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Sample records for nord-trondelag health study

  1. Prevalence and associated factors of DSM-V insomnia in Norway: the Nord-Trøndelag Health Study (HUNT 3).

    Science.gov (United States)

    Uhlig, Benjamin Langsæter; Sand, Trond; Odegård, Siv Steinsmo; Hagen, Knut

    2014-06-01

    Many studies have assessed the prevalence of insomnia, but the influence of non-participants has largely been ignored. The objective of the present study was to estimate the prevalence and associated factors of insomnia in a large adult population using DSM-V (diagnostic and statistical manual of mental disorders, 5th ed.) criteria, also taking non-participants into account. This cross-sectional study used data from a questionnaire in The Nord-Trøndelag Health Study (HUNT 3) performed in 2006-2008, and a subsequent non-participant study. The total adult population (n=93,860 aged > or =20 years) of Nord-Trøndelag County, Norway, was invited. Of these, 40,535 responded to the insomnia questionnaire. Among 42,024 eligible non-participants, 6918 (17%) responded to two insomnia questions. Insomnia was diagnosed by applying modified DSM-V criteria. The age-adjusted insomnia prevalence was estimated using the age distribution of all adult inhabitants of Nord-Trøndelag. Supplementary prevalence data were estimated by extrapolating data from the non-participant study. Additionally, the association between insomnia and self-reported health was estimated, adjusting for known confounders. The total age-adjusted prevalence of insomnia was 7.1% (95% confidence interval [CI], 6.9-7.4) (8.6% for women, 5.5% for men). Adjusting for non-participants, the prevalence estimate changed to 7.9% (95% CI, 7.3-8.6) (9.4% for women, 6.4% for men). Insomnia was more than eight times more likely (OR, 8.3; 95% CI, 6.2-11.1) among individuals with very poor versus very good self-reported health, adjusting for age, gender, employment status, chronic musculoskeletal complaints, anxiety and depression. The adjusted insomnia prevalence estimate in Nord-Trøndelag was 7.9%. Insomnia was strongly associated with poor self-reported health. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Mental health and wellbeing in spouses of persons with dementia: the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Ask, Helga; Langballe, Ellen Melbye; Holmen, Jostein; Selbæk, Geir; Saltvedt, Ingvild; Tambs, Kristian

    2014-05-01

    Caring for a spouse diagnosed with dementia can be a stressful situation and can put the caregiving partner at risk of loss of mental health and wellbeing. The main aim of this study was to investigate the relationship between dementia and spousal mental health in a population-based sample of married couples older than 55 years of age. The association was investigated for individuals living together with their demented partner, as well as for individuals whose demented partner was living in an institution. Data on dementia were collected from hospitals and nursing homes in the county of Nord-Trøndelag, Norway. These data were combined with data on spousal mental health, which were collected in a population-based health screening: the Nord-Trøndelag Health Study (HUNT). Of 6,951 participating couples (>55 years), 131 included one partner that had been diagnosed with dementia. Our results indicate that after adjustment for covariates, having a partner with dementia is associated with lower levels of life satisfaction and more symptoms of anxiety and depression than reported by spouses of elderly individuals without dementia. Spouses living together with a partner diagnosed with dementia experienced moderately lower levels of life satisfaction (0.35 standard deviation [SD]) and more symptoms of depression (0.38 SD) and anxiety (0.23 SD) than did their non-caregiving counterparts. Having a partner with dementia that resided in a nursing home was associated with clearly lower life satisfaction. Compared with non-caregivers, these spouses reported lower levels of life satisfaction (1.16 SD), and also more symptoms of depression (0.38 SD), and more symptoms of anxiety (0.42 SD). Having a partner with dementia is associated with loss of mental health and reduced life satisfaction. The risk of adverse mental health outcomes is greatest after the partner's nursing home admission.

  3. META-NORD

    DEFF Research Database (Denmark)

    Vasilejev, Andrejs; Pedersen, Bolette Sandford; De Smeth, Koenraad

    2011-01-01

    This position paper presents META-NORD project which develops Nordic and Baltic part of the European open language resource infrastructure. META-NORD works on assembling, linking across languages, and making widely available the basic language resources used by developers, professionals...

  4. Education-based health inequalities in 18,000 Norwegian couples: the Nord-Trøndelag Health Study (HUNT

    Directory of Open Access Journals (Sweden)

    Nilsen Sara

    2012-11-01

    Full Text Available Abstract Background Education-based inequalities in health are well established, but they are usually studied from an individual perspective. However, many individuals are part of a couple. We studied education-based health inequalities from the perspective of couples where indicators of health were measured by subjective health, anxiety and depression. Methods A sample of 35,980 women and men (17,990 couples was derived from the Norwegian Nord-Trøndelag Health Study 1995–97 (HUNT 2. Educational data and family identification numbers were obtained from Statistics Norway. The dependent variables were subjective health (four-integer scale, anxiety (21-integer scale and depression (21-integer scale, which were captured using the Hospital Anxiety and Depression Scale. The dependent variables were rescaled from 0 to 100 where 100 was the worst score. Cross-sectional analyses were performed using two-level linear random effect regression models. Results The variance attributable to the couple level was 42% for education, 16% for subjective health, 19% for anxiety and 25% for depression. A one-year increase in education relative to that of one’s partner was associated with an improvement of 0.6 scale points (95% confidence interval = 0.5–0.8 in the subjective health score (within-couple coefficient. A one-year increase in a couple’s average education was associated with an improvement of 1.7 scale points (95% confidence interval = 1.6–1.8 in the subjective health score (between-couple coefficient. There were no education-based differences in the anxiety or depression scores when partners were compared, whereas there were substantial education-based differences between couples in all three outcome measures. Conclusions We found considerable clustering of education and health within couples, which highlighted the importance of the family environment. Our results support previous studies that report the mutual effects of spouses on

  5. Factors related to non-recovery from whiplash. The Nord-Trøndelag Health Study (HUNT).

    Science.gov (United States)

    Myrtveit, Solbjørg Makalani; Skogen, Jens Christoffer; Petrie, Keith J; Wilhelmsen, Ingvard; Wenzel, Hanne Gro; Sivertsen, Børge

    2014-06-01

    Whiplash injuries show a variable prognosis which is difficult to predict. Most individuals experiencing whiplash injuries rapidly recover but a significant proportion develop chronic symptoms and ongoing disability. By employing longitudinal data, we investigated how psychological and physical symptoms, self-rated health, use of health services and medications, health behavior and demographic factors predict recovery from whiplash. Data from two waves of a large, Norwegian, population-based study (The Nord-Trøndelag Health Study: HUNT2 and HUNT3) were used. Individuals reporting whiplash in HUNT2 (baseline) were identified in HUNT3 11 years later. The characteristics of individuals still suffering from whiplash in HUNT3 were compared with the characteristics of individuals who had recovered using Pearson's chi-squared test, independent sample t-tests and logistic regression. At follow-up, 31.6 % of those reporting whiplash at baseline had not recovered. These individuals (n = 199) reported worse health at baseline than recovered individuals (n = 431); they reported poorer self-rated health (odds ratio [OR] = 3.12; 95 % confidence interval [CI], 2.20-4.43), more symptoms of anxiety (OR = 1.70; 95 % CI, 1.15-2.50), more diffuse somatic symptoms (OR = 2.38; 95 % CI, 1.61-3.51) and more musculoskeletal symptoms (OR = 1.21; 95 % CI, 1.13-1.29). Individuals still suffering from whiplash also visited more health practitioners at baseline (OR = 1.18; 95 % CI, 1.06-1.32) and used more medications (OR = 1.24; 95 % CI, 1.09-1.40). Poor self-rated health seems to be a strong risk factor for whiplash injuries becoming chronic. Diffuse somatic symptoms, musculoskeletal symptoms and symptoms of anxiety at baseline are important prognostic risk factors. Knowledge of these maintaining risk factors enables identification of individuals at risk of non-recovery, facilitating adequate treatment for this vulnerable group.

  6. Nordsøen Movie Maker

    DEFF Research Database (Denmark)

    2013-01-01

    Tag på ekspedition under havets overflade med Nordsøen Movie Maker, hvor din tur i Nordsøen Oceanarium får et helt nyt virtuelt lag. Rejs ud til de syv destinationer og hold øje med de unikke ‘moviespots‘ i nærheden af akvarierne. Her kan du med Nordsøen Movie Maker filme og dokumentere dine...... oplevelser med legesyge sæler, susende hvirvelstrømme og gigantiske klumpfisk. Nordsøen Movie Maker giver filmen et ekstra virtuelt lag, og via augmented reality bliver der tilføjet seje og morsomme, animerede specialeffekter. 1) Download app’en 2) Find et moviespot ved ekspeditionsposterne i Nordsøen...... Oceanarium. Kig efter klaptræet. 3) Vælg den rigtige post i app’en og start med at filme dit filmklip Downloader du app’en før dit besøg, er du allerede klar til at starte ekspeditionen i det øjeblik, du træder ind i Oceanariets tusmørke, hvor de første moviespots er gemt. God fornøjelse med ekspeditionen...

  7. The Nord interim store

    International Nuclear Information System (INIS)

    Leushacke, D.F.; Rittscher, D.

    1996-01-01

    In line with the decision taken in 1990 to shut down and decommission the Greifswald and Rheinsberg Nuclear Power Stations, the waste management concept of the Energiewerke Nord is based on direct and complete decommissioning of the six shut down reactor units within the next fifteen years. One key element of this concept is the construction and use of the Zwischenlager Nord (Nord Interim Store, ZLN) for holding the existing nuclear fuels and for interim and decay storage of the radioactive materials arising in decommissioning and demolition. The owner and operator of the store is Energiewerke Nord GmbH. The interim store has the functions of a processing and Energiewerke Nord GmbH. The interim store has the functions of a processing and treatment station and buffer store for the flows of residues arising. As a radioactive waste management station, it accommodates nuclear fuels, radioactive waste or residues which are not treated any further. It is used as a buffer store to allow the materials accumulating in disassembly to be stored temporarily before or after treatment in order to ensure continuous loading of the treatment plants. When operated as a processing station, the ZLN is able to handle nearly all types of radioactive waste and residues arising, except for nuclear fuels. These installations allow the treatment of radioactive residues to be separated from the demolition work both physically and in time. The possibilities of interium storage and buffer storage of untreated waste and waste packages make for high flexibility in logistics and waste management strategy. (orig.) [de

  8. The influence of social capital on self-rated health and depression – The Nord-Trøndelag health study (HUNT

    Directory of Open Access Journals (Sweden)

    Erik R. Sund

    2007-01-01

    Full Text Available The article examines the relationship between neighbourhood social capital and two health outcomes: selfrated health and depression. A total of 42,571 individuals aged 30–67 years participated in a cross-sectional total population health study in Nord-Trøndelag in 1995–1997 (HUNT II and were investigated using multilevel modelling. Aims were, first, to investigate potential area effects after accounting for the characteristics of individuals in the neighbourhoods (N = 155, and, second, to explore the relationships between contextual social capital (the level of trust at the neighbourhood level and the level of local organizational activity and the two health measures. Models with stepwise inclusion of individual level factors attenuated the ward level variance for both self-rated health (PCV: 41% and depression (PCV: 43%. The inclusion of the two contextual social capital items attenuated the ward level variance for both self-rated health and depression, however to varying degrees. At the individual level, contextual social capital was associated with both self-rated health and depression. Individuals living in wards with a low level of trust experienced an increased risk of 1.36 (95% CI: 1.13-1.63 for poor self-rated health compared to individuals in wards with a high level of trust. For depression, this effect was even stronger (OR 1.52, 1.23-1.87. The associations with the level of organizational activity were inconsistent and weaker for both health outcomes. It was concluded that geographical variations in self-rated health and depression are largely due to the socioeconomic characteristics of individuals. Nevertheless, contextual social capital, expressed as the level of trust, was found to be associated with depression and self-rated health at individual level.

  9. 16 NORD computers for Europeen fusion research

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    16 computers of the NORD type, mannfactured by Nordata's French subsidiary, have been ordered for the JET data acquisition and storage system. 15 of the computers are of the NORD-100 model and the 16th is a NORD-500. The computers are to be arranged in a 'double star' configuration, developed by CERN. CAMAC Serial Highway is to be used for long communications paths, using fibre optics. The operating system is SINTRAN and the programming languages FORTRAN, NODAC, NORD PL, PASCAL and BASIC may be used. (JIW)

  10. Work Programme 2010. Nordic Energy Regulators (NordREG)

    Energy Technology Data Exchange (ETDEWEB)

    2010-02-15

    The Nordic regulators' cooperation through NordREG is based on a strong consensus and common understanding of the Nordic market. Through mutual efforts and contributions NordREG members identify areas of work that can create added value for the Nordic electricity market. NordREG works by exchanging information and views, mapping and analysing energy market issues and by delivering statements and reports for harmonisation and improvement. In this, the regulators aim at identifying areas where NordREG can take joint action to influence Nordic or European electricity market development. NordREGs key focus in 2010 is the work towards a common Nordic retail market and the emphasis is on promoting a legal and institutional framework that supports this goal

  11. KulturarvNord - Styrker, svagheder, muligheder og trusler

    DEFF Research Database (Denmark)

    Mark, Stine

    KulturarvNord – styrker, svagheder, muligheder og trusler er udarbejdet af forskningscenteret INCEVIDA, Aalborg Universitet 2012, og gennemført i et samarbejde mellem INCEVIDA og museumsnetværket KulturarvNord. I rapporten tages der udgangspunkt i empirisk materiale indhentet via interviews med n...... nøglepersoner i KulturarvNord. På baggrund af dette materiale er der udarbejdet en SWOT-analyse, som sætter fokus på museumsnetværkets styrker, svagheder, muligheder og trusler mhp. det fremtidige samarbejde....

  12. Le commerce du Nord

    OpenAIRE

    Pourchasse, Pierrick; Bouëdec, Gérard Le

    2015-01-01

    Au XVIIIe siècle, la France s'approvisionne abondamment dans les pays du Nord : bois, chanvre et goudron de la Baltique, tonnellerie de Poméranie, pêche de rogue de Norvège, graines de lin de Courlande, barres de fer suédois… Sa balance commerciale est pourtant positive grâce aux sels, aux vins et surtout des nouvelles marchandises coloniales. Or, la plupart des transactions passent par l’incontournable intermédiaire hollandais. Les explications sur l’absence des Français dans le Nord sont re...

  13. The relationship between health promoting resources and work participation in a sample reporting musculoskeletal pain from the Nord-Trøndelag Health Study, HUNT 3, Norway

    Science.gov (United States)

    2013-01-01

    Background Musculoskeletal pain (MSP) is one of the most frequent causes of sick leave from work, and is a common and potentially disabling condition. This study is based on the salutogenic perspective and investigates the relationship between personal, social, and functional health resources and work participation in a population reporting MSP. Method Analysis was performed on cross sectional data from the Nord-Trøndelag Health Study, HUNT 3, in Norway. The sample of n= 6702 was extracted from HUNT 3, including a total of N= 50807 participants. Self-reported health (SRH) and, personal, social, and functional resources were assessed by a questionnaire. Reported sick leave was collected by interview at the point of time when the data were collected, from October 2006 until June 2008. Results Logistic regression analysis demonstrated statistically significant differences between the work group and sick leave group in self-rated health, work support, work control, work load, and feeling strong, and the model predicted 68% of the cases correctly. Females had a lower statistically significant probability (B= −.53) to be in the work group then men when suffering from MSP, with odds of 41%. Conclusion There was a statistically significant relationship between health promoting resources such as SRH, feeling strong, absence of neuroticism, work load, work control, and work participation in MSP population. PMID:23509959

  14. Does health differ between participants and non-participants in the MRI-HUNT study, a population based neuroimaging study? The Nord-Trøndelag health studies 1984–2009

    International Nuclear Information System (INIS)

    Honningsvåg, Lasse-Marius; Linde, Mattias; Håberg, Asta; Stovner, Lars Jacob; Hagen, Knut

    2012-01-01

    Bias with regard to participation in epidemiological studies can have a large impact on the generalizability of results. Our aim was to investigate the direction and magnitude of potential bias by comparing health-related factors among participants and non-participants in a MRI-study based on HUNT, a large Norwegian health survey. Of 14,033 individuals aged 50–65, who had participated in all three large public health surveys within the Norwegian county of Nord-Trøndelag (HUNT 1, 2 and 3), 1,560 who lived within 45 minutes of travel from the city of Levanger were invited to a MRI study (MRI-HUNT). The sample of participants in MRI-HUNT (n = 1,006) were compared with those who were invited but did not participate (n = 554) and with those who were eligible but not invited (n = 12,473), using univariate analyses and logistic regression analyses adjusting for age and education level. Self-reported health did not differ between the three groups, but participants had a higher education level and were somewhat younger than the two other groups. In the adjusted multivariate analyses, obesity was consistently less prevalent among participants. Significant differences in blood pressure and cholesterol were also found. This is the first large population-based study comparing participants and non-participants in an MRI study with regard to general health. The groups were not widely different, but participants had a higher level of education, and were less likely to be obese and have hypertension, and were slightly younger than non-participants. The observed differences between participants and non-invited individuals are probably partly explained by the inclusion criterion that participants had to live within 45 minutes of transport to where the MRI examination took place. One will expect that the participants have somewhat less brain morphological changes related to cardiovascular risk factors than the general population. Such consequences underline the crucial importance

  15. Nord Stream - Venemaa erioperatsioon / Marko Mihkelson

    Index Scriptorium Estoniae

    Mihkelson, Marko, 1969-

    2008-01-01

    Ilmunud ka: Eesti Eest = Za Estoniju : Izdanije objedinenija "Sojuz Otetshestva i Res Publica" 20. juuni 2008, lk. 6. Riigikogu liige kirjutab Nord Streami gaasijuhtmeprojektist, leides, et Eesti kohus on oma seisukohti kindlalt kaitsta. Nord Streami kaasus kinnitab selgelt, kui hädavajalik on Euroopa Liidu ühine energiapoliitika ning selgem arusaam energiajulgeoleku tähtsusest mitte üksnes majanduslike, vaid ka poliitiliste otsuste juures

  16. Nord-Stream-Antrag stösst auf Ablehnung

    Index Scriptorium Estoniae

    2012-01-01

    Nord Stream küsib Eestilt taas uuringuluba. 2007 ei rahuldanud vabariigi valitsus Nord Stream AG uurimisloa taotlust. Andrus Ansip ja Mart Laar on seisukohal, et tuleks jääda kord tehtud otsuse juurde

  17. NordVal: A Nordic system for validation of alternative microbiological methods

    DEFF Research Database (Denmark)

    Qvist, Sven

    2007-01-01

    NordVal was created in 1999 by the Nordic Committee of Senior Officials for Food Issues under the Nordic Council of Ministers. The Committee adopted the following objective for NordVal: NordVal evaluates the performance and field of application of alternative microbiological methods. This includes...... analyses of food, water, feed, animal faeces and food environmental samples in the Nordic countries. NordVal is managed by a steering group, which is appointed by the National Food Administrations in Denmark, Finland, Iceland, Norway and Sweden. The background for creation of NordVal was a Danish...... validation system (DanVal) established in 1995 to cope with a need to validate alternative methods to be used in the Danish Salmonella Action Program. The program attracted considerable attention in the other Nordic countries. NordVal has elaborated a number of documents, which describe the requirements...

  18. The Nord-Limousin uraniferous province. Its three main deposits; La province uranifere du Nord-Limousin. Ses trois principaux gisements

    Energy Technology Data Exchange (ETDEWEB)

    Sarcia, J.A. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    Les Sagnes, Margnac and Les Brugeauds are the three main known deposits in the Nord-Limousin region, a rich uraniferous area; already being mined, they have only been partially explored so far, and one can safely hope for further extensions: in fact, some of these hopes have come true already. Each of these three deposits correspond to a type frequently to be found in the region, and the three of them together represent the characteristics of the Nord-Limousin uraniferous region: that is why they were selected. (author) [French] Les trois gisements decrits ici, les Sagnes, Margnac, les Brugeauds, sont les principaux actuellement connus dans la region du Nord-Limousin, si riche en gites uraniferes; deja en exploitation, ils ne sont encore que partiellement explores, et tous les espoirs d'extension laterale sont permis: certains sont deja en voie de realisation. Chacun d'eux correspond a un type frequent dans la region, et ils illustrent a eux trois les caracteristiques de la province uranifere du Nord-Limousin: c'est la raison de leur choix. (auteur)

  19. The Nord-Limousin uraniferous province. Its three main deposits; La province uranifere du Nord-Limousin. Ses trois principaux gisements

    Energy Technology Data Exchange (ETDEWEB)

    Sarcia, J A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    Les Sagnes, Margnac and Les Brugeauds are the three main known deposits in the Nord-Limousin region, a rich uraniferous area; already being mined, they have only been partially explored so far, and one can safely hope for further extensions: in fact, some of these hopes have come true already. Each of these three deposits correspond to a type frequently to be found in the region, and the three of them together represent the characteristics of the Nord-Limousin uraniferous region: that is why they were selected. (author) [French] Les trois gisements decrits ici, les Sagnes, Margnac, les Brugeauds, sont les principaux actuellement connus dans la region du Nord-Limousin, si riche en gites uraniferes; deja en exploitation, ils ne sont encore que partiellement explores, et tous les espoirs d'extension laterale sont permis: certains sont deja en voie de realisation. Chacun d'eux correspond a un type frequent dans la region, et ils illustrent a eux trois les caracteristiques de la province uranifere du Nord-Limousin: c'est la raison de leur choix. (auteur)

  20. A 15-Year Follow-Up Study of Sense of Humor and Causes of Mortality: The Nord-Trøndelag Health Study.

    Science.gov (United States)

    Romundstad, Solfrid; Svebak, Sven; Holen, Are; Holmen, Jostein

    2016-04-01

    Associations between the sense of humor and survival in relation to specific diseases has so far never been studied. We conducted a 15-year follow-up study of 53,556 participants in the population-based Nord-Trøndelag Health Study, Norway. Cognitive, social, and affective components of the sense of humor were obtained, and associations with all-cause mortality, mortality due to cardiovascular diseases (CVD), infections, cancer, and chronic obstructive pulmonary diseases were estimated by hazard ratios (HRs). After multivariate adjustments, high scores on the cognitive component of the sense of humor were significantly associated with lower all-cause mortality in women (HR = 0.52, 95% confidence interval [CI] = 0.33-0.81), but not in men (HR = 0.88, 95% CI = 0.59-1.32). Mortality due to CVD was significantly lower in women with high scores on the cognitive component (HR = 0.27, 95% CI = 0.15-0.47), and so was mortality due to infections both in men (HR = 0.26, 95% CI = 0.09-0.74) and women (HR = 0.17, 95% CI = 0.04-0.76). The social and affective components of the sense of humor were not associated with mortality. In the total population, the positive association between the cognitive component of sense of humor and survival was present until the age of 85 years. The cognitive component of the sense of humor is positively associated with survival from mortality related to CVD and infections in women and with infection-related mortality in men. The findings indicate that sense of humor is a health-protecting cognitive coping resource.

  1. The association between diabetes mellitus, glucose, and chronic musculoskeletal complaints. Results from the Nord-Trøndelag Health Study

    Directory of Open Access Journals (Sweden)

    Zwart John-Anker

    2008-12-01

    Full Text Available Abstract Background The relationship between diabetes mellitus (DM and chronic musculoskeletal complaints (MSCs is unclear. The aim of this study was to investigate the association between DM, non-fasting glucose and chronic MSCs defined as pain and/or stiffness ≥ 3 months during the past year in the general adult population. Methods The results were based on cross-sectional data from 64,785 men and women (aged ≥ 20 years who participated in the Nord-Trøndelag Health Survey, which included 1,940 individuals with known DM. Associations were assessed using multiple logistic regression, estimating prevalence odds ratio (OR with 95% confidence intervals (CIs. Results High non-fasting glucose was associated with a lower prevalence of chronic MSCs compared to a low glucose level. DM was associated with higher prevalence of chronic MSCs, in particular chronic widespread MSCs. In the multivariate analysis, adjusting for glucose level, BMI, age, gender and physical activity, chronic widespread MSCs was 1.6 times more likely (OR = 1.6, 95% CI 1.2–2.2 among individuals Conclusion In this cross-sectional study a high non-fasting glucose was associated with lower prevalence of chronic MSCs. Among individuals with known DM chronic widespread MSCs were more likely.

  2. Risk and protective factors for psychological distress among adolescents: a family study in the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Myklestad, Ingri; Røysamb, Espen; Tambs, Kristian

    2012-05-01

    The study aimed to investigate potential adolescent and parental psychosocial risk and protective factors for psychological distress among adolescents and, in addition, to examine potential gender and age differences in the effects of risk factors on adolescent psychological distress. Data were collected among 8,984 Norwegian adolescents (13-19 years) and their parents in the Nord-Trøndelag Health Study (HUNT). The outcome measure was psychological distress (SCL-5). Bivariate regression analysis with generalized estimating equation (GEE) model showed that all parental self-reported variables (mental distress, substance use, social network, economic problems, unemployment and family structure) and adolescents' self-reported variables (leisure activities, social support from friends, school-related problems and substance use) were significantly associated with psychological distress among adolescents. Results revealed that in a multiple regression analysis with a GEE model, adolescent psychosocial variables, specifically academic-related problems and being bullied at school, emerged as the strongest predictors of psychological distress among adolescents after controlling for age, gender, and all parental and adolescent variables. The following psychosocial risk factors were significantly more important for girl's psychological distress compared to boys: problems with academic achievement, conduct problems in school, frequency of being drunk, smoking, dissatisfaction in school, living alone and seen parents being drunk. Academic achievement and being bullied at school were the psychosocial factors most strongly associated with psychological distress among adolescents. Parental factors had an indirect effect on adolescent psychological distress, through adolescents' psychosocial factors.

  3. pluviosite en region soudano-sahelienne au nord du cameroun

    African Journals Online (AJOL)

    AISA

    Dans le but de montrer qu'en zone soudano-sahélienne du Nord du ... principaux facteurs responsables de la variation des rendements en culture pluviale, une étude basée sur ... Mots clés : Risque climatique, pluviométrie, variation, rendement agricole, Nord Cameroun. ... d'analyse plus global et fonctionnel, à savoir,.

  4. Nord-galerii näitab noori kunstnikke / Teele Tammeorg

    Index Scriptorium Estoniae

    Tammeorg, Teele

    2010-01-01

    20. mail avati Akadeemia Nord ruumides Nord Galerii (Siili 14, Tallinn) TÜ maalikunsti eriala lõpetanud Veiko Klemmeri ja Andrus Raagi ning nende lõputööde juhendaja ja galerii ühe rajaja Jaan Elkeni maalinäitusega "Võru-Tartu-Tallinn". Galerii pakub noortele kunstnikele võimalust oma töid tasuta eksponeerida

  5. Non-random mating and convergence over time for alcohol consumption, smoking, and exercise: the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Ask, Helga; Rognmo, Kamilla; Torvik, Fartein Ask; Røysamb, Espen; Tambs, Kristian

    2012-05-01

    Spouses tend to have similar lifestyles. We explored the degree to which spouse similarity in alcohol use, smoking, and physical exercise is caused by non-random mating or convergence. We used data collected for the Nord-Trøndelag Health Study from 1984 to 1986 and prospective registry information about when and with whom people entered marriage/cohabitation between 1970 and 2000. Our sample included 19,599 married/cohabitating couples and 1,551 future couples that were to marry/cohabitate in the 14-16 years following data collection. All couples were grouped according to the duration between data collection and entering into marriage/cohabitation. Age-adjusted polychoric spouse correlations were used as the dependent variables in non-linear segmented regression analysis; the independent variable was time. The results indicate that spouse concordance in lifestyle is due to both non-random mating and convergence. Non-random mating appeared to be strongest for smoking. Convergence in alcohol use and smoking was evident during the period prior to marriage/cohabitation, whereas convergence in exercise was evident throughout life. Reduced spouse similarity in smoking with relationship duration may reflect secular trends.

  6. Teaching Religion in Public Schools: Review of Warren A. Nord, "Does God Make a Difference?"

    Science.gov (United States)

    Feinberg, Walter

    2013-01-01

    In this review of Warren Nord's "Does God Make a Difference? Taking Religion Seriously in Our Schools and Universities," Walter Feinberg provides a detailed analysis of Nord's argument that the study of religion should be constitutionally mandated as a corrective to the overwhelmingly secular course of study offered in…

  7. Nord Stream, Sweden and Baltic Sea Security

    Energy Technology Data Exchange (ETDEWEB)

    Larsson, Robert L

    2007-03-15

    In June 2006, FOI published the report: Sweden and the NEGP: a Pilot Study of the North European Gas Pipeline and Sweden's Dependence on Russian Energy, a base data report on a topic that FOI considered to be of rising importance. Much has happened since then and the NEGP has changed its name to Nord Stream and submitted an official notification on the intention of realising the project of constructing a gas pipeline from Russia to Germany via the Baltic Sea. The primary aim of this report is to discuss and analyse some of the core aspects of Nord Stream and the pipeline project with regard to the security situation for the Baltic Sea region. The report constitutes an updated version of the previous report. Most of the old report still stands valid, especially concerning the historical survey of Russia's energy policy, but the new report has additional chapters and is broader in scope concerning the consequences of the project

  8. Nord Stream, Sweden and Baltic Sea Security

    Energy Technology Data Exchange (ETDEWEB)

    Larsson, Robert L.

    2007-03-15

    In June 2006, FOI published the report: Sweden and the NEGP: a Pilot Study of the North European Gas Pipeline and Sweden's Dependence on Russian Energy, a base data report on a topic that FOI considered to be of rising importance. Much has happened since then and the NEGP has changed its name to Nord Stream and submitted an official notification on the intention of realising the project of constructing a gas pipeline from Russia to Germany via the Baltic Sea. The primary aim of this report is to discuss and analyse some of the core aspects of Nord Stream and the pipeline project with regard to the security situation for the Baltic Sea region. The report constitutes an updated version of the previous report. Most of the old report still stands valid, especially concerning the historical survey of Russia's energy policy, but the new report has additional chapters and is broader in scope concerning the consequences of the project

  9. Nord Stream, Sweden and Baltic Sea Security

    International Nuclear Information System (INIS)

    Larsson, Robert L.

    2007-03-01

    In June 2006, FOI published the report: Sweden and the NEGP: a Pilot Study of the North European Gas Pipeline and Sweden's Dependence on Russian Energy, a base data report on a topic that FOI considered to be of rising importance. Much has happened since then and the NEGP has changed its name to Nord Stream and submitted an official notification on the intention of realising the project of constructing a gas pipeline from Russia to Germany via the Baltic Sea. The primary aim of this report is to discuss and analyse some of the core aspects of Nord Stream and the pipeline project with regard to the security situation for the Baltic Sea region. The report constitutes an updated version of the previous report. Most of the old report still stands valid, especially concerning the historical survey of Russia's energy policy, but the new report has additional chapters and is broader in scope concerning the consequences of the project

  10. Gender differences in psychosocial functioning of adolescents with symptoms of anxiety and depression: longitudinal findings from the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Derdikman-Eiron, Ruth; Indredavik, Marit S; Bakken, Inger Johanne; Bratberg, Grete H; Hjemdal, Odin; Colton, Matthew

    2012-11-01

    To explore longitudinally gender differences in the associations between psychosocial functioning, subjective well-being and self-esteem among adolescents with and without symptoms of anxiety and depression. Data were obtained from a major population-based Norwegian study, the Nord-Trøndelag Health Study, in which 1,092 boys and 1,262 girls (86% of all invited) completed an extensive self-report questionnaire at baseline (mean age 14.4 years) and at follow-up (mean age 18.4 years). Gender was a moderator variable in the associations between symptoms of anxiety and depression and impairment, meaning that boys' functioning was impaired to a larger extent than girls' functioning. A statistically significant interaction effect between gender and symptoms of anxiety and depression was found at follow-up in terms of subjective well-being (p self-esteem (p self-esteem than boys who had no symptoms at both time points. No similar differences were found among the girls. Previous and ongoing symptoms of anxiety and depression had more negative consequences for boys than for girls. These findings may contribute to improved assessment and intervention methods tailored differently for each gender.

  11. Headache and musculoskeletal complaints among subjects with self reported whiplash injury. The HUNT-2 study

    Directory of Open Access Journals (Sweden)

    Nygaard Oystein

    2011-06-01

    Full Text Available Abstract Background To evaluate the life-time prevalence of self reported whiplash injury and the relationship to chronic musculoskeletal complaints (MSCs and headache in a large unselected adult population. Methods Between 1995 and 1997, all inhabitants 20 years and older in Nord-Trondelag county in Norway were invited to a comprehensive health survey. Out of 92,936 eligible for participation, a total of 59,104 individuals (63.6% answered the question about whiplash injury (whiplash. Among these, 46,895 (79.3% responded to the questions of musculoskeletal complaints and headache. Results The total life-time prevalence of self reported whiplash injury was 2.9%, for women 2.7% and for men 3.0%. There was a significant association between self reported whiplash injury and headache (OR = 2.1; 95% CI 1.8-2.4, and chronic MSCs (OR = 3.3; 95% CI 2.8-3.8, evident for all ten anatomical sites investigated. The association was most pronounced for those with a combination of headache and chronic MSC for both men (OR = 4.8; 95% CI 3.6-6.2 and women (OR = 5.2; 95% CI 3.7-7.1. Conclusions Subjects with self reported whiplash injury had significantly more headache and musculoskeletal complaints than those without, and may in part be due to selective reporting. The causal mechanism remains unclear and cannot be addressed in the present study design.

  12. NordREG report on the price peaks in the Nordic wholesale market during winter 2009-2010. Final report

    Energy Technology Data Exchange (ETDEWEB)

    2011-01-15

    In winter 2009-2010, prices peaked on three days. The high prices that were experienced in the majority of the Nord Pool Spot price areas initiated a study on the reasons that led to the price spikes and on the possible measures to develop the Nordic market arrangements to avoid such situations in the future. The analysis of the winter 2009-2010 events revealed that there were a number of primary causes for the occurrence of the price peaks and no single individual cause could be pinpointed to bear the key responsibility. The fact that the weather was cold all over the Nordic area in conjunction with the low availability for the Swedish nuclear generation capacity, however, could be indicated as the key underlying causes. The analysis also showed that the way the Nordic transmission capacity is allocated can be listed as an additional factor complementing to the occurrence of the price peaks. Thus, NordREG concluded that a review of the methods of calculating and allocating transmission capacity for the market should be carried out. As a part of this, an analysis that addresses the delimitation of bidding areas and maintenance planning of the transmission network infrastructure should be prepared as well. The flexibility on the demand side has not been very large in the Nordic region. However, the background study prepared by Gaia Consulting showed that even small degree of increased price elasticity could substantially cut the price peaks. This could be seen as an improvement potential of the trading system reflecting the present inability of the market participants to react on the price signals the market place provides. Therefore, NordREG sees that facilitating the appearance of a real price elastic behaviour of the users of electricity can be regarded as one of the key fixes for the problem. Furthermore, NordREG proposes that a consultancy study on how to promote demand flexibility in the Nordic market in a coherent way should be prepared. A further area for

  13. NordForm90, Malmö1990

    DEFF Research Database (Denmark)

    Jensen, Henrik; Agger, Steen

    2009-01-01

    Boghuset (se dette) er en interaktiv, ikonbaseret brugerflade til en biblioteksdatabase, som blev til i et forskningssamarbejde mellem Forskningscenter Risø og Kunstakademiets Arkitektskole. Resultatet af dette blev udstillet på NordForm90 i Malmö, og projektet omtales i udstillingens katalog på ...

  14. Prigonrieux – Le Bourg-Nord, Les Junies

    OpenAIRE

    Sandoz, Gérard

    2013-01-01

    Identifiant de l'opération archéologique : 7225529 Date de l'opération : 2009 (EX) Cette opération de diagnostic fait suite à un projet de lotissement et de construction de logements sociaux déposé par la mairie de Prigonrieux aux lieux-dits Le Bourg‑nord et Les Junies. L’intervention s’est déroulée du 2 février au 6 février 2009. Trente-deux sondages ont été réalisés ce qui représente 5 % de la surface menacée qui était de 34 683 m². Dans la partie nord du terrain, deux fossés parallèles ret...

  15. Merkel: Nord Streami on meile vaja / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2009-01-01

    Venemaa presidendi Dmitri Medvedevi ja Saksamaa kantsleri Angela Merkeli kohtumisel käsitleti energeetikapoliitikat, D. Medvedev kutsus Rootsit üles toetama Nord Streami arendamist ning taunis Nabucco gaasijuhtme rajamist

  16. The dynamics of risk premiums in Nord Pool's futures market

    International Nuclear Information System (INIS)

    Mork, E.

    2006-01-01

    Premiums in futures prices are usually considered through the use of 2 models: a no-arbitrage model; and the equilibrium approach or theory of normal backwardation. The no-arbitrage approach equates futures prices with spot prices, storage costs and convenience yields, and is difficult to apply to electricity markets. This paper investigated future electricity prices in Nord Pool's futures market using an equilibrium approach, which split futures prices into an expected spot price component and a risk premium component. Three main hypotheses were used: (1) that risk premiums were present in the Nord Pool futures market during the period 1997-2004; that risk premiums in the Nord Pool futures market were smaller or absent during the period of 2000 to 2002; and, that there was a significant change in risk premiums in Nord Pool's futures market after the winter of 2002-2003 due to a change in consumer hedging behaviour. Futures prices were compared to realized spot prices in their delivery periods in order to test the hypotheses. In order to estimate the futures premiums, a 1-sample test was performed on the entire period for 1, 30, 60, and 90 days before delivery of the block or month contract. The test employed the null hypothesis that the futures premiums were 0. Premiums were positive and varied between 3.7 per cent and 9.3 per cent. The purpose of the study was to determine whether risk premiums were present. Results showed that risk premiums varied over time. Two additional hypotheses were then investigated to examine whether the presence of outside speculators reduced risk premiums, and to see if a period of high prices and volatility caused more buyers to hedge in the futures market. Results showed that in the face of volatility and higher prices, consumers do not purchase fixed-price contracts which would ultimately increase futures premiums in the market. It was concluded that premiums are an important element in the pricing of Nord Pool futures and forwards

  17. "Konsesjon til radikalere" : Norges anerkjennelse av Nord-Vietnam i 1971

    OpenAIRE

    Sørensen, Cristian H.

    2012-01-01

    Emnet for oppgaven er Norges anerkjennelse av Nord-Vietnam som en selvstendig stat. Dette skjedde i 1971 mens Nord-Vietnam var i krig med Sør-Vietnam og USA. Norge var det første NATO-landet som fattet prinsippvedtak om dette, og Danmark fulgte etter. Det hele provoserte USA i så stor grad at Nixon-administrasjonen var nær ved å kalle ambassadørene sine i Oslo og København hjem. Det var regjeringen Bratteli som stod for utførelsen av anerkjennelsen etter at Arbeiderpartiet kom tilbake til reg...

  18. Comparative study of air quality by the North Sea and Baltic Sea; Vergleichsuntersuchungen der Luftqualitaet an Nord- und Ostsee

    Energy Technology Data Exchange (ETDEWEB)

    Moriske, H.J.; Turowski, E.; Klar, A.; Schoendube, M.; Ebert, G.; Konieczny, L. [Umweltbundesamt, Berlin (Germany). Inst. fuer Wasser-, Boden- und Lufthygiene

    2000-01-01

    Air quality measurements were carried out in the North Sea and Baltic Sea regions. The results are summarized in this contribution from the hygienic view. [German] Im Rahmen eines Forschungsprojektes des Umweltbundesamtes, das zwischen 1996 und 1998 mit dem Titel 'Erfassung gasfoermiger und partikelfoermiger Bestandteile der Umgebungsluft an Nord- und Ostsee - Untersuchungen zur hygienischen Bedeutung des maritimen Aerosols' durchgefuehrt wurde, sollte die Frage unterschiedlicher Luftqualitaet an Nord- und Ostsee beantwortet werden und eine aktuelle Bestandsaufnahme vorgenommen werden. Der Artikel fasst die Forschungsergebnisse aus hygienischer Sicht zusammen. (orig./SR)

  19. Läänemeri vs Nord Stream / Ene Kaups

    Index Scriptorium Estoniae

    Kaups, Ene, 1963-

    2009-01-01

    Riigikogu võttis vastu avalduse Läänemerre kavandatava gaasijuhtmega seotud keskkonnariskidest, kus avaldatakse muret, et Nord Stream AG poolt algatatud gaasijuhtme projekti rahvusvahelise keskkonnamõju hinnangutes ei ole piisavalt arvestatud kõigi seonduvate keskkonnariskidega

  20. Ekspert: Nord Stream on kaheldav / Jaanus Piirsalu

    Index Scriptorium Estoniae

    Piirsalu, Jaanus, 1973-

    2009-01-01

    Konsultatsioonifirma East European Gas Analysis direktor Mihhail Kortšemkin arvab, et Gazprom hülgab Nord Streami projekti, kui ta ei saa Rootsi ja Soome nõusolekut ehitamiseks 2010. aasta jooksul. Tema hinnangul riskib Gazprom pankrotiga, kui hakkab korraga ehitama gaasitoru läbi Läänemere ja Musta mere

  1. Gåsetrekket i Vesterålen og Nord-Trøndelag 2004

    DEFF Research Database (Denmark)

    Tombre, I.; Madsen, J.; Bakken, J.

    for the goose species pink-footed goose Anser brachyrhynchus, barnacle goose Branta leucopsis and greylag goose Anser anser. The present report summarises goose registrations in some of the municipalities involved; Steinkjer and Inderøy in Nord-Trøndelag, Mid-Norway (pink-footed goose), and Sortland...... in Vesterålen, Northern Norway (pink-footed goose and barnacle goose). Registrations in the Nord-Trøndelag municipalities, Verdal and Levanger, are also included. Pink-footed and barnacle geese stage in Norway during spring on their way to their breeding grounds in Svalbard. In Trøndelag, the spring...... estimate of 43 000). This is probably an underestimate due to all hiding possibilities in the region, and it is assumed that at least 75 % of the Svalbard population of pink-footed goose stayed in Nord-Trøndelag in early May. Intensive scaring of geese registered at several locations in the county...

  2. Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: results from the Nord-Trøndelag Health Study

    Directory of Open Access Journals (Sweden)

    Zwart John-Anker

    2008-12-01

    Full Text Available Abstract Background Physical inactivity is associated with several diseases, but studies evaluating the association between chronic musculoskeletal complaints (MSCs and physical exercise have shown conflicting results. The aim of this large-scale prospective population-based study was to investigate the association between self-reported physical exercise at baseline and the prevalence of chronic musculoskeletal complaints (MSCs 11 years later. Methods The results are based upon two consecutive public health studies conducted within the county of Nord-Trøndelag, Norway (The HUNT studies. A total of 39,520 (83% out of 47,556 adults who participated in HUNT 1 and HUNT 2 responded to questions about physical exercise at baseline in 1984–86, and to questions about musculoskeletal complaints 11 years later (1995–97. Chronic MSCs was defined as MSCs ≥ 3 months during the past year, and chronic widespread MSCs such as pain ≥ 15 days during the last month from the axial region, above the waist, and below the waist. Associations were assessed using multiple logistic regression, estimating prevalence odds ratio (OR with 95% confidence intervals (CIs. All the final analyses were adjusted for age, gender, body mass index, smoking and education level. Results At follow-up 20,223 (51% reported chronic MSCs, and among these 2,318 (5.9% reported chronic widespread MSCs. Individuals who exercised at baseline were less likely to report chronic MSCs 11 years later (OR 0.91, 95% CI 0.85–0.97 than inactive persons. Among individuals who exercised more than three times per week, chronic widespread MSCs were 28% less common (OR 0.72, 95% CI 0.59–0.88 compared to inactive individuals. Conclusion In this large-scale population-based study, physical exercise was associated with lower prevalence of chronic MSCs, in particular chronic widespread MSCs. Future studies should try to clarify whether chronic MSCs are a cause or a consequence of inactivity.

  3. Interfaces et reconfigurations de la question Nord/Sud en Corée.

    Directory of Open Access Journals (Sweden)

    Valérie Gelézeau

    2010-12-01

    reconfigurer la lecture de la question Nord/Sud dans la péninsule. Based on a pluridisciplinary approach of the concept of “interfaces, ” the paper addresses the North/South issue on the Korean peninsula by considering the partition between North and South not as a simple backdrop but as a fundamental matrix structuring both societies. Three types of interfaces are identified and analyzed through various case studies: “spatial interfaces” (such as the inter-Korean border, the Sino-North-Korean border, and the economic enclaves developed within the North by South Korea, “social interfaces” (such as North Korean refugees in the South, South Korean elites originating from Northern clans, and cultural contacts based on the circulation of North Korean painting in the South, and “narratives interfaces” exposing discourses produced by each Korea about the Other (either official discourses from school textbooks and press agencies, or fictional materials such as film narratives. Expanding the geographers’ work on the notion of interface, the paper expounds on the geometry of the system constituted by an interface (multiple contact areas and levels, various synapses and interstices, pervasive enclaves not only spatial but also social and narrative and offers a fresh way to envision the complexity of Korean contemporary culture. Although the existence of an interface between the two Koreas is at stake with no definite conclusion, the paper concludes that the use of this concept allows the highlighting of the pervasiveness of the division, within all levels of the social sphere of each Korea, including within the greater narratives of Korean studies themselves. By exposing the divisive paradigm of Korean studies, the concept of interface may contribute to a deep reconfiguration of the North/South issue on the peninsula.

  4. Nord Stream maksis kalurid kinni / Gert D Hankewitz

    Index Scriptorium Estoniae

    Hankewitz, Gert D

    2010-01-01

    Läbi Läänemere gaasijuhet ehitav firma Nord Stream maksis Eesti kaluritele sümboolset hüvitist, vältimaks tulevikus kahjunõudeid. Väidetavalt said Eesti kalurid hüvitist vähem kui Rootsi ja Soome kalapüüdjad

  5. The dynamics of risk premiums in Nord Pool's futures market

    Energy Technology Data Exchange (ETDEWEB)

    Mork, E. [Consultant, Oslo (Norway)

    2006-04-15

    Premiums in futures prices are usually considered through the use of 2 models: a no-arbitrage model; and the equilibrium approach or theory of normal backwardation. The no-arbitrage approach equates futures prices with spot prices, storage costs and convenience yields, and is difficult to apply to electricity markets. This paper investigated future electricity prices in Nord Pool's futures market using an equilibrium approach, which split futures prices into an expected spot price component and a risk premium component. Three main hypotheses were used: (1) that risk premiums were present in the Nord Pool futures market during the period 1997-2004; that risk premiums in the Nord Pool futures market were smaller or absent during the period of 2000 to 2002; and, that there was a significant change in risk premiums in Nord Pool's futures market after the winter of 2002-2003 due to a change in consumer hedging behaviour. Futures prices were compared to realized spot prices in their delivery periods in order to test the hypotheses. In order to estimate the futures premiums, a 1-sample test was performed on the entire period for 1, 30, 60, and 90 days before delivery of the block or month contract. The test employed the null hypothesis that the futures premiums were 0. Premiums were positive and varied between 3.7 per cent and 9.3 per cent. The purpose of the study was to determine whether risk premiums were present. Results showed that risk premiums varied over time. Two additional hypotheses were then investigated to examine whether the presence of outside speculators reduced risk premiums, and to see if a period of high prices and volatility caused more buyers to hedge in the futures market. Results showed that in the face of volatility and higher prices, consumers do not purchase fixed-price contracts which would ultimately increase futures premiums in the market. It was concluded that premiums are an important element in the pricing of Nord Pool futures and

  6. Bio energy heating plant heats municipal buildings in Nord-Odal; Bioenergisentral varmer kommunale bygg i Nord-Odal

    Energy Technology Data Exchange (ETDEWEB)

    2008-07-01

    When Nord-Odal planned to build a new nursing home, they wanted to find a more environmental friendly heating system than based on oil and electricity. Several energy consultants evaluated the task. But when all consultants concluded there would be no cost benefit in this task, local experts looked into it - and because they got a long term agreement, it was possible to finance a local bio energy heat plant. (AG)

  7. Gaasitoru rajaja Nord Stream : jätkame läbirääkimisi Soomega / Tuuli Koch

    Index Scriptorium Estoniae

    Koch, Tuuli

    2007-01-01

    Eesti valitsuse otsus mitte anda Nord Streamile uurimisluba tekitas Soome keskkonnaametnikes pahameelt. Nord Stream AG esindaja Jens D. Mülleri sõnul jätkatakse torujuhtme projekti. Välispoliitika Instituudi direktori Andres Kasekampi arvates laskis Eesti käest kaasarääkimise õiguse

  8. Entrevista com Christiane Nord

    Directory of Open Access Journals (Sweden)

    Monique Pfau

    2014-12-01

    Full Text Available Quando pensamos em tradução e enfocamos em aspectos como "por que traduzir?" "quem será meu leitor?" "como abordar os aspectos das culturas?", certamente nos vem o nome da pesquisadora alemã Christiane Nord. No meio acadêmico dos Estudos da Tradução, dos últimos trinta anos, é provável que seu nome se faça presente como teórica importante nos cursos de tradução, na abordagem prática da formação de tradutores, enriquecendo discussões, formando perfis profissionais. Seu trabalho como teórica, professora e tradutora já trouxe um material bastante rico para pensar sobre os Estudos da Tradução e a Tarefa do Tradutor. Ela traz o funcionalismo alemão como uma teoria de tradução aplicável tanto no exercício profissional do tradutor, como na análise comparativa entre texto-fonte e texto-alvo em uma abordagem comunicativa eficiente e real. Nesta entrevista que Nord gentilmente proporcionou, recebendo-me em sua residência em Heidelberg, conversamos sobre algumas questões que aparecem em discussões com colegas que também usam a teoria funcionalista alemã para suas pesquisas e pensam em tradução enquanto teoria e prática. Nord, como lecionando uma de suas aulas, esclarece dúvidas sobre o uso da teoria na prática, sobre os primeiros passos do aprendiz em tradução até se tornar um profissional e sobre questões reais que circundam o mercado da tradução. Ela também traz algumas estratégias e técnicas que o tradutor pode adotar, dependendo do cliente e do leitor, sugerindo possíveis modos de relacionamento entre eles para que o trabalho seja satisfatório para todas as partes, defendendo o conceito de lealdade de sua teoria. A entrevistada também discute sobre a definição de convenções culturais, fazendo um paralelo ao conceito de normas (Toury, 1995 e pondera sobre seu significado, trazendo diversos exemplos reais como formas de encontrar as convenções de uma cultura. Também conversamos a respeito do

  9. Nord Stream 2: keeping the head cool

    International Nuclear Information System (INIS)

    Aoun, Marie-Claire

    2016-01-01

    Nord Stream 2 is the name of a project of a pipeline which will transport Russian natural gas into the European Union. The author first presents the context of this project announced during a forum in Saint Petersburg, and signed in september 2015 between Gazprom and several European stakeholders (Eon, BASF, Engie, Shell and OMV). The objective is for Moscow to secure its north-western European market on the long term. Some physical characteristics of the project are evoked, and the European dependence on gas imports is described. The author then discusses how European countries are divided about this project: some support it (like mainly Germany) while some others are fiercely against (Eastern European countries which complain about their loss of transfer revenues, or countries like Bulgaria, Greece and Italy about the loss of an alternative gas corridor). The project also faces legal obstacles related to patrimony separation and access of third parties to the network. Finally, and while mentioning other projects (Nord Stream 1 and South Stream), the author shows that the difficulties and problems faced by this project are a perfect illustration of a fractured European gas sector

  10. Forecasting Nord Pool day-ahead prices with an autoregressive model

    International Nuclear Information System (INIS)

    Kristiansen, Tarjei

    2012-01-01

    This paper presents a model to forecast Nord Pool hourly day-ahead prices. The model is based on but reduced in terms of estimation parameters (from 24 sets to 1) and modified to include Nordic demand and Danish wind power as exogenous variables. We model prices across all hours in the analysis period rather than across each single hour of 24 hours. By applying three model variants on Nord Pool data, we achieve a weekly mean absolute percentage error (WMAE) of around 6–7% and an hourly mean absolute percentage error (MAPE) ranging from 8% to 11%. Out of sample results yields a WMAE and an hourly MAPE of around 5%. The models enable analysts and traders to forecast hourly day-ahead prices accurately. Moreover, the models are relatively straightforward and user-friendly to implement. They can be set up in any trading organization. - Highlights: ► Forecasting Nord Pool day-ahead prices with an autoregressive model. ► The model is based on but with the set of parameters reduced from 24 to 1. ► The model includes Nordic demand and Danish wind power as exogenous variables. ► Hourly mean absolute percentage error ranges from 8% to 11%. ► Out of sample results yields a WMAE and an hourly MAPE of around 5%.

  11. Nord Stream "ründas" Gotlandil Eestit / Tuuli Koch

    Index Scriptorium Estoniae

    Koch, Tuuli

    2010-01-01

    Vene- Saksa gaasijuhtme ehituse sõlmpunktiks muutuval Gotlandil jäi Slite sadamasse Nord Streami raha eest ehitatud kaile ette mälestusmärk eestlastele ja lätlastele, kes 1944. aastal punavõimu eest põgenedes Gotlandile jõudsid. Kaart

  12. Nord-Cotentin radioecology group: an innovative experiment in pluralist expertise; Le groupe Radioecologie Nord-Cotentin: une experience originale d'expertise pluraliste

    Energy Technology Data Exchange (ETDEWEB)

    Lochard, J.; Schneider, T.; Crouail, P. [Centre d' Etude sur l' Evaluation de la Protection dans le Domaine Nucleaire, 92 - Fontenay-aux-Roses (France); Heriard-Dubreuil, G.; Gadbois, S. [Mutadis, 92 - Fontenay aux Roses (France); Oudiz, A. [CEA Fontenay-aux-Roses, 92 (France). Inst. de Protection et de Surete Nucleaire

    2000-11-01

    This report gives a synthetic overview of the procedure and the main results of the GRNC (Nord-Cotentin Radioecology Group), and lessons that can be drawn from it. In particular, it is intended to demonstrate the innovation of the pluralist approach adopted by summarizing its historic context and differences with the similar experiment carried out in the United Kingdom for the Sellafield nuclear site 1. It also presents the different steps in the evaluation of exposures and risks associated with ionising radiation. Finally, it emphasizes prospects opened as a result of the Group's experiment on the involvement of stakeholders in the evaluation and management of radiological risk. This final aspect could open up new means of ''preventively'' dealing with questions related to risks to health and the environment inherent to industrial activities. (A.L.B.)

  13. Cohort profile: the Nordic Antireflux Surgery Cohort (NordASCo).

    Science.gov (United States)

    Maret-Ouda, John; Wahlin, Karl; Artama, Miia; Brusselaers, Nele; Färkkilä, Martti; Lynge, Elsebeth; Mattsson, Fredrik; Pukkala, Eero; Romundstad, Pål; Tryggvadóttir, Laufey; Euler-Chelpin, My von; Lagergren, Jesper

    2017-06-08

    To describe a newly created all-Nordic cohort of patients with gastro-oesophageal reflux disease (GORD), entitled the Nordic Antireflux Surgery Cohort (NordASCo), which will be used to compare participants having undergone antireflux surgery with those who have not regarding risk of cancers, other diseases and mortality. Included were individuals with a GORD diagnosis recorded in any of the nationwide patient registries in the Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) in 1964-2014 (with various start and end years in different countries). Data regarding cancer, other diseases and mortality were retrieved from the nationwide registries for cancer, patients and causes of death, respectively. The NordASCo includes 945 153 individuals with a diagnosis of GORD. Of these, 48 433 (5.1%) have undergone primary antireflux surgery. Median age at primary antireflux surgery ranged from 47 to 52 years in the different countries. The coding practices of GORD seem to have differed between the Nordic countries. The NordASCo will initially be used to analyse the risk of developing known or potential GORD-related cancers, that is, tumours of the oesophagus, stomach, larynx, pharynx and lung, and to evaluate the mortality in the short-term and long-term perspectives. Additionally, the cohort will be used to evaluate the risk of non-malignant respiratory conditions that might be caused by aspiration of gastric contents. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  14. Oriente within, Nord without: il meridionismo e i romantici inglesi

    Directory of Open Access Journals (Sweden)

    Luigi Cazzato

    2012-11-01

    Full Text Available Per Voltaire (1773 prima ed Hegel (2010 poi, la storia del progresso del mondo ha viaggiato seguendo il percorso geo-politico e climatico aristotelico 1: dal dispotico Oriente verso il libero Occidente; mentre per Montesquieu (1994 essa ha viaggiato anche dai paesi caldi del Sud, timorosi come i vecchi, verso i paesi freddi del Nord, coraggiosi come i giovani. L’Europa non si è vista solo come l’altro rispetto all’Oriente, ma anche come l’altro rispetto al suo Meridione: il presente moderno del Nord di contro al passato antico del Sud. Nella seconda metà del Settecento, il secolo della nascita dell’orientalismo come sapere organico all’impresa coloniale dell’Occidente, vennero gettati anche i semi della pianta del meridionismo, sapere organico all’impresa della costruzione della moderna identità europea. I romantici inglesi coltivarono questa pianta.

  15. Berliinis räägiti NordStreami venimisest / Raavo Raadik

    Index Scriptorium Estoniae

    Raadik, Raavo

    2008-01-01

    Financial Times Deutschland (FTD) ajakirjanikud vahendasid Vene gaasikontserni Gazprom juhatuse liikme Valeri Jassevi kinnitusi, et gaasijuhtme esimene osa peaks valmima 2011. aastal ja 2012. aastal peaks algama esimesed gaasitarned. Seni oli NordStream lähtunud varasematest tähtaegadest

  16. Nord-Cotentin radioecology group: an innovative experiment in pluralist expertise

    International Nuclear Information System (INIS)

    Lochard, J.; Schneider, T.; Crouail, P.; Heriard-Dubreuil, G.; Gadbois, S.; Oudiz, A.

    2000-11-01

    This report gives a synthetic overview of the procedure and the main results of the GRNC (Nord-Cotentin Radioecology Group), and lessons that can be drawn from it. In particular, it is intended to demonstrate the innovation of the pluralist approach adopted by summarizing its historic context and differences with the similar experiment carried out in the United Kingdom for the Sellafield nuclear site 1. It also presents the different steps in the evaluation of exposures and risks associated with ionising radiation. Finally, it emphasizes prospects opened as a result of the Group's experiment on the involvement of stakeholders in the evaluation and management of radiological risk. This final aspect could open up new means of ''preventively'' dealing with questions related to risks to health and the environment inherent to industrial activities. (A.L.B.)

  17. Analysis of modeling aircraft noise with the Nord2000 noise model

    Science.gov (United States)

    2012-10-31

    This report provides comparisons between AEDT/INM and the Nord 2000 Noise Models for the following parameters: ground type, simple terrain (downward slope, upward slope, hill), temperature and humidity, temperature gradients (positive and negative), ...

  18. Living better in Nord-Pas de Calais region. For an energy turn and societal transformations - Full report, Synthesis

    International Nuclear Information System (INIS)

    2015-12-01

    In 2008, the NGO Virage-energie Nord-Pas de Calais published a scenario of nuclear power phaseout including objectives of reduction of green gas emissions in the region of Nord-Pas de Calais. In 2013, Virage-energie Nord-Pas de Calais published Scenarios on energy sufficiency and societal transformations: the results of a research project on the evaluation of energy savings potentials from public policies and lifestyle changes. Using data models and assumptions, this study has highlighted that energy sufficiency could generate energy savings from 26 % to 40 %. Global scenarios presented in this report, realised with the financial support of ADEME and regional council of the region Nord-Pas de Calais in partnership with two academic laboratories (TVES, University of Lille 1 - Science and Technologies; and Ceraps, University of Lille 2 - Health and Law), complete previous works with a global vision for the future energetic and social systems. Scenarios explore interactions between energy, lifestyles, agriculture, food habits, consumer goods, industry, buildings, transport and employment, in order to identify and to reduce human, social, economic and environmental vulnerabilities to energetic crisis. Energy sufficiency and resilience are at the heart of this research. Energy sufficiency is a voluntary and organized strategy to reduce energy consumption through lifestyles changes and societal transformations. Energy sufficiency is different from energy efficiency, which concerns only improvement of technical performances in order to reduce energy consumption of a system (building, vehicle, etc.). Sufficiency re-evaluates uses and needs of energy, but also imaginary and culture of a society and its individual and collective organisations. Resilience is the capacity for a system (territory, population, etc.) to absorb a perturbation, to reorganize itself and to continue to remain in a functionally similar state. Through three possible scenarios for the territory and the

  19. Spikes and memory in (Nord Pool) electricity price spot prices

    DEFF Research Database (Denmark)

    Proietti, Tomasso; Haldrup, Niels; Knapik, Oskar

    Electricity spot prices are subject to transitory sharp movements commonly referred to as spikes. The paper aims at assessing their effects on model based inferences and predictions, with reference to the Nord Pool power exchange. We identify a spike as a price value which deviates substantially...

  20. Experiența Agenției de Dezvoltare Nord în realizarea proiectelor de dezvoltare regională

    Directory of Open Access Journals (Sweden)

    Tatiana TOFAN

    2017-09-01

    Full Text Available Regiunea de Dezvoltare Nord, ca aşezare geografică, climă, rețea hidrologică, floră, faună, resurse naturale, economie, se află într-o situație bine poziționată, ceea ce-i permite să atragă investiții în propria dezvoltare regională. În articol este descrisă activitatea Agenției de Dezvoltare Regională Nord, care dispune de o experiență destul de bună în realizarea proiectelor de dezvoltare regională în Republică Moldova. La fel, ea continuă să fie un partener sigur în atragerea investițiilor străine directe în localitățile de nord ale republicii.

  1. Operational experience from the satellite fields Statfjord Nord and East; Driftserfaringer fra satellittfeltene Statfjord Nord og Oest

    Energy Technology Data Exchange (ETDEWEB)

    Retterdal, Atle; Hansen, Hans Birger [Statoil, Stavanger (Norway)

    1999-07-01

    Since production started on the satellite fields Statfjord Nord and East in 1995 and 1994, respectively, some opportunities for improvement have been discovered and realized both with respect to the subsea systems and the operational routines and philosophy. This presentation discusses the improvement projects. It is known from experience that creative ideas usually originate at the interfaces between supplier/customer, engineers with different backgrounds, or between different technologies. The interface between supplier and operator is very important for discovering creative solutions. The interface between Statoil and the suppliers of underwater equipment is not sufficiently well developed on the operational side.

  2. Nord Streami mõjudest rääkimine tõi auhinna / Madis Filippov

    Index Scriptorium Estoniae

    Filippov, Madis

    2011-01-01

    Tallinna Tehnikaülikooli juhtivteaduri Tarmo Soomere juhitud uurimisprojekt "Baltic Way" sai Läänemere organisatsioonide konsortsiumi Bonus auhinna Nord Streami võimalike keskkonnamõjude tutvustamise eest

  3. Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Derdikman-Eiron, Ruth; Indredavik, Marit S; Bratberg, Grete H; Taraldsen, Gunnar; Bakken, Inger Johanne; Colton, Matthew

    2011-06-01

    Gender differences in the prevalence of symptoms of anxiety and depression during adolescence are well documented. However, little attention has been given to differences in subjective well-being, self-esteem and psychosocial functioning between boys and girls with symptoms of anxiety and depression. The aim of this study was to investigate gender differences in the associations between such symptoms and subjective well-being, self-esteem, school functioning and social relations in adolescents. Data were taken from a major population-based Norwegian study, the Nord-Trøndelag Health study (HUNT), in which 8984 (91% of all invited) adolescents, aged 13-19 years, completed an extensive self-report questionnaire. Although prevalence rates of symptoms of anxiety and depression were higher in girls than in boys, a significant interaction between gender and symptoms of anxiety and depression was found in respect of each of the following outcome variables: subjective well-being, self-esteem, academic problems, frequency of meeting friends and the feeling of not having enough friends. These interactions indicate that the associations between symptoms of anxiety and depression and lower subjective well-being and self-esteem, more academic problems in school and lower social functioning were stronger for boys than for girls. Our findings may contribute to an earlier assessment and more efficient treatment of male adolescent anxiety and depression. © 2011 The Authors. Scandinavian Journal of Psychology © 2011 The Scandinavian Psychological Associations.

  4. (Sorghum bicolor (L.) Moench) du Nord du Burkina Faso

    African Journals Online (AJOL)

    SARAH

    29 déc. 2014 ... sorghos à grains sucrés ont un cycle court et arrivent donc à maturité avant les autres sorghos et le mil d'où leur exploitation comme aliment de soudure par les paysans. L'organisation de la diversité morphologique des accessions de sorghos à grains sucrés du Nord du. Burkina autour principalement des ...

  5. Radioactivity in sheep meat, cow and goat milk, 1988-2004; Radioaktiv forurensning i sauekjoett, ku- og geitemelk, 1988-2004

    Energy Technology Data Exchange (ETDEWEB)

    Gjelsvik, R.

    2005-09-01

    The report summarizes the results of monitoring 137Cs in sheep, cow and goats milk from selected farms in 2004 and long-term effects from 1988-2004.The results give a basis for this years slaughter forecasts in 2004 and give information about the levels, variation and long-term effects of 137Cs in some of Norway's most important food chains. Sheep classification zones made clean feeding necessary wholly or partially in 34 municipalities in 2004. Effective ecological half-times for 137Cs in goat milk from Nord-Trondelag and Oppland were 9-10 years for the period 1989-2004. Effective ecological half-times for 137Cs in cow milk were 7 years in farms from Nordland county and 10 years in farms from Oppland county. Concentration of 137Cs in sheep meat from Oppland county measured in 1989-2004, showed an estimated effective ecological half-time of 10 years for ewes and 11 years for lambs. (Author)

  6. Radioactivity in sheep meat, cow and goat milk, 1988-2004

    International Nuclear Information System (INIS)

    Gjelsvik, R.

    2005-09-01

    The report summarizes the results of monitoring 137Cs in sheep, cow and goats milk from selected farms in 2004 and long-term effects from 1988-2004.The results give a basis for this years slaughter forecasts in 2004 and give information about the levels, variation and long-term effects of 137Cs in some of Norway's most important food chains. Sheep classification zones made clean feeding necessary wholly or partially in 34 municipalities in 2004. Effective ecological half-times for 137Cs in goat milk from Nord-Trondelag and Oppland were 9-10 years for the period 1989-2004. Effective ecological half-times for 137Cs in cow milk were 7 years in farms from Nordland county and 10 years in farms from Oppland county. Concentration of 137Cs in sheep meat from Oppland county measured in 1989-2004, showed an estimated effective ecological half-time of 10 years for ewes and 11 years for lambs. (Author)

  7. Nord Stream liigub seatud eesmärgi poole / Sebastian Sass ; intervjueerinud Sirje Rank

    Index Scriptorium Estoniae

    Sass, Sebastian

    2009-01-01

    Nord Streami loataotluste juhi kinnitusel püsib gaasitoru projekt probleemidest hoolimata graafikus ja tarned peaksid algama 2011. aastal. Vt. samas: Finantsjuht: Läänemere gaasitoru rahata ei jää

  8. NKS NordRisk. Atlas of long-range atmospheric dispersion and deposition of radionuclides from selected risk sites in the Northern Hemisphere

    International Nuclear Information System (INIS)

    Havskov Soerensen, J.; Baklanov, A.; Mahura, A.; Lauritzen, Bent; Mikkelsen, Torben

    2008-07-01

    Within the NKS NordRisk project, 'Nuclear risk from atmospheric dispersion in Northern Europe', the NKS NordRisk Atlas has been developed. The atlas describes risks from hypothetical long-range atmospheric dispersion and deposition of radionuclides from selected nuclear risk sites in the Northern Hemisphere. A number of case studies of long-term long-range atmospheric transport and deposition of radionuclides has been developed, based on two years of meteorological data. Radionuclide concentrations in air and radionuclide depositions have been evaluated and examples of long-term averages of the dispersion and deposition and of the variability around these mean values are provided. (au)

  9. Nord Streami keskkonnamõjude aruanne jätab tähelepanuta Läänemere eripära / Madis Filippov ; kommenteerinud Ivar Puura, Tarmo Soomere, Endel Lippmaa

    Index Scriptorium Estoniae

    Filippov, Madis

    2009-01-01

    Teadlastes tekitavad ärevust Vene-Saksa ühisfirma Nord-Streami poolt Läänemerre kavandatava gaasitoru keskkonnamõjud. Artiklis on juttu ka Eesti Teaduste Akadeemia kirjast president Toomas Hendrik Ilvesele ja peaminister Andrus Ansipile sooviga moodustada professionaalne komisjon, mis töötaks läbi Nord Streami gaasijuhtme keskkonnamõju hindamise materjalid. Vt. samas: Dioksiinide kontsentratsioon setetes; Nord Streami gaasijuhe

  10. Culture, Values and Social Basis of Northern Italian Centrifugal Regionalism. A Contextual Political Analysis of the Lega Nord

    OpenAIRE

    Biorcio , Roberto; Vitale , Tommaso

    2011-01-01

    The Lega Nord intended to create a party which represented the whole of the northern regions, capable to defend their interests and culture. If we examine the profile of people that voted for the Lega Nord, we find some discordant features compared to the project. A large majority of the party’s electorate naturally supports federalism and devolution. However, the party’s electorate paradoxically displays value trends and convictions that, for many aspects are in countertendency compared to t...

  11. NKS NordRisk. Atlas of long-range atmospheric dispersion and deposition of radionuclides from selected risk sites in the Northern Hemisphere

    Energy Technology Data Exchange (ETDEWEB)

    Havskov Soerensen, J.; Baklanov, A.; Mahura, A. (Danish Meteorological Institute, Copenhagen (Denmark)); Lauritzen, Bent; Mikkelsen, Torben (Technical Univ. of Denmark, Risoe National Lab. for Sustainable Energy, Roskilde (Denmark))

    2008-07-15

    Within the NKS NordRisk project, 'Nuclear risk from atmospheric dispersion in Northern Europe', the NKS NordRisk Atlas has been developed. The atlas describes risks from hypothetical long-range atmospheric dispersion and deposition of radionuclides from selected nuclear risk sites in the Northern Hemisphere. A number of case studies of long-term long-range atmospheric transport and deposition of radionuclides has been developed, based on two years of meteorological data. Radionuclide concentrations in air and radionuclide depositions have been evaluated and examples of long-term averages of the dispersion and deposition and of the variability around these mean values are provided. (au)

  12. Patterns of receptive and creative cultural activities and their association with perceived health, anxiety, depression and satisfaction with life among adults: the HUNT study, Norway.

    Science.gov (United States)

    Cuypers, Koenraad; Krokstad, Steinar; Holmen, Turid Lingaas; Skjei Knudtsen, Margunn; Bygren, Lars Olov; Holmen, Jostein

    2012-08-01

    Cultural participation has been used both in governmental health policies and as medical therapy, based on the assumption that cultural activities will improve health. Previous population studies and a human intervention study have shown that religious, social and cultural activities predict increased survival rate. The aim of this study was to analyse the association between cultural activity and perceived health, anxiety, depression and satisfaction with life in both genders. The study is based on the third population-based Nord-Trøndelag Health Study (2006-2008), including 50,797 adult participants from Nord-Trøndelag County, Norway. Data on cultural activities, both receptive and creative, perceived health, anxiety, depression and satisfaction with life were collected by comprehensive questionnaires. The logistic regression models, adjusted for relevant cofactors, show that participation in receptive and creative cultural activities was significantly associated with good health, good satisfaction with life, low anxiety and depression scores in both genders. Especially in men, attending receptive, rather than creative, cultural activities was more strongly associated with all health-related outcomes. Statistically significant associations between several single receptive, creative cultural activities and the health-related outcome variables were revealed. This population-based study suggests gender-dependent associations between cultural participation and perceived health, anxiety, depression and satisfaction with life. The results support hypotheses on the effect of cultural activities in health promotion and healthcare, but further longitudinal and experimental studies are warranted to establish a reliable cause-effect relationship.

  13. Magnetic property analysis as palaeoenvironmental proxy: a case study of the Last Interglacial Middle Palaeolithic site at Neumark-Nord 2 (Germany)

    NARCIS (Netherlands)

    Sier, M.J.; Dekkers, M.J.

    2013-01-01

    The so-called Blake Event, an event of the geomagnetic fi eld, was identifi ed in the Middle Palaeolithic Neumark-Nord 2 (NN2) site in Germany by Sier et al. (2o11). These authors discussed the implications for the positioning of the Eemian in the Marine isotope stage (MIS) scale in

  14. Interpretation of Leadership and Organizational Culture in PostNord

    OpenAIRE

    Hansen, Viktor Satterup Morell; Nissen, Peter Ravnborg; Pak, Kyeong Hwoa

    2016-01-01

    In this paper, there will be an interpretivist analysis of the organizational structure and leadership in PostNord, for the period of 2009 to 2016. The research attempts to disclose the espoused values and underlying assumption in the internal structure of the organization, and also the leadership of Lars G. Nordström, Lars Idermark and Håkan Ericsson. The theory will utilize Edgar H. Schein’s definition of organizational culture and leadership by Partington 3 schools of thought from project ...

  15. NordStream : "Toru tuleb niikuinii" / Jens Müller ; interv. Külli-Riin Tigasson

    Index Scriptorium Estoniae

    Müller, Jens

    2007-01-01

    Nord Streami pressiesindaja hinnangul on Eesti majandusvööndis gaasijuhtme keskkonnauuringute mittelubamine keskkonna seisukohalt kahjulik, nüüd ei saa võrrelda, kas keskkonnasõbralikum oleks ehitada gaasitoru läbi Soome või läbi Eesti majandusvööndi

  16. Réseautage d'entreprises au Moyen-Orient et en Afrique du Nord ...

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

    Les réseaux sociaux sont d'importantes sources de conseils pour les entrepreneurs du Moyen-Orient et de l'Afrique du Nord (région MOAN) et ils contribuent à leur réussite. Un nouveau projet de recherche a pour but de favoriser la collaboration entre des chercheurs du Global Entrepreneurship Monitor (GEM) et la ...

  17. La coopération culturelle dans l’eurorégion Nord-Transmanche : une institutionnalisation sans institution ?

    Directory of Open Access Journals (Sweden)

    Thomas Perrin

    2012-01-01

    Full Text Available Cet article porte sur l’action culturelle transfrontalière dans l’eurorégion Nord-Transmanche. Cette organisation de coopération territoriale a associé, de 1991 à 2004, la région française du Nord-Pas-de-Calais au Comté anglais du Kent et aux trois régions belges : Région wallonne, Région flamande et Région de Bruxelles-Capitale. La dimension pionnière et historique de cette eurorégion, mais également le fait qu’elle n’a pas perduré, permettent d’illustrer à la fois les potentialités, limites et paradoxes de la mobilisation de la culture dans le contexte des organisations de coopération territoriale. Si le processus d’institutionnalisation de l’eurorégion en tant que telle est resté inachevé, l’espace Nord-Transmanche reste un espace de coopération dynamique, en particulier dans le domaine culturel et la référence eurorégionale reste significative pour de nombreux acteurs. Cet exemple interroge ainsi les enjeux et la réalité de la construction d’une Europe des territoires et de la culture, notamment par rapport aux discours institutionnels dont ces questions font généralement l’objet.

  18. The impact of headache and chronic musculoskeletal complaints on the risk of insomnia: longitudinal data from the Nord-Trøndelag health study

    Science.gov (United States)

    2013-01-01

    Background A strong relationship between insomnia and painful disorders has been found, but it is still unclear whether chronic pain leads to insomnia. There is a need of large-scale prospective studies to evaluate if there is a causal relationship between painful disorders and insomnia. Methods All inhabitants aged ≥ 20 years in Nord-Trøndelag County of Norway were invited to participate in two surveys (n = 92,566 and 93,860, respectively). 27,185 subjects participated in both surveys, and 19,271 of these were insomnia-free at baseline (population at risk). Using logistic regression, we evaluated the influence of headache, CMSCs and coexisting headache and CMSCs on the subsequent risk of insomnia. Results Compared to subjects without headache and CMSCs, there was an increased risk of insomnia among those with headache, most pronounced among those with headache ≥ 7 days / month (OR = 2.2, 95% CI = 1.9 – 2.6). Similarly, an increased risk among those with CMSCs was found, most evident for those with widespread CMSCs (OR = 2.0, 95% CI = 1.8 – 2.2). Having coexistent CMSCs and headache (OR = 2.0, 95% CI = 1.8 – 2.2) predisposed more strongly to insomnia than having headache (OR = 1.5, 95% CI = 1.3 – 1.6) and CMSCs (OR = 1.6, 95% CI = 1.4 – 1.7) alone. Conclusion In this prospective study headache and CMSCs were risk factors for insomnia 11 years later. PMID:23566158

  19. Moyen-Orient et Afrique du Nord | CRDI - Centre de recherches pour ...

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

    Depuis les soulèvements de 2011, la région connaît des changements sans précédent. Cela a entraîné une croissance inégale, une vulnérabilité économique, une démocratie fragile et un taux de chômage élevé, en particulier chez les femmes et les jeunes. Au Moyen-Orient et en Afrique du Nord, les économies ...

  20. Nord Stream : täidame kõik Eesti nõudmised / Matthias Warnig ; interv. Jan Jõgis-Laats

    Index Scriptorium Estoniae

    Warnig, Matthias

    2007-01-01

    Nord Streami tegevdirektor pakub võimalust, et Eesti esindajad viibiksid gaasitrassi uuringutel, samuti võivad esindajad teha ette teatamata reide. Firma on valmis arutama kõike, mis on vajalik protsessi kontrollimiseks ja usalduse tekitamiseks

  1. La population du Moyen-Orient et de l'Afrique du Nord contribue ...

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

    29 avr. 2016 ... Le degré d'apport au contenu varie grandement d'une population à l'autre. Si les habitants du Moyen-Orient et de l'Afrique du Nord (région MENA) utilisent Wikipédia, ils y contribuent cependant moins que les populations d'autres régions du monde. Le contenu au sujet de la région MENA est, le plus ...

  2. Trends in absolute and relative educational inequalities in four modifiable ischaemic heart disease risk factors: repeated cross-sectional surveys from the Nord-Trøndelag Health Study (HUNT 1984–2008

    Directory of Open Access Journals (Sweden)

    Ernstsen Linda

    2012-04-01

    Full Text Available Abstract Background There has been an overall decrease in incident ischaemic heart disease (IHD, but the reduction in IHD risk factors has been greater among those with higher social position. Increased social inequalities in IHD mortality in Scandinavian countries is often referred to as the Scandinavian “public health puzzle”. The objective of this study was to examine trends in absolute and relative educational inequalities in four modifiable ischaemic heart disease risk factors (smoking, diabetes, hypertension and high total cholesterol over the last three decades among Norwegian middle-aged women and men. Methods Population-based, cross-sectional data from The Nord-Trøndelag Health Study (HUNT: HUNT 1 (1984–1986, HUNT 2 (1995–1997 and HUNT 3 (2006–2008, women and men 40–59 years old. Educational inequalities were assessed using the Slope Index of Inequality (SII and The Relative Index of Inequality (RII. Results Smoking prevalence increased for all education groups among women and decreased in men. Relative and absolute educational inequalities in smoking widened in both genders, with significantly higher absolute inequalities among women than men in the two last surveys. Diabetes prevalence increased in all groups. Relative inequalities in diabetes were stable, while absolute inequalities increased both among women (p = 0.05 and among men (p = 0.01. Hypertension prevalence decreased in all groups. Relative inequalities in hypertension widened over time in both genders. However, absolute inequalities in hypertension decreased among women (p = 0.05 and were stable among men (p = 0.33. For high total cholesterol relative and absolute inequalities remained stable in both genders. Conclusion Widening absolute educational inequalities in smoking and diabetes over the last three decades gives rise to concern. The mechanisms behind these results are less clear, and future studies are needed to assess if educational

  3. Environnement alimentaire de la vente au détail et expériences de magasinage dans les collectivités des Premières nations du nord des provinces

    Directory of Open Access Journals (Sweden)

    Kristin Burnett

    2017-01-01

    Full Text Available Introduction : Cet article porte sur l'environnement de la vente d’aliments dans les collectivités des Premières nations du nord des provinces, en particulier sur la concurrence éventuelle dans la vente au détail de la North West Company (NWC ainsi que sur les expériences d'achats alimentaires de la population vivant dans le Nord canadien. Méthodologie : Nous avons utilisé deux méthodologies pour évaluer l’environnement alimentaire de la vente au détail dans le Nord. D’abord, nous avons cartographié les détaillants en alimentation du Nord afin d’examiner le degré de concurrence au détail dans les régions nordiques, en prêtant une attention particulière aux collectivités qui ne sont pas accessibles à l’année par la route. Ensuite, nous avons enquêté auprès des personnes vivant dans les collectivités du Nord canadien à propos de leurs expériences d’achat au détail et de magasinage. Résultats : Cinquante‑quatre pour cent des collectivités du nord des provinces et du Grand Nord n’avaient aucune épicerie en concurrence avec la NWC. Les provinces comptant les plus fortes proportions de collectivités nordiques sans concurrence dans la vente au détail étaient l’Ontario (87 %, la Saskatchewan (83 % et le Manitoba (72 %. Les participants au sondage (n = 92 ont fait état de leurs préoccupations quant à leurs expériences d'achat dans trois grands secteurs : le coût des aliments, la qualité et la fraîcheur des aliments et la disponibilité de certains aliments. Conclusion : La concurrence dans la vente au détail est limitée dans le nord des provinces. Au Manitoba, en Saskatchewan et en Ontario, la NWC ne fait face à aucune concurrence dans au moins 70 % des collectivités nordiques. Les consommateurs du Nord canadien considèrent que les aliments nutritifs sont peu abordables, et ils souhaitent avoir accès à un plus grand choix d’aliments périssables en bon état.

  4. What characterizes individuals developing chronic whiplash?: The Nord-Trøndelag Health Study (HUNT).

    Science.gov (United States)

    Myrtveit, Solbjørg Makalani; Wilhelmsen, Ingvard; Petrie, Keith J; Skogen, Jens Christoffer; Sivertsen, Børge

    2013-05-01

    Most individuals experiencing whiplash accidents recover rapidly. A considerable proportion, however, develop chronic symptoms. Psychological factors may slow recovery, possibly by increasing the likelihood of other symptoms being misattributed to, and amplified by the whiplash injury. We aimed to investigate how pre-injury mental and somatic symptoms, self-rated health, use of health-services and medications, health-behavior and socio-demographics predict the development of chronic whiplash. Data from two waves of a large, population based study (HUNT2 (baseline) and HUNT3) were used. Individuals reporting no whiplash at baseline were identified in HUNT3. Characteristics reported at baseline were compared between those who had developed chronic whiplash in HUNT3 (n=199) and those who had not (n=20,600), using Pearson's chi-squared tests, independent sample t-tests and logistic regression analyses. Individuals developing chronic whiplash reported worse baseline health than those reporting no chronic whiplash. Poor self-rated health was a strong risk factor for subsequent chronic whiplash (OR=2.26, 95%CI: 1.68-3.04). Musculoskeletal pain also increased the risk (OR=1.21, 95%CI: 1.15-1.26), as did diffuse somatic symptoms (OR=2.09, 95%CI: 1.47-2.96), use of different health services (OR=1.31, 95%CI: 1.19-1.45), high use of medications (OR=1.28, 95%CI: 1.14-1.43) and symptoms of anxiety (OR=1.93, 95%CI: 1.39-2.68). Physical activity was protective (OR=0.67, 95%CI: 0.49-0.91). Most socio-demographic variables were not significantly associated with chronic whiplash. Poor somatic and mental pre-injury health increased the risk of subsequent chronic whiplash. This suggests that chronic whiplash is not merely an organic disorder, and highlights the importance of individual expectations, symptom reattribution and amplification in development of chronic whiplash. Copyright © 2013 Elsevier Inc. All rights reserved.

  5. NORD STREAM 2 and its Soft Power – an Unfolding Playground for the European Union

    Directory of Open Access Journals (Sweden)

    Roxana Ioana Banciu

    2016-06-01

    Full Text Available This paper focuses on the Nord Stream 2 pipeline in a double reflection (Russia - the candle, Germany - the mirror handling one particular aspect that influences Russia-EU relations since the Ukrainian factor emerged as a playground for both East and West tectonic plates - namely the energy sector. It is vital for any global power to understand this approach in order to reach people’s minds, in order to emerge as leaders on the world map and to build a strong perception over a political scene. A recently debated subject is Nord Stream 2. The reason why I have chosen to explore this subject is because I am very interested in how Kremlin seeks to have an exclusive control over Eastern Europe, given the full debate in the last three years. In this thesis I will also discuss some important elements of the Russian Soft Power over Europe introducing the plot of South Stream project.

  6. Nord stream: not just a pipeline. An analysis of the political debates in the Baltic Sea region regarding the planned gas pipeline from Russia to Germany

    Energy Technology Data Exchange (ETDEWEB)

    Whist, Bendik Solum

    2008-11-15

    This report is an analysis of the planned gas pipeline from Russia to Germany through the Baltic Sea known as Nord Stream. Although not yet realised, the project has, since its birth, been the subject of harsh criticism and opposition by a significant number of states that consider themselves affected by the pipeline. Whereas the Baltic States and Poland have interpreted the pipeline as a politically motivated strategy that will increase Russia's leverage on them and threaten their energy security, the debate in Sweden was at first mostly concerned with the prospect of increased Russian military presence in the Swedish Exclusive Economic Zone. The potential environmental impact of the pipeline has been, and continues to be, an overarching concern shared by all the littoral states of the Baltic Sea. Proponents of Nord Stream, most notably Germany, Russia and the Nord Stream consortium, have largely dismissed the concerns as unwarranted and argue that the pipeline is a common European project that all EU-members should embrace, as it will provide much-needed gas to an increasingly energy-thirsty union. This report is an extensive study of the divergent attitudes and debates that have surged in the region regarding Nord Stream, and the aim is to provide plausible explanations as to why the interpretations of the project have been so different in the various states. The report is based on a variety of sources, including several first-hand interviews with researchers and government officials in the Baltic Sea region. (author). refs.,fig.,tabs

  7. Nord stream: not just a pipeline. An analysis of the political debates in the Baltic Sea region regarding the planned gas pipeline from Russia to Germany

    Energy Technology Data Exchange (ETDEWEB)

    Whist, Bendik Solum

    2008-11-15

    This report is an analysis of the planned gas pipeline from Russia to Germany through the Baltic Sea known as Nord Stream. Although not yet realised, the project has, since its birth, been the subject of harsh criticism and opposition by a significant number of states that consider themselves affected by the pipeline. Whereas the Baltic States and Poland have interpreted the pipeline as a politically motivated strategy that will increase Russia's leverage on them and threaten their energy security, the debate in Sweden was at first mostly concerned with the prospect of increased Russian military presence in the Swedish Exclusive Economic Zone. The potential environmental impact of the pipeline has been, and continues to be, an overarching concern shared by all the littoral states of the Baltic Sea. Proponents of Nord Stream, most notably Germany, Russia and the Nord Stream consortium, have largely dismissed the concerns as unwarranted and argue that the pipeline is a common European project that all EU-members should embrace, as it will provide much-needed gas to an increasingly energy-thirsty union. This report is an extensive study of the divergent attitudes and debates that have surged in the region regarding Nord Stream, and the aim is to provide plausible explanations as to why the interpretations of the project have been so different in the various states. The report is based on a variety of sources, including several first-hand interviews with researchers and government officials in the Baltic Sea region. (author). refs.,fig.,tabs

  8. Nonlocal relativistic diffusion (NoRD) model of cosmic ray propagation

    International Nuclear Information System (INIS)

    Uchaikin, V V; Sibatov, R T

    2017-01-01

    The problem of physical interpretation of the nonlocal relativistic diffusion (NoRD model) for cosmic ray transport in the Galaxy is discussed. The model accounts for the turbulent character of the interstellar medium and the relativistic principle of the speed limitation. Involving fractional calculus and non-Gaussian Lévy statistics yields numerical results compatible with observation data. A special attention is paid to the knee problem. The relativistic speed limit requirement steepens theoretical background spectrum at certain energies, and the position of the break, its sharpness and slopes of asymptotes depend on D α ( E ) and α . (paper)

  9. Karst et ressources en eau au moyen Atlas nord-oriental

    OpenAIRE

    Taous, Ali; Tribak, Abdellatif; Obda, Khalid; Baena Escudero, Rafael; López Lara, Enrique Javier; Miranda Bonilla, Jose

    2009-01-01

    Le Moyen Atlas nord-oriental se caractérise par des paysages kartisques hérités et actuels très diversifiés. En fait, les roches carbonatées du Jurassique, bien représentées dans cette région montagneuse, ont subi une karstification ancienne, depuis la fin du Tertiaire et au cours du Quaternaire. Actuallement, la karstogenèse est encore active en raison des conditions géologiques, morphostructurales et bioclimatiques favorables: couches de roches carbonatées inclinées et plissées, climat médi...

  10. L'avenir du Moyen-Orient et de l'Afrique du Nord passe par la ...

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

    10 janv. 2013 ... Centre de recherches pour le développement international Gouvernement du Canada ... du Nord passe par la croissance partagée et l'économie de marché ... vivant en région éloignée aient un accès égal aux possibilités économiques. ... visant à trouver de nouveaux modes d'action pouvant contribuer au ...

  11. Nord Stream on väljakutse kodanikuühiskonnale / Tarmo Soomere ; üles kirjutanud Juune Holvandus

    Index Scriptorium Estoniae

    Soomere, Tarmo, 1957-

    2009-01-01

    Gaasijuhe Nord Stream läbi Läänemere Venemaalt Saksamaale ei tähenda ainult kasulikku äritehingut. Küsimus on ennekõike ohutust keskkonnast ja sellest, et riigid peavad kaaluma ka seda, mida järeltulevad põlved asjast arvavad. Akadeemik Tarmo Soomere selgitab rahvusvahelistesse vetesse rajatava gaasijuhtme temaatikat.

  12. Physical activity level at work and risk of chronic low back pain: A follow-up in the Nord-Trøndelag Health Study.

    Science.gov (United States)

    Heuch, Ingrid; Heuch, Ivar; Hagen, Knut; Zwart, John-Anker

    2017-01-01

    Physical activity in leisure time seems to reduce the risk of low back pain, but it is not known whether occupational activity, as recorded in a representative working population, produces a higher or lower risk. To study associations between physical activity level at work and risk of chronic low back pain. Associations were examined in a Norwegian prospective study using data from the HUNT2 and HUNT3 surveys carried out in the whole county of Nord-Trøndelag. Participants were 7580 women and 7335 men who supplied information about physical activity level at work. Levels considered were sedentary work, work involving walking but no heavy lifting, work involving walking and heavy lifting, and particularly strenuous physical work. Nobody in the cohort was affected by chronic low back pain at baseline. After 11 years, participants reported whether they suffered from chronic low back pain. Generalized linear modelling with adjustment for potential confounders was applied to assess associations with risk factors. In age-adjusted analyses both women and men showed statistically significant associations between physical activity at work and risk of chronic low back pain, suggesting positive relationships. For particularly strenuous physical work the relative risk of chronic low back pain was 1.30 (95% CI: 1.00-1.71) in women and 1.36 (95% CI 1.17-1.59) in men, compared to sedentary work. Women still showed a general association with activity level after adjustment for education, leisure time physical activity, BMI, smoking and occupational category. In men, the higher risk was only maintained for particularly strenuous work. In this cohort, women had a higher risk of chronic low back pain with work involving walking and heavy lifting or particularly strenuous work, compared to sedentary work. Men participating in particularly strenuous work also experienced a higher risk of chronic low back pain.

  13. Physical activity level at work and risk of chronic low back pain: A follow-up in the Nord-Trøndelag Health Study.

    Directory of Open Access Journals (Sweden)

    Ingrid Heuch

    Full Text Available Physical activity in leisure time seems to reduce the risk of low back pain, but it is not known whether occupational activity, as recorded in a representative working population, produces a higher or lower risk.To study associations between physical activity level at work and risk of chronic low back pain.Associations were examined in a Norwegian prospective study using data from the HUNT2 and HUNT3 surveys carried out in the whole county of Nord-Trøndelag. Participants were 7580 women and 7335 men who supplied information about physical activity level at work. Levels considered were sedentary work, work involving walking but no heavy lifting, work involving walking and heavy lifting, and particularly strenuous physical work. Nobody in the cohort was affected by chronic low back pain at baseline. After 11 years, participants reported whether they suffered from chronic low back pain. Generalized linear modelling with adjustment for potential confounders was applied to assess associations with risk factors.In age-adjusted analyses both women and men showed statistically significant associations between physical activity at work and risk of chronic low back pain, suggesting positive relationships. For particularly strenuous physical work the relative risk of chronic low back pain was 1.30 (95% CI: 1.00-1.71 in women and 1.36 (95% CI 1.17-1.59 in men, compared to sedentary work. Women still showed a general association with activity level after adjustment for education, leisure time physical activity, BMI, smoking and occupational category. In men, the higher risk was only maintained for particularly strenuous work.In this cohort, women had a higher risk of chronic low back pain with work involving walking and heavy lifting or particularly strenuous work, compared to sedentary work. Men participating in particularly strenuous work also experienced a higher risk of chronic low back pain.

  14. La integración energética de los países nórdicos -Nord Pool-: lecciones para otros mercados

    Directory of Open Access Journals (Sweden)

    John Jairo García Rendón

    2006-01-01

    Full Text Available Este artículo describe el proceso de integración del mercado eléctrico de los países nórdicos -Nord Pool-, además de establecer algunas reflexiones sobre dicha experiencia, las cuales pueden ser importantes para regiones que se encuentran en el mismo proceso, como es el caso de la Comunidad Andina de Naciones -CAN-. Inicialmente hace alusión a la teoría que fundamenta el intercambio de bienes y servicios y los principios económicos que justifican la integración de mercados para luego concentrarse en el caso del Nord Pool, examinando el proceso y sus principales resultados.

  15. 4 years of successful knowledge transfer - the nuclear technology training center of the TUeV Nord Group

    International Nuclear Information System (INIS)

    Willenbockel, I.; Tietze, U.

    2007-01-01

    In connection with the 2002 amendment to the German Atomic Energy Act, the topics of generational change and maintenance of competence grew in importance and necessitated new solution approaches. To this end, various activities were launched, with the aim of conducting conceptual analyses of these topics. Examples include the 'National Competence Network for Nuclear Technology' (Nationaler Kompetenzverbund fuer Kerntechnik), various networks established by colleges and universities, the 'Knowledge Management for the Maintenance and Transfer of Competence in Reactor Safety' (Wissensmanagement zum Kompetenzerhalt und -transfer in der Reaktorsicherheit) workshop held in 2001 in Garching near Munich (Germany) and the 'Ad-hoc Workgroup on the Maintenance of Competence' (Ad-hoc-Arbeitskreis Kompetenzerhalt) of the VdTUeV. The nuclear technology departments of the TUeV Nord Group were aware of te challenges associated with the generational change early on. By establishing the 'Nuclear Technology Training Center' (Ausbildungszentrum fuer Kerntechnik, AfK), the TUeV Nord Group intended to ensure the required knowledge transfer during the generational change as well as maintain the renowned high qualification as regards the subject of nuclear technology and thus continue to provide - in the sense of social responsibility - crucial contribution to the long-term safety of nuclear plants. Four years have passed since the training center held the first courses in the fall of 2002. Up to now, more than 350 participants have been trained in the courses conducted by the AfK. In the opinion of the TUeV Nord Group, the activities of the AfK have laid the foundation for a successful change of generations within the group's nuclear technology organizations. (orig.)

  16. Nord Stream ei näe takistusi Eesti käest uuringuloa saamisel / Jan Jõgis-Laats

    Index Scriptorium Estoniae

    Jõgis-Laats, Jan

    2007-01-01

    Vene-Saksa gaasijuhet rajava Nord Streami piirkonnajuhi Sebastian Sassi sõnul on ettevõte täitnud kõik nõuded ja esitanud kogu nõutud info ning seetõttu usub, et uuringuteks saadakse Eestilt luba. Välisminister Urmas Paeti väitel saab valitsus selgete ja kaalukate argumentide korral uuringute loa andmisest keelduda. Lisa: Teadlased soovitavad keelduda

  17. Réduction de la vulnérabilité des pasteurs du nord du Kenya | CRDI ...

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

    21 avr. 2011 ... Les recherches menées par l'ONG kényane Practical Action sur la vulnérabilité climatique des communautés pastorales des districts de Mandera et de Turkana, dans le nord du pays, jette de la lumière sur les conséquences biophysiques, sociales et économiques de la sécheresse dans ces régions ...

  18. O modelo Funcionalista de Christiane Nord aliado ao dispositivo de Sequências Didáticas: norteamentos para o Ensino de Tradução

    OpenAIRE

    Valdecy Oliveira Pontes; Livya Lea Oliveira Pereira

    2017-01-01

    Abordagens mais recentes nos Estudos da Tradução partem do princípio de que não se traduz uma língua/cultura, mas textos. Na perspectiva da Tradução Funcionalista, esses não podem ser compreendidos à parte de seu contexto comunicativo, fato que justifica a proximidade do Ensino de Tradução com o conhecimento sobre gêneros textuais, destacada, inclusive, por Nord (2012). Assim, a partir da perspectiva teórica funcionalista de Christiane Nord (1991, 1994, 1996, 2012) para o ensino de tradução e...

  19. La integración energética de los países nórdicos —Nord Pool—: lecciones para otros mercados

    Directory of Open Access Journals (Sweden)

    Carlos Mario Palacios

    2006-06-01

    Full Text Available Este artículo describe el proceso de integración del mercado eléctrico de los países nórdicos —Nord Pool—, además de establecer algunas reflexiones sobre dicha experiencia, las cuales pueden ser importantes para regiones que se encuentran en el mismo proceso, como es el caso de la Comunidad Andina de Naciones —CAN—. Inicialmente hace alusión a la teoría que fundamenta el intercambio de bienes y servicios y los principios económicos que justifican la integración de mercados para luego concentrarse en el caso del Nord Pool, examinando el proceso y sus principales resultados.

  20. Nord Stream, the German-Russian oil pipeline under the Baltic Sea from the Swedish point of view

    International Nuclear Information System (INIS)

    Crone, Olivier

    2007-01-01

    Nord Stream is a 1.200 km long gas pipeline project between Russia and Germany through the Baltic Sea. It crosses the Swedish, Danish, and Finnish economic zones, and, at mid-way, comprises a control platform about which any traffic will be forbidden within a radius of 500 m. After having recalled some design aspects of this project, the author discusses whether it results in some energetic benefits for Sweden where the project has been a matter of debates on environmental and safety issues. It appears that Sweden is not interested at all in importing fossil energies, and that politicians are opposed to this project, but have no influence on it as the pipeline does not cross Swedish territorial waters. After having evoked the role of Gazprom as energetic weapon of the Russian foreign policy, the author discusses safety issues related to this pipeline and its control platform, and environmental risks as they are perceived by Sweden. Sweden indeed perceives the project infrastructure as being possibly used as a spying tool. As far as environmental issues are concerned, Nord Stream is to submit an environmental impact assessment to Denmark, Finland, Sweden, Germany and Russia. As a Swedish law could constrain and even impede the project, some alternate tracks are already envisaged and studied for the pipeline in order to minimise the environmental impact

  1. Highlights from the CERN/ESO/NordForsk ''Gender in Physics Day''

    Science.gov (United States)

    Primas, F.; Guinot, G.; Strandberg, L.

    2017-03-01

    In their role as observers on the EU Gender Equality Network in the European Research Area (GENERA) project, funded under the Horizon 2020 framework, CERN, ESO and NordForsk joined forces and organised a Gender in Physics Day at the CERN Globe of Science and Innovation. The one-day conference aimed to examine innovative activities promoting gender equality, and to discuss gender-oriented policies and best practice in the European Research Area (with special emphasis on intergovernmental organisations), as well as the importance of building solid networks. The event was very well attended and was declared a success. The main highlights of the meeting are reported.

  2. Source apportionment of particles at Station Nord, North East Greenland during 2008–2010 using COPREM and PMF analysis

    DEFF Research Database (Denmark)

    Nguyen, Quynh; Skov, Henrik; Sørensen, Lise Lotte

    2013-01-01

    In order to develop strategies for controlling and reducing Arctic air pollution, there is a need to understand the basic mechanisms for determining the fate of air pollution in the Arctic. Sources of atmospheric particles at Station Nord (81° 36' N, 16° 40' W) in North East Greenland were...... evaluated for a two-year period from March 2008 to February 2010. Source apportionment using Positive Matrix Factorization (PMF) and COnstrained Physical REceptor Model (COPREM) was based on measurements of black carbon, elements (Al, Si, S, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, As, Se, Br, Rb, Sr, Zr...... origins. Another anthropogenic source was characterised by high concentrations of Pb and As, which has been historically referred to as a Combustion source at Station Nord. The impacts of large-scale industry in Siberia, Russia were evident through high Cu concentrations in both the Combustion source...

  3. Modeling and forecasting electricity price jumps in the Nord Pool power market

    DEFF Research Database (Denmark)

    Knapik, Oskar

    extreme prices and forecasting of the price jumps is crucial for risk management and market design. In this paper, we consider the problem of the impact of fundamental price drivers on forecasting of price jumps in NordPool intraday market. We develop categorical time series models which take into account......For risk management traders in the electricity market are mainly interested in the risk of negative (drops) or of positive (spikes) price jumps, i.e. the sellers face the risk of negative price jumps while the buyers face the risk of positive price jumps. Understanding the mechanism that drive...

  4. Répercussions de la chute du mur de Berlin sur des conflits nationalistes : Pays Basque et Irlande du Nord

    Directory of Open Access Journals (Sweden)

    Pascal Pragnère

    2012-11-01

    Full Text Available La chute du mur de Berlin et l’effondrement des régimes communistes eurent pour effet de discréditer et affaiblir de nombreux mouvements révolutionnaires, et de provoquer l’émergence ou la résurgence de mouvements nationalistes.En 1989-90, deux conflits violents faisaient rage au cœur de l’Europe occidentale démocratique, en Irlande du Nord et au Pays Basque.Dans ces deux territoires, des nationalistes, dont certains étaient des radicaux animés par des revendications nationalistes et révolutionnaires s’opposèrent à des états démocratiques par l’utilisation de la violence. Un processus de paix se développa à partir de 1998 en Irlande du Nord ; celui du Pays Basque est toujours dans l’impasse.Il semble au premier abord que ces conflits continuèrent sans bouleversement majeur dans la période qui suivit la chute du mur.Cet article examine les revendications des nationalistes en Irlande du Nord et au Pays Basque pour tenter de dévoiler dans quelle mesure ils furent affectés par ce choc historique.Une perspective comparative permet de comprendre que ces mouvements furent influencés différemment en fonction des contextes locaux. Certains acteurs politiques restèrent volontairement imperméables, alors que d’autres furent davantage affectés par le débat idéologique.

  5. NKS NordDSS - report from workshop on the use of Decision Support Systems

    Energy Technology Data Exchange (ETDEWEB)

    Dyve, J.E. (Norwegian Radiation Protection Authority (Norway))

    2010-03-15

    Nuclear preparedness and response authorities in the Nordic countries are using decision support systems (DSS) as part of their operational capability. A DSS compile, display and analyse data that makes up the current and future radiological state of an emergency. ARGOS and RODOS are the two most common systems in use in the Nordic region. The aim of of the NordDSS workshop was to gather Nordic and international experts on DSS, and share knowledge and experience. The workshop brought together 22 experts for two days in Copenhagen. (author)

  6. NKS NordDSS - report from workshop on the use of Decision Support Systems

    International Nuclear Information System (INIS)

    Dyve, J.E.

    2010-03-01

    Nuclear preparedness and response authorities in the Nordic countries are using decision support systems (DSS) as part of their operational capability. A DSS compile, display and analyse data that makes up the current and future radiological state of an emergency. ARGOS and RODOS are the two most common systems in use in the Nordic region. The aim of of the NordDSS workshop was to gather Nordic and international experts on DSS, and share knowledge and experience. The workshop brought together 22 experts for two days in Copenhagen. (author)

  7. Etude comparative de la rentabilité de deux types d'apiculture au nord ouest du Cameroun

    NARCIS (Netherlands)

    Tsafack Matsop, A.S.; Muluh Achu, G.; Kamajou, F.; Ingram, V.; Vabi Boboh, M.

    2011-01-01

    La présente étude examine la rentabilité financière de l’apiculture au Cameroun. Son objectif global est de comparer la rentabilité des deux types d’apiculture pratiqués au Nord Ouest Cameroun. L’hypothèse globale est qu’il existerait une différence significative en rendement de miel et en bénéfice

  8. FRAMES – oversvømmelseshåndtering i Nordsøregionen

    DEFF Research Database (Denmark)

    Thomsen, Mie; Andersen, Kaiija J.; Sørensen, Carlo Sass

    2017-01-01

    alternativer til den klassiske oversvømmelses-beskyttelse, der er både bekostelig og pladskrævende. Nogle alternativer, der fremkommer gennem konceptet Multi-Layer Safety (MLS) er forebyggelse, mitigation gennem fysisk planlægning og genopretning af ramte områder. Vi præsenterer EU Interreg North Sea Region......-projektet ’Flood Resilient Areas by Multi-layEred Safety’ (FRAMES), 2016-2019, der anvender dette koncept som udgangspunkt til at håndtere oversvømmelse og klimaændringer i nordsøregionen. Gennem FRAMES undersøger partnerne, hvordan lokalsamfund og kommuner arbejder med og håndterer en oversvømmelseshændelse før...

  9. Baisse de la transmission de la douve du foie dans le nord-est de la ...

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

    mortelle de cancer du foie liée à l'O. viverrini. Dans cer- taines régions, près de 85 % de la population est porteuse du parasite. Les villages du nord-est de la Thaïlande, où l'on raffole du poisson cru, ont des taux d'infection parmi les plus élevés du pays. Les personnes infectées peuvent porter le parasite adulte pendant ...

  10. Estimation of the risk of radiation-induced leukaemia among young people in the vicinity of the La Hague reprocessing plant. Results from the nord-cotentin radioecological study

    International Nuclear Information System (INIS)

    Rommens, C.; Laurier, D.; Merle-Szeremeta, A.; Sugier, A.; Drombry-Ringeard, C.

    2000-01-01

    A radioecological study has been performed around the La-Hague nuclear reprocessing plant (Nord-Cotentin, France). The Working Group included nuclear operators, authorities, international experts and members of environmental organisations and was supported by IPSN. The study aimed to reconstruct radiation doses received by members of the public aged 0 to 24 years and living in the area, with a view to estimate the associated risk of leukaemia between 1978 and 1996. The assessment involved three steps: 1. reconstruction of a cohort of people aged 0 to 24 years, using local birth rates for the years 1954 to 1996 and taking into account the additional migrations of young people in the area. 2. estimation of doses to the red bone marrow received from all source of radiation (natural, medical, local nuclear industries and Chernobyl and weapons testing). Concentrations of radionuclides in the environment were estimated with a combination of two approaches: the modelling of the transfer of the releases in the environment and the use of environmental measurements. The dose computation takes into account the life style of the local population. ICRP dose coefficients to the red bone marrow were used. 3. derivation of leukaemia risk from a dose response model recommended by the UNSCEAR committee. The reconstructed population includes 6656 people born between 1954 and 1996, who inhabited the study area for at least one year between 1978 and 1996 before the age of 25. The number of person-years between 1978 and 1996 is 69308. The total collective dose to the red bone marrow due to local nuclear installations is 0.5 man.Sv. For the sake of comparison, the collective dose due to all sources of exposure is 241 man.Sv: The estimated number of leukaemia due to all exposure sources is 0.835. 74% are due to natural exposures, 24% to medical ones and 2% to the Chemobyl accident and nuclear arm testing. Nuclear facilities of Nord-Cotentin contribute only for 0.1% (between 0.0009 and 0

  11. Road map towards a common harmonised Nordic end-user market. NordREG report 5 - 2013

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-07-01

    The purpose of this road map is to describe the overall process to harmonise the Nordic electricity end-user markets. The main target groups for the road map are the Nordic governments, legislators and the electricity industry. The road map will continuously be updated as the project progresses, at least once a year. It describes the recommendations already made by NordREG, as well as indicates up-coming recommendations. One important part of the Nordic harmonisation process is the monitoring of the progress of the project. It will be communicated through national implementation monitoring overviews, which will describe the state of play for each recommendation made by NordREG. The road map highlights the importance of national commitment by different stakeholders, authorities and governments in order to successfully harmonise the Nordic end-user markets. This commitment is absolutely essential. The goal for 2015 is to harmonise some of the legislation, rules and processes that constitute barriers for suppliers to establish their business in other Nordic countries. In order to achieve this goal, NordREG is working towards defining responsibilities in the customer interface of the supplier centric model and the way of billing the customers. Another important task is related to development of an efficient way of communication among a large number of Nordic electricity companies. By 2015 the end-user markets should be harmonised to the extent that the most critical prerequisites have been achieved. But it is important to bear in mind that there are still many more steps to be taken also after 2015. The harmonisation process between the Nordic retail markets is a process that will continue for the foreseeable future. Since there is no supranational organisation or institution (like in the EU), it means that any future development of the Nordic retail market will have to be continuously coordinated between the Nordic countries to ensure that the markets maintain the

  12. Contributo di dati di gravità nella valutazione del vulcanismo CAMP in Africa Nord-Occidentale

    OpenAIRE

    Fabbri, Julius

    2015-01-01

    2013/2014 La domanda alla base di questa ricerca è stata se il metodo della gravimetria satellitare possa essere utilizzato per seguire le unità geologiche anche in luoghi difficilmente accessibili. L’obiettivo di questa ricerca è di verificare se le missioni satellitari di nuova generazione permettano di identificare la più grande delle province ignee della Terra (Bertrand et al., 2013), nota come CAMP (Central Atlantic Magmatic Province) in Africa nord-occidentale. Oltre alle motivazioni...

  13. Römerzeitliche keramik aus dem nordöstlichen Turm der Römerstadt Horreum Margi

    Directory of Open Access Journals (Sweden)

    Petković Sofija

    2011-01-01

    Full Text Available Ćuprija, die ehemalige Römerstadt Horreum Margi, liegt im zentralen Teil Serbiens, an der Mündung des Flusses Ravanica in die Morava. Der Ort war ein Militärlager und spielte eine wichtige Rolle als Sammlungszentrum der Römerprovinz Moesia Superior (Moesia Prima. Zwischen 1986 und 1990 fanden die Ausgrabungen von Horreum Margi statt. Dabei wurden der Innenraum der spätrömischen Festung, die nördliche Mauer und der nordöstliche Turm erforscht. Während der Ausgrabung im Turm wurden unterschiedliche Keramiktypen entdeckt. Schüsseln (acht Typen bilden dabei die Mehrheit. Danach kommen Töpfe (sieben Typen, Amphoren (zwei Typen, Krüge (zwei Typen, Deckel (ein Typ und Becher (ein Typ. Sie gehören alle zu einer komplexen spätrömerzeitlichen Typologie, die für diese Fundstelle erstellt wurde und entsprechen zu den restlichen Keramiktypen, die im Festungsinneren und entlang der Nordmauer ausgegraben kamen. Der Text bietet einen Überblick aller Keramiktypen an, die im nordöstlichen Turm der Römerfestung Horreum Margi entdeckt wurden. [Projekat Ministarstva nauke Republike Srbije, br. 177007: Romanisierung, Urbanisierung und Transformation städtischer Zentren vomzivilen, militärischen und Wohnungscharakter in den römischen Provinzen auf dem Territorium Serbiens i br. 177007: Viminacium dierömische Stadt und Militärlager-Forschung der materiellen und geistigen Hinterlassenschaft mit der Verwendung moderner Technologien: Ferndetektion, Geophysik, Gis Digitalisierung und 3.D Visualisierung

  14. Nord Pool wants to be the leader in CO2

    International Nuclear Information System (INIS)

    Wellander, Dag

    2004-01-01

    In the beginning of 2005 Nord Pool introduces standard contracts for European emission rights for carbon dioxide. It is currently too early to speak of a global market for emission rights for greenhouse gases. The problem is not the attitude of the U.S.A., as is often said, but what road is taken by the so-called third world. The acceptance of the Kyoto Protocol by the Russians means that the agreement will come into force in 2005. It is much more important, however, what is going to happen after the first implementation period 2008 - 2012. In that process those countries that strive for one car per household must also be engaged. In particular the giant nations China and India must join the agreement if it is to be a notable climatic agreement of global scope

  15. Final report from the NKS NordThreat seminar in Asker

    Energy Technology Data Exchange (ETDEWEB)

    Eikelmann, I M.H.; Selnaes, OE G [eds.; Norwegian Radiation Protection Authority (Norway)

    2009-11-15

    Changes in the international security environment have lead to an increased attention towards the need to revise various threat assessments in the Nordic countries. Together with recent events such as incidents at Nordic nuclear power plants, orphan sources and accidents involving nuclear powered vessels, this has given a good opportunity for an exchange of information and opinions. The NKS-B NordThreat seminar took place at Sem gjestegaard in Asker outside Oslo, Norway on 30 - 31 October 2008. Main topics in the seminar were: 1) National threat assessments 2) Potential hazards 3) Experience from previous incidents 4) Public perception of nuclear and radiological threats and information challenges 5) Challenges for future preparedness. There were about 40 participants at the seminar. These were mainly members of the NKS organisations, invited speakers and representatives from various Norwegian emergency preparedness organisations. (author)

  16. Polymorphisme de l'apolipoprotéine E dans la population du nord du Maroc: fréquence et influence sur les paramètres lipidiques

    Science.gov (United States)

    Benyahya, Fatiha; Barakat, Amina; Ghailani, Naima; Bennani, Mohcine

    2013-01-01

    Introduction L'objectif de ce travail est de déterminer les fréquences alléliques et génotypiques des sites polymorphes situés dans le gène de l'apolipoprotéine E (apo E) ainsi que leur impact sur les paramètres cliniques et lipidiques dans un échantillon de la population du nord du Maroc cliniquement diagnostiqué ADH. Méthodes Le génotype de l'apo E a été analysé par séquençage direct chez 46 patients cliniquement diagnostiqués ADH selon les critères standards. Résultats Les fréquences des allèles epsilon 3, epsilon 2 et epsilon 4 ont été respectivement 78.3%, 2.2% et 19.6%. La fréquence de l'allèle epsilon 4 est très élevée chez la population du nord du Maroc en comparaison avec les populations des autres régions marocaines. Elle est similaire à celle rapportée dans les pays de l'Europe du nord. Les taux du cholestérol total, du cholestérol LDL ainsi que la présence des xanthomes et les maladies cardiovasculaires ne différent pas entre les génotypes de l'apoE. En revanche, les résultats ont montré une influence de l'allèle epsilon4 sur le taux des triglycérides chez les sujets obèses. Conclusion Le génotype de l'apoE ne peut expliquer le phénotype clinique et biochimique présenté par des patients du Nord du Maroc cliniquement diagnostiqués ADH. PMID:24396563

  17. Taking energy efficiency to a new scale: the climate change action plan in Nord-Pas de Calais region

    International Nuclear Information System (INIS)

    Lafolie, Bertrand; Tillerson, Kenya

    2005-01-01

    Through the experience of a new climate change action plan in the French region 'Nord-Pas de Calais', the paper highlights the urgent necessity as well as the inherent difficulties for energy efficiency strategies to penetrate everyday practices and policies in order to reduce emissions in line with national and international commitments. Nord-Pas de Calais takes pride in two decades of sustained promotion of energy efficiency and renewable energy. Nevertheless, observation shows that regional consumption grows at roughly the same rate as does national consumption. The paper will present the history of energy efficiency in the region and relate the steps in elaborating a new climate change action plan that moves away from a focus on innovative projects towards the integration of easily replicable practices in business as usual. It then discusses some of the practical roadblocks that are faced in attempting to change the scale of achievements. Surprisingly, the main barrier met with until now seems not to be lack of interest and motivation towards energy efficiency from the general public but the way energy efficiency practitioners traditionally work and think eceee '005 Panel 2

  18. La faille Nord-Pyrénéenne dans l’Ariège et la Haute-Garonne

    NARCIS (Netherlands)

    Sitter, de L.U.

    1953-01-01

    Un des plus grands phénomènes structuraux des Pyrénées est sans doute la faille Nord-Pyrénéenne qui longe la zone axiale depuis la Méditerranée jusqu'à la côte atlantique. Elle est caractérisée par plusieurs particularités exceptionelles, dont le métamorphisme des terrains jurassiques et crétacés

  19. Final report from the NKS NordThreat seminar in Asker, Norway

    International Nuclear Information System (INIS)

    Eikelmann, I.M.H.; Selnaes, Oe.G.

    2009-11-01

    Changes in the international security environment have lead to an increased attention towards the need to revise various threat assessments in the Nordic countries. Together with recent events such as incidents at Nordic nuclear power plants, orphan sources and accidents involving nuclear powered vessels, this has given a good opportunity for an exchange of information and opinions. The NKS-B NordThreat seminar took place at Sem gjestegaerd in Asker outside Oslo, Norway on 30 - 31 October 2008. Main topics in the seminar were: 1) National threat assessments 2) Potential hazards 3) Experience from previous incidents 4) Public perception of nuclear and radiological threats and information challenges 5) Challenges for future preparedness. There were about 40 participants at the seminar. These were mainly members of the NKS organisations, invited speakers and representatives from various Norwegian emergency preparedness organisations. (author)

  20. Farmers' mental health: A longitudinal sibling comparison - the HUNT study, Norway.

    Science.gov (United States)

    Torske, Magnhild Oust; Bjørngaard, Johan Håkon; Hilt, Bjørn; Glasscock, David; Krokstad, Steinar

    2016-06-01

    Studies of the mental health of farmers have been largely cross-sectional and possibly confounded. We performed a prospective cohort study as well as a sibling comparison to control for unmeasured confounding. Our study included 76 583 participants aged ≥19 years from the Nord-Trøndelag Health Study [HUNT1 (1984-1986), HUNT2 (1995-1997) and HUNT3 (2006-2008)]. We used the Anxiety and Depression Index (ADI) and the Hospital Anxiety and Depression Scale (HADS) to measure symptoms of mental distress. We used logistic regression to investigate the association between occupation at baseline and symptoms of mental distress 11 years later and fixed effects conditional logistic regression to compare farmers with their siblings working in other occupations. In the prospective cohort study, farmers had similar odds of having symptoms of psychological distress and anxiety as other manual occupational groups. Among all the occupational groups in the study, farmers had the highest odds of having symptoms of depression [odds ratio (OR) 1.99, 95% confidence interval (CI) 1.55-2.55, reference group: higher grade professionals]. Compared with their farming brothers and sisters, siblings in other occupations had lower odds of having high depression (OR 0.70, 95% CI 0.55-0.89) and anxiety (OR 0.79, 95% CI 0.63-1.00) scores in 2006-2008. Farmers had higher odds of having high depression scores compared to both other occupational groups and their siblings who were not working as farmers, suggesting that working in agriculture may impact mental health.

  1. L’AMANT DE LA CHINE DU NORD, BY MARGUERITE DURAS: BOOK, FILM, NIGHT

    Directory of Open Access Journals (Sweden)

    Andréa Correa Paraiso Müller

    2016-06-01

    Full Text Available Na trajetória artística de Marguerite Duras, a relação entre cinema e literatura não se limita à passagem do texto à tela, mas compreende também o caminho inverso, da tela ao texto. Mais do que transformar filmes em livros, Duras fez literatura em diálogo com o cinema. No presente artigo, temos por objetivo analisar a maneira pela qual a linguagem cinematográfica perpassa a linguagem literária e vice-versa em L’Amant de la Chine du Nord (1991, texto que, embora chamado de romance por sua própria autora, organiza-se a partir de elementos próprios a um paratexto fílmico.

  2. A population based validation study of self-reported pensions and benefits: the Nord-Trøndelag health study (HUNT

    Directory of Open Access Journals (Sweden)

    Myrtveit Solbjørg Makalani

    2013-01-01

    Full Text Available Abstract Background Measures of disability pensions, sickness certification and long-term health related benefits are often self-reported in epidemiological studies. Few studies have examined these measures, and the validity is yet to be established. We aimed to estimate the validity of self-reported disability pension, rehabilitation benefit and retirement pension and to explore the benefit status and basic characteristics of those not responding to these items. A large health survey (HUNT2 containing self-reported questionnaire data on sickness benefits and pensions was linked to a national registry of pensions and benefits, used as “gold standard” for the analysis. We investigated two main sources of bias in self-reported data; misclassification - due to participants answering questions incorrectly, and systematic missing/selection bias - when participants do not respond to the questions. Sensitivity, specificity, positive (PPV and negative (NPV predicative value, agreement and Cohen’s Kappa were calculated for each benefit. Co-variables were compared between non-responders and responders. Results In the study-population of 40,633, 9.2% reported receiving disability pension, 1.4% rehabilitation benefits and 6.1% retirement pension. According to the registry, the corresponding numbers were 9.0%, 1.7% and 5.4%. Excluding non-responders, specificity, NPV and agreement were above 98% for all benefits. Sensitivity and PPV were lower. When including non-responders as non-receivers, specificity got higher, sensitivity dropped while the other measures changed less. Between 17.7% and 24.1% did not answer the questions on benefits. Non-responders were older and more likely to be female. They reported more anxiety, more depression, a higher number of somatic diagnoses, less physical activity and lower consumption of alcohol (p  Conclusions The validity of self-reported data on disability pension, rehabilitation benefits and retirement pension is

  3. Experiences with Use of Various Pedagogical Methods Utilizing a Student Response System -- Motivation and Learning Outcome

    Science.gov (United States)

    Arnesen, Ketil; Korpas, Guri Sivertsen; Hennissen, Jon Eirik; Stav, John Birger

    2013-01-01

    This paper describes use of an online Student Response System (SRS) in a pre-qualification course for engineering studies in Norway. The SRS in use, where students answer quizzes using handheld mobile devices like Smartphones, PADs, iPods etc., has been developed at Sor-Trondelag University College. The development of the SRS was co-funded by the …

  4. LE FRANÇAIS DANS LA PRESSE ECRITE DU NORD-CAMEROUN : DIAGNOSTIC, CRITIQUES ET ORIENTATIONS

    Directory of Open Access Journals (Sweden)

    Moïse MBEY MAKANG

    2013-11-01

    Full Text Available La présente réflexion tire son origine de la crise linguistique observée au sein de la presse écrite du Nord-Cameroun. Celle-ci fait échos des irrégularités de la langue de Voltaire dans la presse écrite de cette partie du pays. De plus en plus, on y assiste à une émergence des déviances syntaxiques et une profusion des écarts langagiers à connotation dépréciative. L’indécence verbale de la société, la mauvaise prestation des élèves en classe et lors des examens officiels en sont des indicateurs pertinents. Il est important de mentionner que la cohabitation entre les langues camerounaises et le français, la sous-scolarisation et ou l’ignorance, le laxisme des rédacteurs en chef, etc. sont les mobiles profonds de cette incorrection. Pourtant, nous savons tous que les media sont une forteresse où la langue doit être préservée de toute entorse et représentent un modèle pour la société. Néanmoins, des traits caractéristiques du français de la presse écrite du Nord-Cameroun s’inscrivent en faux par rapport à cette vocation naturelle des media. Dès lors, la question que nous pouvons nous poser est celle de savoir si ces mobiles ci-dessus cités sont des éléments qui favorisent l’émergence de cette dialectalisation du français. En clair qu’est-ce qui caractérise le français des journalistes? Quelle est la structure morphosyntaxique du français des rédacteurs des journaux? S’agit-il d’un français conforme à une norme locale ou (y retrouvons-nous des énoncés exogènes ? Quel type de morphosyntaxe utilisent les rédacteurs ? Une morphosyntaxe endogène, morphosyntaxe qui leur est propre, ou plutôt une morphosyntaxe exogène, supposée unique à tous les francophones ? Peut-on parler d’alternance codique, d’argotisation, ou de créolisation ? La présente analyse a pour ambitions de s’interroger sur les mobiles profonds qui incitent des journalistes à s’écarter de la norme du fran

  5. Symptoms of anxiety and depression and risk of heart failure: The HUNT Study

    OpenAIRE

    Gustad, Lise Tuset; Laugsand, Lars Erik; Janszky, Imre; Dalen, Håvard; Bjerkeset, Ottar

    2014-01-01

    Aims The nature of the association of depression and anxiety with risk for acute myocardial infarction (AMI) remains unclear. We aimed to study the prospective association of single and recurrent self-reported symptoms of anxiety and depression with a risk of AMI in a large Norwegian population based cohort. Methods and results In the second wave of the Nord-Trøndelag Health Study (HUNT2, 1995–97) baseline data on anxiety and depression symptoms, sociodemographic variables, health status...

  6. NKS NordRisk II: Atlas of long-range atmospheric dispersion and deposition of radionuclides from selected risk sites in the Northern Hemisphere

    DEFF Research Database (Denmark)

    Smith Korsholm, Ulrik; Astrup, Poul; Lauritzen, Bent

    The present atlas has been developed within the NKS/NordRisk-II project "Nuclear risk from atmospheric dispersion in Northern Europe". The atlas describes risks from hypothetical long-range dispersion and deposition of radionuclides from 16 nuclear risk sites on the Northern Hemisphere...... spanning the climate variability associated with the North Atlantic Oscillation, and corresponding time evolution of the ensemble mean atmospheric dispersion....

  7. Insomnia symptoms and risk for unintentional fatal injuries--the HUNT Study.

    Science.gov (United States)

    Laugsand, Lars Erik; Strand, Linn B; Vatten, Lars J; Janszky, Imre; Bjørngaard, Johan Håkon

    2014-11-01

    To assess the association between insomnia symptoms and risk of fatal unintentional injuries. Population-based prospective cohort study with a mean follow-up of 14 y, linking health survey data with information on insomnia symptoms to the National Cause of Death Registry. Nord-Trøndelag County, Norway. A total of 54,399 men and women 20-89 y of age who participated in the Nord-Trøndelag Health Study between 1995 and 1997. N/A. There were 277 unintentional fatal injuries, including 57 fatal motor vehicle injuries during follow-up. There was a dose-dependent association between the number of insomnia symptoms and risk of unintentional fatal injuries (P for trend 0.001) and fatal motor vehicle injuries (P for trend 0.023), respectively. The proportion of unintentional fatal injuries cases that could have been prevented in the absence of difficulties initiating sleep, difficulties maintaining sleep, and having a feeling of nonrestorative sleep were 8%, 9%, and 8%, respectively. The corresponding estimates for motor vehicle injuries were 34%, 11%, and 10%. Insomnia is a major contributor to both unintentional fatal injuries in general as well as fatal motor vehicle injuries. Increasing public health awareness about insomnia and identifying persons with insomnia may be important in preventing unintentional fatal injuries.

  8. Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study

    OpenAIRE

    Gustad, Lise Tuset; Laugsand, Lars Erik; Janszky, Imre; Dalen, Håvard; Bjerkeset, Ottar

    2013-01-01

    Aims The nature of the association of depression and anxiety with risk for acute myocardial infarction (AMI) remains unclear. We aimed to study the prospective association of single and recurrent self-reported symptoms of anxiety and depression with a risk of AMI in a large Norwegian population based cohort. Methods and results In the second wave of the Nord-Trøndelag Health Study (HUNT2, 1995–97) baseline data on anxiety and depression symptoms, sociodemographic variables, health status...

  9. Commercial development of a new process of uraniferous ore sintering by pelletizing before dump leaching (wet process) application to a very clayey ore of Nord-Aquitaine

    International Nuclear Information System (INIS)

    Videau, G.; Roche, M.

    1990-01-01

    Much of the French uranium ore contains clay of sedimentary origin or derived from the alteration of rocks of the granite type. During a dump leaching operation by a wet process, these clays reduce the percolation rates and sometimes the percolation rates are so low that the very essence of the dump leaching operation can be called in question. This problem arises particularly for the treatment of the ore of Nord-Aquitaine. The results of tests, carried out at the SEPA in Bessines, have shown that after pelletizing clayey ores with sodium silicate in the presence of sulphuric acid for the polymerization of the silicate, the percolation rates were much increased. This new method was successfully applied, from a laboratory column to a pilot dump of 500 tonnes for the very clayey ore of Nord-Aquitaine. This ore of low grade (approx. 1000 ppm of U) seems to be difficult to upgrade by any other method of treatment in the present economic context [fr

  10. Occupational noise exposure, hearing loss, and notched audiograms in the HUNT Nord-Trøndelag hearing loss study, 1996-1998.

    Science.gov (United States)

    Lie, Arve; Engdahl, Bo; Hoffman, Howard J; Li, Chuan-Ming; Tambs, Kristian

    2017-06-01

    To study the prevalence and usefulness of audiometric notches in the diagnosis of noise-induced hearing loss (NIHL). Audiograms and data on noise exposure from 23,297 men and 26,477 women, aged 20 to 101 years, from the Nord-Trøndelag Hearing Loss Study, 1996-1998. The prevalence of four types of audiometric notches (Coles, Hoffman, Wilson) and 4 kHz notch were computed in relation to occupational noise exposure, age, sex, and report of recurrent ear infections. The prevalence of notches in the 3 to 6 kHz range (Wilson, Hoffman, and Coles) ranged from 50% to 60% in subjects without occupational noise exposure, and 60% to 70% in the most occupationally noise-exposed men. The differences were statistically significant only for bilateral notches. For 4 kHz notches, the prevalence varied from 25% in occupationally nonexposed to 35% in the most occupationally exposed men, and the differences were statistically significant for both bilateral and unilateral notches. For women, the prevalence of notches was lower than in men, especially for 4 kHz notches, and the differences between occupationally noise exposed and nonexposed were smaller. Recreational exposure to high music was not associated with notched audiograms. The detection of bilateral notches and unilateral 4 kHz notches is of some value in diagnosing NIHL, especially in men. 4 Laryngoscope, 127:1442-1450, 2017. © 2016 The Authors. The Laryngoscope published by Wiley Periodicals, Inc. on behalf of American Laryngological, Rhinological and Otological Society Inc, “The Triological Society” and American Laryngological Association (ALA).

  11. Asie : Asie de l'Est : Japon : Région de Kanto : Préfecture de Tokyo : Tokyo : Habitations récentes dans la banlieue Nord

    OpenAIRE

    Lubeigt , Guy

    1983-01-01

    Commentaire de l'auteur en 2015: Tokyo a été presque entièrement détruite par les bombardements US en 1945 - Toutes les maisons en bois ont flambé; Légende manuscrite sur le document original : "Tokyo, banlieue N. Nouveau lotissement, toits en tuiles. " Géolocalisation : Approximative centrée sur le Nord de Tokyo.

  12. Stranieri e vicini: le banche attraverso le frontiere del nord America. (Strangers and neighbours: cross-border banking in North America

    Directory of Open Access Journals (Sweden)

    J.W. DEAN

    2013-12-01

    Full Text Available L'articolo si occupa di aspetti normativi e competitivi della penetrazione reciproca da parte delle banche canadesi e statunitensi nei rispettivi mercati nazionali . Gli autori valutano il grado in cui i fattori economici sono gli unici responsabili per la differenza nei tassi di crescita tra le banche nazionali ed estere in Nord America. Essi sostengono che il regolamento non ha inciso sullala crescita delle banche estere in Nord America affrontando la questione della reciprocità in regolamenti bancari , prima di esaminare le banche estere negli Stati Uniti e il modo in cui sono state regolamentate .The paper is concerned with regulatory and competitive aspects of the mutual penetration by Canadian and U.S. banks of each other’s domestic markets. The authors assess the degree to which economic factors alone are responsible for the difference in growth rates between domestic and foreign banks in North America. They argue that regulation has not affected the growth of foreign banks in North America by addressing the question of reciprocity in banking regulations, before examining foreign banks in the U.S. and the manner in which they have been regulated. U.S. banks operating in Canada are then dealt with. Finally, the results of an empirical test of the proposition that the growth of cross-border banking is attributable to factors other than differential regulation is presented.JEL: G21

  13. L’architecture médiévale en brique dans le nord de l’Europe

    OpenAIRE

    Debonne, Vincent

    2013-01-01

    Dans le nord de l’Europe, l’archéologie du bâti accorde un intérêt particulier à la brique, ce matériau de construction qui se répand très vite après sa « réinvention » aux alentours de 1200. Si les recherches sur l’histoire de la brique dans ces régions remontent au début du xxe siècle, on assiste depuis une vingtaine d’années à une nouvelle dynamique des études dans plusieurs pays. L’Allemagne donne le ton : non seulement s’y développe une variété d’approches de l’architecture médiévale en ...

  14. The relationship between spot and futures prices in the Nord Pool electricity market

    International Nuclear Information System (INIS)

    Botterud, Audun; Kristiansen, Tarjei; Ilic, Marija D.

    2010-01-01

    We analyze 11 years of historical spot- and futures prices from the hydro-dominated Nord Pool electricity market. We find that futures prices tend to be higher than spot prices. The average convenience yield is therefore negative, but varies by season and depends on the storage levels in hydro reservoirs. The average realized return on holding a long position in the futures market is also negative. The negative convenience yield and risk premium contrast empirical findings in most other commodity markets. We argue that differences between the supply and demand sides in terms of risk preferences and the ability to take advantage of short-term price variations can contribute to explain the observed relationship between spot- and futures prices. In addition, our analysis shows that the relationship between spot and futures prices is clearly linked to the physical state of the system, such as hydro inflow, reservoir levels, and demand. (author)

  15. Application of resistivity measurements to research on structural elements in the Nord-Limousin (France) uraniferous basin (1960); Application des mesures de resistivite a la recherche des elements structuraux dans le bassin uranifere du Nord-Limousin (France) (1960)

    Energy Technology Data Exchange (ETDEWEB)

    Sarcia, J A; Bonnet, J; Combe, R [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    The authors discuss the difficulties encountered in the exploration of a typical deposit in the Nord-Limousin, using the resistivity measurement method. In the zone in question the over-thrust was very variable and difficult to predict. The uraniferous deposits had two types of aspect, the passage from one to the other being often very sudden: long thin veins without gangue; short and thick lens-shape deposits which were strongly contaminated by clay towards their edges. After several unsatisfactory attempts, the device known as the 'rectangular map' was adopted and gave an acceptable structural representation rapidly and cheaply. For the placing of the probes however, methods are required which are more refined and sensitive. It is in any case useless to expect to obtain a satisfactory representation and a sufficient accuracy using a single technique; especially in the region under consideration. (author) [French] Les auteurs exposent les difficultes rencontrees pour l'exploration, par la methode des mesures de resistivite, d'un gisement type du Nord-Limousin: il s'agissait d'une zone a recouvrement tres variable et difficilement previsible. Les occurences uraniferes y affectaient deux facies passant brutalement de l'un a l'autre: longs filonnets minces et sans gangue; lentilles courtes et puissantes avec alteration argileuses tres etendue aux epontes. Apres plusieurs essais peu satisfaisants, le dispositif dit 'carte des rectangles' a ete adopte pour obtenir rapidement et a bon compte un schema structural suffisant. Mais des methodes plus fines et plus sensibles sont necessaires pour guider l'implantation des sondages. Il est d'ailleurs vain d'esperer trouver a la fois la representativite d'ensemble et la precision, dans l'utilisation d'une seule technique, surtout dans la region envisagee. (auteur)

  16. Urinary incontinence after vaginal delivery or cesarean section.

    Science.gov (United States)

    Borges, João Bosco Ramos; Guarisi, Telma; Camargo, Ana Carolina Marchesini de; Gollop, Thomaz Rafael; Machado, Rogério Bonassi; Borges, Pítia Cárita de Godoy

    2010-06-01

    To assess the prevalence of stress urinary incontinence, urge incontinence and mixed urinary incontinence among women residing in the city of Jundiaí (São Paulo, Brazil), and the relation between the type of incontinence and the obstetric history of these women. A cross-sectional community-based study was conducted. A total of 332 women were interviewed; they were seen for whatever reason at the public primary healthcare units of the city of Jundiaí, from March 2005 to April 2006. A pre-tested questionnaire was administered and consisted of questions used in the EPINCONT Study (Epidemiology of Incontinence in the County of Nord-Trondelag). Statistical analysis was carried out using the χ2 test and odds ratio (95%CI). Urinary incontinence was a complaint for 23.5% of the women interviewed. Stress urinary incontinence prevailed (50%), followed by mixed urinary incontinence (35%) and urge incontinence (15%). Being in the age group of 35-64 years, having a body mass index of 30 or greater and having had only vaginal delivery or cesarean section, with uterine contraction, regardless of the number of pregnancies, were factors associated with stress urinary incontinence. However, being in the age group of 55 or older, having a body mass index of 30 or greater and having had three or more pregnancies, only with vaginal deliveries, were factors associated with mixed urinary incontinence. One third of the interviewees complained of some type of urinary incontinence, and half of them presented stress urinary incontinence. Cesarean section, only when not preceded by contractions, was not associated with stress urinary incontinence. The body mass index is only relevant when the stress factor is present.

  17. Etude saisonnière de la contamination métallique des macroalgues de la lagune nord de Tunis

    OpenAIRE

    Chouba, L.; Ajjabi-Chebil, L.; Herry, S.

    2010-01-01

    Dans le but de démontrer la capacité de bioaccumulation métallique des macroalgues et sa variation temporelle, on s’est intéressé à la détermination de la gamme de concentrations en métaux traces (Plomb, Cadmium, Fer, Manganèse et Zinc) dans trois macroalgues vertes (Ulva rigida, Chaetomorpha linum, Caulerpa prolifera) au niveau de la lagune nord et du canal de navigation de Tunis sujettes à d’importants rejets anthropiques. Des collectes saisonnières ont été faites dans la lagune de Tunis du...

  18. Quelques conséquences de l'introduction de deux espèces de macrophytes, Elodea canadensis Michaux et Elodea nuttallii St. John, dans les écosystèmes aquatiques continentaux : exemple de la plaine d'Alsace et des Vosges du Nord (Nord-Est de la France

    Directory of Open Access Journals (Sweden)

    THIEBAUT G.

    1997-01-01

    Full Text Available L'introduction au XIXème et XXème siècle, de deux espèces d'élodées Elodea canadensis Michaux et Elodea nuttallii St. John, dans les cours d'eau du nord-est de la France, a induit des modifications dans la composition floristique et le fonctionnement des écosystèmes aquatiques. L'analyse comparative de la distribution géographique de ces deux hydrophytes dans les eaux calcaires (plaine d'Alsace et acides (Vosges du Nord a permis de préciser leur écologie. Après des phases successives d'expansion des deux espèces, celles-ci se sont intégrées dans les phytocénoses aquatiques. L'introduction dans les écosystèmes aquatiques d'Elodea canadensis et d'E. nuttallii a induit des phénomènes de compétition interspécifique, en faveur essentiellement d'Elodea nuttallii. Cette dernière apparaît comme l'espèce la plus compétitive dans les cours d'eau eutrophes de la plaine d'Alsace (aptitude à accumuler le phosphore, sensibilité moindre à l'azote ammoniacal. Les élodées peuvent réaliser une épuration biologique, mais provoquent, lors de leur décomposition, une eutrophisation secondaire des eaux en absence de faucardage.

  19. Nord Stream 2: May Cooler Heads Prevail

    International Nuclear Information System (INIS)

    Aoun, Marie-Claire

    2016-01-01

    Since the announcement of the Nord Stream 2 project in June 2015, the debate around the benefits of this project for Europe is raging, putting forward political, economic and commercial arguments. Within the space of a few months, Russia has conducted a radical strategic change towards Europe in its gas policy. Following the announcements in 2014 of a major shift towards Asia, the cancellation of the South Stream project and its replacement by the Turkish Stream, relations with European gas companies have been strengthened since mid-2015. Russia's initiatives to replace its European partners are now to be viewed as part of a transformed international gas landscape. Tensions in the liquefied natural gas (LNG) market following Fukushima have given way to market surpluses. These are characterised on the one hand by lower growth in Asian demand for LNG gas, and on the other hand by the arrival on the market of new major exporters such as Australia and the United States. A new era, more favourable to gas importing countries, has opened up since the end of 2014. Moreover, the key pivot to Asia, expected by Moscow in 2014, is still far off. Discussions with Beijing about the project for a Western route proved to be more difficult than expected. Similarly, negotiations between Turkey and Russia on the Turkish Stream project have been very laborious, having been interrupted for several months because of diplomatic rows between the two countries. Finally, Russia's room for manoeuvre has narrowed, given the collapse in oil and gas prices and Western economic sanctions, which are weighing heavily on its economy. And the increased competitiveness of Russian oil companies due to the ruble devaluation will not transform this situation sustainably

  20. Self-reported health and sickness benefits among parents of children with a disability.

    Science.gov (United States)

    Wendelborg, Christian; Tøssebro, Jan

    2016-07-02

    This article investigates the possible consequences in self-reported health and receipt of sickness benefits when parenting a child with a disability This study uses data from the population health study, The Nord-Trøndelag Health Study (HUNT 2), and the historical event database, FD-Trygd, which contains Social Security and national insurance data for the Norwegian population. In the analysis, we compare 1587 parents of a child with a disability to other parents. Results indicate that parenting a disabled child impacts on self-reported health, particularly among mothers; however, being a parent to a disabled child has a much stronger effect in explaining the variance in received sickness benefits, and also length of time and frequency of having received sickness benefits. Parents with disabled children report just slightly lower self-reported health but are on sickness benefits more often than other parents which may be attributed to their extended care responsibilities.

  1. The Nordic power exchange Nord pool and the Nordic model for a liberalised power market

    International Nuclear Information System (INIS)

    Houmoller, A. P.

    2000-01-01

    As the first countries in the world, the Nordic countries Norway, Sweden, Finland and denmark have established a common, multinational power exchange. By means of this common power exchange, these countries also have established a common power market. this is also the first - and for the time being - the only place in the world, where you can find a multinational, truly competitive power market. This Nordic model has attracted much interest from other countries in Europe, Asia, North America and South America. The presentation will explain, how the common power exchange makes it possible for the four countries and the five system operators in Scandinavia physically and financially to operate a common, multinational, competitive power market. The presentation will explain how this systems works in the Nordic countries by discussion the following items: - The non-commercial players: The Transmission System Operators and the local grid operators; - The market players: the producers, the retailers, the traders, the brokers and the end users; - The access to the grid: The point tariff system; - The fairness towards the market players and the security of supply: The balancing power and the regulating power; - The power exchange handles bottlenecks in the grid. The presentation will explain how this is done and will demonstrate how this gives the power market a bottleneck handing method which:- Is neutral and fair towards all the market players, - Ensures that all the capacity of any bottleneck is utilised during every hour of operation, - Is extremely easy to use for the Transmission System Operators - also if the bottleneck is cross-border bottleneck; - The Nord Pool spot market Elspot; - The Nord Pool futures market Eltermin; - Area prices; - How financial contracts replace physical contracts when the power market is liberalised; - The day-to-day market and the market for long-term contracts in a liberalised power market; - How to eliminate the c ounter party risk

  2. Swedish parents' activities together with their children and children's health: a study of children aged 2-17 years.

    Science.gov (United States)

    Berntsson, Leeni T; Ringsberg, Karin C

    2014-11-01

    Nordic children's health has declined. Studies show that parents' engagement in children's leisure-time activities might provide beneficial health outcomes for children. The aim of the present study was to examine the association between Swedish parents' activities together with their children, the parents' experiences of time pressure and their children's health. Data of 1461 Swedish children aged 2-17 years old that were collected in the NordChild study of 2011 were used. We analyzed physical health, diseases and disabilities, psychosomatic health and well-being, and the parents' experiences of time pressure; and we calculated the associations between parental activity together with the child and health indicators. Activities that were significantly and positively associated with children's health at ages 2-17 years of age were: playing and playing games; going to the cinema, theatre, and sporting events; reading books; playing musical instruments/singing; sports activities; watching TV/video/DVD. Playing video games or computer games, driving child to activities and going for walks were significantly and positively associated at age groups 7-12 years and 13-17 years. Activities that were negatively associated with health were: surfing/blogging on the Internet, going shopping and doing homework. Parents who were not experiencing time pressures had a higher level of activity together with their children. The parental experience of time pressure was associated with work time, with less homework activity and more symptoms in children. The family and home are important settings for the development of children's health we found eight parental activities together with their children that promoted the children's health parents' working time and their time pressure experiences affected their activities with their children there is a need for an increased focus on parental activities that are positively associated with children's health. © 2014 the Nordic Societies of

  3. Marine environment protection of the North Sea and Baltic Sea. Special report - February 2004; Meeresumweltschutz fuer Nord- und Ostsee. Sondergutachten - Februar 2004

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    The marine environment of the North Sea and Baltic Sea is still heavily polluted. The marine ecosystems are under severe stress from overfishing, water pollution, raw materials production and tourism. Environmental protection in this region necessitates decisive political initiatives and strict corrections especially in fishery policy, agricultural policy and chemical substances control. This is the balance of the special expert opinion of the Council of Environmental Experts. The publication specifies the main problem areas, the current pollution situation, the fields where action is most urgently required - especially in fishery, chemical substances, agricultural and sea travel policies - and presents suggestions for an integrated European and national marine protection policy including a regional development concept for the marine environment. (orig.) [German] Die Meeresumwelt von Nord- und Ostsee ist nach wie vor stark belastet. Ueberfischung, Schadstoffeintraege und Ueberduengung sowie die intensive Nutzung durch Schifffahrt, Rohstoffabbau und Tourismus beeintraechtigen vielfach massiv die marinen Oekosysteme. Ein wirksamer Meeresumweltschutz erfordert daher einschneidende politische Initiativen und grundlegende Korrekturen insbesondere in der Fischereipolitik, der Agrarpolitik und bei der Chemikalienregulierung. Diese Bilanz zieht der Rat von Sachverstaendigen fuer Umweltfragen in seinem aktuellen Sondergutachten 'Meeresumweltschutz fuer Nord- und Ostsee'. Das Sondergutachen - gibt einen Ueberblick ueber die wichtigsten Problemfelder und die aktuelle Belastungslage, - zeigt den wesentlichen Handlungsbedarf auf, insbesondere fuer die Fischerei-, Chemikalien-, Agrar- und Schifffahrtspolitik und - entwickelt Vorschlaege fuer eine integrierte europaeische und nationale Meeresschutzpolitik einschliesslich einer Merresraumordnung. (orig.)

  4. Памятник преградил путь Nord Stream / Туули Кох

    Index Scriptorium Estoniae

    Кох, Туули

    2010-01-01

    Vene- Saksa gaasijuhtme ehituse sõlmpunktiks muutuval Gotlandil jäi Slite sadamasse Nord Streami raha eest ehitatud kaile ette mälestusmärk eestlastele ja lätlastele, kes 1944. aastal punavõimu eest põgenedes Gotlandile jõudsid. Kaart

  5. [Sources of information on suicide attempts in the Nord - Pas-de-Calais (France). Contributions and limitations].

    Science.gov (United States)

    Plancke, L; Ducrocq, F; Clément, G; Chaud, P; Haeghebaert, S; Amariei, A; Chan-Chee, C; Goldstein, P; Vaiva, G

    2014-12-01

    There are very few permanent indicators of mental health in France; suicidal behavior is often only understood on the basis of deaths by suicide. The epidemiological interest and methodological limits of four medico-administrative databases from which data on suicide attempts can be extracted have been the subject of a study in the Nord - Pas-de-Calais Region of France: telephone calls for emergency medical assistance after suicide attempt (2009 to 2011), admissions in emergency services with a diagnosis of suicide attempt (2012), medical-surgical hospital admissions as a result of suicide attempt (2009 to 2011), and psychiatric admissions with a diagnosis of suicide attempt (2011). Usable data were provided by one of two emergency medical assistance units, five of thirty emergency departments and all medical-surgical and psychiatric units; in data from the latter two sources, a unique anonymous identifier gave individual statistics, while the first two covered only suicide attempts. In 2011, the number of suicide attempt calls per 100,000 inhabitants was 304, whereas the number of hospitalisations with this diagnosis was 275; rates are highest in men between 20 and 49 years of age, and in women below 20 years of age and between 40 and 49. Sources are seen to be very homogeneous with regards to the average age at which suicide took place (between 37.8 and 38.5 years, depending on the source), and to the sex (55.0% to 57.6% of women). In 2011, the number of patients with a diagnosis of suicide attempt treated in psychiatry is 2.6 times lower than the number hospitalised for suicide attempt in medical-surgical units (3563 vs 9327). Permanent gathering of data, and the large volume of data recorded, should encourage the use of these databases in the definition and assessment of mental health policy: an increased contribution from emergency call centers and emergency services, and the coding of the suicidal nature of intoxications by a few clearly under-declaring units

  6. Финны могут поддержить Nord Stream / Мадис Филиппов

    Index Scriptorium Estoniae

    Филиппов, Мадис

    2009-01-01

    Soome ja Eesti keskkonnaministeeriumi ning teadlaste kohtumisel arutati gaasijuhtmega Nord Stream kaasnevaid probleemseid keskkonnaküsimusi: Eesti teadlased on endiselt seisukohal, et gaasijuhtmel on Eesti keskkonnale väga negatiivne mõju

  7. Recenser et étudier le patrimoine religieux du XXe siècle : l’exemple de l’inventaire des églises du Nord-Pas-de-Calais (1945-2000

    Directory of Open Access Journals (Sweden)

    Céline Frémaux

    2009-11-01

    Full Text Available La seconde moitié du XXe siècle fut une période de mutation accélérée de l’architecture religieuse en France. L’inventaire des églises paroissiales reconstruites et construites dans la région Nord-Pas-de-Calais entre 1945 et 2000 en reflète les divers aspects. Le corpus de 183 églises servant de base à une thèse de doctorat révèle l’effort d’adaptation de l’Église aux mutations historiques, économiques et sociales de cette périodeThe second half of the 20th century was a time of tumultuous changes in French religious architecture. The survey of parish churches built in the Nord-Pas-de-Calais region between 1945 and 2000 reflects all these changes. The corpus of 183 churches, on which a thesis has been based, reveals the church’s ability as an institution to adapt to the historical, economic and social changes of its time.

  8. Timing of metamorphism and exhumation in the Nordøyane ultra-high-pressure domain, Western Gneiss Region, Norway: New constraints from complementary CA-ID-TIMS and LA-MC-ICP-MS geochronology

    Science.gov (United States)

    Butler, J. P.; Jamieson, R. A.; Dunning, G. R.; Pecha, M. E.; Robinson, P.; Steenkamp, H. M.

    2018-06-01

    We present the results of a combined CA-ID-TIMS and LA-MC-ICP-MS U-Pb geochronology study of zircon and associated rutile and titanite from the Nordøyane ultra-high-pressure (UHP) domain in the Western Gneiss Region (WGR) of Norway. The dated samples include 4 eclogite bodies, 2 host-rock migmatites, and 2 cross-cutting pegmatites and leucosomes, all from the island of Harøya. Zircon from a coesite eclogite yielded an age of ca. 413 Ma, interpreted as the time of UHP metamorphism in this sample. Zircon data from the other eclogite bodies yielded metamorphic ages of ca. 413 Ma, 407 Ma, and 406 Ma; zircon trace-element data associated with 413 Ma and 407 Ma ages are consistent with eclogite-facies crystallization. In all of the eclogites, U-Pb dates from zircon cores, interpreted as the times of protolith crystallization, range from ca. 1680-1586 Ma, consistent with Gothian ages from orthogneisses in Nordøyane and elsewhere in the WGR. A zircon core age of ca. 943 Ma from one sample agrees with Sveconorwegian ages of felsic gneisses and pegmatites in the western part of the area. Migmatites hosting the eclogite bodies yielded zircon core ages of ca. 1657-1591 Ma and rim ages of ca. 395-392 Ma, interpreted as the times of Gothian protolith formation and Scandian partial melt crystallization, respectively. Pegmatite in an eclogite boudin neck yielded a crystallization age of ca. 388 Ma, interpreted as the time of melt crystallization. Rutile and titanite from 3 samples (an eclogite and two migmatites) yielded concordant ID-TIMS ages of 378-376 Ma. The results are similar to existing U-Pb data from other Nordøyane eclogites (415-405 Ma). In combination with previous pressure-temperature data from the coesite eclogite, these ages indicate that peak metamorphic conditions of 3 GPa/760 °C were reached ca. 413 Ma, followed by decompression to 1 GPa/810 °C by ca. 397 Ma and cooling below ca. 600 °C by ca. 375 Ma. The results are compatible with protracted UHP

  9. Proceedings of The 13. Nordic Workshop on Secure IT Systems, NordSec 2008, Kongens Lyngby Oct 9-10, 2008

    DEFF Research Database (Denmark)

    in Security and Mobile Computing “NordSecMob”, and a meeting of the FIRST research school. We received a total of 39 submissions in response to the call for papers, and the programme committee selected 17 of these for presentation at the workshop—one short paper, which is not included in the proceedings......, and 16 research papers. It was a pleasure for us to work with the program committee, and we want to thank both them and the additional reviewers. Beside the submitted contributions we invited Audun Jøsang, University of Oslo, and Michael Huth, Imperial College London, to speak at the workshop. Abstracts...

  10. Эстонские ученые против строительства Nord Stream

    Index Scriptorium Estoniae

    2009-01-01

    Eesti Teaduste Akadeemia kirjast president Toomas Hendrik Ilvesele ja peaminister Andrus Ansipile sooviga moodustada professionaalne komisjon, mis töötaks läbi Nord Streami gaasijuhtme keskkonnamõju hindamise materjalid

  11. Common long-range dependence in a panel of hourly Nord Pool electricity prices and loads

    DEFF Research Database (Denmark)

    Ergemen, Yunus Emre; Haldrup, Niels; Rodríguez-Caballero, Carlos Vladimir

    to strong seasonal periodicity, and along the cross-sectional dimension, i.e. the hours of the day, there is a strong dependence which necessarily has to be accounted for in order to avoid spurious inference when focusing on the time series dependence alone. The long-range dependence is modelled in terms...... of a fractionally integrated panel data model and it is shown that both prices and loads consist of common factors with long memory and with loadings that vary considerably during the day. Due to the competitiveness of the Nordic power market the aggregate supply curve approximates well the marginal costs...... data approaches to analyse the time series and the cross-sectional dependence of hourly Nord Pool electricity spot prices and loads for the period 2000-2013. Hourly electricity prices and loads data are characterized by strong serial long-range dependence in the time series dimension in addition...

  12. O modelo Funcionalista de Christiane Nord aliado ao dispositivo de Sequências Didáticas: norteamentos para o Ensino de Tradução

    Directory of Open Access Journals (Sweden)

    Valdecy Oliveira Pontes

    2017-08-01

    Full Text Available Abordagens mais recentes nos Estudos da Tradução partem do princípio de que não se traduz uma língua/cultura, mas textos. Na perspectiva da Tradução Funcionalista, esses não podem ser compreendidos à parte de seu contexto comunicativo, fato que justifica a proximidade do Ensino de Tradução com o conhecimento sobre gêneros textuais, destacada, inclusive, por Nord (2012. Assim, a partir da perspectiva teórica funcionalista de Christiane Nord (1991, 1994, 1996, 2012 para o ensino de tradução e da contribuição da Linguística de Texto acerca do funcionamento e domínio dos gêneros textuais, este trabalho discorre sobre a aplicação de Sequências Didáticas (SD na formação de tradutores. Para tanto, percorre o seguinte percurso teórico-metodológico: 1. pontuar direcionamentos teóricos a respeito do Ensino de Tradução Funcionalista com base em Nord (1991, 1994, 1996, 2012; 2. discorrer sobre a elaboração e aplicação dos dispositivos de SD, baseando-se nas contribuições de Dolz e Schneuwly (1998, Cristóvão (2009, 2010, etc.; 3. ilustrar um projeto inicial de SD, com o gênero textual peça de teatro, para futuros tradutores, no par linguístico espanhol-português, incluindo a modelização do gênero, por meio da análise de dez peças hispânicas e brasileiras. Por meio deste percurso, o trabalho pretende mostrar que a proposta de SD, contemplando os direcionamentos do ensino da tradução funcionalista, poderá proporcionar ao futuro tradutor conhecimento sobre os diferentes gêneros textuais e seu funcionamento nas distintas culturas envolvidas na tradução, além de possibilitar: (i o desenvolvimento de capacidades de linguagem na língua-base e na língua-meta; (ii a compreensão da tradução como um processo circular.

  13. Regional prospective and strategy for energy. A comparison of scenarios for the Pays-de-la-Loire, Nord-Pas-de-Calais, and Provence-Cote-d'Azur regions

    International Nuclear Information System (INIS)

    Fink, Meike

    2014-01-01

    A report proposes an overview of prospective studies in France. It discusses the criteria which distinguish various prospective scenarios, comments the emergence of a shared and common vocabulary for prospective studies, proposes a historical overview of prospective studies on energy in France, and a qualitative comparison of ten prospective regional studies in France. In a second part, it reports a data-based and qualitative analysis of scenarios for three regions (Pays de la Loire, Nord Pas de Calais, and Provence-Alps-Cote d'Azur): methodology, context of elaboration of prospective studies and comparison of scenarios in the three regions, data for years of reference, used variables, compliance with national commitments, application to different sectors (industry, agriculture, building, transports), analysis of energy supply. A first version of this report is provided

  14. Does a parental history of cancer moderate the associations between impaired health status in parents and psychosocial problems in teenagers: a HUNT study.

    Science.gov (United States)

    Jeppesen, Elisabeth; Bjelland, Ingvar; Fosså, Sophie D; Loge, Jon H; Sørebø, Oystein; Dahl, Alv A

    2014-08-01

    Severe disease in a parent is associated with increased psychosocial problems in their children. However, moderating factors of such associations are less studied. In this cross-sectional population-based controlled study we examined the moderating effects of a history of parental cancer on the association between impaired health status in parents and psychosocial problems among their teenagers. Among families with both parents responding to the adult Health Survey of Nord-Trøndelag County of Norway (the HUNT-2 study) 71 couples were identified with primary invasive cancer in one parent. Their 81 teenage children took part in the Young-HUNT study. These families were compared to 322 cancer-free families with 328 teenagers. Based on self-report data the relations between three variables of parental impaired health and six psychosocial problems in teenagers were analyzed family wise by structural equation modeling. Significant associations between parental and teenagers' variables were observed in eight of 18 models. A history of parental cancer was a significant moderator which decreased four of eight significant associations. Such a history significantly weakened the associations between parental poor self-rated health and teenagers' anxiety/depression and school problems. A similar association of a history of parental cancer was found between psychological distress in parents and teenagers' feelings of loneliness and poor self-rated health. This study confirmed strong associations between impaired parental health and psychosocial problems in their teenagers. A history of parental cancer weakened several of the significant associations between parental impaired health variables and psychosocial problems in their teenagers. © 2014 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

  15. SARDULUS SACERENSIS CASALE & MARCIA, NUOVA SPECIE IPOGEA DI COLEOTTERI ISTERIDI DELLA SARDEGNA NORD-OCCIDENTALE E SUA MORFOLOGIA LARVALE (Coleoptera, Histeridae

    Directory of Open Access Journals (Sweden)

    A. Casale

    2006-10-01

    Full Text Available Sardulus sacerensis Casale & Marcia, nuova specie di Histeridae ipogei della Grotta di Lu Gardu (Sassari, Sardegna nord-occidentale è descritta e comparata con le due specie note in precedenza della Sardegna centro-orientale, S. spelaeus Patrizi, 1955, e S. incrassatus Magrini & Fancello, 2005. Le caratteristiche morfologiche esternee i genitali maschili delle tre specie sono raffigurati. Inoltre, è fornita per la prima volta la descrizione della morfologia larvale di una specie di questo genere. S. spelaeus, specie nota fino ad ora di due grotte in territorio di Dorgali, è segnalata di una terza località: la Grotta di Istirzili o Stirzili, nel territorio di Baunei.

  16. NKS-B NordRisk II: Nuclear risk from atmospheric dispersion in Northern Europe - Summary report

    International Nuclear Information System (INIS)

    Lauritzen, B.

    2011-05-01

    The objective of the NordRisk II project has been to derive practical means for assessing the risks from long-range atmospheric dispersion of radioactive materials. An atlas over different atmospheric dispersion and deposition scenarios has been developed using historical numerical weather prediction (NWP) model data. The NWP model data covers three years spanning the climate variability associated with the North Atlantic Oscillation, and the atlas considers radioactive releases from 16 release sites in and near the Nordic countries. A statistical analysis of the long-range dispersion and deposition patterns is undertaken to quantify the mean dispersion and deposition as well as the variability. Preliminary analyses show that the large-scale atmospheric dispersion and deposition is near-isotropic, irrespective of the release site and detailed climatology, and allows for a simple parameterization of the global dispersion and deposition patterns. The atlas and the underlying data are made available in a format compatible with the ARGOS decision support system, and have been implemented in ARGOS. (Author)

  17. NKS-B NordRisk II: Nuclear risk from atmospheric dispersion in Northern Europe - Summary report

    Energy Technology Data Exchange (ETDEWEB)

    Lauritzen, B. (Technical Univ. of Denmark, Risoe National Lab. for Sustainable Energy. Radiation Research Div., Roskilde (Denmark))

    2011-05-15

    The objective of the NordRisk II project has been to derive practical means for assessing the risks from long-range atmospheric dispersion of radioactive materials. An atlas over different atmospheric dispersion and deposition scenarios has been developed using historical numerical weather prediction (NWP) model data. The NWP model data covers three years spanning the climate variability associated with the North Atlantic Oscillation, and the atlas considers radioactive releases from 16 release sites in and near the Nordic countries. A statistical analysis of the long-range dispersion and deposition patterns is undertaken to quantify the mean dispersion and deposition as well as the variability. Preliminary analyses show that the large-scale atmospheric dispersion and deposition is near-isotropic, irrespective of the release site and detailed climatology, and allows for a simple parameterization of the global dispersion and deposition patterns. The atlas and the underlying data are made available in a format compatible with the ARGOS decision support system, and have been implemented in ARGOS. (Author)

  18. Energies of the future in Nord-Pas de Calais. Which solutions to climate disruption - Global Report version 1.0, january 2008

    International Nuclear Information System (INIS)

    2008-01-01

    This study aims at identifying means to be implemented in the Nord-Pas de Calais region to divide by four regional emissions of CO 2 , and to do it without the renewal of nuclear reactors located in Gravelines. A first part presents the methods used for this study, the hypotheses selected to elaborate scenarios, the presentation, results and comparison of various scenarios, and an assessment of energy imports. The second part addresses the different renewable energy resources of the region and their potential to reach the expected results. The third part reports the study of the evolution of transport organisation by 2050: pollutions related to transports, regional costs of these pollutions, dysfunctions and possible actions in the competition between transports modes (road, rail, river, sea, air). A chapter then addresses the issue of the relationship between urban planning and mobility. The next chapter discusses the possibilities of action in the building sector (housing and office building, policies to be implemented to comply with the chosen scenario). The possibilities of solar energy are then discussed

  19. Inventory of chemical releases of nuclear installations in the North-Cotentin; Inventaire des rejets chimiques des installations nucleaires du Nord-Cotentin

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-05-15

    The nuclear installations concerned by this study are Cogema La Hague, the Flamanville nuclear power plant, the Manche plant and the National Navy of Cherbourg.The objective followed by the ' source term ' work group has consisted in counting and examining the whole of existing measures relative to the releases of chemical substances in the liquid and gaseous effluents. Then because of the lack of measures for the operation first years of installations, the work group has estimated the order of magnitude of these chemical releases (essentially for Cogema La Hague). This report presents a review of the literature looking at the background levels of chemicals in different environmental compartments: air, soil, plants and animals products. these values have been summarized here to be available for comparisons with concentrations input by the North Cotentin nuclear installations, calculated by the G.R.N.C. (radioecology group of Nord Cotentin)

  20. Les déterminants internes qui évaluent la performance des banques islamiques : cas de la zone de Moyen Orient et Afrique du Nord

    Directory of Open Access Journals (Sweden)

    Hayet Dami

    2017-09-01

    Full Text Available Le but de cette recherche est d’étudier les déterminants internes qui évaluent la performance des 22 banques islamiques cotées en Bourse et ils ont appliqué la même norme comptable internationale dans la zone de Moyen Orient et Afrique du Nord en utilisant une analyse des indicateurs financiers tels que la rentabilité, la liquidité, la solvabilité et le risque de crédit, l’adéquation du capital, l’efficacité opérationnelle et l’efficacité d’allocation des ressources. Nous avons utilisé un modèle MCO avec une régression linéaire multiple comprenant de la variable dépendante (ROA ou ROE et de nombreuses variables indépendantes selon les données du panel. Les résultats empiriques indiquent que la liquidité, l’adéquation du capital, l’efficacité opérationnelle et l’efficacité d’allocation des ressources sont des déterminants significatifs dans notre étude. Par contre, les indicateurs de risque du crédit et la solvabilité ne sont pas significatifs pour évaluer la performance des banques islamiques au Moyen Orient et Afrique du Nord. Notre résultat est robust.

  1. Application of resistivity measurements to research on structural elements in the Nord-Limousin (France) uraniferous basin (1960)

    International Nuclear Information System (INIS)

    Sarcia, J.A.; Bonnet, J.; Combe, R.

    1960-01-01

    The authors discuss the difficulties encountered in the exploration of a typical deposit in the Nord-Limousin, using the resistivity measurement method. In the zone in question the over-thrust was very variable and difficult to predict. The uraniferous deposits had two types of aspect, the passage from one to the other being often very sudden: long thin veins without gangue; short and thick lens-shape deposits which were strongly contaminated by clay towards their edges. After several unsatisfactory attempts, the device known as the 'rectangular map' was adopted and gave an acceptable structural representation rapidly and cheaply. For the placing of the probes however, methods are required which are more refined and sensitive. It is in any case useless to expect to obtain a satisfactory representation and a sufficient accuracy using a single technique; especially in the region under consideration. (author) [fr

  2. SCI-NutriNord - a Nordic Initiative on Patient Education on Nutrition for People with Spinal Cord Injury (SCI)

    DEFF Research Database (Denmark)

    Steensgaard, Randi

    2017-01-01

    People with SCI are at high risk of developing secondary conditions of which several are linked to nutrition: overweight/obesity, chronic constipation and/or diarrhea and pressure sores are some examples. Proper nutrition is imperative to prevent and treat these conditions. However, there is a lack...... of evidence-based information materials about healthy eating for people with SCI at least in the Nordic languages. The aim of this multidisciplinary workshop is to: A. Inform about SCI-NutriNord and the first steps that have been taken in developing materials on nutrition as educational teaching aids...... to malnutrition Target group for this workshop is persons who have an interest in problem areas linked to nutrition and SCI, and who want to take part in the development of relevant patient education materials....

  3. Humanization of care spaces: a research developed for the Italian Ministry of Health

    Directory of Open Access Journals (Sweden)

    Romano Del Nord

    2015-04-01

    Full Text Available The article reports methodology, contents and results of the care space research carried out for the Italian Ministry of Health by the Interuniversity Research Centre TESIS University of Florence and the Department DINSE Turin Polytechnic under the responsibility of Professors R. Del Nord and G. Peretti. The aim of the research was to define methodological and operational tools designing social health structures according to quality standards that define user needs in terms of psycho-social and physical well-being as a priority of the design process. The potential users of this research results are the operators involved in the implementation process of social health construction: from local and central decision makers to designers.

  4. Associations between parents' subjective time pressure and mental health problems among children in the Nordic countries: a population based study.

    Science.gov (United States)

    Gunnarsdottir, Hrafnhildur; Bjereld, Ylva; Hensing, Gunnel; Petzold, Max; Povlsen, Lene

    2015-04-10

    The home, the family and the parents represent a context of everyday life that is important for child health and development, with parent-child relationships highlighted as crucial for children's mental health. Time pressure is an emerging feature of modern societies and previous studies indicates that parents with children living at home experience time pressure to a greater extent than people with no children living at home. Previous studies of children's mental health in relation to parents' time pressure are lacking. Hence, the purpose of this study was to examine the association between parents' subjective time pressure and mental health problems among children in the Nordic countries as well as potential disparities between boys and girls in different age groups. 4592 children, aged 4-16 from Denmark, Finland, Norway and Sweden, participating in the 2011 version of the NordChild study, were included. The Strength and Difficulties Questionnaire was used to measure children's mental health and associations to parents' time pressure were assessed by multiple logistic regression analysis. Among children of parents experiencing time pressure, 18.6% had mental health problems compared to 10.1% among children of parents experiencing time pressure not or sometimes. The odds of mental health problems were higher among both boys (OR 1.80 95% CI 1.32-2.46) and girls (OR 1.95 95% CI 1.42-2.66) if their parents experienced time pressure when adjusted for financial stress. The highest prevalence of mental health problems in the case of parental time pressure was found among girls 13-16 years old (23.6%) and the lowest prevalence was found among boys 13-16 years old (10.7%). In this study an association between parents' subjective time pressure and increased mental health problems among children was found. Given that time pressure is a growing feature of modern societies, the results might contribute to an explanation as to mental health problems are common among children

  5. Source apportionment of particles at Station Nord, North East Greenland during 2008–2010 using COPREM and PMF analysis

    Directory of Open Access Journals (Sweden)

    Q. T. Nguyen

    2013-01-01

    Full Text Available In order to develop strategies for controlling and reducing Arctic air pollution, there is a need to understand the basic mechanisms for determining the fate of air pollution in the Arctic. Sources of atmospheric particles at Station Nord (81° 36' N, 16° 40' W in North East Greenland were evaluated for a two-year period from March 2008 to February 2010. Source apportionment using Positive Matrix Factorization (PMF and COnstrained Physical REceptor Model (COPREM was based on measurements of black carbon, elements (Al, Si, S, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, As, Se, Br, Rb, Sr, Zr, Pb and inorganic ions (SO2, SO42−, Na+, NH4+, NO3, Cl2−. In general, source apportionment results by PMF and COPREM showed good agreement. Five sources adequately explained the measurements, which included a Marine and a Soil source of natural origin and three additional anthropogenic sources, which were all influenced by metal industries. One anthropogenic source was dominated by Zn of which air mass back trajectories using the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT model suggested a Canadian Arctic origin, despite certain influences from Southern and Eastern origins. Another anthropogenic source was characterised by high concentrations of Pb and As, which has been historically referred to as a Combustion source at Station Nord. The impacts of large-scale industry in Siberia, Russia were evident through high Cu concentrations in both the Combustion source and an additional Cu/Ni source.

    Br correlated well with the anthropogenic species S and Pb though the elements are unlikely to have a common origin. More likely, sulphuric acid aerosols serve as transport containers for Br species of marine origin. Of particular relevance to climate, sources of black carbon were identified to be

  6. Etude nutritive des plats alimentaires et des produits laitiers dans la région de l'extrème-nord Cameroun

    OpenAIRE

    Ponka, Roger

    2013-01-01

    Au cours de ce stage effectué du 06 Novembre 2012 au 01 février 2013, à l’’Unité Mixte de Recherche Science et Technologie du Lait et de l’oeuf de l’INRA Agrocampus-Ouest de Rennes (France), nous avons déterminé la composition nutritionnelle des plats alimentaires et des produits laitiers de la région de l’Extrême-Nord du Cameroun. Ainsi, les teneurs en protéines, lipides, minéraux, acides aminés, vitamines ont été déterminées par les méthodes de référence. La table de composition des aliment...

  7. Die Energiewerke Nord GmbH. From operator of a decommissioned Russian nuclear power plant to one of Europe's leading decommissioning companies

    International Nuclear Information System (INIS)

    Philipp, Marlies

    2011-01-01

    EWN GmbH is a state-owned company with these duties: - decommissioning and demolition of the Greifswald and Rheinsberg nuclear power stations; - safe operation of the Zwischenlager Nord interim store; - development of the 'Lubminer Heide' industrial and commercial estate. Other projects for which EWN GmbH uses its know-how: - disposal of 120 decommissioned Russian nuclear submarines in Murmansk; - decommissioning and dismantling of the Juelich, NRW, AVR experimental reactor; - demolition of nuclear plants; running the Central Decontamination Operations Department at Karlsruhe, BW. Since 2008, EWN GmbH has held 25% of the shares of Deutsche Gesellschaft zum Bau- und Betrieb von Endlagern fuer Abfallstoffe mbH (DBE), a firm building and operating nuclear repositories. (orig.)

  8. "Si le fleuve se tord, que le crocodile se torde" : une analyse des systèmes agraires de la région nord-ouest du Burkina Faso à l'aide des modèles de programmation mathématique

    NARCIS (Netherlands)

    Maatma, Arnoldus Johannes

    2000-01-01

    Le présente étude a pour but d'analyser les perspectives d'intensification durable des systemes de production agricole dans la région Nord-Quest du Burkina Faso par des techniques a faibles couts. Zie: Résumé

  9. Processus d'innovation et recomposition des territoires agricoles : le cas du semis sous couvert végétal au nord du Cameroun

    OpenAIRE

    Dugué, Patrick; Olina Bassala, Jean-Paul

    2015-01-01

    Au nord du Cameroun, l'adoption des systèmes de culture sous couvert végétal (SCV) butte sur le partage des résidus de culture fourragers en saison sèche entre le bétail et la couverture du sol. Elle nécessite donc d'accroître l'offre fourragère et de prendre en compte les différents types d'élevage (villageois, semi-sédentaire, transhumant, etc.). Dans les conditions actuelles de pratique des SCV par les producteurs (faible couverture du sol, peu d'années successives en SCV) les effets atten...

  10. L'exemple d'un décor religieux dans le nord de la France : Bruno Chérier (1817-1880 et Notre-Dame-des-Anges de Tourcoing

    Directory of Open Access Journals (Sweden)

    Catherine Guillot

    2012-04-01

    Full Text Available Ami et modèle du sculpteur Jean-Baptiste Carpeaux, Bruno Chérier (1817 Valenciennes, 1880 Paris se consacre à partir de la fin des années 1850 jusqu'à sa mort au décor religieux dans le nord de la France. Devenu en 1852 professeur aux écoles académiques de Tourcoing, il répond aux commandes les plus variées dans le domaine de l'art religieux. Ainsi, sa participation au décor de l'église Notre-Dame-des-Anges de Tourcoing est exemplaire de la diversité de ses contributions : chemin de croix, cartons de vitraux, peintures ornementales illusionnistes. Cette église constitue en outre dans le Nord un des rares témoignages conservé presque intégralement de l'art religieux dans la seconde moitié du XIXe siècle. La collaboration de Chérier à ce chantier témoigne d'un statut de l'artiste sous le Second Empire, éloigné de l'image romantique du créateur libre dont est redevable le mythe constitué autour de la figure de Carpeaux.Les auteurs préparent une étude globale de l'œuvre de Bruno Chérier et de son rôle auprès de Carpeaux.

  11. L’archipel nord-coréen: transition économique et blocages territoriaux

    Directory of Open Access Journals (Sweden)

    César Ducruet

    2007-09-01

    Full Text Available L’une des caractéristiques récentes de la Corée du Nord est le manque manifeste d’intégration territoriale, en contradiction croissante avec la volonté d’ouverture économique. Dans un environnement mondialisé, le faible coût et la qualité de sa main-d’œuvre, l’abondance des ressources naturelles, et une situation stratégique entre la Corée du Sud, le Japon et leurs voisins continentaux immédiats comme la Chine et la Russie, sont autant d’atouts qui devraient permettre la mise en œuvre des réformes et la relance de l’économie. Tandis que la plupart des travaux précédents se basent sur les facteurs politiques externes pour expliquer les difficultés rencontrées (isolement dû à la disparition du bloc de l’Est, embargo imposé par les États-Unis et le Japon, cet article privilégie les facteurs spatiaux internes. L’examen successif de structures spatiales fondamentales montre que la déconnexion croissante entre les différentes provinces, conséquence d’un long déclin économique et de la dégradation des infrastructures, serait une contrainte majeure avec laquelle les projets de développement du pays sont confrontés, au-delà des aspects purement politiques.

  12. NKS NordRisk II: Atlas of long-range atmospheric dispersion and deposition of radionuclides from selected risk sites in the Northern Hemisphere

    International Nuclear Information System (INIS)

    Smith Korsholm, U.; Havskov Soerensen, J.; Astrup, P.; Lauritzen, B.

    2011-04-01

    The present atlas has been developed within the NKS/NordRisk-II project 'Nuclear risk from atmospheric dispersion in Northern Europe'. The atlas describes risks from hypothetical long-range dispersion and deposition of radionuclides from 16 nuclear risk sites on the Northern Hemisphere. The atmospheric dispersion model calculations cover a period of 30 days following each release to ensure almost complete deposition of the dispersed material. The atlas contains maps showing the total deposition and time-integrated air concentration of Cs-137 and I-131 based on three years of meteorological data spanning the climate variability associated with the North Atlantic Oscillation, and corresponding time evolution of the ensemble mean atmospheric dispersion. (Author)

  13. Les premiers temps de l'architecture en briques au nord des Alpes : la question de l'origine cistercienne vue des Pays-Bas

    OpenAIRE

    Lehouck, Alexander

    2017-01-01

    L'argile est l'une des plus vieilles matières premières pour la fabrication de matériaux de construction. La chute de l'Empire romain a marqué la fin de l'utilisation de la brique au nord des Alpes. La brique ne ressurgit véritablement qu' à partir de la deuxième moitié du XIIe s. et de la première moitié du XIIe s.; dans la deuxième moitié du XIIIe s., la brique était devenue le matériau de construction le plus utilisé. Dans cet article, nous discutons les données concernant les premiers ...

  14. NKS NordRisk II: Atlas of long-range atmospheric dispersion and deposition of radionuclides from selected risk sites in the Northern Hemisphere

    Energy Technology Data Exchange (ETDEWEB)

    Smith Korsholm, U.; Havskov Soerensen, J. (Danish Meteorological Institute (DMI), Copenhagen (Denmark)); Astrup, P.; Lauritzen, B. (Technical Univ. of Denmark, Risoe National Lab. for Sustainable Energy. Radiation Research Div., Roskilde (Denmark))

    2011-04-15

    The present atlas has been developed within the NKS/NordRisk-II project 'Nuclear risk from atmospheric dispersion in Northern Europe'. The atlas describes risks from hypothetical long-range dispersion and deposition of radionuclides from 16 nuclear risk sites on the Northern Hemisphere. The atmospheric dispersion model calculations cover a period of 30 days following each release to ensure almost complete deposition of the dispersed material. The atlas contains maps showing the total deposition and time-integrated air concentration of Cs-137 and I-131 based on three years of meteorological data spanning the climate variability associated with the North Atlantic Oscillation, and corresponding time evolution of the ensemble mean atmospheric dispersion. (Author)

  15. Chemical and isotopic tracing of underground water in relation with leaching of mine spoils, Nord-Pas-de-Calais Coal Basin (France); Tracage chimique et isotopique des eaux souterraines en relation avec les eaux de lixiviation de terrils, bassin minier du Nord-Pas-de-Calais (France)

    Energy Technology Data Exchange (ETDEWEB)

    Denimal, S.; Tribovillard, N.; Meilliez, F. [Lille-1 Univ., Lab. de Sedimentologie et Geodynamique, UMR 8577, 59 - Villeneuve-d' Ascq (France); Barbecot, F.; Dever, L. [Paris-11 Univ., Lab. d' Hydrologie et de Geochimie Isotopique, UMR 8616, 91 - Orsay (France)

    2001-07-01

    Coal mining activity in the Nord-Pas-de-Calais region (Northern France) has generated many mine spoils. The oxidation of the pyrite content of such coal shales and their leaching can be a source of sulfate pollution for the underlying chalk aquifer, i.e. the main drinking water resource of the region. Two sites of study have been retained: one in the free water table zone and the other in the confined water table zone. Samples from both mine spoils have been analyzed with respect to their carbon and sulfur content and a superficial leaching of these elements has been evidenced. Water has been sampled in piezometers and boreholes close to the mine spoils and also along natural flux lines. The use of sulfur isotopes as markers of the different sulfate sources has confirmed the spoils source but has permitted to identify another source in the second site which is the Tertiary gypsum-bearing Ostricourt sands. This study has shown also that in the confined water table zone, part of the exported sulfates is reduced. This bacterial reduction of sulfates is due to a joint leaching of both carbon and sulfur in the mine spoils. A self-purification phenomenon occurs when the chalk aquifer is confined beneath the Cenozoic cover. (J.S.)

  16. Bilateral contracts and the spot market for electricity: some observations on the British and the NordPool experiences

    International Nuclear Information System (INIS)

    Herguera, Inigo

    2000-01-01

    The performance of the futures and the spot market for electricity in England and Wales (EW) and in the Nordic countries have significant differences in terms of volumes traded and evolution of prices. Even though the institutional arrangements show significant differences and the data collected has important limitations we observe in EW for 1990-199 that as the coverage via bilateral contracts diminished, spot prices tended to increase, there was higher price volatility and an increasing number of plants were declared unavailable. In the NordPool, by contrast, market structure is more distributed, the bilateral contract price has tended to smooth the volatility in the spot price and a very diverse pattern behavior of prices has been observed. We interpret these observations as additional support in favor of the theoretical result by and Vila (Journal of Economic Theory 59 (1993) 1), but hint at the possibility of strategies by the firms that can diminish the welfare enhancing properties of this new bilateral market. (Author)

  17. Association between social support and depression in the general population: the HUNT study, a cross-sectional survey.

    Science.gov (United States)

    Grav, Siv; Hellzèn, Ove; Romild, Ulla; Stordal, Eystein

    2012-01-01

    The aim was to investigate the associations between perceived social support and depression in a general population in relation to gender and age. Social support is seen as one of the social determinants for overall health in the general population. Studies have found higher probability of experiencing depression among people who have a lack of social support; evidence from the general population has been more limited. Subjective perception that support would be available if needed may reduce and prevent depression and unnecessary suffering. A cross-sectional survey with self-reported health was used. A total of 40,659 men and women aged 20-89 years living in Nord-Trøndelag County of Norway with valid ratings of depression subscale of the Hospital Anxiety and Depression Scale in the The Nord-Trøndelag Health Study 3 were used. Logistic regression was used to quantify associations between two types of perceived support (emotional and tangible) and depression. Gender, age and interaction effects were controlled for in the final model. The main finding was that self-rated perceived support was significantly associated with Hospital Anxiety and Depression Scale-defined depression, even after controlling for age and gender; emotional support (OR = 3·14) and tangible support (OR = 2·93). The effects of emotional and tangible support differ between genders. Interaction effects were found for age groups and both emotional and tangible support. Self-rated perceived functional social support is associated with Hospital Anxiety and Depression Scale-defined depression. In the group of older people who have a lack of social support, women seem to need more emotional support and men tangible support. Health care providers should consider the close association between social support and depression in their continuing care, particularly in the older people. © 2011 Blackwell Publishing Ltd.

  18. Radioactivity in the environment and its effects on health

    International Nuclear Information System (INIS)

    Sene, Monique; Schuler, Matthieu; Couvez, Celine; Rollinger, Francois; Bruno, Valerie; Renaud, Philippe; Laurier, Dominique; Gariel, Jean-Christophe; Estevao, Mathieu; Le Berre, David; Quere, Emmanuel; Josset, Mylene; Bernollin, Antoine; Saut, Catherine; Mailliat, Alain; Dryjanski, Claudie; Varin, Jean-Christophe; Villers, Anita; Gazal, Suzanne; Gerber, Mariette; Reynal, Nathalie; Vicaud, Alain; Renaud, Philippe; Roussel-Debet, S.; Leprieur, F.; Pourcelot, L.; Saey, L.; Tournieux, D.; Caldeira-Ideias, P.; Manificat, G.; Grammont, Vincent; Behar, Abraham; Gerber, Mariette

    2015-11-01

    This document gathers Power Point presentations. After a presentation of the new public portal of the French national network of measurements of radioactivity in the environment, a first session addressed the control of the environment by the different actors present on a territory (associations like CLI or ACRO or ATMO, operators like Areva). The addressed issues have been: the control performed by a CLI (Paluel-Penly) with the support of a departmental laboratory, the radiological monitoring of the environment about the Brennilis site, the study of an environmental marker (tritium in hive products), the specific study of the Durance region, the control of ambient radioactivity on the Nord-Pas-de-Calais coast, and the monitoring of the environment by the operator around La Hague site. The second session addressed the building up of reference radiological assessments: lessons learned from radiological assessments implemented by the IRSN, a citizen mapping of radioactivity in France, and improvement orientations for the monitoring of the environment by different actors. The third session addressed issues spanning from the environment to health: assessment of doses based on the control of the environment, global health impact for a set of nuclear power plants, assessment of the health impact of releases, knowledge status on the effects of low doses, and possible improvements of knowledge on the effects of radioactivity on health

  19. Are electricity risk premia affected by emission allowance prices? Evidence from the EEX, Nord Pool and Powernext

    International Nuclear Information System (INIS)

    Daskalakis, George; Markellos, Raphael N.

    2009-01-01

    The links between emission and energy markets are of great interest to practitioners, academics and policy makers. In this paper, it is conjectured that a positive relationship exists between emission allowance spot returns and electricity risk premia within the European Union Emissions Trading Scheme (EU ETS). We discuss how this can be justified on the basis of the substantial uncertainties in the carbon markets. We also argue that this link could be due to trading strategies followed by electricity producers who attempt to exploit their initial allocation of free allowances. Analysis of data from three major markets, the EEX, Nord Pool and Powernext, offers empirical support to our conjecture. These findings have significant policy implications since they imply that efforts should be made in order to reduce the uncertainty in the carbon markets by clearly defining the EU ETS regulative framework and design over the next years. Moreover, our results suggest that the allocation of free allowances and their unrestricted trading enable electricity producers to accomplish windfall profits in the derivatives market at the expense of other market participants. (author)

  20. Regenerate the healthcare building heritage to a new care model: the Houses of Health in Sardinia Region, Italy

    Directory of Open Access Journals (Sweden)

    Fabrizio Pusceddu

    2015-04-01

    Full Text Available The article reports methodology, contents and results of the care space research carried out for the Italian Ministry of Health by the Interuniversity Research Centre TESIS University of Florence and the Department DINSE Turin Polytechnic under the responsibility of Professors R. Del Nord and G. Peretti. The aim of the research was to define methodological and operational tools designing social health structures according to quality standards that define user needs in terms of psycho-social and physical well-being as a priority of the design process. The potential users of this research results are the operators involved in the implementation process of social health construction: from local and central decision makers to designers.

  1. Nordic interdisciplinary reviews of the scientific literature concerning the relationsiip between indoor environmental factors and health, Nordworks

    DEFF Research Database (Denmark)

    Sundell, Jan; Bornehag, C.-G.

    1999-01-01

    The relationship between indoor air environments and health is, however, a truly interdisciplinary area involving numerous disciplines. Scientific work is primarily "within disciplinary", often resulting in conclusions that would not stand in an interdisciplinary context. Results are mostly...... today, a number of interdisciplinary scientific groups have been created within the Nordic countries with the aim at reviewing the scientific literature within specific areas, and creating an interdisciplinary consensus on the present state of the art. Results from four so-called NORD-groups (NORDVOC...

  2. Anxiety and Depressive Symptoms as Predictors of All-Cause Mortality among People with Insulin-Naïve Type 2 Diabetes: 17-Year Follow-Up of the Second Nord-Trøndelag Health Survey (HUNT2, Norway.

    Directory of Open Access Journals (Sweden)

    Marjolein M Iversen

    Full Text Available To examine whether elevated anxiety and/or depressive symptoms are related to all-cause mortality in people with Type 2 diabetes, not using insulin.948 participants in the community-wide Nord-Trøndelag Health Survey conducted during 1995-97 completed the Hospital Anxiety and Depression Scale with subscales of anxiety (HADS-A and depression (HADS-D. Elevated symptoms were defined as HADS-A or HADS-D ≥8. Participants with type 2 diabetes, not using insulin, were followed until November 21, 2012 or death. Cox regression analyses were used to estimate associations between baseline elevated anxiety symptoms, elevated depressive symptoms and mortality, adjusting for sociodemographic factors, HbA1c, cardiovascular disease and microvascular complications.At baseline, 8% (n = 77/948 reported elevated anxiety symptoms, 9% (n = 87/948 elevated depressive symptoms and 10% (n = 93/948 reported both. After a mean follow-up of 12 years (SD 5.1, range 0-17, 541 participants (57% had died. Participants with elevated anxiety symptoms only had a decreased mortality risk (unadjusted HR 0.66, 95% CI 0.46-0.96. Adjustment for HbA1c attenuated this relation (HR 0.73, 95% CI 0.50-1.07. Those with elevated depression symptoms alone had an increased mortality risk (fully adjusted model HR 1.39, 95% CI 1.05-1.84. Having both elevated anxiety and depressive symptoms was not associated with increased mortality risk (adjusted HR 1.30, 95% CI 0.96-1.74.Elevated depressive symptoms were associated with excess mortality risk in people with Type 2 diabetes not using insulin. No significant association with mortality was found among people with elevated anxiety symptoms. Having both elevated anxiety and depressive symptoms was not associated with mortality. The hypothesis that elevated levels of anxiety symptoms leads to behavior that counteracts the adverse health effects of Type 2 diabetes needs further investigation.

  3. Chemical and isotopic tracing of underground water in relation with leaching of mine spoils, Nord-Pas-de-Calais Coal Basin (France)

    International Nuclear Information System (INIS)

    Denimal, S.; Tribovillard, N.; Meilliez, F.; Barbecot, F.; Dever, L.

    2001-01-01

    Coal mining activity in the Nord-Pas-de-Calais region (Northern France) has generated many mine spoils. The oxidation of the pyrite content of such coal shales and their leaching can be a source of sulfate pollution for the underlying chalk aquifer, i.e. the main drinking water resource of the region. Two sites of study have been retained: one in the free water table zone and the other in the confined water table zone. Samples from both mine spoils have been analyzed with respect to their carbon and sulfur content and a superficial leaching of these elements has been evidenced. Water has been sampled in piezometers and boreholes close to the mine spoils and also along natural flux lines. The use of sulfur isotopes as markers of the different sulfate sources has confirmed the spoils source but has permitted to identify another source in the second site which is the Tertiary gypsum-bearing Ostricourt sands. This study has shown also that in the confined water table zone, part of the exported sulfates is reduced. This bacterial reduction of sulfates is due to a joint leaching of both carbon and sulfur in the mine spoils. A self-purification phenomenon occurs when the chalk aquifer is confined beneath the Cenozoic cover. (J.S.)

  4. LES VARIANTES LEXICALES POUR LE MOT ESPADRILLES AU PARANÁ ET DANS LA RÉGION NORD-EST DU BRÉSIL: UNE ETUDE ETHNOLINGUISTIQUE

    Directory of Open Access Journals (Sweden)

    Maranúbia Pereira Barbosa Doiron

    2014-03-01

    Full Text Available : Cette étude concerne les variantes lexicales pour le mot espadrilles dans l’Etat du Paraná et dans la région Nord-Est du Brésil, sous un regard ethnolinguistique. Le corpus est composé par les donnés obtenues à partir de la question numéro 276 du Questionnaire Semantique-Lexical de l’Atlas Linguistique du Paraná (ALPR, dont l’auteur est le professeur Vanderci de Andrade Aguilera (1994, de l’Université de l’Etat de Londrina, autant que les variantes lexicales pour le mot espadrilles trouvées dans deux ouvrages littéraires d’auteurs originaires du Nord-Est du Brésil – Fogo Morto, de José Lins do Rego (2009 et Vidas Secas, de Graciliano Ramos (1969. Dans ces livres, les espadrilles jouent un rôle fondamental, tout en reflétant son importance dans le vestiaire de cette région, du moins jusqu’à moitié du XXème siècle. On rechercha des éventuelles ressemblances ou différences existentes entre les variantes lexicales de la chaussure mentionnée par les informateurs “paranaenses” et le modèle cité dans les ouvrages des écrivains Rego et Ramos. Dans les deuxs sources – la linguistique et la littéraire – on privilégia l’analyse semantique des unités lexicales et le contexte dans lequel elles ont été enregistrées. L’étude démontra que l’unité lexicale espadrilles et ses variantes phonétiques similaires dans les deux corpora, aussi que les variantes lexicales populaires présentes dans l’Atlas Linguistique du Paraná (ALPR. En dépit des simitudes l’esthétique et la fonction des espadrilles ne sont pas les mêmes dans les localitées concernées.

  5. LES VARIANTES LEXICALES POUR LE MOT ESPADRILLES AU PARANÁ ET DANS LA RÉGION NORD-EST DU BRÉSIL: UNE ETUDE ETHNOLINGUISTIQUE

    Directory of Open Access Journals (Sweden)

    Vanderci de Andrade AGUILERA

    2013-12-01

    Full Text Available Cette étude concerne les variantes lexicales pour le mot espadrilles dans l’Etat du Paraná et dans la région Nord-Est du Brésil, sous un regard ethnolinguistique. Le corpus est composé par les donnés obtenues à partir de la question numéro 276 du Questionnaire Semantique-Lexical de l’Atlas Linguistique du Paraná (ALPR, dont l’auteur est le professeur Vanderci de Andrade Aguilera (1994, de l’Université de l’Etat de Londrina, autant que les variantes lexicales pour le mot espadrilles trouvées dans deux ouvrages littéraires d’auteurs originaires du Nord-Est du Brésil – Fogo Morto, de José Lins do Rego (2009 et Vidas Secas, de Graciliano Ramos (1969. Dans ces livres, les espadrilles jouent un rôle fondamental, tout en reflétant son importance dans le vestiaire de cette région, du moins jusqu’à moitié du XXème siècle. On rechercha des éventuelles ressemblances ou différences existentes entre les variantes lexicales de la chaussure mentionnée par les informateurs “paranaenses” et le modèle cité dans les ouvrages des écrivains Rego et Ramos. Dans les deuxs sources – la linguistique et la littéraire – on privilégia l’analyse semantique des unités lexicales et le contexte dans lequel elles ont été enregistrées. L’étude démontra que l’unité lexicale espadrilles et ses variantes phonétiques similaires dans les deux corpora, aussi que les variantes lexicales populaires présentes dans l’Atlas Linguistique du Paraná (ALPR. En dépit des simitudes l’esthétique et la fonction des espadrilles ne sont pas les mêmes dans les localitées concernées.

  6. Oral health in a life-course: birth-cohorts from 1929 to 2006 in Norway.

    Science.gov (United States)

    Holst, D; Schuller, A A

    2012-06-01

    The purpose of the work was to study the influence of the oral health environment at age 10, of adolescent and adulthood dental behaviours and of social status on oral health of three birth-cohorts in 1983 and two of the three birth-cohorts in 2006 in Norway. The material comprised data from random samples of three birth-cohorts living in the counties of Sør- and Nord-Trøndelag in 1983. The birth-cohorts were 1929-1938, 1939-1948 and 1959-1960. In 2006 two samples were drawn from the 1929-1938 and 1959-1960 birth-cohort. The data collection comprised standard clinical measurements and self-administered questionnaires. The early oral health environment and social status and gender were related to oral health in 1983 by multiple regressions. The impact of social status was studied in combined datafiles from 1983 and 2006. The oral health environment in childhood was important for adults' oral health. The attention from parents and the local environment lead to a better oral health outcome in adulthood. Social status affected choices leading to better oral health. Regular dental visits were important especially for the eldest birth-cohort. Good oral health behaviours early and during adulthood were also important for oral health. Judged by number of tooth surfaces the difference between social status groups had not increased by 2006. A life-course perspective provides an opportunity to understand oral health over time. The present study supports the assumption that oral health is continuously exposed to environmental and behavioural risks that lead to accumulated diseases in the dental tissues.

  7. Ferrié Jean-Noël et Santucci Jean-Claude (dir., Dispositifs de démocratisation et dispositifs autoritaires en Afrique du Nord, CNRS Editions, 2006, 196 p.

    Directory of Open Access Journals (Sweden)

    Lahouari Addi

    2009-05-01

    Full Text Available Voici un ouvrage de science politique des États Nord Africains dense, cohérent et remarquablement homogène, compte-tenu de son caractère collectif. Composé de sept contributions couvrant le Maroc, l’Algérie, la Tunisie et l’Egypte, il débute sur une substantielle introduction, où les coordinateurs esquissent le cadre théorique de la construction de l’objet de la science politique dans cette région. Ils évoquent avec raison les analyses produites par le CRESM (Centre de recherches et d’études ...

  8. Focus - Les établissements publics fonciers, des outils pour la biodiversité des zones humides : le cas de l’EPF Nord-Pas de Calais

    Directory of Open Access Journals (Sweden)

    LEMOINE, Guillaume

    2017-09-01

    Full Text Available Les établissements publics fonciers (EPF ont pour mission recycler le foncier dégradé pour favoriser, dans le cadre du développement durable, le renouvellement urbain, notamment pour aider la construction de logements tout en luttant contre l’étalement urbain. Devenus propriétaires de nombreux terrains, dont des zones humides, ils sont également concernés par la protection et la valorisation de ces espaces naturels. À travers l'exemple des actions menées par l’EPF Nord-Pas de Calais pour préserver ces zones humides, ce focus s'intéresse au rôle que peuvent jouer les EPF dans la préservation des espaces agricoles et naturels.

  9. Disability in society-medical and non-medical determinants for disability pension in a Norwegian total county population study.

    Science.gov (United States)

    Krokstad, Steinar; Westin, Steinar

    2004-05-01

    The objective of this study was to describe sociomedical determinants and developments for the medically based disability pension in Norway by linking individual based data from a county health survey to data on disability from the National Insurance Administration. Two cross-sectional total population health surveys with an approximate 10-year interval were conducted in Nord-Trøndelag county, HUNT I (1984-86) and HUNT II (1995-97), which allows for analyses of changes over time, supplied with official incidence data on disability pension. The large-scale variations and overall increasing incidence rates of disability pension in Norway during the last 20 years also applied to the county of Nord-Trøndelag. The prevalence of disability pension generally increased in the population from the mid-1980s to the mid-1990s. A striking finding was a consistent pattern of increasing prevalence of disability pension with decreasing socio-economic status and education. A geographic pattern for disability pension prevalence on a municipality level suggested that structural and cultural factors were important in determining the level of disability in society. Medical determinants alone cannot explain either the dramatic variations or the overall increased incidence rates of disability pension in the last two decades in Norway. The results demonstrate the importance of social, non-medical and contextual determinants for disability pension, how these determinants result in important prevalence differences by socio-economic status, and their impact on the level of disability in society.

  10. The regulating power market on the Nordic power exchange Nord Pool. An econometric analysis

    International Nuclear Information System (INIS)

    Skytte, K.

    1999-08-01

    What differentiates the structure of Nord Pool from other power exchanges around the world is the way the balance from the spot market is maintained until the actual, physical delivery takes place, via the regulating power market in Norway. This paper reveals the pattern of the prices on the regulating power market, by analysing the cost of being unable to fulfil the commitments made on the spot market. Some power producers with unpredictable fluctuations (e.g. wind) will need to buy regulation services. The disclosed pattern implies that these producers must pay a limited premium of readiness in addition to the spot price; this premium is independent of the amount of regulation. The level of the premium of readiness for down-regulation is shown to be strongly influenced by the level of the spot price. On the other hand, it is demonstrated that the premium for up-regulation is less correlated to the spot price. Furthermore, it is found that the amount of regulation affects the price of regulating power for up-regulation more strongly than it does for down-regulation. The disclosed cost of using the regulating power market is a quadratic function of the amount of regulation. This asymmetric cost may encourage bidders with fluctuating production to be more strategic in their way of bidding on the spot market. By using such strategies the extra costs (for example wind power) needed to counter unpredictable fluctuations may be limited. 12 refs

  11. KLINO - climatology and prognosis of climate-induced changes in hydrographic parameters of the North Sea and Baltic Sea. Final report; KLINO - Klimatologie und Prognose klimainduzierter Aenderungen hydrographischer Groessen in Nord- und Ostsee. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-01

    The marine climate of the North Sea and Baltic Sea was simulated and analyzed with the aid of meteorological and oceanographic models. The KLINO project is a first step towards climate impact research as sensitivity studies of the models permit preliminary statements on the effects of potential changes of marine climate. The simulations covered several decades. The models used were: WAM for calculating the swell of the Atlantic and the two marginal seas; HAMSOM for climate-induced variations of the hydrographic parameters of the NOrth Sea and Baltic Sea; HAMSOM and REMO for interactive coupling between ocean and atmosphere; HYDROMOD for extreme and normal conditions in the offshore region. [German] Im Projekt KLINO wurde das derzeitige marine Klima (Wasserstaende und mittlerer Meeresspiegel, Seegang, Stroemungen und Schichtung) von Nord- und Ostsee in Kontrollexperimenten mit Hilfe meteorologischer und ozeanographischer Modelle simuliert und nach vollzogen. Das KLINO Projekt ist in die Arbeiten zur Klima-Regionalisierung bzw. als ein erster Schritt zur Klima-Impaktforschung einzustufen, da Sensitivitaetsstudien der Modelle bereits vorsichtige Aussagen ueber die Folgen moeglicher Aenderungen des marinen Klimas zulassen. Das WAM-Modell lieferte eine Klimatologie des Seeganges fuer den Atlantik und die beiden Randmeere. Die klimainduzierten Schwankungen der hydrographischen Parameter in Nord- und Ostsee wurden mit Hilfe des HAMSOM untersucht; eine interaktive Kopplung zwischen Ozean und Atmosphaere erfolgte mit den Regionalmodellen HAMSOM und REMO. Die Simulationen deckten hinreichend lange Zeitraeume (Dekaden) ab und wurden mit beobachteten bzw. aus meteorologischen Re-Analysen abgeleiteten Fluessen von Impuls, Waerme und Frischwasser angetrieben. Zur Initialisierung und Validierung der ozeanographischen Modelle wurden umfangreiche Beobachtungsdatensaetze fuer die Parameter Temperatur, Salzgehalt, Eis, Seegang und Oberflaechenauslenkung zusammengestellt

  12. Communicative Case Studies for EFL--Lessons for Interactivity.

    Science.gov (United States)

    Witte, Anne E.

    1999-01-01

    Discusses use of case studies and role play throughout the curriculum at the Ecole de Hautes Etudes Commerciales du Nord, a French graduate school associated with the Catholic University of Lille. Provides a case study that was developed to reconcile conflicting needs in the business English classroom at the graduate level. Students require…

  13. [Citation analysis of research articles from Norwegian health enterprises, 2005-2011].

    Science.gov (United States)

    Piro, Fredrik Niclas; Aksnes, Dag W

    2014-08-19

    The citation frequency of a publication is often interpreted as an expression of its scientific impact. Previous citation analyses of Norwegian medical research have either focused on universities and university hospitals or on subject areas at the national level. Such analyses have paid little attention to other health enterprises, despite a strong increase in their research activity during the last decade. For all health enterprises with more than 25 publications in the Web of Science during the period 2005-2011 we have calculated field normalized citation indexes at the institution and subject levels. On the whole, research undertaken by the health enterprises is frequently cited, and some medium-sized health enterprises stand out in terms of their high average citation indexes: Helse Stavanger Health Enterprise, Diakonhjemmet Hospital and Helse Nord-Trøndelag Health Enterprise, although Oslo University Hospital Health Enterprise and Helse Bergen Health Enterprise account for more than half of the most cited articles. In citation analyses at the aggregated level, highly and infrequently cited research groups/departments may balance each other. This appears to be the case in the largest health enterprises. Some medium-sized health enterprises that have a more concentrated research portfolio will thus accumulate higher average citation indexes than the largest university hospitals.

  14. Sund Sommerskole på Campus Aarhus Nord, VIA University College 2013

    DEFF Research Database (Denmark)

    Christensen, Kirsten Haugaard; Dam, Lilli; Gjellerod, Alice

    2013-01-01

    Municipality care hotel Vikærgården studying how the use of health technology can empower patients’ lives. Also the students were challenged with theories about Health Pedagogics and ethics in order to take positions to health technology. Especially the students highlighted the possibility to discuss...... the future of their profession and to benefit from the cultural diversity in the summer school. Keywords: summer School; health education; technology; empowerment......VIA’s International Health Summer school 2013 focused on Health Technology and Health Pedagogics. 41 Interprofessional health students from 10 different countries participated and contributed to a differentiated cultural approach to health technology and health. The students visited Aarhus...

  15. Early-Onset Paternal Smoking and Offspring Adiposity: Further Investigation of a Potential Intergenerational Effect Using the HUNT Study.

    Directory of Open Access Journals (Sweden)

    David Carslake

    Full Text Available Recently it has been suggested that rearing conditions during preadolescence in one generation may affect health outcomes in subsequent generations. Such parental effects, potentially induced by epigenetic modifications in the germ line, have attracted considerable attention because of their implications for public health and social policies. Yet, to date, evidence in humans has been rare due to data limitations and much further investigation in large studies is required. The aim of this paper is to reproduce and extend a recent study which found that paternal smoking before age 11 was associated with elevated body mass index (BMI among male offspring in the Avon Longitudinal Study of Parents and Children (ALSPAC. Using the Nord-Trøndelag Health (HUNT Study, we find that paternal smoking during pre-adolescence (45,000 offspring, we cannot rule out a weaker association, perhaps common to sons and daughters, which would be consistent with the ALSPAC study. Alternatively, we discuss whether confounding, chance in parallel tests, or sample selection effects might explain the observed associations of early paternal smoking with offspring BMI.

  16. Etude de la qualité bactériologique de l’eau utilisée dans l’industrie agroalimentaire dans le Nord du Maroc

    Science.gov (United States)

    Haijoubi, El Houcine; Benyahya, Fatiha; Bendahou, Abdrezzak; Essadqui, Faima Zahra; Behhari, Mohammed El; El Mamoune, Ahmed Fouad; Ghailani, Naima Nourouti; Mechita, Mohcine Bennani; Barakat, Amina

    2017-01-01

    Introduction L'eau est utilisée d'une façon primordiale dans tout le processus de la fabrication des produits alimentaires. Les industries agroalimentaires du Nord du Maroc utilisent différentes sources d'eaux mais l'eau de réseau public et l'eau de puits sont les principales sources d'eau utilisée. Cette eau peut s'avérer la source principale des éventuelles contaminations et altérations des aliments. Notre but est d'évaluer la qualité bactériologique de l'eau utilisée par les industries agroalimentaires dans la région du Nord du Maroc, d'identifier les différents germes responsables de la pollution de ces eaux et de définir les principales causes de cette pollution. Méthodes Des échantillons d'eau prélevés aux robinets ou des puits ont été analysés pour la recherche des germes indicateurs de la pollution (coliformes totaux (CT), coliformes fécaux (CF), entérocoques intestinaux (E), microorganismes revivifiables (MOR), anaérobies sulfitoréducteurs) et les germes pathogènes (Salmonelles, Staphylocoques, Pseudomonas aeruginosa). Le dénombrement des bactéries a été fait par la technique de filtration et par incorporation en milieu solide en surfusion. Résultats Les résultats ont montré que les eaux du réseau public ont été de qualité bactériologique satisfaisante tandis que 40% des eaux des puits ont été non conformes aux normes à cause de la présence des indicateurs de pollution CT, CF, E et MOR. En revanche, les germes pathogènes, en particulier les Salmonelles, ont été absents dans les eaux de tous les puits analysés. Conclusion La pollution de ces puits a été généralement liée au non-respect des conditions de puisage hygiéniques. La qualité bactériologique des eaux de ces puits peut être améliorée par une protection adéquate. PMID:28450992

  17. Study of tip loss corrections using CFD rotor computations

    DEFF Research Database (Denmark)

    Shen, Wen Zhong; Zhu, Wei Jun; Sørensen, Jens Nørkær

    2014-01-01

    Tip loss correction is known to play an important role for engineering prediction of wind turbine performance. There are two different types of tip loss corrections: tip corrections on momentum theory and tip corrections on airfoil data. In this paper, we study the latter using detailed CFD...... computations for wind turbines with sharp tip. Using the technique of determination of angle of attack and the CFD results for a NordTank 500 kW rotor, airfoil data are extracted and a new tip loss function on airfoil data is derived. To validate, BEM computations with the new tip loss function are carried out...... and compared with CFD results for the NordTank 500 kW turbine and the NREL 5 MW turbine. Comparisons show that BEM with the new tip loss function can predict correctly the loading near the blade tip....

  18. Triatominae et Cactaceae : un risque pour la transmission de la Trypanosomose américaine dans le péridomicile (nord-est du Brésil

    Directory of Open Access Journals (Sweden)

    Emperaire L.

    2006-06-01

    Full Text Available Les observations de terrain réalisées dans le nord-est du Brésil ont montré la fréquente association, dans l’espace péridomiciliaire, entre un cactus, le Cereus jamacaru, la présence de nids dans ses branches et celle de Rhodnius neglectus et de Triatoma pseudomaculata, espèces vectrices du parasite Trypanosoma cruzi, agent de la maladie de Chagas. L’analyse des variables architecturales de cette Cactaceae montre que la présence de nids, et donc d’insectes, est inféodée aux pratiques traditionnelles de gestion de ce cactus. Cette étude souligne l’intérêt d’une approche intégrée de l’écologie des Triatominae pour l’identification des variables indicatrices de risque.

  19. Rb-Sr dating of strain-induced mineral growth in two ductile shear zones in the western gneiss region of Nord-Troendelag, Central Norway

    International Nuclear Information System (INIS)

    Piasecki, M.A.; Cliff, R.A.

    1988-01-01

    In the Bjugn district of the northern part of the Western Gneiss Region, Nord-Troendelag, a basement gneiss-cover nappe boundary is marked by a thick zone of ductile shearing. In this zone a layer-parallel mylonitic fabric with related new mineral growth overprints and retrogresses a previous fabric associated with a granulite facies mineral assemblage. Related minor shear belts contain abundant new minerals and vein systems, including pegmatites, believed to represent strain-induced products formed at the time of the shearing movements. Central parts of two large muscovite books from such a pegmatite yielded Rb-Sr, Early to Middle Devonian ages of 389±6 Ma and 386±6 Ma, interpreted as indicating the approximate time of pegmatite formation and of the shearing. Small, matrix-size muscovite and biotite grains from the host mylonite gave ages of 378±6 Ma and 365±5 Ma, respectively, supposed to relate to post-shearing uplift and cooling

  20. Optimal management of ADHD in older adults

    Directory of Open Access Journals (Sweden)

    Torgersen T

    2016-01-01

    Full Text Available Terje Torgersen,1,2 Bjorn Gjervan,2,3 Michael B Lensing,4 Kirsten Rasmussen5,6 1Department of Østmarka, St Olav’s Hospital, 2Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, 3Department of Psychiatry, Helse Nord-Trondelag Hospital Trust, Kirkegata, Levanger, 4NevSom, Norwegian Center of Expertise for Neurodevelopmental Disorders and Hypersomnias, Women and Children’s Division, Oslo University Hospital, Oslo, 5St Olav’s Hospital, Broset Center for Research and Education in Forensic Psychiatry, Trondheim, 6Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway Background: The manifestation of attention-deficit/hyperactivity disorder (ADHD among older adults has become an interesting topic of interest due to an increasing number of adults aged 50 years and older (≥50 years seeking assessment for ADHD. Unfortunately, there is a lack of research on ADHD in older adults, and until recently only a few case reports existed.Method: A systematic search was conducted in the databases Medline/PubMed and PsycINFO in order to identify studies regarding ADHD in adults ≥50 years.Results: ADHD persists into older ages in many patients, but the prevalence of patients fulfilling the criteria for the diagnosis at age ≥50 years is still unknown. It is reason to believe that the prevalence is falling gradually with age, and that the ADHD symptom level is significantly lower in the age group 70–80 years than the group 50–60 years. There is a lack of controlled studies of ADHD medication in adults ≥50 years, but this review suggests that many patients aged ≥50 years experience beneficial effects of pharmacological treatment. The problem with side effects and somatic complications may rise to a level that makes pharmacotherapy for ADHD difficult after the age of 65 years. Physical assessment prior to initiation of ADHD medication in adults ≥50 years should

  1. The Nord-Trøndelag Health Study shows increased prevalence of primary recurrent headaches among adolescents over a four-year period.

    Science.gov (United States)

    Jacobsena, Brit A; Dyb, Grete; Hagen, Knut; Stovner, Lars J; Holmen, Turid L; Zwart, John-Anker

    2017-12-29

    Objective Earlier epidemiological studies have shown that headaches are frequent among adolescents, especially girls. In particular, recurrent primary headache disorders such as migraine and tension-type headaches are common complaints in this age group. Headaches are increasingly being recognized as a significant health problem in adolescents and can lead to significant disabilities by affecting their lives, their school performance and their social lives. The aim of this study was to compare the prevalence of primary headaches among adolescents aged 16-20 years in Norway in two periods. Very few replicate studies have re-evaluated the prevalence of primary headaches in this age range and it is uncertain whether the prevalence is increasing. Methods Two cross-sectional, population-based studies were conducted in Norway from 1995 to 1997 (Young-HUNT 1) and from 1999 to 2001 (Young-HUNT 2). In Young-HUNT 1, 2594 adolescents in 2nd and 3rd grade in upper secondary school (aged 16-20 years) completed a comprehensive questionnaire including one question regarding headache during the last 12 months. In addition, 1730 of the students were interviewed about their headache complaints. In Young-HUNT 2, 2373 adolescents aged 16-20 years completed the same questionnaire and 1655 were interviewed in the same way as the earlier survey. The interviews were performed by trained nurses, and respondents were asked if they had experienced recurrent headache during the last year. If so, the headache was classified as migraine (MI), tensiontype headache (TTH) or non-classifiable headache (NCH). Headache frequency during the past year was recorded according to the following categories: Less than 1 day per month (less than monthly), 1-3 days per month (monthly), 1-5 days per week (weekly), or more than 5 days per week (daily). Results The participation rate was 88% in Young-HUNT 1 and 81% in Young-HUNT 2. The overall prevalence of having had headaches during the last 12 months did not

  2. Insomnia as a risk factor for ill health: results from the large population-based prospective HUNT Study in Norway.

    Science.gov (United States)

    Sivertsen, Børge; Lallukka, Tea; Salo, Paula; Pallesen, Ståle; Hysing, Mari; Krokstad, Steinar; Simon Øverland

    2014-04-01

    Insomnia co-occurs with many health problems, but less is known about the prospective associations. The aim of the current study was to investigate if insomnia predicts cumulative incidence of mental and physical conditions. Prospective population-based data from the two last Nord-Trøndelag Health Studies (HUNT2 in 1995–97 and HUNT3 in 2006–08), comprising 24 715 people in the working population, were used to study insomnia as a risk factor for incidence of physical and mental conditions. Insomnia was defined according to the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Insomnia at HUNT2 was a significant risk factor for incidence of a range of both mental and physical conditions at HUNT3 11 years later. Most effects were only slightly attenuated when adjusting for confounding factors, and insomnia remained a significant risk factor for the following conditions in the adjusted analyses: depression [odds ratio (OR): 2.38, 95% confidence interval (CI): 1.91–2.98], anxiety (OR: 2.08, 95% CI: 1.63–2.64), fibromyalgia (OR: 2.05, 95% CI: 1.51–2.79), rheumatoidarthritis (OR: 1.87, 95% CI: 1.29–2.52), whiplash (OR: 1.71, 95% CI: 1.21–2.41), arthrosis (OR: 1.68, 95% CI: 1.43–1.98), osteoporosis (OR:1.52, 95% CI: 1.14–2.01, headache (OR: 1.50, 95% CI: 1.16–1.95,asthma (OR: 1.47, 95% CI: 1.16–1.86 and myocardial infarction (OR:1.46, 95% CI: 1.06–2.00). Insomnia was also associated significantly with incidence of angina, hypertension, obesity and stroke in the crude analyses, but not after adjusting for confounders. We conclude that insomnia predicts cumulative incidence of several physical and mental conditions. These results may have important clinical implications, and whether or not treatment of insomnia would have a preventive value for both physical and mental conditions should be studied further.

  3. More mental health problems after divorce in couples with high pre-divorce alcohol consumption than in other divorced couples: results from the HUNT-study.

    Science.gov (United States)

    Rognmo, Kamilla; Torvik, Fartein A; Idstad, Mariann; Tambs, Kristian

    2013-09-17

    Divorce is associated with mental health problems, and heavy drinking is related to higher risk of divorce. Less is known about the effects of divorce in couples where one or both drinks heavily. There are, however, reasons to expect different consequences of divorce in heavy risk using couples compared to other couples. Spouses of abusers may experience the divorce as a relief, whereas abusers may find it extra difficult to be left single. The aim of the study is to compare the effect of divorce on mental health in heavy drinking couples to the effect in couples who drink less. Registry data were matched with data from the Nord-Trøndelag Health Study (HUNT 1 (T1) and 2 (T2)), enabling longitudinal analyses of approximately 11,000 couples. Interaction terms between 1) alcohol use on T1 and divorce between T1 and T2 (11 year time lag), and 2) alcohol use on T1 and time since divorce at T2 for all divorced couples were tested to examine changes in mental health between T1 and T2 for a) spouses of high-risk compared to low-risk users, and b) high-risk compared to low-risk users themselves. Data were analyzed using multivariate analysis of variance. There was a general effect of divorce on change in mental health between T1 and T2. We observed a significantly stronger worsening in mental health in female high-risk users and their spouses than in divorced low-risk users and their spouses. The results also suggest that the strain after divorce lasts longer in women with a high alcohol consumption and their spouses. Divorce seems to affect couples where one or both drink heavily more than couples with a low consumption. Also there was some evidence of a slower healing of mental health problems after divorce in alcohol exposed couples than in other couples. The results only reached significance for female high consumers and their spouses, but due to limited statistical power, safe conclusions about gender specific effects cannot be drawn.

  4. Food as a linking device among the Guidar of North Cameroon La nourriture comme lien entre Guidar du nord-Cameroun

    Directory of Open Access Journals (Sweden)

    Forka Leypey Mathew Fomine

    2009-07-01

    Full Text Available This article elucidates and illuminates food as a powerful device that established and strengthened cultural and commercial relationships among the Guidar of North Cameroon and between the Guidar and their neighbouring ethnic groups. During cultural ceremonies such as traditional wedding, death celebration, funeral entertainment, naming ceremony and group circumcision, the Guidar collectively consumed diverse food items that established and cemented cultural relationships among them. Food also aided in establishing commercial relationships between the Guidar and Moundang, Massa, Tupuri, Bamileke from Cameroon and the Sara from the Republic of Chad.Cet article montre le pouvoir instrumental alimentaire qui établit et renforce les relations culturelles et commerciales parmi les peuples Guidar du nord-Cameroun et différentes entités ethniques voisines. Durant les cérémonies traditionnelles telles que les mariages, les funérailles, les circoncisions en groupes, les peuples Guidar collectivement consomment un large éventail de produits alimentaires qui établissent et renforcent les relations culturelles. La nourriture également favorise l’établissement de relations commerciales entre les peuples Guidar, Moundang, Massa, Toupouri, Bamileke et les peuples Sara de la République du Tchad.

  5. Le néogène de la chaine du Pentadaktylos et de la partie nord de la Mésaoria (Chypre. Etude stratigraphique et micropaléontologique The Neofene in the Pentadaktylos Range and Nothern Mesaoria, Cyprus. Stratigraphic and Micropaleontological Investigations

    Directory of Open Access Journals (Sweden)

    Baroz F.

    2006-11-01

    Full Text Available La formation de Kithréa est une puissante série détritique, le plus souvent rythmique, déposée dans un bassin subsident, de part et d'autre de la chaîne du Pentadaktylos. Vers le nord, elle disparaît sous la mer; vers le sud, elle affleure largement dans la moitié nord de la Mesaoria jusque dans la région de i'Ovgos Potamos. Une étude lithologique et micropaléontologique a permis d'y distinguer 9, unités cartographiques correspondant à une échelle stratigraphique qui va de l'Eocène supérieur (? au Messinien évaporitique. Le Pliocène transgressif inaugure un nouveau cycle de sédimentation. Plusieurs biozones de Foraminifères planctoniques ont été reconnues. Leur succession dans le temps est sensiblement analogue à celle déjà distinguée en Méditerranée occidentale depuis l'Oligocène jusqu'au Pliocène moyen. La formation de Kithréa appartient à deux domaines paléogéographiques séparés par l'importante faille de Kithréa, de direction E-O. Au nord, dans un domaine « pentadaktylien », une série relativement diversifiée se dépose en transgression sur la chaîne. Au sud, dans un domaine « mésaorien », la série sédimentaire repose en concordance sur des dépôts crayeux qui s'étendent, vers le sud, jusqu'au Troodos. The Kithrea Formation is a thick detrital series, usually rhythmic deposited in subsident basin on both sides of teé Pentadaktylos Range. Toward the North it disappears underneath the sec. Toward the South it outcrops widely in the northern half of Mesaoria ranging to the Ovgos Potamos crea. A lithological and micropaleontological study reveals 9 formations corresponding to a stratigraphic scale ranging from fhe lace Eocene (? to the evaporitic Messinian. With the transgression of Pliocene, appears a new sedimentation cycle. Several planktonic foraminifera biozones have been identified. Their succession on time is quite similar to what hod previously been found in the western Mediterranean from

  6. « Murayana va à Garma cette année ! » : cérémonies publiques et rituels contemporains du nord-est de la Terre d’Arnhem (Australie)

    OpenAIRE

    De Largy Healy, Jessica

    2011-01-01

    Partant de l’idée que les cérémonies yolngu du nord-est de la Terre d'Arnhem (Australie) relèvent de négociations dynamiques entre des individus, des clans et des ancêtres, cet article examine comment une série d'échanges rituels furent articulés dans le cadre d’un festival culturel ouvert aux touristes. Je montre comment un projet de patrimonialisation numérique insuffla un élan de créativité rituelle dans plusieurs localités de la région et aboutit à une véritable campagne de représentation...

  7. The ''Société Géologique du Nord'' (SGN) and Earth Sciences in Northern France; La « Société Géologique du Nord » y las ciencias de la tierra en el norte de Francia

    Energy Technology Data Exchange (ETDEWEB)

    Blieck, A.; Meilliez, F.

    2016-10-01

    The ''Société Géologique du Nord'', located in Lille, in northern France, was founded in 1870, with Jules Gosselet as the first president. It has always been closely connected to the geology department of the Faculty of Sciences of Lille, now called the ''Université de Lille Sciences et Technologies'', and keeps strong links with the Natural History Museum of Lille. Its activities and evolution were closely related to those of the coal-mining basin of the area until the last shaft was closed in 1990. Its activities are both in the fields of applied and fundamental geosciences. From its beginning, the Society has published the results of the research of its members, both in a periodical journal, the Annales, and as monographies called Mémoires. From the 1970s, the Mémoires have been progressively replaced by Publications, mostly devoted to State doctoral theses. During the transition from the 20th to the 21st century, the activities of the Society have strongly declined, due to several internal and external factors. Since the beginning of the 21st century, the SGN has tried to adapt itself to the new conditions of both the university and the regional territory. It is still a scientific society, but it is open to its social environment. (Author) [French] La « Société Géologique du Nord » tiene su sede en Lille, en el norte de Francia. Se fundó en 1870, con Jules Gosselet como primer presidente. Siempre ha estado vinculada al Departamento de Geología de la Facultad de Ciencias de Lille, actualmente Université de Lille – Sciences et Technologies, y mantiene fuertes vínculos con el Museo de Historia Natural de Lille. Sus actividades y su evolución han estado relacionadas con las de la cuenca minera (hullera) de la región, hasta que, en 1990, cerró el último pozo de mina. Sus intereses son, a la vez, en el campo de las geociencias fundamentales y aplicadas. Desde su fundación, la Sociedad ha publicado los

  8. The EU constitution, Russia and a common EU energy policy : the EU may have a second life...no kidding! / Igor Gräzin

    Index Scriptorium Estoniae

    Gräzin, Igor, 1952-

    2007-01-01

    Artikli pikem versioon: EU´s "little" constitution : between Schweik and Kafka // East-West Studies : journal of Social Sciences of University Nord. Tallinn, 2007, lk. 32-39. - (Akadeemia Nord toimetised ; 36. EWS ; 1, December 2007)

  9. Design and development of a connection of a magnetic drum with two computers

    International Nuclear Information System (INIS)

    Malriq, Jean.

    1976-01-01

    In the experiment in High Energy Physics 'Hyperons SPS' realized at the CERN 300 GeV the connection between a drum and two computers is studied. One of the two computers is a NORD-10 the other may be anyone if it has a CAMAC interface. The input/output structure of the NORD-10 has been studied, then the interface NORD-drum and the CAMAC-drum interface have been realized. The electronic commutation allowing each computer to be connected on the drum through its specific interface has been built [fr

  10. Un aspect de la représentation politique municipale : le nombre d’élus et leur mode de répartition dans les villes nord-américaines (Canada, États-Unis)

    OpenAIRE

    Hulbert, François

    2007-01-01

    Si en France toutes les communes de population comparable disposent d’un nombre égal d’élus municipaux, il en va tout autrement au Canada et aux États-Unis. A partir d’un échantillon de cent villes nord-américaines, l’analyse montre une grande disparité dans la représentation politique : le nombre de conseillers municipaux est le plus souvent faible eu égard à la situation en France et les écarts d’une ville à l’autre sont très importants. Avec respectivement 51 et 50 élus, New York (8,1 mill...

  11. Health | Page 7 | IDRC - International Development Research Centre

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

    C'est en Thaïlande que l'on observe la plus forte incidence de cholangiocarcinome, forme mortelle de cancer du foie notamment attribuable à une infection parasitaire par l'opisthorchiase (Opisthorchis viverrini). À certains endroits du nord-est de la Thaïlande, près de 85 % des habitants sont infectés par l'opisthorchiase.

  12. Is physical activity maintenance from adolescence to young adulthood associated with reduced CVD risk factors, improved mental health and satisfaction with life: the HUNT Study, Norway.

    Science.gov (United States)

    Rangul, Vegar; Bauman, Adrian; Holmen, Turid Lingaas; Midthjell, Kristian

    2012-12-14

    Little is known about the effect maintaining physical activity throughout adolescence has on cardiovascular risk factors and health status in early adulthood. This ten-year prospective longitudinal study investigated whether differences in physical activity patterns from adolescence to young-adulthood showed different associations with subsequent cardio-metabolic risk factors and mental health in young-adulthood. Based on the second and third Norwegian Nord-Trøndelag Health Surveys (HUNT2 and 3), we included 1869 individuals (838 males) participating in Young-HUNT (1995-97), aged 13-19 years and followed-up at HUNT3 (2006-08), aged 23-31. Self-reported physical activity (PA), mental health and perceived health were recorded, along with measurements of body mass index (BMI), waist circumference (WC), total cholesterol (TC), HDL cholesterol, glucose, triglycerides, resting heart rate (HR) and blood pressure. We used separate linear regressions models to investigate associations between physical activity and each CVD risk factor, and logistic regression analysis to examine PA patterns and subsequent mental health. Physically active maintainers were compared to inactive maintainers. Adopters (inactive as adolescents and physically active as young adults) were compared to inactive maintainers and to those who discontinued activity (relapsers). Active maintainers had significantly lower HR, compared to all other PA patterns. Active maintaining men had significantly lower WC than relapsers and inactive maintainers. When adjusted for age and gender, WC, BMI, HR, diastolic blood pressure and HDL-C showed significant differences comparing active maintaining to other PA patterns. Comparing inactive maintainers against adopters, only HR was significantly lower. Male adopters did not differ significantly in CVD risk compared to inactive maintainers and relapsers. Among females adopting was associated with lower HR and TC compared to inactive maintainers. Active maintainers

  13. Salmonella spp. e antibiotico-resistenza in Mammiferi e Uccelli selvatici in Italia nord-occidentale dal 2002 al 2010

    Directory of Open Access Journals (Sweden)

    Velca Botti

    2013-06-01

    Full Text Available La Salmonella è un importante agente patogeno responsabile di zoonosi di notevole rilevanza economica. In Europa la salmonellosi è la seconda infezione trasmessa per via alimentare, in Italia il microrganismo continua ad essere la causa più frequente di infezione alimentare. In Europa sono in atto molti piani di sorveglianza di Salmonella in animali da allevamento, tuttavia il monitoraggio del microrganismo in animali selvatici è effettuato solo occasionalmente. Lo studio ha avuto l'obiettivo di indagare la presenza di Salmonella in animali selvatici e i ceppi antibiotico-resistenti. Nel periodo 2002-2010, 2.713 animali selvatici (Canidi, Mustelidi, Uccelli, Roditori e Ungulati, provenienti da aree dell'Italia nord-occidentale, sono stati testati per Salmonella mediante metodo microbiologico colturale seguito da tipizzazione sierologica e biochimica. Di questi, 117 (63 Canidi, 25 Mustelidi, 24 Uccelli, 5 Ungulati sono risultati positivi per Salmonella (4,3%. Sono stati isolati 130 ceppi appartenenti a diversi sierotipi e Salmonella Typhimurium è risultato quello più rappresentato. La sensibilità agli antibiotici è stata testata su 88 ceppi con test di disco-diffusione. La maggior parte dei ceppi analizzati (97,7% si sono mostrati intermedi (I o resistenti (R ad almeno una classe di antibiotici. I più alti valori sono stati osservati per la classe delle tetracicline. La presenza di sierotipi di Salmonella antibiotico-resistenti e responsabili di zoonosi è stata riscontrata in diverse specie di animali selvatici.

  14. Developpement D'un Modele Climatique Regional: Fizr Simulation des Conditions de Janvier de la Cote Ouest Nord Americaine

    Science.gov (United States)

    Goyette, Stephane

    1995-11-01

    Le sujet de cette these concerne la modelisation numerique du climat regional. L'objectif principal de l'exercice est de developper un modele climatique regional ayant les capacites de simuler des phenomenes de meso-echelle spatiale. Notre domaine d'etude se situe sur la Cote Ouest nord americaine. Ce dernier a retenu notre attention a cause de la complexite du relief et de son controle sur le climat. Les raisons qui motivent cette etude sont multiples: d'une part, nous ne pouvons pas augmenter, en pratique, la faible resolution spatiale des modeles de la circulation generale de l'atmosphere (MCG) sans augmenter a outrance les couts d'integration et, d'autre part, la gestion de l'environnement exige de plus en plus de donnees climatiques regionales determinees avec une meilleure resolution spatiale. Jusqu'alors, les MCG constituaient les modeles les plus estimes pour leurs aptitudes a simuler le climat ainsi que les changements climatiques mondiaux. Toutefois, les phenomenes climatiques de fine echelle echappent encore aux MCG a cause de leur faible resolution spatiale. De plus, les repercussions socio-economiques des modifications possibles des climats sont etroitement liees a des phenomenes imperceptibles par les MCG actuels. Afin de circonvenir certains problemes inherents a la resolution, une approche pratique vise a prendre un domaine spatial limite d'un MCG et a y imbriquer un autre modele numerique possedant, lui, un maillage de haute resolution spatiale. Ce processus d'imbrication implique alors une nouvelle simulation numerique. Cette "retro-simulation" est guidee dans le domaine restreint a partir de pieces d'informations fournies par le MCG et forcee par des mecanismes pris en charge uniquement par le modele imbrique. Ainsi, afin de raffiner la precision spatiale des previsions climatiques de grande echelle, nous developpons ici un modele numerique appele FIZR, permettant d'obtenir de l'information climatique regionale valide a la fine echelle spatiale

  15. Association between blood pressure and Alzheimer disease measured up to 27 years prior to diagnosis: the HUNT Study.

    Science.gov (United States)

    Gabin, Jessica Mira; Tambs, Kristian; Saltvedt, Ingvild; Sund, Erik; Holmen, Jostein

    2017-05-31

    A lot of attention has been paid to the relationship of blood pressure and dementia because epidemiological research has reported conflicting evidence. Observational data has shown that midlife hypertension is a risk factor for cognitive decline and dementia later in life, whereas there is evidence that low blood pressure is predictive in later life. The aim of the present study was to examine the association between dementia and blood pressure measured up to 27 years (mean 17.6 years) prior to ascertainment. In Nord-Trøndelag County, Norway, incident dementia data were collected during 1995-2011, and the diagnoses were validated by a panel of experts in the field. By using the subjects' personal identification numbers, the dementia data were linked to data from the Nord-Trøndelag Health Study (the HUNT Study), a large, population-based health study performed in 1984-1986 (HUNT 1) and 1995-1997 (HUNT 2). A total of 24,638 participants of the HUNT Study were included in the present study, 579 of whom were diagnosed with Alzheimer disease, mixed Alzheimer/vascular dementia, or vascular dementia. Multiple logistic regression analyses were conducted to analyze the association between dementia and blood pressure data from HUNT 1 and HUNT 2. Over the age of 60 years, consistent inverse associations were observed between systolic blood pressure and all-cause dementia, mixed Alzheimer/vascular dementia, and Alzheimer disease, but not with vascular dementia, when adjusting for age, sex, education, and other relevant covariates. This was observed for systolic blood pressure in both HUNT 1 and HUNT 2, regardless of antihypertensive medication use. There was an adverse association between systolic blood pressure, pulse pressure, and Alzheimer disease in individuals treated with antihypertensive medication under the age of 60 years. Our data are in line with those in previous studies demonstrating an inverse association between dementia and systolic blood pressure in

  16. Galite

    OpenAIRE

    Soumille, P.

    2012-01-01

    La Galite est une île située par 37°31’ de latitude Nord et 8’55’ de longitude Est, au large de la côte septentrionale de la Tunisie, à 25 milles marins (46 kilomètres) au Nord du Cap Negro, à 33 milles (61 kilomètres) au Nord/Nord-Est de Tabarka et à 50 milles (92 kilomètres) au Nord/Nord-Ouest de la rade de Bizerte. Les Instructions nautiques sur les côtes de Tunisie, datant de 1890, nous décrivent ainsi l’île : « C’est un gros massif de terre escarpé et sans plage de trois milles de longue...

  17. The relationship between headache and religious attendance (the Nord-Trøndelag health study-HUNT)

    DEFF Research Database (Denmark)

    Tronvik, Erling; Sørensen, Torgeir; Linde, Mattias

    2014-01-01

    activity. Frequent religious attendees (fRA) (used as a marker of stronger religious belief than average) were defined as those who had been to church/prayer house at least once monthly during the last six months. RESULTS: In the multivariate analyses, adjusting for known potential confounders, individuals...

  18. Environmental health studies

    International Nuclear Information System (INIS)

    Easterly, C.E.; Shank, K.E.

    1978-01-01

    The two major thrusts of the environmental health studies have been in the areas of health physics aspects of fusion power and methodology for assessing health effects related to nuclear facilities. Researchers were unable to discern a dose-response relationship or to find adverse health effects in the local population around nuclear facilities which might be related to radiation exposure. A second study analyzed the trends in incidence of cancer, congenital malformation, and fetal and infant mortality for Oak Ridge, Anderson County, and Roane County relative to Tennessee. Finally, a more in-depth study on congenital malformations and fetal mortality trends for nine East Tennessee counties surrounding Oak Ridge was completed. The objective of the Health Physics Aspects of Fusion Power Program is to provide, on a timely basis, scientific information and technical evaluations on the potential impacts of fusion power to occupational workers and to members of the public. The primary areas of study in this program during the past year have been (1) factors affecting calculations of dose resulting from a release of tritium, (2) an assessment of the potential for reducing occupational risk from exposures to tritium, and (3) experimental studies of tritium conversion from molecular hydrogen to tritiated water

  19. Évaluation de la qualité des cours d'eau de la ville de Taza utilisés ...

    African Journals Online (AJOL)

    SARAH

    31 mai 2014 ... detected that presents a danger to the health of consumers of crops contaminated. Keywords: ... Zone d'étude : La ville de Taza, appartient à la région nord orientale du ..... isolated from agricultural and industrial soils. FEMS.

  20. Is physical activity maintenance from adolescence to young adulthood associated with reduced CVD risk factors, improved mental health and satisfaction with life: the HUNT Study, Norway

    Science.gov (United States)

    2012-01-01

    Background Little is known about the effect maintaining physical activity throughout adolescence has on cardiovascular risk factors and health status in early adulthood. This ten-year prospective longitudinal study investigated whether differences in physical activity patterns from adolescence to young-adulthood showed different associations with subsequent cardio-metabolic risk factors and mental health in young-adulthood. Methods Based on the second and third Norwegian Nord-Trøndelag Health Surveys (HUNT2 and 3), we included 1869 individuals (838 males) participating in Young-HUNT (1995–97), aged 13–19 years and followed-up at HUNT3 (2006–08), aged 23–31. Self-reported physical activity (PA), mental health and perceived health were recorded, along with measurements of body mass index (BMI), waist circumference (WC), total cholesterol (TC), HDL cholesterol, glucose, triglycerides, resting heart rate (HR) and blood pressure. We used separate linear regressions models to investigate associations between physical activity and each CVD risk factor, and logistic regression analysis to examine PA patterns and subsequent mental health. Physically active maintainers were compared to inactive maintainers. Adopters (inactive as adolescents and physically active as young adults) were compared to inactive maintainers and to those who discontinued activity (relapsers). Results Active maintainers had significantly lower HR, compared to all other PA patterns. Active maintaining men had significantly lower WC than relapsers and inactive maintainers. When adjusted for age and gender, WC, BMI, HR, diastolic blood pressure and HDL-C showed significant differences comparing active maintaining to other PA patterns. Comparing inactive maintainers against adopters, only HR was significantly lower. Male adopters did not differ significantly in CVD risk compared to inactive maintainers and relapsers. Among females adopting was associated with lower HR and TC compared to inactive

  1. Assessing gas transit risks: Russia vs. the EU

    International Nuclear Information System (INIS)

    Le Coq, Chloé; Paltseva, Elena

    2012-01-01

    This paper proposes a Transit Risk Index (TRI) designed to assess the riskiness of pipeline gas imports and to study the effect of introducing new gas routes. TRI controls for gas dependency, transit route diversification, political risks of transit, pipeline rupture probability, and the balance of power between supplying and consuming countries along the transit route. Evaluating TRI for the EU-Russia gas trade, we show that the introduction of the Nord Stream pipeline would further widen already large disparities in gas risk exposure across the EU Member States. The gas risk exposure of the Member States served by Nord Stream would decline. In contrast, EU countries not connected to Nord Stream, but sharing other Russian gas transit routes with the Nord Stream countries, would face greater gas risk exposure. We discuss the implications of our analysis for the design of the common energy policy in the EU.

  2. Observation de terrain et télédétection (Baie du Roi, Spitsberg nord-occidental

    Directory of Open Access Journals (Sweden)

    Dominique Laffly

    1999-06-01

    Full Text Available Les observations de terrain sont fondamentales en télédétection. Selon la finalité de l’étude, la description des paysages observés sera plus ou moins détaillée. Une simple reconnaissance des principaux postes d’occupation du sol demande peu d’indicateurs et ne nécessite pas une localisation à la tachèle près. En revanche, l’analyse du contenu des pixels en vue d’une modélisation statistique s’appuie sur une description thématique détaillée de points localisés très précisément. Dans ce cas les images utilisées doivent être correctement géoréférencées et la localisation sur le terrain se fait à l’aide d’un GPS différentiel. Restent les problèmes du choix des points à analyser ainsi que celui de l’observation elle-même de leur "contenu". Nous présentons dans cet article une méthode qui vise à répondre à ces deux questions. Notre approche est fondée sur la technique du sondage systématique non-aligné. Cette dernière permet de tenir compte à la fois de la valeur des points observés et de leur localisation pour définir le plan d’échantillonnage. Les exemples présentés sont issus d’une étude réalisée sur les sandurs de la presqu’île de Br¯gger au Spitsberg nord-occidental (images SPOT XSP.

  3. Sédimentation et diagenèse des minéraux argileux du Jurassique supérieur-Crétacé dans le Jura méridional et le domaine subalpin (France, Sud-Est). Comparaison avec le domaine Atlantique Nord

    OpenAIRE

    Deconinck , Jean-François

    1984-01-01

    Le but de cette thèse est de décrire et d'expliquer l'évolution des assemblages argileux dans les Alpes occidentales depuis l'Oxfordien jusqu'au Crétacé supérieur, et de la comparer à celle connue dans l'Atlantique nord grâce aux forages DSDP. Etude géologique, sédimentologique et géochimique. Les assemblages argileux du Mésozolque supérieur (Malm - Crétacé) du domaine subalpin et du Jura mérldional sont étudiés par diffraction des rayons X, microscopie électronique à transmission et analyses...

  4. Estimation de l'aléa sismique dans les Andes nord équatoriennes

    Directory of Open Access Journals (Sweden)

    1996-01-01

    Full Text Available Les Andes Nord équatoriennes ont connu de nombreux séismes historiques destructeurs. Pour caractériser l’aléa sismique de la région andine, nous avons fait une révision critique de la sismicité historique et de l’ensemble des failles actives de l’Équateur. Les deux sources majeures de l’aléa sismique sont respectivement la subduction superficielle pour la région côtière et le système transpressif des hautes Andes pour la région andine. Ce système est composé de failles décrochantes dextres d’orientation N30-35°E (failles du Rio Chingual-La Sofia et Pallatanga qui limitent respectivement au Nord et au Sud des failles inverses N-S du relais compressif de la vallée interandine (failles de Quito et de Latacunga. L’étude des mécanismes au foyer superficiels des Andes équatoriennes nous a permis de calculer une vitesse de raccourcissement crustal de 4.6 mm/a selon une direction N92°E et d’estimer des temps de récurrence et des périodes de retour. Un séisme de Mw = 5 pourrait se produire tous les 0.5 an, de Mw = 6 tous les 4.5 ans, de Mw = 7 tous les 45.4 ans. De même, sur une période de temps de 33 ans, 66 séismes de Mw=5 peuvent être attendus, 7 séismes de Mw=6 et 1 séisme de Mw=7. Enfin, nous avons estimé pour l’ensemble des sources sismogènes de la région andine des magnitudes maximales probables et des temps de récurrence. Un séisme de magnitude 7 à 7.5 peut se produire sur la faille du Rio Chingual tous les 400±440 ans et de magnitude 6.7 à 7.2 tous les 380±320 ans sur la faille de Pallatanga. Dans la vallée interandine, la faille de Quito est susceptible d’engendrer un séisme de magnitude 6.6 à 7.6 tous les 930±300 ans. LA AMENAZA SÍSMICA EN LOS ANDES ECUATORIANOS. Los Andes del Norte del Ecuador son una región sismogénica mayor, donde se puede contabilizar muchos terremotos históricos destructores. A fin de determinar la amenaza sísmica sobre la región andina, se hizo la asociaci

  5. Eesti Energia tegi esimesed tehingud elektribörsil / Kerli Nõu

    Index Scriptorium Estoniae

    Nõu, Kerli

    2006-01-01

    Eesti Energia ei avalikusta NordPoolil sõlmitud tehingute mahtu ärisaladuse tõttu. NordPooli börsil hajutavad riske energia tootjad, suurtarbijad ja hulgikauplejad, kes peavad end energia hinnatõusu vastu kaitsma. Järgmise aasta tulevikutehingute hinda mõjutavatest teguritest. Lisa: NordPool

  6. Validation of a same-day real-time PCR method for screening of meat and carcass swabs for Salmonella

    DEFF Research Database (Denmark)

    Löfström, Charlotta; Krause, Michael; Josefsen, Mathilde Hartmann

    2009-01-01

    of the published PCR methods for Salmonella have been validated in collaborative studies. This study describes a validation including comparative and collaborative trials, based on the recommendations from the Nordic organization for validation of alternative microbiological methods (NordVal) of a same-day, non....... Partly based on results obtained in this study, the method has obtained NordVal approval for analysis of Salmonella in meat and carcass swabs. The PCR method was transferred to a production laboratory and the performance was compared with the BAX Salmonella test on 39 pork samples artificially...... contaminated with Salmonella. There was no significant difference in the results obtained by the two methods. Conclusion: The real-time PCR method for detection of Salmonella in meat and carcass swabs was validated in comparative and collaborative trials according to NordVal recommendations. The PCR method...

  7. Equality in adults' oral health in Norway. Cohort and cross-sectional results over 33 years

    NARCIS (Netherlands)

    Holst, Dorthe; Schuller, Annemarie A

    2011-01-01

    OBJECTIVE: To assess social inequality in dental clinical parameters from 1973 to 2006. METHODS: Samples from two birth-cohorts born between 1929-1938 and 1959-1960, respectively, and 35-44-year-olds were drawn in 1973, 1983, 1994 and in 2006 in the county of Nord-Trøndelag in Norway. Standard

  8. Studying health consequences of microchimerism

    DEFF Research Database (Denmark)

    Olsen, J.; Campi, Rita; Frydenberg, Morten

    2003-01-01

    may thus have a health effect beyond the parity effect. A possible design for studying this is to compare health effects for women with or without multiple partners but with the same parity. We compared total and cause specific mortality in these two groups in order to estimate their comparability......Abstract. A pregnancy requires a reasonably good health and may have positive as well as negative health consequences for the woman. Part of these health effects may depend on the immune response to the exchange of fetal cells (microchimerism). The number of biological fathers to a woman’s children...... unlikely that these large differences are entirely related to microchimerism. The study shows that caution is needed when studying health effects of procreation with multiple partners....

  9. Risque de réémergence du paludisme au Maroc Étude de la capacité vectorielle d’Anopheles labranchiae dans une zone rizicole au nord du pays

    Directory of Open Access Journals (Sweden)

    Faraj C.

    2008-12-01

    Full Text Available Dans le but d’estimer le risque de réintroduction du paludisme au Maroc, nous avons analysé le potentiel paludogène d’une zone rizicole au nord du pays. Nos résultats ont montré que la capacité vectorielle d’An. labranchiae, vecteur du paludisme au Maroc, était particulièrement élevée pendant la période estivale qui correspond à la période de culture du riz. Le risque d’une reprise de la transmission du paludisme autochtone est élevé du fait de l’éventuelle présence de porteurs de parasite dans le dernier foyer de paludisme limitrophe de la zone d’étude. Le risque d’une introduction du paludisme tropical est faible, vu la faible vulnérabilité de la région et la compétence de ses vecteurs, considérée comme faible. Toutefois, ce risque doit faire l’objet d’une grande attention.

  10. 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

  11. Diabetes related risk factors did not explain the increased risk for urinary incontinence among women with diabetes. The Norwegian HUNT/EPINCONT study

    Directory of Open Access Journals (Sweden)

    Midthjell Kristian

    2009-09-01

    Full Text Available Abstract Background Previous studies have shown an association between diabetes mellitus (DM and urinary incontinence (UI in women, especially severe UI. The purpose of this study was to investigate whether diabetes related variables could explain this association. Methods The study is part of the EPINCONT study, which is based on the large Nord-Trøndelag Health Study 2 (HUNT 2, performed in the county of Nord-Trøndelag, Norway, during the years 1995 - 1997. Questions on diabetes and UI were answered by a total of 21 057 women aged 20 years and older. Of these 685 were identified as having diabetes, and thus comprise the population of our study. A variety of clinical and biochemical variables were recorded from the participants. Results Blood-glucose, HbA1c, albumine:creatinine ratio (ACR, duration of diabetes, diabetes treatment, type of diabetes, cholesterol and triglycerides did not significantly differ in women with and without UI in crude analyses. However, the diabetic women with UI had more hospitalizations during the last 12 months, more homecare, and a higher prevalence of angina and use of oestrogene treatment (both local and oral/patch. After adjusting for age, BMI, parity and smoking, there were statistically significant associations between any UI and angina (OR 1.89; 95% CI: 1.22 - 2.93, homecare (OR 1.72; 95% CI: 1.02 - 2.89, and hospitalization during the last 12 months (OR 1.67; 95% CI: 1.18 - 2.38. In adjusted analyses severe UI was also significantly associated with the same variables, and also with diabetes drug treatment (OR 2.10; 95% CI: 1.07 - 4.10 and stroke (OR 2.47; 95% CI: 1.09 - 5.59. Conclusion No single diabetes related risk factor seems to explain the increased risk for UI among women with diabetes. However, we found associations between UI and some clinical correlates of diabetes.

  12. Norwegian computers in European energy research project

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    16 NORD computers have been ordered for the JET data acquisition and storage system. The computers will be arranged in a 'double star' configuration, developed by CERN. Two control consoles each have their own computer. All computers for communication, control, diagnostics, consoles and testing are NORD-100s while the computer for data storage and analysis is a NORD-500. The operating system is SINTRAN CAMAC SERIAL HIGHWAY with fibre optics to be used for long communications paths. The programming languages FORTRAN, NODAL, NORD PL, PASCAL and BASIC may be used. The JET project and TOKAMAK type machines are briefly described. (JIW)

  13. Factors predicting changes in physical activity through adolescence: the Young-HUNT Study, Norway.

    Science.gov (United States)

    Rangul, Vegar; Holmen, Turid Lingaas; Bauman, Adrian; Bratberg, Grete H; Kurtze, Nanna; Midthjell, Kristian

    2011-06-01

    The purpose of this prospective population-based study was to analyze predictors of changes in physical activity (PA) levels from early to late adolescence. Data presented are from 2,348 adolescents and their parents who participated in the Nord-Trøndelag Health study (HUNT 2, 1995-1997) and at follow-up in Young-HUNT 2, 2000-2001 Participants completed a self-reported questionnaire and participated in a clinical examination that included measurements of height and weight. Four patterns of PA emerged in the study: active or inactive at both time points (active maintainers, 13%; inactive maintainers, 59%), inactive and became active (adopters, 12%), active and became inactive (relapsers, 16%). Being overweight, dissatisfied with life, and not actively participating in sports at baseline were significant predictors of change regarding PA among boys at follow-up. For girls, smoking, drinking, low maternal education, and physical inactivity predicted relapsers and inactive maintainers. Higher levels of education and more physically active parents at baseline seemed to protect against decreased PA during follow-up for both genders. Predictors of change in, or maintaining PA status during adolescence differed by gender. These results suggest that PA-promoting interventions should be tailored by gender and focus on encouraging activity for inactive adolescents and maintenance of PA in those already active. Copyright © 2011 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  14. L’analyse des métaphores et les modèles de la métropole nord-américaine : débat et proposition

    Directory of Open Access Journals (Sweden)

    Gilles Sénécal

    2008-09-01

    Full Text Available Cet article passe en revue les différents modèles, depuis celui de l’école de Chicago jusqu’à celui de l’école de Los Angeles, qui représentent la forme des métropoles nord-américaines. L’analyse des métaphores, tant écologique ou gravitaire, que celles de la géographie des espaces-temps, des scènes urbaines ou du jeu keno, permet de revoir les termes du débat opposant le modèle gravitaire à celui de la métropole fragmentée. Deux questions sont ici soulevées. La première concerne l’unité des études urbaines contenue dans le modèle écologique, c’est-à-dire sa capacité de traiter de l’organisation de l’espace métropolitain et des interactions sociales réalisées à l’échelle du lieu. La seconde traite de la mobilité des personnes, c’est-à-dire de la relation entre l’organisation de l’espace métropolitain et l’espace vécu des individus. Deux constats se dégagent de l’analyse. Le premier est pour reconnaître le caractère inachevé de l’urbanisme postmoderne. La seconde souligne l’absence d’une métaphore de substitution pouvant  rendre compte de manière générale de la forme métropoles nord-américaines contemporaines. Face à quoi, il est proposé de s’inspirer de la théorie des cordes en sciences physiques.This paper reviews the various models representing the form of the North American metropolis, starting from the School of Chicago up to the School of Los Angeles. It examines a series of metaphors ranging from the ecological to the gravitational, as well as space-time geography, urban scene or the game Keno with the aim of reconsidering the terms of debate regarding the contrasts between the gravitational and the fragmented metropolis models. Two questions are raised. The first involves urban studies’ unity in the ecological model i.e. its capacity to consider the organization of metropolitan space and place-level social interactions. The second deals with the issue of

  15. Clinical consequences of hospital variation in use of oral anticoagulant therapy after first-time admission for atrial fibrillation

    DEFF Research Database (Denmark)

    Hansen, M L; Gadsbøll, N; Rasmussen, S

    2009-01-01

    Abstract. Hansen ML, Gadsbøll N, Rasmussen S, Gislason GH, Folke F, Andersen SS, Schramm TK, Sørensen R, Fosbøl EL, Abildstrøm SZ, Madsen M, Poulsen HE, Køber L, Torp-Pedersen C (Gentofte University Hospital, Hellerup; Sygehus Nord, Køge; National Institute of Public Health; Rigshospitalet-Copenh...... thromboembolic events were observed amongst patients from low OAC use hospitals. Our study emphasizes the need for a continued vigilance on implementation of international AF management guidelines....

  16. Marital transitions and life satisfaction: Evidence from longitudinal data from Norway

    OpenAIRE

    Næss, Siri; Blekesaune, Morten; Jakobsson, Niklas

    2014-01-01

    This article is based on three waves of data collected by the Nord-Trøndelag Health Study (HUNT), Norway. It investigates changes in life satisfaction associated with transition both into and out of marital unions (marriages and cohabitations). It provides longitudinal data on life satisfaction for a larger sample (N¼57,446), a longer age span (19–101 years) and over a longer observation period (22 years) than previously published research on this topic. The large sample permits interaction a...

  17. Modalités d'occupation du territoire et relations humains-grands Carnivores durant le Pléistocène supérieur :Approche archéozoologique, taphonomique et paléoécologique du Bassin mosan dans son contexte nord-ouest européen

    OpenAIRE

    Jimenez, Elodie-Laure

    2017-01-01

    Au sein des territoires du nord-ouest européen, la Belgique et son Bassin mosan ont livré ces 150 dernières années une somme prodigieuse de témoins des populations humaines et animales paléolithiques. Alors que ces vestiges laissent supposer le caractère attractif de la région lors de la dernière glaciation du Pléistocène (115-10 ka BP), ces communautés d’ongulés et leurs prédateurs— humains et grands Carnivores — ont dû toutefois s’adapter à de nombreuses variations environne...

  18. Venice and the redemption of Northern European slaves (seventeenth and eighteenth centuries)

    OpenAIRE

    Ressel, Magnus

    2014-01-01

    Entre 1600 et 1750, et plus particulièrement entre 1610 et 1640, des navires de l’Europe du Nord furent capturés par les corsaires barbaresques. C’était la conséquence logique de l’arrivée massive à partir de la fin du xvie siècle de navires et marchands de l’Europe du Nord en Méditerranée et de l’expansion simultanée de la course nord-africaine en Atlantique. Les Nord-Européens commencèrent à racheter leurs frères réduits en esclavage et, pour ce faire, ils eurent recours à des moyens assez ...

  19. Anhedonic depression, history of depression, and anxiety as gender-specific risk factors of myocardial infarction in healthy men and women: The HUNT study

    Directory of Open Access Journals (Sweden)

    Eva Langvik

    2014-11-01

    Full Text Available This prospective study examines gender-specific psychological risk factors of myocardial infarction. Out of 41,248 participants free of coronary heart disease at baseline, 822 cases of myocardial infarction were identified in the Nord-Trøndelag Health Study or the mortality register. The participants completed the Hospital Anxiety and Depression Scale. Cholesterol, blood pressure, and waist–hip ratio were measured by medical staff. Smoking, diabetes, non-fatal myocardial infarction, and history of depressive episode were self-reported. Anhedonic depression (Hospital Anxiety and Depression Scale-D ≥8 was a significant predictor of myocardial infarction in women but not in men. Gender difference in risk estimate based on Hospital Anxiety and Depression Scale-D was significant ( p  < .01. History of depressive episode was a significant predictor of myocardial infarction in men. Symptoms of anxiety (Hospital Anxiety and Depression Scale-A ≥8 reduced the risk of having a myocardial infarction.

  20. Migrations européennes, économie touristique et impasses

    African Journals Online (AJOL)

    et politiques induites par des flux sud-nord – principalement sous l'angle des migrations de travail, des transferts d'argent, des stratégies de passage vers le « Nord »1, des enjeux d'ethnicité et ... entreprises et institutions nord-américaines. De plus ...... Il est localement apprécié pour recruter du personnel sénégalais issu.

  1. Studying health in Greenland

    DEFF Research Database (Denmark)

    Bjerregaard, Peter; Mulvad, Gert; Olsen, Jørn

    2003-01-01

    Health research in Greenland has contributed with several findings of interest for the global scientific community and has documented health problems and risk factors of importance for planning the local health care system. The study of how health develops in small, scattered communities during...... rapid epidemiological transition carries prospects of global significance. The Inuit are a genetically distinct people living under extreme physical conditions. Their traditional living conditions and diet are currently undergoing a transformation, which may approach their disease pattern...... to that of the industrialized world, while still including local outbreaks of tuberculosis. Health research in Greenland is logistically difficult and costly, but offers opportunities not found elsewhere in the world. A long tradition of registration enhances the possibilities for research. A number of research institutions...

  2. Do abnormal serum lipid levels increase the risk of chronic low back pain? The Nord-Trøndelag Health Study.

    Directory of Open Access Journals (Sweden)

    Ingrid Heuch

    Full Text Available Cross-sectional studies suggest associations between abnormal lipid levels and prevalence of low back pain (LBP, but it is not known if there is any causal relationship.The objective was to determine, in a population-based prospective cohort study, whether there is any relation between levels of total cholesterol, high density lipoprotein (HDL cholesterol and triglycerides and the probability of experiencing subsequent chronic (LBP, both among individuals with and without LBP at baseline.Information was collected in the community-based HUNT 2 (1995-1997 and HUNT 3 (2006-2008 surveys of an entire Norwegian county. Participants were 10,151 women and 8731 men aged 30-69 years, not affected by chronic LBP at baseline, and 3902 women and 2666 men with LBP at baseline. Eleven years later the participants indicated whether they currently suffered from chronic LBP.Among women without LBP at baseline, HDL cholesterol levels were inversely associated and triglyceride levels positively associated with the risk of chronic LBP at end of follow-up in analyses adjusted for age only. Adjustment for the baseline factors education, work status, physical activity, smoking, blood pressure and in particular BMI largely removed these associations (RR: 0.96, 95% CI: 0.85-1.07 per mmol/l of HDL cholesterol; RR: 1.16, 95% CI: 0.94-1.42 per unit of lg(triglycerides. Total cholesterol levels showed no associations. In women with LBP at baseline and men without LBP at baseline weaker relationships were observed. In men with LBP at baseline, an inverse association with HDL cholesterol remained after complete adjustment (RR: 0.83, 95% CI: 0.72-0.95 per mmol/l.Crude associations between lipid levels and risk of subsequent LBP in individuals without current LBP are mainly caused by confounding with body mass. However, an association with low HDL levels may still remain in men who are already affected and possibly experience a higher pain intensity.

  3. Seasonal variation of atmospheric particle number concentrations, new particle formation and atmospheric oxidation capacity at the high Arctic site Villum Research Station, Station Nord

    Directory of Open Access Journals (Sweden)

    Q. T. Nguyen

    2016-09-01

    Full Text Available This work presents an analysis of the physical properties of sub-micrometer aerosol particles measured at the high Arctic site Villum Research Station, Station Nord (VRS, northeast Greenland, between July 2010 and February 2013. The study focuses on particle number concentrations, particle number size distributions and the occurrence of new particle formation (NPF events and their seasonality in the high Arctic, where observations and characterization of such aerosol particle properties and corresponding events are rare and understanding of related processes is lacking.A clear accumulation mode was observed during the darker months from October until mid-May, which became considerably more pronounced during the prominent Arctic haze months from March to mid-May. In contrast, nucleation- and Aitken-mode particles were predominantly observed during the summer months. Analysis of wind direction and wind speed indicated possible contributions of marine sources from the easterly side of the station to the observed summertime particle number concentrations, while southwesterly to westerly winds dominated during the darker months. NPF events lasting from hours to days were mostly observed from June until August, with fewer events observed during the months with less sunlight, i.e., March, April, September and October. The results tend to indicate that ozone (O3 might be weakly anti-correlated with particle number concentrations of the nucleation-mode range (10–30 nm in almost half of the NPF events, while no positive correlation was observed. Calculations of air mass back trajectories using the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT model for the NPF event days suggested that the onset or interruption of events could possibly be explained by changes in air mass origin. A map of event occurrence probability was computed, indicating that southerly air masses from over the Greenland Sea were more likely linked to those

  4. Kuidas ehitada ilma plaanita / Raivo Palmaru ; intervjueerinud Raivo Juurak

    Index Scriptorium Estoniae

    Palmaru, Raivo, 1951-

    2009-01-01

    Intervjuu Akadeemia Nord professori Raivo Palmaruga, kellel ilmus tänavu raamat "Kujutluste ühiskond" (Tallinn : Akadeemia Nord, 2009), kus autor keskendub postmodernistliku ühiskonna tunnetuslikele alustele

  5. German Energy Security and Its Implications on Regional Security

    Science.gov (United States)

    2016-12-01

    from acting unilaterally. They exhibit a higher degree of transparency than their autocratic counterparts and thus do a better job at signaling intent...political parties, the SPD is often labeled as being pro-Russian.75 Gerhard Schroeder, leader of the SPD and Chancellor during its coalition with the...must also claim responsibility for Nord Stream, as it oversaw the commissioning of Nord Stream 1 and negotiations for Nord Stream 2. While the leader

  6. Peak load arrangements : Assessment of Nordel guidelines

    Energy Technology Data Exchange (ETDEWEB)

    2009-07-01

    Two Nordic countries, Sweden and Finland, have legislation that empowers the TSO to acquire designated peak load resources to mitigate the risk for shortage situations during the winter. In Denmark, the system operator procures resources to maintain a satisfactory level of security of supply. In Norway the TSO has set up a Regulation Power Option Market (RKOM) to secure a satisfactory level of operational reserves at all times, also in winter with high load demand. Only the arrangements in Finland and Sweden fall under the heading of Peak Load Arrangements defined in Nordel Guidelines. NordREG has been invited by the Electricity Market Group (EMG) to evaluate Nordel's proposal for 'Guidelines for transitional Peak Load Arrangements'. The EMG has also financed a study made by EC Group to support NordREG in the evaluation of the proposal. The study has been taken into account in NordREG's evaluation. In parallel to the EMG task, the Swedish regulator, the Energy Markets Inspectorate, has been given the task by the Swedish government to investigate a long term solution of the peak load issue. The Swedish and Finnish TSOs have together with Nord Pool Spot worked on finding a harmonized solution for activation of the peak load reserves in the market. An agreement accepted by the relevant authorities was reached in early January 2009, and the arrangement has been implemented since 19th January 2009. NordREG views that the proposed Nordel guidelines have served as a starting point for the presently agreed procedure. However, NordREG does not see any need to further develop the Nordel guidelines for peak load arrangements. NordREG agrees with Nordel that the market should be designed to solve peak load problems through proper incentives to market players. NordREG presumes that the relevant authorities in each country will take decisions on the need for any peak load arrangement to ensure security of supply. NordREG proposes that such decisions should be

  7. Characteristics of visitors to practitioners of homeopathy in a large adult Norwegian population (the HUNT 3 study).

    Science.gov (United States)

    Løhre, Audhild; Rise, Marit By; Steinsbekk, Aslak

    2012-07-01

    The aim was to investigate characteristics of female and male visitors to practitioners of homeopathy in a large adult population in Norway. A cross-sectional adult total population health survey from Central Norway (the Nord-Trøndelag Health Study--HUNT 3) conducted in 2008. Variables included demographics, lifestyle, health status and health care use. Multivariate logistic regression models were employed to analyse the data. In total 50,827 participated (54% of the total population). The prevalence of visits to practitioners of homeopathy was 1.3%, a decline from 4.3% 10 years earlier. Both female and male visitors were 4-5 times more likely to experience recent somatic complaints. Further, female visitors were characterised by higher education, non-smoking, more chronic complaints, and visiting a physician or a chiropractor the past year whereas male visitors were characterised by seeking help for psychiatric complaints and visiting a chiropractor. There were no associations of age, marital status, physical activity, perceived global health, respiratory, skin, or musculoskeletal diseases with visiting practitioners of homeopathy. CONCLUSIONS AND PROPOSALS: There has been a marked decline in visits to practitioners of homeopathy. The results indicate a change in reasons to consult from complaints that influences the visitors' global health to less chronic complaints. Further research should compare changes in visits complementary and alternative medicine (CAM) practitioners and the characteristics of visitors to practitioners of homeopathy to characteristics of other CAM visitors. Copyright © 2012 The Faculty of Homeopathy. Published by Elsevier Ltd. All rights reserved.

  8. A cross-sectional study of self-reported general health, lifestyle factors, and disease: the Hordaland Health Study

    Directory of Open Access Journals (Sweden)

    Randi Jepsen

    2014-10-01

    Full Text Available Background. Information on self-reported health is important for health professionals, and the aim of this study was to examine associations between lifestyle factors and self-reported health and the mediating effect of disease in a Norwegian population.Methods and Materials. The data collection was conducted as part of the Hordaland Health Study (HUSK 1997–99, which was a cross-sectional epidemiological study. All individuals in Hordaland county born in 1953–1957 were invited to participate (aged 40–44 years. Complete information for the present study was obtained from 12,883 individuals (44% response rate. Height and weight were measured at a physical examination. Information on lifestyle factors, self-reported health, disease (heart attack, apoplexy, angina pectoris, and diabetes, and socio-demographic variables was obtained from a self-administered questionnaire. Self-reported health was measured with a one-item question. Odds ratios for fair or poor self-reported health were calculated using multiple logistic regression analyses adjusted for disease and socio-demographic variables.Results. Respondents reporting adverse lifestyle behaviours (obesity (odds ratio (OR 1.7, p < 0.001, smoking (OR 1.2, p < 0.001, or excessive intake of alcohol (OR 3.3, p < 0.001 showed an increased risk of poor self-reported health. Furthermore, a moderate intake of wine (OR 0.6, p < 0.001 or strenuous physical activity (OR 0.5, p < 0.001 decreased the risk of poor health. Disease did not mediate the effect.Conclusion. A one-item question measuring self-reported health may be a suitable measure for health professionals to identify levels of subjective health and reveal a need to target lifestyle factors in relatively young individuals with or without disease.

  9. Poland wants to thwart Russian gas

    International Nuclear Information System (INIS)

    Barbaux, Aurelie

    2013-01-01

    The Polish authorities are doing everything in their power to block Nord Stream 2, the Russian natural gas pipeline project that will double (by 2019) Nord Stream 1 through the Baltic Sea. Gazprom's Nord Stream 2 (in which European companies such as Engie (France), Uniper and Wintershall (Germany), OMV (Austria) and Shell are involved) will poses a risk, according to Poland, to the gas supply of central European countries (and notably Ukraine). Poland also intends to stop all its gas imports from Russia after 2022 (end of the Yamal contract): the country is therefore developing its capacity to increase its own natural gas production and has just inaugurated a liquefied natural gas terminal on the Baltic Sea. A gas pipeline is also in project, that will link Norway to Poland. For power generation, the nuclear energy option is also studied

  10. Evolution tectono-sédimentaire du bassin de Talara (nord-ouest du Pérou

    Directory of Open Access Journals (Sweden)

    1987-01-01

    Full Text Available Le bassin pétrolier de Talara, dans le nord-ouest du Pérou, est rempli par des séries terrigènes fluvio-deltaïques du Campanien à l'Eocène Supérieur. Cinq cycles de sédimentation (A, B, C, D, E sont définis par des séquences grano-décroissantes d'approfondissement du bassin, à l'exception du cycle B qui résulte de la progradation du système fluviatile. L'activité tectonique distensive qui domine l'évolution du bassin et contrôle la nature et la répartition des sédiments est interrompue, pendant l'Eocène Moyen, lorsque des chevauchements vers le sud-est se mettent en place dans la série tertiaire décollée du socle. Au front des chevauchements actifs, se forment des olistolithes ainsi que des brèches syntectoniques. L'analyse de la déformation en avant des failles inverses montre que les chevauchements se faisaient vers le sud-est et qu'ils affectaient des sédiments peu lithifïés. La cuenca sedimentaria y petrolera de Talara, en el noroeste del Perú, está rellena por secuencias fluvio-deltaicas del Campaniano al Eoceno Superior. Cinco ciclos de sedimentación (A,B,C,D,E están definidos por secuencias grano-decrecientes de hundimiento, excepto el ciclo B que representa una secuencia grano-creciente de progradación fluvial. La tectónica en distensión domina la evolución de la cuenca y también controla el tipo y la distribución de los sedimentos. Sin embargo, durante el Eoceno Medio, suceden cabalgamientos hacia el sureste, dentro de la cubierta sedimentaria terciaria despegada sobre el basamento paleozoico. Olistolitos y brechas tectónicas se forman en la parte frontal de los cabalgamientos donde el análisis de la deformación muestra que éstos se desarrollaron hacia el sureste y que afectaron sedimentos aún no litificados. Talara oil-basin in NW Peru is filled by fluvio-deltaic series of Campanian to Upper Eocene age. Five sedimentation Cycles (A,B,C,D,E are defined by fining-upward sequences resulting from

  11. Physical health monitoring in mental health settings: a study exploring mental health nurses' views of their role.

    Science.gov (United States)

    Mwebe, Herbert

    2017-10-01

    To explore nurses' views of their role in the screening and monitoring of the physical care needs of people with serious mental illness in a mental health service provider. There is increasing awareness through research that people with serious mental illness disproportionately experience and die early from physical health conditions. Mental health nurses are best placed as front-line workers to offer screening, monitoring and interventions; however, their views on physical care interventions are not studied often. Qualitative exploratory study. The study was carried out in a mental health inpatient centre in England. Volunteer sampling was adopted for the study with a total target sample of (n = 20) nurses from three inpatient wards. Semistructured interviews were conducted with (n = 10) registered mental health nurses who had consented to take part in the study. Inductive data analysis and theme development were guided by a thematic analytic framework. Participants shared a clear commitment regarding their role regarding physical health screening and monitoring in mental health settings. Four themes emerged as follows: features of current practice and physical health monitoring; perceived barriers to physical health monitoring; education and training needs; and strategies to improve physical health monitoring. Nurses were unequivocal in their resolve to ensure good standard physical health monitoring and screening interventions in practice. However, identified obstacles have to be addressed to ensure that physical health screening and monitoring is integrated adequately in everyday clinical activities. Achieving this would require improvements in nurses' training, and an integrated multiservice and team-working approach. Attending to the physical health needs of people with serious mental illness has been associated with multiple improvements in both mental and physical health; nurses have a vital role to play in identifying and addressing causes of poor

  12. Substance use in children of parents with chronic pain – the HUNT study

    Directory of Open Access Journals (Sweden)

    Kaasbøll J

    2014-08-01

    Full Text Available Jannike Kaasbøll,1 Stian Lydersen,1 Marit S Indredavik1,2 1Regional Centre for Child and Youth Mental Health and Child Welfare of Central Norway, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway; 2Department of Child and Adolescent Psychiatry, St Olav's Hospital, Trondheim University Hospital Trondheim, Norway Purpose: The aim of the present study was to investigate possible associations between parental chronic pain and smoking, alcohol, and drug use in adolescent offspring. Methods: Cross-sectional data from Nord-Trøndelag Health Study (HUNT 3, a Norwegian population-based health survey conducted in the period 2006–2008 was utilized. The present sample consisted of adolescents aged 13–18 years (n=3,227 for whom information was available on maternal and paternal health statuses. Results: Results from multivariable ordinal and binary logistic regression analyses, adjusting for potential confounding factors (child age, parental age, education, and organ specific illness indicated that the estimated odds ratios (OR for smoking (OR =1.72, 95% confidence interval [CI] [1.00, 3.05], P=0.049 and alcohol intoxication (drunkenness (OR =1.56, 95% CI [1.05, 2.33], P=0.029 were higher for boys whose mother and father had chronic pain, compared with boys for whom neither parent had chronic pain. These associations were slightly attenuated by additional adjustment for pain-related factors, such as parental smoking and symptoms of anxiety and depression. Parental chronic pain was not significantly associated with girls' levels of substance use. There were significant interaction effects between parental chronic pain and child sex on offspring's alcohol and smoking. Conclusion: The present study expands on existing knowledge and provides groundwork for preventive and specific measures targeting substance use in families burdened with parental chronic pain. Keywords: adolescents, chronic pain, smoking, alcohol, drugs

  13. eHealth and mHealth initiatives in Bangladesh: A scoping study

    Science.gov (United States)

    2014-01-01

    Background The health system of Bangladesh is haunted by challenges of accessibility and affordability. Despite impressive gains in many health indicators, recent evidence has raised concerns regarding the utilization, quality and equity of healthcare. In the context of new and unfamiliar public health challenges including high population density and rapid urbanization, eHealth and mHealth are being promoted as a route to cost-effective, equitable and quality healthcare in Bangladesh. The aim of this paper is to highlight such initiatives and understand their true potential. Methods This scoping study applies a combination of research tools to explore 26 eHealth and mHealth initiatives in Bangladesh. A screening matrix was developed by modifying the framework of Arksey & O’Malley, further complemented by case study and SWOT analysis to identify common traits among the selected interventions. The WHO health system building blocks approach was then used for thematic analysis of these traits. Results Findings suggest that most eHealth and mHealth initiatives have proliferated within the private sector, using mobile phones. The most common initiatives include tele-consultation, prescription and referral. While a minority of projects have a monitoring and evaluation framework, less than a quarter have undertaken evaluation. Most of the initiatives use a health management information system (HMIS) to monitor implementation. However, these do not provide for effective sharing of information and interconnectedness among the various actors. There are extremely few individuals with eHealth training in Bangladesh and there is a strong demand for capacity building and experience sharing, especially for implementation and policy making. There is also a lack of research evidence on how to design interventions to meet the needs of the population and on potential benefits. Conclusion This study concludes that Bangladesh needs considerable preparation and planning to sustain eHealth

  14. eHealth and mHealth initiatives in Bangladesh: a scoping study.

    Science.gov (United States)

    Ahmed, Tanvir; Lucas, Henry; Khan, Azfar Sadun; Islam, Rubana; Bhuiya, Abbas; Iqbal, Mohammad

    2014-06-16

    The health system of Bangladesh is haunted by challenges of accessibility and affordability. Despite impressive gains in many health indicators, recent evidence has raised concerns regarding the utilization, quality and equity of healthcare. In the context of new and unfamiliar public health challenges including high population density and rapid urbanization, eHealth and mHealth are being promoted as a route to cost-effective, equitable and quality healthcare in Bangladesh. The aim of this paper is to highlight such initiatives and understand their true potential. This scoping study applies a combination of research tools to explore 26 eHealth and mHealth initiatives in Bangladesh. A screening matrix was developed by modifying the framework of Arksey & O'Malley, further complemented by case study and SWOT analysis to identify common traits among the selected interventions. The WHO health system building blocks approach was then used for thematic analysis of these traits. Findings suggest that most eHealth and mHealth initiatives have proliferated within the private sector, using mobile phones. The most common initiatives include tele-consultation, prescription and referral. While a minority of projects have a monitoring and evaluation framework, less than a quarter have undertaken evaluation. Most of the initiatives use a health management information system (HMIS) to monitor implementation. However, these do not provide for effective sharing of information and interconnectedness among the various actors. There are extremely few individuals with eHealth training in Bangladesh and there is a strong demand for capacity building and experience sharing, especially for implementation and policy making. There is also a lack of research evidence on how to design interventions to meet the needs of the population and on potential benefits. This study concludes that Bangladesh needs considerable preparation and planning to sustain eHealth and mHealth initiatives successfully

  15. Kreative Nord

    DEFF Research Database (Denmark)

    Andersson, Lasse; Nielsen, Christian; Kanstrup, Anne Marie

    Når man tidligere har talt om de kreative og innovative erhverv, har det ofte været med et klart fokus på kunst og kunsthåndværk. The Work Foundation og the European Competitiveness Report sætter i stedet fokus på, at der skal satses på de nye kreative og innovative brancher. En tilgang som også ...... erhverv. Med denne rapport argumenteres der for, at de kreative og innovative erhverv kan defineres tydeligt med en egen nordjysk vinkel og med særegne karakteristika; herunder en relativ grad af digitalisering og teknologisering, samt ikke stedbunde output og markeder....

  16. 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

  17. Information in mental health: qualitative study of mental health service users

    OpenAIRE

    Powell, John; Clarke, Aileen

    2006-01-01

    Background  Despite the widespread proliferation of consumer health information provision, little is known about information needs or information‐seeking behaviour in mental health. A qualitative study was therefore undertaken to explore these issues for mental health service users.

  18. Maltreatment and Mental Health Outcomes among Ultra-Poor Children in Burkina Faso: A Latent Class Analysis.

    Science.gov (United States)

    Ismayilova, Leyla; Gaveras, Eleni; Blum, Austin; Tô-Camier, Alexice; Nanema, Rachel

    2016-01-01

    Research about the mental health of children in Francophone West Africa is scarce. This paper examines the relationships between adverse childhood experiences, including exposure to violence and exploitation, and mental health outcomes among children living in ultra-poverty in rural Burkina Faso. This paper utilizes baseline data collected from 360 children ages 10-15 and 360 of their mothers recruited from twelve impoverished villages in the Nord Region of Burkina, located near the Sahel Desert and affected by extreme food insecurity. We used a Latent Class Analysis to identify underlying patterns of maltreatment. Further, the relationships between latent classes and mental health outcomes were tested using mixed effected regression models adjusted for clustering within villages. About 15% of the children in the study scored above the clinical cut-off for depression, 17.8% for posttraumatic stress disorder (PTSD), and 6.4% for low self-esteem. The study identified five distinct sub-groups (or classes) of children based on their exposure to adverse childhood experiences. Children with the highest exposure to violence at home, at work and in the community (Abused and Exploited class) and children not attending school and working for other households, often away from their families (External Laborer class), demonstrated highest symptoms of depression and trauma. Despite living in adverse conditions and working to assist families, the study also identified a class of children who were not exposed to any violence at home or at work (Healthy and Non-abused class). Children in this class demonstrated significantly higher self-esteem (b = 0.92, SE = 0.45, p<0.05) and lower symptoms of trauma (b = -3.90, SE = 1.52, p<0.05). This study offers insight into the psychological well-being of children in the context of ultra-poverty in Burkina Faso and associated context-specific adverse childhood experiences. Identifying specific sub-groups of children with increased exposure to

  19. Speciation and bioavailability of selenium in yeast-based intervention agents used in cancer chemoprevention studies

    DEFF Research Database (Denmark)

    Larsen, Erik Huusfeldt; Hansen, Marianne; Paulin, H.

    2004-01-01

    This study investigated the speciation and bioavailability of selenium in yeast-based intervention agents from multiple manufacturers from several time points. Sources of selenized yeast included Nutrition 21 (San Diego, CA), which supplied the Nutritional Prevention of Cancer (NPC) Trial from 1981......-1996; Cypress Systems (Fresno, CA; 1997-1999); and Pharma Nord (Vejle, Denmark; 1999-2000), which supplied the Prevention of Cancer by Intervention by Selenium (PRECISE) Trial pilot studies. The low-molecular-selenium species were liberated from the samples by proteolytic hydrolysis followed by separation...... Trial showed a higher concentration (p studied may explain this...

  20. Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study.

    Science.gov (United States)

    Aarhus, Lisa; Tambs, Kristian; Hoffman, Howard J; Engdahl, Bo

    2016-08-01

    The objective of the study was to examine the association between otitis media in childhood and dizziness in adulthood. Longitudinal, population-based cohort study of 21,962 adults (aged 20-59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study was conducted. At 7, 10 and 13 years of age, the same individuals underwent screening audiometry in a longitudinal school hearing investigation. Children found with hearing loss underwent an ear, nose and throat specialist examination. Adults diagnosed with childhood chronic suppurative otitis media (n = 102) and childhood hearing loss after recurrent acute otitis media (n = 590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (n = 21,270), p otitis media and childhood hearing loss after recurrent acute otitis media are associated with increased risk of dizziness in adulthood. This might reflect a permanent effect of inflammatory mediators or toxins on the vestibular system. The new finding stresses the importance of treatment and prevention of these otitis media conditions.

  1. The world health organization multicountry survey on maternal and newborn health: study protocol

    Directory of Open Access Journals (Sweden)

    Souza João

    2011-10-01

    Full Text Available Abstract Background Effective interventions to reduce mortality and morbidity in maternal and newborn health already exist. Information about quality and performance of care and the use of critical interventions are useful for shaping improvements in health care and strengthening the contribution of health systems towards the Millennium Development Goals 4 and 5. The near-miss concept and the criterion-based clinical audit are proposed as useful approaches for obtaining such information in maternal and newborn health care. This paper presents the methods of the World Health Organization Multicountry Study in Maternal and Newborn Health. The main objectives of this study are to determine the prevalence of maternal near-miss cases in a worldwide network of health facilities, evaluate the quality of care using the maternal near-miss concept and the criterion-based clinical audit, and develop the near-miss concept in neonatal health. Methods/Design This is a large cross-sectional study being implemented in a worldwide network of health facilities. A total of 370 health facilities from 29 countries will take part in this study and produce nearly 275,000 observations. All women giving birth, all maternal near-miss cases regardless of the gestational age and delivery status and all maternal deaths during the study period comprise the study population. In each health facility, medical records of all eligible women will be reviewed during a data collection period that ranges from two to three months according to the annual number of deliveries. Discussion Implementing the systematic identification of near-miss cases, mapping the use of critical evidence-based interventions and analysing the corresponding indicators are just the initial steps for using the maternal near-miss concept as a tool to improve maternal and newborn health. The findings of projects using approaches similar to those described in this manuscript will be a good starter for a more

  2. 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.

  3. Uranium deposits in the Nord-Limousin; Les gites d'uranium du Nord-Limousin

    Energy Technology Data Exchange (ETDEWEB)

    Sarcia, J A; Sarcia, J A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    The authors briefly consider the region in its geographical and geological setting. They describe the main petrographic, metallogenic and tectonic characteristics of the sector investigated by the Atomic Energy Commission since 1947, stressing the form of uraniferous mineral deposits. This short account is intended as a general presentation of the detailed studies which will follow, of which that dealing with the mine Henriette is the first to be published. (author) [French] Les auteurs replacent rapidement la region dans son cadre geographique et geologique. Ils decrivent les principales caracteristiques petrographiques, metallogeniques et tectoniques du secteur etudie par le Commissariat a I'Energie atomique depuis 1947, en insistant sur le mode de gisement des mineralisations uraniferes. Ces quelques pages sont destinees a la presentation generale des etudes de detail qui suivront, dont celle qui concerne la Mine Henriette est la premiere publiee. (auteur)

  4. Microprocessor event analysis in parallel with Camac data acquisition

    International Nuclear Information System (INIS)

    Cords, D.; Eichler, R.; Riege, H.

    1981-01-01

    The Plessey MIPROC-16 microprocessor (16 bits, 250 ns execution time) has been connected to a Camac System (GEC-ELLIOTT System Crate) and shares the Camac access with a Nord-1OS computer. Interfaces have been designed and tested for execution of Camac cycles, communication with the Nord-1OS computer and DMA-transfer from Camac to the MIPROC-16 memory. The system is used in the JADE data-acquisition-system at PETRA where it receives the data from the detector in parallel with the Nord-1OS computer via DMA through the indirect-data-channel mode. The microprocessor performs an on-line analysis of events and the result of various checks is appended to the event. In case of spurious triggers or clear beam gas events, the Nord-1OS buffer will be reset and the event omitted from further processing. (orig.)

  5. Baltikum ja Poola juhiks Vene gaasi mööda maad / Lauri Linnamäe

    Index Scriptorium Estoniae

    Linnamäe, Lauri

    2007-01-01

    Balti riigid ja Poola taotlevad Euroopa Komisjonilt toetust uuringu läbiviimiseks, mis keskenduks 2004. aastal välja pakutud Lätit, Leedut ja Poolat läbiva gaasijuhtme Amber projekti võrdlusele Nord Streami projektiga. Lisa: Nord Stream

  6. Air Pollution Exposure Modeling for Health Studies | Science ...

    Science.gov (United States)

    Dr. Michael Breen is leading the development of air pollution exposure models, integrated with novel personal sensor technologies, to improve exposure and risk assessments for individuals in health studies. He is co-investigator for multiple health studies assessing the exposure and effects of air pollutants. These health studies include participants with asthma, diabetes, and coronary artery disease living in various U.S. cities. He has developed, evaluated, and applied novel exposure modeling and time-activity tools, which includes the Exposure Model for Individuals (EMI), GPS-based Microenvironment Tracker (MicroTrac) and Exposure Tracker models. At this seminar, Dr. Breen will present the development and application of these models to predict individual-level personal exposures to particulate matter (PM) for two health studies in central North Carolina. These health studies examine the association between PM and adverse health outcomes for susceptible individuals. During Dr. Breen’s visit, he will also have the opportunity to establish additional collaborations with researchers at Harvard University that may benefit from the use of exposure models for cohort health studies. These research projects that link air pollution exposure with adverse health outcomes benefit EPA by developing model-predicted exposure-dose metrics for individuals in health studies to improve the understanding of exposure-response behavior of air pollutants, and to reduce participant

  7. The Korea Nurses' Health Study: A Prospective Cohort Study.

    Science.gov (United States)

    Kim, Oksoo; Ahn, Younjhin; Lee, Hea-Young; Jang, Hee Jung; Kim, Sue; Lee, Jung Eun; Jung, Heeja; Cho, Eunyoung; Lim, Joong-Yeon; Kim, Min-Ju; Willett, Walter C; Chavarro, Jorge E; Park, Hyun-Young

    2017-08-01

    The Korea Nurses' Health Study (KNHS) is a prospective cohort study of female nurses, focusing on the effects of occupational, environmental, and lifestyle risk factors on the health of Korean women. Female registered nurses aged 20-45 years and living in the Republic of Korea were invited to join the study, which began in July 2013. They were asked to complete a web-based baseline survey. The study protocols and questionnaires related to the KNHS are based on the Nurses' Health Study 3 (NHS3) in the United States, although they were modified to reflect the Korean lifestyle. Participants were asked about demographic, lifestyle factors, disease history, occupational exposure, reproductive factors, and dietary habits during their adolescence: Follow-up questionnaires were/will be completed at 6-8 month intervals after the baseline survey. If a participant became pregnant, she answered additional questionnaires containing pregnancy-related information. Among 157,569 eligible female nurses, 20,613 (13.1%) completed the web-based baseline questionnaire. The mean age of the participants was 29.4 ± 5.9 years, and more than half of them were in their 20s. Eighty-eight percent of the participants had worked night shifts as a nurse (mean, 5.3 ± 4.3 nights per month). Approximately 80% of the participants had a body mass index below 23 kg/m 2 . Gastrointestinal diseases were the most prevalent health issues (25.9%). The findings from this prospective cohort study will help to identify the effects of lifestyle-related and occupational factors on reproductive health and development of chronic diseases in Korean women.

  8. Molecular detection of foodborne pathogens

    DEFF Research Database (Denmark)

    Josefsen, Mathilde Hartmann

    Microbiological Methods (NordVal) in comparative and collaborative trials, and was approved for detection of Campylobacter in chicken neck skin, cloacal swab and boot swab samples. A comparison study on probe chemistries for real-time PCR was performed on locked nucleic acid (LNA), minor groove binder (MGB...... of the optimization strategy were observed from increasing 1) the sampling volume from the pre-enrichment, 2) the paramagnetic particles applied in the DNA extraction procedure, and 3) the amount of DNA template in the PCR. This method was subsequently validated according to the recommendations of NordVal...

  9. Market power in the Nordic electricity wholesale market: A survey of the empirical evidence

    International Nuclear Information System (INIS)

    Fridolfsson, Sven-Olof; Tangeras, Thomas P.

    2009-01-01

    We review the recent empirical research assessing market power on the Nordic wholesale market for electricity, Nord Pool. The studies find no evidence of systematic exploitation of system level market power on Nord Pool. Local market power arising from transmission constraints seems to be more problematic in some price areas across the Nordic countries. Market power can manifest itself in a number of ways that have so far escaped empirical scrutiny. We discuss investment incentives, vertical integration and buyer power, as well as withholding of base-load (nuclear) capacity.

  10. Sudan : tous les projets | CRDI - Centre de recherches pour le ...

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

    La mise en ¿uvre d'un système communautaire complet de soins de santé primaires constitue un important défi dans des régions comme le Soudan du Sud et le nord de l'Ouganda qui ont été marquées par des conflits. Région: South Sudan, Uganda, Canada, Sudan. Programme: Maternal and Child Health. Financement ...

  11. : tous les projets | Page 64 | CRDI - Centre de recherches pour le ...

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

    La mise en ¿uvre d'un système communautaire complet de soins de santé primaires constitue un important défi dans des régions comme le Soudan du Sud et le nord de l'Ouganda qui ont été marquées par des conflits. Région: South Sudan, Uganda, Canada, Sudan. Programme: Maternal and Child Health. Financement ...

  12. The pull of public health studies

    OpenAIRE

    Braine, Theresa

    2007-01-01

    Public health has burgeoned over the past 100 years, from the study of tropical diseases in the 19th century to national public health systems after World War One and, more recently, to include international public health. Education has kept up with these trends, and today there are hundreds of schools around the world, many flourishing in developing countries.

  13. MORPHOLOGICAL CHARACTERISTICS FOR CLASSIFICATION OF GENUS MACROPODUS LACÉPÈDE, 1801 IN GIANH RIVER IN THE NORTH CENTRAL PART OF VIETNAM

    Directory of Open Access Journals (Sweden)

    Ho Anh TUAN

    2015-12-01

    Full Text Available Analysis and identification of 57 specimens of genus Macropodus Lacépède collected from Gianh River in Quang Binh province in north center region Vietnam. We have classified three species: Macropodus erythropterus (Frey. & Her., 2002, Macropodus opercularis (Linneaeus, 1758, Macropodus spechti (Schreitmüller, 1936 was first discovered in the study area and north center region Vietnam.CARACTERISTICA MORFOLOGICĂ PENTRU CLASIFICAREA GENULUI MACROPODUS LACÉPÈDE, 1801 DIN BAZINUL RÂULUI GIANH, REGIUNEA CENTRALĂ DE NORD A VIETNAMULUIAu fost analizate şi identificate 57 de exemplare ale genului Macropodus Lacépède colectate din bazinul râului Gianh, provincia Quang Binh, regiunea centrală de nord a Vietnamului. Noi am clasificat 3 specii: Macropodus erythropterus (Frey. & Her., 2002, Macropodus opercularis (Linneaeus, 1758 şi Macropodus spechti (Schreitmüller, 1936, descoperite în aria de studiu şi în regiunea centrală de nord a Vietnamului.

  14. The Breast Health Intervention Evaluation Study

    National Research Council Canada - National Science Library

    Blumenthal, Daniel

    1997-01-01

    The Breast Health Intervention Evaluation (BRIE) Study will evaluate the relative effectiveness of three different approaches to breast health messages--a fear appeal, a positive affect appeal, and an affectively neutral, cognitive appeal...

  15. Microprocessor event analysis in parallel with CAMAC data acquisition

    CERN Document Server

    Cords, D; Riege, H

    1981-01-01

    The Plessey MIPROC-16 microprocessor (16 bits, 250 ns execution time) has been connected to a CAMAC System (GEC-ELLIOTT System Crate) and shares the CAMAC access with a Nord-10S computer. Interfaces have been designed and tested for execution of CAMAC cycles, communication with the Nord-10S computer and DMA-transfer from CAMAC to the MIPROC-16 memory. The system is used in the JADE data-acquisition-system at PETRA where it receives the data from the detector in parallel with the Nord-10S computer via DMA through the indirect-data-channel mode. The microprocessor performs an on-line analysis of events and the results of various checks is appended to the event. In case of spurious triggers or clear beam gas events, the Nord-10S buffer will be reset and the event omitted from further processing. (5 refs).

  16. CONCEPT OF HEALTH: A STUDY WITH HEALTH CARE PROFESSIONALS AND STUDENTS

    Directory of Open Access Journals (Sweden)

    João Bosco Oliveira Ribeiro da Silva

    2007-11-01

    Full Text Available Objective: The aim of this study was to evaluate, by means of a questionnaire, the degree of knowledge that pediatricians, maternal-infant health nurses and medical and nursing students have of the concept of health. Methods: It was a cross-sectional and prospective study, previously approved by UNIFENAS Committee on Ethics in Research, having been carried out with pediatricians (n=42, maternal-infant health nurses (n=69, medical students (n=118, and nursing students (n=68 from two southern towns of the State of Minas Gerais, Brazil, which have medical and nursing schools. A survey was done in hospitals, medical clinics, City Health Bureaus and universities to reach the total number of students and professionals, weighing the possibility of a professional working in more than a job. The replies were qualitatively and quantitatively analyzed. For the open questions the contents analysis was used, according to BARDIN (1977. The data were presented in table. Results: According to the answer of 71,74% of the pediatricians 72,60% of the maternal-infant unit nurses, 77,77% of the medical school students and 63,76% of the nursing school students, health is a total physical, mental and social well-being. Health was also found to be a balance between the body and its environment by 10,87% of the pediatricians, 10,95% of the maternal-infant unit nurses, 15.07% of the medical school students and 18,84% of the nursing school students. Conclusions: The difficulty to define health is well known, once it is a condition with different meanings. The notions of health and disease are strongly influenced by the cultural context in which they occur. The binomial health / disease is not related only to microorganisms, but also to socioeconomic, political and educational issue, and, the students as well as the health professionals are committed with this new health concept.

  17. Health information systems to improve health care: A telemedicine case study

    Directory of Open Access Journals (Sweden)

    Liezel Cilliers

    2013-03-01

    Full Text Available Background: E-health has been identified as an integral part of the future of South African public healthcare. Telemedicine was first introduced in South Africa in 1997 and since then the cost of running the Telemedicine projects has increased substantially. Despite these efforts to introduce the system, only 34% of the Telemedicine sites in South Africa are functional at present. Objectives: Literature has suggested that one of the barriers to the successful implementation of health information systems is the user acceptance by health care workers of systems such as Telemedicine. This study investigated the user acceptance of Telemedicine in the public health care system in the Eastern Cape Province, making use of the Unified Theory of the Use and Acceptance of Technology. Method: The study employed a quantitative survey approach. A questionnaire was developed making use of existing literature and was distributed to various clinics around the province where Telemedicine has been implemented. Statistics were produced making use of Statistical Package for the Social Sciences (SPSS. Results: In general, the health care workers did understand the value and benefit of health information systems to improve the effectiveness and efficiency of the health care system. The barriers to the effective implementation of a health information system include the lack of knowledge and the lack of awareness regarding the Telemedicine system. This in turn means that the user is apprehensive when making use of the system thus contributing to less frequent usage. Conclusion: Health care workers do acknowledge that information systems can help to increase the effectiveness of the health care system. In general, the acceptance of Telemedicine in the Eastern Cape Department of Health is positive, but in order to integrate it into standard work practices, more must be done with regards to the promotion and education of telemedicine.

  18. Belledune area health study : summary report

    International Nuclear Information System (INIS)

    2005-02-01

    The Belledune area has been home to various industrial activities such as mining, smelting, fertilizer plants, battery-recycling plants, gypsum plants, sawmills, and a coal-fired electricity generating facility. These industries have had various types and quantities of emissions over the past 4 decades that may have impacted on the health of people in the area. This report provided details of the Belledune Health Area Study. The objective of the study was to ensure that the concerns of residents were addressed and that the historical and human health risks associated with past and current industrial activities were quantified. The current health status of residents in the area was examined with reference to environmental exposures, and recommendations for future studies and research based on the results of the study were presented. Two main components were used: the human health risk assessment (HHRA), and community health status assessment (CHSA). Best estimate calculations for residents in the core communities showed that exposures to cadmium, lead and mercury were predicted to be below toxicity reference values. In Belledune itself, child exposures to cadmium and mercury were above the toxicity reference value. Results indicated that the health status pattern for the study area was different from that found in the surrounding areas. There was a statistically significantly elevated incidence of oral, respiratory, and prostate cancer and elevated incidences of kidney and colorectal cancer. There was a higher mortality rate than expected, and there were more deaths than expected due to circulatory disease, cancer and other causes such as accidents and suicides. An expanded survey of blood lead among child residents and pregnant women was recommended. A program was launched to collect data on metal concentrations in fish from the Baie des Chaleurs and additional data on vegetables from the Greater Belledune area. Future research on some of the factors associated

  19. Belledune area health study : summary report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-02-01

    The Belledune area has been home to various industrial activities such as mining, smelting, fertilizer plants, battery-recycling plants, gypsum plants, sawmills, and a coal-fired electricity generating facility. These industries have had various types and quantities of emissions over the past 4 decades that may have impacted on the health of people in the area. This report provided details of the Belledune Health Area Study. The objective of the study was to ensure that the concerns of residents were addressed and that the historical and human health risks associated with past and current industrial activities were quantified. The current health status of residents in the area was examined with reference to environmental exposures, and recommendations for future studies and research based on the results of the study were presented. Two main components were used: the human health risk assessment (HHRA), and community health status assessment (CHSA). Best estimate calculations for residents in the core communities showed that exposures to cadmium, lead and mercury were predicted to be below toxicity reference values. In Belledune itself, child exposures to cadmium and mercury were above the toxicity reference value. Results indicated that the health status pattern for the study area was different from that found in the surrounding areas. There was a statistically significantly elevated incidence of oral, respiratory, and prostate cancer and elevated incidences of kidney and colorectal cancer. There was a higher mortality rate than expected, and there were more deaths than expected due to circulatory disease, cancer and other causes such as accidents and suicides. An expanded survey of blood lead among child residents and pregnant women was recommended. A program was launched to collect data on metal concentrations in fish from the Baie des Chaleurs and additional data on vegetables from the Greater Belledune area. Future research on some of the factors associated

  20. Mobile Health Initiatives in Vietnam: Scoping Study.

    Science.gov (United States)

    Lam, Jeffrey A; Dang, Linh Thuy; Phan, Ngoc Tran; Trinh, Hue Thi; Vu, Nguyen Cong; Nguyen, Cuong Kieu

    2018-04-24

    Mobile health (mHealth) offers a promising solution to the multitude of challenges the Vietnamese health system faces, but there is a scarcity of published information on mHealth in Vietnam. The objectives of this scoping study were (1) to summarize the extent, range, and nature of mHealth initiatives in Vietnam and (2) to examine the opportunities and threats of mHealth utilization in the Vietnamese context. This scoping study systematically identified and extracted relevant information from 20 past and current mHealth initiatives in Vietnam. The study includes multimodal information sources, including published literature, gray literature (ie, government reports and unpublished literature), conference presentations, Web-based documents, and key informant interviews. We extracted information from 27 records from the electronic search and conducted 14 key informant interviews, allowing us to identify 20 mHealth initiatives in Vietnam. Most of the initiatives were primarily funded by external donors (n=15), while other initiatives were government funded (n=1) or self-funded (n=4). A majority of the initiatives targeted vulnerable and hard-to-reach populations (n=11), aimed to prevent the occurrence of disease (n=12), and used text messaging (short message service, SMS) as part of their intervention (n=14). The study revealed that Vietnamese mHealth implementation has been challenged by factors including features unique to the Vietnamese language (n=4) and sociocultural factors (n=3). The largest threats to the popularity of mHealth initiatives are the absence of government policy, lack of government interest, heavy dependence on foreign funding, and lack of technological infrastructure. Finally, while current mHealth initiatives have already demonstrated promising opportunities for alternative models of funding, such as social entrepreneurship or private business models, sustainable mHealth initiatives outside of those funded by external donors have not yet been

  1. Comparing mental health literacy and physical health literacy: an exploratory study.

    Science.gov (United States)

    Wickstead, Robert; Furnham, Adrian

    2017-10-01

    This study compared mental health and physical health literacy using five health problems from each area. The aim was to determine whether the same group had better physical than mental health literacy Method: A sample of 263 participants completed an online questionnaire requiring them to name a problem/illness described in 10 vignettes and suggest treatment options. Five vignettes described mental health problems (anxiety, bipolar-disorder, depression, OCPD and schizophrenia) and five physical problems (angina, COPD, diabetes, a heart attack, and sinusitis). Participants were also asked to rate their sympathy and estimates of prevalence for each disorder. Recognition of the mental health disorders was superior compared recognition of the physical disorders. Analysis of treatment beliefs, sympathy and prevalence ratings also showed significant differences between disorders. Results highlight the importance of education and the lack of public knowledge regarding major physical health conditions.

  2. Rigor, vigor, and the study of health disparities.

    Science.gov (United States)

    Adler, Nancy; Bush, Nicole R; Pantell, Matthew S

    2012-10-16

    Health disparities research spans multiple fields and methods and documents strong links between social disadvantage and poor health. Associations between socioeconomic status (SES) and health are often taken as evidence for the causal impact of SES on health, but alternative explanations, including the impact of health on SES, are plausible. Studies showing the influence of parents' SES on their children's health provide evidence for a causal pathway from SES to health, but have limitations. Health disparities researchers face tradeoffs between "rigor" and "vigor" in designing studies that demonstrate how social disadvantage becomes biologically embedded and results in poorer health. Rigorous designs aim to maximize precision in the measurement of SES and health outcomes through methods that provide the greatest control over temporal ordering and causal direction. To achieve precision, many studies use a single SES predictor and single disease. However, doing so oversimplifies the multifaceted, entwined nature of social disadvantage and may overestimate the impact of that one variable and underestimate the true impact of social disadvantage on health. In addition, SES effects on overall health and functioning are likely to be greater than effects on any one disease. Vigorous designs aim to capture this complexity and maximize ecological validity through more complete assessment of social disadvantage and health status, but may provide less-compelling evidence of causality. Newer approaches to both measurement and analysis may enable enhanced vigor as well as rigor. Incorporating both rigor and vigor into studies will provide a fuller understanding of the causes of health disparities.

  3. Comparison of concentrations in the environment assessed by the GRNC modelling with those obtained by measurements. Report by the steering committee. December 2009

    International Nuclear Information System (INIS)

    2009-01-01

    Within the frame of a mission assigned to the North Cotentin Radio-Ecology Group (Groupe Radioecologie Nord Cotentin, GRNC) to study the health and environmental impact of chemical releases of the nuclear installations located in the North Cotentin area, this document reports the implementation of a sampling and chemical measurement program, the results of which are used to validate the GRNC modelling for the determination of concentrations of some elements and chemical products in different media: soils, grass, fruits, and milk on the ground side, and seawater, fishes, shellfishes, limpets, and sea sediments as far as the marine environment is concerned

  4. Epidemiological Studies Persian Gulf War Illnesses Persian Gulf Women's Health Linkage Study

    National Research Council Canada - National Science Library

    Klemm, Rebecca

    1997-01-01

    The Persian Gulf Women's Health Linkage Study will provide baseline health and risk factor information to estimate the prevalence of selected health conditions, with an emphasis on reproductive health...

  5. Common Nordic Retail Market. Organisation of the further work

    Energy Technology Data Exchange (ETDEWEB)

    2010-12-15

    For several years NordREG has been working to promote and facilitate a common Nordic end user market. Given the political support that was expressed at the meeting of the Nordic energy ministers in the autumn of 2009, the work has become even more concrete. It should also be noted that the energy ministers expressed their support for the NordREGs implementation plan for a common Nordic retail market at their yearly meeting on the 25th of October 2010. With this organization document, NordREG define the organization of the future work and the governance rules of the whole process. The document shows which bodies needs to be established, what their roles are and how the decision-making and the consultation of stakeholders will be organized. As the document shows, the need for contributed efforts from all stakeholders will be vital in the coming years in order to make a reality of the plans for creating a common Nordic end user market. The organization document has been prepared by the NordREG Retail and Distribution Working Group. Nordenergi and Nordic TSOs have had an opportunity to comment the document before it was finalized. NordREG appreciates all the comments and has taken them into consideration before finalizing the document

  6. Leisure-time physical activity and disability pension: 9 years follow-up of the HUNT Study, Norway.

    Science.gov (United States)

    Fimland, M S; Vie, G; Johnsen, R; Nilsen, T I L; Krokstad, S; Bjørngaard, J H

    2015-12-01

    The objective of this study was to prospectively examine the association between leisure-time physical activity and risk of disability pension, as well as risk of disability pension because of musculoskeletal or mental disorders in a large population-based cohort. Data on participants aged 20-65 years in the Norwegian Nord-Trøndelag Health Study 1995-1997 (HUNT2) were linked to the National Insurance Database. Cox regression was used to calculate hazard ratios (HR) and 95% confidence intervals for disability pension across physical activity categories. During a follow-up of 9.3 years and 235,657 person-years, 1266 of 13,823 men (9%) and 1734 of 14,531 women (12%) received disability pension. Compared with individuals in the inactive group, those in the highly active group had a 50% lower risk of receiving disability pension (HR for men: 0.50, 0.40-0.64; women: 0.50, 0.39-0.63). After comprehensive adjustment for potential confounders, the risk remained 32-35% lower (HR for men: 0.68, 0.53-0.86; women: 0.65, 0.51-0.83). The associations were stronger for disability pension due to musculoskeletal disorders than mental disorders. In summary, we observed strong inverse associations between leisure-time physical activity and disability pension. Our findings strengthen the hypothesis that leisure-time physical activity may be important for occupational health in reducing disability pension. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. eHealth in Denmark: a case study.

    Science.gov (United States)

    Kierkegaard, Patrick

    2013-12-01

    Denmark is widely regarded as a leading country in terms of eHealth integration and healthcare delivery services. The push for eHealth adoption over that past 20 years in the Danish health sector has led to the deployment of multiple eHealth technologies. However, in reality the Danish healthcare suffers from eHealth system fragmentation which has led to eHealth's inability to reach full potential in delivering quality healthcare service. This paper will presents a case study of the current state of eHealth in the Danish healthcare system and discuss the current challenges the country is facing today.

  8. 1957-IJBCS-Article-Koura Kourouma

    African Journals Online (AJOL)

    hp

    des sous-populations de Parkia biglobosa (néré) du Nord-Bénin, en vue d'une gestion durable de l'espèce. ... Mots clés : Sous-population, Parkia biglobosa, phénotype, structure, Nord-Bénin. ...... nutrition et alimentation dans les pays en.

  9. Improving Work Functioning and Mental Health of Health Care Employees Using an E-Mental Health Approach to Workers' Health Surveillance: Pretest–Posttest Study

    OpenAIRE

    Sarah M. Ketelaar; Karen Nieuwenhuijsen; Linda Bolier; Odile Smeets; Judith K. Sluiter

    2014-01-01

    Background: Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the intervention, we studied the pre- and posteffects of the EMH approach in a larger group of particip...

  10. Qingdao Port Cardiovascular Health Study: a prospective cohort study.

    Science.gov (United States)

    Spatz, Erica S; Jiang, Xianyan; Lu, Jiapeng; Masoudi, Frederick A; Spertus, John A; Wang, Yongfei; Li, Xi; Downing, Nicholas S; Nasir, Khurram; Du, Xue; Li, Jing; Krumholz, Harlan M; Liu, Xiancheng; Jiang, Lixin

    2015-12-09

    In China, efforts are underway to respond to rapidly increasing rates of heart disease and stroke. Yet the epidemiology of cardiovascular disease in China may be different from that of other populations. Thus, there is a critical need for population-based studies that provide insight into the risk factors, incidence and outcomes of cardiovascular disease in China. The Qingdao Port Cardiovascular Health Study is designed to investigate the burden of cardiovascular disease and the sociodemographic, biological, environmental and clinical risk factors associated with disease onset and outcomes. For this study, from 2000 through 2013, 32,404 employees aged 18 years or older were recruited from the Qingdao Port Group in China, contributing 221,923 annual health assessments. The mean age at recruitment was 43.4 (SD=12.9); 79% were male. In this ongoing study, annual health assessments, governed by extensive quality control mechanisms, include a questionnaire (capturing demographic and employment information, medical history, medication use, health behaviours and health outcomes), physical examination, ECG, and blood and urine analysis. Additional non-annual assessments include an X-ray, echocardiogram and carotid ultrasound; bio-samples will be collected for future genetic and proteomic analyses. Cardiovascular outcomes are accessed via self-report and are actively being verified with medical insurance claims; efforts are underway to adjudicate outcomes with hospital medical records. Early findings reveal a significant increase in cardiovascular risk factors from 2000 to 2010 (hypertension: 26.4-39.4%; diabetes: 3.3-8.9%; hyperlipidaemia: 5.0-33.6%; body mass index >28 m/kg(2): 14.1-18.6%). We aim to generate novel insights about the epidemiology and outcomes of cardiovascular disease in China, with specific emphasis on the potentially unique risk factor profiles of this Chinese population. Knowledge generated will be disseminated in the peer-reviewed literature, and will

  11. Qingdao Port Cardiovascular Health Study: a prospective cohort study

    Science.gov (United States)

    Spatz, Erica S; Jiang, Xianyan; Lu, Jiapeng; Masoudi, Frederick A; Spertus, John A; Wang, Yongfei; Li, Xi; Downing, Nicholas S; Nasir, Khurram; Du, Xue; Li, Jing; Krumholz, Harlan M; Liu, Xiancheng; Jiang, Lixin

    2015-01-01

    Purpose In China, efforts are underway to respond to rapidly increasing rates of heart disease and stroke. Yet the epidemiology of cardiovascular disease in China may be different from that of other populations. Thus, there is a critical need for population-based studies that provide insight into the risk factors, incidence and outcomes of cardiovascular disease in China. The Qingdao Port Cardiovascular Health Study is designed to investigate the burden of cardiovascular disease and the sociodemographic, biological, environmental and clinical risk factors associated with disease onset and outcomes. Participants For this study, from 2000 through 2013, 32 404 employees aged 18 years or older were recruited from the Qingdao Port Group in China, contributing 221 923 annual health assessments. The mean age at recruitment was 43.4 (SD=12.9); 79% were male. In this ongoing study, annual health assessments, governed by extensive quality control mechanisms, include a questionnaire (capturing demographic and employment information, medical history, medication use, health behaviours and health outcomes), physical examination, ECG, and blood and urine analysis. Additional non-annual assessments include an X-ray, echocardiogram and carotid ultrasound; bio-samples will be collected for future genetic and proteomic analyses. Cardiovascular outcomes are accessed via self-report and are actively being verified with medical insurance claims; efforts are underway to adjudicate outcomes with hospital medical records. Findings to date Early findings reveal a significant increase in cardiovascular risk factors from 2000 to 2010 (hypertension: 26.4–39.4%; diabetes: 3.3–8.9%; hyperlipidaemia: 5.0–33.6%; body mass index >28 m/kg2: 14.1–18.6%). Future Plans We aim to generate novel insights about the epidemiology and outcomes of cardiovascular disease in China, with specific emphasis on the potentially unique risk factor profiles of this Chinese population. Knowledge

  12. Development of students’ eHealth, mHealth and serious games expertise in health behavior change during health and social studies

    Directory of Open Access Journals (Sweden)

    Mari Punna

    2015-10-01

    New clienthoods require new ways to work in health care and social services at the future. Professionals’ expertise in different kind of digital environments is essential. Expertise should be a combination of evidence-based practice, behavior change theories and the practical experiences of using different kind of applications and they should also overcome of the possible fear of unknown and technological challenges. These are the reasons why eHealth, mHealth and serious games should be involved to curriculum in health care and social services studies. When the expertise has started to develop during the studies by varied methods, the interest and motivation to utilize digital solutions could be increased. Skills to critically assess various digital applications in the aspect of behavior change theories also increase the quality of evidence based practice in health care and social services.

  13. A Qualitative Study Exploring Facilitators for Improved Health Behaviors and Health Behavior Programs: Mental Health Service Users’ Perspectives

    Directory of Open Access Journals (Sweden)

    Candida Graham

    2014-01-01

    Full Text Available Objective. Mental health service users experience high rates of cardiometabolic disorders and have a 20–25% shorter life expectancy than the general population from such disorders. Clinician-led health behavior programs have shown moderate improvements, for mental health service users, in managing aspects of cardiometabolic disorders. This study sought to potentially enhance health initiatives by exploring (1 facilitators that help mental health service users engage in better health behaviors and (2 the types of health programs mental health service users want to develop. Methods. A qualitative study utilizing focus groups was conducted with 37 mental health service users attending a psychosocial rehabilitation center, in Northern British Columbia, Canada. Results. Four major facilitator themes were identified: (1 factors of empowerment, self-value, and personal growth; (2 the need for social support; (3 pragmatic aspects of motivation and planning; and (4 access. Participants believed that engaging with programs of physical activity, nutrition, creativity, and illness support would motivate them to live more healthily. Conclusions and Implications for Practice. Being able to contribute to health behavior programs, feeling valued and able to experience personal growth are vital factors to engage mental health service users in health programs. Clinicians and health care policy makers need to account for these considerations to improve success of health improvement initiatives for this population.

  14. Peintures murales en Irlande du Nord et au Pays basque : mobilisation populaire et création d’identité nationale

    Directory of Open Access Journals (Sweden)

    Pascal Pragnère

    2010-06-01

    Full Text Available Cet article explore les différentes fonctions des peintures murales en Irlande du Nord et au Pays basque. Il montre comment les peintures murales, particulièrement visibles, ont la capacité de diffuser un message en permanence. En ce sens, comme les avancées conceptuelles sur la question de l’identification nationale permettent de le définir, elles constituent un support des processus de définition et de redéfinition des références identificatoires, et elles permettent de maintenir les dynamiques de polarisation communautaire comme éléments dominants de la structuration de l’espace public. Il n’y a que peu voire pas d’espace pour d’autres représentations de la vie sociale. Les peintures murales sont un outil de légitimation de la lutte, ce qui peut provoquer adhésion, soutien, ou mobilisation. Elles actualisent et élargissent le champ des références disponibles pour les processus d’identification, et rendent ce corpus de références toujours accessible à la population. Ainsi, elles participent activement à la dynamique du conflit.This article explores the several functions of mural paintings in Northern Ireland and in the Basque Country. It shows how the murals (which are particularly visible have the capacity to broadcast a message on a permanent basis. Recent conceptual progress on the question of national identification allows defining them as a basis for processes of definitions and re-definitions of identity references; they are also a means of keeping community polarization dynamics as the dominant elements in structuring the public space. Little or no space is left for other representations of social life. Murals are a tool for legitimising the struggle, which can stimulate adhesion, support or mobilization. They update and widen the field of references available for the identification processes, and make this corpus of references ready for use at any time for the population. Thus, they play an active part

  15. Review of environmental exposure concentrations of chemical warfare agent residues and associated the fish community risk following the construction and completion of the Nord Stream gas pipeline between Russia and Germany.

    Science.gov (United States)

    Sanderson, Hans; Fauser, Patrik; Rahbek, Malene; Larsen, Jørn Bo

    2014-08-30

    This paper compiles all the measured chemical warfare agent (CWA) concentrations found in relation to the Nord Stream pipeline work in Danish waters for the past 5 years. Sediment and biota sampling were performed along the pipeline route in four campaigns, prior to (in 2008 and 2010), during (in 2011) and after (in 2012) the construction work. No parent CWAs were detected in the sediments. Patchy residues of CWA degradation products of Adamsite, Clark I, phenyldichloroarsine, trichloroarsine and Lewisite II, were detected in a total of 29 of the 391 sediment samples collected and analyzed the past 5 years. The cumulative fish community risk quotient for the different locations, calculated as a sum of background and added risk, ranged between 0 and 0.017 suggesting a negligible acute CWA risk toward the fish community. The added risk from sediment disturbance in relation to construction of the pipelines represents less than 2% of the total risk in the areas with the highest calculated risk. The analyses of benthic infauna corroborate the finding of CWA related low risk across the years. There was no significant difference in CWA risk before (2008) and after the pipeline construction (2012). Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran.

    Science.gov (United States)

    Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin

    2016-02-01

    There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran.

  17. 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.

  18. Ghost Music

    DEFF Research Database (Denmark)

    2012-01-01

    Geolocative AR concert for Arts Festival of North Norway (Festspillene i Nord-Norge), Harstad, Norge. In cooperation with The Norwegian Academy of Music, Oslo.......Geolocative AR concert for Arts Festival of North Norway (Festspillene i Nord-Norge), Harstad, Norge. In cooperation with The Norwegian Academy of Music, Oslo....

  19. Pathway Linking Internet Health Information Seeking to Better Health: A Moderated Mediation Study.

    Science.gov (United States)

    Jiang, Shaohai; Street, Richard L

    2017-08-01

    The Internet increasingly has been recognized as an important medium with respect to population health. However, little is known about the mechanisms that underlie the potential impact of health-related Internet use on health outcomes. Based on the three-stage model of health promotion using interactive media, this study empirically tested a moderated mediation pathway model. Results showed that the effect of Internet health information seeking on three health outcomes (general, emotional, and physical) was completely mediated by respondents' access to social support resources. In addition, users' online health information seeking experience positively moderated this mediation path. The findings have significant theoretical and practical implications for the design of Internet-based health promotion resources to improve health outcomes.

  20. Tea and Health: Studies in Humans

    Science.gov (United States)

    Khan, Naghma; Mukhtar, Hasan

    2014-01-01

    Tea, next to water is the cheapest beverage humans consume. Drinking the beverage tea has been considered a health-promoting habit since ancient times. The modern medicinal research is providing a scientific basis for this belief. The evidence supporting the health benefits of tea drinking grows stronger with each new study that is published in the scientific literature. Tea plant Camellia sinensis has been cultivated for thousands of years and its leaves have been used for medicinal purposes. Tea is used as a popular beverage worldwide and its ingredients are now finding medicinal benefits. Encouraging data showing cancer-preventive effects of green tea from cell-culture, animal and human studies have emerged. Evidence is accumulating that black tea may have similar beneficial effects. Tea consumption has also been shown to be useful for prevention of many debilitating human diseases that include maintenance of cardiovascular and metabolic health. Various studies suggest that polyphenolic compounds present in green and black tea are associated with beneficial effects in prevention of cardiovascular diseases, particularly of atherosclerosis and coronary heart disease. In addition, anti-aging, antidiabetic and many other health beneficial effects associated with tea consumption are described. Evidence is accumulating that catechins and theaflavins, which are the main polyphenolic compounds of green and black tea, respectively, are responsible for most of the physiological effects of tea. This article describes the evidences from clinical and epidemiological studies in the prevention of chronic diseases like cancer and cardiovascular diseases and general health promotion associated with tea consumption. PMID:23448443

  1. Rapid detection of Salmonella in meat: Comparative and collaborative validation of a non-complex and cost effective pre-PCR protocol

    DEFF Research Database (Denmark)

    Löfström, Charlotta; Hansen, F.; Mansdal, S.

    2011-01-01

    samples using a real-time PCR method. The protocol included incubation in buffered peptone water, centrifugation of an aliquot and a boiling procedure. The validation study included comparative and collaborative trials recommended by the Nordic Organization for Validation of Alternative Methods (NordVal......). The comparative trial was performed against a culture based reference method (NMKL187, 2007) and a previously NordVal approved PCR method with a semi-automated magnetic bead-based DNA extraction step using 122 artificially contaminated samples. The limit of detection (LOD50) was found to be 3.0, 3.2 and 3.4 CFU...

  2. Improving work functioning and mental health of health care employees using an e-mental health approach to workers' health surveillance: pretest-posttest study

    NARCIS (Netherlands)

    Ketelaar, Sarah M.; Nieuwenhuijsen, Karen; Bolier, Linda; Smeets, Odile; Sluiter, Judith K.

    2014-01-01

    Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group

  3. Integrative health coaching: an organizational case study.

    Science.gov (United States)

    Wolever, Ruth Q; Caldwell, Karen L; Wakefield, Jessica P; Little, Kerry J; Gresko, Jeanne; Shaw, Andrea; Duda, Linda V; Kosey, Julie M; Gaudet, Tracy

    2011-01-01

    The aim of this study was to describe integrative health (IH) coaching as developed in three different interventions offered through a major medical center, as a step toward further defining the field of health coaching. An organizational case study was conducted with document analysis and interviews. Interviewees were the first six IH coaches at Duke Integrative Medicine who provided 360 clients with individual and/or group coaching (two to 28 sessions) in a randomized clinical study and two work-site wellness programs. Qualitative analysis using the constant comparative method was conducted. Integrative health coaching is characterized by a process of self-discovery that informs goal setting and builds internal motivation by linking clients' goals to their values and sense of purpose. Time, commitment, and motivation are necessary in the IH coaching process. The underpinnings of IH coaching are distinct from the medical model, and the process is distinct from health education, executive coaching, and psychotherapy. Integrative health coaching fits well with the assumptions of integrative medicine and has a role in supporting behavior change. Copyright © 2011. Published by Elsevier Inc.

  4. Case study: Massachusetts Department of Public Health's Southeastern Massachusetts health study on leukemia around Pilgrim Nuclear Power Station: Who won?

    Energy Technology Data Exchange (ETDEWEB)

    Flanagan, Anita [Boston Edison Company (United States)

    1993-07-01

    In October 1990, the Massachusetts Department of Public Health released their Southeastern Massachusetts health study. This is a study of leukemia incidence in 22 towns around Pilgrim NPP, for the period 1978 through 1986. Pilgrim Station had been returned to operation following a 3 year outage, from 1986-1989. During this period, some $300 million in capital outlay was invested by Boston Edison in upgrading safety systems and installing the so-Called Three Mile Island upgrades. A copy of the peer review panel report is attached to this paper. Because of the interest in the Southeastern Massachusetts Health Study in Europe. There are three major points the Panel made which can summarized: 1. No excess of leukemia was found around Pilgrim Station. 2. The Southeastern Massachusetts Health Study over-predicted by a factor of 90 the number of leukemia cases attributable to plant operation. 3. The Southeastern Massachusetts Health Study failed to account for exposure to natural background radiation, which represents far larger biological exposure than plant Operation. Given All Of This, One Might Ask Why Didn't Common Sense Prevail In The Beginning? One Answer Might Be The Energy Of The Media In Pursuing The Story And Playing It Up No Matter What. Another Answer Might Be That The Original Study Purported To Show 'What Everyone Knows'. No One Really Stopped To Question Whether The Study Was Politically Motivated, Given That The Division of Environmental Health's Budget Had Been Cut.

  5. Case study: Massachusetts Department of Public Health's Southeastern Massachusetts health study on leukemia around Pilgrim Nuclear Power Station: Who won?

    International Nuclear Information System (INIS)

    Flanagan, Anita

    1993-01-01

    In October 1990, the Massachusetts Department of Public Health released their Southeastern Massachusetts health study. This is a study of leukemia incidence in 22 towns around Pilgrim NPP, for the period 1978 through 1986. Pilgrim Station had been returned to operation following a 3 year outage, from 1986-1989. During this period, some $300 million in capital outlay was invested by Boston Edison in upgrading safety systems and installing the so-Called Three Mile Island upgrades. A copy of the peer review panel report is attached to this paper. Because of the interest in the Southeastern Massachusetts Health Study in Europe. There are three major points the Panel made which can summarized: 1. No excess of leukemia was found around Pilgrim Station. 2. The Southeastern Massachusetts Health Study over-predicted by a factor of 90 the number of leukemia cases attributable to plant operation. 3. The Southeastern Massachusetts Health Study failed to account for exposure to natural background radiation, which represents far larger biological exposure than plant Operation. Given All Of This, One Might Ask Why Didn't Common Sense Prevail In The Beginning? One Answer Might Be The Energy Of The Media In Pursuing The Story And Playing It Up No Matter What. Another Answer Might Be That The Original Study Purported To Show 'What Everyone Knows'. No One Really Stopped To Question Whether The Study Was Politically Motivated, Given That The Division of Environmental Health's Budget Had Been Cut

  6. Tornimäe kaksiktornid Tallinnas. Konkursi "Aasta betoonehitis 2007" nominent / Meeli Truu, Juhan Idnurm, Jaan Port...[jt.

    Index Scriptorium Estoniae

    2008-01-01

    AS Nord Projekt; konstruktorid: Juhan Idnurm, Jaan Port, Kaido Kuusiku (Nord Projekt AS), Indrek Heinloo (E-Inseneribüroo OÜ), Matis Teeäär (Neoprojekt OÜ), Kaido Pärl (TAA-Konsult); ehitajad: Lemminkäinen Eesti AS, AS Merko Ehitus; betooni ja betoonelementide tarnijad: AS Rudus Eesti, AS Betoneks

  7. Cohort studies in health sciences librarianship.

    Science.gov (United States)

    Eldredge, Jonathan

    2002-10-01

    What are the key characteristics of the cohort study design and its varied applications, and how can this research design be utilized in health sciences librarianship? The health, social, behavioral, biological, library, earth, and management sciences literatures were used as sources. All fields except for health sciences librarianship were scanned topically for either well-known or diverse applications of the cohort design. The health sciences library literature available to the author principally for the years 1990 to 2000, supplemented by papers or posters presented at annual meetings of the Medical Library Association. A narrative review for the health, social, behavioral, biological, earth, and management sciences literatures and a systematic review for health sciences librarianship literature for the years 1990 to 2000, with three exceptions, were conducted. The author conducted principally a manual search of the health sciences librarianship literature for the years 1990 to 2000 as part of this systematic review. The cohort design has been applied to answer a wide array of theoretical or practical research questions in the health, social, behavioral, biological, and management sciences. Health sciences librarianship also offers several major applications of the cohort design. The cohort design has great potential for answering research questions in the field of health sciences librarianship, particularly evidence-based librarianship (EBL), although that potential has not been fully explored.

  8. A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health.

    Science.gov (United States)

    MacMillan, Freya; Karamacoska, Diana; El Masri, Aymen; McBride, Kate A; Steiner, Genevieve Z; Cook, Amelia; Kolt, Gregory S; Klupp, Nerida; George, Emma S

    2017-12-01

    To systematically review studies of health promotion intervention in the police force. Four databases were searched for articles reporting on prepost single and multigroup studies in police officers and trainees. Data were extracted and bias assessed to evaluate study characteristics, intervention design and the impact of interventions on health. Database searching identified 25 articles reporting on 21 studies relevant to the aims of this review. Few studies (n=3) were of long duration (≥6 months). Nine of 21 studies evaluated structured physical activity and/or diet programmes only, 5 studies used education and behaviour change support-only interventions, 5 combined structured programmes with education and behaviour change support, and 2 studies used computer prompts to minimise sedentary behaviour. A wide array of lifestyle behaviour and health outcomes was measured, with 11/13 multigroup and 8/8 single-group studies reporting beneficial impacts on outcomes. High risk of bias was evident across most studies. In those with the lowest risk of bias (n=2), a large effect on blood pressure and small effects on diet, sleep quality, stress and tobacco use, were reported. Health promotion interventions can impact beneficially on health of the police force, particularly blood pressure, diet, sleep, stress and tobacco use. Limited reporting made comparison of findings challenging. Combined structured programmes with education and behaviour change support and programmes including peer support resulted in the most impact on health-related outcomes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  9. Center for Maritime Safety and Health Studies

    Data.gov (United States)

    Federal Laboratory Consortium — Established in November 2015, the Center for Maritime Safety and Health Studies (CMSHS) promotes safety and health for all maritime workers, including those employed...

  10. An eHealth Capabilities Framework for Graduates and Health Professionals: Mixed-Methods Study

    Science.gov (United States)

    McGregor, Deborah; Keep, Melanie; Janssen, Anna; Spallek, Heiko; Quinn, Deleana; Jones, Aaron; Tseris, Emma; Yeung, Wilson; Togher, Leanne; Solman, Annette; Shaw, Tim

    2018-01-01

    Background The demand for an eHealth-ready and adaptable workforce is placing increasing pressure on universities to deliver eHealth education. At present, eHealth education is largely focused on components of eHealth rather than considering a curriculum-wide approach. Objective This study aimed to develop a framework that could be used to guide health curriculum design based on current evidence, and stakeholder perceptions of eHealth capabilities expected of tertiary health graduates. Methods A 3-phase, mixed-methods approach incorporated the results of a literature review, focus groups, and a Delphi process to develop a framework of eHealth capability statements. Results Participants (N=39) with expertise or experience in eHealth education, practice, or policy provided feedback on the proposed framework, and following the fourth iteration of this process, consensus was achieved. The final framework consisted of 4 higher-level capability statements that describe the learning outcomes expected of university graduates across the domains of (1) digital health technologies, systems, and policies; (2) clinical practice; (3) data analysis and knowledge creation; and (4) technology implementation and codesign. Across the capability statements are 40 performance cues that provide examples of how these capabilities might be demonstrated. Conclusions The results of this study inform a cross-faculty eHealth curriculum that aligns with workforce expectations. There is a need for educational curriculum to reinforce existing eHealth capabilities, adapt existing capabilities to make them transferable to novel eHealth contexts, and introduce new learning opportunities for interactions with technologies within education and practice encounters. As such, the capability framework developed may assist in the application of eHealth by emerging and existing health care professionals. Future research needs to explore the potential for integration of findings into workforce development

  11. Health visiting assessment--unpacking critical attributes in health visitor needs assessment practice: a case study.

    Science.gov (United States)

    Appleton, Jane V; Cowley, Sarah

    2008-02-01

    Assessment of family health need is a central feature of health visiting practice in which a range of skills, knowledge and judgements are used. These assessments are pivotal in uncovering need, safeguarding children and in determining levels of health intervention to be offered to children and their families by the health visiting service in the UK. The central focus of this paper is to outline the critical attributes of the basic principles that underpin health visiting assessment practice that emerged as part of a case study enquiry. A case study design informed by a constructivist methodology was used to examine health visitors' professional judgements and use of formal guidelines in identifying health needs and prioritising families requiring extra health visiting support. The main study was conducted in three community Trust case sites in England, UK, with pilot work being undertaken in a fourth site. Fifteen health visitors participated in the main study and data were collected during 56 observed home visits to families receiving extra health visiting support. Separate in-depth interviews were conducted with the health visitors, pre- and post-home contacts, while 53 client interviews also took place. The analysis suggests that there are certain fundamental elements associated with the majority of health visitor assessments and these have been termed assessment principles. These characteristics are integral to, and provide the basis upon which health visitors' assessments are conducted and professional judgement is formed. They reflect the basic principles of health visiting assessment practice, which exist despite the constraints and realities of the practice context and can be differentiated from the activity centred methods of assessment processes.

  12. Situating mobile health: a qualitative study of mHealth expectations in the rural health district of Nouna, Burkina Faso.

    Science.gov (United States)

    Duclos, Vincent; Yé, Maurice; Moubassira, Kagoné; Sanou, Hamidou; Sawadogo, N Hélène; Bibeau, Gilles; Sié, Ali

    2017-07-12

    The implementation of mobile health (mHealth) projects in low- and middle-income countries raises high and well-documented expectations among development agencies, policymakers and researchers. By contrast, the expectations of direct and indirect mHealth users are not often examined. In preparation for a proposed intervention in the Nouna Health District, in rural Burkina Faso, this study investigates the expected benefits, challenges and limitations associated with mHealth, approaching these expectations as a form of situated knowledge, inseparable from local conditions, practices and experiences. The study was conducted within the Nouna Health District. We used a qualitative approach, and conducted individual semi-structured interviews and group interviews (n = 10). Participants included healthcare workers (n = 19), godmothers (n = 24), pregnant women (n = 19), women with children aged 12-24 months (n = 33), and women of childbearing age (n = 92). Thematic and content qualitative analyses were conducted. Participants expect mHealth to help retrieve patients lost to follow-up, improve maternal care monitoring, and build stronger relationships between pregnant women and primary health centres. Expected benefits are not reducible to a technological realisation (sending messages), but rather point towards a wider network of support. mHealth implementation is expected to present considerable challenges, including technological barriers, organisational challenges, gender issues, confidentiality concerns and unplanned aftereffects. mHealth is also expected to come with intrinsic limitations, to be found as obstacles to maternal care access with which pregnant women are confronted and on which mHealth is not expected to have any significant impact. mHealth expectations appear as situated knowledges, inseparable from local health-related experiences, practices and constraints. This problematises universalistic approaches to mHealth knowledge, while nevertheless hinting at

  13. Histoire diagénétique d'une série gréseuse de mer du Nord. Datation de l'introduction des hydrocarbures Diagenetic History of a Sandstone Series of North Sea. Dating the Implantation of Hydrocarbons

    Directory of Open Access Journals (Sweden)

    Sommer F.

    2006-11-01

    Full Text Available L'étude pétrographique et minéralogique d'un réservoir jurassique de mer du Nord permet de mettre en évidence trois stades diagénétiques successifs qui se manifestent chacun par des évolutions minéralogiques spécifiques. Le dernier stade est contemporain de la mise en place de l'huile et des eaux salées. Celles-ci provoquent la néogenèse d'illite et l'illitisation de la dickite élaborée pendant l'enfouissement du réservoir. Des datations absolues par la méthode K/A effectuées sur ces illites donnent un âge lutétien moyen pour la mise en place de l'huile et des eaux salées. A petrographic and mineralogical study of a Jurassic reservoir in the North Sea reveals three successive diagenetic stages, each having a specific mineralogical evolution. The last stage is contemporary with the implantation of oil and salt water. This water has coused the neogenesis of illite and the illitization of the dickite that formed during the burial of the reservoir. Absolute dating of these illites by the K/A method reveals a Middle Lutetian age for the implantation of oil and salt water.

  14. Employee health benefit redesign at the academic health center: a case study.

    Science.gov (United States)

    Marshall, Julie; Weaver, Deirdre C; Splaine, Kevin; Hefner, David S; Kirch, Darrell G; Paz, Harold L

    2013-03-01

    The rapidly escalating cost of health care, including the cost of providing health care benefits, is a significant concern for many employers. In this article, the authors examine a case study of an academic health center that undertook a complete redesign of its health benefit structure to control rising costs, encourage use of its own provider network, and support employee wellness. With the implementation in 2006 of a high-deductible health plan combined with health reimbursement arrangements and wellness incentives, the Penn State Hershey Medical Center (PSHMC) was able to realize significant cost savings and increase use of its own network while maintaining a high level of employee satisfaction. By contracting with a single third-party administrator for its self-insured plan, PSHMC reduced its administrative costs and simplified benefit choices for employees. In addition, indexing employee costs to salary ensured that this change was equitable for all employees, and the shift to a consumer-driven health plan led to greater employee awareness of health care costs. The new health benefit plan's strong focus on employee wellness and preventive health has led to significant increases in the use of preventive health services, including health risk assessments, cancer screenings, and flu shots. PSHMC's experience demonstrates the importance of clear and ongoing communication with employees throughout--before, during, and even after--the process of health benefit redesign.

  15. A qualitative study of health information technology in the Canadian public health system

    OpenAIRE

    Zinszer, Kate; Tamblyn, Robyn; Bates, David W; Buckeridge, David L

    2013-01-01

    Background: Although the adoption of health information technology (HIT) has advanced in Canada over the past decade, considerable challenges remain in supporting the development, broad adoption, and effective use of HIT in the public health system. Policy makers and practitioners have long recognized that improvements in HIT infrastructure are necessary to support effective and efficient public health practice. The objective of this study was to identify aspects of health information technol...

  16. Les guitarrillas du Nord du département de Potosí (Bolivie: morphologie, utilisation et symbolique

    Directory of Open Access Journals (Sweden)

    1990-01-01

    Full Text Available Ce travail se propose d’étudier une famille de cordophones regroupée sous le vocable de “guitarrilla “ qui, tant au niveau morphologique et fonctionnel qu’au niveau symbolique, est porteuse d’un profond et ancestral contenu culturel. Ce groupe d’instruments aux caractéristiques originales, est intimement lié aux cultes de la terre, de l’eau et de la fertilité qui sont parmi les éléments majeurs du panthéon andin, en particulier dans les sociétés natives du nord du département de Potosi (Bolivie. Les “guitarrillas”, instruments traditionnels de la saison des pluies, sont d’identité fondamentalement Quechua, comme la majorité des cordophones boliviens. Cependant, à un niveau supérieur, on doit les considérer comme un reflet de la symbiose culturelle andine qu’est actuellement la société traditionnelle de Bolivie. L’ensemble de ces concepts confère à ce type d’instrument une fonction sociale qui démontre que la musique fait toujours partie de la vie quotidienne de la société rurale bolivienne. LAS GUITARRILLAS DEL NORTE DEL DEPARTAMENTO DE POTOSI (BOLIVIA: MORFOLOGÍA, UTILIZACIÓN Y SIMBÓLICA. Este trabajo se propone estudiar una familia de cordófonos reagrupados bajo el nombre de “guitarrillas “, que tanto a nivel morfológico y funcional, como a nivel simbólico, tiene un profundo y ancestral contenido cultural. Este conjunto de instrumentos, que tiene características originales, está intimamente relacionado con los cultos de la tierra, el agua y la fertilidad, los cuales son elementos esenciales del panteón andino, particularmente en las sociedades nativas del norte del departamento de Potosí (Bolivia. Las guitarrillas, tradicionalmente tocadas únicamente durante la época de lluvia, son de identidad fundamentalmente Quechua, como la mayoría de los cordófonos bolivianos. Sin embargo, hay que considerarlas como un reflejo de la simbiosis cultural andina que caracteriza la actual sociedad tradicional

  17. A search strategy for occupational health intervention studies

    NARCIS (Netherlands)

    Verbeek, J.; Salmi, J.; Pasternack, I.; Jauhiainen, M.; Laamanen, I.; Schaafsma, F.; Hulshof, C.; van Dijk, F.

    2005-01-01

    As a result of low numbers and diversity in study type, occupational health intervention studies are not easy to locate in electronic literature databases. To develop a search strategy that facilitates finding occupational health intervention studies in Medline, both for researchers and

  18. Factors associated with consumption of alcohol in older adults - a comparison between two cultures, China and Norway: the CLHLS and the HUNT-study.

    Science.gov (United States)

    Li, Juan; Wu, Bei; Selbæk, Geir; Krokstad, Steinar; Helvik, Anne-S

    2017-07-31

    There is little knowledge about the consumption of alcohol among Chinese and Norwegian older adults aged 65 years and over. The aim of this study was to investigate the prevalence and factors related to alcohol consumption among older adults in China and Norway. The Chinese Longitudinal Healthy Longevity Survey (CLHLS) data in 2008-2009 conducted in China and The Nord-Trøndelag Health Study data in 2006-2008 (HUNT3) conducted in Norway were used. Mulitvariable logistic regression was used to test the factors related to alcohol consumption. The prevalence of participants who drink alcohol in the Chinese and Norwegian sample were 19.88% and 46.2%, respectively. The weighted prevalence of participants with consumption of alcohol in the Chinese sample of women and men were 7.20% and 34.14%, respectively. In the Norwegian sample, the prevalence of consumption of alcohol were 43.31% and 65.35% for women and men, respectively. Factors such as younger age, higher level of education, living in urban areas, living with spouse or partner, and better health status were related to higher likelihood of alcohol consumption among Norwegian older women and men; while reported better health status and poorer life satisfaction were related to higher likelihood of alcohol consumption among Chinese. In addition, rural males and older females with higher level of education were more likely to consume alcohol. The alcohol consumption patterns were quite different between China and Norway. Besides economic development levels and cultures in the two different countries, demographic characteristics, socioeconomic status, overall health status, and life satisfaction were associated with alcohol consumption as well.

  19. Health promotion activities of sports clubs and coaches, and health and health behaviours in youth participating in sports clubs: the Health Promoting Sports Club study.

    Science.gov (United States)

    Kokko, Sami; Selänne, Harri; Alanko, Lauri; Heinonen, Olli J; Korpelainen, Raija; Savonen, Kai; Vasankari, Tommi; Kannas, Lasse; Kujala, Urho M; Aira, Tuula; Villberg, Jari; Parkkari, Jari

    2015-01-01

    Sports clubs form a potential setting for health promotion, but the research is limited. The aim of the Health Promoting Sports Club (HPSC) study was to elucidate the current health promotion activities of youth sports clubs and coaches, and to investigate the health behaviours and health status of youth participating in sports clubs compared to non-participants. The study design employs cross-sectional multilevel and multimethod research with aspirations to a prospective cohort study in the next phase. The setting-based variables at sports clubs and coaching levels, and health behaviour variables at the individual level, are investigated using surveys; and total levels of physical activity are assessed using objective accelerometer measurements. Health status variables will be measured by preparticipation screening. The health promotion activity of sports clubs (n=154) is evaluated by club officials (n=313) and coaches (n=281). Coaches and young athletes aged 14-16 (n=759) years evaluate the coaches' health promotion activity. The survey of the adolescents' health behaviours consist of two data sets-the first is on their health behaviours and the second is on musculoskeletal complaints and injuries. Data are collected via sports clubs (759 participants) and schools 1650 (665 participants and 983 non-participants). 591 (418 athletes and 173 non-athletes) youth, have already participated in preparticipation screening. Screening consists of detailed personal medical history, electrocardiography, flow-volume spirometry, basic laboratory analyses and health status screening, including posture, muscle balance, and static and dynamic postural control tests, conducted by sports and exercise medicine specialists. The HPSC study is carried out conforming with the declaration of Helsinki. Ethical approval was received from the Ethics Committee of Health Care District of Central Finland. The HPSC study is close-to-practice, which generates foundations for development work

  20. Health promotion activities of sports clubs and coaches, and health and health behaviours in youth participating in sports clubs: the Health Promoting Sports Club study

    Science.gov (United States)

    Kokko, Sami; Selänne, Harri; Alanko, Lauri; Heinonen, Olli J; Korpelainen, Raija; Savonen, Kai; Vasankari, Tommi; Kannas, Lasse; Kujala, Urho M; Aira, Tuula; Villberg, Jari; Parkkari, Jari

    2015-01-01

    Introduction Sports clubs form a potential setting for health promotion, but the research is limited. The aim of the Health Promoting Sports Club (HPSC) study was to elucidate the current health promotion activities of youth sports clubs and coaches, and to investigate the health behaviours and health status of youth participating in sports clubs compared to non-participants. Methods and analysis The study design employs cross-sectional multilevel and multimethod research with aspirations to a prospective cohort study in the next phase. The setting-based variables at sports clubs and coaching levels, and health behaviour variables at the individual level, are investigated using surveys; and total levels of physical activity are assessed using objective accelerometer measurements. Health status variables will be measured by preparticipation screening. The health promotion activity of sports clubs (n=154) is evaluated by club officials (n=313) and coaches (n=281). Coaches and young athletes aged 14–16 (n=759) years evaluate the coaches’ health promotion activity. The survey of the adolescents’ health behaviours consist of two data sets—the first is on their health behaviours and the second is on musculoskeletal complaints and injuries. Data are collected via sports clubs (759 participants) and schools 1650 (665 participants and 983 non-participants). 591 (418 athletes and 173 non-athletes) youth, have already participated in preparticipation screening. Screening consists of detailed personal medical history, electrocardiography, flow-volume spirometry, basic laboratory analyses and health status screening, including posture, muscle balance, and static and dynamic postural control tests, conducted by sports and exercise medicine specialists. Ethics and dissemination The HPSC study is carried out conforming with the declaration of Helsinki. Ethical approval was received from the Ethics Committee of Health Care District of Central Finland. The HPSC study is

  1. Epidemiological Study of Greek University Students' Mental Health

    Science.gov (United States)

    Kounenou, Kalliope; Koutra, Aikaterini; Katsiadrami, Aristea; Diacogiannis, Georgios

    2011-01-01

    In the present study, 805 Greek students participated by filling in self-report questionnaires studying depression (Center for Epidemiological Studies Depression Scale), general health status (General Health Questionnaire), general psychopathology (Symptom Checklist-90-R), and personal demographic features. Some of the more prevalent findings…

  2. Health literacy among Saudi population: a cross-sectional study.

    Science.gov (United States)

    Abdel-Latif, Mohamed M M; Saad, Sherif Y

    2017-09-12

    Health literacy is a major problem worldwide and adversely affects an individual's health. The aim of the present study was to assess health literacy level among Saudi population. A cross-sectional study was conducted among a randomly selected population (n = 500) in Saudi Arabia. The questionnaire comprised of questions pertaining to demographic characteristics, health literacy and health information. Health literacy was measured by REALM-R test. Internal reliability was determined using Cronbach's alpha coefficient. The majority of the respondents had intermediate (43.8%) and basic (34.4%) health literacy levels. A higher percentage among men had intermediate (59.8%) and basic (70.93%) health literacy levels compared with women. About 30% of respondents had difficulty in understanding health screening tests and disease treatment. More than half of participants (52.4%) had difficulty in finding health information. The REALM-R test revealed that about 42.6% of individuals with score of >6 had adequate health literacy compared with 57.4% with score of ≤6 had inadequate health literacy. The present study demonstrated that a majority of Saudi individuals had inadequate health literacy that associated with poor knowledge of health information. Our findings highlighted the importance of understanding the status of health literacy among Saudis and the need for educational programs to raise the health literacy awareness among Saudi population. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. [Health literacy of adults in Germany: Findings from the German Health Update (GEDA) study].

    Science.gov (United States)

    Jordan, Susanne; Hoebel, Jens

    2015-09-01

    In today's information society, health literacy (HL) is considered important for health maintenance and disease management. In this context, dealing with health information is fundamental and requires different cognitive and social skills. The aim of this study was to investigate the distribution of HL levels in the adult population of Germany, and to identify associations with health behaviours and health status. The analyses were based on data from the German Health Update (GEDA) study, a cross-sectional survey of the German-speaking adult population of Germany, which was conducted from October 2013 to June 2014. Health literacy was assessed with the short form of the European Health Literacy Questionnaire (HLS EU-Q16), along with questions about socio-demographics, health behaviours, and health status. The HLS-EU-Q16 index could be calculated for 4845 respondents. According to the criteria of the HLS-EU-Q16, more than half of the adults had "adequate" HL (55.8 %). Every third person (31.9 %) had "problematic" and almost every eighth person (12.3 %) had "inadequate" HL. We found significant differences in HL by educational level, but no differences in HL by sex and age group. Certain health behaviours were positively associated with health literacy. A low HL level was associated with poorer physical and mental health. The results point to a need for action to improve HL in the adult population. The strengthening of health literacy should not solely aim at the promotion of individual skills, but also give high priority to the development of health-literate settings.

  4. In Hac Vita: Increasing Nordic Homeowners' Adaptive Capacity to Climate Change

    DEFF Research Database (Denmark)

    Neset, Tina; Linnér, Björn-Ola; Navarra, carlo

    2013-01-01

    The NordForsk funded research project In Hac Vita project is a collaboration between the Nordic insurance companies If, Gjensidige, Trygg-Hansa/ Codan and Tryg Insurance, and the Top-level Research Initiative the Nordic Centre of Excellence NORD-STAR. The project concerns climate change adaptatio...... to adapt to climate change and extreme weather effects....

  5. The Distribution of Health Services in Iran Health Care System: A Case Study at East Azerbaijan

    Directory of Open Access Journals (Sweden)

    Hassan Almaspoor-khangah

    2016-10-01

    Full Text Available Background: It is necessary that various aspects of health information and statistics are identified and measured since health problems are getting more complex day by day. Objective: This study is aimed to investigate the distribution of health services in the health care system in Iran and the case of study is East Azerbaijan province. Methods: This research was a retrospective, descriptive, cross-sectional study. The statistical population included all health service providers in East Azerbaijan Province in the public, private, charity, military, social security, and NGO sectors. In this study, the data from all functional health sectors, including hospitals, health centers, and clinical, rehabilitation centers and all clinics and private offices were studied during 2014. The data relevant to performance were collected according to a pre-determined format (researcher- built checklist which was approved by five professionals and experts Health Services Management (content validity. Results: The study findings showed that the public sector by 45.28% accounted for the highest share of provided services and the private sector, social security, military institutions, charities and NGOs institutions by 25.47%, 18.92%, 4.37%, 3.3%, and 2.66% next rank in providing health services in East Azerbaijan province have been allocated. Conclusion: The results show that most of the health services in East Azerbaijan Province belongs to the public sector and the private sector has managed to develop its services in some parts surpassed the public sector. According to the study findings, Policies should be aimed to create balance and harmony in the provision of services among all service providers.

  6. Pb concentrations and isotope ratios of soil O and C horizons in Nord-Trøndelag, central Norway: Anthropogenic or natural sources?

    International Nuclear Information System (INIS)

    Reimann, C.; Fabian, K.; Flem, B.; Schilling, J.; Roberts, D.; Englmaier, P.

    2016-01-01

    Soil O and C horizon samples (N = 752) were collected at a sample density of 1 site/36 km"2 in Nord-Trøndelag and parts of Sør-Trøndelag (c. 25,000 km"2), and analysed for Pb and three of the four naturally occurring Pb isotopes ("2"0"6Pb, "2"0"7Pb and "2"0"8Pb) in a HNO_3/HCl extraction. Soil O and C horizons are decoupled in terms of both Pb concentrations and Pb isotope ratios. In the soil C horizon the Grong-Olden Culmination, a continuous exposure of the Precambrian crystalline basement across the general grain of the Caledonian orogen, is marked by a distinct "2"0"6Pb/"2"0"7Pb isotope ratio anomaly. No clear regional or even local patterns are detected when mapping the Pb isotope ratios in the soil O horizon samples. Variation in the isotope ratios declines significantly from the soil C to the O horizon. On average, Pb concentrations in the O horizon are four times higher and the "2"0"6Pb/"2"0"7Pb isotope ratio is shifted towards a median of 1.15 in comparison to 1.27 in the C horizon. It is demonstrated that natural processes like weathering in combination with plant uptake need to be taken into account in order to distinguish anthropogenic input from natural influences on Pb concentration and the "2"0"6Pb/"2"0"7Pb isotope ratio in the soil O horizon. - Highlights: • Lead concentrations are on average higher by a factor of 4 in the soil O than in the C horizon. • The "2"0"6Pb/"2"0"7Pb isotope ratio is considerably lower in the soil O than in the C horizon. • The observed shifts are in conflict with exclusive anthropogenic input of Pb. • The hypothesis of natural Pb-isotope invariance can not be hold.

  7. Public health preparedness in Alberta: a systems-level study.

    Science.gov (United States)

    Moore, Douglas; Shiell, Alan; Noseworthy, Tom; Russell, Margaret; Predy, Gerald

    2006-12-28

    Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research. We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus. The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.

  8. An eHealth Capabilities Framework for Graduates and Health Professionals: Mixed-Methods Study.

    Science.gov (United States)

    Brunner, Melissa; McGregor, Deborah; Keep, Melanie; Janssen, Anna; Spallek, Heiko; Quinn, Deleana; Jones, Aaron; Tseris, Emma; Yeung, Wilson; Togher, Leanne; Solman, Annette; Shaw, Tim

    2018-05-15

    The demand for an eHealth-ready and adaptable workforce is placing increasing pressure on universities to deliver eHealth education. At present, eHealth education is largely focused on components of eHealth rather than considering a curriculum-wide approach. This study aimed to develop a framework that could be used to guide health curriculum design based on current evidence, and stakeholder perceptions of eHealth capabilities expected of tertiary health graduates. A 3-phase, mixed-methods approach incorporated the results of a literature review, focus groups, and a Delphi process to develop a framework of eHealth capability statements. Participants (N=39) with expertise or experience in eHealth education, practice, or policy provided feedback on the proposed framework, and following the fourth iteration of this process, consensus was achieved. The final framework consisted of 4 higher-level capability statements that describe the learning outcomes expected of university graduates across the domains of (1) digital health technologies, systems, and policies; (2) clinical practice; (3) data analysis and knowledge creation; and (4) technology implementation and codesign. Across the capability statements are 40 performance cues that provide examples of how these capabilities might be demonstrated. The results of this study inform a cross-faculty eHealth curriculum that aligns with workforce expectations. There is a need for educational curriculum to reinforce existing eHealth capabilities, adapt existing capabilities to make them transferable to novel eHealth contexts, and introduce new learning opportunities for interactions with technologies within education and practice encounters. As such, the capability framework developed may assist in the application of eHealth by emerging and existing health care professionals. Future research needs to explore the potential for integration of findings into workforce development programs. ©Melissa Brunner, Deborah Mc

  9. Fjenden fra Nord

    DEFF Research Database (Denmark)

    Høgenhaven, Jesper

    2017-01-01

    the German and Anglo- Saxon realms. This article explores themes of central importance to Nordic scholars in this period, and attempts to spell out some of the more significant nuances and differences among them. Finally, I raise the question to which extent we can meaningfully speak of tendencies...

  10. The feasibility study: a health economics perspective

    Directory of Open Access Journals (Sweden)

    Brenda Gannon

    2017-02-01

    Full Text Available The remit of research funding bodies is to prioritise funding for research that is of relevance and of high quality. This in turn will aim to raise the quality of healthcare and benefit to patients. Researchers are faced with increasing demands and expectations from the public purse and patients. The emphasis is to improve the quality of their research, with the ultimate aim of improving population health. While guidelines on feasibility study methods concentrate heavily on trials, there appears less guidance on application of health economics within feasibility studies, yet these are a less costly way to determine first of all if a full randomised controlled trial (RCT is feasible. A feasibility study assesses if the study can be done in a small RCT type study. Since by definition, a feasibility study does not evaluate the outcome, researchers often omit the health economics aspects but do however include statistical analysis. This leaves a gap in interpretation for policy makers and potential funders. It also means that any resulting publication does not include relevant information and therefore comparison across studies in terms of difficulty in collecting cost data is not possible. The main aim of this commentary therefore, is to demonstrate a suggested health economics analysis within a feasibility study and to recommend to researchers to include these aspects from the conception of their intervention. This paper proposes a number of points, with rationale for each point, to indicate the health economics data and the potential benefits required for coherent interpretation of the feasibility of future economic evaluations in a full trial. Economic evaluation is necessary if implementation into standard care is anticipated. Therefore, collection and summary analysis of relevant data is good practice at each point of the intervention development. Current guidelines for economic evaluation, for example, The Medical Research Guidelines in the

  11. The Porto Alegre Early Life Nutrition and Health Study.

    Science.gov (United States)

    Chaffee, Benjamin Wilk; Vítolo, Márcia Regina; Feldens, Carlos Alberto

    2014-12-01

    Early childhood caries is a persistent worldwide problem. The etiologic contribution of feeding practices has been less frequently investigated in prospective studies of young children. The Porto Alegre Early Life Nutrition and Health Study has followed a birth cohort of 715 mother-child pairs, recruited from municipal health centers, originally involved in a cluster-randomized controlled trial of healthcare worker training. The birth cohort links prospectively collected socio-demographic, infant feeding, and general and oral health information. To date, oral health data, including caries status and oral health-related quality of life, have been collected for 458 children at the age of 2-3 years. Studies are underway to investigate possible determinants and consequences of oral health among these children.

  12. The Porto Alegre Early Life Nutrition and Health Study

    Directory of Open Access Journals (Sweden)

    Benjamin Wilk Chaffee

    2014-12-01

    Full Text Available Early childhood caries is a persistent worldwide problem. The etiologic contribution of feeding practices has been less frequently investigated in prospective studies of young children. The Porto Alegre Early Life Nutrition and Health Study has followed a birth cohort of 715 mother-child pairs, recruited from municipal health centers, originally involved in a cluster-randomized controlled trial of healthcare worker training. The birth cohort links prospectively collected socio-demographic, infant feeding, and general and oral health information. To date, oral health data, including caries status and oral health-related quality of life, have been collected for 458 children at the age of 2-3 years. Studies are underway to investigate possible determinants and consequences of oral health among these children.

  13. Mobile Health Based System for Managing and Maintaining Health Data in Classroom: Case Study

    Directory of Open Access Journals (Sweden)

    Dalibor Serafimovski

    2017-05-01

    Full Text Available It is necessary for young people to get appropriate medical education so that they can learn how to properly take care of their health from an early age. In this paper we are presenting a study that enables practical implementation of a mobile system for monitoring students’ health using mobile devices and managing medical data in the classroom. About 600 students were engaged for the purpose of this study. The study results suggest that the application of these technologies leads to an increased concern about students’ health and their proper medical education.

  14. Sociodemographic and health-(care-)related characteristics of online health information seekers: a cross-sectional German study.

    Science.gov (United States)

    Nölke, Laura; Mensing, Monika; Krämer, Alexander; Hornberg, Claudia

    2015-01-29

    Although the increasing dissemination and use of health-related information on the Internet has the potential to empower citizens and patients, several studies have detected disparities in the use of online health information. This is due to several factors. So far, only a few studies have examined the impact of socio-economic status (SES) on health information seeking on the Internet. This study was designed to identify sociodemographic and health-(care-)related differences between users and non-users of health information gleaned from the Internet with the aim of detecting hard-to-reach target groups. This study analyzed data from the NRW Health Survey LZG.NRW 2011 (n = 2,000; conducted in North Rhine-Westphalia, Germany, via telephone interviews). Logistic regression analysis was used to examine the determinants of online health information seeking behavior. 68% of Internet users refer to the Internet for health-related purposes. Of the independent variables tested, SES proved to exert the strongest influence on searching the Internet for health information. The final multivariate regression model shows that people from the middle (OR: 2.2, 95% CI: 1.6-3.2) and upper (OR: 4.0, 95% CI: 2.7-6.2) social classes are more likely to seek health information on the Internet than those from the lower class. Also, women are more likely to look for health information on the Internet than men (OR: 1.5, 95% CI: 1.1-2.1). Individuals with a migration background are less likely to conduct health searches on the Internet (OR: 0.6, 95% CI: 0.4-0.8). Married people or individuals in a stable relationship search the Internet more often for health information than do singles (OR: 1.9, 95% CI: 1.2-2.9). Also, heavy use of health-care services compared to non-use is associated with a higher likelihood of using the Internet for health-related matters (OR: 1.7, 95% CI: 1.2-2.5). In order to achieve equity in health, health-related Internet use by the socially deprived should be

  15. Organizational climate and employee mental health outcomes: A systematic review of studies in health care organizations.

    Science.gov (United States)

    Bronkhorst, Babette; Tummers, Lars; Steijn, Bram; Vijverberg, Dominique

    2015-01-01

    In recent years, the high prevalence of mental health problems among health care workers has given rise to great concern. The academic literature suggests that employees' perceptions of their work environment can play a role in explaining mental health outcomes. We conducted a systematic review of the literature in order to answer the following two research questions: (1) how does organizational climate relate to mental health outcomes among employees working in health care organizations and (2) which organizational climate dimension is most strongly related to mental health outcomes among employees working in health care organizations? Four search strategies plus inclusion and quality assessment criteria were applied to identify and select eligible studies. As a result, 21 studies were included in the review. Data were extracted from the studies to create a findings database. The contents of the studies were analyzed and categorized according to common characteristics. Perceptions of a good organizational climate were significantly associated with positive employee mental health outcomes such as lower levels of burnout, depression, and anxiety. More specifically, our findings indicate that group relationships between coworkers are very important in explaining the mental health of health care workers. There is also evidence that aspects of leadership and supervision affect mental health outcomes. Relationships between communication, or participation, and mental health outcomes were less clear. If health care organizations want to address mental health issues among their staff, our findings suggest that organizations will benefit from incorporating organizational climate factors in their health and safety policies. Stimulating a supportive atmosphere among coworkers and developing relationship-oriented leadership styles would seem to be steps in the right direction.

  16. Headteachers' prior beliefs on child health and their engagement in school based health interventions: a qualitative study.

    Science.gov (United States)

    Todd, Charlotte; Christian, Danielle; Davies, Helen; Rance, Jaynie; Stratton, Gareth; Rapport, Frances; Brophy, Sinead

    2015-04-18

    Schools play an important role in promoting the health of children. However, little consideration is often given to the influence that headteachers' and school staff's prior beliefs have on the implementation of public health interventions. This study examined primary school headteachers' and school health co-ordinators' views regarding child health in order to provide greater insights on the school's perspective for those designing future school-based health interventions. A qualitative study was conducted using 19 semi-structured interviews with headteachers, deputy headteachers and school health co-ordinators in the primary school setting. All transcripts were analysed using thematic analysis. Whilst many participants in this study believed good health was vital for learning, wide variance was evident regarding the perceived health of school pupils and the magnitude of responsibility schools should take in addressing child health behaviours. Although staff in this study acknowledged the importance of their role, many believed the responsibility placed upon schools for health promotion was becoming too much; suggesting health interventions need to better integrate school, parental and societal components. With mental health highlighted as an increasing priority in many schools, incorporating wellbeing outcomes into future school based health interventions is advocated to ensure a more holistic understanding of child health is gained. Understanding the health beliefs of school staff when designing interventions is crucial as there appears to be a greater likelihood of interventions being successfully adopted if staff perceive a health issue as important among their pupils. An increased dependability on schools for addressing health was expressed by headteachers in this study, highlighting a need for better understanding of parental, child and key stakeholder perspectives on responsibility for child health. Without this understanding, there is potential for certain

  17. Comparative, Collaborative, and On-Site Validation of a TaqMan PCR Method as a Tool for Certified Production of Fresh, Campylobacter-Free Chickens

    DEFF Research Database (Denmark)

    Krause, Michael; Josefsen, Mathilde Hartmann; Lund, Marianne

    2006-01-01

    , a faster, real-time PCR approach was validated in comparative and collaborative trials, based on recommendations from the Nordic system for validation of alternative microbiological methods (NordVal). The comparative real-time PCR trial was performed in comparison to two reference culture protocols...... fulfilled the NordVal validation criteria and has since been implemented at a major abattoir....

  18. Finlandssvensk pronominalsyntaks

    DEFF Research Database (Denmark)

    Jørgensen, Henrik

    2009-01-01

    Artiklen gør rede for nogle særlige forhold omkring pronominernes morfologi og syntaks i nordøstligt finlandssvensk, specielt forekomsten af kasussynkretismer og omvendte kasusformer......Artiklen gør rede for nogle særlige forhold omkring pronominernes morfologi og syntaks i nordøstligt finlandssvensk, specielt forekomsten af kasussynkretismer og omvendte kasusformer...

  19. Public health preparedness in Alberta: a systems-level study

    Directory of Open Access Journals (Sweden)

    Noseworthy Tom

    2006-12-01

    Full Text Available Abstract Background Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research. Methods/Design We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus. Discussion The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.

  20. 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

  1. What mediates the inverse association between education and occupational disability from back pain?--A prospective cohort study from the Nord-Trøndelag health study in Norway.

    Science.gov (United States)

    Hagen, Kåre Birger; Tambs, Kristian; Bjerkedal, Tor

    2006-09-01

    Low education is consistently associated with an increased risk of back pain disability, but the underlying mechanisms for this relationship are poorly understood. In a seven-year prospective observational study of 38,426 employed men and women between 25 and 59 years in Norway, we investigated to what extent occupational class, working conditions and individual lifestyle mediated the effect of formal education on disability pensioning from back pain. Each additional year of formal education was associated with decreased risk for disability pensioning from back pain for both men [age adjusted Hazard Ratio (HR) 0.77; (95% Confidence Interval, 0.72-0.82)] and women [HR 0.76(0.71-0.82)]. Adjustment for occupational class and factors related to working conditions (authority to plan own work, physically demanding work, concentration and attention and job satisfaction) and individual lifestyle (smoking, body mass index, physical exercise and alcohol consumption) reduced the effect of education by 39% [HR 0.86(0.79-0.93)] for men and by 21% [HR 0.81(0.73-0.89)] for women. Working conditions contributed most to the explanation for men, while occupational class, working conditions and life style factors contributed equally for women. Subgroup analyses indicate small differences between full-time and part-time employees, while some differences were found between subcategories of back diseases. The study indicates that there is a strong and unexplained effect of education on back pain disability pensioning, which is not mediated by occupational class, working conditions or individual lifestyle.

  2. Internet Resources of Consumer Health Information Studies

    Directory of Open Access Journals (Sweden)

    Yu-Tzuon Chou

    2004-09-01

    Full Text Available Health and medical care has always been an important issue. Recently, there has been a rapid increase in consumer health awareness. Therefore, Consumer Health Information has been vastlyemphasized, which results in the development of associated websites. According to an investigation in Taiwan, there are 1,820 different health and medical related websites in 2002. However, due to the lack of regulations, some of these websites’ information contents may be faulty and may confuse users or potentially be harmful. The purpose of this article is to advise consumers how to differentiate between correct and incorrect information in the Health Information websites. The present study analyzes the strengths and weaknesses of some Taiwan’s consumer health websites by comparing their structures, contents and other information with those provided by "the Top Ten Most Useful Health Information Websites" of the USA. [Article content in Chinese

  3. Intake of multivitamin supplements and incident asthma in Norwegian adults: the HUNT study

    Directory of Open Access Journals (Sweden)

    Lin Jiang

    2015-10-01

    Full Text Available Although intake of multivitamin supplements is becoming increasingly popular, the relationship between intake of multivitamin supplements and incident asthma remains unclear. Prospective studies in adults with long-term follow-up are especially scarce. Our objective was to investigate the association between intake of multivitamin supplements and asthma development in Norwegian adults. We followed 16 952 adult subjects from the second survey of the Nord-Trøndelag Health Study (1995–1997 up to 2006–2008, who, at baseline, were free of asthma and provided information on their intake of multivitamin supplements and cod liver oil. Regular intake of multivitamin supplements or cod liver oil was defined as daily intake for ≥3 months during the year prior to baseline. Incident asthma was defined as reported new-onset asthma after the 11-year follow-up. Intake of multivitamin supplements only was associated with an increased odds ratio for incident asthma (OR 1.55, 95% CI 1.12–2.13 after adjustment for a number of common confounding factors (model I. Similar odds ratios were found for intake of cod liver oil only and for intake of both supplements (1.59 and 1.73, respectively. Regular intake of multivitamin supplements was associated with an increased odds ratio for incident asthma in Norwegian adults.

  4. From the School Health Education Study to the National Health Education Standards: Concepts Endure

    Science.gov (United States)

    Nobiling, Brandye D.; Lyde, Adrian R.

    2015-01-01

    Background: The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), "Health Education: A Conceptual Approach to Curriculum Design," fosters…

  5. A Longitudinal Study of Usability in Health Care

    DEFF Research Database (Denmark)

    Kjeldskov, Jesper; Skov, Mikael B.; Stage, Jan

    2010-01-01

    We report from a longitudinal laboratory-based usability evaluation of a health care information system. The purpose of the study was to inquire into the nature of usability problems experienced by novice and expert users, and to see to what extend usability problems of a health care information...... system may or may not disappear over time, as the nurses get more familiar with it-if time heals poor design? As our method for studying this, we conducted a longitudinal study with two key studies. A usability evaluation was conducted with novice users when an electronic patient record system was being......, we discuss implications for evaluating usability in health care....

  6. Effet des arbres sur la diversité de la végétation herbacée dans les parcours communautaires du Nord - Sénégal (Afrique de l’Ouest

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    Léornard-Elle Akpo

    2011-11-01

    Full Text Available La composition spécifique des pâturages herbacés a été établie sous et hors des arbres de Acacia raddiana, Balanites aegyptiaca, Zizyphus mauriatiana en région sahélienne du Nord - Sénégal, à partir des inventaires de la flore et des relevés de végétation. Ils ont été soumis à différentes méthodes d’analyse multivariée (AFC, ANOVA, Comparaison de moyennes…. Les résultats ont permis de distinguer nettement les relevés effectués sous les arbres de ceux de la zone hors des arbres ; il existe ainsi un effet couvert. Celui-ci est comparable quels que soient l’espèce ligneuse, le type de sol et/ou de parcours. L’effet arbre est associé à un cortège floristique composé d’espèces dites « exclusives », des espèces indifférentes ou des espèces « communes » aux différents biotopes. Le nombre d’espèces indicatrices du couvert des arbres ou espèces sciaphiles est nettement plus élevé que celui des espèces héliophiles. La richesse spécifique est ainsi significativement plus importante sous l’arbre.

  7. Eksempler på bruk av koblinger mellom helseundersøkelser og FD-trygd for forskning under den trygdemedisinske modellen, attraksjonsmodellen og utstøtningsmodellen

    Directory of Open Access Journals (Sweden)

    Arnstein Mykletun

    2010-01-01

    Full Text Available Vi har i løpet av de siste fem årene jobbet med datakoblinger mellom Helseundersøkelsene i Hordaland (HUSK, 1997-99 og Nord-Trøndelag (HUNT, 1984-86, 1995-97, 2006-08 til FD-trygd (fra 1992. Ved kombinasjoner av helseundersøkelser og FD-trygd kan epidemiologiske studier med tverrsnittsdesign, prospektive design eller retrospektive design gjennomføres. Det eksisterer imidlertid utfordringer både formelt og datateknisk ved etablering av slike koblinger. Vi har erfart at koblingene er anvendelige for forskning på årsaker til uføretrygd, og at vi treffer et internasjonalt publikum med publikasjoner basert på disse data. I det følgende vil det bli gitt noen eksempler på hvordan disse dataressursene kan utnyttes i studier av årsaker til arbeidsuførhet i henhold til den trygdemedisinske modellen, attraksjonsmodellen og utstøtningsmodellen. Mykletun A, Øverland S. Examples of uses of linkages between health surveys and FD-trygd for research using medical models and theoretical push and pull models. Nor J Epidemiol 2009; 19 (2: 127-137. ENGLISH SUMMARYOver the last five years, we have employed data from the Hordaland Health Study (HUSK, 1997-99 and the Nord-Trøndelag Health Studies (HUNT, 1984-86, 1995-97, 2006-08 in linkage with national registries of disability benefits (FD-trygd, running from 1992. The combination of these resources, allows studies using cross-sectional, prospective or retrospective designs. The establishing of these combined datasets involves numerous formal and technical challenges, but the resulting data are useful in disability benefit research and publications employing them have been welcomed by an international readership. In the following, we will provide examples of how these data can be used to broaden our understanding of disability benefits in perspectives of the medical model, as well as theoretical push,- and pull models.

  8. Multiple lifestyle behaviours and mortality, findings from a large population-based Norwegian cohort study - The HUNT Study

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    Steinar Krokstad

    2017-01-01

    Full Text Available Abstract Background Lifestyle risk behaviours are responsible for a large proportion of disease burden and premature mortality worldwide. Risk behaviours tend to cluster in populations. We developed a new lifestyle risk index by including emerging risk factors (sleep, sitting time, and social participation and examine unique risk combinations and their associations with all-cause and cardio-metabolic mortality. Methods Data are from a large population-based cohort study in a Norway, the Nord-Trøndelag Health Study (HUNT, with an average follow-up time of 14.1 years. Baseline data from 1995–97 were linked to the Norwegian Causes of Death Registry. The analytic sample comprised 36 911 adults aged 20–69 years. Cox regression models were first fitted for seven risk factors (poor diet, excessive alcohol consumption, current smoking, physical inactivity, excessive sitting, too much/too little sleep, and poor social participation separately and then adjusted for socio-demographic covariates. Based on these results, a lifestyle risk index was developed. Finally, we explored common combinations of the risk factors in relation to all-cause and cardio-metabolic mortality outcomes. Results All single risk factors, except for diet, were significantly associated with both mortality outcomes, and were therefore selected to form a lifestyle risk index. Risk of mortality increased as the index score increased. The hazard ratio for all-cause mortality increased from 1.37 (1.15-1.62 to 6.15 (3.56-10.63 as the number of index risk factors increased from one to six respectively. Among the most common risk factor combinations the association with mortality was particularly strong when smoking and/or social participation were included. Conclusions This study adds to previous research on multiple risk behaviours by incorporating emerging risk factors. Findings regarding social participation and prolonged sitting suggest new components of healthy lifestyles and

  9. Prioritising public health: a qualitative study of decision making to reduce health inequalities

    Directory of Open Access Journals (Sweden)

    O'Flaherty Martin

    2011-10-01

    Full Text Available Abstract Background The public health system in England is currently facing dramatic change. Renewed attention has recently been paid to the best approaches for tackling the health inequalities which remain entrenched within British society and across the globe. In order to consider the opportunities and challenges facing the new public health system in England, we explored the current experiences of those involved in decision making to reduce health inequalities, taking cardiovascular disease (CVD as a case study. Methods We conducted an in-depth qualitative study employing 40 semi-structured interviews and three focus group discussions. Participants were public health policy makers and planners in CVD in the UK, including: Primary Care Trust and Local Authority staff (in various roles; General Practice commissioners; public health academics; consultant cardiologists; national guideline managers; members of guideline development groups, civil servants; and CVD third sector staff. Results The short term target- and outcome-led culture of the NHS and the drive to achieve "more for less", combined with the need to address public demand for acute services often lead to investment in "downstream" public health intervention, rather than the "upstream" approaches that are most effective at reducing inequalities. Despite most public health decision makers wishing to redress this imbalance, they felt constrained due to difficulties in partnership working and the over-riding influence of other stakeholders in decision making processes. The proposed public health reforms in England present an opportunity for public health to move away from the medical paradigm of the NHS. However, they also reveal a reluctance of central government to contribute to shifting social norms. Conclusions It is vital that the effectiveness and cost effectiveness of all new and existing policies and services affecting public health are measured in terms of their impact on the

  10. Prioritising public health: a qualitative study of decision making to reduce health inequalities.

    Science.gov (United States)

    Orton, Lois C; Lloyd-Williams, Ffion; Taylor-Robinson, David C; Moonan, May; O'Flaherty, Martin; Capewell, Simon

    2011-10-20

    The public health system in England is currently facing dramatic change. Renewed attention has recently been paid to the best approaches for tackling the health inequalities which remain entrenched within British society and across the globe. In order to consider the opportunities and challenges facing the new public health system in England, we explored the current experiences of those involved in decision making to reduce health inequalities, taking cardiovascular disease (CVD) as a case study. We conducted an in-depth qualitative study employing 40 semi-structured interviews and three focus group discussions. Participants were public health policy makers and planners in CVD in the UK, including: Primary Care Trust and Local Authority staff (in various roles); General Practice commissioners; public health academics; consultant cardiologists; national guideline managers; members of guideline development groups, civil servants; and CVD third sector staff. The short term target- and outcome-led culture of the NHS and the drive to achieve "more for less", combined with the need to address public demand for acute services often lead to investment in "downstream" public health intervention, rather than the "upstream" approaches that are most effective at reducing inequalities. Despite most public health decision makers wishing to redress this imbalance, they felt constrained due to difficulties in partnership working and the over-riding influence of other stakeholders in decision making processes. The proposed public health reforms in England present an opportunity for public health to move away from the medical paradigm of the NHS. However, they also reveal a reluctance of central government to contribute to shifting social norms. It is vital that the effectiveness and cost effectiveness of all new and existing policies and services affecting public health are measured in terms of their impact on the social determinants of health and health inequalities. Researchers

  11. Improving work functioning and mental health of health care employees using an e-mental health approach to workers' health surveillance: pretest-posttest study.

    Science.gov (United States)

    Ketelaar, Sarah M; Nieuwenhuijsen, Karen; Bolier, Linda; Smeets, Odile; Sluiter, Judith K

    2014-12-01

    Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the intervention, we studied the pre- and posteffects of the EMH approach in a larger group of participants. We applied a pretest-posttest study design. The WHS consisted of online screening on impaired work functioning and mental health followed by online automatically generated personalized feedback, online tailored advice, and access to self-help EMH interventions. The effects on work functioning, stress, and work-related fatigue after 3 months were analyzed using paired t tests and effect sizes. One hundred and twenty-eight nurses and allied health professionals participated at pretest as well as posttest. Significant improvements were found on work functioning (p = 0.01) and work-related fatigue (p Work functioning had relevantly improved in 30% of participants. A small meaningful effect on stress was found (Cohen d = .23) in the participants who had logged onto an EMH intervention (20%, n = 26). The EMH approach to WHS improves the work functioning and mental health of nurses and allied health professionals. However, because we found small effects and participation in the offered EMH interventions was low, there is ample room for improvement.

  12. The Australian longitudinal study on male health-methods

    Directory of Open Access Journals (Sweden)

    Dianne Currier

    2016-10-01

    Full Text Available Abstract Background The Australian Longitudinal Study on Male Health (Ten to Men was established in 2011 to build the evidence base on male health to inform policy and program development. Methods Ten to Men is a national longitudinal study with a stratified multi-stage cluster random sample design and oversampling in rural and regional areas. Household recruitment was conducted from October 2013 to July 2014. Males who were aged 10 to 55 years residing in private dwellings were eligible to participate. Data were collected via self-completion paper questionnaires (participants aged 15 to 55 and by computer-assisted personal interview (boys aged 10 to 14. Household and proxy health data for boys were collected from a parent via a self-completion paper-based questionnaire. Questions covered socio-demographics, health status, mental health and wellbeing, health behaviours, social determinants, and health knowledge and service use. Results A cohort of 15,988 males aged between 10 and 55 years was recruited representing a response fraction of 35 %. Conclusion Ten to Men is a unique resource for investigating male health and wellbeing. Wave 1 data are available for approved research projects.

  13. Association between physical exercise, body mass index, and risk of fibromyalgia: longitudinal data from the Norwegian Nord-Trøndelag Health Study.

    Science.gov (United States)

    Mork, Paul J; Vasseljen, Ottar; Nilsen, Tom I L

    2010-05-01

    To examine the association between leisure time physical exercise, body mass index (BMI), and risk of fibromyalgia (FM). A longitudinal study with baseline assessment of physical exercise (frequency, duration, and intensity) and BMI was used to explore the risk of having FM at 11-year followup in a large, unselected female population (n = 15,990) without FM or physical impairments at baseline. At followup, 380 cases of incident FM were reported. A weak dose-response association was found between level of physical exercise and risk of FM (for trend, P = 0.13) where women who reported the highest exercise level had a relative risk (RR) of 0.77 (95% confidence interval [95% CI] 0.55-1.07). BMI was an independent risk factor for FM (for trend, P BMI > or =25.0 kg/m(2)) had a 60-70% higher risk compared with women with normal weight (BMI 18.5-24.9 kg/m(2)). Overweight or obese women who exercised > or =1 hour per week had an RR of 1.72 (95% CI 1.07-2.76) compared with normal-weight women with a similar activity level, whereas the risk was >2-fold higher for overweight or obese women who were either inactive (RR 2.09, 95% CI 1.36-3.21) or exercised <1 hour per week (RR 2.19, 95% CI 1.39-3.46). Being overweight or obese was associated with an increased risk of FM, especially among women who also reported low levels of physical exercise. Community-based measures aimed at reducing the incidence of FM should emphasize the importance of regular exercise and the maintenance of normal body weight.

  14. Structural issues affecting mixed methods studies in health research: a qualitative study

    Science.gov (United States)

    2009-01-01

    Background Health researchers undertake studies which combine qualitative and quantitative methods. Little attention has been paid to the structural issues affecting this mixed methods approach. We explored the facilitators and barriers to undertaking mixed methods studies in health research. Methods Face-to-face semi-structured interviews with 20 researchers experienced in mixed methods research in health in the United Kingdom. Results Structural facilitators for undertaking mixed methods studies included a perception that funding bodies promoted this approach, and the multidisciplinary constituency of some university departments. Structural barriers to exploiting the potential of these studies included a lack of education and training in mixed methods research, and a lack of templates for reporting mixed methods articles in peer-reviewed journals. The 'hierarchy of evidence' relating to effectiveness studies in health care research, with the randomised controlled trial as the gold standard, appeared to pervade the health research infrastructure. Thus integration of data and findings from qualitative and quantitative components of mixed methods studies, and dissemination of integrated outputs, tended to occur through serendipity and effort, further highlighting the presence of structural constraints. Researchers are agents who may also support current structures - journal reviewers and editors, and directors of postgraduate training courses - and thus have the ability to improve the structural support for exploiting the potential of mixed methods research. Conclusion The environment for health research in the UK appears to be conducive to mixed methods research but not to exploiting the potential of this approach. Structural change, as well as change in researcher behaviour, will be necessary if researchers are to fully exploit the potential of using mixed methods research. PMID:20003210

  15. Structural issues affecting mixed methods studies in health research: a qualitative study.

    Science.gov (United States)

    O'Cathain, Alicia; Nicholl, Jon; Murphy, Elizabeth

    2009-12-09

    Health researchers undertake studies which combine qualitative and quantitative methods. Little attention has been paid to the structural issues affecting this mixed methods approach. We explored the facilitators and barriers to undertaking mixed methods studies in health research. Face-to-face semi-structured interviews with 20 researchers experienced in mixed methods research in health in the United Kingdom. Structural facilitators for undertaking mixed methods studies included a perception that funding bodies promoted this approach, and the multidisciplinary constituency of some university departments. Structural barriers to exploiting the potential of these studies included a lack of education and training in mixed methods research, and a lack of templates for reporting mixed methods articles in peer-reviewed journals. The 'hierarchy of evidence' relating to effectiveness studies in health care research, with the randomised controlled trial as the gold standard, appeared to pervade the health research infrastructure. Thus integration of data and findings from qualitative and quantitative components of mixed methods studies, and dissemination of integrated outputs, tended to occur through serendipity and effort, further highlighting the presence of structural constraints. Researchers are agents who may also support current structures - journal reviewers and editors, and directors of postgraduate training courses - and thus have the ability to improve the structural support for exploiting the potential of mixed methods research. The environment for health research in the UK appears to be conducive to mixed methods research but not to exploiting the potential of this approach. Structural change, as well as change in researcher behaviour, will be necessary if researchers are to fully exploit the potential of using mixed methods research.

  16. World Health Organization Member States and Open Health Data: An Observational Study

    Directory of Open Access Journals (Sweden)

    Charles J Greenberg

    2016-09-01

    Full Text Available Background Open health data has implications for clinical care, research, public health, and health policy at regional, national, and global levels. No published attempts have been made to determine, collectively, whether WHO member states and governments have embraced the promise and effort required to officially share open health data. The observational study will provide evidence that World Health Organization (WHO member states individually and collectively have adopted open data recommended principles, providing access to open health data. Methods Using the WHO list of member states (n=194, the researchers identified the presence of open health data or initiatives. With each country, the following types of official government web pages were recorded: a Ministry of Health web page; a conspicuous link on a government web page to open health data; additional government health web sites; national government-sponsored open data repositories; unique attributes of national health data web sites; and adherence to the principles of open government data for health. A supplemental PDF file provides a representation of data used for analysis and observations. Our complete data is available at: https://goo.gl/Kwj7mb Observations and Discussion Open health data is easily discoverable in less than one-third of the WHO member states. 13 nations demonstrate the principle to provide comprehensive open data. Only 16 nations distribute primary, non-aggregated health data. 24 % of the WHO observed member states are providing some health data in a non-proprietary formats such as comma-separated values. The sixth, seventh, and eighth open government data principles for health, representing universal access, non-proprietary formats, and non-patent protection, are observed in about one-third of the WHO member states. While there are examples of organized national open health data, no more than a one-third minority of the world’s nations have portals set up to

  17. Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design.

    Science.gov (United States)

    Hovlid, Einar; Frich, Jan C; Walshe, Kieran; Nilsen, Roy M; Flaatten, Hans Kristian; Braut, Geir Sverre; Helgeland, Jon; Teig, Inger Lise; Harthug, Stig

    2017-09-05

    Inspections are widely used in health care as a means to improve the health services delivered to patients. Despite their widespread use, there is little evidence of their effect. The mechanisms for how inspections can promote change are poorly understood. In this study, we use a national inspection campaign of sepsis detection and initial treatment in hospitals as case to: (1) Explore how inspections affect the involved organizations. (2) Evaluate what effect external inspections have on the process of delivering care to patients, measured by change in indicators reflecting how sepsis detection and treatment is carried out. (3) Evaluate whether external inspections affect patient outcomes, measured as change in the 30-day mortality rate and length of hospital stay. The intervention that we study is inspections of sepsis detection and treatment in hospitals. The intervention will be rolled out sequentially during 12 months to 24 hospitals. Our effect measures are change on indicators related to the detection and treatment of sepsis, the 30-day mortality rate and length of hospital stay. We collect data from patient records at baseline, before the inspections, and at 8 and 14 months after the inspections. We use logistic regression models and linear regression models to compare the various effect measurements between the intervention and control periods. All the models will include time as a covariate to adjust for potential secular changes in the effect measurements during the study period. We collect qualitative data before and after the inspections, and we will conduct a thematic content analysis to explore how inspections affect the involved organisations. The study has obtained ethical approval by the Regional Ethics Committee of Norway Nord and the Norwegian Data Protection Authority. It is registered at www.clinicaltrials.gov (Identifier: NCT02747121). Results will be reported in international peer-reviewed journals. NCT02747121; Pre-results. © Article

  18. Employment status and perceived health in the Hordaland Health Study (HUSK

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    Aarø Leif

    2006-08-01

    Full Text Available Abstract Background Most western countries have disability benefit schemes ostensibly based upon requiring (1 a work inhibiting functional limitation that (2 can be attributed to a diagnosable condition, injury or disease. The present paper examines to what extent current practice matches the core premises of this model by examining how much poorer the perceived health of disability benefit recipients is, compared to the employed and the unemployed, and further to examine to what extent any poorer perceived health among benefit recipients can be attributed to mental or somatic illness and symptoms. Methods Information on disability benefit recipiency was obtained from Norwegian registry data, and merged with health information from the Hordaland Health Study (HUSK in Western Norway, 1997–99. Participants (N = 14 946 aged 40–47 were assessed for perceived physical and mental health (Short Form-12, somatic symptoms, mental health, and self reported somatic conditions and diseases treated with medication. Differences associated with employment status were tested in chi-square and t-tests, as well as multivariate and univariate regression models to adjust for potential confounders. Results Recipients of disability benefits (n = 1 351 had poorer perceived physical and mental health than employees (n = 13 156; group differences were 1.86 and 0.74 pooled standard deviations respectively. Self reported somatic diagnoses, mental health and symptoms accounted for very little of this difference in perceived health. The unemployed (n = 439 were comparable to the employed rather than the recipients of disability benefits. Conclusion Recipients of disability benefits have poor perceived health compared to both the employed and the unemployed. Surprisingly little of this difference can be ascribed to respondents' descriptions of their illnesses and symptoms. Even allowing for potential underascertainment of condition severity, this finding supports the

  19. Employment status and perceived health in the Hordaland Health Study (HUSK)

    Science.gov (United States)

    Overland, Simon; Glozier, Nicholas; Mæland, John Gunnar; Aarø, Leif Edvard; Mykletun, Arnstein

    2006-01-01

    Background Most western countries have disability benefit schemes ostensibly based upon requiring (1) a work inhibiting functional limitation that (2) can be attributed to a diagnosable condition, injury or disease. The present paper examines to what extent current practice matches the core premises of this model by examining how much poorer the perceived health of disability benefit recipients is, compared to the employed and the unemployed, and further to examine to what extent any poorer perceived health among benefit recipients can be attributed to mental or somatic illness and symptoms. Methods Information on disability benefit recipiency was obtained from Norwegian registry data, and merged with health information from the Hordaland Health Study (HUSK) in Western Norway, 1997–99. Participants (N = 14 946) aged 40–47 were assessed for perceived physical and mental health (Short Form-12), somatic symptoms, mental health, and self reported somatic conditions and diseases treated with medication. Differences associated with employment status were tested in chi-square and t-tests, as well as multivariate and univariate regression models to adjust for potential confounders. Results Recipients of disability benefits (n = 1 351) had poorer perceived physical and mental health than employees (n = 13 156); group differences were 1.86 and 0.74 pooled standard deviations respectively. Self reported somatic diagnoses, mental health and symptoms accounted for very little of this difference in perceived health. The unemployed (n = 439) were comparable to the employed rather than the recipients of disability benefits. Conclusion Recipients of disability benefits have poor perceived health compared to both the employed and the unemployed. Surprisingly little of this difference can be ascribed to respondents' descriptions of their illnesses and symptoms. Even allowing for potential underascertainment of condition severity, this finding supports the increasing focus on non

  20. Linkage of the Canadian Study of Health and Aging to provincial administrative health care databases in Nova Scotia.

    Science.gov (United States)

    Yip, A M; Kephart, G; Rockwood, K

    2001-01-01

    The Canadian Study of Health and Aging (CSHA) was a cohort study that included 528 Nova Scotian community-dwelling participants. Linkage of CSHA and provincial Medical Services Insurance (MSI) data enabled examination of health care utilization in this subsample. This article discusses methodological and ethical issues of database linkage and explores variation in the use of health services by demographic variables and health status. Utilization over 24 months following baseline was extracted from MSI's physician claims, hospital discharge abstracts, and Pharmacare claims databases. Twenty-nine subjects refused consent for access to their MSI file; health card numbers for three others could not be retrieved. A significant difference in healthcare use by age and self-rated health was revealed. Linkage of population-based data with provincial administrative health care databases has the potential to guide health care planning and resource allocation. This process must include steps to ensure protection of confidentiality. Standard practices for linkage consent and routine follow-up should be adopted. The Canadian Study of Health and Aging (CSHA) began in 1991-92 to explore dementia, frailty, and adverse health outcomes (Canadian Study of Health and Aging Working Group, 1994). The original CSHA proposal included linkage to provincial administrative health care databases by the individual CSHA study centers to enhance information on health care utilization and outcomes of study participants. In Nova Scotia, the Medical Services Insurance (MSI) administration, which drew the sampling frame for the original CSHA, did not retain the list of corresponding health card numbers. Furthermore, consent for this access was not asked of participants at the time of the first interview. The objectives of this study reported here were to examine the feasibility and ethical considerations of linking data from the CSHA to MSI utilization data, and to explore variation in health

  1. Marriage and Health in the Transition to Adulthood: Evidence for African Americans in the Add Health Study

    Science.gov (United States)

    Harris, Kathleen Mullan; Lee, Hedwig; DeLeone, Felicia Yang

    2010-01-01

    This article explores the relationships among early marriage (before age 26 years), cohabitation, and health for African Americans and Whites during the transition to adulthood using the National Longitudinal Study of Adolescent Health (Add Health). The study examines three categories of health outcomes relevant to young adulthood: physical…

  2. Study of health human resource migration in India

    Directory of Open Access Journals (Sweden)

    Panneer Sigamani

    2015-01-01

    Full Text Available Background Human Resource for Health (HRH migration is an emerging concern in the development paradigm due to the critical importance to sustainability of health system in India. Being the largest human resource supplier to the world, it is important to analyze the consequences of the migration of HRH in the delivery of healthcare services to the country’s population. The study evidences limited to examine the size, distribution of the existing human resources or trends or patterns in migration. The consequences of migration have its implications to the healthcare delivery mechanism which needed to be critically analyzed. Review Methodology The methodology adopted in the paper is descriptive design. The critical review used to evaluate the existing evidence and to develop conceptual framework. The process involved the setting of the inclusion and exclusion criteria to select the articles. It included wide range of articles from the world development reports to specific studies oriented on the HRH scenario of the country. The search strategy comprised both form of studies qualitative and quantitative. The study utilizes the official data set published as report form. Main Findings The data on the migration in context of India, not systematically updated in the existing evidences. The availability of data on migration limits to few reports i.e.(World Health Organization WHO’s Joint Learning Initiatives and studies which combines census data of Organization for Economic Cooperation and Development (OECD and results in the number of foreign born health professionals. 1. A major proportion of the research studies reviewed describes the disparity in distribution of HRH between rural-urban and public-private. Few researches focused towards the policy environment of the source and destination country for the migration. 2. There is pool of literature explaining the factors of migration but it margins when to analyze the significant implications to

  3. Ce que nous faisons | Page 119 | CRDI - Centre de recherches pour ...

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

    Gestion axée sur la demande en vue de l'adaptation à la rareté de l'eau et aux changements climatiques dans le bassin du Saïss (Maroc). Le bassin du Saïss est un sous-bassin versant du bassin du Sebou, situé dans le nord du Maroc. Maroc, Nord Du Sahara, Sud Du Sahara. PROJECT ...

  4. ÉTAT DE CHOC

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

    Au moment de préparer la voie d'une société viable, il y a une chose qui doit être ..... Dès la fin de la Deuxième Guerre mondiale, l'agriculture nord-américaine ...... Dans les faits, les représentants des pays du Nord ont ignoré les problèmes de ...

  5. Does involvement in a cohort study improve health and affect health inequalities? A natural experiment.

    Science.gov (United States)

    Quick, Annie; Böhnke, Jan R; Wright, John; Pickett, Kate E

    2017-01-25

    Evidence suggests that the process of taking part in health research can improve participants' health, independent of any intended intervention. However, no research has yet explored whether these effects differ across socioeconomic groups. If the effect of mere participation in health research also has a social gradient this could increase health inequalities and bias research results. This study used the Born in Bradford family cohort (BIB) to explore whether simply taking part in BIB had improved participants' health and, if so, whether this effect was mediated by socioeconomic status. Survey data on self-reported health behaviours were collected between 2007 and 2010 as part of BIB. These were augmented by clinical data on birth weight. Pregnant women on their second pregnancy, joining BIB for the first time formed the control group. Their health was compared to women on their second pregnancy who had both pregnancies within the study, who formed the exposed group. In order to limit the inherent bias in a non-randomised study, propensity score analysis was used, matching on age, ethnicity, education and date of questionnaire. The results were then compared according to mothers' education. Of six outcomes tested, only alcohol consumption showed a statistically significant reduction with exposure to BIB (OR: 0.35, 95% CIs 0.13, 0.92). Although effect estimates were larger for women with higher education compared to lower education, these effects were not statistically significant. Despite one significant finding, these results overall are insufficient to conclude that simply taking part in BIB affected participants' health. We recommend that socioeconomic status is considered in future studies testing effects of research participation, and that randomised studies with larger sample sizes are conducted.

  6. Educational needs of reproductive health students: A Delphi study

    OpenAIRE

    N Yamani; M Shakour; S Ehsanpour

    2013-01-01

    Introduction: The importance of reproductive health led to establish the MSc in reproductive health program in developed country. In Iran, the program has not been offered yet. The aim of this study was to assess educational needs of MSc program in reproductive health. Methods: This research used Delphi method. Fifteen experts in reproductive health from Iran participated in this study. First, we provided a list of educational needs for every task, then experts confirmed or rejected education...

  7. 42 CFR 90.7 - Decision to conduct health effects study.

    Science.gov (United States)

    2010-10-01

    ... occurred, and any possible health effects resulting from such exposure. (b) Should ATSDR decide, in its... 42 Public Health 1 2010-10-01 2010-10-01 false Decision to conduct health effects study. 90.7... ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES ADMINISTRATIVE...

  8. The Impact of an eHealth Portal on Health Care Professionals' Interaction with Patients: Qualitative Study.

    Science.gov (United States)

    Das, Anita; Faxvaag, Arild; Svanæs, Dag

    2015-11-24

    People who undergo weight loss surgery require a comprehensive treatment program to achieve successful outcomes. eHealth solutions, such as secure online portals, create new opportunities for improved health care delivery and care, but depend on the organizational delivery systems and on the health care professionals providing it. So far, these have received limited attention and the overall adoption of eHealth solutions remains low. In this study, a secure eHealth portal was implemented in a bariatric surgery clinic and offered to their patients. During the study period of 6 months, 60 patients and 5 health care professionals had access. The portal included patient information, self-management tools, and communication features for online dialog with peers and health care providers at the bariatric surgery clinic. The aim of this study was to characterize and assess the impact of an eHealth portal on health care professionals' interaction with patients in bariatric surgery. This qualitative case study involved a field study consisting of contextual interviews at the clinic involving observing and speaking with personnel in their actual work environment. Semi-structured in-depth interviews were conducted with health care professionals who interacted with patients through the portal. Analysis of the collected material was done inductively using thematic analysis. The analysis revealed two main dimensions of using an eHealth portal in bariatric surgery: the transparency it represents and the responsibility that follows by providing it. The professionals reported the eHealth portal as (1) a source of information, (2) a gateway to approach and facilitate the patients, (3) a medium for irrevocable postings, (4) a channel that exposes responsibility and competence, and (5) a tool in the clinic. By providing an eHealth portal to patients in a bariatric surgery program, health care professionals can observe patients' writings and revelations thereby capturing patient

  9. Popular Literature Discourses in Athenian Suburbia: The Northern Suburbs Les banlieues nord d’Athènes dans les discours littéraires populaires

    Directory of Open Access Journals (Sweden)

    Irene Theodoropoulou

    2010-01-01

    Full Text Available Suburbia, home to a life-style many people aspire to, could be seen as a marriage between urban and countryside life, and, as such, it should be seen as a vital arena for interdisciplinary research on the urban-rural paradigm. This paper explores the ways whereby discourses on what is stereotypically seen as posh northern Athens suburban culture (Voreia Proastia are represented in popular literature. The main argument is that Voreia Proastia suburban culture could be seen as positioned on an urban/countryside continuum. This is grounded on the simple reason that, both at the speech level and in terms of lifestyle, it encompasses features of urban and rural worlds, the former associated with the “new-poor” or “elegant poverty” people, the latter with the “new-rich”.Les zones périurbaines donnent lieu à un train de vie auquel aspirent de nombreuses personnes, étant donné qu’elles semblent marier la vie urbaine et la vie rurale. De ce fait, ces zones constituent un domaine essentiel pour la recherche interdisciplinaire sur le paradigme urbain-rural. Cet article cherche à examiner les manières selon lesquelles les discours associés aux banlieues nord d’Athènes (Voreia Proastia, considérées de manière stéréotypée comme chics, sont repris par la littérature populaire. A travers l’analyse de cette appropriation, nous tentons de comprendre leur signification sociale. L’argument principal avancé ici est que la culture suburbaine de Voreia Proastia se positionne sur un continuum entre l’urbain et le rural pour la simple raison qu’au niveau des pratiques langagières et des styles de vie, elle englobe à la fois des caractéristiques du monde urbain, associé aux « nouveaux pauvres » ou à la « pauvreté élégante », et du monde rural, associé aux « nouveaux riches ».

  10. One Health and EcoHealth in Ontario: a qualitative study exploring how holistic and integrative approaches are shaping public health practice in Ontario.

    Science.gov (United States)

    Leung, Zee; Middleton, Dean; Morrison, Karen

    2012-05-16

    There is a growing recognition that many public health issues are complex and can be best understood by examining the relationship between human health and the health of the ecosystems in which people live. Two approaches, One Health and Ecosystem Approaches to Health (EcoHealth), can help us to better understand these intricate and complex connections, and appear to hold great promise for tackling many modern public health dilemmas. Although both One Health and EcoHealth have garnered recognition from numerous health bodies in Canada and abroad, there is still a need to better understand how these approaches are shaping the practice of public health in Ontario.The purpose of this study was to characterize how public health actors in Ontario are influenced by the holistic principles which underlie One Health and EcoHealth, and to identify important lessons from their experiences. Ten semi-structured interviews were conducted with ten participants from the public health sphere in Ontario. Participants encompassed diverse perspectives including infectious disease, food systems, urban agriculture, and environmental health. Interviews were recorded, transcribed and analyzed using qualitative content analysis to identify major themes and patterns. Four major themes emerged from the interviews: the importance of connecting human health with the environment; the role of governance in promoting these ideas; the value of partnerships and collaborations in public health practice; and the challenge of operationalizing holistic approaches to public health. Overall study participants were found to be heavily influenced by concepts couched in EcoHealth and One Health literature, despite a lack of familiarity with these fields. Although One Health and EcoHealth are lesser known approaches in the public health sphere, their holistic and systems-based principles were found to influence the thoughts, values and experiences of public health actors interviewed in this study. This

  11. Per and polyfluorinated substances in the Nordic Countries

    DEFF Research Database (Denmark)

    Posner, Stefan; Roos, Sandra; Brunn Poulsen, Pia

    This Tema Nord report presents a study based on open information and custom market research to review the most common perfluorinated substances (PFC) with less focus on PFOS and PFOA. The study includes three major parts: 1) Identification of relevant per-and polyfluorinated substances and their ......This Tema Nord report presents a study based on open information and custom market research to review the most common perfluorinated substances (PFC) with less focus on PFOS and PFOA. The study includes three major parts: 1) Identification of relevant per-and polyfluorinated substances...... and their use in various industrial sectors in the Nordic market by interviews with major players and database information 2) Emissions to and occurence in the Nordic environment of the substances described in 1) 3) A summary of knowledge of the toxic effects on humans and the environment of substances...

  12. Income and health in Accra, Ghana: results from a time use and health study.

    Science.gov (United States)

    Fink, Günther; Weeks, John R; Hill, Allan G

    2012-10-01

    This paper uses newly collected household survey data from Accra, Ghana, to investigate whether incomes affect acute and chronic health outcomes in settings that can be considered representative for the large and rapidly growing urban centers of sub-Saharan Africa. The Time Use and Health Study in Accra collected information on incomes, current health status, and health care use from 5,484 persons in 1,250 households, each repeatedly sampled on a rolling basis for a period of 13 weeks. Data collection took place during September 2008-March 2010 to capture seasonal variations. The study found that incomes varied widely between households, and that a high fraction of persons lived below the poverty line. Despite this level of income poverty and an overall remarkably high burden of treatable disease, no systematic differences in self-reported and objectively measured health conditions were detected across socioeconomic groups.

  13. Social Capital and Health: A Review of Prospective Multilevel Studies

    Science.gov (United States)

    Murayama, Hiroshi; Fujiwara, Yoshinori; Kawachi, Ichiro

    2012-01-01

    Background This article presents an overview of the concept of social capital, reviews prospective multilevel analytic studies of the association between social capital and health, and discusses intervention strategies that enhance social capital. Methods We conducted a systematic search of published peer-reviewed literature on the PubMed database and categorized studies according to health outcome. Results We identified 13 articles that satisfied the inclusion criteria for the review. In general, both individual social capital and area/workplace social capital had positive effects on health outcomes, regardless of study design, setting, follow-up period, or type of health outcome. Prospective studies that used a multilevel approach were mainly conducted in Western countries. Although we identified some cross-sectional multilevel studies that were conducted in Asian countries, including Japan, no prospective studies have been conducted in Asia. Conclusions Prospective evidence from multilevel analytic studies of the effect of social capital on health is very limited at present. If epidemiologic findings on the association between social capital and health are to be put to practical use, we must gather additional evidence and explore the feasibility of interventions that build social capital as a means of promoting health. PMID:22447212

  14. Development and Testing of Xanthan Products for Eor-Applications in the North Sea Développement et essais des produits à base de xanthane pour les applications de RAH en mer du Nord

    Directory of Open Access Journals (Sweden)

    Foss P.

    2006-11-01

    Full Text Available A program for development and evaluation of xanthan for use in enhanced oil recovery projects in the North Sea has been performed. Xanthan was produced using different fermentation conditions. Rheological measurements and filterability tests have been done. Xanthan products, which readily dissolve in sea water and give high viscosity and low aggregation have been produced. The fermentation process used for this type of product was scaled up from 10 litres to 20,000 litres production volume without significant changes in polymer solution properties. Un programme de développement et d'évaluation du xanthane pour utilisation dans les projets de récupération assistée des hydrocarbures en mer du Nord a été réalisé. Le xanthane est obtenu par différents procédés de fermentation. On a effectué des mesures rhéologiques et des essais de filtrabilité. Les produits à base de xanthane se dissolvent facilement dans l'eau de mer, ils donnent une forte viscosité et une faible agrégation. Avec le procédé de fermentation utilisé pour ce type de produit, on a pu faire passer la production de 10 litres à 20000 litres sans modification notable des propriétés de la solution de polymère.

  15. Health Anxiety in Young Indonesian Adults: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Venie Viktoria Rondang Maulina

    2018-05-01

    Full Text Available In young adulthood most people begin to realize the meaning of health. The amount of costs to be incurred for the treatment of a person when they are suffering from a disease also affects a person's health concern. According to Taylor and Asmundson (2004, most people feel anxious about their health. Anxiety about health can differ from one person to another. Through this study a general overview of health anxiety for young adults in Indonesia, especially in Jakarta, can be seen. Participants in this study consisted of 263 people, aged 20-40 years (M = 27.23 , SD = 5.50. Sociodemographic variables include ages, gender, and marital status, level of education, employment status, and ethnicity. Researcher used Short Health Anxiety Inventory (SHAI; Salkovskis, Rimes, & Warwick, 2002, Patient Health Questionnaire Somatic Symptom Severity Scale (PHQ-15; Kroenke, Spitzer, & William, 2002. For data analysis, researcher used The Pearson Product Moment Correlation. The results showed significant correlation between health anxiety and somatic symptoms.

  16. Gaps in studies of global health education: an empirical literature review

    Directory of Open Access Journals (Sweden)

    Yan Liu

    2015-04-01

    Full Text Available Background: Global health has stimulated a lot of students and has attracted the interest of many faculties, thereby initiating the establishment of many academic programs on global health research and education. global health education reflects the increasing attention toward social accountability in medical education. Objective: This study aims to identify gaps in the studies on global health education. Design: A critical literature review of empirical studies was conducted using Boolean search techniques. Results: A total of 238 articles, including 16 reviews, were identified. There had been a boom in the numbers of studies on global health education since 2010. Four gaps were summarized. First, 94.6% of all studies on global health education were conducted in North American and European countries, of which 65.6% were carried out in the United States, followed by Canada (14.3% and the United Kingdom (9.2%. Only seven studies (2.9% were conducted in Asian countries, five (2.1% in Oceania, and two (0.8% in South American/Caribbean countries. A total of 154 studies (64.4% were qualitative studies and 64 studies (26.8% were quantitative studies. Second, elective courses and training or programs were the most frequently used approach for global health education. Third, there was a gap in the standardization of global health education. Finally, it was mainly targeted at medical students, residents, and doctors. It had not granted the demands for global health education of all students majoring in medicine-related studies. Conclusions: Global health education would be a potentially influential tool for achieving health equity, reducing health disparities, and also for future professional careers. It is the time to build and expand education in global health, especially among developing countries. Global health education should be integrated into primary medical education. Interdisciplinary approaches and interprofessional collaboration were

  17. Statistical health-effects study

    International Nuclear Information System (INIS)

    Gilbert, E.S.; Sever, L.E.

    1983-01-01

    A principal objective of this program is to determine if there are demonstrable effects of radiation exposure to the Hanford worker by analyzing mortality records of this population. A secondary purpose is to improve methodology for assessing health effects of chronic low-level exposure to harmful agents or substances, particularly i an occupational setting. In the past year we have updated our analyses and initiated new areas of analysis. Complete documentation was provided for our computer program for the mortality study, and a user's manual is under development. A case-control study of birth defects was started in FY 1982

  18. Army Study Shows Decline In Behavioral Health Stigma

    Science.gov (United States)

    2012-01-01

    Army Study Shows Decline in Behavioral Health Stigma By Rob McIlvaine Army News Service WASHINGTON, Jan. 20, 2012 - A newly released Army study on...conference yesterday. The three-year study outlines the problem of suicide in the Army and related issues of substance abuse, spouse abuse and child abuse...REPORT TYPE 3. DATES COVERED 00-00-2012 to 00-00-2012 4. TITLE AND SUBTITLE Army Study Shows Decline In Behavioral Health Stigma 5a. CONTRACT

  19. Investigating the psychosocial determinants of child health in Africa: the Drakenstein Child Health Study

    Science.gov (United States)

    Stein, DJ; Koen, N; Donald, KA; Adnams, CM; Koopowitz, S; Lund, C; Marais, A; Myers, B; Roos, A; Sorsdahl, K; Stern, M; Tomlinson, M; van der Westhuizen, C; Vythilingum, B; Myer, L; Barnett, W; Brittain, K; Zar, HJ

    2015-01-01

    Background Early life psychobiological and psychosocial factors play a key role in influencing child health outcomes. Longitudinal studies may help elucidate the relevant risk and resilience profiles, and the underlying mechanisms that impact on child health, but there is a paucity of birth cohort data from low and middle-income countries (LMIC). We describe the rationale for and present baseline findings from the psychosocial component of the Drakenstein Child Health Study (DCHS). Methods We review the psychosocial measures used in the DCHS, a multidisciplinary birth cohort study in a peri-urban area in South Africa, and provide initial data on psychological distress, depression, substance use, and exposure to traumatic stressors and intimate partner violence (IPV). These and other measures will be assessed longitudinally in mothers in order to investigate associations with child neurodevelopmental and health outcomes. Results Baseline psychosocial data is presented for mothers (n = 634) and fathers (n = 75) who have completed antenatal assessments to date. The sample of pregnant mothers is characterized by multiple psychosocial risk factors, including a high prevalence of psychological distress and depression, high levels of substance use, and high exposure to traumatic stressors and IPV. Discussion These data are consistent with prior South African studies which have documented a high prevalence of a multitude of risk factors during pregnancy. Further longitudinal assessment of mothers and children may clarify the underlying psychobiological and psychosocial mechanisms which impact on child health, and so inform clinical and public health interventions appropriate to the South African and other LMIC contexts. PMID:25797842

  20. A Study on Sources of Health Financing in Nigeria: Implications for Health care Marketers and Planners

    Directory of Open Access Journals (Sweden)

    Rotimi Ayodele Gbadeyan

    2016-01-01

    Full Text Available There have been increasing difficulties in providing qualitative health care services to the public in Nigeria. The development has called for the need to examine ways through which government and other stakeholders resolve these crises in the health sector. The objective of this paper is to examine the level of Government spending to total Health expenditures in Nigeria. This study basically employs secondary data for analysis. The secondary data are provided from the World Bank Development indicators and Internet. The data was analyzed using the Pearson Correlation Coefficient Statistical technique. The result revealed a strong positive Correlation (r = 0.634 between Government Health Spending and Total Health Spending. This indicates that Government Health Spending constitutes a significant proportion of the Total Health Expenditures in Nigeria; despite complains about inadequate health financing. In conclusion, the Nigerian Health sector would become more vibrant, if the Government and the Private sector are ready to give the necessary commitments required to achieve the laudable objective of qualitative health for all. The study recommends for more Government Health funding towards tackling the prevalence of some chronic diseases such as HIV, Asthma, Tuberculosis, Meningitis and Paralysis, etc.

  1. Insomnia and the risk of incident heart failure: a population study.

    Science.gov (United States)

    Laugsand, Lars E; Strand, Linn B; Platou, Carl; Vatten, Lars J; Janszky, Imre

    2014-06-01

    Insomnia is highly prevalent among heart failure patients, but only a few small studies have investigated insomnia symptoms and risk of heart failure. We aimed to assess the prospective association between self-reported insomnia symptoms and the risk of incident heart failure in a large Norwegian cohort. Baseline data on insomnia symptoms, including difficulty initiating sleep, difficulty maintaining sleep and having non-restorative sleep, socio-demographic variables, and health status, including established cardiovascular risk factors, were collected from 54 279 men and women 20-89 years of age who participated in the Nord-Trøndelag Health study (HUNT) between 1995 and 1997 and were free from known heart failure at baseline. The cohort was followed for incident heart failure from baseline through 2008. We used Cox proportional hazard models to assess the association of baseline insomnia symptoms with the risk of heart failure. A total of 1412 cases of heart failure occurred during a mean follow-up of 11.3 years (SD = 2.9 years), either identified at hospitals or by the National Cause of Death Registry. There was a dose-dependent association between the number of insomnia symptoms and risk of heart failure. The multi-adjusted hazard ratios were 0.96 (0.57-1.61), 1.35 (0.72-2.50), and 4.53 (1.99-10.31) for people with one, two, and three insomnia symptoms, compared with people with none of the symptoms (P for trend 0.021). Insomnia is associated with an increased risk of incident heart failure. If our results are confirmed by others and causation is proved, evaluation of insomnia symptoms might have consequences for cardiovascular prevention. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2013. For permissions please email: journals.permissions@oup.com.

  2. Modeling trends of health and health related indicators in Ethiopia (1995-2008: a time-series study

    Directory of Open Access Journals (Sweden)

    Nigatu Tilahun H

    2009-12-01

    Full Text Available Abstract Background The Federal Ministry of Health of Ethiopia has been publishing Health and Health related indicators of the country annually since 1987 E.C. These indicators have been of high importance in indicating the status of health in the country in those years. However, the trends/patterns of these indicators and the factors related to the trends have not yet been investigated in a systematic manner. In addition, there were minimal efforts to develop a model for predicting future values of Health and Health related indicators based on the current trend. Objectives The overall aim of this study was to analyze trends of and develop model for prediction of Health and Health related indicators. More specifically, it described the trends of Health and Health related indicators, identified determinants of mortality and morbidity indicators and developed model for predicting future values of MDG indicators. Methods This study was conducted on Health and Health related indicators of Ethiopia from the year 1987 E.C to 2000 E.C. Key indicators of Mortality and Morbidity, Health service coverage, Health systems resources, Demographic and socio-economic, and Risk factor indicators were extracted and analyzed. The trends in these indicators were established using trend analysis techniques. The determinants of the established trends were identified using ARIMA models in STATA. The trend-line equations were then used to predict future values of the indicators. Results Among the mortality indicators considered in this study, it was only Maternal Mortality Ratio that showed statistically significant decrement within the study period. The trends of Total Fertility Rate, physician per 100,000 population, skilled birth attendance and postnatal care coverage were found to have significant association with Maternal Mortality Ratio trend. There was a reversal of malaria parasite prevalence in 1999 E.C from Plasmodium Falciparum to Plasmodium Vivax. Based on

  3. Kulturlandestudie Somalia

    DEFF Research Database (Denmark)

    Stokke, Daniel; Bartels, John

    Rapporten er baseret på forskningspublikationer om Somalia og den nord- og østafrikanske region. Rapporten giver baggrundsviden om kulturelle faktorer i Somalia og sammenhænge med den nuværende konflikt.......Rapporten er baseret på forskningspublikationer om Somalia og den nord- og østafrikanske region. Rapporten giver baggrundsviden om kulturelle faktorer i Somalia og sammenhænge med den nuværende konflikt....

  4. Eesti gaasiküsimustes : õnnis nagu palderjani nuusutanud kass / Virkko Lepassalu

    Index Scriptorium Estoniae

    Lepassalu, Virkko, 1971-

    2008-01-01

    Kehtiva Euroopa Liidu nn gaasidirektiivi 55/2003 järgi soovitatakse gaasi tootmine ja levitamine viia eraldi ettevõtete kätte, praegu ettevalmistatav regulatsioon muudaks selle kohustuslikuks. Seega peaks Gazprom oma 37% -lise osaluse Eesti Gaasis maha müüma. Eesti Gaasi kui sisulise monopolisti hoidmine Gazpromi filiaalina Eestis ohustab otseselt meie julgeolekut. Vt. samas: Välisminister Urmas Paeti kiri Nord Streamile; Nord Streami kaanepoisid

  5. Application of radioisotope techniques to the study of endemic goitre on Idjwi Island; Utilisation de methodes radioisotopiques dans l' etude du goitre endemique de l'Ile Idjwi

    Energy Technology Data Exchange (ETDEWEB)

    Delange, F.; Thilly, C.; Pourbadc, P.; Ermans, A. M. [CEMUBAC auprès de l' IRSAC, Lwiro (Congo, The Democratic Republic of the); Université libre de Bruxelles, Brussels (Belgium)

    1970-01-15

    On a world-wide scale endemic goitre represents one of the major problems of public health inasmuch as at least 200 million people are affected by this disease. Endemic goitre is particularly prevalent in Africa. The authors have recently undertaken a study of endemic goitre on Idjwi Island (Lake Kivu). The inhabitants of this island comprise an isolated population group. The island is geographically divided into a north and south zone with only occasional contact between the populations of the two zones. The entire population of the island has been examined and three zones can be distinguished as far as the prevalence of goitre is concerned: in the north of the island the number of cases is very high (averaging 54.4% of the population), whereas it drops to 5.3% in a limited region in the south-west; in the south and south-east of the island it is somewhere between the two. Radioisotope techniques have been applied to the study of three basic public health aspects of the disease. (author) [French] Le goitre endémique constitue à l’échelle mondiale un des problèmes majeurs de la santé publique puisque 200 millions de sujets au moins sont atteints par la maladie. Les endémies goitreuses sont particulièrement importantes en Afrique. Les auteurs ont entrepris récemment l'étude de l’endémie goitreuse de l'îleIdjwi (lac Kivu). Cette île constitue un groupe isolé de population. Elle est séparée géographiquement en deux zones: nord et sud. Les contacts entre les populations de ces deux zones sont épisodiques. La totalité de la population de l’île a été examinée. Trois zones peuvent être distinguées en ce qui concerne la prévalence du goitre: dans le nord de l’île elle est très élevée (valeur moyenne 54,4% de la population); par contre elle tombe à 5,3% dans une région limitée du sud-ouest; dans le sud et le sud-est de l’île elle est intermédiaire entre les deux premières. Des méthodes radioisotopiques ont été appliquées à l

  6. Promoting employee health by integrating health protection, health promotion, and continuous improvement: a longitudinal quasi-experimental intervention study.

    Science.gov (United States)

    von Thiele Schwarz, Ulrica; Augustsson, Hanna; Hasson, Henna; Stenfors-Hayes, Terese

    2015-02-01

    To test the effects of integrating health protection and health promotion with a continuous improvement system (Kaizen) on proximal employee outcomes (health promotion, integration, and Kaizen) and distal outcomes (workability, productivity, self-rated health and self-rated sickness absence). Twelve units in a county hospital in Sweden were randomized to control or intervention groups using a quasiexperimental study design. All staff (approximately 500) provided self-ratings in questionnaires at baseline, and a 12- and 24-month follow-up (response rate, 79% to 87.5%). There was a significant increase in the proximal outcomes over time in the intervention group compared with the control group, and a trend toward improvement in the distal outcomes workability and productivity. Integration seems to promote staff engagement in health protection and promotion, as well as to improve their understanding of the link between work and health.

  7. occupational health problems studied among the workers of lime

    African Journals Online (AJOL)

    RAMGANES

    In present study, an extensive health survey of 573 lime kiln workers of Maihar and Jhukehi region of ... Among the observed health anomalies, ..... Health benefits of air pollution control in ... “Association of Indoor and Outdoor Particulate.

  8. Implementing an Open Source Electronic Health Record System in Kenyan Health Care Facilities: Case Study.

    Science.gov (United States)

    Muinga, Naomi; Magare, Steve; Monda, Jonathan; Kamau, Onesmus; Houston, Stuart; Fraser, Hamish; Powell, John; English, Mike; Paton, Chris

    2018-04-18

    The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country. Following these projects, a modified version of the Open Medical Record System electronic health record was specified and developed to fulfill the clinical and administrative requirements of health care facilities operated by devolved counties in Kenya and to automate the process of collating health care indicators and entering them into the District Health Information Software Version 2 system. We aimed to present a descriptive case study of the implementation of an open source electronic health record system in public health care facilities in Kenya. We conducted a landscape review of existing literature concerning eHealth policies and electronic health record development in Kenya. Following initial discussions with the Ministry of Health, the World Health Organization, and implementing partners, we conducted a series of visits to implementing sites to conduct semistructured individual interviews and group discussions with stakeholders to produce a historical case study of the implementation. This case study describes how consultants based in Kenya, working with developers in India and project stakeholders, implemented the new system into several public hospitals in a county in rural Kenya. The implementation process included upgrading the hospital information technology infrastructure, training users, and attempting to garner administrative and clinical buy-in for adoption of the system. The initial deployment was ultimately scaled back due to a

  9. An international Delphi study examining health promotion and health education in nursing practice, education and policy.

    Science.gov (United States)

    Whitehead, Dean

    2008-04-01

    To arrive at an expert consensus in relation to health promotion and health education constructs as they apply to nursing practice, education and policy. Nursing has often been maligned and criticized, both inside and outside of the profession, for its ability to understand and conduct effective health promotion and health education-related activities. In the absence of an expert-based consensus, nurses may find it difficult to progress beyond the current situation. In the absence of any previously published nursing-related consensus research, this study seeks to fill that knowledge-gap. A two-round Delphi technique via email correspondence. A first-round qualitative questionnaire used open-ended questions for defining health promotion and health education. This was both in general terms and as participants believed these concepts related to the clinical, theoretical (academic/educational) and the policy (political) setting in nursing. Line-by-line qualitative content and thematic analysis of the first-round data generated 13 specific categories. These categories contained 134 statement items. The second-round questionnaire comprised the identified 134 statements. Using a five-point Likert scale (ranging from 1 = strongly disagree to 5 = strongly agree) participants scored and rated their level of agreement/disagreement against the listed items. Data from the second-round was descriptively analysed according to distribution and central tendency measures. An expert consensus was reached on 65 of the original 134 statements. While some minor contradiction was demonstrated, strong consensus emerged around the issues of defining health promotion and health education and the emergence of a wider health promotion and health education role for nursing. No consensus was reached on only one of the 13 identified topic categories - that of 'nurses working with other disciplines and agencies in a health education and health promotion role.' This study provides a hitherto

  10. mHealth Intervention Promoting Cardiovascular Health Among African-Americans: Recruitment and Baseline Characteristics of a Pilot Study

    Science.gov (United States)

    2018-01-01

    Background Mobile health (mHealth) interventions are promising avenues to promote cardiovascular (CV) health among African-Americans (AAs) and culturally tailored technology-based interventions are emerging for this population. Objective The objectives of this study were to use a community-based participatory research (CBPR) approach to recruit AAs into a pilot intervention study of an innovative mHealth CV health promotion program and to characterize technology use patterns and eHealth literacy (EHL). Methods Community partners from five predominately AA churches in southeast Minnesota collaborated with our academic institution to recruit AA congregants into the pilot study. Field notes as well as communications between the study team and community partners were used to design the recruitment strategy and its implementation with a goal of enrolling 50 participants. At its core, the recruitment strategy included community kickoff events to detail the state-of-the-art nature of the mHealth intervention components, the utility of CV health assessments (physical examination, laboratory studies and surveys) and the participants’ role in advancing our understanding of the efficacy of mHealth interventions among racial/ethnic minority groups. Detailed recruitment data were documented throughout the study. A self-administered, electronic survey measured sociodemographics, technology use and EHL (eHEALS scale). Results A total of 50 participants (70% women) from five AA churches were recruited over a one-month period. The majority (>90%) of participants reported using some form of mobile technology with all utilizing these technologies within their homes. Greater than half (60% [30/50]) reported being “very comfortable” with mobile technologies. Overall, participants had high EHL (84.8% [39/46] with eHEALS score ≥26) with no differences by sex. Conclusions This study illustrates the feasibility and success of a CBPR approach in recruiting AAs into mHealth

  11. Intervention studies for improving global health and health care: An important arena for epidemiologists

    Directory of Open Access Journals (Sweden)

    Gunnar Kvåle

    2009-10-01

    Full Text Available Marginalised populations in many low- and middle-income countries experience an increasing burden of disease, in sub-Saharan Africa to a large extent due to faltering health systems and serious HIV epidemics. Also other poverty related diseases (PRDs are prevalent, especially respiratory and diarrhoeal diseases in children, malnutrition, maternal and perinatal health problems, tuberculosis and malaria. Daily, nearly 30,000 children under the age of 5 die, most from preventable causes, and 8,000 people die from HIV infections. In spite of the availability of powerful preventive and therapeutic tools for combating these PRDs, their implementation, especially in terms of equitable delivery, leaves much to be desired. The research community must address this tragic gap between knowledge and implementation. Epidemiologists have a very important role to play in conducting studies on diseases that account for the largest share of the global disease burden. A shift of focus of epidemiologic research towards intervention studies addressing health problems of major public health importance for disadvantaged population groups is needed. There is a need to generate an evidence-base for interventions that can be implemented on a large scale; this can result in increased funding of health promotion programs as well as enable rational prioritization and integration between different health interventions. This will require close and synergetic teamwork between epidemiologists and other professions across disciplines and sectors. In this way epidemiologists can contribute significantly to improve health and optimise health care delivery for marginalized populations.

  12. Study protocol for a longitudinal study evaluating the impact of rape on women's health and their use of health services in South Africa.

    Science.gov (United States)

    Abrahams, Naeemah; Seedat, Soraya; Lombard, Carl; Kengne, Andre P; Myers, Bronwyn; Sewnath, Alesha; Mhlongo, Shibe; Ramjee, Gita; Peer, Nasheeta; Garcia-Moreno, Claudia; Jewkes, Rachel

    2017-09-29

    South Africa is a country known for its high levels of HIV infection and sexual violence. Although the interface between gender-based violence, HIV and mental health has been described, there are substantial gaps in knowledge of the medium-term and long-term health impact. The 2010 Global Burden of Disease study excluded many health outcomes associated with rape and other forms of gender-based violence because systematic reviews revealed huge gaps in data and poor evidence of health effects. This study aims to describe the incidence and attributable burden of physical and mental health problems (including HIV acquisition) in adult women over a 2-year postrape period, through comparison with a cohort of women who have not been raped. The study will substantially advance our understanding of the impact of rape and will generate robust data to assist in the development of postrape health services and the delivery of evidence-based care. This longitudinal study seeks to recruit 1008 rape-exposed and 1008 rape non-exposed women. Women were recruited from health services, and assessments were carried out at baseline, 3, 6, 9, 12, 18 and 24 months. Outcome measures include exposure to risk factors; mental health status; cardio-metabolic risks; and biomarkers for HIV, sexually transmitted infections, pregnancy and stress. The primary analysis will be to compare HIV incidence in the two groups using log-rank tests. Appropriate models to predict health outcomes over time will also be applied. The South African Medical Research Council's Ethics Committee approved the study. As rape is a key element of the study, the safety and protection of participants guides the research process. We will adopt a research uptake strategy to ensure dissemination to policy makers, service providers and advocacy groups. Peer-reviewed journal articles will be published. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No

  13. The study of Health Literacy of adults in Karaj

    Directory of Open Access Journals (Sweden)

    Mahdi Sahrayi

    2017-03-01

    Full Text Available Background and objective: Health literacy represents the cognitive and social skills that determine the motivation and ability of individuals to acquire, access and understand the information to maintain and promote health. This study aimed to assess the health literacy of adults in Karaj. Methods: In this cross-sectional and descriptive study, 525 subjects aged 18-65 years old were selected using multistage sampling in Karaj. Relevant information was obtained using demographic questionnaire and HELIA questionnaire (18-65 years-old, respectively. Data were analyzed using SPSS and appropriate tests. Results: The mean age of participants was 33.48 ± 11.39 years old. 48.8% (n=250 the participants were male and 51.2% (n=262 were female. 24.2% (n=124 of the participants had inadequate health literacy, 23.4 % (n=120 not so inadequate health literacy, 37.9 % (n=194 adequate health literacy and 14.5 (n = 74 had higher health literacy. Health literacy was significantly associated with age, gender, marital status, education, BMI, smoking and physical activity (p<0.05. Conclusion: Due to low health literacy and the importance of adult role in society, it is necessary educational programs aimed at improving their health literacy skills , designed and implemented. Paper Type: Research Article.

  14. Adolescent's perspective on reproductive health: a study from Karachi

    International Nuclear Information System (INIS)

    Shahid, A.; Nasim, S.; Memon, A.A.; Mustafa, M.A.

    2012-01-01

    Objectives: To determine the existing knowledge, attitude and behavior about reproductive and sexual health in adolescents of Karachi and seek their opinion about reproductive health education. Study type, settings and duration: A cross sectional study was conducted on adolescents (17-19 years) of both gender studying in colleges of Karachi during 2010. Subject sand Methods: Using stratified sampling procedure, a cross sectional study was carried out. After informed consent and ensuring confidentiality an anonymous quantitative questionnaire was completed to ascertain the knowledge of adolescents on reproductive health. Results: A total of 912 adolescents (470 males and 442 females) of 12 public and private sector colleges of Karachi participated in the study. Acquaintance to reproductive health was present in 75% males and 71% females and most participants confirmed discussing reproductive health issues with friends. About 81% males and 91 % females affirmed for a need for enhanced reproductive health education and awareness while over 50% of the respondents were of the opinion that the right age for reproductive health education was 16 to 18 years. Confining sexual activity to one partner and avoiding exposure to blood and needles for the prevention of AIDS was known to 38% males and 44% females but the prevention of sexually transmitted infections using condoms, was known to only 1/3 rd of the respondents. Although 70% of the respondents of both genders knew that pregnancy can be avoided but only 20% knew about contraceptives. Conclusions: Most adolescents' knew about the reproductive cycle but were not well aware of how to avoid exposures to sexually transmitted infections and pregnancies. Policy message: Reproductive health education is insufficient in adolescents should be gender specific and socio culturally sensitive. (author)

  15. Internet Use and Preventive Health Behaviors Among Couples in Later Life: Evidence from the Health and Retirement Study.

    Science.gov (United States)

    Nam, Sangbo; Han, Sae Hwang; Gilligan, Megan

    2018-05-22

    The aim of this study was to examine the link between internet use and preventive health behaviors. We focused on couples to examine whether there were cross-partner associations between internet use and preventive health behaviors. The data for this study came from the 2010 and 2012 waves of the Health and Retirement Study and the sample consisted of 5,143 pairs of coupled-individuals. Preventive health behaviors included cancer screenings (mammogram and prostate tests), cholesterol tests, and flu shots. Logistic multilevel actor-partner interdependence models were employed to test the study hypotheses. Internet use was associated with a higher likelihood of receiving prostate exams and cholesterol tests for husbands, net of demographic and health characteristics, and insurance status. We found that wives' internet use was associated with a higher likelihood of receiving flu shots and prostate exams for husbands, but husbands' internet use was not associated with wives' preventive health behaviors. Research linking internet use and preventive health behaviors is important because such behaviors are associated not only with health of the older population but also with substantial reductions in health care expenditures. Our findings suggested that internet use of older adults is associated with their own preventive health behaviors, as well as their spouses' preventive health behaviors. Interventions and programs to facilitate older adults' preventive health behaviors should consider couple-based approaches.

  16. [The scientometric analysis of dissertation studies in the field of specialty public health and health care concerning children population].

    Science.gov (United States)

    Albitskiy, V S; Ustinova, N V; Antonova, Ye V

    2014-01-01

    The article considers trends and priority directions of research studies of the field of public health and health care of children population. The interpretative content analysis was applied to study dissertations in the field of public health and health care in 1991-2012. The sampling included 4194 units of information. The first stage of study established that problems of children population are considered in 14.8% dissertations defended on the mentioned specialty. The next stage the categories of content-analysis were examined. They were divided on the following axes: axis I "Main problem of study", axis II "Localization of study", axis III "Examined age groups", axis IV "Distribution of studies on gender of examined contingent", axis V "Examined contingent", axis VI "Additional medical specialty". It is established that in dissertations on public health and health care of children population on axis I prevails organizational subject matter (27.2%). The health condition of various contingents of children population (16.8%), preventive aspects of pediatrics (12.2%), examination of particular conditions/diseases/classes of diseases (10.8%) are fixed as priority directions. In the most dissertations the regional character of studies is presented (98.2%). The prevailing age group in studies is the adolescent group (19.9%). The inter-disciplinary relationships of dissertations on problems of public health and health care of children population are revealed with such specialties as "Pediatrics" (16.2%), "Obstetrics and gynecology" (3.8%) and "Hygiene" (3.4%). With consideration for recognition of health promotion and optimization of health care of children population as priority directions of public health policy amount of research studies in this field is to be admitted as inadequate. With purpose of optimization of scientific knowledge and development of system of medical social care to children population it is needed to promote research studies of problems of

  17. Self-Esteem, Oral Health Behaviours, and Clinical Oral Health Status in Chinese Adults: An Exploratory Study

    Science.gov (United States)

    Chin, Luzy Siu-Hei; Chan, Joanne Chung-Yan

    2013-01-01

    Objectives: This is an exploratory study to examine the relations among self-esteem, oral health behaviours and clinical oral health status in Chinese adults. In addition, gender differences in clinical oral health status and oral health behaviours were explored. Methods: Participants were 192 patients from a private dental clinic in Hong Kong…

  18. Health Information Technology Usability Evaluation Scale (Health-ITUES) for Usability Assessment of Mobile Health Technology: Validation Study.

    Science.gov (United States)

    Schnall, Rebecca; Cho, Hwayoung; Liu, Jianfang

    2018-01-05

    Mobile technology has become a ubiquitous technology and can be particularly useful in the delivery of health interventions. This technology can allow us to deliver interventions to scale, cover broad geographic areas, and deliver technologies in highly tailored ways based on the preferences or characteristics of users. The broad use of mobile technologies supports the need for usability assessments of these tools. Although there have been a number of usability assessment instruments developed, none have been validated for use with mobile technologies. The goal of this work was to validate the Health Information Technology Usability Evaluation Scale (Health-ITUES), a customizable usability assessment instrument in a sample of community-dwelling adults who were testing the use of a new mobile health (mHealth) technology. A sample of 92 community-dwelling adults living with HIV used a new mobile app for symptom self-management and completed the Health-ITUES to assess the usability of the app. They also completed the Post-Study System Usability Questionnaire (PSSUQ), a widely used and well-validated usability assessment tool. Correlations between these scales and each of the subscales were assessed. The subscales of the Health-ITUES showed high internal consistency reliability (Cronbach alpha=.85-.92). Each of the Health-ITUES subscales and the overall scale was moderately to strongly correlated with the PSSUQ scales (r=.46-.70), demonstrating the criterion validity of the Health-ITUES. The Health-ITUES has demonstrated reliability and validity for use in assessing the usability of mHealth technologies in community-dwelling adults living with a chronic illness. ©Rebecca Schnall, Hwayoung Cho, Jianfang Liu. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 05.01.2018.

  19. Automatisierung im Zuge des digitalen Wandels von Benutzungsservices: das neue Lern- und Studiengebäude (LSG und die Verbesserungen der Studien- und Lernbedingungen am Campus-Nord der Universität Göttingen

    Directory of Open Access Journals (Sweden)

    Kerstin Helmkamp

    2015-12-01

    Full Text Available Im Zuge der Digitalisierung aller Lebensbereiche im 21. Jahrhundert, die sich auch im Bibliotheksbereich niederschlägt, gewinnt die Automatisierung von Arbeitsabläufen durch Softwareeinsatz eine ganze neue Bedeutung. Die zunehmende Vernetzung sowie webbasierte und für mobile Endgeräte optimierte Services eröffnen neue Nutzungsszenarien, die über das Vorhandene weit hinausgehen, und von Politik und Wirtschaft unter der Überschrift „Wirtschaft 4.0“ längst intensiv rezipiert werden. Am Beispiel des neuen Lern- und Studiengebäudes (LSG und der Verbesserungen der Studien- und Lernbedingungen am Campus-Nord der Universität Göttingen wird gezeigt, wie sich die Benutzungsservices für Studierende in den letzten Jahren einschneidend verändert haben und zu einer deutlichen Verbesserung der Lern- und Studienbedingungen auf dem Göttinger Campus geführt haben. Eine zentrale Voraussetzung dabei war die frühzeitige Partizipation der zukünftigen Nutzer/innen sowie eine konsequent bedarfsorientierte Planung. As all areas of life become more and more digitized in the 21st century, which can also be seen in the library landscape, the automation of workflows by means of software gains a whole new meaning. Increased networking as well as services which are web-based and optimized for mobile devices open up new usage scenarios which go far beyond what is presently common. In the context of “Economy 4.0”, these developments have long received the close attention of both the political and the economic sector. Using the example of the new Learning and Study Building (LSG and the redevelopment of the North Campus of the University of Göttingen, the article shows how this general trend has been translated into specific user services for students, substantially changing these services and leading to a significant improvement in the learning and study conditions on the Göttingen campus. A key prerequisite in this process were the early

  20. Analysis of the Risk of Bankruptcy of Tomato Processing Companies Operating in the Inter-Regional Interprofessional Organization “OI Pomodoro da Industria Nord Italia”

    Directory of Open Access Journals (Sweden)

    Mattia Iotti

    2018-03-01

    Full Text Available The tomato sector is a major area of agricultural activity in Italy; tomato production and processing characterize different Italian regions; in particular, there are two production districts, one in southern Italy and one in northern Italy, in the Po Valley. In recent years, processing firms have encountered increasing difficulties, due both to an increase in raw material costs and market difficulties. Tomato processing firms are often characterized by significant investment in fixed assets and working capital, with an ensuing increase in equity or debt financing, which increases the risk of bankruptcy, as has happened to many firms in the sector in recent years. Therefore, the aim of this research was to analyze the financial sustainability of tomato processing firms by applying financial ratios. To achieve this goal, this research focused on the annual data of a sample of 17 tomato processing firms operating in the Inter-regional Interprofessional Organization, “OI Pomodoro da Industria Nord Italia”. The firms were divided into still-active (not-distressed and failed (distressed firms, with the aim of analyzing the differences between the financial data and management practices of the two groups. The data suggest that larger firms, with an adequate financial structure, have been able to withstand the tomato market crisis in recent years, whereas distressed firms are on average smaller and suffer from higher recourse to debt capital and lower profit margins than not-distressed firms. This research could be applied by entrepreneurs, managers, bankers and public operators to define good management practices that should be achieved and measured with financial ratios, even as a means of reducing the risk of distress for firms operating in the tomato sector. This research highlights that financial ratios could be usefully applied for predicting the continuity of activity and therefore the sustainability of the management cycle, including its

  1. Improving mental health among ultra-poor children: Two-year outcomes of a cluster-randomized trial in Burkina Faso.

    Science.gov (United States)

    Ismayilova, Leyla; Karimli, Leyla; Sanson, Jo; Gaveras, Eleni; Nanema, Rachel; Tô-Camier, Alexice; Chaffin, Josh

    2018-07-01

    There is limited evidence about interventions improving child mental health in francophone West Africa. Behavioral mental health interventions alone may have limited effects on children's emotional well-being in families living in abject poverty, especially in low-income countries. This study tests the effects of economic intervention, alone and in combination with a family-focused component, on the mental health of children from ultra-poor households in rural Burkina Faso. The three-arm cluster randomized trial included children in the age range of 10-15 years old (N = 360), from twelve villages in Nord region of Burkina Faso (ClinicalTrial.gov ID: NCT02415933). Villages were randomized (4 villages/120 households per arm) to the waitlist arm, the economic intervention utilizing the Graduation approach (Trickle Up/TU arm), or to the economic strengthening plus family coaching component (TU + arm). Intervention effects were tested using repeated-measures mixed-effects regressions that account for the clustered nature of the data. Children from the TU + arm showed a reduction in depressive symptoms at 12 months (medium effect size Cohen's d = -0.41, p = .001) and 24 months (d = -0.39, p = .025), compared to the control condition and the economic intervention alone (at 12 months d = -0.22, p = .020). Small effect size improvements in self-esteem were detected in the TU + group, compared to the control arm at 12 months (d = 0.21) and to the TU arm at 24 months (d = 0.21). Trauma symptoms significantly reduced in the TU + group at 12 months (Incidence Risk Ratio/IRR = 0.62, 95% CI = 0.41, 0.92, p = .042), compared to the control group. Integrating psychosocial intervention involving all family members with economic empowerment strategies may be an innovative approach for improving emotional well-being among children living in extreme poverty. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. EVA Health and Human Performance Benchmarking Study

    Science.gov (United States)

    Abercromby, A. F.; Norcross, J.; Jarvis, S. L.

    2016-01-01

    Multiple HRP Risks and Gaps require detailed characterization of human health and performance during exploration extravehicular activity (EVA) tasks; however, a rigorous and comprehensive methodology for characterizing and comparing the health and human performance implications of current and future EVA spacesuit designs does not exist. This study will identify and implement functional tasks and metrics, both objective and subjective, that are relevant to health and human performance, such as metabolic expenditure, suit fit, discomfort, suited postural stability, cognitive performance, and potentially biochemical responses for humans working inside different EVA suits doing functional tasks under the appropriate simulated reduced gravity environments. This study will provide health and human performance benchmark data for humans working in current EVA suits (EMU, Mark III, and Z2) as well as shirtsleeves using a standard set of tasks and metrics with quantified reliability. Results and methodologies developed during this test will provide benchmark data against which future EVA suits, and different suit configurations (eg, varied pressure, mass, CG) may be reliably compared in subsequent tests. Results will also inform fitness for duty standards as well as design requirements and operations concepts for future EVA suits and other exploration systems.

  3. Heterogeneity of European DRG Systems and Potentials for a Common Eurodrg System; Comment on “Cholecystectomy and Diagnosis-Related Groups (DRGs: Patient Classification and Hospital Reimbursement in 11 European Countries”

    Directory of Open Access Journals (Sweden)

    Alexander Geissler

    2015-05-01

    Full Text Available Diagnosis-Related Group (DRG systems across Europe are very heterogeneous, in particular because of different classification variables and algorithms as well as costing methodologies. But, given the challenge of increasing patient mobility within Europe, health systems are forced to incorporate a common patient classification language in order to compare and identify similar patients e.g. for reimbursement purposes. Beside the national adoption of DRGs for a wide range of purposes (measuring hospital activity vs. paying hospitals, a common DRG system can serve as an international communication basis among health administrators and can reduce the national development efforts as it is demonstrated by the NordDRG consortium.

  4. Estimate the Health Literacy in Health Centers in the Border of Yazd City: Cross sectional study

    Directory of Open Access Journals (Sweden)

    Sakineh Gerayllo

    2017-06-01

    Conclusion: Health literacy of women in general was unacceptable, and recommendations were made to establish continuous training for women to improve their views. Also consideration should be given to centers to plan the transformation of health literacy which has been launched, to increase the Health literacy of the population being studied as recipients of health services.

  5. Ce que nous faisons | Page 167 | CRDI - Centre de recherches pour ...

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

    Modèles commerciaux libres (Amérique latine). Le Centro de Tecnologia e Sociedade (CTS - centre pour la technologie et la société) fait partie de la Faculté de droit de la Fundação Getulio Vargas à Rio de Janeiro. Brésil, Amérique Du Sud, Nigéria, Nord Du Sahara, Sud Du Sahara, Amérique Nord Et Centrale. PROJECT ...

  6. Répartition et abondance des sargasses Sargassum natans et ...

    African Journals Online (AJOL)

    végétal, originaire du Nord du Brésil, est composé de deux espèces Sargassum natans et Sargassum fluitans qui sont entraînées dans les eaux marines .... trou sans fond d'Abidjan et l'aire marine du large de reproduction des thons. ..... marins impliqués dans le transport des sargasses du Nord du Brésil vers les côtes.

  7. Tangible Evidence, Trust and Power: Public Perceptions of Community Environmental Health Studies

    Science.gov (United States)

    Scammell, Madeleine Kangsen; Senier, Laura; Darrah-Okike, Jennifer; Brown, Phil; Santos, Susan

    2009-01-01

    Communities with environmental health concerns in the USA frequently request studies from their local or state departments of public health. This paper presents findings from three focus groups conducted in communities north of Boston that have been the subject of two different environmental health studies. The focus groups were designed to elicit residents’ perceptions of environmental health, and of the particular studies conducted in their communities. In all focus groups, participants had difficulty accepting the findings of health studies that contradicted their own experiences of environmental exposures and illness. Our results suggest that lay knowledge, informed in varying degrees by the experience of what we term “tangible evidence,” creates a lens through which communities interpret a health study’s findings. The differences in reliance on tangible evidence were related to participants’ sense of trust in public officials, and the institutions responsible for conducting health studies. Participants from the wealthier, predominantly white communities discussed trust in study design and methodologies used. In contrast, participants from the lower income, higher minority communities assessed health studies with reference to their trust (or lack thereof) in study sponsors and public health institutions. Participants’ experience of tangible evidence, trust or distrust in health agencies and research institutions, and a sense of relative community power, influence how they assess the findings of environmental health studies and may have implications for pubic health. PMID:18995942

  8. The Boston Puerto Rican Health Study, a longitudinal cohort study on health disparities in Puerto Rican adults: challenges and opportunities

    Directory of Open Access Journals (Sweden)

    Collado Bridgette M

    2010-03-01

    Full Text Available Abstract Background The Boston Puerto Rican Health Study is an ongoing longitudinal cohort study designed to examine the role of psychosocial stress on presence and development of allostatic load and health outcomes in Puerto Ricans, and potential modification by nutritional status, genetic variation, and social support. Methods Self-identified Puerto Ricans, aged 45-75 years and residing in the Boston, MA metro area, were recruited through door-to-door enumeration and community approaches. Participants completed a comprehensive set of questionnaires and tests. Blood, urine and salivary samples were extracted for biomarker and genetic analysis. Measurements are repeated at a two-year follow-up. Results A total of 1500 eligible participants completed baseline measurements, with nearly 80% two-year follow-up retention. The majority of the cohort is female (70%, and many have less than 8th grade education (48%, and fall below the poverty level (59%. Baseline prevalence of health conditions is high for this age range: considerable physical (26% and cognitive (7% impairment, obesity (57%, type 2 diabetes (40%, hypertension (69%, arthritis (50% and depressive symptomatology (60%. Conclusions The enrollment of minority groups presents unique challenges. This report highlights approaches to working with difficult to reach populations, and describes some of the health issues and needs of Puerto Rican older adults. These results may inform future studies and interventions aiming to improve the health of this and similar communities.

  9. Association Between a Wider Availability of Health Information and Health Care Utilization in Vietnam: Cross-Sectional Study.

    Science.gov (United States)

    Nguyen, Hoang Thuy Linh; Nakamura, Keiko; Seino, Kaoruko; Vo, Van Thang

    2017-12-18

    The rapid and widespread development of mass media sources including the Internet is occurring worldwide. Users are being confronted with a flood of health information through a wide availability of sources. Studies on how the availability of health information has triggered users' interest in utilizing health care services remain limited within the Vietnamese population. This study examined the associations between the wider availability of sources for health information and health care utilization in Vietnam after adjusting for potential confounding variables. The data for this study were drawn from a cross-sectional study conducted over a 6-month period in Hue, a city in central Vietnam. The participants were 993 randomly selected adults aged between 18 and 60 years. Information was collected through face-to-face interviews on the types of information sources that were consulted, including traditional media (television), Internet, and health education courses, as well as the impact of such information on health care use (emergency department visits, hospitalizations, doctor visits). Multivariable logistic regression analyses were performed at a 95% confidence level. The prevalence of watching television, using the Internet, and attending health education courses to obtain health information were 50.9% (505/993), 32.9% (327/993), and 8.7% (86/993), respectively. After further adjustments for self-reported health status, the presence of health insurance, and monthly income, respondents who watched television and used the Internet to obtain health information were 1.7 times more likely to visit a doctor (television: adjusted odds ratio [AOR] 1.69, 95% CI 1.30-2.19; Internet: AOR 1.64, 95% CI 1.23-2.19), and also significantly associated with inpatient hospitalization (P=.003). The use of widely available mass media sources (eg, television and the Internet) to obtain health information was associated with higher health care utilization. How this interest in health

  10. Study protocol for the Fukushima health management survey

    International Nuclear Information System (INIS)

    Yasumura, Seiji; Hosoya, Mitsuaki; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi; Akashi, Makoto; Kodama, Kazunori; Ozasa, Kotaro

    2012-01-01

    The accidents that occurred at the Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake on 11 March 2011 have resulted in long-term, ongoing anxiety among the residents of Fukushima, Japan. Soon after the disaster, Fukushima Prefecture launched the Fukushima Health Management Survey to investigate long-term low-dose radiation exposure caused by the accident. Fukushima Medical University took the lead in planning and implementing this survey. The primary purposes of this survey are to monitor the long-term health of residents, promote their future well-being, and confirm whether long-term low-dose radiation exposure has health effects. This report describes the rationale and implementation of the Fukushima Health Management Survey. This cohort study enrolled all people living in Fukushima Prefecture after the earthquake and comprises a basic survey and 4 detailed surveys. The basic survey is to estimate levels of external radiation exposure among all 2.05 million residents. It should be noted that internal radiation levels were estimated by Fukushima Prefecture using whole-body counters. The detailed surveys comprise a thyroid ultrasound examination for all Fukushima children aged 18 years or younger, a comprehensive health check for all residents from the evacuation zones, an assessment of mental health and lifestyles of all residents from the evacuation zones, and recording of all pregnancies and births among all women in the prefecture who were pregnant on 11 March. All data have been entered into a database and will be used to support the residents and analyze the health effects of radiation. The low response rate (<30%) to the basic survey complicates the estimation of health effects. There have been no cases of malignancy to date among 38 114 children who received thyroid ultrasound examinations. The importance of mental health care was revealed by the mental health and lifestyle survey and the pregnancy and birth survey. This long

  11. Cross-sectional associations of total sitting and leisure screen time with cardiometabolic risk in adults. Results from the HUNT Study, Norway.

    Science.gov (United States)

    Chau, Josephine Y; Grunseit, Anne; Midthjell, Kristian; Holmen, Jostein; Holmen, Turid L; Bauman, Adrian E; van der Ploeg, Hidde P

    2014-01-01

    To examine associations of total sitting time, TV-viewing and leisure-time computer use with cardiometabolic risk biomarkers in adults. Population based cross-sectional study. Waist circumference, BMI, total cholesterol, HDL cholesterol, blood pressure, non-fasting glucose, gamma glutamyltransferase (GGT) and triglycerides were measured in 48,882 adults aged 20 years or older from the Nord-Trøndelag Health Study 2006-2008 (HUNT3). Adjusted multiple regression models were used to test for associations between these biomarkers and self-reported total sitting time, TV-viewing and leisure-time computer use in the whole sample and by cardiometabolic disease status sub-groups. In the whole sample, reporting total sitting time ≥10 h/day was associated with poorer BMI, waist circumference, total cholesterol, HDL cholesterol, diastolic blood pressure, systolic blood pressure, non-fasting glucose, GGT and triglyceride levels compared to those reporting total sitting time Leisure-time computer use ≥1 h/day was associated with poorer BMI, total cholesterol, diastolic blood pressure, GGT and triglycerides compared with those reporting no leisure-time computing. Sub-group analyses by cardiometabolic disease status showed similar patterns in participants free of cardiometabolic disease, while similar albeit non-significant patterns were observed in those with cardiometabolic disease. Total sitting time, TV-viewing and leisure-time computer use are associated with poorer cardiometabolic risk profiles in adults. Reducing sedentary behaviour throughout the day and limiting TV-viewing and leisure-time computer use may have health benefits. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  12. Nutrition and health - the association between eating behavior and various health parameters: a matched sample study.

    Directory of Open Access Journals (Sweden)

    Nathalie T Burkert

    Full Text Available Population-based studies have consistently shown that our diet has an influence on health. Therefore, the aim of our study was to analyze differences between different dietary habit groups in terms of health-related variables. The sample used for this cross-sectional study was taken from the Austrian Health Interview Survey AT-HIS 2006/07. In a first step, subjects were matched according to their age, sex, and socioeconomic status (SES. After matching, the total number of subjects included in the analysis was 1320 (N = 330 for each form of diet - vegetarian, carnivorous diet rich in fruits and vegetables, carnivorous diet less rich in meat, and carnivorous diet rich in meat. Analyses of variance were conducted controlling for lifestyle factors in the following domains: health (self-assessed health, impairment, number of chronic conditions, vascular risk, health care (medical treatment, vaccinations, preventive check-ups, and quality of life. In addition, differences concerning the presence of 18 chronic conditions were analyzed by means of Chi-square tests. Overall, 76.4% of all subjects were female. 40.0% of the individuals were younger than 30 years, 35.4% between 30 and 49 years, and 24.0% older than 50 years. 30.3% of the subjects had a low SES, 48.8% a middle one, and 20.9% had a high SES. Our results revealed that a vegetarian diet is related to a lower BMI and less frequent alcohol consumption. Moreover, our results showed that a vegetarian diet is associated with poorer health (higher incidences of cancer, allergies, and mental health disorders, a higher need for health care, and poorer quality of life. Therefore, public health programs are needed in order to reduce the health risk due to nutritional factors.

  13. Measuring and understanding motivation among community health workers in rural health facilities in India-a mixed method study

    OpenAIRE

    Tripathy, Jaya Prasad; Goel, Sonu; Kumar, Ajay M. V.

    2016-01-01

    Background Motivated human resource is the key to improve health system performance and retention of health workers. There is scanty literature on measuring motivation of health workers in India. Thus, the objective of this study was to measure and identify important aspects of health workers? motivation in North India. Methods A mixed method study design was adopted. Under the quantitative component, we interviewed randomly selected 62 community health workers (CHWs) in 18 sub-centres in two...

  14. A delphi study on health in future India.

    Science.gov (United States)

    Rohatgi, K; Rohatgi, P K

    1980-07-01

    A delphi study was conducted to identify or envision health scenarios in India by the year 2000. Questionnaires consisting of 48 questions on 5 areas (diagnosis and therapy; family planning; pharmaceuticals and drugs; biochemical and biomedical research; health services) were mailed to 250 experts in India. 36 responded. Results were compiled and mailed back to the respondents for changes and comments. 17 people responded. Results of the delphi study shows that policy decisions with respect to compulsory family planning as well as health education at secondary school level will precede further breakthroughs in birth control technology. Non operation reversible sterilization procedures, immunological birth control, Ayurvedic medicines for contraception and abortion, and selection of baby's sex are all possible by 2000 thereafter. Complete eradication of infectious diseases, malnutrition and associated diseases is considered unlikely before 2000, as are advances in biomedical research. Changes in health services (e.g., significant increases in hospital beds and doctors, cheap bulk drugs), particularly in rural areas, are imminent, leading to prolonging of life expectancy to 70 years. Genetic engineering may provide significant breakthroughs in the prevention of malignancies and cardiac disorders. The India delphi study is patterned after a similar delphi study conducted in the U.S. by Smith, Kline and French (SKF) Laboratories in 1968. The SKF study was able to predict some breakthroughs with basic research which have been realized.

  15. A study of the relationship between health awareness, lifestyle ...

    African Journals Online (AJOL)

    Background: The objectives of the study were to determine whether consumers who read food labels, were also more aware of health and lifestyle issues, in terms of nutrition and other health-related lifestyle behaviours, and whether there was a relationship between food-label reading, health awareness and lifestyle ...

  16. Associations between parental chronic pain and self-esteem, social competence, and family cohesion in adolescent girls and boys--family linkage data from the HUNT study.

    Science.gov (United States)

    Kaasbøll, Jannike; Ranøyen, Ingunn; Nilsen, Wendy; Lydersen, Stian; Indredavik, Marit S

    2015-08-22

    Parental chronic pain has been associated with adverse outcomes in offspring. However, knowledge on individual and family resilience factors in adolescent offspring of chronic pain sufferers is scarce. This study thus aimed to investigate the associations between parental chronic pain and self-esteem, social competence, and family cohesion levels reported by adolescent girls and boys. Based on cross-sectional surveys from the Nord Trøndelag Health Study (the HUNT 3 study), the study used independent self-reports from adolescents aged 13 to 18 years (n = 3227) and their parents and conducted separate linear regression analyses for girls and boys. Concurrent maternal and paternal chronic pain was associated with reduced self-esteem, social competence, and family cohesion in girls. Moreover, maternal chronic pain was associated with higher social competence in boys and reduced self-esteem in girls. The majority of the observed associations were significantly different between girls and boys. Paternal chronic pain was not found to be associated with child outcomes. The findings indicate that the presence of both maternal and paternal chronic pain could be a potential risk factor for lower levels of individual and family resilience factors reported by girls. Further research on the relationship between parental pain and sex-specific offspring characteristics, including positive resilience factors, is warranted. The study demonstrates the importance of targeting the entire family in chronic pain care.

  17. From the school health education study to the national health education standards: concepts endure.

    Science.gov (United States)

    Nobiling, Brandye D; Lyde, Adrian R

    2015-05-01

    The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), Health Education: A Conceptual Approach to Curriculum Design, fosters a student's understanding of information that develops with experience. Data were collected through content analysis of the SHES CF and the National Health Education Standards: Achieving Excellence (NHES), 2nd edition. Similarity of essential framework elements was established. Inter-rater reliability was established. Alignment of the SHES components with the NHES reveals parallel conceptual structures around which to develop curriculum. The conceptual approach to curriculum planning has enduring value. It provides a foundation for teaching and learning that is adaptable, flexible, and can maintain permanence in conjunction with emerging scientific evidence and cultural and political influences on health behavior. © 2015, American School Health Association.

  18. VIOLENCE AGAINST HEALTH CARE WORKERS: A RETROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Hacer ATAMAN

    2016-01-01

    Full Text Available As violence in society is increasing in recent years it is an important problem in health institutions as well. Changes in health systems, rising socio-economic levels of people, and changes in expectations for health services led to violence in health sector. This study was conducted for the purpose of examining work place violence against health care workers. This retrospective-descriptive study covers a period from December 2011 to April 2015. 136 notifications about work place violence reported by health workers to quality management unit of a hospital were taken into account. Research findings show that 43,4% of the victims of violence was physicians, 37,5% was nurses and health officers and 19,1% were from other professions. 63,2% of the health workers were women, 36,8% were male. Additionally health workers were exposed to violence by 47.3% of the patients and 52.7% by their relatives. 69.7% of the people applied violence were male and 30.3% were female. 63,2% of the health workers exposed to violence were women, 36,8% were male. According to our results male physicians were exposed to workplace violence more than other workers and this was significant ( χ 2=31,634, p<0,01. When place of violence occurred was investigated it was seen that while most of physicians were exposed to violence in polyclinics, nurses were exposed to violence in inpatient services (χ2=18,231, p<0,01. Male physicians were exposed to verbal violence most. On the other hand nurses experienced both verbal and physical violence (χ2=34,639,p<0.01. Patient relatives applied verbal violence and the others applied physical violence (χ2=22,073, p<0,01. As a result, in order to reduce / prevent violence in work place , it is considered necessary to increase consciousness of patients and their relatives, to increase security measures in health institutions, to provide health workers to report work place violence to management , to improve physical working conditions and

  19. Association of health literacy with health information-seeking preference in older people: A correlational, descriptive study.

    Science.gov (United States)

    Kim, Su Hyun; Utz, Sonja

    2018-02-28

    Low health literacy has been recognized as a potential barrier to obtaining knowledge and maintaining self-care in older people. However, little is known about information-seeking preference in relation to health literacy among older people. The aim of the present study was to understand the influence of health literacy on the information-seeking preference of older people. A total of 129 community-residing Korean older people completed a survey in 2016. The findings revealed that health literacy was a significant predictor of information-seeking preference in older people after controlling for demographic and illness variables. Our study highlights the important need to incorporate strategies to increase the desire for information seeking in older people, in addition to adopting communication strategies that address low health literacy. © 2018 John Wiley & Sons Australia, Ltd.

  20. Health promoting Behaviors Among Adolescents: A Cross-sectional Study.

    Science.gov (United States)

    Musavian, Azra Sadat; Pasha, Afsaneh; Rahebi, Seyyedeh-Marzeyeh; Atrkar Roushan, Zahra; Ghanbari, Atefeh

    2014-04-01

    Health maintenance and promotion are the fundamental prerequisites to community development. The best time for establishing healthy lifestyle habits is during adolescence. Due to importance of health promotion behaviors in adolescents, this study was conducted to investigate health-promoting behaviors and its associated factors among high school students in Rasht, Iran. A cross-sectional descriptive study was conducted on 424 students during the first semester of the year 2012. We employed the multistage sampling design to recruit from private and public high schools in Rasht, Iran. The data collection instrument was a self-report questionnaire consisting of two parts. The first part of instrument was consisted of demographic questionnaire and the second part was adolescent health promotion scale (AHPS) questionnaire. AHPS questionnaire was consisted of six dimensions (nutrition, social support, health responsibility, life appreciation, physical activity, and stress management) to measure health promoting lifestyles. Statistical analysis was performed by SPSS 16 software employing ANOVA (analysis of variance) test, t-test, Mann-Whitney, and the Kruskal-Wallis. The score of total Adolescent Health Promotion Scale were 3.58 ± 0.52 (possible range was 1-5). The highest score was in life appreciation dimension (3.99 ± 0.068) and the lowest score was in health responsibility dimension. Moreover, Significant associations were found between the adolescent health promotion Scale with age (P school grade (P health instructors, schoolteachers, and families must pay more attention to these students. Moreover, as most of lifelong healthy and unhealthy lifestyle habits are established during adolescence, developing effective health promotion and disease prevention strategies for adolescents seems crucial.

  1. Data resource profile: the World Health Organization Study on global AGEing and adult health (SAGE).

    Science.gov (United States)

    Kowal, Paul; Chatterji, Somnath; Naidoo, Nirmala; Biritwum, Richard; Fan, Wu; Lopez Ridaura, Ruy; Maximova, Tamara; Arokiasamy, Perianayagam; Phaswana-Mafuya, Nancy; Williams, Sharon; Snodgrass, J Josh; Minicuci, Nadia; D'Este, Catherine; Peltzer, Karl; Boerma, J Ties

    2012-12-01

    Population ageing is rapidly becoming a global issue and will have a major impact on health policies and programmes. The World Health Organization's Study on global AGEing and adult health (SAGE) aims to address the gap in reliable data and scientific knowledge on ageing and health in low- and middle-income countries. SAGE is a longitudinal study with nationally representative samples of persons aged 50+ years in China, Ghana, India, Mexico, Russia and South Africa, with a smaller sample of adults aged 18-49 years in each country for comparisons. Instruments are compatible with other large high-income country longitudinal ageing studies. Wave 1 was conducted during 2007-2010 and included a total of 34 124 respondents aged 50+ and 8340 aged 18-49. In four countries, a subsample consisting of 8160 respondents participated in Wave 1 and the 2002/04 World Health Survey (referred to as SAGE Wave 0). Wave 2 data collection will start in 2012/13, following up all Wave 1 respondents. Wave 3 is planned for 2014/15. SAGE is committed to the public release of study instruments, protocols and meta- and micro-data: access is provided upon completion of a Users Agreement available through WHO's SAGE website (www.who.int/healthinfo/systems/sage) and WHO's archive using the National Data Archive application (http://apps.who.int/healthinfo/systems/surveydata).

  2. The Impact of Online Social Networks on Health and Health Systems: A Scoping Review and Case Studies.

    Science.gov (United States)

    Griffiths, Frances; Dobermann, Tim; Cave, Jonathan A K; Thorogood, Margaret; Johnson, Samantha; Salamatian, Kavé; Gomez Olive, Francis X; Goudge, Jane

    2015-12-01

    Interaction through online social networks potentially results in the contestation of prevailing ideas about health and health care, and to mass protest where health is put at risk or health care provision is wanting. Through a review of the academic literature and case studies of four social networking health sites (PatientsLikeMe, Mumsnet, Treatment Action Campaign, and My Pro Ana), we establish the extent to which this phenomenon is documented, seek evidence of the prevalence and character of health-related networks, and explore their structure, function, participants, and impact, seeking to understand how they came into being and how they sustain themselves. Results indicate mass protest is not arising from these established health-related networking platforms. There is evidence of changes in policy following campaigning activity prompted by experiences shared through social networking such as improved National Health Service care for miscarriage (a Mumsnet campaign). Platform owners and managers have considerable power to shape these campaigns. Social networking is also influencing health policy indirectly through increasing awareness and so demand for health care. Transient social networking about health on platforms such as Twitter were not included as case studies but may be where the most radical or destabilizing influence on health care policy might arise.

  3. Do governance choices matter in health care networks?: an exploratory configuration study of health care networks

    Science.gov (United States)

    2013-01-01

    Background Health care networks are widely used and accepted as an organizational form that enables integrated care as well as dealing with complex matters in health care. However, research on the governance of health care networks lags behind. The research aim of our study is to explore the type and importance of governance structure and governance mechanisms for network effectiveness. Methods The study has a multiple case study design and covers 22 health care networks. Using a configuration view, combinations of network governance and other network characteristics were studied on the level of the network. Based on interview and questionnaire data, network characteristics were identified and patterns in the data looked for. Results Neither a dominant (or optimal) governance structure or mechanism nor a perfect fit among governance and other characteristics were revealed, but a number of characteristics that need further study might be related to effective networks such as the role of governmental agencies, legitimacy, and relational, hierarchical, and contractual governance mechanisms as complementary factors. Conclusions Although the results emphasize the situational character of network governance and effectiveness, they give practitioners in the health care sector indications of which factors might be more or less crucial for network effectiveness. PMID:23800334

  4. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association

    Science.gov (United States)

    Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-01-01

    Background The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students’ maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. Objective The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Methods Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. Results eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on

  5. Radiation and health effects. A report on the TMI-2 accident and related health studies

    International Nuclear Information System (INIS)

    1986-08-01

    On March 28, 1979, the Unit 2 reactor at the Three Mile Island (TMI) Nuclear Station was severely damaged by an accident. Radioactivity was discharged to the environment resulting in a small amount of radiation exposure to the public. Continuing concerns by some members of the communities around TMI about the potential radiation-induced health effects prompted GPU Nuclear Corporation to examine the information gathered from the accident investigation in the context of our current knowledge of radiation and its effects on human health. Although this report deals with technical matters, the information is presented in a manner that can be understood by those who do not have scientific backgrounds. This report is divided into three major sections. The first section provides an overview of the past 80 years of relevant research on the subject of radiation and its effects on human health. During that time, scientists and physicians throughout the world have studied hundreds of thousands of individuals exposed to radiation from medical and occupational sources and from nuclear weapons explosions. Epidemiologic studies of humans, such as the Japanese survivors of the atomic bomb, have established that following exposure to large doses of radiation, certain health effects, including cancer, can be observed. Radiation-induced health effects from low doses of radiation, such as those associated with the TMI-2 accident, appear infrequently, if at all, and are identical and, therefore, indistinguishable from similar health effects which occur normally. For example, cancers induced by radiation are indistinguishable from those occurring spontaneously or normally. It is not possible, therefore, for scientists to determine directly whether radiation-induced health effects at low doses occur at all; such observations can only be inferred by statistical methods. The second section of this report provides a brief description of the TMI-2 accident. Most of the radioactivity from the

  6. The Nordic financial electricity market

    Energy Technology Data Exchange (ETDEWEB)

    2010-11-15

    NordREG is a cooperation of the Nordic energy regulators. The mission is to actively promote legal and institutional framework and conditions necessary for developing the Nordic and European electricity markets. The financial market is an important market for market participants to mitigate their risks. By providing tools for risk management, the financial market contributes to the efficient functioning of both wholesale and end-user markets. NordREG decided during 2009 to undertake a study on the Nordic financial electricity market. The aim of the report is to consider whether any improvements can be made to further increase the efficiency of the Nordic financial electricity market in order to secure an optimal price setting in the wholesale and the end-user markets

  7. The opinions of Turkish mental health nurses on physical health care for individuals with mental illness: A qualitative study.

    Science.gov (United States)

    Çelik Ince, S; Partlak Günüşen, N; Serçe, Ö

    2018-05-01

    Individuals with mental illness have significantly higher mortality and morbidity than the general population due to physical illnesses. Mental health nurses play a key role in providing care for common physical problems and protecting and promoting healthy lifestyles. Little is known from previous studies in the international literature about the attitudes, behaviours and thoughts of mental health nurses on providing physical health care. Mental health nurses mostly focus on the existing physical health problems of individuals with mental illness. However, mental health nurses do not include practices of disease prevention and physical health promotion for individuals with mental illness. The desire to see positive changes in individuals with mental illness, receiving positive feedback, feeling useful and happy, and feeling satisfied with their profession motivate mental health nurses in terms of providing physical health care. The knowledge and skill required of mental health nurses to provide physical health care need to be increased. Institutions should employ expert nurses who are able to guide mental health nurses to provide physical health care. It is important to provide adequate physical infrastructure and human resources to provide better physical health care in mental health services. Background Mental health nurses play an important role in improving the physical health of individuals with mental illnesses. However, there are limited studies of their attitudes and practices about physical health. Therefore, there is a need for qualitative studies to clarify the issue. The aim of this study was to determine mental health nurses' opinions about physical health care for individuals with mental illness. This study was carried out in Turkey. A qualitative descriptive approach was taken in the study. The sample consisted of twelve mental health nurses selected by purposeful sampling. In-depth interviews were conducted using a semi-structured interview format

  8. Inuit Health in Transition: the Nuka study

    DEFF Research Database (Denmark)

    Bjerregaard, Peter

    biological samples. The studies in Nunavik and Greenland are not identical but share protocols on diabetes, heart disease, diet, smoking, social capital, self rated health, gambling and many other topics. The study is being geographically expanded to cover also Nunavut, Labrador and East Greenland......, and comparable studies have yielded data from Alaska Natives and Norwegian Sami. A number of researchers will present results from the study at this meeting and we shall hear a lot about the link between diet and health. I will take one step back and look at the social determinants of dietary patterns...... in Greenland in a life course perspective. First different ways to determine dietary patterns will be examined; then the association of parents' background, childhood conditions, education, place of residence, job and wealth with diet will be analysed. Finally, the association of diet with other determinants...

  9. R-2000 home health study : Homeowner health in R-2000 and new conventional homes

    International Nuclear Information System (INIS)

    Parekh, A.

    2002-01-01

    A field study was conducted by Health Canada and Natural Resources Canada (NRCan) to evaluate self-reported health symptoms by residents of R-2000 and conventional homes in Nova Scotia and New Brunswick. It involved 52 energy efficient R-2000 and 50 conventionally built houses. Health Canada collected and analyzed data concerning changes in occupant health after moving into R-2000 houses and similar conventional houses. Definite trends in improvements of respiratory symptoms of occupants in R-2000 houses were revealed, compared to the results obtained for occupants of conventional houses. New occupants of R-2000 houses reported significant improvement in indoor air quality in 94 per cent of cases, while only 77 per cent of conventional homeowners reported similar results. Fifty six per cent of the occupants of R-2000 homes reported a general improvement in their health, compared to 32 per cent in conventional houses. The testing of houses in other regions is being planned by Health Canada. tabs

  10. The Cost of Health Services Delivery in Health Houses of Alborz: A Case Study

    Directory of Open Access Journals (Sweden)

    Javad Ghoddousinejad

    2015-07-01

    Full Text Available Background and Objectives : Health houses play an active role to improve health status of rural population.Furthermore, it is important to know the costs of provided services. This research was designed to determine the costs of healthcare delivery in health houses of ALBORZ district. Material and Methods : In this cross-sectional descriptive study, Activity Based Costing (ABC was used to analyze the costs of services. Results : The average Direct Costs (DC of healthcare delivery in health houses was estimated 37033365 Rials. Direct and Indirect Costs (IC of service delivery in health houses were 65.91% and 34.09% of Total Costs (TC respectively. Conclusion : Since human resources play the most important role in determining the costs of health services delivery in healthcare, reforming payment mechanisms would be a suitable solution to reduce extra costs. Moreover, in order to decrease extra costs, it is essential to modify activities and eliminate parallel tasks.

  11. Place à l'adaptAction | CRDI - Centre de recherches pour le ...

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

    22 févr. 2011 ... Place à l'adaptAction — Protéger les collectivités côtières du nord du Maroc par Mary O'Neill Les régions rurales de la côte du nord-est du Maroc sont de plus en plus vulnérables aux effets des changements climatiques. Une équipe de recherche internationale réalise une étude participative dans deux ...

  12. Les changements climatiques menacent l'écosystème des ...

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

    8 août 2014 ... Des chercheurs aident les collectivités de pêcheurs du littoral du nord-ouest du Pérou à préserver un trésor de l'écosystème et à s'adapter à un milieu plus hostile. Les mangroves de Tumbes, au nord-ouest du Pérou, servent d'habitat à plus de 150 espèces animales, dont le notoire singe hurleur.

  13. Intensification du recours à l'irrigation intermittente en riziculture afin ...

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

    Un nouveau projet de recherche vise à contribuer à la lutte contre le paludisme dans un bassin versant du nord du Pérou. Sur la côte du nord du Pérou, qui est fort aride, le paludisme est répandu en raison de l'irrigation abondante que nécessitent les rizières. La riziculture pratiquée dans cette région représente 60 % de la ...

  14. Market design : Common Nordic end-user market

    Energy Technology Data Exchange (ETDEWEB)

    2009-07-01

    No later than 2015, suppliers in the Nordic countries should be able to offer electricity to consumers in any Nordic country on equal terms. In this report NordREG has analyzed the present situation in the Nordic countries and identified the issues that should be harmonised in order to establish a common Nordic end-user market. In this report NordREG also suggests an indicative road map for the implementation process. (Author)

  15. Projet pilote sur la stimulation du commerce des services au Moyen ...

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

    Projet pilote sur la stimulation du commerce des services au Moyen-Orient et en Afrique du Nord. Si certaines régions en développement ont réussi à s'intégrer aux chaînes de production mondiales, la région du Moyen-Orient et de l'Afrique du Nord ne participe encore à l'économie mondiale que par des activités simples et ...

  16. Register-based studies on migration, ethnicity, and health

    DEFF Research Database (Denmark)

    Norredam, Marie; Kastrup, Marianne; Helweg-Larsen, Karin

    2011-01-01

    INTRODUCTION: Researchers in Denmark have unique possibilities of register-based research in relation to migration, ethnicity, and health. This review article outlines how these opportunities have been used, so far, by presenting a series of examples. RESEARCH TOPICS: We selected six registers...... it discriminatory. Although, we do not register ethnicity in relation to use of health care in Denmark, our possibilities of linkage between population registers and registers on diseases and healthcare utilisation appear to render the same potentials....... to highlight the process of how migrant study populations have been established and studied in relation to different registers: The Danish Cancer Registry, the Danish Central Psychiatric Research Register, the Danish National Patient Register, the Danish National Health Service Register, the Danish Injury...

  17. [Study of self-reported health of people living near point sources of environmental pollution: a review. First part: health indicators].

    Science.gov (United States)

    Daniau, C; Dor, F; Eilstein, D; Lefranc, A; Empereur-Bissonnet, P; Dab, W

    2013-08-01

    Epidemiological studies have investigated the health impacts of local sources of environmental pollution using as an outcome variable self-reported health, reflecting the overall perception interviewed people have of their own health. This work aims at analyzing the advantages and the results of this approach. A first step focused on describing the indicators. The literature on indicators of self-reported health was reviewed, leading to a discussion on data collection, selection of health effects, data processing, and construction of indicators. The literature review concerned 51 articles. The use of self-reported health indicators allowed the studies to take into account the health concerns and complaints of populations exposed to environmental pollution. Various indicators of self-reported health were used in the studies. They measured physical, psychological and general dimensions of health. Standardized questionnaires were used less often than ad hoc questionnaires (78% of studies) developed to fit the needs of a given study. Three standardized questionnaires were used more frequently: the MOS Short-Form Health Survey (SF-36) to measure general health perceptions, the General Health Questionnaire (GHQ), and the Symptoms Checklist (SCL-90) to measure psychological distress. The choice of self-reported health indicators is a compromise between specificity of the studied health issues within a given environment and standardization of the questionnaires used to measure them. Such standardization is necessary to ensure the validity and the reliability of the information collected across time and situations. The psychometric properties of the measuring questionnaires are rarely estimated or verified when they are used. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  18. Evaluations of health promoting schools: a review of nine studies.

    Science.gov (United States)

    Mũkoma, Wanjirũ; Flisher, Alan J

    2004-09-01

    The concept of 'health promoting schools' has been embraced internationally as an effective way of promoting the health of children, adolescents, and the wider school community. It is only recently that attempts have been made to evaluate health promoting schools. This paper reviews evaluations of health promoting schools and draws useful evaluation methodology lessons. The review is confined to school-based interventions that are founded explicitly on the concept of the health promoting school and employ the concept beyond one school domain. We included nine evaluations in this review. Seven of these were published in the peer reviewed scientific literature. Two were unpublished reports. One study was a randomized controlled trial, while a quasi-experimental research design with comparison schools was used in three studies. With three exceptions, combinations of quantitative and qualitative data were collected. There was evidence that the health promoting school has some influence on various domains of health for the school community. It is also possible to integrate health promotion into the school curriculum and policies successfully. However, the evaluation of health promoting schools is complex. We discuss some of the methodological challenges of evaluating health promoting schools and make suggestions for improving future evaluations.

  19. The Effect of a Community Health Worker Utilized Mobile Health Application on Maternal Health Knowledge and Behavior: A Quasi-Experimental Study

    Directory of Open Access Journals (Sweden)

    Onaedo Ilozumba

    2018-05-01

    Full Text Available BackgroundMobile technology (mHealth is increasingly being used to achieve improved access and quality of maternal care, particularly in rural areas of low- and middle-income countries. In 2011, a mobile application—Mobile for Mothers (MfM—was implemented in Jharkhand, India to support home visits by community health workers. The objective of this study is to assess the impact of the mHealth intervention on maternal health.MethodsHouseholds from three subdistricts in the Deoghar district of Jharkhand were selected using a multistage cluster sampling approach. Households from the Sarwan subdistrict received the MfM intervention, those from Devipur subdistrict received other interventions asides MfM from the implementing non-governmental organization (NGO, while households from Mohanpur subdistrict received the current standard of care. Women (n = 2,200 between the ages of 18 and 45 who had delivered a baby in the past 1 year were enrolled into the study. The primary outcomes of interest were maternal health knowledge, antenatal care (ANC attendance, and delivery in a health facility.ResultsPost-intervention, women in the MfM group had higher maternal health knowledge, were more likely to attend four or more ANC visits, and deliver at the health facility when compared with the NGO and standard care group. After controlling for predictors, women in the intervention group significantly performed better than both the NGO and standard care groups on all three-outcome variables (all P > 0.05.ConclusionThe results indicate that although the MfM mHealth intervention could influence adherence and practice of recommended maternal health behaviors, it could not overcome key sociocultural determinants of maternal health such as caste and educational status, which are specific to the Indian context. mHealth holds continued promise for maternal health but implementers and policy makers must additionally address health system and sociocultural

  20. Turning health research into health promotion: a study of causality and 'critical insights' in a United Kingdom health campaign.

    Science.gov (United States)

    Piggin, Joe

    2012-10-01

    This article examines how important decisions about health can alter between public health policy formulation and eventual marketing implementation. Specifically, the article traces the development and production of a major United Kingdom social marketing campaign named Change4Life, and examines how ideas about the causes of and solutions to the obesity epidemic are produced in differing ways throughout the health promotion process. This study examines a variety of United Kingdom health research, policy, marketing strategy and marketing messages between 2008 and 2011. This research demonstrates that claims about causality oscillate and alter throughout the research, policy and Change4Life marketing process. These oscillations are problematic, since the Department of Health described the original consumer research as 'critical'. Given both the importance of the health issues being addressed and the amount of funding dedicated to Change4Life, that 'critical' research was directly contradicted in the campaign requires urgent review. To conclude, the article discusses the utility of social marketing when considering causal claims in health promotion. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  1. Inequalities in mental health in the working population of Spain: a National Health Survey-based study.

    Science.gov (United States)

    Arias-de la Torre, Jorge; Artazcoz, Lucía; Molina, Antonio José; Fernández-Villa, Tania; Martín, Vicente

    2016-01-01

    In the working population, poor mental health is a significant problem whose prevalence rates and associated factors could differ by gender, especially in a period of socioeconomic changes. The aims of this study were: a) to determine the prevalence of poor mental health in the working population of Spain in 2011; b) to identify the association of this prevalence with socioeconomic and work-related variables for men and women separately; c) to determine if the patterns differ by gender. A cross-sectional study was conducted with data from the National Health Survey of Spain (2011). Of the 21,007 participants in the survey, we selected 7396 whose employment status was described as "working" The General Health Questionnaire (GHQ-12) was used as a screening tool to detect poor mental health. Prevalences were calculated and bivariate and multivariate logistic regression models were fitted to verify the association between variables. The prevalence of poor mental health was higher among women (19.9%) than men (13.9%), the overall prevalence being 16.8%. The variables associated with a higher prevalence were type of contract and work-related variables in men, and age and socioeconomic variables in women. This study shows that, in the working population of Spain, the prevalence of poor mental health and its related factors differ by gender. Poor mental health is mainly related to socioeconomic variables in women but is mostly associated with work-related variables in men. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Public Health Achievements and Challenges: Symposium of the University of Mostar Faculty of Health Studies.

    Science.gov (United States)

    Ravlija, Jelena; Vasilj, Ivan; Babic, Dragan; Marijanovic, Inga

    2017-05-01

    Public health is an important area of health care that reflects the readiness of the state and society to provide the welfare of all citizens through the promotion of health and the preservation of a healthy environment - factors that directly affect the health of the population. The field of public health is very broad and its concept is changing over time, being defined in a narrower and wider sense. In short, public health is a science and practice that aims at ensuring the conditions in which people can preserve and improve their health and prevent health damage. The third millennium brings its specifics, needs and priorities according to challenges public health is faced by in the twenty-first century: the economic crisis, rising inequality, population aging, rising rates of chronic diseases, migration, urbanization, ecosystem change, climate change, etc. The role of public health is to protect, improve health, prevent diseases and injuries. Such a public health approach implies a multisectoral work focusing on "wider health determinants", and within this activity experts from various medical and non-medical profiles, whose field of public health is concerned, can be found. The development of inter-departmental co-operation skills contributes to a better understanding of health professionals and professionals of other profiles, and facilitates common, synergistic actions in addressing public health problems in the community. Symposium on Public Health Achievements and Challenges organized by the University of Mostar Faculty of Health Studies is just another indication of the obligation, the need and the desire for professional and scientific contribution to the fight for better health. Our faculty has so far organized other numerous symposia, and the aim of this symposium is to present public health achievements and challenges in our surrounding in order to protect, improve health, prevent diseases and injuries in a modern way.

  3. Oak Ridge Health Studies Phase 1 report, Volume 2: Part D, Dose Reconstruction Feasibility Study

    International Nuclear Information System (INIS)

    Bruce, G.M.; Walker, L.B.; Widner, T.E.

    1993-09-01

    The purpose of Task 6 of Oak Ridge Phase I Health Studies is to provide summaries of current knowledge of toxic and hazardous properties of materials that are important for the Oak Ridge Reservation. The information gathered in the course of Task 6 investigations will support the task of focussing any future health studies efforts on those operations and emissions which have likely been most significant in terms of off-site health risk. The information gathered in Task 6 efforts will likely also be of value to individuals evaluating the feasibility of additional health,study efforts (such as epidemiological investigations) in the Oak Ridge area and as a resource for citizens seeking information on historical emissions

  4. Black Families' Lay Views on Health and the Implications for Health Promotion: A Community-Based Study in the UK

    Science.gov (United States)

    Ochieng, Bertha

    2012-01-01

    Many studies focusing on beliefs about health and health promotion have paid little attention to the life experiences of Black and other visible minority ethnic families in western societies. This paper is a report of a study exploring Black families' beliefs about health and the implications of such beliefs for health promotion. Ten Black…

  5. Nijmegen Observer-Rated Depression scale for detection of depression in nursing home residents.

    NARCIS (Netherlands)

    Leontjevas, R.; Gerritsen, D.L.; Vernooij-Dassen, M.J.F.J.; Teerenstra, S.; Smalbrugge, M.; Koopmans, R.T.C.M.

    2012-01-01

    OBJECTIVE: This study aims to test the accuracy of the Nijmegen Observer-Rated Depression (NORD) scale, a new short scale for screening of depression in nursing home (NH) residents with and without dementia. METHODS: This cross-sectional study with 103 residents with dementia (N = 19 depressed) and

  6. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association.

    Science.gov (United States)

    Britt, Rebecca Katherine; Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-12-19

    The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students' maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on vaccinations, and maintaining a balanced

  7. A mismatch between population health literacy and the complexity of health information: an observational study.

    Science.gov (United States)

    Rowlands, Gillian; Protheroe, Joanne; Winkley, John; Richardson, Marty; Seed, Paul T; Rudd, Rima

    2015-06-01

    Low health literacy is associated with poorer health and higher mortality. Complex health materials are a barrier to health. To assess the literacy and numeracy skills required to understand and use commonly used English health information materials, and to describe population skills in relation to these. An English observational study comparing health materials with national working-age population skills. Health materials were sampled using a health literacy framework. Competency thresholds to understand and use the materials were identified. The proportion of the population above and below these thresholds, and the sociodemographic variables associated with a greater risk of being below the thresholds, were described. Sixty-four health materials were sampled. Two competency thresholds were identified: text (literacy) only, and text + numeracy; 2515/5795 participants (43%) were below the text-only threshold, while 2905/4767 (61%) were below the text + numeracy threshold. Univariable analyses of social determinants of health showed that those groups more at risk of socioeconomic deprivation had higher odds of being below the health literacy competency threshold than those at lower risk of deprivation. Multivariable analysis resulted in some variables becoming non-significant or reduced in effect. Levels of low health literacy mirror those found in other industrialised countries, with a mismatch between the complexity of health materials and the skills of the English adult working-age population. Those most in need of health information have the least access to it. Efficacious strategies are building population skills, improving health professionals' communication, and improving written health information. © British Journal of General Practice 2015.

  8. The Study of Environment on Aboriginal Resilience and Child Health (SEARCH: study protocol

    Directory of Open Access Journals (Sweden)

    2010-05-01

    Full Text Available Abstract Background Aboriginal Australians have a life expectancy more than ten years less than that of non-Aboriginal Australians, reflecting their disproportionate burden of both communicable and non-communicable disease throughout the lifespan. Little is known about the health and health trajectories of Aboriginal children and, although the majority of Aboriginal people live in urban areas, data are particularly sparse in relation to children living in urban areas. Methods/Design The Study of Environment on Aboriginal Resilience and Child Health (SEARCH is a cohort study of Aboriginal children aged 0-17 years, from urban and large regional centers in New South Wales, Australia. SEARCH focuses on Aboriginal community identified health priorities of: injury; otitis media; vaccine-preventable conditions; mental health problems; developmental delay; obesity; and risk factors for chronic disease. Parents/caregivers and their children are invited to participate in SEARCH at the time of presentation to one of the four participating Aboriginal Community Controlled Health Organisations at Mount Druitt, Campbelltown, Wagga Wagga and Newcastle. Questionnaire data are obtained from parents/caregivers and children, along with signed permission for follow-up through repeat data collection and data linkage. All children have their height, weight, waist circumference and blood pressure measured and complete audiometry, otoscopy/pneumatic otoscopy and tympanometry. Children aged 1-7 years have speech and language assessed and their parents/caregivers complete the Parental Evaluation of Developmental Status. The Study aims to recruit 1700 children by the end of 2010 and to secure resources for long term follow up. From November 2008 to March 2010, 1010 children had joined the study. From those 446 children with complete data entry, participating children ranged in age from 2 weeks to 17 years old, with 144 aged 0-3, 147 aged 4-7, 75 aged 8-10 and 79 aged 11

  9. Psychedelics and mental health: a population study.

    Directory of Open Access Journals (Sweden)

    Teri S Krebs

    Full Text Available The classical serotonergic psychedelics LSD, psilocybin, mescaline are not known to cause brain damage and are regarded as non-addictive. Clinical studies do not suggest that psychedelics cause long-term mental health problems. Psychedelics have been used in the Americas for thousands of years. Over 30 million people currently living in the US have used LSD, psilocybin, or mescaline.To evaluate the association between the lifetime use of psychedelics and current mental health in the adult population.Data drawn from years 2001 to 2004 of the National Survey on Drug Use and Health consisted of 130,152 respondents, randomly selected to be representative of the adult population in the United States. Standardized screening measures for past year mental health included serious psychological distress (K6 scale, mental health treatment (inpatient, outpatient, medication, needed but did not receive, symptoms of eight psychiatric disorders (panic disorder, major depressive episode, mania, social phobia, general anxiety disorder, agoraphobia, posttraumatic stress disorder, and non-affective psychosis, and seven specific symptoms of non-affective psychosis. We calculated weighted odds ratios by multivariate logistic regression controlling for a range of sociodemographic variables, use of illicit drugs, risk taking behavior, and exposure to traumatic events.21,967 respondents (13.4% weighted reported lifetime psychedelic use. There were no significant associations between lifetime use of any psychedelics, lifetime use of specific psychedelics (LSD, psilocybin, mescaline, peyote, or past year use of LSD and increased rate of any of the mental health outcomes. Rather, in several cases psychedelic use was associated with lower rate of mental health problems.We did not find use of psychedelics to be an independent risk factor for mental health problems.

  10. Inequalities in health and health service utilisation among reproductive age women in St. Petersburg, Russia: a cross-sectional study.

    Science.gov (United States)

    Dubikaytis, Tatiana; Larivaara, Meri; Kuznetsova, Olga; Hemminki, Elina

    2010-11-11

    Russian society has faced dramatic changes in terms of social stratification since the collapse of the Soviet Union. During this time, extensive reforms have taken place in the organisation of health services, including the development of the private sector. Previous studies in Russia have shown a wide gap in mortality between socioeconomic groups. There are just a few studies on health service utilisation in post-Soviet Russia and data on inequality of health service use are limited. The aim of the present study was to analyse health (self-rated health and self-reported chronic diseases) and health care utilisation patterns by socioeconomic status (SES) among reproductive age women in St. Petersburg. The questionnaire survey was conducted in 2004 (n = 1147), with a response rate of 67%. Education and income were used as dimensions of SES. The association between SES and health and use of health services was assessed by logistic regression, adjusting for age. As expected low SES was associated with poor self-rated health (education: OR = 1.48; personal income: OR = 1.42: family income: OR = 2.31). University education was associated with use of a wider range of outpatient medical services and increased use of the following examinations: Pap smear (age-adjusted OR = 2.06), gynaecological examinations (age-adjusted OR = 1.62) and mammography among older (more than 40 years) women (age-adjusted OR = 1.98). Personal income had similar correlations, but family income was related only to the use of mammography among older women. Our study suggests a considerable inequality in health and utilisation of preventive health service among reproductive age women. Therefore, further studies are needed to identify barriers to health promotion resources.

  11. National health policies: sub-Saharan African case studies (1980-1990).

    Science.gov (United States)

    Dugbatey, K

    1999-07-01

    Four countries, Botswana, Cote d'Ivoire, Ghana and Zimbabwe, were chosen as cases to study the impact of national health policies on national health status in sub-Saharan Africa. Through a conceptual framework that covers health problem identification, policy formulation and implementation procedures, the study examined national translations of Primary Health Care (PHC) and Health for All by the Year 2000 (HFA/2000) strategies. A series of government measures, taken between 1980-1986 for health policy development and implementation in these countries, were treated as policy determinants of national health outcomes for the period ending 1990. The impact of these determinants on national health status was then analyzed through a comparative description and documentation of observable patterns and trends in infant mortality rates (IMR), under-5 mortality rates (U5MR) and life expectancy. Policy guidelines from PHC and HFA/2000 were used in conjunction with the respective per capita Gross National Products to categorize the four cases. Based on these guidelines, Botswana was ranked high, both in terms of policy development and the level of economic development, while Zimbabwe ranked high in terms of policy development but relatively low in economic terms. Cote d'Ivoire ranked high on economic development but low with regard to its policy framework. Ghana was at the other end of the spectrum, ranking low both in terms of its policy development and its economic performance. The comparative analysis revealed that Botswana and Zimbabwe performed better than Cote d'Ivoire and Ghana on the three outcome indicators. Despite Cote d'Ivoire's superior level of economic development, its health status fell behind that of Zimbabwe and even Ghana. The study concluded that policies formulated and implemented in accordance with key PHC principles could account for improvements in national health status. Since the end of the study period (1990), there have been significant political

  12. Study of Health-promotion behaviors among university of medical science students

    Directory of Open Access Journals (Sweden)

    Zahra Motlagh

    2011-09-01

    Full Text Available Background: Health promoting activities and a healthy lifestyle are major strategies to preserve health. Regarding the importance of health in young people, health promotion in society and also lack of related studies in Iran, this study was designed to determine the performance of the health-enhancing behaviors in medical university students and its effective factors.Materials and Method: This study was a cross-sectional-descriptive survey assessing health-promoting lifestyle among students of Yazd university of medical sciences. A total number of 440 students were recruited in this study using a stratified sampling method. Health-promoting lifestyle was measured using walker’s health–promoting life style profile II (HPLP-II instrument. Data were analyzed by χ2, student t-tests and one way ANOVA, using SPSS -11.5.Result: Age range of participants was from 17 to 33 years with a mean age of 21.1 years and was composed of 67.4% females and 32.6% males. Totally, the overall health-promoting lifestyle profile had a mean of 130.31 ±19. The highest mean in the subscales was 26.03±5.04 for spiritual growth and the lowest was 16.24±4.28 for physical activity. Statistical significant association was seen between the socio-demographic variables particularly employment situation (p=0.002, study field (p=0.001, mother’s education level (p=0.007 and mother’s job (p=0.01 with mean of overall health-promoting lifestyle profile.Conclusion: Regarding the situation of health-promoting behaviors due to low physical activity among students especially in girls providing health education programs toward increasing physical activity is recommended.

  13. Public health accreditation and metrics for ethics: a case study on environmental health and community engagement.

    Science.gov (United States)

    Bernheim, Ruth Gaare; Stefanak, Matthew; Brandenburg, Terry; Pannone, Aaron; Melnick, Alan

    2013-01-01

    As public health departments around the country undergo accreditation using the Public Health Accreditation Board standards, the process provides a new opportunity to integrate ethics metrics into day-to-day public health practice. While the accreditation standards do not explicitly address ethics, ethical tools and considerations can enrich the accreditation process by helping health departments and their communities understand what ethical principles underlie the accreditation standards and how to use metrics based on these ethical principles to support decision making in public health practice. We provide a crosswalk between a public health essential service, Public Health Accreditation Board community engagement domain standards, and the relevant ethical principles in the Public Health Code of Ethics (Code). A case study illustrates how the accreditation standards and the ethical principles in the Code together can enhance the practice of engaging the community in decision making in the local health department.

  14. [Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain].

    Science.gov (United States)

    Pérez, Glòria; Gotsens, Mercè; Palència, Laia; Marí-Dell'Olmo, Marc; Domínguez-Berjón, M Felicitas; Rodríguez-Sanz, Maica; Puig, Vanessa; Bartoll, Xavier; Gandarillas, Ana; Martín, Unai; Bacigalupe, Amaia; Díez, Elia; Ruiz, Miguel; Esnaola, Santiago; Calvo, Montserrat; Sánchez, Pablo; Luque Fernández, Miguel Ángel; Borrell, Carme

    The aim is to present the protocol of the two sub-studies on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain. Substudy 1: describe the evolution of mortality and reproductive health between 1990 and 2013 through a longitudinal ecological study in the Autonomous Communities. This study will identify changes caused by the economic crisis in trends or reproductive health and mortality indicators using panel data (17 Autonomous Communities per study year) and adjusting Poisson models with random effects variance. Substudy 2: analyse inequalities by socioeconomic deprivation in mortality and reproductive health in several areas of Spain. An ecological study analysing trends in the pre-crisis (1999-2003 and 2004-2008) and crisis (2009-2013) periods will be performed. Random effects models Besag York and Mollié will be adjusted to estimate mortality indicators softened in reproductive health and census tracts. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. Mental health promotion competencies in the health sector in Finland: a qualitative study of the views of professionals.

    Science.gov (United States)

    Tamminen, Nina; Solin, Pia; Stengård, Eija; Kannas, Lasse; Kettunen, Tarja

    2017-07-01

    In this study, we aimed to investigate what competencies are needed for mental health promotion in health sector practice in Finland. A qualitative study was carried out to seek the views of mental health professionals regarding mental health promotion-related competencies. The data were collected via two focus groups and a questionnaire survey of professionals working in the health sector in Finland. The focus groups consisted of a total of 13 professionals. Further, 20 questionnaires were received from the questionnaire survey. The data were analysed using the qualitative data analysis software ATLAS.ti Scientific Software Development GmbH, Berlin. A content analysis was carried out. In total, 23 competencies were identified and clustered under the categories of theoretical knowledge, practical skills, and personal attitudes and values. In order to promote mental health, it is necessary to have a knowledge of the principles and concepts of mental health promotion, including methods and tools for effective practices. Furthermore, a variety of skills-based competencies such as communication and collaboration skills were described. Personal attitudes and values included a holistic approach and respect for human rights, among others. The study provides new information on what competencies are needed to plan, implement and evaluate mental health promotion in health sector practice, with the aim of contributing to a more effective workforce. The competencies provide aid in planning training programmes and qualifications, as well as job descriptions and roles in health sector workplaces related to mental health promotion.

  16. Diffusion of e-health innovations in 'post-conflict' settings: a qualitative study on the personal experiences of health workers.

    Science.gov (United States)

    Woodward, Aniek; Fyfe, Molly; Handuleh, Jibril; Patel, Preeti; Godman, Brian; Leather, Andrew; Finlayson, Alexander

    2014-04-23

    Technological innovations have the potential to strengthen human resources for health and improve access and quality of care in challenging 'post-conflict' contexts. However, analyses on the adoption of technology for health (that is, 'e-health') and whether and how e-health can strengthen a health workforce in these settings have been limited so far. This study explores the personal experiences of health workers using e-health innovations in selected post-conflict situations. This study had a cross-sectional qualitative design. Telephone interviews were conducted with 12 health workers, from a variety of cadres and stages in their careers, from four post-conflict settings (Liberia, West Bank and Gaza, Sierra Leone and Somaliland) in 2012. Everett Roger's diffusion of innovation-decision model (that is, knowledge, persuasion, decision, implementation, contemplation) guided the thematic analysis. All health workers interviewed held positive perceptions of e-health, related to their beliefs that e-health can help them to access information and communicate with other health workers. However, understanding of the scope of e-health was generally limited, and often based on innovations that health workers have been introduced through by their international partners. Health workers reported a range of engagement with e-health innovations, mostly for communication (for example, email) and educational purposes (for example, online learning platforms). Poor, unreliable and unaffordable Internet was a commonly mentioned barrier to e-health use. Scaling-up existing e-health partnerships and innovations were suggested starting points to increase e-health innovation dissemination. Results from this study showed ICT based e-health innovations can relieve information and communication needs of health workers in post-conflict settings. However, more efforts and investments, preferably driven by healthcare workers within the post-conflict context, are needed to make e-health more

  17. Cardiovascular Health and Arterial Stiffness: The Maine Syracuse Longitudinal Study

    Science.gov (United States)

    Crichton, Georgina E; Elias, Merrill F; Robbins, Michael A

    2014-01-01

    Ideal cardiovascular health is a recently defined construct by the American Heart Association (AHA) to promote cardiovascular disease reduction. Arterial stiffness is a major risk factor for cardiovascular disease. The extent to which the presence of multiple prevalent cardiovascular risk factors and health behaviors is associated with arterial stiffness is unknown. The aim of this study was to examine the association between the AHA construct of cardiovascular health and arterial stiffness, as indexed by pulse wave velocity and pulse pressure. The AHA health metrics, comprising of four health behaviors (smoking, body mass index, physical activity, and diet) and three health factors (total cholesterol, blood pressure, and fasting plasma glucose) were evaluated among 505 participants in the Maine-Syracuse Longitudinal Study. Outcome measures were carotid-femoral pulse wave velocity (PWV) and pulse pressure measured at 4 to 5-year follow-up. Better cardiovascular health, comprising both health factors and behaviors, was associated with lower arterial stiffness, as indexed by pulse wave velocity and pulse pressure. Those with at least five health metrics at ideal levels had significantly lower PWV (9.8 m/s) than those with two or less ideal health metrics (11.7 m/s) (P<0.001). This finding remained with the addition of demographic and PWV-related variables (P=0.004). PMID:24384629

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

    Science.gov (United States)

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

    2014-01-01

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

  19. Beacon Communities’ Public Health Initiatives: A Case Study Analysis

    Science.gov (United States)

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

    2014-01-01

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

  20. Impact of Home Health Care on Health Care Resource Utilization Following Hospital Discharge: A Cohort Study.

    Science.gov (United States)

    Xiao, Roy; Miller, Jacob A; Zafirau, William J; Gorodeski, Eiran Z; Young, James B

    2018-04-01

    As healthcare costs rise, home health care represents an opportunity to reduce preventable adverse events and costs following hospital discharge. No studies have investigated the utility of home health care within the context of a large and diverse patient population. A retrospective cohort study was conducted between 1/1/2013 and 6/30/2015 at a single tertiary care institution to assess healthcare utilization after discharge with home health care. Control patients discharged with "self-care" were matched by propensity score to home health care patients. The primary outcome was total healthcare costs in the 365-day post-discharge period. Secondary outcomes included follow-up readmission and death. Multivariable linear and Cox proportional hazards regression were used to adjust for covariates. Among 64,541 total patients, 11,266 controls were matched to 6,363 home health care patients across 11 disease-based Institutes. During the 365-day post-discharge period, home health care was associated with a mean unadjusted savings of $15,233 per patient, or $6,433 after adjusting for covariates (p Home health care independently decreased the hazard of follow-up readmission (HR 0.82, p home health care most benefited patients discharged from the Digestive Disease (death HR 0.72, p home health care was associated with significant reduction in healthcare utilization and decreased hazard of readmission and death. These data inform development of value-based care plans. Copyright © 2018 Elsevier Inc. All rights reserved.

  1. A nationally representative study of emotional competence and health.

    Science.gov (United States)

    Mikolajczak, Moïra; Avalosse, Hervé; Vancorenland, Sigrid; Verniest, Rebekka; Callens, Michael; van Broeck, Nady; Fantini-Hauwel, Carole; Mierop, Adrien

    2015-10-01

    Emotional competence (EC; also called "emotional intelligence"), which refers to individual differences in the identification, understanding, expression, regulation, and use of one's emotions and those of others, has been found to be an important predictor of individuals' adaptation to their environment. Higher EC is associated with greater happiness, better mental health, more satisfying social and marital relationships, and greater occupational success. Whereas a considerable amount of research has documented the significance of EC, 1 domain has been crucially under investigated: the relationship between EC and physical health. We examined the relationship between EC and objective health indicators in 2 studies (N1 = 1,310; N2 = 9,616) conducted in collaboration with the largest Mutual Benefit Society in Belgium. These studies allowed us (a) to compare the predictive power of EC with other well-known predictors of health such as age, sex, Body Mass Index, education level, health behaviors (diet, physical activity, smoking and drinking habits), positive and negative affect, and social support; (b) to clarify the relative weight of the various EC dimensions in predicting health; and (c) to determine to what extent EC moderates the effect of already known predictors on health. Results show that EC is a significant predictor of health that has incremental predictive power over and above other predictors. Findings also show that high EC significantly attenuates (and sometimes compensates for) the impact of other risk factors. Therefore, we argue that EC deserves greater interest and attention from health professionals and governments. (c) 2015 APA, all rights reserved).

  2. Searching for religion and mental health studies required health, social science, and grey literature databases.

    Science.gov (United States)

    Wright, Judy M; Cottrell, David J; Mir, Ghazala

    2014-07-01

    To determine the optimal databases to search for studies of faith-sensitive interventions for treating depression. We examined 23 health, social science, religious, and grey literature databases searched for an evidence synthesis. Databases were prioritized by yield of (1) search results, (2) potentially relevant references identified during screening, (3) included references contained in the synthesis, and (4) included references that were available in the database. We assessed the impact of databases beyond MEDLINE, EMBASE, and PsycINFO by their ability to supply studies identifying new themes and issues. We identified pragmatic workload factors that influence database selection. PsycINFO was the best performing database within all priority lists. ArabPsyNet, CINAHL, Dissertations and Theses, EMBASE, Global Health, Health Management Information Consortium, MEDLINE, PsycINFO, and Sociological Abstracts were essential for our searches to retrieve the included references. Citation tracking activities and the personal library of one of the research teams made significant contributions of unique, relevant references. Religion studies databases (Am Theo Lib Assoc, FRANCIS) did not provide unique, relevant references. Literature searches for reviews and evidence syntheses of religion and health studies should include social science, grey literature, non-Western databases, personal libraries, and citation tracking activities. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. NORD's Patient Assistance Programs

    Science.gov (United States)

    ... vsl3ds@rarediseases.org Fax: 1-203-349-8172 Urea Cycle Disorder | Accepting Applications Co-Pay Assistance Medical Assistance Medical ... this program here* *aprender más sobre este programa* Urea Cycle Disorders Diagnostic Testing Phone: 877-333-1860 Fax: 203- ...

  4. Inequalities in health and health service utilisation among reproductive age women in St. Petersburg, Russia: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Kuznetsova Olga

    2010-11-01

    Full Text Available Abstract Background Russian society has faced dramatic changes in terms of social stratification since the collapse of the Soviet Union. During this time, extensive reforms have taken place in the organisation of health services, including the development of the private sector. Previous studies in Russia have shown a wide gap in mortality between socioeconomic groups. There are just a few studies on health service utilisation in post-Soviet Russia and data on inequality of health service use are limited. The aim of the present study was to analyse health (self-rated health and self-reported chronic diseases and health care utilisation patterns by socioeconomic status (SES among reproductive age women in St. Petersburg. Methods The questionnaire survey was conducted in 2004 (n = 1147, with a response rate of 67%. Education and income were used as dimensions of SES. The association between SES and health and use of health services was assessed by logistic regression, adjusting for age. Results As expected low SES was associated with poor self-rated health (education: OR = 1.48; personal income: OR = 1.42: family income: OR = 2.31. University education was associated with use of a wider range of outpatient medical services and increased use of the following examinations: Pap smear (age-adjusted OR = 2.06, gynaecological examinations (age-adjusted OR = 1.62 and mammography among older (more than 40 years women (age-adjusted OR = 1.98. Personal income had similar correlations, but family income was related only to the use of mammography among older women. Conclusions Our study suggests a considerable inequality in health and utilisation of preventive health service among reproductive age women. Therefore, further studies are needed to identify barriers to health promotion resources.

  5. UTILIZATION OF HEALTH CARE SERVICES AMONG INTERNAL MIGRANTS IN HANOI AND ITS CORRELATION WITH HEALTH INSURANCE: A CROSS-SECTIONAL STUDY.

    Science.gov (United States)

    Le, Anh Thi Kim; Vu, Lan Hoang; Schelling, Esther

    2015-12-01

    Economic transition ( DoiMoi ) in the 1980s in Viet Nam has led to internal migration, particularly rural-to-urban migration. Many studies suggested that there is a difference between non-migrants and migrants in using health care services. Current studies have mostly focused on migrants working in industrial zones (IZs) but migrants working in private small enterprises (PSEs) and seasonal migrants seem to be ignored. However, these two groups of migrants are more vulnerable in health care access than others because they usually work without labor contracts and have no health insurance. The study aims to compare the utilization of health care services and explore its correlated factors among these three groups. This cross-sectional study included 1800 non-migrants and migrants aged 18-55 who were selected through stratified sampling in Long Bien and Ba Dinh districts, Hanoi. These study sites consist of large industrial zones and many slums where most seasonal migrants live in. A structured questionnaire was used to collect information on health service utilization in the last 6 months before the study. Utilization of heath care services was identified as "an ill person who goes to health care centers to seek any treatment (i.e. both private and public health care centers)". 644 of 1800 participants reported having a health problem in the last 6 months before the study. Among these 644 people, 335 people used health care services. The percentage of non-migrants using health care service was the highest (67.6%), followed by migrants working in IZ (53.7%), migrants working in PSE (44%), and seasonal migrants (42%). Multivariate logistic regression showed migrants, especially seasonal migrants and migrants working in PSE, were less likely to use health care services (OR=0.35, p=0.016 and 0.38, p= 0.004, respectively), compared to non-migrants. The study also found that having no health insurance was a risk factor of the utilization (OR=0.29, pincome were not related

  6. Local health systems in 21st century: who cares?-An exploratory study on health system governance in Amsterdam.

    Science.gov (United States)

    Plochg, T; Delnoij, D M J; Hogervorst, W V G; van Dijk, P; Belleman, S; Klazinga, N S

    2006-10-01

    There is a growing awareness that there should be a public health perspective to health system governance. Its intrinsic population health orientation provides the ultimate ground for determining the health needs and governing collaborative care arrangements within which these needs can be met. Notwithstanding differences across countries, population health concerns are not central to European health reforms. Governments currently withdraw leaving governance roles to care providers and/or financiers. Thereby, incentives that trigger the uptake of a public health perspective are often ignored. In this study we addressed this issue in the city of Amsterdam. Using a qualitative study design, we explored whether there is a public health perspective to the governance practices of the municipality and the major sickness fund in Amsterdam. And if so, what the scope of this perspective is. And if not, why not. Findings indicate that the municipality has a public health perspective to local health system governance, but its scope is limited. The municipality facilitates rather than governs health care provision in Amsterdam. Furthermore, the sickness fund runs major financial risks when adapting a public health perspective. It covers an insured population that partly overlaps the Amsterdam population. Returns on investments in population health are therefore uncertain, as competitors would also profit from the sickness fund's investments. The local health system in Amsterdam is not consistently aligned to the health needs of the Amsterdam population. The Amsterdam case is not unique and general consequences for local health system governance are discussed.

  7. State funding for local public health: observations from six case studies.

    Science.gov (United States)

    Potter, Margaret A; Fitzpatrick, Tiffany

    2007-01-01

    The purpose of this study is to describe state funding of local public health within the context of state public health system types. These types are based on administrative relationships, legal structures, and relative proportion of state funding in local public health budgets. We selected six states representing various types and geographic regions. A case study for each state summarized available information and was validated by state public health officials. An analysis of the case studies reveals that the variability of state public health systems--even within a given type--is matched by variability in approaches to funding local public health. Nevertheless, some meaningful associations appear. For example, higher proportions of state funding occur along with higher levels of state oversight and the existence of local service mandates in state law. These associations suggest topics for future research on public health financing in relation to local accountability, local input to state priority-setting, mandated local services, and the absence of state funds for public health services in some local jurisdictions.

  8. A pilot study of health and wellness coaching for fibromyalgia.

    Science.gov (United States)

    Hackshaw, Kevin V; Plans-Pujolras, Marcal; Rodriguez-Saona, Luis E; Moore, Margaret A; Jackson, Erika K; Sforzo, Gary A; Buffington, C A Tony

    2016-11-08

    The purpose of this study was to test the hypothesis that a health and wellness coaching (HWC)-based intervention for fibromyalgia (FM) would result in sustained improvements in health and quality of life, and reductions in health care utilization. Nine female subjects meeting American College of Rheumatology criteria for a diagnosis of primary FM were studied. The HWC protocol had two components, which were delivered telephonically over a twelve-month period. First, each patient met individually with a coach during the 12 month study at the patient's preference of schedule and frequency (Range:22-32 × 45-min sessions). Coaches were health professionals trained in health and wellness coaching tasks, knowledge, and skills. Second, each patient participated in bimonthly (first six months) and monthly (second six months) group classes on self-coaching strategies during the 12 month study. Prior to the intervention, and after 6 months and 12 months of coaching, the Revised Fibromyalgia Impact Questionnaire (FIQR) was used to measure health and quality of life, and the Brief Pain Inventory-Short Form (BPI) was used to measure pain intensity and interference with function. Total and rheumatology-related health encounters were documented using electronic medical records. Data were analyzed using repeated measures ANOVA. All nine patients finished the HWC protocol. FIQR scores improved by 35 % (P = 0.001). BPI scores decreased by 32 % overall (P = 0.006), 31 % for severity (P = 0.02), and 44 % for interference (P = 0.006). Health care utilization declined by 86 % (P = 0.006) for total and 78 % (P life measures (FIQR), pain (BPI), and marked reductions in health care utilization. Such improvements do not typically occur spontaneously in FM patients, suggesting that HWC deserves further consideration as an intervention for FM.

  9. Occupational health management system: A study of expatriate construction professionals.

    Science.gov (United States)

    Chan, I Y S; Leung, M Y; Liu, A M M

    2016-08-01

    Due to its direct impact on the safety and function of organizations, occupational health has been a concern of the construction industry for many years. The inherent complexity of occupational health management presents challenges that make a systems approach essential. From a systems perspective, health is conceptualized as an emergent property of a system in which processes operating at the individual and organizational level are inextricably connected. Based on the fundamental behavior-to-performance-to-outcome (B-P-O) theory of industrial/organizational psychology, this study presents the development of an I-CB-HP-O (Input-Coping Behaviors-Health Performance-Outcomes) health management systems model spanning individual and organizational boundaries. The model is based on a survey of Hong Kong expatriate construction professionals working in Mainland China. Such professionals tend to be under considerable stress due not only to an adverse work environment with dynamic tasks, but also the need to confront the cross-cultural issues arising from expatriation. A questionnaire was designed based on 6 focus groups involving 44 participants, and followed by a pilot study. Of the 500 questionnaires distributed in the main study, 137 valid returns were received, giving a response rate of 27.4%. The data were analyzed using statistical techniques such as factor analysis, reliability testing, Pearson correlation analysis, multiple regression modeling, and structural equation modeling. Theories of coping behaviors and health performance tend to focus on the isolated causal effects of single factors and/or posits the model at single, individual level; while industrial practices on health management tend to focus on organizational policy and training. By developing the I-CB-HP-O health management system, incorporating individual, interpersonal, and organizational perspectives, this study bridges the gap between theory and practice while providing empirical support for a

  10. Association between parity and dentition status among Japanese women: Japan public health center-based oral health study.

    Science.gov (United States)

    Ueno, Masayuki; Ohara, Satoko; Inoue, Manami; Tsugane, Shoichiro; Kawaguchi, Yoko

    2013-10-22

    Several studies have shown that parity is associated with oral health problems such as tooth loss and dental caries. In Japan, however, no studies have examined the association. The purpose of this study was to determine whether parity is related to dentition status, including the number of teeth present, dental caries and filled teeth, and the posterior occlusion, in a Japanese population by comparing women with men. A total of 1,211 subjects, who participated both in the Japan Public Health Center-Based (JPHC) Study Cohort I in 1990 and the dental survey in 2005, were used for the study. Information on parity or number of children was collected from a self-completed questionnaire administered in 1990 for the JPHC Study Cohort I, and health behaviors and clinical dentition status were obtained from the dental survey in 2005. The association between parity or number of children and dentition status was analyzed, by both unadjusted-for and adjusted-for socio-demographic and health behavioral factors, using a generalized linear regression model. Parity is significantly related to the number of teeth present and n-FTUs (Functional Tooth Units of natural teeth), regardless of socio-demographic and health behavioral factors, in female subjects. The values of these variables had a significantly decreasing trend with the rise of parity: numbers of teeth present (p for trend = 0.046) and n-FTUs (p for trend = 0.026). No relationships between the number of children and dentition status were found in male subjects. Higher-parity women are more likely to lose teeth, especially posterior occluding relations. These results suggest that measures to narrow the discrepancy by parity should be taken for promoting women's oral health. Delivery of appropriate information and messages to pregnant women as well as enlightenment of oral health professionals about dental management of pregnant women may be an effective strategy.

  11. Consumer Health-Related Activities on Social Media: Exploratory Study.

    Science.gov (United States)

    Benetoli, Arcelio; Chen, Timothy F; Aslani, Parisa

    2017-10-13

    Although a number of studies have investigated how consumers use social media for health-related purposes, there is a paucity of studies in the Australian context. This study aimed to explore how Australian consumers used social media for health-related purposes, specifically how they identified social media platforms, which were used, and which health-related activities commonly took place. A total of 5 focus groups (n=36 participants), each lasting 60 to 90 minutes, were conducted in the Sydney metropolitan area. The group discussions were audiorecorded and transcribed verbatim. The transcripts were coded line-by-line and thematically analyzed. Participants used general search engines to locate health-related social media platforms. They accessed a wide range of social media on a daily basis, using several electronic devices (in particular, mobile phones). Although privacy was a concern, it did not prevent consumers from fully engaging in social media for health-related purposes. Blogs were used to learn from other people's experiences with the same condition. Facebook allowed consumers to follow health-related pages and to participate in disease-specific group discussions. Wikipedia was used for factual information about diseases and treatments. YouTube was accessed to learn about medical procedures such as surgery. No participant reported editing or contributing to Wikipedia or posting YouTube videos related to health topics. Twitter was rarely used for health-related purposes. Social media allowed consumers to obtain and provide disease and treatment-related information and social and emotional support for those living with the same condition. Most considered their participation as observational, but some also contributed (eg, responded to people's questions). Participants used a wide range of social media for health-related purposes. Medical information exchange (eg, disease and treatment) and social and emotional support were the cornerstones of their online

  12. Air pollution and health in Sri Lanka: a review of epidemiologic studies

    Directory of Open Access Journals (Sweden)

    Sathiakumar Nalini

    2010-06-01

    Full Text Available Abstract Background Air pollution is increasingly documented as a threat to public health in most developing countries. Evaluation of current air quality levels, regulatory standards and scientific literature on outdoor and indoor air pollution, and health effects are important to identify the burden, develop and implement interventions and to fill knowledge gaps in Sri Lanka. Methods PUBMED and Medline databases, local journals and conference proceedings were searched for epidemiologic studies pertaining to air pollution and health effects in Sri Lanka. All the studies pertaining to air pollution and health effects were considered. Results Sixteen studies investigated the association between exposure to ambient or indoor air pollution (IAP and various health outcomes ranging from respiratory symptoms, low birth weight and lung cancers. Of the sixteen, three used a case control design. Half of the studies collected exposure data only through questionnaires. There were positive associations between air pollution and adverse health effects in all studies. Methodological limitations in most of the studies resulted in poor quantification of risk estimates. Conclusion A limited number of epidemiological studies in Sri Lanka have investigated the health effects of air pollution. Based on findings of studies and reported air quality levels, air pollution may be considered a neglected public health problem in Sri Lanka.

  13. Air pollution and health in Sri Lanka: a review of epidemiologic studies.

    Science.gov (United States)

    Nandasena, Yatagama Lokuge S; Wickremasinghe, Ananda R; Sathiakumar, Nalini

    2010-06-02

    Air pollution is increasingly documented as a threat to public health in most developing countries. Evaluation of current air quality levels, regulatory standards and scientific literature on outdoor and indoor air pollution, and health effects are important to identify the burden, develop and implement interventions and to fill knowledge gaps in Sri Lanka. PUBMED and Medline databases, local journals and conference proceedings were searched for epidemiologic studies pertaining to air pollution and health effects in Sri Lanka. All the studies pertaining to air pollution and health effects were considered. Sixteen studies investigated the association between exposure to ambient or indoor air pollution (IAP) and various health outcomes ranging from respiratory symptoms, low birth weight and lung cancers. Of the sixteen, three used a case control design. Half of the studies collected exposure data only through questionnaires. There were positive associations between air pollution and adverse health effects in all studies. Methodological limitations in most of the studies resulted in poor quantification of risk estimates. A limited number of epidemiological studies in Sri Lanka have investigated the health effects of air pollution. Based on findings of studies and reported air quality levels, air pollution may be considered a neglected public health problem in Sri Lanka.

  14. Health and aging: development of the Irish Longitudinal Study on Ageing health assessment.

    Science.gov (United States)

    Cronin, Hilary; O'Regan, Clare; Finucane, Ciaran; Kearney, Patricia; Kenny, Rose Anne

    2013-05-01

    To assist researchers planning studies similar to The Irish Longitudinal Study on Ageing (TILDA), concerning the development of the health assessment component, to promote use of the archived data set, to inform researchers of the methods employed, and to complement the accompanying article on normative values. Prospective, longitudinal study of older adults. Republic of Ireland. Eight thousand five hundred four community-dwelling adults who participated in wave 1 of the TILDA study. The main areas of focus for the TILDA health assessments are neurocardiovascular instability, locomotion, and vision. The article describes the scientific rationale for the choice of assessments and seeks to determine the potential advantages of incorporating novel biomeasures and technologies in population-based studies to advance understanding of aging-related disorders. The detailed description of the physical measures will facilitate cross-national comparative research and put into context the normative values outlined in the subsequent article. © 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society.

  15. The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health.

    Science.gov (United States)

    Fink, Per; Ørnbøl, Eva; Christensen, Kaj Sparle

    2010-03-24

    Hypochondriasis is prevalent in primary care, but the diagnosis is hampered by its stigmatizing label and lack of valid diagnostic criteria. Recently, new empirically established criteria for Health anxiety were introduced. Little is known about Health anxiety's impact on longitudinal outcome, and this study aimed to examine impact on self-rated health and health care costs. 1785 consecutive primary care patients aged 18-65 consulting their family physicians (FPs) for a new illness were followed-up for two years. A stratified subsample of 701 patients was assessed by the Schedules for Clinical Assessment in Neuropsychiatry interview. Patients with mild (N = 21) and severe Health anxiety (N = 81) and Hypochondriasis according to the DSM-IV (N = 59) were compared with a comparison group of patients who had a well-defined medical condition according to their FPs and a low score on the screening questionnaire (N = 968). Self-rated health was measured by questionnaire at index and at three, 12, and 24 months, and health care use was extracted from patient registers. Compared with the 968 patients with well-defined medical conditions, the 81 severe Health anxiety patients and the 59 DSM-IV Hypochondriasis patients continued during follow-up to manifest significantly more Health anxiety (Whiteley-7 scale). They also continued to have significantly worse self-rated functioning related to physical and mental health (component scores of the SF-36). The severe Health anxiety patients used about 41-78% more health care per year in total, both during the 3 years preceding inclusion and during follow-up, whereas the DSM-IV Hypochondriasis patients did not have statistically significantly higher total use. A poor outcome of Health anxiety was not explained by comorbid depression, anxiety disorder or well-defined medical condition. Patients with mild Health anxiety did not have a worse outcome on physical health and incurred significantly less health care costs than the group of

  16. The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health.

    Directory of Open Access Journals (Sweden)

    Per Fink

    Full Text Available BACKGROUND: Hypochondriasis is prevalent in primary care, but the diagnosis is hampered by its stigmatizing label and lack of valid diagnostic criteria. Recently, new empirically established criteria for Health anxiety were introduced. Little is known about Health anxiety's impact on longitudinal outcome, and this study aimed to examine impact on self-rated health and health care costs. METHODOLOGY/PRINCIPAL FINDINGS: 1785 consecutive primary care patients aged 18-65 consulting their family physicians (FPs for a new illness were followed-up for two years. A stratified subsample of 701 patients was assessed by the Schedules for Clinical Assessment in Neuropsychiatry interview. Patients with mild (N = 21 and severe Health anxiety (N = 81 and Hypochondriasis according to the DSM-IV (N = 59 were compared with a comparison group of patients who had a well-defined medical condition according to their FPs and a low score on the screening questionnaire (N = 968. Self-rated health was measured by questionnaire at index and at three, 12, and 24 months, and health care use was extracted from patient registers. Compared with the 968 patients with well-defined medical conditions, the 81 severe Health anxiety patients and the 59 DSM-IV Hypochondriasis patients continued during follow-up to manifest significantly more Health anxiety (Whiteley-7 scale. They also continued to have significantly worse self-rated functioning related to physical and mental health (component scores of the SF-36. The severe Health anxiety patients used about 41-78% more health care per year in total, both during the 3 years preceding inclusion and during follow-up, whereas the DSM-IV Hypochondriasis patients did not have statistically significantly higher total use. A poor outcome of Health anxiety was not explained by comorbid depression, anxiety disorder or well-defined medical condition. Patients with mild Health anxiety did not have a worse outcome on physical health and incurred

  17. Nijmegen Observer-Rated Depression scale for detection of depression in nursing home residents

    NARCIS (Netherlands)

    Leontjevas, R.; Gerritsen, D.L.; Vernooij-Dassen, M.J.; Teerenstra, S.; Smalbrugge, M.; Koopmans, R.T.

    2012-01-01

    Objective This study aims to test the accuracy of the Nijmegen Observer-Rated Depression (NORD) scale, a new short scale for screening of depression in nursing home (NH) residents with and without dementia. Methods This cross-sectional study with 103 residents with dementia (N = 19 depressed) and 72

  18. Flexitime in an Army Medical Center.

    Science.gov (United States)

    1981-04-01

    and Costigan (1973) conducted a longitudinal study of employee responses to the four day week in a medium-sized pharmaceutical company. The patterns...New York, New York, 1979. Nord, W.R. and Costigan, R. Worker adjustment to the four - day week : a longitudinal study. Journal of Applied Psychology, 58

  19. Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study

    Directory of Open Access Journals (Sweden)

    Devillé Walter

    2004-03-01

    Full Text Available Abstract Background This article discusses the design of a study on the prevalence of health problems (both physical and mental and the utilisation of health care services among asylum seekers and refugees in the Netherlands, including factors that may be related to their health and their utilisation of these services. Methods/Design The study will include random samples of adult asylum seekers and refugees from Afghanistan, Iran and Somali (total planned sample of 600, as these are among the largest groups within the reception centres and municipalities in the Netherlands. The questionnaire that will be used will include questions on physical health (chronic and acute diseases and somatization, mental health (Hopkins Symptoms Checklist-25 and Harvard Trauma Questionnaire, utilisation of health care services, pre- and post-migratory traumatic experiences, life-style, acculturation, social support and socio-demographic background. The questionnaire has gone through a translation process (translation and back-translation, several checks and a pilot-study and cross-cultural adaptation. Respondents will be interviewed by bilingual and bicultural interviewers who will be specifically trained for this purpose. This article discusses the selection of the study population, the chosen outcome measures, the translation and cross-cultural adaptation of the measurement instrument, the training of the interviewers and the practical execution of the study. The information provided may be useful for other researchers in this relatively new field of epidemiological research among various groups of asylum seekers and refugees.

  20. Influence of coal mine tips on the chalk aquifer. Sampling methods for three dimensional sulphate infiltration study

    Energy Technology Data Exchange (ETDEWEB)

    Barrez, F.; Mania, J. [Polytech' Lille, Dept. Genie Civil, UMR CNRS 8107 (LML), 59 - Villeneuve d' Ascq (France); Mansy, J.L. [Lille-1 Univ., Lab. de Sedimentologie et de Geodynamique, UMR CNRS 8110 (PBDS), 59 - Villeneuve d' Ascq (France); Piwakowski, B. [Ecole Centrale de Lille, Groupe Electronique Acoustique IEMN-DOAE, UMR CNRS 8520, 59 - Villeneuve d' Ascq (France)

    2005-07-01

    The coal basin of the Nord-Pas-de-Calais region (France) shows a very strong deterioration of the Chalk aquifer quality. In order to better model the hydro-dynamism and to improve knowledge on the chemical interactions, sampling according to depth of the groundwater is undertaken. The low-flow sampling and the profiles of the in-situ physicochemical parameters allow the observation of various vertical heterogeneities of the aquifer. The areas where the coal mine tips are localised appear very interesting to study. The sulphates released by the pyrite oxidation allow a 'artificial tracing' and give a visualization of the flow as well as information on the implied chemical processes between the oxidizing and reducing zones. (authors)

  1. Influence of coal mine tips on the chalk aquifer. Sampling methods for three dimensional sulphate infiltration study

    International Nuclear Information System (INIS)

    Barrez, F.; Mania, J.; Mansy, J.L.; Piwakowski, B.

    2005-01-01

    The coal basin of the Nord-Pas-de-Calais region (France) shows a very strong deterioration of the Chalk aquifer quality. In order to better model the hydro-dynamism and to improve knowledge on the chemical interactions, sampling according to depth of the groundwater is undertaken. The low-flow sampling and the profiles of the in-situ physicochemical parameters allow the observation of various vertical heterogeneities of the aquifer. The areas where the coal mine tips are localised appear very interesting to study. The sulphates released by the pyrite oxidation allow a 'artificial tracing' and give a visualization of the flow as well as information on the implied chemical processes between the oxidizing and reducing zones. (authors)

  2. The Outcome of Health Anxiety in Primary Care. A Two-Year Follow-up Study on Health Care Costs and Self-Rated Health

    OpenAIRE

    Fink, Per; ?rnb?l, Eva; Christensen, Kaj Sparle

    2010-01-01

    BACKGROUND: Hypochondriasis is prevalent in primary care, but the diagnosis is hampered by its stigmatizing label and lack of valid diagnostic criteria. Recently, new empirically established criteria for Health anxiety were introduced. Little is known about Health anxiety's impact on longitudinal outcome, and this study aimed to examine impact on self-rated health and health care costs. METHODOLOGY/PRINCIPAL FINDINGS: 1785 consecutive primary care patients aged 18-65 consulting their family p...

  3. COMPARATIVE STUDY ON THE RIGHT TO HEALTH CARE SYSTEM PRISON LAW INTENDED TO ROMANIAN NATIONAL HEALTH LAW

    Directory of Open Access Journals (Sweden)

    Florentina Laurenţia GĂIŞTEANU

    2017-05-01

    Full Text Available Health protection represents a protection measure for persons being a guaranteed right in Romania provided by the 34 Article of Romanian Constitution. The state is liable for taking measures of protecting physical and mental health, both for free persons and for those persons serving custodial measures. Starting from the Recommendation of the Committee of Ministers of the Member States relating to the European Prison Rules Rec (2006 2, which provides in paragraph 2 of subparagraph 40 – “The organization of health care in prisons”- that health policy from prison will be integrated in national health policy, being compatible with that. That comparative study aims at the implementation of European’s recommendations in different medical specialty areas. During this presentation are highlighted identical or different provisions stipulated in the relevant legislation of both two health systems, concluding that in certain areas of prison system, the state provides extra healthcare legislation. Comparative study between the right of medical assistance provided by Romanian Prison Legislation and the right of medical assistance provided by Romanian National Health Care System.

  4. Mental health service users' experiences of diabetes care by Mental Health Nurses: an exploratory study.

    Science.gov (United States)

    Nash, M

    2014-10-01

    This paper is a report of a study exploring mental health service users' (MHSUs') experiences of diabetes care. Diabetes is a growing clinical concern in mental health nursing practice. However, little is known about MHSUs' experience of diabetes care. This is a descriptive qualitative study. Semi-structured telephone interviews were held between June and October 2011, with seven MHSUs who had diabetes. Participants reported experiences of stigma and diagnostic overshadowing (DO) when reporting symptoms of diabetes or when feeling unwell. Participants also encountered a split between their mental health and diabetes care needs, which resulted in a lack of holistic or integrated care. All participants mentioned experiencing complications of diabetes even to the extent of diabetic ketoacidosis. Mental health nurses (MHNs) must critically reflect on their attitudes towards service users that report physical symptoms to ensure that stigma and DO do not constitute barriers to appropriate screening and treatment. The complex relationship that exists between mental illness and diabetes requires MHNs to ensure physical and mental health care are wholly integrated and not split. Education needs are apparent so that symptoms and complications can be recognized and treated accordingly. © 2014 John Wiley & Sons Ltd.

  5. Organisational justice and mental health: a systematic review of prospective studies.

    Science.gov (United States)

    Ndjaboué, Ruth; Brisson, Chantal; Vézina, Michel

    2012-10-01

    The models most commonly used, to study the effects of psychosocial work factors on workers' health, are the demand-control-support (DCS) model and Effort-Reward Imbalance (ERI) model. An emerging body of research has identified Organisational Justice as another model that can help to explain deleterious health effects. This review aimed: (1) to identify prospective studies of the associations between organisational justice and mental health in industrialised countries from 1990 to 2010; (2) to evaluate the extent to which organisational justice has an effect on mental health independently of the DCS and ERI models; and (3) to discuss theoretical and empirical overlap and differences with previous models. The studies had to present associations between organisational justice and a mental health outcome, be prospective, and be entirely available in English or in French. Duplicated papers were excluded. Eleven prospective studies were selected for this review. They provide evidence that procedural justice and relational justice are associated with mental health. These associations remained significant even after controlling for the DCS and ERI models. There is a lack of prospective studies on distributive and informational justice. In conclusion, procedural and relational justice can be considered a different and complementary model to the DCS and ERI models. Future studies should evaluate the effect of change in exposure to organisational justice on employees' mental health over time.

  6. Cardiovascular health and cognitive function: the Maine-Syracuse Longitudinal Study.

    Directory of Open Access Journals (Sweden)

    Georgina E Crichton

    Full Text Available Smoking, physical inactivity, and poor diet, along with obesity, fasting glucose and blood pressure have been independently associated with poorer cognitive performance. Few studies have related scales representing a combination of these variables to multiple domains of cognitive performance. The aim of this study was to investigate the association between overall cardiovascular health, incorporating seven components, and cognitive function.A cross-sectional analysis employing 972 participants, from the Maine-Syracuse Longitudinal Study was undertaken. Four health behaviors (body mass index, physical activity, diet, smoking and three health factors (total cholesterol, blood pressure, and fasting plasma glucose were measured. Each was categorized according to the American Heart Association definitions for ideal cardiovascular health, except diet, for which two food scores were calculated. A Cardiovascular Health Score was determined by summing the number of cardiovascular metrics at ideal levels. Cognitive function was assessed using a thorough neuropsychological test battery.Cardiovascular Health Score was positively associated with seven out of eight measures of cognitive function, with adjustment for age, education, and gender. With further adjustment for cardiovascular and psychological variables, these associations remained significant for Visual-Spatial Memory, Working Memory, Scanning and Tracking, Executive Function and the Global Composite score (p<0.05 for all. Ideal levels of a number of health factors and behaviors were positively associated with global cognitive performance.Increasing cardiovascular health, indexed by a higher number of metrics at ideal levels, is associated with greater cognitive performance. Smoking, physical activity, and diet are important components of cardiovascular health that impact upon cognition.

  7. Improving the Mental Health, Healthy Lifestyle Choices, and Physical Health of Hispanic Adolescents: A Randomized Controlled Pilot Study

    Science.gov (United States)

    Melnyk, Bernadette M.; Jacobson, Diana; Kelly, Stephanie; O'Haver, Judith; Small, Leigh; Mays, Mary Z.

    2009-01-01

    Background: Obesity and mental health disorders are 2 major public health problems in American adolescents, with prevalence even higher in Hispanic teens. Despite the rapidly increasing incidence and adverse health outcomes associated with overweight and mental health problems, very few intervention studies have been conducted with adolescents to…

  8. Sex Differences in Biological Markers of Health in the Study of Stress, Aging and Health in Russia

    DEFF Research Database (Denmark)

    Oksuzyan, Anna; Shkolnikova, Maria; Vaupel, James W

    2015-01-01

    the associations between biomarkers and subjective health have sex-specific patterns. MATERIALS: Previously collected data in the study of Stress, Aging, and Health in Russia (SAHR, n = 1800) were used to examine sex differences in biomarkers and their associations with physical functioning and self-rated health...

  9. Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study.

    NARCIS (Netherlands)

    Gerritsen, A.A.M.; Bramsen, I.; Devillé, W.; Willigen, L.H.M. van; Hovens, J.E.; Ploeg, H.M. van der

    2004-01-01

    BACKGROUND: This article discusses the design of a study on the prevalence of health problems (both physical and mental) and the utilisation of health care services among asylum seekers and refugees in the Netherlands, including factors that may be related to their health and their utilisation of

  10. [Factors Influencing Participation in Financial Incentive Programmes of Health Insurance Funds. Results of the Study 'German Health Update'].

    Science.gov (United States)

    Jordan, S; von der Lippe, E; Starker, A; Hoebel, J; Franke, A

    2015-11-01

    The statutory health insurance can offer their insured incentive programmes that will motivate for healthy behaviour through a financial or material reward. This study will show results about what factors influence financial incentive programme participation (BPT) including all sorts of statutory health insurance funds and taking into account gender differences. For the cross-sectional analysis, data were used from 15,858 participants in the study 'Germany Health Update' (GEDA) from 2009, who were insured in the statutory health insurance. The selection of potential influencing variables for a BPT is based on the "Behavioural Model for Health Service Use" of Andersen. Accordingly, various factors were included in logistic regression models, which were calculated separately by gender: predisposing factors (age, education, social support, and health awareness), enabling factors (income, statutory health insurance fund, and family physician), and need factors (smoking, fruit and vegetable consumption, sports, body mass index, and general health status). In consideration of all factors, for both sexes, BPT is associated with age, health awareness, education, use of a family physician, smoking, and sports activities. In addition, income, body mass index, and diet are significant in women and social support and kind of statutory health insurance fund in men. It is found that predisposing, enabling and need factors are relevant. Financial incentive programmes reach population groups with greatest need less than those groups who already have a health-conscious behaviour, who receive a reward for this. In longitudinal studies, further research on financial incentive programmes should investigate the existence of deadweight effects and whether incentive programmes can contribute to the reduction of the inequity in health. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Health effects engineering: Perspectives for environmental health and environmental engineering studies-domestic biomass combustion as an example

    International Nuclear Information System (INIS)

    Gao Xiang; Yu Qi; Chen Limin

    2007-01-01

    Health effects engineering (HEE) is a newly developed research field, which involves collaboration with environmental scientists, engineering researchers, and toxicologists. By employing the methods of HEE, one can not only confirm which attributes of the project are likely to contribute to certain health effects, but can also get rid of the adverse health effects by engineering technologies. HEE is thought to be particularly important to domestic projects in which there is a lack of environmental assessment. This paper presented the authors' viewpoints of the principles of HEE in the field of the environmental health and engineering studies by using programs of domestic biomass combustion as an example. The authors showed that there are three sub-fields of HEE, which are as follows: engineering behavior, the pollution characteristics, and the health effects. The authors conclude that the principles of HEE compose a helix with the studies in the fields of environmental science, health, and engineering, and give suggestions on how to perform HEE in a practical field

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

    Science.gov (United States)

    Yeatman, H R; Nove, T

    2002-12-01

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

  13. Applying the health action process approach (HAPA) to the choice of health products: An exploratory study

    DEFF Research Database (Denmark)

    Krutulyte, Rasa; Grunert, Klaus G.; Scholderer, Joachim

    This paper presents the results of a qualitative pilot study that aimed to uncovering Danish consumers' motives for choosing health food. Schwarzer's (1992) health action process approach (HAPA) was applied to understand the process by which people chose health products. The research focused...... on the role of the behavioural intention predictors such as risk perception, outcome expectations and self-efficacy. The model has been proved to be a useful framework for understanding consumer choosing health food and is substantial in the further application of dietary choice issues....

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

    Science.gov (United States)

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

    2006-09-01

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

  15. Heterogeneity of European DRG systems and potentials for a common EuroDRG system Comment on "Cholecystectomy and Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries".

    Science.gov (United States)

    Geissler, Alexander; Quentin, Wilm; Busse, Reinhard

    2015-03-05

    Diagnosis-Related Group (DRG) systems across Europe are very heterogeneous, in particular because of different classification variables and algorithms as well as costing methodologies. But, given the challenge of increasing patient mobility within Europe, health systems are forced to incorporate a common patient classification language in order to compare and identify similar patients e.g. for reimbursement purposes. Beside the national adoption of DRGs for a wide range of purposes (measuring hospital activity vs. paying hospitals), a common DRG system can serve as an international communication basis among health administrators and can reduce the national development efforts as it is demonstrated by the NordDRG consortium. © 2015 by Kerman University of Medical Sciences.

  16. Workplace Violence in the Health Sector in Turkey: A National Study.

    Science.gov (United States)

    Pinar, Tevfik; Acikel, Cengizhan; Pinar, Gul; Karabulut, Erdem; Saygun, Meral; Bariskin, Elif; Guidotti, Tee L; Akdur, Recep; Sabuncu, Hilmi; Bodur, Said; Egri, Mucahit; Bakir, Bilal; Acikgoz, Emrah M; Atceken, Ismail; Cengiz, Mustafa

    2015-06-28

    Violence in the workplace is an increasing occupational health concern worldwide. Health care workers are at high risk of assault. To develop, monitor, and manage prevention policies, baseline data should be available. This cross-sectional study was designed to determine the current extent of workplace violence nationwide in Turkey. The study population of 12.944 health care workers was a stratified sample of all health care workers (612,639) in the country. A probabilistic sampling was made on the basis of the "multistage stratified random cluster sampling method." This study was conducted by a structured questionnaire in a face-to-face interview. The questionnaire items were adapted and translated into Turkish based on questionnaires of International Labor Organization, International Council of Nurses, World Health Organization, and Public Services International. The percentage of health care workers who experienced workplace violence in Turkey in the previous 12 months was 44.7%. The types of violence included physical 6.8%, verbal 43.2%, mobbing (bullying) 2.4%, and sexual harassment 1%. Multivariate analysis showed that level of health care system, type of institution, gender, occupation, age, working hours, and shift work were independent risk factors for experiencing workplace violence (p violence among health care workers is a significant problem. The results of the study can serve as the basis for future analytical studies and for development of appropriate prevention efforts. © The Author(s) 2015.

  17. Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries.

    Science.gov (United States)

    de Andrade, Luiz Odorico Monteiro; Pellegrini Filho, Alberto; Solar, Orielle; Rígoli, Félix; de Salazar, Lígia Malagon; Serrate, Pastor Castell-Florit; Ribeiro, Kelen Gomes; Koller, Theadora Swift; Cruz, Fernanda Natasha Bravo; Atun, Rifat

    2015-04-04

    Many intrinsically related determinants of health and disease exist, including social and economic status, education, employment, housing, and physical and environmental exposures. These factors interact to cumulatively affect health and disease burden of individuals and populations, and to establish health inequities and disparities across and within countries. Biomedical models of health care decrease adverse consequences of disease, but are not enough to effectively improve individual and population health and advance health equity. Social determinants of health are especially important in Latin American countries, which are characterised by adverse colonial legacies, tremendous social injustice, huge socioeconomic disparities, and wide health inequities. Poverty and inequality worsened substantially in the 1980s, 1990s, and early 2000s in these countries. Many Latin American countries have introduced public policies that integrate health, social, and economic actions, and have sought to develop health systems that incorporate multisectoral interventions when introducing universal health coverage to improve health and its upstream determinants. We present case studies from four Latin American countries to show the design and implementation of health programmes underpinned by intersectoral action and social participation that have reached national scale to effectively address social determinants of health, improve health outcomes, and reduce health inequities. Investment in managerial and political capacity, strong political and managerial commitment, and state programmes, not just time-limited government actions, have been crucial in underpinning the success of these policies. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Study on the Merger of the Market Areas GRTgaz Nord and Sud - Final Report

    International Nuclear Information System (INIS)

    2012-02-01

    As GRTgaz is investigating the merger of its North and South market areas in order to create a unique marketplace, this study looks at potential options for managing congestion by means of contractual and/or market-based arrangements. It first applies a simplified model of the French gas market in order to quantify the potential risk of congestion in terms of frequency and severity. The simulations cover three different scenarios which have been developed to represent different developments of the French, European and worldwide gas markets for the time horizon 2016 to 2020. It quantitatively assesses the considered potential mechanisms. It combines the outcomes of quantitative and qualitative analyses to assess detailed options of congestion management in the French gas market. It formulates a set of proposals for managing the different types of congestion, and assesses the costs of congestion management. Recommendations are made for a set of mechanisms which may be used to enable and facilitate the market merger. A number of steps to be taken in preparation of the merger are proposed

  19. Les oiseaux de l'archipel de Nosy Hara, au nord nord- ouest de ...

    African Journals Online (AJOL)

    Marie Jeanne Raherilalao

    1997, Hawkins et Goodman 1999,. Raherilalao et al. 2002, Raherilalao et Wilmé 2008) de sorte que les recherches récentes s'orientent davantage vers les analyses de la distribution ou les modèles d'endémisme. (Raherilalao et Goodman 2003, Raherilalao et Wilmé 2008). Rappelons aussi que la plupart des études ont ...

  20. Iranian Women’s Motivations for Seeking Health Information: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Nikbakht Nasrabadi

    2015-10-01

    Full Text Available Background Today empowerment of women by health literacy has become a necessity. Researchers have shown that women are active seekers of health information and seeking behaviors are driven by various motivational factors. Paying attention to women’s motivations for seeking health information could facilitate evidence-based policy making in promotion of public health literacy. As health information seeking develops within personal-social interactions and also the health system context, it seems that a qualitative paradigm is appropriate for studies in this field. Objectives The aim of this study was to explore Iranian women’s motivations for seeking heath information. Patients and Methods In this qualitative content analysis study, data collection was conducted considering the inclusion criteria, through purposive sampling and by semi-structured interviews with 17 women, using documentation and field notes, until data saturation. Qualitative data analysis was done constantly and simultaneous with data collection. Results Five central themes emerged to explain the women’s motivation for health information seeking including: a dealing with fear and uncertainly b understanding the nature of disease and diagnostic/therapeutic procedures c performing parental duties d promoting a healthy life style e receiving safer health care. Conclusions It seemed that respecting client’s concerns, providing comprehensive health information, as well as risk management and promoting safer health care is necessary.