WorldWideScience

Sample records for strong community support

  1. High Expectations, Strong Support: Faculty Behaviors Predicting Latina/o Community College Student Learning

    Science.gov (United States)

    Lundberg, Carol A.; Kim, Young K.; Andrade, Luis M.; Bahner, Daniel T.

    2018-01-01

    In this study we investigated the extent to which faculty interaction contributed to Latina/o student perceptions of their learning, using a sample of 10,071 Latina/o students who took the Community College Survey of Student Engagement. Findings were disaggregated for men and women, but results were quite similar between the 2 groups. Frequent…

  2. 77 FR 16131 - Establishing a White House Council on Strong Cities, Strong Communities

    Science.gov (United States)

    2012-03-20

    ... Order 13602 of March 15, 2012 Establishing a White House Council on Strong Cities, Strong Communities By... enable them to develop and implement economic strategies to become more competitive, sustainable, and inclusive, it is hereby ordered as follows: Section 1. Policy. Cities, towns, and regions across our Nation...

  3. Supporting the GLAST User Community

    Science.gov (United States)

    Band, David L.

    2004-01-01

    The Gamma-ray Large Area Space Telescope (GLAST) Science Support Center (GSSC) is the scientific community's interface with GLAST. The GSSC will provide data, analysis software and documentation. In addition, the GSSC will administer the guest investigator program for NASA HQ. Consequently, the GSSC will provide proposal preparation tools to assist proposers in assessing the feasibility of observing sources of interest.

  4. Adsorbate-mediated strong metal-support interactions in oxide-supported Rh catalysts.

    Science.gov (United States)

    Matsubu, John C; Zhang, Shuyi; DeRita, Leo; Marinkovic, Nebojsa S; Chen, Jingguang G; Graham, George W; Pan, Xiaoqing; Christopher, Phillip

    2017-02-01

    The optimization of supported metal catalysts predominantly focuses on engineering the metal site, for which physical insights based on extensive theoretical and experimental contributions have enabled the rational design of active sites. Although it is well known that supports can influence the catalytic properties of metals, insights into how metal-support interactions can be exploited to optimize metal active-site properties are lacking. Here we utilize in situ spectroscopy and microscopy to identify and characterize a support effect in oxide-supported heterogeneous Rh catalysts. This effect is characterized by strongly bound adsorbates (HCO x ) on reducible oxide supports (TiO 2 and Nb 2 O 5 ) that induce oxygen-vacancy formation in the support and cause HCO x -functionalized encapsulation of Rh nanoparticles by the support. The encapsulation layer is permeable to reactants, stable under the reaction conditions and strongly influences the catalytic properties of Rh, which enables rational and dynamic tuning of CO 2 -reduction selectivity.

  5. Effectiveness of Advanced Stay Strong, Stay Healthy in Community Settings

    Directory of Open Access Journals (Sweden)

    Emily M. Crowe MS

    2015-07-01

    Full Text Available The goal of this research was to investigate the effectiveness of the 10-week, University of Missouri (MU Extension strength training program Advanced Stay Strong, Stay Healthy (ASSSH. It was hypothesized that the program can improve strength, balance, agility, and flexibility—all physical measures of falling among seniors. Matched pair t tests were used to compare differences in five physical measures of health, body composition, and percent body fat (%BF. Two-way ANOVA was conducted to examine the age effects on changes in physical health from the start and finish of the exercise program. Following programming, participants significantly improved strength, flexibility, and balance, and significantly reduced %BF ( p < .05. Our data indicate that ASSSH can improve the physical health of senior citizens and can successfully be translated into community practice by MU Extension professionals.

  6. Supporting Community Needs for Data through CWIC

    Science.gov (United States)

    Enloe, Y.; Mitchell, A. E.; McDonald, K. R.; Yapur, M.

    2014-12-01

    The Committee on Earth Observation Satellites (CEOS) agencies, established in 1984 to coordinate civil space-borne observations of the Earth, through its Working Group on Information Systems and Services (WGISS), have initiated a community access project, the CEOS WIGSS Integrated Catalog (CWIC), to connect the CEOS agency data systems to the Group of Earth Observations (GEO) System of Systems. Current CWIC data partners offering access or developing access to their Earth Observation data include NASA, NOAA, USGS, National Institute for Space Research (Brazil), Canadian Center for Mapping and Earth Observations (CCMEO), the Academy for Opto-Electronics (China), the Indian Space Research Organization (ISRO), and EUMETSAT. Additional data partners are considering offering their data through CWIC. There are vast quantities of data accessible via CWIC. Offering access to only the data and services of interest to each science and application community through the development of a tailored community client helps lead the users directly to data access and the direct use of the data more quickly. The community clients can offer other services associated with using the data - such as tools for subsetting, reprojection, data integration, etc. The development of these specialized clients gets the communities more directly engaged with the data providers and their feedback can lead to improvements in the access services that are offered. In October 2013, the GEO Director noted that CWIC offered access to about 2/3 of the satellite data accessible via GEO. Why has CWIC succeeded? The broader CWIC team makes decisions as a group (e.g. which standards that CWIC should support). The CWIC support team builds the translations from the CWIC supported standards to the data partner systems into CWIC. The data partner does not have to make any changes to the native data system. The CWIC support team provides very strong technical support for and the constant engagement of the partners

  7. Supporting aboriginal knowledge and practice in health care: lessons from a qualitative evaluation of the strong women, strong babies, strong culture program.

    Science.gov (United States)

    Lowell, Anne; Kildea, Sue; Liddle, Marlene; Cox, Barbara; Paterson, Barbara

    2015-02-05

    The Strong Women, Strong Babies, Strong Culture Program (the Program) evolved from a recognition of the value of Aboriginal knowledge and practice in promoting maternal and child health (MCH) in remote communities of the Northern Territory (NT) of Australia. Commencing in 1993 it continues to operate today. In 2008, the NT Department of Health commissioned an evaluation to identify enabling factors and barriers to successful implementation of the Program, and to identify potential pathways for future development. In this paper we focus on the evaluation findings related specifically to the role of Aborignal cultural knowledge and practice within the Program. A qualitative evaluation utilised purposive sampling to maximise diversity in program history and Aboriginal culture. Semi-structured, in-depth interviews with 76 participants were recorded in their preferred language with a registered Interpreter when required. Thematic analysis of data was verified or modified through further discussions with participants and members of the evaluation team. Although the importance of Aboriginal knowledge and practice as a fundamental component of the Program is widely acknowledged, there has been considerable variation across time and location in the extent to which these cultural dimensions have been included in practice. Factors contributing to this variation are complex and relate to a number of broad themes including: location of control over Program activities; recognition and respect for Aboriginal knowledge and practice as a legitimate component of health care; working in partnership; communication within and beyond the Program; access to transport and working space; and governance and organisational support. We suggest that inclusion of Aboriginal knowledge and practice as a fundamental component of the Program is key to its survival over more than twenty years despite serious challenges. Respect for the legitimacy of Aboriginal knowledge and practice within health

  8. Community-oriented support and research structures

    International Nuclear Information System (INIS)

    Attig, Norbert; Eickermann, Thomas; Gibbon, Paul; Lippert, Thomas

    2009-01-01

    Coordinated by the Partnership for Advanced Computing in Europe (PRACE) Europe is restructuring and strengthening its high-performance computing infrastructure with the aim to create a model HPC ecosystem. At the tip of the pyramid, up to six centres are envisaged that will operate systems of the highest performance class. The HPC Research Infrastructure (HPC-RI) will comprise European, national and regional centres. Science communities are integral partners, strong links will include Grid and Cloud users. The HPC-RI strives at providing scientists all over Europe, on the one hand, with unlimited and independent access to state-of-the-art computer resources in all performance classes and, on the other hand, with a world-class pan-European competence and support network. While the hardware-oriented buildup of the infrastructure is making progress, high-quality user support and software development in the upcoming era of unprecedented parallelism and exascale on the horizon have become the imminent challenges. This has been clearly recognized by the European Commission, who will issue calls for proposals to fund petascale software development in summer 2009. Although traditional support structures are well established in Europe's major supercomputing centres, it is questionable if these structures are able to meet the challenges of the future: in general, support structures are based on cross-disciplinary computer science and mathematics teams; disciplinary computational science support usually is given in an ad-hoc, project-oriented manner. In this paper, we describe our approach to establish a suitable support structure-Simulation Laboratories (SL). SLs are currently being established at the Juelich Supercomputing Centre of the Forschungszentrum Juelich (FZJ) and at the Steinbuch Centre for Computing (SCC) of the Karlsruhe Institute for Technology (KIT) in Germany. While SLs are community-oriented, i.e. each SL focusses on a specific community, they are structured

  9. Support organizations for the engineering community

    National Research Council Canada - National Science Library

    National Research Council Staff; Committee on the Education and Utilization of the Engineer; Commission on Engineering and Technical Systems; Division on Engineering and Physical Sciences; National Research Council; National Academy of Sciences

    ... for the Engineering Community Panel on Support Organizations for the Engineering Community Committee on the Education and Utilization of the Engineer Commission on Engineering and Technical Systems National Research Council NATIONAL ACADEMY PRESS Washington, D.C. 1985 Copyrightoriginal retained, the be not from cannot book, paper original however, for version fo...

  10. Promoting Strong ISO 50001 Outcomes with Supportive National Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    McKane, Aimee, T.; Siciliano, Graziella; de los Reyes, Pamela

    2015-08-04

    The ISO 50001 standard is a key mechanism for reducing greenhouse gas emissions and improving energy efficiency globally. An increasing number of companies are seeking certification, creating the need for personnel that are competent to conduct ISO 50001 certification audits. The growth of ISO 50001 is expected to accelerate as more companies integrate ISO 50001 into their corporate sustainability strategies and supplier requirements. Robust implementation of ISO 50001 represents an important tool for countries with climate change mitigation goals. Because of its dual focus on continual improvement of an organization’s energy management system (EnMS) and its energy performance improvement, ISO 50001 requires skills of both implementers and certification auditors that are not well-supported by current credentials and training. This paper describes an effort to address skill gaps of certification auditors, a critical factor to ensure that ISO 50001 implementations are robust and result in continued energy performance improvement. A collaboration of governments through the Energy Management Working Group (EMWG), formerly under Global Superior Energy Performance (GSEP), has formed to build workforce capacity for ISO 50001 certification audits. The EMWG is leading the development of an internationally-relevant certification scheme for ISO 50001 Lead Auditor that meets requirements for ISO/IEC 17024 accreditation and ISO 50003 for defining ISO 50001 Lead Auditor competency. Wider availability of competent ISO 50001 Lead Auditors will ultimately increase the impact and market value of ISO 50001 certification and improve consistency of ISO 50001 certification outcomes by establishing a standardized and high level of knowledge and skills globally.

  11. Strongly Deterministic Population Dynamics in Closed Microbial Communities

    Directory of Open Access Journals (Sweden)

    Zak Frentz

    2015-10-01

    Full Text Available Biological systems are influenced by random processes at all scales, including molecular, demographic, and behavioral fluctuations, as well as by their interactions with a fluctuating environment. We previously established microbial closed ecosystems (CES as model systems for studying the role of random events and the emergent statistical laws governing population dynamics. Here, we present long-term measurements of population dynamics using replicate digital holographic microscopes that maintain CES under precisely controlled external conditions while automatically measuring abundances of three microbial species via single-cell imaging. With this system, we measure spatiotemporal population dynamics in more than 60 replicate CES over periods of months. In contrast to previous studies, we observe strongly deterministic population dynamics in replicate systems. Furthermore, we show that previously discovered statistical structure in abundance fluctuations across replicate CES is driven by variation in external conditions, such as illumination. In particular, we confirm the existence of stable ecomodes governing the correlations in population abundances of three species. The observation of strongly deterministic dynamics, together with stable structure of correlations in response to external perturbations, points towards a possibility of simple macroscopic laws governing microbial systems despite numerous stochastic events present on microscopic levels.

  12. Engaging community to support HIV prevention research.

    Science.gov (United States)

    Sahay, Seema; Mehendale, Sanjay

    2011-01-01

    Actively engaging communities in effective partnerships is considered critical for ethically robust and locally relevant HIV prevention research. This can be challenging in developing countries that have little prior experience in this area. This paper summarizes processes and lessons learnt while setting up the Community Involvement Plan of National AIDS Research Institute, Pune, India. Formal partnerships were established with voluntary agencies. The focus was on using strategies adapted from participatory learning and action techniques. The community program was implemented through peer educators specifically identified from the communities where partner non-governmental organizations function. At the grass root level, peer educators imparted education to the common people about research studies and helped to implement community based recruitment and retention activities. The focus was on facilitating periodic interaction between the outreach workers of the research team and the peers and modifying the strategies till they were found locally implementable and appropriate. Through adequate time investment, mutually beneficial and respectful partnerships with community based organizations and grass root level workers, the community became actively involved in clinical research. The program helped in developing a sense of partnership among the peers for the research conducted by the research organization, widening the net of community education and identification of research participants. By building trust in the community and implementing research within an ethical framework, culturally sensitive matters were appropriately addressed. The community involvement process is long, laborious and ever-evolving. Effective community engagement requires institutional leadership support, adequate funding and commitment by researchers. It is possible to sustain such a model in a resource limited setting.

  13. Managerial support of community mental health nurses.

    Science.gov (United States)

    Funakoshi, Akiko; Miyamoto, Yuki; Kayama, Mami

    2007-05-01

    This paper is a report of a study to describe the support behaviours practised by managers of community mental health nurses (CMHNs) who provide homecare for people with mental illness, and to identify factors related to those behaviours. Homecare of mentally ill clients can prevent hospital readmission, provide rehabilitation, and include support for medication adherence, personal relationships, mental health, activities of daily living, as well as supporting informal caregivers. However, this work is stressful for CMHNs, who can themselves develop mental health problems and suffer burnout. Therefore support for these nurses is essential. Semi-structured interviews were conducted with 10 nurse managers in 2004. A constant comparative data collection and analysis process was used, and a core category identified. Four categories of managerial support behaviour were identified: (1) 'modifying client-nurse relationships'; (2) 'ensuring community mental health nurse safety'; (3) 'providing emotional support'; (4) 'providing opportunities for skill development'. 'To continue homecare for clients in need' emerged as a core category, representing the ultimate purpose of managerial support behaviours. Moreover, the timing of managerial support behaviours was influenced by the quality and length of the client-nurse relationship. The managerial support behaviours reported in the present study may be useful in other cultural contexts. Further research is needed to evaluate their effectiveness for CMHNs in other settings in Japan and other countries.

  14. Enhancing Homeland Security Efforts by Building Strong Relationships between the Muslim Community and Local Law Enforcement

    National Research Council Canada - National Science Library

    Jensen, Dennis L

    2006-01-01

    ... to follow up on the incident and to prevent future attacks. It is undeniable that building a strong relationship between the local police and the Muslim community is essential in defending America against acts of terrorism...

  15. Supporting Community-Oriented Educational Change

    Directory of Open Access Journals (Sweden)

    Linda Mabry

    1999-04-01

    Full Text Available A study of a federally funded program to develop and implement community-oriented social studies curricula and curriculum-based assessments grounds cautions for educational change initiatives. In this case, despite the project director's stated intent to support teachers' desire for instruction regarding local culture and history, top-down support for classroom-level change evidenced insensitivity. Production and implementation of the planned curricula and assessments was obstructed by teacher's lack of cultural identification with the targeted community groups, workload, competing instructional priorities, inadequate communication, and organizational politics. Professional development was sometimes beneficial but more often ineffective—either perfunctory, unnecessary, or disregarded. The findings offer insight regarding educational change and a systemic analysis.

  16. Wood Ash Induced pH Changes Strongly Affect Soil Bacterial Numbers and Community Composition

    DEFF Research Database (Denmark)

    Bang-Andreasen, Toke; Nielsen, Jeppe T.; Voriskova, Jana

    2017-01-01

    -neutralizing capabilities. However, wood ash has several ecosystem-perturbing effects like increased soil pH and pore water electrical conductivity both known to strongly impact soil bacterial numbers and community composition. Studies investigating soil bacterial community responses to wood ash application remain sparse...

  17. Strong Rural Communities Initiative (SRCI) program: challenges in promoting healthier lifestyles.

    Science.gov (United States)

    Ahmed, Syed M; Size, Tim; Crouse, Byron; Patterson, Leslie; Gass, Eric; Karon, Sarita L; Lund, Liz; Abert, Connie; Wergin, Amy; Hegranes, Karen; Bishop, Linda; Duffy, Sue; Jacobson, Kevin

    2011-06-01

    The Strong Rural Communities Initiative (SRCI) was created to address the health needs of rural Wisconsin communities through a multifaceted partnership that included the Medical College of Wisconsin (MCW), University of Wisconsin School of Medicine and Public Health (UWSMPH), the Rural Health Development Council (RHDC), and hospitals, public health departments, and businesses in 6 rural communities in Wisconsin. The SRCI provided a broad framework of leadership to assist each of the 6 rural communities in developing and implementing new, collaborative interventions that addressed the specific health needs of the community. Separate assessments were conducted for the communities that partnered with each respective medical school and focused on the processes of community collaboration and partnership function. Assessment approaches included formative and outcome evaluation. Each community independently reported positive outcomes associated with the partnership process and various aspects of community collaboration, including the successes and health impacts of the workplace wellness programs implemented. Assessment data also revealed challenges related to conducting effective community-academic partnerships. The SRCI was established to execute statewide programs in rural communities with the goal to improve the health of people living in those communities. We have gained applicable knowledge regarding the types of challenges that exist in establishing a rural-based community research network between academic partners and community leaders.

  18. Community factors supporting child mental Health.

    Science.gov (United States)

    Earls, F

    2001-10-01

    discussion. The first conclusion suggests that research in child development generally, and child mental health specifically, does not incorporate the social ecology of the child is seriously flawed. There is a broad recognition within most sectors of society that the quality of civic engagement is of critical importance to community efforts to improve the health and well-being of children. This is true for all communities and families, regardless of their levels of material wealth and educational achievement. It is also well understood that poverty undermines the well-being and life chances of children. For this reason, the third conclusion requires that intensive, sustained efforts be made to eradicate poverty and reverse the current economic trend toward growing economic disparity. The implications of this knowledge for the practice of child psychiatry are not new ones. In many ways, they advocate for a re-examination of the historical roots of the field as it defined approaches to juvenile justice, school counseling, and early intellectual enrichment for economically disadvantaged preschool children. All these efforts were sensitive to children's social environment, and child psychiatrists viewed their success in taking on the challenges of changing schools, courts, and community and family environments. These challenges hardly have been overcome. The requirements of understanding and evaluating community supports for children are a fundamental component in the training and practice of child psychiatry. To quote the U.S. Surgeon General in a preamble to the recent Report on Child Mental Health: One way to ensure that our health system meets children's mental health needs is to move toward a community based health system that balances health promotion, disease prevention, early detection and universal access.

  19. Strong influence of regional species pools on continent-wide structuring of local communities.

    Science.gov (United States)

    Lessard, Jean-Philippe; Borregaard, Michael K; Fordyce, James A; Rahbek, Carsten; Weiser, Michael D; Dunn, Robert R; Sanders, Nathan J

    2012-01-22

    There is a long tradition in ecology of evaluating the relative contribution of the regional species pool and local interactions on the structure of local communities. Similarly, a growing number of studies assess the phylogenetic structure of communities, relative to that in the regional species pool, to examine the interplay between broad-scale evolutionary and fine-scale ecological processes. Finally, a renewed interest in the influence of species source pools on communities has shown that the definition of the source pool influences interpretations of patterns of community structure. We use a continent-wide dataset of local ant communities and implement ecologically explicit source pool definitions to examine the relative importance of regional species pools and local interactions for shaping community structure. Then we assess which factors underlie systematic variation in the structure of communities along climatic gradients. We find that the average phylogenetic relatedness of species in ant communities decreases from tropical to temperate regions, but the strength of this relationship depends on the level of ecological realism in the definition of source pools. We conclude that the evolution of climatic niches influences the phylogenetic structure of regional source pools and that the influence of regional source pools on local community structure is strong.

  20. Spectral asymptotics of a strong δ′ interaction supported by a surface

    International Nuclear Information System (INIS)

    Exner, Pavel; Jex, Michal

    2014-01-01

    Highlights: • Attractive δ ′ interactions supported by a smooth surface are considered. • Surfaces can be either infinite and asymptotically planar, or compact and closed. • Spectral asymptotics is determined by the geometry of the interaction support. - Abstract: We derive asymptotic expansion for the spectrum of Hamiltonians with a strong attractive δ ′ interaction supported by a smooth surface in R 3 , either infinite and asymptotically planar, or compact and closed. Its second term is found to be determined by a Schrödinger type operator with an effective potential expressed in terms of the interaction support curvatures

  1. Strong Coupling Asymptotics for a Singular Schrodinger Operator with an Interaction Supported by an Open Arc

    Czech Academy of Sciences Publication Activity Database

    Exner, Pavel; Pankrashkin, K.

    2014-01-01

    Roč. 39, č. 2 (2014), s. 193-212 ISSN 0360-5302 R&D Projects: GA ČR GAP203/11/0701 Institutional support: RVO:61389005 Keywords : Eigenvalue * Schrödinger operator * singular interaction * strong coupling * 35Q40 * 35P15 * 35J10 Subject RIV: BE - Theoretical Physics Impact factor: 1.013, year: 2014

  2. Spectral asymptotics of a strong delta ' interaction supported by a surface

    Czech Academy of Sciences Publication Activity Database

    Exner, Pavel; Jex, M.

    2014-01-01

    Roč. 378, 30-31 (2014), s. 2091-2095 ISSN 0375-9601 R&D Projects: GA ČR(CZ) GA14-06818S Institutional support: RVO:61389005 Keywords : delta ' surface interaction * strong coupling expansion Subject RIV: BE - Theoretical Physics Impact factor: 1.683, year: 2014

  3. On eigenvalue asymptotics for strong delta-interactions supported by surfaces with boundaries

    Czech Academy of Sciences Publication Activity Database

    Dittrich, Jaroslav; Exner, Pavel; Kuhn, C.; Pankrashkin, K.

    2016-01-01

    Roč. 97, 1-2 (2016), s. 1-25 ISSN 0921-7134 R&D Projects: GA ČR(CZ) GA14-06818S Institutional support: RVO:61389005 Keywords : singular Schrodinger operator * delta-interaction * strong coupling * eigenvalue Subject RIV: BE - Theoretical Physics Impact factor: 0.933, year: 2016

  4. Preparation of supported Au–Pd and Cu–Pd by the combined strong ...

    Indian Academy of Sciences (India)

    BOONTIDA PONGTHAWORNSAKUN

    2017-10-25

    Oct 25, 2017 ... Abstract. TiO2 supported Au–Pd and Cu–Pd catalysts were prepared by strong electrostatic adsorption (SEA) of Pd followed by electroless deposition (ED) of a second metal with incremental surface coverages of Au or. Cu. High dispersion of small Pd particles on the Pd/TiO2 prepared by SEA led to the ...

  5. Construction and analysis of a bacterial community exhibiting strong chitinolytic activity.

    Science.gov (United States)

    Sato, Kazuaki; Kato, Yuichi; Fukamachi, Ayabi; Nogawa, Masahiro; Taguchi, Goro; Shimosaka, Makoto

    2010-01-01

    A stable bacterial community expressing strong chitinolytic activity was constructed by mixing and cultivating chitinolytic bacteria collected from different natural sources. The DNA fragment pattern, after PCR-denaturing gradient gel electrophoresis (DGGE) targeting 16S rRNA genes using total DNA prepared from whole cells, indicated that the community was composed of four dominant bacterial species. All four species were isolated on agar medium, and one strain, SAY3, was deduced to be a novel species belonging to a new genus based on the 16S rRNA nucleotide sequence. The other strains showed high similarity in their 16S rRNA sequences to those of previously identified bacteria (Acinetobacter and Microbacterium). Strain SAY3 degraded and utilized larger particles of chitin faster than the community, indicating that it plays an important role in the chitin degradation conferred by the community.

  6. Temporal bird community dynamics are strongly affected by landscape fragmentation in a Central American tropical forest region

    Science.gov (United States)

    Blandón, A.C.; Perelman, S.B.; Ramírez, M.; López, A.; Javier, O.; Robbins, Chandler S.

    2016-01-01

    Habitat loss and fragmentation are considered the main causes of species extinctions, particularly in tropical ecosystems. The objective of this work was to evaluate the temporal dynamics of tropical bird communities in landscapes with different levels of fragmentation in eastern Guatemala. We evaluated five bird community dynamic parameters for forest specialists and generalists: (1) species extinction, (2) species turnover, (3) number of colonizing species, (4) relative species richness, and (5) a homogeneity index. For each of 24 landscapes, community dynamic parameters were estimated from bird point count data, for the 1998–1999 and 2008–2009 periods, accounting for species’ detection probability. Forest specialists had higher extinction rates and a smaller number of colonizing species in landscapes with higher fragmentation, thus having lower species richness in both time periods. Alternatively, forest generalists elicited a completely different pattern, showing a curvilinear association to forest fragmentation for most parameters. Thus, greater community dynamism for forest generalists was shown in landscapes with intermediate levels of fragmentation. Our study supports general theory regarding the expected negative effects of habitat loss and fragmentation on the temporal dynamics of biotic communities, particularly for forest specialists, providing strong evidence from understudied tropical bird communities.

  7. Experimental evidence for strong stabilizing forces at high functional diversity of aquatic microbial communities.

    Science.gov (United States)

    Carrara, Francesco; Giometto, Andrea; Seymour, Mathew; Rinaldo, Andrea; Altermatt, Florian

    2015-05-01

    Unveiling the mechanisms that promote coexistence in biological communities is a fundamental problem in ecology. Stable coexistence of many species is commonly observed in natural communities. Most of these natural communities, however, are composed of species from multiple trophic and functional groups, while theory and experiments on coexistence have been focusing on functionally similar species. Here, we investigated how functional diversity affects the stability of species coexistence and productivity in multispecies communities by characterizing experimentally all pairwise species interactions in a pool of 11 species of eukaryotes (10 protists and one rotifer) belonging to three different functional groups. Species within the same functional group showed stronger competitive interactions compared to among-functional group interactions. This often led to competitive exclusion between species that had higher functional relatedness, but only at low levels of species richness. Communities with higher functional diversity resulted in increased species coexistence and community biomass production. Our experimental findings and the results of a stochastic model tailored to the experimental interaction matrix suggest the emergence of strong stabilizing forces when species from different functional groups interact in a homogeneous environment. By combining theoretical analysis with experiments we could also disentangle the relationship between species richness and functional diversity, showing that functional diversity per se is a crucial driver of productivity and stability in multispecies community.

  8. Integrating community ergonomics with educational ergonomics--designing community systems to support classroom learning.

    Science.gov (United States)

    Smith, Thomas J

    2012-01-01

    This paper offers a conceptual framework, bolstered by empirical evidence, for two conclusions: (1) that variability in student learning is prominently influenced by ergonomic design features, not only of classrooms and school systems, but also of surrounding communities; and (2) a systems concept of learning environments therefore is required to support student learning, based on integrating educational with community ergonomics. Educational system design factors known to strongly influence student learning first are reviewed. One of the most prominent of these is the socioeconomic status of communities in which schools are housed. Independent lines of evidence then are introduced that may account for how and why community design affects learning. The paper closes with recommendations for persuading policymakers and educators that closer integration of school system operations and functions with those of the surrounding community, with a central goal of upgrading community design conditions, represents a highly promising opportunity for improving student learning performance. One major challenge is to heighten awareness that learning environments outside the classroom are as or more important as those inside, in terms of influencing not only test but broader educational and societal trajectories of children.

  9. Faith community nursing: Supporting Healthy People 2020 initiatives.

    Science.gov (United States)

    Pappas-Rogich, Maria; King, Michalene

    2014-01-01

    One innovative community-based setting to promote health is the faith community, where care is provided by a faith community nurse (FCN). This descriptive study describes the practice of FCNs, FCN functions and standards, identifies Healthy People 220 Leading Health Indicators being addressed by FCNs, and explores how the FCN model of community-based practice can support implementation of Healthy People 2020.

  10. Wood ash induced pH changes strongly affect soil bacterial numbers and community composition

    DEFF Research Database (Denmark)

    Bang-Andreasen, Toke; Nielsen, Jeppe T.; Voriskova, Jana

    2017-01-01

    -neutralizing capabilities. However, wood ash has several ecosystem-perturbing effects like increased soil pH and pore water electrical conductivity both known to strongly impact soil bacterial numbers and community composition. Studies investigating soil bacterial community responses to wood ash application remain sparse...... and the available results are ambiguous and remain at a general taxonomic level. Here we investigate the response of bacterial communities in a spruce forest soil to wood ash addition corresponding to 0, 5, 22, and 167 t wood ash ha(-1). We used culture-based enumerations of general bacteria, Pseudomonas......Recirculation of wood ash from energy production to forest soil improves the sustainability of this energy production form as recycled wood ash contains nutrients that otherwise would be lost at harvest. In addition, wood-ash is beneficial to many soils due to its inherent acid...

  11. Strongly nonlinear free vibration of four edges simply supported stiffened plates with geometric imperfections

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Zhaoting; Wang, Rong Hui; Chen, Li; Dong, Chung Uang [School of Civil Engineering and Transportation, South China University of Technology, Guangzhou (China)

    2016-08-15

    This article investigated the strongly nonlinear free vibration of four edges simply supported stiffened plates with geometric imperfections. The von Karman nonlinear strain-displacement relationships are applied. The nonlinear vibration of stiffened plate is reduced to a one-degree-of-freedom nonlinear system by assuming mode shapes. The Multiple scales Lindstedt-Poincare method (MSLP) and Modified Lindstedt-Poincare method (MLP) are used to solve the governing equations of vibration. Numerical examples for stiffened plates with different initial geometric imperfections are presented in order to discuss the influences to the strongly nonlinear free vibration of the stiffened plate. The results showed that: the frequency ratio reduced as the initial geometric imperfections of plate increased, which showed that the increase of the initial geometric imperfections of plate can lead to the decrease of nonlinear effect; by comparing the results calculated by MSLP method, using MS method to study strongly nonlinear vibration can lead to serious mistakes.

  12. School-Community Relations, Community Support, and Student Achievement: A Summary of Findings.

    Science.gov (United States)

    Bowles, B. Dean

    Summaries of four studies on school community relations, student achievement and community support are provided in this report. The studies abstracted are: (1) "School-Community Relations, Student Achievement, and Conflict Resolution," by John E. Ingram, Jr.; (2) "School-Community Relations and Student Achievement in Communities of Differing…

  13. Enhancing community health workers support for maternal ...

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

    This project, a collaboration between the Bruyère Research Institute and Shirati KMT Council Designated Hospital, will complement a current project to build an enhanced cadre of community health workers in rural Tanzania by integrating a focus on the reproductive health needs of women. The project will train community ...

  14. Effective support for community resource management

    NARCIS (Netherlands)

    Ansink, E.; Bouma, J.A.

    2013-01-01

    A popular alternative to state-led resource management is community resource management. This decentralised approach is potentially more efficient, but is not necessarily stable. We study this issue using coalition theory, arguing that some of the conditions for effective community resource

  15. Online Resources and Community Support for REU Leaders

    Science.gov (United States)

    Sloan, V.; Haacker, R.

    2015-12-01

    Creating and running undergraduate research programs is very time and resource intensive, and leaders work in relative isolation, managing every aspect of REU programs. This paper will give an update on new tools, resources, and support gathered from the geoscience REU community and made available through the SOARS Center for Undergraduate Research via the web, a listserv, and workshops. These include advice and tools on topics such as broadening participation, ethics and safety training, and communicating with mentors. The demand from the private sector for graduates to be more adaptable, adept at problem solving, and skilled at writing and presenting (Chronicle for Higher Education, 2012) increases the need for the REU community to provide professional development for students. As a result, we are also working to provide materials and webinars on teaching interns how to prepare talks and posters, how to write their internship experience into their résumé, and about graduate school and other non-academic career paths. REUs continue to successfully attract strong students into STEM fields, and the quality of these programs is enhanced by the generous sharing of insight and tools within the GEO REU community (ucar.scied.edu/soars/reu).

  16. The potential of community libraries in supporting literate environments and sustaining literacy skills

    Science.gov (United States)

    Shrestha, Sanjana; Krolak, Lisa

    2015-06-01

    This article shows how community libraries can create and support literate environments, which are essential for building and sustaining literacy skills in local communities. The paper begins with a subject analysis reviewing available background materials and literature on the topic. Next, relevant issues are considered based on experiences and impact evaluations from specific community libraries, namely Nepal's Rural Education and Development (READ) Centres. The findings indicate that since their foundation in 1991, READ Centres have evolved from traditional libraries to effective community development centres with a strong focus on social empowerment, economic development and lifelong learning, based on a library concept which is needs-based, community-owned and sustainable.

  17. Measurement of social support, community and trust in dentistry

    DEFF Research Database (Denmark)

    Berthelsen, Hanne; Pejtersen, Jan Hyld; Söderfeldt, Björn

    2011-01-01

    , mean = 70.4 [SD = 20.8], Cronbach's alpha = 0.89). DIF of only minor importance was found which supported cultural equivalence. The two scales were weakly positively correlated with each other. 'Community with Trust' was in general more strongly correlated with work satisfaction variables than...... properties of the scales. MATERIAL AND METHODS: In 2008, a questionnaire was sent to 1,835 general dental practitioners randomly selected from the dental associations in Sweden and Denmark. The response rate was 68% after two reminders. Principal Component Analysis was applied to 14 items and scales were...... established based on the resulting factors. Internal consistency was evaluated by Cronbach's alpha. Differential Item Functioning (DIF) with respect to gender, nationality and employment sector was analysed using ordinal logistic regression methods. Construct validity was assessed in relation to self...

  18. The Quake-Catcher Network: Improving Earthquake Strong Motion Observations Through Community Engagement

    Science.gov (United States)

    Cochran, E. S.; Lawrence, J. F.; Christensen, C. M.; Chung, A. I.; Neighbors, C.; Saltzman, J.

    2010-12-01

    The Quake-Catcher Network (QCN) involves the community in strong motion data collection by utilizing volunteer computing techniques and low-cost MEMS accelerometers. Volunteer computing provides a mechanism to expand strong-motion seismology with minimal infrastructure costs, while promoting community participation in science. Micro-Electro-Mechanical Systems (MEMS) triaxial accelerometers can be attached to a desktop computer via USB and are internal to many laptops. Preliminary shake table tests show the MEMS accelerometers can record high-quality seismic data with instrument response similar to research-grade strong-motion sensors. QCN began distributing sensors and software to K-12 schools and the general public in April 2008 and has grown to roughly 1500 stations worldwide. We also recently tested whether sensors could be quickly deployed as part of a Rapid Aftershock Mobilization Program (RAMP) following the 2010 M8.8 Maule, Chile earthquake. Volunteers are recruited through media reports, web-based sensor request forms, as well as social networking sites. Using data collected to date, we examine whether a distributed sensing network can provide valuable seismic data for earthquake detection and characterization while promoting community participation in earthquake science. We utilize client-side triggering algorithms to determine when significant ground shaking occurs and this metadata is sent to the main QCN server. On average, trigger metadata are received within 1-10 seconds from the observation of a trigger; the larger data latencies are correlated with greater server-station distances. When triggers are detected, we determine if the triggers correlate to others in the network using spatial and temporal clustering of incoming trigger information. If a minimum number of triggers are detected then a QCN-event is declared and an initial earthquake location and magnitude is estimated. Initial analysis suggests that the estimated locations and magnitudes are

  19. Community Health Workers Support Community-based Participatory Research Ethics:

    Science.gov (United States)

    Smith, Selina A.; Blumenthal, Daniel S.

    2013-01-01

    Ethical principles of community-based participatory research (CBPR)— specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability—stem from the work of Kurt Lewin and Paulo Freire. These are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communities for research purposes (the U.S. Public Health Service Tuskegee Syphilis Study being the most notorious) has left a legacy of mistrust of research and researchers. The purpose of this article is to examine experiences and lessons learned from community health workers (CHWs) in the 10-year translation of an educational intervention in the research-to-practice-to-community continuum. We conclude that the central role played by CHWs enabled the community to gain some degree of control over the intervention and its delivery, thus operationalizing the ethical principles of CBPR. PMID:23124502

  20. Local support for community action on climate change: lessons from the Communities Cutting Carbon project.

    OpenAIRE

    Reeves, Andrew; Lemon, Mark; Cook, Diana

    2011-01-01

    Action by local communities on climate change has been recognised by researchers and policymakers as having great potential to support a transition towards a low-carbon UK economy. Support for such action from community development workers can assist projects and groups to develop, act, and achieve positive results. This paper explores the work of the Communities Cutting Carbon project to provide support to community groups acting on climate change in the Leicester, Leicestershire and Rut...

  1. Wood Ash Induced pH Changes Strongly Affect Soil Bacterial Numbers and Community Composition.

    Science.gov (United States)

    Bang-Andreasen, Toke; Nielsen, Jeppe T; Voriskova, Jana; Heise, Janine; Rønn, Regin; Kjøller, Rasmus; Hansen, Hans C B; Jacobsen, Carsten S

    2017-01-01

    Recirculation of wood ash from energy production to forest soil improves the sustainability of this energy production form as recycled wood ash contains nutrients that otherwise would be lost at harvest. In addition, wood-ash is beneficial to many soils due to its inherent acid-neutralizing capabilities. However, wood ash has several ecosystem-perturbing effects like increased soil pH and pore water electrical conductivity both known to strongly impact soil bacterial numbers and community composition. Studies investigating soil bacterial community responses to wood ash application remain sparse and the available results are ambiguous and remain at a general taxonomic level. Here we investigate the response of bacterial communities in a spruce forest soil to wood ash addition corresponding to 0, 5, 22, and 167 t wood ash ha -1 . We used culture-based enumerations of general bacteria, Pseudomonas and sporeforming bacteria combined with 16S rRNA gene amplicon sequencing to valuate soil bacterial responses to wood ash application. Results showed that wood ash addition strongly increased soil pH and electrical conductivity. Soil pH increased from acidic through neutral at 22 t ha -1 to alkaline at 167 t ha -1 . Bacterial numbers significantly increased up to a wood ash dose of 22 t ha -1 followed by significant decrease at 167 t ha -1 wood ash. The soil bacterial community composition changed after wood ash application with copiotrophic bacteria responding positively up to a wood ash dose of 22 t ha -1 while the adverse effect was seen for oligotrophic bacteria. Marked changes in bacterial community composition occurred at a wood ash dose of 167 t ha -1 with a single alkaliphilic genus dominating. Additionally, spore-formers became abundant at an ash dose of 167 t ha -1 whereas this was not the case at lower ash doses. Lastly, bacterial richness and diversity strongly decreased with increasing amount of wood ash applied. All of the observed bacterial responses can be

  2. Hospital outreach to support faith community nursing.

    Science.gov (United States)

    Messerly, Sally; King, Michalene A; Hughes, Suzanne

    2012-01-01

    A Faith Community Nurse (FCN) Program was initiated by a Magnet hospital and developed through collaboration between hospital departments and a university nurse educator. This article describes the program's development and activities that offer FCNs networking, free continuing education, and are an extension of the hospital's mission and values.

  3. Supporting a Learner Community with Software Agents

    Science.gov (United States)

    Taurisson, Neil; Tchounikine, Pierre

    2004-01-01

    This paper describes a multi-agent approach that aims at supporting learners involved in a collective activity. We consider pedagogical situations where students have to explicitly define the articulation of their collective work and then achieve the different tasks they have defined. Our objective is to support these students by taking some of…

  4. Recruitment and retention of home support workers in rural communities.

    Science.gov (United States)

    Sharman, Zena

    2014-01-01

    This qualitative study examined recruitment and retention of home support workers (HSWs) providing home support in rural communities. Thirty-two participants were recruited across four island-based communities located in British Columbia, Canada. Thematic analysis of interview data revealed several key themes: (a) how the rural context shapes HSWs' employment decisions and opportunities; (b) why people become (and stay) HSWs in rural communities; and (c) how rurality influences the nature and scope of HSWs' work. These findings suggest that health human resource policies and programs aimed at HSW recruitment and retention should be tailored to characteristics, strengths, and challenges of rural communities.

  5. Local Support for Alcohol Control Policies and Perceptions of Neighborhood Issues in Two College Communities.

    Science.gov (United States)

    Fairlie, Anne M; DeJong, William; Wood, Mark D

    2015-01-01

    Although valuable, national opinion surveys on alcohol policy may be less informative for policy development at the local level. Using samples of adult residents in 2 college communities, the present study: (1) measured public support for local alcohol control policies to stem underage drinking and alcohol overservice in on-premise outlets, (2) assessed residents' opinions regarding neighborhood problems, and (3) identified factors associated with strong policy support. We administered random-sample telephone surveys to residents aged 21 years and older in college communities located in Community 1 (N = 501; mean age = 57.4 years, SD = 14.7) and Community 2 (N = 505; mean age = 56.0 years, SD = 15.2). The response rates were typical of telephone surveys (Community 1: 33.5%; Community 2: 29.9%). We assessed support for 16 alcohol control policies and the occurrence of specific types of neighborhood incidents (e.g., witnessing intoxicated people). We used multiple regression analyses to determine factors associated with policy support. Residents in Community 1 reported significantly higher weekly alcohol use, a greater number of witnessed neighborhood incidents, and a higher level of perceived neighborhood problems than did residents in Community 2. Residents in Community 1 perceived local alcohol control policies and their enforcement to be significantly stricter. Overall, policy support was high and did not differ between the communities. In both communities, higher policy support was significantly associated with being female, being older, less weekly alcohol use, and lower perceived strictness of alcohol control policies and enforcement. It is important for campus officials and community leaders to be aware of and publicize favorable public opinion when advocating for policy change, especially at the local level. Information on residents' perceptions of the neighborhood issues they face can also inform local policy and enforcement efforts.

  6. Supporting a Learner Community with Software Agents

    Directory of Open Access Journals (Sweden)

    Pierre Tchounikine

    2004-04-01

    Full Text Available This paper describes a multi- agent approach that aims at supporting learners involved in a collective activity. We consider pedagogical situations where students have to explicitly define the articulation of their collective work and then achieve the different tasks they have defined. Our objective is to support these students by taking some of these tasks in charge whilst making them work out such organisation features. For this purpose, we propose to consider that the group of students forms a multi- agent system and to introduce software agents that can achieve some of the tasks within this group. This conducts students to tackle the problem in terms of human and software agent coordination. We present how this approach can be conceptualized and modelled using Engeström’s triangle, how task delegation can be used as a means to enable students to define the software agents’ behaviour and the multi-agent implementation we propose.

  7. Patient aggression perceived by community support workers.

    Science.gov (United States)

    Gale, Christopher; Hannah, Annette; Swain, Nicola; Gray, Andrew; Coverdale, John; Oud, Nico

    2009-12-01

    Objective: Aggression by patients is a known risk factor for hospital workers. Within New Zealand, the bulk of ongoing care for physical and mental disabilities and health issues is not hospital based, but contracted to various non-governmental agencies. The rate of client aggression towards care workers from these organizations, to our knowledge, has not been assessed. Method: Two hundred and forty-two support workers in non-governmental agencies caring for people with disabilities responded to an anonymous mailed survey on client aggression, personal distress, and communication style. Results: Most support workers did experience verbal forms of aggression or destructive behaviour, fewer experienced physical aggression, and a minority were injured, sexually harassed, stalked or harassed by means of formal complaint. The median total violence score was five (interquartile range 12.25). A higher total violence score (using the POPAS-NZ) was associated with age and gender, the primary disability of clients, and the numbers of hours worked. The length of time worked was not associated with total violence risk. Communication style, after correcting for other factors, was a predictor of aggression. Almost 6% of care workers reported distress symptoms at a level associated with clinically significant stress reactions. Conclusions: Patient aggression is common among care workers, and can cause distress in the minority. We suggest that further research to clarify risk factors and develop interventions for care workers is needed.

  8. Community Health Workers as Support for Sickle Cell Care

    Science.gov (United States)

    Hsu, Lewis L.; Green, Nancy S.; Ivy, E. Donnell; Neunert, Cindy; Smaldone, Arlene; Johnson, Shirley; Castillo, Sheila; Castillo, Amparo; Thompson, Trevor; Hampton, Kisha; Strouse, John J.; Stewart, Rosalyn; Hughes, TaLana; Banks, Sonja; Smith-Whitley, Kim; King, Allison; Brown, Mary; Ohene-Frempong, Kwaku; Smith, Wally R.; Martin, Molly

    2016-01-01

    Community health workers are increasingly recognized as useful for improving health care and health outcomes for a variety of chronic conditions. Community health workers can provide social support, navigation of health systems and resources, and lay counseling. Social and cultural alignment of community health workers with the population they serve is an important aspect of community health worker intervention. Although community health worker interventions have been shown to improve patient-centered outcomes in underserved communities, these interventions have not been evaluated with sickle cell disease. Evidence from other disease areas suggests that community health worker intervention also would be effective for these patients. Sickle cell disease is complex, with a range of barriers to multifaceted care needs at the individual, family/friend, clinical organization, and community levels. Care delivery is complicated by disparities in health care: access, delivery, services, and cultural mismatches between providers and families. Current practices inadequately address or provide incomplete control of symptoms, especially pain, resulting in decreased quality of life and high medical expense. The authors propose that care and care outcomes for people with sickle cell disease could be improved through community health worker case management, social support, and health system navigation. This report outlines implementation strategies in current use to test community health workers for sickle cell disease management in a variety of settings. National medical and advocacy efforts to develop the community health workforce for sickle cell disease management may enhance the progress and development of “best practices” for this area of community-based care. PMID:27320471

  9. Community detection in complex networks using proximate support vector clustering

    Science.gov (United States)

    Wang, Feifan; Zhang, Baihai; Chai, Senchun; Xia, Yuanqing

    2018-03-01

    Community structure, one of the most attention attracting properties in complex networks, has been a cornerstone in advances of various scientific branches. A number of tools have been involved in recent studies concentrating on the community detection algorithms. In this paper, we propose a support vector clustering method based on a proximity graph, owing to which the introduced algorithm surpasses the traditional support vector approach both in accuracy and complexity. Results of extensive experiments undertaken on computer generated networks and real world data sets illustrate competent performances in comparison with the other counterparts.

  10. Strong mitochondrial DNA support for a Cretaceous origin of modern avian lineages

    Directory of Open Access Journals (Sweden)

    Sorenson Michael D

    2008-01-01

    speciation events or the K-Pg boundary that could systematically mislead inferences from genetic data. Conclusion The 'rock-clock' gap has been interpreted by some to be a result of the vagaries of molecular genetic divergence time estimates. However, despite measures to explore different forms of uncertainty in several key parameters, we fail to reconcile molecular genetic divergence time estimates with dates taken from the fossil record; instead, we find strong support for an ancient origin of modern bird lineages, with many extant orders and families arising in the mid-Cretaceous, consistent with previous molecular estimates. Although there is ample room for improvement on both sides of the 'rock-clock' divide (e.g. accounting for 'ghost' lineages in the fossil record and developing more realistic models of rate evolution for molecular genetic sequences, the consistent and conspicuous disagreement between these two sources of data more likely reflects a genuine difference between estimated ages of (i stem-group origins and (ii crown-group morphological diversifications, respectively. Further progress on this problem will benefit from greater communication between paleontologists and molecular phylogeneticists in accounting for error in avian lineage age estimates.

  11. Student Support Networks in Online Doctoral Programs: Exploring Nested Communities

    Directory of Open Access Journals (Sweden)

    Sharla Berry

    2017-04-01

    Full Text Available Aim/Purpose: Enrollment in online doctoral programs has grown over the past decade. A sense of community, defined as feelings of closeness within a social group, is vital to retention, but few studies have explored how online doctoral students create community. Background: In this qualitative case study, I explore how students in one online doctoral program created a learning community. Methodology: Data for the study was drawn from 60 hours of video footage from six online courses, the message boards from the six courses, and twenty interviews with first and second-year students. Contribution: Findings from this study indicate that the structure of the social network in an online doctoral program is significantly different from the structure of learning communities in face-to-face programs. In the online program, the doctoral community was more insular, more peer-centered, and less reliant on faculty support than in in-person programs. Findings: Utilizing a nested communities theoretical framework, I identified four subgroups that informed online doctoral students’ sense of community: cohort, class groups, small peer groups, and study groups. Students interacted frequently with members of each of the aforementioned social groups and drew academic, social, and emotional support from their interactions. Recommendations for Practitioners: Data from this study suggests that online doctoral students are interested in making social and academic connections. Practitioners should leverage technology and on-campus supports to promote extracurricular interactions for online students. Recommendation for Researchers: Rather than focus on professional socialization, students in the online doctoral community were interested in providing social and academic support to peers. Researchers should consider how socialization in online doctoral programs differs from traditional, face-to-face programs. Impact on Society: As universities increase online offerings

  12. Supporting National User Communities at NERSC and NCAR

    Energy Technology Data Exchange (ETDEWEB)

    Killeen, Timothy L.; Simon, Horst D.

    2006-05-16

    The National Energy Research Scientific Computing Center(NERSC) and the National Center for Atmospheric Research (NCAR) are twocomputing centers that have traditionally supported large national usercommunities. Both centers have developed responsive approaches to supportthese user communities and their changing needs, providing end-to-endcomputing solutions. In this report we provide a short overview of thestrategies used at our centers in supporting our scientific users, withan emphasis on some examples of effective programs and futureneeds.

  13. Foliar fungal communities strongly differ between habitat patches in a landscape mosaic

    Directory of Open Access Journals (Sweden)

    Thomas Fort

    2016-11-01

    Full Text Available Background Dispersal events between habitat patches in a landscape mosaic can structure ecological communities and influence the functioning of agrosystems. Here we investigated whether short-distance dispersal events between vineyard and forest patches shape foliar fungal communities. We hypothesized that these communities homogenize between habitats over the course of the growing season, particularly along habitat edges, because of aerial dispersal of spores. Methods We monitored the richness and composition of foliar and airborne fungal communities over the season, along transects perpendicular to edges between vineyard and forest patches, using Illumina sequencing of the Internal Transcribed Spacer 2 (ITS2 region. Results In contrast to our expectation, foliar fungal communities in vineyards and forest patches increasingly differentiate over the growing season, even along habitat edges. Moreover, the richness of foliar fungal communities in grapevine drastically decreased over the growing season, in contrast to that of forest trees. The composition of airborne communities did not differ between habitats. The composition of oak foliar fungal communities change between forest edge and centre. Discussion These results suggest that dispersal events between habitat patches are not major drivers of foliar fungal communities at the landscape scale. Selective pressures exerted in each habitat by the host plant, the microclimate and the agricultural practices play a greater role, and might account for the differentiation of foliar fugal communities between habitats.

  14. Community case management of malaria: exploring support, capacity and motivation of community medicine distributors in Uganda.

    Science.gov (United States)

    Banek, Kristin; Nankabirwa, Joaniter; Maiteki-Sebuguzi, Catherine; DiLiberto, Deborah; Taaka, Lilian; Chandler, Clare I R; Staedke, Sarah G

    2015-05-01

    In Uganda, community services for febrile children are expanding from presumptive treatment of fever with anti-malarials through the home-based management of fever (HBMF) programme, to include treatment for malaria, diarrhoea and pneumonia through Integrated Community Case Management (ICCM). To understand the level of support available, and the capacity and motivation of community health workers to deliver these expanded services, we interviewed community medicine distributors (CMDs), who had been involved in the HBMF programme in Tororo district, shortly before ICCM was adopted. Between October 2009 and April 2010, 100 CMDs were recruited to participate by convenience sampling. The survey included questionnaires to gather information about the CMDs' work experience and to assess knowledge of fever case management, and in-depth interviews to discuss experiences as CMDs including motivation, supervision and relationships with the community. All questionnaires and knowledge assessments were analysed. Summary contact sheets were made for each of the 100 interviews and 35 were chosen for full transcription and analysis. CMDs faced multiple challenges including high patient load, limited knowledge and supervision, lack of compensation, limited drugs and supplies, and unrealistic expectations of community members. CMDs described being motivated to volunteer for altruistic reasons; however, the main benefits of their work appeared related to 'becoming someone important', with the potential for social mobility for self and family, including building relationships with health workers. At the time of the survey, over half of CMDs felt demotivated due to limited support from communities and the health system. Community health worker programmes rely on the support of communities and health systems to operate sustainably. When this support falls short, motivation of volunteers can wane. If community interventions, in increasingly complex forms, are to become the solution to

  15. Support for Communities affected by Mining in Canada and around ...

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

    Support for Communities affected by Mining in Canada and around the Globe. Founded in 1999, Mining Watch Canada (MWC) is a coalition of 18 Canadian environmental, social justice, church, first nations and labour organizations. MWC addresses the need for a coordinated public interest response to the risks posed by ...

  16. Support for Community Telecentres and Networks in Mali | IDRC ...

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

    Telecentres across French-speaking West Africa are struggling to attain financial sustainability while remaining relevant to their communities. This is ... This grant will allow AfrikLINKS to extend its support services to all telecentres in Mali, thereby offering telecentre practitioners a timely and effective reference service.

  17. Physical activity support community togetheractive - architecture, implementation and evaluation

    NARCIS (Netherlands)

    Elloumi, Lamia; van Beijnum, Bernhard J.F.; Hermens, Hermanus J.

    Reducing sedentary lifestyle and physical inactivity is getting an increased attention of researchers and health organizations due to its significant benefits on health. In the same direction we are proposing a virtual community system, TogetherActive, which supports people in their daily physical

  18. A Community Support Group for Single Custodial Fathers.

    Science.gov (United States)

    Tedder, Sandra L.; And Others

    1981-01-01

    Discusses a five-session group experience within the context of establishing a support group for single custodial fathers. Includes topics of dating, remarriage, homemaking and house maintenance, and the effects of divorce on children. A follow-up showed fathers appreciated the sense of community and specific information and coping strategies.…

  19. Supporting Sophomore Success through a New Learning Community Model

    Science.gov (United States)

    Virtue, Emily E.; Wells, Gayle; Virtue, Andrew D.

    2013-01-01

    The creation of a Sophomore Learning Community (SLC) model can help address concerns about the "sophomore slump" and sophomore attrition. While managing the logistics of a sophomore LC can be difficult, with proper faculty, staff, and administrative support, positive results can be produced. This article outlines the need for Sophomore…

  20. Strong influence of regional species pools on continent-wide structuring of local communities

    DEFF Research Database (Denmark)

    Lessard, Jean-Philippe; Borregaard, Michael Krabbe; Fordyce, James A.

    2012-01-01

    a continent-wide dataset of local ant communities and implement ecologically explicit source pool definitions to examine the relative importance of regional species pools and local interactions for shaping community structure. Then we assess which factors underlie systematic variation in the structure...... pool, to examine the interplay between broad-scale evolutionary and fine-scale ecological processes. Finally, a renewed interest in the influence of species source pools on communities has shown that the definition of the source pool influences interpretations of patterns of community structure. We use...... of communities along climatic gradients. We find that the average phylogenetic relatedness of species in ant communities decreases from tropical to temperate regions, but the strength of this relationship depends on the level of ecological realism in the definition of source pools. We conclude that the evolution...

  1. Strong influence of regional species pools on continent-wide structuring of local communities

    OpenAIRE

    Lessard, Jean-Philippe; Borregaard, Michael K.; Fordyce, James A.; Rahbek, Carsten; Weiser, Michael D.; Dunn, Robert R.; Sanders, Nathan J.

    2011-01-01

    There is a long tradition in ecology of evaluating the relative contribution of the regional species pool and local interactions on the structure of local communities. Similarly, a growing number of studies assess the phylogenetic structure of communities, relative to that in the regional species pool, to examine the interplay between broad-scale evolutionary and fine-scale ecological processes. Finally, a renewed interest in the influence of species source pools on communities has shown that...

  2. Supporting Operational Data Assimilation Capabilities to the Research Community

    Science.gov (United States)

    Shao, H.; Hu, M.; Stark, D. R.; Zhou, C.; Beck, J.; Ge, G.

    2017-12-01

    The Developmental Testbed Center (DTC), in partnership with the National Centers for Environmental Prediction (NCEP) and other operational and research institutions, provides operational data assimilation capabilities to the research community and helps transition research advances to operations. The primary data assimilation system supported currently by the DTC is the Gridpoint Statistical Interpolation (GSI) system and the National Oceanic and Atmospheric Administration (NOAA) Ensemble Kalman Filter (EnKF) system. GSI is a variational based system being used for daily operations at NOAA, NCEP, the National Aeronautics and Space Administration, and other operational agencies. Recently, GSI has evolved into a four-dimensional EnVar system. Since 2009, the DTC has been releasing the GSI code to the research community annually and providing user support. In addition to GSI, the DTC, in 2015, began supporting the ensemble based EnKF data assimilation system. EnKF shares the observation operator with GSI and therefore, just as GSI, can assimilate both conventional and non-conventional data (e.g., satellite radiance). Currently, EnKF is being implemented as part of the GSI based hybrid EnVar system for NCEP Global Forecast System operations. This paper will summarize the current code management and support framework for these two systems. Following that is a description of available community services and facilities. Also presented is the pathway for researchers to contribute their development to the daily operations of these data assimilation systems.

  3. Clay minerals and metal oxides strongly influence the structure of alkane-degrading microbial communities during soil maturation.

    Science.gov (United States)

    Steinbach, Annelie; Schulz, Stefanie; Giebler, Julia; Schulz, Stephan; Pronk, Geertje J; Kögel-Knabner, Ingrid; Harms, Hauke; Wick, Lukas Y; Schloter, Michael

    2015-07-01

    Clay minerals, charcoal and metal oxides are essential parts of the soil matrix and strongly influence the formation of biogeochemical interfaces in soil. We investigated the role of these parental materials for the development of functional microbial guilds using the example of alkane-degrading bacteria harbouring the alkane monooxygenase gene (alkB) in artificial mixtures composed of different minerals and charcoal, sterile manure and a microbial inoculum extracted from an agricultural soil. We followed changes in abundance and community structure of alkane-degrading microbial communities after 3 and 12 months of soil maturation and in response to a subsequent 2-week plant litter addition. During maturation we observed an overall increasing divergence in community composition. The impact of metal oxides on alkane-degrading community structure increased during soil maturation, whereas the charcoal impact decreased from 3 to 12 months. Among the clay minerals illite influenced the community structure of alkB-harbouring bacteria significantly, but not montmorillonite. The litter application induced strong community shifts in soils, maturated for 12 months, towards functional guilds typical for younger maturation stages pointing to a resilience of the alkane-degradation function potentially fostered by an extant 'seed bank'.

  4. Strong linkage between active microbial communities and microbial carbon usage in a deglaciated terrain of the High Arctic

    Science.gov (United States)

    Kim, M.; Gyeong, H. R.; Lee, Y. K.

    2017-12-01

    Soil microorganisms play pivotal roles in ecosystem development and carbon cycling in newly exposed glacier forelands. However, little is known about carbon utilization pattern by metabolically active microbes over the course of ecosystem succession in these nutrient-poor environments. We investigated RNA-based microbial community dynamics and its relation to microbial carbon usage along the chronosequence of a High Arctic glacier foreland. Among microbial taxa surveyed (bacteria, archaea and fungi), bacteria are among the most metabolically active taxa with a dominance of Cyanobacteria and Actinobacteria. There was a strong association between microbial carbon usage and active Actinobacterial communities, suggesting that member of Actinobacteria are actively involved in organic carbon degradation in glacier forelands. Both bacterial community and microbial carbon usage are converged towards later stage of succession, indicating that the composition of soil organic carbon plays important roles in structuring bacterial decomposer communities during ecosystem development.

  5. Condition of karangkepatihan village community balong district ponorogo regency in supporting development of community based tourism

    Science.gov (United States)

    Sutedjo, A.; Prasetyo, K.; Sudaryono, L.

    2018-01-01

    In Karangkepatihan village, it can be found some attractions that have the potential to develop. Some attractions have been developed by involving the community in its management, but its development has not been as expected. The purpose of this research is to know the attitude of the community and the level of human resources of the community of Karangkepatihan village in supporting the development of community-based tourism and the right strategy for its development. Subjects in this study were the head of the family and the physical condition of tourist objects, with a sample of 100 family heads taken randomly. Research data which are knowledge, understanding, participation, support to the development of tourism and level of education and skill obtained by interview while observation is done to get potential data of tourism object. The data obtained are analyzed by using scoring technique and SWOT analysis. The results show that community attitudes are positive in supporting community-based tourism development, but have not been shown to participate in developing tourism in Karangkepatihan village. The level of human resources in Karangkepatihan village to support the development of tourism is low so that the development of tourism is slow. An appropriate strategy for developing tourism development in Karangkepatihan village is to grow and build. Improving the skills of the community to fill the job opportunities in the field of tourism, increase the participation or involvement of the community in tourism activities, increasing the accessibility of tourism objects, increasing the facilities and infrastructure of tourism needs to be done.

  6. Relation between Functionalization Degree and Activity of Strongly Acidic Polymer Supported Catalysts

    Czech Academy of Sciences Publication Activity Database

    Hanková, Libuše; Holub, Ladislav; Jeřábek, Karel

    2006-01-01

    Roč. 66, č. 6 (2006), s. 592-598 ISSN 1381-5148 R&D Projects: GA ČR(CZ) GA104/02/1104 Institutional research plan: CEZ:AV0Z40720504 Keywords : catalysis * polymer supports * resin Subject RIV: CI - Industrial Chemistry, Chemical Engineering Impact factor: 1.561, year: 2006

  7. Social support in later life: family, friends and community

    Directory of Open Access Journals (Sweden)

    Claudia Josefina Arias

    2014-03-01

    Full Text Available This paper aims to carry out an analysis of the importance of social support and participation in old age. Contributions are presented first that various international agencies concerned with old age and aging have been made to strengthen this support and increased participation of older people. Different sources of social support are described: formal and informal interventions that can be made with varied promotion and preventive-wellness-care objectives and action at various levels-individual, group, family, organizational and community-and is made an analysis of the impact on the well-being have the resources of social support available to older people. Finally we reflect on Certain negative assumptions about the availability of support and social participation of older people in relation to recent research findings on the subject. Problematize the importance of these negative stereotypes about aging in general and on the participation and the availability of social support in particular in order to achieve more supportive environments that promote the development of the potential of older persons is concluded.

  8. Enhancing Homeland Security Efforts by Building Strong Relationships between the Muslim Community and Local Law Enforcement

    Science.gov (United States)

    2006-03-01

    Report Crimes: The Role of Ethnic Group Membership and Community Efficacy," Crime & Delinquency 49, no. 4 (October 2003), 564-580. http... facilitator who kept the discussions on point and held the participants of both organizations to ethical standards of behavior . 44...crisis occurred with Hmong juvenile gang violence. Beginning in early 1983 a large number of immigrants from East Africa began settling in the

  9. Online extremism and the communities that sustain it: Detecting the ISIS supporting community on Twitter

    Science.gov (United States)

    Joseph, Kenneth; Carley, Kathleen M.

    2017-01-01

    The Islamic State of Iraq and ash-Sham (ISIS) continues to use social media as an essential element of its campaign to motivate support. On Twitter, ISIS’ unique ability to leverage unaffiliated sympathizers that simply retweet propaganda has been identified as a primary mechanism in their success in motivating both recruitment and “lone wolf” attacks. The present work explores a large community of Twitter users whose activity supports ISIS propaganda diffusion in varying degrees. Within this ISIS supporting community, we observe a diverse range of actor types, including fighters, propagandists, recruiters, religious scholars, and unaffiliated sympathizers. The interaction between these users offers unique insight into the people and narratives critical to ISIS’ sustainment. In their entirety, we refer to this diverse set of users as an online extremist community or OEC. We present Iterative Vertex Clustering and Classification (IVCC), a scalable analytic approach for OEC detection in annotated heterogeneous networks, and provide an illustrative case study of an online community of over 22,000 Twitter users whose online behavior directly advocates support for ISIS or contibutes to the group’s propaganda dissemination through retweets. PMID:29194446

  10. A community college model to support nursing workforce diversity.

    Science.gov (United States)

    Colville, Janet; Cottom, Sherry; Robinette, Teresa; Wald, Holly; Waters, Tomi

    2015-02-01

    Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative.

  11. Perceived Stress in Online Prostate Cancer Community Participants: Examining Relationships with Stigmatization, Social Support Network Preference, and Social Support Seeking.

    Science.gov (United States)

    Rising, Camella J; Bol, Nadine; Burke-Garcia, Amelia; Rains, Stephen; Wright, Kevin B

    2017-06-01

    Men with prostate cancer often need social support to help them cope with illness-related physiological and psychosocial challenges. Whether those needs are met depends on receiving support optimally matched to their needs. This study examined relationships between perceived stress, prostate cancer-related stigma, weak-tie support preference, and online community use for social support in a survey of online prostate cancer community participants (n = 149). Findings revealed a positive relationship between stigma and perceived stress. This relationship, however, was moderated by weak-tie support preference and online community use for social support. Specifically, stigma was positively related to perceived stress when weak-tie support was preferred. Analyses also showed a positive relationship between stigma and perceived stress in those who used their online community for advice or emotional support. Health communication scholars should work collaboratively with diagnosed men, clinicians, and online community administrators to develop online interventions that optimally match social support needs.

  12. Pierre Ambroise-Thomas: a loyal friend and a strong supporter of tropical medicine in Brazil

    Directory of Open Access Journals (Sweden)

    Cláudio Tadeu Daniel-Ribeiro

    Full Text Available Abstract: Our colleagues at the Sociedade Brasileira de Medicina Tropical have been informed of the demise of Professor Pierre Ambroise-Thomas (1937-2014. However, considering that the tribute we paid to him in 2015 - at the 20th anniversary of the Seminário Laveran & Deane sobre Malária - is equally true today, it is worth sharing it with the readers of the RSBMT, in recognition of his many virtues. Pierre Ambroise-Thomas (MD in 1963 and DSc in 1969 was Honorary Professor of Parasitology and Tropical Medicine at the Faculté de Médecine de Grenoble (France, Honorary President of the Académie Nationale de Médecine, member of the Académie Nationale de Pharmacie and Officier dans l'Ordre de La Légion d'Honneur. In addition to his important contributions to tropical medicine and parasitology, working in France during his long and productive career (50 years and 300 publications, Ambroise-Thomas became an admirer and supporter of Brazilian activities related to research, teaching and information in Tropical Medicine.

  13. Silver relase from decomposed hyperaccumulating Amanita solitaria fruit-body biomass strongly affects soil microbial community

    Czech Academy of Sciences Publication Activity Database

    Gryndler, M.; Hršelová, H.; Soukupová, L.; Borovička, Jan

    2012-01-01

    Roč. 25, č. 5 (2012), s. 987-993 ISSN 0966-0844 Institutional support: RVO:67985831 Keywords : soil fungi * bacteria * microbiota * heavy metals * toxicity * T-RFLP Subject RIV: DD - Geochemistry Impact factor: 3.284, year: 2012

  14. Silver release from decomposed hyperaccumulating Amanita solitaria fruit-body biomass strongly affects soil microbial community

    Czech Academy of Sciences Publication Activity Database

    Gryndler, Milan; Hršelová, Hana; Soukupová, Lucie; Borovička, Jan

    2012-01-01

    Roč. 25, č. 5 (2012), s. 987-993 ISSN 0966-0844 R&D Projects: GA ČR(CZ) GAP504/11/0484 Institutional support: RVO:61389005 ; RVO:61388971 ; RVO:67985831 Keywords : soil fungi * bacteria * microbiota * heavy metals * toxicity * T-RFLP Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders; EE - Microbiology, Virology (MBU-M); DD - Geochemistry (GLU-S) Impact factor: 3.284, year: 2012

  15. Bathypelagic percid fry, a strongly predominating fry community in a deep European reservoir

    Czech Academy of Sciences Publication Activity Database

    Sajdlová, Zuzana; Jůza, Tomáš; Frouzová, Jaroslava; Seďa, Jaromír; Čech, Martin

    2017-01-01

    Roč. 787, č. 1 (2017), s. 341-352 ISSN 0018-8158 R&D Projects: GA ČR GP206/09/P266; GA MŠk(CZ) EE2.3.20.0204; GA MŠk(CZ) 7F14316 Institutional support: RVO:60077344 Keywords : echosounder * fry trawling * Gymnocephalus cernua * Perca fluviatilis * Sander lucioperca * shoals Subject RIV: EH - Ecology, Behaviour OBOR OECD: Ecology Impact factor: 2.056, year: 2016

  16. Objective community integration of mental health consumers living in supported housing and of others in the community.

    Science.gov (United States)

    Yanos, Philip T; Stefancic, Ana; Tsemberis, Sam

    2012-01-01

    Housing programs for people with severe mental illnesses aim to maximize community integration. However, little is known about how the community integration of mental health consumers living in supported housing compares with that of other community residents in the socially disadvantaged communities where supported housing is often located. The purpose of this study was to examine predictors of objective community integration of mental health consumers living in supported housing and of other persons living in the same communities. Participants were 124 adults (60 mental health consumers and 64 other community residents) residing in designated zip codes in the Bronx, New York. Participants were administered measures of psychiatric symptoms, substance use, physical community integration (participation in local activities), social integration (interactions with community members), and citizenship (political activism or volunteering). Mental health consumers living in supported independent housing had significantly lower scores on indicators of objective community integration than other community members. However, differences were relatively small. Among mental health consumers, African-American race, education, and length of time in current residence were associated with better community integration. Findings suggest that mental health consumers living in supported housing may not achieve levels of objective community integration that are comparable with other community members; however, psychiatric factors did not account for this difference. Length of time in neighborhoods appears to be an important factor in facilitating social integration.

  17. Strong stability and host specific bacterial community in faeces of ponies.

    Directory of Open Access Journals (Sweden)

    Tina M Blackmore

    Full Text Available The horse, as a hindgut fermenter, is reliant on its intestinal bacterial population for efficient diet utilisation. However, sudden disturbance of this population can result in severe colic or laminitis, both of which may require euthanasia. This study therefore aimed to determine the temporal stability of the bacterial population of faecal samples from six ponies maintained on a formulated high fibre diet. Bacterial 16S rRNA terminal restriction fragment length polymorphism (TRFLP analyses of 10 faecal samples collected from 6 ponies at regular intervals over 72 hour trial periods identified a significant pony-specific profile (P<0.001 with strong stability. Within each pony, a significantly different population was found after 11 weeks on the same diet (P<0.001 and with greater intra-individual similarity. Total short chain fatty acid (SCFA concentration increased in all ponies, but other changes (such as bacterial population diversity measures, individual major SCFA concentration were significant and dependent on the individual. This study is the first to report the extent of stability of microbes resident in the intestinal tract as represented with such depth and frequency of faecal sampling. In doing so, this provides a baseline from which future trials can be planned and the extent to which results may be interpreted.

  18. Pressurized Martian-Like Pure CO2 Atmosphere Supports Strong Growth of Cyanobacteria, and Causes Significant Changes in their Metabolism

    Science.gov (United States)

    Murukesan, Gayathri; Leino, Hannu; Mäenpää, Pirkko; Ståhle, Kurt; Raksajit, Wuttinun; Lehto, Harry J.; Allahverdiyeva-Rinne, Yagut; Lehto, Kirsi

    2016-03-01

    Surviving of crews during future missions to Mars will depend on reliable and adequate supplies of essential life support materials, i.e. oxygen, food, clean water, and fuel. The most economical and sustainable (and in long term, the only viable) way to provide these supplies on Martian bases is via bio-regenerative systems, by using local resources to drive oxygenic photosynthesis. Selected cyanobacteria, grown in adequately protective containment could serve as pioneer species to produce life sustaining substrates for higher organisms. The very high (95.3 %) CO2 content in Martian atmosphere would provide an abundant carbon source for photo-assimilation, but nitrogen would be a strongly limiting substrate for bio-assimilation in this environment, and would need to be supplemented by nitrogen fertilizing. The very high supply of carbon, with rate-limiting supply of nitrogen strongly affects the growth and the metabolic pathways of the photosynthetic organisms. Here we show that modified, Martian-like atmospheric composition (nearly 100 % CO2) under various low pressure conditions (starting from 50 mbar to maintain liquid water, up to 200 mbars) supports strong cellular growth. Under high CO2 / low N2 ratio the filamentous cyanobacteria produce significant amount of H2 during light due to differentiation of high amount of heterocysts.

  19. Community-Supported Data Repositories in Paleobiology: A 'Middle Tail' Between the Geoscientific and Informatics Communities

    Science.gov (United States)

    Williams, J. W.; Ashworth, A. C.; Betancourt, J. L.; Bills, B.; Blois, J.; Booth, R.; Buckland, P.; Charles, D.; Curry, B. B.; Goring, S. J.; Davis, E.; Grimm, E. C.; Graham, R. W.; Smith, A. J.

    2015-12-01

    Community-supported data repositories (CSDRs) in paleoecology and paleoclimatology have a decades-long tradition and serve multiple critical scientific needs. CSDRs facilitate synthetic large-scale scientific research by providing open-access and curated data that employ community-supported metadata and data standards. CSDRs serve as a 'middle tail' or boundary organization between information scientists and the long-tail community of individual geoscientists collecting and analyzing paleoecological data. Over the past decades, a distributed network of CSDRs has emerged, each serving a particular suite of data and research communities, e.g. Neotoma Paleoecology Database, Paleobiology Database, International Tree Ring Database, NOAA NCEI for Paleoclimatology, Morphobank, iDigPaleo, and Integrated Earth Data Alliance. Recently, these groups have organized into a common Paleobiology Data Consortium dedicated to improving interoperability and sharing best practices and protocols. The Neotoma Paleoecology Database offers one example of an active and growing CSDR, designed to facilitate research into ecological and evolutionary dynamics during recent past global change. Neotoma combines a centralized database structure with distributed scientific governance via multiple virtual constituent data working groups. The Neotoma data model is flexible and can accommodate a variety of paleoecological proxies from many depositional contests. Data input into Neotoma is done by trained Data Stewards, drawn from their communities. Neotoma data can be searched, viewed, and returned to users through multiple interfaces, including the interactive Neotoma Explorer map interface, REST-ful Application Programming Interfaces (APIs), the neotoma R package, and the Tilia stratigraphic software. Neotoma is governed by geoscientists and provides community engagement through training workshops for data contributors, stewards, and users. Neotoma is engaged in the Paleobiological Data Consortium

  20. FY1995 community support by mobile agents; 1995 nendo mobile agent ni yoru community keisei shien

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    The purpose is to develop fundamental technologies for navigation systems and mobile computing systems in museums, theme parks and cities. Concretely, we implement software agents into the mobile computing environment which consists of PHS, mobile computers and mobile robots, and realize various functions to access regional information. We have studied on Communityware which supports human activities and communities by using mobile agents implemented into mobile computers and town robots. The mobile agents, which intelligently process information obtained in physical and virtual worlds, access regional information which is omnipresent in the environment. With respect to the approach using mobile computers, we have provided one hundred mobile computers in the international conference on multiagent systems 1996 and carried out the first experimentation of mobile computing in the world. The mobile computer has two functions: Community Viewer which displays interactions between members of communities and Social Matchmaker which supports to hold meetings by searching for people who have common interests. With respect to the approach using town robots, we have developed a robot system which can robustly behave in a complex outdoor environment by using vision agents embedded in the environment. The system aims at support of people in streets. (NEDO)

  1. Russian Academy of Engineering: a strong power for integration of engineering community

    Directory of Open Access Journals (Sweden)

    GUSEV Boris Vladimirovich

    2015-04-01

    Full Text Available Russian Academy of Engineering is legal successor of the Engineering Academy of USSR, founded by 20 ministries and departments of USSR and RSFSR on May 13, 1990. The Engineering Academy of USSR since the very beginning of its functioning, has launched its task-oriented activity on strengthening of links between science and industry, on solving the problems of using the results of basic (fundamental research and their accelerated adaptation into the industry. In the post-Soviet period, on the basis of the Academy, the Ministry of Justice of the Russian Federation, on December 24, 1991, registered the All-Russian Public Organization Russian Academy of Engineering (RAE. At the present time, RAE includes over 1350 full and corresponding members, prominent Russian scientists, engineers and industry organizers, over 200 member societies which include major Russian science & technology organizations, and over 40 regional engineering-technical structures, departments of RAE. RAE carries out large-scale work on the development of science & technology areas in science, creating new machinery and technologies, organization of efficient functioning of the Russian Engineering community. During the 25-year period of work, about 4,5 thousand new technologies were developed, over 6,5 thousand monographs were published. Over 4 thousand patents were obtained. 209 members of RAE became laureates of State Prize of USSR and RF, 376 members of RAE became laureates of Government Prize of USSR and RF. Annual value of science & research, project and other works in the area of engineering amounts from 0,5 to 1 billion roubles. This information and reference edition of the Encyclopedia of the Russian Academy of Engineering is dedicated to the 25th anniversary of the Russian Academy of Engineering. The Encyclopedia includes creative biographies of more than 1750 full and corresponding members of RAE, prominent scientists, distinguished engineers and organizers of industry

  2. Ethics support in community care makes a difference for practice.

    Science.gov (United States)

    Magelssen, Morten; Gjerberg, Elisabeth; Lillemoen, Lillian; Førde, Reidun; Pedersen, Reidar

    2018-03-01

    Through the Norwegian ethics project, ethics activities have been implemented in the health and care sector in more than 200 municipalities. To study outcomes of the ethics activities and examine which factors promote and inhibit significance and sustainability of the activities. Two online questionnaires about the municipal ethics activities. Participants and research context: A total of 137 municipal contact persons for the ethics project answered the first survey (55% response rate), whereas 217 ethics facilitators responded to the second survey (33% response rate). Ethical considerations: Based on informed consent, the study was approved by the Data Protection Official of the Norwegian Social Science Data Services. Around half of the respondents found the ethics project to have been highly significant for daily professional practice. Outcomes include better handling of ethical challenges, better employee cooperation, better service quality, and better relations to patients and next of kin. Factors associated with sustainability and/or significance of the activities were sufficient support from stakeholders, sufficient available time, and ethics facilitators having sufficient knowledge and skills in ethics and access to supervision. This study shows that ethics initiatives can be both sustainable and significant for practice. There is a need to create regional or national structures for follow-up and develop more comprehensive ethics training for ethics facilitators. It is both possible and potentially important to implement clinical ethics support activities in community health and care services systematically on a large scale. Future ethics initiatives in the community sector should be designed in light of documented promoting and inhibiting factors.

  3. Online Social Support for Patients with Multiple Sclerosis: A Thematic Analysis of Messages Posted to a Virtual Support Community

    Directory of Open Access Journals (Sweden)

    Masoumeh Abbasi Shavazi

    2016-07-01

    Full Text Available Background: Currently with the emergence of the Internet, patients have an opportunity to exchange social support online. However, little attention has been devoted to different dimensions of online social support exchanged in virtual support communities for patients with multiple sclerosis (MS. Methods: To provide a rich insight, the aim of this qualitative study was to explore and categorize different dimensions of online social support in messages exchanged in a virtual support community for patients with MS. A total of 548 posted messages created during one year period were selected using purposive sampling to consider the maximum variation sampling. Prior-research-driven thematic analysis was then conducted. In this regard, we used the Cutruna and Suhr’s coding system. The messages that could not be categorized with the used coding system were thematically analyzed to explore new additional social support themes. Results: The results showed that various forms of social support including informational, emotional, network, esteem and tangible support were exchanged. Moreover, new additional social support themes including sharing personal experiences, sharing coping strategies and spiritual support emerged in this virtual support community. Conclusion: The wide range of online social support exchanged in the virtual support community can be regarded as a supplementary source of social support for patients with MS. Future researches can examine online social support more comprehensively considering additional social support themes emerging in the present study.

  4. Phylogenetic reconstruction using four low-copy nuclear loci strongly supports a polyphyletic origin of the genus Sorghum.

    Science.gov (United States)

    Hawkins, Jennifer S; Ramachandran, Dhanushya; Henderson, Ashley; Freeman, Jasmine; Carlise, Michael; Harris, Alex; Willison-Headley, Zachary

    2015-08-01

    Sorghum is an essential grain crop whose evolutionary placement within the Andropogoneae has been the subject of scrutiny for decades. Early studies using cytogenetic and morphological data point to a poly- or paraphyletic origin of the genus; however, acceptance of poly- or paraphyly has been met with resistance. This study aimed to address the species relationships within Sorghum, in addition to the placement of Sorghum within the tribe, using a phylogenetic approach and employing broad taxon sampling. From 16 diverse Sorghum species, eight low-copy nuclear loci were sequenced that are known to play a role in morphological diversity and have been previously used to study evolutionary relationships in grasses. Further, the data for four of these loci were combined with those from 57 members of the Andropogoneae in order to determine the placement of Sorghum within the tribe. Both maximum likelihood and Bayesian analyses were performed on multilocus concatenated data matrices. The Sorghum-specific topology provides strong support for two major lineages, in alignment with earlier studies employing chloroplast and internal transcribed spacer (ITS) markers. Clade I is composed of the Eu-, Chaeto- and Heterosorghum, while clade II contains the Stipo- and Parasorghum. When combined with data from the Andropogoneae, Clade II resolves as sister to a clade containing Miscanthus and Saccharum with high posterior probability and bootstrap support, and to the exclusion of Clade I. The results provide compelling evidence for a two-lineage polyphyletic ancestry of Sorghum within the larger Andropogoneae, i.e. the derivation of the two major Sorghum clades from a unique common ancestor. Rejection of monophyly in previous molecular studies is probably due to limited taxon sampling outside of the genus. The clade consisting of Para- and Stiposorghum resolves as sister to Miscanthus and Saccharum with strong node support. © The Author 2015. Published by Oxford University Press on

  5. Local Food Systems Supported by Communities Nationally and Internationally

    Directory of Open Access Journals (Sweden)

    Izabella Mária Bakos

    2017-06-01

    Full Text Available Due to the concerns about the long-term sustainability of globalized retail trade as well as the more and more determining health-conscious food-consuming attitude the systems of government respectively the groups of conscious consumers all over the world put emphasis on the popularization and development of local food chains and small-scale supply chains simultaneously they connect the retailers producing highquality, local foods with the direct markets. In my study, I would like to present an overview of the development and current state of community supported agricultural systems on the international and Hungarian level and on the basis of the results of my questionnaire survey. I will indicate whether there are any demand for local food in Hungary and about how much the population of the six investigated settlements are familiar with it. Within this type of alternative local food systems, farmers and their buyers form a community based on social capital (co-operation, mutual trust and mutual responsibility, a direct sales channel, in such a way that cooperation is also beneficial to the producer and the consumer. The producer is in an advantageous position as he can form a direct and long-term relationship with his consumers selling his high-quality products locally consequently he can work in a cost-effective and optimal way. However, the advantage of the consumer is that he can obtain healthy foods from reliable sources contributing to the maintenance of his health respectively to the development of local economy.

  6. Comparative study of researcher community support and supervisory support among Finnish and Danish PhD-students

    DEFF Research Database (Denmark)

    Cornér, Solveig; Pyhältö, Kirsi; Peltonen, Jouni

    . The results showed that, both Danish and Finnish doctoral students, emphasized researcher community support over supervisory support. The Danish students, however, reported higher levels of researcher community support and experienced lower levels of friction than their Finnish counter partners. The results......-time/full-time status, d) attrition intentions, and e) engagement in international research activities? (3) What forms of support the Danish and Finnish doctoral students report? (4) How do the Danish and Finnish doctoral students perceive the support fit? Altogether, 356 doctoral students within the humanities...... indicated that the only form of support in which the students expressed more matched support than mismatched support was informational support. Further, Danish students reported a high level of mismatch in emotional support than their Finnish counter partners. The findings imply that seemingly similar...

  7. Crowdteaching: Supporting Teaching as Designing in Collective Intelligence Communities

    Directory of Open Access Journals (Sweden)

    Mimi Recker

    2014-09-01

    Full Text Available The widespread availability of high-quality Web-based content offers new potential for supporting teachers as designers of curricula and classroom activities. When coupled with a participatory Web culture and infrastructure, teachers can share their creations as well as leverage from the best that their peers have to offer to support a collective intelligence or crowdsourcing community, which we dub crowdteaching. We applied a collective intelligence framework to characterize crowdteaching in the context of a Web-based tool for teachers called the Instructional Architect (IA. The IA enables teachers to find, create, and share instructional activities (called IA projects for their students using online learning resources. These IA projects can further be viewed, copied, or adapted by other IA users. This study examines the usage activities of two samples of teachers, and also analyzes the characteristics of a subset of their IA projects. Analyses of teacher activities suggest that they are engaging in crowdteaching processes. Teachers, on average, chose to share over half of their IA projects, and copied some directly from other IA projects. Thus, these teachers can be seen as both contributors to and consumers of crowdteaching processes. In addition, IA users preferred to view IA projects rather than to completely copy them. Finally, correlational results based on an analysis of the characteristics of IA projects suggest that several easily computed metrics (number of views, number of copies, and number of words in IA projects can act as an indirect proxy of instructionally relevant indicators of the content of IA projects.

  8. Alternative Approaches to Food: Community Supported Agriculture in Urban China

    Directory of Open Access Journals (Sweden)

    Kees Krul

    2017-05-01

    Full Text Available One of the most remarkable features of China’s development path is its large-scale and fast-paced urbanization. As cities already accommodate more than half of China’s population, new challenges to urban food systems have emerged concurrently. Concerns over environmental degradation and food safety have provoked growing dissatisfaction with China’s food regime. Amidst these concerns, the aim of this paper is to study the role of new and alternative approaches to food, focusing in on the question of how community supported agriculture (CSA can deal with the food-related issues emerging from China’s development. The paper adopts Granovetter’s notions of social embeddedness to describe CSA’s relational role in consumer-farmer dynamics, as well as the structural role within its broader relational context. Empirical data is drawn from surveys distributed among CSA farms, and interviews with key stakeholders in the Chinese CSA movement. The study finds that the model of CSA demonstrates an innovative approach to deal with food safety issues, address sustainability, and operate in an environment where future food demands are most critical. Although the movement’s structural embeddedness is bound by several limitations and contradictions, it is argued that the CSA model offers important insights and adds value into ameliorating China’s food systems.

  9. Student Support Networks in Online Doctoral Programs: Exploring Nested Communities

    OpenAIRE

    Sharla Berry

    2017-01-01

    Aim/Purpose: Enrollment in online doctoral programs has grown over the past decade. A sense of community, defined as feelings of closeness within a social group, is vital to retention, but few studies have explored how online doctoral students create community. Background: In this qualitative case study, I explore how students in one online doctoral program created a learning community. Methodology: Data for the study was drawn from 60 hours of video footage from six online courses,...

  10. Organizational Structures to Support Oakland Community Schools. Knowledge Brief

    Science.gov (United States)

    John W. Gardner Center for Youth and Their Communities, 2015

    2015-01-01

    This brief is part of a series that shares findings from a research collaboration between the John W. Gardner Center for Youth and Their Communities at Stanford University and Oakland Unified School District (OUSD) focused on understanding implementation of the community school model in the district. This brief highlights findings related to…

  11. Supporting Online Faculty through a Sense of Community and Collegiality

    Science.gov (United States)

    Terosky, Aimee LaPointe; Heasley, Chris

    2015-01-01

    In this qualitative study, we examine the experiences of seven tenure-track and non-tenure track current/future online faculty through the conceptual lenses of sense of community (McMillan & Chavis, 1986) and collegiality (Gappa, Austin, & Trice, 2007). We found: (1) participants reported that their sense of community and collegiality…

  12. Building an online community to support nurse education.

    Science.gov (United States)

    Lee, Polly

    This article explores the topic of developing an online community for student nurses to use in learning. It examines the different definitions and types of e-learning and outlines the online community's role in healthcare education, together with some of its pitfalls. A comparison is then made to the process of bidding on eBay, to determine possible similarities.

  13. Study of community leaders in a nuclear host community: local issues, expectations and support and opposition

    Energy Technology Data Exchange (ETDEWEB)

    Bronfman, B. H.

    1977-08-01

    A study of community leaders was undertaken in Hartsville, Tennessee, site of the TVA Hartsville Nuclear Power Plant currently under construction. Leaders were found to be extremely supportive of the plant and of TVA's efforts to mitigate impacts expected to result from construction. Like their citizen counterparts, leaders expect economic benefits and some growth-related disruption to occur as a result of the plant, while environmental impacts are seen as extremely unlikely to occur. Plant-related issues, such as housing availability and traffic congestion, dominate leaders' thinking about current issues. These issues are expected to continue to be important in the future, and new issues dealing with growth and planning, employment and taxation are expected to arise.

  14. Study of community leaders in a nuclear host community: local issues, expectations and support and opposition

    International Nuclear Information System (INIS)

    Bronfman, B.H.

    1977-08-01

    A study of community leaders was undertaken in Hartsville, Tennessee, site of the TVA Hartsville Nuclear Power Plant currently under construction. Leaders were found to be extremely supportive of the plant and of TVA's efforts to mitigate impacts expected to result from construction. Like their citizen counterparts, leaders expect economic benefits and some growth-related disruption to occur as a result of the plant, while environmental impacts are seen as extremely unlikely to occur. Plant-related issues, such as housing availability and traffic congestion, dominate leaders' thinking about current issues. These issues are expected to continue to be important in the future, and new issues dealing with growth and planning, employment and taxation are expected to arise

  15. Short-term changes in a microplankton community in the Chukchi Sea during autumn: consequences of a strong wind event

    Science.gov (United States)

    Yokoi, Naoya; Matsuno, Kohei; Ichinomiya, Mutsuo; Yamaguchi, Atsushi; Nishino, Shigeto; Onodera, Jonaotaro; Inoue, Jun; Kikuchi, Takashi

    2016-02-01

    Recent studies indicate an increase in atmospheric turbulence in the Chukchi Sea due to the recent drastic sea-ice reduction during summer months. The importance of the effects of this atmospheric turbulence on the marine ecosystem in this region, however, is not fully understood. To evaluate the effects of atmospheric turbulence on the marine ecosystem, high-frequency sampling (daily) from five layers of the microplankton community between 0 and 30 m at a fixed station in the Chukchi Sea from 10 through 25 September 2013 was conducted. During the study period, a strong wind event (SWE) was observed on 18 and 19 September. The abundance of microplankton was 2.6 to 17.6 cells mL-1, with a maximum abundance being reported at 20 m on 22 September, while diatoms were the most dominant taxa throughout the study period. The abundance of diatoms, dinoflagellates and ciliates ranged between 1.6 and 14.1, 0.5 and 2.4 and 0.1 and 2.8 cells mL-1, respectively. Diatoms belonging to 7 genera consisting of 35 species (Cylindrotheca closterium and Leptocylindrus danicus were dominant), dinoflagellates belonging to 7 genera consisting of 25 species (Prorocentrum balticum and Gymnodinium spp. were dominant) and ciliates belonging to 7 genera consisting of 8 species (Strobilidium spp. and Strombidium spp. were dominant) were identified. Within the microplankton species, there were 11 species with abundances that increased after the SWE, while there was no species with an abundance that decreased following the SWE. It is conjectured that atmospheric turbulences, such as that of an SWE, may supply sufficient nutrients to the surface layer that subsequently enhance the small bloom under the weak stratification of the Chukchi Sea Shelf during the autumn months. After the bloom, the dominant diatom community then shifts from centric-dominated to one where centric/pennate are more equal in abundance.

  16. The Quake-Catcher Network: A Community-Led, Strong-Motion Network with Implications for Earthquake Advanced Alert

    Science.gov (United States)

    Cochran, E. S.; Lawrence, J. F.; Christensen, C. M.; Jakka, R. S.; Chung, A. I.

    2009-12-01

    The goal of the Quake-Catcher Network (QCN) is to dramatically increase the number of strong-motion observations by exploiting recent advances in sensing technologies and cyberinfrastructure. Micro-Electro-Mechanical Systems (MEMS) triaxial accelerometers are very low cost (50-100), interface to any desktop computer via USB cable, and provide high-quality acceleration data. Preliminary shake table tests show the MEMS accelerometers can record high-fidelity seismic data and provide linear phase and amplitude response over a wide frequency range. Volunteer computing provides a mechanism to expand strong-motion seismology with minimal infrastructure costs, while promoting community participation in science. Volunteer computing also allows for rapid transfer of metadata, such as that used to rapidly determine the magnitude and location of an earthquake, from participating stations. QCN began distributing sensors and software to K-12 schools and the general public in April 2008 and has grown to roughly 1000 stations. Initial analysis shows metadata are received within 1-14 seconds from the observation of a trigger; the larger data latencies are correlated with greater server-station distances. Currently, we are testing a series of triggering algorithms to maximize the number of earthquakes captured while minimizing false triggers. We are also testing algorithms to automatically detect P- and S-wave arrivals in real time. Trigger times, wave amplitude, and station information are currently uploaded to the server for each trigger. Future work will identify additional metadata useful for quickly determining earthquake location and magnitude. The increased strong-motion observations made possible by QCN will greatly augment the capability of seismic networks to quickly estimate the location and magnitude of an earthquake for advanced alert to the public. In addition, the dense waveform observations will provide improved source imaging of a rupture in near-real-time. These

  17. Supporting Online Student Retention in Community Colleges: What Data Is Most Relevant?

    Science.gov (United States)

    Travers, Steve

    2016-01-01

    Community colleges have traditionally been considered forerunners in their provision of distance education opportunities for higher education students. Recent data from distance education research at several community colleges, however, indicates students taking online courses in the community college setting are often not being supported at…

  18. Factors That Contribute to Community Members' Support of Local Nature Centers

    Science.gov (United States)

    Browning, Matthew H. E. M.; Stern, Marc J.; Ardoin, Nicole M.; Heimlich, Joe E.

    2018-01-01

    Nature centers can serve as valuable community institutions if they are seen as providing important services to the community. Through survey research in communities surrounding 16 nature centers in the United States, we examine the attitudes, behaviors, and beliefs that drive hypothetical support for nature centers from local residents.…

  19. Supporting Vertical Transfer: The Role of a Student Union Learning Community

    Science.gov (United States)

    Fink, John E.; McShay, James C.; Hernandez, Pamela

    2016-01-01

    Student affairs practitioners at a large, mid-Atlantic research university created a learning community directed by the student union to support community college transfer students. The authors examined qualitative data and pre/post surveys from 40 learning community participants in the program's pilot year. Results suggested favorable effects of…

  20. Understanding and Supporting Online Communities of Practice: Lessons Learned from Wikipedia

    Science.gov (United States)

    Zhao, Xiaoli; Bishop, M. J.

    2011-01-01

    In order to seek more effective ways to design and support online communities of practice, we examined how Wikipedia, a large-scale online community of practice, is developed and emerges over time. We conducted a Delphi study to explore the social, organizational, and technical factors that Wikipedia experts believe have supported the evolution of…

  1. Citizen Support for Northern Ohio Community College Funding Initiatives during an Economic Recession Recovery

    Science.gov (United States)

    Flores, Patricia

    2013-01-01

    The current research, "Citizen Support for Northern Ohio Community College Funding Initiatives during an Economic Recession Recovery", asks the question: Do the citizens of Northern Ohio support community college funding during difficult economic times? Based on the theory of Stakeholder Analysis, the purpose of this concurrent,…

  2. An online community of practice to support evidence-based physiotherapy practice in manual therapy.

    Science.gov (United States)

    Evans, Cathy; Yeung, Euson; Markoulakis, Roula; Guilcher, Sara

    2014-01-01

    The purpose of this study was to explore how a community of practice promoted the creation and sharing of new knowledge in evidence-based manual therapy using Wenger's constructs of mutual engagement, joint enterprise, and shared repertoire as a theoretical framework. We used a qualitative approach to analyze the discussion board contributions of the 19 physiotherapists who participated in the 10-week online continuing education course in evidence-based practice (EBP) in manual therapy. The course was founded on community of practice, constructivism, social, and situated learning principles. The 1436 postings on 9 active discussion boards revealed that the community of practice was a social learning environment that supported strong participation and mutual engagement. Design features such as consistent facilitation, weekly guiding questions, and collaborative assignments promoted the creation and sharing of knowledge. Participants applied research evidence to the contexts in which they worked through reflective comparison of what they were reading to its applicability in their everyday practice. Participants' shared goals contributed to the common ground established in developing collective knowledge about different study designs, how to answer research questions, and the difficulties of conducting sound research. An online longitudinal community of practice utilized as a continuing education approach to deliver an online course based on constructivist and social learning principles allowed geographically dispersed physiotherapists to be mutually engaged in a joint enterprise in evidence-based manual therapy. Advantages included opportunity for reflection, modeling, and collaboration. Future studies should examine the impact of participation on clinical practice. © 2014 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on Continuing Medical Education, Association for Hospital

  3. Resident Support for Tourism Development in Rural Midwestern (USA Communities: Perceived Tourism Impacts and Community Quality of Life Perspective

    Directory of Open Access Journals (Sweden)

    Chia-Pin Yu

    2018-03-01

    Full Text Available Local residents play an important role in the process of sustainable development in tourism. Resident support for tourism development contributes to the health of tourism industry and successful community development. Therefore, it is in the best interest of local residents, the tourism industry, and tourists, that residents have a positive outlook on and positive experiences with tourism development. In order to understand resident support for tourism development from tourism impacts and community quality of life perspective within the rural communities of Orange County, Indiana, USA, this study has examined a proposed structural model which incorporates eight latent variables: (a six types of positive and negative tourism impacts serve as exogenous latent variables; (b tourism-related community quality of life (TCQOL is proposed as the mediating variable; and (c resident support for tourism development is the ultimate dependent variable. The results show that both sociocultural and environmental benefits contribute to the host community’s living experience. Economic and sociocultural benefits, negative sociocultural and environmental impacts, and TCQOL influence resident support for tourism development. This study identified specific tourism impacts that affect TCQOL and resident support for local tourism development. This study affirms that community quality of life (QOL serves an effective predictor of support for tourism development.

  4. Comprehensive Cocurricular Support Promotes Persistence of Community College STEM Students

    Science.gov (United States)

    Shadduck, Peggy

    2017-01-01

    Despite good career prospects in science, technology, engineering, and mathematics (STEM) fields, persistence of students in STEM fields of study at the community college and transfer to universities to pursue STEM majors is often quite low. Theories of persistence emphasize the importance of engagement, integration, validation, and financial…

  5. Supporting Communities in Programmable Grid Networks: gTBN

    NARCIS (Netherlands)

    Christea, M.L; Strijkers, R.J.; Marchal, D.; Gommans, L.; Laat, C. de; Meijer, R.J.

    2009-01-01

    Abstract—This paper presents the generalised Token Based Networking (gTBN) architecture, which enables dynamic binding of communities and their applications to specialised network services. gTBN uses protocol independent tokens to provide decoupling of authorisation from time of usage as well as

  6. 76 FR 70069 - Federal Home Loan Bank Community Support Amendments

    Science.gov (United States)

    2011-11-10

    ... importance of public engagement, proposed Sec. 1290.2(c) would require the Banks to include notices on their... FEDERAL HOUSING FINANCE AGENCY 12 CFR Part 1290 RIN 2590-AA38 Federal Home Loan Bank Community... by requiring the Federal Home Loan Banks (Banks) to monitor and assess the eligibility of each Bank...

  7. Supporting communities in programmable grid networks: gTBN

    NARCIS (Netherlands)

    Cristea, M.L.; Strijkers, R.J.; Marchal, D.; Gommans, L.; de Laat, C.; Meijer, R.J.

    2009-01-01

    This paper presents the generalised token based networking (gTBN) architecture, which enables dynamic binding of communities and their applications to specialised network services. gTBN uses protocol independent tokens to provide decoupling of authorisation from time of usage as well as

  8. Designing a Resource Evolution Support System for Open Knowledge Communities

    Science.gov (United States)

    Yang, Xianmin; Yu, Shengquan

    2015-01-01

    The continuous generation and evolution of digital learning resources is important for promoting open learning and meeting the personalized needs of learners. In the Web 2.0 era, open and collaborative authoring is becoming a popular method by which to create vast personalized learning resources in open knowledge communities (OKCs). However, the…

  9. Cell Phones in support of Community Health Workers | CRDI ...

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

    Canadian researchers will work closely with Ugandan partners to test the usefulness of new cellphone technologies in integrated community case management of acute respiratory infections, pneumonia, malaria and diarrhea in ... Oximetry is a non-invasive method of monitoring the amount of oxygen in the patient's blood.

  10. Building partnerships to support community-led HIV/AIDS ...

    African Journals Online (AJOL)

    Despite many challenges, the partnership formation process has seen some positive achievements; we outline these and discuss the essential role played by an external change agent, and conclude with a discussion of the possibility of building long-term structures to sustain the project. Keywords: community development ...

  11. A Logical Approach to Supporting Professional Learning Communities

    Directory of Open Access Journals (Sweden)

    Ralph Seward

    2011-12-01

    Full Text Available Collaborative knowledge sharing requires that dialogues successfully cross organizational barriers and information silos. Successful communication in person or in a virtual community involves a willingness to share ideas and consider diverse viewpoints. This research examines a science, technology, engineering, and mathematics (STEM content management system called NASATalk, which offers public and private blog posts, file sharing, asynchronous discussion, and live chat services. The service is designed to provide a virtual environment where educators can share ideas, suggestions, successes, and innovations in STEM teaching and learning activities. This study features qualitative data from STEM education groups that helped extend the design of the NASATalk Web 2.0 collaborative tools and features. The analysis shows that the context, e-collaborative tools, integration strategies, and outcomes varied, but also contributed additional space, time, tools, integration strategies, and outcomes through the virtual collaborative learning environment. This study is designed to inform the STEM education community as well as those offering virtual community resources and tools of the added value of using virtual communities to help STEM educators work together in collaborative, virtual environments to discuss ways they can improve their instruction and student performance.

  12. Supporting Early Education Transitions: Alignment, Collaboration, and Community Engagement

    Science.gov (United States)

    Grady, Michael

    2016-01-01

    With widespread support for the expansion of early education programs, there is an increased need for collaboration across systems to support the critical transition from pre-K to elementary school in order to ensure positive educational outcomes for all. Throughout this issue of "Voices in Urban Education," several common themes emerge…

  13. Recommendations for the design, implementation and evaluation of social support in online communities, networks, and groups.

    Science.gov (United States)

    Weiss, Jacob B; Berner, Eta S; Johnson, Kevin B; Giuse, Dario A; Murphy, Barbara A; Lorenzi, Nancy M

    2013-12-01

    A new model of health care is emerging in which individuals can take charge of their health by connecting to online communities and social networks for personalized support and collective knowledge. Web 2.0 technologies expand the traditional notion of online support groups into a broad and evolving range of informational, emotional, as well as community-based concepts of support. In order to apply these technologies to patient-centered care, it is necessary to incorporate more inclusive conceptual frameworks of social support and community-based research methodologies. This paper introduces a conceptualization of online social support, reviews current challenges in online support research, and outlines six recommendations for the design, evaluation, and implementation of social support in online communities, networks, and groups. The six recommendations are illustrated by CanConnect, an online community for cancer survivors in middle Tennessee. These recommendations address the interdependencies between online and real-world support and emphasize an inclusive framework of interpersonal and community-based support. The applications of these six recommendations are illustrated through a discussion of online support for cancer survivors. Copyright © 2013 Elsevier Inc. All rights reserved.

  14. Evaluating Michigan's community hospital access: spatial methods for decision support

    Directory of Open Access Journals (Sweden)

    Varnakovida Pariwate

    2006-09-01

    Full Text Available Abstract Background Community hospital placement is dictated by a diverse set of geographical factors and historical contingency. In the summer of 2004, a multi-organizational committee headed by the State of Michigan's Department of Community Health approached the authors of this paper with questions about how spatial analyses might be employed to develop a revised community hospital approval procedure. Three objectives were set. First, the committee needed visualizations of both the spatial pattern of Michigan's population and its 139 community hospitals. Second, the committee required a clear, defensible assessment methodology to quantify access to existing hospitals statewide, taking into account factors such as distance to nearest hospital and road network density to estimate travel time. Third, the committee wanted to contrast the spatial distribution of existing community hospitals with a theoretical configuration that best met statewide demand. This paper presents our efforts to first describe the distribution of Michigan's current community hospital pattern and its people, and second, develop two models, access-based and demand-based, to identify areas with inadequate access to existing hospitals. Results Using the product from the access-based model and contiguity and population criteria, two areas were identified as being "under-served." The lower area, located north/northeast of Detroit, contained the greater total land area and population of the two areas. The upper area was centered north of Grand Rapids. A demand-based model was applied to evaluate the existing facility arrangement by allocating daily bed demand in each ZIP code to the closest facility. We found 1,887 beds per day were demanded by ZIP centroids more than 16.1 kilometers from the nearest existing hospital. This represented 12.7% of the average statewide daily bed demand. If a 32.3 kilometer radius was employed, unmet demand dropped to 160 beds per day (1

  15. Seeking Accountability: Multi-Service Accountability Agreements (MSAAs in Ontario’s Community Support Sector

    Directory of Open Access Journals (Sweden)

    Carolyn Steele Gray

    2014-02-01

    Full Text Available Multi-Service Accountability Agreements (MSAAs have been put in place to hold Community Sector Service (CSS agencies to account for services receiving public funding in Ontario. The MSAA seeks to support financial and performance accountability, requiring CSS agencies to report on their performance quarterly. The MSAA is an expenditure policy tool that has undergone several iterations, each informed by negotiations between the Ontario Ministry of Health and Long-Term Care (MOHLTC, the province’s regional authorities—known as Local Health Integration Networks (LHINs—and organizations/associations representing CSS agency interests. This approach to accountability is consistent with a broader focus on the government role as ‘steering’ service delivery rather than ‘rowing.’ The MSAA offers a standardized, politically acceptable approach to accountability. However, the MSAA relies heavily on performance indicators that may not adequately reflect quality care. The MSAA exemplifies the tension between the need for strong standardized accountability requirements for publicly-funded health service providers and the need for services that meet the needs of their communities.

  16. Instrumental support in the physical activity community - premilinary results

    NARCIS (Netherlands)

    Elloumi, Lamia; Zhang, Qiwen; van Beijnum, Bernhard J.F.; Hermens, Hermanus J.

    Currently, we witness the growth of ICT-mediated solutions for chronic diseases management, especially to assist and support patients in lifestyle changes in order to improve their health condition. Being physically active is one the recommended lifestyle changes for patients with chronic diseases.

  17. Energetic Communities: Planning support for sustainable energy transition in small- and medium-sized communities

    Directory of Open Access Journals (Sweden)

    Christina Valeska Sager-Klauss

    2016-04-01

    energy transition processes? For the research project this general question was broken down into four primary research questions: • How can communities anchor and monitor long-term energy transition visions in their communal development plans? • What tools and models are available for urban energy system analysis? • How can tools and models be adapted to the specific demands and boundary conditions in the case study communities to ensure long-term implementation of appropriate technologies and measures? • How does the practical implementation of the adapted tools work in the case study and what barriers must be overcome for long-term success? To answer these questions a combination of review of the current state of scientific literature of the thematic field with a practical application and evaluation of ‘real’ implementation projects was chosen. This appears to be a beneficial approach to scientific research in planning disciplines. The first research question is closely connected to urban planning and strategy. To anchor energy transition goals in these disciplines the potentials and consequences of political energy visions were studied. To monitor developments and progress existing indicator systems were reviewed and adapted to the needs of small- and medium-sized communities. For this overall target-definition the question of 'Exergy Thinking' in planning urban environments and energy systems was discussed. This basically means to create a deep understanding of the quality aspects in energy demand and supply systems and to be aware for better matching solutions. This approach opens many options for the integration of renewables in the heating and cooling supply. It showed that the definition of a clear long-term target or 'energy vision' supports the implementation of measures because it facilitates communication and controversy. The large number of available tools and scientific methods for the analysis and optimization of communal energy systems was

  18. Reducing eutrophication increases spatial extent of communities supporting commercial fisheries

    DEFF Research Database (Denmark)

    Bauer, Barbara; Meier, H.E. Markus; Casini, Michele

    2018-01-01

    distribution of functional groups within a marine ecosystem, which depends on their respective tolerances to abiotic factors, trophic interactions, and fishing. We simulate the future long-term spatial developments of the community composition and their potential implications for fisheries under three...... suitable for the commercially most valuable demersal fish predator and all types of fisheries. This suggests that strategic planning of fishery management strategies could benefit from considering future changes in species distributions due to changes in eutrophication. We show that combining approaches......In this study we investigate if eutrophication management has the potential to substantially affect which areas are going to be most suitable for commercial fishing in the future. We use a spatial ecosystem model, forced by a coupled physical-biogeochemical model, to simulate the spatial...

  19. Information Model Translation to Support a Wider Science Community

    Science.gov (United States)

    Hughes, John S.; Crichton, Daniel; Ritschel, Bernd; Hardman, Sean; Joyner, Ronald

    2014-05-01

    The Planetary Data System (PDS), NASA's long-term archive for solar system exploration data, has just released PDS4, a modernization of the PDS architecture, data standards, and technical infrastructure. This next generation system positions the PDS to meet the demands of the coming decade, including big data, international cooperation, distributed nodes, and multiple ways of analysing and interpreting data. It also addresses three fundamental project goals: providing more efficient data delivery by data providers to the PDS, enabling a stable, long-term usable planetary science data archive, and enabling services for the data consumer to find, access, and use the data they require in contemporary data formats. The PDS4 information architecture is used to describe all PDS data using a common model. Captured in an ontology modeling tool it supports a hierarchy of data dictionaries built to the ISO/IEC 11179 standard and is designed to increase flexibility, enable complex searches at the product level, and to promote interoperability that facilitates data sharing both nationally and internationally. A PDS4 information architecture design requirement stipulates that the content of the information model must be translatable to external data definition languages such as XML Schema, XMI/XML, and RDF/XML. To support the semantic Web standards we are now in the process of mapping the contents into RDF/XML to support SPARQL capable databases. We are also building a terminological ontology to support virtually unified data retrieval and access. This paper will provide an overview of the PDS4 information architecture focusing on its domain information model and how the translation and mapping are being accomplished.

  20. Deep-sea seabed habitats: Do they support distinct mega-epifaunal communities that have different vulnerabilities to anthropogenic disturbance?

    Science.gov (United States)

    Bowden, David A.; Rowden, Ashley A.; Leduc, Daniel; Beaumont, Jennifer; Clark, Malcolm R.

    2016-01-01

    Growing economic interest in seabed resources in the deep-sea highlights the need for information about the spatial distribution and vulnerability to disturbance of benthic habitats and fauna. Categorisation of seabed habitats for management is often based on topographic features such as canyons and seamounts that can be distinguished using regional bathymetry ('mega-habitats'). This is practical but because such habitats are contiguous with others, there is potential for overlap in the communities associated with them. Because concepts of habitat and community vulnerability are based on the traits of individual taxa, the nature and extent of differences between communities have implications for strategies to manage the environmental effects of resource use. Using towed video camera transects, we surveyed mega-epifaunal communities of three topographically-defined habitats (canyon, seamount or knoll, and continental slope) and two physico-chemically defined meso-scale habitats (cold seep and hydrothermal vent) in two regions off New Zealand to assess whether each supports a distinct type of community. Cold seep and hydrothermal vent communities were strongly distinct from those in other habitats. Across the other habitats, however, distinctions between communities were often weak and were not consistent between regions. Dissimilarities among communities across all habitats were stronger and the density of filter-feeding taxa was higher in the Bay of Plenty than on the Hikurangi Margin, whereas densities of predatory and scavenging taxa were higher on the Hikurangi Margin. Substratum diversity at small spatial scales (mega-habitats in environmental management, (2) fine-scale survey of individual features is necessary to identify the locations, characteristics, and extents of ecologically important or vulnerable seabed communities, and (3) evaluation of habitat vulnerability to future events should be in the context of previous and current disturbances.

  1. IRIS - A Community-Based Facility to Support Research in Seismology

    Science.gov (United States)

    Ingate, S.; Ahern, T.; Butler, R.; Fowler, J.; Simpson, D.; Taber, J.; van der Vink, G.

    2002-12-01

    The IRIS Consortium was established in 1984 in response to growing pressure from the research community for enhanced facilities in global and lithospheric seismology. At the same time, the National Science Foundation was encouraging improvements in technology and infrastructure that were sorely needed to ensure the future health of the nation's research endeavors. The governance of IRIS and growth of the facility programs have been guided by strong involvement of the research community. The IRIS management governance and structure serves as an interface between the scientific community, funding agencies, and the programs of IRIS. The structure is designed to focus scientific talent on common objectives, to encourage broad participation, and to efficiently manage its programs. IRIS is governed by a Board of Directors consisting of representatives from each of IRIS' 99 member institutions. Operational policies are set by an Executive Committee elected by the Board of Directors. The Executive Committee, in turn, appoints members to the Planning Committee, the Program Coordination Committee, and the four Standing Committees that provide oversight of the Global Seismographic Network (GSN), the Program of Array Seismic Studies of the Continental Lithosphere (PASSCAL), the Data Management System (DMS), and the Education and Outreach Program (E&O). In addition, special advisory committees and ad hoc working groups are convened for special tasks. Development of the IRIS programs has rested on strong core support from the Instrumentation and Facilities Program of the National Science Foundation's Earth Science Division, augmented with funding from the Department of Defense, Department of Energy, member universities, and private organizations. Close collaboration with the US Geological Survey and other national and foreign institutions has greatly extended the geographical coverage and strengthened the intellectual input that is essential to guiding the evolution of the IRIS

  2. Collegial Support and Community with Trust in Swedish and Danish dentistry

    DEFF Research Database (Denmark)

    Berthelsen, Hanne; Söderfeldt, Björn; Harris, Rebecca

    2011-01-01

    OBJECTIVES: The aim of the study was to better understand the associations between work factors and professional support among dentists (Collegial Support) as well as the sense of being part of a work community characterized by trust (Community with Trust). METHODS: A questionnaire was sent to 1835...... general dental practitioners, randomly selected from the members of dental associations in Sweden and Denmark in 2008. The response rate was 68%. Two models with the outcome variables Collegial Support and being part of a Community with Trust were built using multiple hierarchical linear regression....... Demographic background factors, work factors, managerial factors and factors relating to objectives and to values characterizing climate of the practice were all introduced as blocks into the models. RESULTS: A different pattern emerged for Collegial Support than for Community with Trust, indicating different...

  3. Developing strategic systems supporting communities of practice in the Georgia Department of Transportation.

    Science.gov (United States)

    2011-12-01

    This study is designed to explore strategies through which the Georgia Department of : Transportation (GDOT) can develop communities of practice to help employees facilitate critical : exchanges of knowledge, support organizational learning, and ulti...

  4. Resident Support for Tourism Development in Rural Midwestern (USA) Communities: Perceived Tourism Impacts and Community Quality of Life Perspective

    OpenAIRE

    Chia-Pin Yu; Shu Tian Cole; Charles Chancellor

    2018-01-01

    Local residents play an important role in the process of sustainable development in tourism. Resident support for tourism development contributes to the health of tourism industry and successful community development. Therefore, it is in the best interest of local residents, the tourism industry, and tourists, that residents have a positive outlook on and positive experiences with tourism development. In order to understand resident support for tourism development from tourism impacts and com...

  5. Oakland Unified School District Community Schools: Understanding Implementation Efforts to Support Students, Teachers, and Families

    Science.gov (United States)

    Fehrer, Kendra; Leos-Urbel, Jacob

    2015-01-01

    In 2010, Oakland Unified School District (OUSD) launched an initiative to transform all district schools into full service community schools. The community school design provides integrated supports to students and fosters a school climate conducive to academic, social, and emotional learning. Interventions span in-school and out-of-school time,…

  6. GLADE: Supporting LGBT Staff and Students in a Community College District

    Science.gov (United States)

    White, Vincent; Greenhalgh, Mark; Oja, Michelle

    2012-01-01

    LGBT community college employee organizations are still a rare phenomena. This article describes the history, purpose, and structure of the North Orange County Community College District Gay and Lesbian Association of District Employees (GLADE), and it was written collectively by the group. We offer this as one model that supports lesbian, gay,…

  7. Changes in Capacity among Local Coordinated Community Response Coalitions (CCRs) Supported by the DELTA Program

    Science.gov (United States)

    Cox, Pamela J.; Finkelstein, Daniel M.; Perez, Victoria E.; Rosenbach, Margo L.

    2010-01-01

    Coalitions are often the means through which communities plan and coordinate services for individuals and address larger environmental issues associated with social problems. Since 2003, the Centers for Disease Control and Prevention (CDC) has supported local coordinated community response coalitions (CCRs) in 14 states to prevent intimate partner…

  8. Teachers' Challenges, Strategies, and Support Needs in Schools Affected by Community Violence: A Qualitative Study

    Science.gov (United States)

    Maring, Elisabeth F.; Koblinsky, Sally A.

    2013-01-01

    Background: Exposure to community violence compromises teacher effectiveness, student learning, and socioemotional well-being. This study examined the challenges, strategies, and support needs of teachers in urban schools affected by high levels of community violence. Methods: Twenty teachers from 3 urban middle schools with predominantly…

  9. Developing a smartphone app to support the nursing community.

    Science.gov (United States)

    Colton, Scott; Hunt, Louise

    2016-02-01

    Healthcare professionals are turning increasingly to the digital sector to access information they need for their work. Mobile technology, such as smartphones and tablets, provides a unique opportunity to place high-quality information directly into users' hands. This article describes the ongoing development of a smartphone app, Preparing for Caring, designed to prepare the future workforce by enabling mentors and nursing students to access supportive material during practice-based learning episodes. The article explores the rationale for designing the app and discusses the challenges and benefits of developing this resource from the perspectives of student, mentor and healthcare manager.

  10. Shared Visualizations in Support of Distributed Creative Communities

    Directory of Open Access Journals (Sweden)

    Alastair Weakley

    2004-05-01

    Full Text Available The paper is concerned with support for distributed groups of creative knowledge workers: in this case designers. We consider requirements that designers have regarding internalisation and externalisation of ideas and concepts as well as requirements relating to collaboration. We review an online system whose facilities for the graphical representation of data were found to be popular. The evaluation was in the context of a group task and the results, including instances of tacit knowledge sharing, have led us to formulate a number of recommendations as to how such systems might be made still more effective for collaborative working.

  11. Restricted grouper reproductive migrations support community-based management

    KAUST Repository

    Waldie, Peter A.

    2016-03-09

    Conservation commonly requires trade-offs between social and ecological goals. For tropical small-scale fisheries, spatial scales of socially appropriate management are generally small—the median no-take locally managed marine area (LMMA) area throughout the Pacific is less than 1 km2. This is of particular concern for large coral reef fishes, such as many species of grouper, which migrate to aggregations to spawn. Current data suggest that the catchment areas (i.e. total area from which individuals are drawn) of such aggregations are at spatial scales that preclude effective community-based management with no-take LMMAs. We used acoustic telemetry and tag-returns to examine reproductive migrations and catchment areas of the grouper Epinephelus fuscoguttatus at a spawning aggregation in Papua New Guinea. Protection of the resultant catchment area of approximately 16 km2 using a no-take LMMA is socially untenable here and throughout much of the Pacific region. However, we found that spawning migrations were skewed towards shorter distances. Consequently, expanding the current 0.2 km2 no-take LMMA to 1–2 km2 would protect approximately 30–50% of the spawning population throughout the non-spawning season. Contrasting with current knowledge, our results demonstrate that species with moderate reproductive migrations can be managed at scales congruous with spatially restricted management tools.

  12. Ecological Networks and Community Attachment and Support Among Recently Resettled Refugees.

    Science.gov (United States)

    Soller, Brian; Goodkind, Jessica R; Greene, R Neil; Browning, Christopher R; Shantzek, Cece

    2018-03-25

    Interventions aimed at enhancing mental health are increasingly centered around promoting community attachment and support. However, few have examined and tested the specific ecological factors that give rise to these key community processes. Drawing from insights from the ecological network perspective, we tested whether spatial and social overlap in routine activity settings (e.g., work, school, childcare) with fellow ethnic community members is associated with individuals' attachment to their ethnic communities and access to social resources embedded in their communities. Data on routine activity locations drawn from the Refugee Well-Being Project (based in a city in the Southwestern United States) were used to reconstruct the ecological networks of recently resettled refugee communities, which were two-mode networks that comprise individuals and their routine activity locations. Results indicated that respondents' community attachment and support increased with their ecological network extensity-which taps the extent to which respondents share routine activity locations with other community members. Our study highlights a key ecological process that potentially enhances individuals' ethnic community attachment that extends beyond residential neighborhoods. © Society for Community Research and Action 2018.

  13. Citizen Science to Support Community-based Flood Early Warning and Resilience Building

    Science.gov (United States)

    Paul, J. D.; Buytaert, W.; Allen, S.; Ballesteros-Cánovas, J. A.; Bhusal, J.; Cieslik, K.; Clark, J.; Dewulf, A.; Dhital, M. R.; Hannah, D. M.; Liu, W.; Nayaval, J. L.; Schiller, A.; Smith, P. J.; Stoffel, M.; Supper, R.

    2017-12-01

    In Disaster Risk Management, an emerging shift has been noted from broad-scale, top-down assessments towards more participatory, community-based, bottom-up approaches. Combined with technologies for robust and low-cost sensor networks, a citizen science approach has recently emerged as a promising direction in the provision of extensive, real-time information for flood early warning systems. Here we present the framework and initial results of a major new international project, Landslide EVO, aimed at increasing local resilience against hydrologically induced disasters in western Nepal by exploiting participatory approaches to knowledge generation and risk governance. We identify three major technological developments that strongly support our approach to flood early warning and resilience building in Nepal. First, distributed sensor networks, participatory monitoring, and citizen science hold great promise in complementing official monitoring networks and remote sensing by generating site-specific information with local buy-in, especially in data-scarce regions. Secondly, the emergence of open source, cloud-based risk analysis platforms supports the construction of a modular, distributed, and potentially decentralised data processing workflow. Finally, linking data analysis platforms to social computer networks and ICT (e.g. mobile phones, tablets) allows tailored interfaces and people-centred decision- and policy-support systems to be built. Our proposition is that maximum impact is created if end-users are involved not only in data collection, but also over the entire project life-cycle, including the analysis and provision of results. In this context, citizen science complements more traditional knowledge generation practices, and also enhances multi-directional information provision, risk management, early-warning systems and local resilience building.

  14. Examining the Light and Dark of an Online Young Adult Cancer Support Community.

    Science.gov (United States)

    Crook, Brittani; Love, Brad

    2017-05-01

    The young adult (YA) cancer community represents an understudied population in interpersonal and health communication scholarship. Through qualitative analysis, this study sought to advance a dark side perspective by exploring the content of messages shared in an online support forum for YAs with cancer. Our findings highlight a variety of complexities YAs face in an online cancer support community, including the light and dark of soliciting support, disclosing to a community, advocacy online, negative sentiment evaluating health care services, and asynchronous communication. Understanding the light and dark nuances involved with participating in an online YA support forum advances a dark side perspective on the scholarly research in health communication that can ultimately help care providers recommend resources and coach YAs to optimally and effectively use and navigate online support groups.

  15. Internal Wave Exposure in Eastern Tropical Pacific Panamá and Costa Rica is Coincident with Strong Vertical Gradients in Shallow Water Benthic Community Composition

    Science.gov (United States)

    Leichter, J.

    2016-02-01

    Multi-year time series and hydrographic observations at near shore sites in Eastern Tropical Pacific Panamá and Costa Rica show regionally coherent internal wave exposure that is strongly modulated across seasons. Sites were sampled to the west of the Osa Peninsula in Costa Rica and near Isla Coiba in Panamá with spatial separation of approximately 250 km. From approximately January through April each year, internal wave activity inferred from high frequency temperature variability is pronounced, associated with well developed and shallow density stratification. The occurrence of highly variable temperatures is correlated with shallow density stratification and oxygen concentrations as low as 1 to 1.5 µg L-1 measured at the base of the thermocline at 50 to 60 m depth in the offshore water column during winter and spring conditions. The physical variability in the near shore corresponds to and appears to drive strong vertical gradients in the benthic community assemblages on rocky substrata. With increasing depth the benthic communities are dominated by scleractinian corals (predominantly in the genera Pocillopora, Pavona, and Porites) from near the surface to approximately 8 m depth, followed by of a range of sessile suspension feeders including sea fans and gorgonians at approximately 10 to 20 m depth, and predominantly rocky bare space with sporadic algal and isolated invertebrate communities to 30 m depth which was the limit of the current sampling. This vertical patterning of the benthic community appears to reflect the strong vertical gradients in hydrographic forcing. From May through December hydrographic conditions at the benthic study sites is significantly less variable, associated with deeper offshore stratification and a decrease in temperature variation driven by internal wave activity impinging on the shallow water ecosystems. The highly variable physical environment in these tropical settings sets a context for strong patterning of benthic

  16. Community support for campus approaches to sustainable energy use: The role of 'town-gown' relationships

    International Nuclear Information System (INIS)

    McComas, Katherine A.; Stedman, Richard; Sol Hart, P.

    2011-01-01

    Across the United States, universities are grappling with challenges associated with adopting approaches to more sustainable energy use. One approach has been to develop energy-related projects in their local, host communities. Because host communities can play a major role in the successful planning and implementation of these projects, understanding the factors relating to their support is important. Building on research that suggests that procedural fairness is one such key factor, this study examines community members' support of six approaches a local university could implement to work towards a goal of carbon neutrality. The results of a mail survey (N=677) found that perceived fairness of campus decision makers was significantly related to community support for the proposed approaches; however, beliefs about the efficacy of the different approaches to address challenges associated with climate change had the strongest relationship with support. The results also suggest that residents prefer changes in the energy infrastructure, such as the development of wind power, over the purchase of carbon offsets. We discuss the results in terms of actions that universities may take to foster community engagement in decision-making for university-sponsored sustainable energy projects. - Research highlights: → Residents were surveyed about support of a local university's energy choices. → Perceived fairness of campus authorities related to local support. → Beliefs about ability of energy choices to address climate change predicted support.

  17. Strong Coupling Asymptotics for Schrödinger Operators with an Interaction Supported by an Open Arc in three Dimensions

    Czech Academy of Sciences Publication Activity Database

    Exner, Pavel; Kondej, S.

    2016-01-01

    Roč. 77, č. 1 (2016), s. 1-17 ISSN 0034-4877 R&D Projects: GA ČR(CZ) GA14-06818S Institutional support: RVO:61389005 Keywords : singular perturbations * eigenvalue asymptotics Subject RIV: BE - Theoretical Physics Impact factor: 0.604, year: 2016

  18. Understanding the supports of and challenges to community engagement in the CTSAs.

    Science.gov (United States)

    Holzer, Jessica; Kass, Nancy

    2015-04-01

    The Clinical and Translational Science Award (CTSA) program has raised the profile and the available funding for engagement in biomedical research. Such increased funding and attention may address known barriers to engagement. However, little work has been done to describe experiences across multiple CTSAs, especially how the CTSA structure supports or challenges engagement. We sought to understand the supports and challenges experienced by multiple CTSAs as they pursued community engagement. This knowledge may help guide future efforts to support and enhance community engagement in biomedical research. We conducted semi-structured, in-depth interviews with CTSA community engagement core leaders and staff from the 2006 cohort of CTSAs (n = 12). A total of 17 interviews with respondents from nine institutions identified three support themes, including: funding, existing relationships with communities, and leadership and a partnership approach at the institution. Six challenge themes arose: need for capacity development, lack of positive relationships with communities, lack of leadership, funding constraints, time and staff constraints, and unsustainable models. The CTSAs have brought much-needed attention to community engagement in research, but more can be done to adequately support engagement. Challenges remain that need to be addressed to achieve the potential benefits of engagement. © 2014 Wiley Periodicals, Inc.

  19. Using a Blog to Create and Support a Community of Inquiry in Secondary Education

    Science.gov (United States)

    Pifarre, Manoli; Guijosa, Alex; Argelagos, Esther

    2014-01-01

    Understanding how blogs can support collaborative learning is a vital concern for researchers and teachers. This article explores how blogs may be used to support secondary education students' collaborative interaction and how such an interaction process can promote the creation of a Community of Inquiry to enhance critical thinking and…

  20. Israeli Adolescents Exposed to Community and Terror Violence: The Protective Role of Social Support

    Science.gov (United States)

    Brookmeyer, Kathryn A.; Henrich, Christopher C.; Cohen, Guina; Shahar, Golan

    2011-01-01

    This study investigates how social support may protect Israeli early adolescents who have witnessed community violence from engaging in violent behavior when they have also witnessed terror violence. The study examines how support from parents, school, and friends could serve as protective, despite the interactive risk effects of witnessing…

  1. Community Informatics Studio: Designing Experiential Learning to Support Teaching, Research, and Practice

    Science.gov (United States)

    Wolske, Martin; Rhinesmith, Colin; Kumar, Beth

    2014-01-01

    This paper introduces a model of experiential learning to support teaching, research, and practice in library and information science (LIS). The concept we call "Community Informatics (CI) Studio" uses studio-based learning (SBL) to support enculturation into the field of CI. The SBL approach, closely related to John Dewey's…

  2. The Role of Faculty Learning Communities in Supporting Team-Based Learning

    Science.gov (United States)

    Rands, Melissa L.; Bender, Holly; Gillette, Meghan T.; Orgler, Lisa

    2017-01-01

    In this paper, the authors describe the faculty development initiatives and the role of faculty learning communities (FLCs) in supporting Team-Based Learning (TBL) at a large, research-intensive university. A systematic review of the initiatives found FLCs provided crucial support for both new and seasoned TBL practitioners and fostered…

  3. Surveying Community Nursing Support for Persons with an Intellectual Disability and Palliative Care Needs

    Science.gov (United States)

    Bailey, Maria; Doody, Owen; Lyons, Rosemary

    2016-01-01

    Palliative care services have developed over the years to support all persons with life-limiting conditions. Moreover, services for people with an intellectual disability have moved from the traditional institutional setting to supporting people with an intellectual disability to live in their own community and family home. The expansion of…

  4. 21st Century Community Learning Centers: Providing Afterschool and Summer Learning Support to Communities Nationwide

    Science.gov (United States)

    Afterschool Alliance, 2014

    2014-01-01

    The 21st Century Community Learning Centers (21st CCLC) initiative is the only federal funding source dedicated exclusively to before-school, afterschool, and summer learning programs. Each state education agency receives funds based on its share of Title I funding for low-income students at high-poverty, low performing schools. Funds are also…

  5. Energetic Communities : Planning support for sustainable energy transition in small- and medium-sized communities

    NARCIS (Netherlands)

    Sager-Klauß, C.V.

    2016-01-01

    Small- and medium-sized communities might prove to be game-changers in the overall energy transition because many problems have to be solved within their ambit. Urban planning is dealing with the numerous processes of urban change. Energy is a fairly new task to be addressed and many stakeholders

  6. Supporting communication for children with cerebral palsy in hospital: Views of community and hospital staff

    Science.gov (United States)

    Hemsley, Bronwyn; Lee, Sabrena; Munro, Kathleen; Seedat, Nadeera; Bastock, Kaely; Davidson, Bronwyn

    2014-01-01

    Objective We aimed to investigate the views of allied health and nursing staff on supporting the communication of children with cerebral palsy (CP) and complex communication needs (CCN) in hospital. Method We conducted 12 focus groups with 49 community- and hospital-based allied health professionals and hospital nurses. Results Participants reported having active roles in supporting children’s seating, mobility, equipment, mealtime management and psychosocial needs, but not in supporting the children’s communication in hospital. Participants described several environmental barriers to supporting children’s augmentative and alternative communication (AAC) in hospital, and suggested a range of strategies to ease communication difficulties at the bedside. Conclusion Results indicate a potential new role for community- and hospital-based health professionals in supporting nurses to implement AAC strategies at the bedside. Supporting nursing staff to remove environmental barriers and use communication technologies might create a more communicatively accessible hospital ward for children with CP and CCN. PMID:24102353

  7. Lack of anticipated support for care for community-dwelling older adults.

    Science.gov (United States)

    Oliveira, Déborah Cristina de; Neri, Anita Liberalesso; D'Elboux, Maria José

    2016-06-01

    to identify the factors associated with lack of anticipated support for care for community-dwelling older adults. this study presents comparison and logistic regression analyses of data from 671 individuals who took part of the multicentric study entitled "Frailty in older Brazilians" - a quantitative, epidemiologic and transversal investigation carried out between 2008 and 2009. the subjective evaluation of anticipated support for care for community-dwelling older adults was a good indicator of risk for lack of anticipated support for care in women, older adults who live alone and those with poor self-rated health. it is necessary to reflect upon the formal support system currently available for older people in Brazil, considering that those who most frequently presented lack of anticipated support for care are an increasing population. The study also highlights the importance of using subjective methods for the evaluation of the adequacy of older adults' support network.

  8. AmeriFlux and EuroFlux: History of a Strong Collaboration that Provided Unique Resources to the Scientific Community

    Science.gov (United States)

    Papale, D.; Agarwal, D.; Biraud, S.; Canfora, E.; Pastorello, G.; Torn, M. S.; Trotta, C.

    2017-12-01

    In 1995 scientific communities in Europe and North America using the eddy covariance technique to measure carbon, water, and energy exchanges between the terrestrial biosphere and the atmosphere started to organize their respective regional networks. Although there was a general interest and agreement to collaborate and exchange information and data between the two communities, these mainly occurred at the single site or individual levels through direct communications rather than systematically across networks. Between 2000 and 2008 common strategies to facilitate data sharing, promote data use across the two networks, and outreach to the scientific community, started to be more deeply discussed. Early on, harmonization across networks was deemed necessary to the success of both networks. This actually required major effort including lengthy discussions, compromises, and interactions between the networks for concrete implementation of common platforms and tools. Topics such as measurement units, variable definitions and labeling, data processing methods, data sharing policy, data distribution systems and formats, were key elements that had to be addressed and agreed upon carefully to build integrated and inter-operable research infrastructures (RIs). Today, AmeriFlux and EuroFlux are the basis, not only of the continental research infrastructures (ICOS in Europe), but they are also the driving force behind FLUXNET, where other regional networks are joining this coalition and contributing to the definition of a common system to make complex measurements accessible and comparable across continents. The latest dataset produced from this collaboration includes data contributed by over 200 sites around the world, with records spanning over two decades of data, and has been downloaded by over 900 users in the first 1.5 years of its publication. The core strategy of this collaboration, critical aspects and implemented solutions, as well as the current state of this effort

  9. EDP Sciences and A&A: partnering to providing services to support the scientific community

    Science.gov (United States)

    Henri, Agnes

    2015-08-01

    Scholarly publishing is no longer about simply producing and packaging articles and sending out to subscribers. To be successful, as well as being global and digital, Publishers and their journals need to be fully engaged with their stakeholders (authors, readers, funders, libraries etc), and constantly developing new products and services to support their needs in the ever-changing environment that we work in.Astronomy & Astrophysics (A&A) is a high quality, major international Journal that belongs to the astronomical communities of a consortium of European and South American countries supported by ESO who sponsor the journal. EDP Sciences is a non-profit publisher belonging to several learned societies and is appointed by ESO to publish the journal.Over the last decade, as well as publishing the results of worldwide astronomical and astrophysical research, A&A and EDP Sciences have worked in partnership to develop a wide range of services for the authors and readers of A&A:- A specialist language editing service: to provide a clear and excellent level of English ensuring full understanding of the high-quality science.- A flexible and progressive Open Access Policy including Gold and Green options and strong links with arXiv.- Enriched articles: authors are able to enhance their articles using a wide range of rich media such as 3D models, videos and animations.Multiple publishing formats: allowing readers to browse articles on multiple devices including eReaders and Kindles.- “Scientific Writing for Young Astronomers”: In 2008 EDP Sciences and A&A set up the Scientific Writing for Young Astronomers (SWYA) School with the objective to teach early PhD Students how write correct and efficient scientific papers for different mediums (journals, proceedings, thesis manuscripts, etc.).

  10. Social support exchanges in a social media community for people living with HIV/AIDS in China.

    Science.gov (United States)

    Chen, Liang; Shi, Jingyuan

    2015-01-01

    In recent years, social media has become an important source of social support. People living with HIV/AIDS in China created an online support group (the HIV/AIDS Weibo Group) on Weibo, the Chinese version of Twitter, in January 2011. The current study examined how social support transmitted in this social media community. First, messages over five successive weeks (2 May 2011 to 13 June 2011) were randomly selected from the HIV/AIDS Weibo Group on Weibo. Next, we employed social network analysis to map the HIV/AIDS Weibo Group's structure and to measure the study variables. After that, a multivariate analysis of variance was applied to examine the influence of frequency of contact and reciprocity on informational and emotional social support exchanged in each dyad. The results revealed that pairs with a high level of contact frequency or reciprocity exchanged more informational support than do pairs with a low level of contact frequency or reciprocity. Moreover, dyadic partners with high frequency of contact exchanged a larger amount of emotional support than those with a low level frequency of contact; but strongly reciprocal dyads did not exchange significantly more emotional social support than their counterparts with a low level of reciprocity.

  11. Social support and responsiveness in online patient communities: impact on service quality perceptions.

    Science.gov (United States)

    Nambisan, Priya; Gustafson, David H; Hawkins, Robert; Pingree, Suzanne

    2016-02-01

    Hospitals frequently evaluate their service quality based on the care and services provided to patients by their clinical and non-clinical staff.(1,2) However, such evaluations do not take into consideration the many interactions that patients have in online patient communities with the health-care organization (HCO) as well as with peer patients. Patients' interactions in these online communities could impact their perceptions regarding the HCO's service quality. The objective of this pilot study was to evaluate the impact of social support and responsiveness that patients experience in an HCO's online community on patients' perceptions regarding the HCO's service quality. The study data are collected from CHESS, a health-care programme (Comprehensive Health Enhancement Support System) run by the Centre for Health Enhancement System Studies at the University of Wisconsin-Madison. Findings show that the social support and the responsiveness received from peer patients in the online patient communities will impact patients' perceptions regarding the service quality of the HCO even when the organizational members themselves do not participate in the online discussions. The results indicate that interactions in such HCO-provided online patient communities should not be ignored as they could translate into patients' perceptions regarding HCOs' service quality. Ways to improve responsiveness and social support in an HCO's online patient community are discussed. © 2014 John Wiley & Sons Ltd.

  12. Strong evidence for terrestrial support of zooplankton in small lakes based on stable isotopes of carbon, nitrogen, and hydrogen

    Science.gov (United States)

    Cole, J.J.; Carpenter, S.R.; Kitchell, J.; Pace, M.L.; Solomon, C.T.; Weidel, B.

    2011-01-01

    Cross-ecosystem subsidies to food webs can alter metabolic balances in the receiving (subsidized) system and free the food web, or particular consumers, from the energetic constraints of local primary production. Although cross-ecosystem subsidies between terrestrial and aquatic systems have been well recognized for benthic organisms in streams, rivers, and the littoral zones of lakes, terrestrial subsidies to pelagic consumers are more difficult to demonstrate and remain controversial. Here, we adopt a unique approach by using stable isotopes of H, C, and N to estimate terrestrial support to zooplankton in two contrasting lakes. Zooplankton (Holopedium, Daphnia, and Leptodiaptomus) are comprised of ???20-40% of organic material of terrestrial origin. These estimates are as high as, or higher than, prior measures obtained by experimentally manipulating the inorganic 13C content of these lakes to augment the small, natural contrast in 13C between terrestrial and algal photosynthesis. Our study gives credence to a growing literature, which we review here, suggesting that significant terrestrial support of pelagic crustaceans (zooplankton) is widespread.

  13. Strong evidence for terrestrial support of zooplankton in small lakes based on stable isotopes of carbon, nitrogen, and hydrogen

    Science.gov (United States)

    Cole, Jonathan J.; Carpenter, Stephen R.; Kitchell, Jim; Pace, Michael L.; Solomon, Christopher T.; Weidel, Brian

    2011-01-01

    Cross-ecosystem subsidies to food webs can alter metabolic balances in the receiving (subsidized) system and free the food web, or particular consumers, from the energetic constraints of local primary production. Although cross-ecosystem subsidies between terrestrial and aquatic systems have been well recognized for benthic organisms in streams, rivers, and the littoral zones of lakes, terrestrial subsidies to pelagic consumers are more difficult to demonstrate and remain controversial. Here, we adopt a unique approach by using stable isotopes of H, C, and N to estimate terrestrial support to zooplankton in two contrasting lakes. Zooplankton (Holopedium, Daphnia, and Leptodiaptomus) are comprised of ≈20–40% of organic material of terrestrial origin. These estimates are as high as, or higher than, prior measures obtained by experimentally manipulating the inorganic 13C content of these lakes to augment the small, natural contrast in 13C between terrestrial and algal photosynthesis. Our study gives credence to a growing literature, which we review here, suggesting that significant terrestrial support of pelagic crustaceans (zooplankton) is widespread. PMID:21245299

  14. Strong congruence in tree and fern community turnover in response to soils and climate in central Panama

    DEFF Research Database (Denmark)

    Jones, Mirkka; Ferrier, Simon; Condit, Richard

    2013-01-01

    and seasonality undoubtedly limit plant distributions in this region, soil effects are at least as important, and interactions between the two are sizeable. This is likely to hold elsewhere in the Caribbean region, where mosaics of marine and volcanic soils combined with pronounced rainfall gradients are common......1. Plant species turnover in central Panamanian forests has been principally attributed to the effects of dispersal limitation and a strong Caribbean to Pacific gradient in rainfall seasonality. Despite marked geological heterogeneity, the role of soil variation has not been rigorously examined. 2....... We modelled the compositional turnover of trees and ferns in the Panama Canal watershed as a function of soil chemistry, climate and geographical separation, using generalized dissimilarity models (GDMs). 3. Predictability in both plant groups was strong, with 74% of turnover explained in trees...

  15. Genetic evidence strongly support an essential role for PfPV1 in intra-erythrocytic growth of P. falciparum.

    Directory of Open Access Journals (Sweden)

    Trang Chu

    Full Text Available Upon invading the host erythrocyte, the human malaria parasite P. falciparum lives and replicates within a membrane bound compartment referred to as the parasitophorous vacuole. Recently, interest in this compartment and its protein content has grown, due to the important roles these play in parasite egress and protein traffic to the host cell. Surprisingly, the function of many proteins within this compartment has not been experimentally addressed. Here, we study the importance of one of these proteins, termed PfPV1, for intra-erythrocytic parasite survival. Despite numerous attempts to inactivate the gene encoding PfPV1, we were unable to recover deletion mutants. Control experiments verified that the pv1 gene locus was per se open for gene targeting experiments, allowing us to exclude technical limitations in our experimental strategy. Our data provide strong genetic evidence that PfPV1 is essential for survival of blood stage P. falciparum, and further highlight the importance of parasitophorous vacuole proteins in this part of the parasite's life cycle.

  16. "Working with COW": Social Work Supporting Older Women Living in the Community.

    Science.gov (United States)

    Rawsthorne, Margot; Ellis, Kayleigh; de Pree, Alison

    2017-01-01

    Australia, like all developed Western countries, is experiencing a demographic shift resulting in an increasing proportion of the population being over the age of 65 years. Contrary to stereotypes, the vast majority of older people live independently in communities. This article explores the potential of social work practice informed by community development principles to enable socially disadvantaged older women to live in vibrant and supportive communities, in which they feel safe and are able to access the support services they need. It argues that participation in social action not only builds older women's well-being but also enables them to become (or continue to be) agents for social change in local communities. Adopting a community-based research methodology, this article draws on a decade of community development practice with the Concerned Older Women's (COW) Group. This data suggests that community development practice based on participation, empowerment, and social action founded on respectful relationships may accrue significant benefits to individuals and the broader community. This social work practice creates the social conditions to facilitate older women's capacity to work collectively to achieve social change, challenging ageist stereotypes.

  17. The effect of social support and school- and community-based sports on youth physical activity.

    Science.gov (United States)

    Kurc, Andrew R; Leatherdale, Scott T

    2009-01-01

    To examine how social support, participation in intramurals, varsity and community sports are associated with physical activity among Ontario secondary school students, and explore gender differences in the prevalence of physical activity and participation in school- and community-based sports. Data from 25,416 students (grades 9-12) attending 76 Ontario secondary schools were collected using the School Health Action, Planning, and Evaluation System (SHAPES). Logistic regression analyses examined how social support and school- and community-based sports participation were associated with physical activity. Males and females with low social support for physical activity were less likely to be active than their lower-risk peers (males: OR 0.61; females: OR 0.72). Males and females were more likely to be active if they participated in intramural activities (males: OR 1.92; females: OR 1.55), varsity sports (males: OR 1.93; females: OR 1.77), or community sports (males: OR 2.84; females: OR 2.90). Since students with low social support for physical activity were less likely to be active, interventions to increase support and engagement in physical activity should be targeted to these students. In addition, considering that participation in school- and community-based sports increases the likelihood that students were active, practitioners should seek to enhance opportunities for participation in and access to these programs in order to increase the level of activity obtained by students.

  18. The role of strong-tie social networks in mediating food security of fish resources by a traditional riverine community in the Brazilian Amazon

    Directory of Open Access Journals (Sweden)

    Frédéric Mertens

    2015-09-01

    Full Text Available Social networks are a significant way through which rural communities that manage resources under common property regimes obtain food resources. Previous research on food security and social network analysis has mostly focused on egocentric network data or proxy variables for social networks to explain how social relations contribute to the different dimensions of food security. Whole-network approaches have the potential to contribute to former studies by revealing how individual social ties aggregate into complex structures that create opportunities or constraints to the sharing and distribution of food resources. We used a whole-network approach to investigate the role of network structure in contributing to the four dimensions of food security: food availability, access, utilization, and stability. For a case study of a riparian community from the Brazilian Amazon that is dependent on fish as a key element of food security, we mapped the community strong-tie network among 97% of the village population over 14 years old (n = 336 by integrating reciprocated friendship and occupational ties, as well as close kinship relationships. We explored how different structural properties of the community network contribute to the understanding of (1 the availability of fish as a community resource, (2 community access to fish as a dietary resource, (3 the utilization of fish for consumption in a way that allows the villagers to maximize nutrition while at the same time minimizing toxic risks associated with mercury exposure, and (4 the stability of the fish resources in local ecosystems as a result of cooperative behaviors and community-based management. The contribution of whole-network approaches to the study of the links between community-based natural resource management and food security were discussed in the context of recent social-ecological changes in the Amazonian region.

  19. Le Bon Samaritain: A Community-Based Care Model Supported by Technology.

    Science.gov (United States)

    Gay, Valerie; Leijdekkers, Peter; Gill, Asif; Felix Navarro, Karla

    2015-01-01

    The effective care and well-being of a community is a challenging task especially in an emergency situation. Traditional technology-based silos between health and emergency services are challenged by the changing needs of the community that could benefit from integrated health and safety services. Low-cost smart-home automation solutions, wearable devices and Cloud technology make it feasible for communities to interact with each other, and with health and emergency services in a timely manner. This paper proposes a new community-based care model, supported by technology, that aims at reducing healthcare and emergency services costs while allowing community to become resilient in response to health and emergency situations. We looked at models of care in different industries and identified the type of technology that can support the suggested new model of care. Two prototypes were developed to validate the adequacy of the technology. The result is a new community-based model of care called 'Le Bon Samaritain'. It relies on a network of people called 'Bons Samaritains' willing to help and deal with the basic care and safety aspects of their community. Their role is to make sure that people in their community receive and understand the messages from emergency and health services. The new care model is integrated with existing emergency warning, community and health services. Le Bon Samaritain model is scalable, community-based and can help people feel safer, less isolated and more integrated in their community. It could be the key to reduce healthcare cost, increase resilience and drive the change for a more integrated emergency and care system.

  20. Community gardens as sites of solace and end-of-life support: a literature review.

    Science.gov (United States)

    Marsh, Pauline; Spinaze, Anna

    2016-05-01

    In a pilot project, members of a community garden explored how they might provide better end-of-life support for their regional community. As part of the project, a literature review was undertaken to investigate the nexus between community gardens and end-of-life experiences (including grief and bereavement) in academic research. This article documents the findings of that review. The authors discovered there is little academic material that focuses specifically on community gardens and end-of-life experiences, but nonetheless the two subjects were seen to intersect. The authors found three points of commonality: both share a need and capacity for a) social/informal support, b) therapeutic space, and c) opportunities for solace.

  1. Service and infrastructure needs to support recovery programmes for Indigenous community mental health consumers.

    Science.gov (United States)

    Sayers, Jan M; Cleary, Michelle; Hunt, Glenn E; Burmeister, Oliver K

    2017-04-01

    Mental health is a major concern in Indigenous communities, as Indigenous people experience poorer health outcomes generally, and poorer social and emotional well-being throughout their lives, compared to non-Indigenous populations. Interviews were conducted with 20 mental health workers from a housing assistance programme for Indigenous clients with mental illness. Service and infrastructure needs identified to support clients were classified under the following overarching theme 'supports along the road to recovery'. Subthemes were: (i) It is OK to seek help; (ii) linking in to the local community; (iii) trusting the workers; and (iv) help with goal setting and having activities that support their achievement. This paper highlights the importance of targeted housing and accommodation support programmes for Indigenous people to prevent homelessness, and the essential services and infrastructure required to support Indigenous clients' mental health needs. These insights may inform service review, workforce development, and further research. © 2016 Australian College of Mental Health Nurses Inc.

  2. Latest Community Coordinated Modeling Center (CCMC) services and innovative tools supporting the space weather research and operational communities.

    Science.gov (United States)

    Mendoza, A. M. M.; Rastaetter, L.; Kuznetsova, M. M.; Mays, M. L.; Chulaki, A.; Shim, J. S.; MacNeice, P. J.; Taktakishvili, A.; Collado-Vega, Y. M.; Weigand, C.; Zheng, Y.; Mullinix, R.; Patel, K.; Pembroke, A. D.; Pulkkinen, A. A.; Boblitt, J. M.; Bakshi, S. S.; Tsui, T.

    2017-12-01

    The Community Coordinated Modeling Center (CCMC), with the fundamental goal of aiding the transition of modern space science models into space weather forecasting while supporting space science research, has been serving as an integral hub for over 15 years, providing invaluable resources to both space weather scientific and operational communities. CCMC has developed and provided innovative web-based point of access tools varying from: Runs-On-Request System - providing unprecedented global access to the largest collection of state-of-the-art solar and space physics models, Integrated Space Weather Analysis (iSWA) - a powerful dissemination system for space weather information, Advanced Online Visualization and Analysis tools for more accurate interpretation of model results, Standard Data formats for Simulation Data downloads, and Mobile apps to view space weather data anywhere to the scientific community. In addition to supporting research and performing model evaluations, CCMC also supports space science education by hosting summer students through local universities. In this poster, we will showcase CCMC's latest innovative tools and services, and CCMC's tools that revolutionized the way we do research and improve our operational space weather capabilities. CCMC's free tools and resources are all publicly available online (http://ccmc.gsfc.nasa.gov).

  3. Community composition and cold tolerance of soil Collembola in a collapse karst doline with strong microclimate inversion

    Czech Academy of Sciences Publication Activity Database

    Raschmanová, N.; Miklisová, D.; Kováč, L.; Šustr, Vladimír

    2015-01-01

    Roč. 70, č. 6 (2015), s. 802-811 ISSN 0006-3088 Grant - others:VEGA(SK) 1/0199/14; VEGA(SK) 1/3267/06 Institutional support: RVO:60077344 Keywords : cold tolerance * collapse doline * karst landform * microclimatic gradient * soil Collembola Subject RIV: EG - Zoology Impact factor: 0.719, year: 2015

  4. Building Resilience in Families, Communities, and Organizations: A Training Program in Global Mental Health and Psychosocial Support.

    Science.gov (United States)

    Saul, Jack; Simon, Winnifred

    2016-12-01

    This article describes the Summer Institute in Global Mental Health and Psychosocial Support, a brief immersion training program for mental health, health, and allied professionals who work with populations that have endured severe adversities and trauma, such as domestic and political violence, extreme poverty, armed conflict, epidemics, and natural disasters. The course taught participants to apply collaborative and contextually sensitive approaches to enhance social connectedness and resilience in families, communities, and organizations. This article presents core training principles and vignettes which illustrate how those engaging in such interventions must: (1) work in the context of a strong and supportive organization; (2) appreciate the complexity of the systems with which they are engaging; and (3) be open to the possibilities for healing and transformation. The program utilized a combination of didactic presentations, hands-on interactive exercises, case studies, and experiential approaches to organizational team building and staff stress management. © 2016 Family Process Institute.

  5. Communication disability in Fiji: Community self-help and help-seeking support.

    Science.gov (United States)

    Hopf, Suzanne C; McLeod, Sharynne; McDonagh, Sarah H; Wang, Cen; Rakanace, Epenisa N

    2017-07-07

    To understand how a Fijian community supports people with communication disability (PWCD) and whether their support is associated with participant demographics. Thematic analysis of 144 questionnaires that asked about participants' actions to support a fictional child and adult with communication disability. Participant responses fell into two categories: what they would do directly (self-help) and people and places where they would seek assistance (help-seeking). Self-help behaviours included: making a change to their own communication style or mode; trying to change their own and others' behaviour; teaching new skills; praying; changing the physical environment; seeking information independently; assessing or observing; and, using traditional medicine, western medicine, or traditional belief practices. Help-seeking behaviours included seeking help from: other community members; education professionals; a professional in another country; spiritual leaders; traditional belief practitioners; traditional medicine practitioners; western health care practitioners; or, an alternative provider (e.g. home, orphanage, nursing home). Younger participants and those of iTaukei Fijian ethnicity were more likely to seek help from other community members. This Fijian community actively supports people with communication disability within available networks. Development of speech-language pathology services for people with communication disability living in similar communities should harness the informal knowledge within these networks.

  6. STRUCTURAL INEQUALITY AND SOCIAL SUPPORT FOR WOMEN PRISONERS RELEASED TO RURAL COMMUNITIES

    Science.gov (United States)

    Nicdao, Ethel G.; Trott, Elise M.; Kellett, Nicole C.

    2016-01-01

    Incarceration and community reentry for rural women reflect gendered processes. We draw upon in-depth semi-structured interviews and focus groups to examine the return of women prisoners to underserved rural communities, while attending to the perspectives of their closest social supporters. Our findings underscore the complexity of the reentry process for rural women and its particular impact on their families. We challenge dominant discourses of personal responsibility that detract from the structura violence and injustice shaping reentry experiences for women and their social supporters. We also consider the policy implications of discharge and reentry planning for rural women and their families, as well as strategies to reduce recidivism. PMID:27274615

  7. Coral community composition and reef development at the Similan Islands, Andaman Sea, in response to strong environmental variations

    KAUST Repository

    Schmidt, GM

    2012-06-07

    The Similan Islands, a Thai archipelago in the Andaman Sea located near the shelf break, are subjected to frequent (up to several events per hour) and abrupt changes in physico-chemical conditions, particularly during the dry season (NE monsoon, January through April) and to an intense monsoon season with strong surface wave action (May to October). The exposed west slopes of the islands feature more coral species, but lack a carbonate reef framework. By contrast, the sheltered east sides show a complex reef framework dominated by massive Porites. Our results suggest that the sudden changes in temperature, pH and nutrients (drops of up to 10°C and 0.6 U and increases of up to 9.4 µmol NOx l−1, respectively) due to pulsed upwelling events may rival the importance of surface waves and storms in shaping coral distribution and reef development.

  8. Strong Regionality and Dominance of Anaerobic Bacterial Taxa Characterize Diazotrophic Bacterial Communities of the Arcto-Alpine Plant Species Oxyria digyna and Saxifraga oppositifolia

    Directory of Open Access Journals (Sweden)

    Manoj Kumar

    2017-10-01

    Full Text Available Arctic and alpine biomes are most often strongly nitrogen-limited, and hence biological nitrogen fixation is a strong driver of these ecosystems. Both biomes are characterized by low temperatures and short growing seasons, but they differ in seasonality of solar radiation and in soil water balance due to underlying permafrost in the Arctic. Arcto-alpine plant species are well-adapted to the low temperatures that prevail in their habitats, and plant growth is mainly limited by the availability of nutrients, in particular nitrogen, due to slow mineralization. Nitrogen fixing bacteria are likely important for plant growth in these habitats, but very little is known of these bacteria or forces shaping their communities. In this study, we characterized the potential nitrogen fixing bacterial (PNFB communities associated with two arcto-alpine pioneer plant species, Oxyria digyna (mountain sorrel and Saxifraga oppositifolia (blue saxifrage, in three climate regions. Both of these plants readily colonize low nutrient mineral soils. Our goal was to investigate how climate (region and, on the other hand, host plant and plant species shape these communities. To our knowledge, this is the first comprehensive study describing PNFB communities associated with pioneer plants in different arcto-alpine biomes. Replicate samples were taken from two arctic regions, Kilpisjärvi and Ny-Ålesund, and one alpine region, Mayrhofen. In these, the PNFB communities in the bulk and rhizosphere soils and the plant endospheres were characterized by nifH-targeted PCR and massive parallel sequencing. The data revealed strong effects of climatic region on the dominating nitrogen fixers. Specifically, nifH sequences related to Geobacter (δ-Proteobacteria were present in high relative abundances in the nitrogen-fixing communities in the Mayrhofen and Kilpisjärvi regions, while members of the Clostridiales prevailed in the Kilpisjärvi and Ny-Ålesund regions. The bulk and

  9. Social Support, Health, and Health Care Access Among Latino Immigrant Men in an Emerging Community.

    Science.gov (United States)

    Documet, Patricia Isabel; Troyer, Mark M; Macia, Laura

    2018-03-01

    To determine the association of social support with alcohol abuse, depression, and health care access among Latino immigrant men in an emerging Latino community (an area with a small yet growing Latino population). Cross-sectional baseline data of 140 men prior to a participatory male-to-male community health worker intervention among Latino immigrants were analyzed using logistic regression. Community health workers recruited community participants in Western Pennsylvania between 2011 and 2013. Participants constituted a vulnerable group: 47% had not finished high school, 36% had moderate to severe depression, and 30% reported binge drinking in the past month. Health care access was low (insurance = 6%, usual source = 20%). In multivariable logistic regression high social support was associated with less binge drinking (odds ratio [OR] = 0.44; 95% confidence interval [CI] [0.20, 0.98]) and lower depression (OR = 0.22; 95% CI [0.09-0.54]). Social support was associated with having a dentist visit but not with other health care access measures. Results indicate that the role of social support seems important for drinking and depression but remains controversial for health care access. It raises the hypothesis that low social support may be one of the mechanisms for the increase in drinking that happens after immigration.

  10. Exploring the Therapeutic Affordances of Self-Harm Online Support Communities: An Online Survey of Members

    Science.gov (United States)

    Bullock, Emma

    2017-01-01

    Background A growing number of online communities have been established to support those who self-harm. However, little is known about the therapeutic affordances arising from engagement with these communities and resulting outcomes. Objective The aim of this study was to explore the presence of therapeutic affordances as reported by members of self-harm online support communities. Methods In total, 94 respondents (aged 13-63 years, mean=23.5 years; 94% female) completed an online survey exploring their experiences of engaging with a self-harm online support community. Respondents varied in terms of how long they had been accessing an online community, with 22% (21/94) accessing less than 1 year, 39% (37/94) 1 to 2 years, 14% (13/94) 2 to 3 years, and 24.5% (23/94) more than 3 years. Responses were analyzed using deductive thematic analysis. Results The results of our analysis describe each of the five therapeutic affordances that were present in the data, namely (1) connection, the ability to make contact with others who self-harm for the purposes of mutual support and in so doing reduce feelings of loneliness and isolation; (2) adaptation, that is, how use of online support varies in relation to the personal circumstances of the individual user; (3) exploration, that is, the ability to learn about self-harm and learn about strategies to reduce or stop self-harming behavior; (4) narration, that is, the ability to share experiences, as well as read about the experiences of others; and (5) self-presentation, that is, how and what users present about themselves to others in the online community. Conclusions Our findings suggest that engagement with self-harm online support communities may confer a range of therapeutic benefits for some users, which may serve to minimize the psychosocial burden of self-harm and promote positive coping strategies. In addition, the online nature of the support available may be helpful to those who are unable to access face

  11. Exploring the Therapeutic Affordances of Self-Harm Online Support Communities: An Online Survey of Members.

    Science.gov (United States)

    Coulson, Neil S; Bullock, Emma; Rodham, Karen

    2017-10-13

    A growing number of online communities have been established to support those who self-harm. However, little is known about the therapeutic affordances arising from engagement with these communities and resulting outcomes. The aim of this study was to explore the presence of therapeutic affordances as reported by members of self-harm online support communities. In total, 94 respondents (aged 13-63 years, mean=23.5 years; 94% female) completed an online survey exploring their experiences of engaging with a self-harm online support community. Respondents varied in terms of how long they had been accessing an online community, with 22% (21/94) accessing less than 1 year, 39% (37/94) 1 to 2 years, 14% (13/94) 2 to 3 years, and 24.5% (23/94) more than 3 years. Responses were analyzed using deductive thematic analysis. The results of our analysis describe each of the five therapeutic affordances that were present in the data, namely (1) connection, the ability to make contact with others who self-harm for the purposes of mutual support and in so doing reduce feelings of loneliness and isolation; (2) adaptation, that is, how use of online support varies in relation to the personal circumstances of the individual user; (3) exploration, that is, the ability to learn about self-harm and learn about strategies to reduce or stop self-harming behavior; (4) narration, that is, the ability to share experiences, as well as read about the experiences of others; and (5) self-presentation, that is, how and what users present about themselves to others in the online community. Our findings suggest that engagement with self-harm online support communities may confer a range of therapeutic benefits for some users, which may serve to minimize the psychosocial burden of self-harm and promote positive coping strategies. In addition, the online nature of the support available may be helpful to those who are unable to access face-to-face support. ©Neil S Coulson, Emma Bullock, Karen Rodham

  12. Mapping the terrain: A conceptual schema for a mental health medication support service in community pharmacy.

    Science.gov (United States)

    Scahill, Shane; Fowler, Jane L; Hattingh, H Laetitia; Kelly, Fiona; Wheeler, Amanda J

    2015-01-01

    Mental health-related problems pose a serious issue for primary care, and community pharmacy could make a significant contribution, but there is a dearth of information. This article reports synthesis of the literature on mental health interventions across a range of pharmacy models, and pharmacy services in contexts beyond mental health. To best inform the design of a community pharmacy medication support intervention for mental health consumers, the literature was reported as a conceptual schema and subsequent recommendations for development, implementation and evaluation of the service. A broad conceptualisation was taken in this review. In addition to mental health and community pharmacy literature, policy/initiatives, organisational culture and change management principles, and evaluative processes were reviewed. Key words were selected and literature reviews undertaken using EMBASE, PubMed, CINAHL and Web of Science. Recommendations were made around: medication support intervention design, consumer recruitment, implementation in community pharmacy and evaluation. Surprisingly, there is a scarce literature relating to mental health interventions in community pharmacy. Even so, findings from other pharmacy models and broader medicines management for chronic illness can inform development of a medication support service for mental health consumers. Key learnings include the need to expand medicines management beyond adherence with respect to both intervention design and evaluation. The conceptual framework is grounded in the need for programmes to be embedded within pharmacies that are part of the health system as a whole.

  13. Mapping the terrain: A conceptual schema for a mental health medication support service in community pharmacy

    Science.gov (United States)

    Scahill, Shane; Fowler, Jane L; Hattingh, H Laetitia; Kelly, Fiona; Wheeler, Amanda J

    2015-01-01

    Objective: Mental health–related problems pose a serious issue for primary care, and community pharmacy could make a significant contribution, but there is a dearth of information. Methods: This article reports synthesis of the literature on mental health interventions across a range of pharmacy models, and pharmacy services in contexts beyond mental health. To best inform the design of a community pharmacy medication support intervention for mental health consumers, the literature was reported as a conceptual schema and subsequent recommendations for development, implementation and evaluation of the service. A broad conceptualisation was taken in this review. In addition to mental health and community pharmacy literature, policy/initiatives, organisational culture and change management principles, and evaluative processes were reviewed. Key words were selected and literature reviews undertaken using EMBASE, PubMed, CINAHL and Web of Science. Results: Recommendations were made around: medication support intervention design, consumer recruitment, implementation in community pharmacy and evaluation. Surprisingly, there is a scarce literature relating to mental health interventions in community pharmacy. Even so, findings from other pharmacy models and broader medicines management for chronic illness can inform development of a medication support service for mental health consumers. Key learnings include the need to expand medicines management beyond adherence with respect to both intervention design and evaluation. Conclusion: The conceptual framework is grounded in the need for programmes to be embedded within pharmacies that are part of the health system as a whole. PMID:26770802

  14. Public support for restrictions on fast food company sponsorship of community events.

    Science.gov (United States)

    Pettigrew, Simone; Pescud, Melanie; Rosenberg, Michael; Ferguson, Renee; Houghton, Stephen

    2012-01-01

    This study investigated community attitudes to fast food companies' sponsorship of community events. The aim was to inform future efforts to introduce greater restrictions on these marketing activities to reduce child obesity. While previous research has focused on the sponsorship of sporting events, the present study included all community events and gauged public support for fast food company sponsorships in general as well as specific sponsorship activities such as securing event naming rights, advertising on event premises, and distributing free items to children in the form of food and redeemable vouchers. A large and diverse sample of Western Australian adults (n=2,005) responded to a community attitudes telephone survey that included questions relating to event sponsorship. Almost half of the respondents reported that the promotion of fast foods is inappropriate at community events, and only a third considered it appropriate at events where children are likely to be present. Around two-thirds agreed that promoting fast foods at such events sends contradictory messages to children and just a quarter of respondents considered it acceptable for free fast food to be distributed at events or for children to be rewarded for participation with fast food vouchers. The results suggest that efforts to reduce child obesity that involve restrictions on the sponsorship of community events by organisations promoting unhealthy foods may be supported by a substantial proportion of the population.

  15. Influence of Strong Diurnal Variations in Sewage Quality on the Performance of Biological Denitrification in Small Community Wastewater Treatment Plants (WWTPs

    Directory of Open Access Journals (Sweden)

    Giordano Urbini

    2013-08-01

    Full Text Available The great diurnal variation in the quality of wastewater of small communities is an obstacle to the efficient removal of high nitrogen with traditional activated sludge processes provided by pre-denitrification. To verify this problem, the authors developed a pilot plant, in which the domestic wastewater of community of 15,000 inhabitants was treated. The results demonstrate that average and peak nitrogen removal efficiencies of over 60% and 70%, respectively, are difficult to obtain because of the strong variations in the BOD5/NO3-N ratios and the unexpected abnormal accumulation of dissolved oxygen during denitrification when the BOD5 load is low. These phenomena cause inhibitory effects and BOD5 deficiency in the denitrification process. The results demonstrate the need for a more complex approach to designing and managing small wastewater treatment plants (WWTPs provided with denitrification than those usually adopted for medium- and large-size plants.

  16. The role of community mental health services in supporting oral health outcomes among consumers.

    Science.gov (United States)

    Meldrum, Rebecca; Ho, Hillary; Satur, Julie

    2018-04-16

    People with a lived experience of mental illness are at a higher risk for developing oral diseases and having poorer oral health than the broader population. This paper explores the role of Australian community mental health services in supporting the prevention and management of poor oral health among people living with mental illness. Through focus groups and semi-structured interviews, participants identified the value of receiving oral health support within a community mental health setting, in particular the delivery of basic education, preventive strategies, assistance with making or attending appointments and obtaining priority access to oral health services. Engagement with Community Health Services and referrals generated through the priority access system were identified as key enablers to addressing oral health issues. This study provides new insight into the importance of undertaking an integrated approach to reducing the oral health disparities experienced by those living with mental illness.

  17. Equipping lay facilitators to support emotionally wounded children in Africa by means of healing communities

    Directory of Open Access Journals (Sweden)

    Dirk Coetsee

    2014-06-01

    Full Text Available Many children in Africa are emotionally wounded by circumstances and experiences not supporting their overall well-being and healthy development, and are in need of effective support. It seems that the church’s educational ministry and pastoral care based on individualistic pastoral practices do not address this need effectively. Beginning with an orientation to the problem, the article then focused on the development of lay facilitators for healing communities as an alternative way of ministering to children who experience emotional suffering. With reference to an illustrative narrative of a camp with deprived children, some elements contributing to the success of the camp were highlighted and linked to the effective functioning of healing communities. Thereafter the process used to equip lay people to facilitate such healing communities was described. The article concluded with challenges to the church in Africa to develop a new ministry to serve emotionally wounded children.

  18. Involving Tutors and Support Staff in the Adult and Community Learning Quality Agenda.

    Science.gov (United States)

    Ravenhall, Mark; Ogilvie, Margaret; Ewens, David

    This booklet outlines the new policy context facing adult and community learning (ACL) providers in Great Britain in their pursuit of high-quality learning experiences for their customers. It shows how a Total Quality Management (TQM) approach to supporting staff development can be effective in securing quality. TQM components are values,…

  19. A Comparison of Empathic Communication Pattern for Teenagers and Older People in Online Support Communities

    Science.gov (United States)

    Siriaraya, Panote; Tang, Caleb; Ang, Chee Siang; Pfeil, Ulrike; Zaphiris, Panayiotis

    2011-01-01

    This article reports a study that investigated the occurrences of empathy in online support communities for teenagers. Qualitative content analysis with 400 messages from a discussion board about depression was used to identify how empathy was expressed in the specific online communication. Emphasis was also placed on the comparison of this age…

  20. Electronic Communities: A Forum for Supporting Women Professionals and Students in Technical and Scientific Fields.

    Science.gov (United States)

    Single, Peg Boyle; Muller, Carol B.; Cunningham, Christine M.; Single, Richard M.

    2000-01-01

    Reports on electronic discussion lists (e-lists) sponsored by MentorNet, the National Electronic Industrial Mentoring Network for Women in Engineering in Science. Supports the hypothesis that electronic communications can be used to develop community among engineering and science students and professionals, and identifies factors influencing the…

  1. Social embeddedness and late-life parenthood: Community activity, close ties, and support networks

    NARCIS (Netherlands)

    Wenger, G.C.; Dykstra, P.A.; Melkas, T.; Knipscheer, C.P.M.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people's involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show

  2. Social Embeddedness and Late-Life Parenthood : Community Activity, Close Ties, and Support Networks

    NARCIS (Netherlands)

    Wenger, G. Clare; Dykstra, Pearl A.; Melkas, Tuula; Knipscheer, Kees C.P.M.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people’s involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show

  3. Supporting Children and Families: Communities, Schools, Employers Play Key Roles. Growing Up Well. Focus on Prevention.

    Science.gov (United States)

    Barthauer, Linda; Halfon, Neal

    This report, eighth and last in a series, discusses the important role community groups and leaders, schools, and employers play in providing children and parents support and encouragement. It reports the opinions of California adults, expressed in a survey conducted by the California Center for Health Improvement (CCHI), about a variety of issues…

  4. Supporting Museums--Serving Communities: An Evaluation of the Museums for America Program. Executive Summary

    Science.gov (United States)

    Institute of Museum and Library Services, 2011

    2011-01-01

    Museums for America (MFA) is the largest IMLS grant program for museums; it supports institutions by investing in high-priority, high-value activities that are clearly linked to the institution's strategic plan and enhance its value to its community. MFA grants situate projects within a framework of meeting three strategic goals: engaging…

  5. Ad-hoc transient communities in Learning Networks Connecting and supporting the learner

    NARCIS (Netherlands)

    Brouns, Francis

    2009-01-01

    Brouns, F. (2009). Ad-hoc transient communities in Learning Networks Connecting and supporting the learner. Presentation given for Korean delegation of Chonnam National University and Dankook University (researchers dr. Jeeheon Ryu and dr. Minjeong Kim and a Group of PhD and Master students).

  6. Saint Anthony Hospital: Infusing Developmental and Family Support Services in Community-Based Medical Practice

    Science.gov (United States)

    Casas, Paula; Isarowong, Nucha

    2015-01-01

    Physicians affiliated with small community hospitals face numerous barriers to using developmentally oriented best practices in primary care with young children. Saint Anthony Hospital's Developmental Support Project model promotes improved developmental outcomes for children through two complementary strands of services: (a) training and…

  7. Broadening participation in community problem solving: a multidisciplinary model to support collaborative practice and research.

    Science.gov (United States)

    Lasker, Roz D; Weiss, Elisa S

    2003-03-01

    Over the last 40 years, thousands of communities-in the United States and internationally-have been working to broaden the involvement of people and organizations in addressing community-level problems related to health and other areas. Yet, in spite of this experience, many communities are having substantial difficulty achieving their collaborative objective, and many funders of community partnerships and participation initiatives are looking for ways to get more out of their investment. One of the reasons we are in this predicament is that the practitioners and researchers who are interested in community collaboration come from a variety of contexts, initiatives, and academic disciplines, and few of them have integrated their work with experiences or literatures beyond their own domain. In this article, we seek to overcome some of this fragmentation of effort by presenting a multidisciplinary model that lays out the pathways by which broadly participatory processes lead to more effective community problem solving and to improvements in community health. The model, which builds on a broad array of practical experience as well as conceptual and empirical work in multiple fields, is an outgrowth of a joint-learning work group that was organized to support nine communities in the Turning Point initiative. Following a detailed explication of the model, the article focuses on the implications of the model for research, practice, and policy. It describes how the model can help researchers answer the fundamental effectiveness and "how-to" questions related to community collaboration. In addition, the article explores differences between the model and current practice, suggesting strategies that can help the participants in, and funders of, community collaborations strengthen their efforts.

  8. Understanding and supporting emergent and temporary collaboration across and beyond community and organizational boundaries

    DEFF Research Database (Denmark)

    Abou Amsha, Khuloud; Grönvall, Erik; Saad-Sulonen, Joanna

    2017-01-01

    The way the Computer Supported Cooperative work (CSCW) community talks about, defines and investigates ‘work’ has changed since the early workplace studies. In the current literature, work has been described as being distributed, cross-organizational and multi-actor dependent, volunteer......-based, fleeting, opportunistic, inbetween and community-based. Collaborative work has also been examined in the formation of Publics, as Infrastructuring or as Knotworking. Work and collaborative work is indeed something that can be unforeseen by most or all of the involved actors. It can emerge and take place......, temporary communities of action, at the boundaries of established communities or organizations, to address issue that challenges current organization of work. The aim of the workshop is to open a space of reflection on relevant concepts, through the discussion of concrete examples and cases....

  9. Biological support media influence the bacterial biofouling community in reverse osmosis water reclamation demonstration plants.

    Science.gov (United States)

    Ferrera, Isabel; Mas, Jordi; Taberna, Elisenda; Sanz, Joan; Sánchez, Olga

    2015-01-01

    The diversity of the bacterial community developed in different stages of two reverse osmosis (RO) water reclamation demonstration plants designed in a wastewater treatment plant (WWTP) in Tarragona (Spain) was characterized by applying 454-pyrosequencing of the 16S rRNA gene. The plants were fed by secondary treated effluent to a conventional pretreatment train prior to the two-pass RO system. Plants differed in the material used in the filtration process, which was sand in one demonstration plant and Scandinavian schists in the second plant. The results showed the presence of a highly diverse and complex community in the biofilms, mainly composed of members of the Betaproteobacteria and Bacteroidetes in all stages, with the presence of some typical wastewater bacteria, suggesting a feed water origin. Community similarities analyses revealed that samples clustered according to filter type, highlighting the critical influence of the biological supporting medium in biofilm community structure.

  10. Implementation of the REACH model of dementia caregiver support in American Indian and Alaska Native communities.

    Science.gov (United States)

    Martindale-Adams, Jennifer; Tah, Tina; Finke, Bruce; LaCounte, Cynthia; Higgins, Barbara J; Nichols, Linda O

    2017-09-01

    The Resources for Enhancing Alzheimer's Caregivers Health in the VA (REACH VA) dementia caregiving intervention has been implemented in the VA, in community agencies, and internationally. As identified in the 2013 and 2015 National Plan to Address Alzheimer's Disease, REACH is being made available to American Indian and Alaska Native communities. Implementation activities are carried out by local Public Health Nursing programs operated by Indian Health Service and Tribal Health programs, and Administration for Community Living/Administration on Aging funded Tribal Aging program staff already working in each community. The implementation is described using the Fixsen and Blasé implementation process model. Cultural, community, health system, and tribe-specific adaptations occur during the six implementation stages of exploration and adoption, program installation, initial implementation, full operation, innovation, and sustainability. Adaptations are made by local staff delivering the program. Implementation challenges in serving AI/AN dementia caregivers include the need to adapt the program to fit the unique communities and the cultural perceptions of dementia and caregiving. Lessons learned highlight the importance of using a clinically successful intervention, the need for support and buy-in from leadership and staff, the fit of the intervention into ongoing routines and practices, the critical role of modifications based on caregiver, staff, and organization needs and feedback, the need for a simple and easily learned intervention, and the critical importance of community receptivity to the services offered.

  11. Graphene-oxide-supported Pt nanoparticles with high activity and stability for hydrazine electro-oxidation in a strong acidic solution

    Science.gov (United States)

    Kim, Ji Dang; Choi, Myong Yong; Choi, Hyun Chul

    2017-10-01

    Graphene-oxide-supported Pt (GO-Pt) nanoparticles were prepared by performing diimide-activated amidation and used in an electrocatalyst for hydrazine electro-oxidation in 0.5 M H2SO4 solution. The physico-chemical properties of the GO-Pt nanoparticles were characterized with various techniques, which revealed that highly dispersed Pt nanoparticles with an average size of 2.6 nm were densely deposited on the amidated GO due to their strong adhesion. Cyclic voltammograms were obtained and demonstrate that the GO-Pt catalyst exhibits significantly improved catalytic activity and long-term stability in hydrazine electro-oxidation in a strong acidic solution when compared to commercial Pt/C and Pt metal electrodes. These enhanced electrochemical properties are attributed to the large electrochemically active surface area that results from the smaller size and excellent dispersion of the Pt nanoparticles on amidated GO.

  12. Social networks, social support and psychiatric symptoms: social determinants and associations within a multicultural community population.

    Science.gov (United States)

    Smyth, Natasha; Siriwardhana, Chesmal; Hotopf, Matthew; Hatch, Stephani L

    2015-07-01

    Little is known about how social networks and social support are distributed within diverse communities and how different types of each are associated with a range of psychiatric symptoms. This study aims to address such shortcomings by: (1) describing the demographic and socioeconomic characteristics of social networks and social support in a multicultural population and (2) examining how each is associated with multiple mental health outcomes. Data is drawn from the South East London Community Health Study; a cross-sectional study of 1,698 adults conducted between 2008 and 2010. The findings demonstrate variation in social networks and social support by socio-demographic factors. Ethnic minority groups reported larger family networks but less perceived instrumental support. Older individuals and migrant groups reported lower levels of particular network and support types. Individuals from lower socioeconomic groups tended to report less social networks and support across the indicators measured. Perceived emotional and instrumental support, family and friend network size emerged as protective factors for common mental disorder, personality dysfunction and psychotic experiences. In contrast, both social networks and social support appear less relevant for hazardous alcohol use. The findings both confirm established knowledge that social networks and social support exert differential effects on mental health and furthermore suggest that the particular type of social support may be important. In contrast, different types of social network appear to impact upon poor mental health in a more uniform way. Future psychosocial strategies promoting mental health should consider which social groups are vulnerable to reduced social networks and poor social support and which diagnostic groups may benefit most.

  13. Helminth communities of owls (strigiformes) indicate strong biological and ecological differences from birds of prey (accipitriformes and falconiformes) in southern Italy.

    Science.gov (United States)

    Santoro, Mario; Mattiucci, Simonetta; Nascetti, Giuseppe; Kinsella, John M; Di Prisco, Francesca; Troisi, Sabatino; D'Alessio, Nicola; Veneziano, Vincenzo; Aznar, Francisco J

    2012-01-01

    We compared the helminth communities of 5 owl species from Calabria (Italy) and evaluated the effect of phylogenetic and ecological factors on community structure. Two host taxonomic scales were considered, i.e., owl species, and owls vs. birds of prey. The latter scale was dealt with by comparing the data here obtained with that of birds of prey from the same locality and with those published previously on owls and birds of prey from Galicia (Spain). A total of 19 helminth taxa were found in owls from Calabria. Statistical comparison showed only marginal differences between scops owls (Otus scops) and little owls (Athene noctua) and tawny owls (Strix aluco). It would indicate that all owl species are exposed to a common pool of 'owl generalist' helminth taxa, with quantitative differences being determined by differences in diet within a range of prey relatively narrow. In contrast, birds of prey from the same region exhibited strong differences because they feed on different and wider spectra of prey. In Calabria, owls can be separated as a whole from birds of prey with regard to the structure of their helminth communities while in Galicia helminths of owls represent a subset of those of birds of prey. This difference is related to the occurrence in Calabria, but not Galicia, of a pool of 'owl specialist' species. The wide geographical occurrence of these taxa suggest that local conditions may determine fundamental differences in the composition of local communities. Finally, in both Calabria and Galicia, helminth communities from owls were species-poor compared to those from sympatric birds of prey. However, birds of prey appear to share a greater pool of specific helmith taxa derived from cospeciation processes, and a greater potential exchange of parasites between them than with owls because of phylogenetic closeness.

  14. Helminth communities of owls (strigiformes indicate strong biological and ecological differences from birds of prey (accipitriformes and falconiformes in southern Italy.

    Directory of Open Access Journals (Sweden)

    Mario Santoro

    Full Text Available We compared the helminth communities of 5 owl species from Calabria (Italy and evaluated the effect of phylogenetic and ecological factors on community structure. Two host taxonomic scales were considered, i.e., owl species, and owls vs. birds of prey. The latter scale was dealt with by comparing the data here obtained with that of birds of prey from the same locality and with those published previously on owls and birds of prey from Galicia (Spain. A total of 19 helminth taxa were found in owls from Calabria. Statistical comparison showed only marginal differences between scops owls (Otus scops and little owls (Athene noctua and tawny owls (Strix aluco. It would indicate that all owl species are exposed to a common pool of 'owl generalist' helminth taxa, with quantitative differences being determined by differences in diet within a range of prey relatively narrow. In contrast, birds of prey from the same region exhibited strong differences because they feed on different and wider spectra of prey. In Calabria, owls can be separated as a whole from birds of prey with regard to the structure of their helminth communities while in Galicia helminths of owls represent a subset of those of birds of prey. This difference is related to the occurrence in Calabria, but not Galicia, of a pool of 'owl specialist' species. The wide geographical occurrence of these taxa suggest that local conditions may determine fundamental differences in the composition of local communities. Finally, in both Calabria and Galicia, helminth communities from owls were species-poor compared to those from sympatric birds of prey. However, birds of prey appear to share a greater pool of specific helmith taxa derived from cospeciation processes, and a greater potential exchange of parasites between them than with owls because of phylogenetic closeness.

  15. An exploration of undergraduate medical students' satisfaction with faculty support supervision during community placements in Uganda.

    Science.gov (United States)

    Mubuuke, Aloysius G; Oria, Hussein; Dhabangi, Aggrey; Kiguli, Sarah; Sewankambo, Nelson K

    2015-01-01

    To produce health professionals who are oriented towards addressing community priority health needs, the training in medical schools has been transformed to include a component of community-based training. During this period, students spend a part of their training in the communities they are likely to serve upon graduation. They engage and empower local people in the communities to address their health needs during their placements, and at the same time learn from the people. During the community-based component, students are constantly supervised by faculty from the university to ensure that the intended objectives are achieved. The purpose of the present study was to explore student experiences of support supervision from university faculty during their community-based education, research and service (COBERS placements) and to identify ways in which the student learning can be improved through improved faculty supervision. This was a cross-sectional study involving students at the College of Health Sciences, Makerere University, Uganda, who had a community-based component during their training. Data were collected using both questionnaires and focus group discussions. Quantitative data were analyzed using statistical software and thematic approaches were used for the analysis of qualitative data. Most students reported satisfaction with the COBERS supervision; however, junior students were less satisfied with the supervision than the more senior students with more experience of community-based training. Although many supervisors assisted students before departure to COBERS sites, a significant number of supervisors made little follow-up while students were in the community. Incorporating the use of information technology avenues such as emails and skype sessions was suggested as a potential way of enhancing supervision amidst resource constraints without faculty physically visiting the sites. Although many students were satisfied with COBERS supervision, there

  16. The Relationship between Motor Skills, Perceived Social Support, and Internalizing Problems in a Community Adolescent Sample.

    Science.gov (United States)

    Mancini, Vincent O; Rigoli, Daniela; Heritage, Brody; Roberts, Lynne D; Piek, Jan P

    2016-01-01

    Poor motor skills are associated with a range of psychosocial consequences, including internalizing (anxious and depressive) symptoms. The Elaborated Environmental Stress Hypothesis provides a causal framework to explain this association. The framework posits that motor skills impact internalizing problems through an indirect effect via perceived social support. However, empirical evaluation is required. We examined whether motor skills had an indirect effect on anxious and depressive symptoms via perceived family support domains. This study used a community sample of 93 adolescents (12-16 years). Participants completed measures of motor skills, perceived social support across three dimensions (family, friend, and significant other), depressive symptoms, and anxious symptoms. Age, gender, verbal IQ, and ADHD symptoms were included as control variables. Regression analysis using PROCESS revealed that motor skills had an indirect effect on depressive symptoms via perceived family support, but not by perceived friend support or significant other support. The negative association between motor skills and anxious symptoms was not mediated by any perceived social support domain. Findings are consistent with previous literature indicating an association between motor skills and internalizing problems. However, we identified a different pattern of relationships across anxious and depressive symptoms. While anxiety and depressive symptoms were highly correlated, motor skills had an indirect effect on depressive symptoms via perceived family support only. Our findings highlight the importance of family support as a potential protective factor in the onset of depressive symptoms. This study provides partial support for the Elaborated Environmental Stress Hypothesis, however further research is required.

  17. The Relationship between Motor Skills, Perceived Social Support, and Internalizing Problems in a Community Adolescent Sample

    Science.gov (United States)

    Mancini, Vincent O.; Rigoli, Daniela; Heritage, Brody; Roberts, Lynne D.; Piek, Jan P.

    2016-01-01

    Objectives: Poor motor skills are associated with a range of psychosocial consequences, including internalizing (anxious and depressive) symptoms. The Elaborated Environmental Stress Hypothesis provides a causal framework to explain this association. The framework posits that motor skills impact internalizing problems through an indirect effect via perceived social support. However, empirical evaluation is required. We examined whether motor skills had an indirect effect on anxious and depressive symptoms via perceived family support domains. Methods: This study used a community sample of 93 adolescents (12–16 years). Participants completed measures of motor skills, perceived social support across three dimensions (family, friend, and significant other), depressive symptoms, and anxious symptoms. Age, gender, verbal IQ, and ADHD symptoms were included as control variables. Results: Regression analysis using PROCESS revealed that motor skills had an indirect effect on depressive symptoms via perceived family support, but not by perceived friend support or significant other support. The negative association between motor skills and anxious symptoms was not mediated by any perceived social support domain. Conclusions: Findings are consistent with previous literature indicating an association between motor skills and internalizing problems. However, we identified a different pattern of relationships across anxious and depressive symptoms. While anxiety and depressive symptoms were highly correlated, motor skills had an indirect effect on depressive symptoms via perceived family support only. Our findings highlight the importance of family support as a potential protective factor in the onset of depressive symptoms. This study provides partial support for the Elaborated Environmental Stress Hypothesis, however further research is required. PMID:27148149

  18. Gender, social support, and well-being: Evidence from a Greek community sample

    Directory of Open Access Journals (Sweden)

    Konstantinos Kafetsios

    2007-12-01

    Full Text Available The importance of social support for psychological well-being has been aptly highlighted in epidemiological and psychological research. However, it is not clear from the existing research whether gender differences in structural (relationship status, network size, frequency of interactions with friends and functional (support satisfaction aspects of social support exist and -if they do- to what extent they affect males’ and females’ well-being. Hierarchical regression analyses of crossectional data from a Greek community sample showed that support satisfaction was an important predictor of well-being outcomes in males whereas several structural indicators were predictors of different well-being outcomes in females. Females’ anxiety, perceived stress, and loneliness were adversely affected by frequency of interaction with acquaintances. The results are discussed with regard to gender-role differences that may be underlying the social support effects on well-being, as well as related cultural values.

  19. Supporting Shared Resource Usage for a Diverse User Community: the OSG Experience and Lessons Learned

    Science.gov (United States)

    Garzoglio, Gabriele; Levshina, Tanya; Rynge, Mats; Sehgal, Chander; Slyz, Marko

    2012-12-01

    The Open Science Grid (OSG) supports a diverse community of new and existing users in adopting and making effective use of the Distributed High Throughput Computing (DHTC) model. The LHC user community has deep local support within the experiments. For other smaller communities and individual users the OSG provides consulting and technical services through the User Support area. We describe these sometimes successful and sometimes not so successful experiences and analyze lessons learned that are helping us improve our services. The services offered include forums to enable shared learning and mutual support, tutorials and documentation for new technology, and troubleshooting of problematic or systemic failure modes. For new communities and users, we bootstrap their use of the distributed high throughput computing technologies and resources available on the OSG by following a phased approach. We first adapt the application and run a small production campaign on a subset of “friendly” sites. Only then do we move the user to run full production campaigns across the many remote sites on the OSG, adding to the community resources up to hundreds of thousands of CPU hours per day. This scaling up generates new challenges - like no determinism in the time to job completion, and diverse errors due to the heterogeneity of the configurations and environments - so some attention is needed to get good results. We cover recent experiences with image simulation for the Large Synoptic Survey Telescope (LSST), small-file large volume data movement for the Dark Energy Survey (DES), civil engineering simulation with the Network for Earthquake Engineering Simulation (NEES), and accelerator modeling with the Electron Ion Collider group at BNL. We will categorize and analyze the use cases and describe how our processes are evolving based on lessons learned.

  20. The Contribution of a "Supportive Community" Program for Older Persons in Israel to Their Offspring Who Are Primary Caregivers.

    Science.gov (United States)

    Even-Zohar, Ahuva

    2015-01-01

    The "supportive community" programs in Israel provide a basket of services for older persons living in their own homes. This study examined the differences between caregiver burden and quality of life of 55 offspring who were the primary caregivers of their older parents who were members of a supportive community, compared to 64 offspring whose parents were nonmembers. The findings showed that the role stress factor of caregiving burden was lower, and the psychological health domain of quality of life was higher among offspring whose parents were members of supportive communities. Some of the predictor variables of burden were income status of caregiver, sharing with others in caregiving, and membership of the parent in a supportive community. The primary predictor variable of the quality of life was caregiving burden. The practical conclusion of this study is to further develop and market supportive community programs in various communities.

  1. Community-based capital cash transfer to support orphans in Western Kenya

    DEFF Research Database (Denmark)

    Skovdal, Morten; Mwasiaji, W.; Morrison, J.

    2008-01-01

    Various types of 'cash transfer' are currently receiving much attention as a way of helping orphans and vulnerable children in Africa. Drawing on a qualitative study conducted in Western Kenya, this paper points to the strategy of community-based capital cash transfers (CCCT) as a particularly...... promising method of supporting orphans and carers. Qualitative data were obtained from 15 orphans and 26 caregivers in Bondo District, Kenya, beneficiaries of a CCCT programme run by a partnership between the community, the government social services department and a foreign donor. Our findings suggest...

  2. Development of SOVAT: a numerical-spatial decision support system for community health assessment research.

    Science.gov (United States)

    Scotch, Matthew; Parmanto, Bambang

    2006-01-01

    The development of numerical-spatial routines is frequently required to solve complex community health problems. Community health assessment (CHA) professionals who use information technology need a complete system that is capable of supporting the development of numerical-spatial routines. Currently, there is no decision support system (DSS) that is effectively able to accomplish this task as the majority of public health geospatial information systems (GIS) are based on traditional (relational) database architecture. On-Line Analytical Processing (OLAP) is a multidimensional data warehouse technique that is commonly used as a decision support system in standard industry. OLAP alone is not sufficient for solving numerical-spatial problems that frequently occur in CHA research. Coupling it with GIS technology offers the potential for a very powerful and useful system. A community health OLAP cube was created by integrating health and population data from various sources. OLAP and GIS technologies were then combined to develop the Spatial OLAP Visualization and Analysis Tool (SOVAT). The synergy of numerical and spatial environments within SOVAT is shown through an elaborate and easy-to-use drag and drop and direct manipulation graphical user interface (GUI). Community health problem-solving examples (routines) using SOVAT are shown through a series of screen shots. The impact of the difference between SOVAT and existing GIS public health applications can be seen by considering the numerical-spatial problem-solving examples. These examples are facilitated using OLAP-GIS functions. These functions can be mimicked in existing GIS public applications, but their performance and system response would be significantly worse since GIS is based on traditional (relational) backend. OLAP-GIS system offer great potential for powerful numerical-spatial decision support in community health analysis. The functionality of an OLAP-GIS system has been shown through a series of

  3. Hologenome theory supported by cooccurrence networks of species-specific bacterial communities in siphonous algae (Caulerpa).

    Science.gov (United States)

    Aires, Tania; Moalic, Yann; Serrao, Ester A; Arnaud-Haond, Sophie

    2015-07-01

    The siphonous algae of the Caulerpa genus harbor internal microbial communities hypothesized to play important roles in development, defense and metabolic activities of the host. Here, we characterize the endophytic bacterial community of four Caulerpa taxa in the Mediterranean Sea, through 16S rRNA amplicon sequencing. Results reveal a striking alpha diversity of the bacterial communities, similar to levels found in sponges and coral holobionts. These comprise (1) a very small core community shared across all hosts (70%) species-specific fraction of the community, forming very specific clusters revealed by modularity in networks of cooccurrence, even in areas where distinct Caulerpa taxa occurred in sympatry. Indirect inferences based on sequence homology suggest that these communities may play an important role in the metabolism of their host, in particular on their ability to grow on anoxic sediment. These findings support the hologenome theory and the need for a holistic framework in ecological and evolutionary studies of these holobionts that frequently become invasive. © FEMS 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. A cross-sectional community study of post-traumatic stress disorder and social support in Lao People's Democratic Republic.

    Science.gov (United States)

    Southivong, Bouavanh; Ichikawa, Masao; Nakahara, Shinji; Southivong, Chanhpheng

    2013-10-01

    To estimate post-traumatic stress disorder (PTSD) symptoms in those injured and not injured by landmines or unexploded ordnance (UXO) in rural Lao People's Democratic Republic and to determine whether the perception of social support was associated with PTSD symptom severity. A community survey was conducted among 190 people injured by landmines or UXO and 380 age-, sex- and neighbourhood-matched non-injured individuals in the Sepone district of Savannakhet Province, the part of the Lao People's Democratic Republic most heavily bombed during the Viet Nam War. Using the Harvard Trauma Questionnaire and the Medical Outcomes Study Social Support Survey, trained health-care workers conducted face-to-face interviews to assess PTSD symptoms and level of perceived social support. Multiple linear regression was performed to explore the association between social support and other factors and PTSD. The prevalence of PTSD was higher among the injured (10%) than among the non-injured (4%), but the level of perceived social support was not significantly different between the two groups. A higher level of perceived social support was associated with milder symptoms of PTSD. Women, older people and those with a formal education were more often and more severely affected by PTSD. The perception of strong social support might help to alleviate the symptoms of PTSD among people injured by landmines or UXO in rural parts of the Lao People's Democratic Republic. Psychosocial interventions should be incorporated in assistance for the injured because they have more severe and longer-lasting symptoms of PTSD than the non-injured.

  5. Social network, social support, and risk of incident stroke: Atherosclerosis Risk in Communities study.

    Science.gov (United States)

    Nagayoshi, Mako; Everson-Rose, Susan A; Iso, Hiroyasu; Mosley, Thomas H; Rose, Kathryn M; Lutsey, Pamela L

    2014-10-01

    Having a small social network and lack of social support have been associated with incident coronary heart disease; however, epidemiological evidence for incident stroke is limited. We assessed the longitudinal association of a small social network and lack of social support with risk of incident stroke and evaluated whether the association was partly mediated by vital exhaustion and inflammation. The Atherosclerosis Risk in Communities study measured social network and social support in 13 686 men and women (mean, 57 years; 56% women; 24% black; 76% white) without a history of stroke. Social network was assessed by the 10-item Lubben Social Network Scale and social support by a 16-item Interpersonal Support Evaluation List-Short Form. During a median follow-up of 18.6 years, 905 incident strokes occurred. Relative to participants with a large social network, those with a small social network had a higher risk of stroke (hazard ratio [95% confidence interval], 1.44 [1.02-2.04]) after adjustment for demographics, socioeconomic variables, marital status, behavioral risk factors, and major stroke risk factors. Vital exhaustion, but not inflammation, partly mediated the association between a small social network and incident stroke. Social support was unrelated to incident stroke. In this sample of US community-dwelling men and women, having a small social network was associated with excess risk of incident stroke. As with other cardiovascular conditions, having a small social network may be associated with a modestly increased risk of incident stroke. © 2014 American Heart Association, Inc.

  6. Tuning the Selectivity of Catalytic Carbon Dioxide Hydrogenation over Iridium/Cerium Oxide Catalysts with a Strong Metal-Support Interaction.

    Science.gov (United States)

    Li, Siwei; Xu, Yao; Chen, Yifu; Li, Weizhen; Lin, Lili; Li, Mengzhu; Deng, Yuchen; Wang, Xiaoping; Ge, Binghui; Yang, Ce; Yao, Siyu; Xie, Jinglin; Li, Yongwang; Liu, Xi; Ma, Ding

    2017-08-28

    A one-step ligand-free method based on an adsorption-precipitation process was developed to fabricate iridium/cerium oxide (Ir/CeO 2 ) nanocatalysts. Ir species demonstrated a strong metal-support interaction (SMSI) with the CeO 2 substrate. The chemical state of Ir could be finely tuned by altering the loading of the metal. In the carbon dioxide (CO 2 ) hydrogenation reaction it was shown that the chemical state of Ir species-induced by a SMSI-has a major impact on the reaction selectivity. Direct evidence is provided indicating that a single-site catalyst is not a prerequisite for inhibition of methanation and sole production of carbon monoxide (CO) in CO 2 hydrogenation. Instead, modulation of the chemical state of metal species by a strong metal-support interaction is more important for regulation of the observed selectivity (metallic Ir particles select for methane while partially oxidized Ir species select for CO production). The study provides insight into heterogeneous catalysts at nano, sub-nano, and atomic scales. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  7. Understanding the implementation and adoption of an information technology intervention to support medicine optimisation in primary care: qualitative study using strong structuration theory.

    Science.gov (United States)

    Jeffries, Mark; Phipps, Denham; Howard, Rachel L; Avery, Anthony; Rodgers, Sarah; Ashcroft, Darren

    2017-05-10

    Using strong structuration theory, we aimed to understand the adoption and implementation of an electronic clinical audit and feedback tool to support medicine optimisation for patients in primary care. This is a qualitative study informed by strong structuration theory. The analysis was thematic, using a template approach. An a priori set of thematic codes, based on strong structuration theory, was developed from the literature and applied to the transcripts. The coding template was then modified through successive readings of the data. Clinical commissioning group in the south of England. Four focus groups and five semi-structured interviews were conducted with 18 participants purposively sampled from a range of stakeholder groups (general practitioners, pharmacists, patients and commissioners). Using the system could lead to improved medication safety, but use was determined by broad institutional contexts; by the perceptions, dispositions and skills of users; and by the structures embedded within the technology. These included perceptions of the system as new and requiring technical competence and skill; the adoption of the system for information gathering; and interactions and relationships that involved individual, shared or collective use. The dynamics between these external, internal and technological structures affected the adoption and implementation of the system. Successful implementation of information technology interventions for medicine optimisation will depend on a combination of the infrastructure within primary care, social structures embedded in the technology and the conventions, norms and dispositions of those utilising it. Future interventions, using electronic audit and feedback tools to improve medication safety, should consider the complexity of the social and organisational contexts and how internal and external structures can affect the use of the technology in order to support effective implementation. © Article author(s) (or their

  8. THE COMMUNITY MENTORING IN ORGANIC WASTE MANAGEMENT AT COMMUNAL SCALE TO SUPPORT THE URBAN FARMING PROGRAM

    Directory of Open Access Journals (Sweden)

    Reni Amaranti

    2017-04-01

    Full Text Available The waste management in urban areas should get treatment from various parties (communities, governments, and businesses to prevent environmental damage increases. Waste management can be done in the management area of the Rukun Tetangga (RT and Rukun Warga (RW level, also the village level. The main problem for the current partner that doesn’t spread evenly of knowledge and the capabilities in utilizing waste into something that has economic valuable and the low level of public participation in the program launched by the government especially Kampung Berkebun programs that have been implemented at the level of Rukun Warga (RW. Community Service activity is done by providing assistance to communities to manage organic waste in the local environment (communal scale-Rukun Tetangga program to support the Urban Farming to utilize all potentials and resources that have been owned and has not been utilized properly.

  9. Guiding Principles for Data Architecture to Support the Pathways Community HUB Model.

    Science.gov (United States)

    Zeigler, Bernard P; Redding, Sarah; Leath, Brenda A; Carter, Ernest L; Russell, Cynthia

    2016-01-01

    The Pathways Community HUB Model provides a unique strategy to effectively supplement health care services with social services needed to overcome barriers for those most at risk of poor health outcomes. Pathways are standardized measurement tools used to define and track health and social issues from identification through to a measurable completion point. The HUB use Pathways to coordinate agencies and service providers in the community to eliminate the inefficiencies and duplication that exist among them. Experience with the Model has brought out the need for better information technology solutions to support implementation of the Pathways themselves through decision-support tools for care coordinators and other users to track activities and outcomes, and to facilitate reporting. Here we provide a basis for discussing recommendations for such a data infrastructure by developing a conceptual model that formalizes the Pathway concept underlying current implementations. The main contribution is a set of core recommendations as a framework for developing and implementing a data architecture to support implementation of the Pathways Community HUB Model. The objective is to present a tool for communities interested in adopting the Model to learn from and to adapt in their own development and implementation efforts. Experience with the Community Health Access Project (CHAP) data base system (the core implementation of the Model) has identified several issues and remedies that have been developed to address these issues. Based on analysis of issues and remedies, we present several key features for a data architecture meeting the just mentioned recommendations. Presentation of features is followed by a practical guide to their implementation allowing an organization to consider either tailoring off-the-shelf generic systems to meet the requirements or offerings that are specialized for community-based care coordination. Looking to future extensions, we discuss the

  10. Discursive Deployments: Mobilizing Support for Municipal and Community Wireless Networks in the U.S.

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, Rosio; Rodriguez, Juana Maria

    2008-08-16

    This paper examines Municipal Wireless (MW) deployments in the United States. In particular, the interest is in understanding how discourse has worked to mobilize widespread support for MW networks. We explore how local governments discursively deploy the language of social movements to create a shared understanding of the networking needs of communities. Through the process of"framing" local governments assign meaning to the MW networks in ways intended to mobilize support anddemobilize opposition. The mobilizing potential of a frame varies and is dependent on its centrality and cultural resonance. We examine the framing efforts of MW networks by using a sample of Request for Proposals for community wireless networks, semi-structured interviews and local media sources. Prominent values that are central to a majority of the projects and others that are culturally specific are identified and analyzed for their mobilizing potency.

  11. Changing roles in community health care: Delegation of insulin injections to health care support workers.

    Science.gov (United States)

    Dutton, Julie; McCaskill, Kelly; Alton, Sarah; Levesley, Maria; Hemingway, Cath; Farndon, Lisa

    2018-01-02

    Diabetes is a common long-term condition affecting many people many of whom require support with their insulin injections at home. These injections are often carried out by community nurses if individuals are unable to self-manage their condition. This paper describes a pilot project where health care support workers were trained to administer insulin at home for suitable patients. Four patients took part in the pilot study and two support workers were trained to give the insulin injections. The project was evaluated well by all those who took part. It freed up 80 hours of nursing time while also providing the support workers with an extended scope of practice and associated increased in job satisfaction. No untoward medication errors were reported as a result of this initiative. This project will now be rolled out to the wider nursing teams with a staggered approach to the delivery of the training to ensure there is not a detrimental effect on patient care.

  12. A community for grieving: affordances of social media for support of bereaved parents

    Science.gov (United States)

    Segerstad, Ylva Hård Af; Kasperowski, Dick

    2015-04-01

    The purpose of this paper was to study bereaved parents' use of a closed peer grief support community on Facebook and the features of the community that are important to them. The death of a child is an uncomfortable subject in most contemporary societies. This limits the exploration of experiences and possibilities for coping with grief. However, with the introduction of social media, this has changed. Theoretical perspectives on parental grief recognizing the importance of continued relational bonds with the lost child are used, together with the ontological assumption that social media enhance the dissolving of private/public and time/space. This study is based on questionnaire, interviews, and content from the closed peer grief support community, to which the research team has insider access. The community encompasses a diverse range of experiences and stages of grief, independent of the time elapsed since the loss of a child. Bereavement of children of all ages and from all conceivable causes of death is distributed among the members. The results show how the affordances of social media become vital resources for coping with grief in ways not available previously, comprising aspects of the closed nature of the group, shared experiences, time, and accessibility.

  13. Health indicators, social support, and intimate partner violence among women utilizing services at a community organization.

    Science.gov (United States)

    Kamimura, Akiko; Parekh, Asha; Olson, Lenora M

    2013-01-01

    Intimate partner violence (IPV) against women is a significant public health concern. This study examines the physical and mental health status and relationship to social support for women seeking services to end IPV at a walk-in community organization that serves the community at large, including a shelter for abused women. One hundred seventeen (117) English-speaking women between the ages of 18 and 61 years participated in a self-administered survey. Physical, mental, and oral health, social support, and IPV homicide lethality were measured using standardized instruments. Social support was the most important factor related to better health. The participants who had more social support reported better physical (p oral health (p health (p health (p oral health problems, whereas older age, low education level, and unemployment were related to poor mental health. The present study adds to the evidence that social support contributes to improving physical and mental health for women who experience IPV. The findings also suggest the importance of providing or referring women to mental health services. Copyright © 2013 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  14. Supporting Communities of Learning Practice by the Effective Embedding of Information and Knowledge into Group Activity

    OpenAIRE

    Caballé Llobet, Santi; Feldman, Jerome; Thaw, David

    2008-01-01

    Communities of Learning Practice is an innovative paradigm focused on providing appropriate technological support to both formal and especially informal learning groups who are chiefly formed by non-technical people and who lack of the necessary resources to acquire such systems. Typically, students who are often separated by geography and/or time have the need to meet each other after classes in small study groups to carry out specific learning activities ...

  15. Ability to enjoy the community support and perception of violence among viewers in pairs (bullying)

    OpenAIRE

    Quintana Peña, Alberto; Montgomery U., William; Malaver Soto, Carmela; Ruiz S., Gabriela

    2014-01-01

    In a sample of adolescent viewers of violence between couples studied the relations between the ability to enjoy the individual and their perception of community support in school, in order to verify whether these variables are positively correlated with each other, and that there significant differences between the types of viewers of violence between couples in relation to them. This was used as operational indicators of these processes: Scale Padrós Gaudiability, the Scale of Perceived Com...

  16. OA17 Compassionate communities: engaging with communities to support patients at end of life: a birmingham st. mary's hospice lived experience.

    Science.gov (United States)

    Murungu, Diana; Woolf, Tina Swani Sarah

    2015-04-01

    Researchers carrying out a rebranding exercise for us in 2006 found that people from Black Asian and other Minority Ethnic (BAME) communities did not respond to their survey. This appeared to support anecdotal evidence from staff suggesting that the number of BAME patients accessing our services did not reflect the real need. To increase access to Hospice Care services for people from BAME communities. From April to July 2007 we used qualitative methods to carry out an exploratory study, to identify barriers to hospice care for patients from BAME communities. Currently we use community development methods to raise awareness of hospice services among BAME communities in Birmingham and Sandwell; while offering training and cultural/spiritual broker services to clinicians increasing their understanding of patients and families from these communities. There was no information about Hospice care services among people from BAME communities. Many people from BAME communities belong to cultural or spiritual groups whose members support each other during times of celebration, illness, death and bereavement. They refer to this support as 'our way of life'. Death, dying, and cancer are taboo subjects. In 2009 we set up the Compassionate Communities Project (CCP) within our Reaching People Programme (RPP) to increase access to our services for people from BAME communities. CCP enables community groups and service providers to work together in end of life. Representatives from BAME communities help train clinicians on supporting people from their communities in end of life. © 2015, 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.

  17. Using a human resource management approach to support community health workers: experiences from five African countries.

    Science.gov (United States)

    Raven, Joanna; Akweongo, Patricia; Baba, Amuda; Baine, Sebastian Olikira; Sall, Mohamadou Guelaye; Buzuzi, Stephen; Martineau, Tim

    2015-09-01

    Like any other health worker, community health workers (CHWs) need to be supported to ensure that they are able to contribute effectively to health programmes. Management challenges, similar to those of managing any other health worker, relate to improving attraction, retention and performance. Exploratory case studies of CHW programmes in the Democratic Republic of Congo, Ghana, Senegal, Uganda and Zimbabwe were conducted to provide an understanding of the practices for supporting and managing CHWs from a multi-actor perspective. Document reviews (n = 43), in-depth interviews with programme managers, supervisors and community members involved in managing CHWs (n = 31) and focus group discussions with CHWs (n = 13) were conducted across the five countries. Data were transcribed, translated and analysed using the framework approach. CHWs had many expectations of their role in healthcare, including serving the community, enhancing skills, receiving financial benefits and their role as a CHW fitting in with their other responsibilities. Many human resource management (HRM) practices are employed, but how well they are implemented, the degree to which they meet the expectations of the CHWs and their effects on human resource (HR) outcomes vary across contexts. Front-line supervisors, such as health centre nurses and senior CHWs, play a major role in the management of CHWs and are central to the implementation of HRM practices. On the other hand, community members and programme managers have little involvement with managing the CHWs. This study highlighted that CHW expectations are not always met through HRM practices. This paper calls for a coordinated HRM approach to support CHWs, whereby HRM practices are designed to not only address expectations but also ensure that the CHW programme meets its goals. There is a need to work with all three groups of management actors (front-line supervisors, programme managers and community members) to ensure the use of an effective

  18. A strong TB programme embedded in a developing primary healthcare system is a lose-lose situation: insights from patient and community perspectives in Cambodia.

    Science.gov (United States)

    Sundaram, Neisha; James, Richard; Sreynimol, Um; Linda, Pen; Yoong, Joanne; Saly, Saint; Koeut, Pichenda; Eang, Mao Tan; Coker, Richard; Khan, Mishal S

    2017-10-01

    As exemplified by the situation in Cambodia, disease specific (vertical) health programmes are often favoured when the health system is fragile. The potential of such an approach to impede strengthening of primary healthcare services has been studied from a health systems perspective in terms of access and quality of care. In this bottom-up, qualitative study we investigate patient and community member experiences of health services when a strong tuberculosis (TB) programme is embedded into a relatively underutilized primary healthcare system. We conducted six gender-stratified community focus group discussions (n = 49) and seven mixed-gender focus group discussions with TB patients (n = 45) in three provinces located in urban, peri-urban and rural areas of Cambodia. Our analysis of health-seeking behaviour and experiences for TB and TB-like illness indicates that building a strong vertical TB control programme has had numerous benefits, including awareness of typical symptoms and need to seek care early; confidence in free TB services at public facilities; and willingness to complete treatment. However, there was a clear dichotomy in experiences and behaviour with respect to care-seeking for less severe illness at primary health services, which were generally avoided owing to access barriers and perceived poor quality. The tendency to delay seeking health care until the development of severe symptoms clearly indicative of TB is a major barrier to early diagnosis and treatment of TB. Our study indicates that an imbalance in the strength of vertical and primary health services could be a lose-lose situation as this impedes improvements in health system functioning and constrains progress of vertical disease control programmes. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  19. Risk factors and mediating pathways of loneliness and social support in community-dwelling older adults.

    Science.gov (United States)

    Schnittger, Rebecca I B; Wherton, Joseph; Prendergast, David; Lawlor, Brian A

    2012-01-01

    To develop biopsychosocial models of loneliness and social support thereby identifying their key risk factors in an Irish sample of community-dwelling older adults. Additionally, to investigate indirect effects of social support on loneliness through mediating risk factors. A total of 579 participants (400 females; 179 males) were given a battery of biopsychosocial assessments with the primary measures being the De Jong Gierveld Loneliness Scale and the Lubben Social Network Scale along with a broad range of secondary measures. Bivariate correlation analyses identified items to be included in separate psychosocial, cognitive, biological and demographic multiple regression analyses. The resulting model items were then entered into further multiple regression analyses to obtain overall models. Following this, bootstrapping mediation analyses was conducted to examine indirect effects of social support on the subtypes (emotional and social) of loneliness. The overall model for (1) emotional loneliness included depression, neuroticism, perceived stress, living alone and accommodation type, (2) social loneliness included neuroticism, perceived stress, animal naming and number of grandchildren and (3) social support included extraversion, executive functioning (Trail Making Test B-time), history of falls, age and whether the participant drives or not. Social support influenced emotional loneliness predominantly through indirect means, while its effect on social loneliness was more direct. These results characterise the biopsychosocial risk factors of emotional loneliness, social loneliness and social support and identify key pathways by which social support influences emotional and social loneliness. These findings highlight issues with the potential for consideration in the development of targeted interventions.

  20. Strong support for relocation to other work tasks: A cross-sectional study of attitudes to sickness insurance regulations in Sweden.

    Science.gov (United States)

    Hensing, G; Holmgren, K; Rohdén, H

    2015-01-01

    Profound changes are taking place in the Swedish welfare state. The general population's attitudes are important insofar changes will be perceived as fair and effective to become implemented. The aim was to study attitudes to the strictness of the sick-leave rules, relocation to other work tasks after 3 months of sick leave and applications for new jobs after 6 months of sick leave. Eligible for this questionnaire study were 1,140 individuals aged 19 to 64 years. Their attitudes were analyzed in relation to age, gender, political ideology and health status. Health status was measured as sick-leave experiences, self-reported health and level of symptoms. Showed that 42% considered the sick-leave rules to be too strict, 60% found relocation to other work tasks to be good while 35% found that applications for new work were good. In logistic regression analyses, high sick-leave experience was associated with increased odds of finding the sick-leave rules too strict and disagreement with relocation to other work tasks or application for new jobs. In conclusion, strong support was found for relocation to other work tasks with the present employer. Earlier research on returning to work has found workplace interventions to be efficient. From a policy perspective it seems relevant to promote such interventions given the strong public opinion in their favor.

  1. The Relationship between Motor Skills, Perceived Social Support, and Internalizing Problems in a Community Adolescent Sample

    Directory of Open Access Journals (Sweden)

    Vincent Oreste Mancini

    2016-04-01

    Full Text Available Objectives: Poor motor skills are associated with a range of psychosocial consequences, including internalizing (anxious and depressive symptoms. The Elaborated Environmental Stress Hypothesis provides a causal framework to explain this association. The framework posits that motor skills impact internalizing problems through an indirect effect via perceived social support. However, empirical evaluation is required. We examined whether motor skills has an indirect effect on anxious and depressive symptoms via perceived family support domains. Methods: This study used a community sample of 93 adolescents (12-16 years. Participants completed measures of motor skills, perceived social support across three dimensions (family, friend, and significant other, depressive symptoms, and anxious symptoms. Age, gender, verbal IQ, and ADHD symptoms were included as control variables.Results: Regression analysis using PROCESS revealed that motor skills had an indirect effect on depressive symptoms via perceived family support, but not by perceived friend support or significant other support. The negative association between motor skills and anxious symptoms was not mediated by any perceived social support domain. Conclusions: Findings are consistent with previous literature indicating an association between motor skills and internalizing problems. However, we identified a different pattern of relationships across anxious and depressive symptoms. While anxiety and depressive symptoms were highly correlated, motor skills had an indirect effect on depressive symptoms via perceived family support only. Our findings highlight the importance of family support as a potential protective factor in the onset of depressive symptoms. This study provides partial support for the Elaborated Environmental Stress Hypothesis, however further research is required.

  2. Bridging Communities: Culturing a Professional Learning Community that Supports Novice Teachers and Transfers Authentic Science and Mathematics to the Classroom

    Science.gov (United States)

    Herbert, B. E.; Miller, H. R.; Loving, C. L.; Pedersen, S.

    2006-12-01

    Professional Learning Community Model for Alternative Pathways (PLC-MAP) is a partnership of North Harris Montgomery Community Colleges, Texas A&M University, and 11 urban, suburban, and rural school districts in the Greater Houston area focused on developing a professional learning community that increases the retention and quality of middle and high school mathematics and science teachers who are being certified through the NHMCCD Alternative Certification Program. Improved quality in teaching refers to increased use of effective inquiry teaching strategies, including information technology where appropriate, that engage students to ask worthy scientific questions and to reason, judge, explain, defend, argue, reflect, revise, and/or disseminate findings. Novice teachers learning to adapt or designing authentic inquiry in their classrooms face two enormous problems. First, there are important issues surrounding the required knowledgebase, habit of mind, and pedagogical content knowledge of the teachers that impact the quality of their lesson plans and instructional sequences. Second, many ACP intern teachers teach under challenging conditions with limited resources, which impacts their ability to implement authentic inquiry in the classroom. Members of our professional learning community, including scientists, mathematicians and master teachers, supports novice teachers as they design lesson plans that engage their students in authentic inquiry. The purpose of this research was to determine factors that contribute to success or barriers that prevent ACP secondary science intern and induction year teachers from gaining knowledge and engaging in classroom inquiry as a result of an innovative professional development experience. A multi-case study design was used for this research. We adopted a two-tail design where cases from both extremes (good and poor gains) were deliberately chosen. Six science teachers were selected from a total of 40+ mathematics and science

  3. Support increased adoption of green infrastructure into community stormwater management plans and watershed sustainability goals: Information and guidance through community partnerships

    Science.gov (United States)

    This project will provide technical assistance to support implementation of GI in U.S. communities and information on best practices for GI approaches that protect ground water supplies. Case studies that can be more broadly applied to other communities will be conducted. The pro...

  4. Public Community Support and Involvement around Vandellos ITER (EISS-Vandellos 2002/2003). Final Report

    International Nuclear Information System (INIS)

    Sola, R.; Prades, A.; Riba, D.; Doval, E.; Munoz, J.; Garay, A.; Viladrich, C.

    2006-01-01

    The Report summarizes a year and a half research on the social perception and expectations regarding the possible siting of ITER in Vandellos carried out in the framework of the European ITER Site Studies (EISS). The aims were to examine the needs and preferences in terms of public information and communication; to explore the risks and benefits the community links to the Centre; and to analyse the local expectations concerning public participation. A methodological strategy integrating qualitative methodologies [semi-structured interviews to key informants at the local level, and to key research groups in the surrounding area, together with a focus group with local opinion leaders], and quantitative techniques [Computer Assisted Telephone Interview (CATI) applied to a sample of 400 participants] was implemented. The local community has lived with complex and high risk facilities for decades, thus local people has a strong familiarity with technological and energy production systems, but no experience with large research installations. In such a context the global opinion towards the possibility of hosting ITER was clearly favourable, and linked to a strong demand in terms of public information and participation. (Author) 19 refs

  5. Public Community Support and Involvement around Vandellos ITER (EISS-Vandellos 2002/2003). Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Sola, R.; Prades, A.; Riba, D.; Doval, E.; Munoz, J.; Garay, A.; Viladrich, C.

    2006-07-01

    The Report summarizes a year and a half research on the social perception and expectations regarding the possible siting of ITER in Vandellos carried out in the framework of the European ITER Site Studies (EISS). The aims were to examine the needs and preferences in terms of public information and communication; to explore the risks and benefits the community links to the Centre; and to analyse the local expectations concerning public participation. A methodological strategy integrating qualitative methodologies [semi-structured interviews to key informants at the local level, and to key research groups in the surrounding area, together with a focus group with local opinion leaders], and quantitative techniques [Computer Assisted Telephone Interview (CATI) applied to a sample of 400 participants] was implemented. The local community has lived with complex and high risk facilities for decades, thus local people has a strong familiarity with technological and energy production systems, but no experience with large research installations. In such a context the global opinion towards the possibility of hosting ITER was clearly favourable, and linked to a strong demand in terms of public information and participation. (Author) 19 refs.

  6. A randomised controlled trial linking mental health inpatients to community smoking cessation supports: A study protocol

    Directory of Open Access Journals (Sweden)

    Clancy Richard

    2011-07-01

    Full Text Available Abstract Background Mental health inpatients smoke at higher rates than the general population and are disproportionately affected by tobacco dependence. Despite the advent of smoke free policies within mental health hospitals, limited systems are in place to support a cessation attempt post hospitalisation, and international evidence suggests that most smokers return to pre-admission smoking levels following discharge. This protocol describes a randomised controlled trial that will test the feasibility, acceptability and efficacy of linking inpatient smoking care with ongoing community cessation support for smokers with a mental illness. Methods/Design This study will be conducted as a randomised controlled trial. 200 smokers with an acute mental illness will be recruited from a large inpatient mental health facility. Participants will complete a baseline survey and will be randomised to either a multimodal smoking cessation intervention or provided with hospital smoking care only. Randomisation will be stratified by diagnosis (psychotic, non-psychotic. Intervention participants will be provided with a brief motivational interview in the inpatient setting and options of ongoing smoking cessation support post discharge: nicotine replacement therapy (NRT; referral to Quitline; smoking cessation groups; and fortnightly telephone support. Outcome data, including cigarettes smoked per day, quit attempts, and self-reported 7-day point prevalence abstinence (validated by exhaled carbon monoxide, will be collected via blind interview at one week, two months, four months and six months post discharge. Process information will also be collected, including the use of cessation supports and cost of the intervention. Discussion This study will provide comprehensive data on the potential of an integrated, multimodal smoking cessation intervention for persons with an acute mental illness, linking inpatient with community cessation support. Trial Registration

  7. Supporting breastfeeding In Local Communities (SILC) in Victoria, Australia: a cluster randomised controlled trial

    Science.gov (United States)

    McLachlan, Helen L; Forster, Della A; Amir, Lisa H; Cullinane, Meabh; Shafiei, Touran; Watson, Lyndsey F; Ridgway, Lael; Cramer, Rhian L; Small, Rhonda

    2016-01-01

    Objectives Breastfeeding has significant health benefits for mothers and infants. Despite recommendations from the WHO, by 6 months of age 40% of Australian infants are receiving no breast milk. Increased early postpartum breastfeeding support may improve breastfeeding maintenance. 2 community-based interventions to increase breastfeeding duration in local government areas (LGAs) in Victoria, Australia, were implemented and evaluated. Design 3-arm cluster randomised trial. Setting LGAs in Victoria, Australia. Participants LGAs across Victoria with breastfeeding initiation rates below the state average and > 450 births/year were eligible for inclusion. The LGA was the unit of randomisation, and maternal and child health centres in the LGAs comprised the clusters. Interventions Early home-based breastfeeding support by a maternal and child health nurse (home visit, HV) with or without access to a community-based breastfeeding drop-in centre (HV+drop-in). Main outcome measures The proportion of infants receiving ‘any’ breast milk at 3, 4 and 6 months (women's self-report). Findings 4 LGAs were randomised to the comparison arm and provided usual care (n=41 clusters; n=2414 women); 3 to HV (n=32 clusters; n=2281 women); and 3 to HV+drop-in (n=26 clusters; 2344 women). There was no difference in breastfeeding at 4 months in either HV (adjusted OR 1.04; 95% CI 0.84 to 1.29) or HV+drop-in (adjusted OR 0.92; 95% CI 0.78 to 1.08) compared with the comparison arm, no difference at 3 or 6 months, nor in any LGA in breastfeeding before and after the intervention. Some issues were experienced with intervention protocol fidelity. Conclusions Early home-based and community-based support proved difficult to implement. Interventions to increase breastfeeding in complex community settings require sufficient time and partnership building for successful implementation. We cannot conclude that additional community-based support is ineffective in improving breastfeeding

  8. Teachers' challenges, strategies, and support needs in schools affected by community violence: a qualitative study.

    Science.gov (United States)

    Maring, Elisabeth F; Koblinsky, Sally A

    2013-06-01

    Exposure to community violence compromises teacher effectiveness, student learning, and socioemotional well-being. This study examined the challenges, strategies, and support needs of teachers in urban schools affected by high levels of community violence. Twenty teachers from 3 urban middle schools with predominantly low-income African American students completed open-ended interviews. Selected schools were in geographic areas with high violent crime levels. Consistent with an ecological risk and resilience framework, findings revealed that teachers experienced challenges and adopted coping strategies at the individual, family, school, and community levels. Teachers employed a number of strategies associated with resilience, such as prayer and seeking support from family and colleagues, but also engaged in some avoidant strategies, such as emotional withdrawal and avoiding difficult students. Findings suggest interventions to improve school safety and reduce the negative impact of violence-related stressors. Teacher training in behavior management, effective school leadership, improved school security, peer mediation, expanded mental health services, and parent involvement may promote resilience among both teachers and their students. © 2013, American School Health Association.

  9. The impacts of tourism on coral reef conservation awareness and support in coastal communities in Belize

    Science.gov (United States)

    Diedrich, A.

    2007-12-01

    Marine recreational tourism is one of a number of threats to the Belize Barrier Reef but, conversely, represents both a motivation and source of resources for its conservation. The growth of tourism in Belize has resulted in the fact that many coastal communities are in varying stages of a socio-economic shift from dependence on fishing to dependence on tourism. In a nation becoming increasingly dependent on the health of its coral reef ecosystems for economic prosperity, a shift from extractive uses to their preservation is both necessary and logical. Through examining local perception data in five coastal communities in Belize, each attracting different levels of coral reef related tourism, this analysis is intended to explore the relationship between tourism development and local coral reef conservation awareness and support. The results of the analysis show a positive correlation between tourism development and coral reef conservation awareness and support in the study communities. The results also show a positive correlation between tourism development and local perceptions of quality of life, a trend that is most likely the source of the observed relationship between tourism and conservation. The study concludes that, because the observed relationship may be dependent on continued benefits from tourism as opposed to a perceived crisis in coral reef health, Belize must pay close attention to tourism impacts in the future. Failure to do this could result in a destructive feedback loop that would contribute to the degradation of the reef and, ultimately, Belize’s diminished competitiveness in the ecotourism market.

  10. Derivation and validation of the Personal Support Algorithm: an evidence-based framework to inform allocation of personal support services in home and community care

    Directory of Open Access Journals (Sweden)

    Chi-Ling Joanna Sinn

    2017-11-01

    Full Text Available Abstract Background Personal support services enable many individuals to stay in their homes, but there are no standard ways to classify need for functional support in home and community care settings. The goal of this project was to develop an evidence-based clinical tool to inform service planning while allowing for flexibility in care coordinator judgment in response to patient and family circumstances. Methods The sample included 128,169 Ontario home care patients assessed in 2013 and 25,800 Ontario community support clients assessed between 2014 and 2016. Independent variables were drawn from the Resident Assessment Instrument-Home Care and interRAI Community Health Assessment that are standardised, comprehensive, and fully compatible clinical assessments. Clinical expertise and regression analyses identified candidate variables that were entered into decision tree models. The primary dependent variable was the weekly hours of personal support calculated based on the record of billed services. Results The Personal Support Algorithm classified need for personal support into six groups with a 32-fold difference in average billed hours of personal support services between the highest and lowest group. The algorithm explained 30.8% of the variability in billed personal support services. Care coordinators and managers reported that the guidelines based on the algorithm classification were consistent with their clinical judgment and current practice. Conclusions The Personal Support Algorithm provides a structured yet flexible decision-support framework that may facilitate a more transparent and equitable approach to the allocation of personal support services.

  11. Community psychiatric nurse teams: cost-effectiveness of intensive support versus generic care.

    Science.gov (United States)

    McCrone, P; Beecham, J; Knapp, M

    1994-08-01

    Part of the community psychiatric nurse (CPN) service was reorganised into a community support team (CST), with staff acting as case managers. An economic evaluation ran parallel to the comparison with generic CPN care. Eighty-two clients were randomly allocated to experimental and control groups. Costs were comprehensively measured over a pre-referral period (three months), and then at 6, 12, and 18 months. The economic evaluation found a cost difference between the groups. Generic group costs averaged 89 pounds per patient per week more than CST group costs. The difference was only significant for the first six months. Changes in the burden of cost across agencies were observed. Although CPN inputs and costs were higher for the CST group, there was a significant short-term reduction in total cost. Beyond the short term, the CST did not confer cost or cost-effectiveness advantages.

  12. Supportive Environments for Physical Activity, Community Action and Policy in Eight EU Member States

    DEFF Research Database (Denmark)

    Ruetten, Alfred; Frahsa, Annika; Engbers, Luuk

    2014-01-01

    BACKGROUND: A multi-level theoretical framework of physical activity (PA) promotion that addresses supportive environments, PA behavior, community action and PA promoting policies is related to research and development in an international comparative study. METHODS: Most-different and most......-similar case selection was applied to data from eight EU Member States. Data from semi-structured key informant qualitative interviews, focus group interviews with experts and policy-makers, as well as document analysis were linked to corresponding Eurobarometer data. RESULTS AND DISCUSSION: The framework...... on the interplay of environment, PA behavior, community action and policies appears to be working across most different countries. Comprehensive systems of PA infrastructures are interlinked with relatively high levels of PA prevalence. These countries implement comprehensive national policies on PA promotion...

  13. Radiochemically-Supported Microbial Communities: A Potential Mechanism for Biocolloid Production of Importance to Actinide Transport

    Energy Technology Data Exchange (ETDEWEB)

    Moser, Duane P. [Desert Research Inst., Nevada University, Reno, NV (United States); Hamilton-Brehm, Scott D. [Desert Research Inst., Nevada University, Reno, NV (United States); Fisher, Jenny C. [Desert Research Inst., Nevada University, Reno, NV (United States); Bruckner, James C. [Desert Research Inst., Nevada University, Reno, NV (United States); Kruger, Brittany [Desert Research Inst., Nevada University, Reno, NV (United States); Sackett, Joshua [Desert Research Inst., Nevada University, Reno, NV (United States); Russell, Charles E. [Desert Research Inst., Nevada University, Reno, NV (United States); Onstott, Tullis C. [Princeton Univ., NJ (United States); Czerwinski, Ken [Univ. of Nevada, Las Vegas, NV (United States); Zavarin, Mavrik [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Campbell, James H. [Northwest Missouri State Univ., Maryville, MO (United States)

    2014-06-01

    Due to the legacy of Cold War nuclear weapons testing, the Nevada National Security Site (NNSS, formerly known as the Nevada Test Site (NTS)) contains millions of Curies of radioactive contamination. Presented here is a summary of the results of the first comprehensive study of subsurface microbial communities of radioactive and nonradioactive aquifers at this site. To achieve the objectives of this project, cooperative actions between the Desert Research Institute (DRI), the Nevada Field Office of the National Nuclear Security Administration (NNSA), the Underground Test Area Activity (UGTA), and contractors such as Navarro-Interra (NI), were required. Ultimately, fluids from 17 boreholes and two water-filled tunnels were sampled (sometimes on multiple occasions and from multiple depths) from the NNSS, the adjacent Nevada Test and Training Range (NTTR), and a reference hole in the Amargosa Valley near Death Valley. The sites sampled ranged from highly-radioactive nuclear device test cavities to uncontaminated perched and regional aquifers. Specific areas sampled included recharge, intermediate, and discharge zones of a 100,000-km2 internally-draining province, known as the Death Valley Regional Flow System (DVRFS), which encompasses the entirety of the NNSS/NTTR and surrounding areas. Specific geological features sampled included: West Pahute and Ranier Mesas (recharge zone), Yucca and Frenchman Flats (transitional zone), and the Western edge of the Amargosa Valley near Death Valley (discharge zone). The original overarching question underlying the proposal supporting this work was stated as: Can radiochemically-produced substrates support indigenous microbial communities and subsequently stimulate biocolloid formation that can affect radionuclides in NNSS subsurface nuclear test/detonation sites? Radioactive and non-radioactive groundwater samples were thus characterized for physical parameters, aqueous geochemistry, and microbial communities using both DNA- and

  14. Identifying Policy Implications and Future Research Directions Regarding Military Community Support and Child Psychosocial Adjustment.

    Science.gov (United States)

    Conforte, Allison M; DeLeon, Patrick H; Engel, Charles C; Ling, Catherine; Bakalar, Jennifer L; Tanofsky-Kraff, Marian

    2017-05-01

    As former U.S. Army Surgeon General Horoho points out, a large fraction of what determines the health and readiness of our military families does not occur during appointments with professionals, but rather within the "Lifespace-where health really happens...." Indeed, when children of military families experience psychosocial difficulties, such stress impacts the service members' personal well-being and ability to focus at work, impairing their capacity to attend to the mission. As such, the Department of Defense (DoD) has instituted a family readiness system to bolster resiliency within military families, including children, e.g., by linking families with support networks. Bolstering military family resiliency, including the prevention of and effective intervention for child psychosocial problems, is an important issue at all levels of the DoD. Service members, leaders, and policy makers have a vested interest in promoting mission readiness and a healthy force. Research can play an important role in shaping decision-making by consolidating what is currently known and not known about a particular expertise area. To date, there has been no consolidation of research regarding outcomes associated with military community support and the programs that currently exist to bolster child and family resiliency. Given the importance of military families to mission readiness, a review of the relevant research is warranted. This commentary article reviews the literature on community support for military children, provides an overview of currently available resources, discusses concerns with the current provision of support services to military families, and offers recommendations for future research, policy, and implementation of military community support programs. Although there is a dearth of research on available support programs, there appears to be no lack of services available to military families. However, several steps could be taken to make these resources into a

  15. The Positive Adjustment of Low-Income Youths with Relational and Community Support: The Mediating Role of Hope

    Science.gov (United States)

    Ng, Eddie C. W.; Lam, Jasmine K. M.; Chan, Charles C. H.

    2017-01-01

    Youths living in poverty may experience less developmental support. Although the importance of hope, relational support, and community support for positive adaptation is acknowledged, how they combine to affect psychosocial adjustment is unknown. This study, drawing on 830 low-income youths (11-18 years old) in Hong Kong, provides evidence that…

  16. Peer support in the community: initial findings of a mentoring program for individuals with traumatic brain injury and their families.

    Science.gov (United States)

    Hibbard, Mary R; Cantor, Joshua; Charatz, Heather; Rosenthal, Robin; Ashman, Teresa; Gundersen, Nancy; Ireland-Knight, Lynne; Gordon, Wayne; Avner, Judith; Gartner, Audrey

    2002-04-01

    To evaluate the impact of a community-based peer support program for individuals and their family members following traumatic brain injury (TBI). Community-based sample of family members and individuals with traumatic brain injury. Twenty individuals who had participated in the peer support program (11 individuals with TBI and 9 family members). Quantitative and qualitative approaches were used: a retrospective structured interview assessing self-reported impacts of peer support on empowerment, quality of life, mood, skills and knowledge, and social supports; an in-depth qualitative interview with a subgroup of family members focused on the specific benefits/limitations of the peer support program. Participants in the peer support program reported positive impacts of peer support on increasing their knowledge of TBI, enhancing their overall quality of life, improving their general outlook, and enhancing their ability to cope with depression post TBI. The peer support program was reported to have had a minimal impact on enhancing social support from families, friends, and the community, with varying impacts noted on levels of happiness, coping with anger and anxiety, communication with professionals, and control over one's life. Qualitative analysis suggests the merits of this type of community-based support and areas of improvement for the peer support program itself. Preliminary data suggest that peer support is a promising approach to enhancing coping for both individuals and their family members after TBI.

  17. Community-supported models of care for people on HIV treatment in sub-Saharan Africa.

    Science.gov (United States)

    Bemelmans, Marielle; Baert, Saar; Goemaere, Eric; Wilkinson, Lynne; Vandendyck, Martin; van Cutsem, Gilles; Silva, Carlota; Perry, Sharon; Szumilin, Elisabeth; Gerstenhaber, Rodd; Kalenga, Lucien; Biot, Marc; Ford, Nathan

    2014-08-01

    Further scale-up of antiretroviral therapy (ART) to those in need while supporting the growing patient cohort on ART requires continuous adaptation of healthcare delivery models. We describe several approaches to manage stable patients on ART developed by Médecins Sans Frontières together with Ministries of Health in four countries in sub-Saharan Africa. Using routine programme data, four approaches to simplify ART delivery for stable patients on ART were assessed from a patient and health system perspective: appointment spacing for clinical and drug refill visits in Malawi, peer educator-led ART refill groups in South Africa, community ART distribution points in DRC and patient-led community ART groups in Mozambique. All four approaches lightened the burden for both patients (reduced travel and lost income) and health system (reduced clinic attendance). Retention in care is high: 94% at 36 months in Malawi, 89% at 12 months in DRC, 97% at 40 months in South Africa and 92% at 48 months in Mozambique. Where evaluable, service provider costs are reported to be lower. Separating ART delivery from clinical assessments was found to benefit patients and programmes in a range of settings. The success of community ART models depends on sufficient and reliable support and resources, including a flexible and reliable drug supply, access to quality clinical management, a reliable monitoring system and a supported lay workers cadre. Such models require ongoing evaluation and further adaptation to be able to reach out to more patients, including specific groups who may be challenged to meet the demands of frequent clinic visits and the integrated delivery of other essential chronic disease interventions. © 2014 John Wiley & Sons Ltd.

  18. Designing, Supporting, and Sustaining an Online Community of Practice: NASA EPO Workspace as an Ongoing Exploration of the Value of Community

    Science.gov (United States)

    Davey, B.; Davis, H. B.

    2015-12-01

    Increasingly, geographically diverse organizations, like NASA's Science Mission Directorate Education and Public Outreach personnel (SMD EPO), are looking for ways to facilitate group interactions in meaningful ways while limiting costs. Towards this end, of particular interest, and showing great potential are communities of practice. Communities of practice represent relationships in real-time between and among people sharing a common practice. They facilitate the sharing of information, building collective knowledge, and growing of the principles of practice. In 2010-11, SMD EPO established a website to support EPO professionals, facilitate headquarters reporting, and foster a community of practice. The purpose of this evaluation is to examine the design and use of the workspace and the value created for both individual community members and SMD EPO, the sponsoring organization. The online workspace was launched in 2010-11 for the members of NASA's SMDEPO community. The online workspace was designed to help facilitate the efficient sharing of information, be a central repository for resources, help facilitate and support knowledge creation, and ultimately lead to the development of an online community of practice. This study examines the role of the online workspace component of a community in the work of a community of practice. Much has been studied revealing the importance of communities of practice to organizations, project success, and knowledge management and some of these same successes hold true for virtual communities of practice. Additionally, we look at the outcomes of housting the online community for these past years in respect to knowledge building and personal and organizational value, the affects on professional dvelopment opportunities, how community members have benefited, and how the workspace has evolved to better serve the community.

  19. Generating demand and community support for sexual and reproductive health services for young people: A review of the Literature and Programs

    Directory of Open Access Journals (Sweden)

    Cabral de Mello Meena

    2010-09-01

    Full Text Available Abstract Background This review investigates the effectiveness of interventions aimed at generating demand for and use of sexual and reproductive health (SRH services by young people; and interventions aimed at generating wider community support for their use. Methods Reports and publications were found in the peer-reviewed and grey literature through academic search engines; web searches; the bibliographies of known conference proceedings and papers; and consultation with experts. The studies were reviewed against a set of inclusion criteria and those that met these were explored in more depth. Results The evidence-base for interventions aimed at both generating demand and community support for SRH services for young people was found under-developed and many available studies do not provide strong evidence. However, the potential of several methods to increase youth uptake has been demonstrated, this includes the linking of school education programs with youth friendly services, life skills approaches and social marketing and franchising. There is also evidence that the involvement of key community gatekeepers such as parents and religious leaders is vital to generating wider community support. In general a combined multi-component approach seems most promising with several success stories to build on. Conclusions Many areas for further research have been highlighted and there is a great need for more rigorous evaluation of programmes in this area. In particular, further evaluation of individual components within a multi-component approach is needed to elucidate the most effective interventions.

  20. Generating demand and community support for sexual and reproductive health services for young people: A review of the Literature and Programs.

    Science.gov (United States)

    Kesterton, Amy J; Cabral de Mello, Meena

    2010-09-24

    This review investigates the effectiveness of interventions aimed at generating demand for and use of sexual and reproductive health (SRH) services by young people; and interventions aimed at generating wider community support for their use. Reports and publications were found in the peer-reviewed and grey literature through academic search engines; web searches; the bibliographies of known conference proceedings and papers; and consultation with experts. The studies were reviewed against a set of inclusion criteria and those that met these were explored in more depth. The evidence-base for interventions aimed at both generating demand and community support for SRH services for young people was found under-developed and many available studies do not provide strong evidence. However, the potential of several methods to increase youth uptake has been demonstrated, this includes the linking of school education programs with youth friendly services, life skills approaches and social marketing and franchising. There is also evidence that the involvement of key community gatekeepers such as parents and religious leaders is vital to generating wider community support. In general a combined multi-component approach seems most promising with several success stories to build on. Many areas for further research have been highlighted and there is a great need for more rigorous evaluation of programmes in this area. In particular, further evaluation of individual components within a multi-component approach is needed to elucidate the most effective interventions.

  1. Supporting Family Carers of Community-Dwelling Elder with Cognitive Decline: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Birgitte Schoenmakers

    2010-01-01

    Full Text Available Objective. Caring for a patient with cognitive decline has an important impact on the general well-being of family caregivers. Although highly appreciated, interventions in dementia home care remain mainly ineffective in terms of well-being. Consequently, in spite of an extensive support system, abrupt ending of home care remains more rule than exception. Method. The hypothesis was that the intervention of a care counselor, coordinating care in quasi-unstructured way during one year, will alleviate caregivers' feelings of depression. The study population was composed of community-dwelling patients with cognitive decline. A care counselor was at the exclusive disposal of the intervention group. Primary outcome measure was caregiver depression. Results. Finally, depression was 6.25 times less frequent in the intervention group. The actual intervention appeared minimal with only ten applications for more support followed by only three interventions effectively carried out. Although caregivers felt burdened and depressed, formal support remained stable. On the other hand, the availability of the care counselor made caregivers feel less depressed with the same amount of support. Conclusion. Carers do not always need to be surrounded with more professionals, but they want to feel more supported. In terms of policy, this could have some important implications.

  2. The 2009 Health Confidence Survey: public opinion on health reform varies; strong support for insurance market reform and public plan option, mixed response to tax cap.

    Science.gov (United States)

    Fronstin, Paul; Helman, Ruth

    2009-07-01

    PUBLIC SUPPORT FOR HEALTH REFORM: Findings from the 2009 Health Confidence Survey--the 12th annual HCS--indicate that Americans have already formed strong opinions regarding various aspects of health reform, even before details have been released regarding various key factors. These issues include health insurance market reform, the availability of a public plan option, mandates on employers and individuals, subsidized coverage for the low-income population, changes to the tax treatment of job-based health benefits, and regulatory oversight of health care. These opinions may change as details surface, especially as they concern financing options. In the absence of such details, the 2009 HCS finds generally strong support for the concepts of health reform options that are currently on the table. U.S. HEALTH SYSTEM GETS POOR MARKS, BUT SO DOES A MAJOR OVERHAUL: A majority rate the nation's health care system as fair (30 percent) or poor (29 percent). Only a small minority rate it excellent (6 percent) or very good (10 percent). While 14 percent of Americans think the health care system needs a major overhaul, 51 percent agree with the statement "there are some good things about our health care system, but major changes are needed." NATIONAL HEALTH PLAN ELEMENTS RATED HIGHLY: Between 68 percent and 88 percent of Americans either strongly or somewhat support health reform ideas such as national health plans, a public plan option, guaranteed issue, expansion of Medicare and Medicaid, and employer and individual mandates. MIXED REACTION TO HEALTH BENEFITS TAX CAP: Reaction to capping the current tax exclusion of employment-based health benefits is mixed. Nearly one-half of Americans (47 percent) would switch to a lower-cost plan if the tax exclusion were capped, 38 percent would stay on their current plan and pay the additional taxes, and 9 percent don't know. CONTINUED FAITH IN EMPLOYMENT-BASED BENEFITS, BUT DOUBTS ON AFFORDABILITY: Individuals with employment

  3. Community supported agriculture programs: a novel venue for theory-based health behavior change interventions.

    Science.gov (United States)

    Wharton, Christopher M; Hughner, Renee Shaw; MacMillan, Lexi; Dumitrescu, Claudia

    2015-01-01

    Local foods programs such as community supported agriculture programs (CSAs) and farmers' markets have increased greatly in popularity. However, little research has been conducted regarding the effect of involvement in local foods programs on diet-related attitudes and behaviors. A series of focus groups was conducted to identify the motives that propel individuals to join a CSA, the experiences of belonging to a CSA, and the diet-related outcomes of CSA membership. Using the Theory of Planned Behavior (TPB) as a framework to categorize findings, data suggest the potential of CSAs as a viable intervention strategy for promoting healthful diets and behaviors.

  4. Immigrant Workers Centers in Eastern Massachusetts, USA: Fostering Services, Support, Advocacy, and Community Organizing

    Directory of Open Access Journals (Sweden)

    Humberto Reynoso-Vallejo

    2013-01-01

    Full Text Available Immigrant Workers Centers (IWCs are community-based organizations that have been developed in the United States to promote and protect workers’ rights through support, services, advocacy, and organizing initiatives. The purpose of this research study was to examine how IWCs in the Eastern part of the state of Massachusetts are structured along twelve dimensions of organizational development and community organizing. Qualitative research methods were used to identify shared themes within the six IWCs and three immigrant support organizations, as well as their organizational responses to the current anti-immigrant environment. IWCs constituted a convenience sample which enabled the researchers to gather data utilizing a case study methodology. In-depth semi-structured interviews were conducted between the months of July and September of 2009 to answer the following research questions: 1What are the shared themes for the development of Immigrant Workers Centers?, and 2 How do Immigrant Workers Centers respond to current anti-immigrant sentiment, intolerant immigration policies, and increased exploitation in this troubled economy? Shared themes among the IWCs include prioritizing community organizing for workers’ rights and collective empowerment. Sub-modalities such as education, training and leadership development area common feature. While some individual support is provided, and in some cases, programming, it always is offered within a context that emphasizes the need for collective action to overcome injustice. Issues addressed include health/safety, sexual harassment, discrimination, and various problems associated with wages (underpayment, missed payments, collecting back wages, and lack of overtime pay. IWCs respond to antiimmigrant policies and practices by supporting larger efforts for immigration reformat the municipal, state, and federal levels. Coalitions of IWCS and their allies attempt to make state wide and federal policy changes

  5. Serum uric acid is more strongly associated with impaired fasting glucose in women than in men from a community-dwelling population.

    Directory of Open Access Journals (Sweden)

    Ryuichi Kawamoto

    Full Text Available Serum uric acid (SUA levels are associated with metabolic syndrome (MetS and its components such as glucose intolerance and type 2 diabetes. It is unknown whether there are gender-specific differences regarding the relationship between SUA levels, impaired fasting glucose (IFG and newly detected diabetes. We recruited 1,209 men aged 60±15 (range, 19-89 years and 1,636 women aged 63±12 (range, 19-89 years during their annual health examination from a single community. We investigated the association between SUA levels and six categories according to fasting plasma glucose (FPG level {normal fasting glucose (NFG, <100 mg/dL; high NFG-WHO, 100 to 109 mg/dL; IFG-WHO, 110 to 125 mg/dL; IFG-ADA, 100 to 125 mg/dL; newly detected diabetes, ≥126 mg/dL; known diabetes} SUA levels were more strongly associated with the different FPG categories in women compared with men. In women, the associations remained significant for IFG-WHO (OR, 1.23, 95% CI, 1.00-1.50 and newly detected diabetes (OR, 1.33, 95% CI, 1.03-1.72 following multivariate adjustment. However, in men all the associations were not significant. Thus, there was a significant interaction between gender and SUA level for newly detected diabetes (P = 0.005. SUA levels are associated with different categories of impaired fasting glucose in participants from community-dwelling persons, particularly in women.

  6. UNOSAT at CERN – 15 years of satellite imagery support to the humanitarian and development community

    CERN Multimedia

    CERN. Geneva

    2017-01-01

    Abstract: UNOSAT is part of the United Nations Institute for Training and Research (UNITAR) and has been hosted at CERN since 2001. This partnership allows UNOSAT to benefit from CERN's IT infrastructure whenever the situation requires, allowing the UN to be at the forefront of satellite-analysis technology. Specialists in geographic information systems (GIS) and in the analysis of satellite data, supported by IT engineers and policy experts, ensure a dedicated service to the international humanitarian and development communities 24 hours a day, seven days a week. The presentation will give an overview of the variety of activities carried out by UNOSAT over the last 15 years including support to humanitarian assistance and protection of cultural heritage, sustainable water management in Chad and training & capacity development in East Africa and Asia. The talk will be followed at 12:00 by the inauguration of the UNOSAT exhibition, in front of the Users' office. Speaker: Einar Bjor...

  7. Keep Talking & Monitoring: the importance of longitudinal research & community-based monitoring to support sustainable land management in southern Africa

    Science.gov (United States)

    Dougill, Andrew; Stringer, Lindsay

    2015-04-01

    Projects come and go with researchers, development practioners and government staff initiating new forms of community engagement in environmental monitoring and land management practices. We analyse interventions from Botswana and Swaziland and highlight that for benefits to be long-lived and lead to sustainable land management, requires community engagement in project design, implementation and for project outputs to be used in developing community-led environmental monitoring tools that can then help to guide local decision-making systems. We stress the vital importance of continued participatory engagement of researchers with community leaders and key government staff beyond the timeframe of their initial research such that longitudinal research approaches can realise significant benefits to all concerned. In dynamic (non-equilibrium) dryland environments, it is vitally important that research approaches address temporal and spatial variability by mapping patterns of change, using a range of participatory tools to enhance understandings of the causes of land degradation and the opportunities for shifts towards more sustainable land management. Decision-support tools, such as rangeland assessment guides produced for various Kalahari rangeland settings in Botswana (via a UNEP project and affiliated research), provide opportunities to support more sustainable land management. However, at present benefits are not being fully realised as project and research staff move on after projects end. Similarly, findings from mixed farming systems in Swaziland (assessing a JICA-funded project) show problems in maintaining new institutional structures to manage rangeland degradation, whilst issues on arable areas associated with parasitic weeds (Striga asiatica) remain problematic. Findings from longitudinal research in Swaziland also show that community understandings of environmental problems have evolved over 10 years and identify new problems associated with intensified

  8. Subsurface ecosystem resilience: long-term attenuation of subsurface contaminants supports a dynamic microbial community

    Energy Technology Data Exchange (ETDEWEB)

    Yagi, J.M.; Neuhauser, E.F.; Ripp, J.A.; Mauro, D.M.; Madsen, E.L. [Cornell University, Ithaca, NY (United States). Dept. of Microbiology

    2010-01-15

    The propensity for groundwater ecosystems to recover from contamination by organic chemicals (in this case, coal-tar waste) is of vital concern for scientists and engineers who manage polluted sites. The microbially mediated cleanup processes are also of interest to ecologists because they are an important mechanism for the resilience of ecosystems. In this study we establish the long-term dynamic nature of a coal-tar waste-contaminated site and its microbial community. We present 16 years of chemical monitoring data, tracking responses of a groundwater ecosystem to organic contamination (naphthalene, xylenes, toluene, 2-methyl naphthalene and acenaphthylene) associated with coal-tar waste. In addition, we analyzed small-subunit (SSU) ribosomal RNA (rRNA) genes from two contaminated wells at multiple time points over a 2-year period. Principle component analysis of community rRNA fingerprints (terminal-restriction fragment length polymorphism (T-RFLP)) showed that the composition of native microbial communities varied temporally, yet remained distinctive from well to well. After screening and analysis of 1178 cloned SSU rRNA genes from Bacteria, Archaea and Eukarya, we discovered that the site supports a robust variety of eukaryotes (for example, alveolates (especially anaerobic and predatory ciliates), stramenopiles, fungi, even the small metazoan flatworm, Suomina) that are absent from an uncontaminated control well. This study links the dynamic microbial composition of a contaminated site with the long-term attenuation of its subsurface contaminants.

  9. Theoretical Analysis of Thermal Transport in Graphene Supported on Hexagonal Boron Nitride: The Importance of Strong Adhesion Due to π -Bond Polarization

    Science.gov (United States)

    Pak, Alexander J.; Hwang, Gyeong S.

    2016-09-01

    One important attribute of graphene that makes it attractive for high-performance electronics is its inherently large thermal conductivity (κ ) for the purposes of thermal management. Using a combined density-functional theory and classical molecular-dynamics approach, we predict that the κ of graphene supported on hexagonal boron nitride (h -BN) can be as large as 90% of the κ of suspended graphene, in contrast to the significant suppression of κ (more than 70% reduction) on amorphous silica. Interestingly, we find that this enhanced thermal transport is largely attributed to increased lifetimes of the in-plane acoustic phonon modes, which is a notable contrast from the dominant contribution of out-of-plane acoustic modes in suspended graphene. This behavior is possible due to the charge polarization throughout graphene that induces strong interlayer adhesion between graphene and h -BN. These findings highlight the potential benefit of layered dielectric substrates such as h -BN for graphene-based thermal management, in addition to their electronic advantages. Furthermore, our study brings attention to the importance of understanding the interlayer interactions of graphene with layered dielectric materials which may offer an alternative technological platform for substrates in electronics.

  10. Reframing cooperation: Challenges in overcoming tensions between professional services and volunteer organizations providing parenting support in immigrant communities

    NARCIS (Netherlands)

    Ponzoni, E.

    2015-01-01

    Volunteer organizations can potentially partner with mainstream professional services to provide better parenting support to immigrant parents. This qualitative study of cooperation between professional agencies and volunteer organizations known as migrant volunteer and community organizations

  11. Enlarging the caring capacity of the community: informal support networks and the welfare state.

    Science.gov (United States)

    Walker, A

    1987-01-01

    In common with most modern industrial societies, Great Britain is facing the unique late 20th century phenomenon of rapidly increasing numbers of people, especially very elderly people, requiring health and social care. The response in Britain has been to search for ways to enlarge the caring capacity of the "community" and, thereby, reduce the demands on public health and social services. Similar policy responses have been developed in other capitalist societies such as Canada, France, and the United States. Although a policy of "community care"--the provision of state services in people's own homes--was followed by governments of both major British political parties over the postwar period, under the right wing neo-monetarist regime of the present Thatcher administration the locus of policy has shifted toward encouraging greater reliance on the informal support networks of kin, friends, and neighbors. The reasons for this sea-change are explored and the assumptions that these networks are "natural" and necessarily the proper matrix of care are examined critically. This analysis draws on the results of recent research which indicates that informal support networks have significant limitations and that a policy based on withdrawing public services in the hope that these networks will fill the growing care gap is likely to be counterproductive. In conclusion, the author indicates the areas where further research is required to provide a sound basis for policy.

  12. Evaluation of the Environmental Supports Scale with a Community Sample of Adolescents.

    Science.gov (United States)

    Risco, Cristina M; Collado, Anahi D; Reynolds, Elizabeth K; Lejuez, Carl W; MacPherson, Laura

    2016-05-01

    Environmental sources of psychosocial support have been found to modulate or protect against the development of psychopathology and risk behavior among adolescents. Capturing sources of environmental support across multiple developmental contexts requires the availability of well-validated, concise assessments-of which there are few in the existing literature. In order to address this need, the current study explored the factor structure, concurrent and convergent validity of the Environmental Supports Scale (ESS; Genetic, Social, and General Psychology Monographs, 117; 395-417, 1991) with a community sample of adolescents. An unconstrained exploratory factor analysis revealed a separate factor for home, school, and neighborhood settings. Internal consistency and test-retest reliability were evaluated for each factor. Concurrent and predictive validity analyses revealed that the ESS was associated in the expected directions across a range of constructs relevant to adolescent development including internalizing symptoms, well-being, external influences, and engagement in risk behavior. Convergent validity for the neighborhood context was established with an assessment of neighborhood environmental adversity. A brief assessment of perceived environmental support across key developmental contexts provides an important tool for research on resilience processes during adolescence and may help illuminate key protective factors and inform intervention and prevention efforts.

  13. Six years of operating experience of the United States' deep geologic disposal site with long-term community support

    International Nuclear Information System (INIS)

    Piper, L.

    2006-01-01

    This document presents in a series of transparencies the history of the Waste Isolation Pilot Plant (WIPP) facility of the US-DOE, the WIPP repository characteristics, regulatory framework, transportation system and approved shipping routes, the WIPP disposal operations since March 1999, the communities involved, the safety aspects, the community support and positive impact. (J.S.)

  14. A Life in the Community: An Action Research Project Promoting Citizenship for People with High Support Needs

    Science.gov (United States)

    Swift, Paul; Mattingly, Molly

    2009-01-01

    Life in the Community is an action research project with three objectives: (1) To work with four organisations from the third sector to improve the daytime opportunities for up to 40 people with higher support needs and help them to be more included in the life of a community; (2) To develop the capacity of organisations in the not-for-profit…

  15. A Predictive Study of Community College Faculty Perceptions of Student Academic Preparation, Work Ethics, and Institutional Support

    Science.gov (United States)

    Ibezim-Uche, Scholar

    2013-01-01

    Examined in this study were faculty perceptions of students who do not continue their college education. Also examined was how urban and rural community colleges faculty perceived academic preparation, work ethics, and institutional support as predictors of student success. In this predictive study of community college faculty, 36 faculty members…

  16. The role of community pharmacists in supporting self-management in patients with psoriasis.

    Science.gov (United States)

    Tucker, Rod; Stewart, Derek

    2017-04-01

    The majority of patients with psoriasis have mild to moderate disease which can be managed in primary care with topical therapies. The supportive role of pharmacists for patients with long-term dermatological conditions is largely unknown. To assess the impact of an educational intervention delivered by community pharmacists to improve self-management for people with psoriasis. The study involved a pre- and post-intervention design. Seven community pharmacies were selected based on their location (urban, rural etc.) and the pharmacists recruited via local comprehensive research networks. Patients with mild to moderate psoriasis were recruited either opportunistically or via a letter of invite by pharmacists who undertook a face-to-face consultation with one follow-up visit after 6 weeks. The primary outcome was the change in person-centred dermatology self-care index (PEDESI) score and secondary outcomes were the self-assessed psoriasis and severity index (SAPASI), measuring disease severity and the dermatology quality of life index (DLQI). A total of 47 patients were recruited. At 6 weeks, 42/47 (89.3%) patients completed the follow-up consultation. There was a significant increase in mean PEDESI scores (25.15 versus 17.78, P < 0.001) at 6 weeks compared to baseline. Similarly, SAPASI (11.60 versus 7.74, P < 0.001) and DLQI (7.21 versus 4.14, P < 0.001) scores improved significantly. Pharmacist-assisted support for patients with psoriasis improved knowledge, reduced disease severity and the impact on quality of life. These results suggest that community pharmacists might have an important role to play in facilitating self-management for patients with psoriasis. © 2016 Royal Pharmaceutical Society.

  17. Linked hydrologic and social systems that support resilience of traditional irrigation communities

    Science.gov (United States)

    Fernald, A.; Guldan, S.; Boykin, K.; Cibils, A.; Gonzales, M.; Hurd, B.; Lopez, S.; Ochoa, C.; Ortiz, M.; Rivera, J.; Rodriguez, S.; Steele, C.

    2015-01-01

    Southwestern US irrigated landscapes are facing upheaval due to water scarcity and land use conversion associated with climate change, population growth, and changing economics. In the traditionally irrigated valleys of northern New Mexico, these stresses, as well as instances of community longevity in the face of these stresses, are apparent. Human systems have interacted with hydrologic processes over the last 400 years in river-fed irrigated valleys to create linked systems. In this study, we ask if concurrent data from multiple disciplines could show that human-adapted hydrologic and socioeconomic systems have created conditions for resilience. Various types of resiliencies are evident in the communities. Traditional local knowledge about the hydrosocial cycle of community water management and ability to adopt new water management practices is a key response to disturbances such as low water supply from drought. Livestock producers have retained their irrigated land by adapting: changing from sheep to cattle and securing income from outside their livestock operations. Labor-intensive crops decreased as off-farm employment opportunities became available. Hydrologic resilience of the system can be affected by both human and natural elements. We find, for example, that there are multiple hydrologic benefits of traditional irrigation system water seepage: it recharges the groundwater that recharges rivers, supports threatened biodiversity by maintaining riparian vegetation, and ameliorates impacts of climate change by prolonging streamflow hydrographs. Human decisions to transfer water out of agriculture or change irrigation management, as well as natural changes such as long-term drought or climate change, can result in reduced seepage and the benefits it provides. We have worked with the communities to translate the multidisciplinary dimensions of these systems into a common language of causal loop diagrams, which form the basis for modeling future scenarios to

  18. Using Peer Review to Support Development of Community Resources for Research Data Management

    Directory of Open Access Journals (Sweden)

    Heather Soyka

    2017-09-01

    Full Text Available Objective: To ensure that resources designed to teach skills and best practices for scientific research data sharing and management are useful, the maintainers of those materials need to evaluate and update them to ensure their accuracy, currency, and quality. This paper advances the use and process of outside peer review for community resources in addressing ongoing accuracy, quality, and currency issues. It further describes the next step of moving the updated materials to an online collaborative community platform for future iterative review in order to build upon mechanisms for open science, ongoing iteration, participation, and transparent community engagement. Setting: Research data management resources were developed in support of the DataONE (Data Observation Network for Earth project, which has deployed a sustainable, long-term network to ensure the preservation and access to multi-scale, multi-discipline, and multi-national environmental and biological science data (Michener et al. 2012. Created by members of the Community Engagement and Education (CEE Working Group in 2011-2012, the freely available Educational Modules included three complementary components (slides, handouts, and exercises that were designed to be adaptable for use in classrooms as well as for research data management training. Methods: Because the modules were initially created and launched in 2011-2012, the current members of the (renamed Community Engagement and Outreach (CEO Working Group were concerned that the materials could be and / or quickly become outdated and should be reviewed for accuracy, currency, and quality. In November 2015, the Working Group developed an evaluation rubric for use by outside reviewers. Review criteria were developed based on surveys and usage scenarios from previous DataONE projects. Peer reviewers were selected from the DataONE community network for their expertise in the areas covered by one of the 11 educational modules

  19. Supporting self-management by Community Matrons through a group intervention; an action research study.

    Science.gov (United States)

    Barkham, Abigail M; Ersser, Steven J

    2017-07-01

    The aim of this study was to examine the feasibility and impact of a group intervention by Community Matrons to support those living with multiple long-terms conditions. Little evidence exists as to how the role of the Community Matron (CM) should be delivered to effectively enhance disease self-management and levels of self-efficacy for the service users. This qualitative participatory action research study explored the use of group work as a method of intervention by CMs. A purposive sample of 29 participants was recruited. Each patient group had 8-10 participants, led by a CM working in both the researcher and practitioner role, operating over 12-month period. Data were collected by participant observation, researcher reflexive account and interviews. Grounded theory method was used to systematically analyse the data. Three main data categories emerged: (i) comparison by patients that leads to re-motivation of the self; (ii) learning, leading to enhanced self-management techniques, through storytelling and understanding of each other's experiences; and (iii) ownership that resulted in the self-awareness, cognisance and insight into the role of the support group they were based in and how it benefited them. The core category of 'Taking back the self - understanding the whole,' conveyed the impact that this care delivery method had upon readjusting the balance of power between health professional and service users and its consequence in refreshing and improving their self-management and the patients' self-efficacy. It was concluded that CM intervention using a model of group learning can lead to more effective and efficient support, through improving self-efficacy and patients' related self-management ability. © 2017 John Wiley & Sons Ltd.

  20. Capacity Building to Support Governmental Meteorological and Agricultural Communities in East Africa

    Science.gov (United States)

    Granger, S. L.; Macharia, D.; Das, N.; Andreadis, K.; Ines, A.

    2016-12-01

    There is a recognized need for data to support decision-making and planning in East Africa where people and national economies depend on rain fed agriculture and are vulnerable to a changing climate and extreme weather events. However, capacity to use existing global data stores and transition promising tools is a gap that severely limits the use and adoption of these data and tools. Although most people think of capacity building as simply training, it is really much more than that and has been more thoroughly described in the public health community as…."the process of developing and strengthening the skills, instincts, abilities, processes and resources that organizations and communities need to survive, adapt, and thrive in the fast-changing world." Data and tools from NASA and other providers are often not used as they could be for technical and institutional reasons. On the technical side, there is the perception that global data stores are impenetrable requiring special expertise to access them, even if the data can be accessed, the technical expertise to understand and use the data and tools may be lacking, and there can be a mismatch between science data and existing user tools. On the institutional side, it may be perceived that remote sensing data and tools are too "expensive", support from upper management may be non-existent due to limited resources or lack of interest, and there can be a lack of appreciation of data and statistics in decision making. How do we overcome some of these barriers to advance the use of remote sensing for applications and to ease transition of data and tools to stakeholders? Experience from recent capacity building efforts in East Africa in support of a NASA-SERVIR Applied Science Project to provide estimates of hydrologic extremes tied to crop yield will be discussed.

  1. ESIP Federation: A Case Study on Enabling Collaboration Infrastructure to Support Earth Science Informatics Communities

    Science.gov (United States)

    Robinson, E.; Meyer, C. B.; Benedict, K. K.

    2013-12-01

    A critical part of effective Earth science data and information system interoperability involves collaboration across geographically and temporally distributed communities. The Federation of Earth Science Information Partners (ESIP) is a broad-based, distributed community of science, data and information technology practitioners from across science domains, economic sectors and the data lifecycle. ESIP's open, participatory structure provides a melting pot for coordinating around common areas of interest, experimenting on innovative ideas and capturing and finding best practices and lessons learned from across the network. Since much of ESIP's work is distributed, the Foundation for Earth Science was established as a non-profit home for its supportive collaboration infrastructure. The infrastructure leverages the Internet and recent advances in collaboration web services. ESIP provides neutral space for self-governed groups to emerge around common Earth science data and information issues, ebbing and flowing as the need for them arises. As a group emerges, the Foundation quickly equips the virtual workgroup with a set of ';commodity services'. These services include: web meeting technology (Webex), a wiki and an email listserv. WebEx allows the group to work synchronously, dynamically viewing and discussing shared information in real time. The wiki is the group's primary workspace and over time creates organizational memory. The listserv provides an inclusive way to email the group and archive all messages for future reference. These three services lower the startup barrier for collaboration and enable automatic content preservation to allow for future work. While many of ESIP's consensus-building activities are discussion-based, the Foundation supports an ESIP testbed environment for exploring and evaluating prototype standards, services, protocols, and best practices. After community review of testbed proposals, the Foundation provides small seed funding and a

  2. The Engaged Community College: Supporting the Institutionalization of Engagement through Collaborative Action Inquiry

    Science.gov (United States)

    Purcell, Jennifer W.

    2014-01-01

    The purpose of this action research study was to explore how community colleges increase their capacity for community engagement. Faculty and staff members who were identified as community engagement leaders within a public community college participated in a series of interventions to improve community engagement practices within the college. The…

  3. Community aging initiatives and social capital: developing theories of change in the context of NORC Supportive Service Programs.

    Science.gov (United States)

    Greenfield, Emily A

    2014-03-01

    This study aimed to develop theory on how Naturally Occurring Retirement Communities (NORC) Supportive Service Programs potentially transform social relationships within communities to promote aging in place. Data were analyzed from semi-structured in-depth interviews with 10 lead agencies representing 15 NORC programs in New Jersey. Results indicated that professionals seek to infuse capital within three domains of relationships: lead agency staff's relationships with older adults, formal service providers' relationships with each other, and older adults' relationships with each other. This social capital potentially enhances the amount of community-based services and supports within a residential area, as well as their accessibility, appropriateness, responsiveness, and coherence.

  4. Preceptors' Need For Support In Tutoring Pharmacy Students in Finnish Community Pharmacies

    Directory of Open Access Journals (Sweden)

    Ulla Löfhjelm

    2016-11-01

    Full Text Available A pharmacy degree in Finland includes a six-month obligatory internship. The internship is integrated with theoretical studies and adds up to 30 European Credit Transfer and Accumulation System (ECTS credits of the BSc (Pharm degree. Learning is supported by reflective assignments from the university. The preceptors have an important role in organizing the internship and tutoring students successfully in community pharmacy settings. Objective: to assess whether the preceptors of University of Helsinki’s teaching pharmacies need pedagogic support in tutoring and if so, in which core pharmaceutical tasks or tutoring skills. Methods: The survey was sent to all preceptors of University of Helsinki´s teaching pharmacies (n=326 in 2011 (response rate 58%, n=190. The data was analyzed statistically using Excel (version 12.3.6. The open-ended questions were analyzed by qualitative content analysis. Results: The majority of preceptors found their skills in tutoring the students mainly good. However, assessment of learning (27% of the respondents, giving feedback (23% and organizing the learning situations supportive for learning (23% were the areas in which the preceptors mostly indicated a need for support. Teaching current care guidelines and pharmaceutical care (36% and multi-professional collaboration (28% were the areas in which the preceptors expressed that they needed to update their skills. Conclusions: The faculty should focus the support on the pedagogic skills of preceptors, particularly in improving their skills in assessment of learning and in reflective dialogue. In addition, their skills in teaching clinical and patient care aspects of pharmacy practice should be enhanced. Conflict of Interest We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received, employment, gifts, stock holdings

  5. Strongly Agree or Strongly Disagree?

    DEFF Research Database (Denmark)

    Carrizosa, Emilio; Nogales-Gómez, Amaya; Morales, Dolores Romero

    2016-01-01

    In linear classifiers, such as the Support Vector Machine (SVM), a score is associated with each feature and objects are assigned to classes based on the linear combination of the scores and the values of the features. Inspired by discrete psychometric scales, which measure the extent to which...... a factor is in agreement with a statement, we propose the Discrete Level Support Vector Machine (DILSVM) where the feature scores can only take on a discrete number of values, defined by the so-called feature rating levels. The DILSVM classifier benefits from interpretability and it has visual appeal...

  6. Peer Support for Diabetes Management in Primary Care and Community Settings in Anhui Province, China.

    Science.gov (United States)

    Zhong, Xuefeng; Wang, Zhimin; Fisher, Edwin B; Tanasugarn, Chanuantong

    2015-08-01

    We evaluated a peer leader-support program (PLSP) for diabetes self-management in China in terms of acceptability and feasibility; implementation; perceived advantages; disadvantages and barriers; reach and recruitment; effectiveness in terms of diabetes knowledge and clinical impacts; adoption; and sustainability. Within each of 3 cities in Anhui Province, 2 subcommunities were randomly assigned to usual care or PLSP. Peer leaders and staff of Community Health Service Centers (CHSCs) co-led biweekly educational meetings. Peer leaders also led biweekly discussion meetings, promoted regular care through the CHSCs, organized informal health promotion activities (eg, walking and tai chi groups), and provided informal individual support to participants through casual contact. Qualitative evaluations indicated acceptance of and positive responses to the program among patients, peer leaders, and CHSC staff. Implementation was successful in 2 of 3 subcommunities, the third failing for lack of staff resources. Reported advantages included peer support as a bridge between CHSCs and their patients. In 2 sites where the PLSP was implemented, analyses controlling for baseline differences and site showed significant benefits for PLSP relative to controls (P management. The PLSP was well accepted, feasible given sufficient administrative and staff resources, effective for those who participated, and generalizable to other sites and health problems. © 2015 Annals of Family Medicine, Inc.

  7. Community centers of UNESCO-Chernobyl programme-psychological support model for population in a post-catastrophe crisis

    International Nuclear Information System (INIS)

    Garnets, O.

    1998-01-01

    Community Centers for Psycho-social Rehabilitation created within UNESCO - Chernobyl Programme (Project no 64) is aimed at providing psychological support to population suffered from the catastrophe. Centers are located in communities that in different ways suffered from Chernobyl - people evacuated and relocated from the contaminated territories, people who are still living in contaminated regions, employees of the nuclear power plant etc. Centres are providing psychological support to people suffered from Chernobyl catastrophe, trough developing adaptive behavior models under living conditions that changed - both ecological and social and economic crises, developing of personal and social responsibility in community members. The professionals of Community Centers implement activities aimed on coping victimization, on community interaction and communities restructuring. They are working with all age and social groups in the communities, with acute crises and suicide prevention, creating mutual support mechanisms. Centres performance results in decrease of psycho-social tension and anxiety in population. Centers present successfully functioning model of social and psychological support under complicated ecological and social conditions in post soviet countries. They have accumulated unique professional and organizational experience of efficient work in, a post-catastrophe period under social and economic crisis. (author)

  8. Supporting communities of practice: A reflection on the benefits and challenges facing communities of practice for research and engagement in nursing

    Directory of Open Access Journals (Sweden)

    Maretha De Waal

    2016-09-01

    Full Text Available Because of its potential self-sustainability, communities of practice may serve as useful practice-based knowledge sharing platforms for collaborative research and training, and thereby enhance development of human resources in the health sector. However, communities of practice are complex structures and need support from their host organisations and commitment from their members.  This article examines the diverse ways in which communities of nurse educators and practitioners who were part of a funded program in Tshwane District, South Africa evolved over a period of seven years. Adopting an ethnographic approach of reflexivity and learning, we compared and analysed the ways in which the communities of practice became sustainable over time. Our recommendations for institutional support of communities of practice in the health sector are based on the lessons we learned during the program that contributed to the configuration and reconfiguration of some of our communities of practice and the disengagement of others. We believe that our findings may have implications for replicability and sustainability of other communities of practice. Keywords: collaborative learning, collective knowledge, self-sustainability

  9. A Study of Community Leaders in a Nuclear Host Community: Local Issues, Expectations and Support and Opposition.

    Science.gov (United States)

    Bronfman, B. H.

    As part of a continuing effort to assess the social impacts on communities of energy facility planning, construction, operation, and decommissioning, a May 1977 survey of 37 community leaders in Hartsville, Tennessee (site of a nuclear power plant) establishes major local issues (past, present, and future) which leaders feel are important to…

  10. Implementing Action Research and Professional Learning Communities in a Professional Development School Setting to Support Teacher Candidate Learning

    Science.gov (United States)

    Shanks, Joyce

    2016-01-01

    The paper reviews teacher candidates' use of action research and the Professional Learning Community (PLC) concept to support their work in their pre-student teaching field experience. In this research study, teacher candidates are involved in a professional development school relationship that uses action research and PLCs to support candidate…

  11. Breaking the ice: Supporting collaboration and the development of community online

    Directory of Open Access Journals (Sweden)

    Julie Dixon

    2006-06-01

    Full Text Available This study explores the concept of transactional distance, a term coined by Moore (1993, which relates to the distance that exists in all learning relationships and can be more evident and potentially problematic in online learning environments. Reducing this psychologically perceived distance to help learners develop social presence in support of collaborative relationships and the development of community in online learning environments is the purpose of this research. Icebreakers are fun activities that help people get to know each other. These activities can potentially ameliorate the perceived distance in online learning environments. Two author-developed icebreakers were used in a preliminary study involving university undergraduates and instructors in online environments. Respondents took part in an icebreaker at the start of a semester and at the mid-point after which they completed a questionnaire about perceived value of icebreakers. Early results were positive and have led to recommendations for practice.

  12. The role of community supported agriculture in the development of organic agriculture in Croatia

    Directory of Open Access Journals (Sweden)

    Ivan Sarjanović

    2014-06-01

    Full Text Available Community supported agriculture (CSA refers to those agricultural activities that contrast with commercial agriculture. They consist of members who pay for fresh, untreated and locally grown food directly from farmers. In this way the risk is shared and the resellers are eliminated. This paper discusses the basic principles of CSA functioning and the historical circumstances of their development. Besides the economic dimension of the functioning of CSA groups, which is most important (ensuring of purchase, emphasis is also given to the social and cultural dimension of the groups activity. The basis of the work is the presentation of the functioning of CSA groups in Croatia and a comparison of social and economic characteristics of the group members and the farmers that collaborate to the groups with trends in the world. The results were collected by administering an online questionnaire among 46 group members and 5 famers. The survey has confirmed the starting hypothesis – that the group members are younger and highly educated persons who live in large cities or urbanized regions (Zagreb, Kvarner, Istria and are driven by eco-social motives (ecological consciousness, healthy food, cooperation with group members. Farmers who cooperate with CSA groups are practicing ecological agriculture on farms that are smaller than an average Croatian farm. They collaborate with the groups because of easier selling of the products and they find that the groups have a positive effect on their income and involvement in the local community.

  13. The role of community supported agriculture in the development of organic agriculture in Croatia

    Directory of Open Access Journals (Sweden)

    Ivan Sarjanović

    2014-01-01

    Full Text Available Community supported agriculture (CSA refers to those agricultural activities that contrast with commercial agriculture. They consist of members who pay for fresh, untreated and locally grown food directly from farmers. In this way the risk is shared and the resellers are eliminated. This paper discusses the basic principles of CSA functioning and the historical circumstances of their development. Besides the economic dimension of the functioning of CSA groups, which is most important (ensuring of purchase, emphasis is also given to the social and cultural dimension of the groups activity. The basis of the work is the presentation of the functioning of CSA groups in Croatia and a comparison of social and economic characteristics of the group members and the farmers that collaborate to the groups with trends in the world. The results were collected by administering an online questionnaire among 46 group members and 5 famers. The survey has confirmed the starting hypothesis – that the group members are younger and highly educated persons who live in large cities or urbanized regions (Zagreb, Kvarner, Istria and are driven by eco-social motives (ecological consciousness, healthy food, cooperation with group members. Farmers who cooperate with CSA groups are practicing ecological agriculture on farms that are smaller than an average Croatian farm. They collaborate with the groups because of easier selling of the products and they find that the groups have a positive effect on their income and involvement in the local community.

  14. Adapting a Technology-Based Implementation Support Tool for Community Mental Health: Challenges and Lessons Learned.

    Science.gov (United States)

    Livet, Melanie; Fixsen, Amanda

    2018-01-01

    With mental health services shifting to community-based settings, community mental health (CMH) organizations are under increasing pressure to deliver effective services. Despite availability of evidence-based interventions, there is a gap between effective mental health practices and the care that is routinely delivered. Bridging this gap requires availability of easily tailorable implementation support tools to assist providers in implementing evidence-based intervention with quality, thereby increasing the likelihood of achieving the desired client outcomes. This study documents the process and lessons learned from exploring the feasibility of adapting such a technology-based tool, Centervention, as the example innovation, for use in CMH settings. Mixed-methods data on core features, innovation-provider fit, and organizational capacity were collected from 44 CMH providers. Lessons learned included the need to augment delivery through technology with more personal interactions, the importance of customizing and integrating the tool with existing technologies, and the need to incorporate a number of strategies to assist with adoption and use of Centervention-like tools in CMH contexts. This study adds to the current body of literature on the adaptation process for technology-based tools and provides information that can guide additional innovations for CMH settings.

  15. Dimensions of Community and Local Institutions’ Support: Towards an Eco-Village Kelurahan in Indonesia

    Directory of Open Access Journals (Sweden)

    Nany Yuliastuti

    2017-02-01

    Full Text Available The goal of the Global Eco-village Network (GEN is to create and promote sustainable human settlements that allow people to live more comfortably. However, an eco-village cannot exist without the support of the local government and the community. A village (kelurahan is expected to recognize and implement a settlement’s environmental management by maintaining environmentally friendly behavior in daily activities. Gayamsari is a kelurahan in Semarang City that has been implementing the eco-village concept. This study aims to explain, through quantitative descriptive analysis, the extent at which the eco-village aspects are achieved by local and institutional participation in Gayamsari. The idea of an eco-village is to bring harmony to the three pillars of sustainable development—the social, economic, and ecological components—to create a sustainable living environment. However, the results show that Gayamsari needs improvement, especially in terms of ensuring a safe and comfortable environment, which can be achieved through strengthening the participation of both the community and local institutions.

  16. Linking vegetable preferences, health and local food systems through community-supported agriculture.

    Science.gov (United States)

    Wilkins, Jennifer L; Farrell, Tracy J; Rangarajan, Anusuya

    2015-09-01

    The objective of the present study was to explore the influence of participation in community-supported agriculture (CSA) on vegetable exposure, vegetable intake during and after the CSA season, and preference related to locally produced vegetables acquired directly from CSA growers. Quantitative surveys were administered at three time points in two harvest seasons to four groups of CSA participants: new full-paying, returning full-paying, new subsidized and returning subsidized members. Questionnaires included a vegetable frequency measure and measures of new and changed vegetable preference. Comparisons were made between new and returning CSA members and between those receiving subsidies and full-paying members. The research was conducted in a rural county in New York, USA. CSA members who agreed to participate in the study. Analysis was based on 151 usable questionnaires. CSA participants reported higher intake of eleven different vegetables during the CSA season, with a sustained increase in some winter vegetables. Over half of the respondents reported trying at least one, and up to eleven, new vegetables. Sustained preferences for CSA items were reported. While those who choose to join a CSA may be more likely to acquire new and expanded vegetable preferences than those who do not, the CSA experience has the potential to enhance vegetable exposure, augment vegetable preference and increase overall vegetable consumption. Dietary patterns encouraged through CSA participation can promote preferences and consumer demand that support local production and seasonal availability. Emphasis on fresh and fresh stored locally produced vegetables is consistent with sustainable community-based food systems.

  17. Bovine Genome Database: supporting community annotation and analysis of the Bos taurus genome

    Directory of Open Access Journals (Sweden)

    Childs Kevin L

    2010-11-01

    Full Text Available Abstract Background A goal of the Bovine Genome Database (BGD; http://BovineGenome.org has been to support the Bovine Genome Sequencing and Analysis Consortium (BGSAC in the annotation and analysis of the bovine genome. We were faced with several challenges, including the need to maintain consistent quality despite diversity in annotation expertise in the research community, the need to maintain consistent data formats, and the need to minimize the potential duplication of annotation effort. With new sequencing technologies allowing many more eukaryotic genomes to be sequenced, the demand for collaborative annotation is likely to increase. Here we present our approach, challenges and solutions facilitating a large distributed annotation project. Results and Discussion BGD has provided annotation tools that supported 147 members of the BGSAC in contributing 3,871 gene models over a fifteen-week period, and these annotations have been integrated into the bovine Official Gene Set. Our approach has been to provide an annotation system, which includes a BLAST site, multiple genome browsers, an annotation portal, and the Apollo Annotation Editor configured to connect directly to our Chado database. In addition to implementing and integrating components of the annotation system, we have performed computational analyses to create gene evidence tracks and a consensus gene set, which can be viewed on individual gene pages at BGD. Conclusions We have provided annotation tools that alleviate challenges associated with distributed annotation. Our system provides a consistent set of data to all annotators and eliminates the need for annotators to format data. Involving the bovine research community in genome annotation has allowed us to leverage expertise in various areas of bovine biology to provide biological insight into the genome sequence.

  18. Enhancing the intrinsic work motivation of community nutrition educators: how supportive supervision and job design foster autonomy.

    Science.gov (United States)

    Dickin, Katherine L; Dollahite, Jamie S; Habicht, Jean-Pierre

    2011-01-01

    Mixed-methods research investigated the work motivation of paraprofessional community nutrition educators (CNEs) delivering a long-running public health nutrition program. In interviews, CNEs (n = 9) emphasized "freedom," supportive supervision, and "making a difference" as key sources of motivation. Community nutrition educator surveys (n = 115) confirmed high levels of autonomy, which was associated with supervisors' delegation and support, CNE decision-making on scheduling and curricula, and job satisfaction. Supervisors (n = 32) rated CNEs' job design as having inherently motivating characteristics comparable to professional jobs. Supervisory strategies can complement job design to create structured, supportive contexts that maintain fidelity, while granting autonomy to paraprofessionals to enhance intrinsic work motivation.

  19. Should community health workers offer support healthcare services to survivors of sexual violence? a systematic review.

    Science.gov (United States)

    Gatuguta, Anne; Katusiime, Barbra; Seeley, Janet; Colombini, Manuela; Mwanzo, Isaac; Devries, Karen

    2017-10-12

    Sexual violence is widespread, yet relatively few survivors receive healthcare or complete treatment. In low and middle-income countries, community health workers (CHWs) have the potential to provide support services to large numbers of survivors. The aim of this review was to document the role of CHWs in sexual violence services. We aimed to: 1) describe existing models of CHWs services including characteristics of CHWs, services delivered and populations served; 2) explore acceptability of CHWs' services to survivors and feasibility of delivering such services; and 3) document the benefits and challenges of CHW-provided sexual violence services. Quantitative and qualitative studies reporting on CHWs and other community-level paraprofessional volunteer services for sexual violence were eligible for inclusion. CHWs and sexual violence were defined according to WHO criteria. The review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Quality of included studies was assessed using two quality assessment tools for quantitative, and, the methodology checklist by the National Institute for Health and Clinical Excellence for qualitative studies. Data were extracted and analysed separately for quantitative and qualitative studies and results integrated using a framework approach. Seven studies conducted in six countries (Democratic Republic of Congo, Rwanda, Burma, United States of America, Scotland, Israel) met the inclusion criteria. Different models of care had diverse CHWs roles including awareness creation, identifying, educating and building relationships with survivors, psychosocial support and follow up. Although sociocultural factors may influence CHWs' performance and willingness of survivors to use their services, studies often did not report on CHWs characteristics. Few studies assessed acceptability of CHWs' to survivors or feasibility of delivery of services. However, participants mentioned a range

  20. Perceived discrimination amongst young people in socio-economically disadvantaged communities: Parental support and community identity buffer (some) negative impacts of stigma.

    Science.gov (United States)

    Bradshaw, Daragh; Jay, Sarah; McNamara, Namh; Stevenson, Clifford; Muldoon, Orla T

    2016-06-01

    There is increasing acceptance that children are not unaware of when they are targets of discrimination. However, discrimination as a consequence of socio-economic disadvantage remains understudied. The aim of this study was to examine the impact of perceived discrimination on well-being, perceptions of safety and school integration amongst children growing up within socio-economically disadvantaged communities in Limerick, Ireland. Mediation analysis was used to explore these relationships and to examine the potential role of parental support and community identity in boys and girls in the 6th to 9th year of compulsory education (N = 199). Results indicate perceived discrimination contributed to negative outcomes in terms of school integration, perceptions of safety and levels of well-being. Age and gender differences were observed which disadvantaged boys and younger children. All negative outcomes were buffered by parental support. Community identity also protected young people in terms of feelings of school integration and risk but not in terms of psychological well-being. Findings are discussed in terms of the different role of family and community supports for children negotiating negative social representations of their community. © 2015 The British Psychological Society.

  1. Queering the Support for Trafficked Persons: LGBTQ Communities and Human Trafficking in the Heartland

    Directory of Open Access Journals (Sweden)

    Corinne Schwarz

    2015-02-01

    Full Text Available Human trafficking justice centers on the “Three Ps” model of prevention, protection, and prosecution. While protection and prosecution efforts have been moderately successful, prevention remains elusive, as “upstream” structural fac-tors—class, gender, and sexuality inequalities—remain difficult to target. Individuals who are affected by these factors are not fully served within linear service frameworks. Based on a 12-month study in Kansas City, we find that service providers recognize the limitations of a “one-size-fits all” approach. Using a public health model, our research team con-ducted a public health surveillance, explored risk and protective factors, and facilitated organizational self-assessments of services. Our findings support a prevention approach that supports a survivor-centered model, which creates new, non-linear or queered avenues of agency and community for trafficking survivors. This model allows survivors to make use of services in moments of vulnerability and opt out of others in moments of resilience. Given the systematic cuts in funding that have affected service providers, this research contends that prevention is cheaper, more effective, and more ethical than relying on prosecutions to curb trafficking. Developing a model that fosters survivor empowerment is a key step toward individual justice and survivor resilience for vulnerable and marginalized populations.

  2. Relationship between Social Support Networks and Physical Functioning in Older Community-Dwelling Mexicans.

    Science.gov (United States)

    Mendoza-Núñez, Víctor Manuel; González-Mantilla, Fabiola; Correa-Muñoz, Elsa; Retana-Ugalde, Raquel

    2017-08-31

    Some studies have demonstrated the relationship between social support networks (SSNs) and health status. In this sense, it has been considered that physical and mental functioning is a key indicator of the health in the age people. The aim of this study was to determine the association between social support networks and physical functioning. A cross-sectional study was carried out including a convenience sample of 150 older community-dwelling Mexicans. We assessed the familial, extra-familial and institutional SSNs; social contacts; the activities of daily living (ADL); the instrumental activities of daily living (IADLs); and physical functioning task (PFT) performance among study participants. Of the 150 older subjects, 53 reported living alone (35%), 113 (75%) reported having few SSNs, and 37 (25%) reported having enough SSNs. Persons with few familial SSNs were at increased odds of demonstrating dependence in at least one of the ADL (OR = 3.25, 95% CI 1.06-9.92, p social contacts were at increased odds of demonstrating dependence in at least one of the IADL (OR = 6.96, 95% CI 1.57-30.7, p social contacts were the main risk factors for PFT dependence, with ORs of 3.70 (95% CI 1.21-11.2, p < 0.05) and 3.85 (95% CI 1.10-13.5, p < 0.05), respectively. Our findings suggest that having few SSNs could be a significant risk factor for reduced physical functioning in older adults.

  3. Establishment of a renal supportive care program: Experience from a rural community hospital in Taiwan

    Directory of Open Access Journals (Sweden)

    Chia-Ter Chao

    2016-07-01

    Full Text Available Renal supportive care (RSC denotes a care program dedicated for patients with acute, chronic renal failure, and end-stage renal disease (ESRD, aiming to offer maximal symptom relief and optimize patients' quality of life. The uncertainty of prognosis for patients with chronic kidney disease and ESRD, the sociocultural issues inherent to the Taiwanese society, and the void of structured and practical RSC pathway, contributes to the underrecognition and poor utilization of RSC. Taiwanese patients rarely receive information regarding RSC as part of a standardized care and are not commonly offered this option. In National Taiwan University Hospital Jinshan branch, we started a RSC subprogram, supported by the community-based palliative/hospice care main program. We focused on understanding the need and providing the choice of RSC to suitable candidates. A three-step and four-phase protocol was designed and implemented to identify appropriate patients and to enhance the applicability of the RSC. We harnessed family visit and home-based family meeting as a vehicle to understand the patients' preferences, to discover what ESRD patients and their family value most, and to introduce the option of RSC. In the current review, we described our pilot experience of establishing a RSC program in Taiwan, and discuss its potential advantage.

  4. Community supported agriculture membership in Arizona. An exploratory study of food and sustainability behaviours.

    Science.gov (United States)

    MacMillan Uribe, Alexandra L; Winham, Donna M; Wharton, Christopher M

    2012-10-01

    Community supported agriculture (CSA) programs have become a viable source of locally produced foods and represent a new way to increase fruit and vegetable consumption among individuals. Because CSAs represent a way for consumers to acquire healthy foods while providing financial support to local farmers, CSA involvement could reflect, and be related to, greater concern with both health and environmental impact of food choice. As such, the aim of this study was to examine whether ecological attitudes of CSA members could predict food- and sustainability-related behaviours. Using an online survey, respondents answered questions about attitudes towards the environment, as well behaviours related to food purchases, family food preparation, composting, recycling and minimising food-packaging waste. A total of 115 CSA member responses were collected. Ordinary least squares (OLS) multivariate regression analysis was used to investigate the predictive validity of environmental attitudes on measures of behaviours. A large portion of participants reported the amount and variety of fruits and vegetables their households ate increased as a result of joining a CSA program. Ecological sensitivity was a significant predictor of sustainability-related behaviours as well as money spent eating out and times eaten away from home per week. However, it was not predictive of family involvement in home food preparation. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial.

    Science.gov (United States)

    Kangovi, Shreya; Mitra, Nandita; Grande, David; Huo, Hairong; Smith, Robyn A; Long, Judith A

    2017-10-01

    To determine whether a community health worker (CHW) intervention improved outcomes in a low-income population with multiple chronic conditions. We conducted a single-blind, randomized clinical trial in Philadelphia, Pennsylvania (2013-2014). Participants (n = 302) were high-poverty neighborhood residents, uninsured or publicly insured, and diagnosed with 2 or more chronic diseases (diabetes, obesity, tobacco dependence, hypertension). All patients set a disease-management goal. Patients randomly assigned to CHWs also received 6 months of support tailored to their goals and preferences. Support from CHWs (vs goal-setting alone) led to improvements in several chronic diseases (changes in glycosylated hemoglobin: -0.4 vs 0.0; body mass index: -0.3 vs -0.1; cigarettes per day: -5.5 vs -1.3; systolic blood pressure: -1.8 vs -11.2; overall P = .08), self-rated mental health (12-item Short Form survey; 2.3 vs -0.2; P = .008), and quality of care (Consumer Assessment of Healthcare Providers and Systems; 62.9% vs 38%; P health. A standardized CHW intervention improved chronic disease control, mental health, quality of care, and hospitalizations and could be a useful population health management tool for health care systems. clinicaltrials.gov identifier: NCT01900470.

  6. Incorporating Social Media into your Support Tool Box: Points to Consider from Genetics-Based Communities.

    Science.gov (United States)

    Rocha, Heather Mae; Savatt, Juliann M; Riggs, Erin Rooney; Wagner, Jennifer K; Faucett, W Andrew; Martin, Christa Lese

    2018-04-01

    Patients with newly-described or rare genetic findings are turning to social media to find and connect with others. Blogs, Facebook groups, and Twitter have all been reported as tools for patients to connect with one another. However, the preferences for social media use and privacy among patients, their families, and these communities have not been well characterized. To explore preferences about privacy and membership guidelines, an online survey was administered to two web-based patient registries, Simons Variation in Individuals Project ( www.simonsvipconnect.org ) and GenomeConnect ( www.genomeconnect.org ). Over a three-month period, invitations were sent to 2524 individuals and 103 responses (4%) were received and analyzed. Responses indicate that Facebook is the most popular resource accessed within this sample population (99%). Participants used social media to look for information about their diagnosis or test results (83%), read posts from rare disease groups or organizations (73%), participate in conversations about their diagnosis (67%), and connect with others to find support (58%). Focusing on privacy issues in social media, respondents indicate that membership and access impact the level of comfort in sharing personal or medical information. Nearly 60% of respondents felt uncomfortable sharing photos or medical information within a public Facebook group, whereas only 12% of respondents felt uncomfortable sharing in private group targeted to families alone. Using this preliminary data concerning social media use and privacy, we developed points for genetic counselors to incorporate when discussing available support resources for patients with a new, or rare, genetic diagnosis or genetic test result. Genetic counselors are trained to provide anticipatory guidance to families adapting to new genetic information, and are well-equipped to help patients consider their preferences about using social media as a source of information and support.

  7. Evaluation of SOVAT: an OLAP-GIS decision support system for community health assessment data analysis.

    Science.gov (United States)

    Scotch, Matthew; Parmanto, Bambang; Monaco, Valerie

    2008-06-09

    Data analysis in community health assessment (CHA) involves the collection, integration, and analysis of large numerical and spatial data sets in order to identify health priorities. Geographic Information Systems (GIS) enable for management and analysis using spatial data, but have limitations in performing analysis of numerical data because of its traditional database architecture.On-Line Analytical Processing (OLAP) is a multidimensional datawarehouse designed to facilitate querying of large numerical data. Coupling the spatial capabilities of GIS with the numerical analysis of OLAP, might enhance CHA data analysis. OLAP-GIS systems have been developed by university researchers and corporations, yet their potential for CHA data analysis is not well understood. To evaluate the potential of an OLAP-GIS decision support system for CHA problem solving, we compared OLAP-GIS to the standard information technology (IT) currently used by many public health professionals. SOVAT, an OLAP-GIS decision support system developed at the University of Pittsburgh, was compared against current IT for data analysis for CHA. For this study, current IT was considered the combined use of SPSS and GIS ("SPSS-GIS"). Graduate students, researchers, and faculty in the health sciences at the University of Pittsburgh were recruited. Each round consisted of: an instructional video of the system being evaluated, two practice tasks, five assessment tasks, and one post-study questionnaire. Objective and subjective measurement included: task completion time, success in answering the tasks, and system satisfaction. Thirteen individuals participated. Inferential statistics were analyzed using linear mixed model analysis. SOVAT was statistically significant (alpha = .01) from SPSS-GIS for satisfaction and time (p OLAP-GIS decision support systems as a valuable tool for CHA data analysis.

  8. Evaluation of SOVAT: An OLAP-GIS decision support system for community health assessment data analysis

    Directory of Open Access Journals (Sweden)

    Parmanto Bambang

    2008-06-01

    Full Text Available Abstract Background Data analysis in community health assessment (CHA involves the collection, integration, and analysis of large numerical and spatial data sets in order to identify health priorities. Geographic Information Systems (GIS enable for management and analysis using spatial data, but have limitations in performing analysis of numerical data because of its traditional database architecture. On-Line Analytical Processing (OLAP is a multidimensional datawarehouse designed to facilitate querying of large numerical data. Coupling the spatial capabilities of GIS with the numerical analysis of OLAP, might enhance CHA data analysis. OLAP-GIS systems have been developed by university researchers and corporations, yet their potential for CHA data analysis is not well understood. To evaluate the potential of an OLAP-GIS decision support system for CHA problem solving, we compared OLAP-GIS to the standard information technology (IT currently used by many public health professionals. Methods SOVAT, an OLAP-GIS decision support system developed at the University of Pittsburgh, was compared against current IT for data analysis for CHA. For this study, current IT was considered the combined use of SPSS and GIS ("SPSS-GIS". Graduate students, researchers, and faculty in the health sciences at the University of Pittsburgh were recruited. Each round consisted of: an instructional video of the system being evaluated, two practice tasks, five assessment tasks, and one post-study questionnaire. Objective and subjective measurement included: task completion time, success in answering the tasks, and system satisfaction. Results Thirteen individuals participated. Inferential statistics were analyzed using linear mixed model analysis. SOVAT was statistically significant (α = .01 from SPSS-GIS for satisfaction and time (p Conclusion Using SOVAT, tasks were completed more efficiently, with a higher rate of success, and with greater satisfaction, than the

  9. Perceived stress in online prostate cancer community participants: Examining relationships with stigmatization, social support network preference, and social support seeking

    NARCIS (Netherlands)

    Rising, C.J.; Bol, N.; Burke-Garcia, A.; Rains, S.; Wright, K.B.

    2017-01-01

    Men with prostate cancer often need social support to help them cope with illness-related physiological and psychosocial challenges. Whether those needs are met depends on receiving support optimally matched to their needs. This study examined relationships between perceived stress, prostate

  10. Social Support and the Mental Health of Older Gay Men: Findings From a National Community-Based Survey.

    Science.gov (United States)

    Lyons, Anthony

    2016-02-01

    This study examines different types and sources of social support in relation to psychological distress levels among older Australian gay men. A national community-based survey was conducted involving 242 gay-identified men aged 50 years and older. In univariable regressions, psychological distress was less likely if men were receiving emotional support, practical support, or had a sense of belonging, and also if they had a greater number of close friends and received some or a lot of support from family and gay friends but not from straight friends. Of all these factors, a multivariable regression showed that receiving emotional support was the only significant independent factor. Emotional support appears to play a greater role in the mental health of older gay men than many other types and sources of support. Ensuring access to emotional support may need to be considered when promoting healthier aging among gay men. © The Author(s) 2015.

  11. How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support.

    Directory of Open Access Journals (Sweden)

    Lorraine Sherr

    Full Text Available Community-based responses have a lengthy history. The ravages of HIV on family functioning has included a widespread community response. Although much funding has been invested in front line community-based organisations (CBO, there was no equal investment in evaluations. This study was set up to compare children aged 9-13 years old, randomly sampled from two South African provinces, who had not received CBO support over time (YC with a group of similarly aged children who were CBO attenders (CCC. YC baseline refusal rate was 2.5% and retention rate was 97%. CCC baseline refusal rate was 0.7% and retention rate was 86.5%. 1848 children were included-446 CBO attenders compared to 1402 9-13 year olds drawn from a random sample of high-HIV prevalence areas. Data were gathered at baseline and 12-15 months follow-up. Standardised measures recorded demographics, violence and abuse, mental health, social and educational factors. Multivariate regression analyses revealed that children attending CBOs had lower odds of experiencing weekly domestic conflict between adults in their home (OR 0.17; 95% CI 0.09, 0.32, domestic violence (OR 0.22; 95% CI 0.08, 0.62, or abuse (OR 0.11; 95% CI 0.05, 0.25 at follow-up compared to participants without CBO contact. CBO attenders had lower odds of suicidal ideation (OR 0.41; 95% CI 0.18, 0.91, fewer depressive symptoms (B = -0.40; 95% CI -0.62, -0.17, less perceived stigma (B = -0.37; 95% CI -0.57, -0.18, fewer peer problems (B = -1.08; 95% CI -1.29, -0.86 and fewer conduct problems (B = -0.77; 95% CI -0.95, -0.60 at follow-up. In addition, CBO contact was associated with more prosocial behaviours at follow-up (B = 1.40; 95% CI 1.13, 1.67. No associations were observed between CBO contact and parental praise or post-traumatic symptoms. These results suggest that CBO exposure is associated with behavioural and mental health benefits for children over time. More severe psychopathology was not affected by attendance and

  12. Long-Term Condition Self-Management Support in Online Communities: A Meta-Synthesis of Qualitative Papers.

    Science.gov (United States)

    Allen, Chris; Vassilev, Ivaylo; Kennedy, Anne; Rogers, Anne

    2016-03-10

    Recent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline communities. However, less is known about how communities hosted in digital spaces contribute through the creation of social ties and the mobilization of an online illness "workforce." The aim was to understand the negotiation of long-term condition illness work in patient online communities and how such work may assist the self-management of long-term conditions in daily life. A systematic search of qualitative papers was undertaken using various online databases for articles published since 2004. A total of 21 papers met the inclusion criteria of using qualitative methods and examined the use of peer-led online communities for those with a long-term condition. A qualitative meta-synthesis was undertaken and the review followed a line of argument synthesis. The main themes identified in relation to the negotiation of self-management support were (1) redressing offline experiential information and knowledge deficits, (2) the influence of modeling and learning behaviors from others on self-management, (3) engagement that validates illness and negates offline frustrations, (4) tie formation and community building, (5) narrative expression and cathartic release, and (6) dissociative anonymity and invisibility. These translated into a line of argument synthesis in which four network mechanisms for self-management support in patient online communities were identified. These were (1) collective knowledge and identification through lived experience; (2) support, information, and engagement through readily accessible gifting relationships; (3) sociability that extends beyond illness; and (4) online disinhibition as a facilitator in the negotiation of self

  13. Educational program in Japan for Dementia Support Doctors who support medical and care systems as liaisons for demented older adults in the community.

    Science.gov (United States)

    Washimi, Yukihiko; Horibe, Kentaro; Takeda, Akinori; Abe, Takashi; Toba, Kenji

    2014-04-01

    Now that the number of elderly people has increased and the number of dementia patients is rapidly increasing, dementia might be regarded as a common disease. Under these circumstances, the establishment of systems to support the elderly with dementia from the early stages, and to provide primary care doctors and care workers with necessary education is an urgent issue. Up to the end of 2012, a total of 2680 doctors had been certified as Dementia Support Doctors (DSD). The DSD's function and roles are: (i) to support primary care doctors and care specialists involved in the medical care, and general care of dementia patients; (ii) to facilitate multidisciplinary cooperation led by a Community General Support Center; and (iii) to give lectures about dementia to primary care doctors and educate people in the community. DSD are more skilled than primary care doctors in the following functions: differential diagnosis; outpatient services to deal with behavioral and psychological symptoms of dementia; community liaison; and home care. © 2014 Japan Geriatrics Society.

  14. Supporting youth wellbeing with a focus on eating well and being active: views from an Aboriginal community deliberative forum.

    Science.gov (United States)

    Street, Jackie; Cox, Heather; Lopes, Edilene; Motlik, Jessie; Hanson, Lisa

    2018-02-14

    Including and prioritising community voice in policy development means policy is more likely to reflect community values and priorities. This project trialled and evaluated a storyboard approach in a deliberative community forum to engage Australian Aboriginal people in health policy priority setting. The forum was co-constructed with two Aboriginal community-controlled organisations. A circle storyboard was used to centre Aboriginal community knowledge and values and encourage the group to engage with broader perspectives and evidence. The forum asked a diverse (descriptively representative) group of Aboriginal people in a rural town what governments should do to support the wellbeing of children and youth, particularly to encourage them to eat well and be active. The storyboard provided a tactile device to allow shared stories and identification of community issues. The group identified policies they believed governments should prioritise, including strategies to combat racism and provide local supports and outlets for young people. An informed deliberative storyboard approach offers a novel way of engaging with Aboriginal communities in a culturally appropriate and inclusive manner. Implications for public health: The identification of racism as a major issue of concern in preventing children from living healthy lifestyles highlights the need for policy responses in this area. © 2018 The Authors.

  15. Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum.

    Science.gov (United States)

    Smith, Selina A; Blumenthal, Daniel S

    2012-11-01

    Ethical principles of community-based participatory research (CBPR)--specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability--stem from the work of Kurt Lewin and Paulo Freire. These are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communities for research purposes (the U.S. Public Health Service Tuskegee Syphilis Study being the most notorious) has left a legacy of mistrust of research and researchers. The purpose of this article is to examine experiences and lessons learned from community health workers (CHWs) in the 10-year translation of an educational intervention in the research-to-practice-to-community continuum. We conclude that the central role played by CHWs enabled the community to gain some degree of control over the intervention and its delivery, thus operationalizing the ethical principles of CBPR.

  16. Partnering with those we serve: using experiential learning activities to support community nursing practice.

    Science.gov (United States)

    Fries, Kathleen; Stewart, Julie G

    2012-01-01

    The concept of community is multidimensional and may include geographical boundaries and/or the shared interests of its members. Community nursing practice involves nurses, patients, and families who collaborate to address health issues and to promote positive health initiatives. Informed by community health theorists, experiential learning activities provide the structure to promote partnering in community nursing practice to achieve outcomes that benefit those who serve and those who are served.

  17. Using Learning Communities to Build Faculty Support for Pedagogical Innovation: A Multi-Campus Study

    Science.gov (United States)

    Furco, Andrew; Moely, Barbara E.

    2012-01-01

    To encourage greater adoption of a pedagogical innovation (service-learning), semester long faculty learning communities were established at eight institutions. These learning community experiences produced gains in participants' (N = 152) self-assessed expertise with service-learning, ability to collaborate with community partners, and…

  18. Establishing a Learning Community to Support Research and Scholarly Training: A Case Study

    Science.gov (United States)

    Mills, Jane; Birks, Melanie; Francis, Karen

    2014-01-01

    This paper examines the concept of learning communities as defined in the literature. An existing case study is described, and the issues that facilitated and constrained the development of this learning community are considered and discussed. Strategies to address threats to the ongoing viability and usefulness of a learning community to support…

  19. #Stupidcancer: Exploring a Typology of Social Support and the Role of Emotional Expression in a Social Media Community.

    Science.gov (United States)

    Myrick, Jessica Gall; Holton, Avery E; Himelboim, Itai; Love, Brad

    2016-01-01

    Social network sites (SNSs) like Twitter continue to attract users, many of whom turn to these spaces for social support for serious illnesses like cancer. Building on literature that explored the functionality of online spaces for health-related social support, we propose a typology that situates this type of support in an SNS-based open cancer community based on the type (informational or emotional) and the direction (expression or reception) of support. A content analysis applied the typology to a 2-year span of Twitter messages using the popular hashtag "#stupidcancer." Given that emotions form the basis for much of human communication and behavior, including aspects of social support, this content analysis also examined the relationship between emotional expression and online social support in tweets about cancer. Furthermore, this study looked at the various ways in which Twitter allows for message sharing across a user's entire network (not just among the cancer community). This work thus begins to lay the conceptual and empirical groundwork for future research testing the effects of various types of social support in open, interactive online cancer communities.

  20. Influence of Strong Diurnal Variations in Sewage Quality on the Performance of Biological Denitrification in Small Community Wastewater Treatment Plants (WWTPs)

    OpenAIRE

    Massimo Raboni; Vincenzo Torretta; Giordano Urbini

    2013-01-01

    The great diurnal variation in the quality of wastewater of small communities is an obstacle to the efficient removal of high nitrogen with traditional activated sludge processes provided by pre-denitrification. To verify this problem, the authors developed a pilot plant, in which the domestic wastewater of community of 15,000 inhabitants was treated. The results demonstrate that average and peak nitrogen removal efficiencies of over 60% and 70%, respectively, are difficult to obtain because ...

  1. Neuroinformatics Software Applications Supporting Electronic Data Capture, Management, and Sharing for the Neuroimaging Community.

    Science.gov (United States)

    Nichols, B Nolan; Pohl, Kilian M

    2015-09-01

    Accelerating insight into the relation between brain and behavior entails conducting small and large-scale research endeavors that lead to reproducible results. Consensus is emerging between funding agencies, publishers, and the research community that data sharing is a fundamental requirement to ensure all such endeavors foster data reuse and fuel reproducible discoveries. Funding agency and publisher mandates to share data are bolstered by a growing number of data sharing efforts that demonstrate how information technologies can enable meaningful data reuse. Neuroinformatics evaluates scientific needs and develops solutions to facilitate the use of data across the cognitive and neurosciences. For example, electronic data capture and management tools designed to facilitate human neurocognitive research can decrease the setup time of studies, improve quality control, and streamline the process of harmonizing, curating, and sharing data across data repositories. In this article we outline the advantages and disadvantages of adopting software applications that support these features by reviewing the tools available and then presenting two contrasting neuroimaging study scenarios in the context of conducting a cross-sectional and a multisite longitudinal study.

  2. Ageism, Aging and HIV: Community Responses to Prevention, Treatment, Care and Support.

    Science.gov (United States)

    DeMarco, Rosanna F; Brennan-Ing, Mark; Sprague, Courtenay; Brown, Shelley M

    Ageism, in the form of prejudice, stereotyping, and discrimination targeting older adults, represents a barrier to addressing the graying of the HIV epidemic. There is widespread misperception on the part of older adults themselves, as well as service providers and society in general that HIV risk is low as one ages. In addition, internalized ageism may play a role in poorer physical and mental health outcomes, as the negative stereotypes associated with aging become a self-fulfilling prophecy. A number of steps can be taken to address HIV and aging in the context of ageism with regard to: prevention, education, and outreach; treatment guidelines for older adults with HIV; funding to address the aging of the epidemic; engagement of communities, health and social service organizations, and other providers around mental health and social support, and addressing the needs of special populations. Caring for an aging population with HIV represents a challenge, which is exacerbated in low and/or middle-income countries that typically lack the infrastructure of high resource settings. How we address the aging-related issues of the HIV epidemic across regions and settings could serve as a model in dealing with aging in our society in general regardless of HIV status. © 2017 S. Karger AG, Basel.

  3. A comparative analysis of the costs of onshore wind energy: Is there a case for community-specific policy support?

    International Nuclear Information System (INIS)

    Berka, Anna L.; Harnmeijer, Jelte; Roberts, Deborah; Phimister, Euan; Msika, Joshua

    2017-01-01

    There is growing policy interest in increasing the share of community-owned renewable energy generation. This study explores why and how the costs of community-owned projects differ from commercially-owned projects by examining the case of onshore wind in the UK. Based on cross-sectoral literature on the challenges of community ownership, cost differences are attributed to six facets of an organisation or project: internal processes, internal knowledge and skills, perceived local legitimacy of the project, perceived external legitimacy of the organisation, investor motivation and expectations, and finally, project scale. These facets impact not only development costs but also project development times and the probability that projects pass certain critical stages in the development process. Using survey-based and secondary cost data on community and commercial projects in the UK, a model is developed to show the overall impact of cost, time and risk differences on the value of a hypothetical 500 kW onshore wind project. The results show that the main factors accounting for differences are higher pre-planning costs and additional risks born by community projects, and suggest that policy interventions may be required to place community- owned projects on a level playing field with commercial projects. - Highlights: • Policy support for community energy projects should be targeted at reducing early costs and risk factors. • Hurdle rates are critical in determining the financial viability of projects. • Shared ownership arrangements may help remove some of key challenges to community-only projects.

  4. Comparative study of researcher community support and supervisory support among Finnish and Danish PhD-students

    DEFF Research Database (Denmark)

    Cornér, Solveig; Pyhältö, Kirsi; Peltonen, Jouni

    , Vekkaila & Keskinen, 2015) has shown to have a positive influence on students’ persistence (Ives & Rowley, 2005). However, we still know surprisingly little about the cross-national variation in the support experienced among doctoral students (Jairam & Kahl, 2012). This study explores experiences...... and supervisory support experiences b) dissertation format, c) research group status d) study status (full-time/part-time), e) attrition intentions, and f) engagement in international research activities? (2) Is the support experienced associated with the a) dissertation format, b) research group status c) part...... and social sciences from two research-intensive universities in Denmark (n=145) and Finland (n=211) participated in the study. The study employed a convergent mixed methods design (Creswell & Clark, 2011), both quantitative analyses and qualitative analysis (open-ended descriptions) were employed...

  5. Community support and participation among persons with disabilities. A study in three European countries

    Directory of Open Access Journals (Sweden)

    Jean-Pierre Wilken

    2014-09-01

    Full Text Available Community support and participation among persons with disabilities. A study in three European countriesThis article describes a European project which was aimed at improving the situation of persons with psychiatric or learning disabilities with regard to social participation and citizenship. The project took place in three countries (Estonia, Hungary and the Netherlands and four cities (Tallinn, Budapest, Amersfoort and Maastricht. The project included research and actions at the policy level, the organizational level and the practice level. At the policy level, the framework of the United Nations Convention on the Rights of Persons with Disabilities (United Nations, 2006 and the European Disability Strategy (European Commission, 2010 were used to look at national and local policies, at the reality of the lives of those with disabilities and at the support that professional services offer with regard to participation and inclusion. The project generated a number of insights, recommendations and methods by which to improve the quality of service and increase the number of opportunities for community engagement. In this article, we present some of the lessons learned from the meta-analysis. Although the circumstances in each country are quite different with regard to policy, culture and service systems, it is remarkable that people with disabilities face many of the same problems.The study shows that in all three countries, access to services could be improved. Barriers include bureaucratic procedures and a lack of services. The research identified that in every country and city there are considerable barriers regarding equal participation in the field of housing, work and leisure activities. In addition to financial barriers, there are the barriers of stigma and self-stigmatization. Marginalization keeps people in an unequal position and hinders their recovery and participation. In all countries, professionals need to develop a stronger focus

  6. Do online health communities enhance patient-physician relationship? An assessment of the impact of social support and patient empowerment.

    Science.gov (United States)

    Audrain-Pontevia, Anne-Francoise; Menvielle, Loick

    2017-01-01

    The diffusion of the Web 2.0 has made it possible for patients to exchange on online health communities, defined as computer-mediated communities dedicated to health topics, wherein members can build relationships with other members. It is now acknowledged that online health communities provide users not only with medical information but also with social support with no time or geographical boundaries. However, in spite of their considerable interest, there is still a paucity of research as to how online health communities alter the patient-physician relationship. This research aims at filling this gap and examines how online health communities, while providing users with computer-mediated social support and empowerment, impact the patient-physician relationship. Six hypotheses are proposed and tested. A survey was developed and 328 responses were collected from online patient groups in Canada in 2016. The data were analysed using structural equation modelling. All but one hypothesis are validated. The results show that user computer-mediated social support positively influences user empowerment and participation during the consultation, which in turn determines user commitment to the relationship with the physician. Importantly and contrary to our expectations, user empowerment is found to be significantly but negatively related to user commitment with the physician.

  7. Community-led local development approach principles implementation when forming a regional local development projects support system in Ukraine

    Directory of Open Access Journals (Sweden)

    Y. G. Udod

    2017-03-01

    Full Text Available The article contains a brief description of the Community-led local development approach (local development under the leadership of the community, CLLD and the main purpose of its use in the European Union. The study indicated periods of the major initiatives to support local development in EU. Moreover the article posted CLLD approach principles’ evolution and the basic principles of the LEADER method and its application in CLLD, which can be applied in Ukraine. Subject to the provisions of the European Economic and Social Committee (EESC for further CLLD-approach distribution the five trends were identified that must be considered when forming a Regional local development projects support system in Ukraine: Multi-fund financing; Unification; Networking and collaboration; Extending the approach; Simplifying the process. The characteristic of the present phase of CLLD-approach, in particular, of the European Network for Rural Development (ENRD, which attaches great importance to the dissemination of the most effective CLLD practices and establish partnerships between communities and territories where the approach is implemented. The study found out the relationship between Community-led local development and Community-driven development (CDD supported by the World Bank.

  8. Dementia RED (Respect Empathy Dignity): Collaborating to build dementia supportive communities in North Wales--reporting on a pilot project (innovative practice).

    Science.gov (United States)

    Chalk, Annabel; Page, Sean

    2016-03-01

    There is increasing interest in developing dementia supportive communities world wide. Dementia RED (Respect Empathy Dignity) is a unique example from North Wales which is based on the twin concepts of people living with dementia as citizens in their community and developing 'bottom up' rather than 'top down' approaches to dementia supportive communities. Most people with dementia prefer to live at home thus making community connectivity key to maintaining healthy relationships and wellbeing. For those living with dementia, the community plays a pivotal role in providing value, meaning, purpose and acceptance. Building dementia supportive communities helps to raise awareness about dementia in the community through engagement and from identifying champions in the locality to voice issues. Dementia RED is an initiative and service which helps to develop such a philosophy in creating a dementia supportive community. © The Author(s) 2014.

  9. Supporting a Diverse Community of Undergraduate Researchers in Satellite and Ground-Based Remote Sensing

    Science.gov (United States)

    Blake, R.; Liou-Mark, J.

    2012-12-01

    The U.S. remains in grave danger of losing its global competitive edge in STEM. To find solutions to this problem, the Obama Administration proposed two new national initiatives: the Educate to Innovate Initiative and the $100 million government/private industry initiative to train 100,000 STEM teachers and graduate 1 million additional STEM students over the next decade. To assist in ameliorating the national STEM plight, the New York City College of Technology has designed its NSF Research Experience for Undergraduate (REU) program in satellite and ground-based remote sensing to target underrepresented minority students. Since the inception of the program in 2008, a total of 45 undergraduate students of which 38 (84%) are considered underrepresented minorities in STEM have finished or are continuing with their research or are pursuing their STEM endeavors. The program is comprised of the three primary components. The first component, Structured Learning Environments: Preparation and Mentorship, provides the REU Scholars with the skill sets necessary for proficiency in satellite and ground-based remote sensing research. The students are offered mini-courses in Geographic Information Systems, MATLAB, and Remote Sensing. They also participate in workshops on the Ethics of Research. Each REU student is a member of a team that consists of faculty mentors, post doctorate/graduate students, and high school students. The second component, Student Support and Safety Nets, provides undergraduates a learning environment that supports them in becoming successful researchers. Special networking and Brown Bag sessions, and an annual picnic with research scientists are organized so that REU Scholars are provided with opportunities to expand their professional community. Graduate school support is provided by offering free Graduate Record Examination preparation courses and workshops on the graduate school application process. Additionally, students are supported by college

  10. Community ART Support Groups in Mozambique: The Potential of Patients as Partners in Care.

    Science.gov (United States)

    Jobarteh, Kebba; Shiraishi, Ray W; Malimane, Inacio; Samo Gudo, Paula; Decroo, Tom; Auld, Andrew F; Macome, Vania; Couto, Aleny

    2016-01-01

    High rates of attrition are stymying Mozambique's national HIV Program's efforts to achieve 80% treatment coverage. In response, Mozambique implemented a national pilot of Community Adherence and Support Groups (CASG). CASG is a model in which antiretroviral therapy (ART) patients form groups of up to six patients. On a rotating basis one CASG group member collects ART medications at the health facility for all group members, and distributes those medications to the other members in the community. Patients also visit their health facility bi-annually to receive clinical services. A matched retrospective cohort study was implemented using routinely collected patient-level data in 68 health facilities with electronic data systems and CASG programs. A total of 129,938 adult ART patients were registered in those facilities. Of the 129,938 patients on ART, 6,760 were CASG members. A propensity score matched analysis was performed to assess differences in mortality and loss to follow-up (LTFU) between matched CASG and non-CASG members. Propensity scores were estimated using a random-effects logistic regression model. The following covariates where included in the model: sex, educational status, WHO stage, year of ART initiation, age, CASG eligibility, CD4 cell count category, weight, and employment status. Non-CASG participants had higher LTFU rates (HR 2.356; p = 0.04) than matched CASG participants; however, there were no significant mortality differences between CASG and non-CASG participants. Compared with the full cohort of non-CASG members, CASG members were more likely to be female (74% vs. 68%), tended to have a lower median CD4 counts at ART initiation (183 cells/m3 vs. 200cells/m3) and be less likely to have a secondary school education (15% vs. 23%). ART patients enrolled in CASG were significantly less likely to be LTFU compared to matched patients who did not join CASG. CASG appears to be an effective strategy to decrease LTFU in Mozambique's national ART

  11. A Holistic Conception of Nonacademic Support: How Four Mechanisms Combine to Encourage Positive Student Outcomes in the Community College

    Science.gov (United States)

    Mechur Karp, Melinda

    2016-01-01

    Despite their best efforts, community colleges continue to see low rates of student persistence and degree attainment. Although such outcomes can be attributed in large part to students' lack of academic readiness, nonacademic issues also play a part. Building on Karp's 2011 framework of nonacademic support, this chapter explores the evidence that…

  12. It Takes Research to Build a Community: Ongoing Challenges for Scholars in Digitally-Supported Communicative Language Teaching

    Science.gov (United States)

    Dooly, Melinda

    2015-01-01

    This article provides an argument for closer multilateral alliances between the emergent and loosely-bound international community of educational researchers who are working in areas related to Digitally Supported Communicative Language Teaching and learning (herein DSCLT). By taking advantage of the communications revolution that is currently…

  13. Community Violence Victimization and Symptoms of Posttraumatic Stress Disorder: The Moderating Effects of Coping and Social Support

    Science.gov (United States)

    Scarpa, Angela; Haden, Sara Chiara; Hurley, Jimmy

    2006-01-01

    This study tested the relationship of community violence (CV) victimization to severity of posttraumatic stress disorder (PTSD), and the roles of coping style and perceived social support in moderating that relationship. Three-hundred seventy-two men and women (age 18 to 22 years) self-reported on CV exposure, traumatic experiences, PTSD symptoms,…

  14. Close or renew? Factors affecting local community support for rebuilding nuclear power plants in the Czech Republic

    Czech Academy of Sciences Publication Activity Database

    Frantál, Bohumil; Malý, Jiří

    2017-01-01

    Roč. 140, č. 140 (2017), s. 134-143 ISSN 0301-4215 R&D Projects: GA ČR GA16-04483S Institutional support: RVO:68145535 Keywords : nuclear power plants * rebuilding * community acceptance Subject RIV: DE - Earth Magnetism, Geodesy, Geography Impact factor: 4.140, year: 2016 http://www.sciencedirect.com/science/article/pii/S0301421517300599

  15. Conceptualization and Support of the Role of Teachers Serving as Team Leaders in a Professional Learning Community

    Science.gov (United States)

    Gordin, Lanelle

    2010-01-01

    This study presents the results of a phenomenological qualitative investigation into the new role of teachers serving as team leaders in a professional learning community, as well as the support team leaders need from members and principals to be effective. Collaborative teacher teams in 6 schools that have been developing as professional learning…

  16. A Policy Framework for Joint Use: Enabling and Supporting Community Use of K-12 Public School Facilities

    Science.gov (United States)

    Filardo, Mary; Vincent, Jeffrey M.

    2014-01-01

    Joint use of public school facilities is a complex but manageable approach to efficiently enhancing the services and programs available to students and supporting the community use of public schools. Building upon on our 2010 paper titled "Joint Use of Public Schools: A Framework for a New Social Contract," this paper identifies the…

  17. Embedding Language Support in Developmental Mathematics Lessons: Exploring the Value of Design as Professional Development for Community College Mathematics Instructors

    Science.gov (United States)

    Gomez, Kimberley; Gomez, Louis M.; Rodela, Katherine C.; Horton, Emily S.; Cunningham, Jahneille; Ambrocio, Rocio

    2015-01-01

    Three community college faculty members used improvement science techniques to design, develop, and refine contextualized developmental mathematics lessons, where language and literacy pedagogy and related supports figured prominently in these instructional materials. This article reports on the role that their design experiences played in…

  18. Sustaining and Expanding Evidence-Based Supported Employment: The Role of State Leaders Participating in a Learning Community.

    Science.gov (United States)

    Bond, Gary R; Johnson-Kwochka, Annalee V; Becker, Deborah R; Drake, Robert E; Greene, Mary Ann

    2017-05-01

    State leaders often promote implementation of evidence-based practices but have difficulty sustaining and expanding them over time. This paper examines the activities of leaders in 13 states that have successfully implemented, sustained, and expanded evidence-based supported employment, known as Individual Placement and Support (IPS), for 4 to 12 years. We interviewed state leaders from 13 states participating in a learning community regarding the composition of their leadership team, participation in the learning community, interagency collaboration, state policy alignment, financing, training, and monitoring of fidelity and outcome. To assess state-level performance in implementing, sustaining, and expanding IPS services, we obtained measures of sustainment, expansion, program fidelity, and employment in the subsequent year and compared them to a priori benchmarks. The majority of states (between 69 % and 77 %) met benchmarks for sustainment, expansion, fidelity, and employment. States varied widely in specific actions to advance IPS, but all had established leadership teams, participated in the national learning community, and built an infrastructure supporting IPS. Leaders in 13 states participating in a learning community have adopted and maintained multiple strategies to sustain and expand evidence-based supported employment at a high level of fidelity with good employment outcomes.

  19. Community-Level Sanitation Coverage More Strongly Associated with Child Growth and Household Drinking Water Quality than Access to a Private Toilet in Rural Mali.

    Science.gov (United States)

    Harris, Michael; Alzua, Maria Laura; Osbert, Nicolas; Pickering, Amy

    2017-06-20

    Sanitation access can provide positive externalities; for example, safe disposal of feces by one household prevents disease transmission to households nearby. However, little empirical evidence exists to characterize the potential health benefits from sanitation externalities. This study investigated the effect of community sanitation coverage versus individual household sanitation access on child health and drinking water quality. Using a census of 121 villages in rural Mali, we analyzed the association of community latrine coverage (defined by a 200 m radius surrounding a household) and individual household latrine ownership with child growth and household stored water quality. Child height-for-age had a significant and positive linear relationship with community latrine coverage, while child weight-for-age and household water quality had nonlinear relationships that leveled off above 60% coverage (p sanitation access of surrounding households was more important than private latrine access for protecting water quality and child health.

  20. Sustaining health in faith community nursing practice: emerging processes that support the development of a middle-range theory.

    Science.gov (United States)

    Dyess, Susan MacLeod; Chase, Susan K

    2012-01-01

    This article reveals processes that support theoretical development for holistic nursing in the context of a faith community. The emerging processes enhance the articulation of the holistically focused practice, add clarity to faith community nursing activities and outcomes, and contribute to theoretical clarification and development. Theoretical clarity is essential to guide faith community nursing practice, research, and education because there is tremendous potential for the specialty practice to contribute to the health of a community across the continuum of caring and because to date there has been no unifying model for this practice proposed. A lack of a theoretical basis can result in disparate and disconnected approaches to studying, testing, and promoting the practice.

  1. Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support.

    Science.gov (United States)

    Chung, Bowen; Ngo, Victoria K; Ong, Michael K; Pulido, Esmeralda; Jones, Felica; Gilmore, James; Stoker-Mtume, Norma; Johnson, Megan; Tang, Lingqi; Wells, Kenneth Brooks; Sherbourne, Cathy; Miranda, Jeanne

    2015-08-01

    Community engagement and planning (CEP) could improve dissemination of depression care quality improvement in underresourced communities, but whether its effects on provider training participation differ from those of standard technical assistance, or resources for services (RS), is unknown. This study compared program- and staff-level participation in depression care quality improvement training among programs enrolled in CEP, which trained networks of health care and social-community agencies jointly, and RS, which provided technical support to individual programs. Matched programs from health care and social-community service sectors in two communities were randomly assigned to RS or CEP. Data were from 1,622 eligible staff members from 95 enrolled programs. Primary outcomes were any staff trained (for programs) and total hours of training (for staff). Secondary staff-level outcomes were hours of training in specific depression collaborative care components. CEP programs were more likely than RS programs to participate in any training (p=.006). Within health care sectors, CEP programs were more likely than RS programs to participate in training (p=.016), but within social-community sectors, there was no difference in training by intervention. Among staff who participated in training, mean training hours were greater among CEP programs versus RS programs for any type of training (p<.001) and for training related to each component of depression care (p<.001) except medication management. CEP may be an effective strategy to promote staff participation in depression care improvement efforts in underresourced communities.

  2. Depressive symptoms in middle-aged women are more strongly associated with physical health and social support than with socioeconomic factors

    DEFF Research Database (Denmark)

    Aro, A R; Nyberg, N; Absetz, P

    2001-01-01

    The association of socioeconomic factors, health-related factors, and social support with depressive symptoms has been extensively studied. However, most epidemiological studies have focused on a few factors such as marital status, social class, and employment. In this study of middle-aged women we....... Socioeconomic, health-related, and social support factors were all measured with single items. All variables, except level of urbanization, were significantly associated with depressive symptoms in univariate analyses. Multivariate associations were examined with standard multiple regression analyses in three...

  3. The Curriculum Customization Service: A Tool for Customizing Earth Science Instruction and Supporting Communities of Practice

    Science.gov (United States)

    Melhado, L. C.; Devaul, H.; Sumner, T.

    2010-12-01

    contributed by colleagues to create personalized, annotated collections of resources best suited to address the needs of the students in their classroom. Teachers can see the resources that their colleagues are using to customize their instruction, and share their ideas about the suitability of resources for different learners or learning styles through the use of tags and annotations thus creating a community of practice in support of differentiated instruction. A field trial involving 124 middle and high school Earth science teachers in a large urban school district was conducted in the 2009-2010 academic year, accompanied by a mixed-method research and evaluation study to investigate the impact of the use of this system on teacher beliefs and practice, and student learning. This presentation will include a demonstration of the system as well as discuss the results of the research thus far.

  4. Metal Catalysis with Nanostructured Metals Supported Inside Strongly Acidic Cross-linked Polymer Frameworks: Influence of Reduction Conditions of AuIII-containing Resins on Metal Nanoclusters Formation in Macroreticular and Gel-Type Materials

    Czech Academy of Sciences Publication Activity Database

    Calore, L.; Cavinato, g.; Canton, P.; Peruzzo, L.; Banavali, R.; Jeřábek, Karel; Corain, B.

    2012-01-01

    Roč. 391, AUG 30 (2012), s. 114-120 ISSN 0020-1693 Institutional support: RVO:67985858 Keywords : strongly acidic cross-linked polymer * frameworks * gold(0) nanoclusters Subject RIV: CI - Industrial Chemistry, Chemical Engineering Impact factor: 1.687, year: 2012

  5. Community-Level Sanitation Coverage More Strongly Associated with Child Growth and Household Drinking Water Quality than Access to a Private Toilet in Rural Mali

    Science.gov (United States)

    2017-01-01

    Sanitation access can provide positive externalities; for example, safe disposal of feces by one household prevents disease transmission to households nearby. However, little empirical evidence exists to characterize the potential health benefits from sanitation externalities. This study investigated the effect of community sanitation coverage versus individual household sanitation access on child health and drinking water quality. Using a census of 121 villages in rural Mali, we analyzed the association of community latrine coverage (defined by a 200 m radius surrounding a household) and individual household latrine ownership with child growth and household stored water quality. Child height-for-age had a significant and positive linear relationship with community latrine coverage, while child weight-for-age and household water quality had nonlinear relationships that leveled off above 60% coverage (p water quality were not associated with individual household latrine ownership. The relationship between community latrine coverage and child height was strongest among households without a latrine; for these households, each 10% increase in latrine coverage was associated with a 0.031 (p-value = 0.040) increase in height-for-age z-score. In this study, the level of sanitation access of surrounding households was more important than private latrine access for protecting water quality and child health. PMID:28514143

  6. Supporting patients with mental illness: Deconstructing barriers to community pharmacist access.

    Science.gov (United States)

    Calogero, Samantha; Caley, Charles F

    To discuss the barriers faced by individuals with mental health conditions attempting to access their community pharmacists and to propose solutions toward deconstructing those barriers. Given the prevalence of mental illness and the frequency at which psychotropic medications are dispensed, community pharmacists have a daily opportunity to engage patients with mental illness and be active participants in community-based mental health care. Yet multiple barriers affect patient access to community pharmacists. Some barriers, such as heavy dispensing workload, can be considered as "external" to the pharmacist. Other barriers, such as negative attitudes about mental illness, are considered to be "internal." Research about mental illness stigma in pharmacy often reports that community pharmacists are uncomfortable with, or have little time for, mental health patients. Patients also report experiencing stigma from pharmacists and pharmacy staff. Expanded efforts are needed by the pharmacy profession to deconstruct barriers that patients with mental illness are faced with in community pharmacy, especially related to stigma. Specifically, these efforts should include critically evaluating and addressing the quality of didactic and experiential opportunities in psychiatric pharmacotherapy for pharmacy students, transforming the physical layout of community pharmacies to offer true counseling privacy, educating community pharmacists and pharmacy staff about mental illness, and educating patients about what to expect from community pharmacists. There are opportunities for community pharmacy to improve its impact on mental health treatment outcomes by resolving mental illness stigma and other barriers that prevent patients with mental illness from accessing their community pharmacist. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  7. Four years of practice-based and exercise-supported behavioural medicine in one community of the German CINDI area. Countrywide Integrated Non-Communicable Diseases Intervention.

    Science.gov (United States)

    Wiesemann, A; Metz, J; Nuessel, E; Scheidt, R; Scheuermann, W

    1997-05-01

    The main goal of the preventive intervention study in one community of the German CINDI (Countrywide Integrated Non-Communicable Diseases Intervention programme of the WHO) area was to improve cardiovascular health by reducing the risk factors smoking, hypertension, obesity, hypercholesterolaemia, and by changing sedentary lifestyle. The intervention was performed by using the special "Three-Level-Strategy", which is characterised by activities of primary care physicians in the usual consulting hour (1st level), with patient groups in their practices (2nd level), and at community level (3rd level) where a special work group and a co-ordinating general practice are co-operating. To evaluate the occurrence of the risk factors in practice and the local population, four cross-sectional random samples (N(total) = 4881) were carried out in seven practices from 1992 to 1995. On the community level, 23 special exercise-based health groups (N(total) = 600) were established and were investigated by means of a questionnaire, related to behaviour and health beliefs. A "Local Health Information System" facilitated the evaluation, the management of the data, and the organisation of the health programme. The results of the practice samples showed a significant reduction of smoking (-17.8%) and hypertension (-31.5%) (p healthy nutrition, 52% of relaxation; 86.2% intended to regularly increase physical activity in leisure time and 82 % could not imagine regular health training without exercise meetings. We conclude that the practice-based "Three-Level-Strategy" provides a strong support for successful long-term prevention of cardiovascular risk, particularly, when exercise-based health training sessions are performed in order to change sedentary lifestyle. When organised on community level, they might have a positive impact on the health behaviour of the whole community. Physical activity can be used as a "prodrug" for health promotion in a holistic way.

  8. Consulting, Mediating, Conducting, and Supporting: How Community-Based Organizations Engage with Research to Influence Policy

    Science.gov (United States)

    Winton, Sue; Evans, Michael P.

    2016-01-01

    Grounded in critical policy theories and democratic conceptions of research, case studies of three community-based organizations, one in Canada and two in the U.S., were analyzed to determine if and how the groups engaged with research in their efforts to influence education policy. The findings demonstrate that the community-based organizations…

  9. The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: a systematic review

    Directory of Open Access Journals (Sweden)

    Maja Lopez Hartmann

    2012-08-01

    Full Text Available Introduction: Informal caregivers are important resources for community-dwelling frail elderly. But caring can be challenging. To be able to provide long-term care to the elderly, informal caregivers need to be supported as well. The aim of this study is to review the current best evidence on the effectiveness of different types of support services targeting informal caregivers of community-dwelling frail elderly. Methods: A systematic literature search was performed in Medline, PsychINFO, Ovid Nursing Database, Cinahl, Embase, Cochrane Central Register of Controlled Trials and British Nursing Index in september 2010. Results: Overall, the effect of caregiver support interventions is small and also inconsistent between studies. Respite care can be helpful in reducing depression, burden and anger. Interventions at the individual caregivers' level can be beneficial in reducing or stabilizing depression, burden, stress and role strain. Group support has a positive effect on caregivers' coping ability, knowledge, social support and reducing depression. Technology-based interventions can reduce caregiver burden, depression, anxiety and stress and improve the caregiver's coping ability. Conclusion: Integrated support packages where the content of the package is tailored to the individual caregivers' physical, psychological and social needs should be preferred when supporting informal caregivers of frail elderly. It requires an intense collaboration and coordination between all parties involved.

  10. A process evaluation of the 'Aware' and 'Supportive Communities' gambling harm-minimisation programmes in New Zealand.

    Science.gov (United States)

    Kolandai-Matchett, Komathi; Bellringer, Maria; Landon, Jason; Abbott, Max

    2018-04-01

    The Gambling Act 2003 mandated a public health strategy for preventing and minimising gambling harm in New Zealand. Aware Communities and Supportive Communities are two public health programmes subsequently implemented nationwide. These programmes differed from common health promotion initiatives such as media or education campaigns as they were community-action based (requiring community involvement in programme planning and delivery). We carried out a process evaluation to determine their implementation effectiveness and inform improvement and future programme planning. Our qualitative dominant mixed methods design comprised analysis of over a hundred implementer progress reports (submitted July 2010 - June 2013), a staff survey and a staff focus group interview. The programmes demonstrated capacity to not only achieve expected outcomes (e.g. enhanced community awareness about harmful gambling), but also to enhance social sustainability at the community level (e.g. established trustful relationships) and achieve some programme sustainability (e.g. community ownership over ongoing programme delivery). The evaluation noted the potential for a sustainable gambling harm-minimisation model. Community-action based harm-minimisation programmes offer programme sustainability potential which in turn offers funding cost-effectiveness when there are continual public health outcomes beyond initial funding. Although resource intensive, the community-action based approach enables culturally appropriate public health programmes suitable for societies where specific ethnic groups have higher gambling risk. Recognition of such harm-minimisation programmes' contribution to social sustainability is important considering the potential for broader public health outcomes (e.g. better life quality, lesser social problems) within socially sustainable societies.

  11. Strong Cosmic Censorship

    Science.gov (United States)

    Isenberg, James

    2017-01-01

    The Hawking-Penrose theorems tell us that solutions of Einstein's equations are generally singular, in the sense of the incompleteness of causal geodesics (the paths of physical observers). These singularities might be marked by the blowup of curvature and therefore crushing tidal forces, or by the breakdown of physical determinism. Penrose has conjectured (in his `Strong Cosmic Censorship Conjecture`) that it is generically unbounded curvature that causes singularities, rather than causal breakdown. The verification that ``AVTD behavior'' (marked by the domination of time derivatives over space derivatives) is generically present in a family of solutions has proven to be a useful tool for studying model versions of Strong Cosmic Censorship in that family. I discuss some of the history of Strong Cosmic Censorship, and then discuss what is known about AVTD behavior and Strong Cosmic Censorship in families of solutions defined by varying degrees of isometry, and discuss recent results which we believe will extend this knowledge and provide new support for Strong Cosmic Censorship. I also comment on some of the recent work on ``Weak Null Singularities'', and how this relates to Strong Cosmic Censorship.

  12. Communities of practice in support of collaborative multi-disciplinary learning and action in response to climate change

    Science.gov (United States)

    Heimlich, J. E.; Stylinski, C.; Palmquist, S.; Wasserman, D.

    2017-12-01

    Collaborative efforts reaching across interdisciplinary boundaries to address controversial issues such as climate change present significant complexities, including developing shared language, agreeing on common outcomes, and even establishing habits of regular dialogue. Such collaborative efforts should include museums, aquariums, zoos, parks, and youth groups as each of these informal education institutions provides a critical avenue for supporting learning about and responding to climate change. The community of practice framework offers a potential effective approach to support learning and action of diverse groups with a shared interest. Our study applied this framework to the NSF-funded Maryland and Delaware Climate Change Assessment and Education (MADE-CLEAR) project, facilitating informal educators across these two states to advance their climate change education practices, and could provide insight for a building a citywide multi-sector collaborative effort. We found strategies that center on the process of group evolution; support different perspectives, levels of participation, and community spaces; focus on value as defined by members; and balance familiarity and fun produced a dynamic and functional community with a shared practice where none had existed before. Also important was expanding the community-of-practice focus on relationship building to include structured professional development and spin-off opportunities for small-group team-based endeavors. Our findings suggest that this collaborative professional learning approach is well suited to diverse groups seeking creative solutions to complex and even divisive challenges.

  13. Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion

    Science.gov (United States)

    2014-01-01

    Background The development, implementation and evaluation of community interventions are important for reducing child violence and injuries in low- to middle-income contexts, with successful implementation critical to effective intervention outcomes. The assessment of implementation processes is required to identify the factors that influence effective implementation. This article draws on a child safety, peace and health initiative to examine key factors that enabled or hindered its implementation, in a context characterised by limited resources. Methods A case study approach was employed. The research team was made up of six researchers and intervention coordinators, who led the development and implementation of the Ukuphepha Child Study in South Africa, and who are also the authors of this article. The study used author observations, reflections and discussions of the factors perceived to influence the implementation of the intervention. The authors engaged in an in-depth and iterative dialogic process aimed at abstracting the experiences of the intervention, with a recursive cycle of reflection and dialogue. Data were analysed utilising inductive content analysis, and categorised using classification frameworks for understanding implementation. Results The study highlights key factors that enabled or hindered implementation. These included the community context and concomitant community engagement processes; intervention compatibility and adaptability issues; community service provider perceptions of intervention relevance and expectations; and the intervention support system, characterised by training and mentorship support. Conclusions This evaluation illustrated the complexity of intervention implementation. The study approach sought to support intervention fidelity by fostering and maintaining community endorsement and support, a prerequisite for the unfolding implementation of the intervention. PMID:25081088

  14. From Kisiizi to Baltimore: cultivating knowledge brokers to support global innovation for community engagement in healthcare.

    Science.gov (United States)

    Ibe, Chidinma A; Basu, Lopa; Gooden, Rachel; Syed, Shamsuzzoha B; Dadwal, Viva; Bone, Lee R; Ephraim, Patti L; Weston, Christine M; Wu, Albert W

    2018-02-09

    Reverse Innovation has been endorsed as a vehicle for promoting bidirectional learning and information flow between low- and middle-income countries and high-income countries, with the aim of tackling common unmet needs. One such need, which traverses international boundaries, is the development of strategies to initiate and sustain community engagement in health care delivery systems. In this commentary, we discuss the Baltimore "Community-based Organizations Neighborhood Network: Enhancing Capacity Together" Study. This randomized controlled trial evaluated whether or not a community engagement strategy, developed to address patient safety in low- and middle-income countries throughout sub-Saharan Africa, could be successfully applied to create and implement strategies that would link community-based organizations to a local health care system in Baltimore, a city in the United States. Specifically, we explore the trial's activation of community knowledge brokers as the conduit through which community engagement, and innovation production, was achieved. Cultivating community knowledge brokers holds promise as a vehicle for advancing global innovation in the context of health care delivery systems. As such, further efforts to discern the ways in which they may promote the development and dissemination of innovations in health care systems is warranted. Trial Registration Number: NCT02222909 . Trial Register Name: Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes (CONNECT). Date of Trial's Registration: August 22, 2014.

  15. Innovation in supervision and support of community health workers for better newborn survival in southern Tanzania.

    Science.gov (United States)

    Mkumbo, Elibariki; Hanson, Claudia; Penfold, Suzanne; Manzi, Fatuma; Schellenberg, Joanna

    2014-12-01

    Home visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of community volunteers is challenging. To compare facility-led and community-linked supervision approaches of 824 community health volunteers working to improve newborn care in Southern Tanzania. Using a before-after design, we compared 6 months of supervision reports from each approach. During the community-linked approach over 50 times more supervision contacts were recorded than during the facility-only supervision approach (1.04 contacts per volunteer per month vs 0.02), and the volunteer-supervisor ratio reduced from 7.8 to 1.6. Involving community leaders has the potential to improve supervision of community health volunteers. ClinicalTrials.gov Identifier: NCT01022788; http://clinicaltrials.gov/ct2/show/NCT01022788?term=INSIST&rank=1. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Person-Centeredness in Home- and Community-Based Services and Supports: Domains, Attributes, and Assisted Living Indicators.

    Science.gov (United States)

    Zimmerman, Sheryl; Love, Karen; Cohen, Lauren W; Pinkowitz, Jackie; Nyrop, Kirsten A

    2014-01-01

    As a result of the Centers for Medicare & Medicaid Services (CMS) interest in creating a unifying definition of "community living" for its Medicaid Home and Community Based Services and Support (HCBS) programs, it needed clarifying descriptors of person-centered (PC) practices in assisted living to distinguish them from institutional ones. Additionally, CMS's proposed language defining "community living" had the unintended potential to exclude many assisted living communities and disadvantage residents who receive Medicaid. This manuscript describes the consensus process through which clarifying language for "community living" and a framework for HCBS PC domains, attributes, and indicators specific to assisted living were developed. It examines the validity of those domains based on literature review, surveys, and stakeholder focus groups, and identifies nine domains and 43 indicators that provide a foundation for defining and measuring PC practice in assisted living. Ongoing efforts using community-based participatory research methods are further refining and testing PC indicators for assisted living to advance knowledge, operational policies, practices, and quality outcomes.

  17. The impact of a person-centred community pharmacy mental health medication support service on consumer outcomes.

    Science.gov (United States)

    McMillan, Sara S; Kelly, Fiona; Hattingh, H Laetitia; Fowler, Jane L; Mihala, Gabor; Wheeler, Amanda J

    2018-04-01

    Mental illness is a worldwide health priority. As medication is commonly used to treat mental illness, community pharmacy staff is well placed to assist consumers. To evaluate the effectiveness of a multifaceted, community pharmacy medication support service for mental health consumers. Pharmacists and pharmacy support staff in three Australian states were trained to deliver a flexible, goal-oriented medication support service for adults with mental illness over 3-6 months. Consumer-related outcome measures included perceptions of illness and health-related quality of life, medication beliefs, treatment satisfaction and medication adherence. Fifty-five of 100 trained pharmacies completed the intervention with 295 of the 418 recruited consumers (70.6% completion rate); 51.2% of consumers received two or more follow-ups. Significant improvements were reported by consumers for overall perceptions of illness (p mental health domain of quality of life (p medication (p = 0.001) and global satisfaction with medication (p medication adherence (p = 0.005). A community pharmacy mental health medication support service that is goal-oriented, flexible and individualised, improved consumer outcomes across various measures. While further research into the cost-effectiveness and sustainability of such a service is warranted, this intervention could easily be adapted to other contexts.

  18. [Current status of operations in community general support centers and the correlation of personal traits, work environment and occupational stress].

    Science.gov (United States)

    Yamaguchi, Yoshie

    2010-01-01

    The purpose of this study was to identify the current status of operations at community general support centers which provide coordination for elderly care and the correlation of personal traits, work environment and the occupational stress of the staff. Subjects of the study were 251 staff members of community general support centers. The current status of operations at the community general support centers and the personal traits, work environment, effort-remuneration imbalance model (ERI) and general health questionnaire (GHQ) were surveyed. The initial analysis involved a comparison by a chi-square test on: The effort-remuneration ratio (E/R ratio) of personal traits and work environment, risk of over-commitment (OC), and GHQ score. To explore the correlation between the E/R ratio of the three GHQ groups (low, middle and high score groups) and the OC value, one-way analysis of variance was performed. Out of the four basic functions of the community general support centers, 22.0% of the respondents noted that "establishment of a regional, comprehensive/multi-tiered service network" was functioning, and 50.4% of respondents noted that "comprehensive and continuous care management" was functioning. The average effort score was 15.5 +/- 5.3, approximately double the average value of preceding studies. Significant differences found in GHQ scores were related to working hours (pmedium score group (p=0.012). Items observed to have significant correlation with high E/R ratio were: "Weekly working hours of 50 h or more" (OR: 10.38, 95% CI: 2.52-42.70), "Unstable employment" (OR: 2.75, 95% CI: 1.22-6.21) and "Anxiety related to task content" (OR: 17.04, 95% CI: 3.57-81.24). Items observed to have significant correlation with OC value risk factors were: "Weekly working hours of 50 h or more" (OR: 8.04, 95% CI: 1.99-32.41) and "Anxiety related to task content" (OR: 4.60, 95% CI: 2.04-10.37). We conclude that the basic functions of the community general support centers are

  19. A conceptual approach to a citizens' observatory--supporting community-based environmental governance.

    Science.gov (United States)

    Liu, Hai-Ying; Kobernus, Mike; Broday, David; Bartonova, Alena

    2014-12-12

    programme as a system that supports and promotes community-based environmental governance. Next, we discuss some of the challenges involved in developing this approach. This work seeks to initiate a debate and help defining what is the Citizens' Observatory, its potential role in environmental governance, and its validity as a tool for environmental research.

  20. Communities of practice: A means to support occupational therapists’ continuing professional development. A literature review

    NARCIS (Netherlands)

    Barry, Margot; Kuijer-Siebelink, Wietske; Nieuwenhuis, Loek; Scherpbier-de Haan, Nynke

    2018-01-01

    Background: This literature review investigates what research reports about the contribution that communities of practice (CoPs) can make in the continuing professional development (CPD) of qualified occupational therapists. Methods: Academic databases (CINAHL, MEDLINE and ERIC) were searched

  1. Communities of practice: A means to support occupational therapists' continuing professional development. A literature review

    NARCIS (Netherlands)

    Barry, M.; Kuijer-Siebelink, W.; Nieuwenhuis, L.; Scherpbier-de Haan, N.D.

    2017-01-01

    BACKGROUND: This literature review investigates what research reports about the contribution that communities of practice (CoPs) can make in the continuing professional development (CPD) of qualified occupational therapists. METHODS: Academic databases (CINAHL, MEDLINE and ERIC) were searched and

  2. A Fuzzy Logic Enhanced Environmental Protection Education Model for Policies Decision Support in Green Community Development

    Directory of Open Access Journals (Sweden)

    Sung-Lin Hsueh

    2013-01-01

    Full Text Available This study proposes the promotion of environmental protection education among communities as a solution to the serious problems of high energy consumption and carbon emissions around the world. Environmental protection education has direct and lasting influences on everyone in society; therefore, it is helpful in our fight against many serious problems caused by high energy consumption. In this study, the Delphi method and the fuzzy logic theory are used to develop a quantizing assessment model based on qualitative analysis. This model can be used to assess the results and influences of community residents’ participation in environmental protection education on green community development. In addition, it can be used to provide references for governing authorities in their decision making of green community development policies.

  3. Volunteer stream monitoring: Do the data quality and monitoring experience support increased community involvement in freshwater decision making?

    Directory of Open Access Journals (Sweden)

    Richard G. Storey

    2016-12-01

    freshwater decision making. Given adequate professional support, community-based water monitoring can provide data reliable enough to augment professionally collected data, and increase the opportunities, confidence, and skills of community members to engage in freshwater decision making.

  4. In-situ methylation of strongly polar organic acids in natural waters supported by ion-pairing agents for headspace GC-MSD analysis

    Energy Technology Data Exchange (ETDEWEB)

    Neitzel, P.L.; Walther, W. [Dresden University of Technology, Institute for Groundwater Managemant, Dresden (Germany); Nestler, W. [Institute for Technology and Economics, Department of Civil Engineering and Architecture, Dresden (Germany)

    1998-06-01

    Strongly polar organic substances like halogenated acetic acids have been analyzed in surface water and groundwater in the catchment area of the upper Elbe river in Saxony since 1992. Coming directly from anthropogenic sources like industry, agriculture and indirectly by rainfall, their concentrations can increase up to 100 {mu}g/L in the aquatic environment of this catchment area. A new static headspace GC-MSD method without a manual pre-concentration step is presented to analyze the chlorinated acetic acids relevant to the Elbe river as their volatile methyl esters. Using an ion-pairing agent as modifier for the in-situ methylation of the analytes by dimethylsulfate, a minimal detection limit of 1 {mu}g/L can be achieved. Problems like the thermal degradation of chlorinated acetic acids to halogenated hydrocarbons and changing reaction yields during the headspace methylation, could be effectively reduced. The method has been successfully applied to monitoring bank infiltrate, surface water, groundwater and water works pumped raw water according to health provision principles. (orig.) With 3 figs., 2 tabs., 29 refs.

  5. MAppERS: a peer-produced community for emergency support

    Science.gov (United States)

    Frigerio, Simone; Schenato, Luca; Bianchizza, Chiara; Del Bianco, Daniele

    2014-05-01

    A general trend in European governance tends to shift responsibilities in territorial management from national central authorities to local/regional levels and to the citizens as first actors of Civil Protection. Prevention is a long term goal that rests not only on the capacities of professional operators and volunteers, but that has to necessarily imply the involvement and awareness of the citizens over the territory they inhabit. In fact people often do not have chance to interact in the surveillance of the territory and only face risks when they have to bear impacts on their lives. Involvement of population creates more cost-effective and context-specific strategies of territorial surveillance and management. A collaborative user environment is useful for emergency response and support in the wake of disasters, feeding updated information on the ground directly to on-site responders. MAppERS (Mobile Application for Emergency Response and Support) is a EU project (funded under programme 2013-2015 Humanitarian Aid and Civil Protection, ECHO A5) which empowers citizens as "crowd-sourced mappers" through the development of a smart phone application able to collect GPS-localised and detailed parameters, that can then be sent from citizens to civil protection operators in a contest of geospatial response. The process of app design includes feedback from citizens, involving them in training courses on the monitoring of the territory as long term objective of raising public awareness and participation from the citizens, as actors in a networked disaster response community. The project proceeds from the design and testing of the smart phone applications (module MAppERS-V for volunteers, module MAppERS-C for citizens) according to software engineering environment (Android and Iphone SDK). Information exchange and data transfer need clearness and efficiency; thus a previous research is conducted on the cost-effectiveness of already existing practices for territorial

  6. Late-life depression: Burden, severity and relationship with social support dimensions in a West African community.

    Science.gov (United States)

    Olagunju, Andrew Toyin; Olutoki, Michael Olasunkanmi; Ogunnubi, Oluseun Peter; Adeyemi, Joseph Dada

    2015-01-01

    The occurrence of depression in old age is often linked with grave consequences. The purpose of this study is to investigate the burden of depression and its relationship with perceived social support among the elderly in a West African community setting. In this cross-sectional study, participants made up of 350 elders aged 60 years and above were selected through multi-stage random sampling technique. All participants were interviewed with designed questionnaire, multidimensional scale of perceived social support (MSPSS) and Geriatric Depression Scale (GDS) to elicit socio-demographic profile, social support and depressive psychopathology respectively. The participants were largely females (52.9%) and their mean age was 68.8±7.3 years. A little above one-quarter (26.4%) had depressive episode, and mild severity was preponderant. Low level of social support was associated with depression (χ(2)=8.418, p=0.004); especially low social supports from significant others (χ(2)=3.989, p=0.046) and family members (χ(2)=4.434, p=0.035). Similarly, severity of depression in the elderly correlated negatively with availability of social support from significant others (χ(2)=5.495, p=0.019) and family members (χ(2)=5.149, p=0.023). Considering the burden of depression in this elderly population and the influential roles of social support especially from family and significant others on depression; strengthening of informal social support and formal social support for the elders is advocated. In addition, design of community based geriatric mental health with social services and articulation of public policy to address old age needs are implied. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  7. Work and Life Balance Support of Female Midlevel Noninstructional Staff at Community Colleges

    Science.gov (United States)

    Jones, Stephanie J.; Taylor, Colette M.

    2013-01-01

    Two-year public institutions are known for their nurturing academic environments that support students from diverse backgrounds and experiences. One would assume that these nurturing and supportive environments would also go beyond the students to include employees. Family-friendly working environments support the needs of employees to balance…

  8. Supporting self management of type 2 diabetes: is there a role for the community pharmacist?

    Directory of Open Access Journals (Sweden)

    Dhippayom T

    2015-07-01

    Full Text Available Teerapon Dhippayom,1 Ines Krass21Pharmaceutical Care Research Unit, Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand; 2Faculty of Pharmacy, The University of Sydney, Camperdown, NSW, AustraliaBackground: Evidence supports the efficacy of pharmacy services in type 2 diabetes (T2D. However, little is known about consumer perspectives on the role of community pharmacists in diabetes care. The objectives of this study were to identify potential unmet needs and explore preferences for pharmacist-delivered support for T2D.Methods: A qualitative study using focus groups was conducted in Sydney, Australia. Patients with T2D who were members of the Australian Diabetes Council in Sydney, Australia, were recruited through a survey on medication use in T2D. Five focus groups with a total of 32 consumers with T2D were recorded, transcribed, and thematically analyzed.Results: The key themes were 1 the experiences of diabetes services received, 2 the potential to deliver self-management services, and 3 the suggested role of pharmacist in supporting diabetes management. Gaps in understanding and some degree of nonadherence to self-management signaled a potential for self-management support delivered by pharmacists. However, consumers still perceive that the main role of pharmacists in diabetes care centers on drug management services, with some enhancements to support adherence and continuity of supply. Barriers to diabetes care services included time constraints and a perceived lack of interest by pharmacists.Conclusion: Given the unmet needs in diabetes self-management, opportunities exist for pharmacists to be involved in diabetes care. The challenge is for pharmacists to upgrade their diabetes knowledge and skills, organize their workflow, and become proactive in delivering diabetes care support.Keywords: diabetes care, community pharmacy, community pharmacist, self-management, preference

  9. Effect of Electronic Reminders, Financial Incentives, and Social Support on Outcomes After Myocardial Infarction: The HeartStrong Randomized Clinical Trial.

    Science.gov (United States)

    Volpp, Kevin G; Troxel, Andrea B; Mehta, Shivan J; Norton, Laurie; Zhu, Jingsan; Lim, Raymond; Wang, Wenli; Marcus, Noora; Terwiesch, Christian; Caldarella, Kristen; Levin, Tova; Relish, Mike; Negin, Nathan; Smith-McLallen, Aaron; Snyder, Richard; Spettell, Claire M; Drachman, Brian; Kolansky, Daniel; Asch, David A

    2017-08-01

    Adherence to medications prescribed after acute myocardial infarction (AMI) is low. Wireless technology and behavioral economic approaches have shown promise in improving health behaviors. To determine whether a system of medication reminders using financial incentives and social support delays subsequent vascular events in patients following AMI compared with usual care. Two-arm, randomized clinical trial with a 12-month intervention conducted from 2013 through 2016. Investigators were blinded to study group, but participants were not. Design was a health plan-intermediated intervention for members of several health plans. We recruited 1509 participants from 7179 contacted AMI survivors (insured with 5 large US insurers nationally or with Medicare fee-for-service at the University of Pennsylvania Health System). Patients aged 18 to 80 years were eligible if currently prescribed at least 2 of 4 study medications (statin, aspirin, β-blocker, antiplatelet agent), and were hospital inpatients for 1 to 180 days and discharged home with a principal diagnosis of AMI. Patients were randomized 2:1 to an intervention using electronic pill bottles combined with lottery incentives and social support for medication adherence (1003 patients), or to usual care (506 patients). Primary outcome was time to first vascular rehospitalization or death. Secondary outcomes were time to first all-cause rehospitalization, total number of repeated hospitalizations, medication adherence, and total medical costs. A total of 35.5% of participants were female (n = 536); mean (SD) age was 61.0 (10.3) years. There were no statistically significant differences between study arms in time to first rehospitalization for a vascular event or death (hazard ratio, 1.04; 95% CI, 0.71 to 1.52; P = .84), time to first all-cause rehospitalization (hazard ratio, 0.89; 95% CI, 0.73 to 1.09; P = .27), or total number of repeated hospitalizations (hazard ratio, 0.94; 95% CI, 0.60 to 1.48; P

  10. PRISM (Program of Resources, Information and Support for Mothers Protocol for a community-randomised trial [ISRCTN03464021

    Directory of Open Access Journals (Sweden)

    Gunn Jane

    2003-11-01

    Full Text Available Abstract Background In the year after birth one in six women has a depressive illness, and 30% are still depressed, or depressed again, when their child is 2 years old, 94% experience at least one major health problem (e.g. back pain, perineal pain, mastitis, urinary or faecal incontinence, 26% experience sexual problems and almost 20% have relationship problems with partners. Women with depression report less practical and emotional support from partners, less social support overall, more negative life events, and poorer physical health. Their perceptions of factors contributing to depression are lack of support, isolation, exhaustion and physical health problems. Fewer than one in three affected women seek help in primary care despite frequent contacts. Methods/Design PRISM aims to reduce depression and physical health problems of recent mothers through primary care strategies to increase practitioners' response to these issues, and through community-based strategies to develop broader family and community supports for recent mothers. Eligible local governments will be recruited and randomised to intervention or comparison arms, after stratification (urban/rural, size, birth numbers, extent of community activity, avoiding contiguous boundaries. Maternal depression and physical health will be measured six months after birth, in a one year cohort of mothers, in intervention and comparison communities. The sample size to detect a 20% relative reduction in depression, adjusting for cluster sampling, and estimating a population response fraction of 67% is 5740 × 2. Analysis of the physical and mental health outcomes, by intention to treat, will adjust for the correlated structure of the data.

  11. A Community Virtual Ward Supporting Integrated Care for Older Persons with Complex Health and Social Care Needs.

    OpenAIRE

    Lewis, Clare; McDermott, Mary; Martin, Alan; Patton, Declan; Nugent, Linda

    2017-01-01

    Introduction:  The aging population within the Republic of Ireland is increasing exponentially to approximately 20,000 per year.  As a result there is an increase in frail older persons living within the community with increased risks of emergency department (ED) presentations and hospital admissions. Better co-ordinated care with targeted specific interventions can assist with admission avoidance and unplanned hospital admission and is seen as key to supporting patients at home (1).  The use...

  12. Research Brief #9, Meeting Farm and Food Security Needs through Community Supported Agriculture and Farmers’ Markets in California

    OpenAIRE

    Allen, Patricia; Guthman, Julie; Morris, Amy

    2006-01-01

    This research brief examines whether alternative food initiatives (AFIs) such as community supported agriculture (CSA) and farmers’ markets can meet the food security needs of low-income consumers. It is based on interviews with and surveys of farmers' market and CSA managers throughout California. The authors conclude that AFIs are not and cannot be substitutes for state entitlements in meeting the food security needs of low-income people.

  13. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    OpenAIRE

    Douglas, Heather E; Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-01-01

    Introduction: There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to su...

  14. Close or renew? Factors affecting local community support for rebuilding nuclear power plants in the Czech Republic

    Czech Academy of Sciences Publication Activity Database

    Frantál, Bohumil; Malý, Jiří

    2017-01-01

    Roč. 140, č. 140 (2017), s. 134-143 ISSN 0301-4215 R&D Projects: GA ČR GA16-04483S Institutional support: RVO:68145535 Keywords : nuclear power plants * rebuilding * community acceptance Subject RIV: DE - Earth Magnetism, Geodesy, Geography OBOR OECD: Cultural and economic geography Impact factor: 4.140, year: 2016 http://www.sciencedirect.com/science/article/pii/S0301421517300599

  15. Social support differentially moderates the impact of neuroticism and extraversion on mental wellbeing among community-dwelling older adults.

    Science.gov (United States)

    McHugh, J E; Lawlor, B A

    2012-10-01

    Personality affects psychological wellbeing, and social support networks may mediate this effect. This may be particularly pertinent in later life, when social structures change significantly, and can lead to a decline in psychological wellbeing. To examine, in an older population, whether the relationships between neuroticism and extraversion and mental wellbeing are moderated by available social support networks. We gathered information from 536 community-dwelling older adults, regarding personality, social support networks, depressive symptomatology, anxiety and perceived stress, as well as controlling for age and gender. Neuroticism and extraversion interacted with social support networks to determine psychological wellbeing (depression, stress and anxiety). High scores on the social support networks measure appear to be protective against the deleterious effects of high scores on the neuroticism scale on psychological wellbeing. Meanwhile, individuals high in extraversion appear to require large social support networks in order to maintain psychological wellbeing. Large familial and friendship social support networks are associated with good psychological wellbeing. To optimise psychological wellbeing in older adults, improving social support networks may be differentially effective for different personality types.

  16. COMET strongly supported the development and implementation of medium-term topical research roadmaps consistent with the ALLIANCE Strategic Research Agenda.

    Science.gov (United States)

    Garnier-Laplace, J; Vandenhove, H; Beresford, N; Muikku, M; Real, A

    2018-03-01

    The ALLIANCE 6 Strategic Research Agenda (SRA) initiated by the STAR 7 Network of Excellence and integrated in the research strategy implemented by the COMET consortium, defines a long-term vision of the needs for, and implementation of, research in radioecology. This reference document, reflecting views from many stakeholders groups and researchers, serves as an input to those responsible for defining EU research call topics through the ALLIANCE SRA statement delivered each year to the EJP-CONCERT 8 (2015-2020). This statement highlights a focused number of priorities for funding. Research in radioecology and related sciences is justified by various drivers, such as policy changes, scientific advances and knowledge gaps, radiological risk perception by the public, and a growing awareness of interconnections between human and ecosystem health. The SRA is being complemented by topical roadmaps that have been initiated by the COMET 9 EC-funded project, with the help and endorsement of the ALLIANCE. The strategy underlying roadmap development is driven by the need for improved mechanistic understanding across radioecology. By meeting this need, we can provide fit-for-purpose human and environmental impact/risk assessments in support of the protection of man and the environment in interaction with society and for the three exposure situations defined by the ICRP (i.e., planned, existing and emergency). Within the framework of the EJP-CONCERT the development of a joint roadmap is under discussion among all the European research platforms and will highlight the major research needs for the whole radiation protection field and how these are likely to be addressed by 2030.

  17. Small-Sized Tungsten Nitride Particles Strongly Anchored on Carbon Nanotubes and their Use as Supports for Pt for Methanol Electro-oxidation.

    Science.gov (United States)

    Liu, Yuan; Yan, Haijing; Zhou, Xiaoguang; Li, Mingxia; Fu, Honggang

    2015-12-07

    The anchoring of small-sized WN (tungsten nitride) nanoparticles (NPs) with good dispersion on carbon nanotubes (CNTs) offers an effective means of obtaining promising materials for use in electrocatalysis. Herein, an effective method based on grinding treatment followed by a nitridation process is proposed to realize this goal. In the synthesis, a solution containing H4 [SiO4 (W3 O9 )4 ] (SiW12 ) and CNTs modified with polyethylenimine (PEI-CNTs) was ground to dryness. Small-sized WN NPs were anchored onto the CNTs with good dispersion after calcination under NH3 . Under hydrothermal assembly conditions (absence of grinding), WN particles of larger size and with inferior dispersion were obtained, demonstrating the important role of the grinding process. The benefit of the small-sized WN has been demonstrated by using WN/CNTs as a support for Pt to catalyze the methanol electro-oxidation reaction. The mass activity of Pt-WN/CNTs-G-70 (where G denotes the grinding treatment, and 70 is the loading amount (%) of WN in the WN/CNTs) was evaluated as about 817 mA mg(-1) Pt , better that those of commercial Pt/C (340 mA mg(-1) Pt ) and Pt/CNTs (162 mA mg(-1) Pt ). The Pt-WN/CNTs-G also displayed good CO tolerance. In contrast, Pt-WN/CNTs prepared without the grinding process displayed an activity of 344 mA mg(-1) Pt , verifying the key role of grinding treatment in the preparation of WN/CNTs with good co-catalytic effect. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  18. Formative evaluation of the STAR intervention: improving teachers' ability to provide psychosocial support for vulnerable individuals in the school community.

    Science.gov (United States)

    Ferreira, Ronél; Ebersöhn, Liesel

    2011-04-01

    The article describes the pilot phase of a participatory reflection and action (PRA) study. The longitudinal investigation explores teachers' ability to provide psychosocial support within the context of HIV/AIDS following an asset-based intervention. The study ensued from our desire to understand and contribute to knowledge about the changed roles of teachers due to adversity in the community, specifically in relation to HIV/AIDS and education. The supportive teachers, assets and resilience (STAR) intervention was facilitated from November 2003 to October 2005 and consisted of the research team undertaking nine field visits and facilitating 20 intervention sessions (2-3 hours each), and 12 post-intervention research visits have been conducted to date. Ten female teachers were selected for participation through random purposeful sampling at a primary school in an informal settlement outside Port Elizabeth, South Africa. Data-generation included PRA activities, observation, informal interactive interviews, and focus group discussions. The data were analysed by means of inductive thematic analysis. We found that the teachers did not view vulnerability as being related to children or HIV/AIDS in isolation, but rather that their psychosocial support to children and the school community was inclusive across a spectrum of vulnerabilities and services. We argue that teachers who are inclined to provide such support will fulfil this role irrespective of understanding policy or receiving training. We contend that teachers are well-positioned to manage school-based psychosocial support in order to create relevant and caring spaces for vulnerable individuals in the school community.

  19. Amazonian anthrosols support similar microbial communities that differ distinctly from those extant in adjacent, unmodified soils of the same mineralogy.

    Science.gov (United States)

    Grossman, Julie M; O'Neill, Brendan E; Tsai, Siu Mui; Liang, Biqing; Neves, Eduardo; Lehmann, Johannes; Thies, Janice E

    2010-07-01

    We compared the microbial community composition in soils from the Brazilian Amazon with two contrasting histories; anthrosols and their adjacent non-anthrosol soils of the same mineralogy. The anthrosols, also known as the Amazonian Dark Earths or terra preta, were managed by the indigenous pre-Colombian Indians between 500 and 8,700 years before present and are characterized by unusually high cation exchange capacity, phosphorus (P), and calcium (Ca) contents, and soil carbon pools that contain a high proportion of incompletely combusted biomass as biochar or black carbon (BC). We sampled paired anthrosol and unmodified soils from four locations in the Manaus, Brazil, region that differed in their current land use and soil type. Community DNA was extracted from sampled soils and characterized by use of denaturing gradient gel electrophoresis (DGGE) and terminal restriction fragment length polymorphism. DNA bands of interest from Bacteria and Archaea DGGE gels were cloned and sequenced. In cluster analyses of the DNA fingerprints, microbial communities from the anthrosols grouped together regardless of current land use or soil type and were distinct from those in their respective, paired adjacent soils. For the Archaea, the anthrosol communities diverged from the adjacent soils by over 90%. A greater overall richness was observed for Bacteria sequences as compared with those of the Archaea. Most of the sequences obtained were novel and matched those in databases at less than 98% similarity. Several sequences obtained only from the anthrosols grouped at 93% similarity with the Verrucomicrobia, a genus commonly found in rice paddies in the tropics. Sequences closely related to Proteobacteria and Cyanobacteria sp. were recovered only from adjacent soil samples. Sequences related to Pseudomonas, Acidobacteria, and Flexibacter sp. were recovered from both anthrosols and adjacent soils. The strong similarities among the microbial communities present in the anthrosols for

  20. Community.

    Science.gov (United States)

    Grauer, Kit, Ed.

    1995-01-01

    Art in context of community is the theme of this newsletter. The theme is introduced in an editorial "Community-Enlarging the Definition" (Kit Grauer). Related articles include: (1) "The Children's Bridge is not Destroyed: Heart in the Middle of the World" (Emil Robert Tanay); (2) "Making Bridges: The Sock Doll…

  1. Poco a Poco: Leadership Practices Supporting Productive Communities of Practice in Schools Serving the New Mainstream

    Science.gov (United States)

    Scanlan, Martin; Kim, Minsong; Burns, Mary Bridget; Vuilleumier, Caroline

    2016-01-01

    Purpose: Culturally and linguistically diverse students frequently do not receive equitable educational opportunities. Schools across public and private sectors that are striving to ameliorate this problem typically work in isolation, not collaboratively. This article examines how communities of practice emerge within a network of schools striving…

  2. 78 FR 8131 - Federal Home Loan Bank Members Selected for Community Support Review

    Science.gov (United States)

    2013-02-05

    ... Community Bank Toms River New Jersey. Paragon Federal Credit Union Township of Walls New Jersey. Highlands... Foundation Bank Irvine California. Pacific Enterprise Bank Irvine California. Plaza Bank Irvine California.... Jordan Federal Credit Union Sandy Utah. Foundation Bank Bellevue Washington. Business Bank of Skagit...

  3. Social Networking Technologies as Vehicles of Support for Women in Learning Communities

    Science.gov (United States)

    Burgess, Kimberly R.

    2009-01-01

    Women have long since used social networking as a means of coping with their struggles, educating and empowering themselves, engaging in broader social movements, and building international advocacy. Internet communities that are designed and facilitated to be inclusive of women's experiences can be important social spaces where women feel…

  4. Enabling Persistence of Veteran Students at North Carolina Community Colleges through Institutional Support Programs and Policies

    Science.gov (United States)

    Sitzes, Janice Dawn

    2015-01-01

    Over two million service men and women, returning from the wars in Iraq and Afghanistan, will take advantage of the educational benefits of the Post-9/11 GI Bill and will enroll in community colleges. Despite over 70 years of education benefits for U.S. veterans, there has been little research into the availability and effectiveness of…

  5. 75 FR 65331 - Federal Home Loan Bank Members Selected for Community Support Review

    Science.gov (United States)

    2010-10-22

    ... Massachusetts. St. Mary's Bank Manchester New Hampshire. Community Guaranty Savings Bank Plymouth New Hampshire.... Tompkinsville Kentucky. United Southern Bank Trenton Kentucky. Citizens Deposit Bank & Trust Vanceburg Kentucky... Gladstone Michigan. United Bank of Michigan Grand Rapids Michigan. Lansing Automakers Federal Credit Union...

  6. 7 CFR 1709.108 - Supporting data for determining community eligibility.

    Science.gov (United States)

    2010-01-01

    ... areas. A comparison of the historical residential energy cost or expenditure information for the local... lieu of historical residential energy costs or expenditure information under the following circumstances: (1) Where historical community energy cost data are unavailable (unserved areas), incomplete or...

  7. Intelligence Support to the Life Science Community: Mitigating Threats from Bioterrorism

    Science.gov (United States)

    2004-01-01

    vaccines and therapeutics. Before national security professionals can productively engage the scientific community regarding threats presented by...2000, Australian research- ers genetically engineered a strain of mousepox virus in a way that inadvertently increased its virulence.20 At the 17...University of New York at Stony Brook revealed that they had successfully created infec- tious poliovirus from artificially engineered DNA sequences

  8. 75 FR 16463 - Federal Home Loan Bank Members Selected for Community Support Review

    Science.gov (United States)

    2010-04-01

    ... Federal Credit Union.... Fort Wayne Indiana. Alliance Bank Francesville Indiana. The Friendship State Bank Friendship Indiana. Goshen Community Bank Goshen Indiana. Indiana Business Bank Indianapolis Indiana.... First Star Bank, SSB Bremond Texas. The Bank and Trust of Bryan/College Bryan Texas. Station. First Bank...

  9. Social Media Use in Research: Engaging Communities in Cohort Studies to Support Recruitment and Retention.

    Science.gov (United States)

    Farina-Henry, Eva; Waterston, Leo B; Blaisdell, Laura L

    2015-07-22

    This paper presents the first formal evaluation of social media (SM) use in the National Children's Study (NCS). The NCS is a prospective, longitudinal study of the effects of environment and genetics on children's health, growth and development. The Study employed a multifaceted community outreach campaign in combination with a SM campaign to educate participants and their communities about the Study. SM essentially erases geographic differences between people due to its omnipresence, which was an important consideration in this multi-site national study. Using SM in the research setting requires an understanding of potential threats to confidentiality and privacy and the role that posted content plays as an extension of the informed consent process. This pilot demonstrates the feasibility of creating linkages and databases to measure and compare SM with new content and engagement metrics. Metrics presented include basic use metrics for Facebook as well as newly created metrics to assist with Facebook content and engagement analyses. Increasing Likes per month demonstrates that online communities can be quickly generated. Content and Engagement analyses describe what content of posts NCS Study Centers were using, what content they were posting about, and what the online NCS communities found most engaging. These metrics highlight opportunities to optimize time and effort while determining the content of future posts. Further research about content analysis, optimal metrics to describe engagement in research, the role of localized content and stakeholders, and social media use in participant recruitment is warranted.

  10. Support for the allotonic frequency hypothesis in an insectivorous bat community.

    Science.gov (United States)

    Schoeman, M Corrie; Jacobs, David S

    2003-01-01

    The allotonic frequency hypothesis proposes that certain insectivorous bat species can prey upon moths that can hear bat echolocation calls by using echolocation frequencies outside the sensitivity range of moth ears. The hypothesis predicts that the peak frequencies of bat echolocation calls are correlated with the incidence of moths in the diets of these bats. The aim of this study was to test this prediction on a bat community dominated by bats using low duty cycle echolocation calls, i.e. aerial foraging, insectivorous species using frequency modulated calls. The community consisted of nine species, two molossids, Sauromys petrophillus and Tadarida aegyptiaca, five vespertilionids, Eptesicus capensis, Eptesicus hottentotus, Miniopteris schreibersii, Myotis tricolor, and Myotis lesueuri, one rhinolophid, Rhinolophus clivosus, and one nycterid, Nycteris thebaica. The insect fauna in the habitat used by the bat community was suited to the testing of the allotonic frequency hypothesis because more than 90% of the moths comprising the insect fauna were tympanate. These included Pyralidae (3.8%), Geometridae (44.9%), Notodontidae (3.8%), Arctiidae (4.6%), Lymantriidae (0.8%) and Noctuidae (32.4%). As predicted, peak echolocation frequency was correlated with the incidence of moths in the diets of these nine species (r=0.98, df=7, Pecholocation frequency (t=9.91, n=129, Phistory. These results suggest that prey defences may mediate other factors structuring bat communities, e.g. competition. Competition may be reduced for those species of bats that can circumvent prey defences.

  11. Social Support, Social Strain, and Cognitive Function Among Community-Dwelling U.S. Chinese Older Adults.

    Science.gov (United States)

    Ge, Shaoqing; Wu, Bei; Bailey, Donald E; Dong, XinQi

    2017-07-01

    Limited research is available on the relationship between social support, social strain, and cognitive function among community-dwelling U.S. Chinese older adults. This study aims to examine the associations between social support/strain and cognitive outcomes. Data were drawn from the Population-Based Study of Chinese Elderly (N = 3,159). Cognitive function was measured by a battery of tests including the East Boston Memory Test, the Digit Span Backwards assessment, and the Symbol Digit Modalities Test. Social support and strain were measured by the scales drawn from the Health and Retirement study. Multiple regression analyses were conducted. Social support was significantly associated with global cognitive function (β = .11, SE = .02, p Social strain was significantly associated with global cognitive function (β = .23, SE = .05, p social support/strain, higher support from friends was significantly associated with higher global cognitive function (β = .04, SE = .02, p cognitive function (β = .10, SE = .03, p Social support and strain were associated with cognitive outcomes. Future longitudinal studies should be conducted. © The Author 2017. 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.

  12. Social networks and social functioning level among occupational therapy workshops and community-based support centers users.

    Science.gov (United States)

    Bronowski, Paweł; Sawicka, Maryla; Rowicka, Magda; Bronowska, Marta

    2017-02-26

    Community-Based Support Centers (CSC) and Occupational Therapy Workshops (OTW) have been functioning for over 20 years in Poland. However, the effectiveness of their rehabilitation programs as well as the users profile has not been examined yet. The aim of the study was to determine social functioning level and support network effectiveness of CSC and OTW users. Research tools: GAS (Global Assessment Scale), social network and social support assessment, Social Functioning Scale, Sociodemographic Questionnaire. Results show that investigated groups (except for participants' age) show no significant differences in sociodemographic variables and illness profile. Significant differences were found in the aspect of number and quality of support networks and the functioning level. Analyzed support institutions have different aims and offer different support programs which show differences in support networks and social functioning level. It can result from that the goal of OTW is to activate its users and assist them with their reintegration into the labor market, whereas CSCs are oriented on users' current issues and hospitalization prevention. It is important to have knowledge of these specifics during referring a person to such service.

  13. Metagenome-based diversity analyses suggest a strong locality signal for bacterial communities associated with oyster aquaculture farms in Ofunato Bay

    KAUST Repository

    Kobiyama, Atsushi

    2018-04-30

    Ofunato Bay, in Japan, is the home of buoy-and-rope-type oyster aquaculture activities. Since the oysters filter suspended materials and excrete organic matter into the seawater, bacterial communities residing in its vicinity may show dynamic changes depending on the oyster culture activities. We employed a shotgun metagenomic technique to study bacterial communities near oyster aquaculture facilities at the center of the bay (KSt. 2) and compared the results with those of two other localities far from the station, one to the northeast (innermost bay, KSt. 1) and the other to the southwest (bay entrance, KSt. 3). Seawater samples were collected every month from January to December 2015 from the surface (1 m) and deeper (8 or 10 m) layers of the three locations, and the sequentially filtered fraction on 0.2-μm membranes was sequenced on an Illumina MiSeq system. The acquired reads were uploaded to MG-RAST for KEGG functional abundance analysis, while taxonomic analyses at the phylum and genus levels were performed using MEGAN after parsing the BLAST output. Discrimination analyses were then performed using the ROC-AUC value of the cross validation, targeting the depth (shallow or deep), locality [(KSt. 1 + KSt. 2) vs. KSt 3; (KSt. 1 + KSt. 3) vs. KSt. 2 or the (KSt. 2 + KSt. 3) vs. KSt. 1] and seasonality (12 months). The matrix discrimination analysis on the adjacent 2 continuous seasons by ROC-AUC, which was based on the datasets that originated from different depths, localities and months, showed the strongest discrimination signal on the taxonomy matrix at the phylum level for the datasets from July to August compared with those from September to June, while the KEGG matrix showed the strongest signal for the datasets from March to June compared with those from July to February. Then, the locality combination was subjected to the same ROC-AUC discrimination analysis, resulting in significant differences between KSt. 2 and KSt. 1 + KSt. 3

  14. Supporting Museums--Serving Communities: An Evaluation of the Museums for America Program. Full Report

    Science.gov (United States)

    Apley, Alice; Frankel, Susan; Goldman, Elizabeth; Streitburger, Kim

    2011-01-01

    The Institute of Museum and Library Services is the primary source of federal support for the nation's museums. Museums for America (MFA) is the largest IMLS grant program for museums; it supports institutions by investing in high-priority, high-value activities that are clearly linked to the institution's strategic plan and enhance its value to…

  15. Research support for effective state and community tobacco control programme response to electronic nicotine delivery systems.

    Science.gov (United States)

    Schmitt, Carol L; Lee, Youn Ok; Curry, Laurel E; Farrelly, Matthew C; Rogers, Todd

    2014-07-01

    To identify unmet research needs of state and community tobacco control practitioners pertaining to electronic nicotine delivery systems (ENDS or e-cigarettes) that would inform policy and practice efforts at the state and community levels, and to describe ENDS-related research and dissemination activities of the National Cancer Institute-funded State and Community Tobacco Control Research Initiative. To determine specific research gaps relevant to state and community tobacco control practice, we analysed survey data collected from tobacco control programmes (TCPs) in all 50 U.S. states and the District of Columbia (N=51). Survey items covered a range of ENDS issues: direct harm to users, harm of secondhand vapour, cessation, flavours, constituents and youth access. There is no ENDS topic on which a majority of state TCP managers feel very informed. They feel least informed about harms of secondhand vapour while also reporting that this information is among the most important for their programme. A majority (N=31) of respondents indicated needs for research on the implications of ENDS products for existing policies. TCP managers report that ENDS research is highly important for practice and need research-based information to inform decision making around the inclusion of ENDS in existing tobacco control policies. For optimal relevance to state and community TCPs, research on ENDS should prioritise study of the health effects of ENDS use and secondhand exposure to ENDS vapour in the context of existing tobacco control policies. 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.

  16. Direct and Indirect Effects of Caregiver Social Support on Adolescent Psychological Outcomes in Two South African AIDS-Affected Communities.

    Science.gov (United States)

    Casale, Marisa; Cluver, Lucie; Crankshaw, Tamaryn; Kuo, Caroline; Lachman, Jamie M; Wild, Lauren G

    2015-06-01

    Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV-endemic, resource-scarce Southern African communities. A cross-sectional household survey was conducted over 2009-2010 with 2,477 South African adolescents aged 10-17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa's KwaZulu-Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: (a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and (b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (p adolescent outcomes. Findings reinforce the importance of social support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network.

  17. Development of a Social Activities Scale for Community-Dwelling Older Women Requiring Support in Japan: A Preliminary Study.

    Science.gov (United States)

    Hirano, Michiyo; Kawahara, Kayoko; Saeki, Kazuko

    2015-01-01

    The purpose of this study was to develop a scale for measuring the social activities of community-dwelling older women requiring support in Japan. A methodological study was performed of 118 older women (>65 years old) requiring support and residing in region A of Japan. An anonymous questionnaire was administered through individual interviews, and valid responses were obtained from 110 people. The construct validity of the resulting scale was assessed by exploratory factor analysis. Criterion-related validity was tested by calculating Spearman's rank correlation coefficient between the resulting scale and the existing Social Activity Index for Elderly People (SAI-E). Reliability was tested by Cronbach's alpha coefficient. The Social Activity Scale for Community-Dwelling Older Women Requiring Support (SASOWS) was created. This scale comprised the following three subscales: "interactions with familiar people," "consulting with care service providers," and "performing proactive creative activities at home". Correlation of SASOWS with the existing SAI-E resulted in a correlation coefficient of .521 (p women requiring support. Future studies should continue to examine the items and usefulness of this scale. © 2014 Wiley Periodicals, Inc.

  18. Direct and indirect effects of caregiver social support on adolescent psychological outcomes in two South African AIDS-affected communities

    Science.gov (United States)

    Casale, Marisa; Cluver, Lucie; Crankshaw, Tamaryn; Kuo, Caroline; Lachman, Jamie M.; Wild, Lauren G.

    2015-01-01

    Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV-endemic, resource-scarce Southern African communities. A cross-sectional household survey was conducted over 2009-2010 with 2477 South African adolescents aged 10-17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa’s KwaZulu-Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (psocial support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network. PMID:25623784

  19. Introduction of mobile phones for use by volunteer community health workers in support of integrated community case management in Bushenyi District, Uganda: development and implementation process.

    Science.gov (United States)

    Tumusiime, David Katuruba; Agaba, Gad; Kyomuhangi, Teddy; Finch, Jan; Kabakyenga, Jerome; MacLeod, Stuart

    2014-01-01

    A substantial literature suggests that mobile phones have great potential to improve management and survival of acutely ill children in rural Africa. The national strategy of the Ugandan Ministry of Health calls for employment of volunteer community health workers (CHWs) in implementation of Integrated Community Case Management (iCCM) of common illnesses (diarrhea, acute respiratory infection, pneumonia, fever/malaria) affecting children under five years of age. A mobile phone enabled system was developed within iCCM aiming to improve access by CHWs to medical advice and to strengthen reporting of data on danger signs and symptoms for acutely ill children under five years of age. Herein critical steps in development, implementation, and integration of mobile phone technology within iCCM are described. Mechanisms to improve diagnosis, treatment and referral of sick children under five were defined. Treatment algorithms were developed by the project technical team and mounted and piloted on the mobile phones, using an iterative process involving technical support personnel, health care providers, and academic support. Using a purposefully developed mobile phone training manual, CHWs were trained over an intensive five-day course to make timely diagnoses, recognize clinical danger signs, communicate about referrals and initiate treatment with appropriate essential drugs. Performance by CHWs and the accuracy and completeness of their submitted data was closely monitored post training test period and during the subsequent nine month community trial. In the full trial, the number of referrals and correctly treated children, based on the agreed treatment algorithms, was recorded. Births, deaths, and medication stocks were also tracked. Seven distinct phases were required to develop a robust mobile phone enabled system in support of the iCCM program. Over a nine month period, 96 CHWs were trained to use mobile phones and their competence to initiate a community trial was

  20. Public Community Support and Involvement around Vandellos ITER Site (EISS-Vandellos 2002/2003). Final Report

    International Nuclear Information System (INIS)

    Sola, R.; Prades, A.; Riba, D.; Doval, E.; Munoz, J.; Garay, A.; Viladrich, C.

    2006-01-01

    The Report summarizes a year and a half research on the social perception and expectations regarding the possible sitting of ITER in Vandellos carried out in the framework of the European ITER Site Studies (EISS). The aims were to examine the needs and preferences in terms of public information and communication; to explore the risks and benefits the community links to the Centre; and to analyse the local expectations concerning public participation. A methodological strategy integrating qualitative methodologies [semi structured interviews to key informants at the local level, and to key research groups in the surrounding area, together with a focus group with local opinion leaders], and quantitative techniques [Computer Assisted Telephone Interview (CATI) applied to a sample of 400 participants] was implemented. The local community has lived with complex and high risk facilities for decades, thus local people has a strong familiarity with technological and energy production systems, but no experience with large research installations. In such a context the global opinion towards the possibility of hosting ITER was clearly favourable, and linked to a strong demand in terms of public information and participation. (Author) 45 refs

  1. Public Community Support and Involvement around Vandellos ITER Site (EISS-Vandellos 2002/2003). Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Sola, R.; Prades, A.; Riba, D.; Doval, E.; Munoz, J.; Garay, A.; Viladrich, C.

    2006-07-01

    The Report summarizes a year and a half research on the social perception and expectations regarding the possible sitting of ITER in Vandellos carried out in the framework of the European ITER Site Studies (EISS). The aims were to examine the needs and preferences in terms of public information and communication; to explore the risks and benefits the community links to the Centre; and to analyse the local expectations concerning public participation. A methodological strategy integrating qualitative methodologies [semi structured interviews to key informants at the local level, and to key research groups in the surrounding area, together with a focus group with local opinion leaders], and quantitative techniques [Computer Assisted Telephone Interview (CATI) applied to a sample of 400 participants] was implemented. The local community has lived with complex and high risk facilities for decades, thus local people has a strong familiarity with technological and energy production systems, but no experience with large research installations. In such a context the global opinion towards the possibility of hosting ITER was clearly favourable, and linked to a strong demand in terms of public information and participation. (Author) 45 refs.

  2. Culture-sensitive counselling, psychotherapy and support groups in the orthodox-Jewish community: How they work and how they are experienced

    OpenAIRE

    Loewenthal, K M; Rogers, M B

    2004-01-01

    Background: There is political and scientific goodwill towards the provision of culture-sensitive support, but as yet little knowledge about how such support works and what are it strengths and difficulties in practice. Aims: To study groups offering culture-sensitive psychological and other support to the strictly-orthodox Jewish community in London. Methods: Semi-structured interviews with service providers, potential and actual users from the community, and professionals serving the ...

  3. Developing a Web Platform to Support a Community of Practice: A Mixed Methods Study in Pediatric Physiotherapy.

    Science.gov (United States)

    Pratte, Gabrielle; Hurtubise, Karen; Rivard, Lisa; Berbari, Jade; Camden, Chantal

    2018-01-01

    Web platforms are increasingly used to support virtual interactions between members of communities of practice (CoP). However, little is known about how to develop these platforms to support the implementation of best practices for health care professionals. The aim of this article is to explore pediatric physiotherapists' (PTs) perspectives regarding the utility and usability of the characteristic of a web platform developed to support virtual communities of practice (vCoP). This study adopted an explanatory sequential mixed methods design. A web platform supporting the interactions of vCoP members was developed for PTs working with children with developmental coordination disorder. Specific strategies and features were created to support the effectiveness of the platform across three domains: social, information-quality, and system-quality factors. Quantitative data were collected from a cross-sectional survey (n = 41) after 5 months of access to the web platform. Descriptive statistics were calculated. Qualitative data were also collected from semistructured interviews (n = 9), which were coded, interpreted, and analyzed by using Boucher's Web Ergonomics Conceptual Framework. The utility of web platform characteristics targeting the three key domain factors were generally perceived positively by PTs. However, web platform usability issues were noted by PTs, including problems with navigation and information retrieval. Web platform aiming to support vCoP should be carefully developed to target potential users' needs. Whenever possible, users should co-construct the web platform with vCoP developers. Moreover, each of the developed characteristics (eg, newsletter, search function) should be evaluated in terms of utility and usability for the users.

  4. Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia.

    Science.gov (United States)

    Ibrahim, Norhayati; Din, Normah Che; Ahmad, Mahadir; Ghazali, Shazli Ezzat; Said, Zaini; Shahar, Suzana; Ghazali, Ahmad Rohi; Razali, Rosdinom

    2013-04-01

    This study aimed to examine the role of social support and depression in predicting the quality of life among the elderly living in a rural Federal Land Development Authority (FELDA) community in Malaysia. A total of 162 elderly settlers of FELDA Sungai Tengi, aged 60 years and above, were selected by universal sampling method in this cross-sectional study. Three standardized instruments - the 12-item Short Form (SF-12), 15-item Geriatric Depression Scale (GDS-15) and Medical Outcome Study Social Support (MOS-Social Support) - were used to assess for quality of life, depression and social support. Quality of life of the elderly people in this community was high, especially in terms of physical components as compared to mental components. The mean scores for emotional role in the SF-12 was relatively the highest (90.74 ± 21.59) with social functioning being the lowest (30.35 ± 22.29). The results also showed that the mean value was higher for physical component summary (74.40) as compared to mental component summary (51.51). Approximately 23.5% suffered mild depression and only 2.5% had severe depression. This study showed that the elderly FELDA settlers have a high quality of life, mainly on the physical components of life and low rate of severe depression, a positive indicator of their psychological well-being. Social support in the form of emotional/informational support, and depression were significant factors related to their good quality of life. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

  5. Oversight and Community Connections: Building Support for Data Collection by Making it Meaningful

    Science.gov (United States)

    Halpern, M.

    2017-12-01

    The continued collection and availability of federal government data becomes more vulnerable when few people know it exists or appreciate its utility. Policymakers will only fight for continued investment in data collection if they can see tangible benefits and feel pressure to do so. Many datasets and analysis tools exist that can benefit from more publicity. Through multiple case studies, we will explore methods that experts can use to connect with local communities and institutions for data sharing and analysis projects that assist with community development and resilience while demonstrating the importance of federal data to people's lives. We will discuss the types of collaborations that are most likely to result in successful outcomes. We will suggest ways that scientists can communicate their successes with policymakers and coordinate with other scientists across the country to ensure that data collection and availability continues to be a national priority, and any attempts to reduce capacity are met with efficient resistance.

  6. Beyond rhetoric to understanding determinants of wind turbine support and conflict in two Ontario, Canada communities

    OpenAIRE

    Chad Walker; Jamie Baxter; Danielle Ouellette

    2014-01-01

    The literature concerning local opposition to wind turbine developments has relatively few case studies exploring the felt impacts of people living with turbines in their daily lives. Aitken even suggests that such residents are subtly or overtly cast as deviants in the current literature. Our mixed-methods, grounded-theory case study of two communities in Ontario, Canada provides insights about such residents though twenty-six face-to-face in-depth interviews, 152 questionnaires, and basic s...

  7. A community call for a dedicated radiobiological research facility to support particle beam cancer therapy

    DEFF Research Database (Denmark)

    Holzscheiter, Michael H.; Bassler, Niels; Dosanjh, Manjit

    2012-01-01

    Recently more than one hundred researchers followed an invitation to a brainstorming meeting on the topic of a future dedicated radio-biological and radio-physical research center. 100 more joint the meeting via webcast. After a day of presentations and discussions it was clear, that an urgent need...... for such a development exists, resulting in a community call for the construction of a dedicated laboratory. Below we comment on the essential points....

  8. Mutual support and recovery in the Russian Alcoholics Anonymous online community

    Directory of Open Access Journals (Sweden)

    Lyytikäinen Laura

    2016-04-01

    Full Text Available AIMS – In Russia the paradigm of alcoholism as a disease is still in contrast to the general perception of alcoholics as weak-willed. This article studies alcoholism and recovery in Russia through the case study of the Russian Alcoholics Anonymous online group. It studies how people who are seeking help for their drinking problems in this online community come to incorporate a new self-understanding of being ill with alcoholism.

  9. Is prehypertension more strongly associated with long-term ambient air pollution exposure than hypertension? Findings from the 33 Communities Chinese Health Study.

    Science.gov (United States)

    Yang, Bo-Yi; Qian, Zhengmin Min; Vaughn, Michael G; Nelson, Erik J; Dharmage, Shyamali C; Heinrich, Joachim; Lin, Shao; Lawrence, Wayne R; Ma, Huimin; Chen, Duo-Hong; Hu, Li-Wen; Zeng, Xiao-Wen; Xu, Shu-Li; Zhang, Chuan; Dong, Guang-Hui

    2017-10-01

    Numerous studies have evaluated the effects of long-term exposure to ambient air pollution on hypertension. However, little information exists regarding its effects on prehypertension, a very common, but understudied cardiovascular indicator. We evaluated data from 24,845 adults (ages 18-74 years) living in three Northeastern Chinese cities in 2009. Blood pressure (BP) was measured by trained observers using a standardized mercuric-column sphygmomanometer. Three-year (from 2006 to 2008) average concentrations of particles with an aerodynamic diameter ≤10 μm (PM 10 ), sulfur dioxide (SO 2 ), nitrogen dioxides (NO 2 ), and ozone (O 3 ) were calculated using data from monitoring stations. Effects were analyzed using generalized additive models and two-level regression analyses, controlling for covariates. We found positive associations of all pollutants with prehypertension (e.g. odds ratio (OR) was 1.17 (95% confidence interval (CI), 1.09-1.25) per interquartile range (IQR) of PM 10 ) in a fully adjusted model, as compared to normotensive participants. These associations were stronger than associations with hypertension (e.g. OR was 1.03 (95% CI, 1.00, 1.07) per IQR of PM 10 ). We have also found positive associations of all studied pollutants with systolic and diastolic BP: e.g., associations with PM 10 per IQR were 1.24 mmHg (95% CI, 1.03-1.45) for systolic BP and 0.47 mmHg (95% CI, 0.33-0.61) for diastolic BP. Further, we observed that associations with BP were stronger in women and in older participants (systolic BP only). In conclusion, long-term exposure to ambient air pollution was more strongly associated with prehypertension than with hypertension, especially among females and the elderly. Thus, interventions to reduce air pollution are of great significance for preventing future cardiovascular events, particularly among individuals with prehypertension. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Forging a pediatric primary care-community partnership to support food-insecure families.

    Science.gov (United States)

    Beck, Andrew F; Henize, Adrienne W; Kahn, Robert S; Reiber, Kurt L; Young, John J; Klein, Melissa D

    2014-08-01

    Academic primary care clinics often care for children from underserved populations affected by food insecurity. Clinical-community collaborations could help mitigate such risk. We sought to design, implement, refine, and evaluate Keeping Infants Nourished and Developing (KIND), a collaborative intervention focused on food-insecure families with infants. Pediatricians and community collaborators codeveloped processes to link food-insecure families with infants to supplementary infant formula, educational materials, and clinic and community resources. Intervention evaluation was done prospectively by using time-series analysis and descriptive statistics to characterize and enumerate those served by KIND during its first 2 years. Analyses assessed demographic, clinical, and social risk outcomes, including completion of preventive services and referral to social work or our medical-legal partnership. Comparisons were made between those receiving and not receiving KIND by using χ2 statistics. During the 2-year study period, 1042 families with infants received KIND. Recipients were more likely than nonrecipients to have completed a lead test and developmental screen (both P partnership (14.8% vs. 5.7%; P care outcomes for the infants served. Copyright © 2014 by the American Academy of Pediatrics.

  11. Combined Carbohydrates Support Rich Communities of Particle-Associated Marine Bacterioplankton.

    Science.gov (United States)

    Sperling, Martin; Piontek, Judith; Engel, Anja; Wiltshire, Karen H; Niggemann, Jutta; Gerdts, Gunnar; Wichels, Antje

    2017-01-01

    Carbohydrates represent an important fraction of labile and semi-labile marine organic matter that is mainly comprised of exopolymeric substances derived from phytoplankton exudation and decay. This study investigates the composition of total combined carbohydrates (tCCHO; >1 kDa) and the community development of free-living (0.2-3 μm) and particle-associated (PA) (3-10 μm) bacterioplankton during a spring phytoplankton bloom in the southern North Sea. Furthermore, rates were determined for the extracellular enzymatic hydrolysis that catalyzes the initial step in bacterial organic matter remineralization. Concentrations of tCCHO greatly increased during bloom development, while the composition showed only minor changes over time. The combined concentration of glucose, galactose, fucose, rhamnose, galactosamine, glucosamine, and glucuronic acid in tCCHO was a significant factor shaping the community composition of the PA bacteria. The richness of PA bacteria greatly increased in the post-bloom phase. At the same time, the increase in extracellular β-glucosidase activity was sufficient to explain the observed decrease in tCCHO, indicating the efficient utilization of carbohydrates by the bacterioplankton community during the post-bloom phase. Our results suggest that carbohydrate concentration and composition are important factors in the multifactorial environmental control of bacterioplankton succession and the enzymatic hydrolysis of organic matter during phytoplankton blooms.

  12. GET SMARTE: A DECISION SUPPORT SYSTEM TO REVITALIZE COMMUNITIES - CABERNET 2007

    Science.gov (United States)

    Sustainable Management Approaches and Revitalization Tools - electronic (SMARTe), is an open-source, web-based, decision support system for developing and evaluating future reuse scenarios for potentially contaminated land. SMARTe contains information and analysis tools for all a...

  13. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    Science.gov (United States)

    Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-01-01

    Introduction: There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Methods: Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Results: Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. Conclusions: There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients. PMID:29042851

  14. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider.

    Science.gov (United States)

    Douglas, Heather E; Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-04-10

    There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients.

  15. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    Directory of Open Access Journals (Sweden)

    Heather E Douglas

    2017-04-01

    Full Text Available Introduction: There is limited evidence of the benefits of information and communication technology (ICT to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Methods: Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Results: Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. Conclusions: There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients.

  16. Emerging ST121/agr4 community-associated methicillin-resistant Staphylococcus aureus (MRSA with strong adhesin and cytolytic activities: trigger for MRSA pneumonia and fatal aspiration pneumonia in an influenza-infected elderly

    Directory of Open Access Journals (Sweden)

    T.-W. Wan

    2016-09-01

    Full Text Available The pathogenesis of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA pneumonia in influenza-infected elderly individuals has not yet been elucidated in detail. In the present study, a 92-year-old man infected with influenza developed CA-MRSA pneumonia. His CA-MRSA was an emerging type, originated in ST121/agr4 S. aureus, with diversities of Panton–Valentine leucocidin (PVL−/spat5110/SCCmecV+ versus PVL+/spat159(etc./SCCmec−, but with common virulence potentials of strong adhesin and cytolytic activities. Resistance to erythromycin/clindamycin (inducible-type and gentamicin was detected. Pneumonia improved with the administration of levofloxacin, but with the subsequent development of fatal aspiration pneumonia. Hence, characteristic CA-MRSA with strong adhesin and cytolytic activities triggered influenza-related sequential complications.

  17. Effects of physical forcing on COastal ZOoplankton community structure: study of the unusual case of a MEDiterranean ecosystem under strong tidal influence (Project COZOMED-MERMEX)

    Science.gov (United States)

    Pagano, Marc

    2017-04-01

    Groupe COZOMED: R. Arfi (1), A. Atoui (2), H. Ayadi (6), B. Bejaoui (1), N. Bhairy (1), N. Barraj (2), M. Belhassen (2), S. Benismail (2), M.Y Benkacem (2), J. Blanchot (1), M. Cankovic(5), F. Carlotti (1), C. Chevalier (1), I Ciglenecki-Jusic (5), D. Couet (1), N. Daly Yahia (3), L. Dammak (2), J.-L. Devenon (1), Z. Drira (6), A. Hamza (2), S. Kmia (6), N. Makhlouf (3), M. Mahfoudi (2), M. Moncef (4), M. Pagano (1), C. Sammari (2), H. Smeti (2), A. Zouari (2) The COZOMED-MERMEX project aims at understanding how hydrodynamic forcing (currents, tides, winds) combine with anthropogenic forcing and climate to affect the variability of coastal Mediterranean zooplankton communities under contrasting tidal influence. This study includes (i) a zero state of knowledge via a literature review of existing data and (ii) a case study on the system Boughrara lagoon - Gulf of Gabes. This ecosystem gives major services for Tunisia (about 65% of national fish production) but is weakened by its situation in a heavily anthropized area and under influence of urban, industrial and agricultural inputs. Besides this region is subject to specific climate forcing (Sahelian winds, scorching heat, intense evaporation, flooding) which possible changes will be considered. The expected issues are (i) to improve our knowledge of hydrodynamic forcing on zooplankton and ultimately on the functioning of coastal Mediterranean ecosystems impacted by anthropogenic and climatic effects and (ii) to elaborate management tools to help preserving good ecological status of these ecosystems: hydrodynamic circulation model, mapping of isochrones of residence times, mapping of the areas of highest zooplankton abundances (swarms), and sensitive areas, etc. This project strengthens existing scientific collaborations within the MERMEX program (The MerMex Group, 2011) and in the frame of an international joint laboratory (COSYS-Med) created in 2014. A first field mulidisciplinary campaign was performed in October

  18. <strong>ORGANIC AGRICULTURE FOR IMPROVEDFOOD SECURITY IN AFRICAstrong>

    DEFF Research Database (Denmark)

    Vaarst, Mette; Ssekyewa, Charles; Halberg, Niels

    Organic farming offers a way to increase productivity, and improve food security and livelihood for African smallholder farmers, given that agro-ecological methods are properly and appropriately implemented, and that trade, consumption patterns and policies enable a fair development of food systems...... of this report were discussed and the experience among the approx. 150 participants from throughout Africa strongly supported the conclusions. The following points were highlighted: - Organic farming should be used as a strategy for community development and a sustainable food system for improved family food...... security. - Organic farming and management is very knowledge intensive, and education as well as access to knowledge is crucial. Many small-scale farmers are illiterate. Capacity building as a social process which support the local communities and create valuable networks. - Gender issues must be addressed...

  19. The importance of community consultation and social support in adhering to an obesity reduction program: results from the Healthy Weights Initiative

    Directory of Open Access Journals (Sweden)

    Lemstra M

    2015-10-01

    Full Text Available Mark Lemstra,1 Marla R Rogers2 1Alliance Wellness and Rehabilitation, Moose Jaw, 2College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada Background: Few community-based obesity reduction programs have been evaluated. After 153 community consultations, the City of Moose Jaw, SK, Canada, decided to initiate a free comprehensive program. The initiative included 71 letters of support from the Mayor, every family physician, cardiologist, and internist in the city, and every relevant community group including the Heart and Stroke Foundation, the Canadian Cancer Society, and the Public Health Agency of Canada.Objective: To promote strong adherence while positively influencing a wide range of physical and mental health variables measured through objective assessment or validated surveys.Methods: The only inclusion criterion was that the individuals must be obese adults (body mass index >30 kg/m2. Participants were requested to sign up with a “buddy” who was also obese and identify three family members or friends to sign a social support contract. During the initial 12 weeks, each individual received 60 group exercise sessions, 12 group cognitive behavioral therapy sessions, and 12 group dietary sessions with licensed professionals. During the second 12-week period, maintenance therapy included 12 group exercise sessions (24 weeks in total.Results: To date, 243 people have been referred with 229 starting. Among those who started, 183 completed the program (79.9%, while 15 quit for medical reasons and 31 quit for personal reasons. Mean objective reductions included the following: 31.0 lbs of body fat, 3.9% body fat, 2.9 in from the waist, 2.3 in from the hip, blood cholesterol by 0.5 mmol/L, systolic blood pressure by 5.9 mmHg, and diastolic blood pressure by 3.2 mmHg (all P<0.000. There were no changes in blood sugar levels. There was also statistically significant differences in aerobic fitness, self-report health, quality of

  20. Outcomes of social support programs in brain cancer survivors in an Australian community cohort: a prospective study

    Directory of Open Access Journals (Sweden)

    Khan F

    2013-03-01

    Full Text Available This study evaluated the impact of social support programs on improving cancer related disability, neuro-cognitive dysfunction and enhancing participation (quality of life (QoL, social reintegration in brain tumour (BT survivors. Participants (n=43 were recruited prospectively following definitive treatment in the community. Each BT survivor received an individualised social support program which comprised: face-to-face interview for education/counselling plus peer support program or community education/counselling sessions. The assessments were at baseline (T1, 6-week (T2 and 6-month (T3 post-intervention using validated questionnaires: depression anxiety stress scale (DASS, functional independence measure (FIM, perceived impact problem profile (PIPP, cancer rehabilitation evaluation system–short form (CARES-SF, a cancer survivor unmet needs measure (CaSUN, McGill quality of life questionnaire (MQOL and Brief COPE. Participants’ mean age was 53 years (range 31–72 years, the majority were female (72%; median time since BT diagnosis was 2.3 years and almost half (47% had high grade tumours. At T2, participants reported higher emotional well-being (DASS ‘anxiety’ and ‘stress’ subscales, p<0.05; FIM ‘cognition’ subscale, p<0.01, improved function (FIM ‘motor’ subscale, p<0.01 and higher QoL (CARES-SF ‘global’ score, p<0.05; MQOL ‘physical symptom’ subscale, p<0.05. At the T3 follow-up, most of these effects were maintained. The intervention effect for BT specific coping strategies emerged for the Brief COPE ‘self-distraction’ and ‘behavioural disengagement’ domains, (p<0.05 for both. There were no adverse effects reported. A post-treatment social support program can improve physical and cognitive function and enhancing overall QoL of BT survivors. Social support programs need further evaluation and should be encouraged by clinicians within cancer rehabilitative services.

  1. Renewables and CHP with District Energy in Support of Sustainable Communities

    Energy Technology Data Exchange (ETDEWEB)

    Snoek, Chris

    2010-09-15

    This paper addresses the powerful idea of connecting many energy users to environmentally optimum energy sources through integrated community energy systems. Such systems require piping networks for distributing thermal energy, i.e., district heating and cooling (DHC) systems. The possibilities and advantages of the application of integrated energy concepts are discussed, including the economic and environmental benefits of integrating localized electrical generating systems (CHP), transportation systems, industrial processes and other thermal energy requirements. Examples of a number of operating systems are provided. Some of the R and D carried out by the IEA Implementing Agreement on District Heating and Cooling is also described.

  2. Supporting energy initiatives in small communities by linking visions with energy scenarios and multi-criteria assessment

    International Nuclear Information System (INIS)

    Trutnevyte, Evelina; Stauffacher, Michael; Scholz, Roland W.

    2011-01-01

    Many decisions about future energy systems in small communities are based on the visions of several key actors about the ideal-type system. Although meaningful, such visions may not inclusively represent the objectives of all relevant actors. Moreover, the visions are mostly intuitively judged by these actors and reflect their experiences and concerns. Yet, analytical expertise provides essential information about the required decisions and their consequences. We argue that coming up with a number of alternative visions about a future energy system and addressing these visions from both intuitive and analytical perspectives leads to better-quality decisions. This paper presents a case study in the small Swiss community of Urnäsch, where actors from practice and academia collaborated in a transdisciplinary process to address the future energy system. Visions of these actors about the ideal-type energy system were linked both with energy scenarios that analytically specified options to implement these visions and with stakeholder-based multi-criteria assessment of the consequences. As a result, most of the involved actors adjusted their initial vision preferences. Thus, we believe this approach could lead to capacity building and formation of stable, informed preferences, which are necessary to support a transition in the coming decades. - Highlights: ► Linking energy visions with realistic options and their consequences. ► Novel methodology developed to support this. ► Applied in a case study whereby stakeholders revised visions in light of results. ► Energy initiatives in small communities are facilitated and supported analytically.

  3. Experiences of a community pharmacy service to support adherence and self-management in chronic heart failure.

    Science.gov (United States)

    Lowrie, Richard; Johansson, Lina; Forsyth, Paul; Bryce, Stuart Lochhead; McKellar, Susan; Fitzgerald, Niamh

    2014-02-01

    Heart failure (HF) is common, disabling and deadly. Patients with HF often have poor self-care and medicines non-adherence, which contributes to poor outcomes. Community pharmacy based cognitive services have the potential to help, but we do not know how patients view community-pharmacist-led services for patients with HF. We aimed to explore and portray in detail, the perspectives of patients receiving, and pharmacists delivering an enhanced, pay for performance community pharmacy HF service. Community pharmacies and community-based patients in Greater Glasgow and Clyde, Scotland. Focus groups with pharmacists and semi-structured interviews with individual patients by telephone. Cross sectional thematic analysis of qualitative data used Normalization Process Theory to understand and describe patient's reports. Experiences of receiving and delivering an enhanced HF service. Pharmacists voiced their confidence in delivering the service and highlighted valued aspects including the structured consultation and repeated contacts with patients enabling the opportunity to improve self care and medicines adherence. Discussing co-morbidities other than HF was difficult and persuading patients to modify behaviour was challenging. Patients were comfortable discussing symptoms and medicines with pharmacists; they identified pharmacists as fulfilling roles that were needed but not currently addressed. Patients reported the service helped them to enact HF medicines and HF self care management strategies. Both patients receiving and pharmacists delivering a cognitive HF service felt that it addressed a shortfall in current care. There may be a clearly defined role for pharmacists in supporting patients to address the burden of understanding and managing their condition and treatment, leading to better self management and medicines adherence. This study may inform the development of strategies or policies to improve the process of care for patients with HF and has implications for

  4. A case-control study of support/opposition to wind turbines: Perceptions of health risk, economic benefits, and community conflict

    International Nuclear Information System (INIS)

    Baxter, Jamie; Morzaria, Rakhee; Hirsch, Rachel

    2013-01-01

    Despite considerable quantitative case study research on communities living with turbines, few have studied the roles played by the perceptions of: health risk, economic benefits/fairness, and intra-community conflict. We report the findings from a case-control survey which compares residents living with/without turbines in their community to understand the relative importance of these variables as predictors of turbine support. Ontario is the context for this study as it is a place where the pace of turbine installations is both very high and extremely politicized. As expected 69% of residents in the case community would vote in favour of local turbines yet surprisingly, only 25% would do so in the control community. Though the literature suggests that aesthetic preferences best predict turbine support the key predictors in this study are: health risk perception, community benefits, general community enhancement, and a preference for turbine-generated electricity. Concern about intra-community conflict is high in both the case (83%) and control (85%) communities as is concern about the fairness of local economic benefits (56% and 62%, respectively); yet neither is significant in the models. We discuss the implications of these findings particularly in terms of the consequences of a technocratic decide-announce-defend model of renewable facility siting. - Highlights: • We compare turbine support in a community living with turbines against a matched control. • We include health risk perception, economic benefits, and community conflict as predictors. • Turbine support is highest in the turbine community and surprisingly low in the control. • Health risk perception and economic benefits consistently predict turbine support. • Economic benefits distribution and conflict are important, but not consistent predictors

  5. Mental health problems and social supports among homeless mothers and children victims of domestic and community violence.

    Science.gov (United States)

    Vostanis, P; Tischler, V; Cumella, S; Bellerby, T

    2001-01-01

    Children and mothers who have suffered domestic or neighbourhood violence constitute a high risk group, although it has not been clear whether their mental health needs are specifically related to the type of violence. This paper reports on the prevalence of mental health problems in homeless parents and children who have experienced domestic and neighbourhood violence and their access to social support networks. Three groups of families who had become homeless were compared: those experiencing domestic violence (48 with 75 children), victims of neighbourhood violence (14 with 29 children), and those who became homeless for other reasons (31 with 54 children). Mothers completed a service use semi-structured interview, the Strengths and Difficulties Questionnaire, the General Health Questionnaire, the Family Support Scales, and the SF-36 Health Status Questionnaire. Levels of psychiatric morbidity were high in the group experiencing domestic violence (35.7% in children and 21.9% in mothers) and higher still in those who were victims of neighbourhood violence (52.2% in children and 50% in mothers). Levels of social support were found to be an important factor, particularly in relation to professional support and support from other family members, as they predicted both child and maternal psychopathology. Mental health interventions for victims of domestic and neighbourhood violence should be integrated with community programmes of social reintegration. Mental health professionals should work in close collaboration with Housing Departments, Social Services, Education and the Police.

  6. Nutrition education training of health workers and other field staff to support chronically deprived communities.

    Science.gov (United States)

    Calderon, T A

    2001-12-01

    This paper focuses on the provision of adequate training in nutrition education to health and other community development workers for their improved performance and achievement. The difficulties encountered and special care needed when dealing with low-income, chronically deprived communities are raised. A brief analysis of past and present trends in nutrition education is presented to show the progress made from restricted, authoritative and not very successful proposals to more comprehensive and participatory approaches. The need to train and update regional and field-level personnel on the new approaches, theories and models offered by nutrition education is highlighted, but the scant availability of resources for training activities may be a great limitation for this undertaking. The contribution of educational, social, psychological and communication sciences, as well as marketing, in improving and broadening the performance of health and nutrition education is recognised. Some successful nutrition education projects, implemented in different regions, using various approaches, have managed to improve the nutrition situation of low-income groups and could be used as good examples to be followed. Recommendations for implementing nutrition education projects or activities need to consider some prerequisites, such as good knowledge and analysis of the nutrition situation, careful selection of the strategies and methods, careful planning and implementation, and clear definition of the procedures and instruments for follow-up and evaluation.

  7. Loneliness, social support networks, mood and wellbeing in community-dwelling elderly.

    Science.gov (United States)

    Golden, Jeannette; Conroy, Ronán M; Bruce, Irene; Denihan, Aisling; Greene, Elaine; Kirby, Michael; Lawlor, Brian A

    2009-07-01

    Both loneliness and social networks have been linked with mood and wellbeing. However, few studies have examined these factors simultaneously in community-dwelling participants. The aim of this study was to examine the relationship between social network, loneliness, depression, anxiety and quality of life in community dwelling older people living in Dublin. One thousand two hundred and ninety-nine people aged 65 and over, recruited through primary care practices, were interviewed in their own homes using the GMS-AGECAT. Social network was assessed using Wenger's typology. 35% of participants were lonely, with 9% describing it as painful and 6% as intrusive. Similarly, 34% had a non-integrated social network. However, the two constructs were distinct: 32% of participants with an integrated social network reported being lonely. Loneliness was higher in women, the widowed and those with physical disability and increased with age, but when age-related variables were controlled for this association was non-significant. Wellbeing, depressed mood and hopelessness were all independently associated with both loneliness and non-integrated social network. In particular, loneliness explained the excess risk of depression in the widowed. The population attributable risk (PAR) associated with loneliness was 61%, compared with 19% for non-integrated social network. Taken together they had a PAR of 70% Loneliness and social networks both independently affect mood and wellbeing in the elderly, underlying a very significant proportion of depressed mood.

  8. Radiochemically-supported microbial communities. A potential mechanism for biocolloid production of importance to actinide transport

    Energy Technology Data Exchange (ETDEWEB)

    Moser, Duane P. [Desert Research Institute, Las Vegas, NV (United States); Hamilton-Brehm, Scott D. [Desert Research Institute, Las Vegas, NV (United States); Fisher, Jenny C. [Univ. of Wisconsin, Milwaukee, WI (United States); Bruckner, James C. [Desert Research Institute, Las Vegas, NV (United States); Kruger, Brittany [Desert Research Institute, Las Vegas, NV (United States); Sackett, Joshua [Desert Research Institute, Las Vegas, NV (United States); Russell, Charles E. [Desert Research Institute, Las Vegas, NV (United States); Onstott, Tullis C. [Princeton Univ., NJ (United States); Czerwinski, Ken [Univ. of Nevada, Las Vegas, NV (United States); Zavarin, Mavrik [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Campbell, James H. [Northwest Missouri State Univ., Maryville, MO (United States)

    2015-03-20

    The work described here revealed the presence of diverse microbial communities located across 19 subsurface sites at the NNSS/NTTR and nearby locations. Overall, the diversity of microorganisms was high for subsurface habitats and variable between sites. As of this writing, preparations are being made to combine the Illumina sequences and 16S rRNA clone libraries with other non-NNSS/NTTR well sites of Southern Nevada Regional Flow System for a publication manuscript describing our very broad landscape scale survey of subsurface microbial diversity. Isolates DRI-13 and DRI-14 remain to be fully characterized and named in accordance with the conventions established by Bergey's Manual of Systematic Bacteriology. In preparation to be published, these microorganisms will be submitted to the American Type Culture Collection (ATCC) and the Deutsche Sammlung von Mikroorganismen und Zellkulturen GmbH (DSMZ).It is anticipated that the data resulting from this study in combination with other data sets that will allow us to produce a number of publications that will be impactful to the subsurface microbiology community.

  9. An Exploration of Factors that Effect the Implementation of Peer Support Services in Community Mental Health Settings.

    Science.gov (United States)

    Mancini, Michael A

    2018-02-01

    This study explored the integration of peer services into community mental health settings through qualitative interviews with peer-providers and non-peer mental health workers. Results show peer job satisfaction was contingent upon role clarity, autonomy, and acceptance by non-peer coworkers. Mental health workers reported the need for organizational support for peer services and guidance about how to utilize peers, negotiate their professional boundaries and accommodate their mental health needs. Effective peer integration requires organizational readiness, staff preparation and clear policies and procedures. Consultation from consumer-based organizations, enhanced professional competencies, and professional development and career advancement opportunities for peers represent important resources.

  10. Community-supported models of care for people on HIV treatment in sub-Saharan Africa.

    OpenAIRE

    Bemelmans, Marielle; Baert, Saar; Goemaere, Eric; Wilkinson, Lynne; Vandendyck, Martin; van Cutsem, Gilles; Silva, Carlota; Perry, Sharon; Szumilin, Elisabeth; Gerstenhaber, Rodd; Kalenga, Lucien; Biot, Marc; Ford, Nathan

    2014-01-01

    Further scale-up of antiretroviral therapy (ART) to those in need while supporting the growing patient cohort on ART requires continuous adaptation of healthcare delivery models. We describe several approaches to manage stable patients on ART developed by Médecins Sans Frontières together with Ministries of Health in four countries in sub-Saharan Africa.

  11. Distributed knowledge in an online patient support community: Authority and discovery

    NARCIS (Netherlands)

    Kazmer, M.M.; Lustria, M.A.; Cortese, J.; Kim, J.; Ma, J.; Frost, J.H.

    2014-01-01

    Amyotrophic lateral sclerosis (ALS) is a progressively debilitating neurodegenerative condition that occurs in adulthood and targets the motor neurons. Social support is crucial to the well-being and quality of life of people with unpredictable and incurable diseases such as ALS. Members of the

  12. Community Partnerships: Working across Institutions to Support Parent Advocacy and Education

    Science.gov (United States)

    McCormick, Jennifer; Ozuna, Sara M.

    2012-01-01

    In this article, the authors analyze the evolution of parent advocate education standards that illustrate what parents need to know and do to effectively support their children's learning in 6th-12th grade. Focus groups conducted with parent participants revealed that parents were often unaware of the distinction between helping their child…

  13. Supporting Literacy Differentiation: The Principal's Role in a Community of Practice

    Science.gov (United States)

    Puzio, Kelly; Newcomer, Sarah N.; Goff, Peter

    2015-01-01

    Differentiation is an important practice in today's increasingly diverse classrooms. The researchers used collective case study methods to investigate the role of the principal in supporting differentiated literacy instruction in three purposively selected elementary schools with a documented history of literacy differentiation. For the fourth and…

  14. Basic life support training into cardiac rehabilitation programs: A chance to give back. A community intervention controlled manikin study.

    Science.gov (United States)

    González-Salvado, Violeta; Abelairas-Gómez, Cristian; Peña-Gil, Carlos; Neiro-Rey, Carmen; Barcala-Furelos, Roberto; González-Juanatey, José Ramón; Rodríguez-Núñez, Antonio

    2018-03-12

    Early basic life support is crucial to enhance survival from out-of-hospital cardiac arrest but rates remain low, especially in households. High-risk groups' training has been advocated, but the optimal method is unclear. The CArdiac REhabilitation and BAsic life Support (CAREBAS) project aims to compare the effectiveness of two basic life support educational strategies implemented in a cardiac rehabilitation program. A community intervention study including consecutive patients enrolled on an exercise-based cardiac rehabilitation program after acute coronary syndrome or revascularization was conducted. A standard basic life support training (G-Stan) and a novel approach integrating cardiopulmonary resuscitation hands-on rolling refreshers (G-CPR) were randomly assigned to each group and compared. Basic life support performance was assessed by means of simulation at baseline, following brief instruction and after the 2-month program. 114 participants were included and 108 completed the final evaluation (G-Stan:58, G-CPR:50). Basic life support performance was equally poor at baseline and significantly improved following a brief instruction. A better skill retention was found after the 2-month program in G-CPR, significantly superior for safety and sending for an automated external defibrillator. Confidence and self-perceived preparation were also significantly greater in G-CPR after the program. Integrating cardiopulmonary resuscitation hands-on rolling refreshers in the training of an exercise-based cardiac rehabilitation program is feasible and improves patients' skill retention and confidence to perform a basic life support sequence, compared to conventional training. Exporting this formula to other programs may result in increased numbers of trained citizens, enhanced social awareness and bystander resuscitation. Copyright © 2018 Elsevier B.V. All rights reserved.

  15. Pedagogical Scholarship in Public Health: A Call for Cultivating Learning Communities to Support Evidence-Based Education.

    Science.gov (United States)

    Merzel, Cheryl; Halkitis, Perry; Healton, Cheryl

    Public health education is experiencing record growth and transformation. The current emphasis on learning outcomes necessitates attention to creating and evaluating the best curricula and learning methods for helping public health students develop public health competencies. Schools and programs of public health would benefit from active engagement in pedagogical research and additional platforms to support dissemination and implementation of educational research findings. We reviewed current avenues for sharing public health educational research, curricula, and best teaching practices; we identified useful models from other health professions; and we offered suggestions for how the field of public health education can develop communities of learning devoted to supporting pedagogy. Our goal was to help advance an agenda of innovative evidence-based public health education, enabling schools and programs of public health to evaluate and measure success in meeting the current and future needs of the public health profession.

  16. Supporting implementation: the role of community development teams to build infrastructure.

    Science.gov (United States)

    Saldana, Lisa; Chamberlain, Patricia

    2012-12-01

    Evidence-based methods for assisting consumers, such as counties, in successfully implementing practices are lacking in the field of implementation science. To fill this gap, the Community Development Teams (CDT) approach was developed to assist counties in developing peer networks focused on problem-solving and resource sharing to enhance their possibility of successful implementation. The CDT is an interactive, solution-focused approach that shares many elements of the Interactive Systems Framework (ISF) for Dissemination and Implementation. An ongoing randomized implementation trial of Multidimensional Treatment Foster Care (MTFC) was designed to test the hypothesis that such interactive implementation methods are more successful at helping counties achieve successful and sustainable MTFC programs than standard individualized implementation methods. Using the Stages of Implementation Completion measure, developed for this study, the potential benefit of these interactive methods is examined at different stages of the implementation process ranging from initial engagement to program competency.

  17. Building a Web-Based Knowledge Repository on Climate Change to Support Environmental Communities

    Science.gov (United States)

    Scharl, Arno; Weichselbraun, Albert

    This paper presents the technology base and roadmap of the Climate Change Collaboratory, a Web-based platform that aims to strengthen the relations between scientists, educators, environmental NGOs, policy makers, news media and corporations - stakeholders who recognize the need for adaptation and mitigation, but differ in world-views, goals and agendas. The collaboratory manages expert knowledge and provides a platform for effective communication and collaboration. It aims to assist networking with leading international organizations, bridges the science-policy gap and promotes rich, self-sustaining community interaction to translate knowledge into coordinated action. Innovative survey instruments in the tradition of "games with a purpose" will create shared meaning through collaborative ontology building and leverage social networking platforms to capture indicators of environmental attitudes, lifestyles and behaviors.

  18. Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa.

    Science.gov (United States)

    Wouters, Edwin; Booysen, Frederik le Roux; Masquillier, Caroline

    2016-01-01

    Reviews of impact evaluations of community-based health workers and peer support groups highlight the considerable variability in the effectiveness of such support in improving antiretroviral treatment (ART) outcomes. Evidence indicates that community-based support interventions targeting patients known to be at risk will probably display better results than generic interventions aimed at the entire population of people living with HIV. It is however difficult to identify these at-risk populations, rendering knowledge on the characteristics of patients groups who are in need of community-based support a clear research priority. The current study aims to address the knowledge gap by exploring the predictors of the willingness to (1) receive the support from a community-based health worker or (2) to participate in a support group in public sector ART programme of the Free State Province of South Africa. Based on the Individual-Family-Community framework for HIV research, the study employs a comprehensive approach by not only testing classical individual-level but also family-level predictors of the willingness to receive community-based support. In addition to individual-level predictors-such as age, health status and coping styles-our analysis demonstrated the importance of family characteristics. The results indicated that discrepancies in the family's changeability level were an important predictor of the demand for community-based support services. Conversely, the findings indicated that patients living in a family more flexible than deemed ideal are more likely to require the support of a community health worker. The current study expands theory by indicating the need to acknowledge all social ecological levels in the study of chronic HIV care. The detection of both individual level and family level determinants of the expressed need for community-based support can inform health policy to devise strategies to target scarce resources to those vulnerable patients

  19. Is the air pollution health research community prepared to support a multipollutant air quality management framework?

    Science.gov (United States)

    Mauderly, Joe L; Burnett, Richard T; Castillejos, Margarita; Ozkaynak, Halûk; Samet, Jonathan M; Stieb, David M; Vedal, Sverre; Wyzga, Ronald E

    2010-06-01

    Ambient air pollution is always encountered as a complex mixture, but past regulatory and research strategies largely focused on single pollutants, pollutant classes, and sources one-at-a-time. There is a trend toward managing air quality in a progressively "multipollutant" manner, with the idealized goal of controlling as many air contaminants as possible in an integrated manner to achieve the greatest total reduction of adverse health and environmental impacts. This commentary considers the current ability of the environmental air pollution exposure and health research communities to provide evidence to inform the development of multipollutant air quality management strategies and assess their effectiveness. The commentary is not a literature review, but a summary of key issues and information gaps, strategies for filling the gaps, and realistic expectations for progress that could be made during the next decade. The greatest need is for researchers and sponsors to address air quality health impacts from a truly multipollutant perspective, and the most limiting current information gap is knowledge of personal exposures of different subpopulations, considering activities and microenvironments. Emphasis is needed on clarifying the roles of a broader range of pollutants and their combinations in a more forward-looking manner; that is not driven by current regulatory structures. Although advances in research tools and outcome data will enhance progress, the greater need is to direct existing capabilities toward strategies aimed at placing into proper context the contributions of multiple pollutants and their combinations to the health burdens, and the relative contributions of pollutants and other factors influencing the same outcomes. The authors conclude that the research community has very limited ability to advise multipollutant air quality management and assess its effectiveness at this time, but that considerable progress can be made in a decade, even at

  20. Osteo-cise: Strong Bones for Life: Protocol for a community-based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures

    Directory of Open Access Journals (Sweden)

    Gianoudis Jenny

    2012-05-01

    Full Text Available Abstract Background Osteoporosis affects over 220 million people worldwide, and currently there is no ‘cure’ for the disease. Thus, there is a need to develop evidence-based, safe and acceptable prevention strategies at the population level that target multiple risk factors for fragility fractures to reduce the health and economic burden of the condition. Methods/design The Osteo-cise: Strong Bones for Life study will investigate the effectiveness and feasibility of a multi-component targeted exercise, osteoporosis education/awareness and behavioural change program for improving bone health and muscle function and reducing falls risk in community-dwelling older adults at an increased risk of fracture. Men and women aged ≥60 years will participate in an 18-month randomised controlled trial comprising a 12-month structured and supervised community-based program and a 6-month ‘research to practise’ translational phase. Participants will be randomly assigned to either the Osteo-cise intervention or a self-management control group. The intervention will comprise a multi-modal exercise program incorporating high velocity progressive resistance training, moderate impact weight-bearing exercise and high challenging balance exercises performed three times weekly at local community-based fitness centres. A behavioural change program will be used to enhance exercise adoption and adherence to the program. Community-based osteoporosis education seminars will be conducted to improve participant knowledge and understanding of the risk factors and preventative measures for osteoporosis, falls and fractures. The primary outcomes measures, to be collected at baseline, 6, 12, and 18 months, will include DXA-derived hip and spine bone mineral density measurements and functional muscle power (timed stair-climb test. Secondary outcomes measures include: MRI-assessed distal femur and proximal tibia trabecular bone micro-architecture, lower limb and back

  1. Educating registered nursing and healthcare assistant students in community-based supportive care of older adults: A mixed methods study.

    Science.gov (United States)

    Pesut, Barbara; McLean, Tammy; Reimer-Kirkham, Sheryl; Hartrick-Doane, Gweneth; Hutchings, Deanna; Russell, Lara B

    2015-09-01

    Collaborative education that prepares nursing and healthcare assistant students in supportive care for older adults living at home with advanced chronic illness is an important innovation to prepare the nursing workforce to meet the needs of this growing population. To explore whether a collaborative educational intervention could develop registered nursing and healthcare assistant students' capabilities in supportive care while enhancing care of clients with advanced chronic illness in the community. Mixed method study design. A rural college in Canada. Twenty-one registered nursing and 21 healthcare assistant students completed the collaborative workshop. Eight registered nursing students and 13 healthcare assistant students completed an innovative clinical experience with fifteen clients living with advanced chronic illness. Pre and post-test measures of self-perceived competence and knowledge in supportive care were collected at three time points. Semi-structured interviews were conducted to evaluate the innovative clinical placement. Application of Friedman's test indicated statistically significant changes on all self-perceived competence scores for RN and HCA students with two exceptions: the ethical and legal as well as personal and professional issues domains for HCA students. Application of Friedman's test to self-perceived knowledge scores showed statistically significant changes in all but one domain (interprofessional collaboration and communication) for RN students and all but three domains for HCA students (spiritual needs, ethical and legal issues, and inter-professional collaboration and communication). Not all gains were sustained until T-3. The innovative community placement was evaluated positively by clients and students. Collaborative education for nursing and healthcare assistant students can enhance self-perceived knowledge and competence in supportive care of adults with advanced chronic illness. An innovative clinical experience can

  2. Comparative study of researcher community and support among Finnish and Danish PhD-students

    DEFF Research Database (Denmark)

    Bengtsen, Søren Smedegaard; Cornér, Solveig; Peltonen, Jouni

    D-students. This study explores the experienced support of 356 PhD-students within the humanities and social sciences from two research-intensive universities in Denmark (n=145) and Finland (n=211). The data were collected through the Doctoral Experience-survey and included Likert-type statements and open...... regional contexts hold important differences in educational strategies at the PhD-level. The study also revealed that PhD-students experience enhanced self-efficacy and researcher autonomy when being away from their home institution on conferences and research stays. This calls for more research into how...... PhD-students are being supported and develop as researchers when they are away from their home educational environments....

  3. Social care and support needs of community-dwelling people with dementia and concurrent visual impairment

    OpenAIRE

    Nyman, S.R.; Innes, Anthea; Heward, Michelle

    2017-01-01

    Objectives: Little is known about the needs of people who have both dementia and visual impairment. This study explored the social care and support needs of people with dementia and concurrent visual impairment, and the barriers and facilitators for meeting these needs. Method: Twenty-six semi-structured interviews were conducted: 21 joint interviews with the person with dementia and visual impairment and their family member / paid carer; and 5 individual interviews with either the person wit...

  4. cASM: Obtaining the Ability to Capture Requirements Information Across the Installation Contracting Support Community

    Science.gov (United States)

    2016-04-22

    social impact to the local populace, but this effect must be closely tied to the strategic effects desired.19 An ill planned acquisition could lead to...21 EVALUATION – CONTINGENCY ACQUISTION SUPPORT MODEL (cASM...iv LIST OF FIGURES Figure 1: Top Twenty Contingency Acquisition Expenditures by PSC…………….……….18 Figure 2: Evaluation of cASM

  5. A qualitative study exploring community pharmacists' awareness of, and contribution to, self-care support in the management of long-term conditions in the United Kingdom.

    Science.gov (United States)

    Ogunbayo, Oladapo J; Schafheutle, Ellen I; Cutts, Christopher; Noyce, Peter R

    2015-01-01

    Self-care support refers to activities aimed at educating, training and empowering patients with skills and ability to manage [and monitor] their long-term conditions (LTCs). While self-care support by health care professionals has emerged as a distinct concept in the management of LTCs, evidence of community pharmacy's contribution is sparse. The aim was to explore community pharmacy's contribution to self-care support of LTCs. The objectives were to explore how community pharmacists conceptualize self-care support of LTCs and how they operationalize the core elements of this in their practice. Semi-structured interviews were conducted with community pharmacists in England (n = 12) and Scotland (n = 12). A framework consisting of the core elements of self-care support (information and advice; skills training and support; technology; support networks; and collaborative care planning) was developed from the literature and was used to structure the interviews and analysis. Analysis was done thematically using the interpretative phenomenological analysis technique. The three main themes that emerged were conceptualization; operationalization of the core elements; and barriers to providing self-care support. Participants conceptualized self-care of LTCs as patients taking responsibility for their own health, performing activities that improved their LTCs and that enabled them to become more independent in managing their LTCs. Their views on self-care support did not reflect this conceptual understanding but was described primarily as providing patients with information and advice rather than actively supporting them. Participants' views of operationalizing the core elements of self-care support was found to be medicines focused, opportunistic and dependent on the services they provided, rather than being patient-centered and proactive. The barriers to providing self-care support of LTCs in community pharmacy were described as priority accorded to dispensing activities

  6. The effectiveness of an online support group for members of the community with depression: a randomised controlled trial.

    Directory of Open Access Journals (Sweden)

    Kathleen M Griffiths

    Full Text Available BACKGROUND: Internet support groups (ISGs are popular, particularly among people with depression, but there is little high quality evidence concerning their effectiveness. AIM: The study aimed to evaluate the efficacy of an ISG for reducing depressive symptoms among community members when used alone and in combination with an automated Internet-based psychotherapy training program. METHOD: Volunteers with elevated psychological distress were identified using a community-based screening postal survey. Participants were randomised to one of four 12-week conditions: depression Internet Support Group (ISG, automated depression Internet Training Program (ITP, combination of the two (ITP+ISG, or a control website with delayed access to e-couch at 6 months. Assessments were conducted at baseline, post-intervention, 6 and 12 months. RESULTS: There was no change in depressive symptoms relative to control after 3 months of exposure to the ISG. However, both the ISG alone and the combined ISG+ITP group showed significantly greater reduction in depressive symptoms at 6 and 12 months follow-up than the control group. The ITP program was effective relative to control at post-intervention but not at 6 months. CONCLUSIONS: ISGs for depression are promising and warrant further empirical investigation. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN65657330.

  7. The impact of community support initiatives on the stigma experienced by people living with HIV/AIDS in South Africa.

    Science.gov (United States)

    Masquillier, Caroline; Wouters, Edwin; Mortelmans, Dimitri; le Roux Booysen, Frederik

    2015-02-01

    In the current context of human resource shortages in South Africa, various community support interventions are being implemented to provide long-term psychosocial care to persons living with HIV/AIDS (PLWHA). However, it is important to analyze the unintended social side effects of such interventions in regards to the stigma felt by PLWHA, which might threaten the successful management of life-long treatment. Latent cross-lagged modeling was used to analyze longitudinal data on 294 PLWHA from a randomized controlled trial (1) to determine whether peer adherence support (PAS) and treatment buddying influence the stigma experienced by PLWHA; and (2) to analyze the interrelationships between each support form and stigma. Results indicate that having a treatment buddy decreases felt stigma scores, while receiving PAS increases levels of felt stigma at the second follow up. However, the PAS intervention was also found to have a positive influence on having a treatment buddy at this time. Furthermore, a treatment buddy mitigates the stigmatizing effect of PAS, resulting in a small negative indirect effect on stigma. The study indicates the importance of looking beyond the intended effects of an intervention, with the goal of minimizing any adverse consequences that might threaten the successful long-term management of HIV/AIDS and maximizing the opportunities created by such support.

  8. Around the Table: Food Insecurity, Socioeconomic Status, and Instrumental Social Support among Women Living in a Rural Kenyan Island Community.

    Science.gov (United States)

    Nagata, Jason M; Fiorella, Kathryn J; Salmen, Charles R; Hickey, Matthew D; Mattah, Brian; Magerenge, Richard; Milner, Erin M; Weiser, Sheri D; Bukusi, Elizabeth A; Cohen, Craig R

    2015-01-01

    The objective of this study was to investigate the relationship among socioeconomic status, social support, and food insecurity in a rural Kenyan island community. A cross-sectional random sample of 111 female heads of households representing 583 household members were surveyed in Mfangano Island, Kenya from August to October 2010 using adaptations of the Household Food Insecurity Access Scale and the Medical Outcomes Study Social Support Survey. In multiple linear regression models, less instrumental social support, defined as concrete direct ways people help others (B = -0.81; 95% confidence interval [CI] -1.45 to -0.17), and decreased ownership scale based on owning material assets (B = -2.93; 95% CI -4.99 to -0.86) were significantly associated with increased food insecurity, controlling for age, education, marital status, and household size. Social support interventions geared at group capacity and resilience may be crucial adjuncts to improve and maintain the long term food security and health of persons living in low-resource regions.

  9. Strategies, Use, and Impact of Social Media for Supporting Teacher Community within Professional Development: The Case of One Urban STEM Program

    Science.gov (United States)

    Rosenberg, Joshua M.; Greenhalgh, Spencer P.; Wolf, Leigh Graves; Koehler, Matthew J.

    2017-01-01

    This paper examines the use of social media to foster community connections within the MSU Urban Science, Technology, Engineering, and Mathematics (STEM) program. We describe the strategies employed by the program and the technologies employed by instructors to provide support, build community, and showcase learning. We highlight three particular…

  10. Mediators and Moderators of Improvements in Medication Adherence: Secondary Analysis of a Community Health Worker-Led Diabetes Medication Self-Management Support Program

    Science.gov (United States)

    Hofer, Rebecca; Choi, Hwajung; Mase, Rebecca; Fagerlin, Angela; Spencer, Michael; Heisler, Michele

    2017-01-01

    Objective. In a randomized controlled trial we compared two models of community health worker-led diabetes medication decision support for low-income Latino and African American adults with diabetes. Most outcomes were improved when community health workers used either an interactive e-Health tool or print materials. This article investigates…

  11. Signaling network of dendritic cells in response to pathogens: a community-input supported knowledgebase

    Directory of Open Access Journals (Sweden)

    Nudelman Irina

    2010-10-01

    Full Text Available Abstract Background Dendritic cells are antigen-presenting cells that play an essential role in linking the innate and adaptive immune systems. Much research has focused on the signaling pathways triggered upon infection of dendritic cells by various pathogens. The high level of activity in the field makes it desirable to have a pathway-based resource to access the information in the literature. Current pathway diagrams lack either comprehensiveness, or an open-access editorial interface. Hence, there is a need for a dependable, expertly curated knowledgebase that integrates this information into a map of signaling networks. Description We have built a detailed diagram of the dendritic cell signaling network, with the goal of providing researchers with a valuable resource and a facile method for community input. Network construction has relied on comprehensive review of the literature and regular updates. The diagram includes detailed depictions of pathways activated downstream of different pathogen recognition receptors such as Toll-like receptors, retinoic acid-inducible gene-I-like receptors, C-type lectin receptors and nucleotide-binding oligomerization domain-like receptors. Initially assembled using CellDesigner software, it provides an annotated graphical representation of interactions stored in Systems Biology Mark-up Language. The network, which comprises 249 nodes and 213 edges, has been web-published through the Biological Pathway Publisher software suite. Nodes are annotated with PubMed references and gene-related information, and linked to a public wiki, providing a discussion forum for updates and corrections. To gain more insight into regulatory patterns of dendritic cell signaling, we analyzed the network using graph-theory methods: bifan, feedforward and multi-input convergence motifs were enriched. This emphasis on activating control mechanisms is consonant with a network that subserves persistent and coordinated responses to

  12. Costing Human Rights and Community Support Interventions as a Part of Universal Access to HIV Treatment and Care in a Southern African Setting

    Science.gov (United States)

    Jones, Louisa; Akugizibwe, Paula; Clayton, Michaela; Amon, Joseph J; Sabin, Miriam Lewis; Bennett, Rod; Stegling, Christine; Baggaley, Rachel; Kahn, James G; Holmes, Charles B; Garg, Navneet; Obermeyer, Carla Makhlouf; Mack, Christina DeFilippo; Williams, Phoebe; Smyth, Caoimhe; Vitoria, Marco; Crowley, Siobhan; Williams, Brian; McClure, Craig; Granich, Reuben; Hirnschall, Gottfried

    2011-01-01

    Expanding access to antiretroviral therapy (ART) has both individual health benefits and potential to decrease HIV incidence. Ensuring access to HIV services is a significant human rights issue and successful programmes require adequate human rights protections and community support. However, the cost of specific human rights and community support interventions for equitable, sustainable and non-discriminatory access to ART are not well described. Human rights and community support interventions were identified using the literature and through consultations with experts. Specific costs were then determined for these health sector interventions. Population and epidemic data were provided through the Statistics South Africa 2009 national mid-year estimates. Costs of scale up of HIV prevention and treatment were taken from recently published estimates. Interventions addressed access to services, minimising stigma and discrimination against people living with HIV, confidentiality, informed consent and counselling quality. Integrated HIV programme interventions included training for counsellors, ‘Know Your Rights’ information desks, outreach campaigns for most at risk populations, and adherence support. Complementary measures included post-service interviews, human rights abuse monitoring, transportation costs, legal assistance, and funding for human rights and community support organisations. Other essential non-health sector interventions were identified but not included in the costing framework. The annual costs for the human rights and community support interventions are United States (US) $63.8 million (US $1.22 per capita), representing 1.5% of total health sector HIV programme costs. Respect for human rights and community engagement can be understood both as an obligation of expanded ART programmes and as a critically important factor in their success. Basic rights-based and community support interventions constitute only a small percentage of overall

  13. Two decades of nation-wide community-based stroke support - The Singapore National Stroke Association.

    Science.gov (United States)

    Venketasubramanian, Narayanaswamy; Yin, Ann; Lee, Lay B; De Silva, Deidre A

    2017-04-01

    The Singapore National Stroke Association, registered in 1996, offers support and information to stroke survivors and caregivers, and aims to raise public stroke awareness. In the last 20 years, we have developed programs to equip stroke survivors and caregivers with knowledge, life skills, comfort, and opportunities for socialization and reintegration. We have on-going public education and advocacy initiatives. Obtaining funding, member recruitment, volunteer retention, and leadership renewal are on-going challenges. Singapore National Stroke Association will continue to strive for the betterment of stroke survivors, their caregivers, and the public.

  14. ShopComm: Community-Supported Online Shopping for Older Adults.

    Science.gov (United States)

    Gorkovenko, Katerina; Tigwell, Garreth W; Norrie, Christopher S; Waite, Miriam; Herron, Daniel

    2017-01-01

    The United Kingdom has an ageing population whose members experience significant life transitions as they grow older, for example, losing mobility due to deteriorating health. For these adults, digital technology has the potential to sustain their independence and improve their quality of life. However older adults can be reluctant to use digital solutions. In this paper, we review a local charity providing a grocery shopping service for older adults who are unable to go themselves. We explore how older adults perceive the benefits and drawbacks of both physical and digital shopping. Using these insights, we designed ShopComm to enable and support older adults with mobility impairments to shop online.

  15. The EVER-EST portal as support for the Sea Monitoring Virtual Research Community, through the sharing of resources, enabling dynamic collaboration and promoting community engagement

    Science.gov (United States)

    Foglini, Federica; Grande, Valentina; De Leo, Francesco; Mantovani, Simone; Ferraresi, Sergio

    2017-04-01

    EVER-EST offers a framework based on advanced services delivered both at the e-infrastructure and domain-specific level, with the objective of supporting each phase of the Earth Science Research and Information Lifecycle. It provides innovative e-research services to Earth Science user communities for communication, cross-validation and the sharing of knowledge and science outputs. The project follows a user-centric approach: real use cases taken from pre-selected Virtual Research Communities (VRC) covering different Earth Science research scenarios drive the implementation of the Virtual Research Environment (VRE) services and capabilities. The Sea Monitoring community is involved in the evaluation of the EVER-EST infrastructure. The community of potential users is wide and heterogeneous including both multi-disciplinary scientists and national/international agencies and authorities (e.g. MPAs directors, technicians from regional agencies like ARPA in Italy, the technicians working for the Ministry of the Environment) dealing with the adoption of a better way of measuring the quality of the environment. The scientific community has the main role of assessing the best criteria and indicators for defining the Good Environmental Status (GES) in their own sub regions, and implementing methods, protocols and tools for monitoring the GES descriptors. According to the Marine Strategy Framework Directive (MSFD), the environmental status of marine waters is defined by 11 descriptors, and forms a proposed set of 29 associated criteria and 56 different indicators. The objective of the Sea Monitoring VRC is to provide useful and applicable contributions to the evaluation of the descriptors: D1.Biodiversity, D2.Non-indigenous species and D6.Seafloor Integrity (http://ec.europa.eu/environment/marine/good-environmental-status/index_en.htm). The main challenges for the community members are: 1. discovery of existing data and products distributed among different infrastructures; 2

  16. Social care and support needs of community-dwelling people with dementia and concurrent visual impairment.

    Science.gov (United States)

    Nyman, Samuel Robert; Innes, Anthea; Heward, Michelle

    2017-09-01

    This study explored the social care and support needs of people with dementia and visual impairment, and the barriers and facilitators for meeting these needs. Twenty-six semi-structured interviews were conducted: 21 joint and 5 individual interviews with the person with dementia and visual impairment (n=4) or their family/paid carer (n=1). Interviews were analysed thematically. Three themes are presented. (1) Social care needs: having dementia can reduce an individual's ability to cope with their visual impairment, and lead to increased dependency and reduced daily stimulation. (2) Barriers to using technology to meet social care needs: difficulties were reported with learning to use unfamiliar technology and the cost of visual impairment aids, and for some, the presence of dementia made visual impairment aids unusable and vice versa. (3) Familiarity as a facilitator for meeting social care needs: living at home or taking furnishings and ornaments into a new home facilitated independence, and continuity of paid carers/volunteers facilitated the caring relationship between the individual and staff/volunteer. Care workers will better serve older people if they are aware of the social care and support needs that arise from having both dementia and visual impairment.

  17. Factors Affecting Re-usage Intentions of Virtual Communities Supporting Cosmetic Products

    Directory of Open Access Journals (Sweden)

    Jhong-Min Yang

    2017-01-01

    Full Text Available Aim/Purpose: This study uses a cosmetic virtual community (VC as the research context and the UTAUT model as the theoretical structure aim to explore factors affecting the re-usage intentions of VC members. Background: The Internet use rate of VC was up to 50%, thereby implying that VC gained the attention of Internet users. Therefore, operating a VC will be an effective way to communicate with customers. However, to maintain an existing member is more efficient than creating a new one. As such, understanding determinants of VC members’ re-use intentions becomes important for firms. Methodology: Through an online survey, 276 valid responses were gathered. The collected data were examined by performing confirmatory factor analysis, structural equation modelling procedures, as well as the moderator analysis. Contribution: This study shows the importance in the context of online cosmetics-related VC, which was rarely explored before. We provide issues for future research, despite the accumulated academic literature related to UTAUT and VC. Findings: Results show that only performance expectancy and social influence significantly affecting re-usage intentions and only gender has moderating effects on the path from performance expectancy to VC re-use intention and from trust to VC re-use intention. Recommendations for Practitioners\t: This study found that users emphasized performance expectancy most of all. A cosmetic product-related VC should introduce products abundantly, offer useful information, and help people accomplish tasks quickly and productively. Recommendation for Researchers: Future researchers may use our findings to conduct further positivist research in the area of social influence using different subjects and research contexts.

  18. Implementation of a Substance Use Recovery Support Mobile Phone App in Community Settings: Qualitative Study of Clinician and Staff Perspectives of Facilitators and Barriers.

    Science.gov (United States)

    Lord, Sarah; Moore, Sarah K; Ramsey, Alex; Dinauer, Susan; Johnson, Kimberly

    2016-06-28

    app to improve client use, and its ease of use. The mobile phone itself was a strong motivation for clients to opt in to use the app in settings that provided phones. App access was limited in settings that did not provide phones owing to lack of mobile phone ownership or incompatibility of the app with clients' mobile phones. Individual differences in technology literacy and provider beliefs about substance use care either facilitated or challenged implementation. Awareness of patient needs and resources facilitated implementation, whereas external policies and regulations regarding technology use introduced barriers to implementation. The conceptually grounded facilitators and barriers identified in this study can guide systematic targeting of strategies to improve implementation of mobile phone interventions in community treatment settings. Results also inform the design of technology-based therapeutic tools. This study highlights directions for research with regard to implementation of technology-based behavioral health care approaches.

  19. Emergent mechanical support in the community: improvement with early transplant center referral.

    Science.gov (United States)

    Morris, Rohinton J; Pochettino, Alberto; O'Hara, Marylou; Gardner, Timothy J; Acker, Michael A

    2005-06-01

    Emergent mechanical support for the failing ventricle, with eventual transfer for definitive care, is often required at non-transplant centers. Transfer for definitive care, in terms of bridge to transplant, may require ventricular assist device (VAD) placement at the primary institution or at the transplant center. Review of consecutive single transplant center referrals was conducted to decipher optimal management. From January 1997 to December 2000, 104 patients were transferred to the University of Pennsylvania Heart Failure/Transplant Service. Most were transferred from active cardiac surgical programs, with 56 patients having post-cardiotomy failure at the primary site. A VAD was placed in procedures done at the outside hospital (OSH) in 28 patients, most commonly (60%) an Abiomed device. Of the 76 patients that received a VAD at the transplant center (TxpC), 86% received a TCI or Thoratec device. Biventricular support was required in 34 patients. Overall survival was 57%, with 54 patients bridged to transplantation and 5 patients undergoing recovery. Patients having a VAD placed at the OSH had a 32% (9 of 28) survival, whereas at the TxpC survival was 65% (45 of 76) (p 1-year post-transplant. The most common cause of death was multi-system organ failure (19 of 45), followed by major neurologic event (15 of 45). Infection was the cause of death in only 6 patients. Left ventricular failure can be treated by emergent VAD placement. Overall survival is substantial if these patients are referred to a transplant center with multiple options. In contrast to previous reports, survival rates may be improved by earlier referral, before VAD placement at non-transplant centers and use of a VAD with longer-term capability.

  20. Clinical unity and community empowerment: the use of smartphone technology to empower community management of chronic venous ulcers through the support of a tertiary unit.

    Directory of Open Access Journals (Sweden)

    Edel Marie Quinn

    Full Text Available BACKGROUND: Chronic ulcers affect roughly 60,000 Irish people, at a total cost of €600,000,000, or €10,000 per patient annually. By virtue of their chronicity, these ulcers also contribute a significant burden to tertiary outpatient vascular clinics. OBJECTIVE: We propose utilizing mobile phone technology to decentralise care from tertiary centres to the community, improving efficiency and patient satisfaction, while maintaining patient safety. METHODS: Bespoke mobile software was developed for Apples iPhone 4 platform. This allowed for the remote collection of patient images prospectively and their transmission with clinical queries, from the primary healthcare team to the tertiary centre. Training and iPhones were provided to five public health nurses in geographically remote areas of the region. Data were uploaded securely and user end software was developed allowing the review and manipulation of images, along with two way communication between the teams. Establishing reliability, patients were reviewed clinically as well as remotely, and concordance analysed. Qualitative data were collected through focus group discussion. RESULTS: From October to December 2011 eight patients (61-83 yrs, mean 75.3 yrs with chronic venous ulceration and their five public health nurses were recruited. Data were transmitted using 3 G, Edge, GPRS and WiFi, at a mean speed of 69.03 kps. Concordance was 100% for wound bed assessment, 80% for skin integrity/colour and 60% for exudate assessment. Focus group analysis explored the concept, practicalities and future applications of the system. CONCLUSIONS: With an evolving national data network, the secure transmission of clinical images is a safe alternative to regular clinic appointments for patients with chronic venous ulceration. With further development, and packaged as a freely downloadable application, this has the potential to support the community care of chronic wounds.

  1. Supporting continuity of care between prison and the community for women in prison: a medical record review.

    Science.gov (United States)

    Abbott, Penelope; Magin, Parker; Lujic, Sanja; Hu, Wendy

    2017-07-01

    available only for a minority of women, continuity of care arrangements and transfer of health information do not usually occur when women leave prison. Pragmatic choices about continuity of care at the interface between prison and community may have been made, particularly focusing on medication continuity. Barriers to continuity of care and ways forward are suggested. What are the implications for practitioners? Siloing of health care delivered within prison health services through lack of continuity of care at release is wasteful, both in terms of healthcare costs and lost opportunities to achieve health outcomes in a vulnerable population with high health needs. There is need for an increased focus on continuity of care between prison and community health services, HCP support and training and expansion of pre-release planning and healthcare linkage programs to assist larger numbers of women in prison.

  2. Micro‐provision of Social Care Support for Marginalized Communities – Filling the Gap or Building Bridges to the Mainstream?

    Science.gov (United States)

    2015-01-01

    Abstract As English social care services reconstruct themselves in response to the personalization agenda, there is increased interest in the contribution of micro‐providers – very small community‐based organizations, which can work directly with individuals. These micro‐providers are assumed to be able to cater for the ‘seldom heard’ groups which have been marginalized within mainstream social care services. This article reviews recent literature from the UK published in peer‐reviewed journals from 2000 to 2013 on support provision for people with protected characteristics under the Equality Act 2010. It considers the marginalising dynamics in mainstream, statutory social care support provision, and how far local community, specialist or small‐scale services are responding to unmet need for support and advice among marginalized groups. The review found that there is a tradition of compensatory self‐organization, use of informal networks and a mobilization of social capital for all these groups in response to marginalization from mainstream, statutory services. This requires recognition and nurturing in ways that do not stifle its unique nature. Specialist and community‐based micro‐providers can contribute to a wider range of choices for people who feel larger, mainstream services are not suitable or accessible. However, the types of compensatory activity identified in the research need recognition and investment, and its existence does not imply that the mainstream should not address marginalization. PMID:27840462

  3. Supporting children when a parent has a life-threatening illness: the role of the community practitioner.

    Science.gov (United States)

    Fearnley, Rachel

    2012-12-01

    The last two decades have seen an academic and practice based shift in the acknowledgment that children require support following the death of a significant person. However, the needs of children who are living amidst parental life threatening illness are not, as yet, so clearly recognised or acknowledged. These children are often forgotten and their needs are frequently peripheral, if not absent, within the clinical setting. The current study adopted qualitative methodology to explore children's experiences when living with a parent who is dying. A total of 36 people were interviewed, including children, their parents and professionals. The findings highlighted the importance of age appropriate information sharing with the children and the significant role professionals have in facilitating conversations either directly or through supporting the parents to hold these 'difficult' discussions. This paper offers an overview of the vital role community practitioners have in supporting the children of patients. It argues that they often have a more in-depth knowledge of the family and its functioning and that consequently they can add a different dimension to the care provided.

  4. How Can the Science Community Support Reality Based Policies to Reducing the Escalating Toll of Natural Hazards?

    Science.gov (United States)

    Thomas, E. A.

    2012-12-01

    right to implement safe design standards (Thomas, Riley Medlock 2008); yet all too often do not (NOAA, 2010). The required negotiations techniques must include outreach even to those who believe the topics of climate change and sustainability are some sort of plot against property rights and the free enterprise system. The presentation will also challenge the scientific community to support reasoned efforts to better prepare society for the even greater challenges posed by climate variability, uncertainty, and change: to work with practitioners who seek to build a safe and sustainable future to identify gaps in scientific knowledge and help develop workable solutions at the local level. Edward A. Thomas Esq. President Natural Hazard Mitigation Association

  5. Developing a Community-Based Participatory Research Curriculum to Support Environmental Health Research Partnerships: An Initiative of the GROWH Community Outreach and Dissemination Core.

    Science.gov (United States)

    Canfield, Caitlin; Angove, Rebekah; Boselovic, Joseph; Brown, Lisanne F; Gauthe, Sharon; Bui, Tap; Gauthe, David; Bogen, Donald; Denham, Stacey; Nguyen, Tuan; Lichtveld, Maureen Y

    2016-01-01

    The Transdisciplinary Research Consortium for Gulf Resilience on Women's Health (GROWH) addresses reproductive health disparities in the Gulf Coast by linking communities and scientists through community-engaged research. Funded by the National Institutes of Environmental Health Sciences, GROWH's Community Outreach and Dissemination Core (CODC) seeks to utilize community-based participatory research (CBPR) and other community-centered outreach strategies to strengthen resilience in vulnerable Gulf Coast populations. The CODC is an academic-community partnership comprised of Tulane University, Mary Queen of Vietnam Community Development Corporation, Bayou Interfaith Shared Community Organizing, and the Louisiana Public Health Institute (LPHI). Alongside its CODC partners, LPHI collaboratively developed, piloted and evaluated an innovative CBPR curriculum. In addition to helping with curriculum design, the CODC's community and academic partners participated in the pilot. The curriculum was designed to impart applied, practical knowledge to community-based organizations and academic researchers on the successful formulation, execution and sustaining of CBPR projects and partnerships within the context of environmental health research. The curriculum resulted in increased knowledge about CBPR methods among both community and academic partners as well as improved relationships within the GROWH CODC partnership. The efforts of the GROWH partnership and curriculum were successful. This curriculum may serve as an anchor for future GROWH efforts including: competency development, translation of the curriculum into education and training products, community development of a CBPR curriculum for academic partners, community practice of CBPR, and future environmental health work.

  6. The community diversity of two Caribbean MPAs invaded by lionfish does not support the biotic resistance hypothesis

    Science.gov (United States)

    Cobián-Rojas, Dorka; Schmitter-Soto, Juan J.; Aguilar Betancourt, Consuelo M.; Aguilar-Perera, Alfonso; Ruiz-Zárate, Miguel Á.; González-Sansón, Gaspar; Chevalier Monteagudo, Pedro P.; Herrera Pavón, Roberto; García Rodríguez, Alain; Corrada Wong, Raúl I.; Cabrera Guerra, Delmis; Salvat Torres, Héctor; Perera Valderrama, Susana

    2018-04-01

    Marine protected areas (MPAs) conserve diversity and abundance of fish communities. According to the biotic resistance hypothesis, communities with higher diversity and abundance should resist invasions better. To test this idea, the presence of lionfish in two Caribbean MPAs was studied: Parque Nacional Guanahacabibes (PNG) in Cuba and Parque Nacional Arrecifes de Xcalak (PNAX) in Mexico. Selection of these MPAs was based on both their different levels of success with enforcement and different abundances of native fish, with a more abundant native fish fauna at PNG. Underwater visual censuses were used to evaluate both the native fish structure and composition and at the same time distribution and abundance of lionfish. The abundance of potential predators on lionfish was also measured to determine possible effects of lionfish on both the abundance and the size of its prey and competitors. Lionfish showed higher abundance and larger size in PNG compared to PNAX, even though its probable competitors and predators were also more abundant and larger in PNG. Prey abundance and size decreased after the invasion. No correlation was detected between potential predators and lionfish, which might indicate natural predation is not substantial. In PNAX, lower abundance of prey, potential competitors and predators can also be attributed to historical overfishing, but this did not provide an advantage to lionfish. Lionfish were less abundant and reached smaller sizes in PNAX compared to PNG. This work confirms the effectiveness of lionfish culling at PNAX, but does not support the biotic resistence hypothesis that native fish might have controlled this invasive species.

  7. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

    Science.gov (United States)

    Zimlichman, Eyal; Keohane, Carol; Franz, Calvin; Everett, Wendy L; Seger, Diane L; Yoon, Catherine; Leung, Alexander A; Cadet, Bismarck; Coffey, Michael; Kaufman, Nathan E; Bates, David W

    2013-07-01

    In-hospital adverse events are a major cause of morbidity and mortality and represent a major cost burden to health care systems. A study was conducted to evaluate the return on investment (ROI) for the adoption of vendor-developed computerized physician oder entry (CPOE) systems in four community hospitals in Massachusetts. Of the four hospitals, two were under one management structure and implemented the same vendor-developed CPOE system (Hospital Group A), while the other two were under a second management structure and implemented another vendor-developed CPOE system (Hospital Group B). Cost savings were calculated on the basis of reduction in preventable adverse drug event (ADE) rates as measured previously. ROI, net cash flow, and the breakeven point during a 10-year cost-and-benefit model were calculated. At the time of the study, none of the participating hospitals had implemented more than a rudimentary decision support system together with CPOE. Implementation costs were lower for Hospital Group A than B ($7,130,894 total or $83/admission versus $19,293,379 total or $113/admission, respectively), as were preventable ADE-related avoided costs ($7,937,651 and $16,557,056, respectively). A cost-benefit analysis demonstrated that Hospital Group A had an ROI of 11.3%, breaking even on the investment eight years following implementation. Hospital Group B showed a negative return, with an ROI of -3.1%. Adoption of vendor CPOE systems in community hospitals was associated with a modest ROI at best when applying cost savings attributable to prevention of ADEs only. The modest financial returns can beattributed to the lack of clinical decision support tools.

  8. Empirical guidelines for forest management decision support systems based on the past experiences of the expert's community

    Directory of Open Access Journals (Sweden)

    A.F. Marques

    2013-07-01

    Full Text Available Aim of the study: Decision support systems for forest management (FMDSS have been developed world wide to account for a broad range of forest ecosystems, management goals and organizational frameworks (e.g. the wiki page of the FORSYS project reports 62 existing FMDSSs from 23 countries. The need to enhance the collaboration among this diverse community of developers and users fostered the rise of new group communication processes that could capture useful knowledge from past experiences in order to efficiently provide it to new FMDSS development efforts.Material and methods: This paper presents and tests an exploratory process aiming to identify the empirical guidelines assisting developers and users of FMDSS. This process encompasses aDelphi survey built upon the consolidation of the lessons-learned statements that summarize the past experiences of the experts involved in the FORSYS project. The experts come from 34 countries and have diverse interests, ranging from forest planners, IT developers, social scientists studying participatory planning, and researchers with interests in knowledge management and in quantitative models for forest planning.Main results: The proposed 37 empirical guidelines that group 102 lessons-learned cover a broad range of issues including the DSS development cycle, involvement of the stakeholders, methods, models and knowledge-based techniques in use.Research highlights: These results may be used for improving new FMDSS development processes, teaching and training and further suggest new features of FMDSS and future research topics. Furthermore, the guidelines may constitute a knowledge repository that may be continuously improved by a community of practice.Keywords: Forest management; guidelines; guidelines definition process; lessons learned; decision support systems; system architecture; knowledge management; participatory planning; Delphi.

  9. Can scenario-planning support community-based natural resource management? Experiences from three countries in Latin America

    Directory of Open Access Journals (Sweden)

    Kerry A. Waylen

    2015-12-01

    Full Text Available Community-based natural resource management (CBNRM is a concept critical to managing social-ecological systems but whose implementation needs strengthening. Scenario planning is one approach that may offer benefits relevant to CBNRM but whose potential is not yet well understood. Therefore, we designed, trialed, and evaluated a scenario-planning method intended to support CBNRM in three cases, located in Colombia, Mexico, and Argentina. Implementing scenario planning was judged as worthwhile in all three cases, although aspects of it were challenging to facilitate. The benefits generated were relevant to strengthening CBNRM: encouraging the participation of local people and using their knowledge, enhanced consideration of and adaptation to future change, and supporting the development of systems thinking. Tracing exactly when and how these benefits arose was challenging, but two elements of the method seemed particularly useful. First, using a systematic approach to discuss how drivers of change may affect local social-ecological systems helped to foster systems thinking and identify connections between issues. Second, explicitly focusing on how to use and respond to scenarios helped identify specific practical activities, or "response options," that would support CBNRM despite the pressures of future change. Discussions about response options also highlighted the need for support by other actors, e.g., policy groups: this raised the question of when and how other actors and other sources of knowledge should be involved in scenario planning, so as to encourage their buy-in to actions identified by the process. We suggest that other CBNRM initiatives may benefit from adapting and applying scenario planning. However, these initiatives should be carefully monitored because further research is required to understand how and when scenario-planning methods may produce benefits, as well as their strengths and weaknesses versus other methods.

  10. Do community pharmacists have the attitudes and knowledge to support evidence based self-management of low back pain?

    Directory of Open Access Journals (Sweden)

    Waddell Gordon

    2007-01-01

    Full Text Available Abstract Background In many countries, community pharmacists can be consulted without appointment in a large number of convenient locations. They are in an ideal position to give advice to patients at the onset of low back pain and also reinforce advice given by other healthcare professionals. There is little specific information about the quality of care provided in the pharmacy for people with back pain. The main objectives of this survey were to determine the attitudes, knowledge and reported practice of English pharmacists advising people who present with acute or chronic low back pain. Methods A questionnaire was designed for anonymous self-completion by pharmacists attending continuing education sessions. Demographic questions were designed to allow comparison with a national pharmacy workforce survey. Attitudes were measured with the Back Beliefs Questionnaire (BBQ and questions based on the Working Backs Scotland campaign. Questions about the treatment of back pain in the community pharmacy were written (or adapted to reflect and characterise the nature of practice. In response to two clinical vignettes, respondents were asked to select proposals that they would recommend in practice. Results 335 responses from community pharmacists were analysed. Middle aged pharmacists, women, pharmacy managers and locums were over-represented compared to registration and workforce data. The mean (SD BBQ score for the pharmacists was 31.37 (5.75, which was slightly more positive than in similar surveys of other groups. Those who had suffered from back pain seem to demonstrate more confidence (fewer negative feelings, more advice opportunities and better advice provision in their perception of advice given in the pharmacy. Awareness of written information that could help to support practice was low. Reponses to the clinical vignettes were generally in line with the evidence base. Pharmacists expressed some caution about recommending activity. Most

  11. The effect of perceived organisational support on burnout among community health nurses in China: the mediating role of professional self-concept.

    Science.gov (United States)

    Cao, Xiaoyi; Chen, Lin; Tian, Lang; Diao, Yongshu

    2016-01-01

    To examine the mediating effect of professional self-concept on the association between perceived organisational support and burnout among community health nurses in Chengdu, China. Burnout is a common phenomenon among nurses and previous studies have focused on work environmental factors contributing to burnout. Limited studies have examined the effects of perceived organisational support and professional self-concept on burnout among community health nurses. This was a cross-sectional study with 551 community health nurses in Chengdu, China, which included a two-stage sampling method. Structural equation modelling was used to examine the relationships among perceived organisational support, professional self-concept and burnout. The final sample included 456 nurses (82.7%). Perceived organisational support was a significant positive direct predictor for professional self-concept and a significant negative direct predictor for burnout. Professional self-concept was a significant negative direct contributor to burnout. Professional self-concept had a mediating effect on the relationship between perceived organisational support and burnout. Perceived organisational support may result in reduced burnout by facilitating the development of positive professional self-concept. Strategies such as establishing a supportive work environment and professional competence training may be effective methods for burnout prevention and management among community health nurses. © 2015 John Wiley & Sons Ltd.

  12. Social Media Use and Well-Being in People with Physical Disabilities: Influence of SNS and Online Community Uses on Social Support, Depression, and Psychological Disposition.

    Science.gov (United States)

    Lee, H Erin; Cho, Jaehee

    2018-04-13

    This study examined the relationships across social media use, social support, depression, and general psychological disposition among people with movement or mobility disabilities in Korea. First, with survey data (n = 91) collected from users of social network sites (SNSs) and online communities, hypotheses regarding positive associations between intensity of an individual's engagement in social media and four different types of social support-emotional, instrumental, informational, and appraisal support-were tested as well as hypotheses regarding mediation effects of the social support variables in the association between social media use and depression. Second, through focus group interviews (n = 15), influences of social media use on social support were more thoroughly explored as well as their influences on general psychological disposition. Results from hierarchical regression analyses confirmed that both intensity of SNS use and online community use significantly predicted instrumental, informational, and appraisal support, while they did not predict emotional support. Further regression and Sobel tests showed that higher levels of intensity of SNS use and of online community use both led to lower levels of depression through the mediation of instrumental and informational support. Analysis of the interviews further revealed the positive roles of social media use in building social support and healthy psychological dispositions. However, analysis also revealed some negative consequences of and limitations to social media use for those with physical disabilities. These findings expand our knowledge of the context and implications of engaging in online social activities for people with physical disabilities.

  13. Psychiatric morbidity, quality of life, and perceived social support among elderly population: a community-based study

    Directory of Open Access Journals (Sweden)

    Pallavi Kwan

    2016-01-01

    Full Text Available Background: The growth in the elderly population means an inevitable increase in general physical health, psychobiological and mental health-related problems. Aim of the study: The present study aims to examine psychiatric morbidity, quality of life, and perceived social support among elderly population. Research design: A cross-sectional community-based study was conducted. People in age group of 60 years and above, who were permanent members of their respective households of Ranga Pukri Para and Dekargaon village in Tezpur, Sonitpur district of Assam, were the sample for the present study. One thousand four hundred and ninety adult populations had been identified as sample frame from the electorate list. One hundred and four people of age 60 years and above had been identified from the list for the study purpose. Random sampling method was used for selection of the sample. Semi-structured socio-demographic datasheet, General Health Questionnaire-12 (GHQ-12, CAGE questionnaire, Multidimensional Scale of Perceived Social Support, and World Health Organization Quality of Life (WHOQOL-BREF scale were administered to the respondents. Results: Based on the GHQ-12 score, it was found that 24% of the respondents showed an indication of mental health problems and from the CAGE score, it indicated that 13% of the respondents were found to be misusing or was in dependence in alcohol. The result from the present study indicated that elderly population was getting more family social support, followed by friends and from significant others. The result indicated that the mean score was low in the domain of social relationships. Environment domain was high followed by physical health and psychological domains of WHOQOL-BREF. Conclusion: In the elderly population, overall health can be influenced by multiple factors, including a person’s physical, psychological, behavioural, and social factors. The mental health professionals can provide resources, services

  14. [Influence of self efficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community].

    Science.gov (United States)

    Lee, Hyeonkyeong; Cho, Sung Hye; Kim, Jung Hee; Kim, Yune Kyong; Choo, Hyang Im

    2014-12-01

    The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, pelderly residents in rural communities.

  15. Testing strong interaction theories

    International Nuclear Information System (INIS)

    Ellis, J.

    1979-01-01

    The author discusses possible tests of the current theories of the strong interaction, in particular, quantum chromodynamics. High energy e + e - interactions should provide an excellent means of studying the strong force. (W.D.L.)

  16. Empirical guidelines for forest management decision support systems based on the past experiences of the expert's community

    Energy Technology Data Exchange (ETDEWEB)

    Marques, A. F.; Ficko, A.; Kangas, A.; Rosset, C.; Ferreti, F.; Rasinmaki, J.; Packalen, T.; Gordom, S.

    2013-09-01

    Aim of the study: Decision support systems for forest management (FMDSS) have been developed world wide to account for a broad range of forest ecosystems, management goals and organizational frameworks (e.g. the wiki page of the FORSYS project reports 62 existing FMDSSs from 23 countries). The need to enhance the collaboration among this diverse community of developers and users fostered the rise of new group communication processes that could capture useful knowledge from past experiences in order to efficiently provide it to new FMDSS development efforts. Material and methods: This paper presents and tests an exploratory process aiming to identify the empirical guidelines assisting developers and users of FMDSS. This process encompasses a Delphi survey built upon the consolidation of the lessons-learned statements that summarize the past experiences of the experts involved in the FORSYS project. The experts come from 34 countries and have diverse interests, ranging from forest planners, IT developers, social scientists studying participatory planning, and researchers with interests in knowledge management and in quantitative models for forest planning. Main results: The proposed 37 empirical guidelines that group 102 lessons-learned cover a broad range of issues including the DSS development cycle, involvement of the stakeholders, methods, models and knowledge based techniques in use. Research highlights: These results may be used for improving new FMDSS development processes, teaching and training and further suggest new features of FMDSS and future research topics. Furthermore, the guidelines may constitute a knowledge repository that may be continuously improved by a community of practice. (Author)

  17. Farm to Work: Development of a Modified Community-Supported Agriculture Model at Worksites, 2007-2012.

    Science.gov (United States)

    Thi, Christina A; Horton, Karissa D; Loyo, Jennifer; Jowers, Esbelle M; Rodgers, Lindsay Faith; Smiley, Andrew W; Leversen, Eric; Hoelscher, Deanna M

    2015-10-22

    The Farm to Work program is a modified community-supported agriculture model at worksites in Texas. The objective of the Farm to Work program is to increase fruit and vegetable intake among employees and their households by decreasing cost, improving convenience, and increasing access while also creating a new market for local farmers at worksites. The objectives of this article were to describe the development, implementation, and outcome of a 5-year participation trend analysis and to describe the community relationships that were formed to enable the successful implementation of the program. The Farm to Work program began in November 2007 as a collaborative effort between the nonprofit Sustainable Food Center, the Texas Department of State Health Services, the Web development company WebChronic Consulting LLC, and Naegelin Farm. The program provides a weekly or biweekly opportunity for employees to order a basket of produce online to be delivered to the worksite by a local farmer. A 5-year participation trend analysis, including seasonal variation and sales trends, was conducted using sales data from November 2007 through December 2012. The total number of baskets delivered from November 2007 through December 2012 was 38,343; of these, 37,466 were sold and 877 were complimentary. The total value of sold and complimentary baskets was $851,035 and $21,925, respectively. Participation in the program increased over time and was highest in 2012. The Farm to Work program increased access to locally grown fruits and vegetables for employees and created a new market for farmers. Increased program participation indicates that Farm to Work can increase employees' fruit and vegetable consumption and thus help prevent chronic diseases in this population.

  18. COMMUNITY SUPPORTED AGRICULTURE (CSA

    Directory of Open Access Journals (Sweden)

    Atănăsoaie George Sebastian

    2013-06-01

    Full Text Available Farms of CSA types are a viable alternative to trade of agricultural products coming from conventional agriculture. These farms are faced with a number of policy issues related to product, price, distribution and promotion. In order to elucidate the issues listed above, we have investigated the literature of specialty. Farmers must make more flexible the content of basket both quantitatively and in terms of the nature of food products offered. Consumers need information on ways of preparation or preservation of products. The growth of the processing degree in farm, and inclusion in the offer of services in ecotourism represent effective options to satisfy consumers. To offset the negative impact of high prices measures should be taken in reducing costs, more flexibility in rescheduling of payments due from customers and compensate for the lack of financial resources with the provision of farm work or subsidize a portion of the basket value from private or government sources. Delivery of baskets should be both at fixed points and at customers domicile. Farmers must provide customers the possibility so that they could harvest themselves the products they will buy. Negative influence of prices will be reduced by establishing an effective communication policy with the market, by organizing events on the farm or nearby towns, through blogs and social networks, and through participation in fairs and exhibitions. A greater customer involvement in farming activities will lead to the implementation of an effective marketing mix.

  19. Development of a capacity building program for village health volunteers to support self-management in a high risk population for diabetes in a rural community in northeast Thailand

    Directory of Open Access Journals (Sweden)

    Pakinee Srisarakham

    2016-07-01

    Full Text Available Similar to other parts of the world, the prevalence of type 2 diabetes mellitus (T2DM in the Asia-Pacific Region has rapidly increased during the last few decades. The purposes of this pilot study were to determine the feasibility and the effects of a capacity building program for Village Health Volunteers (VHVs to support self-management in a T2DM high risk population from a rural subdistrict in Northeast Thailand. Both quantitative and qualitative data were collected using surveys, focus group discussions, and in-depth interviews. Data were analyzed and used to develop a 12-week capacity building program for VHVs. This program was then implemented on 60 subjects at high risk of T2DM in the selected community. According to the paired t-test and Wilcoxon-signed rank test, VHVs had higher scores on knowledge and self-efficacy of T2DM prevention after a 12 week intervention (p = .03 and p = .02, respectively. Study participants at risk for T2DM also had a significant increase in T2DM knowledge and self-management (p < .001. Implementation of the capacity building program for VHVs in Northeast Thailand was feasible. The key successes were strong community bonding, community empowerment, and support from family and public health nurses. Effects of the program should be examined with those in other Asia-Pacific countries.

  20. App-Supported Promotion of Child Growth and Development by Community Health Workers in Kenya: Feasibility and Acceptability Study.

    Science.gov (United States)

    van Heerden, Alastair; Sen, Debjeet; Desmond, Chris; Louw, Julia; Richter, Linda

    2017-12-05

    Early childhood is a critical phase of development. In low resource settings, monitoring this stage of development and providing appropriate and timely feedback is a challenge. Community-based service providers play a key role in promoting early childhood development in areas where government services are weak. These community-based service providers are also tasked with the collection of monitoring and evaluation data for donors and local government. Usually, collection of these data aims to provide accountability, learning, and correction leading to improvement. However, such data is rarely used beyond the accountability stage. The purpose of this study was to test the feasibility and acceptability of the Information for Action (IFA) mobile phone app. The IFA app was designed for use by community health volunteers (CHVs), and repackages routinely collected data about children into useful, offline decision support for caregivers and program managers. The IFA app was tested with a convenience sample of 10 CHVs in West Katweng'a, a sublocation of Rarieda subcounty in western Kenya. CHVs used the IFA app for 5 months as part of their regular home visits to households containing children aged 0 to 5 years, after which a qualitative assessment of the app was conducted. A total of 16 caregivers who received services from the CHVs were randomly selected to participate in 1 of 2 focus group discussions about their experience. The app was reported to help facilitate interactive dialog between CHVs and caregivers, leading to improved quality of home visits. Caregivers described the app as shifting the relationship from feeling harassed by CHVs to experiencing genuine interest from CHVs. CHVs reported feasibility challenges primarily related to infrastructure. The limited battery life of mobile phones combined with the lack of readily available electricity made it difficult to keep the phones charged. CHVs reported initial anxiety as first-time mobile phones users, including

  1. Metazoan parasite communities: support for the biological invasion of Barbus barbus and its hybridization with the endemic Barbus meridionalis

    Directory of Open Access Journals (Sweden)

    L. Gettová

    2016-11-01

    Full Text Available Abstract Background Recently, human intervention enabled the introduction of Barbus barbus from the Rhône River basin into the Barbus meridionalis habitats of the Argens River. After an introduction event, parasite loss and lower infection can be expected in non-native hosts in contrast to native species. Still, native species might be endangered by hybridization with the incomer and the introduction of novel parasite species. In our study, we aimed to examine metazoan parasite communities in Barbus spp. populations in France, with a special emphasis on the potential threat posed by the introduction of novel parasite species by invasive B. barbus to local B. meridionalis. Methods Metazoan parasite communities were examined in B. barbus, B. meridionalis and their hybrids in three river basins in France. Microsatellites were used for the species identification of individual fish. Parasite abundance, prevalence, and species richness were compared. Effects of different factors on parasite infection levels and species richness were tested using GLM. Results Metazoan parasites followed the expansion range of B. barbus and confirmed its introduction into the Argens River. Here, the significantly lower parasite number and lower levels of infection found in B. barbus in contrast to B. barbus from the Rhône River supports the enemy release hypothesis. Barbus barbus × B. meridionalis hybridization in the Argens River basin was confirmed using both microsatellites and metazoan parasites, as hybrids were infected by parasites of both parental taxa. Trend towards higher parasite diversity in hybrids when compared to parental taxa, and similarity between parasite communities from the Barbus hybrid zone suggest that hybrids might represent “bridges” for parasite infection between B. barbus and B. meridionalis. Risk of parasite transmission from less parasitized B. barbus to more parasitized B. meridionalis indicated from our study in the Argens River

  2. <strong>Neuroeconomics and Health Economicsstrong>/>

    DEFF Research Database (Denmark)

    Larsen, Torben

    2009-01-01

    activation of Amygdala - a key center in our emotional arousal (limbic system) - as shaped in the elder stone-age with many acute threats. II. In general, the Hawthorne-effect of management is explained as the result of supportive job-relations reinforcing the homeostatic properties of the limbic system...... with de-stressing benefits as reduced anxiety, less use of stimulants and a reduction of blood pressure which in all increase life-expectancy. Conclusion: Neuroeconomics helps economists to identify dominant health economic interventions that may be overlooked by traditional discipålines   [i] This part...

  3. Can specially trained community care workers effectively support patients and their families in the home setting at the end of life?

    Science.gov (United States)

    Poulos, Roslyn G; Harkin, Damian; Poulos, Christopher J; Cole, Andrew; MacLeod, Rod

    2018-03-01

    Surveys indicate that many Australians would prefer to die at home, but relatively few do. Recognising that patients and their families may not have the support they need to enable end-of-life care at home, a consortium of care providers developed, and received funding to trial, the Palliative Care Home Support Program (PCHSP) across seven health districts in New South Wales, Australia. The programme aimed to supplement end-of-life care in the home provided by existing multidisciplinary community palliative care teams, with specialist supportive community care workers (CCWs). An evaluation of the service was undertaken, focussing on the self-reported impact of the service on family carers (FCs), with triangulation of findings from community palliative care teams and CCWs. Service evaluation data were obtained through postal surveys and/or qualitative interviews with FCs, community palliative care teams and CCWs. FCs also reported the experience of their loved one based on 10 items drawn from the Quality of Death and Dying Questionnaire (QODD). Thematic analysis of surveys and interviews found that the support provided by CCWs was valued by FCs for: enabling choice (i.e. to realise end-of-life care in the home); providing practical assistance ("hands-on"); and for emotional support and reassurance. This was corroborated by community palliative care teams and CCWs. Responses by FCs on the QODD items indicated that in the last week of life, effective control of symptoms was occurring and quality of life was being maintained. This study suggests that satisfactory outcomes for patients and their families who wish to have end-of-life care in the home can be enabled with the additional support of specially trained CCWs. A notable benefit of the PCHSP model, which provided specific palliative care vocational training to an existing community care workforce, was a relatively rapid increase in the palliative care workforce across the state. © 2017 John Wiley & Sons Ltd.

  4. Creating a 'Born Digital' Introductory Online Geology Course with a Community of Inquiry that Supports Discussion of Societal Challenges

    Science.gov (United States)

    d'Alessio, M. A.; Schwartz, J. J.

    2014-12-01

    With earth science relevant to so many societal challenges, we created an introductory geology course as a forum for students to explore the interplay between geoscience and society. With new media and digital tools enabling such rich collaboration, we designed the course as a fully online lecture and laboratory experience that meets the natural science general education requirements of our university. We hook students by using popular Hollywood blockbusters paired with documentary films that address related science content. Student ask questions using an online question ranking tool (Google Moderator) to guide the direction of further content delivery using the slide sharing/collaboration tool 'VoiceThread.' It allows instructors to post slides, add video narration, and invite students to comment or answer specific questions using video, voice, or text. Students report that VoiceThread makes an asynchronous class feel like a face-to-face experience. Student also collect data using online tools and pool their data in Google Spreadsheets. They discuss their collective findings in VoiceThread. With these tools in place, each content unit culminates with a challenge scenario. Students work in teams to come to a consensus about a real-world decision that requires them to apply their geologic knowledge. Examples include whether or not to evacuate a town in light of volcanic activity, which house to purchase in an earthquake prone area, which industry was polluting local groundwater, and whether or not to sell mineral rights for hydraulic fracturing. While many of these activities are widely utilized, our approach using them in an integrated online lecture/lab environment is unique. A survey of student attitudes towards the course revealed that students felt a stronger personal connection to the course instructor and one another than typical face-to-face GE classes, including those from our own department. Students' self-report of how much they learned was strongly

  5. Critical analysis of science-related texts in a breastfeeding information, support, and advocacy community of practice

    Science.gov (United States)

    Lottero-Perdue, Pamela S.

    This study examines the way in which women in a breastfeeding information, support, and advocacy (BISA) community of practice critically engage with written/oral science-related texts. The range of texts that these participants encounter is explored and two critical reading approaches are investigated: (1) critical science reading, or reading to assess text validity; and (2) critical science-related text analysis (CSTA), or reading to determine the way in which a text positions subjects or reality, is indicative of particular interests, or leaves out particular voices. The former has been addressed by science education research; the latter is based upon feminist poststructuralism and critical literacy literature. Participants in BISA encounter a wide range of science-related texts, and, to varying degrees, assess the validity of these texts based upon what they know about science, their own and others' experiences, and practical knowledge. Participants also engage in CSTA to greater and lesser extents. Also, experts in BISA are entrusted by participants in the organization to identify valid and trustworthy texts. Differences in critical science reading across participants and texts are discussed, as are the purposes for critical science reading and conditions in BISA that support these critical practices. This study informs both science education and critical literacy research, argues that critical science reading and CSTA are worthwhile practices of both everyday folks and students, and suggests that educators encourage engagement in these practices by presenting students with conflicting science-related texts, encouraging doubt in and epistemic distancing from science-related texts, and modeling critical engagement with science-related texts for students.

  6. <strong>Neuroeconomics and behavioral health economicsstrong>/>

    DEFF Research Database (Denmark)

    Larsen, Torben

    2009-01-01

    dissemination of relaxation procedures is evident in industrialized countries since about 1970 both inside the medical healthcare system and as NGO-settings in a market-alike competition. However, a serious barrier to the dissemination of meditative de-stressing is the lack of general knowledge of the action...... for explanation of the neural dynamics of normal decision making. Secondly, the literature is reviewed for evidence on hypothesized applications of NeM in behavioral health. Results I. The present bias as documented by neuroeconomic game-trials is explained by NeM as rooted in the basal activation of Amygdala...... - a key center in our emotional arousal (limbic system) - as shaped in the elder stone-age with many acute threats. II. In general, the Hawthorne-effect of human-relations management is explained as the result of supportive job-relations relaxing Amygdala for better emotional integration...

  7. <strong>Neuroeconomics and behavioral health economicsstrong>/>

    DEFF Research Database (Denmark)

    Larsen, Torben

    2009-01-01

    - a key center in our emotional arousal (limbic system) - as shaped in the elder stone-age with many acute threats. II. In general, the Hawthorne-effect of human-relations management is explained as the result of supportive job-relations relaxing Amygdala for better emotional integration...... some are rooted in the religious tradition while other aim to be post-religious. Medical meditation across settings combines savings on health care costs with de-stressing benefits as reduced anxiety, less use of stimulants and a reduction of blood pressure which in all increase life...... is met by a meso-strategy aiming the formation of an international, multidisciplinary network which might organize regional workshops for representatives for all involved parties in order to prepare local implementation projects.   Regarding de-stressing by medical meditation a relatively fast...

  8. Guidelines of the Development and the Supporting Learning Resources by the Community Participatory of Case Study for the Schools Under Secondary Education Service Area Office 24

    Directory of Open Access Journals (Sweden)

    Wisan Payungwong

    2017-06-01

    Full Text Available This research aimed 1 to study the components of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24 and 2 to investigate guidelines of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24. This research was conducted into two phases. The first phase was investigated the components and indicators of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24. The samples group were five respondents to provide the information by an assessment form. The second phase was conducted to find out the guidelines of development and supporting learning resources by community participatory of case study which included four steps. The first step was the focus group of case study schools with best practice. The samples were fourteen key informants from 2 schools. There were school directors, deputy director of academic administration, head of learning, village leaders, wisdom villagers and religious leaders. The data were collected by using focus group discussion form. The second step was draft the develop management guideline of academic administration. The sample group were 7 professionals. The data were collected by using the evaluation from of propriety/feasibility/utility of the develop management guideline of academic administration. The data were analyzed in average ( and standard deviation (S.D.. The third step was group discussion for evaluated the applying of the develop management guideline of academic administration. The samples group were 14 key informants from 2 schools. There were school directors, deputy director of academic administration, head of learning, village leaders

  9. Applying Strengths Model principles to build a rural community-based mental health support service and achieve recovery outcomes.

    Science.gov (United States)

    Dunstan, Debra; Anderson, Donnah

    2018-02-01

    The Personal Helpers and Mentors (PHaMs) service is a non-clinical, community-based Australian Government initiative aimed at increasing opportunities for recovery for people whose lives are severely affected by mental illness. Using a strengths-based recovery model, PHaMs caseworkers support and mentor people 'at risk of falling through the gaps' between state funded clinical treatment services and federally funded social services (such as supported housing, education and employment). While there is evidence that PHaMs realises its aim in metropolitan areas, little is known about how services are developed and function in low resource rural settings and what outcomes are achieved. These questions were addressed in a case study of a PHaMs service in a rural town in the state of New South Wales, Australia. Data were collected from two sources: local service documents prepared for staff orientation and operational purposes, and records and reports of service participants\\' performance and achievements. Participants\\' gains in wellbeing, recovery goals, and the target outcome areas of increased access to services, increased personal capacity and self-reliance, and increased community participation, were gathered from self-reports. The Role Functioning Scale was used as a measure of caseworker ratings of participants\\' adaptive functioning. The qualitative data were examined for semantic content and underlying themes. The quantitative analyses involved repeated measures and between-groups comparisons of uncontrolled pre-test–post-test and retrospective pre-test data. From commencement of the service in October 2009 to June 2014, an estimated 31% of the people living with severe mental illness in the local government area had accessed the PHaMs service (N=126; mean age 31.9 years; 42% male, 27% Aboriginal). The document analysis revealed that despite a lack of detail on how a PHaMs service should be developed or delivered, by focusing on the goal of client recovery

  10. Identifying community healthcare supports for the elderly and the factors affecting their aging care model preference: evidence from three districts of Beijing.

    Science.gov (United States)

    Liu, Tianyang; Hao, Xiaoning; Zhang, Zhenzhong

    2016-11-15

    The Chinese tradition of filial piety, which prioritized family-based care for the elderly, is transitioning and elders can no longer necessarily rely on their children. The purpose of this study was to identify community support for the elderly, and analyze the factors that affect which model of old-age care elderly people dwelling in communities prefer. We used the database "Health and Social Support of Elderly Population in Community". Questionnaires were issued in 2013, covering 3 districts in Beijing. A group of 1036 people over 60 years in age were included in the study. The respondents' profile variables were organized in Andersen's Model and community healthcare resource factors were added. A multinomial logistic model was applied to analyze the factors associated with the desired aging care models. Cohabiting with children and relying on care from family was still the primary desired aging care model for seniors (78 %), followed by living in institutions (14.8 %) and living at home independently while relying on community resources (7.2 %). The regression result indicated that predisposing, enabling and community factors were significantly associated with the aging care model preference. Specifically, compared with those who preferred to cohabit with children, those having higher education, fewer available family and friend helpers, and shorter distance to healthcare center were more likely to prefer to live independently and rely on community support. And compared with choosing to live in institutions, those having fewer available family and friend helpers and those living alone were more likely to prefer to live independently and rely on community. Need factors (health and disability condition) were not significantly associated with desired aging care models, indicating that desired aging care models were passive choices resulted from the balancing of family and social caring resources. In Beijing, China, aging care arrangement preference is the

  11. Bridging the divide: building infrastructure to support community-academic partnerships and improve capacity to conduct patient-centered outcomes research.

    Science.gov (United States)

    Huang, Jennifer; Lipman, Paula Darby; Daniel Mullins, C

    2017-12-01

    For research to be useful, trustworthy, and ultimately lead to greater dissemination of findings to patients and communities, it is important to train and mentor academic researchers to meaningfully engage community members in patient-centered outcomes research (PCOR). Thus, it is necessary for research institutions to strengthen their underlying infrastructure to support PCOR. PATIENTS-PATient-centered Involvement in Evaluating effectiveNess of TreatmentS-at the University of Maryland, Baltimore, focuses on improving PCOR methods and addressing health disparities. It relies on evidence-based engagement methods to sustain and leverage innovative partnerships so patients, health care providers, and academic partners are motivated to participate in the conduct and dissemination of PCOR. Program components address training needs, bi-directional engagement, cultural competency, and dissemination and implementation. Activities (guided by community representatives, leadership from university schools, patient advocates, and PCOR experts) include providing resources, conducting PCOR projects, engaging community members, and disseminating PCOR findings. With its emphasis on the broad range of PCOR topics and methods, and through fostering sustainable relationships with community members and researchers, PATIENTS has successfully cultivated bi-directional partnerships and provided operational and scientific support for a new generation of skilled PCOR researchers. Early evidence of effectiveness includes progress in training and mentoring students and investigators, an increase in submission of PCOR proposals, and community-informed strategies for dissemination. Programs such as PATIENTS reinforce the value of bridging the traditional divide between academia and communities to support patient- and community-engaged dissemination and implementation research and foster sustainable PCOR infrastructure.

  12. Living and Learning Communities: One University's Journey

    Science.gov (United States)

    Whitcher-Skinner, Kendra; Dees, Sharon J.; Watkins, Paul

    2017-01-01

    University housing has the capacity to offer more than comfortable living spaces, and campuses across the U.S., including our own, are exploring models of residential learning communities that provide both academic and social support students while cultivating a strong sense of community. In this article, we describe our campus foray into offering…

  13. Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia.

    Science.gov (United States)

    Tanguay, Pascal; Kamarulzaman, Adeeba; Aramrattana, Apinun; Wodak, Alex; Thomson, Nicholas; Ali, Robert; Vumbaca, Gino; Lai, Gloria; Chabungbam, Anand

    2015-10-16

    Evidence indicates that detention of people who use drugs in compulsory centers in the name of treatment is common in Cambodia, China, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam. The expansion of such practices has been costly, has not generated positive health outcomes, and has not reduced supply or demand for illicit drugs. United Nations agencies have convened several consultations with government and civil society stakeholders in order to facilitate a transition to voluntary evidence- and community-based drug dependence treatment and support services. In an effort to support such efforts, an informal group of experts proposes a three-step process to initiate and accelerate national-level transitions. Specifically, the working group recommends the establishment of a national multisectoral decision-making committee to oversee the development of national transition plans, drug policy reform to eliminate barriers to community-based drug dependence treatment and support services, and the integration of community-based drug dependence treatment in existing national health and social service systems.In parallel, the working group recommends that national-level transitions should be guided by overarching principles, including ethics, human rights, meaningful involvement of affected communities, and client safety, as well as good governance, transparency, and accountability. The transition also represents an opportunity to review the roles and responsibilities of various agencies across the public health and public security sectors in order to balance the workload and ensure positive results. The need to accelerate national-level transitions to voluntary community-based drug dependence treatment and support services is compelling--on economic, medical, sustainable community development, and ethical grounds--as extensively documented in the literature. In this context, the expert working group fully endorses initiation of a transition

  14. Retention and mortality outcomes from a community-supported public–private HIV treatment programme in Myanmar

    Science.gov (United States)

    Mburu, Gitau; Paing, Aung Zayar; Myint, Nwe Ni; Di, Win; Thu, Kaung Htet; Ram, Mala; Hoffmann, Christopher J; Wang, Bangyuan; Naing, Soe

    2016-01-01

    was 48.6/1000 person-years; 42% (n=74) of deaths occurred during the pre-ART period and 39.8% (n=70) occurred during the first six months of ART. Of those who died during the pre-ART period, 94.5% were eligible for ART. In multivariate regression, baseline CD4 count and ART status were independent predictors of mortality, whereas ART status, younger age and patient volumes per provider were predictors of loss to follow-up. Probability of being alive and retained in care at six months was 96.8% among those on ART, 38.5% among pre-ART but eligible patients, and 20.0% among ART-ineligible patients. Conclusions Effectively supported private sector GPs successfully administered and monitored ART in Myanmar, suggesting that community-supported private sector partnerships can contribute to expansion of HIV treatment and care capacity. To further improve patient outcomes, early testing and initiation of ART, combined with close clinical monitoring and support during the initial periods of enrolling in treatment and care, are required. PMID:27784509

  15. Identifying community healthcare supports for the elderly and the factors affecting their aging care model preference: evidence from three districts of Beijing

    Directory of Open Access Journals (Sweden)

    Tianyang Liu

    2016-11-01

    Full Text Available Abstract Background The Chinese tradition of filial piety, which prioritized family-based care for the elderly, is transitioning and elders can no longer necessarily rely on their children. The purpose of this study was to identify community support for the elderly, and analyze the factors that affect which model of old-age care elderly people dwelling in communities prefer. Methods We used the database “Health and Social Support of Elderly Population in Community”. Questionnaires were issued in 2013, covering 3 districts in Beijing. A group of 1036 people over 60 years in age were included in the study. The respondents’ profile variables were organized in Andersen’s Model and community healthcare resource factors were added. A multinomial logistic model was applied to analyze the factors associated with the desired aging care models. Results Cohabiting with children and relying on care from family was still the primary desired aging care model for seniors (78 %, followed by living in institutions (14.8 % and living at home independently while relying on community resources (7.2 %. The regression result indicated that predisposing, enabling and community factors were significantly associated with the aging care model preference. Specifically, compared with those who preferred to cohabit with children, those having higher education, fewer available family and friend helpers, and shorter distance to healthcare center were more likely to prefer to live independently and rely on community support. And compared with choosing to live in institutions, those having fewer available family and friend helpers and those living alone were more likely to prefer to live independently and rely on community. Need factors (health and disability condition were not significantly associated with desired aging care models, indicating that desired aging care models were passive choices resulted from the balancing of family and social caring resources

  16. Mutual support, affective leadership, and community rehabilitation. An experience of psychosocial accompaniment for the “rehabilitation” of victims of the armed conflict

    Directory of Open Access Journals (Sweden)

    Juan David Villa Gómez

    2016-07-01

    Full Text Available The systematization of an experience of psychosocial accompaniment to victims of the armed conflict in the city of Medellin is introduced. This study allowed to understand and to demonstrate that the strategies for community strengthening, the training of leaders and affective men and women leaders, the peer support, the psychosocial action from the empowerment of communities and their support networks, are necessary actions to generate personal and collective empowerment, emotional recovery, subjective transformations, and experiences of reconstruction of projects of life, the social fabric, and the re-dignification of victims of the armed conflict inColombia. It is therefore proposed to develop processes of integral repair from the communities rather than to carry out, from above and vertically, projects, usually away from the needs and possibilities of the people.

  17. Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans.

    Science.gov (United States)

    Mendoza-Núñez, Víctor Manuel; Flores-Bello, Cristina; Correa-Muñoz, Elsa; Retana-U Galde, Raquel; Ruiz-Ramos, Mirna

    2016-11-29

    To determine the relationship between social support networks and diabetes control and its impact on quality of life in older community-dwelling Mexicans. A cross-sectional study was carried out on a convenience sample of 182 older diabetic people who were active participants in community self-care and mutual help groups in Mexico City for more than one year. All were independents and had medical diagnostics determining that they had diabetes without complications for one year or more. We measured biochemical and anthropometric parameters, social support networks for older people (SSN-Older) and perceived quality of life. Patients with uncontrolled diabetes mellitus had HbA1c (%) ≥ 8. It was found that 65% (118/182) of the elderly diabetics in the study were controlled. We observed a significantly higher average score in the SSN-Older scale on the extra-familial support subscale in the controlled diabetic group compared with the uncontrolled group (57 ± 25 vs. 49 ± 30, p social support networks, especially community self-help groups, represent a determining social capital for control of diabetes mellitus in older people in the community.

  18. Culture-sensitive counselling, psychotherapy and support groups in the Orthodox-Jewish community: how they work and how they are experienced.

    Science.gov (United States)

    Loewenthal, Kate Miriam; Rogers, Marian Brooke

    2004-09-01

    There is political and scientific goodwill towards the provision of culture-sensitive support, but as yet little knowledge about how such support works and what are its strengths and difficulties in practice. To study groups offering culture-sensitive psychological and other support to the strictly orthodox Jewish community in London. Semi-structured interviews with service providers, potential and actual users from the community, and professionals serving the community. Interviews asked about the aims, functioning and achievements of 10 support groups. Thematic analysis identified seven important themes: admiration for the work of the groups; appreciation of the benefits of culture-sensitive services; concerns over confidentiality and stigma; concerns over finance and fund-raising; concerns about professionalism; the importance of liaison with rabbinic authorities; need for better dissemination of information. The strengths and difficulties of providing culture-sensitive services in one community were identified. Areas for attention include vigilance regarding confidentiality, improvements in disseminating information, improvements in the reliability of funding and attention to systematic needs assessment, and to the examination of efficacy of these forms of service provision.

  19. The Effects of Community and Family Violence Exposure on Anxiety Trajectories during Middle Childhood: The Role of Family Social Support as a Moderator

    Science.gov (United States)

    Kennedy, Angie C.; Bybee, Deborah; Sullivan, Cris M.; Greeson, Megan

    2009-01-01

    This 2-year longitudinal study investigated the relations between community and school violence exposure, witnessing intimate partner violence (IPV), family social support, and anxiety, within a sample of 100 school-age children (39% female, M age = 9.90 years). Using multilevel modeling, we found heterogeneity across children in terms of their…

  20. Online Learning in Divorce: How the Formation of a Community of Practice in a Divorce Support Website Enables and Inhibits Learning

    Science.gov (United States)

    Paechter, Carrie

    2012-01-01

    This article is about the informal learning that took place in an online divorce support and advice forum. In it, the author discusses the formation of a community of practice among the members during the first nine months of the site's operation. The author shows how the key markers of mutual engagement, joint enterprise and shared repertoire…

  1. Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention.

    Science.gov (United States)

    Miller, Robin Lin; Janulis, Patrick F; Reed, Sarah J; Harper, Gary W; Ellen, Jonathan; Boyer, Cherrie B

    2016-02-01

    Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight Connect-to-Protect (C2P) coalitions were associated with improvements in youth's views of their community over the first 4 years of coalitions' mobilization. We recruited annual cross-sectional samples of targeted youth from each C2P community. We sampled youth in neighborhood venues. We interviewed a total of 2461 youth over 4 years. Males (66 %) and youth of color comprised the majority (52 % Hispanic/Latinos; 41 % African Americans) of those interviewed. By year 4, youth reported greater satisfaction with their community as a youth-supportive setting. They reported their needs were better met by available community resources compared with year 1. However, these findings were moderated by risk population such that those from communities where C2P focused on young men who have sex with men (YMSM) reported no changes over time whereas those from communities focused on other at-risk youth reported significant improvements over time in satisfaction and resource needs being met. Internalized HIV stigma increased over time among those from communities serving other at-risk youth and was unchanged among those from YMSM communities. The very different results we observe over time between communities focused on YMSM versus other at-risk youth may suggest it is unreasonable to assume identical chains of structural causality across youth populations who have such different historical relationships to HIV and who encounter very different kinds of entrenched discrimination within their communities.

  2. <strong>Generic Patch Inferencestrong>

    DEFF Research Database (Denmark)

    Andersen, Jesper; Lawall, Julia Laetitia

    2008-01-01

    A key issue in maintaining Linux device drivers is the need to update drivers in response to evolutions in Linux internal libraries. Currently, there is little tool support for performing and documenting such changes. In this paper we present a tool, spfind, that identifies common changes made...... developers can use it to extract an abstract representation of the set of changes that others have made. Our experiments on recent changes in Linux show that the inferred generic patches are more concise than the corresponding patches found in commits to the Linux source tree while being safe with respect...

  3. Community Movement in Applying Mosquito Net on House Ventilations: An Initial Support for Green Architecture to Decrease Dengue Disease in Bandung Indonesia

    Science.gov (United States)

    Rinawan, F. R.; Dewi, I. P. P.; Haifa, G. Z.; Suharno, K. D.; Oktavinus, K.; Lyn, P. S.

    2017-10-01

    Green architecture still has risk to dengue disease when trees cover house roofs’ gutter. This study was aimed to continue a geographical information system (GIS) and remote sensing (RS) study on roofs factor association with dengue disease by initiating community movement in applyingmosquito net on house ventilations to cut the disease transmission and mosquito breeding sites inside house. Our methods was an operational research in which improvement of interventions, policies and regulations towards dengue disease prevention is our intended endpoint. Several steps were conducted such as: (1) research problems formulation from GIS-RS analysis from previous phase research in Bandung city, (2) informal and formal approach to community leaders and primary healthcare centre (Puskesmas), (3) Video education and focus group discussion (FGD), (4) initial application of mosquito nets on house in communities; and (5) advocacy to Mayor of Bandung city (was on progress).Our study resulted several supports: one of sub-city leaders (Camat) in the city, village leaders (Lurah), and sub-village leaders (Ketua RW) of 5 villages (kelurahan), one kelurahan which mainly comprised formal settlements needed more efforts, which was experts on dengue disease from university to directly explain the mosquito nets application to its community. Informal leaders in all kelurahan’s community suggested only mothers movement was not enough, thus, youths in community was mentioned to help the community movement on the mosquito nets application.

  4. Integrated information visualization to support decision-making in order to strengthen communities: Design and usability evaluation.

    Science.gov (United States)

    Jinpon, Puangrat; Jaroensutasinee, Mullica; Jaroensutasinee, Krisanadej

    2017-12-01

    Community well-being refers to the qualities of an optimally healthy community life. This is the ultimate goal of all the various processes and strategies created to meet the needs of people living together in communities. We propose a holistic integrated visualization, in the form of a community well-being assessment system, as a web-based advanced tool to be used by the executive and health officers of the sub-district administration organization (SAO) network to improve decision-making in order to strengthen their communities. Data were obtained from the Family and Community Assessment Program (FAP) and the SAO in nine sub-districts, covering all of the four regions of Thailand. The system incorporates dashboard architecture and assists the executive and health officers in the SAO to achieve better decision-making for the deployment of proper measures in communities. The model was developed for the Pakpoon SAO and was applied to the other eight SAOs. In order to evaluate the model, 243 users, covering all user groups from three sites, were asked to answer 18 questions during a meeting. The overall average score for user satisfaction was 4.12. The results indicate that this model can be used for community well-being assessment, in order to improve decision-making to strengthen communities in Thailand.

  5. Lessons learned from community-based participatory research: establishing a partnership to support lesbian, gay, bisexual and transgender ageing in place.

    Science.gov (United States)

    Wright, Leslie A; King, Diane K; Retrum, Jessica H; Helander, Kenneth; Wilkins, Shari; Boggs, Jennifer M; Portz, Jennifer Dickman; Nearing, Kathryn; Gozansky, Wendolyn S

    2017-06-01

    Due to a history of oppression and lack of culturally competent services, lesbian, gay, bisexual and transgender (LGBT) seniors experience barriers to accessing social services. Tailoring an evidence-based ageing in place intervention to address the unique needs of LGBT seniors may decrease the isolation often faced by this population. To describe practices used in the formation of a community-based participatory research (CBPR), partnership involving social workers, health services providers, researchers and community members who engaged to establish a LGBT ageing in place model called Seniors Using Supports To Age In Neighborhoods (SUSTAIN). A case study approach was employed to describe the partnership development process by reflecting on past meeting minutes, progress reports and interviews with SUSTAIN's partners. Key partnering practices utilized by SUSTAIN included (i) development of a shared commitment and vision; (ii) identifying partners with intersecting spheres of influence in multiple communities of identity (ageing services, LGBT, health research); (iii) attending to power dynamics (e.g. equitable sharing of funds); and (iv) building community capacity through reciprocal learning. Although the partnership dissolved after 4 years, it served as a successful catalyst to establish community programming to support ageing in place for LGBT seniors. Multi-sector stakeholder involvement with capacity to connect communities and use frameworks that formalize equity was key to establishing a high-trust CBPR partnership. However, lack of focus on external forces impacting each partner (e.g. individual organizational strategic planning, community funding agency perspectives) ultimately led to dissolution of the SUSTAIN partnership even though implementation of community programming was realized. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in community-acquired pneumonia.

    Science.gov (United States)

    Charles, Patrick G P; Wolfe, Rory; Whitby, Michael; Fine, Michael J; Fuller, Andrew J; Stirling, Robert; Wright, Alistair A; Ramirez, Julio A; Christiansen, Keryn J; Waterer, Grant W; Pierce, Robert J; Armstrong, John G; Korman, Tony M; Holmes, Peter; Obrosky, D Scott; Peyrani, Paula; Johnson, Barbara; Hooy, Michelle; Grayson, M Lindsay

    2008-08-01

    Existing severity assessment tools, such as the pneumonia severity index (PSI) and CURB-65 (tool based on confusion, urea level, respiratory rate, blood pressure, and age >or=65 years), predict 30-day mortality in community-acquired pneumonia (CAP) and have limited ability to predict which patients will require intensive respiratory or vasopressor support (IRVS). The Australian CAP Study (ACAPS) was a prospective study of 882 episodes in which each patient had a detailed assessment of severity features, etiology, and treatment outcomes. Multivariate logistic regression was performed to identify features at initial assessment that were associated with receipt of IRVS. These results were converted into a simple points-based severity tool that was validated in 5 external databases, totaling 7464 patients. In ACAPS, 10.3% of patients received IRVS, and the 30-day mortality rate was 5.7%. The features statistically significantly associated with receipt of IRVS were low systolic blood pressure (2 points), multilobar chest radiography involvement (1 point), low albumin level (1 point), high respiratory rate (1 point), tachycardia (1 point), confusion (1 point), poor oxygenation (2 points), and low arterial pH (2 points): SMART-COP. A SMART-COP score of >or=3 points identified 92% of patients who received IRVS, including 84% of patients who did not need immediate admission to the intensive care unit. Accuracy was also high in the 5 validation databases. Sensitivities of PSI and CURB-65 for identifying the need for IRVS were 74% and 39%, respectively. SMART-COP is a simple, practical clinical tool for accurately predicting the need for IRVS that is likely to assist clinicians in determining CAP severity.

  7. Cost and economic benefit of clinical decision support systems for cardiovascular disease prevention: a community guide systematic review.

    Science.gov (United States)

    Jacob, Verughese; Thota, Anilkrishna B; Chattopadhyay, Sajal K; Njie, Gibril J; Proia, Krista K; Hopkins, David P; Ross, Murray N; Pronk, Nicolaas P; Clymer, John M

    2017-05-01

    This review evaluates costs and benefits associated with acquiring, implementing, and operating clinical decision support systems (CDSSs) to prevent cardiovascular disease (CVD). Methods developed for the Community Guide were used to review CDSS literature covering the period from January 1976 to October 2015. Twenty-one studies were identified for inclusion. It was difficult to draw a meaningful estimate for the cost of acquiring and operating CDSSs to prevent CVD from the available studies ( n  = 12) due to considerable heterogeneity. Several studies ( n  = 11) indicated that health care costs were averted by using CDSSs but many were partial assessments that did not consider all components of health care. Four cost-benefit studies reached conflicting conclusions about the net benefit of CDSSs based on incomplete assessments of costs and benefits. Three cost-utility studies indicated inconsistent conclusions regarding cost-effectiveness based on a conservative $50,000 threshold. Intervention costs were not negligible, but specific estimates were not derived because of the heterogeneity of implementation and reporting metrics. Expected economic benefits from averted health care cost could not be determined with confidence because many studies did not fully account for all components of health care. We were unable to conclude whether CDSSs for CVD prevention is either cost-beneficial or cost-effective. Several evidence gaps are identified, most prominently a lack of information about major drivers of cost and benefit, a lack of standard metrics for the cost of CDSSs, and not allowing for useful life of a CDSS that generally extends beyond one accounting period. Published by Oxford University Press on behalf of the American Medical Informatics Association 2017. This work is written by US Government employees and is in the public domain in the US.

  8. Post-Project Assessment of Community-Supported Emergency Transport Systems for Health Care Services in Tanzania

    Science.gov (United States)

    Ahluwalia, Indu B.; Robinson, Dorcas; Vallely, Lisa; Myeya, Juliana; Ngitoria, Lukumay; Kitambi, Victor; Kabakama, Alfreda

    2012-01-01

    We examined the continuation of community-organized and financed emergency transport systems implemented by the Community-Based Reproductive Health Project (CBRHP) from 1998 to 2000 in two rural districts in Tanzania. The CBRHP was a multipronged program, one component of which focused on affordable transport to health facilities from the…

  9. Can community retail pharmacist and diabetes expert support facilitate insulin initiation by family physicians? Results of the AIM@GP randomized controlled trial.

    Science.gov (United States)

    Harris, Stewart B; Gerstein, Hertzel C; Yale, Jean-François; Berard, Lori; Stewart, John; Webster-Bogaert, Susan; Tompkins, Jordan W

    2013-02-21

    Limited evidence exists on the effectiveness of external diabetes support provided by diabetes specialists and community retail pharmacists to facilitate insulin-prescribing in family practice. A stratified, parallel group, randomized control study was conducted in 15 sites across Canada. Family physicians received insulin initiation/titration education, a physician-specific 'report card' on the characteristics of their type 2 diabetes (T2DM) population, and a registry of insulin-eligible patients at a workshop. Intervention physicians in addition received: (1) diabetes specialist/educator consultation support (active diabetes specialist/educator consultation support for 2 months [the educator initiated contact every 2 weeks] and passive consultation support for 10 months [family physician initiated as needed]); and (2) community retail pharmacist support (option to refer patients to the pharmacist(s) for a 1-hour insulin-initiation session). The primary outcome was the insulin prescribing rate (IPR) per physician defined as the number of insulin starts of insulin-eligible patients during the 12-month strategy. Consenting, eligible physicians (n = 151) participated with 15 specialist sites and 107 community pharmacists providing the intervention. Most physicians were male (74%), and had an average of 81 patients with T2DM. Few (9%) routinely initiated patients on insulin. Physicians were randomly allocated to usual care (n = 78) or the intervention (n = 73). Intervention physicians had a mean (SE) IPR of 2.28 (0.27) compared to 2.29 (0.25) for control physicians, with an estimated adjusted RR (95% CI) of 0.99 (0.80 to 1.24), p = 0.96. An insulin support program utilizing diabetes experts and community retail pharmacists to enhance insulin prescribing in family practice was not successful. Too few physicians are appropriately intensifying diabetes management through insulin initiation, and aggressive therapeutic treatment is lacking.

  10. Can community retail pharmacist and diabetes expert support facilitate insulin initiation by family physicians? Results of the AIM@GP randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Harris Stewart B

    2013-02-01

    Full Text Available Abstract Background Limited evidence exists on the effectiveness of external diabetes support provided by diabetes specialists and community retail pharmacists to facilitate insulin-prescribing in family practice. Methods A stratified, parallel group, randomized control study was conducted in 15 sites across Canada. Family physicians received insulin initiation/titration education, a physician-specific ‘report card’ on the characteristics of their type 2 diabetes (T2DM population, and a registry of insulin-eligible patients at a workshop. Intervention physicians in addition received: (1 diabetes specialist/educator consultation support (active diabetes specialist/educator consultation support for 2 months [the educator initiated contact every 2 weeks] and passive consultation support for 10 months [family physician initiated as needed]; and (2 community retail pharmacist support (option to refer patients to the pharmacist(s for a 1-hour insulin-initiation session. The primary outcome was the insulin prescribing rate (IPR per physician defined as the number of insulin starts of insulin-eligible patients during the 12-month strategy. Results Consenting, eligible physicians (n = 151 participated with 15 specialist sites and 107 community pharmacists providing the intervention. Most physicians were male (74%, and had an average of 81 patients with T2DM. Few (9% routinely initiated patients on insulin. Physicians were randomly allocated to usual care (n = 78 or the intervention (n = 73. Intervention physicians had a mean (SE IPR of 2.28 (0.27 compared to 2.29 (0.25 for control physicians, with an estimated adjusted RR (95% CI of 0.99 (0.80 to 1.24, p = 0.96. Conclusions An insulin support program utilizing diabetes experts and community retail pharmacists to enhance insulin prescribing in family practice was not successful. Too few physicians are appropriately intensifying diabetes management through insulin initiation, and

  11. Strongly Correlated Topological Insulators

    Science.gov (United States)

    2016-02-03

    Strongly Correlated Topological Insulators In the past year, the grant was used for work in the field of topological phases, with emphasis on finding...surface of topological insulators. In the past 3 years, we have started a new direction, that of fractional topological insulators. These are materials...in which a topologically nontrivial quasi-flat band is fractionally filled and then subject to strong interactions. The views, opinions and/or

  12. The association of Socio-demographics characteristics and social support from family and community with depression: The National Health and Nutrition Examination Survey 2005-2006

    Directory of Open Access Journals (Sweden)

    Erfan Ayubi

    2012-01-01

    Full Text Available Aims & objectives: Protective effect of social support networks on depressive symptoms has been reported. The aim of this study was to examine the association between depressive symptoms and social support from family and community using data from the National Health and Nutrition Examination Survey (NHANES 2005-2006. Methodology: This is a cross-sectional population-based study of 10,348 people participating in the NHANES 2005-2006. Participants were interviewed on their level of social support and depressive symptoms. Logistic regression and analysis of variance was used to assess the effects of demographic variables and social support with depression. Results: Bing married and having a high education level is inversely related to depressive symptoms. Also social supports from family had protective effect on depression symptoms and impacts of each family member were different. It also became clear that family support in associated with social support had a protective effect on the emergence of depressive symptoms. In this effect, the interaction between spouse and professional support on depressive symptoms were more prominent. In addition to, interaction between children’s emotional support and religious practices was important. Conclusion: The result of this study adherent with the protective theory of social support on depression.

  13. The association of Socio-demographics characteristics and social support from family and community with depression: The National Health and Nutrition Examination Survey 2005-2006