Merolicos and health education.
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During the 1970s, El Salvador had one of the most active communication programmes for family planning (FP) of any Latin American country. The current study, carried out nationwide among women of reproductive age in El Salvador, indicates that over 90% of women have been reached FP messages via mass or interpersonal channels. Levels of exposure were found to be relatively lower among women who live in rural areas, who work at home or not at all, who have little education, who are not married or live in union, and who are under 19 or over 40. The study was completed at a time of political stability in the country, and these data were to be used as a guideline for designing future communication programmes with respect to content, target population, and channels. With regard to communication research, this study yielded findings which usefully supplement those already recorded through a number of investigations of the subject.
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A model for health education has been devised in Egypt on the basis of studies made in two villages. Its purpose is to contribute to the solution of environmental health problems by using locally available resources. Present indications are that the model will be applicable not only to the different sectors of the population, e.g., women and children, but also to many other villages throughout the country.
The author outlines the ways in which health messages have been given to agrarian communities in Tigray, Ethiopia. Special attention has been given to assessing the people's knowledge base initially, to communicating with them at the most appropriate times and places and in the local language, and to the use of role-playing.
Bioethics education now takes place outside universities as well as within them. How should clinicians, ethics committee members, and policymakers be taught the ethics they need, and how may their progress best be evaluated?
Acceptance of Family Planning services has been at a very slow pace in Africa. It was generally believed that the African male, due to his conservatism, was an obstacle to the acceptance of contraception by the African female. The study however showed that this was not true. The attitude of the African male towards contraception has changed drastically during the last thirty years, from ultra-conservatism during the 60s to very liberal in the 80s and 90s. Further it can be said that the African male is as well informed and has the same degree of Family Planning and child spacing acceptance-level as his counterpart in the developed world. However the African male does not accompany his partner for Family Planning Counselling. The study showed that most African men associate Family Planning with the use of condoms and not other methods such as the pill or the intrauterine devices.
In its endeavours to achieve the health-for-all goals, Sierra Leone confronts many formidable obstacles, among the greatest of which are illiteracy and poverty. Nevertheless, determined efforts are being made to disseminate health messages, including advice on self-help in the prevention of diseases and accidents and in tackling illness and disability.
Appropriate and effective communication is central to the success of interventions to reduce the risk of HIV infection. This paper reviews what has been learned about the nature of communication in the behavior change process. It examines the contexts in which communication occurs, as well as the contribution of communication theory, social marketing theory, and structural intervention theory to intervention development. Guidance is offered on the most appropriate ways in which to communicate with different groups and audiences, and future priorities for research and intervention are identified.
Western health officials believe the incidence of HIV infection in the People's Republic of China is much higher than has been reported, but knowledge about the disease remains low. This paper describes a preliminary study of Chinese college students' AIDS knowledge and beliefs and of the acceptability of mass media for AIDS education. Focus group interviews of 73 Xiamen University students showed that the students used radio more consistently than any other media and viewed magazines as the best media source of health information. However, they expressed a general distrust of the health information media offer. They possessed quite a bit of accurate information about AIDS but also harbored many inaccurate beliefs. Most felt that their personal risk from AIDS was very low because they felt distanced--either geographically or morally--from those at risk. Disturbing numbers felt that fate, not individual behavior, determines whether or not a person contracts HIV. The paper discusses the study's implications for future research.
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Written communication is a requisite skill for practitioners in the field of health education. Advocacy skills are now considered to be both a professional competency and an ethical responsibility. Given that many advocacy strategies involve written communication, it makes sense that the skills of writing and advocacy be developed concomitantly and within a writing-intensive class. The purposes of this article are twofold: (a) to describe the role of writing-intensive program planning methods courses in the development of written communication and advocacy skills in entry-level health educators and (b) to suggest strategies for planning, implementing, and assessing writing-intensive assignments and instructional activities designed to develop students' written communication and advocacy skills. Multiple examples of writing assignments are presented that can be used in helping students in developing their critical thinking, writing, and advocacy skills.
Effective health care delivery systems rely heavily on high degrees of skill in professionalism and communication. These skills are essential to all of the missions of a successful radiology department. Until recently, there was a lack of emphasis on the importance of these issues and a lack of efforts in setting expectations and measuring performance. Herein the authors describe the components of a program implemented to promote professionalism and effective communication in their radiology department.
This paper is the result of an investigation of recidivism rates among teenaged children who completed a program designed to improve communication between the children and their parents. A sample of 62 children from 13 to 18 years old was utilized. All had been referred to a mental health program by juvenile courts for therapeutic intervention because of drug offenses. The intervention program stressed family communication and communication techniques and required both the child and parents to attend. Three types of rates of recidivism were then obtained from juvenile court records for each sample member including all referrals, adjusted referrals, (excluding such referrals for truancy, fighting, traffic offenses, etc.), and those referrals for drug offenses only. These were analyzed for both pre- and post- intervention length of time. Analysis of data revealed significant (p v .001) decrease for all three categories of referral. Notable was that the recidivism rate for drug offenses declined significantly. While this data is encouraging some considerations are necessary. First, the degree of experimental control was limited. The use of a control group would perhaps have been beneficial. Secondly, one must consider the effect of the "arrest experience" and its relationship to learning how to avoid getting caught for the same offense twice. This could be examined further if the pre- and post-intervention periods could be lengthened. A final consideration would be the effect of other intervention programs on recidivism. since many of the children were receiving more than one type of therapy. The question of which intervention program most effected the decline of recidivism would have to be answered before one could accept the conclusion that the communication program was indeed responsible for the significant decrease in recidivism.
PURPOSE OF REVIEW: This review gives an overview of recent developments in the field of communication skills training programs designed for cancer health care professionals. RECENT FINDINGS: The Web of Knowledge was searched for empirical papers published between January 2002 and February 2005. Twenty-two papers were included in the review describing 13 different studies. Four studies were randomised trials using a pretest-posttest comparison design. As regards participant-based outcomes, studies showed improvements in terms of participant satisfaction with course, reported improvements in communication skills, increased knowledge and confidence, and changes in attitudes and beliefs. Results in terms of participants' level of stress and burnout were inconsistent across studies. Improvements were observed as regards the use of taught skills following training. Three studies using an utterance-by-utterance analysis system reported improvements in physicians' use of assessment skills or supportive skills. One study observed improvements in terms of decision-making skills. No change was observed as regards physicians' detection of patient distress. As regards patient-based outcomes, only two of four studies reported improvements in terms of patient satisfaction with and perception of interviews. SUMMARY: Results of this review confirm the usefulness of learner-centred, skills-focused, and practise-oriented communication skills training programs organised in small groups of a maximum 6 participants and lasting at least 20 hours. Such communication skills training programs may therefore be recommended to health care professionals treating cancer patients and their families.
De novo engineering of gene circuits inside cells is extremely difficult, and efforts to realize predictable and robust performance must deal with noise in gene expression and variation in phenotypes between cells. Here we demonstrate that by coupling gene expression to cell survival and death using cell-cell communication, we can programme the dynamics of a population despite variability in the behaviour of individual cells. Specifically, we have built and characterized a 'population control' circuit that autonomously regulates the density of an Escherichia coli population. The cell density is broadcasted and detected by elements from a bacterial quorum-sensing system, which in turn regulate the death rate. As predicted by a simple mathematical model, the circuit can set a stable steady state in terms of cell density and gene expression that is easily tunable by varying the stability of the cell-cell communication signal. This circuit incorporates a mechanism for programmed death in response to changes in the environment, and allows us to probe the design principles of its more complex natural counterparts.
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The international programs of the National Library of Medicine may vary in mechanism, but all share the common objective of improved medical research, education, and practice. They are a natural extension of domestic responsibilities and represent a sharing of time, talent, and resources. The programs may be service-oriented, cooperative efforts based on the computerized information storage and retrieval system (MEDLARS), or establishment of regional medical library programs. Policy and operational aspects are presented.