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Integrating a community development approach with mainstream health visiting.

Community development work is often seen as an activity separate from and working to different principles to traditional health visiting practice. Yvonne Dalziel describes how, required by management to take on a routine health visiting caseload, she is attempting to integrate the community development approach to her work with families and children.

Child↗

Constraints on the participation of individuals with mental retardation in mainstream recreation.

A questionnaire was designed to investigate the influence of skill level, behavioral characteristics, and labeling upon attitudes toward the participation of individuals with mental retardation in a recreation activity. The respondents were 320 members of 12 private tennis clubs. High multiple correlations between the predictor variables, attitude toward the behavior, and subjective norm, with behavioral intention supported the model of the theory of reasoned action. Attitudes, subjective norms, and behavioral intentions toward individuals with mental retardation were favorable regardless of the label assigned and perceived skill level. Perceived behavior of the target person, rather than skill level and label, was the more salient influence upon attitudes, subjective norms, and behavioral intentions.

Adolescent↗

[Does aesthetic surgery form part of mainstream surgery or is it an entirely separate sector? Reflections and proposals for better protection of the public].

In contempt of the laws and regulations in force, several thousand unqualified practitioners carry out aesthetic surgery although only a mere few hundred are legally entitled to practice this surgical specialty. We are aware, in the present system which has no efficient control systems, that the public is no longer able to identify this small group of charlatans and incompetents. We call on massive concerted effort by the responsible public authorities to ensure that the general public receives the necessary protection. Amongst others, we demand that: The ministry of health, integrates all medical products and medical devices aimed at the aesthetic sector into the list of medical products and medical devices to marketing authorization (authorization de mise sur le marché--AMM) or to endorsement in compliance with the Huriet Law of 10.12.1988. The conseil national de l'ordre des medecins, (national council of doctors advisory board), ensures that the laws and regulations in force governing the value of diplomas, qualifications and competences are respected, be aware of the obsolescence of the general nature of the medical degree, inapplicable due to the efficiency and thus the dangerous nature of modern medicine. The ministry of justice, clearly defines the nature of the informed consent demanded from the patient prior to any therapeutic treatment, ensures the conditions required for legitimate compensation for prejudices caused by therapeutic risks, specifies the doctor's responsibility without malpractice conditions, be aware of the perverse effects caused by the abandonment of the obligation of means and its replacement by an obligation of results demanded from the doctor, to correct the unjust and anomalous situation which opposes the ten year responsibility of the medical product or medical devices manufacturer with the thirty year responsibility of the doctor using these products or equipment.

Ethics, Medical↗