Methods: A before-and-after design was used to measure progra

\n\nMethods: A before-and-after design was used to measure programme outcomes, and qualitative data on implementation facilitators and barriers were collected https://www.selleckchem.com/products/DAPT-GSI-IX.html on two occasions during the implementation process. The sample included professionals in antenatal care, child health care, dental

services and open pre-schools (n=144 pre-implementation) in 13 out of 15 municipalities in a Swedish county. Response rates ranged between 81% and 96% at the four measurement points.\n\nResults: Self-reported health promotion practices and collaboration were improved in all sectors at follow up. Significant changes included: 1) an increase in the extent to which midwives in antenatal care raised issues related to men’s violence against women, 2) an increase in the extent to which several lifestyle topics were raised with parents/clients in child health care and dental services, 3) an increased use of motivational interviewing (MI) and separate ‘fathers visits’ in child health care 4) improvements in Z-VAD-FMK nmr the supply of healthy snacks and beverages in open pre-schools and 5) increased collaboration between sectors. Main facilitators for programme implementation included

cross-sectoral collaboration and sector-specific work manuals/questionnaires for use as support in everyday practice. Main barriers included high workload, and shortage of time and staff.\n\nConclusion: This multisectoral programme for health promotion, based on sector-specific

intervention packages developed and tested by end users, and introduced via interactive multisectoral seminars, shows potential for improving health promotion practices and collaboration across sectors. Consideration BAY 73-4506 ic50 of the key facilitators and barriers for programme implementation as highlighted in this study can inform future improvement efforts.”
“When flower-bearing shoots in cut-rose (Rosa xhybrida) are harvested (removed), a varying number of repressed axillary buds on the shoot remainder start to grow into new shoots (budbreak). Besides removing within-shoot correlative inhibition, it is hypothesized that shoot removal leads to 1) increased light intensity lower in the crop canopy; 2) changes in the light spectrum (particularly red:far-red ratio); and 3) changed source:sink ratio (i.e., the ratio between supply and demand of assimilates). As a fourth hypothesis it is proposed that the degree of budbreak on a shoot remainder is also influenced by the correlative inhibition exerted by other shoots on the plant. It is the goal of this work to determine which of these four hypotheses is most important for budbreak in a cut-rose crop. Four experiments were conducted, in which these factors were varied by leaf removal, removal of mature shoots, varying the number of young shoots, shading of the crop, and application of direct light on the buds. Increase in source:sink ratio was not consistently associated with higher budbreak.

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