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At least 1,135 records · Page 63Linked to original sources

Vision, visual needs, and quality of life of older people in rural environments: a report and synthesis of a meeting.

Vision as an aspect of rural aging was a major portion of the First International Conference on Rural Aging. Various perspectives on the relationship of vision to rural aging were presented in two symposia, two paper sessions, one workshop and the poster session (a total of 28 presentations). In summarizing this rich and varied material, the author emphasizes that: (a) vision is important to maintaining a healthy, active life as one ages; (b) impaired vision is generally preventable or treatable; (c) well-designed community programs can assist in prevention and treatment; and (d) assessing the effects of these programs requires evaluation of patients' quality of life. More research is needed to refine strategies for creating, maintaining and evaluating community-based eye care programs and integrating them with existing public health or other community programs.

Aged↗

The early childhood caries prevention program in Palau.

Early Childhood Caries is a significant public health problem in Palau. Data have shown that nearly 80% of children ages 3-5 years of age in Palau experience dental caries and a significant number of these children require general anesthesia to treat or remove painful or infected carious teeth. In response to this growing problem, the Division of Oral Health has systematically developed a prevention program in collaboration with the Maternal and Child Health Unit under the Ministry of Health. The core program involves integrating preventive oral health services into all regular prenatal and postnatal care programs and improving the capacities of health professionals to provide such services. The program promotes the idea that oral health is an important component to overall health and all efforts are made to integrate oral health into broader public health initiatives. Both health and process outcomes are being monitored by an oral health surveillance system, while preliminary data show improved oral health among young children. This paper takes a closer look at the development of the Palau program.

Child, Preschool↗

Health promotion in a shrinking military: the call for structural integration and a conceptual systems approach.

The evolution of health promotion in the military is reviewed and contrasted with developments in private sector activities. Programs in both arenas generally take a mechanistic, mortality and risk factor-based approach which targets lifestyle and behavioral change. In the military, that has resulted in a fragmentation of function and perception in the line and medical communities about health promotion. A "world view" model and a conceptual systems approach to health promotion are presented in which human resources, occupational health, life-style, and health benefits programs are integrated to achieve efficiencies in program management, decreased mortality, and reduced medical care costs.

Health Promotion↗

Role of plant pathology in integrated pest management.

Integrated Pest Management (IPM) is a paradigm that is widely adopted by all pest control disciplines but whose early definitions and philosophical basis belong to entomologists. Plant pathology research and extension work has historically emphasized integration of several control strategies and fits both historical and modern definitions of IPM. While the term IPM has been used only sparingly in the phytopathology literature, the integrated disease management strategies emphasized are now considered to be at the forefront of ecologically based or biointensive pest management. While IPM is broadly endorsed by crop protection disciplines, farmers, other agriculturalists, and consumers, the potential for Integrated Pest Management has not been fully realized. Most IPM programs reflect a package of tools and decision aids for individual crop insect, weed, nematode, and plant disease management. IPM programs that integrate all types of pests with the agroecosystem, crop growth and loss models still await the formation of interdisciplinary teams focusing on growers needs. Lack of funding for both discipline and interdisciplinary developmental research and implementation is responsible for the paucity of comprehensive IPM programs for the majority of the U.S. crop acreage. This review explores the origins and evolution of the IPM paradigm and reviews efforts to achieve the body of knowledge and implementation structure to achieve IPM's full potential.

Journal Article↗

Benefits and costs of integrating technology into undergraduate nursing programs.

Advances in technology over the last decade have resulted in increased opportunities for educators to become more innovative in classroom and clinical teaching. These innovations have allowed students and faculty to access essential clinical information at the point of care/need. By capitalizing on technologies such as personal digital assistants and course delivery shells, faculty and students have both portable and remote access to information that can guide practice and learning activities in clinical, classroom, and distance settings. For instance, a student can use a personal digital assistant to research a patient's new medication at the bedside, study course information, access references during class in response to a question, or download clinical materials from home. Although the benefits of having ready access to information seem obvious, there are costs and strategic planning activities associated with implementing these projects. Clearly, the objective of any academic nursing program is to develop skills among students so they can efficiently access information and use that information to guide their nursing practice. To do so, academic nursing administrators must have the forethought to envision how new technologies can support achieving this goal as well as the ability to put in place the infrastructure supports needed for success. This article presents a case study of how one institution developed the necessary infrastructure and garnished the appropriate resources to implement an ambitious technology initiative integrated throughout a large undergraduate nursing program. In addition, how the integration of technology, online and mobile, can enhance clinical learning will be discussed.

Computers, Handheld↗

Integrative medical education: development and implementation of a comprehensive curriculum at the University of Arizona.

Dissatisfaction with the U.S. health care system is increasing despite impressive technologic advances. This dissatisfaction is one factor that has led patients to seek out complementary and alternative medicine (CAM) and led medical schools to start teaching CAM. This paper focuses on the University of Arizona's approach to developing and implementing a comprehensive curriculum in integrative medicine. Integrative medicine is defined much more broadly than CAM. It is healing-oriented medicine that reemphasizes the relationship between patient and physician, and integrates the best of complementary and alternative medicine with the best of conventional medicine. Since its inception in 1996, the Program in Integrative Medicine (PIM) has grown to include a two-year residential fellowship that educates four fellows each year, a distance learning associate fellowship that educates 50 physicians each year, medical student and resident rotations, continuing medical and professional education, an NIH-supported research department, and an active outreach program to facilitate the international development of integrative medicine. The paper describes the PIM curriculum, educational programs, clinical education, goals, and results. Future strategies for assessing competency and credentialing professionals are suggested.

Arizona↗