The hypothesis central to this study is that the implementation of a canine breeding and parasite control program in Aboriginal communities results in a reduction in the reservoir of zoonotic parasites within communities. The effect of the parasite and breeding control program on the health status of dogs as well as the population characteristics of dogs in communities was also investigated. The study was conducted in 17 Aboriginal communities of the Kimberley region of Western Australia, divided into three regions according to cultural and geographical attributes. All dogs from each community were permanently identified using a microchip system. Owners of dogs were asked the usual location of their animals, the origins of their dogs and the whereabouts of any missing animals at subsequent visits. Every three months dogs were treated with 200ygikg iverrnectin (a potent endo- and ecto-parasiticide) subcutaneously and adult female dogs were treated with an injectable contraceptive (10-30mgkg proligestone) at the request of their owners. At the time of treatment, dogs were assessed for ecto-parasites and photographs taken for later comparison and diagnosis of alopecic skin conditions. Faecal and blood samples were collected every three to six months and skin scrapings were collected from dogs that were refractory to treatment. The samples were used to determine internal parasite prevalence (using formal ethyl acetate sedimentation), blood parameters (for anaemia status) and evidence of scabies or Demodex infestation. A pilot study at one group of communities, involving weekly assessment of dogs after one iverrnectin treatment, showed that the treatment was effective in reducing the prevalence of scabies (as determined by clinical evaluation), hookworm and ticks. The treatment resulted in improvement in animal health as evidenced by a reduction in the number of dogs with anaemia. The long-term use of the ivermectin treatments at the other communities showed that over a period of three years, the prevalence of scabies and hookworm had reduced at most areas. The initial scabies prevalence varied from 17 to 52% and reduced to below 10% for all communities. The hookworm infection rates were affected by seasonal factors, as was evidenced by a seasonal variance in prevalence. Animals that were treated with ivermectin, though, had lower prevalences of hookworm than those that were not. There was a reasonable compliance rate for contraceptive treatments for female dogs (greater than 60% at each visit) and fewer puppies were born within communities when compared with rates before and after the establishment of the treatment program. High rates of acquisition of puppies from other communities continued to maintain the dog population numbers despite the reduction in breeding within communities. The dog population was young, biased towards male dogs, and very unstable (almost 50% of dogs died or went missing in a one year period). The rate of dog ownership across the Kimberley varied according to the region investigated and always remained higher or equal to ownership rates at the town centres of the Kimberley Region (as determined by a survey conducted during the study). Overall the canine parasite and breeding control program resulted in a reduction in scabies and hookworm prevalence in dogs (and hence a reduction in the potential zoonotic transmission), a reduction in dog breeding within communities, an improvement in dog health, and an understanding in the dynamics and health status of dogs within communities.

Licentiatavhandling Stockholm : Karolinska institutet, 2005. / Härtill 2 uppsatser.

Thesis (M.P.H.)--University of Michigan, 1949.

Thesis (M.P.H.)--University of Michigan, 1949.

No description available.

No description available.

No description available.

No description available.

This thesis examines the lived experiences of young men, addressing their sexual health using Interpretative Phenomenological Analysis (IPA). It is known that young men do not access sexual health services in the same numbers as young women (Pearson, 2003a) and their masculinities are posited as a contributory factor to this. IPA was used to analyse data, collected using semi-structured interviews. Participants were young men, aged 16-20 years (n=7), recruited through local authority leisure centres; convenience sampling was used. Six semi-structured interviews were used as two participants were interviewed jointly. Interviews were conducted exclusively by the researcher, a young woman. The study aimed: • To discover young men’s lived experiences of addressing, or failing to address, their sexual health. • To discover young men’s experiences of negotiating masculinities, relating to their sexual health. Young men were found to have little knowledge of sexual health and sexually transmitted infections and asserted their wishes about sex over their partners. Women were characterised as the source of sexually transmitted infections and the young men sought to ‘protect’ themselves from their partners. However, contraception was seen as the preserve of women, despite unplanned pregnancy being a great concern for the young men. Young men’s ideals of masculinities often did not correspond to their personal ideals; in order to preserve their masculinities, the young men explained the compromises they made. In this way, they negotiated their masculinities with themselves and society. The study has contributed new knowledge and understanding about young men’s negotiation of their masculinities when considering their sexual health. A contribution to knowledge about methodology of interviewing young men has also been made, as the researcher was a young woman who was successful in eliciting rich data about a sensitive subject from young men.

Made available in DSpace on 2014-06-11T19:28:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-12-10Bitstream added on 2014-06-13T18:57:22Z : No. of bitstreams: 1 000747757.pdf: 1188809 bytes, checksum: 62e68e8ee9a725139b72ac84376754cd (MD5) / O objetivo deste estudo foi avaliar a satisfação da mulher em relação à coleta do papanicolaou nas Estratégias de Saúde da Família do município de Presidente Venceslau. Foi utilizada abordagem quanti-qualitativa, como referencial teórico a ESF e metodológico Donabedian e Bardin. Participaram duzentas e oitenta e uma mulheres na modalidade quantitativa e destas, dezoito foram sujeitos da modalidade qualitativa, sendo todas cadastradas nas ESF do município. Para obter as descrições referentes à percepção avaliativa da mulher, utilizou-se as questões abertas do questionário, sendo analisadas pela técnica de Bardin. Para colher os dados quantitativos foi utilizado questionário estruturado e adaptado pela pesquisadora, seguindo os eixos de Donabedian e analisados pelo SAS. Os resultados mostram que as mulheres estão satisfeitas em determinados eixos no que se refere à coleta do papanicolaou, contudo, foi evidenciado um trabalho em equipe isolado tanto para obter sucessos como para enfrentar desafios de forma solitária. No que se refere ao eixo estrutura, houve predomínio do conceito bom. Quanto à necessidade de horário diferenciado as mulheres consideraram oportunidade paras àquelas que trabalham e conceituaram bom o tempo de agendamento para o exame. No eixo processo, a capacidade de comunicação entre os membros da equipe e atendimento oferecido pelos diversos profissionais, as mulheres avaliaram como boa. Quanto ao resultado do papanicolaou as mulheres referiram que não são convocadas e quando a convocação ocorre, o profissional que realiza é o agente comunitário de saúde. O eixo resolubilidade evidencia que ainda há problemas não resolvidos. As categorias pré-definidas para os dados qualitativos foram; importância do exame de papanicolaou, resolubilidade do problema apresentado, necessidade de horário diferenciado e motivos para não realização do exame. Conclui-se que há necessidade... / The purpose of this study was to evaluate the women’ satisfaction on Pap smear test collection done by Estratégias de Saúde da Família (health centers) in the city of Presidente Venceslau. A quantitative and qualitative approach was used, with the ESF (Estratégias de Saúde da Família) theoretical background and Donabedian and Bardin methodological background. Two hundred and eighty-one women participated on the quantitative approach and eighteen of them participated on the qualitative one. All of them were registered in the city’s ESF. A questionnaire with open questions was used to obtain the women’ evaluative perception. These questions were analyzed with the Bardin technique. A questionnaire, organized and adapted by the researcher was used, according to the Donabedian Model and analyzed by SAS (Health Administration Center), in order to obtain the quantitative data. The results show that women are satisfied with certain quality-of-care dimensions of the Pap smear test collection; however, an isolated teamwork was evinced as to obtain success as to deal with the challenges in a solitary way. Regarding to the quality-of-care dimension structure, there was a dominance of the concept good. What concerns to time schedule, the women evaluated as good the time for scheduling the test, considering the need of special schedule for those who work. Regarding to the quality-of-care dimension process, the women evaluated as good the communication between the staff members and the attendance offered by the professionals. Women said they are not called to do the Pap smear test, and whenever they are, it is the health center agent who contacts them. The quality-of-care dimension outcome indicates that there are still unsolved problems. The predefined categories to obtain the qualitative data were: Pap smear test importance, resolution of the presented problem, time schedule and reasons for not doing ...