WorldWideScience

Sample records for health resorts

  1. Health Resorts and Multi-Textured Perceptions of International Health Tourists

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    Salman Majeed

    2018-04-01

    Full Text Available Health and medical tourism is considered one of the fastest growing segments of the tourism industry. Recently, research on health resorts has been gaining academic attention in tandem with the positive contribution of the health and medical segments to the tourism industry. The purpose of this study is to better conceptualize how the behavioral intentions of health tourists are shaped in the emerging context of the health resort. This study illuminates the likely perceptions of prospective tourists about the attractions of health resorts, and endeavors to examine the response of health tourists using data from 359 international health tourists/travelers, comprising of Thai, Indian, and Chinese nationalities. The study also uses the partial least square structural equation modeling (PLS-SEM technique in order to analyze the responses of international tourists gathered at two international airports in China. The present study shows that tourists’ expectations and their behavioral intentions are generally associated indicators of perceived health resort attractions. Expectations play a significant mediating role, while culture impacts the overall phenomenon of proposed associations in a moderating way. Moreover, sustainable tourism attractions also play a significant role in shaping Thai travelers’ behavioral responses, while medical facilities and risk levels are considered significant in determining Indian and Chinese travelers’ behaviors. By developing theoretical and empirical grounds, this study offers implications for further research and development in health resorts and other niches of health tourism.

  2. [Health resorts in Styria, Charinthia and Istria once (1897) and today (2007).].

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    Fischinger, Ales; Fischinger, Janez; Fischinger, Dusa; Skrobonja, Ante

    2008-01-01

    The aim of this study is to determine which health resorts existed in 1897 in Istria, Carinthia and Styria region, how many of them are still in use today and how the spas and their offer were represented in the past and how they are represented today. The study is based on the textbook Balneotherapie II (Bibliothek des Arztes 1900) by prof. dr. Julius Glax. The second source of our study is based on the currently available presentation of the health resorts from the internet. The textbook Balneotherapie was intended for the post graduate education of physicians and general practitioners, so they could advise the patient on further treatment in an appropriate health resort. In the chapter Balneographie the author represented 1200 health resorts all over the world. From the book we have chosen the following regions: Istria, Carinthia and Styria which used to be three parts of the Austro-Hungarian Empire. Today they are divided in to three neighboring states: Croatia (Istria), Slovenia (Istria, Carinthia, Styria) and Austria (Carinthia, Styria). Within these regions Glax presented 22 health resorts, 19 of them are still working today. Barbarabad/Barbara bath (Carinthia, Austria) does not exist either as a resort or as a city. Rimske toplice (Römerbad/Roman baths) and Rimski vrelec (Römerquelle/ Roman springs) in Styria region do not function as health resorts any more. Nowadays we make a difference between spa and health resorts. Spa resorts offer numerous forms of recreation for better well being. Health resorts offer health services, as well as neglected, but various forms of alternative treatments and recreation. Each spa and health resort is represented in brochures and on the World Wide Web individually. Tradition is usually not mentioned, it is neglected but the exception is Opatija (Abbazia) which past is usually presented in the brochures. The museum of medical tourism was opened in November 2007 in Opatija where you can admire the development of Opatija

  3. Health-resort fee and a stay in a health-resort hospital – comments based on the general interpretation of the Minister of Finance

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    Jacek Wantoch-Rekowski

    2016-03-01

    Full Text Available The publication presents the argumentation of the Minister of Finance included in the general interpretation of 3 October 2014 concerning the interpretation of Article 17 paragraph 2 clause 2 of the Act on Local Taxes and Fees. It was explained what was understood by the term “hospital” before 3 October 2014 and what changed in this subject after the general interpretation of the Minister of Finance was issued. It was emphasized that now the health-resort fee should not be charged from legal persons staying in health resort hospitals.

  4. The Economic Performance and Size of Firms: the Case of Russian Health Resort Market

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    Nadezda Victorovna Pakhomova

    2017-09-01

    Full Text Available The article shows how external and internal macro-economic factors (the reduction of real income of the population, the depreciation of the local currency to the US dollar in 2014 -2015, the promotion of Crimea as a direction for health and resort services for Russian citizens impact on the financial and economic indicators of health and resort organizations in Russia during 2012–2015. The calculations based on a variety of Federal Service of State Statistics data demonstrate the positive dynamics of the development of regional markets of health and resort services, due to the regional markets of health and resort services of Krasnodar, Stavropol and Altai regions and due to the inclusion of the Federal District of Crimea within the Russian macroeconomic indicators. The econometric model based on a sample of 272 organizations proves the hypothesis about the more beneficial impact of the changes in macroeconomic factors for large health and resort organizations (with a total annual revenue of 400 million roubles compared with smaller organizations. It is expressed in the growth of sales profitability and annual revenue. The calculations have shown that the organization size as an independent variable in a sample of data related to 2014–2015, increased its positive influence on the dependent variable of annual revenue growth comparing to sampling for 2012–2013. The tough financial constraints in the country trigger the discussion of new opportunities and tools for the development of market conditions, which will stimulate the demand for investment in material and technical base renewal and innovations from the side of large health and resort organizations. In addition to improving the transport accessibility of federal resort regions and measures for promoting and improving the quality of the general health and resort infrastructure, there are discussions to create a favorable competitive environment, improve the public procurement system

  5. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology.

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    Gutenbrunner, Christoph; Bender, Tamas; Cantista, Pedro; Karagülle, Zeki

    2010-09-01

    Health Resort Medicine, Balneology, Medical Hydrology and Climatology are not fully recognised as independent medical specialties at a global international level. Analysing the reasons, we can identify both external (from outside the field) and internal (from inside the field) factors. External arguments include, e.g. the lack of scientific evidence, the fact that Balneotherapy and Climatotherapy is not used in all countries, and the fact that Health Resort Medicine, Balneology, Medical Hydrology and Climatology focus only on single methods and do not have a comprehensive concept. Implicit barriers are the lack of international accepted terms in the field, the restriction of being allowed to practice the activities only in specific settings, and the trend to use Balneotherapy mainly for wellness concepts. Especially the implicit barriers should be subject to intense discussions among scientists and specialists. This paper suggests one option to tackle the problem of implicit barriers by making a proposal for a structure and description of the medical field, and to provide some commonly acceptable descriptions of content and terminology. The medical area can be defined as "medicine in health resorts" (or "health resort medicine"). Health resort medicine includes "all medical activities originated and derived in health resorts based on scientific evidence aiming at health promotion, prevention, therapy and rehabilitation". Core elements of health resort interventions in health resorts are balneotherapy, hydrotherapy, and climatotherapy. Health resort medicine can be used for health promotion, prevention, treatment, and rehabilitation. The use of natural mineral waters, gases and peloids in many countries is called balneotherapy, but other (equivalent) terms exist. Substances used for balneotherapy are medical mineral waters, medical peloids, and natural gases (bathing, drinking, inhalation, etc.). The use of plain water (tap water) for therapy is called hydrotherapy

  6. Health resorts as a social enterprise in Ukraine’s economic development

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    Yuliia Kleban

    2016-10-01

    Full Text Available Modern economic development is highly dependent on sustainable community development. In Ukraine, the tourism sector is one of the driving forces of economic development. The main aim of the paper is to study health recovery tourism in Ukraine, on the case of creating social enterprises in a health resort network. The paper is oriented on the managerial and value creation issues. The aim is to describe the business idea of a health resort (Lviv region of Ukraine as an innovative economic agent with social goals and value added to the local community in general and on the example of three existing spas. Taking into consideration the amount of tourists in Lviv region and the key indicators of small businesses in the sector, the social enterprise is an alternative to the for-profit entities. The study findings suggest that starting the social enterprise in health resort services may become a good practice for the local development strategies. The health resort social enterprise may add value to the Lviv region by supporting the employment of local population and social value provision to groups of the society. The main contribution of the paper is in applying the social entrepreneurship model in the sector of health resort services. As the current political and social issues and problems in Ukraine are concerned, the non-profit entity project has potential for implementation.

  7. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology

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    Gutenbrunner, Christoph; Bender, Tamas; Cantista, Pedro; Karagülle, Zeki

    2010-09-01

    Health Resort Medicine, Balneology, Medical Hydrology and Climatology are not fully recognised as independent medical specialties at a global international level. Analysing the reasons, we can identify both external (from outside the field) and internal (from inside the field) factors. External arguments include, e.g. the lack of scientific evidence, the fact that Balneotherapy and Climatotherapy is not used in all countries, and the fact that Health Resort Medicine, Balneology, Medical Hydrology and Climatology focus only on single methods and do not have a comprehensive concept. Implicit barriers are the lack of international accepted terms in the field, the restriction of being allowed to practice the activities only in specific settings, and the trend to use Balneotherapy mainly for wellness concepts. Especially the implicit barriers should be subject to intense discussions among scientists and specialists. This paper suggests one option to tackle the problem of implicit barriers by making a proposal for a structure and description of the medical field, and to provide some commonly acceptable descriptions of content and terminology. The medical area can be defined as “medicine in health resorts” (or “health resort medicine”). Health resort medicine includes “all medical activities originated and derived in health resorts based on scientific evidence aiming at health promotion, prevention, therapy and rehabilitation”. Core elements of health resort interventions in health resorts are balneotherapy, hydrotherapy, and climatotherapy. Health resort medicine can be used for health promotion, prevention, treatment, and rehabilitation. The use of natural mineral waters, gases and peloids in many countries is called balneotherapy, but other (equivalent) terms exist. Substances used for balneotherapy are medical mineral waters, medical peloids, and natural gases (bathing, drinking, inhalation, etc.). The use of plain water (tap water) for therapy is called

  8. FACTORS OF DEVELOPMENT OF THE MARKET OF HEALTH RESORT OF THE CRIMEAN FEDERAL DISTRICT

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    M. S. Oborin

    2015-01-01

    Full Text Available The Republic of Crimea was a part of the Russian Federation as the certain federal district not so long ago and is the most important center of development of tourist and recreational activity and resort business. Historically this territory has the huge natural medical potential and well developed network of the sanatorium organizations specializing on treatment of various profiles of diseases. Modernization of health resort of the region is the main objective of further development of all district. Sanatorium activity is branch of economy for all territory and promotes active development of other types of economic activity. 

  9. The Legal Regulation of Health-Resort Treatment of Employees Under the Legislation of Subjects of the Russian Federation

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    Anufrieva A. V.

    2015-10-01

    Full Text Available The article analyzes the rules for health-resort treatment of employees established at the level of subjects of the Russian Federation, determines the place of these rules in the system of current legal regulation of health-resort treatment and also it evaluates their significance in the social security of employees

  10. [The topical problems of pediatric balneotherapy and the spa and health resort-based treatment of the children].

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    Razumov, A N; Khan, M A

    2016-01-01

    This article is devoted to the topical problems of pediatric balneotherapy with special reference to the organization of the spa and health resort-based treatment of the children in the Russian Federation. The main issues discussed by the authors include the current state of health resort care for the children, the problem of statutory regulation of the activities of the children's spa and health resort facilities, the approaches to increasing the availability of the spa and health resort-based treatment for the children at the enhanced risk of the development of chronic diseases, disabilities, and tuberculosis. Also considered are the problems of the development of the regulatory framework for the medical rehabilitation of the children based at the spa and health resort facilities. The principal goals to be sought in climatotherapy, physiotherapy, balneotherapy, and pelotherapy in the pediatric context are outlined along with the further prospects for the development of the main areas of pediatric balneology.

  11. Identification of relevant ICF categories for indication, intervention planning and evaluation of health resort programs: a Delphi exercise

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    Morita, E.; Weigl, M.; Schuh, A.; Stucki, G.

    2006-01-01

    Health resort programs have a long tradition, mainly in European countries and Japan. They rely on local resources and the physical environment, physical medicine interventions and traditional medicine to optimise functioning and health. Arguably because of the long tradition, there is only a limited number of high-quality studies that examine the effectiveness of health resort programs. Specific challenges to the evaluation of health resort programs are to randomise the holistic approach with a varying number of specific interventions but also the reliance on the effect of the physical environment. Reference standards for the planning and reporting of health resort studies would be highly beneficial. With the International Classification of Functioning Disability and Health (ICF), we now have such a standard that allows us to describe body functions and structures, activities and participation and interaction with environmental factors. A major challenge when applying the ICF in practice is its length. Therefore, the objective of this project was to identify the ICF categories most relevant for health resort programs. We conducted a consensus-building, three-round, e-mail survey using the Delphi technique. Based on the consensus of the experts, it was possible to come up with an ICF Core Set that can serve as reference standards for the indication, intervention planning and evaluation of health resort programs. This preliminary ICF Core Set should be tested in different regions and in subsets of health resort visitors with varying conditions.

  12. Structural Development of Health Resort Staff in the Republic of Crimea

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    Svetlana Yuryevna Tsekhla

    2015-09-01

    Full Text Available The subject matter of the research is the laws and mechanisms of development of employment in various sectors of the labor market of the Republic of Crimea. The article investigates the regional staffing structure in the development of economic activities of the Republic of Crimea, in particular, the health resort institution to identify priorities for the implementation of employment policies in the region. The main hypothesis of the study: a mismatch of basic parameters of transformation of the labor market in the Republic of Crimea and the educational system produces dysfunctionality of their interaction, causes conflict between the needs and requirements of the labor market and the training level, particularly in the health resort institution, as well as dysfunctionality of formal qualifications of graduates. The methodological basis of the research is a systematic approach to the study of the labor market in the Republic of Crimea and the utilization of statistical methods for analyzing the labor market. In the study, the dynamics of socio-economic development of the Crimean region was analyzed. The labor market conditions in the Crimean region were investigated, which revealed the main causes of imbalances in the labor market development. The analysis of the training of medical students in institutions of higher education was held. Groups of factors affecting the staffing structure in the region were determined. Analysis of the causes of the labor market imbalances in Crimea showed that the existing imbalance was caused by both objective and subjective reasons. Priority lines in employment policy in the health resort institution have been proposed. Their implementation will help to stabilize the situation with the medical staff, including the health resort institution; to improve human resources personnel, capable to provide a high level of service to recreants; to promote problem solving in the development of the Republic of Crimea in the

  13. ["Podmoskovie"--health resort institution of the Federal Drug Control Service of the Russian Federation celebrates the 20th anniversary].

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    Bondar', I V; Minaev, D Iu; Nasretdinov, I N; Petukhov, A E

    2014-12-01

    The article is dedicated to the 20th anniversary of the Federal government health resort institution of the Federal Drug Control Service of the Russian Federation (FGI "Health resort "Podmoskovie" of the Federal Drug Control Service of the Russian Federation). In this health resort were developed treatment programs for patients with abnormalities of the cardiovascular, respiratory and digestive systems; methods of ultrasonic, laser and magnetic therapy, atmospheric hypoxic, herbal medicine, speleotherapy are employed. Widely used natural healing factors of Ruza district of the Moscow region such as climate therapy, treatment with mineral water group of X type of Smolensk from own wells and balneo-mudtherapy. Over the past 20 years 70 000 patients received an appropriate treatment in this health resort.

  14. [The toxic complications of hydrogen sulfide-based balneotherapy in the spa and health resort practice].

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    Khodasevich, L S

    2015-01-01

    The present literature review was designed to consider the toxic complications of hydrogen sulfide-based balneotherapy encountered in the spa and health resort practice that should actually be regarded as hydrogen sulfide intoxication taking into consideration that their severity depends on the route through which the toxicant enters the body, its concentration in the therapeutic bath, and the overall duration of balneotherapy. Although such complications rarely occur in everyday practice, they may constitute a threat to the patient's health which implies the necessity of adequate measures for their prevention.

  15. [Certain medico-economic prerequisites for the integration of spa and resort facilities into the system of compulsory health insurance].

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    Artem'eva, G B; Gekht, I A

    2013-01-01

    The involvement of spa and resort facilities in the system of compulsory health insurance is of primary importance for the improvement of medical aid provided to the population. The application of the methods for the calculation of differential expenditures on the spa and resort-based treatment and estimation of their dependence on a variety of factors may facilitate the more rational use of the available resources of compulsory health insurance.

  16. [The development of the system of medical rehabilitation based at the Russian health resort facilities: investment prospects].

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    Povazhnaya, E L; Gusakova, E V; Moiseenko, S V

    2018-05-21

    The present work is devoted to the prospects for attracting investments for the maintenance and development of the medical rehabilitation practices based at the Russian health resort facilities. The article describes the prerequisites for the enhancement of the investment attractiveness of the development of the system of medical rehabilitation in the said institutions including the formulation and strengthening of the legal and regulatory framework, the capacity for the organization of the second and third stages of medical rehabilitation in the existing spa and health resort facilities, the attraction of the funds of compulsory medical insurance as an additional source of the financial support. The main legal documents regulating the organization and provision of medical rehabilitation based at the spa and health resort facilities are presented. The results of the implementation of the investment concept of the development of medical rehabilitation in the framework of the system of health resort treatment as exemplified by the experience of JSC «The group of companies «Medsi» are discussed. It is shown that the development of medical rehabilitation based at the spa and health resort facilities greatly contributes to the significant expansion of the potential customer base and promotes the further growth of business scale.

  17. Solec Spa – worldwide unique properties of Polish health resort in the service of rural medicine

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    Marek L Grabowski

    2018-03-01

    Full Text Available Solec Spa is health resort in south-eastern Poland. Its unique balneorehabilitation significance worldwide is determined by chloride-iodine-sodium water with a high content of hydrogen sulphide. This water, classified as highly mineralized sodium-chloride (seltzer sulphide, bromide, iodide, boron water, contains naturally approximately 0.9 g/l divalent sulphur compounds, which is the highest concentration noted among the mineral waters of the world. The effectiveness of the Solec waters is proven in: inflammatory and autoimmunological locomotor system diseases, degenerative joint disorders (osteoarthritis, post-traumatic and post-operative orthopedic diseases, skin diseases and allergic disorders. One of the main indications for balneotherapy in Solec Spa and Busko Spa is chronic brucellosis.

  18. A Model of System and Strategic Financial Analysis of the Crimean Health Resorts

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    Vadim Anatolyevich Malyshenko

    2016-06-01

    Full Text Available The subject matter of the research is the system of strategically focused financial analysis regarding an assessment of the financial condition of the enterprise. The hypothesis of the study is to assume the possibility of developing the financial and strategic model of the comprehensive assessment of the financial condition taking into account the integrated impact of environmental factors (general for the most Crimean health resorts. The methodology of the work is based on the most general principles of system analysis. The basic method of the research is the matrix method as the most common one for the system analysis. The graphical and statistical methods are also used. The result of the work is the comprehensive method of financial analysis developed as a model based on the matrix relation between the original visual profile of the internal environment and the dynamic type of external environment. The difference of the visual model of financial state from the existing graphic methods consists in fixing of the new strategic types of financial state on the basis of financial stability in visually grouped areas of financial coefficients in theme groups (configurationsprofiles with certain combinations of the forms and sizes. The new analytical instrument of «frigate model» can be applied in all analytical activities of the health resorts departments related to the analytical assessment of financial state. The advantage of «frigate model» in comparison with a classical method of the forming of the types of financial condition is that the proposed model allows to allocate more differentiated types and in addition, to identify the stages of enterprise life cycle based on the relative indicators of the analysis of financial state (objects-coefficients, and not just on the financial management. Through this, the consistency of interaction between the financial analysis and management is achieved.

  19. [The spa-health resort and touristic-recreational facilities of the region: the methodological aspects of their development].

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    Kirilina, V M; Kolesnikova, N V; Kolesnikov, N G

    2016-01-01

    The correction and optimization of the motor activity of the patients are currently the main priorities of all rehabilitative and recreational activities based at the spa and health resort facilities. The forms of such activities include walking tours and excursion trips. In other words, the excursion potential is one of the very important attributes of the recreational recourses. Under the current conditions characterized by the rapid socio-economic changes, the studies concerning the structural and functional transformation of spa and health resorts, recreational and tourist facilities acquire special importance, both from the humanitarian and economic points of view. The results of these studies may greatly contribute to the organization and the further development of rehabilitative and recreational activities based at the spa and health resort facilities, recreational and tourist centers taking into consideration their evolution. The objective of the present article is to analyze the structure and functions of the recreation and tourist centres as well as the modes of their cooperation with the spa and health resort facilities. In other words, these structures and their functions are both the object and the subject of the present study. The methodology of the study is based on the logical analysis of the development of the recreational and tourist systems in the framework of the evolutionary approach. (1) the notions of «tourist destination» and «recreation» have been substantiated; (2) the results of the studies carried out at the Institute of Physical Culture, Sports and Tourism and the Petrozavodsk State University have been used to elaborate the affiliate international Master Degree program «Project management in the tourism industry». The main emphasis in this program is placed on the necessity and methods of the improvement of recreational activities and more efficacious utilization of the climatic factors and the health resort infrastructure as

  20. Dr Jekels' health resort in Bystra near Bielsko: the first treatment centre which adopted psychoanalysis in Poland.

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    Dembińska, Edyta; Rutkowski, Krzysztof

    2017-08-29

    The paper sets out to present the history of a health resort and hydrotherapy centre in Bystra near Bielsko from 1898 to 1912. At that time Dr Ludwik Jekels, one of the Polish psychoanalysis forerunners, was the owner of the centre. Initially, Dr Jekels was very enthusiastic about climatic treatment and hydrotherapy, until 1905 when he got interested in psychoanalysis. Shortly afterwards he became its staunch supporter and adopted it as a curative procedure in his health resort. That was the first documented case of psychoanalysis use in Poland. This paper presents the development of the therapeutic centre in Bystra and the characteristic of typical patients receiving treatment there. It also briefly reports on medical histories of the conditions of patients who received psychoanalytic treatment. The paper also focuses on another significant area of Dr Jekels'contact with Sigmund Freud ranging from an accidental meeting in Vienna around 1898, through the summer of 1910 when Jekels looked after Freud's daughters in his spa, to 1912 which saw Jekels'receiving psychoanalytic treatment from Freud. It also presents a detailed analysis of hypotheses why Jekels decided to sell the health resort and move to Vienna. Finally, the significance of Jekels'currently underrated therapeutic work for the development of the Polish psychoanalysis is reiterated.

  1. [The contribution of the Russian Research Centre of Medical Rehabilitation and Balneotherapeutics to the development of the health resort business in this country].

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    Povazhnaia, E A; Bobrovnitskiĭ, I P

    2013-01-01

    The definition of the notion of health resort business is proposed in the context of the legislation pertinent to the natural therapeutic resources, health and recreational localities, spa and resort facilities currently in force in this country. The main landmark events in the history of the Russian Research Centre of Rehabilitative Medicine and Balneotherapeutics are highlighted, its role in the development of balneotherapeutic science and health resort business is described. The major achievements of the Centre in the investigations of therapeutic properties of natural physical factors (climate, mineral waters, peloids, etc.), their action on the human organism, the possibilities of their application for the treatment and prevention of various pathological conditions in and outside health resort facilities are presented. The contribution of the specialists of the Centre to the search for and discovery of new resort resources is emphasized. Community needs in balneotheraputic treatment are estimated, scientific basis for its organization, principles and normatives of health resort business are discussed along with the problems of sanitary control and protection. The activities of the Centre as an organizer of the unique system of rehabilitative and balneotherapeutic aid to the population are overviewed. Scientifically substantiated indications and contraindications for the spa and resort-based treatment of various diseases are proposed in conjunction with the methods for the application of physiotherapeutic factors. The tasks currently facing the Centre and prospects for its future research activities in the fields of rehabilitative medicine and balneotherapeutics are discussed.

  2. Physical rehabilitation in complex therapy of the ureter stones patients in the Truskavets health resort area

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    Shologon R.P.

    2010-05-01

    Full Text Available Efficiency of rehabilitation measures is considered in complex therapy with the use of differentiated methods of medical physical education for patients with stones of ureter. Under a supervision there was 143 patients. 93 patients were made basic group, 50 patients - control. From them 51 (56 % are men and 42 (54% are women. Age of patients made from 20 to 60 years. A sanatorium-resort rehabilitation is recommended with the use of the differentiated methods of medical gymnastics. Application of method improved the indexes of the functional state of buds and overhead urinary ways. Frequency of advancement and output of concrements is also megascopic.

  3. THE ROLE OF PHYTOTHERAPY IN OPTIMIZATION OF REHABILITATION AT A HEALTH RESORT IN PATIENTS WITH CHRONIC TONSILLITIS

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    E.I. Kondrat’eva

    2010-01-01

    Full Text Available Authors present results of a treatment with complex of physical methods and phyto drug Tonsilgon N (Althaeae officinalis L., Chamomilla recutita, Equisetum arvense L., Juglans regia L., Achillea millefolium L., Quercus robur, Taraxacum officinale of 35 children with chronic tonsillitis at a health resort. Clinical, immunological effectiveness and safety was estimated. Inclusion of the drug in treatment scheme resulted in decrease of morbidity with acute respiratory infections and rate of exacerbations of tonsillitis. Phyto drug has anti-inflammatory and immunomodulating activity manifested in increase of level of humoral factors in nasal secretion and cytoprotective effect related to positive changes in functional state of epithelium of nasal mucous membrane in children with chronic tonsillitis.Key words: children, chronic tonsillitis, rehabilitation, phytotherapy.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2010;9(2:58-63

  4. [The development of the medical information system for the improvement of the quality of work of the Crimean spa and health resorts].

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    Ezhov, V V; Grigor'ev, P E; Mizin, V I; Andriiashek, Iu I; Gol'dberg, D L; Olenchuk, A V

    2016-01-01

    The Crimea has the enormous potential for the health promotion activities. However, neither the profile of these activities nor the demand for the socio-medical services is clearly defined for the majority of the local spa and health resort facilities. The possibilities of modern information technology are not used in the full measure either. The objective of the present work was to elaborate the new medical information system and demonstrate its effectiveness. In addition, the article describes the main advantages of the system for the optimization of healthcare in the Crimean spa and health resort facilities. We reviewed and analyzed various literature publications, legal framework, standards, regulations, guidelines, and questionnaire survey data obtain at 50 spa and health resort facilities of the Crimea. The results of the assessment indicate the necessity of the systematic approach to the analysis of the quality of medical care and the process of its further development. Statistical and mathematical methods were used to elaborate the medical information system for the optimization of the activities of the Crimean spa and health resorts. The distinctive features of the proposed information system are modularity and the possibility of flexible adjustment to the conditions of individual settings, one-step data loading with the subsequent multiple application for the formulation of documents, automated filling of records in compliance with the medical standards, and taking into consideration the possible changes in or amendments to the form of the documents. The data obtained in the course of project implementation were used for the first time in the Republic of Crimea to design, substantiate, and recommend for the practical application the algorithm for the comprehensive estimation of the results of treatment of the patients based at the spa and health resort facilities with due regard for the specific regional conditions.

  5. [Tuberculosis and refusal of treatment: resorting to legislation on serious health threats].

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    Bouvet, R; Le Gueut, M

    2013-06-01

    Clinicians are regularly confronted with the question of refusal of treatment from patients with tuberculosis. For several years, the French public health authorities have been studying the possibility of compelling treatment or isolation, but no plan has been implemented even though European and American experiences have shown the effectiveness of restrictive measures. Neither the statutory exceptions to the principle of consent to medical treatment nor the conditions of implementation of "required care" allow legally binding measures against patients refusing care or isolation. The legislation on serious health threats has recently been applied to the situation of a refusal of treatment in the context of tuberculosis. It allowed the patient to be ordered to observe prescribed care and the possibility of forced isolation in the event of breach of this order. The legislation on serious health threats is a response to the question of refusal of treatment from patients with tuberculosis. However the opinion of the legal authority as to its necessity and proportionality to the risk remains unknown. Copyright © 2013 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  6. Short-term forecasting of the chloride content in the mineral waters of the Ustroń Health Resort using SARIMA and Holt-Winters models

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    Dąbrowska Dominika

    2015-12-01

    Full Text Available The Ustroń S.A. Health Resort (southern Poland uses iodide-bromide mineral waters taken from Middle and Upper Devonian limestones and dolomites with a mineralisation range of 110-130 g/dm3 for curative purposes. Two boreholes - U-3 and U3-A drilled in the early 1970s were exploited. The aim of this paper is to estimate changes in mineral water quality of the Ustroń Health Resort by taking into consideration chloride content in the water from the U-3 borehole. The data has included the results of monthly analyses of chlorides from 2005 to 2015 during the tests carried out by the Mining Department of the Health Resort. The triple exponential smoothing (ETS function and the Seasonal Autoregressive Integrated Moving Average (SARIMA method of modelling time series were used for the calculations. The ability to properly forecast mineral water quality can result in a good status of the exploitation borehole and a limited number of failures in the exploitation system. Because of the good management of health resorts, it is possible to acquire more satisfied customers. The main goal of the article involves the real-time forecast accuracy, obtained results show that the proposed methods are effective for such situations. Presented methods made it possible to obtain a 24-month point and interval forecast. The results of these analyses indicate that the chloride content is forecast to be in the range of 72 to 83 g/l from 2015 to 2017. While comparing the two methods of analysis, a narrower range of forecast values and, therefore, greater accuracy were obtained for the ETS function. The good performance of the ETS model highlights its utility compared with complicated physically based numerical models.

  7. [The psychological security in the framework of the system of factors responsible for the effectiveness of spa and health resort-based rehabilitation].

    Science.gov (United States)

    Krasnyanskaya, T M; Tylets, V G

    The present work was designed to address the problem of ensuring the psychological security in the framework of organization of the rehabilitative treatment based at the spa and health resort facilities. We undertook the questionnaire study for which 650 subjects were recruited among those attending spa and health resort facilities of the cities of Essentuki and Kislovodsk. The participants were asked to estimate the level of their personal security and the quality of the provided means for the rehabilitative treatment and general health improvement. It was found that as many as 43% of the respondents reported the moderate level of psychological security whereas about 30% of them estimated the level of their psychological security as low. Overall, the attitude toward the available means for health improvement and rehabilitation proved extremely variable. The factorial analysis has demonstrated the highly subjective opinions of the responders as regards the provided services categorized in terms of therapeutic (mineral water, preformed physical factors, peloid and dietary therapy), health improvement (herbal medicine, therapeutic physical training, therapy, bioclimatic therapy), and recreational (animation, excursion and touristic activities) factors. The value of these factors was perceived differently by the vacationers with different feelings of psychological security. Those reporting the high level of psychological security demonstrated the positive attitude toward all factors and circumstances available for the general improvement of the health status whereas the holidaymakers reporting the moderate level of personal psychological security exhibited the non-equivalent attitude toward the provided services; namely, they highly estimated the available therapeutic factors but either underestimated the value of the constituent components of the health improving and recreational factors or demonstrated the very selective attitude toward their assessment. Generally

  8. [Immediate and late results of rehabilitation at the climatic health resorts on the southern coast of the Crimea with sunlight- and meteorolabile patients with chronic bronchitis].

    Science.gov (United States)

    Logvionenko, I I; Sidorova, L D; Logvinenko, A S

    1988-01-01

    A study of the social, socioeconomic and economic indices of rehabilitation of patients with chronic obstructive and nonobstructive bronchitis has shown that one should take account of a degree of expression of heliometeolability when selecting patients with chronic bronchitis residing in West Siberia for climatic treatment in the Crimean South Coast. It has been shown that rehabilitation in the Crimean South Coast health resort area is advisable for heliometeostable patients and patients with mild and marked degrees of heliometeolability. Patients with chronic bronchitis should not be sent to the Crimea in winter and late autumn as the rehabilitation effect in this period is lowered.

  9. [The spa and resort-based health-promoting treatment of the vehicle drivers suffering from duodenal ulcer disease: the effectiveness and safety].

    Science.gov (United States)

    El'garov, A A; Kalmykova, M A; El'garova, R M; Betuganova, L V; El'garov, M A

    2015-01-01

    To evaluate the effectiveness and the safety of the spa and resort-based health-promoting treatment of the vehicle drivers (VD) presenting with duodenal ulcer disease. A total of 67 men suffering from duodenal ulcer disease (DUD) were allocated to two groups. The patients of group 1 (n = 35) were given the courses of balneotherapy that included bromine-iodine mineral baths with a temperature of 36-37 degrees C (8-9 procedures 10-15 min long each every second day) in combination with 8-9 peloid applications to the epigastric region (temperature 38-40 degrees C for 10-15 min every second day). The patients of group 2 (n = 32) were given the similar courses of therapy that included nitric thermal mineral baths with a temperature of 36-37 degrees C (8-9 procedures 10-15 min long each every second day) in combination with 8-9 peloid applications to the epigastric region (38-40 degrees C for 10-15 min every second day). The effectiveness and safety of these balenotherapeutic procedures for the treatment of duodenal ulcer disease in the subjects of the study and control (n = 47) groups were evaluated based on the results of the routine clinical and endoscopic examination, psychological and psychophysiological tests, and the comparative analysis of medical aid appeal-ability and disability cases during twelve months. Dynamics of clinical and instrumental characteristics (subjective, objective, clinical, endoscopic, psychophysiological) suggested the improvement of the health status in 88.6% and 84.4% of the drivers with duodenum ulcer in the two study groups respectively. Some of the patients comprising group 1 showed significant negative dynamics of the operative reaction system while the patients of group 2 demonstrated the marked improvement of the professionally significant functions and properties (PSF&P). The comparative analysis of medical aid appealability, disability cases, frequency of relapses and complications revealed the favorable clinical course of duodenal

  10. [The spa and health resort-based treatment of metabolic syndrome with the application of the therapeutic courses of different duration: the evaluation according long-term results].

    Science.gov (United States)

    Chalaya, E N; Botvineva, L A; Tsallagova, L V; Ahkubekova, N K; Efimenko, N V; Kaysinova, A S; Amiyants, V Yu; Vasin, V A

    The objective of the present study was to estimate the effectiveness of the new therapeutic modalities for the spa and health resort-based treatment of metabolic syndrome based on the results of the long-term follow-up observations. A total of 100 patients presenting with metabolic syndrome were recruited for the participation in the study. All of them underwent a shortened course of mineral water intake in the combination with the use of the herbal medicinal products. The results of the study give evidence of the more favorable changes in the clinical and instrumental characteristics of the patients with metabolic syndrome treated with the use of the proposed approach in comparison the patients treated by the conventional methods. Moreover, the beneficial effects of the proposed approach persisted during a longer period. The basal treatment given to our patients was supplemented by dietary therapy, therapeutic physical exercise, narzan baths, intake of mineral water having a temperature of 35-37 °С in conjunction with sulphate mineral water (narzan) cooled to 13-15 °С, and a phytococktail. The results of the long-term observations confirmed the enhanced effectiveness of the spa and health resort-based treatment of metabolic syndrome including the therapeutic courses with the intake of cooled narzan mineral water in the combination with phytococktails. This therapeutic modality increased the duration of the favorable changes of various parameters that characterize metabolic syndrome. Specifically, they persisted during 5-6 months after the application of the standard methods, were still apparent within 6-7 months after the two-week course of the treatment with cold narzan and phytococktails, and during 8-9 months when the duration of the treatment course was extended up to 3 weeks.

  11. [The spa-and-health resort-based rehabilitation of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation].

    Science.gov (United States)

    Efimenko, N V; Kaĭsinova, A S

    2014-01-01

    To develop a new medical technology for the spa-and-health resort-based treatment of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation. A total of 100 patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation were available for the examination that included detailed investigations of the clinical picture, characteristics of the immune status, and psychological testing before and after a course of the spa-and-health resort-based treatment. The effectiveness of two therapeutic modalities was evaluated. One of them (control) prescribed to 50 patients consisted of standard antiulcer pharmacotherapy in combination with Essentuki Novaya drinking mineral water and carbon dioxide mineral baths, the other given to 50 patients included radon baths instead of carbon dioxide mineral baths. The combined application of drinking mineral waters, radon baths, and standard antiulcer pharmacotherapy produced the most conspicuous clinical effect in the framework of spa-and-health resort-based rehabilitation of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation as confirmed by positive dynamics of their psychoemotional status in 97.7% of the cases, regression of pain syndrome (91.5%), and improvement of humoral and cellular immunity (94%). An important result of the spa-and-health resort-based rehabilitation is the intensification of the reparative processes in gastroduodenal mucosa responsible for the healing of ulcers and erosions in 94.7% of the patients. The spa-and-health resort-based rehabilitation is a pathogenetically sound and efficacious approach to the management of the patients presenting with frequently recurring erosive and ulcerative lesions in the

  12. MEDICAL TOURISM IN VATRA DORNEI RESORT

    Directory of Open Access Journals (Sweden)

    Alexandrina D. CRUCEANU

    2015-04-01

    Full Text Available Both at national and international level,medical tourism in general and the therapeutic in particular tend to be more and more often prescribed and utilized as an extremely efficient alternative therapeutic practice in treating various medical affections with almost the same positive results as the ones obtained after therapies/treatments under medication,but with fewer financial resources.Vatra Dornei resort owns a great diversity regarding both natural therapeutic factors(climateric,mineral,hydromineral,pedologic therapeutic factors,moffettes,aerosols,etc. and the spectrum of affections treated(from simple anaemia to complex disease of the locomotory,muscular system,etc.. Practiced since the 19th century,medical tourism (which turned Vatra Dornei resort into a “Meca of recovering” has represented and continues to represent at present an important attraction factor for the tourists who choose to spend their holidays for recovering and maintaining health state.

  13. Bãile Herculane Resort

    Directory of Open Access Journals (Sweden)

    Munteanu Constantin

    2011-09-01

    Full Text Available Baile Herculane is a balneary resort located in Caraş-Severin County, in South-Western Romania and is located 41 km to the Northwest of the city of Drobeta Turnu Severin, Mehedinti County. Resort Baile Herculane is documentary attested since 153 a.d. and is an attraction for its healing power of water. The Romans will be arriving in Dacia were impressed with the power of exceptional quality healing waters of the Cernei Vally, therefore, have made an important point of attraction here. In those times you keep bathrooms, statues, coins, culverts, signs of gratitude to the gods that were cured with water. The aqueducts, baths and hot springs from the time of the Romans. The beauty of the places where the resort Baile Herculane cannot be described in words, you have to go to see with your eyes

  14. Brazilian Resorts: an overall performance evaluation

    Directory of Open Access Journals (Sweden)

    Antonio Carlos Bonfato

    2016-05-01

    Full Text Available This scientific article is about resort’s operations in Brazil. The main goal was to identify the financial key performance indicators, so that it could contribute to a better comprehension about how the resorts area acts in Brazil. To achieve this goal, this study took researches which generated numbers and indicators that could establish a comparison between 2013 and 2014. The main sources were token from all resorts from the Associação Brasileira de Resorts - Resorts Brasil, as well as an interview with a renowned area professional. Other sources were token by the most important resorts books. There are actually 49 resorts which are part of the Brazilian Resorts Association-ABR/Resorts Brasil. This institution allowed the access to all its database, in which the associated resorts give numerical informations about its own performance. The resorts studied in this article were divided and studied in four big groups. The results showed that the national resorts market keeps increasing its statistics and improving its internal management processes and sales distribution. Revenues increased 6.34% in the main analysed indicator during the years of 2013 and 2014. It was also observed that beach and all inclusive resorts tend to have better results.

  15. [The effectiveness of the spa and health resort-based treatment with the application of Essentuki-type drinking mineral waters for the management of non-alcoholic fatty liver disease in the patients presenting with type 2 diabetes mellitus].

    Science.gov (United States)

    Efimenko, N V; Kaĭsinova, A S; Fedorova, T E; Botvineva, L A

    2015-01-01

    The objective of the present study was to estimate the effectiveness of the spa and health resort-based treatment of non-alcoholic fatty liver disease in 40 patients at the mean age of 48,8 ± 5.7 years suffering from type 2 diabetes mellitus. All of them received combined therapy including the application of potable Essentuki-Novaya mineral water (20 patients) or Essentuki No 4 water (20 patients). This therapeutic modality resulted in positive dynamics of clinical symptoms of the disease, the functional liver tests, and parameters of intra-hepatic hemodynamics, lipid peroxidation homeostasis, and the hormonal status. It is concluded that the spa and health resort-based treatment with the application of local drinking Essentuki-type mineral waters for the management of non-alcoholic fatty liver disease in the patients presenting with type 2 diabetes mellitus leads to the improvement of the main functions of the liver, stabilizes carbohydrate and lipid metabolism, and prevents progression of the pathological process.

  16. Bãile Tusnad Resort

    Directory of Open Access Journals (Sweden)

    Munteanu Constantin

    2011-11-01

    Full Text Available The village is situated in the central-eastern Romania (Harghita county, Olt River in extreme southern part of Ciuc Depression, altitude 656m, 32 km south of Miercurea Ciuc. Quay Malnas- Tusnad of Olt, the air highly ozoned, the peace, the comfort and treatment of with mineral waters Tusnad Bath have made of a fine resort and an ideal place for holidays in any season. City has a subalpine climate, of mountain valley, with cool summers (July average temperature is 17.5 ° C and cold winters (average temperature in January is -7 ° C. Moderate rainfall (between 600 and 700 mm annually. Mountains shield against the wind.

  17. Therapy by electromagnetic wave of millimeter energy range (EFH-therapy, MRT, IWT). Scientific and practical materials on the use of physical factors in clinical and health resort practice

    International Nuclear Information System (INIS)

    Samosyuk, I.Z.; Chukhraev, N.V.; Shimkov, G.E.; Bitson, A.V.

    1999-01-01

    EHF-therapy method is a principally new method of treatment which is based on the peculiarities in perception by human organism the magnetic radiation of millimeter energy range. Practical use of this method has shown its high therapeutic efficiency at influencing on acupuncture points. This monography is completely devoted to description of EHF-therapy effects on acupuncture points with account of the Chinese reflexotherapy. Apparats of 'MIT' and 'Eleknronika-EHF' series do not provoke any damages in biological structures and refer to the safe class. The proposed scientific and practical materials on the use of physical factors in clinical and health resort practice are edited in addition to the previous monograph under the same title. These materials are of use for physicians of different specializations and listeners of medical advanced courses

  18. Therapy by electromagnetic wave of millimeter energy range (EFH-therapy, MRT, IWT). Scientific and practical materials on the use of physical factors in clinical and health resort practice

    International Nuclear Information System (INIS)

    Samosyuk, I.Z.; Fisenko, L.I.; Kolesnik, K.Eh.; Chukhraev, N.V.; Shimkov, G.E.

    1998-01-01

    Problems of extremely high frequency (EHF) therapy, microwave resonance therapy (MRT) and information-wave therapy (IWT) are considered. Possibilities of electromagnetic waves in millimeter energy range use in clinical and health resort practice are systematized. Recommendations on their use in treatment of different diseases are given. The main principles of selection of zones for meridian correction with the help of electromagnetic waves in millimeter energy range are exposed. The results of EFH-therapy clinical use indicate the possibility of its application practically in all cases, since positive results were obtained in most cases. The recommendations are prepared with account of possibilities and parameters of the apparatus ''MIT-1'' for reflexotherapy which was designed and produced by the Medical Innovative Centre in Kiev

  19. [Analysis of the effectiveness of the spa and health resort-based treatment of the patients presenting with broncho-pulmonary pathology at the southern coast of the Crimea depending on the period of flowering of Mediterranean Cypress (Cupressus sempervirens)].

    Science.gov (United States)

    Savchenko, V M; Belyaeva, S N; Govorun, M I; Pirogova, M E

    The objective of the present study was to evaluate the influence of pollen of Mediterranean Cypress (Cupressus sempervirens) on the effectiveness of the spa and health resort-based treatment (SHRT) of the patients with broncho-pulmonary pathology at the southern coast of the Crimea (SCC). This article presents the results of the analysis of the data on 122 patients presenting with broncho-pulmonary pathology who received SHRT under the conditions of the Southern Coast of the Crimea. Fifty one (41.8%) of these patients suffered from chronic obstructive pulmonary disease and 71 (58.2%) ones had bronchial asthma. The whole group was comprised of 44 men (36.1%) and 78 women (63.9%). The average (median) age of the patients was 55.8 years. All the participants of the study underwent the comprehensive examination including the general medical and physical examination, complete blood count, the study of sputum cytology and immunological properties of blood including the standard characteristics, IgE and lysozyme levels), evaluation of the respiratory and locomotor (physical) functions with the use of the 6-minute walking test. The aeropollenological study of the aerial environment of the southern coast of the Crimea in the region of Yalta showed that the «bloom» of the Mediterranean Cypress occurs during the period from February till April inclusive. The highest concentrations of cypress pollen are observed in March and early April. The overall effectiveness of SHRT for the patients with broncho-pulmonary pathology arriving for the treatment at the southern coast of the Crimea from other Crimean localities does not depend on the period of «flowering» (the presence of pollen in the air) of the Mediterranean Cypress. In these patients, the termination of the spa and health resort-based treatment during the «flowering» of the Mediterranean Cypress resulted in nothing more than a strained adaptive response manifested as the altered blood leukocyte count. Such reaction

  20. Solicitant -exciting plain bioclimate / Amara Balneoclimateric Resort

    Directory of Open Access Journals (Sweden)

    Munteanu Constantin

    2011-05-01

    Full Text Available Spa and balneotherapy is one of studying medicine and therapy and apply natural factors intherapy: natural mineral water springs and lakes mineralized, therapeuticmineral mud and peat, gas emanations and climate zones,orlocalities developed intosources respective treatment , the spa resort climate.Resources are the mineral spa and climatic treatment ,whose physicochemical properties meet the needs of prevention and health maintenance, strengthening and restoration of health, work capacity and physical and mental comfort of the individual.Climatic is a form of treatment, well-run, have fewer side effects than chemo therapeutictreatment and prolonged effects, because the way treatment is as close to normal activity in a relaxing environment.Bioclimate turn-applicant is characterized by general biological effects resulting from theapplication marked the central nervous system and autonomic and endocrine activity. Bioclimatic conditions, demanding aplain exciting resorts are located in northeasternbalneoclimatice Baragan, on the shores of salt lakes: Amara, Lacul Sarat.

  1. [Determination of barium in natural curative waters by ICP-OES technique. Part I. Waters taken on the area of health resorts in Poland].

    Science.gov (United States)

    Garboś, Sławomir; Swiecicka, Dorota

    2011-01-01

    Maximum admissible concentration level (MACL) of barium in natural mineral waters, natural spring waters and potable waters was set at the level of 1 mg/l, while MACL of this element in natural curative waters intended for drinking therapies and inhalations were set at the levels of 1.0 mg/l and 10.0 mg/l, respectively. Those requirements were related to therapies which are applied longer than one month. Above mentioned maximum admissible concentration levels of barium in consumed waters were established after taking into account actual criteria of World Health Organization which determined the guidelines value for this element in water intended for human consumption at the level of 0.7 mg/l. In this work developed and validated method of determination of barium by inductively coupled plasma emission spectrometry technique was applied for determination of this element in 45 natural curative waters sampled from 24 spa districts situated on the area of Poland. Concentrations of barium determined were in the range from 0.0036 mg/l to 24.0 mg/l. Natural curative waters characterized by concentrations of barium in the ranges of 0.0036 - 0.073 mg/l, 0.0036 - 1.31 mg/l and 0.0036 - 24.0 mg/l, were applied to drinking therapy, inhalations and balneotherapy, respectively (some of waters analyzed were simultaneously applied to drinking therapy, inhalations and balneotherapy). In the cases of 11 natural curative waters exceeding limit of 1 mg/l were observed, however they were classified mainly as waters applied to balneotherapy and in two cases to inhalation therapies (concentrations of barium - 1.08 mg/l and 1.31 mg/l). The procedure of classification of curative waters for adequate therapies based among other things on barium concentrations meets requirements of the Decree of Minister of Health from 13 April 2006 on the range of studies indispensable for establishing medicinal properties of natural curative materials and curative properties of climate, criteria of their

  2. Snow management practices in French ski resorts

    Science.gov (United States)

    Spandre, Pierre; Francois, Hugues; George-Marcelpoil, Emmanuelle; Morin, Samuel

    2016-04-01

    Winter tourism plays a fundamental role in the economy of French mountain regions but also in other countries such as Austria, USA or Canada. Ski operators originally developed grooming methods to provide comfortable and safe skiing conditions. The interannual variability of snow conditions and the competition with international destinations and alternative tourism activities encouraged ski resorts to mitigate their dependency to weather conditions through snowmaking facilities. However some regions may not be able to produce machine made snow due to inadequate conditions and low altitude resorts are still negatively impacted by low snow seasons. In the meantime, even though the operations of high altitude resorts do not show any dependency to the snow conditions they invest in snowmaking facilities. Such developments of snowmaking facilities may be related to a confused and contradictory perception of climate change resulting in individualistic evolutions of snowmaking facilities, also depending on ski resorts main features such as their altitude and size. Concurrently with the expansion of snowmaking facilities, a large range of indicators have been used to discuss the vulnerability of ski resorts such as the so-called "100 days rule" which was widely used with specific thresholds (i.e. minimum snow depth, dates) and constraints (i.e. snowmaking capacity). The present study aims to provide a detailed description of snow management practices and major priorities in French ski resorts with respect to their characteristics. We set up a survey in autumn 2014, collecting data from 56 French ski operators. We identify the priorities of ski operators and describe their snowmaking and grooming practices and facilities. The operators also provided their perception of the ski resort vulnerability to snow and economic challenges which we could compare with the actual snow conditions and ski lift tickets sales during the period from 2001 to 2012.

  3. Regional trade market analysis: resort marketing approaches

    Science.gov (United States)

    David C. Bojanic; Rodney B. Warnick

    1995-01-01

    This paper examines the value of geographic segmentation for a regional ski resort in New England. Customers from different user groups were surveyed along with a list of inquiries and a purchased list, and grouped according to their area of origin. An ANOVA was performed to determine if there were differences in attitudes and trip behaviors between the segments. It...

  4. Balneotherapy in the Boghiş Resort

    Directory of Open Access Journals (Sweden)

    Gáspár Boróka

    2015-12-01

    Full Text Available The Băile Boghiş resort in Sălaj county is situated in the Barcău depression, at 15 km distance from Şimleu Silvaniei, in a sedative-indifferent climate of hills, at an altitude of 300 m, without excessive temperatures, with a mean annual rainfall of 650 mm. The first evidence of the climate and thermal mineral waters of the resort dates back to the 18th century. The Nuşfalău-Boghiş thermal mineral water reservoir is confined to deep permeable aquiferous layers that correspond to the altered zone of crystalline basement and sedimentary formations of Miocene and Pliocene age. It is an all-season spa and climatic resort; the bicarbonate, sodium, sulfur, iodine hypotonic hyperthermal mineral springs (with a total mineralization of 1016.2-1432.8 mg/l come from hydrogeological wells, producing over 1900 m3/day waters with a temperature of 40-42˚C. The spa has 2 outdoor pools (in summer time, bathtubs (in the process of being rehabilitated and an indoor pool. The peat mud from Stoboru (Cuzăplac commune is another therapeutic factor used in the resort. Therapeutic indications are related to the following disorders: osteoarticular system diseases, abarticular and degenerative rheumatic diseases, posttraumatic, peripheral neurological, gynecological, endocrine, nutrition and metabolic disorders, treated by external use (pool or bathtubs, while cooled water is used for crenotherapy. A specific feature is that thermal water, which has a temperature of 40-42˚C, can be used without being successively cooled or heated in pools or bathtubs, which allows to maintain its initial qualities. This paper includes early and recent data on a resort that is progressing from a local level to the national circuit, having an important extension potential.

  5. Assessing Tourist Resorts Surrounding Metropolitans Applying SWOT- AHP Models Case study: Malaga Resort

    OpenAIRE

    A. Movahed; S. Amanpoor; R. Zarei

    2013-01-01

    Extended abstract1-IntroductionToday, the urban concept is not understandable without resorts in different forms and the results of urban development and environmental problems have made the development ad existence of resorts unavoidable.Ahvaz is one of the metropolitan cities. For the reason of its pollution, oil-dependent industries, hot and humid weather, having a long hot and dusty season, the citizens have been encouraged to travel to other areas with better climate. Therefore, it is ne...

  6. 39 CFR 777.27 - Last resort housing.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Last resort housing. 777.27 Section 777.27 Postal... ACQUISITION POLICIES Uniform Relocation Assistance § 777.27 Last resort housing. (a) Basic Determination to Provide Last Resort Housing. A displaced person cannot be required to move from his or her dwelling unless...

  7. Estimation of Seasonal Efficiency of Sochi Resort Climate Therapy by Means of Psychologic Testing of Patients with Cardiometabolic Pathology

    Directory of Open Access Journals (Sweden)

    Irina N. Sorochinskaya

    2012-11-01

    Full Text Available Cardiovascular diseases are major reasons for population mortality in majority of countries, including Russia. Metabolic syndrome is considered to be one of the main pathologic states, leading to enhancement of atherogenesis, ischemic heart diseases and cerebrovascular diseases. Physical methods, including resort treatment play great role in metabolic syndrome prevention and treatment. Climate therapy depends on resort climate and season and is a major component of resort treatment. Psychological testing showed that combined resort treatment, using climate therapy of patients with stable effort angina at Sochi Health-resort is more efficient in autumn and of patients with metabolic syndrome in summer. The findings have been confirmed by clinic-functional indicators.

  8. Germanidade e banhos medicinais nos primórdios dos balneários no Rio Grande do Sul Germanism and medicinal bathing in the early days of health resorts in Rio Grande do Sul

    Directory of Open Access Journals (Sweden)

    Sílvio Marcus de Souza Correa

    2010-03-01

    Full Text Available Nos primórdios dos balneários no Rio Grande do Sul, encontravam-se alguns imigrantes alemães, não apenas entre os banhistas, mas também entre os empresários do incipiente ramo do curismo-turismo. Era um grupo pequeno de imigrantes de origem urbana que, em geral, já conhecia as vantagens curativas ou revigorantes dos banhos em balneários europeus. Entre eles destacavam-se os médicos, importantes emissores de um discurso científico em prol dos balneários. As práticas terapêuticas de banhos de mar chegaram ao Brasil meridional pela imigração européia da segunda metade do século XIX, embora sua difusão só tenha ocorrido na primeira metade do século seguinte, quando se desenvolveram as primeiras praias balneárias no Rio Grande do Sul.In the early days of bathing resorts some German immigrants were found not only among the bathers, but also among the entrepreneurs of the incipient branch of 'curism-tourism'. It was a small group of immigrants of urban origin who, in general, already knew the curative or reinvigorating advantages of the baths in European bathing resorts. Among them, doctors were prominent, important emissaries of a scientific discourse in favor of bathing resorts. The therapeutic practices of bathing in the sea arrived to meridional Brazil with the European immigration of the second half of the nineteenth century, although its diffusion only took place in the first half of the following century, when the first bathing beaches in Rio Grande do Sul were developed.

  9. Ski Resort Real Estate: Does Supply prevent Appreciation?

    OpenAIRE

    William C. Wheaton

    2005-01-01

    This paper examines the behavior of ski resort property in a major New England market over the last 25 years. A constructed property price series reveals that nominal prices are quite volatile and only slightly higher today than in 1980. These ?uctuations and trends are investigated with a time series VAR model. The ?ndings indicate that (1) natural snowfall is crucial to business;(2) regional annual business is central to individual resort demand and hence price appreciation; and (3) resort ...

  10. Development prospects of resort townsin the Republic of Armenia

    Directory of Open Access Journals (Sweden)

    Avetisyan Narek Avetisovich

    2014-01-01

    Full Text Available The current state of the resort towns and their diversification in Armenia are discussed in the context of sustainable development. Armenia doesn’t currently stand out among the tourist destinations of the world, despite its historical and cultural heritage and natural resources. In this article the town Jermuk is described, which is located in Vayots Dzor region of Armenia. Health centers and other infrastructures of Armenian resorts were built in the period of the Soviet Union; they were restored in recent times. The main development trends of Jermuk should follow the upgrade of already built resorts (their leading examples at the European level, at the same time creating more active environment in order to meet the requirements of local population and visitors, taking into account the surrounding natural landscape and its features. One of the important issues, which should be taken into account, is the problem of seasonality (the city has no money to give for the opportunity to diversify the tourism offer in winter, and the economy with the only activity (thermal function.Within a few years, Jermuk has rediscovered its perspectives and expresses the desire to acquire its place in the international market of spa tourism at a future date. Thus, the question of assessing the historical and cultural heritage is now one of the most pressing problems of the city, which is on the eve of important decisions on the future direction of resuming recovery services. For the revival and development of Jermuk in the medium and long term, and in order to identify urban and architectural interventions, we should note some important issues:Updating the thermal functions of the city: This area of Jermuk still attracts a large clientele in summer, mainly from Yerevan, the Armenian diaspora and from the former Soviet republics (mainly from Russia. At the same time, the increase in the tourist attraction level requires upgrading public-safety and recreational

  11. Emergent Behavior of Coupled Barrier Island - Resort Systems

    Science.gov (United States)

    McNamara, D. E.; Werner, B. T.

    2004-12-01

    Barrier islands are attractive sites for resorts. Natural barrier islands experience beach erosion and island overwash during storms, beach accretion and dune building during inter-storm periods, and migration up the continental shelf as sea level rises. Beach replenishment, artificial dune building, seawalls, jetties and groins have been somewhat effective in protecting resorts against erosion and overwash during storms, but it is unknown how the coupled system will respond to long-term sea level rise. We investigate coupled barrier island - resort systems using an agent-based model with three components: natural barrier islands divided into a series of alongshore cells; resorts controlled by markets for tourism and hotel purchases; and coupling via storm damage to resorts and resort protection by government agents. Modeled barrier islands change by beach erosion, island overwash and inlet cutting during storms, and beach accretion, tidal delta growth and dune and vegetation growth between storms. In the resort hotel market, developer agents build hotels and hotel owning agents purchase them using predictions of future revenue and property appreciation, with the goal of maximizing discounted utility. In the tourism market, hotel owning agents set room rental prices to maximize profit and tourist agents choose vacation destinations maximizing a utility based on beach width, price and word-of-mouth. Government agents build seawalls, groins and jetties, and widen the beach and build up dunes by adding sand to protect resorts from storms, enhance beach quality, and maximize resort revenue. Results indicate that barrier islands and resorts evolve in a coupled manner to resort size saturation, with resorts protected against small-to-intermediate-scale storms under fairly stable sea level. Under extended, rapidly rising sea level, protection measures enhance the effect of large storms, leading to emergent behavior in the form of limit cycles or barrier submergence

  12. Exploring the Constraint Profile of Winter Sports Resort Tourist Segments.

    Science.gov (United States)

    Priporas, Constantinos-Vasilios; Vassiliadis, Chris A; Bellou, Victoria; Andronikidis, Andreas

    2015-09-01

    Many studies have confirmed the importance of market segmentation both theoretically and empirically. Surprisingly though, no study has so far addressed the issue from the perspective of leisure constraints. Since different consumers face different barriers, we look at participation in leisure activities as an outcome of the negotiation process that winter sports resort tourists go through, to balance between related motives and constraints. This empirical study reports the findings on the applicability of constraining factors in segmenting the tourists who visit winter sports resorts. Utilizing data from 1,391 tourists of winter sports resorts in Greece, five segments were formed based on their constraint, demographic, and behavioral profile. Our findings indicate that such segmentation sheds light on factors that could potentially limit the full utilization of the market. To maximize utilization, we suggest customizing marketing to the profile of each distinct winter sports resort tourist segment that emerged.

  13. Exploring the Constraint Profile of Winter Sports Resort Tourist Segments

    Science.gov (United States)

    Priporas, Constantinos-Vasilios; Vassiliadis, Chris A.; Bellou, Victoria; Andronikidis, Andreas

    2014-01-01

    Many studies have confirmed the importance of market segmentation both theoretically and empirically. Surprisingly though, no study has so far addressed the issue from the perspective of leisure constraints. Since different consumers face different barriers, we look at participation in leisure activities as an outcome of the negotiation process that winter sports resort tourists go through, to balance between related motives and constraints. This empirical study reports the findings on the applicability of constraining factors in segmenting the tourists who visit winter sports resorts. Utilizing data from 1,391 tourists of winter sports resorts in Greece, five segments were formed based on their constraint, demographic, and behavioral profile. Our findings indicate that such segmentation sheds light on factors that could potentially limit the full utilization of the market. To maximize utilization, we suggest customizing marketing to the profile of each distinct winter sports resort tourist segment that emerged. PMID:29708114

  14. Carbon monoxide poisoning at motels, hotels, and resorts.

    Science.gov (United States)

    Weaver, Lindell K; Deru, Kayla

    2007-07-01

    Each year, more than 200 people in the United States die from carbon monoxide (CO) poisoning. Poisoning has occurred at motels, hotels, and resorts. Congressional mandate requires smoke alarms in all guest rooms; however, smoke alarms do not detect CO. Data on patients poisoned at hotels, motels, and resorts were evaluated at a hyperbaric medicine service. In 2005, legal databases and online news databanks were searched to discover additional incidents. Only victims evaluated in hospitals or declared dead at the scene were included. Cases of intentional poisoning and poisoning from fires were excluded. Between 1989 and 2004, 68 incidents of CO poisoning occurring at hotels, motels, and resorts were identified, resulting in 772 accidentally poisoned: 711 guests, 41 employees or owners, and 20 rescue personnel. Of those poisoned, 27 died, 66 had confirmed sequelae, and 6 had sequelae resulting in a jury verdict. Lodging-operated, faulty room heating caused 45 incidents, pool/spa boilers 16, CO entrained from outdoors 5, and unreported sources caused 2 incidents. Public verdicts have averaged $4.8 million per incident (range, $1 million to $17.5 million). Poisoning occurred at hotels of all classes. Despite these incidents, most properties did not install CO alarms, and requirements for CO alarms at hotels, motels, and resorts are rare. Guests of motels, hotels, and resorts remain at risk for injury or death from CO poisoning. Measures to prevent CO poisoning of guests and employees of the lodging industry should be evaluated.

  15. Tourism Restoration and Remodelling of Borsec Resort

    Directory of Open Access Journals (Sweden)

    GEORGE-BOGDAN TOFAN

    2012-01-01

    Full Text Available For the past decades, with its important social and economic projects, health tourism has become a major international tourist market segment. Major human and material resources focus on it with an even deeper involvement of science and technology in order to provide complex and high quality tourist and medical services, required to satisfy the vital necessities of modern man, due to population’s changes in health state and living conditions.

  16. Prisons: the psychiatric institution of last resort?

    Science.gov (United States)

    Huxter, M J

    2013-10-01

    The World Health Organization declared in 1948 that the enjoyment of the highest individual attainment of health for any person is a fundamental human right. Australia, the U.K. and the United States all legally ratified this declaration as becoming signatories to their founding treatise with the United Nations. Despite this, there are many conspicuous examples of inequities of public health as found within these nations. One of the more disparate and outrageous examples of inequities in public health has been an insidious trend towards criminalizing mental illness, and the largely unjust treatment of many mentally ill persons. This change has resulted in untold numbers of mentally ill persons being over-represented within the criminal justice system, experiencing higher morbidity, co-morbidity and mortality rates, and having difficulty in surviving in a society frequently dealing with their illness in a persecutory manner. Questions must be raised: that although over the passage of time medical science and technology has changed, but has western societies' attitudes to health equity kept pace? © 2012 John Wiley & Sons Ltd.

  17. The Assessment of Hotel Services in Poiana Brasov Resort

    Directory of Open Access Journals (Sweden)

    Baltescu C.A.

    2014-12-01

    Full Text Available The choice of a holiday destination is determined by the features of the existing accommodation offer. The quality of hotel services provided influence the attracted customer segment, the satisfaction degree of consumption, the loyalty degree for the accommodation unit and destination, and also the economic-financial performance of the company. This article analyzes the opinions of tourists staying in Poiana Braşov resort regarding their consumption experience in one of the most representative hotels of the resort. The results obtained show customers’ expectations, satisfaction degree after consumption and future ways for adapting and improving hotel services.

  18. Biodiversity of seagrass bed in Balanan Resort - Baluran National Park

    Science.gov (United States)

    Soedarti, T.; Hariyanto, S.; Wedayanti, A.; Rahmawati, A. D.; Safitri, D. P.; Alificia, R. I.; Suwono

    2017-09-01

    Seagrass beds are flowering plants that live on the seabed. Seagrass provides a habitat for diverse flora and fauna, spawning ground, nursery ground, raising ground, and feeding ground. Balanan Resort - Baluran National Park has many beaches, such as Kajang Beach, Si Banjir Beach, Kakapa Beach, and Serondo Beach. This study was aimed to determine species composition, seagrass dominated, and the diversity index of seagrass and substrate in Resort Balanan - Baluran National Park. This research was carried out in Kajang Beach, Sibanjir Beach, Kakapa Beach, and Sirondo Beach from August to September 2015 using belt transect method, each transect consists of 15 plots (19 transects = 285 plots) and using the frame of 1x1 m. This research found seven genera and ten species : Cymodoce (C rotundata and C. serrulata), Syringodium (S. isoelifolium), Thallassodendron (T. ciliatum), Enhalus (E. acoroides) , Halodule (H. univernis and H. pinifolia), Halophila (H. ovalis and H. decipiens), and Thalassia (T. hemprichii). The diversity index of seagrass bed was moderate [H'=1.90] in Balanan Resort. The substrate of seagrass bed was mud, gravel, sand, clay sand and rubble in Balanan Resort. The dominance index was near zero [C = 0.194], that means no dominant species.

  19. Multifunction laser systems in clinical and resort practice

    OpenAIRE

    Zabulonov, Yuriy; Vladimirov, Alexander; Chukhraiev, Nikolay; Elmehsenawi, Yousry; Zukow, Walery

    2016-01-01

    SHUPYKNATIONALMEDICALACADEMY OF POSTGRADUATE EDUCATION UKRAINIANSOCIETY OFPHYSICAL AND REHABILITATION MEDICINE RADOM UNIVERSITY Yuriy Zabulonov, Alexander Vladimirov, Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow MULTIFUNCTION LASER SYSTEMS IN CLINICAL AND RESORT PRACTICE Edited by Yuriy Zabulonov, Alexander Vladimirov, Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow ...

  20. Explaining Antagonism to the Owners of Foxwoods Casino Resort

    Science.gov (United States)

    d'Hauteserre, Anne-Marie

    2010-01-01

    Conflictual relations between the owners of Foxwoods Casino and Resort, who are American Indians, and the white residents of Ledyard and nearby Preston and North Stonington townships in southeastern Connecticut are long-standing. They have flared up on numerous occasions and especially since 1982 when the Mashantucket Pequots considered building a…

  1. 76 FR 40322 - Mt. Hood Meadows Ski Resort Parking Improvements

    Science.gov (United States)

    2011-07-08

    ... fleet. Also, the location of the current maintenance shop impedes traffic flow and removes potential... new Sunrise Vehicle Maintenance Shop on the north side of the Sunrise parking lot. DATES: Comments... increasing parking capacity and improving traffic flow in at Mt. Hood Meadows Ski Resort. Parking capacity...

  2. Approaches to recreational landscape scaling of mountain resorts

    Science.gov (United States)

    Chalaya, Elena; Efimenko, Natalia; Povolotskaia, Nina; Slepih, Vladimir

    2013-04-01

    In the mountain resorts (MR) the climate and the landscape are natural medical resources which are very sensitive to anthropogenic influences [EGU2011-6740-3; EGU2012-6103]. Positive experience of the climatic and landscape treatment at the MR of the North Caucasus allowed us to establish fundamental interrelation between the quality of recreational landscapes (RL), climatic conditions and the efficiency of medical rehabilitation of people at the MR on the basis of rational use of natural medical resources. There have been registered the following bioclimatic distinctions and physiological responses with the recipients suffering from high disadaptation according to the results of the complex route medical and geophysical studies on the urban and park landscapes. We have defined hot discomfort at the open space of urban territory when the weather is extremely hot and anticyclone - the thermal balance (TB) is higher than +840 W/sq.m, extreme risk of solar erythema burn - UVI - higher than 11, the low content of natural anions - lower than 260 ion/cm3, high coefficient of ions unipolarity (CIU) - 2.16 and a high temperature of the underlying surface (asphalt) 46.40C. At the same time in the resort park of vegetable association Bétula péndula (50 years) TB was significantly lower - +480 W/sq.m, there was no risk of erythema burn (UVI 4), an optimum level of natural anions was 840 ion/cm3 and the value of CIU was 0.98, grass and soil temperature was + 290C and there was a favourable background of evaporating metabolites. At such favourable bioclimatic change the patients have been registered to have the voltage reduction of the vegetative index (from 640 to 380; N-150), the increase in efficiency of neurohumoral regulation (from 0.12 to 0.34; N 0,50), the decrease in spectrum excitability of brain activity in the range of waves: delta 0 … 0.4Hz by 16%, the increase in work activity of the brain in the range of waves: thetra 4 … 8 Hz, alpha 8 … 13 Hz. beta 13

  3. CAN A SMALL WINTER RESORT BE MANAGED AND MARKETED LIKE A LARGE ONE: A CASE OF BULGARIAN SKI RESORT BANSKO

    Directory of Open Access Journals (Sweden)

    Filip Shabanski

    2013-12-01

    Full Text Available Throughout the world today there are about 80 countries which practice various winter sports. Regardless of the wide geographical range demand in terms of existing infrastructure is highly concentrated in a few regions of the world. To be competitive ski resorts have to deliver good experiences and excellent value to tourists. Current community officials and destination managers of the Bulgarian ski resort of Bansko believe that the main weakness of this ski centre is the extensive waiting at the bottom gondola station and advocates expansion of the ski runs and lift capacity. The aim of the article is to research the strengths and weaknesses of the resort in regional and world context and to prove that further expansion will not forge a strong emotional connection with visitors and thus will not bring success in destination markets. The methodology used in this article follows three steps: 1 Literature review on the nature of the ski market in the world, as well as factors contributing to effective destination management; 2 International, national and regional data analysis of existing secondary data on winter sports market and 3 Qualitative study carried out with a purposive sample of key informants. The SWOT analysis based on the results of the qualitative study show that touristic shareholders in Bansko should apply an appropriate strategy for small winter resorts by offering a unique product that speaks to the world instead of trying to promote universal broad product for the mass market.

  4. DEVELOPMENT OF ENTREPRENEURSHIP AT THE RESORT BUSINESS ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Iryna Mendela

    2017-08-01

    Full Text Available The term “entrepreneurship” is exceedingly widespread in the western management. Its essence is to provide the employee, who has a perspective idea with the possibility to use the company's resources for its implementation, thereby realizing one’s business opportunities. It can be viewed as an activity of the enterprise to achieve goals on the basis of the use of business opportunities. The partnership in the innovative activity is crucial for the effectiveness of its implementation. The partnership does not imply complete equality: professional partnership is characterized by the fact that senior ex official partners receive greater rewards and are less involved in the current work than younger counterparts. The scientific approaches concerned in developing and realization of business conception are particularly relevant in terms of overcoming the economic crisis, effective development and specialization of regional tourist and recreational complexes. The advantages of the entrepreneurship over traditional ways of tourism and recreational activities’ organization are singled out. The principles of behavior of market participants on the market of resort services are defined. The peculiarities of service enterprises are distinguished. The process of stimulating development of company entrepreneurship at resort business enterprise is considered. Based on factors of external and internal environment of business activity, differences that characterize entrepreneurship in tourism and recreation industry, trends of development, achievements of economics it was found that resort business development will stimulate entrepreneurship within the enterprise. Management system, economic indicators of business activity effectiveness, quality of service, integration, clustering, coenterprising and entrepreneurship provide realization of enterprising conception. Key words: Entrepreneurship, intellectual product, innovative idea, intracapital, social

  5. Markkinointisuunnitelma digitaaliseen markkinointiin Case Baan Lee Beach Resort & Sauna

    OpenAIRE

    Lähteenmäki, Essi

    2017-01-01

    Tämän opinnäytetyön tavoitteena on kehittää Baan Lee Beach Resort & Saunan digitaalista markkinointia markkinointisuunnitelman avulla. Yritys on aloittamassa liiketoimintaansa erittäin kilpailulla alalla, jossa digitaalinen markkinointi on tärkeä osa kilpailussa menestymistä ja se on otettava huomioon yrityksen markkinointistrategian tärkeänä osana. Markkinointisuunnitelmalla pyritään takaamaan markkinointistrategian mukainen toiminta. Markkinointisuunnitelmassa kuvataan yrityksen nykyti...

  6. Land degradation at the Stara Planina ski resort.

    Science.gov (United States)

    Ristić, Ratko; Kašanin-Grubin, Milica; Radić, Boris; Nikić, Zoran; Vasiljević, Nevena

    2012-03-01

    The environmental impacts of ski resorts in the Balkan region are great and can lead to landscape degradation and loss of land functionality. In this study, we present an example of the negative effects of human activities at the Stara Planina ski resort in southeastern Serbia. The objective of this study is detailed analysis of the characteristics of environmental impacts at the Stara Planina. The management of the ski area and ski slope development caused severe degradation of topsoil and native vegetation. The morphological characteristics of the area, lithological properties of the exposed material and climate conditions resulted in various geomorphic impacts, including rills, deep gullies, solifluctions and debris from rock weathering. Significant changes in land usage altered hydrological conditions, resulting in more frequent torrential floods in the downstream sections of the Zubska River and increased the sediment yield. Environmental impacts were analyzed in the immediate and wider zones of the ski resort in accordance with the specific topography and visual exposure. The restoration and erosion control measures have stopped degradation processes and helped to rehabilitate the appearance and functions of the landscape. The results show the importance of considering lithological (the type and characteristics of minerals present) and hydrological (precipitation, water storage capacity of soil, runoff) factors under the conditions of significant changes in land usage. The results of this investigation can contribute to the improvement of planning processes and the implementation of development projects in ski areas.

  7. 78 FR 23135 - Safety Zone; Blue Water Resort & Casino West Coast Nationals; Parker, AZ

    Science.gov (United States)

    2013-04-18

    ...-AA00 Safety Zone; Blue Water Resort & Casino West Coast Nationals; Parker, AZ AGENCY: Coast Guard, DHS... Water Resort & Casino West Coast Nationals. This temporary safety zone is necessary to provide for the....). RPM Racing Enterprises is sponsoring the Blue Water Resort & Casino West Coast Nationals, which is...

  8. Evaluation of energy economics of solar resorts on the Red Sea in Egypt

    Energy Technology Data Exchange (ETDEWEB)

    Modet, Georgei

    2011-10-28

    This thesis investigates the energy performance of resorts in Egypt. The expansive tourism development results in higher demands of energy whilst increasing the burden on the country's economy. The objective is to evaluate solar resorts versus the conventional design in terms of energy, economic and environmental performances. An energy audit is conducted among five stars resorts in Sharm el Sheikh. A self developed evaluation model using environmental life cycle costing is used to evaluate the conventional resort versus the solar resort concept. The thesis concludes with the discussion of the results and recommendations for encouraging the use of renewable energy in the hotel sector in Egypt.

  9. Disneyland resort's environmentality'' program

    Energy Technology Data Exchange (ETDEWEB)

    Kohel, M.E. (Disneyland, Anaheim, CA (United States))

    Today at Disneyland Resort more than 12,000 Cast Members (employees) have pledged to think and act environmentally. The Environmental Affairs Department and the environmentality logo were established about 2-1/2 years ago to promote environmental awareness throughout the company. In 1993, a new campaign stressing recycling took place. Cast members were asked to pledge to recycle plastic containers. The goal was to raise their awareness of various grades of recyclable plastic. In turn, they received a T-shirt made from 50% recycled plastic (from The Walt Disney Company) and 50% virgin plastic.

  10. Lender of last resort in a monetary union

    Directory of Open Access Journals (Sweden)

    Gylfi Magnússon

    2014-12-01

    Full Text Available The theory of optimal currency areas was developed during the 1960’s and 1970’s. At that time the international financial system was very different from the current system, banking systems were smaller and the flow of funds across borders limited. Developments in the Eurozone in recent years have shown that when the theory was developed and the decision made to adopt the euro some of the drawbacks of a common currency were not foreseen and important issues were not addressed. This includes the role of a common central bank as a lender of last resort to national governments. In addition, few foresaw how many closely linked financial systems could create problems that are unsolvable without the cooperation of several governments. An adequate framework for dealing with such problems was thus not put in place. The possibility that macro-economic shocks could originate in the financial system was mainly ignored. During the current crisis it has been necessary to address all these issues. It took four years to find a politically viable solution. This involves the redefinition of the role of the European Central Bank, making it a lender of last resort to national governments. This policy change buys time to deal with many fundamental imbalances within the Eurozone but does not in and of itself solve the underlying problems. The delay in implementing this policy was however very costly.

  11. MAIN FEATURES OF BALNEOLOGICAL AND MUD RESORTS NETWORK OF THE BLACK SEA COUNTRIES

    OpenAIRE

    Молодецький, А. Е.; Пишна, Г. О.

    2016-01-01

    Purpose. The aim of the article is the characteristics of geographical (natural and socio-economic) prerequisites for the development of coastal resorts of Black Sea region countries, with emphasis on balneological and mud-bath of recreational resources systems. Six European and Asian countries – Ukraine, Russia, Georgia, Turkey, Bulgaria and Romania have a diverse and significant resort and recreational resources of the Black Sea coast. However, for many decades the Black Sea resorts of thes...

  12. Practical application of wastewater reuse in tourist resorts.

    Science.gov (United States)

    Antakyali, D; Krampe, J; Steinmetz, H

    2008-01-01

    A medium-scale membrane bioreactor was tested in a large tourist resort on the south-western coast of Turkey with the treated wastewater subsequently being used for irrigational purposes. The wastewater treatment system was designed to eliminate carbonaceous and nitrogenous substances. Treatment efficiency was monitored by means of regular chemical and microbiological analyses. Information was collected on water use at different locations of the hotel. Specific values based on the number of guests were determined. Wastewater streams from kitchen, laundry and rooms were analysed to investigate the various contribution from these points. The social acceptance of the guests concerning the on-site wastewater treatment and reuse in the hotel was analysed using a questionnaire. The investigations indicated that the treated wastewater provides the required chemical and hygienic conditions to satisfy requirement for its reuse in irrigation. The acceptance by guests was encouraging for such applications. IWA Publishing 2008.

  13. Modelización lineal de un sistema masa-resorte real

    OpenAIRE

    Matar, Maricel; Parodi, Miguel A.; Repetto, Carlos E.; Roatta, Analía

    2017-01-01

    De acuerdo al modelo enseñado en los cursos introductorios universitarios, la frecuencia de las oscilaciones libres de un sistema masa-resorte vertical, en el caso de fuerzas disipativas y masa del resorte despreciables, puede calcularse simplemente como la raíz cuadrada de la relación entre la gravedad del lugar y el estiramiento producido por el cuerpo sujeto al resorte. Sin embargo, cuando se utiliza un resorte real, las frecuencias medidas difieren en forma notable por debajo de las previ...

  14. Snow reliability in ski resorts considering artificial snowmaking

    Science.gov (United States)

    Hofstätter, M.; Formayer, H.; Haas, P.

    2009-04-01

    Snow reliability is the key factor to make skiing on slopes possible and to ensure added value in winter tourism. In this context snow reliability is defined by the duration of a snowpack on the ski runs of at least 50 mm snow water equivalent (SWE), within the main season (Dec-Mar). Furthermore the snowpack should form every winter and be existent early enough in season. In our work we investigate the snow reliability of six Austrian ski resorts. Because nearly all Austrian resorts rely on artificial snowmaking it is of big importance to consider man made snow in the snowpack accumulation and ablation in addition to natural snow. For each study region observed weather data including temperature, precipitation and snow height are used. In addition we differentiate up to three elevations on each site (valley, intermediate, mountain top), being aware of the typical local winter inversion height. Time periods suitable for artificial snow production, for several temperature threshold (-6,-4 or -1 degree Celsius) are calculated on an hourly base. Depending on the actual snowpack height, man made snow can be added in the model with different defined capacities, considering different technologies or the usage of additives. To simulate natural snowpack accumulation and ablation we a simple snow model, based on daily precipitation and temperature. This snow model is optimized at each site separately through certain parameterization factors. Based on the local observations and the monthly climate change signals from the climate model REMO-UBA, we generate long term time series of temperature and precipitation, using the weather generator LARS. Thereby we are not only able to simulate the snow reliability under current, but also under future climate conditions. Our results show significant changes in snow reliability, like an increase of days with insufficient snow heights, especially at mid and low altitudes under natural snow conditions. Artificial snowmaking can partly

  15. Projections of climate potential for a touristic resort in Mallorca

    Science.gov (United States)

    Amengual Pou, Arnau; Homar Santaner, Victor; Romero March, Romualdo; Alonso Oroza, Sergio; Ramis Noguera, Climent

    2010-05-01

    Platja de Palma, in the Island of Mallorca, is one of the most popular touristic areas in the Mediterranean with more than 8 million tourist-nights spent per year. Socioeconomic activities undertaken in Platja de Palma are very closely linked with its climate. Therefore, optimization of residential and tourism opportunities in the medium term should necessarily take into account the close interdependence between the evolution of the main atmospheric parameters and the sea, sun and sand tourism (S3), the main tourist model exploited in the area and heavily dependent on the climate. We used the Climate Index for Tourism (CIT, Freitas et al. 2008) to estimate the satisfaction of the S3 tourist in terms of the environmental conditions of the day. The CIT integrates thermal aspects, aesthetic and physical parameters, and derive a measure of perceived satisfaction for the average tourists in terms of three thresholds: unacceptable conditions, acceptable, and ideal. In the first place, we analyzed the evolution of the CIT using data from the proximity weather station in Palma airport for the period 1973-2008. Then, the impact of climate change on the tourism potential of the resort was assessed by calculating the CIT for future climate scenarios. We used regional climate simulation results from the European project ENSEMBLES and for the period 2001-2050. In order to compute the CIT index, daily series of temperature, precipitation, relative humidity, cloudiness and wind near surface are necessary. Model output series are calibrated using observations from Palma airport. In addition, future CIT series are also calibrated using values directly derived from observations. The analysis of the observed period reveals an increase in the number of days per year of acceptable conditions for S3 tourism since 1973 but a decrease in the frequency of ideal conditions, mainly during summer and autumn. Also, ideal conditions in Platja de Palma have increased in frequency during spring

  16. Quality of customer service: perceptions from guests in all-inclusive resorts in Jamaica

    Science.gov (United States)

    Joel L. Frater

    2007-01-01

    With data collected from guests in all-inclusive resorts in Jamaica, West Indies, the purposes of this study were to: (1) delineate unique dimensions of customer service perceptions among guests and (2) report the finding of a study that measured guests' perceptions of the quality of customer service in all-inclusive resorts. The study asked the following research...

  17. ‘Sochi’ resort development and functioning in 1935–1950

    Directory of Open Access Journals (Sweden)

    Vladimir G. Ivantsov

    2011-06-01

    Full Text Available The article is focused on the history of ‘Sochi’ rest home establishment and functioning. Later ‘Sochi’ was turned into resort and was included into Sochi group of resorts, first under the supervision of USSR Central Executive Committee and in 1938 it passed into jurisdiction of USSR Council of People's Commissars – USSR Council of Ministers.

  18. Energy audit data for a resort island in the South China Sea

    Directory of Open Access Journals (Sweden)

    M. Reyasudin Basir Khan

    2016-03-01

    Full Text Available The data consists of actual generation-side auditing including the distribution of loads, seasonal load profiles, and types of loads as well as an analysis of local development planning of a resort island in the South China Sea. The data has been used to propose an optimal combination of hybrid renewable energy systems that able to mitigate the diesel fuel dependency on the island. The resort island selected is Tioman, as it represents the typical energy requirements of many resort islands in the South China Sea. The data presented are related to the research article “Optimal Combination of Solar, Wind, Micro-Hydro and Diesel Systems based on Actual Seasonal Load Profiles for a Resort Island in the South China Sea” [1]. Keywords: Tioman, South China Sea, Load profile, Renewable energy, Resort Island, Energy audit

  19. Study of Mistletoe in Joben Resort Forest Mount Rinjani Lombok

    Directory of Open Access Journals (Sweden)

    Wahyuni Dwi Fikriani

    2017-07-01

    Full Text Available Mistletoes are one group of hemiparasite plants, including the Lorantaceae family that have potential as medicinal. These hemiparasite plants can attack flowering plant (Magnoliophyta and non-floweing plant (Pinophyta, especially on the main stems, branches and twigs. The objective of this research is to identify the species of mistletoe and its hosts, make identification key, descriptions, and to make a distribution map of mistletoe in Joben Resort forest south of Mount Rinjani Lombok. This study is descriptive explorative research with three kinds of collecting sample methods i.e exploration, continous strip sampling, and delenation method. The research found five species of mistletoes are included in three genera i.e Amyema cuernosensis, Amyema enneantha, Amyema tristis, Macrosolen retusus and Scurrula artropurpurea. These five kinds of mistletoe are associated with 23 hosts species of plants, 18 genera from 13 families. The most favorite host of these mistletoes is Ficus septica, and the most agresive mistletoe is Scurrula artropurpurea. The important finding of the research is finding new species or new record of mistletoes. The benefit of these new record or new species is providing new material of new medicinal for treating some diseases such as various cancers.

  20. Biological properties of mud extracts derived from various spa resorts.

    Science.gov (United States)

    Spilioti, Eliana; Vargiami, Margarita; Letsiou, Sophia; Gardikis, Konstantinos; Sygouni, Varvara; Koutsoukos, Petros; Chinou, Ioanna; Kassi, Eva; Moutsatsou, Paraskevi

    2017-08-01

    Spa resorts are known for thousands of years for their healing properties and have been empirically used for the treatment of many inflammatory conditions. Mud is one of the most often used natural materials for preventive, healing and cosmetic reasons and although it has been used since the antiquity, little light has been shed on its physical, chemical and biological properties. In this study we examined the effect of mud extracts on the expression of adhesion molecules (CAMs) by endothelial cells as well as their effects on monocyte adhesion to activated endothelial cells. Most of mud extracts inhibited the expression of VCAM-1 by endothelial cells and reduced monocyte adhesion to activated endothelial cells, indicating a potent anti-inflammatory activity. Furthermore, the mud extracts were tested for their antimicrobial activity; however, most of them appeared inactive against S. aureus and S. epidermidis. One of the mud extracts (showing the best stabilization features) increased significantly the expression of genes involved in cell protection, longevity and hydration of human keratinocytes, such as, collagen 6A1, forkhead box O3, sirtuin-1, superoxide dismutase 1 and aquaporin-3. The present study reveals that mud exerts important beneficial effects including anti-inflammatory and anti-aging activity as well as moisturizing effects, implicating important cosmeceutical applications.

  1. Modelo resorte-paríicula para telas hiperlasticas

    Directory of Open Access Journals (Sweden)

    MANUEL GARCÍA

    2007-01-01

    Full Text Available Este artículo presenta un modelo computacional para la simulación de telas hiperelásticas. El modelo propuesto tiene un enfoque multi−partículas y simula la interacción de un material textil con un objeto deformante. La tela está representada por mallas rectangulares compuestas por resortes, este hecho permite al modelo comportarse ortotrópicamente y en consecuencia es posible simular sus propiedades en ambos sentidos. Las relaciones constitutivas del material preservan las capacidades hiperelásticas naturales de la tela. En el modelo desarrollado aquí, inicialmente la tela se encuentra en su estado natural no deformado. Luego se le da una deformación inicial que garantice el no contacto o intersección con el objeto deformante. Finalmente, la tela deformada es liberada, en consecuencia ella comienza a moverse iterativamente hacia a una posición de equilibrio. La posición final de equilibrio es alcanzada cuando las fuerzas internas son balanceadas por las fuerzas externas de contacto causadas por el objeto. Esto se logra cuando el criterio de parada ha sido satisfecho.

  2. Tennet as a last resort for small-scale consumers in a liberalized energy market. Some juridical considerations on the choice of the supplier of las resort

    International Nuclear Information System (INIS)

    Het Lam, M.R.

    2003-01-01

    According to the current plans, from 1 January 2004 Dutch small consumers (households) will be able to choose their own supplier of electricity. In this free market, the situation might occur that suppliers, due to financial problems, will no longer be able to fulfill their (contractual) obligations. In order to protect small consumers against the negative consequences which result from this, the Dutch legislator decided to change the 1998 Electricity Act in order to designate a supplier of last resort. This article analyses the different proposals for such a supplier of last resort as discussed during the parliamentary debate and will come to a conclusion about the (juridical) grounds of the final choice to designate TenneT as supplier of last resort [nl

  3. Respiratory and ocular symptoms among employees of a hotel indoor waterpark resort--Ohio, 2007.

    Science.gov (United States)

    2009-02-06

    During January--March 2007, the Warren County Combined Health District (WCCHD) received 665 reports of respiratory and eye irritation from patrons and lifeguards at a hotel indoor waterpark resort in Ohio. Tests revealed normal water chemistry and air chlorine concentrations, and exposure to airborne trichloramine in the waterpark was suspected as the cause of the symptoms. Because of the number of symptom reports and WCCHD's limited ability to measure trichloramine, the district requested an investigation by CDC's National Institute for Occupational Safety and Health (NIOSH). This report describes the results of that investigation, which revealed that trichloramine concentrations in the waterpark ranged from below the limit of detection to 1.06 mg/m3, and some concentrations were at levels that have been reported to cause irritation symptoms (>/=0.5 mg/m3). Lifeguards reported significantly more work-related symptoms (e.g., cough, wheezing, shortness of breath, chest tightness, and eye irritation) than unexposed hotel employees. Lifeguards also reported significantly more eye irritation and cough on days when hotel occupancy was high versus low. Insufficient air movement and distribution likely led to accumulation of trichloramine and exacerbation of symptoms. Based on recommendations to increase air movement and distribution at pool deck level, hotel management modified the ventilation system extensively, and subsequently no new cases were reported to WCCHD. The results of this investigation emphasize the importance of appropriate design and monitoring of ventilation and water systems in preventing illness in indoor waterparks.

  4. Energy audit data for a resort island in the South China Sea.

    Science.gov (United States)

    Basir Khan, M Reyasudin; Jidin, Razali; Pasupuleti, Jagadeesh

    2016-03-01

    The data consists of actual generation-side auditing including the distribution of loads, seasonal load profiles, and types of loads as well as an analysis of local development planning of a resort island in the South China Sea. The data has been used to propose an optimal combination of hybrid renewable energy systems that able to mitigate the diesel fuel dependency on the island. The resort island selected is Tioman, as it represents the typical energy requirements of many resort islands in the South China Sea. The data presented are related to the research article "Optimal Combination of Solar, Wind, Micro-Hydro and Diesel Systems based on Actual Seasonal Load Profiles for a Resort Island in the South China Sea" [1].

  5. Energy audit data for a resort island in the South China Sea

    Science.gov (United States)

    Basir Khan, M. Reyasudin; Jidin, Razali; Pasupuleti, Jagadeesh

    2015-01-01

    The data consists of actual generation-side auditing including the distribution of loads, seasonal load profiles, and types of loads as well as an analysis of local development planning of a resort island in the South China Sea. The data has been used to propose an optimal combination of hybrid renewable energy systems that able to mitigate the diesel fuel dependency on the island. The resort island selected is Tioman, as it represents the typical energy requirements of many resort islands in the South China Sea. The data presented are related to the research article “Optimal Combination of Solar, Wind, Micro-Hydro and Diesel Systems based on Actual Seasonal Load Profiles for a Resort Island in the South China Sea” [1]. PMID:26900590

  6. THE BALNEOCLIMATIC RESORT STÂNA DE VALE - PAST, PRESENT, PERSPECTIVES

    Directory of Open Access Journals (Sweden)

    Mihai VLAICU

    2016-06-01

    Full Text Available Stâna de Vale balneoclimatic resort, located in the Apuseni Mountains, is very little valorised. The special natural setting, with the picturesque landscapes, the tourist trails of various difficulty degrees, the oligomineral waters, the numerous waterfalls, the fresh air intensely ionized, without pollutants and allergens, generated by the deciduous and coniferous forests, the exciting-soliciting bioclimate etc. recommend Stâna de Vale as a resort having a remarkable touristic potential, but very little harnessed and this is why it is necessary to identify solutions for its tourist valorisation. This paper highlights the periods of development and of decline of this resort which used to be emblematic for the Apuseni Mountains and for Bihor County and in the end, it suggests some simple solutions to revitalize the resort.

  7. A local scale assessment of the climate change sensitivity of snow in Pyrenean ski resorts

    Science.gov (United States)

    Pesado, Cristina; Pons, Marc; Vilella, Marc; López-Moreno, Juan Ignacio

    2016-04-01

    The Pyrenees host one of the largest ski area in Europe after the Alps that encompasses the mountain area of the south of France, the north of Spain and the small country of Andorra. In this region, winter tourism is one of the main source of income and driving force of local development on these mountain communities. However, this activity was identified as one of the most vulnerable to a future climate change due to the projected decrease of natural snow and snowmaking capacity. However, within the same ski resorts different areas showed to have a very different vulnerability within the same resort based on the geographic features of the area and the technical management of the slopes. Different areas inside a same ski resort could have very different vulnerability to future climate change based on aspect, steepness or elevation. Furthermore, the technical management of ski resorts, such as snowmaking and grooming were identified to have a significant impact on the response of the snowpack in a warmer climate. In this line, two different ski resorts were deeply analyzed taken into account both local geographical features as well as the effect of the technical management of the runs. Principal Component Analysis was used to classify the main areas of the resort based on the geographic features (elevation, aspect and steepness) and identify the main representative areas with different local features. Snow energy and mass balance was simulated in the different representative areas using the Cold Regions Hydrological Model (CRHM) assuming different magnitudes of climate warming (increases of 2°C and 4°C in the mean winter temperature) both in natural conditions and assuming technical management of the slopes. Theses first results showed the different sensitivity and vulnerability to climate changes based on the local geography of the resort and the management of the ski runs, showing the importance to include these variables when analyzing the local vulnerability

  8. Seasonality as a Factor of Resort Treatment Efficiency of Patients with Cerebral Disorders

    Directory of Open Access Journals (Sweden)

    Aleksandr N. Bitsadze

    2012-11-01

    Full Text Available The article, basing on the results of examination of 369 patients with cerebrovascular disorders considers the features of seasonality impact on the cerebral haemodynamics correction and climatic balneotherapy efficiency in the course of subtropical balneotherapy resort treatment. The findings indicate the necessity to differentiate the approaches to patients with cerebrovascular disorders referral to resort treatment and climatic balneotherapy procedures prescription, considering both cerebral ischemia stage and seasonality.

  9. PENGEMBANGAN PROGRAM EKOWISATA DI RESORT MANDALAWANGI TAMAN NASIONAL GUNUNG GEDE PANGRANGO KABUPATEN CIANJUR JAWA BARAT

    OpenAIRE

    Iyat Sudrajat; Tutut Sunarminto; TB Unu Nitibaskara

    2017-01-01

    Development of Ecotourism Program at Mandalawangi Resort of Mount Gede Pangrango National Park (TNGGP) is done by optimizing the supply of tourist collaborated with tourist demand. Tourism resource most interesting at Resort Mandalawangi namely Puncak Gunung Gede - Pangrango then others are rare animals such as Leopards java (Panthera pardus) is the key species and Javan Gibbon (Hylobates Molloch) as a flagship species, as well as waterfalls, crater, Blue Lake, and Gayonggong Swamp. Social an...

  10. Waterborne Outbreak of Norwalk-Like Virus Gastroenteritis at a Tourist Resort, Italy

    OpenAIRE

    Boccia, Della; Tozzi, Alberto Eugenio; Cotter, Benvon; Rizzo, Caterina; Russo, Teresa; Buttinelli, Gabriele; Caprioli, Alfredo; Marziano, Maria Luisa; Ruggeri, Franco Maria

    2002-01-01

    In July 2000, an outbreak of gastroenteritis occurred at a tourist resort in the Gulf of Taranto in southern Italy. Illness in 344 people, 69 of whom were staff members, met the case definition. Norwalk-like virus (NLV) was found in 22 of 28 stool specimens tested. The source of illness was likely contaminated drinking water, as environmental inspection identified a breakdown in the resort water system and tap water samples were contaminated with fecal bacteria. Attack rates were increased (5...

  11. Resort-oriented tourism development and local tourism networks – a case study from northern Finland

    Directory of Open Access Journals (Sweden)

    Outi Kulusjärvi

    2016-02-01

    Full Text Available In tourism studies, it has been widely recognized that resort-oriented tourism development creates challenges for regional development, mainly due to its enclave nature and lack of regional economic linkages. However, there have been relatively few studies on the destination-scale cooperative networks, although, they are vital in increasing the positive regional economic impacts of tourism development. This paper is an empirical qualitative study exploring the connections between resort-oriented tourism development and tourism business cooperation in the case study area of the Ruka-Kuusamo tourism destination in Northeast Finland. The interest is on how the local cooperative networks of the Ruka tourist resort are spatially constructed within the Ruka-Kuusamo tourism destination. The research data consists of semi-structured interviews conducted for ten tourism actors located in the Ruka resort. The results show that the businesses located in the Ruka resort cooperate at the regional scale mainly in marketing, while their partners in production cooperation are located mostly within the resort, particularly in its very core area. The resort appears to function as a basis for spatial identification for tourism actors, which, in turn, affects entrepreneurs’ motivation to cooperate at the local and regional scale. Tourism entrepreneurs operating in the very core of the resort perceive the area as the principal area for their operations, and therefore, they do not particularly engage with the surrounding areas and businesses or with other actors located there. Thus, for smaller enterprises outside the core, it can be difficult to benefit from the resort’s core’s growth via network relations. This contributes mainly to the development of the core areas alone, creates challenges for sustainable regional economic development in the destination region, and hinders the resort’s tourism growth in the long run.

  12. Resorts, second home owners and distance: a case study in northern Finland

    Directory of Open Access Journals (Sweden)

    Pekka Kauppila

    2010-11-01

    Full Text Available One of the most important factors for the site selection of a second home is the space-time dimension. For example, the popularity of second home tourism in the hinterland of population centres is based on the short distance between second homes and the permanent residence of second home owners. In the case of peripheral resorts, however, the main reason for a large number of second homes is the attractiveness of the area associated with a high level of touristic elements. The study examines the municipalities of residence of the second home owners in four large resorts – Levi, Ruka, Saariselkä and Ylläs – in northern Finland. After analysing the geographical distribution of the owners with maps and diagrams the aim of the paper is to present a distance model for the resorts located in a northern periphery from the viewpoint of the regions of destination. Generally speaking, the model resembles a U-letter. In this respect, the resorts have three zones – day trip, weekend and vacation – and each of them has their own characteristics based on accessibility and regional structure, the number and structure of population (potential owners and land ownership. In the planning context, the proposed model can be utilised as a tool for the marketing of resorts as a second home environment as well as for analysing and comparing the overall attractiveness of resorts.

  13. [Industrial waste as indicator of population size: possible utilization in mountain resort tourist stations?].

    Science.gov (United States)

    Olive, F; Rey, S; Zmirou, D

    1998-09-01

    Epidemiological studies, conducted in touristic resorts, often face the difficulty of assessing the size of the referent population. Recently, some population size indicators, have been tested. Among them, the amount of municipal waste seems to be easy and readily accessible. The purpose of the study is to describe how this indicator can be used in touristic mountain resorts. Four touristic resorts were chosen in Isère departement (France): Alpe d'Huez, Deux Alpes, Chamrousse, plateau du Vercors. The evolution of municipal waste over several years was used to compute an individual output level for residents and for tourists. This waste indicator was compared with data on tourists reservations in hotels in the resorts. We found a good fit during touristic seasons in three resorts (Spearman test). For the last one (Chamrousse), the correlation rate was low. We think that the type of tourism is different in this resort with many non residents. This indicator is reliable but needs further validation by sample surveys across several sites and several types of lodging. We propose to estimate the size of the referent population, based on an individual output of 1 kg per person and per day for residents and 0.5 kg per person per day for tourists.

  14. Specific weather biotrop factors in the mountain resorts of North Caucasus

    Science.gov (United States)

    Efimenko, Natalia; Chalaya, Elena; Povolotckaia, Nina; Senik, Irina; Slepykh, Victor

    2015-04-01

    Key aspects of weather therapeutic action in the mountain resorts of the Northern Caucasus (RNC) are formed under the combined influence of global, regional and local atmospheric processes, picturesque landscape, vegetation which create specificity and attraction of the weather regime for the interests of resort rehabilitation, recreation and tourism practically during the whole year. They include high purity of surface atmosphere (background level of aerosols for the countryside, the transparency of the atmosphere 0.780 -0.890); natural hypo barium and hypoxia (5-10%); increased natural aeroionization (N+=400-1000 ion/cm3; N- = 600-1200 ion/cm3; KUI = 0.8 -1.0); the softness of temperature rate (± 600 W/m ); regime of solar radiation favourable for heliotherapy. Pathogenic effects in the mountains can occur both in front atmospheric processes and in conditions of relatively favorable weather. For example, in a stable anti-cyclonic air mass with the sunny weather, foehn effects can happen that are accompanied by excessively low air humidity (lower than 20-30%), the air temperature rises in the afternoon (in winter until 15- 20°C, in summer - up to 25-35°C). The situation can be worsened by ozone intrusion (O3) with the increase of its concentration by 20 ppb or more, temperature stratification change, formation of pollution accumulation conditions in the gorges and valleys where the resort towns are located. We can observe: the increase in the concentration of aerosol pollution from 1.78 to 4 and even up to 8-10 particles/cm (particle diameter is 500-1000 nm); the rise in mass concentration of submicron aerosol up to 75 mkg/m3 and the gas pollution (CO, COx, O3) of the surface atmosphere. Against this backdrop the effects of rapid changes in the chemical composition of natural ions due to the formation of positive nitrogen ions (often with a prevalence of positive over negative air ions) can be sometimes developed. In such situations people suffering from

  15. Evaluation Environmental Indicators: A Case Study of Public and Private Resorts in Lagos state, Nigeria

    Directory of Open Access Journals (Sweden)

    Funmilola Ajani

    2016-08-01

    Full Text Available Tourism has a major impact on natural and built environments, also on the wellbeing and culture of host populations. These effects can be positive or negative, depending on how tourism is developed and managed. This study aimed at evaluating the environmental quality and management of Whispering Palms Resort (private establishment and Suntan Beach Resort (Government-owned. We use direct observation of the environment, structured questionnaires to the tourists as well as laboratory analysis of soil and water sample from the two sites for Total Coliform Count and Total Aerobic Count. Results show that Whispering Palms Resort is of higher quality with 70.9% while Suntan Beach had 47.4%. Facilities and services assessment shows that Whispering Palms Resort was rated high with 61.8%, and Suntan Beach Resort had 47.4%. Furthermore, the mean Total Aerobic Count and Total Coliform count obtained from soil and water sample exceeded USEPA standard for recreational waters, which should not exceed 500cell/100ml. We recommend that proper monitoring should be carried out on a regular basis to ensure clean and safe environment.

  16. Online community marketing of ski resorts : an in-depth best practice study of aspen/snowmass and breckenridge ski resort

    OpenAIRE

    Kráľ, Branislav

    2013-01-01

    Online brand community is a novel phenomenon that carries a number of benefits, but lack of clarity in antecedents of its effectiveness as a marketing alternative. Aspen/Snowmass and Breckenridge Ski Resort are two leading players in the ski industry, and this paper analyzes their activity in-depth in order to bring clarity by extracting implications on best practice. For the purpose, a tailor-made methodology is constructed. It consists of combining two analytical frameworks, interviews with...

  17. Pharmacoeconomic efficacy of complex medical and climatic treatment of atopic asthma in Teberda resort

    Directory of Open Access Journals (Sweden)

    Erkenova Z.T.

    2010-09-01

    Full Text Available 120 patients with atopic asthma have been divided into two groups: the control group (60 patients - has been treated with budesonide and formoterol combination (Cymbicort Turbuhaler in individual doses; the main group (60 patients additionally has being taken a course of climatic therapy in Teberda resort for 21 days. Common pharmacoeconomic analysis has been carried out with study of «expenses-efficiency» balance. Statistic results have been processed with Statistica 6,0 program. Complex of medical and climatic treatment of atopic asthma in Teberda resort promoted twice reduction of Cymbicort Turbuhaler dosage in 63,33% of patients while holding asthma control. Main group patients significantly rarely asked for stationary, out-patient or emergency aid; so it helped to reduce yearly expenses for 1 patient treatment to 51, 69%. Complex medical and climatic treatment of atopic asthma in Teberda resort allows to reduce pharmacoeconomic expenses significantly and to improve disease course

  18. Estimation of Seasonal Efficiency of Sochi Resort Climate Therapy by Means of Psychologic Testing of Patients with Cardiometabolic Pathology

    OpenAIRE

    Irina N. Sorochinskaya; Andrei V. Chernyshev

    2012-01-01

    Cardiovascular diseases are major reasons for population mortality in majority of countries, including Russia. Metabolic syndrome is considered to be one of the main pathologic states, leading to enhancement of atherogenesis, ischemic heart diseases and cerebrovascular diseases. Physical methods, including resort treatment play great role in metabolic syndrome prevention and treatment. Climate therapy depends on resort climate and season and is a major component of resort treatment. Psycholog...

  19. Comprehensive outreach, prevention education, and skin cancer screening for Utah ski resorts.

    Science.gov (United States)

    Varedi, Amir; Secrest, Aaron M; Harding, Garrett; Maness, Lori; Branson, Donna; Smith, Kristi; Hull, Christopher M

    2018-02-15

    Outdoor recreation can lead to substantial sun exposure. Employees of outdoor recreation establishments with extended time outdoors have amplified cumulative exposure to ultraviolet (UV) radiation and an increased risk of skin cancer. The "Sun Safe on the Slopes" program was created by Huntsman Cancer Institute at the University of Utah and the Utah Cancer Action Network to address increased UV exposure and skin cancer risk with free skin cancer screenings, outreach, and prevention education to local ski resorts. Herein, we describe the processes and barriers to implementation of a ski resort skin screening and education program and our 5-year report of the experience and screening data. Nine free skin cancer screenings were held at Utah ski resorts between 2011 and 2016, resulting in the presumptive diagnosis of 38 skin cancers (9.6%) in 394 participants. Behavioral data collected from participants indicates suboptimal sun safety practices, including underuse of sunscreen and protective clothing. Ski resort employees who experience sun exposure during peak hours at high altitudes and UV reflection from the snow are at an increased risk of skin cancer. These data indicate a need for emphasis on sun safety education and screening and can serve as a model for future endeavors.

  20. 78 FR 69363 - Lake Tahoe Basin Management Unit, California, Heavenly Mountain Resort Epic Discovery Project

    Science.gov (United States)

    2013-11-19

    ... DEPARTMENT OF AGRICULTURE Forest Service Lake Tahoe Basin Management Unit, California, Heavenly Mountain Resort Epic Discovery Project AGENCY: Lake Tahoe Basin Management Unit, Forest Service, USDA...: The Epic Discovery Project is intended to enhance summer activities in response to the USDA Forest...

  1. Evaluation of the environmental and social sustainability policy of a mass tourism resort: A narrative account

    Directory of Open Access Journals (Sweden)

    Isabel Swart

    2012-09-01

    Full Text Available The recordation of the life stories of individuals residing in the community of Ledig, who have been dependent on the Sun City Resort situated in the Pilanesberg area in the North West Province of South Africa for their quality of life for more than 20 years, provided the basis for the evaluation of the environmental and social sustainability of this micro-cosmos on a multidisciplinary level. This study focused on the hermeneutical arch of narrative theory within the framework of human geography and sustainability science. The natural environment was evaluated for the role it plays in the sustainability of the livelihoods of the Ledig community members as well as the institutional life of the Sun City Resort. The results of this study suggested that the environmental policy for the Sun City Resort, formalised in 2004, has been guiding the Sun City Resort to contribute positively to the sustainability of the area. The study also demonstrated that a focus on the next generation of potential employees and the environmental education of all the communities were crucial to ensure the resilience of the social and ecological capacity of the area.

  2. Crisis management and lender of last resort in the European banking market

    NARCIS (Netherlands)

    Boot, A.W.A.; Marinč, M.

    2008-01-01

    We discuss some key issues related to supervisory arrangements in the Euro-system countries. In particular, we address the lender of last resort (LOLR) structure and the related crisis management framework. We focus on the responsibilities and powers of individual countries (and national central

  3. Crisis management and lender of last resort in the European banking market

    NARCIS (Netherlands)

    Boot, A.W.A.; Marinč, M.; Alessandrini, P.; Fratianni, M.; Zazzaro, A.

    2009-01-01

    We discuss some key issues related to supervisory arrangements in the Euro-system countries. In particular, we address the lender of last resort (LOLR) structure and the related crisis management framework. We focus on the responsibilities and powers of individual countries (and national central

  4. Data from renewable energy assessments for resort islands in the South China Sea

    Directory of Open Access Journals (Sweden)

    M. Reyasudin Basir Khan

    2016-03-01

    Full Text Available Renewable energy assessments for resort islands in the South China Sea were conducted that involves the collection and analysis of meteorological and topographic data. The meteorological data was used to assess the PV, wind and hydropower system potentials on the islands. Furthermore, the reconnaissance study for hydro-potentials were conducted through topographic maps in order to determine the potential sites suitable for development of run-of-river hydropower generation. The stream data was collected for 14 islands in the South China Sea with a total of 51 investigated sites. The data from this study are related to the research article “Optimal combination of solar, wind, micro-hydro and diesel systems based on actual seasonal load profiles for a resort island in the South China Sea” published in Energy (Khan et al., 2015 [1]. Keywords: South China Sea, Solar radiation,wind speed, rainfall, microhydropower, PV system, Wind energy generation system

  5. The influence of guides on alcohol consumption among young tourists at a nightlife resort

    DEFF Research Database (Denmark)

    Tutenges, Sébastien; Jæger, Mads Meier; Hesse, Morten

    2012-01-01

    Objective: The aim of this study was to assess how participation in party activities with guides affects alcohol consumption among young tourists at an international nightlife resort. Methods: Prospective survey of 112 Danish tourists in Sunny Beach, Bulgaria, who were asked about their drinking...... and activities with guides on three separate nights out. Results: Participation in party activities with guides such as drinking games and Pub Crawls, were associated with heavily increased drinking compared with nights out without guides, but not in a dose-response type relationship. Conclusion: Participating...... in party activities with guides increases drinking among young tourists who are already drinking large amounts of alcohol during their vacation. Further studies are needed to measure, describe and change the role played by guides at nightlife resorts....

  6. The European central bank and the us federal reserve as lender of last resort

    Directory of Open Access Journals (Sweden)

    Herr Hansjörg

    2014-01-01

    Full Text Available Without a lender of last resort financial stability is not possible and systemic financial crises get out of control. During and after the Great Recession the US Federal Reserve System (Fed and the European Central Bank (ECB took on the role of lender of last resort in a comprehensive way. The Fed stabilised the financial system, including the shadow banking system. However, the chance to fundamentally restructure the financial system was not used. The ECB was confronted with sovereign debt crises and an incomplete integration of the European Monetary Union (EMU. It followed a kind of “muddling through” to keep the Euro area together. In the EMU not only a fundamental restructuring of the financial system is needed but also a deeper economic and political integration. The Fed and the ECB both were the most important institutions to avoid repetition of the 1930s.

  7. Data from renewable energy assessments for resort islands in the South China Sea.

    Science.gov (United States)

    Basir Khan, M Reyasudin; Jidin, Razali; Pasupuleti, Jagadeesh

    2016-03-01

    Renewable energy assessments for resort islands in the South China Sea were conducted that involves the collection and analysis of meteorological and topographic data. The meteorological data was used to assess the PV, wind and hydropower system potentials on the islands. Furthermore, the reconnaissance study for hydro-potentials were conducted through topographic maps in order to determine the potential sites suitable for development of run-of-river hydropower generation. The stream data was collected for 14 islands in the South China Sea with a total of 51 investigated sites. The data from this study are related to the research article "Optimal combination of solar, wind, micro-hydro and diesel systems based on actual seasonal load profiles for a resort island in the South China Sea" published in Energy (Khan et al., 2015) [1].

  8. IMPLEMENTASI CUSTOMER RELATIONSHIP MARKETING PADA GRAND MIRAGE RESORT AND THALASSO BALI

    Directory of Open Access Journals (Sweden)

    Ni Nyoman Triyuni1

    2017-12-01

    Full Text Available Tujuan penelitian ini adalah untuk mengetahui implementasi customer relationship marketing pada Grand Mirage Resort and Thalasso Bali. Penelitian ini merupakan analisis deskritif kualitatif yang dilakukan melalui pengkategorian. Data disajikan berdasarkan kategori lalu dilaksanakan komparasi data, kemudian penarikan simpulan. Bedasarkan hasil penelitian menunjukkan implementasi customer relationship marketing pada Grand Mirage Resort and Thalasso Bali yaitu menggunakan tiga konsep customer relationship marketing yang terdiri dari attraction, retention, dan enhancement. Attraction merupakan daya tarik andalan yang berupa program-program seperti All Inclusive dan Guest Daily Activities, selain itu penampilan karyawan yang menerapkan pelayanan prima melalui self friendliness, attitude dan attention. Retention merupakan sikap perusahaan untuk menjalankan hubungan dengan pelanggan yang bernilai guna, adapun program yang diterapkan adalah loyalty program repeater guest. Enhancement merupakan kemitraan yang dijalin untuk memperoleh posisi berkelanjutan di pasar dengan menjaga komunikasi dengan tamu, adanya kedekatan dengan para tamu, menumbuhkan hubungan jangka panjang serta dapat menanggulangi keluhan dari tamu.

  9. Data from renewable energy assessments for resort islands in the South China Sea

    Science.gov (United States)

    Basir Khan, M. Reyasudin; Jidin, Razali; Pasupuleti, Jagadeesh

    2015-01-01

    Renewable energy assessments for resort islands in the South China Sea were conducted that involves the collection and analysis of meteorological and topographic data. The meteorological data was used to assess the PV, wind and hydropower system potentials on the islands. Furthermore, the reconnaissance study for hydro-potentials were conducted through topographic maps in order to determine the potential sites suitable for development of run-of-river hydropower generation. The stream data was collected for 14 islands in the South China Sea with a total of 51 investigated sites. The data from this study are related to the research article “Optimal combination of solar, wind, micro-hydro and diesel systems based on actual seasonal load profiles for a resort island in the South China Sea” published in Energy (Khan et al., 2015) [1]. PMID:26779562

  10. Grandes projetos turísticos na savana brasileira: O Modelo Disney no Rio Quente Resorts

    Directory of Open Access Journals (Sweden)

    Ycarim Melgaço Barbosa

    2011-01-01

    Full Text Available Este artículo analiza la implantación de un gran proyecto turístico en la sabana brasileña, el Río Quente Resorts, basado en las estrategias del Modelo Disney. En ese sentido, el artículo narra acerca de la Disneyficación, resaltando la temática, la teatralización en el mundo de los negocios, el consumo colectivo y los nolugares. El Río Quente Resorts introduce los más sofisticados equipos de diversión y entretenimiento en una región donde se encuentra el manantial hidrotermal más importante del país, pero desprecia la sostenibilidad ambiental. Así, toda esa mega-estructura podrá acarrear daños irreversibles al ecosistema.

  11. Hotel Online Marketing: The Bugibba Hotel, Radisson Blu Resort Malta, St. Julian's, Preluna Hotel & SPA

    OpenAIRE

    Dinh Quynh, Mai

    2013-01-01

    The thesis covers the study of online marketing theory, a very popular trend of marketing nowadays, especially Search Engine Optimization (SEO) and Google Adwords Campaign in the analyses of the online marketing practices of three hotels from different areas and standards in Malta, namely The Bugibba Hotel, Preluna Hotel & SPA and Radisson Blu Resort Malta, St. Julian’s. From the analyses, the thesis aims at suggesting Preluna Hotel & SPA optimal online marketing practices and answering t...

  12. Environmental variables associated with vacationers' sun protection at warm weather resorts in North America

    International Nuclear Information System (INIS)

    Andersen, Peter A.; Buller, David B.; Walkosz, Barbara J.; Scott, Michael D.; Beck, Larry; Liu, Xia; Abbott, Allison; Eye, Rachel

    2016-01-01

    Background: Vacationing at sunny, warm weather locations is a risk factor for excessive solar ultraviolet (UV) radiation exposure and skin cancer. Objectives: This study examined the association of environmental variables related to UV levels with vacationers' sun protection. Methods: Vacationers at 41 summer resorts in 17 states and 1 Canadian Province were interviewed (n=3531) and observed (N=4347) during 2012 and 2013. Clothing coverage, sunglasses, and shade use were observed. Use of sunscreen and sunburns were self-reported. Environmental information was recorded by research staff or acquired from ground stations and the weather service. Results: Temperature was positively associated with sun protection behaviors; however clothing coverage was negatively associated with temperature. Cloud cover was negatively associated with sun protection, with the exception of clothing coverage which was positively associated with it. Elevation showed a mixed pattern of associations with vacationer's sun protection. Latitude of a resort was negatively associated with most sun protection behaviors, such that sun protection increased at more southerly resorts. Similarly, the farther south a vacationer traveled to the resort, the less sun protection they employed. The UV index showed a weak, positive relationship with some sun protection behaviors even when controlling for temperature. Conclusions: Vacationers appeared aware that UV is higher at southern latitudes and may learn UV is intense when living in southern regions. However, many used temperature, an unreliable cue, to judge UV intensity and seemed to adjust clothing for warmth not UV protection. Efforts are needed to help individuals make more accurate sun safety decisions. - Highlights: • Vacationers poorly monitor and protect against environmental ultraviolet radiation (UVR). • On cloudy days vacationers fail to protect against UVR. • Temperature is erroneously used by vacationers as a marker for UVR

  13. Job Satisfaction in the Hospitality Industry Focus: Greece Case Study: Porto Carras Grand Resort

    OpenAIRE

    Salpisti, Elisavet

    2004-01-01

    This dissertation focuses on the notion of Job Satisfaction in the Hospitality Industry. The organisational single-case study has been chosen as a research method, with research taking place in Porto Carras Grand Resort in Northern Greece. The purpose of this research has been to demonstrate the importance of employee job satisfaction in the hospitality industry in particular, since the quality of its services is greatly subject to the 'human chemistry' between employees and customers. Job...

  14. Penggunaan Information Technology (IT) Terintegrasi Untuk Meningkatkan Kepuasan Konsumen Di Dhyana Pura Beach Resort, Bali

    OpenAIRE

    Junaedi, I Wayan Ruspendi

    2015-01-01

    Dhyana Pura Beach Resort Bali is company which run on hotel service company. Remembering the competitions with any hotel now days to attract the tourist to stay at hotel, so it needs an effective promotion and excellent Service. That's why the hotel management need to make a good service excellent and correctly to competed at market, through Integrated System Information Management. This research has main problems, i.e. how the effect of technology information and to deliver the Customer Sati...

  15. Environmental variables associated with vacationers' sun protection at warm weather resorts in North America

    Energy Technology Data Exchange (ETDEWEB)

    Andersen, Peter A., E-mail: westone47@gmail.com [School of Communication, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182 (United States); Buller, David B.; Walkosz, Barbara J. [Klein Buendel, Inc., 1667 Cole Boulevard, Suite 225, Golden, CO 80401 (United States); Scott, Michael D. [Mikonics, Inc., 40 B Old Road South, Santa Fe, NM 87540 (United States); Beck, Larry [L. Robert Payne School of Hospitality and Tourism Management, San Diego State University, Room PSFA 445, San Diego, CA 92182 (United States); Liu, Xia [Klein Buendel, Inc., 1667 Cole Boulevard, Suite 225, Golden, CO 80401 (United States); Abbott, Allison [School of Communication, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182 (United States); Eye, Rachel [Klein Buendel, Inc., 1667 Cole Boulevard, Suite 225, Golden, CO 80401 (United States)

    2016-04-15

    Background: Vacationing at sunny, warm weather locations is a risk factor for excessive solar ultraviolet (UV) radiation exposure and skin cancer. Objectives: This study examined the association of environmental variables related to UV levels with vacationers' sun protection. Methods: Vacationers at 41 summer resorts in 17 states and 1 Canadian Province were interviewed (n=3531) and observed (N=4347) during 2012 and 2013. Clothing coverage, sunglasses, and shade use were observed. Use of sunscreen and sunburns were self-reported. Environmental information was recorded by research staff or acquired from ground stations and the weather service. Results: Temperature was positively associated with sun protection behaviors; however clothing coverage was negatively associated with temperature. Cloud cover was negatively associated with sun protection, with the exception of clothing coverage which was positively associated with it. Elevation showed a mixed pattern of associations with vacationer's sun protection. Latitude of a resort was negatively associated with most sun protection behaviors, such that sun protection increased at more southerly resorts. Similarly, the farther south a vacationer traveled to the resort, the less sun protection they employed. The UV index showed a weak, positive relationship with some sun protection behaviors even when controlling for temperature. Conclusions: Vacationers appeared aware that UV is higher at southern latitudes and may learn UV is intense when living in southern regions. However, many used temperature, an unreliable cue, to judge UV intensity and seemed to adjust clothing for warmth not UV protection. Efforts are needed to help individuals make more accurate sun safety decisions. - Highlights: • Vacationers poorly monitor and protect against environmental ultraviolet radiation (UVR). • On cloudy days vacationers fail to protect against UVR. • Temperature is erroneously used by vacationers as a marker for UVR

  16. PENGEMBANGAN PROGRAM EKOWISATA DI RESORT MANDALAWANGI TAMAN NASIONAL GUNUNG GEDE PANGRANGO KABUPATEN CIANJUR JAWA BARAT

    Directory of Open Access Journals (Sweden)

    Iyat Sudrajat

    2017-05-01

    Full Text Available Development of Ecotourism Program at Mandalawangi Resort of Mount Gede Pangrango National Park (TNGGP is done by optimizing the supply of tourist collaborated with tourist demand. Tourism resource most interesting at Resort Mandalawangi namely Puncak Gunung Gede - Pangrango then others are rare animals such as Leopards java (Panthera pardus is the key species and Javan Gibbon (Hylobates Molloch as a flagship species, as well as waterfalls, crater, Blue Lake, and Gayonggong Swamp. Social and cultural potential of a pattern of community life Sundanese-oriented agriculture as well as the existence of the mythical legend of the kingdom in TNGGP. Visitors dominant male, student status with the last education of SMP / MTs, 16-20-year-old, from Bekasi to have the motivation tends to settle for pleasure. Assess visitors tend not to know that TNGGP have ecotourism program that School Visit, Visit to School, Conservation Camp, Local Content Filling Material Environmental Education / Nature Conservation and Environmental Education for Teachers, Farmers, and the Young Generation. The concept of program development of ecotourism in Resort Mandalawangi using the theme "TNGGP, Cultured Conservation Area". This concept will focus on the utilization of resources and nature taking into consideration the safety of visitors as well as integrate with shades of Sundanese culture around tourism area Cibodas. Another aspect that needs to be developed to support the promotion of ecotourism programs, establish Sundanese cultural nuances and supporting infrastructure at KWC, strengthening human resources ecotourism program managers. Keywords: development, ecotourism, potential, program, TNGGP

  17. Explaining Perceived Impacts of All-Inclusive Resorts through Community Attachment

    Directory of Open Access Journals (Sweden)

    Emrullah ERUL

    2016-12-01

    Full Text Available Antalya, with its high percentage of all-inclusive resorts (hereafter abbreviated AIR, is a prime tourist destination in Turkey. The purpose of this study was to examine the interrelationships‖ between‖ residents’‖ attitudes‖ about‖ their‖ attachment to their local community and attitudes about AIR impacts. A survey was conducted in four key districts in Antalya (based on the concentration of AIRs in the areas: the Antalya city center, Kemer, Serik and Manavgat, yielding a robust sample (n = 660. Exploratory factor analysis of the Perceptions of All-Inclusive Resorts Scale revealed four unique factors (e.g., three focused on negative impacts and one on positive impacts. The study adopted the Community Attachment (CA Scale and Perceptions of All-Inclusive Resorts (PAIR as conceptual frameworks.‖The‖study’s‖findings‖demonstrated‖that‖highly‖ attached residents tend to perceive negative impacts of AIR. Findings provide empirical support for the employment of the community attachment framework within studies concerning AIR perceptions. Implications are described and directions for future research are discussed.

  18. Heavy metal levels in dune sands from Matanzas urban resorts and Varadero beach (Cuba): Assessment of contamination and ecological risks.

    Science.gov (United States)

    Díaz Rizo, Oscar; Buzón González, Fran; Arado López, Juana O; Denis Alpízar, Otoniel

    2015-12-30

    Concentrations of chromium (Cr), nickel (Ni), copper (Cu), zinc (Zn) and lead (Pb) in dune sands from six urban and suburban Matanzas (Cuba) resorts and Varadero beach were estimated by X-ray fluorescence analysis. Ranges of metal contents in dune sands show a strong variation across the studied locations (in mg/kg(-1)): 20-2964 for Cr, 17-183 for Ni, 17-51 for Cu, 18-88 for Zn and 5-29 for Pb. The values of contamination factors and contamination degrees how that two of the studied Matanzas's resorts (Judio and Chirry) are strongly polluted. The comparison with Sediment Quality Guidelines shows that dune sands from Judio resort represent a serious risk for humans, due to polluted Cr and Ni levels, while sands from the rest of the studied resorts, including Varadero beach, do not represent any risk for public use. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Penanganan Pengembangan Karir Karyawan Berdasarkan Pengalaman Kerja di Food And Beverage Service Nirwana Gardens Resort Bintan-lagoi

    OpenAIRE

    Januardi, Repi; Sulistyani, Andri

    2017-01-01

    The aims of study are determine (1) Handling employee career development based on work experience at food and beverage service Nirwana Gardens Resort Bintan Lagoi; (2) Efforts to improve employee career development in food and beverage service of Nirwana Gardens Resort Bintan-Lagoi.The design of this research is qualitative. The subjects of this research are the key informants, the Human Resourcess Manager Department and the additional informants are Assistant Outlet Manager and Employee of f...

  20. Liderança em Resorts: um estudo dos estilos praticados no Brasil

    OpenAIRE

    GIULIANI, Thaís de Almeida; OLIVA, Eduardo de Camargo

    2014-01-01

    O segmento da Hotelaria é profundamente afetado pelo comportamento de seus líderes e suas características pessoais, e especialmente, pela maneira como influenciam seus seguidores a alcancarem este resultado. Sendo assim, o presente artigo tem como objetivo geral identificar e analisar os estilos de liderança praticados nos resorts do Brasil. Buscou ainda mapear no grupo de gestores, quais possuem o estilo de liderança transacional e transformacional pela opinião dos próprios gestores e de ...

  1. An Employer of Last Resort Scheme which Resembles a Free Labour Market

    OpenAIRE

    MUSGRAVE, Ralph S.

    2017-01-01

    Abstract. The idea that government should act as employer of last resort (ELR) is an old one. That idea is often referred to nowadays as “job guarantee”. Many ELR schemes to date have been confined to the public sector. There is no good reason for that limitation: i.e. the private sector should use ELR labour as well.  A second common characteristic of ELR schemes has been that (like the WPA in the US in the 1930s) they involve specially set up projects or schemes as distinct from subsidising...

  2. Assessment of the economic risk for the ski resorts of changes in snow cover duration

    Directory of Open Access Journals (Sweden)

    S. A. Sokratov

    2014-01-01

    Full Text Available Winter tourism that is intensively developed in the Russian Federation in recent years strongly depends on the snow availability and properties in the region. Climate changes exert significant influence on the functioning of mountain ski resorts, especially if they are located in areas with relatively high air temperatures in winter season. At the present time, a snowy cluster of mountain ski resorts is intensively progressing in vicinity of Krasnaya Polyana. This region in the West Caucasus (Russia is characterized by relatively warm climate conditions. The snow cover thickness (of 1% insurance in area of the Aibga mountain range may reach 8.1 m. But the snow cover thickness is not the only characteristic of the mountain skiing attractiveness. According to the Swiss standards a mountain ski resort can be considered reliable if during seven seasons of ten ones the snow cover with minimal thickness of 30–50 cm exists for a time not shorter than 100 days during a period from 1st December till 15th April.According to the forecast, during future decades the calculated amount of solid precipitation should reduce by 25–30% in mountain regions on the south macro-slope of the Great Caucasus. As the calculations show, by 2041–2050 the maximal decade thickness of snow cover will decrease by 29–35% while a number of days with snow – by 35–40%. If this is the case, artificial snow will be needed in addition to the natural one. But, under warm climate conditions using of plants for artificial snow production will require a certain perfecting of the nowadays technologies, and very likely, with use of chemicals. That is why a shadowing of existing mountain ski routes by means of the tree planting along them could be ecologically more promising. As for the mountain ski resorts of the West Caucasus, we should mention a possible weakening of the avalanche activity as a potential positive effect of the climate warming predicted by models.

  3. Effects of mountain resort development - a case study in Vermont USA

    Science.gov (United States)

    Shanley, J.; Wemple, B.

    2012-04-01

    The mountainous landscape of northern New England, USA, faces intense development pressure from recreational and tourism use. In 2000 we began a paired-watershed study in northern Vermont to examine the effects of alpine resort development on stream flow and water quality. To our knowledge this is the only gaged watershed study at a mountain resort. The adjacent paired watersheds have similar topography, relief, geology and forest type, and differ primarily in land use. Ranch Brook watershed (9.6 km2) is the undeveloped, nearly 100% forested control basin. West Branch watershed (11.7 km2) is the developed basin, encompassing a pre-existing alpine ski resort and state highway, with approximately 17% of the basin occupied by ski trails and impervious surfaces. Measurements during 2000-2003 showed suspended sediment yield was >2.5 times greater and concentrations of nitrate and chloride were significantly elevated at West Branch. From 2004 through 2007 the resort expanded with more ski trails, roads, parking areas, and vacation home development and now has 24% cleared land, with storm sewers draining lower developed areas of the alpine watershed. For the 11-year period of study, water yield in the developed basin exceeded that in the control by an average of nearly 21%. The higher runoff at West Branch occurred primarily as result of higher sustained base flow, driven by a more prolonged snowmelt period, and greater runoff during small events. The annual flow differential had a strong positive correlation to maximum snow water equivalent, suggesting that differences in snow accumulation may explain the flow differential. We are investigating whether these differences are a direct consequence of management activities and resulting vegetation shifts and land clearing on snow capture. Several of the highest peak flows in both watersheds have occurred in the last 2 years of the 11-yr study. Our analysis is aimed at determining whether absolute peak flows have increased

  4. An analysis of Richard Prince's "Lake Resort Nurse": using an image to expose and critically reflect on stereotypes in nursing.

    Science.gov (United States)

    Holmes, Vicki C

    2012-01-01

    Our interactions with images, created and viewed within contexts, are a significant means through which we construct and interpret our values and beliefs. Nurses' efforts at monitoring images to encourage accurate portrayals of nurses' work have had little influence on the way nurses are represented or the inherent ability of images to shape perceptions of nurses' work. One explanation for this lack of influence is that viewers do not closely attend to the ways in which we make meaning of everyday images. This inattention creates passive viewers, vulnerable to and more likely to internalize messages (G. Dines & J. Humez, 2011). Misunderstandings about nursing leave nurses vulnerable to contexts and influence the outcomes of at least 2 issues, the nursing shortage and the provision of quality care. Prince, in his painting "Lake Resort Nurse," utilizes the artistic strategies of expressionism, appropriation, and reflexivity to expose stereotypes and provides an opportunity for reflection on the potential impact these stereotypes have on the profession. He provides a means through which we can recognize that images are significant contributors to how understandings of nursing and nurses are shaped. New understandings of nursing, gained through reflection and dialog, subsequently influences perceptions of the value of nurses' work and their contribution to health care. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. The Organizational Improvements of Catering in the Case of the Radisson Blu Resort Restaurant in Split

    Directory of Open Access Journals (Sweden)

    Mario Bogdanović

    2017-05-01

    Full Text Available The essence of the catering industry is providing food and beverages services. The food and beverages department provides the food and beverages in the hotel industry, with its restaurant being the most visible part where the food and beverages supply and demand takes place. The researching of this organizational segment is important because it contributes to the understanding and improvement of the organizational efficacy of the food and beverage department, in particular the restaurant units of the catering organizations. The aim of this paper is to explore the organization of work within the food and beverage department in the Hotel Radisson Blu Resort in Split. The proposed research evolves around the problems of the organization of work of a specific restaurant Fig & Leaf located in the Radisson Blue Resort Split Hotel. The research was conducted by means of questionnaire that included all the employees of the restaurant (N=20. Certain problem areas have been identified in the restaurant’s organization of work: a a sub-optimal number of employees; b multiple chain of commands; c problems of sub-optimal organizational structures in the work of the restaurant; d problems regarding certain aspects of the organizational culture of the restaurant relating to team work, participatory decision-making, inter-personal trust. For the diagnosed problems in the organization of the restaurant organizational solutions were offered aimed at improving management. This way of solving the organizational sub-optimality can be generally applied within the restaurant business.

  6. Decision-Aiding Evaluation of Public Infrastructure for Electric Vehicles in Cities and Resorts of Lithuania

    Directory of Open Access Journals (Sweden)

    Vytautas Palevičius

    2018-03-01

    Full Text Available In the National Communication Development of 2014–2022 Program and Guidelines of the Development of the Public Electric Vehicle Charging Infrastructure confirmed by the Government of the Republic of Lithuania, it is planned that, until the year of 2025, among newly registered vehicles, electric ones should make at least 10%. Analysis of the trend of electric vehicles makes evident that the target does not have a real chance to be achieved without targeted efforts. In order to improve the infrastructure of electric vehicles in major cities and resorts of Lithuania, we have carried out a comparative analysis of public infrastructure for electric vehicles in 18 Lithuanian cities and resorts. For the quantitative analysis, we proposed eight criteria describing such an infrastructure. As perception of the infrastructure by owners of electric cars depends on complex factors, we used multiple criteria evaluation methods (MCDM for evaluation of the current state of its development by four such methods: EDAS, SAW, TOPSIS, and PROMETHEE II. Based on the evaluation results, prominent and lagging factors were understood, and proposals for effective development of public infrastructure of electric vehicles were proposed for improvement of the infrastructure.

  7. Fairmont Hotels and Resorts : hospitality, tradition, environmental stewardship and energy savings go hand in hand

    Energy Technology Data Exchange (ETDEWEB)

    Pinault, K. [Fairmont Hotels and Resorts, Toronto, ON (Canada). Design and Construction

    2003-06-01

    Headquartered in Toronto, Ontario, Fairmont Hotels and Resorts Inc. operates 81 world-class luxury hotels and resorts in Canada, United States, Mexico, Bermuda, Barbados and the United Arab Emirates. In 1990, Fairmont Hotels launched a green program for all its Canadian hotels as part of its commitment to become a world leader in establishing environmental practices for the hotel industry. Fairmont's policies for energy efficiency, water conservation, purchasing and waste minimization have won international awards. The energy efficiency measures benefit both the company and society through savings in operating costs and reducing carbon dioxide emissions, thereby helping Canada meets its international obligation to reduce greenhouse gas emissions that contribute to climate change. Electricity makes up the greatest part of the hotel chain's huge energy bills, costing more than $29 million annually. The remainder of the energy bill consists of natural gas, propane, water, steam and kitchen fuel costs. Many of Fairmont's hotels are historic properties whose physical layout present greater challenges than retrofitting new construction. The retrofits so far have included improvements in lighting fixtures, laundry facilities, HVAC systems, parking garages and boiler rooms. Since 1998, energy retrofits at Fairmont hotels across Canada have resulted in substantial energy savings. 2 tabs., 4 figs.

  8. Deep aquifers: last resort water resources in case of major pollution crisis

    International Nuclear Information System (INIS)

    Mesny, M.; Comte, J.P.

    1996-01-01

    Within the framework of a reflection dealing with the possibility to insure sufficient drinking water supply in case of major crisis, the Ministry of the Environment undertook an inventory of the aquiferous systems on the whole French (continental) territory. In case of a generalized surface water and groundwater contamination, these aquifers could provide substitution water, qualified as 'a last resorted water' because of its temporary - fast definitive - protection statute. A scale of value relative to the protection level was created, which enables the researchers to identify three levels of protection and to draw up a 1/1,500,000 scale map of France, on which the limits of 98 phreatic water-tables, identified as protected, have been reported. The great majority of the aquifers corresponds to confined waters. A statistical analysis on the existence of protected resources reveals that 16 departments out of 96 have got protected resources on the whole territory, and that 22 others haven't got any that are registered at national scale. Otherwise, 61 towns out of 103 which count more that 50,000 inhabitants have got protected resources, which correspond to 61 % of the urban population. In a second time, the cases of the urban centres of Paris and Lyon will be looked into more in detail, stating precisely the protected resources which could be mobilized and the existing collecting equipments which could possibility be integrated in a device used as a last resort. (authors). 3 figs

  9. Radon in waters from health resorts of the Sudety Mountains (SW Poland)

    International Nuclear Information System (INIS)

    Ciezkowski, W.; Przylibski, T.A.

    1997-01-01

    This paper discusses the geological background related to the presence of selected radon waters in the Sudety Mountains. Special attention is paid to radon waters whose chemical composition is formed within metamorphic rocks (mainly gneisses). The physical, chemical, and isotopic characteristics of the waters of Ladek Zdroj, Czerniawa Zdroj and Swieradow Zdroj are presented. The rocks at these locations are briefly characterized by their U, Th, and Ra contents. It was found that the basic role in enrichment of these waters with radon is played by the 100 m deep near-surface zone. This is related to the increased emanation coefficient in this zone as a consequence of weathering processes. It is also shown that the residence time of water in the rocks is not important for radon genesis. (author)

  10. Treatment of knee OSTEOARTHRITIS in Spa Health resorts: where do we stand?

    Directory of Open Access Journals (Sweden)

    Salca Amalia

    2015-09-01

    Full Text Available Osteoarthrosis (OA includes degenerative joint disorders that affect articular cartilage in the first instance, followed by changes of all components of the joint. The disease is detected in a proportion of 33% by X-ray in patients aged over 60 years. Knee OA (KOA ranks first among chronic diseases from the point of view of patient disability. This article is a review of guidelines and articles regarding arthrosis, balneotherapy, and balneotherapy in KOA treatment. These were accessed on the Pubmed site in the period March-April 2015. The components of balneo-therapy to which the selected articles refer include mud packs, mineral waters, climate change. These are evaluated in association or in comparison with other methods used in the rehabilitation specialty area for the treatment of KOA: kinesitherapy, intra-articular infiltrations, hydrothermotherapy. The changes induced by these therapies on clinical evolution (pain relief, tenderness, functionality, quality of life, depression symptoms or certain serum parameters (biomarkers of oxidative stress, inflammation and cartilage destruction, vitamin D and other serum metabolites were recorded. The results of our review are consistent with the studies focused on spa modalities in all types of OA. All these data helped defining the role of balneotherapy as part of the rehabilitation program for the treatment of KOA, through the benefits specific to it. Conclusion: Balneotherapy has beneficial effects on patients with KOA, both clinically and serologic improvements. Further studies are needed to quantify these effects using KOA specific markers, to establish a hierarchy of balneotherapy methods based on their effects on KOA, as well as to refine indications depending on the stage of the disease.

  11. [Combined treatment course at a health resort of patients with chronic erosive gastritis].

    Science.gov (United States)

    Mezhueva, P F; Novozhilova, L I

    1989-01-01

    Multiple modality treatment of erosive gastritis (100 cases) in Essentuki spa combined oral intake of mineral water (spring N 4) with carbon dioxide baths and pelotherapy. Therapeutic effect was achieved in all the patients: the erosions disappeared in 49% and reduced in 51% of those treated. The conclusion is made on effectiveness of such combined therapy in chronic erosive gastritis.

  12. [Magnetotherapy in the combined health resort-based treatment of irritated bowel syndrome].

    Science.gov (United States)

    Kaĭsinova, A S; Osipov, Iu S; Litvinova, M A; Prosol'chenko, A V

    2011-01-01

    The authors describe a combined method for the treatment of irritated bowel syndrome with the use of magnetotherapy, drinking mineral waters, and radon baths. It was shown that prescription of preformed physical factors improves the psycho-emotional status of the patients due to normalization of the motor-evacuative function of the gastrointestinal tract. The overall result of this therapeutic modality is the improvement of the quality of life of the patients.

  13. Dynamics of forest populations in the mountain resort region of the North Caucasus

    Science.gov (United States)

    Chalaya, Elena; Efimenko, Natalia; Slepykh, Olga; Slepykh, Viktor; Povolotskaya, Nina

    2017-04-01

    Prehistoric formula of forest species composition of the resort region Caucasian Mineralnye Vody (RR CMV) in the North Caucasus is 6Q3Cb1Fe [1]. According to it, undisturbed forests of the region consisted of the pedunculate oak (Quercus robur L.) and the durmast (Quercus cerris L.) by 60%, the European hornbeam (Carpinus betulus L.) by 30% and the European ash (Fraxinus excelsior L.) only by 10%. At present the formula of forest composition of the region is 5Fe3Cb2Q, according to it, the rate of oak-groves (the most valuable to resort landscape gardening) has reduced to 20%, and the ash-tree, though the rate of the hornbeam has not changed, increased up to 50%. Forest breeding populations in the RR CMV are referred to natural medical resources as they have high rehabilitation and climate-regulating properties, the change in forest breeding populations influences the conditions of the resort climate-landscape-therapy. The researches conducted in the perfect oak wood of vegetative origin in Beshtaugorsky Forestry Area (BFA) of the RR CMV have shown the reduction of the pedunculate oak in the tree-stand composition during 1984-2014 from 10 to 8 units in the composition: the European ash (1 unit) and the crataegus monogyna (Crataegus monogyna Jacq.), the checker tree (Sorbus torminalis (L.) Crantz), the common pear (Pyrus communis L.) have appeared [2]. The rate of the pedunculate oak decreased from 10 units to 9 in the perfect planting of the pedunculate oak of the artificial origin (Mashuk section of the forestry of BFA of the RR CMV) during 1986-2016. Among accompanying breeds there was the English field maple (Acer campestre L.), the Chinese elm in singular (Ulmus parvifolia Jacq.), the single-seed hawthorn. The reliable regrowth (4C3Fe3Ac+Q+Cm+Pc+Up) in number of 3,9 thousand pieces/hectare defines the perspective of complete replacement of the oak crop in the future on planting with dominance of the hornbeam and the involvement of the ash-tree and the English

  14. Understanding the Morphology in the Form of Business Expansion: Perspective of Small Tourism Firm in Coastal Resort Destination

    Directory of Open Access Journals (Sweden)

    Muhammad Hakimi Mohd Hussain

    2015-11-01

    Full Text Available Resort morphology literature can be traced back since 1930s and most cases referring to the coast of Europe and United State. In 1970s, it begins to give emphasis on aspects such as land use pattern, infrastructure, Central Business District, Recreational Business District and impact studies. The literature expands to the aspects of socioeconomic, hotel development and resort lifecycle in the 1980s. Later in 1990s, it was extended to politic and investment, tourist behavior, transportation, Tourism Business District and environmental management. Following 2000s, the discussion move into change in land use intensity and restructuring resort strategies. All these aspects are still relevant in the existing literature today. However, it was argued that existing issue  from these literatures cannot escape from too much emphasis on the physical aspects. Limited study given to the aspect of non-physical than theoretical components of space management for physical and strategic planning purposes. For example, the aspects of business expansion and entrepreneur growth, and as to how this is able to influence resort morphology. The Small tourism firm manages to sustain their present from generation to generation with increasing skills relevant to financial, personal attitude, business resources and networking, and abilities in terms of operational, managerial and strategic. Therefore, the characteristic of resort morphology should be seen in a different context in which the competitiveness and survivability of these small tourism firms is vital to explore.

  15. RELATIONSHIP BETWEEN RESORT LIFE CYCLE AND RESIDENTS' PERCEPTION AND ATTITUDE--A Case Study of Putuo Mountain

    Institute of Scientific and Technical Information of China (English)

    YANG Xiao-zhong; LU Lin; ZHANG Guang-sheng; LU Song; XUAN Guo-fu

    2004-01-01

    The change in residents' perception and attitude and resort life cycle are the basic problems in the course of resort evolution. This thesis sets up the dynamic model of residents'perception and attitude, analyzes the linkage between residents' perception and attitude and the influential factors of resort life cycle, and finally, with a case study of Putuo Mountain, preliminarily discusses the relationship between resort life cycle and residents'perception and attitude. The research findings show that, although within development stage of life cycle, Putuo Mountain has already presented some signs of mature stage. The on-the-spot survey also indicates that, the local residents'positive perception is stronger than their negative perception. But compared with residents in some other coastal resorts such as Haikou and Sanya, negative perception of residents in Putuo Mountain is more evident, as the result of the smaller tourism carrying capacity in Putuo Mountain. There are some influential factors that have great impact on tourism carrying capacity in Putuo Mountain: tourist-resident number ratio, residents' benefit-cost ratio and characteristics of tourism resources. And the less influential factors are residents' demographic character, tourist behavioral character and cultural differences between local residents and tourists. Therefore, effective measures should be taken to adjust the structure of tourism product for the purpose of expanding tourism carrying capacity, lowering its pressure, lessening residents' environmental cost and enhancing their positive perception, which is the most essential prerequisite for the maturation of life cycle in Putuo Mountain.

  16. Possible paths towards sustainable tourism development in a high-mountain resort

    Directory of Open Access Journals (Sweden)

    Laurent Arcuset

    2009-12-01

    Full Text Available This text starts from the teachings stemming from an evaluation of the tourist practices in the light of sustainable tourism principles, realized in 2004 within the framework of a national network piloted by the French Agency of Touristic Engineering (today ODIT France, for the ski resort of Valloire, first-generation resort in the Maurienne, which development and modernization in the 2000s kept pace with a vast real estate program. The article investigates the stakes and difficulties of the implementation of sustainable development in Valloire, asks the question of the "cultural revolution" which the actors should achieve to change the model of economic development, and suggest some tracks to reach there. The local approach of "sustainable tourism", indeed, seems for the moment rather to aim - as in many other high mountain ski resorts - towards a more environmental management of the basic urban functions than a real questioning of a tourist model based upon the triptych development of the ski slopes, securizing of the snow resource and touristic real estate programs.Ce texte part des enseignements issus d’une évaluation des pratiques touristiques à l’aune des principes du tourisme durable, réalisée en 2004 dans le cadre d’un réseau national piloté par l’Agence Française d’Ingénierie Touristique (aujourd’hui ODIT France, pour la station de Valloire, station de première génération de Maurienne dont le développement et la modernisation dans les années 2000 sont allés de pair avec un vaste programme immobilier. L’article explore les enjeux et les difficultés de la mise en œuvre du développement durable à Valloire, pose la question de la « révolution culturelle » que les acteurs devraient accomplir pour changer de modèle de développement économique, et suggère quelques pistes pour y parvenir. L’approche locale du « tourisme durable », en effet, semble pour l’heure plutôt tendre – comme dans bien

  17. Transforming Mature Tourism Resorts into Sustainable Tourism Destinations through Participatory Integrated Approaches: The Case of Puerto de la Cruz

    Directory of Open Access Journals (Sweden)

    Serafin Corral

    2016-07-01

    Full Text Available Transforming mature tourism resorts has evolved toward a greater involvement of public authorities and away from the mere renovation of public spaces. Authorities today are required to lead the reorganization of tourism activities through the development of co-operative networks between all stakeholders involved. In this paper, a participatory integrated approach has been designed and implemented in collaboration with Spanish authorities and the tourism sector to propose a strategy to achieve the renovation of tourism resorts. This methodology was applied to Puerto de la Cruz, the oldest tourism destination in the Canary Islands and a clear paradigm of a consolidated resort. The objective is to define and implement policies to transform Puerto de la Cruz into a more sustainable tourism destination.

  18. TARGET2 Imbalances and the ECB as Lender of Last Resort

    Directory of Open Access Journals (Sweden)

    Francesco Purificato

    2015-10-01

    Full Text Available This paper analyses the issue of the dynamics of the TARGET2 system balances during the sovereign debt crisis, when some countries registered a decisive inflow of the central bank liquidity and others showed an outflow. The dynamics in the TARGET2 are here explained as being due to a fall in the level of confidence in the capacity of the Economic and Monetary Union to survive, rather than to disparities in the level of competitiveness among countries of the Eurozone. This crisis of confidence has to be considered as the consequence of the implicit refusal of the European institutions to create a mechanism working as lender of last resort for the euro area member States; indeed, only when the ECB took this responsibility by launching the Outright Monetary Transactions clear signs of improvement were observed in the sovereign debt crisis.

  19. Bioclimatological rating of cities and resorts in South Africa according to the Climate Index

    Science.gov (United States)

    Becker, S.

    2000-10-01

    The climatic conditions of 31 cities and resorts in South Africa have been examined with regard to the thermal perception of people. The evaluation of the thermal conditions is based on the human energy balance calculations, which have been specified for the detection of hot or cold discomfort of people walking outdoors in spite of adapted clothing. Hot days and cold days are defined depending on the extent and duration of thermal discomfort. Cities are rated according to the Climate Index (CI), which is defined in terms of the monthly frequency of hot or cold days. The most pleasant conditions in the annual average can be found along the coastal belt (Port St. Johns, Richards Bay, St. Lucia), the most unpleasant ones in the mediterranean region around Cape Town, the Karoo and the eastern lowveld.

  20. HOSPITALITY ENGLISH FOR SPA THERAPISTS IN BANYAN TREE HOTELS AND RESORTS

    Directory of Open Access Journals (Sweden)

    Ratnasari Nugraheni

    2018-04-01

    Full Text Available This study is a preliminary study of research and design for hospitality English for SPA therapist in Banyan Tree Hotels and Resorts at Bintan Island. The purpose of this study is to help the English teacher to provide a successful English training since a good English proficiency used in the hospitality industry is obliged, especially for an-international-five-star-hotel-brand. The nature of the study is qualitative using R&D approach. Since this is only a preliminary study, need analysis becomes the primary focus. The data were collected through interview and observation. The participants were people who are working in SPA department in Banyan Tree Bintan, such as SPA trainer, SPA therapist, and SPA manager.

  1. A preliminary study of an eastern Mediterranean coastal ecosystem: Summer Resorts and Benthic ecosystems

    Directory of Open Access Journals (Sweden)

    S. REIZOPOULOU

    2006-06-01

    Full Text Available The present study investigates whether coastal benthic communities are affected by tourist activities along the coast, which persist for a limited time period. The analysis of benthic macrofauna is based on the ecological parameters (quantitative analyses as well as on the ecological identity of the species (qualitative analyses. Microbial contamination and some population statistics are correlated with ecological parameters. The disturbance of benthic communities in the vicinity of summer resorts is summarized by a reduction in species number and dominance of opportunistic species characteristic of disturbed and polluted environments. It is found that community diversity and evenness of distribution decrease with the deterioration of water quality, expressed as grade of microbial contamination, which implies that benthic community is also a significant element in assessing the quality of coastal waters. The above parameters were statistically negatively correlated with the number of tourists.

  2. El único hotel asociado con summit hotels & resorts en Colombia - Hotel Bogotá Plaza

    Directory of Open Access Journals (Sweden)

    Diana Carolina Rojas

    2008-11-01

    Full Text Available Es importante conocer acerca de la historia del Hotel Bogotá Plaza. Este es el primer hotel del norte de Bogotá. La misión del hotel es permanecer en el corazón de los huéspedes y visitantes, al satisfacer sus deseos con amor, calidez, amabilidad, seguridad y servicio de excelente calidad. Desde 1996 el Bogotá Plaza Hotel ha pertenecido a Summit Hotels & Resorts. Esta es una firma que proporciona al hotel un sistema de reservas por Internet, esta alianza ha generado que el hotel sea reconocido en muchos países del mundo. Summit además se ha establecido como una organización líder en ventas, mercadeo y reservas hoteleras del mundo. Es importante asociarse con compañías destacadas así como lo hizo el Hotel Bogotá Plaza.

  3. SPA AND CLIMATIC RESORTS (CENTERS AS RESOURCES OF PROGRAM OF SPORT RECREATION IMPLEMENTATION

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    Ivica Nikolić

    2006-06-01

    Full Text Available The aspiration of the civilized man is the improvement of work which aim is to achieve as big as possible effect of productivity and as small as possible participation of labour. The result of this process, which cannot be avoided, is some kind of fatigue that has hypocinaesiological characteristics in regard to demands of modern work process. The most effective way to fight against fatigue is to have an active holiday that is meaningfully programmed, led and carried out through movement of tourists, with the addition of natural factors, among which climate and healing waters are particularly important. These very resources characterize the tourist potential of Serbia and Montenegro with lots of available facilities at 1000 m height above the sea level and spa centers with springs and a complete offer physio-prophylactic procedures and following facilities for sport recreation. The implementation of programmed active holidays in to the corpus of tourist offer of Serbia and Montenegro represents prospective of development of tourism and tourist economy with effects of multiple importance as for participants, so for the level of tourist consumption. That will definitely influence the lengthening of tourist season as the primary goal of every catering establishment. Surveys show that the affection and viewpoints of potential tourists are especially directed towards engaging sport games and activities on and in the water, as part of the elementary tourist offer in spas and climatic resorts and their available facilities. Recommendationsand postulates of program of sport recreation, which are presented through four charts, are the basis of marketing strategy of appearance on tourist market with permanent education of management personnel and further research of potential market expanding. The publication and distribution of advertising materials are especially important, both at the market in our country and at the foreign market, where the abundance

  4. Sewage treatment processes: The methodology for the resort communities; Tecnologias de Depuracion: la metodologia de seleccion para poblaciones turisticas

    Energy Technology Data Exchange (ETDEWEB)

    Nieves de la Vega, G.; Kovacs, Z. [AQUA/PLAN, S.A. (Spain)

    1995-06-01

    The selection of adequate sewage treatment processes for resort communities has to be based upon a detailed knowledge of the characteristics of sewerage discharges. In order to define a methodology, the most representative variables such as climatology, seasonal variation, required treatment efficiency, sewage characteristics and availability of land, are identified. A wide range of available treatment processes is defined and the relationship between variables and priority criteria is analysed. Finally, a decision-diagram allowing the selection of the most adequate treatment process in each particular case is presented. The methodology is applied to mountain resort communities. (Author)

  5. The influence of regional urbanization and abnormal weather conditions on the processes of human climatic adaptation on mountain resorts

    Science.gov (United States)

    Artamonova, M.; Golitsyn, G.; Senik, I.; Safronov, A.; Babyakin, A.; Efimenko, N.; Povolotskaya, N.; Topuriya, D.; Chalaya, E.

    2012-04-01

    This work is a further development in the study of weather pathogenic index (WPI) and negative influence of urbanization processes on the state of people's health with adaptation disorder. This problem is socially significant. According to the data of the WHO, in the world there are from 20 to 45% of healthy people and from 40 to 80% of people with chronic diseases who suffer from the raised meteosensitivity. As a result of our researches of meteosensitivity of people during their short-duration on mountain resorts there were used negative adaptive reactions (NAR) under 26 routine tests, stress-reactions under L.H. Garkavi's hemogram, vegetative indices, tests of neuro-vascular reactivity, signs of imbalance of vegetative and neurohumoral regulation according to the data of biorhythm fractal analysis and sudden aggravations of diseases (SAD) as an indicator of negative climatic and urbanization influence. In 2010-2011 the Caucasian mountain resorts were having long periods of climatic anomalies, strengthening of anthropogenic emissions and forest fires when record-breaking high waves of NAR and SAD were noticed. There have also been specified indices ranks of weather pathogenicity from results of comparison of health characteristics with indicators of synoptico-dynamic processes according to Weather Research and Forecasting model (WRF); air ionization N+, N-, N+/N- spectra of aerosol particles (the size from 500 to 20000 nanometers) and concentrations of chemically active gases (O3, NO, NO2, ), volatile phytoorganic substances in the surface atmosphere, bactericidal characteristics of vegetation by criterion χ2 (not above 0,05). It has allowed us to develop new physiological optimum borders, norm and pessimum, to classify emergency ecologo-weather situations, to develop a new techniques of their forecasting and prevention of meteopathic reactions with meteosensitive patients (Method of treatment and the early (emergency) and planned prevention meteopatic reactions

  6. 78 FR 4164 - Draft Environmental Impact Statement for the Proposed Point Molate Resort and Casino for the...

    Science.gov (United States)

    2013-01-18

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Draft Environmental Impact Statement for the Proposed Point Molate Resort and Casino for the Guidiville Band of the Pomo Indians, Contra Costa County... Impact Statement (EIS) for the BIA Federal action of approving the fee-to- trust transfer and casino...

  7. Assessment of Ni, Cu, Zn and Pb levels in beach and dune sands from Havana resorts, Cuba.

    Science.gov (United States)

    Díaz Rizo, Oscar; Buzón González, Fran; Arado López, Juana O

    2015-11-15

    Concentrations of nickel (Ni), copper (Cu), zinc (Zn) and lead (Pb) in beach and dune sands from thirteen Havana (Cuba) resorts were estimated by X-ray fluorescence analysis. Determined mean metal contents (in mg·kg(-1)) in beach sand samples were 28±12 for Ni, 35±12 for Cu, 31±11 for Zn and 6.0±1.8 for Pb, while for dune sands were 30±15, 38±22, 37±15 and 6.8±2.9, respectively. Metal-to-iron normalization shows moderately severe and severe enrichment by Cu. The comparison with sediment quality guidelines shows that dune sands from various resorts must be considered as heavily polluted by Cu and Ni. Almost in every resort, the Ni and Cu contents exceed their corresponding TEL values and, in some resorts, the Ni PEL value. The comparison with a Havana topsoil study indicates the possible Ni and Cu natural origin. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. PROSNOW - Provision of a prediction system allowing for management and optimization of snow in Alpine ski resorts

    Science.gov (United States)

    Morin, Samuel; Ghislain, Dubois

    2017-04-01

    Snow on the ground is a critical resource for mountain regions to sustain river flow, to provide freshwater input to ecosystems and to support winter tourism, in particular in ski resorts. The level of activity, employment, turnover and profit of hundreds of ski resorts in the European Alps primarily depends on meteorological conditions, in particular natural snowfall but also increasingly conditions favourable for snowmaking (production of machine made snow, also referred to as technical snow). Ski resorts highly depend on appropriate conditions for snowmaking (mainly the availability of cold water, as well as sub-freezing temperature with sufficiently low humidity conditions). However, beyond the time scale of weather forecasts (a few days), managers of ski resorts have to rely on various and scattered sources of information, hampering their ability to cope with highly variable meteorological conditions. Improved anticipation capabilities at all time scales, spanning from "weather forecast" (up to 5 days typically) to "climate prediction" at the seasonal scale (up to several months) holds significant potential to increase the resilience of socio-economic stakeholders and supports their real-time adaptation potential. To address this issue, the recently funded (2017-2020) H2020 PROSNOW project will build a demonstrator of a meteorological and climate prediction and snow management system from one week to several months ahead, specifically tailored to the needs of the ski industry. PROSNOW will apply state-of-the-art knowledge relevant to the predictability of atmospheric and snow conditions, and investigate and document the added value of such services. The project proposes an Alpine-wide system (including ski resorts located in France, Switzerland, Germany, Austria and Italy). It will join and link providers of weather forecasts and climate predictions at the seasonal scale, research institutions specializing in snowpack modelling, a relevant ensemble of at least

  9. Correction methods of medicinal properties of mineral waters in Pyatigorsk resort

    Science.gov (United States)

    Reps, Valentina; Potapov, Evgeniy; Abramtsova, Anna; Kotova, Margarita

    2016-04-01

    Mineral Water (MW) of Pyatigorsk deposit (PD) is united in five genetic groups (operational stocks of 2809,8 m3/day): carbonic and hydrosulphuric, carbonic, carbonic chloride-hydrocarbonate sodium (salt and alkaline), radonic low carbonate, nitrogen-carbonic terms. A variety of MW types is explained by peculiarities of geological structure and hydrogeological conditions of PD. Here on the sites of the development of deep semi-ring splits there are overflows and a mixture of various complexes. Unloading of deep water strikes happens not only on the earth surface in the form of springs but also at the depth in its edging crumbling rocks of Palaeocene and quarternary deposits. As a result of mixture processes of water and its subsequent metamorphization, various types of mineral water of this deposit are formed. Pyatigorsk resort is in a special protected ecologo-resort region which mode allows to keep stability of structure and ecological purity of MW. Nevertheless, MW variability, compositional differences and MW mineralization determining the level of its biological effect demand studying of action mechanisms of both natural MW, and possibility of its modification for range expansion of rehabilitation action. There have been examined biological effects of the course drinking reception In experiment on 80 rats males of the Wistar line biological effects of the course drinking reception of two MW types: "Krasnoarmeyskaya new" (MW1) of sulphate-hydrocarbonate-chloride calcium-sodium structure with the raised contents of iron (3-5 mg/dm3), mineralization of 5,0-5,2 g/dm3, CO2 of 1,3-2,2 g/dm3, daily flow of 10-86 m3/day, temperature from 14 to 370C on the mouth of the well and spring №2 (MW2) low sulphate, low carbonate sulphate-hydrocarbonate-chloride calcium-sodium, mineralization of 5,0 g/l, CO2 of 0,7 g/dm3, H2 of S 0,01 g/dm3. There has been shown an ability of the drinking course MW1 to influence on endocrine and metabolic continium - cortisol level increased

  10. Neuroendocrine-Immune Support of Diuretic Effect of Balneotherapy on Truskavets Resort

    Directory of Open Access Journals (Sweden)

    Yu.S. Lukovych

    2015-04-01

    Full Text Available Objective: to identify concomitant changes in parameters of neuroendocrine-immune complex and colon microbiocenosis, which accompany diuretic effect of balneotherapy on Truskavets resort. Results. The study included 22 male patients with chronic pyelonephritis associated with cholecystitis, it is found that 10–12-day course of balneotherapy (drinking bioactive water Naftusia, ozokerit applications, mineral baths increases daily urine output by 28 % (p  0.05, in a greater degree due to increased PSD HF than LF. The basal level of plasma cortisol decreased by 20 % (p < 0.01, testosterone — by 15 % (p = 0.01, whereas levels of triiodothyronine increases by 4 % (p < 0.05 and especially calcitonin activity — by 92 % (p < 0.001, calculated by urinary excretion of phosphates and calcium. Leukocytic adaptation index of Popovich increases by 46 % (p < 0.02. As for the parameters of neutrophil phagocytic function, an increase of reduced killing index of Staphy­lococcus aureus by 19 % (p < 0.001 and Escherichia coli by 18 % (p < 0.01 was stated in the absence of changes in initially normal phagocytic index. Microbial count in relation to Staphylococcus aureus is normal, and intensity of phagocytosis of Escherichia coli, initially increased by 15 %, reduced by 8 % (p < 0.05. Regarding immunity parameters, it was revealed a significant increase in the blood of CD16+ lymphocytes only (+17 %, p < 0.01 in the absence of changes in levels of CD3+CD4+ and CD3+CD8+ T-lymphocytes and CD19+ B-lymphocytes. Neither serum Ig G, M, A or circulating immune complexes levels change significantly. Immunotropic effect is accompanied by a reduction of dysbiosis manifestations: Bifidumbacter content increases by 19 % (p < 0.02, Lactobacter — by 20 % (p < 0.05, and Escherichia coli — by 48 % (p < 0.01, while the part of strains with reduced enzymatic properties is decreased by 47 % (p < 0.001, with hemolytic properties — by 77 % (p < 0.01. Conclusion

  11. Degradation of landscape in Serbian ski resorts-aspects of scale and transfer of impacts

    Directory of Open Access Journals (Sweden)

    Ristić Ratko

    2009-01-01

    Full Text Available The environmental impacts in Serbian ski resorts (Kopaonik, Zlatibor, Stara planina, Divčibare are very strong, leading to degradation of unique mountain landscape, and functionality losses. Processes of urbanization, construction or improvement works, cause hard degradation of topsoil and native vegetation. The logging, large excavation activities, erosion, noise and water pollution constantly impact the habitats of all animal and plant species residing in small areas. The process leads to severe fragmentation of the remaining old-growth forests, endangering future subsistence. Consequences of mismanagement in ski areas are noticeable in downstream sections of river beds, causing floods and bed-load deposition, with high concentration of pollutants, in reservoirs for water supply. Legal nature-protection standards are weakly implemented in regional ski areas. Effective protection of landscape in Serbian ski-areas is based on careful considerations of impact assessment at all levels of planning (spatial and urban planning and designing activities, which enables application of restoration concept, in accordance with general goals of environmental protection (preserving biodiversity, CO2 sequestration, attenuation of effects of global climate changes.

  12. The Experience Economy in Thai Hotels and Resort Clusters: The Role of Authentic Food

    Directory of Open Access Journals (Sweden)

    Thanan Apivantanaporn

    2013-04-01

    Full Text Available Although hotels and other tourist institutions in Thailand have been making some sporadic attempts to incorporate specifically Thai food and beverage (F&B elements into their overall product offering, this has rarely been attempted in a thoughtful and systematic manner. This is despite the importance of F&B in determining overall levels of customer satisfaction and the recent importance attached to incorporating ‘Thainess’ into the hotel and tourism industry nationwide. It is, therefore, rather surprising that little if any sustained effort has been made to define authenticity with respect to Thai food (bearing in mind also regional variations or to incorporate certificates of quality to establishments providing such authentic dishes. This paper draws on qualitative research and personal observation undertaken in a wide range of Thai hotels with a view to identifying emergent value-adding clusters in the domestic hospitality sector. It describes and categorizes the uses of Thai F&B currently and identifies shortcomings in industry vision, which leads to recommendations for both hotel and resort managers and also to those responsible for national level tourism development efforts. The paper also recognizes the problematic nature of the concepts of ‘authenticity’ in this context and attempts to reconcile differing conceptions.

  13. Resort loan securities as a source of investing the hospitality industry

    Directory of Open Access Journals (Sweden)

    Alla Yu. Baranova

    2016-03-01

    Full Text Available Objective to prove the possibility of attracting funds of population and corporate organizations to invest into hospitality industry. Methods the basis of the study was the methods of logical and structural analysis the dialectical method which determined the main regularities of financial relations development in hospitality industry. Results basing on the study of formation and use of financial resources of organizations we have revealed the following at the present stage attention is paid to the functioning and investment of the hospitality industry in accordance with federal and regional target programs measures are proposed for the effective financing from the budget and resources of various funds the creation of tourist and recreational clusters is proposed but the savings of the population and corporate entities are not attracted as sources of investment in hospitality industry. Scientific novelty the measures are proposed aimed at involving the financial resources of the population and organizations through corporate bonds by the creation of a resort consortium to promote investment in hospitality industry. Practical significance the proposed recommendations will contribute to enhance the financing of hospitality industry due to the source which is currently not being used. nbsp

  14. Conflict-Triggered Top-Down Control: Default Mode, Last Resort, or No Such Thing?

    Science.gov (United States)

    Bugg, Julie M.

    2014-01-01

    The conflict monitoring account posits that globally high levels of conflict trigger engagement of top-down control; however, recent findings point to the mercurial nature of top-down control in high conflict contexts. The current study examined the potential moderating effect of associative learning on conflict-triggered top-down control engagement by testing the Associations as Antagonists to Top-Down Control (AATC) hypothesis. In 4 experiments, list-wide proportion congruence was manipulated, and conflict-triggered top-down control engagement was examined by comparing interference for 50% congruent items across mostly congruent (low conflict) and mostly incongruent (high conflict) lists. Despite the fact that global levels of conflict were varied identically across experiments, evidence of conflict-triggered top-down control engagement was selective to those experiments in which responses could not be predicted on the majority of trials via simple associative learning, consistent with the AATC hypothesis. In a fifth experiment, older adults showed no evidence of top-down control engagement under conditions in which young adults did, a finding that refined the interpretation of the patterns observed in the prior experiments. Collectively, these findings suggest that top-down control engagement in high conflict contexts is neither the default mode nor an unused (or non-existent) strategy. Top-down control is best characterized as a last resort that is engaged when reliance on one’s environment, and in particular associative responding, is unproductive for achieving task goals. PMID:24274385

  15. Party package travel: alcohol use and related problems in a holiday resort: a mixed methods study

    Directory of Open Access Journals (Sweden)

    Reinholdt Tine

    2008-10-01

    Full Text Available Abstract Background People travelling abroad tend to increase their use of alcohol and other drugs. In the present study we describe organized party activities in connection with young tourists' drinking, and the differences between young people travelling with and without organized party activities. Methods We conducted ethnographic observations and a cross-sectional survey in Sunny Beach, Bulgaria. Results The behaviour of the guides from two travel agencies strongly promoted heavy drinking, but discouraged illicit drug use. Even after controlling for several potential confounders, young people who travelled with such "party package travel agencies" were more likely to drink 12 or more units when going out. In univariate analyses, they were also more likely to get into fights, but were not more likely to seek medical assistance or medical assistance for an accident or an alcohol-related problem. After controlling for confounders, the association between type of travel agency and getting into fights was no longer significant. Short-term consequences of drinking in the holiday resort did not differ between party package travellers and ordinary package travellers. Conclusion There may be a small impact of party package travels on young people's drinking. Strategies could be developed used to minimise the harm associated with both party package travel and other kinds of travel where heavy substance use is likely to occur.

  16. Analysis of Urban Expansion of the Resort City of Al Ain Using Remote Sensing and GIS

    Science.gov (United States)

    Issa, S.; Al Shuwaihi, A.

    2009-12-01

    The urban growth of AL Ain city has been investigated using remote sensing data for three different dates, 1972, 1990 and 2000. We used three Landsat images together with socio-economic data in a post-classification analysis to map the spatial dynamics of land use/cover changes and identify the urbanization process in Al Ain resort city, United Arab Emirates. Land use/cover statistics, extracted from Landsat Multi-spectral Scanner (MSS). Thematic Mapper (TM) and Enhanced Thematic Mapper plus (ETM +) images for 1972. 1990 and 2000 respectively, revealed that the built-up area has expanded by about 170.53km2. The city was found to have a tendency for major expansion in four different directions: along the Abu Dhabi highway, along Dubai highway, Myziad direction and Hafeet recreational area. Expansion in any direction was found to be governed by the availability of road network, suitability for construction, utilities, economic activities, geographical constraints, and legal factors (boundary with Sultanate of Oman). The road network in particular has influenced the spatial patterns and structure of urban development, so that the expansion of the built-up areas has assumed an accretive as well as linear growth along the major roads. The research concludes that the development is based on conservation of agricultural areas (oases) and reclamation of the desert for farming and agricultural activities. The integration of remote sensing and GIS was found to be effective in monitoring LULC changes and providing valuable information necessary for planning and research.

  17. Post-crisis Belarus: Marxism and the lender of last resort

    Directory of Open Access Journals (Sweden)

    Heather Bell

    2015-07-01

    Full Text Available Existing literature has examined the predictions and proscriptions of Karl Marx in response to the 2008 global financial crisis. However, the suggestions put forth by the Marxist-leaning literature never took hold and state-level banking and finance policies have remained largely unchanged. While many criticisms of Marxism exist, this paper examines Belarus, a ‘neo-communist’ or ‘market-socialist’ state, to provide a new perspective on the continuation of capitalism in the United States and Europe. In the case of Belarus, the International Monetary Fund and the Eurasian Economic Community's Anti-Crisis Fund provided both the critical liquidity needed to temporarily quell the effects of the financial crisis. Their demands meant that Belarus agreed to speed its move away from the Soviet-era finance and banking policies and more towards its western capitalist neighbors. Its failure to implement these policies further hurt its recovery. Examining Belarus' path to and out of its financial crisis makes apparent that the role of the international lender of last resort (LOLR. The LOLR acts as a key element in protecting states embroiled in the financial crisis from facing the possibility of making the difficult policy changes put forth by the Marxist literature. By ignoring its promises under the loan conditions from its LOLRs, Belarus moved further from the recovery promised by the Marxist suggestions.

  18. Party package travel: alcohol use and related problems in a holiday resort: a mixed methods study.

    Science.gov (United States)

    Hesse, Morten; Tutenges, Sébastien; Schliewe, Sanna; Reinholdt, Tine

    2008-10-07

    People travelling abroad tend to increase their use of alcohol and other drugs. In the present study we describe organized party activities in connection with young tourists' drinking, and the differences between young people travelling with and without organized party activities. We conducted ethnographic observations and a cross-sectional survey in Sunny Beach, Bulgaria. The behaviour of the guides from two travel agencies strongly promoted heavy drinking, but discouraged illicit drug use. Even after controlling for several potential confounders, young people who travelled with such "party package travel agencies" were more likely to drink 12 or more units when going out. In univariate analyses, they were also more likely to get into fights, but were not more likely to seek medical assistance or medical assistance for an accident or an alcohol-related problem. After controlling for confounders, the association between type of travel agency and getting into fights was no longer significant. Short-term consequences of drinking in the holiday resort did not differ between party package travellers and ordinary package travellers. There may be a small impact of party package travels on young people's drinking. Strategies could be developed used to minimise the harm associated with both party package travel and other kinds of travel where heavy substance use is likely to occur.

  19. Resorting the NIST undulator using simulated annealing for field error reduction

    International Nuclear Information System (INIS)

    Denbeaux, Greg; Johnson, Lewis E.; Madey, John M.J.

    2000-01-01

    We have used a simulated annealing algorithm to sort the samarium cobalt blocks and vanadium permendur poles in the hybrid NIST undulator to optimize the spectrum of the emitted light. While simulated annealing has proven highly effective in sorting of the SmCo blocks in pure REC undulators, the reliance on magnetically 'soft' poles operating near saturation to concentrate the flux in hybrid undulators introduces a pair of additional variables - the permeability and saturation induction of the poles - which limit the utility of the assumption of superposition on which most simulated annealing codes rely. Detailed magnetic measurements clearly demonstrated the failure of the superposition principle due to random variations in the permeability in the 'unsorted' NIST undulator. To deal with the issue, we measured both the magnetization of the REC blocks and the permeability of the NIST's integrated vanadium permendur poles, and implemented a sorting criteria which minimized the pole-to-pole variations in permeability to satisfy the criteria for realization of superposition on a nearest-neighbor basis. Though still imperfect, the computed spectrum of the radiation from the re-sorted and annealed NIST undulator is significantly superior to that of the original, unsorted device

  20. Crossing physical simulations of snow conditions and a geographic model of ski area to assess ski resorts vulnerability

    Science.gov (United States)

    François, Hugues; Spandre, Pierre; Morin, Samuel; George-Marcelpoil, Emmanuelle; Lafaysse, Matthieu; Lejeune, Yves

    2016-04-01

    In order to face climate change, meteorological variability and the recurrent lack of natural snow on the ground, ski resorts adaptation often rely on technical responses. Indeed, since the occurrence of episodes with insufficient snowfalls in the early 1990's, snowmaking has become an ordinary practice of snow management, comparable to grooming, and contributes to optimise the operation of ski resorts. It also participates to the growth of investments and is associated with significant operating costs, and thus represents a new source of vulnerability. The assessment of the actual effects of snowmaking and of snow management practices in general is a real concern for the future of the ski industry. The principal model use to simulate snow conditions in resorts, Ski Sim, has also been moving this way. Its developers introduced an artificial input of snow on ski area to complete natural snowfalls and considered different organisations of ski lifts (lower and upper zones). However the use of a degree-day model prevents them to consider the specific properties of artificial snow and the impact of grooming on the snowpack. A first proof of concept in the French Alps has shown the feasibility and the interest to cross the geographic model of ski areas and the output of the physically-based reanalysis of snow conditions SAFRAN - Crocus (François et al., CRST 2014). Since these initial developments, several ways have been explored to refine our model. A new model of ski areas has been developed. Our representation is now based on gravity derived from a DEM and ski lift localisation. A survey about snow management practices also allowed us to define criteria in order to model snowmaking areas given ski areas properties and tourism infrastructures localisation. We also suggest to revisit the assessment of ski resort viability based on the "one hundred days rule" based on natural snow depth only. Indeed, the impact of snow management must be considered so as to propose

  1. Public service obligation in liberalized electricity markets. Who is the provider of last resort?; Jiyuka jidai ni okeru kokyo service gimu. Dare ga last resort kyokyusha to naru k

    Energy Technology Data Exchange (ETDEWEB)

    Maruyama, M. [Central Research Inst. of Electric Power Industry, Tokyo (Japan)

    2000-03-01

    Electric power is an asset indispensable to the modern society, and it is needed to secure the universal service. The universal service has been secured by obliging the existing electric utilities operators to supply electric power. However, since the systematical reform in the electric utility business extends down to the liberalization in the retailing sector, it becomes impossible to oblige electric power supply service to supply the same as conventionally. Even under these circumstances, to continuously secure the universal service, a method is considered for obliging special suppliers (last resort suppliers) to supply electric power to users who are unable to be supplied from anyone. This paper studies who should be the last resort supplier using mainly samples from the U.S. (translated by NEDO)

  2. The return of the property question in the development of Alpine tourist resorts in Switzerland

    Directory of Open Access Journals (Sweden)

    Christophe Clivaz

    2010-09-01

    Full Text Available This contribution demonstrates how the issues and current problems regarding real estate management in Swiss Alpine tourist resorts emerge, for an important part, from the inconsistencies of the Federal land management system set in place at the end of the 1970s, system based on zoning scheme and excluding virtually any estate instrument, including the capital-gain levy. In these very favourable conditions for landowners, who also see land ownership strengthened by its introduction in the Federal Constitution at the end of the 1960s, the "growth coalitions" structuring the local power in many tourist towns usually planned oversized building areas (and often badly located which have facilitated the development of second homes industry to the detriment of productive estate home industry. Faced with the failure of planning and zoning to limit these trends whose negative effects on the development of tourism seriously begin to be felt in the 1990s, we encounter, now in recent years, the post-eradication of the real estate question in discussions concerning the development of tourist resorts particularly in implementing real estate instruments, such as quota systems, moratoriums or taxes, intervening so much more directly than only zoning on land and real estate owners, contingency arrangements initially excluded from spatial planning policy.Cette contribution montre dans quelle mesure les enjeux et les problèmes actuels en matière de gestion foncière et immobilière dans les stations touristiques des Alpes suisses découlent pour une part importante des incohérences du régime fédéral de l’aménagement du territoire mis en place à la fin des années 1970, régime fondé sur le zonage et excluant quasiment tout instrument foncier, notamment le prélèvement de la plus-value. Dans ces conditions très favorables aux propriétaires fonciers, qui voient par ailleurs la garantie de la propriété foncière encore renforcée par son inscription

  3. Resorting to the Federal Constitutional Court against the atomic energy act consequences of events in Japan

    International Nuclear Information System (INIS)

    Schneider, Horst

    2011-01-01

    When the CDU/CSU-FDP coalition, which had won the federal elections, prepared the amendment to the Atomic Energy Act as announced in the election campaign, i.e. extend the operating life of nuclear power plants in Germany, the political opposition considered resorting to the Federal Constitutional Court. Several legal opinions were commissioned by federal states and other opposition groups with the intention, above all, to obtain confirmation of the need for consent to any plant life extension. Private persons filed complaints for unconstitutionality against the amendment to the Atomic Energy Act. Several federal states followed suit by filing proceedings for judicial review of the constitutionality of the amendment because of the missing consent of the Federal Council, and more than 210 Members of Parliament of SPD and Alliance 90/the Greens filed for judicial review of constitutionality listing as violations of the Constitution the missing approval by the Federal Council, insufficient safety standards, and the reduction of safety requirements. The Federal Constitutional Court has not yet continued proceedings by requesting comments mainly from the federal government, the federal states, and the nuclear power plant operators. What consequences, if any, are drawn from the events in Japan after the earthquake and the tsunami of March 11, 2011 for the operation of German nuclear power plants and worldwide cannot yet be assessed. In Germany, the anti-nuclear debate was triggered immediately in the absence of any exact knowledge of technical safety events and causes at the Fukushima nuclear power plant. International reactions in politics or by competent authorities turned out to be less pointed than in Germany. (orig.)

  4. MODELING AND STRUCTURING OF ENTERPRISE MANAGEMENT SYSTEM RESORT SPHERE BASED ON ELEMENTS OF NEURAL NETWORK THEORY: THE METHODOLOGICAL BASIS

    Directory of Open Access Journals (Sweden)

    Rena R. Timirualeeva

    2015-01-01

    Full Text Available The article describes the methodology of modeling andstructuring of business networks theory. Accounting ofenvironmental factors mega-, macro- and mesolevels, theinternal state of the managed system and the error management command execution by control system implemented inthis. The proposed methodology can improve the quality of enterprise management of resort complex through a moreflexible response to changes in the parameters of the internaland external environments.

  5. Habitat Dan Perilaku Kangkareng Perut-putih (Anthracoceros Albirostris Convexus Temm. 1832) Di Resort Rowobendo Tn Alas Purwo

    OpenAIRE

    Tarigan, Salvionita BR; Hernowo, Jarwadi Budi

    2016-01-01

    Oriental pied hornbill (Anthracoceros albirostris) is one of hornbill spesies (Bucerotidae) that protected in Indonesia based on Goverment Regulation No. 7/1999. The habitat of oriental pied hornbillin Resort Rowobendo Alas Purwo National Park (APNP) are natural forest and mixed forest plantation. The characteristic of the bird feeding site is a fruiting tree with a thick meat with the shaped is an oval, thin rind, soft, and contain more water and has sweet taste. The characteristic for the b...

  6. HABITAT DAN PERILAKU KANGKARENG PERUT-PUTIH (Anthracoceros albirostris convexus Temm. 1832) DI RESORT ROWOBENDO TN ALAS PURWO

    OpenAIRE

    Salvionita BR Tarigan; Jarwadi Budi Hernowo

    2017-01-01

    Oriental pied hornbill (Anthracoceros albirostris) is one of hornbill spesies (Bucerotidae) that protected in Indonesia based on Goverment Regulation No. 7/1999. The habitat of oriental pied hornbillin Resort Rowobendo Alas Purwo National Park (APNP) are natural forest and mixed forest plantation. The characteristic of the bird feeding site is a fruiting tree with a thick meat with the shaped is an oval, thin rind, soft, and contain more water and has sweet taste. The characteristic for the b...

  7. Job Satisfaction Levels of Employees in Hotel Establisments: A Research on Employees in Resort and City Hotel Establishments

    Directory of Open Access Journals (Sweden)

    Elbeyi Pelit

    2010-03-01

    Full Text Available No matter in which sector they function, the job satisfaction of the employees at desired level has the utmost importance for the employees’ performance and organizational efficiency. In this respect, applications and studies related to defining job satisfaction and the factors affecting job satisfaction also have importance for establishments to provide data sources to perfrom their functions in the long term. For this reason, establishments should revise their employees’ job satisfaction levels at times. Especially the issue is much more significant for labour-intensive hotel establishments. In this context, to determine the job satisfaction levels of the city and resort employees in hotel establishments ,this research is carried on 1854 employees employed at 114 five-star hotels in city and resort areas of Turkey using “Minnesota Job Satisfaction Scale” to collect data. It is concluded that the employees whose job satisfaction is measured by questionnaires are not satisfied with such issues as the wage, making their own decisions, company policies and promotion opportunities. In the further analyses performed (independent-samples t test and ANOVA, it is found out that the job satisfaction level of the employees working in resort hotel establishments is higher than the employees working in the ciy hotel establishments. In addition this, it is found out that there are some differences between the job satisfaction level and education level of the employees.

  8. Landscape Potential Analysis for Ecotourism Destination in the Resort Ii Salak Mountain, Halimun-Salak National Park

    Science.gov (United States)

    Kusumoarto, A.; Gunawan, A.; Nurazizah, G. R.

    2017-10-01

    The Resort II Salak Mountain has variety of landscape potential for created as ecotourism destination, especially the potential of the waterfall (curug) and sulphur crater (Kawah Ratu). The aim of this study was to identify and analyze the potential resources of the landscape to be created as ecotourism destination, Resort II Salak Mountain. This research was conducted through two phases: 1) identification of the attractions location that have potential resources for ecotourism destination, and 2) analysis of the level of potential resource of the landscape in each location using Analysis of Tourist Attraction Operational Destination (ATAOD). The study showed Resort II Salak Mountain has many ecotourism objects which have been used for ecotourism activities, such as hot spring baths, Curug Cigamea, Curug Ngumpet, Curug Seribu, Curug Pangeran, Curug Muara, Curug Cihurang, Kawah Ratu, camping ground, Curug Kondang and Curug Alami. The location of all waterfalls -curug, spread widely in the core zone for ecotourism. In the other hand, camping ground is located in the business zone, while Kawah Ratu is located in the natural forest, which is included in the buffer zone of Halimun-Salak National Park (HSNP). The result showed that the ecotourism objects with the highest potential value are Kawah Ratu, Curug Seribu, Curug Muara, Curug Kondang and Curug Ngumpet.

  9. Untreated urban waste contaminates Indian river sediments with resistance genes to last resort antibiotics.

    Science.gov (United States)

    Marathe, Nachiket P; Pal, Chandan; Gaikwad, Swapnil S; Jonsson, Viktor; Kristiansson, Erik; Larsson, D G Joakim

    2017-11-01

    waste can contribute to an overall increase of the abundance and diversity of ARGs in the environment, including those conferring resistance to last-resort antibiotics. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development

    Directory of Open Access Journals (Sweden)

    Neil E. Klepeis

    2016-01-01

    Full Text Available Most casinos owned by sovereign American Indian nations allow smoking, even in U.S. states such as California where state laws restrict workplace smoking. Collaborations between casinos and public health workers are needed to promote smoke-free policies that protect workers and patrons from secondhand tobacco smoke (SHS exposure and risks. Over seven years, a coalition of public health professionals provided technical assistance to the Redding Rancheria tribe in Redding, California in establishing a smoke-free policy at the Win-River Resort and Casino. The coalition provided information to the casino general manager that included site-specific measurement of employee and visitor PM2.5 personal exposure, area concentrations of airborne nicotine and PM2.5, visitor urinary cotinine, and patron and staff opinions (surveys, focus groups, and a Town Hall meeting. The manager communicated results to tribal membership, including evidence of high SHS exposures and support for a smoke-free policy. Subsequently, in concert with hotel expansion, the Redding Rancheria Tribal Council voted to accept a 100% restriction of smoking inside the casino, whereupon PM2.5 exposure in main smoking areas dropped by 98%. A 70% partial-smoke-free policy was instituted ~1 year later in the face of revenue loss. The success of the collaboration in promoting a smoke-free policy, and the key element of air quality feedback, which appeared to be a central driver, may provide a model for similar efforts.

  11. Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development.

    Science.gov (United States)

    Klepeis, Neil E; Dhaliwal, Narinder; Hayward, Gary; Acevedo-Bolton, Viviana; Ott, Wayne R; Read, Nathan; Layton, Steve; Jiang, Ruoting; Cheng, Kai-Chung; Hildemann, Lynn M; Repace, James L; Taylor, Stephanie; Ong, Seow-Ling; Buchting, Francisco O; Lee, Juliet P; Moore, Roland S

    2016-01-20

    Most casinos owned by sovereign American Indian nations allow smoking, even in U.S. states such as California where state laws restrict workplace smoking. Collaborations between casinos and public health workers are needed to promote smoke-free policies that protect workers and patrons from secondhand tobacco smoke (SHS) exposure and risks. Over seven years, a coalition of public health professionals provided technical assistance to the Redding Rancheria tribe in Redding, California in establishing a smoke-free policy at the Win-River Resort and Casino. The coalition provided information to the casino general manager that included site-specific measurement of employee and visitor PM2.5 personal exposure, area concentrations of airborne nicotine and PM2.5, visitor urinary cotinine, and patron and staff opinions (surveys, focus groups, and a Town Hall meeting). The manager communicated results to tribal membership, including evidence of high SHS exposures and support for a smoke-free policy. Subsequently, in concert with hotel expansion, the Redding Rancheria Tribal Council voted to accept a 100% restriction of smoking inside the casino, whereupon PM2.5 exposure in main smoking areas dropped by 98%. A 70% partial-smoke-free policy was instituted ~1 year later in the face of revenue loss. The success of the collaboration in promoting a smoke-free policy, and the key element of air quality feedback, which appeared to be a central driver, may provide a model for similar efforts.

  12. Snowmaking in ski resorts: spatial decision support for management of snowpack

    Science.gov (United States)

    Loubier, Jean-Christophe; Kanevski, Mikhail; Doctor, Marut; Schumacher, Michael; Timonin, Vadim

    2010-05-01

    Since the early 2000s, the question of snowmaking that ensures activity in ski areas is controversial, because solutions to face climate change and sustainable development seem to be opposed to the economical needs of winter tourism. Actually, according to the Advisory Body on Climate Change (OCCC), we can expect an average rise of the limit of 0 degrees to 360 m in 2050. The application of the rule of 100 days (30 cm of snow for 100 days) shows that 1 ° increase in temperature reduced by 20% the number of viable skiing areas. Snowmaking seems thus to be a solution for continuing an optimal economical usage of the ski resorts. The usage of machine-made snow raises environmental issues which can no longer be denied. [Badre et al.2009] However, these issues should not be disconnected from local economic specificities of the high mountain valleys, where the ski economy is critical. This paper presents a study at the economic-environmental interface. The aim is to develop a tool for managing the production of artificial snow, with the goal to: • Reduce production costs and improve profit margins of companies operating ski areas; • Reduce environmental impacts by an optimized snow production "just in time". In this way, water and energy needs will be reduced. The problem of managing the snow is a highly complex problem: it cannot be solved analytically. Indeed, changes in height of snow are subject to intakes of snow (natural or manufactured) associated with changing weather conditions and the impact of skiers. Therefore, the work presented in this paper has chosen a probabilistic approach in a simulation using neural networks to predict and to manage snow height. We do this in two points: • We measure snowpack heights with radars mounted on grooming machines; • We produce a snow cover prediction in relation with weather prediction using a neuron network. This neural approach thus deals with the spatial prediction of snow cover [Kanevski et al., 2009] The

  13. Spatial Analysis of the Effects of the Anomalous Winter of 2014/15 on 157 Ski Resorts Located in Western North America

    Science.gov (United States)

    Bahbahani, K. M.; Pidwirny, M. J.

    2017-12-01

    The winter of 2014/2015 was one of the warmest in recent history for many locations in western North America. The cause of this climate irregularity was the development of extremely warm ocean surface waters (The Blob) over much of the eastern North Pacific Ocean. During this winter season, many ski resorts in western Canada and the United States either did not open or were forced to close their ski season early. Here, we examine climate data from 157 ski resorts to develop a picture of where the effected locations were in western North America. Using the climate database software ClimateBC and ClimateNA, high quality downscaled historical data was generated for the winter season (December, January, and February) for the variables mean temperature, snowfall, and rainfall. Values for winter of 2014/15 were statistically compared to the 30-year normal period from 1981-2010. Z-scores were calculated for 2014/15 relative to the selected 30-year normal period. These Z-score values were then mapped using ArcGIS. From the mean winter temperature map, it is apparent that abnormally warm temperatures influenced many ski resorts in California, Nevada, western Oregon, Washington, Arizona, Utah, southern Idaho, and parts of southern British Columbia. The winter snowfall map shows anomalous below normal conditions only at two resorts in south-central British Columbia and a single above normal situation at one site in central Colorado. The winter rainfall map displays that many ski resorts in New Mexico, Arizona, southern Utah, Colorado, Wyoming, Montana, Idaho, western Washington, and southwestern British Columbia experienced exceptional above normal winter season rainfalls. It is highly likely that the next Blob will be forecasted many months in advance of its occurrence. The results of this study have identified which ski resorts could be climatically influenced by such an event. This information may help reduce potential financial losses to ski resorts and their associated

  14. Municipal solid waste generation rates and its management at Yusmarg forest ecosystem, a tourist resort in Kashmir.

    Science.gov (United States)

    Bhat, Rouf Ahmad; Nazir, Rumisa; Ashraf, Samia; Ali, Mudasir; Bandh, Suhaib A; Kamili, Azra N

    2014-02-01

    The present study was carried out at Yusmarg, a forest ecosystem and tourist resort, in the Kashmir valley during 2012 with the objectives of determining the municipal solid waste (MSW) generation rates per capita and on a daily basis, and assessing the existing MSW system. It was estimated that daily generation of MSW at Yusmarg by tourists, as well as residents, was 107.74 kg; on average, the MSW generated at each site was about 36.48 kg/day. The per capita generation of MSW was highest (0.97 kg/person/day) at site 1 followed by 0.288 kg/person/day at site 2 and 0.201 kg/person/day at site 3, with an average per capita MSW generation rate of 0.484 kg/person/day. Manual segregation of the collected wastes showed that it comprised some recyclable, combustible, compostable and inert materials. Among the different waste categories, 56% of waste was recyclable materials, 29% was compostable wastes, 9% was combustible wastes and 6% was inert materials. The present study infers that MSW management in Yusmarg was inappropriate, and infrastructure, skilled manpower and a proper scientific disposal mechanism is lacking in the area. In order to conserve the forest wealth of the area there is a great need to focus on the solid waste problem of the tourist resort.

  15. In-stream nutrient uptake kinetics along stream size and development gradients in a rapidly developing mountain resort watershed

    Science.gov (United States)

    Covino, T.; McGlynn, B.; McNamarra, R.; Gardner, K.

    2012-04-01

    Land use / land cover (LULC) change including mountain resort development often lead to increased nutrient loading to streams, however the potential influence on stream ecosystem nutrient uptake kinetics and transport remain poorly understood. Given the deleterious impacts elevated nutrient loading can have on aquatic ecosystems, it is imperative to improve understanding of nutrient retention capacities across stream scales and watershed development intensities. We performed seventeen nutrient addition experiments on six streams across the West Fork Gallatin Watershed, Montana, USA, to quantify nitrogen (N) uptake kinetics and retention dynamics across stream sizes (1st to 4th order) and along a mountain resort development gradient. We observed that stream N uptake kinetics and spiraling parameters varied across streams of different development intensity and scale. In more developed watersheds we observed a fertilization affect, however, none of the streams exhibited saturation with respect to N. Additionally, we observed that elevated loading led to increased biomass and retentive capacities in developed streams that helped maintain export at low levels during baseflow. Our results indicate that LULC can enhance in-stream uptake of limiting nutrients and highlight the value of characterizing uptake kinetic curves from ambient to saturation.

  16. Upper limb training using Wii Sports Resort for children with hemiplegic cerebral palsy: a randomized, single-blind trial.

    Science.gov (United States)

    Chiu, Hsiu-Ching; Ada, Louise; Lee, Hsin-Min

    2014-10-01

    To investigate whether Wii Sports Resort training is effective and if any benefits are maintained. Randomized, single-blind trial. Sixty-two hemiplegic children with cerebral palsy (6-13 years). Experimental group undertook six weeks of home-based Wii Sports Resort training plus usual therapy, while the control group received usual therapy. Outcomes were coordination, strength, hand function, and carers' perception of hand function, measured at baseline, six, and 12 weeks by a blinded assessor. There was a trend of mean difference (MD) for the experimental group to have more grip strength by six (MD 4.0 N, 95% confidence interval (CI) -0.8 to 8.8, p = 0.10) and 12 (MD 4.1 N, 95% CI -2.1 to 10.3, p = 0.19) weeks, and to have a higher quantity of hand function according to carers' perception by six (MD 4.5 N, 95% CI -0.7 to 9.7, p = 0.09) and strengthened by 12 (MD 6.4, 95% CI 0.6 to 12.3, p = 0.03) weeks than the control group. There was no difference between groups in coordination and hand function by six or 12 weeks. Wii training did not improve coordination, strength, or hand function. Beyond the intervention, carers perceived that the children used their hands more. © The Author(s) 2014.

  17. Operators’ Improvisation in Complex Technological Systems: The Last Resort to Averting an Assured Disaster

    International Nuclear Information System (INIS)

    Meshkati, N.

    2016-01-01

    normal function” of tightly coupled technological systems is to operate on the boundary to loss of control. That is, people are involved in a dynamic and continuous interaction with failure and hazard (Rasmussen, 1989). Thus, “touching the boundary to loss of control is necessary (e.g., for dynamic “speed-accuracy” trade-offs)” (Rasmussen, Pejtersen, & Goodstein, 1994). This is a rapidly changing environment, and in order to survive it, the system should be able to respond in a safe and effective manner. Occasionally, it may require an improvised response from the operator(s), but it should certainly be coordinated and in concert with others’ activities and stay within the boundaries of acceptable work performance (Rasmussen, 1989). Otherwise, it would be just noise in the control of the system and could lead to errors. It must also be able to flexibly reconfigure and synchronize all of its system elements to address the threatening issues. The brining the four nuclear reactors at the Fukushima Daini plant to the cold shut down, after the Tōhoku earthquake, tsunami and station black out of March 11, 2011, was nothing short of a miracle. The heroic act of a dedicated group of human operators, who went out of their way and by encountering multiple sources of hazard and harm, taking personal risk, and by relying on their ingenuity, teamwork, and dedication despite all odds, brought all four reactors to cold shutdown and consequently averted the second assured nuclear disaster in Fukushima prefecture with serious implications for travelling fallouts to Tokyo and its subsequent evacuation. The Superintendent of the Fukushima Daini Nuclear Power Station, Mr. Naohiro Masuda, and his operators resorted to improvisation to save the day after experiencing station black out; and their improvised acts are too numerous to mention. Nevertheless, the most memorable noteworthy ones include, “flexibly applying EOPs” and “Temporary cable of 9 km length was laid by about 200

  18. The Year Without a Ski Season: An Analysis of the Winter of 2015 for Three Ski Resorts in Western Canada Using Historical and Simulation Model Forecasted Climate Data

    Science.gov (United States)

    Pidwirny, M. J.; Goode, J. D.; Pedersen, S.

    2015-12-01

    The winter of 2015 will go down as "the year without a ski season" for many ski resorts located close to the west coast of Canada and the USA. During this winter season, a large area of the eastern North Pacific Ocean had extremely high sea surface temperatures. These high sea surface temperatures influenced weather patterns on the west coast of North America producing very mild temperatures inland. Further, in alpine environments precipitation that normally arrives in the form of snow instead fell as rain. This research examines the climate characteristics of the winter of 2015 in greater detail for three ski resorts in British Columbia, Canada: Mount Washington, Cypress Mountain and Hemlock Valley. For these resorts, historical (1901 to 2013) and IPCC AR5 climate model forecasted climate data (RCP8.5 for 2025, 2055, and 2085) was generated for the variable winter degree days climate database ClimateBC. A value for winter degree days climate data at nearby meteorological stations for comparative analysis. For all three resorts, the winter of 2015 proved to be warmer than any individual year in the period 1901 to 2013. Interpolations involving the multi-model ensemble forecast means suggest that the climate associated with winter of 2015 will become the average normal for these resorts in only 35 to 45 years under the RCP8.5 emission scenario.

  19. Impact of Climate Change on Natural Snow Reliability, Snowmaking Capacities, and Wind Conditions of Ski Resorts in Northeast Turkey: A Dynamical Downscaling Approach

    Directory of Open Access Journals (Sweden)

    Osman Cenk Demiroglu

    2016-04-01

    Full Text Available Many ski resorts worldwide are going through deteriorating snow cover conditions due to anthropogenic warming trends. As the natural and the artificially supported, i.e., technical, snow reliability of ski resorts diminish, the industry approaches a deadlock. For this reason, impact assessment studies have become vital for understanding vulnerability of ski tourism. This study considers three resorts at one of the rapidly emerging ski destinations, Northeast Turkey, for snow reliability analyses. Initially one global circulation model is dynamically downscaled by using the regional climate model RegCM4.4 for 1971–2000 and 2021–2050 periods along the RCP4.5 greenhouse gas concentration pathway. Next, the projected climate outputs are converted into indicators of natural snow reliability, snowmaking capacity, and wind conditions. The results show an overall decline in the frequencies of naturally snow reliable days and snowmaking capacities between the two periods. Despite the decrease, only the lower altitudes of one ski resort would face the risk of losing natural snow reliability and snowmaking could still compensate for forming the base layer before the critical New Year’s week. On the other hand, adverse high wind conditions improve as to reduce the number of lift closure days at all resorts. Overall, this particular region seems to be relatively resilient against climate change.

  20. Wetlands and ski resorts in the French Alps: main issues and innovative ideas for the preservation of wetlands in ski areas

    Science.gov (United States)

    Gaucherand, S.; Evette, A.; François, H.; Paccard, P.; Perretier, C.; Wlerick, L.

    2009-04-01

    This presentation is a synthesis of a symposium held last October in Cemagref, Grenoble with contributions from scientists as well as lift operators, NGO's, and administrations. In the context of global change, ski resorts must rethink their development models. The diversification of the touristic offer is encouraged and the specificity of the mountain territory is at the heart of a sustainable development. In this context, the preservation of interesting and fragile habitats such as wetlands is topical. Wetlands have many recognized functions: flooding reduction, water remediation, fertilization, biodiversity conservation… In mountain areas, wetlands are small and scattered. They are of special interest in particular for their role in biodiversity conservation and for their cultural and recreational benefits. However, in ski areas, wetlands can interact with the ski activity. Indeed, wetlands can speed up snow melting in spring and they often occupy ledges, which are strategic positions for the establishment of ski resort's facilities. The development of ski resorts can lead to the destruction or the deterioration of wetlands because of hydrologic interferences, fill in, pollution, etc. However, a few judicious steps can be taken to reduce or suppress these negative effects. In the Alps, geographical and administrative tools have been developed to help the decisions of ski-resort's administrators. Meetings between lift-operators, administrators of protected areas scientists and NGO's have also proved efficient when done at an early stage of a project, as shown by the example of the ski-resort "Les Saisies".

  1. An Analysis of the Influencing Factors of Customer Retention in Tourism Resort Industry: A Case Study of Lingnan Impression Park, Guangzhou, China

    Directory of Open Access Journals (Sweden)

    Li Li

    2014-09-01

    Full Text Available The customer retention is an important factor in today’s increasingly tourism competitive markets which should be concerned seriously. At present, many academic customer retention researches mostly focused on the business market research in the hotel industry. In view of the tourism resort, especially the urban cultural themes attraction, analyzing the influencing factors of customer retention in such resort has its special significance. The aim of this study is to empirically explore the relationship among the cultural attractive, attraction operation, promotion strategy and tourist costs on customer retention in the urban cultural themes attraction. A quantitative research method was adopted to collect empirical data from the case study of Lingnan Impression Park, Guangzhou, China and the analysis of the influencing factors base on the integrated research approach for the urban cultural themes resort. The results indicate what extent these individual factors can have an impact on customer retention is beneficial for the resort marketing practices and several strategies are suggested about improving the degree of the customer retention to the urban cultural themes resorts in China.

  2. Restaurant-based intervention to facilitate healthy eating choices and the identification of allergenic foods at a family-oriented resort and a campground.

    Science.gov (United States)

    Tarro, Lucia; Aceves-Martins, Magaly; Tiñena, Yolanda; Parisi, Joan Lluís; Blasi, Xavier; Giralt, Montse; Llauradó, Elisabet; Solà, Rosa

    2017-05-05

    Restaurant-based interventions can be an enjoyable way to encourage healthier eating choices by all members of a family. Thus, the principal aims of this study were a) to promote healthy diets by increasing healthy food offerings and b) to increase the number of foods offered specifically as gluten-free and lactose-free and to inform patrons by including nutritional and allergen information that complies with Regulation 1169/2011 regarding the food served in restaurants, takeaways and snack bars. A restaurant-based intervention was implemented at 16 food establishments at 2 resorts (the Cambrils Park Resort and Camping Sangulí, Spain, from 2014 to 2015) based on the following 4 components: 1) providing nutritional and allergen analyses of the offered dishes, 2) increasing the number of healthy food choices, 3) identifying menu items associated with allergies and intolerance, and 4) training staff on healthy eating and allergens. Customer satisfaction regarding food aspects was assessed using surveys (10-point scale). Both resorts significantly increased their offerings of healthy dishes (28.6% to 44.7%; P = 0.003) and desserts with fruit (20% to 51.3%; P = 0.013), thus obtaining the Spanish Government's Mediterranean Diet certification. Additionally, both resorts obtained Catalan Celiac Association certification. Moreover, both resorts significantly increased their percentages of gluten-free dishes (2.1% to 50.5%; P restaurant-based intervention expanded the number of healthy and allergen-free foods offered in a family-oriented holiday resort environment to encourage healthy food choices, resulting in increased customer satisfaction.

  3. O software de gestão hoteleira em resorts: o caso do Complexo Bávaro do Grupo Iberostar

    OpenAIRE

    Ferreiro, Sofia Borges

    2010-01-01

    No capítulo I aborda-se a estratégia hoteleira adoptada por hotéis para que se compreenda a perspectiva e visão de uma adequada e estratégica gestão hoteleira. Para isso, é necessário distinguir dois diferentes tipos de hotéis existentes no mercado hoteleiro, nomeadamente os hotéis de cidade e hotéis de resort. A partir das respectivas caracterizações e enquadramentos em ambientes distintos, percebe-se agora as necessidades específicas de cada um para uma aplicação de software apropriada e ad...

  4. Party package travels impact on alcohol use and related problems in a holiday resort - a mixed methods study

    DEFF Research Database (Denmark)

    Hesse, Morten; Tutenges, Sébastien; Schliewe, Sanna

    2008-01-01

    Background People travelling abroad tend to increase their use of alcohol and other drugs. In the present study we describe organized party activities in connection with young tourists' drinking, and the differences between young people travelling with and without organized party activities...... travelled with such "party package travel agencies" were more likely to drink 12 or more units when going out. In univariate analyses, they were also more likely to get into fights, but were not more likely to seek medical assistance or medical assistance for an accident or an alcohol-related problem. After...... controlling for confounders, the association between type of travel agency and getting into fights was no longer significant. Short-term consequences of drinking in the holiday resort did not differ between party package travellers and ordinary package travellers. Conclusions There may be a small impact...

  5. Critical Factors Influencing Viability of Wave Energy Converters in Off-Grid Luxury Resorts and Small Utilities

    Directory of Open Access Journals (Sweden)

    Aksel Botne Sandberg

    2016-12-01

    Full Text Available This paper examines technical and non-technical factors that are critical to the viability of commercialization of wave energy converters in off-grid luxury resorts and small utilities. Critical factors are found by investigating Levelized Cost of Energy, and using the tools PESTEL and Porter’s five competitive forces. Identified factors are then applied on three business cases to investigate their impact on viability. The results show that one of the main challenges facing off-grid commercialization is the few wave energy converter units installed per location, negating the economy of scale that large wave energy farms count on to achieve competitive cost levels. In addition, factors like current cost of energy, available wave resources, distance from shore, infrastructure, supply chain logistics, and electricity demand are found to be deciding factors for viability. Despite these challenges, it is found that there are potentially viable off-grid business cases for commercialization of wave energy converters.

  6. Thermal and mineral resource exploitation in Angaco department, province of San Juan, Argentina, as therapeutic and recreational resort area

    International Nuclear Information System (INIS)

    Herrera, M.; Martinez Iillanes, S.; Luccato, M; Herrera, C.

    2007-01-01

    In this paper the development of the Guayaupa thermal and mineral spring water intended as therapeutic and recreational resort area is presented. This area is located on the western piedmont of the Pie de Palo range, Department of Angaco, province of San Juan. From the analysis of the information related to geological, hydrogeological, hydrochemical, location, accessibility and climate aspects and also to the processing of the Landsat Tms satellite images to evaluate the geomorphologic and flora features an ordered diagnosis of the organization internal reality and its relation with the environment (FODA analysis) is presented. Internal strengths and weaknesses and the external factors that generate both opportunities and/or hazards were identified to define strategy guidelines that meet the legal and environmental standards in force. Results obtained from the strategic planning process conclude the availability and convenience of the project.(author)

  7. Air and wet bulb temperature lapse rates and their impact on snowmaking in a Pyrenean ski resort

    Science.gov (United States)

    López-Moreno, Juan Ignacio; Navarro-Serrano, F.; Azorín-Molina, C.; Sánchez-Navarrete, P.; Alonso-González, E.; Rico, I.; Morán-Tejeda, E.; Buisan, S.; Revuelto, J.; Pons, M.; Vicente-Serrano, S. M.

    2018-03-01

    A set of 17 air temperature and relative humidity sensors were used to analyze the temporal variability of surface air temperature (Tair), wet bulb temperature (Twb), and daily snowmaking hours (SM, number of hours per day with Twb identical temporal fluctuations. The Twb exhibited average lapse rates that were slightly steeper (- 5.2 °C/km) than those observed for Tair (- 4.9 °C/km). The less steep lapse rates and most thermal inversions were observed in December. Days having less (more) steep Tair and Twb lapse rates were observed under low (high) wind speeds and high (low) relative humidity and air pressure. The temporal dynamics of the SM lapse rates was more complex, as this involved consideration of the average Tair in the ski resort, in addition to the driving factors of the spatio-temporal variability of Twb. Thus, on a number of cold (warm) days, snowmaking was feasible at all elevations at the ski resort, independently of the slopes of the lapse rates. The SM exhibited an average daily lapse rate of 8.2 h/km, with a progressive trend of increase from December to March. Weather types over the Iberian Peninsula tightly control the driving factors of the Tair, Twb, and SM lapse rates (wind speed, relative humidity, and Tair), so the slopes of the lapse rates and the frequency of inversions in relation to elevation for the three variables are very dependent on the occurrence of specific weather types. The less steep lapse rates occurred associated with advections from the southeast, although low lapse rates also occurred during advections from the east and south, and under anticyclonic conditions. The steepest Tair and Twb lapse rates were observed during north and northwest advections, while the steepest rates for SM were observed during days of cyclonic circulation and advections from the northeast.

  8. CURRENT STATE OF RESISTANCE TO ANTIBIOTICS OF LAST-RESORT IN SOUTH AFRICA: A REVIEW FROM A PUBLIC HEALTH PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    JOHN OSEI SEKYERE

    2016-09-01

    Full Text Available A review of the literature was undertaken to delineate the current level and mechanisms of resistance to carbapenems, colistin and tigecycline in South Africa. Thirty-two English publications and 32 National Institute of Communicable Diseases (NICD communiqués identified between early January 2000 and 20th May, 2016 showed substantial reports of NDM (n=860, OXA-48 (n=584, VIM (n=131 and IMP (n=45 carbapenemases within this period, mainly in Klebsiella pneumoniae (n=1138, Acinetobacter baumannii (n=332, Enterobacter cloacae (n=201 and Serratia marcescens (n=108. Colistin and tigecycline resistance was prevalent among K. pneumoniae, A. baumannii, S. marcescens and E. cloacae. The first mcr-1 colistin resistance gene to be detected in South Africa was reported in E. coli from livestock as well as from hospitalized and out patients. There are increasing reports of NDM and OXA-48 carbapenemases among Enterobacteriaceae and A. baumannii in South Africa. Mcr-1 is now present in South African patients and livestock. Resistance to carbapenems, colistin and tigecycline restricts infection management options for clinicians.

  9. Development and testing of electrical powered vehicles of the moped-class in spa and health resorts. Final report

    International Nuclear Information System (INIS)

    Knoll, M.; Manthey, A.

    1992-04-01

    Aim of the project was to study which contribution electrical powered vehicles of the moped-class can make to reduce noise and air pollution. In the pilot towns Bad Reichenhall and Bad Duerrheim the vehicles were integrated into traffic plans by giving the users advantages. The testing procedure included the suitability for everyday use, the acceptance by users and an environmently balance concerning energy consumption and air pollution in comparison with the mopeds with combustion engines. Efforts of building a solar infrastructure were started. (orig./HW) [de

  10. Sexual behaviour among casual workers in an international nightlife resort: a case control study

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    Bellis Mark A

    2006-02-01

    Full Text Available Abstract Background Young holidaymakers report increased sexual risk-taking abroad, yet little is currently known about the sexual behaviour of those who extend time abroad through casual work. Methods Information on sexual behaviour was collected via an anonymous questionnaire administered to British bar and nightclub workers in Ibiza (cases, n = 92 and British people visiting Ibiza for holiday purposes only (controls, n = 868. Results Four in five (80.5% cases who arrived in Ibiza without a partner had sex during their stay and of these two thirds (65.5% had unprotected sex. Cases were more likely to report sexual risk-taking in Ibiza than controls and reported greater numbers of sexual partners prior to their visit. However, they had fewer sexual partners per week of stay. Conclusion Casual workers in bars and nightclubs abroad are a key risk group for sexual health and a potential conduit for the international spread of sexually transmitted infections. While they are an important target group for sexual health promotion, appropriately trained they are also ideally placed to deliver sexual health interventions to other young travellers.

  11. The emergency department as a 'last resort': why parents seek care for their child's nontraumatic dental problems in the emergency room.

    Science.gov (United States)

    Mostajer Haqiqi, Azadeh; Bedos, Christophe; Macdonald, Mary Ellen

    2016-10-01

    Over the last two decades, there has been an increasing trend in the number of families using emergency departments (EDs) for treating their children's nontraumatic dental problems. We do not know why families use the ED in this way; to date, little research has addressed parents' decisions. The purpose of this study was to explore the reasons that lead parents to select the ED over a dental clinic for their child's nontraumatic dental problem. Using a qualitative descriptive design, we conducted semi-structured interviews with parents of children under age 10 who sought care for nontraumatic dental problems in an ED of a pediatric hospital. The interviews were audio-recorded, transcribed, and coded for thematic analysis using Grembowski's dental care process model as a sensitizing construct. Fifteen parents were recruited (ten mothers and five fathers). Three salient themes were identified: (i) parental beliefs and socioeconomic challenges which contributed to their care seeking, (ii) barriers parents faced in finding oral healthcare options for their children in their communities (e.g., poor access to care and poor quality of care), and (iii) parent's high satisfaction with the care provided through the ED. The ED was families' last resort; parents took their child to the ED because of the lack of other options in their communities rather than a belief that the ED was the best choice for dental care. The current pattern of ED use resulted in stress for these parents and repercussions for the children (e.g., pain, longer waiting, and increased complications); further, it has been shown in the literature to be an economic strain on the health system. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. [Quality management in a combined clinic - the quality management system according to DIN EN ISO 9001 of the The German Association of Spa Accommodation Resorts e. V. (VdKB)].

    Science.gov (United States)

    Eckert, H; Schulze, U

    2004-06-01

    The implementation of a quality system in health care organizations offers huge potentials for improvement and development. But the realization of such systems necessitates high investments, which small companies and family businesses often are unable to raise. The German Association of Spa Accommodation Resorts (VdKB) commissioned two consultants to develop a reasonably priced implementation concept of a DIN EN ISO 9001 quality system specially adjusted to small companies and family businesses in medical spa and rehabilitation services, which was successfully accredited in May 2003. This paper describes fundamental requirements in combine management systems, considers the pros and cons of management combines and demonstrates the practical realization of combine requirements on the example of the VdKB-combine system.

  13. Continuous weeklong measurements of indoor particle levels in a Minnesota Tribal Casino Resort.

    Science.gov (United States)

    Zhou, Zheng; Bohac, David; Boyle, Raymond G

    2016-08-24

    Secondhand smoke (SHS) exposure for workers and patrons in hospitality venues is a persistent and significant public health concern. We designed this study to provide a comprehensive assessment of SHS exposure inside an Indian Tribal Casino in Minnesota. Real-time fine particulate matter (PM2.5) concentrations were measured at multiple locations for up to 7 days. The field monitoring provided information on the day of week and time of day variation of SHS exposure, as well as comparisons between smoking and non-smoking areas. Indoor PM2.5 level was nearly 13 times the concurrent outdoor PM2.5 level. Gaming floor hourly PM2.5 level was highest on Saturday night, averaged at 62.9 μg/m(3). Highest PM2.5 concentration was observed in smoking-permitted employee break room, reaching 600 μg/m(3). PM2.5 readings in non-smoking sections exhibited same temporal pattern as the readings in smoking sections. The results show that indoor concentration of PM2.5 is substantially higher than the outdoor level, posing health risks to casino workers and patrons. SHS can migrate into adjacent non-smoking areas very quickly. The casino's ventilation system did not fully eliminate SHS. A completely smoke-free casino would be the only way to fully protect non-smoking patrons and employees from the dangers of tobacco smoke.

  14. Continuous weeklong measurements of indoor particle levels in a Minnesota Tribal Casino Resort

    Directory of Open Access Journals (Sweden)

    Zheng Zhou

    2016-08-01

    Full Text Available Abstract Background Secondhand smoke (SHS exposure for workers and patrons in hospitality venues is a persistent and significant public health concern. We designed this study to provide a comprehensive assessment of SHS exposure inside an Indian Tribal Casino in Minnesota. Methods Real-time fine particulate matter (PM2.5 concentrations were measured at multiple locations for up to 7 days. The field monitoring provided information on the day of week and time of day variation of SHS exposure, as well as comparisons between smoking and non-smoking areas. Results Indoor PM2.5 level was nearly 13 times the concurrent outdoor PM2.5 level. Gaming floor hourly PM2.5 level was highest on Saturday night, averaged at 62.9 μg/m3. Highest PM2.5 concentration was observed in smoking-permitted employee break room, reaching 600 μg/m3. PM2.5 readings in non-smoking sections exhibited same temporal pattern as the readings in smoking sections. Conclusions The results show that indoor concentration of PM2.5 is substantially higher than the outdoor level, posing health risks to casino workers and patrons. SHS can migrate into adjacent non-smoking areas very quickly. The casino’s ventilation system did not fully eliminate SHS. A completely smoke-free casino would be the only way to fully protect non-smoking patrons and employees from the dangers of tobacco smoke.

  15. The Influence of Resettlement of the Capital of Probolinggo Regency Toward Service Quality of Police Record (SKCK (Study in Probolinggo Resort Police

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    Erlinda Puspitasari

    2014-02-01

    Full Text Available This study examined the influence of resettlement of the capital of Probolinggo Regency toward service quality of Police Record (SKCK in Probolinggo Resort Police. Probolinggo Resort Police (Polres is one government agencies that experiencing resettlement of the location from Probolinggo City to Kraksaan district. It is expected that by this resettlement, public service processes would become ‘better and in high quality’. The study used quantitative research method with explanatory approach to test the hypothesis that has been set. Dependent variable in this study are resettlement of the capital of regency (X with the variables: affordability, recoverability and replicability. While the dependent variable in this study are the service quality of Police Record (SKCK (Y with the indicators: tangibles, reliability, responsiveness, assurance and empathy. The study used multiple linear regression method of analysis. The study revealed that the resettlement of the capital of regency variable (X which consist of three variables such as affordability (X1, recoverability (X2 and replicability variable (X3 influence significantly toward service quality of the Police Record (SKCK in Probolinggo Resort Police (Polres. Keywords: The Resettlement, The Capital of Regency, Service Quality, Police Record (SKCK, Probolinggo Resort Police.

  16. Conference Support: Dose-Response Issues Concerning Physical Activity and Health

    National Research Council Canada - National Science Library

    Bouchard, Claude

    2001-01-01

    ... among physical activity, fitness, and health. This special issue includes the papers, as revised, that were presented and critiqued at the symposium held October 11-15, 2000, at the Hockley Valley Resort, Ontario, Canada...

  17. MANAJEMEN RISIKO KESELAMATAN DAN KESEHATAN KERJA (K3 PADA PROYEK PEMBANGUNAN JAMBULUWUK HOTEL & RESORT PETITENGET

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    Anak Agung Bayu Dharma

    2017-01-01

    Full Text Available Abstract: Work accidents that occur on the construction project will be one of the causes of the disruption or cessation of activities of the project work. The construction sector is the highest contributor to work accidents and occupational illness in Bali. Rampant construction of temporary lodging facilities or hotels in Bali can be one of the contributors to accidents. This study aims to determine the potential hazard and any dominant risk contained in a hotel development process as well as provides preventive measures to reduce such risks. In this research, the method used was descriptive qualitative. The risk of Occupational Health and Safety (K3 was identified through JSA (Job Safety Analysis. Questionnaire survey was carried out to get feedback from the experts regarding the potential hazards identified. The dominant category of risk assessment that was rated by the concept of ALARP (As Low As Reasonably Practicable. The research identified 45 of dominant risks contained in the phase of work structures including 43 risks classified as high risk such as : exposed to maneuver heavy equipment and vehicles, heavy equipment rolled because the excavated area slid down/ subsided, cross rope of Tower Crane disconnected / entangled on the operation, the charge fell from Tower Crane and as many as two risks were classified as very high risk (extreme risk that is : exposed to maneuver mixer and swing Tower Crane over the edge area of the project. The risks tended to be sourced in the work environment factors and work equipment. In order to minimize the impact of K3 risks, it is necessary to conduct risk control, evaluation activities in a daily, weekly, monthly periodic, considering a safe distance hazard source from workers, setting working hours, scenario procedures of an emergency, as well as safe work through work instruction to remind the importance of working in a healthy and safe condition.

  18. Bacterial source tracking guides management of boat head waste in a coastal resort area.

    Science.gov (United States)

    Mallin, Michael A; Haltom, Mary I; Song, Bongkeun; Tavares, Mary E; Dellies, Stephen P

    2010-12-01

    Fecal contamination of water bodies causes a public health problem and economic loss. To control such contamination management actions need to be guided by sound science. From 2007-2009 a study was undertaken to determine the sources of fecal bacteria contamination to the marine waters adjoining the Town of Wrightsville Beach, North Carolina, USA. The research effort included sampling for fecal coliform and Enterococcus bacteria, sampling for optical brighteners, dye studies, and use of molecular bacterial source tracking techniques including polymerase chain reaction (PCR) and terminal restriction fragment polymorphism (T-RFLP) fingerprinting of the Bacteroides-Prevotella group. Of the 96 samples collected from nine locations during the study, the water contact standard for Enterococcus was exceeded on 13 occasions. The T-RFLP fingerprint analyses demonstrated that the most widespread source of fecal contamination was human, occurring in 38% of the samples, with secondary ruminant and avian sources also detected. Optical brightener concentrations were low, reflecting a lack of sewage line leakage or spills. A lack of sewer leaks and lack of septic systems in the town pointed toward discharge from boat heads into the marine waters as the major cause of fecal contamination; this was supported by dye studies. Based on these data, the Town initiated action to have the U.S. Environmental Protection Agency declare the coastal waters (out to 3 nautical miles), the nearby Atlantic Intracoastal Waterway and its tributaries a no-discharge zone (NDZ) to alleviate the human fecal pollution. The Town garnered supporting resolutions from other local communities who jointly petitioned the North Carolina Department of Environmental and Natural Resources. This State regulatory agency supported the local government resolutions and sent an application for an NDZ to the EPA in April 2009. The EPA concurred, and in February 2010 the coastal waters of New Hanover County, NC, became the

  19. Epidemiological and virological investigation of a Norovirus outbreak in a resort in Puglia, Italy

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    Coscia Maria

    2007-11-01

    Full Text Available Abstract Background This paper describes the third large outbreak of Norovirus (NoV gastroenteritis reported in the Southern Italy region of Puglia. Methods A matched case control study was conducted, on 19 July 2005, for investigating risk factors, using a structured questionnaire on food consumption. A multivariate analysis was conducted to estimate the adjusted Odds Ratios. Laboratory and environmental investigation were also performed. Results On the day of the study 41 cases were identified and 41 controls were enrolled. Controls were matched for age and gender. The mean age of the cases was 26 years old, and 58% were female. The clinical pattern of the disease was characterised by the presence of diarrhoea (95%, vomiting (70%, abdominal pain (51% and fever (32%. Of the 41 cases included in the study, the majority (65% were residents of Northern Italian regions. No food samples were available for testing. The matched univariate analysis revealed that cases were more likely to have consumed raw mussels, eggs or ice cubes made of tap water than controls. In the multivariate conditional logistic regression analysis, having eaten raw mussels or ice became more strongly associated with illness. All of the 20 faecal samples collected were tested for NoVs. Eighteen stools (90% of total examined were positive by RT-PCR, and sequence analysis performed onto 3 samples confirmed the presence of a GGII NoV. No test specific for NoV was performed on water or food samples. Conclusion The most likely hypothesis supported by the findings of the epidemiological investigation was that illness was associated with raw mussels and ice, made with tap water. These hypothesis could not be confirmed by specific microbiologic testing for NoV in food or ice. The lack of clear knowledge of NoV as a major causative agent of epidemic outbreaks of gastroenteritis in Italy is due to the absence of timely reporting of the cases to the local public health offices and the

  20. Spectral and Spatial UV Sky Radiance Measurements at a Seaside Resort Under Clear Sky and Slightly Overcast Conditions.

    Science.gov (United States)

    Sandmann, Henner; Stick, Carsten

    2014-01-01

    Spatial measurements of the diffusely scattered sky radiance at a seaside resort under clear sky and slightly overcast conditions have been used to calculate the sky radiance distribution across the upper hemisphere. The measurements were done in the summer season when solar UV radiation is highest. The selected wavelengths were 307, 350 and 550 nm representing the UVB, UVA and VIS band. Absolute values of radiance differ considerably between the wavelengths. Normalizing the measured values by use of direct solar radiance made the spatial distributions of unequal sky radiance comparable. The results convey a spatial impression of the different distributions of the radiance at the three wavelengths. Relative scattered radiance intensity is one order of magnitude greater in UVB than in VIS, whereas in UVA lies roughly in between. Under slightly overcast conditions scattered radiance is increased at all three wavelengths by about one order of magnitude. These measurements taken at the seaside underline the importance of diffuse scattered radiance. The effect of shading parts of the sky can be estimated from the distribution of sky radiance. This knowledge might be useful for sun seekers and in the treatment of people staying at the seaside for therapeutic purposes. © 2013 The American Society of Photobiology.

  1. Environmental effect of resort centres on the distribution of aquatic insect fauna in Ethiope River, Delta State, Nigeria

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    Edore Edwin Ito

    2017-11-01

    Full Text Available Objective: To assess water quality and diversity of aquatic insects relative to effluents discharge from resort centres in Ethiope River. Methods: Water samples collected from three study stations were analyzed using APHA methods while the kick sampling techniques were used for collection of aquatic insects. The obtained data were subjected to statistical analysis at significance level of 0.05. Results: Among the study stations, water temperature varied from 20 °C to 34 °C with a mean temperature of (26.17 ± 2.37 °C, while pH was recorded from 5.57 ± 0.18 to 5.94 ± 0.21. Statistically, water temperature, pH, dissolved oxygen and conductivity were significantly different (P 0.05 in the stations. Conclusions: Significant relationships were recorded between water quality parameters and occurrence of Neoperla spio, Caenis horaria, Baetis and Chironomus species. The observed changes in aquatic insect composition were principally due to alteration in water quality. The weak correlation between aquatic insects and water quality can be attributed to functional adaptations to environmental changes. Aquatic insects have been proved to be good bioindicator of pollution and long-term monitoring of the aquatic insects is necessary for water quality evaluation in Ethiope River.

  2. HABITAT DAN PERILAKU KANGKARENG PERUT-PUTIH (Anthracoceros albirostris convexus Temm. 1832 DI RESORT ROWOBENDO TN ALAS PURWO

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    Salvionita BR Tarigan

    2017-04-01

    Full Text Available Oriental pied hornbill (Anthracoceros albirostris is one of hornbill spesies (Bucerotidae that protected in Indonesia based on Goverment Regulation No. 7/1999. The habitat of oriental pied hornbillin Resort Rowobendo Alas Purwo National Park (APNP are natural forest and mixed forest plantation. The characteristic of the bird feeding site is a fruiting tree with a thick meat with the shaped is an oval, thin rind, soft, and contain more water and has sweet taste. The characteristic for the birdresting site is a tree with dense leaf, horizontal withstrong enough branch to withstand oriental pied hornbill. The tree height is about 10-26 m and the diameters  about 29-71 cm. The nesting site characteristic the bird is a tree with diameters about ≥ 50 cm and the height is about ≥10 m. The tree has a hole, main branch that is large and fairly flat with the height of the nest from the ground level of 12-30 m. Behavior of oriental pied hornbill observed are eating, resting, calling, flying and nesting. Keywords: APNP, behavior, habitat, oriental pied hornbill

  3. POPULASI DAN KEANEKARAGAMAN MESOFAUNA SERASAH DAN TANAH AKIBAT PERUBAHAN TUTUPAN LAHAN HUTAN DI RESORT PEMERIHAN TAMAN NASIONAL BUKIT BARISAN SELATAN

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    Frendika Mahendra

    2017-09-01

    Full Text Available This research was conducted to study about abundance and diversity of soil and litter mesofauna to the effect of forest cover change that occurred in the Pemerihan Resort, Bukit Barisan Selatan National Park. This research was compiled in a completely randomized design (CRD and there were four different lands, which were: (1 primary forest, (2 coffee plantation, (3 corn field, and (4 grassland. The observation of mesofauna was taken in soil and litter from four different lands cover. The variable of observation were mesofauna abundance and diversity index, soil chemical properties (pH, organic carbon, total nitrogen, P available, and exchanged potassium, and soil physics properties (bulk density, soil temperature, humidity, and porosity. Data were analyzed using F test and further test using least significant differences (LSD at 5%. The results showed that the different of lands cover affect the diversity index of litter mesofauna, the abundance of litter and soil mesofauna, yet did not affect the diversity index of mesofauna underground. However, the abundance and diversity index of soil and litter mesofauna in the primary forest was higher than the other lands.

  4. Restaurant-based intervention to facilitate healthy eating choices and the identification of allergenic foods at a family-oriented resort and a campground

    Directory of Open Access Journals (Sweden)

    Lucia Tarro

    2017-05-01

    Full Text Available Abstract Background Restaurant-based interventions can be an enjoyable way to encourage healthier eating choices by all members of a family. Thus, the principal aims of this study were a to promote healthy diets by increasing healthy food offerings and b to increase the number of foods offered specifically as gluten-free and lactose-free and to inform patrons by including nutritional and allergen information that complies with Regulation 1169/2011 regarding the food served in restaurants, takeaways and snack bars. Methods A restaurant-based intervention was implemented at 16 food establishments at 2 resorts (the Cambrils Park Resort and Camping Sangulí, Spain, from 2014 to 2015 based on the following 4 components: 1 providing nutritional and allergen analyses of the offered dishes, 2 increasing the number of healthy food choices, 3 identifying menu items associated with allergies and intolerance, and 4 training staff on healthy eating and allergens. Customer satisfaction regarding food aspects was assessed using surveys (10-point scale. Results Both resorts significantly increased their offerings of healthy dishes (28.6% to 44.7%; P = 0.003 and desserts with fruit (20% to 51.3%; P = 0.013, thus obtaining the Spanish Government’s Mediterranean Diet certification. Additionally, both resorts obtained Catalan Celiac Association certification. Moreover, both resorts significantly increased their percentages of gluten-free dishes (2.1% to 50.5%; P < 0.001 and lactose-free dishes (5.5% to 37.5%; P < 0.001 after the intervention. Customer satisfaction increased (mean ± standard deviation from 6.9 ± 1.6 to 8.5 ± 1.5 (P < 0.001. Conclusion This restaurant-based intervention expanded the number of healthy and allergen-free foods offered in a family-oriented holiday resort environment to encourage healthy food choices, resulting in increased customer satisfaction.

  5. Artificial snowmaking and potential water conflicts in mountain resorts. The case of Avoriaz (Haute-Savoie, France)

    Science.gov (United States)

    Magnier, E.; Reynard, E.

    2012-04-01

    The practice of artificial snowmaking is recent (1990s), and may use large volumes of water. In the French Alps, the total consumption is on average 20 Mm3 per year (Miquel, 2003), which corresponds to the annual consumption of drinking water for a city of more than 300,000 inhabitants such as Nice (France). Moreover, snowmaking does not represent the only use of water in winter sport resorts. The available water resource is used for drinking water, artificial snowmaking and leisure activities (swimming pools, golf spas). One can speak in this context of a multifunctionality of the resource. Of particular concern is the winter season when streams reach their lowest level (from December to April). These activities require that water is drawn from resources created at other times of the year. Water for snowmaking production is pumped from drinking water reservoirs, rivers, groundwater tables, artificial hydropower reservoirs, as well as from hill water reservoirs, specifically built for storing water for snow production, themselves supplied from surface water capture. In Avoriaz (Haute-Savoie, France) the risk of shortages is important. The reason is that the resort is supplied by a unique lake or hillside reservoir (Lake 1730), which satisfies two particularly high-consuming water uses (the water supply for production of snow and drinking water). On a finer scale, namely that of a single day in January 2011, considerable volumes are drawn off in the space of a few hours (10,114 m3 on 24 January), while pumping for drinking water spreads out over several months. Intensity of use for the production of snow can trigger water scarcity and water conflicts with other uses such as drinking water. Good management of the resource is, therefore, especially important. However, no legislation specific to artificial snowmaking has been established. Even if, at present, there is no situation involving shortages and conflicting uses at Avoriaz, the situation needs to be monitored

  6. Positioning of Health and Recreation Institutions of the Autonomous Republic of Crimea in the Resort Area of Great Yalta Позиционирование лечебно-оздоровительных учреждений Автономной Республики Крым в курортной зоне Большая Ялта

    Directory of Open Access Journals (Sweden)

    Khaustova Viktoriya Ye.

    2011-02-01

    Full Text Available The article considers the essence of the process of positioning as one of the most important components of marketing strategy development. It suggests the scheme of implementation of the given process and made the positioning of health and recreation institutions of the Autonomous Republic of Crimea in the resort area of Great Yalta according to the «pricequality» criterion.В статье рассматривается суть процесса позиционирования как одной из важнейших составляющих разработки стратегии маркетинга. Предложена схема проведения данного процесса и проведено позиционирование лечебно-оздоровительных учреждений Автономной Республики Крым в курортной зоне Большая Ялта по критерию «цена-качество».

  7. Shifting Scarcities? The Energy Intensity of Water Supply Alternatives in the Mass Tourist Resort of Benidorm, Spain

    Directory of Open Access Journals (Sweden)

    Hyerim Yoon

    2018-03-01

    Full Text Available The energy intensity of water—‘energy (electricity-for-water’—is calculated for Benidorm, a mass tourism resort in the Spanish Mediterranean coast, where the urban water cycle has evolved in response to a series of episodes of water stress. The analysis is based on primary data compiled from various actors involved in the urban water cycle encompassing water extraction, end uses, and wastewater treatment, including tertiary treatment. The results provide one of the first analyses of the relations between energy and water in a mass tourist center, which may be of potential interest for other tourist areas. It is estimated that a total of 109 GWh/year of electricity is required to operate the water cycle of Benidorm. About 4% of total energy use in Benidorm is dedicated to extracting, transporting, and treating water. The most energy-intensive stage is represented by end uses, which accounts for 20% of the total energy use in Benidorm when the energy required for water pumping and hot water use is considered. Additionally, energy intensity for water extraction was estimated for normal, wet, and two dry year scenarios. In comparison with the normal scenario, energy intensity is six times larger when desalinated water is incorporated during a dry year, whereas the emergency interbasin water transfer resulted in a more moderate increase in energy intensity. While treated wastewater and emergency water transfers appear to be a more convenient solution in energy terms, the strong impulse given to desalination in Spain is forcing local water authorities towards the use of a resource that is much more energy intensive, although, on the other hand, much less dependent on the vagaries of climate. In light of recent technological and managerial developments, the Benidorm case illuminates the challenges appearing in the analysis of the water-energy nexus, especially the fact that scarcity may be transferred from water to energy.

  8. Food allergy, a summary of eight cases in the UK criminal and civil courts: effective last resort for vulnerable consumers?

    Science.gov (United States)

    Gowland, M Hazel; Walker, Michael J

    2015-08-15

    Food allergy has a forensic context. The authors describe eight cases in the UK courts involving fatalities, personal injury or criminal non-compliance with food law from mainly 'grey' literature sources. The potentially severe consequences for people with food allergy of contraventions of labelling law have led to enforcement action up to criminal prosecution for what might otherwise be regarded as 'trivial' non-compliance. The authors suggest there should be central collation of such cases. Non-compliances should be followed up in a more rapid and robust manner. Evidence of fraud in the catering supply chain supports recent calls for zero tolerance of food fraud. Businesses must guard against gaps in allergen management, for which there are readily available sources of training and guidance, but also against fraudulent substitution in the supply chain, about which training and guidance should be developed. New allergen labelling legislation and case law appear to place responsibility on food businesses even for the forensically problematic area of allergen cross-contamination. The courts can be an effective last resort for vulnerable consumers; however, there is evidence of knowledge and skill gaps in both the investigation and prosecution of potentially serious incidents of food allergen mismanagement and mislabelling. Thorough investigation of food allergy deaths is required with a tenacious and skilled approach, including early realisation that samples of the food and/or stomach contents from a post mortem examination should be retained and analysed. The supply chain must be rigorously examined to find out where adulteration or contamination with the fatal allergen occurred. © 2014 Society of Chemical Industry.

  9. COMPARISON OF RESORT SIGN SYSTEM BASED ON EFFECTIVENESS IN VISUAL COMMUNICATION DESIGN GOAL (Case Study: Kuta Beach Bali-Indonesia and Haeundae Beach Busan-Korea

    Directory of Open Access Journals (Sweden)

    Listia Natadjaja

    2005-01-01

    Full Text Available As we know there are many resorts in Indonesia especially in Bali. Each resort needs a sign system for information and safety. We need a field study from other countries to compare our sign system condition%2C so we can get some description of how to create an effective sign system and what we should do to make a better environment. This case study represents two famous beaches in two countries which are Kuta Beach in Bali–Indonesia and Haeundae Beach in Busan-Korea. Through a study of another sign system%2C hopefully we can create an effective sign system that meets the Visual Communication Design Goal. Each area has a unique character%2C so a sign system can be developed by looking at the environment and local culture to reach a global understanding. Abstract in Bahasa Indonesia : Seperti yang kita ketahui ada begitu banyak tempat rekreasi di Indonesia utamanya di Bali. Tiap-tiap tempat rekreasi memerlukan sistem tanda untuk informasi dan keselamatan. Diperlukan suatu studi lapangan untuk membandingkan kondisi sistem tanda antar negara%2C sehingga didapatkan beberapa gambaran bagaimana menciptakan suatu sistem tanda yang efektif dan apa yang perlu dilakukan untuk membuat lingkungan yang lebih baik. Studi kasus yang diambil mewakili dua tempat rekreasi yaitu pantai yang terkenal di masing-masing negara yaitu pantai Kuta Bali-Indonesia dan pantai Haeundae di Busan-Korea. Dengan mempelajari sistem tanda yang berbeda%2C diharapkan dapat diciptakan suatu sistem tanda yang efektif untuk mencapai tujuan desain komunikasi visual. Tiap-tiap lokasi memiliki karakter yang unik%2C jadi sistem tanda dapat dikembangkan dengan melihat lingkungan dan budaya lokal untuk mencapai pengertian secara global. resort%2C sign system%2C effective%2C visual communication design goal.

  10. INVENTARISASI KEANEKARAGAMAN ANGGREK (Orchidaceae DI HUTAN RESORT WAY KANAN BALAI AMAN NASIONAL WAY KAMBAS SEBAGAI SUMBER INFORMASI DALAM MELESTARIKAN PLASMA NUTFAH

    Directory of Open Access Journals (Sweden)

    Dwi Agustin Hening Widowati

    2015-10-01

    Full Text Available Abstract:  Orchid is one of the plants that have different characteristics in each species and its habitat. Orchids (Orchidaceae or nation is a group that is protected by Government Regulations  Number. 7 Th.1999. It is necessary to look at the type of data collections and save it, and look at the characteristics of tropical forests in the Resort Way Kanan. This research aims to inventory orchid the found in Forest Resort of Way Kanan. This research was conducted in December 2014 until January 2015, using purposive sampling method and using techniques Line transeck, cut the line following the path of the Post traking Right Way to the SRS (Sumatran Rhino Sanctuary, in this research using 4 stations between stations within 2km. The results of this study were obtained 23 species of orchids with 9 genera and 14 species include: the genus Dendrobium, Dendrobium creatceum, Dendrobium crumenatum, genus Grammatophyllum, Grammatophyllum scriptum BL, Agrostophyllum genus, the genus Cymbidium, Cymbidium chloranthum, Cymbidium hartinahianum, Calanthe genus, the genus Bulbophyllum, Arachnis sp, Angraecum didieri, Ascocentrum miniatum, Ascocentrum aureum, Coelogyne foerstermanni, golden shower Oncidium, Phalaenopsis amabilis, Spathoglottis sp. Having analyzed the data obtained it has a value equal to 46% of species density and relative density of 88.36% with a diversity index value of 1.3, based on the criteria of the Shannon-Wienner in Fachrul abundant species diversity can be expressed with the criteria being. The results of this study compiled into resources in conserving germplasm in the form of books and banner summary information, because there are some orchids are found in Forest Resort Way Kanan Balai Way Kambas National Park in Government Regulations  Number. 7 Th.1999 is a protected species of orchids. Orchid is a protected plant species, therefore it is necessary for us to maintain and preserve it.

  11. The Effects of Management Information System toward Decision Making in Food and Beverage Service Department in X Resorts and Hotels Bandung

    Directory of Open Access Journals (Sweden)

    Agung Gita Subakti

    2015-11-01

    Full Text Available In an organization, decision making hold an important role. That is why a decision made by managers should be a final decision that should be done by their subordinates or those who are related with the organization. In the effort to increase the quality of management information system, a research was held in X Resorts and Hotels Bandung to analyze management information system in the relation to decision making especially in Food and Beverage Service Department and recommendation of how to handle the problem occurred. From the questioner with data analyzing technique of spearman rank gained correlation result 0,84, with determination coefficient 71% which means the management information system has 71% level of influence to decision making, meanwhile the rest of the result (29% shows other factors, which also were related with the decision making other than management information system. To solve with the problem, it is recommended that X Resorts and Hotels decrease the level of information product error in management information used and fasten the delivery of provided information.

  12. Sensitivity Analysis of Snow Patterns in Swiss Ski Resorts to Shifts in Temperature, Precipitation and Humidity Under Condition of Climate Change

    Science.gov (United States)

    Uhlmann, B.; Goyette, S.; Beniston, M.

    2008-12-01

    The value of snow as a resource has considerably increased in Swiss mountain regions, in particular in the context of winter tourism. In the perspective of a warming climate, it is thus important to quantify the potential changes in snow amount and duration that could have large repercussions on the economy of ski resorts. Because of the fine spatial variability of snow, the use of a Surface Energy Balance Model (SEBM) is adequate to simulate local snow cover evolution. A perturbation method has been developed to generate plausible future meteorological input data required for SEBM simulations in order to assess the changes in snow cover patterns. Current and future snow depths have also been simulated within the ski areas themselves. The results show a large decrease of the snow depths and duration, even at high elevation in a warmer climate and emphasize the sensitivity of snow to topographical characteristics of the resorts. The study highlights the fact that not only the altitude of a domain but also its exposure, localization inland and slope gradients need to be taken into account when evaluating current and future snow depths. This method enables a precise assessment of the snow pattern over a small area.

  13. Clinical and functional characteristics of children and adolescents resident of radioactively contaminated regions during rehabilitation at Trouskavetz resort

    International Nuclear Information System (INIS)

    Chebanenko, L.O.; Tal'ko, V.V.; Yakovleva, G.M.

    2004-01-01

    Under clinical and functional investigations of health state in children and adolescents resident of radioactively contaminated territories changes connected to internal irradiated dose with some parameters of vegetative and immune system were detected

  14. Carrying capacity and tourism planning. case study at Praia Brava- Itajai, in face to the settlement of Canto da Brava Resort

    Directory of Open Access Journals (Sweden)

    Doris Van de Meene Ruschmann

    2008-05-01

    Full Text Available Sustainable tourism presumes cultural authenticity, social inclusion, conservation of natural resources and service quality. Those are major issues standing for economical viability in the long run. This article analyzes carrying capacity in Praia Brava, Itajai/SC, evaluating environmental comfort for dwellers as well as for users of the beach building future scenarios as Canto da Brava resort is settled. Tourism carrying capacity is tied to methods of identification and evaluation of environmental indicators. In this case, Cifuentes Method was chosen because it integrates physical, biotical and infra structural factors, through assessment of physical, real and effective carrying capacity. Quantitative results have been considered analyzing impacts and tolerable limits of change taking into account users perception.

  15. Odnos prebivalstva slovenskih alpskih turističnih krajev do turizma in njegovih učinkov = Attitude of the population of Slovenian alpine tourist resorts toward tourism and its impacts

    Directory of Open Access Journals (Sweden)

    Dejan Cigale

    2009-01-01

    Full Text Available The aim of this paper was to find out how the local inhabitants perceive positive and negativetourism impacts in Slovenian alpine areas and how this perception influence their attitudetoward tourism. A questionnaire survey was undertaken in five different tourist resorts.Despite the differences between resorts there are many similarities in perception of tourismimpacts. In all cases positive attitudes toward tourism prevail. In general the economicimpacts were perceived as the most important and the socio-cultural impacts as the leastimportant.

  16. African Journal for Physical Activity and Health Sciences - Vol 19 ...

    African Journals Online (AJOL)

    Activity-based market segmentation of visitors to thermal spring resorts in the Western Cape Province, South Africa: Assessing the potential for health tourism development · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. MS Boekstein, JP Spencer, 1100-1109 ...

  17. [Modern methods of balneotherapy of digestive pathology at the Caucasian Mineral Waters spa-and-resort complex].

    Science.gov (United States)

    Kaĭsinova, A S; Efimenko, N V; Babiakin, A F; Grinzaĭd, Iu M; Osipov, Iu S

    2010-01-01

    Scientists of Pyatigorsky State Research Institute of Balneotherapeutics are actively engaged in developing new medical technologies for rehabilitative treatment of patients with a variety of pathological conditions based on the current knowledge about mechanisms of action of natural therapeutic factors. Most of these original methods are included in the State Inventory of novel medical technologies by the Federal Supervisory Health and Social Development Service. The proposed medical technologies based on the application of natural and man-made physical factors improved general effect of balneotherapy by 15-20% and accelerated recovery from the disease. Specifically, the length of post-treatment remission increased to 7-12 months and duration of temporary disability decreased 2.5-3 times. Sick list payouts and economic expenditures of the state and the patients for medicinal preparations were reduced 3-4-fold while the quality of life and clinical prognosis significantly improved.

  18. Exploring Workarounds Related to Electronic Health Record System Usage: A Study Protocol

    NARCIS (Netherlands)

    Blijleven, Vincent; Koelemeijer, Kitty; Jaspers, Monique

    2017-01-01

    Health care providers resort to informal temporary practices known as workarounds for handling exceptions to normal workflow that are unintentionally imposed by electronic health record (EHR) systems. Although workarounds may seem favorable at first sight, they are generally suboptimal and may

  19. From hydrological regimes to water use regimes: influence of the type of habitat on drinking water demand dynamics in alpine tourist resorts.

    Science.gov (United States)

    Calianno, Martin

    2017-04-01

    In the last decades, integrated water resources management studies produced integrated models that focus mainly on the assessment of water resources and water stress in the future. In some cases, socioeconomic development results to cause more impacts on the evolution of water systems than climate (Reynard et al., 2014). There is thus a need to develop demand-side approaches in the observation and modeling of human-influenced hydrological systems (Grouillet et al., 2015). We define the notion of water use cycle to differentiate water volumes that are withdrawn from the hydrological system and that circulate through anthropic hydro-systems along various steps: withdrawals, distribution, demands, consumption, restitution (Calianno et al., submitted). To address the spatial distribution and the temporal dynamics of the water use cycle, we define the concepts of water use basins and water use regimes (Calianno et al., submitted). The assessment of the temporal variability of water demands is important at thin time steps in touristic areas, where water resource regimes and water demands are highly variable. This is the case for are alpine ski resorts, where the high touristic season (winter) takes place during the low flow period in nival and glacio-nival basins. In this work, a monitoring of drinking water demands was undergone, at high temporal resolution, on different types of buildings in the ski resort of Megève (France). A dataset was created, from which a typology of water demand regimes was extracted. The analysis of these temporal signatures highlighted the factors influencing the volumes and the dynamics of drinking water demand. The main factors are the type of habitat (single family, collective, house, apartment blocks), the presence of a garden or an infrastructure linked to high standing chalets (pool, spa), the proportion of permanent and temporary habitat, the presence of snow in the ski resort. Also, temporalities linked to weekends and weekly tourism

  20. Ecological Study of Periphytic Algal Community of Doodh Ganga and Khansha-Mansha Streams of Yusmarg Forests: A Health Resort of Kashmir Valley, India

    Directory of Open Access Journals (Sweden)

    Rafia Rashid

    2013-06-01

    Full Text Available The present study on Doodh Ganga and Khansha-Mansha streams of Yusmarg forests deals with the general ecological studies on periphytic algal community in terms of species composition and density. During the present investigation the periphytic algal community of Doodh Ganga and Khansha-Mansha streams were represented by 30 taxa which belonged to 4 major classes namely Bacillariophyceae (14, Chlorophyceae (11, Cyanophyceae (4 and Euglenophyceae (1. The most common periphytic species encountered across all the sites included Closterium sp., Zygnema sp., Amphora sp., Cymbella sp., Epithemia sp., Fragilaria sp., Navicula sp., Synedra sp., Tabellaria sp., Lyngbya sp. and Phormidium sp. Among the two streams, Doodh Ganga showed large number of taxa (45 and Khansha-Mansha was having 37 taxa of periphyton. Bacillariophyceae was the dominant group both in diversity and density and included 14 taxa contributing 57% of total periphytic algal population. Cyanophyceae forming the second dominant class was represented by 4 genera comprising 22% of the total periphytic algae .Chlorophyceae ranked third in its dominance pattern with 11 genera forming 20% of all the periphytic algae. Euglenophyceae was represented by only one species of Euglena sp. forming 1% of all the periphytic algae and found only at site 2 (Doodh Ganga downstream.Amongst the study sites the highest (5.69 value of Shannon Weiner Index was found at Doodh Ganga upstream while as lowest (4.38 at Khansha-Mansha downstream. The primary conclusion is that the streams, having crystal clear water, and are free from pollution as Chlorophyceae are better represented in both the streams. Further, as a result of less anthropogenic pressures the quality of water is fairly good.

  1. Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia.

    Science.gov (United States)

    Quill, T E; Lo, B; Brock, D W

    1997-12-17

    Palliative care is generally agreed to be the standard of care for the dying, but there remain some patients for whom intolerable suffering persists. In the face of ethical and legal controversy about the acceptability of physician-assisted suicide and voluntary active euthanasia, voluntarily stopping eating and drinking and terminal sedation have been proposed as ethically superior responses of last resort that do not require changes in professional standards or the law. The clinical and ethical differences and similarities between these 4 practices are critically compared in light of the doctrine of double effect, the active/passive distinction, patient voluntariness, proportionality between risks and benefits, and the physician's potential conflict of duties. Terminal sedation and voluntarily stopping eating and drinking would allow clinicians to remain responsive to a wide range of patient suffering, but they are ethically and clinically more complex and closer to physician-assisted suicide and voluntary active euthanasia than is ordinarily acknowledged. Safeguards are presented for any medical action that may hasten death, including determining that palliative care is ineffective, obtaining informed consent, ensuring diagnostic and prognostic clarity, obtaining an independent second opinion, and implementing reporting and monitoring processes. Explicit public policy about which of these practices are permissible would reassure the many patients who fear a bad death in their future and allow for a predictable response for the few whose suffering becomes intolerable in spite of optimal palliative care.

  2. Methadone Maintenance as Last Resort

    DEFF Research Database (Denmark)

    Järvinen, Margaretha; Miller, Gale

    2010-01-01

    Drawing on qualitative interviews with drug addicts in Copenhagen, Denmark, this article offers a phenomenological reading of a methadone maintenance program. The program is set within the principles of harm reduction, meaning that its aim is not to cure the participants’ addiction but to keep them...

  3. 黄山风景区水生态承载力分析%Analysis of water ecology capacity in Huangshan Resort

    Institute of Scientific and Technical Information of China (English)

    王群; 章锦河; 杨兴柱

    2009-01-01

    文章以BODs为纳污水体的水质影响因子,计算出黄山风景区4条主要纳污水体逍遥溪、丞相源、莲花沟和丹霞溪的丰、平、枯水期的日平均纳污量和年纳污量,得出其水生态承载力总体上较弱,且存在时间与空间分布不均的特征.据此,从浓度控制与总量控制相结合的角度,建立了"水量-水质-水生态系统"阈值模型,提出通过降低用水标准、提高出水指标、进行中水回用、采用节水设备,以缓解黄山风景区水生态承载压力.%In the 21st century, controls on contamination emission have transformed from the simple concentration control to the combination with concentration and total amount control. But tourism research on water ecological carrying capacity remains concentrated on the concentration control. Water is one of the most important environmental factors in Huangshan resort. Adding water supply can meet the need of an increasing number of visi-tors. However, concomitant wastewater put tremendous pressure on water ecological car-rying capacity. Taking BOD5 as an influencing factor of water quality, the paper calculates daily average and annual capacities in Xiaoyaoxi, Chengxiangyuan, Lianhuagou and Danxi-axi water bodies during high-flow period, normal water period and low-flow period. Theconclusions are: (1) In general, under the premise of sewage discharge up to standard in the Huangshan resort, four major pollutant-holding water bodies can carry sewage dis-charge from now to 2010. However, after 2010, these four water bodies cannot satisfy sewage discharge the need of and the carrying capacity is saturated. (2) The spatial distri-bution is uneven in the water ecological carrying capacity. Xiaoyaoxi and Chengxiangyuan have relatively high waste load allocations than Lianhuagou and Danxiaxi. But the sites a-round Xiaoyaoxi and Danxiaxi have greater water demand, which lead to supersaturation of water ecological carrying capacity in the middle

  4. The Actual Stage of Potential Development Regarding the Tourism in Slănic Moldova Resort, Bacău County

    Directory of Open Access Journals (Sweden)

    Popa Ovidiu Cristian

    2015-05-01

    Full Text Available This article illustrates the concept of tourism potential, which includes all natural and human tourism resources which generate various forms of tourism. Slănic Moldova town is in a great development, being sustained by the glorious oldtime image: ”Moldova‟s Pearl”. The recent accomplishments, the implementation projects and the short and medium time investment programs aim not only to affirm the resort at a regional level, but to transform it in to an authentic “Romanian tourism pearl”. Developing Slănic Moldova town will aim to develop its natural resources. For the years to come, it is willing to sustain a long-lasting economy especially based on touristic services at a European level, but also on diversifying the local economic activities, in respect for the nature and permanent environment preoccupation. In order to reach certain values the contribution of all factors that can determine the town‟s socio-economic development are needed: the local community and the local‟s support, keeping the environment intact and not the least increasing the number of tourists. Slănic Moldova will be one of the main touristic balneoclimatheric mountain destinations in Romania having a diverse and attractive touristic offer during the entire year, high quality touristic services, in an exceptional, pollution free, natural environment. Slănic Moldova will pass through an essential stage of its development, in which the national and external touristic context will be redefined. Being guided by the reputation of „Moldova‟s Pearl”, Slănic Moldova will develop its mineral waters and great natural environment extraordinary potential, thus becoming the great „pearl of Romanian tourism”.

  5. Implementing a Nation-Wide Mental Health Care Reform: An Analysis of Stakeholders' Priorities.

    Science.gov (United States)

    Lorant, Vincent; Grard, Adeline; Nicaise, Pablo

    2016-04-01

    Belgium has recently reformed its mental health care delivery system with the goals to strengthen the community-based supply of care, care integration, and the social rehabilitation of users and to reduce the resort to hospitals. We assessed whether these different reform goals were endorsed by stakeholders. One-hundred and twenty-two stakeholders ranked, online, eighteen goals of the reform according to their priorities. Stakeholders supported the goals of social rehabilitation of users and community care but were reluctant to reduce the resort to hospitals. Stakeholders were averse to changes in treatment processes, particularly in relation to the reduction of the resort to hospitals and mechanisms for more care integration. Goals heterogeneity and discrepancies between stakeholders' perspectives and policy priorities are likely to produce an uneven implementation of the reform process and, hence, reduce its capacity to achieve the social rehabilitation of users.

  6. Management of the coastal biophysical environment in tropical Queensland under conditions of heavy developmental pressure: the case of tourist resorts and acid sulphate soils

    Directory of Open Access Journals (Sweden)

    Patricia Erfurt-Haupt

    2008-09-01

    Full Text Available La côte tropicale du Queensland est confrontée à un accroissement rapide de la population. Les fortes pressions anthropiques pèsent sur le milieu biophysique, qui comprend notamment a plus grande île de sable du monde, un site classé Patrimoine de l’Humanité, Port Hinchinbrook et Fraser Island.  Malgré l’existence d’une législation nationale orientée vers la préservation de l’environnement, il est manifeste que peu d’attention est accordée aux effets à long terme des sites touristiques et du développement de l’urbanisation sur ces franges côtières sensibles. L’aspect massif des flux de visiteurs et leurs impacts sur le milieu naturel a été identifié comme un sujet d’inquiétude particulier dans certaines régions. La connaissance des impacts sur la géomorphologie côtière souterraine est très réduite et les choix de développement sont souvent faits dans l’ignorance ou au mépris de la présence répandue de terrains de sulfate d’acide dans ce milieu côtier. Des sols réactifs comme ceux-là peuvent affecter, et affectent, grandement les résultats géophysiques d’un développement lorsqu’ils sont connus. Des études de cas sur le problème des sols de sulfate d’acide suggèrent qu’une partie de la solution pour le gouvernement de l’Etat du Queensland est d’imposer des normes obligatoires pour le développement du tourisme dans la zone côtière.The tropical coast of Queensland, Australia is experiencing rapid population and tourism growth. Heavy development pressure is being placed on the biophysical environment, which includes the largest sand island in the world (World Heritage listed, Fraser Island. Despite the existence of State planning legislation oriented towards environmental sustainability, it is apparent that little, if any, regard is being paid to the long-term effects of resort and canal-estate development on the underlying biophysical environment of the coast and islands.

  7. [The systemic approach to the health protection in the workers of industrial enterprises].

    Science.gov (United States)

    Oransky, I E; Razumov, A N; Fedorov, A A

    This paper presents the results of the systemic approach to the protection of health and prophylaxis of disability in the workers of industrial enterprises. The leading role in the technologies of rehabilitation (both short-term and long-term one) is played by the natural and physical therapeutic factors. The priority in the implementation of the therapeutic and health-promoting measures is given to the treatment based on the spa and health resort facilities as well as the factory health centers.

  8. Typology of Tourist Resorts in Croatia: The Case of South Dalmatia. Mitteilungen der Österreichischen Geographischen Gesellschaft|Mitteilungen der Österreichischen Geographischen Gesellschaft - Band 157 157|

    OpenAIRE

    Šulc, Ivan; Opačić, Vuk Tvrtko

    2016-01-01

    The main goal of the research is to apply the typology of tourist resorts based on the level of tourism development to the example of South Dalmatia, the southernmost littoral part of Croatia. The research is based on the methodological instruments of geographical analysis and synthesis and includes analysis of statistical data, GIS analysis and visualisation of spatial data in GIS using thematic maps. The typology was formed using the following indicators on the level of settlements: (1) num...

  9. [ORGANIZATION OF THE QUALITY CONTROL OF PLACEMENT AND ACCOMMODATION OF PARTICIPANTS ATTENDANTS AND GUESTS OF THE XXII OLYMPIC WINTER GAMES AND XI PARALYMPIC WINTER GAMES OF 2014 IN THE RESORT CITY OF SOCHI].

    Science.gov (United States)

    Gorskiĭ, A A; Gus'kov, A S; Pochtareva, E S; Klindukhov, V P; Nikolaevich, P N; Grechanaia, T V; Vechemyaia, E A; Biriukov, V A; Bozhko, I I; Kulichenko, A N; Taran, T V; Zaĭtsev, A A; Tushina, O V

    2015-01-01

    There is presented the analysis of activities of the Federal Service for Supervision of Consumer Rights protection and Human Welfare to ensure adequate conditions of accommodation of the participants, attendants and guests of the XXII Olympic Winter Games and XI Paralympic Winter Games of 2014 in the Resort city of Sochi according to regulated requirements. There were detected ways of the strengthening the supervision for the quality of the accommodation during mass sports activities for the assurance of the rights for consumers.

  10. BUSINESS PERFORMANCE OF HEALTH TOURISM SERVICE PROVIDERS IN THE REPUBLIC OF CROATIA.

    Science.gov (United States)

    Vrkljan, Sanela; Hendija, Zvjezdana

    2016-03-01

    Health tourism can be generally divided into medical, health spa and wellness tourism. Health spa tourism services are provided in special hospitals for medical rehabilitation and health resorts, and include under medical supervision controlled use of natural healing factors and physical therapy in order to improve and preserve health. There are 13 special hospitals for medical rehabilitation and health resorts in Croatia. Most of them are financed through the state budget and lesser by sale on the market. More than half of their accommodation capacity is offered for sale on the market while the rest is under contract with the Croatian Health Insurance Fund. Domestic overnights are several times higher than foreign overnights. The aim of this study was to analyze business performance of special hospitals for medical rehabilitation and health resorts in Croatia in relation to the sources of financing and the structure of service users. The assumption was that those who are more market-oriented achieve better business performance. In proving these assumptions, an empirical research was conducted and the assumptions were tested. A positive correlation was proven in tested indicators of business performance of the analyzed service providers of health-spa tourism with a higher amount of overnight stays realized through sales on the market in relation to total overnight stays, with a greater share of foreign overnights in total of overnights and with a higher share of realized revenue on the market out of total revenue. The results of the research show that special hospitals for medical rehabilitation and health resorts that are more market-oriented are more successful in their business performance. These findings are important for planning the health and tourism policies in countries like Croatia.

  11. [FEATURES OF THE ORGANIZATION OF SANITARY-EPIDEMIOLOGICAL SURVEILLANCE DURING THE PERIOD OF PREPARATION AND HOSTING OF THE XXII OLYMPIC WINTER GAMES AND XI PARALYMPIC WINTER GAMES IN THE RESORT CITY OF SOCHI IN 2014].

    Science.gov (United States)

    Onishchenko, G G; Popova, A Iu; Kuzkin, B P; Guskova, A S; Ivanov, G E; Pakskina, N D; Klindukhov, V P; Nikolaevich, P N; Grechanaia, T V; Balaeva, M I; Biriukov, V A; Bozhko, I I; Tesheva, S Ch; Daragan, Iu G; Parkhomenko, V V; Rafeenko, G K; Kulichenko, A N; Manin, E A; Maletskaia, O V; Vasilenko, N F; Efremenko, D V; Orobeĭ, V G; Eldinova, V E; Pilikova, O M; Malaĭ, V I; Iunicheva, Iu V

    2015-01-01

    In the paper there are presented the basic principles of the organization of activities for the assurance ofthe sanitary- epidemiological welfare in the period ofpreparation and hosting of the XXII Olympic Winter Games and XI Paralympic Winter Games of 2014 in the Resort City of Sochi. There are considered features of the organization ofepidemiological surveillance in the pre-Olympic period, the period of the games and the state of the morbidity rate in the region after the Olympics. There are presented data on certain directions of the work of organs and institutions of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare on the disease control of the event.

  12. Health

    International Nuclear Information System (INIS)

    Donckt, van der.

    1976-01-01

    The article is a critical review of the work group VI ''health'' in the ''sages report'', the criteria of total body dosis for radionuclides as strontium 90 and iodine 131 are discussed. It emphasizes the lack of adequate solution for the effluents as carbon-14, tritium and iodine 129 as well as for the high radioactivity waste management: the toxicity of plutonium and its cancerous properties are recalled. The risks of accidents in the nuclear facilities and their effect on the population in the proximity of the power plant and the contamination from cooling media are considered as well as sabotage risks. (A.F.)

  13. [The prospects for the development of therapeutic and health-promoting tourism in Gorny Altai].

    Science.gov (United States)

    Dzhabarova, N K; Iakovenko, É S; Sidorina, N G; Firsova, I A

    2014-01-01

    The present balneological survey made it possible to identify the promising areas with a high potential for the health resort, recreational and touristic activities including the foothill, low-mountain, mid-mountain valleys and hollows of Northern, Northwestern, Central and Eastern bioclimatic provinces of Mountainous Altai. Recommendations have been proposed for the development of therapeutic and health-improving tourism in the Shebalinsk, Ust'-Kansk and Ulagansk districts of the Altai Republic.

  14. A little off the top. While overall healthcare hiring is up, some health systems are being forced to cut jobs, workers and find other savings.

    Science.gov (United States)

    Evans, Melanie

    2008-06-02

    Despite the oft-repeated theory that the healthcare industry is "recession-proof," some systems have found themselves resorting to layoffs and budget cuts during the current economic downturn. Lee Memorial Health System CFO John Wiest, left, said that the system is dealing with reduced operating income and net volume, and it has trimmed 415 jobs through attrition.

  15. Business Performance of Health Spa Tourism Providers in Relation to the Structure of Employees in the Republic of Croatia.

    Science.gov (United States)

    Vrkljan, Sanela; Grazio, Simeon

    2017-12-01

    Health spa tourism services are provided in special hospitals for medical rehabilitation and health resorts, and include controlled use of natural healing factors and physical therapy under medical supervision in order to improve and preserve health. Health tourism is a service industry and therefore labor-intensive industry in which human resources are one of the key factors of business success. The aim of this study was to analyze business performance of special hospitals for medical rehabilitation and health resorts in Croatia in relation to the structure of employees, specifically the number of physicians and total medical personnel, as well as the share of physicians and medical personnel in the total number of employees. The assumption was that those who employ more physicians and medical employees are more successful. The empirical research was conducted and the assumption was tested firstly by correlation analysis and afterwards by regression analysis. The total number of employees in the researched health resorts and special hospitals amounted to 2,863, of which the share of physicians specialists accounted for almost 7%, while the share of total medical staff was almost 53%. From the results of our research, it can be concluded that special hospitals for medical rehabilitation and health resorts, which employ more physicians and medical personnel, are achieving better financial business performance. Based on the results obtained, it is possible to provide guidance for further growth and development in the direction of basing the primary offer on medical-health offer, rather than on wellness offer, which is a strong trend in the world. These findings are important for planning the health and tourism policies in Croatia and similar countries.

  16. A Co-operative Inquiry Into Generating, Describing, and Transforming Knowledge About De-escalation Practices in Mental Health Settings

    DEFF Research Database (Denmark)

    Berring, Lene Lauge; Hummelvoll, J. K.; Pedersen, Liselotte

    2016-01-01

    De-escalation is concerned with managing violent behaviour without resorting to coercive measures. Co-operative Inquiry provided the conceptual basis for generating knowledge regarding de-escalation practices in acute mental health care settings. The research included service users and staff memb...... transforming violence management. Neighbouring mental health communities’ involvement strengthened the transformation process and assisted in validating the research results. © 2016, Taylor & Francis Group, LLC.......De-escalation is concerned with managing violent behaviour without resorting to coercive measures. Co-operative Inquiry provided the conceptual basis for generating knowledge regarding de-escalation practices in acute mental health care settings. The research included service users and staff...... members as co-researchers and knowledge was generated in dynamic research cycles around an extended epistemology of knowing: experiential, presentational, propositional, and practical. Through this process, co-researchers became de-escalation learners, implementing de-escalation practices while...

  17. Tiit Kask, Aldur Vunk (Hrsg.): Reis (nõukogude) läände / Journey to the [Soviet] west. Kuurortlinn Pärnu 1940-88. Artiklite kogumik / Resort town of Pärnu 1940-88. Collection of articles, Pärnu: Pärnu Linnavalitsus 2009, 121 S., 97 Abb. / Andr

    Index Scriptorium Estoniae

    Fülberth, Andreas

    2011-01-01

    Raamatuarvustus: Reis (nõukogude) läände : kuurortlinn Pärnu 1940-88 : artiklite kogumik = Journey to the [Soviet] West : resort town of Pärnu during 1940-88 : collection of articles. Pärnu, 2009

  18. Sea, sun, sand and …. selecting surgery: an exploration of health, medical and wellness tourist's mobility

    OpenAIRE

    Robert S. Bristow; Wen-Tsann Yang

    2015-01-01

    Mass tourism facilities depend on repeat visitors as well as attracting new first time tourists. As these traditional sun and sand holiday destinations mature, tourism promoters are bundling opportunities to attract a different kind of tourist. Since many of these resorts are all-inclusive facilities and include a Spa, one potential expansion may be to market to health, medical or wellness tourists. Geographic research in travel and tourism has found that individuals either repeat visits to t...

  19. Hotel Contemporary Resort - Florida – (EE. UU.

    Directory of Open Access Journals (Sweden)

    Welton Becket y Asociados, Arquitectos e Ingenieros

    1973-10-01

    Full Text Available The revolutionary design of this Hotel is based on a completely modulated construction, in which prefabricated room units were used, superimposed in two fronts in a triangular shape, enclosing a wide public space inside. In this space, furthermore, the necessary installations have been arranged to allow a monorail to pass. The building has four main levels for the public, eight storeys of rooms, one of suites, and a spacious restaurant which crowns the building. Adjoining it, there is a low building, with only three heights, entirely for rooms. Between this annex and the hotel , there is a total of over a thousand rooms for guests.El revolucionario diseño de este hotel está basado en una construcción totalmente modulada, en la que se emplearon unidades prefabricadas de habitación, superpuestas en dos frentes de una forma triangular, encerrando en su interior un amplio espacio público. En este último se han dispuesto, además, las instalaciones necesarias para permitir el paso de un monorraíl. El edificio consta de cuatro niveles principales para el público, ocho plantas de habitaciones, una de suites, y un amplio restaurante que corona el edificio. Adyacente a él se encuentra una construcción baja, de sólo tres alturas, dedicada enteramente a habitaciones. Entre este anexo y el hotel, albergan un total de más de mil habitaciones para huéspedes.

  20. Alternative sources in Slovakia, problems and resorts

    International Nuclear Information System (INIS)

    Hanzel, A.

    2005-01-01

    In this presentation author deals with power generation from renewable energy sources in some states (USA, Germany, Japan, Denmark, European Union) and in the Slovak Republic. Cost of electric power from different renewable energy sources is compared.

  1. Punishment Strategies: First Choice or Last Resort

    Science.gov (United States)

    Lukowiak, Twila; Bridges, Jennifer

    2010-01-01

    Is it appropriate to implement punishment strategies in the home and school settings when children display disrespectful and inappropriate behaviors? This article depicts the advantages and disadvantages of teachers and parents utilizing an array of punishment strategies including: (a) reprimands, (b) response cost, (c) timeout, and (d) corporal…

  2. Case study: Coastal and resort tourism

    OpenAIRE

    Kennell, James

    2014-01-01

    Tourism can be a challenging subject for students because it is both dynamic and susceptible to economic turbulence and shifts in trends. Tourism: A Modern Synthesis is an essential textbook for tourism students looking for a clear and comprehensive introduction to their studies which helps overcome these challenges. The authors apply a strong business approach to the subject reflecting developments in the teaching and content of modern courses and the text covers both key principles and cont...

  3. Hedge Funds as Investors of Last Resort?

    OpenAIRE

    David J. Brophy; Paige P. Ouimet; Clemens Sialm

    2009-01-01

    Hedge funds have become important investors in public companies raising equity privately. Hedge funds tend to finance companies that have poor fundamentals and pronounced information asymmetries. To compensate for these shortcomings, hedge funds protect themselves by requiring substantial discounts, negotiating repricing rights, and entering into short positions of the underlying stocks. We find that companies that obtain financing from hedge funds significantly underperform companies that ob...

  4. Education as Reconciliation: Resorting Inuit Nunangat

    Science.gov (United States)

    McKechnie, Jay

    2015-01-01

    Education is stated as the number one priority of the Government of Nunavut's "Sivumiut Abluqta" mandate. The Nunavut education system is seen by many as failing to provide Inuit with the promise of supporting Inuit economic and social well-being. Today in Nunavut, there is a growing awareness of the effects of past colonialist polices…

  5. Sochi Market Analysis as a Health Tourism Destination

    Directory of Open Access Journals (Sweden)

    Nadezhda K. Serdyukova

    2013-01-01

    Full Text Available The article considers major characteristics of Sochi market as a health tourism destination, analyses the structure of resort collective accommodation facilities, dynamics of tourist flows and their structure, prevailing kinds of tourism and estimates tourist flows of health tourism in Sochi in 2008-2012. The authors indicate major characteristics and trends of Sochi tourist market development and the prospects of Sochi development as a health tourism destination. The percent of health tourist flow in the general tourist flow of Sochi and the percent of domestic tourist flow in the sector of collective accommodation facilities are estimated. The authors came to the conclusion that to develop tourism in Sochi in post-Games period, it is necessary to promote Sochi as a health tourism destination.

  6. Rehabilitation of patients with chlamydial spondyloarthritis at the health resortv

    Directory of Open Access Journals (Sweden)

    V.M. Sokrut

    2017-02-01

    Full Text Available Background. Rehabilitation of patients with chlamy­dial spondyloarthritis (CSA under the conditions of the health resort remains undeveloped, there are not enough data to elucidate the mechanism of natural and preformed physical factors in such category of patients, the criteria for the effectiveness of rehabilitation measures not yet defined. The objective of the study: to evaluate the results of treatment in patients with CSA in a Slaviansk balneological health resort. Materials and methods. The research included 117 patients, who were treated at the rheumatological clinic, and then underwent rehabilitation in health resort, which has continental sulfide lake muds and brines with highly minerali­zed chloride-sodium composition. Among the patients under the study, there were 61 % of males and 39 % of females with an average age of 35 years. Both genders did not differ in the duration of illness (median of 7 years and the degree of activity of the pathological process. Seropositivity for rheumatoid factor is detected in 2 % of patients, and by the presence of antibodies to cyclic citrulline peptide — in 70 %. During the resort stage, in 91 % of cases of СSA, Chlamydia trachomatis was found in prostatic secretions, scrapings from the urethra, cervix, vaginal walls, 83 % reported positive serological tests for chlamydial infection. Results. Analysis of the results showed that in 3 % of cases the effect was absent, in 14 % there was a slight improvement, in 50 % — an improvement and in 33 % — a significant improvement. The effectiveness of sanatorium stage of rehabilitation for women was higher, and due to increasing degree of disease activity, the positive results were getting worse. A significant adverse effect on the efficiency of sanatorium and health resort treatment activity has the presence of sacroiliitis and cardiac pathology in patients. Differences in the effectiveness of rehabilitation of patients depends on the types of the

  7. Report on the Fifth International Conference on Natural Products for Health and Beauty (NATPRO 5 Held in Thailand, 6–8th May, 2014

    Directory of Open Access Journals (Sweden)

    Supayang Voravuthikunchai

    2014-10-01

    Full Text Available The 5th International Conference on Natural Products for Health and Beauty (NATPRO 5 was held at the Moevenpick Resort and Spa Karon Beach, Phuket, Thailand on 6–8 May 2014. NATPRO was established in 2005 by Professor Maitree Suttajit, Mahasarakham University with the aim of building research networking on natural products. NATPRO 2, 3 and 4 were subsequently organized by Naresuan University, Rangsit University and Chiang Mai University in 2008, 2011 and 2012, respectively. [...

  8. Health care to immigrant and Portuguese pregnant women in Portugal

    Directory of Open Access Journals (Sweden)

    Emília de Carvalho Coutinho

    2014-12-01

    Full Text Available This study aimed to assess the care received and the barriers faced by immigrants and Portuguese pregnant women in Portugal. This is an exploratory qualitative study, resorting to applying semi-structured interviews to 60 immigrant and 22 Portuguese women. Content analysis supported by QSR Nvivo10 program was used. The study was approved by an Ethics Committee. The results showed four categories related to affective dimensions-relational, cognitive, technical-instrumental and health care policy for pregnant women. As for the barriers in health care, these were mentioned by some of the expectant mothers, especially immigrant women. Almost all, both immigrant and Portuguese, pregnant women were satisfied with the health care.

  9. Diseño y fabricación de bujes de caucho-metal para aplicación a un resorte de ballesta de uso automotriz, seleccionando la tecnología y los procesos que permitan su producción industrial y su factibilidad económica

    OpenAIRE

    Forbes Moreno, Iván

    2017-01-01

    La presente tesis contiene la estructura detallada del diseño y fabricación de bujes de caucho-metal utilizados en los resortes de ballesta de un vehículo tipo camión, referencia NPR, de la marca CHEVROLET. Esta modelación permitirá integrar el análisis de elementos finitos con la formulación más pertinente del caucho, de conformidad a la aplicación. Mediante pruebas de laboratorio bajo Normas ASTM y el diseño de experimentos del proceso de vulcanización del caucho, se pretende...

  10. Health beliefs and sense of one’s own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women

    Directory of Open Access Journals (Sweden)

    Mariola Janiszewska

    2015-12-01

    It was stated that respondents had thought that osteoporosis is an averagely serious health problem, and they did not feel peculiarly exposed to falling ill with the disease. They attached great significance to the benefits of physical activity and correct nutrition. The perception of barriers to calcium intake and everyday exercise was moderate. Health motivation remained at the average level. Socio-demographic conditions influenced the respondents’ health beliefs in a statistically significant way. Sense of self-efficacy from the aspect of taking possible action preventing osteoporosis remained on the average level; in addition, respondents more often declared the desire for a change in eating habits than resorting to physical activity.

  11. Research on Tourist Commodity Development of the Holiday Resort: a Case of the Hot Spring Resort of Southern Lushan Mountain%温泉度假区特色旅游商品开发探究——以江西庐山山南温泉度假区为例

    Institute of Scientific and Technical Information of China (English)

    叶仰蓬; 罗正文; 欧阳箐

    2011-01-01

    with the stapid growth of holiday demand, it becomes more important to exploit future holiday tourist commodities. By analysing the resourses and environment of holiday resort and studying tourists,core needs and expectations, the paper puts forward some suggestions systemlly about the approaches of tourist commodity exploitation. The paper takes the hot spring resort of southern Lushan Mountain for an example to make the analysis of the real evidence.%度假需求的快速增长,预示着在我国未来旅游商品的开发中,度假区旅游商品的地位将更加突出。本文认为应对度假区依托的资源环境进行详细分析。并调查游客的核心期望,才能更具针对性地系统提出旅游商品开发途径及策略,顺应游客多层次消费的需要,促进度假区和所在地域经济的发展。本文以庐山山南温泉度假区为例进行了实证分析。

  12. Seeking health under palm trees: Ayurveda in Kerala.

    Science.gov (United States)

    Kannan, Srinivasan; Frenz, Margret

    2017-12-22

    Movement for healthcare, mostly termed 'medical tourism', has been a sector of enormous potential in South Asia over the past years attracting many international clients. Kerala, a state in southern India, advertises 'Kerala Ayurveda' as one of its particular attractions. The objective of this paper is to study and understand the public health view on movements for healthcare and/or wellness across borders with a particular focus on the quality of treatments offered and on issues of ethics that concern patients from across different countries, but also the providers of Ayurveda treatments. To gain insights into local perspectives, interviews were conducted with Ayurveda practitioners at Ayurveda resorts in Kerala, in particular in Kovalam and Varkala, both in Thiruvananthapuram district. The analysis of our interviews shows that - perhaps not surprisingly in a world characterised by global capitalism - marketing plays an important role in attracting clients to resorts. Market considerations led to a transformation of how Ayurveda is presented to potential customers. This in turn has undermined the significance of Ayurveda within the tourism industry of Kerala. Arguably, representatives of the state view this as an opportunity rather than considering the importance of further developing Ayurveda as a medical practice.

  13. Providing animal health services to the poor in Northern Ghana: rethinking the role of community animal health workers?

    Science.gov (United States)

    Mockshell, Jonathan; Ilukor, John; Birner, Regina

    2014-02-01

    The Community Animal Health Workers (CAHWs) system has been promoted as an alternative solution to providing animal health services in marginal areas. Yet, access to quality animal health services still remains a fundamental problem for livestock dependent communities. This paper uses the concepts of accessibility, affordability, and transaction costs to examine the perceptions of livestock keepers about the various animal health service providers. The empirical analysis is based on a survey of 120 livestock-keeping households in the Tolon-Kumbungu and Savelugu-Nanton districts in the Northern Region of Ghana. A multinomial logit model was used to determine the factors that influence households' choice of alternative animal health service providers. The results show that the government para-vets are the most preferred type of animal health service providers while CAHWs are the least preferred. Reasons for this observation include high transaction costs and low performance resulting from limited training. In areas with few or no government para-vets, farmers have resorted to self-treatment or to selling sick animals for consumption, which has undesirable health implications. These practices also result in significant financial losses for farmers. This paper finds that the CAHWs' system is insufficient for providing quality animal health services to the rural poor in marginal areas. Therefore, market-smart alternative solutions requiring strong public sector engagement to support livestock farmers in marginal areas and setting minimum training standards for animal health service providers merit policy consideration.

  14. Reducing stigma in reproductive health.

    Science.gov (United States)

    Cook, Rebecca J; Dickens, Bernard M

    2014-04-01

    Stigmatization marks individuals for disgrace, shame, and even disgust-spoiling or tarnishing their social identities. It can be imposed accidentally by thoughtlessness or insensitivity; incidentally to another purpose; or deliberately to deter or punish conduct considered harmful to actors themselves, others, society, or moral values. Stigma has permeated attitudes toward recipients of sexual and reproductive health services, and at times to service providers. Resort to contraceptive products, to voluntary sterilization and abortion, and now to medically assisted reproductive care to overcome infertility has attracted stigma. Unmarried motherhood has a long history of shame, projected onto the "illegitimate" (bastard) child. The stigma of contracting sexually transmitted infections has been reinvigorated with HIV infection. Gynecologists and their professional associations, ethically committed to uphold human dignity and equality, especially for vulnerable women for whom they care, should be active to guard against, counteract, and relieve stigmatization of their patients and of related service providers. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  15. [Efficiency of medical and economic activities of a sanatorium-and-spa facility in the active phase of the public health system reform under macroeconomic instability].

    Science.gov (United States)

    Poliakov, B A; Kizeev, M V

    2010-01-01

    Results of a comprehensive study have demonstrated that the reform of the public health system currently underway in this country provides conditions for the extension of medical care based at sanatorium-and-spa facilities with simultaneous rise in relevant expenses. Bearing in mind the unstable macroeconomic situation, this requires thorough monitoring medical and economic activities of health resorts for the purpose of enhancing cost efficiency. The goal of optimization can be achieved by increasing competitive capacity based on strict control of expenditures and income redistribution for financing the most promising projects.

  16. [When health makes the headlines. Press, elite complicities and health globalisation in Bamako, Mali].

    Science.gov (United States)

    Jaffré, Y

    2007-08-01

    To overcome the socio-medical failures observed in Africa's health services, researchers and practitioners of public health often mention the necessity to resort to counter-powers. But, what are precisely these counter-powers? To analyse the problem, we describe the treatment of health issues in the Bamako press during one year. The analysis of various processes (external references, lack of training, insufficient deontological standards, "elite" complicity among journalists and health directors) allows us to underline the complexity of the links between the press and health. The economic flows related to the economy of development "projects" in particular with AIDS, encourage the journalists to see themselves as "educationalists" of populations rather than spokesmen for their claims or difficulties. Two consequences follow. First of all the press counter-power has to be developed in the case one wishes to see it as the expression of "the voice of the voiceless" and a good help to make an "informal" evaluation of the quality of health cares by users. But, more generally within this context of globalisation of health, instead of encouraging the expression of a "popular" criticism, newspapers work out a system of mutual legitimacies and social connivances among local "elites". Far from contributing to the improvement of the health system by looking actively into the problem leading to a modernity under control, health journalism disconnects the discourse from its referent and contributes to discredit "political" language. This journalistic construction of the insignificance is one of the principal political effects of this medical journalism instrumentalized by institutions of development.

  17. Bio-energetic rehabilitation of human health with use of therapeutic fasting

    International Nuclear Information System (INIS)

    Kechutkina, E.M.; Inyushin, V.M.; Asanov, D.R.

    2000-01-01

    The work devoted to study of mothers' and children's coming from ecologically unfavorable regions rehabilitation measures effectiveness and health improvement in condition of sanatorium-resort conditions. Comprehensive approach was developed in this direction. The approach includes of bio-energetic, psychologic, clearing measures in combination with weight-out faltering and observation of health status with help of electro-physiological methods. In result of conducted study and following analysis positive influence of hunger (in complex with resonance photoactivation bio-energetic excesses, psycho-training) process of bio-energetic rehabilitation of human health. It is concluded that most powerful energizing of reserve opportunities of body takes place at complete refusal from food and transition on internal nourishment (endogenous) that was confirm at 7-day festering by indexes of homeostasis shift

  18. Health and health promotion

    NARCIS (Netherlands)

    Kingma, E.M.

    2012-01-01

    Much of our social and political effort, including a portion of the research in this university, is directed towards the promotion of one goal: health. But what is health? Or rather, how should we define health so that it is an identifiable goalpost for our social policies and technological

  19. ABORTION IN BRAZIL: IMPACTS OF ILLEGALITY IN PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Vanessa Cruz Santos

    2013-12-01

    Full Text Available Abortion in Brazil provides public health impacts, mainly due to the high rate of maternal morbidity and mortality, because it most often occurs in an illegal practice and / or unsafe, because of the illegality of abortion in certain situations in the country. Therefore, it is an issue that refers to the various reflections, such as legal, moral, cultural, socio-economic and bioethical. Given the above, the study aims to address about abortion in Brazil and the impacts of illegality in public health. Study of literature review, descriptive and discursive, held in the database SciELO sites and governmental and non-governmental organizations. It was evident that the illegality of abortion in Brazil is harmful to the health of women who resort to unsafe practices and / or illegal, a violation of human rights, the women’s autonomy, as well as providing public health impacts, and sometimes this actually happens because the deficit in quality of care, specifically to sexual and reproductive health, as the actions of Family Planning. It is considered that the way of abortion in Brazil requires modifications, especially with regard to legislative and bioethics conflicts.

  20. Sea, sun, sand and …. selecting surgery: an exploration of health, medical and wellness tourist's mobility

    Directory of Open Access Journals (Sweden)

    Robert S. Bristow

    2015-11-01

    Full Text Available Mass tourism facilities depend on repeat visitors as well as attracting new first time tourists. As these traditional sun and sand holiday destinations mature, tourism promoters are bundling opportunities to attract a different kind of tourist. Since many of these resorts are all-inclusive facilities and include a Spa, one potential expansion may be to market to health, medical or wellness tourists. Geographic research in travel and tourism has found that individuals either repeat visits to the same destination or diversify their choices. This paper highlights the decision-making process of tourists and how it may be related to the niche market of health, wellness, and medical tourism. It uses data from a survey that gathered the travel patterns and motivations, and socio-demographics of medical tourists. Consumers who exhibit different travel behavior rank hospital accreditation and American hospital affiliation more important than those who repeat travel behavior

  1. Report in fiscal 1999 on the achievements in research and development of the ITS technology using clean energy driven automobiles. Research and development of an efficient utilization system for car rentals in tourist resort areas; 1998 nendo clean energy jidosha wo mochiita ITS gijutsu no kenkyu kaihatsu seika hokokusho. Kankochiyo rentaka koritsuteki riyo system no kenkyu kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    This paper describes the achievements in fiscal 1998 on developing ITS technology using clean energy driven automobiles. Development is intended on an efficient management and control method for EV car rentals in tourist resort areas using the ITS technology from the viewpoints of reducing road traffic load and global environment problems. The development items include a control center system, a system to control battery charging status at the center, a battery charging determination algorithm, and a car navigation and bi-directional communications mounting system. The system development has been completed nearly completely, having attained relatively high user satisfaction. However, because of the experimental rented cars having long mileage, there were few chances of verifying the charge determination algorithm and the functions of the ITS. Investigations were carried out on technological trends in overseas countries on EV and ITS, and on commuter car introduction projects. Structuring the hardware for a commuter EV system is not too difficult if the presently available EV and ITS technologies are used. However, in advancing commercialization, there are such assignments as establishment of software, operation patterns, and interfaces that enhance user convenience and profitability. (NEDO)

  2. How are health professionals earning their living in Malawi?

    Directory of Open Access Journals (Sweden)

    Maseko Fresier C

    2006-08-01

    Full Text Available Abstract Background The migration of health professionals from southern Africa to developed nations is negatively affecting the delivery of health care services in the source countries. Oftentimes however, it is the reasons for the out-migration that have been described in the literature. The work and domestic situations of those health professionals continuing to serve in their posts have not been adequately studied. Methods The present study utilized a qualitative data collection and analysis method. This was achieved through focus group discussions and in-depth interviews with health professionals and administrators to determine the challenges they face and the coping systems they resort to and the perceptions towards those coping methods. Results Health professionals identified the following as some of the challenges there faced: inequitable and poor remuneration, overwhelming responsibilities with limited resources, lack of a stimulating work environment, inadequate supervision, poor access to continued professionals training, limited career progression, lack of transparent recruitment and discriminatory remuneration. When asked what kept them still working in Malawi when the pressures to emigrate were there, the following were some of the ways the health professionals mentioned as useful for earning extra income to support their families: working in rural areas where life was perceived to be cheaper, working closer to home village so as to run farms, stealing drugs from health facilities, having more than one job, running small to medium scale businesses. Health professionals would also minimize expenditure by missing meals and walking to work. Conclusion Many health professionals in Malawi experience overly challenging environments. In order to survive some are involved in ethically and legally questionable activities such as receiving "gifts" from patients and pilfering drugs. The efforts by the Malawi government and the international

  3. Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth.

    Science.gov (United States)

    Jalaluddin, Md; Goyal, Vinod; Naqvi, Zuber A; Gupta, Bhaskar; Asnani, Mohil M; Sonigra, Hitesh M

    2017-07-01

    Intorduction: Patients usually undergo orthodontic treatment for achieving ideal interocclusal relationship between the dental tissue and bony tissue along with improving the speech, mastication, and facial esthetic appearance. Literature quotes paucity in the studies evaluating the effect of orthodontic treatment on the periodontal health of endodontically treated teeth. Hence, we planned the present study to assess the effect of orthodontic treatment on the periodontal health of endodonti-cally restored tooth. The present study included assessment of 80 patients who underwent orthodontic treatment. All the patients were divided broadly into two study groups: groups I and II. Group I included patients with the absence of endodontically treated teeth, while group II included patients which maxillary central incisors were resorted endodontically. Examination of the periodontal health of the patients was done using the community periodontal index of treatment need (CPITN) around the selected teeth. All the values were recorded during the preorthodontic time, postorthodontic time, and after the first 6 months of starting of the orthodontic treatment. All the results were recorded separately and analyzed. In the groups I and II, 28 and 25 patients respectively, had score of 1, while 10 patients in group I and 12 patients in group II had score of 2. Nonsignificant results were obtained while comparing the CPITN score in between the two study groups when measured at the pre-, intra-, and postortho time. In patients undergoing orthodontic treatment, having endodontically resorted teeth, no difference exists in relation to the periodontal health. Orthodontic treatment can be safely carried in patients with endodontically restored teeth.

  4. Palliative care and elderly health in Brazil

    Directory of Open Access Journals (Sweden)

    Angela Maria Amaral Soares Abou Ali

    2011-09-01

    Full Text Available In recent years elderly population is increasing substantially, about 650,000 per year, as well as the concept of unifamílies, ie, families consisting of a single person. In this paper, is proposed a reflection about health of elderly in Brazil, and the conditions of a chronic disease and its acute state - terminal. In the actual society, capitalist and capitalized, the individual is valued by his production, losing his value when acquires a disabling illnesses. There is a growing need for work, and each time there is less time and resources to manage the permanence of an elderly patient at home, or pay for a caregiver. This situation leads families to resort to hospitalization, which in turn makes the hospitals overcrowded with patients in this state, affecting both emergency care as the treatment of chronic patients. This fact occurs due to lack of hospital infrastructure, as well by the lack of units of the healthy system capable of providing palliative care. The questioning about the elderly who need palliative care, and reflection about the type of care dispended for this kind of patient, should be the focal point of professional's reflections, capable to lead him to a new way of thinking and, consequently, to inspire him to act in a new way.

  5. Ulnar artery: The Ulysses ultimate resort for coronary procedures

    Directory of Open Access Journals (Sweden)

    George Hahalis, MD, PhD

    2016-07-01

    Full Text Available Despite the increasing worldwide adoption of the transradial access site, the ulnar artery (UA only very infrequently serves as a primary option for coronary procedures. In contrast to the uncertainty surrounding previous reports regarding the feasibility and safety, recent data from larger registries and randomized trials provide more conclusive evidence that the transulnar route may be safely selected as an alternative arterial access approach. However, a default transulnar strategy appears time-consuming and is associated with higher crossover rates compared with the radial artery (RA. Once arterial access is obtained, the likelihood of a successful coronary procedure is high and similar between the two forearm arteries. The UA has similar flow-mediating vasodilating properties with and seems at least as vulnerable as the RA with regard to incident occlusion, with UA occlusion (UAO rates being probably higher than previously anticipated. A learning curve effect may not be apparent for crossover rates among experienced radialists, but increasing experience is associated with reduction in the fluoroscopy time, contrast volume and frequency of large hematoma formation. The UA may represents an important alternative access site for coronary procedures, and experienced radial operators should obtain additional skills to perform the transulnar approach. Nevertheless, in view of this method's lower feasibility compared to the RA, an initial ulnar access strategy should be reserved for carefully selected patients to ensure satisfactory cannulation rates.

  6. Ulnar artery: The Ulysses ultimate resort for coronary procedures.

    Science.gov (United States)

    Hahalis, George; Deftereos, Spyridon; Bertrand, Olivier F

    2016-08-20

    Despite the increasing worldwide adoption of the transradial access site, the ulnar artery (UA) only very infrequently serves as a primary option for coronary procedures. In contrast to the uncertainty surrounding previous reports regarding the feasibility and safety, recent data from larger registries and randomized trials provide more conclusive evidence that the transulnar route may be safely selected as an alternative arterial access approach. However, a default transulnar strategy appears time-consuming and is associated with higher crossover rates compared with the radial artery (RA). Once arterial access is obtained, the likelihood of a successful coronary procedure is high and similar between the two forearm arteries. The UA has similar flow-mediating vasodilating properties with and seems at least as vulnerable as the RA with regard to incident occlusion, with UA occlusion (UAO) rates being probably higher than previously anticipated. A learning curve effect may not be apparent for crossover rates among experienced radialists, but increasing experience is associated with reduction in the fluoroscopy time, contrast volume and frequency of large hematoma formation. The UA may represents an important alternative access site for coronary procedures, and experienced radial operators should obtain additional skills to perform the transulnar approach. Nevertheless, in view of this method's lower feasibility compared to the RA, an initial ulnar access strategy should be reserved for carefully selected patients to ensure satisfactory cannulation rates. Copyright © 2016 Hellenic Cardiological Society. Published by Elsevier B.V. All rights reserved.

  7. The Endangered Species Act: The Law of Last Resort.

    Science.gov (United States)

    Clearing, 1991

    1991-01-01

    Discussed is the possibility that the salmon found in the Columbia River (Idaho) is an endangered species. A list of threatened or endangered animal species in the Pacific Northwest is included. Activities that deal with the topics of diversity, endangered species, and what is being done about them are provided. (KR)

  8. The Pleasures of Mud : Estonian Summer Resort Architecture / Mart Kalm

    Index Scriptorium Estoniae

    Kalm, Mart, 1961-

    2006-01-01

    Pärnu, Haapsalu, Kuressaare ja Narva-Jõesuu suvitusarhitektuurist 20. saj. esimesest poolest kuni 21. saj. alguseni. Arhitektide Olev Siinmaa, Anton Soansi, August Volbergi, Tõnis Mihkelsoni, Raivo Puusepa, Raivo Kotovi, Üla Koppeli, Andrus Kõresaare, ehitusinseneride Erich Ottingi ja Robert Ederma ning sisearhitektide Tüüne-Kristin Vaikla, Urmo Vaikla, Liisi Murula ja Raili Palingu loomingust

  9. Case Study of Two Beach Resorts in Ghana

    African Journals Online (AJOL)

    Sam Eshun

    debris from run-off and inappropriately managed garbage bins, litter from ... tourism industry in Ghana, which is currently considered to be the fourth largest source of ..... litter at Korle than La could be attributed to the low educational level of ...

  10. Patterns of binge drinking at an international nightlife resort

    DEFF Research Database (Denmark)

    Tutenges, Sébastien; Hesse, Morten

    2008-01-01

    and drug use was surveyed using a short questionnaire. Findings: Most individuals surveyed were regular drinkers in Denmark, and the use of most illicit drugs was rare. Patterns of substance use in SB revealed heavy drinking was common, both in adolescents and young adults. CONCLUSIONS: International...

  11. Integrating Leisure: The Case of an Integrated Resorts Scheme in ...

    African Journals Online (AJOL)

    Mauritius, part of Southern African Development Community (SADC), is in the process of diversifying its tourism sector, which for the last two decades has attracted substantial foreign direct investment. To diversify tourism and sustain economic development achieved in the 1980s, government is encouraging

  12. DYNAMICS OF WATER CONSUMPTION CHANGES IN A TOURIST RESORT

    Directory of Open Access Journals (Sweden)

    Izabela Bartkowska

    2014-10-01

    Over 2011–2012 water extraction to the municipal water supply network was studied. The volume of water extracted every day was analyzed and the gathered volumes were analyzed statistically. The varying water extraction was also studied. The obtained results were presented in a graphic form. Basing on the descriptive stats and prepared diagrams certain general conclusions were drawn and the collected study figures and facts were summed up. This allowed to determine days of the highest and lowest water consumption. Also months of extreme water extraction and consumption were determined. The water extraction ranged from 1641 m3/24h to 2607 m3/24h, at an average value of 2077.4 m3/24h. Over the period under study the day of the largest water extraction and consumption was in July and the day of the lowest water extraction and consumption in December. During a week inhabitants used the highest water amount on Saturdays and the lowest on Sundays and other feast-days. Basing on the conducted measurements also the coefficient of water consumption per capita was determined. The fluctuation of this coefficient was identical as that for the water consumption. Within the period of study it ranged from 73.3 l/M 24h to 116.5 l/M 24h. The average value of the specific water consumption was 92.8 l/M 24h. For the sake of discussion the obtained results were compared with observations across the country.

  13. Dual practice in the health sector: review of the evidence

    Directory of Open Access Journals (Sweden)

    Hipólito Fátima

    2004-10-01

    Full Text Available Abstract This paper reports on income generation practices among civil servants in the health sector, with a particular emphasis on dual practice. It first approaches the subject of public–private overlap. Thereafter it focuses on coping strategies in general and then on dual practice in particular. To compensate for unrealistically low salaries, health workers rely on individual coping strategies. Many clinicians combine salaried, public-sector clinical work with a fee-for-service private clientele. This dual practice is often a means by which health workers try to meet their survival needs, reflecting the inability of health ministries to ensure adequate salaries and working conditions. Dual practice may be considered present in most countries, if not all. Nevertheless, there is surprisingly little hard evidence about the extent to which health workers resort to dual practice, about the balance of economic and other motives for doing so, or about the consequences for the proper use of the scarce public resources dedicated to health. In this paper dual practice is approached from six different perspectives: (1 conceptual, regarding what is meant by dual practice; (2 descriptive, trying to develop a typology of dual practices; (3 quantitative, trying to determine its prevalence; (4 impact on personal income, the health care system and health status; (5 qualitative, looking at the reasons why practitioners so frequently remain in public practice while also working in the private sector and at contextual, personal life, institutional and professional factors that make it easier or more difficult to have dual practices; and (6 possible interventions to deal with dual practice.

  14. CARE FOR HEALTH AMONG ELDERLY PEOPLE: EXPERTS’ OPINION INTERPRETATION

    Directory of Open Access Journals (Sweden)

    Elena Viacheslavovna Chernyshkova

    2017-03-01

    Full Text Available The main objective of the paper is to determine the most important health preserving practices widely used among the elderly employees. Materials and methods: data were provided by sociological qualitative research method – semi-structured expert interview conducted in Saratov in 2015. The respondents included 10 doctors of Saratov polyclinics (7 women and 3 men of different specialties: therapists, neurologists, endocrinologists, cardiologist, allergist-immunologist, gerontologist. The survey’s key findings were discussed and analyzed. It is revealed that the majority of working pensioners do not apply for professional medical care. It is explained by the fact that the representatives of working elderly population predominantly focus on avoidance of unhealthy habits, rational labour and rest regimen, diminished conditions of work, adequate physical activity and health resort treatment. The aim of the research is also to stress that such practices as self-medication and mass media advertising for prescription drugs may worsen the health status of individuals of a sociogeriatric group.

  15. Developing a system of multi-evaluation of the impact of global climate change on human health in Russia

    Science.gov (United States)

    Granberg, I.; Golitsyn, G.; Istoshin, N.; Efimenko, N.; Alekhin, A.; Rogoza, A.; Povolotskaya, N.; Artamonova, M.; Pogarski, F.

    2009-04-01

    forecasts we use developed by the joint efforts of our two institutions (PSRIC and IAP) typification of biotropic weather conditions on the basis of climatograms analysis (synoptic-meteorological conditions, helio-geomagnetic activity) and monitoring the health of people with various illnesses in the process of health resort treatment for CMW low-altitude resorts. This classification in modified form is now being adapted to the megapolis conditions by the example of Moscow. In the originating methodology of multiple-factor estimation of the impact of global climate change on human health in Russia a complex study of the atmosphere condition (especially in the case of inversions, leading to a sharp escalation of air pollution) is included, with simultaneous control of weather biotropy degree at meteosensitivity patients during different types of weather: anticyclonic, cyclonic, and frontal, causing changes in blood pressure and other adverse reactions of the organism. In the course of the works there are studied meteopathic reactions in patients with ischemic heart disease (IHD), including those with concomitant hypertension (CH) in connection with the combined influence of dynamic, meteorological, geophysical and environmental factors in the Moscow megalopolis and at the mountain cardiology resort of Kislovodsk. There are compared the results of resort treatment from the group of patients who had in obtaining information about the occurrence of pathogenic meteotropic weathers appointed preventive measures, designed for individual nosological forms, with a control group of patients, for which, regardless the type of weather, the standard complex of resort treatment had been set, without special measures for meteotropic reactions prevention. As a measure to improve meteo-prophylaxis of patients with cardiovascular diseases and improve the system of medical weather forecast for low-mountain resort a methodology of planned meteo-prophylaxis by directed using unique natural

  16. USE AND PERCEPTIONS OF SEXUAL AND REPRODUCTIVE HEALTH SERVICES AMONG YOUNG NORTHERN THAI PEOPLE

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Banwell, Cathy; Carmichael, Gordon; Utomo, Iwu Dwisetyani; Seubsman, Sam-Ang; Kelly, Matthew; Sleigh, Adrian

    2013-01-01

    This study sheds light on obstacles to safe sexual health for young Thais and their need for appropriate sexual and reproductive health services. The study population was 1,745 unmarried adolescents aged 17-20 who resided or worked in Chiang Mai, the major city in northern Thailand. The study used quantitative and qualitative methods to explore the vulnerability of sexually active adolescents as well as the lack of support and care for them from parents and health providers. We found that young Thais still prefer pharmacies for self-medication and use government health care facilities as a last resort. Current health services are not suitable for young people in northern Thailand because they lack privacy and impose judgemental attitudes, especially towards sexually active adolescent females. Current programs for adolescent sexual and reproductive health focus on education and counselling and do not provide appropriate privacy or clinical care. There is a pressing need for advocacy, policy support for the development of youth-friendly sexual and reproductive health services in Thailand. PMID:23082599

  17. Talent management best practices: how exemplary health care organizations create value in a down economy.

    Science.gov (United States)

    Groves, Kevin S

    2011-01-01

    : Difficult economic conditions and powerful workforce trends pose significant challenges to managing talent in health care organizations. Although robust research evidence supports the many benefits of maintaining a strong commitment to talent management practices despite these challenges, many organizations compound the problem by resorting to workforce reductions and limiting or eliminating investments in talent management. : This study examines how nationwide health care systems address these challenges through best practice talent management systems. Addressing important gaps in talent management theory and practice, this study develops a best practice model of talent management that is grounded in the contextual challenges facing health care practitioners. : Utilizing a qualitative case study that examined 15 nationwide health care systems, data were collected through semistructured interviews with 30 executives and document analysis of talent management program materials submitted by each organization. : Exemplary health care organizations employ a multiphased talent management system composed of six sequential phases and associated success factors that drive effective implementation. Based on these findings, a model of talent management best practices in health care organizations is presented. : Health care practitioners may utilize the best practice model to assess and enhance their respective talent management systems by establishing the business case for talent management, defining, identifying, and developing high-potential leaders, carefully communicating high-potential designations, and evaluating talent management outcomes.

  18. Occupational health

    OpenAIRE

    Coosemans, R.

    1997-01-01

    Health at work and healthy work environments are among the most valuable assets of individuals, communities and countries. Nowadays, new broader approach is promoted, recognizing the fact that occupational health is a key, but not a unique element of workers’ health. Workers health is a public health approach to resolving the health problems of working populations including all determinants of health recognized as targets of risk management. It focuses on primary prevention of occupational an...

  19. Smoking of health students “State and Foundation University Example”

    Directory of Open Access Journals (Sweden)

    Akyurt Nuran

    2017-01-01

    Full Text Available The purpose of the study is to take a look at the smoking habits of the undergraduate students studying in the health programs of state and private universities, and to determine their opinion about the smoking ban. The research is a descriptive type study. The survey was conducted in February 2017. The participation rate in the survey is 75.5%. A questionnaire consisting of 23 questions was applied to the students. In the questionnaire, students were asked about their socio-demographic characteristics, the age at which they started smoking, in which situations they resort to cigarette, their opinion about addiction and on the implementation of the law “Prevention and control of the harmful effects of tobacco products”.

  20. Willingness to pay for public health services in rural Central Java, Indonesia: methodological considerations when using the contingent valuation method.

    Science.gov (United States)

    Shono, Aiko; Kondo, Masahide; Ohmae, Hiroshi; Okubo, Ichiro

    2014-06-01

    In the health sectors of low- and middle-income countries, contingent valuation method (CVM) studies on willingness to pay (WTP) have been used to gather information on demand variation or financial perspectives alongside price setting, such as the introduction of user fees and valuation of quality improvements. However, WTP found in most CVM studies have only explored the preferences that consumers express through their WTP without exploring whether they are actually able to pay for it. Therefore, this study examines the issues pertaining to WTP estimation for health services using the conventional CVM. We conducted 202 household interviews in 2008, in which we asked respondents about three types of public health services in Indonesia and assessed WTP estimated by the conventional CVM as well as in the scenario of "resorting to debt" to recognize their budget constraints. We find that all the demand curves for both WTP scenarios show gaps. Furthermore, the gap for midwife services is negatively affected by household income and is larger for the poor. These results prove that CVM studies on WTP do not always reveal WTP in the latter scenario. Those findings suggest that WTP elicited by the conventional CVM is different to that from the maximum price that prevents respondents from resorting to debt as their WTP. In order to bridge this gap in the body of knowledge on this topic, studies should improve the scenarios that CVM analyses use to explore WTP. Furthermore, because valuing or pricing health services based on the results of CVM studies on WTP alone can exacerbate the inequity of access to these services, information provided by such studies requires careful interpretation when used for this purpose, especially for the poor and vulnerable sections of society. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Women's Health

    Science.gov (United States)

    Women have unique health issues. And some of the health issues that affect both men and women can affect women differently. Unique issues ... and men also have many of the same health problems. But these problems can affect women differently. ...

  2. International Health

    Science.gov (United States)

    ... create refugee populations with immediate and long-term health problems. Some of the major diseases currently affecting ... also an international problem which can affect people's health. Many countries and health organizations are working together ...

  3. Health Facilities

    Science.gov (United States)

    Health facilities are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, ... psychiatric care centers. When you choose a health facility, you might want to consider How close it ...

  4. Health Disparities

    Science.gov (United States)

    ... Health and Health Disparities conduct transdisciplinary research involving social, behavioral, biological, and genetic research to improve knowledge of the causes of health disparities and devise effective methods of preventing, diagnosing, and treating disease and promoting ...

  5. Psychological and Physical Health of Nonoffending Parents After Disclosure of Sexual Abuse of Their Child.

    Science.gov (United States)

    Cyr, Mireille; Frappier, Jean-Yves; Hébert, Martine; Tourigny, Marc; McDuff, Pierre; Turcotte, Marie-Ève

    2016-10-01

    Disclosure of child sexual abuse can be traumatic for nonoffending parents. Research has shown its impact on mothers' mental health, which includes heightened psychological distress, depression, and post-traumatic stress disorder. Very little is known, however, about its impact on their physical health or on fathers' health. The self-perceived mental and physical health of nonoffending parents after child sexual abuse disclosure was compared to determine gender-related differences in this regard. Interviews were conducted with 109 mothers and 43 fathers of 6- to 13-year-old sexually abused children. Bivariate analyses revealed that a fair proportion of parents reported psychological and physical problems after disclosure. However, proportionally more mothers than fathers reported psychological distress, depression, and use of professional services. Fathers were more likely to resort to health services instead of social services and to use medication for depression. Study findings provide leads for health and social service providers for the development of intervention protocols and referral procedures sensitive to gender issues, and they shed new light on specific needs of nonoffending parents.

  6. Health Promotion

    DEFF Research Database (Denmark)

    Povlsen, Lene; Borup, I.

    2015-01-01

    and Adolescent Health Promotion', Salutogenesis - from theory to practice' and Health, Stress and Coping'. More than half of all doctoral theses undertaken at NHV during these years had health promotion as their theme. As a derivative, the Nordic Health Promotion Research Network (NHPRN) was established in 2007......In 1953 when the Nordic School of Public Health was founded, the aim of public health programmes was disease prevention more than health promotion. This was not unusual, since at this time health usually was seen as the opposite of disease and illness. However, with the Ottawa Charter of 1986......, the World Health Organization made a crucial change to view health not as a goal in itself but as the means to a full life. In this way, health promotion became a first priority and fundamental action for the modern society. This insight eventually reached NHV and in 2002 - 50 years after the foundation...

  7. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    Colorectal cancer (CRC) is a public health challenge in developed countries and an emerging public health problem in developing ... and public health challenges in their immigrant countries. More so ..... The nutrition transition in Brazil. 46.

  8. Minority Health and Health Disparities

    Science.gov (United States)

    ... ik People" People Awakening Resilience Project (PARP), Cuqyun "Measuring" Treatment and Health Services Research Alcohol Treatment and ... addressing Health Disparities . 1 2009-2013 Health Disparities Strategic Plan, p.4 2 Ibid, p.4 3 ...

  9. Barriers to implementing a health policy curriculum in medical schools

    Directory of Open Access Journals (Sweden)

    Mohammed R

    2017-12-01

    Full Text Available Raihan Mohammed, Jamil Shah Foridi, Innocent OgunmwonyiFaculty of Medicine, University of Cambridge, Cambridge, UKAs clinical medical students, we read with great interest the perspective by Malik et al.1 Although medical schools excel at educating students on the pathology and treatment of diseases, we agree on the severe deficiency in teaching health policy (HP in the medical curriculum. However, the authors fail to include challenges facing this implementation, which is an important aspect of the analysis. Thus, here we outline 3 key barriers that must be considered when including HP teaching in the medical curricula.First, as the authors mention, the medical curriculum is already saturated and there is insufficient space to add obligatory HP learning in timetables. The UK curriculum is so packed that lecturers resort to teaching facts, which students then rote-learn and commit to memory. This leaves little time for students to develop a deep understanding of the pathophysiology of diseases and subsequent management, and they also fail to develop core lifelong skills, including problem solving and critical thinking.2 It is well acknowledged that the medical course is extremely rigorous, and up to 90% of students have admitted to suffering from stress and up to 75% have complained of burnout.3 With mental health issues among students reaching epidemic levels, adding HP lectures to the timetable would put undue strain on both the medical school curricula and the students.View the original article by Malik et al.

  10. International financial institutions and human rights: implications for public health.

    Science.gov (United States)

    Stubbs, Thomas; Kentikelenis, Alexander

    2017-01-01

    Serving as lender of last resort to countries experiencing unsustainable levels of public debt, international financial institutions have attracted intense controversy over the past decades, exemplified most recently by the popular discontent expressed in Eurozone countries following several rounds of austerity measures. In exchange for access to financial assistance, borrowing countries must settle on a list of often painful policy reforms that are aimed at balancing the budget. This practice has afforded international financial institutions substantial policy influence on governments throughout the world and in a wide array of policy areas of direct bearing on human rights. This article reviews the consequences of policy reforms mandated by international financial institutions on the enjoyment of human rights, focusing on the International Monetary Fund and World Bank. It finds that these reforms undermine the enjoyment of health rights, labour rights, and civil and political rights, all of which have deleterious implications for public health. The evidence suggests that for human rights commitments to be met, a fundamental reorientation of international financial institutions' activities will be necessary.

  11. Considerations of Health Tourism in Braila

    Directory of Open Access Journals (Sweden)

    Anca Gabriela Turtureanu

    2011-08-01

    Full Text Available The author aims at highlighting the conditions that lead to exploitation of the region Lake Sarat spa. Located in the eastern part of Romania, in Baragan North, the resort is located at a distance of only 5.5 km from the city of Braila. Surrounded by a park of 40 ha (30 ha and 10 ha forest green area, which provides a framework both the monumentality very picturesque, and by old, Salt Lake Resort is a true oasis of greenery with beneficial effects on the human body. Building fund has grown over the past 30 years, achieving adequate facilities for tourism and spa treatment. As shown current zoning functions, the resort is only about 50% recovered in terms of space, ie to the northeast. Otherwise, there are areas that do not fulfill the role of recreational green spaces.

  12. Gender relations and women's reproductive health in South Sudan

    Directory of Open Access Journals (Sweden)

    Sumit Kane

    2016-11-01

    Full Text Available Background: In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. Design: A qualitative study was conducted to analyze how gendered social relations among the Fertit people affect women's ability to exercise control over their reproductive lives and thereby their sexual and reproductive health. Transcripts of 5 focus group discussions and 44 semi-structured interviews conducted with purposefully selected community members and health personnel were analyzed using Connell's relational theory of gender. Results: Women across all age groups report that they have little choice but to meet the childbearing demands of husbands and their families. Women, both young and old, and also elders, are frustrated about how men and society are letting them down and how they are left to bear the reproductive burden. The poverty and chronic insecurity in South Sudan mean that many men have few sources of pride and achievement; conformity and complicity with the hegemonic practices accord both security and a sense of belonging and privilege to men, often at the expense of women's reproductive health. Conclusions: Inequalities in the domestic, social, and economic spheres intersect to create social situations wherein Fertit women's agency in the reproductive realm is constrained. In South Sudan, as long as economic and social opportunities for women remain restricted, and as long as insecurity and uncertainty remain, many women will have little choice but to resort to having many children to safeguard their fragile present and future. Unless structural measures are taken to address these inequalities, there is a risk of both a widening of existing health inequalities and the emergence of new inequalities.

  13. Gender relations and women's reproductive health in South Sudan

    Science.gov (United States)

    Kane, Sumit; Rial, Matilda; Matere, Anthony; Dieleman, Marjolein; Broerse, Jacqueline E.W.; Kok, Maryse

    2016-01-01

    Background In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. Design A qualitative study was conducted to analyze how gendered social relations among the Fertit people affect women's ability to exercise control over their reproductive lives and thereby their sexual and reproductive health. Transcripts of 5 focus group discussions and 44 semi-structured interviews conducted with purposefully selected community members and health personnel were analyzed using Connell's relational theory of gender. Results Women across all age groups report that they have little choice but to meet the childbearing demands of husbands and their families. Women, both young and old, and also elders, are frustrated about how men and society are letting them down and how they are left to bear the reproductive burden. The poverty and chronic insecurity in South Sudan mean that many men have few sources of pride and achievement; conformity and complicity with the hegemonic practices accord both security and a sense of belonging and privilege to men, often at the expense of women's reproductive health. Conclusions Inequalities in the domestic, social, and economic spheres intersect to create social situations wherein Fertit women's agency in the reproductive realm is constrained. In South Sudan, as long as economic and social opportunities for women remain restricted, and as long as insecurity and uncertainty remain, many women will have little choice but to resort to having many children to safeguard their fragile present and future. Unless structural measures are taken to address these inequalities, there is a risk of both a widening of existing health inequalities and the emergence of new inequalities. PMID:27900934

  14. The Principles of Designing Hospital Hotel with the Approach of Health Tourism in Kish Island

    Directory of Open Access Journals (Sweden)

    Anosh Sheikh Kazemha

    2017-02-01

    Full Text Available Medical tourism is known as one of the fastest growing sectors of the world tourism industry. Today, medical tourism has been highly considered by tourists to take advantage of the health benefits and physical and psychological effects of specific areas. Medical tourism as one of the tourism dimensions helps the economy of the country. Given the lucrative nature of the industry, many developing and even developed countries, focus their attention on the industry sector and plan for it. Hospital hotel is a combination of a hotel as a resort and a hospital as a place of healing and rejuvenation that in addition to the course of treatment provides accommodations after treatment as well. Hence, the present study examined the background of this type of application and its advantages and disadvantages and its feasibility in Kish Island to investigate the growth factors and potential of health tourism and ways to overcome obstacles to attract medical tourism. The findings show that the Island faces challenges in basic and health infrastructure, government’s efficient support, having a program for the development of medical tourism, having centers providing the health service with the international credit and promotion and integrated marketing. Proper planning, cheap prices of tourism services, medical education, creating websites of medical tourism and health tourism policy council are also the strategies mentioned in this study.

  15. Stakeholder's perceptions of help-seeking behaviour among people with mental health problems in Uganda

    Directory of Open Access Journals (Sweden)

    Ndyanabangi Sheila

    2011-02-01

    Full Text Available Abstract Introduction Mental health facilities in Uganda remain underutilized, despite efforts to decentralize the services. One of the possible explanations for this is the help-seeking behaviours of people with mental health problems. Unfortunately little is known about the factors that influence the help-seeking behaviours. Delays in seeking proper treatment are known to compromise the outcome of the care. Aim To examine the help-seeking behaviours of individuals with mental health problems, and the factors that may influence such behaviours in Uganda. Method Sixty-two interviews and six focus groups were conducted with stakeholders drawn from national and district levels. Thematic analysis of the data was conducted using a framework analysis approach. Results The findings revealed that in some Ugandan communities, help is mostly sought from traditional healers initially, whereas western form of care is usually considered as a last resort. The factors found to influence help-seeking behaviour within the community include: beliefs about the causes of mental illness, the nature of service delivery, accessibility and cost, stigma. Conclusion Increasing the uptake of mental health services requires dedicating more human and financial resources to conventional mental health services. Better understanding of socio-cultural factors that may influence accessibility, engagement and collaboration with traditional healers and conventional practitioners is also urgently required.

  16. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    care policy which was intended to make health care which of the two alternative methods of health care available to individuals and families in the financing options of free health or DRF was community at very little or no cost at all. However, preferred by the community members within most health facilities would appear to ...

  17. Health psychology and health promotion

    Directory of Open Access Journals (Sweden)

    Ali Delshad Noghabi

    2017-11-01

    Full Text Available Health psychology is the defined as studying of psychological and behavioral processes in health, illness, and healthcare. It contributes to is concerned with the understanding of how psychological, behavioral, and cultural factors contribute role to in physical health and illness. Psychological factors can affect health directly. For example, health is hurt by the chronically occurring environmental stressors which cumulatively affecting the hypothalamic–pituitary–adrenal axis, cumulatively, can harm health. On the other hand, a person's health is also interwoven with the Behavioral behavioral factors can also affect a person's health. For exampleinstance, certain behaviors behaviors, including smoking and excessive alcohol consumption can, over time, harm (smoking, excessive alcohol consumption health but exercise and diet low in saturated fat or can enhance health (exercise, diet low in saturated fat.

  18. "I'd Know That My Child Was Out There": Egg Donation, the Institutionalized "Ideal" Family, and Health Care Decision Making.

    Science.gov (United States)

    Rauscher, Emily A; Young, Stephanie L; Durham, Wesley T; Barbour, Joshua B

    2017-05-01

    This study investigates how young women of egg-donating age perceive egg donation. Using institutional theory, this study demonstrates how participants frame a health care decision, such as egg donation, utilizing familial ideals. Results revealed that women expressed the importance of ownership over their genetic material and that familial ideals encourage an ideal way to create a family, which egg donation only fits as a last resort. Results show that familial ideals reach past the institution of family into broader decision making, such as that of health care. Further, results show that as more families are constructed through assisted reproductive technologies, attempts should be made to gradually alter the familial ideal to encompass novel medical technologies such as egg donation.

  19. Health Fraud

    Science.gov (United States)

    Health fraud involves selling drugs, devices, foods, or cosmetics that have not been proven effective. Keep in ... you from getting the treatment you really need. Health fraud scams can be found everywhere, promising help ...

  20. Men's Health

    Science.gov (United States)

    ... men need to pay more attention to their health. Compared to women, men are more likely to ... regular checkups and medical care There are also health conditions that only affect men, such as prostate ...

  1. Occupational Health

    Science.gov (United States)

    Occupational health problems occur at work or because of the kind of work you do. These problems can include ... by exposure to radiation Exposure to germs in health care settings Good job safety and prevention practices ...

  2. Health Checkup

    Science.gov (United States)

    Regular health exams and tests can help find problems before they start. They also can help find problems early, ... and screenings you need depends on your age, health and family history, and lifestyle choices such as ...

  3. Children's Health

    Science.gov (United States)

    Your child's health includes physical, mental and social well-being. Most parents know the basics of keeping children healthy, like offering ... for children to get regular checkups with their health care provider. These visits are a chance to ...

  4. Health Occupations

    Science.gov (United States)

    ... around the clock, people who work in the health care industry provide care for millions of people, ... newborns to the very ill. In fact, the health care industry is one of largest providers of ...

  5. Health Topics

    Science.gov (United States)

    ... U V W X Y Z A Acne Anorexia nervosa Anxiety disorders Asthma Autoimmune diseases Return to ... Awareness Day National Women's Health Week Nursing (breastfeeding) Nutrition Return to top O Oral health Osteoporosis Ovarian ...

  6. Employee health.

    Science.gov (United States)

    2015-09-01

    The National Institute for Health and Care Excellence has produced a new guideline looking at improving the health and wellbeing of employees, with a particular focus on organisational culture and context, and the role of line managers.

  7. Health Deficiencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of all health deficiencies currently listed on Nursing Home Compare, including the nursing home that received the deficiency, the associated inspection date,...

  8. Mental Health

    Science.gov (United States)

    Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel and act as ... stress, relate to others, and make choices. Mental health is important at every stage of life, from ...

  9. HEALTH SYSTEMS

    International Development Research Centre (IDRC) Digital Library (Canada)

    many levels, and underscores the fact that health ... The health of mothers and their children depends on the status of women. INSIGHT ... tions find fertile ground when poverty ... Dr Gita Sen, Professor of Public Policy at the Indian Institute.

  10. Toddler Health

    Science.gov (United States)

    ... child visits are important to your toddler's health. Toddlers will get their recommended immunizations during these visits. Routine exams and screenings help you and your kids prevent and treat health problems as well as chart their growth and development.

  11. Occupational health

    CERN Document Server

    Fingret, Dr Ann

    2013-01-01

    Offers a comprehensive view of health and safety issues at work. An invaluable resource for managers, personnel professionals and occupational health practitioners. Recommended by the Institute of Personnel Management.

  12. Health Insurance

    Science.gov (United States)

    Health insurance helps protect you from high medical care costs. It is a contract between you and your ... Many people in the United States get a health insurance policy through their employers. In most cases, the ...

  13. Health Informatics.

    Science.gov (United States)

    Russell, Marie; Brittain, J. Michael

    2002-01-01

    Identifies current trends and issues in health informatics with examples of applications, particularly in English-speaking countries. Topics include health systems, professionals, and patients; consumer health information; electronic medical records; nursing; privacy and confidentiality; finding and using information; the Internet; e-mail;…

  14. Foot Health

    Science.gov (United States)

    ... straight across and not too short Your foot health can be a clue to your overall health. For example, joint stiffness could mean arthritis. Tingling ... foot checks are an important part of your health care. If you have foot problems, be sure ...

  15. Health Literacy

    Science.gov (United States)

    ... Improvement, April 19, 2017 Considerations for a New Definition of Health Literacy, April 04, 2016 Health Literacy Online, Office of Disease Prevention & Health Promotion Connect with Us Contact Us Twitter Facebook Instagram YouTube Flickr More Social Media from NIH ...

  16. HEALTH NEEDS

    Directory of Open Access Journals (Sweden)

    Olivera Radulovic

    2007-01-01

    Full Text Available Human needs are of great interest to different scientific fields: sociology, anthropology, psychology, medicine, economy… Malinowski, Maslow, Adler and From have largely contributed to studying the needs. While trying to define the need concept, not only one definition is acceptable. In psychology, need is defined as a lack or disorder, i.e. the necessity to dislodge this lack. It was Maslow who gave the fullest classification and explanation of human needs. If we start from the fact that need represents the lack or deficit of something, in this context health needs would indicate the lack of health, and the measurement of health needs would be the same as the measurement of health. Therefore, almost all human needs can be enumerated as health needs, i.e. those which, after being satisfied, can lead to physical, psychical and social welfare. According to WHO, health needs can be defined as scientifically settled evasions from health which require preventive, curative and probably regulative and eradicative measurements. According to the medical method used by the health service while regarding the needs, the emphasis is on morbidity, mortality, incidence, prevalence, inability, etc. Usually, when we have very low level of health culture, and the responsibility for personal health is in most of the cases unacceptable, for the health service user the curative services will have priority over preventive ones. The measurement of health needs is a complex task. The needs can be regarded through medical documentation and by perception of the needs by people in the community.

  17. Health inequalities

    DEFF Research Database (Denmark)

    Diderichsen, Finn

    2016-01-01

    Social investment policy has become a central response to the demographic and economic challenges facing European welfare states. This focus on investment in human capabilities and their efficient use is, however, challenged by health inequalities where education, health and employment...... are increasingly linked. This paper outlines the main principles of social investment policies (learning, activation and protection) and links them to a conceptual model of health inequalities and the policy entry-points tackling them by addressing the processes of social stratification, differential exposure...... investments in health so as to enable social investments to tackle the health divide....

  18. What factors influence the decisions of mental health professionals to release service users from seclusion?

    Science.gov (United States)

    Jackson, Haley; Baker, John; Berzins, Kathyrn

    2018-06-22

    Mental health policy stipulates seclusion should only be used as an intervention of last resort and for the minimum possible duration. Current evidence details which service users are more likely to be secluded, why they are secluded, and what influences the decision to seclude them. However, very little is known about the decision to release service users from seclusion. An integrative review was undertaken to explore the decision-making processes of mental health professionals which guide the ending of seclusion. The review used a systematic approach to gather and thematically analyse evidence within a framework approach. The twelve articles identified generated one overriding theme, maintaining safety. In addition, several subthemes emerged including the process of risk assessing which was dependent upon interaction and control, mediated by factors external to the service user such as the attitude and experience of staff and the acuity of the environment. Service users were expected to demonstrate compliance with the process ultimately ending in release and reflection. Little evidence exists regarding factors influencing mental health professionals in decisions to release service users from seclusion. There is no evidence-based risk assessment tool, and service users are not routinely involved in the decision to release them. Support from experienced professionals is vital to ensure timely release from seclusion. Greater insight into influences upon decisions to discontinue episodes may support initiatives aimed at reducing durations and use of seclusion. © 2018 Australian College of Mental Health Nurses Inc.

  19. Alternative medicine in Paris and Rio de Janeiro: a study on transformative health experiences

    Directory of Open Access Journals (Sweden)

    Elisabeth Eglem

    2014-06-01

    Full Text Available The purpose of this paper is to explore the practice of alternative medicine as an experience capable of modifying the very perception of the body and body feeling, based in a two-field research in France (Paris and Brazil (Rio de Janeiro. In this research, the resort to alternative medicines was considered as urban practice and a possible response to emotional needs, beyond the curative specificities of these medicines. The two countries were chosen for their supposed complementarity concerning the perception of spirituality and therefore, the perception of holistic health concepts. The study relies on an inductive approach and a qualitative methodology: introspective interviews with consumers and professionals, as well as participant observations. After a review of the theoretical aspects on the subject — concepts related to health, alternative medicine, transformative experience —, empirical results are presented. They show that the experience of alternative medicine tends to modify body perception, understood as how individuals define their own body. It also tends to modify body internal feeling, literally how people feel their body. The second conclusion that can be drawn from our study is that, beyond cultural specificities, some similarities appear in the way the practice of alternative medicine impacts on body perception and individual values. In that sense, alternative medicine practices in big urban centers appear to be related to a global consumer culture. However, alternative health behaviors rely on a subjective quest of sense which can be expressed through a variety of practices related to better health, not necessarily involving consumption.

  20. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    user

    2Department of Community Health, University of Benin, Benin City, Nigeria. ... Mental morbidity is a public health problem that can lead to a great burden of disability in the community. ..... community study in Sao Paulo, Brazil where.

  1. [The medical history taking in sexual health: skills and attitudes].

    Science.gov (United States)

    Sánchez-Sánchez, F; González-Correales, R; Jurado-López, A R; San Martín-Blanco, C; Montaña-Hernández, R M; Tijeras-Úbeda, M J; Benitez-Moreno, J M; Brenes-Bermúdez, F; Mir Pizà, J; Villalba-Quintana, E

    2013-01-01

    A sexual satisfactory life favourably affects quality of life, there being evidence that shows there are multiple organic processes of which sexual dysfunction is often a precocious sign of underlying organic disease (cardiovascular, endocrinological or neurological). Difficulties exist in recording the sexual anamnesis on the part of the professional, the patient, or by the health system. Nevertheless, given its importance, it is necessary for the doctor to adopt an attitude of active search, especially among the population of risk. To do this, it is necessary that the situation is propitious (sense of the opportunity), preserving the confidentiality of the meeting, and it will be carried out naturally and with empathy, adopting a listening attitude, taking into account the non-verbal language, without issuing valued judgments, and resorting to assertivity to overcome the resistances. This article proposes guidelines to perform an anamnesis adequately. Copyright © 2012 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  2. Travel agents and the prevention of health problems among travelers in Québec.

    Science.gov (United States)

    Provost, Sylvie; Gaulin, Colette; Piquet-Gauthier, Blandine; Emmanuelli, Julien; Venne, Sylvie; Dion, Réjean; Grenier, Jean-Luc; Dessau, Jean-Claude; Dubuc, Martine

    2002-01-01

    Among the factors influencing travelers to seek preventive health advice before departure, the travel agent's recommendation plays an important role. The objective of our study was to document the practices and needs of travel agents in Québec (Canada) in relation to the prevention of health problems among travelers. In June 2000, a cross-sectional descriptive survey was carried out among travel agents from all travel agencies in Québec. One agent per agency was asked to answer our questions. Data were collected using a 32-item telephone questionnaire. Altogether, 708 travel agents from the 948 agencies contacted answered our questionnaire (participation rate: 75%). Most respondents (81%) believed that the travel agent has a role to play in the prevention of health problems among travelers, especially to recommend that travelers consult a travel clinic before departure. Although over 80% of the agents interviewed mentioned recommending a visit to a travel clinic before an organized tour to Thailand or a backpacking trip in Mexico, less than half said they make the same recommendation for a stay in a seaside resort in Mexico. The majority of respondents were acquainted with the services offered in travel health clinics, and these clinics were the source of travel health information most often mentioned by travel agents. However, nearly 60% of the agents questioned had never personally consulted a travel clinic. When asked about the best way to receive information about travelers' health, more than 40% of respondents favoured receiving information newsletters from public health departments regularly whereas 28% preferred the Internet. Despite the limits of this study, our results should help the public health network better target its interventions aimed to inform travel agents on prevention of health problems among travelers.

  3. Health literacy and health communication

    Directory of Open Access Journals (Sweden)

    Kiuchi Takahiro

    2010-11-01

    Full Text Available Abstract Health communication consists of interpersonal or mass communication activities focused on improving the health of individuals and populations. Skills in understanding and applying information about health issues are critical to this process and may have a substantial impact on health behaviors and health outcomes. These skills have recently been conceptualized in terms of health literacy (HL. This article introduces current concepts and measurements of HL, and discusses the role of HL in health communication, as well as future research directions in this domain. Studies of HL have increased dramatically during the past few years, but a gap between the conceptual definition of HL and its application remains. None of the existing instruments appears to completely measure the concept of HL. In particular, studies on communication/interaction and HL remain limited. Furthermore, HL should be considered not only in terms of the characteristics of individuals, but also in terms of the interactional processes between individuals and their health and social environments. Improved HL may enhance the ability and motivation of individuals to find solutions to both personal and public health problems, and these skills could be used to address various health problems throughout life. The process underpinning HL involves empowerment, one of the major goals of health communication.

  4. Hallux valgus and hallux rigidus: a comparison of impact on health-related quality of life in patients presenting to foot surgeons in Australia

    Directory of Open Access Journals (Sweden)

    Landorf Karl B

    2008-12-01

    Full Text Available Abstract Background Hallux valgus and hallux rigidus are common foot conditions that lead to a deterioration in health status. Patients with significant pain or deformity from these conditions frequently resort to surgery. In this project, the foot health status of patients with hallux valgus and hallux rigidus presenting to foot surgeons in Australia was compared. Methods Foot health status was measured in 120 participants using the Foot Health Status Questionnaire (FHSQ, a validated 0 – 100 point health status instrument. All participants had presented for surgical advice regarding hallux valgus/rigidus. The mean age of participants was 48.0 years (SD ± 14.3, range 19 – 79. Results In the sample, 68% of participants were diagnosed with hallux valgus and 32% with hallux rigidus. Participants with hallux rigidus had greater levels of pain and functional limitation compared with hallux valgus. The mean difference for pain was 13.8 points (95% CI 4.6 to 22.9 and the mean difference for function was 15.0 points (95% CI 5.3 to 24.7. Both conditions result in similarly negative levels of impact on shoe fit and overall foot health. Conclusion This study found measurable differences in foot health status between hallux valgus and hallux rigidus in participants presenting for surgical consultation. While both appear to have a negative impact on health status, hallux rigidus has a more significant impact.

  5. Hallux valgus and hallux rigidus: a comparison of impact on health-related quality of life in patients presenting to foot surgeons in Australia

    Science.gov (United States)

    Gilheany, Mark F; Landorf, Karl B; Robinson, Priscilla

    2008-01-01

    Background Hallux valgus and hallux rigidus are common foot conditions that lead to a deterioration in health status. Patients with significant pain or deformity from these conditions frequently resort to surgery. In this project, the foot health status of patients with hallux valgus and hallux rigidus presenting to foot surgeons in Australia was compared. Methods Foot health status was measured in 120 participants using the Foot Health Status Questionnaire (FHSQ), a validated 0 – 100 point health status instrument. All participants had presented for surgical advice regarding hallux valgus/rigidus. The mean age of participants was 48.0 years (SD ± 14.3, range 19 – 79). Results In the sample, 68% of participants were diagnosed with hallux valgus and 32% with hallux rigidus. Participants with hallux rigidus had greater levels of pain and functional limitation compared with hallux valgus. The mean difference for pain was 13.8 points (95% CI 4.6 to 22.9) and the mean difference for function was 15.0 points (95% CI 5.3 to 24.7). Both conditions result in similarly negative levels of impact on shoe fit and overall foot health. Conclusion This study found measurable differences in foot health status between hallux valgus and hallux rigidus in participants presenting for surgical consultation. While both appear to have a negative impact on health status, hallux rigidus has a more significant impact. PMID:19077213

  6. Mental Health

    Science.gov (United States)

    ... well Feeling guilty, worthless, or helpless Thinking about suicide or hurting yourself Other mental health conditions include anxiety disorders, mood disorders, and personality disorders. For a good description ...

  7. Public health

    NARCIS (Netherlands)

    Berg, van den A.E.

    2007-01-01

    Agnes van den Berg wrote an essay about human health and nature, establishing that subject as an important policy argument in developing (urban) nature in the Netherlands. She studied the public balance of fear and fascination for nature, summarising benefits on human health. In this chapter, she

  8. Health Literacy

    Science.gov (United States)

    ... medical words, and of how their health care system works Abilities, such as physical or mental limitations Personal factors, such as age, education, language abilities, and culture More than 90 million adults in the United States have low health literacy. It affects their ability ...

  9. HEALTH & FINANCE

    African Journals Online (AJOL)

    HEALTH & FINANCE. Patrick Thokwa Masobe. Patrick Thokwa Masobe completed his undergraduate studies at Grinnel/. University in the USA, and a Master. Degreefrom the University of London in. 1995. He is wrrently employed by the national Department of Health, where he led the task team charged with making.

  10. Preconception Health

    Centers for Disease Control (CDC) Podcasts

    2012-10-01

    Preconception health means taking care of your own health now so you’ll be healthy for yourself and your future baby.  Created: 10/1/2012 by National Center on Birth Defects and Developmental Disabilities (NCBDDD).   Date Released: 10/1/2012.

  11. Consumer Health

    Science.gov (United States)

    Bibel, Barbara

    2010-01-01

    This article presents an annotated bibliography of 19 titles that focus on cancer and health-care reform. These include: (1) Anderson, John W. "Stand by Her: A Breast Cancer Guide for Men." AMACOM: American Management Assn.; (2) Carstensen, Laura L. "A Long Bright Future: An Action Plan for a Lifetime of Happiness, Health, and Financial Security."…

  12. Health Reports.

    Science.gov (United States)

    1992-09-01

    Futui’e Structure of Veterans’ Health Program (Aug. 11, 1992, GAO/T-HRD-92-53). Recombinant Bovine Growth Hormone: FDA Approval Should be Withheld Until...the Mastitis Issue Is Resolved (Aug. 6, 1992, GAO/PEMD-92-26). VA Health Care: Inadequate Controls Over Scarce Medical Specialist Contracts (Aug. 5

  13. Estimation of health in Chernobyl NPP accident consequences cleaning-up participants

    International Nuclear Information System (INIS)

    Bebeshko, V.G.; Kovalenko, A.N.; Chomazjuk, I.N.

    1997-01-01

    Over 11 years period of health observation of Chernobyl Accident's victims permits to make some conclusions. Quantitative changes of peripheral blood and bone marrow cells, changes in ultrastructural organization of hemopoietic cells, disturbance of proliferative activity of hemopoietic and stromal progenitor cells in clean-up workers testify to alterations of functional properties of hemopoiesis. There are high level of T- helpers, early appearance regenerated T-cells, which simultaneously express surface antigens of helpers and supressors, synchronization of proliferative cycle of immunocompetentive cells in these patients. Oppressing of antioxidant protection, stable changes of hormonal maintenance of adaptation and reproduction processes, disturbance of feedback mechanism between effector glands and hypophysis, significant rise of polyamines were determined. Cardiovascular diseases are the principal cause of health disruptions at victims. Neural and psychological diseases, suicidal cases, trauma, death in automobile accidents are rank second and third in structure of morbidity. In structure of chronic nonspecific pulmonary diseases dominated chronic obstructive bronchitis. The adrenergic tonus of vegetative nervous system was seen. The peculiarity of rehabilitation measures is complexness and continuity in-patients, out-patients service and providing facilities in health resorts. (author)

  14. [The thesis of judicialization of health care by the elites: medication for mucopolysaccharidosis].

    Science.gov (United States)

    Medeiros, Marcelo; Diniz, Debora; Schwartz, Ida Vanessa Doederlein

    2013-04-01

    This paper evaluates the hypothesis that the judicialization of medicine for mucopolysaccharidosis in Brazil is an action promoted by economic elites. Previous studies upholding the thesis of judicialization by elites in the case of other types of medication that are more costly for the Unified Health Service are discussed. An analysis of all 196 processes containing information about judicial processes brought to court between February 2006 and December 2010 that ended by determining that the State should provide such medication free of charge to patients was conducted. There is evidence that attorneys' fees were covered by entities interested in the results of judicialization, such as the distributors or pharmaceutical industries. Patients may also be migrating for diagnosis and treatment to university centers that are a benchmark for medical innovation in the country, as the option for public health services is related to their higher technical and scientific capacity. Therefore, the resort to private lawyers, indicators of social exclusion based on the address of patients and the use of public health services, are not adequate class information to corroborate or refute the thesis of judicialization by the elites.

  15. Health and Safety at Work: Analysis from the Brazilian Documentary Film Flesh and Bone.

    Science.gov (United States)

    Mendes, Luciano; Dos Santos, Heliani Berlato; Ichikawa, Elisa Yoshie

    2017-12-01

    The objective of this article is to make some analysis on the process of work and accidents occurring in slaughterhouses, evidenced in the Brazilian documentary film called Flesh and Bone . As such, it was necessary to discuss an alternative theoretical concept in relation to theories about health and safety at work. This alternative discussion focuses on the concepts of biopower and biopolitics. The use of audiovisual elements in research is not new, and there is already a branch of studies with methodological and epistemological variations. The Brazilian documentary Flesh and Bone was the basis for the research. The analysis of this documentary will be carried out from two complementary perspectives: "textual analysis" and "discourse analysis." Flesh and Bone presents problems related to health and safety at work in slaughterhouses because of the constant exposure of workers to knives, saws, and other sharp instruments in the workplace. The results show that in favor of higher production levels, increased overseas market sales, and stricter quality controls, some manufacturers resort to various practices that often result in serious injuries, disposal, and health damages to workers. Flesh and Bone , by itself, makes this explicit in the form of denunciation based on the situation of these workers. What it does not make clear is that, in the context of biopolitics, the actions aimed at solving these problems or even reducing the negative impacts for this group of workers, are not efficient enough to change such practices.

  16. Health inequity

    DEFF Research Database (Denmark)

    Frausing, Kristian Park; Smærup, Michael; Maibom, Kirsten

    living alone. Social and psychological needs were of primary concern whereas practical needs were of lesser concern. The second study showed older men living alone with no/short education to rate their health significantly worse on almost all items compared to men of higher education. The third study......Background: Being male, living alone and being of low socioeconomic status (SES) are all risk factors for health inequities, including a shorter lifespan. Not much is known, however, about older low-SES men living alone. This study maps their health. Methods: Three studies were conducted. First......, an electronic survey with municipal preventive home visitors nationwide inquiring into their perception of the health and needs of old men living alone. The second study compared older men's self-rated health according to their living arrangements and educational level using data from 29.791 older men from...

  17. One health? What about plant health?

    DEFF Research Database (Denmark)

    Danielsen, Solveig

    2012-01-01

    One Health has been defined around zoonotic diseases and the sharing of infrastructure and capacities of human and animal health systems in the health triad, people-animals-environment. Plant health needs to be part of the One Health concept....

  18. Mental Health: Keeping Your Emotional Health

    Science.gov (United States)

    ... Basics Sports Safety Injury Rehabilitation Emotional Well-Being Mental Health Sex and Birth Control Sex and Sexuality Birth ... PPD) Home Prevention and Wellness Emotional Well-Being Mental Health Mental Health: Keeping Your Emotional Health Mental Health: ...

  19. Health Equity Talk: Understandings of Health Equity among Health Leaders

    Directory of Open Access Journals (Sweden)

    Bernadette M. Pauly

    2017-11-01

    Full Text Available Introduction: Reducing health inequities is a stated goal of health systems worldwide. There is widespread commitment to health equity among public health leaders and calls for reorientation of health systems towards health equity. As part of the Equity Lens in Public Health (ELPH program of research, public health decision makers and researchers in British Columbia collaborated to study the application of a health equity lens in a time of health system renewal. We drew on intersectionality, complexity and critical social justice theories to understand how participants construct health equity and apply a health equity lens as part of public health renewal. Methods: 15 focus groups and 16 individual semi-structured qualitative interviews were conducted with 55 health system leaders. Data were analyzed using constant comparative analysis to explore how health equity was constructed in relation to understandings and actions. Results: Four main themes were identified in terms of how health care leaders construct health equity and actions to reduce health inequities: (1 population health, (2 determinants of health, and (3 accessibility and (4 challenges of health equity talk. The first three aspects of health equity talk reflect different understandings of health equity rooted in vulnerability (individual versus structural, determinants of health (material versus social determinants, and appropriate health system responses (targeted versus universal responses. Participants identified that talking about health equity in the health care system, either inside or outside of public health, is a ‘challenging conversation’ because health equity is understood in diverse ways and there is little guidance available to apply a health equity lens. Conclusions: These findings reflect the importance of creating a shared understanding of health equity within public health systems, and providing guidance and clarity as to the meaning and application of a health

  20. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    the_monk

    Journal of Community Medicine and Primary Health Care. 26 (1) 12-20 .... large proportions of the population work in the poor people use health care services far less than. 19 ... hypertension, cancers and road traffic accidents) below 1 dollar ...

  1. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    adedamla

    enrol in an insurance scheme feeling that they need more information on health insurance and the willingness to enrol in a ... and utilize the benefits of different types of health insurance services. Conclusion: The findings ..... improvements in access and quality of care, and the ... the 'rising tide' of and information technology.

  2. Environmental health and health planning

    International Nuclear Information System (INIS)

    1975-07-01

    Areas of environmental concern are identified and recommendations for improving environmental health are proposed by the Environmental Health Task Force of the Western Massachusetts Health Planning Council. Environmental health concerns in Western Massachusetts are in the areas of: air pollution; dental health and the specific problem of water flouridation; housing; injury control, including accidental death and disability; land use, and the specific problem of critical receptors; noise pollution; occupational hazards, specifically occupational accidents; pesticides; radiological exposure, particularly medical X-ray exposure and nuclear exposure; rural health care; sanitation; solid waste; and water quality including private and public water supplies, road salting, and rural sewerages. Each area of concern and specific problem are broken down into sections: background information; comments which incorporate recommendations for general problem-solving activities; and resources, including lists of key organization, individuals, laws and regulations, and publications relevant to the area of concern. Recommendations are presented based on long-term and short-term environmental goals. An inventory of environmental health organizations in Western Massachusetts is included. Appendices contain the charge to the Task Force, a definition of environmental health, sources of drinking water, the sanitation and sanitary codes, and housing and sanitation standards. Portions of this document are not fully legible

  3. Health promotion in occupational health.

    Science.gov (United States)

    Kaijser, C F O

    2005-01-01

    To describe a Swedish approach to occupational health and its implications for health promotion. We start business with a new customer by creating a health policy for the whole company. Every year a follow-up is presented to top management where decisions are taken on what to do for the coming period. The result from a paper mill is presented where cost savings were five times more than expected. We have found that close follow-up and the use of personalized reminders is very useful for individuals. We have also found the importance of working more with "the softer side" i.e. looking into a person's total life situation. Management training activities are essential. This training includes for instance personality, communication and conflict handling seminars and every manager has to go through those seminars. The focus is moved from sick care to health improvement. The result is measured in long-term health for individuals. To reach that level you have to be healthy and have no absences for at least two years. The Swedish occupational health system is a unique system for creating health. With a specially trained staff including MDs, nurses, physiotherapists, psychologists, management consultants and engineers, and working from prevention to treatment, they can create a total view of both individual health and customer company wealth. Working closely together in teams and in close cooperation with customers, they can initiate great changes in both these dimensions.

  4. Sexual Health

    Directory of Open Access Journals (Sweden)

    McMahon Sharon

    2004-08-01

    Full Text Available Abstract Health Issue Much attention is devoted to women's reproductive health, but the formative and mature stages of women's sexual lives are often overlooked. We have analyzed cross-sectional data from the Sexual Behaviour module of the 2000/2001 Canadian Community Health Survey (CCHS, and reviewed the literature and available indicators of the sexual health of Canadian women. Key Findings Contemporary Canadian adolescents are becoming sexually active at younger ages than in previous generations. The gender gap between young males and females in age at first intercourse has virtually disappeared. The mean age at first intercourse for CCHS respondents aged 15–24 years was between 16 and 17. Canadian-born respondents are significantly younger at first intercourse than those who were born outside of Canada. Few adolescents recognize important risks to their sexual health. Older Canadians are sexually active, and continue to find emotional and physical satisfaction in their sexual relationships. Data Gaps and Recommendations Both health surveys and targeted research must employ a broader understanding of sexuality to measure changes in and determinants of the sexual health of Canadians. There is reluctance to direct questions about sexual issues to younger Canadians, even though increased knowledge of sexual health topics is associated with delayed onset of sexual intercourse. Among adults, sex-positive resources are needed to address aspects of aging, rather than medicalizing age-related sexual dysfunction. Age and gender-appropriate sexual health care, education, and knowledge are important not only for women of reproductive age, but for Canadians at all stages of life.

  5. Women's health

    Science.gov (United States)

    ... Nurse midwives This list may not be all-inclusive. References Freund K. Approach to women's health. In: ... of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed ...

  6. Geospatial health

    DEFF Research Database (Denmark)

    Utzinger, Jürg; Rinaldi, Laura; Malone, John B.

    2011-01-01

    Geospatial Health is an international, peer-reviewed scientific journal produced by the Global Network for Geospatial Health (GnosisGIS). This network was founded in 2000 and the inaugural issue of its official journal was published in November 2006 with the aim to cover all aspects of geographical...... information system (GIS) applications, remote sensing and other spatial analytic tools focusing on human and veterinary health. The University of Naples Federico II is the publisher, producing two issues per year, both as hard copy and an open-access online version. The journal is referenced in major...... databases, including CABI, ISI Web of Knowledge and PubMed. In 2008, it was assigned its first impact factor (1.47), which has now reached 1.71. Geospatial Health is managed by an editor-in-chief and two associate editors, supported by five regional editors and a 23-member strong editorial board...

  7. Sexual Health

    Science.gov (United States)

    ... and changes in sexual function are common. These physiological changes can include: A need for more stimulation ... page: Sexuality in later life. National Institute on Aging. https://www.nia.nih.gov/health/publication/sexuality- ...

  8. Health Research

    Science.gov (United States)

    EPA scientists are helping communities and policymakers develop and implement policies and practices designed to improve public health, especially for groups such as children, the elderly or the socioeconomically disadvantaged.

  9. Environmental Health

    Science.gov (United States)

    Our environment affects our health. If parts of the environment, like the air, water, or soil become polluted, it ... in the home can trigger asthma attacks. Some environmental risks are a part of the natural world, ...

  10. Public Health

    International Development Research Centre (IDRC) Digital Library (Canada)

    ian health ministry, and the Canadian. International ... Tanzanian and Canadian researchers began work on ... information on the major causes of death ... The effects have been dramatic. Accord- ... destroy mosquito breeding grounds, such.

  11. Travelers' Health

    Science.gov (United States)

    ... 3, Avoid Nonessential Travel Health Infrastructure Breakdown in Venezuela May 15, 2018 More Alert Level 2, Practice ... Vision Using this Site Legal Link to Us Policies FOIA Accessibility Privacy No FEAR Act Inspector General ...

  12. HEALTH & FINANCE

    African Journals Online (AJOL)

    payments and coinsurance, the establishment of a minimum set ... costs are higher for aged and sick members. ... human nature to ensure you get good value for money. This ... rating. Australia has a National Health Insurance (NHI) system.

  13. Health surveillance

    International Nuclear Information System (INIS)

    1981-01-01

    The Code includes a number of requirements for the health surveillance of employees associated with the mining and milling of radioactive ores. This guideline is particularly directed at determining the level of fitness of employees and prospective employees, detecting any symptom which might contraindicate exposure to the environment encountered in mine/mill situations, examination of any employee who may have been exposed to radiation in excess of defined limits and the accumulation and provision of data on the health of employees

  14. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    adedamla

    Quarry industry has become a major means of livelihood in Ebonyi state, but insufficient data exists on their operations ... of Dust Mask among Crushers of Selected Quarry (Crushed ... Journal of Community Medicine and Primary Health Care.

  15. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria .... exercise. All pupils in the selected school later done under the light ..... increased the likelihood of intestinal parasitic of Ilechukwu et al in which a ...

  16. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    2Primary Health Care Department, Ikpoba Okha Local Government Area, Benin City, ... selected from each of the ten wards in the LGA using multistage sampling technique. ..... Knowledge of HIV/AIDS Insurance Companies in Lagos State.

  17. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    Subject and Methods: ... To the best of the authors' knowledge, ... increase in percentage of women visiting health categories were decided on because ..... leadership resulted in an empowering work Significant differences in the proportions of.

  18. Health Literacy and Health Outcomes

    Science.gov (United States)

    ... 1998. Relationship of functional health literacy to patients' knowledge of their chronic disease. A study of patients with hypertension and diabetes. Archives of Internal Medicine. 158(2): 166-172. ...

  19. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    Immunization is a proven cost-effective ... immunization programme and control of Vaccine was conducted to assess the ..... HFs where emphasis is on profit maximization revealed that the widespread ... World Health Organization (WHO).

  20. Health technology

    International Nuclear Information System (INIS)

    Nicolas, Delphine; Dangleant, Caroline; Ganier, Aude; Kaczmarek, Delphine

    2008-01-01

    The CEA is an organization with a primarily technological focus, and one of the key areas in which it carries out research is Health Technology. This field of research was recognized and approved by the French Atomic Energy Committee on July 20, 2004. The expectations of both the public and health care professionals relate to demands for the highest standards of health care, at minimum risk. This implies a need to diagnose illness and disease as accurately and as at early a stage as possible, to target surgery precisely to deal only with damaged organs or tissues, to minimize the risk of side effects, allergies and hospital-acquired infections, to follow-up and, as far as possible, tailor the health delivery system to each individual's needs and his or her lifestyle. The health care sector is subject to rapid changes and embraces a vast range of scientific fields. It now requires technological developments that will serve to gather increasing quantities of useful information, analyze and integrate it to obtain a full understanding of highly complex processes and to be able to treat the human body as un-invasively as possible. All the technologies developed require assessment, especially in the hospital environment. (authors)

  1. National Health Expenditure Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — National Health Expenditure Accounts are comprised of the following, National Health Expenditures - Historical and Projected, Age Estimates, State Health...

  2. Sexual Health

    Directory of Open Access Journals (Sweden)

    Dr. Christine Boyce

    2009-04-01

    Full Text Available This month two general practitioners (GPs describe their approach to sexual health consultations.The issue of a sexually active adolescent demonstrates some differences in legislation pertaining tothe requirement to involve the authorities, although in essence the young person can expect thesame response from these practitioners in two different health care systems. On the other hand apatient at risk of sexually transmitted infections is more likely to be referred to a specialistGenitourinary clinic in the UK although the protocols for screening and education are largely similar.Equally patients who are HIV positive can expect to receive the bulk of their care from specialistclinics in both countries.Midwives are the main stay of antenatal services in Australia and the UK with general practitionersminimally involved in routine cases. Also home births are a negigible proportion of all deliveries ineither country. When patients opt for a home birth our authors expressed the view that GPsgenerally do not have the skills or experience to be the main health professional in attendance.Therefore such births are primarily managed by midwives as the key health care professional. Thefocus of General practitioners is primarily to ensure that the patient is making an informed decisionabout delivering her baby at home. The GP is therefore still in an influential position to assist thewoman in making a decision about where to give birth. As a point of difference in Australia a homebirth would result in out of pocket expences for the mother.The views expressed below are those of the authors and do not necessarily reflect health policy orpractice elsewhere in their countries. However we believe they offer an interesting perspective ontheir health care systems and commend the article to our readers.Please

  3. [The behavioral determinants for health centers in health districts of urban Africa: results of a survey of households in Kinshasa, Congo].

    Science.gov (United States)

    Manzambi, J K; Tellier, V; Bertrand, F; Albert, A; Reginster, J Y; Van Balen, E H

    2000-08-01

    This study analyses the choice determinants of the population for health centres through a survey of the behaviour of families in a representative sample of 1,000 households in the health districts of Kinshasa, Congo in 1997. For the most recent episode of illness, the respondents turned to seven types of care: the health centre (37%), private dispensaries (26.5%), self-medication through a pharmacy (23.9%), traditional practitioner (21%), traditional self-medication (16.9%), private outpatients' clinic (16.7%) and a reference hospital (10.4%). Past logistics have shown that patients resort to a health centre rather than another type of care structure (P = 0.05) when looking for quality care, reasonable prices and the availability of varied services. On the other hand, concern about the geographical proximity in relation to the family's residence calls for using the private dispensary. When looking for a doctor or the existence of a 'convention', families are more inclined to choose a private officially recognized outpatients' clinic. Those who had been looking for a solution to a special type of illness opted primarily for a traditional practitioner. In conclusion, the results of this study show that if people choose the care offered by health centres, it is because they judge it to be of good quality. The integrated care offered by the same technician, with a required training, is a major asset in the acceptability of the first line of primary health care in Kinshasa. This study suggests that it would no doubt be beneficial to integrate non-official private care structures into the primary health care system, as far as it is possible for them to achieve a level of quality comparable to that of the health centres. In order that the traditional practitioner might play an important complementary role in the realization of primary health care, even in urban areas, the possibility of promoting sites of communication should be studied. Moreover, considering the weak

  4. Human Health

    CSIR Research Space (South Africa)

    Garland, Rebecca M

    2017-10-01

    Full Text Available Southern Africa has multiple risks that contribute to the overall burden of disease (i.e. the quadruple burden of disease), which may make people more vulnerable to the health impacts from climate change. In addition, the sector is vulnerable...

  5. Mental health

    NARCIS (Netherlands)

    Lagerveld, S.; Houtman, I.L.D.

    2014-01-01

    The article will describe factors of influence on return to work RTW and evidence-based interventions that enhance return to work (RTW) after sick leave due to common mental health disorders (CMD). First the concepts of both RTW and CMD are outlined. Second, the sense of urgency for effective RTW

  6. Girls Health

    Science.gov (United States)

    ... how to stay safe anywhere. Learn more Strong body, healthy mind. Thirteen ways being fit helps you. Learn more Mental health matters. Learn ways to cope if you’re feeling sad. Learn more Spotlight: Jaelin ... your body or your period? Confused about dating or friendships? ...

  7. Health promotion

    DEFF Research Database (Denmark)

    Nielsen, Glen; Wikman, Johan Michael; Jensen, Christian Jais

    2014-01-01

    in exercise interventions involving playing either a team sport (football) or a more individually focused activity (spinning and crossfit). Our results show that different social, organizational and material structures inherent in the different activities shape the subjects' enjoyment of exercise...... primarily on extrinsic motivation such as the expectation of improved health and well-being....

  8. HEALTH & FINANCE

    African Journals Online (AJOL)

    and less information and expertise available to them. This exact same item has also been mentioned as an advantage, because it hinges on the level of education of the specific consumer. The Department of Health is also concerned about the potential income tax advantages created by a savings account. If contributions ...

  9. Preconception Health

    Science.gov (United States)

    ... alcohol. How to avoid illness. Hazards in your workplace or home that could harm you or your baby. Health problems that run in your or your partner's family. Problems you have had with prior pregnancies, including preterm birth. Family concerns that could affect ...

  10. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    the_monk

    one strategy that could be conducted anywhere, if the health care workers are trained and positively disposed ... places; regulate advertising, manufacturing. 13 .... Gender. Male. 52 (46.0). 61 (54.0). 0.0001. Significant. Female. 82 (73.2).

  11. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    user

    about teething the world over and especially ... children`s out-patients, dental and the ear, nose and throat clinics of a tertiary hospital in south-west Nigeria. ... parents, health care workers and personal experiences were the sources of beliefs ... None (0%) of the respondents had prior knowledge of proven causes of ear.

  12. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    the_monk

    VPDs, this represents 17% of global total. 1 ... Knowledge, Attitude and Practice of Childhood Immunization ... Department of Community Health & Primary Care, College of Medicine, University of Lagos, Idi-Araba, P.M.B. 12003, ... include access to services, parental (maternal) ... Calmette Guerin (BCG) vaccine Oral Polio.

  13. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    adedamla

    compared the perceived availability of essential drugs and patronage of health facilities in a BI and non-BI Local government areas (LGA) of ... 2Medical Directorate, Hospitals Management Board, Uyo, Akwa Ibom State ... majority of the population in Malaysia had access to .... Ethical clearance for this study was obtained.

  14. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    The level of knowledge of HIV/AIDS among senior secondary school students in Ikpoba Okha LGA was poor. Parents were mainly the first source of information on HCT for the respondents. There is need for more research to update knowledge and information on adolescent health issues and services related to HIV/AIDS.

  15. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    the_monk

    2012-05-01

    May 1, 2012 ... with the quality of care in a tertiary health facility in Delta State, Nigeria ... includes contributions from families, charges have been .... employees at 23.5%, self employed 19.1% of showed that most of the respondents (41.3%).

  16. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    adedamla

    Background: The well-being of women and children is one of the major determinants ... The Sample for the study were women recruited from 11 primary health care ... respondents educational level and knowledge of preconception care (X =24.76, ... single adult or married couple) are in an optimal state .... The major site for.

  17. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    A nation's disease control effort is often as good as the surveillance and notification system put in place, .... Department. Community Health. 11. 4.9. Dentistry. 28. 12.5. Family Medicine. 14 .... formal training and a posting in the Infection control.

  18. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    adedamla

    Latin America and Southeast Asia. Cervical ... screening method based on visual Inspection with. 10-13 .... 56(49.6%) had poor knowledge while relating to practice of ... articulated road map and policy frame work to address ... European formal of Public ... Knowledge attitude and Practice ... Tertiary Health Institution. Int J.

  19. Delinquency, health behaviour and health

    NARCIS (Netherlands)

    Junger, M; van der Laan, AM; Stroebe, W.

    Objectives. This study investigated the association between delinquency and health in a sample of adolescents and young adults (aged 13-24) and examined whether the association could have been due to delinquency-related differences in demographic, socio-economic and like-style factors. Method. The

  20. Delinquency, health behaviour and health

    NARCIS (Netherlands)

    Junger, Marianne; Stroebe, Wolfgang; van der Laan, Andre M.

    2001-01-01

    Objectives. This study investigated the association between delinquency and health in a sample of adolescents and young adults (aged 13-24) and examined whether the association could have been due to delinquency-related differences in demographic, socio-economic and life-style factors. Method. The

  1. COMMUNITY HEALTH & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    the mobile phones of health workers and their role as a source of hospital acquired infection. The study utilised ..... grew organisms which is much lower than may not be as effective as regular hand. 7 .... Akinyemi KO, Atapu AD, Adetona. 2011 ...

  2. Health effects

    Energy Technology Data Exchange (ETDEWEB)

    Mahieu, L

    1998-07-01

    The main objectives of research in the field of health effects at the Belgian Nuclear Research Centre SCK-CEN are: (1) to study cancer mortality and morbidity in nuclear workers in Belgium; (2) to document the feasibility of retrospective cohort studies in Belgium; (3) to participate in the IARC study; (4) to elucidate the mechanisms of the effects of ionizing radiation on the mammalian embryo during the early phases of its development; (5) to assess the genetic risks of material exposure to ionizing radiation; (6) to elucidate the cellular mechanisms leading to brain damage after prenatal irradiation; (7) to advise authorities and to provide the general population with adequate information concerning the health risk arising from radiation exposure. Progress and major achievements in these topical areas for 1997 are reported.

  3. Health effects

    International Nuclear Information System (INIS)

    Mahieu, L.

    1998-01-01

    The main objectives of research in the field of health effects at the Belgian Nuclear Research Centre SCK-CEN are: (1) to study cancer mortality and morbidity in nuclear workers in Belgium; (2) to document the feasibility of retrospective cohort studies in Belgium; (3) to participate in the IARC study; (4) to elucidate the mechanisms of the effects of ionizing radiation on the mammalian embryo during the early phases of its development; (5) to assess the genetic risks of material exposure to ionizing radiation; (6) to elucidate the cellular mechanisms leading to brain damage after prenatal irradiation; (7) to advise authorities and to provide the general population with adequate information concerning the health risk arising from radiation exposure. Progress and major achievements in these topical areas for 1997 are reported

  4. What Is Mental Health?

    Science.gov (United States)

    ... Myths and Facts Recovery Is Possible What Is Mental Health? Mental health includes our emotional, psychological, and social ... mental health problems and where to find help . Mental Health and Wellness Positive mental health allows people to: ...

  5. Teachers' Health.

    Science.gov (United States)

    Scheuch, Klaus; Haufe, Eva; Seibt, Reingard

    2015-05-15

    Almost 800,000 teachers were working in Germany in the 2012-13 school year. A determination of the most common medical problems in this large occupational group serves as the basis for measures that help maintain teachers' health and their ability to work in their profession. We present our own research findings, a selective review of the literature, and data derived from the German statutory health insurance scheme concerning medical disability, long-term illness, and inability to work among teachers. Compared to the general population, teachers have a more healthful lifestyle and a lower frequency of cardiovascular risk factors (except hypertension). Like non-teachers, they commonly suffer from musculoskeletal and cardiovascular diseases. Mental and psychosomatic diseases are more common in teachers than in non-teachers, as are nonspecific complaints such as exhaustion, fatigue, headache, and tension. It is commonly said that 3-5% of teachers suffer from "burnout," but reliable data on this topic are lacking, among other reasons because the term has no standard definition. The percentage of teachers on sick leave is generally lower than the overall percentage among statutory insurees; it is higher in the former East Germany than in the former West Germany. The number of teachers taking early retirement because of illness has steadily declined from over 60% in 2001 and currently stands at 19%, with an average age of 58 years, among tenured teachers taking early retirement. The main reasons for early retirement are mental and psychosomatic illnesses, which together account for 32-50% of cases. Although German law mandates the medical care of persons in the teaching professions by occupational physicians, this requirement is implemented to varying extents in the different German federal states. Teachers need qualified, interdisciplinary occupational health care with the involvement of their treating physicians.

  6. Huckstering health.

    Science.gov (United States)

    Aufderheide, P

    1985-01-01

    Social marketers around the world are increasingly using the hard sell techniques of commercial marketers to encourage people to adopt new health practices. Social marketers, like commercial marketers, utilized all forms of mass media. In addition, they use unique communication channels to reach isolated populations rarely exposed to mass media messages. For example, in the Philippines nutritional information was communicated to villagers via a video cassette equipped van which traveled from village to village. Social marketers also use commercial marketing research strategies, including focus groups, message pretesting, and audience segmentation analysis. For instance, in a Brazilian campaign to promote breastfeeding, market research revealed that mothers lacked confidence in their ability to breastfed. Marketers used this information to develop radio spots around the theme that all mothers can breastfeed if they keep trying. The value of pretesting was illustrated in a breastfeeding campaign in Honduras. A radio spot in which a famous soccer player encouraged fathers to be attentive to their breastfeeding wives, was withdrawn after market researchers found that listeners did not take the advice seriously. The soccer player had the reputation of a being a womanizer, and the listeners viewed the advertisements as a joke. Social marketers sell products as well as ideas. Contraceptive sales in Egypt increased markedly following a campaign launched by a private advertising firm. The high technology and research sophistication associated with marketing techniques frequently gives social marketing projects a competitive advantage over other projects in attracting foreign assistance grants. The social marketing approach is not supported by all health educators. Critics are skeptical about social marketers' abilities to bring about longterm behavioral changes, feel that social marketing is too manipulative, and believe that social marketing promotes simplistic thinking

  7. Health promotion.

    Science.gov (United States)

    Miyake, S; Lucas-Miyake, M

    1989-01-01

    This article will describe a marketing model for the development of a role for occupational therapy in the industrial market. Health promotion activities are used as a means to diversify existing revenue bases by establishing new referral sources in industry. The technique of need satisfaction -selling or marketing one's services to a customer based on needs expressed by the customer - is reviewed, and implementation of this approach is described from two settings, one in psychiatry and the other in rehabilitation.

  8. Health promotion.

    OpenAIRE

    Goulding, R

    1994-01-01

    Using Type 2 diabetes as a case study, this paper focuses on the argument that greater emphasis on population-based measures to prevent, reduce or delay the onset of lifestyle-related chronic illness is likely to enhance and extend labour force participation and increase productivity as the population ages and thereby increase economic growth. Moreover, by enhancing the general health and independence of the ageing population such measures may also contain the associated projected growth in h...

  9. Health Sciences

    OpenAIRE

    McEntyre, Johanna; Swan, Alma; Meier zu Verl, Christian; Horstmann, Wolfram

    2011-01-01

    This chapter provides an overview of research data management in the health sciences, primarily focused upon the sort of data curated by the European Bioinformatics Institute and similar organisations. In this field, data management is well-advanced, with a sophisticated infrastructure created and maintained by the community for the benefit of all. These advances have been brought about because the field has been data-intense for many years and has been driven by the challenges biology fac...

  10. Bacterial-based additives for the production of artificial snow: what are the risks to human health?

    Science.gov (United States)

    Lagriffoul, A; Boudenne, J L; Absi, R; Ballet, J J; Berjeaud, J M; Chevalier, S; Creppy, E E; Gilli, E; Gadonna, J P; Gadonna-Widehem, P; Morris, C E; Zini, S

    2010-03-01

    For around two decades, artificial snow has been used by numerous winter sports resorts to ensure good snow cover at low altitude areas or more generally, to lengthen the skiing season. Biological additives derived from certain bacteria are regularly used to make artificial snow. However, the use of these additives has raised doubts concerning the potential impact on human health and the environment. In this context, the French health authorities have requested the French Agency for Environmental and Occupational Health Safety (Afsset) to assess the health risks resulting from the use of such additives. The health risk assessment was based on a review of the scientific literature, supplemented by professional consultations and expertise. Biological or chemical hazards from additives derived from the ice nucleation active bacterium Pseudomonas syringae were characterised. Potential health hazards to humans were considered in terms of infectious, toxic and allergenic capacities with respect to human populations liable to be exposed and the means of possible exposure. Taking into account these data, a qualitative risk assessment was carried out, according to four exposure scenarios, involving the different populations exposed, and the conditions and routes of exposure. It was concluded that certain health risks can exist for specific categories of professional workers (mainly snowmakers during additive mixing and dilution tank cleaning steps, with risks estimated to be negligible to low if workers comply with safety precautions). P. syringae does not present any pathogenic capacity to humans and that the level of its endotoxins found in artificial snow do not represent a danger beyond that of exposure to P. syringae endotoxins naturally present in snow. However, the risk of possible allergy in some particularly sensitive individuals cannot be excluded. Another important conclusion of this study concerns use of poor microbiological water quality to make artificial snow.

  11. Bacterial-based additives for the production of artificial snow: What are the risks to human health?

    International Nuclear Information System (INIS)

    Lagriffoul, A.; Boudenne, J.L.; Absi, R.; Ballet, J.J.; Berjeaud, J.M.; Chevalier, S.; Creppy, E.E.; Gilli, E.; Gadonna, J.P.; Gadonna-Widehem, P.; Morris, C.E.; Zini, S.

    2010-01-01

    For around two decades, artificial snow has been used by numerous winter sports resorts to ensure good snow cover at low altitude areas or more generally, to lengthen the skiing season. Biological additives derived from certain bacteria are regularly used to make artificial snow. However, the use of these additives has raised doubts concerning the potential impact on human health and the environment. In this context, the French health authorities have requested the French Agency for Environmental and Occupational Health Safety (Afsset) to assess the health risks resulting from the use of such additives. The health risk assessment was based on a review of the scientific literature, supplemented by professional consultations and expertise. Biological or chemical hazards from additives derived from the ice nucleation active bacterium Pseudomonas syringae were characterised. Potential health hazards to humans were considered in terms of infectious, toxic and allergenic capacities with respect to human populations liable to be exposed and the means of possible exposure. Taking into account these data, a qualitative risk assessment was carried out, according to four exposure scenarios, involving the different populations exposed, and the conditions and routes of exposure. It was concluded that certain health risks can exist for specific categories of professional workers (mainly snowmakers during additive mixing and dilution tank cleaning steps, with risks estimated to be negligible to low if workers comply with safety precautions). P. syringae does not present any pathogenic capacity to humans and that the level of its endotoxins found in artificial snow do not represent a danger beyond that of exposure to P. syringae endotoxins naturally present in snow. However, the risk of possible allergy in some particularly sensitive individuals cannot be excluded. Another important conclusion of this study concerns use of poor microbiological water quality to make artificial snow.

  12. Bacterial-based additives for the production of artificial snow: What are the risks to human health?

    Energy Technology Data Exchange (ETDEWEB)

    Lagriffoul, A. [Agence Francaise de Securite Sanitaire de l' Environnement et du Travail, 253, avenue du General Leclerc, 94701 Maisons-Alfort (France); Boudenne, J.L. [Universite de Provence, Laboratoire Chimie Provence, UMR6264, 3 Place Victor Hugo case 29 13331 Marseille CEDEX 3 (France); Absi, R. [Institut Polytechnique Saint-Louis, Ecole de Biologie Industrielle, Laboratoire EBInnov, 32 Boulevard du Port, 95094 Cergy-Pontoise (France); Ballet, J.J. [Laboratoire d' immunologie et immunopathologie, Centre hospitalo-universitaire de Caen, avenue de la cote de nacre 14000 Caen (France); Berjeaud, J.M. [Universite de Poitiers, Laboratoire de Chimie et Microbiologie de l' Eau, UMR6008, 40 avenue du recteur Pineau, 86022 Poitiers CEDEX (France); Chevalier, S. [Universite de Rouen, Laboratoire de Microbiologie du Froid, Signaux et Micro-Environnement, EA 4312, Normandie Securite Sanitaire, 55 rue St Germain, 27000 Evreux (France); Creppy, E.E. [Universite Bordeaux 2, UFR des Sciences Pharmaceutiques, Laboratoire de Toxicologie, 146, rue Leo-Saignat, 33076 Bordeaux CEDEX (France); Gilli, E. [Universite Paris 8, Departement de geographie, 2, rue de la Liberte, 93526 Saint Denis CEDEX (France); UMR Espace 6012, 98 bd Edouard Herriot, 06204, Nice, CEDEX 3 (France); Gadonna, J.P. [Institut Polytechnique Saint-Louis, Ecole de Biologie Industrielle, Laboratoire EBInnov, 32 Boulevard du Port, 95094 Cergy-Pontoise (France); Gadonna-Widehem, P. [Institut Polytechnique LaSalle Beauvais, departement STAI, rue P. Waguet BP 30313, 60026 Beauvais CEDEX (France); Morris, C.E. [INRA, Unite de Pathologie Vegetale UR407, F-84140 Montfavet (France); Zini, S., E-mail: sylvie.zini@afsset.fr [Agence Francaise de Securite Sanitaire de l' Environnement et du Travail, 253, avenue du General Leclerc, 94701 Maisons-Alfort (France)

    2010-03-01

    For around two decades, artificial snow has been used by numerous winter sports resorts to ensure good snow cover at low altitude areas or more generally, to lengthen the skiing season. Biological additives derived from certain bacteria are regularly used to make artificial snow. However, the use of these additives has raised doubts concerning the potential impact on human health and the environment. In this context, the French health authorities have requested the French Agency for Environmental and Occupational Health Safety (Afsset) to assess the health risks resulting from the use of such additives. The health risk assessment was based on a review of the scientific literature, supplemented by professional consultations and expertise. Biological or chemical hazards from additives derived from the ice nucleation active bacterium Pseudomonas syringae were characterised. Potential health hazards to humans were considered in terms of infectious, toxic and allergenic capacities with respect to human populations liable to be exposed and the means of possible exposure. Taking into account these data, a qualitative risk assessment was carried out, according to four exposure scenarios, involving the different populations exposed, and the conditions and routes of exposure. It was concluded that certain health risks can exist for specific categories of professional workers (mainly snowmakers during additive mixing and dilution tank cleaning steps, with risks estimated to be negligible to low if workers comply with safety precautions). P. syringae does not present any pathogenic capacity to humans and that the level of its endotoxins found in artificial snow do not represent a danger beyond that of exposure to P. syringae endotoxins naturally present in snow. However, the risk of possible allergy in some particularly sensitive individuals cannot be excluded. Another important conclusion of this study concerns use of poor microbiological water quality to make artificial snow.

  13. Embodying 'health citizenship' in health knowledge to fight health inequalities

    Directory of Open Access Journals (Sweden)

    Danielle Groleau

    2011-10-01

    Full Text Available This paper wishes to contribute to the debate around citizen participation in health system decision-making that has been present internationally for the last 30 years. I argue that if we aim to change health inequalities, health professionals and planners need to understand the illness and health service experience of citizens. The concept of 'health citizenship' introduced here refers to health knowledge that integrates the lay knowledge of patients and that this integration is translated into health actions such as clinical communication and the planning of health care, programs, and policy. We illustrate our argument with the two cases: health literacy and the promotion of breastfeeding in a Canadian population living in context of poverty. This paper then concludes by addressing the leadership role, Brazilian graduate nursing schools can play in promoting 'health citizenship' and by doing so, contribute to fight health inequalities.

  14. Health lessons learned from the recent earthquakes and Tsunami in Asia.

    Science.gov (United States)

    de Ville de Goyet, Claudele

    2007-01-01

    The evaluations following the Tsunami that affected 12 countries (December 2004) and the earthquakes in Bam, Iran (2003), and in Pakistan (2005) offered valuable lessons for public health preparedness against all types of risks (natural, complex, or technological) in all countries (regardless their level of development). The lessons learned, needs assessments, effectiveness of external life-saving assistance, disease surveillance and control, as well as donations management, were reviewed. Although hundreds of surveys or studies were conducted, the needs assessments were partial and uncoordinated. The findings often were not shared by individual agencies. The evaluations in each of the three disasters point to some additional issues: 1. Foreign mobile hospitals rarely arrived in time for immediate trauma care. Existing international guidelines for the use of field hospitals often were ignored and must be updated and promoted. Local and neighboring facilities are best at providing immediate, life-saving care; 2. Occassionally, the risk of epidemics was grossly overestimated by the agencies and the mass media. Surveillance and improved routine control programs work without resorting to costly, improvised immunization campaigns of doubtless value. Improving or re-establishing water and sanitation must be the first priority; 3. Health donations were not always appropriate, nor did they follow the World Health Organization guidelines. The costly destruction of inappropriate donations was a recurrent problem; and 4. Medical volunteers from within the affected country were abounding, but did not benefit from the external logistical and material support. The international community should provide logistical and material support before sending expatriate teams that are unfamiliar with the area and its alth problems. Investing in the preparedness of the national health services and communities should become a priority for disaster-prone countries and those assisting them in

  15. Global health and global health ethics

    National Research Council Canada - National Science Library

    Benatar, S. R; Brock, Gillian

    2011-01-01

    ...? What are our responsibilities and how can we improve global health? Global Health and Global Health Ethics addresses these questions from the perspective of a range of disciplines, including medicine, philosophy and the social sciences...

  16. Protecting health.

    Science.gov (United States)

    Armour, Margaret-Ann; Linetsky, Asya; Ashick, Donna

    2008-10-01

    Water-soluble heavy metal salts injure health when they leach into water supplies. It is important that students who may later be employed in industries generating aqueous solutions of such salts are aware of the methods that can be used to recover the metal salt or transform it to non-health threatening products. The research was in the management of small quantities of hazardous wastes, such as are generated in school, college, and university teaching laboratories; in research laboratories; in industrial quality control and testing laboratories; and in small industries. Methods for the recovery of silver, nickel, and cobalt salts from relatively small volumes of aqueous solutions of their soluble salts were developed and tested. Where it was not practical to recover the metal salt, the practice has been to convert it to a water-insoluble salt, often the sulfide. This requires the use of highly toxic reagents. It was found that a number of heavy metal salts can be precipitated as the silicates, returning them to the form in which they are found in the natural ore. These salts show similar solubility properties to the sulfides in neutral, acidic, and basic aqueous solutions. The work has determined the conditions, quantities, and solution acidity that result in the most effective precipitation of the heavy metal salt. The concentration of the metal ions remaining in solution was measured by AA and ICP spectrometry. Specific methods have been developed for the conversion of salts of mercury and chromium to nonsoluble products.

  17. HEALTH INSURANCE

    CERN Multimedia

    2000-01-01

    The CERN-AUSTRIA Agreement, which implemented CERN's health insurance scheme, expired on 31 December 1999.In accordance with CERN's rules, a call for tenders for the management of the health insurance scheme was issued and the contract was once again awarded to AUSTRIA. In June 1999, the Finance Committee thus authorised the Management to conclude a new contract with AUSTRIA, which came into force on 1st January 2000.Continuity is thus assured on favourable conditions and the transition from one contract to the other will entail no substantial changes in the system for those insured at CERN except for a few minor and purely formal amendmentsWHAT REMAINS UNCHANGEDThe list of benefits, i.e. the 'cover' provided by the system, is not changed;Neither is the reimbursement procedure.AUSTRIA's office at CERN and its opening hours as well as its city headquarters remain the same. The envelopes containing requests for reimbursement have had to be sent (since the end of 1998) to :Rue des Eaux-Vives 94Case postale 64021...

  18. Mental health in schools and public health

    OpenAIRE

    Adelman, Howard S; Taylor, Linda

    2006-01-01

    Health policy and practice call for health and mental health parity and for a greater focus on universal interventions to promote, prevent, and intervene as early after problem onset as is feasible. Those in the public health field are uniquely positioned to help promote the mental health of young people and to reshape how the nation thinks about and addresses mental health. And schools are essential partners for doing the work.

  19. Between the court and the clinic: lawsuits for medicines and the right to health in Brazil.

    Science.gov (United States)

    Biehl, João; Amon, Joseph J; Socal, Mariana P; Petryna, Adriana

    2012-06-15

    The Brazilian Constitution states: "Health is the right of all persons and the duty of the State." Yet individuals in Brazil frequently face barriers to health prevention and treatment. One response to these barriers has been a "judicialization" of the right to health, with an increasing number of patients suing the government for access to medicines. This study uses a mixed methods approach to identify trends in lawsuits for medicines in the southern state of Rio Grande do Sul (RS) and to characterize patient-plaintiffs. Electronic registries were used to determine the number of health lawsuits filed between 2002 and 2009. In-depth interviews were conducted with thirty patient-plaintiffs, and 1,080 lawsuits for medicines under review between September 1, 2008 and July 31, 2009 were analyzed to assess socio demographic, medical, and legal characteristics of patient-plaintiffs. Between 2002 and 2009, the annual number of health-related lawsuits against the state of RS increased from 1,126 to 17,025. In 2009, 72% of lawsuits sought access to medicines. In-depth interviews revealed that patients are desperate to access medicines for chronic and advanced diseases, and often turn to the courts as a last resort. Among the 1,080 lawsuits examined, patient-plaintiffs were more likely to be older than 45 years (68%), retired or unemployed (71%), and low-income (among those who reported income, 53% (n=350) earned less than the national minimum wage). Fifty-nine percent of all cases were represented by public defenders. Plaintiffs reported 1,615 diseases and requested 2.8 drugs on average (range 1-16). Sixty-five percent of the requested drugs were on government pharmaceutical distribution lists; 78% of the 254 drugs on these lists were requested. In 95% of the cases analyzed, district courts ruled in favor of plaintiffs. Among the 917 cases with a final state high court ruling, 89% were in favor of the plaintiff. In justifying their rulings, judges most frequently cited the

  20. MENTAL HEALTH: ISLAMIC PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Muzdalifah M. Rahman

    2015-02-01

    of mental health, especially mental health needs to be developed with an Islamic perspective various studies and research, especially the development of mental health recovery means Islamic perspective.

  1. Public health and social injustice are the key issues for the decriminalization of abortion in Mexico.

    Science.gov (United States)

    1994-01-01

    Although the Second National Abortion Survey Gallup found that 88% of Mexicans believe abortion should be a woman's choice and 77% think the decriminalization of abortion would substantially reduce maternal mortality, abortion in Mexico remains governed by a 1931 criminal code. The survey was initiated by the Information and Reproductive Choice Group to provide information for the 1994 national debate on abortion. Supporters of legal abortion note that poor women resort to unsafe pregnancy terminations without regard to the criminal status of abortion. According to Patricia Mercado, co-founder of the Reproductive Choice Group, "You can be against abortion, but still allow it to be decriminalized. In other words, criminalization does not prevent women from having abortions, it only makes then have then in bad conditions. The idea is that women should be able to decide freely without risking problems of health and social justice." Despite public support for abortion legalization, survey results indicate widespread fear about acknowledging the existence of clandestine abortion. An estimated 1-2 million illegal abortions occur each year in Mexico, yet only 26% of survey respondents would admit to knowing a woman who had undergone illegal abortion.

  2. [Fiscal policy and tobacco control: a unique opportunity to benefit public health and the public treasury].

    Science.gov (United States)

    Armendares, Pedro Enrique; Reynales Shigematsu, Luz Miriam

    2006-01-01

    Various studies and analyses show that an increase in tobacco prices through taxation is one of the most efficient tools in the application of integral policies in the fight against tobacco. Increases in taxes contribute to cessation, to reductions in consumption and in the number of deaths among addicts and to decrease the number of people who start to smoke. However, many governments hesitate to apply high taxes to tobacco for fear of possible negative economic results including loss of jobs and a decrease in fiscal revenue as a consequence of smuggling. Both literature and empirical experience indicate that these negative consequences do not occur or have been overestimated, often due to arguments promoted by the tobacco industry itself. Increases in tobacco taxes result in greater fiscal income, even in the presence of smuggling, which can be confronted without eroding tobacco control policies. Numerous countries, including Mexico, still have a wide margin for increasing tobacco taxes, and thereby to take advantage of an exceptional opportunity that benefits both the population's health and the public treasury. To do so, governments must stand up to the powerful tobacco industry, which is aware of the efficiency of taxes to combat tobacco use and therefore resorts to intense ad campaigns, political lobbying and negotiation of voluntary agreements for "self-regulation" in order to avoid stricter legislative or fiscal measures.

  3. Cannabis, pesticides and conflicting laws: the dilemma for legalized States and implications for public health.

    Science.gov (United States)

    Stone, Dave

    2014-08-01

    State laws on the legalization of medical and recreational cannabis are rapidly evolving. Similar to other crops, cannabis is susceptible to multiple pests during cultivation. Growers have an economic incentive to produce large yields and high quality plants, and may resort to pesticides to achieve these outcomes. Currently, there are no pesticides registered for cannabis in the United States, given its illegal status by the federal government. This discrepancy creates a regulatory vacuum and dilemma for States with legal medical and recreational cannabis that seek to balance lawful compliance with pesticides and worker or public health. Pesticide use presents occupational safety issues that can be mitigated through established worker protection measures. The absence of approved products for cannabis may result in consumer exposures to otherwise more hazardous pesticides or higher residue levels. While many legal and scientific hurdles exist to register conventional pesticides for use on cannabis, legalized States have explored other opportunities to leverage the present regulatory infrastructure. Stakeholder engagement and outreach to the cannabis industry from credible sources could mitigate pesticide misuse and harm. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Barriers and facilitators to smoking cessation in pregnancy and in the post-partum period: The health care professionals' perspective.

    Science.gov (United States)

    Naughton, Felix; Hopewell, Sarah; Sinclair, Lesley; McCaughan, Dorothy; McKell, Jennifer; Bauld, Linda

    2018-05-15

    Health care professionals and the health care environment play a central role in protecting pregnant and post-partum women and their infants from smoking-related harms. This study aimed to better understand the health professional's perspective on how interactions between women, health care professionals, and the environment influence how smoking is managed. Semi-structured interviews and focus groups. Data were from 48 health care staff involved in antenatal or post-partum care at two UK sites, including midwives, obstetricians, health visitors, GPs, pharmacists, service commissioners, and Stop Smoking Service (SSS) advisors and managers. Thematic analysis was guided by a social-ecological framework (SEF). Themes were divided across three SEF levels and represented factors connected to the management of smoking in the health care context and the beliefs and behaviour of pregnant or post-partum smokers. Organizational level: Service reconfigurations, 'last resort' nicotine replacement therapy prescribing policies, and non-mandatory training were largely negative factors. There were mixed views on opt-out referral pathways and positive views on carbon monoxide monitoring. Interpersonal level: Protection of client-professional relationships often inhibited frank discussions about smoking, and weak interservice relationships affected SSS referral motivation and quality. Individual level: Professionals felt community midwives had primary responsibility for managing smoking, although midwives felt underskilled doing this. Midwives' perceived priority for addressing smoking was influenced by the demands from unrelated organizational initiatives. Opportunities to improve clinical support for pregnant smokers exist at organizational, interservice, and health care professional levels. Interactions between levels reflect the importance of simultaneously addressing different level-specific barriers to smoking cessation in pregnancy. Statement of contribution What is already

  5. HEALTH INSURANCE

    CERN Multimedia

    Division HR

    2000-01-01

    Change of name for AUSTRIA As of October 1, the AUSTRIA Assurances S.A. company will change its name to: UNIQA Assurances S.A. It inherits the same name as its parent Austrian company, which adopted it towards the end of 1999. This change has no effect on the contract which binds it to CERN for the administration of our Health Insurance Scheme. New insurance cards will be sent to you by UNIQA and the printed forms and envelopes will gradually be updated with the new name. Postal and phone addresses remain unaffected by the change. You should address your postal mail to: UNIQA Assurances rue des Eaux Vives 94 case postale 6402 1211 Genève 6 You may telephone your usual contact persons at the same numbers as before and send e-mails to the UNIQA office at CERN at: UNIQA.Assurances@cern.ch

  6. Initiating Hehe [see text] medical system of traditional Chinese medicine and biomedicine to realize health cycle of human beings.

    Science.gov (United States)

    Wang, Jie-Hua

    2011-12-01

    This paper suggests a novel approach concerning the medical treatment of human beings, which appears to be economically and practically superior to either biomedicine or traditional medicine. A brand new medical system-Hehe [see text] medicine, has been proposed based on a preventive-biomedical-psycho-social treatment model. This is characterized by a dual approach in which life nurturing is consistently practised and medical treatment is applied when necessary in order to maintain a healthy life. Its core value would facilitate the self-restoration to health and self-adaptation to nature through health cultivation and medical means. Medical services would be firstly provided to the prevention of potential disease germinating in the human body, and clinical medical treatment would be the last resort of systematic medical practice. This paper discusses not only this new concept but also the advantages of traditional Chinese medicine and biomedicine, especially how both medical systems compare in cognitive style, on a cultural level, and on a technical level.

  7. Find a Health Center

    Data.gov (United States)

    U.S. Department of Health & Human Services — HRSA Health Centers care for you, even if you have no health insurance – you pay what you can afford based on your income. Health centers provide services that...

  8. Health SA Gesondheid

    African Journals Online (AJOL)

    Journal Home > Vol 23, No 1 (2018) ... Health SA Gesondheid - Journal of Interdisciplinary Health Sciences is an open access, peer-reviewed ... improvement of health safety and service delivery; management and measurement of health ...

  9. Oral Health and Aging

    Science.gov (United States)

    ... please turn JavaScript on. Feature: Oral Health and Aging Oral Health and Aging Past Issues / Summer 2016 Table of Contents Jerrold ... they may need. Read More "Oral Health and Aging" Articles Oral Health and Aging / 4 Myths About ...

  10. Opportunity costs and local health service spending decisions: a qualitative study from Wales.

    Science.gov (United States)

    Karlsberg Schaffer, Sarah; Sussex, Jon; Hughes, Dyfrig; Devlin, Nancy

    2016-03-25

    All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National Institute for Health and Care Excellence (NICE), the National Health Service (NHS) is mandated to provide the funding to accommodate it within three months of publication of the recommendation. Identifying what, in practice, is foregone when new cost-increasing technologies are introduced is important for understanding the effects of health technology assessment (HTA) decisions on the NHS or any other health care system. Our objective was to investigate how in practice local NHS commissioners in Wales accommodated financial "shocks" arising from technology appraisals (TAs) issued by NICE and from other cost pressures. Semi-structured interviews were conducted with Finance Directors and Medical Directors from all seven Local Health Boards (LHBs) in NHS Wales. These interviews covered prioritisation processes, as well as methods of financing NICE TAs and other financial shocks at each LHB. We then undertook a systematic identification of themes and topics from the information recorded. The study relates to the period October 2010 to March 2013. The financial impact of NICE TAs is generally anticipated and planned for in advance and the majority of LHBs have contingency funds available to cope with these and other financial shocks within-period. Efficiency savings (defined as reductions in costs with no assumed reductions in quality) were a source of funds for cost pressures of all kinds. Service displacements were not linkable to particular NICE TAs and there appears to be a general lack of explicit prioritisation activities. The Welsh Government has, on occasion, explicitly or implicitly acted as the funder of last resort. Services may be displaced as part of a response to the cumulative impact of all types of cost pressures, including cost-increasing health

  11. Health infrastructural challenges to health management information ...

    African Journals Online (AJOL)

    Aim: This study aims to assess health management information systems at the ... workers' ability to practice and use the health data generated at their Primary Health ... Only 2 (5.7%) of the health centres surveyed were capable of operating the ... The government at all levels should ensure collective effort and political will to ...

  12. Health and Disability: Partnerships in Health Care

    Science.gov (United States)

    Tracy, Jane; McDonald, Rachael

    2015-01-01

    Background: Despite awareness of the health inequalities experienced by people with intellectual disability, their health status remains poor. Inequalities in health outcomes are manifest in higher morbidity and rates of premature death. Contributing factors include the barriers encountered in accessing and receiving high-quality health care.…

  13. Significados de la salud para los niños de la calle en Medellín (Colombia The meaning of health for homeless children, Medellin, Colombia

    Directory of Open Access Journals (Sweden)

    Mario Hurtado Gutiérrez

    2011-09-01

    Full Text Available Investigación realizada con niños en situación de calle en Medellín, Colombia. Objetivo: Conocer el significado y las prácticas en relación con la salud. Metodología: estudio cualitativo, etnográfico; se realizaron 34 entrevistas; la ética fue parte integral del proceso; el análisis se hizo con los participantes para garantizar el rigor. Resultados: el significado de salud está mediado por la posibilidad de sobrevivir. El dolor es el principal indicador de la pérdida de la salud y buscan contrarrestarlo. Las prácticas para conservar la salud se basan en el autocuidado, en prevenir enfermedades que se pueden visualizar y en consumir drogas. Conservan la salud, con hábitos saludables y prevención. Al perder la salud, recurren al autocuidado, a instituciones de apoyo y hospitales. Conclusión principal: el significado de salud depende de la forma de vida que los niños llevan. Cuando pierden la salud, pierden la libertad.It was made with homeless children in Medellin, Colombia. Objective: To know the meaning and practices according to their health. Methodology: Qualitative, ethnographic research; were made 34 interviews, ethics was an integral part of the process, the analysis was made with participants to ensure rigor. Results: The meaning of health is mediated by the possibility of survives. Pain is the main indicator of losing health and they try to counteract it. Habits focused to maintaining health are based in the self-care, prevent diseases that can be identified, and consuming drugs. To maintain health, they develop healthy habits and disease prevention. Losing health they resort to self-care, to support institutions and hospitals. Conclusions: The meaning of health depends on the way of life children have. When they lost the health, lost their freedom.

  14. College Health: Health Services and Common Health Problems

    Science.gov (United States)

    ... Many colleges also have a counseling center which students should go to for mental health concerns. How can I get seen at the ... services that I need? The staff at your student health center will know ... gynecologists, and mental health clinicians in the community in case you ...

  15. Nurse practitioner perceptions of barriers and facilitators in providing health care for deaf American Sign Language users: A qualitative socio-ecological approach.

    Science.gov (United States)

    Pendergrass, Kathy M; Nemeth, Lynne; Newman, Susan D; Jenkins, Carolyn M; Jones, Elaine G

    2017-06-01

    Nurse practitioners (NPs), as well as all healthcare clinicians, have a legal and ethical responsibility to provide health care for deaf American Sign Language (ASL) users equal to that of other patients, including effective communication, autonomy, and confidentiality. However, very little is known about the feasibility to provide equitable health care. The purpose of this study was to examine NP perceptions of barriers and facilitators in providing health care for deaf ASL users. Semistructured interviews in a qualitative design using a socio-ecological model (SEM). Barriers were identified at all levels of the SEM. NPs preferred interpreters to facilitate the visit, but were unaware of their role in assuring effective communication is achieved. A professional sign language interpreter was considered a last resort when all other means of communication failed. Gesturing, note-writing, lip-reading, and use of a familial interpreter were all considered facilitators. Interventions are needed at all levels of the SEM. Resources are needed to provide awareness of deaf communication issues and legal requirements for caring for deaf signers for practicing and student NPs. Protocols need to be developed and present in all healthcare facilities for hiring interpreters as well as quick access to contact information for these interpreters. ©2017 American Association of Nurse Practitioners.

  16. How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study

    Directory of Open Access Journals (Sweden)

    Sylvia Titze

    2018-01-01

    Full Text Available Actions in partnership across sectors is one principle for the promotion of health behaviours. The objective of this study was to describe the participation in a sports club-based exercise programme—named JACKPOT—following an intervention in a health care setting. Focus was given to the recruitment into JACKPOT, the attendance level, and whether the different programme elements were implemented as intented. The practicability of the project was also retrospectively rated. Participants were 238 inactive people (50% women between 30 and 65 years of age who attended a health resort. Of these, 77% were assigned to the intervention group (IG. The recruitment into the 12 JACKPOT sessions and the attendance levels were recorded via attendance lists. The implementation of the intervention standards was assessed with structured interviews and participatory observation. The Pragmatic Explanatory Continuum Indicator Summary (PRECIS-2 tool served to rate the practicability of the project. Almost 50% of the IG subjects attended JACKPOT sessions at least once and 54% of the attenders visited ≥75% of the 12 sessions. Some of the programme elements were not delivered fully. The process evaluation results showed that the project worked in a real-world setting, and also uncovered potential reasons such as incomplete information delivery for the moderate recruitment and attendance level.

  17. Contraceptive behavior as risk factor for reproductive health of junior students attending a medical university

    Directory of Open Access Journals (Sweden)

    T.N. Govyazina

    2017-06-01

    Full Text Available 1–3 year students attending medical and preventive faculty of a medical university were our research object. Our research had many stages, and at the first one our goal was to examine and to assess basic behavioral risks for reproductive health of students attending medical and preventive faculty of a medical university. We conducted a sociological examination via questioning. 428 students were questioned as per materials collecting program which included 74 parameters; they accounted for 91.6 % out of the overall official number of students, 45.0 % male students and 40.0 % female students combined work and studies. We detected that, as per questioning results, the specific weight of students who took care of their health amounted to 79.2 % boys and 95.2 % girls. However, the students tended to have bad habits, i.e. constant alcohol intake or smoking. And although information on diseases prevention and on how to pursue healthy lifestyle was perfectly available to them, students didn't try to use it and preserve their health. All the respondents said they were against abortion. Girls were likely to adopt a complex approach when choosing a contraceptive, they resorted to hormonal agents, and, with their partners' consent, to condoms. But they often took hormonal agents without any consultations with a gynecologist or an endocrinologist. Contraceptives were rather rarely applied, and students appeared to have no knowledge on risk factors causing reproductive health deterioration. They also tended to be negligent and too self-confident when it came to reproductive health protection. A risk of abortions was very high for girls who didn't use contraceptives, and also all students ran rather high risk of catching sexual diseases. Sexual education is needed to correct contraceptive behavior; medical workers are a main source of information on reproductive health of young people in 7–10 % cases only. We need to create interactive educational programs

  18. Measuring population health in Moldova: health expectancies

    Directory of Open Access Journals (Sweden)

    Cristina Avram

    2018-05-01

    Full Text Available Health measures are decisive for the development and implementation of population health policies. Monitoring health indicators can lead to improvements in health and decrease in the inequalities among subpopulations. The life expectancy at birth for the Moldovan population did not increase considerably during the last decades, due to the social and economic crisis which led to high mortality and poor health. In Moldova, no aggregated health indicators are utilized for health monitoring. Therefore, the authors calculated health indicators to assess the population health and argue their importance. Mortality and subjective data on self-perceived health and self-rated morbidity from the Household Budget Survey was used for constructing period morbidity-mortality tables. Thus, the authors applied Sullivan’s method to calculate the life expectancy in very good/good/fair health and the life expectancy without chronic morbidity for the period 2006 - 2015. The life expectancies in very good/good/fair health showed a compression of morbidity in the older ages for both sexes, and for rural and urban types of residence. The life expectancies without chronic morbidity for males and for urban dwellers demonstrated an expansion of morbidity. Although the life expectancy is slowly increasing, the trends in population health are contradictory, depending on the applied measures. The health expectancy indicators, based on self-perceived health, depict the actual situation in the population health. These indicators are becoming more essential with the ageing process and can be used for the tailoring of social and health policies and services to the real needs of the population.

  19. Australian health professionals' health website recommendation trends.

    Science.gov (United States)

    Usher, Wayne T

    2011-08-01

    This study was concerned with indentifying motivations and trends associated with a health website recommendation from eight of Australia's major health professions to the health consumer. Health professions included in this study are: psychiatrists, general practitioners, social workers, dietitians, chiropractors, physiotherapists, optometrists and pharmacists. An online survey (www.limesurvey.org) was developed from a common set of questions negotiated between all eight health professions. Survey questions were constructed in an attempt to identify participants' reasons for or against recommending a health website to a patient. A 5-point scale (not, slightly, neutral, moderately, strongly) to measure influence was used throughout the question set. This study indicates that Australian general practitioners (GPs) were the highest Australian health professionals to undertake a health website recommendation (86%), followed by psychiatrists (80%), with the lowest being physiotherapists (42%) and optometrists (33%). A profile of the Australian health professional who recommends a health website is identified as male, aged above 50 years, has had more than 10 years experience, works in a major city, is in private practice and has patient numbers exceeding 500 in a 12-month period (2009). Recommendations from this study include the need to develop mechanisms that identify high-quality online medical information and the development and implementation of Continuing Professional Development (CPD) courses which up-skill health professionals concerning the recommendation of health websites for health care delivery.

  20. Vulnerability, Health Agency and Capability to Health.

    Science.gov (United States)

    Straehle, Christine

    2016-01-01

    One of the defining features of the capability approach (CA) to health, as developed in Venkatapuram's book Health Justice, is its aim to enable individual health agency. Furthermore, the CA to health hopes to provide a strong guideline for assessing the health-enabling content of social and political conditions. In this article, I employ the recent literature on the liberal concept of vulnerability to assess the CA. I distinguish two kinds of vulnerability. Considering circumstantial vulnerability, I argue that liberal accounts of vulnerability concerned with individual autonomy, align with the CA to health. Individuals should, as far as possible, be able to make health-enabling decisions about their lives, and their capability to do so should certainly not be hindered by public policy. The CA to health and a vulnerability-based analysis then work alongside to define moral responsibilities and designate those who hold them. Both approaches demand social policy to address circumstances that hinder individuals from taking health-enabling decisions. A background condition of vulnerability, on the other hand, even though it hampers the capability for health, does not warrant the strong moral claim proposed by the CA to health to define health as a meta-capability that should guide social policy. Nothing in our designing social policy could change the challenge to health agency when we deal with background conditions of vulnerability. © 2016 John Wiley & Sons Ltd.

  1. Value reflected health education

    DEFF Research Database (Denmark)

    Wistoft, Karen; Nordentoft, Helle Merete

    2011-01-01

    This article examines the impact of a value-reflected approach in health education by demonstrating the nature of professional competence development connected to this approach. It is based on findings from two three-year health educational development projects carried out by school health nurses...... develop pedagogical competences in health education improving school childrens’ health....

  2. Health Insurance Basics

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Health Insurance Basics KidsHealth / For Teens / Health Insurance Basics What's ... thought advanced calculus was confusing. What Exactly Is Health Insurance? Health insurance is a plan that people buy ...

  3. Health, United States, 2012: Men's Health

    Science.gov (United States)

    ... Mailing List Previous Reports Suggested Citation Related Sites Purchase Health, United States Behavioral Health Report Children’s ... with Internet Explorer may experience difficulties in directly accessing links to Excel files ...

  4. Occupational Health for Health Care Providers

    Science.gov (United States)

    Health care workers are exposed to many job hazards. These can include Infections Needle injuries Back injuries ... prevention practices. They can reduce your risk of health problems. Use protective equipment, follow infection control guidelines, ...

  5. Definitions of Health Terms: General Health

    Science.gov (United States)

    ... needs to stay healthy. You can start by learning these general health terms. Find more definitions on Fitness | General Health | Minerals | Nutrition | Vitamins Basal Body Temperature Basal body temperature is your temperature at rest ...

  6. Veterans Health Administration Behavioral Health Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of VHA hospitals with behavioral health measure data. VHA reports data on a set of core performance measures for Hospital-Based Inpatient Psychiatric Services...

  7. [Terrorism, public health and health services].

    Science.gov (United States)

    Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

    2009-01-01

    Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

  8. The health physics and radiological health handbook

    International Nuclear Information System (INIS)

    Shleien, B.

    1992-01-01

    This handbook was conceived in order to fill the need of health physics practitioners, technicians, and students for an easy to use, practical handbook containing health physics and radiological health data. While briefer and more specific data sources are sources are available on single subject areas, as are multi-volume compendia, there is no current up-to-date compilation of information useful on a daily basis by the health physicist. Separate abstracts have been prepared for 16 chapters in this book

  9. Health Psychology special series on health disparities

    NARCIS (Netherlands)

    Kazak, A.E.; Bosch, J.; Klonoff, E.A.

    2012-01-01

    With the initiation of this new ongoing special series in Health Psychology on health disparities, we will publish articles that highlight ways in which health psychology can contribute to understanding and ameliorating these disparities. We welcome articles for this new special series and

  10. Perceptions of health promoters about health promotion ...

    African Journals Online (AJOL)

    2013-02-11

    Feb 11, 2013 ... regarding a health promotion programme for families with ... to contribute to high rates of not going to school (ibid. ... sector in order, amongst other objectives, to prevent health ... exercise and mental health promotion must be incorporated ..... (2009:141) identified ignorance and misconception about the.

  11. Global health governance as shared health governance.

    Science.gov (United States)

    Ruger, Jennifer Prah

    2012-07-01

    With the exception of key 'proven successes' in global health, the current regime of global health governance can be understood as transnational and national actors pursuing their own interests under a rational actor model of international cooperation, which fails to provide sufficient justification for an obligation to assist in meeting the health needs of others. An ethical commitment to providing all with the ability to be healthy is required. This article develops select components of an alternative model of shared health governance (SHG), which aims to provide a 'road map,' 'focal points' and 'the glue' among various global health actors to better effectuate cooperation on universal ethical principles for an alternative global health equilibrium. Key features of SHG include public moral norms as shared authoritative standards; ethical commitments, shared goals and role allocation; shared sovereignty and constitutional commitments; legitimacy and accountability; country-level attention to international health relations. A framework of social agreement based on 'overlapping consensus' is contrasted against one based on self-interested political bargaining. A global health constitution delineating duties and obligations of global health actors and a global institute of health and medicine for holding actors responsible are proposed. Indicators for empirical assessment of select SHG principles are described. Global health actors, including states, must work together to correct and avert global health injustices through a framework of SHG based on shared ethical commitments.

  12. Health Coordination Manual. Head Start Health Services.

    Science.gov (United States)

    Administration for Children, Youth, and Families (DHHS), Washington, DC. Head Start Bureau.

    Part 1 of this manual on coordinating health care services for Head Start children provides an overview of what Head Start health staff should do to meet the medical, mental health, nutritional, and/or dental needs of Head Start children, staff, and family members. Offering examples, lists, action steps, and charts for clarification, part 2…

  13. Public Health Events and International Health Regulations

    Centers for Disease Control (CDC) Podcasts

    2012-06-21

    Dr. Katrin Kohl, a medical officer at the CDC, discusses the World Health Organization’s International Health Regulations for assessing and reporting on public health events across the world.  Created: 6/21/2012 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 6/21/2012.

  14. Health Ethics Education for Health Administration Chaplains

    Science.gov (United States)

    Porter, Russell; Broussard, Amelia; Duckett, Todd

    2008-01-01

    It is imperative for divinity and health administration programs to improve their level of ethics education for their graduates who work as health administration chaplains. With an initial presentation of the variation of ethical dilemmas presented in health care facilities covering social, organizational, and patient levels, we indicate the need…

  15. Global Oral Health Inequalities

    Science.gov (United States)

    Garcia, I.; Tabak, L.A.

    2011-01-01

    Despite impressive worldwide improvements in oral health, inequalities in oral health status among and within countries remain a daunting public health challenge. Oral health inequalities arise from a complex web of health determinants, including social, behavioral, economic, genetic, environmental, and health system factors. Eliminating these inequalities cannot be accomplished in isolation of oral health from overall health, or without recognizing that oral health is influenced at multiple individual, family, community, and health systems levels. For several reasons, this is an opportune time for global efforts targeted at reducing oral health inequalities. Global health is increasingly viewed not just as a humanitarian obligation, but also as a vehicle for health diplomacy and part of the broader mission to reduce poverty, build stronger economies, and strengthen global security. Despite the global economic recession, there are trends that portend well for support of global health efforts: increased globalization of research and development, growing investment from private philanthropy, an absolute growth of spending in research and innovation, and an enhanced interest in global health among young people. More systematic and far-reaching efforts will be required to address oral health inequalities through the engagement of oral health funders and sponsors of research, with partners from multiple public and private sectors. The oral health community must be “at the table” with other health disciplines and create opportunities for eliminating inequalities through collaborations that can harness both the intellectual and financial resources of multiple sectors and institutions. PMID:21490232

  16. The health production function of oral health services systems

    DEFF Research Database (Denmark)

    Vlad, R.S.; Petersen, P.E.

    2000-01-01

    Attitudes, dental status, socioeconomic factors, oral health care, production of oral health, health status, quality of life......Attitudes, dental status, socioeconomic factors, oral health care, production of oral health, health status, quality of life...

  17. Lesotho - Health Facility Survey

    Data.gov (United States)

    Millennium Challenge Corporation — The main objective of the 2011 Health Facility Survey (HFS) was to establish a baseline for informing the Health Project performance indicators on health facilities,...

  18. Women's Health Topics

    Science.gov (United States)

    ... Information by Audience For Women Women's Health Topics Women's Health Topics Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print National Women's Health Week May 13 - 19, 2018 Join us ...

  19. Learn about Health Literacy

    Science.gov (United States)

    ... Submit What's this? Submit Button What is Health Literacy? Recommend on Facebook Tweet Share Compartir Low Resolution ... and services to make appropriate health decisions. Health Literacy Capacity and Skills Capacity is the potential a ...

  20. Health Literacy - Multiple Languages

    Science.gov (United States)

    ... Here: Home → Multiple Languages → All Health Topics → Health Literacy URL of this page: https://medlineplus.gov/languages/ ... W XYZ List of All Topics All Health Literacy - Multiple Languages To use the sharing features on ...

  1. Literacy and Health Disparities

    Science.gov (United States)

    Prins, Esther; Mooney, Angela

    2014-01-01

    This chapter explores the relationship between literacy and health disparities, focusing on the concept of health literacy. Recommendations are provided for ways to bridge the health literacy gap for learners in adult basic education and family literacy programs.

  2. Health Data Interactive (HDI)

    Data.gov (United States)

    U.S. Department of Health & Human Services — Health Data Interactive (HDI) presents a broad range of important public health indicators through an interactive web-based application that provides access to...

  3. Global Health Observatory (GHO)

    Science.gov (United States)

    ... global health estimates Health Equity Monitor 3.1 Maternal mortality Maternal health 3.2 Newborn and child mortality Child ... Programmes) Quick links Contact us Frequently asked questions Employment Feedback Privacy Email scams Regions Africa Americas South- ...

  4. National Health Interview Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian noninstitutionalized population of the United States...

  5. Health Clinic Cost Reports

    Data.gov (United States)

    U.S. Department of Health & Human Services — Healthcare Cost Report Information System (HCRIS) Dataset - Independent Rural Health Clinic and Freestanding Federally Qualified Health Center (HCLINIC).This data...

  6. Health and Water

    CSIR Research Space (South Africa)

    Genthe, Bettina

    2006-01-01

    Full Text Available The Health sector should play an integral part to accomplish Integrate Water Resource Management (IWRM). The overarching aim of IWRM is sustainability. Health of people and health of the environment is an outcome of IWRM through sustainability...

  7. Indiana Health Information Exchange

    Science.gov (United States)

    The Indiana Health Information Exchange is comprised of various Indiana health care institutions, established to help improve patient safety and is recognized as a best practice for health information exchange.

  8. Home Health Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Home Health Compare has information about the quality of care provided by Medicare-certified home health agencies throughout the nation. Medicare-certified means the...

  9. Climate Effects on Health

    Science.gov (United States)

    ... Guidance and Trainings Webinars Data and Tools Publications Climate Effects on Health Recommend on Facebook Tweet Share ... effects has been excerpted from the Third National Climate Assessment’s Health Chapter . Additional information regarding the health ...

  10. African Journals Online: Health

    African Journals Online (AJOL)

    Items 51 - 100 of 167 ... Ethiopian Journal of Health Sciences is a general health science journal .... Biochemistry, Dentistry, Genetics, Immunology, Internal Medicine, ... Faculty of Medical Sciences, Faculty of Health Sciences and Technology and ...

  11. African Health Sciences: Submissions

    African Journals Online (AJOL)

    African Health Sciences is an internationally refereed, free access, journal publishing original articles on research, clinical practice, public health, policy, planning, ... Makerere University School of Medicine, College of Health Sciences

  12. Native Health Research Database

    Science.gov (United States)

    ... Indian Health Board) Welcome to the Native Health Database. Please enter your search terms. Basic Search Advanced ... To learn more about searching the Native Health Database, click here. Tutorial Video The NHD has made ...

  13. Health System Measurement Project

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Health System Measurement Project tracks government data on critical U.S. health system indicators. The website presents national trend data as well as detailed...

  14. Home Health PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Under prospective payment, Medicare pays home health agencies (HHAs) a predetermined base payment. The payment is adjusted for the health condition and care needs of...

  15. Understanding health insurance plans

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000879.htm Understanding health insurance plans To use the sharing features on this ... plan for you and your family. Types of Health Insurance Plans Depending on how you get your health ...

  16. MENTAL HEALTH: ISLAMIC PERSPECTIVE

    OpenAIRE

    Muzdalifah M. Rahman

    2015-01-01

    The purpose of this paper was to explain the concept of mental health perspective Contemporary Psychology, describes the mental health of an Islamic perspective and describes how mental health recovery. The theory used is the concept of mental health perspective Contemporary Psychology, and the concept of mental health perspective Islamic Psychology Writing is writing method using qualitative research methods. Mental health is avoiding an Islamic perspective of all symptoms, complaints and...

  17. [Health for women; women for health].

    Science.gov (United States)

    1992-12-01

    This document describes a proposed new health policy for Colombian women. The rationale for the new policy, known as "Health for women, women for health", is discussed, and the general and specific objectives, program description, actions and strategies are presented for each of 5 subprograms. The subprograms cover health promotion and self-care for women, reproductive and sexual health care, prevention of abuse and services for women and children who are victims of violence, mental health, and occupational health Changes in Colombian society and living conditions and in the role of women over the past few decades have been reflected in changing epidemiologic profiles, life expectancy, and demands placed on health services. The Health for women, women for health policy takes into account social discrimination against women and its impact on female health. The subprogram of health promotion and self-care is intended to complement, reinforce, and broaden preventive interventions already offered by the health services. The subprogram will require a mobile interdisciplinary team to conduct educational campaigns and to coordinate activities. Promotional actions include staff training in a gender focus on health and health policy for women, development of a health manual for women, and a mass media campaign on self-care for women. The subprogram for reproductive health and sexuality will reorient existing maternal health services away from their emphasis on increasing coverage of prenatal care, promoting births in health facilities, and actions to reduce infant mortality and toward services appropriate to the different phases of the female reproductive cycle. The subprogram will include provision of family planning services, preventing and managing high risk pregnancies, providing adequate care in maternity centers for labor and delivery, and preventing avoidable maternal deaths. Reviewing and revising existing legislation to protect reproductive health is among proposed

  18. Learning about health: The pupils' and the school health nurses assessment of the health dialogue

    DEFF Research Database (Denmark)

    Borup, Ina K.

    Public health, health promotion, empowerment, experiental learning, HBSC, health survey, qualitative interviews, grounded theory, school children, adolescents, health dialogue, school health nurse......Public health, health promotion, empowerment, experiental learning, HBSC, health survey, qualitative interviews, grounded theory, school children, adolescents, health dialogue, school health nurse...

  19. On human health.

    Science.gov (United States)

    van Spijk, Piet

    2015-05-01

    If it is true that health is a priority objective of medicine, then medical practice can only be successful if the meaning of the term "health" is known. Various attempts have been made over the years to define health. This paper proposes a new definition. In addition to current health concepts, it also takes into account the distinction between specifically human (great) health and health as the absence of disease and illness-i.e. small health. The feeling of leading a life that makes sense plays a key role in determining specifically human great health.

  20. Public Health Departments

    Data.gov (United States)

    Department of Homeland Security — State and Local Public Health Departments in the United States Governmental public health departments are responsible for creating and maintaining conditions that...

  1. Deployment Health Surveillance

    National Research Council Canada - National Science Library

    DeNicola, Anthony D

    2004-01-01

    .... Gulf War health questions have resulted in controversy over potentially hazardous exposures during the deployment, the possibility of adverse affects from preventive health measures, and the role...

  2. [The use of metaphors to express toothache: a study in the field of the anthropology of health].

    Science.gov (United States)

    Lucas, Simone Dutra; Mattos, Flávio de Freitas; Melo, João Augusto do Carmo; Vasconcelos, Mara; Abreu, Mauro Henrique Nogueira Guimaraes de; Ferreira, Natália Enes

    2014-06-01

    This research was conducted with patients who sought emergency care at a Comprehensive Primary Care Clinic (CIAP IV) at the Dental School of Minas Gerais Federal University and at the Dental Center of a medium-sized city in the state of Minas Gerais. The scope of this article is to identify how the social representations of this issue are generated through the metaphors used by patients to express toothache. A total of 35 individuals of both genders who sought emergency care for toothache participated in the study. Content theme analysis was used. Social representations of toothache are generated as people resort to their life experiences to find words to express the problem. Prior sensations and feelings, and even imaginary situations, generate metaphors to attempt to explain the suffering. Toothache is often compared with the worst feelings ever experienced by individuals. Toothache represents great suffering for people seeking emergency dental care. This fact may help to develop further public oral health policies, bearing in mind that a socially deprived population is more often afflicted by toothache.

  3. The adoption of provider-based rural health clinics by rural hospitals: a study of market and institutional forces.

    Science.gov (United States)

    Krein, S L

    1999-04-01

    To examine the response of rural hospitals to various market and organizational signals by determining the factors that influence whether or not they establish a provider-based rural health clinic (RHC) (a joint Medicare/Medicaid program). Several secondary sources for 1989-1995: the AHA Annual Survey, the PPS Minimum Data Set and a list of RHCs from HCFA, the Area Resource File, and professional associations. The analysis includes all general medical/surgical rural hospitals operating in the United States during the study period. A longitudinal design and pooled cross-sectional data were used, with the rural hospital as the unit of analysis. Key variables were examined as sets and include measures of competitive pressures (e.g., hospital market share), physician resources, nurse practitioner/physician assistant (NP/PA) practice regulation, hospital performance pressures (e.g., operating margin), innovativeness, and institutional pressure (i.e., the cumulative force of adoption). Adoption of provider-based RHCs by rural hospitals appears to be motivated less as an adaptive response to observable economic or internal organizational signals than as a reaction to bandwagon pressures. Rural hospitals with limited resources may resort to imitating others because of uncertainty or a limited ability to fully evaluate strategic activities. This can result in actions or behaviors that are not consistent with policy objectives and the perceived need for policy changes. Such activity in turn could have a negative effect on some providers and some rural residents.

  4. Measuring the Impact of the Home Health Nursing Shortage on Family Caregivers of Children Receiving Palliative Care.

    Science.gov (United States)

    Weaver, Meaghann S; Wichman, Brittany; Bace, Sue; Schroeder, Denice; Vail, Catherine; Wichman, Chris; Macfadyen, Andrew

    2018-06-01

    The national nursing shortage translates into a gap in home nursing care available to children with complex, chronic medical conditions and their family caregivers receiving palliative care consultations. A total of 38 home health nursing surveys were completed by families receiving pediatric palliative care consultation services at a freestanding children's hospital in the Midwest. The gap in the average number of nursing hours allotted versus received was 40 h/wk per family, primarily during evening hours. Parents missed an average of 23 hours of employment per week to provide hands-on nursing care at home, ranking stress regarding personal employment due to nursing shortage at 6.2/10. Families invested an average of 10 h/mo searching for additional nursing coverage and often resorted to utilizing more than 6 different home nurse coverage personnel per month. Families reported multiple delays to hospital discharges (mean, 15 days per delay) due to inability to find home nursing coverage. Respiratory technology and lack of Medicaid coverage ( P home nursing access. This study examines how the pediatric home nursing shortage translates into a lived experience for families with children with complex medical conditions receiving palliative care.

  5. Low Testosterone and Men's Health

    Science.gov (United States)

    ... Peer Support Resources Diseases and Conditions Adrenal Disorders Osteoporosis and Bone Health Children and Teen Health Diabetes Heart Health Men's Health Rare Diseases Pituitary Disorders Thyroid Disorders Transgender Health Obesity and Weight Management Women's Health You and Your ...

  6. The global condition of epidemics: Panoramas in A (H1N1) influenza and their consequences for One World One Health programme.

    Science.gov (United States)

    Tirado, Francisco; Gómez, Andrés; Rocamora, Verónica

    2015-03-01

    Among the most relevant elements contributing to define the One World One Health programme we find epidemics. The reason is that in recent decades, infectious diseases such as HIV/SIDA, SARS and Influenza have shown that we need new approaches and concepts in order to understand how biological emergencies and health alerts deploy new scales of action. Especially relevant has been the case of A(H1N1) influenza. This reached the status of global threat virtually from its onset, triggering an international response with a diffusion, visibility and rapidity unparalleled in previous health alerts. This article maintains that this global condition cannot be explained solely by the epidemiologic characteristics of the disease, such as mortality rate, severe cases, propagation capacity, etc. Resorting to the approach proposed by the Actor-Network Theory (ANT), this paper suggests that the action of certain socio-technical operators was what built a heterogeneous network of ideas, concepts and materials that turned the A (H1N1) influenza into a global-scale phenomenon with unprecedented speed. Among these operators, the most important ones were: the speaking position, a discourse about threat, the protocols and guidelines that were used and, lastly, the maps that allowed a real-time monitoring of the influenza. The paper ends with the notion of panorama, as defined by Bruno Latour: a suggestion to describe the common denominator of the aforementioned operators, and a means to foresee the development of global scales for certain health alerts. The paper will conclude by proposing that this type of analysis would allow the One World One Health to understand with greater precision the dynamic of epidemics and thus make its principles of action much more specific as well as its definition of what global health should be. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. The new global health.

    Science.gov (United States)

    De Cock, Kevin M; Simone, Patricia M; Davison, Veronica; Slutsker, Laurence

    2013-08-01

    Global health reflects the realities of globalization, including worldwide dissemination of infectious and noninfectious public health risks. Global health architecture is complex and better coordination is needed between multiple organizations. Three overlapping themes determine global health action and prioritization: development, security, and public health. These themes play out against a background of demographic change, socioeconomic development, and urbanization. Infectious diseases remain critical factors, but are no longer the major cause of global illness and death. Traditional indicators of public health, such as maternal and infant mortality rates no longer describe the health status of whole societies; this change highlights the need for investment in vital registration and disease-specific reporting. Noncommunicable diseases, injuries, and mental health will require greater attention from the world in the future. The new global health requires broader engagement by health organizations and all countries for the objectives of health equity, access, and coverage as priorities beyond the Millennium Development Goals are set.

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

    Directory of Open Access Journals (Sweden)

    Detmer Don E

    2003-01-01

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

  9. Inequality in Health

    DEFF Research Database (Denmark)

    Dybbroe, Betina; Kappel, Nanna

    The overall purpose of the research we want to present, is to discuss how social inequality in health can both be maintained and strengthened- and changed through the health system and health efforts. Our contribution provides a view of a special point of intersection in which the health system...

  10. Health literacy in Europe

    NARCIS (Netherlands)

    Heide, van der Iris; Uiters, Ellen; Sørensen, Kristine; Röthlin, Florian; Pelikan, Jürgen; Rademakers, Jany; Boshuizen, Hendriek

    2016-01-01

    Background: Health literacy is an important determinant of health, but national health literacy levels are known for only some European countries. This study aims to examine to what extent national health literacy levels can be estimated based on publicly available census data. Method:

  11. Latino Mental Health

    Science.gov (United States)

    ... How Do Mental Health Conditions Affect the Latino Community? Common mental health disorders among Latinos are generalized anxiety disorder , major ... quality care. Lack of Information and Misunderstanding about Mental Health Overall, the Latino community does not talk about mental health issues. There ...

  12. Oral Health and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-12

    This women's health podcast focuses on the importance of maintaining good oral health during pregnancy.  Created: 5/12/2009 by Office of Women’s Health (OWH) and National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 5/12/2009.

  13. Regular health checks

    DEFF Research Database (Denmark)

    Grønhøj Larsen, Christian; Jørgensen, Karsten Juhl; Gøtzsche, Peter C

    2012-01-01

    To investigate whether Danish providers of general health checks present a balanced account of possible benefits and harms on their websites and whether the health checks are evidence-based.......To investigate whether Danish providers of general health checks present a balanced account of possible benefits and harms on their websites and whether the health checks are evidence-based....

  14. Mental Health - Multiple Languages

    Science.gov (United States)

    ... and Well-Being 1 - Stress - Amarɨñña / አማርኛ (Amharic) MP3 Siloam Family Health Center Health and Well-Being ... Well-Being 2 - Mental Health - Amarɨñña / አማርኛ (Amharic) MP3 Siloam Family Health Center What Is Mental Distress - ...

  15. Social health insurance

    CERN Document Server

    International Labour Office. Geneva

    1997-01-01

    This manual provides an overview of social health insurance schemes and looks at the development of health care policies and feasibility issues. It also examines the design of health insurance schemes, health care benefits, financing and costs and considers the operational and strategic information requirements.

  16. Health branding ethics

    DEFF Research Database (Denmark)

    Anker, Thomas Boysen; Sandøe, Peter; Kamin, Tanja

    2011-01-01

    into account the ethical dimensions of health branding: this article presents a conceptual analysis of potential ethical problems in health branding. The analysis focuses on ethical concerns related to the application of three health brand elements (functional claims, process claims, and health symbols...

  17. Geography and global health.

    Science.gov (United States)

    Brown, Tim; Moon, Graham

    2012-01-01

    In the wake of the report of the World Health Organisation's Commission on the Social Determinants of Health, Closing the gap in a generation (Marmot 2008), this invited commentary considers the scope for geographical research on global health. We reflect on current work and note future possibilities, particularly those that take a critical perspective on the interplay of globalisation, security and health.

  18. School Health: Policy Issues.

    Science.gov (United States)

    Baker, Constance M.

    1994-01-01

    Despite data suggesting a relationship between investment in children's health and improved academic performance, school health financing is inadequate, inequitable, and fragmented. Strategies for improving school health programs include leadership from the nursing profession; collaboration among health professionals; consolidation of funding…

  19. [Community health and interculturality].

    Science.gov (United States)

    Vieira, Gildas; Courtois, Robert; Rusch, Emmanuel

    2018-03-01

    An interventional research study in public health was carried out with populations originating from sub-Saharan Africa living in France. With the aim of acting on health inequalities through health education, the researchers focused notably on the links between intercultural relationships and the improvement of health promotion actions. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  20. Women's Health Insurance Coverage

    Science.gov (United States)

    ... Women's Health Policy Women’s Health Insurance Coverage Women’s Health Insurance Coverage Published: Oct 31, 2017 Facebook Twitter LinkedIn ... that many women continue to face. Sources of Health Insurance Coverage Employer-Sponsored Insurance: Approximately 57.9 million ...

  1. BETTER HEALTH FOR MIGRANTS.

    Science.gov (United States)

    Florida State Board of Health, Jacksonville.

    THIS ISSUE OF "FLORIDA HEALTH NOTES" DISCUSSES FLORIDA'S MIGRANTS AND THE MIGRANT HEALTH SERVICES PROVIDED BY THE STATE BOARD OF HEALTH AND THE COUNTY HEALTH DEPARTMENTS. THE FOLLOWING TOPICS ARE DISCUSSED--THEIR HOUSING AND SANITATION FACILITIES, THEIR LONG WORKING HOURS AND LOW WAGES, THEIR SUMMER MIGRATION PATTERNS, THEIR HEALTH…

  2. Water demand for ski resort development in the Austrian Alps: an Overview

    Science.gov (United States)

    Breiling, M.; Sokratov, S.

    2012-04-01

    Austria has the highest national added value from winter tourism in Europe, as well as worldwide. 15.7 million arrivals were counted in Austrian accommodation establishments in the 2010/11 winter season. There were more than 62 million overnight stays and 51.2 million skier-days were consumed. 588 million transports were carried out by more than 3000 lifts (cable cars, chair lifts and T-bars). Including indirect and induced effects, this resulted in more than 10 billion euros in added value being generated. The lack of snow in many Austrian skiing areas during the 2006/2007 winter season demonstrated the extent to which meteorological conditions influence operations. Declines in the number of skiers transported and total skier days were the result. The cable-car operators also had to struggle with little snow in the 2010/2011 winter. The Austrian Cable Car Operators' Association stated that the opening of 70-80% of all skiing areas outside of the peak season could only be assured through the use of snowmaking equipment. The central criterion for winter sports enthusiasts to make a trip is the guarantee that they will find snow at their destination and Austria's cable-car operators invest more than 100 million euros in the erection and improvement of snowmaking complexes every year to satisfy this deand. In the 2010/2011 season, this provided for 17,800 jobs. Cable car operators set up snowmaking equipment to become independent from meteorological conditions and improve the capacity utilisation of their expensive investments in transport systems in the early winter. Austria has a skiing area of around 25,400 hectares - around 17,000 hectares at altitudes between 600m and 3200m are currently suitable for snowmaking. As much as 70% of the snow is produced immediately before the start of the season. This recent trend is responsible that the irrigation pattern of Austrian land use changed significantly in the last decade. Previously maize fields and low lands in summer were the most important irrigated land, now high altitude mountain areas and winter are the largest irrigated areas. We assume the production of 6000 cubic metres of artificial snow per hectare per season. This results in around 100 million cubic metres of artificial snow to cover a slope area of 17,000 hectares that would be produced using 57 million cubic metres of water (incluing losses). In winter, Austrian skiing areas use almost as much water as the capital city of Vienna during the same period. The water demand could again be reduced up to 30% by snow making with help of the dendrite generator, a recent innovation that has not entered the market yet. Water savings also affect the energy requirements where savings of up to 40% are predicted and leads to improved resoure use, greater ecological compatibility and an increase in profitability.

  3. 78 FR 48043 - Safety Zone; AVI Resort and Casino Labor Day Fireworks Display; Colorado River

    Science.gov (United States)

    2013-08-07

    ... the Local Notice to Mariners and local advertising by the event sponsor. If the Captain of the Port... need not be enforced for the full duration stated on this notice, he or she may use a Broadcast Notice...

  4. Conflict-Triggered Top-Down Control: Default Mode, Last Resort, or No Such Thing?

    Science.gov (United States)

    Bugg, Julie M.

    2014-01-01

    The conflict monitoring account posits that globally high levels of conflict trigger engagement of top-down control; however, recent findings point to the mercurial nature of top-down control in high conflict contexts. The current study examined the potential moderating effect of associative learning on conflict-triggered top-down control…

  5. Modelo actancial. Los resortes narratológicos de la obra de Greimas

    OpenAIRE

    David Cruz, Janeth

    2013-01-01

    Este texto parte de una investigación sobre la configuración del relato en el cine de animación de la alianza Disney - Pixar y estudia el concepto del personaje desde la perspectiva del modelo actancial. Dicho modelo ha sido teorizado por Algirdas Julien Greimas y se basa en la idea de entender el personaje como un actante, es decir como un vehículo que permite el desarrollo de las acciones narrativas. Por eso se explica el alcance del modelo, sus orígenes y las actualizaciones y reinterpreta...

  6. Energy and resource basis of an Italian coastal resort region integrated using emergy synthesis.

    Science.gov (United States)

    Vassallo, Paolo; Paoli, Chiara; Tilley, David R; Fabiano, Mauro

    2009-10-01

    Sustainable development of coastal zones must balance economic development that encourages human visitation from a larger population with desires that differ from the local residents with the need to maintain opportunities for the local resident society and conserve ecological capital, which may serve as the basis for residents. We present a case study in which the sustainability level of a coastal zone (Riviera del Beigua), located along the Ligurian coast of north-western Italy, was assessed through the lens of systems ecology using emergy synthesis to integrate across economic, social and environmental sub-systems. Our purposes were (1) to quantify the environmental sustainability level of this coastal zone, (2) to evaluate the role of tourism in affecting the economy, society and environment, and (3) to compare emergy synthesis to Butler's Tourism Area Life Cycle model (TALC). Results showed that 81% of the total emergy consumption in the coastal zone was derived from external sources, indicating that this tourist-heavy community was not sustainable. Tourism, as the dominant economic sub-system, consumed 42% of the total emergy budget, while local residents used the remaining 58%. The progressive stages of the TALC model were found to parallel the dynamic changes in the ratio of external emergy inputs to local emergy inputs, suggesting that emergy synthesis could be a useful tool for detecting a tourist region's TALC stage. Use of such a quantitative tool could expedite sustainability assessment to allow administrative managers to understand the complex relationship between a region's economy, environment and resident society so sound policies can be developed to improve overall sustainability.

  7. When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?

    Directory of Open Access Journals (Sweden)

    Bombaci Hasan

    2016-01-01

    Full Text Available Introduction: Meniscal cysts very often cause meniscal tears and especially when it is peripheral, some of the healthy parts of meniscus might be needlessly sacrificed. In particular conditions, extraarticular approaches might save some menisci. In the present study, we evaluated the conditions which required using the extraarticular approach in addition to the arthroscopic procedure, to maximally preserve the meniscus. Methods: Eight patients with perimeniscal cysts were evaluated retrospectively. One cyst was localized within the medial meniscus and seven in the lateral meniscus. The mean age was 36.13 (range; 19–63 years, mean follow-up time, 27.3 (range; 12–47 months. Patients were evaluated by using a Visual Analogue Score (VAS to measure pain relief and “Lysholm score” to measure functional improvement. In all patients except one, in which the cystic cavity was connected with the joint at the periphery of the meniscus, the cyst was drained from the intraarticular opening. When the cyst was too large (three cases and in one case where a large amount of meniscus was preserved for reasons mentioned above, additional extraarticular drainage was carried out. Results: The mean preoperative and postoperative VAS were 6 (range; 2–8 and 1.55 (range; 0–3 (p = 0.00058 and Lysholm scores were 64.75 (range; 48–86 and 93.11 (range; 80–100 (p = 0.0014, respectively. Discussion: In cysts, which have very limited or no connection with the joint on the most peripheral region of the meniscus and/or are larger than the meniscus height, extraarticular drainage of the cyst might produce unnecessary meniscal loss and function. In the extraarticular drainage, scrapping the walls of the cyst, while inspecting with an arthroscope, reduces recurrence of the cyst.

  8. Federal Reserve Swap Lines – International Lender of the Last Resort

    Directory of Open Access Journals (Sweden)

    Miroslav Titze

    2016-08-01

    Full Text Available After 2007, financial market turmoil began and shortage of dollar funding liquidity disrupted not only the US dollar funding market but also overseas. To address the shortage of dollar liquidity, the FED introduced swap lines with systematic important central banks, including emerging markets. The paper discusses the main feature of the FED’s swap lines in the context of the funding pressures on the FX swap market. The main objective of the paper is to reveal technical aspects and effectiveness of the swap lines. The paper explains connectivity between un/secured money markets and the FX swap market during the financial and debt crises. The FX swap market was hit significantly. During the liquidity crisis of 2007–2010, the main driver of the deviation from covered interest parity was a shortage of dollar liquidity jointly with counterparty risk. During the debt crisis, the main driver was counterparty risk of the euro zone banks and sovereigns. The FED swap lines were used as a liquidity backstop. The paper concludes that the swap lines were an effective tool of cooperation between central banks and significantly alleviated the pressure on the FX swap market. In addition, the swap lines were flexible, supported financial stability, no losses were recorded, the problem of adverse selection was avoided and exit was successful. Finally, the swap lines have become a permanent tool for solving temporary shortages of foreign currency liquidity in national banking systems.

  9. Antipsychotic drugs a last resort for these 5 conditions (ADHD, Anxiety, Depression, Insomnia and PTSD)

    Science.gov (United States)

    ... more about antipsychotic drugs, see these additional Best Buy Drugs reports. ■ Use of Antipsychotic Drugs in Children ■ Antipsychotic ... depression with antidepressant medication, see our FREE Best Buy Drugs report here . For more about augmentation therapy with ...

  10. PERANAN PERSON IN CHARGE DALAM PENYELENGGARAAN MICE DI BICC THE WESTIN RESORT

    Directory of Open Access Journals (Sweden)

    AA. Sagung Amega Indra Theresa

    2015-12-01

    Full Text Available Nowadays Bali has developed into a MICE tourist destination. Several events hav been a successfuly held in Bali. The event such of the ASEAN Summit and Climate Change Summit 2012, ASEAN Summit and the ASEAN Foreign Ministers Meeting. Behind the success of the international MICE events in Bali, there are the role of person who are competent to make it happen. Human resources in the area of MICE services have a very important role for MICE events took place. They are the one who hold the key to the success of the event. One of them is a representative of the hotel (venue where the convention was held as a person in charge who will be contacted by the organizers to communicate all necessary purposes. The person in charge holds the key to the success of the hotel (venue in providing the best service to convention delegates, and play crucial part of convincing the organizers to use hotel as a venue. This study was conducted to determine how the specification of the role of the person in charge in the organization of international MICE event.

  11. Public private partnership as a last resort for traditional public procurement

    Directory of Open Access Journals (Sweden)

    Bojović Viktorija

    2006-01-01

    Full Text Available This paper discusses recent changes in the way public services are delivered A marked increase in the cooperation between the public and private sector in the realization of complex projects, mostly concerning development of infrastructure, is the main characteristic of present-day developing economies. The creation of new, innovative agreements is driven by the limitation of public funds and an ever-growing demand for an increase in the quality of public services. Looking upon the western economies experience alternatives to the traditional public sector procurement are identified in the public/private partnership. The public/private partnership can be seen as one component in the rearrangement of the public sector with a management culture that focuses on the citizen or customer. Also included in this are accountability for results, investigation of a wide variety of alternative service delivery mechanisms, and competition between public and private bodies for contracts to deliver services consistent with cost recovery and the achievement of value for money. The partnership can be realized through an array of models and in this paper priority is given to the DBFO (design-build-finance-operate model, due to its importance in implementation. The DBFO model is considered to be a synonym for the public/private partnership, as it is the most suitable for complex projects and gains the most benefits.

  12. Wind energy potential on Malaysian Resort Islands: a case study of Tioman, Redang and Perhentian Island

    International Nuclear Information System (INIS)

    Kamaruzzaman Sopian

    2000-01-01

    Wind data collected at three east coast islands of Peninsular Malaysia namely Tioman, Redang and Perhentian Island were analyzed for the wind energy potential. The results were presented as Weibull distribution and preliminary analysis indicate that the site at Redang Island have the greatest potential with a mean power density of 85.1 w/m 2 at 10 meters above sea level. (Author)

  13. Enigineering in a Mountain Resort Town: A Record of a Study

    National Research Council Canada - National Science Library

    Waters, Eric W

    2007-01-01

    .... This provides a useful tool to begin a second career after retirement from the Air Force. The second objective was to build lesson plans based on the experience at PLC for the Air Force Academy cadets...

  14. [Last resort? Some incidents in the history of psychosurgery in Denmark].

    Science.gov (United States)

    Kragh, Jesper Vaczy

    2007-01-01

    In 1935 psychosurgery was invented in Portugal by Egas Moniz. A few years later the new therapy for psychiatric patients were introduced and widely used in Danish mental hospitals. Why did Danish psychiatrists utilize an uncertain and unsafe treatment, and what conditions contributed to the extensive use of psychosurgery in Denmark? To answer these questions, this article focuses on the large archives from the Directorate of the State Mental Hospitals and various mental hospitals in order to investigate the negotiations regarding psychosurgery. Especially the case notes from the State Mental Hospital in Vordingborg, a hospital with 850 beds in southern Zealand, give an insight into the doctors' considerations, when they contemplated on using psychosurgery. In the archive in Vordingborg 336 patient records from lobotomized patients have been found and subjected to statistical analysis in this article. The analysis of the patient records from Vordingborg and other state mental hospitals shows that the practise of lobotomy was a complex matter, and a number of different factors played a part in the wide use of the therapy in Denmark. Especially the dire conditions of the mental hospitals in the 1940s and 1950s made doctors consider psychosurgery a solution for the many patients living a miserable life in the back wards of the hospitals. Patients, who had spent years of their lives in the hospital's "disturbed wards", were particularly exposed to psychosurgery. In the patients records the most common indications for psychosurgery were "unruly" and "aggressive" behaviour, but other factors such as the patient's lengths of stay in the hospital, patients racked with pain, and lack of response to other somatic treatments could also prompt psychiatrists to employ lobotomy.

  15. Acquisition of Resort Property Located in Indian Springs, Nevada, Environmental Assessment

    Science.gov (United States)

    2011-12-01

    Springs’s cost of living is 18.50% lower than the U.S. average. The unemployment rate in Indian Springs is 13.00 percent (U.S. avg. is 10.20%). Recent...railroad franchise , though, coincided with the dissolution of the great mines and towns that had been part of the mining boom initiated by Tonopah and...action are not “high-income” jobs. Loss of those jobs will have a great effect on those who lose them and their families. The unemployment rate in the

  16. Understanding Resilience in a Vulnerable Industry: A Case of Retailing in a Mountain Resort Community

    OpenAIRE

    Wongkee, Sarah Lyndsay

    2016-01-01

    The retail landscape is continually subject to changing market trends and conditions. Increasingly researchers use resilience concepts to understand how retail systems adapt and respond to change, which can help communities and retailers better anticipate and prepare for the inevitable altering conditions. This project analyzes local stakeholder perceptions to understand aspects of resilience and vulnerability in the context of Whistler BC’s destination retail system. Through qualitative inte...

  17. Applying Game Theory and Time Series in Smith Travel Accommodation Resort (STAR

    Directory of Open Access Journals (Sweden)

    Xuan TRAN

    2016-12-01

    Full Text Available Although Smith Travel Accommodations Report (STAR benchmarks hotel performance against its competitive aggregate and local markets, hotel managers consider STAR as a reference document rather than a strategy model for hotel competition. Recent research report managers prefer less information to use it as clues for a decision rather than more information not to be able to make a decision. It is imperative for hotel managers to use STAR as a clue for the competition. Limited research has focused on techniques to build a clue for STAR as a practice strategy. The present study has built two matrices by STAR indices. After that, game theory strategies were conducted to forecast the outcomes whenever hotel mangers change price. A sample of hotel guests who stayed in seven top hotel destinations in the U.S. during the ten-year period (2005-2015 was selected in the scenario with two assumptions: (1 there are two players in the U.S. meeting business: Player 1 includes hoteliers in Washington DC, Virginia, and Maryland and player 2 includes hoteliers in Orlando, Los Angeles, Chicago, and New York and (2 customers in a hotel of player 1 prefer staying in the hotel of player 1 rather than staying in the hotel of player 2 and vice versa. Findings indicate that two matrices have provided hoteliers with simple clues of different strategies in each month during the year to maximize their revenue.

  18. Penyusunan Dan Penyelenggaran A La Carte Menu Pada Hotel Sinabung Dan Resort

    OpenAIRE

    Nasution, Rahmawaty

    2011-01-01

    Dalam operasional hotel, hotel memiliki beberapa departemen yang mempunyai peranan yang sangat penting dalam penjualan jasa dan pelayanan, dan salah satunya adalah departemen Food & Beverage. Food & Beverage mempunyai peran yang sangat besar dalam sebuah hotel, karena pendapatan sebuah hotel yang terbesar ada pada Food & Beverage terutama pada restoran. Adapun salah satu nama jenis restoran yang ada di Hotel Sinabung. Hotel Sinabung menyediakan jenis menu antara lain A La Carte Menu. M...

  19. Travel behaviour of tourists to a South African holiday resort | van ...

    African Journals Online (AJOL)

    C van Vuuren, E Slabbert ... Knowledge regarding travel behaviour can assist in marketing, product planning and development which ... be management and hospitality aspects, destination attributes, site attractiveness and economic benefits.

  20. The Lender of Last Resort : Liquidity Provision Versus the Possibility of Bail-out

    NARCIS (Netherlands)

    Nijskens, R.G.M.; Eijffinger, S.C.W.

    2010-01-01

    Banking regulation has proven to be inadequate to guard systemic stability in the recent financial crisis. Central banks have provided liquidity and ministries of finance have set up rescue programmes to restore confidence and stability. Using a model of a systemic bank suffering from liquidity