Develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. Offers a contextual approach for understanding individual autonomy and discusses its relevance to community long-term care. Illustrates how current financing, organization, and delivery of care provide clients with…

A survey of 797 preventive medicine residency graduates found that improvements are needed in the curricula for health administration, environmental health, health education, and occupational medicine. Women found their training less adequate than men did in all areas except clinical preventive medicine. Graduates tended to practice ultimately in…

Indoor air quality is a growing problem in aging school buildings. The Environmental Protection Agency (EPA) offers an Indoor Air Quality Tools for Schools kit which is being used at schools nationwide to improve school maintenance. Profiles an aging school in Connecticut in which teachers were becoming ill to illustrate the use of the kit to…

This exploratory paper seeks, first, to offer some critical sociological comments on the common-sense, or rather ideological, claims surrounding two supposedly emerging "crises": namely, the alleged poor health and declining sport and physical activity participation levels of young people. In this regard, it is suggested that while young people…

A lack of diversity among health care professionals is placing the health of at least one-third of the nation at risk. This fact was among findings announced recently by the Sullivan Commission on Diversity in the Healthcare Workforce in its report, "Missing Persons: Minorities in the Health Professions." The 16-member commission calls…

Health and social care education has a long established association with reflective learning as a way of developing post-qualifying professional practice. Reflective learning is also a key feature of self-regulatory learning, which is an essential aspect of life-long learning for today's National Health Service workforce. Using a small-scale case…

The present study explored hospital community benefits and free care programs at seven hospitals in Nassau and Suffolk counties in Long Island, New York. There were two components to this project: (1) assessment of information regarding the availability of free care and (2) an analysis of the community benefits information filed with state…

The purpose of this study was to design and test the usability of a computer-mediated smoking cessation program for inner-city women. Design and content were developed consistent with principles of user-centered design. Formative and summative evaluation strategies were utilized in its testing. The summative evaluation was designed to test…

There is ongoing debate among educators and in the community about the status of school physical education (PE), particularly in relation to more vocationally-oriented learning areas. Against a backdrop of rising youth obesity, diminishing curriculum time for PE represents a serious public health issue. This study investigated the relationships…

In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative…

Newborn screening for fragile X syndrome (FXS) is technically possible, and in the relatively near future accurate and inexpensive screening technologies are likely to be available. When that happens, will America's public health system adopt newborn screening for fragile X syndrome? This article addresses this issue by first placing screening for…

Sickle cell disease (SCD) affects over 30,000 students in the United States. Central nervous system complications are widespread among students with SCD and include stroke, silent cerebral infarction, and cognitive impairment. The effects of these complications may lead to academic failure, limited career options, and for some, total disability.…

Introduction: The headmaster of a school (NRMV) in rural eastern Nepal, pleaded for help from the public health Department of Psychiatry, BKIHS, Dharan, Nepal, to prevent closure of his school as guardians of many students refused to send their children to his school, which was supposedly haunted by evil spirits. The author, along with his staff,…

This study assessed internships associated with health education professional programs in the U.S. This study updates findings from an earlier survey published in 1990. Using the 2003 "AJHE" directory of institutions, 255 health education professional preparation programs were identified. Two hundred and eleven institutions had a health…

Objective: In the UK there have been no initiatives identified to increase the use of sun safety policies in preschool establishments. This study tests the hypothesis that health visitors with appropriate sun safety training can successfully facilitate the development and implementation of sun safety policies and practices in preschool education…