Benskörhet (osteoporos) och frakturer orsakade av osteoporos är ett stort globalt problem. Syftet med det tioåriga projektet ”Vadstena en benhård kommun” var att utvärdera om man med en befolkningsinriktad interventionsstrategi kunde minska osteoporos och osteoporosrelaterade frakturer i en kommun. Ett representativt urval av befolkningen i åldern 20-79 år, 15% av en population på 7800 personer, blev tillfrågade om att delta vid fyra undersökningstillfällen som innebar att fylla i en enkät och att bentäthetsmätas. Vid första tillfället deltog 70%, första uppföljningen 69%, andra uppföljningen 79% och vid den tredje uppföljningen 65%.Syftet med denna MPH-uppsats är att beskriva det praktiska interventionsarbetet utifrån dagboksanteckningar och att presentera befolkningens upplevelser av interventionsarbetet.Vi nådde uppskattningsvis 5000 personer (65%) av befolkningen med direkt information.De personer som fick individuella riskprofiler baserade på angivna svar i frågeformulär och bentäthetsvärden var de som gav mest positiv respons och kan tillskrivas en lyckad individuell intervention.Den grupp som varit med en eller flera gånger tidigare (interventionsgruppen) var de som vid sista undersökningen 1999, hade fått ökad kunskap om osteoporos (P&lt;0,001). Den gruppen kände även bäst till projektet (P&lt;0, 001), men även den nya gruppen (befolkningsgruppen) kände i hög grad till projektet (75 %). På frågan om deltagarna ville förändra sina vanor var båda grupperna lika villiga (65 % respektive 64 %), vilken kan tillskrivas en lyckad generell intervention.Sjukdomen osteoporos och dess följder tar lång tid att utveckla. Det tar därför även lång tid att mäta effekt av att projekt som detta, som dessutom innefattar en hel befolkning. Nu, 18 år efter projektets start görs en uppföljning av projektet där delar av de mål som sattes upp i början av projektet mäts, bland annat frakturincidens och kunskap om osteoporos hos befolkningen.Nyckelord / Osteoporosis and fractures due to osteoporosis are an increasing global health problem. The aim ofthe ten-years Vadstena Osteoporosis Prevention Project (VOPP) was to evaluate if it was possible toreduce osteoporosis and osteoporotic-related fractures with a community-based prevention programA representative sample aged 20-79 years (Vadstena population of 7800) was invited to participatein the study comprising four measurements including questionnaire and bone mineral densitymeasurement. At baseline 70% participated, at first follow-up 69%, second follow-up 70% and at thethird follow-up 65 %.The aim with this MPH- essay is to describe the intervention from a diary and to present thepopulations experience of the VOPP.We met approximately 5000 persons (65%) of the citizens directly with our intervention. Theparticipators who received individual feedback letters on their answers in the questionnaire and theresults from the bone measurement gave us the best response.The group that participated once or more had the best knowledge about osteoporosis (p&lt; 0.001)and were to an high extent familiar with the project (p&lt;0.001). Even the single participating grouphad god knowledge about the project (75 %). Both groups stated that they wanted to change lifestyle(65 % vs. 64 %) showing a successful general intervention.Osteoporosis is a disease that is present for a long period without signs, before resulting in theclinical sign, fractures. Therefore results of a preventive program towards a whole population isexpected to be found not until after several years. Now eighteen years later a follow up is planned inorder to measure the incidence of osteoporotic fractures and the knowledge about osteoporosis in thepopulation. / <p>ISBN 978-91-85721-45-0</p>

This study examined the knowledge relevant to reducing crime affecting urban Aboriginal people through a risk-focused approach to prevention and a growing body of knowledge about how it gets implemented. It then examined this knowledge in a case study of its application in Winnipeg. Interviews were undertaken using a structured questionnaire with program stakeholders and policy planners involved in crime prevention initiatives, programming and policy in Winnipeg. Approximately half of the stakeholders were involved primarily with Aboriginal people and the other half were involved with programs that included both Aboriginal people and non-Aboriginal people. The interviews took place from September to November 2009. The interviews show that many stakeholders agree with the risk-focused prevention literature on risk factors and that there are prevention programs operating in Winnipeg serving at-risk Aboriginal people. Therefore, there exists the possibility of reducing crime given that they are tackling risk factors in a way which is consistent with crime prevention research. However, when the interviews turned to issues of implementation, it showed: • There is no responsibility centre to mobilize different sectors to tackle crime • Many programs are not implemented comprehensively • There is a lack of localized coordinated action (including support from the police chief and public engagement) • There is a lack of political leadership • There is no city-wide strategic plan, and • Programs are in constant competition for funding in order to continue operations. If we are to reduce the disproportionate rates of victimization and offending affecting urban Aboriginal peoples, we need to find more effective ways to implement the strategies that are proven to tackle risk factors. There must be support from the mayor and police chief, training and capacity development, and public engagement which fosters strong use of proven strategies. A responsibility centre with Aboriginal representation must be created. Funding must be expanded to support the community based organizations that are tackling established risk factors. Finally, sustained and adequate funding must be provided to these programs and the responsibility centre.

Thesis (Ph. D.)--Oregon State University, 2007. / Printout. Includes bibliographical references. Also available on the World Wide Web.

M.Cur. / HIV and AIDS education as a prevention strategy is priority number one in the National Strategic Plan for South Africa. Prevention of illnesses is also an integral part of primary health care (Department of Health, 2007: 10). There are different role players offering age-appropriate HIV and AIDS education to primary school learners, such as educators (within the Life Orientation programme), school health nurses (as part of health promotion) and non-governmental organisation (NGO) peer educators who visit schools per invitation or as part of their programme. Knowledge of collaboration amongst different role payers is necessary in order to pool the complementary strengths and maximise the positive impact of education on adolescents’ sexual behaviour. The design used in this research is quantitative and descriptive in nature. The respondents were clustered according to categories, namely school health nurses, primary school educators and NGO peer educators. As school health nurses (n=8) and peer educators (n=15) constituted a small population, they were all included in the study. Systematic random sampling was used to select respondents from the population of educators (N=75: n=42). A developed questionnaire was distributed to the consenting respondents who met the inclusion criteria. A checklist was also developed to review policies and guidelines used as a framework for providing HIV and AIDS education to learners by role players. A pilot study was conducted. The Statistical Package for Social Science (SPSS14.0) for Windows was used to analyse the data.

This study examined the knowledge relevant to reducing crime affecting urban Aboriginal people through a risk-focused approach to prevention and a growing body of knowledge about how it gets implemented. It then examined this knowledge in a case study of its application in Winnipeg. Interviews were undertaken using a structured questionnaire with program stakeholders and policy planners involved in crime prevention initiatives, programming and policy in Winnipeg. Approximately half of the stakeholders were involved primarily with Aboriginal people and the other half were involved with programs that included both Aboriginal people and non-Aboriginal people. The interviews took place from September to November 2009. The interviews show that many stakeholders agree with the risk-focused prevention literature on risk factors and that there are prevention programs operating in Winnipeg serving at-risk Aboriginal people. Therefore, there exists the possibility of reducing crime given that they are tackling risk factors in a way which is consistent with crime prevention research. However, when the interviews turned to issues of implementation, it showed: • There is no responsibility centre to mobilize different sectors to tackle crime • Many programs are not implemented comprehensively • There is a lack of localized coordinated action (including support from the police chief and public engagement) • There is a lack of political leadership • There is no city-wide strategic plan, and • Programs are in constant competition for funding in order to continue operations. If we are to reduce the disproportionate rates of victimization and offending affecting urban Aboriginal peoples, we need to find more effective ways to implement the strategies that are proven to tackle risk factors. There must be support from the mayor and police chief, training and capacity development, and public engagement which fosters strong use of proven strategies. A responsibility centre with Aboriginal representation must be created. Funding must be expanded to support the community based organizations that are tackling established risk factors. Finally, sustained and adequate funding must be provided to these programs and the responsibility centre.

Thesis (MPA.) -- University of Limpopo, 2017 / The aim of this study was to assess the effectiveness of the measures in the prevention and control of organised crime by government agencies based in Limpopo Province. The research was qualitative in nature and semi-structured interviews were conducted with 12 law enforcement officers from the DPCI, DSSL, SAPS, Home Affairs, SARS Customs and Excess, AFU, and the NPA PCLU. Data was analysed though thematic analysis. The results revealed that the government strategies in Limpopo still require concerted efforts in the prevention and control of organised crime. The government has identified measures to fight organised crime and has adopted the criminal justice response/ institutional and the legislative response to the crime. The measures taken by various units are found to be ineffective in dealing with organised crime since organised criminal networks are often flexible, dynamic, innovative and resilient. Furthermore, corrupt activities and collusions by law enforcement officers hinder the effective implementation of the strategies to control organised crime. The findings of the study show that there is coordination and communication among the law enforcement agencies such as the DPCI, SARS, Home Affairs, and the NPA PCLU, among others. This coordination is envisaged through intelligence, information sharing and interoperability. The study highlighted poor implementation of the multi-agency approach as one institution is expected to facilitate and lead the prevention of organised crime (which is the DPCI). The findings further highlight, for example, that the smuggling of illegal cigarettes is currently a challenge for the provincial government as a highly committed organised crime. The study recommends for the development, by the government, of an Organised Crime Threat Assessment in order to effectively recognise the need for responses, which should be based on a sound understanding of the nature and characteristics of the organised crime environment. In addition, it recommends for the development of an Organised Crime Response Plan to align efforts to identified critical organised crime threats. The study further recommends for the adoption, by the government, of relevant multi-agency approaches in addressing organise crime – both operational and policy or regulatory – which will underpin a whole-of-provincial government approach to organised crime. KEY WORDS: Organised Crime, Criminal, Crime Prevention, Crime Control, Effectiveness, Coordination.

Den 1 juli 2023 träder en ny lag i kraft som innebär att kommuner i Sverige åläggs ett ansvar gällande lokalt brottsförebyggande arbete. Syftet med studien var att undersöka hur kommuner i Skåne tolkar lagen, om det finns skillnader i dessa tolkningar samt vilken effekt lagen har på det preventiva arbetet. Det samlade resultatet visade att kommunerna är positivt inställda till lagen och det råder en förhoppning om att den kan höja statusen på det brottsförebyggande arbetet. Kommunerna upplever dock att trots att lagen erbjuder möjligheten att anpassa det preventiva arbetet till en lokal kontext framstår det som oklart hur arbetet ska bedrivas på bästa sätt. Eftersom lagen inte ger några direktiv väljer de flesta kommunerna i studien att fortsätta sitt arbete som tidigare. Tolkningarna av lagen skiljer sig inte märkbart åt mellan kommunerna men det återstår att se om det uppstår skiljaktigheter när lagen väl träder i kraft. Resultatet av studien kan användas som stöd i att identifiera fokusområden för lagens planerade utvärdering samt vara en vägledning för framtida brottsförebyggande lagstiftning. / On July 1st 2023 a new law takes effect wherein Swedish municipalities are imposed to take responsibility for local crime prevention work. The purpose of the study was to examine how municipalities in Skåne interpret the law, if there are differences in the interpretations and what effect the law might have. The aggregated results showed that the municipalities have a positive attitude towards the law and there is hope that the law will improve the status of crime prevention work as a whole. Although the law offers the opportunity to adjust the preventative work to a local context there is uncertainty about how the work is carried out in the best way. Since the law does not give clear directives, most of the municipalities in the study choose to continue working as they did before the law. The interpretations of the law do not differ too much between the municipalities but it remains to be seen if differences arise when the law takes effect. The result of the study can be used as support for the planned evaluation of the law to identify focus areas, as well as guidance for future legislation on crime prevention.

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Residents in nursing facilities are more prone to falls than those living in the community. Injuries resulting from falls impact residents, their families, and healthcare costs. The gap in nursing practice was the lack of a comprehensive fall-prevention program in a long-term care facility that had experienced high fall rates among residents. This project addressed whether an educational program using the American Medical Directors Association's clinical practice guideline and the Centers for Disease Control and Prevention's STEADI (Stopping Elderly Accidents, Deaths, & Injuries) toolkit for fall- prevention improved the self-efficacy of direct-care staff in preventing falls among residents in a long-term care facility. The practice-focused question focused on whether education on the use of an integrated multifactorial fall-prevention guideline would increase confidence of long-term care staff in reducing falls in long-term care residents. The evaluation used the 11-item Self-Efficacy for Preventing Falls-Nurse scale for 5 licensed nursing staff and the 8-item Self-Efficacy for Preventing Falls-Assistant scale for 21 nursing assistants. The positive change in self-efficacy scores of nurses and nursing assistants after the education program was greatest for face-to-face team communication regarding fall risk and individual resident prevention plans. The use of best-practice guidelines that improve fall risk-assessment and use of fall precautions to decrease the number of falls and falls with injury has the potential to bring about positive social change by improving the nursing care of nursing home residents, resulting in improved resident safety and quality of life.