University of British Columbia, Arthritis Research Centre of Canada, Centre for Clinical Epidemiology and Evaluation, 717-828 West 10th Avenue, Vancouver, British Columbia V5Z 1L8, Canada. firstname.lastname@example.org
The paper substantiates a need for specific regulation of biological waste products due to their high potential danger to the environment. Being governed by the normative legal acts on the provision of the population with sanitary-and-epidemiological well-being, adopted by the federal executive bodies and the federal executive bodies of the subject of the Russian Federation, the Inspectorate for the Protection of Consumer Rights and Human Welfare in the Republic of Bashkortostan is competent to supervise and control the activity of enterprises and institutions, the conditions and procedures for collection, usage, decontamination, transportation, storage and disposal of waste products and utilization in accordance with the current sanitary rules and regulations. As a result, the authors took part in the elaboration of several long-term programs and resolutions of the Government of the Republic of Bashkortostan Government, realization of which will reduce the impact of environmental pollution on human health.
The system of children's health protection in this country still lacks an adequate legal basis. Its improvement should be considered as a function of the state realized through legal regulation of public relations for the benefit of each child based on the legislatively fixed government policy in the sphere of children's health care. Such an approach may strengthen the role of this sphere in the intersectoral relations and implies the extension of pediatrics toward interaction with the spheres of politics and law. It reflects the understanding that physiological processes behind regulation of the functioning of the child's organism in the course of its development need an adequate support from the outside through regulation of public relations on behalf of children. The definition of state policy in the sphere of children's health care is proposed and its basic principles are considered.
This article profiles a pilot project in Huron County, Ontario, which merged two separate government-sponsored programs that provide support to families with disabled children into a single program delivered through a community agency. After almost ten years in operation, the program is working very well, but certain adjustments are necessary to keep the program running smoothly.
SETTING: Vientiane municipality, Laos. OBJECTIVE: To describe and evaluate the implementation of standardized registration and reporting procedures within the municipality in a period of decentralization. The purpose of the standardization was to obtain complete and reliable information on case-finding and treatment results. DESIGN: Evaluation by review of quarterly reports on case-finding and treatment results, and comparison of information from the records of individual patients on site with the records of the supervisors. RESULTS: Case-finding increased in 1994-1998. Treatment success improved from 26.8% (95% CI 21.5-44.0) to 74.6% (95% CI 69.9-79.3). Given an option for autoadministered long-course treatment versus directly observed short-course treatment, 97% of the patients registered in 1998 received the latter. Following decentralization, evaluation of results of treatment was incomplete due to a high ratio of 'transfer out' patients (16.4%, 95% CI 11.5-21.3). After intervention this proportion was reduced to 2.3% (95 %CI 0.7-3.9). In 1998, approximately 40% of smear-positive patients diagnosed at the National Tuberculosis Center and residing in the districts evaluated were 'transferred' or 'referred' to the districts. All but three of the 68 patients presented at the district hospitals, mostly without delay. Registration and reporting was reasonably accurate. At the end of the period evaluated, decentralization was only partial and problems in case-holding were still evident. CONCLUSIONS: When decentralizing services it is important to establish procedures for management of information flow in order to allow the activities to be evaluated and problems amenable for correction to
How to succeed in facilitating for empowering processes within social work practice is a central topic in both theoretical discussions and regarding its principles in practice. With a particular focus on how dialogical communication can play a part in order to practice empowering social work, through this text the author frames HUSK as a project facilitating the underpinning humanistic approaches in social work. Dialogical communication and its philosophical base is presented and recognized as a means to achieve empowering social work as well as highlighting the importance of the humanistic approach. The author also underscores how HUSK projects in themselves were enabled because of the required collaboration between service users, professionals, and researchers that signified HUSK. This is pinpointed as having potential for a future research agenda as well as pointing at how the outcomes of the projects may impact future social work practice when the goal is to conduct empowering social work.
In the literature, there are few examples of studies analyzing the impact of labor market programs on vacancies. This article presents the results of a study of the impact of personnel increase at Swedish employment offices on vacancy durations. The evaluation method in the study is quasi-experimental. The main results of the study are as follows: (a) The increase of employment office staff members reduced their vacancy durations by approximately 2 days, and the probability that a vacancy is cancelled from the register is 1.17 times higher for the program offices; and (b) this effect is too small for the increase of staff members to represent a socially efficient use of resources and for a positive outcome in a public finance context.
Equality emerges as a key value for collaboration between academics, practitioners, and users in HUSK. The aim of the author in this analysis is to explore how the norm of equality is reflected in the HUSK projects, the strategies used to promote equality, and issues that emerge when equality is challenged by the participants involved. Particular attention is given to the roles of the service users who saw themselves as being "in the same boat" as all the other HUSK project participants. Strategies to promote equality include the redistribution of tasks carried out by participants and serious recognition of the different contributions made by the participants. In addition to focusing on the role of collaborative research and shared work, the author draws upon the moral philosophy elaborated by Skjervheim and the meaning of vulnerability elaborated by the phenomenological moral philosopher Løgstrup.
Through this article the authors describe the social service context of the HUSK (The University Research Program to Support Selected Municipal Social Service Offices) projects and briefly describe 10 of the 50 projects funded throughout the country. The welfare state context for the cases and the criteria for case selection are also provided. The 10 cases are organized into three categories that feature the role of dialogue, educational innovation, and service innovation. These cases provide the foundation for the analysis and implications located in the subsequent articles of the special issue.