TED2016
Joseph Ravenell: How barbershops can keep men healthy
Joseph Ravenell: Kako brijačnice mogu zadržati ljude zdravima
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Brijačnica može biti sigurno utočište za crnce, mjesto za iskren razgovor i povjerenje -- i, kao liječnik Joseph Ravenell sugerira, dobro mjesto za iznijeti teške teme o zdravlju. On je okrenuo svoju lokalnu brijačnicu u mjesto za razgovor o medicinskim problemima koji statistički utječu na crnce češće i ozbiljnije, poput visokog krvnog tlaka. To je novi pristup u rješavanju problema sa širokim aplikacijama. "Što ti je brijačnica?" on pita. "Gdje je to mjesto za vas, gdje ljudi pogođeni jedinstvenim problemom mogu pronaći jedinstveno rješenje?"
Joseph Ravenell - Physician and men’s health advocate
Using unexpected channels like the pulpit and the barber’s chair, Dr. Joseph Ravenell delivers basic health care information to an at-risk demographic -- African-American men. Full bio
Using unexpected channels like the pulpit and the barber’s chair, Dr. Joseph Ravenell delivers basic health care information to an at-risk demographic -- African-American men. Full bio
Double-click the English transcript below to play the video.
00:14
What do you see?
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Što vidite?
00:17
Most of you see a barbershop,
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Većina vas vidi brijačnicu,
00:20
but I see an opportunity:
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ali ja ovdje vidim priliku:
00:23
an opportunity for health,
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priliku za zdravlje,
00:26
an opportunity for health equity.
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priliku za pravičnost u zdravlju.
00:30
For black men, the barbershop
is not just a place
is not just a place
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Za crnce brijačnica
nije samo mjesto
nije samo mjesto
00:33
where you get your hair cut
or your beard trimmed.
or your beard trimmed.
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gdje se možete ošišati ili obrijati bradu.
00:37
No, it's much more than that.
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Brijačnica je nešto puno više.
00:40
Historically, the barbershop
has been a safe haven for black men.
has been a safe haven for black men.
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Povijesno gledano, brijačnica je bila
utočište za tamnopute muškarce.
utočište za tamnopute muškarce.
00:45
It's a place where we go for friendship,
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Ona je mjesto kamo idemo
radi prijateljstva,
radi prijateljstva,
00:48
solidarity and solace.
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solidarnosti i utjehe.
00:52
It's a place where we go
to get away from the stress
to get away from the stress
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Ona je mjesto gdje možemo
pobjeći od stresa,
pobjeći od stresa,
00:55
of the grind of work
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od mukotrpnog posla
00:58
and sometimes home life.
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i ponekad od vlastita četiri zida.
01:02
It's a place where we don't have to worry
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Brijačnica je mjesto gdje se
ne moramo brinuti
ne moramo brinuti
01:04
about how we're being perceived
by the outside world.
by the outside world.
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o tome kako nas vanjski svijet percipira.
01:08
It's a place where we don't
feel threatened,
feel threatened,
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Ona je mjesto gdje se
ne osjećamo ugroženo,
ne osjećamo ugroženo,
01:11
or threatening.
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niti mi ikoga ugražavamo.
01:15
It's a place of loyalty and trust.
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Ona je mjesto vjernosti i povjerenja.
01:18
For that reason,
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Zbog navedenih razloga
01:20
it's one of the few places
where we can fearlessly be ourselves
where we can fearlessly be ourselves
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je brijačnica mjesto gdje bez straha
možemo biti onakvi kakvi jesmo
možemo biti onakvi kakvi jesmo
01:24
and just ... talk.
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i jednostavno ... razgovarati.
01:28
The talk, the shop talk, the conversation,
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Čavrljanje, razgovor o poslu,
razgovor kao takav
razgovor kao takav
01:31
that is the essence
of the black barbershop.
of the black barbershop.
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je srž brijačnice za crnce.
01:35
I can remember going to the barbershop
with my dad as a kid.
with my dad as a kid.
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Sjećam se kako sam s ocem išao u
brijačnicu dok sam bio dijete.
brijačnicu dok sam bio dijete.
01:39
We went to Mr. Mike's barbershop
every other Saturday.
every other Saturday.
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Svake druge subote smo išli u
brijačnicu gospodina Mikea.
brijačnicu gospodina Mikea.
01:43
And like clockwork,
the same group of men would be there
the same group of men would be there
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Uvijek bi nailazili na iste ljude
01:47
every time we went,
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svaki put kada bi i mi došli.
01:48
either waiting on their favorite barber
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Čekali bi svog omiljenog brijača,
01:51
or just soaking up the atmosphere.
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ili bi jednostavno upijali atmosferu.
01:55
I can remember the jovial greeting
that warmly welcomed us
that warmly welcomed us
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Sjećam se veselog pozdrava koji
bi nas toplo dočekao,
bi nas toplo dočekao,
01:59
every time we went.
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svaki put kada god bi došli.
02:01
"Hey Rev," they would say to my dad.
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Rekli bi mome ocu "Hej oče."
02:05
He's a local pastor,
and they treated him like a celebrity.
and they treated him like a celebrity.
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Bio je mjesni župnik, i ponašali su
se prema njemu kao prema slavnoj osobi.
se prema njemu kao prema slavnoj osobi.
02:09
"Hey young fella, how you doing?"
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"Zdravo mladi momče, kako smo?"
02:12
they would say to me,
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pitali bi mene,
02:13
making me feel just as special.
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i tako bih se i ja osjećao posebno.
02:17
I remember the range
of the conversations was immense.
of the conversations was immense.
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Opseg tema razgovora je
zaista bio ogroman.
zaista bio ogroman.
02:22
The men would talk about politics
and sports and music
and sports and music
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Pričalo bi se o politici,
sportu i glazbi
sportu i glazbi
02:27
and world news, national news,
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te o vijestima iz svijeta, zemlje,
02:30
neighborhood news.
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ili iz susjedstva.
02:33
There was some talk about women
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Bilo je i razgovora o ženama,
02:36
and what it was like to be
a black man in America.
a black man in America.
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i o tome kako je biti tamnoput
muškarac u Americi.
muškarac u Americi.
02:40
But many times they also
talked about health.
talked about health.
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Ali često su pričali i o zdravlju.
02:45
The conversations about health
were lengthy and deep.
were lengthy and deep.
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Razgovori o zdravlju su bili
dugi i dubokosežni.
dugi i dubokosežni.
02:49
The men often recounted
their doctor's recommendations
their doctor's recommendations
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Često bi prepričavali
savjete liječnika,
savjete liječnika,
02:52
to cut salt in their diet
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kako moraju smanjiti unos soli,
02:54
or to eat less fried foods
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kako moraju jesti manje
pržene hrane,
pržene hrane,
02:57
or to stop smoking
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kako moraju prestati pušiti
02:59
or to reduce stress.
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ili kako moraju smanjiti stres.
03:01
They talked about the different ways
you could reduce stress,
you could reduce stress,
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Razgovarali su o raznim načinima
kako smanjiti stres,
kako smanjiti stres,
03:05
like simplifying one's love life --
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recimo pomoću jednostavnijeg
ljubavnog života.
ljubavnog života.
03:08
(Laughter)
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(Smijeh)
03:12
all ways to treat high blood pressure.
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Razni načini kako smanjiti krvni tlak.
03:17
There's a lot of talk about
high blood pressure in the barbershop.
high blood pressure in the barbershop.
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Često se razgovaralo o visokom
krvnom tlaku.
krvnom tlaku.
03:22
That's because almost 40 percent
of black men have it.
of black men have it.
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Naime, 40 posto crnaca
pati od visokog krvnog tlaka.
pati od visokog krvnog tlaka.
03:28
That means that almost
every single black man
every single black man
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To znači da skoro svaki crnac
03:32
either has high blood pressure
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ili pati od visokog krvnog tlaka
03:34
or knows a black man who has it.
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ili poznaje nekoga tko
pati od visokog tlaka.
pati od visokog tlaka.
03:37
Sometimes, those conversations
in the barbershop
in the barbershop
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Ponekad bi se u brijačnici
vodili razgovori
vodili razgovori
03:41
would be about what happens
when high blood pressure
when high blood pressure
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o tome što se može dogoditi
ako se visoki krvni tlak
ako se visoki krvni tlak
03:43
is not adequately addressed.
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ne shvati dovoljno ozbiljno.
03:47
"Say, did you hear about Jimmy?
He had a stroke."
He had a stroke."
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"Jesi čuo za Jimmyja?
Imao je moždani udar."
Imao je moždani udar."
03:53
"Did you hear about Eddie?
He died last week.
He died last week.
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"Jesi čuo za Eddieja?
Umro je prošli tjedan.
Umro je prošli tjedan.
03:57
Massive heart attack.
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Snažan srčani udar.
03:59
He was 50."
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Imao je 50 godina."
04:02
More black men die from high blood
pressure than from anything else,
pressure than from anything else,
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Više crnaca umire od visokog tlaka
nego od bilo čega drugoga,
nego od bilo čega drugoga,
04:06
even though decades of medical wisdom
and science have demonstrated
and science have demonstrated
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unatoč desetljećima napretka u zdravstvu.
Znanost je pokazala
Znanost je pokazala
04:11
that death from high blood pressure
can be prevented
can be prevented
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kako se smrt od visokog krvnog tlaka
može sprijećiti
može sprijećiti
04:14
with timely diagnosis
and appropriate treatment.
and appropriate treatment.
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pravovremenom dijagnozom i
odgovarajućim liječenjem.
odgovarajućim liječenjem.
04:19
So why is high blood pressure
so differentially deadly for black men?
so differentially deadly for black men?
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Zašto je onda visok tlak toliko
smrtonosniji za crnce?
smrtonosniji za crnce?
04:24
Because too often, high blood pressure
is either untreated
is either untreated
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Zato što se često nažalost
visok tlak ne liječi uopće
visok tlak ne liječi uopće
04:28
or under-treated in black men,
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ili nedovoljno liječi kod crnaca,
04:31
in part because of our lower engagement
with the primary healthcare system.
with the primary healthcare system.
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djelomice i radi slabog angažmana
oko primarnog zdravstvenog osiguranja.
oko primarnog zdravstvenog osiguranja.
04:36
Black men, in particular
those with high blood pressure,
those with high blood pressure,
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Crnci, naročito oni sa
visokim krvnim tlakom,
visokim krvnim tlakom,
04:40
are less likely to have
a primary care doctor
a primary care doctor
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prije neće imati svog
liječnika opće prakse
liječnika opće prakse
04:42
than other groups.
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nego bilo koja druga grupa.
04:44
But why?
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Ali zašto?
04:46
Some of our earliest research
on black men's health
on black men's health
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Naša najnovija istraživanja o
zdravlju kod crnaca
zdravlju kod crnaca
04:49
revealed that for many, the doctor's
office is associated with fear,
office is associated with fear,
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su otkrila kako mnogi povezuju
ordinaciju sa strahom,
ordinaciju sa strahom,
04:55
mistrust,
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nepovjerenjem,
04:57
disrespect,
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nepoštivanjem,
04:59
and unnecessary unpleasantness.
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i nepotrebnom neugodom.
05:03
The doctor's office is only a place
that you go when you don't feel well.
that you go when you don't feel well.
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Liječnička ordinacija je samo mjesto
gdje idemo kada nam nije dobro.
gdje idemo kada nam nije dobro.
05:07
And when you do go,
you might wait for hours
you might wait for hours
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A kada i odemo,
možemo čekati satima,
možemo čekati satima,
05:11
only to get the run-around
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samo kako bi nam
postavljali neugodna pitanja
postavljali neugodna pitanja
05:13
and to be evaluated by
a stoic figure in a white coat
a stoic figure in a white coat
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i kako bi nas pregledavala
stoička osoba u bijeloj kuti
stoička osoba u bijeloj kuti
05:18
who only has 10 minutes to give you
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koja vam može posvetiti
10 minuta
10 minuta
05:20
and who doesn't value the talk.
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i koja ne vrednuje razgovor.
05:25
So it's no wonder that some men
don't want to be bothered
don't want to be bothered
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Stoga nije ni čudo što se nekima
ne da time gnjaviti
ne da time gnjaviti
05:28
and skip going to the doctor altogether,
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te preskaču cijeli postupak
odlaska liječniku,
odlaska liječniku,
05:32
especially if they feel fine.
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naročito ako se dobro osjećaju.
05:35
But herein lies the problem.
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No u tome i jest problem.
05:38
You can feel just fine
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Možete se dobro osjećati,
05:40
while high blood pressure ravages
your most vital organs.
your most vital organs.
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dok vam visok krvni tlak
razara vitalne organe.
razara vitalne organe.
05:46
This is Denny Moe,
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Ovo je Denny Moe,
05:49
owner of Denny Moe's
Superstar Barbershop in Harlem.
Superstar Barbershop in Harlem.
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vlasnik brijačnice Denny Moe's
Superstar Barbershop u Harlemu.
Superstar Barbershop u Harlemu.
05:53
I've been lucky enough to have Denny
as my barber for the last eight years.
as my barber for the last eight years.
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Imao sam dovoljno sreće da je Denny
moj brijač zadnjih osam godina.
moj brijač zadnjih osam godina.
05:58
He said to me once,
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Jednom mi je rekao
06:00
"Hey Doc, you know,
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"Znaš Doc,
06:02
lots of black men trust their barbers
more than they trust their doctors."
more than they trust their doctors."
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dosta crnaca vjeruje svojim brijačima
više nego vlastitim liječnicima."
više nego vlastitim liječnicima."
06:07
This was stunning to me,
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To me zaista iznenadilo,
06:09
at first,
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na prvu,
06:11
but not so much when you think about it.
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ali više ne toliko ako
malo o tome razmislite.
malo o tome razmislite.
06:14
Black men have been with their
current barbers
current barbers
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Crnci većinom svoje brijače
06:17
on average as long
as I've been with Denny,
as I've been with Denny,
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imaju u prosjeku jednako dugo
kao ja Dennyja,
kao ja Dennyja,
06:19
about eight years.
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otprilike osam godina.
06:21
And black men see their barbers
about every two weeks.
about every two weeks.
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Crnac odlazi svom brijaču otprilike
svaki drugi tjedan.
svaki drugi tjedan.
06:26
Not only do you trust your barber
with your look and with your style,
with your look and with your style,
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Ne samo da vjerujete svom brijaču
što se tiče izgleda i stila,
što se tiče izgleda i stila,
06:31
but you also trust him with your secrets
and sometimes your life.
and sometimes your life.
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nego mu povjeravate svoje tajne,
pa nekada i svoj život.
pa nekada i svoj život.
06:37
Denny, like many barbers,
is more than just an artist,
is more than just an artist,
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Denny, kao mnogi brijači,
je mnogo više nego samo umjetnik,
je mnogo više nego samo umjetnik,
06:40
a businessman and confidant.
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biznismen i osoba od povjerenja.
06:43
He's a leader and a passionate advocate
for the well-being of his community.
for the well-being of his community.
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On je vođa i stravstveni zagovarač
općeg dobra u svojoj zajednici.
općeg dobra u svojoj zajednici.
06:50
The very first time I walked
into Denny Moe's shop,
into Denny Moe's shop,
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Kada sam prvi put ušetao
u Dennyjevu brijačnicu,
u Dennyjevu brijačnicu,
06:53
he wasn't just cutting hair.
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nije mi samo ošišao kosu.
06:56
He was also orchestrating
a voter registration drive
a voter registration drive
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On je također orkestrirao
registraciju birača
registraciju birača
07:00
to give a voice to his customers
and his community.
and his community.
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kako bi dao glas svojim mušterijama
i zajednici.
i zajednici.
07:06
With this kind of activism,
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Sa takvim aktivizmom,
07:09
and community investment
that typifies the black barbershop,
that typifies the black barbershop,
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i ulaganjem u zajednicu koji su
tipični za crnačku brijačnicu,
tipični za crnačku brijačnicu,
07:13
of course the barbershop
is a perfect place
is a perfect place
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naravno da je brijačnica savršeno
mjesto
mjesto
07:17
to talk about high blood pressure and
other health concerns in the community.
other health concerns in the community.
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za razgovor o visokom krvnom tlaku i
drugim zdravstvenim brigama u zajednici.
drugim zdravstvenim brigama u zajednici.
07:21
First, the barbershop is not
a medical setting,
a medical setting,
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Prvo, brijačnica se ne nalazi u
medicinskom okruženju,
medicinskom okruženju,
07:26
and so it doesn't have
all the negative psychological baggage
all the negative psychological baggage
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i stoga ne nosi svu negativnu
psihološku prtljagu
psihološku prtljagu
07:29
that comes along with that.
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koja dolazi s time.
07:31
When you're in a barbershop,
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Kada ste u brijačnici,
07:33
you're in your territory,
and you're among friends
and you're among friends
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vi ste na svom području,
i vi ste među prijateljima
i vi ste među prijateljima
07:36
who share your history,
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koji dijele vašu povijest,
07:39
your struggle and your health risks.
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vašu borbu i vaše zdravstvene rizike.
07:43
Second, because the barbershop
is a place of connection,
is a place of connection,
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Drugo, zato što je brijačnica
mjesto spajanja,
mjesto spajanja,
07:47
loyalty and trust,
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lojalnosti i povjerenja,
07:49
it's a place where you're more open
to have a conversation about health
to have a conversation about health
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to je mjesto gdje ste otvoreniji
za razgovor o zdravlju
za razgovor o zdravlju
07:53
and especially about high blood pressure.
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i posebno o visokom krvnom tlaku.
07:56
After all,
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Naposljetku,
07:57
conversations about high blood pressure
have all the elements of great shop talk:
have all the elements of great shop talk:
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razgovori o visokom krvnom tlaku imaju
sve elemente dobrog razgovoru u trgovini:
sve elemente dobrog razgovoru u trgovini:
08:03
stress and high blood pressure,
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stres i visoki krvni tlak,
08:05
food and high blood pressure,
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hrana i visoki krvni tlak,
08:08
relationships and high blood pressure,
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veze i visoki krvni tlak,
08:10
and yes, what it's like
to be a black man in America
to be a black man in America
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i da, kako je to biti crnac u Americi
08:14
and high blood pressure.
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i visoki krvni tlak.
08:17
But you can do more than just talk
about high blood pressure
about high blood pressure
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Ali možete učiniti mnogo više
nego samo razgovarati o tlaku
nego samo razgovarati o tlaku
08:20
in the barbershop.
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dok ste u brijačnici.
08:22
You can concretely take action.
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Možete poduzeti konkretne korake.
08:25
Here we have an opportunity to partner
with the Denny Moe's of the world
with the Denny Moe's of the world
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Imamo priliku surađivati
sa Denny Moeovima ovoga svijeta
sa Denny Moeovima ovoga svijeta
08:30
and empower communities
to address the health inequities
to address the health inequities
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i osnažiti zajednice kako bi obratili
pažnju na zdravstvene nepravde
pažnju na zdravstvene nepravde
08:34
that uniquely affect it.
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koje djeluju na iste te zajednice.
08:37
When high blood pressure screening
expanded from clinics and hospitals
expanded from clinics and hospitals
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Kad su se pretrage visokog krvnog tlaka
proširile od klinika i bolnica
proširile od klinika i bolnica
08:40
to communities in the 1960s and '70s,
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na zajednice u 60-ima i 70-ima,
08:43
black physicians like
Dr. Eli Saunders in Baltimore
Dr. Eli Saunders in Baltimore
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crni doktori poput
Dr. Eli Saunders u Baltimore-u
Dr. Eli Saunders u Baltimore-u
08:47
and Dr. Keith Ferdinand in New Orleans
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i Dr. Keith Ferdinand-a u New Orleans-u
08:49
were at the forefront of bringing
health promotion to community hubs
health promotion to community hubs
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su bili na čelu donošenja promocije
zdravstva zajednicama
zdravstva zajednicama
08:53
in urban black neighborhoods.
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u urbanim crnačkim četvrtima.
08:56
These pioneers paved the way
for my professional journey
for my professional journey
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Ovi pioniri su utrli put
mom profesionalnom putovanju
mom profesionalnom putovanju
09:00
with barbershops and health,
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sa brijačnicama i zdravljem,
09:02
which began in Chicago in medical school.
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koje je započelo u Chicagu
u medicinskoj školi.
u medicinskoj školi.
09:07
The very first research project
that I worked on as a medical student
that I worked on as a medical student
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Prvi istraživački projekt na kojem sam
radio kao student medicine
radio kao student medicine
09:10
was to help design
healthcare interventions
healthcare interventions
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bio je pomoći dizajnirati
zdravstvene intervencije
zdravstvene intervencije
09:13
that would appeal to black men.
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koje će privući crnce.
09:16
We conducted about a dozen focus groups
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Proveli smo oko tucet fokus grupa
09:19
with a broad cross-section of black men,
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sa širokim dijapazonom crnih ljudi,
09:23
and we learned that for them,
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i saznali smo da za njih,
09:25
being healthy was as much about
being perceived as healthy
being perceived as healthy
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zdrav je značilo biti smatran zdravim
isto toliko
isto toliko
09:29
as it was about feeling healthy,
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koliko je značilo osjećati se zdravim,
09:31
and that feeling good
went hand in hand with looking good.
went hand in hand with looking good.
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i da osjećati se dobro je bilo isto
kao i izgledati dobro.
kao i izgledati dobro.
09:38
This work led to the development
of Project Brotherhood,
of Project Brotherhood,
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Ovaj rad je doveo do razvoja
Projekta Bratstva,
Projekta Bratstva,
09:41
a community clinic founded
by Dr. Eric Whitaker
by Dr. Eric Whitaker
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klinika zajednice koju je osnovao
Dr. Eric Whitaker
Dr. Eric Whitaker
09:44
that provided tailored
healthcare to black men.
healthcare to black men.
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koja je pružala zdravstvenu zaštitu
po mjeri za crnce.
po mjeri za crnce.
09:48
Part of this tailored care
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2008
Dio te zaštite po mjeri
09:50
involved having a barber on the premises
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je uključivao imati brijača u prostorijama
09:53
to reward the men who came
for needed healthcare
for needed healthcare
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3603
kako bi se nagradili ljudi koji su došli
za potrebno zdravstvo
za potrebno zdravstvo
09:57
with a free haircut,
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1965
sa besplatnim šišanjem,
09:59
to let the men know that we, too,
valued how they looked
valued how they looked
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kako bi dali ljudima do znanja da smo
i mi cijenili kako izgledaju
i mi cijenili kako izgledaju
10:03
as well as how they felt,
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a ujedno kako se i osjećaju,
10:05
and that what was important to them
was also important to us.
was also important to us.
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i da ono što je važno za njih
je također važno za nas.
je također važno za nas.
10:10
But while there's only one
Project Brotherhood,
Project Brotherhood,
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No, dok postoji samo jedan
Projekt Bratstva,
Projekt Bratstva,
10:13
there are thousands of black barbershops
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postoji tisuće brijačnica
10:16
where the intersection of health
and haircuts can be cultivated.
and haircuts can be cultivated.
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gdje se sjecište zdravlja i
frizure mogu njegovati.
frizure mogu njegovati.
10:22
The next stop on my journey
was Dallas, Texas,
was Dallas, Texas,
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Sljedeća stanica na mom putu
bio je Dallas, Texas,
bio je Dallas, Texas,
10:26
where we learned that barbers
were not only willing
were not only willing
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gdje smo saznali da brijači
ne samo da su bili spremni
ne samo da su bili spremni
10:29
but fully able to roll up
their sleeves and participate
their sleeves and participate
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već su u potpunosti mogli zasukati
rukave i sudjelovati
rukave i sudjelovati
10:33
in delivering needed health services
to improve the health of their customers
to improve the health of their customers
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u pružanju potrebne zdravstvene usluge
za poboljšanje zdravlja svojih klijenata
za poboljšanje zdravlja svojih klijenata
10:38
and their community.
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i njihove zajednice.
10:40
We teamed up with an amazing
cadre of black barbers
cadre of black barbers
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Složili smo tim izvrsnih brijača
10:44
and taught them how
to measure blood pressure
to measure blood pressure
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te smo ih naučili kako se
mjeri krvni tlak,
mjeri krvni tlak,
10:46
and how to counsel their customers
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kako savjetovati svoje mušterije
10:48
and refer them to doctors
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i uputiti ih liječniku
10:50
to help manage high blood pressure.
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kako bi im pomogli savladati
visok tlak.
visok tlak.
10:52
The barbers were not only willing to do it
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Brijači ne samo da su bili
voljni učiniti to,
voljni učiniti to,
10:55
but they were damn good at it.
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nego su bili i vraški dobri.
10:57
Over a three-year period,
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u periodu od tri godine,
10:59
the barbers measured
thousands of blood pressures
thousands of blood pressures
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brijači su preko tisuću puta
mjerili krvni tlak, što je
mjerili krvni tlak, što je
11:02
resulting in hundreds of black men
being referred to doctors
being referred to doctors
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rezultiralo time da je stotine
crnaca bilo upućeno liječnicima
crnaca bilo upućeno liječnicima
11:07
for medical care
of their high blood pressure.
of their high blood pressure.
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kako bi liječili visok tlak.
11:11
These barber-doctor partnerships
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Ova partnerstva između
brijača i liječnika
brijača i liječnika
11:14
resulted in a 20 percent increase
in the number of men
in the number of men
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su rezultirala u povećanju od
20 posto broja muškaraca
20 posto broja muškaraca
11:18
who were able to achieve
target blood pressure levels
target blood pressure levels
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koji su uspjeli postići ciljanu
razinu krvnog tlaka
razinu krvnog tlaka
11:21
and a three-point drop, on average,
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i pad od tri razine, u prosjeku,
11:23
in the blood pressure of each participant.
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u krvnom tlaku svakog sudionika.
11:26
If we were to extrapolate
that three point drop
that three point drop
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Kada bi postigli isti rezultat
11:29
to every single black man
with high blood pressure in America,
with high blood pressure in America,
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kod svakog crnca sa visokim
krvnim tlakom u Americi,
krvnim tlakom u Americi,
11:32
we would prevent 800 heart attacks,
500 strokes and 900 deaths
500 strokes and 900 deaths
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spriječili bi 800 srčanih udara,
500 moždanih udara i 900
500 moždanih udara i 900
11:39
from high blood pressure
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smrtnih slučaja uzrokovanih
visokim tlakom,
visokim tlakom,
11:40
in just one year.
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1902
u roku od godinu dana.
11:44
And our experience with barbershops
has been no different in New York City,
has been no different in New York City,
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Naše iskustvo sa brijačnicama se
nije nimalo promijenilo
nije nimalo promijenilo
11:49
where my journey has currently led me.
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u New Yorku, kamo me trenutno
doveo moj put.
doveo moj put.
11:51
With an incredible team
of diverse research assistants,
of diverse research assistants,
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S izvanrednim timom sastavljenim
od raznih ispitnih asistenata,
od raznih ispitnih asistenata,
11:55
community health workers and volunteers,
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zdravstvenim djelatnicima
i volonterima,
i volonterima,
11:58
we've been able to partner
with over 200 barbershops
with over 200 barbershops
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uspjeli smo postići partnerstvo
sa više od 200 brijačnica
sa više od 200 brijačnica
12:02
and other trusted community venues
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te ostalim obrtima u zajednici
koje uživaju povjerenje
koje uživaju povjerenje
12:04
to reach over 7,000 older black men.
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kako bi došli do preko
7000 crnaca starije dobi.
7000 crnaca starije dobi.
12:08
And we've offered high blood pressure
screening and counseling
screening and counseling
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Ponudili smo im provjeru krvnoga
tlaka i savjetovanje,
tlaka i savjetovanje,
12:11
to each and every one of them.
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1436
i to svakome od njih.
12:13
Thanks to Denny Moe
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Zahvaljujući Denny Moeu
12:15
and the myriad other barbers
and community leaders
and community leaders
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3603
te mnoštvu drugih brijača
i vođa zajednica
i vođa zajednica
12:19
who shared the vision of opportunity
and empowerment
and empowerment
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koji su imali zajedničku viziju
mogućnosti i osnaživanja
mogućnosti i osnaživanja
12:24
to make a difference in their communities,
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kako bi napravili promjenu
u svojim zajednicama,
u svojim zajednicama,
12:26
we've been able to not only
lower blood pressure
lower blood pressure
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2755
ne samo da smo našim
sudionicima uspjeli
sudionicima uspjeli
12:29
in our participants,
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1460
sniziti krvni tlak,
12:31
but we've also been able to impact
other health indicators.
other health indicators.
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3712
nego smo uspjeli utjecati
i na druge indikatore zdravlja.
i na druge indikatore zdravlja.
12:38
So what do you see?
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Dakle, što vidite?
12:41
What is your barbershop?
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Što je vaša brijačnica?
12:45
Where is that place for you
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Gdje se nalazi vaše mjesto
12:49
where people who are affected
by a unique problem
by a unique problem
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gdje ljudi zatečeni
zajedničkim problemom
zajedničkim problemom
12:53
can meet a unique solution?
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mogu pronaći zajedničko rješenje?
12:57
When you find that place,
see the opportunity.
see the opportunity.
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Kada pronađete to mjesto,
iskoristite priliku.
iskoristite priliku.
13:02
Thank you.
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Hvala vam.
13:03
(Applause)
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(Pljesak)
ABOUT THE SPEAKER
Joseph Ravenell - Physician and men’s health advocateUsing unexpected channels like the pulpit and the barber’s chair, Dr. Joseph Ravenell delivers basic health care information to an at-risk demographic -- African-American men.
Why you should listen
Colorectal cancer and hypertension are the two leading causes of death among African-American males over 50, and yet these men remain underserved by basic diagnostic procedures such as blood pressure checks or cancer screening. By tapping the members of the African-American community most often trusted by men -- barbers and religious leaders -- Joseph Ravenell hopes to change that.
Working with New York University's Men's Health Initiative, Ravenell studies and implements community-based strategies to diagnose and treat these preventable and potentially deadly diseases, offering blood pressure readings at barbershops and health education at churches and mosques.
Joseph Ravenell | Speaker | TED.com