Improving the long-term sustainability of health aid: are Global Health Partnerships leading the way?

2010 ◽  
Vol 25 (5) ◽  
pp. 363-371 ◽  
Author(s):  
R. Dodd ◽  
C. Lane
Keyword(s):  
Global Health ◽  
Health Aid ◽  
Health Partnerships ◽  
The Way

scholarly journals A Tiered Framework for Organizing and Categorizing Medical Interoperability

2019 ◽  
Vol 185 (3-4) ◽  
pp. 330-333 ◽  
Author(s):  
Sean D Mclaughlin ◽  
Ramey L Wilson
Keyword(s):  
Global Health ◽  
Medical Care ◽  
National Security ◽  
Medical Personnel ◽  
Security Risks ◽  
Defense Strategies ◽  
The World ◽  
Training Event ◽  
The Way

Abstract Developing, cultivating, and sustaining medical interoperability strengthens the support we provide to the warfighter by presenting our Commanders options and efficiencies to the way we can enable their operations. As our national security and defense strategies change the way our forces are employed to address our security risks throughout the world, some military commands will find they cannot provide adequate medical care without working in concert with willing and available partners.This article proposes a tiered framework that allows medical personnel to further describe and organize their engagement activities around the concept and practicalities of medical interoperability. As resources become diverted to other theaters or missions expand beyond assigned capabilities, medical interoperability provides Commanders with options to medically enable their missions through their partnerships with others. This framework links and connects activities and engagements to build partner capacity with long-term or regional interoperability among our partners and challenges engagement planners to consider ways to build interoperability at all four tiers when planning or executing health engagements and global health development. Using this framework when planning or evaluating an engagement or training event will illuminate opportunities to develop interoperability that might have otherwise been unappreciated or missed.

Humus state of chernozem at different ways of tillage in the agrosystems of the left-bank forest steppe of Ukraine

2015 ◽  
Vol 2 (3) ◽  
pp. 61-77
Author(s):  
O. Demydenko ◽  
V. Velychko
Keyword(s):  
Soil Cover ◽  
Forest Steppe ◽  
Left Bank ◽  
Energy Reserves ◽  
Soil Resources ◽  
Global Soil ◽  
Humus Accumulation ◽  
By Products ◽  
The Way

The contemporary condition of soil cover in Ukraine is characterized. The attention is focused onto widespread degradation processes in soils. The causes that determine the development of these negative processes are considered. The contemporary informational support for the condition of soil cover in Ukraine is estimated. In general, the current available information is of narrow-departmental nature, obtained by different methods and non-correlated monitoring programs. As a rule, it is stored in under-structured databases, incompatible with other information systems; mainly recorded on paper media unusable with modern technologies, whereby such information resources are diffi cult to be compiled together. These disadvantages are strong constraints against consistent usage of materials for evaluation, forecast and management of changes in the soil cover. The Soil Observation program should thereby be combined with Agrochemical Passportization and ecology-ameliora- tive monitoring; in other words, the application of innovative soil-agrochemical methodology is considered. Each individual type of surveys shall complement the others, and taken altogether, they shall constitute a con- sistent Information System, capable of solving the problems of assessing the condition, forecasting, manage- ment, usage and protection of soil resources. The monitoring procedures should be conducted on the basis of a new soil concept in line with unifi ed programs and methods, so as to meet European approaches to the maxi- mum extent. Such a technical composition enables getting information on present-day processes in soils, and is the only combination that actually helps us to “ecologize” our knowledge of soils, which is the leading trend in the scope of global soil-science. Thus obtained results will serve as a State-owned tool which would subse- quently facilitate the use and protection of soil resources all over the country, to be involved in a united global soil-information scope. The attention is focused onto social signifi cance of the information on soils and their fertility in terms of land resources optimization, as well as the formation of sustainable land use in Ukraine. Aim. To demonstrate the long-term effect of different ways of tillage of typical low-humus chernozem on the change in humus content and composition and the direction of transformation processes of organic fertili- zers. To study the changes in the structure of energy reserves in group and fractional composition of humus in typical low-humus light-loamy chernozem of the Forest-Steppe of Ukraine. Methods. Field, laboratory, microbiological, computational, mathematical and statistical. Results. It was determined that in conditions of long-term subsurface tillage the most effi cient humus accumulation occurs in the 0–20 cm layer of chernozem with simultaneous increase in its content in the lower part of the processed layer without any accumulation differentiation. Surface tillage leads to expressed differentiation in humus accumulation in the 0–20 cm layer of soil (0.005 % per year). When 6 t/ha of humus are replaced by 7 t/ha of by-products the intensity of humus accumulation is decreasing regardless of the way of tillage, but humus accumulation was found to be the most effi cient for subsurface tillage. The application of subsurface tillage leads to the increase in the ratio of C HA : C FA , which is conditioned by the increase in the humifi cation of plant remains of by-products in the 0−20 cm layer of soil by 110–112 % – for subsurface tillage, and by 105 % – for surface tillage. Conclusions. It was established that systematic subsurface tillage of typical chernozem of the Left-Bank Forest-Steppe of Ukraine leads to the structuring both of the total reserves of energy С org , and its quality content, aimed at the increase in the intensity of the processes of humifi cation and accumulation of organic carbon, and the decrease in miner- alization. The ratio of energy reserves С org of humic acids to fulvic acids in the 0−30 cm layer of chernozem is 1.85−1.87 regardless of the way of tillage, which testifi es to the repeatability of humus accumulation, but the total reserves of energy С org was higher for subsurface tillage (+ 31 Teracalorie/ha) compared to deep plough- ing. As for the surface tillage, the energy enrichment was at the level of deep ploughing.

The English People at War in the Age of Henry VIII

2018 ◽  
Author(s):  
Steven Gunn
Keyword(s):  
Economic Life ◽  
Henry Viii ◽  
Low Countries ◽  
Hundred Years War ◽  
National History ◽  
English Population ◽  
People’S Attitudes ◽  
History Books ◽  
The Way

Henry VIII fought many wars, against the French and Scots, against rebels in England and the Gaelic lords of Ireland, even against his traditional allies in the Low Countries. But how much did they really affect his subjects? And what role did Henry’s reign play in the long-term transformation of England’s military capabilities? This book searches for the answers to these questions in parish and borough account books, wills and memoirs, buildings and paintings, letters from Henry’s captains, and the notes readers wrote in their printed history books. It looks back from Henry’s reign to that of his grandfather, Edward IV, who in 1475 invaded France in the afterglow of the Hundred Years War, and forwards to that of Henry’s daughter Elizabeth, who was trying by the 1570s to shape a trained militia and a powerful navy to defend England in a Europe increasingly polarized by religion. War, it shows, marked Henry’s England at every turn: in the news and prophecies people discussed, in the money towns and villages spent on armour, guns, fortifications, and warning beacons, in the way noblemen used their power. War disturbed economic life, made men buy weapons and learn how to use them, and shaped people’s attitudes to the king and to national history. War mobilized a high proportion of the English population and conditioned their relationships with the French and Scots, the Welsh and the Irish. War should be recognized as one of the defining features of life in the England of Henry VIII.

scholarly journals Which triggers could support timely identification of primary antibody deficiency? A qualitative study using the patient perspective

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lisanne M. A. Janssen ◽  
Kim van den Akker ◽  
Mohamed A. Boussihmad ◽  
Esther de Vries
Keyword(s):  
Respiratory Infections ◽  
Diagnostic Delay ◽  
Signs And Symptoms ◽  
Negative Influence ◽  
Primary Antibody ◽  
Emotional Impact ◽  
Structured Interviews ◽  
Timely Treatment ◽  
The Way

Abstract Background Patients with predominantly (primary) antibody deficiencies (PADs) commonly develop recurrent respiratory infections which can lead to bronchiectasis, long-term morbidity and increased mortality. Recognizing symptoms and making a diagnosis is vital to enable timely treatment. Studies on disease presentation have mainly been conducted using medical files rather than direct contact with PAD patients. Our study aims to analyze how patients appraised their symptoms and which factors were involved in a decision to seek medical care. Methods 14 PAD-patients (11 women; median 44, range 16-68 years) were analyzed using semi-structured interviews until saturation of key emergent themes was achieved. Results Being always ill featured in all participant stories. Often from childhood onwards periods of illness were felt to be too numerous, too bad, too long-lasting, or antibiotics were always needed to get better. Recurrent or persistent respiratory infections were the main triggers for patients to seek care. All participants developed an extreme fatigue, described as a feeling of physical and mental exhaustion and thus an extreme burden on daily life that was not solved by taking rest. Despite this, participants tended to normalize their symptoms and carry on with usual activities. Non-immunologists, as well as patients, misattributed the presenting signs and symptoms to common, self-limiting illnesses or other ‘innocent’ explanations. Participants in a way understood the long diagnostic delay. They know that the disease is rare and that doctors have to cover a broad medical area. But they were more critical about the way the doctors communicate with them. They feel that doctors often don’t listen very well to their patients. The participants’ symptoms as well as the interpretation of these symptoms by their social environment and doctors had a major emotional impact on the participants and a negative influence on their future perspectives. Conclusions To timely identify PAD, ‘pattern recognition’ should not only focus on the medical ‘red flags’, but also on less differentiating symptoms, such as ‘being always ill’ and ‘worn out’ and the way patients cope with these problems. And, most important, making time to really listen to the patient remains the key.

scholarly journals The Implications of the COVID-19 Pandemic on Religious Exercise: Preliminary Remarks

Laws ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 44
Author(s):  
Adelaide Madera
Keyword(s):  
Global Health ◽  
Health And Safety ◽  
Fundamental Rights ◽  
Special Issue ◽  
Health Crisis ◽  
Personal Lives ◽  
Regulatory Frameworks ◽  
Starting Point ◽  
Legal Contexts

Since 2020, the spread of COVID-19 has had an overwhelming impact not only on our personal lives, but also on domestic regulatory frameworks. Influential academics have strongly underlined that, in times of deep crisis, such as the current global health crisis, the long-term workability of legal systems is put to a severe test. In this period, in fact, the protection of health has been given priority, as a precondition that is orientating many current legal choices. Such an unprecedented health emergency has also raised a serious challenge in terms of fundamental rights and liberties. Several basic rights that normally enjoy robust protection under constitutional, supranational, and international guarantees, have experienced a devastating “suspension” for the sake of public health and safety, thus giving rise to a vigorous debate concerning whether and to what extent the pandemic emergency justifies limitations on fundamental rights. The present paper introduces the Special Issue on “The crisis of the religious freedom during the age of COVID-19 pandemic”. Taking as a starting point the valuable contributions of the participants in the Special Issue, it explores analogous and distinctive implications of the COVID-19 pandemic in different legal contexts and underlines the relevance of cooperation between religious and public actors to face a global health crisis.

Economic valuation and the commodification of ecosystem services

2011 ◽  
Vol 35 (5) ◽  
pp. 613-628 ◽  
Author(s):  
Erik Gómez-Baggethun ◽  
Manuel Ruiz-Pérez
Keyword(s):  
Ecosystem Services ◽  
Environmental Policy ◽  
Biodiversity Conservation ◽  
Economic Valuation ◽  
Short Term ◽  
Valuation Of Ecosystem Services ◽  
Equity Of Access ◽  
The Way

In the last decade a growing number of environmental scientists have advocated economic valuation of ecosystem services as a pragmatic short-term strategy to communicate the value of biodiversity in a language that reflects dominant political and economic views. This paper revisits the controversy on economic valuation of ecosystem services in the light of two aspects that are often neglected in ongoing debates. First, the role of the particular institutional setup in which environmental policy and governance is currently embedded in shaping valuation outcomes. Second, the broader economic and sociopolitical processes that have governed the expansion of pricing into previously non-marketed areas of the environment. Our analysis suggests that within the institutional setup and broader sociopolitical processes that have become prominent since the late 1980s economic valuation is likely to pave the way for the commodification of ecosystem services with potentially counterproductive effects in the long term for biodiversity conservation and equity of access to ecosystem services benefits.

Ideas Exchange

1978 ◽  
Vol 45 (4) ◽  
pp. 179-182
Author(s):  
Jean M. Ollson
Keyword(s):  
Staff Member ◽  
Hospital Care ◽  
Psychiatric Residents ◽  
Staff Members ◽  
The Way

This article describes a five day vacation in Florida for forty-seven long term psychiatric residents. We believe this is the first trip of this kind in Canada. How the residents coped with social stresses of day to day life away from stereotyped hospital care, what was expected of each resident and each staff member during these five days, paved the way for what many staff members said “couldn't be done,” to prove “it could be done,” successfully. We hope our challenges and preparations can be of help to anyone wishing to try an adventure of this type.

scholarly journals Dearth of data deters new institute to evaluate global health aid

2007 ◽  
Vol 13 (8) ◽  
pp. 891-891
Author(s):  
Cassandra Willyard
Keyword(s):  
Global Health ◽  
Health Aid

Russia's Baltic pipeline nearly ready but risks remain

2021 ◽  
Keyword(s):  
Content Type ◽  
Bilateral Agreement ◽  
The Us ◽  
Nord Stream ◽  
The Way

Significance Despite this, Biden indicated no change in the US position after a bilateral agreement with Germany effectively paved the way to completing the pipeline. Technically, Nord Stream 2 could begin partially operating in October. Impacts The recent spike in European gas prices to levels unseen since 2008 reinforces the case for Nord Stream 2's speedy completion. EU energy diversification, with a focus on renewables, poses long-term questions about the viability of both the Nord Stream pipelines. From October, Hungary will switch to Gazprom gas supplied via Serbia and Austria instead of through Ukrainian pipelines.

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