Chronic disease prevention and health promotion. Public policies and social network analysis of the hospitals services and oyhers health and social organizations to support joint action for children with diabetes

Comunicação apresentada na 18th Conference International of Health Promotion Hospitals & Health Services "Tackling causes and consequences of inequalities in health: contributions of health services and the HPH network", em Manchester de 14-16 de april de 2010In this paper, we would like to present a focus for comprehensive action on diabetes in Portugal. Based on an applied approach of social network, we would like to discuss and analyze the dynamics of formal networks between hospitals services and others health and social organizations to support joint actions for reducing causes and consequences of health inequalities in children with chronic disease, and to develop core strategies and standards in health promotion and the quality of care for children with diabetes type I in Portugal, focusing our attention in the case of Barreir

Perceived Ability to Practice in Disaster Management Among Public Health Nurses in Aceh, Indonesia

Background: The increasing number of disaster events around the world has challenged every country to develop better disaster-management strategies. As a part of healthcare system, public health nurses (PHNs) should be involved in caring for people in disasters. Currently, there is no known study whether PHNs of Aceh, Indonesia, working with community people who are at high risk of confronting natural disasters, are able to perform their roles and functions regarding disaster management. Methods: 252 PHNs from twenty-seven public health centers in Aceh were studied during November to December 2010 to evaluate their perceived ability to practice regarding disaster management at each disaster phase: preparedness, response, and recovery phase. The perceived ability to practice was assessed by using the 30-statement, five-point Likert-scale (0-4) of Public Health Nurses' Perceived Ability to Practice Regarding Disaster Management Questionnaire (PHNPP-DMQ). The composite scores of each phase and the total score were calculated and transformed to percentage for ease of presentation across disaster phases.Results: Overall, the PHNs' perceived ability to practice regarding disaster management in Aceh was at a moderate level (M=74.57%, SD=13.27). The highest mean score was for the recovery phase (M=78%), and the lowest mean score was in the preparedness phase (66.15%).Conclusion: The finding of this study evokes challenges to the local government of Aceh province to further prepare PHNs to increase their ability in disaster management

SDN-based traffic engineering for improved resilience in integrated satellite-terrestrial backhaul networks

© 2017 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes,creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.Resilience and high availability are considered as essential requirements in 5G networks. To fullfil these requirements, the integration of a satellite component within mobile backhaul networks arises as a compelling proposition to provide backup connectivity to critical cell sites and divert traffic from congested areas so that a limited capacity in their terrestrial links could be supplemented during peak-time or even replaced in case of total/partial failure or maintenance. This is especially of interest for public protection and disaster relief (PPDR) communications in remote/rural areas that might require the fast deployment of nework capacity as well as in distressed areas where the terrestrial backhaul infrastructure might have suffered damages. This paper first describes an architectural framework that enables the integration and management of the satellite capacity as a constituent part of a Software Defined Networking (SDN) -based traffic engineered mobile backhaul network. Then, a SDN-based Traffic Engineering (TE) application is proposed to manage some amount of dynamically steerable satellite capacity provisioned for resilience purposes to maximize a network utility function under both failure and nonfailure conditions in the terrestrial links. Numerical results are presented to assess the benefits of the proposed TE application and its performance is compared to that of a traditional overflow solution.Peer ReviewedPostprint (author's final draft

Using panel data to estimate the effect of rainfall shocks on smallholders food security and vulnerability in rural Ethiopia

Ethiopia's agriculture is predominantly rainfed and hence any irregularity in weather conditions has adverse welfare implications. Using panel data, this paper analyzes the effect of rainfall shocks on Ethiopian rural households' food security and vulnerability over time while controlling for a range of other factors. To this end, we generated a time-variant household food security index which is developed by principal components analysis. Based on the scores of the index, households were classified into relative food security groups and their socioeconomic differences were assessed. The exploratory results show that compared to the less secured households, the more secured ones have male and literate household heads, tend to have a greater number of economically active household members, own more livestock, experience better rainfall outcome, participate in equb (a local savings group), and use chemical fertilizer. Fixed effects regression was used to identify the factors which affect the score's variability and the results indicate that rainfall shock is an important factor affecting households' food security over time. It is also noted that household size, head's age, participation in equb, off-farm activities, use of fertilizer, and livestock ownership positively and significantly affect the food security score. Results from multinomial logistic regression model reinforce the fixed effects regression results by showing the strong association of persistent food insecurity and vulnerability with adverse rainfall shock. A number of conclusions can be drawn from the results which are useful for policymakers as well as for agencies that engage in areas of risk and food security.food security, principal components analysis, rainfall, panel data, Ethiopia, Food Security and Poverty, Research Methods/ Statistical Methods, Q18, C13,

Using panel data to estimate the effect of rainfall shocks on smallholders food security and vulnerability in rural Ethiopia

Ethiopia's agriculture is predominantly rainfed and hence any irregularity in weather conditions has adverse welfare implications. Using panel data, this paper analyzes the effect of rainfall shocks on Ethiopian rural households' food security and vulnerability over time while controlling for a range of other factors. To this end, we generated a time-variant household food security index which is developed by principal components analysis. Based on the scores of the index, households were classified into relative food security groups and their socioeconomic differences were assessed. The exploratory results show that compared to the less secured households, the more secured ones have male and literate household heads, tend to have a greater number of economically active household members, own more livestock, experience better rainfall outcome, participate in equb (a local savings group), and use chemical fertilizer. Fixed effects regression was used to identify the factors which affect the score's variability and the results indicate that rainfall shock is an important factor affecting households' food security over time. It is also noted that household size, head's age, participation in equb, off-farm activities, use of fertilizer, and livestock ownership positively and significantly affect the food security score. Results from multinomial logistic regression model reinforce the fixed effects regression results by showing the strong association of persistent food insecurity and vulnerability with adverse rainfall shock. A number of conclusions can be drawn from the results which are useful for policymakers as well as for agencies that engage in areas of risk and food security

Diagnosis of malaria parasitemia in children using a rapid diagnostic test

Aim: This cross-sectional study was conducted to evaluate the diagnostic performance of a new rapid immunochromatographic test named “Paracheck pf” in the diagnosis of malaria in Nigerian children.Materials and Methods: A total of 380 Nigerian children aged between 6 and 59 months who presented at the University of Nigeria Teaching Hospital (UNTH) Enugu with fever and no obvious focus of any other infection were consecutively recruited. Malaria parasitemia was determined using simple microscopy and “Paracheck pf”.Results: “Paracheck pf” has the following diagnostic performance characteristics: Sensitivity of 82%, specificity of 91.5%, negative predictive value of 91.5%, positive predictive value of 82%, a strong positive correlation between parasite density and test sensitivity, and a detection limit of 397 parasites/ml.Conclusions: The test is, therefore, recommended for the use in Nigerian children aged between 6 and 59 months in Enugu for the diagnosis of malaria, but negative results should be cautiously interpreted in infants because symptomatic malaria may occur in these children at parasite densities as low as 100/ml

An Evaluation of Breast Cancer Website: Assessing the Readability of Breast Cancer Websites for The Public.

Patients including breast cancer patients’ participation in the management of their health is now an important practice and they need information about their condition for them to make an informed decision about their health. This information can be sought through various media and internet has been found to be the most important medium even for cancer patients. Literature has shown the recommended readability level of online health consumers to be sixth grade level. Websites were selected by trying to mimic how the public search for breast cancer information on the internet. These websites were then evaluated using a readability tests. This study found out that readability is poor with all the websites written above the recommended grade level for health information. Information about breast cancer can be found on the internet by the public. The readability of online health information is a very serious issue. Keywords: Readability, Informed patient, health information online, internet