Suchergebnisse

Intro -- The United Nations. Past, Present and Future: Proceedings of the 2007 Francis Marion University UN Symposium -- Contents -- Editor's Foreword -- List of Participants -- Transcript of the First Ambassadorial Session -- Transcript of the Second Ambassadorial Session -- Peacekeeping and Security -- Introduction -- Managing Risk, Protecting Populations, Blurring Spaces of Governance: Kofi Annan's Vision for a UN-Led Collective Security System in the New Millenium -- Abstract -- Introduction -- Managing Risk, Protecting People, Re-envisioning Sovereignty -- Disputes -- Conclusion -- Note -- References -- From Policy to Practice: Security Sector Reform in Liberia -- Abstract -- From Policy to Practice: Security Sector Reform in Liberia -- Historical Roots of the Conflict -- End of Americo-Liberian Rule -- 1980-1989: The Reign of Samuel Doe -- 1989-2003: The Reign of Charles Taylor -- 2005: Elections -- Transforming the Security Situation -- Program Timeline -- Lesson One: Policy to Practice Begins with the Peace Agreement -- Lesson Two: Justice verses Security -- Lesson Three: Human Security Matters -- Conclusion -- Glossary -- References -- The Suez Crisis and the Emergence of the First International UN Peacekeeping Emergency Force, 1956-1967 -- Abstract -- Introduction -- Historical Background of the 1956 Suez Crisis -- Background of the Suez Crisis -- The Regional Aspect of the Suez War -- The International Aspect of the Suez War -- UN Intervention -- Conclusion -- Appendix: UNEF 1: Facts and Figures -- References -- Introductory Essay: The United Nations and Human Rights -- The United Nations and Human Rights: Implementing Humanitarian Intervention, International Criminal Justice and Humanitarianism -- A Short History of the Responsibility to Protect -- The Developing International Justice Regime: The Responsibility to Prosecute.

Presidential popularity is often considered a political resource. As a result, polls regularly address presidential approval. Using a content analysis of newspaper articles from the beginning of the Kennedy administration through the conclusion of the first George W. Bush administration, this study examines the relationship between first ladies & first children & presidential approval. Our findings suggest that presidents & first ladies are not necessarily evaluated independently of each other & that the media coverage of presidential children can be both political assets & liabilities to their fathers. Our study, therefore, establishes a foundation & need for future studies pertaining to individuals with close ties to the president. Adapted from the source document.

Presidential popularity is often considered a political resource. As a result, polls regularly address presidential approval. Using a content analysis of newspaper articles from the beginning of the Kennedy administration through the conclusion of the first George W. Bush administration, this study examines the relationship between first ladies and first children and presidential approval. Our findings suggest that presidents and first ladies are not necessarily evaluated independently of each other and that the media coverage of presidential children can be both political assets and liabilities to their fathers. Our study, therefore, establishes a foundation and need for future studies pertaining to individuals with close ties to the president.

This article explores perceptions of time reported by service users, family carers, care workers, nurses, social workers and agency managers across home support services for older adults in Ireland. The findings are organised around: time spent waiting for care; time spent 'processing' care across primary and secondary care boundaries; time and person-centred care; and time, technology and communication. Time emerges as a problematic aspect of all processes and structures around formal home care, suggesting that addressing issues around time is central to resolving systemic challenges. Greater flexibility in time allocation and effective communication among stakeholders could improve experiences of care.

Background: There is increasing demand for formal government funded home help services to support community-dwelling older people in Ireland, yet limited information exists on the health profiles of this group, especially regarding frailty. Our aim was to profile a large cohort of adults in receipt of low level home help and to determine the prevalence of frailty. Methods: A total 1312 older adults, (? 65 years) in receipt of low level home help (95 years, moderate frailty was significantly higher relative to the younger groups (21% and 34%, p < 0.05, p < 0.01 respectively). Home help hours significantly correlated with frailty (rs = 0.371, p < 0.001) and functional dependency (rs = 0.609, p < 0.001), but only weakly with age (rs = 0.101, p = 0.034). Based on regression analysis, determinants of frailty included greater dependency (Barthel score), higher home help hours, non-self-caring and communication difficulty, all of which significantly contributed to the model, with a r squared value of 0.508. Conclusion: A high prevalence of frailty (41.5%) was documented in this population which associated with higher home help utilisation. Frailty was associated with greater functional dependency, but not strongly with chronological age, until after 90 years. These findings highlight opportunities for developing intervention strategies targeted at ageing in place among home help users.

There is more to primary care than solely medical and nursing services. Models of Child Health Appraised (MOCHA) explored the role of the professions of pharmacy, dental health and social care as examples of affiliate contributors to primary care in providing health advice and treatment to children and young people. Pharmacies are much used, but their value as a resource for children seems to be insufficiently recognised in most European Union (EU) and European Economic Area (EEA) countries. Advice from a pharmacist is invaluable, particularly because many medicines for children are only available off-label, or not available in the correct dose, access to a pharmacist for simple queries around certain health issues is often easier and quicker than access to a primary care physician or nursing service. Preventive dentistry is available throughout the EU and EEA, but there are few targeted incentives to ensure all children receive the service, and accessibility to dental treatment is variable, particularly for disabled children or those with specific health needs. Social care services are an essential part of health care for many extremely vulnerable children, for example those with complex care needs. Mapping social care services and the interaction with health services is challenging due to their fragmented provision and the variability of access across the EU and EEA. A lack of coherent structure of the health and social care interface requires parents or other family members to navigate complex systems with little assistance. The needs of pharmacy, dentistry and social care are varied and interwoven with needs from each other and from the healthcare system. Yet, because this inter-connectivity is not sufficiently recognised in the EU and EEA countries, there is a need for improvement of coordination and with the need for these services to focus more fully on children and young people.

OBJECTIVE: To identify factors that predict admission to long‐term care (LTC) and mortality among community‐based, dependent older people in Ireland, who were in receipt of formal home support. METHODS: An audit was conducted of all community‐dwelling older adults receiving government funded home support during 2017 in the Dublin North Central, Health Service Executive administrative area. Data were extracted from the Common Summary Assessment Report (CSAR), a mandatory form used in the provision of home support. Multiple logistic regression analysis was used to examine the factors associated with admission to LTC and mortality, with the results presented as odds ratios (OR) and 95% confidence intervals. RESULTS: The audit comprised 1597 community‐dwelling older adults with a mean age of 83.3 (SD: 7.2) years. The prevalence of transition to LTC and mortality was 8% and 9%, respectively, during the 12‐month period. Factors significantly associated with admission to LTC were "cognitive dysfunction" [OR 2.10 (1.41‐3.14), P < .001] and the intensity of home support [OR 1.05 (1.01‐1.06), P < .003], as measured by weekly formal care hours. Physical dependency and advanced age (aged 95 years +) were significantly associated with mortality in this population (P < .001). CONCLUSION: "Cognitive dysfunction" and intensity of formal home support were associated with transition to LTC, while physical dependency and advanced age were associated with mortality. Investment in personalised, cognitive‐specific, services and supports are necessary to keep people with dementia and related cognitive impairments living at home for longer.