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World Affairs Online
Ascorbic Acid and Alpha-Tocopherol Contribute to the Therapy of Polycystic Ovarian Syndrome in Mouse Models
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Volume 28, Issue 1, p. 102-120
ISSN: 1933-7205
Limitations in Activities of Daily Living among Dementia-Free Older Adults in Panama
In: Ageing international, Volume 43, Issue 2, p. 237-253
ISSN: 1936-606X
ARSENIC ADSORPTION AND REDUCTION IN IRON-RICH SOILS NEARBY LANDFILLS IN NORTHWEST FLORIDA
In: Journal of urban and environmental engineering: JUEE, Volume 10, Issue 1, p. 98-105
ISSN: 1982-3932
Training and Supervision of Community Health Workers Conducting Population-Based, Noninvasive Screening for CVD in LMIC: Implications for Scaling Up
Background: Community health workers (CHW) can screen for cardiovascular disease risk as well as health professionals using a noninvasive screening tool. However, this demonstrated success does not guarantee effective scaling of the intervention to a population level.Objectives: This study sought to report lessons learned from supervisors' experiences monitoring CHW and perceptions of other stakeholders regarding features for successful scaling of interventions that incorporate task-sharing with CHW.Methods: We conducted a qualitative analysis of in-depth interviews to explore stakeholder perceptions. Data was collected through interviews of 36 supervisors and administrators at nongovernmental organizations contracted to deliver and manage primary care services using CHW, directors, and staff at the government health care clinics, and officials from the departments of health responsible for the implementation of health policy.Results: CHW are recognized for their value in offsetting severe human resource shortages and for their expert community knowledge. There is a lack of clear definitions for roles, expectations, and career paths for CHW. Formal evaluation and supervisory systems are highly desirable but nonexistent or poorly implemented, creating a critical deficit for effective implementation of programs using task-sharing. There is acknowledgment of environmental challenges (e.g., safety) and systemic challenges (e.g., respect from trained health professionals) that hamper the effectiveness of CHW. The government-community relationships presumed to form the basis of redesigned health care services have to be supported more explicitly and consistently on both sides in order to increase the acceptability of CHW and their effectiveness.Conclusions: The criteria critical for successful scaling of CHW-led screening are consistent with evidence for scaling-up communicable disease programs. Policy makers have to commit appropriate levels of resources and political will to ensure successful scaling of this intervention.HighlightsWe surveyed stakeholders about effective integration of community health workers into primary care teams.Critical issues were effective training, evaluation tools, and clear career paths.Strong political will and sufficient resource allocation were identified as critical for success.
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Speech of Daniel Webster, in reply to Mr. Hayne, of South Carolina : the resolution offered by Mr. Foot, of Connecticut, relative to the public lands, being under consideration : delivered in the Senate, January 26, 1830
In: http://hdl.handle.net/2027/nnc2.ark:/13960/t63513r0k
Avery Classics (Offsite) copy: Seymour B. Durst Old York Library Collection, Avery Architectural & Fine Arts Library, Columbia University. ; Caption title. ; With: Speech of Mr. Everett of Massachusetts on the bill for removing the Indians from the east to the west side of the Mississippi. Washington : Printed by Gales & Seaton, 1830 -- Speech of Mr. Holmes, of Maine, in the Senate of the United States, on his resolutions calling upon the President of the United States for the reasons of his removing from office, and filling the vacancies thus created, in the recess of the Senate. Washiington : National journal, 1830 -- Speech of Mr. Holmes of Maine, delivered in the Senate of the United States, February 18, 1830, on the debate which arose upon Mr. Foot's resolution relative to the public lands. Washington : National journal, 1830 -- Speech of Mr. Davis, of Mass. on the bill for the more effectual collection of impost duties, delivered in Committee of the Whole on the State of the Union, House of Representatives, May 4, 1830. Washington : National journal, 1830 -- Speech of Mr. Woodbury, of New Hampshire, on Mr. Foot's resolution, delivered in the Senate of the United States, February 23, 1830. 2nd ed. Washington : Printed by Duff Green, 1830 -- Speech of Mr. Crockett, of Tennessee, on the bill proposing to construct a national road from Buffalo to New Orleans. Washington : Duff Green, 1830 -- Speech of Mr. Hayne, of South Carolina, in the Senate of the United States, January 21, 1830, on Mr. Foot's resolution, proposing an inquiry into the expediency of abolishing the office of Surveyor Geneal of Public Lands and for discontinuing further surveys until those already in market shall have been disposed of. [Washington? D.C., 1830] -- Speech of Mr. Livingston, of Indiana, on Mr. Foote's resolution, proposing an inquiry into the expediency of abolishing the office of Surveyor General of Public Lands and discontinuing further surveys, &c. -- Speech of Mr. Clayton, of Delaware, in the Senate of the United States, on the fourth day of March, in reply to Mr. Grundy of Tennessee, Mr. Woodbury of New Hampshire, and others. Washington : Duff Green, 1830 -- Speech of Mr. Webster, of Mass. in the House of Representatives, on the Panama Mission, delivered on the 14th April, 1826. Washington : Davis & Force, 1826 -- Gen. Jackson's letter to Carter Berverley ; Mr. Clay's speech at the Lexington dinner ; Gen. Jackson's reply to Mr. Clay, in which he gives up James Buchanan, a member of Congress from Pennsylvania, as his authority for his assertions about bribery, corruption, &c. ; Mr. Buchanan's reply, which effectually prostrates to the earth every imputation against Mr. Clay and his friends. Portsmouth, [N.H.] : Printed by Miller and Brewster, Aug. 21, 1827 -- An address of Henry Clay to the public, containing certain testimony in refutation of the charges against him made by Gen. Andrew Jackson, touching the last presidential election. Washington : Peter Force, 1827 -- Speech of the Hon. Daneil Webster, Esq. delivered in the House of Representatives of the United States, January 14, 1814, of a bill making further provisions for filling the ranks of the Regular Army, encouraging enlistments, and authorising the enlistments for longer periods of men whose terms of service are about to expire. Portsmouth, [N.H.] : Printer by Charles Turell, 1814 -- Speech of Mr. Whipple of N. Hamp. on the proposition to amend the Constitution of the United States, delivered in the House of Representatives of the United States, March 26, 1826. Washington : Davis & Force, 1826 -- Speech of Mr. Bartlett, of New-Hamp. on the proposition to amend the Constitution of the United States, delivered in the House of Representatives, 30th March, 1826. Washington City : Davis & Force, 1826 -- Speech of the Hon. Richard Stockton, delivered in the House of Representatives of the United States, on the 10th of December, 1814, on a bill "to authorise the President of the United States to call upon the several States and Territories thereof for their respective quotas of eighty thousand four hundred and thirty Militia for the defense of the Frontiers of the United States against invasion." Georgetown : Richards & Mallory, 1814 -- Speech of the Hon. Artemas Ward, on the bill "to authorise the President of the United States to call upon the several States and Territories thereof for their repective quotas of eighty thousand men for the defence of the frontiers of the United States against invasion" delivered in the House of Representatives of the United States on the fourteenth day of December, 1814. Washington City : Rapine and Elliot, [1814]. ; Mode of access: Internet.
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