WorldWideScience

Sample records for community case study

  1. Community forestry resources: a case study of selected woodlots in ...

    African Journals Online (AJOL)

    Community forestry resources: a case study of selected woodlots in the Eastern Cape Province. Cori Ham, Francois Theron. Abstract. Community surveys were conducted through the use of participatory community meetings and a questionnaire in the Butterworth area of the Eastern Cape. The objectives of these surveys ...

  2. The World of Wonder Accelerated Learning Community: A Case Study.

    Science.gov (United States)

    Biddle, Julie K.

    This report presents a case study of the World of Wonders Accelerated Learning Community School (WOW). A community school in Ohio is a new kind of public school-an independent public school that is nonsectarian and nondiscriminatory. The report presents three contexts for the study--historical, local and methodological--and highlights some of the…

  3. Collaborative communities through coproduction : Two case studies

    NARCIS (Netherlands)

    Frieling, M.A.; Lindenberg, S.M.; Stokman, F.N.

    2014-01-01

    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

  4. 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

  5. University-Community Engagement: Case Study of University Social Responsibility

    Science.gov (United States)

    Chile, Love M.; Black, Xavier M.

    2015-01-01

    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…

  6. Ensuring Healthy Youth Development through Community Schools: A Case Study

    Science.gov (United States)

    Anderson-Butcher, Dawn; Paluta, Lauren; Sterling, Karen; Anderson, Carol

    2018-01-01

    Using mixed methods, this case study explored outcomes associated with the adoption and implementation of a community schools approach in four Title I schools using the Community Collaboration Model for School Improvement. Trends in school data demonstrate academic achievement improvements in three of the four schools. Absenteeism and the number…

  7. Veterans' Transitions to Community College: A Case Study

    Science.gov (United States)

    Wheeler, Holly A.

    2012-01-01

    Veterans on college campuses are not new; however, the recent influx of veterans returning home from war-time service present challenges to the colleges they attend. The purpose of this qualitative case study was to examine the transition process experienced by veterans leaving military service and attending community college for the first time.…

  8. A case study of Ghana's Community- Based Rural Development

    African Journals Online (AJOL)

    2012-10-02

    Oct 2, 2012 ... 9, No. 2, October, 2012. Kwadwo Adusei-Asante and Peter Hancock. When Empowerment Disempowers: A case study of Ghana's Community-Based Rural Development Projects. Nussbaum, M. (2000). Women and Human Development: The Capabilities Approach. Cambridge: Cambridge University Press.

  9. Beacon communities' public health initiatives: a case study analysis.

    Science.gov (United States)

    Massoudi, Barbara L; Marcial, Laura H; Haque, Saira; Bailey, Robert; Chester, Kelley; Cunningham, Shellery; Riley, Amanda; Soper, Paula

    2014-01-01

    The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community. The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measureable improvements in cost, quality, and population health; and, developing innovative approaches to performance measurement, technology, and care delivery. Four multimethod case studies were conducted based on a modified sociotechnical framework to learn more about public health initiative implementation and use in the Beacon Communities. Our methodological approach included using document review and semistructured key informant interviews. NACCHO Model Practice Program criteria were used to select the public health initiatives included in the case studies. Despite differences among the case studies, common barriers and facilitators were found to be present in all areas of the sociotechnical framework application including structure, people, technology, tasks, overarching considerations, and sustainability. Overall, there were many more facilitators (range = 7-14) present for each Beacon compared to barriers (range = 4-6). Four influential promising practices were identified through the work: forging strong and sustainable partnerships; ensuring a good task-technology fit and a flexible and iterative design; fostering technology acceptance; and, providing education and demonstrating value. A common weakness was the lack of a framework or model for the Beacon Communities evaluation work. Sharing a framework or approach

  10. Community engagement in global health research: case studies from the developing world—the Zomba District, Malawi case study

    OpenAIRE

    Cohen, Emma R. M. Cohen

    2008-01-01

    Community engagement influences the success of research. Investigators conducting international research necessitate an understanding of effective practices in community engagement. This case study examines the practice of community engagement in Zomba District, Malawi as part of a larger multiple case studies design with the objective of elucidating global practices of community engagement. Poverty and disease are widespread in Malawi. Dignitas International, an academic NGO, implemented a c...

  11. Community-Associated Methicillin-Resistant Staphylococcus aureus Case Studies

    Science.gov (United States)

    Sowash, Madeleine G.; Uhlemann, Anne-Catrin

    2014-01-01

    Over the past decade, the emergence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) has changed the landscape of S. aureus infections around the globe. Initially recognized for its ability to cause disease in young and healthy individuals without healthcare exposures as well as for its distinct genotype and phenotype, this original description no longer fully encompasses the diversity of CA-MRSA as it continues to expand its niche. Using four case studies, we highlight a wide range of the clinical presentations and challenges of CA-MRSA. Based on these cases we further explore the globally polygenetic background of CA-MRSA with a special emphasis on generally less characterized populations. PMID:24085688

  12. Developing Online Communities for Librarian Researchers: A Case Study

    Science.gov (United States)

    Luo, Lili; Kennedy, Marie; Brancolini, Kristine; Stephens, Michael

    2017-01-01

    This study examines the role of online communities in connecting and supporting librarian researchers, through the analysis of member activities in the online community for academic librarians that attended the 2014 Institute for Research Design in Librarianship (IRDL). The 2014 IRDL cohort members participated in the online community via Twitter…

  13. Mobile Elderly Living Community (MELCO: The Development of the Social Community Model: a Case Study

    Directory of Open Access Journals (Sweden)

    Christiana Kouta

    2013-01-01

    Full Text Available Background: Elderly prefer to be in their own homes rather than being in hospital or residential homes. Communication between elderly and community nurses is essential in caring and mutual interaction andmodern technologies like MELCO provides the elderly the feeling of independence and safety.Aim: The aim of this paper is to describe the development of the social community model within the objectives of the MELCO project and its application within the community.Methodology: Three axes were taken in consideration: a ontology, b ecological theory and c social network and information systems analyses for the development of the social community model. Fourelderly women participated as a case study in piloting the mobile virtual system. The participants also responded to a short closed ended questionnaire.Results: The analysis of the questionnaire and the discussions with the participants showed that elders found the mobile system useful, easy to use and expressed the actual use of this would help them maintain active. Participants concern of social isolation or dependency on others seems to be trounced through the use of the mobile technology.Conclusions: MELCO social community model is a centric network that enables effective management and collaboration of social and health care teams around the elderly in the community. The teams arevirtual, dynamic and collaborative.

  14. The Social Acceptance of Community Solar: A Portland Case Study

    Science.gov (United States)

    Weaver, Anne

    Community solar is a renewable energy practice that's been adopted by multiple U.S. states and is being considered by many more, including the state of Oregon. A recent senate bill in Oregon, called the "Clean Electricity and Coal Transition Plan", includes a provision that directs the Oregon Public Utility Commission to establish a community solar program for investor-owned utilities by late 2017. Thus, energy consumers in Portland will be offered participation in community solar projects in the near future. Community solar is a mechanism that allows ratepayers to experience both the costs and benefits of solar energy while also helping to offset the proportion of fossil-fuel generated electricity in utility grids, thus aiding climate change mitigation. For community solar to achieve market success in the residential sector of Portland, ratepayers of investor-owned utilities must socially accept this energy practice. The aim of this study was to forecast the potential social acceptance of community solar among Portland residents by measuring willingness to participate in these projects. Additionally, consumer characteristics, attitudes, awareness, and knowledge were captured to assess the influence of these factors on intent to enroll in community solar. The theory of planned behavior, as well as the social acceptance, diffusion of innovation, and dual-interest theories were frameworks used to inform the analysis of community solar adoption. These research objectives were addressed through a mixed-mode survey of Portland residents, using a stratified random sample of Portland neighborhoods to acquire a gradient of demographics. 330 questionnaires were completed, yielding a 34.2% response rate. Descriptive statistics, binomial logistic regression models, and mean willingness to pay were the analyses conducted to measure the influence of project factors and demographic characteristics on likelihood of community solar participation. Roughly 60% of respondents

  15. Demystifying Virtual Communities of Practice: A Case Study of IBM

    Science.gov (United States)

    Kok, Ayse

    2010-01-01

    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…

  16. Community Awareness for Archives in Tanzania: a Case Study of ...

    African Journals Online (AJOL)

    The study focuses on the assessment of community awareness and challenges facing Zanzibar National Archives (ZNA). The study utilised convenient sampling to collect data from the members of the public (93 respondents) in Stone Town in Zanzibar. Data were augmentedthrough interviews with the staff of the Zanzibar ...

  17. Ecotourism and community development: case studies from Hainan, China.

    Science.gov (United States)

    Stone, Mike; Wall, Geoffrey

    2004-01-01

    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.

  18. Urban Studies, Students, and Communities: An Ideal Partnership A Case Study of Urban Studies Service Learning

    Directory of Open Access Journals (Sweden)

    Janet Cherrington

    2012-04-01

    Full Text Available This article explores the implementation and results of a service learning based Urban Studies program course, the student expectations at the beginning of the course, and the student feedback at the end of the course. Through detailed explanation and examples of the live community needs, in multiple communities, addressed in this course and the resulting student projects, this article presents the case for service learning as a vibrant, efficient, and effective pedagogy for use within Urban Studies programs. Specifically, this article explores service learning pedagogy as, perhaps, a uniquely effective and satisfying tool that enhances the educative process for students and communities alike. Additionally, this article explores the enhanced project effectiveness and external outreach realized by partnering not only with communities, but also with multiple institutions of higher education, simultaneously, in order to achieve project(s success. This article also includes, and explores, the results of the pre and post course student experience surveys, as well as community feedback, and presents comparative data in which multiple curriculum formats, including lecture and workshops, are weighed against service learning curriculum prepared and presented in the course examined in this article. KEYWORDSService Learning, Higher Education, Urban Studies, Outreach

  19. Child Sexual Abuse: A Case Study in Community Collaboration.

    Science.gov (United States)

    Faller, Kathleen Coulborn; Henry, James

    2000-01-01

    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)

  20. Livelihood Strategy of Bote Community: A Case Study of Bote Community of Patihani VDC of Chitwan

    Directory of Open Access Journals (Sweden)

    Umesh Prasad Acharya

    2011-04-01

    Full Text Available This paper discusses upon the changes of Bote community of Nepal, in case of Patihani V.D.C. These changes are influenced by process of urbanization, globalization which has created constraints and opportunities on "Bote people of Patihani VDC". Historically these people had their livelihood from agriculture. Land was a major household asset and crop production (maize, millet, paddy, wheat etc. was the means of survival. But the rapid process of urbanization and globalization has pushed them in transition both with opportunities as well as constraints. The household assets have undergone rapid modification. Now they have no option other than modifying the traditional occupation. Land fragmentation and change in social institution are resulted from the urbanization and globalization. The livelihood diversification and foreign employment have recently emerged as how livelihood strategies in the study area. Due to the proximity to the market, the influence of the urbanization is more apparent in the Bote Village. Most of the households follow the multiple occupations besides agriculture. The role of agriculture activities in their life is substantial. Although a few households sell their crops however most of them sell vegetables. The livelihood strategy of Bote community in the study area is in transition. It is shifted from agriculture to non-agricultural one. It is necessary to ensure access to resources and increase social and political participation of Bote community for integral development of rural community in Nepal. Keywords: poverty; urbanization; commercial farming; tarai ethnic group; traditional occupation DOI: 10.3126/dsaj.v4i0.4524 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.247-260

  1. Case Study: Chicago. Needle-Moving Community Collaboratives

    Science.gov (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul

    2012-01-01

    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…

  2. Case Study: Nashville. Needle-Moving Community Collaboratives

    Science.gov (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul

    2012-01-01

    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…

  3. Case Study: Philadelphia. Needle-Moving Community Collaboratives

    Science.gov (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul

    2012-01-01

    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…

  4. Case Study: Parramore. Needle-Moving Community Collaboratives

    Science.gov (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul

    2012-01-01

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

  5. Measuring disaster-resilient communities: a case study of coastal communities in Indonesia.

    Science.gov (United States)

    Kafle, Shesh Kanta

    2012-01-01

    Vulnerability reduction and resilience building of communities are central concepts in recent policy debates. Although there are fundamental linkages, and complementarities exist between the two concepts, recent policy and programming has focused more on the latter. It is assumed here that reducing underlying causes of vulnerabilities and their interactions with resilience elements is a prerequisite for obtaining resilience capabilities. An integrated approach, incorporating both the vulnerability and resilience considerations, has been taken while developing an index for measuring disaster-resilient communities. This study outlines a method for measuring community resilience capabilities using process and outcome indicators in 43 coastal communities in Indonesia. An index was developed using ten process and 25 outcome indicators, selected on the basis of the ten steps of the Integrated Community Based Risk Reduction (ICBRR) process, and key characteristics of disaster resilient communities were taken from various literatures. The overall index value of all 43 communities was 63, whereas the process and outcome indicator values were measured as 63 and 61.5 respectively. The core components of this index are process and outcome indicators. The tool has been developed with an assumption that both the process and outcome indicators are equally important in building disaster-resilient communities. The combination of both indicators is an impetus to quality change in the community. Process indicators are important for community understanding, ownership and the sustainability of the programme; whereas outcome indicators are important for the real achievements in terms of community empowerment and capacity development. The process of ICBRR approach varies by country and location as per the level of community awareness and organisational strategy. However, core elements such as the formation of community groups, mobilising those groups in risk assessment and planning

  6. Sport tourism event impacts on the host community – a case study of ...

    African Journals Online (AJOL)

    The focus of this article is on the management and social impacts of sport tourism events on the host community. This article specifically evaluates the Red Bull Big Wave Africa (RBBWA) event as a case study. Of cognisance is the host community\\'s involvement, perceptions, attitudes and an understanding of costs and ...

  7. Establishing a Learning Community to Support Research and Scholarly Training: A Case Study

    Science.gov (United States)

    Mills, Jane; Birks, Melanie; Francis, Karen

    2014-01-01

    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…

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

    NARCIS (Netherlands)

    Gradener, Jeroen

    2016-01-01

    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

  9. International Education at Community Colleges: Themes, Practices, and Case Studies

    Science.gov (United States)

    Latiner Raby, Rosalind, Ed.; Valeau, Edward J., Ed.

    2016-01-01

    This book brings together distinguished scholars, community college practitioners, and emerging leaders to expand upon existing theories, provide reflection on practice, and demonstrate the dynamic nature of community college internationalization. There is a special challenge for United States community colleges to move from selected international…

  10. A role for communities in primary prevention of chronic illness? Case studies in regional Australia.

    Science.gov (United States)

    Taylor, Judy; Braunack-Mayer, Annette; Cargo, Margaret; Larkins, Sarah; Preston, Robyn

    2013-08-01

    In regional Australia "communities of place," defined as bounded geographic locations with a local society, undertake community-wide primary prevention programs. In helping to prevent chronic illness, communities provide valuable resources to the health system. To understand the role of community-health sector partnerships for primary prevention and the community contextual factors that affect them, we studied eight partnerships. We used an embedded multiple case study design and collected data through interviews, nonparticipant observation, and document analysis. These data were analyzed using a typology of community-health sector partnerships and community interaction theory to frame the key community contextual factors that affected partnerships. The dominant factor affecting all partnerships was the presence of a collective commitment that communities brought to making the community a better place through developing health. We call this a communitarian approach. Additional research to investigate factors influencing a communitarian approach and the role it plays in partnerships is required.

  11. Bacterial communities in tetrachloroethene-polluted groundwaters: a case study.

    Science.gov (United States)

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

    2013-06-01

    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). Copyright © 2013 Elsevier B.V. All rights reserved.

  12. Data management for community research projects: A JGOFS case study

    Science.gov (United States)

    Lowry, Roy K.

    1992-01-01

    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

  13. From Homeschool to the Community College: A Multiple Case Study

    Science.gov (United States)

    Kramer, Benjamin G.

    2012-01-01

    The number of U.S. homeschooled students has steadily risen from the 1980's to the present, and many eventually choose to attend community colleges (Cogan, 2010; Mason, 2004; Ray, 2004a; Sorey & Duggan, 2008a). Homeschoolers who make community colleges their first structured educational setting outside the home do so for various reasons: (a)…

  14. 44 CFR 66.3 - Establishment of community case file and flood elevation study docket.

    Science.gov (United States)

    2010-10-01

    ... case file and flood elevation study docket. 66.3 Section 66.3 Emergency Management and Assistance... file and flood elevation study docket. (a) A file shall be established for each community at the time... elevation study consultation docket and shall be established for each community at the time the contract is...

  15. The Journey to Meet Emerging Community Benefit Requirements in a Rural Hospital: A Case Study

    Science.gov (United States)

    Sabin, Allison V; Levin, Pamela F

    2015-10-22

    The Affordable Care Act requires nonprofit hospitals to collaborate with public health agencies and community stakeholders to identify and address community health needs. As a rural organization, Wabash County (Indiana) Hospital pursued new approaches to achieve these revised requirements of the community benefit mandate. Using a case study approach, the authors provide a historical review of governmental relationships with nonprofit community hospitals, offer a case study application for implementing legislative mandates and community benefit requirements, share the insights they garnered on their journey to meet the mandates, and conclude that drawing upon the existing resources in the community and using current community assets in novel ways can help conserve time, and also financial, material, and human resources in meeting legislative mandates.

  16. Research partnerships with local communities: two case studies from Papua New Guinea and Australia

    Science.gov (United States)

    Almany, G. R.; Hamilton, R. J.; Williamson, D. H.; Evans, R. D.; Jones, G. P.; Matawai, M.; Potuku, T.; Rhodes, K. L.; Russ, G. R.; Sawynok, B.

    2010-09-01

    Partnerships between scientists and local communities can increase research capacity and data delivery while improving management effectiveness through enhanced community participation. To encourage such collaboration, this study demonstrates how these partnerships can be formed, drawing on two case studies in coral reef ecosystems in very different social settings (Papua New Guinea and Australia). In each case, steps towards successfully engaging communities in research were similar. These included: (1) early engagement by collaborating organizations to build trust, (2) ensuring scientific questions have direct relevance to the community, (3) providing appropriate incentives for participation, and (4) clear and open communication. Community participants engaged in a variety of research activities, including locating and capturing fishes, collecting and recording data (weight, length and sex), applying external tags, and removing otoliths (ear bones) for ageing and elemental analysis. Research partnerships with communities enhanced research capacity, reduced costs and, perhaps more importantly, improved the likelihood of long-term community support for marine protected areas (MPAs).

  17. Community-based tourism in Cape Verde - a case study

    OpenAIRE

    Tomas Lopez-Guzman; Osvaldo Borges; Ana Maria Castillo-Canalejo

    2011-01-01

    Community-based tourism is taking its place in the world as an alternative to traditional tourist destinations, especially in developing countries. This form of tourism allows for greater contact with the local community and for the tourist to experience new sensations while enabling the economic and social development of the geographic area. In this paper, the results of fieldwork carried out in the island of Fogo (Cape Verde) are presented, assessing the opinion and perception tourists visi...

  18. Suicide Prevention Strategies in Tennessee Community Colleges: A Case Study

    Science.gov (United States)

    Perley, Sandra

    2015-01-01

    Suicide is the second leading cause of death for college students; annually approximately 1,100 students in institutions of higher education die by suicide. However, most research related to college student suicide was conducted using the sample of 4-year institutions. Community colleges have seldom been included in the sample of suicide research…

  19. Community College Budgeting and Financial Planning Issues: A Case Study

    Science.gov (United States)

    Krieger, Jennifer

    2011-01-01

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

  20. Approaches to dog health education programs in Australian rural and remote Indigenous communities: four case studies.

    Science.gov (United States)

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

    2013-09-01

    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.

  1. Auditing and Evaluating University-Community Engagement: Lessons from a UK Case Study

    Science.gov (United States)

    Hart, Angie; Northmore, Simon

    2011-01-01

    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…

  2. Cultural Capital and Innovative Pedagogy: A Case Study among Indigenous Communities in Mexico and Honduras

    Science.gov (United States)

    Gregorcic, Marta

    2009-01-01

    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…

  3. Digital Technology, Diabetes and Culturally and Linguistically Diverse Communities: A Case Study with Elderly Women from the Vietnamese Community

    Science.gov (United States)

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

    2012-01-01

    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,…

  4. Subject Access through Community Partnerships: A Case Study

    International Nuclear Information System (INIS)

    Kreitz, Patricia A

    2003-01-01

    Innovations in scholarly communication have resulted in changing roles for authors, publishers and libraries. Traditionally roles are disappearing and players are actively seeking or reluctantly assuming new roles. Library roles are changing as they become involved in building and indexing electronic(e-)repositories and support new modes of e-research. A library-run service, the SPIRES particle physics databases, has not only weathered, but also lead, many of the transitions that have shaped the landscape of e-publishing and e-research. This has been possible through intense and in-depth partnership with its user community. The strategies used and lessons learned can help other libraries craft cost-effective roles in this new environment

  5. Subject Access through Community Partnerships: A Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Kreitz, Patricia A

    2003-08-12

    Innovations in scholarly communication have resulted in changing roles for authors, publishers and libraries. Traditionally roles are disappearing and players are actively seeking or reluctantly assuming new roles. Library roles are changing as they become involved in building and indexing electronic(e-)repositories and support new modes of e-research. A library-run service, the SPIRES particle physics databases, has not only weathered, but also lead, many of the transitions that have shaped the landscape of e-publishing and e-research. This has been possible through intense and in-depth partnership with its user community. The strategies used and lessons learned can help other libraries craft cost-effective roles in this new environment.

  6. The Community College IR Shop and Accreditation: A Case Study

    Science.gov (United States)

    Johnston, George

    2011-01-01

    This article presents results of a study the author recently conducted on the role of traditional institutional research (IR) offices in support of accreditation activities and institutional effectiveness. The purpose of the study was to confirm or disconfirm the utility of a theoretical model developed by Brittingham, O'Brien, and Alig (2008) of…

  7. community awareness for archives in tanzania: a case study of ...

    African Journals Online (AJOL)

    Walter

    World, as well as records on the famous East African Slave Trade,. Explorers and ... Problem Statement. Most studies that have been conducted in Tanzania have mainly concentrated on issues related to the management and conservation ... studies in Tanzania and Zanzibar have totally ignored the aspects of archives.

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

    Directory of Open Access Journals (Sweden)

    Raul Olalde Font

    2016-10-01

    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.

  9. Socioeconomic effects of operating reactors on two host communities: a case study of Pilgrim and Millstone

    International Nuclear Information System (INIS)

    Peelle, E.

    1976-01-01

    This exploratory case study examines the social, economic, and political/institutional impacts of two operating nuclear power complexes on two New England communities. This 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. The study concludes that construction impacts were minor due to a dispersed commuting pattern by construction workers and that the only significant construction impact that can be identified retrospectively is construction-worker traffic. The primary impact of the nuclear power plants in both communities was the massive increase in property tax payments paid to the local communities by the utilities and the option chosen by each community to maintain the existing tax rate while using the additional revenue to significantly increase and enhance the public service delivery systems and facilities within the community. Second-order consequences of the direct, first-order economic impact were: (1) changes in community land use policies, (2) increase in salience of growth issues, and (3) alteration of both inter- and intra-community relationships. The majority of residents in both communities express favorable attitudes toward the nuclear plants, primarily because of the substantial increase in the tax base of their communities

  10. The Teacher and the Community: A Case Study of Teacher-Community Relations among the Zapotec and Mixtec Indians of Oaxaca, Mexico.

    Science.gov (United States)

    Densmore, Kathleen

    1998-01-01

    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…

  11. Emergence of Virtual Communities as Means of Communication: A Case Study on Virtual Health Care Communities

    Science.gov (United States)

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

    2011-01-01

    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.…

  12. Part-Time Community College Instructors Teaching in Learning Communities: An Exploratory Multiple Case Study

    Science.gov (United States)

    Paterson, John W.

    2017-01-01

    Community colleges have a greater portion of students at-risk for college completion than four-year schools and faculty at these institutions are overwhelmingly and increasingly part-time. Learning communities have been identified as a high-impact practice with numerous benefits documented for community college instructors and students: a primary…

  13. Probing community nurses' professional basis: a situational case study in diabetic foot ulcer treatment.

    Science.gov (United States)

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

    2017-03-01

    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.

  14. Private sector community forestry partnerships in the Eastern Cape – Lambazi case study

    CSIR Research Space (South Africa)

    Sisitka, L

    2000-01-01

    Full Text Available This Umzimkulu case study forms part of a broader investigation into community – private sector forestry partnerships in the Eastern Cape. This provincial study in turn, contributes to one of the three major research themes of a wider national...

  15. Behavioural Comorbidity in Tanzanian Children with Epilepsy: A Community-Based Case-Control Study

    Science.gov (United States)

    Burton, Kathryn; Rogathe, Jane; Hunter, Ewan; Burton, Matthew; Swai, Mark; Todd, Jim; Neville, Brian; Walker, Richard; Newton, Charles

    2011-01-01

    Aim: The aim of this study was to define the prevalence of and risk factors for behavioural disorders in children with epilepsy from a rural district of Tanzania by conducting a community-based case-control study. Method: One hundred and twelve children aged 6 to 14 years (55 males, 57 females; median age 12y) with active epilepsy (at least two…

  16. The keys to governance and stakeholder engagement: the southeast michigan beacon community case study.

    Science.gov (United States)

    Des Jardins, Terrisca R

    2014-01-01

    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.

  17. Language and culture in the Deaf community: a case study in a South African special school

    Directory of Open Access Journals (Sweden)

    Stander, Marga

    2017-06-01

    Full Text Available An ethnographic case study on Deaf culture was done at the Thiboloha Special School in a rural area of the Free State province in South Africa. Two Deaf learners and three Deaf teaching assistants participated in this study. Although they were all part of the hearing Sotho culture, they were also full participants in the Deaf community. The study was done by means of video recordings, interviews, and questionnaires. The study reveals the diversity of the Deaf community with a vibrant and unique culture associated with this school, which gives them a sense of belonging. The analysis of the questionnaires, interviews, and recordings in this study shows how significant it is for the Deaf to be part of a Deaf community and culture, as well as part of a hearing community. It is important for them to be Deaf (with a capital ‘D’ and have a Deaf identity. It became evident in this study that Deaf people prefer to use Sign Language for communication purposes in the Deaf community. The study also shows the key role the school plays in introducing Deaf learners to Deaf culture and community, and South African Sign Language, which connects them to a wider Deaf and hearing community. The school became the participants’ new community where they found their Deaf identity, their own language and culture. The school fulfilled its role to realise the importance and value of Deaf culture and community and succeeded in de-pathologising deafness. This study confirms the responsibility of and opportunity for schools to educate their Deaf learners about their culture and community.

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

    Directory of Open Access Journals (Sweden)

    Burgin Shelley

    2014-01-01

    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.

  19. A Comprehensive HIV Stigma-reduction and Wellness-enhancement Community Intervention: A Case Study.

    NARCIS (Netherlands)

    French, H.; Greeff, M.; Watson, M.J.; Doak, C.M.

    2014-01-01

    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

  20. Community Arts Programs: Cohesion and Difference Case Studies. Henry Street Settlement and El Museo del Barrio

    Science.gov (United States)

    Kiebert-Gruen, Cathleen

    2009-01-01

    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…

  1. Relationship Depth in Community Food Security: Lessons from a Case Study of the Campus Kitchens Project

    Science.gov (United States)

    Himmelheber, Sarah

    2016-01-01

    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…

  2. Case Studies of School Community and Climate: Success Narratives of Schools in Challenging Circumstances

    Science.gov (United States)

    Parker, Darlene Ciuffetelli; Grenville, Heather; Flessa, Joseph

    2011-01-01

    This paper reports on a Canadian qualitative case study project funded by the Elementary Teachers' Federation of Ontario. The paper describes success stories of students and communities affected by poverty from a diverse sample of eleven elementary schools throughout the province of Ontario. Over the period of one school year (2007-2008) and…

  3. Practice Change in Community Pharmacy: A Case Study of Multiple Stakeholders' Perspectives

    Directory of Open Access Journals (Sweden)

    Shara Elrod

    2012-01-01

    Full Text Available Objective: To obtain a multi-stakeholder perspective of community pharmacy practice change. Design: Qualitative study. Setting: Community pharmacy in rural Mississippi. Participants: Fourteen key stakeholders of the patient care practice including pharmacists (n=4, support staff (n=2, collaborating providers (n=4, patients (n=3, and a payer (n=1. Intervention: Semi-structured interviews and participant-observation techniques were used. Main outcome measures: Description of the community pharmacy's practice and business model and identification of practice change facilitators. Results: Change facilitators for this practice included: a positive reputation in the community, forming solid relationships with providers, and convenience of patient services. Communication in and outside of the practice, adequate reimbursement, and resource allocation were identified as challenges. Conclusions: This case study is a multi-stakeholder examination of community pharmacy practice change and readers are provided with a real-world example of a community pharmacy's successful establishment of a patient care practice.   Type: Case Study

  4. Promoting community socio-ecological sustainability through technology: A case study from Chile

    Science.gov (United States)

    Aguayo, Claudio; Eames, Chris

    2017-12-01

    The importance of community learning in effecting social change towards ecological sustainability has been recognised for some time. More recently, the use of Information and Communication Technology (ICT) tools to promote socio-ecological sustainability has been shown to have potential in community education for sustainable development (ESD). The effective design and use of technology for community learning implies an understanding of a range of cross-dimensional factors including: socio-cultural characteristics and needs of the target audience; considerations of available and culturally responsive types of technology; and non-formal pedagogical ESD strategies for community empowerment. In addition, both technology itself and social communities are dynamically evolving and complex entities. This article presents a case study which evaluated the potential of ICT for promoting ecological literacy and action competence amongst community members in southern Chile. The case study addressed the ecological deterioration of a lake, which is having deep social, economic, recreational and cultural implications locally. The authors' research involved developing a theoretical framework for the design, implementation and use of ICT for community learning for sustainability. The framework was based on key ideas from ESD, ICT and community education, and was underpinned by a systems thinking approach to account for the dynamism and complexity of such settings. Activity theory provided a frame to address overarching socio-cultural elements when using technology as a mediating tool for community learning. The authors' findings suggest that the use of an ICT tool, such as a website, can enhance ecological literacy in relation to a local socio-ecological issue.

  5. Framing community forestry challenges with a broader lens: case studies from the Brazilian Amazon.

    Science.gov (United States)

    Hajjar, Reem; McGrath, David G; Kozak, Robert A; Innes, John L

    2011-09-01

    Community forestry initiatives have been shown to reduce rural poverty while promoting the conservation and sustainable use of forests. However, a number of challenges face communities wanting to initiate or maintain formal, community-based forest management. Through a grounded theory approach, this paper uses three case studies of community forest management models in the eastern Amazon to create a framework showing challenges faced by communities at different phases of formal management. The framework shows that, in the development phase, four root problems (land ownership, knowledge acquisition, community organization, and adequate capital) need to be addressed to obtain legal management permission. With this permission in hand, further challenges to operationalization are presented (deterring illegal loggers, maintaining infrastructure, obtaining necessary managerial skills and accessing markets). The interrelatedness of these challenges emphasizes that all challenges need to be addressed in a holistic manner for communities to maintain a profitable and self-sufficient operation. This contradicts current development approaches that only address part of this framework. The framework proposed here can be used as a starting point for community forestry initiatives in other regions. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. EMERGENCE OF VIRTUAL COMMUNITIES AS MEANS OF COMMUNICATION: A Case Study On Virtual Health Care Communities

    Directory of Open Access Journals (Sweden)

    Mehpare Tokay ARGAN

    2011-07-01

    Full Text Available 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 not depend on space and time to maintain ties or participation in the group whose members share the same interest and to maintain closeness, that is based on internet communications and whose membership is based on free will. In these kinds of communities whose services are provided on a membership basis, health services of various kinds are offered to the members. In virtual communities, virtual interactive communications established between the members can be an important determining factor when choosing a product, service or doctor.

  7. Leadership style in the deaf community: an exploratory case study of a university president.

    Science.gov (United States)

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

    2008-01-01

    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.

  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. Establishing new nursing roles: a case study of the English community matron initiative.

    Science.gov (United States)

    Drennan, Vari; Goodman, Claire; Manthorpe, Jill; Davies, Sue; Scott, Cherill; Gage, Heather; Iliffe, Steve

    2011-10-01

    To examine the factors affecting the extent to which English policy on the introduction of community matrons for people with chronic conditions was implemented. Improving health services for people with chronic diseases (long-term conditions) is an international priority. In England, the new post of community matron, a case management role, was introduced. A target was set for 3000 community matrons to be in post by 2008, but this was not achieved. A realist, pragmatic evaluation of the introduction of community matron posts. The study used mixed methods at multiple levels: an analysis of national and local strategy and planning documents, a national survey and a stakeholder analysis using semi-structured interviews in three primary care organisation case study sites. National policy established targets for the introduction of community matron posts, but there was local variation in implementation. Pragmatic decisions reflected the history of local service configurations, available finance, opportunities or challenges created by other service redesigns and scepticism about the value of the community matron role. There was resistance to 'bolt on' nursing roles in primary care. The implementation of the community matron role is an example of how a policy imperative that valued the clinical skills and expertise of nurses was reinterpreted to fit with local patterns of service delivery. Before new nursing roles are introduced through national policies, a more nuanced understanding is required of the local factors that resist or support such changes. There is a need for consultation and understanding of local conditions before the implementation of workforce initiatives. For clinicians, it is important to understand how the context of care shapes priorities and definitions of new nursing roles and how their expertise is recognised and used. © 2011 Blackwell Publishing Ltd.

  10. Tobacco Control Policy Adoption Dynamics: A Case Study of Missouri Communities.

    Science.gov (United States)

    Everett, Kevin D; Chadwick, Ginny; Cowan, Stanley R; Kinkade, Emily

    2018-03-12

    Tobacco control policies reduce the health and economic burden caused by tobacco. With over half of the United States communities lacking adequate protective policies, an examination of policy adoption factors can provide insights to facilitate policy adoption. A case study approach examines the rate of adoption, prominent media frames, policy leaders' perceptions and coalition activities for smokefree and Tobacco 21 policies adopted in Missouri. Findings show compared to smokefree policy, Tobacco 21 requires a considerably shorter timeframe and fewer resources for adoption. Tobacco 21 coalitions target a small group of stakeholders compared to smokefree coalitions' emphasis on broad community engagement. Both policies are formally opposed, but elected officials perceive less political risk supporting Tobacco 21. As a new tobacco control policy tool, Tobacco 21 has relative advantage that should be considered by community health advocates.

  11. Mining Data from Weibo to WeChat: A Comparative Case Study of MOOC Communities on Social Media in China

    Science.gov (United States)

    Zhang, Ke

    2015-01-01

    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…

  12. Importance of woodlots to local communities, small scale entrepreneurs and indigenous forest conservation – A case study

    CSIR Research Space (South Africa)

    Ham, C

    2000-01-01

    Full Text Available forestry, South Africa The Importance of Woodlots to Local Communities, Small-scale Entrepreneurs and Indigenous Forest Conservation A case study Cori Ham ii The Importance of Woodlots to Local Communities, Small Scale Entrepreneurs... by the financial support of the UK Department for International Development and the European Commission iii Citation: Ham, C. 2000. The importance of woodlots to local communities, small scale entrepreneurs and indigenous forest conservation– A case study...

  13. Cohorts and community: a case study of community engagement in the establishment of a health and demographic surveillance site in Malaysia

    Science.gov (United States)

    Allotey, Pascale; Reidpath, Daniel D.; Devarajan, Nirmala; Rajagobal, Kanason; Yasin, Shajahan; Arunachalam, Dharmalingam; Imelda, Johanna Debora; Soyiri, Ireneous; Davey, Tamzyn; Jahan, Nowrozy

    2014-01-01

    Background Community engagement is an increasingly important requirement of public health research and plays an important role in the informed consent and recruitment process. However, there is very little guidance about how it should be done, the indicators for assessing effectiveness of the community engagement process and the impact it has on recruitment, retention, and ultimately on the quality of the data collected as part of longitudinal cohort studies. Methods An instrumental case study approach, with data from field notes, policy documents, unstructured interviews, and focus group discussions with key community stakeholders and informants, was used to explore systematically the implementation and outcomes of the community engagement strategy for recruitment of an entire community into a demographic and health surveillance site in Malaysia. Results For a dynamic cohort, community engagement needs to be an ongoing process. The community engagement process has likely helped to facilitate the current response rate of 85% in the research communities. The case study highlights the importance of systematic documentation of the community engagement process to ensure an understanding of the effects of the research on recruitment and the community. Conclusions A critical lesson from the case study data is the importance of relationships in the recruitment process for large population-based studies, and the need for ongoing documentation and analysis of the impact of cumulative interactions between research and community engagement. PMID:24804983

  14. Socio economic community mapping around Dumai Timur (case study: Tanjung Palas Village)

    Science.gov (United States)

    Dilham, Ami; Putra, M. Umar Maya

    2018-03-01

    This study aimed to analyze the socio economic community mapping around Dumai Timur Sub District with a case study: Tanjung Palas Village. The problem in this research is to analyze community needs and potential contained there. The data used are primary data that have been obtained to do data entry based on the guidance from the actors concerned, there is a transfer in the form of qualitative data into quantitative measurement techniques reference instrument of socio economic mapping activities. From the results of this study indicate that the necessary empowerment of social management in which short-term policy for the addition of water discharge, training on the concept of raising entrepreneurial innovation. For the long term necessary to make a business innovation and sustainability development pattern with operational assistance in the form of seeds, the manufacture of cages and chicken feed.

  15. Performance Evaluation of Community Health Workers: Case Study in the Amazon of Peru.

    Science.gov (United States)

    Westgard, Christopher; Naraine, Renuka; Paucar Villacorta, Diego Mauricio

    2018-03-26

    A shortage in human resources for health is a growing crisis that has led to an inability to provide adequate health services to impoverished populations. By "task-shifting", health systems can delegate certain activities, such as health promotion and referral, to trained community members to help fill the human resource gap. An effective community health agent program can improve maternal and child health and overall effectiveness of rural health systems. Such a program is most effective when the community health agents receive supervision and evaluation of their performance. There is a shortage of literature that provides instruction and example on how to conduct a performance evaluation in the developing world to improve maternal and child health outcomes. The current study provides a case study of a performance evaluation in the Amazon region of Peru and how the findings can be used to make program adjustments. A set of instruments to measure the performance of CHWs was adapted from the literature and then implemented in the field. The instruments were used to measure the quality of home visits by the CHWs, their knowledge of the health topics, and structural activities. Three communities with an active CHW program in Loreto, Peru were chosen to receive the evaluation. All CHWs in the communities were evaluated. The scores from the evaluation were compared internally to identify strengths and weaknesses of the program and within the population of CHWs. The evaluation was completed on 52 home visits and 27 CHWs in three communities. The CHWs were found to be most effective at creating good relationships with caregivers and delivering health messages, and least effective at interacting with the child during the home visit and using material to deliver health messages. The evaluation instruments were well suited for the CHW program that utilizes home visits to teach about child health and development.

  16. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration.

    Science.gov (United States)

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

    2016-02-01

    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. © 2015 Wiley Periodicals, Inc.

  17. Participatory evaluation of community actions as a learning methodology for personal and community empowerment: case studies and empowerment processes

    Directory of Open Access Journals (Sweden)

    Xavier Úcar Martínez

    2014-06-01

    Full Text Available Introduction: Participatory evaluation (PE is a hybrid methodology that can be used simultaneously to investigate and act in groups and communities. It can generate new knowledge about reality, but italso allows changes in the participants and their sociocultural context. This research project, developed over three years, aims to find out whether PE processes are useful and appropriate to evaluate community actionsand to generate learning that contribute to the empowerment of people who develop them.Method: The methodological structure of the research process design Participatory Evaluation processes that are applied in three selected communities-cases, over one year. The steering groups in each caseevaluated four dimensions of Community Development Plans: context, evolution, performance and results, using different techniques and group dynamics. Throughout this process, participants identify the acquiredknowledge and this is linked to indicators of empowerment, using questionnaires, content analysis and semi-structured interviews.Results: The development PE process in the three analyzed cases confirmed that PE is a useful strategy to assess participatory community actions of a territory; to report them to the people of the community; andto make shared decisions, about initiatives in order to improve community actions. The obtained results also verify that, throughout PE, there has been learning in the participants.Conclusions: The involvement of community members in the evaluation makes it more useful, fairer and more valid, but also a fourth positive consequence of PE is empowerment. From the process and the resultsof these cases of Participatory Evaluation, we consider that community EP is social transformation.

  18. Building Resilient Communities through Empowering Women with Information and Communication Technologies: A Pakistan Case Study

    Directory of Open Access Journals (Sweden)

    Arshad Khan Khalafzai

    2011-01-01

    Full Text Available In the contemporary world, a revolution in digital technologies has changed our way of life—for better. The role of women is expanding in socio-economic, political and physical spaces; hence their empowerment will contribute toward resilience and capacity building that contributes to sustainability and disaster risk reduction in the long run. In developing nations, especially in rural regions, women empowered with information and communication technologies can enhance their capacity to cope in diverse situations. This paper addresses the vital role of information and communication technologies intervention and resilient communities with the help of a case study carried out in Pakistan.

  19. Implementing a virtual community of practice for family physician training: a mixed-methods case study.

    Science.gov (United States)

    Barnett, Stephen; Jones, Sandra C; Caton, Tim; Iverson, Don; Bennett, Sue; Robinson, Laura

    2014-03-12

    GP training in Australia can be professionally isolating, with trainees spread across large geographic areas, leading to problems with rural workforce retention. Virtual communities of practice (VCoPs) may provide a way of improving knowledge sharing and thus reducing professional isolation. The goal of our study was to review the usefulness of a 7-step framework for implementing a VCoP for general practitioner (GP) training and then evaluated the usefulness of the resulting VCoP in facilitating knowledge sharing and reducing professional isolation. The case was set in an Australian general practice training region involving 55 first-term trainees (GPT1s), from January to July 2012. ConnectGPR was a secure, online community site that included standard community options such as discussion forums, blogs, newsletter broadcasts, webchats, and photo sharing. A mixed-methods case study methodology was used. Results are presented and interpreted for each step of the VCoP 7-step framework and then in terms of the outcomes of knowledge sharing and overcoming isolation. Step 1, Facilitation: Regular, personal facilitation by a group of GP trainers with a co-ordinating facilitator was an important factor in the success of ConnectGPR. Step 2, Champion and Support: Leadership and stakeholder engagement were vital. Further benefits are possible if the site is recognized as contributing to training time. Step 3, Clear Goals: Clear goals of facilitating knowledge sharing and improving connectedness helped to keep the site discussions focused. Step 4, A Broad Church: The ConnectGPR community was too narrow, focusing only on first-term trainees (GPT1s). Ideally there should be more involvement of senior trainees, trainers, and specialists. Step 5, A Supportive Environment: Facilitators maintained community standards and encouraged participation. Step 6, Measurement Benchmarking and Feedback: Site activity was primarily driven by centrally generated newsletter feedback. Viewing

  20. Local government alcohol policy development: case studies in three New Zealand communities

    Science.gov (United States)

    Maclennan, Brett; Kypri, Kypros; Room, Robin; Langley, John

    2013-01-01

    Aims Local alcohol policies can be effective in reducing alcohol-related harm. The aim of this study was to examine local government responses to alcohol-related problems and identify factors influencing their development and adoption of alcohol policy. Designsettings and participants Case studies were used to examine local government responses to alcohol problems in three New Zealand communities: a rural town, a provincial city and a metropolitan city. Newspaper reports, local government documents and key informant interviews were used to collect data which were analysed using two conceptual frameworks: Kingdon's Streams model and the Stakeholder model of policy development. Measurements Key informant narratives were categorized according to the concepts of the Streams and Stakeholder models. Findings Kingdon's theoretical concepts associated with increased likelihood of policy change seemed to apply in the rural and metropolitan communities. The political environment in the provincial city, however, was not favourable to the adoption of alcohol restrictions. The Stakeholder model highlighted differences between the communities in terms of power over agenda-setting and conflict between politicians and bureaucrats over policy solutions to alcohol-related harm. These differences were reflected in the ratio of policies considered versus adopted in each location. Decisions on local alcohol policies lie ultimately with local politicians, although the policies that can be adopted by local government are restricted by central government legislation. Conclusions The adoption of policies and strategies to reduce alcohol-related harm may be better facilitated by an agenda-setting process where no ‘gate-keepers’ determine what is included into the agenda, and community mobilization efforts to create competitive local government elections around alcohol issues. Policy adoption would also be facilitated by more enabling central government legislation. PMID:23130762

  1. Assessing Opinions in Community Leadership Networks to Address Health Inequalities: A Case Study from Project IMPACT

    Science.gov (United States)

    McCauley, M. P.; Ramanadhan, S.; Viswanath, K.

    2015-01-01

    This study demonstrates a novel approach that those engaged in promoting social change in health can use to analyze community power, mobilize it and enhance community capacity to reduce health inequalities. We used community reconnaissance methods to select and interview 33 participants from six leadership sectors in "Milltown", the New…

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

    Directory of Open Access Journals (Sweden)

    Alexandra Tcherkasski

    2013-09-01

    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.

  3. Working Together and Making a Difference: Virginia Western Community College and Goodwill Industries of the Valleys Partnership Case Study Report

    Science.gov (United States)

    Browning, Bill

    2015-01-01

    "Working Together and Making A Difference: Virginia Western Community College and Goodwill Industries of the Valleys Partnership Case Study Report" is a report aimed at informing community college and workforce leaders of best practices for launching and expanding partnerships to serve students more effectively. Co-published by AspenWSI…

  4. Bone Health in Patients with Epilepsy: A Community-based Pilot Nested Case-control Study.

    Science.gov (United States)

    Singla, Shweta; Kaushal, Sandeep; Arora, Shalini; Singh, Gagandeep

    2017-01-01

    Antiepileptic drugs (AEDs) adversely affect bone health and there are reports describing association of alternations of bone and mineral metabolism in epileptic patients. This study was undertaken to evaluate the bone profile (bone mineral parameters and bone mineral density [BMD]) of patients with epilepsy and compare them to their age-, gender-, and socioeconomic status-matched healthy controls in a community. This was a nested case-control study conducted in fifty individuals, which included 25 cases (age above 18 years and on AEDs for at least 3 years) for which 25 controls were selected from the same community. Bone mineral parameters (serum calcium, proteins, phosphorous, alkaline phosphate, parathyroid hormone, and Vitamin D) and BMD were measured. There was significant hypocalcemia ( P = 0.003), hypoproteinemia ( P = 0.014), hyperparathyroidism ( P = 0.048), and increased levels of serum alkaline phosphatase ( P = 0.019) in cases as compared to controls. The difference was insignificant in the serum levels of Vitamin D and phosphorous among both the groups. Vitamin D was significantly low in female patients as compared to males ( P = 0.043). There was no significant difference in BMD at the lumbar spine and femur neck among both the groups. Mean duration of epilepsy was longest in patients with osteoporosis (23.6 years), and increasing duration of epilepsy was associated with reduction in age- and sex-corrected total BMD mean Z-score anteroposterior spine. There was negative correlation between cumulative drug load and T-score of patients with epilepsy. Patients on long-term AED treatment have altered bone profile as evident from biochemical parameters and reduced BMD. There is a need for more extensive research and that too on a larger sample size.

  5. Building a Mien-American house: A case study in school-community relations

    Science.gov (United States)

    Hammond, Lorie A.

    2000-10-01

    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

  6. Using Analysis of Governance to Unpack Community-Based Conservation: A Case Study from Tanzania.

    Science.gov (United States)

    Robinson, Lance W; Makupa, Enock

    2015-11-01

    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.

  7. Using Analysis of Governance to Unpack Community-Based Conservation: A Case Study from Tanzania

    Science.gov (United States)

    Robinson, Lance W.; Makupa, Enock

    2015-11-01

    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.

  8. Retention of female volunteer community health workers in Dhaka urban slums: a case-control study.

    Science.gov (United States)

    Alam, Khurshid; Tasneem, Sakiba; Oliveras, Elizabeth

    2012-09-01

    Volunteer community health workers (CHWs) are one approach to addressing the health workforce shortage in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in using female volunteer CHWs as core workers in its successful health programmes. After 25 years of implementing the CHW model in rural areas, BRAC is now using CHWs in urban slums of Dhaka through Manoshi, a community-based maternal and child health project. However, high dropout rates among CHWs in the slums suggested a need to better understand factors associated with their retention, and consequently recommend strategies for increasing their retention. This mixed-method study included a case-control design to assess factors relating to the retention of volunteer CHWs, and focus group discussions (FGDs) to explore solutions to problems. In total, 542 current and 146 dropout CHWs participated in the survey. Six FGDs were held with groups of current and groups of dropout CHWs. Financial incentives were the main factor linked to CHW retention. CHWs who joined with the expectation of income were almost twice as likely to remain as CHWs. This finding was reinforced by the inverse association between wealth quintile of the CHWs and retention; the poorest CHWs were significantly more likely to stay in the programme than the richest. However, social prestige, community approval and household responsibilities were important non-financial factors associated with CHW retention. Restructuring and expansion of existing financial incentives to better compensate CHWs were recommended by CHWs to improve their retention. Factors found to be important in this study are similar to those from earlier studies in rural areas. While the data indicate that financial incentives are the most commonly discussed factor regarding CHW retention in urban slums, the results also suggest other avenues that could be strengthened to improve their retention.

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

    Directory of Open Access Journals (Sweden)

    Nsungwa-Sabiiti Jesca

    2006-03-01

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

    Directory of Open Access Journals (Sweden)

    Yiyong Chen

    2016-06-01

    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.

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

    Science.gov (United States)

    Chen, Yiyong; Liu, Tao; Xie, Xiaohuan; Marušić, Barbara Goličnik

    2016-01-01

    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. PMID:27367713

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

    Science.gov (United States)

    Fox, Christine K; Sidney, Stephen; Fullerton, Heather J

    2015-02-01

    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. From 2.5 million children (aged hemorrhagic strokes and randomly selected age- and facility-matched stroke-free controls (3 per case). We determined exposure to CHD (diagnosed before stroke) and used conditional logistic regression to analyze stroke risk factors. CHD was identified in 15 of 412 cases (4%) versus 7 of 1236 controls (0.6%). Cases of childhood stroke (occurring between ages 29 days to 20 years) with CHD had 19-fold (odds ratio, 19; 95% confidence interval 4.2-83) increased stroke risk compared to controls. History of CHD surgery was associated with >30-fold (odds ratio, 31; confidence interval 4-241) increased risk of stroke in children with CHD when compared with controls. After excluding perioperative strokes, the history of CHD surgery still increased the childhood stroke risk (odds ratio, 13; confidence interval 1.5-114). The majority of children with stroke and CHD were outpatients at the time of stroke, and almost half the cases who underwent cardiac surgery had their stroke >5 years after the most recent procedure. An estimated 7% of ischemic and 2% of hemorrhagic childhood strokes in the population were attributable to CHD. CHD is an important childhood stroke risk factor. Children who undergo CHD surgery remain at elevated risk outside the perioperative period and would benefit from optimized long-term stroke prevention strategies. © 2014 American Heart Association, Inc.

  13. Feasibility Study of Case-Finding for Breast Cancer by Community Health Workers in Rural Bangladesh.

    Science.gov (United States)

    Chowdhury, Touhidul Imran; Love, Richard Reed; Chowdhury, Mohammad Touhidul Imran; Artif, Abu Saeem; Ahsan, Hasib; Mamun, Anwarul; Khanam, Tahmina; Woods, James; Salim, Reza

    2015-01-01

    Mortality from breast cancer is high in low- and middle-income countries, in part because most patients have advanced stage disease when first diagnosed. Case-finding may be one approach to changing this situation. We conducted a pilot study to explore the feasibility of population-based case finding for breast cancer by community health workers (CHWs) using different data collection methods and approaches to management of women found to have breast abnormalities. After training 8 CHWs in breast problem recognition, manual paper data collection and operation of a cell-phone software platform for reporting demographic, history and physical finding information, these CHWs visited 3150 women >age 18 and over they could find--from 2356 households in 8 villages in rural Bangladesh. By 4 random assignments of villages, data were collected manually (Group 1), or with the cell-phone program alone (Group 2) or with management algorithms (Groups 3 and 4), and women adjudged to have a serious breast problem were shown a motivational video (Group 3), or navigated/accompanied to a breast problem center for evaluation (Group 4). Only three visited women refused evaluation. The manual data acquisition group (1) had missing data in 80% of cases, and took an average of 5 minutes longer to acquire, versus no missing data in the cell phone-reporting groups (2,3 and 4). One woman was identified with stage III breast cancer, and was appropriately treated. Among very poor rural Bangladeshi women, there was very limited reluctance to undergo breast evaluation. The estimated rarity of clinical breast cancer is supported by these population-based findings. The feasibility and efficient use of mobile technology in this setting is supported. Successor studies may most appropriately be trials focusing on improving the suggested benefits of motivation and navigation, on increasing the numbers of cases found, and on stage of disease at diagnosis as the primary endpoint.

  14. VOICES AGAINST EXTREMISM: A CASE STUDY OF A COMMUNITY-BASED CVE COUNTER-NARRATIVE CAMPAIGN

    Directory of Open Access Journals (Sweden)

    Logan Macnair

    2017-03-01

    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.

  15. Remote community-based public health nursing during a disaster: an ethnographic case study in Japan.

    Science.gov (United States)

    Sato, Mari; Atogami, Fumi; Nakamura, Yasuka; Kusaka, Yuko; Yoshizawa, Toyoko

    2014-08-01

    The Great East Japan Earthquake that occurred on March 11, 2011 generated a tsunami that directly struck Japan. Public health nurses (PHNs) played important roles in this disaster response and community recovery. This research identified a PHN's experience in an affected area. An ethnographic case study approach was used to obtain in-depth information regarding the experiences of one PHN, using semi-structured interviews, participant observation, and statistical documents. Six themes were identified and explored, including that the PHN undertook overwhelming responsibilities to protect the local residents, made several autonomous decisions, and had a strong sense of mission. These were based on the relationship-building that occurred with the local residents due to the geographical characteristics and her own preparations. The findings encourage PHNs to participate in simulations of disasters in preparation for major catastrophes and establish good collaborative efforts with residents by being a part of the community. Copyright © 2014 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.

  16. Study on the Wind Environment of the Architecture Communities: Traditional Typical Min Nan Human Settlements’ Case

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    Yuan Miao

    2013-01-01

    Full Text Available In contrast to the modern urban planning, which can be done in short period in terms of the spatial qualified design, the traditional tribe needs longer period in terms of the villagers’ sense of community. The selection of location, planning, and construction reveals the wisdom of the former people’s use of the resourceful life experience. First, the paper employs PHOENICS to simulate the wind environments of two most representative patterns of rural settlements in the southern area of Southern Fujian, China. This was made to compare the different conditions caused by settlements of various architectural groups. Second, the engineering and construction aspects of settlements—such as the width of roads and building structures—will be further analyzed and examined as case study in attempt to discover the favorable environmental factors for generating winds as well as the construction dimension of the settlement, such as the road width and the architectural design. Finally, the paper tends to conclude with an energy conservation strategy applied to the construction of modern communities which has low density and small group buildings.

  17. Social impacts of community renewable energy projects: findings from a woodfuel case study

    International Nuclear Information System (INIS)

    Rogers, Jennifer C.; Simmons, Eunice A.; Convery, Ian; Weatherall, Andrew

    2012-01-01

    There is much current interest in the potential of community-based renewable energy projects to contribute to transition towards low carbon energy systems. As well as displacing fossil fuel consumption by increasing renewable energy generation, projects are expected to have a range of social impacts which may result in additional positive sustainability outcomes. These include potential to increase: acceptance of renewable energy developments; awareness of renewable and sustainable energy technologies and issues; uptake of low carbon technologies; and sustainable/pro-environmental behaviours. To date however, there has been little investigation of whether and how these impacts occur. This paper presents results from qualitative research investigating the social impacts of a community woodfuel project as experienced by project participants and other local stakeholders. Findings show projects can raise awareness of renewable energy technologies and increase uptake of renewables. Overall the case study project successfully changed the local social context for development of woodfuel heating, reducing risk for all involved in the future development of this sector, particularly in the immediate locality. There was some evidence of increased engagement with wider sustainability issues but this was limited to direct participants, suggesting local projects need to be supported by wider systemic change to maximise impacts. - Highlights: ► We assessed the social impacts of a community woodfuel project. ► The project increased awareness and uptake of woodfuel heating. ► Impacts were achieved as a result of the locally-specific approach. ► Local projects can seed cultural change promoting transition to a low carbon society.

  18. The influences of psychological sense of brand community on mobile game loyalty: a case study research

    OpenAIRE

    Duong, Kim

    2017-01-01

    This thesis contributes to Carlson et al.’s (2008) findings on a brand-based community and its psychological aspects. The research aimed to investigate the influences of psychological sense of brand community (PSBC) on mobile game loyalty. Particularly, it attempted to, first, look at sense of brand community from the social identity viewpoint, and second, explore the influence of PSBC on game loyalty as well as the role PSBC plays in the satisfaction–loyalty relationship. The relevant studie...

  19. Mining Community-Level Influence in Microblogging Network: A Case Study on Sina Weibo

    Directory of Open Access Journals (Sweden)

    Yufei Liu

    2017-01-01

    Full Text Available Social influence analysis is important for many social network applications, including recommendation and cybersecurity analysis. We observe that the influence of community including multiple users outweighs the individual influence. Existing models focus on the individual influence analysis, but few studies estimate the community influence that is ubiquitous in online social network. A major challenge lies in that researchers need to take into account many factors, such as user influence, social trust, and user relationship, to model community-level influence. In this paper, aiming to assess the community-level influence effectively and accurately, we formulate the problem of modeling community influence and construct a community-level influence analysis model. It first eliminates the zombie fans and then calculates the user influence. Next, it calculates the user final influence by combining the user influence and the willingness of diffusing theme information. Finally, it evaluates the community influence by comprehensively studying the user final influence, social trust, and relationship tightness between intrausers of communities. To handle real-world applications, we propose a community-level influence analysis algorithm called CIAA. Empirical studies on a real-world dataset from Sina Weibo demonstrate the superiority of the proposed model.

  20. Multilevel governance in community-based environmental management: a case study comparison from Latin America

    Directory of Open Access Journals (Sweden)

    Claudia Sattler

    2016-12-01

    Full Text Available We analyze four case studies from Latin America using the concept of multilevel governance to assess at what vertical and horizontal levels and in what roles various state, market, and civil society actors interact for successful community-based environmental management (CBEM. In particular, we address the problem of how a conflict over natural resources with high negative impacts on the livelihoods of the respective communities could be overcome by a governance change that resulted in a multilevel governance arrangement for CBEM. The analysis involves a mixed-methods approach that combines a variety of empirical methods in social research such as field visits, personal interviews, participant observations, and stakeholder workshops. To visualize results, we introduce two schemes to present the composition of the governance structures for cross-case comparison. The first scheme plots the different actors into an arrangement that shows their associations with different societal spheres and at which territorial scales they are primarily involved. The second scheme differentiates these actors based on their complementing governance roles. Active roles are attributed to actors who implement activities on the ground, whereas passive roles are assigned to actors who provide specific resources such as knowledge, funding, legislative framework, or others. All cases involved governance actors from more than one societal sphere who operate on at least three different territorial levels (local to international and in distinct roles. Results show that multilevel governance can strengthen CBEM in different ways. First, the success of CBEM is an outcome of the sum of horizontal and vertical interactions of all involved actors, and there is no most appropriate single level of social organization at which a problem can best be addressed. Only the cooperation of actors from different societal spheres within and across levels ensures accessibility to needed

  1. Service-Learning and Emergent Communities of Practice: A Teacher Education Case Study

    Science.gov (United States)

    Kaschak, Jennifer Cutsforth; Letwinsky, Karim Medico

    2015-01-01

    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…

  2. Estimating Fluoride Exposure in Rural Communities: A Case Study in Western Washington

    Science.gov (United States)

    Graves, Janessa M.; Daniell, William; James, Frank; Milgrom, Peter

    2010-01-01

    Purpose Efforts to achieve national objectives for fluoridation, such as Healthy People 2010, and water quality monitoring regulations focus on public water systems and generally overlook the 15% of U.S. households with private wells. Mandated testing of public water systems and new building sites on San Juan Island, Washington revealed naturally occurring fluoride levels up to several times the EPA Maximum Contaminant Level. This study evaluated fluoride concentrations in private wells and estimated the prevalence of dental fluorosis among children to inform local stakeholders. Methods Primary school children were examined by a dentist for dental fluorosis, parents were surveyed about fluoride exposures, and household drinking water samples were collected to measure and map fluoride concentrations. De-identified data were analyzed using chi-square and Fisher’s exact tests. Results 18.8% of examined children exhibited mild dental fluorosis, a prevalence similar to national averages. Fluoride concentrations in drinking water were 0.08 to 1.30 mg/L, below levels for health concerns, and generally (94%) below levels recommended for caries prevention. Supplemental sources of fluoride (e.g. tablets) did not account for observed fluorosis. Conclusions Results provided community stakeholders with valuable information to support decision-making regarding fluoride levels in drinking water. Previously available information suggested potential for excessive fluoride exposure, however, these study results indicated low fluoride levels were more common. The approach used in this case study suggests a simple method of assessing the scope of fluoridation needs in communities where private water sources are common, allowing for better informed decision-making with regard to future fluoridation efforts. PMID:20617156

  3. A critical discussion of the Community Readiness Model using a case study of childhood obesity prevention in England.

    Science.gov (United States)

    Kesten, Joanna May; Griffiths, Paula Louise; Cameron, Noel

    2015-05-01

    Recent reforms to the public health system in England aim to generate co-ordinated action between local authorities, healthcare systems and communities to target local health priorities. To support this effort, researchers must contribute and evaluate appropriate strategies for designing interventions tailored to community-specific needs. One strategy is to apply the Community Readiness Model (CRM), which uses key informant interviews to assess a community's readiness to address local issues. This article presents a critical discussion of the CRM developed from a case study of obesity prevention in pre-adolescent girls within a community in the United Kingdom. Data were collected between February and November 2011. We offer lessons learnt and recommendations relating to (i) modifications to the interview guide; (ii) key informant identification; (iii) conducting interviews to theoretical saturation; (iv) using key informants to define their community; (v) key informant's ability to respond on behalf of the community; (vi) using a qualitative model with a quantitative scoring system; and (vii) the optimum application of transcript scoring. In conclusion, the CRM can help researchers, health professionals and local authorities identify the priorities of a community. It is recommended that users of the model be careful to identify and recruit suitable key informants with the help of the community under study, select an appropriate 'community' and utilise the qualitative findings to strengthen the interpretation of the readiness score. © 2014 John Wiley & Sons Ltd.

  4. The roles and needs of community health workers in developing countries: an exploratory case study in South Africa

    CSIR Research Space (South Africa)

    Khalala, G

    2013-01-01

    Full Text Available they encounter in their job and the perception on where the services can be improved and if they think technology can assist in improving the challenges. The results from the case study are analysed and collated in Section 3; the results are then discussed... cellphone coverage) f) Health Workers reporting process/routine Based on how the Community Health Workers described their day-to-day activities of gathering household data, the following data collection protocol emerges:  Community Health...

  5. Modeling accessibility of community facilities using GIS: case study of Depok City, Indonesia

    Directory of Open Access Journals (Sweden)

    Herika Muhamad Taki

    2017-07-01

    Full Text Available Improving community accessibility based on transport connectivity helps to address equity issues. Geographical information systems (GIS provide useful techniques for capturing, maintaining and analyzing spatial data to defining community issues. The objective of this study is to model accessibility of community facilities using GIS based on private car, bus and train in the city area of Depok, Indonesia. The study modeling the accessibility of community facilities using Geographical information systems (GIS. A geodatabase of community facilities that includes the location of the mall, schools, hospital, mosque, and lake and also supporting data such as street and road network, the number of population, density and land use. The geodatabase covers defining community facilities and modeling accessibility by car, by bus, and by train and analyzing the social pattern. The results obtained from the spatial pattern of accessibility based on the different modes of transportation using the method of network analysis and buffering operations underlines the existence of different patterns. Car transport mode is a commonly accessible mode of community-related to land use interpretation and social issues. The conclusion is that there are differences in the spatial models at the city level in terms of the use of transportation accessibility

  6. Multi-criteria selection of UPPT subsystems by a social community: The 'Beovoz' case study

    Directory of Open Access Journals (Sweden)

    Vuković Dubravka R.

    2014-01-01

    Full Text Available This research paper considers the issue of multi-criteria selection of urban public passenger transport (UPPT subsystems by a social community, where possible solutions are as follows: (1 implementation of a new one, (2 replacement of the existing with a new one, (3 keeping the existing UPPT subsystem. In order to reach the specific solution for this issue, a new algorithm is proposed, which is heuristic, three phased and relatively simple. The aim of the algorithm is to choose the UPPT subsystem between possible options in the specific traffic corridor. To test the algorithm, the 'Beovoz' case study was made, which includes the analysis of six options of the UPPT subsystem (four of which with railway technology, from which stood out the following alternatives2: bus and railway. The conclusion is that the railway can be used in a modern city, however only for high-volume traffic corridors. The bus subsystem can be used in corridors with lower volume and those that supplement the railway.

  7. Community owned solutions for fire management in tropical ecosystems: case studies from Indigenous communities of South America.

    Science.gov (United States)

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

    2016-06-05

    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'. © 2016 The Author(s).

  8. A case study of the South Puget Intertribal Planning Agency's comprehensive cancer control planning and community mobilization process.

    Science.gov (United States)

    Nass, Carrie; Simmons, John; Bowen, Deborah; Guthrie, Teresa

    2008-04-01

    The high rates of cancer among American Indians and Alaska Natives are of growing concern. In response to high cancer rates, national, state, and tribal organizations have worked to assess knowledge, attitudes, beliefs, and screening practices related to cancer in American Indian and Alaska Native communities and to increase awareness and use of cancer screening. The National Comprehensive Cancer Control Program (NCCCP) of the Centers for Disease Control and Prevention is one such effort. NCCCP's comprehensive cancer control (CCC) planning process provides a new approach to planning and implementing cancer control programs. The CCC process and components for American Indians and Alaska Natives are not yet fully understood because this is a fairly new approach for these communities. Therefore, the purpose of our case study was to describe the CCC process and its outcomes and successes as applied to these communities and to identify key components and lessons learned from the South Puget Intertribal Planning Agency's (SPIPA's) CCC planning and community mobilization process. We used interviews, document reviews, and observations to collect data on SPIPA's CCC planning and community mobilization process. We identified the key components of SPIPA's CCC as funding and hiring key staff, partnering with outside organizations, developing a project management plan and a core planning team, creating community cancer orientations, conducting community cancer surveys, developing a community advisory committee, ongoing training and engaging of the community advisory committee, and supporting the leadership of the communities involved. The CCC planning process is a practicable model, even for groups with little experience or few resources. The principles identified in this case study can be applied to the cancer control planning process for other tribes.

  9. Leading Change: A Case Study of Leadership Practices from the Development of the Niagara County Community College Culinary Institute

    Science.gov (United States)

    Caton, Jazmin; Mistriner, Mark

    2016-01-01

    The purpose of this case study was to evaluate the lessons learned from the development of a project that set out to revitalize an economically depressed area with an innovative approach to workforce development through partnerships. The focus was to utilize the development of the Niagara County Community College Culinary Institute as an example…

  10. The Impact of Green Open Space on Community Attachment—A Case Study of Three Communities in Beijing

    Directory of Open Access Journals (Sweden)

    Yuemei Zhu

    2017-04-01

    Full Text Available With the development of urbanization in China, the quality of urban life and community attachment have attracted increasing attention of the governments and society. Existing research on community attachment has mainly examined how individual characteristics affect community attachment, such as their length of residence and socioeconomic status. However, some scholars have become interested in exploring the effects of green open space on community attachment. This research examined whether the distribution of green open space in communities had significant effects on community attachment, and both the impact and path were also investigated. Through a questionnaire survey, relevant data in three communities of Beijing were collected. The impact of green open space layout on community attachment was evaluated by using hierarchical regression, and the impact path was examined by using a structural equation model. The results showed that green open space in a community had significant effects on the community attachment, with centralized green open space layout having a greater effect than that of dispersed green open space. Moreover, the more complex the shape of green open space is, the greater the impact is. The degree of satisfaction with the green open space had direct effects on the community attachment. The accessibility and perceived area of green open space could indirectly have an impact on the community attachment by affecting the degree of satisfaction with the green open space. Nevertheless, residents’ perceived importance of green open space could affect the community attachment directly and indirectly, as it affects the degree of satisfaction.

  11. Knowledge Construction in Online Learning Communities: A Case Study of a Doctoral Course

    Science.gov (United States)

    Lai, Kwok-Wing

    2015-01-01

    This paper documents a study investigating co-construction of knowledge by doctoral students in an online learning community. In this study 12 students participated in the coursework and thesis proposal development stages of a doctoral program offered by a research-intensive university in New Zealand. Socio-cultural and social constructivist…

  12. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study.

    Directory of Open Access Journals (Sweden)

    Peter A Newman

    Full Text Available Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations.From 2008-2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement.Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of "community"; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted.This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the GPP Blueprint, as well as

  13. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study.

    Science.gov (United States)

    Newman, Peter A; Rubincam, Clara; Slack, Catherine; Essack, Zaynab; Chakrapani, Venkatesan; Chuang, Deng-Min; Tepjan, Suchon; Shunmugam, Murali; Roungprakhon, Surachet; Logie, Carmen; Koen, Jennifer; Lindegger, Graham

    2015-01-01

    Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations. From 2008-2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement. Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of "community"; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted. This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the GPP Blueprint, as well as highlighting

  14. A Case Study of Community Involvement Influence on Policy Decisions: Victories of a Community-Based Participatory Research Partnership

    Directory of Open Access Journals (Sweden)

    Edith M. Williams

    2016-05-01

    Full Text Available The Buffalo Lupus Project was a community-university partnership that investigated associations between exposure to a local waste site and high rates of lupus and other autoimmune diseases. The partnership’s major accomplishment was successful advocacy for containment and clean-up of the site. As a result of community education, the remediation plan suggested by the community was adopted. Additionally, when a local childhood lead poisoning testing program was canceled, community members signed a letter to legislators urging them to replace the funding, which was restored within one week. This demonstrated how coordinated community-based capacity-building efforts can influence health policy.

  15. Impervious Surfaces Alter Soil Bacterial Communities in Urban Areas: A Case Study in Beijing, China.

    Science.gov (United States)

    Hu, Yinhong; Dou, Xiaolin; Li, Juanyong; Li, Feng

    2018-01-01

    The rapid expansion of urbanization has caused land cover change, especially the increasing area of impervious surfaces. Such alterations have significant effects on the soil ecosystem by impeding the exchange of gasses, water, and materials between soil and the atmosphere. It is unclear whether impervious surfaces have any effects on soil bacterial diversity and community composition. In the present study, we conducted an investigation of bacterial communities across five typical land cover types, including impervious surfaces (concrete), permeable pavement (bricks with round holes), shrub coverage ( Buxus megistophylla Levl. ), lawns ( Festuca elata Keng ex E. Alexeev ), and roadside trees ( Sophora japonica Linn. ) in Beijing, to explore the response of bacteria to impervious surfaces. The soil bacterial communities were addressed by high-throughput sequencing of the bacterial 16S rRNA gene. We found that Proteobacteria , Actinobacteria , Acidobacteria , Bacteroidetes , Chloroflexi , and Firmicutes were the predominant phyla in urban soils. Soil from impervious surfaces presented a lower bacterial diversity, and differed greatly from other types of land cover. Soil bacterial diversity was predominantly affected by Zn, dissolved organic carbon (DOC), and soil moisture content (SMC). The composition of the bacterial community was similar under shrub coverage, roadside trees, and lawns, but different from beneath impervious surfaces and permeable pavement. Variance partitioning analysis showed that edaphic properties contributed to 12% of the bacterial community variation, heavy metal pollution explained 3.6% of the variation, and interaction between the two explained 33% of the variance. Together, our data indicate that impervious surfaces induced changes in bacterial community composition and decrease of bacterial diversity. Interactions between edaphic properties and heavy metals were here found to change the composition of the bacterial community and diversity

  16. Impervious Surfaces Alter Soil Bacterial Communities in Urban Areas: A Case Study in Beijing, China

    Directory of Open Access Journals (Sweden)

    Yinhong Hu

    2018-02-01

    Full Text Available The rapid expansion of urbanization has caused land cover change, especially the increasing area of impervious surfaces. Such alterations have significant effects on the soil ecosystem by impeding the exchange of gasses, water, and materials between soil and the atmosphere. It is unclear whether impervious surfaces have any effects on soil bacterial diversity and community composition. In the present study, we conducted an investigation of bacterial communities across five typical land cover types, including impervious surfaces (concrete, permeable pavement (bricks with round holes, shrub coverage (Buxus megistophylla Levl., lawns (Festuca elata Keng ex E. Alexeev, and roadside trees (Sophora japonica Linn. in Beijing, to explore the response of bacteria to impervious surfaces. The soil bacterial communities were addressed by high-throughput sequencing of the bacterial 16S rRNA gene. We found that Proteobacteria, Actinobacteria, Acidobacteria, Bacteroidetes, Chloroflexi, and Firmicutes were the predominant phyla in urban soils. Soil from impervious surfaces presented a lower bacterial diversity, and differed greatly from other types of land cover. Soil bacterial diversity was predominantly affected by Zn, dissolved organic carbon (DOC, and soil moisture content (SMC. The composition of the bacterial community was similar under shrub coverage, roadside trees, and lawns, but different from beneath impervious surfaces and permeable pavement. Variance partitioning analysis showed that edaphic properties contributed to 12% of the bacterial community variation, heavy metal pollution explained 3.6% of the variation, and interaction between the two explained 33% of the variance. Together, our data indicate that impervious surfaces induced changes in bacterial community composition and decrease of bacterial diversity. Interactions between edaphic properties and heavy metals were here found to change the composition of the bacterial community and

  17. Participatory Design to Enhance ICT Learning and Community Attachment: A Case Study in Rural Taiwan

    Directory of Open Access Journals (Sweden)

    Yi-Ting Huang

    2015-03-01

    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.

  18. A Group Approach in a Community Empowerment: A Case Study of Waste Recycling Group in Jakarta

    Science.gov (United States)

    Hadiyanti, Puji

    2016-01-01

    This study reviews a group approach in empowering the community through waste recycling activities related to the development of human resources in Jakarta. The specific objectives to be achieved are the wish to understand and find: (1) Conditions of waste recycling empowerment in Jakarta, (2) Mechanisms of a group approach in empowering…

  19. Examining an Evolution: A Case Study of Organizational Change Accompanying the Community College Baccalaureate

    Science.gov (United States)

    McKinney, Lyle; Morris, Phillip A.

    2010-01-01

    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…

  20. A Case Study Exploring Research Communication and Engagement in a Rural Community Experiencing an Environmental Disaster

    Science.gov (United States)

    Winters, Charlene A.; Kuntz, Sandra W.; Weinert, Clarann; Black, Brad

    2014-01-01

    As a means to involve the public in research, the National Institutes of Health (NIH) established the Partners in Research Program and solicited research grant applications from academic/scientific institutions and community organizations that proposed to forge partnerships: (a) to study methods and strategies to engage and inform the public…

  1. Enhancing engagement with community sector organisations working in sustainable waste management: A case study.

    Science.gov (United States)

    Dururu, John; Anderson, Craig; Bates, Margaret; Montasser, Waleed; Tudor, Terry

    2015-03-01

    Voluntary and community sector organisations are increasingly being viewed as key agents of change in the shifts towards the concepts of resource efficiency and circular economy, at the community level. Using a meta-analysis and questionnaire surveys across three towns in the East Midlands of England, namely Northampton, Milton Keynes and Luton, this study aimed to understand public engagement with these organisations. The findings suggest that these organisations play a significant and wide-spread role, not only with regard to sustainable environmental management, but also a social role in community development and regeneration. The surveys indicated that there were generally high levels of awareness of the organisations and strong engagement with them. Clothes were the items most donated. Key reasons for engagement included the financial value offered and the perception that it helped the environment. However, potential limitations in future public engagement were also determined and recommendations for addressing these suggested. © The Author(s) 2015.

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

    International Nuclear Information System (INIS)

    Dixon, Brent; Hanson, Duane; Matthern, Gretchen

    2003-01-01

    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

  3. 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

    2003-02-27

    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.

  4. Community Involvement in Tourism Entrepreneurship: A Case Study in Tioman Island, Malaysia

    OpenAIRE

    Norhafiza Md Sharif; Ku‘Azam Tuan Lonik

    2017-01-01

    The tourism sector is one of the major economic contributors to most countries. Island tourism is one of the important tourism products of a country and is able to catalyse socio-economic development for the local communities. In Malaysia, studies on local entrepreneurship development in Tioman Island has not been given much attention by researchers. To fill this gap, this study aims to provide information on the field of entrepreneurial tourism in Tioman Island. The main objective of this st...

  5. Tacit knowledge of public health nurses in identifying community health problems and need for new services: a case study.

    Science.gov (United States)

    Yoshioka-Maeda, Kyoko; Murashima, Sachiyo; Asahara, Kiyomi

    2006-09-01

    The purpose of this study was to explore the tacit knowledge of public health nurses in identifying community health problems and developing relevant new projects. Previous research only roughly showed those skills for creating new community health services, such as lobbying. Nine Japanese public health nurses who had created new projects in their municipalities were selected by theoretical sampling and interviewed in 2002-2003. Yin's Case Study Method, especially the multiple-case study design, was used. All 9 public health nurses used similar approaches in identifying community health problems and the need for creating new services, even though their experiences differed and the kinds of projects varied. They identified the difficulties of clients, recognized clients who had the same problems, elucidated the limitations of existing services, and forecasted outcomes from the neglect of the clients' problems. Then they succeeded in creating a new project by examining individual health problems in the context of their community's characteristics, societal factors, and using existing policies to support their clients. This is the first study to explore the skills of public health nurses and their intention to use such skills in creating new projects as well as the exact process. They could identify community health problems that will be the basis for developing new services to provide care for individual clients. This is different from the traditional community assessment approach that requires the collection of a huge amount of information to clarify community health problems. The tacit knowledge of public health nurses will help to create needs-oriented new services more smoothly.

  6. Specific issues, exact locations: case study of a community mapping project to improve safety in a disadvantaged community.

    Science.gov (United States)

    Qummouh, Rana; Rose, Vanessa; Hall, Pat

    2012-12-01

    Safety is a health issue and a significant concern in disadvantaged communities. This paper describes an example of community-initiated action to address perceptions of fear and safety in a suburb in south-west Sydney which led to the development of a local, community-driven research project. As a first step in developing community capacity to take action on issues of safety, a joint resident-agency group implemented a community safety mapping project to identify the extent of safety issues in the community and their exact geographical location. Two aerial maps of the suburb, measuring one metre by two metres, were placed on display at different locations for four months. Residents used coloured stickers to identify specific issues and exact locations where crime and safety were a concern. Residents identified 294 specific safety issues in the suburb, 41.9% (n=123) associated with public infrastructure, such as poor lighting and pathways, and 31.9% (n=94) associated with drug-related issues such as drug activity and discarded syringes. Good health promotion practice reflects community need. In a very practical sense, this project responded to community calls for action by mapping resident knowledge on specific safety issues and exact locations and presenting these maps to local decision makers for further action.

  7. Case study of a solid-waste-scavenger community with respect to health and environment

    Energy Technology Data Exchange (ETDEWEB)

    Kungskulniti, Nipapun.

    1991-01-01

    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.

  8. Private sector community forestry partnerships in the Eastern Cape – The Manubi woodlot case study

    CSIR Research Space (South Africa)

    Cocks, M

    2000-01-01

    Full Text Available been made possible by the financial support of the UK Department for International Development and the European Commission iii Citation: Cocks, M., Matsiliza, B & Fabricius, C. 2000. Private-Sector Community Forestry Partnerships in the Eastern... contracting in South Africa. This study of trends in outsourcing and contracting in the South African forest industry seeks to deepen understanding of the national context within which contracting is an increasing practice, and examines possible options...

  9. 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

    2012-06-01

    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.

  10. Ethics review of multisite studies: the difficult case of community-based indigenous health research.

    Science.gov (United States)

    Studdert, David M; Vu, Tamara M; Fox, Sarah S; Anderson, Ian P; Keeffe, Jill E; Taylor, Hugh R

    2010-03-01

    Researchers have longstanding concerns about the logistical and administrative burdens posed by ethics review of multisite studies involving human participants. Centralised ethics review, in which approval by one committee has authority across multiple sites, is widely touted as a strategy for streamlining the process. The Harmonisation of Multi-centre Ethical Review (HoMER) project is currently developing such a system for Australia. It is unclear how centralised review will work for multisite Indigenous health research, where the views of local stakeholders are important and community consultation is mandatory. Our recent experience in conducting the National Indigenous Eye Health Survey (NIEHS) shows how elaborate the current ethics approval and community consultation processes can be, and points to several lessons and ideas to guide pending reforms.

  11. Case Study: Cincinnati, Covington, and Newport. Needle-Moving Community Collaboratives

    Science.gov (United States)

    Seldon, Willa; Jolin, Michele; Schmitz, Paul

    2012-01-01

    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…

  12. Transformation of Palm Beach Community College to Palm Beach State College: A Case Study

    Science.gov (United States)

    Basiratmand, Mehran

    2013-01-01

    The purpose of this single-site case study was to examine the organization and leadership change process of Palm Beach State College, a publicly funded institution in Florida, as it embarked on offering bachelor's degree programs. The study examined the organizational change process and the extent to which Palm Beach State College's organization…

  13. Building Trust in Natural Resource Management Within Local Communities: A Case Study of the Midewin National Tallgrass Prairie

    Science.gov (United States)

    Davenport, Mae A.; Leahy, Jessica E.; Anderson, Dorothy H.; Jakes, Pamela J.

    2007-03-01

    Communities neighboring federally protected natural areas regularly weigh the costs and benefits of the administering agency’s programs and policies. While most agencies integrate public opinion into decision making, efforts to standardize and formalize public involvement have left many local communities feeling marginalized, spurring acrimony and opposition. A significant body of research has examined barriers to effective public participation as well as strategies for relationship building in planning processes; many of which point to trust as a key factor. Trust is especially tenuous in local communities. This paper explores perceptions of trust, expectations for management, as well as constraints to building trust. In-depth interviews were conducted with 21 community members and USDA Forest Service personnel at the Midewin National Tallgrass Prairie in northeastern Illinois. The interviews revealed that trust is perceived as important to effective management. Distinct expectations for management outcomes and processes emerged, including the values, knowledge, and capacity demonstrated in management decisions and actions and opportunities provided for communication, collaboration, and cooperation within the agency-community relationship. The case study identified several constraints to building trust, including competing values, knowledge gaps, limited community engagement, and staff turnover.

  14. The Need for Hematology Nurse Education in Low- and Middle-Income Countries: A Community Case Study in Tanzania

    OpenAIRE

    Buser, Julie M.

    2017-01-01

    Hematology-related diseases, such as anemia, malaria, sickle cell disease (SCD), and blood cancers, have differing rates of survival between high-income and low- and middle-income countries (LMICs). Nurses in LMICs have an unmet need for specialty training and education to address hematology and hemato-oncology disorders. A gap in the literature exists about hematology nurse education and clinical service demands in LMICs. This community case study documents a collaborative hematology and bas...

  15. Traditional climate knowledge: a case study in a peasant community of Tlaxcala, Mexico.

    Science.gov (United States)

    Rivero-Romero, Alexis D; Moreno-Calles, Ana I; Casas, Alejandro; Castillo, Alicia; Camou-Guerrero, Andrés

    2016-08-18

    Traditional climate knowledge is a comprehensive system of insights, experiences and practices used by peasant communities to deal with the uncertainties of climate conditions affecting their livelihood. This knowledge is today as relevant in the Mesoamerican and Andean regions as it is in Europe and Asia. Our research sought to analyze the traditional knowledge about the weather and climate in a rural village of the state of Tlaxcala, Mexico, and its importance in decision-making in agriculture. Through 30 interviews and participant observation in the community during 2013, information was gathered about traditional climate and weather indicators and prediction tools, as well as rituals and agronomic and agroforestry strategies. This information allowed for the reconstruction of the community's agro-festive calendar. Data analysis was carried out with the help of the qualitative analysis software Atlas.ti (version 7). The socio-ecological importance of traditional knowledge about the climate lies in its ability to forecast local weather conditions and recognize climate variations, so vital to the food security of rural families. Knowledge about climate predictors is exchanged and passed on from generation to generation, contributing to the preservation and promotion of biodiversity. By observing the behavior of 16 animals and 12 plant species (both domestic and wild) as well as seven astronomical indicators, villagers are able to predict rain, dry weather and frosts. However, the continuity of this traditional knowledge in the community under study is now compromised by the little interest in agriculture characteristic of the younger generations, the ensuing abandonment of the countryside, the widespread economic crisis and the disappearance of animal and plant species. Traditional climate knowledge includes the understanding of weather events and weather changes at different time scales (hours, days, weeks, and seasons). The ability to interpret weather events

  16. Collaborative leadership and the implementation of community-based fall prevention initiatives: a multiple case study of public health practice within community groups.

    Science.gov (United States)

    Markle-Reid, Maureen; Dykeman, Cathy; Ploeg, Jenny; Kelly Stradiotto, Caralyn; Andrews, Angela; Bonomo, Susan; Orr-Shaw, Sarah; Salker, Niyati

    2017-02-16

    Falls among community-dwelling older adults are a serious public health concern. While evidence-based fall prevention strategies are available, their effective implementation requires broad cross-sector coordination that is beyond the capacity of any single institution or organization. Community groups comprised of diverse stakeholders that include public health, care providers from the public and private sectors and citizen volunteers are working to deliver locally-based fall prevention. These groups are examples of collective impact and are important venues for public health professionals (PHPs) to deliver their mandate to work collaboratively towards achieving improved health outcomes. This study explores the process of community-based group work directed towards fall prevention, and it focuses particular attention on the collaborative leadership practices of PHPs, in order to advance understanding of the competencies required for collective impact. Four community groups, located in Ontario, Canada, were studied using an exploratory, retrospective, multiple case study design. The criteria for inclusion were presence of a PHP, a diverse membership and the completion of an initiative that fit within the scope of the World Health Organization Fall Prevention Model. Data were collected using interviews (n = 26), focus groups (n = 4), and documents. Cross-case synthesis was conducted by a collaborative team of researchers. The community groups differed by membership, the role of the PHP and the type of fall prevention initiatives. Seven practice themes emerged: (1) tailoring to address context; (2) making connections; (3) enabling communication; (4) shaping a vision; (5) skill-building to mobilize and take action; (6) orchestrating people and projects; and (7) contributing information and experience. The value of recognized leadership competencies was underscored and the vital role of institutional supports was highlighted. To align stakeholders working

  17. Is Decentralization Leading to "Real" Decision-Making Power for Forest-dependent Communities? Case Studies from Mexico and Brazil

    Directory of Open Access Journals (Sweden)

    Reem F. Hajjar

    2012-03-01

    Full Text Available Decentralization of forest governance has been promoted as a way to conserve forests more effectively, while also improving rural and forest-dependent livelihoods. Prior to assessing the consequences of this decentralization trend, there is a need to critically examine the degree to which decentralization of forest management decision making is actually happening. In particular, it is unclear whether communities are securing legal authority and/or decision-making power over the forests on which they depend. This study uses case studies of community forestry in Brazil and Mexico to examine the amount of decision-making power communities and smallholders have received over forest resources. A framework for assessment is developed that identifies criteria of relevance to community members' rights and day-to-day activities. We found that in both countries the government maintains significant control over forest resources through heavy regulation of extraction, but that communities have increasing control over day-to-day forest management decisions. We conclude by posing questions on the appropriate levels of decentralization for optimal outcomes.

  18. Integrating Community Engagement with Management Education: A Case Study of ENT300014 Social Innovation Internship

    Science.gov (United States)

    Ngui, Kwang-Sing; Voon, Mung-Ling; Lee, Miin-Huui

    2017-01-01

    Purpose: The purpose of this paper is to describe the development of an academic service learning course in a foreign university branch campus in Malaysia, and its outcomes in terms of student learning. Drawing on the transformative learning theory and case study research, it discusses three forms of learning that characterise the students'…

  19. Community Role in Heritage Management and Sustainable Turism Development: Case Study of the Danube Regionin Serbia

    Directory of Open Access Journals (Sweden)

    Aleksandra TERZIĆ

    2014-12-01

    Full Text Available Destinations and cultural resources that are used and respected by both residents and tour-ists are the ultimate goal of sustainable tourism development. The sustainable tourism as an emerging paradigm seems to enhance the exist-ing conceptual frameworks on tourism planning and development by making the residents its focal point. In that sense, opinions and attitudes of residents on the protection of cultural heritage and the possibilities of tourism development in their environment are very important. The Dan-ube region in Serbia is recognized as a region of high quality natural characteristics and cultural resources which gives an outstanding opportuni-ty for tourism development. The purpose of the study is to examine the current state of the heri-tage management in the Danube region in Serbia and to outline the tourism development potentials of the area. The objective of the study is to ex-amine the role of the local communities in these aspects.  The methods used in the study were a public opinion survey, a focus group interview of 12 experts and the evaluation of the sustainable cultural tourism development indicators. The results have shown that local population in the Danube region in Serbia has, in general, a posi-tive opinion and initial enthusiasm when it comes to tourism development, but their role is margin-alized in the process. This is the key proposition to start an initiative for the local communities to actively participate in tourism development.

  20. Community Involvement in Tourism Entrepreneurship: A Case Study in Tioman Island, Malaysia

    Directory of Open Access Journals (Sweden)

    Norhafiza Md Sharif

    2017-10-01

    Full Text Available The tourism sector is one of the major economic contributors to most countries. Island tourism is one of the important tourism products of a country and is able to catalyse socio-economic development for the local communities. In Malaysia, studies on local entrepreneurship development in Tioman Island has not been given much attention by researchers. To fill this gap, this study aims to provide information on the field of entrepreneurial tourism in Tioman Island. The main objective of this study is to identify the characteristics of the island community as a tourism entrepreneur and to analyse the problems and challenges faced by the island's tourism entrepreneurs. The findings show that the majority of entrepreneurs are male, aged between 25 to 44, receive education until secondary school and married. Most of the local tourism entrepreneurs run the food and beverage business and manage their businesses for 11 to 15 years and earn a monthly income of RM2001 to RM4000. The local tourism operators also face a few problems such as capital and finance, marketing, business management and infrastructure. At the same time, the entrepreneurs also expect collaboration from the government to play an important role in advancing the island's tourism industry. At the same time, local tourism entrepreneurs also expect cooperation from the government and other authorities to play a role in developing the island's tourism industry.

  1. Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies.

    Science.gov (United States)

    Villagra, Paula; Quintana, Carolina

    2017-09-14

    This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance-redundancy, diversity, and overlap-were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32) and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention) were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index) were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle.

  2. Risk factors for community-acquired pneumonia among adults in Kenya: a case-control study.

    Science.gov (United States)

    Muthumbi, Esther; Lowe, Brett S; Muyodi, Cyprian; Getambu, Esther; Gleeson, Fergus; Scott, J Anthony G

    2017-01-01

    Pneumonia is a leading cause of morbidity and mortality among adults worldwide; however, the risk factors for community-acquired pneumonia in Africa are not well characterized. The authors recruited 281 cases of community-acquired pneumonia and 1202 hospital controls among patients aged ≥15 years who attended Kilifi District Hospital/Coast Provincial General Hospital in Kenya between 1994 and 6. Cases were admissions with an acute illness with ≥2 respiratory signs and evidence of consolidation on a chest radiograph. Controls were patients without signs of pneumonia, frequency matched by age, sex and hospital. Risk factors related to socio-demographic factors, drug use, clinical history, contact patterns and exposures to indoor air pollution were investigated by questionnaire, anthropometric measurements and laboratory assays. Associations were evaluated using a hierarchical logistic regression model. Pneumonia was associated with human immunodeficiency virus (HIV) infection (Odds Ratio [OR] 2.06, 95% CI 1.44-3.08), anemia (OR 1.91, 1.31-2.74), splenomegaly (OR 2.04, 95% CI 1.14-3.41), recent history of pneumonia (OR 4.65, 95% CI 1.66-12.5), history of pneumonia >2 years previously (OR 17.13, 95% CI 5.01-60.26), coryza in the 2 weeks preceding hospitalization (OR 2.09, 95% CI 1.44-3.03), current smoking (2.19, 95% CI 1.39-3.70), use of khat (OR 3.44, 95% CI 1.72-7.15), use of snuff (OR 2.67, 95% CI 1.35-5.49) and contact with several animal species. Presence of a Bacillus Calmette-Guerin (BCG) scar was associated with protection (OR 0.51, 95% CI 0.32-0.82). The risk factors varied significantly by sex. Pneumonia in Kenyan adults was associated with global risk factors, such as HIV and smoking, but also with specific local factors like drug use and contact with animals. Intervention strategies should account for sex-specific differences in risk factors.

  3. 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

    2012-01-01

    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....

  4. Donor Retention in Online Crowdfunding Communities: A Case Study of DonorsChoose.org.

    Science.gov (United States)

    Althoff, Tim; Leskovec, Jure

    2015-05-01

    Online crowdfunding platforms like DonorsChoose.org and Kick-starter allow specific projects to get funded by targeted contributions from a large number of people. Critical for the success of crowdfunding communities is recruitment and continued engagement of donors. With donor attrition rates above 70%, a significant challenge for online crowdfunding platforms as well as traditional offline non-profit organizations is the problem of donor retention. We present a large-scale study of millions of donors and donations on DonorsChoose.org, a crowdfunding platform for education projects. Studying an online crowdfunding platform allows for an unprecedented detailed view of how people direct their donations. We explore various factors impacting donor retention which allows us to identify different groups of donors and quantify their propensity to return for subsequent donations. We find that donors are more likely to return if they had a positive interaction with the receiver of the donation. We also show that this includes appropriate and timely recognition of their support as well as detailed communication of their impact. Finally, we discuss how our findings could inform steps to improve donor retention in crowdfunding communities and non-profit organizations.

  5. Factors Associated With Weight Change in Online Weight Management Communities: A Case Study in the LoseIt Reddit Community.

    Science.gov (United States)

    Pappa, Gisele Lobo; Cunha, Tiago Oliveira; Bicalho, Paulo Viana; Ribeiro, Antonio; Couto Silva, Ana Paula; Meira, Wagner; Beleigoli, Alline Maria Rezende

    2017-01-16

    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. 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. 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. 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 received per post, and topics discussed

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

    Science.gov (United States)

    Jacobs, J

    1992-01-01

    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.

  7. 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)

    2009-12-19

    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

  8. Implementation plan for an online business community - A case study in logistics

    OpenAIRE

    Aho, Lauri

    2011-01-01

    Through a case study, this thesis examines possibilities to how can Logiera, a regional logistics integrator, use social media as a shared learning environment for its forthcoming logistics business network. Using literature sources and concrete examples, this paper explains the concepts that pertain to social media, including its emergence, significance in corporate use and possibilities in supply chain integration as well as issues that relate to the deployment of social media systems....

  9. Best Practices Case Study: Pulte Homes and Communities of Del Webb, Las Vegas Division

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-10-01

    Case study of Pulte Homes Las Vegas Division, who certified nearly 1,200 homes to the DOE Builders Challenge between 2008 and 2012. All of the homes by Las Vegas’ biggest builder achieved HERS scores of lower than 70, and many floor plans got down to the mid 50s, with ducts located in sealed attics insulated along the roof line, advanced framing, and extra attention to air sealing.

  10. Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies

    Directory of Open Access Journals (Sweden)

    Paula Villagra

    2017-09-01

    Full Text Available This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance—redundancy, diversity, and overlap—were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32 and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle.

  11. The GeoCitizen-approach: community-based spatial planning – an Ecuadorian case study

    Science.gov (United States)

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

    2014-01-01

    Over the last years, geospatial web platforms, social media, and volunteered geographic information (VGI) have opened a window of opportunity for traditional Public Participatory GIS (PPGIS) to usher in a new era. Taking advantage of these technological achievements, this paper presents a new approach for a citizen-orientated framework of spatial planning that aims at integrating participatory community work into existing decision-making structures. One major cornerstone of the presented approach is the application of a social geoweb platform (the GeoCitizen platform) that combines geo-web technologies and social media in one single tool allowing citizens to collaboratively report observations, discuss ideas, solve, and monitor problems in their living environment at a local level. This paper gives an account of an ongoing participatory land-zoning process in the Capital District of Quito, Ecuador, where the GeoCitizen platform is applied in a long-term study. PMID:27019644

  12. The GeoCitizen-approach: community-based spatial planning - an Ecuadorian case study.

    Science.gov (United States)

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

    2014-05-27

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

  13. Stimulating cancer screening among Latinas and African-American women. A community case study.

    Science.gov (United States)

    Yancey, A K; Walden, L

    1994-01-01

    Recent studies have attributed underutilization of early cancer detection programs among the disadvantaged to knowledge deficits and myths, lack of belief in cancer susceptibility (denial), and such attitudinal barriers as fear and embarrassment. Video modalities have been demonstrated to be effective in increasing knowledge and promoting health-protective behavior in low-income people of color. Waiting rooms of public health clinic facilities in large urban areas provide a captive audience of predominantly African Americans and Latinos with a preference for obtaining health information from audiovisual media. The development of a culturally sensitive, cost-effective documentary format is described. An experience of rapid acceleration in demand for Pap smears in an underserved Latino community of East Los Angeles following the showing of one of these videos is chronicled as a spontaneous and informal evaluation of this approach to health education/promotion video production.

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

    Directory of Open Access Journals (Sweden)

    Rumeninng Abrantes Santos

    2014-11-01

    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.

  15. Addressing the social determinants of health: a case study from the Mitanin (community health worker) programme in India.

    Science.gov (United States)

    Nandi, Sulakshana; Schneider, Helen

    2014-09-01

    The Mitanin Programme, a government community health worker (CHW) programme, was started in Chhattisgarh State of India in 2002. The CHWs (Mitanins) have consistently adopted roles that go beyond health programme-specific interventions to embrace community mobilization and action on local priorities. The aim of this research was to document how and why the Mitanins have been able to act on the social determinants of health, describing the catalysts and processes involved and the enabling programmatic and organizational factors. A qualitative comparative case study of successful action by Mitanin was conducted in two 'blocks', purposefully selected as positive exemplars in two districts of Chhattisgarh. One case focused on malnutrition and the other on gender-based violence. Data collection involved 17 in-depth interviews and 10 group interviews with the full range of stakeholders in both blocks, including community members and programme team. Thematic analysis was done using a broad conceptual framework that was further refined. Action on social determinants involved raising awareness on rights, mobilizing women's collectives, revitalizing local political structures and social action targeting both the community and government service providers. Through these processes, the Mitanins developed identities as agents of change and advocates for the community, both with respect to local cultural and gender norms and in ensuring accountability of service providers. The factors underpinning successful action on social determinants were identified as the significance of the original intent and vision of the programme, and how this was carried through into all aspects of programme design, the role of the Mitanins and their identification with village women, ongoing training and support, and the relative autonomy of the programme. Although the results are not narrowly generalizable and do not necessarily represent the situation of the Mitanin Programme as a whole, the

  16. Corporate Social Responsibility: Case Study of Community Expectations and the Administrative Systems, Niger Delta

    Science.gov (United States)

    Ogula, David

    2012-01-01

    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…

  17. A Case Study of Rural Community Colleges' Transition to Entrepreneurship

    Science.gov (United States)

    Genandt, James D.

    2017-01-01

    The traditional role of workforce training by community colleges in support of regional economic development is insufficient to help rural areas survive in a global economy. Rural community colleges are uniquely positioned to provide enhanced economic development support through entrepreneurship and small business development programs. Using…

  18. Student-Created Musical as a Community of Practice: A Case Study

    Science.gov (United States)

    Whitaker, Nancy

    2016-01-01

    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…

  19. Problems with Reporting and Evaluating Mining Industry Community Development Projects: A Case Study from Tanzania

    Directory of Open Access Journals (Sweden)

    Esther Wangari

    2012-02-01

    Full Text Available Reporting on contributions to community development is one way gold mining companies communicate the expanse and depth of their commitment to social responsibility. These projects are intended to provide the mine-proximate communities with some of the wealth and other benefits generated by mine development in their locales. We raise questions about reporting and evaluation of community development projects undertaken by AngloGold Ashanti in the two communities of Nyakabale and Nyamalembo, near its Geita mining projects in the Lake Victoria goldfields of Tanzania. We use archival data and data obtained from field research conducted during different periods throughout 2005, 2007 and 2010 to compare what the company reports to have done with what is found on the ground. Our findings revealed that the corporate reporting is misleading, ambiguous, and omissive. Much of the effort labeled “community development” benefited the companies directly via infrastructure development, food supplies to the mine cafeteria, and worker health. We argue that, if Corporate Social Responsibility (CSR projects are to be the primary way local people directly benefit from mine development, the relationship between the value of those projects and the wealth taken from the location should be considered, community projects should be well defined and differentiated from company-oriented projects, and community representatives should participate in monitoring the success and impact of community development projects.

  20. Exploring Online Community among Rural Medical Education Students: A Case Study

    Science.gov (United States)

    Palmer, Ryan Tyler

    2013-01-01

    There is a severe shortage of rural physicians in America. One reason physicians choose not to practice, or persist in practice, in rural areas is due to a lack of professional community, i.e., community of practice (CoP). Online, "virtual" CoPs, enabled by now common Internet communication technology can help give rural physicians the…

  1. Immortality of Prejudice in Striving Ubuntu: Case Studies of Community Managed Schools in Nepal

    Science.gov (United States)

    Rajbhandari, Mani Man Singh; Rajbhandari, Smriti

    2016-01-01

    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…

  2. Community College Healthcare Students' Conceptions of Empathy: A Program-Wide Mixed Methods Case Study

    Science.gov (United States)

    Fields, Kellee M.

    2015-01-01

    Community colleges play a vital role in the education of our Nations healthcare professions. In order to respond to the rising economic and social needs of the healthcare sector, community colleges are meeting the challenge by providing health professions skills and training programs to meet these shortages. These crucial programs are charged with…

  3. International Community-Based Service Learning: Two Comparative Case Studies of Benefits and Tensions

    Science.gov (United States)

    Akhurst, Jacqueline

    2016-01-01

    The drives to internationalise the UK curriculum and psychology students' desires to work in communities are brought together in this paper. International community-based learning (ICBL) links with many psychology students' motivations to make contributions to others; with the potential to enhance students' learning and cultural sensitivities. The…

  4. Risk factors for human brucellosis in agro-pastoralist communities of south western Uganda: a case-control study.

    Science.gov (United States)

    Asiimwe, Benon B; Kansiime, Catherine; Rwego, Innocent B

    2015-09-04

    Brucellosis is a zoonosis of veterinary, public health and economic significance in most developing countries. The disease can result in permanent and disabling sequelae and considerable medical expenses in addition to loss of income due to loss of working hours. A case-control study was conducted in Nyabushozi, Kiruhura district, Uganda, so as to determine the risk factors for transmission of brucellosis to humans in these communities. We conducted a matched case-control study among participants in a previous study who were positive by the standard Serum Agglutination Test with titres ≥1:160. Controls were two neighbors for each case, matched by sex and age. A structured interviewer administered questionnaire was used to collect data on potential risk factors for brucellosis. Categorical variables were presented as proportions and their associations determined by Chi-square test. Bivariate analysis was performed to explore associations between the disease and the risk factors of brucellosis. Conditional logistic regression models were fitted to estimate independent associations between the disease and the risk factors using Odds Ratios and 95% confidence intervals. A total of 45 cases and 90 controls were interviewed. Of the 45 cases, 21 (46.7%) were male while 44/90 (48.9%) of the controls were female. The most significant risk factors for infection being an agro-pastoralist (P = 0.05), consumption of raw cow ghee (P = 0.03) and consumption of unpasteurized milk (P = 0.02). The greatest risk factors for acquiring brucellosis in the study area were being an agro-pastoralist, consumption of raw cow ghee and consumption of unboiled milk. We recommend dissemination of health education packages regarding risks and prevention measures for brucellosis in these communities.

  5. Epistemic communities in global health and the development of child survival policy: a case study of iCCM.

    Science.gov (United States)

    Dalglish, Sarah L; George, Asha; Shearer, Jessica C; Bennett, Sara

    2015-12-01

    Nearly all African countries have recently implemented some form of integrated community case management of childhood illness (iCCM), a strategy aimed at reducing child mortality by providing curative care for common yet fatal childhood illnesses. This case study describes the evolution of iCCM at the global level using the theory of epistemic communities first outlined by Haas, which explains how international policy coordination on technical issues takes place via transnational expert networks. We draw from in-depth interviews with global policy-makers (n = 25), a document review (n = 72) and co-authorship network analysis of scientific articles on iCCM. We find that members of the iCCM epistemic community were mainly mid- to upper-level technical officers working in the headquarters of large norm-setting bodies, implementing partners, funders and academic/research groups in global health. Already linked by pre-existing relationships, the epistemic community was consolidated as conflicts were overcome through structural changes in the network (including or excluding some members), changes in the state of technology or scientific evidence, shifting funding considerations, and the development of consensus through argument, legitimation and other means. Next, the epistemic community positioned iCCM as a preferred solution via three causal dynamics outlined by Haas: (1) responding to decision-makers' uncertainty about how to reduce child mortality after previous policies proved insufficient, (2) using sophisticated analytic tools to link the problem of child mortality to iCCM as a solution and (3) gaining buy-in from major norm-setting bodies and financial and institutional support from large implementing agencies. Applying the epistemic communities framework to the iCCM case study reveals the strengths and weaknesses of a focused policy enterprise with highly specialized and homogenous disciplinary origins, allowing for efficient sharing of complex, high

  6. Environmental attitudes of stakeholders and their perceptions regarding protected area-community conflicts: a case study in China.

    Science.gov (United States)

    Liu, Jing; Ouyang, Zhiyun; Miao, Hong

    2010-11-01

    Large numbers of people living in and around protected areas are highly dependent on the natural resources. However, simply excluding them from the area management has always inevitably resulted in conflicts. We conducted a case study of the Protected Area of Jinyun Mountain (PJM) in China to evaluate social context variables, environmental attitudes, and perceptions regarding protected area-community conflicts. Data were collected through questionnaire surveys administered to four stakeholder groups (i.e. local farmers, government staff, business persons, and tourists). A total of 112 questionnaires were completed in December 2008, after the Sichuan Earthquake. The questionnaire consisted of three parts, social context (gender, race, age, income, and education level), protected area-community conflicts, and environmental attitudes. The New Ecological Paradigm (NEP) scores, which were employed to evaluate environmental attitudes, differed significantly among the stakeholder groups (Pprotected area-community relationship indicated that harmony and conflict both exist in the PJM, but have different forms among different stakeholders, and seem to be opposite between government staff and local farmers. Among the indexes, tourism primarily contributed to the harmonious aspect, while collection of NTFPs did to the conflicting one. Conflict scores were positively related to age and negatively related to education level. Respondents with higher NEP scores were more partial to the park management. Besides, the respondents with higher annual incomes tended to support the policy of harmonizing the relationship and lessening the harm of local communities to the area. To promote proenvironmental attitudes and alleviate the protected area-community conflicts, we recommend improving environmental education, establishing community co-management, and launching substitute sources of cash for traditional cultivation. Copyright 2010 Elsevier Ltd. All rights reserved.

  7. Private sector community forestry partnerships in the Eastern Cape – The Longweni woodlot case study

    CSIR Research Space (South Africa)

    Cocks, M

    2000-01-01

    Full Text Available for sustainable private sector forestry in South Africa. The reports in this series are listed below. Instruments for Sustainable Private Sector Forestry, South Africa – report series Overview and synthesis • Mayers, J., Evans, J. and Foy, T. 2001. Raising.... • Heyl, L., von Maltitz, G., Evans, J. and Segoale, R. 2000. Issues and opportunities for small-scale sawmilling in South Africa: an Eastern Cape case study. This report describes the scale, structure and market niche of the small sawmilling subsector...

  8. A comprehensive grid to evaluate case management's expected effectiveness for community-dwelling frail older people: results from a multiple, embedded case study.

    Science.gov (United States)

    Van Durme, Thérèse; Schmitz, Olivier; Cès, Sophie; Anthierens, Sibyl; Maggi, Patrick; Delye, Sam; De Almeida Mello, Johanna; Declercq, Anja; Macq, Jean; Remmen, Roy; Aujoulat, Isabelle

    2015-06-18

    Case management is a type of intervention expected to improve the quality of care and therefore the quality of life of frail, community-dwelling older people while delaying institutionalisation in nursing homes. However, the heterogeneity, multidimensionality and complexity of these interventions make their evaluation by the means of classical approaches inadequate. Our objective was twofold: (i) to propose a tool allowing for the identification of the key components that explain the success of case management for this population and (ii) to propose a typology based on the results of this tool. The process started with a multiple embedded case study design in order to identify the key components of case management. Based on the results of this first step, data were collected among 22 case management interventions, in order to evaluate their expected effectiveness. Finally, multiple correspondence analyses was conducted to propose a typology of case management. The overall approach was informed by Wagner's Chronic Care Model and the theory of complexity. The study identified a total of 23 interacting key components. Based on the clustering of response patterns of the 22 case management projects included in our study, three types of case management programmes were evidenced, situated on a continuum from a more "socially-oriented" type towards a more "clinically-oriented" type of case management. The type of feedback provided to the general practitioner about both the global geriatric assessment and the result of the intervention turned out to be the most discriminant component between the types. The study design allowed to produce a tool that can be used to distinguish between different types of case management interventions and further evaluate their effect on frail older people in terms of the delaying institutionalisation, functional and cognitive status, quality of life and societal costs.

  9. Enabling Innovation and Collaboration Across Geography and Culture: A Case Study of NASA's Systems Engineering Community of Practice

    Science.gov (United States)

    Topousis, Daria E.; Murphy, Keri; Robinson, Greg

    2008-01-01

    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. Empowering communities in combating river blindness and the role of NGOs: case studies from Cameroon, Mali, Nigeria, and Uganda.

    Science.gov (United States)

    Meredith, Stefanie E O; Cross, Catherine; Amazigo, Uche V

    2012-05-10

    The control of onchocerciasis is not only a major success story in global health, but also one of the best examples of the power of public-private partnership at the international level as well as at the national level. The onchocerciasis story is also a leading example of the contribution of a group of called Non-Governmental Development Organizations (NGDO) to operational research which resulted in important changes in treatment strategies and policies.The four case studies presented here illustrate some key contributions the NGDOs made to the development of "community directed treatment with ivermectin" -CDTI, in Africa, which became the approved methodology within the African Programme for Onchocerciasis Control (APOC). The partnership between the international, multilateral, government institutions and the NGDO Coordination Group was the backbone of the APOC programme's structure and facilitated progress and scale-up of treatment programmes. Contributions included piloting community-based methodology in Mali and Nigeria; research, collaboration and coordination on treatment strategies and policies, coalition building, capacity building of national health workforce and advocacy at the national and international level. While the Onchocerciasis Control Programme (OCP) and APOC provided leadership, the NGDOs working with the national health authorities played a major role in advocacy evolving the community methodology which led to achieving and maintaining- treatments with ivermectin for at least 20 years and strengthening community health systems.

  11. Personal, musical and social benefits of singing in a community ensemble: Three case studies in Melbourne (Australia

    Directory of Open Access Journals (Sweden)

    Dawn Joseph

    2014-11-01

    Full Text Available Australia has a diverse, multilayered society that reflects its rich musical life. There are many community choirs formed by various cultural and linguistically diverse groups. This article is part of an ongoing project, Well-being and ageing: community, diversity and the arts (since 2008, undertaken by Deakin University and Monash University, that explores the cultural diversity within Australian society and how active music engagement fosters well-being. The singing groups selected for this discussion are the Skylarkers, the Bosnian Behar Choir, and the Coro Furlan. The Skylarkers and the Bosnian Behar Choir are mixed groups who respectively perform popular music from their generation and celebrate their culture through music. The Coro Furlan is an Italian male choir who understand themselves as custodians of their heritage. In these interpretative, qualitative case studies semi-structured interviews were undertaken and analyzed using Interpretative Phenomenological Analysis. In this approach there is an exploration of participants’ understanding of their lived experiences. The analysis of the combined data identified musical and social benefits that contribute to participants’ sense of individual well-being. Musical benefits occurred through sharing, learning and singing together. Social benefits included opportunities to build friendships, overcome isolation and gain a sense of validation. Many found that singing enhanced their health and happiness. Active music making in community choirs and music ensembles continues to be an effective way to support individuals, build community, and share culture and heritage.

  12. Engaging homeless youth in community-based participatory research: a case study from Skid Row, Los Angeles.

    Science.gov (United States)

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

    2014-01-01

    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.

  13. Achieving Research Impact Through Co-creation in Community-Based Health Services: Literature Review and Case Study.

    Science.gov (United States)

    Greenhalgh, Trisha; Jackson, Claire; Shaw, Sara; Janamian, Tina

    2016-06-01

    Co-creation-collaborative knowledge generation by academics working alongside other stakeholders-is an increasingly popular approach to aligning research and service development. It has potential for "moving beyond the ivory towers" to deliver significant societal impact via dynamic, locally adaptive community-academic partnerships. Principles of successful co-creation include a systems perspective, a creative approach to research focused on improving human experience, and careful attention to governance and process. If these principles are not followed, co-creation efforts may fail. Co-creation-collaborative knowledge generation by academics working alongside other stakeholders-reflects a "Mode 2" relationship (knowledge production rather than knowledge translation) between universities and society. Co-creation is widely believed to increase research impact. We undertook a narrative review of different models of co-creation relevant to community-based health services. We contrasted their diverse disciplinary roots and highlighted their common philosophical assumptions, principles of success, and explanations for failures. We applied these to an empirical case study of a community-based research-service partnership led by the Centre of Research Excellence in Quality and Safety in Integrated Primary-Secondary Care at the University of Queensland, Australia. Co-creation emerged independently in several fields, including business studies ("value co-creation"), design science ("experience-based co-design"), computer science ("technology co-design"), and community development ("participatory research"). These diverse models share some common features, which were also evident in the case study. Key success principles included (1) a systems perspective (assuming emergence, local adaptation, and nonlinearity); (2) the framing of research as a creative enterprise with human experience at its core; and (3) an emphasis on process (the framing of the program, the nature of

  14. Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

    Science.gov (United States)

    Weidert, Karen; Gessessew, Amanuel; Bell, Suzanne; Godefay, Hagos; Prata, Ndola

    2017-01-01

    ABSTRACT Ethiopia has made notable progress in increasing awareness and knowledge of family planning and is considered a success story among funders and program planners. Yet unmet need among rural women (28.6%) is almost double that of urban women (15.5%), with a wide gap in total fertility rate depending on urban (2.6) or rural (5.5) residence. This study investigates the impact of a service delivery model that combines community-based distribution (CBD) of contraception with social marketing in Tigray, Ethiopia, to create a more sustainable approach to CBD. Between September 2011 and October 2013, 626 volunteer CHWs were recruited and trained to administer depot medroxyprogesterone acetate (DMPA) injections and provide counseling and referrals to the health post for other methods; the project implementation period ended in June 2014. The CHWs received a supply of DMPA injections in the form of a microloan from a drug revolving fund; the CHWs charged women a minimal fee (5 birr, or US$0.29), determined based on willingness-to-pay data, for each DMPA injection; and the CHWs returned part of the fee (3 birr) to the drug revolving fund while keeping the remaining portion (2 birr). The CHWs also promoted demand for family planning through door-to-door outreach and community meetings. Existing health extension workers (HEWs) provided regular supervision of the CHWs, supplemented by in-depth supervision visits from study coordinators. Baseline and endline representative surveys of women of reproductive age, as well as of participating CHWs, were conducted. In addition, DMPA provision data from the CHWs were collected. Between October 2011 and June 2014, the CHWs served in total 8,604 women and administered an estimated 15,410 DMPA injections, equivalent to providing 3,853 couple-years of protection. There was a 25% significant increase in contraceptive use among surveyed women, from 30.1% at baseline to 37.7% at endline, with DMPA use largely responsible for this

  15. Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia.

    Science.gov (United States)

    Weidert, Karen; Gessessew, Amanuel; Bell, Suzanne; Godefay, Hagos; Prata, Ndola

    2017-03-24

    Ethiopia has made notable progress in increasing awareness and knowledge of family planning and is considered a success story among funders and program planners. Yet unmet need among rural women (28.6%) is almost double that of urban women (15.5%), with a wide gap in total fertility rate depending on urban (2.6) or rural (5.5) residence. This study investigates the impact of a service delivery model that combines community-based distribution (CBD) of contraception with social marketing in Tigray, Ethiopia, to create a more sustainable approach to CBD. Between September 2011 and October 2013, 626 volunteer CHWs were recruited and trained to administer depot medroxyprogesterone acetate (DMPA) injections and provide counseling and referrals to the health post for other methods; the project implementation period ended in June 2014. The CHWs received a supply of DMPA injections in the form of a microloan from a drug revolving fund; the CHWs charged women a minimal fee (5 birr, or US$0.29), determined based on willingness-to-pay data, for each DMPA injection; and the CHWs returned part of the fee (3 birr) to the drug revolving fund while keeping the remaining portion (2 birr). The CHWs also promoted demand for family planning through door-to-door outreach and community meetings. Existing health extension workers (HEWs) provided regular supervision of the CHWs, supplemented by in-depth supervision visits from study coordinators. Baseline and endline representative surveys of women of reproductive age, as well as of participating CHWs, were conducted. In addition, DMPA provision data from the CHWs were collected. Between October 2011 and June 2014, the CHWs served in total 8,604 women and administered an estimated 15,410 DMPA injections, equivalent to providing 3,853 couple-years of protection. There was a 25% significant increase in contraceptive use among surveyed women, from 30.1% at baseline to 37.7% at endline, with DMPA use largely responsible for this increase

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

    Directory of Open Access Journals (Sweden)

    Johnson Peter

    2010-11-01

    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

  17. Community level composting in a developing country: case study of KIWODET, Tanzania

    NARCIS (Netherlands)

    Oberlin, A.S.; Szanto, G.L.

    2011-01-01

    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

  18. Whose Community are You Working for? A Change Agent Case Study.

    Science.gov (United States)

    Silva, Janelle M

    2017-12-01

    This article explores the role and responsibility of the community psychologist in creating change that could potentially harm the group they are meant to be in solidarity with. Drawing upon a 2-year project with a Latinx Student Union at a public middle school in the Pacific Northwest, I examine the ethical dilemmas that arose when powerful stakeholders (school administration) changed the goals and intention of the research project without the consent of the low-power stakeholders (the students). This narrative seeks to shed light on the dilemmas that come with being an ethical community psychologist (Balcazar, Garate-Serafini, & Keys, 2004; Nelson, Prilleltensky, & MacGillivary, 2001; O'Neill, 1989), how these ethics can be compromised by one's identity, and what it means to work for/with/against one's community when deciding whether to stay with or leave a project. © Society for Community Research and Action 2017.

  19. Economic Community of West African States Conflict Management and Resolution: A Case Study

    National Research Council Canada - National Science Library

    Umaru, Kayode

    2003-01-01

    .... The prevalence of conflicts has risen since the last decade and though the Economic Community of West African States has been involved in the management of these conflicts, the efforts were marred...

  20. Dietary Health Behaviors of Women Living in High Rise Dwellings: A Case Study of an Urban Community in Malaysia

    OpenAIRE

    Karupaiah, Tilakavati; Swee, Winnie Chee Siew; Liew, Siew Ying; Ng, Boon Koon; Chinna, Karuthan

    2012-01-01

    Diet-related non-communicable disease (DR-NCD) occurrence is a serious problem amongst Malaysian women and urbanization is probably a challenge to their achieving the nutritional environment conducive to healthy eating. This case study aimed to determine diet quality of an urban community using women respondents from high rise dwellings in Kuala Lumpur. The sample consisted of 135 households and a healthy eating index (HEI) scale was used to evaluate the women?s diet quality. A total of 128 w...

  1. Socioeconomic impacts of nuclear power plant siting: a case study of two New England communities

    International Nuclear Information System (INIS)

    Purdy, B.J.

    1976-01-01

    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

  2. Environmental Equity through Negotiation: A Case Study on Urban Landfills and the Roma Community

    Science.gov (United States)

    Petrescu-Mag, Ruxandra Mălina; Petrescu, Dacinia Crina; Oroian, Ioan Gheorghe; Safirescu, Ovidiu Călin; Bican-Brișan, Nicoleta

    2016-01-01

    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. PMID:27314371

  3. Community participation in bank of garbage: Explorative case study in Banyumas regency

    Directory of Open Access Journals (Sweden)

    Agnes Fitria Widiyanto

    2017-12-01

    Full Text Available Waste bank is an activity that people do to reduce waste. The waste management activity through the establishment of a garbage bank becomes a very useful breakthrough, because people could save the waste which is exchangeable into money. The objective of this research is to know the inhibiting factors and the impetus for the community (targets to participate in waste bank, covering behavior, knowledge, understanding, and community motivation. This research is an exploratory research with qualitative approach implemented in Banyumas district. Data collection is done through in-depth interviews using purposive sampling. Data were analyzed using interactive analysis. The results indicate that the presence of active waste banks in the community, as well as motivated by other community members. The development of the existing garbage bank in the society is unstable that there is a need to be support from various parties so that the garbage bank continues to progress and develop. Community knowledge of waste bank activities, including collection, transportation, community participation, prices or economic value of waste and recycling activities. Factors that encourage participation in waste banks, among others are motivation and environmental conscious behavior.

  4. The readiness of farmer communities in biogas development (A case study: Wiyurejo Village, Malang Regency Indonesia)

    Science.gov (United States)

    Dinanti, D.; Erlina, D. F.; Meidiana, C.

    2017-06-01

    Wiyurejo Village has the potential for biogas development with ±75% of breeders wanting to build biogas but do not have enough vacant land. Biogas is a renewable energy source which requires the involvement of the community and public awareness in its implementation. The purpose of this research is to know the readiness of breeders for the development of biogas with limited land availability for the development of biodigester in Wiyurejo Village, Malang Regency, Indonesia. Based on the analysis, the value of the stage of readiness of farmers community in Wiyurejo Village is 2.20, which means that from nine stages of community readiness, the stage of community readiness of Wiyurejo Village is in stage three, namely vague awareness. Vague awareness means most people feel that there is a local concern, but there is no motivation to do anything about it (Plested, Edwards, & Jumper-Thurman, 2006). The value of the dimension that gives the lowest contribution and is below the average value of the community readiness is community knowledge on the issue.

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

    Directory of Open Access Journals (Sweden)

    Abegaz TM

    2016-04-01

    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

  6. Contamination of Community Potable Water from Land Grabbing: A Case Study from Rural Tanzania

    Directory of Open Access Journals (Sweden)

    Serena Arduino

    2012-06-01

    The paper discusses the direct causes of water contamination (the use of fertilisers and pesticides and the presence of cattle and the indirect causes (unclear administrative boundaries, lack of participation and transparency, procedures not followed and limited resources. The negotiation process and its outcomes are described. From this study we conclude that stakeholder communication and transparency are key elements in anticipating and preventing the arising of such situations. Often, these are in short supply when large land deals occur. In this case, ex-post solutions were arrived at. Finally, the paper looks at the broader dimensions of land deals that pollute the water feeding a water supply scheme. Such situations are a clear violation of the human right to safe drinking water – an issue that has not yet been sufficiently documented in the literature and which merits further attention.

  7. Citizen Science and Community Engagement in Tick Surveillance—A Canadian Case Study

    Directory of Open Access Journals (Sweden)

    Julie Lewis

    2018-03-01

    Full Text Available Lyme disease is the most common tick-borne disease in North America and Europe, and on-going surveillance is required to monitor the spread of the tick vectors as their populations expand under the influence of climate change. Active surveillance involves teams of researchers collecting ticks from field locations with the potential to be sites of establishing tick populations. This process is labor- and time-intensive, limiting the number of sites monitored and the frequency of monitoring. Citizen science initiatives are ideally suited to address this logistical problem and generate high-density and complex data from sites of community importance. In 2014, the same region was monitored by academic researchers, public health workers, and citizen scientists, allowing a comparison of the strengths and weaknesses of each type of surveillance effort. Four community members persisted with tick collections over several years, collectively recovering several hundred ticks. Although deviations from standard surveillance protocols and the choice of tick surveillance sites makes the incorporation of community-generated data into conventional surveillance analyses more complex, this citizen science data remains useful in providing high-density longitudinal tick surveillance of a small area in which detailed ecological observations can be made. Most importantly, partnership between community members and researchers has proven a powerful tool in educating communities about of the risk of tick-vectored diseases and in encouraging tick bite prevention.

  8. Community Involvement in Tourism Development: A Case Study of Lenggong Valley World Heritage Site

    Directory of Open Access Journals (Sweden)

    A. Khadar Nur Zafirah

    2014-01-01

    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.

  9. Patterns of daily allocation of sleep periods: a case study in an Amazonian riverine community.

    Science.gov (United States)

    Aguiar, G F; da Silva, H P; Marques, N

    1991-01-01

    Few works already carried out have examined the relative role of genetic and external factors on the determination of the rhythmicity of the human sleep/wake cycle. In order to make a preliminary approach in this field, we investigated the diversity of patterns of allocation of sleep periods among 29 families living at the Combu Island, a socioculturally very homogeneous human group of the Brazilian Amazon. The individuals were interviewed through a questionnaire designed by Horne and Ostberg (1976), with the language of the questions adjusted to the way-of-life of the riverine people. A large predominance of the morning type was observed (95.35%), what constitutes a strong deviation in relation to other populations studied, suggesting the occurrence of a masking effect. The individual scores presented a positive correlation with the age (r = 0.31; p less than 0.01), and a significant intersexual difference was also verified (t = 3.08; p less than 0.01). This intersex difference is explained, in part, by analyzing the socioeconomic patterns of the community. The offspring/parent regression of the individual scores indicated a low dependency between genitors and their direct descendents (p greater than 0.7), and the estimative of heritability obtained (0.14) is artificial, since the offspring/mother and offspring/midparent regression coefficients were negative. Statistically non-significant coefficients of correlation and/or regression showed a highly randomic populational distribution of scores for the Horne-Ostberg's test. Such findings suggest that the intensity of the masking over the sleep/wake cycle varies among human populations, and that the individual tendency towards morningness/eveningness is strongly related to sociocultural factors.

  10. Costs, cobenefits, and community responses to REDD+: a case study from Nepal

    Directory of Open Access Journals (Sweden)

    Bishnu P. Sharma

    2017-06-01

    Full Text Available We examine the role of subnational institutions in carbon sequestration and assess whether community forest user groups can meet both existing forest needs and international carbon demand. By conducting a qualitative evaluation of a pilot program in Nepal that made carbon payments to forest user groups, we examine if community forestry institutions can be effective, efficient, and equitable in implementing Reducing Emissions from Deforestation and Forest Degradation (REDD+. Our evaluation relies on focus group discussions, meetings, and community and program documents of forestry user groups that participated in the REDD+ pilot and matched groups that did not. Compared to control groups, REDD+ user groups appear to be more effective in carbon sequestration, perhaps because of increased prevention of forest fires and grazing, nursery establishment, and other forest management. REDD+ user groups report a larger number of forest conservation, forest utilization, and community development activities relative to control groups. Participating communities bear transaction costs of US$4.5/hectare and implementation costs of US$2.5/hectare on average (or NPR 50,000 (US$600 per year. The mean REDD+ rent per ton of additional carbon sequestered was US$1.3. Targeting of benefits improves partly because some marginalized groups, particularly women, participate more in the planning and management. In terms of equity, microcredit and capacity development activities were skewed to the poorest households, whereas alternate fuel and carbon monitoring were more advantageous to middle or high income households. Overall, our analyses suggest that REDD+ activities can be successfully executed, if communities receive technical and capacity building support for institutional strengthening, in addition to carbon payments.

  11. Transportation and socioeconomic impacts of bypasses on communities : an integrated synthesis of panel data, multilevel, and spatial econometric models with case studies.

    Science.gov (United States)

    2011-09-21

    Title: Transportation and Socioeconomic Impacts of Bypasses on Communities: An Integrated Synthesis of Panel Data, Multilevel, and Spatial Econometric Models with Case Studies. The title used at the start of this project was Transportation and Soc...

  12. Case studies of community relations on DOE's Formerly Utilized Sites Remedial Action Program as models for Superfund sites

    International Nuclear Information System (INIS)

    Plant, S.W.; Adler, D.G.

    1995-01-01

    Ever since the US Department of Energy (DOE) created its Formerly Utilized Sites Remedial Action Program (FUSRAP) in 1974, there has been a community relations program. The community relations effort has grown as FUSRAP has grown. With 20 of 46 sites now cleaned up, considerable experience in working with FUSRAP stakeholders has been gained. Why not share that experience with others who labor on the Superfund sites? Many similarities exist between the Superfund sites and FUSRAP. FUSRAP is a large, multiple-site environmental restoration program. The challenges range from small sites requiring remedial actions measurable in weeks to major sites requiring the full remedial investigation/feasibility study process. The numerous Superfund sites throughout the United States offer the same diversity, both geographically and technically. But before DOE offers FUSRAP's community relations experience as a model, it needs to make clear that this will be a realistic model. As experiences are shared, DOE will certainly speak of the efforts that achieved its goals. But many of the problems that DOE encountered along the way will also be related. FUSRAP relies on a variety of one- and two-way communication techniques for involving stakeholders in the DOE decision-making process. Some of the techniques and experiences from the case studies are presented

  13. Termites community as environmental bioindicators in highlands: a case study in eastern slopes of Mount Slamet, Central Java

    Directory of Open Access Journals (Sweden)

    IDHAM SAKTI HARAHAP

    2011-10-01

    Full Text Available Pribadi T,Raffiudin R,HarahapIS (2011Termites community as environmental bioindicators in highlands: a case study in eastern slopes of Mount Slamet, Central Java. Biodiversitas 12: 235-240. Termites ecological behaviour is much affected by land use change and disturbance level. Their variation in diversity can be used as bioindicator of environmental quality. However, termite community response to land use changes and habitat disturbance in highland ecosystems remains poorly understood. This study was conducted to investigate the response of termite community to land use intensification and to explore their role as environmental bioindicator in Mount Slamet. A standard survey protocol was used to collect termites in five land use typesof various disturbance levels,i.e. protected forest, recreation forest, production forest,agroforestry, and urban area. It was found two termite families i.e. Rhinotermitidae and Termitidae with seven species, i.e Schedorhinotermes javanicus, Procapritermes sp, Pericapritermes semarangi, Macrotermes gilvus, Microtermes insperatus, Nasutitermes javanicus, and N. matanganensis. Termite species’ richness and evenness, Shannon-Wiener index, relative abundance, and biomass of termite were declined along with the land use types and disturbance level from protected forest to urban area. Habitat disturbance was the main declining factor of termite diversity. Termite composition changed along with the land use disturbance level. Soil feeding termites were sensitive to the disturbance – they were not found in urban area. Hence, their presence or absence can be used as environmental bioindicator to detect habitat disturbance.

  14. Impacts of community forests on livelihoods in Cameroon: Lessons from two case studies

    NARCIS (Netherlands)

    Beauchamp, E.; Ingram, V.J.

    2011-01-01

    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

  15. Houston Recovery Initiative: A Rich Case Study of Building Recovery Communities One Voice at a Time.

    Science.gov (United States)

    Bitting, Sara; Nash, Angela; Ochoa, Ashley

    2016-01-01

    Recovery from alcohol and drug problems is a process of change through which an individual achieves control and improved quality of life. Recovery is a primary goal for individuals with substance use disorder as it provides hope that treatment and overall health are possible for every individual. More than 23 million Americans are in recovery from addiction to alcohol and other drugs.Recovery-oriented systems of care (ROSC) are networks of community services and peer support that help individuals and families achieve recovery from substances and improve overall health. ROSC is a strengths-based and person-centered model that leverages existing community resources to address the needs of individuals and families as they progress through the journey of recovery. The ROSC model serves as the foundation of the Houston Recovery Initiative (HRI).The purpose of this article is to describe the history, development, and infrastructure of the HRI, which is a volunteer collaboration whose main goal is to educate the community on recovery and broaden the recovery safety net for people with substance use disorder in Houston, Texas. Since 2010, the HRI has grown to include more than 200 agencies across the spectrum of treatment and recovery support services in Houston so as to provide a resource for the community. Herein, we detail efforts to grow the HRI, lessons learned, future plans, and resources needed to move the HRI forward.

  16. Access, Quality, and Opportunity: A Case Study of Zambia Open Community Schools (ZOCS)

    Science.gov (United States)

    Mwalimu, Michelle

    2011-01-01

    Community schools and other approaches to Alternative Primary Education or APE have increased access to primary education for underserved populations in Africa, Asia, and Latin America as a major goal of the Education for All (EFA) movement. In Zambia, a country where an estimated 20 percent of the basic education enrollment now attends community…

  17. Gender, Sport, and the Construction of Community: A Case Study from Women's Ice Hockey.

    Science.gov (United States)

    Theberge, Nancy

    1995-01-01

    Examines the construction of community on a women's ice hockey team, using data from fieldwork and interviews with one Canadian team. Results indicated that the locker room provided a space where players came together as hockey players and women. A common focus on hockey united the diverse group. (SM)

  18. Online Learning Community: A Case Study of Teacher Professional Development in Indonesia

    Science.gov (United States)

    Sari, Eunice Ratna

    2012-01-01

    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…

  19. Considering departures from current timber harvesting policies: case studies of four communities in the Pacific Northwest.

    Science.gov (United States)

    Con H Schallau; Paul E. Polzin

    1983-01-01

    U.S. Department of Agriculture regulations permit departures from current National Forest timber harvesting policies when "implementation of base harvest schedules.., would cause a substantial adverse impact upon a community .... " This paper describes the kinds of information needed for forest managers to adequately assess the relevance of the departure...

  20. Micro grants as a stimulus for community action in residential health programmes: a case study

    NARCIS (Netherlands)

    Schmidt, M.; Plochg, T.; Harting, J.; Klazinga, N. S.; Stronks, K.

    2009-01-01

    This paper aimed to explore the contribution of a micro grant financing scheme to community action in terms of residential health-promoting initiatives, interorganizational collaboration and public participation. The scheme was two-fold, consisting of (i) micro grants of 500-3500 Euros, which were

  1. Sustainable Community Case Study: An Assessment of EPA’s Sustainable Development Plan for Stella, Missouri

    Science.gov (United States)

    In 2006, citizens of Stella, Missouri asked the EPA for technical assistance in demolition and site remediation of an abandoned hospital; and how to redevelop the site to help the community be more sustainable. EPA Region 7 teamed with EPA Office of Research and Development (ORD...

  2. Analysing a Web-Based E-Commerce Learning Community: A Case Study in Brazil.

    Science.gov (United States)

    Joia, Luiz Antonio

    2002-01-01

    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…

  3. Community Participation and Barriers in Rural Tourism: A Case Study in Kiulu, Sabah

    Directory of Open Access Journals (Sweden)

    Velnisa Paimin N. F.

    2014-01-01

    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. Unlocking the Potential of Urban Communities: Case Studies of Twelve Learning Cities

    Science.gov (United States)

    Valdés-Cotera, Raúl, Ed.; Longworth, Norman, Ed.; Lunardon, Katharina, Ed.; Wang, Mo, Ed.; Jo, Sunok, Ed.; Crowe, Sinéad, Ed.

    2015-01-01

    UNESCO established the UNESCO Global Network of Learning Cities (GNLC) to encourage the development of learning cities. By providing technical support, capacity development, and a platform where members can share ideas on policies and best practice, this international exchange network helps urban communities create thriving learning cities. The…

  5. Teacher and student actions to construct biology literacy at a community college: A bounded case study

    Science.gov (United States)

    Griesel, Patricia

    2000-10-01

    Science content area literacy, particularly literacy development in college level biology, is the focus of this study. The study investigates the actions and activities of an instructor and six students over the course of 16 weeks. The study is in response to interest in the literate practices in science classes (NSES, 1996) and to the call for contextual studies that facilitate the learning of science (Borasi & Siegel, 1999; Moje, 1996; Nist & Holschuh, 1996; Prentiss, 1998). A collaborative study between the biology teacher and the researcher, this study investigates the practices believed to be effective for the development of biology literacy. Data sources, in the qualitative bounded case study (Bogdin & Biklin, 1982; Glaser & Strauss, 1967; Miles & Huberman, 1994), include: field notes of classroom observations, in-depth interviews (Seidman, 1992), class surveys, and literate artifacts. The data were coded and analyzed using a constant comparative method (Glaser & Strauss, 1967). The six students reveal similarities and differences regarding the actions, patterns, practices and use of materials and their beliefs about effective practice in the development of biology literacy. The results indicate that a variety of actions and activities are needed to facilitate the development of biology literacy. The common themes to develop from the students' data about effective teacher actions are the following: (a) involves and engages students in inquiry learning through group projects, hands-on, and group discussions; (b) relates examples, experiences, and stories; (c) exhibits expertise; (d) encourages a relaxed classroom atmosphere; (e) facilitates and coaches students; and (f) credits creativity. Further, students report their teacher to be an expert, in terms of science knowledge and literate practices, and that her expertise contributes to their understanding of biology literacy. The teachers' data reveals three themes embedded in her classroom actions: science as

  6. Mobile Devices for Community-Based REDD+ Monitoring: A Case Study for Central Vietnam

    Directory of Open Access Journals (Sweden)

    Carlos M. Souza Jr.

    2012-12-01

    Full Text Available 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.

  7. Disability and quality of life in community-dwelling elderly cancer survivors: Case-control study in the Korean population.

    Science.gov (United States)

    Lee, Myung Kyung

    2016-10-01

    Advanced age is a significant risk factor for cancer and functional disabilities increase with age. The purpose of this case-control study of Korean individuals was to determine the effect of cancer and cancer treatment on functional disability and quality of life (QOL). Thus, we compared community-dwelling elderly cancer patients (ECPs) with individuals from the general elderly population (GEP) who never had diagnoses of cancer. We selected 1776 ECP who were at least 65 years-old from the 2008 Korean Community Health Survey data and used propensity score matching to randomly select 1766 individuals from the GEP who closely resembled the ECPs. Functional disability was measured using the Instrumental Activities of Daily Living (IADL) scale, and QOL was measured by the EuroQol Group EQ-5D. ECPs were more dependent in preparation of food, doing laundry, and shopping (IADL scale), and in mobility and usual activities (EQ-5D). Although ECP had more problems with pain, discomfort, anxiety, and depression, they were more independent in self-care and handling of financial responsibilities. ECPs had multiple physical and psychological symptoms that adversely affected functional disability and QOL, but higher functional ability, such as self-care and handling of financial responsibilities. Promotion of self-care by ECPs is pivotal for effective management in community practice. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. CMAM integration: Lessons learned from a case study on community-based child survival programmes in Bangladesh

    International Nuclear Information System (INIS)

    Sadler, Kate; Puett, Chloe; Myatt, Mark

    2014-01-01

    Bangladesh ranks among the five countries with the highest burden of acute malnutrition in the world. Barisal Division is one of the poorest areas of southern Bangladesh, with low access to health care and high prevalence of malnutrition. This prospective cohort study examined the effectiveness and feasibility of adding the diagnosis and treatment of severe acute malnutrition (SAM) to the community case management (CCM) package delivered by community health workers (CHWs) outside health facilities in Bhola District, Barisal Division. CHWs were paid a monthly stipend of 800 Taka (US$11.80). A mid-upper arm circumference measurement and an oedema check for all children under three years old were introduced into routine CHW activities, including monthly growth monitoring and promotion sessions and household visits. CHWs provided ongoing sensitization to households and community members on the causes and consequences of SAM, encouraging early treatment seeking. Integration into the CCM package of services supported high quality of care for cases of SAM, and promoted program effectiveness. The recovery rate (92%), length of stay (37.4 days) and rate of weight gain (6.7 g/kg/day) were all significantly better than international Sphere standards. Further, the coverage achieved by CHWs in this program was 89% (CI 78%–96%), one of the highest levels achieved by SAM treatment services. CHWs achieved high quality of care, with 89% of workers attaining 90% error-free case management or higher in managing cases of SAM. In receiving SAM treatment within a package of integrated services, children treated by CHWs in this study had low levels of complications and co-morbidities. Doorstep delivery promoted early treatment in this remote area. Therefore cases were easier to treat and average caseloads appeared to be manageable for CHWs. While SAM treatment increased CHW workloads, this did not negatively affect the quality of other preventive and curative services delivered

  9. Perspectives on Sustainable Resource Conservation in Community Nature Reserves: A Case Study from Senegal

    Directory of Open Access Journals (Sweden)

    Ferran Guallar

    2012-11-01

    Full Text Available The coalescing of development and conservation has recently given rise to community-based conservation. Under this framework, sustainable livelihood strategies are incorporated into conservation goals on the basis that the integration of local priorities into management guidelines benefits rather than impedes conservation efforts. Consistent with this approach, the Community Nature Reserve of Dindéfélo in Kédougou, Senegal endeavors to protect biodiversity without jeopardizing local people’s reliance on natural resources. In this article we provide evidence that sustainable resource conservation is a very powerful mechanism in redirecting labor and capital away from ecosystem-degrading activities. To do this, we present three examples of projects, aiming to illustrate different ways in which local people’s management and sustainable use of natural resources can be beneficial in terms of biodiversity conservation, socioeconomic development, and human well-being.

  10. Case study of microarthropod communities to assess soil quality in different managed vineyards

    OpenAIRE

    E. Gagnarli; D. Goggioli; F. Tarchi; S. Guidi; R. Nannelli; N. Vignozzi; G. Valboa; M. R. Lottero; L. Corino; S. Simoni

    2015-01-01

    Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly sought, and the determination of community structures of edaphic fauna can represent an efficient tool. In the area of Langhe (Piedmont, Italy), eight vineyards characterized for physical and chemical properties (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate) were selected. We eval...

  11. Contact, Political Solidarity and Collective Action: An Indian Case Study of Relations between Historically Disadvantaged Communities

    OpenAIRE

    Dixon, John; Cakal, Huseyin; Khan, Waheeda; Osmany, Meena; Majumdar, Sramana; Hassan, Mudassir

    2017-01-01

    Research on the contact hypothesis has highlighted the role of contact in improving intergroup relations. Most of this research has addressed the problem of transforming the prejudices of historically advantaged communities, thereby eroding wider patterns of discrimination and inequality. In the present research, drawing on evidence from a cross-sectional survey conducted in New Delhi, we explored an alternative process through which contact may promote social change, namely by fostering poli...

  12. ESD and Lifelong Learning: A Case Study of the Shangri-La Institute's Current Engagement with the Bazhu Community in Diqing, China

    Science.gov (United States)

    Liu, Yunhua; Constable, Alicia

    2010-01-01

    This article argues that ESD should be integrated into lifelong learning and provides an example of how this might be done. It draws on a case study of a joint project between the Shangri-la Institute and the Bazhu community in Diqing, southwest China, to analyse a community-based approach to Education for Sustainable Development and assess its…

  13. A case-control study of support/opposition to wind turbines: Perceptions of health risk, economic benefits, and community conflict

    International Nuclear Information System (INIS)

    Baxter, Jamie; Morzaria, Rakhee; Hirsch, Rachel

    2013-01-01

    Despite considerable quantitative case study research on communities living with turbines, few have studied the roles played by the perceptions of: health risk, economic benefits/fairness, and intra-community conflict. We report the findings from a case-control survey which compares residents living with/without turbines in their community to understand the relative importance of these variables as predictors of turbine support. Ontario is the context for this study as it is a place where the pace of turbine installations is both very high and extremely politicized. As expected 69% of residents in the case community would vote in favour of local turbines yet surprisingly, only 25% would do so in the control community. Though the literature suggests that aesthetic preferences best predict turbine support the key predictors in this study are: health risk perception, community benefits, general community enhancement, and a preference for turbine-generated electricity. Concern about intra-community conflict is high in both the case (83%) and control (85%) communities as is concern about the fairness of local economic benefits (56% and 62%, respectively); yet neither is significant in the models. We discuss the implications of these findings particularly in terms of the consequences of a technocratic decide-announce-defend model of renewable facility siting. - Highlights: • We compare turbine support in a community living with turbines against a matched control. • We include health risk perception, economic benefits, and community conflict as predictors. • Turbine support is highest in the turbine community and surprisingly low in the control. • Health risk perception and economic benefits consistently predict turbine support. • Economic benefits distribution and conflict are important, but not consistent predictors

  14. Using evaluability assessment to assess local community development health programmes: a Scottish case-study

    Directory of Open Access Journals (Sweden)

    Melissa Belford

    2017-04-01

    Full Text Available Abstract Background Evaluation of the potential effectiveness of a programme’s objectives (health or otherwise is important in demonstrating how programmes work. However, evaluations are expensive and can focus on unrealistic outcomes not grounded in strong theory, especially where there is pressure to show effectiveness. The aim of this research was to demonstrate that the evaluability assessment (a cost-effective pre-evaluation tool that primarily gives quick, constructive feedback can be used to help develop programme and outcome objectives to improve programmes while they run and to assist in producing more effective evaluations. This was done using the example of a community development programme aiming to improve health and reduce health inequalities in its target population. Methods The setting was Glasgow, Scotland, UK and focused on the Health Issues in the Community programme. Data were collected from documents and nine individual stakeholder interviews. Thematic analysis and a realist approach were used to analyse both datasets and, in conjunction with a workshop with stakeholders, produce a logic model of the programme theory and related evaluation options to explore further. Results Five main themes emerged from the analysis: History; Framework; Structure and Delivery of the Course; Theory of Action; and Barriers to Delivery and Successful Outcomes. These themes aided in drafting the logic model which revealed they key programme activities (e.g. facilitating group learning and 23 potential outcomes. The majority of these outcomes (16 were deemed to be short-term outcomes (more easily measured within the timeframe of an individual being involved in the programme e.g. increased self-esteem or awareness of individual/community health. The remaining 6 outcomes were deemed longer-term and included outcomes such as increased social capital and individual mental health and wellbeing. Conclusions We have shown that the evaluability

  15. Lactate and risk of incident diabetes in a case-cohort of the atherosclerosis risk in communities (ARIC study.

    Directory of Open Access Journals (Sweden)

    Stephen P Juraschek

    Full Text Available Oxidative capacity is decreased in type 2 diabetes. Whether decreased oxidative capacity is a cause or consequence of diabetes is unknown. Our purpose is to evaluate whether lactate, a marker of oxidative capacity, is associated with incident diabetes.We conducted a case-cohort study in the Atherosclerosis Risk in Communities (ARIC study at year 9 of follow-up. We evaluated lactate's association with diabetes risk factors at baseline and estimated the hazard ratio for incident diabetes by quartiles of plasma lactate in 544 incident diabetic cases and 533 non-cases. Plasma lactate showed a graded positive relationship with fasting glucose and insulin (P<0.001. The relative hazard for incident diabetes increased across lactate quartiles (P-trend ≤0.001. Following adjustment for demographic factors, medical history, physical activity, adiposity, and serum lipids, the hazard ratio in the highest quartile was 2.05 times the hazard in the lowest quartile (95% CI: 1.28, 3.28. After including fasting glucose and insulin the association became non-significant.Lactate, an indicator of oxidative capacity, predicts incident diabetes independent of many other risk factors and is strongly related to markers of insulin resistance. Future studies should evaluate the temporal relationship between elevated lactate and impaired fasting glucose and insulin resistance.

  16. Soil quality and bacterial community structure: a case study from the mediterranean region

    Science.gov (United States)

    Anguita-Maeso, Manuel; Miralles*, Isabel; Soriano**, Miguel; Ortega, Raúl; García-Salcedo, José Antonio; Sánchez-Marañon, Manuel

    2017-04-01

    Bacterial communities play a central role in innumerable processes and functions of soils such as decomposition of organic residues, nutrient cycling, aggregation, and formation of humic substances. We investigated the relationships between bacterial communities, soil profiles, and quality parameters in eight benchmark soils of the Mediterranean calcareous mountain sampled on a local scale. The diversity and composition of prokaryotic community was assessed by 16S rRNA gene amplicon pyrosequencing of DNA from samples of topsoil (10 x 10 x 0.2 m). The bacterial profile content resulted in the identification of groups belonging to 16 phyla and 75 genera. Two-dimensional models using multidimensional scaling (Stress 71%), and principal component analysis (Variance > 60%) showed a decrease in the abundance of acidobacteria Gp4 and Gp3 while actinobacteria flourished with increasing soil profile development (from Leptosol to Luvisol). This can be attributed to inherent changes in soil quality along pedogenesis such as pH (8.3 to 7.8), organic C (20.0 to 45.2 Mg ha-1), macropososity (0.11 to 0.32 cm3 cm-3), and water stable aggregates (365.8 to 963.4 Mg ha-1). Actinobacteria genera like Aciditerrimonas, Nocardioides, and Solirubrobacter also displayed positive correlations (r > 0.90) with the content of clay and free Ferric forms. Other factors like Re-carbonation, loss of organic matter, and soil compaction probably caused by land use and management, led to a decline in the Chao1 richness and Shannon diversity indices (3625 and 6.3) with respect to native soils (7852 and 7.4). Likewise, Firmicutes and Gemmatimonadetes were tripled and the genera of Proteobacteria and Bacteroidetes decreased. Our data indicate that bacterial community structure depends largely on the soil quality status, both inherent and managed and suggest the bacterial group composition also follows the course of soil genesis. (*) Financial support by Marie Curie Intra-European Fellowship (FP7

  17. CRONE control system design toolbox for the control engineering community: tutorial and case study.

    Science.gov (United States)

    Lanusse, Patrick; Malti, Rachid; Melchior, Pierre

    2013-05-13

    Fractional-order differentiation offers new degrees of freedom that simplify the design of high-performance dynamic controllers. The CRONE control system design (CSD) methodology proposes the design of robust controllers by using fractional-order operators. A software toolbox has been developed based on this methodology and is freely available for the international scientific and industrial communities. This paper presents both the CRONE CSD methodology and its implementation using the toolbox. The design of two robust controllers for irrigation canals shows how to use the toolbox.

  18. Case Study Report: REDD+ Pilot Project in Community Forests in Three Watersheds of Nepal

    Directory of Open Access Journals (Sweden)

    Shanti Shrestha

    2014-09-01

    Full Text Available Reducing emissions from deforestation and forest degradation (REDD+ is an international climate policy instrument that is expected to tap into the large mitigation potential for conservation and better management of the world’s forests through financial flows from developed to developing countries. This paper describes the results and lessons learned from a pioneering REDD+ pilot project in Nepal, which is based on a community forest management approach and which was implemented from 2009–2013 with support from NORAD’s Climate and Forest Initiative. The major focus of the project was to develop and demonstrate an innovative benefit-sharing mechanism for REDD+ incentives, as well as institutionally and socially inclusive approaches to local forest governance. The paper illustrates how community-based monitoring, reporting, and verification (MRV and performance-based payments for forest management can be implemented. The lessons on REDD+ benefit sharing from this demonstration project could provide insights to other countries which are starting to engage in REDD+, in particular in South Asia.

  19. ESIP Federation: A Case Study on Enabling Collaboration Infrastructure to Support Earth Science Informatics Communities

    Science.gov (United States)

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

    2013-12-01

    A critical part of effective Earth science data and information system interoperability involves collaboration across geographically and temporally distributed communities. The Federation of Earth Science Information Partners (ESIP) is a broad-based, distributed community of science, data and information technology practitioners from across science domains, economic sectors and the data lifecycle. ESIP's open, participatory structure provides a melting pot for coordinating around common areas of interest, experimenting on innovative ideas and capturing and finding best practices and lessons learned from across the network. Since much of ESIP's work is distributed, the Foundation for Earth Science was established as a non-profit home for its supportive collaboration infrastructure. The infrastructure leverages the Internet and recent advances in collaboration web services. ESIP provides neutral space for self-governed groups to emerge around common Earth science data and information issues, ebbing and flowing as the need for them arises. As a group emerges, the Foundation quickly equips the virtual workgroup with a set of ';commodity services'. These services include: web meeting technology (Webex), a wiki and an email listserv. WebEx allows the group to work synchronously, dynamically viewing and discussing shared information in real time. The wiki is the group's primary workspace and over time creates organizational memory. The listserv provides an inclusive way to email the group and archive all messages for future reference. These three services lower the startup barrier for collaboration and enable automatic content preservation to allow for future work. While many of ESIP's consensus-building activities are discussion-based, the Foundation supports an ESIP testbed environment for exploring and evaluating prototype standards, services, protocols, and best practices. After community review of testbed proposals, the Foundation provides small seed funding and a

  20. a case study

    African Journals Online (AJOL)

    Assessment of (dis)ability in a prospec tive commercial diver with a hand injury – a case study. A case study in disability. W A J (JAck) MeintJes, MB ChB, DOM, FCPHM (SA) Occ Med, MMed (Occ Med). Specialist, Occupational Medicine, Division of Community Health, Department of Interdisciplinary Health Sciences, ...

  1. Gambling in the Iranian-American Community and an Assessment of Motives: A Case Study

    Science.gov (United States)

    Parhami, Iman; Siani, Aaron; Campos, Michael D.; Rosenthal, Richard J.; Fong, Timothy W.

    2012-01-01

    Nearly half a million United States residents identify themselves as being of Iranian origin, and many in this population are of high socioeconomic status. Although games of chance have been a notable part of Iranian culture for thousands of years, there is almost no research exploring gambling in this population. The objective of this case study…

  2. Pedestrian Zones As Important Urban Strategies in Redeveloping the Community - Case Study: Alba Iulia Borough Park

    Directory of Open Access Journals (Sweden)

    Oana Elena BLAGA

    2013-02-01

    Full Text Available The pedestrian zone issue is by far an important matter in the context of urban regeneration. Cities which adopted this strategy – the pedestrian zones – have recorded better urban attitudes regarding the urban environment, a continuous growth of the urban quality, an improved urban ecosystem  and continuous attractiveness for investment and  tourism. This article explores the evolution of the pedestrian zones as ideas in utopian urban models in the early 1900 and later as efficient environmental friendly strategies adopted by cities. After identifying the path this concept followed, from a simple idea to an important strategy of urban development, the paper focuses on the major characteristics and benefits of the pedestrian precincts. Next, the article focuses on the newest pedestrian zone in one of the Romanian cities, Alba Iulia and it tries to identify the types of impact this area has so far on the community and entire city.

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

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    Grills Nathan J

    2012-07-01

    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

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

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    Andrew Lou L. Mungcal

    2013-11-01

    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. Network of Green Areas within Collective Housing Communities - Case Study from Timişoara, Romania

    Science.gov (United States)

    Branea, Ana-Maria; Stelian Găman, Marius; Bădescu, Ştefana

    2017-10-01

    Green areas have always been an essential feature of urban developments, improving the quality of life within a community, both from a social perspective - offering residents a place for relaxation and interaction, as well as from the point of view of disease prevention - improving the overall air quality, but also encouraging inhabitants to spend more time outside. The importance of these areas within a settlement further increases in the present-day context, in which the constant expansion of cities in their surrounding territory, phenomenon known as “urban sprawl”, gradually eliminates the natural green spaces and agricultural terrains from our landscape. This trend has devastating effects on the environment, as well as on the micro-climate of our settlements, characterized, in recent years, by the formation of heat islands within the built tissue. Moreover, the disappearance of natural green areas leads to the constant estrangement of the inhabitants, and especially of young generations, from the natural values and realities. It is thus more important than ever to ensure an adequate percentage of green areas for our cities, uniformly distributed within the urban tissue. Green belts, urban forests, parks, green squares or even urban gardens - all these entities play their parts within the urban green network, having certain radiuses of influence and attraction and thus occupying a specific position within the urban hierarchy. In Romania, the terrains left un-built between the collective housing buildings - or apartment blocks, erected during the communist administration and currently constituting public property, have a huge potential regarding the matter of urban greenery, being easily transformed into active and qualitative green areas. However, the local authorities lack the resources (both financial and in terms of human resources) to efficiently develop and then administrate these areas, which are consequently either abandoned, or used as illegal

  6. Study on the influence of small hydropower stations on the macroinvertebrates community-Take Nanhe River as a case, China

    Science.gov (United States)

    Zhao, Weihua; Li, Qingyun; Guo, Weijie; Wang, Zhenhua

    2017-05-01

    This study take Nahan River as a case to research the impacts of small hydropower stations on macroinvertebrates community. Results showed that a total of 13 macroinvertebrate samples was collected and contained 56 taxa belonging to 18 families and 35 genera. The influence of runoff regulation was more seriously than hydrological period. There were obvious zoning phenomenon of macroinvertebrates between reservoir, downdam reaches and natural reaches. From reservoir, downdam reaches to natural reaches, species abundance increased in turn. There are the least species in reservoir, the most in natural rivers. The reservoirs had the highest biomass and were quite different from those in downdam and natural reaches. However, there was no significant difference between different periods of hydropower station.

  7. Case study of microarthropod communities to assess soil quality in different managed vineyards

    Science.gov (United States)

    Gagnarli, E.; Goggioli, D.; Tarchi, F.; Guidi, S.; Nannelli, R.; Vignozzi, N.; Valboa, G.; Lottero, M. R.; Corino, L.; Simoni, S.

    2015-07-01

    Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly sought, and the determination of community structures of edaphic fauna can represent an efficient tool. In the area of Langhe (Piedmont, Italy), eight vineyards characterized for physical and chemical properties (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate) were selected. We evaluated the effect of two types of crop management, organic and integrated pest management (IPM), on abundance and biodiversity of microarthropods living at the soil surface. Soil sampling was carried out in winter 2011 and spring 2012. All specimens were counted and determined up to the order level. The biodiversity analysis was performed using ecological indexes (taxa richness, dominance, Shannon-Wiener, Buzas and Gibson's evenness, Margalef, equitability, Berger-Parker), and the biological soil quality was assessed with the BSQ-ar index. The mesofauna abundance was affected by both the type of management and sampling time. On the whole, a higher abundance was in organic vineyards (N = 1981) than in IPM ones (N = 1062). The analysis performed by ecological indexes showed quite a high level of biodiversity in this environment, particularly in May 2012. Furthermore, the BSQ-ar values registered were similar to those obtained in preserved soils.

  8. Social equity and livelihood implications of REDD+ in rural communities – a case study from Nepal

    Directory of Open Access Journals (Sweden)

    Mohan Poudel

    2015-03-01

    Full Text Available Despite growing international consensus that the use of the policy instrument REDD+ (Reducing Emissions from Deforestation and forest Degradation in developing countries could be an effective way to reduce carbon emissions from the forestry sector and support bio-diversity with livelihood benefits, there are a range of unresolved issues, including potential implications for rural livelihoods. This paper presents results from recent research that examines social equity and livelihood implications of the piloting of REDD+ through Nepal’s community forestry system, within selected villages in the Gorkha district of Nepal. The research reveals the varying experiences of households, closely correlated to the socio-economic attributes of the households. Despite the ‘no harm and equitable’ policy, this research indicates that not everyone is experiencing the anticipated benefits of REDD+. Although poorer, women-headed and marginalized households are targeted in some ways (e.g. seed grants, the support is limited, and inadequately compensates the loss they have experienced in other ways (e.g. limited access to forests. Households bundling by caste may not necessarily address equity, but is likely to increase intra-caste marginalization.

  9. The Importance of Audience and Agency for Representation: A Case Study of an Urban Youth Media Community.

    Science.gov (United States)

    Charmaraman, Linda

    2010-01-01

    PURPOSE: Urban youths' agency to represent their realities through media has been largely unexplored in the youth development literature. In this qualitative case study of an after-school youth media program in the Bay Area, expressions of youth agency and the role of audiences are explored during the process of producing videos for public consumption. METHODOLOGY: As participant observer of 14 ethnically diverse youth participants aged between 15 and 18 years over 18 months, I documented (a) the kind of agencies participants engaged in and (b) the impact of live and imagined future audiences on youths' creative processes. Analyses of field notes, semi-structured interviews, and media projects were conducted using thematic analysis to inductively generate emerging categories. FINDINGS: Themes included an agentive sense of self-efficacy, commitment, and responsibility, as well as perceived contributions to local audiences and an emerging collective identity. The youth demonstrated their increased sense of a social or civic duty to realistically represent youth of color to familiar and unfamiliar audiences. IMPLICATIONS: This case study demonstrated how one youth media organization fostered agency through youth authorship, production, distribution, and local community dialogue. By documenting the impact of audiences from conception to public reception, this study provides valuable insight into the agentive process of publicly "performing" a commitment to complete a social change video project. CONTRIBUTION: This chapter underscores the value of performance within youth development programs and the critical component of audiences as one form of authentic assessment in order to foster individual and collective agency.

  10. "People at the Heart of Our Processes", a Case Study of How a Nursery School and Children's Centre Promotes Community Cohesion

    Science.gov (United States)

    Duggan Bio, Martine

    2017-01-01

    This article reports on a doctoral case study of how an English integrated nursery school and children's centre fulfils its legal duty to promote community cohesion. The provocation for the enquiry derives from the author's growing unease over the perceived limitations of a target-driven culture currently pervading English schools. A case is made…

  11. Appropriate training and retention of community doctors in rural areas: a case study from Mali

    Directory of Open Access Journals (Sweden)

    Coulibaly Seydou

    2008-11-01

    Full Text Available Abstract Background While attraction of doctors to rural settings is increasing in Mali, there is concern for their retention. An orientation course for young practicing rural doctors was set up in 2003 by a professional association and a NGO. The underlying assumption was that rurally relevant training would strengthen doctors' competences and self-confidence, improve job satisfaction, and consequently contribute to retention. Methods Programme evaluation distinguished trainees' opinions, competences and behaviour. Data were collected through participant observation, group discussions, satisfaction questionnaires, a monitoring tool of learning progress, and follow up visits. Retention was assessed for all 65 trainees between 2003 and 2007. Results and discussion The programme consisted of four classroom modules – clinical skills, community health, practice management and communication skills – and a practicum supervised by an experienced rural doctor. Out of the 65 trained doctors between 2003 and 2007, 55 were still engaged in rural practice end of 2007, suggesting high retention for the Malian context. Participants viewed the training as crucial to face technical and social problems related to rural practice. Discussing professional experience with senior rural doctors contributed to socialisation to novel professional roles. Mechanisms underlying training effects on retention include increased self confidence, self esteem as rural doctor, and sense of belonging to a professional group sharing a common professional identity. Retention can however not be attributed solely to the training intervention, as rural doctors benefit from other incentives and support mechanisms (follow up visits, continuing training, mentoring... affecting job satisfaction. Conclusion Training increasing self confidence and self esteem of rural practitioners may contribute to retention of skilled professionals in rural areas. While reorientations of curricula in

  12. Forest cognition by local communities: a case study in the Trento municipality (Italy

    Directory of Open Access Journals (Sweden)

    Betta A

    2009-09-01

    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.

  13. Informal Inquiry for Professional Development among Teachers within a Self-Organized Learning Community: A Case Study from South Korea

    Science.gov (United States)

    So, Kyunghee; Kim, Jiyoung

    2013-01-01

    This study explores how informal inquiry among teachers occurs in pursuit of their professional development within a learning community that has been voluntarily constructed by South Korean teachers. To this end, the study investigates what leads teachers to participate in a self-organized learning community, how informal inquiry occurs in the…

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

    Directory of Open Access Journals (Sweden)

    Christian Byczek

    2011-01-01

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

  15. Hurricane Impacts on Small Island Communities: Case study of Hurricane Matthew on Great Exuma, The Bahamas

    Science.gov (United States)

    Sullivan Sealey, Kathleen; Bowleg, John

    2017-04-01

    Great Exuma has been a UNESCO Eco-hydrology Project Site with a focus on coastal restoration and flood management. Great Exuma and its largest settlement, George Town, support a population of just over 8.000 people on an island dominated by extensive coastal wetlands. The Victoria Pond Eco-Hydrology project restored flow and drainage to highly-altered coastal wetlands to reduce flooding of the built environment as well as regain ecological function. The project was designed to show the value of a protected wetland and coastal environment within a populated settlement; demonstrating that people can live alongside mangroves and value "green" infrastructure for flood protection. The restoration project was initiated after severe storm flooding in 2007 with Tropical Storm Noel. In 2016, the passing of Hurricane Matthew had unprecedented impacts on the coastal communities of Great Exuma, challenging past practices in restoration and flood prevention. This talk reviews the loss of natural capital (for example, fish populations, mangroves, salt water inundation) from Hurricane Matthew based on a rapid response survey of Great Exuma. The surprisingly find was the impact of storm surge on low-lying areas used primarily for personal farms and small-scale agriculture. Although women made up the overwhelming majority of people who attended Coastal Restoration workshops, women were most adversely impacted by the recent hurricane flooding with the loss of their small low-lying farms and gardens. Although increasing culverts in mangrove creeks in two areas did reduce building flood damage, the low-lying areas adjacent to mangroves, mostly ephemeral freshwater wetlands, were inundated with saltwater, and seasonal crops in these areas were destroyed. These ephemeral wetlands were designed as part of the wetland flooding system, it was not known how important these small areas were to artisanal farming on Great Exuma. The size and scope of Hurricane Matthew passing through the

  16. The Social Structure of Peasent Community and Its Implicationto Welfare Differentiation.A case Study on Cocoa Peasant Community in Central Sulawesi and Nangroe Aceh Darussalam

    Directory of Open Access Journals (Sweden)

    Undang Fajar

    2008-12-01

    Full Text Available The development of commercial crop cocoa have altered the structure of agrarian : from collective owners to individual owners. For the cocoa peasant communities, the agrarian resources are a base of their life. So, the changing of agrarian structure gives a way to changing process of the social structure community. This research means to analyze the social structure that emergence on cocoa peasant community and the implication of it to the differentiation of peasant welfare. The result of this research indicate that the inequalities of agrarian resources control on cocoa peasant communities have developed the form of peasant community social structure : “stratification which progressively unequal”. Furthermore, these social structure have implication to the increasing of welfare differentiation. In this case, a cocoa peasant community divided to three levels, that is: rich farmer (upper level, middle farmer (middle level, and the poor farmer (low level. The result of research also indicates that on Outside Java generally owning a lower agrarian density – the landless and he poor farmer have been occur, and the poor farmer not only lay at land less farmer (tunakisma but also on an owner farmer. Base on gini ratio analysis, the equality of agrarian resource ownership generally have resided in high level. Even though, the equality of farmer household income and farmer household expenditure generally have resided in low level.Key words: social structure, welfare differentiation, peasant, cocoa.

  17. Developing Reflective Cyber Communities in the Blogosphere: A Case Study in Taiwan Higher Education

    Science.gov (United States)

    Sun, Yu-Chih

    2010-01-01

    The purpose of this study is to highlight the possibilities and challenges that underlie efforts to integrate blogs into teacher-education programs in Taiwan higher education. The participants were 12 pre-service teachers undertaking Master's level study in Teaching English to Speakers of Other Languages. The outcomes of the blogging project were…

  18. Implementation of a Community-Based Family-Centered Program in Portugal: A Multiple Case Study Evaluation

    Science.gov (United States)

    Teixeira de Melo, Ana; Alarcao, Madalena

    2012-01-01

    Family-centered, community-based programs are particularly suited to support families with at-risk children or maltreated children and achieve family preservation or reunification. In these child protection and child welfare cases, assessment is of great importance to inform decision making. But the implementation of services to support the…

  19. Are community-based forest enterprises in the tropics financially viable? Case studies from the Brazilian Amazon

    Science.gov (United States)

    Shoana Humphries; Thomas P. Holmes; Karen Kainer; Carlos Gabriel Goncalves Koury; Edson Cruz; Rosana de Miranda Rocha

    2012-01-01

    Community-based forest management is an integral component of sustainable forest management and conservation in the Brazilian Amazon, where it has been heavily subsidized for the last ten years. Yet knowledge of the financial viability and impact of community-based forest enterprises (CFEs) is lacking. This study evaluates the profitability of three CFEs in the...

  20. Tourism and its effects on southeast Alaska communities and resources: case studies from Haines, Craig, and Hoonah, Alaska.

    Science.gov (United States)

    Lee K. Cerveny

    2005-01-01

    Tourism has become integral to southeast Alaska’s regional economy and has resulted in changes to the social and cultural fabric of community life as well as to natural resources used by Alaskans. This study incorporates an ethnographic approach to trace tourism development in three rural southeast Alaska communities featuring different levels and types of tourism. In...

  1. Building a Culture of Evidence: A Case Study of a California Community College

    Science.gov (United States)

    Baker, Jill H.; Sax, Caren L.

    2012-01-01

    The purpose of this study was to better understand the practices associated with building a culture of evidence and to identify the factors influencing the success of such an endeavor. By definition, a culture of evidence is based upon practices employing data and research to inform decision making at all levels of the institution, with the…

  2. University Intervention into Community Issues as Dialogic Public Relations: A Case Study

    Science.gov (United States)

    Byrne, Jamie M.

    2007-01-01

    This paper examines a study of the wastewater collection and treatment issues of Little Rock and North Little Rock, Arkansas by University of Arkansas at Little Rock personnel and how it constitutes dialogic public relations. The paper defines dialogic public relations using Kent and Taylor's work and then uses their criteria to describe how this…

  3. Social Networking Tools and Teacher Education Learning Communities: A Case Study

    Science.gov (United States)

    Poulin, Michael T.

    2014-01-01

    Social networking tools have become an integral part of a pre-service teacher's educational experience. As a result, the educational value of social networking tools in teacher preparation programs must be examined. The specific problem addressed in this study is that the role of social networking tools in teacher education learning communities…

  4. Waste a necessary evil for economically impoverished communities in least developed countries (LCDc): a case study

    CSIR Research Space (South Africa)

    Mvuma, G

    2010-10-01

    Full Text Available The nexus of rapid population growth and improved socio-economic status of a country have been established as having a close correlation to increasing quantities of wastes generated per capita. Various studies show that waste harvesters contribute...

  5. Early, Regular, and Late Registration and Community College Student Success: A Case Study.

    Science.gov (United States)

    Smith, Albert B.; Street, Margaret A.; Olivarez, Arturo

    2002-01-01

    Describes a study conducted to determine the differences among students enrolling during three phases of registration (early, regular, and late). Finds that: (1) new and returning students who enroll late are more likely to withdraw from a class than those who register early or at the regular time; and (2) returning students differed in their GPAs…

  6. The symbolic representation of community in social isolation and loneliness among older people: Insights for intervention from a rural Irish case study.

    Science.gov (United States)

    Bantry-White, Eleanor; O'Sullivan, Siobhán; Kenny, Lorna; O'Connell, Cathal

    2018-03-26

    Social isolation and loneliness are common experiences of ageing in rural communities. Policy responses and interventions for social isolation and loneliness in later life are shaped by sociocultural understandings of place, relationships and social interaction. This study examined how representations of rural community in Ireland influenced the focus, relationships and activities within a befriending intervention designed to tackle social isolation and loneliness. Through a qualitative case study conducted in 2014, the symbolic meaning of the intervention was explored using interviews and focus groups with participants (8 befriended, 11 befrienders and 3 community workers) from one befriending programme in rural Ireland. Reflected in the programme was a representation of a rural community in decline with concern for the impact on older people. There was a valuing of the traditional community defined by geographical place, perceptions of similarity among its members, and values of solidarity and mutual support. The befriending intervention represented a commitment to intra-community solidarity and a desire by many for authentic befriending relationships that mirrored understandings of relationships within the traditional community. Identifying and alleviating social isolation and loneliness imply a set of normative values about community and the optimal social relationships within community. This paper proposes that there is a need to consider the role played by understandings of community in shaping context-sensitive interventions to counter social isolation and loneliness in later life. © 2018 John Wiley & Sons Ltd.

  7. Building Structure Housing: Case Study of Community Housing in Kendari City

    Science.gov (United States)

    Umar, M. Z.; Faslih, A.; Arsyad, M.; Sjamsu, A. S.; Kadir, I.

    2017-11-01

    Housing development has been pioneered through a simple home construction program to reduce the production cost. Simple housing program was developed in Kendari City. The purpose of this study is to show the principles of reducing the cost production for the type 36 homes, in Kendari City. The selected architectural objects are the lower, middle and the upper structure of type 36 house. The data collection was done by observation and in-depth discussion with construction workers. The analysis technique used in this research was a descriptive narrative analysis technique in the form of tabulation data. This study concluded that there are several principles of price reduction in the structure of public housing buildings. Quick principles exist in constructing techniques such as using cigarette packs as a foundation pad, mortar usage for rapid wall standing, and the spacing of mortars could be done manually by using two fingers on a human hand. Economic principles could be used for material matters, such as eliminating the use of gravel for concrete, the use of sand material to contain the soil, the foundation does not use sand and empty stone, and the shape of the ring beam was made using triangle reinforcement.

  8. POSTURE OF SOCIAL CAPITAL FOR COMMUNITIES IN TRANSITION (CASE STUDIES IN YEZIDIS RURAL POPULATION OF ARMENIA

    Directory of Open Access Journals (Sweden)

    Akbar VALADBIGI

    2013-05-01

    Full Text Available This article is concerned with the peculiarities of social capital focusing on the alterations of social trust and the social factors that influence it among the Yezidi rural population of Armenia. Our theoretical framework has been adopted from the following theorists: the theory of social system in terms of the theory of action – Parsons and the theory of structure - agency – Giddens. Our sample contained 300 of the over 20-year old residents of the Yezidi rural population of the Republic of Armenia. When validity and reliability of our questionnaire were tested, we applied survey research to collect data for analysis. There is difference between kinds of trust and they don’t have the same mean. The mean of basic trust was 16%, generalized trust 15% and abstract trust mean was 74%. Thus, our study shows that in the society under study the rate of basic trust is no less than other kinds of trust. In other words, the mean of basic trust is something more than generalized trust but less than abstract trust. The value of the correlation coefficient was positive, and this shows that by increasing the rate of religious tenets, the level of social trust will increase subsequently, and vice versa. In this article, unlike the usual procedure of articles, I have tried to focus on the results part – because of its importance – and only referred succinctly to other parts.

  9. WELLBEING OF SMALLHOLDERS MAINTAINING HOMEGARDENS: A CASE STUDY OF RURAL COMMUNITIES IN THE EASTERN AMAZON

    Directory of Open Access Journals (Sweden)

    Thiago Almeida Vieira

    2015-04-01

    Full Text Available The purpose of this study was to investigate the quality of life of subsistence farmers in the municipality of Bonito, Pará, Brazil, by analyzing their objective and subjective well-being. Semi-structured interviews were used to collect socioeconomic and life satisfaction data, which were evaluated by tools of descriptive statistics and multivariate data analysis. The interviewed farmers have a low educational level and a modest family income. The average housing quality index was considered satisfactory. The degree of subjective well-being of the subsistence farmers was high and the family income had little influence on the farmer’s well-being. It is believed that well-managed homegardens can provide an increase in the family income, with a view to the economic wellbeing and a better quality of life, including the housing of these families.

  10. A Multiple Case Study Discovering Part-Time Faculties' Perceptions of Their Professional Needs, Working Conditions, Social Network, and Job Satisfaction at Three Community Colleges

    Science.gov (United States)

    Millner-Harlee, Tanya

    2010-01-01

    This study employed a multiple case study design to evaluate the perspectives of part-time faculties at three community colleges in the Northeast. The purpose of this study was to discover how needs, working conditions, and social networks influence the part-time faculties' job satisfaction. Maslow (1954), Bourdieu (1986), and Herzberg, Mausner,…

  11. Changing Mindsets: A Case Study of a Community of Practice between Charter and Traditional Public School Leaders in the School Leaders Network

    Science.gov (United States)

    Ponce, Manuel N., Jr.

    2013-01-01

    The purpose of this study was to examine the essential elements of a community of practice intended to increase communication and collaboration between traditional public and charter school leaders. Members of the Los Angeles Cohort of the School Leaders Network participated in this study. This case study triangulated observation, interview, and…

  12. Lack of association between oral contraceptive use and Crohn's disease: a community-based matched case-control study.

    Science.gov (United States)

    Lashner, B A; Kane, S V; Hanauer, S B

    1989-12-01

    Previous epidemiologic studies have suggested a weak association between oral contraceptive use and Crohn's disease, specifically Crohn's colitis. To measure a possible etiologic association, 51 women with Crohn's disease who were 18-50 yr old were studied and compared with peer-nominated age- and sex-matched controls. There were no differences between cases and controls with respect to race, religion, marital status, and number of pregnancies. There was no association between oral contraceptive use and Crohn's disease incidence [current use: odds ratio (OR) 0.73, 95% confidence interval (CI) 0.34-1.59; former use: OR 1.80, CI 0.61-5.29; current or former use: OR 1.00, CI 0.46-2.16]. Stratifying by disease location also failed to identify an association. Cigarette smoking was significantly associated with Crohn's disease incidence. Controlling for possible confounding effects of cigarette smoking did not alter the lack of association between oral contraceptive use and Crohn's disease. Similarly, testing for interaction failed to demonstrate any effect modification. Analyzing for duration of current oral contraceptive use or time interval since last use failed to demonstrate a "dose-response" effect. The study was of sufficient size to detect statistical significance for oral contraceptive use for odds ratios of greater than or equal to 2.76. From this community-based matched case-control study, there was no association between oral contraceptive use and Crohn's disease, and women need not be advised to discontinue oral contraceptive use when a diagnosis of Crohn's disease is made.

  13. Ritual works and practices: a case study from a Muslim community in Cambodia

    Directory of Open Access Journals (Sweden)

    Ing-Britt Trankell

    2003-01-01

    Full Text Available The function of the ritual is to assert a transcendental power over everyday experience and rituals therefore tend to be formalized, repetitive and conservative events. The purpose of this paper is to show the importance for ritual studies of ritualised strategies for the negotiation of power and influence. Here, research on a spirit possession cult among the Muslim Cham in Cambodia will serve as an empirical basis for a discussion of the open-ended and unbounded features of ritual in contemporary society, since the performances of this cult may be seen both as a kind of "state ritual" and as exorcism. Through the cult, the Cham tend to take refuge in their memories of the distant past rather than in their more immediate memories of terror and political violence, during the civil war and the Khmer Rouge regime. Rephrased as songs of the spirits, the present and the past intermingle in narrating the difficulties, the conflicts and the struggle in the world of the spirits who live next to, and mingle in, the world of ordinary human beings.

  14. Multifunctionality assessment in forest planning at landscape level. The study case of Matese Mountain Community (Italy.

    Directory of Open Access Journals (Sweden)

    Umberto Di Salvatore

    2013-12-01

    Full Text Available Normal 0 14 false false false MicrosoftInternetExplorer4 The main objective is to improve a method that aims at evaluating forest multifunctionality from a technical and practical point of view. A methodological approach - based on the index of forest multifunctionality level - is proposed to assess the “fulfilment capability” of a function providing an estimate of performance level of each function in a given forest. This method is aimed at supporting technicians requested to define most suitable management guidelines and silvicultural practices in the framework of a Forest Landscape Management Plan (FLMP. The study area is the Matese district in southern Apennines (Italy, where a landscape planning experimentation was implemented. The approach includes the qualitative and quantitative characterization of selected populations, stratified by forest category by a sampling set of forest inventory plots. A 0.5 ha area around the sample plot was described by filling a form including the following information: site condition, tree species composition, stand origin and structure, silvicultural system, health condition, microhabitats presence. In each sample plot, both the multifunctionality assessment and the estimate of the effect of alternative management options on ecosystem goods and services, were carried out. The introduction of the term “fulfilment capability” and the modification of the concept of priority level - by which the ranking of functions within a plot is evaluated - is an improvement of current analysis method. This enhanced approach allows to detect the current status of forest plot and its potential framed within the whole forest. Assessing functional features of forests with this approach reduces the inherent subjectivity and allows to get useful information on forest multifunctionality to support forest planners in defining management guidelines consistent with current status and potential evolutive pattern.

  15. Impact of community-based natural resource management on household consumption: a case study of Tonle Sap Lake, Cambodia

    Directory of Open Access Journals (Sweden)

    Rylida Vong

    2017-08-01

    Full Text Available Community-based natural resource management (CBNRM is implemented in Tonle Sap Lake (TSL, Cambodia after abolishment of commercial fishing lots in 2001 and 2012. One objective of CBNRM implementation is to reduce poverty of the local communities in TSL. This study aimed to examine the impact of CBNRM on household consumption of fishermen in TSL through Propensity Score Matching method by comparing 248 non-CBNRM households and 223 CBNRM households This study reveals that CBNRM had a negative impact on adult equivalent consumption in the community including the fishermen who fished only inside the community boundary and those who fished both inside and outside the community boundary. However, this study also shows a positive impact of CBNRM on adult equivalent consumption of the households who fished only inside the community boundary. The local community needs more rights to exclude the migrant fishermen and rights to enforce the laws. This study also highlights that alternate income sources should also be created that could be created by expanding the market of the existing ecotourism-job, i.e. hyacinth-made handicraft making.

  16. The Importance of Audience and Agency for Representation: A Case Study of an Urban Youth Media Community

    Science.gov (United States)

    Charmaraman, Linda

    2010-01-01

    Purpose Urban youths' agency to represent their realities through media has been largely unexplored in the youth development literature. In this qualitative case study of an after-school youth media program in the Bay Area, expressions of youth agency and the role of audiences are explored during the process of producing videos for public consumption. Methodology As participant observer of 14 ethnically diverse youth participants aged between 15 and 18 years over 18 months, I documented (a) the kind of agencies participants engaged in and (b) the impact of live and imagined future audiences on youths' creative processes. Analyses of field notes, semi-structured interviews, and media projects were conducted using thematic analysis to inductively generate emerging categories. Findings Themes included an agentive sense of self-efficacy, commitment, and responsibility, as well as perceived contributions to local audiences and an emerging collective identity. The youth demonstrated their increased sense of a social or civic duty to realistically represent youth of color to familiar and unfamiliar audiences. Implications This case study demonstrated how one youth media organization fostered agency through youth authorship, production, distribution, and local community dialogue. By documenting the impact of audiences from conception to public reception, this study provides valuable insight into the agentive process of publicly “performing” a commitment to complete a social change video project. Contribution This chapter underscores the value of performance within youth development programs and the critical component of audiences as one form of authentic assessment in order to foster individual and collective agency. PMID:20671812

  17. Community vulnerability assessment index for flood prone savannah agro-ecological zone: A case study of Wa West District, Ghana

    Directory of Open Access Journals (Sweden)

    Effah Kwabena Antwi

    2015-12-01

    Full Text Available The savannah regions of Northern Ghana are characterized by smallholder farming systems and high levels of poverty. Over the past two decades, communities in the regions have become more prone to climate and human-induced disasters in the form of annual floods and droughts. This study evaluates the degree and magnitude of vulnerability in four communities subjected to similar climate change induced flood events and propose intervention options. The study employs rural participatory research approaches in developing four vulnerability categories namely socio-economic, ecological, engineering and political; which were used to develop indicators that aided the calculation of total community vulnerability index for each community. The findings indicate that the state of a community's vulnerability to flood is a composite effect of the four vulnerability index categories which may act independently or concurrently to produce the net effect. Based on a synthesis of total vulnerability obtained in each community, Baleufili was found to be the least vulnerable to flood due to its high scores in engineering, socio-economic and political vulnerability indicators. Baleufili and Bankpama were the most ecologically vulnerable communities. The selection of vulnerability index categories and associated indicators were grounded in specific local peculiarities that evolved out of engagement with community stakeholders and expert knowledge of the socioecological landscape. Thus, the Total Community Vulnerability Assessment Framework (TCVAF provides an effective decision support for identifying communities’ vulnerability status and help to design both short and long term interventions options that are community specific as a way of enhancing their coping and adaptive capacity to disasters.

  18. Impact of community-based natural resource management on household consumption: a case study of Tonle Sap Lake, Cambodia

    OpenAIRE

    Rylida Vong

    2017-01-01

    Community-based natural resource management (CBNRM) is implemented in Tonle Sap Lake (TSL), Cambodia after abolishment of commercial fishing lots in 2001 and 2012. One objective of CBNRM implementation is to reduce poverty of the local communities in TSL. This study aimed to examine the impact of CBNRM on household consumption of fishermen in TSL through Propensity Score Matching method by comparing 248 non-CBNRM households and 223 CBNRM households This study reveals that CBNRM had a negative...

  19. The characteristics and experience of community food program users in arctic Canada: a case study from Iqaluit, Nunavut

    OpenAIRE

    Ford, James; Lardeau, Marie-Pierre; Vanderbilt, Will

    2012-01-01

    Abstract Background Community food programs (CFPs), including soup kitchens and food banks, are a recent development in larger settlements in the Canadian Arctic. Our understanding of utilization of these programs is limited as food systems research has not studied the marginalised and transient populations using CFPs, constraining service planning for some of the most vulnerable community members. This paper reports on a baseline study conducted with users of CFPs in Iqaluit, Nunavut, to ide...

  20. A comparison of the migration process to an urban barrio and to a rural community: two case studies.

    Science.gov (United States)

    Flinn, W L; Cartano, D G

    1970-01-01

    The results of 2 case studies on migration in Colombia are outlined and compared. The 1st study examines inmigration to a shantytown, El Carmen, in Bogota. The 2nd study involves inmigration to a community in the eastern interior of Colombia, Granada. Migrants' motives, paths of migration, and personal characteristics are examined, suggesting hypotheses for future studies. Economic reasons were most often listed as motives for moving by both the residents of Granada and El Carmen. The type of economic motives varied greatly between the 2 communities. Reasons such as "looking for land," "establishing a business," or "to find a better life" ranked high in importance among Granada residents. These motives, along with the flight from violence, indicate that the independence provided by land and small business affords the inmigrants to Granada a certain security. Inmigrants to El Carmen were seeking employment. Only 34% of the migrants to El Carmen made 1 or more moves before settling in Bogota. 90% of the rural to rural migrants made 1 or more stops before moving to Granada. 68% of the migrants to El Carmen were born within 100 miles of Bogota while only 18% of the migrants to Granada were born within a 100 mile radius of the community. The usual pattern of the migrant to Granada was to move to a neighboring village, town, or city regardless of whether it was closer to Granada or not. The majority of inmigrants to Granada moved from distances greater than 100 miles. Over 70% of the inmigrants were born in towns and villages of more than 2000 population. If a nucleus of 10,000 inhabitants or more are considered urban, then 46% of the rural to rural migrants resided in urban areas prior to moving to Granada. This suggests that a sizable proportion of the migration to Granada is really urban to rural frontier. Studies done in Colombia and Brazil indicate that migrants to rural areas have a lower educational level than migrants to urban areas. Data from El Carmen and

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

    Directory of Open Access Journals (Sweden)

    Nyato Daniel J

    2010-02-01

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

  2. Local community participatory learning with a nature interpretation system: A case study in Ban Pong, Sansai district, Chiang Mai, Thailand

    Directory of Open Access Journals (Sweden)

    Raktida Siri

    2017-05-01

    The research employed multiple research methods consisting of surveys, focus group discussion, and participatory observation. Samples used in the study were members of the Agro-tourism Club of Ban Pong community, Ban Pong, Papai sub-district, Sansai district, Chiang Mai province. The community members undertook learning through a four-step participatory learning process; (1 analyzing problems, (2 planning, exploring, and voting, (3 implementation, and (4 evaluation. The results showed that the community members had gained knowledge about tourism interpretation and showed a positive attitude toward the development of tourism interpretation. Moreover, at the end of the study, they had actually developed an interpretative nature trail that was derived from the real needs of their community.

  3. Partnership selection and formation: a case study of developing adolescent health community-researcher partnerships in fifteen U.S. communities.

    Science.gov (United States)

    Straub, Diane M; Deeds, Bethany Griffin; Willard, Nancy; Castor, Judith; Peralta, Ligia; Francisco, Vincent T; Ellen, Jonathan

    2007-06-01

    This study describes the partner selection process in 15 U.S. communities developing community-researcher partnerships for the Connect to Protect (C2P): Partnerships for Youth Prevention Interventions, an initiative of the Adolescent Trials Network for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) Interventions. Each site generated an epidemiological profile of urban youth in their community, selected a focus population and geographic area of youth at risk for HIV, conducted a series of successive structured interviews, and engaged in a process of relationship-building efforts culminating in a collaborative network of community agencies. Sites chose as their primary target population young women who have sex with men (n = 8 sites), young men who have sex with men (n = 6), and intravenous drug users (n = 1). Of 1162 agencies initially interviewed, 281 of 335 approached (84%) agreed to join the partnership (average 19/site). A diverse array of community agencies were represented in the final collaborative network; specific characteristics included: 93% served the sites' target population, 54% were predominantly youth oriented, 59% were located in the geographical area of focus, and 39% reported provision of HIV/STI (sexually transmitted infection) prevention services. Relationship-building activities, development of collaborative relationships, and lessons learned, including barriers and facilitators to partnership, are also described. Study findings address a major gap in the community partner research literature. Health researchers and policymakers need an effective partner selection framework whereby community-researcher partnerships can develop a solid foundation to address public health concerns.

  4. The influence of ecology on chimpanzee (Pan troglodytes) cultural behavior: a case study of five Ugandan chimpanzee communities.

    Science.gov (United States)

    Gruber, Thibaud; Potts, Kevin B; Krupenye, Christopher; Byrne, Maisie-Rose; Mackworth-Young, Constance; McGrew, William C; Reynolds, Vernon; Zuberbühler, Klaus

    2012-11-01

    The influence of ecology on the development of behavioral traditions in animals is controversial, particularly for chimpanzees (Pan troglodytes), for which it is difficult to rule out environmental influences as a cause of widely observed community-specific behavioral differences. Here, we investigated 3 potential scenarios that could explain the natural variation in a key extractive tool behavior, "fluid-dip," among several communities of chimpanzees of the Pan troglodytes schweinfurthii subspecies in Uganda. We compared data from previous behavioral ecological studies, field experiments, and long-term records of chimpanzee tool-using behavior. We focused on the quality of the available food, dietary preferences, and tool sets of 5 different communities, and carried out a standardized field experiment to test systematically for the presence of fluid-dip in 4 of these communities. Our results revealed major differences in habitat, available diet, and tool use behavior between geographically close communities. However, these differences in ecology and feeding behavior failed to explain the differences in tool use across communities. We conclude that ecological variables may lead both to innovation and loss of behavioral traditions, while contributing little to their transmission within the community. Instead, as soon as a behavioral tradition is established, sociocognitive factors likely play a key maintenance role as long as the ecological conditions do not change sufficiently for the tradition to be abandoned.

  5. Ascribing quantitative value to community participation: a case study of the Roll Back Malaria (RBM) initiative in five African countries.

    Science.gov (United States)

    Chilaka, M A

    2005-11-01

    There are two objectives. The first is to outline the processes involved in the estimation and use of quantitative values to measure community participation. The community participation value (Cp value) is a new concept being introduced in this study. The second is to compare the levels of community participation in the RBM programmes in five African countries, namely, Burkina Faso, Ghana, Nigeria, Tanzania and Uganda. The study design is based on the Rifkin and Pridmore Spidergram model for assessing the level of community participation in a development programme. The methods involved a structured review of web-based and published secondary data. Appropriate indices were used to capture the extent of malaria control in the respective countries. Comparisons were then made between the Cp values and the results obtained for malaria control in order to arrive at a judgement of the significance of community participation to the success of the RBM programmes. The findings from this study showed that community participation was present in varying degrees in the RBM programmes of the different countries. The computed Cp values for the five countries under consideration were as follows: Uganda (12.5), Ghana (10.5), Tanzania (10.0), Nigeria (9.0) and Burkina Faso (8.0). Based on a maximum attainable Cp value of 25, it was observed that the level of community participation in the RBM initiative is still generally low in the countries studied. Although community participation was present and relevant to the Roll Back Malaria initiative, other factors appeared to have more significant influence on the success, or otherwise, of the initiative. Such factors include the availability of financial resources for malaria control, competent health personnel, and the general health infrastructure available in a given country.

  6. Hybrid Decentralised Energy for Remote Communities: Case Studies and the Analysis of the Potential Integration of Rain Energy

    Directory of Open Access Journals (Sweden)

    Ying Miao

    2014-09-01

    Full Text Available For remote underdeveloped and sparsely populated regions, the use of national power grids to provide electricity can be both unsustainable and impractical. In recent years, decentralised renewable power has gained popularity, endowing social benefits to the local inhabitants through clean rural electrification. However, power reliability and system autonomy are often the primary technical concerns as current systems are largely single source reliant. Hybrid power systems that utilise multiple complementary renewables can help to reduce the dependency on conventional unclean options. A few selected case studies for both single source and hybrid power systems are reviewed, analysing critical success factors and evaluating existing difficulties. The additional integration of the novel rain-powered kinetic-to-electric generator technology to the existing hybrid model is analysed. As with development in general, there is no one-size-fits-all solution to bringing power to remote communities and the most sustainable solution should be found through analysing local resources, environmental conditions and maximising local involvement.

  7. Development of the community midwifery education initiative and its influence on women's health and empowerment in Afghanistan: a case study.

    Science.gov (United States)

    Speakman, Elizabeth M; Shafi, Ahmad; Sondorp, Egbert; Atta, Nooria; Howard, Natasha

    2014-09-15

    Political transition in Afghanistan enabled reconstruction of the destroyed health system. Maternal health was prioritised due to political will and historically high mortality. However, severe shortages of skilled birth attendants--particularly in rural areas--hampered safe motherhood initiatives. The Community Midwifery Education (CME) programme began training rural midwives in 2002, scaling-up nationally in 2005. This case study analyses CME development and implementation to help determine successes and challenges. Data were collected through documentary review and key informant interviews. Content analysis was informed by Walt and Gilson's policy triangle framework. The CME programme has contributed to consistently positive indicators, including up to a 1273/100,000 reduction in maternal mortality ratios, up to a 28% increase in skilled deliveries, and a six-fold increase in qualified midwives since 2002. Begun as a small pilot, CME has gained support of international donors, the Afghan government, and civil society. CME is considered by stakeholders to be a positive model for promoting women's education, employment, and health. However, its future is threatened by insecurity, corruption, lack of regulation, and funding uncertainties. Strategic planning and resource mobilisation are required for it to achieve its potential of transforming maternal healthcare in Afghanistan.

  8. Enabling the development of Community Extensions to GI-cat - the SIB-ESS-C case study

    Science.gov (United States)

    Bigagli, L.; Meier, N.; Boldrini, E.; Gerlach, R.

    2009-04-01

    class: the mechanism used to create GI-cat components) to support a custom community catalog/inventory service in GI-cat. In general, all the terminal nodes of a GI-cat configuration chain are in charge of mediating between the GI-cat common interfaces and a backend, so we implemented a default behavior in an abstract class, termed Accessor, to be more easily subclassed. Moreover, we identified several typical backend scenarios and provided specialized Accessor subclasses, even simpler to implement. For example, in case of a coarse-grained backend service, that responds its data all at once, a specialized Accessor can retrieve the whole content the first time, and subsequently browse/query the local copy of the data. This was the approach followed for the development of SibesscAccessor. The SIB-ESS-C case study is also noticeable because it requires mediating between the relational and the semi-structured data models. In fact, SIB-ESS-C data are stored in a relational database, to provide performant access even to huge amounts of data. The SibesscAccessor is in charge of establishing a JDBC connection to the database, reading the data by means of SQL statements, creating Java objects according to the ISO 19115 data model, and marshalling the resulting information to an XML document. During the implementation of the SibesscAccessor, the mix of technologies and deployment environments and the geographical distribution of the development teams turned out to be important issues. To solve them, we relied on technologies and tools for collaborative software development: the Maven build system, the SVN version control system, the XPlanner project planning and tracking tool, and of course VOIP tools. Moreover, we shipped the Accessor Development Kit (ADK) Java library, containing the classes needed for extending GI-cat to custom community catalog/inventory services and other supporting material (documentation, best-practices, examples). The ADK is distributed as a Maven

  9. Evaluating mobile solutions of integrated Community Case ...

    African Journals Online (AJOL)

    Africa Center of Excellence in Public Health and Herbal Medicine, University of Malawi, Blantyre, Malawi. The current state of iCCM ... Organization and United Nations Children's Fund developed integrated Community Case .... Impact of the Integrated Community Case Management Strategy to Treat Childhood Infection.

  10. The Role of NGOs in Enabling Elderly Activity and Care in the Community: a Case Study of Silver Wings in South Korea.

    Science.gov (United States)

    Yang, Yunjeong

    2017-05-06

    South Korea is now one of the most rapidly aging societies in the world and meeting the elderly's needs requires a systemic and paradigm change. In this study I argue that community-based care of the elderly in the community should be seen as complementary to, and arguably more fundamental than, enhancing long-term care services per se. Based on qualitative interviews and observations, this paper presents a case study of Silver Wings, the community-based initiative of local non-governmental organization (NGO) Saerom to provide older people's self-help groups with support from HelpAge Korea. The study analyzes the activities and capacities of local NGOs in promoting "aging-in-community" and the findings suggest that such initiatives can certainly contribute to improving well-being and also to reducing long-term care needs. Lessons and challenges of the initiative, as well as policy suggestions, are also discussed.

  11. Multiple Drivers of Local (Non- Compliance in Community-Based Marine Resource Management: Case Studies from the South Pacific

    Directory of Open Access Journals (Sweden)

    Janne R. Rohe

    2017-05-01

    Full Text Available The outcomes of marine conservation and related management interventions depend to a large extent on people's compliance with these rule systems. In the South Pacific, community-based marine resource management (CBMRM has gained wide recognition as a strategy for the sustainable management of marine resources. In current practice, CBMRM initiatives often build upon customary forms of marine governance, integrating scientific advice and management principles in collaboration with external partners. However, diverse socio-economic developments as well as limited legal mandates can challenge these approaches. Compliance with and effective (legally-backed enforcement of local management strategies constitute a growing challenge for communities—often resulting in considerable impact on the success or failure of CBMRM. Marine management arrangements are highly dynamic over time, and similarly compliance with rule systems tends to change depending on context. Understanding the factors contributing to (non- compliance in a given setting is key to the design and function of adaptive management approaches. Yet, few empirical studies have looked in depth into the dynamics around local (non- compliance with local marine tenure rules under the transforming management arrangements. Using two case studies from Solomon Islands and Fiji, we investigate what drives local (non- compliance with CBMRM and what hinders or supports its effective enforcement. The case studies reveal that non-compliance is mainly driven by: (1 diminishing perceived legitimacy of local rules and rule-makers; (2 increased incentives to break rules due to market access and/ or lack of alternative income; and (3 relatively weak enforcement of local rules (i.e., low perceptions of risk from sanctions for rule-breaking. These drivers do not stand alone but can act together and add up to impair effective management. We further analyze how enforcement of CBMRM is challenged through a range of

  12. Examining the Transition to a Four-Day School Week and Investigating Post-Change Faculty/Staff Work-Life Balance: A Community College Case Study

    Science.gov (United States)

    Cardinale, Nelly

    2013-01-01

    This single descriptive embedded case study examined the process of implementing a four-day work/school week at a community college and investigated post-change faculty/staff work-life balance. All of the students attending this college live at home. The change was implemented due to state funding shortfalls, increasing college utility expenses…

  13. Abriendo Caminos Para La Educacion: A Case Study of a Parent Outreach Initiative Building on the Knowledge, Skills, and Resources of the Latina/o Community

    Science.gov (United States)

    Fernandez, Graciela

    2010-01-01

    Informed by research studies that demonstrate a positive relationship between parent engagement and student academic attainment, state and national parent outreach initiatives have aimed to bridge the gap between Latina/o parents and schools. Such was the case with the Latina/o Family, School and Community "Avanzando" Project, which…

  14. Casing study

    Energy Technology Data Exchange (ETDEWEB)

    Roche, P.

    2000-12-01

    An unorthodox method of casing drilling used by Tesco Corporation at a gas well in Wyoming to drill deeper using casings as drillpipe is discussed. The process involves either rotating the casing as drill string or using a downhole mud motor to rotate the bit. In this instance, the surface hole and the production hole were casing-drilled to a record 8,312 feet by rotating the casing. The 8 1/2-inch surface hole was drilled with 7-inch casing to 1,200 feet using a Tesco underreamer and a polycrystalline pilot bit; drilling and cementing was completed in 12 1/2 hours. The 6 1/4-inch production hole was drilled with 4 1/2-inch casing and the bottomhole assembly was retrieved after 191 hours rotating. This case was the first in which the entire well was casing-drilled from surface to TD. Penetration rate compared favorably with conventional methods: 12 1/2 hours for casing-drilling to 18.9 hours for conventional drilling, despite the fact that the casing-drilling technology is still in its infancy. It is suggested that casing-drilling has the potential to eliminate the need for the drillpipe entirely. If these expectations were to be realised, casing-drilling could be one of the most radical drilling changes in the history of the oil and gas industry. 1 photo.

  15. Attitude Differences between Male and Female Students at Clovis Community College and Their Relationships to Math Anxiety: A Case Study.

    Science.gov (United States)

    Hendershot, Richard Lane

    The purpose of this study was to examine the attitudes of males and females at Clovis Community College towards math anxiety and to look for possible factors that could be used to assist in the assignment of students to various math classes. The subjects in the study were fifty male students and fifty female students. Subjects responded to a math…

  16. Photovoltaic energy supply in communities of the Xingo program: Case study: Gualte community-Brazilian Northeast Methodology for natural climatization of buildings

    Energy Technology Data Exchange (ETDEWEB)

    Barbosa, Elielza M. de S; Tiba, Chigueru [Universidad Federal de Pernambuco-UFPE (Brazil); Silva Junior, Ramiro; Ferreira, Fabiana M; Carvalho, Maria A. P [Xingo Program (Brazil)

    2000-07-01

    The Xingo Program is a multidisciplinary initiative, developed jointly by the CNPq-Brazilian National Council for Scientific and Technological Development and CHESF- Hydroelectric Power Company of the Sao Francisco River. Its main objective is to promote the development of a semi-arid region through actions undertaken in different areas; more specifically, to seek energetic solutions on suitable techniques in the region and at the same time identify local demands and business opportunities that may lead to the introduction of enterprises in the region, principally focusing social and citizenship development. Eight rural communities located in the perimeter of Xingo program were selected for implementing the first pilot projects. This paper describes a technical and social diagnosis, and a conceptual project that were made for each community, considering the resources and the local available potentialities, prioritizing energy supply to schools, health centers and the supply of drinking water. In particular, the case study describes the process of energy supply to Guatle community, an old farm without any education/health infrastructure and water is supplied by means of trucks, in which there was a significant increase in the number of families after being occupied by activists of the Landless movement. In this community a school unit was built and electrified (school and park illuminated, TV, refrigerator), a 12 m{sup 3}/day water supply system was installed in and old and abandoned well, the water of which showed an excellent quality and quantity, 6 m{sup 3}/h, a very rare occurrence in that region. Later, literacy courses were given to young people and adults, the natural aptitude of the inhabitants. With the arrival of water, the first conflicts for the management of these resources emerged. The experience in Gualte, in spite of the successes and failures, could be considered as a lesson that should be learned. The feeling of citizenship of the needy community

  17. A history of the working group to address Los Alamos community health concerns. A case study of community involvement and risk communication

    International Nuclear Information System (INIS)

    Harry Otway; Jon Johnson

    2000-01-01

    In May 1991, at a Department of Energy (DOE) public hearing at Los Alamos, New Mexico, a local artist claimed there had been a recent brain tumor cluster in a small Los Alamos neighborhood. He suggested the cause was radiation from past operations of Los Alamos National Laboratory. Data from the Laboratory's extensive environmental monitoring program gave no reason to believe this charge to be true but also could not prove it false. These allegations, reported in the local and regional media, alarmed the community and revealed an unsuspected lack of trust in the Laboratory. Having no immediate and definitive response, the Laboratory offered to collaborate with the community to address this concern. The Los Alamos community accepted this offer and a joint Community-Laboratory Working Group met for the first time 29 days later. The working group set as its primary goal the search for possible carcinogens in the local environment. Meanwhile, the DOE announced its intention to fund the New Mexico Department of Health to perform a separate and independent epidemiological study of all Los Alamos cancer rates. In early 1994, after commissioning 17 environmental studies and meeting 34 times, the working group decided that the public health concerns had been resolved to the satisfaction of the community and voted to disband. This paper tells the story of the artist and the working group, and how the media covered their story. It summarizes the environmental studies directed by the working group and briefly reviews the main findings of the epidemiology study. An epilogue records the present-day recollections of some of the key players in this environmental drama

  18. A history of the working group to address Los Alamos community health concerns - A case study of community involvement and risk communication

    Energy Technology Data Exchange (ETDEWEB)

    Harry Otway; Jon Johnson

    2000-01-01

    In May 1991, at a Department of Energy (DOE) public hearing at Los Alamos, New Mexico, a local artist claimed there had been a recent brain tumor cluster in a small Los Alamos neighborhood. He suggested the cause was radiation from past operations of Los Alamos National Laboratory. Data from the Laboratory's extensive environmental monitoring program gave no reason to believe this charge to be true but also could not prove it false. These allegations, reported in the local and regional media, alarmed the community and revealed an unsuspected lack of trust in the Laboratory. Having no immediate and definitive response, the Laboratory offered to collaborate with the community to address this concern. The Los Alamos community accepted this offer and a joint Community-Laboratory Working Group met for the first time 29 days later. The working group set as its primary goal the search for possible carcinogens in the local environment. Meanwhile, the DOE announced its intention to fund the New Mexico Department of Health to perform a separate and independent epidemiological study of all Los Alamos cancer rates. In early 1994, after commissioning 17 environmental studies and meeting 34 times, the working group decided that the public health concerns had been resolved to the satisfaction of the community and voted to disband. This paper tells the story of the artist and the working group, and how the media covered their story. It summarizes the environmental studies directed by the working group and briefly reviews the main findings of the epidemiology study. An epilogue records the present-day recollections of some of the key players in this environmental drama.

  19. The impact of neurological disorders on the risk for falls in the community dwelling elderly: a case-controlled study.

    Science.gov (United States)

    Homann, Barbara; Plaschg, Annemarie; Grundner, Marion; Haubenhofer, Alice; Griedl, Theresa; Ivanic, Gerd; Hofer, Edith; Fazekas, Franz; Homann, Carl Nikolaus

    2013-11-25

    Owing to a lack of data, our aim was to evaluate and compare the impact of various common neurological diseases on the risk for falls in independent community dwelling senior citizens. Prospective case-controlled study. General hospital. Of 298 consecutive patients and 214 controls enrolled, 228 patients (aged 74.5±7.8; 61% women) and 193 controls (aged 71.4±6.8; 63% women) were included. The exclusion criteria were as follows: for patients, severe disability, disabling general condition or severe cognitive impairment; for controls, any history of neurological disorders or disabling medical conditions; and for both, age below 60 years. A matching process led to 171 age-matched and gender-matched pairs of neurological patients and healthy controls. A 1-year incidence of falls based on patients' 12-month recall; motor and non-motor function tests to detect additional risk factors. 46% of patients and 16% of controls fell at least once a year. Patients with stroke (89%), Parkinson's disease (77%), dementia (60%) or epilepsy (57%) had a particularly high proportion of fallers, but even subgroups of patients with the least fall-associated neurological diseases like tinnitus (30%) and headache (28%) had a higher proportion of fallers than the control group. Neuropathies, peripheral nerve lesions and Parkinson's disease were predisposing to recurrent falls. A higher number of neurological comorbidities (p<0.001), lower Barthel Index values (p<0.001), lower Activities-Specific Balance Confidence scores (p<0.001) and higher Center of Epidemiological Studies Depression scores (p<0.001) as well as higher age (p<0.001) and female gender (p=0.003) proved to further increase the risk of falls. Medical practitioners, allied health professionals and carers should be aware that all elderly neurological patients seen in outpatient settings are potentially at high risk for falls; they should query them routinely about previous falls and fall risks and advise them on preventive

  20. Connecting Distance Learning Communities to Research via Virtual Collaboratories: A Case Study from Library and Information Science

    Science.gov (United States)

    Rebmann, Kristen

    2012-01-01

    This case study reports on patterns of participation in a virtual collaboratory organised around goals associated with the involvement of graduate students in research and writing projects. Traditionally, distance learning classrooms have been devoted to teaching content matter (in a virtual context) yet this case study reports on the use of…

  1. Designing a Community Engagement Framework for a New Dengue Control Method: A Case Study from Central Vietnam

    Science.gov (United States)

    McNaughton, Darlene; Duong, Thi Thu Huong

    2014-01-01

    Background The Wolbachia strategy aims to manipulate mosquito populations to make them incapable of transmitting dengue viruses between people. To test its efficacy, this strategy requires field trials. Public consultation and engagement are recognized as critical to the future success of these programs, but questions remain regarding how to proceed. This paper reports on a case study where social research was used to design a community engagement framework for a new dengue control method, at a potential release site in central Vietnam. Methodology/Principal Findings The approach described here, draws on an anthropological methodology and uses both qualitative and quantitative methods to design an engagement framework tailored to the concerns, expectations, and socio-political setting of a potential trial release site for Wolbachia-infected Aedes aegypti mosquitoes. The process, research activities, key findings and how these were responded to are described. Safety of the method to humans and the environment was the most common and significant concern, followed by efficacy and impact on local lives. Residents expected to be fully informed and engaged about the science, the project, its safety, the release and who would be responsible should something go wrong. They desired a level of engagement that included regular updates and authorization from government and at least one member of every household at the release site. Conclusions/Significance Results demonstrate that social research can provide important and reliable insights into public concerns and expectations at a potential release site, as well as guidance on how these might be addressed. Findings support the argument that using research to develop more targeted, engagement frameworks can lead to more sensitive, thorough, culturally comprehensible and therefore ethical consultation processes. This approach has now been used successfully to seek public input and eventually support for releases Wolbachia

  2. Use of Glucocorticoids and Risk of Community-Acquired Staphylococcus aureus Bacteremia: A Population-Based Case-Control Study.

    Science.gov (United States)

    Smit, Jesper; Kaasch, Achim J; Søgaard, Mette; Thomsen, Reimar W; Nielsen, Henrik; Frøslev, Trine; Schønheyder, Henrik C

    2016-07-01

    To investigate whether the use of systemic glucocorticoids is a risk factor for community-acquired Staphylococcus aureus bacteremia (CA-SAB). We used population-based medical registries in Northern Denmark to conduct a case-control study including all adults with first-time CA-SAB and matched population controls from January 1, 2000, through December 31, 2011. Glucocorticoid users were categorized as current users (new or long-term use), former users, and nonusers. Using conditional logistic regression, we computed odds ratios (ORs) of CA-SAB according to glucocorticoid exposure, overall and by 90-day prednisolone-equivalent cumulative dose. We identified 2638 patients with first-time CA-SAB and 26,379 matched population controls. Current glucocorticoid users experienced considerably increased risk of CA-SAB compared with nonusers (adjusted OR=2.48; 95% CI, 2.12-2.90). The adjusted OR was 2.73 (95% CI, 2.17-3.45) in new users, 2.31 (95% CI, 1.90-2.82) in long-term users, and much lower at 1.33 (95% CI, 0.98-1.81) in former users of glucocorticoids compared with nonusers. The risk of CA-SAB increased with higher 90-day cumulative doses. Compared with nonusers of glucocorticoids, the adjusted OR was 1.32 (95% CI, 1.01-1.72) for persons with a cumulative dose of 150 mg or less, 2.42 (95% CI, 1.76-3.33) for persons whose cumulative dose was greater than 500 to 1000 mg, and 6.25 (95% CI, 4.74-8.23) for persons with a cumulative dose greater than 1000 mg. Glucocorticoid use was associated with a substantially increased risk of CA-SAB. The risk increased with higher cumulative dose, revealing a distinct dose-response relation. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  3. Designing a community engagement framework for a new dengue control method: a case study from central Vietnam.

    Directory of Open Access Journals (Sweden)

    Darlene McNaughton

    2014-05-01

    Full Text Available BACKGROUND: The Wolbachia strategy aims to manipulate mosquito populations to make them incapable of transmitting dengue viruses between people. To test its efficacy, this strategy requires field trials. Public consultation and engagement are recognized as critical to the future success of these programs, but questions remain regarding how to proceed. This paper reports on a case study where social research was used to design a community engagement framework for a new dengue control method, at a potential release site in central Vietnam. METHODOLOGY/PRINCIPAL FINDINGS: The approach described here, draws on an anthropological methodology and uses both qualitative and quantitative methods to design an engagement framework tailored to the concerns, expectations, and socio-political setting of a potential trial release site for Wolbachia-infected Aedes aegypti mosquitoes. The process, research activities, key findings and how these were responded to are described. Safety of the method to humans and the environment was the most common and significant concern, followed by efficacy and impact on local lives. Residents expected to be fully informed and engaged about the science, the project, its safety, the release and who would be responsible should something go wrong. They desired a level of engagement that included regular updates and authorization from government and at least one member of every household at the release site. CONCLUSIONS/SIGNIFICANCE: Results demonstrate that social research can provide important and reliable insights into public concerns and expectations at a potential release site, as well as guidance on how these might be addressed. Findings support the argument that using research to develop more targeted, engagement frameworks can lead to more sensitive, thorough, culturally comprehensible and therefore ethical consultation processes. This approach has now been used successfully to seek public input and eventually support for

  4. Guidelines of the Development and the Supporting Learning Resources by the Community Participatory of Case Study for the Schools Under Secondary Education Service Area Office 24

    Directory of Open Access Journals (Sweden)

    Wisan Payungwong

    2017-06-01

    Full Text Available This research aimed 1 to study the components of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24 and 2 to investigate guidelines of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24. This research was conducted into two phases. The first phase was investigated the components and indicators of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24. The samples group were five respondents to provide the information by an assessment form. The second phase was conducted to find out the guidelines of development and supporting learning resources by community participatory of case study which included four steps. The first step was the focus group of case study schools with best practice. The samples were fourteen key informants from 2 schools. There were school directors, deputy director of academic administration, head of learning, village leaders, wisdom villagers and religious leaders. The data were collected by using focus group discussion form. The second step was draft the develop management guideline of academic administration. The sample group were 7 professionals. The data were collected by using the evaluation from of propriety/feasibility/utility of the develop management guideline of academic administration. The data were analyzed in average ( and standard deviation (S.D.. The third step was group discussion for evaluated the applying of the develop management guideline of academic administration. The samples group were 14 key informants from 2 schools. There were school directors, deputy director of academic administration, head of learning, village leaders

  5. [A case-control study on the influencing factors to mild cognitive impairment among the community-based elderly population].

    Science.gov (United States)

    Ma, Fei; Wang, Ting; Yin, Jiong; Bai, Xu-Jing; Zhang, Xiao-Dong; Meng, Jun; Qu, Cheng-Yi

    2008-09-01

    To explore the influencing factors on mild cognitive impairment among the community-based elderly population. A 'n : m' matched case-control study was conducted to analyze the risk factors. Cox regression model of survival analysis was selected to deal with non-geometric proportional matched data which was difficult to analyze by logistic regression model. Four hundred and twenty-three cases together with nine hundred and twenty-five controls were interviewed with an uniformed questionnaire. Through univariate and multivariate cox regression analysis, the odds ratio and 95% CI of these risk factors appeared to be: physical labor as 1.396 (1.092-1.785); smoking as 1.551 (1.021-2.359); higher level of blood glucose as 1.354 (1.102-1.664); HDL-C in the serum as 1.543 (1.232-1.932); LDL-C in the serum as 1.299 (1.060-1.592); lower level of estrogen in the serum as 1.263 (1.031-1.547); hypertension as 1.967 (1.438-2.689); diabete: 1.381 (1.139-1.675); depressive disorder: 1.406 (1.110-1.780); cerebral thrombosis as 1.593 (1.307-1.943); higher SBP as 1.331 (1.129-1.569) and ApoEepsilon 4 carrier as 1.462 (1.140-1.873) respectively. Odds ratio and 95% CI on protection factors appeared to be: reading newspaper frequently as 0.610 (0.503-0.740); frequently doing housework as 0.804 (0.665-0.973); frequently engaging in social activities as 0.617 (0.502-0.757); reemployment after formal retirement as 0.759 (0.636-0.906); having acumen olfaction as 0.900 (0.845-0.958); having extrovert personality as 0.829 (0.699-0.984); being decisive as 0.811 (0.662-0.993). The major measures to prevent MCI seemed to be including the following factors as: being intellectuals, engaging in healthy life style and decreasing the risk in developing hypertension, diabetes, depressive disorder and cerebrovascular disease. However, olfactory hypoesthesia, cowardice and having introvert character, ApoEepsilon 4 carrier etc could be treated as early indications to signify MCI.

  6. Culture and Poverty: A Case Study of a Girl with Special Educational Needs from a Poor Community in South India

    Science.gov (United States)

    Philip, Neetha

    2015-01-01

    Girls with disabilities from lower economic homes are disadvantaged (in terms of gender, disability and poverty) in India, and are often regarded as useless by their communities. There is a need to improve and provide a chance for self-sufficiency among women with disabilities in India. The purpose of this study was to examine the life-chances…

  7. Evaluation of electrification projects with renewable energy in communities of the mountain and forest of the Peru: a case study

    International Nuclear Information System (INIS)

    Sanchez, Teodoro; Escobar, Rafael; Cherni, Judith

    2003-01-01

    This paper analyses results of research on energy solutions in isolated rural areas in Peru. The communities being studied use solar panels and micro-hydroelectric systems. The purpose of this work is to contribute to the understanding of the rural electrification in Peru

  8. The acceptability of community leaders in establishing a nuclear power plant in Thailand: a case study of Chumphon province

    International Nuclear Information System (INIS)

    Aukaravarothai, A.

    1998-01-01

    Acceptability of community leaders regarding the establishment of a nuclear power plant in Amphoe Pathiu of Chumphon Province in studied. The objectives are to investigate the level of understanding, the attitudes of acceptance and the possible benefits the community expects from the establishment of a nuclear power plant in the province. The study method involved interviewing the selected 118 community leaders and then applying the statistical method to analysis their responses and obtain a general description of the acceptability. The Chi-quire method was used to test the hypothesis at the confidence levels of 95% and 99%. The results revealed that 88.1% of the respondents were male and 11.9% were female, 88.2% have lived there permanently, 39.8% were university graduates and 48.3% are government officials, 48.3% were acceptable about the establishment of the nuclear power plant, 54.2% were not acceptable and 29.7% were ambiguous because they were afraid and uncertain about the safety of the power plant. In the acceptable group there was no correlation between the responses and the general Background of the respondents, i.e. age, occupation, education and field of study. However, in the unacceptable and ambiguous groups, a correlation was found between their responses and general background. This could be due to an information drive in the community prior to this study

  9. The Fundamental Lifestyle of a University Community: A Case Study of Higher Education in a Malaysian Institution

    Science.gov (United States)

    Abdullah, Melissa Ng Lee Yen; Mey, See Ching

    2012-01-01

    This study identified the fundamental lifestyles adopted by a university community in Malaysia. Rapid growth and expansion of higher education in Malaysia is inevitable as the country moves from a production-based economy to one that is innovative and knowledge-based, requiring the development of a highly skilled and knowledgeable workforce.…

  10. Evaluation of electrification projects with renewable energy in communities of the mountain and forest of the Peru: A case study

    International Nuclear Information System (INIS)

    Sanchez, Teodoro; Escobar Rafael; Cherni, Judith

    2003-01-01

    This paper analyses results of research on energy solutions in isolated rural areas in Peru. The communities being studied use solar panels and micro-hydroelectric systems. The purpose of this work is to contribute to the understanding of the rural electrification in Peru

  11. The experience of community residents in a fire-prone ecosystem: A case study on the San Bernardino National Forest

    Science.gov (United States)

    George T. Cvetkovich; Patricia L. Winter

    2008-01-01

    This report presents results from a study of San Bernardino National Forest community residents’ experiences with and perceptions of fire, fire management, and the Forest Service. Using self-administered surveys and focus group discussions, we found that participants had personal experiences with fire, were concerned about fire, and felt knowledgeable about effective...

  12. Organisational aspects and benchmarking of e-learning initiatives: a case study with South African community health workers.

    Science.gov (United States)

    Reisach, Ulrike; Weilemann, Mitja

    2016-06-01

    South Africa desperately needs a comprehensive approach to fight HIV/AIDS. Education is crucial to reach this goal and Internet and e-learning could offer huge opportunities to broaden and deepen the knowledge basis. But due to the huge societal and digital divide between rich and poor areas, e-learning is difficult to realize in the townships. Community health workers often act as mediators and coaches for people seeking medical and personal help. They could give good advice regarding hygiene, nutrition, protection of family members in case of HIV/AIDS and finding legal ways to earn one's living if they were trained to do so. Therefore they need to have a broader general knowledge. Since learning opportunities in the townships are scarce, a system for e-learning has to be created in order to overcome the lack of experience with computers or the Internet and to enable them to implement a network of expertise. The article describes how the best international resources on basic medical knowledge, HIV/AIDS as well as on basic economic and entrepreneurial skills were benchmarked to be integrated into an e-learning system. After tests with community health workers, researchers developed recommendations on building a self-sustaining system for learning, including a network of expertise and best practice sharing. The article explains the opportunities and challenges for community health workers, which could provide information for other parts of the world with similar preconditions of rural poverty. © The Author(s) 2015.

  13. Older people’s adherence to community-based group exercise programmes: a multiple-case study

    Directory of Open Access Journals (Sweden)

    Clare Killingback

    2017-01-01

    Full Text Available Abstract Background Physical inactivity is a global phenomenon, with estimates of one in four adults not being active enough to achieve health benefits, thus heightening the risk of developing non-communicable diseases. In order to realise the health and wellbeing gains associated with physical activity the behaviour must be sustained. Community-based group exercise programmes (CBGEP utilising social supports have been shown to be one means of not only increasing activity levels for older people, but sustaining physical activity. A gap in the literature was identified around older people’s long-term adherence to real-life CBGEP within a UK context. This study therefore sought to address this gap by understanding older people’s ongoing adherence to CBGEP with a view to gaining further insight about which factors contribute to enabling people to sustain their physical activity levels. Methods A multiple case study research design was employed to understand older people’s (≥60 years, n = 27 adherence (≥ 69%, for ≥ 1 year to three current CBGEP in the South- West of England. Qualitative data (participant observation, focus groups, documents, and interviews were collected and analysed using inductive thematic analysis followed by the analytic technique of explanation building. Quantitative data were analysed using descriptive statistics and used to set the context of the study. Results The current study offers five unique insights into real-life programmes which have been successful in helping older people maintain adherence for a year or longer. These included: factors relating to the individual, the instructor (particularly their personality, professionalism and humanised approach, programme design (including location, affordability, the use of music, and adaptable exercise content, social features which supported a sense of belonging, and participant perceived benefits (physical and psycho-social. These all served to explain

  14. Spatial distribution and deployment of community-based distributors implementing integrated community case management (iCCM): Geographic information system (GIS) mapping study in three South Sudan states.

    Science.gov (United States)

    Pratt, Abigail; Dale, Martin; Olivi, Elena; Miller, Jane

    2014-12-01

    In late 2012 and in conjunction with South Sudan's Ministry of Health - National Malaria Control Program, PSI (Population Services International) conducted a comprehensive mapping exercise to assess geographical coverage of its integrated community case management (iCCM) program and consider scope for expansion. The operational research was designed to provide evidence and support for low-cost mapping and monitoring systems, demonstrating the use of technology to enhance the quality of programming and to allow for the improved allocation of resources through appropriate and need-based deployment of community-based distributors (CBDs). The survey took place over the course of three months and program staff gathered GPS (global positioning system) data, along with demographic data, for over 1200 CBDs and 111 CBD supervisors operating in six counties in South Sudan. Data was collated, cleaned and quality assured, input into an Excel database, and subsequently uploaded to geographic information system (GIS) for spatial analysis and map production. The mapping results showed that over three-quarters of CBDs were deployed within a five kilometer radius of a health facility or another CBD, contrary to program planning and design. Other characteristics of the CBD and CBD supervisor profiles (age, gender, literacy) were more closely matched with other regional programs. The results of this mapping exercise provided a valuable insight into the contradictions found between a program "deployment plan" and the realities observed during field implementation. It also highlighted an important need for program implementers and national-level strategy makers to consider the natural and community-driven diffusion of CBDs, and take into consideration the strength of the local health facilities when developing a deployment plan.

  15. CASE STUDY

    African Journals Online (AJOL)

    HIV infection has several oral manifestations, including oral candidiasis and oral hairy leucoplakia. Occasionally unusual presentations requiring rigorous investigations are seen, and in these cases the diagnosis sometimes remains a dilemma owing to limited investigation facilities.1-3 We present the case of a patient who.

  16. Post licensing case study of community effects at two operating nuclear power plants. Final report, March 1975--March 1976

    International Nuclear Information System (INIS)

    Purdy, B.J.; Peelle, E.; Bjornstad, D.J.; Mattingly, T.J. Jr.; Soderstrom, J.; DeVault, R.C.

    1976-06-01

    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

  17. The cost of annual versus biannual community-directed treatment of onchocerciasis with ivermectin: Ghana as a case study.

    Directory of Open Access Journals (Sweden)

    Hugo C Turner

    Full Text Available It has been proposed that switching from annual to biannual (twice yearly mass community-directed treatment with ivermectin (CDTI might improve the chances of onchocerciasis elimination in some African foci. However, historically, relatively few communities have received biannual treatments in Africa, and there are no cost data associated with increasing ivermectin treatment frequency at a large scale. Collecting cost data is essential for conducting economic evaluations of control programmes. Some countries, such as Ghana, have adopted a biannual treatment strategy in selected districts. We undertook a study to estimate the costs associated with annual and biannual CDTI in Ghana.The study was conducted in the Brong-Ahafo and Northern regions of Ghana. Data collection was organized at the national, regional, district, sub-district and community levels, and involved interviewing key personnel and scrutinizing national records. Data were collected in four districts; one in which treatment is delivered annually, two in which it is delivered biannually, and one where treatment takes place biannually in some communities and annually in others. Both financial and economic costs were collected from the health care provider's perspective.The estimated cost of treating annually was US Dollars (USD 0.45 per person including the value of time donated by the community drug distributors (which was estimated at USD 0.05 per person per treatment round. The cost of CDTI was approximately 50-60% higher in those districts where treatment was biannual than in those where it was annual. Large-scale mass biannual treatment was reported as being well received and considered sustainable.This study provides rigorous evidence of the different costs associated with annual and biannual CDTI in Ghana which can be used to inform an economic evaluation of the debate on the optimal treatment frequency required to control (or eliminate onchocerciasis in Africa.

  18. Campus and community micro grids integration of building integrated photovoltaic renewable energy sources: Case study of Split 3 area, Croatia - part A

    Directory of Open Access Journals (Sweden)

    Gašparović Goran

    2016-01-01

    Full Text Available Micro grids interconnect loads and distributed energy resources as a single controllable entity. New installations of renewable energy sources (RES in urban areas, such as Building Integrated Photovoltaic (BIPV, provide opportunities to increase energy independence and diversify energy sources in the energy system. This paper explores the integration of RES into two case study communities in an urban agglomeration to provide optimal conditions to meet a share of the electrical loads. Energy planning case studies for decentralized generation of renewable energy are conducted in H2RES energy planning software for hourly energy balances. The results indicate that BIPV and PV in the case study communities can cover about 17% of the recorded electrical demand of both areas. On a yearly basis, there will be a 0.025 GWh surplus of PV production with a maximum value of 1.25 MWh in one hour of operation unless grid storage is used. This amounts to a total investment cost of 13.36 million EUR. The results are useful for proposing future directions for the various case study communities targeting sustainable development.

  19. Exploring Content Management Issues in Air Force On-Line Communities of Practice: A Multiple Case Study Approach

    National Research Council Canada - National Science Library

    Jaime

    2004-01-01

    .... Addressing existing or potential content management issues will help do so. This multiple-case study research observed and interviewed managers and members of eight active CoPs busted by AFMC/DRW...

  20. Socio-Economic Appraisal of Flood Hazard among the Riparian Communities: Case Study of Brahmaputra Valley in Assam; India

    Science.gov (United States)

    Roy, Nikhil; Wasini Pandey, Bindhy

    2017-04-01

    Brahmaputra valley of Assam is one of the most hazard prone areas of the Indian subcontinent. Recurring floods have severely affected the riparian communities of the region since time immemorial. But, the frequency of the problem has been intensified after the great earthquakes of 1897 and 1950. These two extreme earthquakes have disturbed the geological setting of the basin and the channel morphology has been altered henceforth. The impact of floods on riparian communities in Brahmaputra valley has been abysmal. During the monsoon season almost 30 per cent of the valley has been inundated with floods and the riparian communities are mostly affected. Large chunk of people have been uprooted from their native lands due to recurring floods in the low lying areas of the region. Although it is impossible to quantify the human tragedy during the natural disasters, but one can easily understand the situation by the facts that about 1.8 million people and 200,000 hectares of farmland were affected in the 2016 floods of Assam. In the present study, an attempt has been made to assess the spatio-temporal changes of the morphology of Brahmaputra River and its impact on the livelihood of the riparian communities. For that, LANDSAT and SENTINEL imageries have been used to examine the shifting of bank lines of three decades. CARTOSAT DEM has been used to prepare the FLOOD HAZARD ZONATION map of the Brahmaputra valley to examine the flood vulnerable areas of the region. The present study also tries to explain the livelihood condition of the Internally Displaced Persons and their social cohesion. Keywords: Brahmaputra River, Flood, LANDSAT, CARTOSAT DEM, FLOOD HAZARD ZONATION, Riparian Communities

  1. Philosophy of sufficiency economy for community-based adaptation to climate change: Lessons learned from Thai case studies

    Directory of Open Access Journals (Sweden)

    Kulvadee Kansuntisukmongkol

    2017-01-01

    Full Text Available Major components within the philosophy of a sufficiency economy include moderation, prudence, and self-immunity together with knowledge and morality. These components were proposed to safeguard local communities from adverse changes and crises. Climatic crises due to global warming can impact upon local agricultural production and consumption systems. Yet, it is still questionable whether communities following the sufficiency economy philosophy can cope with climate change. The objective of this research was to study the coping and adaptive capacity to climate change of local agricultural communities following the sufficiency economy philosophy and to analyze the success factors of adaptation to climate change. The research found five adaptive strategies leading to a resilient livelihood: (1 self-evaluation, (2 diversity dependency, (3 storage and reserve, (4 cooperation, and (5 mobility over space and time. These strategies help to reduce exposure and sensitivity, while increasing adaptive capacity to climate change with the aims of sustainability and adaptation for survival, and protecting natural resource bases for food and settlement security. Moderation, prudence, and self-immunity are critical success factors of adaptation measures, whereas local ecological knowledge with morality is a core enabling factor for adapting to climate change. These factors can be applied in community-based climate change adaptation in the National Adaptation Plan.

  2. Secure land tenure as prerequisite towards sustainable living: a case study of native communities in Mantob village, Sabah, Malaysia.

    Science.gov (United States)

    Lunkapis, Gaim James

    2015-01-01

    Sustainable livelihoods, once enjoyed by native communities, are often threatened and in danger of extinction when new regulations and other forms of restrictions are introduced. These restrictions are often promoted with intended purposes, such as protecting the environment or securing resources from encroachment. However, these acts are slowly replacing the traditional adat (customs and traditions), which are used to define the rights attached to the use of communal and ancestral land. This is especially true when comes to access to forest products and land, in which native communities have used for generations. What the natives see as legitimate and traditional use, the state sees as an encroachment of property; and it has now become illegal to utilise these resources. This paper presents how native communities have adapted to such restrictions and continued to live in a sustainable manner through an adaptive strategy that is in line with state policy changes. A combination of quantitative and qualitative method is used to understand the dynamics of the strategy used by the native communities to adapt to these policy changes. The findings reveal how the natives have employed an adaptive strategy in response to state policy changes. The lessons learned from this study can provide useful pointers as to how state policies, in relation to highland settlements in the state of Sabah, Malaysia, can be improved.

  3. Salud Sí: a case study for the use of participatory evaluation in creating effective and sustainable community-based health promotion.

    Science.gov (United States)

    Ingram, Maia; Piper, Rosalinda; Kunz, Susan; Navarro, Cecilia; Sander, Alicia; Gastelum, Sylvia

    2012-01-01

    Participatory evaluation can be an essential tool for community-based organizations in tailoring programs to the needs of the populations they serve. This article provides a case study of Salud Sí, a promotora-driven health promotion program designed to encourage physical activity, fruit and vegetable consumption, and stress reduction among Mexican American women. Through a partnership between a community health center and an academic institution, we describe how the participatory evaluation framework is applied over a 10-year period throughout the stages of program development, implementation, and sustainability. Partners used the results to identify the essential elements of the health promotion program.

  4. Human resources and models of mental healthcare integration into primary and community care in India: Case studies of 72 programmes.

    Science.gov (United States)

    van Ginneken, Nadja; Maheedhariah, Meera S; Ghani, Sarah; Ramakrishna, Jayashree; Raja, Anusha; Patel, Vikram

    2017-01-01

    Given the scarcity of specialist mental healthcare in India, diverse community mental healthcare models have evolved. This study explores and compares Indian models of mental healthcare delivered by primary-level workers (PHW), and health workers' roles within these. We aim to describe current service delivery to identify feasible and acceptable models with potential for scaling up. Seventy two programmes (governmental and non-governmental) across 12 states were visited. 246 PHWs, coordinators, leaders, specialists and other staff were interviewed to understand the programme structure, the model of mental health delivery and health workers' roles. Data were analysed using framework analysis. Programmes were categorised using an existing framework of collaborative and non-collaborative models of primary mental healthcare. A new model was identified: the specialist community model, whereby PHWs are trained within specialist programmes to provide community support and treatment for those with severe mental disorders. Most collaborative and specialist community models used lay health workers rather than doctors. Both these models used care managers. PHWs and care managers received support often through multiple specialist and non-specialist organisations from voluntary and government sectors. Many projects still use a simple yet ineffective model of training without supervision (training and identification/referral models). Indian models differ significantly to those in high-income countries-there are less professional PHWs used across all models. There is also intensive specialist involvement particularly in the community outreach and collaborative care models. Excessive reliance on specialists inhibits their scalability, though they may be useful in targeted interventions for severe mental disorders. We propose a revised framework of models based on our findings. The current priorities are to evaluate the comparative effectiveness, cost-effectiveness and scalability

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

    Directory of Open Access Journals (Sweden)

    Rudel Ruthann A

    2010-07-01

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

  6. CASE STUDY

    African Journals Online (AJOL)

    vascular disease necessitating bilateral amputations at the knee. The patient had no ... patients on long-term treatment and those on protease inhibitor (PI) regimens.1,2 We present a rare case of atypical lipodystrophy, presenting as multiple subcutaneous lipomas, in a patient who had been on a non-PI. ARV regimen for 6 ...

  7. Case study

    African Journals Online (AJOL)

    Point mutations in the human fibroblast growth factor receptor 3 (FGFR3) gene are well documented in inherited skeletal anomalies, such as achondroplasia and thanatophoric dysplasia, that are associated in most cases of dwarfism.10 In addition, an oncogenic role has been proposed for mutant FGFR.11 Recently,.

  8. Culturally Relevant Human Subjects Protection Training: A Case Study in Community-Engaged Research in the United States.

    Science.gov (United States)

    Kue, Jennifer; Szalacha, Laura A; Happ, Mary Beth; Crisp, Abigail L; Menon, Usha

    2018-02-01

    Non-academic members of research teams, such as community members, can perceive traditional human subjects protection training as lacking in cultural relevance. We present a case exemplar of the development of a human subjects protection training for research staff with limited English proficiency and/or no or limited research experience. Seven modules were adapted for language, cultural examples, etc., from the standard Collaborative Institutional Training Initiative (CITI) human subjects protection training. Non-academic research staff completed a day-long training in human subjects protection (six modules) and our research protocol (one module). We assessed comprehension of content with PowerPoint slides and module quizzes. All participants successfully passed each module quiz with ≥ 80% correct. Questions answered incorrectly were discussed before proceeding to the next module. To meet the increasing demand for collaborative community-engaged research with underserved minority populations, human subjects protection training protocols can be adapted successfully to reflect real-world situations and provide culturally relevant materials to help non-academic research staff better understand the importance and necessity of research ethics.

  9. Impacts of Mackenzie gas project on water supply systems of northern communities : Fort Simpson as a case study

    International Nuclear Information System (INIS)

    Mathrani, M.; Johnson, K.

    2007-01-01

    The proposed Mackenzie Gas Project (MGP) is a 1220-kilometre natural gas pipeline system along the Mackenzie Valley of Canada's Northwest Territories. The line will connect northern onshore gas fields with North American markets. Four major Canadian oil and gas companies and a group representing the Aboriginal peoples of Canada's Northwest Territories are partners in the proposed MGP. The MGP is currently in the project definition stage that involves examining the effect of the project on northern communities. Fort Simpson is located on an island, on the forks of the Mackenzie and Liard Rivers and is proposed as the major route for the MGP with the construction of barge handling areas, storage areas, camps/housing units and use of air and highway facilities. These activities are expected to result in burden on local civil infrastructure systems including water supply systems. Although the environmental impacts of the project on the community's infrastructure systems are projected by the MGP proponents, the local authority wanted to conduct its own assessment of the impacts on local water supply system. This paper presented the results of a study that examined the amount of water used by the community based upon available water use records and the current operational and maintenance costs based upon available financial documents. The study also estimated future water requirements based upon MGP activities and associated population growth. Current and future economic rates were also determined. 13 refs., 6 tabs

  10. Do online communities change power processes in healthcare? Using case studies to examine the use of online health communities by patients with Parkinson's disease

    NARCIS (Netherlands)

    Visser, L.M.; Bleijenbergh, I.L.; Benschop, Y.W.M.; Riel, A.C.R. van; Bloem, B.R.

    2016-01-01

    - OBJECTIVE: Communication technologies, such as personal online health communities, are increasingly considered as a tool to realise patient empowerment. However, little is known about the actual use of online health communities. Here, we investigated if and how patients' use of online communities

  11. Establishing quantitative relations between mammalian communities, climate regimes, and vegetation density - A diversity-based reference model and case study

    Science.gov (United States)

    Hertler, Christine; Wolf, Dominik; Bruch, Angela; Märker, Michael

    2013-04-01

    Pleistocene specialized herbivore communities permits to infer habitat features. The hominin locality Makuyuni permits to study two successive fossil communities and changes occurring. Both fossil horizons are associated with either hominin specimens and/or artifacts. Therefore, hominins persist in the habitats in view of a changing environment.

  12. ¡Los Filtros Luchan! A Case Study of Lawyering and Participatory Democracy: Participatory Lobbying as a Strategy for Working with Marginalized Communities

    Directory of Open Access Journals (Sweden)

    Myrta Morales-Cruz

    2012-02-01

    Full Text Available This thesis examines the participatory lobbying of Puerto Rican Statute #232 of August of 2004, which was a joint endeavor by members of low-income communities, headed by members of the Los Filtros community, and the community development section of the University of Puerto Rico's School of Law Legal Aid Clinic. The case study seeks to bring to the forefront the voices of the members of the Los Filtros community who participated in the lobbying of the bill regarding their perceptions about the process and its relationship to law, politics and democracy. It highlights the unexplored potential of participatory lobbying as a strategy to open spaces of participatory democracy.Participatory lobbying can be a valuable strategy for lawyers working with marginalized communities. This type of lobbying can claim an important place as a strategy within what have been called "law and organizing" approaches to lawyering, which focus on promoting empowerment of marginalized groups. It differs from more traditional public interest lobbying since, in this alternative type of lobbying, members of marginalized communities are the driving force in the process and lawyers serve a supporting role. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=1997412

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

    Directory of Open Access Journals (Sweden)

    Natalie Lorent

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

  14. LYNX community advocacy & service engagement (CASE) project final report.

    Science.gov (United States)

    2009-05-14

    This report is a final assessment of the Community Advocacy & Service Engagement (CASE) project, a LYNX-FTA research project designed : to study transit education and public engagement methods in Central Florida. In the Orlando area, as in other part...

  15. MICROCLIMATIC RESPONSES OF PLANT COMMUNITIES TO CLIMATIC CHANGES: A STUDY CASE IN THE MEDITERRANEAN COASTAL VEGETATION NEAR ROME

    Directory of Open Access Journals (Sweden)

    S. GUIDOTTI

    2010-04-01

    Full Text Available The aim of this study is to investigate the microclimates of the different plant communities in the Castelporziano Estate to identify changes at short and medium time, caused by interacting factors at local scale like anthropic disturbance, climatic change and territory management. Air temperature and humidity, soil temperature and PAR (Photosynthetic Active Radiation were monthly monitored. Measurements were taken in 21 stations, 6 of which along a transect in the vegetation of the dunes and the other 15 stations in forest associations. The dataset have been processed using different statistical treatments: (1 analysis of variance to evaluate the homeostatic capacity of the different communities; (2 analysis of microclimatic deviations values from mesoclimatic data, represented by Castelporziano Estate meteo-climatic stations, to detect microclimatic differences; (3 Multivariate Cluster Analysis to classify the different microclimates. Three main results were obtained: (1 comparison between microclimatic parameters measured during 2007-2008 and previous ones (2003 showed a general tendency of all forest types to shift towards xerophile conditions: air humidity decreased in a large percentage (20%. The woodland with major risk is the Lauro-Carpinetum that looses the 18% of air humidity in a very short period (5 years; (2 vegetation of the dunes displays homeostatic capacity in relationship with structural complexity increasing from pioneer communities of Cakiletum maritimae to mature stands of Viburno- Quercetum ilicis; (3 Cluster Analysis, performed on microclimatic data, allowed to classify vegetation in three different groups, confirming the same patterns obtained by floristic composition. Microclimate resulted a valid and robust tool to detect the ecological status of species and communities, and to follow their temporal changes.

  16. MICROCLIMATIC RESPONSES OF PLANT COMMUNITIES TO CLIMATIC CHANGES: A STUDY CASE IN THE MEDITERRANEAN COASTAL VEGETATION NEAR ROME

    Directory of Open Access Journals (Sweden)

    S. PIGNATTI

    2010-01-01

    Full Text Available The aim of this study is to investigate the microclimates of the different plant communities in the Castelporziano Estate to identify changes at short and medium time, caused by interacting factors at local scale like anthropic disturbance, climatic change and territory management. Air temperature and humidity, soil temperature and PAR (Photosynthetic Active Radiation were monthly monitored. Measurements were taken in 21 stations, 6 of which along a transect in the vegetation of the dunes and the other 15 stations in forest associations. The dataset have been processed using different statistical treatments: (1 analysis of variance to evaluate the homeostatic capacity of the different communities; (2 analysis of microclimatic deviations values from mesoclimatic data, represented by Castelporziano Estate meteo-climatic stations, to detect microclimatic differences; (3 Multivariate Cluster Analysis to classify the different microclimates. Three main results were obtained: (1 comparison between microclimatic parameters measured during 2007-2008 and previous ones (2003 showed a general tendency of all forest types to shift towards xerophile conditions: air humidity decreased in a large percentage (20%. The woodland with major risk is the Lauro-Carpinetum that looses the 18% of air humidity in a very short period (5 years; (2 vegetation of the dunes displays homeostatic capacity in relationship with structural complexity increasing from pioneer communities of Cakiletum maritimae to mature stands of Viburno- Quercetum ilicis; (3 Cluster Analysis, performed on microclimatic data, allowed to classify vegetation in three different groups, confirming the same patterns obtained by floristic composition. Microclimate resulted a valid and robust tool to detect the ecological status of species and communities, and to follow their temporal changes.

  17. Access to and Usage of Information among Rural Communities: a Case Study of Kilosa District Morogoro Region in Tanzania

    Directory of Open Access Journals (Sweden)

    Wulystan Pius Mtega

    2012-05-01

    Full Text Available The study investigated how rural communities in Kilosa District of Morogoro region in Tanzania accessed and used information. Specifically the study identified the information needs of rural people; determined the factors influencing the choice of information sources; and the appropriateness of the information sources basing on usefulness and preference. Three divisions were involved in the study area, choice of the study area was based on the availability of multiple information sources/channels information seekers could consulted. Simple random sampling technique was employed in selecting villages to be investigated and respondents to be interviewed. Findings showed that almost all people needed information of all types. Most of the information needed related to day to day problems. Information was accessed mainly through radio, television sets, newspapers and magazines, and also through cell phones and face to face communication. Choice of information sources was influenced by the respondents’ level of education, income, sex, age, occupation and distance from the information seeker’s residence to the information sources. Findings showed further that people accessed and used information for solving day to day problems and for leisure purposes. The study recommends that it is important to have frequent rural information needs assessments before providing information services to rural areas. Information providers should repackage information in appropriate forms suitable for rural communities. Moreover, radio and television stations should have enough rural related programmes which should be broadcasted during appropriate time.

  18. Case Study: Testing with Case Studies

    Science.gov (United States)

    Herreid, Clyde Freeman

    2015-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

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

    Directory of Open Access Journals (Sweden)

    T.I. Borokini

    2012-05-01

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

  20. "Beyond the Four Walls of My Building": A Case Study of #Edchat as a Community of Practice

    Science.gov (United States)

    Britt, Virginia G.; Paulus, Trena

    2016-01-01

    Although Twitter and other social media sites have grown in popularity with educators, we still do not know what is happening within this online space or how it supports teachers. The purpose of this case study of #Edchat, a group of educators who meet weekly on Twitter, was to investigate informal professional development through the lens of…

  1. Building Community Partnerships with Adults with Disabilities: A Case Study Using Narrative Literacy as a Conduit for Shared Learning

    Science.gov (United States)

    Gordon, David S.; Ghosh, Cyril

    2013-01-01

    Building relationships between traditional college students and adults with disabilities is an important yet little understood aspect of civic engagement. The case study presented in this paper built one such relationship by utilizing a shared narrative project to construct an equitable collaborative experience between a set of students from…

  2. The characteristics and experience of community food program users in arctic Canada: a case study from Iqaluit, Nunavut.

    Science.gov (United States)

    Ford, James; Lardeau, Marie-Pierre; Vanderbilt, Will

    2012-06-21

    Community food programs (CFPs), including soup kitchens and food banks, are a recent development in larger settlements in the Canadian Arctic. Our understanding of utilization of these programs is limited as food systems research has not studied the marginalised and transient populations using CFPs, constraining service planning for some of the most vulnerable community members. This paper reports on a baseline study conducted with users of CFPs in Iqaluit, Nunavut, to identify and characterize utilization and document their food security experience. Open ended interviews and a fixed-choice survey on a census (n = 94) were conducted with of users of the food bank, soup kitchen, and friendship centre over a 1 month period, along with key informant interviews. Users of CFPs are more likely to be Inuit, be unemployed, and have not completed high school compared to the general Iqaluit population, while also reporting high dependence on social assistance, low household income, and an absence of hunters in the household. The majority report using CFPs for over a year and on a regular basis. The inability of users to obtain sufficient food must be understood in the context of socio-economic transformations that have affected Inuit society over the last half century as former semi-nomadic hunting groups were resettled into permanent settlements. The resulting livelihood changes profoundly affected how food is produced, processed, distributed, and consumed, and the socio-cultural relationships surrounding such activities. Consequences have included the rising importance of material resources for food access, the weakening of social safety mechanisms through which more vulnerable community members would have traditionally been supported, and acculturative stress. Addressing these broader challenges is essential for food policy, yet CFPs also have an essential role in providing for those who would otherwise have limited food access.

  3. The characteristics and experience of community food program users in arctic Canada: a case study from Iqaluit, Nunavut

    Directory of Open Access Journals (Sweden)

    Ford James

    2012-06-01

    Full Text Available Abstract Background Community food programs (CFPs, including soup kitchens and food banks, are a recent development in larger settlements in the Canadian Arctic. Our understanding of utilization of these programs is limited as food systems research has not studied the marginalised and transient populations using CFPs, constraining service planning for some of the most vulnerable community members. This paper reports on a baseline study conducted with users of CFPs in Iqaluit, Nunavut, to identify and characterize utilization and document their food security experience. Methods Open ended interviews and a fixed-choice survey on a census (n = 94 were conducted with of users of the food bank, soup kitchen, and friendship centre over a 1 month period, along with key informant interviews. Results Users of CFPs are more likely to be Inuit, be unemployed, and have not completed high school compared to the general Iqaluit population, while also reporting high dependence on social assistance, low household income, and an absence of hunters in the household. The majority report using CFPs for over a year and on a regular basis. Conclusions The inability of users to obtain sufficient food must be understood in the context of socio-economic transformations that have affected Inuit society over the last half century as former semi-nomadic hunting groups were resettled into permanent settlements. The resulting livelihood changes profoundly affected how food is produced, processed, distributed, and consumed, and the socio-cultural relationships surrounding such activities. Consequences have included the rising importance of material resources for food access, the weakening of social safety mechanisms through which more vulnerable community members would have traditionally been supported, and acculturative stress. Addressing these broader challenges is essential for food policy, yet CFPs also have an essential role in providing for those who would

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

    NARCIS (Netherlands)

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

    2013-01-01

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

  5. Multiple approaches to characterize the microbial community in a thermophilic anaerobic digester running on swine manure: a case study.

    Science.gov (United States)

    Tuan, Nguyen Ngoc; Chang, Yi-Chia; Yu, Chang-Ping; Huang, Shir-Ly

    2014-01-01

    In this study, the first survey of microbial community in thermophilic anaerobic digester using swine manure as sole feedstock was performed by multiple approaches including denaturing gradient gel electrophoresis (DGGE), clone library and pyrosequencing techniques. The integrated analysis of 21 DGGE bands, 126 clones and 8506 pyrosequencing read sequences revealed that Clostridia from the phylum Firmicutes account for the most dominant Bacteria. In addition, our analysis also identified additional taxa that were missed by the previous researches, including members of the bacterial phyla Synergistetes, Planctomycetes, Armatimonadetes, Chloroflexi and Nitrospira which might also play a role in thermophilic anaerobic digester. Most archaeal 16S rRNA sequences could be assigned to the order Methanobacteriales instead of Methanomicrobiales comparing to previous studies. In addition, this study reported that the member of Methanothermobacter genus was firstly found in thermophilic anaerobic digester. Copyright © 2014 Elsevier GmbH. All rights reserved.

  6. Physical heterogeneity and aquatic community function in river networks: A case study from the Kanawha River Basin, USA

    Science.gov (United States)

    Thoms, M. C.; Delong, M. D.; Flotemersch, J. E.; Collins, S. E.

    2017-08-01

    The geomorphological character of a river network provides the template upon which evolution acts to create unique biological communities. Deciphering commonly observed patterns and processes within riverine landscapes resulting from the interplay between physical and biological components is a central tenet for the interdisciplinary field of river science. Relationships between the physical heterogeneity and food web character of functional process zones (FPZs) - large tracts of river with a similar geomorphic character -in the Kanawha River (West Virginia, USA) are examined in this study. Food web character was measured as food chain length (FCL), which reflects ecological community structure and ecosystem function. Our results show that the same basal resources were present throughout the Kanawha River but that their assimilation into the aquatic food web by primary consumers differed between FPZs. Differences in the trophic position of higher consumers (fish) were also recorded between FPZs. Overall, the morphological heterogeneity and heterogeneity of the river bed sediment of FPZs were significantly correlated with FCL. Specifically, FCL increases with greater FPZ physical heterogeneity. The result of this study does not support the current paradigm that ecosystem size is the primary determinant of food web character in river ecosystems.

  7. The Enduring Challenge of Concentrated Poverty in America: Case Studies from Communities Across the U.S.

    Science.gov (United States)

    Erickson, David, Ed.; Reid, Carolina, Ed.; Nelson, Lisa, Ed.; O'Shaughnessy, Anne, Ed.; Berube, Alan, Ed.

    2008-01-01

    This report--a joint effort of the Federal Reserve's Community Affairs function and the Brookings Institution's Metropolitan Policy Program--examines the issue of concentrated poverty and profiles 16 high-poverty communities from across the country, including immigrant gateway, Native American, urban, and rural communities. Through these case…

  8. Assessing the Relationship between Community Education, Political Efficacy and Electoral Participation: A Case Study of the Asylum Seeking Community in Cork

    Science.gov (United States)

    Harris, Clodagh; Murphy, Philip

    2012-01-01

    This paper assesses the relationship between community education and internal political efficacy. In particular it examines the association between voter/civic programmes run in advance of the 2009 local elections in Ireland and internal political efficacy amongst the asylum seeking community in Cork. A survey is used to test this relationship.…

  9. Translating an early childhood obesity prevention program for local community implementation: a case study of the Melbourne InFANT Program

    Directory of Open Access Journals (Sweden)

    R. Laws

    2016-08-01

    Full Text Available Abstract Background While there is a growing interest in the field of research translation, there are few published examples of public health interventions that have been effectively scaled up and implemented in the community. This paper provides a case study of the community-wide implementation of the Melbourne Infant, Feeding, Activity and Nutrition Trial (InFANT, an obesity prevention program for parents with infants aged 3–18 months. The study explored key factors influencing the translation of the Program into routine practice and the respective role of policy makers, researchers and implementers. Methods Case studies were conducted of five of the eight prevention areas in Victoria, Australia who implemented the Program. Cases were selected on the basis of having implemented the Program for 6 months or more. Data were collected from January to June 2015 and included 18 individual interviews, one focus group and observation of two meetings. A total of 28 individuals, including research staff (n = 4, policy makers (n = 2 and implementers (n = 22, contributed to the data collected. Thematic analysis was conducted using cross case comparisons and key themes were verified through member checking. Results Key facilitators of implementation included availability of a pre-packaged evidence based program addressing a community need, along with support and training provided by research staff to local implementers. Partnerships between researchers and policy makers facilitated initial program adoption, while local partnerships supported community implementation. Community partnerships were facilitated by local coordinators through alignment of program goals with existing policies and services. Workforce capacity for program delivery and administration was a challenge, largely overcome by embedding the Program into existing roles. Adapting the Program to fit local circumstance was critical for feasible and sustainable delivery, however

  10. "Chronicity," "nervios" and community care: a case study of Puerto Rican psychiatric patients in New York City.

    Science.gov (United States)

    Swerdlow, M

    1992-06-01

    The role of ethnicity, community structure, and folk concepts of mental illness in facilitating the adaptation of long term psychiatric patients to community living has received little attention. This article examines the cultural concepts of mental illness and the community involvement of 30 Puerto Rican psychiatric patients participating in a New York City treatment program. It is shown that many of the attributes usually associated with chronic mental illness do not apply to this population. It is argued that the folk concept of nervios helps to foster the integration of these patients in a wide range of community networks. The impact of gentrification on these patients' community integration is also discussed.

  11. The Lililwan Project: study protocol for a population-based active case ascertainment study of the prevalence of fetal alcohol spectrum disorders (FASD) in remote Australian Aboriginal communities.

    Science.gov (United States)

    Fitzpatrick, James P; Elliott, Elizabeth J; Latimer, Jane; Carter, Maureen; Oscar, June; Ferreira, Manuela; Olson, Heather Carmichael; Lucas, Barbara; Doney, Robyn; Salter, Claire; Peadon, Elizabeth; Hawkes, Genevieve; Hand, Marmingee

    2012-01-01

    Anecdotal reports suggest that high-risk drinking in pregnancy is common in some remote Australian communities. Alcohol is teratogenic and may cause a range of lifelong conditions termed 'fetal alcohol spectrum disorders' (FASD). Australia has few diagnostic services for FASD, and prevalence of these neurodevelopmental disorders remains unknown. In 2009, Aboriginal leaders in the remote Fitzroy Valley in North Western Australia identified FASD as a community priority and initiated the Lililwani Project in partnership with leading research organisations. This project will establish the prevalence of FASD and other health and developmental problems in school-aged children residing in the Fitzroy Valley, providing data to inform FASD prevention and management. This is a population-based active case ascertainment study of all children born in 2002 and 2003 and residing in the Fitzroy Valley. Participants will be identified from the Fitzroy Valley Population Project and Communicare databases. Parents/carers will be interviewed using a standardised diagnostic questionnaire modified for local language and cultural requirements to determine the demographics, antenatal exposures, birth outcomes, education and psychosocial status of each child. A comprehensive interdisciplinary health and neurodevelopmental assessment will be performed using tests and operational definitions adapted for the local context. Internationally recognised diagnostic criteria will be applied to determine FASD prevalence. Relationships between pregnancy exposures and early life trauma, neurodevelopmental, health and education outcomes will be evaluated using regression analysis. Results will be reported according to STROBE guidelines for observational studies. Ethics approval has been granted by the University of Sydney Human Research Ethics Committee, the Western Australian Aboriginal Health Information and Ethics Committee, the Western Australian Country Health Service Board Research Ethics

  12. Taxonomic and functional patterns of macrobenthic communities on a high-Arctic shelf: A case study from the Laptev Sea

    Science.gov (United States)

    Kokarev, V. N.; Vedenin, A. A.; Basin, A. B.; Azovsky, A. I.

    2017-11-01

    The studies of functional structure of high-Arctic Ecosystems are scarce. We used data on benthic macrofauna from 500-km latitudinal transect in the eastern Laptev Sea, from the Lena delta to the continental shelf break, to describe spatial patterns in species composition, taxonomic and functional structure in relation to environmental factors. Both taxonomy-based approach and Biological Trait analysis yielded similar results and showed general depth-related gradient in benthic diversity and composition. This congruence between taxonomical and functional dimensions of community organization suggests that the same environmental factors (primarily riverine input and regime of sedimentation) have similar effect on both community structure and functioning. BTA also revealed a distinct functional structure of stations situated at the Eastern Lena valley, with dominance of motile, burrowing sub-surface deposit-feeders and absence of sedentary tube-dwelling forms. The overall spatial distribution of benthic assemblages corresponds well to that described there in preceding decades, evidencing the long-term stability of bottom ecosystem. Strong linear relationship between species and traits diversity, however, indicates low functional redundancy, which potentially makes the ecosystem susceptible to a species loss or structural shifts.

  13. 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

    2007-05-01

    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.

  14. Creating a low carbon tourism community by public cognition, intention and behaviour change analysisa case study of a heritage site (Tianshan Tianchi, China

    Directory of Open Access Journals (Sweden)

    Wu Wenjie

    2017-06-01

    Full Text Available This study attempts to explore the establishment of a low-carbon tourism community by public cognition, intention, and behaviour change analysis in a case study of a heritage site, China. Low carbon tourism advocates a way of travel with low energy consumption, low pollution and low CO2 emissions during personal activities. Behaviour change is not only influenced by internal individual aspects including a person’s awareness, attitudes, and capacity to change, but is also driven by external social aspects including the culture and environments in which a person lives. In this paper, questionnaire surveys and field interviews were used to obtain basic information, and with reference to TPB, studied and analyzed the characteristics of cognition, intention and behaviour change practice by low carbon tourism community economy participants. With the help of SPSS analysis software, we found that a person’s educational level or occupation might affect cognition of low carbon tourism, and motives for participating in low carbon tourism could reflect the public’s perception of its emotional value, cognitive value and functional value. Most respondents knew about low carbon tourism; however, when putting it into practice, habitual behaviour was the main barrier for tourists while the residents were passive and followed the needs and choices of the tourists. Therefore, a comprehensive low carbon tourism community system was proposed not only for addressing the aspects of awareness, intention, and practice from individual behavior, but also for covering policy, infrastructure, institution systems and mechanisms at the community level.

  15. Creating a low carbon tourism community by public cognition, intention and behaviour change analysisa case study of a heritage site (Tianshan Tianchi, China)

    Science.gov (United States)

    Wu, Wenjie; Zhang, Xiaolei; Yang, Zhaoping; Wall, Geoffrey; Wang, Fang

    2017-06-01

    This study attempts to explore the establishment of a low-carbon tourism community by public cognition, intention, and behaviour change analysis in a case study of a heritage site, China. Low carbon tourism advocates a way of travel with low energy consumption, low pollution and low CO2 emissions during personal activities. Behaviour change is not only influenced by internal individual aspects including a person's awareness, attitudes, and capacity to change, but is also driven by external social aspects including the culture and environments in which a person lives. In this paper, questionnaire surveys and field interviews were used to obtain basic information, and with reference to TPB, studied and analyzed the characteristics of cognition, intention and behaviour change practice by low carbon tourism community economy participants. With the help of SPSS analysis software, we found that a person's educational level or occupation might affect cognition of low carbon tourism, and motives for participating in low carbon tourism could reflect the public's perception of its emotional value, cognitive value and functional value. Most respondents knew about low carbon tourism; however, when putting it into practice, habitual behaviour was the main barrier for tourists while the residents were passive and followed the needs and choices of the tourists. Therefore, a comprehensive low carbon tourism community system was proposed not only for addressing the aspects of awareness, intention, and practice from individual behavior, but also for covering policy, infrastructure, institution systems and mechanisms at the community level.

  16. Market access and community size influence pastoral management of native and exotic livestock species: A case study in communities of the Cordillera Real in Bolivia's high Andean wetlands.

    Directory of Open Access Journals (Sweden)

    Quentin Struelens

    Full Text Available Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with the introduction of exotic species such as cows and sheep, resulting in a different impact on pastures compared to native camelid species-llamas and alpacas. Here we explored some of the social-economical and environmental drivers that motivate Bolivian pastoralists to prefer exotic over native livestock species, based on 36 household surveys in the Cordillera Real. We constructed a Partial Least Squares Structural Equation Model in order to assess the relationships between these drivers. Our results suggest that the access to market influenced pastoralists to reshape their herd composition, by increasing the number of sheep. They also suggest that community size increased daily grazing time in pastures, therefore intensifying the grazing pressure. At a broader scale, this study highlights the effects of some social-economical and environmental drivers on mountain herding systems.

  17. Market access and community size influence pastoral management of native and exotic livestock species: A case study in communities of the Cordillera Real in Bolivia's high Andean wetlands.

    Science.gov (United States)

    Struelens, Quentin; Gonzales Pomar, Karina; Loza Herrera, Susi; Nina Huanca, Gaby; Dangles, Olivier; Rebaudo, François

    2017-01-01

    Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with the introduction of exotic species such as cows and sheep, resulting in a different impact on pastures compared to native camelid species-llamas and alpacas. Here we explored some of the social-economical and environmental drivers that motivate Bolivian pastoralists to prefer exotic over native livestock species, based on 36 household surveys in the Cordillera Real. We constructed a Partial Least Squares Structural Equation Model in order to assess the relationships between these drivers. Our results suggest that the access to market influenced pastoralists to reshape their herd composition, by increasing the number of sheep. They also suggest that community size increased daily grazing time in pastures, therefore intensifying the grazing pressure. At a broader scale, this study highlights the effects of some social-economical and environmental drivers on mountain herding systems.

  18. Grounding evidence-based approaches to cancer prevention in the community: a case study of mammography barriers in underserved African American women.

    Science.gov (United States)

    Highfield, Linda; Bartholomew, L Kay; Hartman, Marieke A; Ford, M Molly; Balihe, Philomene

    2014-11-01

    When community health planners select an evidence-based intervention that has been developed and tested in one situation and adapt it for use in a different situation or community, best practice suggests needs assessment and formative research in the new setting. Cancer prevention planners who are interested in adopting and adapting evidence-based approaches need to base their choices on a sound understanding of the health or behavioral risk problem in which they mean to intervene. This requires a balancing act of weighing community information against a broader perspective from the scientific literature and using the combination to identify and adapt an evidence-based intervention program that is likely to be effective in the new setting. This report is a case study of a community and organizational assessment conducted as a foundation for selecting and recommending adaptation of an evidence-based intervention for improving mammography appointment attendance. We used an inductive sequential exploratory mixed-methods design to inform this process. The process provides a model for formative research grounding evidence-based practice for cancer control planners. Future studies that incorporate findings from needs assessment into the adaptation of the selected intervention program may promote the effective dissemination of evidence-based programs. © 2014 Society for Public Health Education.

  19. Biomass Carbon Content in Schima- Castanopsis Forest of Midhills of Nepal: A Case Study from Jaisikuna Community Forest, Kaski

    Directory of Open Access Journals (Sweden)

    Sushma Tripathi

    2018-01-01

    Full Text Available Community forests of Nepal’s midhills have high potentiality to sequester carbon. This paper tries to analyze the biomass carbon stock in Schima-Castanopsis forest of Jaisikuna community forests of Kaski district, Nepal. Forest area was divided into two blocks and 18 sample plots (9 in each block which were laid randomly. Diameter at Breast Height (DBH and height of trees (DBH≥5cm were measured using the DBH tape and clinometer. Leaf litter, herbs, grasses and seedlings were collected from 1*1m2 plot and fresh weight was taken. For calculating carbon biomass is multiplied by default value 0.47. The AGTB carbon content of Chilaune, Katus and other species were found 19.56 t/ha, 18.66 t/ha and 3.59 t/ha respectively. The AGTB of Chilaune dominated, Katus dominated and whole forest was found 43.78 t/ha, 39.83 t/ha and 41.81 t/ha respectively. Carbon content at leaf litter, herbs, grasses and seedlings was found 2.73 t/ha. Below ground biomass carbon at whole forest was found 6.27 t/ha. Total biomass and carbon of the forest was found 108.09 t/ha and 50.80 t/ha respectively. Difference in biomass and carbon content at Chilaune dominated block and Katus dominated block was found insignificant. This study record very low biomass carbon content than average of Nepal's forest but this variation in carbon stock is not necessarily due to dominant species present in the forest. Carbon estimation at forest of different elevation, aspect and location are recommended for further research. International Journal of EnvironmentVolume-6, Issue-4, Sep-Nov 2017, page: 72-84

  20. The Importance of Workforce Training in Community Colleges: A Case Study on the Discourse and Best Practices during Financial Difficulty

    Science.gov (United States)

    Davis, Adriene Leanora

    2013-01-01

    Since the 2008-2009 academic year, community colleges in the state of California have faced a budget reduction of 12%. This represents a reduction of $809 million in state appropriations. Despite the reduction in funding, the California Master Plan for Higher Education includes provisions for community colleges to develop quality workforce…

  1. A Global Approach to School Education and Local Reality: A Case Study of Community Participation in Haryana, India

    Science.gov (United States)

    Narwana, Kamlesh

    2015-01-01

    In post-Jomtien phase, community participation in school education management has appeared as one of the most prominent features in all educational development programmes at global level. In line with this trend, India has also placed a significant focus on local communities in school management through various programmes such as LokJumbish,…

  2. Investigating the social configuration of a community to understand how networked learning activities take place: The OERu case study

    NARCIS (Netherlands)

    Schreurs, Bieke; Van den Beemt, Antoine; Prinsen, Fleur; De Laat, Maarten; Witthaus, Gaby; Conole, Grainne

    2015-01-01

    Examining how OER (Open Educational Resources) communities come to live, function or learn can support in empowering educators in the use of open educational resources. In this paper we investigate how an OER community functions through its networked learning activities. Networked learning

  3. Project Coach: A Case Study of a College-Community Partnerships as a Venture in Social Entrepreneurship

    Science.gov (United States)

    Intrator, Sam M.; Siegel, Donald

    2010-01-01

    Project Coach is an after school program developed and directed by the authors. The program, which is set in a high-need urban community in Springfield, Massachusetts, teaches high school and middle school students to be sport coaches and then to run youth sport leagues for elementary-aged youth in underserved neighborhoods in their own community.…

  4. Development and implementation of a community health survey for public health accreditation: Case study from a rural county in California.

    Science.gov (United States)

    Kwan, Kevin; Do-Reynoso, Van; Zarate-Gonzalez, Gilda; Goldman-Mellor, Sidra

    2018-04-01

    To describe the planning, development, pilot testing, fielding, and outcomes of a community health survey in a rural California county pursuing public health accreditation. Community partners helped the local health department develop the community health survey. Extensive English- and Spanish-language pilot testing was conducted over a period of four months. Final survey fielding was conducted online and at 20 community sites. 2189 completed surveys were collected. Total costs for developing and fielding the survey were approximately $25,000. Survey results indicated that alcoholism/drug abuse, breathing problems, and obesity were the primary health concerns of county residents. Benefits of conducting the community survey included strengthening inter-organizational partnerships between community partners, engaging a large and diverse respondent sample, and gathering information on a nuanced set of health indicators. Challenges included an unexpectedly high number of respondents and managing the needs of respondents with disabilities or poor literacy. The information gathered from the community health survey was used in the implementation of a county-wide multi-agency strategic plan to address health priorities identified in the CHA. Engaging a broad set of community partners throughout the survey process was critical for ensuring the project's relevance and long-term regional impact. Copyright © 2017. Published by Elsevier Ltd.

  5. How cushion communities are maintained in alpine ecosystems: A review and case study on alpine cushion plant reproduction

    Directory of Open Access Journals (Sweden)

    Jianguo Chen

    2017-08-01

    Full Text Available Cushion species occur in nearly all alpine environments worldwide. In past decades, the adaptive and ecosystem-engineering roles of such highly specialized life forms have been well studied. However, the adaptive strategies responsible for cushion species reproductive success and maintenance in severe alpine habitats remain largely unclear. In this study, we reviewed the current understanding of reproductive strategies and population persistence in alpine cushion species. We then present a preliminary case study on the sexual reproduction of Arenaria polytrichoides (Caryophyllaceae, a typical cushion species inhabiting high elevations of the Himalaya Hengduan Mountains, which is a hotspot for diversification of cushion species. Finally, we highlight the limitations of our current understanding of alpine cushion species reproduction and propose future directions for study.

  6. A case-control study to assess the effectiveness of pertussis vaccination during pregnancy on newborns, Valencian community, Spain, 1 March 2015 to 29 February 2016.

    Science.gov (United States)

    Bellido-Blasco, Juan; Guiral-Rodrigo, Silvia; Míguez-Santiyán, Ana; Salazar-Cifre, Antonio; González-Morán, Francisco

    2017-06-01

    In the Valencian Community (Spain), the programme of maternal pertussis vaccination during pregnancy started in January 2015. The objective of this study was to estimate in this region the vaccine effectiveness (VE) in protecting newborns against laboratory-confirmed pertussis infection. A matched case-control study was undertaken in the period between 1 March 2015 and 29 February 2016. Twenty-two cases and 66 controls (+/- 15 days of age difference) were included in the study. Cases were non-vaccinated infants case three unvaccinated controls were selected. Odds ratios (OR) were calculated by multiple conditional logistic regression for association between maternal vaccination and infant pertussis. Other children in the household, as well as mother- and environmental covariates were taken into account. The VE was calculated as 1 - OR. Mothers of five cases (23%) and of 41 controls (62%) were vaccinated during pregnancy. The adjusted VE was 90.9% (95% confidence interval (CI): 56.6 to 98.1). The only covariate in the final model was breastfeeding (protective effect). Our study provides evidence in favour of pertussis vaccination programmes for pregnant women in order to prevent whooping cough in infants aged less than 3 months. This article is copyright of The Authors, 2017.

  7. How do plant communities and flower visitors relate? A case study of semi-natural xerothermic grasslands

    Directory of Open Access Journals (Sweden)

    Damian Chmura

    2013-06-01

    Full Text Available The paper examines the relationships between the species composition of flower visitors and plants in the semi-natural xerothermic grasslands in southern and central Poland. Thirty 10 × 10 m permanent plots were laid out in total, mainly in nature reserves. The vegetation units studied were classified according to the Braun-Blanquet system; these were phytocoenoses of the Festuco-Brometea classes Inuletum ensifoliae, Adonido-Brachypodietum pinnati and the transitional plant community. Entomological research was performed using the Pollard method within the same plots. A particular site was visited only once and different sites were studied between April and August 2008. We applied, among others, co-correspondence-analysis Co-CA, detrended correspondence analysis (DCA and redundancy analysis (RDA to investigate the co-occurrence patterns of plants and flower visitors and their biotopic requirements. We found that the species composition of flower visitors cannot be predicted by floristic composition when the duration of the study is restricted to one day (but under similar weather conditions; however, there is a positive relationship between the species richness of insects and plants and a positive relationship between the number of plant species and the abundance of flower visitors. The Ellenberg moisture index and the cover of meadow species significantly explained the species composition of insects. The three various vegetation units and five dominant xerothermic species, i.e. Adonis vernalis, Anemone sylvestris, Inula ensifolia, Linum hirsutum and Carlina onopordifolia that were studied across time differed in the species richness of insects. Our results demonstrate that possible patterns in the species composition and the assembly rules of flower visitors are not apparent when the Pollard method is applied. Based on the data obtained using this method, the flower visiting assemblages seem not to be driven by competition and they primarily

  8. A Community Outbreak of Cryptosporidiosis in Sydney Associated with a Public Swimming Facility: A Case-Control Study

    Directory of Open Access Journals (Sweden)

    Darren J. Mayne

    2011-01-01

    Full Text Available In February, 2008, the South Eastern Sydney Illawarra Public Health Unit investigated an outbreak of cryptosporidiosis within the south east region of Sydney, Australia. Thirty-one cases with laboratory-confirmed cryptosporidiosis and 97 age- and geographically matched controls selected by random digit dialling were recruited into a case-control study and interviewed for infection risk factors. Cryptosporidiosis was associated with swimming at Facility A (matched odds ratio = 19.4, 95% confidence interval: 3.7–100.8 and exposure to household contacts with diarrhoea (matched odds ratio = 7.7, 95% confidence interval: 1.9–31.4 in multivariable conditional logistic regression models. A protective effect for any animal contact was also found (matched odds ratio = 0.2, 95% confidence interval: 0.1–0.7. Cryptosporidium hominis subtype IbA10G2 was identified in 8 of 11 diagnostic stool samples available for cases. This investigation reaffirms the importance of public swimming pools as potential sources of Cryptosporidium infection and ensuring their compliance with water-quality guidelines. The protective effect of animal contact may be suggestive of past exposure leading to immunity.

  9. LIVELIHOOD DIVERSIFICATION AND INCOME: A CASE STUDY OF COMMUNITIES RESIDENT ALONG THE KIRI DAM, ADAMAWA STATE, NIGERIA

    Directory of Open Access Journals (Sweden)

    Michael Amurtiya

    2016-12-01

    Full Text Available This research analysed livelihood diversifi cation and income in resident communities along the Kiri Dam, Adamawa state, Nigeria. The specifi c objectives of the study were: to describe the socio-economic characteristics of the respondents, assess the level of livelihood diversifi cation of the respondents, analyse income of the respondents, identify factors associated with varying levels of income, and identify constraints to livelihood diversifi cation in the area. A multistage sampling technique was used to collect primary data from 120 respondents from the study area. The data collected were subjected to descriptive and inferential statistical analysis. The results showed that the majority of the respondents were male (78%, married (76%, educated (70%, below 60 years of age (93% and employed in agricultural activities (83%. The Simpson index of diversifi cation shows that 43% of the respondents diversify at an average level. The majority (60% of the respondents’ annual income is over ₦ 200,000. The ordinary least square estimation shows that age, marital status, education, irrigation activities, fi shing, farm size and level of diversifi cation aff ect income level in the area. The main constraints to diversifi ed livelihood in the area were a lack of basic social infrastructure, a hippopotamus menace and fl ooding. The study recommended the provision of social infrastructure and the control of hippopotamuses. 

  10. Development of school energy policy and energy education plans: A comparative case study in three Wisconsin school communities

    International Nuclear Information System (INIS)

    Lane, Jennie F.; Floress, Kristin; Rickert, Melissa

    2014-01-01

    Through a qualitative comparative case study, this investigation examined the process by which three school districts in Wisconsin, U.S.A., developed a school energy policy and complementary energy education plan. To guide the process, the researchers created an outline of recommended steps for the districts to follow. Although there were variations in the sequence and perceived ease of the steps, the Energy Task Force members involved in the process found the outline to be a supportive guide. Further analysis of the cases involved interviewing members of the Energy Task Forces to identify facilitating and obstructing factors. The study concluded that factors such as level of environmental literacy, along with aspects of the school culture and leadership, interacted to influence the successful drafting of school energy policies and education plans. In addition to introducing an outline of recommended steps that can be used by other school policy development teams interested in promoting energy efficiency, this study adds insights into the analysis of energy policy work within the context of a school setting. - Highlights: • School energy policy and complementary energy education plans can be successfully developed with guidelines for policy team membership. • Teacher agency, including environmental literacy, helps overcome barriers in developing school policy and energy education plans. • Administrative support of energy conservation is a key to the development of school energy policies and complementary energy education plans

  11. Suicidal ideation and self-harm behavior in a community sample of preadolescent youth: a case-control study.

    Science.gov (United States)

    Giannetta, Mariel M; Betancourt, Laura M; Brodsky, Nancy L; Wintersteen, Matthew B; Romer, Daniel; Giannetta, Joan M; Hurt, Hallam

    2012-05-01

    Research has focused on understanding risk factors associated with suicidal ideation and self-harm behaviors in older youth, but less is known regarding these behaviors in preadolescents. We examined characteristics associated with suicidal ideation and self-harm behavior in youth aged 10-13 years. A community sample of 387 youth was enrolled in a prospective study assessing precursors of risk behaviors. Twenty-three subjects endorsing items regarding suicidal ideation or self-harm behaviors (Achenbach's Youth Self-Report) (endorsers) were matched with 23 non-endorsers. Groups were compared on problem behaviors, impulsivity, neurocognitive function, risk behaviors, and other variables. Endorsers had higher levels of impulsivity, were more likely in borderline/clinical range on 5 of 8 Youth Self-Report Syndrome scales, and reported more risk taking. Endorsers and non-endorsers were similar in neurocognitive function. More non-endorsers were on stimulants, but groups were similar in parental monitoring and parental report of behavioral/emotional issues, socioeconomic status, and marital status. In this study, preadolescent endorsers report significantly more problem behaviors than non-endorsers. However, parental monitoring and parent report of problems were similar between groups. Given these findings, we suggest that at-risk youth may be underrecognized at young ages. Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  12. Impact of a community-based bug-hunting campaign on Chagas disease control: a case study in the department of Jalapa, Guatemala

    Science.gov (United States)

    Yoshioka, Kota

    2013-01-01

    Chagas disease control requires an innovative approach to strengthen community participation in vector surveillance. This paper presents a case study of a community-based bug-hunting campaign in Guatemala. The campaign was implemented in 2007 in the following three stages: (i) a four week preparation stage to promote bug-hunting, (ii) a one week bug-hunting stage to capture and collect bugs and (iii) a 10 week follow-up stage to analyse the bugs and spray insecticide. A total of 2,845 bugs were reported, of which 7% were Triatominae vectors, such as Rhodnius prolixus and Triatoma dimidiata. The bug-hunting campaign detected a five-six-fold higher amount of vectors in one week than traditional community-based surveillance detects in one year. The bug-hunting campaign effectively detected vectors during a short period, provided information to update the vector infestation map and increased community and political awareness regarding Chagas disease. This approach could be recommended as an effective and feasible strategy to strengthen vector surveillance on a larger scale. PMID:23579801

  13. 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.

    2016-01-01

    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

  14. Design of an optimized photovoltaic and microturbine hybrid power system for a remote small community: Case study of Palestine

    International Nuclear Information System (INIS)

    Ismail, M.S.; Moghavvemi, M.; Mahlia, T.M.I.

    2013-01-01

    Highlights: • Solar data was analyzed in the location under consideration. • A program was developed to simulate the operation of the PV-microturbine hybrid system. • Different scenarios were analyzed to select and design the optimal system. • It is cost effective to power houses in remote areas with such hybrid systems. • The hybrid system had lower CO 2 emissions compared to a microturbine only operation. - Abstract: Hybrid systems are defined as systems that utilize more than one energy source to supply a certain load. The implementation of a hybrid system that is based upon Photovoltaic (PV) to supply power to remote and isolated locations is considered a viable option. This is especially true for areas that receive sufficient amounts of annual solar radiation. While analysis of hybrid systems that depend on diesel generators as backup sources can be found in many previous research works, detailed techno economic analysis of hybrid systems that depend on microturbines as backup sources are less addressed. A techno-economic analysis and the design of a complete hybrid system that comprises of Photovoltaic (PV) panels, a battery system, and a microturbine as a backup power source for a remote community is presented in this paper. The investigation of the feasibility of using the microturbines as backup sources in the hybrid systems is one of the purposes of this study. A scenario depending on PV standalone system and other scenario depending on microturbine only were also studied in this paper. The comparison between different scenarios with regards to the cost of energy and pollutant emissions was also conducted. A simulation program was developed to optimize both the sizes of the PV system and the battery bank, and consequently determine the detailed specifications of the different components that make up the hybrid system. The optimization of the PV tilt angle that maximizes the annual energy production was also carried out. The effect of the

  15. Applying social innovation theory to examine how community co-designed health services develop: using a case study approach and mixed methods.

    Science.gov (United States)

    Farmer, Jane; Carlisle, Karen; Dickson-Swift, Virginia; Teasdale, Simon; Kenny, Amanda; Taylor, Judy; Croker, Felicity; Marini, Karen; Gussy, Mark

    2018-01-31

    Citizen participation in health service co-production is increasingly enacted. A reason for engaging community members is to co-design services that are locally-appropriate and harness local assets. To date, much literature examines processes of involving participants, with little consideration of innovative services are designed, how innovations emerge, develop and whether they sustain or diffuse. This paper addresses this gap by examining co-designed initiatives through the lens of social innovation - a conceptualisation more attuned to analysing grassroots innovation than common health services research approaches considering top-down, technical innovations. This paper considers whether social innovation is a useful frame for examining co-designed services. Eighty-eight volunteer community-based participants from six rural Australian communities were engaged using the same, tested co-design framework for a 12-month design and then 12-month implementation phase, in 24 workshops (2014-16). Mixed, qualitative data were collected and used to formulate five case studies of community co-designed innovations. A social innovation theory, derived from literature, was applied as an analytical frame to examine co-design cases at 3 stages: innovation growth, development and sustainability/diffusion. Social innovation theory was found relevant in examining and understanding what occurred at each stage of innovation development. Innovations themselves were all adaptations of existing ideas. They emerged due to local participants combining knowledge from local context, own experiences and exemplars. External facilitation brought resources together. The project provided a protective niche in which pilot innovations developed, but they needed support from managers and/or policymakers to be implemented; and to be compatible with existing health system practices. For innovations to move to sustainability/diffusion required political relationships. Challenging existing practice

  16. Bringing the Benefits of Energy Efficiency and Renewable Energy to Low-Income Communities: Case Studies and Program Profiles

    Science.gov (United States)

    This guide helps state and local staff connect with EPA initiatives that can assist them in expanding or developing their own EE/RE energy and climate initiatives in ways that benefit low-income communities.

  17. The effect of community consultation on perceptions of a proposed mine : a case study from southeast Australia

    NARCIS (Netherlands)

    Walsh, B.M.; Plank, van der S.; Behrens, P.A.

    2017-01-01

    Consultation is the predominant method of community engagement in infrastructure development. Therefore, understanding stakeholder interactions within consultation is critical to acquiring a social licence to operate. While previous research has focused on the factors which contribute to this social

  18. Case Study of an Unsustainable Community-Academic Partnership: Toward Core Standards for the Structure of Emerging Participatory Research.

    Science.gov (United States)

    Calderón, José L; Norris, Keith C; Hardigan, Patrick C; Calderón, Lorrin A; Hays, Ron D

    2015-08-07

    This report retrospectively examines the structure of an emerging community-academic participatory research (PR) partnership that was not sustainable, despite attempts to adhere to PR principles and demonstrable success in research outcomes. The influence of community and academic parent organizations on the PR process and outcomes is presented in the context of the Donabedian Model. We dissected the structural elements contributed by parent organizations to forming the structure of the PR partnership (memorandum of understanding, policy environment, human resources and effort, community and academic resources, expertise and experience, and funding) and explored the influence of potential and actual conflicts on the PR partnership's sustainability. The effect of potential and actual conflict on the PR process and quality of PR outcomes is discussed. Based on this, we conclude by proposing seven core standards for the establishment and development of emerging community-academic PR partnerships.

  19. Community readiness for adolescents' overweight and obesity prevention is low in urban South Africa: a case study.

    Science.gov (United States)

    Pradeilles, Rebecca; Rousham, Emily K; Norris, Shane A; Kesten, Joanna M; Griffiths, Paula L

    2016-08-11

    South Africa is undergoing epidemiological and nutrition transitions with associated increases in the incidence of overweight, obesity and diet-related chronic diseases. With the emergence of the nutrition transition in South Africa, there is an urgent need for interventions to prevent overweight and obesity in children and adolescents as risk factors for chronic diseases in adolescence may track throughout later life. This research explored the potential for faith-based organisations (FBOs) to be used as community organisations for overweight and obesity prevention interventions in adolescents by assessing the readiness of religious leaders to engage in such interventions. Surveys and focus group discussions (FGDs) were conducted with 51 religious leaders in Johannesburg and Soweto. The Community Readiness Model (CRM) survey was chosen to determine the stage of readiness of this community regarding overweight and obesity prevention. Six different dimensions were assessed in the CRM (community efforts, knowledge of efforts, leadership, community climate, knowledge of the issue, resources). The surveys were scored according to the CRM protocol. The survey data were supplemented with findings from FGDs. Thematic analysis was used to analyse the FGDs. The mean community readiness score was 2.57 ± 0.76 which equates with the "denial/resistance stage". The mean readiness score for resources was the highest of all the dimensions (3.77 ± 0.28), followed by knowledge of the issue (3.20 ± 0.51). The lowest score was seen for community knowledge of efforts (1.77 ± 1.50), followed by community climate (2.00 ± 0.64). FGDs helped interpret the CRM scores. FGDs showed that religious leaders were enthusiastic and recognised that their role was not limited solely to spiritual guidance and mentoring, but also to physical well-being. Religious leaders recognised that they act as role models within the community and thus have a role to play in improving

  20. Community readiness for adolescents’ overweight and obesity prevention is low in urban South Africa: a case study

    Directory of Open Access Journals (Sweden)

    Rebecca Pradeilles

    2016-08-01

    Full Text Available Abstract Background South Africa is undergoing epidemiological and nutrition transitions with associated increases in the incidence of overweight, obesity and diet-related chronic diseases. With the emergence of the nutrition transition in South Africa, there is an urgent need for interventions to prevent overweight and obesity in children and adolescents as risk factors for chronic diseases in adolescence may track throughout later life. This research explored the potential for faith-based organisations (FBOs to be used as community organisations for overweight and obesity prevention interventions in adolescents by assessing the readiness of religious leaders to engage in such interventions. Methods Surveys and focus group discussions (FGDs were conducted with 51 religious leaders in Johannesburg and Soweto. The Community Readiness Model (CRM survey was chosen to determine the stage of readiness of this community regarding overweight and obesity prevention. Six different dimensions were assessed in the CRM (community efforts, knowledge of efforts, leadership, community climate, knowledge of the issue, resources. The surveys were scored according to the CRM protocol. The survey data were supplemented with findings from FGDs. Thematic analysis was used to analyse the FGDs. Results The mean community readiness score was 2.57 ± 0.76 which equates with the “denial/resistance stage”. The mean readiness score for resources was the highest of all the dimensions (3.77 ± 0.28, followed by knowledge of the issue (3.20 ± 0.51. The lowest score was seen for community knowledge of efforts (1.77 ± 1.50, followed by community climate (2.00 ± 0.64. FGDs helped interpret the CRM scores. FGDs showed that religious leaders were enthusiastic and recognised that their role was not limited solely to spiritual guidance and mentoring, but also to physical well-being. Conclusions Religious leaders recognised that they act as role models

  1. Implementation Of The National Program Comunity Empowerment Plan Strategic Community Development RESPEK Case Studi In Sota Disctrict Merauke

    Directory of Open Access Journals (Sweden)

    Alexander P. Tjilen

    2015-08-01

    Full Text Available ABSTRACT The purpose of this study was to determine how the preconditions of policy implementation to support policy implementation Respect Program and how communication between organizations resources executive attitudes and bureaucratic structures that occur in the implementation of policy in the Respect program Sota District Merauke. The method used is descriptive qualitative research. Source of data obtained are from interviews observation and documentation of research focusing on the implementation of the Respect in Sota District. The results showed precondition Respect program delivery policy implementation in general fall into the category of pretty but still so many things that need to be addressed. Dissemination activities have been carried out but implementation at the village level results are not optimal. Community participation is still passive and complementary. Communication between organizations constrained limits of authority between provincial and district governments resources available adequate but are constrained by the rules of the rules that limit. The attitude of the implementing agencies in accordance with the requirements and have high motivation fragmentation does not cause bottlenecks in policy. Bureaucratic structure has been prepared in accordance with the PTO but is still constrained in the monitoring and evaluation system is not running properly.

  2. Attention, memory, visuoconstructive, and executive task performance in adolescents with anxiety disorders: a case-control community study

    Directory of Open Access Journals (Sweden)

    Rafaela Behs Jarros

    Full Text Available Abstract Objective: The aim of the present study was to assess children and adolescents with mild and severe anxiety disorders for their performance in attention, verbal episodic memory, working memory, visuoconstructive skills, executive functions, and cognitive global functioning and conduct comparative analyses with the performance of children free from anxiety disorders. Methods: Our sample comprised 68 children and adolescents aged 10 to 17 years (41 with current diagnoses of anxiety disorders and 27 controls selected from a larger cross-sectional community sample of adolescents. Children and adolescents with anxiety disorders were categorized into two groups on the basis of anxiety severity (mild or severe. All participants underwent a neuropsychological assessment battery to evaluate attention, verbal episodic memory, working memory, visuoconstructive skills, and executive and cognitive functions. Results: No differences were found in any neuropsychological tests, with the single exception that the group with mild anxiety had better performance on the Digit Span backward test compared to subjects with severe anxiety and to controls (p = 0.041; η2 = 0.11. Conclusions: Not only might anxiety disorders spare main cognitive functions during adolescence, they may even enhance certain working memory processes.

  3. Attention, memory, visuoconstructive, and executive task performance in adolescents with anxiety disorders: a case-control community study.

    Science.gov (United States)

    Jarros, Rafaela Behs; Salum, Giovanni Abrahão; Silva, Cristiano Tschiedel Belem da; Toazza, Rudineia; Becker, Natália; Agranonik, Marilyn; Salles, Jerusa Fumagalli de; Manfro, Gisele Gus

    2017-01-01

    The aim of the present study was to assess children and adolescents with mild and severe anxiety disorders for their performance in attention, verbal episodic memory, working memory, visuoconstructive skills, executive functions, and cognitive global functioning and conduct comparative analyses with the performance of children free from anxiety disorders. Our sample comprised 68 children and adolescents aged 10 to 17 years (41 with current diagnoses of anxiety disorders and 27 controls) selected from a larger cross-sectional community sample of adolescents. Children and adolescents with anxiety disorders were categorized into two groups on the basis of anxiety severity (mild or severe). All participants underwent a neuropsychological assessment battery to evaluate attention, verbal episodic memory, working memory, visuoconstructive skills, and executive and cognitive functions. No differences were found in any neuropsychological tests, with the single exception that the group with mild anxiety had better performance on the Digit Span backward test compared to subjects with severe anxiety and to controls (p = 0.041; η2 = 0.11). Not only might anxiety disorders spare main cognitive functions during adolescence, they may even enhance certain working memory processes.

  4. Incorporating Traditional Healing Into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives

    Science.gov (United States)

    Hartmann, William E.; Gone, Joseph P.

    2013-01-01

    Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives. PMID:22731113

  5. Community and health worker perceptions and preferences regarding integration of other health services with routine vaccinations: four case studies.

    Science.gov (United States)

    Ryman, Tove K; Wallace, Aaron; Mihigo, Richard; Richards, Patricia; Schlanger, Karen; Cappelier, Kelli; Ndiaye, Serigne; Modjirom, Ndoutabe; Tounkara, Baba; Grant, Gavin; Anya, Blanche; Kiawi, Emmanuel C; Ochieng, Cliff; Kone, Sekou; Tesfaye, Habtamu; Trayner, Nathan; Watkins, Margaret; Luman, Elizabeth T

    2012-03-01

    Integration of routine vaccination and other maternal and child health services is becoming more common and the services being integrated more diverse. Yet knowledge gaps remain regarding community members and health workers acceptance, priorities, and concerns related to integration. Qualitative health worker interviews and community focus groups were conducted in 4 African countries (Kenya, Mali, Ethiopia, and Cameroon). Integration was generally well accepted by both community members and health workers. Most integrated services were perceived positively by the communities, although perceptions around socially sensitive services (eg, family planning and human immunodeficiency virus) differed by country. Integration benefits reported by both community members and health workers across countries included opportunity to receive multiple services at one visit, time and transportation cost savings, increased service utilization, maximized health worker efficiency, and reduced reporting requirements. Concerns related to integration included being labor intensive, inadequate staff to implement, inadequately trained staff, in addition to a number of more broad health system issues (eg, stockouts, wait times). Communities generally supported integration, and integrated services may have the potential to increase service utilization and possibly even reduce the stigma of certain services. Some concerns expressed related to health system issues rather than integration, per se, and should be addressed as part of a wider approach to improve health services. Improved planning and patient flow and increasing the number and training of health staff may help to mitigate logistical challenges of integrating services.

  6. Determinants of delayed care seeking for TB suggestive symptoms in Seru district, Oromiya region, Ethiopia: a community based unmatched case-control study.

    Science.gov (United States)

    Yirgu, Robel; Lemessa, Firaol; Hirpa, Selamawit; Alemayehu, Abraham; Klinkenberg, Eveline

    2017-04-20

    Early tuberculosis (TB) case finding and adequate chemotherapy are essential for interrupting disease transmission and preventing complications due to delayed care seeking. This study was undertaken in order to provide insights into the magnitude and determinants of patient delay. The study was conducted in rural Seru district, employing a population based unmatched case-control study design. The WHO standardized TB screening tool was used to identify presumptive TB cases among the district population ages > 15 years. Presumptive TB cases who sought care in a health facility more than 14 days after the onset of symptoms were considered cases while those who sought care within the first 14 days were classified as controls. A structured interview questionnaire was used to capture socio demographic characteristics and health care service utilization related data from the study participants. A multiple binary logistic regression model was used to identify any factor associated with patient care seeking delay. A total of 9,782 individuals were screened, of which 980 (10%, 95% CI; 9.4-10.5%) presumptive TB cases were identified. From these cases 358 (76%, 95% CI; 75.6%-76.4%) sought care within the first 14 days of the onset of symptoms with a median patient delay of 15 days, IQR (5-30 days). The most common TB suggestive symptom mentioned by the participants was night sweat 754 (76.4%) while the least common was a history of contact with a confirmed TB case in the past one year 207 (21.1%). Individuals in the 45-54 age range had lower odds of delay (AOR 0.31, 95%CI 0.15, 0.61) as compared to those 15-24 years old. First TB treatment episode (AOR16.2, 95% CI 9.94, 26.26) and limited access to either traditional or modern modes of transportation (AOR 2.62, 95% CI 1.25, 5.49) were independently associated with patient care delay. Increasing community awareness about the risks of delayed care seeking and the importance of accessing health services close to the community can

  7. What Can Funders Do to Better Link Science with Decisions? Case Studies of Coastal Communities and Climate Change

    Science.gov (United States)

    Matso, Kalle E.; Becker, Mimi L.

    2014-12-01

    Many reports and studies have noted that a significant portion of problem-oriented coastal science does not actually link to decisions. Here, three competitively funded project case studies are studied to determine what funders can and should do to better link science with decisions. The qualitative analysis used for this study indicates that the studied program was seen as being unusually attentive to the issue of linking science to decisions, as opposed to simply generating new knowledge. Nevertheless, much of the data indicate that funders can and should do more. Three ideas figured most prominently in the qualitative data: (1) funders should do more to ensure that the problem itself is defined more thoroughly with people who are envisioned as potential users of the science; (2) funders need to allocate more resources and attention to communicating effectively (with users) throughout the project; and (3) funders need to demand more engagement of users throughout the project. These findings have important implications for how funders review and support science, especially when competitive processes are used. Most importantly, funders should adjust what kind of science they ask for. Secondly, funders need to change who is involved in the review process. Currently, review processes focus on knowledge generation, which means that the reviewers themselves have expertise in that area. Instead, review panels should be balanced between those who focus on knowledge generation and those who focus on linking knowledge to decisions; this is a separate but critical discipline currently left out of the review process.

  8. Improving knowledge and behaviours related to the cause, transmission and prevention of Tuberculosis and early case detection: a descriptive study of community led Tuberculosis program in Flores, Indonesia

    Directory of Open Access Journals (Sweden)

    Christa Dewi

    2016-08-01

    Full Text Available Abstract Background The community’s awareness of Tuberculosis (TB and delays in health care seeking remain important issues in Indonesia despite the extensive efforts of community-based TB programs delivered by a non-government organisation (NGO. This study explored the knowledge and behaviours in relation to TB and early diagnosis before and after an asset-based intervention designed to improve these issues. Methods Six villages in Flores, Indonesia were purposively selected to participate in this study. Three villages served as intervention villages and the other three villages provided a comparison group. Data collection included interviews, group discussions, observations, field notes and audit of records. Results In total, 50 participants across six villages were interviewed and three group discussions were conducted in the intervention villages supplemented by 1 – 5 h of observation during monthly visits. Overall, participants in all villages had limited knowledge regarding the cause and transmission of TB before the intervention. The delay in health seeking behaviour was mainly influenced by ignorance of TB symptoms. Health care providers also contributed to delayed diagnosis by ignoring the symptoms of TB suspects at the first visit and failing to examine TB suspects with sputum tests. Stigmatisation of TB patients by the community was reported, although this did not seem to be common. Early case detection was less than 50 % in four of the six villages before the asset-based intervention. Knowledge of TB improved after the intervention in the intervention villages alongside improved education activities. Early case detection also increased in the intervention villages following this intervention. The behaviour changes related to prevention of TB were also obvious in the intervention villages but not the comparison group. Conclusion This small project demonstrated that an asset-based intervention can result in positive changes in

  9. A case study of pediatric asthma alerts from the beacon community program in cincinnati: technology is just the first step.

    Science.gov (United States)

    Trudnak, Tara; Mansour, Mona; Mandel, Keith; Sauers, Hadley; Pandzik, Gerry; Donisi, Carl; Fairbrother, Gerry

    2014-01-01

    The Beacon Community in Cincinnati, Ohio was an innovative, community-wide initiative to use technology to transform care. One important feature was the development of regional alerts to notify practices when patients were hospitalized or seen in the emergency department. The purpose of this paper is to describe the way in which technology engages the improvement process, and to describe the early stages of learning how to use technology to enhance quality improvement. We interviewed key Beacon leaders as well as providers and office staff in selected practices. We also collected preliminary data from practices that reflected handling of alerts, including the number of asthma related alerts received and followed up. Regional alerts, supplied by the community-wide health information exchange, were a significant addition to the quality improvement effort in that they enabled practices to identify and follow up with additional children at risk. An important finding was the substantial effort at the practice level to integrate technology into ongoing patient care. Developing the technology for community wide alerts represented a significant endeavor in the Cincinnati Beacon Community. However, the technology was just the first step. Despite extra effort and time required on the part of individual practices, they reported that the value of having alerts was high. Hospital and ED visits represent some of the most costly aspects of care, and an efficient process for intervening with children using these costly services was seen as of significant value.

  10. Case Study: Writing a Journal Case Study

    Science.gov (United States)

    Prud'homme-Genereux, Annie

    2016-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue describes incorporating a journal article into the classroom by first converting it into a case study.

  11. Overview of an REU program: A case study in gender parity, ethnic diversity, and community college students

    Science.gov (United States)

    Pearson, J. K.; Noriega, G.; Benthien, M. L.

    2017-12-01

    The Undergraduate Studies in Earthquake Information Technology (USEIT) is an REU Internship Program focused in multi-disciplinary, collaborative research offered through the Southern California Earthquake Center (SCEC); a research consortium focused on earthquake science. USEIT is an 8-week intensive undergraduate research program. The program is designed for interns to work as a collaborative engine to solve an overarching real-world earthquake problem referred to as the "Grand Challenge". The interns are organized in teams and paired with mentors that have expertise in their specific task in the Grand Challenge. The program is focused around earthquake system science, where students have the opportunity to use super computers, programming platforms, geographic information systems, and internally designed and developed visualization software. The goal of the USEIT program is to motivate undergraduates from diverse backgrounds towards careers in science and engineering through team-based research in the field of earthquake information technology. Efforts are made to recruit students with diverse backgrounds, taking into consideration gender, ethnic background, socioeconomic standing, major, college year, and institution type (2-year and 4-year colleges). USEIT has a partnership with two local community colleges to recruit underserved students. Our emphasis is to attract students that would 1) grow and develop technical skills, soft skills, and confidence from the program, and 2) provide perspective and innovation to the program. USEIT offers on-campus housing to provide a submerged learning environment, recruits diverse majors to foster interdisciplinary collaboration, maintains a full time in lab mentor for day-to-day intern needs, takes students on field trips to provide context to their research, and plans activities and field trips for team building and morale. Each year metrics are collected through exit surveys, personal statements, and intern experience

  12. Association of Adiponectin With Cancer and All-Cause Mortality in a Japanese Community-Dwelling Elderly Cohort: A Case-Cohort Study.

    Science.gov (United States)

    Kojima, Reiji; Ukawa, Shigekazu; Zhao, Wenjing; Suzuki, Koji; Yamada, Hiroya; Tsushita, Kazuyo; Kawamura, Takashi; Okabayashi, Satoe; Wakai, Kenji; Noma, Hisashi; Ando, Masahiko; Tamakoshi, Akiko

    2018-03-24

    Most studies of plasma adiponectin (APN) and mortality among community-dwelling elderly focus on cardiovascular disease, but data on the relationship between plasma APN and cancer mortality is exiguous. We investigated whether APN is associated with cancer mortality in community-dwelling elderly people. We conducted a case-cohort study within the New Integrated Suburban Seniority Investigation (NISSIN) Project using a randomly drawn sub-cohort of 697 subjects (351 men and 346 women; mean age 64.5 [standard deviation, 0.5] years) among whom we compared cases of all-cause death (n = 269) and cancer death (n = 149) during a mean follow-up duration of 10.8 (standard deviation, 3.7) years. Associations between APN and mortality were assessed using weighted Cox regression analyses. We observed significant positive associations between the APN concentration and cancer death in the first and third APN tertiles compared with the second APN tertile (hazard ratio [HR] T1 vs T2 , 1.67; 95% confidence interval [CI], 1.00-2.79 and HR T3 vs T2 , 2.10; 95% CI, 1.30-3.40). Further adjustment for possible confounders attenuated the association (HR T1 vs T2 , 1.63; 95% CI, 0.93-2.84 and HR T3 vs T2 , 2.10; 95% CI, 1.26-3.50). A similar but weaker association was seen for all-cause mortality (multivariate HR T1 vs T2 , 1.45; 95% CI, 0.95-2.21 and HR T3 vs T2 , 1.51; 95% CI, 1.01-2.25). Plasma APN and cancer mortality have a significant relationship among community-dwelling elderly people, which warrants further study.

  13. Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies.

    Science.gov (United States)

    Mji, Gubela; Braathen, Stine H; Vergunst, Richard; Scheffler, Elsje; Kritzinger, Janis; Mannan, Hasheem; Schneider, Marguerite; Swartz, Leslie; Visagie, Surona

    2017-02-08

    There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user. This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa. We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts. One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point. First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services. The revitalisation of primary health care and the introduction of national health

  14. Exploring Content Management Issues in Air Force On-Line Communities of Practice: A Multiple Case Study Approach

    National Research Council Canada - National Science Library

    Jaime

    2004-01-01

    .... The Air Force Communities of Practice (CoPs) are hosted by AFMC/DRW, The purpose of these CoPs is to facilitate and promote an environment of capturing and sharing knowledge among members of a particular field task or common practice...

  15. Investigating the Sociolinguistic Gender Paradox in a Multilingual Community: A Case Study from the Republic of Palau.

    Science.gov (United States)

    Matsumoto, Kazuko; Britain, David

    2003-01-01

    Examines the supposed "Gender Paradox" proposed by Labov (1990, 2001), which suggests women are both sometimes conversative and sometimes innovative in terms of linguistic variation and change. Explores the paradox from two perspectives: its applicability to multilingual as opposed to multidialectal communities and whether it is…

  16. Prevention of involuntary admission through Family Group Conferencing: a qualitative case study in community mental health nursing

    NARCIS (Netherlands)

    de Jong, G.; Schout, G.; Abma, T.

    2014-01-01

    To understand whether and how Family Group Conferencing might contribute to the social embedding of clients with mental illness. Background: Ensuring the social integration of psychiatric clients is a key aspect of community mental health nursing. Family Group Conferencing has potency to create

  17. Managing Dynamics of Power and Learning in Community Development: A Case Study of Iowan Farmers in Uganda

    Science.gov (United States)

    Stephen, Lauer; Owusu, Francis Y.

    2015-01-01

    Extension professionals facilitate community development through the strategic manipulation of learning and power in peer-to-peer learning partnerships. We discuss the relationship between empowerment and power, highlight relevant literature on the difficulties power presents to learning and the efficacy of service learning tools to facilitate…

  18. Sustainability in an Online Community of Practice: The Case Study of a Group of Secondary School Educators in Victoria

    Science.gov (United States)

    Hanewald, Ria; Gesthuizen, Roland

    2009-01-01

    This paper reports on Information Technology (IT) secondary school educators in Victoria and their involvement in an online community of practice. It examined the social effects of the online mailing list technology on their participation and factors that influenced their collaboration with other colleagues. In mapping these elements, the…

  19. The Impact of Human Activities to Dynamic of Insect Communities: a Case Study in Gunung Salak, West Java

    Directory of Open Access Journals (Sweden)

    HARI SUTRISNO

    2010-12-01

    Full Text Available Huge areas of diverse tropical forest are lost or degraded every year with dramatic consequences for biodiversity. Human activities such as deforestation, fragmentation, over-exploitation, and monoculture practices are the main drivers of tropical forest biodiversity loss. Investigating of these threats with focusses on changes in species richness or species diversity will be able to minimize any impact of human activities at the early stage in a certain region. Therefore, to know the impact of human activities to dynamic of insect communities in Gunung Salak, West Java, we measured moth diversity and their structure within communities by comparing the index diversity, species richness and species composition across five different habitat types. The results showed that the habitat changes due to human activities had changed not only to the moth diversity but also to their structure within communities. The number of moth species decreased significantly as well as the number of lower taxa (family in the disturbed forest (secondary forest, Agathis forest, and transition area within ranges: 20-50 and 10-20%. The composition of the two main families, Geometridae and Noctuidae also showed a major change, family Geometridae decreased within ranges 10-50% in the disturbed area but Noctuidae increased up to 50% in those areas. Indeed, habitat lost due to human activities such as illegal logging, change of land use and land clearing is the main threats to decrease on macro-moth diversity and change their structures within communities.

  20. Poverty and development in a marginal community: case study of a settlement of the Sugali Tribe in Andhra Pradesh, India.

    Science.gov (United States)

    Kasi, Eswarappa

    2011-01-01

    The concepts of poverty and development have many meanings in contemporary globalized societies. Development by definition implies desired changes in terms of livelihood, improved quality of life and better access to assets and services, etc. However in reality development programmes sometimes have negative consequences, perhaps unintended, multiplying the acute scarcity of resources and opportunities, or reproducing poverty. Also, the consequences of developmental programmes often appear to be out of focus, and seen at the ground level, there seems to be a gap between what is intended and what is actualized. In this framework, this paper presents a case study of the social, cultural and economic correlates of the development processes in Adadakulapalle, a settlement of Sugali peoples, once a semi-nomadic tribe, in Anantapur District of Andhra Pradesh, South India. The paper shows how factionalism and faction politics affect the implementation of development interventions. It also looks at the poverty in the settlement and focuses on the types of change that people have experienced with the implementation of different schemes by both government and other agencies. The type of change is discussed in the present study through the macro and micro analysis of development programmes.

  1. Alzheimer's Disease Sequencing Project discovery and replication criteria for cases and controls: Data from a community-based prospective cohort study with autopsy follow-up.

    Science.gov (United States)

    Crane, Paul K; Foroud, Tatiana; Montine, Thomas J; Larson, Eric B

    2017-12-01

    The Alzheimer's Disease Sequencing Project (ADSP) used different criteria for assigning case and control status from the discovery and replication phases of the project. We considered data from a community-based prospective cohort study with autopsy follow-up where participants could be categorized as case, control, or neither by both definitions and compared the two sets of criteria. We used data from the Adult Changes in Thought (ACT) study including Diagnostic and Statistical Manual-IV criteria for dementia status, McKhann et al. criteria for clinical Alzheimer's disease, and Braak and Consortium to Establish a Registry for AD findings on neurofibrillary tangles and neuritic plaques to categorize the 621 ACT participants of European ancestry who died and came to autopsy. We applied ADSP discovery and replication definitions to identify controls, cases, and people who were neither controls nor cases. There was some agreement between the discovery and replication definitions. Major areas of discrepancy included the finding that only 40% of the discovery sample controls had sufficiently low levels of neurofibrillary tangles and neuritic plaques to be considered controls by the replication criteria and the finding that 16% of the replication phase cases were diagnosed with non-AD dementia during life and thus were excluded as cases for the discovery phase. These findings should inform interpretation of genetic association findings from the ADSP. Differences in genetic association findings between the two phases of the study may reflect these different phenotype definitions from the discovery and replication phase of the ADSP. Copyright © 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

  2. Evaluation of environmental management resources (ISO 14001) at civil engineering construction worksites: a case study of the community of Madrid.

    Science.gov (United States)

    Rodríguez, Gracia; Alegre, Francisco Javier; Martínez, Germán

    2011-07-01

    In recent years, significant advances have been made in business organization and management. The growing demands of clients as well as the globalization of world markets are among the many factors that have led to the establishment of systems of quality control and environmental management as a competitive strategy for businesses. When compared to other professional sectors, the construction sector has been slower to respond to environmental problems and to adopt Environmental Management Systems (EMS). In the world today the ISO 14001 standard is currently the main frame of reference used by construction companies to implement this type of management system. This article presents the results of a general study regarding the evaluation of the application of the ISO 14001 standard at civil engineering construction worksites in the Community of Madrid (Spain), specifically pertaining to requirement 4.4.1, Resources, roles, responsibilities, and authority. According to requirement 4.4.1, company executives should appoint people responsible for implementing the EMS and also specify their responsibilities and functions. The personnel designated for supervising environmental work should also have sufficient authority to establish and maintain the EMS. The results obtained were the following: - EMS supervisors did not generally possess adequate training and solid experience in construction work and in the environment. Furthermore, supervisors were usually forced to combine their environmental work with other tasks, which made their job even more difficult. - Generally speaking, supervisors were not given sufficient authority and autonomy because productivity at the construction site had priority over environmental management. This was due to the fact that the company management did not have a respectful attitude toward the environment, nor was the management actively involved in the establishment of the EMS. - Insufficient resources were allocated to the Environmental

  3. The Harm that Underestimation of Uncertainty Does to Our Community: A Case Study Using Sunspot Area Measurements

    Science.gov (United States)

    Munoz-Jaramillo, Andres

    2017-08-01

    Data products in heliospheric physics are very often provided without clear estimates of uncertainty. From helioseismology in the solar interior, all the way to in situ solar wind measurements beyond 1AU, uncertainty estimates are typically hard for users to find (buried inside long documents that are separate from the data products), or simply non-existent.There are two main reasons why uncertainty measurements are hard to find:1. Understanding instrumental systematic errors is given a much higher priority inside instrumental teams.2. The desire to perfectly understand all sources of uncertainty postpones indefinitely the actual quantification of uncertainty in our measurements.Using the cross calibration of 200 years of sunspot area measurements as a case study, in this presentation we will discuss the negative impact that inadequate measurements of uncertainty have on users, through the appearance of toxic and unnecessary controversies, and data providers, through the creation of unrealistic expectations regarding the information that can be extracted from their data. We will discuss how empirical estimates of uncertainty represent a very good alternative to not providing any estimates at all, and finalize by discussing the bare essentials that should become our standard practice for future instruments and surveys.

  4. Community Participation in Ethnic Minority Cultural Heritage Management in China: A Case Study of Xianrendong Ethnic Cultural and Ecological Village

    Directory of Open Access Journals (Sweden)

    Judy Xu

    2007-11-01

    Full Text Available Heritage protection in China has long been considered as the responsibility of the government. However, over the last 20 years, a number of heritage projects, mainly in ethnic minority regions, have attempted to engage with local communities. These seem to be an attractive alternative to top-down approaches. This paper explores the implications of a bottom-up approach for Chinese ethnic minority heritage management through an examination of the Ethnic Cultural and Ecological Village project in Xianrendong in Yunnan province. It is a result of my fascination with the project’s concept and my desire to understand its key characteristics, application and potential for future development in China. After a discussion of cultural performance, modernisation and inside/outside encounters, I conclude by suggesting that well-planned and well-informed community participation, with realistic control, contributes to reconciling tourism and cultural heritage conservation.

  5. Collaborative modeling of an implementation strategy: a case study to integrate health promotion in primary and community care.

    Science.gov (United States)

    Grandes, Gonzalo; Sanchez, Alvaro; Cortada, Josep M; Pombo, Haizea; Martinez, Catalina; Balagué, Laura; Corrales, Mary Helen; de la Peña, Enrique; Mugica, Justo; Gorostiza, Esther

    2017-12-06

    Evidence-based interventions are more likely to be adopted if practitioners collaborate with researchers to develop an implementation strategy. This paper describes the steps to plan and execute a strategy, including the development of structure and supports needed for implementing proven health promotion interventions in primary and community care. Between 10 and 13 discussion and consensus sessions were performed in four highly-motivated primary health care centers involving 80% of the primary care staff and 21 community-based organizations. All four centers chose to address physical activity, diet, and smoking. They selected the 5 A's evidence-based clinical intervention to be adapted to the context of the health centers. The planned implementation strategy worked at multiple levels: bottom-up primary care organizational change, top-down support from managers, community involvement, and the development of innovative e-health information and communication tools. Shared decision making and practice facilitation were perceived as the most positive aspects of the collaborative modeling process, which took more time than expected, especially the development of the new e-health tools integrated into electronic health records. Collaborative modeling of an implementation strategy for the integration of health promotion in primary and community care was feasible in motivated centers. However, it was difficult, being hindered by the heavy workload in primary care and generating uncertainty inherent to a bottom-up decision making processes. Lessons from this experience could be useful in diverse settings and for other clinical interventions. Two companion papers report the evaluation of its feasibility and assess quantitatively and qualitatively the implementation process.

  6. Serum α-linolenic and other ω-3 fatty acids, and risk of disabling dementia: Community-based nested case-control study.

    Science.gov (United States)

    Yamagishi, Kazumasa; Ikeda, Ai; Chei, Choy-Lye; Noda, Hiroyuki; Umesawa, Mitsumasa; Cui, Renzhe; Muraki, Isao; Ohira, Tetsuya; Imano, Hironori; Sankai, Tomoko; Okada, Takeo; Tanigawa, Takeshi; Kitamura, Akihiko; Kiyama, Masahiko; Iso, Hiroyasu

    2017-06-01

    It has been hypothesized that ω-3 polyunsaturated fatty acids have anti-atherosclerotic and neuronal protective functions and may benefit prevention of dementia, but the epidemiological evidence, especially for α-linolenic acid, is quite limited. The aim of this study was to examine whether serum ω-3 polyunsaturated fatty acids are associated with risk of dementia. We performed an intracohort case-control study nested in a community-based cohort, the Circulatory Risk in Communities Study, involving 7586 Japanese individuals aged 40-74 years at the baseline period of 1984-1994. Omega-3 polyunsaturated fatty acid constituents (α-linolenic, eicosapentaenoic, and docosahexaenoic acids) in serum total lipid were measured in 315 cases of incident disabling dementia in the above-mentioned cohort between 1999 and 2004, and in 630 controls whose age, sex, area, and baseline year were matched with the cases. As we had postulated, serum α-linolenic acid was inversely associated with risk of disabling dementia: the multivariate odds ratios (95% confidence intervals) were 0.57 (0.39-0.85), 0.51 (0.34-0.76), and 0.61 (0.41-0.90) for persons with the second, third, and highest quartiles of serum α-linolenic acid, respectively, as compared with the lowest quartile (P for trend = 0.01). Associations of other ω-3 fatty acids with disabling dementia were not statistically significant. Serum α-linolenic acid was inversely associated with risk of disabling dementia. Although the causality needs to be confirmed by randomized control trials, we identified serum α-linolenic acid as a biomarker that predicts future dementia. Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  7. Evaluation of the application of the triple bottom line. case study: caldeirão de SANTA CRUZ community (CEARÁ

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    Artur Gomes de Oliveira

    2016-04-01

    Full Text Available The Triple Bottom Line, composed by the Environmental, Social and Economic dimensions, has been widely accepted since its implementation will involve the maintenance or development of factors that lead to sustainability. When defining this concept, Elkington (2012 quoted the director of the Environmental Management Program at the University of Michigan, Stuart Hart, who said that large corporations would be the only organizations that could achieve sustainability. The aim of this work is to verify if sustainability, at a given site, can be achieved without the aid of large organizations. Specifically, the objective is to check the status of the Caldeirão de Santa Cruz Community, located in the state of Ceará / Brazil, in the period between 1926 and 1937. For this evaluation, it was used the Triple Bottom Line model proposed by Elkington (2012. The results indicated that the concept known as Triple Bottom Line was implied in the Caldeirão de Santa Cruz community’s way of living and that was achieved through the work carried out in the community, without the help of any organization. The results also showed that the behavior and the way of living and working of the community bothered some sectors of society.  Keywords: Sustainability; Triple Bottom Line; Caldeirão de Santa Cruz; Ceará.

  8. Changes in Parasitoid Communities Over Time and Space: A Historical Case Study of the Maize Pest Ostrinia nubilalis

    Science.gov (United States)

    Folcher, Laurent; Bourguet, Denis; Thiéry, Denis; Pélozuelo, Laurent; Phalip, Michel; Weissenberger, Alain; Eychenne, Nathalie; Regnault-Roger, Catherine; Delos, Marc

    2011-01-01

    Understanding the ways in which human environmental modifications affect biodiversity is a key challenge in conservation planning, pest control and evolutionary ecology. Parasitoid communities, particularly those associated with agricultural pests, may be susceptible to such modifications. We document here changes in the larval parasitoid communities of Ostrinia nubilalis — the main pest of maize — and its sibling species O. scapulalis, based on two historical datasets, one collected from 1921–1928 and the other from 2001–2005. Each of these datasets encompasses several years and large geographical areas and was based on several thousands/millions of host larvae. The 80-year interval between the two datasets was marked by a decrease in O. nubilalis parasitism to about two thirds its initial level, mostly due to a decrease in the rate of parasitism by hymenopterans. However, a well balanced loss and gain of species ensured that species richness remained stable. Conversely, O. scapulalis displayed stable rates of parasitism over this period, with a decline in the species richness of its parasitoid community. Rates of parasitism and species richness in regions colonized by O. nubilalis during the 1950s were one half to one third those in regions displaying long-term colonisation by this pest. During the recent human activity-driven expansion of its range, O. nubilalis has neither captured native parasitoids nor triggered parasite spill back or spill over. PMID:21980436

  9. Development of a residential wood smoke reduction plan in a wood burning community: A case study in Libby, Montana

    International Nuclear Information System (INIS)

    Fox, R.J.; Manderino, L.; Lyons, C.E.; Morris, A.L.; Anderson, R.L.

    1992-01-01

    Libby, Montana depends on wood as a heating fuel. Libby exceeded the 24-hour federal PM10 ambient air quality standard every year since monitoring began in 1987. Residential wood smoke significantly contributes to its air pollution. To decrease residential wood smoke's contribution to air pollution, residents have to modify their heating habits. County officials sponsored the development of a comprehensive community-oriented plan to reduce wood smoke. This paper describes how the plan was developed and the components of the air pollution reduction strategies. The plan was developed using community input and tailored to local conditions. Four specific strategies were developed to reduce residential wood smoke pollution. Development of strategies required analysis of home heating habits and potential alternatives. Economic conditions were also considered. Expensive control strategies would be worthless unless alternative funding methods were provided. Thus, the plan included an array of funding sources to facilitate implementation. The development and implementation techniques are applicable to other communities with similar air pollution challenges

  10. Rapid Cultural Change: A Case Study of Polyandry Marriage System among the Gurung Community from Upper Mustang, Nepal

    Directory of Open Access Journals (Sweden)

    Juddha Bahadur Gurung

    2013-08-01

    Full Text Available Nepal is multi ethnic, multi lingual and multi cultural country. In Upper Mustang polyandry is practiced by Loba communities. However, the condition of polyandry is dying out at present. The young are not in favor of this system. Socio-economic, political, seasonal migration, tourism and developmental factors have played crucial role in this regards. From conservation perspective polyandry played crucial role to manage local resources and in population dynamics in the past. This paper is based on field survey carried out in two different time periods (1998 and 2008 in order to compare or understand changing pattern of polyandry. In last couple of years, polyandry system has changed very rapidly in Loba communities of Upper Mustang. Rising community awareness, multiple economic opportunities, improve communication, foreign employment, modern education, open tourism, road access and other visual and in visual forces has lead society from close to open and more wider side or increase the horizon of young generation. Polyandry system is directly affected. DOI: http://dx.doi.org/10.3126/dsaj.v6i0.8480 Dhaulagiri Journal of Sociology and Anthropology Vol. 6, 2012 75-106

  11. What do community health workers have to say about their work, and how can this inform improved programme design? A case study with CHWs within Kenya

    Directory of Open Access Journals (Sweden)

    Martin Oliver

    2015-05-01

    Full Text Available Background: Community health workers (CHWs are used increasingly in the world to address shortages of health workers and the lack of a pervasive national health system. However, while their role is often described at a policy level, it is not clear how these ideals are instantiated in practice, how best to support this work, or how the work is interpreted by local actors. CHWs are often spoken about or spoken for, but there is little evidence of CHWs’ own characterisation of their practice, which raises questions for global health advocates regarding power and participation in CHW programmes. This paper addresses this issue. Design: A case study approach was undertaken in a series of four steps. Firstly, groups of CHWs from two communities met and reported what their daily work consisted of. Secondly, individual CHWs were interviewed so that they could provide fuller, more detailed accounts of their work and experiences; in addition, community health extension workers and community health committee members were interviewed, to provide alternative perspectives. Thirdly, notes and observations were taken in community meetings and monthly meetings. The data were then analysed thematically, creating an account of how CHWs describe their own work, and the tensions and challenges that they face. Results: The thematic analysis of the interview data explored the structure of CHW's work, in terms of the frequency and range of visits, activities undertaken during visits (monitoring, referral, etc. and the wider context of their work (links to the community and health service, limited training, coordination and mutual support through action and discussion days, etc., and provided an opportunity for CHWs to explain their motivations, concerns and how they understood their role. The importance of these findings as a contribution to the field is evidenced by the depth and detail of their descriptive power. One important aspect of this is that CHWs

  12. What do community health workers have to say about their work, and how can this inform improved programme design? A case study with CHWs within Kenya.

    Science.gov (United States)

    Oliver, Martin; Geniets, Anne; Winters, Niall; Rega, Isabella; Mbae, Simon M

    2015-01-01

    Community health workers (CHWs) are used increasingly in the world to address shortages of health workers and the lack of a pervasive national health system. However, while their role is often described at a policy level, it is not clear how these ideals are instantiated in practice, how best to support this work, or how the work is interpreted by local actors. CHWs are often spoken about or spoken for, but there is little evidence of CHWs' own characterisation of their practice, which raises questions for global health advocates regarding power and participation in CHW programmes. This paper addresses this issue. A case study approach was undertaken in a series of four steps. Firstly, groups of CHWs from two communities met and reported what their daily work consisted of. Secondly, individual CHWs were interviewed so that they could provide fuller, more detailed accounts of their work and experiences; in addition, community health extension workers and community health committee members were interviewed, to provide alternative perspectives. Thirdly, notes and observations were taken in community meetings and monthly meetings. The data were then analysed thematically, creating an account of how CHWs describe their own work, and the tensions and challenges that they face. The thematic analysis of the interview data explored the structure of CHW's work, in terms of the frequency and range of visits, activities undertaken during visits (monitoring, referral, etc.) and the wider context of their work (links to the community and health service, limited training, coordination and mutual support through action and discussion days, etc.), and provided an opportunity for CHWs to explain their motivations, concerns and how they understood their role. The importance of these findings as a contribution to the field is evidenced by the depth and detail of their descriptive power. One important aspect of this is that CHWs' accounts of both successes and challenges involved

  13. Risk Factors for Fall-Related Injuries Leading to Hospitalization Among Community-Dwelling Older Persons: A Hospital-Based Case-Control Study in Thiruvananthapuram, Kerala, India.

    Science.gov (United States)

    Ravindran, Rekha M; Kutty, V Raman

    2016-01-01

    This study intended to identify the risk factors for injurious falls that led to hospitalization of older persons living in the community. A hospital-based unmatched incident case-control study was done among 251 cases and 250 controls admitted at a tertiary care centre in Kerala. Mean age of cases was 71.6 ± 9.13 years and that of controls was 67.02 ± 6.17 years. Hip fractures were the predominant injury following falls. Falls were mostly a result of intrinsic causes. After adjusting for other variabes, the risk factors for all injuries were age above 70 years (odds ratio [OR] = 2.25; 95% confidence interval [CI] = 1.46-3.46), previous fall history (OR = 2.76; 95% CI = 1.08-7.08), impaired vision (OR = 4.49; 95% CI = 2.77-7.30), not living with spouse (OR = 1.97; 95% CI = 1.31-2.97), door thresholds (OR = 1.52; 95% CI = 1.01-2.29), and slippery floor (OR = 2.37; 95% CI = 1.31-4.32). The risk factors for hip fractures and other injuries were identified separately. Fall prevention strategies among older persons are warranted in Kerala. © 2015 APJPH.

  14. A Study on the Relationship between Design Elements of Outdoor Leisure Spaces and Types of Leisure Activities in Sustainable Community Development - A Case Study on Tainan, Taiwan

    Science.gov (United States)

    Chang, J. H.; Zhang, H.

    2018-01-01

    Sustainable community development encompasses three aspects: “Lifestyle”, “Production” and “Ecology”. Among them, “Lifestyle” is closest to people and reflects basic human needs. Creating outdoor spaces that encourage residents to engage in leisure activities will not only provide them with spiritual sustenance but also fulfil one of the key criteria in sustainable community development. This study explores the relationship between design elements of outdoor leisure spaces and types of leisure activities from residents' perspective with the goal to inform future spatial planning. The study collected 365 valid questionnaires from Tainan residents. Factor analysis was used to extract factors from design elements of outdoor leisure spaces, and regression analysis was applied to understand the effect level. The result shows design elements have positive effect on the types of leisure activities. In addition, different elements exert different influences on the choice of activities.

  15. Case Study Teaching

    Science.gov (United States)

    Herreid, Clyde Freeman

    2011-01-01

    This chapter describes the history of case study teaching, types of cases, and experimental data supporting their effectiveness. It also describes a model for comparing the efficacy of the various case study methods. (Contains 1 figure.)

  16. Resilience and adaptability of rice terrace social-ecological systems: a case study of a local community's perception in Banaue, Philippines

    Directory of Open Access Journals (Sweden)

    Adam C. Castonguay

    2016-06-01

    Full Text Available The social-ecological systems of rice terraces across Southeast Asia are the result of centuries of long-term interactions between human communities and their surrounding ecosystems. Processes and structures in these systems have evolved to provide a diversity of ecosystem services and benefits to human societies. However, as Southeast Asian countries experience rapid economic growth and related land-use changes, the remaining extensive rice cultivation systems are increasingly under pressure. We investigated the long-term development of ecosystem services and the adaptive capacity of the social-ecological system of rice terrace landscapes using a case study of Banaue (Ifugao Province, Northern-Luzon, Philippines. A set of indicators was used to describe and assess changes in the social-ecological state of the study system. The resilience of the rice terraces and the human communities that maintain them was examined by comparing the current state of the system with results from the literature. Our findings indicate that, although the social-ecological system has not yet shifted to an alternative state, pressures are increasing and some cultural ecosystem services have already been lost.

  17. Temporal variation of autotrophic picoplankton contribution to coastal phytoplankton communities over a seasonal cycle: A case study

    Science.gov (United States)

    Koçum, Esra

    2017-04-01

    Autotrophic pico-plankton form the smallest component of phytoplankton and refers to cells smaller than 2 µM. It is phylogenetically diverse and have both prokaryotic and eukaryotic components. Prokaryotic pico-autotrophs are unicellular cyanobacteria, represented mainly by Prochlorococcus and Synechococcus genera. Pico-eukaryotes are more diverse and include members of Chlorophyta, Cryptophyta, Haptophyta and Heterokontophyta. Owing to their higher nutrient acquisition capacity, relative share of pico-plankton in autotrophic production and biomass can be significant and even dominant in oligotrophic regions such as in warm tropical waters. They also fare better than larger members of phytoplankton communities under light limitation and under increasing temperature. Recent work has shown that autotrophic pico-plankton can be a significant component of coastal phytoplankton. In view of the global warming related increase in the sea surface temperature and nutrient enrichment of coastal waters, it is necessary to understand variation in the relative share of different sized groups in phytoplankton communities of coastal ecosystems including pico-plankton biomass as it shows the potential for development of microbial food web. Here, an interpretation of temporal patterns detected in the biomass and the relative contribution of pico-sized (< 2 µm) members of phytoplankton was made using data collected from two coastal sites over a year. The findings revealed the significant spatio-temporal variation in both actual pico-plankton biomass and its relative share in phytoplankton. The average biomass values of pico-plankton were 0.23 ± 0.02 µ g chl a L-1 and 0.15 ± 0.01 µg chl a L-1 at nutrient-poor and nutrient-rich sites; respectively. The temporal pattern of change displayed by picoplankton biomass was not seasonal at nutrient rich site while at nutrient poor site it was seasonal with low values measured over winter suggesting it was the seasonal changes leading to

  18. Legal Pluralism: Interactions Between Official and Unofficial Laws: The Case Study of a Multi-ethnic Community Farm

    Directory of Open Access Journals (Sweden)

    Gabriela Ribeiro Farinha

    2015-12-01

    Full Text Available A multi-ethnic community farm, located in California, was created in 2011 to be commonly exploited by refugees and emigrants from different countries.This paper aims to describe, as an observable fact, how distinct non-state normativities behave and relate in their dynamic process of interaction, surpassing the usual state/local law bases of analysis.The farm was approved by the state authorities and the NGO has created its regulations. Concomitantly, the distinct communities of farmers have defied and transformed the farm’s regulations by incorporating their competing legal land tenure regimes and legal postulates in the same structure of the unofficial law of the farm, through a common frame of meaning and the enactment of the “autonomy rule”. This has allowed the growers to follow their normativities inside the farm. However, its creation process and daily practice also exposes the relevance of the official law in its constitution, shape and function. En 2011 se creó en California una granja multiétnica comunal, para que fuera explotada en comunidad por refugiados y emigrantes de diferentes países. Este artículo pretende describir, como hecho observable, cómo se comportan y se relacionan normativas no estatales en un proceso dinámico de interacción, superando las bases de análisis estado/local habituales del derecho. Las autoridades estatales aprobaron la granja, y la ONG creó su propia normativa. Al mismo tiempo, las diferentes comunidades de agricultores han desafiado y transformado el reglamento de la granja, incorporando sus regímenes legales de tenencia de tierras vigentes, y los postulados legales en la misma estructura del derecho no oficial, a través de un marco común de significado y la promulgación de la “norma de autonomía”. Esto ha permitido a los productores seguir sus normativas dentro de la finca. Sin embargo, su proceso de creación y práctica diaria también pone de manifiesto la importancia del

  19. Opportunities and Challenges in Community Spring Discharge Monitoring: a Case Study from the Western Highlands of Guatemala

    Science.gov (United States)

    Tubman, S.; Gierke, J. S.

    2013-12-01

    Water springs are the principal source of water for many localities in Central America, though spring discharge data are scarce and monitoring in low-resource settings presents special challenges. This paper presents discharge and spring box water level data collected from two springs in the municipality of Concepción Chiquirichapa in the Western Highlands of Guatemala during the author's Peace Corps assignment (May 2011 to March 2012). The intention of using automated water level measurements alongside monthly manual discharge measurements was to identify a fixed relationship between discharge and water level, circumventing the need for frequent and time-intensive manual measurement. No such relationship was identified in either spring box, but water level in one box was found to reflect spring hydrology. In particular, an increase in spring yield was recorded for four months following Tropical Depression 12E in October 2011, suggesting that the relationship between extreme precipitation events and yearly water spring yields in Concepción should be further examined. The limited discharge data also indicate that aquifer baseflow recession and catchment water balance could be successfully characterized if a long-term discharge record were established. Technical and social considerations for conducting successful community-based spring research in intercultural low-resource settings are also discussed.

  20. Lessons from game theory about healthcare system price inflation: evidence from a community-level case study.

    Science.gov (United States)

    Agee, Mark D; Gates, Zane

    2013-02-01

    Game theory is useful for identifying conditions under which individual stakeholders in a collective action problem interact in ways that are more cooperative and in the best interest of the collective. The literature applying game theory to healthcare markets predicts that when providers set prices for services autonomously and in a noncooperative fashion, the market will be susceptible to ongoing price inflation. We compare the traditional fee-for-service pricing framework with an alternative framework involving modified doctor, hospital and insurer pricing and incentive strategies. While the fee-for-service framework generally allows providers to set prices autonomously, the alternative framework constrains providers to interact more cooperatively. We use community-level provider and insurer data to compare provider and insurer costs and patient wellness under the traditional and modified pricing frameworks. The alternative pricing framework assumes (i) providers agree to manage all outpatient claims; (ii) the insurer agrees to manage all inpatient clams; and (iii) insurance premiums are tied to patients' healthy behaviours. Consistent with game theory predictions, the more cooperative alternative pricing framework benefits all parties by producing substantially lower administrative costs along with higher profit margins for the providers and the insurer. With insurance premiums tied to consumers' risk-reducing behaviours, the cost of insurance likewise decreases for both the consumer and the insurer.

  1. Reconceptualising water quality governance to incorporate knowledge and values: Case studies from Australian and Brazilian Indigenous communities

    Directory of Open Access Journals (Sweden)

    Kate A. Berry

    2018-02-01

    Full Text Available This paper examines the significance of knowledge and values for water quality and its governance. Modernist approaches to the governance of water quality in rivers and lakes need to be reconceptualised and overhauled. The problems include: perceiving water only as a physical and chemical liquid, defining quality in narrow terms, rendering water knowledge as invisible, boiling down water values to uses of presumed economic importance and limiting how and by whom objectives are set or actions taken. In addressing the need to reframe water quality governance, and as a counter to the objectification of water quality, we propose a framework that explicitly recognises the significance of knowledge and values relating to water. While our framework could apply to other contexts under the influence of modernist water-management regimes, here we pay particular attention to the relevance of the water knowledge, values and governance of water quality by Indigenous people. In the second half of the paper we address issues related to Indigenous water-quality governance in two countries, Brazil and Australia, showing some of the ways in which, despite enormous obstacles, Indigenous communities re-work governance structures through their engagements with water quality and pay attention to water knowledge and values.

  2. COMMUNITY LEVEL ORGANIC WASTE COLLECTION SYSTEM IN A DEVELOPING COUNTRY: CASE STUDY OF FLORIANÓPOLIS, BRAZIL

    Directory of Open Access Journals (Sweden)

    Carla Tognato de Oliveira

    2017-05-01

    Full Text Available The paper aims to set an organic waste collection system which is accessible to the community group of the "Revolução dos baldinhos"(Revolution of the buckets, located in the neighborhood called Chico Mendes, in Florianópolis, Brazil. The focus is the geographical identification of voluntary delivery points and routing the collection of organic waste through low cost material and procedures and high degree of accessibility. Therefore, we define the routing problem and shared the methodological procedures in three steps. The first step was the geographical location of the voluntary delivery points and check the current collection - verifying collected and route volume. The second step was to propose routes and the third step was the comparison between the performed route and the proposal route. By comparing the route performed by empirical method and the computational method, we came to 12.76% by reducing distances. The question regarding the volume of collected organic waste, we have identified that reducing the 50 liters container volume to 30 liters, reduces the route.

  3. Worrisome high frequency of extended-spectrum beta-lactamase-producing Escherichia coli in community-acquired urinary tract infections: a case-control study.

    Science.gov (United States)

    Castillo-Tokumori, Franco; Irey-Salgado, Claudia; Málaga, Germán

    2017-02-01

    There has been a sustained and dramatic increase in community-acquired urinary tract infections (CA-UTI) caused by extended-spectrum beta-lactamase (ESBL)-producing bacteria over recent years. Despite this, no studies have been performed in low- or middle-income countries. The main objective of this case-control study was to describe ESBL CA-UTI and its risk factors. Outpatients with CA-UTI seen at the Hospital Cayetano Heredia during 2015 were identified. Patients were contacted by telephone. After consent had been obtained, a questionnaire concerning previously identified risk factors was applied. Univariate and multivariate analyses were conducted using Stata version 13. The overall frequency of ESBL-producing Escherichia coli was 40.85%. Sixty-seven cases and 105 controls were included in this study. The following main risk factors were identified on multivariate analysis: previous antibiotic use (odds ratio (OR) 3.09), previous hospitalization (OR 2.92), and previous surgery (OR 2.75). Chronic corticosteroid use (OR 24.32, 95% confidence interval 2.39-246.92) was also identified as a risk factor. ESBL E. coli accounted for more than 40% of CA-UTIs during 2015. A history of previous hospitalization, surgery, and antibiotic use should be considered when treating this type of infection. Action should be taken to confirm these worrisome results and avoid the major consequences for public health. Copyright © 2016. Published by Elsevier Ltd.

  4. HIV pre-exposure prophylaxis and health and community systems in the Global South: Thailand case study.

    Science.gov (United States)

    Colby, Donn; Srithanaviboonchai, Kriengkrai; Vanichseni, Suphak; Ongwandee, Sumet; Phanuphak, Nittaya; Martin, Michael; Choopanya, Kachit; Chariyalertsak, Suwat; van Griensven, Frits

    2015-01-01

    Pre-exposure prophylaxis (PrEP) is recommended by the World Health Organization as an effective method of HIV prevention for individuals at risk for infection. In this paper, we describe the unique role that Thailand has played in the global effort to combat the HIV epidemic, including its role in proving the efficacy of PrEP, and discuss the opportunities and challenges of implementing PrEP in a middle-income country. Thailand was one of the first countries in the world to successfully reverse a generalized HIV epidemic. Despite this early success, HIV prevalence has remained high among people who inject drugs and has surged among men who have sex with men (MSM) and transgender women (TGW). Two pivotal trials that showed that the use of oral antiretroviral medication as PrEP can reduce HIV transmission were conducted partially or entirely at Thai sites. Demonstration projects of PrEP, as well as clinical trials of alternative PrEP regimens, began or will begin in 2014-2015 in Thailand and will provide additional data and experience on how to best implement PrEP for high-risk individuals in the community. Financing of drug costs, the need for routine laboratory monitoring and lack of awareness about PrEP among at-risk groups all present challenges to the wider implementation of PrEP for HIV prevention in Thailand. Although significant challenges to wider use remain, PrEP holds promise as a safe and highly effective method to be used as part of a combined HIV prevention strategy for MSM and TGW in Thailand.

  5. Transforming Social Regularities in a Multicomponent Community-Based Intervention: A Case Study of Professionals' Adaptability to Better Support Parents to Meet Their Children's Needs.

    Science.gov (United States)

    Quiroz Saavedra, Rodrigo; Brunson, Liesette; Bigras, Nathalie

    2017-06-01

    This paper presents an in-depth case study of the dynamic processes of mutual adjustment that occurred between two professional teams participating in a multicomponent community-based intervention (CBI). Drawing on the concept of social regularities, we focus on patterns of social interaction within and across the two microsystems involved in delivering the intervention. Two research strategies, narrative analysis and structural network analysis, were used to reveal the social regularities linking the two microsystems. Results document strategies and actions undertaken by the professionals responsible for the intervention to modify intersetting social regularities to deal with a problem situation that arose during the course of one intervention cycle. The results illustrate how key social regularities were modified in order to resolve the problem situation and allow the intervention to continue to function smoothly. We propose that these changes represent a transition to a new state of the ecological intervention system. This transformation appeared to be the result of certain key intervening mechanisms: changing key role relationships, boundary spanning, and synergy. The transformation also appeared to be linked to positive setting-level and individual-level outcomes: confidence of key team members, joint planning, decision-making and intervention activities, and the achievement of desired intervention objectives. © Society for Community Research and Action 2017.

  6. The political economy of corporate social responsibility and community development: a case study of Norway's Snoehvit natural gas complex

    Energy Technology Data Exchange (ETDEWEB)

    Klick, Matthew T.

    2009-07-01

    This project uses stakeholder evidence from semi-structured interviews to analyze the relative effectiveness of an oil company's stated 'corporate social responsibility' (CSR) initiatives in a new, Arctic host community. Specifically, this project analyzes the outcomes of StatoilHydro initiatives to date in Hammerfest, Norway, where the Snoehvit (Snow White) natural gas project began production in 2007. It gauges the ability of 'socially responsible' approaches to development to internalize negative externalisation and promote positive 'spin-offs'. Arctic countries are increasingly prioritizing petroleum development. The convergence of dramatic climate change, increasing energy demands, and high energy prices has made the Arctic an alluring frontier for the oil industry and Arctic governments. Small Arctic communities are increasingly playing host to large energy projects with the potential for dramatic cultural, social, environmental, and economic upheaval, but also economic growth and increased human capital. In this case study, CSR initiatives resulted in a broader accounting of social costs and benefits, an outcome that better internalized externalities, and pareto-improving trades between stakeholders and industry. (Author). 87 refs., 5 figs., 5 tabs

  7. Reduced Investment in Science: An Examination of the Current Federal Budget and a Case Study on Its Impact on the Scientific Community

    Science.gov (United States)

    Uhlenbrock, K.; Landau, E. A.; Hankin, E. R.

    2013-12-01

    Federally funded scientific research is one of the building blocks of technological advancement and economic growth. This research can also lead to transformational ideas and discoveries. In our current fiscal environment, strategies to rein in federal spending have become a priority, although they have proven to be complex. The possible deals and negotiations to reduce federal spending may hinder the work of the scientific community to serve society. Since 2005 federal investment in research and development has slowed. The average annual growth in federal funding for scientific research from 2004 - 2009 was 0.9% as compared to 3.3% over the previous 20 years. What does the current budget situation mean for science? It means reductions in basic and applied research, interruptions in long-term monitoring and data collection, an inability to repair or build infrastructure, and less federal grant support for current and future scientists. I will first provide an update on the current federal budget situation and examples of how current policies are impacting the scientific community. Second, I will present a case study of the effect of reduced federal investment in science. Specifically, I will discuss how investments in research and development have far-reaching impacts on society and examine how reduced funding impairs valuable research efforts.

  8. Project management case studies

    CERN Document Server

    Kerzner, Harold R

    2013-01-01

    A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re

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

    Science.gov (United States)

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

    2016-06-01

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

  10. Feasibibility study - cases

    DEFF Research Database (Denmark)

    Lund, Henrik; Hvelplund, Frede Kloster; Sukkumnoed, Decharut

    2004-01-01

    The chapter presents two case studies to show the tools of feasibiliy studies within the context of technological innovation.......The chapter presents two case studies to show the tools of feasibiliy studies within the context of technological innovation....

  11. A Comparative Case Study Analysis of Administrators Perceptions on the Adaptation of Quality and Continuous Improvement Tools to Community Colleges in the State of Michigan

    Science.gov (United States)

    Mattis, Ted B.

    2011-01-01

    The purpose of this study was to determine whether community college administrators in the state of Michigan believe that commonly known quality and continuous improvement tools, prevalent in a manufacturing environment, can be adapted to a community college model. The tools, specifically Six Sigma, benchmarking and process mapping have played a…

  12. Lifestyle-Associated Risk Factors for Community-Acquired Methicillin-Resistant Staphylococcus aureus Carriage in the Netherlands: An Exploratory Hospital-Based Case-Control Study.

    Science.gov (United States)

    van Rijen, Miranda M L; Kluytmans-van den Bergh, Marjolein F Q; Verkade, Erwin J M; Ten Ham, Peter B G; Feingold, Beth J; Kluytmans, Jan A J W

    2013-01-01

    Community-acquired MRSA (CA-MRSA) is rapidly increasing. Currently, it is unknown which reservoirs are involved. An exploratory hospital-based case-control study was performed in sixteen Dutch hospitals to identify risk factors for CA-MRSA carriage in patients not belonging to established risk groups. Cases were in- or outpatients from sixteen Dutch hospitals, colonised or infected with MRSA without healthcare- or livestock-associated risk factors for MRSA carriage. Control subjects were patients not carrying MRSA, and hospitalised on the same ward or visited the same outpatients' clinic as the case. The presence of potential risk factors for CA-MRSA carriage was determined using a standardised questionnaire. Regular consumption of poultry (OR 2⋅40; 95% CI 1⋅08-5⋅33), cattle density per municipality (OR 1⋅30; 95% CI 1⋅00-1⋅70), and sharing of scuba diving equipment (OR 2⋅93 95% CI 1⋅19-7⋅21) were found to be independently associated with CA-MRSA carriage. CA-MRSA carriage was not related to being of foreign origin. The observed association between the consumption of poultry and CA-MRSA carriage suggests that MRSA in the food chain may be a source for MRSA carriage in humans. Although sharing of scuba diving equipment was found to be associated with CA-MRSA carriage, the role played by skin abrasions in divers, the lack of decontamination of diving materials, or the favourable high salt content of sea water is currently unclear. The risk for MRSA MC398 carriage in areas with a high cattle density may be due to environmental contamination with MRSA MC398 or human-to-human transmission. Further studies are warranted to confirm our findings and to determine the absolute risks of MRSA acquisition associated with the factors identified.

  13. Lifestyle-Associated Risk Factors for Community-Acquired Methicillin-Resistant Staphylococcus aureus Carriage in the Netherlands: An Exploratory Hospital-Based Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Miranda M L van Rijen

    Full Text Available Community-acquired MRSA (CA-MRSA is rapidly increasing. Currently, it is unknown which reservoirs are involved. An exploratory hospital-based case-control study was performed in sixteen Dutch hospitals to identify risk factors for CA-MRSA carriage in patients not belonging to established risk groups.Cases were in- or outpatients from sixteen Dutch hospitals, colonised or infected with MRSA without healthcare- or livestock-associated risk factors for MRSA carriage. Control subjects were patients not carrying MRSA, and hospitalised on the same ward or visited the same outpatients' clinic as the case. The presence of potential risk factors for CA-MRSA carriage was determined using a standardised questionnaire.Regular consumption of poultry (OR 2⋅40; 95% CI 1⋅08-5⋅33, cattle density per municipality (OR 1⋅30; 95% CI 1⋅00-1⋅70, and sharing of scuba diving equipment (OR 2⋅93 95% CI 1⋅19-7⋅21 were found to be independently associated with CA-MRSA carriage. CA-MRSA carriage was not related to being of foreign origin.The observed association between the consumption of poultry and CA-MRSA carriage suggests that MRSA in the food chain may be a source for MRSA carriage in humans. Although sharing of scuba diving equipment was found to be associated with CA-MRSA carriage, the role played by skin abrasions in divers, the lack of decontamination of diving materials, or the favourable high salt content of sea water is currently unclear. The risk for MRSA MC398 carriage in areas with a high cattle density may be due to environmental contamination with MRSA MC398 or human-to-human transmission. Further studies are warranted to confirm our findings and to determine the absolute risks of MRSA acquisition associated with the factors identified.

  14. Ecomorphology as a predictor of fish diet: a case study on the North Sea benthic fish community

    NARCIS (Netherlands)

    Diderich, W.P.

    2006-01-01

    A methodological approach based on fish ecomorphology was chosen to predict potential fish diet. This study tests a method used in earlier research on a marine ecosystem containing phylogenetically diverse organisms: the North Sea. Fish feeding morphology imposes constraints on feeding options. A

  15. Community-Level Environmental Projects as Learning Tools for Planners: A Case Study of Graduate Planning Students

    Science.gov (United States)

    Portman, Michelle E.; Teff-Seker, Yael

    2017-01-01

    Despite the potential environmental impact of urban planning, there is little research on Environmental Education (EE) in the context of urban planning curricula. This study follows graduate planning students' learning experience during group projects assigned as part of a planning course at the Technion--Israel Institute of Technology. These…

  16. Benthic Communities of Low-Order Streams Affected by Acid Mine Drainages: A Case Study from Central Europe

    Directory of Open Access Journals (Sweden)

    Marek Svitok

    2014-05-01

    Full Text Available Only little attention has been paid to the impact of acid mine drainages (AMD on aquatic ecosystems in Central Europe. In this study, we investigate the physico-chemical properties of low-order streams and the response of benthic invertebrates to AMD pollution in the Banská Štiavnica mining region (Slovakia. The studied streams showed typical signs of mine drainage pollution: higher conductivity, elevated iron, aluminum, zinc and copper loads and accumulations of ferric precipitates. Electric conductivity correlated strongly with most of the investigated elements (weighted mean absolute correlation = 0.95 and, therefore, can be recommended as a good proxy indicator for rapid AMD pollution assessments. The diversity and composition of invertebrate assemblages was related to water chemistry. Taxa richness decreased significantly along an AMD-intensity gradient. While moderately affected sites supported relatively rich assemblages, the harshest environmental conditions (pH < 2.5 were typical for the presence of a limited number of very tolerant taxa, such as Oligochaeta and some Diptera (Limnophyes, Forcipomyiinae. The trophic guild structure correlated significantly with AMD chemistry, whereby predators completely disappeared under the most severe AMD conditions. We also provide a brief review of the AMD literature and outline the needs for future detailed studies involving functional descriptors of the impact of AMD on aquatic ecosystems.

  17. Factors Predictive of Alcohol Consumption among Elderly People in a Rural Community: A Case Study in Phayao Province Thailand

    International Nuclear Information System (INIS)

    Hongthong, D.; Wongchaiya, P.; Somrongthong, R.; Kumar, R.

    2016-01-01

    Background: Alcohol consumption is recognized as a public health issue. Study objectives were to identify factors predictive of alcohol consumption among elderly people in Phayao province Thailand, where there was high prevalence of alcohol consumption. Methods: This was a cross-sectional study. Four hundred elderly people participated in a survey. Data was collected by face-to-face interviews. Chi-square and multivariate logistic regression were used to determine the factors predictive of alcohol consumption among the study subjects. Results: One thirds of elderly (31.7 percent) had consumed alcohol in their lifetime, and (15.7 percent) of them were current drinkers. Following univariate analysis, seven factors included gender, working, sickness, smoking, quality of life (QOL), daily activities and economic recession were identified as being significantly associated with drinking (p<0.05). Multivariate analysis revealed four factors to be predictive of alcohol among elderly people: gender (OR=6.02, 95 percent CI=3.58-10.13), smoking (OR=4.34, 95 percent CI=2.57-7.34), economic recession (OR=2.79, 95 percent, CI=1.66-4.71), and QOL (OR=1.86, 95 percent, CI=1.09-3.16). Conclusion: Gender (male) and smoking were strongly predictive factors of elderly alcohol consumption. Hence, an effort to reduce alcohol consumption should be placed on male elderly and those who smoke. (author)

  18. Pollination services mapping and economic valuation from insect communities: a case study in the Azores (Terceira Island

    Directory of Open Access Journals (Sweden)

    Ana Picanço

    2017-05-01

    Full Text Available Insect pollinators provide vital ecosystem services through its maintenance of plant biological diversity and its role in food production. Indeed, adequate pollination services can increase the production and quality of fruit and vegetable crops. This service is currently challenged by land use intensification and expanding human population growth. Hence, this study aims: (1 to assess the pollination services in different land uses with different levels of disturbance through GIS mapping technique using insect pollinators abundance and richness as indicators, and (2 estimate the economic value of pollination by insects in agricultural crops. Our study takes place in a small oceanic island, Terceira (Azores, Portugal. Our results showed, remarkably, that not only the pristine vegetation areas, but also the orchards and agricultural areas have relatively high values of pollination services, even though both land uses have opposite disturbance levels. For the economic valuation, we analyzed 24 crops in the island and found that 18 depend on pollinators with one-third of these crops having 65% or 95% dependence on pollinators. The economic contribution of pollinators totals 36.2% of the total mean annual agricultural income of the dependent crops, highlighting the importance of insect pollinators in agricultural production and consequent economic gain productions.

  19. Case Study: Community Nursing Care Plan for a Man With Functional and Psychosocial Problems Following a Stroke.

    Science.gov (United States)

    Brito-Brito, Pedro Ruyman; Fernandez-Gutierrez, Domingo Angel; M Smith, Hilary

    2016-07-01

    The study aims to use the standardized nursing process to assist a middle-aged man with functional and psychosocial problems following a stroke. Data were obtained from interviews with the patient during primary care nurse consultations, electronic health record reviews, and reports from other professionals. To build the care plan, we used available scientific evidence, and we also considered a nurse-patient agreement. We used clinical reasoning with NANDA-I classification, the Nursing Outcomes Classification, and the Nursing Interventions Classification to select nursing diagnoses, patient outcomes, and nursing interventions. Psychosocial problems complicate the management of a patient with functional consequences after a stroke. This fact has high impact on people who are going through this process. © 2015 NANDA International, Inc.

  20. Improvement of antibiotic therapy and ICU survival in severe non-pneumococcal community-acquired pneumonia: a matched case-control study.

    Science.gov (United States)

    Gattarello, Simone; Lagunes, Leonel; Vidaur, Loreto; Solé-Violán, Jordi; Zaragoza, Rafael; Vallés, Jordi; Torres, Antoni; Sierra, Rafael; Sebastian, Rosa; Rello, Jordi

    2015-09-10

    We aimed to compare intensive care unit mortality due to non-pneumococcal severe community-acquired pneumonia between the periods 2000-2002 and 2008-2014, and the impact of the improvement in antibiotic strategies on outcomes. This was a matched case-control study enrolling 144 patients with non-pneumococcal severe pneumonia: 72 patients from the 2000-2002 database (CAPUCI I group) were paired with 72 from the 2008-2014 period (CAPUCI II group), matched by the following variables: microorganism, shock at admission, invasive mechanical ventilation, immunocompromise, chronic obstructive pulmonary disease, and age over 65 years. The most frequent microorganism was methicillin-susceptible Staphylococcus aureus (22.1%) followed by Legionella pneumophila and Haemophilus influenzae (each 20.7%); prevalence of shock was 59.7%, while 73.6% of patients needed invasive mechanical ventilation. Intensive care unit mortality was significantly lower in the CAPUCI II group (34.7% versus 16.7%; odds ratio (OR) 0.78, 95% confidence interval (CI) 0.64-0.95; p = 0.02). Appropriate therapy according to microorganism was 91.5% in CAPUCI I and 92.7% in CAPUCI II, while combined therapy and early antibiotic treatment were significantly higher in CAPUCI II (76.4 versus 90.3% and 37.5 versus 63.9%; p antibiotic therapy (OR 0.23, 95% CI 0.07-0.74) and early antibiotic treatment (OR 0.07, 95% CI 0.02-0.22) were independently associated with decreased intensive care unit mortality. In non-pneumococcal severe community-acquired pneumonia , early antibiotic administration and use of combined antibiotic therapy were both associated with increased intensive care unit survival during the study period.

  1. Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico.

    Science.gov (United States)

    Mendes, Rosilda; Plaza, Veronica; Wallerstein, Nina

    2016-03-01

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

  2. Case-control study of the relationship of depressive symptoms to suicide in a community-based sample of individuals with schizophrenia in China.

    Science.gov (United States)

    Kasckow, John; Liu, Nancy; Haas, Gretchen L; Phillips, Michael R

    2010-09-01

    Suicide is the leading cause of premature death among people with schizophrenia. Most studies on suicide and schizophrenia report an associated depression history, but they are based on clinical samples from mostly western countries. We conducted a secondary analysis of 74 suicides (cases) and 24 accidental deaths (controls) among persons with schizophrenia identified in a national psychological autopsy study in mainland China using the Chinese version of the Structured Clinical Interview for DSM-IV. A 'depression symptom severity score' based on number, severity, and persistence of depressive symptoms 2 weeks before death was derived from psychiatric interviews with 2 informants; determination of a 'dysfunction due to depressive symptoms score' was based on informants' reports about effects of depressive symptoms on decedents' functioning in the month before death. In addition, the mean number of negative life events was determined along with the effect of the events on the decedent. Comparison of the measures made for cases and controls were made by univariate analysis followed by adjustments using the False Discovery Rate. Compared to persons with schizophrenia who died by accident, those who died by suicide were more likely to have a recent DSM IV diagnosis of major depression, the symptom of depressed mood, thoughts of death and a prior suicide attempt. In addition, those who died by suicide were more likely to have a higher overall depression severity score and greater dysfunction due to depressive symptoms. This community-based study of individuals with DSM-IV schizophrenia who died by suicide in a non-western culture extends findings from clinical studies in western cultures providing data on the importance of depressive symptoms as risk factors for suicide in schizophrenia in a low income rural setting. These findings underline the importance of routine screening for depressive symptoms among patients with schizophrenia. (c) 2010 Elsevier B.V. All rights

  3. Issues Affecting Community Attitudes and Intended Behaviours in Stormwater Reuse: A Case Study of Salisbury, South Australia

    Directory of Open Access Journals (Sweden)

    Zhifang Wu

    2012-10-01

    Full Text Available Stormwater has been recognised as one of the additional/alternative sources of water to augment freshwater supply and address the growing needs of humankind. South Australia has been a leader in the development of large-scale urban stormwater harvesting schemes in Australia for nearly 50 years and the Salisbury Local Government Area (LGA, in particular, is at the forefront of urban stormwater management and recycling, not only in the state of South Australia, but worldwide. This is mainly due to its pioneering achievements in stormwater capture and treatment through the managed aquifer recharge (MAR process. However, there are many challenges in implementing water reuse strategies and past studies have identified public health concerns and public acceptance as major challenges. In line with this, our team conducted an internet survey to gauge the attitude and intentions of Salisbury LGA residents to use stormwater treated through the MAR process for non-potable uses. We found that respondents’ emotions and perceptions of health risk, regarding the use of treated stormwater, were closely related to the proximity of the end use to human contact. In terms of quality indicators, colour, odour, and salt levels were all seen as being important. Quality preferences were also closely related to the proximity of the end use to human contact, and reflected the use of water for indoor/outdoor purposes.

  4. Towards improving service delivery in screening and intervention services in community pharmacies: a case study of an alcohol IBA service.

    Science.gov (United States)

    Mackridge, A J; Krska, J; Stokes, E C; Heim, D

    2016-03-01

    Previous studies have demonstrated positive outcomes from a range of pharmacy public health services, but barriers to delivery remain. This paper explores the processes of delivering an alcohol screening and intervention service, with a view to improving service delivery. A mixed-methods, multi-perspective approach was used, comprising in-pharmacy observations and recording of service provision, follow-up interviews with service users and interactive feedback sessions with service providers. Observations and recordings indicate that staff missed opportunities to offer the service and that both availability and delivery of the service were inconsistent, partly owing to unavailability of trained staff and service restrictions. Most service users gave positive accounts of the service and considered pharmacies to be appropriate places for this service. Respondents also described positive impacts, ranging from thinking more about alcohol consumption generally to substantial reductions in consumption. Key facilitators to service provision included building staff confidence and service champions. Barriers included commissioning issues and staff perception of alcohol as a sensitive topic. Findings support expansion of pharmacies' role in delivering public health services and highlight benefits of providing feedback to pharmacy staff on their service provision as a possible avenue for service improvement. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Responses of spatial-temporal dynamics of bacterioplankton community to large-scale reservoir operation: a case study in the Three Gorges Reservoir, China.

    Science.gov (United States)

    Li, Zhe; Lu, Lunhui; Guo, Jinsong; Yang, Jixiang; Zhang, Jiachao; He, Bin; Xu, Linlin

    2017-02-13

    Large rivers are commonly regulated by damming, yet the effects of such disruption on bacterioplankton community structures have not been adequately studied. The aim of this study was to explore the biogeographical patterns present under dam regulation and to uncover the major drivers structuring bacterioplankton communities. Bacterioplankton assemblages in the Three Gorges Reservoir (TGR) were analyzed using Illumina Miseq sequencing by comparing seven sites located within the TGR before and after impoundment. This approach revealed ecological and spatial-temporal variations in bacterioplankton community composition along the longitudinal axis. The community was dynamic and dominated by Proteobacteria and Actinobacteria phyla, encompassing 39.26% and 37.14% of all sequences, respectively, followed by Bacteroidetes (8.67%) and Cyanobacteria (3.90%). The Shannon-Wiener index of the bacterioplankton community in the flood season (August) was generally higher than that in the impoundment season (November). Principal Component Analysis of the bacterioplankton community compositions showed separation between different seasons and sampling sites. Results of the relationship between bacterioplankton community compositions and environmental variables highlighted that ecological processes of element cycling and large dam disturbances are of prime importance in driving the assemblages of riverine bacterioplankton communities.

  6. Estimating the cost of referral and willingness to pay for referral to higher-level health facilities: a case series study from an integrated community case management programme in Uganda.

    Science.gov (United States)

    Nanyonjo, Agnes; Bagorogoza, Benson; Kasteng, Frida; Ayebale, Godfrey; Makumbi, Fredrick; Tomson, Göran; Källander, Karin

    2015-08-28

    Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers' willingness to pay (WTP) for referral. Caregivers of 203 randomly selected children referred to higher-level health facilities by CHWs were interviewed in four Midwestern Uganda districts. Questionnaires and document reviews were used to capture direct, indirect and opportunity costs incurred by caregivers, CHWs and health facilities managing referred children. WTP for referral was assessed through the 'bidding game' approach followed by an open-ended question on maximum WTP. Descriptive analysis was conducted for factors associated with referral completion and WTP using logistic and linear regression methods, respectively. The cost per case referred to higher-level health facilities was computed from a societal perspective. Reasons for referral included having fever with a negative malaria test (46.8%), danger signs (29.6%) and drug shortage (37.4%). Among the referred, less than half completed referral (45.8%). Referral completion was 2.8 times higher among children with danger signs (p = 0.004) relative to those without danger signs, and 0.27 times lower among children who received pre-referral treatment (p average cost per case referred was US$ 4.89 and US$7.35 per case completing referral. For each unit cost per case referred, caregiver out of pocket expenditure contributed 33.7%, caregivers' and CHWs' opportunity costs contributed 29.2% and 5.1% respectively and health facility costs contributed 39.6%. The mean (SD) out of pocket expenditure was US$1.65 (3.25). The mean WTP for referral was US$8.25 (14.70) and was positively associated with having received pre-referral treatment, completing referral and increasing

  7. Community exposure and vulnerability to water quality and availability: a case study in the mining-affected Pazña Municipality, Lake Poopó Basin, Bolivian Altiplano

    OpenAIRE

    French, Megan; Alem, Natalie; Edwards, Stephen J.; Blanco Coariti, Efraín; Cauthin, Helga; Hudson-Edwards, Karen A.; Luyckx, Karen; Quintanilla, Jorge; Sánchez Miranda, Oscar

    2017-01-01

    Assessing water sources for drinking and irrigation along with community vulnerability, especially in developing and rural regions, is important for reducing risk posed by poor water quality and limited water availability and accessibility. We present a case study of rural mining-agricultural communities in the Lake Poopó Basin, one of the poorest regions on the Bolivian Altiplano. Here, relatively low rainfall, high evaporation, salinization and unregulated mining activity have contributed t...

  8. Responses of spatial-temporal dynamics of bacterioplankton community to large-scale reservoir operation: a case study in the Three Gorges Reservoir, China

    OpenAIRE

    Li, Zhe; Lu, Lunhui; Guo, Jinsong; Yang, Jixiang; Zhang, Jiachao; He, Bin; Xu, Linlin

    2017-01-01

    Large rivers are commonly regulated by damming, yet the effects of such disruption on bacterioplankton community structures have not been adequately studied. The aim of this study was to explore the biogeographical patterns present under dam regulation and to uncover the major drivers structuring bacterioplankton communities. Bacterioplankton assemblages in the Three Gorges Reservoir (TGR) were analyzed using Illumina Miseq sequencing by comparing seven sites located within the TGR before and...

  9. Case study research.

    Science.gov (United States)

    Taylor, Ruth; Thomas-Gregory, Annette

    2015-06-10

    This article describes case study research for nursing and healthcare practice. Case study research offers the researcher an approach by which a phenomenon can be investigated from multiple perspectives within a bounded context, allowing the researcher to provide a 'thick' description of the phenomenon. Although case study research is a flexible approach for the investigation of complex nursing and healthcare issues, it has methodological challenges, often associated with the multiple methods used in individual studies. These are explored through examples of case study research carried out in practice and education settings. An overview of what constitutes 'good' case study research is proposed.

  10. Risk factors for extended-spectrum β-lactamase-producing Escherichia coli urinary tract infection in the community in Denmark: a case-control study.

    Science.gov (United States)

    Søgaard, M; Heide-Jørgensen, U; Vandenbroucke, J P; Schønheyder, H C; Vandenbroucke-Grauls, C M J E

    2017-12-01

    To verify the role of proton pump inhibitors (PPI) and nitrofurantoin, which have appeared as novel risk factors for carriage of extended-spectrum β-lactamase (ESBL) -producing Escherichia coli, as risk factors for ESBL E. coli urinary tract infection (UTI). We included known risk factors to ascertain whether our findings are comparable with those of previous studies. Population-based case-control study including 339 cases with community-onset ESBL E. coli UTI in 2007-2012, 3390 non-ESBL E. coli UTI controls and 3390 population controls. We investigated potential risk factors by estimating ORs and 95% CIs adjusting for sex, age and co-morbidity. Comparing cases with non-ESBL E. coli UTI, PPI use yielded an OR of 1.6 (95% CI 1.2-2.0) and antibiotic exposure gave an OR of 1.4 (95% CI 1.1-1.8); these were driven by nitrofurantoin (OR 1.8; 95% CI 1.3-2.6) and macrolides (OR 1.7; 95% CI 1.2-2.3). Other risk factors included previous hospitalization with one or two and more than two hospitalizations versus none yielding ORs of 1.9 (95% CI 1.4-2.5) and 4.6 (95% CI 3.2-6.8), recent surgery (OR 2.0; 95% CI 1.5-2.8), renal disease (OR 2.2; 95% CI 1.4-3.4), chronic pulmonary disease (OR 1.4; 95% CI 1.0-2.0) and cancer (OR 1.5; 95% CI 1.1-2.1). Comparing cases with population controls, we found that most risk factors were also risk factors for non-ESBL UTI. ESBL E. coli UTI were associated with previous hospitalization and surgery. Nitrofurantoin and macrolides augmented the risk. PPIs had a moderate effect but may be important facilitators of ESBL carriage due to their widespread use. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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

    Science.gov (United States)

    Brach, Marcin; Chormański, Jarosław

    2014-05-01

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

  12. Development of the Community Midwifery Education initiative and its influence on women’s health and empowerment in Afghanistan: a case study

    Science.gov (United States)

    2014-01-01

    Background Political transition in Afghanistan enabled reconstruction of the destroyed health system. Maternal health was prioritised due to political will and historically high mortality. However, severe shortages of skilled birth attendants - particularly in rural areas - hampered safe motherhood initiatives. The Community Midwifery Education (CME) programme began training rural midwives in 2002, scaling-up nationally in 2005. Methods This case study analyses CME development and implementation to help determine successes and challenges. Data were collected through documentary review and key informant interviews. Content analysis was informed by Walt and Gilson’s policy triangle framework. Results The CME programme has contributed to consistently positive indicators, including up to a 1273/100,000 reduction in maternal mortality ratios, up to a 28% increase in skilled deliveries, and a six-fold increase in qualified midwives since 2002. Begun as a small pilot, CME has gained support of international donors, the Afghan government, and civil society. Conclusion CME is considered by stakeholders to be a positive model for promoting women’s education, employment, and health. However, its future is threatened by insecurity, corruption, lack of regulation, and funding uncertainties. Strategic planning and resource mobilisation are required for it to achieve its potential of transforming maternal healthcare in Afghanistan. PMID:25220577

  13. How anthropogenic changes may affect soil-borne parasite diversity? Plant-parasitic nematode communities associated with olive trees in Morocco as a case study.

    Science.gov (United States)

    Ali, Nadine; Tavoillot, Johannes; Besnard, Guillaume; Khadari, Bouchaib; Dmowska, Ewa; Winiszewska, Grażyna; Fossati-Gaschignard, Odile; Ater, Mohammed; Aït Hamza, Mohamed; El Mousadik, Abdelhamid; El Oualkadi, Aïcha; Moukhli, Abdelmajid; Essalouh, Laila; El Bakkali, Ahmed; Chapuis, Elodie; Mateille, Thierry

    2017-02-06

    Plant-parasitic nematodes (PPN) are major crop pests. On olive (Olea europaea), they significantly contribute to economic losses in the top-ten olive producing countries in the world especially in nurseries and under cropping intensification. The diversity and the structure of PPN communities respond to environmental and anthropogenic forces. The olive tree is a good host plant model to understand the impact of such forces on PPN diversity since it grows according to different modalities (wild, feral and cultivated olives). A wide soil survey was conducted in several olive-growing regions in Morocco. The taxonomical and the functional diversity as well as the structures of PPN communities were described and then compared between non-cultivated (wild and feral forms) and cultivated (traditional and high-density olive cultivation) olives. A high diversity of PPN with the detection of 117 species and 47 genera was revealed. Some taxa were recorded for the first time on olive trees worldwide and new species were also identified. Anthropogenic factors (wild vs cultivated conditions) strongly impacted the PPN diversity and the functional composition of communities because the species richness, the local diversity and the evenness of communities significantly decreased and the abundance of nematodes significantly increased in high-density conditions. Furthermore, these conditions exhibited many more obligate and colonizer PPN and less persister PPN compared to non-cultivated conditions. Taxonomical structures of communities were also impacted: genera such as Xiphinema spp. and Heterodera spp. were dominant in wild olive, whereas harmful taxa such as Meloidogyne spp. were especially enhanced in high-density orchards. Olive anthropogenic practices reduce the PPN diversity in communities and lead to changes of the community structures with the development of some damaging nematodes. The study underlined the PPN diversity as a relevant indicator to assess community

  14. Contested Domains of Science and Science Learning in Contemporary Native American Communities: Three Case Studies from a National Science Foundation grant titled, "Archaeology Pathways for Native Learners"

    Science.gov (United States)

    Parent, Nancy Brossard

    This dissertation provides a critical analysis of three informal science education partnerships that resulted from a 2003-2006 National Science Foundation grant titled, "Archaeology Pathways for Native Learners" (ESI-0307858), hosted by the Mashantucket Pequot Museum and Research Center. This dissertation is designed to contribute to understandings of learning processes that occur within and at the intersection of diverse worldviews and knowledge systems, by drawing upon experiences derived from three disparate contexts: 1) The Navajo Nation Museum in Window Rock, Arizona; 2) The A:shiwi A:wan Museum and Heritage Center on the Zuni Reservation in Zuni, New Mexico; and 3) Science learning camps at the Mashantucket Pequot Museum and Research Center for Native youth of southern New England. While informal science education is increasingly moving toward decolonizing and cross-cutting institutional boundaries of learning through critical thinking and real-world applications, the construction of "science" (even within diverse contexts) continues to be framed within a homogenous, predominantly Euro-American perspective. This study analyzes the language of Western science employed in these partnerships, with particular attention to the use of Western/Native binaries that shape perceptions of Native peoples and communities, real or imagined. Connections are drawn to broader nation-state interests in education, science, and the global economy. The role of educational evaluation in these case studies is also critically analyzed, by questioning the ways in which it is constructed, conducted, and evaluated for the purposes of informing future projects and subsequent funding. This study unpacks problems of the dominant language of "expert" knowledge embedded in Western science discourse, and highlights the possibilities of indigenous knowledge systems that can inform Western science frameworks of education and evaluation. Ultimately, this study suggests that research

  15. Exploring drivers and challenges in implementation of health promotion in community mental health services: a qualitative multi-site case study using Normalization Process Theory.

    Science.gov (United States)

    Burau, Viola; Carstensen, Kathrine; Fredens, Mia; Kousgaard, Marius Brostrøm

    2018-01-24

    There is an increased interest in improving the physical health of people with mental illness. Little is known about implementing health promotion interventions in adult mental health organisations where many users also have physical health problems. The literature suggests that contextual factors are important for implementation in community settings. This study focused on the change process and analysed the implementation of a structural health promotion intervention in community mental health organisations in different contexts in Denmark. The study was based on a qualitative multiple-case design and included two municipal and two regional provider organisations. Data were various written sources and 13 semi-structured interviews with 22 key managers and frontline staff. The analysis was organised around the four main constructs of Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. Coherence: Most respondents found the intervention to be meaningful in that the intervention fitted well into existing goals, practices and treatment approaches. Cognitive Participation: Management engagement varied across providers and low engagement impeded implementation. Engaging all staff was a general problem although some of the initial resistance was apparently overcome. Collective Action: Daily enactment depended on staff being attentive and flexible enough to manage the complex needs and varying capacities of users. Reflexive Monitoring: During implementation, staff evaluations of the progress and impact of the intervention were mostly informal and ad hoc and staff used these to make on-going adjustments to activities. Overall, characteristics of context common to all providers (work force and user groups) seemed to be more important for implementation than differences in the external political-administrative context. In terms of research, future studies should adopt a more bottom-up, grounded description of context

  16. An attempt to implement tools to support examination of community-based activities for disaster mitigation: A case study in Toyokawa city, Japan

    Science.gov (United States)

    Karashima, Kazuki; Ohgai, Akira

    2017-10-01

    Japan is a country with a high risk for earthquake disasters. The measures used to promote structures' seismic safety, such as reconstruction, widening narrow roads, and the response capacities to deal with huge earthquakes are important. Techniques to support the examination of countermeasures to huge earthquakes are required. To improve this capability, the authors developed tools to: (1) evaluate fire-spread risk, (2) evaluate the difficulty of emergency response and evacuation, and (3) evaluate capacities of neighborhood communities for disaster mitigation. The usefulness of the tools was clarified by the demonstration experiments of previous studies. The next step was implementation of the tools in community-based activities for disaster mitigation. This study aimed to clarify the usability and problems of implementing the tools in community-based activities. The tools were used at several workshops in actual community-based activities for disaster mitigation for one year. After the last workshop, interviews and a questionnaire were conducted on municipal staff and consultant staff. The results found that the tools visually showed the fire-spread risk, the difficulty of evacuation under current conditions and after improvements, and the effects of each disaster mitigation activity. The users could easily explore the draft plans to promote seismic safety of urban structures and response capabilities. The tools were positively incorporated into some community-based activities for disaster mitigation. Thus, the tools have the possibility of successful use at continuing community-based activities and the possibility of implementing the tools will be promoted.

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

    Directory of Open Access Journals (Sweden)

    van Woerden Hugo Cornelis

    2013-02-01

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

  18. BOVINE TUBERCULOSIS (BTB) AS A RISK FACTOR FOR DEVELOPING TUBERCULOSIS IN HUMANS IN THE RURAL COMMUNITY OF ETHIOPIA: A CASE-CONTROL STUDY.

    Science.gov (United States)

    Mengistu, Araya; Enquselassi, Fikre; Aseffa, Abraham; Beyen, Demissew

    2015-01-01

    The current study aimed at assessing BTB as a possible risk factor for human TB in the rural community of North Eastern and Western parts of Ethiopia. A case-control design was conducted among cattle owning households with TB and without TB. Comparative cervical intradermal test using purified protein derivatives were used to test cattle. Reading of the reaction was done 72 ± 4hrs after antigen injection. Based on the skin test reaction measurement, cattle categorized as negative, doubtful and positive. Questionnaires were used to collect the required factors. Thirty-five with TB and 105 households without TB participated in this study of which 49.3% and 61.4% had the habit of drinking raw milk and eating uncooked meat, respectively. About 70.7% knew about the chance of disease transmission from animals to humans. Among the TB households 31.43% shared their house with their cattle. Of the attendants, approximately 38% shared utensil. Based on > 2mms as a cutoff value 23.6% an overall apparent bovine tuberculosis (BTB) and 48.6% apparent BTB in households with TB were recorded. The odds for households having bovine TB in their cattle to get tuberculosis was more than 8 times (95% CI; 2.82-24.60) higher than those owned by households without TB. Bovine TB has been seen as an exposure to human pulmonary TB occurrence. A separate house for cattle should be constructed to minimize the fear of cross infections and further study regarding the possible infection of cattle with M. tuberculosis is suggested. Key wordsi bovine tuberculosis, households, human TB, M. tuberculosis, risk.

  19. Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Mukanga David

    2012-05-01

    Full Text Available Abstract Background Use of diagnostics in integrated community case management (iCCM of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community health workers (CHWs trained and provided with malaria rapid diagnostic tests (RDTs and respiratory rate timers (RRTs to practice iCCM. Methods A total of 423 households with under-five children were enrolled into the study in Iganga district, Uganda. Households were selected from seven villages in Namungalwe sub-county using probability proportionate to size sampling. A semi-structured questionnaire was administered to caregivers in selected households. Data were entered into Epidata statistical software, and analysed using SPSS Statistics 17.0, and STATA version 10. Results Most (86%, 365/423 households resided within a kilometre of a CHW’s home, compared to 26% (111/423 residing within 1 km of a health facility (p  Fifty-seven percent (243/423 of caregivers took their febrile children to a CHW at least once in the three month period preceding the survey. Households located 1–3 km from a health facility were 72% (AOR 1.72; 95% CI 1.11–2.68 more likely to utilize CHW services compared to households within 1 km of a health facility. Households located 1–3 km from a CHW were 81% (AOR 0.19; 95% CI 0.10–0.36 less likely to utilize CHW services compared to those households residing within 1 km of a CHW. A majority (79%, 336/423 of respondents thought CHWs services were better with RDTs, and 89% (375/423 approved CHWs’ continued use of RDTs. Eighty-six percent (209/243 of respondents who visited a CHW thought RRTs were useful. Conclusion ICCM with diagnostics is acceptable, increases access, and is the first choice for caregivers of febrile children. More than half of caregivers of febrile children utilized CHW services over a three

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

    Science.gov (United States)

    Beshers, Sarah C.

    2007-01-01

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

  1. Implementation of a collaborative care model for the treatment of depression and anxiety in a community health center: results from a qualitative case study

    Directory of Open Access Journals (Sweden)

    Eghaneyan BH

    2014-11-01

    Full Text Available Brittany H Eghaneyan,1 Katherine Sanchez,2 Diane B Mitschke2 1Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA; 2School of Social Work, The University of Texas at Arlington, Arlington, TX, USA Background: The collaborative care model is a systematic approach to the treatment of depression and anxiety in primary care settings that involves the integration of care managers and consultant psychiatrists, with primary care physician oversight, to more proactively manage mental disorders as chronic diseases, rather than treating acute symptoms. While collaborative care has been shown to be more effective than usual primary care in improving depression outcomes in a number of studies, less is known about the factors that support the translation of this evidence-based intervention to real-world program implementation. The purpose of this case study was to examine the implementation of a collaborative care model in a community based primary care clinic that primarily serves a low-income, uninsured Latino population, in order to better understand the interdisciplinary relationships and the specific elements that might facilitate broader implementation. Methods: An embedded single-case study design was chosen in order to thoroughly examine the components of one of several programs within a single organization. The main unit of analysis was semi-structured interviews that were conducted with seven clinical and administrative staff members. A grounded theory approach was used to analyze the interviews. Line-by-line initial coding resulted in over 150 initial codes, which were clustered together to rebuild the data into preliminary categories and then divided into four final categories, or main themes. Results: Four unique themes about how the implementation of a collaborative care model worked in this setting emerged from the interviews: organizational change, communication, processes and outcomes of the program, and barriers to

  2. Risk factors for community-acquired urinary tract infections caused by ESBL-producing enterobacteriaceae--a case-control study in a low prevalence country.

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    Arne Søraas

    Full Text Available Community-acquired urinary tract infection (CA-UTI is the most common infection caused by extended-spectrum β-lactamase (ESBL-producing Enterobacteriaceae, but the clinical epidemiology of these infections in low prevalence countries is largely unknown. A population based case-control study was conducted to assess risk factors for CA-UTI caused by ESBL-producing E. coli or K. pneumoniae. The study was carried out in a source population in Eastern Norway, a country with a low prevalence of infections caused by ESBL-producing Enterobacteriaceae. The study population comprised 100 cases and 190 controls with CA-UTI caused by ESBL-producing and non-ESBL-producing E. coli or K. pneumoniae, respectively. The following independent risk factors of ESBL-positive UTIs were identified: Travel to Asia, The Middle East or Africa either during the past six weeks (Odds ratio (OR = 21; 95% confidence interval (CI: 4.5-97 or during the past 6 weeks to 24 months (OR = 2.3; 95% CI: 1.1-4.4, recent use of fluoroquinolones (OR = 16; 95% CI: 3.2-80 and β-lactams (except mecillinam (OR = 5.0; 95% CI: 2.1-12, diabetes mellitus (OR = 3.2; 95% CI: 1.0-11 and recreational freshwater swimming the past year (OR = 2.1; 95% CI: 1.0-4.0. Factors associated with decreased risk were increasing number of fish meals per week (OR = 0.68 per fish meal; 95% CI: 0.51-0.90 and age (OR = 0.89 per 5 year increase; 95% CI: 0.82-0.97. In conclusion, we have identified risk factors that elucidate mechanisms and routes for dissemination of ESBL-producing Enterobacteriaceae in a low prevalence country, which can be used to guide appropriate treatment of CA-UTI and targeted infection control measures.

  3. Comunidades em redes sociais na internet: um estudo de caso dos fotologs brasileiros | Communities in Social Networks on the internet: a case study of Brazilian photologs

    Directory of Open Access Journals (Sweden)

    Raquel Recuero

    2008-04-01

    Full Text Available Resumo Redes sociais online são grupos de atores que se constituem através da interação mediada pelo computador. Essas interações são capazes de estabelecer novas formas sociais de grupos e comunidades. Através da discussão de diversos conceitos de comunidade e comunidade virtual, propõe-se o estudo das comunidades virtuais como uma forma de rede social. Esse debate teórico é discutido então no campo de estudo constituído pelo Fotolog, durante os anos de 2005 e 2006. O fotolog é um sistema que permite aos usuários a publicação de fotografias, textos e comentários. Dos dados coletados através de formas qualitativas e quantitativas, propomos uma tipologia para as comunidades virtuais baseada em sua estrutura (a rede em si e sua composição (tipos de laços sociais e capital social. Esses tipos são definidos como comunidades virtuais emergentes, comunidades virtuais de associação e comunidades virtuais híbridas. Palavras-chave redes sociais, comunidades virtuais, fotolog. Abstract Online social networks are groups of actors formed by computer-mediated social interaction. These interactions are capable of establishing new social forms of groups and communities. Based on a discussion over several concepts of community and virtual community we propose the virtual community as a specific form of online social network. This theoretical debate is brought to the field studying the system named Fotolog during 2005 and 2006. Fotolog (www.fotolog.com is a web service that allows for its users to post photographs or images with an associated text and other users may comment on each other’s posts. From the collected data, we propose a typology for communities found in these networks, based on their structure (network and composition (social ties and social capital. We define three types of communities as associative virtual communities, emergent virtual communities and hybrid virtual communities. Keywords social networks, virtual

  4. Edison Home Community Study Unit.

    Science.gov (United States)

    Lee County School District, Ft. Myers, FL. Dept. of Environmental Education and Instructional Development Services.

    History is not merely events that occurred in the past. The past has influenced the present, as the present will influence the future. The purpose of this community study unit is to provide fourth grade students with an opportunity to investigate some of the history of Lee County, Florida. The unit's focus is on Thomas Edison, who built a home in…

  5. Performance of an electronic health record-based phenotype algorithm to identify community associated methicillin-resistant Staphylococcus aureus cases and controls for genetic association studies

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    Kathryn L. Jackson

    2016-11-01

    Full Text Available Abstract Background Community associated methicillin-resistant Staphylococcus aureus (CA-MRSA is one of the most common causes of skin and soft tissue infections in the United States, and a variety of genetic host factors are suspected to be risk factors for recurrent infection. Based on the CDC definition, we have developed and validated an electronic health record (EHR based CA-MRSA phenotype algorithm utilizing both structured and unstructured data. Methods The algorithm was validated at three eMERGE consortium sites, and positive predictive value, negative predictive value and sensitivity, were calculated. The algorithm was then run and data collected across seven total sites. The resulting data was used in GWAS analysis. Results Across seven sites, the CA-MRSA phenotype algorithm identified a total of 349 cases and 7761 controls among the genotyped European and African American biobank populations. PPV ranged from 68 to 100% for cases and 96 to 100% for controls; sensitivity ranged from 94 to 100% for cases and 75 to 100% for controls. Frequency of cases in the populations varied widely by site. There were no plausible GWAS-significant (p < 5 E −8 findings. Conclusions Differences in EHR data representation and screening patterns across sites may have affected identification of cases and controls and accounted for varying frequencies across sites. Future work identifying these patterns is necessary.

  6. Designing a Virtual Simulation Case for Cultural Competence Using a Community-Based Participatory Research Approach: A Puerto Rican Case.

    Science.gov (United States)

    Mathew, Lilly; Brewer, Barbara B; Crist, Janice D; Poedel, Robin J

    In this study, a community-based participatory research approach was used for developing content for a virtual simulation case. The virtual simulation case was designed to develop the cultural competence of prelicensure nursing students in caring for a Puerto Rican patient with diabetes. This article presents the method used to establish a Puerto Rican community advisory board to develop content for a virtual simulation case for cultural competency.

  7. Supporting local farming communities and crop production resilience to climate change through giant reed (Arundo donax L.) cultivation: An Italian case study.

    Science.gov (United States)

    Bonfante, A; Impagliazzo, A; Fiorentino, N; Langella, G; Mori, M; Fagnano, M

    2017-12-01

    Bioenergy crops are well known for their ability to reduce greenhouse gas emissions and increase the soil carbon stock. Although such crops are often held to be in competition with food crops and thus raise the question of current and future food security, at the same time mitigation measures are required to tackle climate change and sustain local farming communities and crop production. However, in some cases the actions envisaged for specific pedo-climatic conditions are not always economically sustainable by farmers. In this frame, energy crops with high environmental adaptability and yields, such as giant reed (Arundo donax L.), may represent an opportunity to improve farm incomes, making marginal areas not suitable for food production once again productive. In so doing, three of the 17 Sustainable Development Goals (SDGs) of the United Nations would be met, namely SDG 2 on food security and sustainable agriculture, SDG 7 on reliable, sustainable and modern energy, and SDG 13 on action to combat climate change and its impacts. In this work, the response of giant reed in the marginal areas of an agricultural district of southern Italy (Destra Sele) and expected farm incomes under climate change (2021-2050) are evaluated. The normalized water productivity index of giant reed was determined (WP; 30.1gm -2 ) by means of a SWAP agro-hydrological model, calibrated and validated on two years of a long-term field experiment. The model was used to estimate giant reed response (biomass yield) in marginal areas under climate change, and economic evaluation was performed to determine expected farm incomes (woodchips and chopped forage). The results show that woodchip production represents the most profitable option for farmers, yielding a gross margin 50% lower than ordinary high-input maize cultivation across the study area. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Effectiveness of seasonal influenza vaccination in community-dwelling elderly people: an individual participant data meta-analysis of test-negative design case-control studies.

    Science.gov (United States)

    Darvishian, Maryam; van den Heuvel, Edwin R; Bissielo, Ange; Castilla, Jesus; Cohen, Cheryl; Englund, Helene; Gefenaite, Giedre; Huang, Wan-Ting; la Bastide-van Gemert, Sacha; Martinez-Baz, Iván; McAnerney, Johanna M; Ntshoe, Genevie M; Suzuki, Motoi; Turner, Nikki; Hak, Eelko

    2017-03-01

    Several aggregate data meta-analyses have provided estimates of the effectiveness of influenza vaccination in community-dwelling elderly people. However, these studies ignored the effects of patient-level confounders such as sex, age, and chronic diseases that could bias effectiveness estimates. We aimed to assess the confounder-adjusted effectiveness of influenza vaccines on laboratory-confirmed influenza among elderly people by conducting a global individual participant data meta-analysis. In this individual participant data meta-analysis, we considered studies included in a previously conducted aggregate data meta-analysis that included test-negative design case-control studies published up to July 13, 2014. We contacted all authors of the included studies on Dec 1, 2014, to request individual participant data. Patients were excluded if their unique identifier was missing, their vaccination status was unknown, their outcome status was unknown, or they had had suspected influenza infection more than once in the same influenza season. Cases were patients with influenza-like illness symptoms who tested positive for at least one of A H1N1, A H1N1 pdm09, A H3N2, or B viruses; controls were patients with influenza-like illness symptoms who tested negative for these virus types or subtypes. Influenza vaccine effectiveness against overall and subtype-specific laboratory-confirmed influenza were the primary and secondary outcomes. We used a generalised linear mixed model to calculate adjusted vaccine effectiveness according to vaccine match to the circulating strains of influenza virus and intensity of the virus activity (epidemic or non-epidemic). Vaccine effectiveness was defined as the relative reduction in risk of laboratory-confirmed influenza in vaccinated patients compared with unvaccinated patients. We did subgroup analyses to estimate vaccine effectiveness according to hemisphere, age category, and health status. We received 23 of the 53 datasets included in the

  9. Using Social Modeling to Inform Community College Student Behavior: A Case Study Examining Embedded Interventions in a Basic Skills Math Class

    Science.gov (United States)

    Esposito-Noy, Celia

    2013-01-01

    The purpose of this study was to examine the experiences of students enrolled in a basic skills math class at a California community college and the role of the peer model in informing their college-going behaviors. There is significant interest in increasing the number of students who complete basic skills courses and make progress towards a…

  10. Assessing the Impact of a Program Designed to Develop Sustainability Leadership amongst Staff Members in Higher Education Institutes: A Case Study from a Community of Practice Perspective

    Science.gov (United States)

    Alkaher, Iris; Avissar, Ilana

    2018-01-01

    This study focuses on the impact of a sustainability leadership development program (SLDP) designed to develop staff members as leaders who encourage sustainability practices within institutions of higher education (IHE). Using the framework of community of practice (CoP), we explored the program's contribution by interviewing 16 staff members who…

  11. Spatial patterns of variation in the composition and structure of nematode communities in relation to different microhabitats: a case study of Quercus dalechampii Ten. forest

    NARCIS (Netherlands)

    Lazerova, S.S.; Goede, de R.G.M.; Peneva, V.K.; Bongers, A.M.T.

    2004-01-01

    Variability in the spatial distribution of nematode communities in relation to the structural heterogeneity of the environment was studied in nine different microhabitats within a relatively small area of a natural oak forest in Bulgaria. Maturity and diversity indices, trophic structure and the

  12. Effectiveness of seasonal influenza vaccination in community-dwelling elderly people : An individual participant data meta-analysis of test-negative design case-control studies

    NARCIS (Netherlands)

    Darvishian, Maryam; van den Heuvel, Edwin R; Bissielo, Ange; Castilla, Jesus; Cohen, Cheryl; Englund, Helene; Gefenaite, Giedre; Huang, Wan-Ting; la Bastide-van Gemert, Sacha; Martinez-Baz, Ivan; McAnerney, Johanna M; Ntshoe, Genevie M; Suzuki, Motoi; Turner, Nikki; Hak, Eelko

    Background Several aggregate data meta-analyses have provided estimates of the effectiveness of influenza vaccination in community-dwelling elderly people. However, these studies ignored the effects of patient-level confounders such as sex, age, and chronic diseases that could bias effectiveness

  13. Community health centers and primary care access and quality for chronically-ill patients - a case-comparison study of urban Guangdong Province, China.

    Science.gov (United States)

    Shi, Leiyu; Lee, De-Chih; Liang, Hailun; Zhang, Luwen; Makinen, Marty; Blanchet, Nathan; Kidane, Ruth; Lindelow, Magnus; Wang, Hong; Wu, Shaolong

    2015-11-30

    Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the 'gate-keeper' CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and quality of care for patients with chronic illness. The case-comparison design was used to study nine health care organizations in Guangzhou, Dongguan, and Shenzhen cities within Guangdong province, China. 560 patients aged 50 or over with hypertension or diabetes who visited either CHCs or hospitals in these three cities were surveyed by using face-to-face interviews. Bivariate analyses were performed to compare quality and value of care indicators among subjects from the three cities. Multivariate analyses were used to assess the association between type of primary care delivery and quality as well as value of chronic care after controlling for patients' demographic and health status characteristics. Patients from all three cities chose their current health care providers primarily out of concern for quality of care (both provider expertise and adequate medical equipment), patient-centered care, and insurance plan requirement. Compared with patients from Guangzhou, those from Dongguan performed significantly better on most quality and value of care indicators. Most of these indicators remained significantly better even after controlling for patients' demographic and health status characteristics. The Shenzhen model (hospital-owned and -managed CHC) was generally effective in enhancing accessibility and continuity. However, coordination suffered due to seemingly duplicating primary care outpatients at the hospital setting. Significant associations between types of health care facilities and quality of care were also observed such that patients from CHCs were more likely to be satisfied with traveling time and follow-up care by

  14. SNOWMASS (DPF Community Summer Study)

    Energy Technology Data Exchange (ETDEWEB)

    Cronin-Hennessy, et al, Daniel

    2013-08-06

    The 2013 Community Summer Study, known as Snowmass," brought together nearly 700 physicists to identify the critical research directions for the United States particle physics program. Commissioned by the American Physical Society, this meeting was the culmination of intense work over the past year by more than 1000 physicists that defined the most important questions for this field and identified the most promising opportunities to address them. This Snowmass study report is a key resource for setting priorities in particle physics.

  15. Revealing the relationship between microbial community structure in natural biofilms and the pollution level in urban rivers: a case study in the Qinhuai River basin, Yangtze River Delta.

    Science.gov (United States)

    Cai, Wei; Li, Yi; Wang, Peifang; Niu, Lihua; Zhang, Wenlong; Wang, Chao

    River pollution is one of the most challenging environmental issues, but the effect of river pollution levels on the biofilm communities has not been well-studied. Spatial and temporal distribution characteristics of environmental parameters and the biofilm communities were investigated in the Qinhuai River basin, Nanjing, China. Water samples were grouped into three clusters reflecting their varying pollution levels of relatively slight pollution, moderated pollution, and high pollution by hierarchical cluster analysis. In different clusters, the biofilm communities mainly differed in the proportion of Actinobacteria, Firmicutes, and Proteobacteria. As the dominant classes of Proteobacteria, Alpha-, Beta- and Gammaproteobacteria seemed to show an upward trend followed by a small fluctuation in the abundance with the escalation of water pollution level. Results of redundancy analysis demonstrated that temperature, total nitrogen to total phosphorus ratios (TN/TP) and concentrations of ammonia nitrogen (NH3-N) and TN were mainly responsible for the variation in bacterial community structure. The occurrences of Alpha-, Beta- and Gammaproteobacteria were closely associated with higher temperature, higher concentrations of NH3-N and TN and a lower TN/TP ratio. This study may provide a theoretical basis for the water pollution control and ecological restoration in urban rivers under different pollution levels.

  16. A School-based Trial Protocol in Community Promotion of Solar Water Disinfection (SODIS): A Case Study of Ndagwe Sub County, Central Uganda

    OpenAIRE

    Asiimwe, Jacent Kamuntu

    2013-01-01

    Improvement in microbial quality of drinking water by solar disinfection (SODIS) results in reduced diarrheal episodes among users. In this study, a randomized cluster stepped wedge study design was used to assess the use of primary school pupils as community promoters of SODIS technology in Ndagwe sub county, central Uganda. The intervention (SODIS) was introduced to pupils in the different school clusters at different time points throughout the year. Pupils were to only drink SODIS treated ...

  17. Improving computer-mediated synchronous communication of doctors in rural communities through cloud computing: A case study of rural hospitals in South Africa

    CSIR Research Space (South Africa)

    Coleman, A

    2012-10-01

    Full Text Available This paper investigated how doctors in remote rural hospitals in South Africa use computer-mediated tool to communicate with experienced and specialist doctors for professional advice to improve on their clinical practices. A case study approach...

  18. Women's social networks and use of facility delivery services for uncomplicated births in North West Ethiopia: a community-based case-control study.

    Science.gov (United States)

    Asrese, Kerebih; Adamek, Margaret E

    2017-12-28

    High maternal mortality has remained an unmet public health challenge in the developing world. Maternal mortality in Ethiopia is among the highest in the world. Since most maternal deaths occur during labor, delivery, and the immediate postpartum period, facility delivery with skilled birth attendants is recommended to reduce maternal mortality. Nonetheless, the majority of women in Ethiopia give birth at home. Individual attributes and availability and accessibility of services deter service utilization. The role of social networks that may facilitate or constrain service use is not well studied. Community-based case-control study was conducted between February and March 2014 in Jabi Tehinan District, North West Ethiopia. Retrospective data were collected from 134 women who had uncomplicated births at health facilities and 140 women who had uncomplicated births at home within a year preceding the survey. Interviews were held with eight women who had uncomplicated births at health facilities and 11 who had uncomplicated births at home. The quantitative data were entered and analyzed using SPSS for Windows versions 16.0 and hierarchical logistic regression model was used for analysis. The qualitative data were transcribed verbatim and data were used to substantiate the quantitative data. The results indicated that social network variables were significantly associated with the use of health facilities for delivery. Taking social networks into account improved the explanation of facility use for delivery services over women's individual attributes. Women embedded within homogeneous network members (Adjusted OR 2.53; 95% CI: 1.26-5.06) and embedded within high SBA endorsement networks (Adjusted OR 7.97; 95% CI: 4.07-12.16) were more likely to deliver at health facilities than their counterparts. Women living in urban areas (Adjusted OR 3.32; 95% CI: 1.37-8.05) and had better knowledge of obstetric complications (Adjusted OR 3.01; 95% CI: 1.46-6.18) were more likely to

  19. Effects of physical forcing on COastal ZOoplankton community structure: study of the unusual case of a MEDiterranean ecosystem under strong tidal influence (Project COZOMED-MERMEX)

    Science.gov (United States)

    Pagano, Marc

    2017-04-01

    Groupe COZOMED: R. Arfi (1), A. Atoui (2), H. Ayadi (6), B. Bejaoui (1), N. Bhairy (1), N. Barraj (2), M. Belhassen (2), S. Benismail (2), M.Y Benkacem (2), J. Blanchot (1), M. Cankovic(5), F. Carlotti (1), C. Chevalier (1), I Ciglenecki-Jusic (5), D. Couet (1), N. Daly Yahia (3), L. Dammak (2), J.-L. Devenon (1), Z. Drira (6), A. Hamza (2), S. Kmia (6), N. Makhlouf (3), M. Mahfoudi (2), M. Moncef (4), M. Pagano (1), C. Sammari (2), H. Smeti (2), A. Zouari (2) The COZOMED-MERMEX project aims at understanding how hydrodynamic forcing (currents, tides, winds) combine with anthropogenic forcing and climate to affect the variability of coastal Mediterranean zooplankton communities under contrasting tidal influence. This study includes (i) a zero state of knowledge via a literature review of existing data and (ii) a case study on the system Boughrara lagoon - Gulf of Gabes. This ecosystem gives major services for Tunisia (about 65% of national fish production) but is weakened by its situation in a heavily anthropized area and under influence of urban, industrial and agricultural inputs. Besides this region is subject to specific climate forcing (Sahelian winds, scorching heat, intense evaporation, flooding) which possible changes will be considered. The expected issues are (i) to improve our knowledge of hydrodynamic forcing on zooplankton and ultimately on the functioning of coastal Mediterranean ecosystems impacted by anthropogenic and climatic effects and (ii) to elaborate management tools to help preserving good ecological status of these ecosystems: hydrodynamic circulation model, mapping of isochrones of residence times, mapping of the areas of highest zooplankton abundances (swarms), and sensitive areas, etc. This project strengthens existing scientific collaborations within the MERMEX program (The MerMex Group, 2011) and in the frame of an international joint laboratory (COSYS-Med) created in 2014. A first field mulidisciplinary campaign was performed in October

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

    Directory of Open Access Journals (Sweden)

    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. Responses of soil microbial biomass and bacterial community structure to closed-off management (an ecological natural restoration measures): A case study of Dongting Lake wetland, middle China.

    Science.gov (United States)

    Dai, Juan; Wu, Haipeng; Zhang, Chang; Zeng, Guangming; Liang, Jie; Guo, Shenglian; Li, Xiaodong; Huang, Lu; Lu, Lunhui; Yuan, Yujie

    2016-09-01

    Soil microbial biomass (SMB) and bacterial community structure, which are critical to global ecosystem and fundamental ecological processes, are sensitive to anthropogenic activities and environmental conditions. In this study, we examined the possible effects of closed-off management (an ecological natural restoration measures, ban on anthropogenic activity, widely employed for many important wetlands) on SMB, soil bacterial community structure and functional marker genes of nitrogen cycling in Dongting Lake wetland. Soil samples were collected from management area (MA) and contrast area (CA: human activities, such as hunting, fishing and draining, are permitted) in November 2013 and April 2014. Soil properties, microbial biomass carbon (MBC), and bacterial community structure were investigated. Comparison of the values of MA and CA showed that SMB and bacterial community diversity of the MA had a significant increase after 7 years closed-off management. The mean value of Shannon-Weiner diversity index of MA and CA respectively were 2.85 and 2.07. The gene copy numbers of 16S rRNA and nosZ of MA were significant higher than those of CA. the gene copy numbers of ammonia-oxidizing archaea (AOA) and nirK of MA were significant lower than those of CA. However, there was no significant change in the gene copy numbers of ammonia-oxidizing bacteria (AOB) and nirS. Copyright © 2016 The Society for Biotechnology, Japan. Published by Elsevier B.V. All rights reserved.

  2. Six Heliport Case Studies

    National Research Council Canada - National Science Library

    Peisen, Deborah

    1997-01-01

    .... This report evaluates the dynamics of heliport development and operation in order to achieve greater success rate in the future through the case study investigation of six heliports that have both succeeded and failed...

  3. HYDROGEOLOGIC CASE STUDIES

    Science.gov (United States)

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  4. The support of local farming communities and crop production resilience to climate change through the cultivation of giant reed (Arundo donax sp.). An Italian case study.

    Science.gov (United States)

    Bonfante, Antonello; Impagliazzo, Adriana; Fiorentino, Nunzio; Langella, Giuliano; Mori, Mauro; Fagnano, Massimo

    2017-04-01

    In literature on climate change, the bioenergy crops are well known for their ability to reduce greenhouse gases emission and increase the soil carbon stock. Nevertheless, in several countries they are considered in competition with food crops, representing a problem for facing the current and future "Food Security" issue related to climate change and population increase. At same time, in order to sustain local farming communities and crop production, mitigation actions at farm scale are identified to face climate change. However, in some cases the specific actions required by the pedo-climatic conditions, are not always economically sustainable by farmers. In this contest, the energy crops with high environmental adaptability and high productive performances, as the giant reed (Arundo donax spp.), cultivated in the areas not suitable for food crop (marginal areas) may represent an opportunity to increase the farmers' incomes, through the direct sale of above ground biomass (AGB) (as raw material for energy or green chemistry) or by means of the obtained biofuel or biogas. Moreover, the bioenergy crops, with low-input cropping systems (i.e. without irrigation and fertilized with compost from organic residues) are considered the most efficient crops for Greenhouse Gases reduction. In fact, they have a direct effect on processes affecting the CC at global scale: i) preserving and improving the soil carbon stock, ii) reducing the soil tillage and preserving the soil erosion, iii) allowing the conservation of fossil fuel resources with a reduction of CO2 emission in the atmosphere. Finally, their high environmental adaptability allows a riparian vegetation use (in the soils near water drains or rivers) with an important effect on the interception of nutrients as nitrogen and phosphorus that, if leached, have a high environmental impact on watercourses (e.g. eutrophication). Thus the correct use of this crops allows to respond to 3 of 17 Sustainable Development Goals

  5. Integrated community case management and community-based health planning and services: a cross sectional study on the effectiveness of the national implementation for the treatment of malaria, diarrhoea and pneumonia.

    Science.gov (United States)

    Ferrer, Blanca Escribano; Webster, Jayne; Bruce, Jane; Narh-Bana, Solomon A; Narh, Clement T; Allotey, Naa-KorKor; Glover, Roland; Bart-Plange, Constance; Sagoe-Moses, Isabella; Malm, Keziah; Gyapong, Margaret

    2016-07-02

    Ghana has developed two main community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and pneumonia: the Home-based Care (HBC) and the Community-based Health Planning and Services (CHPS). The objective was to assess the effectiveness of HBC and CHPS on utilization, appropriate treatment given and users' satisfaction for the treatment of malaria, diarrhoea and pneumonia. A household survey was conducted 2 and 8 years after implementation of HBC in the Volta and Northern Regions of Ghana, respectively. The study population was carers of children under-five who had fever, diarrhoea and/or cough in the last 2 weeks prior to the interview. HBC and CHPS utilization were assessed based on treatment-seeking behaviour when the child was sick. Appropriate treatment was based on adherence to national guidelines and satisfaction was based on the perceptions of the carers after the treatment-seeking visit. HBC utilization was 17.3 and 1.0 % in the Volta and Northern Regions respectively, while CHPS utilization in the same regions was 11.8 and 31.3 %, with large variation among districts. Regarding appropriate treatment of uncomplicated malaria, 36.7 % (n = 17) and 19.4 % (n = 1) of malaria cases were treated with ACT under the HBC in the Volta and Northern Regions respectively, and 14.7 % (n = 7) and 7.4 % (n = 26) under the CHPS in the Volta and Northern Regions. Regarding diarrhoea, 7.6 % (n = 4) of the children diagnosed with diarrhoea received oral rehydration salts (ORS) or were referred under the HBC in the Volta Region and 22.1 % (n = 6) and 5.6 % (n = 8) under the CHPS in the Volta and Northern Regions. Regarding suspected pneumonia, CHPS in the Northern Region gave the most appropriate treatment with 33.0 % (n = 4) of suspected cases receiving amoxicillin. Users of CHPS in the Volta Region were the most satisfied (97.7 % were satisfied or very satisfied) when compared with those of the HBC and of

  6. Objectivist case study research

    DEFF Research Database (Denmark)

    Ridder, Hanne Mette Ochsner; Fachner, Jörg

    2016-01-01

    be achieved through the use of objectivist case study research. The strength of the case study design is that it allows for uncovering or suggesting causal relationships in real-life settings through an intensive and rich collection of data. According to Hilliard (1993), the opposite applies for extensive...... designs, in which a small amount of data is gathered on a large number of subjects. With the richness of data, the intensive design is ―the primary pragmatic reason for engaging in single-case or small N research‖ (p. 374) and for working from an idiographic rather than a nomothetic perspective....

  7. A Case Study of Using Online Communities and Virtual Environment in Massively Multiplayer Role Playing Games (MMORPGs) as a Learning and Teaching Tool for Second Language Learners

    OpenAIRE

    Kongmee, Isara; Pickard, Alison; Strachan, Rebecca; Montgomery, Catherine

    2012-01-01

    Massively Multiplayer Online Role Playing Games (MMORPGs) create large virtual communities. Online gaming shows potential not just for entertaining, but also in education. This research investigates the use of commercial MMORPGs to support second language teaching. MMORPGs offer virtual safe spaces in which students can communicate by using their target second language with global players. Using a mix of ethnography and action research, this study explores the students’ experiences of languag...

  8. Equipping the poorest of the poor to become agents of community transformation: A case study of milk as a catalyst in Burundi

    Directory of Open Access Journals (Sweden)

    Timothy A. van Aarde

    2017-08-01

    Full Text Available Community transformation has cultural, political and religious dimensions. In the case of Burundi, it is ranked 188/188 on the scale of the world’s poorest countries. The poor in Burundi have a fatalistic attitude towards poverty as a result of the unstable political climate, corruption and a climate of suspicion. The poor are cynical and have no hopeful future expectations. The resourcefulness of the poor having been muted. The Christian church of Burundi has developed a culture of dependency. The role of the church in the West has been limited to lifting the poor out of abject poverty. A creative use of available resources and the participation of the poor through the recognition of their own resourcefulness and stewardship is a sustainable approach to the alleviation of poverty. Newfrontiers churches have developed the approach of equipping the poor as a mission’s strategy to participate in the missio Dei. The majority of churches and non-governmental organisations who endeavour to alleviate poverty in Burundi have, what can be termed, a ‘dependency virus’ or ‘dependency crisis’ and are victims caught in the ‘dependency trap’, that is, they create a culture of dependency through their provision. The loss of dignity that follows, transform the community into a slave of the beneficiary system in which poverty is conceived as a lack of things rather than a mind-set born from help given by the beneficiary without the consent of the poor.

  9. Research impact in the community-based health sciences: an analysis of 162 case studies from the 2014 UK Research Excellence Framework.

    Science.gov (United States)

    Greenhalgh, Trisha; Fahy, Nick

    2015-09-21

    The 2014 UK Research Excellence Framework (REF2014) generated a unique database of impact case studies, each describing a body of research and impact beyond academia. We sought to explore the nature and mechanism of impact in a sample of these. The study design was manual content analysis of a large sample of impact case studies (producing mainly quantitative data), plus in-depth interpretive analysis of a smaller sub-sample (for qualitative detail), thereby generating both breadth and depth. For all 162 impact case studies submitted to sub-panel A2 in REF2014, we extracted data on study design(s), stated impacts and audiences, mechanisms of impact, and efforts to achieve impact. We analysed four case studies (selected as exemplars of the range of approaches to impact) in depth, including contacting the authors for their narratives of impact efforts. Most impact case studies described quantitative research (most commonly, trials) and depicted a direct, linear link between research and impact. Research was said to have influenced a guideline in 122 case studies, changed policy in 88, changed practice in 84, improved morbidity in 44 and reduced mortality in 25. Qualitative and participatory research designs were rare, and only one case study described a co-production model of impact. Eighty-two case studies described strong and ongoing linkages with policymakers, but only 38 described targeted knowledge translation activities. In 40 case studies, no active efforts to achieve impact were described. Models of good implementation practice were characterised by an ethical commitment by researchers, strong institutional support and a proactive, interdisciplinary approach to impact activities. REF2014 both inspired and documented significant efforts by UK researchers to achieve impact. But in contrast with the published evidence on research impact (which depicts much as occurring indirectly through non-linear mechanisms), this sub-panel seems to have captured mainly direct

  10. RURAL COMMUNITIES AND POLICY PARTICIPATION: THE CASE ...

    African Journals Online (AJOL)

    Mugumbate

    This paper adopted the political systems theory. According to Laszlo and Krippner (1998) systems theories include contributions from such seminal thinkers as Alfred North Whitehead, Ludwig von Bertalanffy,. Anatol Rapoport, Kenneth ... people, district level government officials and the general community. All the people ...

  11. Cases of Lyme disease reported in a military community.

    Science.gov (United States)

    Underwood, P K; Armour, V M

    1993-02-01

    Lyme disease, a growing public health problem in the United States, is also an increasing threat in Europe. Cases identified in a military community in West Germany are presented and problems of diagnosis and treatment discussed.

  12. Criteria for oil spill recovery: a case study of the intertidal community of Prince William Sound, Alaska, following the Exxon Valdez oil spill.

    Science.gov (United States)

    Skalski, J R; Coats, D A; Fukuyama, A K

    2001-07-01

    Marine intertidal organisms in Prince William Sound were exposed to crude oil following the TN Exxon Valdez oil spill in 1989. The intertidal communities were also subjected to mechanical disturbance during invasive oil spill remediation and cleanup efforts. Using monitoring data collected from 1989 to 1997, impacts and eventual recovery were assessed at oiled but uncleaned sites and oiled and cleaned study areas. A statistical model where recovery was defined as parallelism between the time profiles at control and oiled sites was evaluated. Statistical analysis and graphical presentations of the data suggest intertidal epibiota communities recovered from the oil spill by 1992 at the oiled sites and by 1994 at the oiled and remediated sites. Empirical data from the intertidal monitoring program supports the use of tests of parallelism in evaluating recovery and the need to avoid simply the comparison of sample means from control and oiled sites.

  13. Community-based Tourism and Rural Development: The Case of ...

    African Journals Online (AJOL)

    Community-based Tourism and Rural Development: The Case of the Wechiau Hippo Sanctuary in the Wa West District of Ghana. ... the sustainable management of the Sanctuary. KEY DESCRIPTORS: Community-based Tourism, Nature Conservation, Eco-system maintenance, Participatory Planning; Rural Development.

  14. Effectiveness of seasonal influenza vaccine in community-dwelling elderly people : a meta-analysis of test-negative design case-control studies

    NARCIS (Netherlands)

    Darvishian, Maryam; Bijlsma, Maarten J.; Hak, Eelko; van den Heuvel, Edwin R.

    2014-01-01

    Background The application of test-negative design case-control studies to assess the effectiveness of influenza vaccine has increased substantially in the past few years. The validity of these studies is predicated on the assumption that confounding bias by risk factors is limited by design. We

  15. Use of a community-led prevention strategy to enhance behavioral changes towards Ebola virus disease prevention: a qualitative case study in Western Côte d'Ivoire.

    Science.gov (United States)

    Gautier, Lara; Houngbedji, Koffi Ange; Uwamaliya, Jeanne; Coffee, Megan

    2017-01-01

    Starting in December 2013, the Ebola virus disease (EVD) epidemic spread in West Africa through five countries (Sierra Leone, Liberia, Guinea, Nigeria, and Mali), killing over 11,300 people. In partnership with Côte d'Ivoire's Ministry of Health, the International Rescue Committee instigated a community-led strategy aimed at promoting behavior change in order to prevent potential Ebola outbreaks in the country. The strategy was implemented in Western districts bordering Liberia, Guinea, and Mali. This study aims to analyze the community-led strategy, to document lessons learned from the experience, and to capitalize on the achievements. A case study in four districts of Western Côte d'Ivoire, i.e. Biankouma, Danané, Odienné and Touba districts was carried out. Qualitative data in 12 villages (i.e., three villages per district) was collected from 62 healthcare workers, community leaders, and ordinary community members. Data was de-identified, coded and analyzed using a thematic approach. The community-led strategy was socially accepted in the villages. Even though some community leaders reported that sensitization had been, at times, constrained by a lack of equipment, the people interviewed demonstrated accurate understanding of information about prevention practices. Some practices were easily adopted, while others remained difficult to implement (e.g., ensuring safe and dignified dead body management). This research demonstrates that sensitization efforts led by well-integrated and respected community leaders can be conducive of behavior change. Lessons learned from the community-led strategy could be applied to future disease outbreaks.

  16. Fish communities and trophic metrics as measures of ecological degradation: a case study in the tributaries of the river Ganga basin, India

    Directory of Open Access Journals (Sweden)

    Vineet Kumar Dubey

    2013-09-01

    Full Text Available In India, freshwater aquatic resources are suffering from increasing human population, urbanization and shortage of all kind of natural resources like water. To mitigate this, all the major rivers have been planned for a river-interlinking through an interlinking canal system under a huge scheme; yet, the baseline information on ecological conditions of those tropical rivers and their fish communities is lacking at present. In view of that, the present study was undertaken to assess the ecological condition by comparing the trophic metrics of the fish community, conservation status and water chemistry of the two tropical rivers of the Ganga basin, from October 2007 to November 2009. The analysis of trophic niches of the available fish species indicated dominancy of carnivorous (19 species in river Ken and omnivorous (23 species in Betwa. The trophic level score of carnivorous species was recorded similar (33.33% in both rivers, whereas omnivorous species were mostly found in Betwa (36.51% than Ken (28.07%. Relatively undisturbed sites of Betwa (B1, B2 and B3 and Ken (K2, K3 and K5 were characterized by diverse fish fauna and high richness of threatened species. The higher mean trophic level scores were recorded at B4 of Betwa and K4 of Ken. The Bray-Curtis index for trophic level identified the carnivorous species (>0.32 as an indicator species for pollution. Anthropogenic exposure, reflected in water quality as well as in fish community structure, was found higher especially in the lower stretches of both rivers. Our results suggest the importance of trophic metrics on fish community, for ecological conditions evaluation, which enables predictions on the effect of future morphodynamic changes (in the post-interlinking phases, and provide a framework and reference condition to support restoration efforts of relatively altered fish habitats in tropical rivers of India.

  17. MULTIPLE PERSONALITY: CASE REPORT STUDY

    Directory of Open Access Journals (Sweden)

    Miloš Židanik

    2004-07-01

    Full Text Available Background. Multiple personality disorder is characterised by splited individual ego-states and splited professional community arguing whether this disorder actually exists or not.Methods. In this case report study a supportive psychodynamic psychotherapy of a patient with multiple personality disorder is presented, that lasted for 4.5 years and resulted in ego-reintegration.Conclusions. The spliting between different ego-states is powered by unneutralised aggression with the possibility of hetero- and autoaggressive behaviour. Therefore the patient in the analytically oriented psychotherapeutic process is at high risk and a safe therapeutic (e. g. in-patient setting has to be provided.

  18. Barriers to Healthcare in the Transgender Community: A Case Report.

    Science.gov (United States)

    Shukla, Vipul; Asp, Alex; Dwyer, Mary; Georgescu, Claudiu; Duggan, Joan

    2014-09-01

    The transgender community has many unique health needs that are often inadequately addressed by the current medical system. Healthcare workers may lack adequate training to deal with these unique issues, compromising care. Healthcare workers must understand the major barriers to healthcare and heath disparities experienced by the transgender community in order to work to overcome them. This article presents a case illustrating some of the issues that may compromise healthcare for the transgender community as well as measures taken by the providers in response to this case to improve caring for this population in the future.

  19. Evaluating the real-world effectiveness of cognitive-behavior therapy efficacy research on eating disorders: a case study from a community-based clinical setting.

    Science.gov (United States)

    Lowe, Michael R; Bunnell, Douglas W; Neeren, Amy M; Chernyak, Yelena; Greberman, Laurel

    2011-01-01

    There is a growing consensus that there is a need to test the real-world effectiveness of eating disorder therapies that show promise in efficacy research. This article provides a narrative account of an NIMH-funded study that attempted to apply efficacy findings from CBT research to an Intensive Outpatient Program (IOP) at the largest community-based eating disorder program in the United States. We describe the study as originally envisioned as well as the various challenges that the researchers and the IOP staff encountered in implementing this study. The different training, assumptions, and "ways of knowing" of the research team and the treatment staff in regard to the nature of eating disorders and their treatment created multiple challenges for both groups during the study period. We describe valuable lessons learned about how to-and how not to-implement effectiveness designs in clinical settings that are relatively unfamiliar with empirically-based research findings. It is hoped that our experience in attempting to apply efficacy-based research findings on eating disorders treatment in a community-based clinical setting will prove helpful to other researchers and service providers engaging in such translational research. Copyright © 2010 Wiley Periodicals, Inc.

  20. Fronts at the Surface Ocean Can Shape Distinct Regions of Microbial Activity and Community Assemblages Down to the Bathypelagic Zone: The Azores Front as a Case Study

    Directory of Open Access Journals (Sweden)

    Federico Baltar

    2017-08-01

    Full Text Available Oceanic fronts are widespread features which separate distinct water masses. They are well known to control the distribution of microbial communities in surface waters, although there is scarce information on their role in delimiting critical functions that microbes perform, and on whether their effects can be translated down into the dark ocean. Here we carried out the first study on the variability of hydrolysis of organic matter (extracellular enzymatic activity; EEA across a permanent front (the Azores Front, coupled with changes in microbial assemblage composition, from the surface down to the bathypelagic zone. The front separated the study area (enclosed into the North Atlantic Subtropical Gyral Province into two distinct latitudinal sub-regions with sharp differences in the abundance of autotrophic and heterotrophic microbial assemblages, as well as in the extracellular enzymes activities of glucosidases, alkaline phosphatase, and leucine aminopeptidase. South of the front there was an abrupt decline in the abundance of picophytoplankton as well as in heterotrophic prokaryotes with high nucleic-acid content, but an increase in the abundance of prokaryotes with high side-scatter, an indication that cells were growing attached to particles. Concomitantly, there was also an increase in the aminopeptidase to glucosidase ratio, a proxy of higher degradation of proteinaceous material relative to carbohydrates. Interestingly, these sharp changes in microbial assemblages and enzymatic activities north and south of the front were translated down to the deep ocean. Our results suggest that permanent fronts, like the Azores Front, can act as ecological boundaries in the ocean (even within a biogeographical province, in terms of microbial community structure and biogeochemical cycling. Oriented studies on oceanic fronts down to the deep ocean will help to understand how the variability of these widely-extended hydrographic futures will impact

  1. Benchmarking Alumni Relations in Community Colleges: Findings from a 2012 CASE Survey. CASE White Paper

    Science.gov (United States)

    Paradise, Andrew; Heaton, Paul

    2013-01-01

    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…

  2. A Case Study of the Integration of Information and Communication Technology in a Northern Ontario First Nation Community High School: Challenges and Benefits

    Science.gov (United States)

    Laronde, Gerald; MacLeod, Katarin; Frost, Lorraine; Waller, Ken

    2017-01-01

    A case study approach was used in examining Information and Communication Technology (ICT) use within a small First Nation high school in Northern Ontario. Quantitative and qualitative data was gathered from students, teacher, and the administrator, who participated in an online survey, followed by interviews on their use of ICT in education. How…

  3. The Need for Integrative Communication within a Multicultural Communication Model: A Case Study of Public Relations Functions and Leadership in Community Development.

    Science.gov (United States)

    Neff, Bonita Dostal; And Others

    A case study analyzed a special event, AmeriFlora '92, held from April 1992 to October 1992 in Columbus, Ohio. AmeriFlora '92 was established as a temporary organization covering nearly 8 years of planning, operations, and dismantling. The lack of attendance and the resulting financial impact inspired a major effort to examine the role of public…

  4. Community case management improves use of treatment for ...

    African Journals Online (AJOL)

    Background: Ethiopia's Health Extension Workers (HEW) deliver preventive interventions and treat childhood diarrhea and malaria, but not pneumonia. Most of Ethiopia's annual estimated 4 million childhood pneumonia cases go untreated. Objective: Evaluate the performance of volunteers in providing Community Case ...

  5. Can community change be measured for an outcomes-based initiative? A comparative case study of the success by 6 initiative.

    Science.gov (United States)

    Minich, Lisa; Howe, Steven; Langmeyer, Daniel; Corcoran, Kevin

    2006-12-01

    One of the challenges facing nonprofit organizations today is the demand for measurable results. Increasingly, these organizations are focusing less on program outputs and program outcomes in favor of community outcomes or changes demonstrated in the larger community. Success by 6(R) is a popular United Way initiative that emphasizes defining and measuring community outcomes. In this paper, we describe our work with 24 Success by 6(R) initiatives around the country. It is clear that not all of these initiatives are measuring community outcomes. Of those initiatives that are experiencing some success measuring community outcomes, similar measurement strategies are reported. Additionally, our experience suggests several United Way employees express dissatisfaction with the logic model as a framework for defining and measuring community outcomes although no preferred alternative model is identified. Evaluators working with community-wide initiatives must find ways to communicate the differences between program and community outcomes to key stakeholders and funders.

  6. Case-control study of the relationship of functioning to suicide in a community-based sample of individuals with schizophrenia in China.

    Science.gov (United States)

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

    2012-06-01

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

  7. Community-Associated Methicillin Resistant Staphylococcus aureus Transmission among Households of Infected Cases: a Pooled Analysis of Primary Data from Three Studies across International Settings

    Science.gov (United States)

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

    2016-01-01

    SUMMARY 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 York, US, Breda, NL, and Melbourne, AU were pooled. Following MRSA infection of the index patient, household members completed questionnaires and provided nasal swabs. Swabs positive for S. aureus were genotyped by spa-sequencing. Poisson regression with robust error variance was used to estimate prevalence odds ratios for transmission of the clinical isolate to non-index household members. Great diversity of strain types existed across studies. Despite differences between studies, the index patient being colonized with the clinical isolate at the home visit (ptransmission. Targeted decolonization strategies could be used across geographic settings to limit household MRSA transmission. PMID:24763185

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

    Science.gov (United States)

    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

    2015-01-01

    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 York (USA), Breda (The Netherlands), and Melbourne (Australia) were pooled. Following MRSA infection of the index patient, household members completed questionnaires and provided nasal swabs. Swabs positive for S. aureus were genotyped by spa sequencing. Poisson regression with robust error variance was used to estimate prevalence odds ratios for transmission of the clinical isolate to non-index household members. Great diversity of strain types existed across studies. Despite differences between studies, the index patient being colonized with the clinical isolate at the home visit (P transmission. Targeted decolonization strategies could be used across geographical settings to limit household MRSA transmission.

  9. Effectiveness of community-based mangrove management for sustainable resource use and livelihood support: A case study of four villages in Central Java, Indonesia.

    Science.gov (United States)

    Damastuti, Ekaningrum; de Groot, Rudolf

    2017-12-01

    Community-Based Mangrove Management (CBMM) is implemented with different approaches and outcomes. This study examined the effectiveness of various CBMM practices to achieve sustainable management of mangrove resources. We analyzed local mangrove resource management strategies in four coastal villages (e.g. Sriwulan, Bedono, Timbulsloko, and Surodadi) on Central Java, Indonesia. Local data on institutions, socio-economic conditions and mangrove resources utilization was collected through participatory resource mapping and interviews with 16 key actors and 500 households. The main differences in CBMM-practices that affect the outcomes in each village were the type of community participation, the level of organizational and economic assistance from external institutions, the magnitude of the rehabilitation project, the time selected for rehabilitation and the maintenance strategies applied in each village. Surodadi achieved most in terms of both efficient resource utilization and local livelihood improvement. Bedono's management strategy was most effective in extending and maintaining the rehabilitated mangrove areas but less in terms of livelihood support while the strategy applied in Timbulsloko resulted in higher resource utilization compared to Surodadi. Sriwulan failed on most criteria. This study suggests that combining the management strategies practiced in Bedono and Surodadi and adding external scientific and technological assistance, income diversification, institutional reinforcement and continuous monitoring of the functioning of local institutions can improve the CBMM performance to sustainably manage mangrove resources and improve livelihoods. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Community perception of water quality in a mining-affected area: a case study for the Certej catchment in the Apuseni Mountains in Romania.

    Science.gov (United States)

    Dogaru, Diana; Zobrist, Jürg; Balteanu, Dan; Popescu, Claudia; Sima, Mihaela; Amini, Manouchehr; Yang, Hong

    2009-06-01

    Mining-contaminated sites and the affected communities at risk are important issues on the agenda of both researchers and policy makers, particularly in the former communist block countries in Eastern Europe. Integrated analyses and expert based assessments concerning mining affected areas are important in providing solid policy guidelines for environmental and social risk management and mitigation. Based on a survey for 103 households conducted in a former mining site in the Certej Catchment of the Apuseni Mountains, western Romania, this study assesses local communities' perceptions on the quality of water in their living area. Logistic regression was used to examine peoples' perception on the quality of the main river water and of the drinking water based on several predictors relating to social and economic conditions. The results from the perception analysis were then compared with the measurements of heavy metal contamination of the main river and drinking water undertaken in the same study area. The findings indicate that perception and measurement results for the water quality in the Certej Catchment are convergent, suggesting an obvious risk that mining activities pose on the surface water. However, the perception on drinking water quality was little predicted by the regression model and does not seem to be so much related to mining as to other explanatory factors, such as special mineralogy of rock and soils or improper water treatment infrastructure, facts suggested by the measurements of the contaminants. Discussion about the implications of these joint findings for risk mitigation policies completes this article.

  11. SCA12 case study

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics; Volume 88; Issue 1. Utilizing linkage disequilibrium information from Indian Genome Variation Database for mapping mutations: SCA12 case study. Samira Bahl Ikhlak Ahmed The Indian Genome Variation Consortium Mitali Mukerji. Research Article Volume 88 Issue 1 April 2009 pp 55- ...

  12. Retrospective Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Wright, Phillip M.

    1977-09-01

    This project, Retrospective Case Studies (RCS) operates directly under DGE's Resource Exploration and Assessment program. The overall objectives of this project are: (1) to improve the general and specific level of understanding of geothermal systems, and (2) to improve tools and technology for geothermal exploration and assessment.

  13. Chaitanya case study

    International Development Research Centre (IDRC) Digital Library (Canada)

    lremy

    sustainability, that began at our inception 12 years ago. This case study ... women. Over the years, we moved towards building a model of sustainable institutions .... poverty alleviation. However, over the last decade, a number of organizations had gained expertise in organizing and managing SHGs and as a result, very few.

  14. MRI case studies

    International Nuclear Information System (INIS)

    Huggett, S.; Barber, J.

    1989-01-01

    Three case studies are presented to show the value of magnetic resonance imaging used in conjunction with other imaging techniques. In each case MRI proved a vital diagnostic tool and superior to CT in showing firstly the haematoma in a patient with aphasia and right-sided weakness, secondly the size of the disc herniation in a patient with severe leg and ankle pains and thirdly the existence of a metastatic lesion in a patient with a previous history of breast cancer. 11 figs

  15. Performance of community health workers under integrated community case management of childhood illnesses in eastern Uganda

    Directory of Open Access Journals (Sweden)

    Kalyango Joan N

    2012-08-01

    Full Text Available Abstract Background Curative interventions delivered by community health workers (CHWs were introduced to increase access to health services for children less than five years and have previously targeted single illnesses. However, CHWs in the integrated community case management of childhood illnesses strategy adopted in Uganda in 2010 will manage multiple illnesses. There is little documentation about the performance of CHWs in the management of multiple illnesses. This study compared the performance of CHWs managing malaria and pneumonia with performance of CHWs managing malaria alone in eastern Uganda and the factors influencing performance. Methods A mixed methods study was conducted among 125 CHWs providing either dual malaria and pneumonia management or malaria management alone for children aged four to 59 months. Performance was assessed using knowledge tests, case scenarios of sick children, review of CHWs’ registers, and observation of CHWs in the dual management arm assessing respiratory symptoms. Four focus group discussions with CHWs were also conducted. Results CHWs in the dual- and single-illness management arms had similar performance with respect to: overall knowledge of malaria (dual 72%, single 70%; eliciting malaria signs and symptoms (50% in both groups; prescribing anti-malarials based on case scenarios (82% dual, 80% single; and correct prescription of anti-malarials from record reviews (dual 99%, single 100%. In the dual-illness arm, scores for malaria and pneumonia differed on overall knowledge (72% vs 40%, p vs 96%, p  Conclusion CHWs providing dual-illness management handled malaria cases as well as CHWs providing single-illness management, and also performed reasonably well in the management of pneumonia. With appropriate training that emphasizes pneumonia assessment, adequate supervision, and provision of drugs and necessary supplies, CHWs can provide integrated treatment for malaria and pneumonia.

  16. Optimal Decision Model for Sustainable Hospital Building Renovation-A Case Study of a Vacant School Building Converting into a Community Public Hospital.

    Science.gov (United States)

    Juan, Yi-Kai; Cheng, Yu-Ching; Perng, Yeng-Horng; Castro-Lacouture, Daniel

    2016-06-24

    Much attention has been paid to hospitals environments since modern pandemics have emerged. The building sector is considered to be the largest world energy consumer, so many global organizations are attempting to create a sustainable environment in building construction by reducing energy consumption. Therefore, maintaining high standards of hygiene while reducing energy consumption has become a major task for hospitals. This study develops a decision model based on genetic algorithms and A* graph search algorithms to evaluate existing hospital environmental conditions and to recommend an optimal scheme of sustainable renovation strategies, considering trade-offs among minimal renovation cost, maximum quality improvement, and low environmental impact. Reusing vacant buildings is a global and sustainable trend. In Taiwan, for example, more and more school space will be unoccupied due to a rapidly declining birth rate. Integrating medical care with local community elder-care efforts becomes important because of the aging population. This research introduces a model that converts a simulated vacant school building into a community public hospital renovation project in order to validate the solutions made by hospital managers and suggested by the system. The result reveals that the system performs well and its solutions are more successful than the actions undertaken by decision-makers. This system can improve traditional hospital building condition assessment while making it more effective and efficient.

  17. Optimal Decision Model for Sustainable Hospital Building Renovation—A Case Study of a Vacant School Building Converting into a Community Public Hospital

    Science.gov (United States)

    Juan, Yi-Kai; Cheng, Yu-Ching; Perng, Yeng-Horng; Castro-Lacouture, Daniel

    2016-01-01

    Much attention has been paid to hospitals environments since modern pandemics have emerged. The building sector is considered to be the largest world energy consumer, so many global organizations are attempting to create a sustainable environment in building construction by reducing energy consumption. Therefore, maintaining high standards of hygiene while reducing energy consumption has become a major task for hospitals. This study develops a decision model based on genetic algorithms and A* graph search algorithms to evaluate existing hospital environmental conditions and to recommend an optimal scheme of sustainable renovation strategies, considering trade-offs among minimal renovation cost, maximum quality improvement, and low environmental impact. Reusing vacant buildings is a global and sustainable trend. In Taiwan, for example, more and more school space will be unoccupied due to a rapidly declining birth rate. Integrating medical care with local community elder-care efforts becomes important because of the aging population. This research introduces a model that converts a simulated vacant school building into a community public hospital renovation project in order to validate the solutions made by hospital managers and suggested by the system. The result reveals that the system performs well and its solutions are more successful than the actions undertaken by decision-makers. This system can improve traditional hospital building condition assessment while making it more effective and efficient. PMID:27347986

  18. Method Extreme Learning Machine for Forecasting Number of Patients’ Visits in Dental Poli (A Case Study: Community Health Centers Kamal Madura Indonesia)

    Science.gov (United States)

    Sari Rochman, E. M.; Rachmad, A.; Syakur, M. A.; Suzanti, I. O.

    2018-01-01

    Community Health Centers (Puskesmas) are health service institutions that provide individual health services for outpatient, inpatient and emergency care services. In the outpatient service, there are several polyclinics, including the polyclinic of Ear, Nose, and Throat (ENT), Eyes, Dentistry, Children, and internal disease. Dental Poli is a form of dental and oral health services which is directed to the community. At this moment, the management team in dental poli often has difficulties when they do the preparation and planning to serve a number of patients. It is because the dental poli does not have the appropriate workers with the right qualification. The purpose of this study is to make the system of forecasting the patient’s visit to predict how many patients will come; so that the resources that have been provided will be in accordance with the needs of the Puskesmas. In the ELM method, input and bias weights are initially determined randomly to obtain final weights using Generalized Invers. The matrix used in the final weights is a matrix whose outputs are from each input to a hidden layer. So ELM has a fast learning speed. The result of the experiment of ELM method in this research is able to generate a prediction of a number of patient visit with the RMSE value which is equal to 0.0426.

  19. Risk Assessment and Community Participation Model for Environmental Asthma Management in an Elementary Public School: A Case Study in Puerto Rico

    Directory of Open Access Journals (Sweden)

    Alberto Rivera-Rentas

    2006-03-01

    Full Text Available Asthma is a rapidly growing chronic disease in the general population of the world, mostly in children. Puerto Ricans have the highest prevalence of children with asthma among the Hispanic community in the US and its territories. Asthma and air quality are becoming a significant and potentially costly public health issue in Puerto Rico. The CDC has reported that in Puerto Rico, 320,350 adults have asthma and this number represents 11.5% of the island adult population. The north east municipality of Carolina, Puerto Rico, has the highest asthma prevalence in the 0 to 17 year old range (2001 data. In this study, we address the potential relationship between anthropogenic and naturally occurring environmental factors, and asthma prevalence in an urban elementary public school in Carolina in an effort to empower and engage communities to work on their environmental health issues. We integrated geographic information systems (GIS data of anthropogenic activities near the school as well as the natural resources and geomorphology of the region. We found that as Carolina is close by to Caribbean National Forest (El Yunque, this together with the temperature and precipitation cycles in the zone creates the ideal environmental conditions for increased humidity and pollen, mold and fungi development through out the year. We also collected health and socio economic data to generate an asthma profile of the students, employees and parents from the school community, and through a survey we identified perceptions on environmental asthma triggers, and indoor air quality in the school and homes of the students and employees. Finally, we implemented a workshop on indoor air quality designed to engage the school community in managing asthma triggers and the school environment. Our results showed that nearly 30 % of its student’s population has asthma, and from this group 58% are males and 42% are female students. Of all asthmatic children, only 43

  20. Intervention and prevention of hereditary hemolytic disorders in India: a case study of two ethnic communities of Sundargarh district in Orissa.

    Science.gov (United States)

    Balgir, R S

    2008-11-01

    This study was aimed at to sensitize, motivate, and screen two major vulnerable tribal communities--Bhuyan and Kharia, for hemoglobinopathies and allied hemolytic disorders, along with prospective and retrospective genetic/marriage counseling to the affected persons. For sustainability, imparting of relevant training to local paramedical staff, and to undertake periodic follow up for evaluation, intervention and clinical management through local PHCs/hospitals. Tribal people in Orissa live in clusters practicing inter-village marriages following tribal endogamy and clan exog