Healthy Lifestyle Interventions in General Practice. Part 3: Lifestyle and Chronic Respiratory Disease

Chronic respiratory diseases, in particular chronic obstructive pulmonary disease (COPD), can be classified as a part of the chronic diseases of lifestyle. A lifestyle intervention programme is therefore an essential component of the non-pharmacological management of COPD and other chronic respiratory diseases. The main indication for referral to a lifestyle intervention programme is any symptomatic patient with either COPD or any other chronic respiratory disease, and who also has limited functional capacity. Following a comprehensive initial assessment, patients are recommended to attend either a group-based programme (medically supervised or medically directed, depending on the severity of the disease and the presence of any co-morbidities) or a home-based intervention programme. The main elements of the intervention programme are smoking cessation, exercise training (minimum of three times per week), education, psychosocial support and nutritional support. Regular monitoring should be conducted during training sessions, and a follow-up assessment is indicated after 2-3 months to assess progress and to re-set goals. Longer-term (56 months) intervention programmes are associated with better long-term outcomes. South African Family Practice Vol. 50 (6) 2008: pp. 6-

Dairy development in Ethiopia:

Ethiopia holds large potential for dairy development due to its large livestock population, the favorable climate for improved, high-yielding animal breeds, and the relatively disease-free environment for livestock. Given the considerable potential for smallholder income and employment generation from high-value dairy products, development of the dairy sector in Ethiopia can contribute significantly to poverty alleviation and nutrition in the country. Like other sectors of the economy, the dairy sector in Ethiopia has passed through three phases or turning points, following the economic and political policy in the country. In the most recent phase, characterized by the transition towards market-oriented economy, the dairy sector appears to be moving towards a takeoff stage. Liberalized markets and private sector investment and promotion of smallholder dairy are the main features of this phase. Milk production during the 1990s expanded at an annual rate of 3.0 percent compared to 1.63-1.66 percent during the preceding three decades. Review of the development of dairy sector in Ethiopia indicates that there is a need to focus interventions more coherently. Development interventions should be aimed at addressing both technological gaps and marketing problems. Integration of crossbred cattle to the sector is imperative for dairy development in the country. This can be achieved either through promotion of large private investment to introduce new technology in the sector such as improved genotypes, feed and processing, and promotion of integration of crossbred cattle into the smallholder sector through improving their access to improved cattle breeds, AI service, veterinary service, and credit. Similarly, government should also take the lead in building infrastructure and providing technical service to smallholders. Severe shortages, low quality and seasonal unavailability of feed likewise remain as major constraints to livestock production in Ethiopia. These constraints need to be addressed and technological change be promoted to increase milk production.Ethiopia, Dairy products industry, Livestock productivity Ethiopia, Africa sub-Saharan, East Africa,

Domestic Violence Shelter Policies Across the State of Florida

Domestic violence shelters can vary greatly in the services available to victims and their families. The funding shelters receive can impact the shelter’s ability to provide specialized services. Since the availability of services might vary from shelter to shelter, victims can have different experiences based on their location. This cross-sectional study contacted representatives from nine shelters in the State of Florida and asked the representatives nine questions about the services which are available at their respective shelter. The findings from this research show that these nine shelters offer a greater number of services than the study expected. However, there is still a need to better fund domestic violence shelters so that these services can be available to every victim, no matter where the victim resides

"She convinced me I had Alzheimer's": Experiences of intimate partner violence in older men

Whilst research has explored intimate partner violence (IPV) as a social issue across the last 50 years, it is only over the last decade there has been an increase in investigating experiences of male victims. We now understand more about their experiences of physical violence, coercive control, and the impact of this victimization on both physical and mental health, however this research has typically worked with “younger” samples and there is still a dearth of literature exploring experiences of older men. The aim of the current study was to explore the experiences of men over 60 extracted from a wider data set that explored men’s experience of IPV (see Author, 2019a). The narratives of eight men were analysed thematically (Braun & Clarke, 2006) and three master themes were extracted: their experiences of abuse behaviours, unique experiences of older men, and the impact of the abuse. Men described experiences of abuse that were comparable to that seen within younger men’s narratives, but they also described age-specific experiences related to the longevity of the relationships, manipulation of finances, and exploitation of age-related cognitive decline. The results are discussed in line with the need for further research, and also a practice-based need to ensure service responses are tailored to the victim groups they are working with and moving away from a ‘one size fits all’ approach

Relationships between land tenure insecurity, agrobiodiversity, and dietary diversity of women of reproductive age: Evidence from Acholi and Teso subregions of Uganda

Land tenure security is central to food security of rural agricultural-dependent communities, but there is limited evidence linking the state of agrobiodiversity to perception of land tenure security and access to and quality of food eaten. This study explores this relationship using data captured from 1,279 households in Acholi and Teso subregions of Uganda, and the relationships are established using a study sample of 1,227 women of reproductive age (WRA). Sixteen percent of respondents perceived themselves to be land tenure insecure. Although approximately 275 species were reported available for food, household access to a variety of plant and animal species is limited to <10 species by 69% of the study population. Dietary diversity was also low, with 53% of women meeting minimum diet diversity. Evidence from estimation of a generalized Poisson regression reveals that dietary diversity of WRA is consistently, positively correlated with species diversity available for food and negative with land tenure insecurity. A unit increase in species diversity led to 18% increase in dietary diversity of WRAs. Land tenure insecurity was likely to reduce dietary diversity of WRAs by 26% (p < .05). Interventions with an aim to increase species diversity can deliver positive dividends for food and nutrition security. Land policy reforms and interventions that strengthen land tenure security for both men and women are likely to contribute positively to dietary diversity leading to improved food and nutrition security of vulnerable communities in rural areas