Basic development needs approach in the eastern Mediterranean region.
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The author discusses a very successful community partnership entitled the "South Carolina Health Connection Project (SCHCP) established in the state of South Carolina to curtail the high incidence of teenage pregnancies in that state. Over 18 community organizations supported the project funded by the American Association for the Advancement of Science (AAAS) in 1997 in which 2,000 youth participated.
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At least three cultural circumstances have converged to make environmental health information critical, yet highly inaccessible, to many Americans: 1) the declining literacy levels of almost half the population, 2) the growing cultural diversity of the population, and 3) the complexity of environmental health information and science. This paper presents a case study of how literacy experts and environmental scientists partnered with a panel of inner-city residents to produce a community guide about brownfields, a process the authors refer to as "cooperative composing." The goal was to create low-barrier material (fifth-through-eight-grade reading level) that would inform people about brownfields issues so that they can meaningfully insert themselves into the process of planning for brownfields reuse and redevelopment. The authors structured an ongoing process with a panel of residents to learn with them just what types of information they wanted and what language level and graphics were appropriate. A primary motivator of this study was the belief that informed, activated residents will bring about greater equity and collaboration in environmental planning for brownfields.
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Health for all is a people-based approach to health which considers the community as its focus. Community partnership is an important principle of health for all. This paper describes the many aspects of community partnership and gives examples of community partnerships initiatives in the World Health Organization Eastern Mediterranean Region, such as the basic development needs approach. The main agenda of community partnership for health for all is discussed and some opportunities conducive to community partnership in the Region are outlined.
Suicide, violence, and unintentional injury have many risk factors in common, such as stress, emotional illness, and substance abuse, among others. Unfortunately, commanders and supervisors may be inadvertently overlooking behavioral risks military personnel engage in. Behavioral health force protection is defined as guarding military personnel from injury comprehensively by identifying shared risk factors and implementing protective factors. This approach broadens the arena of preventive health by addressing unintentional injuries, which may be overlooked as preventable. This paper highlights the relevance of clinicians, commanders, and supervisors being attentive to shared risk factors in the etiology of injury along a continuum encompassing suicide, unintentional injury, and violence. Leadership responsibility is discussed in the context of a military community network that provides a framework of support from both within the unit and external helping agencies as well.
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This paper examines nursing research focused on the symptom experiences of children and adolescents with cancer, and the extent to which the perspective and methods of developmental science have been used in this research. CINALH, MEDLINE, and PSYCHLIT were searched for publications between 1990 and 2002. The researcher or research team had to include a nurse or developmentally oriented researchers from other disciplines. Studies focused exclusively on pain were excluded because of recent published reviews. While nurse researchers have contributed influential knowledge related to symptom experiences and symptom distress in children and adolescents with cancer, this research is still in a formative but exciting stage. Two nurse researchers and their teams laid the foundation for this research through their individual studies and collaborative multisite studies. In general, children and adolescents from 10 through 18 years of age were primarily studied; few studies focused on preschool children. Given the fact that these are rare populations, sample sizes were generally small, limiting power and generalizability. Gender, ethnicity, and socioeconomic status were rarely considered in analyses. Most studies used cross-sectional designs, although several included short-term longitudinal or repeated measure designs. To date, longitudinal designs focused on long-term outcomes have not been conducted. There were only a few qualitative studies. There was limited use of conceptual models or theories, and inadequate attention was paid to broader ecological perspectives in the children's lives. Studies included a focus on global symptoms and on individual symptoms, particularly pain and fatigue. Few focused on nausea and vomiting. Operationalization of symptom distress generally involved adapting instruments designed for adults. A more explicit employment of a developmental science perspective in future studies would call for more longitudinal designs that conceptualize the symptom experience from the perspective of the child and that view their responses as complex and multidimensional in nature. This would necessitate measuring clusters of symptoms at multiple levels (e.g., emotional, behavioral, and biophysiological) using developmental data collection methods. Furthermore, attention needs to be paid in conceptualizing studies to ecological factors related to families, social networks, communities, and ethnicity, as well as to the ecology of the health care system, which likely influences the symptom experience of children.
Community partnerships have been recognized as the cornerstone of community research. The recent Institute of Medicine report, Unequal Treatment, puts forth the idea of creating community partnerships as a strategy to address racial and ethnic disparities in health care. Community-based research is frequently reported in the literature as a study conducted in the community versus with the community. The objective of this review is to examine models of community partnerships, to consider their implications for community-based research, and to identify directions for future nursing research.
Since 1997, we, the community pharmacists, have established this society, Aichi Prefecture Society for the Study of Pressure Ulcers Care, in order to furnish drug information about pressure ulcers care. Moist atmosphere is required for the healing of pressure ulcers. The moist environment that could be regulated depends on the physicochemical property of ointment bases. Therefore, ointment should reasonably be chosen to adjust the moisture. Since 2000, we have been committed to providing pharmacists, who work on home care, with a booklet to instruct how to choose ointments for pressure ulcers treatment. In 2002, when the Aichi pharmaceutical association held a training conference held at various hospitals using the booklet as a teaching material, hospital pharmacists cooperated by making a field study trip to observe pressure ulcers treatments. Nowadays researchers at pharmaceutical colleges have also cooperated in studying the efficacy and economical effect of the method of blending different ointments to improve the healing process of pressure ulcers.
In the introduction of home parenteral nutrition (HPN), roles of the pharmacist are important from the viewpoint of drug therapy. In our hospital, patients are to be shifted to home medical care under the adequate guidance and proper adjustment by the cooperation between the clinical pharmacists and home medical care pharmacists. We are also enhancing the cooperation with the pharmacists in insurance pharmacies. At present, however, there are few insurance pharmacies that can concoct the injection of medicine, resulting in our insufficient responses to the needs of the patients. It is necessary and quite important to increase the number of insurance pharmacies that are allowed to manage the patient's medication as well as the concoction of injecting medicine. The cooperation between hospital pharmacy and insurance pharmacy (Yaku-Yaku Renkei in Japanese) is indispensable in order to promote home medical care; especially "the sharing of information" is most required between the two pharmacy groups.
The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcoming a history of distrust that has led to limited cooperation from the Haitian community. Among the key elements being implemented are the development of a community vision through a community mobilization process; the development of an innovative working group process, in which coalition members worked together to develop and implement culturally and linguistically appropriate HIV prevention curricula; participatory leadership and joint accountability processes, manifested in decision-making approaches, such as the fund allocation system, and in the provision of technical assistance workshops on team building, designed to engender cohesion, skills, and resources sharing among coalition members. The success of this venture is measured through the growing expectation that this coalition could serve as a community planning body for all HIV-related services aimed at reducing HIV infection in the Greater Boston Haitian population.
This article discusses the National Center on Addiction and Substance Abuse's CASA Safe Haven, an evidence-based, community-driven intervention program for children and families in child welfare whose lives have been adversely affected by substance abuse, and for staff in the agencies that work with them. CASA Safe Haven builds collaborative relationships that feature a blend of multidisciplinary teams that share responsibility for helping families; family group conferencing, in which families are equal and welcome participants in designing and driving a service plan; and the influence of family court to hold families and service providers accountable for progress. CASA Safe Haven is a framework for collaboration.
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