containing methanogenic microbial consortia were applied to treat synthetic soft drink wastewater, which contains polyethylene glycol (PEG and fructose as the primary constituents. The AP and HP reactors achieved high COD removal efficiency (>95% after 80 and 33 days of the operation, respectively, and operated stably over 2 years. 16S rRNA gene pyrotag analyses on a total of 25 biofilm samples generated 98,057 reads, which were clustered into 2,882 operational taxonomic units (OTUs. Both AP and HP communities were predominated by Bacteroidetes, Chloroflexi, Firmicutes, and candidate phylum KSB3 that may degrade organic compound in wastewater treatment processes. Other OTUs related to uncharacterized Geobacter and Spirochaetes clades and candidate phylum GN04 were also detected at high abundance; however, their relationship to wastewater treatment has remained unclear. In particular, KSB3, GN04, Bacteroidetes, and Chloroflexi are consistently associated with the organic loading rate (OLR increase to 1.5 g COD/L-d. Interestingly, KSB3 and GN04 dramatically decrease in both reactors after further OLR increase to 2.0 g COD/L-d. These results indicate that OLR strongly influences microbial community composition. This suggests that specific uncultivated taxa may take central roles in COD removal from soft drink wastewater depending on OLR.

  12. Is the contribution of community forest users financially efficient? A household level benefit-cost analysis of community forest management in Nepal

    Directory of Open Access Journals (Sweden)

    Rajesh Kumar Rai


    Full Text Available Community forestry in Nepal is considered an exemplary forest management regime. However, the economics behind managing a community forest is not fully studied. This study examines whether the benefits generated from community forest management justify the contributions of forest users. The study is based on a survey of community forest users in Chitwan, Nepal. A household level benefit-cost analysis was performed to quantify and compare the costs and benefits from community forest management. Only direct benefits were included in the analysis. The study shows that older forest user groups derive more benefits to households compared to more recently established ones. The extent of timber harvesting also substantially influences the size of the household benefits. In addition, redistribution of benefits at the household level, in terms of income generating activities and payment for involvement in forest management activities, also enhances household benefits. Sensitivity analysis suggests that the current practice of community forest management enhances the welfare of rural households in this subsistence community. However, this finding is sensitive to assumptions regarding the opportunity cost of time. The study also found that the household costs of community forest management depend upon two factors – the area of community forest and the size of the forest area relative to the number of households.

  13. Networking between community health programs: a case study outlining the effectiveness, barriers and enablers

    Directory of Open Access Journals (Sweden)

    Grills Nathan J


    Full Text Available Abstract Background In India, since the 1990s, there has been a burgeoning of NGOs involved in providing primary health care. This has resulted in a complex NGO-Government interface which is difficult for lone NGOs to navigate. The Uttarakhand Cluster, India, links such small community health programs together to build NGO capacity, increase visibility and better link to the government schemes and the formal healthcare system. This research, undertaken between 1998 and 2011, aims to examine barriers and facilitators to such linking, or clustering, and the effectiveness of this clustering approach. Methods Interviews, indicator surveys and participant observation were used to document the process and explore the enablers, the barriers and the effectiveness of networks improving community health. Results The analysis revealed that when activating, framing, mobilising and synthesizing the Uttarakhand Cluster, key brokers and network players were important in bridging between organisations. The ties (or relationships that held the cluster together included homophily around common faith, common friendships and geographical location and common mission. Self interest whereby members sought funds, visibility, credibility, increased capacity and access to trainings was also a commonly identified motivating factor for networking. Barriers to network synthesizing included lack of funding, poor communication, limited time and lack of human resources. Risk aversion and mistrust remained significant barriers to overcome for such a network. Conclusions In conclusion, specific enabling factors allowed the clustering approach to be effective at increasing access to resources, creating collaborative opportunities and increasing visibility, credibility and confidence of the cluster members. These findings add to knowledge regarding social network formation and collaboration, and such knowledge will assist in the conceptualisation, formation and success of

  14. [Nephritic colic. Analysis of 140 cases]. (United States)

    Amat Cecilia, M; Romero Pérez, P


    A nephritic colic is one of the most common pictures of urologic conditions, a primary causes being the occurrence of lithiasis concretions along the urinary tract. A series of 140 cases of nephritic colic diagnosed in the emergency ward and later referred to our office for follow-up are presented here. The relevance of the physical examination is emphasized, pointing out that with practice the simple performance of abdominal X-ray, ultrasound and urinary sediments is usually enough to reach a certainty diagnosis. There is, however, near 10% cases where it is necessary to carry out contrast studies or endoscopic manoeuvres to be able to differentiate a nephritic colic from other conditions. The primary aim of treatment is to overcome pain, facilitate the advance of the lithiasis obstacle and to preserve the renal function. A description is made of the various drugs used, while endoscopic manoeuvres are reserved for the more selected cases of compromised kidney or when the patient's general condition so requires.

  15. Mathematical decision theory applied to land capability: a case study in the community of madrid. (United States)

    Antón, J M; Saa-Requejo, A; Grau, J B; Gallardo, J; Díaz, M C; Andina, Diego; Sanchez, M E; Tarquis, A M


    In land evaluation science, a standard data set is obtained for each land unit to determine the land capability class for various uses, such as different farming systems, forestry, or the conservation or suitability of a specific crop. In this study, we used mathematical decision theory (MDT) methods to address this task. Mathematical decision theory has been used in areas such as management, finance, industrial design, rural development, the environment, and projects for future welfare to study quality and aptness problems using several criteria. We also review MDT applications in soil science and discuss the suitability of MDT methods for dealing simultaneously with a number of problems. The aim of the work was to show how MDT can be used to obtain a valid land quality index and to compare this with a traditional land capability method. Therefore, an additive classification method was applied to obtain a land quality index for 122 land units that were compiled for a case study of the Community of Madrid, Spain, and the results were compared with a previously assigned land capability class using traditional methods based on the minimum requirements for land attributes.

  16. Community financed and operated health services: the case of the Ajo-Lukeville Health Service District. (United States)

    Lopes, P M; Nichols, A W


    The concept of a health service district, as a variation of the special tax district, is described and discussed. Tax districts have traditionally been used to support both capital construction (revenue bonds) and operational expenses of single-purpose governmental entities. The health service district, where authorized by state laws, may be used by local areas to subsidize the delivery of ambulatory health care. A particular case, the Ajo-Lukeville Health Service District in Arizona, illustrates what can be accomplished by this mechanism with the cooperation of local residents and outside agencies. Both the process of establishing such a district and the outcome of the Ajo-Lukeville experience is described. Reasons why health service districts may prove potentially attractive at this time are reviewed. Impediments to the development of more health service districts are also explored, including the lack of technical assistance, an inadequate awareness of the potential of health service districts, and the absence of a widespread orientation toward community financed and controlled health care. Movement in this direction should facilitate the development of additional health service districts.

  17. Bioethics, culture and infanticide in Brazilian indigenous communities: the Zuruahá case. (United States)

    Feitosa, Saulo Ferreira; Garrafa, Volnei; Cornelli, Gabriele; Tardivo, Carla; Carvalho, Samuel José de


    This article analyzes the practice of infanticide in indigenous communities in Brazil. Taking as a reference point a specific case involving two children of the Zuruahá people, it takes a broader look at the issue and discusses how infanticide is understood among other indigenous peoples. A debate focusing specifically on this topic that took place during a public hearing held in the Brazilian National Congress in December 2005 has also been taken into consideration in this discussion. In view of the positions adopted as a result of the hearing, this paper seeks to identify the ethical problems and moral dilemmas relating to the subject, by putting them into context and analyzing them in the light of respect for cultural pluralism. Seeking to contribute to the debate, the authors analyze the possibilities for intervention in the traditional practices of infanticide, while rejecting those positions that are not anchored in an attitude of profound respect for other people's cultures or that do not create conditions for dialogue between individuals or groups with different moralities.

  18. Analysis of oxygen reduction and microbial community of air-diffusion biocathode in microbial fuel cells. (United States)

    Wang, Zejie; Zheng, Yue; Xiao, Yong; Wu, Song; Wu, Yicheng; Yang, Zhaohui; Zhao, Feng


    Microbes play irreplaceable role in oxygen reduction reaction of biocathode in microbial fuel cells (MFCs). In this study, air-diffusion biocathode MFCs were set up for accelerating oxygen reduction and microbial community analysis. Linear sweep voltammetry and Tafel curve confirmed the function of cathode biofilm to catalyze oxygen reduction. Microbial community analysis revealed higher diversity and richness of community in plankton than in biofilm. Proteobacteria was the shared predominant phylum in both biofilm and plankton (39.9% and 49.8%) followed by Planctomycetes (29.9%) and Bacteroidetes (13.3%) in biofilm, while Bacteroidetes (28.2%) in plankton. Minor fraction (534, 16.4%) of the total operational taxonomic units (3252) was overlapped demonstrating the disproportionation of bacterial distribution in biofilm and plankton. Pseudomonadales, Rhizobiales and Sphingobacteriales were exoelectrogenic orders in the present study. The research obtained deep insight of microbial community and provided more comprehensive information on uncultured rare bacteria.

  19. The Internal Mechanism Analysis of Community Governance Innovating under the Transformation of Maintaining Stability-based on Four Typical Case Studies in Shenzhen%转型维稳下社区治理创新的内在机制探析--基于深圳市四个典型样本案例研究

    Institute of Scientific and Technical Information of China (English)



    ,which based on a overall regulating by a single government,so the traditional way,maintaining stability does. Fiercer contradiction among the various subjects worsens the instability of community related to blocked interest expression channel of multiple groups. Constructing multi-platform helps to expand the channels of interest expression of differ-ent subjects in the community,and it also plays an important role in alleviating the contradiction of the community. By considering four typical cases,this paper finds that community governance innovation is constantly toward mul-tiple co-governance development. Regardless of whether the initiative launched or midway participation,grass-roots government is promoting community governance innovation leader. It is significantly important to analyze the underlying mechanism that the local governments act on innovation of community governance .Constructing multi-variate power negotiation platform. In fact,for maintaining grassroots stability is strategic choice under the transfor-mation crisis,as well as the behaviors of developing innovation when faced social needs. Transforming government functions,switching unified governance mode,strong local governance,building community governance mode based on multivariate cooperation,which are founded on maintaining stability,are required as the change of com-munity structure.

  20. Pro: Meta-analysis: the case for. (United States)

    Mudge, David W; Webster, Angela C; Johnson, David W


    With ever-accumulating medical evidence for treatment benefits and harms, it is vital that clinicians are able to access and use up-to-date, best evidence in specific clinical scenarios involving individual patients-the primary goal of evidence-based medicine. In this article, we propose that meta-analysis, when properly conducted and reported in the context of a rigorous systematic review, is an indispensable tool for synthesis and interpretation of clinical evidence for the purpose of informing clinical decision-making by clinicians, patients and health care policy makers. Meta-analysis provides many benefits, including enhanced precision and statistical power, greater transparency, identification of bias, exploration of heterogeneity of effects, enhanced generalizability, efficient integration of clinical knowledge, identification of evidence gaps, better informed future trial design and avoidance of unnecessary research duplication and potential patient harm. The overall standard, clinical value and reach of meta-analysis has been further enhanced by the development of standards for registration, conduct and reporting, as well as advanced meta-analytic techniques, such as network meta-analysis. Of course, meta-analysis can at times be limited by poor quality studies, trial heterogeneity, publication bias and non-rigorous review and analysis, although through appraisal these issues are often able to be identified and explored, such that valuable clinical information can still be obtained. Consequently, meta-analysis is now the most highly cited form of research and is considered by many leading organizations to represent the highest level of clinical evidence. However, to maximize their considerable value, it is essential that all clinicians have the skills to critically appraise, carefully interpret and judiciously apply meta-analyses in their practice.

  1. Independent Evaluation of the integrated Community Case Management of Childhood Illness Strategy in Malawi Using a National Evaluation Platform Design. (United States)

    Amouzou, Agbessi; Kanyuka, Mercy; Hazel, Elizabeth; Heidkamp, Rebecca; Marsh, Andrew; Mleme, Tiope; Munthali, Spy; Park, Lois; Banda, Benjamin; Moulton, Lawrence H; Black, Robert E; Hill, Kenneth; Perin, Jamie; Victora, Cesar G; Bryce, Jennifer


    We evaluated the impact of integrated community case management of childhood illness (iCCM) on careseeking for childhood illness and child mortality in Malawi, using a National Evaluation Platform dose-response design with 27 districts as units of analysis. "Dose" variables included density of iCCM providers, drug availability, and supervision, measured through a cross-sectional cellular telephone survey of all iCCM-trained providers. "Response" variables were changes between 2010 and 2014 in careseeking and mortality in children aged 2-59 months, measured through household surveys. iCCM implementation strength was not associated with changes in careseeking or mortality. There were fewer than one iCCM-ready provider per 1,000 under-five children per district. About 70% of sick children were taken outside the home for care in both 2010 and 2014. Careseeking from iCCM providers increased over time from about 2% to 10%; careseeking from other providers fell by a similar amount. Likely contributors to the failure to find impact include low density of iCCM providers, geographic targeting of iCCM to "hard-to-reach" areas although women did not identify distance from a provider as a barrier to health care, and displacement of facility careseeking by iCCM careseeking. This suggests that targeting iCCM solely based on geographic barriers may need to be reconsidered.

  2. Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series

    Directory of Open Access Journals (Sweden)

    Prudence Plummer


    Full Text Available This case series explored the feasibility and efficacy of cognitive-motor dual-task gait training in community-dwelling adults within 12 months of stroke. A secondary aim was to assess transfer of training to different dual-task combinations. Seven male participants within 12 months of stroke participated in 12 sessions of dual-task gait training. We examined single and dual-task performance in four different dual-task combinations at baseline, after 6 and 12 sessions, and if possible, at 1-month followup. Feasibility was assessed by asking participants to rate mental and physical fatigue, perceived difficulty, anxiety, and fear of falling at the end of each session. Five of the seven participants demonstrated reduced dual-task cost in gait speed in at least one of the dual-task combinations after the intervention. Analysis of the patterns of interference in the gait and cognitive tasks suggested that the way in which the participants allocated their attention between the simultaneous tasks differed across tasks and, in many participants, changed over time. Dual-task gait training is safe and feasible within the first 12 months after stroke, and may improve dual-task walking speed. Individuals with a combination of physical and cognitive impairments may not be appropriate for dual-task gait training.

  3. Estimated Numbers of Community Cases of Illness Due to Salmonella, Campylobacter and Verotoxigenic Escherichia Coli: Pathogen-Specific Community Rates

    Directory of Open Access Journals (Sweden)

    M Kate Thomas


    Full Text Available OBJECTIVE: To estimate the annual number of cases of illness due to verotoxigenic Escherichia coli (VTEC, Salmonella and Campylobacter in the Canadian population, using data from the National Notifiable Disease registry (NND, estimates of under-reporting derived from several National Studies on Acute Gastrointestinal Illness, and the literature.

  4. Bioconductor workflow for microbiome data analysis: from raw reads to community analyses


    Callahan, Ben J.; Sankaran, Kris; Fukuyama, Julia A.; McMurdie, Paul J.; Holmes, Susan P; Garud, Nandita R.; Charlop-Powers, Zachary; Lahti, Leo


    High-throughput sequencing of PCR-amplified taxonomic markers (like the 16S rRNA gene) has enabled a new level of analysis of complex bacterial communities known as microbiomes. Many tools exist to quantify and compare abundance levels or microbial composition of communities in different conditions. The sequencing reads have to be denoised and assigned to the closest taxa from a reference database. Common approaches use a notion of 97% similarity and normalize the data by subsampling to equal...

  5. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up

    Directory of Open Access Journals (Sweden)

    Clare Strachan


    Full Text Available Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM over the last five years. All key in–country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions, and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre–agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This

  6. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up. (United States)

    Strachan, Clare; Wharton-Smith, Alexandra; Sinyangwe, Chomba; Mubiru, Denis; Ssekitooleko, James; Meier, Joslyn; Gbanya, Miatta; Tibenderana, James K; Counihan, Helen


    Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM) over the last five years. All key in-country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions), and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre-agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This qualitative study is a

  7. The role of communities in sustainable land and forest management: The case of Nyanga, Zvimba and Guruve districts of Zimbabwe

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    Diego Matsvange


    Full Text Available Forest benefit analysis is vital in ensuring sustainable community-based natural resources management. Forest depletion and degradation are key issues in rural Zimbabwe and strategies to enhance sustainable forest management are continually sought. This study was carried out to assess the impact of forests on communities from Nyanga, Guruve and Zvimba districts of Zimbabwe. It is based on a Big Lottery Fund project implemented by Progressio-UK and Environment Africa. Itfocuses on identifying replicable community forest and landmanagement strategies and the level of benefits accruing to the community. Analysis of change was based on the Income and Food Security and Forest benefits, which also constitutes the tools used during the research. The study confirms the high rate of deforestation and the increased realisation by communities to initiate practical measures aimed at protecting and sustaining forest and land resources from which they derive economic and social benefits. The results highlight the value of community structures (Farmer Field Schools and Environmental Action Groups as conduits for natural resource management. The interconnectivity among forests, agricultural systems and the integral role of people are recognised as key to climate change adaptation.Keywords: Forest benefits; sustainability,;livelihoods; farmer field schools

  8. Characterization of Antimicrobial Resistance Dissemination across Plasmid Communities Classified by Network Analysis

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    Akifumi Yamashita


    Full Text Available The global clustering of gene families through network analysis has been demonstrated in whole genome, plasmid, and microbiome analyses. In this study, we carried out a plasmidome network analysis of all available complete bacterial plasmids to determine plasmid associations. A blastp clustering search at 100% aa identity cut-off and sharing at least one gene between plasmids, followed by a multilevel community network analysis revealed that a surprisingly large number of the plasmids were connected by one largest connected component (LCC, with dozens of community sub-groupings. The LCC consisted mainly of Bacilli and Gammaproteobacteria plasmids. Intriguingly, horizontal gene transfer (HGT was noted between different phyla (i.e., Staphylococcus and Pasteurellaceae, suggesting that Pasteurellaceae can acquire antimicrobial resistance (AMR genes from closely contacting Staphylococcus spp., which produce the external supplement of V-factor (NAD. Such community network analysis facilitate displaying possible recent HGTs like a class 1 integron, str and tet resistance markers between communities. Furthermore, the distribution of the Inc replicon type and AMR genes, such as the extended-spectrum ß-lactamase (ESBL CTX-M or the carbapenemases KPC NDM-1, implies that such genes generally circulate within limited communities belonging to typical bacterial genera. Thus, plasmidome network analysis provides a remarkable discriminatory power for plasmid-related HGT and evolution.

  9. Development and application of functional gene arrays for microbial community analysis

    Institute of Scientific and Technical Information of China (English)



    Functional gene markers can provide important information about functional gene diversity and potential activity of microbial communities.Although microarray technology has been successfully applied to study gene expression for pure cultures,simple,and artificial microbial communities,adapting such a technology to analyze complex microbial communities still presents a lot of challenges in terms of design,sample preparation,and data analysis.This work is focused on the development and application of functional gene arrays (FGAs) to target key functional gene markers for microbial community studies.A few key issues specifically related to FGAs,such as oligonucleotide probe design,nucleic acid extraction and purification,data analysis,specificity,sensitivity,and quantitative capability are discussed in detail.Recent studies have demonstrated that FGAs can provide specific,sensitive,and potentially quantitative information about microbial communities from a variety of natural environments and controlled ecosystems.This technology is expected to revolutionize the analysis of microbial communities,and link microbial structure to ecosystem functioning.

  10. Community involvement in the development of an environmental education programme: the Tswaing meteorite crater conservation area as a case study

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    C.H. Swanepoel


    Full Text Available A key requirement for the relevance of applied research in education is its actual impact on society. A case study was undertaken to determine how research insights could be implemented by involving a local community in the design and implementation of environmental education programmes in their environment. The Tswaing Meteorite Crater conservation area project was undertaken with the active participation of teachers, learners and education officers from the communities living around Tswaing, as well as subject specialists. Issues which should be considered in the development of similar programmes were also highlighted.

  11. Community-Acquired Serratia Marcescens Spinal Epidural Abscess in a Patient Without Risk Factors: Case Report and Review

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    Michael D Parkins


    Full Text Available Serratia marcescens has rarely been reported as an agent of invasive disease in patients presenting from the community. Furthermore, S marcescens is frequently opportunistic, affecting individuals with serious medical comorbidities including immune suppression and diabetes. A case of a community-acquired S marcescens spontaneous lumbar epidural abscess presenting as cauda equina syndrome is reported in a previously well 36-year-old man with no identifiable risk factors. To the authors’ knowledge, this is the first report of invasive S marcescens causing disease in a patient with no medical comorbidities.

  12. Community-acquired Serratia marcescens spinal epidural abscess in a patient without risk factors: Case report and review. (United States)

    Parkins, Michael D; Gregson, Daniel B


    Serratia marcescens has rarely been reported as an agent of invasive disease in patients presenting from the community. Furthermore, S marcescens is frequently opportunistic, affecting individuals with serious medical comorbidities including immune suppression and diabetes. A case of a community-acquired S marcescens spontaneous lumbar epidural abscess presenting as cauda equina syndrome is reported in a previously well 36-year-old man with no identifiable risk factors. To the authors' knowledge, this is the first report of invasive S marcescens causing disease in a patient with no medical comorbidities.

  13. Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis.

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    HaiYang Zhang

    Full Text Available Poor adherence to tuberculosis (TB treatment can lead to prolonged infectivity and poor treatment outcomes. Directly observed treatment (DOT seeks to improve adherence to TB treatment by observing patients while they take their anti-TB medication. Although community-based DOT (CB-DOT programs have been widely studied and promoted, their effectiveness has been inconsistent. The aim of this study was to critical appraise and summarize evidence of the effects of CB-DOT on TB treatment outcomes.Studies published up to the end of February 2015 were identified from three major international literature databases: Medline/PubMed, EBSCO, and EMBASE. Unpublished data from the grey literature were identified through Google and Google Scholar searches.Seventeen studies involving 12,839 pulmonary TB patients (PTB in eight randomized controlled trials (RCTs and nine cohort studies from 12 countries met the criteria for inclusion in this review and 14 studies were included in meta-analysis. Compared with clinic-based DOT, pooled results of RCTs for all PTB cases (including smear-negative or -positive, new or retreated TB cases and smear-positive PTB cases indicated that CB-DOT promoted successful treatment [pooled RRs (95%CIs: 1.11 (1.02-1.19 for all PTB cases and 1.11 (1.02-1.19 for smear-positive PTB cases], and completed treatment [pooled RRs (95%CIs: 1.74(1.05, 2.90 for all PTB cases and 2.22(1.16, 4.23 for smear-positive PTB cases], reduced death [pooled RRs (95%CIs: 0.44 (0.26-0.72 for all PTB cases and 0.39 (0.23-0.66 for smear-positive PTB cases], and transfer out [pooled RRs (95%CIs: 0.37 (0.23-0.61 for all PTB cases and 0.42 (0.25-0.70 for smear-positive PTB cases]. Pooled results of all studies (RCTs and cohort studies with all PTB cases demonstrated that CB-DOT promoted successful treatment [pooled RR (95%CI: 1.13 (1.03-1.24] and curative treatment [pooled RR (95%CI: 1.24 (1.04-1.48] compared with self-administered treatment.CB-DOT did improved TB

  14. Leadership Analysis in K-12 Case Study: "Divided Loyalties" (United States)

    Alsubaie, Merfat Ayesh


    This report mainly aims to provide a critical and in-depth analysis of the K-12 Case, "Divided Loyalty" by Holy and Tartar (2004). The case recounts how the manifestation of inadequate leadership skills in a school setting could affect negatively the performance of students.

  15. A Framework for Analysis of Case Studies of Reading Lessons (United States)

    Carlisle, Joanne F.; Kelcey, Ben; Rosaen, Cheryl; Phelps, Geoffrey; Vereb, Anita


    This paper focuses on the development and study of a framework to provide direction and guidance for practicing teachers in using a web-based case studies program for professional development in early reading; the program is called Case Studies Reading Lessons (CSRL). The framework directs and guides teachers' analysis of reading instruction by…

  16. Leadership Analysis in K-12 Case Study: Superintendent's Hiring Dilemma (United States)

    Alsobaie, Mohammed Fahad


    This paper will seek to analyze of the case "Superintendent's Hiring Dilemma" by Hoy and Tarter (2004) using multiple leadership perspectives. The last section of this analysis of the case study will provide the most effective leadership recommendations for the key players.

  17. Genomic Analysis of Complex Microbial Communities in Wounds (United States)


    ulcers [16,20], necrotizing fasciitis [21], and periodontal disease [22,23]. Thus, the data presented here highlight the limitations of routine clinical...21. Lee S, Roh KH, Kim CK, Yong D, Choi JY, et al. (2008) A case of necrotizing fasciitis due to streptococcus agalactiae, arcanobacterium haemolyticum

  18. Attachment to community and civic and political engagement: a case study of students. (United States)

    Boulianne, Shelley; Brailey, Michelle


    Youth's low level of civic and political engagement may detrimentally affect the health of communities and the democratic system. This paper examines the role of community attachment in explaining youth's levels of civic and engagement. This examination requires an evaluation of existing measures of community attachment and their relevance for understanding youth's experiences. The paper uses a student sample, highlighting a group of youth who have a degree of variation in their experiences of community attachment. We find that subjective measures of community attachment are related to volunteering and voting, but the objective measure of community attachment, that is, years of residence, affects voting and not volunteering. Different mechanisms explain civic engagement versus political engagement. As such, different strategies are required to combat low levels of civic versus political engagement.

  19. Status epilepticus: Analysis of refractory cases

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    B. P. Gladov


    Full Text Available Objective: to analyze refractory status epilepticus (SE cases.Patients and methods. Fifteen female patients aged 21 to 62 years with refractory SE were comprehensively examined using long-term electroencephalography monitoring. The investigators evaluated the efficiency of treatment regimens with intravenous antiepileptic drugs (AEDs, such as diazepam (DZP; valproic acid (VPA; levetiracetam; and lacosamide and their combinations, at the prehospital and hospital stages, as well as SE therapy complications noted only in the intravenous administration of narcotics (propofol, sodium thiopental.Results and discussion. A fetal outcome due to multiple organ dysfunction indirectly related to SE was recorded in 2 (13.3% patients with acute symptomatic status. SE was abolished in the other 13 cases. The preliminary findings may suggest that it is appropriate to prescribe VPA just at the prehospital stage. The co-administration of VPA and DZP substantially enhances the efficiency of SE therapy. The maximum acceptable doses of AEDs using the whole available therapeutic arsenal should be administered within the first hours of acute symptomatic SE.


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    Full Text Available An online community of practice (OCoP is a group of people, who are brought together by a shared interest and with the aim of deepening their understanding of an area of knowledge through regular interactions facilitated by computer mediated communication (CMC tools. An OCoP potentially provides teachers with those elements of effective professional development (PD, cited in the literature, such as; collaboration, opportunities for mentoring, and sustainability over time. In this sense, OCoPs can be considered as a viable alternative for teacher PD. If OCoPs are to become an alternative approach to teacher PD then it is important to understand what factors affect teachers’ participation in such communities. Therefore, through the case of Webheads in Action (WiA OCoP, this study aimed to identify what factors contribute towards creating successful OCoPs. Members’ interactions in WiA’s public group page were collated over a period of nine months and interviews with 24 members of the community (4 core, 9 active, 11 peripheral were used to gather the data. Two major themes emerged in relation to factors affecting members’ participation in this OCoP. The first one was identified as the creation of a sense of belonging to the community which was achieved through various means such as having an initiation process and fostering trust and an inclusive community environment through community norms. The second was dynamism inherent in the community which manifested itself as new topics that kept members interested and participating, and a flow of continuous member recruitment to the community. In conclusion, this study highlighted the importance of the socio-affective dimension for designing and sustaining OCoPs.

  1. RisaAligner software for aligning fluorescence data between Agilent 2100 Bioanalyzer chips: Application to soil microbial community analysis. (United States)

    Navarro, Elisabeth; Fabrègue, Olivier; Scorretti, Riccardo; Reboulet, Jérémy; Simonet, Pascal; Dawson, Lorna; Demanèche, Sandrine


    Ribosomal Intergenic Spacer Analysis (RISA) is a high-resolution and highly reproducible fingerprinting technique for discriminating between microbial communities. The community profiles can be visualized using the Agilent 2100 Bioanalyzer. Comparison between fingerprints relies upon precise estimation of all amplified DNA fragment lengths; however, size standard computation can vary between gel runs. For complex samples such as soil microbial communities, discrimination by fragment size is not always sufficient. In such cases, the comparison of whole fluorescence data as a function of time (electrophoregrams) is more appropriate. When electrophoregrams [fluorescence = f (time)] are used, and more than one chip is involved, electrophoregram comparisons are challenging due to experimental variations between chips and the lack of correction by the Agilent software in such situations. Here we present RisaAligner software for analyzing and comparing electrophoregrams from Agilent chips using a nonlinear ladder-alignment algorithm. We demonstrate the robustness and substantial improvement of data analysis by analyzing soil microbial profiles obtained with Agilent DNA 1000 and High Sensitivity chips.

  2. Clinical analysis of 22 cases with Hashimoto's encephalopathy

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    Xiao-yan GE


    Full Text Available Objective To investigate the clinical presentations of Hashimoto's encephalopathy (HE, so as to improve the diagnosis and treatment of this disease. Methods A retrospective analysis was performed on clinical features, laboratory findings, imaging profiles, treatment and outcomes of 22 patients with HE who were admitted to our hospital between June 2010 and September 2013.  Results Clinical symptoms were mainly acute or subacute cognitive impairment (9 cases, psychiatric symptoms (6 cases, seizures (5 cases, ataxia (5 cases, stroke-like episodes (6 cases, tremor (1 case, myoclonus (2 cases and disturbance of consciousness (3 cases. Marked increase was found in serum anti-thyroid peroxidase (anti-TPO antibody level (19 cases and anti-thyroglobulin (anti-TG antibody level (20 cases. Twenty-one cases were treated with glucocorticoids, and one patient was treated only with general neurotrophic therapy, such as ganglioside. Except for 4 cases showed bad response to steroids, the rest patients had an obvious improvement. Conclusions Hashimoto's encephalopathy is an encephalopathy with the presence of elevated antithyroid antibodies, and most patients showed good response to steroids. So early diagnosis and treatment is particularly important for improving prognosis. This disease should be considered as an important differential diagnosis for encephalopathy of unknown etiology, and screening for serum antithyroid antibodies should be performed as initial screening test. doi: 10.3969/j.issn.1672-6731.2014.07.008

  3. Applying information network analysis to fire-prone landscapes: implications for community resilience

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    Derric B. Jacobs


    Full Text Available Resilient communities promote trust, have well-developed networks, and can adapt to change. For rural communities in fire-prone landscapes, current resilience strategies may prove insufficient in light of increasing wildfire risks due to climate change. It is argued that, given the complexity of climate change, adaptations are best addressed at local levels where specific social, cultural, political, and economic conditions are matched with local risks and opportunities. Despite the importance of social networks as key attributes of community resilience, research using social network analysis on coupled human and natural systems is scarce. Furthermore, the extent to which local communities in fire-prone areas understand climate change risks, accept the likelihood of potential changes, and have the capacity to develop collaborative mitigation strategies is underexamined, yet these factors are imperative to community resiliency. We apply a social network framework to examine information networks that affect perceptions of wildfire and climate change in Central Oregon. Data were collected using a mailed questionnaire. Analysis focused on the residents' information networks that are used to gain awareness of governmental activities and measures of community social capital. A two-mode network analysis was used to uncover information exchanges. Results suggest that the general public develops perceptions about climate change based on complex social and cultural systems rather than as patrons of scientific inquiry and understanding. It appears that perceptions about climate change itself may not be the limiting factor in these communities' adaptive capacity, but rather how they perceive local risks. We provide a novel methodological approach in understanding rural community adaptation and resilience in fire-prone landscapes and offer a framework for future studies.

  4. ICT in Teaching: An analysis of cases

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    Mirian Elisabet Almiron


    Full Text Available Although increasingly, with ever more emphasis and frequency, the benefits of incorporating Information Technology and Communications (ICT in teaching are touted, the reality is far from what is stated. In this paper the aim has been to investigate teachers’ conceptions of ICT and how they apply them in the classroom. To this end, discourse analysis (DA was performed on the opinions of three Natural Science teachers about the importance they assign to ICT, and the new challenges of education in today's society. The analysis results show that, although the discourse emphasizes the need for ICT in school, the reality is that teachers find it hard to implement them in the classroom.

  5. ADA and C++ Business Case Analysis (United States)


    compilation times, execution times, and various measures of space requirements. The as- sessments in the comparative analysis were refined using a Delphi ...weighted scoring and tables of results, to the group as a whole. Then a Delphi technique similar to the FAA methodology was used to refine the evaluations...promoter of reusability, or injector of added quality, then our3collective judgements may be biased too much towards Ada. Of course the next Ada 9X team

  6. [Severe parachuting accident. Analysis of 122 cases]. (United States)

    Krauss, U; Mischkowsky, T


    Based on a population of 122 severely injured patients the causes of paragliding accidents and the patterns of injury are analyzed. A questionnaire is used to establish a sport-specific profile for the paragliding pilot. The lower limbs (55.7%) and the lower parts of the spine (45.9%) are the most frequently injured parts of the body. There is a high risk of multiple injuries after a single accident because of the tremendous axial power. The standard of equipment is good in over 90% of the cases. Insufficient training and failure to take account of geographical and meteorological conditions are the main determinants of accidents sustained by paragliders, most of whom are young. Nevertheless, 80% of our patients want to continue paragliding. Finally some advice is given on how to prevent paragliding accidents and injuries.

  7. Investigating Student Communities with Network Analysis of Interactions in a Physics Learning Center

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    Brewe, Eric; Sawtelle, Vashti


    Developing a sense of community among students is one of the three pillars of an overall reform effort to increase participation in physics, and the sciences more broadly, at Florida International University. The emergence of a research and learning community, embedded within a course reform effort, has contributed to increased recruitment and retention of physics majors. Finn and Rock [1] link the academic and social integration of students to increased rates of retention. We utilize social network analysis to quantify interactions in Florida International University's Physics Learning Center (PLC) that support the development of academic and social integration,. The tools of social network analysis allow us to visualize and quantify student interactions, and characterize the roles of students within a social network. After providing a brief introduction to social network analysis, we use sequential multiple regression modeling to evaluate factors which contribute to participation in the learning community. ...


    Luque, John S; Tyson, Dinorah Martinez; Bynum, Shalanda A; Noel-Thomas, Shalewa; Wells, Kristen J; Vadaparampil, Susan T; Gwede, Clement K; Meade, Cathy D


    The Tampa Bay Community Cancer Network (TBCCN) is one of the Community Network Program sites funded (2005-10) by the National Cancer Institute's Center to Reduce Cancer Health Disparities. TBCCN was tasked to form a sustainable, community-based partnership network focused on the goal of reducing cancer health disparities among racial-ethnic minority and medically underserved populations. This article reports evaluation outcome results from a social network analysis and discusses the varying TBCCN partner roles-in education, training, and research-over a span of three years (2007-09). The network analysis included 20 local community partner organizations covering a tricounty area in Southwest Florida. In addition, multiple externally funded, community-based participatory research pilot projects with community-academic partners have either been completed or are currently in progress, covering research topics including culturally targeted colorectal and prostate cancer screening education, patient navigation focused on preventing cervical cancer in rural Latinas, and community perceptions of biobanking. The social network analysis identified a trend toward increased network decentralization based on betweenness centrality and overall increase in number of linkages, suggesting network sustainability. Degree centrality, trust, and multiplexity exhibited stability over the three-year time period. These results suggest increased interaction and interdependence among partner organizations and less dependence on the cancer center. Social network analysis enabled us to quantitatively evaluate partnership network functioning of TBCCN in terms of network structure and information and resources flows, which are integral to understanding effective coalition practice based on Community Coalition Action Theory ( Butterfoss and Kegler 2009). Sharing the results of the social network analysis with the partnership network is an important component of our coalition building efforts. A

  9. Diversity Management Among Small Shops in Barcelona: A Case of Community Intercultural Mediation

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    Mercé Zegrí


    Full Text Available The setting up of small shops by foreign people involves a number of difficulties and challenges with respect to how it fits in certain districts. These issues have been tackled from the view of intercultural mediation. This kind of intervention focuses on relationships and communication among shopkeepers by highlighting their common interests. Intervention also includes making associative networks acknowledge and adapt to new realities. This paper describes a process of intervention focused on community intercultural mediation carried out in small shops in a district of Barcelona. First, most significant results of the diagnosis stage are shown concerning the speech and relationships of main agents along with “conflict” analysis. Then a detailed mediation intervention is described that was carried out with a group of shopkeepers called “shop promoting group”. Finally, bearing in mind their high participative and transformational potential, some general appraisals are made with respect to the impact of this type of processes and their continuity and sustainability.

  10. Environmental Equity through Negotiation: A Case Study on Urban Landfills and the Roma Community

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    Ruxandra Mălina Petrescu-Mag


    Full Text Available The paper discusses the necessity to bring environmental equity within the Pata Rât Roma community in Northwest Romania, relying on the answers to three questions: “Does environmental equity exist in Pata Rât?”, “How can it be attained?”, and “To what extent can it be brought to the targeted people?” It was shown how a trio of factors tailors the destiny of Roma inhabitants: being a minority, their ethnicity, and the fact they are living on and off what society rejects and dumps—a landfill. The framing of the environmental equity concerns within a vision considering negotiation as the most adequate means to attain it is a novel approach. Further on, the results of the study can fuel win-win solutions in environmental equity. The information abstracted from a set of indicators, assessed through an evaluation matrix, represents a beneficial platform for future bottom-up decisions concerning landfill residents. Three action options were analyzed: on-site living opportunities—that resulted to be preferred, off-site living opportunities, and “Do nothing”. The analysis provides qualitative evidence that the evaluation of environmental equity is largely subjective, because of its complexity and specificity related to geographical, historical, cultural characteristics, and political interests.

  11. Involving clients and their relatives and friends in psychiatric care: Case managers' experiences of training in resource group assertive community treatment. (United States)

    Nordén, Tommy; Eriksson, Anders; Kjellgren, Anette; Norlander, Torsten


    The purpose of this project was to do a qualitative study of an integrated and flexible ACT model, the Resource Group Assertive Community Treatment (RACT), as seen from the perspective of case managers in training. The resource group normally consists of the client, the case manager and other available personnel in the medical and support areas, as well as family members. Nineteen theses were randomly chosen from a set of 80 theses written by a group of Swedish trainee case managers. The exams were conducted as case studies and concerned 19 clients with psychotic problems, 11 men and 8 women. "The Empirical Phenomenological Psychological Method" was used in the analysis, which generated five overarching themes: (a) the RACT program; (b) the resource group; (c) the empowerment of the client; (d) progress in treatment; and (e) the case manager. These together constituted a "therapeutic circle," in which methods and tools used within the RACT made it possible for the resource group to empower the clients who, as a result, experienced progress with treatment, during which the case manager was the unifying and connecting link.

  12. Regional-scale analysis of subtidal rocky shore community (United States)

    Derrien-Courtel, Sandrine; Le Gal, Aodren; Grall, Jacques


    The French monitoring network, REseau BENThique (REBENT), was launched by the Ministry of the Environment in 2003 following the 1999 Erika oil spill. REBENT aimed to acquire baseline knowledge of coastal benthic habitat distributions with a special focus on biological diversity. This study analyzed data from 38 subtidal rocky reef sites collected by a single diving team of marine biologists along the coast of Brittany from 2004 to 2010. At each site, the depth limits of the algal belts were determined between 0 and -40 m Chart Datum (CD); the flora and fauna compositions and abundances were sampled at -3 and -8 m CD. A total of 364 taxa (156 flora and 208 fauna), belonging to 12 phyla, were identified. The results showed that the depth limit and density of kelp beds increased as water turbidity decreased; moreover, several changes in community structure could be related to water turbidity and temperature. Thus, northern and southern Brittany showed strong differences in diversity and structure of the dominant kelp species ( Laminaria hyperborea and Saccorhiza polyschides). The results from this kelp habitat composition survey (dominant kelp species and indicator species) provided important information for local pressure assessments, like increases in turbidity. The data also provided a reference that could be useful for detecting changes in coastal water temperatures due to global warming.

  13. Hair analysis to document non-fatal pesticide intoxication cases. (United States)

    Dulaurent, S; Gaulier, J M; Baudel, J L; Fardet, L; Maury, E; Lachâtre, G


    We reported two non-fatal cases of intoxication with pesticides namely alachlor and carbofuran. Hair stand samples were collected from two men approximately 1 year after alachlor intoxication for case 1, and 14 days after the last exposure for case 2. Hair analysis was performed using a liquid chromatography-tandem mass spectrometry method. In case 1, alachlor was detected in the 5 analysed hair segments (concentrations between 12 and 136 pg/mg) and its metabolites were not detected. In case 2, carbofuran and its main metabolite (3-hydroxycarbofuran) were detected in the hair strand (global analysis) at the concentrations of 207 and 164 pg/mg, respectively. However, additional data are required in order to interpret such results.

  14. Retrospective analysis of cases with Endometrial Cancer

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    Bulat Aytek Şık


    Full Text Available We planned this study with the aim of determining histological types, clinical, surgical stage and grade of endometrial cancer cases which were followed-up and operated on in our clinic and giving an opinion on epidemiological features. Our study was a retrospective study consisted of 298 patients who had medical operations with the diagnosis of endometrial cancer. Endometrial cancer was diagnosed via dilatation and curettage. Routine preoperative examinations were wanted from the cases. Clinical stage was determined. After the diagnosis, total abdominal hysterectomy and bilateral salpingo-ooforectomy (TAH+BSO were applied; while only pelvic lymph node dissection was applied on the patients who had good prognostic data, total pelvic and paraaortic lymph node dissection were applied to the group with bad prognostic data. All materials were examined in the pathology laboratory of our hospital. In endometrial cancer staging, FIGO surgical staging system -2009 was used. FIGO was used in grade classification and World Health Organization Classification of Tumors system was used for the histological classification. Our study was composed of 298 patients who had endometrial cancer. Of the patients who were included in the study, average age was 56.54±9.69, BMI average was 31.47±6.20, gravida average was 4.16±2.59, and parity average was 3.41±2.15. Distributions of the patients by surgical stages were as follows; there were 32 patients whose tumor stage was in 1A (%10.7, 127 patients in 1B  (42.6%, 47 patients in 1C  (15.8%, 18 patients in 2A  (6.0%, 7 patients in 2B   (2.3%, 30 patients in 3A  (10.1%, 2 patients in 3B  (0.7%, 30 patients in 3C  (10.1%, 2 patients in 4A  (0.7% and 3 patients in 4B  (1.0%. Of the patients with endometrial cancer in our study, tumors of 102 patients were (34.2% in grade I, 139 were (46.6% in grade II and 57 were (19.1% in grade III. Because endometrial cancer shows earlier symptoms than the other

  15. Learning How to Teach Poverty: A Case for Community of Practice (United States)

    Browne, Laurie P.; Roll, Susan J.


    Recreation students today need to be prepared to engage in the topic of poverty as a social justice issue affecting our communities, yet many instructors do not have the tools to effectively teach this complex topic. One way instructors might learn how to engage students with poverty is through an interdisciplinary community of practice (CoP).…

  16. Immortality of Prejudice in Striving Ubuntu: Case Studies of Community Managed Schools in Nepal (United States)

    Rajbhandari, Mani Man Singh; Rajbhandari, Smriti


    The immortality of prejudice after the school management transfer has not been judged. This makes communities to take responsibility for schools further by compelling the government to mandate amendments of Community Managed Schools (CMS) Directives. The purpose was to explore the CMS enduring Ubuntu against immorality of prejudice, through…

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

    Paradise, Andrew


    The Benchmarking Alumni Relations in Community Colleges white paper features key data on alumni relations programs at community colleges across the United States. The paper compares results from 2015 and 2012 across such areas as the structure, operations and budget for alumni relations, alumni data collection and management, alumni communications…

  18. Rethinking the "Apprenticeship of Liberty": The Case for Academic Programs in Community Engagement in Higher Education (United States)

    Butin, Dan W.


    This article articulates a model for the "engaged campus" through academic programs focused on community engagement, broadly construed. Such academic programs--usually coalesced in certificate programs, minors, and majors--provide a complementary vision for the deep institutionalization of civic and community engagement in the academy that can…

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

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


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

  20. Identifying Success Factors of ICT in Developing a Learning Community: Case Study Charles Sturt University (United States)

    Campbell, Matthew; Uys, Philip


    Purpose: A learning community has been developing in a distributed environment amongst the members of the Centre for Enhancing of Learning and Teaching (CELT) located in the Bathurst, Goulburn and Orange campuses of Charles Sturt University. This group is known by the acronym of GDMOB, with the purpose of the community to facilitate the…

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

    NARCIS (Netherlands)

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


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

  2. The Caring Business: Lynch Community Homes, Willow Grove, Pennsylvania. A Case Study. (United States)

    Bogdan, Robert

    This paper, one of a series of reports describing innovative practices in integrating people with disabilities into community life, describes the Lynch Community Homes in Willow Grove, Pennsylvania. Lynch Homes is a for-profit organization that provides homes and supportive services for approximately 75 people with severe and profound…

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

    Kaschak, Jennifer Cutsforth; Letwinsky, Karim Medico


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

  4. Whither Utility and Duty? A Case for Virtue in Community College Administration (United States)

    Propheter, Geoffrey; Jez, Su Jin


    Recent improprieties by community college administrators have scarred the public trust. Efforts to secure against maladministration are firmly rooted in utilitarian and deontological ethics. In this article, the authors argue that these common approaches cannot remedy maladministration in the community college because utilitarianism and deontology…

  5. Student-Created Musical as a Community of Practice: A Case Study (United States)

    Whitaker, Nancy


    Research on the improvement of learning shifted from a focus on the learner as individual to the concept of sociocultural learning in communities of learning, communities of practice or learning cultures during the 1990s. A similar shift in the focus of the development of a single construct of individual musical creativity to socially situated…

  6. Corporate Social Responsibility: Case Study of Community Expectations and the Administrative Systems, Niger Delta (United States)

    Ogula, David


    Poor community-company relations in the Niger Delta have drawn attention to the practice of corporate social responsibility (CSR) in the region. Since the 1960s, transnational oil corporations operating in the Niger Delta have adopted various CSR strategies, yet community-company relations remain adversarial. This article examines community…

  7. Spatial and seasonal variations in bacterial communities of the Yellow Sea by T-RFLP analysis

    Institute of Scientific and Technical Information of China (English)

    Hongyuan WANG; Xiaolu JIANG; Ya HE; Huashi GUAN


    Four typical coastal sites (rocky shore, sandy shore, mud flat shore, and artificial harbor) at the Yellow Sea were chosen to investigate the spatial and seasonal variations in bacterial communities. This was accomplished by using terminal restriction fragment length polymorphism (T-RFLP) analysis of PCR amplified 16S rDNA fragments. Two kinds of tetrameric restriction enzymes, HhaI and MspI, were used in the experiment to depict the bacterial community diversity in different marine environments. It was found that the community compositions digested by the two enzymes separately were different. However, the results of bacterial community diversity derived from them were similar. The MDA analysis results of T-RFLP profiles coming from HhaI and MspI both exhibited a significant seasonal community shift for bacteria and a relatively low spatial variation among the four locations. With HhaI as the sample, the pair wise T-tests also revealed that variations were minor between each pair of marine environments, with R ranging from 0.198 to 0.349. However, the bacterial community structure in the mud flat site depicted a larger difference than each of the other three sites (R ranging from 0.282 to 0.349).

  8. Characterization of chlorinated and chloraminated drinking water microbial communities in a distribution system simulator using pyrosequencing data analysis (United States)

    The molecular analysis of drinking water microbial communities has focused primarily on 16S rRNA gene sequence analysis. Since this approach provides limited information on function potential of microbial communities, analysis of whole-metagenome pyrosequencing data was used to...

  9. Analysis Grid for Environments Linked to Obesity (ANGELO) framework to develop community-driven health programmes in an Indigenous community in Canada. (United States)

    Willows, Noreen; Dyck Fehderau, David; Raine, Kim D


    Indigenous First Nations people in Canada have high chronic disease morbidity resulting in part from enduring social inequities and colonialism. Obesity prevention strategies developed by and for First Nations people are crucial to improving the health status of this group. The research objective was to develop community-relevant strategies to address childhood obesity in a First Nations community. Strategies were derived from an action-based workshop based on the Analysis Grid for Environments Linked to Obesity (ANGELO) framework. Thirteen community members with wide-ranging community representation took part in the workshop. They combined personal knowledge and experience with community-specific and national research to dissect the broad array of environmental factors that influenced childhood obesity in their community. They then developed community-specific action plans focusing on healthy eating and physical activity for children and their families. Actions included increasing awareness of children's health issues among the local population and community leadership, promoting nutrition and physical activity at school, and improving recreation opportunities. Strengthening children's connection to their culture was considered paramount to improving their well-being; thus, workshop participants developed programmes that included elders as teachers and reinforced families' acquaintance with First Nations foods and activities. The research demonstrated that the ANGELO framework is a participatory way to develop community-driven health programmes. It also demonstrated that First Nations people involved in the creation of solutions to health issues in their communities may focus on decolonising approaches such as strengthening their connection to indigenous culture and traditions. External funds were not available to implement programmes and there was no formal follow-up to determine if community members implemented programmes. Future research needs to examine the

  10. The role of reflection in the effects of community service on adolescent development: A meta-analysis

    NARCIS (Netherlands)

    Van Goethem, Anne A J; Van Hoof, Anne; Orobio De Castro, Bram; Van Aken, Marcel A G; Hart, Daniel A.; Leerstoel Aken; Leerstoel Orobio de Castro; Faculteit Sociale Wetenschappen


    This meta-analysis assessed the effect of community service on adolescent development and the moderation of this effect by reflection, community service, and adolescent characteristics to explicate the mechanisms underlying community service effects. Random effects analyses, based on 49 studies (24,

  11. The Role of Reflection in the Effects of Community Service on Adolescent Development : A Meta-Analysis

    NARCIS (Netherlands)

    Van Goethem, Anne; Van Hoof, Anne; Orobio de Castro, Bram; Van Aken, Marcel; Hart, Daniel


    This meta-analysis assessed the effect of community service on adolescent development and the moderation of this effect by reflection, community service, and adolescent characteristics to explicate the mechanisms underlying community service effects. Random effects analyses, based on 49 studies (24,

  12. Community Schools. NAESP School Leadership Digest Series, Number Four. ERIC/CEM Research Analysis Series, Number Six. (United States)

    Schofield, Dee

    By making educational opportunities available to all segments of society, the community school narrows the gap between "in school" experience and "real world" experience. This analysis of the research outlines the history and implementation of the community school concept and its relationship to that of community education. Ways to insure full…

  13. Studying the Complex Communities of Ants and Their Symbionts Using Ecological Network Analysis. (United States)

    Ivens, Aniek B F; von Beeren, Christoph; Blüthgen, Nico; Kronauer, Daniel J C


    Ant colonies provide well-protected and resource-rich environments for a plethora of symbionts. Historically, most studies of ants and their symbionts have had a narrow taxonomic scope, often focusing on a single ant or symbiont species. Here we discuss the prospects of studying these assemblies in a community ecology context using the framework of ecological network analysis. We introduce three basic network metrics that we consider particularly relevant for improving our knowledge of ant-symbiont communities: interaction specificity, network modularity, and phylogenetic signal. We then discuss army ant symbionts as examples of large and primarily parasitic communities, and symbiotic sternorrhynchans as examples of generally smaller and primarily mutualistic communities in the context of these network analyses. We argue that this approach will provide new and complementary insights into the evolutionary and ecological dynamics between ants and their many associates, and will facilitate comparisons across different ant-symbiont assemblages as well as across different types of ecological networks.

  14. The voluntary community health movement in India: a strengths, weaknesses, opportunities, and threats (SWOT) analysis. (United States)

    Sharma, M; Bhatia, G


    There has been a prolific growth of voluntary organizations in India since independence in 1947. One of the major areas of this growth has been in the field of community health. The purpose of this article is to historically trace the voluntary movement in community health in India, analyze the current status, and predict future trends of voluntary efforts. A review of the literature in the form of a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was the method of this study. Some of the key trends which emerged as the priority areas for progress and for strengthening voluntary organizations in the future were enhancing linkages between health and development; building upon collective force; greater utilization of participatory training; establishing egalitarian and effectual linkages for decision making at the international level; developing self-reliant community-based models; and the need for attaining holistic empowerment at individual, organizational, and community levels through "duty consciousness" as opposed to merely asking for rights.

  15. Quantitative Analysis on Economic Contribution of Community Health Service in China

    Institute of Scientific and Technical Information of China (English)

    张新平; 王铁军


    Summary: In China, the implementation of community health service shows that the prevention is an essential and important part of our national health system and is helpful to decrease the medical expenditure gradually. According to the data from Health Statistic Information Center of Ministry of Health in China, we calculated that the total health expenditure of China would be decreased 8000. 0 million yuan only in 2001, among which, 1188.3 million, 1953.9 million and 4833.0 million yuan were respectively saved for the government budget, the society and resident if implementing the policy of community health service powerfully. And every outpatient can save 15.46 yuan per time. By the quantitative analysis on the economic contribution of community health service, it can be proved that a great economic benefit could be gotten from the implementation of community health service.

  16. Indigenous management systems as a basis for community forestry in Tanzania: a case study of Dodoma urban and Lushoto districs.

    NARCIS (Netherlands)

    Kajembe, G.C.


    This report presents an analysis of the nature of both indigenous and professionally sponsored community forest management systems in two districts in Tanzania. It describes various types of internally generated forest and tree management systems. It demonstrates that a gap exists between indige

  17. Analysis of institutional mechanisms that support community response to impacts of floods in the middle-zambezi river basin, Zimbabwe (United States)

    Muhonda, P.; Mabiza, C.; Makurira, H.; Kujinga, K.; Nhapi, I.; Goldin, J.; Mashauri, D. A.

    In recent years, the frequency of occurrence of floods has increased in Southern Africa. An increase in the frequency of extreme events is partly attributed to climate change. Floods negatively impact on livelihoods, especially those classified as poor, mainly by reducing livelihood options and also contributing to reduced crop yields. In response to these climatic events, governments within Southern Africa have formulated policies which try to mitigate the impacts of floods. Floods can be deadly, often occurring at short notice, lasting for short periods, and causing widespread damage to infrastructure. This study analysed institutional mechanisms in Mbire District of Zimbabwe which aim at mitigating the impact of floods. The study used both quantitative (i.e. questionnaires) and qualitative (i.e. key informant interviews, focus group discussions and observations) data collection methods. Secondary data such as policy and legislation documents and operational manuals of organisations that support communities affected by disasters were reviewed. Qualitative data was analysed using the thematic approach and social network analysis using UCINET 6. Quantitative data were analysed using SPSS 19.0. The study found out that there exists institutional framework that has been developed at the national and local level to support communities in the study area in response to the impacts of floods. This is supported by various pieces of legislation that are housed in different government departments. However, the existing institutional framework does not effectively strengthen disaster management mechanisms at the local level. Lack of financial resources and appropriate training and skills to undertake flood management activities reduce the capacity of communities and disaster management organisations to effectively mitigate the impacts of floods. The study also found that there are inadequate hydro-meteorological stations to enable accurate forecasts. Even in those cases

  18. Expert Network for Die Casing Defect Analysis

    Institute of Scientific and Technical Information of China (English)

    Jiadi WANG; Yongfeng JIANG; Chen LU; Wenjiang DING


    Due to the competition and high cost associated with die casting defects, it is urgent to adopt a rapid and effective method for defect analysis. In this research, a novel expert network approach was proposed to avoid some disadvantages of rulebased expert system. The main objective of the system is to assist die casting engineer in identifying defect, determining the probable causes of defect and proposing remedies to eliminate the defect. 14 common die casting defects could be identified quickly by expert system on the basis of their characteristics. BP neural network in combination with expert system was applied to map the complex relationship between causes and defects, and further explained the cause determination process.Cause determination gives due consideration to practical process conditions. Finally, corrective measures were recommended to eliminate the defect and implemented in the sequence of difficulty.

  19. [Sporotrichosis among rural communities in the Northern Sierra in Puebla. Report of 55 cases September 1995 - December 2005]. (United States)

    Macotela-Ruiz, Ernesto; Nochebuena-Ramos, Eloina


    Fifty five cases of cutaneous sporotrichosis collected from 35 communities located in the southeast region of the Northern Sierra of Puebla are described. The disease was more prevalent in males (60:40), but this difference was restricted to younger subjects (aged 0-15 years) where 14 cases were male and only 3 were female. No statistical difference regarding gender was observed in elder patients. The prevalence of the disease was significantly lower among patients aged 31 to 45. The most common clinical forms of the disease were lymphocutaneous and fixed. The drug of choice for the treatment of patients in rural communities was potassium iodide. When available, Itraconazol proved to be an excellent option.


    Directory of Open Access Journals (Sweden)

    Botoc Claudiu


    Full Text Available The global crisis has caused a serious fiscal deterioration that leaves the world economy with serious challenges. In many developed markets as well as in a few emerging markets (Emerging markets public finances have already become, or are at least at risk of becoming, unsustainable. Commonly, public debt sustainability is defined as a sovereign's ability to service debt without large adjustments to public revenue and/or expenditure and without ever-increasing public-debt-to-GDP ratios. Hence, this definition refers to both a country's ability and willingness to repay its debt. We also have to add the fact that there isn`t an universal accepted definition of fiscal or debt sustainability. In light of the growing public debt, the issue of debt sustainability has increasingly attracted attention. In this paper we analyse public debt sustainability scenario in EU economies. At least half of the EU countries will have to implement stringent fiscal consolidation programmes over the next few years in order to prevent already high public-debt-to-GDP ratios from a further significant rise, also the case of Romania. However, drastic fiscal policy adjustment may be not feasible in the short term and hence public debt is likely to grow further. In some scenarios the public-debt-to-GDP ratio is predicted to soar to 133% in 2020, from just over 100% in 2010. By contrast, nearly all EM countries, including major economies, appear to be well positioned to stabilise or even outgrow their current debt ratios without drastic fiscal adjustment. Institutional improvements may help European countries to maintain fiscal credibility. In light of the future fiscal challenges, many European governments may introduce new or more effective national debt limits, similar to those put in place in the past with good results by some Emerging markets. Such institutional reforms could help to insulate fiscal policies from political pressure and to anchor financial market

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

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


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

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

    Directory of Open Access Journals (Sweden)

    Rawee Hanpachern


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

  3. Income and nutritional status of the fishing community residing in coastal bay of Bengal: a case study. (United States)

    Pal, Baidyanath; Chattopadhyay, Manabendu; Maity, Moumita; Mukhopadhyay, Barun; Gupta, Ranjan


    This is part of a project on the disadvantaged, marginalized, vulnerable/weaker section of the population and their survival strategy. The paper presents the results of a survey carried out during 2006-07 with the objective of throwing light on the life and living conditions of an economically weaker community such as 'fishing community' residing in the coastal area of Bay of Bengal in West Bengal and Orissa, India, in the context of global scenario. Various scientists have conducted quite a large number of studies to ascertain the income and nutritional status of people in rural India. Very few attempts, however, have been made to investigate in detail regarding the living standards of some specific communities, which are very often referred to, as the 'weaker section' of the people. The people belonging to fishing community are, by and large, not only economically weak in terms of earning and availability of work, the majority of them are not able to procure the minimum nourishment. The present study shows that some notable elements of living conditions such as food, shelter, health etc. matters much more than the conventional income or calorie deficiency. Commonly, the social scientists equate poverty with income or calorie deficiency which may not be the case as is evident from this study. We have hinted some measures to be undertaken to ameliorate the sufferings of the fishing community.

  4. Consideration of Regional Informatization Practices in Japan: A Case Study on a Civic Organization Operating Community Media


    Togo, Hiroshi; Enomoto, Kosei


    [Abstract] The aim of this article is to investigate Japanese regional informatization from the viewpoint of practices with use of a progressive case study. This article focuses attention on a civic organization that has been taking the lead in promoting regional informatization in city A, and elucidates how the civic organization of a community media operator reconsidered its own practices, and then transformed both its own organizational structure and practices. This article starts with a ...

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

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


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

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

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


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

  7. The Interplay of Virtual Communities: A Multiple Case Study of E-Retailers in Yahoo E-Auctions

    Directory of Open Access Journals (Sweden)

    Julia Zhi-Xian Zhao


    Full Text Available This study investigated how businesses operate e-shops in a transaction-oriented virtual community. This research employed a multiple case study approach by observing three cases of e-retailers, as being new e-commerce initiates, operating their businesses on the Yahoo! e-auction website. The results showed that e-shops displaying amusing stories can attract site visitors and “spick and span” e-shop design format can be helpful for converting visitors into buyers.

  8. Strategic Management Analysis: Case of Erzeni LTD

    Directory of Open Access Journals (Sweden)

    Alba KRUJA


    Full Text Available In the last two decades Albania had shifted from a closed, communist economy to an open market where private sector has increased its influence, especially in production and trade sector. Today it can be studied and found the leaders of each sector by analyzing the position that these private companies have in the market.Erzeni LTD is a company operating in the market for more than 17 years. The company‘s first operations were production and trade of home, office and school furniture, operations which later on were expanded in new product such as inside and armored doors. Erzeni LTD, known also as the leader in wood/MDF based products, arranges its sale in three different directions: 1. Sales in Albanian free market, 2. Sales through fixed long-term contracts, 3. Export sales. In this paper it will be analyzed the past, present and future of Erzeni LTD, by developing an implementable strategy that would improve the future position of the company not only as an operator in the Albanian market but also abroad. In order to develop the company`s strategies, the SWOT-TOWS analysis will be conducted in which it will be identified the strengths, weaknesses, opportunities and threats that the company is facing.

  9. Preventive maintenance by vibratory analysis: case study

    Directory of Open Access Journals (Sweden)

    Amal Boukili,


    Full Text Available :The majority of the industrial machine components have to satisfy to the requirements of the high quality and incessantly increasing; so the machines maintaining in good state during the production has became a fundamental point for a product or a company success. Through the measure of the predictive maintenance, it is possible to satisfy these complex requirements with success and to reduce the costs of maintenance. However, an optimization of the maintenance is realized by a continued monitoring of degradation, by way of a control system on line “On Line”, which can respond to industrial imperatives and which provides to define just the necessary at the level of interventions, “The machine can’t be serviced except if only its state requires.”For an effective maintenance, it takes precise and reliable measures. Nevertheless, the experience has shown that the vibratory measure is the most reliable parameter that gives the precociously and with a best ways the deterioration state of a turnable machine. It provides to identify the efforts as soon as they appear, before of an irreversible damage, it also provides, after analysis, to deduce the origin and to estimate the breakdown risks.In this context, a study had done inside a workshop of a phosphoric office, which adopt a continued surveillance (On-Line, in the hope of doing an optimal process of a conditional maintenance which can be developed in time toward an idealized by a vibratory indicator accomplishing satisfactory results.

  10. Identity in a virtual community: The case of forum "The Sign of Sagita"

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    Đorđević Ivan


    Full Text Available This paper discusses the operating of one type of virtual community, established by science fiction/fantasy/horror fans, known as "Forum Znak Sagite". The specific access to the phenomena of cyber-space remains in the process of rethinking the phenomena confined neither by the usual oppositions of virtual: real nor by the debates about the ethics of virtual reality. Having taken in consideration the operation of a specific virtual community and the construction of the identification practices inside the community, we approach the issue from a local basis, observing the practice of specific people on the specific ground.

  11. Towards an understanding of community organization against crime: The case of Ciudad Juarez, Mexico

    Directory of Open Access Journals (Sweden)

    Carlos Javier Vilalta


    Full Text Available Ciudad Juarez is the second largest Mexican border city and one of most violent cities worldwide. Over the past five years, it has suffered from a dramatic wave of homicidal violence related to organized crime. Residents have reacted in different ways to such violence: some have migrated whereas others have decided to stay and organize against it. This is an empirical study of community organization for crime prevention. This study found some of the factors that facilitate and impede community organization against crime. The results constitute a first step in the empirical study of community organization for crime prevention in Mexico.

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

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    Saulius Lukas Kaleda


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

  13. Social responsibility and educational communication in communities accessed by the works: a case study. IEGA - enterprise implementations for gasene

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Elisangela Assis de; Farias, Aline Marianne Magalhaes [LP Empreendimentos, Rio de janeiro, RJ (Brazil); Marques, Yanna Oliveira [Cia. Nacional de Dutos (Conduto S/A), Duque de Caxias, RJ (Brazil); Penido, Rita de Cassia [Sinopec Brasil, Rio de Janeiro, RJ (Brazil)


    Construction and assembly in a gas pipeline project is a constant study of realities and in some cases situations which involve interferences in communities, the company's interests must be wholly integrated with the primary need of the project which is to construct with Social-Environmental Responsibility, establish a good relationship, respect the communities values in which the project passes through and around and surround itself with measures guaranteeing safety, information about the activities and cause minimal impact in the day to day lives of the residents. At Spread 2A of the Pipeline project Cacimbas-Catu, the necessity to develop a specific project for the communities surrounding the access areas was elaborated principally because the topography only permitted the transportation of pipes, equipment and personnel to pass through these areas. This unique situation was drafted based on the transit of vehicles and heavy machinery, through communities with a low IDH (Human Development Index), dangerous living conditions and a high demographic density. Preventive and pacifying actions for Communities and Social responsibility were drafted and developed, involving a multidisciplinary collective effort with other sectors of the project, applying a global theme to ensure safety for the residents around the access areas, also to divulge information in regards to project activities, establish ethical and transparent communication and implement measures that assist in building a solid relationship between the enterprise and community, anticipating risky situations and possible conflicts. This Case Study has as an objective to present projects that were developed in the area of Communication and Social Responsibility in the Access Communities and that, proved effective, became standard within the entire work force's Trainings and Daily Safety, Environmental, and Occupational Health Dialoguing. During the development of the Project 'Street of Leisure

  14. Forest cognition by local communities: a case study in the Trento municipality (Italy

    Directory of Open Access Journals (Sweden)

    Betta A


    Full Text Available The work illustrates the methodology and initial results of research into how the inhabitants of the Municipality of Trento perceive the woods, research which will be subsequently extended to other municipalities in the Trentino (central-east Alps. The chosen method of survey is the self-reported questionnaire, using a random sample of 1000 families selected from the local Registry Office. The article describes in detail the method of formulation, verification and proposal to the respondents, method that revealed itself an instrument well-suited to the reality of the territory surveyed. Also discussed are the possibilities of extending its use to other territorial areas. The results of the descriptive analysis relative to certain themes dealt with in the survey, and set out in the work, clearly demonstrate the strong bond between population and territory; the appreciation of the mountain landscape typical of the Trentino, a solid knowledge of the woods of the province and the recognition of the importance of these in the characterisation of the landscape. The work underlines the importance of taking into consideration not only the values that are commonly attributed to the forest ecosystem, but also those that involve the emotive sphere and the sense of cultural identity of the population. Lastly, the usefulness to those responsible for the protection and management of the natural resources that are part of the region’s heritage, and the possible spin-offs to be gained from a survey of this type, are discussed, further emphasizing the importance of opening channels of dialogue between community and administrator.

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

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


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

  16. Community level composting in a developing country: case study of KIWODET, Tanzania

    NARCIS (Netherlands)

    Oberlin, A.S.; Szanto, G.L.


    Environmentally sustainable waste management practices have a limited relevance and viability in developing countries. Despite a technological potential, composting initiatives often share this fate. Little is known about the functioning of community level composting, which is reportedly the optimal

  17. Socioeconomic impacts of nuclear power plant siting: a case study of two New England communities

    Energy Technology Data Exchange (ETDEWEB)

    Purdy, B. J.


    An examination is presented of the social, economic and political/institutional impacts of two operating nuclear power complexes on two New England communities. The work is one of a series planned to broaden knowledge of the effects of large energy-generating facilities upon the social structure of local communities. Its primary objectives are to investigate and assess social and economic impacts resulting from construction and operation of nuclear power plants and to generate hypotheses about such impacts for future testing.

  18. Applying the brand community concept in the nonprofit sector : the case of junior achievement Ireland


    Thorsteinsson, Tomas Gunnar; Casalini, Giulia


    In this paper, we aim to investigate the benefits of the application of a brand community strategy into a nonprofit organization (NPO), as well as the strategies that the NPO could adopt in order to facilitate the creation of such a community. We review the challenges and opportunities of using marketing strategies in the nonprofit sector. With increased competition in the “third” sector, it has become ever more important for nonprofit organizations to engage in branding and ma...

  19. The Impact of Tribal Colleges in the Economic Development of Tribal Communities: A Case Study

    Directory of Open Access Journals (Sweden)

    Grob, Anne


    Full Text Available The essay examines a fairly new phenomenon in American Education: Tribal Colleges. As unique institutions of higher learning, established to specifically address educational and cultural needs of American Indians, they play a pivotal role in individual student and tribal community empowerment. It will be illustrated in-depth how one particular Tribal College – Salish Kootenai College – positively impacts and greatly contributes to the economic development of its tribal community.

  20. 高血压病的社区护理干预分析%Community nursing intervention analysis of hypertension

    Institute of Scientific and Technical Information of China (English)



    Objective To analyze the hypertension of community nursing intervention effect. Methods Analysis of 200 cases of patients with high blood pressure the effect of the implementation of community nursing intervention. Results After the intervention effect of the patient's blood pressure levels significantly decreased,compared with before treatment. Conclusion Hypertension,community nursing for hypertension patients,to improve the cognitive and protection consciousness.%目的:分析研究高血压病的社区护理干预实施效果。方法分析研究200例高血压患者实施社区护理干预的效果。结果干预实施后,患者的血压水平明显下降,与治疗前相比有差异。结论高血压病实施社区护理,有利于提高患者对高血压认知以及防护意识,对于提高患者生活质量水平相当重要。

  1. A Discourse Analysis of Collaboration between Academic and Student Affairs in Community Colleges (United States)

    Gulley, Needham Yancey


    The purpose of this study was to understand the nature of collaboration between academic affairs and student affairs units in the community college context from a qualitative perspective. A discourse analysis study was conducted to explore the ways in which collaborative practice was discussed and understood by chief and midlevel academic and…

  2. Chapter 2: Predicting Newcomer Integration in Online Knowledge Communities by Automated Dialog Analysis

    NARCIS (Netherlands)

    Nistor, Nicolae; Dascalu, Mihai; Stavarache, Lucia; Tarnai, Christian; Trausan-Matu, Stefan


    Nistor, N., Dascalu, M., Stavarache, L.L., Tarnai, C., & Trausan-Matu, S. (2015). Predicting Newcomer Integration in Online Knowledge Communities by Automated Dialog Analysis. In Y. Li, M. Chang, M. Kravcik, E. Popescu, R. Huang, Kinshuk & N.-S. Chen (Eds.), State-of-the-Art and Future Directions of

  3. A Social Network Analysis of Teaching and Research Collaboration in a Teachers' Virtual Learning Community (United States)

    Lin, Xiaofan; Hu, Xiaoyong; Hu, Qintai; Liu, Zhichun


    Analysing the structure of a social network can help us understand the key factors influencing interaction and collaboration in a virtual learning community (VLC). Here, we describe the mechanisms used in social network analysis (SNA) to analyse the social network structure of a VLC for teachers and discuss the relationship between face-to-face…

  4. Critical Social Network Analysis in Community Colleges: Peer Effects and Credit Attainment (United States)

    González Canché, Manuel S.; Rios-Aguilar, Cecilia


    This chapter discusses the importance of conducting critical social network analysis (CSNA) in higher education. To illustrate the benefits of CSNA, the authors use existing institutional data to examine peer effects in community colleges. The chapter ends with a discussion of the implications of using a CSNA approach to measure inequities in…

  5. Research Trends in the Study of ICT Based Learning Communities: A Bibliometric Analysis (United States)

    Hernández, Jonathan Bermúdez; Chalela, Salim; Arias, Jackeline Valencia; Arias, Alejandro Valencia


    The current opportunities to develop and acquire knowledge in the network, Information and Communications Technology (ICT) play a major role in the learning process. This research offers a bibliometric analysis in order to examine the state of the research activity carried out in relation to the learning communities based on ICT. The indicators…

  6. Confirmatory Factor Analysis of the Career Factors Inventory on a Community College Sample (United States)

    Simon, Merril A.; Tovar, Esau


    A confirmatory factor analysis was conducted using AMOS 4.0 to validate the 21-item Career Factors Inventory on a community college student sample. The multidimensional inventory assesses types and levels of career indecision antecedents. The sample consisted of 512 ethnically diverse freshmen students; 46% were men and 54% were women.…

  7. Severe Community-Acquired Pneumonia Caused by Human Adenovirus in Immunocompetent Adults: A Multicenter Case Series.

    Directory of Open Access Journals (Sweden)

    Dingyu Tan

    Full Text Available Severe community-acquired pneumonia (CAP caused by human adenovirus (HAdV, especially HAdV type 55 (HAdV-55 in immunocompetent adults has raised increasing concerns. Clinical knowledge of severe CAP and acute respiratory distress syndrome induced by HAdV-55 is still limited, though the pathogen has been fully characterized by whole-genome sequencing.We conducted a multicentre retrospective review of all consecutive patients with severe CAP caused by HAdV in immunocompetent adults admitted to the Emergency Department Intensive Care Unit of two hospitals in Northern China between February 2012 and April 2014. Clinical, laboratory, radiological characteristics, treatments and outcomes of these patients were collected and analyzed.A total of 15 consecutive severe CAP patients with laboratory-confirmed adenovirus infections were included. The median age was 30 years and all cases were identified during the winter and spring seasons. HAdV-55 was the most frequently (11/15 detected HAdV type. Persistent high fever, cough and rapid progression of dyspnea were typically reported in these patients. Significantly increased pneumonia severity index (PSI, respiratory rate, and lower PaO2/FiO2, hypersensitive CRP were reported in non-survivors compared to survivors (P = 0.013, 0.022, 0.019 and 0.026, respectively. The rapid development of bilateral consolidations within 10 days after illness onset were the most common radiographic finding, usually accompanied by adjacent ground glass opacities and pleural effusions. Total mortality was 26.7% in this study. Corticosteroids were prescribed to 14 patients in this report, but the utilization rate between survivors and non-survivors was not significant.HAdV and the HAdV-55 sub-type play an important role among viral pneumonia pathogens in hospitalized immunocompetent adults in Northern China. HAdV should be tested in severe CAP patients with negative bacterial cultures and a lack of response to antibiotic

  8. Risk factors associated with the community-acquired colonization of extended-spectrum beta-lactamase (ESBL positive Escherichia Coli. an exploratory case-control study.

    Directory of Open Access Journals (Sweden)

    Rasmus Leistner

    Full Text Available BACKGROUND: The number of extended-spectrum beta-lactamase (ESBL positive (+ Escherichia coli is increasing worldwide. In contrast with many other multidrug-resistant bacteria, it is suspected that they predominantly spread within the community. The objective of this study was to assess factors associated with community-acquired colonization of ESBL (+ E. coli. METHODS: We performed a matched case-control study at the Charité University Hospital Berlin between May 2011 and January 2012. Cases were defined as patients colonized with community-acquired ESBL (+ E. coli identified <72 h after hospital admission. Controls were patients that carried no ESBL-positive bacteria but an ESBL-negative E.coli identified <72 h after hospital admission. Two controls per case were chosen from potential controls according to admission date. Case and control patients completed a questionnaire assessing nutritional habits, travel habits, household situation and language most commonly spoken at home (mother tongue. An additional rectal swab was obtained together with the questionnaire to verify colonization status. Genotypes of ESBL (+ E. coli strains were determined by PCR and sequencing. Risk factors associated with ESBL (+ E. coli colonization were analyzed by a multivariable conditional logistic regression analysis. RESULTS: We analyzed 85 cases and 170 controls, respectively. In the multivariable analysis, speaking an Asian language most commonly at home (OR = 13.4, CI 95% 3.3-53.8; p<0.001 and frequently eating pork (≥ 3 meals per week showed to be independently associated with ESBL colonization (OR = 3.5, CI 95% 1.8-6.6; p<0.001. The most common ESBL genotypes were CTX-M-1 with 44% (n = 37, CTX-M-15 with 28% (n = 24 and CTX-M-14 with 13% (n = 11. CONCLUSION: An Asian mother tongue and frequently consuming certain types of meat like pork can be independently associated with the colonization of ESBL-positive bacteria. We found neither frequent consumption

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

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


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

  10. Spatial analysis of BSE cases in the Netherlands

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    Brus Dick J


    Full Text Available Abstract Background In many of the European countries affected by Bovine Spongiform Encephalopathy (BSE, case clustering patterns have been observed. Most of these patterns have been interpreted in terms of heterogeneities in exposure of cattle to the BSE agent. Here we investigate whether spatial clustering is present in the Dutch BSE case data. Results We have found three spatial case clusters in the Dutch BSE epidemic. The clusters are geographically distinct and each cluster appears in a different birth cohort. When testing all birth cohorts together, only one significant cluster was detected. The fact that we found stronger spatial clustering when using a cohort-based analysis, is consistent with the evidence that most BSE infections occur in animals less than 12 or 18 months old. Conclusion Significant spatial case clustering is present in the Dutch BSE epidemic. The spatial clusters of BSE cases are most likely due to time-dependent heterogeneities in exposure related to feed production.

  11. A cost effectiveness analysis within a randomised controlled trial of post-acute care of older people in a community hospital (United States)

    O'Reilly, Jacqueline; Lowson, Karin; Young, John; Forster, Anne; Green, John; Small, Neil


    Objective To assess the cost effectiveness of post-acute care for older people in a locality based community hospital compared with a department for care of elderly people in a district general hospital, which admits patients aged over 76 years with acute medical conditions. Design Cost effectiveness analysis within a randomised controlled trial. Setting Community hospital and district general hospital in Yorkshire, England. Participants 220 patients needing rehabilitation after an acute illness for which they required admission to hospital. Interventions Multidisciplinary care in the district general hospital or prompt transfer to the community hospital. Main outcome measures EuroQol EQ-5D scores transformed into quality adjusted life years (QALYs), and health and social service costs over six months from randomisation. Results The mean QALY score for the community hospital group was marginally non-significantly higher than that for the district general hospital group (0.38 v 0.35) at six months after recruitment. The mean (standard deviation) costs per patient of the health and social services resources used were similar for both groups: community hospital group £7233 (euros 10 567; $13 341) (£5031), district general hospital group £7351 (£6229), and these findings were robust to several sensitivity analyses. The incremental cost effectiveness ratio for community hospital care dominated. A cost effectiveness acceptability curve, based on bootstrapped simulations, suggests that at a willingness to pay threshold of £10 000 per QALY, 51% of community hospital cases will be cost effective, which rises to 53% of cases when the threshold is £30 000 per QALY. Conclusion Post-acute care for older people in a locality based community hospital is of similar cost effectiveness to that of an elderly care department in a district general hospital. PMID:16861254

  12. Benthic community response to habitat variation: A case of study from a natural protected area, the Celestun coastal lagoon (United States)

    Pech, Daniel; Ardisson, Pedro-Luis; Hernández-Guevara, Norma A.


    Little information currently exists on spatial and temporal benthic community variations in tropical coastal lagoons. Here, the benthic community response to habitat variation in the Celestun coastal lagoon, northwest Yucatan peninsula, was seasonally examined during the 1994-1995 climatic cycle into a grid of 12 sampling sites distributed along the salinity gradient of the lagoon. Habitat variation was assessed through physical factors associated both to the water column (e.g. salinity) and the bottom sediment (e.g. sand, silt and clay fractions). The benthic community response was assessed through species diversity measures and abundance. Under the influence of climatic seasonality, variations in habitat conditions followed by changes in the benthic community characteristics were expected. Results from two-way ANOVAs showed that for the period of study, Celestun lagoon was more heterogeneous along the spatial axis of variability than along the temporal one. Multiple regression analysis showed that salinity was spatially the main factor influencing the benthic community characteristics. Temporally, the sediment characteristics were observed to exert significant effects on the species diversity characteristics but not on abundance. Other variables assessed (dissolved oxygen, pH, temperature and water column transparency) exhibited no significant covariance with species diversity and abundance. Since generated from historical data, these results have the potential to be useful as a benchmark to the establishment of monitoring programs in the light of the increasing anthropogenic pressure on the natural resources of the lagoon and surrounding coastal area.

  13. The Potential of GIS as a Management Tool for Avenue Trees Population in Small Communities; a Case Study of Idi-Shin Community, Ibadan, Nigeria (United States)

    Olokeogun, O. S.; Akintola, O. O.; Abodunrin, E. K.


    This study demonstrates the potentials of Geographic Information System (GIS) as a management tool for avenue trees (Street trees) populations in small communities (using Idi-Ishin community, Ibadan, Nigeria as a case study). GIS is a decision support system which integrate data or set of data from different sources, bringing them under the same referencing system in a computer system. An Ikonos Imagery (1m Spatial Resolution) of the study area was digitized to produce a digital map using ArcGIS 10.1 version. The avenue trees species ≥ 5cm diameter at breast height (DBH) was selected for enumeration. These trees were then measured and tagged. The Height, Girth and Geographic location (X &Y coordinate) of the trees were measured with Haga altimeter, Girthing tape and Hand held Global Positioning System (GPS) respectively. The species and families of the trees enumerated were also identified. Data were analysed for basal area (BA) and volume (V). A total number of 43 avenue trees were assessed in Idi-Ishin Community. Roystonea regia accounted for the majority of the avenue trees (25.58%), followed by Polyanthia longiflora (23.26%), Gliricida seprium (20.93%), Eucalyptus toreliana (13.95%), Delunix regea (6.98%). However Terminalia catapa, Terminalia radii, Azadrachita indica and Newbodia levis had the same abundance of 2.33%. It was also observed that the benefits derived from these avenue trees includes; Carbon sequestration, Beautification, Wind break and shade. A spatial relational database was created for the assessed avenue trees using ArcCatalog of ArcGIS 10.1 version. Based on the findings from the study (which serves as baseline information for the management of the avenue trees in the study area), it was therefore recommended that subsequent assessment should be carried out at 3-5 year interval in other to ensure proper and continuous monitoring and updating of the data.


    Directory of Open Access Journals (Sweden)

    Lisetchi Mihai


    Full Text Available The public administration has a major role in partnerships establishing and operating with different community actors aiming at solving specific community problems. In the process of identifying and solving the community problems the actions of the non-governmental organisations are considered as "alternatives" to the solutions of the public administration. The advantages of an on-going collaboration between non-governmental organisations, as relevant agents in the social economy, and the public authorities aiming at solving the community problems were identified and aknowledged by both sides representatives. The access to complementary resources, and implicitly, an increase in the range of actions of the partners beyond mathematical calculus, an increase in the credibility and public image of the partners, as well as the social benefit corollary to positive models established within the community, are only a few of the arguments. The question raised is why this type of a more consistent approach is not used in the current practices of solving the community issues in Romania. The following causes should be considered in response to this question: the lack of an associative culture at the level of all potential partners, the access to resources is by far too limited on behalf of any of the two parts involved, a neutral, thus, unrestrictive legislative environment, but at the same time, unstimulating towards an associative action, i.e. limited management capacities on both sides. From this perspectives, this paper aims at clarifying the partnership concept (definition, typology, the public-private partnership role in solving community problems and the management issues related: partners identification, negociation of the cooperation protocol, decision making process and resource management, assesment, etc.

  15. Metagenomic Analysis of Bacterial Communities of Antarctic Surface Snow. (United States)

    Lopatina, Anna; Medvedeva, Sofia; Shmakov, Sergey; Logacheva, Maria D; Krylenkov, Vjacheslav; Severinov, Konstantin


    The diversity of bacteria present in surface snow around four Russian stations in Eastern Antarctica was studied by high throughput sequencing of amplified 16S rRNA gene fragments and shotgun metagenomic sequencing. Considerable class- and genus-level variation between the samples was revealed indicating a presence of inter-site diversity of bacteria in Antarctic snow. Flavobacterium was a major genus in one sampling site and was also detected in other sites. The diversity of flavobacterial type II-C CRISPR spacers in the samples was investigated by metagenome sequencing. Thousands of unique spacers were revealed with less than 35% overlap between the sampling sites, indicating an enormous natural variety of flavobacterial CRISPR spacers and, by extension, high level of adaptive activity of the corresponding CRISPR-Cas system. None of the spacers matched known spacers of flavobacterial isolates from the Northern hemisphere. Moreover, the percentage of spacers with matches with Antarctic metagenomic sequences obtained in this work was significantly higher than with sequences from much larger publically available environmental metagenomic database. The results indicate that despite the overall very high level of diversity, Antarctic Flavobacteria comprise a separate pool that experiences pressures from mobile genetic elements different from those present in other parts of the world. The results also establish analysis of metagenomic CRISPR spacer content as a powerful tool to study bacterial populations diversity.

  16. Metagenomic Analysis of Bacterial Communities of Antarctic Surface Snow

    Directory of Open Access Journals (Sweden)

    Anna eLopatina


    Full Text Available The diversity of bacteria present in surface snow around four Russian stations in Eastern Antarctica was studied by high throughput sequencing of amplified 16S rRNA gene fragments and shotgun metagenomic sequencing. Considerable class- and genus-level variation between the samples was revealed indicating a presence of inter-site diversity of bacteria in Antarctic snow. Flavobacterium was a major genus in one sampling site and was also detected in other sites. The diversity of flavobacterial type II-C CRISPR spacers in the samples was investigated by metagenome sequencing. Thousands of unique spacers were revealed with less than 35% overlap between the sampling sites, indicating an enormous natural variety of flavobacterial CRISPR spacers and, by extension, high level of adaptive activity of the corresponding CRISPR-Cas system. None of the spacers matched known spacers of flavobacterial isolates from the Northern hemisphere. Moreover, the percentage of spacers with matches with Antarctic metagenomic sequences obtained in this work was significantly higher than with sequences from much larger publically available environmental metagenomic database. The results indicate that despite the overall very high level of diversity, Antarctic Flavobacteria comprise a separate pool that experiences pressures from mobile genetic elements different from those present in other parts of the world. The results also establish analysis of metagenomic CRISPR spacer content as a powerful tool to study bacterial populations diversity.

  17. Case Managers and the Freshman Academy Learning Community: The Results of Involving a Variety of Campus Personnel in First-Year Student Mentoring (United States)

    Summerskill, Gail; Jones, Cathy


    Johnson C. Smith University, a historically black university in North Carolina, created a Case Manager Program for their Freshman Academy Learning Community. This case study describes how the program was designed, implemented, and assessed. Case Managers are neither faculty nor student affairs professionals yet they are an integral part of the…

  18. Appraisal of cooperation with a palliative care case manager by general practitioners and community nurses: a cross-sectional questionnaire study.

    NARCIS (Netherlands)

    Plas, A.G.M. van der; Onwuteaka-Philipsen, B.D.; Vissers, K.C.; Deliens, L.; Jansen, W.J.J.; Francke, A.L.


    Aims: To investigate how general practitioners and community nurses value the support that they receive from a nurse case manager with expertise in palliative care, whether they think the case manager is helpful in realizing appropriate care and what characteristics of the patient and case managemen

  19. Trenton ICES: demonstration of a grid-connected integrated community energy system. Phase II. Volumes 1 and 2. Preliminary design of ICES system and analysis of community ownership

    Energy Technology Data Exchange (ETDEWEB)


    Preliminary design and evaluation for the system has been carried out. The findings of this study are: (1) it is technically feasible, utilizing commercially available hardware; (2) under utility ownership and operation, it will not be economically competitive with conventional alternatives for heating and cooling buildings (analysis contained in companion report under separate cover); (3) under utility ownership and operation, no restrictions have been identified that would prevent the project from proceeding; (4) under community ownership, preliminary analysis indicates that thermal energy produced by Trenton ICES will be approximately 12 percent less expensive than thermal energy produced by oil-fired boilers; and (5) a review and update of institutional analyses performed during Phase 2 has identified no factors that would preclude community ownership and operation of the Trenton ICES. The background data produced for the analysis of the Trenton ICES based on utility ownership and operation can, in large part, be used as the bases for a detailed analysis of community ownership.

  20. High prevalence of tuberculosis and insufficient case detection in two communities in the Western Cape, South Africa.

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    Mareli Claassens

    Full Text Available BACKGROUND: In South Africa the estimated incidence of all forms of tuberculosis (TB for 2008 was 960/100000. It was reported that all South Africans lived in districts with Directly Observed Therapy, Short-course. However, the 2011 WHO report indicated South Africa as the only country in the world where the TB incidence is still rising. AIMS: To report the results of a TB prevalence survey and to determine the speed of TB case detection in the study communities. METHODS: In 2005 a TB prevalence survey was done to inform the sample size calculation for the ZAMSTAR (Zambia South Africa TB and AIDS Reduction trial. It was a cluster survey with clustering by enumeration area; all households were visited within enumeration areas and informed consent obtained from eligible adults. A questionnaire was completed and a sputum sample collected from each adult. Samples were inoculated on both liquid mycobacterium growth indicator tube (MGIT and Löwenstein-Jensen media. A follow-up HIV prevalence survey was done in 2007. RESULTS: In Community A, the adjusted prevalence of culture positive TB was 32/1000 (95%CI 25-41/1000 and of smear positive TB 8/1000 (95%CI 5-13/1000. In Community B, the adjusted prevalence of culture positive TB was 24/1000 (95%CI 17-32/1000 and of smear positive TB 9/1000 (95%CI 6-15/1000. In Community A the patient diagnostic rate was 0.38/person-year while in community B it was 0.30/person-year. In both communities the adjusted HIV prevalence was 25% (19-30%. DISCUSSION: In both communities a higher TB prevalence than national estimates and a low patient diagnostic rate was calculated, suggesting that cases are not detected at a sufficient rate to interrupt transmission. These findings may contribute to the rising TB incidence in South Africa. The TB epidemic should therefore be addressed rapidly and effectively, especially in the presence of the concurrently high HIV prevalence.

  1. First Case Report of Smith–Magenis Syndrome (SMS) Among the Arab Community in Nazareth (United States)

    Nijim, Yousif; Adawi, Amin; Bisharat, Bishara; Bowirrat, Abdalla


    Abstract Smith–Magenis syndrome (SMS0) is a complex and rare genetic multisystem disorder characterized by a variable pattern of cognitive deficits accompanied by a1 distinctive behavioral phenotype. SMS is characterized by subtle facial dysmorphology, short stature, sleep disturbances, and neurobehavioral abnormalities. Little is known about the manifestation of his unique case among Arab population and its strategic treatment. This study comes to present a case of SMS in an Arab newborn male who was born in spontaneous delivery on June 29, 2015, with tachypnea, tracheomalacia, and mild hypotonia. The newborn was admitted on the Neonatal Intensive Care Unit (NICU), and various laboratory examinations and clinical examinations were performed. Throughout his hospitalization, feeding difficulties appeared and thus a peripheral venous catheter was inserted in the left leg. After 22 days of follow-up and hospitalizations, the patient status improved and he was discharged with recommendations to be in follow up in pediatric outpatient clinic. However, notwithstanding the different investigations, intermittent tachypnea continued at a rate of 72 to 77 breaths/min. Search for diagnosis begin intensively owing to persistence of tachypnia, mild hypotonia, feeding difficulties, sleep disturbances, and mild dysmorphic facial features. Suspicions of genetic abnormalities were considered and blood samples were sent for chromosome analysis and for fluorescent in situ hybridization (FISH) testing. The genetic results revealed the following: cytogenetic findings: 46, XY, del(17)(p11.2) and the FISH results: del(17)(p11.2p11.2) (D17S29). The chromosome diagnosis revealed an interstitial deletion of 17p11.2 and the diagnosis of the SMS was confirmed. Accurate clinical diagnosis, therapeutic assessments and a holistic management plans, including multidiscipline therapeutic strategies, periodic neuro-developmental assessments, and an early intervention programs, are recommended

  2. The Prevalence of Thyroid Nodules and an Analysis of Related Lifestyle Factors in Beijing Communities

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    Hua Jiang


    Full Text Available Thyroid nodules (TNs have annual increasing trends worldwide, and large-scale investigations on the prevalence of TNs in Beijing communities have not been conducted since the introduction of salt iodization in 1995. We performed a cross-sectional study to determine the prevalence of TNs, their epidemiological characteristics, and their correlation with lifestyle factors. A total of 6324 permanent residents aged 18 years or older (mean age, 52.15 ± 11.58 years from seven representative communities in Beijing were included in the analyses. Once informed consent was obtained, the subjects were asked to complete questionnaires, a physical examination, and thyroid ultrasound. A total of 3100 cases had TNs. The overall prevalence rate was 49.0%, and the age-standardized prevalence was 40.1%, which increased significantly as age increased (p < 0.001. The prevalence was significantly higher in females compared to males (p < 0.001, and it was significantly higher among female current smokers and former smokers compared to non-smokers (p = 0.007. There was no correlation between alcohol consumption and TNs, and there were no significant differences in the prevalence among different groups of taste preference. The prevalence decreased with an increased frequency of seafood intake (p = 0.015 and with higher literacy levels (p < 0.001. The Cochran–Armitage trend test showed that the prevalence significantly increased with decreased physical labor and exercise intensity (p < 0.001, p = 0.009. Logistic regression analysis showed that age (Odds ratio (OR = 1.039 (1.034–1.044, p < 0.001, the female sex (OR = 1.789 (1.527–2.097, Body mass index (BMI (OR = 1.019 (1.005–1.034, and current smoking habits (OR = 1.246 (1.046–1.483 were independent risk factors for TNs. Our findings indicate that there is a high prevalence of TNs in Beijing, with a higher prevalence in females than in males. Moreover, the prevalence increases as age increases. Smoking and

  3. Preparation of microbial community cDNA for metatranscriptomic analysis in marine plankton. (United States)

    Stewart, Frank J


    High-throughput sequencing and analysis of microbial community cDNA (metatranscriptomics) are providing valuable insight into in situ microbial activity and metabolism in the oceans. A critical first step in metatranscriptomic studies is the preparation of high-quality cDNA. At the minimum, preparing cDNA for sequencing involves steps of biomass collection, RNA preservation, total RNA extraction, and cDNA synthesis. Each of these steps may present unique challenges for marine microbial samples, particularly for deep-sea samples whose transcriptional profiles may change between water collection and RNA preservation. Because bacterioplankton community RNA yields may be relatively low (microbiology research.

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

    Directory of Open Access Journals (Sweden)

    Helen Bellfield


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

  5. Experiences and Challenges of Community Participation in Urban Renewal Projects: The Case of Johannesburg, South Africa

    Directory of Open Access Journals (Sweden)

    Wellington Didibhuku Thwala


    Full Text Available Urban renewal and inner city regeneration have become critical efforts for the South African government, which has invested in several structures to stem the tide of decline in its nine major cities. Commitment to the alleviation of poverty is a focal point of the renewal and regeneration agenda and will remain so in the future. This effort is motivated by the fact that around 24% of the South African population currently lives on less than USD 1.00 per day, below the poverty line defined by the World Bank. The Central Government has made numerous public commitments to development, a part of which concerns extensive infrastructure investment and service delivery. Communities are expected to participate fully in the planning and implementation of these urban renewal projects. To this aim, participation is a process through which stakeholders influence and share control over development initiatives and the decisions and resources which affect them. Community participation should be aimed at empowering people by ensuring the development of skills and the creation of employment opportunities. This paper first explores the concept of community participation, and will then look at relevant past experiences in relation to community participation in urban renewal projects. Furthermore, the paper outlines the challenges and problems of community participation in urban renewal projects in Johannesburg, and finally, close with recommendations for the future.

  6. Community perceptions towards the establishment of an urban forest plantation: a case of Dzivaresekwa, Zimbabwe

    Directory of Open Access Journals (Sweden)

    A. Mureva


    Full Text Available The health of urban forest communities not only depend on the government and nongovernmental organizations, but also strongly rely on local community stewardship. A study was carried out to assess community perceptions on the establishment of an urban forest plantation among urban residents in Dzivaresekwa, an urban area in Harare. Randomized systematic sampling was used to select 150 households and one resident per household was interviewed using a pretested questionnaire with both closed and open-ended questions. The objectives of the study were to determine how age and gender and employment status variables, were related to the urban residents’ perceptions towards establishment of a forest plantation in an urban area. Most females (58.3% viewed the plantation as a threat while most men (51.7% viewed the plantation as a recreational area. The highest proportion (61.9% of the middle age group (21-40 years perceived the plantation as a source of employment. There was a statistically significant relationship (p = 0.040 between gender and the general perception of establishing a forest plantation in the urban area. However, there was no statistically significant relationship (p = 0.203 between age groups and the perception of establishing a forest plantation in the urban area. It is concluded that the community had diverse perceptions on urban community forestry.

  7. Participatory Design to Enhance ICT Learning and Community Attachment: A Case Study in Rural Taiwan

    Directory of Open Access Journals (Sweden)

    Yi-Ting Huang


    Full Text Available This study used observation and interviews with participants in “PunCar Action” to understand how participatory design methods can be applied to the education of rural individuals in information and communication technology (ICT. PunCar Action is a volunteer program in which ICT educators tour the rural communities of Taiwan, offering courses on the use of digital technology. This paper makes three contributions: First, we found that participatory design is an excellent way to teach ICT and Web 2.0 skills, co-create community blogs, and sustain intrinsic motivation to use Web applications. Second, PunCar Action provides an innovative bottom-up intergenerational ICT education model with high penetrability capable of enhancing the confidence of rural residents in the use of ICT. Third, the content of basic courses was based on applications capable of making the lives of elderly individuals more convenient, and the advanced course was based on the co-creation of community blogs aimed at reviving the core functions of communities and expanding local industry. Our research was conducted with the use of a non-quantitative index to measure ICT learning performance of participants from a rural community. The results show that PunCar Action emphasizes interpersonal communication and informational applications and creates a collaborative process that encourages rural residents to take action to close the digital divide.

  8. Understanding community receptivity to water re-use: Ku-ring-gai Council case study. (United States)

    Brown, R R; Davies, P


    This social research project investigated community receptivity to using rainwater and greywater as alternative domestic water sources. It was focused in the Ku-ring-gai local government area in northern Sydney, and involved a household questionnaire followed by community leader interviews and resident focus groups. Trends, such as a prolonged drought and increasing population, compound the current crisis and concern facing Sydney's available water supply. Substitution of domestic potable water has been promoted as part of the solution. The research results revealed that community receptivity was highest for external uses, such as watering gardens and flushing toilets, and progressively decreased with increasing personal contact. Receptivity to greywater reuse fell more rapidly with the community believing there was a higher health risk associated with its use. Gender and cultural background were revealed as significant variables and give insight into the design of strategies to target these demographic groups. This evidence provides a reliable stocktake of current receptivity revealing that the community has good awareness and positive association with water reuse for many household activities. This now needs to be harnessed through programs targeted at developing skills, resources and motivation for new water reuse practices and technologies across diverse social groupings.

  9. Enabling Innovation and Collaboration Across Geography and Culture: A Case Study of NASA's Systems Engineering Community of Practice (United States)

    Topousis, Daria E.; Murphy, Keri; Robinson, Greg


    In 2004, NASA faced major knowledge sharing challenges due to geographically isolated field centers that inhibited personnel from sharing experiences and ideas. Mission failures and new directions for the agency demanded better collaborative tools. In addition, with the push to send astronauts back to the moon and to Mars, NASA recognized that systems engineering would have to improve across the agency. Of the ten field centers, seven had not built a spacecraft in over 30 years, and had lost systems engineering expertise. The Systems Engineering Community of Practice came together to capture the knowledge of its members using the suite of collaborative tools provided by the NASA Engineering Network (NEN.) The NEN provided a secure collaboration space for over 60 practitioners across the agency to assemble and review a NASA systems engineering handbook. Once the handbook was complete, they used the open community area to disseminate it. This case study explores both the technology and the social networking that made the community possible, describes technological approaches that facilitated rapid setup and low maintenance, provides best practices that other organizations could adopt, and discusses the vision for how this community will continue to collaborate across the field centers to benefit the agency as it continues exploring the solar system.

  10. Earthquake Analysis of Multi Storied Residential Building - A Case Study

    Directory of Open Access Journals (Sweden)

    E. Pavan Kumar


    Full Text Available Earthquake occurred in multistoried building shows that if the structures are not well designed and constructed with and adequate strength it leads to the complete collapse of the structures. To ensure safety against seismic forces of multi-storied building hence, there is need to study of seismic analysis to design earthquake resistance structures. In seismic analysis the response reduction was considered for two cases both Ordinary moment resisting frame and Special moment resisting frame. The main objective this paper is to study the seismic analysis of structure for static and dynamic analysis in ordinary moment resisting frame and special moment resisting frame. Equivalent static analysis and response spectrum analysis are the methods used in structural seismic analysis. We considered the residential building of G+ 15 storied structure for the seismic analysis and it is located in zone II. The total structure was analyzed by computer with using STAAD.PRO software. We observed the response reduction of cases ordinary moment resisting frame and special moment resisting frame values with deflection diagrams in static and dynamic analysis. The special moment of resisting frame structured is good in resisting the seismic loads.

  11. 200例成人社区获得性肺炎病原体研究%200 Cases of Adult Community-Acquired Pneumonia Pathogens Research

    Institute of Scientific and Technical Information of China (English)



    Objective Through investigation and analysis of adult community-acquired pneumonia pathogens and pathogenic characteristics of the crowd,provide a basis for clinical treatment.Methods A retrospective analysis of our hospital in March 2010 to February 2012 period 200 cases of community-acquired pneumonia in patients with sputum culture and treatment of clinical data and the results were summarized.Results Information on a total of 200 cases,including 60 years of age were 30 cases,170 cases more than 60 years of age;to mostly elderly patients.Which cured 106 patients(53%),improved in 60 cases (30%) healed in 15 cases (7.5%),9 deaths(4.5%),10 patients left the hospital (5%).Status of sputum culture results showed that:sputum culture within 60 years as Vice mainly Haemophilus influenzae in 11 cases,36.7%.Patients over the age of 60 sputum culture results Haemophilus parainfluenzae in 68 cases,40%;results,mainly in patients with sputum culture Haemophilus parainfluenzae infection based.Conclusion Adult patients with community-acquired pneumonia,mostly elderly,Haemophilus parainfluenzae is a community-acquired pneumonia is one of the main pathogens.%  目的通过调查分析成人社区获得性肺炎致病人群及致病菌特点,为临床治疗提供依据。方法回顾性分析我院2010年3月~2012年2月期间200例社区获得性肺炎患者痰培养临床资料及治疗情况,并对结果进行总结。结果资料共200例,其中60岁以下者共30例,60岁以上者170例;以老年患者居多。其中治愈106例(53%),好转60例(30%),未愈15例(7.5%),9例死亡(4.5%),10例自动出院(5%)。痰培养结果状况显示:60岁以内的痰培养主要为副流感嗜血杆菌11例,36.7%。60岁以上患者痰培养结果显示副流感嗜血杆菌68例,占40%;结果显示,患者痰培养主要为副流感嗜血杆菌感染为主。结论成人社区获得性肺炎患者以老年人居多,副流感嗜血杆

  12. Spectral analysis of signals the missing data case

    CERN Document Server

    Wang, Yanwei


    Spectral estimation is important in many fields including astronomy, meteorology, seismology, communications, economics, speech analysis, medical imaging, radar, sonar, and underwater acoustics. Most existing spectral estimation algorithms are devised for uniformly sampled complete-data sequences. However, the spectral estimation for data sequences with missing samples is also important in many applications ranging from astronomical time series analysis to synthetic aperture radar imaging with angular diversity. For spectral estimation in the missing-data case, the challenge is how to extend t

  13. Community Involvement in Tourism Development: A Case Study of Lenggong Valley World Heritage Site

    Directory of Open Access Journals (Sweden)

    A. Khadar Nur Zafirah


    Full Text Available This paper examines the empirical relationship between the economic impact and community involvement in the Lenggong Valley. Recommendations for improvement in development effectiveness through the development of a community centre for economic and social activities, with specific attention given to types of activity and community involvement stimulating the economic development in the Lenggong Valley. Heritage tourism development is a tourism in which arts, culture and heritage form a key attraction for visitors and it can be represented as an area of significant economic benefit to heritage sites. The tourism industry in Hulu Perak became more widespread after Lenggong Valley is recognized as a World Heritage Site. There is shown a positive effect on the development and economic prosperity.

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

    Directory of Open Access Journals (Sweden)

    Andrea Giampiccoli


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

  15. Individual and community-level socioeconomic position and its association with adolescents experience of childhood sexual abuse: a multilevel analysis of six countries in Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Ismail Yahaya


    Full Text Available Abstract: Background: Childhood sexual abuse (CSA is a substantial global health and human rights problem and consequently a growing concern in sub-Saharan Africa. We examined the association between individual and community-level socioeconomic status (SES and the likelihood of reporting CSA. Methods: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351female adolescents between the ages of 15 and 18 years from six countries in sub-Saharan Africa, between 2006 and 2008. Results: About 70% of the reported cases of CSA were between 14 and 17 years. Zambia had the highest proportion of reported cases of CSA (5.8%. At the individual and community level, we found that there was no association between CSA and socioeconomic position. This study provides evidence that the likelihood of reporting CSA cut across all individual SES as well as all community socioeconomic strata. Conclusions: We found no evidence of socioeconomic differentials in adolescents’ experience of CSA, suggesting that adolescents from the six countries studied experienced CSA regardless of their individual- and community-level socioeconomic position. However, we found some evidence of geographical clustering, adolescents in the same community are subject to common contextual influences. Further studies are needed to explore possible effects of countries’ political, social, economic, legal, and cultural impact on childhood sexual abuse.

  16. Redefining "Community" through Collaboration and Co-Teaching: A Case Study of an ESOL Specialist, a Literacy Specialist, and a Fifth-Grade Teacher (United States)

    Ahmed Hersi, Afra; Horan, Deborah A.; Lewis, Mark A.


    This article explores the development of a professional learning community through a case study of three teachers--an ESOL specialist, a literacy specialist, and a fifth-grade teacher--who engaged in co-teaching and collaboration. The emerging community of practice offered these teachers a space to learn and problem-solve by utilizing their…

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

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


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

  18. Seasonal changes in the microbial community of a salt marsh, measured by phospholipid fatty acid analysis

    DEFF Research Database (Denmark)

    Keith-Roach, Miranda; Bryan, N.D.; Bardgett, R.D.;


    to characterise biogeochemical processes occurring at this site. Phospholipid fatty acid (PLFA) analysis of sediment samples collected at monthly intervals was used to measure seasonal changes in microbial biomass and community structure. The PLFA data were analysed using multivariate techniques (Ward's method...... defined, showing differences in the community structure over the course of a year. At all times, the microbial community was dominated by PLFA associated with aerobic bacteria, but this was most pronounced in summer (August). The abundance of branched fatty acids, a measure of the biomass of anaerobes......, started to increase later in the year than did those associated with aerobes and the fungal biomarker 18:2omega6 showed a brief late-summer peak. The salt marsh remained mildly oxic throughout the year despite the increase in microbial respiration, suggested by the large increases in the abundance of PLFA...

  19. Training, supervision and quality of care in selected integrated community case management (iCCM programmes: A scoping review of programmatic evidence

    Directory of Open Access Journals (Sweden)

    Xavier Bosch–Capblanch


    Full Text Available To describe the training, supervision and quality of care components of integrated Community Case Management (iCCM programmes and to draw lessons learned from existing evaluations of those programmes

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

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


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

  1. Case analysis online: a strategic management case model for the health industry. (United States)

    Walsh, Anne; Bearden, Eithne


    Despite the plethora of methods and tools available to support strategic management, the challenge for health executives in the next century will relate to their ability to access and interpret data from multiple and intricate communication networks. Integrated digital networks and satellite systems will expand the scope and ease of sharing information between business divisions, and networked systems will facilitate the use of virtual case discussions across universities. While the internet is frequently used to support clinical decisions in the healthcare industry, few executives rely upon the internetfor strategic analysis. Although electronic technologies can easily synthesize data from multiple information channels, research as well as technical issues may deter their application in strategic analysis. As digital models transform access to information, online models may become increasingly relevant in designing strategic solutions. While there are various pedagogical models available to support the strategic management process, this framework was designed to enhance strategic analysis through the application of technology and electronic research. A strategic analysis framework, which incorporated internet research and case analysis in a strategic managementcourse, is described alongwith design and application issues that emerged during the case analysis process.

  2. Simplified Worst-Case Analysis of Complex Systems (United States)

    Pond, C. L.


    Statistical method avoids excessive computer time. Technique involves simplified Monte Carlo simulation of system with randomly chosen parameters and comparison of tolerance extremes of several of worst-case situations found. Resulting combination of tolerance extremes then used in detailed analysis - one that makes use of full complex nonlinear model capable of accurate simulations.

  3. Professional Analysis Teams in Schools: A Case Study. (United States)

    Malanowski, Rose M.; And Others

    This paper presents a case study of the development of the Professional Analysis Team (PAT) program structured after the Quality Circle program used in industry. Modifications and innovations of the Quality Circle program are examined, and essential characteristics are outlined. The PAT program, designed to enable education professionals to use…

  4. Average-case analysis of incremental topological ordering

    DEFF Research Database (Denmark)

    Ajwani, Deepak; Friedrich, Tobias


    Many applications like pointer analysis and incremental compilation require maintaining a topological ordering of the nodes of a directed acyclic graph (DAG) under dynamic updates. All known algorithms for this problem are either only analyzed for worst-case insertion sequences or only evaluated ...

  5. The implementation of customer profitability analysis: A case study

    NARCIS (Netherlands)

    Raaij, van Erik M.; Vernooij, Maarten J.A.; Triest, van Sander


    By using customer profitability analysis (CPA), firms can determine the profit contribution of customer segments and/or individual customers. This article presents an approach for the implementation of CPA. The implementation process is illustrated using a case study of a firm producing and selling

  6. Bottom-Up Analysis of Single-Case Research Designs (United States)

    Parker, Richard I.; Vannest, Kimberly J.


    This paper defines and promotes the qualities of a "bottom-up" approach to single-case research (SCR) data analysis. Although "top-down" models, for example, multi-level or hierarchical linear models, are gaining momentum and have much to offer, interventionists should be cautious about analyses that are not easily understood, are not governed by…

  7. Surgical treatment of hyperparathyroidism : with an analysis of 267 cases

    NARCIS (Netherlands)

    H.A. Bruining (Hajo)


    textabstractIt is generally accepted that for autonomous hyperparathyroidism, whether primary or tertiary, surgery is still the only suitable method of treatment available. Analysis of a series of cases treated in t his way over the past twenty years has shown that there are certain problems associa

  8. Habitat niche community-level analysis of an amphibian assemblage at Lake Nabugabo, Uganda

    Directory of Open Access Journals (Sweden)

    M. Behangana


    Full Text Available Community structure was studied across six different habitat types in an amphibian assemblage constituted by 24 species belonging to five families, from Lake Nabugabo, Uganda. We employed a suite of different statistical methods, including univariate, multivariate, and Monte Carlo procedures to investigate the randomness/nonrandomness and the seasonal effects (wet versus dry season of the community assembly. We calculated for each species in each habitat type an index of relative abundance by using a time constrained counting technique, with 48 1-h counts for each habitat type. Co-occurrence was analysed by C score with 30 000 simulations; resource partitioning patterns by RA2 and RA3 algorithms with 30 000 simulations; and apparent dissimilarity among species in terms of habitat use by UPGMA dendrograms. After pooling data from wet and dry seasons, it resulted that the amphibian community was non-randomly assembled according to C-score analyses, but both RA2 and RA3 were unable to uncover any competitive structure for the dataset. Seasonal effects were evident, and although C score analyses confirmed a nonrandom structure for the community under study (particularly in wet season, RA3 showed that species with high relative abundance tended to significantly concentrate in one habitat type (swamp forest rather than to partition the habitat resource. UPGMA dendrograms grouped the species differently in dry versus wet seasons. Overall, the comparative evidence of 1 non-random community structure according to C-score analysis, and 2 absence of resource partitioning according to niche overlap null models analysis, suggests that community organization in Lake Nabugabo amphibians is generated by habitat affinities rather than by interspecific competition.

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

    Directory of Open Access Journals (Sweden)

    Natalie Lorent

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

  10. The Linkage of Business Community (Case Study of Rattan Industries in the Village of Trangsan, Gatak, Sukoharjo

    Directory of Open Access Journals (Sweden)

    Priyono Priyono


    Full Text Available Indonesian industry is likely to snap because it relies on the monopolitic conglomerate’s industry so that it cause the inter relationship between big and smaller units of industry to become weak. The weakness of the industrial relationship is caused by the units independetly. This is different from the industry which is based on community concept emphasizing a main priority to close inter relationship between the units. This research was arried out in Trangsan, Gatak, Sukoharjo, Central Java. Where there is a industrial community which has been a close inter relationship since long time ago. The goal of this research is to know the type and the nature of unit inter relationship in rattan industrial community in Trangsan, and know the strategy how it faced a nationally economical crisis. This research used a survei method. The number of the population was 110 entrepreneurs from Trangsan. The sample was obtained with stratied into three categories, based on number of labour force. Every category was taken 20% as sample based on homogeneity sample, ana the respondent was examined with random sampling. The collected data were presented in frequency and cross table. The analysis of qualitative data used logical rationale, deductive – inductive, analogy and comparison, while the analysis of quantitative data used the analysis of frequency and cross table. The use of these two analysis was the result of the research. These are the result of the research: 1 a inter relationship among small – scalled businesses; 2 there is a weak inter relationship between small and medium scaled industries; 3 the business inter relationship of rattan industries is subcontract in which a part of the big scaled industry’s job is reponsible for the small saled one; 4 the form of the business inter relationship is cooperative; 5 the main strategy of rattan industry community to face nationally economical orisis strengthens their business inter relationship.

  11. Post licensing case study of community effects at two operating nuclear power plants. Final report, March 1975--March 1976

    Energy Technology Data Exchange (ETDEWEB)

    Purdy, B.J.; Peelle, E.; Bjornstad, D.J.; Mattingly, T.J. Jr.; Soderstrom, J.; DeVault, R.C.


    The social, economic, and political/institutional impacts of two operating nuclear power complexes on two New England communities are studied. The report includes discussions of the study design and objectives, profiles of the towns of Plymouth, Massachusetts, and Waterford, Connecticut, and analysis of the social, economic, and political impacts as observed by members of the ORNL staff. Results are presented from an attitude survey as well as a social impact classification schema devised as a methodological tool.

  12. Case Study IV: Carnegie Foundation for the Advancement of Teaching's Networked Improvement Communities (NICs) (United States)

    Coburn, Cynthia E.; Penuel, William R.; Geil, Kimberly E.


    The Carnegie Foundation for the Advancement of Teaching is a nonprofit, operating foundation with a long tradition of developing and studying ways to improve teaching practice. For the past three years, the Carnegie Foundation has initiated three different Networked Improvement Communities (NICs). The first, Quantway, is addressing the high…

  13. Measuring the Cost of a College Degree: A Case Study of a SUNY Community College (United States)

    Romano, Richard M.; Losinger, Regina; Millard, Tim


    Inspired by a white paper produced by the Delta Project on Postsecondary Education Costs, Productivity, and Accountability, this study uses different measures of calculating the cost of a college degree at an upstate community college in New York. Departmental cost per credit hour, direct instructional costs, and full costs are all explained. A…

  14. Impacts of community forests on livelihoods in Cameroon: Lessons from two case studies

    NARCIS (Netherlands)

    Beauchamp, E.; Ingram, V.J.


    Community forestry is considered a tool for decentralisation and devolution and as efficient strategy to achieve the multiple goals of sustainable resource management and poverty alleviation. However, evidence worldwide has shown mixed results. A financial, economic and environmental cost-benefit an

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

    Fischer, Kenneth Brian


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

  16. Multiculturalism and Community Cohesion in Britain: The Case of Arab Minority

    Directory of Open Access Journals (Sweden)

    Mohamed Benitto


    Full Text Available This article falls within the scope of debate about 'Community Cohesion' in Britain. Community cohesion is at the centre of public policy initiated in response to the urban disturbances in northern towns. Many official reports pointed out that lack of community cohesion is an element jeopardizing security and safe coexistence. In this sense, this article explores hindrances to intergroup coexistence, given that this issue is the main concern in this pluralist society since the attacks in London in July, 7, 2005, through the study of intercultural relations between Arab minority of London and mainstream society in Britain. This research adopts an approach which aims to contribute to the understanding of the reasons hampering community cohesion through juxtaposition of viewpoints of both the minority and majority group. The originality of this approach lies in the fact that it tackles the issue of integration from two sided points of view: the point of the majority group and the point of view of the minority group; unlike most literature on intergroup relations which basically focus on the integration of the minority and its daptation to the dominant culture.

  17. Psychosocial care to affected citizens and communities in case of CBRN incidents: a systematic review.

    NARCIS (Netherlands)

    Gouweloos, J.; Dückers, M.; Brake, H. te; Kleber, R.; Dorgendijk, A.


    Disasters are associated with a substantial psychosocial burden for affected individuals (including first responders) and communities. Knowledge about how to address these risks and problems is valuable for societies worldwide. Decades of research into post-disaster psychosocial care has resulted in

  18. Psychosocial care to affected citizens and communities in case of CBRN incidents: A systematic review.

    NARCIS (Netherlands)

    Gouweloos, Juul; Dückers, M.; Te Brake, Hans; Kleber, Rolf; Drogendijk, A.N.


    Disasters are associated with a substantial psychosocial burden for affected individuals (including first responders) and communities. Knowledge about how to address these risks and problems is valuable for societies worldwide. Decades of research into post-disaster psychosocial care has resulted in

  19. Institutional Commitment to Community Engagement: A Case Study of Makerere University (United States)

    Mugabi, Henry


    Although the earliest medieval universities began as teaching-only institutions, the university as an institution has since experienced revolutions in the way its functions are conceived. Currently, the university embraces three functions: teaching, research and community engagement. Although the teaching and research functions of the university…

  20. Exploring user-producer interaction in an online community : The case of Habbo Hotel

    NARCIS (Netherlands)

    Slot, M.


    This article attempts to explore the user-producer interaction in the online community of Habbo Hotel. Based on desk research, interviews, an online survey among more than 3000 Habbo Hotel users in The Netherlands and online discussion groups with 45 Habbos, three specific issues that illustrate the

  1. Determinants of prompt and adequate care among presumed malaria cases in a community in eastern Rwanda

    NARCIS (Netherlands)

    Ingabire, Chantal Marie; Kateera, Fredrick; Hakizimana, Emmanuel; Rulisa, Alexis; Muvunyi, Claude; Mens, Petra; Koenraadt, Sander; Mutesa, Leon; Vugt, Van Michele; Borne, Van Den Bart; Alaii, Jane


    Background: In order to understand factors influencing fever/malaria management practices among community-based individuals, the study evaluated psychosocial, socio-demographic and environmental determinants of prompt and adequate healthcare-seeking behaviours. Methods: A quantitative household (

  2. The Community Science Workshop Network Story: Case Studies of the CSW Sites (United States)

    St. John, Mark


    The Community Science Workshops (CSWs)--with funding from the S.D. Bechtel, Jr. Foundation, and the Gordon and Betty Moore Foundation--created a network among the CSW sites in California. The goals of the CSW Network project have been to improve programs, build capacity throughout the Network, and establish new sites. Inverness Research has been…

  3. Community Participation and Barriers in Rural Tourism: A Case Study in Kiulu, Sabah

    Directory of Open Access Journals (Sweden)

    Velnisa Paimin N. F.


    Full Text Available The paper presents an investigation on local community participation and barriers in rural tourism. It identifies two sides of community participation in tourism as identified by Timothy [5], which are; the benefits point of view and from the decision making process perspective. It also identifies the communities’ barriers in engaging in tourism and uses Tosun’s [18] approach in examining the barriers. A total of eighty-three questionnaire forms were completed by respondents from seven villages in Kiulu, Sabah, Malaysia. Respondents involved in tourism were mainly engaged as river guides, homestay operators and Tagal participants. Their involvement in the decision making process were limited to attending meetings and giving ideas and opinions only. The main barriers to participate in tourism were related to their limited knowledge about tourism, lack of capital, unable to communicate well in English, lack of information about tourism development in Kiulu, and limited incentives or support from the government for tourism development. The findings have significant implication to community participation in tourism especially in rural settings. More efforts should be made to ensure many more communities participate in tourism so as to share the benefits of tourism.

  4. Role-Playing Simulation as a Communication Tool in Community Dialogue: Karkonosze Mountains Case Study (United States)

    Krolikowska, Karolina; Kronenberg, Jakub; Maliszewska, Karolina; Sendzimir, Jan; Magnuszewski, Piotr; Dunajski, Andrzej; Slodka, Anna


    This article describes a process of role-playing simulation (RPS) as it was used during an educational exercise in community dialogue in the Karkonosze Mountains region of southwest Poland. Over the past decade Karkonosze National Park, a regional tourist magnet, has provided an excellent example of environmental conflict emerging from the…

  5. Case study of a solid-waste-scavenger community with respect to health and environment

    Energy Technology Data Exchange (ETDEWEB)

    Kungskulniti, Nipapun.


    This study was an investigation of a solid waste scavenger community at the On-Nooch Dump Site in Bangkok, Thailand. The purpose was to identify the dimensions of the public health conditions of solid waste scavengers and their community. Cross-sectional field surveys and measurements were undertaken to characterize the distribution and magnitude of health-related problems and environmental conditions. Scavengers were found to be exposed to hazardous conditions due to the waste materials at the dump site. Cuts and punctures from sharp materials were the most common complaints among scavengers. Health symptoms like headache, diarrhea, respiratory illness, skin diseases and back pain were also reported. There was a high prevalence of childhood respiratory illness especially among those children of households where cigarette smoking was present. Children had poor nutritional status and were commonly infected by intestinal protozoa and helminths. An appreciable proportion of adult respondents was below the normal range for lung function performance. Seroprevalence of HBV infection was found to be high among male respondents in addition to six respondents that had possible HIV infections. The quality of the community water supply was low. Air pollution measurements showed acceptable ambient air levels except for particulate levels (TSP and RSP). Levels of indoor, outdoor, and personal exposure NO{sub 2} were found to be similar. Data for an inner-city project apartment community named Din-Dang were also collected for comparison. A priority rating index and recommendations for public health condition improvements were presented.

  6. Constructing a Community Response Grid (CRG): The Dublin, Ohio Case Study (United States)

    Freund, John F., III.


    During an emergency, information availability is critical to preserving life and minimizing damages. During the emergency response, however, information may not be available to those who need it. A community response grid (CRG) can help ameliorate this lack of availability by allowing people to document and distribute emergency information to…

  7. DSM-5 reduces the proportion of ednos cases : Evidence from community samples

    NARCIS (Netherlands)

    Machado, Paulo P. P.; Goncalves, Sonia; Hoek, Hans W.


    Objective: Eating Disorder Not Otherwise Specified (EDNOS) constitute the most common eating disorder among those seeking treatment at eating disorder facilities; they are even more common among persons with eating disorders the community. This study compares the impact of applying the revised diagn

  8. A Case of Kafka on the Net: Community Colleges' Domain Names. (United States)

    Georges, Joseph


    The .edu domain was originally intended for use by all educational levels. Since 1993, however, .edu names have been technically reserved for four-year institutions of higher education, leaving .us, .org or .net domains for two-year colleges. Nevertheless, 20% of 400 .edu names currently held by community colleges have been awarded since 1993.…

  9. Interdependence and Sustainable Collective Action: : The case of four collective housing communities in Mexico City

    NARCIS (Netherlands)

    Montelongo Arana, Marina; Wittek, Rafael


    We study under which conditions collective action breaks down into some communities but keeps sustainable in others. The main purpose of our explorative qualitative study is to identify the micro-level pathways that lead to the maintenance and decay of collective action. Drawing on sharing group the

  10. Lessons for Research Policy and Practice: The Case of Co-Enquiry Research with Rural Communities (United States)

    Caruso, Emily; Schunko, Christoph; Corbera, Esteve; Ruiz Mallén, Isabel; Vogl, Christian R.; Martin, Gary; Arrázola, Susana; Bandeira, Fábio Pedro; Calvo Boyero, Diana; Camacho Benavides, Claudia; Cardoso, Thiago Mota; Chan-Dzul, Albert; Conde, Esther; del Campo García, Carlos; Huanca, Tomás; Sampaio, José Augusto Laranjeiras; Oliveros Lopez, Sara; Porter-Bolland, Luciana; Ruiz Betancourt, Olga


    This article explores the relationship between institutional funding for research and community-based or co-enquiry research practice. It examines the implementation of co-enquiry research in the COMBIOSERVE project, which was funded by the European Commission's Seventh Framework Programme for research and innovation, between the years 2012 and…

  11. Examining an Evolution: A Case Study of Organizational Change Accompanying the Community College Baccalaureate (United States)

    McKinney, Lyle; Morris, Phillip A.


    This study examined the nature and degree of organizational change that occurs when community colleges offer their own baccalaureate degree programs. Utilizing qualitative research methodology, we investigated how executive administrators at two Florida colleges managed this momentous change process and how this transformation has affected their…

  12. Online Learning Community: A Case Study of Teacher Professional Development in Indonesia (United States)

    Sari, Eunice Ratna


    This paper investigates the concept of online learning community (OLC) to address the issues of teacher professional development practice in twenty-first-century Indonesia. Teachers in Indonesia are trained in a "conventional way", hence, not ready to prepare the younger generations for entrance into the twenty-first-century complex life…

  13. African-American Children and the Case for Community: Eleanora Tate's South Carolina Trilogy. (United States)

    Knuth, Carole Brown


    Three books by Eleanora Tate, "The Secret of Gumbo Grove" (1988), "Thank You, Dr. Martin Luther King, Jr.!" (1992), and "A Blessing in Disguise" (1995) are discussed with respect to their portrayal of African-American children and their responsibility to both themselves and their community. (MAK)

  14. Theory Application in Higher Education Research: The Case of Communities of Practice (United States)

    Tight, Malcolm


    This article examines communities of practice as an example of a theory applied within higher education research. It traces its origins and meaning, reviews its application by higher education researchers and discusses the issues it raises and the critiques it has attracted. This article concludes that while, like all theoretical frameworks,…

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

    Joia, Luiz Antonio


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

  16. External rhinoplasty: a critical analysis of 500 cases. (United States)

    Foda, Hossam M T


    The study presents a comprehensive statistical analysis of a series of 500 consecutive rhinoplasties of which 380 (76 per cent) were primary and 120 (24 per cent) were secondary cases. All cases were operated upon using the external rhinoplasty technique; simultaneous septal surgery was performed in 350 (70 per cent) of the cases. Deformities of the upper two-thirds of the nose that occurred significantly more in the secondary cases included; dorsal saddling, dorsal irregularities, valve collapse, open roof and pollybeak deformities. In the lower third of the nose; secondary cases showed significantly higher incidences of depressed tip, tip over-rotation, tip asymmetry, retracted columella, and alar notching. Suturing techniques were used significantly more in primary cases, while in secondary cases grafting techniques were used significantly more. The complications encountered intra-operatively included; septal flap tears (2.8 per cent) and alar cartilage injury (1.8 per cent), while post-operative complications included; nasal trauma (one per cent), epistaxis (two per cent), infection (2.4 per cent), prolonged oedema (17 per cent), and nasal obstruction (0.8 per cent). The overall patient satisfaction rate was 95.6 per cent and the transcolumellar scar was found to be unacceptable in only 0.8 per cent of the patients.

  17. Bifurcation analysis of fan casing under rotating air flow excitation

    Institute of Scientific and Technical Information of China (English)

    温登哲; 陈予恕


    A fan casing model of cantilever circular thin shell is constructed based on the geometric characteristics of the thin-walled structure of aero-engine fan casing. According to Donnelly’s shell theory and Hamilton’s principle, the dynamic equations are established. The dynamic behaviors are investigated by a multiple-scale method. The effects of casing geometric parameters and motion parameters on the natural frequency of the system are studied. The transition sets and bifurcation diagrams of the system are obtained through a singularity analysis of the bifurcation equation, showing that various modes of the system such as the bifurcation and hysteresis will appear in different parameter regions. In accordance with the multiple relationship of the fan speed and stator vibration frequency, the fan speed interval with the casing vibration sudden jump is calculated. The dynamic reasons of casing cracks are investigated. The possibility of casing cracking hysteresis interval is analyzed. The results show that cracking is more likely to appear in the hysteresis interval. The research of this paper provides a theoretical basis for fan casing design and system parameter optimization.

  18. Reproductive Choices in Gibraltar: A Case Study of a Community In Transition, 1960-1996

    Directory of Open Access Journals (Sweden)

    Burke, Stacie D.A.


    Full Text Available EnglishTimes of social disruption and change unsettle community equilibrium and represent important transition points. This research examines the 15-year border closure between Spain and Gibraltar and its subsequent reopening in 1985 in reshaping the community opportunity structure, particularly women's employment, education, and housing. The study examines 3284 births which occurred in the community between 1960 and 1996, noting a general rise in premarital conceptions in the community. This research compares life course decisions among marital and premarital conceivers over time, stressing important changes in the community's ecological setting and the powerful role of political disturbances in structuring those changes.FrenchLes périodes de bouleversements sociaux déstabilisent les communautés etreprésentent des points de transition importants. Cette étude examine les 15 ansde la fermeture de la frontière entre l’Espagne et Gibraltar et sa réouverture en1985 ainsi que son rôle dans la réorganisation de la structure d’opportunité de lacommunauté, particulièrement pour ce qui est de la participation des femmes àla main d’oeuvre, l’éducation et le logement. L’étude examine 3284 naissancesde la communauté entre 1960 et 1996, et y remarque une hausse des grossessesprénuptiales. Cette recherche compare les décisions de parcours de vie chez lespersonnes enceintes mariées et non mariées au fil du temps, en soulignant leschangements importants dans le cadre écologique de la communauté et le rôlecrucial des perturbations politiques dans la structuration de ces changements

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

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


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

  20. Community occupancy before-after-control-impact (CO-BACI) analysis of Hurricane Gudrun on Swedish forest birds. (United States)

    Russell, James C; Stjernman, Martin; Lindström, Åke; Smith, Henrik G


    Resilience of ecological communities to perturbation is important in the face of increased global change from anthropogenic stressors. Monitoring is required to detect the impact of, and recovery from, perturbations, and before-after-control-impact (BACI) analysis provides a powerful framework in this regard. However, species in a community are not observed with perfect detection, and occupancy analysis is required to correct for imperfect detectability of species. We present a Bayesian community occupancy before-after-control-impact (CO-BACI) framework to monitor ecological community response to perturbation when constituent species are imperfectly detected. We test the power of the model to detect changes in community composition following an acute perturbation with simulation. We then apply the model to a study of the impact of a large hurricane on the forest bird community of Sweden, using data from the national bird survey scheme. Although simulation shows the model can detect changes in community occupancy following an acute perturbation, application to a Swedish forest bird community following a major hurricane detected no change in community occupancy despite widespread forest loss. Birds with landscape occupancy less than 50% required correcting for detectability. We conclude that CO-BACI analysis is a useful tool that can incorporate rare species in analyses and detect occupancy changes in ecological communities following perturbation, but, because it does not include abundance, some impacts may be overlooked.