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Biomedical subjects

M Jukes

Publications and source records attributed to M Jukes.

12 recordsLinked to original sources
PubMed2001

Anaemia in schoolchildren in eight countries in Africa and Asia.

OBJECTIVE: To report on the haemoglobin concentrations and prevalence of anaemia in schoolchildren in eight countries in Africa and Asia. DESIGN: Blood samples were collected during surveys of the health of schoolchildren as a part of programmes to develop school-based health services. SETTING: Rural schools in Ghana, Indonesia, Kenya, Malawi, Mali, Mozambique, Tanzania and Vietnam. SUBJECTS: Nearly 14 000 children enrolled in basic education in three age ranges (7-11 years, 12-14 years and > or =15 years) which reflect the new UNICEF/WHO thresholds to define anaemia. RESULTS: Anaemia was found to be a severe public health problem (defined as >40% anaemic) in five African countries for children aged 7-11 years and in four of the same countries for children aged 12-14 years. Anaemia was not a public health problem in the children studied in the two Asian countries. More boys than girls were anaemic, and children who enrolled late in school were more likely to be anaemic than children who enrolled closer to the correct age. The implications of the four new thresholds defining anaemia for school-age children are examined. CONCLUSIONS: Anaemia is a significant problem in schoolchildren in sub-Saharan Africa. School-based health services which provide treatments for simple conditions that cause blood loss, such as worms, followed by multiple micronutrient supplements including iron, have the potential to provide relief from a large burden of anaemia.

Adolescent↗
PubMedDate not supplied

Development of the community nurse in learning disability: 1.

Many accounts have described the role of the community nurse in learning disability and the nature and purpose of intervention in this situation. This article, the first in a two-part series, discusses the development of community nursing education and the need for more research.

Community Health Nursing↗
PubMedDate not supplied

Development of the community nurse in learning disability: 2.

In order to carry out core skills practitioners should not only obtain a postbasic qualification to practise competently but also take up other specialised courses for effective intervention. This article, the second in a two-part series, analyses the difference between qualified and unqualified community nurses in learning disability.

Community Health Nursing↗
PubMedDate not supplied

Advanced practice within learning disability nursing.

This article describes the application of advanced nursing practice within the field of learning disabilities. It discusses the difference between advanced practice and specialist practice and proposes that managers' perceptions of the role of advanced nurse practitioners (ANPs) within the management of developing services will need to change if such practitioners are to be effective. Six defined areas are explored to show how advanced nursing practice within learning disabilities may be developed to allow ANPs to assert their rightful position and influence.

Humans↗
PubMedDate not supplied

Transcultural therapy. 1: Mental health and learning disabilities.

In this article, the first of two parts, the issues surrounding healthcare provision are discussed in the context of the UK as a multicultural society. Concerns relating to nurse education and training are identified in regard to the implications for practice surrounding diagnosis across cultures, classification of illness, and the status and influence of psychological assessments within the field of mental health and learning disability. Finally, the concept of empowerment is critically reviewed, emphasizing that service providers need to collaborate with communities. Community mental health and learning disability nurses are required to make dynamic alliances with communities, through the individual, and so redirect the power relationship to the community and subsequently respond to the demands for cultural diversity sensitively from within healthcare provision and services.

Cultural Diversity↗
PubMedDate not supplied

Transcultural therapy. 2: Mental health and learning disabilities.

The first article in this two-part series (Vol 7(15): 901-6) examined the issues surrounding healthcare provision in the context of the UK as a multicultural society in relation to mental health and learning disabilities. This second article considers the development of psychotherapy, theory and skills of working in terms of its impact and influence upon the education and practice of community mental health nurses and community nurses in learning disability within the UK. The major schools of influence in psychology will be examined in relation to their limitations for practice with clients from various cultures. In addition, three multicultural models of counselling which address cultural diversity will be appraised. Finally, the need for educational systems and service providers to foster and develop positive cultural attitudes among nurse practitioners will be emphasized. Both individual practitioners and employment organizations will need to be much more responsive and committed to developing multicultural services as we approach the millennium.

Community Health Nursing↗