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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of advanced nursing 41 (2003), S. 0 
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: hjelm k., mufunda e., nambozi g.&kemp j. (2003) Journal of Advanced Nursing 41(5), 424–434
Preparing nurses to face the pandemic of diabetes mellitus: a literature review Background. Diabetes constitutes a global public health problem. Today about 135 million people are affected and it is estimated that the number in 2025 will be 300 million. Aims. By reviewing existing literature the aim is to raise awareness among nurses, nurse educators and nursing students of the global epidemic of diabetes mellitus, its multiple underlying causes, especially social ones, and how to fight it. A further aim is to discuss the implications for future curriculum content in nurse education programmes. Findings. The main underlying causes of the disease are genetic and environmental factors, such as urbanization and industrialization, as well as increased longevity and changes in lifestyle from a traditional healthy and active life to a modern, sedentary, stressful life and over-consumption of energy-dense foods. This process, labelled ‘coca-colonization’, is evident all over the world, although more so in developing countries. The prevalence of diabetes mellitus varies among populations due to differences in genetic susceptibility and social risk factors such as change in diet, obesity, physical inactivity and, possibly, factors relating to intrauterine development. Migrants are especially affected. Diabetes mellitus needs to be treated by a holistic approach through dietary adjustment, exercise, medication (if needed), education and self-care measures. Type 2 diabetes mellitus is a preventable disease. The main implication for nurses and nursing curricula is to change the focus from the individual with diabetes mellitus and management to prevent deterioration of health (secondary prevention), to population-based community-intervention programmes. These need to focus on health promoting activities to raise awareness among healthy people of the risk factors for diabetes mellitus. Conclusion. Nurses all over the world have an important role in fighting the diabetic pandemic by health promotion aimed to keep people healthy as long as possible.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2014-05-10
    Description: The biodiversity of aquatic inland habitats currently faces unprecedented threats from human activities. At the same time, although much is known about the functioning of freshwater ecosystems the successful transfer of such knowledge to practical conservation has not been universal. Global awareness of aquatic conservation issues is also hampered by the fact that conditions under the water surface are largely hidden from the direct experience of most members of society. Connectivity, or lack of it, is another challenge to the conservation of freshwater habitats, while urban areas can play a perhaps unexpectedly important positive role. Freshwater habitats frequently enjoy benefits accruing from a sense of ownership or stewardship by local inhabitants, which has led to the development of conservation movements which commonly started life centred on the aquatic inland habitat itself but of which many have now matured into wider catchment-based conservation programmes. A demonstrable need for evidence-based conservation management in turn requires scientific assessments to be increasingly robust and standardised, while at the same time remaining open to the adoption of technological advances and welcoming the rapidly developing citizen science movement. There is evidence of real progress in this context and conservation scientists are now communicating their findings to environmental managers in a way and on a scale that was rarely seen a couple of decades ago. It is only in this way that scientific knowledge can be efficiently transferred to conservation planning, prioritisation and ultimately management in an increasingly scaled-up, joined-up and resource-limited world. The principle of ‘prevention is better than cure’ is particularly appropriate to most biological conservation issues in aquatic inland habitats and is inextricably linked to educating and/or nudging appropriate human behaviours. When prevention fails, some form of emergency rescue such as captive breeding or translocations may be justified for particularly important animal or plant populations. However, long-haul missions of habitat rehabilitation or restoration are generally to be preferred even if they usually take many years if not decades to reach fruition. Conservation researchers, managers and practitioners must be realistic in their objectives and timescales for such programmes and take positive steps to communicate such information to stakeholders. Now more than ever, people are interested in conservation and sustainability. There are substantial challenges ahead, but these are better days for the biological conservation of aquatic inland habitats.
    Print ISSN: 1129-5767
    Electronic ISSN: 1723-8633
    Topics: Biology
    Published by PAGEPress
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