Community health partnerships (CHPs) are voluntary collaborations of diverse community organizations that have joined forces in order to pursue a shared interest in improving community health. Although these cross‐sectoral collaborations represent a way to address social determinants of health and disease in society, they suffer from governance and management problems associated with interorganizational relationships in general and health care challenges specifically. A typology of effective governance and management characteristics provides a systematic, theoretically based way of addressing dimensions of governance and management and serves as a guide in constructing, maintaining, and measuring successful partnerships. It offers a multidisciplinary perspective for classifying important organizational issues, identifying barriers to successful development and sustainability, and facilitating the attainment of goals.
Perfluorinated compounds, which are environmentally persistent and bioaccumulative contaminants, cannot currently be treated in the subsurface by in situ technologies. Catalyzed H 2 O 2 propagation (CHP) reactions, which generate hydroxyl radical, hydroperoxide anion, and superoxide anion, were investigated for treating perfluorooctanoic acid (PFOA) as a basis for in situ chemical oxidation remediation of groundwater. Using 1 M H 2 O 2 and 0.5 mM iron(III), PFOA was degraded by 89% within 150 min. Hydroxyl radical does not react with PFOA, but systems producing only superoxide promoted 68% PFOA degradation within 150 min. In systems producing only hydroperoxide, the level of PFOA degradation was 80% over 150 min. The generation of near-stoichiometric equivalents of fluoride during PFOA degradation and the lack of detectable degradation products suggest PFOA may be mineralized by CHP. CHP process conditions can be adjusted during treatability studies to increase the flux of superoxide and hydroperoxide to treat PFOA, providing an easily implemented technology.
Background: Osteopenia and rickets are common among extremely low birth weight infants (ELBW, <1000 g birth weight) despite current practices of vitamin and mineral supplementation. Few data are available evaluating the usual course of markers of mineral status in this population. Our objectives in this study were to determine the relationship between birth weight (BW) and peak serum alkaline phosphatase activity (P-APA) in ELBW infants and evaluate our experience with the diagnosis of rickets in these infants.
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