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

Science.gov (United States)

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.

Solicitant -exciting plain bioclimate / Amara Balneoclimateric Resort, 

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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.

MEDICAL TOURISM IN VATRA DORNEI RESORT

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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.

Bãile Herculane Resort

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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

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.

Emergent Behavior of Coupled Barrier Island - Resort Systems

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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

[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

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...

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.

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...

[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

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.

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

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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.

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 ...

[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

Balneotherapy in the Boghiş Resort

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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.

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...

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.

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.

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

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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.

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.

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

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.

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

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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

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

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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.

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

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].

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

‘Sochi’ resort development and functioning in 1935–1950

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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.

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.

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...

DEVELOPMENT OF ENTREPRENEURSHIP AT THE RESORT BUSINESS ENTERPRISES

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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

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

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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.

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...

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

The Assessment of Hotel Services in Poiana Brasov Resort

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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.

[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.

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

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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.

Explaining Perceived Impacts of All-Inclusive Resorts through Community Attachment

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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.

Bãile Tusnad Resort

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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.

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.

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 ...

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

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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.

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...

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

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.

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...

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...

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

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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.

[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.

[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.

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…

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...

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

[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.

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.

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...

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.

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.

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

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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

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...

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...

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.

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)

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

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...

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.

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

Lender of last resort in a monetary union

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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.

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.

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.

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.

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

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

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].

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

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

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...

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.

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

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.

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....

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

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

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.

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

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

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".

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

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

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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.

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

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.

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

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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.

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

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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.

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

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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.

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

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

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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.

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

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.

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...

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

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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

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)

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 �

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.

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.

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

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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

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 ...

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

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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.

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

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...

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.

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

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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.

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.

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...

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

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...

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.

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.

HOSPITALITY ENGLISH FOR SPA THERAPISTS IN BANYAN TREE HOTELS AND RESORTS

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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.

[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

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

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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.

Modelo resorte-paríicula para telas hiperlasticas

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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.

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...

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

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...

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...

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

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

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

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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

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.

TARGET2 Imbalances and the ECB as Lender of Last Resort

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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.

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

Science.gov (United States)

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.

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.

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.

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...

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...

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

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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.

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.

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

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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.

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

Directory of Open Access Journals (Sweden)

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

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 ...

[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.

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.

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

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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.

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.

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...

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.

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.

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.

Resort loan securities as a source of investing the hospitality industry

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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

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

[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.

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

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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.

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.

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.

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.

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

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...

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.

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.

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.

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.

[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.

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.

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.

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

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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.

Analysis of experience of legal regulation in the sphere of public administration of sanatorium providing of children in the Russian Federation

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Kovalenko T.Yu.

2014-03-01

Full Text Available Motherhood and childhood are one of the main priorities of the government social policy for any country. The Ukrainian state, its President and government are keeping under scrutiny issues of improving quality of life and health of population, in particular, health of women and children. Continuing study of problems of Public Administration in the sphere of health resort services for children in Ukraine, in her previous scientific publications the author drew attention to insufficient scope of researches and weak grounds of theoretical justification of possible organizational changes in this sphere. This very fact stipulates the necessity to continue thorough scientific research and study, first of all, a positive experience of foreign countries as to implementing reforms in the sphere of health resort services for children. The share of separate factors of different nature, impacting indicators of public health depends on age, sex and individual-typological characteristics of a person. However, the greatest impact on a human health is made by his lifestyle that may be attributed to conditionally controlled process. In this case, it is appropriate to note that the controlled impact on lifestyle can be made both by internal factors (e.g., motivation, and external factors. One of the most powerful external factors of controlled impact on the public health is health resort provision. The experience of the Russian Federation in this area is extremely useful for the Ukrainian state, which is actively promoting the idea of the health system modernization in the domestic market as the area in need of such changes. Now, 1997 health resorts are operating in the Russian Federation, annually serving approximately 6 million people. The jurisdiction of the Ministry of Health and Social Development of the Russian Federation encompasses 51 health resort facilities (HRF providing a wide range of health-improving services. The laws, government regulations

Health care to immigrant and Portuguese pregnant women in Portugal

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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.

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

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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.

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.

Seeking health under palm trees: Ayurveda in Kerala.

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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.

Considerations of Health Tourism in Braila

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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.

[The past of Druskininkai (part I)].

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Kierzek, Andrzej; Kuciel-Lewandowska, Jadwiga; Pozowski, Andrzej; Paprocka-Borowicz, Małgorzata

2012-01-01

The development of hydrotherapy in the first half of the XIX century is presented in short. The geographical, climatic and epidemiological situation of Druskininkai, a health resort founded in 1837 has been mentioned. The natural substances: salt springs and therapeutic muds are described sufficiently. The development of the health resort in the XIX and the first half of XX century has been recounted. The physicians Ksawery Wolfgang (?-1864), Ludwik Zembrzycki, Izydor Nahumowicz (1800-1842), Anicety Renier (1804-1877), Kazimierz Choiski (1814-1882), Jan Pilecki (1821-1878), Józef Markiewicz (1834-1923), Walery Bujakowski (1857-1919) and the others and local rich gentry played an important role in the development of Druskieniki. The physician was undoubtedly the most esteemed person-age of this health resort. Russification of this health resort on the turn of the XIX century is also presented. The role of Marshal J6zef Pitsudski in this development is pointed out. The comparison of the medical indications and contraindications in Druskininkai in the middle of the XIX century and in the thirties of the XX century are presented in more detail. The scale of medical indications was wide. Druskieniki was an important health resort in pre-war Poland.

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

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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

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

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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.

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...

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

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

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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.

FEATURES OF THE ORGANIZATION OF SYSTEM OF ENVIRONMENTAL MANAGEMENT AND MANAGING IN RESOR-RECREATIONAL TERRITORIES

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M. S. Oborin

2014-01-01

Full Text Available Resort and recreational activity is the difficult natural and social and economic process directed on improvement of quality of life and health of the population. Territorial public systems are included by natural medical and improving, social, production, recreational, labor, financial, administrative resources, infrastructure which are directed on formation and rendering resort and recreational services. For successful and effective development of resort and recreational activity it is necessary to create structure of system of rational resort and recreational environmental management. In preservation and improvement of resort medical resources the infrastructure complex including medical, improving, economic, serving and recreational objects has a big role. The system of resort and recreational environmental management and resort infrastructure allow to create necessary financial receipts for replenishment of local, regional and national budgets. 

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...

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)

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

Tourism Restoration and Remodelling of Borsec Resort

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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.

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.

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

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

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.

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

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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.

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...

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.

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

CARE FOR HEALTH AMONG ELDERLY PEOPLE: EXPERTS’ OPINION INTERPRETATION

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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.

[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.

53rd Annual Fuze Conference - Next Generation Fuzing - Maximum Advantage for the Warfighter

Science.gov (United States)

2009-05-21

www.disneyconventionears.com/coronado DISNEY’S CORONADO SPRINGS RESORT FEATURES: RESORT RECREATION • Sand volleyball court • Health Club and Salon • Watercraft...technology developed for commercial markets • Cell phones • Computers / TV / VCR / Digital cameras & recorders • Personal GPS navigation • Games / Toys

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

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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.

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

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

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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.

ABORTION IN BRAZIL: IMPACTS OF ILLEGALITY IN PUBLIC HEALTH

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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.

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

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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.

PENILAIAN POTENSI PENGEMBANGAN PARIWISATA YANG BERKELANJUTAN PADA KAWASAN PARIWISATA PANTAI BATAKAN DI KABUPATEN TANAH LAUT

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Sukarti Sukarti

2016-05-01

Full Text Available The tourism potential of Batakan Beach Resort, which is the slope coast with the bed of brownish white sand along ±12 km, is the special attraction for the visitors. Batakan beach is the area of Animal Conservation in Pelaihari Tanah Laut. Its function is converted to Natural Tourism Park on the basis of Keputusan Menteri Kehutanan Nomor 695/Kpts-II/1991. The assessment is required to find out the potentials of the development as the sustainable tourism resort. The objective of the research was to study the development potentials of the tourism resort of Batakan beach. The assessments were on the land suitability, the supporting factors of the beach tourism resort, and the plan for increasing the potential of the sustainable development of the resort. The land suitability assessment included: the suitability with Rencana Tata Ruang Wilayah (RTRW, the area width and the level of the physical suitability of the beach. The assessment of the supporting factors included: the recreation, health, shopping, entertainment, accommodation, and infrastructure facilities, the public acceptance and the government policy. The research was descriptive and applied the analysis survey method. The result of the research indicated that the assessment of the land suitability received total score 471,1. It indicated that the tourism resort of Batakan beach was at the first rank with the total score 742,46. The Batakan beach was very reliable to develop as the sustainable tourism resort although there were some supporting factors receiving lower score namely the health, shopping, entertainment, and infrastructure facilities.

Rural tourism as risk factor for the transmission of schistosomiasis in Minas Gerais, Brazil.

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Enk, Martin J; Caldeira, Roberta L; Carvalho, Omar S; Schall, Virginia T

2004-01-01

Recently, the booming rural tourism in endemic areas of the state of Minas Gerais was identified as a contributing factor in the dissemination of the infection with Schistosoma mansoni. This article presents data from six holiday resorts in a rural district approximately 100 km distant from Belo Horizonte, MG, Brazil, where a possibly new and until now unperceived way of transmission was observed. The infection takes place in swimming pools and little ponds, which are offered to tourists and the local population for fishing and leisure activities. The health authorities of the district reported cases of schistosomiasis among the local population after visiting these sites. As individuals of the non-immune middle class parts of the society of big urban centers also frequent these resorts, infection of these persons cannot be excluded. A malacological survey revealed the presence of molluscs of the species Biomphalaria glabrata and Biomphalaria straminea at the resorts. The snails (B. glabrata) of one resort tested positive for S. mansoni. In order to resolve this complex problem a multidisciplinary approach including health education, sanitation measures, assistance to the local health services, and evolvement of the local political authorities, the local community, the tourism association, and the owners of the leisure resorts is necessary. This evidence emphasizes the urgent need for a participative strategic plan to develop the local tourism in an organized and well-administered way. Only so this important source of income for the region can be ensured on the long term without disseminating the disease and putting the health of the visitors at risk.

[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.

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

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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

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

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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

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.

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.

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.

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.

[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].

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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.

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.

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

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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. [...

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.

Smoking of health students “State and Foundation University Example”

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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”.

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

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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.

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.)

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

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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

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

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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.

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)

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.

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. �

Dual practice in the health sector: review of the evidence

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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.

Reducing stigma in reproductive health.

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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.

[The rise and fall of an physician entrepreneur].

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Dörnyei, Sándor

2002-01-01

In 1927 one of the most up-to-date and most beautiful sanatoriums of Central Europe was built on the hills of Buda by László Jakab MD (1875-1940), who at that time had already run - since 1909 - a successful health-resort, the rather popular and successful "Liget-Sanatorium": following a period of expansion and flourishing, his enterprise bankrupted. (The building itself was renewed after World War II - it served first as a hospital for tuberculosis patients and later as a university clinic for internal medicine.) This article tells the story of an entrepreneur physician, including his former and more successful attempts to run a health-care business, and gives detailed account of the rise and fall of private health-resort in prewar Hungary.

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

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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

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

Radon bad or good. One of the curiosity of the end of 20th century

International Nuclear Information System (INIS)

Zagorski, Z.P.

1995-01-01

The balneology of health resorts localized in radon rich regions of south-west Poland has been discussed. The historical evolution of the opinion about the influence of small radon doses to human health has been presented. 13 refs

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

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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.

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

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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.

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

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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.

[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.

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)

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

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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.

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

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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.

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

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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”.

[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.

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

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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.

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

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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.

How are health professionals earning their living in Malawi?

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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

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

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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.

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

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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.

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

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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

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

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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.

Elbow pain

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... the cause, but may involve: Antibiotics Corticosteroid shots Manipulation Pain medicine Physical therapy Surgery (last resort) Alternative ... M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health ...

Wearable Antennas for Remote Health Care Monitoring Systems

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Laura Corchia

2017-01-01

Full Text Available Remote monitoring of the elderly in telehealth applications requires that the monitoring must not affect the elderly’s regular habits. To ensure this requirement, the components (i.e., sensor and antenna necessary to carry out such monitoring should blend in with the elderly’s daily routine. To this end, an effective strategy relies on employing wearable antennas that can be fully integrated with clothes and that can be used for remotely transmitting/receiving the sensor data. Starting from these considerations, in this work, two different methods for wearable antenna fabrication are described in detail: the first resorts to the combined use of nonwoven conductive fabrics and of a cutting plotter for shaping the fabric, whereas the second considered fabrication method resorts to the embroidery of conductive threads. To demonstrate the suitability of the considered fabrication techniques and to highlight their pros and cons, numerical and experimental results related to different wearable antennas are also reported and commented on. Results demonstrate that the presented fabrication techniques and strategies are very flexible and can be used to obtain low-cost wearable antennas with performance tailored for the specific application at hand.

Gender relations and women's reproductive health in South Sudan

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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.

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

Bed Bugs FAQs

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... Europe. Bed bugs have been found in five-star hotels and resorts and their presence is not ... Health – Division of Parasitic Diseases Email Recommend Tweet YouTube Instagram Listen Watch RSS ABOUT About CDC Jobs ...

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

Taking the (southern) waters: science, slavery, and nationalism at the Virginia springs.

Science.gov (United States)

LaFauci, Lauren E

2011-04-01

'Taking the (southern) waters' argues that, in the pre-Civil War period, the space of Virginia's mineral water resorts and the philosophy of southern hydropathic medicine enabled--indeed, fostered--white southerners' constructions of a 'nationalist,' pro-slavery ideology. In the first half of the paper, the author explains how white southern health-seekers came to view the springs region as a medicinal resource peculiarly designed for the healing of southern diseases and for the restoration of white southern constitutions; in the second half, she shows how physical and social aspects of the resorts, such as architectural choices and political events, supported and encouraged pro-slavery ideologies. Taken together, these medical-social analyses reveal how elite white southerners in the antebellum period came to associate the health of their peculiarly 'southern' bodies with the future health of an independent southern nation, one that elided black bodily presence at the same time that its social structures and scientific apparatuses relied upon enslaved black labor.

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.

IbM PENGEMBANGAN POTENSI LOKAL POSDAYA DURIAN JAYA MENUJU DESA WISATA DI KELURAHAN BUBAKAN, KEC. MIJEN, KOTA SEMARANG

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Rasiman .

2015-09-01

Full Text Available Abstract ?é?á Based on the data analysis of monograph in Bubakan Village, whichhas various kinds of?é?á potential local resources (e.q:fruits, plants vegetable and cattle, Posdaya Durian Jayaas a partner of IbM, has some potential activities that can be developed?é?á as pioneer of potential local tourist resort intheareaofBubakanvillage. The present activities of the Posdaya are divided into several fields:a.Education;b.Health;c.Entrepreneurship; andd.Environment Care. Those localpotentialresources were still needed serious managerial development in accordance todesign a new local tourist resort. The IbM activities in RW02 Bubakan aimed at 1 making cat fish abon and various food from flourmocaf, 2 conducting a seminar with village officials, community leaders, and the group Posdaya to design a?é?á tourist village. 3 socializing about?é?á nutrients forchildren in Posyandu ?óÔé¼?ôMawar Dua?óÔé¼?Ø. Keyword: local potential resources, Posdaya Durian Jaya, local tourist resort

[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.

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。

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.

STATE OF ART OF BALNEOTHERAPY / THERMALISME IN ROMANIA

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SURDU Olga

2015-05-01

Full Text Available Romania owns almost 30% of European natural resources for balneotherapy/health resort medicine consisting in climate (relief, hydrology and vegetation, including salt mines and caves microclimate, mineral/thermal waters (for bathing and drinking cure, mud/peat and gases.

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...

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.

household responses to malaria: cost implications in anantigha area ...

African Journals Online (AJOL)

DJFLEX

A study of household responses in terms of types and costs of treatment of malaria was ... of people will form baseline data for more research in the control of malaria in the ... They only resort to health centres after failure of .... standards.

9th Ambient Assisted Living Congress

CERN Document Server

Mand, Beate

2017-01-01

In this book, leading authors in the field discuss the habitats of tomorrow. These habitats will be connected through autonomous and assistive systems, turning habitats into health resorts. This book discusses how assistance technologies enable a smooth transition from comfortable health support to medical or nursing care. The contributions have been chosen and invited at the 9th AAL congress, Frankfurt. .

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.

Balneological use of thermal waters

Energy Technology Data Exchange (ETDEWEB)

Lund, John W

2001-01-01

People have used geothermal water and mineral waters for bathing and their health for many thousand of years. Balneology, the practice of using natural mineral water for the treatment and cure of disease, also has a long history. Based on archeological finds in Asia, mineral water has been used for bathing since the Bronze Age, about 5000 years ago. Many hot springs have been used in connection with religious rites in Egypt and by the Jews of the Middle East. The Greeks, Turks and Romans were famous for their spa development and use from Persia to England. The word “spa” traces its origin to a town near Liège in southern Belgium near the German border. Here a spring of iron-bearing water was used by an iron master in 1326 to cure his ailments. He founded a health resort at the spring called Espa (meaning fountain in the Walloon language). Espa became so popular that the word know in English as spa became the common designation for similar health resorts around the world.

Inositides—confusion and clarification in Shangri-La

Science.gov (United States)

Irvine, Robin

2013-01-01

The meeting ‘Inositide Signalling in Health and Disease', sponsored and organized by the National Centre for Biological Research, Bangalore, and the Indian Academy of Sciences, was held in late November 2012 in the luxurious destination of Orange County Resort, Coorg, India. PMID:23392224

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.

Barriers to implementing a health policy curriculum in medical schools

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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.

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

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.

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.

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.

La co-création d'une marque d’hôtel de luxe en ligne : Le cas d'une marque d'hôtel internationale

OpenAIRE

Chapman , Alexis

2017-01-01

This thesis presents and analyses the findings that showcase value co-creation within an online community of a luxury hotel business: the Fairmont Resorts Hotels and International. The FRHI group consists of the Fairmont Hotels & Resorts, Swiss Hotel, and Raffles Hotels & Resorts, but the focus for this case is specifically the online community of the Fairmont Hotel & Resorts brand website. In July 2016, FRHI was acquired by AccorHotels Group. Fairmont Hotels & Resorts, the Canadian based hot...

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

Directory of Open Access Journals (Sweden)

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.

[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

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.

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.

Contraceptive behavior as risk factor for reproductive health of junior students attending a medical university

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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

Navigating through the maze of pricing and affordability of branded pharmaceuticals in the midst of the financial crisis: a comparative study among five European recession countries, from a Cyprus perspective.

Science.gov (United States)

Petrou, Panagiotis; Talias, Michael A

2016-01-01

Financial recession mandated the introduction of harsh austerity measures. Health, and particularly pharmaceuticals, constitute a significant part of public expenditure and as such they have been subject to significant budget reduction and stringent policies. As a consequence of these measures, an increasing percentage of patients resort to private sector for acquisition of their prescribed pharmaceuticals, due to exclusion of public health care beneficiary status, reduction of breadth of national formularies, delays in reimbursement and excessive waiting times. Affordability for pharmaceuticals in the private sector is of paramount importance since household disposable income plummets and more people are prone to impoverishment. This is critical for branded products, whose active substance and trademark are under patent protection, since no alternative options exist while their monopoly status imply that their prices are high. The impact on affordability regarding access of patient to necessary pharmaceutical care has not been documented in developed countries. A laspeyer index was constructed to compare prices of branded pharmaceuticals and assess affordability, by adjusting price index with Gross Domestic Product Purchase Power Parity per capita. Laspeyer index compares prices based on weights, which in our study are the corresponding sales of products in Cyprus. Moreover, we define the percentage of population that will face catastrophic pharmaceutical expenditure after acquisition of one product from eight major and common therapeutic categories. We used data from five European recession countries: Italy, Portugal, Spain, Greece and Cyprus, for 48 products which were selected based on sales. Cyprus displays the highest prices for pharmaceuticals. By adjusting for Gross Domestic Product Purchase Power Parity per capita, affordability is worst for Cyprus and Portugal. As more patients have to resort to private sector for provision of adequate and timely

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

'Men at risk': sex work, tourism, and STI/HIV risk in Jamaica.

Science.gov (United States)

Johnson, Lauren C

2016-09-01

Female sex tourism has become an accepted income generator for many underemployed men in Jamaica who seek to reap economic benefits from relationships with visiting tourist women. This issue provides contexts to explore the numerous ways in which health intersects with issues of masculinity, sexuality and marginality. Based on ethnographic fieldwork in a popular Jamaican resort town, this paper examines the health implications of female sex tourism for the local population and tourist visitors. Data from this project indicate the need for improved sexually transmitted infection education and HIV outreach work towards men who are involved in transactional sex with tourist women. Due to prevalent perceptions of masculinity and gendered notions of sexuality, men who engage in sex tourism constitute a population that rarely receives the attention of local and national health authorities. Data from this qualitative study suggest that engaging this particular vulnerable population could potentially decrease the risk of STI and HIV infection in the country's most popular resort areas. Research of this kind is urgently needed to better understand the risk factors and challenges for Caribbean populations, as well as to inform future prevention efforts in the region.

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

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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.

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.

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...

The Strip: Las Vegas and the Symbolic Destruction of Spectacle

OpenAIRE

Al, Stefan Johannes

2010-01-01

Over the past 70 years, various actors have dramatically reconfigured the Las Vegas Strip in many forms. I claim that behind the Strip's "reinventions" lies a process of symbolic destruction. Since resorts distinguish themselves symbolically, each new round of capital accumulation relies on the destruction of symbolic capital of existing resorts. A new resort either ups the language within a paradigm, or causes a paradigm shift, which devalues the previous resorts even further. This is why, i...

[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.

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

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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.

Survey on the possibility of introducing new energy to regional development plans

Science.gov (United States)

1988-03-01

This report covers nationwide large-scale resort plans and at the same time studies the possibility of introducing new energy systems, mainly cogeneration, and their effects. Japanese industrial structure is rapidly moving toward information and service areas, and the development of resorts has become very active. With the increase of resort demands, much is expected of resort development as a means of regional promotion. Special features of energy consumption in resort facilities are that annual demand is large, that energy consumption fluctuates greatly, and that energy supply cost is high. These features are especially conspicuous in smaller facilities. Most suited for resort lodging facilities is a co-generation system, especially a diesel engine system. This system is expected to conserve energy; but to promote this system, it is necessary to revise the preferential tax treatment and Fire Service Act to meet the actual circumstances, and to develop a highly reliable system that can be operated unattended. An economical system in view of overall costs is also essential.

تطهير المستعمرات: قوانين المنتجعات الصيفية في الصين

OpenAIRE

Tan, Carol G.S.

2012-01-01

In the leased territory of Weihaiwei, China (1898–1930), public health and related laws played an important part in the local British government’s effort to create and maintain a summer resort for European visitors. These laws ensured that the territory was clean, restful and safe from dangers to health, such as noxious fumes, rabies, infectious diseases and tainted food. Buildings in the town areas had to meet minimum standards of construction, ventilation, and sanitation; and the layout of ...

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.

75 FR 29427 - Safety Zone; AVI May Fireworks Display, Laughlin, NV

Science.gov (United States)

2010-05-26

... Colorado River, Laughlin, NV, in support of a fireworks display near the AVI Resort and Casino. This safety... AVI Resort and Casino is sponsoring the AVI May fireworks display, which is to be held at the AVI Resort and Casino on the Lower Colorado River in Laughlin, Nevada. A temporary safety zone is necessary...

75 FR 1407 - Tribal Consultation on Proposed Revisions to 25 CFR Parts 81 & 82

Science.gov (United States)

2010-01-11

... the date of January 14, 2010 for the meeting scheduled at the Pala Casino Resort and Spa in Pala... Pala Casino Resort and Spa in Pala, California. This notice changes the date to February 2, 2010, and.... * * * Pala Casino Resort and Spa, 11154 Hwy. 76, Pala, California 92059; Telephone: (877) 946-7252'' to read...

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.

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

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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.

78 FR 38617 - Procedures for Establishing That an American Indian Group Exists as an Indian Tribe

Science.gov (United States)

2013-06-27

..... Seven Feathers Casino Resort, 146 Chief Miwaleta Lane, Canyonville, OR 97417, (541) 839-1111. July 25..., (800) 624-5572. July 29, 2013 9 a.m.-12 p.m 1 p.m.-4 p.m Petosky, Michigan.... Odawa Casino Resort... 9 a.m.-12 p.m 1 p.m.-4 p.m Marksville, Louisiana Paragon Casino Resort, 711 Paragon Place...

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.

Investigation of Health Risks and Their Prevention in the Rapid Climate Changes and the Rise of Pollution of the Atmosphere in the Mountain Region of the North Caucasus

Science.gov (United States)

Babyakin, Alexander; Polozkov, Igor; Golitsyn, Georgy; Efimenko, Natalia; Zherlitsina, Liubov; Povolotskaya, Nina; Senik, Irina; Chalaya, Elena; Artamonova, Maria; Pogarski, Fedor

2010-05-01

The current global climate change is determined by changes in the structure of weather conditions, whose impact on the health of various regions of the planet has not been studied sufficiently. To study this effect on the low-altitude mountains resort of Kislovodsk (southern Russia) multi-factor assessment of the impact of the environment on human health is carried out. There were taking in account atmosphere condition, atmospheric aerosol pollution relationship with atmospheric circulation, the level of pollution matching with different types of weather, and, on the base of analysis of meteopathic reactions (MPR), the extent of their biotropism was revealed. Two sides of weather-climatic influences - specific and nonspecific - are interconnected. They manifest themselves differently in humans with different levels of regulation of vital activity and the adaptive capacity of the organism to the complex environmental effects. This complicates the precise physiological basis of quantitative criteria for the prediction of "biotropic" (adverse) weathers. Nevertheless, clinical observations have shown the existence of the "limiting" physiological bound on the size of medical-meteorological modules (MMM). The reactions of the organism to unfavorable weather factors on the results of a questionnaire monitoring surveillance of patients treated in clinics of Federal State Institution "Pyatigorsk State Research Institute of Curortology, FMBA of Russia" (PSRIC), in comparison with clinical data, have identified various MPR of the organism, the clinical manifestation of which depends on age, sex of the patient, the availability of principal and attendant pathology, reactivity, etc. Analysis of the results of clinical observation, cases of medical aid appealability to the station an ambulance at the sudden ill health, as well as the uptake of advice of sick people among immigrants during their short stay at the resort, and the local population, allowed the first approximation

Animal experimentation--a personal view.

Science.gov (United States)

Gershoff, Stanley N

2009-02-01

Disagreement about the use of animals in biomedical research has resulted in absurd positions by both sides. Increasingly, some zealots against animal experimentation have resorted to violence or other illegal acts to support their points of view. The value of animal research in providing better health for man and animals is incontrovertible. This is illustrated by references to animal research in the field of nutrition.

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.

Relationship between alpine tourism demand and hot summer air temperatures associated with climate change

Science.gov (United States)

Rebetez, M.; Serquet, G.

2010-09-01

We quantified the impacts of hot summer air temperatures on tourism in the Swiss Alps by analyzing the relationship between temperature and overnight stays in 40 Alpine resorts. Several temperature and insolation thresholds were tested to detect their relationship to summer tourism. Our results reveal significant correlations between the number of nights spent in mountain resorts and hot temperatures at lower elevations. Alpine resorts nearest to cities are most sensitive to hot temperatures. This is probably because reactions to hot episodes take place on a short-term basis as heat waves remain relatively rare. The correlation in June is stronger compared to the other months, probably because school holidays and the peak domestic tourist demand in summer usually takes place in July and August. Our results suggest that alpine tourist resorts could benefit from hotter temperatures at lower elevations under future climates. Tourists already react on a short-term basis to hot days and spend more nights in hotels in mountain resorts. If heat waves become more regular, it seems likely that tourists choose to stay at alpine resorts more frequently and for longer periods.

Willingness of patients with ankylosing spondylitis to pay for inpatient treatment is influenced by the treatment environment and expectations of improvement.

Science.gov (United States)

Boonen, A; Severens, J L; van Tubergen, A; Landewé, R; Bonsel, G; van der Heijde, D; van der Linden, Sj

2005-11-01

To assess the willingness to pay (WTP) for treatment in a spa resort of patients with ankylosing spondylitis (AS) and to assess if the experience of a spa influences the WTP. 120 patients participating in a randomised trial comparing 3 weeks' treatment in a spa resort in Austria or in the Netherlands with a control group completed a WTP questionnaire before and after spa treatment. Patients indicated on a payment card the maximal co-payment they wanted to contribute for three scenarios that included (a) two levels of improvement in pain and stiffness and (b) two treatment environments: a rehabilitation hospital and a spa resort. At baseline, patients wanted to contribute more for the same improvement after treatment in a spa resort compared with a rehabilitation hospital (ppay more when expected effects were higher (pexpected improvement. Experiencing treatment in a spa resort does not influence the co-payment.

Work Hard, Party Harder: Drug Use and Sexual Behaviour in Young British Casual Workers in Ibiza, Spain

Directory of Open Access Journals (Sweden)

Danielle Kelly

2014-09-01

Full Text Available Background: Every summer, young people flock to nightlife-focused holiday resorts around the world to find casual work. Despite being exposed to hedonistic environments, often for several months, little is known about their substance use, sexual activity and health service needs over this extended amount of time abroad. Methods: A short anonymous questionnaire examining alcohol and drug use, sexual behaviour and use of health services was administered to young British casual workers aged 16–35 in San Antonio, Ibiza (n = 171. Results: 97.7% of casual workers used alcohol in Ibiza, and the majority (85.3% used drugs. Almost half (43.5% of all participants used a drug in Ibiza that they had never used in the UK. Most casual workers arrived in Ibiza without a partner or spouse (86.5%. Of these, 86.9% had sex during their stay and 50.0% had unprotected sex; often while under the influence of alcohol. Only 14.3% of those having unprotected sex with a new partner sought a sexual health check-up in Ibiza, although 84.1% intended to do this on their return to the UK. Conclusion: Substance use and sexual risk taking is widespread among young British casual workers in Ibiza. Such international nightlife resorts represent key settings for substance-related health and social problems, and for the international spread of sexually transmitted infections. Addressing the health needs of casual workers and the environments that permit and promote their excessive behaviour requires collaboration between authorities in home and destination countries and the tourism industry.

Work hard, party harder: drug use and sexual behaviour in young British casual workers in Ibiza, Spain.

Science.gov (United States)

Kelly, Danielle; Hughes, Karen; Bellis, Mark A

2014-09-26

Every summer, young people flock to nightlife-focused holiday resorts around the world to find casual work. Despite being exposed to hedonistic environments, often for several months, little is known about their substance use, sexual activity and health service needs over this extended amount of time abroad. A short anonymous questionnaire examining alcohol and drug use, sexual behaviour and use of health services was administered to young British casual workers aged 16-35 in San Antonio, Ibiza (n = 171). 97.7% of casual workers used alcohol in Ibiza, and the majority (85.3%) used drugs. Almost half (43.5%) of all participants used a drug in Ibiza that they had never used in the UK. Most casual workers arrived in Ibiza without a partner or spouse (86.5%). Of these, 86.9% had sex during their stay and 50.0% had unprotected sex; often while under the influence of alcohol. Only 14.3% of those having unprotected sex with a new partner sought a sexual health check-up in Ibiza, although 84.1% intended to do this on their return to the UK. Substance use and sexual risk taking is widespread among young British casual workers in Ibiza. Such international nightlife resorts represent key settings for substance-related health and social problems, and for the international spread of sexually transmitted infections. Addressing the health needs of casual workers and the environments that permit and promote their excessive behaviour requires collaboration between authorities in home and destination countries and the tourism industry.

Prevalence of Depression in Medical Students at the Lebanese University and Exploring its Correlation With Facebook Relevance: A Questionnaire Study.

Science.gov (United States)

Naja, Wadih J; Kansoun, Alaa H; Haddad, Ramzi S

2016-05-31

The prevalence of major depression is particularly high in medical students, affecting around one-third of this population. Moreover, online social media, in particular Facebook, is becoming an intrinsic part in the life of a growing proportion of individuals worldwide. Our primary objective is to identify the prevalence of depression in medical students at the Lebanese University Faculty of Medicine, a unique state university in Lebanon, its correlation with the utilization of the interactive features of Facebook, and the way students may resort to these features. Students of the Lebanese University Faculty of Medicine were assessed for (1) depression and (2) Facebook activity. To screen for major depression, we used the Patient Health Questionnaire-9 (PHQ-9) scale. To test for Facebook activity, we developed the Facebook Resorting Questionnaire (FbRQ), which measures the degree to which students resort to Facebook. A total of 365 out of 480 students (76.0%) participated in the survey. A total of 25 students were excluded, hence 340 students were included in the final analysis. Current depression was reported in 117 students out of 340 (34.4%) and t tests showed female predominance. Moreover, PHQ-9 score multiple regression analysis showed that feeling depressed is explained 63.5% of the time by specific independent variables studied from the PHQ-9 and the FbRQ. Depression varied significantly among the different academic years (PFacebook had a positive and significant relationship (P=.003) and the different FbRQ categories had significant differences in resorting-to-Facebook power. The like, add friend, and check-in features students used when resorting to Facebook were significantly associated with depression. This study showed that depression was highly prevalent among students of the Faculty of Medicine at the Lebanese University. Moreover, Facebook may be a promising, helpful, psychological tool for optimizing the management of depression. Our study brought

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...

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…

Bacteriostatics of volatile organic compounds of Crimean pine and environmental meteorological conditions

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

2015-04-01

while solving the questions of recreational landscape gardening and the organization of natural aerophytotherapy sessions. Reference: 1. Slepykh V.V. Phytoncide and ionizing properties of woody vegetation. Kislovodsk, 2009. 180 p. - ISBN 5-89421-005-4. 2. Bioclimatic characteristics and phytoncide properties of plant associations of Kislovodsk Resort Park: a manual for physicians. - Pyatigorsk: Ministry of Health of the Russian Federation, 2002. - 31 p.

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

[The therapeutic and recreational potential of the «Goryachy Plyazh» physiotherapeutic facility on the Kunashir island].

Science.gov (United States)

Veremchuk, L V; Chelnokova, B I; Barskova, L S; Gvozdenko, T A; Kukayev, I V; Savochkina, N L

2017-12-28

The ever increasing attention to the further development of the health resort business and touristic activities in this country implies the necessity of the proper scientifically sound substantiation for the more efficient exploitation of the available spa and health resort resources of the Russian Far East as well as the ample recreational potential of this region taking into consideration that they have not been completely utilized during the preceding period. The objective of the present study was to evaluate the of the «Goryachy Plyazh (Hot Beach)» physiotherapeutic facility on the Kunashir island. We have studies the chemical, bacteriological, and radiological properties of thermal waters from the natural sources located in the vicinity of the «Goryachy Plyazh» physiotherapeutic facility. The medical potential of the area was assessed in accordance with the methodological guidelines №96/226 on drawing up the bioclimatic passport approved by the Ministry of Public Health of the Russian Federation on the 7thFebruary of 1997. We have proposed the aggregate indicator of the therapeutic and recreational potential making it possible to evaluate the totality of health-improving properties in the combination with the landscape and climatic characteristics of the locality of interest. The neighbourhood of the «Goryachy Plyazh» physiotherapeutic facility on the Kunashir island was found to harbour the sources of mineral waters of various types. Specifically, siliceous thermal waters of varying ionic composition (e.g. containing chlorides, sodium, silicium, and boron) of the Omsk and Ursdon types are suitable for multipurpose therapeutic utilization including the protracted internal application for the treatment of chronic gastritis and other intestinal problems, diseases of liver and endocrine system, as well as metabolic disorders. Mineral water of the Kul'dursky type can be used for the external use in the form of bathing and other hydrotherapeutic procedures

Artemisinin combination therapies price disparity between government and private health sectors and its implication on antimalarial drug consumption pattern in Morogoro Urban District, Tanzania.

Science.gov (United States)

Malisa, Allen Lewis; Kiriba, Deodatus

2012-03-28

Universal access to effective treatments is a goal of the Roll Back Malaria Partnership. However, despite official commitments and substantial increases in financing, this objective remains elusive, as development assistance continue to be routed largely through government channels, leaving the much needed highly effective treatments inaccessible or unaffordable to those seeking services in the private sector. To quantify the effect of price disparity between the government and private health systems, this study have audited 92 government and private Drug Selling Units (DSUs) in Morogoro urban district in Tanzania to determine the levels, trend and consumption pattern of antimalarial drugs in the two health systems. A combination of observation, interviews and questionnaire administered to the service providers of the randomly selected DSUs were used to collect data. ALU was the most selling antimalarial drug in the government health system at a subsidized price of 300 TShs (0.18 US$). By contrast, ALU that was available in the private sector (coartem) was being sold at a price of about 10,000 TShs (5.9 US$), the price that was by far unaffordable, prompting people to resort to cheap but failed drugs. As a result, metakelfin (the phased out drug) was the most selling drug in the private health system at a price ranging from 500 to 2,000 TShs (0.29-1.18 US$). In order for the prompt diagnosis and treatment with effective drugs intervention to have big impact on malaria in mostly low socioeconomic malaria-endemic areas of Africa, inequities in affordability and access to effective treatment must be eliminated. For this to be ensued, subsidized drugs should be made available in both government and private health sectors to promote a universal access to effective safe and affordable life saving antimalarial drugs.

Artemisinin combination therapies price disparity between government and private health sectors and its implication on antimalarial drug consumption pattern in Morogoro Urban District, Tanzania

Directory of Open Access Journals (Sweden)

Malisa Allen

2012-03-01

Full Text Available Abstract Background Universal access to effective treatments is a goal of the Roll Back Malaria Partnership. However, despite official commitments and substantial increases in financing, this objective remains elusive, as development assistance continue to be routed largely through government channels, leaving the much needed highly effective treatments inaccessible or unaffordable to those seeking services in the private sector. Methods To quantify the effect of price disparity between the government and private health systems, this study have audited 92 government and private Drug Selling Units (DSUs in Morogoro urban district in Tanzania to determine the levels, trend and consumption pattern of antimalarial drugs in the two health systems. A combination of observation, interviews and questionnaire administered to the service providers of the randomly selected DSUs were used to collect data. Results ALU was the most selling antimalarial drug in the government health system at a subsidized price of 300 TShs (0.18 US$. By contrast, ALU that was available in the private sector (coartem was being sold at a price of about 10,000 TShs (5.9 US$, the price that was by far unaffordable, prompting people to resort to cheap but failed drugs. As a result, metakelfin (the phased out drug was the most selling drug in the private health system at a price ranging from 500 to 2,000 TShs (0.29–1.18 US$. Conclusions In order for the prompt diagnosis and treatment with effective drugs intervention to have big impact on malaria in mostly low socioeconomic malaria-endemic areas of Africa, inequities in affordability and access to effective treatment must be eliminated. For this to be ensued, subsidized drugs should be made available in both government and private health sectors to promote a universal access to effective safe and affordable life saving antimalarial drugs.

Cores and peripheries in a northern periphery: a case study in Finland

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Pekka Kauppila

2011-01-01

Full Text Available During the last decades, peripheral rural areas have been faced with social and economic challenges, such as economic restructuring, unemployment, out-migration and ageing population. Due to declining traditional industries, tourism has often been highlighted as a vehicle to revitalize the economy in rural areas. The aim of the review is to conceptualize the regional development process of resorts in relation to their location municipalities at the local level in Finland. GIS (Geographical Information Systems technology and georeferenced data, so called grid data, are utilized in the statistical socio-economic analysis of the four largest resorts – Levi, Ruka, Saariselkä and Ylläs – in the Finnish periphery. The study results show that the development process of the resorts has been very positive in terms of the indicators of regional development. Along with the absolute progressing, the relative importance of the resorts within their location municipalities has strengthened. The outcome of the study is presented in the classic core–periphery framework: the resorts are considered as cores and the surrounding area of those cores as a periphery. In consequence, there emerges a polarization process within the municipalities under study because of tourism development. It is obvious that the role of the resorts within the location municipalities in regional development will strengthen in the future. Generally speaking, from the viewpoint of the regional development of peripheral rural areas, the main challenge is to extend the positive socio-economic impacts of resorts, cores, to a wider geographical area, a periphery.

76 FR 20674 - Tribal Consultation Meetings

Science.gov (United States)

2011-04-13

...--Paragon Casino Resort, 6773 East Tunica Drive, Marksville, LA 71351. FOR FURTHER INFORMATION CONTACT... will take place Thursday, May 19, 2011, at the Paragon Casino Resort in Marksville, Louisiana...

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

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

Under-exposed. And if radiations were good for you?

International Nuclear Information System (INIS)

Gay, Michel

2016-01-01

This book is in fact a synthesis of an American publication (Under-Exposed). The author, with its characteristic style, aims at giving a positive perception of nuclear energy, at denying catastrophist speeches on nuclear energy, and more particularly on radioactivity: low doses are not dangerous, and even can be useful for our health and well-being, notably in many spa resorts. Thus, he also aims at struggling against what he considers as an ecological obscurantism

1930年代国際観光政策による雲仙の国際リゾート地開発

OpenAIRE

砂本,文彦

2006-01-01

The purpose of this study is to clarify the characteristics of resort development in Unzen under the Policy of Tourist Industry during 1930s. Nagasaki Pref. had developed Unzen as a resort for foreign tourist after 1910s. In 1930s, the Government and Nagasaki Pref. planed Unzen Kanko Hotel to construct summer resort for foreign resident in East Asia. and tourist point for foreign tourist who traveled all over the world. Such developments were caused by the Policy of Tourist Industry promoting...

Equity and health policy in Africa: Using concept mapping in Moore (Burkina Faso

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Ridde Valéry

2008-04-01

Full Text Available Abstract Background This methodological article is based on a health policy research project conducted in Burkina Faso (West Africa. Concept mapping (CM was used as a research method to understand the local views of equity among stakeholders, who were concerned by the health policy under consideration. While this technique has been used in North America and elsewhere, to our knowledge it has not yet been applied in Africa in any vernacular language. Its application raises many issues and certain methodological limitations. Our objective in this article is to present its use in this particular context, and to share a number of methodological observations on the subject. Methods Two CMs were done among two different groups of local stakeholders following four steps: generating ideas, structuring the ideas, computing maps using multidimensional scaling and cluster analysis methods, and interpreting maps. Fifteen nurses were invited to take part in the study, all of whom had undergone training on health policies. Of these, nine nurses (60% ultimately attended the two-day meeting, conducted in French. Of 45 members of village health committees who attended training on health policies, only eight were literate in the local language (Moore. Seven of these (88% came to the meeting. Results The local perception of equity seems close to the egalitarian model. The actors are not ready to compromise social stability and peace for the benefit of the worst-off. The discussion on the methodological limitations of CM raises the limitations of asking a single question in Moore and the challenge of translating a concept as complex as equity. While the translation of equity into Moore undoubtedly oriented the discussions toward social relations, we believe that, in the context of this study, the open-ended question concerning social justice has a threefold relevance. At the same time, those limitations were transformed into strengths. We understand that it was

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

Investigations on socio economic indicators of French Alps ski industry from an explicit spatial modelling of managed snow on ski slopes

Science.gov (United States)

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

2017-04-01

Investigations of the capacity of ski resorts to anticipate, cope with and recover from the impact of natural snow scarcity through snow management (grooming, snowmaking) have been realized in most of the major regions in terms of international ski offer although not in the French Alps hitherto. The present work therefore introduces an innovative approach for the investigation of socio economic implications of changes in snow conditions for the French Alps ski resorts based on a panel of 129 resorts representing 96% of the total French Alps ski lifts infrastructures. We integrated detailed spatial representations of ski resorts (including priority areas for snowmaking equipment) along with physically based snowpack modelling (including the physical impact of grooming and snowmaking). The viability of ski resorts was further adressed thanks to a commonly used rule based on the snow season duration at the village and ski lifts average elevations along with the development of original viability indicators of snow conditions in the French Alps ski resorts based on the specific periods for the economic success of winter sports: Christmas and February school holidays. Such indicators were correlated to the number of ski lifts tickets sales over the 2001 - 2014 period and proved to be relevant to investigate and predict the evolutions of ski lifts tickets sales under the current ski market conditions in the French Alps. Our results outlined the contrast of snow conditions between French Alps ski resorts, even when accounting for snow management, particularly regarding the geographical location of resorts (Southern versus Northern Alps), the size and related elevation range of ski resorts. Our physically based approach also allowed to compute the water and energy requirements for the production of Machine Made snow since the start of the development of snowguns in the French Alps. Our computations proved to be strongly correlated to the observed amounts of water from the

Biological drugs for the treatment of psoriasis in a public health system

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Luciane Cruz Lopes

2014-08-01

Full Text Available OBJECTIVE To analyze the access and utilization profile of biological medications for psoriasis provided by the judicial system in Brazil. METHODS This is a cross-sectional study. We interviewed a total of 203 patients with psoriasis who were on biological medications obtained by the judicial system of the State of Sao Paulo, from 2004 to 2010. Sociodemographics, medical, and political-administrative characteristics were complemented with data obtained from dispensation orders that included biological medications to treat psoriasis and the legal actions involved. The data was analyzed using an electronic data base and shown as simple variable frequencies. The prescriptions contained in the lawsuits were analyzed according to legal provisions. RESULTS A total of 190 lawsuits requesting several biological drugs (adalimumab, efalizumab, etanercept, and infliximab were analyzed. Patients obtained these medications as a result of injunctions (59.5% or without having ever demanded biological medication from any health institution (86.2%, i.e., public or private health services. They used the prerogative of free legal aid (72.6%, even though they were represented by private lawyers (91.1% and treated in private facilities (69.5%. Most of the patients used a biological medication for more than 13 months (66.0%, and some patients were undergoing treatment with this medication when interviewed (44.9%. Approximately one third of the patients discontinued treatment due to worsening of their illness (26.6%, adverse drug reactions (20.5%, lack of efficacy, or because the doctor discontinued this medication (13.8%. None of the analyzed medical prescriptions matched the legal prescribing requirements. Clinical monitoring results showed that 70.3% of the patients had not undergone laboratory examinations (blood work, liver and kidney function tests for treatment control purposes. CONCLUSIONS The plaintiffs resorted to legal action to get access to biological

Biological drugs for the treatment of psoriasis in a public health system

Science.gov (United States)

Lopes, Luciane Cruz; Silveira, Miriam Sanches do Nascimento; de Camargo, Iara Alves; Barberato, Silvio; Del Fiol, Fernando de Sá; Osorio-de-Castro, Claudia Garcia Serpa

2014-01-01

OBJECTIVE To analyze the access and utilization profile of biological medications for psoriasis provided by the judicial system in Brazil. METHODS This is a cross-sectional study. We interviewed a total of 203 patients with psoriasis who were on biological medications obtained by the judicial system of the State of Sao Paulo, from 2004 to 2010. Sociodemographics, medical, and political-administrative characteristics were complemented with data obtained from dispensation orders that included biological medications to treat psoriasis and the legal actions involved. The data was analyzed using an electronic data base and shown as simple variable frequencies. The prescriptions contained in the lawsuits were analyzed according to legal provisions. RESULTS A total of 190 lawsuits requesting several biological drugs (adalimumab, efalizumab, etanercept, and infliximab) were analyzed. Patients obtained these medications as a result of injunctions (59.5%) or without having ever demanded biological medication from any health institution (86.2%), i.e., public or private health services. They used the prerogative of free legal aid (72.6%), even though they were represented by private lawyers (91.1%) and treated in private facilities (69.5%). Most of the patients used a biological medication for more than 13 months (66.0%), and some patients were undergoing treatment with this medication when interviewed (44.9%). Approximately one third of the patients discontinued treatment due to worsening of their illness (26.6%), adverse drug reactions (20.5%), lack of efficacy, or because the doctor discontinued this medication (13.8%). None of the analyzed medical prescriptions matched the legal prescribing requirements. Clinical monitoring results showed that 70.3% of the patients had not undergone laboratory examinations (blood work, liver and kidney function tests) for treatment control purposes. CONCLUSIONS The plaintiffs resorted to legal action to get access to biological medications

Examining the association between motivations for induced abortion and method safety among women in Ghana.

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Biney, Adriana A E; Atiglo, D Yaw

2017-10-01

This article draws on data from 552 women interviewed in the 2007 Ghana Maternal Health Survey to examine the association between motivations for women's pregnancy terminations and the safety of methods used. Women's reasons for induced abortions represented their vulnerability types at the critical time of decision making. Different motivations can result in taking various forms of action with the most vulnerable potentially resorting to the most harmful behaviors. Analysis of survey data pointed to spacing/delaying births as the main reason for abortion. Furthermore, women were more likely to terminate pregnancies unsafely if their main motivation for abortion was financial constraints. Especially among rural women, abortions for any reason were more likely associated with safe methods than if for financial reasons. These findings suggest a theme of vulnerability, resulting from poverty, as the motivations for women to resort to harmful abortion methods. Therefore, interventions formulated to reduce instances of unsafe pregnancy terminations should target reducing poverty and capacity building with the aim of economic advancement, in addition to curbing the root of the problem: unintended pregnancy.

[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.

Decentralization and health system performance - a focused review of dimensions, difficulties, and derivatives in India.

Science.gov (United States)

Panda, Bhuputra; Thakur, Harshad P

2016-10-31

One of the principal goals of any health care system is to improve health through the provision of clinical and public health services. Decentralization as a reform measure aims to improve inputs, management processes and health outcomes, and has political, administrative and financial connotations. It is argued that the robustness of a health system in achieving desirable outcomes is contingent upon the width and depth of 'decision space' at the local level. Studies have used different approaches to examine one or more facets of decentralization and its effect on health system functioning; however, lack of consensus on an acceptable framework is a critical gap in determining its quantum and quality. Theorists have resorted to concepts of 'trust', 'convenience' and 'mutual benefits' to explain, define and measure components of governance in health. In the emerging 'continuum of health services' model, the challenge lies in identifying variables of performance (fiscal allocation, autonomy at local level, perception of key stakeholders, service delivery outputs, etc.) through the prism of decentralization in the first place, and in establishing directed relationships among them. This focused review paper conducted extensive web-based literature search, using PubMed and Google Scholar search engines. After screening of key words and study objectives, we retrieved 180 articles for next round of screening. One hundred and four full articles (three working papers and 101 published papers) were reviewed in totality. We attempted to summarize existing literature on decentralization and health systems performance, explain key concepts and essential variables, and develop a framework for further scientific scrutiny. Themes are presented in three separate segments of dimensions, difficulties and derivatives. Evaluation of local decision making and its effect on health system performance has been studied in a compartmentalized manner. There is sparse evidence about innovations

Defining disease beyond conceptual analysis: an analysis of conceptual analysis in philosophy of medicine.

Science.gov (United States)

Lemoine, Maël

2013-08-01

Conceptual analysis of health and disease is portrayed as consisting in the confrontation of a set of criteria--a "definition"--with a set of cases, called instances of either "health" or "disease." Apart from logical counter-arguments, there is no other way to refute an opponent's definition than by providing counter-cases. As resorting to intensional stipulation (stipulation of meaning) is not forbidden, several contenders can therefore be deemed to have succeeded. This implies that conceptual analysis alone is not likely to decide between naturalism and normativism. An alternative to this approach would be to examine whether the concept of disease can be naturalized.

Injury Prevention for Ski-Area Employees: A Physiological Assessment of Lift Operators, Instructors, and Patrollers

Directory of Open Access Journals (Sweden)

Delia Roberts

2013-01-01

Full Text Available Background. Momentary lapses in concentration contribute to workplace accidents. Given that blood glucose (BG and hydration levels have been shown to affect vigilance, this study proposed to investigate these parameters and functional movement patterns of ski-resort workers and to determine whether an educational program to stabilize BG and hydration and encourage joint stability had an effect in decreasing occupational injuries. Methods. Seventy-five instructors, patrollers and, lift-operators at five snowsport resorts were evaluated for BG, vigilance, workload, dietary/hydration practices, and functional-movement patterns. Injury rates were tabulated before and after an educational program for nutrition and functional-movement awareness and compared to other resorts. Results. Workers showed poor stability at the lumbar spine, knee, and shoulder. BG levels were normal but variable (%CV = 14±6. Diets were high in sugar and fat and low in water and many nutrients. Medical Aid and Lost Time claims declined significantly by 65.1±20.0% (confidence interval −90.0% ≤μ≤−40.2% in resorts that used the educational program whereas four control resorts not using the program experienced increases of 33.4±42.9% (confidence interval −19.7% ≤μ≤−86.7%; F[2,12] = 21.35, P<0.0001 over the same season. Conclusion. Provision of snowsport resort workers with educational programs encouraging hydration, diet to stabilize BG, and functional-movement awareness was effective in reducing worksite injuries in this population.

Sustainable Health and Wellness Destinations. Proceedings of the International Conference Held in Chaves (Portugal), 13-15/10/2011

OpenAIRE

Joukes, Veronika; Lourenço-Gomes, Lina; Marta-Costa, Alexandra

2012-01-01

A first group of articles focuses (1) on the recovery of the landscape and the river Guadaíra (Andaluzia) in the surroundings of and together with the Pozo Amargo spa resort (Jesús Raúl Navarro García e Frederico Alvim); (2) on the use of soap operas to promote spa tourism in Ourense (Galicia) (Noelia Araújo Vila and José Antonio Fraiz Brea); (3) on highlighting the role of developmental stimulator in the spa sector, using the recent Galician experience in the field as an example (Noelia Araú...

QUANTITATIVE ASPECTS REGARDING THE TOURIST TRAFFIC INDICATORS IN THE HUMAN SETTLEMENTS LOCATED ON THE BLACK SEA COAST

Directory of Open Access Journals (Sweden)

Mariana C. JUGANARU

2016-06-01

Full Text Available The human settlements located on the Black Sea coast, between Navodari and Vama Veche, have developed over time, especially after 1970, both as localities/administrative units, as well as Romanian tourist resorts of national interest. The objective of this study is to statistically process the quantitative aspects of the widely used tourist traffic indicators, in order to capture the existence of similarities or differences between the 17 analyzed tourist resorts and locations. Moreover, based on the results triggered by the application of statistical methods, we also aim at achieving a qualitative analysis, encompassing the interpretations related to the attractiveness, image and perception of each resort/location and the motivation for the choice made by different segments of tourists. The interdisciplinary nature of this work is underlying the presentation and understanding the aspects related to the tourist supply, tourist demand/consumption, consumer/tourist behavior and effects/ results. Also, th\te information obtained from processing the available database on the 17 tourist resorts and locations, by means of the selected statistical methods, allows us to express our own views as proposals for local decision makers, in order to improve the activity and the economic performance and image of the respective tourist location/resort.

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…

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.

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...

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.

Radon-enriched spring waters in the South of Poland

International Nuclear Information System (INIS)

Kozlowska, B.; Hetman, A.; Dorda, J.; Zipper, W.

2001-01-01

A method for determination of 222 Rn in natural water samples which involves a Wallac 1414 Win Spectral α/β liquid scintillation counter is described. Samples were collected from springs in health resorts in the Sudety Mountains in Poland. Half of the studied water samples were radon enriched with an activity concentration higher then 74 Bq/l. Seasonal variations of 222 Rn in these waters are under investigation. The method introduced is very convenient and elegant for radon activity measurements.

[The Graefe memorial stone--in memory of A. von Graefe's contributions in Heiden].

Science.gov (United States)

Koelbing, H M; Speiser, P

1990-01-01

Between 1859 and 1869, Albrecht von Graefe used to spend some weeks in September in Heiden, a small health resort in Eastern Switzerland. During his "holidays", however, the hotel "Freihof", where he lived, was transformed into a most active unit of ophthalmic surgery. A memorial stone, rediscovered and restored thanks to the endeavour of Professor Peter Speiser of St. Gallen, remembers this episode, which was of some importance not only for local tourism, but also for the young Swiss ophthalmology of the time.

"Andere Räume": sowjetische Kurorte als Heterotopien. Das Beispiel Sotschi

NARCIS (Netherlands)

Noack, C.; Schlögel, K.

2011-01-01

Based on Foucault's 'Of other places' the chapter discusses the changing spatialand symbolic relations of Soviet cities and he~lth resorts. The study focuses on Sochi: This Black Sea resort, of little importance before the revolution, became the preferred object of Stalinist development plans in the

Decentralization and health system performance – a focused review of dimensions, difficulties, and derivatives in India

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Bhuputra Panda

2016-10-01

Full Text Available Abstract Introduction One of the principal goals of any health care system is to improve health through the provision of clinical and public health services. Decentralization as a reform measure aims to improve inputs, management processes and health outcomes, and has political, administrative and financial connotations. It is argued that the robustness of a health system in achieving desirable outcomes is contingent upon the width and depth of ‘decision space’ at the local level. Studies have used different approaches to examine one or more facets of decentralization and its effect on health system functioning; however, lack of consensus on an acceptable framework is a critical gap in determining its quantum and quality. Theorists have resorted to concepts of ‘trust’, ‘convenience’ and ‘mutual benefits’ to explain, define and measure components of governance in health. In the emerging ‘continuum of health services’ model, the challenge lies in identifying variables of performance (fiscal allocation, autonomy at local level, perception of key stakeholders, service delivery outputs, etc. through the prism of decentralization in the first place, and in establishing directed relationships among them. Methods This focused review paper conducted extensive web-based literature search, using PubMed and Google Scholar search engines. After screening of key words and study objectives, we retrieved 180 articles for next round of screening. One hundred and four full articles (three working papers and 101 published papers were reviewed in totality. We attempted to summarize existing literature on decentralization and health systems performance, explain key concepts and essential variables, and develop a framework for further scientific scrutiny. Themes are presented in three separate segments of dimensions, difficulties and derivatives. Results Evaluation of local decision making and its effect on health system performance has been

Adolescent reproductive health challenges among schoolgirls in southeast Nigeria: role of knowledge of menstrual pattern and contraceptive adherence

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Ajah LO

2015-08-01

Full Text Available Leonard Ogbonna Ajah,1 Ebele Samuel Onubogu,1 Okechukwu Bonaventure Anozie,1 Lucky Osaheni Lawani,1 Chukwuemeka Anthony Iyoke,2 Emeka Ogah Onwe,3 Monique Iheoma Ajah4 1Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, 2Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, 3Department of Paediatrics, 4Well Women Centre, Federal Teaching Hospital, Abakaliki, Nigeria Background: Reproductive health services in the form of adolescent health and contraceptive services are fundamental in the prevention of a high incidence of teenage pregnancy. The purpose of this study was to determine the age at menarche, menstrual pattern, and awareness of and use of modern contraception among secondary school girls in Abakaliki, Nigeria.Subjects and materials: This was a cross-sectional study in which self-administered questionnaires were completed by 482 adolescent girls at two girls’ secondary schools between August and September 2012.Results: The mean age at menarche was 13.13±1.37 years. The mean menstrual cycle length was 27.8±3.14 days, and the mean duration of menstrual flow was 4.8±1.14 days. Thirty-seven (7.7% respondents were ignorant of their cycle length, while 29 (6.0% had irregular cycles. Premenstrual syndrome and dysmenorrhea were major menstrual issues, which resulted in 69 (14.3% and 59 (12.2% of respondents resorting to self-medication and absenteeism from school, respectively. Mothers were the main source of their daughters’ adolescent education, while friends and mass media were the main source of contraceptive information. Though there was a high level (75.7% of awareness of contraceptive information among the girls, usage (8.9% was poor. Only eight (18.6% of the 43 respondents who had ever used modern contraception were adherent to modern contraceptives. Students who were more than 15 years old, attained menarche at 13 years or less, and whose families were of

76 FR 54408 - Regulatory Review Schedule

Science.gov (United States)

2011-09-01

... 16, 2011 National Tribal Gaming Chukchansi Gold Resort & 1, 2, 4, 5 Commissioner/Regulator Casino... Clearwater Casino Resort 1, 2, 4, 5 Suquamish, WA. December 13, 2011 NIGC Consultation DOI South Auditorium 1... NIGC Consultation Fort McDowell Casino 5 Scottsdale, AZ. November 30-December 1, 2011 NIGC Consultation...

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

On A Recent Theory of 'Legal Obligation'

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Bruno Leoni

2009-02-01

Full Text Available This paper, by the late Bruno Leoni, was originally published in the Italian journal Il Politico in 1966. In the article, Leoni reviews H.L.A. Hart’s The Concept of Law (1961. Hart first analyzes the concept of law by resorting to the classical concept of “obligation.” But he later tries a “fresh start” by resorting to the concept of “secondary rules.” In his review, Leoni argues that the former attempt is confronted with serious difficulties, and that the latter attempt (to which professor Hart possibly resorts in view of overcoming some of said difficulties is ultimately inconsistent with the former

76 FR 47089 - Regulatory Review Schedule; Cancellation of Consultation Meetings

Science.gov (United States)

2011-08-04

... Consultation-- Wild Horse Resort Casino, 1, 2, 3, 4, 5 Southwest. Scottsdale, AZ. September 19-20, 2011 NIGC Regional Training..... Sky Ute Casino Resort 3, 4, 5 Ignacio, CO. September 27-28, 2011 NIGC Consultation-- Turning Stone Casino, NY... 3, 5 Northeast. November 7-12, 2011 USET Annual Meeting........ Mississippi...

Willingness of patients with ankylosing spondylitis to pay for inpatient treatment is influenced by the treatment environment and expectations of improvement

NARCIS (Netherlands)

Boonen, A.; Severens, J. L.; van Tubergen, A.; Landewé, R.; Bonsel, G.; van der Heijde, D.; van der Linden, Sj

2005-01-01

Objective: To assess the willingness to pay (WTP) for treatment in a spa resort of patients with ankylosing spondylitis ( AS) and to assess if the experience of a spa influences the WTP. Methods: 120 patients participating in a randomised trial comparing 3 weeks' treatment in a spa resort in Austria

Surrogacy: Pathway to Parenthood.

Science.gov (United States)

Joseph, Rachel A; Rafanello, Alexandria M; Morris, Cassidy J; Fleming, Kerry F

2018-01-01

Assistive reproductive technology has progressed significantly over the past few decades. In spite of the advances, people may still resort to a surrogate for bearing and birthing a baby. Surrogacy, though an altruistic act, has been commercialized in the past few years, leading to emergence of several ethico-legal concerns. Nurses care for the surrogates, the infants, and the intended parents through their journey with sensitivity, advocacy, compassion, and confidentiality. This article intends to explore the implications of surrogacy to individuals, families, nations, and health care.

The mines of Jackymov

International Nuclear Information System (INIS)

Ramsey, L.J.

1985-01-01

The history of the mines in the vicinity of Jackymov, a small town in Central Europe is given. These mines have been worked for several hundred years and from them has been brought forth a variety of products including silver, uranium and radium, the latter being isolated from Jackymov pitch-blende and identified by Marie Curie. The health effects of the miners mining radioactive ores are briefly discussed. The development of Jackymov as a spa resort using the mine water containing radium is also described. (U.K.)

75 FR 20799 - Safety Zone; AVI July Fireworks Display, Laughlin, NV

Science.gov (United States)

2010-04-21

... Casino. This safety zone is necessary to provide for the safety of the participants, crew, spectators..., Laughlin, NV. The fireworks show is being sponsored by AVI Resort and Casino. The safety zone would be set... all navigable waters within 800 feet of the firing location adjacent to the AVI Resort and Casino...

No Snow? No Problem! Ski Statutes Still Provide Legal Protection

Science.gov (United States)

Buckmaster, Melanie E.; Young, Sarah J.

2018-01-01

In August 2012, Barbara Fakhouri visited Ober Gatlinburg, a ski resort located in eastern Tennessee to vacation with her family. Ms. Fakhouri used a wheelchair to ambulate. Despite the absence of snow on the ground, the resort operated year-round with many amenities such as an amusement park, restaurant, lounge, and shopping center to captivate…

Community College Students Truly Live the Magic

Science.gov (United States)

Shook, Stephanie

2006-01-01

This article talks about the Disney Theme Parks & Resorts College Program. The program attracts a variety of students each year from different backgrounds, major and career goals to the Walt Disney World Resort outside of Orlando, Florida, for a semester of living, learning and earning. The program has provided a foundation for thousands of…

Hershey Helps Students Taste Their Future

Science.gov (United States)

Foster, John; Gipe, Charlie; Friedrich, Alan; Prekopa, Stephanie

2011-01-01

It takes one sweet company to make an industry collaboration work! Hershey Entertainment and Resorts is that company! The company is best known for its resort and entertainment entities. As background, it is important to understand the philanthropic history of the company, Milton Hershey, and the town he built on chocolate. Milton Hershey left…

Noninvasive Respiratory Management of Patients With Neuromuscular Disease.

Science.gov (United States)

Bach, John R

2017-08-01

This review article describes definitive noninvasive respiratory management of respiratory muscle dysfunction to eliminate need to resort to tracheotomy. In 2010 clinicians from 22 centers in 18 countries reported 1,623 spinal muscular atrophy type 1 (SMA1), Duchenne muscular dystrophy (DMD), and amyotrophic lateral sclerosis users of noninvasive ventilatory support (NVS) of whom 760 required it continuously (CNVS). The CNVS sustained their lives by over 3,000 patient-years without resort to indwelling tracheostomy tubes. These centers have now extubated at least 74 consecutive ventilator unweanable patients with DMD, over 95% of CNVS-dependent patients with SMA1, and hundreds of others with advanced neuromuscular disorders (NMDs) without resort to tracheotomy. Two centers reported a 99% success rate at extubating 258 ventilator unweanable patients without resort to tracheotomy. Patients with myopathic or lower motor neuron disorders can be managed noninvasively by up to CNVS, indefinitely, despite having little or no measurable vital capacity, with the use of physical medicine respiratory muscle aids. Ventilator-dependent patients can be decannulated of their tracheostomy tubes.

Quality of life, needs and the mode of coping of the health personnel at Naradhiwasrajanagarindra Hospital in terrorism influence area in Thailand.

Science.gov (United States)

Thomyangkoon, Prakarn; Kongsakon, Ronnachai; Pornputkul, Virul; Putthavarang, Thanuch

2012-03-01

The present study was to identify the quality of life (QOL), the needs of help and the mode of coping among the health personnel of Naradhiwasrajana garindra Hospital in a terrorism situation, the first research in Thailand. The chaos of separatist insurgency in the southern part of Thailand has been re-emerged since 2004. The present study was seeking for ways the health personnel coped with the situation while their quality of life and needs that were affected how they had handled the events were explored. General questionnaire, quality of life rand 36 SF-36 questionnaires, help seeking questionnaire and Mode of coping with the terrorism questionnaire were sent to all health personnel in the hospital in November 2007. 392 (65.3%) complete questionnaire were received from 600 distributed papers. They were female 328 (83.7%) and male 64 (16.3%), at the age of 21-59 years old (the mean age of 39.05 SD +/- 9.82), with three different religions, Buddhist 269 (68.6%), Muslim 122 (31.1%) and Christian 1 (0.30%). Thirty nine responses (9.9%) had been directly exposed to a terrorist attack, while 353 responses (90.1%) had a family member or friends who had been exposed. The results revealed that the overall mean scores of QOL were 73.1 +/- SD 15.5. Mean scores of male were significantly lower than female in general health, social functioning and role-emotional subscales. QOL mean scores of those with no terrorism exposure were significantly higher than those with terrorism exposure in role-physical, social functioning and mental health subscales. The most need of help for the personnel was safety of life and belongings (30.6%) followed by the need of money (23.0%). To cope with the terrorist attack, people (81.7%) would always resort to religious beliefs (72.0%) talk it out with coworkers, friends about their feelings, and (68.7%) inquire about the safety of their families and friends after the incident. Certainly, terrorism affected QOL and the most need of people in

Costa de Cocos 11-kW wind-diesel hybrid system

Energy Technology Data Exchange (ETDEWEB)

Corbus, D. [National Renewable Energy Lab., Golden, CO (United States); Bergey, M. [Bergey Windpower Company, Norman, OK (United States)

1997-12-31

Costa de Cocos is a small resort located in the state of Quintana Roo, Mexico. Using the existing diesel generator, the resort`s power system was retrofitted to a wind-hybrid diesel system. The reason for this retrofit was to supply 24-hour power, to reduce diesel fuel by using wind energy, and to reduce diesel air and noise emissions in order to promote ecotourism. The wind system was installed in October 1996 with cost-shared funding from the U.S. Department of Energy/U.S. Agency for International Development renewable energy program in Mexico. The National Renewable Energy Laboratory (NREL) supplied technical assistance to the project. Discussed in this paper are the system design, installation, and initial performance.

Costa de Cocos 11-kW wind-diesel hybrid system

Energy Technology Data Exchange (ETDEWEB)

Corbus, D [National Renewable Energy Lab., Golden, CO (United States); Bergey, M [Bergey Windpower Co., Norman, OK (United States)

1997-09-01

Costa de Cocos is a small resort located in the state of Quintana Roo, Mexico. Using the existing diesel generator, the resort`s power system was retrofitted to a wind-hybrid diesel system. The reason for this retrofit was to supply 24-hour power, to reduce diesel fuel by using wind energy, and to reduce diesel air and noise emissions in order to promote ecotourism. The wind system was installed in October 1996 with cost-shared funding from the U.S. Department of Energy/U.S. Agency for International Development renewable energy program in Mexico. The National Renewable Energy Laboratory (NREL) supplied technical assistance to the project. Discussed in this paper are the system design, installation, and initial performance.

Measuring the diffusion of palliative care in long-term care facilities – a death census

Directory of Open Access Journals (Sweden)

Santos-Eggimann Brigitte

2009-01-01

Full Text Available Abstract Background The dissemination of palliative care for patients presenting complex chronic diseases at various stages has become an important matter of public health. A death census in Swiss long-term care facilities (LTC was set up with the aim of monitoring the frequency of selected indicators of palliative care. Methods The survey covered 150 LTC facilities (105 nursing homes and 45 home health services, each of which was asked to complete a questionnaire for every non-accidental death over a period of six months. The frequency of 4 selected indicators of palliative care (resort to a specialized palliative care service, the administration of opiates, use of any pain measurement scale or other symptom measurement scale was monitored in respect of the stages of care and analysed based on gender, age, medical condition and place of residence. Results Overall, 1200 deaths were reported, 29.1% of which were related to cancer. The frequencies of each indicator varied according to the type of LTC, mostly regarding the administration of opiate. It appeared that the access to palliative care remained associated with cancer, terminal care and partly with age, whereas gender and the presence of mental disorders had no effect on the indicators. In addition, the use of drugs was much more frequent than the other indicators. Conclusion The profile of patients with access to palliative care must become more diversified. Among other recommendations, equal access to opiates in nursing homes and in home health services, palliative care at an earlier stage and the systematic use of symptom management scales when resorting to opiates have to become of prime concern.

INSUFFICIENTLY UTILIZED NATURAL TOURIST RESOUCES OF SOUTHERN SERBIA

Directory of Open Access Journals (Sweden)

Svetlana Trajković

2013-07-01

Full Text Available South Serbia is highly attractive for tourists due to its homogenous relief structures, rich historical heritage and pleasant natural wealth of flora and fauna, natural mineral and thermal springs and rivers, and bodies of water. It has a unique and outstanding historical and cultural heritage, monuments, monasteries, authentic folklore, music and traditions, and traditionaly hospitable Serbian hosts. It has many hot springs, health resorts, natural phenomena, the potential for sports fields, numerable events, which all gives the possibility for further development of this economic niche.

Physical water treatment against calcification and rust

International Nuclear Information System (INIS)

Burger, A.

1995-01-01

In contrast to Germany, where the installation of small-sized, decentralised plants is still prefered, water supply companies in countries such as Denmark have already for some time successfully been using physical water treatment systems. Although the health and environmental benefits of this non-chemical method of water treatment are undisputed and its proper application is also economically beneficial, there is still a widerspread lack of information as to where such plants can be used. Consequently, older methods are often resorted to combatting calcification and rust. (orig.) [de

Paternalistic breaches of confidentiality in prison: mental health professionals' attitudes and justifications.

Science.gov (United States)

Elger, Bernice Simone; Handtke, Violet; Wangmo, Tenzin

2015-06-01

This manuscript presents mental health practitioners' (MHPs) practice, attitudes and justifications for breaching confidentiality when imprisoned patients disclose suicidal thoughts or abuse by others. 24 MHPs working in Swiss prisons shared their experiences regarding confidentiality practices. The data were analysed qualitatively and MHPs' attitudes and course of action were identified. Analysis revealed paternalistic breaches of confidentiality. When patients reported suicidal thoughts and abuse, MHPs believed that forgoing confidentiality is necessary to protect patients, providing several justifications for it. Patients were informed that such information will be transmitted without their consent to medical and non-medical prison personnel. With reference to suicidal attempts, MHPs resorted to methods that may reduce suicidal attempts such as transfer to hospital or internal changes in living arrangements, which would require provision of certain information to prison guards. In cases of abuse, some MHPs convinced patients to accept intervention or sometimes overrode competent patients' refusals to report. Also in the case of abuse, provision of limited information to other prison personnel was seen as an acceptable method to protect patients from further harm. Breaches of confidentiality, whether limited or full, remain unethical, when used for competent patients based solely on paternalistic justifications. Institutionalising ethical and legal procedures to address suicidal and abuse situations would be helpful. Education and training to help both medical and prison personnel to respond to such situations in an appropriate manner that ensures confidentiality and protects patients from suicide and abuse are necessary. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

"I go I die, I stay I die, better to stay and die in my house": understanding the barriers to accessing health care in Timor-Leste.

Science.gov (United States)

Price, Jennifer A; Soares, Ana I F Sousa; Asante, Augustine D; Martins, Joao S; Williams, Kate; Wiseman, Virginia L

2016-09-30

Despite public health care being free at the point of delivery in Timor-Leste, wealthier patients access hospital care at nearly twice the rate of poorer patients. This study seeks to understand the barriers driving inequitable utilisation of hospital services in Timor-Leste from the perspective of community members and health care managers. This multisite qualitative study in Timor-Leste conducted gender segregated focus groups (n = 8) in eight districts, with 59 adults in urban and rural settings, and in-depth interviews (n = 8) with the Director of community health centres. Communication was in the local language, Tetum, using a pre-tested interview schedule. Approval was obtained from community and national stakeholders, with written consent from participants. Lack of patient transport is the critical cross-cutting issue preventing access to hospital care. Without it, many communities resort to carrying patients by porters or on horseback, walking or paying for (unaffordable) private arrangements to reach hospital, or opt for home-based care. Other significant out-of-pocket expenses for hospital visits were blood supplies from private suppliers; accommodation and food for the patient and family members; and repatriation of the deceased. Entrenched nepotism and hospital staff denigrating patients' hygiene and personal circumstances were also widely reported. Consequently, some respondents asserted they would never return to hospital, others delayed seeking treatment or interrupted their treatment to return home. Most considered traditional medicine provided an affordable, accessible and acceptable substitute to hospital care. Obtaining a referral for higher level care was not a significant barrier to gaining access to hospital care. Onerous physical, financial and socio-cultural barriers are preventing or discouraging people from accessing hospital care in Timor-Leste. Improving access to quality primary health care at the frontline is a key strategy for

Emergence of colistin resistance in extended-spectrum beta lactamase producing Enterobacteriaceae isolated from food animals and its public health implication: A review

Directory of Open Access Journals (Sweden)

Asinamai Athliamai Bitrus

2018-03-01

Full Text Available Antimicrobial resistance as a result of emergence of extended-spectrum beta lactamase producing Enterobacteriaceae is a major health problem of human and animal that requires an intensive global attention. The production of beta lactamase enzymes remains as one of the major factors contributing to the development of resistance to beta lactams. These enzymes hydrolyze the beta lactam ring of the antibiotic and render it ineffective. Extended-spectrum beta lactamase producing bacteria have the ability to develop resistance to a number of antibiotics including the carbapenem and other third generation cephalosporins. In addition, the recent emergence and dissemination of the colistin resistance determinants mcr-1, mcr-2 and mcr-3 poses a serious threat to colistin as a drug of last resort in human medicine. In this review, we utilized words such as “colistin resistance and Escherichia coli”, “Klebsiella and colistin resistance”, “colistin resistance and Salmonella” as well as “detection of mcr-1 genes in Salmonella and E. coli”. The extended-spectrum beta lactamase producing bacteria under Enterobacteriaceae that are resistant to colistin possess the ability to be transferred resistant determinants to other susceptible cells at a higher frequency. In this paper, the role of manure from food animals and how air travel contributes to the dissemination of mcr-1 haboring bacteria, resistance determinants and other metabolites that constitute a public health problem was also reviewed. It is concluded that these pathogens have significant consequences to the control of infection and plays key roles in treatment failure with colistin. [J Adv Vet Anim Res 2018; 5(1.000: 1-11

[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.

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.

Reproductive hazards in the workplace: what the practitioner needs to know about chemical exposures.

Science.gov (United States)

Paul, M; Himmelstein, J

1988-06-01

A growing body of scientific evidence implicates occupational chemical exposures in the etiology of human adverse reproductive outcomes. Most reproductive toxins that have been investigated in sufficient detail have been shown to exert multiple effects on and through both men and women. In the face of growing public awareness, it is essential that clinicians develop a knowledgeable and effective approach to patient concerns about reproductive hazards in the workplace. Of vital importance is the accurate characterization of exposure at the worksite. Intervention strategies for worrisome situations include amelioration of worksite exposure or, as a last resort, temporary, compensated job modification or transfer. The clinician can obtain assistance in addressing the problem from several resources, including local regulatory agencies and occupational health clinics. Widespread involvement of knowledgeable health professionals can have a dramatic impact on improving this important contemporary public health problem.

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.

Gambling with our health: smoke-free policy would not reduce tribal casino patronage.

Science.gov (United States)

Brokenleg, Isaiah Shaneequa; Barber, Teresa K; Bennett, Nancy L; Peart Boyce, Simone; Blue Bird Jernigan, Valarie

2014-09-01

Tribal sovereignty exempts tribal casinos from statewide smoking bans. To conduct a tribally-led assessment to identify the characteristics of casino patrons at Lake of the Torches Resort Casino in Lac du Flambeau WI and their preferences for a smoke-free casino. A survey was administered from April to August 2011 to a stratified random sample of 957 members of the casino players club to assess their preferences for a smoke-free casino. These members were categorized into three groups: those who reported being likely to (1) visit more; (2) visit less; or (3) visit the same if the casino prohibited smoking. They were characterized by age, education, sex, race/ethnicity, annual income, players club level, and reasons for visiting the casino. Statistical analyses were conducted on weighted data in October to December 2011. Weighted logistic regression was calculated to control for potential confounding of patron characteristics. Of the 957 surveyed patrons, 520 (54%) patrons were likely to visit more; 173 (18%) patrons to visit less; and 264 (28%) patrons were indifferent to the smoke-free status. Patrons more likely to prefer a smoke-free casino tended to be white, elderly, middle class and above, and visit the casino restaurants. Patrons within the lower tiers of the players club, almost half of the players club members, also showed a higher preference for a smoke-free casino. This tribal casino would likely realize increased patronage associated with smoke-free status while also contributing to improved health for casino workers and patrons. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Economic, racial and ethnic disparities in breast cancer in the US: towards a more comprehensive model.

Science.gov (United States)

Campbell, Richard T; Li, Xue; Dolecek, Therese A; Barrett, Richard E; Weaver, Kathryn E; Warnecke, Richard B

2009-09-01

Using cancer registry data, we focus on racial and ethnic disparities in stage of breast cancer diagnosis in Cook County, IL. The county health system is the "last resort" health-care provider for low-income persons. Socioeconomic status is measured using empirical Bayes estimates of tract-level poverty, specific to non-Hispanic whites, non-Hispanic blacks or Hispanics in one of three age groups. We use ordinal logistic regression with non-proportional odds to model stage. Blacks and Hispanics are at greater risk for regional and distant stage diagnosis, but the disparity declines with age. Women in high-poverty areas are at substantially greater risk for late-stage diagnosis. The effects of poverty do not differ by age or across racial and ethnic groups.

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 ...

La lignée et la nation. Etat civil, nationalité et gestation pour autrui : État civil, nationalité et gestation pour autrui.

OpenAIRE

Courduriès , Jérôme

2017-01-01

International audience; Based on research on French couples resorting to surrogate mothers in North America, this article analyses how individuals compromise with legal bans, administrative hold-ups, and moral reprobation to successfully realize family plans externalizing pregnancy outside the parental couple. These kinship practices that lead hopeful fathers and mothers to resort to assisted pregnancy techniques abroad raise questions about the porosity of borders and revealnumerous politica...

HOTEL INFORMATION

Institute of Scientific and Technical Information of China (English)

无

2011-01-01

Argyle Whahol Resort Argyle Hotel Management Group (Australia) has signed an agreement with Wuxing Chuangzhan Investment Holding Company to build a five-star holiday hotel.The new project, Argyle Whahol Resort, is located in Chongzuo of southwest China’s Guangxi Zhuang Autonomous Region. The project covers an area of 26,000 square meters with a total investment of 3 billion yuan ($473.4 million).

Client retention and health among sex workers in Nairobi, Kenya.

Science.gov (United States)

Izugbara, Chimaraoke O

2012-12-01

It is still a small body of research that directly addresses female sex workers' relationships with their regular commercial male partners. I used ethnographic data from Nairobi, Kenya to interrogate motivations and strategies for recruiting and retaining regular male clients among female sex workers (FSWs). Regular commercial male partners, popularly called customer care, wera or wesh by Nairobi's FSWs, played diverse roles in their lives. Client retention enabled sex workers to manage the risk of reduced marriage prospects, guaranteed them steady work, livelihoods, and incomes, and prevented their victimization and harassment. To retain clients, sex workers obliged them a great deal, pretended they had quit prostitution, and sometimes resorted to magical practices. However, these strategies were also accompanied by risks that reinforced the vulnerability of sex workers. Lack of critical attention to sex workers' practices for managing perceived risks in their particular type of work may hamper current programmatic efforts to make their job safer.

Balneological Evaluation of the Tafadek Spring, Agadez Region, Niger Republic

Science.gov (United States)

Nghargbu, K.; Latour, T.; Ponikowska, I.; Kurowska, E.

2012-04-01

West Africa, particularly Niger Republic is home to thousands of tourists annually. The vast Saharan desert and it's numerous oases in the northern parts of the Republic are a hot attraction on their own. However, in a recent survey of medicinal springs within the West African sub-region, the only hot spring in this country known locally for its therapeutic egress was analyzed. Located about 160km West of Agadez, the "Tafadek" spring with a yield of over 5l/s and temperature of about 50oC, rich in fluoride and silica is a specific water with capacity for application in balneotherapy for the treatment of orthopaedic, rheumatological, neurological, urinary tract infections, and osteoporosis. If the Tafadek spring is developed into a modern health resort promoting balneotherapy, health (balnear) tourism which is non-existent in Niger Republic today could kick start a new dawn in the health/economic development of the nation and the sub-region at large. Keywords: West Africa, Nigeria, Balneotherapy, Health tourism, Spring

INFORMATION AND KNOWLEDGE MANAGEMENT – A STRATEGY FOR PERFORMING MEDICAL SERVICES IN THE INFORMATIONAL ERA

Directory of Open Access Journals (Sweden)

Adina BĂLAN

2009-01-01

Full Text Available The unprecedented incertitude existing in the health system in Romaniaimplies menaces for the system managers. The improvement of theperformance of the medical system has never been more adequate, so thatthe health system needs specific managerial strategies. Romania needs acomplete solution which could assure a performant management of themedical information in the system, and in their plans, the managers of thehealthcare organizations must include investments for the application of theinformational technologies, like the administration of medical information, ofthe health electronic file, the medical information exchange, so that themedical service be continuous and permanent from the birth until the death ofany individual. But the piece of information is only valuable to the one whoknows how to use it, where to search for it, how to choose it and finally howto use it, so that we can say the main instrument to which the manager fromthe health system may resort rapidly in order to find new solutions isinformation.

Contemporary problems of health protection for workers employed at a large industrial enterprise and working under occupational hazards

Directory of Open Access Journals (Sweden)

E.Ya. Titova

2017-12-01

Full Text Available We examined data provided by a healthcare facility at a large industrial enterprise focusing on occupational morbidity dynamics over 2013-2016 and periodical medical examinations results obtained in 2015 and 2016. We created a specialized program and applied it to conduct sociological research on health of workers who has a periodical medical examination. We detected that most questioned workers (50.48 % whose occupations were associated with dangerous and hazardous occupa-tional factors were poorly aware of occupational diseases prevention and needed relevant knowledge. It is shown that over 2013–2016 occupational morbidity decreased from 9.38 cases per 10,000 workers to 3.55 cases. However, it remained higher that in Russian and Perm region on average. All occupational diseases were detected in workers older than 40 with their working record being longer than 15 years. A share of people able to work with certain limitations grew in 2016 in comparison with 2015 (from 7.35 to 9.31 %; a number of people who needed sanatorium-resort therapy also grew from 19.96 to 32.12 %; a number of people with general somatic diseases increased from 31.23 to 70.17 %; health index reduced from 38.77 to 29.82 %. Musculoskeletal system diseases, con-nective tissue diseases, circulatory system diseases, eye and its accessory apparatus diseases, respiratory organs diseases, and digestive organs diseases prevailed in general somatic morbidity structure. We registered a substantial growth in hearing organs diseases (mostly hearing loss, from 49.47 to 99.06 cases per 100 examined; skin and subcutaneous tissue diseases (from 7.73 to 36.3 cases per 100 examined; urinary system diseases (from 68.42 to 100.62 cases per 100 examined. We detected that most examined workers pursued unhealthy lifestyle. For example, 29.9 % often consumed strong spirits (equally men and women, and 72.8 % smoked. All the respondents tended to have low physical activity. We also revealed some

Health-care sector and complementary medicine: practitioners' experiences of delivering acupuncture in the public and private sectors.

Science.gov (United States)

Bishop, Felicity L; Amos, Nicola; Yu, He; Lewith, George T

2012-07-01

The aim was to identify similarities and differences between private practice and the National Health Service (NHS) in practitioners' experiences of delivering acupuncture to treat pain. We wished to identify differences that could affect patients' experiences and inform our understanding of how trials conducted in private clinics relate to NHS clinical practice. Acupuncture is commonly used in primary care for lower back pain and is recommended in the National Institute for Health and Clinical Excellence's guidelines. Previous studies have identified differences in patients' accounts of receiving acupuncture in the NHS and in the private sector. The major recent UK trial of acupuncture for back pain was conducted in the private sector. Semi-structured qualitative interviews were conducted with 16 acupuncturists who had experience of working in the private sector (n = 7), in the NHS (n =3), and in both the sectors (n = 6). The interviews lasted between 24 and 77 min (median=49 min) and explored acupuncturists' experiences of treating patients in pain. Inductive thematic analysis was used to identify similarities and differences across private practice and the NHS. The perceived effectiveness of acupuncture was described consistently and participants felt they did (or would) deliver acupuncture similarly in NHS and in private practice. In both the sectors, patients sought acupuncture as a last resort and acupuncturist-patient relationships were deemed important. Acupuncture availability differed across sectors: in the NHS it was constrained by Trust policies and in the private sector by patients' financial resources. There were greater opportunities for autonomous practice in the private sector and regulation was important for different reasons in each sector. In general, NHS practitioners had Western-focussed training and also used conventional medical techniques, whereas private practitioners were more likely to have Traditional Chinese training and to practise

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

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

Directory of Open Access Journals (Sweden)

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

第二の軽井沢を夢想した“観光デザイナー”松本隆治と宮崎寛愛 : 観光リスクマネジメントの観点から

OpenAIRE

小川, 功

2014-01-01

The Kitakaruizawa area is located north ofKaruizawa, a famous mountain resort in NaganoPrefecture built by foreign developers in themid-Meiji Period. Despite the resemblance inname, the former is part of Gunma Prefecture,while the latter is situated in Nagano. Kitakaruizawais one of many resorts that weredeveloped around the famous and prestigiousKyu-Karuizawa, or the original Karuizawa, inan attempt to capitalize on its high status.Among such developers, Yasujiro Tsutsumi andKasuke Hoshino, ...

Optimal Hybrid Renewable Power System for an Emerging Island of South Korea: The Case of Yeongjong Island

OpenAIRE

Baek, Seoin; Kim, Heetae; Chang, Hyun

2015-01-01

South Korea, which has led in “green growth” since 2012, is now focusing on investigating new-growth engine industries such as the gaming industry and mega-resort development. Yeongjong Island is the most representative and promising location for nurturing the gaming industry, which has already generated more than 20 billion USD. However, the construction of mega resort clusters generates critical energy issues. Despite this potential problem, local governments and South Korea’s central gove...

Health and low-level radiation: turning good news into bad news.

Science.gov (United States)

Wolfe, B; Wallis, L R

1988-08-01

This paper has a dual purpose. On the one hand, congratulations are in order; the 25th Hanford Life Sciences Symposium celebrates four decades of important research at Hanford. This research has helped provide a better understanding of ionizing radiation effects on man and his environment. Researchers at Hanford and those at other locations can take pride in the fact that today we know more about the major characteristics and potential health effects of ionizing radiation than we do for any other biological hazard. Ionizing radiation's present mysteries, important as they are, involve subtleties that are difficult to explore in detail because the effects are so small relative to other health effects. It will also be a pleasure to add our tribute, along with many others, to Herb Parker, a friend, colleague, and pioneer in the radiation protection field. Building on the work of early pioneers such as Herb and those who have and will follow in their footsteps, we will develop an even broader understanding--an understanding that will clarify the effects of low-level radiation exposure, an area of knowledge about which sound explanations and predictions elude us today. The second purpose of this paper is to remind those in the radiation protection field that they have been less than successful in one of their most important tasks--that of effective communication. The task is not an easy one because the content of the message depends upon the dose. At high doses, above 1 Sv, where the deleterious effects of radiation are predictable, there is agreement on the message that must be delivered to the public: avoid it. There is no confusion in the public sector about this message. At the much lower doses resulting from beneficial activities, the message we must convey to the public is different. Unfortunately, the only message about radiation that the public seems to remember is "avoid it." We know the proper message is not being received when the medical profession resorts

Surface aerosol and rehabilitation properties of ground-level atmosphere in the mountains of the North Caucasus

Science.gov (United States)

Reps, Valentina; Efimenko, Natalia; Povolotskaya, Nina; Abramtsova, Anna; Ischenko, Dmitriy; Senik, Irina; Slepikh, Victor

2017-04-01

The rehabilitative properties (RP) of ground-level atmosphere (GA) of Russian resorts are considered as natural healing resources and received state legal protection [1]. Due to global urbanization the chemical composition and particle size distribution of the surface aerosol are changing rapidly. However, the influence of surface aerosol on the RP of GA has been insufficiently studied. At the resort region of the North Caucasus complex monitoring (aerosol, trace gases NOx, CO, O3, CH4; periodically - heavy metals) is performed at two high levels (860 masl - a park zone of a large mountain resort, 2070 masl - alpine grassland, the net station). The results of the measurements are used in programs of bioclimatic, landscape and medical monitoring to specify the influence of aerosol on rehabilitation properties of the environment and human adaptative reserves. The aerosol particles of size range 500-1000 nm are used as a marker of the pathogenic effect of aerosol [2]. In the conditions of regional urbanization and complicated mountain atmospheric circulation the influence of aerosol on RP of GA and the variability of heart rhythm with the volunteers at different heights were investigated. At the height of 860 masl (urbanized resort) there have been noticed aerosol variations in the range of 0,04-0,35 particles/cm3 (slightly aerosol polluted), in mountain conditions - background pollution aerosol level. The difference of bioclimatic conditions at the specified high-rise levels has been referred to the category of contrasts. The natural aero ionization ∑(N+)+(N-) varied from 960 ion/cm3 to 1460 ion/cm3 in the resort park (860 m); from 1295 ion/cm3 to 4850 ion/cm3 on the Alpine meadow (2070 m); from 1128 ion/cm3 to 3420 ion/cm3 - on the tested site near the edge of the pinewood (1720 m). In the group of volunteers the trip from low-hill terrain zone (860 m) to the lower zone of highlands (2070 m) caused the activation of neuro and humoral regulation, vegetative and

Vulnerability assessment of skiing-dependent businesses to the effects of climate change in Banff and Jasper National Parks, Canada

Science.gov (United States)

Reynolds, David Michael

This qualitative study examines the potential positive and negative socio-economic impacts that may emerge from the long-term effects of climate change on skiing-dependent businesses in Banff and Jasper National Parks, Canada. My goal was to determine whether or not skiing-related tourism in the parks in the 2020s and 2050s is more or less socio-economically vulnerable to the effects of climate change on snow cover, temperatures and ski season length at ski resorts in the parks. My study explored the level of awareness and personal perceptions of 60 skiing-dependent business managers about how the impact of climate change on ski resorts may influence future socio-economics of ski tourism businesses. I employed a vulnerability assessment approach and adopted some elements of grounded theory. My primary data sources are interviews with managers and the outcome of the geographical factors index (GFI). Supporting methods include: an analysis and interpretation of climate model data and an interpretation of the economic analysis of skiing in the parks. The interview data were sorted and coded to establish concepts and findings by interview questions, while the GFI model rated and ranked 24 regional ski resorts in the Canadian Cordillera. The findings answered the research questions and helped me conclude what the future socio-economic vulnerability may be of skiing-dependent businesses in the parks. The interviews revealed that managers are not informed about climate change and they have not seen any urgency to consider the effects on business. The GFI revealed that the ski resorts in the parks ranked in the top ten of 24 ski resorts in the Cordillera based on 14 common geographical factors. The economic reports suggest skiing is the foundation of the winter economy in the parks and any impact on skiing would directly impact other skiing-dependent businesses. Research indicates that the effects of climate change may have less economic impact on skiing

Relationship Marketing: Association of Demography, Ethical Ideologies and Personalisation with Customer Value and Relationship Duration in Travel & Leisure Industry

OpenAIRE

Chew, Jennie Lay Peng

2010-01-01

Casino industry relationship management has created interest among the Asia region especially with the opening of the two Integrated Resorts (IR) – Resorts World Sentosa and Marina Bay Sands in year 2010 after the success of Macau – The Asia Las Vegas. Underlying the threat to Genting Malaysia, this study is aim to analysis the relationship marketing theoretically and empirically on customer value and commitment of Genting patronage since the opening of the two IR. The dynamicity of relati...

TENDENCIES OF IMPROVEMENT THE QUALITY OF TRANSPORT TOURISM BY TOURISM ENTERPRISES IN RECREATION AREAS OF UKRAINE

OpenAIRE

Копитко, В. І.; Терещак, Ю. В.

2016-01-01

Tendences of improvement the quality of transport tourism by enterprises in the tourism industry in recreational regions of Ukraine using cultural and educational potential of resort are reviewed.It is advisable for tourism industry businesses in resort areas to combine the two models concept of cultural and educational tourism, where the element of knowledge involving natural and cultural values serves as the main purpose of trip by transport, or as an additional service, which is typical fo...

"First, do no harm": legal guidelines for health programmes affecting adolescents aged 10-17 who sell sex or inject drugs.

Science.gov (United States)

Conner, Brendan

2015-01-01

entitled to judicial process. Legal guidelines also provide that these adolescents have influence over their placement, access to legal counsel to challenge the conditions of their detention and regular visitation from peers, friends and family, and that all facilities be subject to frequent and periodic review by independent agencies, including community-based groups led by KPs. Controlling international law specifies that protective interventions among KPs aged 10-17 must not only include low-threshold, voluntary services but also "protect" adolescent KPs from the harms attendant to law-enforcement-based interventions. Going forward, health practitioners must honour the right to health by adjusting programmes according to principles of minimum intervention, due process and proportionality, and duly limit juvenile justice and child protection involvement as a measure of last resort, if any.

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

As novas tecnologias de autocuidado e os riscos do autodiagnóstico pela Internet New self-care technologies and the risk of self-diagnosis through the Internet

Directory of Open Access Journals (Sweden)

Paulo Roberto Vasconcellos-Silva

2009-08-01

Full Text Available Encouraged by a solid commercial structure and growing cultural influence, information and communication technologies for health (ICTH appear as a natural reference point for matters of self-care. As a first trend, ICTH involved end user consultations to websites specializing in health. Soon after, the development of algorithms focused on the identification of illnesses to meet the needs of consumers seeking distant, impersonal technical advice. Despite the comfort and confidentiality, there is evidence that such resources have generated more doubt and anxiety than meaningful clarifications. According to the literature, users seem to have difficulties in identifying and naming their own symptoms, in addition to having to choose between shallow or alarmist advice. Despite the investments made in providing information, most sources of information do not rely on previous cultural studies about how users interpret their health conditions when resorting to self-diagnosis, which ends up by pushing them, paradoxically, to look for specialists.

Implementace marketingového mixu Prague City Golf Club

OpenAIRE

Čmakal, Tomáš

2012-01-01

Title: Marketing mix implementation of Prague City Golf Club Objective: Analysis of marketing mix of the golf resort Prague City Golf Club and addresses proposals for its further improvement Methods: PEST analysis SWOT analysis Porter five forces analysis In-depth interview Results: The results of assessment of the marketing mix instruments of the Prague City Golf Club have shown that it is a high-quality golf resort with elaborate and numerous components of the marketing mix. In terms of com...

Transferability of MCR-1/2 Polymyxin Resistance: Complex Dissemination and Genetic Mechanism.

Science.gov (United States)

Feng, Youjun

2018-03-09

Polymyxins, a group of cationic antimicrobial polypeptides, act as a last-resort defense against lethal infections by carbapenem-resistant Gram-negative pathogens. Recent emergence and fast spread of mobilized colistin resistance determinant mcr-1 argue the renewed interest of colistin in clinical therapies, threatening global public health and agriculture production. This mini-review aims to present an updated overview of mcr-1, covering its global dissemination, the diversity of its hosts/plasmid reservoirs, the complexity in the genetic environment adjacent to mcr-1, the appearance of new mcr-like genes, and the molecular mechanisms for mobilized colistin resistance determinant 1/2 (MCR-1/2).

Superfund at work: Hazardous waste cleanup efforts nationwide, fall 1992. (Wide Beach section of Brant, New York)

International Nuclear Information System (INIS)

1992-01-01

Wide-spread contamination of polychlorinated biphenyls (PCBs) threatened the Wide Beach section of Brant, New York, a popular vacation resort. EPA's Superfund program effectively completed a permanent cleanup of Wide Beach in the span of one year. Other highlights included: a new and innovative technology to remove PCB contamination; reduction of PCBs to one-fifth of acceptable levels; temporary relocation of residents who were concerned for their health while cleanup activities took place; newly paved roads and driveways, re-landscaped yards, and a new storm sewer system; and restoration of ecologically sensitive wetlands. EPA's achievements significantly reduced PCB risks at Wide Beach, and left a satisfied community in Brant

[Novel technologies for the correction of aftereffects of deficient nutrition in the dietician practice].

Science.gov (United States)

Blinkova, L N; Efimenko, N V; Topuriia, D I; Dubovoĭ, R M

2008-01-01

Deficient nutrition is a common pathological factor encountered in medical practice. We evaluated results of combined intake of Essentuki-Novaya mineral water and Nutridrink artificial food mixture (Nutritia, Holland). Spa and resort therapy based on the use of natural factors and well-balanced nutrition resulted in the marked alleviation of clinical symptoms in patients with gastrointestinal disorders. Simultaneously, the consequences of deficient nutrition in the preceding period were corrected and manifestations of the main pathological syndromes decreased. It is concluded that a short-term course of oral alimentation using food substrate mixtures had beneficial effect on the health state of patients by improving their nutritional status and quality of life.

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.

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.

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)

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...

DYNAMICS OF WATER CONSUMPTION CHANGES IN A TOURIST RESORT

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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.

Association between age, critical skills and work perspectives

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S Krüger

2014-01-01

Full Text Available The main aim of this study is to report on the associations between age, critical skills and work perspectives (job satisfaction, career/organizational commitment and job characteristics as perceived by resort employees. It highlights that age and critical skills play an important role towards work perspectives. A descriptive research design approach was followed. Three hundred and eighteen fully completed questionnaires were included in the statistical analysis, which included exploratory factor analysis, Spearman's rho and a structural equation model. Resort employees of different ages do not experience job characteristics differently. Older employees are often more experienced in the work environment, which contributes to an increase in job satisfaction, while younger employees who start building a career in the hospitality sector experience less job satisfaction. Older employees are more committed to their careers than younger employees. Critical skills have no influence on participants' perception of job characteristics. However, resort employees who have a variety of critical skills experience an increase in job satisfaction.

Suicidal thoughts during early adolescence: prevalence, associated troubles and help-seeking behavior.

Science.gov (United States)

Choquet, M; Menke, H

1990-02-01

A total of 1600 adolescents between the ages of 13 and 16 living in a county bordering on Paris were interviewed concerning their health, their use of drugs, both legal and illegal, their behavior, and their seeking of health care. Fourteen percent of the boys and 23% of the girls had already thought about suicide and 5% and 10% (respectively) proclaimed having thought about it frequently. Young adolescents who thought about suicide, the girls as well as the boys, had more health problems (fatigue, nightmares, insomnia), used more drugs (including tobacco, alcohol, illegal drugs, psychotropic medicine) and had more delinquent behavior (robbery, running away from home, racketeering). Furthermore, the girls had problems in school (absenteeism and being left back). In general, youngsters with suicidal thoughts resorted to violence in a variety of ways. Although these youngsters spoke less readily about their personal problems, they more frequently sought physical health care (doctors, nurses, social workers). This discrepancy between their difficulty in communication and their readiness to ask for physical care is a clear indication of their need to be helped.

The Experience of Depression

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Katharina Weitkamp

2016-05-01

Full Text Available There is a lack of research in health psychology on the subjective experience of adolescents with mental health disorders. The aim of this study was to explore the experience of depression and the journey into therapy of young people (YP diagnosed with depression. Semi-structured interviews were carried out with six YP (5 female, aged 15–19. Interviews were analyzed using Interpretative Phenomenological Analysis. The following four key themes were identified: “Suffering is experienced as overwhelming,” “An experience of loneliness and isolation,” “Struggling to understand the suffering,” and “Therapy as a last resort.” Reasons for a delay in accessing treatment were not knowing what is “normal,” the feeling that they have to deal with it by themselves, and/or the lack of a caring adult who supports the YP in getting help. The findings suggest the ongoing importance of reducing stigma and promoting mental health education for YP as well as parents, school staff, and health professionals.

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.

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)

Self-rated health in rural Appalachia: health perceptions are incongruent with health status and health behaviors

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Pyle Donald N

2011-04-01

Full Text Available Abstract Background Appalachia is characterized by poor health behaviors, poor health status, and health disparities. Recent interventions have not demonstrated much success in improving health status or reducing health disparities in the Appalachian region. Since one's perception of personal health precedes his or her health behaviors, the purpose of this project was to evaluate the self-rated health of Appalachian adults in relation to objective health status and current health behaviors. Methods Appalachian adults (n = 1,576 were surveyed regarding health behaviors - soda consumer (drink ≥ 355 ml/d, or non-consumer (drink 30 min > 1 d/wk and sedentary (exercise Results Respondents reported being healthy, while being sedentary (65%, hypertensive (76%, overweight (73%, or hyperlipidemic (79%. Between 57% and 66% of the respondents who considered themselves healthy had at least two disease conditions or poor health behaviors. Jaccard Binary Similarity coefficients and odds ratios showed the probability of reporting being healthy when having a disease condition or poor health behavior was high. Conclusions The association between self-rated health and poor health indicators in Appalachian adults is distorted. The public health challenge is to formulate messages and programs about health and health needs which take into account the current distortion about health in Appalachia and the cultural context in which this distortion was shaped.

"It is my business": A Mixed-Methods Analysis of Covert Contraceptive Use among Women in Rakai, Uganda.

Science.gov (United States)

Heck, Craig J; Grilo, Stephanie A; Song, Xiaoyu; Lutalo, Tom; Nakyanjo, Neema; Santelli, John S

2018-03-04

Covert contraceptive use (CCU) is the use of family planning without a partner's knowledge. This study sought to examine CCU prevalence among women living in Rakai, Uganda, predictors of CCU, and why women resort to CCU. We used data from women (15-49years) currently using contraceptives (oral contraceptives, Depo Provera, implants, intrauterine devices, and periodic abstinence) during Round 15 (2011-2013) of the Rakai Community Cohort Survey (n=2206). We utilized logistic regressions to analyze the association between self-reported CCU and current contraceptive method, sexual activity, experience of violence, and demographic data. We also used data from in-depth interviews (IDI) on HIV and reproductive health conducted in 2013-2016. CCU prevalence was 26%. In the multivariable model, being previously married (aOR=2.2 [1.7-2.9]), having no formal education (aOR=2.1 [1.1-3.9]), and experiencing physical violence (aOR=1.7 [1.3-2.2]) or having more than 1 sex partner (aOR=1.6 [1.2-2.2]) in the past 12months were CCU predictors. Advancing past primary school decreased the odds of CCU (aOR=0.7 [0.6-0.9]). HIV was positively associated with CCU in the unadjusted model, but not the adjusted. In the IDIs, women primarily resorted to CCU because of discordant fertility desires-coupled with financial insecurity, negative stereotypes towards contraceptives use, deteriorating health, and familial pressure to reproduce. One woman employed CCU because she feared being ostracized from her community. CCU is common amongst users of contraception and is used to hide family planning from partners and communities. Women that diverge from Uganda's cultural norms had higher odds of CCU. Clinicians and practitioners should be aware of CCU among their patients and should educate women on the wide variety of contraceptive methods to help them decide if their current covert method is best for their health and safety. Copyright © 2018 Elsevier Inc. All rights reserved.

Health psychology and health promotion

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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.

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

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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

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

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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.

Bacteriological and mycological surveys along Otranto coastal areas

International Nuclear Information System (INIS)

Montagna, M.T.; De Donno, A.; Bagordo, F.; Carrozzini, F.

2000-01-01

Bacteriological and mycological surveys were carried out on water samples collected from 6 seaside resorts and 2 affluent along Otranto coastal areas. The following parameters were tested: total coliforms, fecal coliforms, fecal streptococci, Salmonella, P. aeruginosa and S. aureus, Vibrio species and yeasts. Results show fecal pollution in three seaside resorts and in one drain, whereas Salmonella research always resulted negative. P. aeruginosa and S. aureus were isolated from both affluents. V. alginolyticus was the most isolated vibrio specie (90%). Among isolated yeasts Torulopsis inconspicua (70%) was the most frequent one [it

Kinerja Uptd dalam Pengelolaan Objek Wisata Candi Muara Takus Kecamatan XIII Koto Kampar Kabupaten Kampar

OpenAIRE

Rusli. SD, Zaili; Dewi, Marta

2016-01-01

Based on interviews and observations at the resort, there is found a phenomenon that occurs : (a) The main duties of UPTD in resort areaa of Muara Takus Tempel at XIII Koto Kampar has not been done entirely properly, (b) Many programs that have been created by UPTD inresort areas of Muara Takus Tempel was not implemented, (c) The employees in the UPTD is stiil lacking so it is affecting the main duties to be carried out properly. The aim of this study was to determine how the performance of U...

Mobile central heating plant ensures the supply during the power-plant modernization. Planning-safe reconstruction; Mobile Heizzentrale sichert Versorgung waehrend Kraftwerksmodernisierung. Planungssicherer Umbau

Energy Technology Data Exchange (ETDEWEB)

Bernhard, Petra [Mobiheat GmbH, Friedberg (Germany). Presse- und Oeffentlichkeitsarbeit

2012-09-15

During the comprehensive energetic retrofitting of district heating plants in the spa resort of Badenweiler (Federal Republic of Germany) a mobile 2-MW heating plant from Mobilheat (Ebersberg, Federal Republic of Germany) was used for the heat supply. Thus, the installation of environmental friendly energy supply based on cogeneration plants could be implemented with planning security. This particularly was important because, among other things, the traditional spa resort, the Kurhaus as well as hotels and private customers depend on the heat supply system. These buildings have be supplied with thermal water also in the summer.

Climate change and tourism in the alpine regions of Switzerland

OpenAIRE

Bürki, R; Abegg, B; Elsasser, H

2007-01-01

For many alpine areas in Switzerland, winter tourism is the most important source of income, and snow-reliability is one of the key elements of the offers made by tourism in the Alps. 85% of Switzerland’s current ski resorts can be designated as snow-reliable. If climate change occurs, the level of snow-reliability will rise from 1200 m up to 1800 m over the next few decades. Only 44% of the ski resorts wouldthen still be snow-reliable. While some regions may be able to maintain their winter ...

阿蘇観光ホテルと国際リゾート地開発

OpenAIRE

砂本,文彦

2000-01-01

The aim of this paper is to make clear states of Aso Kanko Hotel and its Development of tourist resort for foreign tourist. O-Aso Kankodo Co. Ltd. was established for development of the area of Aso in 1935. The resort programs they made mainly consisted of roads for drive and a hotel. The hotel called Aso Kanko Hotel was designed by Ryoma Kondo of Kumamoto Prefecture. However its Japanese-European design was indicated by Makoto Den who was the President of Board of Tourist Industry. There wer...

Integration of snow management practices into a detailed snow pack model

Science.gov (United States)

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

2016-04-01

The management of snow on ski slopes is a key socio-economic and environmental issue in mountain regions. Indeed the winter sports industry has become a very competitive global market although this economy remains particularly sensitive to weather and snow conditions. The understanding and implementation of snow management in detailed snowpack models is a major step towards a more realistic assessment of the evolution of snow conditions in ski resorts concerning past, present and future climate conditions. Here we describe in a detailed manner the integration of snow management processes (grooming, snowmaking) into the snowpack model Crocus (Spandre et al., Cold Reg. Sci. Technol., in press). The effect of the tiller is explicitly taken into account and its effects on snow properties (density, snow microstructure) are simulated in addition to the compaction induced by the weight of the grooming machine. The production of snow in Crocus is carried out with respect to specific rules and current meteorological conditions. Model configurations and results are described in detail through sensitivity tests of the model of all parameters related to snow management processes. In-situ observations were carried out in four resorts in the French Alps during the 2014-2015 winter season considering for each resort natural, groomed only and groomed plus snowmaking conditions. The model provides realistic simulations of the snowpack properties with respect to these observations. The main uncertainty pertains to the efficiency of the snowmaking process. The observed ratio between the mass of machine-made snow on ski slopes and the water mass used for production was found to be lower than was expected from the literature, in every resort. The model now referred to as "Crocus-Resort" has been proven to provide realistic simulations of snow conditions on ski slopes and may be used for further investigations. Spandre, P., S. Morin, M. Lafaysse, Y. Lejeune, H. François and E. George

Primary health care and public health: foundations of universal health systems.

Science.gov (United States)

White, Franklin

2015-01-01

The aim of this review is to advocate for more integrated and universally accessible health systems, built on a foundation of primary health care and public health. The perspective outlined identified health systems as the frame of reference, clarified terminology and examined complementary perspectives on health. It explored the prospects for universal and integrated health systems from a global perspective, the role of healthy public policy in achieving population health and the value of the social-ecological model in guiding how best to align the components of an integrated health service. The importance of an ethical private sector in partnership with the public sector is recognized. Most health systems around the world, still heavily focused on illness, are doing relatively little to optimize health and minimize illness burdens, especially for vulnerable groups. This failure to improve the underlying conditions for health is compounded by insufficient allocation of resources to address priority needs with equity (universality, accessibility and affordability). Finally, public health and primary health care are the cornerstones of sustainable health systems, and this should be reflected in the health policies and professional education systems of all nations wishing to achieve a health system that is effective, equitable, efficient and affordable. © 2015 S. Karger AG, Basel.

Nightlife, verbal and physical violence among young European holidaymakers: what are the triggers?

Science.gov (United States)

Calafat, A; Bellis, M A; Fernández Del Rio, E; Juan, M; Hughes, K; Morleo, M; Becoña, E; Duch, M; Stamos, A; Mendes, F

2013-10-01

There is an established relationship between nightlife, substance use and violence. This study investigated this relationship when people are on holiday, and explored the differences in experiences between physical and verbal violence. A survey of young tourists at seven airport departure areas in Southern European resorts. Questionnaires from 6502 British and German tourists were analysed exploring demographics, violence (verbal and physical), substance use, and reasons for resort and venue selection. Over two-thirds of respondents reported being drunk on their holiday, 12.4% had been involved in arguments and 2.9% had been involved in fights. Logistic regression highlighted more violence amongst visitors to Mallorca [arguments: adjusted odds ratio (AOR) 2.7; fights: AOR 2.0] compared with those visiting Portugal, males (arguments: AOR 1.3; fights: AOR 1.7), those who had used illicit drugs (arguments: AOR 1.5; fights: AOR 2.9), those who had been in fights at home in the last 12 months (arguments: AOR 2.2; fights AOR 2.9), and those who had frequently been drunk abroad (arguments: AOR 2.4; fights: AOR 2.5). Those aged 16-19 years, visiting Italy or Crete, who were drunk for fewer than half of the days of their stay, and who chose bars because they were frequented by drunk people were more likely to report having an argument. Fights were associated with cannabis use and were negatively associated with choosing bars with a friendly atmosphere. Economic status or frequency of visiting bars had no relationship with arguments or fights. Understanding and addressing the variables involved in violence when holidaying abroad is critical in targeting appropriate health promotion and harm reduction measures. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil Um estudo antropológico sobre as estratégias para resolver problemas de saúde entre idosos de Bambuí, Minas Gerais, Brasil

Directory of Open Access Journals (Sweden)

Elizabeth Uchôa

2011-01-01

Full Text Available This paper explores the contribution of anthropological perspectives for clarifying the mechanisms through which socioeconomic circumstances influence the strategies developed by elderly for addressing their health problems in a small Brazilian city. Interviews with 20 key-informants explored the community's broad perception of the health situation of the elderly. Life histories collected from 30 elderly women examined their own perception of their health status and their health strategies. Narratives converge in emphasising the important role played by financial factors in accessing health services and medication. Life histories also describe some damaging strategies resorted to by the elderly to deal with their lack of resources. Elderly women emphasize the crucial support they receive from their family and/or neighbours to overcome health problems. Thus, the issue of poverty is not only a matter of socioeconomic circumstances, but also the poverty of broader social networks.Este artigo utiliza a abordagem antropológica para examinar mecanismos por meio dos quais a situação socioeconômica influencia as estratégias desenvolvidas por idosos residentes em uma pequena cidade brasileira para enfrentar seus problemas de saúde. Entrevistas com vinte informantes-chave visaram à percepção da comunidade acerca da saúde do idoso. Entrevistas com trinta senhoras idosas objetivaram a percepção que elas possuíam da saúde e estratégias adotadas para resolver tais problemas. As análises mostraram que as narrativas dos dois grupos convergem na ênfase do papel desempenhado por fatores financeiros no acesso aos serviços de saúde e aos medicamentos. As histórias de vida descreveram algumas estratégias prejudiciais à saúde para fazer frente à falta de recursos. As senhoras também destacaram a importância do apoio da família e/ou de vizinhos para superar problemas relacionados à saúde. Assim, a questão da pobreza não é só econ

Strengthening of Oral Health Systems: Oral Health through Primary Health Care

Science.gov (United States)

Petersen, Poul Erik

2014-01-01

Around the globe many people are suffering from oral pain and other problems of the mouth or teeth. This public health problem is growing rapidly in developing countries where oral health services are limited. Significant proportions of people are underserved; insufficient oral health care is either due to low availability and accessibility of oral health care or because oral health care is costly. In all countries, the poor and disadvantaged population groups are heavily affected by a high burden of oral disease compared to well-off people. Promotion of oral health and prevention of oral diseases must be provided through financially fair primary health care and public health intervention. Integrated approaches are the most cost-effective and realistic way to close the gap in oral health between rich and poor. The World Health Organization (WHO) Oral Health Programme will work with the newly established WHO Collaborating Centre, Kuwait University, to strengthen the development of appropriate models for primary oral health care. PMID:24525450

ORGANIZATION OF CHILDREN OPPORTUNE VACCINATION OF ARRIVING IN KRASNODAR REGION

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O.K. Aleksandrova

2008-01-01

Full Text Available The number of vacationists on resorts of Krasnodar region exceeded 12 million in 2007 year. More then 500 thousands of vacationists were children in organized groups. Because of well coordinated work of hygiene and disease prevention and pediatric services of region the number of cases of pertussis, measles, rubella, epidemic parotiditis, hepatitis A and B and other infectious diseases, dirigible with specific prophylactic measures, was greatly decreased. The opportunity of vaccinal prevention of varicella appears by 2008 year. It's advisable to make a hepatitis a vaccination of children, arriving from endemic regions, domiciliary. «Delivered» cases of disease cause significant economical damage to the budget of public health service of Krasnodar region. Preliminary planning of a journey and assumption of prophylactic measures can greatly decrease the risk of negative influence of trip on child's health.Key words: children, vaccination, prophylaxis, infectious disease.

Doctor-Shopping Behavior among Patients with Eye Floaters

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Gow-Lieng Tseng

2015-07-01

Full Text Available Patients suffering from eye floaters often resort to consulting more than one ophthalmologist. The purpose of this study, using the Health Belief Model (HBM, was to identify the factors that influence doctor-shopping behavior among patients with eye floaters. In this cross-sectional survey, 175 outpatients who presented floaters symptoms were enrolled. Data from 143 patients (77 first time visitors and 66 doctor-shoppers who completed the questionnaire were analyzed. Descriptive and logistic regression analyses were performed. We found that women and non-myopia patients were significantly related with frequent attendance and doctor switching. Though the HBM has performed well in a number of health behaviors studies, but most of the conceptual constructors of HBM did not show significant differences between the first time visitors and true doctor-shoppers in this study. Motivation was the only significant category affecting doctor-shopping behavior of patients with eye floaters.

Doctor-Shopping Behavior among Patients with Eye Floaters.

Science.gov (United States)

Tseng, Gow-Lieng; Chen, Cheng-Yu

2015-07-13

Patients suffering from eye floaters often resort to consulting more than one ophthalmologist. The purpose of this study, using the Health Belief Model (HBM), was to identify the factors that influence doctor-shopping behavior among patients with eye floaters. In this cross-sectional survey, 175 outpatients who presented floaters symptoms were enrolled. Data from 143 patients (77 first time visitors and 66 doctor-shoppers) who completed the questionnaire were analyzed. Descriptive and logistic regression analyses were performed. We found that women and non-myopia patients were significantly related with frequent attendance and doctor switching. Though the HBM has performed well in a number of health behaviors studies, but most of the conceptual constructors of HBM did not show significant differences between the first time visitors and true doctor-shoppers in this study. Motivation was the only significant category affecting doctor-shopping behavior of patients with eye floaters.

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.

ACCESSIBLE BUILT ENVIRONMENT FOR THE ELDERLY AND DISABLED IN MALAYSIA: HOTELS AS CASE STUDIES

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Asiah Abdul Rahim

2010-12-01

Full Text Available In Malaysia, it has become of increasing importance to study ways to improve the level of accessibility in buildings for the elderly and disabled people in the built environment, especially in hotels and resorts. The methods used in this study to identify areas to improve are access audits, table research and interviews. The data from these studies are analysed using a descriptive analysis based on access audits, observations, plan analysis, photographs and questionnaires. Access audits were carried out in two hotels and resorts in July and November 2007 in selected areas of East Malaysia. The selected hotels and resorts were constructed in the 1980s; one is located at the countryside and the other in the city centre. The findings will allow the building provider to upgrade existing facilities in order to accommodate accessible built environment for the elderly and disabled people. This will allow the elderly and disabled people to move freely, safely and being more easily integrated with the society in areas of public building and public spaces.

THE TWO aTLÂNTIDAS AND THE BRASILIAN SOUTHERN COAST URBANISATION

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Ana Luiza Valle Oliveira

2016-12-01

Full Text Available The northern coast of Rio Grande do Sul urbanisation process has been intensified since the implementation of private allotments in order to meet the seasonal population demand. The operations that define this process of constituting seaside resorts as a place for summer vacation are concentrated in a successful endeavour accomplished in 1952, Atlântida. However, this initiative was preceded in 13 years by a project outline for a seaside town for the same region, with the same name and having the same renowned professional, that did not materialize. Both projects  are deeply linked to the need for asserting Urbanism as a science and for framing it into the modern architecture for which the resort towns scenario was known in the region during the mid-twentieth century. Often confused in the literature, the peculiar story of the two Atlântidas - the lost one of 1939 and the implemented one of 1952 - is adopted as a central thread to recover the history of the consolidation of the seaside resorts in the South of Brazil.

Marie Curie - science was her life

International Nuclear Information System (INIS)

Wolschendorf, K.

1998-01-01

In this paper a short survey of the life and the work of Marie Curie is presented. She was born in 1867 in Warsaw/Poland and went to Paris in 1891 to study physics, mathematics, and chemistry. In 1895 the married the physicist Pierre Curie, and together they began research work on radioactivity. For her doctorate she investigated various radiating substances and discovered the radioactive element Radium in 1898. She was awarded the Nobel Prize in Physics in 1903, and later on the Nobel Prize in Chemistry in 1911 for performing pioneering studies with radium and contributing profoundly to the understanding of radioactivity. In 1934 she died in a health resort due to leukemia. (orig.) [de

Renewal of a Small Town in Poland Based on Example of Ustka

Science.gov (United States)

Poczobut, Joanna

2017-10-01

Ustka is a historical seaside town, port and health resort, a town of many possibilities. In this tourist town the old urban arrangement and many historic objects are preserved. Despite such potential, the town struggles with various problems, as do many small towns in the north of Poland. In 2003 works on a revitalization programme began (it has been implemented since 2005). The next stage was a programme which started in 2011. At present Ustka prepares for the next revitalization plan-a “District Revitalization Programme for 2016 - 2022”. The article describes: the situation at different stages of town development related to previously carried out revitalization programmes and the prospects for its further prosperity.

THE PREMISSES FOR SPORT TOURISM DEVELOPMENT AND PRACTICING IN BISTRITA-NĂSĂUD COUNTY

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Ioan BÂCA

2012-12-01

Full Text Available Sport Tourism is a form of relaxation and active leisure based on motric activities that contribute to health maintenance. The social dimension of sport tourism results from its ability to mobilize large masses of the population to participate in recreational activities and to contribute to the pursuit of project development and exploiting potentially attractive regions (tourist resorts, recreational complexes, etc.. At the level of Bistriţa-Năsăud County, organising and pursuing sport tourism is based on three fundamental elements: natural resources, infrastructure, and tourism sport tradition. Among sport tourism activities, following are noteworthy: cycling tourism, hiking, horseback riding, swimming, navigation, skiing, paragliding, alpine skiing, ski touring, enduro, etc.

Priority survey between indicators and analytic hierarchy process analysis for green chemistry technology assessment.

Science.gov (United States)

Kim, Sungjune; Hong, Seokpyo; Ahn, Kilsoo; Gong, Sungyong

2015-01-01

This study presents the indicators and proxy variables for the quantitative assessment of green chemistry technologies and evaluates the relative importance of each assessment element by consulting experts from the fields of ecology, chemistry, safety, and public health. The results collected were subjected to an analytic hierarchy process to obtain the weights of the indicators and the proxy variables. These weights may prove useful in avoiding having to resort to qualitative means in absence of weights between indicators when integrating the results of quantitative assessment by indicator. This study points to the limitations of current quantitative assessment techniques for green chemistry technologies and seeks to present the future direction for quantitative assessment of green chemistry technologies.

Health Promotion and School Health: the Health Visiting Role in Greece

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Venetia Notara

2013-01-01

Full Text Available Background: Health promotion is the process of enabling people to increase control over, and to improve their health. Schools intend to help pupils acquire the knowledge and develop the skills theyneed to participate fully in adult life. School is regarded as constituting a very important arena for health education among children and young people and furthermore, it is seen as an important context for health promotion, mainly because it reaches a large proportion of the population for many years. A large body of evidence strongly support the fact that education and health are two concepts purely interdependent in many ways and children cannot make the most of educational opportunities if their health is impaired. One of the core elements of Health Visiting profession should be safeguarding children by conducting school visits and implement screening tests, health education programmes and school health programmes in general. Some of the best opportunities for positively influencing the health of young people and preventing the initiation of the health risk behaviors are found in the school setting.Conclusions: A whole school approach and community development work can be particularly effective in building the health capacity of communities.

[Mineral water as a cure].

Science.gov (United States)

Nocco, Priska Binz

2008-01-01

was to attribute, on the one hand to the physico-chemical properties of the water and on the other hand to the climatic, nutritional and social factors characterising the selected health resort. All over Europe, pharmacists were dealing with mineral waters, among them even very famous names such as Klaproth, Trommsdorf, Lampadius and Fresenius. They were on one side involved in the development and analysis of the waters, while on the other side they were interested in their artificial production. Their knowledge and findings in the area of the mineral water source chemistry gave a crucial impetus to the future evolution of analytic chemistry. Following the improvements in the precision of analysis and classification of the composition of the mineral waters, the imitation of artificial mineral waters increased significantly. Certain pharmacists tried to copy well-known mineral waters in their properly furnished laboratories. At the same time, pharmacies were important sales points: natural and artificial mineral waters as well as their dried components were either sold there, or delivered upon prescription. In the second part of this work, specifically concerning the situation in the Canton Tessin, the most important local sources and spa resorts are described, as well as the analyses performed and the researchers involved. Moreover, the types of therapies used at that time are mentioned. The integration of the local mineral waters into the pharmacopoeia of the Canton Tessin, the Farmacopea Ticinese, is also discussed. Of particular interest are the delivery and the sale of mineral waters and their dried components by a local pharmacy. In the Canton Tessin, the five most frequented spa resorts were Acquarossa, Brissago, Craveggia, Rovio and Stabio. Craveggia spa resort is of course based in Italy; it has however been included in the present work due to its proximity to Switzerland and to a connected historical Substantial differences existed among the individual health

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 ...

L’influence des réseaux dans la naissance et l’évolution des stations de villégiature : l’exemple de la Côte de Granit rose (Côtes-d’Armor

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Elisabeth Justome

2012-04-01

Full Text Available La naissance et le développement des stations balnéaires résultent de la combinaison d’un certain nombre de réseaux : de transports, humains, sociaux et culturels. L’exemple de la Côte de Granit rose met en évidence l’importance d’une ligne de chemin de fer et d’une route, non seulement pour structurer l’ensemble du territoire, mais aussi l’urbanisme de chaque station, ou encore pour assurer la fondation de groupes sociaux spécifiques. A ce réseau de communications s’ajoute le réseau culturel, très singulier sur cette côte, et à l’origine de l’image des stations où s’épanouit un style architectural régionaliste tout aussi spécifique.The creation and development of seaside resorts are founded on a combination of a certain number of networks: transportation networks, networks of human relations and social and cultural networks. The study of the seaside resorts along the Côte de Granit rose draws attention to the influence of the railway and roads not only as structuring elements for the territory as a whole and for the town planning of the individual resorts, but also for the constitution of specific social groups. Along with these transportation networks, cultural networks are also significant. On this stretch of the Brittany coast, they are highly specific and can be seen as the inspiration for the particular image that the resorts sought to project with their equally specific regionalist architectural styles.

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: ...

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....

[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

FORMS AND MOTIVATIONS OF FOREIGN DIRECT INVESTMENT

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Maria-Ramona SÂRBU

2014-04-01

Full Text Available This study proposes the identification of forms of Foreign Direct Investment (FDI and analyzes factors influencing FDI motivation. Designing a coherent program to encourage foreign direct investment is based on knowledge of the factors that determine international companies to resort to this type of development: these companies resort to foreign direct investment if they have ownership advantages and internationalization, while another country has locational advantages to the company's home country. Thus, identifying the factors that influence the motivation of FDI is important both at the microeconomic level, local, local authorities and macroeconomic, national, government to develop measures for multiplying FDI .

Robot Saltador y Procedimiento para su Control

OpenAIRE

Akinfiev, Teodor; Armada, Manuel; Fernández, Roemi; Montes, Héctor

2005-01-01

Robot saltador para el movimiento en terrenos con obstáculos, que contiene al menos un resorte (4) con uno de sus extremos unido al cuerpo (1) del robot, y una cadena cinemática entre el motor (5) y el resorte (4) que comprende un cilindro (7) conectado con el eje del motor (5) y una cuerda (8), con uno de sus extremos conectado al cilindro (7) y con el segundo extremo conectado al pie (3). El procedimiento de control se caracteriza porque en el momento en el que el pie (3) pierde el contacto...

The French nuclear context

International Nuclear Information System (INIS)

Havard, J.; Israel, M.

1977-01-01

The mean- and longer-range energy needs, that can be now forecasted in France, are analyzed, together with the special character of the French energy market. A resort to nuclear power is first shown to be necessary to limit the increase in the demand for imported fossil fuels, then this resort is shown to offer some real possibilities. The energy balance proves that the industrial stage of power plant construction is reached. The conditions of realization of the program have been settled with a set of provisions that render the risk and environmental impact as negligible as possible [fr

Ancora sul credito di ultima istanza

Directory of Open Access Journals (Sweden)

P. CIOCCA

2013-10-01

Full Text Available Among the preventative surveillance measures on financial intermediation and the management of cases of formal insolvency of intermediaries are the defences against instability through the lender of last resort, a classic theme of central banking. At least three aspects of this issue, dating far back and yet still very relevant today, require further investigation: the relevance of credit of last resort today and in perspective, the criteria by which it should be modelled and the full adaptation of Italy’s institutional structure to these criteria. In this context, the author provides analysis.  JEL Codes: E52 

Inequalities in health: approaches by health authorities in an English health region.

Science.gov (United States)

McCarron, P; Yates, B

2000-06-01

In 1995 the Department of Health published Variations in health: what can the Department of Health do? This recommended that health authorities should have a comprehensive plan for identifying and tackling variations in health. We investigated how health authorities in the South and West Region were taking forward this work. Semi-structured interviews and reviews of documentation were conducted in all health authorities in the South and West Region of England. All health authorities viewed tackling inequalities in health as important; however, explicit strategies did not exist and Health of the Nation targets were a vehicle for determining priorities of inequalities. Explicit corporate commitment was often weak. Analyses were being conducted to determine the magnitude of local health inequalities and to assist in designing appropriate interventions. The importance of alliance working was highlighted; much work was being done although success was variable. Efforts are being made throughout the South and West region to tackle inequalities in health. Although strategic vision at the corporate level was often lacking, there was evidence of commitment to taking the inequalities agenda forward within public health directorates. Strengthening of primary care and alliance working roles is essential. Recent national strategy documents, forthcoming legislation, and a review of health inequalities recognize the health effects of inequalities and require health authorities to collaborate with local partners to tackle these, and will offer opportunities to improve corporate commitment and alliance working. Uptake and success of these opportunities will have a major influence on progress in tackling health inequalities.

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

Organizational Stress for Retail Store Employees in Romania

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Alina - Cerasela Aluculesei

2015-03-01

Full Text Available The term organizational stress appeared with people’s lifestyle and job evolution and it is used to show the direct link between the work environment and the employee’s wellbeing or health. This concept exists in all countries, and measures taken to decrease its effects are becoming increasingly more obvious. Such measures are being implemented in Romania also and, given the country’s high spa tourism potential, treatment programs in spa resorts would be the most obvious measures to decrease organizational stress and recover employee productivity. This study aims to address the main concepts related to organizational stress and to present the main benefits related to treatment of organizational stress in Romanian spa resorts. This research was carried out on 101 retail store employees of a supermarket chain. This job, due the requirements, is associated with high levels of stress. The data were processed using the Epi Info statistical software. From the analysis we conducted resulted that the employees we questioned have a low degree of personal satisfaction – in 57% of cases, declaring that their lifestyle since employment as retail store employees is less healthy, with fewer outdoor recreational activities - 65%. In regards to the presence of organizational stress, there are various associated symptoms, with correlation between headaches and increased heart rate (p value=0,003, insomnia (p value = 0,006 or back pain (p value=0,042.

[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.

Health Consumers eHealth Literacy to Decrease Disparities in Accessing eHealth Information.

Science.gov (United States)

Park, Hyejin; Cormier, Eileen; Glenna, Gordon

2016-01-01

The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that health care professionals can effectively address skills gaps in health consumers' ability to access and use high quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth literacy scale (eHEALS) was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high from low quality information was considerably less. The findings suggest the need for eHealth education and support to health consumers from health care professionals, in particular, how to access and evaluate the quality of health information.

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 ...

[Health services research for the public health service (PHS) and the public health system].

Science.gov (United States)

Hollederer, A; Wildner, M

2015-03-01

There is a great need for health services research in the public health system and in the German public health service. However, the public health service is underrepresented in health services research in Germany. This has several structural, historical and disciplinary-related reasons. The public health service is characterised by a broad range of activities, high qualification requirements and changing framework conditions. The concept of health services research is similar to that of the public health service and public health system, because it includes the principles of multidisciplinarity, multiprofessionalism and daily routine orientation. This article focuses on a specified system theory based model of health services research for the public health system and public health service. The model is based on established models of the health services research and health system research, which are further developed according to specific requirements of the public health service. It provides a theoretical foundation for health services research on the macro-, meso- and microlevels in public health service and the public health system. Prospects for public health service are seen in the development from "old public health" to "new public health" as well as in the integration of health services research and health system research. There is a significant potential for development in a better linkage between university research and public health service as is the case for the "Pettenkofer School of Public Health Munich". © Georg Thieme Verlag KG Stuttgart · New York.

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

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

The Relevance of Health Literacy to mHealth.

Science.gov (United States)

Kreps, Gary L

2017-01-01

This chapter examines the importance of health literacy to the design and use of mobile digital health information technology (mHealth) applications. Over the past two decades mHealth has evolved to become a major health communication channel for delivering health care, promoting health, and tracking health behaviors. Yet, there are serious communication challenges that must be addressed concerning the best way to design and utilize mHealth application to achieve key health promotion goals, including assuring the appropriateness and effectiveness of mHealth messaging for audiences with different communication competencies, styles, and health literacy levels, to ensure that mHealth applications are truly effective tools for health promotion. Health literacy is one of the major communication issues relevant to the effective use of mHealth. To be effective, mHealth applications need to match the messages conveyed via these mobile media to the specific health communication needs, orientations, and competencies of intended audience members. Unfortunately, current evidence suggests that many mHealth applications are difficult for audiences to utilize because they provide health information that is not easy for many consumers to understand and apply. Health literacy refers to the ability of participants within the health care system to accurately interpret and utilize relevant health information and resources to achieve their health goals. Evidence suggests that many consumers possess limited levels of health literacy to adequately understand health information, especially when they are feeling ill, since health literacy is both a trait (limited education, language facility, etc.), and a state condition (based on how their current physical and mental states influence their abilities to communicate effectively). Therefore, it is incumbent upon mHealth developers to design and utilize message systems. Strategies for designing and implementing mHealth applications to meet

Health Literacy, Health Disparities, and Sources of Health Information in U.S. Older Adults.

Science.gov (United States)

Cutilli, Carolyn Crane; Simko, Lynn C; Colbert, Alison M; Bennett, Ian M

Low health literacy in older adults has been associated with poor health outcomes (i.e., mortality, decreased physical and cognitive functioning, and less preventive care utilization). Many factors associated with low health literacy are also associated with health disparities. Interaction with healthcare providers and sources of health information are influenced by an individual's health literacy and can impact health outcomes. This study examined the relationships between health literacy, sources of health information, and demographic/background characteristics in older adults (aged 65 years and older) related to health literacy and disparities. This descriptive, correlational study is a secondary analysis of the 2003 National Assessment of Adult Literacy, a large-scale national assessment. Older adults with lower health literacy have less income and education, rate their health as poor or fair, have visual or auditory difficulties, need help filling out forms, reading newspaper, or writing notes, and use each source of health information less (print and nonprint). Many of these characteristics and skills are predictive of health literacy and associated with health disparities. The results expand our knowledge of characteristics associated with health literacy and sources of health information used by older adults. Interventions to improve health outcomes including health disparities can focus on recognizing and meeting the health literacy demands of older adults.

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 ...

Identifying Health Consumers' eHealth Literacy to Decrease Disparities in Accessing eHealth Information.

Science.gov (United States)

Park, Hyejin; Cormier, Eileen; Gordon, Glenna; Baeg, Jung Hoon

2016-02-01

The increasing amount of health information available on the Internet highlights the importance of eHealth literacy skills for health consumers. Low eHealth literacy results in disparities in health consumers' ability to access and use eHealth information. The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that healthcare professionals can effectively address skills gaps in health consumers' ability to access and use high-quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth Literacy Scale was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high- from low-quality information were considerably less. The findings suggest the need for eHealth education and support to health consumers from healthcare professionals, in particular, how to access and evaluate the quality of health information.

Advancing Health Literacy Measurement: A Pathway to Better Health and Health System Performance

Science.gov (United States)

Pleasant, Andrew

2014-01-01

The concept of health literacy initially emerged and continues to gain strength as an approach to improving health status and the performance of health systems. Numerous studies clearly link low levels of education, literacy, and health literacy with poor health, poor health care utilization, increased barriers to care, and early death. However, theoretical understandings and methods of measuring the complex social construct of health literacy have experienced a continual evolution that remains incomplete. As a result, the seemingly most-cited definition of health literacy proposed in the now-decade-old Institute of Medicine report on health literacy is long overdue for updating. Such an effort should engage a broad and diverse set of health literacy researchers, practitioners, and members of the public in creating a definition that can earn broad consensus through validation testing in a rigorous scientific approach. That effort also could produce the basis for a new universally applicable measure of health literacy. Funders, health systems, and policymakers should reconsider their timid approach to health literacy. Although the field and corresponding evidence base are not perfect, health literacy—especially when combined with a focus on prevention and integrative health—is one of the most promising approaches to advancing public health. PMID:25491583

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.

Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions.

Science.gov (United States)

Pons-Vigués, Mariona; Berenguera, Anna; Coma-Auli, Núria; Pombo-Ramos, Haizea; March, Sebastià; Asensio-Martínez, Angela; Moreno-Peral, Patricia; Mora-Simón, Sara; Martínez-Andrés, Maria; Pujol-Ribera, Enriqueta

2017-06-13

Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention. A descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out. Health-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants' profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having

Embedding health literacy into health systems: a case study of a regional health service.

Science.gov (United States)

Vellar, Lucia; Mastroianni, Fiorina; Lambert, Kelly

2017-12-01

Objective The aim of the present study was to describe how one regional health service the Illawarra Shoalhaven Local Health District embedded health literacy principles into health systems over a 3-year period. Methods Using a case study approach, this article describes the development of key programs and the manner in which clinical incidents were used to create a health environment that allows consumers the right to equitably access quality health services and to participate in their own health care. Results The key outcomes demonstrating successful embedding of health literacy into health systems in this regional health service include the creation of a governance structure and web-based platform for developing and testing plain English consumer health information, a clearly defined process to engage with consumers, development of the health literacy ambassador training program and integrating health literacy into clinical quality improvement processes via a formal program with consumers to guide processes such as improvements to access and navigation around hospital sites. Conclusions The Illawarra Shoalhaven Local Health District has developed an evidence-based health literacy framework, guided by the core principles of universal precaution and organisational responsibility. Health literacy was also viewed as both an outcome and a process. The approach taken by the Illawarra Shoalhaven Local Health District to address poor health literacy in a coordinated way has been recognised by the Australian Commission on Safety and Quality in Health Care as an exemplar of a coordinated approach to embed health literacy into health systems. What is known about the topic? Poor health literacy is a significant national concern in Australia. The leadership, governance and consumer partnership culture of a health organisation can have considerable effects on an individual's ability to access, understand and apply the health-related information and services available to them

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.

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...

Associations between health culture, health behaviors, and health-related outcomes: A cross-sectional study.

Science.gov (United States)

Jia, Yingnan; Gao, Junling; Dai, Junming; Zheng, Pinpin; Fu, Hua

2017-01-01

To examine the associations between demographic characteristics, health behaviors, workplace health culture, and health-related outcomes in Chinese workplaces. A total of 1508 employees from 10 administrative offices and 6 enterprises were recruited for a cross-sectional survey. Self-administered questionnaires mainly addressed demographic characteristics, health behaviors, workplace health culture, and health-related outcomes including self-rated health, mental health, and happiness. The proportion of participants who reported good health-related outcomes was significantly higher in those working in administrative offices than those working in enterprises. The result of the potential factors related to self-rated health (SRH), mental health, and happiness by logistic regression analyses showed that age and income were associated with SRH; type of workplace, age, smoking, and health culture at the workplace level were associated with mental health; and beneficial health effects of direct leadership was positively associated with happiness. Moreover, there were some similar results among 3 multivariate regression models. Firstly, good SRH (Odds Ratio (OR) = 1.744), mental health (OR = 1.891), and happiness (OR = 1.736) were more common among highly physically active participants compared with those physical inactive. Furthermore, passive smoking was negatively correlated with SRH (OR = 0.686), mental health (OR = 0.678), and happiness (OR = 0.616), while health culture at the individual level was positively correlated with SRH (OR = 1.478), mental health (OR = 1.654), and happiness (OR = 2.916). The present study indicated that workplace health culture, health behaviors, and demographic characteristics were associated with health-related outcomes. Furthermore, individual health culture, physical activity, and passive smoking might play a critical role in workplace health promotion.

An Examination of Cultural Values and Pain Management in Foreign-Born Spanish-Speaking Hispanics Seeking Care at a Federally Qualified Health Center.

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Torres, Calia A; Thorn, Beverly E; Kapoor, Shweta; DeMonte, Colette

2017-11-01

Most studies done with Hispanics illustrate their preference for self-management practices; therefore, examining the factors driving patients to seek medical care for pain management will help elucidate what patients want and need from their doctors for pain management. The aim of the present study was to obtain patients' perspectives and enhance our understanding of the cultural beliefs influencing pain management decisions of foreign-born Spanish-speaking Hispanics with low acculturation. Twenty-four individuals (17 females and 7 males) with self-reported chronic pain completed the study. Participants attended a focus group and shared about pain management practices and their experiences with medical care for pain management. Descriptive data on pain and mood variables were collected to examine how this population compares with the norms reported in the pain literature for Hispanics. Participants reported a preference for pain self-management and noninvasive medical treatments and expressed negative attitudes toward pain medications, although wanting the option of pain medications as a "last resort." Satisfaction with medical care for pain was highly influenced by the participants' expectations and preference for personal, warm, and friendly interactions. Our findings are consistent with previous reports on Hispanics' preference for self-care practices. Perhaps foreign-born Hispanics may rely on self-care practices and delay medical attention for pain management because of their unfamiliarity with the US health care system. Other potential explanations for a reliance on self-care for pain management involve patients having a limited understanding of or access to effective treatment options for chronic pain and negative experiences with US medical providers. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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

Utilization of preventive services by pregnant women in Jerusalem--a cross sectional study.

Science.gov (United States)

Ellencweig, A Y; Ritter, M; Peleg-Olavsky, E; Tamir, D

1990-09-01

A study was made of health service utilization patterns during pregnancy of 279 young mothers, a representative sample of the Jewish population in Jerusalem. Only 47% reported that they used the municipal family health centers (FHCs) for prenatal care. Some 82% reported that they had resorted to more than one source of care during pregnancy. Sources other than the FHC were: regular Sick Fund doctor service (33%); private practitioners (25%); hospital-based services (25%). Among the FHC users, there was an unexpectedly high percentage of women of Asian-African origin and of those living in remote neighborhoods. Under-utilization was frequent among wealthy women, those with higher education and members of the Orthodox religious sector. While there was general satisfaction with the service, lower gratification was associated with higher utilization. This phenomenon may intimate that there may be a process of negative selection among women who use the service, when other alternatives are not readily available.

Quality management system in radiotherapy in the light of regulations applicable in Poland

Science.gov (United States)

2012-01-01

The need to establish conditions for safe irradiation was noted in Poland back in 1986 in the Atomic Law, but for over 16 years no regulations regarding this aspect were passed. The radiological incident in Bialystok (Poland) in 2001 undeniably accelerated the implementation of new legal regulations. Nevertheless, in the absence of national guidelines until 2002, most health care institutions resorted to the quality management system (QMS) model proposed by the ISO norm 9001:2000. Eventually, practice proved the theory and the aforementioned model was also implemented into Polish acts of law defining basic requirements for QMS in radiotherapy. The aim of this work is to review current national regulations regarding QMS in radiotherapy, in particular those referring to standard procedures, the establishment of a commission for procedures and performance of external and internal clinical audits in oncological radiotherapy, as well as to present the process of their implementation into the practice of health care institutions. PMID:23788867

Comparison of health risk behavior, awareness, and health benefit beliefs of health science and non-health science students: An international study.

Science.gov (United States)

Peltzer, Karl; Pengpid, Supa; Yung, Tony K C; Aounallah-Skhiri, Hajer; Rehman, Rehana

2016-06-01

This study determines the differences in health risk behavior, knowledge, and health benefit beliefs between health science and non-health science university students in 17 low and middle income countries. Anonymous questionnaire data were collected in a cross-sectional survey of 13,042 undergraduate university students (4,981 health science and 8,061 non-health science students) from 17 universities in 17 countries across Asia, Africa, and the Americas. Results indicate that overall, health science students had the same mean number of health risk behaviors as non-health science university students. Regarding addictive risk behavior, fewer health science students used tobacco, were binge drinkers, or gambled once a week or more. Health science students also had a greater awareness of health behavior risks (5.5) than non-health science students (4.6). Linear regression analysis found a strong association with poor or weak health benefit beliefs and the health risk behavior index. There was no association between risk awareness and health risk behavior among health science students and an inverse association among non-health science students. © 2015 Wiley Publishing Asia Pty Ltd.

Health as foreign policy: harnessing globalization for health.

Science.gov (United States)

Fidler, David P

2006-12-01

This paper explores the importance for health promotion of the rise of public health as a foreign policy issue. Although health promotion encompassed foreign policy as part of 'healthy public policy', mainstream foreign policy neglected public health and health promotion's role in it. Globalization forces health promotion, however, to address directly the relationship between public health and foreign policy. The need for 'health as foreign policy' is apparent from the prominence public health now has in all the basic governance functions served by foreign policy. The Secretary-General's United Nations (UN) reform proposals demonstrate the importance of foreign policy to health promotion as a core component of public health because the proposals embed public health in each element of the Secretary-General's vision for the UN in the 21st century. The emergence of health as foreign policy presents opportunities and risks for health promotion that can be managed by emphasizing that public health constitutes an integrated public good that benefits all governance tasks served by foreign policy. Any effort to harness globalization for public health will have to make health as foreign policy a centerpiece of its ambitions, and this task is now health promotion's burden and opportunity.

The military health system's personal health record pilot with Microsoft HealthVault and Google Health.

Science.gov (United States)

Do, Nhan V; Barnhill, Rick; Heermann-Do, Kimberly A; Salzman, Keith L; Gimbel, Ronald W

2011-01-01

To design, build, implement, and evaluate a personal health record (PHR), tethered to the Military Health System, that leverages Microsoft® HealthVault and Google® Health infrastructure based on user preference. A pilot project was conducted in 2008-2009 at Madigan Army Medical Center in Tacoma, Washington. Our PHR was architected to a flexible platform that incorporated standards-based models of Continuity of Document and Continuity of Care Record to map Department of Defense-sourced health data, via a secure Veterans Administration data broker, to Microsoft® HealthVault and Google® Health based on user preference. The project design and implementation were guided by provider and patient advisory panels with formal user evaluation. The pilot project included 250 beneficiary users. Approximately 73.2% of users were Microsoft® HealthVault, and 81 (32.4%) selected Google® Health as their PHR of preference. Sample evaluation of users reflected 100% (n = 60) satisfied with convenience of record access and 91.7% (n = 55) satisfied with overall functionality of PHR. Key lessons learned related to data-transfer decisions (push vs pull), purposeful delays in reporting sensitive information, understanding and mapping PHR use and clinical workflow, and decisions on information patients may choose to share with their provider. Currently PHRs are being viewed as empowering tools for patient activation. Design and implementation issues (eg, technical, organizational, information security) are substantial and must be thoughtfully approached. Adopting standards into design can enhance the national goal of portability and interoperability.

Recreational use of propane

Energy Technology Data Exchange (ETDEWEB)

Anon

2001-04-01

Propane is used in most remote locations in North America for heat, cooking, power, or light. The users include ski hills operators to fishing lodges owners. Three profiles are presented in this article. The Pawistik Lodge is located in northern Saskatchewan near the Manitoba border. This lodge accommodates anglers. Propane is used for heating, gas stoves, lighting, and to power a one-ton truck, while electricity is used for all other energy needs. At Banff National Park, the clean burning fuel of choice for hot water, heating, cooking, and refrigeration is propane. Every location west of the town of Banff is fueled by propane. It includes the Sunshine and Lake Louise ski resorts, the Lake Louise village, Johnston's Canyon, as well as other locations. Some of the cabins used by the Park wardens have been equipped with solar panels to supply the energy required for lighting, but stoves in those cabins are powered by propane. Park vehicles are powered by propane when possible, and some are powered by dual fuel, propane and gasoline. It is all part of the government's green plan. The entire Yoho National Park is also fueled by propane. Sun Peaks ski resort operates an elaborate grid system and a plant that vaporizes propane for distribution. The price increase for propane earlier in 2001 did not adversely affect the resort since it buys its propane in bulk (it uses approximately two million litres of propane each year). Propane fuels heating, hot water, and fireplaces. The outdoor swimming pool is heated using propane. It attempts to implement from the lessons learned at the successful Whistler/Blackcomb ski resort, also fueled by propane.

Accounting for abortion: Accomplishing transnational reproductive governance through post-abortion care in Senegal.

Science.gov (United States)

Suh, Siri

2018-06-01

Reproductive governance operates through calculating demographic statistics that offer selective truths about reproductive practices, bodies, and subjectivities. Post-abortion care, a global reproductive health intervention, represents a transnational reproductive regime that establishes motherhood as women's primary legitimate reproductive status. Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, I illustrate how post-abortion care accomplishes reproductive governance in a context where abortion is prohibited altogether and the US is the primary bilateral donor of population aid. Reproductive governance unfolds in hospital gynecological wards and the national health information system through the mobilization and interpretation of post-abortion care data. Although health workers search women's bodies and behavior for signs of illegal abortion, they minimize police intervention in the hospital by classifying most post-abortion care cases as miscarriage. Health authorities deploy this account of post-abortion care to align the intervention with national and global maternal health policies that valorize motherhood. Although post-abortion care offers life-saving care to women with complications of illegal abortion, it institutionalizes abortion stigma by scrutinizing women's bodies and masking induced abortion within and beyond the hospital. Post-abortion care reinforces reproductive inequities by withholding safe, affordable obstetric care from women until after they have resorted to unsafe abortion.

World Health Organization global policy for improvement of oral health--World Health Assembly 2007

DEFF Research Database (Denmark)

Petersen, Poul Erik

2008-01-01

The World Health Organization (WHO) Global Oral Health Programme has worked hard over the past five years to increase the awareness of oral health worldwide as an important component of general health and quality of life. Meanwhile, oral disease is still a major public health problem in high income...... countries and the burden of oral disease is growing in many low- and middle income countries. In the World Oral Health Report 2003, the WHO Global Oral Health Programme formulated the policies and the necessary actions for the improvement of oral health. The strategy is that oral disease prevention...... and the promotion of oral health needs to be integrated with chronic disease prevention and general health promotion as the risks to health are linked. The World Health Assembly (WHA) and the Executive Board (EB) are supreme governance bodies of WHO and for the first time in 25 years oral health was subject...

Dealing with Health and Health Care System Challenges in China: assessing health determinants and health care reforms

NARCIS (Netherlands)

H. Zhang (Hao)

2017-01-01

markdownabstractThis dissertation investigates the challenges faced by China around 2010 in two domains – population health and the health care system. Specifically, chapters 2 and 3 are devoted to health challenges, explaining the female health disadvantage in later life and assessing the effect

Health Informatics and E-health Curriculum for Clinical Health Profession Degrees.

Science.gov (United States)

Gray, Kathleen; Choo, Dawn; Butler-Henderson, Kerryn; Whetton, Sue; Maeder, Anthony

2015-01-01

The project reported in this paper models a new approach to making health informatics and e-health education widely available to students in a range of Australian clinical health profession degrees. The development of a Masters level subject uses design-based research to apply educational quality assurance practices which are consistent with university qualification frameworks, and with clinical health profession education standards; at the same time it gives recognition to health informatics as a specialised profession in its own right. The paper presents details of (a) design with reference to the Australian Qualifications Framework and CHIA competencies, (b) peer review within a three-university teaching team, (c) external review by experts from the professions, (d) cross-institutional interprofessional online learning, (e) methods for evaluating student learning experiences and outcomes, and (f) mechanisms for making the curriculum openly available to interested parties. The project has sought and found demand among clinical health professionals for formal health informatics and e-health education that is designed for them. It has helped the educators and organisations involved to understand the need for nuanced and complementary health informatics educational offerings in Australian universities. These insights may aid in further efforts to address substantive and systemic challenges that clinical informatics faces in Australia.

A Comparison of Three Holistic Approaches to Health: One Health, EcoHealth, and Planetary Health

Directory of Open Access Journals (Sweden)

Henrik Lerner

2017-09-01

Full Text Available Several holistic and interdisciplinary approaches exist to safeguard health. Three of the most influential concepts at the moment, One Health, EcoHealth, and Planetary Health, are analyzed in this paper, revealing similarities and differences at the theoretical conceptual level. These approaches may appear synonymous, as they all promote the underlying assumption of humans and other animals sharing the same planet and the same environmental challenges, infections and infectious agents as well as other aspects of physical—and possibly mental—health. However, we would like to illuminate the differences between these three concepts or approaches, and how the choice of terms may, deliberately or involuntary, signal the focus, and underlying values of the approaches. In this paper, we have chosen some proposed and well-known suggestions of definitions. In our theoretical analysis, we will focus on at least two areas. These are (1 the value of the potential scientific areas which could be included and (2 core values present within the approach. In the first area, our main concern is whether the approaches are interdisciplinary and whether the core scientific areas are assigned equal importance. For the second area, which is rather wide, we analyze core values such as biodiversity, health, and how one values humans, animals, and ecosystems. One Health has been described as either a narrow approach combining public health and veterinary medicine or as a wide approach as in the wide-spread “umbrella” depiction including both scientific fields, core concepts, and interdisciplinary research areas. In both cases, however, safeguarding the health of vertebrates is usually in focus although ecosystems are also included in the model. The EcoHealth approach seems to have more of a biodiversity focus, with an emphasis on all living creatures, implying that parasites, unicellular organisms, and possibly also viruses have a value and should be protected

A Comparison of Three Holistic Approaches to Health: One Health, EcoHealth, and Planetary Health.

Science.gov (United States)

Lerner, Henrik; Berg, Charlotte

2017-01-01

Several holistic and interdisciplinary approaches exist to safeguard health. Three of the most influential concepts at the moment, One Health, EcoHealth, and Planetary Health, are analyzed in this paper, revealing similarities and differences at the theoretical conceptual level. These approaches may appear synonymous, as they all promote the underlying assumption of humans and other animals sharing the same planet and the same environmental challenges, infections and infectious agents as well as other aspects of physical-and possibly mental-health. However, we would like to illuminate the differences between these three concepts or approaches, and how the choice of terms may, deliberately or involuntary, signal the focus, and underlying values of the approaches. In this paper, we have chosen some proposed and well-known suggestions of definitions. In our theoretical analysis, we will focus on at least two areas. These are (1) the value of the potential scientific areas which could be included and (2) core values present within the approach. In the first area, our main concern is whether the approaches are interdisciplinary and whether the core scientific areas are assigned equal importance. For the second area, which is rather wide, we analyze core values such as biodiversity, health, and how one values humans, animals, and ecosystems. One Health has been described as either a narrow approach combining public health and veterinary medicine or as a wide approach as in the wide-spread "umbrella" depiction including both scientific fields, core concepts, and interdisciplinary research areas. In both cases, however, safeguarding the health of vertebrates is usually in focus although ecosystems are also included in the model. The EcoHealth approach seems to have more of a biodiversity focus, with an emphasis on all living creatures, implying that parasites, unicellular organisms, and possibly also viruses have a value and should be protected. Planetary Health, on the

Health communication in primary health care -a case study of ICT development for health promotion.

Science.gov (United States)

Mahmud, Amina Jama; Olander, Ewy; Eriksén, Sara; Haglund, Bo Ja

2013-01-30

Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel. A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis. Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel. Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate