Rural community is an effective way to simultaneously achieve manage- ment of ecological resources and protection of natural resources, depending on its management mode based on cooperation, motivation, local experien...Rural community is an effective way to simultaneously achieve manage- ment of ecological resources and protection of natural resources, depending on its management mode based on cooperation, motivation, local experiences and extensi- ble boundary. In the research, carbon emission in community is a kind of ecological resources and negative externality is the cause of increase of rural carbon emission. Compared with governmental ruling and marketing approach, community manage- ment mode proves more effective to solve the problem of negative externality of carbon emission in community. Furthermore, rural carbon, emission was analyzed in detail on basis of community management mode and extending mode of carbon emis- sion in rural areas. In addition, some policies and suggestions were proposed to im- prove community management of carbon emission in rural areas, providing an ef- fective way for low-carbon economy in rural areas.展开更多
Because of the overbearing low temperature,cold areas increase the morbidity and mortality of chronic non-communicable diseases(chronic diseases)in exposed populations.With the growth of the aging population and the s...Because of the overbearing low temperature,cold areas increase the morbidity and mortality of chronic non-communicable diseases(chronic diseases)in exposed populations.With the growth of the aging population and the superposition of lifestyle risk factors,the number of people with chronic diseases in cold areas is climbing,and the family and social burdens are rising.These health-threatening circumstances in the cold areas render the general practitioners to face serious challenges and difficulties in the community management of chronic diseases.This paper summarizes the current situation of chronic disease management in cold areas and explores the relevant management models so as to provide a useful reference for regional health construction,graded diagnosis and treatment,and prevention and control of chronic diseases in China.展开更多
The health status of the floating elderly population and the need of community management services are complex and important problems.Owing to the change of living environment and the insecure medical care,the mobile ...The health status of the floating elderly population and the need of community management services are complex and important problems.Owing to the change of living environment and the insecure medical care,the mobile elderly people have more health and psy-chological problems compared to the rest of the elderly population.Therefore,the community should take a variety of measures to meet their needs and help them to better adapt to the new living environment,and maintain their physical and mental health.This paper aims to summarize recent studies on the physical and emotional health problems of mobile elderly people and related community management service needs.展开更多
Objective: This study aims to improve the health level of patients with diabetes in the community through health management measures under the concept of health management. Methods: Community residents were selected t...Objective: This study aims to improve the health level of patients with diabetes in the community through health management measures under the concept of health management. Methods: Community residents were selected to detect, collate and analyze the social demographic information, body mass index, fasting blood glucose and blood lipid level of diabetic patients before and after health management. Results: The study showed that after the implementation of health management education in the community, the detection rate of diabetes patients increased, but the population was no longer mainly elderly patients, but mainly people under 60 years old. The levels of body mass index, fasting blood glucose, triglyceride (TG), total cholesterol (TC) and low-density lipoprotein (LDL) were significantly decreased (all P Conclusion: Through the investigation of patients before and after health management in residential communities, this study shows that the correct implementation of health management can effectively improve the physiological indicators of diabetes patients, improve the level of health quality, and provide a reference for the prevention and treatment of diabetes patients in communities.展开更多
Objective: the main purpose of this study is to explore the effectiveness of community chronic disease management model in elderly hypertension management. Methods: 160 elderly patients with hypertension who came to o...Objective: the main purpose of this study is to explore the effectiveness of community chronic disease management model in elderly hypertension management. Methods: 160 elderly patients with hypertension who came to our hospital from January 2018 to January 2019 were selected as research objects. The control group has 80 patients in each group. Patients in the observation group used chronic disease management for community health care, while patients in the control group used basic treatment for community health care. The management status and management satisfaction of hypertension patients before and after management and nursing were compared between the two groups. Results: the study showed that there was no significant difference in blood pressure between the observation group and the control group before feeding (P > 0.05). The blood pressure control effect of the observation group was higher than that of the control group after lactation. The difference between the observation group and the control group was statistically significant (P < 0.05), helping elderly patients to develop good living habits, promoting patients' satisfaction with various management work, and ensuring patients' health.展开更多
Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global cl...Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global climate by encouraging sequestration of carbon in shoots,roots and soils.We studied the status of community forest management,forest resource harvest and carbon stocks in two community forests of the mid hill region of central and western Nepal.The study was based on primary and secondary data collected through carbon stock measurement from field visits and allometric equations,household surveys,focus group discussions,key informant interviews,and review of past studies.Socioeconomic variables such as gender,age group,livestock and landholding status were related to resource utilization,conservation,and management of community forest.Forest resources such as timber,firewood,fodder and leaf litter were harvested in sustainable ways.People were involved in forest thinning,co-management meetings,guarding and planting trees for forest conservation and management.Density and carbon stock of trees increased gradually in comparison to a previous study.We recommend further research on other community forests for more accurate and better results.展开更多
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> Until recently, the ex...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> Until recently, the experience on implementing community based management of acute malnutrition (CMAM) among children has been largely based in African settings. While the government in Bangladesh is yet to scale up CMAM approach, there is still paucity of knowledge on the experience of CMAM within the complex milieu of an urban slum context. In Kamrangirchar slum, Dhaka, Bangladesh, this paper describes a CMAM programme performance and outcomes run by Médecins Sans Frontières (MSF)/Doctors without Borders, in light to performance indicators set by MSF and the Sphere minimum standards. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive retrospective study using routinely collected programme data of children admitted with severe acute malnutrition between May 2010 and November 2011. Kamrangirchar is an urban slum of a large migrant population in Dhaka, Bangladesh. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> There was a total of 640 new admissions, of whom 333 (52%) were males. The median age was 18 months (Inter-quartile range (IQR) 12 - 41). 599 children had a reported nutritional outcome at discharge from ambulatory therapeutic feeding centre (ATFC), this included: cure rate of 69% with an average length of stay of 68.8 (SD ± 46.0) days and average weight gain of 3.8 g/kg/day (SD ± 2.7). The lost-to-follow-up rate was 18% and 5% reported to the programme that they will leave the slum and go back to their villages. These performance indicators did not meet the threshold level indicators set by MSF and Sphere standards. </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Our experience highlights the need for developing more adapted and contextualised indicators for assessing the performance of CMAM programmes in settings such as urban slums. Community engagement in the process of developing relevant standards is crucial. Nutrition humanitarian actors have a vital role to collaborate with local authorities to contextualize and refine these standards.展开更多
Objective:To explore the therapeutic effects of community health management and nursing strategies for elderly hypertensive patients.Methods:A total of 64 elderly hypertensive patients who were treated in our hospital...Objective:To explore the therapeutic effects of community health management and nursing strategies for elderly hypertensive patients.Methods:A total of 64 elderly hypertensive patients who were treated in our hospital from March 2020 to March 2021 were selected.The control group took conventional care and guidance.The research group carried out community health management and nursing strategy guidance on the basis of the control group.Then compare the blood pressure levels of the two groups of patients before and after nursing and the patients’satisfaction with nursing.Results:Through comparison,it can be seen that the diastolic and systolic blood pressure levels of the study group and the control group are not significantly different before nursing.After nursing,the diastolic blood pressure of the patients in the study group was 81.22.1 mmHg and the systolic blood pressure was 126.58.7 mmHg.The diastolic blood pressure of the control group was 90.55.4 mmHg and the systolic blood pressure was 136.412.9 mmHg.There are obvious differences in the comparison of the two sets of data.By comparing the two groups of patients’satisfactions with nursing care,it can be seen that among the 32 patients in the study group:31 were very satisfied and basically satisfied,with a satisfaction rate of 96.87%.Among the 32 patients in the control group,28 were very satisfied and basically satisfied,with a satisfaction rate of 87.5%.The data of the two groups of patients are clearly comparable.Conclusion:Through community health management and nursing strategies,the satisfaction and treatment effect of elderly hypertensive patients can be improved,thereby contributing to the recovery of patients.展开更多
Objective: to analyze the prevention and treatment effect of chronic disease management by community general practitioners on diabetes. Methods: patients with diabetes treated in recent years were randomly divided int...Objective: to analyze the prevention and treatment effect of chronic disease management by community general practitioners on diabetes. Methods: patients with diabetes treated in recent years were randomly divided into two groups for scientific research. The differences in basic conditions between the two groups were compared, including the cognition of diabetes disease, compliance behavior score, normal blood glucose rate, fasting and postprandial blood glucose levels after intervention. Results: the cognitive and compliance scores of diabetic disease in the study group were higher than those in the control group, the normal blood glucose rate was higher than that in the control group, and the fasting and postprandial blood glucose levels after intervention were lower than those in the control group, P < 0.05. Conclusion: the management of chronic disease in patients with diabetes by community general practitioners can achieve good results, improve the cognitive level of patients, and effectively control blood glucose, which is worthy of promotion.展开更多
Introduction:Current strategies for chronic viral hepatitis prevention and control include immunization,prevention of mother-to-child transmission,expanded testing,antiviral therapy,and national drug price negotiation...Introduction:Current strategies for chronic viral hepatitis prevention and control include immunization,prevention of mother-to-child transmission,expanded testing,antiviral therapy,and national drug price negotiations.To achieve this effectively,Shanghai has implemented a communitybased pilot program that integrates public health and clinical care for chronic viral hepatitis management.Methods:This study evaluated the effectiveness of Shanghai’s community-based healthcare program at three time points(2012,2019,and 2023),assessing key indicators including antiviral treatment rates and disease status changes and risk of hepatocellular carcinoma.Data were managed using EpiData 3.1,with descriptive statistics and chi-square tests performed using SPSS 29.0.Results:The study enrolled 1,478,1,901,and 7,714 patients in 2012,2019,and 2023,respectively.During the management period,the number of enrolled patients increased substantially from baseline.The antiviral treatment rates in 2019 and 2023 reached 64.5%and 58.2%,with both significantly higher than the baseline rate of 24.5%in 2012.Concurrently,abnormality rates for hepatitis B virus deoxyribonucleic acid(HBV DNA),alanine aminotransferase(ALT),total bilirubin(TBIL),and fibrosis indices decreased significantly in 2019 and 2023.The 2023 aMAP score further revealed a decline in hepatocellular carcinoma risk among managed patients(32.2%vs.26.3%).With enhanced community healthcare capacity,14.1%(2019)and 18.2%(2023)of patients accessed community dispensing services,aligning with the strategy to decentralize testing and treatment for disease elimination.Conclusions:Community-based healthcare management for chronic hepatitis in Shanghai provides patients with decentralized hepatitis-related testing and treatment services,creating an effective environment for chronic viral hepatitis prevention and control and would favorable for the viral hepatitis elimination efforts.展开更多
Understanding the environmental factors that influence tree species composition is essential for successful management of biodiversity and sustainable use of community forest resources.This study aims to assess tree s...Understanding the environmental factors that influence tree species composition is essential for successful management of biodiversity and sustainable use of community forest resources.This study aims to assess tree species composition and distribution in the deciduous Ban Mae Chiang Rai Lum Community Forest in Northern Thailand and to analyze the influence of environmental factors on tree biodiversity in the forest.We conducted a stratified systematic sampling of the forest’s total area of 3925 ha,and twenty-five 0.16 ha survey plots were established in three different stands of the deciduous forests to estimate and characterize the difference in biological diversity among the stands.Canonical correspondence analysis(CCA)was used to investigate the environment factors affecting such differences in biodiversity of the stands.The results showed a high diversity of trees in the forest as 197 species,144 genera,and 62 plant families were recorded.The CCA ordination identified the environmental factors—the most important of which were elevation,distance to streams,soil moisture,organic matter,and distance to communities—that signifi-cantly influenced the diversity and distribution of tree species(p<0.05)in the community forest.Our findings indicate that the implementation of drought reduction measures such as building check dams,fire protection,and monitoring community forest-product usage would be recommended to further biodiversity conservation and the sustainable use of community forest resources.展开更多
Economic development of coastal community in Kotabaru Regency has become strategic in the future. Kotabaru Regency is the geo-economic strategic position due to the position of Kotabaru region boundaries between Kalim...Economic development of coastal community in Kotabaru Regency has become strategic in the future. Kotabaru Regency is the geo-economic strategic position due to the position of Kotabaru region boundaries between Kalimantan Island and Sulawesi Island. Geo-economic strategic of Kotabaru should increase the coastal community welfare in Kotabaru Regency. The objective of the research is to evaluate economic characteristic of coastal community at mining area in Kotabaru Regency. The number of samples in this study is 50 respondents in each village who are in the mining area. The number of companies in the mining area is 17 companies. Data were collected by using questionnaires. The results show that economic characteristics have low category. Mining and plantation companies do not increase the economic conditions of the community. Research suggestions are： （1） to examine the potential and importance of economic empowerment model of coastal communities in the region both mining companies and plantations; （2） the important role of companies and local governments to work together in formulating a strategy for management of CSR （corporate social responsibility）, and social mapping to be done by the company in the preparation of the CSR program.展开更多
Incentive design is among the decisive factors behind active community participation and long-term sustainability of participatory forest management. Especially in case of mangroves, where multiple interests apply, it...Incentive design is among the decisive factors behind active community participation and long-term sustainability of participatory forest management. Especially in case of mangroves, where multiple interests apply, it requires a careful integration of several ecological, economic and institutional factors. The primary objective of this paper is to understand the basis of incentive design and make a comprehensive inquiry into the existing incentive mechanism of participatory mangrove management in Indian Sundarbans. The qualitative and in-depth assessment was derived against a conceptual framework that contains three main determinants: (1) resources availability, (2) control mechanism, and (3) perception of end-users. The study deploys the results of various participatory exercises such as structured interviews with forest officials, focus group discussions with 10 Joint Forest Management Committees and semi-structured interviews with 119 mangrove users. In general, we observed an over-cautious, hierarchical and safety-margin-based incentive design with distinct bifurcation of communities over the adequacy and effectiveness of derived benefits. Although, the incentives are diverse and align well with the overall conservation of mangroves, they are considered to be insufficient by nearly half of the mangrove users. The main issues that were observed to hinder effective community participation can be summarized as (1) serious restrictions on access to economically exploitable mangrove products, (2) passive involvement of vulnerable occupational groups, and (3) lack of trust and conflicting interests between the officials and the communities. Although the existing preventive management of mangroves can be justified considering the magnanimity of the Indian Sundarbans, it can severely impair community participation and emerge as a clear threat to future sustainability. To secure greater participation of the communities, we propose small scale, innovative developmental incentives to supplement traditional forest-resource-based incentives.展开更多
Objective:To determine the effects of a community hospital integrated model on the longitu-dinal management of diabetic patients.Methods:Four hundred forty-one patients with type 2 diabetes residing in Jingsong Commu-...Objective:To determine the effects of a community hospital integrated model on the longitu-dinal management of diabetic patients.Methods:Four hundred forty-one patients with type 2 diabetes residing in Jingsong Commu-nity were randomly assigned to intensive and standard groups.Metabolic parameters were meas-ured in the two groups at baseline and after 36 months of management to compare the rate of goal achievement.Results:After comprehensive management,the overall control rate in the intensive group was increased from 2.7%to 9.6%compared with 2.3%-4.5%in the standard group.Specifically,the control rates for fasting plasma glucose,glycosylated hemoglobin,and blood pressure in the intensive group were significantly increased from 54.1%,40.0%,and 68.2%to 85.5%,74.6%,and 89.1%,respectively.The control rate for glycosylated hemoglobin in the intensive group was significantly higher than the standard group after 36 months of treatment.Conclusion:The community hospital integrated model for longitudinal management effec-tively improved the control rate of glycosylated hemoglobin and the overall control rate in patients with type 2 diabetes.展开更多
目的分析整合式慢性病社区健康管理模式实施的促进和障碍因素,区分模式服务量高覆盖率组和低覆盖率组在实施性研究的整合性理论框架(consolidated framework for implementation research,CFIR)上的结构差异,为政府部门提供政策建议。...目的分析整合式慢性病社区健康管理模式实施的促进和障碍因素,区分模式服务量高覆盖率组和低覆盖率组在实施性研究的整合性理论框架(consolidated framework for implementation research,CFIR)上的结构差异,为政府部门提供政策建议。方法结合CFIR对22名专家进行半结构化访谈,采用定性结构评级法对13家社区卫生服务中心受访者评分,利用NVivo 12软件编码。结果高覆盖率组和低覆盖率组的相对优势、外部政策与激励、实施准备度、反思和评价、领导个人特质5个CFIR结构有差异。促进因素包括:测量数据更加精准,提高了高血压和糖尿病患者的异常检出率和控制率;模式实现了服务、技术、数据“三整合”,优化管理流程,提供管理抓手;基础性和个性化服务结合吸引患者到基层就诊;模式与我国政策背景,初级卫生保健工作和以患者为中心理念兼容;数字化工具的应用减轻医护人员工作负担;领导重视是基础,利益方间的通力合作是重要保障。障碍因素包括:宏观层面缺少卫生行政机构的支持性政策,组织架构和运行机制尚未建立,建设、投入主体以及具体工作规范和流程有待明确;缺乏监督管理机制和质量评估小组;模式推广目标模糊;缺乏规范化系统性的培训计划;为不同群体提供服务存在挑战,缺乏有效的社会面宣传;模式仍须提高需方获得感;社区布局限制了模式的服务提供。结论卫生行政部门应明确模式的建设、运行、投入主体,完善组织架构并明确各利益方的功能定位和职责分工,进一步制定工作规范和工作流程;建立信息反馈机制和质量控制小组并进行定期评估;制定清晰的目标;加大宣传教育,扩大宣传面;利用数字化工具形成良性医患互动机制。展开更多
Objective:This study aimed to determine the availability of community health management services and the relevant social determinants for elderly patients with chronic diseases.Methods:All data were obtained from the ...Objective:This study aimed to determine the availability of community health management services and the relevant social determinants for elderly patients with chronic diseases.Methods:All data were obtained from the 2013 random sampling household survey on an elderly population conducted by the School of Public Health of Peking University in an eastern metropolis in China.Information from the database of the above survey involving 1495 hypertensive or diabetic patients>60 years of age,as representatives of the city,were included.The study described the availability of follow-up services by community doctors among elderly hypertensive and diabetic patients during the 12 months before the survey.An ordinal multinomial logistic regression model was used to conduct the analysis on the influence of socio-economic background upon such availability.Results:Eighty-one percent of hypertensive patients and 84.7%of diabetic patients had not received any follow-up service from community doctors within 12 months prior to the survey.Among elderly hypertensive patients,those registered as non-agricultural household members,those with high and above-average income,as well as management personnel of government agencies,enterprises,and social programs have a greater chance of accepting follow-up service by community doctors because of their relatively higher socio-economic rankings.Among elderly diabetic patients,such socio-economic factors had no significant influence on the availability of the follow-up service for chronic diseases.Conclusion:The coverage of community health management services for elderly hypertensive and diabetic patients needs improvement.More effort should focus on promoting the availability of community health management services for elderly hypertensive patients,especially those with lower socio-economic status.展开更多
This paper studies the contemporary attempts of Japanese Machizukuri,Citizens Collaborative Community Improvement and Management,and their socio-cultural meanings in order to shed light on the sustainable planning app...This paper studies the contemporary attempts of Japanese Machizukuri,Citizens Collaborative Community Improvement and Management,and their socio-cultural meanings in order to shed light on the sustainable planning approaches dealing with population ageing and decreasing.In recent years,as response measures for non-physical local issues such as environmental problems and welfare,and with the aim of further enhancing community-centred planning capabilities against a background of decentralisation in various fields and the establishment of civic society,new cooperative/collaborative-style planning theory is being deployed.Through this process,community improvement and management is becoming deeper,in terms of technology,systems,and technique.The study attempts to find out a solution to real-world problems-how to construct a comprehensive planning theory based on spatial and social challenges arising in modern civic communities,with local resources,social capital and systems that have resulted from such issues.It also seeks to show how to achieve a vision for the city as a whole by mutually compiling individual community improvement and management scenarios and programs,based on the autonomous determination and future vision of the organisations and residents that play leading roles in the community.展开更多
Once abandoned for more than three decades,vernacular settlements in Oman are now being progressively reinvested in to foster the country’s heritage tourism sector.The present research focuses on the emerging phenome...Once abandoned for more than three decades,vernacular settlements in Oman are now being progressively reinvested in to foster the country’s heritage tourism sector.The present research focuses on the emerging phenomenon of community-led initiatives for vernacular heritage rehabilitation and adaptive reuse in Oman.Through an examination of three case studies,its aim is to describe this process and its modes of action and discuss its efects on vernacular settlement transformations.A mixed research methodology was designed to include(A)analyses of relevant primary and secondary data,(B)documented onsite observations,(C)interviews with local community representatives and key players in the operations of rehabilitation,and(D)extractions and analyses of quantitative data from a hotel booking website.The research sheds light on unsuspected interrelations within and between the projects being implemented in these settlements and their operating modes.It reveals the focal role of a local community in a kind of‘bottom-up’management of its built heritage,coupled with a‘horizontal cooperation’between the three initiatives studied in this research.Moreover,it shows that a heavily centralised and top-down policy for the feld of heritage conservation and management is among the main obstacles that hinder such initiatives.Furthermore,community-led operations of vernacular heritage rehabilitation are being undertaken under insufcient regulations in terms of land use,building restoration and adaptive reuse.In this context,the paper discusses some of the serious threats and concerns faced by such initiatives and proposes actionable solutions to mitigate these hindrances.展开更多
To reduce flood losses,floodplain managers make decisions on how to effectively manage their community’s flood risks.While there is a growing body of research that examines how individuals and households make decisio...To reduce flood losses,floodplain managers make decisions on how to effectively manage their community’s flood risks.While there is a growing body of research that examines how individuals and households make decisions to manage their flood risks,far less attention has been directed at understanding the decision-making processes for flood management at the community level.This study aimed to narrow this research gap by examining floodplain managers’perceptions of the quality of their community’s flood management decision-making processes.Data gathered from interviews with 200 floodplain managers in the United States indicate that most floodplain managers perceive their community’s flood management decision-making processes to be good.The results also indicate that communities participating in the Federal Emergency Management Agency’s Community Rating System,as well as communities with a higher level of concern for flooding and a lower poverty rate,are significantly more likely to report better flood management decision-making processes.展开更多
文摘Rural community is an effective way to simultaneously achieve manage- ment of ecological resources and protection of natural resources, depending on its management mode based on cooperation, motivation, local experiences and extensi- ble boundary. In the research, carbon emission in community is a kind of ecological resources and negative externality is the cause of increase of rural carbon emission. Compared with governmental ruling and marketing approach, community manage- ment mode proves more effective to solve the problem of negative externality of carbon emission in community. Furthermore, rural carbon, emission was analyzed in detail on basis of community management mode and extending mode of carbon emis- sion in rural areas. In addition, some policies and suggestions were proposed to im- prove community management of carbon emission in rural areas, providing an ef- fective way for low-carbon economy in rural areas.
基金supported by the National Natural Science Foundation of China(72074065),Cultivation Fund for Key Scientific Research Projects of Harbin Medical University,and Harbin Applied Technology and Development Project(2017RAXXJ052).
文摘Because of the overbearing low temperature,cold areas increase the morbidity and mortality of chronic non-communicable diseases(chronic diseases)in exposed populations.With the growth of the aging population and the superposition of lifestyle risk factors,the number of people with chronic diseases in cold areas is climbing,and the family and social burdens are rising.These health-threatening circumstances in the cold areas render the general practitioners to face serious challenges and difficulties in the community management of chronic diseases.This paper summarizes the current situation of chronic disease management in cold areas and explores the relevant management models so as to provide a useful reference for regional health construction,graded diagnosis and treatment,and prevention and control of chronic diseases in China.
文摘The health status of the floating elderly population and the need of community management services are complex and important problems.Owing to the change of living environment and the insecure medical care,the mobile elderly people have more health and psy-chological problems compared to the rest of the elderly population.Therefore,the community should take a variety of measures to meet their needs and help them to better adapt to the new living environment,and maintain their physical and mental health.This paper aims to summarize recent studies on the physical and emotional health problems of mobile elderly people and related community management service needs.
文摘Objective: This study aims to improve the health level of patients with diabetes in the community through health management measures under the concept of health management. Methods: Community residents were selected to detect, collate and analyze the social demographic information, body mass index, fasting blood glucose and blood lipid level of diabetic patients before and after health management. Results: The study showed that after the implementation of health management education in the community, the detection rate of diabetes patients increased, but the population was no longer mainly elderly patients, but mainly people under 60 years old. The levels of body mass index, fasting blood glucose, triglyceride (TG), total cholesterol (TC) and low-density lipoprotein (LDL) were significantly decreased (all P Conclusion: Through the investigation of patients before and after health management in residential communities, this study shows that the correct implementation of health management can effectively improve the physiological indicators of diabetes patients, improve the level of health quality, and provide a reference for the prevention and treatment of diabetes patients in communities.
文摘Objective: the main purpose of this study is to explore the effectiveness of community chronic disease management model in elderly hypertension management. Methods: 160 elderly patients with hypertension who came to our hospital from January 2018 to January 2019 were selected as research objects. The control group has 80 patients in each group. Patients in the observation group used chronic disease management for community health care, while patients in the control group used basic treatment for community health care. The management status and management satisfaction of hypertension patients before and after management and nursing were compared between the two groups. Results: the study showed that there was no significant difference in blood pressure between the observation group and the control group before feeding (P > 0.05). The blood pressure control effect of the observation group was higher than that of the control group after lactation. The difference between the observation group and the control group was statistically significant (P < 0.05), helping elderly patients to develop good living habits, promoting patients' satisfaction with various management work, and ensuring patients' health.
基金supported by the University Grants Commission-NepalInstitute of Science and Technology+1 种基金Central Department of Environmental ScienceMinistry of Science Technology and Environment
文摘Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global climate by encouraging sequestration of carbon in shoots,roots and soils.We studied the status of community forest management,forest resource harvest and carbon stocks in two community forests of the mid hill region of central and western Nepal.The study was based on primary and secondary data collected through carbon stock measurement from field visits and allometric equations,household surveys,focus group discussions,key informant interviews,and review of past studies.Socioeconomic variables such as gender,age group,livestock and landholding status were related to resource utilization,conservation,and management of community forest.Forest resources such as timber,firewood,fodder and leaf litter were harvested in sustainable ways.People were involved in forest thinning,co-management meetings,guarding and planting trees for forest conservation and management.Density and carbon stock of trees increased gradually in comparison to a previous study.We recommend further research on other community forests for more accurate and better results.
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> Until recently, the experience on implementing community based management of acute malnutrition (CMAM) among children has been largely based in African settings. While the government in Bangladesh is yet to scale up CMAM approach, there is still paucity of knowledge on the experience of CMAM within the complex milieu of an urban slum context. In Kamrangirchar slum, Dhaka, Bangladesh, this paper describes a CMAM programme performance and outcomes run by Médecins Sans Frontières (MSF)/Doctors without Borders, in light to performance indicators set by MSF and the Sphere minimum standards. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive retrospective study using routinely collected programme data of children admitted with severe acute malnutrition between May 2010 and November 2011. Kamrangirchar is an urban slum of a large migrant population in Dhaka, Bangladesh. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> There was a total of 640 new admissions, of whom 333 (52%) were males. The median age was 18 months (Inter-quartile range (IQR) 12 - 41). 599 children had a reported nutritional outcome at discharge from ambulatory therapeutic feeding centre (ATFC), this included: cure rate of 69% with an average length of stay of 68.8 (SD ± 46.0) days and average weight gain of 3.8 g/kg/day (SD ± 2.7). The lost-to-follow-up rate was 18% and 5% reported to the programme that they will leave the slum and go back to their villages. These performance indicators did not meet the threshold level indicators set by MSF and Sphere standards. </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Our experience highlights the need for developing more adapted and contextualised indicators for assessing the performance of CMAM programmes in settings such as urban slums. Community engagement in the process of developing relevant standards is crucial. Nutrition humanitarian actors have a vital role to collaborate with local authorities to contextualize and refine these standards.
文摘Objective:To explore the therapeutic effects of community health management and nursing strategies for elderly hypertensive patients.Methods:A total of 64 elderly hypertensive patients who were treated in our hospital from March 2020 to March 2021 were selected.The control group took conventional care and guidance.The research group carried out community health management and nursing strategy guidance on the basis of the control group.Then compare the blood pressure levels of the two groups of patients before and after nursing and the patients’satisfaction with nursing.Results:Through comparison,it can be seen that the diastolic and systolic blood pressure levels of the study group and the control group are not significantly different before nursing.After nursing,the diastolic blood pressure of the patients in the study group was 81.22.1 mmHg and the systolic blood pressure was 126.58.7 mmHg.The diastolic blood pressure of the control group was 90.55.4 mmHg and the systolic blood pressure was 136.412.9 mmHg.There are obvious differences in the comparison of the two sets of data.By comparing the two groups of patients’satisfactions with nursing care,it can be seen that among the 32 patients in the study group:31 were very satisfied and basically satisfied,with a satisfaction rate of 96.87%.Among the 32 patients in the control group,28 were very satisfied and basically satisfied,with a satisfaction rate of 87.5%.The data of the two groups of patients are clearly comparable.Conclusion:Through community health management and nursing strategies,the satisfaction and treatment effect of elderly hypertensive patients can be improved,thereby contributing to the recovery of patients.
文摘Objective: to analyze the prevention and treatment effect of chronic disease management by community general practitioners on diabetes. Methods: patients with diabetes treated in recent years were randomly divided into two groups for scientific research. The differences in basic conditions between the two groups were compared, including the cognition of diabetes disease, compliance behavior score, normal blood glucose rate, fasting and postprandial blood glucose levels after intervention. Results: the cognitive and compliance scores of diabetic disease in the study group were higher than those in the control group, the normal blood glucose rate was higher than that in the control group, and the fasting and postprandial blood glucose levels after intervention were lower than those in the control group, P < 0.05. Conclusion: the management of chronic disease in patients with diabetes by community general practitioners can achieve good results, improve the cognitive level of patients, and effectively control blood glucose, which is worthy of promotion.
基金Supported by the Shanghai Three-year Action Plan to Strengthen the Public Health System(Grant No.GWVI-9)the Shanghai Municipal Health Commission Youth Project(Grant No.20224Y0333).
文摘Introduction:Current strategies for chronic viral hepatitis prevention and control include immunization,prevention of mother-to-child transmission,expanded testing,antiviral therapy,and national drug price negotiations.To achieve this effectively,Shanghai has implemented a communitybased pilot program that integrates public health and clinical care for chronic viral hepatitis management.Methods:This study evaluated the effectiveness of Shanghai’s community-based healthcare program at three time points(2012,2019,and 2023),assessing key indicators including antiviral treatment rates and disease status changes and risk of hepatocellular carcinoma.Data were managed using EpiData 3.1,with descriptive statistics and chi-square tests performed using SPSS 29.0.Results:The study enrolled 1,478,1,901,and 7,714 patients in 2012,2019,and 2023,respectively.During the management period,the number of enrolled patients increased substantially from baseline.The antiviral treatment rates in 2019 and 2023 reached 64.5%and 58.2%,with both significantly higher than the baseline rate of 24.5%in 2012.Concurrently,abnormality rates for hepatitis B virus deoxyribonucleic acid(HBV DNA),alanine aminotransferase(ALT),total bilirubin(TBIL),and fibrosis indices decreased significantly in 2019 and 2023.The 2023 aMAP score further revealed a decline in hepatocellular carcinoma risk among managed patients(32.2%vs.26.3%).With enhanced community healthcare capacity,14.1%(2019)and 18.2%(2023)of patients accessed community dispensing services,aligning with the strategy to decentralize testing and treatment for disease elimination.Conclusions:Community-based healthcare management for chronic hepatitis in Shanghai provides patients with decentralized hepatitis-related testing and treatment services,creating an effective environment for chronic viral hepatitis prevention and control and would favorable for the viral hepatitis elimination efforts.
基金supported by the Southeast Asian Regional Center for Graduate Study and Research in Agriculture(SEARCA)-ASEAN Working Group on Social Forestry Strategic Response Fund(ASRF)under the ASEANSwiss Partnership on Social Forestry and Climate Change and by the R&D Program for Forest Science Technology(Project No.2018113C10-2020-BB01)provided by Korea Forest Service(Korea Forestry Promotion Institute).
文摘Understanding the environmental factors that influence tree species composition is essential for successful management of biodiversity and sustainable use of community forest resources.This study aims to assess tree species composition and distribution in the deciduous Ban Mae Chiang Rai Lum Community Forest in Northern Thailand and to analyze the influence of environmental factors on tree biodiversity in the forest.We conducted a stratified systematic sampling of the forest’s total area of 3925 ha,and twenty-five 0.16 ha survey plots were established in three different stands of the deciduous forests to estimate and characterize the difference in biological diversity among the stands.Canonical correspondence analysis(CCA)was used to investigate the environment factors affecting such differences in biodiversity of the stands.The results showed a high diversity of trees in the forest as 197 species,144 genera,and 62 plant families were recorded.The CCA ordination identified the environmental factors—the most important of which were elevation,distance to streams,soil moisture,organic matter,and distance to communities—that signifi-cantly influenced the diversity and distribution of tree species(p<0.05)in the community forest.Our findings indicate that the implementation of drought reduction measures such as building check dams,fire protection,and monitoring community forest-product usage would be recommended to further biodiversity conservation and the sustainable use of community forest resources.
文摘Economic development of coastal community in Kotabaru Regency has become strategic in the future. Kotabaru Regency is the geo-economic strategic position due to the position of Kotabaru region boundaries between Kalimantan Island and Sulawesi Island. Geo-economic strategic of Kotabaru should increase the coastal community welfare in Kotabaru Regency. The objective of the research is to evaluate economic characteristic of coastal community at mining area in Kotabaru Regency. The number of samples in this study is 50 respondents in each village who are in the mining area. The number of companies in the mining area is 17 companies. Data were collected by using questionnaires. The results show that economic characteristics have low category. Mining and plantation companies do not increase the economic conditions of the community. Research suggestions are： （1） to examine the potential and importance of economic empowerment model of coastal communities in the region both mining companies and plantations; （2） the important role of companies and local governments to work together in formulating a strategy for management of CSR （corporate social responsibility）, and social mapping to be done by the company in the preparation of the CSR program.
基金provided by Ministry of Education,Culture,Sports,Science and Technology(MEXT)Government of Japan
文摘Incentive design is among the decisive factors behind active community participation and long-term sustainability of participatory forest management. Especially in case of mangroves, where multiple interests apply, it requires a careful integration of several ecological, economic and institutional factors. The primary objective of this paper is to understand the basis of incentive design and make a comprehensive inquiry into the existing incentive mechanism of participatory mangrove management in Indian Sundarbans. The qualitative and in-depth assessment was derived against a conceptual framework that contains three main determinants: (1) resources availability, (2) control mechanism, and (3) perception of end-users. The study deploys the results of various participatory exercises such as structured interviews with forest officials, focus group discussions with 10 Joint Forest Management Committees and semi-structured interviews with 119 mangrove users. In general, we observed an over-cautious, hierarchical and safety-margin-based incentive design with distinct bifurcation of communities over the adequacy and effectiveness of derived benefits. Although, the incentives are diverse and align well with the overall conservation of mangroves, they are considered to be insufficient by nearly half of the mangrove users. The main issues that were observed to hinder effective community participation can be summarized as (1) serious restrictions on access to economically exploitable mangrove products, (2) passive involvement of vulnerable occupational groups, and (3) lack of trust and conflicting interests between the officials and the communities. Although the existing preventive management of mangroves can be justified considering the magnanimity of the Indian Sundarbans, it can severely impair community participation and emerge as a clear threat to future sustainability. To secure greater participation of the communities, we propose small scale, innovative developmental incentives to supplement traditional forest-resource-based incentives.
基金This project[ST12-024]is supported by a BRIDGES Grant from the International Diabetes Federation(BRIDGES,an International Diabetes Federation project,is supported by an educational grant from Lilly Diabetes.)a Grant of Special Scientific Research on Capital Health Development[2011-2005-01].
文摘Objective:To determine the effects of a community hospital integrated model on the longitu-dinal management of diabetic patients.Methods:Four hundred forty-one patients with type 2 diabetes residing in Jingsong Commu-nity were randomly assigned to intensive and standard groups.Metabolic parameters were meas-ured in the two groups at baseline and after 36 months of management to compare the rate of goal achievement.Results:After comprehensive management,the overall control rate in the intensive group was increased from 2.7%to 9.6%compared with 2.3%-4.5%in the standard group.Specifically,the control rates for fasting plasma glucose,glycosylated hemoglobin,and blood pressure in the intensive group were significantly increased from 54.1%,40.0%,and 68.2%to 85.5%,74.6%,and 89.1%,respectively.The control rate for glycosylated hemoglobin in the intensive group was significantly higher than the standard group after 36 months of treatment.Conclusion:The community hospital integrated model for longitudinal management effec-tively improved the control rate of glycosylated hemoglobin and the overall control rate in patients with type 2 diabetes.
文摘Objective:This study aimed to determine the availability of community health management services and the relevant social determinants for elderly patients with chronic diseases.Methods:All data were obtained from the 2013 random sampling household survey on an elderly population conducted by the School of Public Health of Peking University in an eastern metropolis in China.Information from the database of the above survey involving 1495 hypertensive or diabetic patients>60 years of age,as representatives of the city,were included.The study described the availability of follow-up services by community doctors among elderly hypertensive and diabetic patients during the 12 months before the survey.An ordinal multinomial logistic regression model was used to conduct the analysis on the influence of socio-economic background upon such availability.Results:Eighty-one percent of hypertensive patients and 84.7%of diabetic patients had not received any follow-up service from community doctors within 12 months prior to the survey.Among elderly hypertensive patients,those registered as non-agricultural household members,those with high and above-average income,as well as management personnel of government agencies,enterprises,and social programs have a greater chance of accepting follow-up service by community doctors because of their relatively higher socio-economic rankings.Among elderly diabetic patients,such socio-economic factors had no significant influence on the availability of the follow-up service for chronic diseases.Conclusion:The coverage of community health management services for elderly hypertensive and diabetic patients needs improvement.More effort should focus on promoting the availability of community health management services for elderly hypertensive patients,especially those with lower socio-economic status.
文摘This paper studies the contemporary attempts of Japanese Machizukuri,Citizens Collaborative Community Improvement and Management,and their socio-cultural meanings in order to shed light on the sustainable planning approaches dealing with population ageing and decreasing.In recent years,as response measures for non-physical local issues such as environmental problems and welfare,and with the aim of further enhancing community-centred planning capabilities against a background of decentralisation in various fields and the establishment of civic society,new cooperative/collaborative-style planning theory is being deployed.Through this process,community improvement and management is becoming deeper,in terms of technology,systems,and technique.The study attempts to find out a solution to real-world problems-how to construct a comprehensive planning theory based on spatial and social challenges arising in modern civic communities,with local resources,social capital and systems that have resulted from such issues.It also seeks to show how to achieve a vision for the city as a whole by mutually compiling individual community improvement and management scenarios and programs,based on the autonomous determination and future vision of the organisations and residents that play leading roles in the community.
基金This study is part of a research project:CR/ENG/CAED/18/04 Sultan Qaboos University.
文摘Once abandoned for more than three decades,vernacular settlements in Oman are now being progressively reinvested in to foster the country’s heritage tourism sector.The present research focuses on the emerging phenomenon of community-led initiatives for vernacular heritage rehabilitation and adaptive reuse in Oman.Through an examination of three case studies,its aim is to describe this process and its modes of action and discuss its efects on vernacular settlement transformations.A mixed research methodology was designed to include(A)analyses of relevant primary and secondary data,(B)documented onsite observations,(C)interviews with local community representatives and key players in the operations of rehabilitation,and(D)extractions and analyses of quantitative data from a hotel booking website.The research sheds light on unsuspected interrelations within and between the projects being implemented in these settlements and their operating modes.It reveals the focal role of a local community in a kind of‘bottom-up’management of its built heritage,coupled with a‘horizontal cooperation’between the three initiatives studied in this research.Moreover,it shows that a heavily centralised and top-down policy for the feld of heritage conservation and management is among the main obstacles that hinder such initiatives.Furthermore,community-led operations of vernacular heritage rehabilitation are being undertaken under insufcient regulations in terms of land use,building restoration and adaptive reuse.In this context,the paper discusses some of the serious threats and concerns faced by such initiatives and proposes actionable solutions to mitigate these hindrances.
基金funded by the US National Science Foundation(NSF)Grant No.1838421。
文摘To reduce flood losses,floodplain managers make decisions on how to effectively manage their community’s flood risks.While there is a growing body of research that examines how individuals and households make decisions to manage their flood risks,far less attention has been directed at understanding the decision-making processes for flood management at the community level.This study aimed to narrow this research gap by examining floodplain managers’perceptions of the quality of their community’s flood management decision-making processes.Data gathered from interviews with 200 floodplain managers in the United States indicate that most floodplain managers perceive their community’s flood management decision-making processes to be good.The results also indicate that communities participating in the Federal Emergency Management Agency’s Community Rating System,as well as communities with a higher level of concern for flooding and a lower poverty rate,are significantly more likely to report better flood management decision-making processes.
