The Management of Mental Health, and Service Networks in Italy

Madness has attracted and frightened for centuries,and talking about this means discussing how this diversity was built and managed in different social contexts and historical periods.Not all societies have had,and still have,the same relationship with madness.It is only with the affirmation of the Modern State,and of Capitalism,that the idea of“normality”indispensable to be able to conceive diversity as something dangerously distant and different from the norm takes over.In our post-modern society,people with mental illness in Italy can resort to specialists and social-health services.But the heterogeneous answers given after the approval of law 180 appear to be increasingly diversified.In this research,much attention will be paid to how the social and health services,located in different areas of Italy(Messina,Rome,Trento)face the current growing risk of social,housing and economic isolation of these fragile subjects.The aim of the research is to explore the possibility of a new relationship between the social-health service and the local community.On the one hand,research investigates what the contribution of the services could be.On the other what the spaces of protagonism and participation of the community could be in inclusion process account.In order to better understand the differences between these two dimensions,a qualitative research approach was chosen through the conduct of in-depth interviews.In this way it was possible to investigate:(1)the partial representations characteristic of the single individual,family members,operators and stackholders in general;(2)the services around the topic dealt with is articulated.From the first results of the research it emerges that the territory can no longer be considered as an abstract entity,but becomes the social space within which the construction of a new community welfare can and must take place.

Research progress on the health status and community management service needs of mobile elderly people

The health status of the floating elderly population and the need of community management services are complex and important problems.Owing to the change of living environment and the insecure medical care,the mobile elderly people have more health and psy-chological problems compared to the rest of the elderly population.Therefore,the community should take a variety of measures to meet their needs and help them to better adapt to the new living environment,and maintain their physical and mental health.This paper aims to summarize recent studies on the physical and emotional health problems of mobile elderly people and related community management service needs.

Research on the management models of the rural primary water management from the view of public service:a case study of Zhejiang Province

The rural primary organizations of water management are the important parts of the public service system in the government administration.This paper studies several major management models of the rural primary water management in Zhejiang Province of China.The research result shows that ambiguous functions,lack of funding,and unreasonable personnel structure are the major problems of the rural primary water management.Therefore,it is urgent to improve service system,ensure sufficient funds,and qualify the population personnel of the rural primary organizations of water

Urban Water Supply Industry Marketization of China in View of Public Water Service and Water Resource Management

Started with the discussions on the value orientation of urban water supply industry marketization,the article points out that the current urban water supply industry marketization reform is inconsistent with the goal of public water service equalization to some extent.The article also analyzes the problems emerged in urban water supply industry marketization reform and various rea-sons in view of efficiency and fairness.An efficiency and fairness oriented management model is built in this article to illustrate how the government should conciliate interests of various communities involved in the process of marketization reform of the urban water supply industry so as to actualize the coordination of efficiency and fairness.At the end,an assumption on urban water price is put forward to help achieve the public water service equalization.

Operations management and reform combining with the principles of public service of the university sports venue

Due to the low utilization rate of opening-use, backward management and unreasonable configurations, university sports venue cannot produce some economic benefits, which makes the operating expenses in college stadiums extremely tense. Even sometimes it comes to the precarious situation. Therefore, there should be an operations management reform for college sports venue. Firstly, the article analyzes the current situation of stadium operations management. Secondly, with the actual experience of the authors, this essay discussed on how to strengthen the operation and management of modem college sports venues and reform, which includes the way enhancing the training about modem operational management knowledge of college stadiums, strengthening the diversified operation of college stadiums, highlighting the ＂people-oriented＂ in college sports venue design concepts and vigorously developing the training services about stylistic aspects of youth and, etc.,

The Impact of Total Quality Management on Health Services Improvement, Sana’a Hospitals, Yemen (2017-2020)

Background: Total quality management (TQM) plays a major role in quality health services improvement. The aims of the study are to identify the concepts of total quality management in health institutions to know the nature of the relationship between the application of TQM and improving the quality of health services in Sana’a Governorate. Method: This applied research is a descriptive cross-sectional study in which the TQM of 13 affiliated Sana’a Governorate hospitals during “2017-2020”, were evaluated based on self-administered questionnaires. Data were collected by questionnaires including demographical variables, TQM dimensions variables. Data were analyzed by using SPSS version 16. Results: A total of 281 users 98.6% had responded. The employee’s responses for sixth study dimensions were the top manager’s commitment (TMC) 80.46%, customers focusing CF 81.55%, continuous improvement (CI) 82.32%, training (T) 71.51%, and strategic planning of the quality (SPQ) 74.76%, health services quality improvement (HSQI) 74.25%. There is a strong relationship between TQM and HSQI. There is no relationship between demographic factors gender, profession, years of experience, except age with TMC, T, HSQI, qualification with the TMC, CI, T, HSQI and job with all study variables. Conclusion: The application of TQM at hospitals in quality of health services improvement has several challenges, lacking staff experience and lacking leadership support, weakness of the training, customers focusing, continuous improvement, and strategic planning of the quality. Therefore, benefiting from the experiences of leading hospitals in implementing total quality management programs by sending some cadres to these hospitals for training and gaining experience or by hosting experienced cadres to conduct training courses is recommended.

Scientific Management of Capital Construction in Health Service

On the basis of discussing the existing problems of the capital constrution in health service inHeilongjiang province and summing up the experience,the article points out that in order to makea good job of the scientific management of capital construction in health service,great importanceshould be attached to the following points:1.Make a good job of the reform of the managementsystem of capital construction,and strengthen and perfect the rational setups;2.Do not take onextra-programming project.Act strictly according to the procedure of examination and

The Role of Library and Information Science Education in the Development of Community Health Information Services for People Living with HIV/AIDS: Perspectives of Directors and Managers of Public Libraries

This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.

Assessment of Municipal Solid Waste Management for Better-Quality Public Health and Environmental Sustainability in the Freetown Metropolitan City in Sierra Leone

Managing waste has been an aged-old challenge, especially in developing cities, like the Freetown Metropolitan City. Solid Waste and/or waste in general is an artefact of human activities that can spring from individuals, families, community, commercial/industrial operations etc. This study is a qualitative investigation, and it is intended to gather an inclusive knowledge of solid wastes management for better public health in Freetown, the Capital City of Sierra Leone. Statistical analysis was employed to observe numerical representations on a wide range of selected data. In an attempt to achieve the aim of this research project, reviews of available online resources were exploited, and juxtaposed with everyday knowledge in the existing state of the Freetown’s municipality solid waste management. The study revealed that residents in Freetown produce an average 0.45 kg of solid waste per individual per day. It was further established that biodegradable/organic matters comprise approximately 75% to 85% of total waste stream along with assorted retired furniture, scarp metals and plastic bags as most important recyclable elements. The hitches connected with municipal solid waste management in Freetown have become palpable, spanning from the past decade to date. Among many other factors, an upsurge influx urbanisation after the 11 years brutal civil war that ended in 2001, combine up with insufficient approved dumping sites for waste disposal and institutional incapability stand out. In this project, the contemporary approach of solid waste disposal in Freetown was carefully assessed with efforts to bring out the most feasible alternatives of solid waste disposal and acclaim ways of refining its activities. It was concluded from the study that, solid wastes in the Freetown Municipality must be tackled in a synergetic approach. That is, government corroborating with private solid waste managing actors so as to enhance an excellent better-public health, sustainable environmental, urban economic development and a resourceful energy paradigm.

Decadal Trend of Coastal Water Quality in Orange County Beaches and Management Efficacy at Improving Public Health Protection

Historical fecal indicator bacteria measurements （n = 125,000; 10 years） in Orange County coastal zone, an interface with urban watershed that is one of the most developed areas in the United States and source of highly polluted runoff discharges, have been compiled and analyzed. During the period from 2000 to 2010, fecal indicator bacteria concentrations in Orange County Beaches progressively increased （poor water quality） in the first half of the decade and progressively decreased （improved water quality） during the last half of the decade. Among all physical, chemical and environmental factors, 59%-74% of the variability in the fecal indicator bacteria concentrations in the coastal zone records can be attributed to seasonal and interannual variability in local rainfall, implying that stormwater runoff from the surrounding urban watershed is a primary source of fecal pollution in Orange County Beaches. These results suggest that efforts to improve water quality in Orange County Beaches and protect beach-goers from pollution will likely have greater efficacy during wet weather periods than the rest of the year. In addition, this study identified the effect of alongshore surf zone current on fecal pollution caused by coastal waves. The data and analysis presented in this paper provide a framework for evaluating the longer period water quality trend in the coastal area, and elucidate Best-Management-Practices that can improve public health protection by managing coastal water quality compliance with standards.

Study on Emergency Management Mechanism of Public Health Emergencies

The outbreak of SARS in 2003 opened the way of public health emergency management in China.COVID-19 which suddenly outbroke in 2019 is still raging all over the world,and emergency management mechanism of China is being tested.Efforts to improve the emergency management mechanism can provide effective institutional guarantee for the overall victory of anti epidemic and the prevention and control of public health emergencies.

Research on Government Emergency Management Strategy Based on Public Health Incidents

It is the government's basic responsibility to ensure public health safety.However,due to the influence of the environment and human beings,some public health incidents are still inevitable,endangering public health and undermining social stability.However,any public health incident is traceable,and there will be a process from latent period to outbreak.Therefore,the government needs to grasp the key points of health incidents,strengthen emergency management,and ensure social stability and public safety.

Comparative Analysis of Social Forces Participating in Emergency Management of Public Health Events in China, Australia, Germany and the United States

Objective To provide a reference and suggestions for Chinese social forces to participate in the emergency management of public health events.Methods Through literature research method,comparative research method and SWOT matrix analysis,four aspects of prevention,early warning,response and recovery of the social forces in China,Germany,Australia and the United States participating in emergency management were studied comparatively.Results and Conclusion In the emergency management of public health events,China’s social forces play greater role in the response and recovery phase than that in the prevention and response phase.As to its shortcomings,the following suggestions are made,such as incorporating social forces into the national emergency management system,strengthening the construction and training of social forces,popularizing public health knowledge and awareness,clarifying property rights and using incentives and punishment together.

Recommendations for Construction and Management of Ecological Public Welfare Forest in Hainan Province

This paper firstly evaluated ecological service functions of ecological public welfare forest in Hainan Province. Then,it introduced value structure and existing problems of ecological service functions. Focusing on optimization and adjustment of scale and distribution of ecological public welfare forest,it came up with recommendations for construction and management of ecological public welfare forest in Hainan Province.

From public to private solid waste management:Stakeholders’perspectives on private-public solid waste management in Lobatse,Botswana

Upon the realization that urban areas can only achieve sustainable solid waste management systems through an interplay of partnerships and stakeholders,developing countries have geared themselves towards the privatization of waste management services in efforts to reduce costs and improve efficiency.Lobatse,a town located in the south of Botswana,faces the increasing challenges of poor waste management due to the lack of finances and resources available to the Lobatse Town Council,which hinders efforts towards a sustainable waste management system.This has negative implications for public health and the environment,as a result of solid waste pollution from littering and the illegal dumping of waste.This work examines the current state of solid waste management and its challenges in Lobatse,within the context of the interplay between public and private solid waste management.The study aims to perform a social exploration of the efficiency of waste management services,considering the political economy and households’perceptions towards these services.Key stakeholders were interviewed and a social survey of 222 households was conducted to generate primary data.The findings indicate that the involvement of the private sector yielded positive outcomes,as it increased the solid waste collection frequency and improved the quality of the waste management service.Most of the stakeholders were in favor of privatization,and the households were satisfied and willing to contribute towards the cost recovery of solid waste management.It is,therefore,recommended to promote and establish a private-public-community partnership in the town to improve the quality of the waste management system.

Role Expectation of Nurse Managers in Geriatric Health Services Facilities

Back ground: The characteristics of geriatric health services facilities (GHSF) in Japan include provision of care focused on the life of the residents, and there is a need for cooperation between care workers and physical therapists responsible for the care. Thus, it is expected that a nurse manager occupies specific roles suited for the above characteristics that are different from those of medical facilities. Thus, we aimed to clarify the role expected of nurse managers via a questionnaire survey administered to nurses and care workers in GHSF. Methods: We used a descriptive, cross-sectional design. The study was conducted in 56 GHSF all over Japan. The instrument used for data collection was a questionnaire. The questionnaires consisted of 35 items for determining role expectation of nurse managers, the background information of respondents. The role of nurse managers was analyzed using principal factor analysis (promax rotation). Findings: A total of 259 nurses and care workers participated in this study. We extracted 34 items by factor analysis, which were classified into three factors (promotion of home nursing, management of medical care, and environment creation for collaboration and education). Among care workers, four factors consisting of 33 items were extracted. Factors one, two, and three were similar to those of nurses;“intervention to ethical problem” was extracted as the additional fourth factor. Conclusion: The roles required for nurse managers in GHSF are the promotion of home nursing, which is the original role of the health services facilities, exhibition of the specialty as a healthcare professional, creation of a work environment that promotes mutual understanding for collaboration with other professionals, and enhancement of the education and training system.

Construction and Management of Public Welfare Forest in Hainan Province

Through investigating ecological service functions of public welfare forest in Hainan Province, this paper explored type constitution and problems of its ecological service functional value, optimization of its scale and layout, promoted effective protection and benign development, and proposed strategies for the construction and management of public welfare forest in Hainan Province.

SWOT Analysis on healtli management development in China

从政府、企业和个人三个角度阐述了我国目前健康管理行业的发展现况,结合相关理论与实践对我国 健康管理的发展进行SWOT分析,提出明确定位完善配套政策、落实健康管理行业和相关产业的责任部门、以 需求为导向推动产业结构升级、规范学科建设创新发展模式完善服务内容、提高宣传力度增强国民认知度和接 受度的意见和建议.

Contingency management strategies of the Nursing Department in centralized rescue of patients with coronavirus disease 2019

Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies of the Nursing Department included an early warning for prevention and control,taking functions of vertically commanding and horizontally coordinating,and reasonably allocating nursing workforce,to facilitate centralized treatment work in the in-hospital fever clinic,isolation wards and ICU,and referral and admission of critical patients.Five special groups were established in charge of training and examination,management and supervision,psychological support,logistical support,and reporting and publicity,respectively.Results:It was achieved that no deaths from critical patients and no medical staff,no other patients were infected.Conclusion:Through the implementation of these strategies,safe and efficient centralized treatment was ensured timely,orderly and sustainably.

Participation of private general practitioners in disease management of malaria in Myanmar

Objective:Myanmar has been trying to improve the disease management of malaria through public health services. The involvement of private general practitioners(GPs) is recognized as one of the key contributory issues in malaria control,but no one has yet made an attempt to study the efficiency of their role.This study aimed to assess the participation of GPs in improvement of disease management.Methods:The study was conducted with all 32 GPs practicing at three randomly selected townships with high malaria load situated in Upper Myanmar from June 2006 to March 2007 using a pretest-posttest design to assess their knowledge of the disease management prior to and after intervention.The intervention package consisted of a one-day workshop on diagnosis and treatment of malaria and the supply of facilities for microscopy.Questionnaires filled in before and after tests were compared to assess the change of knowledge after the intervention.Diagnosis and treatment practice during the study period was analysed by review of registers kept by GPs,together with a follow-up survey of their patients for the reliability of data.Results:An overall improvement of knowledge was observed and significant changes were apparent for three variables:the criteria for referral of severe malaria,the effect of incomplete treatment and recommended treatment of Plasmodium vivax.Pre-test results showed that only 65.6%of GPs perceived microscopy or Rapid Diagnostic Test kits(RDTs) for confirmation of malaria necessary,while only 15.6%and 40.6%of the GPs knew the recommended treatments of falciparum and vivax malaria,respectively. However,after intervention 92%of the patients were diagnosed as malaria by RDTs and 3%by microscopy throughout the study.The GPs prescribed artemisinin-based combination therapy(ACTs) to 95%of confirmed falciparum cases and treated 82.4%of RDT confirmed falciparum negatives with chloroquine and primaquine.Concurrent with our study,an international NGO,Population Service International,supplied GPs with RDTs and ACTs at subsidized rate which was helpful.Conclusion:The study suggests that participation of GPs may help improve the disease management of malaria and thus assist in the country’s effort to control ma- laria.