HOUSE-TO-HOUSE SURVEY OF ACCESS TO AND USE OF PUBLIC HEALTH FACILITIES IN METROPOLITAN LAGOS, NIGERIA

One of the broad objectives of the Nigerian health service, vigorously being pursued at all levels of government, is to make comprehensive health care available and accessible to the population at the lowest possible cost, within available resources. Some state governments in the federation have already introduced free medical service as a practical way to remove financial barriers to access and in turn to encourage greater utilization of publicly funded care facilities.^ To aid health planners and decision makers in identifying a shorter corridor through which urban dwellers can gain access to comprehensive health care, a health interview survey of the metropolitan Lagos was undertaken. The primary purpose was to ascertain the magnitude of access problems which urban households face in seeking care from existing public facilities at the time of need. Six categories of illness chosen from the 1975 edition of the International Classification of Disease were used as indicators of health need.^ Choice of treatment facilities in response to illness episode was examined in relation to distance, travel time, time of use and transportation experiences. These were graphically described. The overall picture indicated that distance and travel time coexist with transportation problems in preventing a significant segment of those in need of health care from benefitting in the free medical service offered in public health facilities. Within this milieu, traditional medicine and its practitioners became the most preferred alternative. Recommendations were offered for action with regard to decentralization of general practitioner (GP) consultations in general hospitals and integration of traditional medicine and its practitioners into public health service. ^

Returning Texas Senate Bill 530 back to 1100 Congress Avenue: The need for effective surveillance reporting of student fitness levels to Texas house representatives

Every Texas student is required to complete the FITNESSGRAM fitness assessment under legislation outlined in Senate Bill 530. This study described cardiovascular, body mass index (BMI), and overall fitness levels of students (grades 3–12) in the state of Texas during the 2009–2010 school year, and provides examples of how to effectively present results to Texas House Representatives using three unique health communication strategies. Given the Texas legislature mandates FITNESSGRAM collection yet did not require reporting according to their election district, the data were aggregated to 150 Texas House Representative Districts by sex and grade category to facilitate effective fitness data dissemination. Fitness data were also analyzed with results from the Texas Assessment of Knowledge and Skills (TAKS) to provide insight into potential relationships between fitness and academic achievement. ^ The majority of students in Texas need improvement on at least 1 fitness assessment. In general, female students have superior fitness in elementary and middle school but the fitness edge is erased by high school. Female cardiovascular fitness deteriorates faster from elementary to high school compared to male students. Female BMI deteriorates and male BMI improves from elementary to high school. Cardiovascular fitness and overall fitness decreases from elementary to high school for both male and female students. ^ Student fitness was significantly and strongly independently correlated with academic achievement. Further analysis showed that House Representatives with TAKS scores in the top quartile consistently showed superior fitness. Small significant partial correlations remain between fitness and TAKS assessment after controlling for socioeconomic status. In general, correlations were stronger between female BMI and TAKS assessment compared to male students. Cardiovascular fitness was significantly correlated with TAKS assessment for both genders. This paper supports student fitness as a confounder in the relationship between socioeconomic status and academic achievement. Plus, student fitness has a strong correlation with academic that deserves further exploration. ^ Senate Bill 530 fails to organize and implement a health communication strategy that effectively disseminates the health data collected to stakeholders of interest. The lack of a vital health communication strategy results in an incomplete student health surveillance system. This paper outlines three unique strategies tailored to legislators. It is important to disseminate health information using a variety of methods tailored to your targeted audience. The use of interactive mapping technology presented (GIS) uses new technology that has the potential to effectively reach a large audience.^

Three Years in a Mad-House: The Story of my Life at the Asylum, my Escape, and the Strange Adventures which Followed

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Troya historiada en The Book of the Duchess y The House of Fame

En este trabajo propongo analizar The Book of the Duchess y The House of Fame a partir de los problemas que introduce la presencia de la historia troyana. El famoso relato está invocado a través de escenas pintadas en paredes o en ventanales, presentados como escenografía. No están incluidos para añadirles nuevas interpretaciones, ni para completar faltantes de información o conciliar versiones divergentes, sino que son utilizados para capitalizar sus resonancias como objeto cultural, incorporado a la memoria social, frente al cual Chaucer construye un universo de sentido para su propia poesía e indaga en los principios que autorizan su texto.

Troya historiada en The Book of the Duchess y The House of Fame

En este trabajo propongo analizar The Book of the Duchess y The House of Fame a partir de los problemas que introduce la presencia de la historia troyana. El famoso relato está invocado a través de escenas pintadas en paredes o en ventanales, presentados como escenografía. No están incluidos para añadirles nuevas interpretaciones, ni para completar faltantes de información o conciliar versiones divergentes, sino que son utilizados para capitalizar sus resonancias como objeto cultural, incorporado a la memoria social, frente al cual Chaucer construye un universo de sentido para su propia poesía e indaga en los principios que autorizan su texto.

Troya historiada en The Book of the Duchess y The House of Fame

En este trabajo propongo analizar The Book of the Duchess y The House of Fame a partir de los problemas que introduce la presencia de la historia troyana. El famoso relato está invocado a través de escenas pintadas en paredes o en ventanales, presentados como escenografía. No están incluidos para añadirles nuevas interpretaciones, ni para completar faltantes de información o conciliar versiones divergentes, sino que son utilizados para capitalizar sus resonancias como objeto cultural, incorporado a la memoria social, frente al cual Chaucer construye un universo de sentido para su propia poesía e indaga en los principios que autorizan su texto.