Outcomes of Depression International Network (ODIN)

1998 ◽  
Vol 172 (4) ◽  
pp. 359-363 ◽  
Author(s):  
Christopher Dowrick ◽  
Patricia Casey ◽  
Odd Dalgard ◽  
Clemens Hosman ◽  
Ville Lehtinen ◽  
...  
Keyword(s):  
Rural Areas ◽  
Health Care Services ◽  
Depressive Disorders ◽  
Controlled Trial ◽  
Educational Programme ◽  
Local Health ◽  
Service Utilisation ◽  
The European Union ◽  
Sampling Frame ◽  
The Impact

BackgroundODIN aims (a) to provide data on the prevalence, risk factors and outcome of depressive disorders in rural and urban settings within the European Union (EU) based on an epidemiological sampling frame; and (b) to assess the impact of two psychological interventions on the outcome of depression and on service utilisation and costs.MethodFive centres across the EU are participating in ODIN. The centres are linked electronically and members meet regularly for training and strategic reviews. Urban and rural areas have been identified in each centre. The sampling frame is of adults aged 18–64, identified via primary care databases or electoral registers. Potential cases of depressive disorders are identified using the Beck Depression Inventory. SCAN II and other validated measures are used to assign caseness against DSM–IV and ICD–10 criteria; assess comorbidity, disability, genetic/familial susceptibility, psychosocial stressors, personality traits and cognitive factors; and utilisation of local health care services. A randomised controlled trial of individual problem-solving treatment and a group educational programme is undertaken for respondents identified as cases of depressive disorder. Individuals are followed-up at six and 12 months.Results and ConclusionsODIN has already stimulated the development of an effective international research partnership.

scholarly journals Identyfikacja sposobów implementacji II filaru WPR w krajach Europy Środkowo-Wschodniej

2018 ◽  
pp. 109-123 ◽  
Author(s):  
Krzysztof Pawłowski ◽  
Wawrzyniec Czubak
Keyword(s):  
Rural Areas ◽  
Central And Eastern Europe ◽  
Agricultural Sector ◽  
Development Program ◽  
Time Range ◽  
The European Union ◽  
Before And After ◽  
Rural Development Program ◽  
The Common ◽  
The Impact

The 2nd pillar of the Common Agricultural Policy plays a very significant role in shaping the image of a modern, European village. It’s impact on the development of agriculture and rural areas seems to be obvious, for example because of the place it occupies in the structure of the European Union budget. However, it’s very important to precisely determine the effects of its implementation. Therefore, in this article the main goal was to show the reasons for diversifying the implementation of the Rural Development Program 2007–2013 in the countries of Central and Eastern Europe. Against the background of differences in the economic and production situation of the agricultural sector, the design of the Programs was evaluated and it’s impact on changes in the agricultural sectors of these countries was compared. To show the impact of the funds of the second pillar of the CAP, the time range presenting changes in agriculture covers the years before and after integration. Based on them, a comparison of the implemented activities and the structure of their financing has been made.

scholarly journals The Impact of Packaging and Labeling Elements on the Rural Consumers’ Purchase Decision for Skincare Products in Bangladesh

2020 ◽  
Author(s):  
Mohamed Osman Elamin Busharads ◽  
Richmond Sam-Quarm ◽  
Ahmed Ishtiaq Zadid
Keyword(s):  
Rural Areas ◽  
Sampling Frame ◽  
Test Technique ◽  
Rural Markets ◽  
Urban Markets ◽  
Marketing Activities ◽  
Rural Consumers ◽  
Promotional Strategies ◽  
Sample Age ◽  
The Impact

Differences in socio-economic conditions, demographics, and infrastructural variances in the rural markets create substantial variances in the consumption patterns compared with the urban markets. As per a report of the World Bank, about 63 percent of the population resides in Bangladesh’s rural areas as it constitutes a bigger market for the consumption of different products. The researchers envision identifying the impact of packaging and labeling elements in the decision-making evaluation for different skincare products. The research exploration comprises of four objectives, i.e., perception and attitude towards packaging and labeling elements for the rural consumers, measuring the relative impact based on the demographical changes, determining the sensitivity towards branding elements and communication portrayed, and the ability in identifying the original skincare products in comparison with the copy products in the rural markets. The researchers conducted surveys in the Mymensingh, Netrokona, Jamalpur, and Sherpur Districts of the greater Mymensingh Division of Bangladesh. A total of 390 responses were selected based on the non-probability sampling frame. The target sample age group was chosen between 13 to 54 years. Researchers developed a questionnaire in combination with close-ended questions along with simple dichotomies. For analyzing the outcomes, the researchers have applied a statistical method of the “Z-test” Technique. The researchers identified that the packaging and labeling of skincare products influence rural consumers’ behavior. Different promotional strategies and trade marketing activities are recommended based on the findings, reinforcing the rural consumers’ acceptance of skincare products.

scholarly journals How primary care and public health interact in local health contracts in France?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M s Kendir ◽  
Mr Le Bodo ◽  
M r Breton ◽  
M r Bourgueil
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Access To Care ◽  
Health Care Services ◽  
Local Level ◽  
Rapid Decline ◽  
Local Health ◽  
Epidemiological Changes ◽  
The Impact ◽  
Primary Care Professionals

Abstract The demographic and epidemiological changes orient health care services towards communities with a focus on prevention and health promotion. Moreover, in France, the rapid decline of General Practitioners affect access to care in certain areas. Thus, it has made a call for interaction of primary care (PC) services and public health which can be strengthened by the actions at the local level. In 2009, the local health contracts (Contract local de santé; CLS) were developed to foster collaborative actions on the social determinants of health and to improve access to care. Considering the critical contribution of PC in these issues, one may ask how CLS mobilized PC and facilitate linkages between actions oriented toward population and primary care. The objective of this ancillary study (part of the CloterreS project), is to explore how often and how CLS involve PC in access to care and public health related actions. A mixed-method study based on document analysis, with a random sample of 17 CLSs (N = 165) from all French regions, was developed. A quantitative analysis of the 440 forms identified in 17 CLS computed frequency of involvement of PC actors and/or PC organizations and a qualitative analysis defined typology of interactions. All CLS and 20.1% (n = 86) of the forms involved PC actors and 43.2% (n = 185) concerned access to care. Of the access to care forms, 35.7% (n = 66) concerned PC. The most common strategies related to actions on the health workforce and on planning of services. The role of primary care professionals was as the target of the action and rarely as leader and partner. PC, mostly GP’s involvement, had a big place and access to care was at the core of local health contracts. The impact of CLS as an instrument to invite interaction public health and healthcare at the local level should be further assessed. Key messages Many of the local access to care actions involved primary care professionals. The local level appears strategic to integrate public health and health services yet more evidence is needed on its role.

scholarly journals Effect of an intensive patient educational programme on the quality of bowel preparation for colonoscopy: a single-blind randomised controlled trial

2020 ◽  
Vol 7 (1) ◽  
pp. e000376
Author(s):  
Sivakami Janahiraman ◽  
Chan Yen Tay ◽  
Jie Min Lee ◽  
Wen Ling Lim ◽  
Chun Hoe Khiew ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Bowel Preparation ◽  
Controlled Trial ◽  
Tertiary Hospital ◽  
Educational Programme ◽  
Control Group ◽  
Randomised Controlled ◽  
The Impact ◽  
Experimental Group

ObjectivePreprocedural bowel preparation is necessary for optimal colonoscopy visualisation. However, it is challenging to achieve high-quality bowel preparation among patients scheduled for colonoscopy. This study aims to evaluate the impact of an intensive patient educational programme on the quality of bowel preparation.DesignAn accessor-blinded randomised controlled trial was carried out at the outpatient surgical clinic of a tertiary hospital. Patients were randomly assigned to the control group (received standard written and verbal instructions) or the experimental group (received an intensive and structured educational programme). All subjects completed a questionnaire before colonoscopy to assess their compliance, acceptability, and tolerability towards bowel preparation regime. Quality of bowel preparation was determined using the Boston Bowel Preparation Scale (BBPS).ResultsA total of 300 subjects who fulfilled the inclusion criteria were recruited. The experimental group had a significantly higher proportion of good quality bowel preparation than the control group (98.7% vs 52.3%, p<0.001). The median total BBPS score was also significantly higher in the experimental group (8 vs 5, p<0.001). Factors associated with good quality of bowel preparation included educational programme (OR: 22.79, 95% CI: 4.23 to 122.85, p<0.001), compliance to bowel cleansing agent (OR: 24.98, 95% CI 3.12 to 199.71, p<0.001), very difficult acceptability of preparation (OR: 0.11, 95% CI 0.03 to 0.38, p<0.001), tolerability towards bowel preparation (OR: 4.98, 95% CI 1.44 to 17.20, p<0.011) and hypomotility drugs (OR: 3.03, 95% CI 0.12 to 0.91, p<0.05).ConclusionAn intensive patient educational programme can significantly improve the quality of bowel preparation for colonoscopy.

scholarly journals Rural areas from demographic perspective. Study case Poland and Romania

2018 ◽  
Vol 6 (1-2) ◽  
pp. 162-167
Author(s):  
Cosmina-Simona Toader ◽  
Malgorzata Zajdel ◽  
Andrea Ana Feher ◽  
Malgorzata Michalcewicz-Kaniowska
Keyword(s):  
Rural Area ◽  
Rural Areas ◽  
Rural Population ◽  
Urban Areas ◽  
Production Systems ◽  
Social Role ◽  
Developed Countries ◽  
Economic Transformation ◽  
The European Union ◽  
The Impact

The rural area is an extremely varied area, agricultural area, the area occupied by forests and grazing the surface of non-agricultural lands (Riviera sea, etc.) and rural agglomerations is a separate entity from the urban areas characterized by a high demographic concentration and vertical and horizontal structures. Being often under the impact of old production systems, characterized by accelerated development and irrational of industry, the countryside has been subject to economic transformation, social and environmental, which mostly resulted in exodus and impoverishment of the rural population. Given this situation, are downright remarkable efforts of developed countries and not only to balance rural-urban ratio, reconciliation and revival of rural areas is kept of unique material and spiritual values. Rural areas are the result of interactions between man and nature, between interdependencies relations, who are specific to diversity of social actions and their natural environment, between the material and spiritual civilization, which for centuries coexist and evolve in a particular national territory. Image of rural area is emphasized by its size, which is the synthetic expression of social activities that are conducted using specific processes and phenomena of nature. All specific features of rural areas (natural, human, material and spiritual), which define the dimension of rural areas, are highlighted by the following components of the system: territorial administrative, demographic, economic and infrastructural. European rural area was and is the subject of extensive restructuring processes that were the result of a complex interaction of social phenomena, economic, sectoral and regional transfers. In circumstances where over half of the 27 Member States of the European Union lives in rural areas, and it occupies over 80% of the total territory, rural areas have considerable potential for growth, with a vital social role. Rural population and surface area occupied and the importance of rural life for a country, make the problem of rural development to gain a national and international importance. In this article the authors presents rural areas as an important part of a country with all its components. The authors elaborated a comparative analysis of rural areas from Poland and Romania from demographic perspective. The analysis was elaborated using indicators like population density, population structure by gender and age, migrations of population, relying on data from national and european statistics.  

scholarly journals Alcohol and Road Accidents Involving Pedestrians as Unprotected Road Users

2020 ◽  
Vol 17 (23) ◽  
pp. 8995
Author(s):  
Dorota Lasota ◽  
Ahmed Al-Wathinani ◽  
Paweł Krajewski ◽  
Krzysztof Goniewicz ◽  
Witold Pawłowski
Keyword(s):  
Rural Areas ◽  
World Health ◽  
Medical Documentation ◽  
The European Union ◽  
Road Accidents ◽  
Excessive Alcohol Consumption ◽  
Significant Group ◽  
Eu Countries ◽  
Road Users ◽  
The Impact

According to the World Health Organization (WHO), more than half of all road fatalities involve vulnerable road users, i.e., pedestrians, cyclists, and motorcyclists. Poland is classified as one of the European Union (EU) countries marked by low road safety, with a higher frequency of accidents involving pedestrians compared to other EU countries (31% of all fatalities). Among unprotected road users, a significant group of victims are pedestrians, who are often under the influence of alcohol. This study aims to analyze the impact of alcohol on the risk of occurrence and consequences of road accidents among pedestrians. The source of data was the medical documentation of the Department of Forensic Medicine of the Medical University of Warsaw. In more than half of pedestrian deaths, the presence of alcohol was found; regardless of the place of the event and the place of death, among the victims under the influence of alcohol, males dominated; the average age of the victims under the influence of alcohol was significantly lower compared to the average age of sober victims, with younger victims being significantly more likely to die at the scene of the accident, especially in rural areas; significantly higher alcohol concentrations were found in males, in victims who died at the scene of the accident, and with victims of accidents in rural areas. Among pedestrian traffic accident fatalities, the most numerous group comprised young men under the influence of alcohol. In rural areas, a higher percentage of pedestrian victims died at the scene as a result of excessive alcohol consumption. These areas should be subject to intensive preventive measures to increase the safety of pedestrians as unprotected road users.

Exploring Transportation Accessibility to Health Care among Vermont's Rural Seniors

2015 ◽  
Vol 2531 (1) ◽  
pp. 137-145 ◽  
Author(s):  
Geoffrey A. Battista ◽  
Brian H. Y. Lee ◽  
Jane Kolodinsky ◽  
Sarah N. Heiss
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Social Connectedness ◽  
The United States ◽  
Transportation Systems ◽  
Local Health ◽  
Baby Boomer Generation ◽  
Care Services ◽  
Health Care Accessibility

The aging baby boomer generation will have a profound impact on the demand for health care services in the United States. This impact will be felt strongly in rural areas, where the population in general is older and the supplies of health care services and alternative transportation are limited. This study employed a mixed-method approach to assess health care accessibility among seniors in the state of Vermont. A geographic information system was used to project health care accessibility according to the spatial characteristics of the health care and transportation systems. Subsequently, the mechanisms that shaped accessibility were assessed through semistructured interviews with 20 seniors and caregivers. The study found that health care accessibility varied among seniors, given the local health care supply, transportation, and individual resources at their disposal. Health care accessibility also was shaped by less tangible factors, which included social connectedness and personal preferences for care and transportation. The results suggested that mixed methods provided a more nuanced and valid perspective on health care accessibility. This perspective can better inform policy makers as they strive to accommodate rural senior preferences to age in place in a healthy manner.

scholarly journals The Impact of Packaging and Labeling Elements on the Rural Consumers’ Purchase Decision for Skincare Products in Bangladesh

2020 ◽  
Vol 3 (4) ◽  
Author(s):  
Stanley Sumon Rodrick ◽  
◽  
Hamidul Islam ◽  
Ahmed Ishtiaq Zadid
Keyword(s):  
Rural Areas ◽  
Sampling Frame ◽  
Test Technique ◽  
Rural Markets ◽  
Urban Markets ◽  
Marketing Activities ◽  
Rural Consumers ◽  
Promotional Strategies ◽  
Sample Age ◽  
The Impact

Differences in socio-economic conditions, demographics, and infrastructural variances in the rural markets create substantial variances in the consumption patterns compared with the urban markets. As per a report of the World Bank, about 63 percent of the population resides in Bangladesh’s rural areas as it constitutes a bigger market for the consumption of different products. The researchers envision identifying the impact of packaging and labeling elements in the decision-making evaluation for different skincare products. The research exploration comprises of four objectives, i.e., perception and attitude towards packaging and labeling elements for the rural consumers, measuring the relative impact based on the demographical changes, determining the sensitivity towards branding elements and communication portrayed, and the ability in identifying the original skincare products in comparison with the copy products in the rural markets. The researchers conducted surveys in the Mymensingh, Netrokona, Jamalpur, and Sherpur Districts of the greater Mymensingh Division of Bangladesh. A total of 390 responses were selected based on the non-probability sampling frame. The target sample age group was chosen between 13 to 54 years. Researchers developed a questionnaire in combination with close-ended questions along with simple dichotomies. For analyzing the outcomes, the researchers have applied a statistical method of the “Z-test” Technique. The researchers identified that the packaging and labeling of skincare products influence rural consumers’ behavior. Different promotional strategies and trade marketing activities are recommended based on the findings, reinforcing the rural consumers’ acceptance of skincare products.

scholarly journals Economic factors of rural area development of the region, financial sources and human resources

2020 ◽  
Vol 67 (4) ◽  
pp. 1125-1139
Author(s):  
Sanela Ravlić ◽  
Jerko Glavaš ◽  
Željko Vojinović
Keyword(s):  
European Union ◽  
Human Resources ◽  
Rural Areas ◽  
Complex Problem ◽  
The European Union ◽  
Border Area ◽  
Cross Border ◽  
The Cross ◽  
Urban And Rural Areas ◽  
The Impact

The complexity of borders and border area in terms of European Union, cohesion policy, implementation of cross-border program 2007-2013 in urban and rural areas of Hungary and Croatia, monitoring the impact of invested funds and their comprehensiveness, the attitude of beneficiaries of infrastructural and human resources development projects are discussed in this paper. All in the light of given possibilities and untapped opportunities that can bring significant benefits to this area. The primary survey is conducted in the observed area after the implementation of all approved cross-border projects. Besides, available data sources and implemented research in the cross-border area of Hungary and Croatia are also discussed. The paper seeks to contribute to the discourse on the subject of monitoring the overall impact of the implemented activities in the cross-border area because there are no similar studies that comprehensively approach this complex problem for areas of cross-border cooperation in the European Union.

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