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Selected AbstractsA review of drug prevention system development in Romania and its impact on youth drug consumption trends, 1995,2005DRUG AND ALCOHOL REVIEW, Issue 4 2009CSABA L. DÉGI Abstract Issues. A tremendous growth occurred in the reported drug use and abuse in Romania from 1995 to 1999. Lack of concern by government and little policy attention contributed to the surprising delay of drug policy and drug prevention system development. General public stigmatize drug users and drug consumption is considered a matter of personal fault and responsibility. There is some but not sufficient research and evaluation on drug use, abuse problem. Approach. Drug use, abuse and prevention are discussed from research-based, user-focused and prevention system development perspectives. Prevalence and trends of drug use, abuse in the past decade (1995,2005) are summarized. Prevention issues are discussed based on research data from adolescents, parents and teachers. The Romanian primary drug prevention system has been evaluated based on our experiences in drug use prevention activities carried out in schools and recreational environments. Key Findings. Public and scientific perspectives on drug consumption in Romania, between 1995 and 1999, were dominated by an idealistic, non-realistic perception. Since 1995, drug use among adolescents increased almost four times in less than 4 years. The first law against drug traffic and consumption was issued only in 2000. Now primary drug prevention strategies are in action, but in general they are lacking standard evaluation procedures. Implications/Conclusion. Conclusions are drafted for new perspectives in prevention activities. More long-term, user-focused, demand-centred prevention activities should be carried out in more and more diversified settings and evaluation should be thoroughly considered.[Dégi CL. A review of drug prevention system development in Romania and its impact on youth drug consumption trends, 1995,2005. Drug Alcohol Rev 2009;28:419,425] [source] Direct Manipulation and Interactive Sculpting of PDE SurfacesCOMPUTER GRAPHICS FORUM, Issue 3 2000Haixia Du This paper presents an integrated approach and a unified algorithm that combine the benefits of PDE surfaces and powerful physics-based modeling techniques within one single modeling framework, in order to realize the full potential of PDE surfaces. We have developed a novel system that allows direct manipulation and interactive sculpting of PDE surfaces at arbitrary location, hence supporting various interactive techniques beyond the conventional boundary control. Our prototype software affords users to interactively modify point, normal, curvature, and arbitrary region of PDE surfaces in a predictable way. We employ several simple, yet effective numerical techniques including the finite-difference discretization of the PDE surface, the multigrid-like subdivision on the PDE surface, the mass-spring approximation of the elastic PDE surface, etc. to achieve real-time performance. In addition, our dynamic PDE surfaces can also be approximated using standard bivariate B-spline finite elements, which can subsequently be sculpted and deformed directly in real-time subject to intrinsic PDE constraints. Our experiments demonstrate many attractive advantages of our dynamic PDE formulation such as intuitive control, real-time feedback, and usability to the general public. [source] The Marine Stewardship Council: A multi-stakeholder approach to sustainable fishingCORPORATE SOCIAL RESPONSIBILITY AND ENVIRONMENTAL MANAGEMENT, Issue 2 2004Alexia Cummins Established by WWF and Unilever in 1997, the Marine Stewardship Council is an example of a successful NGO,business partnership, independent since 1999. At a time when awareness of the general public on environmental issues and particularly overfishing is increasing, it offers an eco-labelling programme designed to reward sustainable and well managed fisheries with a visible environmental endorsement. The MSC is the only international fisheries organization working to provide a market-based incentive, encouraging consumers to make the best environmental choice in seafood, by setting a standard against which independent accredited certification bodies assess fisheries. It devotes time and attention to bringing a broad spectrum of stakeholders to the table, maintaining dialogue with all sectors. As more fisheries engage in the certification process, valuable lessons have been learnt on the importance of stakeholder input. Market leading supermarkets recognize that consumers expect retailers to make responsible purchasing decisions as part of their corporate social responsibility. As a key part of this they have become supporters of the MSC, enabling it to achieve the market exposure it requires to highlight the issue of overfishing and the need to ensure the sustainability of fish stocks around the world. Copyright © 2004 John Wiley & Sons, Ltd and ERP Environment. [source] The Animated Muse: An Interpretive Program for Creative ViewingCURATOR THE MUSEUM JOURNAL, Issue 3 2005Austin Clarkson ABSTRACT Explore a Painting in Depth, an experiment presented in the Canadian Collection of the Art Gallery of Ontario, consisted of a booth that offered seating for two visitors and, opposite them, The Beaver Dam, a 1919 landscape painting by the Canadian artist J. E. H. MacDonald. In a 12-minute audio-guided Exercise for Exploring, visitors were invited to engage in a creative process with the imagery of the painting. This paper sketches how the experiment evolved, presents the background of the Exercise for Exploring, and surveys the effects of the exhibit on a wide range of visitors. The question is raised: How can facilitating visitors' creative responses to artworks be part of the museum's educational mandate and its arsenal of interpretive resources? More broadly: Do strategies that foster and privilege visitor creativity, as well as honor the creativity of artists, affect the accessibility and relevance of the museum for the general public? [source] Impact of National Aquarium in Baltimore on Visitors' Conservation Attitudes, Behavior, and KnowledgeCURATOR THE MUSEUM JOURNAL, Issue 1 2000LESLIE M. ADELMAN ABSTRACT This study at the National Aquarium in Baltimore (NAIB) was conducted to assess four key aspects of the visitor experience: (1) incoming conservation knowledge, attitudes, and behavior of NAIB visitors; (2) patterns of use and interaction with exhibition components throughout the NAIB; (3) exiting conservation knowledge, attitudes, and behaviors of visitors; and (4) over time, how the NAIB experience altered or affected individuals' conservation knowledge, attitudes, and behaviors. Three hundred six visitors participated in the study, which was conducted from March through July, 1999. The study utilized four data-collection techniques: (1) face-to-face interviews, (2) Personal Meaning Mapping (PMM), (3) tracking, and (4) follow-up telephone interviews. Participants were a self-selected population and were generally more knowledgeable about, more concerned about, and more involved in conservation-related issues than the general public. However, they were far from conservationists. Visitors in this study clearly absorbed the fundamental conservation message at the NAIB. In fact, the NAIB visit appeared to focus visitors' conservation-related thoughts, while also broadening their understanding of conservation. Changes in visitors' conservation knowledge, understanding, and interests by and large persisted over six to eight weeks after visiting NAIB. The NAIB experience also connected to visitors' lives in a variety of ways following their visit. However, these personal experiences rarely resulted in new conservation actions. In fact, their enthusiasm and emotional commitment to conservation (inspired during the NAIB visit) generally fell back to original levels, presumably in the absence of reinforcing experiences. The findings of this study are guiding subsequent investigations at the NAIB. More generally, the results suggest strategies to enhance current understanding of the impact free-choice learning institutions have on their visiting public. [source] An audit of the time to initial treatment in avulsion injuriesDENTAL TRAUMATOLOGY, Issue 1 2009Betul Kargul Good outcome requires education of the general public and non-dental professionals. Aim:, Retrospective observational survey of case records of avulsion injuries attending a dental hospital trauma clinic. Method:, Data collected included: hospital number, date of birth, gender, source of patient's referral, date of trauma, number of avulsed teeth, place of initial presentation, storage, hours till initial presentation, and initial treatment. Results:, One hundred and twenty teeth with avulsion were identified in 75 children. The mean age of the patients was 9.8 years (SD = 2.3 years) at the time of trauma with avulsions recorded in 44 (58.7%) boys and in 31 (41.3%) girls. Only 51 (42.5%) teeth were stored in an appropriate medium before attendance at any site and only 48 (40%) of the teeth were seen within 1 h. 83.3% received emergency treatment at general hospital, 89.7% in dental practice and 92.9% at dental hospital. Conclusions:, A minority of avulsion injuries were seen within the first hour and a minority were in appropriate storage medium at presentation. Geographical location plays a huge role in the time taken to reach secondary care. However, improving public and non-dental professional knowledge about tooth storage in avulsion injuries is critical to long-term prognosis of the teeth. [source] Safety and efficacy of vaccinesDERMATOLOGIC THERAPY, Issue 2 2009Brenda L. Bartlett ABSTRACT For the past two centuries, vaccines have provided a safe and effective means of preventing a number of infectious diseases. Although the safety of some vaccines has been questioned in recent years, the currently available vaccines are more than a millionfold safer than the diseases they are designed to prevent. Vaccines, however, should always be used in conjunction with other public health interventions. One important intervention is education because the general public can be led to believe that vaccines are unsafe and not needed by misinformation readily available electronically and in print. Not only are some vaccines available via injection but other vaccines are also given orally or intranasally. New vaccines are being studied for topical and intravaginal use. In addition, new systems are being developed for more efficient production of vaccines, especially for influenza. Vaccines are currently available for only a limited number of viral and bacterial diseases. In the future, it is anticipated that safe and effective vaccines will be developed against a number of other viral and bacterial infections as well as fungal and protozoan diseases. [source] Using the internet to research hidden populations of illicit drug users: a reviewADDICTION, Issue 9 2010Peter G. Miller ABSTRACT Aims To review the current research of hidden populations of illicit drugs users using web-based methods and discuss major advantages and disadvantages. Methods Systematic review of 16 databases, including PubMed, PsycINFO (EBSCOhost), CSA Sociological Abstracts, Expanded Academic ASAP and Google Scholar. Findings Substances researched were most commonly ,party/club drugs' (such as ecstasy) and cannabis. All of the studies reviewed concluded that the internet is a useful tool for reaching hidden populations, but is likely to impose some bias in samples. Advantages include: access to previously under-researched target groups; speed; international applications; increased ease of data entry; and improved confidentiality for respondents. The major disadvantage is a lack of representativeness of samples. Conclusions Internet research is successful at accessing hidden populations of illicit drugs users, when appropriately targeted and provides unprecedented opportunities for research across a wide range of topics within the addictions field. Findings are unlikely to be generalisable to the general public, but appropriate for describing target populations. [source] Mephentermine dependence without psychosis: a Brazilian case reportADDICTION, Issue 6 2010Henrique Faria De Sousa ABSTRACT Background Substance abuse is a serious health concern. This report presents the case of a 22-year-old Brazilian man with a history of mephentermine use who fulfils all the criteria for chemical dependence listed by ICD-10. Mephentermine is a sympathomimetic agent derived from methamphetamine which, in Brazil, is restricted to veterinary use. Case description The subject used the substance at a high dose (120 mg) to improve his physical performance while working out at a gym. His symptoms included anorexia and insomnia. After days of intense activity, he felt fatigue and soreness. A physical examination revealed scars on both forearms from the injections and a psychological examination revealed moderate speech and motor agitation. Conclusions Cases such as this may be common among the general public. They should have some bearing upon medical practice and public health policies involving drugs. [source] Networks, Scale, and Transnational Corporations: The Case of the South Korean Seed IndustryECONOMIC GEOGRAPHY, Issue 3 2006Sook-Jin Kim Abstract: In light of recent theoretical scholarship that has incorporated scale with networks perspectives, this article examines the potential of a scalar networks-based approach to understanding the global strategies and activities of transnational corporations (TNCs), through a comparative case study of two TNCs that were involved in the recent transformation of the South Korean seed industry. The comparative study demonstrates that a foreign TNC's mergers and acquisitions (M&As) of major South Korean seed companies in 1998,1999 in the context of structural adjustment (TNC's material politics of scale) was an outcome of complex relations and the intermingling of various actor-networks that were embedded in various scales. A domestic TNC's responses to the M&As, on the other hand, illustrate how the TNC's struggle to reshape power relations through a discursive politics of scale enabled it to extend and enrich its networks and power relations with farmers, politicians, the general public, and the government. Material and discursive uses of scale in the business strategies of TNCs are shaped by complex actor-networks that are embedded in specific sociocultural and institutional contexts and influence new configurations of networks and power relations, and a scalar networks-based approach helps one understand this complexity of TNCs' activities. [source] Addiction research centres and the nurturing of creativity: The Swiss Institute for the Prevention of Alcohol and Drug Problems.ADDICTION, Issue 5 2009future, present ABSTRACT The aim of this paper is to offer an account of the history, the current status and the future of substance use research at the Swiss Institute for the Prevention of Alcohol and Drug Problems (SIPA). Although founded originally by the temperance movement in 1901, its policy has shifted over time towards one which accepts an alcohol-consuming culture made up of self-determined but well-informed consumers, while still supporting those who choose to live an abstinent life. In the beginning, SIPA was involved primarily in collecting alcohol-related information and making it available to professionals and the general public. From the late 1960s SIPA began conducting its own research projects; by the mid-1970s it had set up its own in-house research department. In 2001, SIPA was appointed a World Health Organization (WHO) Collaborating Centre for Substance Abuse, Research, Prevention and Documentation. As a private non-governmental organization, most of its funding comes from external research commissions. SIPA participates in a variety of international projects [e.g. Gender Alcohol and Culture: An International Study (GenACIS), European School Survey Project on Alcohol and Drugs (ESPAD) and Health Behaviour in School-aged Children (HBSC)] and contributes to numerous national research projects dealing with substance use. It has also forged close links with more than 50 other research institutions in Switzerland and world-wide. Thanks to its work over the last 30 years, SIPA has become a chief port of call for alcohol use research in Switzerland. In the future, SIPA will continue to monitor substance use, while stepping up its prevention research activities and ensuring that it is able to react more promptly to emerging phenomena. [source] Help-seeking behaviour in patients with lymphomaEUROPEAN JOURNAL OF CANCER CARE, Issue 4 2008D.A. HOWELL Reducing cancer mortality is a priority for the UK Government and emphasis has been placed on introducing targets to ensure prompt diagnosis. Help seeking is the first step on the pathway to diagnosis and should occur promptly; however, patients with lymphoma take longer to seek help for symptoms than those with many other cancers. Despite this, the help seeking behaviour of these patients has not been investigated. This qualitative study examined the beliefs and actions about help seeking among 32 patients, aged 65 and over and newly diagnosed with lymphoma in West Yorkshire during 2000. Patients reported an extremely wide range of symptoms which were not always interpreted as serious or potentially caused by cancer. This, in association with a clear lack of knowledge about lymphoma, often led to help seeking being deferred. The range and characteristics of symptoms can largely be explained in terms of variations in the type, site and size of the lymphoma. The UK Government targets focus on the time after help seeking, yet for lymphoma it is also crucial to reduce the time taken to seek help. More education about the potential symptoms of this disease is needed among the general public. [source] Free Movement of Services and Social Security,Quo Vadis?EUROPEAN LAW JOURNAL, Issue 4 2002Maximilian Fuchs Dental treatment (of Aline Kohll) and a pair of spectacles (for Nicolas Decker) recently drew public attention throughout the whole of Europe. It is certainly true that the reactions following the Court of Justice's judgements in both cases were not only to be felt in the profession but in the general public most especially in political circles. Some authors even went as far as to place these judgements on a par with those in the Costa/ENEL and Cassis de Dijon cases. In the meantime these decisions have persistently been upheld by two further judgements (Vanbraekel and Smits/Peerbooms). The essence of the judgements lies in the observation that the Member States must respect an insured person's right to freedom of services despite being entitled to organise their own social security services. The following article is a critical analysis of this approach. The author pleads for a solution to the problems to be found within the ambit of the rules and principles of coordination whose further development he calls for. [source] STILL A PATCHWORK QUILT: A NATIONWIDE SURVEY OF STATE LAWS REGARDING STEPPARENT RIGHTS AND OBLIGATIONSFAMILY COURT REVIEW, Issue 3 2010Susan L. Pollet This article surveys state laws regarding stepparents and stepchildren throughout the United States with regard to custody and visitation rights, child support obligations, adoption and inheritance rights. It provides background information, statistics and general definitions regarding stepparents, a review of some of the psychological and legal literature, information regarding websites and articles for the general public on the topic, and a description of the survey of the states nationwide. Finally, it provides some suggestions regarding future goals for the law in this arena. [source] Political Institutions and Constrained Response to Economic SanctionsFOREIGN POLICY ANALYSIS, Issue 3 2008Susan Hannah Allen Institutional constraints within the target state not only influence a leader's ability to resist economic sanctions, but they also affect the decision-making process within the target state and the nature of information that a sender can ascertain about likely response. Autocratic leaders, who are less constrained, send noisier signals about their probable behavior. This lack of constraint also allows more freedom to resist sanctions, as they can shunt the costs of sanctions off onto the general public, who have little influence over policy outcomes or leadership retention. Democratic leaders are more constrained and more susceptible to sanctions pressure. As result, there is less uncertainty for senders about probable response. Using a heteroskedastic probit model to explore potential systematic components of the variation surrounding sanctions response, the impact of sanctions is shown to differ by regime type,both in the response to coercion as well as in the variance surrounding that response. The results presented here suggest that as expected, democracies are more susceptible to sanctions pressure, but the response of mixed and authoritarian systems are more difficult to predict. These findings have implications for the design of future sanctions policy as well as suggesting which states make the best targets for economic coercion. [source] Scale and trends in species richness: considerations for monitoring biological diversity for political purposesGLOBAL ECOLOGY, Issue 2 2004Darius Weber ABSTRACT Switzerland's governmental ,Biodiversity Monitoring' program is designed to produce factual information on the dynamics of biodiversity within the country for governmental agencies, politicians, and the general public. Monitoring a complex issue like biodiversity in order to give relevant and accurate messages to the general public and politicians within a politically relevant timescale and at moderate cost means focusing on few elements. Because relevant human impacts on biodiversity operate differently at different spatial scales, we need at least three different indicators to observe changes over time in local (,within-habitat'), landscape (,habitat-mosaic'), and macro-scale (,regional') diversity. To keep things as simple as possible, we use species richness as an indicator for all three levels of diversity, just defining three different spatial scales (10 m2, 1 km2, regions, respectively). Each indicator is based on a number of taxonomic groups which have been selected mainly on the basis of costs and the availability of appropriate methods. [source] After the Public Interest Prevails: The Political Sustainability of Policy ReformGOVERNANCE, Issue 2 2003Eric Patashnik The prevailing political science wisdom is that narrow interests regularly triumph over the general public. Yet the stunning passage of broad-based policy reforms in the face of intense clientele opposition suggests that the U.S. political system has a greater capacity to serve diffuse interests than has often been thought. Some of the most provocative policy-oriented political-science research during the 1980s and 1990s examined how these surprising reform victories occurred. Unfortunately, general-interest reforms do not always stick; reforms may be corrupted or reversed after their enactment. The long-term sustainability of any given policy reform hinges on the successful reworking of political institutions and on the generation of positive policy-feedback effects, especially the empowerment of social groups with a stake in the reform&s maintenance. This paper explores the postenactment dynamics of three canonical instances of general-interest reform legislation: tax reform, agricultural subsidy reform, and airline deregulation. Only in the airline-deregulation case has the self-reinforcing dynamic required for political sustainability been unmistakably evident. For analysts and advocates of general-interest reform measures alike, the clear lesson is to attend far more closely to what happens after reforms become law. [source] Oral and pharyngeal cancer: Analysis of patient delay at different tumor stagesHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 11 2005Xavier D. R. Brouha MD Abstract Background. The aim of this study was to examine which factors are related to patient delay in a cohort of consecutive patients with pharyngeal cancer and oral cancer and to determine whether the different stages of patient delay (ie, appraisal, illness, behavioral, and scheduling) were related to different tumor stages. Methods. Before treatment, 55 patients with pharyngeal cancer and 134 patients with oral cancer were interviewed about their prediagnostic period. To verify the data, a questionnaire was sent to the general practitioner and/or dentist and a close relative. Results. Patients with a delay of more than 30 days were significantly more often diagnosed with late-stage (T3,T4) disease (pharynx, p = .01, odds ratio [OR] = 4.5; oral, p = .01, OR = 3.2). No sociodemographic characteristics were associated with patient delay. Conclusions. Prolonged patient delay was associated with late-stage disease for both patients with pharyngeal cancer and patients with oral cancer. Although for most patients the symptoms are vague or might look like a common cold or infection, the general public should be better informed about tumor symptoms. This may enhance earlier visits to a health care professional. © 2005 Wiley Periodicals, Inc. Head Neck27: XXX,XXX, 2005 [source] Concerns of speech-impaired people and those communicating with themHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 3 2000FRCSLT MSc Joyce Emerson Abstract This study investigated the perception and experiences of people with speech impairments and of the general public when communicating with speech impaired people. The aim was to identify the actual concerns of people and factors that make communication easier or more difficult, to inform treatment programmes and information. A triangulated approach was used. Discussion groups were held with members of the public, in-depth interviews were conducted with speech-impaired people and an experimental study examined encounters between speech-impaired people and shop workers. In a partial replication of the work of Crow (1988) the views of speech-impaired people were elicited by a questionnaire. Concerns identified in group discussions related to the importance of time and the need for information. The experiment suggested that the type of speech impairment might influence attitudes. Findings from the questionnaire and the interviews emphasized the importance of taking time and being assertive. The limitations of the findings and the possible service implications are discussed. [source] QALY maximisation and people's preferences: a methodological review of the literatureHEALTH ECONOMICS, Issue 2 2005Paul Dolan Abstract In cost-utility analysis, the numbers of quality-adjusted life years (QALYs) gained are aggregated according to the sum-ranking (or QALY maximisation) rule. This requires that the social value from health improvements is a simple product of gains in quality of life, length of life and the number of persons treated. The results from a systematic review of the literature suggest that QALY maximisation is descriptively flawed. Rather than being linear in quality and length of life, it would seem that social value diminishes in marginal increments of both. And rather than being neutral to the characteristics of people other than their propensity to generate QALYs, the social value of a health improvement seems to be higher if the person has worse lifetime health prospects and higher if that person has dependents. In addition, there is a desire to reduce inequalities in health. However, there are some uncertainties surrounding the results, particularly in relation to what might be affecting the responses, and there is the need for more studies of the general public that attempt to highlight the relative importance of various key factors. Copyright © 2004 John Wiley & Sons, Ltd. [source] The missing link: on the line between C and EHEALTH ECONOMICS, Issue 8 2003Werner B.F. Brouwer Abstract In this paper it is argued that the separation of elements associated with the time spent by the patient is not conducted in a consistent way. This is the case for income (for which there at least has been some attention) and for other time elements like lost unpaid work, leisure and role-functioning. The use of general rather than specific preferences in health state assessments makes the separation of time-elements into costs and effects difficult. While costs are calculated specifically for the patient group under study, effects are normally derived from preferences in the general public. The characteristics of these two groups in terms of (the opportunity of) spending time on activities need not coincide. The use of specific time-group valuations of health states may be a good alternative to using general health state valuations. Copyright © 2002 John Wiley & Sons, Ltd. [source] An examination of the values that motivate socially conscious and frugal consumer behavioursINTERNATIONAL JOURNAL OF CONSUMER STUDIES, Issue 2 2009Miriam Pepper Abstract This article extends social psychological research on the motivations for sustainable consumption from the predominant domain of ecologically conscious consumer behaviour to socially conscious and frugal consumer behaviours. A UK-based survey study examines relationships between socially conscious and frugal consumer behaviours and Schwartz's value types, personal and socio-political materialism, and demographics among the general public. Socially conscious consumer behaviour, like its ecological counterpart, appears to be an expression of pro-social values. In contrast, frugal consumer behaviour relates primarily to low personal materialism and income constraints. As such, it does not yet represent a fully developed moral challenge to consumerism. [source] Practical and experimental consideration of sun protection in dermatologyINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 7 2003William W. Ting MD Much is known regarding the deleterious effects of ultraviolet radiation (UV) on the skin. As more epidemiologic and basic research continues to characterize the impact of sun exposure and other sources of UV radiation upon the development of cutaneous neoplasm and a variety of photosensitive dermatoses, it is crucial for the dermatologist to promote sun protection among his/her patients as well as the primary care physician who has a greater reach of the community than the skin specialist. Practical steps to achieve optimal sun protection include avoidance of UV radiation, avoidance of photosensitizing drugs, use of photo-protective clothing, and diligent application of broad-spectrum sunscreens. In recent years, novel agents and experimental modalities with the potential to offer enhanced protective effects against deleterious sequelae of sun exposure have been elucidated, e.g. antioxidants, alpha-MSH, polyphenol in green teas, genistein, NF-kB decoy oligodeoxynucleotides, pTpT vaccination, and IL-12. As these new photo-protective tools are being developed by scientists around the world, greater concerted effort is needed to engage public health officials and the media to promote sun protection awareness throughout the general public. [source] What do we know about dementia?: a survey on knowledge about dementia in the general public of JapanINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2008Yumiko Arai Abstract Objective The importance of early detection of dementia has been highlighted in recent years by the medical and scientific community; however, delays often occur between the recognition of signs or symptoms and a decision by the patient or family to seek professional help. Such delays may be caused by a lack of knowledge about dementia among patients and family members. The aim of this study was to determine the understanding of dementia among the general public. Methods We conducted a survey in Japan that asked 11 questions regarding knowledge of ,general' information, ,symptoms', and ,biomedical' issues related to dementia. A quota sampling method was used to select 2,500 participants, 2,115 of who were eligible for the analyses. Results The average number of correct responses among females was significantly greater than that among the males. A multiple comparisons test demonstrated that middle-aged women were more knowledgeable than younger and older respondents. It was revealed that there was a lack of knowledge on biomedical aspects of dementia, i.e. cause, treatment, and prognosis along with a misunderstanding of dementia as senescence forgetfulness among the general public. Conclusions There appeared to be gaps in knowledge on dementia among the general public, which may prevent caregivers from planning upcoming social and financial challenges. Correct information needs to be given by health professionals and care staff. Educational initiatives planned for the general public could be useful, and should target those groups, men and non-middle aged women who have lower knowledge. Copyright © 2008 John Wiley & Sons, Ltd. [source] Use of the internet and of the NHS direct telephone helpline for medical information by a cognitive function clinic populationINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 2 2003A. J. Larner Abstract Background Internet websites and medical telephone helplines are relatively new and huge resources of medical information (,cybermedicine' and ,telemedicine', respectively) accessible to the general public without prior recourse to a doctor. Study Objectives To measure use of internet websites and of the NHS Direct telephone helpline as sources of medical information by patients and their families and/or carers attending a cognitive function clinic. Design and Setting Consecutive patients seen by one consultant neurologist over a six-month period in the Cognitive Function Clinic at the Walton Centre for Neurology and Neurosurgery, a regional neuroscience centre in Liverpool, UK. Results More than 50% of patients and families/carers had internet access; 27% had accessed relevant information, but none volunteered this. 82% expressed interest in, or willingness to access, websites with relevant medical information if these were suggested by the clinic doctor. Although 61% had heard of the NHS Direct telephone helpline, only 10% of all patients had used this service and few calls related to the reason for attendance at the Cognitive Function Clinic. Conclusions Internet access and use is common in a cognitive function clinic population. Since information from internet websites may shape health beliefs and expectations of patients and families/carers, appropriately or inappropriately, it may be important for the clinic doctor to inquire about these searches. Since most would use websites suggested by the doctor, a readiness to provide addresses for appropriate sites may prove helpful. Copyright © 2003 John Wiley & Sons, Ltd. [source] Absconding: A review of the literature 1996,2008INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 5 2008Eimear Muir-Cochrane ABSTRACT:, Absconding is a significant problem with potential for harm to patients or the general public. The consequences of absconding include physical harm, prolonged treatment time, and substantial economic costs. The aim of this systematic literature review is to synthesize quality literature about absconding from psychiatric facilities, identify gaps in knowledge, and make recommendations for practice. An electronic search yielded 39 journal articles that met the review criteria. Findings demonstrate that a single definition of absconding remains elusive, making the prevalence of absconding difficult to establish. Absconding events are multifactorial, with environmental, psychosocial, and organic aspects. Negative consequences exist including violence, aggression, and self-neglect and harm to self and others. Papers are clustered around the following themes: harm and risk, absconder profiles, absconding rates, and perceptions of nurses and patients. Nursing interventions designed to decrease absconding have been implemented with success, but only in a few studies and in Australia, none have been reported in the literature to date. Further research is required to identify appropriate nursing-based interventions that may prove useful in reducing the risk of absconding. [source] Factors underlying the inclination to donate to particular types of charityINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 1 2003Roger Bennett Two hundred and fifty members of the general public were interviewed in central London and asked to assume that they had been given a certain sum of money, all of which they had to donate to a single good cause. The interviewees were presented with the names of three organisations in different fields (cancer care, animal welfare and human rights) and asked to make a selection. Respondents were then questioned about their personal values, inclinations and other characteristics potentially relevant to the choice. It emerged that personal values and inclinations exerted powerful influences on selections. Moreover, the possession of certain personal values and inclinations correlated significantly with specific organisational values that the respondents most admired. Copyright © 2003 Henry Stewart Publications [source] Treatment of osteoporosis: facing the challenges in the Asia-PacificINTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, Issue 4 2008Syed Atiqul HAQ Abstract The prevalence of osteoporosis and fractures is projected to increase rapidly in the Asia-Pacific region in coming decades. At the societal level, healthcare providers will face the challenges of paucity of information, lack of awareness among physicians, resource constraints, lack of organization, absence of policies of cost reimbursement, insufficient representation of the problem in curricula and lack of effective, inexpensive and convenient therapy. Poverty, illiteracy, lack of awareness and interest in future quality of life, and co-morbidities with seemingly greater importance, will all act as challenges at the level of individual patients. Lack of compliance is a function of lack of awareness and motivation, cost, complexity of administration, side-effects and absence of immediately perceivable benefit. The challenges may be overcome through systematic collection of data, formation or activation of national osteoporosis planning and coordinating groups, development of national guidelines, programs of education of healthcare providers, patients and the general public, adoption of a population-based prevention strategy, cost-effective opportunistic screening using clinical decision rules like the osteoporosis self-assessment tool for Asians, use of the fracture risk assessment tool for therapeutic decision-making, giving due emphasis to the problem in curricula and development of mechanisms for cost reimbursement. The Asia-Pacific League of Associations for Rheumatology may take a lead in stimulating, organizing and coordinating these activities. [source] From September 11th, 2001 to 9-11: From Void to Crisis,INTERNATIONAL POLITICAL SOCIOLOGY, Issue 3 2009Jack Holland This paper draws on interviews conducted in the days and weeks after the events of September 11th, 2001, analyzing the transition from "September 11th, 2001" to "9-11." That is, from the discursive void that immediately followed the acts of terrorism in New York, Virginia and Pennsylvania to the apparently self-evident crisis that the events came to represent in the following days and weeks. First, the paper redresses persistent oversights of discourse-oriented work by recognizing and investigating both the agency of the US general public and the context that official responses were articulated in. Second, the paper serves to denaturalize the construction of 9-11 as crisis, questioning the first and pre-requisite stage of the emerging discourse of the "War on Terror." Theorizing void, crisis and their relationship enables an understanding of how the War on Terror was possible and opens a critical space for its contestation. [source] Changing sources of support for women's political rights*INTERNATIONAL SOCIAL SCIENCE JOURNAL, Issue 184 2005Katherine Meyer Much research investigating changes in women's political rights focuses on the presence or absence of improvement that is evident in national and international policies or on gender proportionality in representative institutions at international, national, and local levels. Public opinion about women's rights is an important corollary to this research because it underpins the legitimacy of policies and representative bodies. However, if examined alone, changes in public opinion over time yield an incomplete picture of women's situation, just as changes in policies and representation do. Factors that lie behind statistics about trends in women's rights matter, and it is essential to figure out if the sources of support for women's political rights shift over time. We employed data from Kuwait in the years surrounding the Beijing +5 conference to illustrate how the absence of change in public opinion about women's rights can hide important social dynamics that figure into the development of policies and practices affecting women. Whereas support for women's rights was evident among the most numerous and advantaged Kuwaiti citizens in 1994, it rested less with the general public and more with citizens involved in social networks and those who had particular political and cultural agendas by 1998. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||