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At least 883 records · Page 49Linked to original sources
PubMed1980

Infant feeding, growth and mortality: a 20-year study of an Australian Aboriginal community.

The data are presented on infant mortality, growth and feeding for an Australian Aboriginal Settlement over 20 years from 1953 to 1972. During this period the infant mortality rate fell from about 280/1000 to about 40/1000 although the growth, infant feeding and health facilities remained almost the same. It is proposed, as a hypothesis worthy of further exploration, that major factors leading to improvement in infant mortality have been a changed attitude to small infants and an ability to use health services appropriately. These factors may be important in all developing communities.

Australia↗
PubMed1982

The impact of class, education, and health care on infant mortality in a developing society: the case of rural Thailand.

Demographic and social factors affecting infant mortality in rural northern Thailand are examined using log-linear modified multiple regression models and data drawn from a representative sample of married couples in Chiang Mai and Chiang Rai provinces. Demographic factors do not account for the effects of variations in parental ability or willingness to provide adequate infant care. The final model estimated incorporated both these social dimensions of child care. Parental ability, measured by father's social class, mother's health information, and local community development levels, continued to have significant independent effects upon infant survival. Parental willingness, measured by parent's beliefs about intergenerational wealth transfers, no longer had a significant effect net of other social variables, but infant survival was still affected by whether both parents wanted a birth.

Adolescent↗
PubMed2006

Uncovering the "skeleton in the closet": the issue of bone and joint disorders in the Maldives and the opportunities for primary prevention and health promotion.

Disorders of bones and joints are the most common cause of severe long-term pain and disability around the world yet receive inadequate attention in many countries. Bone/joint health is absent from current health policy and the primary prevention/health promotion agenda in Maldives and diagnostic and curative infrastructure is very limited. In 2004, tentative evidence emerged indicating that degenerative bone and joint conditions may impose a large burden on community health. A study was undertaken amongst a representative community sample of women aged 15-50 to further investigate the issue. One third reported bone/joint problems; very high proportions manifested a range of osteoporosis risk factors, and sizeable numbers appear to be at elevated risk of osteoarthritis. Bone/joint health knowledge was very limited. The findings suggest strong potential for primary prevention on modifiable risk factors, need for research with other population groups, and development of screening and curative care. EDITORS' STRATEGIC IMPLICATIONS: The author provides important data on the burden of disorders of bones/joints on a "developing" community and presents recommendations for behavioral and educational prevention strategies that may prove useful across societies.

Adolescent↗
PubMed1990

Change in aboriginal childhood morbidity and mortality in Bourke 1971-84.

In the early 1970s, the Aboriginal community of Bourke attempted to improve its socioeconomic and health status through a number of community development activities. As a result, markers of nutrition in early childhood, housing conditions and access to health care all improved, in spite of a deterioration in employment opportunities and adult health. Coincidentally, most markers of the health of Aboriginal children in Bourke improved over the period 1971-84. In particular, Aboriginal child admissions due to gastroenteritis, eye and ear infections and accidents, and the community prevalence of trachoma, middle ear disease and pneumonia among Aboriginal children, decreased. Skin infections were an exception to this general picture, becoming more prevalent over the period.

Adolescent↗
PubMedDate not supplied

Microbial community structure and activity in a compartmentalized, anaerobic bioreactor.

The objective of this study was to evaluate staging and its effects on reactor performance in a compartmentalized bioreactor, designated the anaerobic migrating blanket reactor (AMBR). The AMBR was operated by reversing the flow several times per day, which allowed for substantial biomass migration without biomass accumulation in the final compartment. During reactor startup, the structures of the microbial communities in the five compartments were quite similar despite substantial differences in substrate types and concentrations in the different compartments. During the rest of the operational period, biomass migration was reduced by changing operating conditions and, as a result, a larger difference in the structures of the microbial communities developed for the different compartments (biomass staging). For example, after changing operating conditions, rRNA levels for the acetate-utilizing methanogen Methanosaeta concilii were approximately 35 and 10% of the total rRNA in the middle and outside compartments, respectively (before changing operating conditions these levels were approximately 20 and 12% of the total rRNA, respectively). Promoting larger differences in the structures of the microbial communities for the different compartments did not improve reactor performance as lower levels of M. concilii in the outside compartments hindered acetate removal and compromised effluent quality.

Biomass↗
PubMedDate not supplied

Communication channels to help build an international community of education and practice.

Two-way communication is required if nurses are to build knowledge networks of international communities of nursing education and practice. Are expensive new technologies feasible or preferred for effective communication and productive outcomes? In this report from a longstanding partnership between schools of nursing at Peking University and the University of Michigan, case study methodology is used to evaluate more than a decade of experience with communication modalities: in person, postal mail, express mail, e-mail, fax, telephone, hand delivery by other travelers, and Web sites. Although each education and practice community develops unique ways to build its shared knowledge, a communications plan is suggested, with use of multiple communication techniques, especially those that are low cost and the most dependable. High-cost technologies are not always feasible or preferred. For the project described, they were not necessary to the major outcome, a nursing education and practice network that resulted in the first nurse-managed community-based clinic in China.

China↗
PubMed2003

The role of district nurses in public health: a discussion.

The government has challenged community nurses, through recent policy changes, to become more involved in improving the health of local populations. However, very little has been written about the role of district nurses within this agenda. This article explores these opportunities and discusses some of the challenges facing district nurses if they are to embrace this new agenda. A model is examined which details four approaches to public health in which district nurses could contribute: individual advice-giving, personal support, environmental control and community development. District nurses have many valuable skills and attributes that could be utilized within all four approaches; it is important that they use these skills in collaboration with others. There will be implications for the future education and leadership of district nurses.

Community Health Nursing↗
PubMedDate not supplied

Working for the good life in rural west Somerset.

This paper outlines a community development project in rural Somerset that was instituted in response to identified health needs in the area. Organisational changes meant that funding for the project was curtailed so that completion of the planned programme and full evaluation could not be carried out.

Accidents, Traffic↗
PubMed2002

The rise of atopy and links to infection.

Atopy is the state of allergy to common environmental antigens. Genetic and environmental factors promote the disorder. The impressive rise in prevalence, mainly centred on socio-economically developed communities around the world, emphasizes the potent action of environmental factors in moulding this immune disorder which is characterized by inadequately restrained Th-2 immune mechanisms and IgE production. Reversing the epidemiological trend depends on our identifying the major environmental inputs and acting against these. As yet, the nature of these environmental factors remains to be clarified. Candidate factors include changes in diet, chemical air pollution and microbial exposures in developed countries. This article limits its scope to changing microbial exposures as a potential mechanism. (a) It records epidemiological data that have associated atopic status with less natural exposure to pathogens, parasites and commensal micro-organisms, but with more exposure to certain antibiotics and public health immunizations in early life. (b) It records studies in mice that support the concept that certain microbial exposures can inhibit experimental allergy. (c) It considers potential immune mechanisms for such an action, including the possibility that certain natural infections promote immune regulatory processes that can restrain atopy. It is concluded that the hypothesis that changing patterns of microbial exposure may have promoted the rise in atopy is viable, and that exciting possibilities for reversing the rise of atopy may be derived from further studies.

Animals↗
PubMedDate not supplied

[Orphan drugs and orphan diseases].

OBJECTIVES: To define the concepts of orphan drugs and diseases, the current situation of clinical investigation of them, the attitude of the pharmaceutical industry and aspects of health legislation, especially in the European Community. DEVELOPMENT: We review the history of orphan drugs, the name used for those drugs, apparatus, biological agents and dietetic preparations used to treat diseases so rare as to affect 650 1,000 persons per million inhabitants. Approximately 5,000 of such disease have been identified. Of these, 80% are genetic disorders which are very common in neuropaediatrics, since 50% appear in childhood. Half of these disorders affect the nervous system but in general there are no relative preventive and/or therapeutic methods. In view of the expense involved, the pharmaceutical industry is loath to develop products which are only used in rare diseases. Society cannot tolerate the fact that these patients do not have access to medical progress. For this reason organizations of affected persons (especially the National Organization for Rare Diseases) put pressure on the USA authorities leading to the Orphan Drug Act of 1983 which was subsequently copied by other countries. Since January 2000 there is a similar Regulation in the European Community. Orphan diseases need to be diagnosed early by specialists who have had patients referred to them by general practitioners. However, initial recognition of the disorder is often delayed and late diagnosis occurs in 45% of these rare diseases which make up 10% of human illnesses. Currently over 150 orphan drugs are being used for over seven million patients. CONCLUSION: The struggle to treat rare diseases must continue, since its true importance is shown when suffered personally.

Drug Therapy↗
PubMedDate not supplied

[The structure of micromycete communities and their synecologic interactions with basidiomycetes during decomposition of plant debris].

We investigated the interactions between micromycetes and basidiomycete mycelium on plant substrates in the course of their 3-year incubation in the litter of ecologically intact spruce forests of the Central State Biosphere Forest Sanctuary (Nelidovo District, Tver oblast). Only 40-60% of the micromycetes were involved in direct antagonistic interactions with basidiomycetous fungi. In terms of the ratio between physiologically active strains and those which did not interact with basidiomycete mycelium, we revealed differences in the structure of micromycete communities developing on various types of substrates (xylem, bark, sphagnum, leaves, needles, litter, and cotton grass). The micromycetes tested belonged to 49 species. At the end of the observation period, the fraction of microscopic fungi that actively influenced basidiomycete mycelium was four times lower in the inactive litter fraction (lignin-containing xylem debris) than in the active fraction (grass substrates). The mechanisms of indirect regulation of the structure and functions of micromycete communities are discussed, which may be based on the accumulation of phenolic compounds in the medium and changes in the enzyme activities of basidiomycete mycelium.

Basidiomycota↗
PubMed2003

Cardiovascular disease prevention in low resource settings: lessons from the Heartfile experience in Pakistan.

This paper outlines activities of the Heartfile Program in Pakistan (http://heartfile.org). The program focuses on cardiovascular disease prevention and health promotion, and includes several initiatives that encompass building policy, reorienting health services, and developing community interventions that utilize the print and electronic media and outreach at the grass-root level to incorporate social marketing approaches. Initiated by the nonprofit private sector, the program now links with major public sector primary healthcare programs, and is currently spearheading formulation of the National Action Plan on Noncommunicable Disease Prevention and Control in Pakistan. In addition, the program is being refined, validated, and packaged as a replicable model for other developing countries and in low resource settings, utilizing appropriate principles of franchising with inbuilt components sensitive to cultural and social adaptations. A review of the planning process, implementation strategy, and fund-raising experience is presented. Strategies unique to low resource settings, such as the development of cost- and time-efficient strategic alliances and partnerships, have also been highlighted. In addition, specific caveats are identified as being helpful to private sector development of chronic disease prevention programs in resource-constrained settings, and a road map to a sustainable public-private sector partnership is provided.

Cardiovascular Diseases↗
PubMed1994

Increasing bicycle helmet use in the community. Measuring response to a wide-scale, 2-year effort.

OBJECTIVE: To determine whether a wide-scale, long-term community promotional effort would increase the use of bicycle helmets among children. DESIGN: Over 2 years, a non-profit group coordinated a range of activities to promote helmet use. On one date before the intervention began and three dates during the intervention, observers surveyed students riding bicycles. SETTING: Cyclists were observed at 5 elementary schools, three secondary schools, and two community college entrances. PARTICIPANTS: A total of 851 cyclists were observed, 536 of them at elementary schools in a convenience sample. INTERVENTIONS: Print, radio, and television advertising; posters; pamphlets; bicycle rodeos; and a play were used in a public awareness campaign. Health promotion activities included education, social marketing, community development, and legislative action. MAIN OUTCOME MEASURES: Number of cyclists and whether they wore helmets. RESULTS: Combining the two observation dates for each year, helmet use increased from 5.4% in 1990 to 15.4% in 1991. The greatest increase was observed among elementary school students, the group most at risk of serious head injury or death. Overall, girls were twice as likely to wear helmets as boys. CONCLUSIONS: Wide-scale, long-term community promotion appears to be effective in increasing the use of bicycle helmets.

Age Factors↗
PubMed2002

Community-backed drug initiatives in the UK: a review and commentary on evaluations.

This article presents a review of evaluations of community-backed initiatives for drug users in the UK. Community-backed responses have taken a number of approaches. Despite accessing over 250 publications relating to initiatives in the course of this study, a paucity of published evaluative evidence on 'what works?' and 'why does it work?' was apparent. The readily accessible literature is examined under five broad types of initiative: self-help groups, parents' groups, residents' groups, community development groups and diversionary activity groups. In a further commentary on evaluation issues for such drug initiatives, it is argued that they are under-evaluated, partly because they are on the margins of drug services and partly because of a lacuna of support in evaluation skills.

Community Mental Health Services↗
PubMed2006

[Evaluation of an educational strategy on malaria in rural areas of the Colombian Pacific Coast].

INTRODUCTION: Health education interventions have proved effective in improving knowledge, preventing practices and decreasing occurrence of malaria. OBJECTIVE: To evaluate the impact of the educational intervention "The World of Malaria: Let's Learn to Manage it in Community" developed in Colombian malarial areas, in terms of increasing knowledge, preventive practices, treatment-seeking, and decreasing malaria occurrence. MATERIALS AND METHODS: A quasi-experimental post-test study with a non-equivalent control group was carried out. Four hundred and fifty people living in 20 rural villages were interviewed. These localities were randomly selected from 110 intervened localities. Paired "t" test was performed to evaluate the effect on malaria knowledge of the community health workers (n=243). The effect of the intervention on the effect variables was measured by using logistic regression and by comparing people who were exposed and non-exposed to the educational strategy. RESULTS: Knowledge on malaria in community health workers increased after the intervention (p < 0.05). In the communities, 170/447 (38%) interviewed individuals had contact with the intervention in the communities. Those exposed to the intervention showed improvements in knowledge about breeding sites (OR: 2.53, 95% IC:1.7-3.76), bed-nets use (OR:1.81, 95% IC:1.10-2.97) and a decrease in self-medication with antimalarial drugs (OR:1.97, 95% IC: 1.04-3.73). Contact with the intervention reduced reported episodes of malaria (OR:0.58, 95% CI: 0.39-0.87). CONCLUSION: Significant improvements in preventive practices may be achieved with educational interventions, which in turn may reduce malaria ocurrence.

Colombia↗
PubMed1967

Health, population, and economic development. International health programs have an important role in promoting economic development and population control.

Health as a basic human value is particularly important to people in the developing world. Rates of economic development lower than had been hoped for and ever more steeply rising population growth have precipitated a reaction against public health programs. Among economists, agriculturalists, and even health professionals the philosophy arose that one should "hold back" on using modern weapons against disease because they are "too effective." To satisfy the recognized popular demand, simple and relatively ineffective measures of curative medicine could be substituted. It was said that the emphasis should be, instead, on agriculture, community development, education, and industrialization and that family planning should be pushed as a separate program. Documentation presented here sharply challenges such a point of view. No segment of the total development process can be effective without the other sectors.

Demography↗