Recommendations for core competencies for local environmental health practitioners

In February 2000, environmental health experts from 13 national environmental/health organizations came together in Washington to begin the work of defining core competencies for local level environmental health practitioners. APHA's Public Health Innovations Project, with funding from the National Center for Environmental Health (NCEH) at the Centers for Disease Control and Prevention (CDC), convened the meeting. The expert panel members and several federal agency representatives met for two days to identify the core competencies local environmental health practitioners needed to be effective in their work.Executive Summary -- -- Part I: Setting the Stage -- -- A. Introduction -- B. Background -- C. Terms and target audience -- D. Definitions of competencies -- E. Basic assumptions -- -- Part II: Recommended Competencies -- A. Assessment -- B. Management -- C. Communication -- -- Part III: Traits and Characteristics of an Effective Environmental Health Practitioner -- -- Part IV: Next Steps -- -- Part V: Appendices A-G -- Appendix A: Expert panel members -- Appendix B: Summary of expert panel discussion -- Appendix C: Typical responsibilities of environmental health and protection programs -- Appendix D: Technical competencies covered in NEHA's Registered Environmental Health Specialist/Registered Sanitarian (REHS/RS) exam -- Appendix E: Content areas of NEHA's REHS/RS exam -- Appendix F: Setting the context: environmental health practitioner competencies -- Appendix G: Resources"May 2001.""Revised June 27, 2001."Mode of access: Internet as an Acrobat .pdf file (313 KB, 48 p.).Includes bibliographical references (p. 44-47)

Review of the KHDI health insurance pilot project in Okgu County, South Korea

노트 : Evaluation period: Sep 1979-Apr 198

Preliminary evaluation of the Korea Health Development Institute community health practitioner training program

노트 : Evaluates project to train community health practitioners and aides (CHP and CHA) and village health aides (VHA) to provide primary health care to Korea's rural poor. Evaluation covers a period ending 5/80 and is based on document review, site visits, and interviews with trainees and with project personnel. The project paper defined the CHP's role as mainly curative, however, a mid-term assessment divided CHP duties evenly among preventive, curative, and clinic management. Trainees were chosen from the areas they were to serve on the basis of attitude and experience. The one-year CHP training program has three parts: classroom (for which texts were developed on internal medicine, surgery, preventive and emergency care, clinic management, and pharmaceutics), hospital internship, and field practice. Due to a lack of instructors and available hospital space, half the trainees entered field practice without adequate preparation, and field supervision was limited. Nonetheless, all trainees were judged to be doing satisfactory work. The CHP evaluation (30% in-class exam, 70% clinical assessment) was judged well-designed and objective. Guidelines for a revised CHP training program are provided. CHA's are nurse aides who undergo a 9-month training course. Turnover was high among CHA's who felt their duties required more varied training. VHA's are volunteers who perform simple health care and refer cases to the community health center. Although the VHA program was not examined in detail, a large number of VHA's have been trained and the program appears basically sound. It is recommended that: the final external evaluation include experts in mid-level health manpower training and that the final training evaluation estimate the quality of preventive and curative services; a management and supply system and a standardized training and evaluation program for nationwide deployment of CHP's be developed; and that USAID/P take immediate action to provide additional technical assistance to the Korean Health Development Institute

Promoting active transportation: an opportunity for public health

The connection between transportation and health is indisputable -- as a science, discipline and matter of policy. Transportation systems impact health for better or worse. Historically, they have been designed to accommodate nonactive modes of transportation, namely the car. Our communities are sprawling and built in a way that it makes it very difficult for an individual to get to work, home, school or play without driving. There are limited opportunities to get out of the car to walk or bicycle. Unnecessary congestion and air pollution have become customary and our waistlines are growing. Obesity could edge out tobacco as public enemy No. 1 in our lifetime.Preface -- Health and transportation -- The Transportation planning process -- Case study; success stories -- Communication strategies to build relationships -- Conclusions -- Glossary of terms -- References -- AcknowledgementsSafe Routes to School National Partnership, American Public Health Association"9/28/12" - date from document propertiesAvailable via the World Wide Web as an Acrobat .pdf file (16.42 MB, 26 p.)Includes bibliographical references.This publication was made possible by grant number 5U38HM000459-04 from the Centers for Disease Control and Prevention through funding from the Healthy Community Design Initiative within the National Center for Environmental Health. For more information, go to: www.cdc.gov/healthyplaces. Funding was administered through a contract with the American Public Health Association. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention

Fourteenth(14th) seminar on tropical medicine

노트 : Seminar on Tropical Medicine, 14th (9-11 Jun 1983 : Seoul, KR

A mass-balance approach to estimate in-stream processes in a large river

A mass-balance approach was used to estimate in-stream processes related to inorganic nitrogen species (NH4 C, NO2 and NO3 ) in a large river characterized by highly variable hydrological conditions, the Garonne River (south-west France). Studies were conducted in two consecutive reaches of 30 km located downstream of the Toulouse agglomeration (population 760 000, seventh order), impacted by modification of discharge regime and high nitrogen concentrations. The mass-balance was calculated by two methods: the first is based on a variable residence time (VRT) simulated by a one-dimensional (1-D) hydraulic model; the second is a based on a calculation using constant residence time (CRT) evaluated according to hydrographic peaks. In the context of the study, removal of dissolved inorganic nitrogen (DIN) for a reach of 30 km is underestimated by 11% with the CRT method. In sub-reaches, the discrepancy between the two methods led to a 50% overestimation of DIN removal in the upper reach (13 km) and a 43% underestimation in the lower reach (17 km) using the CRT method. The study highlights the importance of residence time determination when using modelling approaches in the assessment of whole stream processes in short-duration mass-balance for a large river under variable hydrological conditions

Framework for preparing the Korea Health Development Institute's final report on AID project 489-U-092

노트 : Evaluation period: Jan 1979-Dec 197