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1

To, Kin-chung Frank. "Clinic for the 'City within a City' /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25948325.

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2

Burton, Salma. "Evaluation in health promotion : assessing effectiveness of Healthy City Project evaluations." Thesis, London South Bank University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326942.

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3

Glasco, Sharon. "A city in disarray: Public health, city planning, and the politics of power in late colonial Mexico City." Diss., The University of Arizona, 2002. http://hdl.handle.net/10150/280118.

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This dissertation examines the spatial and public health dimensions of class relationships, social control, and state power in Mexico City during the late eighteenth and early nineteenth centuries. It focuses specifically on the process of urban planning and public works that the Bourbon state undertook during the late colonial period, and considers the variety of reasons and justifications given for the projects themselves. City leaders pointed to the environmental and health benefits that would go along with improved sanitation, new drainage systems and paving of city streets, the expansion of the public water supply, the renovation of city markets, and new bathhouse regulations. Elites, however, viewed these improvements as a way to gain leverage over the plebeian classes. Elites viewed the urban poor as the root of many of the environmental problems the viceregal capital faced, and considered common practices among the popular classes, such as the indiscriminate dumping of garbage and waste, defecating and urinating in public, loitering, washing clothes and other personal items in public fountains, and public nudity as a threat to civic order and safety. Elites feared that this type of activity would also transgress into other types of disorder, namely criminal activity. These behaviors also represented to elites the uncivilized nature of the urban masses, challenging the cultural norms upon which elites based their social superiority. This "polluting" behavior also reflected badly on the state, illustrating their lack of political control over city residents, and undermining its legitimacy. In the end, the programs instituted did little to alleviate many of the environmental problems of Mexico City: the scope of programs was limited, focusing on the city center at the expense of the surrounding poorer barrios where improvements were most needed; enforcement of legislation passed to change many plebeian habits was lackluster at best; and funding for the projects was clearly insufficient.
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4

Wen, Siying, and 溫思穎. "Health insurance effects on health care access for rural residents in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942749.

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5

Booi, Mlungisi Wellington. "Performance management of health professionals : an evaluation research study of health services in the subdistrict of Buffalo City in the Provincial Department of Health in the Eastern Cape." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1020017.

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Integrative Summary In 1997 the Minister of Public Service and Administration of South Africa, Zola Skweyiya, introduced the White Paper on Transforming Public Service Delivery(Department of Public Service and Administration(DPSA,1997: 1). It was premised on what was called Batho Pele (DPSA, 1997: 9), giving effect to Section 197 of the Constitution, Act 108 of 1996 as amended. A linkage to performance management can be found from the assertion made in the White Paper that in future the Batho Pele would form the basis of any assessment of the performance of individual staff and that would contribute to improving the delivery of service (DPSA, 1997:16). Another factor that contributed to the utilisation of a performance management system was the recommendation put forward by the Public Service Commission of South Africa( PSC,2004: 16),that called for public institutions to adopt a clear, comprehensive performance management and evaluation framework for the delivery of public service. That was expected to turn around the ailing public institutions whose record of serving the public with pride and dignity was on the decline. The research aim was to evaluate the effectiveness of the performance management system in creating and resolving role conflict with health professionals employed by the Buffalo City sub-district. The research goal was divided into three objectives, namely: evaluation of the effectiveness of the performance management system as a managerial tool for health managers to manage their subordinates including both professional and support staff, evaluation of the effectiveness of the performance system from the perspective of the health professional as a subordinate and to analyze the functioning and effectiveness of the system in creating and resolving role conflict between professional conduct and organisational requirements. The respondents noted that the implementation of the system was not matched with appointment at managerial level with officials having relevant managerial capacity. Further to that resources at the coal face of service delivery continued to deteriorate and became very scarce and there is no documented proof that has been found of an effort made to check the compatibility of the system to health professionals. The literature identified negative effects that have emanated from the implementation of the performance management system. The study was conducted by interviewing health professionals from the entry level to the management level within the Buffalo City sub-district from three mini hospitals or Health Care Centres. The respondents indicated that there are positives that have been achieved by the implementation of the system, such as the skills gap identification as well as specific targets contained in annual performance contracts. These targets help motivate health professional to focus on that particular direction of activities. Unfortunately it has been clearly documented that the performance management system has also contributed to the development of role conflict in a number of professionals. It has been documented that the system has not been crafted with a health professional in mind and, as such, appears to favour quantity rather than quality of health services as advocated by the codes of practice of different health professionals. There are a number of recommendations that were put forward by the respondents to try to salvage the system and in mitigation of the identified negative factors. For the improvement of the system, the Eastern Cape Provincial Department of Health has to firstly customise the annual contracts to contain only the fundamental information. Secondly need to improve the transparency pertaining to financial pressures facing the Health Department. Thirdly the provision of essential enablers, need to be prioritised. Fourthly there is a need to upgrade the system to incorporate 360 degree feedback. Further research recommendations include a bigger sample incorporating different research methods and to also incorporate searches for measures that can be implemented to improve the system to be more relevant to health professionals. This document is organised and presented in three sections. The first section is the evaluation report with a review of literature, research methodology, findings, discussion and conclusion. The second section is where an indepth literature review is located and the last section details the research methodology.
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Dunlop, Leanne. "Unhealthy city? : public health in interwar Glasgow, 1919-1939." Thesis, University of Strathclyde, 2012. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=17873.

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This thesis examines the 'healthy-hungry thirties' debate from a Scottish perspective by analysing public health in Glasgow between 1919 and 1939. The extent to which British health improved or deteriorated in the period between the two World Wars is a point of contention among historians. Traditionally, 'optimist' historians such as Stevenson, Aldcroft and Winter have argued that mortality and morbidity rates improved, while 'pessimists' like Mitchell and Webster argue that the economic recession impacted adversely upon health. More recently however, writers like Jenkinson and Thompson have emphasised the importance of considering this debate from a regional perspective and on the intricacies and complexities of public health statistics according to different social criteria. Eschewing the optimist- pessimist visions of the Depression that dominate the literature, this study focuses upon highlighting divergences in experience according to variables such as location, social class, e mployment position, age, marital status and gender. It explores the role of individual agency and emphasises the multiplicity of social, economic and cultural exchanges which fashioned health experiences. By analysing both qualitative and quantitative material from sources including medical journals, parliamentary papers, newspaper articles, contemporary literature, autobiographies and oral testimonies, this research suggests that a multi-dimensional, comparative approach to explaining public health during the interwar years is most appropriate. Statistics can be interpreted to support either historical stance and a closer analysis reveals diverging health experiences according to a number of variables. By evaluating public health records and the popular perceptions of interwar Glaswegians, it is shown that Glasgow was an 'unhealthy city' as historians propose. However, this research argues that health experiences were complex, were characterise explained in terms of inequalities between and within individual groups of the population, rather than conclusive improvements or deteriorations in health.
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Mederios, Joedna Souza de. "Health professionals social representations from Family Health Program about psychoactives drugs the city of Fortaleza." Universidade Federal do CearÃ, 2006. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=607.

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Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico
CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
The transformation that is happening in the global world provokes changes in social segments like educational, economical, cultural and health, contributing to instability condition in modern life. In this context, a lot of people desire to escape, destroying the old order or creating a new and better world, for retired to an interior world or utilizing for that, psychoatives substances. The act of consuming drugs, licit or illicit, is big at present and is a challenger in areas like health, human, social, educational and law, that is trying to understand how information and preventives steps can be living for population. In this point we detach that The Family Health Program is trying to visa promotion`s action and prevention of popular health but should give a support and guarantee paradigms changes, of practices and results in health area. This study had like objective; learn social representation of the health professional team Family Health Program in Pirambu, about psychoactives drugs the city of Fortaleza. This study made use of investigation methods, qualitative analyses and was structureted in theoryc-methodologic points of the Social Representation Theory. The instrument utilized to collect dados, was an interview, utilizing a recorder with people authorization. The dados take analysis conform Bardim (1977) method. The PSF professionals make use of law speech, trying to make then understand their preventive actions with no vinculum in health practices. To this professionals, seems exist, representation of naturalization and vulgarization of illicit dugs consumption, in this community. The professionals try to rectify the illicit drugs costumers. Social representation of the PSF professionals seems characterize the illicit drugs costumers like out of social life with subjective characteristics of citizen, denying their selves. When the consume occur in teenage, this practices are denied in PSF because the professionals` speech is about law. So, it is important to say that the social representation needs orientation to rebuilding social relations for this professionals and society helps for change costumersâ reality
As transformaÃÃes que vÃm ocorrendo no mundo globalizado tÃm ocasionado mudanÃas nos diversos segmentos sociais como o educacional, econÃmico, cultural e o de saÃde, contribuindo, assim, para a condiÃÃo de instabilidade na vida moderna. Nesse contexto, muitas pessoas desejam escapar, seja pela destruiÃÃo da velha ordem e criaÃÃo de um mundo novo e melhor, seja pela retirada para um mundo interior, utilizando, para isso, as substÃncias psicoativas O consumo das drogas sejam lÃcitas ou ilÃcitas que parecem ter aumentado na conjuntura atual, tem-se tornado um desafio no campo da saÃde e para os estudiosos das Ãreas humanas, sociais, educacionais e jurÃdicas, que tentam compreender como as informaÃÃes e medidas preventivas podem enredar-se em leituras de teias simbÃlicas inscritas em aÃÃes concretas vividas pelas populaÃÃes. Nesse ponto, destacamos que o Programa SaÃde da FamÃlia, por ser estratÃgia do Sistema Ãnico de SaÃde e por visar a aÃÃes de promoÃÃo e prevenÃÃo em saÃde popular, deveria favorecer e garantir a mudanÃa de paradigmas, de prÃticas e de resultados em torno do campo da saÃde. Assim, este estudo teve como objetivo apreender as representaÃÃes sociais dos profissionais da equipe de saÃde da famÃlia na Unidade de SaÃde do Pirambu, acerca das drogas psicoativas e seus usuÃrios no municÃpio de Fortaleza. O estudo utilizou, como mÃtodo de investigaÃÃo, a anÃlise qualitativa e foi estruturado com o aporte teÃrico-metodolÃgico da Teoria das RepresentaÃÃes Sociais. O instrumento utilizado para coletar os dados foi um roteiro de entrevista semidirigida, em que foi utilizado um gravador mediante a autorizaÃÃo dos participantes. Os dados foram analisados conforme o mÃtodo de categorizaÃÃo proposto por Bardin (1977). Os profissionais do PSF que participaram do estudo utilizam um discurso da ordem do direito e da penalidade, demonstrando ofuscar o potencial de suas aÃÃes na comunidade, sobretudo no Ãmbito preventivo, insentando-se de vinculaÃÃes com Ãs prÃticas de saÃde. Para esses profissionais parece existir uma representaÃÃo de naturalizaÃÃo e vulgarizaÃÃo do consumo das drogas ilÃcitas na comunidade estudada. Verificamos que os profissionais reificam os sujeitos usuÃrios das substÃncias ilÃcitas. Assim, as representaÃÃes sociais dos profissionais do Programa SaÃde da FamÃlia estudado, parecem caracterizar o usuÃrio das drogas ilÃcitas como um indivÃduo excludente do meio social, que està ancorado no imaginÃrio social do qual se desvincula o ato do uso da droga e do todo da pessoa, com suas caracterÃsticas subjetivas, singulares de cidadÃ, negando-se-lhe uma visÃo mais totalizadora de si como sujeito. Nesse ponto, percebemos que as prÃticas de saÃde preventivas voltadas para o sujeito usuÃrio, principalmente quando o inÃcio do consumo ocorre na juventude, possui uma dimensÃo esquecida no PSF em decorrÃncia do modelo formado dos profissionais que situam o discurso, ora no nÃvel patolÃgico, ora no campo jurÃdico das sanÃÃes. à importante, entÃo, no campo da representaÃÃo social, a orientaÃÃo para uma reconstruÃÃo da complexidade das relaÃÃes sociais estabelecidas por esses profissionais, bem como da sociedade em relaÃÃo Ãs drogas ilÃcitas e seus usuÃrios
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8

López, Amanda M. "THE CADAVEROUS CITY: THE EVERYDAY LIFE OF THE DEAD IN MEXICO CITY, 1875-1930." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/193880.

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This dissertation explores burial practices and funeral rituals in Mexico City during the late-nineteenth and early-twentieth centuries. I argue that international shifts in ideas about public health, class, and nationalism were reflected in new spaces and practices for dead bodies. Furthermore, I examine how mass death challenged traditional burial practices. The daily practices involved in managing the disposal and veneration of dead bodies illuminate the social and cultural challenges in building modern cities and the ways in which these projects are adopted or rejected by the citizenry. The first three chapters focus on the modernization of burial practices in the nineteenth century. Burial reform laws in the 1850s led to the foundation of the capital's first large, modern cemetery, the Panteón de Dolores, by the Liberal government in 1879. The cemetery became a microcosm for the clean, modern city, mapping the new social class configuration through the distribution of its graves. Quickly the administrators of the Dolores Cemetery failed to meet ideal due to the realities of daily operation. The cemetery had been imagined as a space that reflected elite ideas of modernity, but it served a capital that was mostly indigent. In response to overcrowding, the technology of cremation, which targeted the poor, created a class division between those who could be buried and those who had to be cremated. Government officials successfully constructed a modern, sterile approach to death and began to wrest away control of the symbolic power of death from the Catholic Church. The last two chapters focus on the temporary breakdown of these practices and the reinterpretation of funeral rituals in the early twentieth century. Instability and high mortality rates during the Revolution of 1910-1920 led to overcrowding in cemeteries and spread the dead beyond the cemetery, including impromptu battlefield cremations. A comparison of three funerals in 1928-1929 shows new ways in which the funeral was used to perform ideas about the nation, family, and masculinity. The Revolution's unmanageable casualty levels and the advent modern, secular funerary practices in the period before the Revolution influenced how the government, military, and civilians handled and memorialized death.
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9

Lyons, Annette. "The Liverpool healthy schools award and its impact on raising the health promoting status in the city." Thesis, Aberystwyth University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.413479.

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10

Panter, Yanyin. "A study of the emotional health of China's city migrant children." Thesis, University of Nottingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440989.

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11

Rice, Judy A. "The Johnson City Community Health Center: Treating the Uninsured Mentally Ill." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7624.

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BARRIGIO, CARLA RABELO. "MENTAL HEALTH IN PRIMARY CARE: THE ROLE OF COMMUNITY HEALTH WORKERS IN THE CITY OF MURIAÉ-MG." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2010. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=16546@1.

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COORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
Os Agentes Comunitários de Saúde que atuam no Programa Saúde da Família (PSF) destacam-se como influente e útil alicerce para o êxito das ações dos Centros de Atenção Psicossocial (CAPS) na medida em que, pela natureza do trabalho que desenvolvem, podem identificar e acompanhar diversas demandas em saúde mental possibilitando que os ideais da Reforma Psiquiátrica se fortaleçam. Com base nesta premissa, desenvolveu-se o presente estudo que teve como objetivo, conhecer o trabalho desenvolvido pelos Agentes Comunitários de Saúde do município de Muriaé - MG, no que diz respeito ao acompanhamento dos acometidos por transtornos mentais que se encontram desinstitucionalizados e em tratamento médico ambulatorial. A pesquisa, de cunho qualitativo, utilizou como principal instrumento para a coleta de dados a entrevista semi-estruturada, que foi gravada com a permissão dos participantes. Foram entrevistados treze Agentes Comunitários de Saúde de três unidades do PSF do referido Município. Após a análise das informações obtidas foi possível perceber que a atuação desses Agentes, junto aos portadores de transtornos mentais das comunidades em que atuam, ainda não apresenta resultados positivos uma vez que se ressentem de uma capacitação específica para a atuação junto àqueles sujeitos e suas ações ainda se configuram como rotineiras e burocráticas. Dessa forma, o estudo aponta para a necessidade de aprimoramento da capacitação desses profissionais do município de Muriaé, bem como para a necessidade de se intensificar a comunicação entre o PSF e o CAPS, a fim de fortalecer a rede de atuação e, conseqüentemente, os ideais da Reforma Psiquiátrica no referido município.
Health Community Agents that operate in Family Health Program (PSF) stands as influential and useful foundation for the success of the actions of the Psychosocial Attention Centers (CAPS) due to the importance of the work developed by them, they can identify and to go along with several demands in mental health strengthening the objectives of the psychiatric reform. In this context, the target of this research is the work developed by the community health agents with the mental trouble bearers who are no institutionalized and under medical treatment in Muriaé City - MG. The present qualitative research utilized the structured interview as main way to collect data. The interview was recorded with the permission of the participants. Thirteen Health Community Agents were interviewed which correspond to three PSF units of the quoted City. After the analysis of the collected data was possible to realize that the Agents` actions don’t represent positive results about disease prevention and psychic health promotion because of the lack of specific training and their actions are still burocratic ones. This work highlights the need of improvement of these professional of Muriaé City as well as the need of intensify the communication between PSF and CAPS in order to strengthen the performance and therefore the ideals of the Psychiatric Reform in the quoted city.
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Grammer, Kathryn. "Case Study: Commissioning of Du Noon Community Health Centre in the City of Cape Town Health District." Master's thesis, Faculty of Commerce, 2018. http://hdl.handle.net/11427/30091.

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There is limited formal documentation of success stories in the Metro District Health System (MDHS) and its contribution towards strengthening the broader health system through increased access and quality of primary health care (PHC) in the City of Cape Town Health District. This case study explains how a cohesive, decentralized DHS team commissioned the largest new PHC facility in Western Cape as a tangible milestone of success of learning by doing, through improved internal district capabilities and external alliances
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Cruz, Enriquez Enrique A. "The Johnson City Community Health Center: A Qualitative Analysis of the Center's Strengths, Weaknesses, Opportunities, and Threats in Johnson City, Tennessee." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/230.

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The Johnson City Community Health Center is one of over 1200 community health centers serving over 22 million patients across the United States. Community health centers primarily serve patients with low income or without health insurance, but most serve all the members of their communities. These centers provide many services and treat health problems in a holistic manner in order to improve the health of their communities and also allow the members of those communities to progress. The Johnson City Community Health Center is compared to successful CHCs from across the nation to determine if it has characteristics to be successful in this community. A SWOT Analysis is conducted by evaluating the Marketing Mix, or the Product, Price, Placement, and Promotion, of the center and also by examining the Political, Economic, Social, and Technological environments it operates in. This research determines the internal Strengths and Weaknesses and external Opportunities and Threats of the Johnson City Community Health Center and concludes that it does have the characteristics needed to be successful in the community. This research can be used by center management to improve services, but it can also be used by other researchers to continue evaluations of community health centers across the nation.
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Franich, Jennifer Joyce. "Cayucos Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1249.

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Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities.
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Wang, Yu. "A geospatial analysis of the community health service in Jinan City, China : access to services and health outcomes." Thesis, University of Cambridge, 2014. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.708124.

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Hamer, Helen Paris. "Inside the city walls: Mental health service users’ journeys towards full citizenship." Thesis, University of Auckland, 2012. http://hdl.handle.net/2292/11915.

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This study was undertaken at a time when mental health service users were lobbying to be treated as full citizens with the same participation, rights and responsibilities as other citizens. It explores mental health service users‟ understandings of citizenship and whether the recovery approach helps or hinders their journey towards full citizenship. The study uses Isin‟s (1999, 2002, 2008b) conceptual framework of citizenship to interpret data from indepth individual and focus group interviews with 17 service users and 12 key stakeholders. Isin‟s conceptual framework focuses on the social, civil and political dimensions of citizenship. The overarching finding was that service users experience conditional citizenship, which includes barriers and restraints to their participation and to the rights and responsibilities that others in society enjoy. Conditional citizenship results from labelling which has its genesis in the bio-medical model, the predominant treatment approach used in mental health services. The labelling of service users leads to stigma and discrimination in wider society and results in service users being Othered. In an attempt to blend in with the rest of society service users shape their behaviour through self-surveillance and self-policing to mitigate risk to themselves and others. Additionally in an attempt to be accepted they engage in practices of inclusion. These practices include self-disclosing about their illness, working in education and leadership roles to bring about acceptance of those with mental illness, and the expansion of the prevailing behavioural norms. For service users, deeper, existential and spiritual connections with others is essential for their sense of belonging. In some cases they make a claim for their full rights by engaging in acts of citizenship such as private and public practices of responsible subversion. The findings from this study have important implications for the recovery approach that should ideally underpin mental health service delivery. The thesis concludes by outlining recommendations for nursing practice, nursing education and policy.
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Overstreet, Timothy L. "Report of a health needs assessment conducted for Roanoke City Public Schools." Master's thesis, This resource online, 1991. http://scholar.lib.vt.edu/theses/available/etd-02022010-020119/.

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Crompton, Amanda Jane. "Working out : the relationship between health and occupational status in the city." Thesis, University of Nottingham, 2005. http://eprints.nottingham.ac.uk/29161/.

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This thesis explores contemporary health club use, and the meaning of such for those that live and/or work in the city. Focusing on the 'premier' health club sector this study considers the factors that encourage people to become part of the contemporary premier club culture. More specifically, this thesis is concerned with defining the characteristics of the premier club environment and to consider who they attract and why? What are the reasons behind the decision to join a premier club, does it reflect a personal desire to improve ones health and fitness or is it a culmination of social pressures and rational thought? Why is it that premier clubs are located within thriving cities and are they a prominent feature amongst the social network of the city? These questions emerged at a time when 4 million people in the UK held health club membership and premier clubs were receiving increasing media attention. Whilst this rise in popularity of health clubs only equates to 8% of the population holding club membership, it suggests that for a select number of people, health club use is a significant feature of everyday life (Mintell, 2003). Simultaneously, sociology is increasingly concerned with most aspects of health and illness, the state of the body and the impact of it on everyday practices. However, health club use remains a significantly underdeveloped area of sociological inquiry. This qualitative study has focused on the premier club environment, defined within this thesis as 'a club which expands on the common health club model of gym, aerobics studio and pool and offers a better standard of these basic facilities, a wider range of activities and extension services such as spa treatments, dry cleaning and booking services', The research was conducted in four premier clubs in two major UK cities. The empirical findings suggest that premier club use is socially and culturally located. There is a 'social value of health' which infiltrates all channels in society, a value which is particularly strong within the social network of the city. The research has shown that whilst premier club use is obviously, to an extent, a personal quest for bodily improvement, it is motivated by two factors. The first being the 'need' to improve health and fitness as a consequence of working in a high-pressured city workplace and the second, a desire to present a certain 'image of fitness', which again is shaped by the value of health that exists in the city workplace. In conclusion it was found that within the context of the city, body work and the development of a 'workstyle' is a motivating factor behind the decision to join a premier club. Premier club is an integral feature in the process of individualisation as social agents are engaging in a reflexive project of the self, whereby shaping their body and creating an overall image, or a positive workstyle, is of the essence.
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Urencio, Claudia Amalia Agostoni. "Monuments to progress : modernisation and public health in Mexico City, 1876-1910." Thesis, University of London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.244142.

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Bakhashwain, Abdullah Saeed. "Acceptance and utilisation of primary health care in Jeddah City, Saudi Arabia." Thesis, University of Hull, 1995. http://hydra.hull.ac.uk/resources/hull:3798.

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The provision of health services to all the population is one of the highest priorities in many governments' agenda, because the health system, education and social security are important indicators of the level of development of a state. However, the provision of health services to cover all the population is not easy, particularly in many developing counnies, which lack human and financial resources. In 1978, at Alma - Ata WHO and UNICEF jointly declared the primacy of the primary health care ( PHC) approach for achieving the WHO's social goal, " health for all the people by the year 2000". Since then, PHC has become a major concern on national and international levels. Saul Arabia one of the countries which has adopted and implemented the PHC approach.This study explores the implementation of the PHC approach, the utilisation of health services delivered at the health centres and health awareness in Jeddah, a major urban centre in Saudi Arabia, where public and private health services co-exist and compete, and where traditional medicine is still used and practised. A sample comprising both utilisers of the PHC centres and non- utilisers were questioned about their health practices, beliefs and attitudes, and an attempt was made to determine whether socio- economic and demographic characteristics were significantly related to utilisation and health awareness. No single pattern of attitude or behaviour was found to be consistently related to socio-economic or demographic characteristics. However, the findings indicate the general significance of education.The nature of service provision was found to affect satisfaction and a need was found to improve the quality of the health service and to remove bureaucratic barriers which impede utilisation. Although many aspects of PHC are successfully implemented, there is evidence of misunderstandings of the approach by both consumers and providers, which limits both utilisation and satisfaction. In particular providers and users still prioritises curative above preventive medicine, health education is still neglected, and the potential of the media in this respect is under-exploited.Finally, traditional medicine was found to be used and practised, but the finding; indicate there is not necessarily a conflict between the two systems. They appear to be used in a complementary way, and them may be scope for integration.
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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.
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Moll, León Sarah. "Mental Health representations in workers of two specialized institutions of Lima City." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/100845.

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The exploratory study aims to explore mental health representations in workers of two specialized institutions, through qualitative methodology. A total of ten members of two specialized institutions were selected, five from each, who comprise the interdisciplinary team in the area: A psychiatrist, a psychologist, a nurse, a nursing technician and a social worker. A semi-structured interview was developed to access the speech of the workers. Results show the representational world of the workers, their general conceptions about mental health, the factors that promote or interfere with it, as well as the reactions that a person that suffers mental illness generates, as well as expectations of improvement.
El presente estudio busca explorar las representaciones de la salud mental en los trabajadores de dos instituciones especializadas. Se seleccionó un total de diez participantes, cinco por cada institución, representantes de los trabajadores que conforman el equipo interdisciplinario del área: un psiquiatra, una psicóloga, una enfermera, una técnica de enfermería y una asistenta social. Para acceder a la narración y al discurso de los participantes, se aplicó una entrevista semiestructurada. Los resultados dan cuenta del mundo representacional de los trabajadores, exponiendo desde lo subjetivo, sus concepciones generales en torno a la salud mental, los factores que favorecen o interfieren en la misma, las reacciones que genera una persona que sufre una enfermedad mental y las expectativas de mejoría.
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Lee, Ping-kuen Felix. "Healthy city in Tseung Kwan O : urban planning in Hong Kong into the 21st century /." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22284552.

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Haman, Kayla Marie. "Lead in tap water from the City of Dayton, Ohio." Wright State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=wright1526300798659429.

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Arpanantikul, Manee. "Midlife experience : voices from the city women of Bangkok /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/7205.

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Swehla, Tyler. "Riverfront remediation: redevelopment for human access and wildlife health." Kansas State University, 2017. http://hdl.handle.net/2097/36234.

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Master of Landscape Architecture
Department of Landscape Architecture/Regional and Community Planning
Alpa Nawre
Historically, industrial riverfronts often polluted waters and sites with chemicals, leading to degraded ecosystem health and reduced numbers of aquatic wildlife downstream. These sites currently pollute the environment through residual chemicals and waste left behind by industrial-era production factories. Urban riverfront redevelopment offers many possibilities to restore wetland ecosystems and reestablish site connections to surroundings through human access. By redeveloping urban rivers for wetland protection and stormwater management, cities can begin to regain their connections with the landscape while providing resilient ecosystems through restoration. This proposal identifies possibilities for riverfront redevelopment as wetlands and tools for restorative action aiding increased human access and wildlife health. A stormwater management plan utilizing phytotechnology is proposed for the ARMCO Site at 7000 Winner Rd. Kansas City, MO, a former steel manufacturing site, adjacent to the Missouri River and Blue River waterways. Using plant material and landscape design, the ARMCO riverfront has been redesigned to unlock the full potential of treatment wetlands and showcase emerging treatment methods that could soon become typical cleanup procedure. A template for remediation design has been created with the techniques identified for remediation, stormwater treatment, and habitat creation outlined in the master plan proposal. Nine precedent studies have been used to identify key concepts for design phasing aimed at human accessibility and modifications of restorative tools. Careful deliberation of stormwater containment and flood plain levels define site layout while contributing design responses adaptable for year-round functionality coupled with landscape interest for each season. The techniques and planting palette have been tailored to address the specific site contaminants for the Missouri River riverfront but are adaptable for various contaminants and ecosystems.
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Shoajei, Azadeh. "The oral health-related lifestyle of Vancouver inner city elementary school-aged children." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44039.

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Objectives: To describe the oral health-related lifestyle of Vancouver inner city elementary school-aged children and relate different aspects of their oral health-related lifestyle with demographic and socioeconomic factors. Methods: This cross-sectional study used a structured questionnaire with some open-ended items to survey 424 school-aged children in Vancouver inner city elementary schools (53.3% boys and 46.7% girls). There were two versions of the questionnaire: the shortened version was used for grades 1-3 and included only multiple choice questions while the comprehensive version for grade 4-7 comprised both structured and open-ended questions. In the questionnaire, different items were used such as ordinal, interval and qualitative to acquire information about different aspects of oral health-related knowledge, attitudes and behaviours. Results: Overall, there was a deficiency in oral-health related knowledge and corresponding behaviours in all age groups and both genders. Thus awareness about oral health in this cohort of children needs to be improved. The oral health-related lifestyle did not differ between boys and girls except for the interdental cleaning behaviour (P=0.033). Oral health-related lifestyle did not differ according to socio-demographic characteristics except for the difference in consumption of sugar-containing drinks among age groups (P<0.001). The diet-related knowledge differed between children born inside and outside Canada (P<0.050). Conclusion: Oral health-related knowledge, attitudes and behaviours among elementary school-aged children in inner-city Vancouver areas was deficient and professional guidance from oral health care workers concerning oral health self-care was lacking. There were no distinct socio-economic or demographic differences in lifestyle factors among the inner city Vancouver school-aged children.
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Ahmed, Shamshad. "Mental health of Muslims living in a southeastern city in the United States." NCSU, 2005. http://www.lib.ncsu.edu/theses/available/etd-07282005-105451/.

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This study sought to determine if differences exist in the level of anxiety and depression in Muslims from Arab and non-Arab countries living in America. Beck (1967) proposed that the essential component of a depressive disorder is a negative cognitive set; that is, the tendency to view the self, the future, and the world in a dysfunctional manner. In this study, depression was measured using Beck?s Depression Inventory. The results show that Muslims from Arab countries scored higher in depression relative to Muslims from non-Arab countries. According to Spielberger (1966, p. 41,) trait anxiety refers to relatively stable individual differences in anxiety-proneness; that is, differences between people in the tendency to perceive a stressful situation as dangerous or threatening, and to respond to such situations with elevations in the intensity of their state anxiety (S-Anxiety) reactions. This study found that Muslims from Arab and non-Arab countries differed significantly from Muslims form Arab countries for depression, state and trait anxiety. National and international circumstances and events may help account for these differences. Probable origins and possible diagnosis for depression and anxiety in Muslims who immigrated to America are discussed here.
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Stickley, Theodore. "Promoting mental health through an inner city community arts programme : a narrative inquiry." Thesis, University of Nottingham, 2008. http://eprints.nottingham.ac.uk/10542/.

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The focus of this study is a community arts programme, Art in Mind, which is based in an inner-city area of an East Midlands city in the UK and was funded by the government's New Deal for the Communities. The aim of the qualitative research study was to gain understanding of the human processes involved in setting up such a project and to ascertain the subsequent benefits to participants. The research was conducted in two stages: stage one involved semi-structured interviews with seven of the original Art in Mind Steering Group members and stage two comprised interviews with eleven participants who were interviewed up to three times over a one-year period. Sixteen people were interviewed in total. The findings from participants are presented as a case-series. Interviewees included those who subsequently became members of the 'Lost Artists Club', one of the community-based activities that originated within the project and those who engaged with an 'Arts on Prescription' programme. In both stages, a total of 35 qualitative interviews were conducted. The concept of mental health promotion through the arts is examined in the context of national developments to promote social inclusion. The methodological framework for the research is a narrative inquiry and emphasis is given to the stories that are individually and collectively constructed and recounted by the participants. All the data were subject to a narrative analysis, incorporating thematic, event and relational analysis. Individual and collective narratives are presented. Findings from stage one of the research identify the personal motivations of Steering Group members to develop the programme. Findings from stage two of the research reveal that the project facilitated new personal, social and occupational opportunities for participants. Identity claims are strong, as people have re-constructed themselves as artists. Participants enjoy a sense of belonging and social identity with like-minded people.
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Crook, Thomas. "Norms, forms and bodies: public health, liberalism and the Victorian city 1830-1900." Thesis, University of Manchester, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.488327.

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Sproule, Jennifer Elizabeth May. "Voluntary action, health and social well being in the Derry City Council area." Thesis, University of Ulster, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268614.

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Pham, Le Hung Sirikul Isaranurug. "Oral health care performance for inpatients among nurses at Hanoi City Hospitals, Vietnam /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5038006.pdf.

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34

Welsh, Merran. "Adolescent suicidal behaviour in the 'lost city' : the experiences of mental health workers." Master's thesis, University of Cape Town, 1995. http://hdl.handle.net/11427/13859.

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Bibliography: leaves 86-99.
This study examines the high levels of anxiety and stress of mental health workers when dealing with cases involving adolescent suicidal behaviour. Mental health workers including nursing sisters, social workers and paraprofessionals were interviewed: Initially an unstructured interview schedule was used to explore the nature of adolescent suicidal behaviour in the course of their work. A semi-structured interview schedule, using focus groups was utilised to elicit the experiences and reactions of mental health workers to adolescent suicidal behaviour. A year after the initial interviews a few respondents were interviewed using a semi-structured interview schedule. The aim was to evaluate the effects of the research intervention. A thematic analysis highlights factors which disorganise the work of mental health professionals and paraprofessionals and contribute to their high levels of anxiety and stress.
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Olivetti, Joanna L. "Urban environmentalism's impacts: the connection between planting project participation and health in inner-city communities." Thesis, Boston University, 2006. https://hdl.handle.net/2144/27735.

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Boston University. University Professors Program Senior theses.
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
2031-01-02
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36

Numata, Yuka. "Two-year predictors of smoking initiation among elementary schoolchildren in multiethnic, low-income, inner-city neighborhoods." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ64418.pdf.

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37

Asiimwe, Sarah. "Use of health information for operational and strategic decision-making by division level managers of Kampala City Council Health Department." Thesis, University of the Western Cape, 2002. http://etd.uwc.ac.za/index.php?module=etd&amp.

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38

Chen, Li-Chun, and 陳立群. "Effects of Tainan Healthy City Project: The Health Programs as an Example." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/87667425444549382674.

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碩士
國立成功大學
公共衛生研究所
94
Introduction:For solving the challenges of urbanization, World Health Organization (WHO) has initiated ”Healthy Cities Project” since 1986. There have been thousands of cities joined this project around the world. Tainan Healthy City is the first demonstrated project in Taiwan. The purpose of the study was to evaluate the effects of Tainan Healthy City Project, using the health programs as an example. For helping other cities to plan suitable healthy city projects, this study also aimed to explore factors associated with the outcome of the programs. Methods:There are three parts in this study. Firstly, we analyzed the content of the health programs by collecting static data. Secondly, we analyzed the outcome of the programs by collecting relative healthy city indicators. Finally, in-depth interviews were implemented to understand factors affected the outcome of the programs. Results:Result showed that among 7 demonstrated programs, there were three kinds of situations in operation: active, fair, and inactive. Comparing with inactive programs, active groups have established more relative policies, achieved higher degree of political commitment, had better intersectoral collaboration and community participation, and had more innovative strategies. Additionally, the qualities of the administration, the relationship with media, and the attitude when meeting difficulties were also associated the outcome of the programs. As to the results of healthy city indicators, nearly all programs had positive results; however, the active programs had wider range improvements. In conclusion, the implementation of Tainan Healthy City project induced public affairs to have different degree of progress. Discussions:The principles of Ottawa Charter for Health Promotion is effective to enlarge community resources, strength community action and increase inter-sectoral collaboration. Establishing a healthy city is a hard work and never a slogan. It is important to build up a good relationship with the media for they can disseminate and communicate with the public. Setting up healthy city indicators is very helpful for self-evaluation. The establishment of healthy city indicators is not only by inter-department discussions within the city, but also by learning from other cities’ experiences. In order to help other cities in Taiwan, it is suggested to setup a set of suitable indicators for the whole island in the future.
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39

Lee, Yin-Tai, and 李穎泰. "Health Management and Health Status of Paint Workers in Kaohsiung City." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/89499697011622005710.

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碩士
高雄醫學大學
公共衛生學研究所碩士在職專班
93
Objectives: The main purpose of this study is to understand the painters’ self-health-care concepts, protecting steps adopted in workplace, working pressure index, and health condition after long-term exposure to an environment containing lead-based paints and organic solvents, and further submit policies for health administration. Method: In this study, samples were collected and screened under the assistance of the Paint Workers’ Association. About 20% (200 workers) of the workers receiving the test were engaged in rust-resistant operation according to the judgement of occupational disease doctors. Among them, 60-80 persons with the longest working period were deemed to be the high dangerous groups with high blood lead concentration. Their working pressure was examined through practical visiting and investigation as to their working procedures and environment, including whether they adopted proper protective measures or not when they used the paints and solvents, if the working environment is well ventilated, etc. One blue index scale questionnaire (Self-examination Scale of John Tung Foundation) was also used to survey the working pressure. The people who were considered as target high dangerous group were sent to a recognized laboratory for blood lead concentration test. Then, the comments of doctors and other relevant health information were discussed through inductive analysis. Results: 1.In all of the 878 painters over 40 years old, 208 painters received the examination. The examination rate was 23.69%. 2.The average value of blood lead concentration in the high dangerous group is 6.00 □g/dl. The maximum values found in men and women are 25.9 □g/dl and 7.9 □g/dl respectively, which are lower than the monitoring values of 40 and 30 □g/dl respectively. 3.The urine, blood and biochemical tests showed higher abnormal rate, especially in the tests of urine protein, occult blood, white blood cells, blood sugar, creatinine, triglyceride, and chest X ray (roentagenology of chest). They are 19.67%, 20.22%, 13.55%, 14.36%, 5.85%, 34.57%, and 11.65% respectively. 4.The abnormal rate of cancer test is also higher in screening for cervical cancer (6.25%), breast cancer (6.90%), and oral cancer (1.65%). 5.For discomfort of bone and muscle, the neck pain is in the majority (35.48%), the next are shoulder pain (34.95%), and lower back pain (32.80%), etc. 6.To evaluate the working pressure index with the blue index scale, it was found that the workers having a cut-off point of 19 account for 4.33%. Conclusion and Suggestions: 1.It is proper for painters to receive physical examination and blood lead concentration test once a year in order to reach the goal of “early discovery, early treatment”. 2.The painters belong to high dangerous group of female cancer, oral cancer and chronic diseases. The health authority should pay more attention to them and enhance the prevention and control of such diseases. The painters who are found to be abnormal in the physical examination should receive transfer examination as soon as possible. 3.The occupational injuries to neck and back of the painters have been quite a serious problem. Effort should be made to improve the same through education and provision of immediate referral service. 4.To provide education and training on self-health and safety protection to painters in order to avoid occupational hazard. 5.The health authority should cooperate with relevant organizations or units to organize a special health maintenance team for health management of painters.
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WENG, JEN-SUNG, and 翁仁嵩. "Oral Health Survey of Kaohsiung City Residents." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/87690871051696002096.

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碩士
高雄醫學大學
口腔衛生科學研究所碩士在職專班
90
This study objectives were to investigate the oral condition of the Koahsuing City residents who were more than 18 years old. The study design was a stratified cluster sampling with selection probability proportional to size. There were 418 subjects collected. Each participatnt received a personal interview and an oral examination, which including DMFT, periodontal status, oral mucosal lesion and etc. The results showed the mean DMFT of men is 4.63(± 4.97), and 6.61(± 5.09) for women. The caries prevalence rate(CPR) of men is 77.54%, whereas the women is 92.22%. More than half of people suffer from periodontal diseases, 51.34% for men and 50.31% for women, respectively. There were three subjects who had difficulties in opening their mouths because of oral submucosal fibrosis. As for the teeth-brushing habit, those who use the Fones Method suffer less from the periodontal diseases. In summary, both the caries prevalence rate and the mean DMFT for the adults of Kaohsiung City are very high compared to the recommendation by the WHO. The prevailing periodontal diseases showed the importance of oral health habit. Among the 45 subjects with areca quid chewing habit, 5 persons were found to have oral mucosal diseases. From the study results, one can concluded that the local oral health policy and services need to be promoted and reinforced, and that all citizens need to learn oral condition self-examine, regularly.
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41

Chen, Cheng-Ting, and 陳政廷. "Health Status,Health Behaviors and Community Involvement in Community Elders,Taichung City." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/75232466692023309699.

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碩士
中臺科技大學
醫療暨健康產業管理系碩士班
101
Background and Purpose: Owing to rapid population aging, chronic diseases have become the major health problem of the elderly. In addition, adverse health behaviors are the main cause of chronic diseases in the elderly. The purpose of this study is to investigate the health status, health behaviors and current status of community participation of the elderly in a certain community in Taichung City, as well as the factors affecting them. Methods: This study enrolled the elderly domiciled in a certain community in Taichung City in 2013 as the subjects, with a total of 185 senior citizens enrolled. This study conducted one-on-one household interviews, and successfully interviewed 176 subjects, with a valid visit rate of 95.1%. This study used a self-developed structured questionnaire as the research tool whose content included socio-demographic characteristics, health behavior scale and community participation scale. The statistical methods used included descriptive statistics, t-test, one-way ANOVA and stepwise multiple regression. Results: The scores of the subjects are as follows: the minimum number of chronic diseases suffered by subjects was 0, while the maximum number was 7. The average number of chronic diseases suffered by male subjects was 2.66, while that of those suffered by female subjects was 3.43. The instrumental activities of daily living 14.1% of the male subjects were complete, while that of 48.3% of female subjects were complete. The mental status of 90.5% of male subjects was complete, while that of 87.9% of female subjects was complete. The mean score of self-assessed health of male subjects was 3.21, while that of female subjects as 3.42 (total score was 5). The mean score of dietary behavior was 1.90, exercise was 2.60, smoking was 1.52 and betel nut chewing was 1.20 (total score was 3). The mean score of community participation frequency of male and female subjects was 1.47 (total score was 4). There was a significant difference in the number of chronic diseases, self-assessed health status, dietary behavior and exercise behavior between male and female subjects. The proportions of smoking, drinking and betel nut chewing of male subjects were significantly higher than those of female subjects. The important factors affecting the overall “community participation” of the community elderly included “exercise behavior,” “age,” betel nut chewing behavior” and “instrumental activities of daily living,” and the explanatory power was 27.0%. Conclusions and suggestions: To improve the “community participation” of community elderly, interventions can be provided to improve the aspects of “exercise behavior,” “age,” “betel nut chewing behavior” and “instrumental activities of daily living” of community elderly.
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42

Parirenyatwa, Chamisamoyo Masimba. "Healthy spaces, facilitating health: rethinking the role of healthcare facilities." Thesis, 2017. http://hdl.handle.net/10539/22971.

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Thesis submitted in the fulfilment of Master of Architecture [Professional] to the Faculty of Engineering and the Built Environment at the University of the Witwatersrand, Johannesburg, 2017
In light of the new National Health Insurance scheme being implemented in South Africa, there is a need for new healthcare infrastructure to be developed to ensure the National Health Insurance healthcare is accessible to the people of the country. This thesis explores: (1) what value a holistic healthcare approach can have on healthcare services, (2) what architecture can be beneficial to patients and staff members in healthcare facilities and (3) what impact advances in medicine have on healthcare design and healthcare practice. The architectural aim of this thesis is to create healthier healthcare spaces for patients and staff members, but to extend the healthcare infrastructure to create healthier spaces within the communities they serve. Furthermore, the thesis explores ways that healthcare facilities can incorporate solutions to help communities with their long term health needs, verses short term health needs.
MT2017
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43

Ling, Lin Li, and 林麗玲. "Study for Community Health Assessment of Taichung City." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/95588747298169811799.

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碩士
中國醫藥大學
醫務管理研究所
93
Abstract Rapid changes of the society, high economic growth and increasing economic ability of the people in Taiwan have resulted in the changes of life style behaviours and population characteristics and health problems. The major diseases have shifted from communicable diseases to chronic diseases or so-called“ Civilized Diseases”. Therefore the social environment and the health behaviors became important determinants of people’s health status. The medical resources were limited. Under this condition, how to allocate medical resources and how to implement efficient health promotion and diseases prevention programs became an important issue for public health. The purpose of this study was to evaluate community health problems and to understand the utilization of medical resources for Taichung population in order to provide important information for decision-makers in public health bureau of Taichung city. The community health assessment was performed for Taichung population. Three data sources used in the current study: (1) population statistics data of community characteristics , medical care and social service resources, from Department of Health, Ministry of Internal, Environmental Protection Administration and Taichung city government; (2) dataset regarding medical service utilization (times and fee) of National health insurance survey data came from National Health Institution for computing diseases crude incidence rate and crude prevalence rate; (3) survey data from Bureau of Health Promotion in 2002. The results showed that main factor for Taichung city population growth was the social growth rate, especially on the middle-age population. During the recent years, the ten causes death rate had little change. The main causes of mortality were cerebra secular diseases and malignant neoplasm etc, which were chronic diseases. Diseases with increasing crude incidence during 1996-2003 included malignant neoplasm, pneumonia, heart diseases, and chronic liver diseases and cirrhosis. Malignant neoplasm has the highest increasing incidence. For prevalence, pneumonia, heart diseases, hypertension and diabetic were the diseases with increasing prevalence. In general, pneumonia and heart diseases had the highest crude incidence rate and prevalence rate. The crude incidence rate and prevalence rate of malignant neoplasm were getting higher every year. The ranks for estimated medical fee per capita for diseases were as follow: nephritis, nephritic syndrome, and nephrosis, hypertension, diabetic and heart diseases. The estimated medical fee per capital was also increasing every year. If we calculated the average medical fee per patient, the highest medical fee was heart diseases. But the average medical fee per patient for nephritis, nephritic syndrome, nephrosis and hypertension were growing rapidly. This study provides both disease prevalence and incidence rates for Taichung city, which was very important for planning chronic diseases prevention programs. Meanwhile it also contributes the key information for medical resources allocation and disease prediction.
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Lai, Guo-Hao, and 賴國豪. "Water Quality and Health – a study of Kaohsiung City." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/21056450479394068459.

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Hill, Patricia M. "Healthy communities in British Columbia : a case study of the Tri-City Health Promotion Project." Thesis, 1993. http://hdl.handle.net/2429/2562.

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In recent years, the term "Healthy Communities" has become a catch phrase among planners, health promotion workers, social workers and government agencies, and increasing numbers of professionals have taken a role in the development of healthy communities projects. The literature on the healthy communities concept has increased in size and scope. Yet the concept itself is byno means clearly defined. Nor is there a standard method for developing a successful healthy communities project, or a regional collaboration of healthy communities projects. The question remains, when a planner undertakes a role in the development of a healthy communities project, what are the most important factors to consider? This thesis examines the influence of various project inputs on the ability of a regional healthy communities project to achieve its objectives. The thesis uses a case study of the Tri-City Health Promotion Project, a collaborative healthy communities project undertaken in the cities of Castlegar, Trail and Nelson in the West Kootenay region of British Columbia. In this study, documentary analysis and interviews with Tri-City project staff illuminate the importance of several influences on a regional healthy communities project. Some of these are: the approach used by the participants (task- orprocess-orientation), the resources and constraints specific to each community, the context from which the project grew, the personalities of those involved, the ability of the collaborating communities to work together, and the relationship between the community and regional bodies in the project structure. Conclusions: While every healthy communities project will be affected differently by various inputs, in the case of the Tri-City Health Promotion Project, the relationship between the regional and community bodies in the project structure had the greatest influence on the ability of the community Steering Committees to achieve their goals. Planners working on a regional healthy communities project must carefully examine the design of the project, in order to develop a structure which enhances the working relationship between regional and community bodies. This is particularly crucial in the healthy communities context, where decision-making power often resides at the community level, rather than being centralized in the regional body.
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Poho, Petronella Tryzina. "Identification of health needs and problems of Black employees in the Germiston City Health Department." Diss., 1994. http://hdl.handle.net/10500/15797.

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The aim of this study was to identify the health needs and problems of black employees within the Germiston City Health Department in order to indicate a possible relationship between such needs and problems and a high rate of absenteeism. Although the findings could relate to all employees, this study was limited to black employees only. Data was collected by means of observation, perusal of health records and personal interviews with personnel as well as with the selected sample. The results of the study highlighted the specific health needs and problems of employees as well as factors which could influence their health status and which could contribute to the problem of absenteeism. The main factors identified included interalia poor working conditions and unsatisfactory methods of solving employees problems. Relevant recommendations were made ;· to address the problem of absenteeism in the Germiston City Health Department
Health Studies
M.A. (Nursing Science)
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47

Chi, Li-Ching, and 紀麗卿. "A study of early childhood teachers’ health conception and health promoting lifestyle in Taichung City." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/03204622485103535647.

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碩士
國立臺中教育大學
幼兒教育學系碩士班
100
A study of early childhood teachers’ health conception and health promoting lifestyle in Taichung City Chi, Li-Ching Abstract The purpose of this study is to investigate the current status of health conception and health promoting lifestyle, and the relations between health conception and health promoting lifestyle of early childhood teachers. The researcher designed two scales to measure the levels of health conception and health-promoting lifestyle of the early childhood teachers. Among the teachers working in both public and private kindergartens and nursery schools in Taichung City, 1,040 were stratified randomly sampled and 833 valid questionnaires were returned. The data was analyzed by using descriptive statistics, t-test, one-way ANOVA, Pearson Product-moment correlation, as well as multiple regression analyses. The findings of this study are as follows: 1. In general, the health conception level in Taichung City of the teachers is medium to slightly above medium. Among all the dimensions, the dimension of eudaimonistic health conception is the highest level of health conception, followed by adaptive health conception, role performance health conception and clinical health conception. 2. Generally speaking, the health-promoting lifestyle of the teachers in Taichung City is medium to slightly above medium. Among all the dimensions, the dimension of interpersonal support is the highest level of health promoting lifestyle. It is followed by self-fulfillment, stress management, health responsibility, dietary behavior and exercise. 3. The variables that were sampled regarding the early childhood teachers’ backgrounds include age, level of education, teaching experience, office position, school type, income, marital status, child status, and perceived health status. There are significant differences between these variables in relationship with health conception. The results are as follows: a. Clinical health conception: There are significant differences in marital status, child status and perceived health status. b. Role performance health conception: There are significant differences in marital status and child status. c. Adaptive health conception and the holistic health conception: There are significant differences in age, marital status and child status. d. Eudaimonistic health conception: There are significant differences in teaching experience, age, income, marital status and child status. 4. The diversity of different backgrounds affects health-promoting lifestyle in such ways: a. The holistic health-promoting lifestyle and subscales such as dietary behavior, stress management and self-fulfillment: There are significant differences in all background variables except the level of education. b. Exercise behavior: There are significant differences in most background variables except the level of education, marital status and child status. c. Interpersonal support: There are significant differences only in teaching experience, marital status and child status. d. Health responsibility: There are significant differences in most background variables except the level of education and perceived health status. 5. The correlation between health conception and health-promoting lifestyle are: a. The holistic health conception and subscales such as clinical health conception and eudaimonistic health conception are positively related to holistic health-promoting lifestyle and all the dimensions. b. Subscales such as role-performance health conception and adaptive health conception are positively related to the holistic health-promoting lifestyle, dietary behavior, stress management, interpersonal support, health responsibility and self-fulfillment. However, they are not related to exercise behavior. 6. It is found that seven variables could predict one’s health-promoting lifestyle; they are clinical health conception, eudaimonistic health conception, being over 41 years old, having income less than 30,000, having good perceived health status and having teaching experience of below 10 years. These seven factors could explain 17.9 % of the variance of health-promoting lifestyle. According to the results, early childhood teachers are suggested to follow a healthy diet and develop regular exercising routines. Furthermore, the research recommends that training institutions should provide health promoting related courses, and that early childhood schools should establish health-promoting relating clubs in order to improve the teachers’ health. Keywords: early childhood teacher, health conception, health promoting lifestyle.
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48

Lee, Hui-Mei, and 李惠美. "Investigation of burnout, mental health, physical health and work stress in dentists of Kaohsiung city." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/18519203434312776195.

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碩士
高雄醫學大學
口腔衛生科學研究所
90
The issue of “work stress” has been a hot controversy in the recent years. The research indicates that it has influenced in many areas including the mental state, the level of satisfaction of work performance and etc. A balanced mental state can handle any kind of stress during work especially when it comes to require a delicate care. Dentists have been elected to be the most stressful group among the medical care field. On this essay I am going to discuss precisely the relationships between work stress, stress coping, and work related fatigue. In the questionnaires of 164 qualified dentists (for those who has had their licenses at least six months) in the city of Kaohsiung show two main results:(1) Occupational Stress Indicator (OSI), (2) Maslach Burnout Inventory (MBI). According to OSI, there are charts of job satisfaction, physical & mental health, sources of stress, and stress coping. As for MBI, it includes the charts of emotional exhaustion, depersonalization, and person achievement. According to my research, the most stressful people among the dentists are those who are young and single female resident dentists, fairly new in the battle, usually hard to cope with the stress from work. The bigger the organization, the greater the pressure . After a careful analysis, the interesting results are the following:(1) emotional exhaustion is positively related to work stress but negatively related to stress coping, (2) job satisfaction & mental state is negatively related to work stress, but positively related to stress coping, (3) personal achievement is also positively related to stress coping, (4) depersonalization is negatively related to stress coping, (5) sources of stress has no relation with stress coping.
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49

Lee, Pei-Chi, and 李珮綺. "Apply the Health Belief Model Approaches for Health foods Use among adults in Taipei City." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/q4hsvq.

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碩士
輔仁大學
公共衛生學系碩士班
96
Purposes: The study applied the Health Belief Model, and entered lifestyle variance to explore the influence factors of health foods usage of Taipei city adults, in order to provide diet policy on public health. Methods: Data was collected by CATI system, and selected 810 adults who lived in Taipei city randomly. Results: Research fond that about fifty percent subjects use health foods, and the main use category are Vitamins and Minerals. The commendation of family and friends and the advertisements of mass media are the main informers to make subjects use health foods. People who wasn’t sleepless, the non-use rate of health foods is higher than people who sometimes or usually sleepless. The Logistic regression analysis found that people who older than 46 years old, university or college graduate, family monthly income above one hundred thousands are the main users of health foods, furthermore the higher perceived benefits and the higher score of interpersonal and mass media, the higher use probability of health foods. Suggestions: It’s essential to tell people to use health foods moderately, and recognized commercials as an exaggeration. In addition, it’s indispensable to educate people should consult community doctors or pharmacists before they use health foods, it’s not only to help them to choose adequate supplements, but also to avoid risk interaction between health foods and medicine.
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50

Lin, Su-yin, and 林素英. "A Study on the Health-promoting Lifestyles of the Public Health Staff of District Health Centers in Taipei City." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/64616662944172232448.

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碩士
國立臺灣師範大學
健康促進與衛生教育學系在職進修碩士班
98
Using public health staff working in all district health centers in Taipei as the research group, the purpose of this research was: 1) To understand the current health promotion life style, self-perceived health status, and working stress of the research group; 2) To compare the differences among their data of social demography, health promotion life style, self-perceived health status, and working stress; 3) To explore the correlation between health promotion life style and self- perceived health status of target group; 4) To discover the correlation between health promotion life style and working stress of target group; 5) To confirm the predicting factors toward the health promotion life style of the research group. The Cross-sectional study design and a combinational self-report questionnaire were used. The questionnaire was applied for collecting their demographic information and scores of self- perceived health status scale, working stress, and health promotion life style. 241 questionnaires were given and 232 of them were returned. T-test, One-Way ANOVA, Pearson Product- Moment correlation coefficient and Multiple Regression were applied as data analysis strategies. The results reveal: 1) The ranking of current health promoting lifestyles behaviors is from social-supporting, nutrition, self-actualization, stress management, to health accountability, and the exercise behavior was the lowest one; The average score of self- perceived health status located between normal to good; The ranking of working stress is from fatigue, unsatisfaction, to anxiety, lower self-esteem, and the depression is the lowest one; 2) Some demographic factors, such as age, working year, working position, self- perceived health status, have positive impacts on their health promotion life style, however, the working stress has the negative impact on their health promotion life style. That is, the more the age they are, the longer the working year they have, the higher the working position they possess, the better the self- perceived health status they present, the fewer the working stress they experienced, the better the health promotion life style they can practice; 3) number of children, self-perceived health status, and working stress are the effective predictable variables, which totally make 23.5% influences on the health promotion life style among research group.
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