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1.
The impact of refugees on the health status and health services of host communities: Compounding bad with worse? 总被引:1,自引:0,他引:1
Dick B 《Disasters》1985,9(4):259-269
Although there have been a number of recent developments in our understanding of refugee health problems that have influenced policies and action, the effects of refugees on the health status and services of host communities remain relatively neglected. This article sets out to explain why this is an important issue with implications for policy, planning surveillance and evaluation, training and research.
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research. 相似文献
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research. 相似文献
2.
Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance. 相似文献
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance. 相似文献
3.
Reynolds SJ Milton DK Heederik D Thorne PS Donham KJ Croteau EA Kelly KM Douwes J Lewis D Whitmer M Connaughton I Koch S Malmberg P Larsson BM Deddens J Saraf A Larsson L 《Journal of environmental monitoring : JEM》2005,7(12):1371-1377
Endotoxin exposure is associated with wheeze and asthma morbidity, while early life exposure may reduce risk of allergy and asthma. Unfortunately, it is difficult to compare endotoxin results from different laboratories and environments. We undertook this study to determine if lipopolysaccharide (LPS) extraction efficiency could account for differences among laboratories. We generated and collected aerosols from chicken and swine barns, and corn processing. We randomly allocated side-by-side filter samples to five laboratories for Limulus assay of endotoxin. Lyophilized aliquots of filter extracts were analyzed for 3-hydroxy fatty acids (3-OHFAs) as a marker of LPS using gas chromatography-mass spectrometry. There were significant differences in endotoxin assay and GC-MS (LPS) results between laboratories for all dust types (p < 0.01). Patterns of differences between labs varied by dust type. Relationships between assay and GC/MS results also depended on dust type. The percentages of individual 3-OHFA chain lengths varied across labs (p < 0.0001) suggesting that each lab recovered a different fraction of the LPS available. The presence of large amounts of particle associated LPS and absence of a freezing thawing cycle were associated with lower correlations between LPS and bioactivity, consistent with an absence of Limulus response to cell-bound endotoxin. These data suggest that extraction methods affect endotoxin measurements. The LAL methods may be most suitable when comparing exposures within similar environments; GC-MS offers additional information helpful in optimizing sample treatment and extraction. GC-MS may be of use when comparing across heterogeneous environments and should be considered for inclusion in future studies of human health outcomes. 相似文献
4.
Application of a checklist for quality assistance in environmental modelling to an energy model 总被引:2,自引:0,他引:2
James Risbey Jeroen van der Sluijs Penny Kloprogge Jerry Ravetz Silvio Funtowicz Serafin Corral Quintana 《Environmental Modeling and Assessment》2005,10(1):63-79
Large, complex energy models present considerable challenges to develop and test. Uncertainty assessments of such models provide only partial guidance on the quality of the results. We have developed a model quality assistance checklist to aid in this purpose. The model checklist provides diagnostic output in the form of a set of pitfalls for the model application. The checklist is applied here to an energy model for the problem of assessing energy use and greenhouse gas emissions. Use of the checklist suggests that results on this issue are contingent on a number of assumptions that are highly value-laden. When these assumptions are held fixed, the model is deemed capable of producing moderately robust results of relevance to climate policy over the longer term. Checklist responses also indicate that a number of details critical to policy choices or outcomes on this issue are not captured in the model, and model results should therefore be supplemented with alternative analyses. 相似文献
5.
ZHANG Shao-yuan Renze van Houten Dick H. Eikelboom JIANG Zhao-chun FAN Yao-bo WANG Ju-si 《环境科学学报(英文版)》2002,14(4):501-507
Based on the microorganism kinetic model, the formula for computing hydraulic retention time in a membrane bioreactor system (MBR) is derived. With considering HRT as an evaluation index a combinational approach was used to discuss factors which have an effect on MBR. As a result, the influencing factors were listed in order from strength to weakness as: maximum specific removal rate K, saturation constant Ks, maintenance coefficient m, maximum specific growth rate ,ua and observed yield coefficient Yobs. Moreover, the formula was simplified, whose parameters were experimentally determined in petrochemical wastewater treatment. The simplified formula is θ= 1.1( 1/β -1)(Ks S)/KXo , for oetroehemical wastewater treatment K and Ko eaualed 0.185 and 154.2, resoectively. 相似文献
6.
J. V. Bonta C. R. Amerman T. J. Harlukowicz W. A. Dick 《Journal of the American Water Resources Association》1997,33(4):907-917
ABSTRACT: A study was conducted to determine the effects of mining and reclaiming originally undisturbed watersheds on surface-water hydrology in three small experimental watersheds in Ohio. Approximately six years of data were collected at each site, with differing lengths of premining (Phase 1), mining and reclamation (Phase 2), and post-reclamation (Phase 3) periods. Mining and reclamation activities showed no consistent pattern iii base-flow, and caused slightly more frequent higher daily flow volumes. Phase 2 activities can cause reductions in seasonal variation in double mass curves compared with Phase 1. Restoration of seasonal variations was noticeably apparent at one site during Phase 3. The responses of the watersheds to rainfall intensities causing larger peak flow rates generally decreased due to mining and reclamation, but tended to exceed responses observed in Phase 1 during Phase 3. Natural Resources Conservation Service (NRCS) curve numbers increased due to mining and reclamation (Phase 2), ranging from 83 to 91. During Phase 3, curve numbers remained approximately constant from Phase 2, ranging from 87 to 91. 相似文献
7.
Penny Dick 《组织行为杂志》2006,27(1):37-58
The cognitive‐perceptual conceptualisation of the psychological contract has dominated research in this field. In this paper, it is argued that locating the psychological contract at the level of the individual‐organisational relationship can offer rich insights into psychological contract dynamics. Using qualitative interview data from a research study exploring how managers and part‐timers deal with the transition from full to part‐time police work in the UK, it is argued that a multi‐perspective conceptualisation of the sources of the psychological contract is critical for understanding processes that lead to non‐mutuality of understandings. Specifically, it is argued that the institutional and organisational context, embedded in the actions of third parties and in management practices, can undermine the extent to which the manager and the employee can reach agreement about mutual obligations. The theoretical and policy implications of this position are developed. Copyright © 2006 John Wiley & Sons, Ltd. 相似文献
8.
This study investigates the potential for perchlorate biodegradation in the sediments of the Las Vegas Wash area in Henderson, Nevada. The continuous transport of perchlorate from a contaminated seepage to the Las Vegas Wash, Lake Mead, and the Colorado River has resulted in considerable deposition of perchlorate along the sediments of the Las Vegas Wash. The contaminated sediments act as a distributed source of perchlorate, making efforts to stop the flow of perchlorate to the Colorado River very challenging. In this study, perchlorate‐ reducing bacteria were enumerated and microcosm tests were performed to investigate the role of indigenous microorganisms and the limitations to natural perchlorate biodegradation in the contaminated sediments. The results of microcosm tests revealed that, despite the high number of perchloratereducing bacteria present, natural perchlorate in the area appears to be limited by (1) high salinity levels, the presence of nitrate, and the low perchlorate concentrations present in the sediments and (2) an insufficient carbon source. However, the potential for in situ bioremediation of the sediments along the Wash area is considered to be high due to the presence of significant numbers of perchlorate‐ reducing bacteria and to the ease in which an additional carbon source could be provided to sustain nitrate and perchlorate biodegradation. The economics of this process are expected to be very favorable; however, detailed cost estimates, pilot‐scale testing, and permit applications are required before this concept can be applied. © 2005 Wiley Periodicals, Inc. 相似文献
9.
ISO 14001 certification and financial performance: selection-effect versus treatment-effect 总被引:1,自引:0,他引:1
Iñaki Heras-Saizarbitoria José F. Molina-Azorín Gavin P.M. Dick 《Journal of Cleaner Production》2011,19(1):1-12
The paper explores the bi-directional relationship between ISO 14001 certification and financial performance with the aim of shedding light on whether better performance is due to the beneficial effects of ISO 14001 or due to selection-effects where better performance precedes accreditation. The study uses a five year longitudinal analysis to compare the financial performance of firms in Spain before and after certification. The results of a multivariate panel data analysis find that firms with better than average performance have a greater propensity to pursue accreditation but there is no evidence that improvements in performance follow certification. This suggests that the inference that environmental variables cause improved financial performance may be unwise in research studies that can only measure association. 相似文献
10.
Ronald W. Klusman Christopher J. Dick 《Journal of the Air & Waste Management Association (1995)》2013,63(9):1632-1636
ABSTRACT Methane exchange with the atmosphere was measured during three seasons at the Rooney Road landfill in Jefferson County, CO. Substantial spatial and temporal variability in exchange rates were observed. Mean fluxes to the atmosphere were 534, 1290, and 538 mg CH4/m2/day, respectively, in the fall of 1994, winter of 1994–1995, and summer of 1995. Median fluxes were 12.42, 8.62, and 5.65 mg CH4/m2/day, respectively, during those seasons. Forty-three of 177 measurements had small negative fluxes, suggesting methanotrophic activity in the landfill cover soils. Despite probable methanotrophic activity in cover soils, landfills without gas collection systems may emit substantial CH4 to the atmosphere, with large spatial and seasonal variability. 相似文献