Relationship of Adherence to Pediatric Asthma Morbidity Among Inner-City Children

Pediatric asthma is a multifactorial disease, requiring complex, interrelated interventions addressing children, families, schools, and communities. The Merck Childhood Asthma Network, Inc. (MCAN) is a nonprofit organization that provides support to translate evidence-based interventions from research to practice. MCAN developed the rationale and vision for the program through a phased approach, including an extensive literature review, stakeholder engagement, and evaluation of funding gaps. The analysis pointed to the need to identify pediatric asthma interventions implemented in urban U.S. settings that have demonstrated efficacy and materials for replication and to translate the interventions into wider practice. In addition to this overall MCAN objective, specific goals included service and system integration through linkages among health care providers, schools, community-based organizations, patients, parents, and other caregivers. MCAN selected sites based on demonstrated ability to implement effective interventions and to address multiple contexts of pediatric asthma prevention and management. Selected MCAN program sites were mature institutions or organizations with significant infrastructure, existing funding, and the ability to provide services without requiring a lengthy planning period. Program sites were located in communities with high asthma morbidity and intended to integrate new elements into existing programs to create comprehensive care approaches.

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Narrating The City: spaces Of Urban Change, South London

Open House International ◽

10.1108/ohi-02-2008-b0002 ◽

2008 ◽

Vol 33 (2) ◽

pp. 10-17

Author(s):

Suzanne M. Hall

Keyword(s):

Inner City ◽

The Other ◽

Urban Change ◽

Spatial Transformation ◽

Class Culture ◽

Relationship Of ◽

The City ◽

North And South ◽

Official Data ◽

Over Time

This paper explores the documentation of social and spatial transformation in the Walworth area, South London. Spatial narratives are the entry point for my exploration, where official and ‘unofficial’ representations of history are aligned to capture the nature of urban change. Looking at the city from street level provides a worldly view of social encounter and spaces that are expressive of how citizens experience and shape the city. A more distanced view of the city accessed from official data reveals different constructs. In overlaying near and far views and data and experience, correlations and contestations emerge. As a method of research, the narrative is the potential palimpsest, incorporating fragments of the immediate and historic without representing a comprehensive whole. In this paper Walworth is documented as a local and Inner City context where remnants and insertions are juxtaposed, where white working class culture and diverse ethnicities experience difference and change. A primary aim is to consider the diverse experiences of groups and individuals over time, through their relationship with their street, neighbourhood and city. In relating the Walworth area to London I use three spatial narratives to articulate the contemporary and historic relationship of people to place: the other side examines the physical discrimination between north and south London, the other half looks at distinctions of class and race and other histories explores the histories displaced from official accounts.

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