WorldWideScience

Sample records for related health aspects

  1. Multidimensional aspects related to shiftworkers' health and well-being

    Directory of Open Access Journals (Sweden)

    Giovanni Costa

    2004-12-01

    Full Text Available The impact of shift and night work on health shows a high inter- and intra-individual variability, both in terms of kind of troubles and temporal occurrence, related to various intervening factors dealing with individual characteristics, lifestyles, work demands, company organisation, family relations and social conditions. The way we define "health" and "well-being" can significantly influence appraisals, outcomes and interventions. As the goal is the optimisation of shiftworkers' health, it is necessary to go beyond the health protection and to act for health promotion. In this perspective, not only people related to medical sciences, but many other actors (ergonomists, psychologists, sociologists, educators, legislators, as well as shiftworkers themselves. Many models have been proposed aimed at describing the intervening variables mediating and/or moderating the effects; they try to define the interactions and the pathways connecting risk factors and outcomes through several human dimensions, which refer to physiology, psychology, pathology, sociology, ergonomics, economics, politics, and ethics. So, different criteria can be used to evaluate shiftworkers' health and well-being, starting from biological rhythms and ending in severe health disorders, passing through psychological strain, job dissatisfaction, family perturbation and social dis-adaptation, both in the short- and long-term. Consequently, it appears rather arbitrary to focus the problem of shiftworkers' health and tolerance only on specific aspects (e.g. individual characteristics, but a systemic approach appears more appropriate, able to match as many variables as possible, and aimed at defining which factors are the most relevant for those specific work and social conditions. This can support a more effective and profitable (for individuals, companies, and society adoption of preventive and compensative measures, that must refer more to "countervalues" rather than to

  2. The discourse of health managers on aspects related to the delay in tuberculosis diagnosis

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    Lenilde Duarte de Sa

    2013-10-01

    Full Text Available The aim of this study was to analyze the discourse of health managers on aspects related to delay in tuberculosis diagnosis. This was a qualitative research study, conducted with 16 Family Health Unit managers. The empirical data were obtained through semi-structured interviews. The analysis was based on the theoretical framework of the French school of discourse analysis. According to the managers’ statements, the delay in tuberculosis diagnosis is related to patient and health service aspects. As for patient aspects, managers report fear, prejudice and lack of information as factors that may promote a delayed diagnosis. Regarding health service aspects, structural problems and lack of professional skills were reported. The discourse of managers should be considered to qualify tuberculosis control actions and to prevent delays in diagnosis.

  3. The role of law in addressing mental health-related aspects of disasters and promoting resilience.

    Science.gov (United States)

    Rutkow, Lainie

    2012-01-01

    Law plays a critical role in emergency preparedness and disaster response by establishing an infrastructure for the response and facilitating coordination among the federal, state, and local governments. Once a disaster occurs, certain legal mechanisms are activated to ensure that individuals' needs for mental health care are met, both for pre-existing and emergent conditions. This includes the rapid deployment of mental health care personnel and the implementation of crisis counseling programs in affected regions. By facilitating an influx of resources, including personnel, supplies, and financial assistance, the law can help communities quickly rebound and return to a sense of normal. Drawing on examples from the United States, this article illustrates the diverse ways in which the law simultaneously addresses mental health-related aspects of disasters and promotes resilience within affected communities.

  4. ASPECTS OF HEALTH AND THE ENVIRONMENT RELATED TO CONSUMPTION OF ORGANIC FOODS

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    Edmilson Pinto de Albuquerque Júnior

    2013-05-01

    Full Text Available Organic food is considered healthy and environmentally friendly, then becoming relevant the investigation about these two constructs associated to the purchase intention of consumers. This study sought to investigate which aspect, among those related to the environmental awareness and the pursuing of health, has greater influence on the shopping intentions of the consumer of organic fruits and vegetables (FV. To this end, it was applied a survey research type. The sample involved 200 interviewees. The questionnaires were applied from February to March, 2012, at two distribution channels of organic food in the city of Fortaleza, Ceará: agroecological fair and supermarkets. The factor analysis was employed for the statistical analysis of data by using the SPSS software, version 20. The results indicate that the aspects concerning health present more influence on the purchase intentions related to that type of food. From a managerial point of view, the contributions from this study reside in the comprehension of the determining variables of the purchase behavior of an ascending market, what suggests basis to the development of strategies, by the agents of the productive chain, adequate to the analyzed market.

  5. The glycemic index: methodological aspects related to the interpretation of health effects and to regulatory labeling.

    Science.gov (United States)

    Aziz, Alfred

    2009-01-01

    The glycemic index (GI) is an experimental system that classifies carbohydrates (CHO) and CHO-containing foods according to their blood glucose-raising potential. It is based on the glycemic response following the ingestion of a test food containing a defined amount of available CHO relative to that of an equi-carbohydrate portion of either white bread or glucose. The concept has been extended to mixed meals and whole diets where the GI of the meal/diet is expressed as the weighted average of the GI of each food, based on the percentage of the total mealldiet CHO provided by each food. Over the last few decades, a substantial number of epidemiological and interventional studies have reported beneficial associationsleffects of lower GI diets across a wide spectrum of pathophysiological conditions, including diabetes, cardiovascular disease, obesity, and certain forms of cancer. This has prompted proponents of the GI to recommend its use for dietary planning and labeling purposes. However, the currently recommended GI methodology is not well standardized and has several flaws, which brings into question the strength of evidence attributed to the health effects of low-GI diets. This review focuses exclusively on the methodological aspects of the GI, how they might impact the interpretation of data related to the purported health benefits of low GI diets, and the considerations for the use of the GI in food labeling. In addition, alternative systems for classifying the glycemic effects of CHO-containing foods are briefly discussed.

  6. Social aspects related to smoking in an elderly population attending the Health Family Program

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    Claudia Kümpel

    2015-02-01

    Full Text Available Smoking habits increase occurred in the XX century, especially in the 50-60ths decades; countries like Brazil and Spain, among others, saw a significant decrease of its consume in the 1990ths decade; however, social repercussions were harmful for a long period of time. Objectives: Assess the social aspects related to smoking in an elderly population; evaluate the main social factors that led to smoking. One hundred and sixty subjects with 60 or more years were included into two groups: non-smoking (G1 (N=80 and smoking (G2(N=80 groups; both had a smoking history over 20 packs/years, e.g., equivalent of one smoked pack per day for 20 years; and also those who did not present dementia or any condition that would not allow them to respond the questionnaires applied in the study. All subjects included attended the health family program in the Capão Redondo region, São Paulo (SP city, Brazil. Mean age was: 66.7+ 5.95 and 67+13 years G1 and G2, minimum and maximum age was 60 and 80 years old, respectively. Mean house residents were: 3.45 + 1.57 and 4.6 +2.1 of G1 and G2, respectively, having more smokers with lower financial and educational resources; an illiterate presented a significant higher risk then a subject with completed undergraduation. Smoking brings important social repercussions over families; parents/friends that smoke are significant stronger related risk factors for other people to start smoking.

  7. Associations between the structural and functional aspects of social relations and poor mental health: a cross-sectional register study

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    Lise Røntved Hansen

    2017-11-01

    Full Text Available Abstract Background Social relations influence mental health through different pathways. To capture the complexity of social relations, it is beneficial to consider both the structural (e.g., reachability of social network and social integration and functional (e.g., instrumental and emotional support aspects of the concept. Both aspects are rarely investigated simultaneously. This study aimed to examine the association between the structural and functional aspects of social relations and poor mental health. Methods The study was designed as a cross-sectional register study. We used data on mental health and social relations from 15,839 individuals aged 16–92 years with a mean age of 49.0 years (SD 17.9 who responded to The North Denmark Region Health Survey 2013 among residents in Northern Jutland, Denmark. The 12-Item Short-Form Health Survey measured mental health; a cut-off point of 44.5 was used to dichotomize participants into poor and good mental health. The categorization of social relations was inspired by Berkman et al.’s conceptual model of social relations and health. The analyses were performed with survey logistic regression. Results We found that 21.6% (n = 3422 of participants reported poor mental health, and 59% (n = 2020 of these were women. Being in contact with family and friends less than once a month statistically significantly increased the risk for poor mental health (Family OR = 1.78, 95% CI = 1.51–2.10 and Friends OR = 2.65, 95% CI = 2.30–3.06. The individuals who were not in contact with their network as often as they liked had a significantly higher risk for poor mental health (OR = 2.40, 95% CI = 2.20–2.62. Lack of instrumental support was associated with a higher risk for poor mental health (OR = 2.81, 95% CI = 2.26–3.48. We found an interaction between age and emotional support; the youngest population had the highest risk for poor mental health when they did not have access to

  8. Associations between the structural and functional aspects of social relations and poor mental health: a cross-sectional register study.

    Science.gov (United States)

    Hansen, Lise Røntved; Pedersen, Stinna Bibi; Overgaard, Charlotte; Torp-Pedersen, Christian; Ullits, Line Rosenkilde

    2017-11-03

    Social relations influence mental health through different pathways. To capture the complexity of social relations, it is beneficial to consider both the structural (e.g., reachability of social network and social integration) and functional (e.g., instrumental and emotional support) aspects of the concept. Both aspects are rarely investigated simultaneously. This study aimed to examine the association between the structural and functional aspects of social relations and poor mental health. The study was designed as a cross-sectional register study. We used data on mental health and social relations from 15,839 individuals aged 16-92 years with a mean age of 49.0 years (SD 17.9) who responded to The North Denmark Region Health Survey 2013 among residents in Northern Jutland, Denmark. The 12-Item Short-Form Health Survey measured mental health; a cut-off point of 44.5 was used to dichotomize participants into poor and good mental health. The categorization of social relations was inspired by Berkman et al.'s conceptual model of social relations and health. The analyses were performed with survey logistic regression. We found that 21.6% (n = 3422) of participants reported poor mental health, and 59% (n = 2020) of these were women. Being in contact with family and friends less than once a month statistically significantly increased the risk for poor mental health (Family OR = 1.78, 95% CI = 1.51-2.10 and Friends OR = 2.65, 95% CI = 2.30-3.06). The individuals who were not in contact with their network as often as they liked had a significantly higher risk for poor mental health (OR = 2.40, 95% CI = 2.20-2.62). Lack of instrumental support was associated with a higher risk for poor mental health (OR = 2.81, 95% CI = 2.26-3.48). We found an interaction between age and emotional support; the youngest population had the highest risk for poor mental health when they did not have access to emotional support (Young OR = 5.26, 95% CI = 3

  9. [Health-related consequences of obstructive sleep apnea: daytime sleepiness, accident risk and legal aspects].

    Science.gov (United States)

    Orth, M; Kotterba, S

    2012-04-01

    Daytime sleepiness for any reason leads to impairment of daytime performance and an increased accident rate. The consequences are an increase of illness- and accident-related costs for the health system. Obstructive sleep apnea (OSA) is one of the major reasons for increased daytime sleepiness, especially in professional drivers. The accident frequency in OSA can be significantly reduced by adequate continuous positive airway pressure (CPAP) therapy. Up till now there are no uniform legal regulations about the handling of OSAS patients or patients with daytime sleepiness due to other diseases as far as driving ability is concerned.

  10. Opinion of the scientific panel on animal health and welfare on a request from the commission related to welfare aspects of the castration of piglets

    DEFF Research Database (Denmark)

    Gunn, Michael; Allen, Paul; Bonneau, Michel

    2004-01-01

    Report - Annex to the Opinion of the Scientific Panel on Animal Health and Welfare on a request from the Commission related to welfare aspects of the castration of piglets......Report - Annex to the Opinion of the Scientific Panel on Animal Health and Welfare on a request from the Commission related to welfare aspects of the castration of piglets...

  11. Health Related Campaigns in Social Media and Its Practical Aspects for Youths in Malaysia

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    Ayub Suffian Hadi

    2017-01-01

    Full Text Available The paper discusses the importance of social media in today’s society and review how health related campaign could penetrate the youths in Malaysia. In the internet age, the youths are divided into two; the digital natives (born after 1980 and digital immigrants (born before 1980. Further to that, the paper provides an insight on how past efforts by relevant stakeholders were utilised in creating awareness to Malaysian youths through the social media. Upon identifying the efforts through extensive literature review, the usage of social media in propagating behavioural changes in youths’ were also discussed. Several meaningful impacts were discovered and must be carefully considered in terms of its practical implications to suit Malaysian youths.

  12. Personality affects aspects of health-related quality of life in parkinson's disease via psychological coping strategies

    DEFF Research Database (Denmark)

    Whitworth, Stephanie R.; Loftus, Andrea M.; Skinner, Timothy C.

    2013-01-01

    , choice of coping strategy, and their subsequent effect on HRQoL remains unclear. OBJECTIVE: The objective of this study was to examine whether personality (neuroticism and extraversion) indirectly affects HRQoL through the use of specific psychological coping strategies. Methods: One hundred and forty......Background: Personality traits influence health-related quality of life (HRQoL) in Parkinson's disease (PD). Further, an individual's personality traits can influence the strategies they use to cope with a particular stressful situation. However, in PD, the interplay between personality traits...... for gender, age at diagnosis, and age at testing, the emotion-focused coping strategy of escape-avoidance was significantly correlated with neuroticism and certain aspects of HRQoL (cognitive impairment and social support). This suggests that neurotic personality traits may negatively impact on some aspects...

  13. The role of health-related, motivational and sociodemographic aspects in predicting food label use: a comprehensive study.

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    Hess, Rebecca; Visschers, Vivianne H M; Siegrist, Michael

    2012-03-01

    Previous studies focused on a limited number of determinants of food label use. We therefore tested a comprehensive model of food label use consisting of sociodemographic, health-related and motivating variables. These three predictor groups were chosen based on the previous literature and completed with new predictors not yet examined in a comprehensive study of frequency of label use. We sent questionnaires to a random sample of households in the German-speaking part of Switzerland. The respondents filled in the questionnaire at home and returned it by mail. We analysed the data of 1162 filled-in questionnaires (response rate = 38 %). Of the respondents, 637 were women (55 %), and their mean age was 53·54 (sd 15·68) years. Health-related variables were the most important group of predictors of label use, followed by motivating factors and sociodemographic variables. Placing importance on health, healthy eating and nutritional value of food, perceived vulnerability for diet-related diseases, nutrition knowledge, numeracy and gender were positively associated with frequency of food label use whereas shopping habits and seeing eating as something positive were negative predictors of frequency of label use. People's health consciousness should be raised in order to increase the frequency of food label use. Furthermore, it should be stressed that reading labels and keeping a healthy diet do not contradict 'good eating', and that both of these aspects can be combined with the help of food labels.

  14. Feed- and feed additives-related aspects of gut health and development in weanling pigs.

    Science.gov (United States)

    Pluske, John R

    2013-01-07

    The development of new/different management and feeding strategies to stimulate gut development and health in newly-weaned pigs, in order to improve growth performance while minimizing the use of antimicrobial compounds such as antibiotic growth promotants (AGP) and heavy mineral compounds, is essential for the long-term sustainability of the pig industry. Factors including the sub-optimal intake of nutrients and energy, inappropriate microbiota biomass and (or) balance, immature and compromised immune function, and psychosomatic factors caused by weaning can compromise both the efficiency of digestion and absorption and intestinal barrier function through mucosal damage and alteration of tight junction integrity. As a consequence, pigs at weaning are highly susceptible to pathogenic enteric conditions such as post-weaning diarrhea that may be caused by serotypes of enterotoxigenic Escherichia coli. Many dietary components, e.g., protein, fiber, feed additives and minerals, are known to influence microbial growth in the gastrointestinal tract that in turn can impact upon pig growth and health, although the relationships between these are sometimes not necessarily apparent or obvious. In a world climate of increased scrutiny over the use of antibiotics per se in pig production, certain feed additives are seen as alternatives/replacements to antibiotics, and have evolved in some cases to have important roles in everyday commercial pig nutrition. Nevertheless and in general, there remains inconsistency and variability in the efficacy of some feed additives and in cases of severe disease outbreaks, for example, therapeutic antibiotics and/or heavy minerals such as zinc oxide (ZnO) are generally relied upon. If feed ingredients and (or) feed additives are to be used with greater regularity and reliability, then it is necessary to better understand the mechanisms whereby antibiotics and minerals such as ZnO influence animal physiology, in conjunction with the use of

  15. Health-related aspects of objectively measured daily physical activity in children

    DEFF Research Database (Denmark)

    Dencker, Magnus; Andersen, Lars Bo

    2008-01-01

    It is well established that physical inactivity in adults is associated with increased mortality and morbidity. Whether daily physical activity level is related to risk factors for cardiovascular disease (CVD) in children has been debated. Furthermore, objective data on the habitual daily physica...... activity. This review summarizes recently published studies that have used accelerometers to measure daily physical activity in children and related activity data to known risk factors for CVD.......It is well established that physical inactivity in adults is associated with increased mortality and morbidity. Whether daily physical activity level is related to risk factors for cardiovascular disease (CVD) in children has been debated. Furthermore, objective data on the habitual daily physical...... activity in children have at large been scarce in the literature. The main reason for this is the fact that daily physical activity is very difficult to measure in children. In recent years, a new device, the accelerometer, has emerged as a frequently used instrument for the measurement of daily physical...

  16. Vested interests in addiction research and policy. Alcohol industry use of social aspect public relations organizations against preventative health measures.

    Science.gov (United States)

    Miller, Peter G; de Groot, Florentine; McKenzie, Stephen; Droste, Nicolas

    2011-09-01

    It has been proposed that alcohol industry 'social aspects/public relations' organizations (SAPROs) serve the agenda of lending credibility to industry claims of corporate responsibility while promoting ineffective industry-friendly interventions (such as school-based education or TV advertising campaigns) and creating doubt about interventions which have a strong evidence base (such as higher taxes on alcoholic beverages). This paper investigated whether submissions to Australia's National Preventative Health Taskforce (NPHT) from alcohol industry bodies regarding the Australian SAPRO, Drinkwise, have used this organization to demonstrate corporate responsibility while promoting industry-friendly interventions. Submissions to the Australian National Preventative Health Taskforce (NPHT) discussion paper Australia, the healthiest country by 2020 (n = 375) were examined to identify those with primary alcohol content. A thematic analysis of the resulting 33 submissions was conducted to determine which organization, institution or individual discussed Drinkwise. Australia. Nine of the 33 submissions discussed Drinkwise; all were submitted by the alcohol industry or its affiliates. Every industry submission referred to Drinkwise either as providing evidence of social responsibility or by suggesting the industry-friendly actions of Drinkwise as alternatives to those recommended by the NPHT report. Drinkwise has been used by the alcohol industry to create an impression of social responsibility while promoting interventions that maintain profits and campaigning against effective interventions such as higher taxes on alcohol. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

  17. Nutritional aspects related to endometriosis

    Directory of Open Access Journals (Sweden)

    Gabriela Halpern

    2015-12-01

    Full Text Available SUMMARY This literature review analyzed the evidence on nutritional aspects related to the pathogenesis and progression of endometriosis. Diets deficient in nutrients result in changes in lipid metabolism, oxidative stress and promote epigenetic abnormalities, that may be involved in the genesis and progression of the disease. Foods rich in omega 3 with anti-inflammatory effects, supplementation with Nacetylcysteine, vitamin D and resveratrol, in addition to the increased consumption of fruits, vegetables (preferably organic and whole grains exert a protective effect, reducing the risk of development and possible regression of disease. Dietary re-education seems to be a promising tool in the prevention and treatment of endometriosis.

  18. Residential Surrounding Greenness, Self-Rated Health and Interrelations with Aspects of Neighborhood Environment and Social Relations.

    Science.gov (United States)

    Orban, Ester; Sutcliffe, Robynne; Dragano, Nico; Jöckel, Karl-Heinz; Moebus, Susanne

    2017-04-01

    Previous research suggests that green environments positively influence health. Several underlying mechanisms have been discussed; one of them is facilitation of social interaction. Further, greener neighborhoods may appear more aesthetic, contributing to satisfaction and well-being. Aim of this study was to analyze the association of residential surrounding greenness with self-rated health, using data from 4480 women and men aged 45-75 years that participated in the German population-based Heinz Nixdorf Recall study. We further aimed to explore the relationships of greenness and self-rated health with the neighborhood environment and social relations. Surrounding greenness was measured using the Normalized Difference Vegetation Index (NDVI) within 100 m around participants' residence. As a result, we found that with higher greenness, poor self-rated health decreased (adjusted OR 0.90, 95% CI 0.82-0.98; per 0.1 increase in NDVI), while neighborhood satisfaction (1.41, 1.23-1.61) and neighborhood social capital (1.22, 1.12-1.32) increased. Further, we observed inverse associations of neighborhood satisfaction (0.70, 0.52-0.94), perceived safety (0.36, 0.22-0.60), social satisfaction (0.43, 0.31-0.58), and neighborhood social capital (0.53, 0.44-0.64) with poor self-rated health. These results underline the importance of incorporating green elements into neighborhoods for health-promoting urban development strategies.

  19. Health aspects of automotive pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Jouan, M

    1973-01-01

    General health aspects of carbon monoxide, lead, nitrogen oxides, unburned hydrocarbons, and aldehydes are described. Unlike spark ignition engines, diesel engines emit but minimal quantities of carbon monoxide. Automotive carbon monoxide may cause chronic poisoning by its combination with hemoglobin. The threshold value beyond which physiological changes occur lies at 2.5 percent carboxyhemoglobin. Nitric oxide, and especially nitrogen dioxide cause pulmonary edema, impaired respiratory function, and chronic bronchitis in very low concentrations. According to regulations implemented in France, a CO concentration of 40 ppM/hr must occur not more than 1 percent of the time on a yearly basis. A level of 15 ppm must not be exceeded for more than 15 percent of the time in any 9-hour period. The maximum allowable 1-hour nitrogen oxide concentration is set at 0.25 ppM. The emission standards implemented, as well as favorable meteorological conditions have resulted in an abatement of the CO concentrations in Paris.

  20. Effect of ankylosing spondylitis on health-related quality of life and different aspects of social life in young patients.

    Science.gov (United States)

    Ozgül, Ahmet; Peker, Fatma; Taskaynatan, M Ali; Tan, A Kenan; Dinçer, Kemal; Kalyon, Tunç Alp

    2006-03-01

    The aim of this study was to determine the emotional and sociodemographic characteristics of patients with ankylosing spondylitis (AS) and to investigate the impact of the disease on their social life and quality of life (QOL). This study included 101 patients with the diagnosis of AS. All patients filled in a questionnaire comprising their sociodemographic and emotional status and their self-rating on the disease and completed the 36-item Short Form Health Survey (SF-36). The impact of the disease on work status, sexuality, and family relations was measured on a Likert scale. The impact of the disease on employment, family and sexual relations, work life as well as SF-36 was investigated. Therefore, the effect of educational level, employment, social security, and sexual relations with spouse, etc. on QOL were assessed. More than half of the patients had no knowledge about the disease and half of them were not under a physician's control. Thirty-two percent of the previously working patients quit their jobs because of the disease. Quitting a job due to the disease was more frequent in the first 10 years of the disease. The most affected domains of the SF-36 were physical role power, general health, and pain. Patients unemployed due to the disease had lower SF-36 scores compared with employed ones. Unemployed patients without social insurance had lower values on SF-36 subscales (prelations (pwork and social life. Work disability affects QOL. Educating the patients about the disease may play an important role in improving his/her life quality and coping with the disease. Thus, the socioeconomic burden of the disease on the person and on society can be diminished.

  1. [Looking over the progress of care. Historical and ethical aspects of the relations between health professionals and patients].

    Science.gov (United States)

    Geadah, Roland-Ramzi

    2012-06-01

    If the idea of care materializes by a friendly behaviour, word or movement, the characters who implemented it have seemed, over the history, motivated by varied ideals. Certainly, their name, status and role have not always been precisely described; but their intervention happens to be bound to moral and scientific requirements enriched by collective representations. So after the nobility welcome of the wandering, impoverished and sick stranger, related by Homeric and biblical narratives, the more or less protected professional organization has appeared on behalf of the Greek city, then the Roman one. The image of the suffering Christ has then imposed itself where the distress of the patient could be read; it constituted the engine of the charity due to the latter, whose demonstrations proliferated in the Middle Ages. However, because of the necessary disease prevention in front of epidemics which stressed the increasing opportunities of war and travel, a more and more complex institutional organization has established itself little by little bound to technical and political considerations. More precisely, in the last two centuries, the social unrest bearing aspiration to public health and people's safety has underlied Republican ideals of freedom, solidarity and individual expression. This is what the Nursing staff duty - officially recognized as "healthcare professionals" - responds to today to ensure favorable conditions to the dawn of feelings of comfort, self-fulfillment and respect. As much by caring and listening they ensure as by technical acts they operate, they in fact, participate in the implementation of a distribution of common wealth. Health and welcome of the most deprived therefore constitute, thanks to their thoughtful intervention, the stammerings of a policy of active citizenship.

  2. Aspects related to 'emission trading'

    International Nuclear Information System (INIS)

    Tutuianu, Ovidiu

    1999-01-01

    The paper presents the aspects of international GHG (greenhouse gases) emission trading, such as: quality of GHG emission data, possible partners, monitoring activity, market mechanisms and difficulties. The following conclusions are drown: - debates on international trade with GHG emissions are currently in a very early stage; - actions are possible and feasible, particularly after Kyoto Conference, as versatile mechanism (besides the Joint Implementation Projects) which have in view the lowering of the global emission costs in different zones of the planet; - difficulties concerning monitoring, reporting and verification, practically preclude implementing a system of emission trading covering all the GHG, all the sources and reservoirs; - an international viable system of emission trading could initiate with a limited number of participants and consideration of only emission categories easy to be confined and surveyed; - existence of a national market and corresponding institutions for monitoring which could booster an international system development

  3. Health-Related Quality of Life in Primary Care: Which Aspects Matter in Multimorbid Patients with Type 2 Diabetes Mellitus in a Community Setting?

    Directory of Open Access Journals (Sweden)

    Martina Kamradt

    Full Text Available Knowledge about predictors of health-related quality of life for multimorbid patients with type 2 diabetes mellitus in primary care could help to improve quality and patient-centeredness of care in this specific group of patients. Thus, the aim of this study was to investigate the impact of several patient characteristics on health-related quality of life of multimorbid patients with type 2 diabetes mellitus in a community setting.A cross-sectional study with 32 primary care practice teams in Mannheim, Germany, and randomly selected multimorbid patients with type 2 diabetes mellitus (N = 495 was conducted. In order to analyze associations of various patient characteristics with health-related quality of life (EQ-5D index a multilevel analysis was applied.After excluding patients with missing data, the cohort consisted of 404 eligible patients. The final multilevel model highlighted six out of 14 explanatory patient variables which were significantly associated with health-related quality of life: female gender (r = -0.0494; p = .0261, school education of nine years or less (r = -0.0609; p = .0006, (physical mobility restrictions (r = -0.1074; p = .0003, presence of chronic pain (r = -0.0916; p = .0004, diabetes-related distress (r = -0.0133; p < .0001, and BMI (r = -0.0047; p = .0045.The findings of this study suggest that increased diabetes-related distress, chronic pain, restrictions in (physical mobility, female gender, as well as lower education and, increased BMI have a noteworthy impact on health-related quality of life in multimorbid patients with type 2 diabetes mellitus seen in primary care practices in a community setting. The highlighted aspects should gain much more attention when treating multimorbid patients with type 2 diabetes mellitus.

  4. Health-Related Quality of Life in Primary Care: Which Aspects Matter in Multimorbid Patients with Type 2 Diabetes Mellitus in a Community Setting?

    Science.gov (United States)

    Kamradt, Martina; Krisam, Johannes; Kiel, Marion; Qreini, Markus; Besier, Werner; Szecsenyi, Joachim; Ose, Dominik

    2017-01-01

    Knowledge about predictors of health-related quality of life for multimorbid patients with type 2 diabetes mellitus in primary care could help to improve quality and patient-centeredness of care in this specific group of patients. Thus, the aim of this study was to investigate the impact of several patient characteristics on health-related quality of life of multimorbid patients with type 2 diabetes mellitus in a community setting. A cross-sectional study with 32 primary care practice teams in Mannheim, Germany, and randomly selected multimorbid patients with type 2 diabetes mellitus (N = 495) was conducted. In order to analyze associations of various patient characteristics with health-related quality of life (EQ-5D index) a multilevel analysis was applied. After excluding patients with missing data, the cohort consisted of 404 eligible patients. The final multilevel model highlighted six out of 14 explanatory patient variables which were significantly associated with health-related quality of life: female gender (r = -0.0494; p = .0261), school education of nine years or less (r = -0.0609; p = .0006), (physical) mobility restrictions (r = -0.1074; p = .0003), presence of chronic pain (r = -0.0916; p = .0004), diabetes-related distress (r = -0.0133; p diabetes-related distress, chronic pain, restrictions in (physical) mobility, female gender, as well as lower education and, increased BMI have a noteworthy impact on health-related quality of life in multimorbid patients with type 2 diabetes mellitus seen in primary care practices in a community setting. The highlighted aspects should gain much more attention when treating multimorbid patients with type 2 diabetes mellitus.

  5. A garage-building programme for the city of Vienna and resulting air quality. Related health aspects

    Energy Technology Data Exchange (ETDEWEB)

    Tvrdy, C; Walter, R [Inst. of Environmental Medicine of the City Council of Vienna (Austria)

    1996-12-31

    Urban traffic influences air quality in cities considerably. This is particularly true for the medieval parts of the big European cities, which have not been designed for today s heavy traffic. A problem closely associated with city traffic, is the lack of parking lots, particularly for residents. In Vienna, the parking problem is tackled by the building of underground car parks. In the next years more than 50 large garages (>100 sites) are being planned. The main goal is the clearing of the beautiful old places and streets of Vienna from the bulk of parking vehicles and supplying the citizens with parking spaces in the neighbourhood. According to a recent decision of the City Council of Vienna the construction of `large garages` (>100 parking spaces) requires an official approval by various local authorities. Among them are those responsible for town design and architecture, for fire precaution and fire fighting, for city traffic, for planning and building and for environmental health. In this context the Institute of Environmental Medicine of the City Council of Vienna faced the task of establishing criteria for a health risk assessment linked with `large garages`. Health-risks may be caused by air pollution and noise. This presentation deals with the air pollution problem. Air pollution problems may occur due to traffic in and out of the garage, by insufficient ventilation systems and by construction failures. In the garage programme the health officers have to bring evidence that residents of the houses with underground car parks and residents in the close neighbourhood are not exposed to any health risk due to air pollution

  6. A garage-building programme for the city of Vienna and resulting air quality. Related health aspects

    Energy Technology Data Exchange (ETDEWEB)

    Tvrdy, C.; Walter, R. [Inst. of Environmental Medicine of the City Council of Vienna (Austria)

    1995-12-31

    Urban traffic influences air quality in cities considerably. This is particularly true for the medieval parts of the big European cities, which have not been designed for today s heavy traffic. A problem closely associated with city traffic, is the lack of parking lots, particularly for residents. In Vienna, the parking problem is tackled by the building of underground car parks. In the next years more than 50 large garages (>100 sites) are being planned. The main goal is the clearing of the beautiful old places and streets of Vienna from the bulk of parking vehicles and supplying the citizens with parking spaces in the neighbourhood. According to a recent decision of the City Council of Vienna the construction of `large garages` (>100 parking spaces) requires an official approval by various local authorities. Among them are those responsible for town design and architecture, for fire precaution and fire fighting, for city traffic, for planning and building and for environmental health. In this context the Institute of Environmental Medicine of the City Council of Vienna faced the task of establishing criteria for a health risk assessment linked with `large garages`. Health-risks may be caused by air pollution and noise. This presentation deals with the air pollution problem. Air pollution problems may occur due to traffic in and out of the garage, by insufficient ventilation systems and by construction failures. In the garage programme the health officers have to bring evidence that residents of the houses with underground car parks and residents in the close neighbourhood are not exposed to any health risk due to air pollution

  7. Public health aspects of tobacco control revisited

    NARCIS (Netherlands)

    Gallagher, Jennifer E.; Alajbeg, Ivan; Buechler, Silvia; Carrassi, Antonio; Hovius, Marjolijn; Jacobs, Annelies; Jenner, Maryan; Kinnunen, Taru; Ulbricht, Sabina; Zoitopoulos, Liana

    The tobacco epidemic presents a major public health challenge, globally, and within Europe. The aim of the Public Health Work Stream at the 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals was to review the public health aspects of tobacco control and make

  8. Health aspects of Antarctic tourism.

    Science.gov (United States)

    Prociv, P

    1998-12-01

    Increasing numbers of seaborne tourists are visiting Antarctica, with most coming from the United States (3503 in 1996-97), Germany (777), and Australia (680; cf. 356 in 1994-95 and 410 in 1995-96). The impression among travel medicine clinicians is that, each year, more prospective travelers seek advice about the health demands of this type of adventure, mostly relating to fitness for travel, exposure to extreme cold, hazards in ice and snow, and other potential health risks. This is a recent phenomenon. While a regular shipping service had been established between the Falklands and the subantarctic islands of South Georgia and the South Shetlands by 1924, the first documented tourists accompanied an Argentine expedition to the South Orkneys in 1933.1 Commercial airline flights over these islands and the Antarctic Peninsula began in 1956, from Chile, and recreational cruises to the Peninsula began in 1958. Tourist numbers subsequently grew slowly, for what was clearly an exclusive and very expensive undertaking, with few ships available for these hazardous voyages. From 1957 to 1993, 37,000 tourists visited by sea, most seeing only the Peninsula.2 The dramatic recent growth in numbers is a consequence of the collapse of the Soviet Union. The small fleet of ice-strengthened research vessels and working icebreakers, which was made redundant by withdrawal of central government support from isolated communities and military activities along the northern coast of Siberia (and from Antarctic research bases), now accounts for the bulk of charter-cruise tourism to Antarctica, at competitive prices. According to the International Association of Antarctica Tour Operators,3 7322 people traveled to Antarctica on commercially organized voyages in the 1996-97 season, and a record 10,000 shipborne visitors were expected for the 1997-98 season (November-March), traveling mainly from South America to the Peninsula on 15 ice-reinforced vessels, each carrying between 36 and 180

  9. Anthropological aspects of health psychology

    Directory of Open Access Journals (Sweden)

    Alexander V. Shuvalov

    2015-12-01

    Full Text Available The paper presents the results of a theoretical study carried out in the framework of the research project «Determinants of psychological health of the modern person». The issue of psychological health is considered in the context of the anthropological crisis that affects public body and causes a decrease in synergetic social life. On the level of specific manifestations, it is associated with damage to the spiritual and moral sphere, distortion of personal way of life and interpersonal relationships, which leads to a general decline in viability. A growing number of people, whose subjective state can be described as mentally fit, but personally sick is identified. Secondary symptoms of such conditions are depression, aggression, dependent behaviour. However, their essential characteristics are not captured by the existing social psychological, psychological pedagogical and medical psychological concepts and also do not fit the typical description of psychological emotional and/or behavioural disorders. The author adheres to the hypothesis that these states have specific spiritual and psychological conditions and symptoms that deserve scientific analysis and philosophical reflection. The leitmotif of the paper is the issue of mental health in its scientific and philosophical sense. Representation of health from the standpoint of modern humanitarian knowledge and traditional spiritual culture are generalized. The theory of general psychological health is developed. The main approaches to the problem of psychological health are presented. Comparative analysis of the humanistic and anthropological models of mental health is shown. Correspondence between the anthropological conditions and criteria of mental health concepts of the modern national educational ideal is presented. Educational activity is described as anthropological practice aimed at acquiring by a child the wide range of values as a person. As such, it is the most conducive to

  10. [Communication in health care - legal aspects].

    Science.gov (United States)

    Mina, András

    2016-04-24

    This paper is focusing on the legal aspects of communication in health care, especially on doctor-patient relationship, responsibility for information, communication of adverse events, and legal declarations.

  11. Health aspects of cannabis: revisited.

    Science.gov (United States)

    Hollister, Leo E.

    1998-07-01

    Literature pertaining to the effects of cannabis use and health which has been published during the past 11 years has been reviewed. Many older concerns about adverse effects on health (chromosomal damage, 'cannabinol psychosis', endocrine abnormalities, cardiac events, impaired immunity) no longer seem to elicit much interest. Continuing concerns about the adverse cognitive effects of chronic use indicate that these can be demonstrated by proper testing; some studies suggest that they may be long-lasting. Although cannabis does not produce a specific psychosis, the possibility exists that it may exacerbate schizophrenia in persons predisposed to that disorder. However, evidence from retrospective surveys must always be questioned. Tolerance and dependence have occurred in man, confirming previous findings in many other species. Addiction tends to be mild and is probably less severe than with other social drugs. Driving under the influence of cannabis is impaired acutely; how long such impairments last is still unknown. More exacting tasks, such as flying an airplane, may be impaired for as long as 24 hours. While there is no doubt that marijuana smoke contains carcinogens, an increase in cancer among users has thus far been anecdotal. Because of the long latent period between cancer induction and initiation of cigarette smoking, the full story is yet to be told. Marijuana use during pregnancy is not advised although the consequences are usually not greater than those of smoking cigarettes, and far less than those from alcohol use. Whether smoked marijuana should become a therapeutic agent requires a cost-benefit analysis of the potential benefits versus the adverse effects of such use as we now know them.

  12. Public health aspects of radiation

    International Nuclear Information System (INIS)

    Newcombe, H.B.

    1977-01-01

    The sources and levels of natural and manmade radiation are discussed in this report, and the resulting risks of radiation-induced cancer and hereditary diseases are estimated. The medical uses of X-rays currently increase the average population exposure by something like 35 per cent above natural background radiation. At a future time when nuclear generators will produce one kilowatt of electricity per person it is expected that the additional exposure from this source will not exceed 6 per cent of that from natural background. Acceptability of the risks that these exposures represent must depend upon the benefits with which they are associated, and upon the risks associated with other options open to society including alternative ways of obtaining similar benefits. The public health impact of the radiation from nuclear power generation, for example, is believed to be considerably less than that from the combustion products associated with the production of an equivalent amount of electrical power by conventional coal-fired stations. (author)

  13. Public health aspects of radiation

    International Nuclear Information System (INIS)

    Newcombe, H.B.

    1978-12-01

    The sources and levels of natural and manmade radiation are discussed in this report, and the resulting risks of radiation-induced cancer and hereditary diseases are estimated. The medical uses of X-rays currently increase the average population exposure by something like 35 per cent above natural background radiation. At a future time when nuclear generators will produce one kilowatt of electricity per person it is expected that the additional exposure from this source will not exceed 6 per cent of that from natural background. Acceptability of the risks that these exposures represent must depend upon the benefits with which they are associated, and upon the risks associated with other options open to society including alternative ways of obtaining similar benefits. The public health impact of the radiation from nuclear power generation, for example, is believed to be considerably less than that from the combustion products associated with the production of an equivalent amount of electrical power by conventional coal-fired stations. (author)

  14. Cocoa agronomy, quality, nutritional, and health aspects.

    Science.gov (United States)

    Badrie, Neela; Bekele, Frances; Sikora, Elzbieta; Sikora, Marek

    2015-01-01

    The history of cocoa and chocolate including the birth and the expansion of the chocolate industry was described. Recent developments in the industry and cocoa economy were briefly depicted. An overview of the classification of cacao as well as studies on phenotypic and genetic diversity was presented. Cocoa agronomic practices including traditional and modern propagation techniques were reviewed. Nutrition-related health benefits derived from cocoa consumption were listed and widely reviewed. The specific action of cocoa antioxidants was compared to those of teas and wines. Effects of adding milk to chocolate and chocolate drinks versus bioavailability of cocoa polyphenols were discussed. Finally, flavor, sensory, microbiological, and toxicological aspects of cocoa consumption were presented.

  15. Health physics aspects of 252Cf

    International Nuclear Information System (INIS)

    Bhagwat, A.M.

    1974-01-01

    After briefly describing the methods of production, radioactive, chemical and biological properties of californium-252, its health physics aspects are reviewed in detail. Its external and internal radiation hazards can be minimised through control of radiation and contamination and proper shield design. Use of various shielding materials is evaluated. The following aspects are also discussed : (1) radiation detectors for neutrons and gamma radiation (2) personnel monitoring techniques (3) bioassay and (4) storage and transportation. (M.G.B.)

  16. Age-related aspects of addiction

    OpenAIRE

    Koechl, Birgit; Unger, Annemarie; Fischer, Gabriele

    2012-01-01

    Research has shown that substance use, abuse and addiction are not limited to a specific age group. Problems related to substance addiction are an important cause of morbidity in the population aged 65 and above, especially the abuse of prescription drugs and legal substances. A lack of evidence-based studies and tailored treatment options for the aging population is evident. Appropriate and effective health-care is an important goal to improve health-related quality of life of elderly people...

  17. Public health aspects of food irradiation

    International Nuclear Information System (INIS)

    Kampelmacher, E.H.

    1982-01-01

    The author debates public health aspects of food irradiation. The effect of food irradiation as a convenience to the consumer is discussed, i.e. the prevention of food deterioration and also the prevention of disease that could be passed on to the consumer by ingestion. On the other hand, the effects that could possibly be created by the application of radiation are also evaluated using toxicological and microbiological considerations. (Auth.)

  18. Cultural aspects of ageing and health promotion.

    Science.gov (United States)

    Mariño, R J

    2015-03-01

    The emphasis of Australian Government policy is on the promotion of good health in later life and positive experiences with ageing. Conceptually, a new gerontology framework has replaced the study of disease, decline, loss and disability. Within this framework, health promotion offers a mechanism by which individuals can be assisted to create environments that offer better opportunities for continued participation in society and improved quality of health and self-care. Oral health is instrumental to older people's health, life satisfaction, quality of life and perception of self. Australia is culturally diverse, composed of numerous ethno-cultural groups coexisting within a larger, predominant culture, creating a multicultural and multiracial society. However, despite this cultural diversity, the well documented ageing profile of the Australian population and repeated calls for comprehensive geriatric assessment, the oral health of older adults remains a challenge for oral health providers and for society. A major challenge will be to translate existing knowledge and experience of disease prevention and health promotion into appropriate programmes for older adults. Health promotion is the key to improving oral health in later life as it encourages older adults to be proactive in regard to their health. Therefore, increased efforts should be directed towards identifying opportunities for health promotion activities and the development of community based models that encourage older people to improve and maintain their oral health. Ignoring opportunities for health promotion may increase inequalities in oral health and may lead to even greater demands for curative and oral rehabilitative services from these groups This article firstly provides a brief rationale for oral health promotion. Its second part explores the influence of culture on health beliefs, behaviours and outcomes in older adults and how oral health can relate to cultural background. The last section

  19. Legal aspects of E-HEALTH.

    Science.gov (United States)

    Callens, Stefaan; Cierkens, Kim

    2008-01-01

    Cross-border activities in health care in the European single market are increasing. Many of these cross-border developments are related to e-Health. E-Health describes the application of information and communication technologies across the whole range of functions that affect the health care sector. E-health attracts a growing interest on the European level that highlights the sharp need of appropriate regulatory framework able to ensure its promotion in the European Union. Some Directives constitute a step in this direction. Both the Data Protection Directive, the E-Commerce Directive, the Medical Device Directive and the Directive on Distance Contracting are some of the most important European legal achievements related to e-Health. Although the directives are not adopted especially for e-health applications, they are indirectly very important for e-Health. Firstly, the Data Protection Directive applies to personal data which form part of a filing system and contains several important principles that have to be complied with by e-Health actors processing personal data concerning health. Secondly, the E-commerce Directive applies to services provided at a distance by electronic means. Many e-Health applications fall within this scope. Thirdly, the Medical Devices Directive is of importance for the e-Health sector, especially with regard to e.g. the medical software that is used in many e-health applications. Finally, the Directive on Distance Contracting applies to contracts for goods or services which make use of one or more means of distance communication; E-Health business may involve the conclusion of contracts. Despite these Directives more developments are needed at the European level in order to make sure that e-Health will play an even more important role in health care systems than is the case today. The new e-Health applications like electronic health records, e-health platforms, health grids and the further use of genetic data and tissue involve new

  20. Health promotion, preventive and curative aspects of diseases in astrology.

    Science.gov (United States)

    Sharma, Bhuvnesh Kumar; Subhakta, P K J P; Narayana, A

    2007-01-01

    The whole universe is intermingling into a unit in the period of globalization. Different cultures, life-styles and sciences are co-operating with each other in this situation. World Health Organization is working towards collaborating all prevalent medical sciences for attainment of good health and family welfare for each and every individual by 2020. Astrology is a part of Indian heritage. Astrology means the art of predicting or determining the influence of the planets and stars on human affairs. The origin of this word is from Greek word astron, star + logos (discourse). The account of deeds of good and bad during the present life and previous lives, their consequences of health or ill health during this life i.e. what, when and how the things takes place will be clearly known through Astrology. Highly advanced knowledge related to Astrology on medicine is preserved in Indian scriptures and the knowledge was transmitted from generation to generation. It is also a good source for health promotion, preventive, curative and other medical aspects. Brief direction related to astrological medical aspects is also available in Ayurvedic literature (Carakasamhită, Suśrutasamhhită, Aşţăngasangraha, Aşţăngahŗdaya, Sărngadharasamhită , Băvaprakăśa etc.) Some Ayurvedic practitioners, scholars and scientists realize the need of astrological knowledge related to medicine in the present time. In ancient times physician, astrologer and purŏhita (Hindu priest) simultaneously looked after the health and family welfare of individual, families and country. Astrologer guides medication and suitable time for the better cure of ailments. Even the medicinal herbs were collected and treated at appropriate time for their efficacy. Astrology and Ayurvĕda are inseparable sciences of life. Hence, in this article, a concise astrological evaluation related to health promotion, preventive and curative aspects of Astrology is being presented.

  1. Public Politics of Health and Aspects of its Judicialization

    Directory of Open Access Journals (Sweden)

    Rafael Fernando dos Santos

    2015-12-01

    Full Text Available This article was elaborated in order to analyze issues relating to the judicialization of cases involving health, understanding health as a public policy aimed at to guarantee the fundamental right to it linked, that is, the concept of health that the authos intended to work is not far from that contained in the combined reading of Articles 6 and 196 of the Constitution, consecrators to be the health, universal right and duty of the state, guaranteed through social and economic policies aimed at to reduce the risk of disease and other becomes, ensuring also the universal and equal access to actions and services for its promotion, protection and recovery. With this approach it is intended to analyze the feasibility and consequences of judicial control of social and economic policies of promotion, protection and recovery, access, anyway, the effective flow to the fundamental right. Relating to the methodological aspects employed in the analysis of the issue concerning to the health, it was searched in the interpretation of constitutional provisions that secure the subjective right the starting point of the analysis as well as the unwavering appreciation of inseparability of judicial control in the context of public policy, assessing possible limits of the judicial branch, and then to realize a brief analysis of previous trial in the Supreme Court and extract from this jurisprudencial context the minimum goals for aspects of health judicialization.

  2. Health aspects of cellular mobile telephones

    International Nuclear Information System (INIS)

    Garn, H.

    1996-01-01

    Cellular mobile telephones are one of the main topics among health aspects of electromagnetic fields. In many countries, the number of people opposing communication towers is on the rise. Lawsuits against telecommunication and power line companies have been filed. All this makes people doubt the safety of electromagnetic fields. With respect to cellular phones, there are two scenarios: * Exposure of the operators of hand-held terminals (HHT). * Exposure of the general public from base stations (BS). In the first case, the transmit antenna of the HHT is very close to the human body. For normal operation, the distance will roughly be 2 - 3 cm. The transmitter power of the HHT is comparatively low, but there is a considerable fraction of the radiated electromagnetic energy penetrating the tissue. Considering the second case, BS transmitter powers are by a factor of 100-1000 higher, but the distance between antenna and the human body is by a factor of 1000-100,000 greater, as far as areas of unrestricted public access are concerned. As the power density of an electromagnetic wave decreases inversely proportional to the square of the distance, exposure of the public is always significantly (by many orders of magnitude) lower than exposure of operators of HHTs. Some well-known interaction mechanisms of microwave radiation with the human body have been very well-established today. In some other areas, there is still a need for further research. This paper summarizes present knowledge on human safety with mobile telephone systems. (author)

  3. Health aspects of air pollution in Dublin

    Energy Technology Data Exchange (ETDEWEB)

    Kevany, J; Rooney, M; Kennedy, J

    1975-01-01

    A study of the relationship between air pollution and specific health indicators in Dublin from 1970 to 1973 was undertaken using partial correlation analysis. Smoke and sulfur dioxide, accepted as indicators of general pollution conditions, were measured in the study. The indicators of health were deaths and hospital admissions of elderly and chronically ill people due to cardiovascular and respiratory illness, other than influenza and tonsillitis. Because temperature is also known to affect cardiovascular and respiratory illness, maximum daily temperature was chosen as the controlled weather variable. Mortality for cardiovascular disease was significantly correlated with SO/sub 2/ levels within the same 24 hr. Ischemic heart disease was the major component of this correlation. There is a progressive positive correlation at increasing threshold levels. These correlations were not sustained with a lag period of two days nor in relation to smoke indicators at any lag period or threshold level. Mortality for respiratory disease was less consistently associated with air pollution than cardiovascular disease. Levels of SO/sub 2/ up to 75 micrograms/cu m did not produce any significant response in terms of mortality. From 100 micrograms/cu m upwards there is a strong correlation with details from acute respiratory disease, principally acute bronchitis. At 150 micrograms/cu m threshold there is also a strong correlation with deaths from chronic bronchitis, emphysema and asthma. No significant correlations existed for smoke at any threshold or lag period. Implications for community health are discussed.

  4. ORGANIZATIONAL, LEGAL AND TECHNOLOGICAL ASPECTS OF HEALTH INFORMATION EXCHANGE

    Directory of Open Access Journals (Sweden)

    N. A. Karasev

    2017-01-01

    Full Text Available The article discusses organizational and legal aspects of electronic health information exchange in developed countries, particularly, introduction of electronic medical records in the United States and Europe, as well as topical issues related to standardization of information technologies in health care. We briefly describe the most popular standards used in e-medicine, such as Digital Imaging and Communications in Medicine (DICOM, openEHR and HL7. The questions of syntactic and semantic interoperability in the exchange of electronic medical records and some aspects of the digital signature use are also considered. We suggest mechanisms for implementation of electronic document management and sharing of digital medical information, as one of the most important directions of information technologies in health care. It is noted that today, the main limiting factor in providing the digital exchange of health information in Russian Federation is unresolved legal issues, i.e. the absence of a legal framework of electronic medical records share. At the same time, the level of IT development in our country is quite sufficient to meet current challenges. It is stated that, despite the unresolved number of problems (for example, completeness of medical data on a patient, given to relatives in critical situations, the adoption of a single electronic card is able to bring medical care to a new level, especially in emergency and urgent medicine.

  5. Risks and safety aspects related to PET/MR examinations

    International Nuclear Information System (INIS)

    Brix, Gunnar; Nekolla, Elke A.; Nosske, Dietmar; Griebel, Juergen

    2009-01-01

    The introduction of positron emission tomography (PET)/magnetic resonance (MR) systems into medical practice in the foreseeable future may not only lead to a gain in clinical diagnosis compared to PET/computed tomography (CT) imaging due to the superior soft-tissue contrast of the MR technology but can also substantially reduce exposure of patients to ionizing radiation. On the other hand, there are also risks and health effects associated with the use of diagnostic MR devices that have to be considered carefully. This review article summarizes biophysical and biological aspects, which are of relevance for the assessment of health effects related to the exposure of patients to both ionizing radiation in PET and magnetic and electromagnetic fields in MR. On this basis, some considerations concerning the justification and optimization of PET/MR examinations are presented - as far as this is possible at this very early stage. Current safety standards do not take into account synergistic effects of ionizing radiation and magnetic and electromagnetic fields. In the light of the developing PET/MR technology, there is an urgent need to investigate this aspect in more detail for exposure levels that will occur at PET/MR systems. (orig.)

  6. Legal aspects related to workers and ionizing radiation

    International Nuclear Information System (INIS)

    Faria, N.M. de; Fischer, D.

    1985-01-01

    The legal aspects related to protection of the worker during its activity and in case of accident which involves dead or invalidity or occupation disease are presented. The aspects concerning to employment relation for workers in nuclear installations, and the professional liability for workers who handle ionizing radiation are discussed. (M.C.K.) [pt

  7. Some aspects related to the high performance in gamma spectrometry

    International Nuclear Information System (INIS)

    Vieru, Gheorghe; Mihaiu, Ramona; Nistor, Viorica

    2010-01-01

    Full text: Gamma spectroscopy is the science (or art) of identification and/or quantification of radionuclides through gamma-ray energy spectrum analysis. It is a recognized technique, well illustrated by the following examples: environmental radioactivity monitoring, health physics personnel monitoring, reactor corrosion monitoring, nuclear materials safeguards and homeland security, as well as nuclear forensics, materials testing, nuclear medicine and radiopharmaceuticals, and industrial process monitoring. Within the Reliability and Testing Laboratory of INR Pitesti there is now available such a detector of high performance that includes all aspects related to cooling, signal processing (with a high resolution) and the dedicated software applications. At the present time, taking into account the 'nuclear renaissance' the new experimental testing laboratories require complete set-up rather than laboratories having a mixture of the old equipment. The paper presents the mechanically cooled HPGe spectrometers with an undergoing rapid evolution, which eliminate traditional intensive liquid nitrogen management. Also, there are described the digital signal processing virtually by eliminating system drift, and, at the same time, requiring recalibrations much less frequently. Another important aspect presented is related to the software applications, which cover a broad spectrum of nuclear measurement techniques. (authors)

  8. [Proper use of pest control products and liability in their use in urban environments, in relation to public health and safety aspects].

    Science.gov (United States)

    Dutto, Moreno; Rubbiani, Maristella

    2011-01-01

    Pest control in urban settings is a public health issue that is often overlooked and left to the discretion of those who participate in pest control operations. In this article the authors aim to analyse and provide guidelines regarding liability in the use of pesticides and safety standards that must be adopted during pest control operations in confined areas or open spaces in urban or domestic settings.

  9. A cross-sectional study to determine the pattern, health-related problems and social aspects associated with alcohol use among adults of the rural population in Pune, Maharashtra

    Directory of Open Access Journals (Sweden)

    Vijaykumar K More

    2015-01-01

    Full Text Available Background: The increasing production, distribution, promotion and easy availability of alcohol have resulted in alcohol-related problems emerging as a major public health concern. It is a causal factor in more than 60 major types of diseases and injuries and results in approximately 2.5 million deaths each year. It is also a known risk factor for increasing crime, work absenteeism, loss of productivity, damage to property and physical and emotional abuse of women and children. Objectives: The aim was to find out the pattern, health related problems and social aspects associated with alcohol use among adults of a rural population of Pune, Maharashtra. Materials and Methods: A cross-sectional study was carried out in a rural field practice area of the Medical College in Pune among 300 respondents during January 12 and February 12. Pretested WHO designed alcohol survey questionnaire was used for collecting data by interview after obtaining informed consent. Results: Out of 300 respondents 45.7% (137 were found to be alcohol-user. Among these 35.77% were "daily drinkers.′ The most common alcoholic drink consumed was desi (country liquor (33.5%. Daily drinking was found to be related to adverse health related events. Poor health status, deprivation of family, increasing occurrence of unintentional and intentional injury, the greater extent of health problems were significantly higher among users. Conclusion: Alcohol consumption was high among adults in rural population. The study has also revealed negative impact of alcohol on both, user and their family.

  10. Constitutional aspects of the right to health care in Slovenia.

    Science.gov (United States)

    Kristan, I

    1995-01-01

    Certain aspects of the right to health care and the provision of health insurance and health services in Slovenia since its independence and adoption of a constitution in December 1991 are discussed. The dilemmas raised by conscientious objections by health care workers and the right to legal abortions are pertinently dealt with.

  11. Effects of a dietary intervention on acute gastrointestinal side effects and other aspects of health-related quality of life: A randomized controlled trial in prostate cancer patients undergoing radiotherapy

    International Nuclear Information System (INIS)

    Pettersson, Anna; Johansson, Birgitta; Persson, Christina; Berglund, Anders; Turesson, Ingela

    2012-01-01

    Purpose: To study the effect of a dietary intervention on acute gastrointestinal side effects and other aspects of health-related quality of life (HRQOL) in prostate cancer patients referred to radiotherapy. Materials and methods: A total of 130 patients were randomly assigned to one of two groups: an intervention group (IG, n = 64), instructed to reduce their intake of insoluble dietary fibres and lactose, a standard care group (SC, n = 66), instructed to continue their normal diet. Gastrointestinal side effects and other aspects of HRQOL were evaluated from baseline up to 2 months after completed radiotherapy, using the EORTC QLQ-C30 and QLQ-PR25 and the study-specific Gastrointestinal Side Effects Questionnaire (GISEQ). A scale indicating adherence to dietary instructions was developed from a Food Frequency Questionnaire (FFQ), with lower scores representing better compliance. Descriptive and inferential statistical analyses were conducted. Results: There was an interaction effect between randomization and time in the FFQ Scores (p < 0.001), indicating that both groups followed their assigned dietary instructions. The dietary intervention had no effect on gastrointestinal side effects or other aspects of HRQOL. During radiotherapy, the percentage of patients with bowel symptoms and bloated abdomen was lower in IG compared to SC, but the between-group differences were not statistically significant. During radiotherapy, the percentage of patients with bowel symptoms, urinary symptoms, pain, fatigue and diminished physical and role functioning increased in both groups. Conclusions: The dietary intervention had no effect on gastrointestinal side effects or other aspects of HRQOL. The tendency towards lower prevalence of bowel symptoms in IG may indicate some positive effect of the dietary intervention, but methodological refinements, clearer results and longer follow-up are needed before the value of diet change can be established with certainty.

  12. Aspects of privacy for electronic health records.

    Science.gov (United States)

    Haas, Sebastian; Wohlgemuth, Sven; Echizen, Isao; Sonehara, Noboru; Müller, Günter

    2011-02-01

    Patients' medical data have been originally generated and maintained by health professionals in several independent electronic health records (EHRs). Centralized electronic health records accumulate medical data of patients to improve their availability and completeness; EHRs are not tied to a single medical institution anymore. Nowadays enterprises with the capacity and knowledge to maintain this kind of databases offer the services of maintaining EHRs and adding personal health data by the patients. These enterprises get access on the patients' medical data and act as a main point for collecting and disclosing personal data to third parties, e.g. among others doctors, healthcare service providers and drug stores. Existing systems like Microsoft HealthVault and Google Health comply with data protection acts by letting the patients decide on the usage and disclosure of their data. But they fail in satisfying essential requirements to privacy. We propose a privacy-protecting information system for controlled disclosure of personal data to third parties. Firstly, patients should be able to express and enforce obligations regarding a disclosure of health data to third parties. Secondly, an organization providing EHRs should neither be able to gain access to these health data nor establish a profile about patients. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  13. [Oral health among adolescents: aspects relating to hygiene, dental cavities and periodontal disease in the cities of Recife and Feira de Santana, Brazil].

    Science.gov (United States)

    Nogueira dos Santos, Nilton Cesar; Alves, Tecia Daltro Borges; Freitas, Valéria Souza; Jamelli, Silvia Regina; Cavalcanti Sarinho, Emanuel Sávio

    2007-01-01

    To characterize the oral health in adolescents in the cities of Recife and Feira de Santana, Northeast Brazil by assessment of personal hygiene and dental cavities and periodontal disease. Forty adolescents between ten and eighteen years old were assessed through an exploratory study run in Recife in 2005. In Feira de Santana, 971 adolescents (twelve years old) were examined through a cross section study in 2002. It was assessed cavity status through the number of cavitied, missing and filled teeth, visible dental plaque, bleeding gums and periodontal status. The analysis was based on Chi-Square, Kruskall-Wallis and Fisher tests, with a confidence interval of 95%. The most of adolescents followed oral hygiene practices three times a day. The DMTF values presented a median of 1.5 in Recife and averages of 1.89 in state schools, 2.17 in municipal schools and 2.39 in private schools in Feira de Santana. The bleeding gum in Recife presented a median of 27%, and in Feira de Santana the healthy sextant averages of 4.36, 4.08 and 5.16 in state, municipal and private schools respectively. The frequency of the dental cavities was low, with most of the adolescents reporting good habits of oral hygiene and favorable periodontal conditions.

  14. [Aspects of economic responsibility in health care].

    Science.gov (United States)

    Hauke, Eugen

    2007-01-01

    According to the final consensus of a panel of intense discussions, the health care system should/can not be excluded from the economic laws of efficiency. Appropriate adaptation of various methods and instruments of economics make these tools applicable for use in the health care system. Due to errors in the implementation of economic methods, though, the question arises who is economically responsible in the health care system. The answer is found at three different levels of the health care system. The physician plays a leading role, both personally and professionally, in being primarily responsible for the direct medical treatment of the patient. The physician's dependence, however, on the health care system reduces his independence, which markedly affects his decision-making and treatment. Management of and in health care institutions is largely independent of the profession learned. Managers and physicians acting as managers must be appropriately and duly educated in the necessary specific talents and knowledge. The organisation of a health care system should also be reserved for trained specialists where the physicians as well as other professionals are obliged to acquire the skills necessary.

  15. [Sociological aspects of health service access points].

    Science.gov (United States)

    Lecarpentier, Mariana

    The work of health service access points highlights the process of exclusion through marginalisation, the phenomenon of precarity and anthropological tensions between hospitality and inhospitality or between the desirable and undesirable. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  16. Public health aspects of food irradiation

    International Nuclear Information System (INIS)

    Kaferstein, F.

    1997-01-01

    Post-harvest losses due to sprouting, insect infestation and spoilage by microorganisms is a serious problem in many countries and commonly aggravates the problem of food shortages. In addition, many developing countries also depend largely on agricultural produce, such as grain, tuber and tropical fruit, as major export crops to earn foreign exchange. The use of ionizing radiation as an effective means of disinfecting and/or prolonging the self-life of several food products has been well documented in a number of developing countries. The World health organization (WHO) encourages its Member States to consider all measures to eliminate or reduce food borne pathogens in food and improve their supplies of safe and nutritious food. In regard to its contribution to food safety, food irradiation may be one of the most significant contributions to public health to be made by food science and technology since the introduction of pasteurization. Because the promotion of a safe, nutritious and adequate food supply is an essential component of its primary health care strategy, WHO is concerned that the unwarranted rejection or limitation of this process may endanger public health and deprive consumers of the choice of foods processed for safety. (Author)

  17. Public health aspects of food irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Kaferstein, F [Director, Programme of Food Safety and Food Aid, WHO, CH-1211, Geneva 27, (Switzerland)

    1998-12-31

    Post-harvest losses due to sprouting, insect infestation and spoilage by microorganisms is a serious problem in many countries and commonly aggravates the problem of food shortages. In addition, many developing countries also depend largely on agricultural produce, such as grain, tuber and tropical fruit, as major export crops to earn foreign exchange. The use of ionizing radiation as an effective means of disinfecting and/or prolonging the self-life of several food products has been well documented in a number of developing countries. The World health organization (WHO) encourages its Member States to consider all measures to eliminate or reduce food borne pathogens in food and improve their supplies of safe and nutritious food. In regard to its contribution to food safety, food irradiation may be one of the most significant contributions to public health to be made by food science and technology since the introduction of pasteurization. Because the promotion of a safe, nutritious and adequate food supply is an essential component of its primary health care strategy, WHO is concerned that the unwarranted rejection or limitation of this process may endanger public health and deprive consumers of the choice of foods processed for safety. (Author)

  18. Public health aspects of food irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Kaferstein, F. [Director, Programme of Food Safety and Food Aid, WHO, CH-1211, Geneva 27, (Switzerland)

    1997-12-31

    Post-harvest losses due to sprouting, insect infestation and spoilage by microorganisms is a serious problem in many countries and commonly aggravates the problem of food shortages. In addition, many developing countries also depend largely on agricultural produce, such as grain, tuber and tropical fruit, as major export crops to earn foreign exchange. The use of ionizing radiation as an effective means of disinfecting and/or prolonging the self-life of several food products has been well documented in a number of developing countries. The World health organization (WHO) encourages its Member States to consider all measures to eliminate or reduce food borne pathogens in food and improve their supplies of safe and nutritious food. In regard to its contribution to food safety, food irradiation may be one of the most significant contributions to public health to be made by food science and technology since the introduction of pasteurization. Because the promotion of a safe, nutritious and adequate food supply is an essential component of its primary health care strategy, WHO is concerned that the unwarranted rejection or limitation of this process may endanger public health and deprive consumers of the choice of foods processed for safety. (Author)

  19. Radiological health aspects of uranium milling

    International Nuclear Information System (INIS)

    Fisher, D.R.; Stoetzel, G.A.

    1983-05-01

    This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized

  20. Radiological health aspects of uranium milling

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, D.R.; Stoetzel, G.A.

    1983-05-01

    This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized.

  1. Selected aspects of health literacy among seniors.

    Science.gov (United States)

    Šedová, Lenka; Doskočil, Ondřej; Brabcová, Iva; Hajduchová, Hana; Bártlová, Sylva

    2016-12-01

    This study aimed to map the selected indicators of health literacy in the senior population via a qualitative survey that focused specifically on its relationship with autonomy in the context of health literacy among seniors. A qualitative survey focused on the selected indicators of health literacy of seniors living in the South Bohemian Region of the Czech Republic (R1-19). The snowball sampling method was intentionally selected. Completed interviews were transcribed and data was reduced, analyzed, and categorized. The identified categories were 1) information comprehension, 2) decision-making in healthcare, and 3) compliance with nonpharmacologic treatment. The 'information comprehension' category clearly shows that the seniors involved in this study rated the comprehensibility of information provided by medical professionals as being good. An especially positive finding was that seniors do seek information through the internet, print sources, or other media, even though, as one senior (80-year-old woman) said, comprehension of medical information is becoming "more and more complex". The 'decision-making in healthcare' category touched upon opinions regarding informed consent and opinions regarding seniors' own involvement in healthcare. Results from this category suggest that seniors accept informed consent as a routine necessity. Inhibition regarding personal involvement in healthcare was also apparent: "... I come from a family accustomed to not bothering the doctor unnecessarily, so I just stick out my arm..." The last category of 'compliance with nonpharmacologic treatment' clearly shows that respondents are informed regarding lifestyle modifications that would benefit their treatment, although, few respondents had achieved the desired lifestyle changes. Results of this qualitative research show clear health literacy limits among seniors. As shown in this study, age itself could also be a limiting factor of health literacy.

  2. Some health aspects of Canadian uranium mining

    International Nuclear Information System (INIS)

    Myers, D.K.; Stewart, C.G.

    1979-03-01

    The radiological health hazards associated with uranium mining in Canada are reviewed. Radiation hazards to individual members of the general population currently living in the vicinity of the mines appear to be extremely low. The major health hazards are those associated with underground mining. Hazards associated with the inhalation of radon daughters in the mines were estimated from analyses of available data from the U.S.A. and Czechoslovakia. These data can be fitted by various mathematical models including quasi-threshold models. On the reasonable assumption of a linear relationship between dose and effect, the risk would appear to be about 6.1 induced lung cancers per million WLM per year, which, averaged over a period of incidence of 15 years, would be equivalent to a total of about 100 induced cancers per million WLM. This value may be too high for estimation of the most probable risk of radon daughters to the general public. (author)

  3. Do negative aspects of social relations influence fatigue?

    DEFF Research Database (Denmark)

    Ekmann, Anette; Avlund, Kirsten; Osler, Merete

    2012-01-01

    Fatigue is a common complaint among young and old adults and may be associated with negative aspects of social relations. Hence, the purpose of this study was to explore the association between demands from and conflicts with different sources of social relations and fatigue.......Fatigue is a common complaint among young and old adults and may be associated with negative aspects of social relations. Hence, the purpose of this study was to explore the association between demands from and conflicts with different sources of social relations and fatigue....

  4. Aspects of mental health dysfunction among survivors of childhood cancer.

    Science.gov (United States)

    Fidler, Miranda M; Ziff, Oliver J; Wang, Sarra; Cave, Joshua; Janardhanan, Pradeep; Winter, David L; Kelly, Julie; Mehta, Susan; Jenkinson, Helen; Frobisher, Clare; Reulen, Raoul C; Hawkins, Michael M

    2015-09-29

    Some previous studies have reported that survivors of childhood cancer are at an increased risk of developing long-term mental health morbidity, whilst others have reported that this is not the case. Therefore, we analysed 5-year survivors of childhood cancer using the British Childhood Cancer Survivor Study (BCCSS) to determine the risks of aspects of long-term mental health dysfunction. Within the BCCSS, 10 488 survivors completed a questionnaire that ascertained mental health-related information via 10 questions from the Short Form-36 survey. Internal analyses were conducted using multivariable logistic regression to determine risk factors for mental health dysfunction. External analyses were undertaken using direct standardisation to compare mental health dysfunction in survivors with UK norms. This study has shown that overall, childhood cancer survivors had a significantly higher prevalence of mental health dysfunction for 6/10 questions analysed compared to UK norms. Central nervous system (CNS) and bone sarcoma survivors reported the greatest dysfunction, compared to expected, with significant excess dysfunction in 10 and 6 questions, respectively; the excess ranged from 4.4-22.3% in CNS survivors and 6.9-15.9% in bone sarcoma survivors. Compared to expected, excess mental health dysfunction increased with attained age; this increase was greatest for reporting 'limitations in social activities due to health', where the excess rose from 4.5% to 12.8% in those aged 16-24 and 45+, respectively. Within the internal analyses, higher levels of educational attainment and socio-economic classification were protective against mental health dysfunction. Based upon the findings of this large population-based study, childhood cancer survivors report significantly higher levels of mental health dysfunction than those in the general population, where deficits were observed particularly among CNS and bone sarcoma survivors. Limitations were also observed to increase

  5. Environmental and health aspects of lighting: Mercury

    Energy Technology Data Exchange (ETDEWEB)

    Clear, R.; Berman, S.

    1993-07-01

    Most discharge lamps, including fluorescent lamps, metal halide lamps, and high pressure sodium lamps, contain Mercury, a toxic chemical. Lighting professionals need to be able to respond to questions about the direct hazards of Mercury from accidentally breaking lamps, and the potential environmental hazards of lamp operation and disposal. We calculated the exposures that could occur from an accidental breakage of lamps. Acute poisoning appears almost impossible. Under some circumstances a sealed environment, such as a space station, could be contaminated enough to make it unhealthy for long-term occupation. Mercury becomes a potential environmental hazard after it becomes methylated. Mercury is methylated in aquatic environments, where it may accumulate in fish, eventually rendering them toxic to people and other animals. Lighting causes Mercury to enter the environment directly from lamp disposal, and indirectly from power plant emissions. The environmental tradeoffs between incandescent and discharge lamps depend upon the amounts released by these two sources, their local concentrations, and their probabilities of being methylated. Indirect environmental effects of lighting also include the release of other heavy metals (Cadmium, Lead and Arsenic), and other air pollutants and carbon dioxide that are emitted by fossil fuel power plants. For a given light output, the level of power plant emissions depends upon the efficacy of the light source, and is thus much larger for incandescent lamps than for fluorescent or discharge lamps. As disposal and control technologies change the relative direct and indirect emissions from discharge and incandescent lamps will change.

  6. [Intercultural aspects of the health system reform in Bolivia].

    Science.gov (United States)

    Ramírez Hita, Susana

    2014-01-01

    This article is a reflection on how interculturality, understood as the way to improve the health of the Bolivian population and coupled with the concept of living well, is not contributing to improving the quality of life and health of the most vulnerable populations in the country. The discourse is coupled with the intention of saving lives in its broadest sense; however, for this it is necessary to make decisions about environmental health and extractivist policies that are not taken into account in the health issues affecting indigenous communities, a population targeted by the intercultural aspects of the health reform.

  7. Nuclear data for radiation damage assessment and related safety aspects

    International Nuclear Information System (INIS)

    Kocherov, N.P.

    1989-12-01

    The IAEA Advisory Group Meeting on Nuclear Data for Radiation Damage Assessment and Related Safety Aspects was held at the IAEA Headquarters in Vienna, 19-22 September 1989. This report contains the conclusions and recommendations of this meeting. The papers which the participants prepared for and presented at the meeting will be published as an IAEA Technical Document. (author)

  8. Promoting mental health as an essential aspect of health promotion.

    Science.gov (United States)

    Sturgeon, Shona

    2006-12-01

    This paper advocates that mental health promotion receive appropriate attention within health promotion. It is of great concern that, in practice, mental health promotion is frequently overlooked in health promotion programmes although the WHO definitions of health and the Ottawa Charter describe mental health as an integral part of health. It is suggested that more attention be given to addressing the determinants of mental health in terms of protective and risk factors for both physical and mental conditions, particularly in developing countries. Examples of evidence-based mental health programmes operating in widely diverse settings are presented to demonstrate that well designed interventions can contribute to the well-being of populations. It is advocated that particular attention be given to the intersectorial cooperation needed for this work.

  9. Uterine artery embolization angiography and fertility related aspects

    Directory of Open Access Journals (Sweden)

    Irina A. Horhoianu

    2016-05-01

    Full Text Available Purpose. Uterine artery embolization is a minimally invasive technique. It applies the principle of targeted anatomical structure devascularisation with utility in fibroid conservative therapy, including for future fertility preserving status. The objective of our paper represents a description and evaluation of angiography utility as a predictive method for fertility maintenance. Material and Methods. The angiography and ultrasound aspects obtained from a prospective study in which selected patients have undergone uterine artery embolization for fertility preservation are detailed. Results. The following angiography aspects have been detected: left- right shunt and utero-ovarian collaterals; these have been compared with the ultrasound aspects related to the fibroid evolution form a volumetric and Doppler ultrasound point of view. The angiographical description predicts the impact on post embolization fibroid evolution and upon fertility. An analysis is made in order to assess the way in which angiography can contribute to fertility alteration. Conclusions. The angiography aspects during embolization and the following ultrasound aspects can represent predictive factors as to fertility evolution after uterine artery embolization.

  10. Sleep : An underemphasized aspect of health and development in neurorehabilitation

    NARCIS (Netherlands)

    Verschuren, Olaf; Gorter, Jan Willem; Pritchard-Wiart, Lesley

    2017-01-01

    Sleep deficiency has unique causes and implications for children with neonatal brain injury; contributing to the development or exacerbation of neurodevelopmental impairments and yet it is an underemphasized aspect of health and development. There is very little research evidence to guide the

  11. Mathematical and Computational Aspects Related to Soil Modeling and Simulation

    Science.gov (United States)

    2017-09-26

    and simulation challenges at the interface of applied math (homogenization, handling of discontinuous behavior, discrete vs. continuum representations...topics: a) Visco-elasto-plastic continuum models of geo-surface materials b) Discrete models of geo-surface materials (rocks/gravel/sand) c) Mixed...continuum- discrete representations. Coarse-graining and fine-graining mathematical formulations d) Multi-physics aspects related to the modeling of

  12. Consumer-related Legal Aspects of the Infromation Society

    DEFF Research Database (Denmark)

    Falch, Morten; Henten, Anders; Skouby, Knud Erik

    1998-01-01

    The general legal framework covering economic transactions has been created long before the creation of electronic commerce. Therefore most regulation more or less explicitly assumes that goods have a physical appearance and that all contractual issues are settled either orally or by use of paper...... into this new situation. This creates a number of legal and regulatory problems, which - if not resolved - may restrict further growth of electronic commerce. This paper deals with the consumer related aspects of this regulatory challenge....

  13. Yugoslav-Italian Economic relations (1918‒1929: Main aspects

    Directory of Open Access Journals (Sweden)

    Latinović Goran

    2015-01-01

    Full Text Available The article looks at some aspects of Yugoslav-Italian economic relations from the end of the First World War to the beginning of the Great Depression. Those relations were not always driven by pure economic interests, but they also had political and strategic aims. Although Yugoslav-Italian political and diplomatic relations were well served in both Serbian/Yugoslav and Italian historiography, little has been written about economic relations between the two countries. Therefore, the article is mainly based on the documents from the Central State Archives (Archivio centrale dello Stato and Historical-Diplomatic Archives of Ministry of Foreign Affairs (Archivio storico-diplomatico del Ministero degli Affari Esteri in Rome, as well as from the Archives of Yugoslavia (Arhiv Jugoslavije in Belgrade.

  14. Health physics aspects of a research reactor fuel shipment

    International Nuclear Information System (INIS)

    Dodd, B.; Johnson, A.G.; Anderson, T.V.

    1984-01-01

    In June 1982, 92 irradiated fuel elements were shipped from the Oregon State University TRIGA Reactor to Westinghouse Hanford Corporation to be used in the Fuel Materials Examination Facility, This paper describes some of the health physics aspects of the planning, preparation and procedures associated with that shipment. In particular, the lessons learned are described in order that the benefits of the experience gained may be readily available to other small institutions. (author)

  15. Health and environmental aspects of nuclear fuel cycle facilities

    International Nuclear Information System (INIS)

    1996-11-01

    The purpose of the present publication is to give a generic description of health and environmental aspects of nuclear fuel cycle facilities. Primarily the report is meant to stand alone; however, because of the content of the publication and in the context of the DECADES project, it may serve as a means of introducing specialists in other fuel cycles to the nuclear fuel cycle. Refs, figs, tabs

  16. Canonical commutation relations - historical aspect and new results

    International Nuclear Information System (INIS)

    Mnatsakanova, M.N.; Vernov, Yu.S.

    1997-01-01

    The aim of the paper is to describe the historical aspects of the canonical commutation relations (CCR) and to analyse the new results. The CCR are the algebraic structure (Heisenberg algebra) on the basis of quantum mechanics and quantum field theory. The following results are discussed: the Weyl form of CCR, Von Neumann's uniqueness theorem, regularity conditions, CCR representation in standard and Weyl forms, CCR in an indefinite metric space, class of CCR regular representations and CCR in the case of infinite number of degrees of freedom [ru

  17. Public Politics of Health and Aspects of its Judicialization

    OpenAIRE

    Rafael Fernando dos Santos; Angelina Cortelazzi Bolzam

    2015-01-01

    This article was elaborated in order to analyze issues relating to the judicialization of cases involving health, understanding health as a public policy aimed at to guarantee the fundamental right to it linked, that is, the concept of health that the authos intended to work is not far from that contained in the combined reading of Articles 6 and 196 of the Constitution, consecrators to be the health, universal right and duty of the state, guaranteed through social and economic policies aimed...

  18. Technical aspects of portal technology application for e-health systems.

    Science.gov (United States)

    Kosińska, Joanna; Słowikowski, Paweł

    2004-01-01

    E-health is an emerging field on the intersection of medical information technologies, public health and business, referring to health services and information delivered or enhanced through the Internet and related technologies. Portal technology, allowing services to be accessible over the Internet is a perfect tool for providing e-health services. The use of portal technologies has had deep influence on the architecture of the whole e-health system, both regarding new subsystems and older ones which we want to integrate with the portal. Portals provide new possibilities for creating novel types of e-health applications as well. In this paper we provide a brief overview of e-health systems and portal technologies, and present many technical aspects of portal technology application for e-health systems such as the architecture of portal-based e-health systems, graphical user interfaces, access to various e-health systems' resources, personalization, security and privacy.

  19. Engineering aspects of the Stanford relativity gyro experiment

    Science.gov (United States)

    Everitt, C. W. F.; Debra, D. B.

    1981-01-01

    According to certain theoretical predictions, the Newtonian laws of motion must be corrected for the effect of a gravitational field. Schiff (1960) proposed an experiment which would demonstrate the effect predicted by Einstein's Theory of General Relativity on a gyroscope. The experiment has been under development at Stanford University since 1961. The requirements involved make it necessary that the test be performed in a satellite to take advantage of weightlessness in space. In a discussion of engineering developments related to the experiment, attention is given to the development of proportional helium thrusters, the simulation of the attitude control system, aspects of inner loop control, the mechanization of the two-loop attitude control system, the effects of helium slosh on spacecraft pointing, and the data instrumentation system.

  20. Biomechanical aspects of sports-related head injuries.

    Science.gov (United States)

    Park, Min S; Levy, Michael L

    2008-02-01

    With the increased conditioning, size, and speed of professional athletes and the increase in individuals engaging in sports and recreational activities, there is potential for rising numbers of traumatic brain injuries in sports. Fortunately, parallel strides in basic research technology and improvements in computer and video technology have created a new era of discovery in the study of the biomechanical aspects of sports-related head injuries. Although prevention will always be the most important factor in reducing the incidence of sports-related traumatic brain injuries, ongoing studies will lead to the development of newer protective equipment, improved recognition and management of concussions on the field of play, and modification of rules and guidelines to make these activities safer and more enjoyable.

  1. Health Physics aspects of the use of tritium

    International Nuclear Information System (INIS)

    Martin, E.B.M.

    1982-01-01

    The health physics aspects of the use of tritium in university laboratories and similar establishments are considered. These aspects include discussion on the behaviour and hazards of tritium in the body, derived limits for contamination, monitoring methods, designation of workers, medical and dosimetric supervision, classification of laboratories, safety precautions, accidents and decontamination, and waste disposal. The radiation hazards from some special uses of tritium, e.g. tritium foil sources, luminous devices, gaseous light sources, are also considered. It was concluded that little harm is likely to come from careful handling of tritium labelled compounds at the millicurie level in a research laboratory. It would, however, be most unwise to be complacent about the use of tritium at the curie level, particularly when high specific activities, organic compounds and chronic exposure over long periods are involved. (U.K.)

  2. Australian primary health care nurses most and least satisfying aspects of work.

    Science.gov (United States)

    Halcomb, Elizabeth; Ashley, Christine

    2017-02-01

    To identify the aspects of working in Australian primary health care that nurses rate as the most and least satisfying. The nursing workforce in Australian primary health care has grown exponentially to meet the growing demand for health care. To maintain and further growth requires the recruitment and retention of nurses to this setting. Understanding the factors that nurses' rate as the most and least satisfying about their job will inform strategies to enhance nurse retention. A cross-sectional online survey. Nurses employed in primary health care settings across Australia were recruited (n = 1166) to participate in a survey which combined items related to the respondent, their job, type of work, clinical activities, job satisfaction and future intention, with two open-ended items about the most and least satisfying aspects of their work. Patient interactions, respect, teamwork, collegiality and autonomy were identified as the most satisfying professional aspects of their role. Personal considerations such as family friendly work arrangements and a satisfactory work-life balance were also important, overriding negative components of the role. The least satisfying aspects were poor financial support and remuneration, lack of a career path, physical work environment and time constraints. National restructuring of the primary health care environment was seen as a barrier to role stability and ability to work to a full scope of practice. This study has identified a range of positive and negative professional and personal aspects of the primary health care nursing role, which may impact on staff recruitment and retention. Findings from the study should be considered by employers seeking to retain and maximise the skills of their primary health care workforce. Understanding the factors that nurses perceive as being the most and least satisfying aspects of the work is can open up dialogue about how to improve the working experience of nurses in primary health care.

  3. It's about time elementary mathematical aspects of relativity

    CERN Document Server

    Cooke, Roger

    2017-01-01

    This book has three main goals. First, it explores a selection of topics from the early period of the theory of relativity, focusing on particular aspects that are interesting or unusual. These include the twin paradox relativistic mechanics and its interaction with Maxwell's laws the earliest triumphs of general relativity relating to the orbit of Mercury and the deflection of light passing near the sun and the surprising bizarre metric of Kurt Godel, in which time travel is possible. Second, it provides an exposition of the differential geometry needed to understand these topics on a level that is intended to be accessible to those with just two years of university-level mathematics as background. Third, it reflects on the historical development of the subject and its significance for our understanding of what reality is and how we can know about the physical universe. The book also takes note of historical prefigurations of relativity, such as Euler's 1744 result that a particle moving on a surface and sub...

  4. Health aspects of the Tsunami disaster in Asia.

    Science.gov (United States)

    Kapila, Mukesh; McGarry, Nichole; Emerson, Elizabeth; Fink, Sheri; Doran, Rodger; Rejto, Khadija; Profili, Maria Cristina

    2005-01-01

    This is a summary of the proceedings of the Conference on the Health Aspects of the Tsunami Disaster in Asia that was convened by the World Health Organization in Phuket, Thailand from 04-06 May 2005. It contains reviews of the experiences of the health sector and early recovery following the Earthquake and Tsunami with emphasis on what was done well and what could have been done better and the lessons learned that can be incorporated into actions that will mitigate the damage created by future events. It outlines the national and international responses and recovery and the actions taken and not taken by the international community in support of the countries affected. Specific issues addressed include: (1) needs assessments; (2) coordination; (3) filling gaps in essential services, and (4) capacity building at the country level. Each of these aspects is analyzed as to its: (1) appropriateness; (2) adequacy; (3) effectiveness; (4) efficiency; and (5) connectedness. Much of what occurred provided benefits to the stricken population, but there is substantial room for improvement through implementation of the lessons learned. These lessons must be converted into actions in order to mitigate the damage sustained and to enhance our responses to the damage from future events.

  5. Remote Instrumentation for eScience and Related Aspects

    CERN Document Server

    Lawenda, Marcin; Meyer, Norbert; Pugliese, Roberto; Węglarz, Jan; Zappatore, Sandro

    2012-01-01

    Making scientific instruments a manageable resource over distributed computing infrastructures such as the grid has been a key focal point of e-science research in recent years. It is now known by the generic term ‘remote instrumentation’, and is the subject of this useful volume that covers a range of perspectives on the topic reflected by the contributions to the 2010 workshop on remote instrumentation held in Poznań, Poland. E-science itself is a complex set of disciplines requiring computationally intensive distributed operations, high-speed networking, and collaborative working tools. As such, it is most often (and correctly) associated with grid- and cloud-computing infrastructures and middleware. The contributions to this publication consider broader aspects of the theme of remote instrumentation applied to e-science, as well as exploring related technologies that enable the implementation of truly distributed and coordinated laboratories. Among the topics discussed are remote instrumentation and ...

  6. ASPECTS OF CRIMINALISTICS TACTICS RELATED TO WITNESS HEARING

    Directory of Open Access Journals (Sweden)

    Nicolae Mărgărit

    2017-12-01

    Full Text Available The article analyses some aspects related to witness statements, with regard to the actual tactics of hearing witnesses and the hearing of child witnesses. Judicial practice has well shown that giving evidence is the most important phase in the course of the activity carried out by judicial bodies, being the way for determining the facts, for finding the truth in the case referred for settlement. Giving the evidence in a correct and complete way, the value of the administered evidence and its correct and lawful evaluation are decisive for the judicial bodies to come to an intimate belief with regard to the factual reality on which the solution they pronounce should be based, the lawfulness itself of court rulings and other solutions given by the judicial bodies being dependant on these elements. In order to obtain the evidence and make the most of it in a criminal trial, legal activities or operations are necessary to discover it and to present it in a form which is perceptible for the judicial bodies, an aspect which is accomplished by legal means of evidence. Criminal doctrine and judicial practice alike have determined that for finding the truth in a criminal trial, besides the statements made by the suspect or the accused, the statements of the other parties in the trial have an appreciable contribution too. In this context, the contribution of Criminalistics – the science of crime investigation – to establishing the facts in a criminal trial is especially noticeable with the conclusions of forensic examinations and findings. The study put forward reveals some aspects of criminalistics tactics related to witness hearing in a criminal trial, as well as that the result of the investigation depends on how the activity of witness hearing is prepared and the compliance with all procedural rules. At the same time, as Criminalistics supports the witness hearing activity, it develops a particular tactical hearing procedure, starting precisely

  7. Violence related to health work

    OpenAIRE

    Juliana da Silva Oliveira; Roberta Laíse Gomes Leite Morais; Elisama Nascimento Rocha; Sérgio Donha Yarid; Edite Lago da Silva Sena; Rita Narriman Silva de Oliveira Boery

    2014-01-01

    This study aimed to present a critical and reflective literature review on the violence related to health work. The survey was conducted through an integrated search in the Virtual Health Library in the months of May and June 2011. We selected 24 articles. The reading of the material led us to the following division results: studies characterization and bioethical reflection on violence related to health work. The work-related violence has consequences not only direct on ...

  8. Global income related health inequalities

    Directory of Open Access Journals (Sweden)

    Jalil Safaei

    2007-01-01

    Full Text Available Income related health inequalities have been estimated for various groups of individuals at local, state, or national levels. Almost all of theses estimates are based on individual data from sample surveys. Lack of consistent individual data worldwide has prevented estimates of international income related health inequalities. This paper uses the (population weighted aggregate data available from many countries around the world to estimate worldwide income related health inequalities. Since the intra-country inequalities are subdued by the aggregate nature of the data, the estimates would be those of the inter-country or international health inequalities. As well, the study estimates the contribution of major socioeconomic variables to the overall health inequalities. The findings of the study strongly support the existence of worldwide income related health inequalities that favor the higher income countries. Decompositions of health inequalities identify inequalities in both the level and distribution of income as the main source of health inequality along with inequalities in education and degree of urbanization as other contributing determinants. Since income related health inequalities are preventable, policies to reduce the income gaps between the poor and rich nations could greatly improve the health of hundreds of millions of people and promote global justice. Keywords: global, income, health inequality, socioeconomic determinants of health

  9. The quest for One Health: Human Resource training aspects

    Directory of Open Access Journals (Sweden)

    Angwara Kiwara

    2014-04-01

    Full Text Available Appropriately trained Human Resources for Health (HRH are key inputs into One Health. ‘… more than 50% of all infectious diseases of humans originate from animals and that, of the emerging diseases about 75% could be traced back to animal origin’ (Rweyemamu et al. 2006. A comprehensive understanding of the social determinants of health, through an appropriate training model for HRH, is a key input. This study aimed to explore if human and veterinary medical schools were using such a model or providing time for this model in their curricula. Specific objectives were to: determine the time that human and veterinary medical schools’ curricula provide for subjects or courses related to the social determinants of health; analyse the curricula contents to establish how they relate to the social determinants of health; and explore how a bio-medical model may influence the graduates’ understanding and practice of One Health. A review of human and veterinary graduate-level medical schools’ curricula in East Africa was performed in April 2013 and May 2013. The findings were: in the curricula, SDH contents for knowledge enhancement about One Health are minimal and that teaching is Germ Theory model-driven and partisan. Out of the total training time for physicians and veterinarians, less than 10% was provided for the social determinants of health-related courses. In conclusion, the curricula and training times provided are inadequate for graduates to fully understand the social determinants of health and their role in One Health. Furthermore, the Germ Theory model that has been adopted addresses secondary causes and is inappropriate. There is a need for more in-depth model. This article suggests that a vicious cycle of ill-health model must be taught.

  10. Recrystallization - Fundamental aspects and relations to deformation microstructure

    International Nuclear Information System (INIS)

    Hansen, N.; Huang, X.; Juul Jensen, D.; Lauridsen, E.M.; Leffers, T.; Pantleon, W.; Sabin, T.J.; Wert, J.A.

    2000-01-01

    This Symposium, and hence this proceedings volume, is concerned with the mechanisms that control recrystallization of deformed metals and alloys. Central themes are the fundamental microstructural, orientational, and kinetic aspects of the recrystallization process; especially as they relate to the nature of the deformed state, to nucleation and growth of recrystallizing grains, and to models based on experimental observations. In recent years, significant progress has been made using a plethora of advanced techniques to characterize the morphology and local orientations in deformed metals and alloys. Thus, a key topic of the Symposium is enhanced insight into the characteristics of the deformation substructure, and into modification of the substructure by recovery, which is essential for understanding fundamental recrystallization mechanisms. Microstructures in highly strained materials will be a topic of special interest. Elucidation of the deformation substructure, and thus the local distribution of stored energy, sets the stage for progress in understanding nucleation of recrystallizing grains. It also provides a basis for new insights into the growth of nuclei, in particular concerning the means by which the deformation substructure is absorbed by and becomes incorporated into the recrystallization interface. Aspects of recrystallization of relevance to this symposium span the range from experimental and model exploration of fundamental mechanisms to methods that link scientific understanding to industrial practice. Models developed by considering the physical mechanisms elucidated by experimental studies will be addressed, as will models that enable industrial exploitation of the fundamental knowledge. Altogether, one of the significant aims of the symposium is to enhance the exploitation of the expanding knowledge of fundamental recrystallization mechanisms in industrial practice (au)

  11. Multifunctional aspects of allopregnanolone in stress and related disorders.

    Science.gov (United States)

    Bali, Anjana; Jaggi, Amteshwar Singh

    2014-01-03

    Allopregnanolone (3α-hydroxy-5α-pregnan-20-one) is a major cholesterol-derived neurosteroid in the central nervous system and is synthesized from progesterone by steroidogenic enzymes, 5α-reductase (the rate-limiting enzyme) and 3α-hydroxysteroid dehydrogenase. The pathophysiological role of allopregnanolone in neuropsychiatric disorders has been highlighted in several investigations. The changes in neuroactive steroid levels are detected in stress and stress-related disorders including anxiety, panic and depression. The changes in allopregnanolone in response to acute stressor tend to restore the homeostasis by dampening the hyper-activated HPA axis. However, long standing stressors leading to development of neuropsychiatric disorders including depression and anxiety are associated with decrease in the allopregnanolone levels. GABAA receptor complex has been considered as the primary target of allopregnanolone and majority of its inhibitory actions are mediated through GABA potentiation or direct activation of GABA currents. The role of progesterone receptors in producing the late actions of allopregnanolone particularly in lordosis facilitation has also been described. Moreover, recent studies have also described the involvement of other multiple targets including brain-derived neurotrophic factor (BDNF), glutamate, dopamine, opioids, oxytocin, and calcium channels. The present review discusses the various aspects of allopregnanolone in stress and stress-related disorders including anxiety, depression and panic. © 2013.

  12. Violence related to health work

    Directory of Open Access Journals (Sweden)

    Juliana da Silva Oliveira

    2014-10-01

    Full Text Available This study aimed to present a critical and reflective literature review on the violence related to health work. The survey was conducted through an integrated search in the Virtual Health Library in the months of May and June 2011. We selected 24 articles. The reading of the material led us to the following division results: studies characterization and bioethical reflection on violence related to health work. The work-related violence has consequences not only direct on professionals’ health, but also for the citizen and society as a whole. Make it visible is the first action needed for prevention / control and to promote healthier workplaces.

  13. VIOLENCE RELATED TO HEALTH WORK

    Directory of Open Access Journals (Sweden)

    Juliana da Silva Oliveira

    2014-03-01

    Full Text Available This study aimed to present a critical and reflective literature review on the violence related to health work. The survey was conducted through an integrated search in the Virtual Health Library in the months of May and June 2011. We selected 24 articles. The reading of the material led us to the following division results: studies characterization and bioethical reflection on violence related to health work. The work-related violence has consequences not only direct on professionals’ health, but also for the citizen and society as a whole. Make it visible is the first action needed for prevention / control and to promote healthier workplaces.

  14. Health, Wellness, and Safety Aspects of the Consumption of Kombucha

    Directory of Open Access Journals (Sweden)

    Mindani I. Watawana

    2015-01-01

    Full Text Available Functional foods have been identified as whole foods and fortified, enriched, or enhanced products which have a potentially beneficial effect on health when consumed as part of a varied diet on a regular basis, at effective levels. As consumer awareness on functional food escalates, the interest towards conducting scientific studies in this field has also proportionately increased. Many of the traditional food products are known to possess bioactive components, thus qualifying as functional food. Kombucha tea is produced by fermenting sugared black tea with a mixed culture of yeast and bacteria. Kombucha tea has gained immense popularity in recent times due to many associated health benefits. The therapeutic effects of this beverage are thought to be derived from the chemical composition of this beverage, mainly the polyphenols and secondary metabolites which are produced during fermentation. However, the safety aspects of the beverage also need to be taken into account when qualifying the beverage as a functional food. Nevertheless, Kombucha tea could be easily recognized as a beverage which is able to replace the consumption of carbonated beverages due to its possession of health benefits and therapeutic properties.

  15. Health physics aspects of processing EBR-I coolant

    International Nuclear Information System (INIS)

    Burke, L.L.; Thalgott, J.O.; Poston, J.W. Jr.

    1998-01-01

    The sodium-potassium reactor coolant removed from the Experimental Breeder Reactor Number One after a partial reactor core meltdown had been stored at the Idaho National Engineering and Environmental Laboratory for 40 years. The State of Idaho considered this waste the most hazardous waste stored in the state and required its processing. The reactor coolant was processed in three phases. The first phase converted the alkali metal into a liquid sodium-potassium hydroxide. The second phase converted this caustic to a liquid sodium-potassium carbonate. The third phase solidified the sodium-potassium carbonate into a form acceptable for land disposal. Health physics aspects and dose received during each phase of the processing are discussed

  16. Health physics aspects of the EMI computerized tomography brain scanner

    International Nuclear Information System (INIS)

    Villafana, T.; Scouras, J.; Kirkland, L.; McElroy, N.; Paras, P.

    1978-01-01

    The EMI computerized tomographic cranial scanner is one of the first radiological systems incorporating an on-line computer. The result is an increase in the ability to visualize such tissues as grey matter and white matter as well as blood pools and tumor volumes. This advance has already begun to revolutionize radiological practice. Because of the totally different configuration of this unit, concern has been expressed over the dosages received by the patient, consequently the health physics aspects of this unit have been studied. Specifically, doses received by the surface of head and interior brain points as well as by the lens of the eye and gonads are reported here. X-ray output, beam half-value layers and barrier shielding requirements are also reported and discussed. (author)

  17. Legal aspects of public health: difficulties in controlling vector-borne and zoonotic diseases in Brazil.

    Science.gov (United States)

    Mendes, Marcílio S; de Moraes, Josué

    2014-11-01

    In recent years, vector-borne and zoonotic diseases have become a major challenge for public health. Dengue fever and leptospirosis are the most important communicable diseases in Brazil based on their prevalence and the healthy life years lost from disability. The primary strategy for preventing human exposure to these diseases is effective insect and rodent control in and around the home. However, health authorities have difficulties in controlling vector-borne and zoonotic diseases because residents often refuse access to their homes. This study discusses aspects related to the activities performed by Brazilian health authorities to combat vector-borne and zoonotic diseases, particularly difficulties in relation to the legal aspect, which often impede the quick and effective actions of these professionals. How might it be possible to reconcile the need to preserve public health and the rule on the inviolability of the home, especially in the case of abandoned properties or illegal residents and the refusal of residents to allow the health authority access? Do residents have the right to hinder the performance of health workers even in the face of a significant and visible focus of disease transmission? This paper argues that a comprehensive legal plan aimed at the control of invasive vector-borne and zoonotic diseases including synanthropic animals of public health importance should be considered. In addition, this paper aims to bridge the gap between lawyers and public health professionals and to facilitate communication between them. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Pediatric aspects of inpatient health information technology systems.

    Science.gov (United States)

    Lehmann, Christoph U

    2015-03-01

    In the past 3 years, the Health Information Technology for Economic and Clinical Health Act accelerated the adoption of electronic health records (EHRs) with providers and hospitals, who can claim incentive monies related to meaningful use. Despite the increase in adoption of commercial EHRs in pediatric settings, there has been little support for EHR tools and functionalities that promote pediatric quality improvement and patient safety, and children remain at higher risk than adults for medical errors in inpatient environments. Health information technology (HIT) tailored to the needs of pediatric health care providers can improve care by reducing the likelihood of errors through information assurance and minimizing the harm that results from errors. This technical report outlines pediatric-specific concepts, child health needs and their data elements, and required functionalities in inpatient clinical information systems that may be missing in adult-oriented HIT systems with negative consequences for pediatric inpatient care. It is imperative that inpatient (and outpatient) HIT systems be adapted to improve their ability to properly support safe health care delivery for children. Copyright © 2015 by the American Academy of Pediatrics.

  19. NUTRITIONAL ASPECTS RELATED TO THE INTERVAL BETWEEN CALVES

    Directory of Open Access Journals (Sweden)

    G. H C. Guse

    2017-10-01

    Full Text Available It is known that the demand for products of bovine origin increases every day in the world, and Brazil, which has the largest commercial herd of cattle on the planet, does not stay behind when it comes to raising beef cattle and milk. Despite our efforts to offer the best product, we are faced with difficult challenges in the country when it comes to climate and soil. The tropical climate, with rainy and dry seasons, ends up greatly damaging the pastures, thus offering less quality nutrients to our herds. As a domino effect, with less nutrients, there is more stress on the animal, which implies a poor reproductive efficiency, which is a crucial factor for effective production. However, there are viable outputs to improve the statistics, and one of them is reducing the interval between calving in cows relating to nutritional aspects, the important theme that the work will address. The nutritional strategy used in the experiment was the supplementation before, during and after the synchronization protocols for IATF. It consisted in the supply of 5g / kg PV / animal / day, a multiple mixture containing 82% ground corn, 8% soybean meal, 4% protected fat (Megalac®, 3% protected urea , 2% calcium carbonate, 0.06% mineral core, 0.04% Sodium Chloride and 0.01% lasalocid sodium 15% (Taurotec®. Supplement delivery started 7 days prior to protocol (D0 and lasted up to 20 after TAI, totaling 38 days. It was observed that the results showed an increase in the pregnancy rate of the primiparas that were supplemented, especially those with ECC below 3 (on the scale of 1 to 5, the percentage variation in the increment was of 2.6 ( ECC ≥3 to 7.1 (ECC = 2.75, presenting lower values in multiparous women. It is evident that, with due planning, observing the moments of nutritional deficit, it is possible to improve the interval between deliveries, thus improving production.

  20. Is the Use of Information and Communication Technology Associated With Aspects of Women's Primary Health Care in Brazil?

    Science.gov (United States)

    Matta-Machado, Antônio Thomaz Gonzaga; de Lima, Ângela Maria L Dayrell; de Abreu, Daisy Maria Xavier; Araújo, Lucas Lobato; Sobrinho, Délcio Fonseca; Silva Lopes, Érica Araújo; Teixeira, Gabriel Henrique Silva; Dos Santos, Alaneir de Fátima

    The use of information and communication technology (ICT) is on the increase in the health systems, representing a means of improving the quality of health care. This study analyzed the ICT incorporation in primary care in Brazil and identified the different aspects that may be associated with better quality in the care provided, in relation to certain aspects of women's care. We noted an unevenness regarding ICT incorporation in Brazil. However, the findings indicate an association between ICT and certain aspects of the quality provided in women's health care, which reinforces the need for further studies on this type of evaluation.

  1. [General aspects of planning and care in mental health].

    Science.gov (United States)

    Saforcada, E

    1976-09-01

    This paper reviews some general concepts on Planning, especially in public and welfare sectors, stressing those concerning the major flaws in the argentine system of mental health. The author considers the definition of planning levels, and sets forth three: general plan, program and project. The correlative implementation is also considered. The importance of feed-back from adequate evaluation is stressed, emphasizing three aspects: a) evaluation of dynamics, rate and extent of decrease, increase or stagnation; b) assessment of efficacity of factors involved; c) control and stabilization of goals already attained. The necessity to develop a human ecology, encompassing socio-cultural and psycho-social factors is stressed, together with fostering theoretical research and the use of its results by implementation agents. Several differences among prevailing mental health actions are pointed out which allow a distinction between two typical models: clinical and sanitarist. The main differences between them lye on: standard location of working sites, nature of basic actions, field of action, hypothesis for working, including ethiological and ecological assumptions, theoretical and methodological framework. A series of criteria for evaluating sanitary techniques and strategies are set forth, among which: operative procedures, length of treatments, degree of therapeutic concentration, and general pragmatic criteria. The indicators reviewed are: degree of efficacity, covering, degree of perseverance in treatments, cultural barriers between patient and therapist, delegation of functions into special, first-rate sanitary agents, needs for the training of mental health workers. An attempt is made at developping general evaluation criteria for mental health planning, and several indicators are proposed, among which: a) cost/efficacity ratio, including in costs the use of economical, human and physical resources; b) preventive capacities of the community; c) capacities for the

  2. How are health equity aspects articulated in the public health policy documents in Saudi Arabia

    DEFF Research Database (Denmark)

    Eklund Karlsson, Leena; Saleh, Faten; Azam, Shadi

    2015-01-01

    was not explicitly used in these documents but the idea of equity was implicitly communicated by addressing objectives for tackling poverty and guaranteeing that all social groups share the benefits of growth and improvement of quality of life. Conclusions: The state’s role to protect health and provide health care......Background: Inequities in health exist all over the world showing systematic differences in health between different socioeconomic groups. Healthy public policies (i.e. integrating health perspectives in all sector policies) address inequities in health and are means by which governments show...... their will to promote equity. Saudi Arabia (KSA) is one of the Arab countries that report health equity as part of its mission statement. However, analyses of the equity aspects of public health and social policies are lacking from KSA. The aims of the study were to identify policy documents in KSA relevant to public...

  3. Broiler farm size in relation tot sustainability aspects

    NARCIS (Netherlands)

    Horne, van P.L.M.; Leenstra, F.R.

    2010-01-01

    In the Netherlands the number of broiler farms has been reduced by 50%, while farm size doubled between 1990 and 2008. A debate on the positive and negative aspects of large farms emerge. Many entrepreneurs in the broiler sector use increase in scale as strategy to reduce production cost. However, a

  4. The public health aspects of complex emergencies and refugee situations.

    Science.gov (United States)

    Toole, M J; Waldman, R J

    1997-01-01

    Populations affected by armed conflict have experienced severe public health consequences mediated by population displacement, food scarcity, and the collapse of basic health services, giving rise to the term complex humanitarian emergencies. These public health effects have been most severe in underdeveloped countries in Africa, Asia, and Latin America. Refugees and internally displaced persons have experienced high mortality rates during the period immediately following their migration. In Africa, crude mortality rates have been as high as 80 times baseline rates. The most common causes of death have been diarrheal diseases, measles, acute respiratory infections, and malaria. High prevalences of acute malnutrition have contributed to high case fatality rates. In conflict-affected European countries, such as the former Yugoslavia, Georgia, Azerbaijan, and Chechnya, war-related injuries have been the most common cause of death among civilian populations; however, increased incidence of communicable diseases, neonatal health problems, and nutritional deficiencies (especially among the elderly) have been documented. The most effective measures to prevent mortality and morbidity in complex emergencies include protection from violence; the provision of adequate food rations, clean water and sanitation; diarrheal disease control; measles immunization; maternal and child health care, including the case management of common endemic communicable diseases; and selective feeding programs, when indicated.

  5. Feeding broiler breeder flocks in relation to bird welfare aspects

    NARCIS (Netherlands)

    Jong, de I.C.; Krimpen, van M.M.

    2011-01-01

    To ensure health and reproductive capacity of the birds, broiler breeders are fed restricted during the rearing period, and to a lesser extent also during the production period. Although restricted feeding improves health and thereby bird welfare, on the other hand the birds are chronically hungry

  6. Health Aspects of Climate Change in Cities with Mediterranean Climate, and Local Adaptation Plans.

    Science.gov (United States)

    Paz, Shlomit; Negev, Maya; Clermont, Alexandra; Green, Manfred S

    2016-04-21

    Cities with a Mediterranean-type climate (Med-cities) are particularly susceptible to health risks from climate change since they are located in biogeographical hot-spots that experience some of the strongest effects of the changing climate. The study aims to highlight health impacts of climate change in Med-cities, analyze local climate adaptation plans and make adaptation policy recommendations for the Med-city level. We identified five Med-cities with a climate change adaptation plan: Adelaide, Barcelona, Cape Town, Los Angeles and Santiago. Beyond their similar Med-climate features (although Santiago's are slightly different), the cities have different socio-economic characteristics in various aspects. We analyzed each plan according to how it addresses climate change-related drivers of health impacts among city dwellers. For each driver, we identified the types of policy adaptation tools that address it in the urban climate adaptation plans. The surveyed cities address most of the fundamental climate change-related drivers of risks to human health, including rising temperatures, flooding and drought, but the policy measures to reduce negative impacts vary across cities. We suggest recommendations for Med-cities in various aspects, depending on their local needs and vulnerability challenges: assessment of health risks, extreme events management and long-term adaptation, among others.

  7. Health aspects of Spirulina (Arthrospira microalga food supplement

    Directory of Open Access Journals (Sweden)

    Sotiroudis Theodore G.

    2013-01-01

    Full Text Available Spirulina, now named Arthrospira, is a microscopic and filamentous cyanobacterium that has a long history of use as a safe food lacking toxicity. It is commercially produced in large outdoor ponds under controlled conditions. The aim of this review article is to summarize available recent information concerning human clinical potential and applications of Spirulina, as well as clinical data related to the safety and side effects of Spirulina. Potential health benefits of Spirulina are mainly due to its chemical composition, which includes proteins (the highest protein content of any natural food, 55%-70%, carbohydrates, essential amino acids, minerals (especially iron, essential fatty acids, vitamins, and pigments. In this respect, three major bioactive components of Spirulina, the protein phycocyanin (a biliprotein pigment, sulfated polysaccharides and gamma linolenic acid seem to play significant role in imparting improved human body functions. Furthermore, new experimental evidence supports the immunomodulation and antiviral effects of Spirulina supplementation. According to the Dietary Supplements Information Expert Committee of United States Pharmacopeial Convention the available clinical evidence does not indicate a serious risk to health or other public health concerns for Spirulina. However, a few cases of severe side-effects have been reported.

  8. Relation of vertical stability and aspect ratio in tokamaks

    International Nuclear Information System (INIS)

    Stambaugh, R.D.; Lao, L.L.; Lazarus, E.A.

    1992-01-01

    It is evaluated how the upper limit to plasma elongation κ, caused by vertical stability, varies with the aspect ratio A=R/a of the tokamak. Equilibria were generated with EFITD and the vertical stability was assessed by GATO. For a 'generic' tokamak with a superconducting wall conformal to the plasma shape and a distance 0.5 a away from the plasma edge and a constant current profile (q 0 =1.0, l i ≅1.0, q 95 =3.2) it is found that the maximum stable κ decreased only slowly from 2.65 at A=2.0 to 2.4 at A=6.0. To first order, a reasonable assumption in trade-off studies of new machine designs is no dependence of κ max on A. (author). Letter-to-the-editor. 13 refs, 3 figs, 1 tab

  9. Fuel handling, reprocessing, and waste and related nuclear data aspects

    International Nuclear Information System (INIS)

    Kuesters, H.; Lalovic, M.; Wiese, H.W.

    1979-06-01

    The essential processes in the out-of-pile nuclear fuel cycle are described, i.e. mining and milling of uranium ores, enrichment, fuel fabrication, storage, transportation, reprocessing of irradiated fuel, waste treatment and waste disposal. The aspects of radiation (mainly gammas and neutrons) and of heat production, as well as special safety considerations are outlined with respect to their potential operational impacts and long-term hazards. In this context the importance of nuclear data for the out-of-pile fuel cycle is discussed. Special weight is given to the LWR fuel cycle including recycling; the differences of LMFBR high burn-up fuel with large PuO 2 content are described. The HTR fuel cycle is discussed briefly as well as some alternative fuel cycle concepts. (orig.) [de

  10. Aspects related to the testing of sealed radioactive sources

    International Nuclear Information System (INIS)

    Olteanu, C. M.; Nistor, V.; Valeca, S. C.

    2016-01-01

    Sealed radioactive sources are commonly used in a wide range of applications, such as: medical, industrial, agricultural and scientific research. The radioactive material is contained within the sealed source and the device allows the radiation to be used in a controlled way. Accidents can result if the control over a small fraction of those sources is lost. Sealed nuclear sources fall under the category of special form radioactive material, therefore they must meet safety requirements during transport according to regulations. Testing sealed radioactive sources is an important step in the conformity assessment process in order to obtain the design approval. In ICN Pitesti, the Reliability and Testing Laboratory is notified by CNCAN to perform tests on sealed radioactive sources. This paper wants to present aspects of the verifying tests on sealed capsules for Iridium-192 sources in order to demonstrate the compliance with the regulatory requirements and the program of quality assurance of the tests performed. (authors)

  11. Cross-Border Takeovers, Corruption, and Related Aspects of Governance

    NARCIS (Netherlands)

    Weitzel, U.; Berns, S.

    We use a panel of 4979 cross-border and domestic takeovers to test the relation between host country corruption and premiums paid for local targets. Host country corruption is negatively associated with target premiums, after correcting for other governance related factors such as political

  12. Some aspects of public relation activities at Russian NPPs

    International Nuclear Information System (INIS)

    Ermakov, Sergei

    1995-01-01

    Full text: Since 1992 Rosenergoatom has managed most of the Russian NPPs. Here in this report we present its main public relations activities. 1. The leading role of the management of Rosenergoatom (Direction of Public Relations) is in relations with the public. 2. The main public relations activities are: - contact with the selected and administrative authorities of different levels, - interaction with mass media, - information of employees, - information of, and interaction with, the people of the areas close to the NPPs and especially of the nearby towns, - organising and carrying out opinion polls, - celebration campaigns at NPPs. 3. The use of NPPs' information centers and groups for PR activities: - construction and equipping of NPPs' public information centers; organising excursions, lectures, debates at NPPs; - publishing of news papers at NPPs and at NPPs' towns. 4. Public information in the regions close to the NPPs construction sites (Far East, Kostroma, Rostov, Veronezh regions). 5. Conclusions on the activities and plans for the future. (author)

  13. Cross-Border Takeovers, Corruption, and Related Aspects of Governance

    OpenAIRE

    U. Weitzel; S. Berns

    2006-01-01

    We use a panel of 4979 cross-border and domestic takeovers to test the relation between host country corruption and premiums paid for local targets. Host country corruption is negatively associated with target premiums, after correcting for other governance-related factors such as political stability, legal systems, and financial disclosure standards. We estimate that deterioration in the corruption index by one point (on a 10-point scale) is, on average, associated with a reduction of 21&per...

  14. Nutritional aspects of Noonan syndrome and Noonan-related disorders.

    Science.gov (United States)

    da Silva, Fernanda Marchetto; Jorge, Alexander Augusto; Malaquias, Alexandra; da Costa Pereira, Alexandre; Yamamoto, Guilherme Lopes; Kim, Chong Ae; Bertola, Debora

    2016-06-01

    Rasopathies are a group of rare disorders characterized by neurocardiofaciocutaneous involvement, and caused by mutations in several genes of the RAS/MAPK pathway. In the present study, we characterized growth parameters, body composition, and nutritional aspects of children and adults (n = 62) affected by these disorders, mainly Noonan syndrome, using an indirect method-anthropometry-and a 24-hr recall questionnaire. The growth parameters in our cohort showed short stature, especially in individuals with RAF1 and SHOC2 mutations, lower obesity rates compared to the control population, and BMI scores highest in individuals with BRAF mutations and lowest in individuals with SHOC2. Body composition showed a compromise in the upper arm muscle circumference, with a statistically significant difference in the z-score of triceps skinfold (P = 0.0204) and upper arm fat area (P = 0.0388) between BRAF and SHOC2 groups and in the z-score of triceps skinfold between RAF1 and SHOC2 (P = 0.0218). The pattern of macronutrient consumption was similar to the control population. Our study is the first to address body composition in RASopathy individuals and the data indicate a compromise not only in adipose tissue, but also in muscle mass. Studies using different techniques, such as dual-energy X-ray absorptiometry or imaging studies, which give a more precise delineation of fat and non-fat mass, are required to confirm our results, ultimately causing an impact on management strategies. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  15. Development Trends in Nuclear Technology and Related Safety Aspects

    International Nuclear Information System (INIS)

    Kuczera, B.; Juhn, P.E.; Fukuda, K.

    2002-01-01

    The IAEA Safety Standards Series include, in a hierarchical manner, the categories of Safety Fundamentals, Safety Requirements and Safety Guides, which define the elements necessary to ensure the safety of nuclear installations. In the same way as nuclear technology and scientific knowledge advance continuously, also safety requirements may change with these advances. Therefore, in the framework of the International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO) one important aspect among others refers to user requirements on the safety of innovative nuclear installations, which may come into operation within the next fifty years. In this respect, the major objectives of the INPRO sub-task 'User Requirements and Nuclear Energy Development Criteria in the Area of Safety' have been: a. to overview existing national and international requirements in the safety area, b. to define high level user requirements in the area of safety of innovative nuclear technologies, c. to compile and to analyze existing innovative reactor and fuel cycle technology enhancement concepts and approaches intended to achieve a high degree of safety, and d. to identify the general areas of safety R and D needs for the establishment of these technologies. During the discussions it became evident that the application of the defence in depth strategy will continue to be the overriding approach for achieving the general safety objective in nuclear power plants and fuel cycle facilities, where the emphasis will be shifted from mitigation of accident consequences more towards prevention of accidents. In this context, four high level user requirements have been formulated for the safety of innovative nuclear reactors and fuel cycles. On this basis safety strategies for innovative reactor designs are highlighted in each of the five levels of defence in depth and specific requirements are discussed for the individual components of the fuel cycle. (authors)

  16. New theoretical and practical aspects regarding electrodynamic relativity

    International Nuclear Information System (INIS)

    Manea, Florin; Cazacu, Emil

    2005-01-01

    The relativity theory of Einstein and Minkowski, based on the principle of inertial systems equivalence and Lorentz's kinematics transformation, was born from the necessity of agreement between the theory of moving mediums and experimental observations. Although Lorentz's transformation was found in pre- relativistic electrodynamics, later the electrodynamics phenomena (and not only) were explained by kinematics relations. Faraday's experiences that rendered manifest importance of the relative movement between the inductor and the induced system, is well known today from the theory and practice of electrical machines. The tensor symbolic intrinsic 'manifest covariant' expressions of the state and evolution equations for the electromagnetic field used by the physicists are elegant but non-intuitive and unfriendly for engineers. The quadritensors of electromagnetic fields contain six independent Cartesian components: two absolute, parallel to the relative translation velocity vector of the inertial reference system and four relative components perpendicular to the velocity vector. That is way it is possible and didactically useful the split of quadritensors and quadrivectors in bitensors and bivectors for simplifying the tensor equations expressed in an explicit matrix form, which is covariant and intuitive. The Lorentz's transformation of space - temporal derivative operators and thus the transformation of proper coordinate of reference system is obtained as a consequence (and not as a premise) of the electromagnetic field properties. For non-relativistic velocities the moving in a magnetic field creates an important electric field but the moving in an electric field leads to an unimportant practically insignificant magnetic field. That is way, the hypothesis that magnetic field density as an absolute value and the constitutive relation B = μ 0 H also the magnetic fields intensity remains absolute, is practically justified. From the Maxwell homogeneous equations a

  17. Investigating Culture-related Aspects of Behavior for Virtual Characters

    DEFF Research Database (Denmark)

    Endrass, Birgit; André, Elisabeth; Rehm, Matthias

    2013-01-01

    In this paper, culture-related behaviors are investigated on several channels of communication for virtual characters. Prototypical behaviors were formalized in computational models based on a literature review as well as a corpus analysis, exemplifying the German and Japanese cultures. Therefore...

  18. Semiotic aspects of control and modeling relations in complex systems

    Energy Technology Data Exchange (ETDEWEB)

    Joslyn, C.

    1996-08-01

    A conceptual analysis of the semiotic nature of control is provided with the goal of elucidating its nature in complex systems. Control is identified as a canonical form of semiotic relation of a system to its environment. As a form of constraint between a system and its environment, its necessary and sufficient conditions are established, and the stabilities resulting from control are distinguished from other forms of stability. These result from the presence of semantic coding relations, and thus the class of control systems is hypothesized to be equivalent to that of semiotic systems. Control systems are contrasted with models, which, while they have the same measurement functions as control systems, do not necessarily require semantic relations because of the lack of the requirement of an interpreter. A hybrid construction of models in control systems is detailed. Towards the goal of considering the nature of control in complex systems, the possible relations among collections of control systems are considered. Powers arguments on conflict among control systems and the possible nature of control in social systems are reviewed, and reconsidered based on our observations about hierarchical control. Finally, we discuss the necessary semantic functions which must be present in complex systems for control in this sense to be present at all.

  19. Safety related aspects of ultimate disposal of radioactive wastes

    International Nuclear Information System (INIS)

    Goemmel, R.

    1992-01-01

    Solutions and questions related to nuclear waste management are presented. In particular, long-term safety of repositories in Germany and Sweden is considered, with special attention being paid to methods of detection, geotechnical barriers and post-operational phase of salt dome repositories, and conditioning of wastes to make them fit for ultimate disposal. (DG) [de

  20. Study on some safety-related aspects of tyre use

    NARCIS (Netherlands)

    Jansen, S.T.H.; Schmeitz, A.J.C.; Maas, S.; Rodarius, C.; Akkermans, L.

    2014-01-01

    The tyre is a key component that affects road safety. The European commission has posted a tender aimed to study what measures on a European level can be taken in relation to the use of tyres to improve road safety. The results of this study, supported by a cost benefit analyses and carried out by

  1. Preparation of patient-related allergens for hyposensitization. Qualitative aspects

    DEFF Research Database (Denmark)

    Poulsen, L K; Søndergaard, I; Weeke, B

    1988-01-01

    An affinity chromatography method for preparation of patient-related antigens from commercially available allergen extracts has been investigated. IgG1,2,4 from a patient previously hyposensitized with dog hair and dandruff allergen was bound to protein A-sepharose. Secondly, commercial allergen ...

  2. Operator-related aspects in endodontic malpractice claims in Finland.

    Science.gov (United States)

    Vehkalahti, Miira M; Swanljung, Outi

    2017-04-01

    We analyzed operator-related differences in endodontic malpractice claims in Finland. Data comprised the endodontic malpractice claims handled at the Patient Insurance Centre (PIC) in 2002-2006 and 2011-2013. Two dental advisors at the PIC scrutinized the original documents of the cases (n = 1271). The case-related information included patient's age and gender, type of tooth, presence of radiographs, and methods of instrumentation and apex location. As injuries, we recorded broken instrument, perforation, injuries due to root canal irrigants/medicaments, and miscellaneous injuries. We categorized the injuries according to the PIC decisions as avoidable, unavoidable, or no injury. Operator-related information included dentist's age, gender, specialization, and service sector. We assessed level of patient documentation as adequate, moderate, or poor. Chi-squared tests, t-tests, and logistic regression modelling served in statistical analyses. Patients' mean age was 44.7 (range 8-85) years, and 71% were women. The private sector constituted 54% of claim cases. Younger patients, female dentists, and general practitioners predominated in the public sector. We found no sector differences in patients' gender, dentists' age, or type of injured tooth. PIC advisors confirmed no injury in 24% of claim cases; the advisors considered 65% of injury cases (n = 970) as avoidable and 35% as unavoidable. We found no operator-related differences in these figures. Working methods differed by operator's age and gender. Adequate patient documentation predominated in the public sector and among female, younger, or specialized dentists. Operator-related factors had no impact on endodontic malpractice claims.

  3. Engineering aspects of rate-related processes in food manufacturing.

    Science.gov (United States)

    Adachi, Shuji

    2015-01-01

    Many rate-related phenomena occur in food manufacturing processes. This review addresses four of them, all of which are topics that the author has studied in order to design food manufacturing processes that are favorable from the standpoint of food engineering. They include chromatographic separation through continuous separation with a simulated moving adsorber, lipid oxidation kinetics in emulsions and microencapsulated systems, kinetic analysis and extraction in subcritical water, and water migration in pasta.

  4. Molecular Aspects of H. pylori-Related MALT Lymphoma

    Directory of Open Access Journals (Sweden)

    Scott R. Owens

    2011-01-01

    Full Text Available Helicobacter pylori-related extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue is a paradigm for malignancy arising in an inflammatory background. While the diagnosis of H. pylori gastritis is often straightforward, distinction between severe gastritis and early lymphoma can be difficult and requires careful assessment of clinical findings in addition to histological features and immunohistochemical results. A number of cytogenetic abnormalities have been discovered in H. pylori-related lymphomas and several have clinical importance, related to the responsiveness of lymphoma to H. pylori eradication therapy, but routine molecular studies are not widely utilized. While molecular methods may be used in equivocal cases, a trial of conservative therapy is warranted given the propensity for these lymphomas to regress with eradication of the organism. Once therapy is initiated, care must be taken to avoid a premature assignment of disease refractoriness because complete response can take several months to more than a year. Cases truly refractory to H. pylori eradication therapy may be treated with adjuvant chemoradiation with a high response rate.

  5. Review of health safety aspects of nanotechnologies in food production

    NARCIS (Netherlands)

    Bouwmeester, H.; Dekkers, S.; Noordam, M.Y.; Hagens, W.; Bulder, A.S.; Heer, de P.M.; Voorde, ten S.E.C.G.; Wijnhoven, S.; Marvin, H.J.P.; Sips, A.

    2009-01-01

    Due to new, previously unknown, properties attributed to engineered nanoparticles many new products are introduced in the agro-food area. Nanotechnologies cover many aspects, such as disease treatment, food security, new materials for pathogen detection, packaging materials and delivery systems. As

  6. Emotional and Personality-Related Aspects of Persistent Career Decision-Making Difficulties

    Science.gov (United States)

    Saka, Noa; Gati, Itamar

    2007-01-01

    This study focused on examining the persistent aspects of career decision-making difficulties, using the Emotional and Personality-related Career decision-making Difficulties scale ("EPCD"; [Saka, N., Gati, I., & Kelly, K.R. (in press). Emotional and personality-related aspects of career decision-making difficulties. "Journal of Career…

  7. Quality of Health Care Activity in Educational Institutions: Conceptual Aspect

    Directory of Open Access Journals (Sweden)

    N. V. Tretyakova

    2013-01-01

    Full Text Available The paper deals with one of the priority tasks of Russian educational system – developing the health responsibility. The recent health deterioration trend among children and adolescents calls for the complex health care measures, equally affecting the learning outcomes. The authors argue that there is a need for proper definition and specification of the key term of health care quality. However, the analysis of the available scientific and documentary recourses demonstrates the absence of such unified definition. The authors describe the existing approaches to defining the health care quality, and examine structural components of the health care activity, their interrelations and interdependence. In authors’ opinion, the synthesis of the available research materials provides the basis for further studies in the theory and practice of quality management activities regarding the health protection of children, adolescents and young adults in educational institutions. 

  8. Cancer-related aspects of regeneration research: a review

    International Nuclear Information System (INIS)

    Donaldson, D.J.; Mason, J.M.

    1975-01-01

    Tissue regeneration is simply the replacement of lost cells of a tissue by those remaining. Epimorphic regeneration involves dedifferentiation of many tissues and their organization into a blastema which eventually differentiates into the missing part, usually an appendage. A detailed comparison of the cell membrane changes occurring in epimorphic regeneration, tissue regeneration and cancer can contribute to greater understanding of the differences between normal and tumor cells. Further, there is evidence that epimorphic regeneration fields may in some instances suppress tumor induction and control existing tumors. This influence may be mediated by bioelectric fields, which are ubiquitous in nature and appear to control many cellular events. Disruption of these bioelectric fields suppresses epimorphic regeneration and may lead to cancer in mammals, while applied electric fields alter regenerative events and cause tumor regression. Studies on x-radioinduced regeneration suppression in relation to mutagenesis are also reviewed

  9. Public relation aspects of site selection in the United Kingdom

    International Nuclear Information System (INIS)

    Curtin, T.

    1996-01-01

    Following a recent review, the UK Government has confirmed that it continues to favour a policy of deep disposal of intermediate low-level waste. The Government's continuing policy stems from the recommendations of the 1976 Royal Commission on Environmental Pollution (the 'Flowers'Report) and White Papers issued in 1977 and 1982 and 1982. The paper outlines the search for a disposal site in the UK. Nirex (Nuclear Industry Radioactive Waste Executive) was set up in 1982 to research and develop disposal facilities for intermediate low-level waste and low-level waste. At that time disposal facilities were envisaged as an engineered near-surface facility for LLW and short-lived ILW, and a modified mine or purpose built cavity at greater depth for long-lived ILW. Investigation of various sites followed and is discussed in the paper. The paper reviews the lessons learned in the field of public relations and public consultation, notably that public acceptance is a key factor in site selection and development, and that transparency is essential. For example, when it was announced that Sellafield was the preferred site for the repository, local councils became involved in discussions and planning, and Nirex is becoming more and more integrated into the local community. (author)

  10. Financial aspects of veterinary herd health management programmes

    NARCIS (Netherlands)

    Ifende, V.I.; Derks, M.; Hooijer, G.A.; Hogeveen, H.

    2014-01-01

    Veterinary herd health management (VHHM) programmes are meant to support herd health and farmers’ income (Brand and Guard 1996). They were introduced in the Netherlands in the 1970s (Sol and Renkema 1984) and at present many veterinarians provide them to farmers. VHHM comprises a basic structure of

  11. About some aspects of weather related risks in Spanish Agriculture

    Science.gov (United States)

    Anton, J. M.; Tarquis, A. M.; Grau, J. B.; Saa, A.; Diaz, M. C.

    2009-04-01

    aggressive floods in 1500-1800 era, and actual added trends of "climate change" are towards higher temperatures, less water and higher perturbations. These long term risks are rather poorly predictable and will be handled mostly by improvements in agriculture and also by social and economic adaptations, but at shorter delays and specific areas active policies are possible and exist. An agribusiness can set his production plans lowering his global risk. Sometimes it might use prudently some financial instruments, such as "orange juice futures". When using decision making models, some utility functions may consider that severe losses have higher effects than good profits, letting ranges for business margins for insurers to be limited by concurrence at correct levels. Correct availability of credits is necessary for bad periods, and also state policies for rare bad situations, concerning agribusiness survival and also alimentary safety. Insurance products are effective aids for a growing variety of well definite natural risks, such as in cases of hailstorm, that have probabilities of occurrence measurable from previous events data, and a variety of adequate professional models are continuously made for them. Related to Universidad Politecnica de Madrid the CEIGRAM institute has started recently and is involved in agricultural insurance, being connected with insurers through ENESA and AGROMUTUA. That world is active, important, evolving, and is regulated by diverse laws.

  12. Are equity aspects communicated in Nordic public health documents?

    DEFF Research Database (Denmark)

    Povlsen, Lene; Eklund Karlsson, Leena; Regber, Susann

    2014-01-01

    Aims: To explore if the term equity was applied and how measures for addressing social inequalities in health and reducing inequity were communicated in selected Nordic documents concerning public health. Methods: Documents from Denmark, Finland, Norway, and Sweden were collected and analysed...... by Nordic authors. Data included material from websites of ministries and authorities responsible for public health issues, with primary focus on steering documents, action programmes, and reports from 2001 until spring 2013. Results: Most strategies applied in Danish, Finnish, and Swedish documents focused...... on the population in general but paid special attention to vulnerable groups. The latest Danish and Finnish documents communicate a clearer commitment to address social inequalities in health. They emphasise the social gradient and the need to address the social determinants in order to improve the position...

  13. Dual-Use Aspects of System Health Management

    Science.gov (United States)

    Owens, P. R.; Jambor, B. J.; Eger, G. W.; Clark, W. A.

    1994-01-01

    System Health Management functionality is an essential part of any space launch system. Health management functionality is an integral part of mission reliability, since it is needed to verify the reliability before the mission starts. Health Management is also a key factor in life cycle cost reduction and in increasing system availability. The degree of coverage needed by the system and the degree of coverage made available at a reasonable cost are critical parameters of a successful design. These problems are not unique to the launch vehicle world. In particular, the Intelligent Vehicle Highway System, commercial aircraft systems, train systems, and many types of industrial production facilities require various degrees of system health management. In all of these applications, too, the designers must balance the benefits and costs of health management in order to optimize costs. The importance of an integrated system is emphasized. That is, we present the case for considering health management as an integral part of system design, rather than functionality to be added on at the end of the design process. The importance of maintaining the system viewpoint is discussed in making hardware and software tradeoffs and in arriving at design decisions. We describe an approach to determine the parameters to be monitored in any system health management application. This approach is based on Design of Experiments (DOE), prototyping, failure modes and effects analyses, cost modeling and discrete event simulation. The various computer-based tools that facilitate the approach are discussed. The approach described originally was used to develop a fault tolerant avionics architecture for launch vehicles that incorporated health management as an integral part of the system. Finally, we discuss generalizing the technique to apply it to other domains. Several illustrations are presented.

  14. Accidents at work in the health care - legal aspects in Poland.

    Science.gov (United States)

    Szereda, Kamil; Szymańska, Jolanta

    2016-01-01

    An accident at work is a sudden event caused by external circumstances that occurred in relation to work. Referring to the current legislation, the Supreme Court judgments and the opinions contained in publications, the authors discuss the legal aspects of selected accidents: needle stick injuries, cuts with other sharp tools, heart attacks and strokes among health professionals and social workers in Poland. It has been stressed that defining rigid criteria that allow for stating unequivocal work - accidents relationships would be difficult or even impossible. Especially in the case of medical personnel the long-term and negative impact of stress on health is significant, and thus the occurrence of work accidents - heart attack or stroke. © 2016 MEDPRESS.

  15. Quality and environmental aspects in relation to the application of pulverized fuel ash

    International Nuclear Information System (INIS)

    Berg, J.W. van den

    1991-01-01

    In the Netherlands pulverised coal from different parts of the world is used in 5 coalfired power stations which each have 1 to 3 boilers, which in turn are equipped with various types of burners. This causes a large variation in the composition of the pulverized fuel ash (PFA). The PFA is marketed in several areas, each of which has its own specific quality requirements. These requirements are partially dictated in standard specifications. In order to obtain insight into the quality of the PFA, samples are taken and analysed daily. Rules for certification, concerning the quality and the quality control of PFA for use in concrete in The Netherlands have been agreed upon. The environmental aspects in relation to the application of PFA concern the working conditions and health aspects during processing and the environmental impact when PFA is used as a building material. The Dutch legislation concerning the environmental consequences of the application of PFA and other secondary materials is currently under review. 3 tabs

  16. Physical and mental health aspects of elderly in social care in Poland

    Directory of Open Access Journals (Sweden)

    Dobrzyn-Matusiak D

    2014-10-01

    Full Text Available Dorota Dobrzyn-Matusiak,1 Czeslaw Marcisz,2 Ewelina Bąk,3 Halina Kulik,1 Ewa Marcisz4 1Department of Nursing Propaedeutics, 2Department of Gerontology and Geriatric Nursing, School of Health Care, Medical University of Silesia, Katowice, Poland; 3Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, Poland; 4Department of Anxiety Disorders, Hospital of Ministry of Internal Affairs, Katowice, Poland Background: The objective of the study was to evaluate health aspects in elderly individuals in social, institutional, and home care in Poland.Methods: A total of 300 elderly individuals in care in Poland were included in the study. The subjects were divided into three groups: residents of long-term care institutions (group I, residents of adult day-care homes (group II, and community-dwelling subjects (group III. Each group consisted of 100 subjects. Questionnaires evaluating the following physical and mental dimensions of health were used: SF-36 Health Survey, basic activities of daily living, instrumental activities of daily living, Geriatric Depression Scale, and Mini–mental state examination.Results: It was found that the health aspects of the elderly varied depending on whether care was provided in an institutionalized or a home environment, and the lowest health status was found in the elderly receiving in-home care. Furthermore, home-based elderly indicated significant limitations in performing basic activities of daily living and instrumental activities of daily living, as well as a higher prevalence of depression and cognitive impairment.Conclusion: The elderly in long-term institutionalized care, both in a residential home and adult day-care homes, were characterized by a better physical and mental health status than those receiving in-home care. It seemed that worse health status, including the more frequent depression occurrence and cognitive function disorders in the elderly using the nursing care at their homes

  17. ICT and the future of health care: aspects of health promotion.

    Science.gov (United States)

    Haluza, Daniela; Jungwirth, David

    2015-01-01

    Increasingly, Information and Communication Technology (ICT) applications enter the daily lives of consumers. Availability of various multimedia interfaces offers the opportunity to develop and adjust ICT solutions to all aspects of society including health care. To address the challenges of the ongoing adaptive progress of ICT, decision makers profit from estimates of expectable merits and risks of future technological developments. The aim of the present study was to assess the prevailing opinions and expectations among Austrian stakeholders regarding ICT-assisted health promotion. In total, 73 experts (74% males) engaged in the Austrian health care sector participated in a biphasic online Delphi survey. Panellists were assigned to three groups representing medical professionals, patient advocates, and administrative personnel. In a scenario-based questionnaire, experts evaluated potential advantages and barriers as well as degree of innovation, desirability, and estimated date of implementation of six future ICT scenarios. Scenario-specific and consolidated overall opinions were ranked. Inter-group differences were assessed using ANOVA. Panellists expected the future ICT-supported health promotion strategies to especially improve the factors living standard (56%), quality of health care (53%), and patient's knowledge (44%). Nevertheless, monetary aspects (57%), acceptance by patient advocates (45%), and data security and privacy (27%) were considered as the three most substantial hampering factors for ICT applications. Although overall mean desirability of the scenarios was quite high (80%) amongst panellists, it was considerably lower in medical professionals compared to patient advocates and administrative personnel (p=0.006). This observation suggests a more precautious attitude of this specific interest group regarding technological innovations. The present Delphi survey identified issues relevant for successful implementation of ICT-based health care

  18. Time based management in health care system: The chosen aspects

    Directory of Open Access Journals (Sweden)

    Joanna Kobza

    2014-08-01

    Full Text Available Time-based management (TBM is the key element of the whole management process. For many years in health care systems of highly developed countries modern and effective methods of time-based management have been implemented in both primary health care and hospitals (emergency departments and operating rooms. Over the past two decades a systematic review of Polish literature (since 1990 and peer reviewed articles published in international journals based on PubMed/Medline (2001–2011 have been carried out. The collected results indicate that the demographic and health changes in the populations are one of the main challenges facing general practitioners in the nearest future. Time-based management needs new and effective tools and skills, i.e., identification of priorities, well designed planning, delegation of the tasks, proper coordination, and creation of primary care teams that include additional members and human resources management. Proper reimbursement of health services, development of IT in health care system, better collection, storage, processing, analysis and exchange of information and research findings will also be needed. The use of innovative technologies, like telemedicine consultations, provides the possibility of reducing waiting time for diagnosis and treatment and in some cases could be applied in terms of secondary care. To improve the efficiency of operating rooms it is necessary to introduce different solutions, such as operating room coordinator involvement, application of automation to guide decision-making or use of robotic tools to assist surgical procedures. Overcrowded emergency departments have a major detrimental effect on the quality of hospital functions, therefore, efforts should be made to reduce them. Time-based management training among physicians and health care management in Poland, as well as the implementation of practice-based solutions still applied in highly developed countries seem to be necessary

  19. [Time based management in health care system: the chosen aspects].

    Science.gov (United States)

    Kobza, Joanna; Syrkiewicz-Świtała, Magdalena

    2014-01-01

    Time-based management (TBM) is the key element of the whole management process. For many years in health care systems of highly developed countries modern and effective methods of time-based management have been implemented in both primary health care and hospitals (emergency departments and operating rooms). Over the past two decades a systematic review of Polish literature (since 1990) and peer reviewed articles published in international journals based on PubMed/Medline (2001-2011) have been carried out. The collected results indicate that the demographic and health changes in the populations are one of the main challenges facing general practitioners in the nearest future. Time-based management needs new and effective tools and skills, i.e., identification of priorities, well designed planning, delegation of the tasks, proper coordination, and creation of primary care teams that include additional members and human resources management. Proper reimbursement of health services, development of IT in health care system, better collection, storage, processing, analysis and exchange of information and research findings will also be needed. The use of innovative technologies, like telemedicine consultations, provides the possibility of reducing waiting time for diagnosis and treatment and in some cases could be applied in terms of secondary care. To improve the efficiency of operating rooms it is necessary to introduce different solutions, such as operating room coordinator involvement, application of automation to guide decision-making or use of robotic tools to assist surgical procedures. Overcrowded emergency departments have a major detrimental effect on the quality of hospital functions, therefore, efforts should be made to reduce them. Time-based management training among physicians and health care management in Poland, as well as the implementation of practice-based solutions still applied in highly developed countries seem to be necessary.

  20. IMPLEMENTATION OF DRUG ADDICTS RIGHT TO HEALTH PROTECTION (SEPARATE ASPECTS).

    Science.gov (United States)

    Shevchuk, O; Rzhevska, O; Korop, O; Pyliuha, L

    2018-03-01

    The purpose of the research is to analyze specific problems of the realization of the right to protect the health of people who take narcotic drugs or psychotropic substances. To achieve this goal, statistics have been analyzed on the number of people using narcotic drugs or psychotropic substances (including drug-addicted children) placed on medical records and the number of their applications for medical care. It has been found out that people in this category often face a denial of medical care that causes extremely strong physical and mental suffering. The analysis of the understanding of the legal design of the «right to health care» in the scientific literature, national legislation and international legal documents was made. State institutions and local authorities providing «the right to health care» of people taking narcotic or psychotropic drugs are singled out. The absence of grounds for restricting the right to protect the health of people who take narcotic or psychotropic drugs who are not registered is justified. In the course of the research, it was found out that people who take narcotic drugs or psychotropic substances are more likely than other patients to need medical assistance and, when requesting the right to health care, face a number of problems that require immediate solution: incomplete provision of quality free medical care; unimplementation of rehabilitation programs for such categories of patients; the lack of the right of children who take narcotic drugs or psychotropic substances to make their own decisions at the age of 14 and apply to public health institutions for the treatment of drug addiction; violations of the continuity of SMT programs and their absence in penal institutions for drug dependent people. It was proposed to introduce a number of changes in the relevant normative legal acts.

  1. Shift work-related health problems in

    Directory of Open Access Journals (Sweden)

    S. Khavaji

    2010-04-01

    Full Text Available Background and aimsShift work is a major feature of working life that affects diverse aspects of human life. The main purposes of this study were to investigate shift work-related health problems and their risk factors among workers of "12-hour shift" schedule.MethodsThis cross-sectional study was carried out at 8 petrochemical industries in Asalooyeh area. Study population consisted of 1203 workers including 549 shift worker (46% and 654 day worker (54%. Data on personal details, shift schedule and adverse effects of shift work werecollected by anonymous questionnaire. Statistical analyses were performed using SPSS, version 11.5. The level of significance was set at 5%.ResultsAlthough, the results showed that health problems among shift workers was more prevalent than day workers, but the differences were just significant in gastrointestinal and musculoskeletal disorders (p<0.05. Multiple linear regressions indicated that in addition to shift working, other variants such as long work hours, type of employment, second job, number of children and job title were associated with health problems.ConclusionPrevalence rates of gastrointestinal and musculoskeletal problems among shift workers were significantly higher than that of day workers. Although, working in shift system was the main significant factor associated with the reported problems, but other demographic andwork variables were also found to have association.

  2. Vitamin D status during Pregnancy and Aspects of Offspring Health

    Directory of Open Access Journals (Sweden)

    Jane Halliday

    2010-03-01

    Full Text Available Low maternal vitamin D levels during pregnancy have been linked to various health outcomes in the offspring, ranging from periconceptional effects to diseases of adult onset. Maternal and infant cord 25(OHD levels are highly correlated. Here, we review the available evidence for these adverse health effects. Most of the evidence has arisen from observational epidemiological studies, but randomized controlled trials are now underway. The evidence to date supports that women should be monitored and treated for vitamin D deficiency during pregnancy but optimal and upper limit serum 25(OHD levels during pregnancy are not known.

  3. Carotenoids and retinoids: molecular aspects and health issues

    National Research Council Canada - National Science Library

    Packer, Lester

    2005-01-01

    ... are byproducts of metabolism in humans. Indeed, the presence of carotenoids in the diet and their role in human health has become a subject of unprecedented interest. Some carotenoids are called provitamin A compounds because they are precursors of retinol and retinoic acid. The type of carotenoids found in human plasma depends on the...

  4. Does convenience matter in health care delivery? A systematic review of convenience-based aspects of process utility.

    Science.gov (United States)

    Higgins, A; Barnett, J; Meads, C; Singh, J; Longworth, L

    2014-12-01

    To systematically review the existing literature on the value associated with convenience in health care delivery, independent of health outcomes, and to try to estimate the likely magnitude of any value found. A systematic search was conducted for previously published studies that reported preferences for convenience-related aspects of health care delivery in a manner that was consistent with either cost-utility analysis or cost-benefit analysis. Data were analyzed in terms of the methodologies used, the aspects of convenience considered, and the values reported. Literature searches generated 4715 records. Following a review of abstracts or full-text articles, 27 were selected for inclusion. Twenty-six studies reported some evidence of convenience-related process utility, in the form of either a positive utility or a positive willingness to pay. The aspects of convenience valued most often were mode of administration (n = 11) and location of treatment (n = 6). The most common valuation methodology was a discrete-choice experiment containing a cost component (n = 15). A preference for convenience-related process utility exists, independent of health outcomes. Given the diverse methodologies used to calculate it, and the range of aspects being valued, however, it is difficult to assess how large such a preference might be, or how it may be effectively incorporated into an economic evaluation. Increased consistency in reporting these preferences is required to assess these issues more accurately. Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  5. Medical training and nurses of Family Health strategy on worker health aspect

    Directory of Open Access Journals (Sweden)

    Érika Chediak Mori

    2016-06-01

    Full Text Available Considering the worker’s health one of the Unified Health System (SUS tasks, the Primary Health Care (PHC and the Family Health Strategy (FHS play an important role in the development of health actions in the field health-work. In Brazil, where the number of informal and domiciled jobs is high, the FHS becomes a reference in the workers’ health actions. Therefore, if the FHS is not attentive to the relation between professional occupation and disease, several diseases that affect workers can overload the system without obtaining a cure. The aim of this study is to evaluate doctors and nurses recognition of the Family Health Strategy on occupational diseases in Aparecida de Goiânia. This is a qualitative descriptive study and the data analysis was done by content analysis. The setting for this study contemplates FHS units in the municipality of Aparecida de Goiânia, Goiás. There were 8 Basic Health Units and 16 health professionals were interviewed. The data was collected in the participants of the interview workplaces, from February through April, 2013, after being approved by the Ethics and Research Committee. The discourses were analyzed according to Minayo (2007, using thematic analysis. The interviews were recorded and later transcribed for analysis. Among the 16 professionals interviewed we observed that only 3 (18.75% received professional training on occupational health in their Institution, however the aim of the courses were towards situations of biological hazards and not about workers care. Practitioners reported lack of knowledge in the occupational health area, and also observed that the area is still undervalued and underexplored in the academic and professional fields, and even by the Municipality health management. Evaluating the academic education it is possible to observe the inadequacy of the subject workload, where professionals reported the lack of knowledge in the area and the low workload of the subject in the

  6. Symptoms in Inflammatory Bowel Disease: pathophysiologic aspects and their relation with disease activity

    NARCIS (Netherlands)

    Minderhoud, I.M.

    2007-01-01

    Symptoms in Inflammatory Bowel Disease: pathophysiologic aspects and their relation with disease activity Inflammatory bowel disease (IBD) comprises ulcerative colitis (UC) and Crohn's disease (CD). IBD patients frequently complain of fatigue, and a substantial proportion of the patients have

  7. Novel aspects of health promoting compounds in meat.

    Science.gov (United States)

    Young, J F; Therkildsen, M; Ekstrand, B; Che, B N; Larsen, M K; Oksbjerg, N; Stagsted, J

    2013-12-01

    Meat is an integral part of the human diet. Besides essential amino acids and nutritive factors of high quality and availability, meat provides often overlooked components of importance for human health. These are amino acids and bioactive compounds that may be very important in i) preventing muscle wasting diseases, such as in sarcopenia, ii) reducing food and caloric intake to prevent metabolic syndrome, iii) blood pressure homeostasis via ACE-inhibitory components from connective tissue, and iv) maintaining functional gut environment through meat-derived nucleotides and nucleosides. In addition, meat could be an important source of phytanic acid, conjugated linoleic acids and antioxidants. Further, it becomes increasingly apparent that design of in vitro meat will be possible, and that this development may lead to improved health benefits from commercially viable and sustainable meat products. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Occupational-health aspects of marine oil-spill response

    International Nuclear Information System (INIS)

    Park, J.M.; Holliday, M.G.

    1999-01-01

    This paper with 108 references examines the effect on oil spill cleanup workers of exposure to the crude oil via inhalation and dermal contact, and discusses exposure and the nature of crude oil, routes and magnitudes of exposure, and special cases such as the formation of aerosols, and the effect of in-situ burning of the oil on the chemical hazards associated with cleanup. The acute and chronic health effects of inhalation exposure, and the effect of exposure to oil mists and aerosols are considered. The acute and chronic health effects of dermal exposure are addressed, and some epidemiologic studies on petroleum refinery and petrochemical workers are listed with details of the methodology used and the study findings given. The chemical and physical properties of two crude oils are tabulated. (UK)

  9. Social and economic aspects of aquatic animal health.

    Science.gov (United States)

    Adam, K E; Gunn, G J

    2017-04-01

    Aquaculture is an increasingly important source of animal protein for a growing global population. Disease is a major constraint to production, with resultant socio-economic impacts for individuals, communities and economies which rely on aquaculture. Aquatic animal health is also strongly influenced by human factors, ranging from international trade regulations to the behaviours of individuals working in aquaculture. This article summarises the human factors associated with aquaculture production using international examples for illustration.

  10. Hygienic aspects of physical education and health of schoolchildren

    OpenAIRE

    J.D. Svystun; V.M. Trach; Kh.E. Shavel; J.M. Kukujuk

    2017-01-01

    Aim: to analyze the state of physical education in secondary schools of Ukraine and to observe hygienic requirements during physical education lessons. Material: the study was attended by schoolchildren (n=40, age - 12-13 years) and schoolchildren of specialized sports classes (n=40, age - 14-16 years). Studied: the level of physical health; functional state of the respiratory and cardiovascular systems; the state of energy supply of children’s organism; the influence of mobile games on the f...

  11. Distinguishing Relational Aspects of Character Strengths with Subjective and Psychological Well-being

    Directory of Open Access Journals (Sweden)

    Melanie Hausler

    2017-07-01

    Full Text Available Research has shown that character strengths are positively linked with well-being in general. However, there has not been a fine-grained analysis up to date. This study examines the individual relational aspects between the 24 character strengths, subjective well-being (SWB, and different aspects of psychological well-being (PWB at two times of measurement (N = 117. Results showed that overall the “good character” was significantly stronger related with PWB than with SWB. The character strength “hope” was at least moderately correlated with the PWB aspects meaning, optimism and autonomy, and “zest” with the PWB aspects relationships and engagement. “Persistence” showed the highest correlation with the PWB aspect mastery. Out of the 24 character strengths, the happiness-related strengths (hope, zest, gratitude, curiosity, and love were more likely to correlate with PWB and SWB than any other character strength. This study offers a more fine-grained and thorough understanding of specific relational aspects between the 24 character strengths and a broad range of well-being aspects. Future studies should take up a detailed strategy when exploring relationships between character strengths and well-being.

  12. Review of health safety aspects of nanotechnologies in food production.

    Science.gov (United States)

    Bouwmeester, Hans; Dekkers, Susan; Noordam, Maryvon Y; Hagens, Werner I; Bulder, Astrid S; de Heer, Cees; ten Voorde, Sandra E C G; Wijnhoven, Susan W P; Marvin, Hans J P; Sips, Adriënne J A M

    2009-02-01

    Due to new, previously unknown, properties attributed to engineered nanoparticles many new products are introduced in the agro-food area. Nanotechnologies cover many aspects, such as disease treatment, food security, new materials for pathogen detection, packaging materials and delivery systems. As with most new and evolving technologies, potential benefits are emphasized, while little is known on safety of the application of nanotechnologies in the agro-food sector. This review gives an overview of scientific issues that need to be addressed with priority in order to improve the risk assessment for nanoparticles in food. The following research topics are considered to contribute pivotally to risk assessment of nanotechnologies and nanoparticles in food products. Set a definition for NPs to facilitate regulatory discussions, prioritization of research and exchange of study results. Develop analytical tools for the characterization of nanoparticles in complex biological matrices like food. Establish relevant dose metrics for nanoparticles used for both interpretation of scientific studies as well as regulatory frameworks. Search for deviant behavior (kinetics) and novel effects (toxicity) of nanoparticles and assess the validity of currently used test systems following oral exposure. Estimate the consumer exposure to nanoparticles.

  13. Chlorophyll as a measure of plant health: Agroecological aspects

    Directory of Open Access Journals (Sweden)

    Danijela Pavlović

    2014-03-01

    Full Text Available As photosynthesis is the basic process during which light energy is absorbed and converted into organic matter, the importance of the plant pigment chlorophyll (a and b forms as an intermediary in transformation of the absorbed solar energy and its activity in the process of photosynthesis and synthesis of organic substances in plants are crucial. Therefore, this paper provides an overview of methods for monitoring the optical activity of chlorophyll molecules and methods (non-destructive and destructive for quantification of chlorophyll in plants. These methods are used to estimate the effects of different stress factors (abiotic, biotic and xenobiotic on the efficiency of photosynthesis and bioproductivity, aiming to assess the impact that these limiting factors have on the yield of various cultivars. Also, those methods for analysis of chlorophyll optical activity and/or content are appropriate for assessing the reaction of weed species to different agricultural practices (mineral nutrition, treatment by herbicides, etc. and studies of different aspects of weed ecophysiology and their influence on crop harvest.

  14. Effects of concurrent training on health aspects of elderly women

    Directory of Open Access Journals (Sweden)

    Anderson Leandro Peres Campos

    2013-05-01

    Full Text Available Training programs that include aerobics and strength exercises, either at the same session or alternate days are defined as concurrent training (CT. The objective of this study was to verify the effects of a CT program on biochemical parameters,cardiovascular fitness, body composition and neuromuscular aspects. Twenty two elderly women physically active were randomly allocated to one of the five groups: AS (aerobic exercises followed by strength training; n=5, SA (strength activities followed by aerobics exercises; n=5, AG (aerobics exercise only;n=5, SG (strength activities only; n=4, CG (control group; n=3. The program lasted 12 weeks. Tests of dynamic and static strength, flexibility, aerobic power, body composition and biochemical parameters were conducted. In the aerobics power test, AS and SA groups showed differences in the post-test compared to the CG. In dynamic strength test of upper limbs, the groups S, SA, AS showed statistical differences from the CG in the post-test (p=0.009, 0.006 and 0.002 respectively. Only the AS group presented some difference from the pre to post-tests (P=003. AG, SG, SA, AS showed differences in the post-test inrelation to the CG for the lower limbs strength test (p<0.001. From pre to post-test within the same group, the groups SG, SA and AS showed differences (p=0.001, 0.03, 0.02. Stretching, static strength, biochemical factors and body composition showed no association with any of the groups. We concluded that CT was equivalent to the strength and aerobics exercises performed exclusively.

  15. Public health aspects of waste-water treatment

    International Nuclear Information System (INIS)

    Lund, E.

    1975-01-01

    Among the bacteria, viruses and parasites which may be found in waste-water and polluted waters, those that are pathogenic to man are briefly described. The efficiency of different conventional waste-water treatments in removing the pathogens is reviewed, as well as additional factors of importance for the presence of micro-organisms in recipient waters. It is concluded that at present for treated waters no conventional treatment results in an effluent free from pathogens if they are present in the original waste-water. This is also true for sludges apart from pasteurization. The importance to public health of the presence of pathogens in recipient waters is briefly discussed. (author)

  16. Health physics aspects of the 1.5M cyclotron

    International Nuclear Information System (INIS)

    Song, W.J.; Du, H.L.; Wei, Z.Q.; Xia, X.S.; Zheng, H.Z.; Jiang, G.F.; Liu, Y.Y.

    1987-01-01

    The 1.5m cyclotron in Institute of Modern Physics, Academia Sinica had operated for about 20 years until 1984 then converted to 1.7m sector focusing cyclotron. In this period it mainly used for fast neutron physics, light ion induced nucleus reactions, radioisotope production and heavy ion reactions. The health physics performed on this cyclotron including personnel dose monitoring, area monitoring (radiation field, radioactive aerosol, surface contamination and activated components etc.), maintenance inspection, environment survey and waste disposal is presented in this paper

  17. The health aspects of biogas as an energy source

    International Nuclear Information System (INIS)

    Srinivasan, H.R.

    1982-01-01

    Data on the positive health impacts of biogas as fuel for rural household cooking have been collected from three villages near Bombay, one of which used traditional firewood as cooking fuel, one used biogas plants, and the third used biogas plants connected to latrines. The study illustrates the advantages of the use of biogas compared to wood, dung-cakes and crop residues. The biogas plants in the villages selected for study have been in operation for three or four years. Short-time studies show positive advantages of the use of biogas as fuel. (author)

  18. Some health aspects of high-energy society

    International Nuclear Information System (INIS)

    Cook, E.

    1975-01-01

    The intensive use of inanimate energy in industrialized or high-energy society has subsidized research, development, and higher education and has brought about changes in nutrition and life-style that have led to great advances in public health and medicine. The emergence of high-energy society, however, has brought with it a new set of health problems, within which the direct effects of measurable pollution may turn out to be more easily dealt with than some of the indirect and hard-to-calculate consequences of high energy use. High-energy society is critically dependent on energy-intensive transport systems, and these systems in turn are dependent upon a continual supply of petroleum products. In the short-term, the aorta of any industrialized nation is its petroleum-supply network. In the longer run, high-energy society faces the depletion and exhaustion of all the nonrenewable resources on which it has fed. Even if technology provides adequate substitute energy systems, high-energy society may deteriorate socially from inability to cope with affluence

  19. Health Aspects of a Nuclear or Radiological Attack

    Science.gov (United States)

    2010-07-01

    treatment capabilities, population monitoring, decontamination, and so on. The requirements should be developed by a process that engages stakeholders...IND or reactor accident would release radioiodine that could result in hypothyroidism or late thyroid nodules or cancer. External contamination... Treatment and Long-Term Monitoring Victims of acute radiation-related events will require prompt diagnosis and treatment of emergency medical and

  20. Adolescents' mental health and the Greek family: preventive aspects.

    Science.gov (United States)

    Ierodiakonou, C S

    1988-03-01

    Preventive mental health measures can be properly planned only if the various factors leading to the adolescent's personality structure are extensively investigated. Starting with the specific attitudes of a couple towards genetic counselling, the disadvantages of urbanization and of the dissolution of the traditional extended family are discussed with regard to their effect on the younger members. Data are produced concerning the child-rearing practices of Greek in comparison to American parents and their effect on the adolescent's emotional life. Extreme dependence on the family, pressure for school achievements, lack of sexual education, etc. are characteristic of the stresses a Greek adolescent undergoes. Socio-cultural conditions, like immigration, adoption, etc. are shown to have a different psychological effect on an adolescent in Greece than in America. Specific stresses regarding the adolescent's future, like preparing for university entrance examinations, are discussed and preventive measures are proposed.

  1. Hygienic aspects of physical education and health of schoolchildren

    Directory of Open Access Journals (Sweden)

    J.D. Svystun

    2017-11-01

    Full Text Available Aim: to analyze the state of physical education in secondary schools of Ukraine and to observe hygienic requirements during physical education lessons. Material: the study was attended by schoolchildren (n=40, age - 12-13 years and schoolchildren of specialized sports classes (n=40, age - 14-16 years. Studied: the level of physical health; functional state of the respiratory and cardiovascular systems; the state of energy supply of children’s organism; the influence of mobile games on the functional capabilities of the body of children. To study the effects of physical exercises on the development of the muscular system of children, excretion of creatinine with urine was studied. Results: high levels of physical and functional status of young players are noticed. These data are significantly higher than similar data from their peers from non-sports classes. In the course of systematic training and competitions, excretion of creatinine decreases at the end of the season to 0.8 g/l. These changes point to a decrease in energy resources and are consistent with a decrease in the rapid qualities of young players (as a measure of overall physical fitness. In this group of pupils, there were 2-4% lessons in the classes: mostly because of colds. In schoolchildren of ordinary schools, indicators of physical development and functional status were significantly worse. The indicators of the lung capacity were 3500-3800 ml. The distance of 30 m children ran for 5,5±0,4 seconds. The index of the brush dynamometer was 35±1,8 kg. The results of the recovery of the heart rate after the metered loading were from 2 to 3 minutes. There is a shortage of body weight in 12% of schoolchildren. There is an overweight in 1,8% of schoolchildren. Conclusions: in the structure of children’s morbidity a high level of respiratory diseases, gastrointestinal tract, and eyes is allocated. Therefore, when taking physical training, such data should be taken into account. It

  2. Biofilms in the Food Industry: Health Aspects and Control Methods

    Science.gov (United States)

    Galié, Serena; García-Gutiérrez, Coral; Miguélez, Elisa M.; Villar, Claudio J.; Lombó, Felipe

    2018-01-01

    Diverse microorganisms are able to grow on food matrixes and along food industry infrastructures. This growth may give rise to biofilms. This review summarizes, on the one hand, the current knowledge regarding the main bacterial species responsible for initial colonization, maturation and dispersal of food industry biofilms, as well as their associated health issues in dairy products, ready-to-eat foods and other food matrixes. These human pathogens include Bacillus cereus (which secretes toxins that can cause diarrhea and vomiting symptoms), Escherichia coli (which may include enterotoxigenic and even enterohemorrhagic strains), Listeria monocytogenes (a ubiquitous species in soil and water that can lead to abortion in pregnant women and other serious complications in children and the elderly), Salmonella enterica (which, when contaminating a food pipeline biofilm, may induce massive outbreaks and even death in children and elderly), and Staphylococcus aureus (known for its numerous enteric toxins). On the other hand, this review describes the currently available biofilm prevention and disruption methods in food factories, including steel surface modifications (such as nanoparticles with different metal oxides, nanocomposites, antimicrobial polymers, hydrogels or liposomes), cell-signaling inhibition strategies (such as lactic and citric acids), chemical treatments (such as ozone, quaternary ammonium compounds, NaOCl and other sanitizers), enzymatic disruption strategies (such as cellulases, proteases, glycosidases and DNAses), non-thermal plasma treatments, the use of bacteriophages (such as P100), bacteriocins (such us nisin), biosurfactants (such as lichenysin or surfactin) and plant essential oils (such as citral- or carvacrol-containing oils). PMID:29867809

  3. Biofilms in the Food Industry: Health Aspects and Control Methods

    Directory of Open Access Journals (Sweden)

    Serena Galié

    2018-05-01

    Full Text Available Diverse microorganisms are able to grow on food matrixes and along food industry infrastructures. This growth may give rise to biofilms. This review summarizes, on the one hand, the current knowledge regarding the main bacterial species responsible for initial colonization, maturation and dispersal of food industry biofilms, as well as their associated health issues in dairy products, ready-to-eat foods and other food matrixes. These human pathogens include Bacillus cereus (which secretes toxins that can cause diarrhea and vomiting symptoms, Escherichia coli (which may include enterotoxigenic and even enterohemorrhagic strains, Listeria monocytogenes (a ubiquitous species in soil and water that can lead to abortion in pregnant women and other serious complications in children and the elderly, Salmonella enterica (which, when contaminating a food pipeline biofilm, may induce massive outbreaks and even death in children and elderly, and Staphylococcus aureus (known for its numerous enteric toxins. On the other hand, this review describes the currently available biofilm prevention and disruption methods in food factories, including steel surface modifications (such as nanoparticles with different metal oxides, nanocomposites, antimicrobial polymers, hydrogels or liposomes, cell-signaling inhibition strategies (such as lactic and citric acids, chemical treatments (such as ozone, quaternary ammonium compounds, NaOCl and other sanitizers, enzymatic disruption strategies (such as cellulases, proteases, glycosidases and DNAses, non-thermal plasma treatments, the use of bacteriophages (such as P100, bacteriocins (such us nisin, biosurfactants (such as lichenysin or surfactin and plant essential oils (such as citral- or carvacrol-containing oils.

  4. Phytochemical profile of sugarcane and its potential health aspects.

    Science.gov (United States)

    Singh, Amandeep; Lal, Uma Ranjan; Mukhtar, Hayat Muhammad; Singh, Prabh Simran; Shah, Gagan; Dhawan, Ravi Kumar

    2015-01-01

    Sugarcane (Saccharum officinarum Linn.) is an important perennial grass of Poaceae family, indigenous to tropical South Asia and Southeast Asia. It is cultivated worldwide due to the economical and medicinal value of its high yielding products. Sugarcane juice is well known as a raw material for the production of refined sugar and its wax is considered as a potential substitute for the expensive carnauba wax, which is of cosmetic and pharmaceutical interest. Refined sugar is the primary product of sugarcane juice, but during its processing, various other valuable products are also obtained in an unrefined form, such as, brown sugar, molasses, and jaggery. Sugarcane juice is widely used in India in the treatment of jaundice, hemorrhage, dysuria, anuria, and other urinary diseases. Herein, we have summarized the different phytoconstituents and health benefits of sugarcane and its valuable products. The phytochemistry of sugarcane wax (obtained from the leaves and stalks of sugarcane), leaves, juice, and its products has revealed the presence of various fatty acid, alcohol, phytosterols, higher terpenoids, flavonoids, -O- and -C-glycosides, and phenolic acids. The future prospective of some of the sugarcane products has been discussed, which needs a phytopharmacological study and has a great potential to be a valuable medicinal product.

  5. Financial aspects of veterinary herd health management programmes.

    Science.gov (United States)

    Ifende, V I; Derks, M; Hooijer, G A; Hogeveen, H

    2014-09-06

    Veterinary herd health management (VHHM) programmes have been shown to be economically effective in the past. However, no current information is available on costs and benefits of these programmes. This study compared economics and farm performance between participants and non-participants in VHHM programmes in 1013 dairy farms with over 40 cows. Milk Production Registration (MPR) data and a questionnaire concerning VHHM were used. Based on the level of participation in VHHM (as indicated in the questionnaire), costs of the programmes were calculated using a normative model. The economic value of the production effects was similarly calculated using normative modelling based on MPR data. Participants in VHHM had a better performance with regard to production, but not with regard to reproduction. Over 90 per cent of the VHHM participants were visited at least once every six weeks and most participants discussed at least three topics. In most farms, the veterinarian did the pregnancy checks as part of the VHHM programmes. There was a benefit to cost ratio of about five per cow per year for VHHM participants, and a mean difference in net returns of €30 per cow per year after adjusting for the cost of the programme. This portrays that participation in a VHHM programme is cost-efficient. There is, however, much unexplained variation in the net returns, possibly due to diverse approaches by veterinarians towards VHHM or by other factors not included in this analysis, like nutritional quality or management abilities of the farmer. British Veterinary Association.

  6. Microfungi problem, health aspects. [Storage of wood fuel chips

    Energy Technology Data Exchange (ETDEWEB)

    Jirjis, Raida (Swedish Univ. of Agricultural Sciences, Uppsala (SE). Dept. of Forest Products)

    1988-11-01

    The storage of wood fuel chips, in general, leads to the establishment of microbial activity in the pile. Fungi are one of these microorganisms which can grow vigorously in stored forest products. Different types of fungi are commonly present on wood chip pile; rot fungi, blue stain fungi and moulds. Each fungis has its optimum temperature and humidity. Fungi also differ in their ability to utilize different components of the biofuel; moulds are unable to degrade lignin and only few species can degrade cellulose. Rot fungi on the other hand can attack all parts of the substrate and degrade it to varying degrees. Sporulation in fungi is their mechanisms for reproduction and survival. The spores are produced asexually in special spore carriers which are specific for each type of fungi. In stored wood chip pile the sporulation of moulds is the source of health hazard due to its ability to produce very large numbers of microspores in a short period. These microspores are usually airborne and they are almost always present in air but their numbers differ with time, weather and location. Most people can tolerate the presence of these microfungi at concentrations up to 10{sup 6} spore/m{sup 3} air, but a more intense exposure of 10{sup 10} spores/m{sup 3} air con provoke allergic reactions in certain individuals causing allergic alveolitis. The growth of different fungi on stored wood chips pile depends on the time and the system of storage that is used for that pile. In general, indoors storage, high moisture contents and excess of fine fractions are factors that could lead to intensive fungal activity. Handling of such material necessitate the use of protective helmet to avoid the risks of allergic reactions. (4 refs.) (au).

  7. Public health aspects of the available electricity sources

    International Nuclear Information System (INIS)

    Rabl, A.; Spadaro, J.V.

    2000-01-01

    This paper presents a summary of recent studies of the safety of energy systems, presenting the results both in physical units of YOLL (years of life lost) and in monetary units. Whereas the earlier studies of the safety of energy systems tended to focus on risks to workers and on accidents, in recent years the importance of public health impacts due to pollution has been recognized, especially thanks to the ExternE (External Costs of Energy) Project of the European Commission. To evaluate the impact and damage cost of a pollutant, one needs to carry out an impact pathway analysis; this involves the calculation of increased pollutant concentration in all affected regions due to an incremental emission (e.g. μg/m 3 of particles, using models of atmospheric dispersion and chemistry), followed by the calculation of physical impacts (e.g. number of cases of asthma due to these particles, using a dose-response function). The entire so-called fuel chain (or fuel cycle) is evaluated and compared on the basis of delivered end use energy. Even though the uncertainties are large, the results provide substantial evidence that the classical air pollutants (particles, NOx and SOx) from the combustion of fossil fuels impose a heavy toll, in addition to the cost of global warming. The external costs are especially large for coal; even for 'good current technology' they may be comparable to the price of electricity. For natural gas the external costs are about a third to a half of coal. The external costs of nuclear are small compared to the price of electricity (at most a few %), and so are the external costs of most renewable energy systems. (authors)

  8. Relation between dependency and two aspects of self-consciousness : Focusing on dyadic relationships in adolescence

    OpenAIRE

    田宮, 沙紀; 岡本, 祐子

    2013-01-01

    In this study, we focused on dyadic relationships in adolescence and examined the dependent appearance for significant other and the relation with two aspects of the self-consciousness. Two aspects of the self-consciousness are public self-consciousness and private self-consciousness. As a result of factor analysis,it was indicated that adolescents have mature and immature dependencies on significant others and dependent anxiety was observed regardless of the object of dependence. Furthermore...

  9. Review Paper: Aspects related to Resilience in People with Spinal Cord Injury

    Directory of Open Access Journals (Sweden)

    Amir Rahmani Rasa

    2017-02-01

    Conclusion Resilience in spinal cord injury needs psychologically more attempt than the physical aspects, because it needs more time to adapt after a sudden accident. Spirituality, stress management strategies, optimism, and social support from family members and friends facilitate resilience. As resilience is impacted by the culture and environment, more studies on the explanation of the aspects related to the resilience of Iranian population is recommended.

  10. [Asylum Law and Mental Health: An Interdisciplinary Analysis of the Coaction of Medical and Legal Aspects].

    Science.gov (United States)

    Hanewald, Bernd; Gieseking, Janina; Vogelbusch, Oliver; Markus, Inessa; Gallhofer, Bernd; Knipper, Michael

    2016-04-01

    Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the legal and medical facts are exposed, followed by a discussion referring to theoretical approaches from medical anthropology. Immigration laws and legal practice can have harmful consequences, which can be interpreted as "structural violence". In case of traumatized refugees, the coaction of legal and medical aspects has to be acknowledged seriously by the medical, legal and political parts involved. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Health safety aspects of foodstuffs intented for phenylketonurics

    Directory of Open Access Journals (Sweden)

    Stanislava Matejová

    2015-05-01

    Full Text Available Phenylketonuria is a rare metabolic disorder that occurs due to the lack of liver enzyme phenylalanine hydroxylase. Untreated it leads to mental retardation, delayed development of speech, microcephaly, epilepsy, behavioral problems etc. Its treatment consists of strict diet, very low in phenylalanine content. The aim of this study was to determine the health safety and suitability of 17 selected foods labeled as „low in protein" respectively „foods low in phenylalanine". Analyses were focused on their phenylalanine content and aminoacid representation. The other aim was to compare phenylalanine measured with the content declared by the producers on their label. By product origin, the largest amount of foodstuffs originated from Poland (59%, followed by Germany (23% and equal representation (6% had Slovakia, Hungary and Sweden. Automatic analyzer AAA 400, using ion exchange chromatography, analyzed the samples. The lowest determined phenylalanine content was 1 mg.100g-1 (in rubber candy and the highest 299 mg.100g-1 (in paté. Powdered egg alternative was monitored as the second highest source of phenylalanine. Phenylalanine content in the monitored foods ranged from 1 to 299.6 mg. 100 g-1 respectively, and increased in the following order: Gum candies (1 mg.100g-1 < Cherry jelly (1.4 mg. 100g-1 < Flour (5.8 mg.100g-1 < Flour (5.9 mg.100g-1 < Spaghetti (8.7 mg.100g-1 < Pasta (9.9 mg.100g-1 < Waffle (14.2 mg.100g-1 < Salty sticks (23.8 mg.100g-1 < Chocolate (24.1 mg.100g-1 < Bread (26 mg.100g-1 < Breadcrumbs (27.1 mg.100g-1 < Sticks with salt (30.3 mg.100g-1 < Ice Cornets (30.8 mg.100g-1 < Walnut cookie (37.2 mg.100g-1 < Instant soup with noodles (46.1 mg.100g-1 < Powdered egg alternative (58 mg.100g-1 < Pate (299.6 mg.100g-1. Only seven products of 17 observed showed low phenylalanine content, less than 20 mg.100g-1.

  12. Mental Health Aspects of Victims of Crime with Special Reference to Children

    Science.gov (United States)

    Sharma, Parul

    2005-01-01

    Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. This is enshrined in the Indian Constitution and the Universal Declaration on Human Rights. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being,…

  13. [Valuation of health-related quality of life and utilities in health economics].

    Science.gov (United States)

    Greiner, Wolfgang; Klose, Kristina

    2014-01-01

    Measuring health-related quality of life is an important aspect in economic evaluation of health programmes. The development of utility-based (preference-based) measures is advanced by the discipline of health economics. Different preference measures are applied for valuing health states to produce a weighted health state index. Those preference weights should be derived from a general population sample in case of resource allocation on a collective level (as in current valuation studies of the EuroQol group). Copyright © 2014. Published by Elsevier GmbH.

  14. Me, Myself, Fairness, and I: On the Self-Related Aspects of Fairness Reactions

    NARCIS (Netherlands)

    Loseman, A.

    2011-01-01

    The current dissertation focuses on the psychology of justice as a self-related process. Six experiments within three justice domains are reported in which specific self-related aspects and their influence on fairness reactions are investigated. The construction of one’s self-image (i.e., the

  15. Aspect of Intergroup Relations in 21st Century Nigeria: Emblem of ...

    African Journals Online (AJOL)

    This paper is on the aspects of intergroup relations in 21st century Nigeria: Emblem of Ethnicity, Religious Fundamentalism and National Security Crisis, 2000-2014. The objective of the paper is to contribute to some existing literature on the state of intergroup relations in Nigeria. Besides, it would provoke further ...

  16. Protocol to monitor trade agreement food-related aspects: the Fiji case study.

    Science.gov (United States)

    Ravuvu, Amerita; Friel, Sharon; Thow, Anne Marie; Snowdon, Wendy; Wate, Jillian

    2017-04-26

    Despite the growing rates of obesity and diet-related non-communicable diseases, globally, public health attention has only relatively recently turned to the links between trade agreements and the nutritional risks associated with it. Specific trade agreements appear to have played an influential role in the volume and types of foods entering different countries, yet there is currently no systematic and objective monitoring of trade agreements for their impacts on food environments. Recently, INFORMAS was set up to monitor and benchmark food environments, government policies and private sector actions within countries and globally. One of its projects/modules focuses on trade policy and in particular the food-related aspects of trade agreements. This paper describes the INFORMAS trade protocol, an approach to collecting food-related information about four domains of trade: trade in goods; trade in services and foreign direct investment; domestic supports, and policy space. Specifically, the protocol is tested in Fiji. The development and testing of this protocol in Fiji represents the first effort to set out a framework and process for objectively monitoring trade agreements and their impacts on national food supply and the wider food environment. It has shown that entry into WTO trade agreements contributed to the nutrition transition in Fiji through the increased availability of imported foods with varying nutritional quality. We observed an increase in imports of both healthy and less healthy foods. The application of the monitoring protocol also highlights challenges for data collection associated with each trade domain that should be considered for future data collection and analysis in other low and middle income countries. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. Approaches to health assessment related to housing

    NARCIS (Netherlands)

    Guerra Santin, O.

    2006-01-01

    This research had the purpose of providing more information about possible approaches and indicators to measure indoor health in relation to housing. In researches related with health and some Life Cycle Assessment (LCA) databases, the model used for health assessment is the Impact Pathway Analysis

  18. ICT and the future of health care: aspects of doctor-patient communication.

    Science.gov (United States)

    Haluza, Daniela; Jungwirth, David

    2014-07-01

    The current digital revolution is particularly relevant for interactions of healthcare providers with patients and the community as a whole. The growing public acceptance and distribution of new communication tools such as smart mobile phones provide the prerequisite for information and communication technology (ICT) -assisted healthcare applications. The present study aimed at identifying specifications and perceptions of different interest groups regarding future demands of ICT-supported doctor-patient communication in Austria. German-speaking Austrian healthcare experts (n = 73; 74 percent males; mean age, 43.9 years; SD 9.4) representing medical professionals, patient advocates, and administrative personnel participated in a 2-round online Delphi process. Participants evaluated scenario-based benefits and obstacles for possible prospect introduction as well as degree of innovation, desirability, and estimated implementation dates of two medical care-related future set ups. Panelists expected the future ICT-supported doctor-patient dialogue to especially improve the three factors doctors-patient relationship, patients' knowledge, and quality of social health care. However, lack of acceptance by doctors, data security, and monetary aspects were considered as the three most relevant barriers for ICT implementation. Furthermore, inter-group comparison regarding desirability of future scenarios showed that medical professionals tended to be more skeptical about health-related technological innovations (p ICT-supported collaboration and communication between doctors and patients.

  19. Electronic Health Record in Occupational Medicine: Specific Aspects and Requirements of Data Structuring and Standardization

    Directory of Open Access Journals (Sweden)

    Dorin TRIFF

    2009-07-01

    Full Text Available The service of occupational medicine of a specific economic agent, as integrated part of the System of Labor Health and Safety, requires efficient, well-organized information management through standardized and computerized data processing and exploitation. Legal requirements and practical aspects of information management in occupational medicine trigger necessary operational modifications in the Electronic Health File. The goal of the paper is to present basic requirements of structuring the electronic health file and the necessary standards in recording specific data.

  20. NHRIC (National Health Related Items Code)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Health Related Items Code (NHRIC) is a system for identification and numbering of marketed device packages that is compatible with other numbering...

  1. Measuring physical neighborhood quality related to health.

    Science.gov (United States)

    Rollings, Kimberly A; Wells, Nancy M; Evans, Gary W

    2015-04-29

    Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work.

  2. Aspect-related Vegetation Differences Amplify Soil Moisture Variability in Semiarid Landscapes

    Science.gov (United States)

    Yetemen, O.; Srivastava, A.; Kumari, N.; Saco, P. M.

    2017-12-01

    Soil moisture variability (SMV) in semiarid landscapes is affected by vegetation, soil texture, climate, aspect, and topography. The heterogeneity in vegetation cover that results from the effects of microclimate, terrain attributes (slope gradient, aspect, drainage area etc.), soil properties, and spatial variability in precipitation have been reported to act as the dominant factors modulating SMV in semiarid ecosystems. However, the role of hillslope aspect in SMV, though reported in many field studies, has not received the same degree of attention probably due to the lack of extensive large datasets. Numerical simulations can then be used to elucidate the contribution of aspect-driven vegetation patterns to this variability. In this work, we perform a sensitivity analysis to study on variables driving SMV using the CHILD landscape evolution model equipped with a spatially-distributed solar-radiation component that couples vegetation dynamics and surface hydrology. To explore how aspect-driven vegetation heterogeneity contributes to the SMV, CHILD was run using a range of parameters selected to reflect different scenarios (from uniform to heterogeneous vegetation cover). Throughout the simulations, the spatial distribution of soil moisture and vegetation cover are computed to estimate the corresponding coefficients of variation. Under the uniform spatial precipitation forcing and uniform soil properties, the factors affecting the spatial distribution of solar insolation are found to play a key role in the SMV through the emergence of aspect-driven vegetation patterns. Hence, factors such as catchment gradient, aspect, and latitude, define water stress and vegetation growth, and in turn affect the available soil moisture content. Interestingly, changes in soil properties (porosity, root depth, and pore-size distribution) over the domain are not as effective as the other factors. These findings show that the factors associated to aspect-related vegetation

  3. [Position of health at international relations. Part II. Organizational dimensions of health].

    Science.gov (United States)

    Cianciara, Dorota; Wysocki, Mirosław J

    2011-01-01

    The aim of this article was: (1) the analysis of some concepts and definitions related with "set up of health", used in UN international arrangements; (2) an attempt to explain the evolution of organizational dimensions of health at worldwide agenda. The following organizational dimensions of health were discussed: (a) health for all, (b) health promotion, intersectoral and multisectoral actions, health in all policies, (c) health development, health as an element of human development, (d) investment for health, (e) health diplomacy and (f) mainstreaming of health. The analysis was based on World Health Assembly and UN General Assembly resolutions as well as supranational reports and statements available through conventional channels, not grey literature. It is apparent that some of notions are not in common use in Poland, some seems to be unknown. It was argued that some general and discreet thoughts and statements concerning organizational aspects of health were expressed in the preamble of WHO Constitution. Nevertheless they are not comparable with later propositions and proceedings. The first modern concepts and notions related as process were developed at late seventies. They originated from efforts to realize a vision of health for all and formulate national policies, strategies and plans of action for attaining this goal. The turning point was in 1981, when WHA adopted Global Strategy for Heath for All by the Year 2000. Since then one can observe considerable progress and new concepts came into existence, more and more precise and better reflecting the sense of health actions. The evolution of organizational dimensions of health was described in the context of brand positioning. It was assumed that first step of positioning was concentrated on structural dimensions of health. That served to awareness raise, attitudes change and motivation to action. That made a foundation to the next step--positioning based on process approach to health. Among others the

  4. Consumer preferences and willingness to pay for the health aspects of food

    Directory of Open Access Journals (Sweden)

    Simona Miškolci

    2011-01-01

    Full Text Available Agri-food systems in the Czech Republic are currently undergoing a profound transformation toward high-value products. Appropriate policies are needed to guide this transformation, presupposing good understanding of consumer preferences. Having established a general framework for the analysis of food choice and quality perception, second part of the paper gives overview of results of stated preference evaluation studies conducted in the Czech Republic. The objective of secondary data analysis is to evaluate consumer preferences and willingness to pay for the food quality with the special attention to an evaluation of consumer preferences for health aspects of the food. The consumers’ relative preferences toward the different dimensions of a product’s quality are measured from the consumers’ perspective via their preference scores on various dimensions of quality derived from Analytic Hierarchy Process (AHP. Price premium consumers are willing to pay for the high quality product is investigated using Contingent valuation method (CV. In general, the empirical evidence supports the hypothesis that health ensuring and enhancing characteristics together with sensorial characteristics significantly affect consumers’ preferences for food and most consumers are willing to pay a price premium in order to ensure required quality of food.

  5. Teaching about Psychosocial Aspects of Disability: Emphasizing Person-Environment Relations

    Science.gov (United States)

    Dunn, Dana S.

    2016-01-01

    This article presents some psychosocial aspects of disability linked to the person--environment relation that teachers should share in the psychology classroom. Disability is an often-overlooked form of diversity, one that teachers should discuss alongside race, gender, sexual orientation, social class/socioeconomic status (SES), religiosity, and…

  6. Aspects of the future Physics teachers imaginary related to problem solving and Nuclear

    Directory of Open Access Journals (Sweden)

    Thirza Pavan Sorpreso

    2008-09-01

    Full Text Available In this paper we try to put in evidence some aspects of the future Physics teachers imaginary when they are is related to work with problem solving and with Nuclear Physics inclusion in High School. We show that this imaginary is evidenced and suffers displacements from specific conditions of production.

  7. Emotional and Personality-Related Aspects of Career-Decision-Making Difficulties

    Science.gov (United States)

    Saka, Noa; Gati, Itamar; Kelly, Kevin R.

    2008-01-01

    This research focuses on developing a theoretical framework for analyzing the emotional and personality-related aspects of career-decision-making difficulties. The proposed model is comprised of three major clusters: pessimistic views, anxiety, and self-concept and identity. In Study 1, the Emotional and Personality Career Difficulties Scale…

  8. Changes in time and frequency related aspects of motor unit action potentials during fatigue

    NARCIS (Netherlands)

    Wallinga, W.; Bouwens, Jeroen S.; Baten, Christian T.M.

    1996-01-01

    During fatigue the shape of motor unit action potentials (MUAPs) change. Characteristics of the MUAPs described before concern several time related aspects. No attention has been given to the frequency spectrum changes of MUAPS. The median frequency of MUAPS has now been determined for motor units

  9. Medical training and nurses of Family Health strategy on worker health aspect.

    Science.gov (United States)

    Mori, Érika Chediak; Naghettini, Alessandra Vitorino

    2016-06-01

    Considering the worker's health one of the Unified Health System (SUS) tasks, the Primary Health Care (PHC) and the Family Health Strategy (FHS) play an important role in the development of health actions in the field health-work. In Brazil, where the number of informal and domiciled jobs is high, the FHS becomes a reference in the workers' health actions. Therefore, if the FHS is not attentive to the relation between professional occupation and disease, several diseases that affect workers can overload the system without obtaining a cure. The aim of this study is to evaluate doctors and nurses recognition of the Family Health Strategy on occupational diseases in Aparecida de Goiânia. This is a qualitative descriptive study and the data analysis was done by content analysis. The setting for this study contemplates FHS units in the municipality of Aparecida de Goiânia, Goiás. There were 8 Basic Health Units and 16 health professionals were interviewed. The data was collected in the participants of the interview workplaces, from February through April, 2013, after being approved by the Ethics and Research Committee. The discourses were analyzed according to Minayo (2007), using thematic analysis. The interviews were recorded and later transcribed for analysis. Among the 16 professionals interviewed we observed that only 3 (18.75%) received professional training on occupational health in their Institution, however the aim of the courses were towards situations of biological hazards and not about workers care. Practitioners reported lack of knowledge in the occupational health area, and also observed that the area is still undervalued and underexplored in the academic and professional fields, and even by the Municipality health management. Evaluating the academic education it is possible to observe the inadequacy of the subject workload, where professionals reported the lack of knowledge in the area and the low workload of the subject in the academic field. There is

  10. Selected aspects of worksite health promotion (WHP in the Czech republic

    Directory of Open Access Journals (Sweden)

    Radim Šlachta

    2010-03-01

    Full Text Available The World Health Organisation (WHO and other internationally active Worksite Health Promotion (WHP organizations co-ordinately aim to implement a healthy lifestyle by health programmes. They also specify general principles to prevent the mass occurrence of non-infectious diseases in the world. Recommended programs are in developed countries usually implemented by administrative institutions and authorities and their results are evaluated. This paper aims to evaluate the implementation of recommended programmes in the Czech Republic by specific aspects - cultural, legislative, medical, economic etc. The paper is an introductory study in a complex and comprehensive interdisciplinary field of human health in the context of workplace and sustainable social development.

  11. Aspects of Global Health Issues: Diseases, Natural Disasters, and Pharmaceutical Corporations and Medical Research.

    Science.gov (United States)

    Brown, Geraldine

    2016-01-01

    Global health issues are concerns of all public health officials throughout the world. This entails reviewing aspects such as the impact of poverty and the lack of access to quality health care, ignored global killers such as Diseases (Infectious diseases-Malaria, HIV/AIDS), Natural Disasters (Earthquakes, Tsunamis, Floods, and Armed Conflict), Health in the Media, and the Involvement of Pharmaceutical Corporations and Medical Research. These issues are challenges to many needless deaths. Global initiatives are not advancing as they should, such as access to drugs and medications, which some are political.

  12. Proceedings for the symposium on public health aspects of peaceful uses of nuclear explosives

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1969-07-01

    The Southwestern Radiological Health Laboratory is very pleased to have sponsored this Symposium on the Public Health Aspects of the Peaceful Uses of Nuclear Explosives. The primary purpose of the Symposium was to disseminate and document current information and data on the public health aspects of this promising new technical field. In addition, it served to identify potential problem areas, stimulated discussion, and provided an opportunity for exchange of ideas and rapport between and among various individuals and groups sharing interests in various facets of Plowshare technology. These proceedings should serve these objectives and provide a resource of relevant information which may be used to evaluate what is presently known and unknown in the public health and safety area of the technology for peaceful applications of nuclear explosives.

  13. Proceedings for the symposium on public health aspects of peaceful uses of nuclear explosives

    International Nuclear Information System (INIS)

    1969-01-01

    The Southwestern Radiological Health Laboratory is very pleased to have sponsored this Symposium on the Public Health Aspects of the Peaceful Uses of Nuclear Explosives. The primary purpose of the Symposium was to disseminate and document current information and data on the public health aspects of this promising new technical field. In addition, it served to identify potential problem areas, stimulated discussion, and provided an opportunity for exchange of ideas and rapport between and among various individuals and groups sharing interests in various facets of Plowshare technology. These proceedings should serve these objectives and provide a resource of relevant information which may be used to evaluate what is presently known and unknown in the public health and safety area of the technology for peaceful applications of nuclear explosives

  14. Animal Health Challenges and Veterinary Aspects of Organic Livestock Farming Identified Through a 3 Year EU Network Project

    DEFF Research Database (Denmark)

    Vaarst, Mette; Padel, Susanne; Younie, David

    2008-01-01

    From 2003-2006, an EU network project ‘Sustaining Animal Health and Food Safety in Organic Farming‘ (SAFO), was carried out with 26 partners from 20 EU-countries and 4 related partners from 4 candidate or new member states. The focus was the integration of animal health and welfare issues...... in organic farming with food safety aspects. Four very consistent conclusions became apparent: 1) The climatic, physical and socio-economic conditions vary considerably throughout Europe, leading to different livestock farming systems. This limits the possibility for technology transfer between regions...

  15. Aplication`s Aspects Of Public Relations By Nonprofit Organizations. Case Study Albania

    OpenAIRE

    Xhiliola Agaraj(Shehu); Merita Murati; Valbona Gjini

    2011-01-01

    The traditional public relations manager is usually responsible for maintaining and enhancing the reputation of the organization among key publics. While the principal focus of this effort is on support publics, it is quite clearly recognized that an organization's image has important effects on its own employees, its donors and volunteers, and its clients. The aim of paper is to define application`s aspects of public relations media and tools by nonprofit organizations in Albanian reality. A...

  16. An analysis of the influence of framework aspects on the study design of health economic modeling evaluations.

    Science.gov (United States)

    Gurtner, Sebastian

    2013-04-01

    Research and practical guidelines have many implications for how to structure a health economic study. A major focus in recent decades has been the quality of health economic research. In practice, the factors influencing a study design are not limited to the quest for quality. Moreover, the framework of the study is important. This research addresses three major questions related to these framework aspects. First, we want to know whether the design of health economic studies has changed over time. Second, we want to know how the subject of a study, whether it is a process or product innovation, influences the parameters of the study design. Third, one of the most important questions we will answer is whether and how the study's source of funding has an impact on the design of the research. To answer these questions, a total of 234 health economic studies were analyzed using a correspondence analysis and a logistic regression analysis. All three categories of framework factors have an influence on the aspects of the study design. Health economic studies have evolved over time, leading to the use of more advanced methods like complex sensitivity analyses. Additionally, the patient's point of view has increased in importance. The evaluation of product innovations has focused more on utility concepts. On the other hand, the source of funding may influence only a few aspects of the study design, such as the use of evaluation methods, the source of data, and the use of certain utility measures. The most important trends in health care, such as the emphasis on the patients' point of view, become increasingly established in health economic evaluations with the passage of time. Although methodological challenges remain, modern information and communication technologies provide a basis for increasing the complexity and quality of health economic studies if used frequently.

  17. Public health economics of chlamydia and other STIs : aspects of risk, prevention and resources

    OpenAIRE

    Deogan, Charlotte

    2013-01-01

    The overall aim of this thesis was to increase the knowledge of the public health economic aspects of chlamydia and other STIs, in terms of risk, prevention and resources. In Study I, we examined the association between demographic, socioeconomic and lifestyle factors and the risk of self-reported chlamydial infection among young adults in the Stockholm public health cohort. We found that the risk of self-reported chlamydia infection among young adults in Sweden was associated with lowe...

  18. Some new aspects of nutrition, health conditions and fertility of intensively reared dairy cows

    Directory of Open Access Journals (Sweden)

    Rosanna Lombardelli

    2010-01-01

    Full Text Available Speaking in terms of the general relationship between nutrition and reproduction, many different aspects are more or less involved depending on geographical areas, species, production systems, technological levels etc. There are deficiency conditions: energy, proteins, vitamins and minerals; but also some excesses (namely protein and few minerals or toxic substances such as micotoxins or plant compounds (i.e. phyto-oestrogens. Their relevance is different in the intensive systems for better feeds and relative easiness to create appropriate diets. Nevertheless, intensification does not reduce the nutritional risks for livestock reproduction for several reasons: namely, a suspected higher susceptibility of high genetic merit cows to the usual stresses. There is also a new risk: metabolic stress (e.g. negative energy balance. The latter is particularly relevant when early lactation and new pregnancy are close (as in dairy cows, however, of great importance are also oxidative stress and disease stress (pro-inflammatory cytokines. In dairy cows, inflammatory phenomena around calving - when an immune response occurs in spite of clinical symptoms are missing - are significantly related to a lower pregnancy rate. A possible explanation can be seen in the pro-inflammatory cytokines, which modify liver synthesis and seem to impair energy balance thereby reducing feed intake and increasing energy expenditure. This suggests that in order to improve fertility not only better feeding mecahnisms, but any husbandry tool that can reduce diseases and health disorders are needed.

  19. Graduation Prospects of College Students with Specific Learning Disorder and Students with Mental Health Related Disabilities

    Science.gov (United States)

    Jorgensen, Mary; Budd, Jillian; Fichten, Catherine S.; Nguyen, Mai N.; Havel, Alice

    2018-01-01

    This study's goal was to compare aspects related to academic persistence of two groups of college students with non-visible disabilities: 110 Canadian two and four-year college students--55 with mental health related disabilities and 55 with Specific Learning Disorder (LD). Results show that students with mental health related disabilities were…

  20. What Health-Related Functions Are Regulated by the Nervous System?

    Science.gov (United States)

    ... What health-related functions are regulated by the nervous system? The nervous system plays a role in nearly every aspect of ... feeling emotions. Functions that are regulated by the nervous system include (but are not limited to): Brain growth ...

  1. Examining cultural, social, and self-related aspects of stigma in relation to sexual assault and trauma symptoms.

    Science.gov (United States)

    Deitz, Mandi F; Williams, Stacey L; Rife, Sean C; Cantrell, Peggy

    2015-05-01

    The current study investigated a model explaining sexual assault victims' severity of trauma symptoms that incorporated multiple stigma constructs. Integrating the sexual assault literature with the stigma literature, this study sought to better understand trauma-related outcomes of sexual assault by examining three levels of stigma-cultural, social, and self. Results showed self-stigma was significantly and positively related to trauma symptom severity. Thus, results revealed that the internalized aspect of stigma served as a mechanism in the relation between sexual assault severity and increased levels of trauma symptom severity, highlighting the importance of assessing self-stigma in women reporting sexual assault experiences. © The Author(s) 2015.

  2. Conference on the public health aspects of protection against ionizing radiation

    International Nuclear Information System (INIS)

    1963-01-01

    The Conference on Public Health Aspects of Protection against Ionizing Radiation was convened by the World Health Organization at Duesseldorf, Germany, from 25 June - 4 July 1962. It was designed to examine the part which public health authorities should play in controlling the hazards of ionizing radiation, and it was attended by 63 participants from 36 countries and from a number of international organizations. The aims of the Conference were: a) to specify the role of public health services in respect of radiation protection; b) to review, on the basis of existing material and information to be made available at the Conference, the present situation of radiation protection services in different countries and to discuss desirable trends in the organization and administration of these services within the public health services; and c) to consider requirements as regards qualifications and training of public health personnel in charge of radiation protection services. The programme of the Conference centred around seven major topics: 1) ionizing radiation as a public health problem; 2) principles of public health in radiation protection; 3) review of existing laws, regulations, codes of practice and examples of radiation protection services; 4) the role of public health radiation protection services; 5) the role of public health services in planning for and dealing with emergencies (incidents and accidents); 6) qualifications and training of public health personnel in charge of radiation protection services; 7) health education of the public in the field of radiation protection

  3. Conference on the public health aspects of protection against ionizing radiation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1963-07-01

    The Conference on Public Health Aspects of Protection against Ionizing Radiation was convened by the World Health Organization at Duesseldorf, Germany, from 25 June - 4 July 1962. It was designed to examine the part which public health authorities should play in controlling the hazards of ionizing radiation, and it was attended by 63 participants from 36 countries and from a number of international organizations. The aims of the Conference were: a) to specify the role of public health services in respect of radiation protection; b) to review, on the basis of existing material and information to be made available at the Conference, the present situation of radiation protection services in different countries and to discuss desirable trends in the organization and administration of these services within the public health services; and c) to consider requirements as regards qualifications and training of public health personnel in charge of radiation protection services. The programme of the Conference centred around seven major topics: 1) ionizing radiation as a public health problem; 2) principles of public health in radiation protection; 3) review of existing laws, regulations, codes of practice and examples of radiation protection services; 4) the role of public health radiation protection services; 5) the role of public health services in planning for and dealing with emergencies (incidents and accidents); 6) qualifications and training of public health personnel in charge of radiation protection services; 7) health education of the public in the field of radiation protection.

  4. Obesity and body mass index (BMI) in relation to life-style and psycho-social aspects.

    Science.gov (United States)

    Marcellini, F; Giuli, C; Papa, R; Tirabassi, G; Faloia, E; Boscaro, M; Polito, A; Ciarapica, D; Zaccaria, M; Mocchegiani, E

    2009-01-01

    Obesity is increasing in middle-aged adults and the elderly. This multifactorial phenomenon may have different causes, such as incorrect nutritional and dietary habits, psycho-social aspects and sedentary life-style. It is becoming a serious problem, due also to the world's ageing society. The aim of this study is to provide preliminary results on BMI, life-style and psycho-social aspects in a sample of Italian subjects, which also assesses the relationship between obesity and psychological health. We hypothesize that obesity is related to many factors, such as life-style, behavioral, socio-economic, and psychological aspects. The sample was made up of 107 obese and non-obese subjects, aged 50-74. All participants were given a multidimensional assessment, which included anthropometric, psycho-social and life-style evaluation. As per the protocol a structured life-style questionnaire designed to gather information on anthropometric measurements, socio-economic factors, physical activity, smoking, alcohol and food intake. The Symptom Checklist-90 (SCL-90) for the evaluation of a broad range of psychological problems and symptoms of psychopathology; the Binge Eating Scale (BES) for the assessment of disorders in the eating habits were administered. BMI was associated with age and education, socio-economic status and smoking in both genders. Psychological factors for obesity differed between overweight men and women. In conclusion, obesity and non-obesity appear as two different entities in some aspects. The increase in the prevalence of obesity in elderly subjects could lead to disability and age-related diseases. For this reason, greater insight of the factors related to the development of obesity is required to develop treatment strategies weight-loss prevention programs.

  5. Research On Websites Of 43 Publıc Relations Agency Members Of Public Relations Society Of Turkey (Tühid) In Aspect Of Public Relations

    OpenAIRE

    Aydınalp - Ilıcak, Ş. Güzin

    2012-01-01

    Nowadays public relations studies have entered a more effective process via recent media tools. In this study, the websites of 43 public relations agency members of Public Relations Society of Turkey (TÜHİD) are being evaluated in aspect of public relations. When considered from this point of view, the websites of the agencies in question have been analyzed in terms of company information, communication attempts, media relations, corporate identity, corporate publications and interaction. The...

  6. Assessment vs. appraisal of ethical aspects of health technology assessment: can the distinction be upheld?

    Directory of Open Access Journals (Sweden)

    Sandman, Lars

    2014-11-01

    Full Text Available [english] An essential component of health technology assessment (HTA is the assessment of ethical aspects. In some healthcare contexts, tasks are strictly relegated to different expert groups: the HTA-agencies are limited to assessment of the technology and other actors within the health care sector are responsible for appraisal and recommendations. Ethical aspects of health technologies are considered with reference to values or norms in such a way that may be prescriptive, or offer guidance as to how to act or relate to the issue in question. Given this internal prescriptivity, the distinction between assessment and appraisal seems difficult to uphold, unless the scrutiny stops short of a full ethical analysis of the technology. In the present article we analyse the distinction between assessment and appraisal, using as an example ethical aspects of implementation of GPS-bracelets for people with dementia. It is concluded that for HTA-agencies with a strictly delineated assessment role, the question of how to deal with the internal prescriptivity of ethics may be confusing. A full ethical analysis might result in a definite conclusion as to whether the technology in question is ethically acceptable or not, thereby limiting choices for decision-makers, who are required to uphold certain ethical values and norms. At the same time, depending on the exact nature of such a conclusion, different action strategies can be supported. A positive appraisal within HTA could result in a decision on implementation, or of the technology, thereby making it available to patients, or decisions to and even the use of the technology (even if someone else will have to fund it. A neutral appraisal, giving no definite answer as to whether implementation is recommended or not, could result in a towards the technology. A negative appraisal could result in a decision to or even implementation. This paper presents an overview of the implications of different outcomes

  7. Australia's international health relations in 2003.

    Science.gov (United States)

    Barraclough, Simon

    2005-02-21

    A survey for the year 2003 of significant developments in Australia's official international health relations, and their domestic ramifications, is presented. The discussion is set within the broader context of Australian foreign policy. Sources include official documents, media reports and consultations with officers of the Department of Health and Ageing responsible for international linkages.

  8. Health Related Outcomes of Successful Development

    Czech Academy of Sciences Publication Activity Database

    Kebza, V.; Šolcová, Iva; Kodl, M.; Kernová, V.

    2016-01-01

    Roč. 24, č. 1 (2016), s. 76-82 ISSN 1210-7778 Institutional support: RVO:68081740 Keywords : successful development * longitudinal study * health -related variables Subject RIV: AN - Psychology Impact factor: 0.682, year: 2016

  9. Income-related inequality in health and health-related behaviour: exploring the equalisation hypothesis

    OpenAIRE

    Vallejo-Torres, Laura; Hale, Daniel; Morris, Stephen; Viner, Russell M

    2014-01-01

    Background Previous studies have found the socioeconomic gradient in health among adolescents to be lower than that observed during childhood and adulthood. The aim of this study was to examine income-related inequalities in health and health-related behaviour across the lifespan in England to explore ‘equalisation’ in adolescence. Methods We used five years of data (2006–2010) from the Health Survey for England to explore inequalities in six indicators: self-assessed general health, longstan...

  10. Identification of aspects of functioning, disability and health relevant to patients experiencing vertigo: a qualitative study using the international classification of functioning, disability and health

    Science.gov (United States)

    2012-01-01

    Purpose Aims of this study were to identify aspects of functioning and health relevant to patients with vertigo expressed by ICF categories and to explore the potential of the ICF to describe the patient perspective in vertigo. Methods We conducted a series of qualitative semi-structured face-to-face interviews using a descriptive approach. Data was analyzed using the meaning condensation procedure and then linked to categories of the International Classification of Functioning, Disability and Health (ICF). Results From May to July 2010 12 interviews were carried out until saturation was reached. Four hundred and seventy-one single concepts were extracted which were linked to 142 different ICF categories. 40 of those belonged to the component body functions, 62 to the component activity and participation, and 40 to the component environmental factors. Besides the most prominent aspect “dizziness” most participants reported problems within “Emotional functions (b152), problems related to mobility and carrying out the daily routine. Almost all participants reported “Immediate family (e310)” as a relevant modifying environmental factor. Conclusions From the patients’ perspective, vertigo has impact on multifaceted aspects of functioning and disability, mainly body functions and activities and participation. Modifying contextual factors have to be taken into account to cover the complex interaction between the health condition of vertigo on the individuals’ daily life. The results of this study will contribute to developing standards for the measurement of functioning, disability and health relevant for patients suffering from vertigo. PMID:22738067

  11. The Storytelling Aspect of Interpersonal Relations: Understanding "Relating" from a Mentalization Point of View.

    Science.gov (United States)

    Thompson, J Mark; Tuch, Richard

    Improving a patient's ability to form and maintain satisfactory interpersonal relations is an important goal in many therapies. A mentalization-based approach to treatment is ideally suited to achieve this end to the extent it's designed to help improve a patient's ability to form more nuanced guesses about why others act as they do, based on a more accurate "read" of that individual's beliefs and desires. Interpersonal difficulties often issue when patients remain insistent on their own interpretation of another's motives that fly in the face of that individual's understanding of what is "driving" them. Helping patients explore the basis upon which they'd formed their conclusions about others goes a ways toward opening their mind to the possibility that things are a bit more complicated than first imaged. This in turn leads to greater curiosity and willingness to explore their own narratives and perceptions.

  12. Health related smartphone applications: a literature review

    Directory of Open Access Journals (Sweden)

    Pantelis Stergiannis

    2015-09-01

    Full Text Available The rapid evolution of technology, has offered access to a variety of applications and technologies to healthcare professionals. New operating systems developed in the field of mobile devices revolutionized the way in which they are used. One of the main features offered by advanced software of a smartphone is the user’s access to a wealth of new, impressive applications across several operating systems for smartphones. The health related applications provided through smartphones, promote more active involvement of patients and healthcare professionals to provided care and are a new tool for improving health. The purpose of this abstract paper or article was to refer to applications currently used in the health sector, indicating specific capabilities they offer through review of electronic literature, focusing on scientific articles published in databases (PubMed, Scopus, etc. referring to the potentials they offer. It seems that several health related applications have been developed, that can be classified into two main categories. One category comprises applications that are informative, i.e. provide information to the user about health issues, allowing a person to read, gather resources to make decisions, but also to introduce its own data. These applications are mostly used by health care professionals. The second major category of applications refers to those related to help with the diagnosis, treatment and decision-making on various health related issues and in some cases take the form of consultancy, substituting the health care professional. As technology advances, the development of new health related applications is expected, specialized, with new features. Finally, the use of such applications by health care professionals is essential.

  13. How Do Different Aspects of Spatial Skills Relate to Early Arithmetic and Number Line Estimation?

    Directory of Open Access Journals (Sweden)

    Véronique Cornu

    2017-12-01

    Full Text Available The present study investigated the predictive role of spatial skills for arithmetic and number line estimation in kindergarten children (N = 125. Spatial skills are known to be related to mathematical development, but due to the construct’s non-unitary nature, different aspects of spatial skills need to be differentiated. In the present study, a spatial orientation task, a spatial visualization task and visuo-motor integration task were administered to assess three different aspects of spatial skills. Furthermore, we assessed counting abilities, knowledge of Arabic numerals, quantitative knowledge, as well as verbal working memory and verbal intelligence in kindergarten. Four months later, the same children performed an arithmetic and a number line estimation task to evaluate how the abilities measured at Time 1 predicted early mathematics outcomes. Hierarchical regression analysis revealed that children’s performance in arithmetic was predicted by their performance on the spatial orientation and visuo-motor integration task, as well as their knowledge of the Arabic numerals. Performance in number line estimation was significantly predicted by the children’s spatial orientation performance. Our findings emphasize the role of spatial skills, notably spatial orientation, in mathematical development. The relation between spatial orientation and arithmetic was partially mediated by the number line estimation task. Our results further show that some aspects of spatial skills might be more predictive of mathematical development than others, underlining the importance to differentiate within the construct of spatial skills when it comes to understanding numerical development.

  14. [Practical and theoretical aspects of cost-benefit relations in viscerosynthesis].

    Science.gov (United States)

    Fuchs, K H; Heimbucher, J; Geiger, D; Thiede, A

    1997-01-01

    The necessity of limiting health care costs requires adequate service recording and quality control even in visceral surgery. In this field, the safety of the anastomoses is of greatest importance. Anastomoses at risk are esophageal connections to jejunum or colon and deep rectal anastomoses. At these locations expensive suture devices, such as stapling instruments, can be used in a cost saving aspect, if they help to increase anastomotic safety, time saving and expansion of surgical indication. Manual sutures thus represent the cheapest anastomotic technique as continuous sutures would cost between DM 10.- to 20.- and single stitch sutures between DM 60.- and 100.-. A surgical school should prevalently aim at training manual anastomoses, while special anastomotic techniques should only complete the skill for selected indications. The overall staff expenditure for extended operations amounts around DM 600.- per hour respectively DM 10.- per minute. Time for surgery might be shortened by auxiliary tools as much as to perform an additional operation. However, a circular stapler anastomosis that costs between DM 650.- to 850.- is twice as expensive as manual sutures notwithstanding the double time needed. In the past years, the necessity for a rational use of different anastomotic techniques has shown to be mandatory since, increasingly, financial aspects of health economy require cost benefit calculations in visceral surgery.

  15. The small sample uncertainty aspect in relation to bullwhip effect measurement

    DEFF Research Database (Denmark)

    Nielsen, Erland Hejn

    2009-01-01

    The bullwhip effect as a concept has been known for almost half a century starting with the Forrester effect. The bullwhip effect is observed in many supply chains, and it is generally accepted as a potential malice. Despite of this fact, the bullwhip effect still seems to be first and foremost...... a conceptual phenomenon. This paper intends primarily to investigate why this might be so and thereby investigate the various aspects, possibilities and obstacles that must be taken into account, when considering the potential practical use and measure of the bullwhip effect in order to actually get the supply...... chain under control. This paper will put special emphasis on the unavoidable small-sample uncertainty aspects relating to the measurement or estimation of the bullwhip effect.  ...

  16. Framing the tax and health nexus: a neglected aspect of public health concern.

    Science.gov (United States)

    Mccoy, David; Chigudu, Simukai; Tillmann, Taavi

    2017-04-01

    Previous studies have described various associations between tax policy and health. Here we propose a unifying conceptual framework of 'Five R's' to stimulate awareness about the importance of tax to health improvement. First, tax can improve representation and democratic accountability, and help make governments more responsive to the needs of its citizens. Second, tax can create a revenue stream for a universal pool of public finance for health care and other public services. Third, progressive taxation when combined with appropriate public spending can help redistribute wealth and income and mitigate social and health inequalities. Fourth, the re-pricing of harmful products (e.g. tobacco, alcohol and unhealthy food) can help reduce their consumption. Fifth, taxation provides a route by which certain harmful industries can be regulated. The paper also discusses the barriers that hinder the full potential for taxation to be used to improve health, including: weak tax administrations, large 'shadow economies', international trade liberalisation, tax avoidance, transfer pricing by transnational corporations and banking secrecy. We suggest that a greater awareness of the manifold associations between tax and health will encourage health practitioners to actively promote fairer and better taxation, thereby helping to improve health and reduce health inequalities.

  17. Anxiety and health problems related to air travel.

    Science.gov (United States)

    McIntosh, I B; Swanson, V; Power, K G; Raeside, F; Dempster, C

    1998-12-01

    A significant proportion of air travelers experience situational anxiety and physical health problems. Take-off and landing are assumed to be stressful, but anxiety related to other aspects of the air travel process, anxiety coping strategies, and in-flight health problems have not previously been investigated. We aimed to investigate frequency of perceived anxiety at procedural stages of air travel, individual strategies used to reduce such anxiety, and frequency of health problems on short-haul and long-haul flights. A questionnaire measuring the occurrence and frequency of the above was administered to two samples of intending travelers during a 3 month period to: (a) 138 travel agency clients, and (b) 100 individuals attending a hospital travel clinic. Of the 238 respondents, two thirds were women. Take-off and landing were a perceived source of anxiety for about 40% of respondents, flight delays for over 50%, and customs and baggage reclaim for a third of individuals. Most frequent anxiety-reduction methods included alcohol and cigarette use, and distraction or relaxation techniques. Physical health problems related to air travel were common, and there was a strong relationship between such problems and frequency of anxiety. Travel agency clients reported more anxiety but not more physical health symptoms overall than travel clinic clients. Women reported greater air-travel anxiety, and more somatic symptoms than men. Significant numbers of air travelers report perceived anxiety related to aspects of travel, and this is associated with health problems during flights. Airlines and travel companies could institute specific measures, including improved information and communication, to reassure clients and thereby diminish anxiety during stages of air-travel. Medical practitioners and travel agencies should also be aware of the potential stresses of air travel and the need for additional information and advice.

  18. 140: THE IMPACT OF E-LEARNING ON ASPECTS OF HEALTH-PROMOTING LIFESTYLE NURSES

    OpenAIRE

    Darkhor, Shokofe; Estebsari, Fatemeh; Charati, Jamshid Yazdani

    2017-01-01

    Background and aims One of the most important measures of health promoting behaviors as determinants of health are the underlying cause of many diseases, not having known and Health promotion and disease prevention are related directly to these behaviors. Six important part of promoting healthy lifestyles, including relationships between individual responsibility for health, spiritual development, stress management, nutrition and physical activity Aim of this study is the effect of empowermen...

  19. Moralized Health-Related Persuasion Undermines Social Cohesion

    Directory of Open Access Journals (Sweden)

    Susanne Täuber

    2018-06-01

    Full Text Available Integrating theory and research on persuasion, moralization, and intergroup relations, the present research aims to highlight the far-reaching impact of health-related persuasion on society. I propose that governments’ health-related persuasion leads to the emergence of new social norms, and in particular moral norms. Importantly, moral norms provide strong behavioral imperatives and are seen as binding for group members. This suggests that moralized persuasion has a strong potential to divide society along the lines of citizens who conform to and citizens who deviate from health-related moral norms. Thus, departing from the traditional focus on targets of persuasion, the present research focuses on those holding a moralized view on health and lifestyle. Key aspects of social cohesion as defined by the OECD (2011 have been tested across four studies. The main hypothesis tested is that those conforming to the norm (e.g., non-smokers, normal weight people, people with healthy lifestyles will stigmatize those deviating from the norm (e.g., smokers, overweight people, people with unhealthy lifestyles. Flowing from stigmatization, less inclusion, lower solidarity with and greater endorsement of unequal treatment of those deviating from the moral norm are predicted. Four survey studies (total N = 1568 examining the proposed associations among non-smokers, normal weight people, and employees with healthy lifestyles are presented. The studies provide unanimous support for the hypothesis, with meta-analysis providing further support for the reliability of the findings. Consistent across studies, social cohesion indicators were negatively affected by health moralization through stigmatization of those deviating from health-related moral norms. Findings highlight an under-acknowledged potential of moralized health-related persuasion to divide society, thereby undermining cohesion and the achievement of important societal goals. In the discussion

  20. Activational and effort-related aspects of motivation: neural mechanisms and implications for psychopathology

    Science.gov (United States)

    Yohn, Samantha E.; López-Cruz, Laura; San Miguel, Noemí; Correa, Mercè

    2016-01-01

    Abstract Motivation has been defined as the process that allows organisms to regulate their internal and external environment, and control the probability, proximity and availability of stimuli. As such, motivation is a complex process that is critical for survival, which involves multiple behavioural functions mediated by a number of interacting neural circuits. Classical theories of motivation suggest that there are both directional and activational aspects of motivation, and activational aspects (i.e. speed and vigour of both the instigation and persistence of behaviour) are critical for enabling organisms to overcome work-related obstacles or constraints that separate them from significant stimuli. The present review discusses the role of brain dopamine and related circuits in behavioural activation, exertion of effort in instrumental behaviour, and effort-related decision-making, based upon both animal and human studies. Impairments in behavioural activation and effort-related aspects of motivation are associated with psychiatric symptoms such as anergia, fatigue, lassitude and psychomotor retardation, which cross multiple pathologies, including depression, schizophrenia, and Parkinson’s disease. Therefore, this review also attempts to provide an interdisciplinary approach that integrates findings from basic behavioural neuroscience, behavioural economics, clinical neuropsychology, psychiatry, and neurology, to provide a coherent framework for future research and theory in this critical field. Although dopamine systems are a critical part of the brain circuitry regulating behavioural activation, exertion of effort, and effort-related decision-making, mesolimbic dopamine is only one part of a distributed circuitry that includes multiple neurotransmitters and brain areas. Overall, there is a striking similarity between the brain areas involved in behavioural activation and effort-related processes in rodents and in humans. Animal models of effort-related

  1. Activational and effort-related aspects of motivation: neural mechanisms and implications for psychopathology.

    Science.gov (United States)

    Salamone, John D; Yohn, Samantha E; López-Cruz, Laura; San Miguel, Noemí; Correa, Mercè

    2016-05-01

    Motivation has been defined as the process that allows organisms to regulate their internal and external environment, and control the probability, proximity and availability of stimuli. As such, motivation is a complex process that is critical for survival, which involves multiple behavioural functions mediated by a number of interacting neural circuits. Classical theories of motivation suggest that there are both directional and activational aspects of motivation, and activational aspects (i.e. speed and vigour of both the instigation and persistence of behaviour) are critical for enabling organisms to overcome work-related obstacles or constraints that separate them from significant stimuli. The present review discusses the role of brain dopamine and related circuits in behavioural activation, exertion of effort in instrumental behaviour, and effort-related decision-making, based upon both animal and human studies. Impairments in behavioural activation and effort-related aspects of motivation are associated with psychiatric symptoms such as anergia, fatigue, lassitude and psychomotor retardation, which cross multiple pathologies, including depression, schizophrenia, and Parkinson's disease. Therefore, this review also attempts to provide an interdisciplinary approach that integrates findings from basic behavioural neuroscience, behavioural economics, clinical neuropsychology, psychiatry, and neurology, to provide a coherent framework for future research and theory in this critical field. Although dopamine systems are a critical part of the brain circuitry regulating behavioural activation, exertion of effort, and effort-related decision-making, mesolimbic dopamine is only one part of a distributed circuitry that includes multiple neurotransmitters and brain areas. Overall, there is a striking similarity between the brain areas involved in behavioural activation and effort-related processes in rodents and in humans. Animal models of effort-related decision

  2. Assessment of nutrition knowledge and related aspects among first-year Kuwait University students.

    Science.gov (United States)

    El-Sabban, Farouk; Badr, Hanan E

    2011-01-01

    Assessing nutrition knowledge of populations assists in drawing strategies for education programs. Nutrition-related problems are common in Kuwait, thus data on nutrition knowledge are needed. This study involved administration of a questionnaire to 1,037 first-year Kuwait University students. The overall nutrition knowledge score was rated as fair, with deficiency in specific areas of knowledge. Students' dietary habits, attitudes, and interest in nutrition information were assessed as fair. Our findings will aid in building a nutrition knowledge database in Kuwait. A simplified course on aspects of healthy nutrition and lifestyle to all Kuwait University students is highly recommended.

  3. Emission certificates. Legal, tax-related and practical aspects; Emissionszertifikate. Rechtliche, steuerliche und praktische Aspekte

    Energy Technology Data Exchange (ETDEWEB)

    Hack, Christoph; Bartholl, Carsten; Hartmann, Astrid (eds.)

    2011-07-01

    The book discusses the issue of emission certificates from the view of public law, civil law and tax law, in consideration of practical experience with emission reduction projects. The subjects discussed range from emission trading from the view of public law to the civil law and regulatory law aspects of emission trading and taxation law. The legal situation in Germany is covered from the view of public and private law. The state of legislation on emission reduction in the USA is gone into, and practical experience relating to the Clean Development Mechanism is presented. (orig./RHM)

  4. Public relations effectiveness in public health institutions.

    Science.gov (United States)

    Springston, Jeffrey K; Weaver Lariscy, Ruth Ann

    2005-01-01

    This article explores public relations effectiveness in public health institutions. First, the two major elements that comprise public relations effectiveness are discussed: reputation management and stakeholder relations. The factors that define effective reputation management are examined, as are the roles of issues and crisis management in building and maintaining reputation. The article also examines the major facets of stakeholder relations, including an inventory of stakeholder linkages and key audiences, such as the media. Finally, methods of evaluating public relations effectiveness at both the program level and the institutional level are explored.

  5. Smart health and innovation: facilitating health-related behaviour change.

    Science.gov (United States)

    Redfern, J

    2017-08-01

    Non-communicable diseases (NCD) are the leading cause of death globally. Smart health technology and innovation is a potential strategy for increasing reach and for facilitating health behaviour change. Despite rapid growth in the availability and affordability of technology there remains a paucity of published and robust research in the area as it relates to health. The objective of the present paper is to review and provide a snapshot of a variety of contemporary examples of smart health strategies with a focus on evidence and research as it relates to prevention with a CVD management lens. In the present analysis, five examples will be discussed and they include a physician-directed strategy, consumer directed strategies, a public health approach and a screening strategy that utilises external hardware that connects to a smartphone. In conclusion, NCD have common risk factors and all have an association with nutrition and health. Smart health and innovation is evolving rapidly and may help with diagnosis, treatment and management. While on-going research, development and knowledge is needed, the growth of technology development and utilisation offers opportunities to reach more people and achieve better health outcomes at local, national and international levels.

  6. SOCIO - CULTURAL ASPECTS OF TUBERCULOSIS AND DIALOGUE WITH PUBLIC HEALTH POLICIES IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Débora Regina Marques Barbosa

    2013-03-01

    Full Text Available Tuberculosis away from individuals affected by their social and affective and reconstructionof collective values, relegating them to the condition of inferiority and subservience Sartrean,liabilities oppressive conditions imposed by society, which dismisses the other as legitimatein the intersubjective social construction. This work aims to address the social, psychologicaland symbolic carrier of tuberculosis and PPS in Brazil through integrative review in databasesScientific Electronic Library Online (Scielo and Google Scholar using the descriptorsTuberculosis Society, Culture, Psychosocial Aspects, Sociocultural Aspects; Public Policy inHealth, Social Movements and Social Control, individually or grouped according to theirproximity or remoteness to the guiding question: "How Public Policies on Health dialoguewith social movements and sociocultural aspects of Tuberculosis?". Whereas the way ofseeing a situation and its meaning in a certain reality is guiding factor, even though subjective,of actions, it is stressed that interventions should take in the full measure of human socio-economic-political-cultural. In this sense, knowledge of cultural and socioeconomic situationof a region is essential to confronting the chain of events that disease primarily social in agiven community.

  7. Health-Related Quality of Life

    DEFF Research Database (Denmark)

    Linde, Louise; Sørensen, Jan; Ostergaard, Mikkel

    2008-01-01

    OBJECTIVE: To compare validity, reliability, and responsiveness of generic and disease specific health-related quality of life (HRQOL) instruments in rheumatoid arthritis (RA). METHODS: Two samples of patients completed the Medical Outcomes Study Short Form-36 Health Survey (SF-36), EuroQol (EQ)-5D......, 15D, Rheumatoid Arthritis Quality of Life Scale (RAQoL), Health Assessment Questionnaire (HAQ), and visual analog scales (VAS) for pain, fatigue, and global RA. Validity (convergent, discriminant, and known-groups) was evaluated in a cross-section of 200 patients. Reliability was evaluated...

  8. Some Aspects of Culturally Competent Communication in Health Care in the Republic of Macedonia

    Science.gov (United States)

    Pollozhani, Aziz; Kosevska, Elena; Petkovski, Kostadin; Memeti, Shaban; Limani, Blerim; Kasapinov, Blasko

    2013-01-01

    Aim: To examine the existing situation, barriers and consequences of the intercultural communication in health institutions and to offer training models for strengthening and improving communication skills of health professionals in the Republic of Macedonia. Methods: A cross-sectional survey was conducted to assess the relationship between patients and health professionals. A total of 813 health professionals (302 physicians and 511 other medical staff) from different healthcare institutions, and 1016 patients participated in cross-sectional survey performed in autumn 2010. Results: The research has showed that each third examined patient thought that his/her physician or the other medical personnel had no understanding for his/her emotions and gave no answer to all of his/her questions. From the other side, 60% of the physicians declare that they have a good communication with patients speaking other language than their mother tongue. Only 60% of physicians said that they know good the culture of their patient and 52% of the other medical staff said that they adjusted the treatment to the patient culture (religion, attitudes, language, life style). Conclusion: There are some gaps in current provision of health care practice in an aspect of effective interactions and communication skills of health professionals to meet patient needs in a multicultural and multilingual setting. A training model is proposed for strengthening communication skills of health professionals. PMID:24511268

  9. ICT and the future of healthcare: Aspects of pervasive health monitoring.

    Science.gov (United States)

    Haluza, Daniela; Jungwirth, David

    2018-01-01

    Along with the digital revolution, information and communication technology applications are currently transforming the delivery of health and social care services. This paper investigates prevailing opinions toward future technology-based healthcare solutions among Austrian healthcare professionals. During a biphasic online Delphi survey, panelists rated expected outcomes of two future scenarios describing pervasive health monitoring applications. Experts perceived that the scenarios were highly innovative, but only moderately desirable, and that their implementation could especially improve patients' knowledge, quality of healthcare, and living standard. Contrarily, monetary aspects, technical prerequisites, and data security were identified as key obstacles. We further compared the impact of professional affiliation. Clearly, opinions toward pervasive healthcare differed between the interest groups, medical professionals, patient advocates, and administrative personnel. These data suggest closer collaborations between stakeholder groups to harmonize differences in expectations regarding pervasive health monitoring.

  10. Objective measures of emotion related to brand attitude: a new way to quantify emotion-related aspects relevant to marketing.

    Science.gov (United States)

    Walla, Peter; Brenner, Gerhard; Koller, Monika

    2011-01-01

    With this study we wanted to test the hypothesis that individual like and dislike as occurring in relation to brand attitude can be objectively assessed. First, individuals rated common brands with respect to subjective preference. Then, they volunteered in an experiment during which their most liked and disliked brand names were visually presented while three different objective measures were taken. Participant's eye blinks as responses to acoustic startle probes were registered with electromyography (EMG) (i) and their skin conductance (ii) and their heart rate (iii) were recorded. We found significantly reduced eye blink amplitudes related to liked brand names compared to disliked brand names. This finding suggests that visual perception of liked brand names elicits higher degrees of pleasantness, more positive emotion and approach-oriented motivation than visual perception of disliked brand names. Also, skin conductance and heart rate were both reduced in case of liked versus disliked brand names. We conclude that all our physiological measures highlight emotion-related differences depending on the like and dislike toward individual brands. We suggest that objective measures should be used more frequently to quantify emotion-related aspects of brand attitude. In particular, there might be potential interest to introduce startle reflex modulation to measure emotion-related impact during product development, product design and various further fields relevant to marketing. Our findings are discussed in relation to the idea that self reported measures are most often cognitively polluted.

  11. Objective measures of emotion related to brand attitude: a new way to quantify emotion-related aspects relevant to marketing.

    Directory of Open Access Journals (Sweden)

    Peter Walla

    Full Text Available With this study we wanted to test the hypothesis that individual like and dislike as occurring in relation to brand attitude can be objectively assessed. First, individuals rated common brands with respect to subjective preference. Then, they volunteered in an experiment during which their most liked and disliked brand names were visually presented while three different objective measures were taken. Participant's eye blinks as responses to acoustic startle probes were registered with electromyography (EMG (i and their skin conductance (ii and their heart rate (iii were recorded. We found significantly reduced eye blink amplitudes related to liked brand names compared to disliked brand names. This finding suggests that visual perception of liked brand names elicits higher degrees of pleasantness, more positive emotion and approach-oriented motivation than visual perception of disliked brand names. Also, skin conductance and heart rate were both reduced in case of liked versus disliked brand names. We conclude that all our physiological measures highlight emotion-related differences depending on the like and dislike toward individual brands. We suggest that objective measures should be used more frequently to quantify emotion-related aspects of brand attitude. In particular, there might be potential interest to introduce startle reflex modulation to measure emotion-related impact during product development, product design and various further fields relevant to marketing. Our findings are discussed in relation to the idea that self reported measures are most often cognitively polluted.

  12. Objective Measures of Emotion Related to Brand Attitude: A New Way to Quantify Emotion-Related Aspects Relevant to Marketing

    Science.gov (United States)

    Walla, Peter; Brenner, Gerhard; Koller, Monika

    2011-01-01

    With this study we wanted to test the hypothesis that individual like and dislike as occurring in relation to brand attitude can be objectively assessed. First, individuals rated common brands with respect to subjective preference. Then, they volunteered in an experiment during which their most liked and disliked brand names were visually presented while three different objective measures were taken. Participant's eye blinks as responses to acoustic startle probes were registered with electromyography (EMG) (i) and their skin conductance (ii) and their heart rate (iii) were recorded. We found significantly reduced eye blink amplitudes related to liked brand names compared to disliked brand names. This finding suggests that visual perception of liked brand names elicits higher degrees of pleasantness, more positive emotion and approach-oriented motivation than visual perception of disliked brand names. Also, skin conductance and heart rate were both reduced in case of liked versus disliked brand names. We conclude that all our physiological measures highlight emotion-related differences depending on the like and dislike toward individual brands. We suggest that objective measures should be used more frequently to quantify emotion-related aspects of brand attitude. In particular, there might be potential interest to introduce startle reflex modulation to measure emotion-related impact during product development, product design and various further fields relevant to marketing. Our findings are discussed in relation to the idea that self reported measures are most often cognitively polluted. PMID:22073192

  13. Current status of regulatory aspects relating to water chemistry in Japanese NPPs

    International Nuclear Information System (INIS)

    Sato, Masatoshi

    2014-01-01

    In nuclear power plants, water chemistry of cooling water is carefully monitored and controlled to keep integrity of structures, systems and components, and to reduce occupational radiation exposures. As increasing demand for advanced application of light water cooled reactors, water chemistry control plays more important roles on plant reliability. The road maps on R and D for water chemistry of nuclear power systems have been proposed along with promotion of R and D related water chemistry in Japan. In academic and engineering societies, non-governmental standards for water chemistry are going to be established. In the present paper, recent trends of water chemistry in Japan have been surveyed. The effects of water chemistry on plant safety and radiation exposures have been discussed. In addition, possible contributions of regulation regarding water chemistry control have been confirmed. Major water chemistry regulatory aspects relating to reactor safety and radiation safety are also outlined in this paper. (author)

  14. ECONOMIC ASPECTS OF RUSSIAN-GERMAN RELATIONS IN 2000-2013

    Directory of Open Access Journals (Sweden)

    Юлия Олеговна Пучинская

    2016-12-01

    Full Text Available The effective collaboration between the Russian Federation and Germany at the beginning of the 21st century would be impossible without mutually beneficial economic cooperation of the two countries. The analysis of basic stages in the economic relations, achievements and problems are considered by the author to be important for lining-up an all-round picture of the Russian-German relations in the period under review. The main purpose of this article is the consideration and analysis of the economic aspects in the Russian foreign policy towards Germany. The problem considered in the article is of current importance, because in 2000-2013 the economic collaboration of Russia and the German Federal Republic was brought to a high level, but at the same time some considerable potential of cooperation was not fulfilled. With regard to complementarity of the Russian and German economies and their centuries-old experience of collaboration and mutual financial interest, it is possible to suppose that the economic sphere in particular would be a basis of optimization of the Russian-German relations in the long term. In such a way, this article deals with the basic directions of the Russian-German economic cooperation in 2000-2013.The contractual legal base of financial relations is examined with the purpose to reveal strengths and weaknesses as well as perspective possibilities of the optimization in the Russian-German relations in the future.

  15. Sexual dysfunctions in MS in relation to neuropsychiatric aspects and its psychological treatment: A scoping review

    Science.gov (United States)

    Rose, Anita; van de Vis, Wim; Engelbrecht, Jannie; Pirard, Michelle; Lau, Stefanie; Heesen, Christoph; Köpke, Sascha

    2018-01-01

    Objective Sexual dysfunction in multiple sclerosis (MS) is a significant, but often underestimated and overlooked suffering. Interventions to treat sexual dysfunction in MS are rare. The relation between sexual dysfunction in MS and psychological as well as neuropsychological aspects is evident. However, this field of research remains markedly underdeveloped in this severe chronic illness. The aim of this scoping review is to describe the relevant knowledge in this area and to identify psychological interventions to treat sexual dysfunctions in MS. Methods A scoping review was conducted to answer the following questions: (1) Which psychological and neuropsychological factors impact on sexual dysfunction in MS and vice versa? (2) What kind of psychological interventions aiming to improve sexual dysfunctions in MS are available? A comprehensive search and review of MEDLINE, PsycINFO, and CINAHL was completed by using a recent methodological framework for scoping reviews. Results 23 publications covering a total of 13,259 people with MS and 532 healthy controls were identified. Sexual dysfunction was found to be very common in MS and there is an obvious relation to psychological disorders as e.g. depression and anxiety and also to psychological aspects as partner relationship and quality of life. The relation between sexual dysfunction in MS and neuropsychological impairment has only rarely been studied and no clear results were found. Only two studies were identified, assessing the effectiveness of psychological intervention studies on sexual dysfunction in people with MS, and a third study presenting a secondary analysis of a study targeting depression. All three studies reported significant improvements in sexual dysfunction as well as partly in psychological variables. Conclusions There is a pressing need for the development and adequate evaluation of psychological interventions for sexual dysfunctions in MS. In addition, sexual dysfunction and its impact on

  16. Publicly Open Virtualized Gaming Environment For Simulation of All Aspects Related to '100 Year Starship Study'

    Science.gov (United States)

    Obousy, R. K.

    2012-09-01

    Sending a mission to distant stars will require our civilization to develop new technologies and change the way we live. The complexity of the task is enormous [1] thus, the thought is to involve people from around the globe through the ``citizen scientist'' paradigm. The suggestion is a ``Gaming Virtual Reality Network'' (GVRN) to simulate sociological and technological aspects involved in this project. Currently there is work being done [2] in developing a technology which will construct computer games within GVRN. This technology will provide quick and easy ways for individuals to develop game scenarios related to various aspects of the ``100YSS'' project. People will be involved in solving certain tasks just by play games. Players will be able to modify conditions, add new technologies, geological conditions, social movements and assemble new strategies just by writing scenarios. The system will interface with textual and video information, extract scenarios written in millions of texts and use it to assemble new games. Thus, players will be able to simulate enormous amounts of possibilities. Information technologies will be involved which will require us to start building the system in a way that any modules can be easily replaced. Thus, GVRN should be modular and open to the community.

  17. Four aspects of the scope and quality of family planning services in US publicly funded health centers: Results from a survey of health center administrators.

    Science.gov (United States)

    Carter, Marion W; Gavin, Loretta; Zapata, Lauren B; Bornstein, Marta; Mautone-Smith, Nancy; Moskosky, Susan B

    2016-10-01

    This study aims to describe aspects of the scope and quality of family planning services provided by US publicly funded health centers before the release of relevant federal recommendations. Using nationally representative survey data (N=1615), we describe four aspects of service delivery: family planning services provided, contraceptive methods provided onsite, written contraceptive counseling protocols and youth-friendly services. We created a count index for each issue and used multivariable ordered logistic regression to identify health center characteristics associated with scoring higher on each. Half of the sample received Title X funding and about a third each were a community health center or health department clinic. The vast majority reported frequently providing contraceptive services (89%) and STD services (87%) for women in the past 3 months. Service provision to males was substantially lower except for STD screening. A total of 63% and 48% of health centers provided hormonal IUDs and implants onsite in the past 3 months, respectively. Forty percent of health centers included all five recommended contraceptive counseling practices in written protocols. Of youth-friendly services, active promotion of confidential services was among the most commonly reported (83%); offering weekend/evening hours was among the least (42%). In multivariable analyses, receiving Title X funding, having larger volumes of family planning clients and being a Planned Parenthood clinic were associated with higher scores on most indices. Many services were consistent with the recommendations for providing quality family planning services, but there was room for improvement across domains and health centers types. As assessed in this paper, the scope and quality of these family planning services was relatively high, particularly among Planned Parenthood clinics and Title X-funded centers. However, results point to important areas for improvement. Future studies should assess

  18. Looking Through a Social Lens: Conceptualising Social Aspects of Knowledge Management for Global Health Practitioners.

    Science.gov (United States)

    Limaye, Rupali J; Sullivan, Tara M; Dalessandro, Scott; Jenkins, Ann Hendrix

    2017-04-13

    Knowledge management plays a critical role in global health. Global health practitioners require knowledge in every aspect of their jobs, and in resource-scarce contexts, practitioners must be able to rely on a knowledge management system to access the latest research and practice to ensure the highest quality of care. However, we suggest that there is a gap in the way knowledge management is primarily utilized in global health, namely, the systematic incorporation of human and social factors. In this paper, we briefly outline the evolution of knowledge management and then propose a conceptualization of knowledge management that incorporates human and social factors for use within a global health context. Our conceptualization of social knowledge management recognizes the importance of social capital, social learning, social software and platforms, and social networks , all within the context of a larger social system and driven by social benefit . We then outline the limitations and discuss future directions of our conceptualization, and suggest how this new conceptualization is essential for any global health practitioner in the business of managing knowledge.

  19. [Critical aspects of the management of "hazardous" health care workers. Consensus document].

    Science.gov (United States)

    Magnavita, N; Cicerone, Marina; Cirese, Vania; De Lorenzo, G; Di Giannantonios, M; Fileni, A; Goggiamani, Angela; Magnavita, Giulia; Marchi, Edda; Mazzullo, D; Monami, F; Monami, S; Puro, V; Ranalletta, Dalila; Ricciardi, G; Sacco, A; Spagnolo, A; Spagnolo, A G; Squarcione, S; Zavota, Giovanna

    2006-01-01

    A worker is considered to be hazardous to others when, in the course of performing a specific work task, his/her health problems (e.g., substance dependence, emotional disorders, physical disability, transmissible diseases) pose a risk for other workers' or the public's health and safety, or begins to interfere with ability to function in profession life. The presence of certain illnesses or the fact that a health care worker is impaired because of them do not necessarily imply that he, or she, is hazardous for others. Working in health care increases the probability that an impaired worker being hazardous for others. Management of hazardous workers requires new techniques and procedures, and specific policies. An interdisciplinary group of experts from medical, bioethical, legal and administrative disciplines, together with trade union and employers' representatives, is currently attempting to define a way to put prevention measures into practice in accordance with state laws and individual rights. A consensus document is presented, covering critical aspects such as: social responsibility of the employer, risk management, informed consent, non compliance, confidentiality, responsibility of workers, disclosure of risk to patients, non-discrimination, counselling and recovery of impaired workers, effectiveness of international guidelines. Occupational health professionals are obliged to adhere to ethical principles in the management of "hazardous" workers; the assessment of ethical costs and benefits for the stakeholders is the basis for appropriate decisions.

  20. Exploration of the administrative aspects of the delivery of home health care services: a qualitative study.

    Science.gov (United States)

    Shahsavari, Hooman; Nasrabadi, Alireza Nikbakht; Almasian, Mohammad; Heydari, Heshmatolah; Hazini, Abdolrahim

    2018-01-01

    Because of the variety of services and resources offered in the delivery of home health care, its management is a challenging and difficult task. The purpose of this study was to explore the administrative aspects of the delivery of home health care services. This qualitative study was conducted based on the traditional content analysis approach in 2015 in Iran. The participants were selected using the purposeful sampling method and data were collected through in-depth semi-structured personal interviews and from discussions in a focus group. The collected data were analyzed using the Lundman and Graneheim method. 23 individuals participated in individual interviews, and the collected data were categorized into the two main themes of policymaking and infrastructures, each of which consisted of some subcategories. Health policymakers could utilize the results of this study as baseline information in making decisions about the delivery of home health care services, taking into account the contextual dimensions of home care services, leading to improvements in home health care services.

  1. Psychosocial aspects of nuclear accidents: the role of the World Health Organisation

    International Nuclear Information System (INIS)

    De Girolamo, G.

    1991-01-01

    Since the Chernobyl nuclear reactor incident in the USSR in 1986, the World Health Organisation (WHO) has devoted a large part of its activities and research towards improving both national and transnational capabilities for dealing with radiation emergencies. This presentation concentrates on the psychosocial aspects of radiation accidents and the measures which should be taken to combat them. Although public information was sparse during the Chernobyl disaster, afterwards there was a flood of conflicting information and rumours from a variety of organisations and governments resulting in an ''overload'' on the public and creating fear and mistrust of the authorities. The author argues that as the leading world organisation on health matters, WHO should be seen as the natural co-ordinator, authority and information-provider in ''transnational'' incidents such as this to avoid this public confusion and unnecessary ill-effects. (author)

  2. 1992 Progress report on sediment-related aspects of northern hydrocarbon development

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-01

    The Mackenzie Delta is ecologically important for its outflow of warm, sediment-laden water to the Arctic Ocean. Lack of knowledge and clear understanding of delta processes raise serious concerns over potential impacts from development of local hydrocarbon resources on Delta ecosystems. The Northern Oil and Gas Program is sponsoring research on Mackenzie Delta hydrology and hydraulics, sediment flux, contaminant levels, and other issues relevant to impacts of hydrocarbon development. A compendium of five reports on the sediment-related aspects of this research is presented. The topics of the reports are: suspended sediment sampling; sedimentation measurement; channel stability; hydraulic and morphologic surveys; and sediment station data. A separate abstract has been prepared for each of the five reports.

  3. Is Judgement of Biotechnological Ethical Aspects Related to High School Students' Knowledge?

    Science.gov (United States)

    Črne-Hladnik, Helena; Hladnik, Aleš; Javornik, Branka; Košmelj, Katarina; Peklaj, Cirila

    2012-05-01

    Quantitative and qualitative studies of various aspects of the perception of biotechnology were conducted among 469 Slovenian high school students of average age 17 years. Our research aimed to explore relationships among students' pre-knowledge of molecular and human genetics, and their attitudes to four specific biotechnological applications. These applications-Bt corn, genetically modified (GM) salmon, somatic and germ line gene therapy (GT)-were investigated from the viewpoints of usefulness, moral acceptance and risk perception. In addition, patterns and quality of moral reasoning related to the biotechnological applications from the aspect of moral acceptability were examined. Clear gender differences were found regarding the relationship between our students' pre-knowledge of genetics and their attitudes to biotechnological applications. While females with a better genetics background expressed a higher risk perception in the case of GM salmon, their similarly well-educated male colleagues emphasized the risk associated with the use of germ line GT. With all four biotechnological applications, patterns of both rationalistic-deontological and teleological-and intuitive moral reasoning were identified. Students with poorer genetics pre-knowledge applied an intuitive pattern of moral reasoning more frequently than their peers with better pre-knowledge. A pattern of emotive reasoning was detected only in the case of GM salmon. A relatively low quality of students' moral reasoning, as demonstrated by their brief and small number of supporting justifications (explanations), show that there is a strong need for practising skills of argumentation about socio-scientific issues in Slovenian high schools on a much larger scale. The implications for future research and classroom applications are discussed.

  4. Indoor environment and children's health: recent developments in chemical, biological, physical and social aspects.

    Science.gov (United States)

    Le Cann, Pierre; Bonvallot, Nathalie; Glorennec, Philippe; Deguen, Séverine; Goeury, Christophe; Le Bot, Barbara

    2011-12-01

    Much research is being carried out into indoor exposure to harmful agents. This review focused on the impact on children's health, taking a broad approach to the indoor environment and including chemical, microbial, physical and social aspects. Papers published from 2006 onwards were reviewed, with regards to scientific context. Most of publications dealt with chemical exposure. Apart from the ongoing issue of combustion by-products, most of these papers concerned semi volatile organic compounds (such as phthalates). These may be associated with neurotoxic, reprotoxic or respiratory effects and may, therefore, be of particular interest so far as children are concerned. In a lesser extent, volatile organic compounds (such as aldehydes) that have mainly respiratory effects are still studied. Assessing exposure to metals is still of concern, with increasing interest in bioaccessibility. Most of the papers on microbial exposure focused on respiratory tract infections, especially asthma linked to allergens and bio-aerosols. Physical exposure includes noise and electromagnetic fields, and articles dealt with the auditory and non auditory effects of noise. Articles on radiofrequency electromagnetic fields mainly concerned questions about non-thermal effects and papers on extremely low-frequency magnetic fields focused on the characterization of exposure. The impact of the indoor environment on children's health cannot be assessed merely by considering the effect of these different types of exposure: this review highlights new findings and also discusses the interactions between agents in indoor environments and also with social aspects. Copyright © 2011 Elsevier GmbH. All rights reserved.

  5. Aspect-Oriented Visualization of the Health Status: An Example in Treatment of Cervical Spine Defect.

    Science.gov (United States)

    Deng, Yihan; Denecke, Kerstin

    2016-01-01

    Clinical data is often captured in unstructured texts and scattered in different health information systems. This complicates the aggregation of information in the process of clinical decision making. However, having a quick overview and an efficient representation of relevant aspects of a patient's health status are crucial for this process. While accessing patient data and perusing clinical documents, relevant details need to be discovered quickly. In this paper, we introduce an approach to visualize relevant information from clinical documents by tag clouds. The conventional tag clouds visualize the content of a document using the terms they are containing shown in different sizes with the size calculated based on the term frequency. Important facts and diagnostic results with low occurrence in a text may be ignored by this naïve method. In this paper, we therefore adapt the conventional tag clouds by information extraction and a guidelines-based classification schema, so that the clinical concerns can be visualized more correctly. The aspects are extracted according to a classification schema developed by clinical experts. We evaluate the approach on a set of radiology reports for cervical spine treatment.

  6. Social cognitive aspects of the participation in workplace health promotion as revealed by the theory of planned behavior.

    Science.gov (United States)

    Röttger, Stefan; Maier, Johanna; Krex-Brinkmann, Larissa; Kowalski, Jens T; Krick, Annika; Felfe, Jörg; Stein, Michael

    2017-12-01

    Health-promoting efforts strongly depend on individual cognitions such as attitudes as well as social cognitive aspects of the work environment such as leadership and support. Using the theory of planned behavior (TPB) as a theoretical frame, participation behavior of employees in courses offered by the workplace health promotion (WHP) program of the German Armed Forces was investigated. Social cognitive aspects of the work environment, such as leadership behaviors by setting an example or optimizing organization of work, were included in the TPB components of subjective norm and perceived behavioral control, which allowed for an investigation of the specific effects of leadership on WHP participation. A survey study with N=1385 members of the German Armed Forces was conducted in 2015 in Germany. Results showed that perceived behavioral control and attitudes towards WHP were the strongest predictors for WHP participation. While subjective norm was positively related to attitudes, it had a slightly negative effect on intention to participate in WHP activities. These findings suggest that the most effective way for leadership to increase WHP participation is to enhance perceived behavioral control. Quite contrary, creating a positive subjective norm regarding WHP participation may even result in psychological reactance. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. A review of some basic aspects related to integration of airplane’s equations of motion

    Directory of Open Access Journals (Sweden)

    Dan TURCANU

    2017-09-01

    Full Text Available Numerical integration of the airplane’s equations of motion has long been considered among the most fundamental calculations in airplane’s analysis. Numerical algorithms have been implemented and experimentally validated. However, the need for superior speed and accuracy is still very topical, as, nowadays, various optimization algorithms rely heavily on data generated from the integration of the equations of motion and having access to larger amounts of data can increase the quality of the optimization. Now, for a number of decades, engineers have relied heavily on commercial codes based on automatically selected integration steps. However, optimally chosen constant integration steps can save time and allows for larger numbers of integrations to be performed. Yet, the basic papers that presented the fundamentals of numerical integration, as applied to airplane’s equations of motion are nowadays not easy to locate. Consequently, this paper presents a review of basic aspects related to the integration of airplane’s equation of motion. The discussion covers fundamentals of longitudinal and lateral-directional motion as well as the implementation of some numerical integration methods. The relation between numerical integration steps, accuracy, computational resource usage, numerical stability and their relation with the parameters describing the dynamic response of the airplane is considered and suggestions are presented for a faster yet accurate numerical integration.

  8. Determining the Relation between General Health and Educational Progress among Paramedical Faculty’s Students of Tehran Medical University

    Directory of Open Access Journals (Sweden)

    Hossein Dargahi

    2016-12-01

    Full Text Available Considering the fact that students studying various fields of Study will have the responsibility to create, maintain and improve society’s level of health, they should be cared for with precision so they can perform and play their role as an educated and expert work force. this is due to the fact that getting accepted in university is a very sensitive period in lives of efficient workforce and active youth in each country, therefore, present study determines the relation between general health and educational progress among paramedical faculty’s Students of Tehran Medical University. Method: present research has a descriptive-analytic nature and was executed in a time period during winter of 2016. the target society included all students of paramedical faculty and required data was gathered by an adults’ health function literacy questionnaire and general health was also gathered by means of general health questionnaire. in order to present descriptive results of percentage and median and to study and analyses quantitative data, parametric statistical tests was used for normal data and in case there were not normal, unparametric tests were applied. Findings: Results of present study showed that there is a positive significant relation between general health and educational progress (r=01 / 0 p <،28 / 0. Still, no significant relation was observed between general health and health literacy (r= 0.038, p=0.569. Conclusion: In studying general health aspects with health literacy and educational health motivation, all aspects of general health (physical aspect, anxiety aspect, social function aspect, depression aspect showed a direct and significant relation with educational progress but presented no significant relation with health literacy. Still, we could observe a positive effect on educational progress and health literacy by trying to improve any of general health factors. In other words, we could use organizational capitals to improve

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

    Science.gov (United States)

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

    2017-01-01

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

  10. Health and safety aspects of textile workers from Solapur (India textile industries

    Directory of Open Access Journals (Sweden)

    Rahul B Hiremath

    2014-12-01

    Full Text Available Introduction: Textile sector in India plays an important role in the country's economy, providing employment to a significant population in rural and urban areas. Objectives: This paper focuses on health and safety aspects of textile workers in Solapur City (one of the key textile cluster in the state of Maharashtra, India. Methodology: A sample of 180 workers from the identified textile industries of Solapur city were assessed for their general physique, muscle tone, lung condition, and eyesight using different techniques. The study aimed at developing a framework for understanding risks to textile workers resulting from lack of health and safety standards in companies. Results: Findings showed that most of the workers have been affected by respiratory problems, increase in muscle tone, eye problems and musculoskeletal problem. It has been also observed that job security or regular work impacts positively to the worker’s long term body health. However, there is an immediate need to adopt and implement measures in accordance with Indian Factories Act (OHSAS 18001/ILO-OSH 2001 which includes directions and procedures in respect of industrial installations, work environment and occupational health and safety guidelines.

  11. Health-related quality of life following blind rehabilitation.

    Science.gov (United States)

    Kuyk, Thomas; Liu, Lei; Elliott, Jeffry L; Grubbs, Hartley E; Owsley, Cynthia; McGwin, Gerald; Griffin, Russell L; Fuhr, Patti S

    2008-05-01

    The purpose of this study was to investigate the effect of residential blind rehabilitation on patients' vision-targeted health-related quality of life (HRQOL) and general physical and mental function. The National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ) plus appendix questions, the 12-item Short-Form Health Survey (SF-12), Hope Scale and Coopersmith self-esteem inventory were administered to 206 legally blind veterans prior to their entering a residential (in-patient) blind rehabilitation program and again to 185 and 176 of the original cohort at 2 and 6 months after completion of the rehabilitation program, respectively. Data on visual acuity, visual field extent, contrast sensitivity and scanning ability were also collected. The duration of the in-patient rehabilitation programs ranged from 11 to 109 days. Questionnaire scores were compared pre-rehabilitation and post-rehabilitation. Following rehabilitation there was a significant improvement in nine of 11 NEI VFQ subscales and in a composite score at both the 2- and 6-month post-rehabilitation intervals. Mental health (SF-12) and self esteem also improved significantly although physical health ratings declined over the course of the study (approximately 10 months). Residential blind rehabilitation appears to improve patients' self-reported vision-targeted HRQOL, self-esteem and mental health aspects of generic HRQOL.

  12. Using public relations to promote health: a framing analysis of public relations strategies among health associations.

    Science.gov (United States)

    Park, Hyojung; Reber, Bryan H

    2010-01-01

    This study explored health organizations' public relations efforts to frame health issues through their press releases. Content analysis of 316 press releases from three health organizations-the American Heart Association, the American Cancer Society, and the American Diabetes Association-revealed that they used the medical research frame most frequently and emphasized societal responsibility for health issues. There were differences, however, among the organizations regarding the main frames and health issues: the American Diabetes Association was more likely to focus on the issues related to social support and education, while the American Heart Association and the American Cancer Society were more likely to address medical research and scientific news. To demonstrate their initiatives for public health, all the organizations employed the social support/educational frame most frequently. Researchers and medical doctors frequently were quoted as trusted sources in the releases.

  13. Organizational and methodological aspects for contemporary health and safety management system

    Directory of Open Access Journals (Sweden)

    Sugak Evgeny

    2017-01-01

    Full Text Available Industrial injuries and work-related disorders considerable lowering we are facing in developed countries may be due to switching to a new health and safety management system entitled “Occupational Safety and Health Management System”. The Russian Federation has prepared certain regulatory documents prescribing some suggestions regarding implementing the contemporary system for industrial injuries prevention based upon the methods for professional risks management. However, despite the efforts made by the Russian Government, reformation of the health and safety management system at various companies is being performed rather slowly that may be as well owing to poor competence of managers and specialists regarding contemporary labor safety model content, methodical and organizational novations in the sphere of occupational safety and health management.. The article refers to a number of principal issues distinguishing the new health and safety management system from conventional approach.

  14. The Security Aspect of Turkey-United States Relations: In Search For a New Model

    Directory of Open Access Journals (Sweden)

    Irina A. Svistunova

    2016-01-01

    Full Text Available Security cooperation has always been an important aspect of the relations between Turkey and the USA. In Cold War era Turkish-American interaction within NATO played a crucial role in this cooperation. After that period the two countries began to search for a new model of their relations. Both Turkey and the USA started to use cooperation within NATO for the purpose of strengthening their global positions. At the same time the USA aspiration to use military bases in Turkey beyond NATO obligations frequently becomes a source of disagreement and crises in the relations of the two countries as it happened during the American intervention to Iraq in 2003. At present new challenges for regional security, especially in the Middle East, demands new forms of interaction between Turkey and the USA. The beginning of "the Arab spring" was met in Ankara and Washington with overlapping interest in changing conservative regimes and promoting "Turkish model". At the same time such questions as participation of Turkey in the fight against ISIL and the USA military cooperation with the Syrian Kurds, whom Ankara considers to be connected with the PKK terrorist organization, has brought serious contradictions between the two countries. The cause of these contradiction is the difference in the perception of threats in Turkey and in the Western countries. While the search for new forms of security cooperation meets with difficulties, NATO remains important for the relations between Turkey and the USA, despite traditionally high level of anti-NATO moods in the Turkish society.

  15. Gender-related differences in lifestyle may affect health status.

    Science.gov (United States)

    Varì, Rosaria; Scazzocchio, Beatrice; D'Amore, Antonio; Giovannini, Claudio; Gessani, Sandra; Masella, Roberta

    2016-01-01

    Consistent epidemiological and clinical evidence strongly indicates that chronic non-communicable diseases are largely associated with four lifestyle risk factors: inadequate diet, physical inactivity, tobacco use, and excessive alcohol use. Notably, obesity, a worldwide-growing pathological condition determined by the combination between inadequate diet and insufficient physical activity, is now considered a main risk factor for most chronic diseases. Dietary habits and physical activity are strongly influenced by gender attitudes and behaviors that promote different patterns of healthy or unhealthy lifestyles among women and men. Furthermore, different roles and unequal relations between genders strongly interact with differences in social and economic aspects as well as cultural and societal environment. Because of the complex network of factors involved in determining the risk for chronic diseases, it has been promoting a systemic approach that, by integrating sex and gender analysis, explores how sex-specific biological factors and gender-related social factors can interact to influence the health status.

  16. Health-related quality of life in early breast cancer

    DEFF Research Database (Denmark)

    Grønvold, Mogens

    2010-01-01

    The treatment of primary breast cancer usually consists of surgery often followed by adjuvant therapy (radiotherapy, chemotherapy, hormonal treatment, etc.) to reduce the risk of recurrence. The cancer diagnosis and the treatments may have significant impact on the patients' quality of life....... This thesis deals with scientific aspects and clinical results of a study aimed at assessing the impact of breast cancer (and its treatment) on the patients' quality of life. Studies such as this assessing the problems and symptoms experienced by the patients are often referred to as health-related quality...... study to be impaired in patients receiving chemotherapy. Similarly, current review articles on HRQL effects of adjuvant chemotherapy mention only relatively few of these topics. Concerning HRQL after the treatment period, our main finding was that many symptoms and problems had declined or disappeared...

  17. Groundwater Chemistry and Assessment of Its Effect on Health from the Aspect of Medical Geology

    Directory of Open Access Journals (Sweden)

    Simge Varol

    2008-08-01

    Full Text Available Geology and medicine are the oldest two sciences. Nowadays, medical geology is appeared to associate the researches related to environmental problems studied by geology and medical sciences. In the medical geology, researches related to effect of groundwater on human health is the most important subject. In this paper, elements which are the constituent of groundwater and health problems originated from those elements were explained. In addition, components polluting the groundwater widely were presented in detail. [TAF Prev Med Bull 2008; 7(4.000: 351-356

  18. [Economic aspects of anesthesia. I. Health care reform in the German Republic].

    Science.gov (United States)

    Bach, A; Bauer, M

    1998-03-01

    Implications for Hospitals and Departments of Anaesthesiology. This article outlines the new German health care laws and their impact on the statutory health care system, hospitals and anaesthesia departments. The German health care system provides coverage for all citizens, although financial support from the public sector is on the downgrade. Hence, pressure to reduce public sector health care spending is likely to continue in the near future. Hospital costs account for one-third of total health care spending in Germany, and hospitals are facing increasing economic constraints: the volume and the charges for specific medical treatments are negotiated between the hospitals and the insurance agencies (or sickness funds) in advance. Only part of hospital care is still reimbursed on the basis of a per diem rate, and an increasing number of services are based on fixed payments per case or treatment. Reducing the costs for this treatment is therefore of utmost importance for hospitals and hospital departments. The prospective payment system and the pressure to contain costs demand a controlling system that allows for cost accounting per case. However, an economic evaluation must include comparative analysis of alternative therapeutic options in terms of both costs and outcome. Economic aspects challenge the traditional relationship between physicians and patients: doctors are still the advocates of their patients, but also act as agents for their institutions. Nevertheless, not only economic issues, but also ethical priorities and the value of an anaesthetic practice must be considered in the era of cost containment. Anaesthetists must be actively involved in providing high-quality care with its obvious benefits for the patient and be able to resist efforts to cut out expensive treatment modalities regardless of their benefits.

  19. Cellulose Dressing Versus Rayon Dressing in Skin Graft Donor Sites: Aspects of Patients' Health-related Quality of Life and Self-esteem .

    Science.gov (United States)

    Ferreira, Lydia M; Blanes, Leila; Gragnani, Alfredo; Veiga, Daniela F; Veiga, Frederico; Nery, Gilka B; Rocha, Gustavo H; Gomes, Heitor C; Rocha, Mario G; Okamoto, Regina

    2009-06-01

     Objective. The aim of this study was to compare the health-related quality of life (HRQoL) and self-esteem of patients who underwent split-thickness skin grafting, when either cellulose dressings or rayon dressings were applied to the donor sites. A total of 25 patients, who were enrolled at five participant hospitals and required split-thickness skin grafting for various clinical reasons, were randomized into two treatment groups, the rayon dressing group (n = 13), or the cellulose dressing group (n = 12). All patients were assessed preoperatively and 60 days postoperatively. The HRQoL was assessed with the Short Form-36 (SF-36) health survey questionnaire, and self-esteem was evaluated using the Rosenberg Self-Esteem Scale (RSE)/UNIFESP-EPM (Brazilian versions). There were no surgery-related complications during the study period. In both treatment groups, SF-36 scores for emotional role, mental health, vitality, and general health decreased from baseline. RSE scores increased from baseline in both treatment groups, showing a reduction in self-esteem after treatment. There was a statistical difference (P = 0.024) in the SF-36 bodily pain domain for the rayon group. There were no significant differences in HRQoL and self-esteem between treatment groups. In the rayon-dressing group, there was a significant decrease in bodily pain from baseline .

  20. Aspectos nutricionais relacionados ao ciclo menstrual Nutritional aspects related to menstrual cycle

    Directory of Open Access Journals (Sweden)

    Helena Alves de Carvalho SAMPAIO

    2002-09-01

    Full Text Available O objetivo da presente revisão é apresentar os principais tópicos discutidos na literatura quanto à associação da nutrição com o ciclo menstrual, contribuindo para a implementação do atendimento nutricional de mulheres. São revisados aspectos referentes à fisiologia da menstruação, alterações metabólicas durante o ciclo menstrual e comportamentos alimentares associados a ele. Considerando-se o ciclo menstrual dividido em duas fases, a folicular e a lútea, é nesta última que são descritas mais alterações, como retenção de água, elevação de peso, aumento de demanda energética, modificações no perfil lipídico e no metabolismo de vitamina D, cálcio, magnésio e ferro, hipersensibilidade emocional, dores generalizadas e mudança do comportamento alimentar. Em relação a este último item, podem ocorrer maior ingestão energética e o desenvolvimento de compulsões alimentares, principalmente por chocolate, doces e alimentos muito salgados. É fundamental que todos os aspectos citados sejam investigados durante a consulta nutricional, a fim de serem adotadas condutas mais específicas.The aim of the present review is to show the most important topics discussed in literature about the association between nutrition and menstrual cycle, contributing to improve the nutritional care for women. Aspects related to physiology of the menstruation, metabolic changes and feeding behavior during the menstrual cycle are reviewed. Considering the menstrual cycle divided in two phases, follicular and luteal, it is in this last one that more alterations are described, like fluid retention, weight gain, increase in caloric needs, modifications in the lipid profile and in the metabolism of vitamin D, calcium, magnesium and iron, emotional hypersensitivity, aches and changes in feeding behavior. In relation to this last item, it can occur a higher caloric intake and the development of food cravings, mainly for chocolate, candies and

  1. A critical perspective on early communications concerning human health aspects of microplastics

    DEFF Research Database (Denmark)

    Rist, Sinja; Carney Almroth, Bethanie; Hartmann, Nanna B.

    2018-01-01

    exposure. We risk pulling the focus away from the root of the problem: the way in which we consume, use and dispose of plastics leading to their widespread presence in our everyday life and in the environment. Therefore we urge for a more careful and balanced discussion which includes these aspects.......Microplastic research in recent years has shown that small plastic particles are found almost everywhere we look. Besides aquatic and terrestrial environments, this also includes aquatic species intended for human consumption and several studies have reported their prevalence in other food products...... in certain products. While plastics can undoubtedly be hazardous to human health due to toxicity of associated chemicals or as a consequence of particle toxicity, the extent to which microplastics in individual food products and beverages contribute to this is debatable. Considering the enormous use...

  2. Human Health and Performance Aspects of the Mars Design Reference Mission

    Science.gov (United States)

    Charles, John B.

    2000-01-01

    This paper will describe the current planning for exploration-class missions, emphasizing the medical, and human factors aspects of such expeditions. The details of mission architecture are still under study, but a typical Mars design reference mission comprises a six-month transit from Earth to Mar, eighteen months in residence on Mars, and a six-month transit back to Earth. Physiological stressors will include environmental factors such as prolonged exposure to radiation, weightlessness in transit, and hypogravity and a toxic atmosphere while on Mars. Psychological stressors will include remoteness from Earth, confinement, and potential interpersonal conflicts, all complicated by circadian alterations. Medical risks including trauma must also be considered. Results of planning for assuring human health and performance will be presented.

  3. Introducing Technical Aspects of Research Data Management in the Leipzig Health Atlas.

    Science.gov (United States)

    Meineke, Frank A; Löbe, Matthias; Stäubert, Sebastian

    2018-01-01

    Medical research is an active field in which a wide range of information is collected, collated, combined and analyzed. Essential results are reported in publications, but it is often problematic to have the data (raw and processed), algorithms and tools associated with the publication available. The Leipzig Health Atlas (LHA) project has therefore set itself the goal of providing a repository for this purpose and enabling controlled access to it via a web-based portal. A data sharing concept in accordance to FAIR and OAIS is the basis for the processing and provision of data in the LHA. An IT architecture has been designed for this purpose. The paper presents essential aspects of the data sharing concept, the IT architecture and the methods used.

  4. Longitudinal Relations between Personality Traits and Aspects of Identity Formation during Adolescence

    Science.gov (United States)

    Hill, Patrick L.; Allemand, Mathias; Grob, Sabine Zehnder; Peng, Aristide; Morgenthaler, Christoph; Kappler, Christoph

    2013-01-01

    The current study focused on three aspects of identity development relevant to the adolescent years: being an authentic person, perceiving control over and consistency in one's environment, and having consistent expectations from close others. In a two-wave study of adolescents (n = 750), we examined how these aspects change over the course of a…

  5. Framework for Structural Online Health Monitoring of Aging and Degradation of Secondary Systems due to some Aspects of Erosion

    Energy Technology Data Exchange (ETDEWEB)

    Gribok, Andrei [Idaho National Lab. (INL), Idaho Falls, ID (United States); Patnaik, Sobhan [Idaho National Lab. (INL), Idaho Falls, ID (United States); Williams, Christian [Idaho National Lab. (INL), Idaho Falls, ID (United States); Pattanaik, Marut [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kanakala, Raghunath [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-09-01

    This report describes the current state of research related to critical aspects of erosion and selected aspects of degradation of secondary components in nuclear power plants. The report also proposes a framework for online health monitoring of aging and degradation of secondary components. The framework consists of an integrated multi-sensor modality system which can be used to monitor different piping configurations under different degradation conditions. The report analyses the currently known degradation mechanisms and available predictive models. Based on this analysis, the structural health monitoring framework is proposed. The Light Water Reactor Sustainability Program began to evaluate technologies that could be used to perform online monitoring of piping and other secondary system structural components in commercial NPPs. These online monitoring systems have the potential to identify when a more detailed inspection is needed using real-time measurements, rather than at a pre-determined inspection interval. This transition to condition-based, risk informed automated maintenance will contribute to a significant reduction of operations and maintenance costs that account for the majority of nuclear power generation costs. There is unanimous agreement between industry experts and academic researchers that identifying and prioritizing inspection locations in secondary piping systems (for example, in raw water piping or diesel piping) would eliminate many excessive in-service inspections. The proposed structural health monitoring framework takes aim at answering this challenge by combining long-range guided wave technologies with other monitoring techniques, which can significantly increase the inspection length and pinpoint the locations that degraded the most. More widely, the report suggests research efforts aimed at developing, validating, and deploying online corrosion monitoring techniques for complex geometries, which are pervasive in NPPs.

  6. Framework for Structural Online Health Monitoring of Aging and Degradation of Secondary Systems due to some Aspects of Erosion

    International Nuclear Information System (INIS)

    Gribok, Andrei; Patnaik, Sobhan; Williams, Christian; Pattanaik, Marut; Kanakala, Raghunath

    2016-01-01

    This report describes the current state of research related to critical aspects of erosion and selected aspects of degradation of secondary components in nuclear power plants. The report also proposes a framework for online health monitoring of aging and degradation of secondary components. The framework consists of an integrated multi-sensor modality system which can be used to monitor different piping configurations under different degradation conditions. The report analyses the currently known degradation mechanisms and available predictive models. Based on this analysis, the structural health monitoring framework is proposed. The Light Water Reactor Sustainability Program began to evaluate technologies that could be used to perform online monitoring of piping and other secondary system structural components in commercial NPPs. These online monitoring systems have the potential to identify when a more detailed inspection is needed using real-time measurements, rather than at a pre-determined inspection interval. This transition to condition-based, risk informed automated maintenance will contribute to a significant reduction of operations and maintenance costs that account for the majority of nuclear power generation costs. There is unanimous agreement between industry experts and academic researchers that identifying and prioritizing inspection locations in secondary piping systems (for example, in raw water piping or diesel piping) would eliminate many excessive in-service inspections. The proposed structural health monitoring framework takes aim at answering this challenge by combining long-range guided wave technologies with other monitoring techniques, which can significantly increase the inspection length and pinpoint the locations that degraded the most. More widely, the report suggests research efforts aimed at developing, validating, and deploying online corrosion monitoring techniques for complex geometries, which are pervasive in NPPs.

  7. A survey of the health experiences of international business travelers. Part One--Physiological aspects.

    Science.gov (United States)

    Rogers, H Lynn; Reilly, Sandra M

    2002-10-01

    Occupational health professionals need to know more about the health, worklife, and family life of international business travelers (IBTs). This descriptive correlational study, in two parts, examines the physiological and psychosocial experiences associated with business travel for a sample of 140 employees from western Canada's oil and gas industry. Results for Part One show that 76% of IBTs report travel related health problems, 74% have jet lag, 45% have travelers' diarrhea and gastrointestinal complaints, 12% to 16% have climate adaptation problems, and 2% report accidents and minor injuries. High risk behaviors include not carrying a first aid travel kit (54%); drinking more alcohol than ordinarily (21%); and neglecting food, water, and antimalarial precautions (6% to 14%). Other risk factors include age, length of stay, destination, pre-travel medical examinations, pre-travel advice, and eating and accommodation facilities. Findings show that IBTs are at risk for travel related physiological health problems. Implications for practitioners call for increased occupational health expertise in pre-travel preparation, follow up post-travel and regular health surveillance for employees who travel on international business.

  8. Legal aspects of work related stress in nursing. Exploring the issues.

    Science.gov (United States)

    Abu al Rub, R

    2000-03-01

    Nurses are under a great deal of distress related to a variety of work stressors. Work related stress jeopardizes the mental and physical well being of nurses, as well as the quality of care provided for clients. The Occupational Safety and Health Act of 1970 holds employers responsible for the mental and physical well being of their employees. However, the regulations are not always straightforward concerning compensation claims for mental disabilities due to work stress. Recovery of claims is possible if standards (i.e., personal injury, causal relationship between injury and employment) are met. Requirements for recovery of physical/mental and mental/physical claims are agreed on by most states, whereas mental/mental claims are controversial among states and courts. Nurses can monitor and influence legislation to create requirements to encourage employers to develop preventive approaches to reducing work induced stress.

  9. [Health-related quality of life of the children of health professionals].

    Science.gov (United States)

    Gamallo, Silvia Maria Moussi; Caparroz, Fábio; Terreri, Maria Teresa Ramos Ascensão; Hilário, Maria Odete Esteves; Len, Claudio Arnaldo

    2012-12-01

    In this study, we measured the health-related quality of life (HRQOL) and fatigue of the children of health professionals, aged between two and eleven years, and assessed the daytime and sleep habits of these children and their parents. The study included children from a public school. Data regarding demographics and daily habits were collected. The HRQOL, sleep habits and fatigue were measured using questionnaires. A total of 249 parents participated - 63.5% reported getting an adequate amount of sleep, while 47.4% woke up feeling tired. The children's mean age was 5.6 years - 62.2% watched television in their rooms, 50% used the computer (> 4 hours/day) and 27.8% engaged in extracurricular physical exercise. The sleep score was 45.8 ± 12.2. The HRQOL scores were higher in the physical and lower in the emotional aspects. We found that poorer sleep on the part of both children and parents may be related to the children's lower HRQOL. We conclude that the inadequate habits of parents as well as children, are related to a decrease in HRQOL, particularly regarding the emotional aspect.

  10. Quality of life and people living with AIDS: relationship with sociodemographic and health aspects

    Directory of Open Access Journals (Sweden)

    Tadeu Lessa da Costa

    2014-08-01

    Full Text Available OBJECTIVE: to analyze the relationship of sociodemographic and health dimensions with the quality of life of people living with the human immunodeficiency virus.METHOD: descriptive and quantitative study. The subjects were 131 seropositive people treated in a specialized center of the Norte-Fluminense municipality, Brazil. A form with sociodemographic and health data was applied, as well as the World Health Organization instrument for the assessment of the quality of life of people with the human immunodeficiency virus.RESULTS: the statistical analysis revealed a significant difference in the assessment of the various dimensions of quality of life by the subjects for gender, education, employment, personal income, medical condition, self-perception of sickness, history of hospitalizations, and bodily alterations due to the antiretroviral drugs.CONCLUSION: professional nursing and health care, as well as public policies in the area, should valorize the quality of life approach, considering the conditions related to its configuration.

  11. [Sociotherapy in German social law. Indication, contents, and aspects of public health].

    Science.gov (United States)

    Frieboes, R-M

    2003-07-01

    In German mental health services, the ill-defined term "sociotherapy" has been used to designate nonmedical, social, and work-related components of the care process. Recently, a new component of outpatient/community mental health care called "sociotherapy" (according to Paragraph 37a of the Fifth German Social Code) which is funded by the public health insurance system has been introduced and is now in the process of being implemented. The paper describes (a) patients eligible for the service and (b) the aims and scope of this case management module. The key objectives are to motivate patients with schizophrenia to utilise mental health services and antipsychotic medication and to liaise with psychosocial services. Therefore, sociotherapy is distinct from (a) multidisciplinary inpatient care for people with severe mental illness, (b) assertive community treatment, (c) community care provided by social workers or community psychiatric nurses, and (d) family interventions. So far there has been little evaluation of sociotherapy.

  12. Radiological diagnostic aspects relating to swelling of the male mammary gland

    Energy Technology Data Exchange (ETDEWEB)

    Kegel, W

    1984-09-01

    Diseases of the male mammary gland are clinically manifested as unilateral or bilateral, well-defined or diffuse consolidations in the breast. In some cases, the affected tissues are extremely tender on pressure. Gynaecomastia is most frequently seen (n = 22), whereas inflammatory or tumourous changes of the glandular parenchyma are rare (n = 2). The most important causes of gynaecomastia are shifts in hormonal balance where the controlling impulses acting on the glandular parenchymabare enhanced. Gynaecomastia is frequently found in patients who have cirrhosis of the liver or are taking certain drugs. 29 cases are described from the author's own patient material. The radiological image, the clinical findings, the possible aetiological aspects, as well as histological findings, if any, are described and discussed in relation to literature. Closer examination of this poly-aetiological disease pattern - namely, swelling of the male mammary gland - leads to a number of interesting differential diagnoses which sometimes require internistic and endocrinological clarification before the correct diagnosis can be found.

  13. Radiological diagnostic aspects relating to swelling of the male mammary gland

    International Nuclear Information System (INIS)

    Kegel, W.

    1984-01-01

    Diseases of the male mammary gland are clinically manifested as unilateral or bilateral, well-defined or diffuse consolidations in the breast. In some cases, the affected tissues are extremely tender on pressure. Gynaecomastia is most frequently seen (n = 22), whereas inflammatory or tumourous changes of the glandular parenchyma are rare (n = 2). The most important causes of gynaecomastia are shifts in hormonal balance where the controlling impulses acting on the glandular parenchymabare enhanced. Gynaecomastia is frequently found in patients who have cirrhosis of the liver or are taking certain drugs. 29 cases are described from the author's own patient material. The radiological image, the clinical findings, the possible aetiological aspects, as well as histological findings, if any, are described and discussed in relation to literature. Closer examination of this poly-aetiological disease pattern - namely, swelling of the male mammary gland - leads to a number of interesting differential diagnoses which sometimes require internistic and endocrinological clarification before the correct diagnosis can be found. (orig.) [de

  14. [Prevalence and differentiating aspects related to gender with regard to the bullying phenomenon in poor countries].

    Science.gov (United States)

    Romera Félix, Eva M; Del Rey Alamillo, Rosario; Ortega Ruiz, Rosario

    2011-11-01

    There is a large body of scientific knowledge about school violence and bullying in Europe and some other regions of the so-called developed world. However, improvement is scarce in poor and developing regions, as in the case of Latin America and, in particular, Nicaragua. The goal of this work was to determine the prevalence of the bullying phenomenon in Nicaraguan primary schools, to analyze the eventual relationships between the different forms of violence used by the students and to explore, in relation to these aspects, the similarities and differences between boys and girls. For this purpose, we surveyed 3042 pupils of primary school (50.3% girls) using the "Cuestionario sobre Convivencia, Violencia y Experiencias de Riesgo" (COVER, in English, Questionnaire about Living Together, Violence and Risk Experiences). We found that the level of involvement in bullying is significantly higher than in developed countries, that boys are more involved than girls in verbal, physical and psychological bullying, and that there are no differences with regard to social exclusion. The results are discussed, comparing them with studies conducted in different countries but with similar methodologies.

  15. Consumer Health Informatics Aspects of Direct-to-Consumer Personal Genomic Testing.

    Science.gov (United States)

    Gray, Kathleen; Stephen, Remya; Terrill, Bronwyn; Wilson, Brenda; Middleton, Anna; Tytherleigh, Rigan; Turbitt, Erin; Gaff, Clara; Savard, Jacqueline; Hickerton, Chriselle; Newson, Ainsley; Metcalfe, Sylvia

    2017-01-01

    This paper uses consumer health informatics as a framework to explore whether and how direct-to-consumer personal genomic testing can be regarded as a form of information which assists consumers to manage their health. It presents findings from qualitative content analysis of web sites that offer testing services, and of transcripts from focus groups conducted as part a study of the Australian public's expectations of personal genomics. Content analysis showed that service offerings have some features of consumer health information but lack consistency. Focus group participants were mostly unfamiliar with the specifics of test reports and related information services. Some of their ideas about aids to knowledge were in line with the benefits described on provider web sites, but some expectations were inflated. People were ambivalent about whether these services would address consumers' health needs, interests and contexts and whether they would support consumers' health self-management decisions and outcomes. There is scope for consumer health informatics approaches to refine the usage and the utility of direct-to-consumer personal genomic testing. Further research may focus on how uptake is affected by consumers' health literacy or by services' engagement with consumers about what they really want.

  16. Women's oral and dental health aspects in humanitarian missions and disasters: Jordanian experience.

    Science.gov (United States)

    Smadi, Leena; Sumadi, Aiman Al

    2016-01-01

    The study aimed to review oral and dental health aspects in female patients presented to Jordanian Royal Medical Services (RMS) international humanitarian missions over a 3-year period. Analysis of humanitarian missions of RMS data and records over a 3-year period (2011-2013) in regard to women's oral and dental health issues was done. The data were analyzed in regard to the number of women seen, the presenting conditions, and the prevalence of oral and dental diseases and procedures in these cases. During the 3-year period, 72 missions were deployed in four locations (Gaza, Ram Allah-West Bank, Jeneen-West Bank, and Iraq). The total number of females seen in this period was 86,436 women, accounting for 56 percent of adult patients seen by RMS humanitarian missions. Dental Clinics were deployed to only two missions (Iraq and Gaza), during which they received 13,629 visits; of these, 41 percent were females (5,588 patients), 29 percent were males, and 30 percent were in the pediatric age group. Trauma accounts for only 7 percent of the cases, while nonacute dental problems (caries and gingivitis) were responsible for the majority of cases (31.6 and 28.7 percent, respectively). RMS dental services during humanitarian mission deployment are a vital part of comprehensive healthcare. Women usually seek more dental care than men, with the majority of treatments for nonacute conditions. RMS experiences demonstrate the tremendous need for a well-defined preparedness plan for deployment of humanitarian missions that considers the contributions of all types of health professionals, the appropriate mobile technology to respond to emergent health risks, and a competent workforce ready and able to respond. Such preparation will require our dental education programs to develop disaster preparedness competencies to achieve the desired level of understanding.

  17. Impact of trismus on health-related quality of life and mental health.

    Science.gov (United States)

    Johnson, Joakim; Johansson, Mia; Rydén, Anna; Houltz, Erik; Finizia, Caterina

    2015-11-01

    Trismus is a common symptom often related to the treatment for head and neck cancer and to temporomandibular disorders. The purpose of the present study was to measure the impact of trismus on health-related quality of life (HRQOL) and mental health in patients with head and neck cancer and temporomandibular disorder. We used the criteria for trismus of maximum interincisal opening (MIO) ≤35 mm and the study subjects responded to the following instruments: the Gothenburg Trismus Questionnaire (GTQ), the Short-Form 36 Health Survey (SF-36), and the Hospital Anxiety and Depression Scale (HADS). The study also comprised an age-matched and sex-matched control group without trismus. Patients with trismus reported significantly more dysfunction in all GTQ domains and more facial pain compared to the control group. The patients with head and neck cancer and trismus scored significantly lower on all SF-36 domains except general health compared to the control group, and the patients with temporomandibular disorder with trismus scored significantly lower in 3 of the 8 domains in SF-36. According to the HADS, a greater proportion of patients with head and neck cancer with trismus displayed more depression compared to the control group. The results showed that trismus is associated with a significant impact on HRQOL and that patients with trismus should be approached in a holistic way with respect for the underlying cause, treating not only the physical aspects of trismus but also addressing the patients' mental health. © 2014 Wiley Periodicals, Inc.

  18. Contribution of the Japan International Cooperation Agency health-related projects to health system strengthening.

    Science.gov (United States)

    Yuasa, Motoyuki; Yamaguchi, Yoshie; Imada, Mihoko

    2013-09-22

    The Japan International Cooperation Agency (JICA) has focused its attention on appraising health development assistance projects and redirecting efforts towards health system strengthening. This study aimed to describe the type of project and targets of interest, and assess the contribution of JICA health-related projects to strengthening health systems worldwide. We collected a web-based Project Design Matrix (PDM) of 105 JICA projects implemented between January 2005 and December 2009. We developed an analytical matrix based on the World Health Organization (WHO) health system framework to examine the PDM data and thereby assess the projects' contributions to health system strengthening. The majority of JICA projects had prioritized workforce development, and improvements in governance and service delivery. Conversely, there was little assistance for finance or medical product development. The vast majority (87.6%) of JICA projects addressed public health issues, for example programs to improve maternal and child health, and the prevention and treatment of infectious diseases such as AIDS, tuberculosis and malaria. Nearly 90% of JICA technical healthcare assistance directly focused on improving governance as the most critical means of accomplishing its goals. Our study confirmed that JICA projects met the goals of bilateral cooperation by developing workforce capacity and governance. Nevertheless, our findings suggest that JICA assistance could be used to support financial aspects of healthcare systems, which is an area of increasing concern. We also showed that the analytical matrix methodology is an effective means of examining the component of health system strengthening to which the activity and output of a project contributes. This may help policy makers and practitioners focus future projects on priority areas.

  19. Some Operational Aspects Relating to Quality Management and Total Quality Management

    OpenAIRE

    Sorin GRESOI; Aurelian DIACONU

    2013-01-01

    The work pass in review a few basic concepts found in quality management focusing on operational aspects of quality assurance in production activity and continue with issues regarding total quality strategy, the vector of competitiveness on the market.

  20. Background Paper for the Expert Meeting on the Gender-Related Aspects of Race Discrimination

    OpenAIRE

    Kimberlé Crenshaw

    2002-01-01

    Neither the gender aspects of racial discrimination nor the racial aspects of gender discrimination are fully comprehended within human rights discourses. Building on the growing recognition that race and gender discrimination are not mutually exclusive phenomena, this background paper forwards a provisional framework to identify various forms of subordination that can be said to reflect the interactive effects of race and gender discrimination. It suggests a provisional protoc...

  1. Paper based diagnostics for personalized health care: Emerging technologies and commercial aspects.

    Science.gov (United States)

    Mahato, Kuldeep; Srivastava, Ananya; Chandra, Pranjal

    2017-10-15

    Personalized health care (PHC) is being appreciated globally to combat clinical complexities underlying various metabolic or infectious disorders including diabetes, cardiovascular, communicable diseases etc. Effective diagnoses majorly depend on initial identification of the causes which are nowadays being practiced in disease-oriented approach, where personal health profile is often overlooked. The adoption of PHC has shown significantly improved diagnoses in various conditions including emergency, ambulatory, and remote area. PHC includes personalized health monitoring (PHM), which is its integral part and may provide valuable information's on various clinical conditions. In PHC, bio-fluids are analyzed using various diagnostic devices including lab based equipment and biosensors. Among all types of biosensing systems, paper based biosensors are commercially attracted due to its portability, easy availability, cheaper manufacturing cost, and transportability. Not only these, various intrinsic properties of paper has facilitated the development of paper based miniaturized sensors, which has recently gained ASSURED (Affordable, Sensitive, Specific, User-friendly, Rapid and Robust, Equipment free, Deliverable to all end-users) status for point of care diagnosis in miniaturized settings. In this review, importance of paper based biosensors and their compatibility for affordable and low cost diagnostics has been elaborated with various examples. Limitations and strategies to overcome the challenges of paper biosensor have also been discussed. We have provided elaborated tables which describe the types, model specifications, sensing mechanisms, target biomarkers, and analytical performance of the paper biosensors with their respective applications in real sample matrices. Different commercial aspects of paper biosensor have also been explained using SWOT (Strength, Weakness, Opportunities, Threats) analysis. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Psycho-social aspects of personal health monitoring: a descriptive literature review.

    Science.gov (United States)

    Muehlan, Holger; Schmidt, Silke

    2013-01-01

    We aimed at providing a short review on already published studies addressing psycho-social issues of personal health monitoring (PHM). Both core questions addressed within this review are: What is the impact of PHM on intended psycho-social and health-related outcomes? And which psycho-social issues affected by or related to PHM have already been investigated? This descriptive review based on a literature search using various databases (Psycinfo, Psyndex, Pubmed, SSCI). Resulting 428 abstracts were coded regarding their psycho-social content. Inspection of results was carried out along the relevance of the papers regarding psycho-social issues. Research in PHM focuses on telemonitoring and smart home applications: Tele-monitoring studies are directed to outcome-related questions, smart home studies to feasibility issues. Despite of technological matters, comparability of both systems in psycho-social issues is lacking. Tele-monitoring has been proven for impact on patient groups with chronic diseases, yet smart home still lacks evidence in health-related and psycho-social matters. Smart home applications have been investigated with respect to attitudes, perceptions and concerns of end-users, telemonitoring regarding acceptance and adherence.

  3. Some aspects of floating ice related to sea surface operations in the Barents sea

    International Nuclear Information System (INIS)

    Loeset, S.

    1993-01-01

    The present work highlights some aspects of floating ice related to sea surface operations in the Barents sea. The thesis consists of eight papers which fall into two main categories; one part deals with numerical modeling of the temperature distribution and ablation of icebergs (three papers), and the other part studies the behavior of broken ice, focusing on both laboratory experiments and numerical modeling. The temperature distribution within an iceberg affects the mechanical strength of the ice and is therefore crucial in engineering applications when estimating loads from impinging icebergs on offshore structures. A numerical model which simulates the temperature distribution and ablation of icebergs has been developed. The model shows that the depth of the thermal disturbance and slope of the temperature gradient of an iceberg depend on the boundary conditions and the time at sea. By about 12 m into the ice, the temperature is virtually free of any thermal boundary influence. Oil spill response techniques are vulnerable to the presence of sea ice. Deflecting ice upstream of a spill site by means of a flexible boom will facilitate the application of conventional oil spill recovery systems such as oil skimmers and booms. Experiments with such an ice deflecting boom were conducted in an ice tank to determine the loads on the boom and to study the ice-free wake. The study indicated the technical feasibility of the ice boom concept as an operational tool for oil spill cleanups. A two-dimensional discrete element model has been developed. This model simulates the dynamics and interaction forces between distinct ice floes in a broken ice field. The numerical model was applied to estimate the loads on a boom used for ice management. 121 refs., 70 figs., 10 tabs

  4. Regulatory focussing of the relevant aspects related to the transport of radioactive materials in Argentina

    International Nuclear Information System (INIS)

    Lopez Vietri, J.R.; Novo, R.G.; Bianchi, A.J.

    1998-01-01

    Full text: This paper points out a summary of the relevant aspects related to the transport of radioactive material in Argentina treated only from a regulatory focussing, it is to say from the point of view of its competent authority of application the Nuclear Regulatory Authority (in Spanish, the Autoridad Regulatoria Nuclear, ARN). Firstly, it is introduced the legal and regulatory framework applicable to the transport of radioactive material and the corresponding authorities involved (ARN, Secretary of Transport, and the Argentine Air Force, Naval Prefecture and Navy). Then, it is presented a schedule of the main characteristics of the shipments of radioactive material used in both the nuclear cycle and in medicine, industry and research, and an average of the shipments annually transported in Argentina. Further on the paper briefly analyses the ARN sources and the way in which it performs the compliance assurance with the in-force transport regulations in the country. Particularly, it is explained certain main tools used by the compliance system, as for example, transport notice, data base, licensing of certain design packages, shipments and materials, inspection and audits, and fees and sanctions regimes. On the other hand, it is mentioned the Argentine experience in the development, licensing, manufacture and use of domestic designs of Type B(U) packages and special form radioactive material (cobalt 60 and iridium 192 sealed sources). Moreover, it is concisely described test facilities available in the country necessary to perform the mentioned designs. Finally, the paper shortly describes the ARN main transport activities exclusively concerning the relationship with other national organisations (Federal Police, Gendarmerie, Naval Prefecture and Argentine Institute of Material Rationalisation, in Spanish Instituto Argentino de Racionalizacion de Materiales - IRAM) and with regional and inter regional organisations (South American Common Market, in Spanish

  5. Aspects related to the interaction of Angra I with the Furnas system

    International Nuclear Information System (INIS)

    Silva, Lourenca Francisca da

    1982-10-01

    This work studies the following aspects related to the interaction of the Angra I power plant with the Furnas electric network: reliability of alternative sources, 500 kV and 138 kV systems and emergency diesel generators; operation capacity of Angra I and performance of Angra I and the future power plants Angra II and III. In the first part, after the Furnas network and the main systems of the Angra I power plant (specially the electrical system) have been analysed, the reliability for each source was computed separately and then the results lumped together. The reliability computation for the 500 kV system was done employing the computer code CST-ELETROSUL (reliability or transmission system) and for the remaining computations the fault tree theory was used, resulting in a number that represents the approximate value of the alternative sources, referring to the assumed considerations. In the second part, some limitations in the operation capacity of Angra I were verified, suggesting that the power plant should operate in base-load for safety reasons. In order to determine the factors that define the performance of a Nuclear Power Plant, FDIS, FCON, FINP and FIP, the works already accomplished by Centrais Eletricas Brasileiras S/A - ELETROBRAS were taken as a basis and were implemented with more recent data about operation of the nuclear power plant PWR. The computer code SPSS (Statistical Package for the Social Sciences) was utilized for obtaining the factors concerning to power plant with the capacity of Angra I, II and III. From the obtained valves and with the static generation capacity theory, were composed the load permanency curves from the unity 1 and for the three unities lumped together in the CNAA site. (author)

  6. Income-related inequality in health and health-related behaviour: exploring the equalisation hypothesis.

    Science.gov (United States)

    Vallejo-Torres, Laura; Hale, Daniel; Morris, Stephen; Viner, Russell M

    2014-07-01

    Previous studies have found the socioeconomic gradient in health among adolescents to be lower than that observed during childhood and adulthood. The aim of this study was to examine income-related inequalities in health and health-related behaviour across the lifespan in England to explore 'equalisation' in adolescence. We used five years of data (2006-2010) from the Health Survey for England to explore inequalities in six indicators: self-assessed general health, longstanding illness, limiting longstanding illness, psychosocial wellbeing, obesity and smoking status. We ran separate analyses by age/gender groups. Inequality was measured using concentration indices. Our findings for longstanding illnesses, psychosocial wellbeing and obesity were consistent with the equalisation hypothesis. For these indicators, the extent of income-related inequality was lower among late adolescents (16-19 years) and young adults (20-24 years) compared to children and young adolescents (under 15 years), mid- and late-adults (25-44 and 45-64 years) and the elderly (65+ years). The remaining indicators showed lower inequality among adolescents compared to adults, but higher inequality when compared with children. Our work shows that inequalities occur across the life-course but that for some health issues there may be a period of equalisation in late adolescence and early adulthood. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

    Science.gov (United States)

    Liu, Yong-Bing; Liu, Liu; Li, Yan-Fei; Chen, Yan-Li

    2015-01-01

    Background: Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008) and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452). Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points). There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p 0.05). Multiple linear regression analysis showed that the independent influencing factors of health literacy included education level, race, former occupation, household income, age, physical exercise, health examination, smoking, and health information access (p

  8. Social aspect of art and problems of inclusion in people with health disabilities

    Directory of Open Access Journals (Sweden)

    Shehorina A. V.

    2012-06-01

    Full Text Available The review analyzes foreign studies over the period of 2005—2011 on socially focused art projects. It also regards the ways of art utilization for the purposes of social integration of people with health disabilities in inclusive education and in projects aimed at health promotion in various groups of population. The article emphasizes the tendency of social turn in art and in public health service to come closer together. It also stresses the link of this turn with the ideology of inclusion as based on criticism of «disability» discourse. The article also draws attention to a tendency of unification of therapeutic, educational, social and personality-related orientation in utilization of art practices.

  9. Dental health and oral health-related quality of life in children with congenital bleeding disorders.

    Science.gov (United States)

    Salem, K; Eshghi, P

    2013-01-01

    The purpose of this study was to investigate the dental and some other aspects of oral health status of young patients with congenital bleeding disorders (CBD) and the impact of these on their quality of life (OHR-QoL) compared with controls. DMFS-dmfs (Decayed, Missed, Filled Tooth surfaces in permanent and primary teeth) scores, Simplified oral hygiene index, occurance of hypoplasia of first permanent molars, Temporomandibular joint dysfunction and occlusion of 46 CBD patients at the age range of 2-15 years and 46 of other children as control were compared, and the impact of their oral health situation on quality of life was also investigated. Data were analysed by chi-square, t-test and Pearson correlation. Patients were significantly more caries-free with less decayed teeth in primary-permanent dentition (P = 0.03, t = -2.17).The mean scores of OHR-QoL of CBD patients and controls were not significantly different. Oral Bleeding was the significant variable in relation to 'oral health-related quality of life' in CBD groups (Pearson correlation, r = -0.56, P = 0.000). OHR-QoL in the control group was related to dmfs score (r = -0.392, P = 0.011) and male gender (r = -0.329, P = 0.026). Congenital bleeding disorder CBD patients were found to have a better dental health situation in primary dentition compared with controls; however, their 'oral health-related quality of life' was similar. Oral bleeding was the only significant factor related to OHR-QoL in CBD. It shows an overall importance of development of comprehensive care centres for CBD as the main cause of this achievement. © 2012 Blackwell Publishing Ltd.

  10. Revision of the ICIDH: mental health aspects. WHO/MNH Disability Working Group.

    Science.gov (United States)

    Ustün, T B; Cooper, J E; van Duuren-Kristen, S; Kennedy, C; Hendershot, G; Sartorius, N

    1995-01-01

    This article reviews the key issues arising in the revision of the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) from a mental health perspective, and describes the work of the Disability Working Group of the WHO's Division of Mental Health. The ICIDH, which describes the consequences of disorders at three levels as impairments, disabilities, and handicaps, is generally applicable and useful for mental health purposes. While some impairments are mainly a consequence of 'mental' disorders (e.g. cognitive impairment), there should be no differences between mental and physical disorders in the classification scheme, to avoid a dichotomy between mind and body. There is also a need to improve the ways in which interference with the performance of social roles is described, since this is often the most obvious consequence of mental disorders. This article presents the potentials of the ICIDH in the field of mental health, and gives recommendations for the development of the revision process of the ICIDH. To stimulate the process of producing a 'common language' in the ICIDH related to mental health issues, former and potential users of the ICIDH are invited to give comments and suggestions.

  11. Smoking at workplace – Legislation and health aspect of exposure to second-hand tobacco smoke

    Directory of Open Access Journals (Sweden)

    Agnieszka Lipińska-Ojrzanowska

    2015-12-01

    Full Text Available Tobacco smoke contains thousands of xenobiotics harmful to human health. Their irritant, toxic and carcinogenic potential has been well documented. Passive smoking or exposure to second-hand smoke (SHS in public places, including workplace, poses major medical problems. Owing to this fact there is a strong need to raise workers’ awareness of smoking-related hazards through educational programs and to develop and implement legislation aimed at eliminating SHS exposure. This paper presents a review of reports on passive exposure to tobacco smoke and its impact on human health and also a review of binding legal regulations regarding smoking at workplace in Poland. It has been proved that exposure to tobacco smoke during pregnancy may lead to, e.g., preterm delivery and low birth weight, sudden infant death syndrome, lung function impairment, asthma and acute respiratory illnesses in the future. Exposure to tobacco smoke, only in the adult age, is also considered as an independent risk factor of cardiovascular diseases, acute and chronic respiratory diseases and cancer. Raising public awareness of tobacco smoke harmfulness should be a top priority in the field of workers’ health prevention. Occupational medicine physicians have regular contacts with occupationally active people who smoke. Thus, occupational health services have a unique opportunity to increase employees and employers’ awareness of adverse health effects of smoking and their prevention. Med Pr 2015;66(6:827–836

  12. [Smoking at workplace - Legislation and health aspect of exposure to second-hand tobacco smoke].

    Science.gov (United States)

    Lipińska-Ojrzanowska, Agnieszka; Polańska, Kinga; Wiszniewska, Marta; Kleniewska, Aneta; Dörre-Kolasa, Dominika; Walusiak-Skorupa, Jolanta

    2015-01-01

    Tobacco smoke contains thousands of xenobiotics harmful to human health. Their irritant, toxic and carcinogenic potential has been well documented. Passive smoking or exposure to second-hand smoke (SHS) in public places, including workplace, poses major medical problems. Owing to this fact there is a strong need to raise workers' awareness of smoking-related hazards through educational programs and to develop and implement legislation aimed at eliminating SHS exposure. This paper presents a review of reports on passive exposure to tobacco smoke and its impact on human health and also a review of binding legal regulations regarding smoking at workplace in Poland. It has been proved that exposure to tobacco smoke during pregnancy may lead to, e.g., preterm delivery and low birth weight, sudden infant death syndrome, lung function impairment, asthma and acute respiratory illnesses in the future. Exposure to tobacco smoke, only in the adult age, is also considered as an independent risk factor of cardiovascular diseases, acute and chronic respiratory diseases and cancer. Raising public awareness of tobacco smoke harmfulness should be a top priority in the field of workers' health prevention. Occupational medicine physicians have regular contacts with occupationally active people who smoke. Thus, occupational health services have a unique opportunity to increase employees and employers' awareness of adverse health effects of smoking and their prevention. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  13. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

    Directory of Open Access Journals (Sweden)

    Yong-Bing Liu

    2015-08-01

    Full Text Available Background: Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008 and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452. Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points. There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p < 0.001. The health literacy score was significantly associated with smoking, drinking, physical exercise, and health examination (p < 0.001. The elderly with higher health literacy scores were significantly less likely to have risky behaviors

  14. The social aspects in the identification of children’s mental health problems in two health services in Paris, France

    Directory of Open Access Journals (Sweden)

    Eunice Nakamura

    2017-06-01

    Full Text Available Children’s mental health problems were analyzed from a sociological approach addressing two questions: what are the main children’s behaviors identified and considered to be mental health problems, and what are the consequences of this classification for the debate on children’s problems in contemporary societies. This quantitative and qualitative study analyzed 275 patients’ records from two child mental health services (CMHS in the northeast area of Paris, France. The majority of children were boys from six to 11 years old; requests were presented mainly by schools and parents; the main problems were behavioural problems, cognitive difficulties and relational problems (boys, and affective or emotional problems (girls. There is an interdependence of a great number of actors who worry about children’s behavior and a system of expectations seems to be collectively woven by them as social classifications.

  15. Understanding Health and Health-Related Behavior of Users of Internet Health Information.

    Science.gov (United States)

    Wimble, Matt

    2016-10-01

    Little is known about how actual use of Internet health-related information is associated with health or health-related behavior. Using a nationally representative sample of 34,525 from 2012, this study examined the demographics of users of Internet health-related information (users), reports estimates of association with several health and behavioral outcomes adjusting for demographic factors, and analyzed the sample by education level, race, gender, and age. Analysis of a large nationally representative sample shows evidence that users of health-related information (users) on the Internet are younger, more educated, more likely to be insured, more likely to be female, and less likely to be African American. After adjusting for demographic differences, users are more likely to have been diagnosed with hypertension, cancer, stroke, and high cholesterol, but no evidence of current hypertension, weight-related issues, or being in fair or poor health. Users are less likely to smoke and among smokers are more likely to attempt quitting. Users are more likely to exercise, get a flu shot, pap smear, mammogram, HIV test, colon cancer screening, blood pressure check, and cholesterol check, but likely to be heavy drinkers. With few exceptions, results appear robust across gender, age groups, level of education, and ethnicity. Use is generally positively associated with prior diagnosis for several conditions and behaviors related to improved health, but I find no relationship with existing health status. The association between use of health-related Internet information and health-related behavior seems robust across levels of education, age, gender, and race.

  16. Health-related quality of life in Iranian patients with multiple sclerosis

    DEFF Research Database (Denmark)

    Pakpour, Amir H.; Yekaninejad, Mir Saeed; Mohammadi, Nastaran Keshavarz

    2009-01-01

    Background and purpose: This study aimed to evaluate aspects of health-related quality of life (HRQoL) of patients with multiple sclerosis (MS) who live in Tehran and to compare data with evaluations of both the general population and MS patients in other countries Material and methods: One hundr...

  17. Health-related quality of life in Iranian patients with multiple sclerosis

    DEFF Research Database (Denmark)

    Pakpour, Amir H.; Yekaninejad, Mir Saeed; Mohammadi, Nastaran Keshavarz

    2010-01-01

    BACKGROUND AND PURPOSE: This study aimed to evaluate aspects of health-related quality of life (HRQoL) of patients with multiple sclerosis (MS) who live in Tehran and to compare data with evaluations of both the general population and MS patients in other countries. MATERIAL AND METHODS: One hund...

  18. A pilot survey of junior doctors' confidence in tasks related to broad aspects of competence

    DEFF Research Database (Denmark)

    Davis, Deborah J; Skaarup, Anne Marie; Ringsted, Charlotte

    2005-01-01

    Medical authorities and society are recommending that postgraduate medical education prepare physicians for broad aspects of competence. The most effective ways to prepare physicians for these are not known. The aim of this pilot study was to survey junior doctors' growth in confidence in different...... useful in facilitating learning of the tasks. These results suggest that growth of confidence in the physician roles proceeds at different rates during postgraduate training. Additional research is needed to identify effective ways for junior doctors to learn broad aspects of competence. Longitudinal...

  19. Background Paper for the Expert Meeting on the Gender-Related Aspects of Race Discrimination

    Directory of Open Access Journals (Sweden)

    Kimberlé Crenshaw

    2002-01-01

    Full Text Available Neither the gender aspects of racial discrimination nor the racial aspects of gender discrimination are fully comprehended within human rights discourses. Building on the growing recognition that race and gender discrimination are not mutually exclusive phenomena, this background paper forwards a provisional framework to identify various forms of subordination that can be said to reflect the interactive effects of race and gender discrimination. It suggests a provisional protocol to be followed to better identify the occasions in which such interactive discrimination may have occurred, and posits further that the responsibility to address the causes and consequences of such discrimination be shared widely among all human rights institutions.

  20. Health physics aspects of the Yale Heavy Ion Linear Accelerator dismantling project

    International Nuclear Information System (INIS)

    Price, K.W.; Holeman, G.R.

    1976-01-01

    A program for the disassembly of the Yale Heavy Ion Linear Accelerator was initiated January 1, 1975. The object of the disassembly was to render the accelerator complex free of radioactive contamination in order that the area may be used for other University purposes. In addition, any salvage of metal parts was a desirable goal of the dismantling procedure. A systematic removal of all contaminated material began immediately. Portable survey instruments, swipe surveys, and sodium iodide gamma ray spectra were used as indicators of contamination. Apparatus in the direct beam line seemed to pose the most significant hazard to personnel. As beam components were eliminated, radioactive contamination was significantly reduced. Certain accelerator parts had to be machined in order to salvage non-contaminated metal, and the health physics aspects of this procedure are described. Isotopes found in the surveys included 22 Na, 54 Mn, 60 Co, 65 Zn and 75 Se, which were predominately beam activation products of accelerator components. Final surveys indicated the area free of radioactive contamination

  1. Use of nanomaterials in the European construction industry and some occupational health aspects thereof

    Science.gov (United States)

    van Broekhuizen, Pieter; van Broekhuizen, Fleur; Cornelissen, Ralf; Reijnders, Lucas

    2011-02-01

    In the European construction industry in 2009, the use of engineered nanoparticles appears to be confined to a limited number of products, predominantly coatings, cement and concrete. A survey among representatives of workers and employers from 14 EU countries suggests a high level of ignorance about the availability and use of nanomaterials for the construction industry and the safety aspects thereof. Barriers for a large-scale acceptance of products containing engineered nanoparticles (nanoproducts) are high costs, uncertainties about long-term technical material performance, as well as uncertainties about health risks of nanoproducts. Workplace measurements suggest a modest exposure of construction workers to nanoparticles (NPs) associated with the use of nanoproducts. The measured particles were within a size range of 20-300 nm, with the median diameter below 53 nm. Positive assignment of this exposure to the nanoproduct or to additional sources of ultrafine particles, like the electrical equipment used was not possible within the scope of this study and requires further research. Exposures were below the nano reference values proposed on the basis of a precautionary approach.

  2. Use of nanomaterials in the European construction industry and some occupational health aspects thereof

    International Nuclear Information System (INIS)

    Broekhuizen, Pieter van; Broekhuizen, Fleur van; Cornelissen, Ralf; Reijnders, Lucas

    2011-01-01

    In the European construction industry in 2009, the use of engineered nanoparticles appears to be confined to a limited number of products, predominantly coatings, cement and concrete. A survey among representatives of workers and employers from 14 EU countries suggests a high level of ignorance about the availability and use of nanomaterials for the construction industry and the safety aspects thereof. Barriers for a large-scale acceptance of products containing engineered nanoparticles (nanoproducts) are high costs, uncertainties about long-term technical material performance, as well as uncertainties about health risks of nanoproducts. Workplace measurements suggest a modest exposure of construction workers to nanoparticles (NPs) associated with the use of nanoproducts. The measured particles were within a size range of 20–300 nm, with the median diameter below 53 nm. Positive assignment of this exposure to the nanoproduct or to additional sources of ultrafine particles, like the electrical equipment used was not possible within the scope of this study and requires further research. Exposures were below the nano reference values proposed on the basis of a precautionary approach.

  3. ISO 9001 aspects related to performance and their level of implementation

    Directory of Open Access Journals (Sweden)

    Jordi Castello Dalmau

    2016-12-01

    Full Text Available Purpose: In the last three decades, thousands of companies around the world have embraced the ISO 9001 standard in their quest to improve company performance and customer satisfaction. In recent literature, a number of authors have identified different “levels” of ISO 9001 implementation. This study aims to analyse these implementation levels in companies from the point of view of the customer, and provide guidelines for future improvement. Design/methodology/approach: Research was conducted based on the results of the second-party audits (SPAs of 90 suppliers, (including component suppliers, assemblers, and wind farm operation and maintenance services, to one of the wind power industry’s largest wind turbine manufacturers. The audits were carried out within the ISO 9001:2008 framework and conducted by one of this study’s authors in his role as the wind turbine company’s Director of Global Quality. Findings: Auditing suppliers plays a unique role in helping to isolate system weaknesses, identify opportunities and suggest areas for improvement. This study shows that, in terms of management commitment and culture and the good practices of an organization, ISO 9001 certified companies implement differing degrees of the standard. From the results of this research, a "road map" towards improvement can be established; one that allows companies in the sector to go beyond simply being accredited with the standard and instead to take advantage of ISO 9001 certification as a catalyst for change. Research limitations/implications: This article focuses only on the wind power sector, although its findings could be extrapolated to similar sectors of high technology and high levels of customization. Originality/value: While quality audits are a customary topic for academics and researchers, few contributions are related to SPAs and their impact on the quality control process of company suppliers. Primary data from the SPAs of suppliers (objective

  4. ISO 9001 aspects related to performance and their level of implementation

    Energy Technology Data Exchange (ETDEWEB)

    Castello Dalmau, J.; Gimenez, G.; Castro, R. de

    2016-07-01

    Purpose: In the last three decades, thousands of companies around the world have embraced the ISO 9001 standard in their quest to improve company performance and customer satisfaction. In recent literature, a number of authors have identified different “levels” of ISO 9001 implementation. This study aims to analyse these implementation levels in companies from the point of view of the customer, and provide guidelines for future improvement. Design/methodology/approach: Research was conducted based on the results of the second-party audits (SPAs) of 90 suppliers, (including component suppliers, assemblers, and wind farm operation and maintenance services), to one of the wind power industry’s largest wind turbine manufacturers. The audits were carried out within the ISO 9001:2008 framework and conducted by one of this study’s authors in his role as the wind turbine company’s Director of Global Quality. Findings: Auditing suppliers plays a unique role in helping to isolate system weaknesses, identify opportunities and suggest areas for improvement. This study shows that, in terms of management commitment and culture and the good practices of an organization, ISO 9001 certified companies implement differing degrees of the standard. From the results of this research, a road map towards improvement can be established; one that allows companies in the sector to go beyond simply being accredited with the standard and instead to take advantage of ISO 9001 certification as a catalyst for change. Research limitations/implications: This article focuses only on the wind power sector, although its findings could be extrapolated to similar sectors of high technology and high levels of customization. Originality/value: While quality audits are a customary topic for academics and researchers, few contributions are related to SPAs and their impact on the quality control process of company suppliers. Primary data from the SPAs of suppliers (objective data collected by one

  5. Legal and medical aspects of the ethics committee’s work relating to abortion

    Directory of Open Access Journals (Sweden)

    Ponjavić Zoran

    2011-01-01

    Full Text Available This paper analyses the legal and medical aspects of the work of ethics committees on abortion. According to the legislation of the Republic of Serbia, these committees are competent to determine justifiable terms for abortion after the twentieth week of the fetus. It is well known that abortion is not only a medical but a legal, ethic, social and demographic problem as well. A liberal solution in view of abortion in the first trimester has been accepted in most European countries, as by the legislature of the Republic of Serbia. Since prenatal diagnosis cannot always determine the fetus state with certainty but at times may do so at a later stage, abortion is then required when the child is already capable of extrauterine life. The necessity for performing abortion in the third trimester is thus a result of good knowledge of techno-medicine but also from the limited information it provides. In such situations, the physician needs confirmation and justification of his standpoint with respect to abortion through a legal formulation which should contain "minimum moral". Society has found a way to protect and help him through moral and ethic forms of prevention without anybody’s emotions being affected. Ethics committees should thus help the physician in view of determining the terms for performing late abortion, since the rules of doctor’s ethics are not sufficient in this case. The article especially analyses the work of the Ethics Committee of the Clinical Center in Kragujevac in the period 2000-2010. It is stated that the largest number of cases referred to determined diseases or fetus anomalies while only a negligible number (11.29% to the illness of the mother. There were no requests for abortions due to legal reasons (pregnancies from criminal offences. A significant number (40.28% of requests submitted to the Ethics Committee related to pregnancies under the 24th week of pregnancy. Since a pregnancy of 24 weeks represents a boundary

  6. Safety related design and economic aspects of HTGRs. Proceedings of a technical committee meeting

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-04-01

    The purpose of the Technical Committee Meeting (TCM) was to provide the opportunity to review the status of design and development activities associated with safety related and economic aspects of HTGRs, and to identify pathways which may provide the opportunity for international cooperation in addressing these issues. The HTGR, as a nuclear heat source for the safe, economic and efficient production of electricity and high temperature industrial processes has, within the past few years, become a significantly increasing influence in the future of nuclear power. Nuclear test facilities with the capability of achieving core outlet temperatures to 950 deg. C are presently under construction in China and Japan. These plants will be utilized to support HTGR research and development activities, including electricity generation via the gas turbine and validation of high temperature process heat applications. Also, major development programmes focusing on the generation of electricity through the direct cycle gas turbine are in progress by ESKOM, the state electric utility of South Africa, and by a consortium of organizations from the Russian Federation, USA, France and Japan. Other national programmes focusing on research and development of the HTGR are underway including the Netherlands, where an evaluation is being completed on a heat and power co-generation plant utilizing a small direct cycle HTR; in Germany, where the primary focus is centered on basic issues of reactor safety and innovative reactor technology; in Indonesia with the evaluation of process heat applications such as coal liquefaction, hydrogen production and high temperature reforming of methane; and in the USA with the recent re-introduction of national support for the HTGR specifically directed to the burning of weapons plutonium. The status information presented in several of the papers is as of the time of drafting. Thus other later material should be referenced for more current status information

  7. Safety related design and economic aspects of HTGRs. Proceedings of a technical committee meeting

    International Nuclear Information System (INIS)

    2001-04-01

    The purpose of the Technical Committee Meeting (TCM) was to provide the opportunity to review the status of design and development activities associated with safety related and economic aspects of HTGRs, and to identify pathways which may provide the opportunity for international cooperation in addressing these issues. The HTGR, as a nuclear heat source for the safe, economic and efficient production of electricity and high temperature industrial processes has, within the past few years, become a significantly increasing influence in the future of nuclear power. Nuclear test facilities with the capability of achieving core outlet temperatures to 950 deg. C are presently under construction in China and Japan. These plants will be utilized to support HTGR research and development activities, including electricity generation via the gas turbine and validation of high temperature process heat applications. Also, major development programmes focusing on the generation of electricity through the direct cycle gas turbine are in progress by ESKOM, the state electric utility of South Africa, and by a consortium of organizations from the Russian Federation, USA, France and Japan. Other national programmes focusing on research and development of the HTGR are underway including the Netherlands, where an evaluation is being completed on a heat and power co-generation plant utilizing a small direct cycle HTR; in Germany, where the primary focus is centered on basic issues of reactor safety and innovative reactor technology; in Indonesia with the evaluation of process heat applications such as coal liquefaction, hydrogen production and high temperature reforming of methane; and in the USA with the recent re-introduction of national support for the HTGR specifically directed to the burning of weapons plutonium. The status information presented in several of the papers is as of the time of drafting. Thus other later material should be referenced for more current status information

  8. ISO 9001 aspects related to performance and their level of implementation

    International Nuclear Information System (INIS)

    Castello Dalmau, J.; Gimenez, G.; Castro, R. de

    2016-01-01

    Purpose: In the last three decades, thousands of companies around the world have embraced the ISO 9001 standard in their quest to improve company performance and customer satisfaction. In recent literature, a number of authors have identified different “levels” of ISO 9001 implementation. This study aims to analyse these implementation levels in companies from the point of view of the customer, and provide guidelines for future improvement. Design/methodology/approach: Research was conducted based on the results of the second-party audits (SPAs) of 90 suppliers, (including component suppliers, assemblers, and wind farm operation and maintenance services), to one of the wind power industry’s largest wind turbine manufacturers. The audits were carried out within the ISO 9001:2008 framework and conducted by one of this study’s authors in his role as the wind turbine company’s Director of Global Quality. Findings: Auditing suppliers plays a unique role in helping to isolate system weaknesses, identify opportunities and suggest areas for improvement. This study shows that, in terms of management commitment and culture and the good practices of an organization, ISO 9001 certified companies implement differing degrees of the standard. From the results of this research, a road map towards improvement can be established; one that allows companies in the sector to go beyond simply being accredited with the standard and instead to take advantage of ISO 9001 certification as a catalyst for change. Research limitations/implications: This article focuses only on the wind power sector, although its findings could be extrapolated to similar sectors of high technology and high levels of customization. Originality/value: While quality audits are a customary topic for academics and researchers, few contributions are related to SPAs and their impact on the quality control process of company suppliers. Primary data from the SPAs of suppliers (objective data collected by one

  9. Freedom of Communication - Problematic Aspects in the Horizon of International Relations

    Directory of Open Access Journals (Sweden)

    Ionuţ Ştefan

    2011-06-01

    Full Text Available The issue of freedom is one of the fundamental issues of the philosophical thought. In theEuropean cultural area, there is a strong tradition in this respect, starting from the Greek antiquity andreaching to the philosophies of the 20th century. Existentialism, as an exemplary philosophical trendof the last century, is founded in the horizon of freedom. Freedom is an element which allows us toclassify the political regimes in democratic and non-democratic. The democratic regimes are definedas forms of government which allow for the manifestation of freedom, while the non-democratic onesare defined as governments which forbid individual freedoms. The concept of freedom is theoreticallyshaped in the philosophical thought. We distinguish between the individual’s inner freedom and hisouter freedom. According to the philosophical doctrines, each individual’s inner freedom may bealmost immune to any type of constraint, while our outer freedom is problematic. Constraints areexerted in the horizon of the individuals’ outer freedoms. This outer freedom makes itself felt in thepublic space and it is the only form of freedom which can manifest concretely, visibly. The concept offreedom is related to the concepts of communication, policy, and politics. These elementstheoretically shape the issue of the freedom of speech. The truth and correctness of the informationpresented to the public opinion will be correlated with the issue of the freedom of communication andthe issue of the freedom of speech in the public arena. In order to highlight this aspect even better, wehave presented a case concerning the freedom of speech in recounting the facts in the Gaza Strip. Atan international level, the public opinion is informed that in that area of eternal conflict there are“good characters”, namely the Jews, and “bad characters”, namely the Palestinians. But things are farfrom being that simple. To conclude, the issue of the freedom of speech in the

  10. Marketing aspects of development of medical waste management in health care institutions in Ukraine

    Directory of Open Access Journals (Sweden)

    Inesa Gurinа

    2015-02-01

    Full Text Available The concept of marketing approach to medical waste management in health care is suggested.The goal of research was to study the state of marketing activities of health care institutions on medical waste management and development trends of   resolution of outstanding issues.Methods. The methods, which were used in the research, are the methods of mathematical statistics, social studies and scientific knowledge.Results. Environmental marketing institutions of healthcare means perfectly safe for the environment provision of health services. The main directions of environmental marketing concept in health care institutions is the acceptance generally binding legal standards of Use Resources, strict control the formation and licensing of medical waste; economic incentives for workers, aimed at minimizing their interest in the volumes of medical waste; financing of R & D relative to the development of new waste and sound technologies; develop a system of taxes and penalties for polluting the environment and so on.Conclusions. As a result of the implementation of marketing strategies for managing medical waste of healthcare institutions are obtained strategic, social, environmental and economic benefits.

  11. Self-categorization, commitment to the group and social self-esteem as related but distinct aspects of social identity.

    NARCIS (Netherlands)

    Ellemers, N.; Kortekaas, P.; Ouwerkerk, J.W.

    1999-01-01

    The aim of this study is to show that, when examining social identification, it is both possible and important to distinguish between self-categorisation, commitment to the group, and group self-esteem, as related but separate aspects of group members' social identity. This was demonstrated in an

  12. Foundational Aspects of Classroom Relations: Associations between Teachers' Immediacy Behaviours, Classroom Democracy, Class Identification and Learning

    Science.gov (United States)

    Kwitonda, Jean Claude

    2017-01-01

    This study focused on foundational aspects of classroom relations. Specifically, relationships between teachers' immediacy (interpersonal) behaviours, classroom democracy, identification and learning were considered. Previous work suggests that these variables can be used as a foundation to shape classroom climate, culture and learning outcomes…

  13. Clinical and paraclinical aspects of children's health ten years after the Chernobyl accident

    International Nuclear Information System (INIS)

    Lukyanova, E.M.; Antipkine, Y.G.; Omelchenko, L.I.; Chernyshov, V.P.; Apuhovskaya, L.I.; Ossinskaya, L.F.

    1997-01-01

    These investigations are devoted to the problem of medical consequences of Chernobyl catastrophe to the children's population of Ukraine. Concerning different reports, Chernobyl accident negatively influenced to the children health indexes. Astonishing fact is that among children under radiation action only 2,1% have no functional deflexions (I group of health) and 28% have chronical diseases with frequent aggravation. Our previous investigation in children evacuated from 30 km zone showed unfavourable changes in immune system. We have shown the data of investigation carried out in the frames of National Program ''Children of Chernobyl''. We have studied the morbidity, some immune functional characteristics and metabolism indexes in 2700 children aged 0-15 years, continually living within radiation contaminated territories. The results were compared with the control indexes, obtained during examination of 980 children from relatively ''clean'' regions. 15 refs, 5 figs, 1 tab

  14. Clinical and paraclinical aspects of children`s health ten years after the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Lukyanova, E M; Antipkine, Y G; Omelchenko, L I; Chernyshov, V P; Apuhovskaya, L I; Ossinskaya, L F [Institute of Pediatrics, Obstetrics and Gynecology, Kiev (Ukraine)

    1997-09-01

    These investigations are devoted to the problem of medical consequences of Chernobyl catastrophe to the children`s population of Ukraine. Concerning different reports, Chernobyl accident negatively influenced to the children health indexes. Astonishing fact is that among children under radiation action only 2,1% have no functional deflexions (I group of health) and 28% have chronical diseases with frequent aggravation. Our previous investigation in children evacuated from 30 km zone showed unfavourable changes in immune system. We have shown the data of investigation carried out in the frames of National Program ``Children of Chernobyl``. We have studied the morbidity, some immune functional characteristics and metabolism indexes in 2700 children aged 0-15 years, continually living within radiation contaminated territories. The results were compared with the control indexes, obtained during examination of 980 children from relatively ``clean`` regions. 15 refs, 5 figs, 1 tab.

  15. Opportunities for Public Relations Research in Public Health.

    Science.gov (United States)

    Wise, Kurt

    2001-01-01

    Considers how communication researchers have developed a solid body of knowledge in the health field but know little about the activities of public relations practitioners in public health bodies. Suggests that public relations scholarship and practice have much to offer the field of public health in helping public health bodies meet their…

  16. A systematic review of relations between neighborhoods and mental health.

    Science.gov (United States)

    Truong, Khoa D; Ma, Sai

    2006-09-01

    modest relative to individual effects. Although the evidence is highly consistent across studies, detailed evaluation of each individual study reveals a complex reality. The included studies used various study designs and measures of mental health and neighborhoods, making generalization of their relationships less meaningful. It is not possible to conclude that studies with weaker controls for individual characteristics found stronger association between neighborhoods and mental health and vice versa. As only two studies used randomized and controlled trials, causal effects must be interpreted with caution. Formal meta-analysis techniques cannot be used due to large heterogeneity across the included studies. Efficient methods for quantitative analysis remain a great challenge. The current evidence suggests that efforts to improve mental health may be limited if only individual-level interventions are implemented. The calculation of the costs and benefits of neighborhood-level interventions deserves more attention. Moreover, policy makers may want to incorporate mental health as a measure for evaluating neighborhood improvement programs. There are not enough replicated or comparable studies in this literature to make more precise quantitative conclusions of this relation. Key aspects of study design and analyses could be improved to better understand the true nature of causal relationships. The data resolution of neighborhood characteristics needs to better match with the scale of neighborhood definition that is hypothesized to affect the residents' mental health. As experimental designs are rare in this area, thoughtful use of panel data, instrumental variable (IV) techniques, and other non-experimental approaches deserves further exploration.

  17. Indexed bibliography on tritium: its sources and projections, behavior, measurement and monitoring techniques, health physics aspects, and waste management

    International Nuclear Information System (INIS)

    Dixon, M.N.; Holoway, C.F.; Houser, B.L.; Jacobs, D.G.

    1975-08-01

    References are presented to the world literature on sources of tritium in the environment, the migration of tritium in the environment and uptake by biological materials, monitoring methods, health aspects, and radioactive waste management. Subject, author, and permuted title indexes are included. (U.S.)

  18. Urban air pollution, poverty, violence and health--Neurological and immunological aspects as mediating factors.

    Science.gov (United States)

    Kristiansson, Marianne; Sörman, Karolina; Tekwe, Carmen; Calderón-Garcidueñas, Lilian

    2015-07-01

    Rapid rural-urban migration has created overcrowded areas characterized by concentrated poverty and increases in indoor and outdoor air pollutants. These "hotspots" constitute an increased risk of violence and disease outbreaks. We hypothesize that the effects of poverty and associated air pollution-related stress on impaired cognitive skills are mediated by inflammatory cytokines. A research framework is proposed, encompassing (i) an epidemiological investigation of associations between poverty, high concentrations of air pollutants, violence and health, (ii) a longitudinal follow-up of working memory capacities and inflammatory markers, and (iii) intervention programs aiming to strengthen employability and decreased exposures to toxic air pollutants. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. FRAMEWORK FOR STRUCTURAL ONLINE HEALTH MONITORING OF AGING AND DEGRADATION OF SECONDARY PIPING SYSTEMS DUE TO SOME ASPECTS OF EROSION

    Energy Technology Data Exchange (ETDEWEB)

    Gribok, Andrei V.; Agarwal, Vivek

    2017-06-01

    This paper describes the current state of research related to critical aspects of erosion and selected aspects of degradation of secondary components in nuclear power plants (NPPs). The paper also proposes a framework for online health monitoring of aging and degradation of secondary components. The framework consists of an integrated multi-sensor modality system, which can be used to monitor different piping configurations under different degradation conditions. The report analyses the currently known degradation mechanisms and available predictive models. Based on this analysis, the structural health monitoring framework is proposed. The Light Water Reactor Sustainability Program began to evaluate technologies that could be used to perform online monitoring of piping and other secondary system structural components in commercial NPPs. These online monitoring systems have the potential to identify when a more detailed inspection is needed using real time measurements, rather than at a pre-determined inspection interval. This transition to condition-based, risk-informed automated maintenance will contribute to a significant reduction of operations and maintenance costs that account for the majority of nuclear power generation costs. Furthermore, of the operations and maintenance costs in U.S. plants, approximately 80% are labor costs. To address the issue of rising operating costs and economic viability, in 2017, companies that operate the national nuclear energy fleet started the Delivering the Nuclear Promise Initiative, which is a 3 year program aimed at maintaining operational focus, increasing value, and improving efficiency. There is unanimous agreement between industry experts and academic researchers that identifying and prioritizing inspection locations in secondary piping systems (for example, in raw water piping or diesel piping) would eliminate many excessive in-service inspections. The proposed structural health monitoring framework takes aim at

  20. Does personality affect health-related quality of life? A systematic review

    Science.gov (United States)

    Huang, I-Chan; Lee, Joy L.; Ketheeswaran, Pavinarmatha; Jones, Conor M.; Revicki, Dennis A.; Wu, Albert W.

    2017-01-01

    Background Health-related quality of life (HRQOL) is increasingly measured as an outcome for clinical and health services research. However, relatively little is known about how non-health factors affect HRQOL. Personality is a potentially important factor, yet evidence regarding the effects of personality on HRQOL measures is unclear. Methods This systematic review examined the relationships among aspects of personality and HRQOL. Eligible studies were identified from Medline and PsycINFO. The review included 76 English-language studies with HRQOL as a primary outcome and that assessed personality from the psychological perspective. Individuals with various health states, including ill (e.g., cancer, cardiovascular disorders), aging, and healthy, were included in this review study. Results Some personality characteristics were consistently related to psychosocial aspects more often than physical aspects of HRQOL. Personality characteristics, especially neuroticism, mastery, optimism, and sense of coherence were most likely to be associated with psychosocial HRQOL. Personality explained varying proportions of variance in different domains of HRQOL. The range of variance explained in psychosocial HRQOL was 0 to 45% and the range of explained variance in physical HRQOL was 0 to 39%. Conclusions Personality characteristics are related to HRQOL. Systematic collection and analysis of personality data alongside HRQOL measures may be helpful in medical research, clinical practice, and health policy evaluation. PMID:28355244

  1. Psychosocial work aspects, stress and musculoskeletal pain among musicians. A systematic review in search of correlates and predictors of playing-related pain.

    Science.gov (United States)

    Jacukowicz, Aleksandra

    2016-06-16

    Musicians face numerous psychosocial and physical demands at work resulting in high prevalence of musculoskeletal problems. Unlike physical risks, little is known about psychosocial work factors influencing such health problems in this particular group. The paper aimed to identify psychosocial work demands resulting in musculoskeletal problems among musicians. A systematic review was undertaken to find data linking psychosocial work demands or stress with musculoskeletal disorders among musicians. The exploration of databases resulted in nine research studies linking psychosocial aspects of work or stress with musculoskeletal problems among musicians. The analyzed studies linked psychosocial aspects with musculoskeletal problems in three ways - showing proportions of people indicating particular causes of pain, indicating correlations between these variables or performing regression analysis showing psychosocial predictors of musculoskeletal pain. Only a few studies have undertaken the issue of psychosocial risk factors for musculoskeletal problems among musicians. The results revealed that some psychosocial aspects of work, e.g. long hours at work, work content, high job demands, low control/influence, lack of social support, were related to musculoskeletal pain, however, the methods and results were inconsistent. The extant studies employed variety of definitions of psychosocial aspects that hindered the possibility for consistent conclusions. Basing on those conclusions, future directions were offered.

  2. Aspects of health, physical/leisure activities, work and socio-demographics associated with pet ownership in Sweden.

    Science.gov (United States)

    Müllersdorf, Maria; Granström, Fredrik; Sahlqvist, Lotta; Tillgren, Per

    2010-02-01

    The aim of the work presented here was to explore differences between pet owners and non-pet-owners concerning aspects of health, physical/leisure activities, work and socio-demographics. The study was based on nationally representative data from the Swedish population (n = 43,589). Associations between pet ownership and background variables were investigated using logistic regression analysis. A total of 39,995 respondents were included in the analysis (non-pet-owners = 25,006; pet owners = 14,989). Pet ownership was associated with both positive and negative aspects of health, physical/leisure activities and socio-demographics. Pet owners had better general health but suffered more from mental health problems than non-pet-owners. Their leisure activities involved a greater interest in nature life and/or gardening than those of non-pet-owners. The logistic regression analysis showed that people who were self-employed, in the age range 35 to 49, of female sex, and suffering from pain in the head, neck and shoulders were more likely to own a pet than others. People physically active at a level sufficient to have a positive effect on their health more often owned a pet than people who were less active. Pet owners differ from non-pet-owners in aspects of socio-demographics, health, physical/leisure activities and work situation. This study, based on a general regional population in Sweden, showed differences of both a positive and a negative kind between non-pet-owners and pet owners concerning aspects of health, physical and leisure activities, and work situation.

  3. Health related quality of life among insulin-dependent diabetics

    DEFF Research Database (Denmark)

    Aalto, A M; Uutela, A; Aro, A R

    1997-01-01

    This crossectional questionnaire study examined the associations of health factors and psychosocial factors with Health Related Quality of Life (HRQOL) in a sample of adult type I diabetic patients (n = 385). Health related quality of life was measured by the Finnish version of MOS SF-20. Psychos......This crossectional questionnaire study examined the associations of health factors and psychosocial factors with Health Related Quality of Life (HRQOL) in a sample of adult type I diabetic patients (n = 385). Health related quality of life was measured by the Finnish version of MOS SF-20...

  4. The promotion of mental health through cultural values, institutions, and practices: a reflection on some aspects of botswana culture.

    Science.gov (United States)

    Sabone, Motshedisi B

    2009-12-01

    Botswana has seen rapid socioeconomic development since the 1970s that has contributed to the erosion of the values, institutions, and practices that are believed to be supportive of mental health. In this paper, the author argues that the aspects of culture that are supportive of mental health have been diluted by the process of urbanization and the interactions of Batswana (the indigenous people of Botswana) with other cultural groups, particularly those from the western hemisphere. The paper further highlights some of the values, institutions, and practices native to Botswana and describes how they promote mental health. Lastly, recommendations for reviving the cultural values, institutions, and practices of Botswana are discussed.

  5. Anorexia in human and experimental animal models: physiological aspects related to neuropeptides.

    Science.gov (United States)

    Yoshimura, Mitsuhiro; Uezono, Yasuhito; Ueta, Yoichi

    2015-09-01

    Anorexia, a loss of appetite for food, can be caused by various physiological and pathophysiological conditions. In this review, firstly, clinical aspects of anorexia nervosa are summarized in brief. Secondly, hypothalamic neuropeptides responsible for feeding regulation in each hypothalamic nucleus are discussed. Finally, three different types of anorexigenic animal models; dehydration-induced anorexia, cisplatin-induced anorexia and cancer anorexia-cachexia, are introduced. In conclusion, hypothalamic neuropeptides may give us novel insight to understand and find effective therapeutics strategy essential for various kinds of anorexia.

  6. Health related fitness vs work related fitness: which is more ...

    African Journals Online (AJOL)

    African Journal for Physical Activity and Health Sciences. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 12, No 1 (2006) >. Log in or Register to get access to full text downloads.

  7. Role of industry in the environmental health and safety aspects of the developing Plowshare industry

    Energy Technology Data Exchange (ETDEWEB)

    Hilberry, N [University of Arizona (United States)

    1969-07-01

    is also upon industry that the primary responsibility for gaining public acceptance will fall and with all other factors 'go' it will be this latter factor, the public's willingness not only to tolerate but actually to 'buy,' that will determine whether there is to be a business or not. Whether or not any proposed commercial application will prove to be economically feasible and whether or not public acceptance can be achieved will depend critically on the nature of the essential health and safety activities required and on the associated costs of these activities. For industry to proceed with effectiveness, three immediate measures are particularly needed. First, a tentative, 'best-as-of-the-moment' health and safety code covering operational procedures and end product specifications should be formulated to serve as a test set of rules for immediate field use and as a concrete, 'point-of-departure' statement in the development of the eventual regulatory code. The upcoming technological feasibility tests in the Plowshare program should then be used to evaluate its commercial applicability and to guide its evolution toward regulatory status. Here joint action is obviously imperative. Next, if the foregoing is to be meaningful, the research and development aspects of these upcoming tests with respect to health and safety, important as they are, must be scrupulously separated, at least cost wise, from the necessary health and safety operational activities as specified in the provisional code. No matter how cogent, considerations of budgetary expedience must not be permitted to intervene either within the Governmental agencies or within the participating industrial organizations. Honest, 'unloaded' operating costs are an absolute must if the tests themselves are to be meaningful. Finally, it must be recognized that time is one of the most significant factors in determining the success or failure of any industrial endeavor. The present case is no exception. The time

  8. Role of industry in the environmental health and safety aspects of the developing Plowshare industry

    International Nuclear Information System (INIS)

    Hilberry, N.

    1969-01-01

    is also upon industry that the primary responsibility for gaining public acceptance will fall and with all other factors 'go' it will be this latter factor, the public's willingness not only to tolerate but actually to 'buy,' that will determine whether there is to be a business or not. Whether or not any proposed commercial application will prove to be economically feasible and whether or not public acceptance can be achieved will depend critically on the nature of the essential health and safety activities required and on the associated costs of these activities. For industry to proceed with effectiveness, three immediate measures are particularly needed. First, a tentative, 'best-as-of-the-moment' health and safety code covering operational procedures and end product specifications should be formulated to serve as a test set of rules for immediate field use and as a concrete, 'point-of-departure' statement in the development of the eventual regulatory code. The upcoming technological feasibility tests in the Plowshare program should then be used to evaluate its commercial applicability and to guide its evolution toward regulatory status. Here joint action is obviously imperative. Next, if the foregoing is to be meaningful, the research and development aspects of these upcoming tests with respect to health and safety, important as they are, must be scrupulously separated, at least cost wise, from the necessary health and safety operational activities as specified in the provisional code. No matter how cogent, considerations of budgetary expedience must not be permitted to intervene either within the Governmental agencies or within the participating industrial organizations. Honest, 'unloaded' operating costs are an absolute must if the tests themselves are to be meaningful. Finally, it must be recognized that time is one of the most significant factors in determining the success or failure of any industrial endeavor. The present case is no exception. The time

  9. Extended storage for radioactive wastes: relevant aspects related to the safety

    International Nuclear Information System (INIS)

    Castillo, Reinaldo G.; Peralta V, José L.P.; Estevez, Gema G. F.

    2013-01-01

    The safe management of radioactive waste is an issue of great relevance globally linked to the issue of the peaceful use of nuclear energy. Among the steps in the management of this waste, the safe storage is one of the most important. Given the high costs and uncertainties existing among other aspects of the variants of disposal of radioactive waste, the prolonged storage of these wastes for periods exceeding 50 years is an option that different countries more and more value. One of the fundamental problems to take into account is the safety of the stores, so in this work are evaluated different safety components associated with these facilities through a safety analysis methodology. Elements such as human intrusion, the construction site, the design of the facility, among others are identified as some of the key aspects to take into account when evaluating the safety of these types of facilities. Periods of activities planned for a long-term storage of radioactive waste exceed, in general, the useful life of existing storage facilities. This work identified new challenges to overcome in order to meet the requirements for the achievement of a safe management of radioactive waste without negative impacts on the environment and man

  10. Negative aspects of close social relations and 10-year incident ischaemic heart disease hospitalization among middle-aged Danes

    DEFF Research Database (Denmark)

    Lund, Rikke; Rod, Naja Hulvej; Thielen, Karsten

    2014-01-01

    BACKGROUND: Little is known about the association between negative aspects of close social relations and development of ischaemic heart disease (IHD). We aim to address if the experience of worries/demands and conflicts with close social relations are related to risk of first-time hospitalization...... National Patient Registry. Cox regression analysis was used to analyse data and all analyses were adjusted for age, gender, social class, cohabitation, and depressive symptoms. RESULTS: Worries/demands from and conflicts with children were associated with IHD hospitalization in an exposure-dependent manner...

  11. Testing the associations between different aspects of seafarers' employment contract and on-board internet access and their job and life satisfaction and health.

    Science.gov (United States)

    Slišković, Ana; Penezić, Zvjezdan

    2016-12-01

    The aim of this study was to test for associations between different aspects of contract and on-board internet access and seafarers' satisfaction and health. Altogether 298 Croatian seafarers, all officers, employed on cargo ships, with a minimum work experience of two years with their current shipping company, participated in an online survey. The questionnaire included sociodemographic items, questions relating to their employment contract and internet access, and measures of job satisfaction, life satisfaction, mental health, and gastrointestinal and cardiovascular symptoms. Their job- and lifesatisfaction levels were higher for shorter duration on board, favourable ratio of work to non-work days, and compliance with the employment contract regarding the changes to work and non-work days. Mental health differed likewise but only in relation to two aspects of the contract: on-board duration and compliance with the contract. The level of gastrointestinal symptoms was lower in cases of shorter on-board duration and compliance with the contract, and in seafarers who have free, unlimited internet access on board. Lower level of cardiovascular symptoms was found in seafarers with free, unlimited internet access on board. Our findings suggest that in promoting satisfaction and health in seafaring, attention should be given to reducing on-board duration, compliance with the contract, and internet accessibility on board.

  12. Monitoring the health-related labelling of foods and non-alcoholic beverages in retail settings.

    Science.gov (United States)

    Rayner, M; Wood, A; Lawrence, M; Mhurchu, C N; Albert, J; Barquera, S; Friel, S; Hawkes, C; Kelly, B; Kumanyika, S; L'abbé, M; Lee, A; Lobstein, T; Ma, J; Macmullan, J; Mohan, S; Monteiro, C; Neal, B; Sacks, G; Sanders, D; Snowdon, W; Swinburn, B; Vandevijvere, S; Walker, C

    2013-10-01

    Food labelling on food packaging has the potential to have both positive and negative effects on diets. Monitoring different aspects of food labelling would help to identify priority policy options to help people make healthier food choices. A taxonomy of the elements of health-related food labelling is proposed. A systematic review of studies that assessed the nature and extent of health-related food labelling has been conducted to identify approaches to monitoring food labelling. A step-wise approach has been developed for independently assessing the nature and extent of health-related food labelling in different countries and over time. Procedures for sampling the food supply, and collecting and analysing data are proposed, as well as quantifiable measurement indicators and benchmarks for health-related food labelling. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  13. Selected aspects of the logistics network of public hospitals in the competitive market of health services

    Directory of Open Access Journals (Sweden)

    Justyna Majchrzak-Lepczyk

    2016-12-01

    Full Text Available Background: The below considerations provide an overview of the issues of sustainable development, logistics, to financial engineering instruments and the role of intellectual capital in the process of transformation of public hospitals. The aim of this research was to assess the competitiveness of the network of public hospitals in the market of health services based on literature studies, as well as empirical research. Methods: Empirical study using a questionnaire survey was conducted in the period from January 2007 to December 2011, in the area of Warmia and Mazury, Pomerania and Wielkopolska. The goal of this questionnaire survey was to know the medical staff reviews issues related to adaptation to the nature of the network of public hospitals methods and logistics tools, sustainable development, corporate social responsibility - CSR. The study was carried out in 104 public hospitals, on a sample of 8975 respondents. Results and conclusions: Analysis of the completed study showed that the logistic processes and their improvement in the health sector play a significant role. The surveyed entities explicitly draw attention to the need for information systems,  pro-environment activities, access to information, or the use of GS1 global standards. These tools allow you to increase the efficiency of supply chains, ensuring not only tracking and tracing of products from the manufacturer to the patient, but also enabling better protection against making a mistake or counterfeit products.

  14. 76 FR 46677 - Requirements for Group Health Plans and Health Insurance Issuers Relating to Coverage of...

    Science.gov (United States)

    2011-08-03

    ... Requirements for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services... regulations published July 19, 2010 with respect to group health plans and health insurance coverage offered... plans, and health insurance issuers providing group health insurance coverage. The text of those...

  15. Income-related inequalities in health: some international comparisons

    NARCIS (Netherlands)

    E.K.A. van Doorslaer (Eddy); A. Wagstaff (Adam); H. Bleichrodt (Han)

    1997-01-01

    textabstractThis paper presents evidence on income-related inequalities in self-assessed health in nine industrialized countries. Health interview survey data were used to construct concentration curves of self-assessed health, measured as a latent variable. Inequalities in health favoured the

  16. Hygienic and health aspects of drinking water; Aspetti igienico-sanitari delle acque destinate al consumo umano

    Energy Technology Data Exchange (ETDEWEB)

    Funari, Enzo; Ottaviani, Massimo [Istituto Superiore di Sanita` , Rome (Italy). Lab. di Igiene Ambientale

    1997-03-01

    The quality of drinking water is a rather complex issue and involves various disciplines. To adequately treat this problem, it is necessary to use an integrated approach. The normative aspects of the problem of drinking water are reported, indicating the perspectives included in the recent EEC proposal. Some of the main aspects of the risk to human health associated with the possible exposure, through drinking water, to chemical substances (carcinogenic and non carcinogenic), and biological agents (bacteria, viruses, algae, micro and macro invertebrates) are presented. Finally, some aspects of risk management are examined in order to indicate the preventive and control measures necessary to ensure the quality of drinking water (abstraction techniques, treatment processes, protection of groundwater).

  17. Neuropsychological Aspects Observed in a Nuclear Plant Simulator and its Relation with Human Reliability Analysis

    International Nuclear Information System (INIS)

    Prado, E.A.P. do; Martins, M.; Pinheiro, A.; Silveira, J.

    2016-01-01

    This paper will discuss preliminary results of an evaluation methodology for the analysis and quantification of errors in manual (human) operation by training cognitive parameters and skill levels in the complex control system operation using Neuropsychophysiology and Neuro feedback equipment. The research was conducted using a game (nuclear power plant simulator) that simulates concepts of operation of a nuclear plant with a split sample evaluating aspects of learning and knowledge in the nuclear area. Operators were monitored using biomarkers (ECG, EEG, GSR, face detection and eye tracking) and the results were analyzed by Statistical multivariate techniques. An important component in the evaluation of complex systems is the human reliability during operation. Human reliability refers to the probability of the human element perform the tasks scheduled during the defined period for system operation when tested under specified environmental conditions, and additionally not to take any action detrimental to system operation.

  18. Culture-related differences in aspects of behavior for virtual characters across Germany and Japan

    DEFF Research Database (Denmark)

    Endrass, Birgit; André, Elisabeth; Rehm, Matthias

    2011-01-01

    Integrating culture as a parameter into the behavioral models of virtual characters in order to simulate cultural differences is becoming more and more popular. But do these differences affect the user's perception? In the work described in this paper, we integrated aspects of non-verbal behavior...... as well as communication management behavior into the behavior of virtual characters for the two cultures of Germany and Japan. We give a literature review pointing out the expected differences in these two cultures and describe the analysis of a multi-modal corpus including video recordings of German...... and Japanese interlocutors. After integrating our findings into a demonstrator featuring a German and a Japanese scenario, we presented the virtual scenarios to human observers of the two target cultures in order to find out their preferences....

  19. Age, sedimentary environments, and other aspects of sandstone and related host rocks for uranium deposits

    International Nuclear Information System (INIS)

    1983-01-01

    Project II of the Uranium Geology Working Group was assigned to the study of sedimentary basins and sandstone - type uranium deposits. About 40% of the worlds's uranium resources are contained in sandstone-type deposits, which has led to extensive research. The research was carried out mainly by correspondence, and the results reported by 21 geologists from 10 nations are summarized in this report. It investigated five topics dealing with important aspects of the geology of uranium ores in sandstone host formations: age of host rock; partitioning of uranium between continental and marine sediments; latitude limitation on formation of sandstone deposits; effect of rock formation dip on sandstone ores; usefulness of stable isotope and fluid inclusion studies. The results of studies on these subjects form part of a wider programme of the Working Group, whose final results will be presented at the 27th International Geological Congress in Moscow in 1984

  20. Inheritance of resistance to powdery mildew in pea and pathogenesis-related aspects

    Directory of Open Access Journals (Sweden)

    Ricardo Lima dos Santos

    2012-06-01

    Full Text Available The inheritance of resistance to powdery mildew in the pea cultivar MK-10 and some histological aspects of infection were assessed. For the inheritance study, F1, F2, backcrosses and F3 generations of MK-10 crossed with two susceptible populations were evaluated. Histological evaluations included percentage of germinated conidia, percentage of conidia that formed appresoria, percentage of conidia that established colonies, and number of haustoria per colony. Segregation ratios obtained in the resistance inheritance study were compared by Chi-square (ײ test and the histological data were analyzed by Tukey's test at 5% probability. It was concluded that resistance of MK-10 to powdery mildew is due to a pair of recessive alleles since it is expressed in the pre-penetration stage and completed by post-penetration localized cellular death, characteristic of the presence of the pair of recessive alleles er1er1.

  1. Aspects relating to stability of modified passive stratum on TiO2 nanostructure

    Science.gov (United States)

    Ionita, Daniela; Mazare, Anca; Portan, Diana; Demetrescu, Ioana

    2011-04-01

    Two kinds of nanotube structures differing from the point of view of their dimensions were obtained using anodizing in two different fluoride electrolytes and these structures were investigated regarding stability. The nanotubes have diameters of around 100 and 65 nm, respectively, and the testing solutions were simulated body fluids (SBF) and NaCl 0.9%. As stability experiments, cyclic voltammetry was performed and ions release was measured. The quantity of released cations in time as a kinetic aspect of passive stratum behavior was followed with an inductively coupled plasma mass spectrometer (ICP-MS) and apatite forming in SBF was found with infrared spectra. This study led to a comparison between the modification and the behavior of passive stratum on nanotubes as a function of their diameters.

  2. Purposes and related aspects of the nuclear power plant aging Project

    International Nuclear Information System (INIS)

    Garaud, J.; Reynes, L.; Montardy, A. de

    1989-01-01

    The purposes and some aspects of the nuclear power plant Lifetime project is presented. The work is focused on the study of the aging of the PWR type power plant components. The project consists in two phases. The first one involves: the status reports and the analysis of the lifetime data of the most sensitive units, as well as the applied actions and proposals, the influence of the exploitation modes, the safety and the cost prospectives. The second phase includes: the definition, the contracts, the complementary actions and their achievement, the reasons and the surveyance improvements, the development of the decision supporting means, the summary and the conclusions. The selected units for the project first step and the project of actions, are listed. The first conclusions of the project show that most of the 900 MW PWR reactor components will have about 40 years of service life [fr

  3. RELATIONS BETWEEN THE KAYAKING, SWIMMING AND RUNNING LIKE AN ASPECT OF THE ACTIVITIES IN THE NATURE

    Directory of Open Access Journals (Sweden)

    Milomir Trivun

    2008-08-01

    Full Text Available At the sample of 24 tested male students of the Faculty of Physical Education at the University in East Sarajevo, in 2003/04 and 2004/05 who took part at the final part of the competition in kayaking, swimming and running during the mountaineering and camping like an aspect of the activities at the camp located on Tjentiste. The results of the descriptive statistic analysis point to the causality and the difference between the result’s success in specific mobility abilities of the students. Specific mobility abilities showed at 200m kayaking, 100m swimming the crawl and 400m running show a great variety of the central tendency measures (minimum, maximum, mean, Std. Dev. like the form of different stylistic ways of students’ population movement.

  4. LEGAL ISSUES AND ASPECTS RELATED TO THE HUMAN RESOURCES MANAGEMENT REGARDING THE SELECTION OF CIVIL SERVANTS

    Directory of Open Access Journals (Sweden)

    MELINDA CENUŞE

    2012-12-01

    Full Text Available Public administration selects its servants exclusively on competence criteria (the so-called merit system. The selection of civil servants is performed by contest, organized within the limit of vacant public positions provided annually for this purpose, by the plan for occupation of public positions. As a general rule, the contest is organized on a quarterly basis. Any individual who meets the general conditions provided by law and the specific conditions established by law for occupying a certain public position may participate at the selection contest organized for the occupation of a public position. Among other aspects, in this study we underline an inconsistency regarding the recruitment defined in the field of Human Resources Management and its definition from The Statute of the Civil Servants.

  5. [Dependent relative: Effects on family health].

    Science.gov (United States)

    Estrada Fernández, M Eugenia; Gil Lacruz, Ana I; Gil Lacruz, Marta; Viñas López, Antonio

    2018-01-01

    The purpose of this work is to analyse the effects on informal caregiver's health and lifestyle when living with a dependent person at home. A comparison will be made between this situation and other situations involving commitment of time and energy, taking into account gender and age differences in each stage of the life cycle. Cross-sectional study analysing secondary data. The method used for collecting information is the computer assisted personal interview carried out in selected homes by the Ministry of Health, Social Services and Equality. The study included 19,351 participants aged over 25 years who completed the 2011-2012 Spanish National Health Survey. This research is based on demographic information obtained from a Spanish National Health Survey (2011/12). Using an empirical framework, the Logit model was select and the data reported as odds ratio. The estimations were repeated independently by sub-groups of age and gender. The study showed that the health of people who share their lives with a dependent person is worse than those who do not have any dependent person at home (they are 5 times at higher risk of developing health problems). The study found that being a woman, advance age, low educational level and does not work, also has an influence. Being a caregiver reduces the likelihood of maintaining a healthy lifestyle through physical exercise, relaxation, or eating a balanced diet. Living with a dependent person reduces the likelihood of maintaining healthy lifestyles and worsens the state of health of family members. Significant differences in gender and age were found. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  6. Psychiatric aspects of deafness and language disorder : related to motor disorder?

    NARCIS (Netherlands)

    Flapper, B.C.; Schoemaker, M.

    Children with “pure” receptive hearing impairment (RHI) and with specific language impairment (SLI) are not supposed to have additional developmental disabilities. However, mental health problems (MHP) may be associated with communicative disorders, and should be detected. Also motor coordination

  7. Aspects of Early Detection of Testicular Cancer and Cancer-Related Infertility

    NARCIS (Netherlands)

    N.J. van Casteren (Niels)

    2010-01-01

    markdownabstract__Abstract__ Infertility is referred to by the World Health Organisation (WHO) as the inability of a couple to achieve pregnancy within one year of regular unprotected intercourse[l]. About 15o/o of couples who do not achieve pregnancy within 1 year seek medical treatment for

  8. Association between Experiencing Relational Bullying and Adolescent Health-Related Quality of Life

    Science.gov (United States)

    Chester, Kayleigh L.; Spencer, Neil H.; Whiting, Lisa; Brooks, Fiona M.

    2017-01-01

    Background: Bullying is a public health concern for the school-aged population, however, the health outcomes associated with the subtype of relational bullying are less understood. The purpose of this study was to examine the association between relational bullying and health-related quality of life (HRQL) among young people. Methods: This study…

  9. oral health related behaviour, knowledge, attitudes and beliefs

    African Journals Online (AJOL)

    The findings of this study have shown that the participants had conducive oral health behavior, sufficient knowledge, positive attitude and held positive beliefs regarding dental treatments. ORAL HEALTH RELATED BEHAVIOUR, KNOWLEDGE, ATTITUDES. AND BELIEFS AMONG SECONDARY SCHOOL STUDENTS IN.

  10. Inequalities in selected health-related Millennium Development ...

    African Journals Online (AJOL)

    Inequalities in selected health-related Millennium Development Goals ... and interventions (including health promotion, primary and secondary prevention, ... and ensuring environmental sustainability (through reduction in the use of solid fuels ...

  11. Some legal aspects related implementation at Brazil of the International Atomic Energy Agency recommendations related to radiation protection

    International Nuclear Information System (INIS)

    Mezrahi, Arnaldo; Matos, Gilberto Cardoso de; Wieland, Patricia

    2002-01-01

    The National Nuclear Energy Commission (CNEN) - the Brazilian nuclear regulatory authority- applies the basic guidelines regarding Radiation Protection (CNEN standard NE-3.01) in force since June 1988, for the licensing and control of nuclear, industrial, medical and research facilities, as well as for the safety of sources and for radioactive material transportation. In 1996, the IAEA published a new recommendations that established patterns for protection against ionizing radiation and for the safety of radiation sources and recommended Member States to adopt them. The adoption of the IAEA document, namely Safety Series 115, by a member state, does not imply to follow the whole text. The application of IAEA recommendations, contained in its documents, should take into consideration the autochthonous characteristics of each Member State. The Safety Series 115 has a very broad scope involving recommendation to countries at different development stages, especially those that do not even have a nuclear regulatory authority. In the specific case of Brazil, besides its advanced technological level, there exists a very complex and effective legal framework that hinders the establishment of norms and regulations regarding radiation protection guidelines. Therefore the direct application of the IAEA's recommendations requires a very careful legal evaluation in order to avoid conflicts of competence and duplication of efforts among the different involved authorities. This paper presents some of the important legal aspects especially in what concerns CNEN's competence, which is responsible for the issuance of the new radiation protection guidelines in accordance with the legislation. (author)

  12. Absolute and Relative Socioeconomic Health Inequalities across Age Groups.

    Science.gov (United States)

    van Zon, Sander K R; Bültmann, Ute; Mendes de Leon, Carlos F; Reijneveld, Sijmen A

    2015-01-01

    The magnitude of socioeconomic health inequalities differs across age groups. It is less clear whether socioeconomic health inequalities differ across age groups by other factors that are known to affect the relation between socioeconomic position and health, like the indicator of socioeconomic position, the health outcome, gender, and as to whether socioeconomic health inequalities are measured in absolute or in relative terms. The aim is to investigate whether absolute and relative socioeconomic health inequalities differ across age groups by indicator of socioeconomic position, health outcome and gender. The study sample was derived from the baseline measurement of the LifeLines Cohort Study and consisted of 95,432 participants. Socioeconomic position was measured as educational level and household income. Physical and mental health were measured with the RAND-36. Age concerned eleven 5-years age groups. Absolute inequalities were examined by comparing means. Relative inequalities were examined by comparing Gini-coefficients. Analyses were performed for both health outcomes by both educational level and household income. Analyses were performed for all age groups, and stratified by gender. Absolute and relative socioeconomic health inequalities differed across age groups by indicator of socioeconomic position, health outcome, and gender. Absolute inequalities were most pronounced for mental health by household income. They were larger in younger than older age groups. Relative inequalities were most pronounced for physical health by educational level. Gini-coefficients were largest in young age groups and smallest in older age groups. Absolute and relative socioeconomic health inequalities differed cross-sectionally across age groups by indicator of socioeconomic position, health outcome and gender. Researchers should critically consider the implications of choosing a specific age group, in addition to the indicator of socioeconomic position and health outcome

  13. Technical Aspects of Interfacing MUMPS to an External SQL Relational Database Management System

    Science.gov (United States)

    Kuzmak, Peter M.; Walters, Richard F.; Penrod, Gail

    1988-01-01

    This paper describes an interface connecting InterSystems MUMPS (M/VX) to an external relational DBMS, the SYBASE Database Management System. The interface enables MUMPS to operate in a relational environment and gives the MUMPS language full access to a complete set of SQL commands. MUMPS generates SQL statements as ASCII text and sends them to the RDBMS. The RDBMS executes the statements and returns ASCII results to MUMPS. The interface suggests that the language features of MUMPS make it an attractive tool for use in the relational database environment. The approach described in this paper separates MUMPS from the relational database. Positioning the relational database outside of MUMPS promotes data sharing and permits a number of different options to be used for working with the data. Other languages like C, FORTRAN, and COBOL can access the RDBMS database. Advanced tools provided by the relational database vendor can also be used. SYBASE is an advanced high-performance transaction-oriented relational database management system for the VAX/VMS and UNIX operating systems. SYBASE is designed using a distributed open-systems architecture, and is relatively easy to interface with MUMPS.

  14. Some aspects related to the management of maintenance for a TRIGA research reactor In Romania

    International Nuclear Information System (INIS)

    Vieru, G.

    2003-01-01

    Safety management for a nuclear research reactor involves 'good dependability management' of operations activities, such as: reliability, availability, maintainability and maintenance support. In order to evaluate the safety management aspects intended to be applied by research reactor management, the performance dependability indicators and their impact on reactor availability and reactor safety have to be established. The document ISO 9000-4/IEC 300-1 'Dependability Management' (1995), describes five internationally agreed indicators of reactor equipment dependability. Each of them can be used for corrective maintenance or for preventive maintenance, such as: I 1 - equipment Maintenance Frequency; I 2 - equipment Maintenance Effort; I 3 - equipment Maintenance Downtime Factor; I 4 - equipment Maintenance Contribution to the System Function Downtime Factor; I 5 - equipment Maintenance Contribution to the reactor Capability Loss Factor. This paper presents an evaluation of those 5 mentioned indicators with reference to the primary circuit of the INR's TRIGA research reactor and conclusion. The analyzed period was between 1994- 1999. It is to be noted that this type of analysis is performed for the first time for a research reactor. (author)

  15. Engineering and design aspects related to the development of the ITER divertor

    International Nuclear Information System (INIS)

    Dietz, J.; Chiocchio, S.; Antipenkov, A.

    1994-01-01

    Most of the divertor concepts proposed for the Next Step devices relied on the exhaust of the SOL power to target plates which intersect the magnetic field fines. The resulting highly peaked thermal load, together with the concentrated fluxes of energetic particles, posed severe design constraints and ultimately led to unacceptably short target lifetime. The ITER high density gas target divertor concept is based on transferring the nominal power perpendicular to the magnetic field lines from the plasma edge onto large surfaces and on dissipating the particles' energy through atomic and molecular mechanisms. While the basic ideas for this approach have been motivated by recent results in present tokamaks, a full assessment of this concept still requires extensive experimental and modelling work. The paper describes the engineering and design aspects involving the development of the ITER divertor and shows how the physics assumptions translate into engineering requirements, and how the additional existing constraints (such as the limited space, neutron load, electromagnetic effects, compatibility with other components, remote maintainability) have been taken into account for the design definition. The concept developed takes advantage of the spatial separation of the several physics phenomena anticipated to take place in the divertor, thus relaxing the needs to accommodate in the same region opposing requirements

  16. Benign thyroid disorders, radioiodine therapy and diagnosis related groups (DRGs): aspects of cost/benefit

    International Nuclear Information System (INIS)

    Dietlein, M.; Schicha, H.

    2005-01-01

    The increasing prevalence of goiter and thyroid nodules in older patients is accompanied by an increasing frequency of treatment and cost. Cost-effectiveness is given for programs of prophylaxis (primary prevention, e.g. alimentary iodine supplementation), for programs of screening (secondary prevention. e.g. TSH-screening), and for therapeutic strategies to avoid complications of thyroid dysfunction (atrial fibrillation, myocardial infarction, death for cardiac reasons) and to minimize iatrogenic complications (tertiary prevention). Examples of tertiary prevention are radioiodine-therapy of Graves' disease in patients who have an increased risk of relapse after antithyroid drugs (ATD), radioiodine therapy of ouvert or subclinical hyperthyroidism, and radioiodine therapy of large goiters in older patients or in patients suffering from a relevant co-morbidity. A cost-effectiveness-analysis for different therapeutic strategies of Graves' disease has been published using a lifelong time-horizon. The ablative radioiodine dose-regime is cost-effective as a first line therapy if the risk of relapse after ATD exceeds 60%. Cost-minimization-analysis, comparing resection of goiter and radioiodine, has shown lower cost of radioiodine therapy for toxic multinodular goiter up to 100 ml and for Graves' disease up to 60 ml goiter volume. Medical aspects (volume of goiter, uptake of nodules, regressive goiter, suspicion on malignancy, patients' age, co-morbidity, patients' decision) remain decisive for the choice of treatment. (orig.)

  17. The effects of vision-related aspects on noise perception of wind turbines in quiet areas.

    Science.gov (United States)

    Maffei, Luigi; Iachini, Tina; Masullo, Massimiliano; Aletta, Francesco; Sorrentino, Francesco; Senese, Vincenzo Paolo; Ruotolo, Francesco

    2013-04-26

    Preserving the soundscape and geographic extension of quiet areas is a great challenge against the wide-spreading of environmental noise. The E.U. Environmental Noise Directive underlines the need to preserve quiet areas as a new aim for the management of noise in European countries. At the same time, due to their low population density, rural areas characterized by suitable wind are considered appropriate locations for installing wind farms. However, despite the fact that wind farms are represented as environmentally friendly projects, these plants are often viewed as visual and audible intruders, that spoil the landscape and generate noise. Even though the correlations are still unclear, it is obvious that visual impacts of wind farms could increase due to their size and coherence with respect to the rural/quiet environment. In this paper, by using the Immersive Virtual Reality technique, some visual and acoustical aspects of the impact of a wind farm on a sample of subjects were assessed and analyzed. The subjects were immersed in a virtual scenario that represented a situation of a typical rural outdoor scenario that they experienced at different distances from the wind turbines. The influence of the number and the colour of wind turbines on global, visual and auditory judgment were investigated. The main results showed that, regarding the number of wind turbines, the visual component has a weak effect on individual reactions, while the colour influences both visual and auditory individual reactions, although in a different way.

  18. Taking sides with pain Lateralization aspects related to cerebral processing of dental pain

    Directory of Open Access Journals (Sweden)

    Mike eBrügger

    2011-02-01

    Full Text Available The current fMRI study investigated cortical processing of electrically induced painful tooth stimulation of both maxillary canines and central incisors in 21 healthy, right handed volunteers. A constant current, 150% above tooth specific pain-perception thresholds was applied and corresponding online ratings of perceived pain intensity were recorded with a computerized visual analog scale during fMRI measurements. Lateralization of cortical activations was investigated by a region of interest analysis. A wide cortical network distributed over several areas, typically described as the pain or nociceptive matrix, was activated on a conservative significance level. Distinct lateralization patterns of analyzed structures allow functional classification of the dental pain processing system. Namely, certain parts are activated independent of the stimulation site, and hence are interpreted to reflect cognitive emotional aspects. Other parts represent somatotopic processing and therefore reflect discriminative perceptive analysis. Of particular interest is the observed amygdala activity depending on the stimulated tooth that might indicate a role in somatotopic encoding.

  19. SOCIAL ASPECTS OF MENSTRUATION RELATED PRACTICES IN ADOLESCENT GIRLS OF DISTRICT DEHRADUN

    Directory of Open Access Journals (Sweden)

    Ruchi Juyal

    2013-09-01

    Full Text Available Context: Menstrual hygiene is an issue that every girl and woman has to deal with in her life, but there is lack of awareness on the process of menstruation. The taboos surrounding this issue in the society prevent girls and women from articulating their menstrual needs. It is now becoming increasingly recognized that the social and cultural significance of menstruation interacts with the physiological process to produce culturally determined norms and practices. Settings and Design: Cross-Sectional conducted in two randomly selected Inter colleges (one rural and one urban of district Dehradun of Uttarakhand state.Methods and Material: 453 girls studying in 9th to 12th grades were interviewed by using a prestructured and pretested questionnaire regarding various aspects of menstruation process.Statistical analysis used: percentages and Chi-square testResults: Most of the girls faced one or the other kind of social and / or religious restriction during their menstrual periods. Maximum restriction was observed in going to the temple (87.4 % followed by prohibition in touching pickles (48.6 %. These restrictions were equally reported by the urban and rural girls.Conclusions: Girls should be made aware regarding physiological basis of menstruation and a change in beliefs and attitudes need to be attained to ensure optimal behaviour and thereby prompting of a healthy menstrual life styles and practices.

  20. Evaluation of the Impact of Ruminant Trans Fatty Acids on Human Health: Important Aspects to Consider.

    Science.gov (United States)

    Kuhnt, Katrin; Degen, Christian; Jahreis, Gerhard

    2016-09-09

    The definition and evaluation of trans fatty acids (TFA) with regard to foodstuffs and health hazard are not consistent. Based on the current situation, the term should be restricted only to TFA with isolated double bonds in trans-configuration. Conjugated linoleic acids (CLA) should be separately assessed. Ideally, the origin of the consumed fat should be declared, i.e., ruminant TFA (R-TFA) and industrial TFA (non-ruminant; I-TFA). In ruminant fat, more than 50% of R-TFA consists of vaccenic acid (C18:1 t11). In addition, natural CLA, i.e., c9,t11 CLA is also present. Both are elevated in products from organic farming. In contrast to elaidic acid (t9) and t10, which occur mainly in partially hydrogenated industrial fat, t11 is partially metabolized into c9,t11 CLA via Δ9-desaturation. This is the major metabolic criterion used to differentiate between t11 and other trans C18:1. t11 indicates health beneficial effects in several studies. Moreover, CLA in milk fat is associated with the prevention of allergy and asthma. An analysis of the few studies relating to R-TFA alone makes clear that no convincing adverse physiological effect can be attributed to R-TFA. Only extremely high R-TFA intakes cause negative change in blood lipids. In conclusion, in most European countries, the intake of R-TFA is assessed as being low to moderate. Restriction of R-TFA would unjustifiably represent a disadvantage for organic farming of milk.

  1. A comparison of usability methods for testing interactive health technologies: methodological aspects and empirical evidence.

    Science.gov (United States)

    Jaspers, Monique W M

    2009-05-01

    Usability evaluation is now widely recognized as critical to the success of interactive health care applications. However, the broad range of usability inspection and testing methods available may make it difficult to decide on a usability assessment plan. To guide novices in the human-computer interaction field, we provide an overview of the methodological and empirical research available on the three usability inspection and testing methods most often used. We describe two 'expert-based' and one 'user-based' usability method: (1) the heuristic evaluation, (2) the cognitive walkthrough, and (3) the think aloud. All three usability evaluation methods are applied in laboratory settings. Heuristic evaluation is a relatively efficient usability evaluation method with a high benefit-cost ratio, but requires high skills and usability experience of the evaluators to produce reliable results. The cognitive walkthrough is a more structured approach than the heuristic evaluation with a stronger focus on the learnability of a computer application. Major drawbacks of the cognitive walkthrough are the required level of detail of task and user background descriptions for an adequate application of the latest version of the technique. The think aloud is a very direct method to gain deep insight in the problems end users encounter in interaction with a system but data analyses is extensive and requires a high level of expertise both in the cognitive ergonomics and in computer system application domain. Each of the three usability evaluation methods has shown its usefulness, has its own advantages and disadvantages; no single method has revealed any significant results indicating that it is singularly effective in all circumstances. A combination of different techniques that compliment one another should preferably be used as their collective application will be more powerful than applied in isolation. Innovative mobile and automated solutions to support end-user testing have

  2. Environmental Impacts and Health Aspects in the Mining Industry. A Comparative Study of the Mining and Extraction of Uranium, Copper and Gold

    Energy Technology Data Exchange (ETDEWEB)

    Nilsson, Jenny-Ann; Randhem, Johan

    2008-07-01

    This thesis work has analysed environmental impacts and health aspects in the mining industry of copper, uranium and gold with the aim of determining the relative performance, in a given set of parameters, of the uranium mining industry. A selection of fifteen active mining operations in Australia, Canada, Namibia, South Africa, and the United States of America constitute the subject of this study. The project includes detailed background information about mineral extraction methods, the investigated minerals and the mining operations together with descriptions of the general main health hazards and environmental impacts connected to mining. The mineral operations are investigated in a cradle to gate analysis for the year of activity of 2007 using the economic value of the product at the gate as functional unit. Primary data has been collected from environmental reports, company web pages, national databases and through personal contact with company representatives. The subsequent analysis examines the collected data from a resource consumption, human health and ecological consequences point of view. Using the Life Cycle Impact Assessment methodology of characterisation, primary data of environmental loads have been converted to a synoptic set of environmental impacts. For radiation and tailings issues, a more general approach is used to address the problem. Based on the collected data and the investigated parameters, the results indicate a presumptive relative disadvantageous result for the uranium mining industry in terms of health aspects but an apparent favourable relative result in terms of environmental impacts. Given the prerequisites of this study, it is not feasible to draw any unambiguous conclusions. Inabilities to do this are mainly related to inadequate data availability from mine sites (especially in areas concerning tailings management), and difficulties concerned with the relative valuation of specific performance parameters, in particular radiation

  3. Environmental Impacts and Health Aspects in the Mining Industry. A Comparative Study of the Mining and Extraction of Uranium, Copper and Gold

    International Nuclear Information System (INIS)

    Nilsson, Jenny-Ann; Randhem, Johan

    2008-01-01

    This thesis work has analysed environmental impacts and health aspects in the mining industry of copper, uranium and gold with the aim of determining the relative performance, in a given set of parameters, of the uranium mining industry. A selection of fifteen active mining operations in Australia, Canada, Namibia, South Africa, and the United States of America constitute the subject of this study. The project includes detailed background information about mineral extraction methods, the investigated minerals and the mining operations together with descriptions of the general main health hazards and environmental impacts connected to mining. The mineral operations are investigated in a cradle to gate analysis for the year of activity of 2007 using the economic value of the product at the gate as functional unit. Primary data has been collected from environmental reports, company web pages, national databases and through personal contact with company representatives. The subsequent analysis examines the collected data from a resource consumption, human health and ecological consequences point of view. Using the Life Cycle Impact Assessment methodology of characterisation, primary data of environmental loads have been converted to a synoptic set of environmental impacts. For radiation and tailings issues, a more general approach is used to address the problem. Based on the collected data and the investigated parameters, the results indicate a presumptive relative disadvantageous result for the uranium mining industry in terms of health aspects but an apparent favourable relative result in terms of environmental impacts. Given the prerequisites of this study, it is not feasible to draw any unambiguous conclusions. Inabilities to do this are mainly related to inadequate data availability from mine sites (especially in areas concerning tailings management), and difficulties concerned with the relative valuation of specific performance parameters, in particular radiation

  4. Health-related behaviors and technology usage among college students.

    Science.gov (United States)

    Melton, Bridget F; Bigham, Lauren E; Bland, Helen W; Bird, Matthew; Fairman, Ciaran

    2014-07-01

    To examine associations between technology usage and specific health factors among college students. The research employed was a quantitative, descriptive, cross-sectional design; undergraduate students enrolled in spring 2012 general health education courses were recruited to participate. To explore college students' specific technology usage and health-related behaviors, a 28-item questionnaire was utilized. Statistical significant differences of technology usage were found between 3 of the 4 health-related behaviors under study (BMI, sleep, and nutrition) (p technology usage continues to evolve within the college student population, health professionals need to understand its implications on health behaviors.

  5. Social inequality in emotional health and aspects of social and personal competencies among adolescents

    DEFF Research Database (Denmark)

    Meilstrup, Charlotte

    differences in competencies might be a key determinant in explaining inequalities in emotional health problems. Methods: The HBSC Methodology Survey 2012 included 11-15-year-old school children in Slagelse and Halsnæs municipality, participation rate 77%, n=3975. The participants answered a new test......Background: Emotional health problems are widespread among adolescents. The Health Behavior in School aged Children (HBSC) survey from 2010 of 11-15-year-olds' health and well-being show that 21% of girls and 16% of boys experience at least one emotional problem every day. Adolescents´ mental...... health is an important public health issue and a goal in itself. Further, mental health and competencies in adolescence track into adulthood. Emotional health problems seem to be socially patterned as the prevalence of problems is approximately twice as high in lower compared to higher social classes...

  6. Pregnancy context and women's health-related quality of life.

    Science.gov (United States)

    Gariepy, Aileen; Lundsberg, Lisbet S; Vilardo, Nicole; Stanwood, Nancy; Yonkers, Kimberly; Schwarz, Eleanor B

    2017-05-01

    The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). English- or Spanish-speaking women, aged 16-44, with pregnancies desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. We enrolled 161 participants (mean age=27.2±6.6 years). Only 14% self-identified as White, non-Hispanic; 42% Hispanic; 37% Black, non-Hispanic; and 7% multiracial. Most (79%) participants were unmarried, and 75% were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Integrating health belief model and technology acceptance model: an investigation of health-related internet use.

    Science.gov (United States)

    Ahadzadeh, Ashraf Sadat; Pahlevan Sharif, Saeed; Ong, Fon Sim; Khong, Kok Wei

    2015-02-19

    Today, people use the Internet to satisfy health-related information and communication needs. In Malaysia, Internet use for health management has become increasingly significant due to the increase in the incidence of chronic diseases, in particular among urban women and their desire to stay healthy. Past studies adopted the Technology Acceptance Model (TAM) and Health Belief Model (HBM) independently to explain Internet use for health-related purposes. Although both the TAM and HBM have their own merits, independently they lack the ability to explain the cognition and the related mechanism in which individuals use the Internet for health purposes. This study aimed to examine the influence of perceived health risk and health consciousness on health-related Internet use based on the HBM. Drawing on the TAM, it also tested the mediating effects of perceived usefulness of the Internet for health information and attitude toward Internet use for health purposes for the relationship between health-related factors, namely perceived health risk and health consciousness on health-related Internet use. Data obtained for the current study were collected using purposive sampling; the sample consisted of women in Malaysia who had Internet access. The partial least squares structural equation modeling method was used to test the research hypotheses developed. Perceived health risk (β=.135, t1999=2.676) and health consciousness (β=.447, t1999=9.168) had a positive influence on health-related Internet use. Moreover, perceived usefulness of the Internet and attitude toward Internet use for health-related purposes partially mediated the influence of health consciousness on health-related Internet use (β=.025, t1999=3.234), whereas the effect of perceived health risk on health-related Internet use was fully mediated by perceived usefulness of the Internet and attitude (β=.029, t1999=3.609). These results suggest the central role of perceived usefulness of the Internet and

  8. Grounds of necessity to carry out reforms in health care system in Ukraine: historical aspect

    Directory of Open Access Journals (Sweden)

    I. P. Krynychna

    2015-03-01

    Full Text Available The article studies the historical experience of reforming the health care system in Ukraine, which allow clearing up the basic problems of public administration. Thus, the health care legislation is characterized as a fragmentary and complex thing with common overlaps and vaguely defined areas of accountability of financial and material resources and a significant deficit of funding. In turn, there is an urgent need for a fundamental change in strategy of the state policy concerning the restructuring of the health care system, which would involve fundamentally new mechanisms of public administration that must be adapted to the specific social problems and opportunities, particularly in conditions of limited resources. It is determined that reforming the health care systems of the former Soviet Union countries has similar nature with Ukraine, namely: the lack of government funding, poor quality of medical care, high level of medical services payment by citizens, the low level of wages of health care employees, and, as a consequence, the limited availability of the population to qualitative health services. On the basis of the results of the analysis of existing and not solved problems of the health care system it is proved the necessity to introduce new mechanisms of control in this field: the development of a system of compulsory medical insurance; the combination of budget and insurance sources of financing the health care system; the growing funding for the health care system; the development of initial care; adjustment of the state guarantees, according to the state financial opportunities; increasing the wages of health care employees; search for new organizational forms of health care institutions; increase the efficiency of health care resources; privatization and improvement of the structure of the medical care system . Keywords: public administration, health care reform, health insurance, initial care, medical care, medical services

  9. [Optimizing the relational aspects of orthodontics: the foundations of successful cooperation].

    Science.gov (United States)

    Binhas, Edmond

    2009-09-01

    As practicing professionals it is essential that orthodontists should think carefully about their status of care givers and their relationships with their patients. In doing this, they should analyze the dynamics of the impact of their therapeutic team on patients throughout the entire treatment procedure. It is equally important that they understand the decisive importance of the way patients are welcomed into the office ambience and the way staff members communicate with them and take into consideration their needs and expectations. Today specialists in dento-facial orthopedics and their staff members are usually well versed in techniques and technologies. On the other hand, while they may be giving serious thought and study to behavioral aspects of their practices, this remains an area in which considerable improvement can still be achieved. It is still true that considerations of the psychological, affective, and moral dimensions of human beings, especially of children, which are key factors in daily practice, occupy a far too modest slot in the dental school curriculum. This major instructional gap, despite the best intentions of faculties and practitioners, leads to inadequate communication with patients and their parents. "The road to effective communication, like the road to hell, is paved with good intentions." All members of the office staff are doubtless performing to the best of their abilities. But they work in intuitive fashion, limited by their individual aptitudes. The result: practitioners and staffers as well are, in totally good faith, likely to commit errors in communication. While concentrating on treatment at the chair, practitioners can have little idea of what assistants are doing, behind their backs, in the business area or at the reception desk. As a consequence, there can be repercussions affecting the proper economic growth of the practice. In order to find the most appropriate solutions to this problem, orthodontists must first have a

  10. [Pregnancy aspects related to intracranial hemorrhage in newborns of very low weight in South Brazil].

    Science.gov (United States)

    da Silva, Lisandra Radaelli; Iser, Betine Pinto Moehlecke; Tartare, Bianca; Bonetti, Heloise Serafin

    2015-04-01

    To analyze the relationship between route of delivery and other aspects of pregnancy and the occurrence of intracranial hemorrhage in newborns of very low weight at a teaching hospital in South Brazil. A case-control study was conducted. Medical records of all patients who were born weighing ≤ 1,500 g and who were submitted to transfontanellar ultrasonography were analyzed from January 2011 to September 2014. The cases were newborns with diagnosis of intracranial hemorrhage, while newborns with regular exams were used as controls. Differences between groups were analyzed by the Student t test and by χ2 or Fisher exact tests, and association was determined using the odds ratio with a 95% confidence interval and α = 5%. A total of 222 newborns with birth weight ≤ 1,500 g were recorded; of these, 113 were submitted to transfontanellar ultrasonography and were included in the study. Sixty-nine (61.1%) newborns were diagnosed with intracranial hemorrhage (cases) and 44 (38.9%) showed no abnormal results (controls). Most cases had grade I hemorrhage (96.8%) originating from the germinative matrix (95.7%). The predominant route of delivery was caesarean section (81.2% of the cases and 72.7% of the controls). Five deaths were recorded (3 cases and 2 controls). Gestational age ranged from 24 to 37 weeks. Median birth weight was 1,205 g (range: 675-1,500 g). The median time of hospitalization was 52 days, ranging from 5 to 163 days. Grade I intracranial hemorrhage from the germinative matrix was the most frequent. No differences were found between cases and controls for the variables studied. The small number of infants submitted to transfontanellar ultrasonography limited the sample size and the results of the study.

  11. [Gingival health and esthetics--another aspect of objectives of orthodontic treatment].

    Science.gov (United States)

    Ai, Dongqing; Xu, Hui; Bai, Ding

    2013-04-01

    Contemporary orthodontic care should be a team approach to achieve health and esthetics of soft and hard tissue. It should be given enough attention that periodontal health provides the foundation for tooth movement, and that distinct esthetic results can be achieved by subtle changes in tooth alignment and gingival contours. Orthodontic treatment planning should include evaluation of gingival health and esthetics to anticipate the need for interdisciplinary approaches. Studies on the effect of orthodontic treatment on gingiva can provides basis for maintaining gingival health and esthetic. This article will focus primarily on the gingival health and esthetic care in orthodontic treatment.

  12. Parenting style, parenting stress, and children's health-related behaviors.

    Science.gov (United States)

    Park, Hyunjeong; Walton-Moss, Benita

    2012-07-01

    Parental guidance is critical to the development of children's health-related behaviors. The purpose of this study was to look at the relationship between parenting factors, including parenting style and parenting stress, and children's health-related behaviors. In this descriptive, correlational study, 284 parents of preschool children were interviewed using the Child Rearing Questionnaire and the Korean Parenting Stress Index-Short Form. Parent distress, authoritative and permissive parenting styles, family income, and mother's education were significantly associated with children's health-related behaviors. These findings suggest that higher levels of warmth, characteristics of both parenting styles, may be a critical factor in the development of health-related behaviors.

  13. Occupational safety and health aspects of corporate social responsibility reporting in Japan from 2004 to 2012.

    Science.gov (United States)

    Nagata, Tomohisa; Nakata, Akinori; Mori, Koji; Maruyama, Takashi; Kawashita, Futoshi; Nagata, Masako

    2017-05-02

    A number of companies publish corporate social responsibility (CSR) reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004-2012) trend of occupational safety and health (OSH) activities as described in CSR reporting (by industry sector and company size). We investigated CSR reporting on the website in all Japanese companies listed on the first section of the Tokyo Stock Exchange. The data were extracted from CSR reporting of each company every year from 2004 to 2012. We counted the pages dedicated to information on OSH activities by industry sector and company size and calculated the rate of OSH divided by total CSR-related activities. The number of companies publishing CSR reports increased in all industry sectors, although the rate of inclusion of OSH activity within CSR reports increased only among sectors such as construction, manufacturing, transportation, and commerce. Among all company size, CSR reporting increased constantly throughout all observed years. The proportion of companies that had described OSH in CSR reporting increased from 2004 to 2012, and 76.5% companies had described OSH activities in 2012. The average number of pages of CSR-related report was 34.2 in 2004, increasing to 43.1 in 2012. The proportion of described pages of OSH activities in total CSR reporting increased gradually, and 2.7% in 2012. The focus of CSR reporting gradually shifted from 'environment' to 'social activity including OSH'. Majority of companies are putting more emphasis on OSH in CSR reporting in Japan.

  14. Occupational safety and health aspects of corporate social responsibility reporting in Japan from 2004 to 2012

    Directory of Open Access Journals (Sweden)

    Tomohisa Nagata

    2017-05-01

    Full Text Available Abstract Background A number of companies publish corporate social responsibility (CSR reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004–2012 trend of occupational safety and health (OSH activities as described in CSR reporting (by industry sector and company size. Methods We investigated CSR reporting on the website in all Japanese companies listed on the first section of the Tokyo Stock Exchange. The data were extracted from CSR reporting of each company every year from 2004 to 2012. We counted the pages dedicated to information on OSH activities by industry sector and company size and calculated the rate of OSH divided by total CSR-related activities. Results The number of companies publishing CSR reports increased in all industry sectors, although the rate of inclusion of OSH activity within CSR reports increased only among sectors such as construction, manufacturing, transportation, and commerce. Among all company size, CSR reporting increased constantly throughout all observed years. The proportion of companies that had described OSH in CSR reporting increased from 2004 to 2012, and 76.5% companies had described OSH activities in 2012. The average number of pages of CSR-related report was 34.2 in 2004, increasing to 43.1 in 2012. The proportion of described pages of OSH activities in total CSR reporting increased gradually, and 2.7% in 2012. The focus of CSR reporting gradually shifted from ‘environment’ to ‘social activity including OSH’. Conclusions Majority of companies are putting more emphasis on OSH in CSR reporting in Japan.

  15. Understanding adolescent mental health: the influence of social processes, doing gender and gendered power relations.

    Science.gov (United States)

    Landstedt, Evelina; Asplund, Kenneth; Gillander Gådin, Katja

    2009-11-01

    Despite a well-documented gender pattern in adolescent mental health, research investigating possible explanatory factors from a gender-theoretical approach is scarce. This paper reports a grounded theory study based on 29 focus groups. The aim was to explore 16- to 19-year-old students' perceptions of what is significant for mental health, and to apply a gender analysis to the findings in order to advance understanding of the gender pattern in adolescent mental health. Significant factors were identified in three social processes categories, including both positive and negative aspects: (1) social interactions, (2) performance and (3) responsibility. Girls more often experienced negative aspects of these processes, placing them at greater risk for mental health problems. Boys' more positive mental health appeared to be associated with their low degree of responsibility-taking and beneficial positions relative to girls. Negotiating cultural norms of femininity and masculinity seemed to be more strenuous for girls, which could place them at a disadvantage with regard to mental health. Social factors and processes (particularly responsibility), gendered power relations and constructions of masculinities and femininities should be acknowledged as important for adolescent mental health.

  16. Playing-Related Health Problems Among Instrumental Music Students at a University in Malaysia.

    Science.gov (United States)

    Lonsdale, Karen; Boon, Ong Kuan

    2016-09-01

    Musicians from a wide range of backgrounds experience playing-related health problems including musculoskeletal disorders, hearing loss, and performance anxiety. Few studies have focused specifically on the health concerns of musicians in Malaysia. This study aimed to investigate playing-related health problems among student musicians at a university in Malaysia as well as their knowledge and awareness of playing-related health problems. Instrumental music students enrolled in undergraduate and post-graduate university music courses (n=98) participated in a self-report online survey which addressed aspects such as educational background, playing experience, knowledge and awareness of musicians' health issues, history of physical problems, lifestyle factors, and prevention and management strategies. Of the total participants, 28.9% reported that they were currently experiencing playing-related pain in a body part, and 46.4% had experienced playing-related pain at some time. More than half (56.7%) felt that they have not received enough information or advice on playing-related health during their current studies. Musicians who experienced playing-related pain, tension, and discomfort reported the main problem sites to be the fingers and hands, arms, neck, and shoulders. The study results demonstrate that Malaysian university music students are affected by similar types of playing-related physical problems as their counterparts around the world. A greater awareness and knowledge of injury prevention and management strategies is needed so that these music students can sustain healthy playing careers.

  17. The historical aspects and current issues of the development of Russian-Lithuanian economic relations

    Directory of Open Access Journals (Sweden)

    Kretinin Gennady

    2012-12-01

    Full Text Available This article focuses on development of Russian-Lithuanian economic ties. The research and practical significance of this study lies in the identification of the sources of modern Russian-Lithuanian economic cooperation and the prospects of future mutually beneficial economic relations. The first attempt at establishing economic relations was made in 1919. However, young Lithuanian Republic gravitated towards the West, severing ties with the Russian market. However, the initiatives of Lithuanian authorities did not result in successful state building, and the economic situation remained unchanged. The USSR leadership made an effort to improve the living conditions in post-war Lithuania. There were some mistakes made in the relations with the local population that resulted in Lithuanians’ resistance to sovietisation. However, in the conditions of post-war restoration of national economy and acute deficit of material and human resources, the Soviet leadership managed not only to reform and develop a socialistic economy in Lithuania but also to turn it into an industrial republic with developed agriculture and modern manufacturing facilities, whose major industries manufactured products used in nuclear and space technologies, aviation and navigation. The research shows that the post-Soviet period led to a dramatic change in Russian-Lithuanian economic relations; however, these relations retained potential for future development.

  18. [Engineering aspects of seismic behavior of health-care facilities: lessons from California earthquakes].

    Science.gov (United States)

    Rutenberg, A

    1995-03-15

    The construction of health-care facilities is similar to that of other buildings. Yet the need to function immediately after an earthquake, the helplessness of the many patients and the high and continuous occupancy of these buildings, require that special attention be paid to their seismic performance. Here the lessons from the California experience are invaluable. In this paper the behavior of California hospitals during destructive earthquakes is briefly described. Adequate structural design and execution, and securing of nonstructural elements are required to ensure both safety of occupants, and practically uninterrupted functioning of equipment, mechanical and electrical services and other vital systems. Criteria for post-earthquake functioning are listed. In view of the hazards to Israeli hospitals, in particular those located along the Jordan Valley and the Arava, a program for the seismic evaluation of medical facilities should be initiated. This evaluation should consider the hazards from nonstructural elements, the safety of equipment and systems, and their ability to function after a severe earthquake. It should not merely concentrate on safety-related structural behavior.

  19. Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease.

    Science.gov (United States)

    Bachmann, Justin M; Goggins, Kathryn M; Nwosu, Samuel K; Schildcrout, Jonathan S; Kripalani, Sunil; Wallston, Kenneth A

    2016-12-01

    Evaluate the effect of perceived health competence, a patient's belief in his or her ability to achieve health-related goals, on health behavior and health-related quality of life. We analyzed 2063 patients hospitalized with acute coronary syndrome and/or congestive heart failure at a large academic hospital in the United States. Multivariable linear regression models investigated associations between the two-item perceived health competence scale (PHCS-2) and positive health behaviors such as medication adherence and exercise (Health Behavior Index) as well as health-related quality of life (5-item Patient Reported Outcome Information Measurement System Global Health Scale). After multivariable adjustment, perceived health competence was highly associated with health behaviors (pperceived health competence was associated with a decrease in health-related quality of life between hospitalization and 90days after discharge (pPerceived health competence predicts health behavior and health-related quality of life in patients hospitalized with cardiovascular disease as well as change in health-related quality of life after discharge. Patients with low perceived health competence may be at risk for a decline in health-related quality of life after hospitalization and thus a potential target for counseling and other behavioral interventions. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. ON HEALTH PROTECTION AND HEALTH RELATED PHYSICAL CULTURE TRAININGS OF FIRST YEAR STUDENTS

    Directory of Open Access Journals (Sweden)

    V.G. Fotynyuk

    2017-01-01

    Full Text Available Purpose: to assess health protection and health related physical culture trainings of first year students. Material: in the research first year students (n=121; 86 boys and 35girls of age 16 - 19 years, participated. Results: components of students’ individual health were found. Situation with health related physical culture trainings, ensuring students’ sound health and optimal functional potentials of their organisms were determined. It was found that leading role shall be played by formation of health world vision values, knowledge about formation of practical skills in healthy life style. Motivation tendency for realization of intentions and practicing of health related physical culture trainings were found in students. Conclusions: the received results prove students’ tendency to pay insufficient attention to individual health. It was found that health related physical culture trainings require modern renewal of education’s content, forms and methods of physical education. The basis of such trainings shall be health related orientation.

  1. Integrating positive psychology into health-related quality of life research.

    Science.gov (United States)

    Park, Crystal L

    2015-07-01

    Positive psychology is an increasingly influential force in theory and research within psychology and many related fields, including behavioral medicine, sociology, and public health. This article aims to review the ways in which positive psychology and health-related quality of life (HRQOL) research currently interface and to suggest fruitful future directions. This article reviews the basic elements of positive psychology and provides an overview of conceptual and empirical links between positive psychology and HRQOL. The role of one central aspect of positive psychology (meaning) within HRQOL is highlighted, and unresolved issues (e.g., lack of definitional clarity) are discussed. Some research on HRQOL has taken a positive psychology perspective, demonstrating the usefulness of taking a positive psychology approach. However, many areas await integration. Once conceptual and methodological issues are resolved, positive psychology may profitably inform many aspects of HRQOL research and, perhaps, clinical interventions to promote HRQOL as well.

  2. Key aspects of state-society relations the in the sphere of volunteering: european and ukrainian experiences

    Directory of Open Access Journals (Sweden)

    V. L. Golub

    2016-03-01

    Full Text Available The article examines the experience of state-society relations in the sphere of volunteering in Ukraine and in the UK, Germany, Poland, and France. The author has determined key aspects of the analysis of European and Ukrainian experiences of state-society relations the in the sphere of volunteering. These are the level of development of national legislation on volunteering; organization of the system of executive bodies at the national level, which deal with volunteering issues; functioning of volunteering public advisory formations at authorities, their legal status, compositions and content of activity; the actual existence and the sense of the government volunteering. On this base, the author has carried out a comparative analysis of the conditions of the state-society relations in the field of volunteering in Europe and Ukraine at the current stage through the prism of their key aspects. The paper focuses on the certain benefits of European experience of state-society relations in the sphere of volunteering as possible goals of domestic development.

  3. Health care systems in Sweden and China: Legal and formal organisational aspects.

    Science.gov (United States)

    Albin, Björn; Hjelm, Katarina; Chang Zhang, Wen

    2010-06-22

    Sharing knowledge and experience internationally can provide valuable information, and comparative research can make an important contribution to knowledge about health care and cost-effective use of resources. Descriptions of the organisation of health care in different countries can be found, but no studies have specifically compared the legal and formal organisational systems in Sweden and China. To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance. Literature reviews were carried out in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually. The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities. Despite dissimilarities in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.

  4. SOME LEGAL ASPECTS OF ENERGY SECURITY IN THE RELATIONS BETWEEN EU AND RUSSIA

    Directory of Open Access Journals (Sweden)

    Ovidiu-Horia Maican

    2009-12-01

    Full Text Available The need for a sustainable, secure and competitive energy supply has long been recognized within the Community, and has been addressed on numerous occasions, notably in the Green Papers elaborated by the Commission in 2000 and 2006. Recent supply crises and rapidly escalating fuel prices have focused the minds of leaders across the European Union, as well as those of businesses and individual energy consumers. Energy policy transcends a range of different policy areas, including competition, transport, environment and energy itself. Decisions relating to energy policy in Europe are primarily within the remit of individual Member State governments, with the European Commission’s powers limited to two specific areas (creation of the European single market and matters relating to nuclear safety and security under the EURATOM Treaty. The extent of the transfer of powers towards Europe is clearly a critical decision point and in practice a sensitive balance is likely to be required between those matters for which the Commission should have responsibility and those where Member State governments retain sole authority. European officials are putting into evidence their belief that Europe’s energy predicament is acute and mention energy security as a priority issue for the Common Foreign and Security Policy. Policy commitments say that energy strategy must move beyond the internal sphere and become systematically a part of EU external relations. The Commission’s 2006 Energy Green Paper promised “a better integration of energy objectives into broader relations with third countries”.

  5. Children Who Are Hearing Impaired with Additional Disabilities and Related Aspects of Parental Stress.

    Science.gov (United States)

    Hintermair, Manfred

    2000-01-01

    In this German study, 317 parents of children with hearing impairments and additional disabilities completed both the Parenting Stress Index and an additional questionnaire on demographics and related information. Analysis showed consistently high stress scores in the Child Domain, whereas the Parent Domain showed only a slight tendency toward…

  6. Dying to starve: A comparative analysis of legal aspects relating to ...

    African Journals Online (AJOL)

    The authors explore the legal complexities surrounding the force-feeding of anorexic patients. Due to the myriad of difficulties relating to anorexia nervosa, treatment is intricate. The aim of this exposition is to clarify legal issues of consent and self-determination, with regard to both adult and minor patients. In addition, the ...

  7. Dependency aspect of caregiver burden is uniquely related to cognitive impairment in Veterans.

    Science.gov (United States)

    Stinson, Jennifer M; Collins, Robert L; Maestas, Kacey Little; Pacheco, Vitor; LeMaire, Ashley; Benge, Jared

    2014-01-01

    The psychosocial toll of caring for an individual with dementia is an important, if understudied, concept. For practitioners and researchers alike, understanding the relation between patient characteristics and different facets of caregiver burden is important for guiding treatment and prevention efforts. The current study analyzed the dimensions of caregiver burden and the relation between caregiver burden and results of neuropsychological testing. Participants included 243 dyads of caregivers and Veterans referred for neuropsychological evaluation. Caregivers completed the Zarit Burden Interview (ZBI) to assess caregiver burden. Patients completed a battery of neuropsychological tests measuring the domains of attention/processing speed, memory, language, and executive functioning. A principal components analysis of the ZBI revealed a three-factor structure: psychosocial burden, dependency burden, and guilt. Correlations with neuropsychological test performance by Veteran patients suggested that test performance in the memory, attention, processing speed, executive functioning, and emotional functioning domains were solely related to the caregiver dependency burden factor of the ZBI. Additional analyses suggested severity of dementia and number of tests in the impaired range further influenced reported caregiver burden. The current study is one of the few studies examining caregiver burden in relation to neuropsychological functioning in a mixed clinical sample and has important implications for clinical practice.

  8. Emotional and Personality-Related Aspects of Career Decision-Making Difficulties: Facets of Career Indecisiveness

    Science.gov (United States)

    Gati, Itamar; Gadassi, Reuma; Saka, Noa; Hadadi, Yael; Ansenberg, Neta; Friedmann, Ronit; Asulin-Peretz, Lisa

    2011-01-01

    The current study investigated the Emotional and Personality-related Career decision-making Difficulties model and questionnaire (EPCD) by studying its associations with various personality measures in three samples: (a) 691 deliberating individuals who entered a career self-help website, (b) 197 students in a university preparatory program, and…

  9. Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health

    Directory of Open Access Journals (Sweden)

    Palstam Annie

    2012-12-01

    Full Text Available Abstract Background Women with fibromyalgia (FM describe great difficulties in managing work. Reported work ability in women with FM varies from 34 to 77 percent in studies from different countries. Many factors are suggested to affect the ability to work in women with FM, including pain, fatigue, impaired physical capacity and activity limitations. However, it is difficult to define to which extent symptom severity can be compatible with work. The aim of this study was to investigate which aspects of health differ between working women with FM and nonworking women with FM. Methods A cross-sectional study of 129 women of working age with FM which included clinical assessment, structured interviews, questionnaires and performance-based tests. The women were categorized as working or nonworking. Aspects of health are presented according to the International Classification of Functioning, Disability and Health (ICF. Results Working women with FM presented better health than nonworking women with FM in ratings of body function (FIQ pain p p = 0.006, FIQ stiffness p = 0.009, HADS-Depression p = 0.007. Ratings of overall health status were also significantly better in working women with FM than in nonworking women with FM (FIQ total, eight-item p = 0.001 and SF-36 PCS p p  Conclusion Working women with FM reported better health than nonworking women with FM in terms of pain, fatigue, stiffness, depression, disease specific health status and physical aspects of quality of life, which represent body functions and overall health status. However, they were equally impaired in tests of physical capacity. Moderate pain levels were compatible with work, while severe pain appeared to compromise work. Fatigue was better tolerated, as women scoring severe levels of fatigue worked.

  10. Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health

    Science.gov (United States)

    2012-01-01

    Background Women with fibromyalgia (FM) describe great difficulties in managing work. Reported work ability in women with FM varies from 34 to 77 percent in studies from different countries. Many factors are suggested to affect the ability to work in women with FM, including pain, fatigue, impaired physical capacity and activity limitations. However, it is difficult to define to which extent symptom severity can be compatible with work. The aim of this study was to investigate which aspects of health differ between working women with FM and nonworking women with FM. Methods A cross-sectional study of 129 women of working age with FM which included clinical assessment, structured interviews, questionnaires and performance-based tests. The women were categorized as working or nonworking. Aspects of health are presented according to the International Classification of Functioning, Disability and Health (ICF). Results Working women with FM presented better health than nonworking women with FM in ratings of body function (FIQ pain p FIQ fatigue p = 0.006, FIQ stiffness p = 0.009, HADS-Depression p = 0.007). Ratings of overall health status were also significantly better in working women with FM than in nonworking women with FM (FIQ total, eight-item p = 0.001 and SF-36 PCS p FIQ pain was an independent explanatory factor for work in stepwise multiple logistic regression analysis (OR 0.95, CI 0.93- 0.98), p < 0.001. Conclusion Working women with FM reported better health than nonworking women with FM in terms of pain, fatigue, stiffness, depression, disease specific health status and physical aspects of quality of life, which represent body functions and overall health status. However, they were equally impaired in tests of physical capacity. Moderate pain levels were compatible with work, while severe pain appeared to compromise work. Fatigue was better tolerated, as women scoring severe levels of fatigue worked. PMID:23237146

  11. Psychological and sociological aspects of parenting and their relation to suicidal behavior.

    Science.gov (United States)

    Flouri, Eirini

    2005-01-01

    The article reviews the evidence on the role of childhood adversities, family structure, and parenting in youth suicidal behavior, and suggests that future suicide research could benefit from investigating how parenting can protect against suicidal behavior in young people at risk. It discusses how empirical studies have moved from routinely including various operationalizations of "non-optimal" parenting as a "risk factor" for adolescent suicidal behavior to identifying pathways of influence and buffer effects. It argues that measures (both at the micro and the macro level) that target vulnerable populations such as parents with weak material and social resources, low social and emotional support, mental health problems and few networks, and high-risk children might be beneficial in preventing youth suicidal behaviors.

  12. Microbiological aspects related to the feasibility of PEF technology for food pasteurization.

    Science.gov (United States)

    Saldaña, G; Álvarez, I; Condón, S; Raso, J

    2014-01-01

    Processing unit operations that seek to inactivate harmful microorganisms are of primary importance in ascertaining the safety of food. The capability of pulsed electric fields (PEF) to inactivate vegetative cells of microorganisms at temperatures below those used in thermal processing makes this technology very attractive as a nonthermal pasteurization process for the food industry. Commercial exploitation of this technology for food pasteurization requires the identification of the most PEF-resistant microorganisms that are of concern to public health. Then, the treatment conditions applicable at industrial scale that would reduce the population of these microorganisms to a level that guarantees food safety must be defined. The objective of this paper is to critically compile recent, relevant knowledge with the purpose of enhancing the feasibility of using PEF technology for food pasteurization and underlining the required research for designing PEF pasteurization processes.

  13. Health Aspects of Adolescent Sex, 1982. Hearing before the Subcommittee on Aging, Family and Human Services of the Committee on Labor and Human Resources. United States Senate, Ninety-Seventh Congress, Second Session on Examination of the Alarming Increase in the Rate of Sexual Relations among Adolescents.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    These hearings begin with an opening statement by Senator Jeremiah Denton, which highlights the concerns of this hearing and introduces discussion panel participants: the Honorable Gordon J. Humphrey, U.S. Senator from New Hampshire; Herbert Ratner, former public health officer and editor of Child and Family Quarterly; Adele Hofmann, director,…

  14. Epidemiology & preventive aspects of railway suicides and fatalities related to trespassing accidents.

    Science.gov (United States)

    Kumar, Sachil; Verma, Anoop K; Bhattacharya, Sandeep; Singh, Uma Shankar

    2013-11-01

    Suicide and trespass are major contributors to risk on the railway, resulting in around 170-180 fatalities per year in Lucknow region, as well as associated major disruption to the rail network. Lucknow is the capital city of the state of Uttar Pradesh in India. The analysis included train-pedestrian fatalities during 2007-2012. The data for 2007-2012 were collected from the autopsy reports of the university, case sheets from the hospital, the general prosecutor's investigations report and the inquest reports from police. The results show that the majority of victims were males. Half of the suicide victims were 20-39 years old. Accidents happened most frequently in situations when a person was walking on the tracks/in front of train (22.7%) or were crossing the tracks illegally (20.9%). Among all train-pedestrian fatalities, about half of the victims (42.8%) were intoxicated by alcohol. Female suicide victims suffered from mental health problems more frequently (55.8%) than male suicide victims. Overall, there is no reason to believe that train-pedestrian fatalities are unavoidable. By contrast, the effective prevention of railway suicides and accidents should be based on a systems approach involving effective measures introduces by several organisations such as government, railway organisations, various authorities (such as public health, education, enforcement, urban planning) and communities. Same measures can often be used to prevent both trespassing and suicides, even though their effectiveness may depend on the target group. In addition, there are measures specifically targeted to prevent either trespassing or suicides. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  15. Health aspects of Arctic exploration – Alaska's medical history based on the research files of Dr. Robert Fortuine

    Directory of Open Access Journals (Sweden)

    Kathleen Murray

    2013-08-01

    Full Text Available Background . Robert Fortuine provided basic medical care to Alaska Native people, chronicled the Health Aspects of Arctic Exploration and through a number of influential publications, was the first to thoroughly document and analyse Alaska's Medical History. This overview of his published work will provide the reader with a detailed overview, so that they can begin to explore Dr. Fortuine's many published works in more detail. Objective . This review will explore Alaska's Medical History and the Health Aspects of Arctic Exploration through the research files and the 10 most significant publications of Dr. Robert Fortuine. Design . Review of Dr. Fortuine's major works and the master bibliography has over 3,000 references and 81 subjects. The master bibliography is a merger of 55 separate bibliographies, which provides a wealth of bibliographic information. This paper will describe his 10 most significant publications, 2 of which began as a journal issue. Results . Dr. Fortuine was a prolific writer throughout his career, publishing 134 articles and books. He wrote papers and books on Alaska's medical history, tuberculosis and health care delivery from Russian–America through the Public Health Service efforts in the territory and then the State of Alaska. The master bibliography has over 3,000 references and 81 subjects. This list has a significant number of entries for tuberculosis with almost one-third of the entries including this heading. Others dwell on the history of “pre-contact” health, the history of Alaska Native health care, the history of the Alaska Department of Health, especially the tuberculosis programme, the role of the US Public Health Service and traditional medicine. He completely reviewed every Governors’ and the US Surgeon General's reports in regard to Alaska content. This paper describes his 10 most significant publications. Conclusions . Robert Fortuine's published works offer a wealth of information and insight

  16. [SOME ASPECTS OF URBAN POPULATION AWARENESS ABOUT JOINT RESPONSIBILITY FOR OWN HEALTH].

    Science.gov (United States)

    Dauletkaliyeva, Z; Kulov, D; Sergaliyev, T; Syzdykov, M; Abdrakhmanov, K

    2016-01-01

    One of the key goals of public health policy is to improve the joint responsibility of the population in the promotion of their health. In this context, the aim of this study was to determine the public opinion poll on attitudes to own health and to health care. Total covered 450 people, aged 18 to 60 years. The share of women was 60.0%, men - 40.0%. Almost half of respondents (47.0%) had higher education, 36.0% - specialized secondary education and 17.0% - secondary education. More than half (60.0%) of respondents were employed in the production of intellectual work, 40.0% - individuals, over ⅔ (67.2%) of the respondents at the time of the survey had a family. As a result of self-rated health, a third (35.6%) of the respondents rated their health as good to excellent. Men are more often evaluated positively their health than women. Persons engaged in mental labor rarely considered themselves unhealthy than engaged in the production of physical labor. The majority of respondents agree that the health - the most important thing in life (82.9%), for young people it is not significant and is ranked only third place (4.7%), giving primacy of material well-being (73.7%), and the appearance of the human (15.8%). They also found that the higher the education level, the more demanding patients to themselves as responsible for the health and the quality of medical services provided by the clinic. The bulk of the population doesn't want to part with the usual attributes inherent in the current system of public health (69.6%) state and free. With the introduction of compulsory health insurance of the population is afraid of losing with the innovations at least minimal social guarantees for the protection of health.

  17. Parental influence on children's oral health-related behavior.

    Science.gov (United States)

    Poutanen, Raija; Lahti, Satu; Tolvanen, Mimmi; Hausen, Hannu

    2006-10-01

    The aim of this study was to determine whether there are differences between oral health-related knowledge, attitudes, beliefs and behaviors of children and their parents, and to identify the family-related factors associated with children's poor or good oral health-related behavior. The data were gathered by means of questionnaires from 11-12-year-old schoolchildren and their parents who replied without having knowledge of the answers of the others. Differences between subgroups of children were analyzed by cross-tabulation, and the factors related to children's good or poor oral health-related behavior by logistic regression analyses. Parents of children who reported good oral health-related behavior had better knowledge and more favorable behaviors than those of other parents. Predictors for a child's poor oral health-related behavior were the child's poor knowledge, male gender, the parent's frequent consumption of sweets, and the parent's infrequent use of xylitol gum. When a less strict threshold for the child's poor oral health-related behavior was used, more predictors entered the model: the parent's unfavorable use of fluoride toothpaste; among girls, the parent's lack of knowledge; and among children whose mother's occupation level was high, the parent's infrequent use of xylitol gum. The parents of children whose oral health behavior was favorable were more likely to have a high level occupation and favorable oral health-related behaviors. Oral health-related knowledge of children and their parents seems to be associated with children's oral health-related behavior. Parents' behaviors, but not attitudes, were associated with children's oral health behavior.

  18. Multimodal aspects of CSR communication related to gender empowerment and environmental protection

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    Purpose – This paper explores how the multimodal persuasive strategies of CSR communication related to Coca-Cola’s “5 by 20” succeed to highlight the company’s continuous commitment to gender empowerment and environmental protection. Launched in 2010, “5 by 20” is a program designed to empower 5...... million female entrepreneurs throughout the company’s global business system by 2020. The program has recently received 2013 Catalyst Award for its accomplishments. According to the company’s homepage, hundreds of thousands of women around the world are building stronger businesses, families...... and communities due to the implementation of this program. The environmental concerns are embedded in their activities. Approach – Drawing on an interdisciplinary methodological framework related to CSR communication, multimodal discourse analysis, gender theory and environmental communication, the paper proposes...

  19. Distinct aspects of frontal lobe structure mediate age-related differences in fluid intelligence and multitasking

    Science.gov (United States)

    Kievit, Rogier A.; Davis, Simon W.; Mitchell, Daniel J.; Taylor, Jason R.; Duncan, John; Tyler, Lorraine K.; Brayne, Carol; Bullmore, Ed; Calder, Andrew; Cusack, Rhodri; Dalgleish, Tim; Matthews, Fiona; Marslen-Wilson, William; Rowe, James; Shafto, Meredith; Campbell, Karen; Cheung, Teresa; Geerligs, Linda; McCarrey, Anna; Tsvetanov, Kamen; Williams, Nitin; Bates, Lauren; Emery, Tina; Erzinçlioglu, Sharon; Gadie, Andrew; Gerbase, Sofia; Georgieva, Stanimira; Hanley, Claire; Parkin, Beth; Troy, David; Allen, Jodie; Amery, Gillian; Amunts, Liana; Barcroft, Anne; Castle, Amanda; Dias, Cheryl; Dowrick, Jonathan; Fair, Melissa; Fisher, Hayley; Goulding, Anna; Grewal, Adarsh; Hale, Geoff; Hilton, Andrew; Johnson, Frances; Johnston, Patricia; Kavanagh-Williamson, Thea; Kwasniewska, Magdalena; McMinn, Alison; Norman, Kim; Penrose, Jessica; Roby, Fiona; Rowland, Diane; Sargeant, John; Squire, Maggie; Stevens, Beth; Stoddart, Aldabra; Stone, Cheryl; Thompson, Tracy; Yazlik, Ozlem; Barnes, Dan; Dixon, Marie; Hillman, Jaya; Mitchell, Joanne; Villis, Laura; Henson, Richard N.A.

    2014-01-01

    Ageing is characterized by declines on a variety of cognitive measures. These declines are often attributed to a general, unitary underlying cause, such as a reduction in executive function owing to atrophy of the prefrontal cortex. However, age-related changes are likely multifactorial, and the relationship between neural changes and cognitive measures is not well-understood. Here we address this in a large (N=567), population-based sample drawn from the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) data. We relate fluid intelligence and multitasking to multiple brain measures, including grey matter in various prefrontal regions and white matter integrity connecting those regions. We show that multitasking and fluid intelligence are separable cognitive abilities, with differential sensitivities to age, which are mediated by distinct neural subsystems that show different prediction in older versus younger individuals. These results suggest that prefrontal ageing is a manifold process demanding multifaceted models of neurocognitive ageing. PMID:25519467

  20. Absolute and Relative Socioeconomic Health Inequalities across Age Groups

    NARCIS (Netherlands)

    van Zon, Sander K. R.; Bultmann, Ute; de Leon, Carlos F. Mendes; Reijneveld, Sijmen A.

    2015-01-01

    Background The magnitude of socioeconomic health inequalities differs across age groups. It is less clear whether socioeconomic health inequalities differ across age groups by other factors that are known to affect the relation between socioeconomic position and health, like the indicator of

  1. Comparison of knowledge of and attitudes toward dementia between health-related and non-health-related university students.

    Science.gov (United States)

    Yong, Mi-Hyun; Yoo, Chan-Uk; Yang, Yeong-Ae

    2015-12-01

    [Purpose] This study compared the knowledge of and attitudes toward dementia between health-related and non-health-related students. [Subjects] The subjects consisted of a total of 416 people, 213 health-related students and 203 non-health-related students, at K University, which is located in Gyeongsangbuk-do, Republic of Korea, between May 1 and 14, 2014. [Methods] The subjects answered a self-administered questionnaire about their knowledge of and attitudes toward dementia. [Results] There was a significant difference in knowledge of and attitudes toward dementia between the two groups examined. [Conclusion] Health-related students displayed higher knowledge of dementia and a more positive attitude toward dementia compared with non-health-related students. In the future, education to cultivate professional knowledge about dementia and enhance positive attitudes toward dementia should be provided continuously to health-related students. This is because students in health-related fields will likely provide services to patients with dementia in the clinical field. Additionally, as they will likely provide support to the elderly in the future, non-health-related students also need to be educated about and develop positive attitudes toward dementia.

  2. Contemporary paradigms for research related to women's mental health.

    Science.gov (United States)

    Doucet, Shelley Anne; Letourneau, Nicole Lyn; Stoppard, Janet M

    2010-04-01

    Mental health problems are serious health concerns that affect women across diverse settings internationally. Knowledge of this population historically has been informed by research using a positivist approach. This article is a critical examination of contemporary paradigms for research related to women's mental health. We begin the article with an introduction to women's mental health, followed by an overview of the postpositivist, critical theory, and constructivist paradigms. We then present a critical examination of the benefits and limitations of these paradigms in relation to the study of women's mental health. We conclude with implications for research and practice.

  3. Do health-related feared possible selves motivate healthy eating?

    Directory of Open Access Journals (Sweden)

    Samar Noureddine

    2014-01-01

    Full Text Available The question of what motivates individuals to assume healthy eating habits remains unanswered. The purpose of this descriptive survey is to explore health-related feared possible selves in relation to dietary beliefs and behavior in adults. A convenience sample of 74 middle-aged employees of a health maintenance organization completed self-administered questionnaires. Health-related feared selves, current health perception, knowledge of diet-health association, dietary self-efficacy, dietary intention and intake were measured. Health-related fears were the most frequently reported feared selves, but very few of those represented illnesses and none were related to dietary intake. The number of health and body weight related fears was significantly associated with lower dietary self-efficacy and weaker intention to eat in a healthy manner. Multivariate analysis showed self-efficacy to be the only significant predictor of dietary intention. These adults may not have perceived being at risk for diet-associated illnesses, and so their feared selves did not motivate them to eat in a healthy manner. Research on the effect of hoped for health related possible selves and the perceived effectiveness of diet in reducing health risk are recommended.

  4. School-Based Educational Intervention to Improve Children's Oral Health-Related Knowledge.

    Science.gov (United States)

    Blake, Holly; Dawett, Bhupinder; Leighton, Paul; Rose-Brady, Laura; Deery, Chris

    2015-07-01

    To evaluate a brief oral health promotion intervention delivered in schools by a primary care dental practice, aimed at changing oral health care knowledge and oral health-related behaviors in children. Cohort study with pretest-posttest design. Three primary schools. One hundred and fifty children (aged 9-12 years). Children received a 60-minute theory-driven classroom-based interactive educational session delivered by a dental care professional and received take-home literature on oral health. All children completed a questionnaire on oral health-related knowledge and self-reported oral health-related behaviors before, immediately after, and 6 weeks following the intervention. Children's dental knowledge significantly improved following the intervention, with improvement evident at immediate follow-up and maintained 6 weeks later. Significantly more children reported using dental floss 6 weeks after the intervention compared with baseline. No significant differences were detected in toothbrushing or dietary behaviors. School-based preventative oral health education delivered by primary care dental practices can generate short-term improvements in children's knowledge of oral health and some aspects of oral hygiene behavior. Future research should engage parents/carers and include objective clinical and behavioral outcomes in controlled study designs. © 2014 Society for Public Health Education.

  5. Gender relations and health research: a review of current practices

    Directory of Open Access Journals (Sweden)

    Bottorff Joan L

    2011-12-01

    Full Text Available Abstract Introduction The importance of gender in understanding health practices and illness experiences is increasingly recognized, and key to this work is a better understanding of the application of gender relations. The influence of masculinities and femininities, and the interplay within and between them manifests within relations and interactions among couples, family members and peers to influence health behaviours and outcomes. Methods To explore how conceptualizations of gender relations have been integrated in health research a scoping review of the existing literature was conducted. The key terms gender relations, gender interactions, relations gender, partner communication, femininities and masculinities were used to search online databases. Results Through analysis of this literature we identified two main ways gender relations were integrated in health research: a as emergent findings; and b as a basis for research design. In the latter, gender relations are included in conceptual frameworks, guide data collection and are used to direct data analysis. Conclusions Current uses of gender relations are typically positioned within intimate heterosexual couples whereby single narratives (i.e., either men or women are used to explore the influence and/or impact of intimate partner gender relations on health and illness issues. Recommendations for advancing gender relations and health research are discussed. This research has the potential to reduce gender inequities in health.

  6. A new aspect of chronic pain as a lifestyle-related disease

    Directory of Open Access Journals (Sweden)

    Emiko Senba

    2017-01-01

    Full Text Available Physical exercise has been established as a low-cost, safe, and effective way to manage chronic intractable pain. We investigated the underlying mechanisms of exercise-induced hypoalgesia (EIH using a mouse model of neuropathic pain (NPP. Epigenetic changes in activated microglia and maintained GABA synthesis in the spinal dorsal horn may contribute to EIH. Voluntary exercise (VE, a strong reward for animals, also induced EIH, which may be due in part to the activation of dopamine (DA neurons in the ventral tegmental area (VTA. VE increases the expression of pCREB in dopaminergic neurons in the VTA, which would enhance dopamine production, and thereby contributes to the activation of the mesolimbic reward system in NPP model mice. We demonstrated that neurons in the laterodorsal tegmental and pedunculopontine tegmental nuclei, a major input source of rewarding stimuli to the VTA, were activated by exercise.Chronic pain is at least partly attributed to sedentary and inactive lifestyle as indicated by the Fear-avoidance model. Therefore, chronic pain could be recognized as a lifestyle-related disease. Physical activity/inactivity may be determined by genetic/epigenetic and neural factors encoded in our brain. The hypothalamus and reward system is closely related in the axis of food intake, energy metabolism and physical activity. Understanding the interactions between the mesolimbic DA system and the hypothalamus that sense and regulate energy balance is thus of significant importance. For example, proopiomelanocortin neurons and melanocortin 4 receptors may play a role in connecting these two systems. Therefore, in a certain sense, chronic pain and obesity may share common behavioral and neural pathology, i.e. physical inactivity, as a result of inactivation of the mesolimbic DA system. Exercise and increasing physical activity in daily life may be important in treating and preventing chronic pain, a life-style related disease. Keywords: Exercise

  7. Age-related aspects of cutaneous wound healing: a mini-review.

    Science.gov (United States)

    Sgonc, Roswitha; Gruber, Johann

    2013-01-01

    As the aging population in developed countries is growing in both numbers and percentage, the medical, social, and economic burdens posed by nonhealing wounds are increasing. Hence, it is all the more important to understand the mechanisms underlying age-related impairments in wound healing. The purpose of this article is to give a concise overview of (1) normal wound healing, (2) alterations in aging skin that have an impact on wound repair, (3) alterations in the repair process of aged skin, and (4) general factors associated with old age that might impair wound healing, with a focus on the literature of the last 10 years. Copyright © 2012 S. Karger AG, Basel.

  8. Requirements Relating To Manufacturing Constructions In The Aspect Of Conducting Ultrasonic Testing

    Directory of Open Access Journals (Sweden)

    Kaczmarek R.

    2015-09-01

    Full Text Available Basic factors which have an influence on conducting manual ultrasonic testing of joints in the welded constructions are presented in the following article. These factors are specified on the base of the guidelines referring to conditions and methods of carrying out examinations which are currently in force in the following standards PN-EN ISO 17640 and PN-EN ISO 22825. Due to the vastness of subject of ultrasonic testing the main aim of the following article is to collect all important information which relates to design and manufacture of constructions and has a key influence on the following examinations.

  9. Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health.

    Science.gov (United States)

    Palstam, Annie; Bjersing, Jan L; Mannerkorpi, Kaisa

    2012-12-14

    Women with fibromyalgia (FM) describe great difficulties in managing work. Reported work ability in women with FM varies from 34 to 77 percent in studies from different countries. Many factors are suggested to affect the ability to work in women with FM, including pain, fatigue, impaired physical capacity and activity limitations. However, it is difficult to define to which extent symptom severity can be compatible with work. The aim of this study was to investigate which aspects of health differ between working women with FM and nonworking women with FM. A cross-sectional study of 129 women of working age with FM which included clinical assessment, structured interviews, questionnaires and performance-based tests. The women were categorized as working or nonworking. Aspects of health are presented according to the International Classification of Functioning, Disability and Health (ICF). Working women with FM presented better health than nonworking women with FM in ratings of body function (FIQ pain p working women with FM than in nonworking women with FM (FIQ total, eight-item p = 0.001 and SF-36 PCS p working- and nonworking women in tests of physical capacity. FIQ pain was an independent explanatory factor for work in stepwise multiple logistic regression analysis (OR 0.95, CI 0.93- 0.98), p Working women with FM reported better health than nonworking women with FM in terms of pain, fatigue, stiffness, depression, disease specific health status and physical aspects of quality of life, which represent body functions and overall health status. However, they were equally impaired in tests of physical capacity. Moderate pain levels were compatible with work, while severe pain appeared to compromise work. Fatigue was better tolerated, as women scoring severe levels of fatigue worked.

  10. [ASPECTS OF HEALTH-SAVING MOTIVATION IN CHILDREN OF THE PRESCHOOL GROUP].

    Science.gov (United States)

    Grosheva, E S; Kartysheva, S I; Popova, O A

    2015-01-01

    The problem of education of culture of health in children ofpreschool age is actual and sufficiently complicated. It is important at this age stage to create in children the first knowledge and practical skills of a healthy lifestyle. The example of parents has considerable impact on adoption of health saving behavior of a child. For identification of motivations of parents in the sphere of protection and strengthening of health of their children there was performed questionnaire survey of parents of preschool children according to specially developed questionnaire. A half of parents are established to be unable to devote sufficient time to health of the child due to engrossment. A considerable portion of parents doesn't keep a healthy lifestyle, differs in low medical and sports activity. The main motivation of parents is the motivation on recovery of the child after the disease, but not on preservation, strengthening and development of health.

  11. [A framework for evaluating ethical issues of public health initiatives: practical aspects and theoretical implications].

    Science.gov (United States)

    Petrini, Carlo

    2015-01-01

    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.

  12. Correlates of health-related social media use among adults.

    Science.gov (United States)

    Thackeray, Rosemary; Crookston, Benjamin T; West, Joshua H

    2013-01-30

    Sixty percent of Internet users report using the Internet to look for health information. Social media sites are emerging as a potential source for online health information. However, little is known about how people use social media for such purposes. The purpose of this study was two-fold: (1) to establish the frequency of various types of online health-seeking behaviors, and (2) to identify correlates of 2 health-related online activities, social networking sites (SNS) for health-related activities and consulting online user-generated content for answers about health care providers, health facilities, or medical treatment. The study consisted of a telephone survey of 1745 adults who reported going online to look for health-related information. Four subscales were created to measure use of online resources for (1) using SNS for health-related activities; (2) consulting online rankings and reviews of doctors, hospitals or medical facilities, and drugs or medical treatments; (3) posting a review online of doctors, hospitals or medical facilities, and drugs or medical treatments, and (4) posting a comment or question about health or medical issues on various social media. Univariate and multivariate logistic regression analyses were performed. Respondents consulted online rankings or reviews (41.15%), used SNS for health (31.58%), posted reviews (9.9%1), and posted a comment, question, or information (15.19%). Respondents with a chronic disease were nearly twice as likely to consult online rankings (odds ratio [OR] 2.09, 95% CI 1.66-2.63, Psocial media for seeking health information. However, individuals are more likely to consume information than they are to contribute to the dialog. The inherent value of "social" in social media is not being captured with online health information seeking. People with a regular health care provider, chronic disease, and those in younger age groups are more likely to consult online rankings and reviews and use SNS for health-related

  13. Heritability of health-related quality of life

    DEFF Research Database (Denmark)

    Steenstrup, Troels; Pedersen, Ole Birger; Hjelmborg, Jacob

    2013-01-01

    Aim: The present study aims to estimate the relative importance of genetic and environmental factors for health-related quality of life (HRQL) measured by the 12-item Short-Form Health Survey (SF-12). Methods: The study was based on two Danish twin cohorts (46,417 twin individuals) originating from...

  14. Perceived job demands relate to self-reported health complaints

    NARCIS (Netherlands)

    Roelen, C.A.M.; Schreuder, K.J.; Koopmans, P.C.; Groothoff, J.W.

    Background Illness and illness behaviour are important problems in the Dutch workforce. Illness has been associated with job demands, with high demands relating to poorer health. It has not been reported whether subjective health complaints relate to job demands. Aims To investigate whether

  15. Functional Body Composition and Related Aspects in Research on Obesity and Cachexia

    Science.gov (United States)

    Müller, M.J.; Baracos, V.; Bosy-Westphal, A.; Dulloo, A.; Eckel, J.; Fearon, K.C.H.; Hall, K.D.; Pietrobelli, A.; Sørensen, T.I.A.; Speakman, J.; Trayhurn, P.; Visser, M.; Heymsfield, S.B.

    2014-01-01

    The 12th Stock Conference addressed body composition and related functions in two extreme situations, obesity and cancer cachexia. The concept of “functional body composition” integrates body components into regulatory systems relating the mass of organs and tissues to corresponding in vivo functions and metabolic processes. This concept adds to an understanding of organ/tissue mass and function in the context of metabolic adaptations to weight change and disease. During weight gain and loss there are associated changes in individual body components while the relationships between organ and tissue mass are fixed. Thus, an understanding of weight regulation involves an examination of organ-tissue regulation rather than of individual organ mass. The between organ/tissue mass relationships are associated with and explained by cross-talk between organs and tissues mediated by cytokines, hormones, and metabolites that are coupled with changes in body weight, composition, and function as observed in obesity and cancer cachexia. In addition to established roles in intermediary metabolism, cell function and inflammation, organ-tissue cross-talk mediators are determinants of body composition and its’ change with weight gain and loss. The 12th Stock Conference supported Michael Stocks’ concept of gaining new insights by integrating research ideas from obesity and cancer cachexia. The conference presentations provide an in-depth understanding of body composition and metabolism. PMID:24835453

  16. Jung's Red Book and its relation to aspects of German idealism.

    Science.gov (United States)

    Bishop, Paul

    2012-06-01

    The late nineteenth century saw a renaissance of interest in the thought of the German Romantic philosopher, F.W.J. Schelling. This paper takes Jung's engagement with Schelling and his awareness of Schellingian ideas and interests (notably, the mysterious Kabeiroi worshipped at Samothrace) as its starting-point. It goes on to argue that a key set of problematics in German Idealism - the relation between freedom and necessity, between science and art, and ultimately between realism and idealism - offers a useful conceptual framework within which to approach Jung's Red Book. For the problem of the ideal is central to this work, which can be read as a journey from eternal ideals to the ideal of eternity. (Although the term 'idealism' has at least four distinct meanings, their distinct senses can be related in different ways to Jung's thinking.) The eloquent embrace of idealism by F.T. Vischer in a novel, Auch Einer, for which Jung had the highest praise, reminds us of the persistence of this tradition, which is still contested and debated in the present day. © 2012, The Society of Analytical Psychology.

  17. Biochemical aspects of the neoplastic cell in relation to positive indicators

    International Nuclear Information System (INIS)

    Strom, R.

    1975-01-01

    In scintigraphic diagnoses with positive indicators, the capacity of these indicators to fix themselves or to selectively concentrate in the neoplastic tissue is utilized. This selectivity could be due to several biochemical peculiarities of the tumor cells in relation to surrounding cells: the presence on the membrane of particular chemical groups which allow these cells to invade adjacent tissue without being subject to contact inhibition; the presence on these same membranes of antigenic determinants which are particular to these cells and which can be revealed with specific antibodies; a high concentration of nucleic acid in tumor cells, with the associated possibility of fixing substances having a particular tropism for nucleic acids or for their chemical constituents; an elevated rate of nucleic acid synthesis, with an associated increase in the incorporation of precursors and also of substances which specifically interfere with this biochemical pathway; in numerous cases, tumor cells produce high quantities of acidic metabolites which must be neutralized by equivalent quantities of anions, the latter entering the cells by active transport phenomena; in tumors which develop particularly rapidly, there is a development of degenerative processes with an accumulation of degradation products; in metastatic tumors, the cells have metabolic and biosynthetic activities which are a function of the original tissue, with the possiblity of a clear metabolic difference in relation to adjacent tissues [fr

  18. [Follicular gastritis in adults. Relations with Helicobacter pylori, histological and endoscopic aspects].

    Science.gov (United States)

    Zerbib, F; Vialette, G; Cayla, R; Rudelli, A; Sauvet, P; Bechade, D; Seurat, P L; Lamouliatte, H

    1993-01-01

    Follicular gastritis (FG) is characterized by lymphoid follicle hyperplasia in the gastric mucosa. The aim of this prospective study was to determine the prevalence of FG in adults, their relation to Helicobacter pylori infection, and their histological and endoscopic features. Of 445 patients (379 men, 66 women), 36.4 years old (range: 18-86), FG was detected in 63 patients (14.2%). This was highly significantly associated with H. pylori infection: 49/138 infected patients (35.5%) versus 14/307 non infected patients (4.6%) (P < 0.001). None of the histological features of the antral mucosa were correlated with FG. The prevalence of FG in patients less than 20 years old (in 45.4%) and between 20 and 40 years (in 41.3%) was higher than in patients aged from 40 to 60 years (in 33%) and older than 60 years (in 23%) (no significant difference). No one endoscopic feature of the gastric mucosa was predictive of the presence of FG. We conclude that FG is highly correlated with H. pylori infection and represents a local immune response to bacterial antigens. Their occurrence is probably multifactorial and related to age, duration of infection, bacterial strains, host immune status.

  19. Avaliação das condições de trabalho, treinamento, saúde e segurança de brigadistas de combate a incêndios florestais em unidades de conservação do Distrito Federal: estudo de caso Evaluation of job conditions and aspects related to training, health and safety of the forest fire crew members at Distrito Federal

    Directory of Open Access Journals (Sweden)

    Nilton César Fiedler

    2006-02-01

    Full Text Available Este estudo teve como objetivo avaliar as condições de trabalho, treinamento, saúde e segurança dos brigadistas de combate a incêndios florestais no Distrito Federal. A pesquisa foi realizada nas Unidades de Conservação da Fazenda Água Limpa, Reserva Ecológica do Instituto Brasileiro de Geografia e Estatística e Instituto Jardim Botânico de Brasília. A coleta de dados foi feita com a aplicação de um questionário em forma de entrevista individual. Participaram da avaliação todos os 53 brigadistas das Unidades de Conservação. De acordo com os resultados, a brigada do Jardim Botânico de Brasília tinha significativo porcentual de treinados (92,8%, todos com cursos de primeiros socorros, e um alto porcentual de trabalhadores com problemas de saúde (33,3%. Os brigadistas da Reserva Ecológica do IBGE exerciam, em sua grande maioria, o trabalho por gosto pela atividade (84,6%, eram bem treinados (92,3% e todos participaram de cursos de primeiros socorros, sendo o porcentual de acidentes o mais baixo (7,7%. Na brigada da Fazenda Água Limpa foram encontrados os menores porcentuais de treinados (39,1%, maiores porcentuais de acidentes (17,4%, menores porcentuais de pessoas que exerciam a função por gosto pela atividade (30,4% e menores porcentuais de pessoas com problemas de saúde (8,7%. A grande maioria dos brigadistas nas três Unidades de Conservação ressaltou a questão da necessidade de regulamentação das brigadas e atentou para a insatisfação quanto aos equipamentos de proteção individual utilizados e inadequada reposição.The objective of this work was to evaluate the job conditions and aspects related to training, health and safety of forest fire crew members at Distrito Federal. The work was carried out in some Protected Areas including Água Limpa Farm, Ecological Reserve of Brazilian Institute of Geography and Statistics (IBGE and Brasília Botanical Garden. The data was collected through individual interviews

  20. Dental health economics and diagnosis related groups/casemix in Indonesian dentistry

    Directory of Open Access Journals (Sweden)

    Ronnie Rivany

    2009-12-01

    Full Text Available Background: Dental Health Economics is a branch of transdiciplinary science that refers to the Economic and Public Health science. On the other hand, in other developed countries, Diagnosis Related Groups (DRG’s /Casemix has been used as a basic in creating the same perception between providers, patients and insurance companies in many aspects such as health planning, healthcare financing and quality assurance. Purpose: The objective of this review is to propose a new paradigm of economics to be applied in Indonesian Dentistry. Reviews: The Dental Health Economics should be considered as an important aspect in Indonesian Dentistry, which is used to determine the dental treatment fee based on unit cost, cost containment, and cost recovery rate analysis. Referring to Australian Refined Diagnosis Related Group, health care industry in Indonesia has starting to try a more structured way in grouping disease pattern in order to come up with more precise health care services to their patients. The on going development of Indonesian DRG’s is meant to confirm the disease pattern and partition. Conclusion: The development of Indonesian DRG’s concept, especially the Dental & Oral Disorders, needs a new paradigm, so the practitioners and academics could group and calculate the unit cost from each dental treatment according to the Indonesian DRG version (INA-DRG’s.

  1. ON HEALTH PROTECTION AND HEALTH RELATED PHYSICAL CULTURE TRAININGS OF FIRST YEAR STUDENTS

    OpenAIRE

    V.G. Fotynyuk

    2017-01-01

    Purpose: to assess health protection and health related physical culture trainings of first year students. Material: in the research first year students (n=121; 86 boys and 35girls of age 16 - 19 years, participated. Results: components of students’ individual health were found. Situation with health related physical culture trainings, ensuring students’ sound health and optimal functional potentials of their organisms were determined. It was found that leading role shall be played by formati...

  2. Self-Compassion in Relation to Self-Esteem, Self-Efficacy and Demographical Aspects

    Directory of Open Access Journals (Sweden)

    Luciana Karine de Souza

    2016-08-01

    Full Text Available Abstract This study investigated relationships between self-compassion, self-efficacy, and self-esteem, as well as age and sex differences and other sociodemographic variables in relation to self-compassion. Four-hundred and thirty-two Brazilian adults (50% women from nearly all country states participated in the study filling out a sociodemographic survey and three scales: self-compassion, self-efficacy, and self-esteem. Comparisons of means between self-compassion and pairs of groups designed by sociodemographic data showed higher self-compassion in men, people aged from 31 to 66 years-old, not under psychiatric medication, without a job, and with children. Results also showed that self-compassion is highly correlated with self-esteem and self-efficacy. We highlight that results are sample dependent and further studies on self-compassion need to be conducted in Brazil.

  3. Transportation safety aspects of ore and related material - inconsistencies in current exemption values

    International Nuclear Information System (INIS)

    Rawl, R.R.; Leggett, R.W.; Eckerman, K.F.; Cook, J.R.

    2004-01-01

    The IAEA's system for exemption of material from the transport regulations is based on the fundamental principle that exemption values should be commensurate with the risk posed by the material, as represented by effective dose and skin dose. Important departures from that principle as well as inconsistencies between exemption values for different radionuclides have resulted from special provisions for natural materials that depend on their intended use, and from exposure scenarios and other assumptions and rules used in the derivation of exemption values. This paper examines the sources and extent of inconsistencies in exemption values for transport, particularly as they relate to naturally occurring radionuclides, and suggests ways to achieve greater internal consistency in exemption values as well as greater consistency with the fundamental principle underlying the current system

  4. Materials-Related Aspects of Thermochemical Water and Carbon Dioxide Splitting: A Review

    Directory of Open Access Journals (Sweden)

    Robert Pitz-Paal

    2012-10-01

    Full Text Available Thermochemical multistep water- and CO2-splitting processes are promising options to face future energy problems. Particularly, the possible incorporation of solar power makes these processes sustainable and environmentally attractive since only water, CO2 and solar power are used; the concentrated solar energy is converted into storable and transportable fuels. One of the major barriers to technological success is the identification of suitable active materials like catalysts and redox materials exhibiting satisfactory durability, reactivity and efficiencies. Moreover, materials play an important role in the construction of key components and for the implementation in commercial solar plants. The most promising thermochemical water- and CO2-splitting processes are being described and discussed with respect to further development and future potential. The main materials-related challenges of those processes are being analyzed. Technical approaches and development progress in terms of solving them are addressed and assessed in this review.

  5. Some histopathological aspects of the disease related to IgG-4

    Directory of Open Access Journals (Sweden)

    Minerva Lazos-Ochoa

    2015-04-01

    Full Text Available The IgG4-related disease (IgG4-RD is a recurrent chronic fibroinflammatory disease, probably of autoimmune origin, recently recognised. Its diagnosis is based on a combination of clinical, radiological, serological, histopathological and immunohistochemical data. However, the histopathology is considered as the golden “standard” for diagnosis. In most of the cases, the sum of lymphoplasmacytic inflammatory infiltrate with abundant IgG4+ plasma cells, storiform fibrosis and obliterative phlebitis makes a reliable diagnosis. Patients usually show elevated serum IgG4 concentrations and respond well to steroid therapy. Nowadays, IgG4-RD has been described in almost every organ: pancreatobiliary tract, liver, salivary glands, nasopharynx, bone marrow, lacrimal gland, extra-ocular muscles and retrobulbar space, kidney, lung, lymph nodes, meninges, aorta, skin, breast, prostate, thyroid gland and pericardium.

  6. Structural and topological aspects of borophosphate glasses and their relation to physical properties

    DEFF Research Database (Denmark)

    Hermansen, Christian; Youngman, R.E.; Wang, J.

    2015-01-01

    We establish a topological model of alkali borophosphate and calcium borophosphate glasses that describes both the effect of the network formers and network modifiers on physical properties. We show that the glass transition temperature (Tg), Vickers hardness (HV), liquid fragility (m) and isobaric....... The origin of the effect of the type of network modifying oxide on Tg, HV, m and ΔCp of calcium borophosphate glasses is revealed in terms of the modifying ion sub-network. The same topological principles quantitatively explain the significant differences in physical properties between the alkali...... and the calcium borophosphate glasses. This work has implications for quantifying structure-property relations in complex glass forming systems containing several types of network forming and modifying oxides....

  7. Multimodal aspects of CSR communication related to gender empowerment and environmental protection

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    Purpose – This paper explores how the multimodal persuasive strategies of CSR communication related to Coca-Cola’s “5 by 20” succeed to highlight the company’s continuous commitment to gender empowerment and environmental protection. Launched in 2010, “5 by 20” is a program designed to empower 5...... as the usual textual focus is extended to a multimodal one. Shedding light on how the multimodal interplay contributes to communicate corporate commitment to gender empowerment and environmental protection, this model can also be employed in order to explore multimodally other areas of CSR communication....... a multimodal analysis model through which it is possible to map and explain the multimodal persuasive strategies employed by the company in their CSR communication. The paper is focused on the analysis of the video series that can be accessed at: http://www.coca-colacompany.com/stories/5by20. Based on a social...

  8. Safety aspects related to the radioactively contaminated forest areas in Belarus

    International Nuclear Information System (INIS)

    SULLIVAN, T.; GIBBS, B.; ANDERSSON, K.G.; ROED, J.; RYMKEVICH, V.; BREKKE, D.

    1998-01-01

    Doses currently received in Belarus through various pathways related to the contamination of forests are evaluated through calculations. A major pathway is, as expected, generally found to be the external radiation from a contaminated forest floor. Also other pathways may in some cases be highly significant. Generally, it is found that the dose contributions to people spending time in the contaminated forest or consuming forest products are highest, whereas for instance doses received from domestic use of fire-wood are found to be negligible. Recommendations for storage of waste from combustion plants fired with radioactive forest material are also given, together with an estimate of the specific activity of the waste to be disposed of

  9. The Theoretical and Practical Aspects of Forming the Financial Support for the Health Care System

    Directory of Open Access Journals (Sweden)

    Goncharuk Svitlana M.

    2017-04-01

    Full Text Available The objectives of the article are: defining the theoretical and methodological foundations for financial support for health care institutions; disclosure of the concept and substance of the targeted budget programs in the health care system; a critical analysis of the current practice in the use of performance indicators for the targeted budget programs; improving the methods for managerial decision-making in the course of implementation of the targeted budget programs; determining ways to improve the effectiveness and efficiency of the targeted budget programs in the health care system. In order to develop the health care sector, there’s a necessity to define the order and mechanisms for the priority financing, as well as the personnel and material-technical provision of health care institutions. There is also a need for the State support and regulation of an adequate financing for health care programs to achieve equal access in different regions of Ukraine. It is important further to define the specifics of the health sector’s targeted programs that will facilitate management of them.

  10. School-Based Health Education Programmes, Health-Learning Capacity and Child Oral Health--related Quality of Life

    Science.gov (United States)

    Freeman, Ruth; Gibson, Barry; Humphris, Gerry; Leonard, Helen; Yuan, Siyang; Whelton, Helen

    2016-01-01

    Objective: To use a model of health learning to examine the role of health-learning capacity and the effect of a school-based oral health education intervention (Winning Smiles) on the health outcome, child oral health-related quality of life (COHRQoL). Setting: Primary schools, high social deprivation, Ireland/Northern Ireland. Design: Cluster…

  11. Stigma-related mental health knowledge and attitudes among primary health workers and community health volunteers in rural Kenya

    NARCIS (Netherlands)

    Mutiso, Victoria N.; Musyimi, Christine W.; Nayak, Sameera S.; Musau, Abednego M.; Rebello, Tahilia; Nandoya, Erick; Tele, Albert K.; Pike, Kathleen; Ndetei, David M.

    2017-01-01

    Background: The study was conducted in rural Kenya and assessed stigma in health workers from primary health facilities. Aims: This study compared variations in stigma-related mental health knowledge and attitudes between primary health workers (HWs) and community health volunteers (CHVs). Methods:

  12. [Legal aspects of the health care institution liability for nosocomial infections].

    Science.gov (United States)

    Garus-Pakowska, Anna; Szatko, Franciszek; Pakowski, Maciej

    2009-01-01

    In this paper, the basic concepts concerning the liability of health care institution for nosocomial infections are presented. The principles of ex contracto and ex delicto liabilities, as well as the concept of so-called anonymous guilt are discussed. The range of duties for both the health care institution and the employed medical personnel is indicated, the duties and the consequences of their non-fulfillment are systematized, and the obligatory jurisdiction concerning the functioning of prima facie evidence is considered. The author aimed at explaining the principles governing the civil liability of health care institutions and their employees.

  13. Health locus of control, acculturation, and health-related Internet use among Latinas.

    Science.gov (United States)

    Roncancio, Angelica M; Berenson, Abbey B; Rahman, Mahbubur

    2012-01-01

    Among individuals residing in the United States, the Internet is the third most used source for obtaining health information. Little is known, however, about its use by Latinas. To understand health-related Internet use among Latinas, the authors examined it within the theoretical frameworks of health locus of control and acculturation. The authors predicted that acculturation would serve as a mediator between health locus of control and health-related Internet use, age and health-related Internet use, income and health-related Internet use, and education and health-related Internet use. Data were collected via a 25-minute self-report questionnaire. The sample consisted of 932 young (M age = 21.27 years), low-income Latinas. Using structural equation modeling, the authors observed that acculturation partially mediated the relation between health locus of control and health-related Internet use and fully mediated the relations among age, income, and Internet use. An internal health locus of control (p income (p Internet use. The Internet is a powerful tool that can be used to effectively disseminate information to Latinas with limited access to health care professionals. These findings can inform the design of Internet-based health information dissemination studies targeting Latinas.

  14. Reflections on the diabetes type 1 and its relation to the emotional aspect / Reflexões sobre o diabetes tipo 1 e sua relação com o emocional

    Directory of Open Access Journals (Sweden)

    Daniela Botti Marcelino

    2005-01-01

    Full Text Available This article has as its main point the type 1 or infantile-juvenile diabetes. Considering the repercussions that this chronic disease may cause, this study aims at performing a bibliographic survey with data that can give a subsidy to reflections on the emotional aspects experienced by the diabetic children. The findings showed that the emotional aspect influences the diabetes etiology and that the diabetes also influences the emotional aspect of this child. This is due to both the incessant cares used to control the disease and fear of possible complications, as well as to the indisposition caused by the hyper and hypoglycemia symptoms and the fact of being "different". Therefore, it is necessary an attendance of these children diabetes, not only by the doctors, but also by other health professionals, among them, the psychologist, aiming at the elaboration of the aspects related to the disease and its emotional repercussions.

  15. Adhesive systems: important aspects related to their composition and clinical use

    Directory of Open Access Journals (Sweden)

    Mario Honorato Silva e Souza Junior

    2010-06-01

    Full Text Available This literature review article addresses the types and the main components of different etch-and-rinse and self-etch adhesive systems available in the market, and relates them to their function, possible chemical interactions and infuence of handling characteristics. Scanning electron microscopy (SEM images are presented to characterize the interface between adhesives and dentin. Adhesive systems have been recently classifed according to their adhesion approaches in etch-and-rinse, self-etch and glass ionomer. The etch-and-rinse systems require a specifc acid-etch procedure and may be performed in two or three steps. Self-etch systems employ acidic monomers that demineralize and impregnate dental substrates almost at the same time. These systems are separated in one or two steps. Some advantages and defciencies were noted for etch-and-rinse and self-etch approaches, mainly for the simplifed ones due to some chemical associations and interactions. The SEM micrographs illustrate different relationships between adhesive systems and dental structures, particularly dentin. The knowledge of composition, characteristics and mechanisms of adhesion of each adhesive system is of fundamental importance to permit the adoption of ideal bonding strategies under clinical conditions.

  16. The Geoepidemiology and Clinical Aspects of IgG4-Related Disease.

    Science.gov (United States)

    Uchida, Kazushige; Tanaka, Toshihiro; Gershwin, M Eric; Okazaki, Kazuichi

    2016-08-01

    Immunoglobulin G4-related disease (IgG4-RD) is a recently described systemic inflammatory disease characterized by increased serum IgG4 concentrations, lymphoplasmacytic infiltrations, storiform fibrosis, and obliterative phlebitis. However, although IgG4-RD has become increasingly recognized, the number of patients with IgG4-RD remains unclear. Data from several studies indicate that patients who have a T-helper type 2 (Th2-) dominant immune response, which leads to the hyperproduction of Th2 cytokines, then progress to IgG4-RD. Glucocorticoids are the most common treatment for IgG4-RD and generally, patients have a good response-a characteristic of IgG4-RD. However, relapses during the tapering of glucocorticoid therapy are common. Second-line therapy after glucocorticoids includes immunosuppressant agents. Although the long-term outcome still remains unclear, there is increased interest in the relationships between IgG-RD and malignancies. In this review, the authors provide a detailed overview of the geoepidemiology, pathogenesis, diagnostic features, treatment, and prognosis of IgG4-RD. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  17. Role of nitric oxide and related molecules in schizophrenia pathogenesis: biochemical, genetic and clinical aspects

    Directory of Open Access Journals (Sweden)

    Regina F. Nasyrova

    2015-05-01

    Full Text Available Currently, schizophrenia is considered a multifactorial disease. Over the past 50 years, many investigators have considered the role of toxic free radicals in the etiology of schizophrenia. This is an area of active research which is still evolving. Here, we review the recent data and current concepts on the roles of nitric oxide (NO and related molecules in the pathogenesis of schizophrenia. NO is involved in storage, uptake and release of mediators and neurotransmitters, including glutamate, acetylcholine, noradrenaline, GABA, taurine and glycine. In addition, NO diffuses across cell membranes and activates its own extrasynaptic receptors. Further, NO is involved in peroxidation and reactive oxidative stress. Investigations reveal significant disturbances in NO levels in the brain structures (cerebellum, hypothalamus, hippocampus, striatum and fluids of subjects with schizophrenia. Given the roles of NO in central nervous system development, these changes may result in neurodevelopmental changes associated with schizophrenia. We describe here the recent literature on NOS gene polymorphisms on schizophrenia, which all point to consistent results. We also discuss how NO may be a new target for the therapy of mental disorders. Currently there have been 2 randomized double-blind placebo-controlled trials of L-lysine as an NOS inhibitor in the CNS.

  18. The legal and ethical aspects of the right to health of migrants in Switzerland.

    Science.gov (United States)

    Marks-Sultan, Géraldine; Kurt, Stefanie; Leyvraz, Didier; Sprumont, Dominique

    The right to health of migrant populations, whether they are foreign nationals, foreign workers, tourists, asylum seekers or refugees, is enshrined in international human rights treaties. The effectiveness of the implementation of this fundamental right thus lies in national legal frameworks. In spite of its long humanitarian tradition, Switzerland has a strict migration policy, and while it has established a non-discriminatory legal framework for the protection and promotion of the right to health, its laws and regulations sometimes codify differences in treatment between foreign nationals and Swiss residents based on distinct situations. On the basis of shared responsibilities between the Federal State and the 26 cantons, this article describes the Swiss legal and regulatory approach to the right to health, the ways it is currently implemented and the possible vectors for an improved integration of migrants into the health system.

  19. Ethical aspects of future health care: globalisation of markets and differentiation of societies - ethical challenges.

    Science.gov (United States)

    Kluge, Eike-Henner W

    2008-01-01

    The shift in health care to an aggregate corporate and distributed model dominated by electronic methods of diagnosis, record-keeping and communication spanning jurisdictional boundaries raises technical, social and paradigmatic issues. The technical issues concern the material natures of the tools, devices, procedures and protocols; the social issues gravitate around abstract matters like individual rights and models of responsibility within a corporate setting and accountability in inter-jurisdictional contexts; the paradigmatic issues centre in the question of how the rights and duties of traditional and direct health care translate into the mediated context of the globally expanded corporate model of eHealth and telemedicine. The present discussion presents a brief overview of the issues and sketches some of their implications for the evolution of contemporary health care.

  20. Global Health Cooperation: International Relations' New Frontier.

    Science.gov (United States)

    2015-07-01

    This issue of MEDICC Review appears in the wake of a media splash on the reopening of the Cuban and US embassies in Washington and Havana, signaling the renewal of full diplomatic relations between the two governments. Although the US embargo is still law and one of the thorniest bilateral issues remaining, the Obama administration's bold opening towards Cuba is being echoed in the chambers of Senate committees, calling for an end to the policy in place since 1962. Meanwhile, people from the United States have begun to travel to Cuba in droves, and for the first time in many years, we perceive real hope that cooperation may replace hostility-at least in the sectors that most matter to ordinary people in both nations.

  1. Some aspects of the reform of the health care systems in Austria, Germany and Switzerland.

    Science.gov (United States)

    Theurl, E

    1999-01-01

    The health care systems in Austria, Germany and Switzerland owe their institutional structure to different historical developments. While Austria and Germany voted for the Bismarck-Model of social health insurance, Switzerland adopted a voluntary system of health insurance. In all three countries, until very recently, the different challenges which the health care sector faced were met by piecemeal approaches and by stop and go policies, which, in the long run were not very successful either in containing costs or in improving efficacy and efficiency. During the 1990 more fundamental reforms in the health care systems of all three countries took place. Germany and Switzerland chose the path of deregulation of the health insurance system, which consequently strengthened the competition between the insurance companies, and, to some extent between the suppliers of medical services. While this can be seen as an essential part of the reform process for these two countries. Austria favors a state-oriented and interventionist approach in order to meet the challenges.

  2. Legal aspects of recent studies on the health effects of radiation

    International Nuclear Information System (INIS)

    Persson, L.

    1992-01-01

    The risk of ionising radiation has recently been reviewed by three different high-level bodies. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) issued in 1988 a report to the General Assembly with the title ''Sources, Effects and Risks of Ionising Radiation''. A review of the biological effects of ionizing radiations has also been performed by the United States National Research Council's Committee BEIR V, published in 1989, with the title ''Health Effects of Exposure to Low Levels of Ionising Radiation''. The International Commission on Radiological Protection (ICRP) has in November 1990 adopted its new recommendations issued as ICRP Publication 60. One of the newer health hazards is non-ionizing radiation (NIR), exposure to which extends from occupational into the field of public health. There are also collaborate studies on the health risks of non-ionizing radiation performed by e.g. the World Health Organization (WHO) and the International Radiation Protection Association (IRPA). The most recent studies on the health effects of radiation are discussed in the paper. (author)

  3. Water for human and livestock consumption in rural settings of Ethiopia: assessments of quality and health aspects.

    Science.gov (United States)

    Amenu, Kebede; Markemann, André; Valle Zárate, Anne

    2013-11-01

    The study aimed to assess the quality and health aspects of water intended for human and livestock consumption in two rural districts of the Rift Valley of Ethiopia. The study involved two parts: the first consisted of a questionnaire survey and farmers' group discussions, complemented by secondary health data, and the second part determined the chemical (total dissolved solids, pH, manganese, hexa-valent chromium, fluoride) and microbiological quality of different water sources during dry and wet seasons. The result showed a lack of sustainable access to safe water in the communities. Industrial pollution and mismanagement of water sources by human and livestock was found to be a source of potential health risk. Potentially linked human health problems like malaria, diarrhoea and gastrointestinal parasites were common in the districts. Overall, 76% of the assessed water sources (n = 25) failed to comply with World Health Organization guidelines for human drinking water, for at least one assessed parameter, mostly irrespective of the season. The non-compliance was mainly attributed to Escherichia coli contamination and/or high fluoride concentration. At least 20% of the water samples were also found to be unfit for livestock consumption based on assessed chemical parameters in both dry and wet seasons. To minimize the health risk associated with mismanagement and poor quality of water sources in the area, targeted action in the protection of surface water sources should be given priority.

  4. Has the Digital Health Divide Widened? Trends of Health-Related Internet Use Among Older Adults From 2003 to 2011.

    Science.gov (United States)

    Hong, Y Alicia; Cho, Jinmyoung

    2017-09-01

    To examine the trend of health-related Internet use (HRIU) among older adults. We analyzed data from the 2003, 2005, and 2011-2012 iterations of the National Cancer Institute (NCI)-sponsored Health Information National Trends Survey (HINTS). HRIU was measured by 4 online behaviors: seeking health information, buying medicine, connecting with people with similar health problems, and communicating with doctors. Internet use and HRIU among older adults increased substantially from 2003 to 2011 with more significant increases in seeking health information and communicating with doctors online. Overall, the digital health divide between different demographic groups has narrowed, especially in terms of gender, racial/ethnic group, rural/urban residence, and various health statuses; however, age, education, and household income remain persistent predictors of the digital divide. Those in the oldest group (75 or older), those with less than a high school education, and those with very low income (<$25,000/year) continuously lagged behind their counterparts in all aspects of HRIU. Despite an overall increase in HRIU and a narrowed digital divide, significant variations in HRIU in different demographic groups persisted; therefore, we call for more senior-friendly online resources and culturally appropriate interventions to bridge the digital health divide for vulnerable older adults. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. The safety related aspects of pressure components in nuclear power plants

    International Nuclear Information System (INIS)

    Lindackers, K.H.

    1979-01-01

    Over the last two years the safety philosophy for nuclear power plants in the Federal Republic of Germany has changed considerably, as everyone working in the field perceives. The original and appropriate philosophy of risk minimalisation through graduated safety barriers has been more and more replaced by the utopian goal of total prevention of any damage. The reasons for this development are discussed briefly especially regarding pressure components. The very numerous pressure components of a nuclear power station are not all of equal importance with respect to safety. Although considerable efforts have been made, it has not been possible, to date, to achieve an agreement between operators, manufacturers, licensing authorities, independent experts, and other specialists about the safety related classification of the manifold pressure bearing parts in nuclear power stations. The background of this extremely regrettable situation is explained. In the last part of the paper the author suggests a simple and clear safety philosophy for pressure components in nuclear power stations. This philosophy is orientated both on Safety Regulations of the Radiation Protection Decree ('Strahlenschutzverordnung') of the 13th October 1976 and on the Safety Criteria for Nuclear Power Stations from 21st October 1977. Only a simple, clear framework can make a contribution to the further improvement of the already exceptional safety of nuclear facilities and to the removal of obstacles in the licensing procedure which, taken as a whole, tie up skilled personnel to a senseless degree, involve considerable financial expenditure, and have no relevance for the safety of nuclear power plants. (orig.) [de

  6. A lion lentivirus related to feline immunodeficiency virus: epidemiologic and phylogenetic aspects.

    Science.gov (United States)

    Brown, E W; Yuhki, N; Packer, C; O'Brien, S J

    1994-09-01

    Feline immunodeficiency virus (FIV) is a novel lentivirus that is genetically homologous and functionally analogous to the human AIDS viruses, human immunodeficiency virus types 1 and 2. FIV causes immunosuppression in domestic cats by destroying the CD4 T-lymphocyte subsets in infected hosts. A serological survey of over 400 free-ranging African and Asian lions (Panthera leo) for antibodies to FIV revealed endemic lentivirus prevalence with an incidence of seropositivity as high as 90%. A lion lentivirus (FIV-Ple) was isolated by infection of lion lymphocytes in vitro. Seroconversion was documented in two Serengeti lions, and discordance of mother-cub serological status argues against maternal transmission (in favor of horizontal spread) as a major route of infection among lions. A phylogenetic analysis of cloned FIV-Ple pol gene sequences from 27 lions from four African populations (from the Serengeti reserve, Ngorongoro Crater, Lake Manyara, and Kruger Park) revealed remarkably high intra- and interindividual genetic diversity at the sequence level. Three FIV-Ple phylogenetic clusters or clades were resolved with phenetic, parsimony, and likelihood analytical procedures. The three clades, which occurred not only together in the same population but throughout Africa, were as divergent from each other as were homologous pol sequences of lentivirus isolated from distinct feline species, i.e., puma and domestic cat. The FIV-Ple clades, however, were more closely related to each other than to other feline lentiviruses (monophyletic for lion species), suggesting that the ancestors of FIV-Ple evolved in allopatric (geographically isolated) lion populations that converged recently. To date, there is no clear evidence of FIV-Ple-associated pathology, raising the possibility of a historic genetic accommodation of the lion lentivirus and its host leading to a coevolved host-parasite symbiosis (or commensalism) in the population similar to that hypothesized for endemic

  7. Gender-related aspects of transmasculine people's vocal situations: insights from a qualitative content analysis of interview transcripts.

    Science.gov (United States)

    Azul, David

    2016-11-01

    Transmasculine people assigned female gender at birth but who do not identify with this classification have traditionally received little consideration in the voice literature. Existing analyses tend to be focused on evaluating speaker voice characteristics, whereas other factors that contribute to the production of vocal gender have remained underexplored. Most studies rely on researcher-centred perspectives, whereas very little is known about how transmasculine people themselves experience and make sense of their vocal situations. To explore how participants described their subjective gender positionings; which gender attributions they wished to receive from others; which gender they self-attributed to their voices; which gender attributions they had received from others; and how far participants were satisfied with the gender-related aspects of their vocal situations. Transcripts of semi-structured interviews with 14 German-speaking transmasculine people served as the original data corpus. Sections in which participants described the gender-related aspects of their vocal situations and that were relevant to the current research objectives were selected and explored using qualitative content analysis. The analysis revealed diverse accounts pertaining to the factors that contribute to the production of vocal gender for individual participants and variable levels of satisfaction with vocal gender presentation and attribution. Transmasculine people need to be regarded as a heterogeneous population and clinical practice needs to follow a client-centred, individualized approach. © 2016 Royal College of Speech and Language Therapists.

  8. Applying social theory to understand health-related behaviours.

    Science.gov (United States)

    Holman, Daniel; Borgstrom, Erica

    2016-06-01

    Health-related behaviours are a concern for contemporary health policy and practice given their association with a range of illness outcomes. Many of the policies and interventions aimed at changing health-related behaviours assume that people are more or less free to choose their behaviour and how they experience health. Within sociology and anthropology, these behaviours are viewed not as acts of choice but as actions and practices situated within a larger sociocultural context. In this paper, we outline three theoretical perspectives useful in understanding behaviours that may influence one's health in this wider context: theories of social practice, social networks and interactionism. We argue that by better understanding how health-related behaviours are performed in people's everyday lives, more suitable interventions and clinical management can be developed. 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/

  9. [Health and health-related behaviors according to sexual attraction and behavior].

    Science.gov (United States)

    Pérez, Glòria; Martí-Pastor, Marc; Gotsens, Mercè; Bartoll, Xavier; Diez, Elia; Borrell, Carme

    2015-01-01

    to Describe perceived health, mental health and certain health-related behaviors according to sexual attraction and behavior in the population residing in Barcelona in 2011. Perceived health, mental health, chronic conditions and health-related behaviors were analyzed in 2675 people aged 15 to 64 years. The Barcelona Health Survey for 2011 was used, which included questions on sexual attraction and behavior. Multivariate robust Poisson regression models were fitted to obtain adjusted prevalence ratios. People feeling same-sex attraction reported a higher prevalence of worse perceived and mental health. These people and those who had had sex with persons of the same sex more frequently reported harmful health-related behaviors. Lesbian, gay, transgender and bisexual people may have health problems that should be explored in depth, prevented, and attended. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. Perceived relevance and foods with health-related claims

    DEFF Research Database (Denmark)

    Dean, M.; Lampila, P.; Shepherd, R.

    2012-01-01

    consumers’ responses to health claims that either promise to reduce a targeted disease risk or improve well-being in comparison to other types of health-related messages, and how attitudes towards nutritionally healthy eating, functional food and previous experience relating to products with health claims...... affect the consumers’ perceptions of nutrition and health claims. The data (N = 2385) were collected by paper and pencil surveys in Finland, the UK, Germany and Italy on a target group of consumers over 35 year old, solely or jointly responsible for the family’s food shopping. The results showed...... risk reduction with detailed information about function and health outcome. Previous experience with products with health claims and interest in nutritionally healthy eating promoted the utility of all claims, regardless of whether they were health or nutrition claims. However, to be influenced...

  11. Health-related ad information and health motivation effects on product evaluations

    DEFF Research Database (Denmark)

    Chrysochou, Polymeros; Grunert, Klaus G

    2014-01-01

    This study tests the effect of health-related ad information on perceived product healthfulness and purchase intention. Also, the study investigates whether consumers' health motivation moderates the effects, because of the way health motivation affects processing of health-related information...... in ads. Three types of healthrelated ad elements are distinguished: functional claims, process claims and health imagery. These elements were combined in mock ads and an online experiment was run to test the study hypotheses. Results show that health imagery has the largest impact on consumers' product...

  12. Is the political system really related to health?

    Science.gov (United States)

    Klomp, Jeroen; de Haan, Jakob

    2009-07-01

    We analyze whether the political system and its stability are related to cross-country differences in health. We apply factor analysis on various national health indicators for a large sample of countries over the period 2000-2005 and use the outcomes of the factor analysis to construct two new health measures, i.e., the health of individuals and the quality of the health care sector. Using a cross-country structural equation model with various economic and demographic control variables, we examine the relationship between the type of regime and political stability on the one hand and health on the other. The political variables and the control variables are measured as averages over the period 1980-1999. Our results suggest that democracy has a positive relationship with the health of individuals, while regime instability has a negative relationship with the health of individuals. Government instability is negatively related to individual health via its link with the quality of the health care sector, while democracy is positively related with individual health through its link with income. Our main findings are confirmed by the results of a panel model and various sensitivity tests.

  13. Analysis of importance level and quality achievement aspect in dental health service (A case study on Waru Sidoarjo Community Dental Health Service

    Directory of Open Access Journals (Sweden)

    Taufan Bramantoro

    2012-03-01

    Full Text Available Background: Patients as customers of health services actually have expectation and assessment of health services perceived. During the initial interview conducted at Waru Sidoarjo Community Dental Health Service (Waru Sidoarjo CDHS, it is known that one hundred percent of initial respondents were not satisfied with dental care service provided. All of those respondents assessed that Waru Sidoarjo CDHS still has not met their expectations of service quality factors considered to be important for them. It is even known that there is usually a gap between the expectations of quality dental care service and the assessment of services perceived. As a result, further researches are needed to be conducted regarding the level of importance and achievement-related with factors that affect the quality of health services. Purpose: The purpose of this study was to determine the level of importance and achievement of the quality aspects of the health service provided by Waru Sidoarjo CDHS. Methods: This study can be considered as a descriptive observational study. The instrument used in this study was measurement instruments of service quality. Respondents in the study were 200 patients who visited to dental care services in Waru Sidoarjo CDHS in July 2011. Results: All of the attributes had a mean value of dominant importance and assessments at four. The attributes of the appearance feasibility of medical staffs had the highest interest, about 4.780. Meanwhile, the mean value of the lowest importance was on the attributes of the service suitability, about 4.595. During the observation of the service value, it is also known that the highest mean value was on the non-discriminative services, about 4.600. Conclusion: It can be concluded that there were attributes considered to be important for patients, but still not being fully met by health services provided by the service provider or Community Dental Health Care. Those attributes involving waiting room

  14. Analysis of hydrological and geotechnical aspects related to landslides caused by rainfall infiltration

    Science.gov (United States)

    Capparelli, Giovanna; La Sala, Gabriella; Vena, Mirko; Donato, Antonio

    2015-04-01

    A landslide is defined as a perceptible downward and outward movement of slope-forming soil, rock, and vegetation under the influence of gravity. Landslides can be triggered by both natural and human-induced changes in the environment. However rainfall is recognized as a major precursor for many types of slope movements. As a result of rainfall events and subsequent infiltration into the subsoil, the soil moisture can be significantly changed with a decrease in matric suction in unsaturated soil layers and/or increase in pore-water pressure in saturated layers. As a consequence, in these cases, the shear strength can be reduced enough to trigger the failure. An effective way to develop such an understanding is by means of computer simulation using numerical model. As part of the project PON "Integrated Early Warning System" our main objective was just to develop a numerical models that was able to consider the relation between rainfall, pore pressure and slope stability taking into account several components, including specific site conditions, mechanical, hydraulic and physical soil properties, local seepage conditions, and the contribution of these to soil strength. In this work the mechanism behind rainfall-triggered landslides is modeled by using combined infiltration, seepage and stability analyses. This method allows the evaluation of the terrain and its response based on geological, physical, hydrogeological and mechanical characteristics. The model is based on the combined use of two modules: an hydraulic module, to analyze the subsoil water circulation due to the rainfall infiltration under transient conditions and a geotechnical module, which provides indications regarding the slope stability. With regard to hydraulic module, variably saturated porous media flows have been modeled by the classical nonlinear Richards equation; in the geotechnical module the differential equilibrium equations have been solved taking into account the linear constitutive

  15. Certification and safety aspects relating to the transport of passengers on high altitude balloons in Europe

    Science.gov (United States)

    Schoenmaker, Annelie

    2014-07-01

    High-altitude balloons typically fly between 25 and 50 km in altitude, which, while below the Karman line of 100 km, is yet far above the altitudes typically flown by aircraft. For example, the highest-flying commercial aircraft - the Concorde - had a maximum cruising altitude of only 18 km. zero2infinity, a Spanish company, is currently developing a pressurized pod named “bloon” which will be capable of lifting six people, including two pilot crew members and four paying passengers, to an altitude of 36 km through the use of high-altitude balloons. The boundary between Airspace and Outer Space has never been legally defined, mostly because of the lack of activities taking place between the altitude where airplanes fly and the lowest orbiting spacecraft. High-altitude balloons do fly at these in-between altitudes and the prospect of commercializing access to these parts of the stratosphere poses some questions in a new light. Given the relatively low altitude at which they fly, it may well be that these types of balloons would be considered to operate exclusively within air space. However, given the technology involved in crewed high altitude balloon flights, which is more similar to spacecraft engineering than to traditional hot-air or gas ballooning, it is necessary to evaluate the various legal regimes, codes, and regulations that would apply to such flights, especially regarding licenses and liabilities. For high altitude balloon flights commencing in Europe, the European Aviation Safety Agency (EASA) would very likely be the competent certification or licensing agency for these flights, although there would likely be input from various national aviation authorities as well. However, because the European Commission (EC) has not yet issued regulations regarding commercial spaceflight, particularly the use of high altitude balloons, new rules and regulations governing such flights may still need to be drafted and promulgated. With the development of

  16. Impact of a School Health Coordinator Intervention on Health-Related School Policies and Student Behavior

    Science.gov (United States)

    O'Brien, Liam M.; Polacsek, Michele; MacDonald, Pamela B.; Ellis, Jacqueline; Berry, Susan; Martin, Maurice

    2010-01-01

    Background: Health-related, school-based interventions may serve to prevent disease and improve academic performance. The Healthy Maine Partnerships (HMP) initiative funded local school health coordinators (SHCs) as a part of Maine's Coordinated School Health Program (CSHP) beginning in January 2001. SHCs established school health leadership teams…

  17. Disability and health-related rehabilitation in international disaster relief

    Science.gov (United States)

    Reinhardt, Jan D.; Li, Jianan; Gosney, James; Rathore, Farooq A.; Haig, Andrew J.; Marx, Michael; Delisa, Joel A.

    2011-01-01

    Background Natural disasters result in significant numbers of disabling impairments. Paradoxically, however, the traditional health system response to natural disasters largely neglects health-related rehabilitation as a strategic intervention. Objectives To examine the role of health-related rehabilitation in natural disaster relief along three lines of inquiry: (1) epidemiology of injury and disability, (2) impact on health and rehabilitation systems, and (3) the assessment and measurement of disability. Design Qualitative literature review and secondary data analysis. Results Absolute numbers of injuries as well as injury to death ratios in natural disasters have increased significantly over the last 40 years. Major impairments requiring health-related rehabilitation include amputations, traumatic brain injuries, spinal cord injuries (SCI), and long bone fractures. Studies show that persons with pre-existing disabilities are more likely to die in a natural disaster. Lack of health-related rehabilitation in natural disaster relief may result in additional burdening of the health system capacity, exacerbating baseline weak rehabilitation and health system infrastructure. Little scientific evidence on the effectiveness of health-related rehabilitation interventions following natural disaster exists, however. Although systematic assessment and measurement of disability after a natural disaster is currently lacking, new approaches have been suggested. Conclusion Health-related rehabilitation potentially results in decreased morbidity due to disabling injuries sustained during a natural disaster and is, therefore, an essential component of the medical response by the host and international communities. Significant systematic challenges to effective delivery of rehabilitation interventions during disaster include a lack of trained responders as well as a lack of medical recordkeeping, data collection, and established outcome measures. Additional development of health-related

  18. A glossary of terms for understanding political aspects in the implementation of Health in All Policies (HiAP).

    Science.gov (United States)

    Oneka, Goldameir; Vahid Shahidi, Faraz; Muntaner, Carles; Bayoumi, Ahmed M; Mahabir, Deb Finn; Freiler, Alix; O'Campo, Patricia; Shankardass, Ketan

    2017-08-01

    Health in All Policies (HiAP) is a strategy that seeks to integrate health considerations into the development, implementation and evaluation of policies across various non-health sectors of the government. Over the past 15 years, there has been an increase in the uptake of HiAP by local, regional and national governments. Despite the growing popularity of this approach, most existing literature on HiAP implementation remains descriptive rather than explanatory in its orientation. Moreover, prior research has focused on the more technical aspects of the implementation process. Thus, studies that aim to 'build capacity to promote, implement and evaluate HiAP' abound. Conversely, there is little emphasis on the political aspects of HiAP implementation. Neglecting the role of politics in shaping the use of HiAP is problematic, since health and the strategies by which it is promoted are partially political.This glossary addresses the politics gap in the existing literature by drawing on theoretical concepts from political, policy, and public health sciences to articulate a framework for studying how political mechanisms influence HiAP implementation. To this end, the glossary forms part of an on-going multiple explanatory case study of HiAP implementation, HARMONICS (HiAP Analysis using Realist Methods on International Case Studies, harmonics-hiap.ca), and is meant to expand on a previously published glossary addressing the topic of HiAP implementation more broadly. Collectively, these glossaries offer a conceptual toolkit for understanding how politics explains implementation outcomes of HiAP. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  19. The Quality of Online Health-Related Information – an Emergent Consumer Health Issue

    Directory of Open Access Journals (Sweden)

    Nădăşan Valentin

    2016-12-01

    Full Text Available The Internet has become one of the main means of communication used by people who search for health-related information. The quality of online health-related information affects the users’ knowledge, their attitude, and their risk or health behaviour in complex ways and influences a substantial number of users in their decisions regarding diagnostic and treatment procedures.

  20. Exploring Health System Responsiveness in Ambulatory Care and Disease Management and its Relation to Other Dimensions of Health System Performance (RAC) - Study Design and Methodology.

    Science.gov (United States)

    Röttger, Julia; Blümel, Miriam; Engel, Susanne; Grenz-Farenholtz, Brigitte; Fuchs, Sabine; Linder, Roland; Verheyen, Frank; Busse, Reinhard

    2015-05-20

    The responsiveness of a health system is considered to be an intrinsic goal of health systems and an essential aspect in performance assessment. Numerous studies have analysed health system responsiveness and related concepts, especially across different countries and health systems. However, fewer studies have applied the concept for the evaluation of specific healthcare delivery structures and thoroughly analysed its determinants within one country. The aims of this study are to assess the level of perceived health system responsiveness to patients with chronic diseases in ambulatory care in Germany and to analyse the determinants of health system responsiveness as well as its distribution across different population groups. The target population consists of chronically ill people in Germany, with a focus on patients suffering from type 2 diabetes and/or from coronary heart disease (CHD). Data comes from two different sources: (i) cross-sectional survey data from a postal survey and (ii) claims data from a German sickness fund. Data from both sources will be linked at an individual-level. The postal survey has the purpose of measuring perceived health system responsiveness, health related quality of life, experiences with disease management programmes (DMPs) and (subjective) socioeconomic background. The claims data consists of information on (co)morbidities, service utilization, enrolment within a DMP and sociodemographic characteristics, including the type of residential area. RAC is one of the first projects linking survey data on health system responsiveness at individual level with claims data. With this unique database, it will be possible to comprehensively analyse determinants of health system responsiveness and its relation to other aspects of health system performance assessment. The results of the project will allow German health system decision-makers to assess the performance of nonclinical aspects of healthcare delivery and their determinants in two

  1. Family Health Teams workers in Rio de Janeiro: leadership aspects in a study on organizational climate.

    Science.gov (United States)

    Santos, Leda Jung Dos; Paranhos, Maurício Sangama

    2017-03-01

    Organizational climate is understood as the formal or informal perception of policies, practices, actions and organizational procedures, and is a factor of influence in the efficiency of the results, as well as in the conduct of people that are part of an organization. This paper describes one of organizational climate realms, namely, leadership, comparing the strata of professional categories of the Family Health Teams in the city of Rio de Janeiro. Thus, an administrative-based survey was carried out with a sample of n = 9,590 people in 187 primary healthcare units (71 Family Clinics and 116 Municipal Health Centers). The results show that all items that measure the realm of "leadership" were positively evaluated with differences between strata (p-value <0.001). We recommend conducting regular studies and holding leadership workshops in the very health units, as well as using distance-learning tools to exchange information and train staff.

  2. Usefulness of radioisotopes in animal nutrition research on health and disease aspects of livestock

    International Nuclear Information System (INIS)

    Arora, S.P.

    1994-01-01

    The use of radioisotopes in India commenced in seventies under international programmes to investigate certain aspects of metabolic disorders at 4 to 5 centres in the country. In due course of time, many universities and institutes also started using nuclear techniques in animal science research because such techniques are more sensitive, accurate, fast and there is every possibility of estimating micro quantities otherwise not possible by gravimetric methods. Their use is also helpful to understand and trace the biochemical mechanisms of certain nutrients in tissues both from deficiency or toxicity point of view. Literature has thus accumulated in a number of developing countries to establish the causes of some important metabolic diseases which are discussed along with utilization of nutrients for production traits under normal conditions

  3. Research and Evaluations of the Health Aspects of Disasters, Part II: The Disaster Health Conceptual Framework Revisited.

    Science.gov (United States)

    Birnbaum, Marvin L; Daily, Elaine K; O'Rourke, Ann P; Loretti, Alessandro

    2015-10-01

    A Conceptual Framework upon which the study of disasters can be organized is essential for understanding the epidemiology of disasters, as well as the interventions/responses undertaken. Application of the structure provided by the Conceptual Framework should facilitate the development of the science of Disaster Health. This Framework is based on deconstructions of the commonly used Disaster Management Cycle. The Conceptual Framework incorporates the steps that occur as a hazard progresses to a disaster. It describes an event that results from the changes in the release of energy from a hazard that may cause Structural Damages that in turn, may result in Functional Damages (decreases in levels of function) that produce needs (goods and services required). These needs can be met by the goods and services that are available during normal, day-to-day operations of the community, or the resources that are contained within the community's Response Capacity (ie, an Emergency), or by goods and services provided from outside of the affected area (outside response capacities). Whenever the Local Response Capacity is unable to meet the needs, and the Response Capacities from areas outside of the affected community are required, a disaster occurs. All responses, whether in the Relief or Recovery phases of a disaster, are interventions that use the goods, services, and resources contained in the Response Capacity (local or outside). Responses may be directed at preventing/mitigating further deterioration in levels of functions (damage control, deaths, injuries, diseases, morbidity, and secondary events) in the affected population and filling the gaps in available services created by Structural Damages (compromise in available goods, services, and/or resources; ie, Relief Responses), or may be directed toward returning the affected community and its components to the pre-event functional state (ie, Recovery Responses). Hazard Mitigation includes interventions designed to

  4. Examining the relationship between health-related quality of life in individuals with spinal cord injury and the mental health of their caregivers in Colombia, South America.

    Science.gov (United States)

    Coleman, Jennifer A; Harper, Leia A; Perrin, Paul B; Olivera, Silvia L; Perdomo, Jose L; Arango, Jose A; Arango-Lasprilla, Juan C

    2013-12-01

    Although considerable research has been carried out on family caregivers of individuals with various types of disabilities, spinal cord injury (SCI) caregivers have received considerably less attention in terms of research, especially in regions such as Latin America. This study examined the relationship between health-related quality of life (HRQOL) in individuals with SCI and their family caregiver's mental health in Neiva, Colombia. Thirty-four individuals with SCI and their primary caregivers (34 dyads; n=68) from the Foundation for the Integral Development of People with Disabilities in Neiva, Colombia, were included in this study. Individuals with SCI completed eight subscales of the SF-36 that assessed HRQOL. Five aspects of caregiver mental health were assessed, including burden (Zarit Burden Interview), satisfaction with life (Satisfaction with Life Scale), depression (Patient Health Questionnaire-9), self-esteem (Rosenberg Self-Esteem Scale), and anxiety (State Trait Anxiety Inventory). A series of multiple regressions uncovered strong associations among the HRQOL of individuals with SCI and various aspects of caregiver mental health. In these regressions, patient physical functioning and pain were independently related to caregiver burden; patient pain and general health were independently related to caregiver satisfaction with life; and patient pain was independently related to caregiver anxiety. HRQOL in individuals with SCI was robustly related to their caregiver's mental health, suggesting that the two sets of variables are closely linked. These findings suggest that caregiver mental health should be a central part of SCI rehabilitation interventions, especially in Latin America.

  5. Enriching the trustworthiness of health-related web pages.

    Science.gov (United States)

    Gaudinat, Arnaud; Cruchet, Sarah; Boyer, Celia; Chrawdhry, Pravir

    2011-06-01

    We present an experimental mechanism for enriching web content with quality metadata. This mechanism is based on a simple and well-known initiative in the field of the health-related web, the HONcode. The Resource Description Framework (RDF) format and the Dublin Core Metadata Element Set were used to formalize these metadata. The model of trust proposed is based on a quality model for health-related web pages that has been tested in practice over a period of thirteen years. Our model has been explored in the context of a project to develop a research tool that automatically detects the occurrence of quality criteria in health-related web pages.

  6. Health literacy among Danish university students enrolled in health-related study programmes.

    Science.gov (United States)

    Elsborg, Lea; Krossdal, Fie; Kayser, Lars

    2017-12-01

    It is important to address people's health literacy when providing health care. Health professionals should be aware of, and have insight into, people's health literacy when they provide health services. Health professionals need to be health literate themselves. We examined the level of health literacy in students in Denmark attending one of four full university programmes related to health and investigated how their health literacy was associated with their sociodemographic background. The health literacy level of the students was measured using the multi-dimensional Health Literacy Questionnaire (HLQ) supplemented with sociodemographic questions. The questionnaire was administrated through the students' Facebook groups. The students were enrolled in courses on health informatics, medicine, molecular biomedicine or public health. Out of a total of 7663 students, 630 responded to the questionnaire. No sex difference was found although female students scored higher than male students in domain 4 (social support for health). Students attending the public health programme tended to score higher and those attending molecular biomedicine tended to score lower in the HLQ. There was a positive correlation between HLQ scores and the educational level of the students' parents. If one of their parents was employed in the health care sector, the HLQ score tended to be higher in domains 1 and 4. Students who had been hospitalized also tended to score higher in domains 1, 5 and 6. Students' health literacy relates to their personal background and educational path. This may be of importance when planning curricula and educational activities, including cross-disciplinary courses.

  7. Associations between adult attachment and: oral health-related quality of life, oral health behaviour, and self-rated oral health.

    Science.gov (United States)

    Meredith, Pamela; Strong, Jenny; Ford, Pauline; Branjerdporn, Grace

    2016-02-01

    Although adult attachment theory has been revealed as a useful theoretical framework for understanding a range of health parameters, the associations between adult attachment patterns and a range of oral health parameters have not yet been examined. The aim of this study was to examine potential associations between attachment insecurity and: (1) oral health-related quality of life (OHRQoL), (2) oral health behaviours, and (3) self-rated oral health. In association with this aim, sample characteristics were compared with normative data. The sample in this cross-sectional study was comprised of 265 healthy adults, recruited via convenience sampling. Data were collected on attachment patterns (Experiences in Close Relationships Scale-Short Form, ECR-S), OHRQoL (Oral Health Impact Profile-14, OHIP-14), oral health behaviours (modified Dental Neglect Scale, m-DNS), and self-rated oral health (one-item global rating of oral health). Multivariate regression models were performed. Both dimensions of attachment insecurity were associated with lowered use of favourable dental visiting behaviours, as well as decreased OHRQoL for both overall well-being and specific aspects of OHRQoL. Attachment avoidance was linked with diminished self-rated oral health. This study supports the potential value of an adult attachment framework for understanding a range of oral health parameters. The assessment of a client's attachment pattern may assist in the identification of people who are at risk of diminished OHRQoL, less adaptive dental visiting behaviours, or poorer oral health. Further research in this field may inform ways in which attachment approaches can enhance oral health-related interventions.

  8. [Occupational risk for agricultural workers health, hygienic aspects of its assessment and management (literature review)].

    Science.gov (United States)

    Novikova, T A; Spirin, V F; Mikhaĭlova, N A; Taranova, V M

    2012-01-01

    The authors analyzed the facts of contemporary work conditions of agricultural production, which are given in non-fiction. The results of analysis showed up occupational hazard factors of agricultural workers health. The authors determined foreground directions of effective managerial decisions developing, concerning its minimization and elimination.

  9. Health aspects of wood particles in fugitive emission during professional exposition

    International Nuclear Information System (INIS)

    Vlckova, H.; Schwarz, M.; Lalik, V.

    2008-01-01

    Fugitive emission of wood dust can constitute serious menace to health of worker in wood industry. Present paper describes not only influence of unaccompanied wood which develops allergic reactions, respire diseases, dermatosis, cancer etc., but also additional effects of natural wood components as endotoxins, microbial spores, amoebas, fungus, animal and proteins, volatile components wood resins, respectively. (authors)

  10. A comparison of usability methods for testing interactive health technologies: Methodological aspects and empirical evidence

    NARCIS (Netherlands)

    Jaspers, Monique W. M.

    2009-01-01

    OBJECTIVE: Usability evaluation is now widely recognized as critical to the success of interactive health care applications. However, the broad range of usability inspection and testing methods available may make it difficult to decide on a usability assessment plan. To guide novices in the

  11. [Electronic data records in primary health care and aspects of their development in Bosnia and Herzegovina].

    Science.gov (United States)

    Novo, Ahmed; Masić, Izet; Toromanović, Selim; Karić, Mediha; Zunić, Lejla

    2004-01-01

    In Medical Informatics medical documentation and evidention are most probably the key areas. Also, in primary health care it is very important and part of daily activity of medical staff. Bosnia and Herzegovina is trying to be close to developed countries and to modernize and computerize current systems of documentation and to cross over from manual and semi manual methods to computerized medical data analysis. The most of European countries have developed standards and classification systems in primary health care for collecting, examination, analysis and interpretation of medical data assessed. One of possibilities as well as dilemma, which data carrier should be used for storage and manipulation of patient data in primary health care, is use of electronic medical record. Most of the South East European countries use chip or smart card and some of countries in neighborhood (Italy) choose laser card as patient data carrier. Both technologies have the advantages and disadvantages what was comprehensively colaborated by the authors in this paper, with intention to help experts who make decisions in this segment to create and to correctly influence on improvement of quality, correctness and accuracy of medical documentation in primary health care.

  12. Health physics aspects of incineration of low level radioactive solvent at the Savannah River Plant

    International Nuclear Information System (INIS)

    Strain, C.D.

    1987-01-01

    This document contains the lecture notes and illustrations used in a presentation at the 1987 Health Physics Society Annual Meeting in Salt Lake City, Utah. Included is a description of the radioactive waste disposal facilities at the Savannah River Plant, South Carolina, and of the current use of this facility in incinerating thousands of gallons of radioactive waste. 12 figs

  13. Aspects of tuberculosis and HIV diagnosis, care and treatment in Rwandan health facilities: operational studies

    NARCIS (Netherlands)

    Kayigamba, R.F.

    2014-01-01

    This thesis outlines studies that were conducted between 2006 and 2010 in Rwandan clinical and public health settings to respond to some unresolved research priority questions. It describes and analyses sputum completion and conversion rates at two months of treatment and their determinants. It

  14. Aging Men’s Health-Related Behaviors

    Directory of Open Access Journals (Sweden)

    Terry Peak

    2014-11-01

    Full Text Available This conceptual review summarizes the current research on older men and their health-related behaviors with special attention given to the influence of the hegemonic masculinity framework over the life span. The authors consider whether masculinity precepts can be modified to enable men to alter their gendered morbidity/mortality factors and achieve healthier and longer lives. Also included is an overview of the gender-based research and health education efforts to persuade men to adopt more effective health-related behaviors or health practices earlier in the life span. Given the current attention being paid to men’s health, for example, their higher risk of morbidity and mortality both generally and at younger ages, and the associated health care costs tied to those risks, the ethical and economic implications of this review may prove useful.

  15. Peer relations, adolescent behavior, and public health research and practice.

    Science.gov (United States)

    Crosnoe, Robert; McNeely, Clea

    2008-01-01

    Peer relations are central to adolescent life and, therefore, are crucial to understanding adolescents' engagement in various behaviors. In recent years, public health research has increasingly devoted attention to the implications of peer relations for the kinds of adolescent behaviors that have a direct impact on health. This article advocates for a continuation of this trend. With this aim, we highlight key themes in the rich literature on the general developmental significance of adolescent-peer relations, provide an overview of how these themes have been incorporated into public health research and practice, and suggest future avenues for peer-focused public health research that can inform adolescent health promotion in the United States.

  16. Socio-political aspects of mental health practice with Arabs in the Israeli context.

    Science.gov (United States)

    Al-Krenawi, Alean

    2005-01-01

    Since the 1948 establishment of the Israeli state, an event described by Arab peoples as "Al-Nakbah" (catastrophe), the Arab minority in Israel has experienced oppression, trauma and social exclusion; they feel defeated, disempowered and poorer. There are huge gaps in quality of life between Arab and Jewish Israelis. Such social inequities, as well as other issues such as polygamy, have been identified as risk factors for psychological distress. This situation puts the Israeli Arab, like other post-colonial peoples, in an attitude of ambivalence towards modern mental health services. On the one hand, certain forms of intervention, particularly medicinal, may improve peoples' lives. On the other, mental health services, as part of the colonial process, continue to present limited cultural sensitivity towards Arab peoples. A cultural gap leading to mistrust is a given when a non-Arab mental health provider comes into contact with an Arab client. Religious beliefs, the importance of the family and the stigma attached to mental health problems have substantial influence on the Arab's perception and reaction toward mental health problems and their treatment. The expression of conflict and negative feelings are not well accepted within Arab culture. For this reason, mental illness is often denied and kept away from professional help or expressed as a physical illness. There is also a difficulty for a male being treated by a female and for the individual to ask for help outside his family or community. Arab Muslims also generally have a tendency to resign themselves to God's care and thus may neglect or deny symptoms. Another tendency is the preference for using traditional healers and folk medicine. Other problems in mental health work are the passive attitude of the patient and the degree of authority vested in the therapist. To facilitate bridging this cultural gap, the therapist's first task is that of educating him/her self about the religious, cultural and national

  17. 42 CFR 433.57 - General rules regarding revenues from provider-related donations and health care-related taxes.

    Science.gov (United States)

    2010-10-01

    ...-related donations and health care-related taxes. 433.57 Section 433.57 Public Health CENTERS FOR MEDICARE... rules regarding revenues from provider-related donations and health care-related taxes. Effective... FFP, funds from provider-related donations and revenues generated by health care-related taxes...

  18. Income-related health inequalities across regions in Korea

    Directory of Open Access Journals (Sweden)

    Ahn Byung

    2011-10-01

    Full Text Available Abstract Introduction In addition to economic inequalities, there has been growing concern over socioeconomic inequalities in health across income levels and/or regions. This study measures income-related health inequalities within and between regions and assesses the possibility of convergence of socioeconomic inequalities in health as regional incomes converge. Methods We considered a total of 45,233 subjects (≥ 19 years drawn from the four waves of the Korean National Health and Nutrition Examination Survey (KNHANES. We considered true health as a latent variable following a lognormal distribution. We obtained ill-health scores by matching self-rated health (SRH to its distribution and used the Gini Coefficient (GC and an income-related ill-health Concentration Index (CI to examine inequalities in income and health, respectively. Results The GC estimates were 0.3763 and 0.0657 for overall and spatial inequalities, respectively. The overall CI was -0.1309, and the spatial CI was -0.0473. The spatial GC and CI estimates were smaller than their counterparts, indicating substantial inequalities in income (from 0.3199 in Daejeon to 0.4233 Chungnam and income-related health inequalities (from -0.1596 in Jeju and -0.0844 in Ulsan within regions. The results indicate a positive relationship between the GC and the average ill-health and a negative relationship between the CI and the average ill-health. Those regions with a low level of health tended to show an unequal distribution of income and health. In addition, there was a negative relationship between the GC and the CI, that is, the larger the income inequalities, the larger the health inequalities were. The GC was negatively related to the average regional income, indicating that an increase in a region's average income reduced income inequalities in the region. On the other hand, the CI showed a positive relationship, indicating that an increase in a region's average income reduced health

  19. Motivators and Barriers to Incorporating Climate Change-Related Health Risks in Environmental Health Impact Assessment

    OpenAIRE

    Turner, Lyle R.; Alderman, Katarzyna; Connell, Des; Tong, Shilu

    2013-01-01

    Climate change presents risks to health that must be addressed by both decision-makers and public health researchers. Within the application of Environmental Health Impact Assessment (EHIA), there have been few attempts to incorporate climate change-related health risks as an input to the framework. This study used a focus group design to examine the perceptions of government, industry and academic specialists about the suitability of assessing the health consequences of climate change within...

  20. Society and health effects of aspects an overview of nuclear energy

    Directory of Open Access Journals (Sweden)

    Mehmet Soykenar

    2015-02-01

    Full Text Available Today along with developing technology and rapid population growth, energy needs have been increasing in the worldwide. In order to supply rising energy demands, the countries have been tending to nuclear power plants which have high productivitiy. As all kinds of energy sources, there are negative effects to public health in the stages of production and consumption also for nuclear energy. For nuclear power plants established by using high tecnology, required precautions are adopted by assessing all negative effects that can harm environmental health. So as to provide our country to be the leading position in the global trade and tecnological progress competition, it is required to make the investments by evaluating the pros and cons of nuclear energy, regarded as a qualified and sustainable energy source. [TAF Prev Med Bull 2015; 14(1.000: 65-70

  1. Pediatric health-related quality of life: a structural equation modeling approach.

    Directory of Open Access Journals (Sweden)

    Ester Villalonga-Olives

    Full Text Available OBJECTIVES: One of the most referenced theoretical frameworks to measure Health Related Quality of Life (HRQoL is the Wilson and Cleary framework. With some adaptions this framework has been validated in the adult population, but has not been tested in pediatric populations. Our goal was to empirically investigate it in children. METHODS: The contributory factors to Health Related Quality of Life that we included were symptom status (presence of chronic disease or hospitalizations, functional status (developmental status, developmental aspects of the individual (social-emotional behavior, and characteristics of the social environment (socioeconomic status and area of education. Structural equation modeling was used to assess the measurement structure of the model in 214 German children (3-5 years old participating in a follow-up study that investigates pediatric health outcomes. RESULTS: Model fit was χ2 = 5.5; df = 6; p = 0.48; SRMR  = 0.01. The variance explained of Health Related Quality of Life was 15%. Health Related Quality of Life was affected by the area education (i.e. where kindergartens were located and development status. Developmental status was affected by the area of education, socioeconomic status and individual behavior. Symptoms did not affect the model. CONCLUSIONS: The goodness of fit and the overall variance explained were good. However, the results between children' and adults' tests differed and denote a conceptual gap between adult and children measures. Indeed, there is a lot of variety in pediatric Health Related Quality of Life measures, which represents a lack of a common definition of pediatric Health Related Quality of Life. We recommend that researchers invest time in the development of pediatric Health Related Quality of Life theory and theory based evaluations.

  2. Society and health effects of aspects an overview of nuclear energy

    OpenAIRE

    Mehmet Soykenar; Sabahat Coskun

    2015-01-01

    Today along with developing technology and rapid population growth, energy needs have been increasing in the worldwide. In order to supply rising energy demands, the countries have been tending to nuclear power plants which have high productivitiy. As all kinds of energy sources, there are negative effects to public health in the stages of production and consumption also for nuclear energy. For nuclear power plants established by using high tecnology, required precautions are adopted by asses...

  3. Public health aspects of snakebite care in West Africa: perspectives from Nigeria

    OpenAIRE

    Habib, Abdulrazaq G

    2013-01-01

    Snakebite envenoming is a major public health problem among rural communities of the Nigerian savanna. The saw-scaled or carpet viper (Echis ocellatus) and, to a lesser extent, the African cobras (Naja spp.) and puff adders (Bitis arietans) have proved to be the most important cause of mortality and morbidity. The main clinical features of E. ocellatus envenoming are systemic hemorrhage, incoagulable blood, shock, local swelling, bleeding and, occasionally, necrosis. Bites may be complicated ...

  4. Use of Electronic Health Records and Administrative Data for Public Health Surveillance of Eye Health and Vision-Related Conditions

    Science.gov (United States)

    Elliott, Amanda; Davidson, Arthur; Lum, Flora; Chiang, Michael; Saaddine, Jinan B; Zhang, Xinzhi; Crews, John E.; Chou, Chiu-Fang

    2014-01-01

    Purpose To discuss the current trend toward greater use of electronic health records and how these records could enhance public health surveillance of eye health and vision-related conditions. Methods We describe three currently available sources of electronic health data (Kaiser Permanente, the Veterans Health Administration, and the Centers for Medicare & Medicaid Services) and how these sources can contribute to a comprehensive vision and eye health surveillance system. Results Each of the three sources of electronic health data can contribute meaningfully to a comprehensive vision and eye health surveillance system, but none currently provide all the information required. The use of electronic health records for vision and eye health surveillance has both advantages and disadvantages. Conclusions Electronic health records may provide additional information needed to create a comprehensive vision and eye health surveillance system. Recommendations for incorporating electronic health records into such a system are presented. PMID:23158225

  5. A saúde bucal de adolescentes: aspectos de higiene, de cárie dentária e doença periodontal nas cidades de Recife, Pernambuco e Feira de Santana, Bahia Oral health among adolescents: aspects relating to hygiene, dental cavities and periodontal disease in the cities of Recife and Feira de Santana, Brazil

    Directory of Open Access Journals (Sweden)

    Nilton Cesar Nogueira dos Santos

    2007-10-01

    Full Text Available OBJETIVO: Caracterizar a saúde bucal de adolescentes nas cidades de Recife e Feira de Santana, pela avaliação de higiene bucal, cárie dentária e doença periodontal. MÉTODO: Foram avaliados 40 adolescentes com 10 a 18 anos de idade em Recife, em estudo exploratório, em 2005 e, em Feira de Santana, 971 adolescentes com 12 anos idade, num estudo de prevalência, em 2002. Avaliaram-se: cárie, pelo número de dentes cariados, perdidos e obturados; placa dentária visível, sangramento gengival e condição periodontal. Para análise, utilizaram-se os testes Quiquadrado, Kruskall-Wallis, Exato de Fisher, com intervalo de confiança de 95%. RESULTADOS: A maioria dos adolescentes realizavam higiene oral três vezes ao dia. Os valores do CPOD apresentaram mediana de 1,5 em Recife e médias de 1,89 nas escolas estaduais, 2,17 nas municipais e 2,39 nas particulares, em Feira de Santana. O sangramento gengival em Recife teve mediana de 27% e, em Feira de Santana, a média de sextantes sadios foi de 4,36, 4,08 e 5,16, nas escolas estaduais, municipais e particulares respectivamente. CONCLUSÃO: A freqüência da cárie dentária foi baixa, a maioria dos adolescentes relatou bons hábitos de higiene bucal e a condição periodontal nos adolescentes foi favorável.OBJECTIVE: To characterize the oral health in adolescents in the cities of Recife and Feira de Santana, Northeast Brazil by assessment of personal hygiene and dental cavities and periodontal disease. METHOD: Forty adolescents between ten and eighteen years old were assessed through an exploratory study run in Recife in 2005. In Feira de Santana, 971 adolescents (twelve years old were examined through a cross section study in 2002. It was assessed cavity status through the number of cavitied, missing and filled teeth, visible dental plaque, bleeding gums and periodontal status. The analysis was based on Chi-Square, Kruskall-Wallis and Fisher tests, with a confidence interval of 95%. RESULTS

  6. Questions of trust in health research on social capital: what aspects of personal network social capital do they measure?

    Science.gov (United States)

    Carpiano, Richard M; Fitterer, Lisa M

    2014-09-01

    Health research on personal social capital has often utilized measures of respondents' perceived trust of others as either a proxy for one's social capital in the absence of more focused measures or as a subjective component of social capital. Little empirical work has evaluated the validity of such practices. We test the construct validity of two trust measures used commonly in health research on social capital-generalized trust and trust of neighbors-with respect to measures of people's general network-, organization-, family-, friend-, and neighborhood-based social capital and the extent to which these two trust measures are associated with self-rated general health and mental health when social capital measures are included in the same models. Analyses of 2008 Canadian General Social Survey data (response rate 57.3%) indicate that generalized trust and trust of neighbors are both positively-yet modestly-associated with measures of several domains of network-based social capital. Both trust measures are positively associated with general and mental health, but these associations remain robust after adjusting for social capital measures. Our findings suggest that (a) trust is conceptually distinct from social capital, (b) trust measures are inadequate proxies for actual personal social networks, and (c) trust measures may only be capturing psychological aspects relevant to-but not indicative of-social capital. Though links between perceived trust and health deserve study, health research on social capital needs to utilize measures of respondents' actual social networks and their inherent resources. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Health physics and industrial hygiene aspects of decontamination as a precursor to decontamination

    International Nuclear Information System (INIS)

    Card, C.J.; Hoenes, G.R.; Munson, L.F.; Halseth, G.A.

    1982-06-01

    The Pacific Northwest Laboratory is conducting a comprehensive study of the impacts, benefits and effects of decontamination as a precursor to decommissioning for the US Nuclear Regulatory Commission. The program deals primarily with chemical cleaning of light-water reactor (LWR) systems that will not be returned to operation. A major section of this study defines the health physics and industrial hygiene and safety concerns during decontamination operations. The primary health physics concerns include providing adequate protection for workers from radiation sources which are transported by the decontamination processes, estimating and limiting radioactive effluents to the environment and maintaining operations in accordance with the ALARA philosophy. Locating and identifying the areas of contamination and measuring the radiation exposure rates throughout the reactor primary system are fundamental to implementing these health physics goals. The principal industrial hygiene and safety concerns stem from the fact that a nuclear power plant is being converted for a time to a chemical plant which will contain large volumes of chemical solutions

  8. Indoor and Outdoor Air Pollution- related Health Problem in Ethiopia ...

    African Journals Online (AJOL)

    Background: The health effects of air pollution are generally global problems, but they have, since recently become issues of particular concern for developing countries. This review assessed the situation of air pollution and related health effects in the context of Ethiopia. Methods: The materials reviewed in this publication ...

  9. Physical activity in relation to selected physical health components ...

    African Journals Online (AJOL)

    The aim of this study was to determine the relation between physical activity and selected physical health components. A total of 9860 employees of a financial institution in South Africa, between the ages 18 and 64 (x̄ =35.3 ± 18.6 years), voluntary participated in the study. Health risk factors and physical activity was ...

  10. Health-related mobile apps and behaviour change

    African Journals Online (AJOL)

    Kathryn van Boom

    Health-related mobile apps and behaviour change. While our knowledge about physical activity and health, physical performance and the risk of injury increases in leaps and bounds, the conversion of this information into action and changed behaviour lags behind. There seems to be a sticking point which often causes a ...

  11. Is the political system really related to health?

    NARCIS (Netherlands)

    Klomp, J.G.; de Haan, J.

    We analyze whether the political system and its stability are related to cross-country differences in health. We apply factor analysis on various national health indicators for a large sample of countries over the period 2000-2005 and use the outcomes of the factor analysis to construct two new

  12. Health Care Professionals’ Knowledge and Attitudes About Sexually Transmitted Diseases and Legal Aspects of Medical Services

    Directory of Open Access Journals (Sweden)

    Akpak Yaşam Kemal

    2016-01-01

    Full Text Available Objective: This study aims to investigate healthcare professionals’ (HCPs general level of knowledge about sexually transmitted diseases, their attitudes towards these patients and legal aspects of medical services. Materials and Methods: This was a multi-centered study. The participants were given 28 questions that mainly asked their level of knowledge on sexually transmitted diseases (STDs patients, their attitudes towards such patients, and their legal as well as ethical views on them. Results: A total of 234 HCPs, 124 (53% female and 110 (47% male, participated in the study. The majority of married HCPs have reported monogamy as the most reliable protection method, whereas single participants have marked "condoms." The most commonly known STD has been reported as AIDS in all groups. Even though HCPs find it medically unethical not to offer a medical intervention to patients with STDs, more than one-third of the participants believe that HCPs should have the right not to do so. Conclusion: It has been concluded that HCPs need further education on STDs. Nevertheless, such high level of care and attention on HCPs’ part does not necessarily decrease their need for proper medico legal regulations on such issues.

  13. Some current dimensions of the behavioral economics of health-related behavior change.

    Science.gov (United States)

    Bickel, Warren K; Moody, Lara; Higgins, Stephen T

    2016-11-01

    Health-related behaviors such as tobacco, alcohol and other substance use, poor diet and physical inactivity, and risky sexual practices are important targets for research and intervention. Health-related behaviors are especially pertinent targets in the United States, which lags behind most other developed nations on common markers of population health. In this essay we examine the application of behavioral economics, a scientific discipline that represents the intersection of economics and psychology, to the study and promotion of health-related behavior change. More specifically, we review what we consider to be some core dimensions of this discipline when applied to the study health-related behavior change. Behavioral economics (1) provides novel conceptual systems to inform scientific understanding of health behaviors, (2) translates scientific understanding into practical and effective behavior-change interventions, (3) leverages varied aspects of behavior change beyond increases or decreases in frequency, (4) recognizes and exploits trans-disease processes and interventions, and (5) leverages technology in efforts to maximize efficacy, cost effectiveness, and reach. These dimensions are overviewed and their implications for the future of the field discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Health related quality of life and sociodemographic characteristics ...

    African Journals Online (AJOL)

    Health related quality of life and sociodemographic characteristics among Iranian ... for the groups of students due to the modern highly stressful education period. ... of life among the male and female students in the Islamic Azad University of ...

  15. The role of health-related claims and health-related symbols in consumer behaviour

    NARCIS (Netherlands)

    Hieke, S.; Kuljanic, N.; Wills, J.M.; Pravst, I.; Kaur, A.; Raats, M.M.; Trijp, van H.C.M.; Verbeke, W.; Grunert, K.G.

    2015-01-01

    Health claims and symbols are potential aids to help consumers identify foods that are healthier options. However, little is known as to how health claims and symbols are used by consumers in real-world shopping situations, thus making the science-based formulation of new labelling policies and

  16. Coping processes and health-related quality of life in Parkinson's disease

    DEFF Research Database (Denmark)

    Bucks, R. S.; Cruise, K. E.; Skinner, T. C.

    2011-01-01

    (WCQ), Depression, Anxiety, and Stress Scale (DASS-21), quality of life (PDQ-39), and socio-demographic and clinical variables. Results Greater use of planful problem solving coping was found to be significantly associated with better HRQoL in relation to cognitive impairment, communication and bodily......Objective This study investigated the predictive value of various coping processes for the psychological and disease specific aspects of health-related quality of life (HRQoL) in Parkinson's disease (PD). Method Cross-sectional study of 85 participants with PD using the Ways of Coping Questionnaire...

  17. Multilateral Organization vs. Bilateral Negotiations: A Case of the Trade-Related Aspects of Intellectual Property Rights (TRIPs

    Directory of Open Access Journals (Sweden)

    Namhoon Kwon

    2001-12-01

    Full Text Available In the 1990s, the issue of intellectual property rights (IPR protection gained a prominent place on the international trade agenda, which led to the establishment of the trade-related aspects of intellectual property rights (TRIPs as a part of the WTO regime. Two questions are asked regarding this development: whether a multilateral organization such as the WTO performs better than bilateral negotiations in resolving IPR disputes, and what happened around the 1990s to create an environment favorable to the establishment of a multilateral organization. To deal with these issues, this paper takes the IPE (international political economy approach. Using a very simple game theory model, I derive the cases in which a multilateral organization has better performances. Then, it is used to show that political pressures due to the growth of the US trade deficit in the late 1980s could have been the reason that a multilateral organization became the institutional equilibrium.

  18. Work-related psychological health among clergywomen in Australia

    OpenAIRE

    Robbins, Mandy; Francis, Leslie J.; Powell, Ruth, Ph.D.

    2012-01-01

    Drawing on the classic model of balanced affect, the Francis Burnout Inventory conceptualises good work-related psychological health among clergy in terms of negative affect being balanced by positive affect. This paper sets out to explore the relationship between work-related psychological health and psychological type (as assessed by the Francis Psychological-Type Scales) among a sample of 212 Australian clergywomen who completed the National Church Life Survey Form L in 2006. The data supp...

  19. Electronic Health Record-Related Events in Medical Malpractice Claims.

    Science.gov (United States)

    Graber, Mark L; Siegal, Dana; Riah, Heather; Johnston, Doug; Kenyon, Kathy

    2015-11-06

    There is widespread agreement that the full potential of health information technology (health IT) has not yet been realized and of particular concern are the examples of unintended consequences of health IT that detract from the safety of health care or from the use of health IT itself. The goal of this project was to obtain additional information on these health IT-related problems, using a mixed methods (qualitative and quantitative) analysis of electronic health record-related harm in cases submitted to a large database of malpractice suits and claims. Cases submitted to the CRICO claims database and coded during 2012 and 2013 were analyzed. A total of 248 cases (<1%) involving health IT were identified and coded using a proprietary taxonomy that identifies user- and system-related sociotechnical factors. Ambulatory care accounted for most of the cases (146 cases). Cases were most typically filed as a result of an error involving medications (31%), diagnosis (28%), or a complication of treatment (31%). More than 80% of cases involved moderate or severe harm, although lethal cases were less likely in cases from ambulatory settings. Etiologic factors spanned all of the sociotechnical dimensions, and many recurring patterns of error were identified. Adverse events associated with health IT vulnerabilities can cause extensive harm and are encountered across the continuum of health care settings and sociotechnical factors. The recurring patterns provide valuable lessons that both practicing clinicians and health IT developers could use to reduce the risk of harm in the future. The likelihood of harm seems to relate more to a patient's particular situation than to any one class of error.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share thework provided it is properly cited. The work cannot be changed in any way or used

  20. Risk assessment of coccidostatics during feed cross-contamination: Animal and human health aspects

    International Nuclear Information System (INIS)

    Dorne, J.L.C.M.; Fernández-Cruz, M.L.; Bertelsen, U.; Renshaw, D.W.; Peltonen, K.; Anadon, A.; Feil, A.; Sanders, P.; Wester, P.; Fink-Gremmels, J.

    2013-01-01

    Coccidiosis, an intestinal plasmodium infection, is a major infectious disease in poultry and rabbits. Eleven different coccidiostats are licensed in the EU for the prevention of coccidiosis in these animal species. According to their chemical nature and main biological activity, these compounds can be grouped as ionophoric (monensin, lasalocid sodium, salinomycin, narasin, maduramicin and semduramicin) or non-ionophoric (robenidine, decoquinate, nicarbazin, diclazuril, and halofuginone) substances. Coccidiostats are used as feed additives, mixed upon request into the compounded feed. During the technical process of commercial feed production, cross-contamination of feed batches can result in the exposure of non-target animals and induce adverse health effects in these animals due to a specific sensitivity of mammalian species as compared to poultry. Residue formation in edible tissues of non-target species may result in unexpected human exposure through the consumption of animal products. This review presents recent risk assessments performed by the Scientific Panel on Contaminants in the Food Chain (CONTAM) of the European Food Safety Authority (EFSA). The health risk to non-target species that would result from the consumption of cross-contaminated feed with coccidostats at levels of 2, 5 or 10% was found to be negligible for most animal species with the exception of salinomycin and monensin in horses because of the particular sensitivity for which toxicity may occur when cross-contamination exceeds 2% and 5% respectively. Kinetic data and tissue analyses showed that residues of coccidiostats may occur in the liver and eggs in some cases. However, the level of residues of each coccidiostat in edible animal tissues remained sufficiently low that the aggregate exposure of consumers would not exceed the established acceptable daily intake (ADI) of each coccidiostat. It could be concluded that technical cross-contamination of animal feeds would not be expected to