... support & care > living with sma > medical issues > nutrition Nutrition Good nutrition is essential to health and growth. ... must make decisions based on their own needs. Nutrition Considerations Since we are still waiting for clinical ...
Peña-Rosas, Juan Pablo; Saxena, Abha; Zamora, Gerardo
Background The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc.) contexts. Aim The goal of this scoping review is to delineate and “map” the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise. Methods A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O’Malley. Searches using PubMed with Medical Subject Headings (MeSH) categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications. Results The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented. Discussion The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this
Hurlimann, Thierry; Peña-Rosas, Juan Pablo; Saxena, Abha; Zamora, Gerardo; Godard, Béatrice
The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc.) contexts. The goal of this scoping review is to delineate and "map" the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise. A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O'Malley. Searches using PubMed with Medical Subject Headings (MeSH) categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications. The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented. The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this field. More importantly, these ethical issues
Full Text Available The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc. contexts.The goal of this scoping review is to delineate and "map" the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise.A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O'Malley. Searches using PubMed with Medical Subject Headings (MeSH categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications.The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented.The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this field. More importantly, these
Robertson, Aileen; James, W. Philip. T.
of food supply; anthropometric measures; in search of the most vulnerable; assessing food security; assessing nutritional deficiencies-protein and micronutrient issues; public health issues in former Yugoslavia-infant feeding practices, developing nutrition expertise in modern public health......This chapter in the text book "Essentials of Human Nutrition" published by OUP explores war in former Yugoslavia and the accompanying nutritional issues. Areas of focus include: emergency food aid; how much energy?; nutritional surveillance-a re-evaluation of its role in wartime; the quality...
Torheim, Liv Elin; Birgisdottir, Bryndis Eva; Robertson, Aileen
, Oslo, Norway, 2Unit for Nutrition Research, Landspitali University Hospital , 3Department of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland, 4Global Nutrition and Health, Metropolitan University College, Copenhagen, Denmark, 5School of Hospitality, culinary arts and meal science...
In 1990, the Unicef conceptual framework for nutrition recognised the role of care, along with household food security and health services and environment, as one of the three underlying factors of child survival, growth, and development. This model has been adopted at a policy level at the International Conference on Nutrition (Rome, 1992) and over the past ten years the concept of care has been refined through literature reviews, consultative meetings and empirical works. "Care is the provision in the household and the community of time, attention, and support to meet the physical, mental, and social needs of the growing child and other household members". Basically, care refers to the actions of caregivers (mainly, but not only mothers) that translate food and health resources into positive outcomes for the child's nutrition. Even under circumstances of poverty, enhanced caregiving can optimise the use of resources to promote good nutrition. Care practices have been grouped into six categories: care for women, breastfeeding and child feeding practices, psychosocial care, food preparation, hygiene practices, household health practices. They cover a wide range of behaviours, are often culturally specific and are daily, repetitive, and time-consuming activities. It must be underlined that the way care practices are performed (i.e., quality of care) is as important as the practices themselves. It has also been emphasised that children play a significant role in determining the quality of care that they receive, through an interactive process: an active child elicits more care from the caregiver, who is in turn more responsive. Care resources at household level have been described according to three categories: human (knowledge, beliefs, education, physical and mental health of the caregiver), economic (control on income, workload and time), and organisational (alternate caregivers, community support). But the availability of care also depends on support at the
Full Text Available Abraham Maslow (1908 – 1970 has set up a hierarchy of five levels of basic needs. Of those that are considered to be basic physiological needs hunger, thirst as well as bodily comforts are considered to be the most important. Physiological needs are the strongest needs because if a person were deprived on all needs it is these physiological needs that would take the highest priority. As food is characterized as a basic need, we should have a special view on our daily food and our handling of it. Most people do not act careful with their daily intake of food. In the last decades, the increases of nutrition-associated diseases such as overweight and obesity and on the other hand underweight have been recorded. From a life-span approach, the problem has its offset point in the early age of development, namely in children and adolescents. Malnutrition, overweight and obesity limit children’s personal quality of life in terms of unhappiness with their own body, opposition or even rejection in peer group communication and general difficulties in day-to-day social interaction. A close connection between physical stature and the development of a negative self-concept and a low self-esteem is postulated.
Lambe, J; Kearney, J; Leclercq, C; Zunft, H F; De Henauw, S; Lamberg-Allardt, C J; Dunne, A; Gibney, M J
To examine the influence of food consumption survey duration on estimates of percentage consumers, mean total population intakes and intakes among consumers only and to consider its relevance for public health nutrition and food safety issues. Prospective food consumption survey. A multicentre study in five centres in the European Union-Dublin, Ghent, Helsinki, Potsdam and Rome. Teenage subjects were recruited through schools; 948 (80%) out of 1180 subjects completed the survey. 14-day food diaries were used to collect the food consumption data. For mean total population intakes, 53% of the foods had slopes significantly different to 0 (Pday), these differences were small, with 41% of foods having differences of day and a further 35% having differences of 1-5 g/day. Estimates of percentage consumers based on 3 days and 14 days were 1.9 and 3.6 times the 1-day estimate, respectively. For 72% of foods, at least 50% of non-consumers on day 1 became consumers over the subsequent 13 days. Estimates of mean consumer only intakes based on 3 days and 14 days were 53% and 32% of the 1 day value. In practical terms, survey duration influences estimates of percentage consumers and intakes among consumers only but not mean total population intakes. Awareness of this influence is important for improved interpretation of dietary data for epidemiological studies, development of food-based dietary guidelines and food chemical intakes. The Institute of European Food Studies, a non-profit research organization based in Trinity College Dublin. European Journal of Clinical Nutrition (2000) 54, 166-173
. Knowledge of nutrition; which includes community, clinical, and critical care nutrition, is constantly growing. Therefore, the needs of journal submissions and reference searches continue to increase. In this digital era, the web has greatly reduced the barriers for communicating scientific output.1 One of many methods of publishing journals online is open access (OA. This is a method of publishing peer-reviewed journals and articles in the internet. This model of publishing can be freely accessed and read.2 In Indonesia, there are still only few open accessed journal publications, especially regarding nutrition-related knowledge. Considering the importance of journal publications, INA establishes World Nutrition Journal as an open access journal for the expansion of nutrition-related knowledge and acts as a media for authors to publish their researches. World Nutrition Journal (abbreviated as WNJ is the peer-reviewed, world scale scientific journal of community, clinical, and critical care nutrition. It is the official journal of Indonesian Nutrition Association. As a brand new journal, WNJ’s team haveroles to achieve standard requirementsof an International Journal. Recently, WNJ’s ISSN has been registered from LIPI (Lembaga Ilmu Pengetahuan Indonesia or Indonesian Science Institution, and has become a member of Crossref for Metadata and Similarity Check. Our goals are to publish high standard articles which are available to be tracked and cited by International scientists, as well as being indexed in Scopus, a bibliographic database containing abstracts and citations for academic journal articles. We do realize our first issue of World Nutriton Journal is a starting point and a stepping stone to develop our journal to be more credible and havemore impact factors. We will strive to polish and achieve our targets to be fulfilled for our next edition.
Full Text Available Introduction: Public Nutrition refers to work in the interest of the public; with the participation of the public; and with all sectors involved in society, not just the health sector, nor mainly the health sector, though for the benefit of population health and nutrition. Action outside of the health sector, particularly with regard to food systems is required, such as capacitating women in agriculture and land use for increased vegetable production. Rationale: Adopting public health approach, an evidence from a field project wherein the evaluation study was conducted by Oxfam India (a leading non-profit organization, and where the authors coordinated and documented field evidence through conducting end line evaluation study is discussed in this paper, in order to highlight the achievement of women farmers in ensuring food and nutrition security by strengthening low cost vegetable production in Shaharanpur and Pilibhit, Uttar Pradesh. Objective of the study: To assess the success and impact of measures adopted under the project in order to enhance the capacity and skills of women vegetable farmers in sustainable farming practices. Materials and Methods: Purposive Non Probability Sampling adopted to include key set of stakeholders, which includes 100 women vegetable farmers, 8 NGO and 5 government officials respectively drawn from Shahjahanpur and Pilibhit district of Uttar Pradesh. The methods which were used to gather quantitative and qualitative data for the study were: In-depth Interview, Focused Group Discussion (FGD, Case Studies. Results: Child nutrition is positively and independently associated with increased vegetable production through agriculture and land use by women in the villages. It enhanced the nutritional status of women and improved the health status of their family members as well. Conclusion: The public nutrition approach will make it possible to increase the impact of current initiatives which aim to reverse
Sim, Fiona; McKee, Martin
..., there is increasing understanding of the inevitable limits of individual health care and of the need to complement such services with effective public health strategies. Major improvements in people's health will come from controlling communicable diseases, eradicating environmental hazards, improving people's diets and enhancing the availability ...
As an increasing part of everyday life becomes connected with the web in many areas of the globe, the question of how the web mediates political processes becomes still more urgent. Several scholars have started to address this question by thinking about the web in terms of a public space....... In this paper, we aim to make a twofold contribution towards the development of the concept of publics in web science. First, we propose that although the notion of publics raises a variety of issues, two major concerns continue to be user privacy and democratic citizenship on the web. Well-known arguments hold......, this paper points towards an alternative way to think about publics by proposing a pragmatist reorientation of the public/private distinction in web science, away from seeing two spheres that needs to be kept separate, towards seeing the public and the private as something that is continuously connected...
Palmer, Carole A.; And Others
A survey of 79 experts in dental nutrition sought consensus on the appropriate scope of nutrition in clinical dentistry. Results support the need for greater attention to nutrition issues in dental schools and better models for nutrition interventions in dental practice. (Author/MSE)
Frenk, J.; Coutre, le J.; Bladeren, van P.J.; Blum, S.
The relationship between health and the economy is complex and hardly a matter of unidirectional cause and consequence. With health increasingly being understood as a stimulus for the economy, nutrition directly assumes the status of an economic identifier. This paper discusses the growing
Department of Tropical Nutrition and Food Science, Mahidol University, and Nutrition. Association of Thailand ... Food-borne parasitic infections, some of which are very dangerous, are also .... Food patterns and habits of people in an endemic ...
Palermo, C; Hughes, R; McCall, L
Workforce development is a key element for building the capacity to effectively address priority population nutrition issues. On-the-job learning and mentoring have been proposed as strategies for practice improvement in public health nutrition; however, there is limited evidence for their effectiveness. An evaluation of a mentoring circle workforce development intervention was undertaken. Thirty-two novice public health nutritionists participated in one of three mentoring circles for 2 h, every 6 weeks, over a 7-month period. Pre- and post-intervention qualitative (questionnaire, interview, mentor diary) and quantitative (competence, time working in public health nutrition) data were collected. The novice public health nutritionists explained the intervention facilitated sharing of ideas and strategies and promoted reflective practice. They articulated the important attributes of the mentor in the intervention as having experience in and a passion for public health, facilitating a trusting relationship and providing effective feedback. Participants reported a gain in competency and had an overall mean increase in self-reported competence of 15% (range 3-48% change; P work time allocated to preventive work post-intervention. Mentoring supported service re-orientation and competency development in public health nutrition. The nature of the group learning environment and the role and qualities of the mentor were important elements contributing to the interventions effects. Mentoring circles offer a potentially effective strategy for workforce development in nutrition and dietetics.
Public Energy Education Task Force.
This paper was intended to stimulate discussion of energy education issues at a conference on energy issues. The discussion ranges through numerous topics at issue in energy education including public energy awareness, definition of public education, the distinction between public education and public relations, and the presentation of a model…
Miller, Keith R; Bozeman, Matthew C
Esophageal cancer has traditionally been a disease with poor long term outcomes in terms of both survival and quality of life. In combination with surgical and pharmacologic therapy, nutrition support has been demonstrated to improve patient tolerance of treatment, quality of life, and longterm outcomes. An aggressive multi-disciplinary approach is warranted with nutrition support remaining a cornerstone in management. Historically, nutrition support has focused on adequate caloric provision to prevent weight loss and allow for tolerance of treatment regimens. Alterations in metabolism occur in these patients making their use of available calories inefficient and the future of nutritional support may lie in the ability to alter this deranged metabolism. The purpose of this article is to review the current literature surrounding the etiology, treatment, and role of nutrition support in improving outcomes in esophageal cancer.
The publications issued by the IAEA's Division of Publications in 1996 are grouped in four categories: Priced and miscellaneous publications classified by divisions and by series; unpriced and miscellaneous publications classified by divisions and series. The information provided about each publication includes the symbol, language, title, centre and project code, data of time and number of pages
Maughan, Ronald J; Shirreffs, Susan M
Diet can significantly influence athletic performance, but recent research developments have substantially changed our understanding of sport and exercise nutrition. Athletes adopt various nutritional strategies in training and competition in the pursuit of success. The aim of training is to promote changes in the structure and function of muscle and other tissues by selective modulation of protein synthesis and breakdown in response to the training stimulus. This process is affected by the availability of essential amino acids in the post-exercise period. Athletes have been encouraged to eat diets high in carbohydrate, but low-carbohydrate diets up-regulate the capacity of muscle for fat oxidation, potentially sparing the limited carbohydrate stores. Such diets, however, do not enhance endurance performance. It is not yet known whether the increased capacity for fat oxidation that results from training in a carbohydrate-deficient state can promote loss of body fat. Preventing excessive fluid deficits will maintain exercise capacity, and ensuring adequate hydration status can also reduce subjective perception of effort. This latter effect may be important in encouraging exercise participation and promoting adherence to exercise programmes. Dietary supplement use is popular in sport, and a few supplements may improve performance in specific exercise tasks. Athletes must be cautious, however, not to contravene the doping regulations. There is an increasing recognition of the role of the brain in determining exercise performance: various nutritional strategies have been proposed, but with limited success. Nutrition strategies developed for use by athletes can also be used to achieve functional benefits in other populations.
Ball, C S
Nutrition is a final common pathway in chronic disease, and weight loss is a major manifestation of acquired immunodeficiency syndrome (AIDS). In sub-Saharan Africa, studies have shown that 25% of children with malnutrition have human immunodeficiency virus (HIV) infection, although patterns of malnutrition are indistinguishable from those who are HIV negative. Breast-feeding increases the risk of vertical transmission, and the overall risk versus benefit needs continuing careful consideration in relation to local mortality from gastroenteritis and malnutrition. Chronic diarrhea is much more common in HIV-infected children in Africa and may have a multiplicity of causes, including infection with adherent forms of Escherichia coli, protozoa, and even direct HIV infection of intestinal mucosal cells. The HIV wasting syndrome produces reduction in bioelectrical impedence, fat, lean body mass, and body cell mass, but the changes can be predicted from equations used in starvation states. Micronutrients may be important, but observed changes may be due to immune mediator activation, rather than malnutrition. Calorie supplementation is beneficial when delivered by any route, but is likely to produce the greatest positive change when CD4 counts are highest in relation to calorie intake. Paradoxically, HIV-infected children may be obese early in the disease until AIDS develops. There is an inextricable link between disease and nutritional status. In children with AIDS wasting syndrome, a low CD4 count and high viral load are likely so that effective antiviral treatment may ultimately produce the greatest improvement in health, including nutritional status.
Nealey, S.M.; Radford, L.M.
This document aims to raise issues and to analyze them, not resolve them. The issues were: temporal equity, geographic and socioeconomic equity, implementation of a nuclear waste management system, and public involvement
Full Text Available Paper discuss the general features build in international activities known under term public diplomacy. Public diplomacy is not one-side process as well as strictly official but have a lot meanings - from economic to cultural. Linking up to economic side of the global national appearance, paper stressing an impact public diplomacy developed on the micro or company level. Some general remarks are mentioned in the case of Montenegro experience.
Full Text Available Neurologically impaired (NI children are at increased risk of malnutrition due to several nutritional and non-nutritional factors. Among the nutritional factors, insufficient dietary intake as a consequence of feeding difficulties is one of the main issues. Feeding problems are frequently secondary to oropharyngeal dysphagia, which usually correlates with the severity of motor impairment and presents in around 90% of preschool children with cerebral palsy (CP during the first year of life. Other nutritional factors are represented by excessive nutrient losses, often subsequent to gastroesophageal reflux and altered energy metabolism. Among the non-nutritional factors, the type and severity of neurological impairment, ambulatory status, the degree of cognitive impairment, and use of entiepileptic medication altogether concur to determination of nutritional status. With the present review, the current literature is discussed and a practical approach for nutritional assessment in NI children is proposed. Early identification and intervention of nutritional issues of NI children with a multidisciplinary approach is crucial to improve the overall health and quality of life of these complex children.
Penagini, Francesca; Mameli, Chiara; Fabiano, Valentina; Brunetti, Domenica; Dilillo, Dario; Zuccotti, Gian Vincenzo
Neurologically impaired (NI) children are at increased risk of malnutrition due to several nutritional and non-nutritional factors. Among the nutritional factors, insufficient dietary intake as a consequence of feeding difficulties is one of the main issues. Feeding problems are frequently secondary to oropharyngeal dysphagia, which usually correlates with the severity of motor impairment and presents in around 90% of preschool children with cerebral palsy (CP) during the first year of life. Other nutritional factors are represented by excessive nutrient losses, often subsequent to gastroesophageal reflux and altered energy metabolism. Among the non-nutritional factors, the type and severity of neurological impairment, ambulatory status, the degree of cognitive impairment, and use of entiepileptic medication altogether concur to determination of nutritional status. With the present review, the current literature is discussed and a practical approach for nutritional assessment in NI children is proposed. Early identification and intervention of nutritional issues of NI children with a multidisciplinary approach is crucial to improve the overall health and quality of life of these complex children.
Full Text Available John C Morrison1, John Elliott2, Robert A Knuppel3, Baha Sibai4, Michael W Pill51Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS, USA; 2Saddleback Memorial Medical Center, Women's Hospital, Laguna Hills, CA, USA; 3DuBois Regional Medical Center, DuBois, PA, USA; 4University of Cincinnati College of Medicine, Cincinnati, OH, USA; 5Gemini Healthcare, Westbrook, CT, USAAbstract: The typical American diet, characterized by energy-dense foods rich in starches, sugars, and saturated fats, and low in fruits and vegetables, is relatively unhealthy and is associated with nutritional deficiencies. Suboptimal diets for pregnant women have been associated with serious maternal medical complications (eg, iron deficiency anemia, high blood pressure, gestational diabetes, and morning sickness, as well as an increased risk of intrauterine growth restriction, birth defects, developmental delays after birth, and future chronic health problems, (eg, heart disease, type 2 diabetes, high blood pressure, and high cholesterol during childhood, as well as later in life. Folic acid deficiency is one of the most common problems among pregnant women, and supplementation with folic acid during pregnancy has been reported to decrease the occurrence and recurrence of fetal neural tube defects. Folate supplementation beginning preconception, along with a multivitamin, at least 12 weeks prior to conception is recommended to achieve maximal risk reduction. The reported benefits of supplementing docosahexaenoic acid, an unsaturated omega-3 essential fatty acid, during pregnancy include promoting proper neurodevelopment in fetuses and infants that extends into childhood. Pregnancy is also associated with an increased susceptibility to oxidative stress, resulting from the imbalance between oxygen free radicals and the essential antioxidants that maintain homeostasis. Associated complications include preeclampsia, preterm labor, and
Mihai A. GÎRŢU
Full Text Available Starting from the recent public debate over global warming we discuss the scientific consensus and public perception on climate issues. We then turn to the ongoing debate on diets and nutrition, comparing scientific perspectives, public views and religious standpoints.
Argues for the teaching public issues in the forum of business communication classes. Describes how students tracked presidential election campaigns and emerged with an understanding of underlying political, economic, and social realities that affect the way America does business. (RS)
Yngve, A; Warm, D; Landman, J; Sjöström, M
Effective population-based strategies require people trained and competent in the discipline of Public Health Nutrition. Since 1997, a European Master's Programme in Public Health Nutrition has been undergoing planning and implementation, by establishing initial quality assurance systems with the aid of funding from the European Commission (DG SANCO/F3). Partners from 17 European countries have been involved in the process. A European Network of Public Health Nutrition has been developed and accredited by the European Commission.
Ortiz-Moncada, R; González-Zapata, L; Ruiz-Cantero, M T; Clemente-Gómez, V
The increased number of articles published in nutrition is a reflection of the relevance to scientific community. The characteristics and quality of nutritional studies determine whether readers can obtain valid conclusions from them, as well as their usefulness for evidence-based strategic policies. To determine the characteristics of papers published in nutrition journals. Descriptive study design. We reviewed 330 original papers published between January-June 2007. From: American Journal of Clinical Nutrition (AJCN), Journal of Nutrition, European Journal Nutrition, European Journal of Clinical Nutrition and Public Health Nutrition. We classified them according to the subjects studied; risk factors, study design and country of origin. Almost half the papers studied healthy people (53.3%). The most frequent illness was obesity (13.9%). Food consumption is the most frequent risk factor (63.3%). Social factors appear exclusively only in 3.6% of the papers. Clinical trials were the most common analytical design (31.8%), mainly in the AJCN (45.6%). Cross-sectional studies were the most frequent type of observational design (37.9%). Ten countries produced over half of the papers (51.3%). The US publishes the highest number of papers (20.6%), whilst developing countries make only scarce contributions to scientific literature on nutrition. Most of the papers had inferential power. They generally studied both healthy and sick subjects, coinciding with the aims of international scientific policies. However, the topics covered reflect a clear bias, prioritizing problems pertaining to developed countries. Social determinants of health should also be considered, along with behavioral and biological risk factors.
Lupoli, Roberta; Lembo, Erminia; Saldalamacchia, Gennaro; Avola, Claudia Kesia; Angrisani, Luigi; Capaldo, Brunella
Bariatric surgery is recognized as a highly effective therapy for obesity since it accomplishes sustained weight loss, reduction of obesity-related comorbidities and mortality, and improvement of quality of life. Overall, bariatric surgery is associated with a 42% reduction of the cardiovascular risk and 30% reduction of all-cause mortality. This review focuses on some nutritional consequences that can occur in bariatric patients that could potentially hinder the clinical benefits of this therapeutic option. All bariatric procedures, to variable degrees, alter the anatomy and physiology of the gastrointestinal tract; this alteration makes these patients more susceptible to developing nutritional complications, namely, deficiencies of macro- and micro-nutrients, which could lead to disabling diseases such as anemia, osteoporosis, protein malnutrition. Of note is the evidence that most obese patients present a number of nutritional deficits already prior to surgery, the most important being vitamin D and iron deficiencies. This finding prompts the need for a complete nutritional assessment and, eventually, an adequate correction of pre-existing deficits before surgery. Another critical issue that follows bariatric surgery is post-operative weight regain, which is commonly associated with the relapse of obesity-related co-morbidities. Nu-tritional complications associated with bariatric surgery can be prevented by life-long nutritional monitoring with the administration of multi-vitamins and mineral supplements according to the patient’s needs. PMID:29204255
It is natural in a democratic society that people request more participation in the decision making process. The once centralized government was however reluctant to open more room in this regard concerning the nuclear power industry and radioactive waste management. The environmental impact assessment provided the statuary ground, although limited, for public participation in the environmental issues. A comprehensive social communication program which consists of public information, public education, public relation, and public participation must be established to ensure the smooth realization of a development project. This paper described the relevant situations in Taiwan and recommended various practices to alleviate the NIMBY syndrome. These descriptions and recommendations would be useful particularly for the third world countries facing emerging environmental issues in the near future
Maruya, Nobuko; Kaneda, Masayo; Namikawa, Shintaro; Nakajima, Tomoko; Tamon, Takako; Murai, Yoko
The Japanese school lunch system, which has over 100 y of history, has gained world attention for its well-developed and steady system, healthy Japanese-style menus including rice, and educational programs utilizing the school lunch system. Meanwhile, risk factors of health among students have been continuously worsening for the past dozen years or so. Therefore, Japan had hastened to develop better educational programs utilizing the school lunch and nutritional teachers. Under such circumstances, the Japanese Diet passed a bill to amend the School Education Law (hereinafter called the Amendment) which includes the establishment of an educational system by nutrition teachers in May, 2004. This system will be enforced in April, 2005. This system by nutrition teachers in Japan is well organized in both the legal and administrative senses and is attracting domestic and international attention as an example of an educational measure to improve the dietary life of students. The reason for this article in English is the additional intention of enlightening other countries by showing the political promotion problems of educational administration agencies, educational contents of nutrition teachers and some issues of the new educational system by nutrition teachers.
The article discusses the incidental public law issues which can arise in an arbitration case, e.g. concerning power, heating, natural gas and other public facility legislation, national or Community legal restrictive trade practices law, and rules on state administration approval of the terms...... by arbitration, and where the award is nullifiable only if its findings are in violation of public policy, the ordre public. The article relies on UNCITRAL's Model Arbitration Law, the new Danish arbitration act (DAA), national European case law, and literature and case law of the European Court....
Novacek, Michael J.
To engage people in biodiversity and other environmental issues, one must provide the opportunity for enhanced understanding that empowers individuals to make choices and take action based on sound science and reliable recommendations. To this end, we must acknowledge some real challenges. Recent surveys show that, despite growing public concern, environmental issues still rank below many other problems, such as terrorism, health care, the economy, and (in the U.S.) family values. Moreover, m...
Elmadfa, I; Meyer, A L
origin of substances found in food can also influence their usability. For example, the German Nutrient Data base does not discriminate between naturally occurring and added sucrose impeding the estimation of added sucrose intake that should be limited. Points of focus: Considering the increasing number of persons relying on community nutrition and catering, healthy menu lines can improve the consumers' diets and contribute to nutrient supply. The development and implementation of appropriate guidelines also need food composition databases (FCBs) to compose meals. The ever-increasing number of new food preparations and manufactured products has resulted in a need for procedures for regularly updated data. Moreover, there is a lack of data particularly for essential trace elements such as copper, chromium or molybdenum and also vitamin K, as well as the already mentioned non-nutritive components. Limited comparability between countries is another issue. Regional differences arise especially from the use of local varieties, different soil quality or meteorological aspects. This variability is further increased with composite meals because of variation in recipes. Information about food composition is necessary for the assessment of diet quality and the development and application of food-based dietary guidelines, providing a useful tool for the field of public health nutrition. In this regard, more attention should be paid to the preparation, extension and maintenance of FCBs.
Nutritional sciences are both complex and multidisciplinary in nature and will be more so in the coming years. Recent developments in nutrition extending into areas such as nutrient gene interactions, nutrient-pollutant interactions, nutritional physiology and preventive medicine among others, are emerging as new dimensions for our understanding the many relationships between nutrition and health on one hand. and nutrition and disease on the other. The future nutritional researcher should be prepared to address a range of scientific and clinical disciplines together. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology too will become a major challenge in this context. New strategies are being sought to address micronutrient malnutrition (vitamin A and iron deficiencies in particular). The UN agencies are supporting several initiatives to alleviate micronutrient deficiencies as major public health problems in nutrition. The IAEA is contributing to these efforts by facilitating the development of a variety of isotope based techniques to improve nutrition monitoring techniques and to identify effective strategies in nutrition intervention schemes particularly among vulnerable groups in developing regions around the world
Iyengar, V [comp.
Nutritional sciences are both complex and multidisciplinary in nature and will be more so in the coming years. Recent developments in nutrition extending into areas such as nutrient gene interactions, nutrient-pollutant interactions, nutritional physiology and preventive medicine among others, are emerging as new dimensions for our understanding the many relationships between nutrition and health on one hand. and nutrition and disease on the other. The future nutritional researcher should be prepared to address a range of scientific and clinical disciplines together. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology too will become a major challenge in this context. New strategies are being sought to address micronutrient malnutrition (vitamin A and iron deficiencies in particular). The UN agencies are supporting several initiatives to alleviate micronutrient deficiencies as major public health problems in nutrition. The IAEA is contributing to these efforts by facilitating the development of a variety of isotope based techniques to improve nutrition monitoring techniques and to identify effective strategies in nutrition intervention schemes particularly among vulnerable groups in developing regions around the world.
Wild, V; Dawson, A
In this article, we outline the link between migration, public health and ethics. Discussing relevant arguments about migration from the perspective of public health and public health ethics. Critical review of theories and frameworks, case-based analysis and systematic identification and discussion of challenges. Migration is a core issue of public health ethics and must take a case-based approach: seeking to identify the specific ethical dimensions and vulnerabilities in each particular context. Public health as a practice, built upon the core value of justice, requires the protection and promotion of migrants' well-being (even if this produces tension with immigration services). Ethical analysis should take all phases of migration into account: before, during and after transit. We argue that migration policies, at least as they relate to migrants' well-being, should be founded upon a shared humanity, respect for human rights and on the idea that effective public health cannot and should not be confined within the borders and to the citizens of any host country. We make the case for migration to be seen as a core issue of public health ethics. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Business Officer, 1997
The National Association of College and University Business Officers (NACUBO) has identified public policy issues of interest to its membership in 1997, including those in budget and appropriations, college costs and pricing, distance learning and technology, environmental health and safety, federal audit and accounting standards, Higher Education…
May 2, 2014 ... Health promotion has three main ethical issues: (i) what are the ultimate goals for public .... construction of new norms, the shaping of existing norms, the .... despite the fact that we know they are bad for people's health. There.
Brunner, E.; Rayner, M.; Thorogood, M.; Margetts, B.; Hooper, L.; Summerbell, C.D.; Dowler, E.; Hewitt, G.; Robertson, A.; Wiseman, M.
Public health nutrition enjoyed many breakthroughs in the\\ud 20th century – from the discovery of vitamins and the\\ud metabolic roles of some 60 macro- and micronutrients, to\\ud the effects of maternal and childhood diet on health over\\ud the life course. Moreover, the food shortages in the UK that\\ud were experienced during World War II gave the first\\ud opportunity to show that nutritional science could make a\\ud valuable contribution to public policy. However, public\\ud health nutrition is...
Complaints that nutrition recommendations are conflicting and confusing are common; however, these recommendations are remarkably similar across agencies, including the Dietary Guidelines for Americans, the American Heart Association, the American Cancer Institute, and therapeutic diets such as Diet...
Mar 1, 2013 ... Objective: To assess the nutrition status and associated risk factors of children in selected public primary schools in ... influence on the future economic development of a ..... growth of school children in urban Bangladesh.
Sanders, Mary Ellen; Lenoir-Wijnkoop, Irene; Salminen, Seppo; Merenstein, Daniel J.; Gibson, Glenn R.; Petschow, Bryon W.; Nieuwdorp, Max; Tancredi, Daniel J.; Cifelli, Christopher J.; Jacques, Paul; Pot, Bruno
Probiotics and prebiotics are useful interventions for improving human health through direct or indirect effects on the colonizing microbiota. However, translation of these research findings into nutritional recommendations and public health policy endorsements has not been achieved in a manner
The paper presents an overview of current public policy issues relating to biological standardisation and control, drawing on the extensive background material assembled for two recent international reviews, and previously published work. It identifies a number of factors which are destabilising the current system and promoting a climate for change. These include the squeeze on public sector resources, the growth in volume and complexity of biologicals, developing world needs, concerns about harmonisation and new social and ethical issues. It is argued that this situation presents important opportunities for reviewing the existing boundaries between regulatory scientists, industry, and the public, for international agreement on priorities and for harmonisation and mutual recognition. While considerable progress has already been made on these issues at national, regional and global level, there is a need for fuller international participation and the additional impetus that would come from a higher-profile commitment by governments. Such commitment will also be important for the vital questions of sustaining the scientific base and securing the resource for an effective, truly worldwide programme of standardisation and control. An international approach will also be essential in steering biologicals control through the difficult social and ethical questions of the future. WHO, in collaboration with national authorities, has a key role to play in these developments.
Thow, Anne Marie; Heywood, Peter; Leeder, Stephen; Burns, Lee
To assess critically the scope for public health nutrition taxation within the framework of the global tax reform agenda. Review of the tax policy literature for global policy priorities relevant to public health nutrition taxation; critical analysis of proposals for public health nutrition taxation judged against the global agenda for tax reform. The global tax reform agenda shapes decisions of tax policy makers in all countries. By understanding this agenda, public health nutritionists can make feasible taxation proposals and thus improve the development, uptake and implementation of recommendations for nutrition-related taxation. The priorities of the global tax reform agenda relevant to public health nutrition taxation are streamlining of taxes, adoption of value-added tax (VAT), minimisation of excise taxes (except to correct for externalities) and removal of import taxes in line with trade liberalisation policies. Proposals consistent with the global tax reform agenda have included excise taxes, extension of VAT to currently exempted (unhealthy) foods and tariff reductions for healthy foods. Proposals for public health nutrition taxation should (i) use existing types and rates of taxes where possible, (ii) use excise taxes that specifically address externalities, (iii) avoid differential VAT on foods and (iv) use import taxes in ways that comply with trade liberalisation priorities.
population groups rather than those of individuals. Central elements of the profession are to assess the impact of various aspects of the food systems on the nutritional status, health and health inequalities of population groups, and to develop, recommend and implement evidence-based measures to improve...... dietary intake and nutritional status of population groups. These measures may be environmental, educational, social, economic, structural, political and/or legislative. The knowledge, skills, competencies and cultural heritage of the broader community should form a basis for all analyses and actions...... nutrition related challenges in the Nordic region and globally. The network facilitates exchange of lecturers, students, innovative educational resources and teaching methods and supports the consolidation of PHN as a recognized/accredited profession throughout the Nordic region. The network has done...
In October 2004, the Environics Research Group conducted a telephone survey of 608 adult Ontarians to collect information on matters regarding energy; consumer confidence and protection; responsibilities of the Ontario Energy Board; and consumer information preferences. This report summarizes the key findings of the survey. According to the survey, the most important electricity and natural gas issue was identified as being price and cost issues, followed by reliability of supply, conservation, keeping utilities publicly owned, finding renewable sources of energy, and over-consumption. The survey revealed that Ontarians show much interest in conserving energy to save money, to protect the environment and ensure future energy supply, but they are generally sceptical that their interests are being protected on electricity and natural gas price issues. At least 9 in 10 Ontarians consider the tasks of the Ontario Energy Board to be important. The majority of Ontarians prefer to receive energy conservation information through the mail and from public regulators over a government department or a company. 10 tabs
The Governor of Nevada was notified in 1983 that the Yucca Mountain site is a potentially acceptable site for a nuclear waste storage site. A series of public hearings held produced nearly 400 comments on issues concerning the site nomination. Areas of primary public concern are the impact of the proposed nuclear site on tourism, transportation, and socioeconomic impact on adjacent communities. Results of recent studies showed no impact of high-level waste transport on tourism in the Las Vegas area and on analysis of data accumulated over the 25 to 30 years that high-level radioactive wastes have been transported on Nevada highways showed that no one has been evacuated from their home as the result of an accident involving radioactive waste. A comparison of the possible effects of construction of a nuclear waste storage facility at the Yucca mountain site with the effects of Nevada Test Site indicate that the impact on communities will be minimal
Thow, Anne Marie; McGrady, Benn
Philip Morris has recently brought claims against Australia (2011) and Uruguay (2010) under international investment agreements (IIAs). The claims allege that Philip Morris is entitled to compensation following the introduction of innovative tobacco packaging regulations to reduce smoking and prevent noncommunicable diseases (NCDs). Since tobacco control measures are often viewed as a model for public health nutrition measures, the claims raise the question of how investment law governs the latter. This paper begins to answer this question and to explain how governments can proactively protect policy space for public health nutrition in an era of expanding IIAs. The authors first consider the main interventions proposed to reduce diet-related NCDs and their intersection with investment in the food supply chain. They then review the nature of investment regimes and relevant case law and examine ways to maximize policy space for public health nutrition intervention within this legal context. As foreign investment increases across the food-chain and more global recommendations discouraging the consumption of unhealthful products are issued, investment law will increase in importance as part of the legal architecture governing the food supply. The implications of investment law for public health nutrition measures depend on various factors: the measures themselves, the terms of the applicable agreements, the conditions surrounding the foreign investment and the policies governing agricultural support. This analysis suggests that governments should adopt proactive measures--e.g. the clarification of terms and reliance on exceptions--to manage investment and protect their regulatory autonomy with respect to public health nutrition.
Berry, Elliot M; Fatunmbi, Bayo S; Kaluski, Dorit Nitzan
The health of populations is related to the norms and characteristics of society and its socio-economic organization. The causes of food-related ill health are located at the national and international levels and the cure must be sought in good governance. Thus, it is obvious that a Master's Degree in International Public Health must include a thorough overview of the "food chain" from "plough to plate" within the political, economical, socio-economic changes, environmental, industrial, scientific, and health contexts. Nutritional deficiencies are addressed by a variety of measures, including food supply and utilization programs, specific supplementation for high-risk groups, and food fortification to reach a general population. All are part of a wide-based public health nutrition approach, applicable in developed, redeveloping, and newly developing countries. This article is based on experience in teaching Public Health Nutrition to a mixed group of foreign students from different countries. Our goal is to prepare students for a variety of public health careers related to nutrition and health. The aim of this course is to introduce current roles and aspects of food and nutrition policy, focusing on food and nutrition security, human rights for food and nutrition, and the complex interactions among local and global systems. Students are introduced to nutrition screening, assessment, and research skills, and nutrition in emergency situations and in disaster relief. During the course the students learn about the design and the evaluation of nutrition interventions at the individual, community, and national level. The course gives a broad-based examination of major themes related to development and underdevelopment, poverty and wealth, equality and inequality. It also introduces program planning from the perspective of international organisations such as the World Food Program and the Food and Agriculture Organisation and the World Health Organisation of the United
Henderson-Sellers, A [Macquarie Univ., North Ryde (Australia)
During 1987 and 1988 in Australia there have been two national meetings on the greenhouse effect and a campaign designed to increase public awareness. A study of the backgrounds, level of comprehension and attitudes of attendees at two state Greenhouse-88 meetings has been undertaken by means of a questionnaire survey and a set of personal interviews. Two crucial caveats pertain: some of the questions reflect the prejudices of the author who is an atmospheric scientist, and the respondents comprise a small, self-selected group. All the ensuing results should be viewed in the context of these caveats. Over 97% of the respondents believe that action should be taken now to alleviate the effects of increased greenhouse gases. Despite the fact that the majority of the 321 respondents are professional people (73%) and that over 53% have tertiary level educational qualifications, there was a failure to grasp some fundamental issues. On the other hand, the respondents generally demanded a relatively low level of confidence (50-70%) about the greenhouse issue from scientists before action is taken. Sixty-four percent believe that life will be worse for them and/or their children in Australia in 'Greenhouse 2025' with the youngest age range being the second most pessimistic group about the future. Relatively little interest was shown in the possibility of obtaining more information on topics that interest climatic scientists but more information was desired on the social and economic implication and on the scientific background to the issues. Overall, teachers are perceived as trying to increase understanding; whereas politicians, multinational corporations, the media and some extreme environmentalists are perceived as often attempting to deceive intentionally. Scientists are seen as neither especially malevolent nor benign. 15 figs., 39 refs.
Péter, Szabolcs; Navis, Gerjan; Borst, de Martin H.; Schacky, von Clemens; Orten-Luiten, van Anne Claire B.; Zhernakova, Alexandra; Witkamp, Renger F.; Janse, André; Weber, Peter; Bakker, Stephan L.J.; Eggersdorfer, Manfred
The public health relevance of drug–nutrition interactions is currently highly undervalued and overlooked. This is particularly the case for elderly persons where multi-morbidity and consequently polypharmacy is very common. Vitamins and other micronutrients have central functions in metabolism, and
Péter, Szabolcs; Navis, Gerjan; de Borst, Martin H; von Schacky, Clemens; van Orten-Luiten, Anne Claire B; Zhernakova, Alexandra; Witkamp, Renger F; Janse, André; Weber, Peter; Bakker, Stephan J L; Eggersdorfer, Manfred
The public health relevance of drug-nutrition interactions is currently highly undervalued and overlooked. This is particularly the case for elderly persons where multi-morbidity and consequently polypharmacy is very common. Vitamins and other micronutrients have central functions in metabolism, and
Jørgensen, Michael Søgaard
Overview of the experience with integration of issues on nutrition, quality and environment from a development and technology assessment project about product development for the catering sector......Overview of the experience with integration of issues on nutrition, quality and environment from a development and technology assessment project about product development for the catering sector...
Caraher, Martin; Cowburn, Gill
To set out a policy analysis of food taxes as a way of influencing food consumption and behaviour. The study draws on examples of food taxes from the developed world imposed at national and local levels. Studies were identified from a systemised search in six databases with criteria designed to identity articles of policy relevance. The dominant approach identified from the literature was the imposition of food taxes on food to raise general revenue, such as Value Added Tax in the European Union. Food taxes can be applied in various ways, ranging from attempts to directly influence behaviour to those which collect taxes for identified campaigns on healthy eating through to those applied within closed settings such as schools. There is a case for combining taxes of unhealthy foods with subsidies of healthy foods. The evidence from the literature concerning the use and impact of food taxes on food behaviour is not clear and those cases identified are mainly retrospective descriptions of the process. Many food taxes have been withdrawn after short periods of time due to industry lobbying. CONCLUSIONS FOR POLICY: Small taxes with the clear purpose of promoting the health of key groups, e.g. children, are more likely to receive public support. The focus of many tax initiatives is unclear; although they are generally aimed at consumers, another focus could be food manufacturers, using taxes and subsidies to encourage the production of healthier foods, which could have an effect at a population level. Further consideration needs to be given to this aspect of food taxes. Taxing food (and subsidies) can influence food behaviour within closed systems such as schools and the workplace.
Many factors are responsible for malnutrition among women. Malnutrition is mainly caused by inadequate energy intake and nutritional anemia. Social factors affecting the energy balance include inappropriate intra family distribution, inadequate food intake during pregnancy, conception when younger than 18 years old, and continued high physical activity during pregnancy. Discrimination against girls in the form of insufficient food intake affects girls throughout their lives and contributes to poor adolescent growth and poor maternal stature (height and weight). Poor maternal stature has been linked with adverse effects on pregnancy outcomes: low birth weight infants and infant mortality. About 66% of infants were found to be of low birth weight among mothers weighing less than 40 kg and with a pregnancy weight gain of less than 5 kg. The recommended weight gain during pregnancy is 10-12 kg. Maternal weight has been found to be closely linked with negative effects on fetal growth and birth weight. Nutrition programs must contend with a variety of social, economic, health, and legislative approaches for improving women's status. Food supplementation during pregnancy and adolescence are as important as raising the marriage and conception age. Energy deficits of iron, vitamin A, and iodine need to be fulfilled. Energy saving devices would help to reduce the physical demands on women during pregnancy. Nutrition education for promoting adequate nutritional and energy intake and prevention of nutrient deficiencies needs to be implemented. Health workers have been known for inadequate attention to nutrition. The opportunity for nutritional supplementation and education is available during women's contacts with immunization interventions. A complex prescription applied continuously and in harmony with other health efforts will assure maternal nutritional support.
Rising public debt profile in Nigeria: risks and sustainablity issues. ... and state governments has echoed new concerns for policy stakeholders in Nigeria. ... the share of concessional loan in external debt stock and develop Public-Private ...
This document provides an overview of public-school voucher plans. Educational vouchers originated in the 1960s when Milton Friedman argued that vouchers would improve educational efficiency. Parents would receive the equivalent of per-pupil expenditures in the form of vouchers that could then be used at any school, either public and private. But…
Finley, John W; Dimick, Dennis; Marshall, Elizabeth; Nelson, Gerald Charles; Mein, Jonathan R; Gustafson, David I
Nutrition science-based dietary advice urges changes that may have a great impact on agricultural systems. For example, the 2016 Dietary Guidelines for Americans (DGA) recommends greatly increased fruit and vegetable consumption, but the present domestic production is insufficient to accommodate large-scale adoption of these guidelines. Increasing production to the extent needed to meet the DGA will necessitate changes in an already stressed agriculture and food system and will require nutrition and agriculture professionals to come together in open and collegial discourse. All involved need to understand the stress placed on the food system by increasing populations, changing diets, and changing environments, and recognize the major diet-based public health challenges. Furthermore, there is a need to understand the intricate interplay of the myriad parts of the food system and the vast amount of work necessary to make even small changes. New systems approaches are needed, especially at the research level, where nutrition, public health, agriculture, and the food industry work together to solve interconnected problems. Future well-being depends on a sustainable food system that continues to deliver optimal health with minimal impact on the environment. © 2017 American Society for Nutrition.
Knox, L S
A new and controversial debate in bioethics concerns the question, "Is it ever acceptable to withhold or withdraw specialized nutritional support from the dying adult patient?" In the opinion of many, the answer to this question is yes, but for only a very small number of patients. Provision of nutrition through artificial means is an invasive medical intervention. As such, procedures for supplying nutritional support impose burdens as well as provide benefits and may, under certain circumstances, be foregone. However, the needs of the vast majority of dying patients will best be served by providing specialized nutritional support.
Lee, Yeung Chung
Nutrition labelling, which helps consumers to make informed choices, can be used as both a context and a vehicle for students to consolidate and apply their knowledge of food and nutrition to improve health. It also facilitates students' ability to negotiate socio-scientific issues from scientific and other perspectives. This article reports a…
Darr, Christopher R.
Courses: Ethics, Organizational Communication, Political Communication. Objectives: After completing this unit activity, students should be able to (1) apply multiple ethical perspectives to real-world diversity issues in a debate format, and (2) explain the role of informational and social category diversity in current controversies.
...] Cosmetic Microbiological Safety Issues; Public Meeting AGENCY: Food and Drug Administration, HHS. ACTION... Administration (FDA) is announcing a public meeting entitled ``Cosmetic Microbiological Safety Issues.'' The... cosmetic microbiological safety and to suggest areas for the possible development of FDA guidance documents...
Nuclear power was welcomed from the outset because it promised highly economic and convenient energy, especially electricity. Even today, nuclear projects espoused by developing nations can stimulate enthusiasm and national pride. However, public unease concerning nuclear power safety was magnified by the accidents at Three Mile Island in 1979 and Chernobyl in 1986. The perceived problem of transport and long term storage of nuclear waste has added to public concerns, as has the risk of the possible proliferation of nuclear weapons. Public information strategies must recognize and seek to address these fears by pointing to the many cumulative years of trouble-free nuclear operations and by stressing the strict rules and oversight designed to protect workers and the public from accidents and radioactive releases. It is against this background that the following material has been compiled. It comes from a variety of sources and reflects the experience mainly of industrialized countries that have national nuclear programs. It is important to underline that it is descriptive rather than prescriptive in nature for two reasons: first, the IAEA is essentially a forum for pooling collective knowledge in this as in other fields; and secondly, the IAEA would not presume to offer a universal formula, since national circumstances vary according to specific political, demographic, social and other factors. Hence only certain parts of this paper may be of direct relevance to any given national situation. (author)
Hill, Julie Lasater; And Others
Presents four lesson plans for teaching K-12 students about public sculpture and contemporary sculptors. Highlights the following works: "Playscapes" by Isamu Noguchi, "The Dallas Piece" by Henry Moore, "Old Glory" by Mark di Suvero, and "Face of the Earth" by Vito Acconci. Includes background information on…
Good, Elizabeth; Hammond, Melinda; Martin, Caroline; Burns, Catherine; Groos, Anita
This project aimed to identify how local government planning tools could be used to influence physical and policy environments to support healthy eating behaviours in communities. An audit of Queensland's legislative and non-legislative local government planning tools was conducted by a public health nutritionist to assess their potential use in addressing strategies to achieve positive nutrition outcomes. Ten strategies were identified and covered the following themes: improving access to healthy foods and drinks; increasing access to breastfeeding facilities; decreasing fast food outlet density; and unhealthy food advertising. The audit found that all of the 10 strategies to achieve positive nutrition outcomes could be considered through three or more of the planning tools. Based on the findings of this audit, local government planning tools provide opportunities to address food and nutrition issues and contribute toward creating physical and policy environments that support healthy eating behaviours.
Vranešić Bender, Darija; Kovačević, Marta; Hanževački, Miro; Vrabec, Božena; Benković, Vanesa; Domislović, Viktor; Krznarić, Željko
Population aging is a global demographic trend showing continuous growth and among its consequences is a rise in malnutrition that is characteristic for the elderly. The objective of this study was to evaluate nutritional status of elderly home care patients immediately after hospital discharge and to determine factors that affect nutritional status using questionnaires based on validated tools (NRS-2002, DETERMINE checklist) and basic medical history data. The study involved 76 elderly individuals (51.3% of them older than 70) living in the City of Zagreb. The nutritional status assessment using the NRS-2002 tool showed that 57.6% of the subjects were at nutritional risk. The findings of the assessment by use of the DETERMINE tool were also unfavorable, indicating that 82.1% of persons older than 70 were categorized as being at a high nutritional risk, while 17.9% were at moderate risk. The DETERMINE checklist elements (illness; reduced intake of fruits, vegetables or dairy products; alcohol consumption; oral health problems; and weight loss) were linked to a higher NRS score. The mean number of hospital days in subjects at nutritional risk was 14.27 (the mean number in the Republic of Croatia is 8.56 days). Although the study involved a small number of subjects, the results showed a substantial presence of malnutrition among the elderly. A timely -intervention by the healthcare system and training of healthcare personnel can be a step towards achieving a better nutritional status.
This paper, which was presented at the Health Physics Society annual meeting at Atlanta, conclude that the problem of radioactive waste management is neither unique and unprecedented, nor has it been properly formulated from an ethical perspective, and that to recover and maintain a balanced perspective on this particular biohazard and to introduce some corrective perception in the public mind becomes an ethical imperative. (author)
Polidori, Maria Cristina; Schulz, Ralf-Joachim
There is an impressing body of evidence supporting the beneficial role of balanced nutrition in lowering the risk of dementia and its commonest form, Alzheimer’s disease. Nevertheless, and despite worldwide dementia epidemic, there is much unfounded skepticism and lack of information among physicians. As a result, the diagnosis of cognitive impairment occurs still far too late, at best symptomatic drugs keep being prescribed and patients and caregivers are left with little concrete support in...
Fade, S A; Swift, J A
Although much of the analysis conducted in qualitative research falls within the broad church of thematic analysis, the wide scope of qualitative enquiry presents the researcher with a number of choices regarding data analysis techniques. This review, the third in the series, provides an overview of a number of techniques and practical steps that can be taken to provide some structure and focus to the intellectual work of thematic analysis in nutrition and dietetics. Because appropriate research methods are crucial to ensure high-quality research, it also describes a process for choosing appropriate analytical methods that considers the extent to which they help answer the research question(s) and are compatible with the philosophical assumptions about ontology, epistemology and methodology that underpin the overall design of a study. Other reviews in this series provide a model for embarking on a qualitative research project in nutrition and dietetics, an overview of the principal techniques of data collection, sampling and quality assessment of this kind of research and some practical advice relevant to nutrition and dietetics, along with glossaries of key terms. © 2010 The Authors. Journal compilation © 2010 The British Dietetic Association Ltd.
This publication lists the 714 unrestricted reports, 294 papers, 19 patents, and 5 other technical publications that were issued as publications of the National Institute for Metallurgy from 1966 (the year of its inception) to 1st April, 1979. For ease of reference, these publications are also classified under the research programmes that gave rise to them. Also included are details of the 2 periodicals issued by NIM and a list of the current miscellaneous publications of the Institute, which include the annual report, and brochures and leaflets of various kinds [af
This publication lists the 679 unrestricted reports, 263 papers, 19 patents, and 4 other technical publications that were issued as publications of the National Institute for Metallurgy from 1966 (the year of its inception) to 1st April, 1978. For ease of reference, these publications are also classified under the research programmes that gave rise to them. Also included are details of the 2 periodicals issued by NIM and a list of the current miscellaneous publications of the Institute, which include the annual report, and brochures and leaflets of various kinds [af
This publication lists the 742 unrestricted reports, 337 papers, 26 patents, and 4 other technical publications that were issued as publications of the National Institute for Metallurgy (NIM) from 1966 (the year of its inception) to 1st April 1980. For ease of reference these publications are also classified under research topics. Also included are details of the 2 periodicals issued by NIM and a list of the current miscellaneous publications of the Institute, which include the annual report, and brochures and leaflets of various kinds [af
Thow, Anne Marie; Jones, Alexandra; Hawkes, Corinna; Ali, Iqra; Labonté, Ronald
Interpretive nutrition labels provide simplified nutrient-specific text and/or symbols on the front of pre-packaged foods, to encourage and enable consumers to make healthier choices. This type of labelling has been proposed as part of a comprehensive policy response to the global epidemic of non-communicable diseases. However, regulation of nutrition labelling falls under the remit of not just the health sector but also trade. Specific Trade Concerns have been raised at the World Trade Organization's Technical Barriers to Trade Committee regarding interpretive nutrition labelling initiatives in Thailand, Chile, Indonesia, Peru and Ecuador. This paper presents an analysis of the discussions of these concerns. Although nutrition labelling was identified as a legitimate policy objective, queries were raised regarding the justification of the specific labelling measures proposed, and the scientific evidence for effectiveness of such measures. Concerns were also raised regarding the consistency of the measures with international standards. Drawing on policy learning theory, we identified four lessons for public health policy makers, including: strategic framing of nutrition labelling policy objectives; pro-active policy engagement between trade and health to identify potential trade issues; identifying ways to minimize potential 'practical' trade concerns; and engagement with the Codex Alimentarius Commission to develop international guidance on interpretative labelling. This analysis indicates that while there is potential for trade sector concerns to stifle innovation in nutrition labelling policy, care in how interpretive nutrition labelling measures are crafted in light of trade commitments can minimize such a risk and help ensure that trade policy is coherent with nutrition action. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: firstname.lastname@example.org.
Gulzar, Saleema Aziz; Vertejee, Samina; Pirani, Laila
Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child labour in the Pakistani context and its implications for child's life, in specific, and for the nation, in general, utilizing the model developed by Clemen-stone & McGuire (1991). Since this practice has complex web of causation, a multidisciplinary approach is required to combat this issue through proposed recommendations.
Fahey, P J; Boltri, J M; Monk, J S
A varied and balanced diet is usually adequate to meet the energy, protein, vitamin, and mineral requirements of adults and the elderly. However, some high-risk groups may require supplementation or special dietary recommendations. Some examples are persons on a weight-loss diet, alcoholics, premenopausal women, women taking oral contraceptives, postmenopausal women not taking estrogen, and patients with diminished immunity or cancer. An understanding of the nutritional needs of adult and elderly patients is vital if the primary care physician is to answer their questions and help them maintain good health through dietary adjustment or supplementation.
Cho, Seongkyung [Myungji Univ., Yongin (Korea, Republic of)
Uncertainty, stigma, risk perception, and value judgment represent characteristics of nuclear issues in the public arena. Nuclear issue, in the public arena, is a kind of risk rather than technology that we are willing to use for good purpose. There are uncertainty, stigma, risk perception, and value judgment as characteristics of nuclear. The notion of the public, here is of active, sensitive, and sensible citizens, with power and influence. The public understands nuclear issues less through direct experience or education than through the filter of mass media. Trust has been a key issue on public understanding of nuclear issues. Trust belongs to human. The public understanding process includes perception, interpretation, and evaluation. Therefore, science communication is needed for public understanding. Unfortunately, science communication is rarely performed well, nowadays, There are three important actors-the public, experts, and media. Effective science communication means finding comprehensible ways of presenting opaque and complex nuclear issues. It makes new and strong demands on experts. In order to meet that requirement, experts should fulfill their duty about developing nuclear technology for good purpose, understand the public before expecting the public to understand nuclear issues, accept the unique culture of the media process, take the responsibility for any consequence which nuclear technologies give rise to, communicate with an access route based on sensibility and rationality, have a flexible angle in the science communication process, get creative leadership for the communication process with deliberation and disagreement, make efficient use of various science technologies for science communication. We should try to proceed with patience, because science communication makes for a more credible society.
Uncertainty, stigma, risk perception, and value judgment represent characteristics of nuclear issues in the public arena. Nuclear issue, in the public arena, is a kind of risk rather than technology that we are willing to use for good purpose. There are uncertainty, stigma, risk perception, and value judgment as characteristics of nuclear. The notion of the public, here is of active, sensitive, and sensible citizens, with power and influence. The public understands nuclear issues less through direct experience or education than through the filter of mass media. Trust has been a key issue on public understanding of nuclear issues. Trust belongs to human. The public understanding process includes perception, interpretation, and evaluation. Therefore, science communication is needed for public understanding. Unfortunately, science communication is rarely performed well, nowadays, There are three important actors-the public, experts, and media. Effective science communication means finding comprehensible ways of presenting opaque and complex nuclear issues. It makes new and strong demands on experts. In order to meet that requirement, experts should fulfill their duty about developing nuclear technology for good purpose, understand the public before expecting the public to understand nuclear issues, accept the unique culture of the media process, take the responsibility for any consequence which nuclear technologies give rise to, communicate with an access route based on sensibility and rationality, have a flexible angle in the science communication process, get creative leadership for the communication process with deliberation and disagreement, make efficient use of various science technologies for science communication. We should try to proceed with patience, because science communication makes for a more credible society
Olstad, Dana Lee; Raine, Kim D; McCargar, Linda J
Little is known about how public entities can partner with industry to achieve public health goals. We investigated industry's perspective of factors that influenced their adoption and implementation of voluntary, government-issued nutrition guidelines (Alberta Nutrition Guidelines for Children and Youth, ANGCY) in recreational facilities. In-depth semi-structured interviews were conducted. Data were analysed using directed content analysis. Food services in recreational facilities. Seven managers from industry participated; five from companies that had adopted and implemented the ANGCY (adopters) in recreational facilities and two from companies that had not (non-adopters). Industry views nutrition guidelines through the lens of profitability. Non-adopters were unwilling to implement the ANGCY for fear of sacrificing short-term profitability, whereas adopters adhered to them in an attempt to position themselves for long-term profitability. Adopters faced barriers including few resources, no training, complex guidelines, low availability of and demand for ANGCY-compliant products, competitive pressures and substantial declines in revenue. Managers believed widespread voluntary adoption of the ANGCY was unlikely without government incentives and/or a mandate, as the environmental context for voluntary action was poor. All managers supported government-mandated implementation of the ANGCY to level the playing field upon which companies compete. Public-private partnerships in recreational facilities can embrace public health goals in the short term, provided industry perceives potential for long-term financial gain. Widespread uptake of voluntary nutrition guidelines in this setting is unlikely, however, as market mechanisms do not encourage industry to sell and promote healthier options. Government legislation may therefore be warranted.
Monetization in the Nigerian public service: issues, challenges and the way forward. ... International Journal of Development and Management Review ... The work is carried out using a qualitative approach through the use of secondary data.
M.C. Monroe; A. Oxarart; L. McDonell; R. Plate
As environmental issues become more complex, the public may be less interested in becoming knowledgeable enough to participate in decision-making. Yet its input can be critically important in some community-based issues. A community forum is one tool designed to provide information, enable participants to ask questions to experts and create an open atmosphere for...
American Association of State Colleges and Universities, 2010
This publication provides a compilation of the issues affecting postsecondary education in America. The contents of this issue include: (1) Overview of Economic and Fiscal Policy Dynamics; (2) July 2010 Economic Snapshot; (3) State Economic Conditions and Budget Outlook; (4) State Budget Pressures; (5) State Budget Realignment Strategies; (6)…
William H. Dutton
This special issue of Internet Policy Review is the first to bring together the best policy-oriented papers presented at the annual conference of the Association of Internet Researchers (AoIR). This issue is anchored in the 2017 conference in Tartu, Estonia, which was organised around the theme of networked publics. The seven papers span issues concerning whether and how technology and policy are reshaping access to information, perspectives on privacy and security online, and social and lega...
Lauzen, Martha M.
Reports on an exploratory study that seeks to build theoretical understanding of how public relations practitioner involvement in one type of strategic organizational decision making--strategic issue diagnosis--is related to shared values with top management, diagnosis accuracy, strategy pursued, and the power of the public relations function. (TB)
Wong, Y L
There is no doubt that gender bias has been inherent in medical and public health education, research, and clinical practice. This paper discusses the central question for medical and public health educators viz. whether women's health concerns and needs could be best addressed by the conventional biomedical approach to medical and public health education, research, and practice. Gender inequalities in health and gender bias in medical and public health education are revealed. It is found that in most public health and prevention issues related to women's health, the core issue is male-female power relations, and not merely the lack of public health services, medical technology, or information. There is, thus, an urgent need to gender-sensitize public health and medical education. The paper proposes a gender analysis of health to distinguish between biological causes and social explanations for the health differentials between men and women. It also assessed some of the gender approaches to public health and medical education currently adopted in the Asia-Pacific region. It poses the pressing question of how medical and public health educators integrate the gender perspective into medical and public health education. The paper exhorts all medical and public health practitioners to explore new directions and identify innovative strategies to formulate a gender-sensitive curriculum towards the best practices in medicine and public health that will meet the health needs of women and men in the 21st century.
Broad, Jonathan; Wallace, Megan
Doctors play an important role in the identification of nutritional disorders and as advocates for a healthy diet, and although the key tenets of good nutrition education for medical students have been discussed, reports on implementation are sparse. The present commentary responds to a gap in UK medical students' understanding of nutrition and public health and suggests ways to improve it. We review literature about nutrition education in medical schools and discuss a 6-week elective in public health nutrition for medical students. We discuss suggested competencies in nutrition and compare means of students' confidence and knowledge before and after. A nutrition and public health elective in a UK medical school, discussing advocacy, motivational interviewing, supplements, nutritional deficits, parenteral nutrition, obesity services. We utilised multidisciplinary teaching approaches including dietitians, managers and pharmacists, and students implemented a public health activity in a local school. Fifteen final-year medical students were enrolled; sixty school pupils participated in the public health activity. The students were not confident in nutrition competencies before and were taught less than European counterparts. Students enjoyed the course, had improved knowledge, and felt more confident in interviewing and prescribing supplements. Feedback from the local school was positive. Students in our UK medical school were not confident in their required competencies within the confines of the current educational programme. An elective course can improve medical students' knowledge. Similar courses could be implemented in other medical schools to improve nutrition and public health knowledge and practice in future doctors.
During the Easter period, there will be a single issue of the Bulletin (No. 12-13/2005) covering the weeks of 21 and 28 March. The deadline for articles to appear in this double issue, both in the publications section and in the Staff Association's pages, will be midday on Tuesday, 15 March. No Bulletin will be distributed on 28 March. The deadline for articles to appear in the following issue of the Bulletin, No. 14/2005, will be midday on Tuesday 29 March. Publications Section DSU-CO Tel. 79971
During the Easter period, there will be a single issue of the Bulletin (No. 12-13/2005) covering the weeks of 21 and 28 March. The deadline for articles to appear in this double issue, both in the publications section and in the Staff Association's pages, will be midday on Tuesday, 15 March. No Bulletin will be distributed on 28 March. The deadline for articles to appear in the following issue of the Bulletin, No. 14/2005, will be midday on Tuesday 29 March. Publications Section SG/CO Tel. 79971
Klingler, Corinna; Silva, Diego Steven; Schuermann, Christopher; Reis, Andreas Alois; Saxena, Abha; Strech, Daniel
Public health surveillance is not ethically neutral and yet, ethics guidance and training for surveillance programmes is sparse. Development of ethics guidance should be based on comprehensive and transparently derived overviews of ethical issues and arguments. However, existing overviews on surveillance ethics are limited in scope and in how transparently they derived their results. Our objective was accordingly to provide an overview of ethical issues in public health surveillance; in addition, to list the arguments put forward with regards to arguably the most contested issue in surveillance, that is whether to obtain informed consent. Ethical issues were defined based on principlism. We assumed an ethical issue to arise in surveillance when a relevant normative principle is not adequately considered or two principles come into conflict. We searched Pubmed and Google Books for relevant publications. We analysed and synthesized the data using qualitative content analysis. Our search strategy retrieved 525 references of which 83 were included in the analysis. We identified 86 distinct ethical issues arising in the different phases of the surveillance life-cycle. We further identified 20 distinct conditions that make it more or less justifiable to forego informed consent procedures. This is the first systematic qualitative review of ethical issues in public health surveillance resulting in a comprehensive ethics matrix that can inform guidelines, reports, strategy papers, and educational material and raise awareness among practitioners.
Brock, Felipe; Bettinelli, Luiz Antonio; Dobner, Taise; Stobbe, Júlio César; Pomatti, Gabriela; Telles, Cristina Trevizan
to estimate the prevalence of hypoalbuminemia in hospitalized elders, related to socio-demographic variables, nutritional status and length of stay. crosscutting study with 200 patients hospitalized in a large hospital in the South of Brazil during three months. Evaluations, lab tests and interviews through questionnaires were performed. the average albuminemia was 2,9 ± 0,5g/dL. Hypoalbuminemia was diagnosed in 173 subjects (87%) and was absent in 27 (13%) that have normal albuminemia (p=0,000). After six days of hospitalization, the prevalence of low levels grew significantly to 90% (p=0,002), average 2,7 ± 0,5g/dL. Using the Mini Nutritional Assessment, it was observed that 41 patients were malnourished and from those, 40 had hypoalbuminemia. the prevalence of hypoalbuminemia proved to be high, in approx. nine in ten elders, and the nutritional status and the length of stay proved to be related to the decrease of serum albumin levels. Thus, it is suggested that monitoring albumin levels should be done to evaluate the risk that the patient has to develop malnutrition and other complications during hospital stays. estimar a prevalência de hipoalbuminemia em idosos hospitalizados, em relação às variáveis sociodemográficas, estado nutricional e tempo de internação. estudo transversal, com 200 pacientes internados em hospital de grande porte do sul do Brasil, durante o período de três meses. Foram realizadas avaliações, análise de exames laboratoriais e entrevista através de questionário. a média de albuminemia foi 2,9 ± 0,5g/dL. O diagnóstico de hipoalbuminemia, foi encontrado em 173 sujeitos (87%), e não revelado em 27 (13%), que apresentaram albuminemia normal (p=0,000). Constatou-se que após seis dias de internação a prevalência de níveis baixos aumentou significativamente para 90% (p=0,002), com média de 2,7 ± 0,5g/dL. Utilizando-se a Mini Avaliação Nutricional, observou-se que 41 pacientes estavam desnutridos, e que destes, 40
Sanders, Mary Ellen; Lenoir-Wijnkoop, Irene; Salminen, Seppo; Merenstein, Daniel J; Gibson, Glenn R; Petschow, Bryon W; Nieuwdorp, Max; Tancredi, Daniel J; Cifelli, Christopher J; Jacques, Paul; Pot, Bruno
Probiotics and prebiotics are useful interventions for improving human health through direct or indirect effects on the colonizing microbiota. However, translation of these research findings into nutritional recommendations and public health policy endorsements has not been achieved in a manner consistent with the strength of the evidence. More progress has been made with clinical recommendations. Conclusions include that beneficial cultures, including probiotics and live cultures in fermented foods, can contribute towards the health of the general population; prebiotics, in part due to their function as a special type of soluble fiber, can contribute to the health of the general population; and a number of challenges must be addressed in order to fully realize probiotic and prebiotic benefits, including the need for greater awareness of the accumulated evidence on probiotics and prebiotics among policy makers, strategies to cope with regulatory roadblocks to research, and high-quality human trials that address outstanding research questions in the field. © 2014 New York Academy of Sciences.
Margetts, B; Warm, D; Yngve, A; Sjöström, M
The aim of this paper is to highlight the importance of an evidence-based approach to the development, implementation and evaluation of policies aimed at improving nutrition-related health in the population. Public Health Nutrition was established to realise a population-level approach to the prevention of the major nutrition-related health problems world-wide. The scope is broad and integrates activity from local, national, regional and international levels. The aim is to inform and develop coherent and effective policies that address the key rate-limiting steps critical to improving nutrition-related public health. This paper sets out the rationale for an evidence-based approach to Public Health Nutrition developed under the umbrella of the European Network for Public Health Nutrition.
Moynihan, Paula; Thomason, Mark; Walls, Angus; Gray-Donald, Katherine; Morais, Jose A; Ghanem, Henry; Wollin, Stephanie; Ellis, Janice; Steele, Jimmy; Lund, James; Feine, Jocelyne
Assessment of the impact of dental function on diet and nutritional status requires robust methodologies and a standardised approach to increase accuracy of results and to facilitate cross study comparisons. The objectives of this paper are: to report the outcomes of a consensus workshop that critically reviewed publications reporting on dietary methodologies in relation to the impact of oral health on nutrition; to highlight future directions for research and; to make recommendations for appropriate use of methodologies for future research. Data relevant to nutrition and dental status published from 1980 to 2005 in English were presented at the consensus workshop for discussion and appraisal. Relevant papers were retrieved through PubMed. Relevant texts were obtained from the library at Newcastle University, UK. A purposive sample of original articles that illustrated the application of a range of nutritional methodologies to the study of oral health impacts was identified. Original flagship texts on nutritional methodologies were reviewed. Numerous studies have shown an association between loss of teeth and inferior diet. Further research is required to elucidate the impact of novel approaches to prosthetic rehabilitation and the impact of contemporaneous dietary and dental intervention on diet, nutritional status, disease progression and quality of life. The recommendation of the consensus workshop was that future studies should adopt a comprehensive approach to the assessment of nutrition that encompasses measurement of diet, body composition, biochemical indices of intake and levels of nutrients, and functional biomarkers of disease.
Abd Arwa Y
Full Text Available Abstract Objectives To conduct a systematic review for the evidence supporting or disproving the reality of parenteral nutrition- antiepileptic drugs interaction, especially with respect to the plasma protein-binding of the drug. Methods The articles related to the topic were identified through Medline and PubMed search (1968-Feburary 2010 for English language on the interaction between parenteral nutrition and antiepileptic drugs; the search terms used were anti-epileptic drugs, parenteral nutrition, and/or interaction, and/or in vitro. The search looked for prospective randomized and nonrandomized controlled studies; prospective nonrandomized uncontrolled studies; retrospective studies; case reports; and in vitro studies. Full text of the articles were then traced from the Universiti Sains Malaysia (USM library subscribed databases, including Wiley-Blackwell Library, Cochrane Library, EBSCOHost, OVID, ScienceDirect, SAGE Premier, Scopus, SpringerLINK, and Wiley InterScience. The articles from journals not listed by USM library were traced through inter library loan. Results There were interactions between parenteral nutrition and drugs, including antiepileptics. Several guidelines were designed for the management of illnesses such as traumatic brain injuries or cancer patients, involving the use of parenteral nutrition and antiepileptics. Moreover, many studies demonstrated the in vitro and in vivo parenteral nutrition -drugs interactions, especially with antiepileptics. Conclusions There was no evidence supporting the existence of parenteral nutrition-antiepileptic drugs interaction. The issue has not been studied in formal researches, but several case reports and anecdotes demonstrate this drug-nutrition interaction. However, alteration in the drug-free fraction result from parenteral nutrition-drug (i.e. antiepileptics interactions may necessitate scrupulous reassessment of drug dosages in patients receiving these therapies. This
Salih, Muhannad R M; Bahari, Mohd Baidi; Abd, Arwa Y
To conduct a systematic review for the evidence supporting or disproving the reality of parenteral nutrition- antiepileptic drugs interaction, especially with respect to the plasma protein-binding of the drug. The articles related to the topic were identified through Medline and PubMed search (1968-Feburary 2010) for English language on the interaction between parenteral nutrition and antiepileptic drugs; the search terms used were anti-epileptic drugs, parenteral nutrition, and/or interaction, and/or in vitro. The search looked for prospective randomized and nonrandomized controlled studies; prospective nonrandomized uncontrolled studies; retrospective studies; case reports; and in vitro studies. Full text of the articles were then traced from the Universiti Sains Malaysia (USM) library subscribed databases, including Wiley-Blackwell Library, Cochrane Library, EBSCOHost, OVID, ScienceDirect, SAGE Premier, Scopus, SpringerLINK, and Wiley InterScience. The articles from journals not listed by USM library were traced through inter library loan. There were interactions between parenteral nutrition and drugs, including antiepileptics. Several guidelines were designed for the management of illnesses such as traumatic brain injuries or cancer patients, involving the use of parenteral nutrition and antiepileptics. Moreover, many studies demonstrated the in vitro and in vivo parenteral nutrition -drugs interactions, especially with antiepileptics. There was no evidence supporting the existence of parenteral nutrition-antiepileptic drugs interaction. The issue has not been studied in formal researches, but several case reports and anecdotes demonstrate this drug-nutrition interaction. However, alteration in the drug-free fraction result from parenteral nutrition-drug (i.e. antiepileptics) interactions may necessitate scrupulous reassessment of drug dosages in patients receiving these therapies. This reassessment may be particularly imperative in certain clinical situations
Sodjinou, Roger; Bosu, William; Fanou, Nadia; Zagre, Noel; Tchibindat, Félicité; Baker, Shawn; Delisle, Helene
There is a serious shortage of skilled nutrition professionals in West Africa. Investing in nutrition training is one of the strategies for strengthening the human resource base in nutrition. However, little is known about how nutrition training in the region is financed and the levels of tuition fees charged. The purpose of this study was to provide a comprehensive assessment about the levels of tuition fees charged for nutrition training in the West Africa region and to determine to what extent this is of reach to the average student. The data for this study were obtained from 74 nutrition degree programs operating in nine West African countries in 2013 through semi-structured interviews during on-site visits or through self-administered questionnaires. They included the age of the programs, school ownership, tuition fees, financial assistance, and main sources of funding. Tuition fees (in 2013 US$) were expressed per program to enable uniformity and comparability. Simple descriptive and bivariate analyses were performed. Results from 74 nutrition training programs in nine countries showed a wide variation in tuition fees within and between countries. The tuition fees for bachelor's, master's, and doctoral programs, respectively, ranged from 372 to 4,325 (mean: 2,353); 162 to 7,678 (mean: 2,232); and 369 to 5,600 (mean: 2,208). The tuition fees were significantly higher (pstudent. Recent master's programs appeared to charge higher fees than older ones. We found a significant negative correlation between tuition fees and the age of the program, after controlling for school ownership (r=-0.33, pstudents from poor background to nutrition training. Governments should institute financing mechanisms such as scholarships, public-private partnerships, credit facilities, and donor funding to facilitate access to tertiary-level nutrition training in the region.
Gollust, Sarah E.; Goold, Susan D.; Jacobson, Peter D.
Objectives. We sought to ascertain the types of ethical challenges public health practitioners face in practice and to identify approaches used to resolve such challenges. Methods. We conducted 45 semistructured interviews with public health practitioners across a range of occupations (e.g., health officers, medical directors, sanitarians, nurses) at 13 health departments in Michigan. Results. Through qualitative analysis, we identified 5 broad categories of ethical issues common across occupations and locations: (1) determining appropriate use of public health authority, (2) making decisions related to resource allocation, (3) negotiating political interference in public health practice, (4) ensuring standards of quality of care, and (5) questioning the role or scope of public health. Participants cited a variety of values guiding their decision-making that did not coalesce around core values often associated with public health, such as social justice or utilitarianism. Public health practitioners relied on consultations with colleagues to resolve challenges, infrequently using frameworks for decision-making. Conclusions. Public health practitioners showed a nuanced understanding of ethical issues and navigated ethical challenges with minimal formal assistance. Decision-making guides that are empirically informed and tailored for practitioners might have some value. PMID:19059850
Stevenson, G.B.; Wherley, P.
The storage and disposition of weapons grade fissile materials involves complex technical issues. The goal of reaching consensus on the best method or methods for storing and ultimately disposing of these materials can only be achieved after an open public discussion of all reasonable alternatives. The US Department of Energy considered a number of factors in developing a program for public involvement. These factors included defining the affected public, public knowledge about the proposed action, decision to be made, availability of pertinent information, current public perceptions, and responding to public input. Based upon an analysis of these factors, three primary techniques were selected for communicating with the public. The techniques are distribution of a quarterly newsletter, establishment of an electronic bulletin board, and holding periodic conference calls and public meetings. The newsletter is designed to reach the widest segment of the public and to be meaningful regardless of the reader's level of familiarity with the project. Periodic conference calls and meeting are used to reach the members of the public who have a real but periodic interest in the issues. The electronic bulletin board is used to communicate with a core group of stakeholders who have a continuing high interest in the total storage and disposition program. Initial indications are that these techniques are effective in reaching a wide segment of the public on highly technical and complex questions related to weapons grade nuclear materials. The effectiveness is not the result of these being new techniques but rather using each technique, to the maximum extent possible, to provide open, on-going, two way communications
Raine, Kim D
Improving the nutritional health of the public continues to be a major challenge. Our mission of advancing health through food and nutrition has become increasingly complex, particularly as food environments shape the availability, affordability, and social acceptability of food and nutrition "choices". Promoting nutritional health requires that dietitians expand our knowledge in understanding the determinants of healthy eating and of social change strategies that advocates for and acts on improving food environments. While no single strategy can solve the challenges of public health nutrition, we can each identify unique strengths and opportunities. If we practice in complementary ways, using those strengths for collective action will make us stronger together toward social change supporting improved nutritional health of the public.
Research on public attitudes toward political decision-making has typically focused on politics in general. This study attends to issue-level as well as individual-level factors that can explain political process preferences. First, drawing on the classic distinction between easy and hard political
Wilna H. Oldewage-Theron
Full Text Available The Department of Basic Education (DBE has not given nutrition education the necessary emphasis that it needs, despite its importance in South African schools. Nutrition is included as only one of many topics forming part of the Life Orientation syllabus. Educators are role models for learners in making healthy food choices, however, studies have shown that major gaps exist in the health and nutrition-related knowledge and behaviour of educators.The objective of this research was to undertake a pilot study to determine the impact of a nutrition education programme (NEP on the nutrition knowledge of Life Orientation educators in public schools in South Africa (SA. An exploratory baseline survey, to determine the nutrition education practices in 45 purposively selected public schools, was carried out before the experimental nutrition education intervention study. A nutrition knowledge questionnaire was completed by 24 purposively selected educators, representing all nine provinces in SA, before and after a three-day NEP. Pre and post-NEP data were analysed on the Statistical Package for Social Sciences (SPSS for a Windows program version 17.0 for descriptive statistics, version 17.0. Paired t-tests measured statistically significant differences (p < 0.05 before and after the NEP.The knowledge of the respondents improved significantly after the NEP as the mean±s.d. score of correctly answered questions (n = 59 improved from 63.3±30.2% before to 80.6±21.1% after the NEP. The results proved that nutrition knowledge of Life Orientation educators in primary schools is not optimal, but can be improved by NEP.
Although Carbon Capture and Storage (CCS) is recognised as a crucial transition technology to a low-carbon world, it has not been popular with the public or some governments (e.g. the UK). Also, despite its use in industrial processes for decades, CCS remains and unfamiliar technology for most publics. It is therefore important to foster top-down and bottom-up acceptance of large scale CCS. In an exploratory round of interviews we canvassed the views of British, Dutch, German and Norwegian experts (N=13) with previous experience in public engagement with CCS. They identified barriers and drivers for CCS deployment and public engagement with CCS. Thematic analysis revealed a small number of recurrent issues, including: (a) lack of political leadership on CCS; (b) lack of public knowledge on relevant technologies and (c) difficulty communicating why CCS is necessary. Emphasis on these barriers varied with the level of experts' engagement with the public. More interestingly, although most experts agreed on the importance of public engagement, their views divided between 'why' engage and 'how' best to do this. In a subsequent expert survey (N=99) interview findings were reinforced: public support was seen as important for CCS roll-out (72%), though lower than political support and funding. The survey also showed that local public was expected to experience most risks, while global public will experience most benefits; whereas local business is seen to benefit more than global. Experts were overwhelmingly positive about CCS - risks outweigh benefits, and are confident that CCS will play a major role in climate change mitigation (along with reduced energy demand and renewables). These findings will be expanded on and triangulated in a follow-up public survey which will benefit those involved with public engagement with CCS.
Kim D. Raine
Full Text Available Introduction: Unhealthy foods are widely available in public settings across Canada, contributing to diet-related chronic diseases, such as obesity. This is a concern given that public facilities often provide a significant amount of food for consumption by vulnerable groups, including children and seniors. Healthy food procurement policies, which support procuring, distributing, selling, and/or serving healthier foods, have recently emerged as a promising strategy to counter this public health issue by increasing access to healthier foods. Although numerous Canadian health and scientific organizations have recommended such policies, they have not yet been broadly implemented in Canada. Methods: To inform further policy action on healthy food procurement in a Canadian context, we: (1 conducted an evidence synthesis to assess the impact of healthy food procurement policies on health outcomes and sales, intake, and availability of healthier food, and (2 hosted a consensus conference in September 2014. The consensus conference invited experts with public health/nutrition policy research expertise, as well as health services and food services practitioner experience, to review evidence, share experiences, and develop a consensus statement/recommendations on healthy food procurement in Canada. Results: Findings from the evidence synthesis and consensus recommendations for healthy food procurement in Canada are described. Specifically, we outline recommendations for governments, publicly funded institutions, decision-makers and professionals, citizens, and researchers. Conclusion: Implementation of healthy food procurement policies can increase Canadians’ access to healthier foods as part of a broader vision for food policy in Canada.
Kim D., Raine; Kayla, Atkey; Dana Lee, Dana Lee; Alexa R., Ferdinands; Dominique, Beaulieu; Susan, Buhler; Norm, Campbell; Brian, Cook; Mary, L’Abbé; Ashley, Lederer; David, Mowat; Joshna, Maharaj; Candace, Nykiforuk; Jacob, Shelley; Jacqueline, Street
Abstract Introduction: Unhealthy foods are widely available in public settings across Canada, contributing to diet-related chronic diseases, such as obesity. This is a concern given that public facilities often provide a significant amount of food for consumption by vulnerable groups, including children and seniors. Healthy food procurement policies, which support procuring, distributing, selling, and/or serving healthier foods, have recently emerged as a promising strategy to counter this public health issue by increasing access to healthier foods. Although numerous Canadian health and scientific organizations have recommended such policies, they have not yet been broadly implemented in Canada. Methods: To inform further policy action on healthy food procurement in a Canadian context, we: (1) conducted an evidence synthesis to assess the impact of healthy food procurement policies on health outcomes and sales, intake, and availability of healthier food, and (2) hosted a consensus conference in September 2014. The consensus conference invited experts with public health/nutrition policy research expertise, as well as health services and food services practitioner experience, to review evidence, share experiences, and develop a consensus statement/recommendations on healthy food procurement in Canada. Results: Findings from the evidence synthesis and consensus recommendations for healthy food procurement in Canada are described. Specifically, we outline recommendations for governments, publicly funded institutions, decision-makers and professionals, citizens, and researchers. Conclusion: Implementation of healthy food procurement policies can increase Canadians’ access to healthier foods as part of a broader vision for food policy in Canada. PMID:29323862
Background: Malnutrition among school-age children is due to inadequacies in one or more of the three main preconditions for good nutrition: food, care and health. Children stunted at school age are likely to have been exposed to poor nutrition since early childhood. Interventions for school age children can supplement ...
Otway, H.J.; Thomas, K.
Public opposition is an important consideration for those responsible for energy planning; however, the formulation of socially viable policies requires an understanding of the reasons for this opposition. An attitude model was applied to identify the underlying determinants of public perceptions of five energy systems: nuclear, coal, oil, solar and hydro. Empirical results (heterogeneous sample of the general public, N = 224) are reported in which these energy systems were found to be perceived in terms of four basic dimensions: psychological aspects; economic benefits; socio-political implications; environmental and physical safety issues. For the total sample, safety issues made an appreciable contribution to attitudes toward all of the systems except nuclear energy, where it was not significant. A differential analysis of two sub-samples, those respondents PRO and CON nuclear energy, showed that benefits and safety issues were important determinants of PRO attitudes while CON attitudes were primarily due to psychological aspects and concerns about personal and political power. The role of technical information in the formation of public attitudes toward technological policies is discussed
Torheim, Liv E; Granli, Gry I; Barikmo, Ingrid; Oshaug, Arne
To describe which functions potential employers of public health nutritionists in Norway find important for a person trained in public health nutrition to be able to carry out. Further, to illustrate how the findings were used in the development of a curriculum for a bachelor in public health nutrition at Akershus University College. A non-random, cross-sectional survey using a questionnaire with both pre-coded and open-ended questions. Ninety-one establishments working in various fields more or less related to nutrition responded (response rate of 45 %). Local offices of the Norwegian Food Safety Authority were over-represented among respondents. Functions related to communication and food and nutrition laws and regulations were most frequently rated as important by the respondents. Functions in nutrition research, project work and policy and planning were also regarded important by more than half of the respondents. The priorities of the potential employers together with the additional comments and suggestions were taken into account when a new curriculum on public health nutrition was developed. The assessment of functions prioritized by employers of public health nutritionists gave a valuable input for developing a new curriculum in public health nutrition. It reflected the challenges of the real world that public health nutritionists will work in and therefore helped making the curriculum potentially more relevant.
Recycling radioactively contaminated materials requires varying degrees of interaction among Federal regulatory agencies such as the Nuclear Regulatory Commission (NRC) and the Environmental Protection Agency (EPA), State governments and regulators, the public, and the Department of Energy. The actions of any of these parties can elicit reactions from the other parties and will raise issues that must be addressed in order to achieve a coherent policy on recycling. The paper discusses potential actions and reactions of Federal regulatory agencies (defined as NRC and EPA), the States, and the Department and the policy issues they raise
The court-ordered shipping of 750 spent nuclear fuel assemblies from West Valley, New York back to their utility owners has generated considerable public and media interest. This paper discusses the specific concerns of the general public over the West Valley shipments, the issues raised by opposition groups, the interest of public officials and emergency preparedness teams as well as the media coverage generated. An analysis is performed on the effectiveness of the West Valley and utility public information programs utilized in addressing these issues, concerns and interests. Emphasis is placed on communications which work to facilitate the shipments and generate fuel transport acceptance. Information programs are discussed which increase preparedness for nuclear shipments by emergency response teams and build public confidence in their safety. The paper also examines communications which could have further enhanced the shipping campaign to date. Finally, plans are discussed for media preparation with interview training and press conferences. Emphasis is placed on materials provided for the media which have served to generate more favorable print and air time
The court-ordered shipping of 750 spent nuclear fuel assemblies from West Valley, New York back to their utility owners has generated considerable public and media interest. This paper discusses the specific concerns of the general public over the West Valley shipments, the issues raised by opposition groups, the interests of public officials and emergency preparedness teams as well as the media coverage generated. An analysis is performed on the effectiveness of the West Valley and utility public information programs utilized in addressing these issues, concerns and interests. Emphasis is placed on communications which work to facilitate the shipments and generate fuel transport acceptance. Information programs are discussed which increase preparedness for nuclear shipments by emergency response teams and build public confidence in their safety. The paper also examines communications which could have further enhanced the shipping campaigns to date. Finally, plans are discussed for media preparation with interview training and press conferences. Emphasis is placed on materials provided for the media which has served to generate more favorable print and air time
’political muscle’ through numbers. Second, these protests also focused on demonstrating harmful indirect consequences of a future payment ring by sharing news stories and other analyses that served to undermine the soundness of the payment ring. Third, these two kinds of demonstrations functioned as ’demoes...... of representative democracy are founded with a distinction between direct and indirect consequences of action (Dewey 1927), Facebook can be understood as an experimental issue public-generating device. In the payment ring controversy, several Facebook pages became spaces of ’demonstration’ in three senses...... is at stake in Facebook practices like these, then, it becomes useful to rethink publics as processes of on-going experimental inquiry into issues (Marres 2007)....
This article raises issues about work intensity, pace, and sustainability during physical activity, focusing attention on the nature of work in labor-intensive societies, the management of exertion in habitual tasks, and the health and broad socioeconomic correlates of alternative ways to regulate work patterns. At the heart of this review are concerns to document human adaptability (in terms of the physical and behavioral management of heavy work) and to renew debate regarding the conceptualization and measurement of work intensity (variously evaluated in absolute or relative terms, as indexed by oxygen consumption, energy expenditure, percentage maximal work capacity, heart rate elevation, time and motion indicators, or physiological cost). Three questions are examined: Is heavy work primarily a matter of time or energy intensity? How is heavy work habitually sustained? What is the bigger picture relating work performance to work context and to nutritional or health status? It is argued that many arduous activities, such as carrying loads, demand endurance over time rather than intensive effort per unit time, and that work pace management lies in regulating both the rate of work and the time in rest during physical activity. Furthermore, strategies that maximize long-term endurance (adopted by "tortoises") and those that maximize short-term productivity (adopted by "hares") are appropriate to different work contexts (e.g., a subsistence or wage-labor economy) and suit individuals with different health status and ability. Thus, work intensity is an important aspect of the links between physical activity, health, productivity, and society, as noted in literature reviewing objectives for sustainable development and public health messages for disease risk management. These areas of scholarship are underresearched, partly because consensus has been slow in agreeing on which are the best measures of work pace and work intensity for use in field situations, and which
This article uses a socioecological analytical approach to assess the capacity of the public health nutrition work force in Australia as a prelude to work force development strategy planning. It demonstrates how the socioecological model can be used to assess and inform the development of the infrastructure required for effective public health nutrition effort. An interpretive case study method was used involving triangular analysis of quantitative and qualitative data from multiple sources including semistructured interviews with advanced-level practitioners, literature review, a cross-sectional national work force survey, and position description audit and consensus development using a Delphi study. The findings of this analysis indicate that the Australian public health nutrition work force's capacity to effectively address priority nutrition issues is limited by determinants that can be categorized as relating to human resource infrastructure, organizational and policy environments, intelligence access and use, practice improvement and learning systems, and work force preparation. This socioecological analysis supports an intelligence-based focus for work force development effort in Australia and a conceptual framework for work force capacity assessment with potential applications in other countries.
... additional elements should FNS consider as a component of the selection criteria for this local agency... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Request for Public Comments for Special... Breastfeeding Support Practices AGENCY: Food and Nutrition Service, USDA. ACTION: Notice of request for comments...
Rochman, C.; Nasrudin, D.; Helsy, I.; Rokayah; Kusbudiah, Y.
Increased wellness for a person becomes a necessity now and for the future. Various ways people do to get fit include following and understanding nutrition. This review will inventory the concepts of science involved to understand the nutritional program and its impact on fitness levels. The method used is a quantitative and qualitative descriptive mixed method based on treatment to a number of nutrition group participants in a nutrition group in Bandung. The concepts of science that are the subject of study are the concepts of physics, chemistry, and biology. The results showed that the ability of science literacy and respondent's wellness level varies and there is a relationship between science literacy with one's wellness level. The implications of this research are the need for science literacy and wellness studies for community based on educational level and more specific scientific concepts.
Pham, Quynh Th; Worsley, Anthony; Lawrence, Mark; Marshall, Bernie
A core challenge for low- and middle-income countries (LMICs) in combating the negative effects of the nutrition transition is to implement appropriate prevention strategies to halt the increasing prevalence of obesity and non-communicable diseases (NCDs), against a background of prevailing under nutrition. There have been several proposals for the enhancement of university nutrition education for future health and related professionals who are expected to communicate knowledge of health risks to the broad community. However, little is known about university nutrition education in LMICs. The present study aimed to investigate professional development opportunities and barriers for university nutrition lecturers to teach public health nutrition (PHN). An online survey was conducted among 242 Vietnamese health and education professionals and university nutrition lecturers across Vietnam. Purposive sampling was used to recruit participants. Comparisons of between the groups' responses were examined via SPSS Crosstabs. The structures of the perceived barriers and desired PHN training topics were examined via factor analyses. Multiple linear regression examined the influences on lecturers' learning interests in nutrition areas. The lecturers' learning interests spanned four areas: basic nutrition, basic food, food policy and 'new' trends (e.g. food policy, marketing). Major impediments to nutrition teaching in universities divided into two groups: resource limitations and professional constraints (e.g. lack of relevant training opportunities). The lecturers' perceptions of professional constraints influenced their interest in learning about 'new' trends. The results highlighted the need and opportunities to enhance PHN professional development for nutrition lecturers in Vietnam.
Olson, Debra; Leitheiser, Aggie; Atchison, Christopher; Larson, Susan; Homzik, Cassandra
On December 15, 2003, the Centers for Public Health Preparedness at the University of Minnesota and the University of Iowa convened the "Public Health and Terrorism Preparedness: Cross-Border Issues Roundtable." The purpose of the roundtable was to gather public health professionals and government agency representatives at the state, provincial, and local levels to identify unmet cross-border emergency preparedness and response needs and develop strategies for addressing these needs. Representatives from six state and local public health departments and three provincial governments were invited to identify cross-border needs and issues using a nominal group process. The result of the roundtable was identification of the needs considered most important and most doable across all the focus groups. The need to collaborate on and exchange plans and protocols among agencies was identified as most important and most doable across all groups. Development of contact protocols and creation and maintenance of a contact database was also considered important and doable for a majority of groups. Other needs ranked important across the majority of groups included specific isolation and quarantine protocols for multi-state responses; a system for rapid and secure exchange of information; specific protocols for sharing human resources across borders, including emergency credentials for physicians and health care workers; and a specific protocol to coordinate Strategic National Stockpile mechanisms across border communities.
Yngve, A; Sjöström, M; Warm, D; Margetts, B; Rodrigo, C P; Nissinen, A
Scientists in basic research and epidemiology deliver messages to policy makers. Effective population based strategies then require people trained and competent in the discipline of Public Health Nutrition (PHN). Since 1997, a European Master's Programme in PHN has been undergoing planning and implementation with the aid of funding from the European Commission (DGV). PHN is used as a broad term covering Nutrition and Physical Activity as well as Health Promotion and Disease Prevention. The partners in this project are academic departments from 17 countries. The students will undertake core modules and electives for a year and a half, followed by a research project for six months. In order to set up formalised procedures for the evaluation of the quality assurance of individual modules from across Europe, a quality assurance system has been set up. The academic year 1999-2000 will allow an opportunity for Universities and Institutes to start new modules, to develop other modules, assess the movement of students between modules, tackle funding issues and allow further marketing of the programme. Future activities include strengthening of the European Network for Public Health Nutrition (ENPHN), the establishment of a consortium with universities, the co-ordination of programme activities with other European Master's Programmes in Public Health, and the incorporation of new Member States from Eastern Europe. We can look forward to a new brand of professionals, who are truly European in their training, but who also have an integrated view of nutrition and physical activity, health promotion and disease prevention and who are prepared for policy making, action planning, implementation and evaluation.
Planning for the Interfaith Progam for Public Awareness of Nuclear Issues (IPPANI) began at the time of the Falkland Islands crisis. At that time representatives of certain of the faith groups in Toronto became concerned about the moral and ethical implications of Canada's export of fuel for a CANDU nuclear generating plant in Argentina. In order to accomplish its goals, the Planning Committee devised a program to provide unbiased input to the faith groups' deliberations on the ethical and moral issues involved in the nuclear debate. The development of a fair set of questions was aided by obtaining advice from the Canadian Nuclear Association (CNA), and from Energy Probe and others. The work of preparing a suitable agenda was completed early in 1984. Its result was embodied in appendices to the public document promoting the program, which is appended to this report. Invitations were sent to over six hundred individuals and organizations to appear before the panelists as 'presenters'. The resulting invitation list included spokespeople for both 'pro' and 'anti' nuclear positions on each of the three topics, as well as some who were found to be 'in the middle'. The three major topics were domestic nuclear issues, international trade and military uses of nuclear materials and technology. The next task of the Planning Committee is that of embodying the process and its results in an educational program for the supplementary and parochial school systems. The production of this book is the first step in that task
Full Text Available Work in the public sector has been changing dramatically in recent decades. Reforms aimed at increasing the efficiency of public services have been extensive in the Nordic countries and elsewhere since the 1980s. The reforms and changes have to a large extent been associated with so-called New Public Management (NPM principles, emphasizing the market as a central coordination mechanism. Consequently, public institutions have been restructured, their services are standardized and commodified, and market-like relationships between them have been created. In order to create markets and transform citizens into customers on a market, outsourcing and privatization have been stimulated (Blomqvist & Rothstein 2000, Busch et al 2005, Christensen & Lægreid 2007, Greve 2003. At the same time, traditional Weberian bureaucratic principles are still viable and even enhanced within the sector, for instance, as a consequence of the use of contracts as a means of managing public organizations (Greve 2008. Lately, large reforms aimed at centralized coordination of different service providers, such as the integration of the Norwegian welfare administration, have been labeled post-NPM reforms by some researchers. The implication of all these parallel tendencies is that the institutional and organizational landscape surrounding the work situations of employees in the public sector have become increasingly complex, some call them hybrid, putting a variety of conflicting pressures on the performance of work within the sector (Christensen & Lægreid 2011, Hasselbladh et al. 2008. In this special issue, we explore some of the consequences of these structural and normative changes on the work of public sector employees in different sectors and contexts (...
Navarrete-Muñoz, Eva María; Tardón, Adonina; Romaguera, Dora; Martínez-González, Miguel Ángel; Vioque, Jesús
The interests of the food industry to fund nutrition and health research are not limited to promoting scientific advances. Recently, several systematic reviews conducted about the effect of sugar-sweetened beverages and health outcomes have shown some biased conclusions in studies that acknowledge industry sponsorship. In this context, the Nutrition Working Group of the Spanish Epidemiology Society presented a scientific session entitled Food industry and epidemiologic research at its annual meeting. In a round table, four experts in nutrition research presented their points of view about whether the food industry should fund nutrition-related research and the related potential conflicts of interest of the food industry. All the experts agreed not only on defending independence in nutritional epidemiology regarding the design, interpretation and conclusion of their studies but also on the crucial need for guaranteed scientific rigor, scientific quality of the results and measures to protect studies against potential biases related to the conflicts of interest of funding by the food industry. Drs Pérez-Farinós and Romaguera believe that the most effective way to prevent conflicts of interest would be not to allow the food industry to fund nutrition research; Drs Marcos and Martínez-González suggested the need to establish mechanisms and strategies to prevent the potential influences of the food industry in selecting researchers or institutional sponsorship and in the analysis and results of the studies, to ensure maximum independence for researchers, as well as their professional ethics. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
Cassileth, Barrie R.; Heitzer, Marjet; Wesa, Kathleen
Dietary supplement use has increased exponentially in recent years despite the lack of regulatory oversight and in the face of growing safety concerns. This paper provides an overview of the public health implications and safety concerns associated with dietary supplement use, especially by cancer patients. Botanical research is actively pursued at the Memorial Sloan-Kettering Cancer Center (MSKCC) Integrative Medicine department. Work of the MSKCC Center for the Study of Botanical Immunomodulators is described, and guidelines for cancer patients’ use of dietary supplements outlined. Herbs and other botanicals are complex, physiologically active agents, but little is known about most of the popular, widely available dietary supplements. Herb-drug interactions, a major concern, are exacerbated in the cancer setting. Biologically active agents may interfere with chemotherapy and other prescription medications. They may exert anti-coagulant activity at rather inconvenient times such as during surgery, and create other serious problems. Research on the bioavailability, effective dosage, safety and benefits of these complex agents is sorely needed. Oncology professionals and other healthcare providers should educate themselves and their patients about these issues. Probably the largest, continuously-updated free information resource is MSKCC’s AboutHerbs website (www.mskcc.org/AboutHerbs). PMID:19890479
Arungu-Olende, S.; Francis, J.M.; Gaspar, D. de; Nashed, W.; Nwosu, B.C.E.; Rose, D.J.; Shinn, R.L.
With the increased public perception of the future scale of dependence on nuclear energy a debate has started, raising the level of public awareness of the social, political and technical risks that are inevitably associated with the large-scale and accelerating adoption of nuclear power generation. The nuclear industry has given a mixed response to this debate, to accusations of irresponsibility and to demands for more specific attention to the recognized hazards of the fuel cycle. In this situation, non-governmental bodies such as the World Council of Churches, has taken the responsibility to examine the issues so far identified and to place these in a social and ethical context. The W.C.C. general position on nuclear energy is presented. It includes the risk associated with nuclear technology; nuclear waste disposal; catastrophic accidents; accidents in reprocessing plants, low-level radiation; nuclear weapons; security; nuclear energy and a new international economic order; ethical and religious perspectives
Arungu-Olende, S; Francis, J M; Gaspar, D de; Nashed, W; Nwosu, B C.E.; Rose, D J; Shinn, R L [World Council of Churches, Working Committee on Church and Society, Energy Advisory Group, Geneva (Switzerland)
With the increased public perception of the future scale of dependence on nuclear energy a debate has started, raising the level of public awareness of the social, political and technical risks that are inevitably associated with the large-scale and accelerating adoption of nuclear power generation. The nuclear industry has given a mixed response to this debate, to accusations of irresponsibility and to demands for more specific attention to the recognized hazards of the fuel cycle. In this situation, non-governmental bodies such as the World Council of Churches, has taken the responsibility to examine the issues so far identified and to place these in a social and ethical context. The W.C.C. general position on nuclear energy is presented. It includes the risk associated with nuclear technology; nuclear waste disposal; catastrophic accidents; accidents in reprocessing plants, low-level radiation; nuclear weapons; security; nuclear energy and a new international economic order; ethical and religious perspectives.
PATRICIA KIM JIMÉNEZ NIÑO
Full Text Available Ibisarticle aims atsharing several facts dealing witb tbe art01public speaking. Itisaddressed toundergraduae students, particularly, totbose learners who are acquiring a loreign Iangnage and have experienced speaklng Iimitations. Through the paper, tbeywill find aseries 01 practica! recommendations suggesting how tohandle some pS}l:hologica! faetors such asfears and negative emotions when talking toanaudience.llkewise, readers will be aware 01the necessaryknowledge public taIk involves inorder toachieve asuccessful oral performance. Ibis information might be helpful toimprove not only students' social skills and spoken communication in presentations and lectures, butalso it can become useful inloreign Iangnage classrooms during the socialization 01projects, oral reports, orjustwhen interacting intbe different class discussions. The recommendations are based onsorne autbors' discussions and onpersonal rellections about the issue. 1consider Ibis dala asavaluable contribution for many people who face up Ibis difficulty and want tosucceed inIbis freid.
Faraut, Brice; Andrillon, Thomas; Vecchierini, Marie-Françoise; Leger, Damien
Sleep specialists have proposed measures to counteract the negative short- and long-term consequences of sleep debt, and some have suggested the nap as a potential and powerful "public health tool". Here, we address this countermeasure aspect of napping viewed as an action against sleep deprivation rather than an action associated with poor health. We review the physiological functions that have been associated positively with napping in both public health and clinical settings (sleep-related accidents, work and school, and cardiovascular risk) and in laboratory-based studies with potential public health issues (cognitive performance, stress, immune function and pain sensitivity). We also discuss the circumstances in which napping-depending on several factors, including nap duration, frequency, and age-could be a potential public health tool and a countermeasure for sleep loss in terms of reducing accidents and cardiovascular events and improving sleep-restriction-sensitive working performance. However, the impact of napping and the nature of the sleep stage(s) involved still need to be evaluated, especially from the perspective of coping strategies in populations with chronic sleep debt, such as night and shift workers. Copyright © 2016 Elsevier Ltd. All rights reserved.
Roller, Sarah; Pippins, Raqiyyah
Over the past decade, the liability risks associated with food and beverage product marketing have increased significantly, particularly with respect to nutrition and health-related product benefit claims. FDA and FTC enforcement priorities appear to have contributed to the increasing liability trends that are associated with these nutrition and health-related claims. This article examines key enforcement and litigation developments involving conventional food and beverage product marketing claims during the first 18 months of President Obama's administration: Part I considers FDA enforcement priorities and recent warning letters; Part II considers FTC enforcement priorities, warning letters, and consent orders; and Part III considers the relationship between FDA and FTC enforcement priorities and recent false advertising cases brought by private parties challenging nutrition and health-related marketing claims for food and beverage products. The article makes recommendations concerning ways in which food and beverage companies can help minimize liability risks associated with health-related marketing claims. In addition, the article suggests that federal policy reforms may be required to counter the perverse chilling effects current food liability trends appear to be having on health-related marketing claims for food and beverage products, and proposes a number of specific reforms that would help encourage the responsible use of well-substantiated marketing claims that can help foster healthy dietary practices. In view of the obesity prevention and other diet-related public health priorities of the Obama administration, the article suggests that this is an opportune time to address the apparent chilling effects increasing food liability risks are having on nutrition and health-related marketing claims for healthy food and beverage products, and potential adverse consequences for public health.
Full Text Available Abstract Congenital anomalies are already the second cause of infant mortality in Brazil, as in many other middle-income countries in Latin America. Birth defects are a result of both genetic and environmental factors, but a multifactorial etiology has been more frequently observed. Here, we address the environmental causes of birth defects – or teratogens – as a public health issue and present their mechanisms of action, categories and their respective maternal-fetal deleterious effects. We also present a survey from 2008 to 2013 of Brazilian cases involving congenital anomalies (annual average of 20,205, fetal deaths (annual average of 1,530, infant hospitalizations (annual average of 82,452, number of deaths of hospitalized infants (annual average of 2,175, and the average cost of hospitalizations (annual cost of $7,758. Moreover, we report on Brazilian cases of teratogenesis due to the recent Zika virus infection, and to the use of misoprostol, thalidomide, alcohol and illicit drugs. Special attention has been given to the Zika virus infection, now proven to be responsible for the microcephaly outbreak in Brazil, with 8,039 cases under investigation (from October 2015 to June 2016. From those cases, 1,616 were confirmed and 324 deaths occurred due to microcephaly complications or alterations on the central nervous system. Congenital anomalies impact life quality and raise costs in specialized care, justifying the classification of teratogens as a public health issue.
Mazzu-Nascimento, Thiago; Melo, Débora Gusmão; Morbioli, Giorgio Gianini; Carrilho, Emanuel; Vianna, Fernanda Sales Luiz; da Silva, André Anjos; Schuler-Faccini, Lavinia
Abstract Congenital anomalies are already the second cause of infant mortality in Brazil, as in many other middle-income countries in Latin America. Birth defects are a result of both genetic and environmental factors, but a multifactorial etiology has been more frequently observed. Here, we address the environmental causes of birth defects – or teratogens – as a public health issue and present their mechanisms of action, categories and their respective maternal-fetal deleterious effects. We also present a survey from 2008 to 2013 of Brazilian cases involving congenital anomalies (annual average of 20,205), fetal deaths (annual average of 1,530), infant hospitalizations (annual average of 82,452), number of deaths of hospitalized infants (annual average of 2,175), and the average cost of hospitalizations (annual cost of $7,758). Moreover, we report on Brazilian cases of teratogenesis due to the recent Zika virus infection, and to the use of misoprostol, thalidomide, alcohol and illicit drugs. Special attention has been given to the Zika virus infection, now proven to be responsible for the microcephaly outbreak in Brazil, with 8,039 cases under investigation (from October 2015 to June 2016). From those cases, 1,616 were confirmed and 324 deaths occurred due to microcephaly complications or alterations on the central nervous system. Congenital anomalies impact life quality and raise costs in specialized care, justifying the classification of teratogens as a public health issue. PMID:28534929
Full Text Available Background: There is a serious shortage of skilled nutrition professionals in West Africa. Investing in nutrition training is one of the strategies for strengthening the human resource base in nutrition. However, little is known about how nutrition training in the region is financed and the levels of tuition fees charged. The purpose of this study was to provide a comprehensive assessment about the levels of tuition fees charged for nutrition training in the West Africa region and to determine to what extent this is of reach to the average student. Methodology: The data for this study were obtained from 74 nutrition degree programs operating in nine West African countries in 2013 through semi-structured interviews during on-site visits or through self-administered questionnaires. They included the age of the programs, school ownership, tuition fees, financial assistance, and main sources of funding. Tuition fees (in 2013 US$ were expressed per program to enable uniformity and comparability. Simple descriptive and bivariate analyses were performed. Results: Results from 74 nutrition training programs in nine countries showed a wide variation in tuition fees within and between countries. The tuition fees for bachelor's, master's, and doctoral programs, respectively, ranged from 372 to 4,325 (mean: 2,353; 162 to 7,678 (mean: 2,232; and 369 to 5,600 (mean: 2,208. The tuition fees were significantly higher (p<0.05 in private institutions than in public institutions (mean: US$3,079 vs. US$2,029 for bachelor's programs; US$5,118 vs. US$1,820 for master's programs; and US$3,076 vs. US$1,815 for doctoral programs. The difference in the tuition fees between Francophone and Anglophone countries was not statistically significant (mean: US$2,570 vs. US$2,216 for bachelor's programs; US$2,417 vs. US$2,147 for master's programs; US$3,285 vs. US$2,055 for doctoral programs. In most countries, the tuition fees appeared to be out of reach of the average student
Taylor, T; Serrano, E; Anderson, J
To explore the influence of administrative aspects of a nutrition education program with peer educators delivering the program. Telephone interviews with peer educators trained to deliver La Cocina Saludable, a nutrition education program for Hispanics. Open- and closed-ended questions. Abuelas (grandmothers) recruited and trained as peer educators for the program. The sample included peer educators no longer teaching (22%), currently teaching (30%), and who never taught after training. Motives and incentives for becoming peer educators, challenges for peer educators, and reasons peer educators withdrew from the program. Descriptive statistics were used to analyze quantitative data from the closed-ended questions. Qualitative analysis was applied to data from open-ended questions. Working with community and learning about nutrition were prime motivators. Recruiting participants and coordination of classes appeared to be major challenges. Personal issues and traveling in a large geographic area were cited as the main reasons for quitting. The effectiveness of using peer educators for La Cocina Saludable may be improved through empowerment, additional training, a structured and equitable reimbursement system, and assistance to carry out administrative tasks.
Nuijten, Mark; Lenoir-Wijnkoop, Irene
The role of nutrition to optimize the use of scarce resources through its linkage with health and welfare should be considered of interest by healthcare decision makers. A favorable impact of food on non-communicable disorders and general health status will improve healthcare expenditure and quality of life.In health economics, an analysis of the costs and effects of a healthcare technology by means of a cost-effectiveness analysis has become an established tool. Projections about the effectiveness and expected costs of an intervention can be modeled using realistic and explicit assumptions based on outcomes from randomized clinical studies. However, the use of health economic techniques to assess costs and effects is not solely restricted to classic healthcare products such as medicines. To illustrate this we used two published cost-effectiveness studies, which consider respectively a preventive treatment against severe respiratory syncytial virus infection in children at high risk of hospitalization and the use of prebiotics for the primary prevention of atopic dermatitis.These examples illustrate that there is a parallel between the methodologies for extrapolation of intermediate outcomes to long-term outcomes between a cost-effectiveness analysis for pharmaceutical or nutrition, as long as the clinical evidence for nutrition fulfils the requirements for pharmaceuticals. Another requirement is that there is clinical widely accepted evidence that matches a comparable level of epidemiological observations about the link between short-term and long-term outcomes.Better understanding of how nutritional status and behavior may interplay with the socioeconomic environment will ultimately contribute to preserving the sustainability of healthcare provisions. Copyright © 2011 Elsevier B.V. All rights reserved.
James, W Philip T
This analysis sets out an overview of an IUNS presentation of a European clinician's assessment of the challenges of coping with immediate critical clinical problems and how to use metabolic and a mechanistic understanding of disease when developing nutritional policies. Critically ill malnourished children prove very sensitive to both mineral and general nutritional overload, but after careful metabolic control they can cope with a high-quality, energy-rich diet provided their initial lactase deficiency and intestinal atrophy are taken into account. Detailed intestinal perfusion studies also showed that gastroenteritis can be combatted by multiple frequent glucose/saline feeds, which has saved millions of lives. However, persisting pancreatic islet cell damage may explain our findings of pandemic rates of adult diabetes in Asia, the Middle East and Mexico and perhaps elsewhere including Africa and Latin America. These handicaps together with the magnitude of epigenetic changes emphasized the importance of a whole life course approach to nutritional policy making. Whole body calorimetric analyses of energy requirements allowed a complete revision of estimates for world food needs and detailed clinical experience showed the value of redefining stunting and wasting in childhood and the value of BMI for classifying appropriate adult weights, underweight and obesity. Lithium tracer studies of dietary salt sources should also dictate priorities in population salt-reduction strategies. Metabolic and clinical studies combined with meticulous measures of population dietary intakes now suggest the need for far more radical steps to lower the dietary goals for both free sugars and total dietary fat unencumbered by flawed cohort studies that neglect not only dietary errors but also the intrinsic inter-individual differences in metabolic responses to most nutrients. Key Messages: Detailed clinical and metabolic analyses of physiological responses combined with rigorous dietary
Gonzalez, V.; Molina, M.
ENRESA (Empresa Nacional de Residuos Radiactivos, S.A.), is a State-owned company, founded in 1985 and is responsible for radioactive waste management in Spain. ENRESA's activities are carried out in accordance with a General Radioactive Waste Plant approved by the Spanish Government. In Spain, as in most countries, the public is concerned about many of the activities involving radioactive or rad-waste management; this concern arises for different reasons, but mainly due to lack of information on the matter. This situation leads to the information available being misused by certain politicians, green groups and media, which serves to increase the distrust with which the public sometimes views responsible companies and institutions. At the root of both these problems is a lack of political consensus regarding development of the activity. To gain public acceptance, it would be necessary to develop a long-term information policy, since in the field of communications results are only ever achieved in the long term. ENRESA is carrying out an on-going Communication Plan (CP), implemented successfully in the areas surrounding a low- and intermediate-level waste disposal site and a disused uranium mill in which remedial actions are currently being performed. Implementation of this plan at national level is being accomplished stepwise. This document deals with the most relevant issues relating to the radioactive waste situation in Spain and with the efforts made in communications
Guével, Marie-Renée; Pommier, Jeanine
For many years, researchers in a range of fields have combined quantitative and qualitative methods. However, the combined use of quantitative and qualitative methods has only recently been conceptualized and defined as mixed methods research. Some authors have described the emerging field as a third methodological tradition (in addition to the qualitative and quantitative traditions). Mixed methods research combines different perspectives and facilitates the study of complex interventions or programs, particularly in public health, an area where interdisciplinarity is critical. However, the existing literature is primarily in English. By contrast, the literature in French remains limited. The purpose of this paper is to present the emergence of mixed methods research for francophone public health specialists. A literature review was conducted to identify the main characteristics of mixed methods research. The results provide an overall picture of the mixed methods approach through its history, definitions, and applications, and highlight the tools developed to clarify the approach (typologies) and to implement it (integration of results and quality standards). The tools highlighted in the literature review are illustrated by a study conducted in France. Mixed methods research opens new possibilities for examining complex research questions and provides relevant and promising opportunities for addressing current public health issues in France.
Recent reports of national commissions and study groups have pointed out that the American educational system is not meeting the needs of its students. Uniformly, the reports call for a new instructional focus designed to achieve the goal of ''universal scientific and technological literacy for citizenship.'' The population's inability to deal with numerous controversial science-related social issues forms the basis for this call for educational reform. Foremost on the list of science-related social issues are nuclear issues in general and the storage of nuclear waste in particular. The National Council for the Social Studies (NCSS) 1983 publication ''Guidelines for Teaching Science Related Social Issues'' was designed to encourage stronger instructional emphasis on science-related social issues, and to provide social studies teachers with a rational and structure for the presentation of the issues. This paper discusses the dilemmas faced by educators who attempt to deal with science-related social issues. Also, it addresses the need for instructional materials in order to effectively address nuclear issues in the classroom
Del Cura, Isabel; Huertas, Rafael
We describe a nutritional intervention by the Rockefeller Foundation's International Health Division in Spain after the Spanish Civil War, delineating the relationships between the technicians sent by the Rockefeller Foundation and the Spanish health authorities. We analyze reports of the nutritional situation in Spain in the early 1940s and the design and outcomes of a nutrition survey conducted in a district of Madrid by American and Spanish nutritionists. This nutritional survey, which was based on food intake interviews and was complemented with anthropometric measurements, clinical examinations, and blood tests, found several symptoms and signs of malnutrition. The Rockefeller Foundation's nutritional research was an important historical precedent for later studies made in emergency situations or armed conflicts. Similar surveys have been carried out in the last several decades by distinguished academic departments of public health and epidemiology and by humanitarian aid agencies.
Tummers, Lars; Olsen, Asmus Leth; Jilke, Sebastian
For public administration scholars, psychological theories and methods can be extremely helpful, especially when studying attitudes or behaviors of (groups of) citizens, public professionals, or public managers. Behavioral public administration explicitly connects public administration...
Tummers, Lars; Leth Olsen, Asmus; Jilke, Sebastian; Grimmelikhuijsen, S.G.
For public administration scholars, psychological theories and methods can be extremely helpful, especially when studying attitudes or behaviors of (groups of) citizens, public professionals, or public managers. Behavioral public administration explicitly connects public administration and
Collins, E.; Oddy, D.J.
Describes the life history of the British Food Journal, its changing editorial team, ownership and editorial focus. The authors have used much wider source material than the archives of the journal, now in its 100th year. The journal was always closely identified with the safety of food, its adulteration and the government’s duty to safeguard the public. The second section reviews the profession and role of the public analyst, in particular the history and development of the Society of Public Analysts. The next and longest section of the monograph is devoted to an interesting examination of food safety, nutrition and food manufacturing issues over the last 100 years. Many of the points raised are illustrated by excerpts from papers written in BFJ and included as Appendices to the monograph. Food irradiation was first raised as a subject in the journal in 1928! Bread and milk as staples in the British diet are looked at in some detail in terms of their ingredients and health properties
Aggett, Peter J; Hathcock, John; Jukes, David; Richardson, David P; Calder, Philip C; Bischoff-Ferrari, Heike; Nicklas, Theresa; Mühlebach, Stefan; Kwon, Oran; Lewis, Janine; Lugard, Maurits J F; Prock, Peter
Codex documents may be used as educational and consensus materials for member governments. Also, the WTO SPS Agreement recognizes Codex as the presumptive international authority on food issues. Nutrient bioavailability is a critical factor in determining the ability of nutrients to provide beneficial effects. Bioavailability also influences the quantitative dietary requirements that are the basis of nutrient intake recommendations and NRVs. Codex, EFSA and some national regulatory authorities have established guidelines or regulations that will permit several types of health claims. The scientific basis for claims has been established by the US FDA and EFSA, but not yet by Codex. Evidence-based nutrition differs from evidence-based medicine, but the differences are only recently gaining recognition. Health claims on foods may provide useful information to consumers, but many will interpret the information to mean that they can rely upon the food or nutrient to eliminate a disease risk. NRVs are designed to provide a quantitative basis for comparing the nutritive values of foods, helping to illustrate how specific foods fit into the overall diet. The INL-98 and the mean of adult male and female values provide NRVs that are sufficient when used as targets for individual intakes by most adults. WTO recognizes Codex as the primary international authority on food issues. Current regulatory schemes based on recommended dietary allowances are trade restrictive. A substantial number of decisions by the EFSA could lead to violation of WTO agreements.
Gallegos Espinosa, Sylvia; Nicolalde Cifuentes, Marcelo; Santana Porbén, Sergio
The ELAN Ecuadorian Study of Hospital Malnutrition returned a malnutrition rate of 37.1% in public hospitals of Ecuador [Gallegos Espinosa S, Nicolalde Cifuentes M, Santana Porbén S; para el Grupo Ecuatoriano de Estudio de la Desnutrición Hospitalaria. State of malnutrition in hospitals of Ecuador. Nutr Hosp (España) 2014;30:425-35]. Hospital malnutrition could be the result of institutional cultural practices affecting the patient's nutritional status. To present the current state of food and nutritional care provided to patients assisted in public hospitals of Ecuador. The state of food and nutritional care provided to 5,355 patients assisted in 36 hospitals of 23 provinces of the country was documented by means of the Hospital Nutrition Survey (HNS), conducted as part of the ELAN Study. HNS recorded the completion of nutritional assessment exercises, the use of food-bymouth, fasting, use of oral nutritional supplements, and implementation and conduction of Artificial nutritional schemes (Enteral/Parenteral); respectively. Less than 0.1% of clinical charts had a diagnosis of malnutrition included in the list of the patient's health problems. Less than half of the patients had been measured and weighted on admission. Serum Albumin values and Total Lymphocytes Counts were annotated on admission in only 13.5% and 59.2% of the instances, respectively. Current weight value was registered in only 59.4% of the patients with length of stay ³ 15 days. An oral nutritional supplement was prescribed in just 3.5% of non-malnourished patients in which significant metabolic stress and/or reduced food intakes concurred. Although up to 10 different indications for use of Artificial nutrition were identified in the sample study, any of these techniques was administered to just 2.5% (median of observed percentages; range: 1.3 - 11.9%) of surveyed patients. Currently, nutritional status of hospitalized patient is not included within therapeutic goals, nutritional assessment
Freedman, Marjorie R; Nickell, Audrey
To determine if after-school nutrition workshops conducted in public libraries were related to lasting changes in food choice. "Snack Smart" workshops, based on Social Cognitive Theory, were conducted in 8 branch libraries (49 ethnically diverse children, ages 9 to 14) to assess changes in consumption of targeted food items by pretest, posttest, and follow-up food frequency questionnaires. Results were analyzed using the Friedman test for repeated measures and Wilcoxon signed rank test. Intake of milk, vegetables, and water significantly increased at 3-week posttest (P school nutrition programs for lasting impact. Copyright 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved.
Narins, Dorice M.; Hill, Virginia R.
Because of the importance of nutrition during teenage pregnancies, the Illinois State Council on Nutrition held public hearings in Chicago and in Carbondale, areas having a high incidence of infant mortality. Several issues were identified: (1) effects on nutrition of low income, poor nutrition habits, and lack of understanding of the increased…
Bigelow, B; Arndt, M; Stone, M M
Hospitals engage in a variety of strategies designed to anticipate, shape, and respond to public policy issues. This article describes corporate political strategy and argues for its need throughout a public policy issue's life cycle.
Zhu, Jian-Hua; And Others
Presents a mathematical model to explain the public's issue priority by integrating media agenda-setting and social interaction. Finds that the public's issue priority was influenced by both media and social interaction. (RS)
Hong, Esther S; Zeeb, Hajo; Repacholi, Michael H
Background Oculocutaneous albinism (OCA) is a genetically inherited autosomal recessive condition and OCA2, tyrosine-positive albinism, is the most prevalent type found throughout Africa. Due to the lack of melanin, people with albinism are more susceptible to the harmful effects of ultraviolet radiation exposure. This population must deal with issues such as photophobia, decreased visual acuity, extreme sun sensitivity and skin cancer. People with albinism also face social discrimination as a result of their difference in appearance. The World Health Organization is currently investigating the issues concerning this vulnerable population. Methods Systematic electronic search of articles in PubMed concerning albinism in Africa. Furthermore, a World Health Organization (WHO) pilot survey of albinism was drafted in English, French and Portuguese, and distributed to African countries through WHO African Regional Offices (AFRO) in an attempt to gather further information on albinism. Results Epidemiologic data on albinism, such as prevalence, were available for South Africa, Zimbabwe, Tanzania and Nigeria. Prevalences as high as 1 in 1,000 were reported for selected populations in Zimbabwe and other specific ethnic groups in Southern Africa. An overall estimate of albinism prevalences ranges from 1/5,000 – 1/15,000. In addition, both the literature review and the survey underscored the medical and social issues facing people with albinism. Conclusion The estimated prevalence of albinism suggests the existence of tens of thousands of people living with albinism in Africa. This finding reiterates the need for increased awareness of and public health interventions for albinism in order to better address the medical, psychological and social needs of this vulnerable population. PMID:16916463
Abrecht, P.; Arungu-Olende, S.; Francis, J.M.; Nashed, W.; Nwosu, B.C.E.; Rose, D.J.; Shinn, R.L.; de Gaspar, D.
Through a careful process of investigation and inquiry, the World Council of Churches (WCC) has become aware of a decline of public confidence in existing social institutions responsible for maintaining and securing the nuclear fuel cycle. In addressing this concern, the World Council of Churches seeks a direct assurance from the IAEA and other responsible government bodies that new initiatives will be taken to resolve this anxiety and to place the acknowledged risks of an expanding nuclear power industry in a more realistic long-term perspective. The provision of energy resources for all peoples is an essential part of the struggle for a more just, participatory and sustainable society. In the light of current uncertainties over the maintenance of energy supplies, particularly to large urban communities, the WCC appreciates the necessity of retaining nuclear power as a viable option for the future in many countries. However, the credibility of the option can be achieved only through the resolution of the major questions that are inherent in the use of nuclear technology. The paper discusses the following questions, which must be tackled without further delay and certainly before a large and irreversible world-wide commitment is made: (1) The need for an open public debate. Without full public consultation on the social and ethical implications of long-term energy choices, decisions will be taken largely in terms of commercial and consequently short-term economic interest. (2) Facing the long-term risks of adopting nuclear technology. (3) Access versus security. Concern for the security of sensitive nuclear technologies has produced the secretive nuclear club. A just global society implies not merely equal opportunity to aspire and to achieve, but affirmative action to redress imbalances. (4) Military implications. (5) Social implications of nuclear energy. (6) Ethical and religious issues. (author)
ENRESA (Empresa Nacional de Residuos Radiactivos, S.A.), is a State-owned company, founded in 1984 and is responsible for radioactive waste management in Spain. ENRESA's activities are carried out in accordance with a General Radioactive Waste Plan approved by the Spanish Government. In Spain, as in most countries, the public is concerned about many of the activities involving radioactivity or rad waste management; this concern arises for different reasons, being one of them the lack of information on the matter. This situation often leads to an information misuse by certain politicians, green groups and media, which can increase the distrust of the public to responsible companies and institutions. At the root of both these problems there is also a lack of political consensus regarding projects and related activities. To gain public acceptance, it is necessary to develop a long-term information policy since, in the field of communication, results can only be achieved in the long term. ENRESA is carrying out an on-going Communication Plan (CP), implemented successfully in the areas surrounding a low and intermediate level waste disposal site and a 500 MW nuclear power station (Vandellos 1) which is currently being dismantled. Implementation of this plan at national level is being accomplished stepwise. This document deals with the most relevant issues relating to the radioactive waste situation in Spain and with the efforts made in communications. From the very beginning the situation regarding public opinion was one of clear opposition. At regional level, and particularly in the area surrounding the El Cabril site, both the general public and the opinion leaders were opposed to any action by ENRESA. This opposition included some anti-ENRESA demonstrations right in front of the main entrance to El Cabril. At national level politicians, journalists, etc., did not show much confidence in ENRESA's activities, and the information published in the newspapers was always
Cullerton, Katherine; Donnet, Timothy; Lee, Amanda; Gallegos, Danielle
Poor dietary intake is the most important behavioural risk factor affecting health globally. Despite this, there has been little investment in public health nutrition policy actions. Policy process theories from the field of political science can aid understanding why policy decisions have occurred and identify how to influence ongoing or future initiatives. The present review aims to examine public health nutrition policy literature and identify whether a policy process theory has been used to analyse the process. Electronic databases were searched systematically for studies examining policy making in public health nutrition in high-income, democratic countries. International, national, state and local government jurisdictions within high-income, democratic countries. Individuals and organisations involved in the nutrition policy-making process. Sixty-three studies met the eligibility criteria, most were conducted in the USA and a majority focused on obesity. The analysis demonstrates an accelerating trend in the number of nutrition policy papers published annually and an increase in the diversity of nutrition topics examined. The use of policy process theory was observed from 2003; however, it was utilised by only 14 % of the reviewed papers. There is limited research into the nutrition policy process in high-income countries. While there has been a small increase in the use of policy process theory from 2003, an opportunity to expand its use is evident. We suggest that nutrition policy making would benefit from a pragmatic approach that ensures those trying to influence or understand the policy-making process are equipped with basic knowledge around these theories.
Schwartz, Denise Baird; Posthauer, Mary Ellen; O'Sullivan Maillet, Julie
It is the position of the Academy of Nutrition and Dietetics that individuals have the right to request or refuse nutrition and hydration as medical treatment. Registered dietitians should work collaboratively as part of an interprofessional team to make recommendations on providing, withdrawing, or withholding nutrition and hydration in individual cases and serve as active members of institutional ethics committees. This practice paper provides a proactive, integrated, systematic process to implement the Academy's position. The position and practice papers should be used together to address the history and supporting information of ethical and legal issues of feeding and hydration identified by the Academy. Elements of collaborative ethical deliberation are provided for pediatrics and adults and in different conditions. The process of ethical deliberation is presented with the roles and responsibilities of the registered dietitian and the dietetic technician, registered. Understanding the importance and applying concepts dealing with cultural values and religious diversity is necessary to integrate clinical ethics into nutrition care. Incorporating screening for quality-of-life goals is essential before implementing the Nutrition Care Process and improving health literacy with individual interactions. Developing institution-specific policies and procedures is necessary to accelerate the practice change with artificial nutrition, clinical ethics, and quality improvement projects to determine best practice. This paper supports the "Position of the Academy of Nutrition and Dietetics: Ethical and Legal Issues of Feeding and Hydration" published in the June 2013 issue of the Journal of the Academy of Nutrition and Dietetics. Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
Wilna H. Oldewage-Theron
Full Text Available The Department of Basic Education (DBE has not given nutrition education the necessary emphasis that it needs, despite its importance in South African schools. Nutrition is included as only one of many topics forming part of the Life Orientation syllabus. Educators are role models for learners in making healthy food choices, however, studies have shown that major gaps exist in the health and nutrition-related knowledge and behaviour of educators. The objective of this research was to undertake a pilot study to determine the impact of a nutrition education programme (NEP on the nutrition knowledge of Life Orientation educators in public schools in South Africa (SA. An exploratory baseline survey, to determine the nutrition education practices in 45 purposively selected public schools, was carried out before the experimental nutrition education intervention study. A nutrition knowledge questionnaire was completed by 24 purposively selected educators, representing all nine provinces in SA, before and after a three-day NEP. Pre and post-NEP data were analysed on the Statistical Package for Social Sciences (SPSS for a Windows program version 17.0 for descriptive statistics, version 17.0. Paired t-tests measured statistically significant differences (p < 0.05 before and after the NEP. The knowledge of the respondents improved significantly after the NEP as the mean±s.d. score of correctly answered questions (n = 59 improved from 63.3±30.2% before to 80.6±21.1% after the NEP. The results proved that nutrition knowledge of Life Orientation educators in primary schools is not optimal, but can be improved by NEP. Opsomming Die Departement van Basiese Opvoeding het nog nie die nodige aandag aan voeding voorligting in skole gegee nie ten spyte van die belangrikheid daarvan. Voeding word aangebied as een van vele aspekte in die Lewensoriëntasie sillabusse. Onderwysers is rolmodelle om gesonde voedsel keuses te maak vir kinders, maar studies het bewys dat
Hunger in America: Hearings on Hunger and Related Nutritional Issues, before the Subcommittee on Nutrition and Investigations of the Committee on Agriculture, Nutrition, and Forestry, United States Senate, and the Committee on Agriculture, Nutrition, and Forestry, United States Senate. One Hundredth Congress, Second Session (Cedar Rapids, Iowa, January 30, 1988; Washington, D.C., March 1 and 28, 1988).
Congress of the U.S., Washington, DC. Senate Committee on Agriculture, Nutrition, and Forestry.
This report presents the testimony of numerous expert witnesses who appeared at three hearings on the following topics: (1) Hunger and Related Nutritional Issues; (2) U.S. Department of Agriculture (USDA) Food Assistance Programs; and (3) Domestic Hunger and Related Nutritional Issues. The following major issues were discussed: (1) the number of…
Idaho State Department of Education, 2009
Idaho Child Nutrition Programs (CNP) released the New Nutrition Standards for Idaho School Meals in January 2009 with the recommendation that all School Food Authorities fully implement the New Nutrition Standards for Idaho School Meals into their programs starting August 2009. Along with the release of the New Nutrition Standards for Idaho School…
Ramakrishnan, Usha; Lowe, Alyssa; Vir, Sheila; Kumar, Shuba; Mohanraj, Rani; Chaturvedi, Anuraag; Noznesky, Elizabeth A; Martorell, Reynaldo; Mason, John B
Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems. To evaluate the implementation of maternal nutrition programs in India. The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.
Heyland, Daren K; Stapleton, Renee D; Mourtzakis, Marina; Hough, Catherine L; Morris, Peter; Deutz, Nicolaas E; Colantuoni, Elizabeth; Day, Andrew; Prado, Carla M; Needham, Dale M
Survivors of critical illness commonly experience neuromuscular abnormalities, including muscle weakness known as ICU-acquired weakness (ICU-AW). ICU-AW is associated with delayed weaning from mechanical ventilation, extended ICU and hospital stays, more healthcare-related hospital costs, a higher risk of death, and impaired physical functioning and quality of life in the months after ICU admission. These observations speak to the importance of developing new strategies to aid in the physical recovery of acute respiratory failure patients. We posit that to maintain optimal muscle mass, strength and physical function, the combination of nutrition and exercise may have the greatest impact on physical recovery of survivors of critical illness. Randomized trials testing this and related hypotheses are needed. We discussed key methodological issues and proposed a common evaluation framework to stimulate work in this area and standardize our approach to outcome assessments across future studies. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Kugelberg, Susanna; Jonsdottir, Svandis; Faxelid, Elisabeth; Jönsson, Kristina; Fox, Ann; Thorsdottir, Inga; Yngve, Agneta
Little is known about current public health nutrition workforce development in Europe. The present study aimed to understand constraining and enabling factors to workforce development in seven European countries. A qualitative study comprised of semi-structured face-to-face interviews was conducted and content analysis was used to analyse the transcribed interview data. The study was carried out in Finland, Iceland, Ireland, Slovenia, Spain, Sweden and the UK. Sixty key informants participated in the study. There are constraining and enabling factors for public health nutrition workforce development. The main constraining factors relate to the lack of a supportive policy environment, fragmented organizational structures and a workforce that is not cohesive enough to implement public health nutrition strategic initiatives. Enabling factors were identified as the presence of skilled and dedicated individuals who assume roles as leaders and change agents. There is a need to strengthen coordination between policy and implementation of programmes which may operate across the national to local spectrum. Public health organizations are advised to further define aims and objectives relevant to public health nutrition. Leaders and agents of change will play important roles in fostering intersectorial partnerships, advocating for policy change, establishing professional competencies and developing education and training programmes.
Hughes, Roger; Margetts, Barrie
The present paper describes a model for public health nutrition practice designed to facilitate practice improvement and provide a step-wise approach to assist with workforce development. The bi-cycle model for public health nutrition practice has been developed based on existing cyclical models for intervention management but modified to integrate discrete capacity-building practices. Education and practice settings. This model will have applications for educators and practitioners. Modifications to existing models have been informed by the authors' observations and experiences as practitioners and educators, and reflect a conceptual framework with applications in workforce development and practice improvement. From a workforce development and educational perspective, the model is designed to reflect adult learning principles, exposing students to experiential, problem-solving and practical learning experiences that reflect the realities of work as a public health nutritionist. In doing so, it assists the development of competency beyond knowing to knowing how, showing how and doing. This progression of learning from knowledge to performance is critical to effective competency development for effective practice. Public health nutrition practice is dynamic and varied, and models need to be adaptable and applicable to practice context to have utility. The paper serves to stimulate debate in the public health nutrition community, to encourage critical feedback about the validity, applicability and utility of this model in different practice contexts.
Arungu-Olende, S.; Francis, J.M.; Nashed, W.; Nwosu, B.C.E.; Rose, D.J.; Shinn, R.L.; Gaspar, D. de; Abrecht, P.
The World Council of Churches is aware of a decline of public confidence in existing social institutions responsible for maintaining and securing the nuclear fuel cycle. In addressing this concern, the World Council of Churches seeks a direct assurance from the IAEA and other responsible governmental bodies that new initiatives will be taken to resolve this anxiety and to place the acknowledged risks of an expanding nuclear power industry in a more realistic long-term perspective. The provision of energy resources for all peoples is an essential part of the struggle for a more just, participatory and sustainable society. The W.C.C. appreciates the necessity of retaining nuclear power as a viable option for the future in many countries. However, the credibility of the option can be achieved only through the resolution of the major questions that are inherent in the use of nuclear technology. These questions must be tackled before a large and irreversible world-wide commitment is made. At present, the public debate is confused. Advocates of nuclear energy plead the achievements of unproven technology, minimizing the unsolved problems, while critics ignore the societal costs of other major energy options, and demand an unrealistic absolute perfection in the design and construction of nuclear power systems. The churches seek to encourage an informed public examination of these issues. The W.C.C. stresses the necessity of resolving the problems of secure waste disposal and those posed by the drift into a dependency on the plutonium fuel economy. A just global society implies not merely equal opportunity to aspire and to achieve, but affirmative action to redress imbalances. This is incompatible with the pseudo-secrecy and patronage practiced by developed nuclear countries. The W.C.C. is concerned how the ''access'' versus ''security'' issue is to be resolved. The development of nuclear energy for civilian purposes is linked with the development of nuclear weapons. The
... of States, Districts, and Schools That Required Teaching Nutrition and Dietary Behavior, by School Level 100 80 60 40 20 0 72. ... no comparable variable existed in both survey years. Nutrition Services • 68.6% of schools offered breakfast to students and 63.0% participated ...
The present paper presents the approach, results and outcome of an innovative piece of action research amongst professionals (health and non-health) and the public (women and young people from low-income families in one of the deprived areas of Birmingham, UK). A cooperative inquiry approach was used and data were collected on concerns about health of professionals (n 15) and the public (n 19), as well as dietary practices, smoking pattern and access to healthy foods amongst the public (n 49). The methods of data collection were: desk research; observation; semi-structured individual and focus-group interviews; structured individual interviews. The findings highlight diverse views and expectations about health amongst the public and the professionals, and suggest the existence of tensions between the partnership and the ownership of inter-agency collaboration. It argues the importance of having a shared vision amongst health and non-health professionals regarding health strategy and the way forward for working together to promote the public's health. It recommends that by using the tenet of action research, and adapting a cooperative inquiry approach, members of a partnership project could learn through reflection on action and achieve personal development and social action.
Freedman, Marjorie R.; Nickell, Audrey
Objective: To determine if after-school nutrition workshops conducted in public libraries were related to lasting changes in food choice. Methods: "Snack Smart" workshops, based on Social Cognitive Theory, were conducted in 8 branch libraries (49 ethnically diverse children, ages 9 to 14) to assess changes in consumption of targeted food items by…
This article is based on a paper prepared for the Workshop on Establishing a Regional Institute for Public Health Nutrition Research and Training in West Africa, convened in Dakar, Senegal, 26-28 March, 2009. Information was gathered mainly prior to this workshop; several responses, however, came in
Lloyd-Williams, Ffion; Bromley, Helen; Orton, Lois; Hawkes, Corinna; Taylor-Robinson, David; O'Flaherty, Martin; McGill, Rory; Anwar, Elspeth; Hyseni, Lirije; Moonan, May; Rayner, Mike; Capewell, Simon
Countries across Europe have introduced a wide variety of policies to improve nutrition. However, the sheer diversity of interventions represents a potentially bewildering smorgasbord. We aimed to map existing public health nutrition policies, and examine their perceived effectiveness, in order to inform future evidence-based diet strategies. We created a public health nutrition policy database for 30 European countries. National nutrition policies were classified and assigned using the marketing "4 Ps" approach Product (reformulation, elimination, new healthier products); Price (taxes, subsidies); Promotion (advertising, food labelling, health education) and Place (schools, workplaces, etc.). We interviewed 71 senior policy-makers, public health nutrition policy experts and academics from 14 of the 30 countries, eliciting their views on diverse current and possible nutrition strategies. Product Voluntary reformulation of foods is widespread but has variable and often modest impact. Twelve countries regulate maximum salt content in specific foods. Denmark, Austria, Iceland and Switzerland have effective trans fats bans. Price EU School Fruit Scheme subsidies are almost universal, but with variable implementation.Taxes are uncommon. However, Finland, France, Hungary and Latvia have implemented 'sugar taxes' on sugary foods and sugar-sweetened beverages. Finland, Hungary and Portugal also tax salty products. Promotion Dialogue, recommendations, nutrition guidelines, labelling, information and education campaigns are widespread. Restrictions on marketing to children are widespread but mostly voluntary. Place Interventions reducing the availability of unhealthy foods were most commonly found in schools and workplace canteens. Interviewees generally considered mandatory reformulation more effective than voluntary, and regulation and fiscal interventions much more effective than information strategies, but also politically more challenging. Public health nutrition
Sjöström, M; Yngve, A; Poortvliet, E; Warm, D; Ekelund, U
For the majority of European adults, who neither smoke nor drink excessively, the most significant controllable risk factors affecting their long-term health are what they eat, and how physically active they are. Scientists are supposed to clarify to policy makers and health professionals the usefulness of their health messages. However, to be able to do that, a more detailed understanding is needed of the basic mechanisms behind the effects on health of diet and physical activity and, especially, the two in combination. Further, better methods for assessment of nutrition and physical activity in the population have to be developed, and more and better baseline data have to be collected. Increased and more efficient interventions are then needed. People trained and competent in the new discipline of Public Health Nutrition are required. Through the stimulating support that the European Commission, as well as other national and international partners, are presently giving to the development of Public Health Nutrition across Europe, we can hope for an increased mobility, networking and understanding between European nutrition and physical activity professionals. This will most likely result in greater and better policy making, strategy development, implementation and evaluation. We now have a great possibility to develop the integrated field of preventive nutrition and health enhancing physical activity.
Montessoro, A C; Blixen, C E
In the United States 45% of female adolescents engage in premarital sex; 40% will become pregnant before reaching the age of 20; and 4/5 of these pregnancies will be unintended. Adolescent pregnancy has been associated with increased health risks for both the mother and the child. Only 6 in 10 adolescents will graduate from high school compared with 9 in 10 of their peers who delayed parenthood. The increasing number of single-parent families has contributed significantly to the increase in child poverty rates from 15% in 1960 to 20.3% in 1988. Further, such families cost billions of dollars to taxpayers because of public assistance and medical care. From a historical viewpoint the number of teen childbearing reached a peak in 1957 with 97.3 births per 1000 women 15-17 years old; it declined to 52.8/1000 by 1977 and to 51.8/1000 by the 1980s. The legalization of abortion in 1973 had a major impact on the resolution of adolescent pregnancies. Since the 1960s there has been a faster increase in early sexual activity, pregnancy, and birth among White adolescents than among minority groups. The United States has higher rates than western European countries, while it is also more ambivalent on sexuality issues. Tremendous change did take place in the 1960s in American culture as regards the family, and social and sexual relationships. Yet there is still a double standard with respect to female morality, and adolescents get a conflicting message about sexuality. Teenage mothers and their infants face an uncertain economic future because the much maligned welfare system is undergoing an overhaul and the market is shrinking for unskilled workers. Although increasing numbers of pregnant adolescents remained in school after amendments were passed to the education act, adolescent pregnancy has not been tackled at its very footing, its socioeconomic causes.
Full Text Available The aim of the paper was to evaluate sanitary condition of food preparation and distribution in the "Public kitchen" in Nis, as well as the meals’ quality in order to assess the health risks. The local inspection of the objects and microbiological analysis of swaps were done according to standard methods. Energetical values and biochemical structure of the meals were assessed by bromatological methods and energetical density was calculated. The study was being conducted from 2002 – 2005. The results show that sanitary conditions in the object were not adequate, because of a high percentage of incorrect samples (13.4% from the total number of samples. Energetical values of meals were usually adequate (1157 – 1564 kcal, 4837 – 6581 kJ, but constantly decreased. The chemical structure of the meals was adequate too, meaning that meals were very well- planed. The energetic density of meals was high (1,18 – 1,42 kcal/g. Our conclusion is that there are no alternatives to continuous health care education of the medical stuff and regular sanitary hygienic control, all with the aim to accomplish complete social function of the public kitchen and to protect the health of its consumers.
Little is known about the health and nutrition of those HIV/AIDS orphans and inconsistent findings make it difficult to assess if orphans and other vulnerable children have specific nutritional needs. This study investigated nutritional status HIV/AIDS orphans in Sagamu. The study population consisted of fifty seronegative ...
This article begins by reviewing developments in the field of public administration over the past 50 years and identifying factors that have served, in some cases unintentionally, to undermine public confidence in the actual practice of public administration. It then examines a number of important conditions that must be addressed in the…
Demystifying Data: Data Use in State and Local Public Health Nutrition Programs--Measuring Achievement of the 1990 Health Promotion/Disease Prevention Objectives for the Nation. Proceedings of the Continuing Education Conference for the Association of State and Territorial Public Health Nutrition Directors and Association of Faculties of Graduate Programs in Public Health Nutrition (Chapel Hill, North Carolina, May 21-24, 1985).
Kaufman, Mildred, Comp.
This document contains the proceedings from the Conference of State and Territorial Public Health Nutrition Directors and Faculties of Graduate Programs in Public Health Nutrition designed to improve participants' proficiency in data management. It includes an introduction by Mildred Kaufman, a conference agenda, and the following presentations:…
Full Text Available The purpose of this study is to better understand how the complex problem of human trafficking is addressed in international debates. How the discussion about human trafficking develops and how it is debated ultimately influences how the decision-making process unfolds. In order to understand the formation of public policy and laws, therefore, it is important to study the debate that occurs prior to decision making. This analysis focuses on the narratives used by major, well-established human rights and political actors that argue for necessary actions to be undertaken—such as the formation of new policies and laws in the European Union—as an attempt to protect citizens of the EU and other regions in the world from becoming victims of trafficking networks. Our research examines how the topic of human trafficking is framed and how this framework is intertwined in the debate with other social problems. We focus on how human trafficking is discussed by two well-established human rights Non-Governmental Organizations (NGOs, Amnesty International (Amnesty and Human Rights Watch (HRW, in addition to the European Parliament (EP. The research questions for this study include: (1 In what context is human trafficking discussed by the three actors? (2 How do these actors frame the definition of human trafficking in their presentations? To answer these questions, we have conducted a systematic content analysis of documents that include official statements and research reports of the NGOs, as well as resolutions and recommendations of the EP. Altogether, 240 documents were analyzed in detail. These findings indicate that the two human rights organizations, Amnesty and Human Rights Watch, along with the European Parliament, all address human trafficking as an important social problem, albeit to varying degrees. Each actor has a different method of correlating human trafficking with many other social problems, thereby emphasizing different causes and
Rahm, Dianne; Reed, B. J.; Rydl, Teri L.
An overview of Internet-mediated learning in public affairs programs identifies issues for faculty, students, and administrators, including intellectual property rights, instructional issues, learning approaches, student expectations, logistics and support, complexity of coordination, and organizational control. (DB)
Hardaker, J. Brian; Fleming, Euan M.; Lien, Gudbrand D.
We argue for greater recognition of the risky nature of most policy decisions. In this context we discuss the gulf between public risk perceptions and attitudes and those of 'experts'. Public views of risk are often inconsistent and seemingly irrational. They nevertheless influence policy choices in a democracy. On the other hand, experts often claim unjustifiable levels of confidence in their predictions of policy choice outcomes, creating a lack of public faith in their recommendations. Whi...
A brief history of public acceptance of nuclear energy in Slovenia is given. While in former Yugoslavia a problem of public acceptance virtually did not exist because of undemocratic social system, it grew larger and larger with the process of democratization in late eighties. The first democratic government in Slovenia had to abandon its original idea for an early closure of the nuclear power plant Krsko. In 1995 and 1996 there were two attempts to organize the national referendum about the future of the plant. The lessons learned from the public debates in recent years could help other countries entering the nuclear program to prepare and implement efficient public information strategy. (author)
Full Text Available Hepatitis B infection is endemic in many parts of the world, including Korea. Basic knowledge of the hepatitis B virus by the public is a prerequisite for the development of a successful vaccination program. A survey was conducted in rural Korea to examine public knowledge of hepatitis B etiology, symptoms, transmission, risk factors and prevention. It was found that knowledge independently correlated with education and female sex, but that overall knowledge of hepatitis B was poor. The preferred information sources in order of preference were physicians, television and public health nurses. This information may be useful in designing public health education and vaccination programs in developing populations.
Denis Stepanovich Mikheyev
Full Text Available Objective to investigate the mechanisms of citizens and public institutions participation in public control in the municipalities. According to the author the monitoring process should involve the greatest possible range of subjects and the controlling measures are to be taken in a transparent and open manner. Therefore forms of citizen participation in public control should be investigated from the standpoint of the principle of openness of local government. Methods the universal dialectic method which was applied to the analysis of norms of the Federal law quotOn fundamentals of public control in the Russian Federationquot which is the legal base for the implementation of the institution of public control. When studying the problem of adequate legal regulation of the control institution the formal legal method was also used. Other methods were used for evaluation of the acquired knowledge in particular comparative legal and systemicstructural methods. Results on the basis of legal norms analysis based on the legal nature of the local government institution as the level of public authorities which is closest to the citizens the conclusion was made about the lack of legal regulation relating to the public control subjects in municipalities. The numerous public organizations operating in local communities were not fixed by legislative norms as subjects of public control. Scientific novelty the author has grounded the proposals for amending the abovementioned Federal law the legislation of Federation subjects and the municipal regulations by adding a number of new subjects of public control inherent to the municipal level. Practical value the conclusions and suggestions formulated in the study will contribute to the active implementation of public control in the municipalities will enhance the ability of citizens and civil society institutions to monitor the authorities and will have a positive impact on transparency of local selfgovernment. The
This publication lists the 632 unrestriced reports, 232 papers, and 17 patents published by the National Institute for Metallurgy from 1966 (the year of its inception) to 1st April, 1977. For ease of reference, these publications are also classified under the research programmes that gave rise to them [af
Haughton, Betsy; George, Alexa
To describe the US public health nutrition workforce and its future social, biological and fiscal challenges. Literature review primarily for the four workforce surveys conducted since 1985 by the Association of State and Territorial Public Health Nutrition Directors. The United States. Nutrition personnel working in governmental health agencies. The 1985 and 1987 subjects were personnel in full-time budgeted positions employed in governmental health agencies providing predominantly population-based services. In 1994 and 1999 subjects were both full-time and part-time, employed in or funded by governmental health agencies, and provided both direct-care and population-based services. The workforce primarily focuses on direct-care services for pregnant and breast-feeding women, infants and children. The US Department of Agriculture funds 81.7 % of full-time equivalent positions, primarily through the WIC Program (Special Supplemental Nutrition Program for Women, Infants, and Children). Of those personnel working in WIC, 45 % have at least 10 years of experience compared to over 65 % of the non-WIC workforce. Continuing education needs of the WIC and non-WIC workforces differ. The workforce is increasingly more racially/ethnically diverse and with 18.2 % speaking Spanish as a second language. The future workforce will need to focus on increasing its diversity and cultural competence, and likely will need to address retirement within leadership positions. Little is known about the workforce's capacity to address the needs of the elderly, emergency preparedness and behavioural interventions. Fiscal challenges will require evidence-based practice demonstrating both costs and impact. Little is known about the broader public health nutrition workforce beyond governmental health agencies.
Public perceptions about radioactive waste are generally rather or even strongly negative. They are also very poorly informed. This is rather unfortunate as it is these perceptions that appear to greatly influence the Public views on nuclear energy in general. This, in turn, has had an influence on political decisions. On the other hand, in a very clear majority of the Member States of the European Union, the Public have already indicated that they would be ready to accept the important role of nuclear in their future energy mix as long as all the radioactive wastes can be safely managed. However perceptions about nuclear energy and radioactive waste should be seen in the context of the Public wider perceptions on energy and, in particular, the role in the future of different sources. It may be wrong for political decisions on nuclear energy in the future to rely to heavily on the Public perceptions. (author)
Full Text Available The paper raises general questions about ethical problems that taint public-private partnership. Everybody talks about the economical benefits of encouraging firms to invest in the community using different incentives offered by the public institutions. In the same time, every day, newspapers bring to our attention cases of misuse of public resources for private gain or cases of private investors who give bribes in order to get a contract with a public institution. The purpose of this paper is to synthesize our understanding of the entrepreneurial movement and analyze its implications for potential problems of corruption that can arise in the relation between the public and the private sector.a
Cullen, Karen Weber; Watson, Kathy; Zakeri, Issa
We assessed the effect of the Texas Public School Nutrition Policy on middle school student lunchtime food consumption. Three years of lunch food records were collected from middle school students in southeast Texas: baseline (2001-2002), after local district changes (2002-2003), and 1 year after implementation of the Texas Public School Nutrition Policy (2005-2006). Students recorded amount and source of foods and beverages they consumed. Analysis of variance and covariance and nonparametric tests were used to compare intake after the policy change with intake during the 2 previous years. After implementation of the nutrition policy, student lunch consumption of vegetables, milk, and several nutrients increased (protein, fiber, vitamins A and C, calcium, and sodium), and consumption of less desirable items (sweetened beverages, snack chips) decreased, as did percentage of energy from fat. Most of the desired nutrients and foods (vegetables and milk) were obtained from the National School Lunch Program meal. Fewer sweetened beverages, candy, chips, and dessert foods were purchased and consumed, but more of these items were brought from home and purchased from the snack bar. Overall, state school nutrition policies can improve the healthfulness of foods consumed by students at lunch.
Full Text Available Abstract Background Climate change is taking a toll on human health, and some leaders in the public health community have urged their colleagues to give voice to its health implications. Previous research has shown that Americans are only dimly aware of the health implications of climate change, yet the literature on issue framing suggests that providing a novel frame - such as human health - may be potentially useful in enhancing public engagement. We conducted an exploratory study in the United States of people's reactions to a public health-framed short essay on climate change. Methods U.S. adult respondents (n = 70, stratified by six previously identified audience segments, read the essay and were asked to highlight in green or pink any portions of the essay they found "especially clear and helpful" or alternatively "especially confusing or unhelpful." Two dependent measures were created: a composite sentence-specific score based on reactions to all 18 sentences in the essay; and respondents' general reactions to the essay that were coded for valence (positive, neutral, or negative. We tested the hypothesis that five of the six audience segments would respond positively to the essay on both dependent measures. Results There was clear evidence that two of the five segments responded positively to the public health essay, and mixed evidence that two other responded positively. There was limited evidence that the fifth segment responded positively. Post-hoc analysis showed that five of the six segments responded more positively to information about the health benefits associated with mitigation-related policy actions than to information about the health risks of climate change. Conclusions Presentations about climate change that encourage people to consider its human health relevance appear likely to provide many Americans with a useful and engaging new frame of reference. Information about the potential health benefits of specific mitigation
Maibach, Edward W; Nisbet, Matthew; Baldwin, Paula; Akerlof, Karen; Diao, Guoqing
Climate change is taking a toll on human health, and some leaders in the public health community have urged their colleagues to give voice to its health implications. Previous research has shown that Americans are only dimly aware of the health implications of climate change, yet the literature on issue framing suggests that providing a novel frame--such as human health--may be potentially useful in enhancing public engagement. We conducted an exploratory study in the United States of people's reactions to a public health-framed short essay on climate change. U.S. adult respondents (n = 70), stratified by six previously identified audience segments, read the essay and were asked to highlight in green or pink any portions of the essay they found "especially clear and helpful" or alternatively "especially confusing or unhelpful." Two dependent measures were created: a composite sentence-specific score based on reactions to all 18 sentences in the essay; and respondents' general reactions to the essay that were coded for valence (positive, neutral, or negative). We tested the hypothesis that five of the six audience segments would respond positively to the essay on both dependent measures. There was clear evidence that two of the five segments responded positively to the public health essay, and mixed evidence that two other responded positively. There was limited evidence that the fifth segment responded positively. Post-hoc analysis showed that five of the six segments responded more positively to information about the health benefits associated with mitigation-related policy actions than to information about the health risks of climate change. Presentations about climate change that encourage people to consider its human health relevance appear likely to provide many Americans with a useful and engaging new frame of reference. Information about the potential health benefits of specific mitigation-related policy actions appears to be particularly compelling. We
Issues surrounding the establishment and development of public libraries in Nigeria are captured in this piece of writing. The paper particularly discusses the origin and growth of public libraries, objectives and role of public libraries in Nigeria. It further looked at public libraries in the 21st century; problems and prospects of ...
Objective: To analyse the impact of the alcohol market on the implementation of strong-willed public alcohol abuse prevention policies based on a critical review of the literature. Method: Documentary research and analysis of the alcohol market economic data were performed. An overview of public alcohol abuse prevention policies was conducted from a historical perspective by distinguishing drunkenness control policies, protection of vulnerable populations, and the fight against drink driving and drinking in the workplace. Results: Public alcohol abuse prevention policies are primarily designed to reduce the harmful consequences of alcohol occurring as a result of a drinking episode (motor vehicle accident, highway accidents, etc.), while neglecting the long-term consequences (cancer, cirrhosis, etc.). Moreover, while taxation is one of the major public health tools used to reduce the costs of alcohol-related damage on society, the State exercises legislative and tax protection for alcoholic beverages produced in France. In particular, wine benefits from a lower tax rate than other stronger forms of alcohol (spirits, liquors, etc.). The economic weight of the alcohol market can provide an explanation for these public alcohol abuse prevention policies. Conclusion: In view of the mortality caused by alcohol abuse, France must implement a proactive public policy. An alcohol taxation policy based on the alcohol content, a minimum unit pricing for alcohol, or higher taxes on alcohol are public policies that could be considered in order to reduce alcohol-related mortality.
Visvanathan, R; Zaiton, A; Sherina, M S; Muhamad, Y A
The aim of this study was to determine the: (1) prevalence of undernutrition as determined by the 'DETERMINE Your Nutritional Health Checklist' (NHC) and (2) factors independently associated with undernutrition among the older residents of these publicly funded shelter homes in Peninsular Malaysia. A total of 1081 elderly people (59%M) over the age of 60 y were surveyed using questionnaires determining baseline demographics, nutritional and cognitive status, physical function and psychological well-being. Shelter homes, Peninsular Malaysia. In all, 41.4% (n = 447) were nourished (score 5) according to the NHC. A large proportion of subjects were underweight with 14.3% of subjects recording a low body mass index (BMI) or = 3). Using a BMI people residing in publicly funded shelter homes in Malaysia may be at-risk of undernutrition, and were underweight. The NHC is better used as an awareness tool rather than as a screening tool.
Radu-Rusu, R M; Vacaru-Opris, I; Usturoi, M G; Radu-Rusu, C.G. [Animal Science Faculty, University of Agricultural Sciences and Veterinary Medicine, Iasi (Romania)], E-mail: email@example.com
Full text: Nutrition quality, consequently the nutrients level and quality in food, is a main factor influencing the consumers' health status. The food industry should consider all possible ways to improve nutritional value of aliments. Despite this, the data related to some quality indexes of the poultry meat, that could contribute to establish an overall image of the nutritional and dietetic facts of this product are poorly represented in the scientific literature, mainly when the consumer might be interested by the meat produced and commercialised nowadays in Romania. It imposed to organise some studies related to certain qualitative features of the skeletal muscles issued from chicken broilers, knowing that the technical specifications of the companies producing hybrids do not issue about them, mainly focusing on the meat yield parameters. The original researches have been organised in two experimental series, which had as main goal the analysis of the qualitative meat production at two of the most used commercial chicken hybrids in our country - 'COBB-500' (60 chickens, sex ratio 1:1) and 'ROSS-308' (60 chickens, sex ratio 1:1), reared in similar technological conditions. This paper emphasises on those results dealing with meat chemical composition and caloricity. There has been sampled five pair of skeletal muscles, from those carcass areas with market importance: Pectoralis superficialis (PS) and Pectoralis profundis (PP) - breast, Biceps brachialis (BB) - wings, Semimembranosu (SM) - thighs and Gastrocnemius medialis (GM) - drumsticks. They were processed in accordance with the analytical chemistry laboratory methods in order to assess dry mater and water content, proteins and amino acids content, lipids and fatty acids content, these values leading to caloricity computation. The achieved results are briefly listed below: - for both studied hybrids, it was observed that the males pectoral muscles comprise a higher quantity of dry matter, compared to the
This report provides a review of impressions obtained from public interactions regarding the risk of volcanism for underground storage of radioactive waste. These impressions were gained through participation in numerous contacts for the Yucca Mountain Site Characterization Project during the last six years. A conclusion emerging from public interactions is that scientists and those responsible for policy decisions must become more familiar with risk assessment, risk communication, and the requirements of objectively examining decision options for defining acceptable risk
Many developing countries are considering the privatization of public enterprise natural monopolies. Such as monopolies in charge of electricity, natural gas, water and sewer, and telephone service. The author tries to answer two questions: (i) how great would the efficiency losses be, if any, if a public natural monopoly were privatized and allowed to function as an unregulated entity? and (ii) how much could performance be expected to improve if the privatized natural monopoly operated as a...
Simon, Paul A.; Chiang, Choiyuk; Lightstone, Amy S.; Shih, Margaret
We assessed public opinion on nutrition-related policies to address child obesity: a soda tax, restrictions on advertising unhealthy foods and beverages to children, and restrictions on siting fast food restaurants and convenience stores near schools. We analyzed data from 998 adults (aged ≥18 years) in the 2011 Los Angeles County Health Survey. Support was highest for advertising restrictions (74%), intermediate for a soda tax (60%), and lowest for siting restrictions on fast food restaurant...
Misnon, Fauzan Amin; Hu, Yeoh Siong; Rahman, Irman Abd.; Yasir, Muhamad Samudi
Malaysia had considered nuclear energy as an option for future electricity generation during the 9th Malaysia Development Plan. Since 2009, Malaysia had implemented a number of important preparatory steps towards this goal, including the establishment of Nuclear Power Corporation of Malaysia (MNPC) as first Nuclear Energy Programme Implementing Organization (NEPIO) in Malaysia. In light of the establishment of MNPC, the National Nuclear Policy was formulated in 2010 and a new comprehensive nuclear law to replace the existing Atomic Energy Licensing Act (Act 304) is currently in the pipeline. Internationally, public acceptance is generally used to gauge the acceptance of nuclear energy by the public whenever a government decides to engage in nuclear energy. A public survey was conducted in between 14 March 2016 to 10 May 2016 focusing on the Malaysian public acceptance and perception towards the implementation of nuclear energy in Malaysia. The methodology of this research was aim on finding an overview of the general knowledge, public-relation recommendation, perception and acceptance of Malaysian towards the nuclear power development program. The combination of information gathered from this study can be interpreted as an indication of the complexity surrounding the development of nuclear energy and its relationship with the unique background of Malaysian demography. This paper will focus mainly on energy-related section in the survey in comparison with nuclear energy.
Saving, Thomas R.
This booklet, one of a series intended to apply economic principles to major social and political issues of the day, focuses on the relationship between growth of the money supply, growth of productivity, and inflation. Provided first is a definition of inflation along with discussions of price indexes, the value of money, and the concept of…
Saving, Thomas R.
In this booklet, one of a series intended to apply economic principles to major social and political issues of the day, it is argued that although doomsayers claim that world population growth is threatening the ability of the world to feed itself and that drastic measures should be taken to curb population growth, the world population situation…
David N. Bengston; David P. Fan; Patrick Reed; Ashley. Goldhor-Wilcock
Environmental communication professionals and other decision makers need to understand public sentiment toward environmental issues to effectively carry out their stewardship responsibilities. However, it is often difficult to obtain timely and reliable information about public discussion and debate regarding these issues. This paper describes an approach designed to...
Reviews the literature of e-government deployment world-wide, focussing on two possible roles for public libraries in e-government. The first is a continuation of their traditional role of information provision and managing library transactions electronically and the second, a move to handling government business transactions as well. Identifies…
Leão, Luís Henrique da Costa
Modern-day slave labor is one of the most pernicious and persistent social problems in Brazil. In the light of the need to implement a national occupational health policy, this paper discusses slave labor as a public health concern, highlighting possibilities for broadening strategies for vigilance and comprehensive care for this specific working population. Exploratory qualitative research was carried out based on the "social construction of reality" proposed by Lenoir, Berger and Luckmann. The investigation consisted of a theoretical review of modern-day slave labor on the national and international scene within the scope of the human, social and public health sciences and an analysis of social and political practices to tackle modern-day slave labor was conducted in the State of Rio de Janeiro. Semi-structured individual and group interviews with workers and representatives of social movements and public institutions were organized. The results reveal the theoretical and practical dimensions of slave labor and its relations with the health field and highlight the role and potential of public health in the enhancing of vigilance practices and health care of workers subjected to these chronic social conditions.
Hermann, Ronald S.
In order to effectively teach evolution to all students, even those resistant to learning evolution, science teachers may question the extent to which religion can legally be discussed in the public high school science classroom. Evolution is taught from a variety of approaches, each of which has legal implications. Four approaches to teaching…
Drabova, D.; Storey, P.
The conclusions and recommendations of this session can be summarized this way. - Basic goal for the regulator is to protect the public and communication is a must to fully achieve this goal. - Regulator should become the prime source of information to the public and the media, regulator should base its actions upon values of competence, independence, transparency and stringency. - Set up of a Information and Communication Policy will help for consistency and efficiency. Policy will include setting goals, strategies, organisational aspects, procedures, and tools. Practices should be developed in accordance with local culture. - Challenges will consider transparency, public involvement and consultation with the stakeholders. - Practices will include in general: - Interactions with the media like press releases, news conferences, media workshops. Printed materials from plant periodical status reports, to periodical and annual reports and specific reports. Audio-visual materials. Use of radio and TV. Web site and electronic mail. - Method chosen depends on the targeted audience and the relevance of the topic. - Messages should be clearly understandable. Do not dehumanize the message by making it technically unintelligible. - Two excellent examples presented. How local culture and social characteristics were taken into account in designing and implementing plans is key for success. - Municipalities are to be considered as front line stakeholders. - Communicators role is relevant to meet regulatory needs. Good collaboration between communicators and technical staff produces benefits for the nuclear regulator and the public. (authors)
Maksimova, T M; Lushkina, N P
The issues of physician-patient relationship are moving from the deontological to social area and hence need not only organizational but political actions as well related to the medical provision of population and mortality increase. The patients have to be provided with the required medical care irrespective of their economic and property status and this approach is to be guaranteed on the state level.
Regulatory authorities have consulted on the option of banning embedded sales commissions for Canadian financial advisors. Such an action would create more problems than it would solve. It would have serious ramifications for Canadians’ access to financial advice and raise issues of choice, industry concentration and price transparency for clients seeking advice on investments and retirement. Financial advisors have much greater knowledge of investments than their clients, who rightly expect ...
Gonzalez Cruz, Dumenigo; Quevedo Garcia, Jose R.; Betancourt Hernandez, Luisa; Fuente Puch, Andres de la; Perez Reyes, Yolanda; Jerez Vegueria, Pablo F.
The public of the XXI Century is avid for information about the newest technical and scientific advances occurred and on how do they impact in our daily life. All over the world, the channels of mass communication provide all kind of valuable knowledge that could be of interest for the audience. Part of this broadcasted information however, is managed without the required scientific strictness due to its technical complexity or in most the cases, because it is being used for sensational purposes. The Nuclear Energy has been subjected to different manipulations and misinterpretation by the media because the disastrous consequences of its initial utilization for war purposes. For this reason, the International Atomic Energy Agency has recommended to its Member States the development of a coherent policy for public information based on an adequate real balance of the risk and the benefits of the pacific uses of the nuclear energy, with special emphasis in the diagnosis and treatment of diseases. In this context, the Regulatory Bodies are invited to use all available resources for information distribution to provide the truth that the society requires with transparency and the appropriate technical strictness as well as to develop periodical assessment on how does the population incorporate this information and what changes on the public perception of the nuclear energy have occurred. In line with the policy of the Government of the Republic of Cuba concerning the systematic improvement and strengthening the level of the general culture of our population, a comprehensive course entitled 'Radiation and Life' was designed and prepared by the authors of the present paper, and broadcasted by the Cuban television in the popular programme 'University for all'. The email recipient 'radiacionesyvida at cnsn.cu' was specially implemented to assess the impact of this course in the public opinion. This email address was used as an effective way of interaction between the lectures
Soares, Catharina Leite Matos
This paper addresses the construction of public oral health policies in Brazil by reviewing the available literature. It includes a discussion of the social responses given by the Brazilian State to oral health policies and the relationship of these responses with the ideological oral health movements that have developed globally, and that have specifically influenced oral health policies in Brazil. The influence of these movements has affected a series of hegemonic practices originating from both Market Dentistry and Preventive and Social Dentistry in Brazil. Among the state activities that have been set into motion, the following stand out: the drafting of a law to regulate the fluoridation of the public water supply, and the fluoridation of commercial toothpaste in Brazil; epidemiological surveys to analyze the status of the Brazilian population's oral health; the inclusion of oral health in the Family Health Strategy (Estratégia de Saúde da Família - ESF); the drawing up of the National Oral Health Policy, Smiling Brazil (Brasil Sorridente). From the literature consulted, the progressive expansion of state intervention in oral health policies is observed. However, there remains a preponderance of hegemonic "dental" practices reproduced in the Unified Public Health Service (Sistema Único de Saúde - SUS) and the Family Health Strategy.
The economic arguments and conclusions reached in the Layfield Report of the Sizewell-B public inquiry are restated. The key test for deciding whether Sizewell-B should be built was the net effective cost per kW per annum (the net cost of supplying electricity from a new power station including capital and operating costs) compared with the net avoidable cost (the cost of withdrawing a plant from the generating system). If the net effective cost is less than the net avoidable cost the construction is economically worthwhile. The effective cost calculations are given. The argument in favour not only had to show that nuclear was economically favourable over coal or any other fuel but that the pressurized water reactor design was preferable to the advanced gas-cooled reactor type. The price of coal, (at the time of the Inquiry and in the future) is tabulated. The changed economic situation between the end of the Inquiry and the publication of the Inquiry Report did not invalidate the decision made. There is only a one in seven chance that a coal-fired station will provide new capacity at lower cost than Sizewell-B. The figures used for CEGB's case to the Public Inquiry are given. (UK)
Hiroshima occasionally but inevitably reminds the Japanese nation of the A-bomb casualties in terms of radiation hazards with mass-destruction. Even peaceful use of nuclear energy is easily perceived as a synonym of menacing nuke'. Firstly, nuclear PA is to get rid of concerns among the general public by credibility to be established by bi-directional communications and common sense as well as technical integrity. JAPC is in direct contacts with the people by such means as guiding tours to nuclear plants, sitting together for exchange of opinions, or having every employee to be a PA person with his or her neighbors. It is our lesson that PA success definitely depends on the authentic person-to-person bond of trust and credibility with right communications. The general public tends to get excessively concerned, once they are put in process of their perception of nuclear information, all of sudden from daily indifference, via mass-media or education in various forms. Such concerns override nuclear benefits and precipitate especially against invisible phenomena, technical complexity, black boxes, probability of risks. For example, radiologists or law-makers do not mind 10 digit numbers of radiation expressed in Becquerel (rather than Curie). Mass media simply report 5-6 digit higher spikes than normal level even if it is well below permissible level. But the general public is overwhelmed by such gigantic spike ratio. Right communications for nuclear PA shall be made on common sense of the society. (author)
Full Text Available Over the last years, the need for changing the current model of European public health systems has been repeatedly addressed, in order to ensure their sustainability. Following this line, IT has always been referred to as one of the key instruments for enhancing the information management processes of healthcare organizations, thus contributing to the improvement and evolution of health systems. On the IT field, Big Data solutions are expected to play a main role, since they are designed for handling huge amounts of information in a fast and efficient way, allowing users to make important decisions quickly. This article reviews the main features of the European public health system model and the corresponding healthcare and management-related information systems, the challenges that these health systems are currently facing, and the possible contributions of Big Data solutions to this field. To that end, the authors share their professional experience on the Spanish public health system, and review the existing literature related to this topic.
Lee, I; Chou, Fan-Hao; Chen, Chung-Hey
Due to the phenomenon of Taiwan'saging population has made, long-term care has become an issue of increasingly emphasized importance. According to the statistics, the family takes responsibility for most long-term care duties and more than 70% of primary family caregivers are female. In the past, because of gender-based divisions of labor and gender role expectations made, it was taken for granted that females would be the socially preferred family caregivers. Those men who devoting in themselves to such work were regarded as a rare precious. As such, family care signified entailed different life experiences for males and females. Over the years, amendments to the civil code have recognized family care contributions, and the allowance for caregivers underlines that care responsibilities have shifted away from the family to society. Traditional gender divisions of labor today are significantly more blurred; family structures have become smaller in size; female labor in the workplace has increased; and ten-year long-term care plans and long-term care insurance have been successively implemented. These transformations will make labor outsourcing more and more popular and transform family care from a private problem to a pubic policy issue. In the future, family caregivers require consideration and support on a sustained basis. It is also important to improve and monitor the quality of care services. Nurses, the major professional members of long-term care teams, should be concerned over the issue of family care while providing nursing care. They should include family caregivers in the care plan so that they can make sure that patients receive comprehensive and constant care in order to enhance the overall quality of nursing care.
Taylor, Laura L.; Morgan, Robert P.
The state of public involvement in environmental, safety, and health issues at the DOE Nuclear Weapons Complex is assessed through identification of existing opportunities for public involvement and through interviews with representatives of ten local citizen groups active in these issues at weapons facilities in their communities. A framework for analyzing existing means of public involvement is developed. On the whole, opportunities for public involvement are inadequate. Provisions for public involvement are lacking in several key stages of the decision-making process. Consequently, adversarial means of public involvement have generally been more effective than cooperative means in motivating change in the Weapons Complex. Citizen advisory boards, both on the local and national level, may provide a means of improving public involvement in Weapons Complex issues. (author)
Lindsay, Karen L; Buss, Claudia; Wadhwa, Pathik D; Entringer, Sonja
Several studies about humans and animals have separately examined the effects of prenatal nutrition and stress on fetal development, pregnancy, and birth outcomes, and subsequent child health and disease risk. Although substantial evidence from non-pregnant literature supports the presence of bidirectional interactions between nutrition and stress at various psychological, behavioral, and physiological levels, such interaction effects have not yet been systematically examined in the context of pregnancy. This paper discusses the multifaceted and multilevel relationship between nutrition and stress. It then reviews the currently available observational and experimental evidence in animals and humans regarding the interplay between maternal psychosocial stress, dietary intake, and nutritional state during pregnancy, and implications for maternal and child health-related outcomes. Key Messages: During pregnancy, maternal psychosocial stress, dietary behavior, and nutritional state likely regulate and counter-regulate one another. Emerging evidence suggests that omega-3 fatty acids may attenuate maternal psychosocial stress, and that high maternal pre-pregnancy body mass index exacerbates unhealthy dietary behaviors under high-stress conditions. Longitudinal studies are warranted in order to understand the interplay between prenatal psychosocial stress, diet, and stress- and nutrition-related biomarkers to obtain further insight and inform the development and design of future, more effective intervention trials for improved maternal and child health outcomes. © 2017 S. Karger AG, Basel.
Neriz, Liliana; Núñez, Alicia; Ramis, Francisco
In Chile, the use of costing systems in the public sector is limited. The Ministry of Health requires hospitals to manage themselves with the aim of decentralizing health care services and increasing their quality. However, self-management with a lack of accounting information is almost impossible. On the other hand, nutrition department costs have barely been studied before, and there are no studies specifically for activity based costing (ABC) systems. ABC focuses on the process and traces health care activities to gain a more accurate measurement of the object costs and the financial performance of an organization. This paper uses ABC in a nutrition unit of a public hospital of high complexity to determine costs associated with the different meals for inpatients. The paper also provides an activity based management (ABM) analysis for this unit. The results show positive effects on the reduction of costs for the nutrition department after implementing ABC/ABM. Therefore, there are opportunities to improve the profitability of the area and the results could also be replicated to other areas in the hospital. ABC shed light on the amount of nutritionist time devoted to completing paperwork, and as a result, system changes were introduced to reduce this burden and allow them to focus on more relevant activities. Additional efficiencies were achieved through the elimination of non-value adding activities and automation of reports. ABC reduced the cost of the nutrition department and could produce similar results in other areas of the hospital. This is a practical application of a financial management tool, ABC, which would be useful for hospital managers to reduce costs and improve the management of the unit. This paper takes ABC and examines its use in an area, which has had little exposure to the benefits of this tool.
Vandenhouten, Christine L; DeVance-Wilson, Crystal L; Little, Barbara Battin
The purpose of this descriptive, cross-sectional study was to identify Public Health Nurses' (PHN) perceived motivators and barriers to seeking PHN board certification. In collaboration with the Quad Council of Public Health Nursing Organizations, PHNs from across the United States were invited to complete the PHN Certification Survey, a 14-item online questionnaire. A total of 912 surveys were completed. PHNs were motivated to seek PHN board certification by three overarching categories: professional competence, personal satisfaction, and financial incentives. Frequently cited barriers to certification were lack of knowledge of certification opportunities, being unaware of eligibility criteria, cost, perceived lack of value/reward by employer, and preparation time. Demonstrating a highly educated, competent, and reliable PHN workforce can only be achieved through ongoing professional development and credentialing. PH stakeholders (i.e., PHN organizations, employers, PHNs, etc.) need a strategic approach to address the main barriers to certification identified in this study (a) awareness of certification and eligibility criteria, and (b) recognition of the credential by employers. In addition, research on the relationship between PHN credentialing and population health outcomes is essential. © 2015 Wiley Periodicals, Inc.
A conceptual framework is proposed within which the notion of risk as normally used in risk assessment (RA) could be enlarged in line with the real substance of social issues of technology policy, to help avoid RA's threatened irrelevance to social decision making. It is argued that the frequent organizational incoherence and thus the unviability of modern technology arises from 'social alienation' between the innovation-commitment phase and the implementation of the technology in society. The roles of technical elites and of particular concepts of technology in this alienation are emphasized. One of the case studies deals with 'Nuclear power - myths of scientific and organizational realism' and discusses the UK nuclear 'programme' and the Three Mile Island accident. (author)
Fulda, K G; Lykens, K
As a result of the increase in genetic testing and the fear of discrimination by insurance companies, employers, and society as a result of genetic testing, the disciplines of ethics, public health, and genetics have converged. Whether relatives of someone with a positive predictive genetic test should be notified of the results and risks is a matter urgently in need of debate. Such a debate must encompass the moral and ethical obligations of the diagnosing physician and the patient. The decision to inform or not will vary depending on what moral theory is used. Utilising the utilitarian and libertarian theories produces different outcomes. The principles of justice and non‐maleficence will also play an important role in the decision. PMID:16507657
Fulda, K G; Lykens, K
As a result of the increase in genetic testing and the fear of discrimination by insurance companies, employers, and society as a result of genetic testing, the disciplines of ethics, public health, and genetics have converged. Whether relatives of someone with a positive predictive genetic test should be notified of the results and risks is a matter urgently in need of debate. Such a debate must encompass the moral and ethical obligations of the diagnosing physician and the patient. The decision to inform or not will vary depending on what moral theory is used. Utilising the utilitarian and libertarian theories produces different outcomes. The principles of justice and non-maleficence will also play an important role in the decision.
Walker, Rosandra; Pine, Harold
Attention to physician well-being has traditionally focused on substance abuse, usually with disciplinary implications. But, in recent years, greater notice has been granted toward physician burnout and overall wellness. Burnout and its sequelae not only affect physicians and physicians-in-training as individuals, but the impact then multiplies as it affects these physicians' patients, colleagues, and hospital systems. In addition, the American Medical Association Code of Medical Ethics charges physicians with a responsibility to maintain their own health and wellness as well as promote that of their colleagues. Therefore, the question of physician wellness has both public health and ethical implications. The causes of burnout are multifactorial, and the solutions to sustainable change are multitiered.
Full Text Available The article presents linguistic peculiarities of methodical educational publications prepared and published using European structural funds allocated to the VGTU Transport Engineering, Biomechanics and Aviation Mechanical Engineering project “Renewal of the Study Programmes in Accordance with the EU Requirements by Improving the Quality of the Studies and Applying Innovative Study Methods” carried out in accordance with the Lithuania’s 2007–2013 year Human Resources Development Operational Programme, priority axis 2 “Education and Lifelong Learning”, measure VP1-2.2-MES-07-K “Improving Studies Quality, Increasing Internationalization”. Characteristic properties of style and culture of writing, compliance with language norms, and instances of foreign words used in aviation are analysed.
Ander W. Erickson
Full Text Available Does a citizen need to possess quantitative literacy in order to make responsible decisions on behalf of the public good? If so, how much is enough? This paper presents an analysis of the quantitative claims made on behalf of ballot measures in order to better delineate the role of quantitative literacy for the citizen. I argue that this role is surprisingly limited due to the contextualized nature of quantitative claims that are encountered outside of a school setting. Instead, rational dependence, or the reasoned dependence on the knowledge of others, is proposed as an educational goal that can supplement quantitative literacy and, in so doing, provide a more realistic plan for informed evaluations of quantitative claims.
In evaluating the future role of nuclear power, it should be necessary to perform a rational and quantitative comparison of power production alternatives on at least the following four parameters: health effects, environmental effects, economy, and resource availability. The evaluations should cover all steps from fuel production through waste disposal. Less detailed knowledge is available on health effects from air pollution than from radioactivity. However, the present body of knowledge clearly indicates that large-scale use of nuclear power instead of fossil fuels will save thousands of human lives annually. This is probably one of the most compelling arguments for nuclear power. A number of irrational political, ethical and emotional factors may be of decisive importance in a large-scale choice of power plant types. However, an evaluation of rational and quantifiable factors may serve one important function in telling how many lives, which environmental improvements and what economic advantages must be sacrificed in order to satisfy such irrational demands. In any case it should be recognized that the public interest is best served by maximum use of the broad knowledge available on costs and benefits of alternative electric power generation forms. Obviously, energy policy is not an area where all questions can be tackled in an absolutely rational and objective way. However, a number of absolute restrictions are set by the laws of nature, others by present technological abilities. Such restrictions cannot be changed by wishful thinking, political or otherwise. On one hand, this may serve to define the role of the technological community in making both the nuclear and other more important decisions. On the other hand, these are facts which are not fully appreciated by those making a controversial issue of nuclear power. When defining the role of the professional in the nuclear issue the following point should be considered. A scientist or technologist using his
Patrícia Pinheiro de Freitas
Full Text Available Abstract Background: Unhealthy lifestyles occur more often in low-socioeconomic status (SES groups. The assessment of isolated factors reduces the understanding of the problem instead of clarifying the dynamic interaction of these factors in influencing the health. Objective: To study the relationship between nutrition habits and health, and the coexistence of dietary risk factors, according to the occupational status of public municipal employees. Materials and Methods: An electronic epidemiological survey was conducted from September to December 2009. In total, 5,646 public municipal employees (temporary and permanent of the municipality (14.7% answered the questionnaire. Sociodemographic information, health, physical activity, nutritional profile, and working conditions related to eating were investigated. Occupational status was defined by the International Socio-Economic Index. The coexistence of dietary risk factors (low consumption of fruits and vegetables, high consumption of chicken skin and meat fat, and insufficient time to eat at work were evaluated using Venn diagrams. Results: Arterial hypertension, diabetes mellitus and overweight were more frequently reported in the low occupational status, and positive self-reported health was directly related to the occupational status of participants. Conclusion: Differences in health conditions and in the dietary habits of individuals according to occupational status indicate its relevance in the development of public and institutional policies that aim to promote health and reduce inequalities and the need for greater focus on those with lower occupational status.
Turner-McGrievy, Gabrielle M.; Campbell, Marci K.
Objective: To assess the effectiveness of an online course for public librarians on helping patrons reduce saturated fat. Design: Pre- and posttest design along with a 6-month follow-up survey. Setting: Online nutrition course. Participants: 100 (8 males, 92 females) completed the course, and 29 completed the follow-up survey. Intervention:…
Mascayano, Franco; Irrazabal, Matias; D Emilia, Wyatt; Vaner, Sidney Jane; Sapag, Jaime C; Alvarado, Ruben; Yang, Lawrence Hsin; Sinah, Binoy
Suicide has become an international public mental health challenge, resulting in a need for interventions to address it as an individual, family, and community levels. The current scope review assesses trends regarding suicide within Latin America and the Caribbean: risk factors, protective factors, and mediators of suicidal ideation and behavior. Body: Our review is split into three sections, as a way of addressing the complex topic of suicide in an organized, comprehensive manner: (i) epidemiology of suicide in Latin America and Caribbean; (ii) factors associated to suicide ideation and attempts; and (iii) cultural factors as a predictors and mediators of suicide. Further, proper evidence about the association between suicide and cultural dimensions such as Familismo, Machismo/Marianismo, Religion and Acculturation is provided. Upon analyzing trends of and factors associated with suicide, we offer recommendations regarding future studies and intervention programs. We conclude that interventions and research should be based on and in response to cultural values and norms related to suicide within each community, in order to make more culturally-specific programs.
Amniocentesis, a procedure which can detect during pregnancy whether or not the fetus will develop into a mongol or one affected by other serious chromosomal defects, if given to all pregnant women aged 40 and over, would save both human suffering and economic loss to the community. The procedure is not at present widely used for various reasons, not all of them medical, and, if the test result is positive abortion is the remedy. The author describes an important clinical trial being conducted in the USA at the present time but suggests that an educational programme should be undertaken to inform the public of the existence of this procedure and its applications even before the results of the American large-scale trial can be known and evaluated. Amniocentesis and its use, Professor Etzioni concludes, is not the only genetic tool which should be reviewed in a manner which would give an overall picture. He compares those who are concerned with these matters to the citizens of Britain when they saw the first steam engine. They did not perceive the social changes--the industrial revolution--that would follow. In our time a 'genetic revolution' may not be long delayed.
Clark, M P
Politicians in the US have made adolescent parents the scapegoat of changing cultural patterns by suggesting punitive solutions to nonmarital births rather than addressing underlying causes of premature child-bearing. It is known that the percentages of young people of all races and all social classes reporting early, nonmarital sexual intercourse have increased dramatically, while adolescent fertility rates peaked in the 1950s. Improved access to contraception and abortion caused a decline in teen pregnancy and birth rates from 1970 to 1986. During 1986-91, service providers could not match growing demand, and the birth rate increased 25%. Increased rates of sexual activity have also led to increases in the incidence of sexually transmitted diseases (STDs) and HIV/AIDS among adolescents. This situation was exacerbated by Reagan and Bush policies, which reduced funding for services to adolescents and supported abstinence-only sex education courses. The concern voiced by policy-makers today centers on nonmarital childbearing by low-income adolescents who will rely on public assistance to survive. A proper response to this situation would involve the following policy actions: 1) mandating comprehensive sexuality education from kindergarten through high school, 2) funding mentoring programs, 3) improving economic and educational opportunities, 4) expanding STD and HIV/AIDS prevention programs, 5) increasing access to confidential health services (including mental health care and substance abuse treatment), 6) expanding child sexual abuse prevention and intervention programs, and 7) increasing access to and acceptability of teen contraceptive usage and abortion.
Full Text Available Regulatory authorities have consulted on the option of banning embedded sales commissions for Canadian financial advisors. Such an action would create more problems than it would solve. It would have serious ramifications for Canadians’ access to financial advice and raise issues of choice, industry concentration and price transparency for clients seeking advice on investments and retirement. Financial advisors have much greater knowledge of investments than their clients, who rightly expect value from their advisors’ services. Advisors may also face conflicts of interest when they make recommendations about a financial product whose manufacturer might be paying the advisor for selling its products. Banning sales commissions from the manufacturers and having the client pay the advisor directly instead brings its own problems. This is because financial advice is a good with peculiar characteristics. Firstly, financial advice has three fundamental components – the alpha, beta and gamma factors. Together, they define the roles financial advisors play: (alpha asset or portfolio manager, (beta asset allocator (rebalancing a client’s portfolio, and (gamma coach with regard to savings discipline and financial planning. Financial advice has value thanks to the interplay between the three factors. Studies of the issue which have focused on one factor at a time, usually the alpha, produce results that are skewed; however, when studies measure all three factors, the evidence shows that financial advice has significant value, greater than the usual cost charged to clients. Secondly, financial advice is an “experience good”, meaning that clients don’t know ahead of time how good financial advice is until they see how it works out. Assessing the value of financial advice may take many years. Since they can’t immediately measure what they’re paying for, clients with modest incomes or wealth are usually willing only to pay low fees, or not pay
Full Text Available Consumers have recently shown a preference for natural food products and ingredients and within that framework, their interest in consuming raw drinking milk has been highlighted, claiming nutritional, organoleptic and health benefits. However, a public debate has simultaneously emerged about the actual risks and benefits of direct human consumption of raw milk. This paper compares the microbiological, nutritional and sensory profile of raw and heat-treated milk, to evaluate the real risks and benefits of its consumption. In detail, it provides an updated overview of the main microbiological risks of raw milk consumption, especially related to the presence of pathogens and the main outputs of risk assessment models are reported. After introducing the key aspects of most commonly used milk heat-treatments, the paper also discusses the effects such technologies have on the microbiological, nutritional and sensory profile of milk. An insight into the scientific evidence behind the claimed protective effects of raw milk consumption in lactose-intolerant subjects and against the onset of asthma and allergy disorders in children is provided. The emergence of novel milk processing technologies, such as ohmic heating, microwave heating, high pressure processing, pulsed electric fields, ultrasound and microfiltration is also presented as an alternative to common thermal treatments.
Real, Sara Irene del; Jaeger, Armando Sánchez; Barón, María Adela; Díaz, Nayka; Solano, Liseti; Velásquez, Emma; López, Jesús
With the purpose of evaluating nutritional status in a group of preschoolers attending a public day care center in Valencia, Venezuela (2002), a research was made for social stratus, anthropometric variables; weight, height and arm circumference, hemoglobin, seric retinol, presence of parasitosis and food consumption, as well as the mother's educational level. The program SPSS 11.0 and the t Student, ANOVA Post Hoc from Bonferroni and Fisher (p education, while only 9.8% of the mothers in poverty had reached that level. According to the Z values (H/A, W/H and AC/H), high percentages under -1.00 were observed (27.3%, 25.6% and 24.5%, respectively). The W/H and AC/H of children of mothers studying in a university presented discrepancies when compared with children of mothers with a primary educational level. A 25.9% of anemia was presented, and there were differences between anemic and non-anemic groups for H/A and AC/H. Protozoaries were observed in 61.0%, helmintos in 16.9% and both in 22.1%. There was a 2.6 times higher risk of presenting nutritional deficiency for AC/H in the group found with parasites. An adequate consumption of energy and iron was found, with an excessive consumption of proteins and vitamin A. It is concluded that there exists a nutritional risk evaluated through hematologic parameters, the presence of parasitosis and social stratus.
This article reviews the maternal and child nutrition situation in Asia in transition and its public health implications. Countries in Asia are facing a double burden of malnutrition. Accessibility to high energy, less nutrient-dense foods or processed foods affects current dietary patterns, whereas industrialization is leading to more sedentary lifestyles both in rural and urban areas. Stunting and wasting among young children persist but have declined in severity, whereas overweight and obesity have risen rapidly. Growth faltering in height during the first 2 years of life has affected muscle mass accretion, but rapid weight gain after 2 years of age has led to more fat accretion, imposing risks of childhood obesity and consequent metabolic disorders. The number of women entering pregnancy with low BMI has decreased, but increasing BMI is noticeable. Prepregnancy BMI and gestational weight gain are important determinants of maternal nutrition during pregnancy, the risk of gestational diabetes and postpartum weight retention, as well as obesity and diet-related noncommunicable diseases in later adulthood. Asia in transition is faced with persistent undernutrition and increasing trends of obesity and metabolic disorders among children and women. The first 1000 days from conception is a critical period, but it is also a window of opportunity for preventing double burden of malnutrition in Asian countries characterized by a nutrition transition.
Lopes, Ana Carolina de Carvalho; Pinto, Helen Ramalho Farias; Costa, Deborah Camila Ismael de Oliveira; Mascarenhas, Robson de Jesus; Aquino, Jailane de Souza
The occurrence of foodborne illness outbreaks is increasing in schools, and due to the number of children who consume school meals as the only daily meal, this factor becomes even more worrisome. In this sense, the aim of this study was to evaluate the hygienic-health aspects of Food and Nutrition Units (SFNU) of public schools of Bayeux / PB in relation to the adoption of best practices in school food and nutrition. Data were collected through SFNU checklist during visits to units in 29 schools. The health risk of units evaluated was from regular to very high regarding structure and facilities, hygiene of food handlers, environment and food preparation. It was found that 10.3% of handlers used clean and adequate uniforms, and environment and equipment showed poor conservation status in 75.9% and 89.7% of Units, respectively; control of urban pests and vectors was not effective and cleaning of fresh produce was incorrectly conducted in 51.7% of SFNU of schools evaluated. It could be concluded that the production of meals in SFNU of schools evaluated does not meet the requirements established by the best practices in school food and nutrition.
Flater, David W.; Yesha, Yelena
In much the same way that the field of artificial intelligence produced a cult which fervently believed that computers would soon think like human beings, the existence of electronic books has resurrected the paperless society as a utopian vision to some, an apocalyptic horror to others. In this essay we have attempted to provide realistic notions of what digital libraries are likely to become if they are a popular success. E-books are capable of subsuming most of the media we use today and have the potential for added functionality by being interactive. The environmental impact of having millions more computers will be offset to some degree, perhaps even exceeded, by the fact that televisions, stereos, VCR's, CD players, newspapers, magazines, and books will become part of the computer system or be made redundant. On the whole, large-scale use of digital libraries is likely to be a winning proposition. Whether or not this comes to pass depends on the directions taken by today's researchers and software developers. By involving the public, the effort being put into digital libraries can be leveraged into something which is big enough to make a real change for the better. If digital libraries remain the exclusive property of government, universities, and large research firms, then large parts of the world will remain without digital libraries for years to come, just as they have remained without digital phone service for far too long. If software companies try to scuttle the project by patenting crucial algorithms and using proprietary data formats, all of us will suffer. Let us reverse the errors of the past and create a truly open digital library system.
Collins, Anna; Amprayil, Mathew; Solanki, Nicholas S.; Greenwood, John Edward
Introduction: Wheat bags are therapeutic devices that are heated in microwaves and commonly used to provide relief from muscle and joint pain. The Royal Adelaide Hospital Burns Unit has observed a number of patients with significant burn injuries resulting from their use. Despite their dangers, the products come with limited safety information. Methods: Data were collected from the Burns Unit database for all patients admitted with burns due to hot wheat bags from 2004 to 2009. This was analyzed to determine the severity of the burn injury and identify any predisposing factors. An experimental study was performed to measure the temperature of wheat bags when heated to determine their potential for causing thermal injury. Results: 11 patients were admitted with burns due to hot wheat bags. The median age was 52 years and the mean total body surface area was 1.1%. All burns were either deep dermal (45.5%) or full thickness (54.5%). Ten patients required operative management. Predisposing factors (eg, neuropathy) to thermal injury were identified in 7 patients. The experimental study showed that hot wheat bags reached temperatures of 57.3°C (135.1°F) when heated according to instructions, 63.3°C (145.9°F) in a 1000 W microwave and 69.6°C (157.3°F) on reheating. Conclusions: Hot wheat bags cause serious burn injury. When heated improperly, they can reach temperatures high enough to cause epidermal necrosis in a short period of time. Patients with impaired temperature sensation are particularly at risk. There should be greater public awareness of the dangers of wheat bag use and more specific safety warnings on the products. PMID:21915357
This is the fifth plenary symposium on public policy issues in global freight logistics conducted by the Organization for Economic Cooperation and Development (OECD). OECD's Trilateral Logistics Project, Trilog Project, is aimed at clarifying the pub...
Nicholas, J.; Powell, R.; Smith, R.
In 2005 the Welsh Local Government Association (WLGA) commissioned the National Foundation for Educational Research (NFER) to gather evidence on local authority (LA) and school approaches to nutrition in schools in order to inform the work of the WLGA Schools Food Task and Finish Group. This report presents the findings of that research.…
Fancovicova, Jana; Prokop, Pavol; Usak, Muhammet
The purpose of the study was to evaluate the efficacy and feasibility of using website in biology education. We have explored the World Wide Web as a possible tool for education about health and nutrition. The websites were teaching tools for primary school students. Control groups used the traditional educational materials as books or worksheets,…
In evaluating the future role of nuclear power, it should be required to perform a rational and quantitative comparison of power production alternatives on at least the following four parameters: health effects, environmental effects, economy and resource availability. The evaluations should cover all steps from fuel production through waste disposal. We have less detailed knowledge on health effects from air pollution than from radioactivity. However our present body of knowledge clearly indicates that large scale use of nuclear power instead of fossil fuels will save thousands of human lives annually. This is probably one of the most compelling arguments for nuclear power. Clearly a number of irrational political, ethical and emotional factors may be of decisive importance in a large scale choice of power plant types. However an evaluation of rational and quantifiable factors may serve one important function in telling us how many lives, which environmental improvements and what economical advantages we have to sacrifice in order to satisfy such irrational demands. In any case it should be recognized that the public interest is best served by maximum use of the broad knowledge we have on costs and benefits of alternative electric power generation forms. Obviously energy policy is not an area where all questions can be tackled in an absolutely rational and objective way. However a number of absolute restrictions are set by the laws of nature, others by our present technological abilities. Such restrictions can not be changed by wishful thinking, political or otherwise. On the one hand this may serve to define the role of the technological community in making both the nuclear and other more important decisions. On the other hand these are facts which are not fully appreciated by those making a controversial issue of nuclear power. One disturbing aspect of the discussions in many countries, is the plethora of manifestos for or against nuclear power. These are issued
... bioethical, legal, and social issues related to potential scientific and technological advances; examine... of public policy with regard to this advancing science. The Commission also will hear more from the... Science, The Presidential Commission for the Study of Bioethical Issues. ACTION: Notice of meeting...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Meeting of the Presidential Commission for the Study of Bioethical Issues AGENCY: Department of Health and Human Services, Office of the Assistant..., religion, law, and engineering. The Commission advises the President on bioethical issues arising from...
Fox, Ann; Emrich, Teri
Efforts to support workforce development led to the launch of a new master of public health program aimed at improving access to graduate studies for practising nutrition professionals. The first cohort of students identified employer support as a key determinant of their success. In order to identify ways of addressing both student and employer needs, we explored the perspectives of students' employers. Seventeen in-depth, semi-structured, open-ended interviews were conducted with employers. Interviews were audiotaped and transcribed. Transcripts were organized using NVivo software and coded thematically. All employers indicated support for employee education and development in principle, but most faced practical challenges related to limited staffing during education leaves. Organizational policies varied considerably across employer groups. Collective agreements that guided education policy were seen to ensure consistent support for employees, but also to limit creative approaches to education support in some situations. Employers highly valued graduate student projects that were directly related to the workplace; these projects presented opportunities for collaboration among the university, students, and employers. Universities need to work with employers and other stakeholders to identify ways of overcoming barriers to public health nutrition graduate education and workforce development.
Grier, Karissa; Hill, Jennie L; Reese, Felicia; Covington, Constance; Bennette, Franchennette; MacAuley, Lorien; Zoellner, Jamie
Few published community garden studies have focused on low socio-economic youth living in public housing or used a community-based participatory research approach in conjunction with youth-focused community garden programmes. The objective of the present study was to evaluate the feasibility (i.e. demand, acceptability, implementation and limited-effectiveness testing) of a 10-week experiential theory-based gardening and nutrition education programme targeting youth living in public housing. In this mixed-methods feasibility study, demand and acceptability were measured using a combination of pre- and post-programme surveys and interviews. Implementation was measured via field notes and attendance. Limited-effectiveness was measured quantitatively using a pre-post design and repeated-measures ANOVA tests. Two public housing sites in the Dan River Region of south central Virginia, USA. Forty-three youth (primarily African American), twenty-five parents and two site leaders. The positive demand and acceptability findings indicate the high potential of the programme to be used and be suitable for the youth, parents and site leaders. Field notes revealed numerous implementation facilitators and barriers. Youth weekly attendance averaged 4·6 of 10 sessions. Significant improvements (Pgardening knowledge, knowledge of MyPlate recommendations), but not all limited-effectiveness measures (e.g. willingness to try fruits and vegetables, fruit and vegetable eating self-efficacy). This community-based participatory research study demonstrates numerous factors that supported and threatened the feasibility of a gardening and nutrition programme targeting youth in public housing. Lessons learned are being used to adapt and strengthen the programme for future efforts targeting fruit and vegetable behaviours.
The three days of conference proceedings are published in three separate volumes. The first includes 7 papers relating to economic issues - those presented at the Sizewell-B public inquiry and the changes in the economic situation since the inquiry ended. The electricity demand, how this demand is to be met by nuclear and other fuel sources and how energy conservation might be an economic alternative to simply building more generating capacity are all issues discussed. The possible privatisation of the industry is also touched on. Volume two has 8 papers concerned with environmental and safety issues. These include the influence of the Sizewell-B decision on nuclear licensing and reactor safety, the technical and safety aspects of pressurized water reactors (PWR), the roles of British Nuclear Fuels and the United Kingdom Atomic Energy Authority, and radiation protection and effluent discharge control. The six papers in volume 3 look at public perception issues - not only towards nuclear power but towards the public inquiry process. The local authority view, the Friends of the Earth case against the PWR, and technical expertise in the decision process are also topics covered. All the papers are indexed separately. (UK)
Lieffers, Jessica R L; Arocha, Jose F; Grindrod, Kelly; Hanning, Rhona M
Nutrition mobile apps have become accessible and popular weight-management tools available to the general public. To date, much of the research has focused on quantitative outcomes with these tools (eg, weight loss); little is known about user experiences and perceptions of these tools when used outside of a research trial environment. Our aim was to understand the experiences and perceptions of adult volunteers who have used publicly available mobile apps to support nutrition behavior change for weight management. We conducted one-on-one semi-structured interviews with individuals who reported using nutrition mobile apps for weight management outside of a research setting. Twenty-four healthy adults (n=19 females, n=5 males) who had used publicly available nutrition mobile apps for weight management for ≥1 week within the past 3 to 4 months were recruited from the community in southern Ontario and Edmonton, Canada, using different methods (eg, social media, posters, and word of mouth). Interviews were audiorecorded, transcribed verbatim, and transcripts were verified against recordings. Data were coded inductively and organized into categories using NVivo, version 10 (QSR International). Participants used nutrition apps for various amounts of time (mean=approximately 14 months). Varied nutrition apps were used; however, MyFitnessPal was the most common. In the interviews, the following four categories of experiences with nutrition apps became apparent: food data entry (database, data entry methods, portion size, and complex foods); accountability, feedback, and progress (goal setting, accountability, monitoring, and feedback); technical and app-related factors; and personal factors (self-motivation, privacy, knowledge, and obsession). Most participants used apps without professional or dietitian support. This work reveals that numerous factors affect use and ongoing adherence to use of nutrition mobile apps. These data are relevant to professionals looking to
Byrne, Jamie M.
This paper examines a study of the wastewater collection and treatment issues of Little Rock and North Little Rock, Arkansas by University of Arkansas at Little Rock personnel and how it constitutes dialogic public relations. The paper defines dialogic public relations using Kent and Taylor's work and then uses their criteria to describe how this…
Sulda, Heidi; Coveney, John; Bentley, Michael
To develop a framework to guide action in the public health nutrition workforce to develop policies and practices addressing factors contributing to climate change. Action/consultative research. Interviews - South Australia, questionnaire - Australia. Interviews - key informants (n 6) were from various government, academic and non-government positions, invited through email. Questionnaire - participants were members of the public health nutrition workforce (n 186), recruited to the study through emails from public health nutrition contacts for each State in Australia (with the exception of South Australia). Support by participants for climate change as a valid role for dietitians and nutritionists was high (78 %). However, climate change was ranked low against other public health nutrition priorities. Support of participants to conduct programmes to address climate change from professional and work organisations was low. The final framework developed included elements of advocacy/lobbying, policy, professional recognition/support, organisational support, knowledge/skills, partnerships and programmes. This research demonstrates a need for public health nutrition to address climate change, which requires support by organisations, policy, improved knowledge and increased professional development opportunities.
The contribution of funds from DOE supported publication costs of a special issue of Deep Sea Research arising from presentations at the First U.S. Atlantic Meridional Overturning Circulation (AMOC) Meeting held 4-6 May, 2009 to review the US implementation plan and its coordination with other monitoring activities. The special issue includes a total of 16 papers, including publications from three DOE-supported investigators (ie Sevellec, F., and A.V. Fedorov; Hu et. al., and Wan et. al.,). The special issue addresses DOE interests in understanding and simulation/modeling of abrupt climate change.
146 Abdullah Bozkurt, “Democratic Deficit in Turkey,” Today’s Zaman, April 19, 2011, http://www.todayszaman.com/ columnist -241412-democratic-deficit...2010/04/09/confucius-to-their-enemies-china%E2%80%99s-investment-in- public-diplomacy/. 250 J. Nye, “The New Public Diplomacy,” Project Syndicate , Feb...255 J. Nye, “The New Public Diplomacy,” Project Syndicate , Feb 10, 2010, http://www.project- syndicate.org
Levy, Louis B; Welch, Ailsa A
Age-related skeletal muscle loss, sarcopenia, cachexia and wider malnutrition (under nutrition) are complex in aetiology with interaction of clinical, social and economic factors. Weight loss and loss of skeletal muscle mass in older people are associated with increased morbidity and mortality with implications for increasing health and social care costs. There is insufficient evidence to identify the ideal treatment options. However, preventing weight loss and loss of skeletal muscle in older age will be keys to reducing morbidity and mortality. This will require all those coming into contact with older people to identify and address weight loss early, including through diet, improving physical activity and increasing social interaction. Public health messages on diet should, in the main, continue to focus on older people achieving current UK dietary recommendations for their age as visually depicted in the eatwell plate together with associated messages regarding dietary supplements where appropriate.
Feng, Aihua; Wang, Lijie; Chen, Xiang; Liu, Xiaoyan; Li, Ling; Wang, Baozhen; Luo, Huiwen; Mo, Xiuting; Tobe, Ruoyan Gai
In China, with fast economic growth, health and nutrition status among the rural population has shown significant improvement in the past decades. On the other hand, burden of non-communicable diseases and prevalence of related risk factors such as overweight and obesity has also increased. Among rural children, the double burden of malnutrition and emerging overweight and obesity has been neglected so far. According to the theory of Developmental Origin of Health and Diseases (DOHaD), malnutrition, including both undernutrition (stunting and wasting) and over-nutrition (overweight and obesity) during childhood is closely related to worsened health outcomes during adulthood. Such a neglected problem is attributable to a complicated synergy of social and environmental factors such as parental migration, financial situation of the household, child-rearing knowledge and practices of the primary caregivers, and has implications for public health. Based on literature review of lessons from the field, intervention to address malnutrition among rural children should be a comprehensive package, with consideration of their developmental environment and geographical and socioeconomic diversity. The scientific evidence on DOHaD indicates the probability and necessity of prevention of adult disease by promotion of maternal and child health and reducing malnutrition by provision of high-quality complementary foods, promotion of a well-balanced dietary pattern, and promotion of health literacy in the public would bring a potential benefit to reduce potential risk of diseases.
Latnovic, L; Rodriguez Cabrera, L
Overweight and obesity are major world global health challenges of the 21st century. Mexico is not an exception. Approximately 70% of the adult Mexican population has an excessive body weight. The prevalence of obesity and overweight in Mexican school children aged 5–11 is also high: one child in four is overweight. In light of the seriousness of the situation, the solutions for this problem are based on modification of the environments and change of individual habits and behaviors related to nutrition and physical activity. As a result, the Mexican government, public sector and academy established three common goals and 10 priority objectives that are expressed in the National Agreement for Nutritional Health—Strategy to Control Overweight and Obesity. The obesity problem requires interventions and policies that reside outside of the health sector domain, key aspects of this public health policy was agreement among all stakeholders on cross-cutting actions. The best examples of National Agreement's inter-sectorial action implementation is in the school setting and Code of ‘Self Regulation' on Advertising of Food and Non-Alcoholic Beverages to Children introduced by the food and beverage industry. The ultimate goal of this national policy is to provide the strategic plan for healthy weight and better health, by promoting healthy lifestyles focused on correct diet and physical activity in all life stages, from pregnancy and early childhood and on into adulthood by a multi stakeholder approach. Although there have been great achievements in some areas of implementation, there are still challenges to confront. PMID:27152155
Latnovic, L; Rodriguez Cabrera, L
Overweight and obesity are major world global health challenges of the 21st century. Mexico is not an exception. Approximately 70% of the adult Mexican population has an excessive body weight. The prevalence of obesity and overweight in Mexican school children aged 5-11 is also high: one child in four is overweight. In light of the seriousness of the situation, the solutions for this problem are based on modification of the environments and change of individual habits and behaviors related to nutrition and physical activity. As a result, the Mexican government, public sector and academy established three common goals and 10 priority objectives that are expressed in the National Agreement for Nutritional Health-Strategy to Control Overweight and Obesity. The obesity problem requires interventions and policies that reside outside of the health sector domain, key aspects of this public health policy was agreement among all stakeholders on cross-cutting actions. The best examples of National Agreement's inter-sectorial action implementation is in the school setting and Code of 'Self Regulation' on Advertising of Food and Non-Alcoholic Beverages to Children introduced by the food and beverage industry. The ultimate goal of this national policy is to provide the strategic plan for healthy weight and better health, by promoting healthy lifestyles focused on correct diet and physical activity in all life stages, from pregnancy and early childhood and on into adulthood by a multi stakeholder approach. Although there have been great achievements in some areas of implementation, there are still challenges to confront.
Otway, H.J.; Thomas, Kerry
Public opposition is an important consideration for those responsible for energy planning. An attitude model was applied to identify the underlying determinants of public perceptions of five energy systems: nuclear, coal, oil, solar and hydro. Empirical results are reported in which these energy systems were found to be perceived in terms of four basic dimensions: psychological aspects; economics benefits; socio-political implications; environmental and physical safety issues. For the total sample, safety issues made an appreciable contribution to attitudes toward all of the systems except nuclear energy, where it was not significant. A differential analysis of two sub-samples, those respondents PRO and CON nuclear energy, showed that benefits and safety issues were important determinants of PRO attitudes while CON attitudes were primarily due to psychological aspects and concerns about personal and political power. The role of technical information in the formation of public attitudes toward technological policies is discussed [fr
Jackson, Michaela; Harrison, Paul; Swinburn, Boyd; Lawrence, Mark
This article discusses how qualitative vignettes were combined with interviews to explore a complex public health issue; that is, promoting unhealthy foods and beverages to children and adolescents. It outlines how the technique was applied in practice and the combination of vignette-based interviews with a broader approach involving Gadamerian hermeneutics. Twenty-one participants from the public health community and the marketing and food and beverage industries took part in vignette-based interviews between March and September 2012. Overall, the qualitative vignette method afforded an efficient, generally well-received technique that effectively explored the issue of promoting unhealthy foods and beverages to children and adolescents. The vignette provided structure to interviews but allowed certain responses to be investigated in greater depth. Through this research, we argue that qualitative vignettes allow researchers to explore complex public health issues. This article also provides a valuable resource for researchers seeking to explore this technique. © The Author(s) 2015.
Binns, Colin; Lee, Mi Kyung; Low, Wah Yun; Zerfas, Alfred
The Sustainable Development Goals (SDGs) replaced the Millennium Development Goals (MDCs) in 2015, which included several goals and targets primarily related to nutrition: to eradicate extreme poverty and hunger and to reduce child mortality and improve maternal health. In the Asia-Pacific Academic Consortium for Public Health (APACPH) member countries as a group, infant and child mortality were reduced by more than 65% between 1990 and 2015, achieving the MDG target of two-thirds reduction, although these goals were not achieved by several smaller countries. The SDGs are broader in focus than the MDGs, but include several goals that relate directly to nutrition: 2 (zero hunger-food), 3 (good health and well-being-healthy life), and 12 (responsible consumption and production-sustainability). Other SDGs that are closely related to nutrition are 4 and 5 (quality education and equality in gender-education and health for girls and mothers, which is very important for infant health) and 13 (climate action). Goal 3 is "good health and well-being," which includes targets for child mortality, maternal mortality, and reducing chronic disease. The Global Burden of Disease Project has confirmed that the majority of risk for these targets can be attributed to nutrition-related targets. Dietary Guidelines were developed to address public health nutrition risk in the Asia Pacific region at the 48th APACPH 2016 conference and they are relevant to the achievement of the SDGs. Iron deficiency increases the risk of maternal death from haemorrhage, a cause of 300000 deaths world-wide each year. Improving diets and iron supplementation are important public health interventions in the APACPH region. Chronic disease and obesity rates in the APACPH region are now a major challenge and healthy life course nutrition is a major public health priority in answering this challenge. This article discusses the role of public health nutrition in achieving the SDGs. It also examines the role of
Full Text Available BACKGROUND: Many studies and scientific evidence confirm a positive eﬀect of physical activity on the quality of life and human health. Physical activity, which is also one of the key factors preventing mass non-communicable diseases, is decreasing in Europe, including the Czech Republic, both in children and adults. Serious health consequences for the population and economy of the countries are a reason for a discussion about including the low level of physical activity among public policy issues and a higher allocation of public sources into the area of physical activity promotion. OBJECTIVES: The main objective of the paper is to determine whether the low level of physical activity is a public policy issue. An issue that should by systematically addressed by national, regional as well as local policy. METHODS: Through the policy analysis approach we conducted a content analysis of 25 systematically selected foreign national strategies aimed at the issue of physical activity promotion. The data source was an internal database of the World Health Organization - the International Inventory of Documents on Physical Activity Promotion. The content analysis of the strategies was performed using the Atlas.ti software tool. RESULTS: During a content analysis of 25 foreign strategies a total of 411 text segments (quotations relating to the low level of physical activity were selected. These text segments showed five basic features of a public policy issue according to a conceptual framework developed by Bardach (2000 and Patton and Sawicky (1993 - 1 aﬀects the lives of a significant number of people of a society; 2 is analysable; 3 can be solved through public policy tools; 4 the primary cause or problem can be defined; 5 cannot be solved easily and quickly. CONCLUSIONS: The results indicate that the low level of physical activity is a public policy issue that must be systematically addressed at national level.
Das, Kusal K; Vallabha, Tejaswini; Ray, Jaydeb; Murthy, P S N
There are several vested interest lies on research publication hence the editorial policy is the sole important factor to control and regulate ethical publications in medical sciences especially on 'conﬂict of interest' issue. The study was aimed to assess on awareness of 'conﬂict of interest' issue in medical research and publication among the editorial staff, peer reviewers and authors of Indian medical journals. Total 61 authors who have published research articles recently in Indian medical journals from 2008-2012, 56 peer reviewers who reviewed the manuscripts during same period and 35 editorial board members of various Indian medical journals were assessed by questionnaire and telephone interview regarding their understanding and knowledge on 'conﬂict of interest' issue for ethical publication. Only seven (12%) of the authors knew about the 'conﬂict of interest' issue and 11 (19%) of the medical authors have just heard about it. Out of 12% of authors who knew 'conﬂict of interest' issue only 15% provided that statement to the journals. Among the peer reviewers only 17 (30%) knew about 'conﬂict of interest' of which 51 (91.5%) stated that they do not bother about this issue while reviewing the manuscripts. But interestingly 42 (75%) of the peer reviewers confessed that they had a bias on the topics written by their friends or students. Among the editorial board members of Indian medical journals only 14 (25%) have any idea on 'conﬂict of interest issue'. Results clearly shows poor understanding of 'conﬂict of interest' like important ethical issue among Indian medical scientists or journals.
Full Text Available Aim: the aim of this survey was twofold: (i: to assess medical students’ knowledge, attitudes and practices regarding nutrition in general, in order to identify their level of competences in the field of nutrition which will be useful in their future role of providers/health care professionals, and; (ii to assess the knowledge, attitudes and practices regarding the discipline of public health nutrition in order to identify the needs for improving the curriculum of this subject in all the branches of the University of Medicine in Tirana. Methods: A cross-sectional study was conducted in June-July 2013 including a representative sample of 347 students at the University of Medicine in Tirana, Albania (61% females and 39% males; overall mean age: 23±2 years; response rate: 87%. A nutritional questionnaire, adopted according to the models used in previous international studies, was used to assess the level of knowledge, attitudes and practices among the university students. Results: Overall, about one third of the students was not satisfied with the quality and quantity of nutritional education and demanded a more scientifically rigorous curriculum. In general, students’ knowledge about infant feeding practices was adequate. However, there were gaps in the students’ knowledge regarding the commencement of breastfeeding, or the duration of exclusive breast-feeding. Furthermore, there was evidence of an insufficient level of knowledge among students regarding diet and nutrition in general and their health impact, especially on development and prevention of chronic diseases. Conclusion: This survey identified significant gaps in the current curriculum of public health nutrition at the University of Medicine in Tirana. Our findings suggest the need for intervention programs to improve both the quantitative and the qualitative aspects of nutrition curricula in all the branches of the University of Medicine Tirana, in accordance with the
Public procurement is one of the areas of the single market where the results of the liberalization drive have not yet measured up to expectations. This communication presents some technical issues versus public acquisition legal issues and suggests ways and means of improving contract award procedures. Procurement area includes the acquisition of goods, services and works, thus assumption not only for purchasing equipment, components, spare-parts or materials, but also hiring of the contractors or consultants to carry out services and works. Procurement is related to the function of management of supply, which encompasses aside range of planning function, coding and classification, stockholding policies, store-keeping, stores accounting, etc. but it is also related to the hiring of contractors or consultants for work or services. As an answer to the challenge of the increasing market globalization it has been developed the ISO quality system, within 9000 family of standards. The very intensive competition for all market clients, either locally or globally, encouraged development of a new concept of quality management systems. Due to its specificity of activity and with respect to the rules and legislation requirements imposed either by the internal Romanian Laws and Regulations or/and by international market rules and constrains, the development, construction and operation of a Nuclear Power Plant shall be performed in a controlled condition and based on specific authorizations obtained by the Owner of the NPP from the Romanian Regulatory Authorities. The experience, accumulated by over 10 years of operation of Cernavoda NPP Unit 1 by our company, demonstrates the high importance of the Quality Management System that imposes the quality of the components installed on the plant, the services and the works developed to assure a safety operation of the nuclear unit, with a strongly dependence by the procurement system established for purchasing of goods, services and
Parker, Miles; Acland, Andrew; Armstrong, Harry J; Bellingham, Jim R; Bland, Jessica; Bodmer, Helen C; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D; Cope, David; Costanzo, Lucia; Dolan, James A; Doubleday, Robert; Feng, Wai Yi; Godfray, H Charles J; Good, David A; Grant, Jonathan; Green, Nick; Groen, Arnoud J; Guilliams, Tim T; Gupta, Sunjai; Hall, Amanda C; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A; Lueshi, Leila M; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P; Watkinson, Andrew R; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K A; Worts, Kim; Sutherland, William J
Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.
Parker, Miles; Acland, Andrew; Armstrong, Harry J.; Bellingham, Jim R.; Bland, Jessica; Bodmer, Helen C.; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D.; Cope, David; Costanzo, Lucia; Dolan, James A.; Doubleday, Robert; Feng, Wai Yi; Godfray, H. Charles J.; Good, David A.; Grant, Jonathan; Green, Nick; Groen, Arnoud J.; Guilliams, Tim T.; Gupta, Sunjai; Hall, Amanda C.; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A.; Lueshi, Leila M.; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J.; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A.; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P.; Watkinson, Andrew R.; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K. A.; Worts, Kim; Sutherland, William J.
Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique . A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security. PMID:24879444
Full Text Available Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.
This conference was designed to provide a public forum in which to identify and discuss the legal, institutional, social, environmental, and other public policy issues relating to nuclear waste management. This volume is a comprehensive synthesis of the speeches, papers, and discussions during the plenary and luncheon sessions. Preliminary goals are proposed for nuclear waste management. Separate abstracts were prepared for the ten papers. (DLC)
This session on the issue conditions of the public debate on the energy, took place around two presentations. The first one dealt with public debate cases analysis, the Souviron, the citizen conference and the CNDP (national Commission of Public Debate) models. The second one wondered on the debate objectives, key of the debate issue. (A.L.B.)
Cullen, Karen Weber; Watson, Kathleen B.; Fithian, Ashley R.
Background: This study compares the impact of the Texas Public School Nutrition Policy on lunch consumption of low- and middle-income students in sixth through eighth grades. Methods: Students in 1 middle socioeconomic status (SES) and 1 low SES school completed lunch food records before (2001/2002) and after (2005/2006) implementation of the…
This study compared the impact of the Texas Public School Nutrition Policy on lunch consumption of low- and middle-income students in sixth through eighth grades. Students in one middle socioeconomic status (SES), and one low SES school completed lunch food records before (2001/2002), and after (200...
Verčič, D.; Verhoeven, P.; Zerfass, A.
European Communication Monitor is the largest longitudinal research project in public relations practice in the world. Data collected annually from 2007 to 2014 show that practitioners perceive five issues as the most important for their work: linking business strategy and communication, coping with
This study explores how history teachers in Taiwan make curricular decisions while engaging controversial public issues. The main political controversies discussed in Taiwanese society center on the relationship between Taiwan and the People's Republic of China. This study documents how four social studies teachers formulate their curricular…
Lamm, Kevan W.; Lamm, Alexa J.; Carter, Hannah S.
Global conflicts have rapidly made water the most contentious issue in the world today. Considering water drives health, industry, recreation, and the agricultural food system it is no surprise that it has become such a hot topic. As a result, the general public has an increased interest in water-focused policy; policy that can have a large impact…
..., and social issues related to potential scientific and technological advances; examine diverse... to formulation of public policy with regard to this advancing science. The Commission also will... third meeting in November. At this meeting, the Commission will continue discussing the emerging science...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Meeting of the Presidential Commission for the Study of Bioethical Issues AGENCY: Department of Health and Human Services, Office of the Assistant... leaders in medicine, science, ethics, religion, law, and engineering. The Commission advises [[Page 61609...
This policy forum proceedings document contains a short introduction section that describes the current status of virtual public school programs in general and special education programs in particular. Next, this document provides a state-of-the-nation report that describes the exponential growth these programs and the evolving policy issues for…
Full Text Available The purpose of the article is a legal analysis of the participation of public benefit organizations in personal income tax. The author defines public benefit organizations, indicating the conditions that they need to meet in order to be able to participate in the personal income tax. Broad considerations relate to the analysis of the legal structure of the 1% tax deduction, its scope and the procedures for transfer of funds from the State budget to eligible entities. The article also presents the scale of the issues against the background of the practical functioning of the public finances. The article summarizes the reflection on the rationality and the essence of the transfer of public funds to public benefit organizations.
Fabra-Crespo, M.; Mola-Yudego, B.; Gritten, D.; Rojas-Briales, E.
Are the policies designed by decision-makers differing from society's wishes and preferences. The present paper analyzes the divergences between forest policy and public opinion in the Region of Valencia (Comunidad Valenciana) in Eastern Spain. The data is based on an extensive telephone survey of the general public on their perception of forestry issues. The issues studied include attitudes regarding forest fires, silvicultural treatments, the externalise produced by forest owners, and the state forest services role related to these issues. In total, the answers of 823 respondents were analyzed using classification trees. The results of the analysis showed a large divergence between the desires, preferences and priorities of society, on the one hand, and the policies implemented by the regional government, on the other. The study concludes that communication strategies concerning sustainable forest management need to be further developed by the responsible authorities, with the input of the research community. (Author) 53 refs.
The OCRWM plans to issue a draft ''comprehensive transportation plan'' in the fall of 1987 that combines the Institutional Plan, the Transportation Business Plan (DOE/RW-0046, January 1986), and a framework for transportation operational procedures. This paper reviews the major elements of the OCRWM's institutional strategy. The OCRWM's strategy for addressing transportation issues relies on the development of public information to foster public understanding and acceptance of program activities and goals, and active communication and interaction with all parties having an interest in the development and operation of the NWPA transportation program. The OCRWM's goal in conducting such activities is to foster cooperative effort in addressing transportation issues, and to focus on communication and constructive interaction rather than conflict
Full Text Available The framework provided by the Millennium Development Goals includes maternal health as an area of priority. Postnatal depression (PND is a serious public health issue because it occurs at a crucial time in a mothers’ life, can persist for long periods, and can have adverse effects on partners and the emotional, behavioural, and cognitive development of infants and children. Internationally, public health nurses (PHNs are key professionals in the delivery of health care to mothers in the postpartum period, and international research collaborations are encouraged. Two researchers from the European Academy of Nursing Science (EANS identified a need to collaborate and strengthen research capacity and discussion on postnatal depression, a public health nursing issue in both countries. Within the context of public health and public health nursing in Ireland and Norway, the aim of this paper is to present a discussion on the concept of PND, prevalence, and outcomes; screening issues for PHNs; and the research evidence of the benefits of social support in facilitating recovery for new mothers.
Vraga, Emily; Myers, Teresa; Kotcher, John; Beall, Lindsey; Maibach, Ed
Many scientists communicate with the public about risks associated with scientific issues, but such communication may have unintended consequences for how the public views the political orientations and the credibility of the communicating scientist. We explore this possibility using an experiment with a nationally representative sample of Americans in the fall of 2015. We find that risk communication on controversial scientific issues sometimes influences perceptions of the political orientations and credibility of the communicating scientist when the scientist addresses the risks of issues associated with conservative or liberal groups. This relationship is moderated by participant political ideology, with liberals adjusting their perceptions of the scientists' political beliefs more substantially when the scientist addressed the risks of marijuana use when compared with other issues. Conservatives' political perceptions were less impacted by the issue context of the scientific risk communication but indirectly influenced credibility perceptions. Our results support a contextual model of audience interpretation of scientific risk communication. Scientists should be cognizant that audience members may make inferences about the communicating scientist's political orientations and credibility when they engage in risk communication efforts about controversial issues.
The Federal Government's radioactive waste management concept and regulations governing formal public participation in licensing procedures for radioactive waste management facilities are presented. The paper focuses on public and political issues arising from widely diverging views in different social groups on nuclear energy and on radioactive waste management. The resulting conflict between Federal and Laender (Federal constituent states) authorities and the actual course of public participation in a licensing procedure are illustrated with the example of planned final disposal of radioactive waste in the Konrad mine. Major national efforts to overcome the unsatisfying present situation are presented and the role of international consensus is briefly touched. Concluding remarks will particularly justify admissibility and emphasize the need to discuss and eventually decide on radioactive waste management issues regardless of diverging views on nuclear energy
Sastre, Lauren; Haldeman, Lauren
INTRODUCTION In 2012, North Carolina ranked in the top ten states in refugee resettlement, with central Guilford County one of the most diverse in the southeast. OBJECTIVE Examine the local resettlement environmental, nutrition and health barriers and needs of refugees in Guilford County, as perceived by individuals providing services to them. METHODS Participants (n = 40) included: medical and social service providers, educators, faith-based volunteers, resettlement agency caseworkers and liaisons to a variety of refugee communities. Guided semistructured interviews were audio-recorded and transcribed verbatim. Themes were identified using deductive content analysis and categorized by frequency of reporting by participants. RESULTS Perceptions were consistent across participants regarding a diverse local refugee population. Resettlement housing was observed to be in poor condition, located in areas of poverty with transportation barriers. However, refugees rarely relocated, due to strong community relationships and support. Perceived dietary risks included: difficulties budgeting and maintaining food assistance, hoarding food, high consumption of sodas and sweets, misperceptions regarding US products (e.g., perceived need for infant formula), and limited health knowledge. Respondents observed that most refugees preferred "fresh" foods, and had strong agricultural skills but lacked green space. Major barriers to health care reported were: poverty, short duration of initial Medicaid coverage, and language (both lack of interpretation services and translated materials). Providers consistently observed type 2 diabetes, weight gain and dental problems across refugee groups. CONCLUSIONS Direct service providers' experiences and observations working with a diverse resettlement population provide unique insight into consistent barriers to achieving good health that confront refugees. While refugees face many barriers, groups often have impressive strengths, such as
Diet and nutrition, particularly among low-income groups, is a key public health concern in the UK. Low levels of fruit and vegetable consumption, and obesity, especially among children, have potentially severe consequences for the future health of the nation. From a public health perspective, the UK government's role is to help poorer families make informed choices within healthy frameworks for living. However, the question is - to what extent are such policies in accordance with lay experiences of managing diet and nutrition on a low-income? This paper critically examines contemporary public health policies aimed at improving diet and nutrition, identifying the underlying theories about the influences on healthy eating in poor families, and exploring the extent to which these assumptions are based on experiential accounts. It draws on two qualitative systematic reviews - one prioritizing low-income mothers' accounts of 'managing' in poverty; and the other focusing on children's perspectives. The paper finds some common ground between policies and lay experiences, but also key divergencies. Arguably, the emphasis of public health policy on individual behaviour, coupled with an ethos of empowered consumerism, underplays material limitations on 'healthy eating' for low-income mothers and children. Health policies fail to take into account the full impact of structural influences on food choices, or recognize the social and emotional factors that influence diet and nutrition. In conclusion, it is argued that while health promotion campaigns to improve low-income families' diets do have advantages, these are insufficient to outweigh the negative effects of poverty on nutrition.
Robles, Brenda; Kuo, Tony
Since 2010, federal and local agencies have invested broadly in a variety of nutrition-focused policy, systems and environmental change (PSE) initiatives in Los Angeles County (LAC). To date, little is known about whether the public supports such efforts. We address this gap in the literature by examining predictors of support for a variety of PSEs. Voters residing in LAC (n=1007) were randomly selected to participate in a cross-sectional telephone survey commissioned by the LAC Department of Public Health. The survey asked questions about attitudes towards the obesity epidemic, nutrition knowledge and behaviours, public opinions about changing business practices/government policies related to nutrition, and sociodemographics. A factor analysis informed outcome variable selection (ie, type of PSEs). Multivariable regression analyses were performed to examine predictors of public support. Predictors in the regression models included (primary regressor) community economic hardship; (control variables) political affiliation, sex, age, race and income; and (independent variables) perceptions about obesity, perceived health and weight status, frequency reading nutrition labels, ease of finding healthy and unhealthy foods, and food consumption behaviours (ie, fruit and vegetables, non-diet soda, fast-food and sit-down restaurant meals). 3 types of PSE outcome variables were identified: promotional/incentivising, limiting/restrictive and business practices. Community economic hardship was not found to be a significant predictor of public support for any of the 3 PSE types. However, Republican party affiliation, being female and perceiving obesity as a serious health problem were. These findings have implications for public health practice and community planning in local health jurisdictions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Full Text Available This study examines how Romanian media (through opinion articles in mainstream newspapers, political talk-shows and news broadcasts, sampled between 2011 and 2014 addressed the issue of the labour migration within two European contexts: the economic crisis that began in 2008, having multiple implications for the emigration policies in the EU states, and the opening of the full labour market access to Romanians and Bulgarians starting January 1, 2014. We tested the hypothesis that media discourse instrumentalizes migration in order to legitimize collective identities and public issues, especially those related to identity. Drawing upon the critical discourse analysis and the sociology of public issues, this research argues that the identity categorization practices are based on the dynamics of the migration flows and the economic developments in Europe. Media reframe identity by shifting the angle of approach from the access to the labour market, in terms of liberalization, to the way in which Romanians are perceived in the destination countries, and its extension to Romania’s status within the EU. This redefinition of the public issue occurs through particular types of identity counter-discourses used to deconstruct stereotypical dominant discourses against migrants and Romanians and to revalorize the Romanians working in the EU, as an extension of the (national collective identity. Labour migration becomes a symbolic resource in negotiating the nation image and a political status
Radin, Dagmar; Dzakula, Aleksandar; Benkovic, Vanesa
To compare the results of a series of public opinion surveys on experiences with the health care sector in Croatia conducted in the time of elections and to analyze whether political party affiliation had any influence on issues of priority ranking. The surveys were conducted during 2005, 2007, and 2009. They were administered through a Computer Assisted Telephone Interviewing method to representative samples of Croatian population and were statistically weighted according to sex, age, level of education, and political party affiliation. The random sampling of the person within the household was done using the table of random numbers. Health and health care system was the most important issue (58%) during the 2007 parliamentary election and the second most important issue during the 2005 and 2009 elections (46% and 28%). In the 2007 election, health care was viewed as most important by women, respondents with lower education levels, and respondents with lower income. In 2005, the most important health care issues were corruption and lack of funding (45% and 43%, respectively), in 2007 poor organization and lack of funding (43% and 42%, respectively), and in 2009 lack of funding and corruption (51% and 45%, respectively). Health and health care system were consistently among the top two issues in all elections from 2005 to 2009. The top three most important health care sector issues were corruption, poor organization, and lack of funding. This indicates that political parties should include solutions to these issues in their health care policymaking.
Radin, Dagmar; Džakula, Aleksandar; Benković, Vanesa
Aim To compare the results of a series of public opinion surveys on experiences with the health care sector in Croatia conducted in the time of elections and to analyze whether political party affiliation had any influence on issues of priority ranking. Methods The surveys were conducted during 2005, 2007, and 2009. They were administered through a Computer Assisted Telephone Interviewing method to representative samples of Croatian population and were statistically weighted according to sex, age, level of education, and political party affiliation. The random sampling of the person within the household was done using the table of random numbers. Results Health and health care system was the most important issue (58%) during the 2007 parliamentary election and the second most important issue during the 2005 and 2009 elections (46% and 28%). In the 2007 election, health care was viewed as most important by women, respondents with lower education levels, and respondents with lower income. In 2005, the most important health care issues were corruption and lack of funding (45% and 43%, respectively), in 2007 poor organization and lack of funding (43% and 42%, respectively), and in 2009 lack of funding and corruption (51% and 45%, respectively). Conclusion Health and health care system were consistently among the top two issues in all elections from 2005 to 2009. The top three most important health care sector issues were corruption, poor organization, and lack of funding. This indicates that political parties should include solutions to these issues in their health care policymaking. PMID:21990075
Buszynski, M. [SENES Consultants Ltd., Richmond Hill, ON (Canada)
The demand for natural gas in a downtown area of Toronto is expected to increase significantly due to the proposed construction of two new generation stations. However, there are few opportunities to locate the pipelines in large urban centers because of the lack of foresight by municipalities and others in preserving corridors for utilities. Enbridge Gas conducted a system planning study to determine the best methods for overcoming public issues that were encountered while planning the route for a NPS 36 inch diameter natural gas pipeline in this urban region. In Ontario, distribution pipelines are regulated by the Ontario Energy Board, whose environmental guidelines for the location, construction and operation of hydrocarbon pipelines require the identification of indirectly affected landowners and detailed analysis of public issues and how they can be resolved. Issues include noise, vibration, dust and traffic. Secondary use of the electric transmission rights-of-way resulted in the identification of several other issues, including aesthetics of the right-of-way and loss of privacy for adjacent residential properties. It was determined that the optimal solution was to parallel a section of existing NPS 30 pipeline running in a north-south right-of-way located east of the Don Valley Parkway. The techniques used to address public issues identified 180 directly affected and 3,200 indirectly affected landowners. The Enbridge study revealed that it is possible to plan a right-of-way through an urban corridor in a manner that is compatible with existing development and that satisfies the general public. 6 figs.
Sablah, Mawuli; Baker, Shawn K; Badham, Jane; De Zayas, Alfred
The scaling up nutrition (SUN) policy framework requires extensive public–private partnership (PPP). Malnutrition is multi-dimensional and should engage multi-sectoral platforms. The SUN policy however did not fully embrace the dynamics of harnessing PPP. The objectives of the present paper are to highlight the reasons for the apprehension around PPP and illustrate how effective coordination of PPP in West Africa has contributed to implementing large-scale food fortification with micronutrients as a complementary nutrition intervention. The experience of Helen Keller International (HKI) in scaling up food fortification was emphasised with understanding of the factors contributing to indifference by the international community to private sector contribution to SUN. The roles of different stakeholders in a PPP are elucidated and the process linked to who, why and how to engage. The private sector provides direct nutrition services while the public sector creates the enabling environment for the private sector to thrive on social values. Through this approach fortified vegetable oil and wheat flour are now reaching over 70% of the population in West Africa. As a neutral broker HKI coordinated and facilitated dialogue among the different stakeholders. The core competencies of each stakeholder were harnessed and each partner was held accountable. It concludes that multi-sectoral relationship must be transparent, equitable and based on shared mutual interests. The rules and values of PPP offer opportunities for SUN.
Rosemary M. Caron
Full Text Available The Educated Citizen Initiative proposes that an understanding of public health issues is a core component of an educated citizenry and is essential to developing one’s societal responsibility. This initiative supports the Institute of Medicine’s recommendation that all undergraduates should have access to education in public health. Furthermore, the Liberal Education and America’s Promise (LEAP framework developed by the Association of American Colleges and Universities supports the integration of public health education into general and liberal education with an aim to produce an educated citizenry. The LEAP framework is implemented by teaching about the role of social determinants in a population’s health status; the significance of personal and social responsibility; and providing skills for inquiry, critical thinking, problem solving, and evaluation. This article describes one university’s experience in generating an educated citizenry cognizant of comprehensive public health conflicts, thus contributing to both a local and global perspective on learning.
Evans-Agnew, Robin A; Mayer, Kala A; Miller, Lori L L
The integration of primary care and public health nursing may provide new opportunities for transforming nursing practice that addresses population health. Effective programs emphasize multilevel approaches that include both downstream (education) and upstream (policy change) actions. The purpose of this article is to identify downstream and upstream nursing actions that integrate public health and primary care practice through two case exemplars concerning disparities in physical activity and nutrition. Describe two research case exemplars: (1) a secondary analysis of school physical activity policy for female adolescents in 36 public middle schools and (2) a focus group study of African American adults in a community kitchen program. In exemplar 1, school policies lacked population-based standards and presented structural disadvantages to African American girls who were already obese. In exemplar 2, participants found the community kitchen program to be more effective than the federally funded nutrition program. Integrating primary care and public health nursing could improve the tailoring of physical activity and nutrition programs to local populations by following core principles of community engagement, infrastructural sustainability, aligned leadership, and data sharing for population health improvement. © 2017 Wiley Periodicals, Inc.
Cho, Seongkyung; Lee, Gyebong [The Myongji Univ., Seoul (Korea, Republic of); Lee, Gihyung; Lee, Gyehwi; Jeong, Jina [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)
The Korea Institute of Nuclear Safety (KINS), a regulatory expert organization in charge of nuclear safety in Korea, realized that a more fundamental and systematic analysis of activities is needed to actively meet the greater variety of concerns people have and increase the reliability of the results of regulation. Nuclear safety, a highly specialized field, has previously been discussed primarily from the viewpoint of the engineers who deal with the technology, but now 'public trust in nuclear safety' has to be viewed from the standpoint of the general public and from the socio-cultural perspective. Specific measures must be taken to examine which factors affect public trust and how we can secure and reproduce those factors to gain it. Also, an efficient system for incorporating public trust in nuclear safety must be established. In this study, various case studies were examined to identify the factors that affect public trust in nuclear safety. First, nuclear safety laws and information disclosure systems of major countries were examined by investigating data and conducting in-depth interviews. To explore a public framework concerning nuclear safety, big data of social media were analyzed. Also, Q methodology was used to analyze the risk schemata of the opinion leaders living in areas near nuclear power plants. Several surveys were conducted to analyze the amount of trust the public had in nuclear safety as well as their awareness of nuclear safety issues. Based on these analyses, factors affecting public trust in nuclear safety were extracted, and measures to build systems incorporating public trust in nuclear safety were proposed. This study addresses the public trust in nuclear safety on condition that the safety is ensured technically and mechanically.
Cho, Seongkyung; Lee, Gyebong; Lee, Gihyung; Lee, Gyehwi; Jeong, Jina
The Korea Institute of Nuclear Safety (KINS), a regulatory expert organization in charge of nuclear safety in Korea, realized that a more fundamental and systematic analysis of activities is needed to actively meet the greater variety of concerns people have and increase the reliability of the results of regulation. Nuclear safety, a highly specialized field, has previously been discussed primarily from the viewpoint of the engineers who deal with the technology, but now 'public trust in nuclear safety' has to be viewed from the standpoint of the general public and from the socio-cultural perspective. Specific measures must be taken to examine which factors affect public trust and how we can secure and reproduce those factors to gain it. Also, an efficient system for incorporating public trust in nuclear safety must be established. In this study, various case studies were examined to identify the factors that affect public trust in nuclear safety. First, nuclear safety laws and information disclosure systems of major countries were examined by investigating data and conducting in-depth interviews. To explore a public framework concerning nuclear safety, big data of social media were analyzed. Also, Q methodology was used to analyze the risk schemata of the opinion leaders living in areas near nuclear power plants. Several surveys were conducted to analyze the amount of trust the public had in nuclear safety as well as their awareness of nuclear safety issues. Based on these analyses, factors affecting public trust in nuclear safety were extracted, and measures to build systems incorporating public trust in nuclear safety were proposed. This study addresses the public trust in nuclear safety on condition that the safety is ensured technically and mechanically
Walton, Mat; Signal, Louise; Thomson, George
Objectives: This study aimed to identify policy options to support nutrition promotion in New Zealand primary schools. In achieving this aim, the study sought to identify framing by policymakers regarding child diet and obesity; views on the role of schools in nutrition promotion; policy options and degree of support for these options. Issue…
This paper develops Bruner’s (1991) notion of narrative accrual, in conjunction with ‘life-stories’ and ‘event-stories’, to focus on the accumulation of experiences as a contributor to working class identity. Situated between Mills’ (1959) personal troubles and public issues, and framed by Nouri and Helterline (1998) argument that identity is framed by social interaction with signification systems and other people, the author’s own experiences as an early career academic in two different Brit...
This thesis conducts three empirical studies on the Chinese A-share initial public offering (IPO) market, specifically, underpricing and short-run underperformance, duration from offering to listing and hot and cold issuing cycles. Before the empirical analysis, the literature is reviewed associated with these three topics. In addition, this thesis presents an overview of the Chinese IPO market which is found to undergo an experiment period from 1984 to 1990, a transition period from 1991 to ...
This report KfK 5025 presents the titles of scientific publications issued in 1991. Conference papers or other papers not yet available in printed from are listed separately. Patent documents of the year 1991 are listed in two categories: patent specifications and unexamined laid-open patent applications (DE-OS). Reviews on specific subjects or training documents prepared for courses in the KfK's Center for Advanced Training are not included in this report. (orig.) [de
Cavalli-Sforza, Luca Tommaso
Some reflections from work in the Asia Pacific Region, mostly with WHO, in the past 25 years, and the changes in nutrition seen in this time are shared. In 1988-89 I helped to start a Centre for Child Nutrition in Chengdu, Sichuan, through the Italian Development Cooperation. The nutritional problems in urban and rural China, 25 years ago, were similar to those elsewhere in the Region. Like China, these countries underwent rapid economic development and changes in health patterns, within two decades. The main problems for child nutrition had to do with infant feeding practices and less breastfeeding: anaemia, protein energy malnutrition and rickets were frequent. How did China and other countries tackle these and other nutrition problems? In the 1990s the global nutrition community started working on a problem-solving framework. In 1992, at the 1st FAO/WHO International Conference on Nutrition, 159 countries agreed to develop national nutrition plans. In 2014, 22 years later, FAO and WHO invited countries to review their national nutrition situation and plans. The epidemiological picture today is profoundly different. Many Asia-Pacific countries have achieved remarkable progress in socio-economic development, including malnutrition reduction. To reach the MDGs and the post-MDG goals being formulated, the remaining under-nutrition problems need to be alleviated, inequalities between sectors of society reduced, and also the growing threat of overweight/obesity and NCDs prevented and controlled. Assessing, monitoring and evaluating programmes to improve progress, now requires focusing not only on biological outcomes, but also on food security, programme process, and the policy environment.
Hunt, B.; Monaghan, J.
Federal environmental restoration plans are being significantly impacted by open-quotes grassrootsclose quotes public pressure and by community demands, some of which have little relation to the technical standards of remediation and which go well beyond authorizing legislation. These demands often represent significant additional project costs. A review of Uranium Mill Tailings Remedial Action (UMTRA) Program experiences in Colorado suggests that the more serious open-quotes grassrootsclose quotes issues associated with remediation rarely diminish and, in fact, will intensify over time. This presents program administrators with the dilemma of attempting to adhere to program mandates and keep projects within budget, while at the same time trying to be responsive to community concerns. Such high-profiled community debates have the ability to delay remediation and even jeopardize important projects. After prolonged public debate, when it becomes clear an issue will not dissipate, project officials may be forced to meet certain community demands. Often, this results in not only increased costs, but a loss of public confidence in clean-up efforts. Evidence also suggests, however, that when critical public issues can be identified and addressed before they become overly contentious, significant problems and controversy can be avoided; but, the situation is made difficult because project officials often lack the policy guidance to determine which, if any, community demands should be addressed and to what extent they should be met. The adoption of several key public policy principles by program administrators will provide a greater ability to address community demands in a timely and successful manner
Mohammad Ghazi Ismail
Full Text Available Environmental problems are very serious and complex to be resolved through science approach, technical and legislation solely. Hence, the inclucive and active involvement and participation of civil is wanted. Civil society is inter parties interested and sure they involved directly with every planned development project and practiced at area they. Earlier study has proven that public societal involvement in environmental issue is still low and minimum. The study conducted in Jajahan Kuala Krai, Kelantan is intended to find out how far population knowledge in study area on environmental issues and the level of involvement the in said issue. This study involved 174 respondents. The study between demographic factor with respondent knowledge in environmental issues shows that is a significant relationship between respondent income and education with value of p respectively 0.039 and 0.036. The association between demographic factor with respondent's knowledge in local environmental issue on the other hand shows that there are significant relationship between gender, age, income, education and resident period with the value of p respectively 0.045, 0.000, 0.029, 0.046 and 0.000. For demographic factor in association with environmental issues, has shown that there is a significant relationship between age, income, education and resident period with the value of p respectively 0.036, 0.041, 0.001 and 0.001. The results that found respondent income factor and education did influence on respondents knowledge level and involvement in environmental issues. As a conclusion, an actively engaged society in related environmental issues is very important due to the assurance of environmental quality that always will be protected.
Kazyak, Emily; Stange, Mathew
Following Obergefell v. Hodges, same-sex marriage remains controversial and anti-LGBT state legislation has been passed, which raises questions about whether the Supreme Court's ruling may have created a backlash. We use data from two waves of a general population survey of Nebraskans conducted before and after the decision to answer three questions. First, we test three theories of how the court decision influenced public opinion. We find that support for same-sex marriage was significantly higher following the ruling, suggesting that there was not a backlash to it. Second, we assess whether people perceive that the court accurately reflects the public's opinion. We find that people who favor same-sex marriage are more likely to think that the ruling refects public opinion very well; those who oppose same-sex marriage are more likely to think that the ruling does not at all reflect public opinion. Third, we examine the association between discussing gay rights and support for same-sex marriage, finding that those who talk about LGB issues very often are more likely to favor same-sex marriage. We discuss the implications of these findings in relation to two of the themes of this special issue: the influence of marriage equality on Americans' understandings of marriage and the impact of marriage equality on future LGBT activism.
Pfeiffenberger, Hans; Carlson, David
The Copernicus data publication journal Earth System Science Data (ESSD) represents an important and unique (and by no means final!) step forward in the larger world of data publication. Working with authors, reviewers, editors and data centres, ESSD has successfully produced many high-quality data publications across a wide variety of scientific disciplines, for individual data sets, multiple data sets as the product of scientific consortia and in special issues coordinated with other science journals. The ESSD success also exposes issues and challenges for present and future data publication, particularly around the topic and implementation of persistent identifiers. • As ESSD encourages redundant data sets across multiple data centres for access and archive purposes, how will DOIs be employed to accurately point to those distributed or replicated data? How can authenticity and integrity be verified? • How can or should object identifiers be employed in pointing from raw to quality-controlled and finally derived data processing levels; how can we designate or distinguish among these, particularly as those terms vary substantially among, for example, geophysical and ecological communities? Likewise, how to distinguish an auto-generated data product (e.g a species identification from GBIF) from a high-effort expertly reviewed data product (e.g. an ESSD publication)? • For a growing number of ESSD data publications with expected annual or periodic revisions and updates, how should data journals' and the repositories' use of persistent identifiers best record the subsequent versions, extensions or corrections? • As published data sets become a valued part of high profile science, with attendant deadlines, announcements and publicity, do the various DOI policies and minting practices among cooperating publishers, data centres and journals represent a help or a hindrance? These questions evolve directly from increasing interest in and activity by ESSD and, as
Grunert, Klaus G
because consumers will avoid products that the label shows to be nutritionally deficient, but also because food producers will try to avoid marketing products that appear, according to the label, as nutritionally problematic, for example, because of a high content of saturated fat or salt. Nutrition......Nutrition labeling refers to the provision of information on a food product’s nutritional content on the package label. It can serve both public health and commercial purposes. From a public health perspective, the aim of nutrition labeling is to provide information that can enable consumers...... to make healthier choices when choosing food products. Nutrition labeling is thus closely linked to the notion of the informed consumer, that chooses products according to their aims, on the basis of the information at their disposal. Because many consumers are assumed to be interested in making healthy...
Bouchery, Jean-Claude; Leuregans, Vincent; Catelinois, Olivier; Chambon, Paul; Chenal, Christian; Demet, Michel; Demet, Valerie; Gazal, Suzanne; Laurier, Dominique; Morichaud, Jean-Pierre; Petitfrere, Michael; Rollinger, Francois; Sene, Monique
This document is proposed by a work-group which gathered the IRSN, public local information commissions and the French Health Survey Institute (InVS). It is designed to be a methodological document on the benefits and limits of health analysis tools with respect to real situations. The first part discusses the implementation of a public health survey, its approach, its modalities and how its results are published. The second part deals with methodological issues for the definition of the specifications of a public health survey, and its protocol. Thus, it discusses how releases in the environment are to be addressed (releases from nuclear installations and from other activities involving radioactivity), the different pathologies to be studied, the existing health data and survey tools (mortality and cancer incidence data, medical-administrative data), and the possible survey types (descriptive or analytical epidemiological surveys) and their limitations
Jacobson, P.D.; Rosenquist, C.J.
This case study of the public policy implications of introducing a new technology in radiology, namely, low-osmolar contrast media (LOCM), raises the issues of whether and how to place appropriate limits on new technologies. Although these contrast media represent small episodic costs, they may add up to an aggregate expenditure of nearly $1 billion per year if used for all contrast injections. As a result, this technology raises a number of important medical, economic, legal, and public policy questions. The cost-effectiveness analysis and an analysis of the medical evidence suggest that LOCM should be limited to high-risk patients. The authors discuss in this article how the legal system might respond to such limitations, and they consider various public policy options for adopting restrictions on use. They conclude that the medical profession should take the lead in developing protocols for appropriate assessment, reimbursement, and use of LOCM
Seki, M; Yamaguchi, T
An educational program for persons found to have high blood cholesterol during health examinations at the Nerima Public Health Center was begun in April, 1989. This program was differed from the usual program in two areas. First, new educational material was developed consisting of a check list of 30 items to assess eating patterns. By checking these items, participants could gain an understanding of what they should change in their eating behavior. Secondly, the table of restricted foods was not used. Participants were advised to achieve healthy eating patterns and followed up with a nutritional consultation that was held after three months, at which time they were interviewed regarding compliance and had their blood cholesterol levels measured. The effectiveness of the new educational program and the relationship between achievement of healthy eating patterns and reduction in blood cholesterol levels were analyzed. The main results were as follows: 1) In subjects (n = 79) who received the new education program in 1989-1990, serum cholesterol levels showed significant reduction, as compared with controls (n = 38) who received the usual education program in 1988-1989. 2) Subjects were divided into three groups according to their changes in serum cholesterol levels,--normalized, improved and unimproved--and the number of items complied with were counted for analysis. The mean score of compliance was highest in the normalized group with significant difference between the normalized and the unimproved groups. 3) The items of the high compliance score in the normalized group were in order of high score "to decrease high-fat meats", "to decrease cakes", "to choose lean meats and poultry without skin" and "to eat vegetables at every meal".
Rankin, Audrey; Kuznesof, Sharron; Frewer, Lynn J; Orr, Karen; Davison, Jenny; de Almeida, Maria Dv; Stewart-Knox, Barbara
Social Cognitive Theory has been used to explain findings derived from focus group discussions ( N = 4) held in the United Kingdom with the aim of informing best practice in personalised nutrition. Positive expectancies included weight loss and negative expectancies surrounded on-line security. Monitoring and feedback were crucial to goal setting and progress. Coaching by the service provider, family and friends was deemed important for self-efficacy. Paying for personalised nutrition symbolised commitment to behaviour change. The social context of eating, however, was perceived a problem and should be considered when designing personalised diets. Social Cognitive Theory could provide an effective framework through which to deliver personalised nutrition.
Williams, Peter; Hazlewood, Tanya; Pang, Glen
In New South Wales (NSW), a new suite of nutrition standards for menus and specifications for therapeutic diets to be used in hospitals has been developed. These standards were required to facilitate centralised menu planning and food production, with the move to management of most hospital food services by HealthShare NSW, a state-wide business unit of NSW Health. The standards also aim to improve communication between health professionals, particularly with the increasing use of computerised meal-ordering systems. Nutrition standards have been developed for adult, paediatric and mental health inpatients, and specifications for 147 different adult and paediatric therapeutic diets. There is still significant variation in the nutrition standards for nutrition and therapeutic diets in hospitals across the Australian states, and a move to a more nationally harmonised approach would be welcome. Further research is required to examine the impact of these standards on operating efficiency and patient care outcomes.
Bruder, A; Honekamp, W; Hackl, J M
Due to the significant increase in overweight and obese people, action is needed to raise eating behaviour awareness. A significant main meal (lunch) is witnessing a growing trend in the catering (part of the out-of-home nutrition). The aim of this study is to determine whether the selection of lunch menus is affected through the display of nutritional information in the form of number of calories or a traffic light model. In this exploratory study, quantitative data were collected in a cross-sectional design. In addition to the established measurement instruments, socio-demographic and socio-economic information of the subjects based on the study were evaluated. The survey took place in 2008 in 2 passes (time t A/t B). The identical lunch menu of a catering company was applied twice respectively for 4 weeks. In the second run (t B) the lunch menu contained additional nutritional information (big 4 instructions) in the form of calories or a traffic light nutrition. The test of group differences was based on scientific statistical analysis in SPSS. The overall results for the illustration of kilocalories or traffic light do not have a unique significance in the direction of a low average number of calories at the time t B in comparison to the time t A. The food participants, on average, choose a lower calorie-containing menu, when a combination of traffic light and calories is given. The nutrition behaviour is accompanied by an oversupply of unhealthy foods. Lunch participants are sensitised for the selection of healthier lunch menus by a traffic light nutrition information or calories information. Nutrition labelling for lunch menus in the form of calories nutrition information or a coloured traffic light could trigger preventive effects. © Georg Thieme Verlag KG Stuttgart · New York.
Full Text Available Objective: This study aimed to assess the nutritional status of cancer patients and the self-care measures they adopted as a response to nutritional problems. Methods: This descriptive study included seventy cancer patients staying in the oncology and internal disease clinics of a university hospital in Turkey. Data were collected using a questionnaire with 29 questions. Results: The mean age of participants was 40.2 1.82 years. Approximately, 62.9% of the patients ate only half of the meals offered to them, 65.7% experienced weight loss, and 45.7% had difficulty eating their meals on their own. Moreover, 47.1% of the patients received nutritional support and nutritional problems were observed in 71.4% of the patients; 80% were unable to eat hospital food, 54.3% had an eating disorder related to a special diet, 30% suffered from loss of appetite, 27% had nausea, and 14.3% had difficulty swallowing. Furthermore, 48.5% of patients responded that they ate home-cooked food or ordered food from outside when questioned about the self-care measures taken to avoid the aforementioned nutritional problems. Conclusions: Most of the cancer patients had serious nutritional problems and ate home-cooked food and used nutritional supplements to overcome these problems. Oncology nurses are responsible for evaluating the nutritional status of cancer patients and eliminating nutritional problems.
According to Swiss Federal Law, the producers of radioactive waste are responsible for its safe disposal. The government, therefore, plays a relatively modest role in the public debate on nuclear waste management. Whenever asked to express an opinion, it tries to inform openly. Active public relations campaigns are led by the National Co-operative for the Disposal of Radioactive Waste (NAGRA). The operators of nuclear power plants are ready to compensate the siting community and its Canton for services rendered in the public interest. An important way to deal with ethical and environmental issues is the inclusion of opponents in every step of the time-consuming licensing procedure. This paper discusses the upcoming vote on a concession for a low and intermediate-level waste repository for which NAGRA is actively preparing. NAGRA's public relations work is based on recognition of the fact that the only way to diminish fear and gain credibility is to inform openly and regularly over many years, and to show that results achieved are based on serious, careful and transparent scientific work. Another aspect of radioactive waste management communication lies in the explanation of the ethics of 'inter-generational' and 'intra-generational' equity. Compensation will never make up for lack of safety. The ways in which the public voices its views are discussed, as well as the concept of seeking the co-operation of opponents in working groups. (author)
In June 1988 the Nuclear Regulatory Commission (NRC) issued for public comment the proposed Revision 2 of the Standard Review Plan (SRP) Sections 2.5.2, 3.7.1, 3.7.2. and 3.7.3. Comments were received from six organizations. Brookhaven National Laboratory (BNL) was requested by NRC to provide expert consultation in the seismic and soil-structure interaction areas for the review and resolution of these comments. For this purpose, a panel of consultants was established to assist BNL with the review and evaluation of the public comments. This review was carried out during the period of October 1988 through January 1989. Many of the suggestions given in the public comments were found to be significant and a number of modifications to appropriate SRP sections are recommended. Other public comments were found to have no impact on the proposed Revision 2 of the SRP. Major changes are recommended to the SRP sections dealing with (a) Power Spectral Density (PSD) and ground motion requirements and (b) soil-structure interaction requirements. This report contains specific recommendations to NRC for resolution of the public comments made on the proposed Revision 2 of the SRP
Bronfman, L.M.; Bronfman, B.H.; Regens, J.L.
Through an analysis of information provided in the printed media on the topic of radioactive waste, the study analyzes the emergence of radioactive waste as a public issue in the press. Over eight hundred articles printed in both specialized and non-specialized sources from 1973 to 1978 have been content-analyzed in order to describe how the problem of radioactive waste is defined and what dimensions of the problems are receiving attention. Between 1973 and 1978, there was a substantial increase in the amount of information on the topic of radioactive waste available to the public through a variety of popular and specialized media sources. This increase coincides with documented public concern with the problem of radioactive waste. Discussions of radioactive waste have focused for all sources more frequently on themes not directly related to the technical problems of radioactive waste storage or isolation. A substantial amount of the information available to a variety of segments of the public is composed of discussions of real or perceived risk related to the existence of waste or to methods of disposing of it. In addition to risk, a substantial proportion of the discussions deal with institutional themes. Over time, the total amount of information on most dimensions of the radioactive waste problem has increased substantially. Institutional themes have gained relative to other issues over the three time periods. National and local press sources infrequently specify the form of waste being discussed thus providing evidence that the quality of technical information available to some members of the public is very low
Kosmin, Linda J.
On-line access to complete texts of scholarly journal articles, conference papers, and books is facilitated by rapidly developing World-wide Web Internet access and capabilities. Meanwhile, print publications continue to be produced and read in spite of the proliferation of many networked electronic publications. The purpose of this presentation is to highlight fundamental issues impacting stakeholder groups, as the trend continues towards migration from paper to affordable ubiquitous networked full-text publications. Librarians, publishers, authors and end-users have various viewpoints, interests, and concerns. There are many issues challenging all stakeholder groups. For instance, all share concerns about administering copyright compliance and enforcing fair use. Uncontrollable electronic downstreaming could result in infringed copyright, while limiting a publisher's entitled revenue stream. Moreover, metered fee-based access may hamper scholarly information research. And, self-authoring on the Internet without peer filtering could lead to information clutter. Many related issues challenge librarians in particular. Among these are rising journal subscription prices, regardless if offered in print or electronic. Some electronic offerings are independent of print, others supplement or duplicate print; several publishers presently require subscribing to print in order to access electronic. Furthermore, numbers of publications are n'ow being marketed via the Internet directly to end-users, which can be viewed as encouraging users to bypass the traditional library. A key issue challenging publishers today is the rapidly expanding electronic user base that is demanding delivery of added-value full-text to desktop computers. Also of growing concern appears to be the decline in print sales to libraries, thereby reducing traditional revenue stream potential. Nowadays, publishers are more hesitant about investing in the production of publications geared toward small niche
Brown, Kenneth H; McLachlan, Milla; Cardosa, Placido; Tchibindat, Félicité; Baker, Shawn K
A three-day workshop was convened in Dakar, Senegal, to provide participants from West African and international academic and research institutions, public health agencies, and donor organisations an opportunity to review current public health nutrition research and training capabilities in West Africa, assess needs for strengthening the regional institutional and workforce capacities, and discuss appropriate steps required to advance this agenda. The workshop included presentations of background papers, experiences of regional and international training programmes and small group discussions. Participants concluded that there is an urgent need to: (1) increase the throughput of public health nutrition training programmes, including undergraduate education, pre-service and in-service professional training, and higher education in public health nutrition and related research skills; and (2) enhance applied research capacity, to provide the evidence base necessary for nutrition program planning and evaluation. A Task Team was appointed to inform the regional Assembly of Health Ministers of the workshop conclusions and to develop political and financial support for a regional nutrition initiative to: (1) conduct advocacy and nutrition stewardship; (2) survey existing training programmes and assist with curriculum development; and (3) develop a plan for a regional applied research institute in Public Health Nutrition.
Thompson, Margaret E; Noel, Mary Barth
Carbohydrates include sugars, starches, and dietary fibers. Resistant starches resemble fiber in their behavior in the intestinal tract, and may have positive effects on blood glucose levels and the gut microbiome. Fibers are classified as soluble and insoluble, but most fiber-containing foods contain a mixture of soluble and insoluble fiber. Soluble fiber has been shown to lower low-density lipoprotein cholesterol levels. Many artificial sweeteners and other sugar substitutes are available. Most natural sources of sweeteners also are energy sources. Many artificial sweeteners contain no kilocalories in the amounts typically used. Sugar alcohols may have a laxative effect when consumed in large amounts. Glycemic index and glycemic load are measurements that help quantify serum glucose response after ingestion of particular foods. These measurements may be affected by the combination of foods consumed in a given meal, and the glycemic index may vary among individuals eating the same meal. Eating foods with a low glycemic index may help prevent development of type 2 diabetes. There is no definitive evidence to recommend low-carbohydrate diets over low-fat diets for long-term weight loss; they are equally effective. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.
Nghiem, Nhung; Genç, Murat; Blakely, Tony
Pricing policies such as taxes and subsidies are important tools in preventing and controlling a range of threats to public health. This is particularly so in tobacco and alcohol control efforts and efforts to change dietary patterns and physical activity levels as a means of addressing increases in noncommunicable diseases. To understand the potential impact of pricing policies, it is critical to understand the nature of price elasticities for consumer products. For example, price elasticities are key parameters in models of any food tax or subsidy that aims to quantify health impacts and cost-effectiveness. We detail relevant terms and discuss key issues surrounding price elasticities to inform public health research and intervention studies. PMID:24028228
Nghiem, Nhung; Wilson, Nick; Genç, Murat; Blakely, Tony
Pricing policies such as taxes and subsidies are important tools in preventing and controlling a range of threats to public health. This is particularly so in tobacco and alcohol control efforts and efforts to change dietary patterns and physical activity levels as a means of addressing increases in noncommunicable diseases. To understand the potential impact of pricing policies, it is critical to understand the nature of price elasticities for consumer products. For example, price elasticities are key parameters in models of any food tax or subsidy that aims to quantify health impacts and cost-effectiveness. We detail relevant terms and discuss key issues surrounding price elasticities to inform public health research and intervention studies.
Haeny, Angela M
Previous literature has documented the general issues psychologists often face while balancing their personal and professional lives. The struggle stems from attempting to satisfy the need to maintain a life outside of work while having the professional obligation to follow the American Psychological Association's (APA's) Ethical Principles of Psychologists and Code of Conduct (Ethics Code) to prevent their personal lives from interfering with their professional roles and relationships. The present paper analyzes the subject of psychologists taking a public position on controversial public issues. Although the APA Ethics Code does not restrict how psychologists conduct themselves during their personal time, taking a public stance on a controversial issue could potentially strain professional relationships and inadvertently reflect negatively on the profession. The present paper examines ethical issues that a) should be taken into account before psychologists take a public position on a controversial issue, and b) are in conflict with APA's Ethics Code or current research.
Haeny, Angela M.
Previous literature has documented the general issues psychologists often face while balancing their personal and professional lives. The struggle stems from attempting to satisfy the need to maintain a life outside of work while having the professional obligation to follow the American Psychological Association’s (APA’s) Ethical Principles of Psychologists and Code of Conduct (Ethics Code) to prevent their personal lives from interfering with their professional roles and relationships. The present paper analyzes the subject of psychologists taking a public position on controversial public issues. Although the APA Ethics Code does not restrict how psychologists conduct themselves during their personal time, taking a public stance on a controversial issue could potentially strain professional relationships and inadvertently reflect negatively on the profession. The present paper examines ethical issues that a) should be taken into account before psychologists take a public position on a controversial issue, and b) are in conflict with APA’s Ethics Code or current research. PMID:25342876
Ohnishi, Teruaki; Suganuma, Jyun-ichi
The observed change of public attitude around the time of inhabitants' poll in Japan was compared with model calculation to investigate its non-linear behavior. Two inhabitants' polls regarding nuclear issues, the approval and disapproval of the construction of Maki nuclear station, and of the MOX fuel use at Kashiwazaki-Kariwa nuclear station, were considered together with the poll on the reconstruction of the tenth weir in Yoshino river carried out in Tokushima. By using a mathematical model such that the individual attitude is mainly subject to two factors of the information environment and the mutual communication between the public, it was found that the change and the unification of public attitude around the time of inhabitants' poll can be interpreted as a manifestation of self-organization resulted from the cooperative phenomenon of those two factors. Moreover, it was also found that the abrupt change of public attitude just before the poll can be interpreted as a result of positive feedback of the information environment formed by the various types of propaganda activities to the attitude change, though the extent of such non-linear effects differs from case to case. (author)
The guiding thread of this article is the inclusion of the so-called "social issue" on the public agenda from modernity through its more current developments. The study seeks to demonstrate that one of the meanings of modernity is precisely the radical inversion of the meaning of public and private, providing for the broadening of public space. Far from being associated with a given bourgeois capitalist model, modernity thus projects itself as a reinvention of rights, citizenship, and contemporary democratic experience. Over this long course, the individualization process has been seen as a crucial factor for understanding both the ideology of modern societies and - paradoxically - the very emergence of social sciences. The individualist concept, emphasizing the specificity of modern representation of the social sphere, i.e., its characteristic as a self-instituting society, allows for a broadened understanding of the public domain. In this sense, the ideological polarization between liberal conceptions (favoring individualism) and Marxist ones (linked to holistic representations of the social sphere) should be reviewed, since this polarization has repercussions on the very analytical tools used by social sciences.
Limited to periodical literature, this annotated bibliography on school finance contains 81 references grouped in 5 categories: (1) policy and politica issues, (2) federal government, (3) state issues, (4) aid to nonpublic schools, and (5) accountability. Following the bibliographic citations, annotations range from 4 to 15 lines and conclude by…
Full Text Available This mixed method study sought to explore the issues that faced secondary teachers in a rural central Georgia public high school when attempting to implement a multicultural education program. The key issues of this study centered on the teachers’ multicultural education training and the school’s multicultural education program. Data were gathered from a total of thirty randomly chosen teachers in the Social Studies, Math and English departments at the school. Twenty-five of the thirty teachers received a hard copy four question Likert scale survey to complete. The remaining 5 participants took part in face-to-face interviews discussing six open-ended questions. The findings pointed to several issues facing the teachers such as the lack of an officially implemented multicultural education program, the lack of support from school administrators, no in-service training available for teachers, parental and student misapprehension, and a lack of an officially defined policy on implementation and support of a multicultural education program from administrators locally and district-wide.
Hashim, H.; Che-Ani, A. I.; Ismail, K.
Public Private Partnership (PPP) in Malaysia aims to stimulate economic growth and overcome the weakness of conventional system. Over the years, many critics have been reported along the massive growth of PPP project development. Within that context, this study provides a review of issues and challenges for PPP pertaining to project performance in Malaysia. The study also attempts to investigate four performance measurement models around the globe as a basis for improvement of PPP in Malaysia. A qualitative method was used to analyse literature review from previous published literatures while comparative analysis was carried out within the models to identify their advantages and disadvantages. The findings show that the issues and challenges occurred were related to human, technical and financial factor that could hinder the implementation of PPP project in Malaysia. From the analysis, KPIs, guideline / framework, risk allocation, efficiency & flexibility are perceived as dominant issues. Finally, the findings provide an informed basis on the opportunity areas to be considered for improvement in order to achieved project effectiveness.
Tucker, Bram; Rende Taylor, Lisa
Human behavioral ecology (HBE) began as an attempt to explain human economic, reproductive, and social behavior using neodarwinian theory in concert with theory from ecology and economics, and ethnographic methods. HBE has addressed subsistence decision-making, cooperation, life history trade-offs, parental investment, mate choice, and marriage strategies among hunter-gatherers, herders, peasants, and wage earners in rural and urban settings throughout the world. Despite our rich insights into human behavior, HBE has very rarely been used as a tool to help the people with whom we work. This article introduces a special issue of Human Nature which explores the application of HBE to significant world issues through the design and critique of public policy and international development projects. The articles by Tucker, Shenk, Leonetti et al., and Neil were presented at the 104th annual meeting of the American Anthropological Association (AAA) in Washington, D.C., in December 2005, in the first organized session of the nascent Evolutionary Anthropology Section (EAS). We conclude this introduction by summarizing some theoretical challenges to applying HBE, and ways in which evolutionary anthropologists can contribute to solving tough world issues.
Andersen, Lori; Myers, Leann; O'Malley, Keelia; Rose, Donald; Johnson, Carolyn C.
Purposes/Objectives: Fruit and vegetable (F/V) consumption may aid in childhood obesity prevention. F/V consumption in youth is low. School-based salad bars (SBs) may improve F/V access in youth. The purpose of this study was to explore administrative and school nutrition personnel perspectives related to adoption and continued implementation of…
Jan 23, 2018 ... A young mother and her baby visit the local nutrition center in rural ... and marketing of the unhealthy and ultra-processed food and drinks driving the ... joint programs — pose a risk to the school's independence and capacity ...
National Center for Education in Maternal and Child Health, Washington, DC.
This issue of the "MCH Program Interchange" describes selected materials and publications in maternal and child health (MCH) nutrition services and programs. The materials were developed by or are available from federal agencies, state and local public health agencies, and voluntary and professional organizations. The information is intended to…
Mirmiran, Parvin; Nazeri, Pantea; Amiri, Parisa; Mehran, Ladan; Shakeri, Nezhat; Azizi, Fereidoun
To evaluate the association of iodine nutrition status and knowledge, attitude, and behavior in Tehranian women after 2 decades without updating public education. Cross-sectional study. Eight health care centers from 4 district areas of Tehran. A total of 383 women aged ≥ 19 years, randomly selected. Iodine concentration of 24-hour urine samples, iodine content of household salts, and knowledge, attitude, and practice scores regarding iodine nutrition and iodized salt. Multiple logistic regression was used to identify the association of knowledge, attitude, and practice scores with urinary iodine concentration (UIC) women with high knowledge, attitude, and practice scores were 26%, 26%, and 14%, respectively. Practice score was significantly different between females with UIC 100 μg/L (P = .001). Risk of UIC women of childbearing age (19-45 years) after adjustment of education level, region of residence, and iodine content of salt was significantly associated with intermediate practice score (odds ratio = 2.6; 95% confidence interval, 1.3-13.2). Marginally suboptimal iodine status in women of childbearing age can be attributed to inappropriate practices, but not to knowledge and attitude. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
Ryngach, Natalia O; Scherbinina, Marina B; Shevchenko, Tatiana M; Gladun, Victoria M; Sarychev, Volodymyr I
Introduction: The awareness of the working-age population regarding the principles of a healthy lifestyle and risk factors of diseases is analyzed. Aim: To identify and characterize the level of awareness of the working-age population regarding the essence of a healthy lifestyle and risk factors (with a focus on irrational nutrition and its consequences). Materials and methods: In the sociological study (2017), on request of Dnipropetrovsk regional state administration, methods of deep (N20) and personalized formal interviews (N2000) were used according to a specially developed methodology of qualitative and quantitative research stages and data collection tools. Results: In their understanding of a healthy lifestyle, 71% of the respondents shared the idea of a mandatory nutrition that meets the needs of a particular person. With a fairly complete awareness as a whole, there is a spread of unhealthy drinking practices with high sugar content (26.7% of respondents), street food (16%), and visiting fast food establishments (10.7%). It has been shown that the rationalization of nutrition at the primary level is underestimated: only 12.7% of the respondents received advice from their family / district doctor or nurse over the past 12 months about the change in nutrition. At the same time, less than a quarter of the recommendations were specified, the rest concerned only healthy eating at all. Therefore, on average, one in three respondents reported adherence to the advised advice. Significantly, more than 40% of respondents consider a significant obstacle to implementing the recommendations of the high cost of "healthy" products. Conclusions: Awareness of the population of Dnipropetrovsk region about the danger of inappropriate nutrition is estimated as insufficient. There is a clear need to increase the training of family medicine, medical staff and combine their activities with information and education work among the population to minimize this risk factor, develop
Farmer, P.R.; Dunnicliffe, C.J.
Issues on PWR safety transient analysis that were discussed at the Sizewell B Public Inquiry are presented. The Public Inquiry was set up by the UK Government under an Inspector, Sir Frank Layfield, to examine all aspects of the construction, safety and operation of a 1200 MW(e) PWR on the Sizewell site. The terms of reference were broad ranging, and the constitution of the Inquiry was to make a recommendation under three Acts of Parliament which apply to the construction and operation of nuclear electrical plant. The Inquiry also covered local planning aspects, which are the responsibility of the Local Authority - in this case the Suffolk County Council. The Inspector examined and made recommendations on the safety of the Station, but consideration by Public Inquiry is outside the formal safety and licensing process, which is the business of the Utility (the CEGB) and the Nuclear Installations Inspectorate (the NII). The paper therefore takes a broader look at the question of safety, dealing with the licensing process, the requirements of the safety case and the forward strategies adopted by the CEGB in terms of research and development. This is considered for transient analysis, and the aim is to set the discussions and conclusions of the Public Inquiry into their proper context with regard to nuclear safety in the UK. The Inquiry went into some depth on the topic of LOCA, as an example of safety analysis. In the summary of the evidence and cross-examination the Inspector accepted the adequacy of the LOCA safety case without major reservations, and was satisfied further work in progress would resolve any residual criticisms. In particular support was given for the CEGB commitment to the development and use of more physically realistic calculational methods
Aaron, Grant J; Wilson, Shelby E; Brown, Kenneth H
Few countries in West Africa have the capacity for carrying out advanced training in nutrition and public health. To provide additional information on current regional applied nutrition research capacity and productivity, we analysed peer-reviewed articles on key public health nutrition topics that were published from 1998 to 2008. Using MEDLINE/PubMed, the following terms were searched: 'breast feeding', 'infant nutrition physiology' (comprising complementary feeding and weaning), 'protein energy malnutrition', 'nutrition and infection', 'vitamin A', 'iodine', 'zinc' and 'overweight', each linked with the term 'Western Africa'. In total, 412 unique articles (37±6 articles per year) were identified. Most research focused on infant and young child feeding practices, selected micronutrient deficiencies, and the emerging problem of overweight and obesity. The primary author of nearly half (46%) the publications was located in an institution outside of West Africa. Most articles were published in English (90%), and nearly half of all articles (41%) were cross-sectional studies. Our findings indicate that few peer-reviewed research studies are being published on key public health topics in the West African region, considering the magnitude of nutrition problems in this region. New approaches are needed to encourage and support research capacity and output in West Africa.
A public inquiry has been set up to examine the planning application made by the Central Electricity Generating Board (CEGB) for the construction of a 1200 MW Pressurized Water Reactor power station at Hinkley Point (Hinkley Point ''C'') in the United Kingdom, adjacent to an existing nuclear power station. The CEGB evidence to the Inquiry on local site related issues begins by setting the proposed development within the context of local authority planning policies for the area. The implications of the development in terms of overall land needs, construction, access, buildings and works both temporary and permanent, are described. Environmental impacts, aesthetic and socio-economic factors are considered including possible effects on agriculture, nature conservation, water supply, transport and employment. (UK)
Vicente, Roberto; Dellamano, Jose Claudio; Rocca, Fatima F. Della
This paper describes the results of an experiment aiming at communicating radioactive waste and radioactive pollution issues to the public. The target group was high school students of Belo Horizonte, Minas Gerais, Brazil and the experiment was carried out during their visit to Exponuclear Fair parallel to the VII Brazilian General Conference on Nuclear Energy, in September, 1999. The students were presented two 3D interactive panels at the Poster section of the event and attended a 10 minutes speech on the subjects. Three months latter, they were invited to answer a questionnaire. Their responses allowed the authors to evaluate the efficiency of the communication in terms of knowledge acquisition and risk perception. (author)
James F. Stark
Full Text Available It is all very well to note the hyperbole about patents and ‘intellectual property’ in the recent battles between technology companies such as Apple, Samsung and HTC. But how can museums productively use collection items marked with a patent beyond workaday tasks of identification and cataloguing? We argue that information on patents can enhance visitors’ critical engagement with museum displays; complex ownership claims and counter-claims in patent disputes can underpin lively narratives based around museum objects. Asking why some objects and not others were patented, and how historical consumers responded to that status of ‘patented’ enables us to look at these objects afresh. In particular we analyse the responses of public consultation groups to patenting in the medical trade, as well as the engagement of museum staff with these issues. Such consultation processes offer information that can be used to enhance museum displays with engaging narratives of ownership and invention.
Full Text Available In this article, we present analyses from a researcher-practitioner partnership in the District of Columbia Public Schools, where we are exploring the impact of educational software on students’ academic achievement. We analyze a unique data set that combines student-level information from the district with data of student usage of a mathematics game platform: First in Math (FIM. These data offer a window into long-standing issues in the educational technology literature around implementation, equity, and student achievement. We show that time spent in FIM was correlated with improved future performance on standardized math assessments for students in Grades 4–8. However, student time spent using FIM was highly related to factors such as race, gender, and prior achievement. Such observations from data are helpful for school districts and researchers to inform equitable implementation of new technologies and maximize benefits to learners.
Vasconcellos, Ana Beatriz Pinto de Almeida; Moura, Leides Barroso Azevedo de
The aim of this study was to analyze the situation with the decentralization of the Brazilian National System of Food and Nutritional Security (SISAN), created in 2006 under the Brazilian National Food and Nutritional Security Act (LOSAN). Based on the criteria for joining SISAN, as set out in Decree 7,272 of August 25, 2010, the authors analyzed data from the basic information surveys of the Brazilian Institute of Geography and Statistics, 2014 (Estadic e Munic/2014). The results show that decentralization of SISAN is still incipient at the municipal level, although all the states of Brazil have already joined the system. The social assistance sector has played an outstanding role in coordinating SISAN at the state and municipal levels, while in the latter the health sector has also played a relevant role. The analysis of food and nutritional security activities conducted to date, based on the sources of federal, state, and municipal funds, further shows that the federal sphere has still not played a strong inductive role capable of leading the expansion of SISAN. More effective funding mechanisms and the assignment of responsibilities to the states and municipalities are relevant factors for consolidating the system's state-level base and expanding the municipal base in the search for an identity and capillarity for SISAN.
Thiago do Nascimento Silva
Full Text Available This work consists in a research on the inclusion of environmental matters in two degree courses of Chemistry in a public university. We started from the idea that discussing environmental issues in the academic context, in particular in the context of the Degree in Chemistry, is being very necessary nowadays, due to what society is going through, which is what we call "environmental crisis". Our main objective was to identify how the formation of the Chemistry teacher in these two courses has contemplated the inclusion of environmental issues as defined in the guidelines of official documents which they are subjected to. To structure all our discussion, we had as the theoretical background the production cycle of the curriculum policies developed by Ball and Bowe (1992, establishing this research in three main contexts presented by them (context influence, text production context and practice context. Therefore, a documental research in the national curriculum guidelines that drive the training of teachers / Chemistry teachers and educational projects of each course was conducted as well as interviews with coordinators and teachers of these courses, trying to understand the inclusion of discussions and questions that lead to an environmentally oriented education.
Cashman, Kevin D; Kiely, Mairead
The North American Institute of Medicine (IOM) recently published their report on dietary reference intakes (DRI) for Ca and vitamin D. The DRI committee's deliberations underpinning this most comprehensive report on vitamin D nutrition to date benefited hugely from a much expanded knowledge base in vitamin D over the last decade or more. However, since their release, the vitamin D DRI have been the subject of intense controversy, which is largely due to the persistence of fundamental knowledge gaps in vitamin D. These can be identified at the levels of exposure, metabolism, storage, status, dose-response, function and beneficial or adverse health effects, as well as safe and effective application of intake recommendations at the population level through sustainable food-based approaches. The present review provides a brief overview of the approach used by the IOM committee to revise the DRI for vitamin D and to collate from a number of authoritative sources key knowledge gaps in vitamin D nutrition from the public health perspective. A number of research topics are outlined and data requirements within these are identified and mapped to the risk assessment framework used by the DRI committee. While not intended as an exhaustive list, it provides a basis for organising and prioritising research efforts in the area of vitamin D, which may offer a perspective on the major areas in need of attention. It is intended to be of use to researchers, national policy makers, the public health community, industry groups and other relevant stakeholders including funding institutions.
Manikandan, S; Vani, N Isai
India is becoming one of the hubs of clinical research. Commensurate with these advances, the government funding for biomedical research in thrust areas is also increasing. The Indian Council of Medical Research (ICMR), Department of Biotechnology (DBT), Department of Science and Technology (DST) are some of the government organizations which provide financial support for various research projects. The results of the funded research projects are published in various international journals. Most of these journals have an access to paid subscribers only. Hence it is unethical to use the research grants from government (people's money) and not allow the scientific community free access to the results of the study. To tackle such issues, these agencies should sign the Berlin declaration and create open access repositories. A public access policy should be formulated and listed in JULIET. The funding bodies in India should also join Pubmed Central (PMC) to form PMC India so that every investigator who has received grants would submit the full text of the paper published from his study and these can be made freely accessible to everyone. Universities and research institutions should also develop institutional open access repositories. The public access policy has definitive advantages and should be implemented.
Full Text Available India is becoming one of the hubs of clinical research. Commensurate with these advances, the government funding for biomedical research in thrust areas is also increasing. The Indian Council of Medical Research (ICMR, Department of Biotechnology (DBT, Department of Science and Technology (DST are some of the government organizations which provide financial support for various research projects. The results of the funded research projects are published in various international journals. Most of these journals have an access to paid subscribers only. Hence it is unethical to use the research grants from government (people′s money and not allow the scientific community free access to the results of the study. To tackle such issues, these agencies should sign the Berlin declaration and create open access repositories. A public access policy should be formulated and listed in JULIET. The funding bodies in India should also join Pubmed Central (PMC to form PMC India so that every investigator who has received grants would submit the full text of the paper published from his study and these can be made freely accessible to everyone. Universities and research institutions should also develop institutional open access repositories. The public access policy has definitive advantages and should be implemented.
Stevens, Kathryn J.
Attempting to incorporate new technology into an existing environment is often very difficult. The problems are lengthy to resolve, wrought with confusion and seldom turn out like anyone expected. This document represents an overview of one such attempt. It outlines the general areas of concern which could be affected by a transition, and potential problems that may be encountered as a result of the effort. Over the past several decades, many local, state and federal agencies are pressing for more efficient use of frequency spectrums. The urgency of this issue has grown due to the demands of several groups wanting access to these channels for commercial use. Pager systems, cellular telephones, radio systems for private businesses all demand more space. Public safety agencies are starting to fear their needs will diminish in importance as the available channel spectrums are consumed by commercial ventures. How to share these channels, purchase appropriate equipment to meet your needs, and stay within a reasonable budget are not easy tasks. Public safety agencies who rely on communication networks in the performance of their jobs also know why encryption is important. Protecting the rights of citizens as police exchange information over the air, maintaining the integrity of an investigation and officer safety are all concerns police must address each time they use a radio.
In the last 20 years, Public Health Nutrition focused mainly on the qualitative aspects which may influence the onset of chronic diseases, quality of life, physical and mental performance and life expectancy. This applied knowledge organised as part of preventive and health promotion programs led to the development of Community Nutrition. The aim of Community Nutrition actions is to adequate lifestyles related to food consumption patterns in order to improve the quality of life and contribute to health promotion of the population in the community where programs and services are delivered. Key functions to develop in a Community Nutrition Unit consist in the identification and assessment of nutrition problems in the community as well as the design, implementation and evaluation of intervention programs by means of appropriate strategies. These should aim at different populations groups and settings, such as work places, schools, high risk groups or the general public. Nowadays, Community Nutrition work efforts should focus on three main aspects: nutrition education in schools and in the community; food safety and food security and the development and reinforcement of food preparation skills across all age groups. Social catering services, either in schools, the work place or at the community level, need to ensure adequate nutritional supply, provide foods contributing to healthy eating practices as well as to enhance culinary traditions and social learning. Food safety and food security have become a top priority in Public Health. The concepts referes to the availability of food safe and adequate as well as in sufficient amount in order to satisfy nutrition requirements of all individuals in the community. Social changes along new scientific developments will introduce new demands in Community Nutrition work and individual dietary counselling will become a key strategy. In order to face new challenges, community nutrition pactitioners require a high quality
Enrico Mainardi [AIN - ENEA (Italy)
Full text of publication follows: AIN (Associazione Italiana Nucleare or Italian Nuclear Association) is a non-profit organization that includes a wide range of competence and expertise in the field of nuclear science and technology in Italy. A leading role among AIN members is now covered by SOGIN a company mainly involved in waste treatment and conditioning together with dismantling of the Italian nuclear power plants and installations. The same company detains most of the national competences on Nuclear Power Plants operation and safety that have allowed to provide services to a number of domestic and international clients. Radioactive waste management is a major issue for the acceptability of nuclear power energy and nuclear technologies in general. A solution to the disposal of nuclear waste from the past operation of four NPP and of the Fuel Cycle Facilities together with all the other nuclear waste from hospitals, medical facilities, industries and research centres is today essential. A nuclear-waste storage facilities located in one secured place is a national priority, given the increased risks of possible terrorist attacks, accidents or natural disasters. The Italian decision needs to follow the guidelines and paths decided at the international and European level without delegating to future generations the problems and waste connected to previous use of nuclear technologies. This issue needs to be addressed and solved before starting any discussion on nuclear power in Italy as the recent case of the strong opposition against the site proposed by the Italian Government demonstrates. The site that was selected by the Italian Government is Scanzano Jonico (Matera province in the Basilicata region). The decision is based on a study by SOGIN in cooperation with other institutions such as ENEA and Italian universities, and considering a previous work of the National Geological Service. The study follows the guidelines of ONU-IAEA and the solutions adopted at
Hermann, Laura [Potomac Communications Group (United States)
Communication regarding the management of radioactive materials is a well-established challenge. Residents and consumers have suspected for years that companies and governments place short-term economic concerns ahead of health and safety. This skepticism is compounded with increased attention to safety issues at nuclear power plants everywhere after Fukushima. Nonetheless, today's environment presents unexpected opportunities to transform public fear into teachable moments that bring knowledge and facts to discussions on nuclear energy. In the weeks following Japan's crisis, the lack of reliable information on radiation levels saw citizens taking to the streets with dosimeters and Geiger counters in crowd-sourced radiation monitoring efforts. Efforts, based mainly online, represent a growing set of examples of how internet and cell-phone technology are being put to use in emergency situations. The maps, graphs and tables created to meet public interest also exemplify some of the psychological priorities of audiences and present learning tools that can improve future education efforts in non-emergency situations. Industry outreach efforts often consist of technical details and quantitative data that are difficult for lay audiences to interpret. The intense attention to nuclear energy issues since last March has produced a wide array of visual samples. Citizen monitors, news organizations, government agencies and others have displayed quantitative information in innovative ways. Their efforts offer new perspective on what charts, maps and info graphics do - or need to do - to illustrate requirements, record assessments and promote understanding of nuclear-waste issues. Surveying the best examples, nuclear communicators can improve their offerings of easy-to-use, evidence-based visuals to inform stakeholders. Familiar to most communications professionals in the nuclear industry, risk communication is a science-based approach with over three decades of
Full text of publication follows: AIN (Associazione Italiana Nucleare or Italian Nuclear Association) is a non-profit organization that includes a wide range of competence and expertise in the field of nuclear science and technology in Italy. A leading role among AIN members is now covered by SOGIN a company mainly involved in waste treatment and conditioning together with dismantling of the Italian nuclear power plants and installations. The same company detains most of the national competences on Nuclear Power Plants operation and safety that have allowed to provide services to a number of domestic and international clients. Radioactive waste management is a major issue for the acceptability of nuclear power energy and nuclear technologies in general. A solution to the disposal of nuclear waste from the past operation of four NPP and of the Fuel Cycle Facilities together with all the other nuclear waste from hospitals, medical facilities, industries and research centres is today essential. A nuclear-waste storage facilities located in one secured place is a national priority, given the increased risks of possible terrorist attacks, accidents or natural disasters. The Italian decision needs to follow the guidelines and paths decided at the international and European level without delegating to future generations the problems and waste connected to previous use of nuclear technologies. This issue needs to be addressed and solved before starting any discussion on nuclear power in Italy as the recent case of the strong opposition against the site proposed by the Italian Government demonstrates. The site that was selected by the Italian Government is Scanzano Jonico (Matera province in the Basilicata region). The decision is based on a study by SOGIN in cooperation with other institutions such as ENEA and Italian universities, and considering a previous work of the National Geological Service. The study follows the guidelines of ONU-IAEA and the solutions adopted at
Abrecht, P; Arungu-Olende, S; Francis, J M; de Gaspar, D; Nashed, W; Nwosu, B C.E.; Rose, D J; Shinn, R L
The World Council of Churches favors the widest possible discussion of nuclear power issues with the immediate purpose of raising the level of public awareness of the social, political, and technical risks that are inevitably associated with the large-scale and accelerating adoption of nuclear power generation. Its general position on nuclear energy is presented as follows. (A) The availability of nuclear energy is a controversial feature of today's world in that it affords the opportunity to provide a large fraction of the world's energy needs, counter-balanced by the exceptional nature of the risks involved, and other problems related to the employment of large-scale, capital-intensive high technology. (B) The maturity of the nuclear energy system is not yet such as to justify its worldwide application; the consequences of large-scale expansion of nuclear energy production are still relatively poorly understood and require further assessment. (C) The rights of access to nuclear technology should be preserved to the extent that the nuclear ''haves'' may not deny the nuclear ''have nots'' by any form of exclusive consultation. (D) There should be sufficient discussion of the factors governing access to nuclear technology to bring all nations to a new awareness of its risks and uncertainties as well as its opportunities; and the collective responsibility for monitoring and administering safeguards should reside with the IAEA rather than with individual governments. (E) Public confidence in the use of nuclear energy, seriously shaken in recent years, can be revived only by the widest possible public discussion of the technical options and of the value judgements underlying present patterns of energy consumption.
Paparini, Andrea; Romano-Spica, Vincenzo
Genetically Modified Organisms (GMOs) are a fact of modern agriculture and a major field of discussion in biotechnology. As science incessantly achieves innovative and unexpected breakthroughs, new medical, political, ethical and religious debates arise over the production and consumption of transgenic organisms. Despite no described medical condition being directly associated with a diet including approved GM crops in large exposed populations such as 300,000,000 Americans and a billion Chinese, public opinion seems to look at this new technology with either growing concern or even disapproval. It is generally recognized that a high level of vigilance is necessary and highly desirable, but it should also be considered that GMOs are a promising new challenge for the III Millennium societies, with remarkable impact on many disciplines and fields related to biotechnology. To acquire a basic knowledge on GMO production, GM-food consumption, GMO interaction with humans and environment is of primary importance for risk assessment. It requires availability of clear data and results from rigorous experiments. This review will focus on public health risks related with a GMO-containing diet. The objective is to summarize state of the art research, provide fundamental technical information, point out problems and perspectives, and make available essential tools for further research. Are GMO based industries and GMO-derived foods safe to human health? Can we consider both social, ethical and public health issues by means of a constant and effective monitoring of the food chain and by a clear, informative labeling of the products? Which are the so far characterized or alleged hazards of GMOs? And, most importantly, are these hazards actual, potential or merely contrived? Several questions remain open; answers and solutions belong to science, to politics and to the personal opinion of each social subject.
Full Text Available Sport is widely recognised for the contribution it can make to international development goals. More specifically, the value of sport as a tool for development gained its impetus through the HIV/AIDS pandemic in sub-Saharan Africa. The institutionalized relationship between sport and development has mainly focussed on sport-for-development (SfD non-governmental organisations (NGOs. This study proposed to examine the response of National Sports Associations (NSAs towards the multisectoral approach for HIV/AIDS prevention in Zambia. The study draws on lessons learnt from how NSAs within a resource-scarce or low-income country responded to a health pandemic. While public health was previously a state and health sector preserve, the impact of HIV/AIDS pandemic influenced not only the way that a pandemic is managed but also other public health issues. A case study approach was adopted comprising of three National Sports Associations (NSAs as units of analysis. The study utilised semi-structured interviews, documentary analysis and field observations to gain perspectives on how each NSA mainstreamed and implemented work-based health programmes. Using governance and policy network theories, the paper discusses each NSAs’ role in the governance and implementation of a multisectoral approach to a health pandemic. The findings identified lack of engagement of sports agencies at strategic decision-making level, marginalisation of sport by other sectors, and variations in implementation patterns among sports agencies. Further findings indicate that lack of resources among government sport agencies or departments limited their involvement with other state or non-state actors in strategic level meetings or health policy networks. Resource-scarce conditions placed limitations on the political steer of state actors while non-state actors with foreign resources attracted collaboration from other public health policy networks.
Malone Ruth E
Full Text Available Abstract Background The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Methods Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. Results The International Committee on Smoking Issues (ICOSI was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. Conclusion The massive scale and scope of this industry effort illustrate how corporate interests, when
McDaniel, Patricia A; Intinarelli, Gina; Malone, Ruth E
The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. The International Committee on Smoking Issues (ICOSI) was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. The massive scale and scope of this industry effort illustrate how corporate interests, when threatened by the globalization of public health, sidestep competitive
McDaniel, Patricia A; Intinarelli, Gina; Malone, Ruth E
Background The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Methods Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. Results The International Committee on Smoking Issues (ICOSI) was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. Conclusion The massive scale and scope of this industry effort illustrate how corporate interests, when threatened by the globalization of
Food preference surveys (taste tests) were performed for 95 food items (which were selected from an original list of 150 items), and 21 menus were developed from the survey results. Each menu contains an entree, two side dishes, dessert, and a beverage. Food manufacturing specifications for freeze dried foods, frozen foods, and beverages are examined, and product labeling and packaging requirements are discussed. The nutritional value of the various foods is listed in tabular form, and sample product labels are shown. Cost estimates per serving are also included.
Dias do Prado, Corina; Alvares Duarte Bonini Campos, Juliana
To identify the nutritional status of patients with gastrointestinal cancer and verify its association with demographic and clinical characteristics. This was a cross-sectional study with a nonprobability sampling design. The participants were 143 adult patients with gastrointestinal cancer, receiving care in the Amaral Carvalho Hospital (Jaú-SP, Brazil) from November 2010 to October 2011. A survey was conducted to collect information for the purpose of demographic and clinical characterization. In order to identify nutritional status, the Scored Pati2) test were used. The prevalence ratio (PR) was estimated. The level of significance adopted was 5%. The mean age of patients was 57.45 (SD = 9.62) years, with Stages III and IV of the disease being the most prevalent (39.2% and 35.0%). There was 44.8% prevalence of malnutrition. The undernourished individual more frequently reported having problems with eating (pcent-Generated Subjective Global Assessment (Scored PG-SGA) was applied. Descriptive statistics and the Chi-square (cancer, with significant association with clinical symptoms directly related to the eating process. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.
... ethical issues associated with the development of medical countermeasures for children as well as access... ethical issues associated with the development of medical countermeasures for children, and second, to... Study of Bioethical Issues AGENCY: Presidential Commission for the Study of Bioethical Issues, Office of...
Espinoza-Silva, Miguel; Aguilar-Farías, Nicolas
overweight and obesity in children have experienced a significant increase around the world, however, there are regional differences due to many factors. Furthermore, evidence have showed that physical capacity in children has been affected as well. For this reason, the study goal was to assess nutritional status and physical capacity in 4 to 7-year-old children in a public school from South Chile. 351 students (6.1 years, SD = 1.13; 47.3% men) completed the study. To determine nutritional status, body mass index and Z-scores from World Health Organisation were used. Body fat percentage was measured with skinfold anthropometry. To assess physical capacity, 6-minute walking test (6MWT) was used. overweight prevalence was 27.0% (range 21-32%), while obesity had 39.9% (range 33-50%), no gender differences were observed (p = 0.84). Mean body fat percentage was 19.1% in men and 20.9% in women (p = 0.02). For 6MWT, differences were found for age (p schools. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
Noznesky, Elizabeth A; Ramakrishnan, Usha; Martorell, Reynaldo
Maternal underweight and anemia are highly prevalent in Bihar, especially among adolescent girls aged 15 to 19 years. Although numerous programs and platforms exist for delivering efficacious interventions for improving maternal nutrition, the coverage and quality of these interventions are low. To examine existing interventions for reducing maternal undernutrition in Bihar and identify barriers to and opportunities for expanding their coverage and quality. The research was conducted in New Delhi and Bihar between May and August 2010. Forty-eight key informant interviews were conducted with policy makers, program managers, and service providers at multiple levels. Secondary data were collected from survey reports and program documents. All data were analyzed thematically. Barriers to the delivery and uptake of interventions to improve maternal nutrition include the shortage of essential inputs, low prioritization of maternal undernutrition, sterilization bias within the family planning program, weak management systems, poverty, gender inequality, caste discrimination, and flooding. In order to overcome barriers and improve service delivery, the current government and its partners have introduced structural reforms within the public health system, launched new programs for underserved groups, developed innovative approaches, and experimented with new technologies. Since coming to power, the Government of Bihar has achieved impressive increases in the coverage of prioritized health services, such as institutional deliveries and immunization. This success presents it with an excellent opportunity to further reduce maternal and infant mortality by turning its attention to the serious problem of maternal undernutrition and low birthweight.
When it comes to nutrition, like most middle-income countries, Cuba is equally haunted by shadows of an undernourished past and forebodings of an overweight future. This dilemma is the country-level expression of a tough global reality: the world's empty stomachs and empty calories result from the same skewed constellation of international economic and trade policies. Speaking of the current and unprecedented food, fuel, climate and financial crises, World Health Organization (WHO) Director-General Margaret Chan comments: "…they are the result of massive failures in the international systems that govern the way nations and their populations interact. In short: they are the result of bad policies…(in which) economic interests trump health concerns time and time again.".
Munaka, Masaki; Yamamoto, Hisashi; Ohtaki, Megu; Ueoka, Hiroshi; Kishida, Noriko; Ishigai, Keiko.
The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste product. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique-physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no disease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutritional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high'' and ''ingest a lot of carbohydrates (non-fibrous)'', it tends to be low. The significant difference was observed in ''synthetic physical fitness'' between the two age groups of 50-59 years and beyond 70 years. (J.P.N.)
Aldo Pacheco Ferreira
Full Text Available Persistent organic pollutants persevere in the environment for a long time, are toxic to humans and/or wildlife, and have a resilient propensity to bioaccumulate in the food chain. Due to its chemical stability, their lipid solubility, and its ubiquitous prevalence in environmental, these pollutants are disposed to long-range transport. The success of modern societies is in part based on extensive achievements of chemistry with a systematic development of products in medicine, agriculture, and in almost all manufacturing industry sectors and materials for daily use. Although, these chemicals unequivocally contribute to the quality of life for billions of human beings, however, the negative impacts to environment and health are an important issue for ostensible monitoring. Social and environmental benefits should not be ignored, in spite of economic forces.The recognition that prevention is the best method to mitigate the risk of diseases to public health related to the environment, mainly driven by technological development, becomes essential the individuation and quantification of toxicological endpoints for systematic monitoring of these emerging pollutants.
Nweke, Onyemaechi C; Sanders, William H
Traditional hazards such as poor sanitation currently account for most of Africa's environmentally related disease burden. However, with rapid development absent appropriate safeguards for environment and health, modern environmental health hazards (MEHHs) may emerge as critical contributors to the continent's disease burden. We review recent evidence of human exposure to and health effects from MEHHs, and their occurrence in environmental media and consumer products. Our purpose is to highlight the growing significance of these hazards as African countries experience urbanization, industrial growth, and development. We reviewed published epidemiologic, exposure, and environmental studies of chemical agents such as heavy metals and pesticides. The body of evidence demonstrates ongoing environmental releases of MEHHs and human exposures sometimes at toxicologically relevant levels. Several sources of MEHHs in environmental media have been identified, including natural resource mining and processing and automobile exhaust. Biomonitoring studies provided direct evidence of human exposure to metals such as mercury and lead and pesticides such as p,p'-dichlorodiphenyltrichloroethane (DDT) and organophosphates. Land and water resource pollution and industrial air toxics are areas of significant data gaps, notwithstanding the presence of several emitting sources. Unmitigated MEHH releases and human exposure have implications for Africa's disease burden. For Africans encumbered by conditions such as malnutrition that impair resilience to toxicologic challenges, the burden may be higher. A shift in public health policy toward accommodating the emerging diversity in Africa's environmental health issues is necessary to successfully alleviate the burden of avoidable ill health and premature death for all its communities now and in the future.
Good nutrition is important for everyone. This is especially true when you have a chronic disorder like myasthenia gravis ( ... difficulty with chewing and swallowing may interfere with nutrition and create safety issues. Diet modifications may be ...
Separate abstracts were prepared for 11 of the 12 invited issue papers and for 3 of the 13 documents received from the public at large in the preparation of an agenda for federally sponsored and conducted research into the biological effects of ionizing radiation. One issue paper previously input to the data base deals with the potential for significant human exposure from environmentally dispersed radionuclides
Reisner, Sari L; Hughto, Jaclyn M White; Dunham, Emilia E; Heflin, Katherine J; Begenyi, Jesse Blue Glass; Coffey-Esquivel, Julia; Cahill, Sean
Context Gender minority people who are transgender or gender nonconforming experience widespread discrimination and health inequities. Since 2012, Massachusetts law has provided protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not, however, protect against discrimination in public accommodations (eg, hospitals, health centers, transportation, nursing homes, supermarkets, retail establishments). For this article, we examined the frequency and health correlates of public accommodations discrimination among gender minority adults in Massachusetts, with attention to discrimination in health care settings. Methods In 2013, we recruited a community-based sample (n = 452) both online and in person. The respondents completed a 1-time, electronic survey assessing demographics, health, health care utilization, and discrimination in public accommodations venues in the past 12 months. Using adjusted multivariable logistic regression models, we examined whether experiencing public accommodations discrimination in health care was independently associated with adverse self-reported health, adjusting for discrimination in other public accommodations settings. Findings Overall, 65% of respondents reported public accommodations discrimination in the past 12 months. The 5 most prevalent discrimination settings were transportation (36%), retail (28%), restaurants (26%), public gatherings (25%), and health care (24%). Public accommodations discrimination in the past 12 months in health care settings was independently associated with a 31% to 81% increased risk of adverse emotional and physical symptoms and a 2-fold to 3-fold increased risk of postponement of needed care when sick or injured and of preventive or routine health care, adjusting for discrimination in other public accommodations settings (which also conferred an additional 20% to 77% risk per discrimination setting endorsed
Caron, Rosemary M.
The Educated Citizen Initiative proposes that an understanding of public health issues is a core component of an educated citizenry and is essential to developing one’s societal responsibility. This initiative supports the Institute of Medicine’s recommendation that all undergraduates should have access to education in public health. Furthermore, the Liberal Education and America’s Promise (LEAP) framework developed by the Association of American Colleges and Universities supports the integ...
Reisner, Sari L; Hughto, Jaclyn M White; Dunham, Emilia E; Heflin, Katherine J; Begenyi, Jesse Blue Glass; Coffey-Esquivel, Julia; Cahill, Sean
Since 2012, Massachusetts law has provided legal protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not protect against discrimination based on gender identity in public accommodations settings such as transportation, retail stores, restaurants, health care facilities, and bathrooms. A 2013 survey of Massachusetts transgender and other gender minority adults found that in the past 12 months, 65% had experienced public accommodations discrimination since the law was passed. This discrimination was associated with a greater risk of adverse emotional and physical symptoms in the past 30 days. Nondiscrimination laws inclusive of gender identity should protect against discrimination in public accommodations settings to support transgender people's health and their ability to access health care. Gender minority people who are transgender or gender nonconforming experience widespread discrimination and health inequities. Since 2012, Massachusetts law has provided protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not, however, protect against discrimination in public accommodations (eg, hospitals, health centers, transportation, nursing homes, supermarkets, retail establishments). For this article, we examined the frequency and health correlates of public accommodations discrimination among gender minority adults in Massachusetts, with attention to discrimination in health care settings. In 2013, we recruited a community-based sample (n = 452) both online and in person. The respondents completed a 1-time, electronic survey assessing demographics, health, health care utilization, and discrimination in public accommodations venues in the past 12 months. Using adjusted multivariable logistic regression models, we examined whether experiencing public accommodations discrimination in
Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....
Munaka, Masaki; Yamamoto, Hisashi; Ohtaki, Megu; Ueoka, Hiroshi (Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology); Kishida, Noriko; Ishigai, Keiko
The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste product. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique-physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no disease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutritional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high'' and ''ingest a lot of carbohydrates (non-fibrous)'', it tends to be low. The significant
This paper considers Gavin Mooney's contributions to the research literature on inclusiveness in global and public health issues. Much of his contribution in this area stems from engaging with Indigenous people, which cemented his conviction that it is important to recognise the heterogeneity of groups in society, especially in relation to cultural differences. He believed that in order to develop appropriate equitable and efficient health and related policies, the preferences of citizens should be elicited. While this could feed into very specific policy decisions, such as how to allocate available resources within a particular community, more generally, community preferences should determine the core values that underpin a health system. He proposed that these values be documented in a 'constitution' and serve as the basis on which policy-makers and health managers make decisions. Preference elicitation has value in itself, as procedural justice allows for self-determination and contributes to empowerment. Further, engagement by citizens in deliberative processes can overcome polarisation. Health systems themselves, if developed as social institutions, can influence the nature of society and contribute to greater unity. Mooney raised similar concerns about policies arising from mono-cultural global perspectives and argued that, whether at the national or global level, values for health systems should be based on community preferences. He particularly highlighted the unequal distribution of benefits of neoliberal globalisation as the cause of growing health and wealth inequalities globally. There is resonance between Mooney's views on these issues and some of the contributions to the post-2015 development agenda debates. While it is unlikely that we have reached a point where the stranglehold of neo-liberal governments on key global institutions will be broken, the current debates nevertheless present an important window of opportunity to struggle for shifts in
Zamri-Saad, M; Romziah, S; Kunavongkrit, A; Valdez, C A; Thien, M
The authors analysed the curricula of five veterinary schools in Southeast Asia to determine how successfully they integrate the issues of global animal health and global public health into their programmes. Two schools offer a five-year programme while the remaining three offer a six-year programme. The core courses within the curricula range from 145 to 224 credit hours, in total. In general, world animal health and world public health are well integrated into the veterinary curriculum. Most curricula allocate approximately 3% of their total credit hours to subjects associated with animal and public health, but other subjects that may contain discussions on these issues range between 6% and 10%. Most veterinary schools in Southeast Asia offer a Master's programme in Veterinary Public Health, with detailed emphasis on animal and public health but focusing principally on topics of local importance. At the same time, undergraduate and post-graduate veterinary students are exposed to current issues in animal and public health through regional and international scientific meetings.
Tewksbury, David; Jones, Jennifer; Peske, Matthew W.; Raymond, Ashlea; Vig, William
Presents the results of a two-wave experiment designed to examine how journalistic news frames can facilitate the communication of advocacy frames (to undergraduate students) designed to influence audience perceptions of a political issue. Discusses the implications of these results for journalism, issue advocacy, and the study of issue framing.…
Full Text Available To draw attention to the necessity of considering differences in the digestibility of carbohydrates, and more specifically of starch, a symposium was held at the 12th European Nutrition Conference (FENS, which took place in Berlin from October 20 to 23, 2015. The purpose of this session was to present the consolidated knowledge and recent advances regarding the relationship between slow-release carbohydrates, metabolic responses, and public health issues. Three main topics were presented: 1 the definition of, sources of, and recognised interest in the glycaemic response to slowly digestible starch (SDS; 2 clinical evidence regarding the physiological effects of slow-release carbohydrates from cereal foods; and 3 interest in reducing the postprandial glycaemic response to help prevent metabolic diseases. Foods with the highest SDS content induce the lowest glycaemic responses, as the starch is protected from gelatinisation during processing. In humans, high-SDS food consumption induces slower glucose release, lower postprandial insulinaemia, and stimulation of gut hormones. Moreover, postprandial hyperglycaemia is an independent risk factor for type two diabetes mellitus (T2DM and cardiovascular disease (CVD. Therefore, given the plausible aetiologic mechanisms, we argue that postprandial glucose levels are relevant for health and disease and represent a meaningful target for intervention, for example, through dietary factors. This symposium was organised by Mondelez International R&D.
Vinoy, Sophie; Laville, Martine; Feskens, Edith J M
To draw attention to the necessity of considering differences in the digestibility of carbohydrates, and more specifically of starch, a symposium was held at the 12th European Nutrition Conference (FENS), which took place in Berlin from October 20 to 23, 2015. The purpose of this session was to present the consolidated knowledge and recent advances regarding the relationship between slow-release carbohydrates, metabolic responses, and public health issues. Three main topics were presented: 1) the definition of, sources of, and recognised interest in the glycaemic response to slowly digestible starch (SDS); 2) clinical evidence regarding the physiological effects of slow-release carbohydrates from cereal foods; and 3) interest in reducing the postprandial glycaemic response to help prevent metabolic diseases. Foods with the highest SDS content induce the lowest glycaemic responses, as the starch is protected from gelatinisation during processing. In humans, high-SDS food consumption induces slower glucose release, lower postprandial insulinaemia, and stimulation of gut hormones. Moreover, postprandial hyperglycaemia is an independent risk factor for type two diabetes mellitus (T2DM) and cardiovascular disease (CVD). Therefore, given the plausible aetiologic mechanisms, we argue that postprandial glucose levels are relevant for health and disease and represent a meaningful target for intervention, for example, through dietary factors. This symposium was organised by Mondelez International R&D.
Verheijden, M.W.; Kok, F.J.
Community-based interventions have increasingly received attention since researchers and public health professionals have come to acknowledge the importance of an environment that makes the healthy choice the easy choice. All stakeholders including the target community are involved to achieve
Ommen, B. van; Broek, T. van den; Hoogh, I. de; Erk, M. van; Someren, E. van; Rouhani-Rankouhi, T.; Anthony, J.C.; Hogenelst, K.; Pasman, W.; Boorsma, A.; Wopereis, S.
Personalized nutrition is fast becoming a reality due to a number of technological, scientific, and societal developments that complement and extend current public health nutrition recommendations. Personalized nutrition tailors dietary recommendations to specific biological requirements on the
Penchaszadeh, Victor B
This paper reviews the health situation and developments in medical genetics and bioethics in Latin America, with a focus on Argentina. The region is the most inequitable in the world, with an average Gini Index of 52.5 and 25 % of the population living in poverty. Health expenditures are low and health systems are fragmented and privatised, with curtailed governmental responsibility and regulation. Health-care decision making is mostly in the hands of private insurance corporations and the medical-industrial complex, so that what is (or is not) covered by health plans is arbitrary and determined by the market and not by population health needs. This inequity and the lack of meaningful governmental intervention in the provision of health care, including genetic services, are at the heart of the bioethical dilemmas in Latin America. It is not surprising, therefore, that bioethics in the region has developed an approach grounded in social justice, equity and human rights as guiding principles, in contrast to the individualism espoused by Anglo-Saxon bioethics. The main ethical issues identified in genetics in Latin America are (1) inequity in access to genetic services, particularly in prenatal diagnosis, (2) genetic discrimination and (3) the lack of adherence to internationally accepted requisites of clinical validity and utility for diagnostic and predictive genetic testing. In this context, there is a risk that the impressive advances in genetics/genomics occurring in developed countries may fail to improve the public's health and deepen inequity, with the implementation of expensive genetic technologies of unproven validity.
Full Text Available The paper aims to analyze the importance and impact of the management of internal control/ managerial in Romanian public institutions, as well as the consequences arising as a result of not implementing it. It also analyzed the legal framework governing the internal control/managerial and the main conclusions issued by the Romanian Court of Accounts on the status of its implementation in Romanian public institutions. At the same time, it is stressed the role of management carried out by heads of public institutions in terms of combating the negative effects that have a direct impact on their activity.
The public opinion on the energy and environmental issues has changed greatly in Japan through experiences in and along the Great East Japan Earthquake. We conducted a social survey in order to grasp public opinions for environment and energy issues in March, 2014, which obtained 2313 valid responses (response rate was 64.3%). For the energy and environmental issues, while respondents show high interests in matters related to the Fukushima accident and nuclear power generation as well as electricity prices, they show relatively low interest in every other aspect. With regard to Japan's energy policy in the future, as expectations for renewable and natural sources of energy are large, about 60% of respondents have negative attitude in restart of nuclear power. For nuclear power, as compared to the previous survey conducted in August 2008, evaluation of 'control-ability of environmental impacts' and 'the power companies' risk management ability' was greatly reduced in particular. These results suggest the importance of provoke interest in the energy issues in general, as a premise to seek an understanding of the activities of the government and power companies. Furthermore, in order for the power companies to restore trust from the public, it is important to sympathize to public's anticipations of impacts on the health and environment through uses of nuclear power in the future. (author)
Presents a brief overview of the sociological forces shaping the discourse of disability; examines the part that public libraries have played, or failed to play, in addressing issues of exclusion as they relate to people with disabilities. Focuses on Australia's deaf community and its particular informational needs. The low impact of the…
Diane E. Hoffmann
On September 12, 2003, the University of Maryland School of Law's Intellectual Property and Law & Health Care Programs jointly sponsored and convened a roundtable discussion on the future public policy and ethical issues that will likely face the agricultural and microbial genomics sectors of the biotechnology industry. As this industry has developed over the last two decades, societal concerns have moved from what were often local issues, e.g., the safety of laboratories where scientists conducted recombinant DNA research on transgenic microbes, animals and crops, to more global issues. These newer issues include intellectual property, international trade, risks of genetically engineered foods and microbes, bioterrorism, and marketing and labeling of new products sold worldwide. The fast paced nature of the biotechnology industry and its new developments often mean that legislators, regulators and society, in general, must play ''catch up'' in their efforts to understand the issues, the risks, and even the benefits, that may result from the industry's new ways of conducting research, new products, and novel methods of product marketing and distribution. The goal of the roundtable was to develop a short list of the most significant public policy and ethical issues that will emerge as a result of advances in these sectors of the biotechnology industry over the next five to six years. More concretely, by ''most significant'' the conveners meant the types of issues that would come to the attention of members of Congress or state legislators during this time frame and for which they would be better prepared if they had well researched and timely background information. A concomitant goal was to provide a set of focused issues for academic debate and scholarship so that policy makers, industry leaders and regulators would have the intellectual resources they need to better understand the issues and concerns at stake. The
Pratt, Cornelius B.; Ogbondah, Chris W.
This paper establishes a rationale for international public relations courses in the curricula of university public relations education in the U.S. and outlines the content of such courses. Disagreements between practitioners and educators on a blueprint for public relations education are documented. Developments pointing to a crucial need for…
This study examines Utah's funding system for public education and provides an analysis of the fiscal impact of allowing parents to use a portion of their child's state education funding to attend a school of their choice, public or private. Like many states, Utah is facing pressure to improve its system of public education funding. The state's…
This article discusses the roles of ethicists in the governance of synthetic biology. I am particularly concerned with the idea of self-regulation of bioscience and its relationship to public discourse about ethical issues in bioscience. I will look at the role of philosophical ethicists at different levels and loci, from the "embedded ethicist" in the laboratory or research project, to ethicists' impact on policy and public discourse. In a democratic society, the development of governance frameworks for emerging technologies, such as synthetic biology, needs to be guided by a well-informed public discourse. In the case of synthetic biology, the public discourse has to go further than merely considering technical issues of biosafety and biosecurity, or risk management, to consider more philosophical issues concerning the meaning and value of "life" between the natural and the synthetic. I argue that ethicists have moral expertise to bring to the public arena, which consists not only in guiding the debate but also in evaluating arguments and moral positions and making normative judgments. When ethicists make normative claims or moral judgments, they must be transparent about their theoretical positions and basic moral standpoints.
The dietary life and socio-economic status of atomic bomb female survivors living in Hiroshima were investigated. The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste products. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique.physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no dis ease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutr itional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high'' and ''ingest a lot of carbohydrates (non-fibrous)'', it tends to be low. The significant difference was observed in ''synthetic physical fitness'' between the two age groups of 50-59 years and beyond 70 years. (author)
Munaka, Masaki (Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology)
The dietary life and socio-economic status of atomic bomb female survivors living in Hiroshima were investigated. The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste products. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique.physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no dis ease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutr itional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high
Eskeland, Gunnar (Cicero, Oslo (Norway))
The direct case for fuel economy standards on a stand alone basis dies in the textbook on the basis of first principles: the fuel tax is a better targeted instrument. In practice, the fuel economy standard, is killed by the 'rebound effect'. Vehicle users will, once they have more fuel efficient vehicles, respond to lower marginal costs by increased vehicle use. If an important part of negative externalities from transport are associated with vehicle kilometres (accidents, congestion, road wear) rather than fuel consumption, the rebound effect increases negative externalities from transport. The more direct way of addressing negative externalities from transport is to increase fuel taxes, and depending on their prior level, this is our first recommendation. But higher fuel taxes often raise political resistance. The fuel efficiency of existing cars is an important way by which people have adapted to present fuel taxes, determining their resistance to increases. A higher fuel efficiency standard is an instrument that faces little political resistance and which - over time - reduces the political resistance to increased fuel taxes. In efforts to reduce the fuel intensity of an economy, this interplay between an activity's fuel intensity, like gallons per vehicle mile, and the activity level, vehicle miles travelled or transported, nicely illustrates some important empirical questions and public policy issues: i) the first best policy proposition to reduce fuel related externalities is fuel taxes. Indeed, at the right level of fuel taxes, the externalities are zero: they are internalized. ii) the part of an economy's ability to shed fuel consumption lies in increased fuel efficiency in the individual activities, and this part can be stimulated with fuel efficiency standards. The other part, the activity level, should then be addressed with fuel tax increases. iv) We speculate that it may be difficult credibly to raise expected fuel taxes more than
Gordova, Yulia; Okladnikov, Igor; Titov, Alexander; Gordov, Evgeny
theory and practice. Along with its usage in graduate and postgraduate education, "Climate" is used as a framework for a developed basic information course on climate change for common public. In this course basic concepts and problems of modern climate change and its possible consequences are described for non-specialists. The course will also include links to relevant information resources on topical issues of Earth Sciences and a number of case studies, which are carried out for a selected region to consolidate the received knowledge.
Opara Maxwell Nwachukwu
Full Text Available Information on livestock movement, animal food products processing facilities, meat inspection methods, official meat inspection records and distribution and marketing systems for processed products in Imo state, Nigeria needed for policy development interventions in the sector are not fully understood. The primary data generated with the aid of personal interviews, field observations and secondary data obtained from records accumulated by the department of veterinary services Imo state from 2001 to 2004 were used to investigate the environmental and public health issues of animal food products delivery system in state. Majority of trade animals supplied to the state originated from the northern states of the country and were brought in with trucks by road. Only two veterinary control posts served the whole state thus resulting in non-inspection and taxing of a large proportion of trade animals. Official record of trade animals supplied to the state from 2001 to 2004 ranged from 45000 – 144000 for cattle, 23000 – 96000 for goats and 11000 – 72000 for sheep per annum, with supplies increasing steadily across the years. Official slaughter points in the state were principally low-grade quality slaughter premises consisting of a thin concrete slab. Meat handling was very unhygienic with carcasses dressed beside refuse heaps of over 2 years standing. Carcasses were dragged on the ground and transported in taxi boots and open trucks. Meat inspection at these points was not thorough because of stiff resistance of butchers to carcass condemnation. Official meat inspection records for the state from 2001 to 2004 revealed that overall totals of 159,000 cattle, 101,000 goats and 67,000 sheep were slaughtered. This accounted for about 56, 57 and 57% shortfall of cattle, goat and sheep respectively supplied to the state and represents the volume of un-inspected animals during the study period. Fascioliasis and tuberculosis were the most common
Boltong, Anna G; Loeliger, Jenelle M; Steer, Belinda L
This study aimed to measure the prevalence of malnutrition risk and assessed malnutrition in patients admitted to a cancer-specific public hospital, and to model the potential hospital funding opportunity associated with implementing routine malnutrition screening. A point-prevalence audit of malnutrition risk and diagnosable malnutrition was conducted. A retrospective audit of hospital funding associated with documented cases of malnutrition was conducted. Audit results were used to estimate annual malnutrition prevalence, associated casemix-based reimbursement potential and the clinical support resources required to adequately identify and treat malnutrition. Sixty-four percent of inpatients were at risk of malnutrition. Of these, 90% were assessed as malnourished. Twelve percent of malnourished patients produced a positive change in the diagnosis-related group (DRG) and increased allocated financial reimbursement. Identifying and diagnosing all cases of malnutrition could contribute an additional AU$413644 reimbursement funding annually. Early identification of malnutrition may expedite appropriate nutritional management and improve patient outcomes in addition to contributing to casemix-based reimbursement funding for health services. A successful business case for additional clinical resources to improve nutritional care was aided by demonstrating the link between malnutrition screening, hospital reimbursements and improved nutritional care. What is known about the topic? It is known that between 20 and 50% of hospital patients are malnourished and oncology patients are 1.7 times more likely to be malnourished than are other hospitalised patients. Despite the existence of practice guidelines for malnutrition screening of at-risk oncology patients, these are not routinely implemented. Identification of malnutrition in hospitalised patients is linked to casemix funding via DRG. Casemix reimbursement for malnutrition can be enhanced if: (1) malnutrition risk is
Thomas, K.T.; Squires, D.J.
This paper will address the waste disposal issue as it is one of the important ones being raised concerning acceptance of nuclear power. In a discussion of this issue two facts have to be recognized. The first is that wastes already exist in all countries having nuclear programmes and require safe management and disposal. The second is that adequate technology exists for doing this
Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system.
Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system.
.... Topics covered include the nature of public health ethics, the concepts of disease and prevention, risk and precaution, health inequalities and justice, screening, vaccination and disease control...
Full Text Available Abstract Objectives The aim of the current study was to examine the influence of socioeconomic status (SES on physiological (lipid profile, obesity indices and behavioral (dietary habits, physical activity cardiovascular disease (CVD risk factors among primary schoolchildren in Istanbul. Design Cross sectional study. Setting One private school and two public schools from different SES districts in Istanbul. Participants 510 randomly selected children aged 12 and 13 years old (257 boys, 253 girls. Results The prevalence of overweight (15.2% and the energy intake (p Conclusion The findings of the current study revealed a coexistence of both overweight and higher energy intake in middle/ high SES children, as well as a coexistence of underweight and lower physical activity levels in low SES children. These observations should guide the public health policy in developing appropriate intervention strategies to efficiently tackle these health and social issues early in life.
Gurinović, Mirjana; Milešević, Jelena; Kadvan, Agnes; Nikolić, Marina; Zeković, Milica; Djekić-Ivanković, Marija; Dupouy, Eleonora; Finglas, Paul; Glibetić, Maria
In order to meet growing public health nutrition challenges in Central Eastern European Countries (CEEC) and Balkan countries, development of a Research Infrastructure (RI) and availability of an effective nutrition surveillance system are a prerequisite. The building block of this RI is an innovative tool called DIET ASSESS & PLAN (DAP), which is a platform for standardized and harmonized food consumption collection, comprehensive dietary intake assessment and nutrition planning. Its unique structure enables application of national food composition databases (FCDBs) from the European food composition exchange platform (28 national FCDBs) developed by EuroFIR (http://www.eurofir.org/) and in addition allows communication with other tools. DAP is used for daily menu and/or long-term diet planning in diverse public sector settings, foods design/reformulation, food labelling, nutrient intake assessment and calculation of the dietary diversity indicator, Minimum Dietary Diversity-Women (MDD-W). As a validated tool in different national and international projects, DAP represents an important RI in public health nutrition epidemiology in the CEEC region. Copyright © 2016 Elsevier Ltd. All rights reserved.
Caron, Rosemary M
The Educated Citizen Initiative proposes that an understanding of public-health issues is a core component of an educated citizenry and is essential to develop one's societal responsibility. This initiative supports the Institute of Medicine's recommendation that "all undergraduates should have access to education in public health." Furthermore, the Liberal Education and America's Promise (LEAP) framework developed by the Association of American Colleges and Universities supports the "integration of public-health education into general and liberal education with an aim to produce an educated citizenry." The LEAP framework is implemented by teaching about the role of social determinants in a population's health status; the significance of personal and social responsibility; and providing skills for inquiry, critical thinking, problem solving, and evaluation. This article describes one university's experience in generating an educated citizenry cognizant of comprehensive public-health conflicts, thus contributing to both a local and global perspective on learning.
Fernando García Leguizamón
Full Text Available The article presents the theoretical and methodological approaches that guide the research entitled “An approach to social representations of public issues in students of the University Los Libertadores, through their interpretation of images”, advanced in 2010. It presents philosophical and sociological conceptions of the public sphere as a general frame of reference and contrast for the investigation. It is proposed heuristically a “topology” of the public sphere, to visualize their locations and levels of constitution. Tackling the question of the constitution of the public sphere some observations are made about the role played by communication technologies. Finally, we make explicit the methodological elements to be used in this qualitative investigation: the theory of social representations, with the specific technique of images interpretation.
This paper examined the impact of government public expenditure on education and the effect of special funding in enhancing the delivery of public library services in Nigeria. secondary data were collected from the websites of the Central Bank of Nigeria (CBN) and Education Trust Fund (ETF.). Results from the regression ...
The "Framework for the Ethical Conduct of Public Health Initiatives", developed by Public Health Ontario, is a practical guide for assessing the ethical implications of evidence-generating public health initiatives, whether research or non-research activities, involving people, their biological materials or their personal information. The Framework is useful not only to those responsible for determining the ethical acceptability of an initiative, but also to investigators planning new public health initiatives. It is informed by a theoretical approach that draws on widely shared bioethical principles. Two considerations emerge from both the theoretical framework and its practical application: the line between practice and research is often blurred; public health ethics and biomedical research ethics are based on the same common heritage of values.
... scientific and technological advances; examine diverse perspectives and possibilities for useful... ethical issues involving genetics, neuroscience, and neuroimaging used for research, diagnosis, risk... any personally identifiable or confidential business information that they contain. Trade secrets...
... certain issues related to the clearing of Credit Default Swaps in the context of the Agencies rulemaking... comments must be in English or be accompanied by an English translation. All submissions provided to either...
Uday, Suma; Högler, Wolfgang
Nutritional rickets and osteomalacia are common in dark-skinned and migrant populations. Their global incidence is rising due to changing population demographics, failing prevention policies and missing implementation strategies. The calcium deprivation spectrum has hypocalcaemic (seizures, tetany and dilated cardiomyopathy) and late hypophosphataemic (rickets, osteomalacia and muscle weakness) complications. This article reviews sustainable prevention strategies and identifies areas for future research. The global rickets consensus recognises the equal contribution of vitamin D and dietary calcium in the causation of calcium deprivation and provides a three stage categorisation for sufficiency, insufficiency and deficiency. For rickets prevention, 400 IU daily is recommended for all infants from birth and 600 IU in pregnancy, alongside monitoring in antenatal and child health surveillance programmes. High-risk populations require lifelong supplementation and food fortification with vitamin D or calcium. Future research should identify the true prevalence of rickets and osteomalacia, their role in bone fragility and infant mortality, and best screening and public health prevention tools.
Project #OPE-FY15-0004, October 15, 2014. The EPA OIG plans to begin preliminary research on the agency's Office of Chemical Safety and Pollution Prevention (OCSPP) process for responding to public petitions.
Full Text Available Non-alcoholic fatty liver disease (NAFLD, is a liver disease, that occur in non alcohol users, with same histological features of alcoholic liver disease. The increased importance of NAFLD is depends on its close relation of current problems such as Type 2 Diabetes Mellitus and hyperlipidemia, and its high prevalence as %20-30, in Europe and Middle East. NAFLD has a wide spectrum from simple steatozis (SS, liver cell damage, non alcoholic steatohepatitis (NASH with inflammation to high stage fibrosis, and cirrhosis. Hepathocellular cancer and liver failure might develop in cirrhosis patients. Biopsy is gold standard for NAFLD diagnosis; differentiate from SS and NASH and defining NASH stages. Nutrition regulations and slow and continuous weight loss with regular exercises is still best treatment method [TAF Prev Med Bull 2014; 13(1.000: 65-76
Yaroshenko Igor V.
Full Text Available The need of all parts of the modern Ukrainian society for structural transformations determines the direction of development of the country and its territories. One of such priority vectors is the decentralization reform, efficiency of which is inextricably linked with the changes that occur in all vital for the development of society and every individual public areas: public administration, judicial system, law enforcement bodies, deregulation and development of business, banking and financial sectors, innovation and trade policies, education, medicine and other sectors of the economy and social sphere. The initiated in Ukraine transformations, including the decentralization of public power, require further legislative changes and desire of all public institutions to ensure their effective implementation through public initiative and public support. Monitoring the course of the decentralization reform in Ukraine has demonstrated little actual results of its implementation. Today an adequate legislation framework concerning the powers, resources and responsibilities has not been established yet. It is advisable to carry out a profound theoretical and practical study of the world and Ukrainian experience, develop and introduce an own science-based system of power decentralization with consideration for historical, ideological, cultural, social, economic, geographical and other features of the country, while taking into account the best practices, which can be effectively used.
Public acceptance of sites for radioactive and other hazardous waste disposal facilities represents one of most important factors in decision making on definite sites of these facilities. The Republic of Croatia, as a newly independent state, faces the problem of public involvement in site selection of radioactive/hazardous waste disposal facility very seriously, specially having in mind that in the past, in former Yugoslavia almost all decisions had been made without participation of the public. Because of that it is very important now to gain confidence of the public and to enable its active role in decision making. Operation of the APO-Hazardous Waste Management Agency as a state agency which has been established firstly for management of radioactive waste, and later widening its competencies also to other types of hazardous wastes and relations to the public, is going to be presented in the paper. Description of some basic elements related to public participation in site selection of radioactive waste repository in Croatia will be also done
... Solution Center NOVEL Project Parenteral Nutrition Resources Intravenous Lipid Emulsions (ILE) Video Series SmartPN Practice and Research Toolkits Publications & ASPEN Journals Journal of Parenteral and ...
Gurinović, Mirjana; Milešević, Jelena; Novaković, Romana; Kadvan, Agnes; Djekić-Ivanković, Marija; Šatalić, Zvonimir; Korošec, Mojca; Spiroski, Igor; Ranić, Marija; Dupouy, Eleonora; Oshaug, Arne; Finglas, Paul; Glibetić, Maria
The objective of this paper is to share experience and provide updated information on Capacity Development in the Central and Eastern Europe/Balkan Countries (CEE/BC) region relevant to public health nutrition, particularly in creation of food composition databases (FCDBs), applying dietary intake assessment and monitoring tools, and harmonizing methodology for nutrition surveillance. Balkan Food Platform was established by a Memorandum of Understanding among EuroFIR AISBL, Institute for Medical Research, Belgrade, Capacity Development Network in Nutrition in CEE - CAPNUTRA and institutions from nine countries in the region. Inventory on FCDB status identified lack of harmonized and standardized research tools. To strengthen harmonization in CEE/BC in line with European research trends, the Network members collaborated in development of a Regional FCDB, using web-based food composition data base management software following EuroFIR standards. Comprehensive nutrition assessment and planning tool - DIET ASSESS & PLAN could enable synchronization of nutrition surveillance across countries. Copyright © 2015 Elsevier Ltd. All rights reserved.
Full Text Available Gender issues in the field of education has been a continuos debated issue for generations. In the present context, the gender issue is being debated heatedly based on the differences in the achievements among male and female students in public exams.The objective of this study is to obtain views from (N=120 secondary school students randomly selected from various location in Malaysia. Hermeneutic analysis was used in order to analyse the students’ written essays on the factors which contributed to the achievement of the two genders in examinations. The findings of the study clearly indicated that female students outperform male students in examinations. The sample also summed up the factors leading to the failure of male students in performing well and ways to overcome this setback.
Smith, Scott M.
Optimal nutrition will be critical for crew members who embark on space exploration missions. Nutritional assessment provides an opportunity to ensure that crewmembers begin their missions in optimal nutritional status, to document changes during a mission and, if necessary, to provide intervention to maintain that status throughout the mission, and to assesses changes after landing in order to facilitate the return to their normal status as soon as possible after landing. We report here the findings from our nutritional assessment of astronauts who participated in the International Space Station (ISS) missions, along with flight and ground-based research findings. We also present ongoing and planned nutrition research activities. These studies provide evidence that bone loss, compromised vitamin status, and oxidative damage are the critical nutritional concerns for space travelers. Other nutrient issues exist, including concerns about the stability of nutrients in the food system, which are exposed to longterm storage and radiation during flight. Defining nutrient requirements, and being able to provide and maintain those nutrients on exploration missions, will be critical for maintaining crew member health.
Rotaru, Ioan; Jelev, Adrian
SN 'NUCLEARELECTRICA' S.A., the owner of Cernavoda NPP, organized, in 2001, several public consultations related to environmental impact of the completion of the Cernavoda NPP Unit 2, as required by the Romanian environmental law, part of project approval. Public consultations on the environmental assessment for the completion of the Cernavoda NPP - Unit 2 took place in 2001 between August 15 and September 21 in accordance with the provisions of Law No. 137/95 and Order No. 125/96. Romanian environmental legislation, harmonization of national environmental legislation with European Union, Romanian legislative requirements, information distributed to the public, issues raised and follow-up, they all are topics highlighted by this paper and they are addressing the environmental licensing process of the Cernavoda 2 NPP. The public consultation process described fulfils all the Romanian requirements for carrying out meaningful consultation with its relevant shareholders. The process also satisfies EDC (Export Development Corporation - Canada) requirements for public consultation and disclosure with relevant shareholders in the host country. SNN is fully committed to consulting as necessary with relevant shareholders throughout the construction and operation of the Project. Concerns of the public have been taken into account with the operations of Unit 1 and will continue to be addressed during the Unit 2 Project
Fraser, Donald R.
It is the premise of this booklet, one of a series intended to apply economic principles to major social and political issues of the day, that a revolution in the banking and financial services industry is altering not only the fundamental nature of the services offered but the character of the organizations themselves. The purpose of the essay is…
Van Poeck, Katrien; Vandenabeele, Joke
Education for sustainable development plays an increasing role in environmental education policy and practice. In this article, we show how sustainable development is mainly seen as a goal that can be achieved by applying the proper processes of learning and how this learning perspective translates sustainability issues into learning problems of…
Powell, T. Hennessy; And Others
Recent reports have indicated that parents and/or physicians occasionally decide not to provide life-sustaining treatment (referred to as involuntary euthanasia), thus ensuring that the severely handicapped newborn will die. The issues involved relative to treatment or involuntary euthanasia are reviewed from two opposing perspectives…
Nestrigue, B.; Delziani, J.P.
This article recaps on some of the surveys conducted into how the nuclear energy issue is represented, firstly in nationwide television broadcasts, and secondly in the light of the recall of this information by a limited panel of interviewees. It pinpoints the correspondences which exist between the two sides of the story [fr
Rarick, David L.; Lind, Rebecca Ann
Three empirical studies focused on viewer reactions to ethical issues in television news, and on actions audience members felt were appropriate to control possibly unethical behaviors in television broadcasting. The first study was a 12-minute telephone survey of 293 randomly selected adults in Minneapolis-St. Paul (Minnesota) in 1989 to determine…
Greenhut, Melvin L.; Smithson, Charles W.
In this booklet, one of a series intended to apply economic principles to major social and political issues of the day, an analogy is drawn between the dire predictions once made about the energy crisis and those now being made about a budget crisis. Concerns about the deficit have centered on inflation, interest rates, and growth of the economy.…
Wolken, Lawrence C.
This booklet, one of a series of booklets intended to apply economic principles to major social and political issues of the day, traces the modernization of the ancient culture of Japan. Four major areas are covered: (1) "An Ancient Culture" covers the period from the first settling of Japan through the Heian period, the medieval ages,…
This booklet, one of a series intended to apply economic principles to major social and political issues of the day, starts from the premise that Marxism is a threat to our way of life and offers a critique of fundamental components of the social movement Marx created. The first of six subsections focuses on sources of influence on Karl Marx…
... nation's leaders in medicine, science, ethics, religion, law, and engineering. The Commission advises the President on bioethical issues arising from advances in biomedicine and related areas of science and... research, health care delivery, and technological innovation are conducted in a socially and ethically...
Hobson, Margaret Jane; Maurice, S. Charles
It is the thesis of this booklet, one of a series intended to apply economic principles to major social and political issues of the day, that minimum wage laws actually hurt those whom such laws are designed to help. From this point of departure, separate subsections examine economic implications of minimum wage laws, including discussion of what…
Barritt, E E
The report falls under the headings: introduction (need/economics; safety; waste management; local and site specific issues); the Sizewell site - history and planning policies; planning and environmental implications; land use and landscape implications; ecological implications; mineral requirements; highway implications; employment implications; accommodation implications; infrastructure and social/community services; safeguarding restrictions for Sizewell - Nuclear Installations Inspectorate; decommissioning.
A nutrition consultants' meeting was convened by the IAEA for an advice on technical and programmatic issues related to isotope based nutritional evaluations. The salient recommendation from the consultants was for the IAEA to try to inaugurate a multi-national programme for using isotopes in evaluations that would have substantial practical relevance to public health policy. 6 refs
A nutrition consultants` meeting was convened by the IAEA for an advice on technical and programmatic issues related to isotope based nutritional evaluations. The salient recommendation from the consultants was for the IAEA to try to inaugurate a multi-national programme for using isotopes in evaluations that would have substantial practical relevance to public health policy. 6 refs.
Full Text Available In this article I consider the ways in which activists in the British suffrage movement became the public historians of their own pasts. I analyse the different forms in which the history of suffrage feminism was created and the ways in which it both drew upon former traditions of the labour movement and conventions of public memorialisation. I consider the ways in which the Australian suffrage campaign has been memorialised and differences between this and the British position. I raise a number of questions about ways in which public historians might explore the creation of collective histories and the role of individuals within that process arising from this initial comparative analysis.
...—Certification of Independent Certified Public Accountant Regarding Notes To Be Issued Pursuant to 7 CFR 1744.30... 7 Agriculture 11 2010-01-01 2010-01-01 false Certification of Independent Certified Public Accountant Regarding Notes To Be Issued Pursuant to 7 CFR 1744.30 D Appendix D to Subpart B of Part 1744...
...—Certification of Independent Certified Public Accountant Regarding Notes To Be Issued Pursuant to 7 CFR 1744.30... 7 Agriculture 11 2010-01-01 2010-01-01 false Certification of Independent Certified Public Accountant Regarding Notes To Be Issued Pursuant to 7 CFR 1744.30(c) B Appendix B to Subpart B of Part 1744...
Full Text Available Background: The United Arab Emirates (UAE is a rapidly developing country composed of a multinational population with varying educational backgrounds, religious beliefs, and cultural practices, which pose a challenge for population-based public health strategies. A number of public health issues significantly contribute to morbidity and mortality in the UAE. This article summarises the findings of a panel of medical and public health specialists from UAE University and various government health agencies commissioned to report on the health status of the UAE population. Methods: A systematic literature search was conducted to retrieve peer-reviewed articles on health in the UAE, and unpublished data were provided by government health authorities and local hospitals. Results: The panel reviewed and evaluated all available evidence to list and rank (1=highest priority the top four main public health issues: 1 Cardiovascular disease accounted for more than 25% of deaths in 2010; 2 Injury caused 17% of mortality for all age groups in 2010; 3 Cancer accounted for 10% of all deaths in 2010, and the incidence of all cancers is projected to double by 2020; and 4 Respiratory disorders were the second most common non-fatal condition in 2010. Conclusion: The major public health challenges posed by certain personal (e.g. ethnicity, family history, lifestyle, occupational, and environmental factors associated with the development of chronic disease are not isolated to the UAE; rather, they form part of a global health problem, which requires international collaboration and action. Future research should focus on population-based public health interventions that target the factors associated with the development of various chronic diseases.
Loney, Tom; Aw, Tar-Ching; Handysides, Daniel G.; Ali, Raghib; Blair, Iain; Grivna, Michal; Shah, Syed M.; Sheek-Hussein, Mohamud; El-Sadig, Mohamed; Sharif, Amer A.; El-Obaid, Yusra
Background The United Arab Emirates (UAE) is a rapidly developing country composed of a multinational population with varying educational backgrounds, religious beliefs, and cultural practices, which pose a challenge for population-based public health strategies. A number of public health issues significantly contribute to morbidity and mortality in the UAE. This article summarises the findings of a panel of medical and public health specialists from UAE University and various government health agencies commissioned to report on the health status of the UAE population. Methods A systematic literature search was conducted to retrieve peer-reviewed articles on health in the UAE, and unpublished data were provided by government health authorities and local hospitals. Results The panel reviewed and evaluated all available evidence to list and rank (1=highest priority) the top four main public health issues: 1) Cardiovascular disease accounted for more than 25% of deaths in 2010; 2) Injury caused 17% of mortality for all age groups in 2010; 3) Cancer accounted for 10% of all deaths in 2010, and the incidence of all cancers is projected to double by 2020; and 4) Respiratory disorders were the second most common non-fatal condition in 2010. Conclusion The major public health challenges posed by certain personal (e.g. ethnicity, family history), lifestyle, occupational, and environmental factors associated with the development of chronic disease are not isolated to the UAE; rather, they form part of a global health problem, which requires international collaboration and action. Future research should focus on population-based public health interventions that target the factors associated with the development of various chronic diseases. PMID:23394856
Hansen, Anders; Gunter, Barrie
To examine the possibilities for research into news reporting and its role in reflecting and informing public and political beliefs and action in relation to alcohol and drinking practices. Studies on media and alcohol, focusing on the role of media in relation to alcohol consumption and drinking-related practices, policies and beliefs. Most research on alcohol and media has focused on either advertising or entertainment media content, rather than on news reporting and its wider social implications. The role of news reporting could usefully be widened. We offer a framework for analysing the role of news media in relation to public debate and practice with regard to alcohol and drinking.
... INDIAN TRIBES FOR SUPPORT AND NUTRITION SERVICES § 1326.15 Nutrition services. (a) In addition to providing nutrition services to older Indians, a tribal organization may: (1) Provide nutrition services to... 45 Public Welfare 4 2010-10-01 2010-10-01 false Nutrition services. 1326.15 Section 1326.15 Public...
... public workshop must register online by December 20, 2013. Early registration is recommended because...; however, it does not alter the statutory standards for marketing approval. To gain approval, all drugs must demonstrate substantial evidence of effectiveness, safety, and product quality for the treatment...
Educators today are accustomed to discussing concepts of multiculturalism, race, class, and gender, but when it comes to religion, most new teachers and many seasoned teachers are confounded. This article provides a critical look at the treatment of religion in public education in the United States, and the potential marginalization of…
...., Suite C-100, Washington, DC 20005. Telephone: 202/233-3960. E-mail: [email protected]bioethics.gov . Web site: http://www.bioethics.gov . SUPPLEMENTARY INFORMATION: The meeting agenda will be posted at http://www.bioethics.gov . The Commission encourages public comment, either in person or in writing. Interested members...
Azman, Norzaini; Che Omar, Ibrahim; Yunus, Aida Suraya Md; Zain, Ahmad Nurulazam Md
The expansion and transformation of Malaysian universities have generated major changes in the nature of academic employment and the structure of academic promotion in higher education institutions. These changes have considerable implications, in particular for the policy and practice of academic promotion in the public universities. We argue…
Stover, Shawn K.; McArthur, Laurence B.; Mabry, Michelle L.
Although evidence supporting anthropogenic global warming and evolution by natural selection is considerable, the public does not embrace these concepts. The current study explores the hypothesis that individuals will become more receptive to scientific viewpoints if evidence for evolution and implications of global warming are presented as issues…
South African Journal of Philosophy ... What difference can such an ethical analysis make to public decision-making? ... value and ethical questions cannot be settled in a rational manner ... values and ethics are so intertwined with emotions and biases that one cannot take them seriously in ... AJOL African Journals Online.
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Meeting of the Presidential Commission for the... the Assistant Secretary for Health, Department of Health and Human Services. ACTION: Notice of Meeting..., ethics, religion, law, and engineering. The Bioethics Commission advises the President on bioethical...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Meeting of the Presidential Commission for the... the Secretary, Department of Health and Human Services. ACTION: Notice of meeting. SUMMARY: The... Bioethics Commission is an advisory panel of the nation's leaders in medicine, science, ethics, religion...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Meeting of the Presidential Commission for the... the Assistant Secretary for Health, Office of the Secretary, Department of Health and Human Services... bioethics, science, medicine, technology, engineering, law, philosophy, theology, or other areas of the...
This document establishes the policy for protecting the privacy of children on EPA’s Public Access Web site. It concerns the collection, both online and off, of information from ages 13 and under, and the display of Personally Identifying Information (PII)
As part of the Independent Electricity Market Operator's (IMO) consultation process on market development priorities, a workshop was held in January 2002 to put forward several market design issues. The 112 delegates included market participants and other stakeholders representing consumers, environmental interest groups and the financial community. The nine main market design issues that need to be addressed over the next several years are: (1) the energy forward market, (2) the capacity reserve market, (3) location marginal pricing, (4) a capability for full assignment of physical bilateral contracts, (5) the export of operating reserve, (6) moving to real time bidding, (7) encouraging dispatchability and demand side responsiveness, (8) transmission expansion, and (9) introducing markets in ancillary services. Sections of the market rules have been deferred to after market opening, and several market development obligations have been placed on the IMO, such as recommendations on the need for location pricing and its implementation timetable. It is expected that significant resources, such as staff, will be required to ensure a smooth opening of the electricity market. It is also noted that US initiatives will affect the IMO's business environment. Prior to the workshop, the participants were asked to rank the nine potential priority issues. The rankings are included in the appendix. Results indicate that location marginal pricing ranks as the first priority, followed by energy forwards market, and then the capacity reserves market. Transmission expansion ranked sixth overall. Harmonisation with the US Northeast was also mentioned in reference to the implementation of day ahead market, location marginal pricing and the implementation of capacity reserve markets. The next step in this IMO consultation process is the development of a work-plan for managing the issues over the medium term. 2 tabs., 1 fig., 4 appendices
Hillger, Christiane; Kirch, Wilhelm; Wolfram, Nicole
Abraham Maslow (1908 – 1970) has set up a hierarchy of five levels of basic needs. Of those that are considered to be basic physiological needs hunger, thirst as well as bodily comforts are considered to be the most important. Physiological needs are the strongest needs because if a person were deprived on all needs it is these physiological needs that would take the highest priority. As food is characterized as a basic need, we should have a special view on our daily food and our handling of...
Given the prevalence of nutritionally related chronic diseases in American society, the training of physicians should include a focus on the relations of diet to disease. Yet, despite scientific data, public interest, US government reports, society studies, and congressional mandates, the teaching of nutrition in medical schools and residency programs remains inadequate. The authority whom patients most wish to consult for information on health-their physician-thus remains insufficiently informed about the role of diet in the prevention and treatment of disease. New efforts must be initiated to train nutrition-literate physicians. The principal obstacle to nutrition literacy among physicians is the paucity of physician nutrition specialists (PNSs) on medical school faculties who can effectively advocate for change in medical school and residency curricula and who can serve as role models for incorporating nutrition into patient care. To encourage nutrition societies to unite in addressing these issues, the Intersociety Professional Nutrition Education Consortium was founded in 1997. The Consortium aims to establish educational standards for fellowship training and a unified mechanism for posttraining certification of PNSs, and to develop a long-term plan to increase the pool of PNSs and surmount obstacles that currently impede the incorporation of nutrition education into the curricula of medical schools and primary-care residency programs.
Full Text Available The text examines the relationship “intimate”, “private” and “public” space in the field of contemporary media. Questioning begins with the medium photography, to complete the research in the field of activity of social networks like Facebook, Twitter and Instagram, for example. There has been, in fact, a large number of pornographic content is distributed through these networks. However, this is not just about the flood of pornographic content in these media venues, but also on their structure, that the use of technical means, to the coincidence of public and intimate space of action in the area of private property. Text funds criticism tries to point out the specific problem of abuse of public space in contemporary times.
This article provides a structured framework for research into the accounting implications of Public Private Partnerships (PPPs). PPPs worldwide have taken on increasing significance as a tool that governments can use to develop infrastructure and for the delivery of services. Given the minimal coverage in the literature of the Victorian State Government experience to date regarding the efficacy of PPPs, this report establishes a number of parameters from which academics can conduct research ...
Heudorf, U; Voigt, K; Eikmann, Th; Exner, M
According to the Protection against Infection Act (IfSG), schools have to identify their arrangements of standard operating procedures (SOPs) for hygienic conditions, and the public health departments are obliged to check the hygienic conditions in schools. Here, practical experience with these topics in Frankfurt/Main, Germany, is presented.Although all schools had been informed about their duties according to IfSG in 2001, only 44% (80/180 schools) of them were able to present their SOPs when requested to do so by the public health department in 2006. Complaints about bad sanitary hygiene in schools have to be confirmed, often even in recently redeveloped facilities, because of vandalism. The equipment of washing basins was improved very well during the influenza pandemic in 2009. In 2010, however, a tendency to deterioration had been observed. With data on high levels on indoor contamination (particles and CO2) in class rooms in 2006, the city increased the frequency of cleaning and launched a programme on proper ventilation in classrooms. However, a study on ventilation in 29 schools in 2009 resulted in very high levels of CO2; obviously the recommendation to ventilate the classrooms every break are neglected. Large studies on drinking water quality exhibited good data, with the exception of high Legionella contaminations in hot water systems supplying the showers in gymnasiums. Major redevelopment measures were necessary.Hygienic conditions in schools should be improved urgently. The public health departments should increase their consulting services as well as their control visits in schools - with the aim to improve hygiene in schools. Responsibility of the schools as well as of the individuals in the schools is demanded as well. More public attention to this topic seems mandatory, may be via a "signal light - red-yellow-green" for schools? © Georg Thieme Verlag KG Stuttgart · New York.
Christoforidis, Georgios C.; Chatzisavvas, Konstantinos Ch.; Lazarou, Stavros; Parisses, Costantinos
The Covenant of Mayors (COM) initiative invites cities to commit themselves to reduce voluntarily the greenhouse gas emissions within their territories. This manuscript presents the COM initiative and analyzes its mechanisms. In order to better quantify the penetration of the initiative, the authors introduce suitable “participation factors”. Moreover, a study and a survey are presented concerning the COM initiative in Greece. Certain barriers are identified preventing the realization of the initiative's full potential in Greece. Results from the public survey indicate lack of proper information and communication about the COM initiative and the obligations arising from its signing towards the citizens itself. Nevertheless, once the citizens are informed properly, the public acceptance of the initiative and its commitments is considerable, to the extent that its success would influence the vote of a substantial percentage of citizens. The positive role of supporting structures is evaluated and may be demonstrated through the survey's results and discussion. Recommendations are provided for future or existing signatories based on the findings of this work. - Highlights: • Factors are defined to evaluate the penetration of the Covenant of Mayors initiative. • Barriers are identified preventing the initiative reaching its full potential in Greece. • A survey conducted in Greece shows poor dissemination of the initiative to citizens. • Significant public acceptance is observed once targets and commitments are explained to citizens. • The positive role of Supporting Structures in aiding signatories is appraised
C. Sathyamala (Christina); N.J. Kurian; D.E. Anuradha; K.B. Saxena; R. Priya (Ritu); R. Baru (Rama); R. Srivastava (Ravi); O. Mittal (Onkar); C. Noronha (Claire); M. Samson (Meera); S. Khalsa (Sneh); A. Puliyel (Ashish); J.M. Puliyel (Jacob M)
textabstractThe Public Report on Health (PRoH) was initiated in 2005 to understand public health issues for people from diverse backgrounds living in different region specific contexts. States were selected purposively to capture a diversity of situations from better-performing states and
Public-private collaboration in clinical research during pregnancy, lactation, and childhood: joint position statement of the Early Nutrition Academy and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
Koletzko, Berthold; Benninga, Marc A; Godfrey, Keith M; Hornnes, Peter J; Kolaček, Sanja; Koletzko, Sibylle; Lentze, Michael J; Mader, Silke; McAuliffe, Fionnuala M; Oepkes, Dick; Oddy, Wendy H; Phillips, Alan; Rzehak, Peter; Socha, Piotr; Szajewska, Hania; Symonds, Michael E; Taminiau, Jan; Thapar, Nikhil; Troncone, Riccardo; Vandenplas, Yvan; Veereman, Gigi
This position statement summarises a view of academia regarding standards for clinical research in collaboration with commercial enterprises, focussing on trials in pregnant women, breast-feeding women, and children. It is based on a review of the available literature and an expert workshop cosponsored by the Early Nutrition Academy and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Clinical research collaborations between academic investigators and commercial enterprises are encouraged by universities, public funding agencies, and governmental organisations. One reason is a pressing need to obtain evidence on the effects, safety, and benefits of drugs and other commercial products and services. The credibility and value of results obtained through public-private research collaborations have, however, been questioned because many examples of inappropriate research practice have become known. Clinical research in pregnant and breast-feeding women, and in infants and children, raises sensitive scientific, ethical, and societal questions and requires the application of particularly high standards. Here we provide recommendations for the conduct of public-private research collaborations in these populations. In the interest of all stakeholders, these recommendations should contribute to more reliable, credible, and acceptable results of commercially sponsored trials and to reducing the existing credibility gap.
... Liver Transplant: Nutrition Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For Veterans and the Public Veterans and the Public Home Hepatitis A Hepatitis B Hepatitis C Hepatitis C Home Getting ...
Rütten, Alfred; Abu-Omar, Karim; Gelius, Peter; Schow, Diana
Despite the recent rapid development of policies to counteract physical inactivity (PI), only a small number of systematic analyses on the evolution of these policies exists. In this article we analyze how PI, as a public health issue, "translates" into a policy-making issue. First, we discuss why PI has become an increasingly important public health issue during the last two decades. We then follow Guy Peters and conceptualize PI as a "policy problem" that has the potential to be linked to policy instruments and policy impact. Analysis indicates that PI is a policy problem that i) is chronic in nature; ii) involves a high degree of political complexity; iii) can be disaggregated into smaller scales; iv) is addressed through interventions that can be difficult to "sell" to the public when their benefits are not highly divisible; v) cannot be solved by government spending alone; vi) must be addressed through a broad scope of activities; and vii) involves interdependencies among both multiple sectors and levels of government.We conclude that the new perspective on PI proposed in this article might be useful and important for i) describing and mapping policies to counteract PI in different contexts; ii) evaluating whether or not existing policy instruments are appropriate to the policy problem of PI, and iii) explaining the factors and processes that underlie policy development and implementation. More research is warranted in all these areas. In particular, we propose to focus on comparative analyses of how the problem of PI is defined and tackled in different contexts, and on the identification of truly effective policy instruments that are designed to "solve" the PI policy problem.
PENSIONS, HEALTH INSURANCE, SALARIES DO YOU KNOW WHAT THEY HAVE IN STORE FOR US ?! PUBLIC MEETINGS Thursday 23 September 2.00 pm IT Auditorium - Meyrin (31/3-004) Friday 24 September 10.00 am TE Auditorium - Meyrin (30/7-018) Monday 27 September 2.00 pm Council Chamber - Meyrin (503/1-001) Tuesday 28 September 10.00 am TH Auditorium - Meyrin (4/3-006) (English) Tuesday 28 September 2.00 pm BE Auditorium - Prévessin (864/1-D02) COME AND BE INFORMED
Dworschak, H.; Rocco, P.
Studies on the public perception of risks indicate that: (1) The most feared risks, together with open-quotes AIDSclose quotes and open-quotes crimeclose quotes, are those related to open-quotes nuclear accidentsclose quotes and open-quotes nuclear wasteclose quotes, which are almost as dreadful as open-quotes nuclear warclose quotes whereas, open-quotes nuclear power productionclose quotes raises less concern, almost comparable to that of other social risks. (2) Low probability, high consequence risks are those of most concern. Scarce consideration is given by the public to the likelihood of occurrence. The management strategies for fusion waste should be presented taking into account the previous statements. Sensible items are: (1) Planned waste management procedures should be describe in a well detailed fashion, indicating the aim of complying with conservative limits of environmental impact. (2) The build-up of optimistic thoughts on the complete lack of potential hazard in fusion waste as well as the opposite opinion of little or no progress at all by referring to fission waste should be avoided. (3) The hazards related to fission waste should not be over emphasized. It should be stated instead that studies on this waste have produced effective handling and segregation concepts, which are being progressively applied even to conventional waste in order to reduce risks which were not perceived before. This mature and well proven technology will be applied where pertinent to fusion waste too
Currie, S L; Beattie, T K; Knapp, C W; Lindsay, D S J
Over the past 5 years, a number of cases of legionellosis in Scotland have been associated with compost use; however, studies investigating sources of infection other than water systems remain limited. This study delivers the first comprehensive survey of composts commonly available in the UK for the presence of Legionella species. Twenty-two store-bought composts, one green-waste compost and one home-made compost were tested for Legionella by culture methods on BCYE-α medium, and the findings were confirmed by macrophage infectivity potentiator (mip) speciation. Twenty-two of the samples were retested after an enrichment period of 8 weeks. In total, 15 of 24 composts tested positive for Legionella species, a higher level of contamination than previously seen in Europe. Two isolates of Legionella pneumophila were identified, and Legionella longbeachae serogroup 1 was found to be one of the most commonly isolated species. L. longbeachae infection would not be detected by routine Legionella urinary antigen assay, so such testing should not be used as the sole diagnostic technique in atypical pneumonia cases, particularly where there is an association with compost use. The occurrence of Legionella in over half of the samples tested indicates that compost could pose a public health risk. The addition of general hygiene warnings to compost packages may be beneficial in protecting public health. © 2013 The Authors Clinical Microbiology and Infection © 2013 European Society of Clinical Microbiology and Infectious Diseases.
N. G. Kurakova
Full Text Available In order to increase the competitiveness of the Russian scientific-technological complex in the global environment, it is planned to increase competition through State funding, spent on research and development. This will allow the focus of investment resources on the most perspective ideas and projects of the most efficient scientists, communities and organisations. The article suggests that we will witness the widening of competitive forms of funding against the simultaneous and gradual cuts in the share of financing through State contracts.One of the key criteria for evaluating the competency of team leaders and research applicants for State funding are measuring those who have «achieved high scientific results in concrete field of science», as a scientometric indicator, characterising their publication activity and citation rating.The article provides evidence showing that evaluation of individual scientists and whole scientific communities based on their publication activity indicators and impact is limited and challenges the ability for targeted funding and transparency in the selection process for executive projects.
Full Text Available Finding solutions to complex health problems, such as obesity, violence, and climate change, will require radical changes in cross-disciplinary education, research, and practice. The fundamental determinants of health include many interrelated factors such as poverty, culture, education, environment, and government policies. However, traditional public health training has tended to focus more narrowly on diseases and risk factors, and has not adequately leveraged the rich contributions of sociology, anthropology, economics, geography, communication, political science, and other disciplines. Further, students are often not sufficiently trained to work across sectors to translate research findings into effective, large-scale sustainable actions.During the past 2 decades, national and international organizations have called for more effective interdisciplinary, transdisciplinary, and translational approaches to graduate education. Although it has been difficult to work across traditional academic boundaries, some promising models draw on pedagogical theory and feature cross-disciplinary training focused on real-world problems, linkage between research, professional practice, community action, and cultivation of leadership skills.We describe the development the Doctor of Public Health program at the University of California, Berkeley, USA and its efforts to improve transdisciplinary and translational research education. We stress the need for international collaboration to improve educational approaches and better evaluate their impact.
Lee, Hyun Sook
To find the fit that is most apt for the current situation in Korea and to find new ways of identifying potential partners for the purpose of public-private partnership (PPP). The research was conducted using domestic and international literature where the concept and definition of PPP was stated, and cases of PPP reported by the World Health Organization and cases in developed countries were investigated. Data were collected from 237 PPP potential partner organization, government agencies, and the government under a special law, local governments, businesses, hospitals, and private organizations through their internet webpage. The Delphi questionnaire was given to relevant institutions and questionnaire was surveyed general hospitals. Groups that were likely to realize most of the partnership were nonprofit or nongovernmental organizations, the central government, the private sector, public healthcare services, and products. In order to secure the position of exceptional comparative advantage of international expertise in the field of healthcare, we must implement PPP strategy that is in ordinance of domestic situation.
EuropaBio, the European Association for Bio-industries, represents 40 corporate members operating world wide and 14 national associations (totaling up to 700 small- and medium-sized enterprises) involved in research, development, testing, manufacturing, sales, and distribution of biotechnology-derived products and services in the field of health cae, agriculture, food, and the environment. AGE is a group of researchers and university professors involved in high-level professional activities related to bioethics, and particularly interested in ethical issues related to the development and use of modern technology. It is essential that industry actively participates in, and contributes to, the social debate on emerging technologies. Therefore, EuropaBio presents herein its view on gene therapy and its responsible development and use.
Wynne, B [Lancaster Univ. (UK). School of Independent Studies
A conceptual framework is proposed within which the notion of risk as normally used in risk assessment (RA) could be enlarged in line with the real substance of social issues of technology policy, to help avoid RA's threatened irrelevance to social decision making. It is argued that the frequent organizational incoherence and thus the unviability of modern technology arises from 'social alienation' between the innovation-commitment phase and the implementation of the technology in society. The roles of technical elites and of particular concepts of technology in this alienation are emphasized. One of the case studies deals with 'Nuclear power - myths of scientific and organizational realism' and discusses the UK nuclear 'programme' and the Three Mile Island accident.
Black, Carolyn; Tesfaigzi, Yohannes; Bassein, Jed A; Miller, Lisa A
Understanding the effect of wildfire smoke exposure on human health represents a unique interdisciplinary challenge to the scientific community. Population health studies indicate that wildfire smoke is a risk to human health and increases the healthcare burden of smoke-impacted areas. However, wildfire smoke composition is complex and dynamic, making characterization and modeling difficult. Furthermore, current efforts to study the effect of wildfire smoke are limited by availability of air quality measures and inconsistent air quality reporting among researchers. To help address these issues, we conducted a substantive review of wildfire smoke effects on population health, wildfire smoke exposure in occupational health, and experimental wood smoke exposure. Our goal was to evaluate the current literature on wildfire smoke and highlight important gaps in research. In particular we emphasize long-term health effects of wildfire smoke, recovery following wildfire smoke exposure, and health consequences of exposure in children. Copyright © 2017 Elsevier B.V. All rights reserved.
In France, the role of local authorities in the organization of the electricity supply system is largely unknown mainly due to the size of the state-owned utility Electricite de France (EDF). Local authorities and their groupings played a major role in the electrification of the national territory and have kept important prerogatives as conceding authorities of this service of general interest. These groupings also became the tools of the soft power of local actors. The geopolitical analysis of the relationships between local municipalities and electric power stakeholders shows the diversity of actors and opinions. Stuck between market liberalization issues and decentralization to local authorities, these groupings tend to reinforce their competencies. Furthermore, decentralization goes along with a reinforcement of the political involvement in local energy policy and with conflicts on the adequate territorial scale for theses policies. (author)
Wynne, B. (Lancaster Univ. (UK). School of Independent Studies)
A conceptual framework is proposed within which the notion of risk as normally used in risk assessment (RA) could be enlarged in line with the real substance of social issues of technology policy, to help avoid RA's threatened irrelevance to social decision making. It is argued that the frequent organizational incoherence and thus the unviability of modern technology arises from 'social alienation' between the innovation-commitment phase and the implementation of the technology in society. The roles of technical elites and of particular concepts of technology in this alienation are emphasized. One of the case studies deals with 'Nuclear power - myths of scientific and organizational realism' and discusses the UK nuclear 'programme' and the Three Mile Island accident.
An important objective of the Commission is the provision of scientifically based recommendations that merit wide spread acceptance. In today's shrinking world, radiation protection is enhanced by '...consistency of aims and standards across a wide range of countries' (p234). This highly desirable international consistency requires the development of precise values for the primary and secondary recommendations such as the dose limits, the tissue weighting factors and the radiation weighting factors. The purpose of this paper is to examine these recommendations of the Commission in light of the rather widespread is understanding of these issues. The particular topics then are the nominal probability coefficients for stochastic effects, the dose limits, the radiation weighting factors and the tissue weighting factors particularly as they relate to the annual limits on intake
Mason, J B; Mitchell, J T
The concept of nutritional surveillance is derived from disease surveillance, and means "to watch over nutrition, in order to make decisions that lead to improvements in nutrition in populations". Three distinct objectives have been defined for surveillance systems, primarily in relation to problems of malnutrition in developing countries: to aid long-term planning in health and development; to provide input for programme management and evaluation; and to give timely warning of the need for intervention to prevent critical deteriorations in food consumption. Decisions affecting nutrition are made at various administrative levels, and the uses of different types of nutritional surveillance information can be related to national policies, development programmes, public health and nutrition programmes, and timely warning and intervention programmes. The information should answer specific questions, for example concerning the nutritional status and trends of particular population groups.Defining the uses and users of the information is the first essential step in designing a system; this is illustrated with reference to agricultural and rural development planning, the health sector, and nutrition and social welfare programmes. The most usual data outputs are nutritional outcome indicators (e.g., prevalence of malnutrition among preschool children), disaggregated by descriptive or classifying variables, of which the commonest is simply administrative area. Often, additional "status" indicators, such as quality of housing or water supply, are presented at the same time. On the other hand, timely warning requires earlier indicators of the possibility of nutritional deterioration, and agricultural indicators are often the most appropriate.DATA COME FROM TWO MAIN TYPES OF SOURCE: administrative (e.g., clinics and schools) and household sample surveys. Each source has its own advantages and disadvantages: for example, administrative data often already exist, and can be
Anna Rita CALABRÒ
Full Text Available Following the 9/11 attacks, a coalition of West Countries, led by the United States of America, militarily occupied two countries – Afghanistan and Iraq – in part rewriting the rules which up until then had clearly outlined the difference between a war of aggression and a war of defence. By analyzing the various speeches of ten important world leaders of West Democratic Countries on terrorism of fundamentalist matrix, we will outline a contradiction: declaring the necessity of war as a condition and objective of peace. This is solved in different ways: it becomes an ambivalent strategy in the cases of Obama and Merkel, with the latter being less explicit; in the cases of Bush, Berlusconi, Blair and Rice it leads, albeit with different motivations and arguments, to a stark choice: war; whereas it disappears in the speeches of Zapatero, Prodi and Cameron, who speak of actions and strategies to combat terrorism without ever mentioning war. Without offering any value judgment of the content of the various arguments, I only take them as a pretext to reflect on the rules of ambivalent communication: a communication which starts from a clear contradiction, and argues the necessity of it, before demonstrating its usefulness and proposing strategies of action that take it into account. The essay is divided into two parts: in the first one (which is published in this issue I discuss the concept of sociological ambivalence, I distinguish ambivalence from contradictions and ambiguity and I identify the argumentative strategies of an ambivalent communication. Then I analyze the speech the President of the United States of America Barack Obama delivered on December 10, 2009 in Oslo when he received the Nobel Peace Prize as an example of “good” ambivalent communication. In the second part of the essay (which will be published in the next issue, I analyze the speeches of other world leaders as different examples of ambivalent communication.
Gushulak, Bd; Weekers, J; Macpherson, Dw
International population mobility is an underlying factor in the emergence of public health threats and risks that must be managed globally. These risks are often related, but not limited, to transmissible pathogens. Mobile populations can link zones of disease emergence to lowprevalence or nonendemic areas through rapid or high-volume international movements, or both. Against this background of human movement, other global processes such as economics, trade, transportation, environment and climate change, as well as civil security influence the health impacts of disease emergence. Concurrently, global information systems, together with regulatory frameworks for disease surveillance and reporting, affect organizational and public awareness of events of potential public health significance. International regulations directed at disease mitigation and control have not kept pace with the growing challenges associated with the volume, speed, diversity, and disparity of modern patterns of human movement. The thesis that human population mobility is itself a major determinant of global public health is supported in this article by review of the published literature from the perspective of determinants of health (such as genetics/biology, behavior, environment, and socioeconomics), population-based disease prevalence differences, existing national and international health policies and regulations, as well as inter-regional shifts in population demographics and health outcomes. This paper highlights some of the emerging threats and risks to public health, identifies gaps in existing frameworks to manage health issues associated with migration, and suggests changes in approach to population mobility, globalization, and public health. The proposed integrated approach includes a broad spectrum of stakeholders ranging from individual health-care providers to policy makers and international organizations that are primarily involved in global health management, or are influenced
Caron, Rosemary M.
The Educated Citizen Initiative proposes that an understanding of public-health issues is a core component of an educated citizenry and is essential to develop one’s societal responsibility. This initiative supports the Institute of Medicine’s recommendation that “all undergraduates should have access to education in public health.” Furthermore, the Liberal Education and America’s Promise (LEAP) framework developed by the Association of American Colleges and Universities supports the “integration of public-health education into general and liberal education with an aim to produce an educated citizenry.” The LEAP framework is implemented by teaching about the role of social determinants in a population’s health status; the significance of personal and social responsibility; and providing skills for inquiry, critical thinking, problem solving, and evaluation. This article describes one university’s experience in generating an educated citizenry cognizant of comprehensive public-health conflicts, thus contributing to both a local and global perspective on learning. PMID:26973829
Introduction: European agriculture has gone through troubled times. The critical point was reached in the 1980s. Support policies had increased production far beyond market demand. Allegations of support abuse were ripe. Policy-makers responded by partially replacing input- and output-linked forms...... of producer support with others. However, radical reform was avoided. In the period 2002-2004, the level of support to producers still amounted to approximately 30% of farm receipts in the EU, and 70% in Iceland, Norway and Switzerland. In the public eye, intensified agricultural production was also labelled...... a key culprit in environmental degradation. In the 1990s (notably in the reform plans set forth in the Agenda 2000 under Commissioner Franz Fischler), the EU responded by advocating the "multifunctionality" concept of agriculture. Among the EU's trading partners, the concept quickly gained notoriety...
Nappo, Solange Aparecida; Sanchez, Zila M; Ribeiro, Luciana Abeid
In the past year, the Brazilian Federal Government and society have reported and acted on a crack use epidemic, which has been exacerbated by the media. This study hypothesized that crack use has not increased at the rate suggested by the Brazilian media. A cross-sectional survey was carried out in 2010 using a multistage probabilistic representative sample of Brazilian middle and high school students in the country's 27 state capitals. A total of 50,890 valid questionnaires were weighted, analyzed and results compared to the 2004 national school survey dataset. Considering lifetime and past year crack use, no change in consumption was found between 2004 and 2010. Official data in Brazil on middle and high school students does not support the assertion of a crack epidemic widely publicized by the media. Government measures to treat and prevent crack use are encouraged; however, the term epidemic has been inappropriately used to represent the static prevalence of crack consumption among students.
Popovska Avramova, Andrijana; Ruepp, Sarah Renée; Dittmann, Lars
The vision of the Fifth generation (5G) of mobile communication is that it will be an umbrella for communications for various vertical industries that have different requirements for delay, data rates, reliability, availability, and security. 5G will not be a single technology - rather a converge......The vision of the Fifth generation (5G) of mobile communication is that it will be an umbrella for communications for various vertical industries that have different requirements for delay, data rates, reliability, availability, and security. 5G will not be a single technology - rather...... a convergence of not just new revolutionary technologies, but of the already existing, and evolving technologies as well. This paper analyses the impact of convergence and its importance to the evolution of critical communication systems, both with respect to the fundamental features of the public safety...
Public Law 105-119 (Law) was enacted in November 1997 as part of the Defense Authorization Act of 1998 (Act). The Law specifically requires the US Department of Energy (DOE) to identify lands that are suitable for conveyance or transfer at Los Alamos National Laboratory (LANL) within 90 days after enactment of the Act. In general, suitable lands include those parcels that are not required to meet the national security missions assigned to DOE at LANL within a ten year period beginning on the date of enactment of the Act. Additional suitability criteria are addressed below and include the need to establish clear title to the land and to restore areas contaminated with hazardous wastes. This proposed change in future land ownership is intended to serve as the final settlement of DOE community assistance obligations with respect to LANL and Los Alamos County and to stimulate economic development
Wirick, D.W.; Davis, V.W.; Burns, R.E.; Jones, D.N.
In the face of sweeping changes in utility markets and regulatory practices, public utility commissions are being forced to change in fundamental ways--to substantially transform themselves rather than to make only incremental changes in their operations. Managing this process of radical change is complicated by the fact that for the foreseeable future some portions of utility markets (e.g., water utilities) will function much as they have before. Some envision commissions in the future that are more externally focussed, that rely more on dispute resolution than adjudicatory proceedings, that concentrate on identifying and understanding competitive markets, that are more automated, and that are more likely to question old assumptions and definitions. This report identifies the considerations commissions might apply for identifying what mix of skills or fields of experise should compromise the technical staff. Factors are also identified which point towards a sectoral arrangement of staff and those factors which point toward a functional approach.
Association du personnel
The summer holidays are over. And like every year around this time the Staff Association comes to meet you in your Departments to inform you about the topics currently being discussed at CERN. We count very much on the exchange of views and opinions between you and us that takes place during these meetings. Once again in 2009 there are a wide range of topics to be discussed. If the stakes are generally high, this year and the next ones they are huge. This is an additional reason for the need to see a maximum number of motivated candidates stand at the forthcoming elections for the Staff Council in November 2009. For all these reasons and to help us prepare optimally for these critical deadlines, we invite all of you to attend our public meetings.
Brundtland, G H
This paper presents the speech delivered by Gro Harlem Brundtland, Director-General of WHO, on issues related to nutrition from a health and a human rights perspective. According to Brundtland, nutrition is a universal factor that both affects and defines the health of all people. It affects not only growth and physical development of a child, but also his cognitive and social development. However, inequity, poverty, underdevelopment, as well as inadequate access to food, health and care still exist which have resulted to the deaths of millions of children and left many more suffering from diseases. Poverty has also been identified as the main obstacle to the attainment of health. The existence of structural poverty and ill health eventually leads to poor development, which includes poor nutrition, poor health, and poor human rights. The impact of poverty on health is further worsened by discrimination on the basis of race, color, sex, language, or religion. To address this issue, the WHO will renew their focus on the political and legal links between health and human rights. A human rights perspective provides the international community with an opportunity to support the development of public health policies and practices that promote healthy nutrition as a center of all social and economic development.
Aliaga, Marie Agnès; Chaves-Dos-Santos, Sandra Maria
Food security exists when all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life. In a global scenario where hunger and obesity affect millions of people, public actions have been developed towards Food and Nutrition Security (FNS). In 1996 during the World Food Summit, 186 countries signed the Rome Declaration, committing themselves to assess and address Food and Nutrition Insecurity. In this exploratory study, we compile secondary internet data using keywords in four languages to map the global distribution, among signatories, of FNS public initiatives and assess their association with key national-level socioeconomic indicators. As a result, we found FNS public policies in 123 countries, reports on the state of FNS in 139 countries, and the presence of both in 114 countries (61%). The proportion of countries with any type of, as well as with specific, FNS policy or diagnostic was higher in least developed countries. There was a statistically significant association between these proportions and selected national-level socioeconomic variables. The results are discussed along with population vulnerability, international cooperation mechanisms and political discourse and how these factors impact the existence of FNS public actions. Copyright © 2013 Elsevier Ltd. All rights reserved.
Ebreo, A.; Vining, J.
Surveys focusing on solid-waste-related issues, conducted over a period of several years, provided data from independent samples of residents of a Midwestern, USA, community. The collection of these data yielded useful information about the relationship between residents' recycling motives and their attitudes toward solid waste management in light of several changes in the solid waste infrastructure of the community over that time. The initial survey assessed baseline beliefs and attitudes, while later surveys were conducted after the implementation of a community educational program and a curbside recycling program. The findings indicated that for recyclers and nonrecyclers, different motives predicted endorsement of solid waste programs and policies. Although a similar percentage of recyclers and nonrecyclers were in support of various proposed programs and policies, concern for the environment was found to be positively related to nonrecyclers' support of proposed programs, particularly before these programs were implemented. Prior to program implementation, motives other than environmental altruism were found to be related to recyclers' support of the programs. Additional findings support the idea that educational programs and increased accessibility to recycling opportunities affect the relationship between people's attitudes toward solid waste management and their recycling motives.
C, Manyike Pius; M, Chinawa Josephat; Elias, Aniwada; I, Odutola Odetunde; Awoere, Chinawa T.
Background and Objective: Child sexual abuse among adolescents is an often overlooked issue in pediatrics, yet it is a major cause of low self esteem and stigmatization in adolescents. The objective of this study was to determine the socioeconomic determinant and pattern of child sexual abuse among adolescent attending secondary schools in South East Nigeria. Methods: This was a cross-sectional study that was carried out among children in three secondary schools in Enugu and Ebonyi states of Nigeria. Five hundred and six adolescents who met inclusion criteria were consecutively recruited into our prospective study between June and October, 2014. Results: One hundred and ninety nine (40 %) of the respondents had been abused and the commonest form of abuse was to look at pornographic pictures, drawings, films, videotapes or magazine 93(18.4%). Fifty eight (11.5%) adolescents stated that they were abused once with age at first exposure being 7-12 years 57 (11.4%). When grouped together, family members and relatives are perpetrators of child sexual abuse. There was significant difference in sex abuse between males and females (p=0.014) while there were no significant difference for age (p=0.157) and social class (p=0.233). Conclusion: Overall prevalence and one time prevalence rates of sexual abuse among adolescents in south east Nigeria was 40% and 11.5% respectively with male perpetrators. There is no link between socioeconomic class, age and child sexual abuse among adolescents. PMID:26430412
E. V. Pesennikova
Full Text Available Purpose. To consider the relationship between the concepts of “medical service” and “medical care” in the work of public medical institutions, based on the analysis of normative legal documents of the modern period.Materials and methods. In the course of the research, more than 18 legal and regulatory documents that were published during the period from 1990 to 2017 were analyzed, an analysis of judicial practice and related literature sources (periodicals was carried out.Results. The analysis made it possible to distinguish the stages in the development of the organizational and legal framework for the provision of paid medical services in the Russian Federation and the dynamics of the relationship between the terms “medical care” and “medical service”. It was revealed that the concept of “medical services” appeared much later and was associated with the development of paid medical services and the need to establish legal aspects of health care. The provision of medical assistance is regulated mainly by public law, and the provision of medical services is governed by private law. The term “medical care” is broader than the “medical service” from the standpoint of the social aspect. At the same time, the concept of “medical service” can be considered more widely than medical care in cases when it is not only about measures aimed at treating the patient, but also about providing additional services to the patient in the process of receiving medical care.Conclusion. Thus, we concluded that the categories of medical care and medical services should not be identified, but also not completely different concepts, but rather enter into a partial intersection relationship. The need to distinguish between the concepts of “medical care” and “medical service” is dictated not only by the category relations or opinion of the population and the medical community, but also by the need for legal support for the process of
Iliyasu, Z.; Abubakar, I.; Gajida, A.U.
Sub-Saharan African countries are at an increased risk of the effects of global warming. Unfortunately they have the least capacity to adapt to its untoward effects. We studied public awareness of global warming, its perceived causes, effects and prevention in Kano city, northern Nigeria. Structured questionnaires were administered on a cross section of 181 adults in Kano eliciting their awareness of global warming, as well as perceived causes, effects and ways of prevention. Of the 181 respondents, 132 (72.9%) were aware of global warming mainly from electronic media (44.4%), the Internet (20.5%) and schools (18.7%). They mostly attributed it to air pollution (99.2%), use of fossil fuels (97.7%), toxic waste (78.0%) and chlorofluorocarbons (73.5%). Perceived effects of global warming include extremes of ambient temperature (97.7%), increased disease outbreaks (92.4%), floods (68.2%), droughts (51.5%) and loss of species (50.0%). Respondents opined that global warming could be prevented by using renewable sources of energy such as the sun (53.8%), massive tree planting (44.7%) and phasing out of old automobiles (43.2%). A significantly higher proportion of males, younger and educated respondents were aware of global warming. The high awareness about global warming needs to be reinforced through use of media to encourage advocacy and community action towards preventing global warming and ensuring environmental sustainability.
The process of globalization has rendered societies interdependent on one another and has fostered the movement of people, goods and ideas at unprecedented speed and volume. Global travel has grown from 25 million in 1950 to 500 million in 1993, and estimations by 2010 reach 1 billion. The increased intensity and quantity of travel has resulted in greater vulnerability to the domino-type spread of old, new and re-emerging infectious diseases. Travelers and local populations are also vulnerable to death and disability due to accidents, violence and injuries, chronic diseases such as those due to substance abuse (tobacco, alcohol and others), and to undesirable behaviors such as those related to sex-tourism. This article argues that tourism, understood as any type of travel, is one of the most important sectors of the economy in many countries and, therefore, can contribute to community and national development. It also asserts that travel, as a factor in the spread of disease, lies in the realm of public health inquiry. It calls for greater collaboration between the tourism-travel industry and community, national and global leaders to promote and enforce "responsible tourism."
The present rules of radiation protection are based on the concepts adopted fifteen years ago and now outdated, and on the ICRP 60 publication. They have become a matter of dispute among experts groups, research, and the regulatory authorities. A major role in this debate is played by new basic scientific and epidemiological findings, economic and political interests, the influence of the media, and the psychology of risk perception. For instance, also the different evaluations of natural and manmade radiation exposures contribute to the general sense of uncertainty. The article summarizes the discussion, and the development, in the past two or three years. Special attention is given to the trends which are to result in sound, feasible practices from the currently dominating assumption of the LNT/collective dose hypotheses with an interpolation to low or even very low doses. The renewed discussion sparked off by current research findings should result in a reasonable way of handling radiation so as to be able to classify a potential radiation risk in an appropriate balance between natural and manmade risks. (orig.) [de
Although the Second National Abortion Survey Gallup found that 88% of Mexicans believe abortion should be a woman's choice and 77% think the decriminalization of abortion would substantially reduce maternal mortality, abortion in Mexico remains governed by a 1931 criminal code. The survey was initiated by the Information and Reproductive Choice Group to provide information for the 1994 national debate on abortion. Supporters of legal abortion note that poor women resort to unsafe pregnancy terminations without regard to the criminal status of abortion. According to Patricia Mercado, co-founder of the Reproductive Choice Group, "You can be against abortion, but still allow it to be decriminalized. In other words, criminalization does not prevent women from having abortions, it only makes then have then in bad conditions. The idea is that women should be able to decide freely without risking problems of health and social justice." Despite public support for abortion legalization, survey results indicate widespread fear about acknowledging the existence of clandestine abortion. An estimated 1-2 million illegal abortions occur each year in Mexico, yet only 26% of survey respondents would admit to knowing a woman who had undergone illegal abortion.
For a long time considered as total and absolute, healthcare professional secrecy is today difficult to reconcile with care practices. Lots of paradoxes question its preservation in favour of general interest and public order against the protection of private interest within an individualistic normative society. Exploring this interrogation, the article's objective is to initiate an ethical discussion from a professional caregiver secrecy's historical and sociological evolution perspective. Thus, with the help of theoretical understandings, especially those by Michel Foucault, medical secrecy is considered a defense of rationality specific to populations' government. This conceptualization finds arguments through social collective norms attached to an alienating biopower at the expense of secrecy integrated as an individualistic and immanent social norm. However, beyond the well-known debate on the absolute necessity for change, evolution… the distance from the Socratic and Hippocratic principles engage people and society in real democratic decisions about Health. Also, health professionals, patients, usgers and society must consider the limits that would lead to medical confidentiality.
Mohamed Azmi Hassali
Full Text Available Context: A better understanding of medication safety ensures better health state among healthcare consumers. Aim: The study aims to assess general public awareness toward issues related to medication safety. Settings and Design: A cross-sectional study was conducted among general public selected conveniently in the state of Penang, Malaysia. Materials and methods: A total of 500 respondents were approached and 476 consumers participated in the survey giving a response rate of 95.2%. Statistical analysis: Data were analyzed by using SPSS version 12.0 and descriptive statistics were reported where appropriate. Results: Majority of the respondents (n=292, 61.3% stated that they were well aware of the possible side effects of their current medications. A total of 196 respondents (41.17% believed that all medicines registered in Malaysia are safe to use as these medicines have no side effects. About 40.33% (n=192 of the respondents claimed that they share their unused medicines with family and friends who are having similar illness. Majority of respondents 57.7% (n=275 were satisfied with the drug information provided by the healthcare professionals. This study also found that more than 80% of the respondents (n=409 did report that they read the labels of their medication before using. Conclusions: In this study, it was revealed that there is a moderate level of public knowledge regarding medication safety. It is evident that public underestimates the risk of their medications. There is a general lack of awareness and understanding among the public especially toward side effects.
Ganss, C; Young, A; Lussi, A
This paper addresses methodological issues in the field of tooth wear and erosion research including the epidemiological indices, and identifies future work that is needed to improve knowledge about tooth wear and erosion. The paper is result of the work done at the meetings of the Special Interest Group "Tooth Surface Loss and Erosion" at the 2008, 2009 and 2010 conferences of the European Association for Dental Public Health, and the Workshop "Current Erosion indices- flawed or valid" which took place in Basel in 2007. Although there is consensus about the definition and the diagnostic criteria of various forms of tooth wear, gaps in research strategies have been identified. A basic problem is that fundamental concepts of wear and erosion as an oral health problem, have not yet been sufficiently defined. To a certain extent, tooth wear is a physiological condition, and there is no consensus as to whether it can be regarded as a disease. Furthermore, the multitude of indices and flaws in existing indices, make published data difficult to interpret. Topics for the research agenda are: the initiation of a consensus process towards an internationally accepted index, and the initiation of data collection on the prevalence of various forms of wear on a population-based level. There should be an emphasis on promoting communication between basic and clinical sciences, and the area of Public Health Dentistry. Furthermore, the question of whether tooth wear is a public health problem remains open for debate.
Full text: Background: In El Salvador Moderate Acute Malnutrition (MAM) affects less than 1% of children under 5 years old. The importance of MAM has been neglected as a public health issue. Although moderate wasting is not a condition of medical urgency, it can easily deteriorate. If some of these undernourished children with moderate wasting do not receive adequate support, they may progress towards severe acute malnutrition (SAM), defined by the presence of severe wasting and/or bilateral pitting oedema, which is a life-threatening condition. Since 2010, a complementary feeding program for children from 6 to 59 months old was implemented at the primary health clinics for the management of moderate malnutrition. Program was implemented in 100 municipalities identified with the greatest levels of poverty at national level and it consists of a corn-soy fortified flour to be prepared at home as a poudrige given to children during the routine health controls. During the first months of program implementation, an acceptability test was conducted and it was determined that more than 85% of children had good acceptance of the product. The treatment consists of 45 grams per day of complementary food. Mothers were instructed on how to prepare the product and every month they would have to bring their children to the clinic to receive complementary food and control weight gain. If mothers did not attend the control, a health promotion worker would go visit the mother at their home and bring the complementary food to the child. Objective: Assess the results on nutritional status of children under 5 years old with MAM treated with complementary food during health controls at primary health facilities in El Salvador during January to October 2013. Methods: Transversal study. Inclusion criteria was children 6 to 59 months old attending health controls coming from prioritize municipalities, diagnose with MAM by a health professional without other disease or infections that
Thompson, Margaret E; Noel, Mary Barth
The majority of American adults report use of one or more dietary supplements every day or occasionally. The Dietary Supplement Health and Education Act of 1994 defines dietary supplements and regulates their manufacture and distribution. One of the most commonly used supplements is vitamin D. Measurement of serum levels of vitamin D must be undertaken with the caveats that different laboratories define normal levels differently, and that there is rarely a clinical correlation with the actual level. Patients should understand that supplements should not be used to excess, as there are toxicities and other adverse effects associated with most of them. There currently is considerable research being performed on probiotics and how the gut microbiome affects health and disease states. Protein supplements may be useful in reducing mortality rates in elderly patients but they do not appear to increase quality of life. If used, protein supplements should contain essential amino acids. Casein and whey supplements, derived from dairy sources, help transport essential amino acids to tissues. Although there have been many studies investigating the role of vitamin supplements in disease prevention, there have been few conclusive positive results. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.
Background No recent Australian studies or literature, provide evidence of the extent of coverage of multicultural health issues in Australian healthcare research. A series of systematic literature reviews in three major Australian healthcare journals were undertaken to discover the level, content, coverage and overall quality of research on multicultural health. Australian healthcare journals selected for the study were The Medical Journal of Australia (MJA), The Australian Health Review (AHR), and The Australian and New Zealand Journal of Public Health (ANZPH). Reviews were undertaken of the last twelve (12) years (1996-August 2008) of journal articles using six standard search terms: 'non-English-speaking', 'ethnic', 'migrant', 'immigrant', 'refugee' and 'multicultural'. Results In total there were 4,146 articles published in these journals over the 12-year period. A total of 90 or 2.2% of the total articles were articles primarily based on multicultural issues. A further 62 articles contained a major or a moderate level of consideration of multicultural issues, and 107 had a minor mention. Conclusions The quantum and range of multicultural health research and evidence required for equity in policy, services, interventions and implementation is limited and uneven. Most of the original multicultural health research articles focused on newly arrived refugees, asylum seekers, Vietnamese or South East Asian communities. While there is some seminal research in respect of these represented groups, there are other communities and health issues that are essentially invisible or unrepresented in research. The limited coverage and representation of multicultural populations in research studies has implications for evidence-based health and human services policy. PMID:20044938
Garrett, Pamela W; Dickson, Hugh G; Whelan, Anna Klinken; Whyte, Linda
No recent Australian studies or literature, provide evidence of the extent of coverage of multicultural health issues in Australian healthcare research. A series of systematic literature reviews in three major Australian healthcare journals were undertaken to discover the level, content, coverage and overall quality of research on multicultural health. Australian healthcare journals selected for the study were The Medical Journal of Australia (MJA), The Australian Health Review (AHR), and The Australian and New Zealand Journal of Public Health (ANZPH). Reviews were undertaken of the last twelve (12) years (1996-August 2008) of journal articles using six standard search terms: 'non-English-speaking', 'ethnic', 'migrant', 'immigrant', 'refugee' and 'multicultural'. In total there were 4,146 articles published in these journals over the 12-year period. A total of 90 or 2.2% of the total articles were articles primarily based on multicultural issues. A further 62 articles contained a major or a moderate level of consideration of multicultural issues, and 107 had a minor mention. The quantum and range of multicultural health research and evidence required for equity in policy, services, interventions and implementation is limited and uneven. Most of the original multicultural health research articles focused on newly arrived refugees, asylum seekers, Vietnamese or South East Asian communities. While there is some seminal research in respect of these represented groups, there are other communities and health issues that are essentially invisible or unrepresented in research. The limited coverage and representation of multicultural populations in research studies has implications for evidence-based health and human services policy.
Clarke, Christopher E.; Hart, Philip S.; Schuldt, Jonathon P.; Evensen, Darrick T.N.; Boudet, Hilary S.; Jacquet, Jeffrey B.; Stedman, Richard C.
In this article, we examine framing effects regarding unconventional oil and gas extraction using hydraulic fracturing (or fracking): an issue involving considerable controversy over potential impacts as well as terminology used to describe it. Specifically, we explore how two commonly used terms to describe this issue – fracking or shale oil or gas development – serve as issue frames and influence public opinion. Extending existing research, we suggest that these frames elicit different top-of-mind associations that reflect positive or negative connotations and resonate with people's political ideology. These associations, in turn, help explain direct and indirect framing effects on support/opposition as well as whether these effects differ by political ideology. Results of a split-ballot, national U.S. survey (n=1000) reveal that people are more supportive of the energy extraction process when it is referred to as shale oil or gas development versus fracking, and this relationship is mediated by greater perceptions of benefit versus risk. Political ideology did not moderate these effects. Further analysis suggests that these findings are partly explained by the tendency to associate fracking more with negative thoughts and impacts and shale oil or gas development more with positive thoughts and impacts. However, these associations also did not vary by political ideology. We discuss implications for communicating risk regarding energy development. -- Highlights: •How an issue is presented (“framed”) influences how people perceive it. •We applied this premise to oil/gas extraction via hydraulic fracturing (fracking). •We examined two commonly used frames: fracking and shale oil or gas development. •People viewed the former less favorably irrespective of political ideology. •We discuss implications for communicating about energy development impacts
... matter involves the advertising and promotion of BOOST Kid Essentials, a children's nutritional drink... representations made in connection with the manufacturing, labeling, advertising, promotion, offering for sale... Policy Statement on Food Advertising, ``[t]he Commission regards the `significant scientific agreement...
Rasul, Golam; Hussain, Abid; Mahapatra, Bidhubhusan; Dangol, Narendra
The status of food and nutrition security and its underlying factors in the Hindu-Kush Himalayan (HKH) region is investigated. In this region, one third to a half of children (security in the HKH region. To achieve sustainable food and nutrition security in the mountains, this study suggests a multi-sectoral integrated approach with consideration of nutritional aspects in all development processes dealing with economic, social, agricultural and public health issues. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.
... Information Packets Equipment Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At ... curesma.org > support & care > living with sma > medical issues > orthopedics Orthopedics In SMA, muscle weakness can cause ...
... Information Packets Equipment Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At ... curesma.org > support & care > living with sma > medical issues > equipment Equipment Individuals with SMA often require a ...
... Information Packets Equipment Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At ... curesma.org > support & care > living with sma > medical issues > breathing Breathing Breathing problems are the most common ...
McEntee, Marie; Mortimer, Claire
This article examines two large-scale public communication campaigns to explore the appropriateness and effectiveness of using one-way communication in contentious environmental issues. The findings show while one-way communication can be successfully employed in contentious issues, it is not appropriate for all contexts and may contribute to…
Täuber, Susanne; van Zomeren, Martijn; Kutlaca, Maja
The main objective of this paper is to identify a serious problem for communicators regarding the framing of climate issues in public discourse, namely that moralizing such an issue can motivate individuals while at the same time defensively lead them to avoid solving the problem. We review recent
Yu, K. C.; Raynolds, R. G.; Dechesne, M.
New visualization technologies, from ArcGIS to Google Earth, have allowed for the integration of complex, disparate data sets to produce visually rich and compelling three-dimensional models of sub-surface and surface resource distribution patterns. The rendering of these models allows the public to quickly understand complicated geospatial relationships that would otherwise take much longer to explain using traditional media. We have impacted the community through topical policy presentations at both state and city levels, adult education classes at the Denver Museum of Nature and Science (DMNS), and public lectures at DMNS. We have constructed three-dimensional models from well data and surface observations which allow policy makers to better understand the distribution of groundwater in sandstone aquifers of the Denver Basin. Our presentations to local governments in the Denver metro area have allowed resource managers to better project future ground water depletion patterns, and to encourage development of alternative sources. DMNS adult education classes on water resources, geography, and regional geology, as well as public lectures on global issues such as earthquakes, tsunamis, and resource depletion, have utilized the visualizations developed from these research models. In addition to presenting GIS models in traditional lectures, we have also made use of the immersive display capabilities of the digital "fulldome" Gates Planetarium at DMNS. The real-time Uniview visualization application installed at Gates was designed for teaching astronomy, but it can be re-purposed for displaying our model datasets in the context of the Earth's surface. The 17-meter diameter dome of the Gates Planetarium allows an audience to have an immersive experience---similar to virtual reality CAVEs employed by the oil exploration industry---that would otherwise not be available to the general public. Public lectures in the dome allow audiences of over 100 people to comprehend
Full Text Available Abstract Background Chile has suffered a fast increase in childhood obesity in the last 10 years. As a result, several school programmes have been implemented, however the effectiveness of these needs to be evaluated to identify and prioritize strategies to curve this trend. Methods Cluster randomized controlled trial. Twelve primary public schools chosen at random over three regions of the country will take part in this study. The sample size consisted of a total of 1,655 children. For each region one school will be selected for each of the three nutritional intervention modes and one school will be selected as the control group. The intervention modes consist of the following: Healthy Kiosk and nutritional education (KSEAN; Optimized physical activity (AFSO; Healthy Kiosk and nutritional education (KSEAN + optimized physical activity (AFSO; Control group. The effectiveness of each intervention will be evaluated by determining the nutritional condition of each child by measuring percentage of body fat, BMI and the z-score of the BMI. This study will also identify the eating behaviours, nutritional knowledge and fitness of each child, along with the effective time of moderate activity during physical education classes. Discussion A protocol to evaluate the effectiveness of a school based intervention to control and/or reduce the rates of childhood obesity for children between 6 and 10 years of age was developed. The protocol was developed in line with the Declaration of Helsinski, the Nüremberg Code and the University of Chile Guidelines for ethical committees, and was approved by the INTA, Universidad de Chile ethical committee on Wednesday 12 March 2014. There is consensus among researchers and health and education personnel that schools are a favourable environment for actions to prevent and/or control childhood obesity. However a lack of evidence on the effectiveness of interventions to date has led some to question the wisdom of
Bustos, Nelly; Olivares, Sonia; Leyton, Bárbara; Cano, Marcelo; Albala, Cecilia
Chile has suffered a fast increase in childhood obesity in the last 10 years. As a result, several school programmes have been implemented, however the effectiveness of these needs to be evaluated to identify and prioritize strategies to curve this trend. Cluster randomized controlled trial. Twelve primary public schools chosen at random over three regions of the country will take part in this study. The sample size consisted of a total of 1,655 children. For each region one school will be selected for each of the three nutritional intervention modes and one school will be selected as the control group. The intervention modes consist of the following: Healthy Kiosk and nutritional education (KSEAN); Optimized physical activity (AFSO); Healthy Kiosk and nutritional education (KSEAN) + optimized physical activity (AFSO); Control group. The effectiveness of each intervention will be evaluated by determining the nutritional condition of each child by measuring percentage of body fat, BMI and the z-score of the BMI. This study will also identify the eating behaviours, nutritional knowledge and fitness of each child, along with the effective time of moderate activity during physical education classes. A protocol to evaluate the effectiveness of a school based intervention to control and/or reduce the rates of childhood obesity for children between 6 and 10 years of age was developed. The protocol was developed in line with the Declaration of Helsinski, the Nüremberg Code and the University of Chile Guidelines for ethical committees, and was approved by the INTA, Universidad de Chile ethical committee on Wednesday 12 March 2014. There is consensus among researchers and health and education personnel that schools are a favourable environment for actions to prevent and/or control childhood obesity. However a lack of evidence on the effectiveness of interventions to date has led some to question the wisdom of allocating resources to programmes. This is the first study
Jay E Maddock
Full Text Available Legislation and regulation at the state and local level can often have a greater impact on the public’s health than individual-based approaches. Elected and appointed officials have an essential role in protecting and improving public health. Despite this important role, little systematic research has been done to assess the relative importance of public health issues compared to other policy issues in times of economic hardship. This study assessed attitudes of elected and appointed decision makers in Hawaii in 2007 and 2013 to determine if priorities differed before and after the economic recession. Methods: Elected and appointed state and county officials were mailed surveys at both time points. Respondents rated the importance of 23 specified problems, of which 9 asked about specific public health issues. Results: The survey was completed by 126 (70.4% respondents in 2007 and 117(60.9% in 2013. Among the public health issues, five saw significant mean decreases. These variables included: climate change, pedestrian safety, government response to natural disasters, access to healthcare, and pandemic influenza. Obesity was the only public health issue to increase in importance across the two time points. In terms of relative ranking across the time points, only drug abuse and obesity were among the top ten priorities. Lack of public health training, pandemic influenza, and government response to natural disasters were among the bottom five priorities. Conclusions: After the economic recession, many public health issues have a lower priority among Hawaii’s policy makers than before the downturn. Additional education and advocacy is needed to keep public health issues on the minds of decision makers during tough economic times.
Pacheco Santos, Leonor Maria; Nazaré Araújo, Maria da Purificação; Martins, Maísa Cruz; Veloso, Iracema Santos; Assunção, Marilena Pacheco; Chaves dos Santos, Sandra Maria
This study evaluated the Workers' Nutrition Program in Brazil from 1995 to 2002, from a structure-process-results perspective. The methodology involved documental research and a case study in 45 municipalities in the State of Bahia, resulting in 2,389 household interviews. In relation to structure, we analyzed the program's normative evolution until 2002. As for nutritional recommendations, the program shifted from insufficient calorie supply in the 1980s to a positive association between overweight and employment in companies adopting the Workers' Nutrition Program. In Bahia, overall program coverage was insufficient among the 5,120 adults 20 years or older who were interviewed. A significant difference was observed in access to food benefits among workers in the interior of the State (6.1%) as compared to the State capital, Salvador (26.1%). However, targeting was adequate: all workers benefiting from the program in the interior and 92.4% of those in Salvador earned less than five times the minimum wage (approximately US dollars 950/month). It is necessary to improve the program's coverage in the target population in order to raise workers' awareness about their rights and the actions developed by the program.
Song, SuJin; Song, Won O
Asian regions have been suffering from growing double burden of nutritional health problems, such as undernutrition and chronic diseases. National nutrition survey plays an essential role in helping to improve both national and global health and reduce health disparities. The aim of this review was to compile and present the information on current national nutrition surveys conducted in Asian countries and suggest relevant issues in implementation of national nutrition surveys. Fifteen countries in Asia have conducted national nutrition surveys to collect data on nutrition and health status of the population. The information on national nutrition survey of each country was obtained from government documents, international organizations, survey website of governmental agencies, and publications, including journal articles, books, reports, and brochures. The national nutrition survey of each country has different variables and procedures. Variables of the surveys include sociodemographic and lifestyle variables; foods and beverages intake, dietary habits, and food security of individual or household; and health indicators, such as anthropometric and biochemical variables. The surveys have focused on collecting data about nutritional health status in children aged under five years and women of reproductive ages, nutrition intake adequacy and prevalence of obesity and chronic diseases for all individuals. To measure nutrition and health status of Asian populations accurately, improvement of current dietary assessment methods with various diet evaluation tools is necessary. The information organized in this review is important for researchers, policy makers, public health program developers, educators, and consumers in improving national and global health.