WorldWideScience

Sample records for care art programme

  1. Nevirapine-associated early hepatotoxicity: incidence, risk factors, and associated mortality in a primary care ART programme in South Africa.

    OpenAIRE

    Chu, Kathryn M.; Boulle, Andrew M; Ford, Nathan; Goemaere, Eric; ASSELMAN, Valerie; van Cutsem, Gilles

    2010-01-01

    BACKGROUND: The majority of antiretroviral treatment programmes in sub-Saharan Africa are scaling up antiretroviral treatment using a fixed dose first-line antiretroviral regimen containing stavudine, lamivudine, and nevirapine. One of the primary concerns with the use of this regimen is nevirapine-associated hepatotoxicity. METHODOLOGY/PRINCIPAL FINDINGS: Study participants were 1809 HIV-infected, antiretroviral naïve adults initiating nevirapine-based antiretroviral therapy between November...

  2. Childbearing in a Time of ART: Birth Rates, Childbearing Desires and Family Planning in a Rural HIV Treatment and Care Programme in South Africa

    OpenAIRE

    Benton, L. M.

    2015-01-01

    Mixed methods investigate the association between HIV, ART and fertility following scale-up of HIV treatment and care in South Africa. Two longitudinal analyses of surveillance data from the Africa Centre for Health and Population Studies compare factors associated with live birth by HIV and ART exposure. Semi-structured interviews with women enrolled on ART and healthcare providers explore perceptions of childbearing and contraceptive use. A quantitative study reports on one open cohort anal...

  3. Wellness Programmes: Primary-Care Medicine

    OpenAIRE

    Sarita Verma; Evelyn Forsyth; Leslie Flynn

    1999-01-01

    The evidence suggests that there are benefits associated with wellness programmes but there are methodological limitations with the current state of studies which prohibit strong conclusions in favour of wellness programmes. Concepts of `holistic health' and `traditional' or `alternative health' care have emerged in the past decade as challenges to conventional medical therapies. Wellness programmes may emerge as adjunctive or complementary modalities in primary care, both for the management ...

  4. Coffee, Cake & Culture: Evaluation of an art for health programme for older people in the community.

    Science.gov (United States)

    Roe, Brenda; McCormick, Sheila; Lucas, Terri; Gallagher, Wendy; Winn, Andrea; Elkin, Sophie

    2016-07-01

    Arts for health initiatives and networks are being developed in a number of countries and an international literature is emerging on the evidence of their benefits to people's health, wellbeing and quality of life. Engagement in cultural and creative arts by older people can increase their morale and self-confidence and provides opportunities for social connection. Museums and galleries are increasingly required to justify their expenditure, reach and impact and some are working in partnership with local councils, hospitals, schools and communities to improve access to their collections. There is a body of literature emerging that describes such initiatives but empirical evidence of their benefits is less developed. This article reports an evaluation of an art for health initiative - Coffee, Cake & Culture organised and delivered by Whitworth Art Gallery and Manchester Museum in 2012 for older people living in a care home and a supported living facility. The study has identified the benefits and impacts of the arts for health programme and its feasibility for older people, with or without diagnosed memory loss - dementia, living in a care home or supported living facility and their care staff. The findings demonstrate there were benefits to the older people and their care staff in terms of wellbeing, social engagement, learning, social inclusion and creativity. These benefits were immediate and continued in the short term on their return home. The majority of older people and care staff had not previously been to the art gallery or museum and the programme encouraged creative arts and cultural appreciation which promoted social inclusion, wellbeing and quality of life. The programme is feasible and important lessons were identified for future planning. Further research involving partnerships of researchers, arts for health curators, artists, care staff, older people and their families is warranted. PMID:24686287

  5. Factors influencing retention in care after starting antiretroviral therapy in a rural South African programme.

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    Tom H Boyles

    Full Text Available INTRODUCTION: The prognosis of patients with HIV in Africa has improved with the widespread use of antiretroviral therapy (ART but these successes are threatened by low rates of long-term retention in care. There are limited data on predictors of retention in care, particularly from rural sites. METHODS: Prospective cohort analysis of outcome measures in adults from a rural HIV care programme in Madwaleni, Eastern Cape, South Africa. The ART programme operates from Madwaleni hospital and seven primary care feeder clinics with full integration between inpatient and outpatient services. Outreach workers conducted home visits for defaulters. RESULTS: 1803 adults initiated ART from June 2005 to May 2009. At the end of the study period 82.4% were in active care or had transferred elsewhere, 11.1% had died and 6.5% were lost to follow-up (LTFU. Independent predictors associated with an increased risk of LTFU were CD4 nadir >200, initiating ART as an inpatient or while pregnant, and younger age, while being in care for >6 months before initiating ART was associated with a reduced risk. Independent factors associated with an increased risk of mortality were baseline CD4 count 6 months before initiating ART and initiating ART while pregnant were associated with a reduced risk. CONCLUSIONS: Serving a socioeconomically deprived rural population is not a barrier to successful ART delivery. Patients initiating ART while pregnant and inpatients may require additional counselling and support to reduce LTFU. Providing HIV care for patients not yet eligible for ART may be protective against being LTFU and dying after ART initiation.

  6. Implementation of Adolescent Family-Based Substance Use Prevention Programmes in Health Care Settings: Comparisons across Conditions and Programmes

    Science.gov (United States)

    Aalborg, Annette E.; Miller, Brenda A.; Husson, Gail; Byrnes, Hilary F.; Bauman, Karl E.; Spoth, Richard L.

    2012-01-01

    Objective: To examine factors that influence the effectiveness and quality of implementation of evidence-based family-focused adolescent substance use prevention programmes delivered in health care settings and to assess the effects of programme choice versus programme assignment on programme delivery. Design: Strengthening Families Program: For…

  7. Artist-Programmers and Programming Languages for the Arts

    OpenAIRE

    McLean, Christopher Alex

    2011-01-01

    We consider the artist-programmer, who creates work through its description as source code. The artist-programmer grandstands computer language, giving unique vantage over human-computer interaction in a creative context. We focus on the human in this relationship, noting that humans use an amalgam of language and gesture to express themselves. Accordingly we expose the deep relationship between computer languages and continuous expression, examining how these realms may support one anothe...

  8. The Care Accelerator R&D Programme in Europe

    OpenAIRE

    Napoly, O.; Aleksan, A.; Devred, A.; Ouden, den, M.

    2005-01-01

    CARE, an ambitious and coordinated programme of accelerator research and developments oriented towards high energy physics projects, has been launched in January 2004 by the main European laboratories and the European Commission. This project aims at improving existing infrastructures dedicated to future projects such as linear colliders, upgrades of hadron colliders and high intensity proton drivers. We describe the CARE R&D plans, mostly devoted to advancing the performance of the supercond...

  9. The CARE accelerator R&D programme in Europe

    OpenAIRE

    Aleksan, R.; den Ouden, A.; Devred, A.; Garoby, R.; Garvey, T.; Ghigo, A.; Gschwendtner, E.; Losito, R.; Mais, H.; Napoly, O.; Palladino, V.; Proch, D.; Richard, F.; Rinolfi, L.; Ruggiero, F.

    2005-01-01

    CARE, an ambitious and coordinated programme of accelerator research and developments oriented towards high energy physics projects, has been launched in January 2004 by the main European laboratories and the European Commission. This project aims at improving existing infrastructures dedicated to future projects such as linear colliders, upgrades of hadron colliders and high intensity proton drivers. We describe the CARE R&D plans, mostly devoted to advancing the performance of the supercond...

  10. Early intervention care programme for parents of neonates

    OpenAIRE

    W Lubbe

    2005-01-01

    Parents with neonates in the neonatal intensive care unit (NICU) experience different needs at different stages of their neonates’ stay in the NICU. The needs of parents with neonates in NICU’s play an important role in aspects such as the ability to cope with changing parental roles and emotions, the relationship between parent and infant and the managing of the parents’ own needs. The aim of this study was to develop an intervention care programme for parents with neonates in the NICU. This...

  11. Timing of antenatal care and ART initiation in HIV-infected pregnant women before and after introduction of NIMART

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    Coceka Nandipha Mnyani

    2014-05-01

    Full Text Available In this review of routinely collected data from five community health centres in the Johannesburg Health District, we assess timing of antenatal care and antiretroviral therapy (ART initiation in HIV-infected pregnant women before and after the introduction of nurse-initiated management of ART in antenatal clinics. There are important lessons to be learnt as we reflect on the South African prevention of mother-to-child transmission of HIV programme.

  12. Art Therapy with an Oncology Care Team

    Science.gov (United States)

    Nainis, Nancy A.

    2005-01-01

    Oncology nurses are particularly vulnerable to "burnout" syndrome due to the intensity of their work and the ongoing losses they experience while providing oncology care to their patients. High levels of stress in the workplace left untended lead to high job turnover, poor productivity, and diminished quality of care for patients. Attention to…

  13. Values Infusing UKUSA: A Developmental Community Arts Programme in South Africa

    Science.gov (United States)

    Oehrle, Elizabeth

    2010-01-01

    This paper presents an overview of UKUSA, a non-governmental community arts/music programme in Durban, South Africa. At the heart of this project is a desire to enable people who have been historically disadvantaged to develop a more positive sense of self. To this end, UKUSA offers the best possible tuition in music, dance and drama, developing…

  14. Changes and Challenges in Music Education: Reflections on a Norwegian Arts-in-Education Programme

    Science.gov (United States)

    Christophersen, Catharina

    2015-01-01

    With a recent research study on a Norwegian arts-in-education programme "The Cultural Rucksack" as its starting point, this article addresses policy changes in the fields of culture and education and possible implications these could have on music education in schools. Familiar debates on the quality of education and the political…

  15. Construction of elderly identity within an education programme for care workers

    DEFF Research Database (Denmark)

    Jensen, Anne Winther

    , the paper focuses on how elderly identity is constructed within an adult basic education programme in the social and health care sector in Denmark. The programme being involved is for adults who would like to work in the social and health care sector at a basic level; the programme consists of theoretical...

  16. Adapting and implementing the Wine in Moderation-Art de Vivre programme in Argentina

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    Alvarez Natalia

    2014-01-01

    Full Text Available The Wine in Moderation-Art de Vivre (WIM programme was officially launched in 2008 as the wine sector's contribution to the EU Alcohol & Health Forum, within the framework of the EU strategy to support Member States in reducing alcohol-related harm. Building on the values of the “wine culture” and founded on information backed by science, broad education & self-regulation, WIM aims at promoting moderate and responsible behavior in the consumption of wine as a social and cultural norm. Considering the global and national trends in the wine market, the drinking patterns and the alcohol & health policy, Bodegas de Argentina (BAAC decided to mobilize concrete actions to contribute to the reduction of alcohol related harm, by adapting and implementing the WIM programme in Argentina. BAAC decided to engage the whole national wine value chain in the WIM programme and empower them with necessary knowledge and tools to properly implement it and disseminate the WIM message. The first step was to adapt the WIM programme and message to the cultural and linguistic context respecting the programme's common approach and creating an action plan with 2 main phases. With the Argentinean wine value chain participating in WIM and having the proper skills to do, the challenge now lies in reaching consumer. The successful implementation in Argentina has set a milestone in WIM's international development.

  17. Art and science education collaboration in a secondary teacher preparation programme

    Science.gov (United States)

    Medina-Jerez, William; Dambekalns, Lydia; Middleton, Kyndra V.

    2012-07-01

    Background and purpose: The purpose of this study was to record and measure the level of involvement and appreciation that prospective teachers in art and science education programmes demonstrated during a four-session integrated activity. Art and science education prospective teachers from a Rocky Mountain region university in the US worked in partnership to produce a science-related art piece using a silk batik painting technique. This project incorporated the use of two hands-on activities (a sampler and a final piece). In addition, pre- and post-activity surveys helped researchers investigate whether an integrated activity led to changes in attitudes towards collaborative instruction among students from art and science education. A practical implication of these results could guide students' teaching assignments and professional careers. Sample: This project involved the participation of 34 prospective teachers enrolled in secondary art and science education pedagogical content courses at a public university in the Rocky Mountain region of the United States. Design and method: Prospective teachers in art and science education programmes worked together in a four-session integrated activity for three consecutive years. Participants were tasked with the design of art pieces addressing a core concept from the secondary school science curriculum using the batik painting technique. This project included two hands-on activities (a sampler and a final piece). In addition, they responded to pre- and post-activity surveys. Results: Overall, the data show significant variation at pre- and post-survey, indicating that students had more knowledge after the study than before regarding the integration of art and science in the secondary school curriculum. The mean of interdisciplinary teaching ratings increased on all four target survey items according to the 10-point rating scale. Based on the results, the integrated art and science instructional approach significantly

  18. Creating learning environments for compassionate care: a programme to promote compassionate care by health and social care teams

    OpenAIRE

    Bridges, J.; Fuller, A.

    2014-01-01

    Background The consistent delivery of compassionate health and social care to older people is a matter of global concern to the nursing profession and the public it serves. The development and evaluation of effective interventions to address this concern is of prime importance. Aims and objectives This paper draws on findings from previous research to propose the use of a novel implementation programme designed to improve and support the delivery of compassionate care by health an...

  19. Factors associated with access to HIV care and treatment in a prevention of mother to child transmission programme in urban Zimbabwe

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    Muchedzi Auxilia

    2010-10-01

    Full Text Available Abstract Background This cross-sectional study assessed factors affecting access to antiretroviral therapy (ART among HIV-positive women from the prevention of mother to child transmission HIV programme in Chitungwiza, Zimbabwe. Methods Data were collected between June and August 2008. HIV-positive women attending antenatal clinics who had been referred to the national ART programme from January 2006 until December 2007 were surveyed. The questionnaire collected socio-demographic data, treatment-seeking behaviours, and positive or negative factors that affect access to HIV care and treatment. Results Of the 147 HIV-positive women interviewed, 95 (65% had registered with the ART programme. However, documentation of the referral was noted in only 23 (16% of cases. Of the 95 registered women, 35 (37% were receiving ART; 17 (18% had not undergone CD4 testing. Multivariate analysis revealed that participants who understood the referral process were three times more likely to access HIV care and treatment (OR = 3.21, 95% CI 1.89-11.65 and participants enrolled in an HIV support group were twice as likely to access care and treatment (OR = 2.34, 95% CI 1.13-4.88. Those living with a male partner were 60% less likely to access care and treatment (OR = 0.40, 95% CI 0.16-0.99. Participants who accessed HIV care and treatment faced several challenges, including long waiting times (46%, unreliable access to laboratory testing (35% and high transport costs (12%. Of the 147 clients surveyed, 52 (35% women did not access HIV care and treatment. Barriers included perceived long queues (50%, competing life priorities, such as seeking food or shelter (33% and inadequate referral information (15%. Conclusions Despite many challenges, the majority of participants accessed HIV care. Development of referral tools and decentralization of CD4 testing to clinics will improve access to ART. Psychosocial support can be a successful entry point to encourage client referral

  20. Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013

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    Latika Nath Sinha

    2014-09-01

    Full Text Available Background: In India, the Home Based Postnatal Newborn Care programme by Accredited Social Health Activists (ASHAs under the National Rural Health Mission was initiated in 2011 to reduce neonatal mortality rates (NMRs. ASHAs get cash incentives for six postnatal home visits for newborn care. We studied newborn care practices among mothers in Mewat, Haryana, having a high NMR and determined risk factors for unsafe practices and described the knowledge and skills of ASHAs during home visits. Methods: A cross-sectional survey was conducted among mothers who had delivered a child during the previous seven months using cluster sampling. We interviewed mothers and ASHAs in the selected subcentres using semi–structured questionnaires on the six safe newborn care practices, namely safe breastfeeding, keeping cord and eyes clean, wrapping baby, kangaroo care, delayed bathing and hand washing. Results: We interviewed 320 mothers, 61 ASHAs and observed 19 home visits. Overall, 60% of mothers adopted less than three safe practices. Wrapping newborns (96% and delayed bathing (64% were better adopted than cord care (49%, safe breastfeeding (48%, hand washing (30%, kangaroo care (20% and eye care (9%. Cultural beliefs and traditional birth attendants influenced the mother’s practices. The lack of supervision by auxiliary nurse midwives (ANM, delayed referral and transportation were the other challenges. Conclusion: Knowledge–practice gaps existed among mothers counselled by ASHAs. Poor utilization of reproductive and child health services decreased opportunities for ASHA–mother dialogue on safe practices. Recommendations included training ANMs, training TBAs as ASHAs, innovative communication strategies for ASHAs and improved referral system.

  1. Insights from an individual-level model of HIV programmes in southern Africa: HIV testing, ART and resistance

    OpenAIRE

    Cambiano, V.

    2014-01-01

    Antiretroviral therapy (ART) has transformed HIV infection from a death sentence into a chronic condition. In sub-Saharan Africa, the area most affected by this disease, availability of ART has increased dramatically over the last few years. Nevertheless, many people are still not receiving ART either because they are not aware of being HIV-positive or because they struggle to access ART or to engage in HIV care. It is fundamental to take decisions which maximise the health benefits with the ...

  2. Implementation of the Care Programme Approach across Health and Social Services for Dual Diagnosis Clients

    Science.gov (United States)

    Kelly, Michael; Humphrey, Charlotte

    2013-01-01

    Background: Care for clients with mental health problems and concurrent intellectual disability (dual diagnosis) is currently expected to be provided through the care programme approach (CPA), an approach to provide care to people with mental health problems in secondary mental health services. When CPA was originally introduced into UK mental…

  3. Arts-based and creative approaches to dementia care.

    Science.gov (United States)

    McGreevy, Jessica

    2016-02-01

    This article presents a review of arts-based and creative approaches to dementia care as an alternative to antipsychotic medications. While use of antipsychotics may be appropriate for some people, the literature highlights the success of creative approaches and the benefits of their lack of negative side effects associated with antipsychotics. The focus is the use of biographical approaches, music, dance and movement to improve wellbeing, enhance social networks, support inclusive practice and enable participation. Staff must be trained to use these approaches. A case study is presented to demonstrate how creative approaches can be implemented in practice and the outcomes that can be expected when used appropriately. PMID:26938607

  4. Improving end of life care in care homes; an evaluation of the six steps to success programme

    OpenAIRE

    O’Brien, Mary; Kirton, Jennifer; Knighting, Katherine; Roe, Brenda; Jack, Barbara

    2016-01-01

    Background There are approximately 426,000 people residing within care homes in the UK. Residents often have complex trajectories of dying, which make it difficult for staff to manage their end-of-life care. There is growing recognition for the need to support care homes staff in the care of these residents with increased educational initiatives. One educational initiative is The Six Steps to Success programme. Method In order to evaluate the implementation of Six Steps with the first cohort ...

  5. A RETROSPECTIVE 5 YEAR STUDY OF PPTCT PROGRAMME AT TERTIARY CARE CENTRE

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    Saritha

    2015-06-01

    Full Text Available BACKGROUND: Mother to child transmission of HIV is a major cause of paediatric HIV. MTCT prevention strategies include comprehensive antenatal, postnatal and paediatric health services, voluntary counselling and testing (VCT, antiretroviral prophylaxis; counselling and support for safe infant feeding and optimal obstetrical practices. OBJECTIVES: The present retrospective study is undertaken to evaluate the effectiveness of implementation of PPTCT Programme in a tertiary care hospital. METHODOLOGY: All pregnant women attending antenatal OP and labour room were counselled and tested for HIV. All positive patients were again counselled and ART therapy started. Spouses of all positive women counselled and tested. Modification of labour and delivery practices was followed . All the babies born to positive mothers received Nevirapine prophylaxis and babies were tested at 6, 12 and 18 months. Mothers were counselled regarding breast feeding and tubectomy was advised for all patients. RESULTS: A total number of 36113 antenatal women counselled and 97.90% of them gave consent for testing. Seropositivity in these women was 0.91%. Most of these patients were primi or second gravida, majority of them were young, belonging to age group of 20 - 24 yrs. 61.84% of spouses were found to b e seropositive. Most of these women (67.72% were delivered through vaginal route. LSCS was done for obstetric indication in 32.27% of cases. Majority of mothers opted for replacement feeding (78.96%. Seropositivity of babies born to these mothers was 3.0 7%.This has shown downward trend from 2010 to 2015. CONCLUSIONS: The PPTCT programme is effective and has reduced the rate of transmission from mother to child and with present triple drug therapy a further reduction is expected.

  6. The Refuge: An After-School Care Programme for African-American Children in Poverty

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    Tuason, Ma. Teresa; Marcetic, Andjela; Roberts, Shavaun; Stuart, Karly; Rearick, Jessica

    2009-01-01

    The Refuge is an after-school care programme in the southeastern USA that caters to the academic and psychological needs of impoverished African-American children. This study evaluated the Refuge through interviews with staff, small group discussions with children and persistent observation. By evaluating the after-school care services they…

  7. HIV Care and Treatment Beliefs among Patients Initiating Antiretroviral Treatment (ART) in Oromia, Ethiopia.

    Science.gov (United States)

    Tymejczyk, Olga; Hoffman, Susie; Kulkarni, Sarah Gorrell; Gadisa, Tsigereda; Lahuerta, Maria; Remien, Robert H; Elul, Batya; El-Sadr, Wafaa; Melaku, Zenebe; Nash, Denis

    2016-05-01

    To better understand patient beliefs, which may influence adherence to HIV care and treatment, we examined three dimensions of beliefs among Ethiopian adults (n = 1177) initiating antiretroviral therapy (ART). Beliefs about benefits of ART/HIV clinical care were largely accurate, but few patients believed in the ability of ART to prevent sexual transmission and many thought Holy Water could cure HIV. Factors associated with lower odds of accurate beliefs included advanced HIV, lack of formal education, and Muslim religion (benefits of ART/clinical care); secondary or university education and more clinic visits (ART to prevent sexual transmission); and pregnancy and Orthodox Christian religion (Holy Water). Assessment of patient beliefs may help providers identify areas needing reinforcement. In this setting, counselors also need to stress the benefits of ART as prevention and that Holy Water should not be used to the exclusion of HIV care and ART. PMID:26346333

  8. "That is why I stopped the ART": Patients' & providers' perspectives on barriers to and enablers of HIV treatment adherence in a South African workplace programme

    OpenAIRE

    Kielmann Karina; Fielding Katherine; Hamilton Robin; Charalambous Salome; Dahab Mison; Churchyard Gavin J; Grant Alison D

    2008-01-01

    Abstract Background As ART programmes in African settings expand beyond the pilot stages, adherence to treatment may become an increasing challenge. This qualitative study examines potential barriers to, and facilitators of, adherence to ART in a workplace programme in South Africa. Methods We conducted key informant interviews with 12 participants: six ART patients, five health service providers (HSPs) and one human resources manager. Results The main reported barriers were denial of existen...

  9. Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia

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    Hari S. Iyer

    2014-01-01

    Full Text Available Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia. Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider’s perspective and are reported in 2011 USD. Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre-ART care was $20 per patient. Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs.

  10. Managing high-risk patients: the Mass General care management programme.

    Science.gov (United States)

    Kodner, Dennis L

    2015-01-01

    The Massachusetts General Care Management Program (Mass General CMP or CMP) was designed as a federally supported demonstration to test the impact of intensive, practice-based care management on high-cost Medicare fee-for-service (FFS) beneficiaries-primarily older persons-with multiple hospitalisations and multiple chronic conditions. The Massachusetts General Care Management Program operated over a 6-year period in two phases (3 years each). It started during the first phase at Massachusetts General Hospital, a major academic medical centre in Boston, Massachusetts in collaboration with Massachusetts General Physicians Organisation. During the second phase, the programme expanded to two more affiliated sites in and around the Boston area, including a community hospital, as well as incorporated several modifications primarily focused on the management of transitions to post-acute care in skilled nursing facilities. At the close of the demonstration in July 2012, Mass General Massachusetts General Care Management Program became a component of a new Pioneer accountable care organisation (ACO). The Massachusetts General Care Management Program is focused on individuals meeting defined eligibility criteria who are offered care that is integrated by a case manager embedded in a primary care practice. The demonstration project showed substantial cost savings compared to fee-for-service patients served in the traditional Medicare system but no impact on hospital readmissions. The Massachusetts General Care Management Program does not rest upon a "whole systems" approach to integrated care. It is an excellent example of how an innovative care co-ordination programme can be implemented in an existing health-care organisation without making fundamental changes in its underlying structure or the way in which direct patient care services are paid for. The accountable care organisation version of the Massachusetts General Care Management Program includes the staffing structure

  11. Managing high-risk patients: the Mass General care management programme

    Directory of Open Access Journals (Sweden)

    Dennis L Kodner

    2015-09-01

    Full Text Available The Massachusetts General Care Management Program (Mass General CMP or CMP was designed as a federally supported demonstration to test the impact of intensive, practice-based care management on high-cost Medicare fee-for-service (FFS beneficiaries—primarily older persons—with multiple hospitalisations and multiple chronic conditions. The Massachusetts General Care Management Program operated over a 6-year period in two phases (3 years each. It started during the first phase at Massachusetts General Hospital, a major academic medical centre in Boston, Massachusetts in collaboration with Massachusetts General Physicians Organisation. During the second phase, the programme expanded to two more affiliated sites in and around the Boston area, including a community hospital, as well as incorporated several modifications primarily focused on the management of transitions to post-acute care in skilled nursing facilities. At the close of the demonstration in July 2012, Mass General Massachusetts General Care Management Program became a component of a new Pioneer accountable care organisation (ACO. The Massachusetts General Care Management Program is focused on individuals meeting defined eligibility criteria who are offered care that is integrated by a case manager embedded in a primary care practice. The demonstration project showed substantial cost savings compared to fee-for-service patients served in the traditional Medicare system but no impact on hospital readmissions. The Massachusetts General Care Management Program does not rest upon a “whole systems” approach to integrated care. It is an excellent example of how an innovative care co-ordination programme can be implemented in an existing health-care organisation without making fundamental changes in its underlying structure or the way in which direct patient care services are paid for. The accountable care organisation version of the Massachusetts General Care Management Program

  12. A systematic review of interventions to improve postpartum retention of women in PMTCT and ART care

    OpenAIRE

    Pascal Geldsetzer; H Manisha N Yapa; Maria Vaikath; Osondu Ogbuoji; Fox, Matthew P; Essajee, Shaffiq M.; Negussie, Eyerusalem K.; Till Bärnighausen

    2016-01-01

    Introduction: The World Health Organization recommends lifelong antiretroviral therapy (ART) for all pregnant and breastfeeding women living with HIV. Effective transitioning from maternal and child health to ART services, and long-term retention in ART care postpartum is crucial to the successful implementation of lifelong ART for pregnant women. This systematic review aims to determine which interventions improve (1) retention within prevention of mother-to-child HIV transmission (PMTCT) pr...

  13. Antibiotic stewardship programmes in intensive care units: Why, how, and where are they leading us

    OpenAIRE

    Zhang, Yu-Zhi; Singh, Suveer

    2015-01-01

    Antibiotic usage and increasing antimicrobial resistance (AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units (ICU). Antibiotic stewardship programmes (ASPs) aim to optimise appropriate antibiotic treatment whilst minimising antibiotic resistance. Different models of ASP in intensive care setting, include “standard” control of antibiotic prescribing such as “de-escalation strategies”through to interventional approaches utilising bio...

  14. Home Care Providers to the Rescue: A Novel First-Responder Programme

    OpenAIRE

    Hansen, Steen Møller; Brøndum, Stig; Thomas, Grethe; Rasmussen, Susanne R.; Kvist, Birgitte; Christensen, Anette; Lyng, Charlotte; Lindberg, Jan; Lauritsen, Torsten L. B.; Lippert, Freddy K; Torp-Pedersen, Christian; Hansen, Poul Anders

    2015-01-01

    Aim To describe the implementation of a novel first-responder programme in which home care providers equipped with automated external defibrillators (AEDs) were dispatched in parallel with existing emergency medical services in the event of a suspected out-of-hospital cardiac arrest (OHCA). Methods We evaluated a one-year prospective study that trained home care providers in performing cardiopulmonary resuscitation (CPR) and using an AED in cases of suspected OHCA. Data were collected from ca...

  15. Evaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives.

    LENUS (Irish Health Repository)

    Cornally, Nicola

    2015-11-01

    The \\'Let Me Decide\\' Advance Care Planning (LMD-ACP) programme offers a structured approach to End-of-Life (EoL) care planning in long-term care for residents with and without capacity to complete an advance care directive\\/plan. The programme was implemented in three homes in the South of Ireland, with a view to improving quality of care at end of life. This paper will present an evaluation of the systematic implementation of the LMD-ACP programme in the homes.

  16. The Funding of Early Care and Education Programmes in Sweden, 1845-1943

    Science.gov (United States)

    Westberg, Johannes

    2011-01-01

    What significance did donations, bequests, tuition fees and fund-raising events have for early care and education programmes during the nineteenth and early twentieth century? Through an examination of 24 Swedish infant schools, day nurseries and free kindergartens, this article verifies that donations and bequests were essential for the economy…

  17. An interdisciplinary approach to palliative care - context and challenges in basic education programmes

    DEFF Research Database (Denmark)

    Sangild Stølen, Karen Marie; Breum, Wanda Elisabeth; Andersen, Tanja Thinggaard

    2015-01-01

    , psychological, social and existential perspectives is necessary in order to be able to meet the needs of these people. The health education programmes should therefore offer instruction in palliative care. On this background, University College Capital has developed an interdisciplinary elective course on...

  18. Effect on mortality of community-based maternity-care programme in rural Bangladesh.

    Science.gov (United States)

    Fauveau, V; Stewart, K; Khan, S A; Chakraborty, J

    1991-11-01

    Various community-based interventions have been proposed to improve maternity care, but hardly any studies have reported the effect of these measures on maternal mortality. In this study, the efficacy of a maternity-care programme to reduce maternal mortality has been evaluated in the context of a primary health-care project in rural Bangladesh. Trained midwives were posted in villages, and asked to attend as many home-deliveries as possible, detect and manage obstetric complications at onset, and accompany patients requiring referral for higher-level care to the project central maternity clinic. The effect of the programme was evaluated by comparison of direct obstetric maternal mortality ratios between the programme area and a neighbouring control area without midwives. Random assignment of the intervention was not possible but potentially confounding characteristics, including coverage and use of other health and family planning services, were similar in both areas. Maternal mortality ratios due to obstetric complications were similar in both areas during the 3 years preceding the start of the programme. By contrast, during the following 3 years, the ratio was significantly lower in the programme than in the control area (1.4 vs 3.8 per 1000 live births, p = 0.02). The findings suggest that maternal survival can be improved by the posting of midwives at village level, if they are given proper training, means, supervision, and back-up. The inputs for such a programme to succeed and the constraints of its replication on a large scale should not be underestimated. PMID:1682600

  19. An Analysis of Recurrent Costs of the Free ART Programme of the Government of India

    OpenAIRE

    Gupta, Indrani; Trivedi, Mayur; Kandamuthn, Subodh

    2006-01-01

    The potential accessibility of Antiretroviral (ARV) drugs at reduced cost and the emergence of largescale Antiretroviral Treatment (ART) programs in other developing countries, have spurred India to launch its own free antivretroviral treatment (ART) program in April 2004. While many countries worldwide have attempted costing of their national program on ART, India did not have any econom...

  20. Optimizing HIV/AIDS resources in Armenia: increasing ART investment and examining HIV programmes for seasonal migrant labourers

    Science.gov (United States)

    Kelly, Sherrie L; Shattock, Andrew J; Kerr, Cliff C; Stuart, Robyn M; Papoyan, Arshak; Grigoryan, Trdat; Hovhannisyan, Ruben; Grigoryan, Samvel; Benedikt, Clemens; Wilson, David P

    2016-01-01

    Introduction HIV prevalence is declining in key populations in Armenia including in people who inject drugs (PWID), men who have sex with men, prison inmates, and female sex workers (FSWs); however, prevalence is increasing among Armenians who seasonally migrate to work in countries with higher HIV prevalence, primarily to the Russian Federation. Methods We conducted a modelling study using the Optima model to assess the optimal resource allocation to meet targets from the 2013 to 2016 national strategic plan to minimize HIV incidence and AIDS-related deaths by 2020. Demographic, epidemiological, behavioural, and programme cost data from 2000 through 2014 were used to inform the model. The levels of coverage that could be attained among targeted populations with different investments, as well as their expected outcomes, were determined. In the absence of evidence of the efficacy of HIV programmes targeted at seasonal labour migrants, we conducted a sensitivity analysis to determine the cost-effective funding threshold for the seasonal labour migrant programme. Results The optimization analysis revealed that shifts in funding allocations could further minimize incidence and deaths by 2020 within the available resource envelope. The largest emphasis should be on antiretroviral therapy (ART), with the optimal investment to increase treatment coverage by 40%. Optimal investments also involve increases in opiate substitution therapy and FSW programmes, as well as maintenance of other prevention programmes for PWID and prevention of mother-to-child transmission. Additional funding for these increases should come from budgets for general population programmes. This is projected to avert 17% of new infections and 29% of AIDS-related deaths by 2020 compared to a baseline scenario of maintaining 2013 spending. Our sensitivity analysis demonstrated that, at current spending, coverage of annual testing among migrants of at least 43% should be achieved to warrant continuation

  1. Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes

    OpenAIRE

    Nxumalo, Nonhlanhla; Goudge, Jane; Thomas, Liz

    2013-01-01

    Introduction: In South Africa, there are renewed efforts to strengthen primary health care and community health worker (CHW) programmes. This article examines three South African CHW programmes, a small local non-governmental organisation (NGO), a local satellite of a national NGO, and a government-initiated service, that provide a range of services from home-based care, childcare, and health promotion to assist clients in overcoming poverty-related barriers to health care. Methods: The compa...

  2. Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes

    OpenAIRE

    O’Sullivan, Ronan; Murphy, Aileen; O’Caoimh, Rónán; Cornally, Nicola; Svendrovski, Anton; Daly, Brian; Fizgerald, Carol; Twomey, Cillian; McGlade, Ciara; Molloy, D. William

    2016-01-01

    Background Although advance care planning (ACP) and the use of advanced care directives (ACD) and end-of-life care plans are associated with a reduction in inappropriate hospitalisation, there is little evidence supporting the economic benefits of such programmes. We assessed the economic impact (gross savings) of the Let Me Decide (LMD) ACP programme in Ireland, specifically the impact on hospitalisations, bed days and location of resident deaths, before and after systematic implementation o...

  3. Expanded programme on immunization and primary health care.

    Science.gov (United States)

    Basu, R N

    1982-09-01

    The ultimate objective of the Expanded Program on Immunication, better known as EPI, is to reduce the morbidity of the diseases for which vaccine is available. The EPI is a key component of the country effort to provide Health for All by the year 2000. It is planned that by 1990 immunization services will be available for all infants against diphtheria, whooping cough, tetanus, tuberculosis, and poliomyelitis and for all school children for diptheria, tetanus, and typhoid, and for all pregnant women against tetanus. The immunization services will be a part of the comprehensive health care and will be integrated with all hospitals and dispensaries in urban areas and primary health centers/subcenters in the rural areas. Outreach operations are encouraged to bring these services as close to the mother and children as possible. Steps have already been taken to make the country self-sufficient in the production of different quality vaccines to meet the program requirements. New vaccines will be added where found to be epidemiologically necessary and administratively feasible. The vaccination program is effective only if given at the right age. A national immunization schedule has been prepared which emphasizes vaccination of all infants with 1 dose of BCG, 3 doses of DPT and polio at a minimum interval of 1 month, by the 1st birthday. School entrants are given a booster dose of DT and 2 doses of typhoid vaccine at an interval of 1 month. The children leaving primary school and leaving high school are given 1 booster dose of tetanus toxoid. In case of history of tetanus toxoid immunization in the earlier preganancy, 1 booster dose is adequate. Important components of management of EPI are cold chain maintenance, record keeping and evaluation, uniform vaccination coverage standards, and communication with the public through various media. A table gives the number of children/women proposed to be covered with full course of vaccine during each year of the 6th Plan. Disease

  4. Sustainability of healthcare innovations (SUSHI: long term effects of two implemented surgical care programmes (protocol

    Directory of Open Access Journals (Sweden)

    Ament Stephanie M C

    2012-11-01

    Full Text Available Abstract Background Two healthcare innovations were successfully implemented using different implementation strategies. First, a Short Stay Programme for breast cancer surgery (MaDO was implemented in four early adopter hospitals, using a hospital-tailored implementation strategy. Second, the Enhanced Recovery After Surgery (ERAS programme for colonic surgery was implemented in 33 Dutch hospitals, using a generic breakthrough implementation strategy. Both strategies resulted in a shorter hospital length of stay without a decrease in quality of care. Currently, it is unclear to what extent these innovative programmes and their results have been sustained three to five years following implementation. The aim of the sustainability of healthcare innovations (SUSHI study is to analyse sustainability and its determinants using two implementation cases. Methods This observational study uses a mixed methods approach. The study will be performed in 14 hospitals in the Netherlands, from November 2010. For both implementation cases, the programme aspects and the effects will be evaluated by means of a follow-up measurement in 160 patients who underwent breast cancer surgery and 300 patients who underwent colonic surgery. A policy cost-effectiveness analysis from a societal perspective will be performed prospectively for the Short Stay Programme for breast cancer surgery in 160 patients. To study determinants of sustainability key professionals in the multidisciplinary care processes and implementation change agents will be interviewed using semi-structured interviews. Discussion The concept of sustainability is not commonly studied in implementation science. The SUSHI study will provide insight in to what extent the short-term implementation benefits have been maintained and in the determinants of long-term continuation of programme activities.

  5. Educating Artists in Management--An Analysis of Art Education Programmes in DACH Region

    Science.gov (United States)

    Bauer, Christine; Strauss, Christine

    2015-01-01

    Labour force in the art sector is characterised by high qualification, but low income for those people who perform the core contribution in art, i.e. the artists. As artists are typically self-dependent in managing their business, they should have managerial skills besides those skills necessary to perform their artistic core activities. If the…

  6. Cost-effectiveness of cataract surgery in a public health eye care programme in Nepal.

    OpenAIRE

    Marseille, E.

    1996-01-01

    Presented is an assessment of the cost-effectiveness of cataract surgery using cost and services data from the Lumbini Zonal Eye Care Programme in Nepal. The analysis suggests that cataract surgery may be even more cost-effective than previously reported. Under a "best estimate" scenario, cataract surgery had a cost of US$5.06 per disability-adjusted life year (DALY). This places it among the most cost-effective of public health interventions. Sensitivity analysis indicates that cataract surg...

  7. Developing an age-appropriate dental care programme for preschool children / Marilize M. Kitching

    OpenAIRE

    Kitching, Marilize Mabel

    2007-01-01

    Children's oral health is an important but often overlooked component of overall health. Tooth decay therefore remains a common phenomenon among children. It is however entirely preventable through early and sustained intervention. The aim of this research was to develop an age-appropriate programme to enhance children's knowledge and awareness of proper dental care. Action research was applied in this research, which was characterized by various cyclical research phases, including planning, ...

  8. Transforming pain into beauty: on art, healing, and care for the spirit.

    Science.gov (United States)

    Ettun, Rachel; Schultz, Michael; Bar-Sela, Gil

    2014-01-01

    From drawing to sculpture, poetry to journaling, and dance to music and song, the arts can have a major impact on patients' spiritual well-being and health. The arts empower patients to fulfill the basic human drive to create and give patients a sense of possibility. Through creative expression, patients regain a feeling of wholeness, individually and as part of the larger world. Although spiritual caregivers have made occasional use of the arts, it would be better for the arts to be seen as a pillar of spiritual care provision. This paper provides a model for arts-based spiritual care (chaplaincy) in oncology/hematology and elsewhere. We discuss how to match the art form intervention to the individual patient and give examples of many kinds of uniquely spiritual arts-based interventions. In life, there are occasional "caseuras," or ruptures. Using a theoretical foundation drawn from theologian Michael Fishbane, our model of arts-based spiritual care bridges the experience of the caesura to a renewed sense of meaning, or spiritual reorientation, that can be discovered within the reality of illness. Additionally, the ambiguity and playfulness inherent to creative expression strengthen the patient's flexibility and resilience. PMID:24834099

  9. Transforming Pain into Beauty: On Art, Healing, and Care for the Spirit

    Directory of Open Access Journals (Sweden)

    Rachel Ettun

    2014-01-01

    Full Text Available From drawing to sculpture, poetry to journaling, and dance to music and song, the arts can have a major impact on patients’ spiritual well-being and health. The arts empower patients to fulfill the basic human drive to create and give patients a sense of possibility. Through creative expression, patients regain a feeling of wholeness, individually and as part of the larger world. Although spiritual caregivers have made occasional use of the arts, it would be better for the arts to be seen as a pillar of spiritual care provision. This paper provides a model for arts-based spiritual care (chaplaincy in oncology/hematology and elsewhere. We discuss how to match the art form intervention to the individual patient and give examples of many kinds of uniquely spiritual arts-based interventions. In life, there are occasional “caseuras,” or ruptures. Using a theoretical foundation drawn from theologian Michael Fishbane, our model of arts-based spiritual care bridges the experience of the caesura to a renewed sense of meaning, or spiritual reorientation, that can be discovered within the reality of illness. Additionally, the ambiguity and playfulness inherent to creative expression strengthen the patient’s flexibility and resilience.

  10. Percent-for-Art Policy and Contemporary Art Care and Conservation-Restoration in the City of Oulu Art Collections

    OpenAIRE

    Kyllonen-Kunnas, Paivi

    2012-01-01

    Quand on applique le principe du ”pourcentage pour l’art”, la coopération pratique crée une perspective socioéconomique visionnaire pour un nouvel environnement opérationnel de l’acquisition et l’entretien de l’art public. Cet article participe au débat sur les perspectives d’avenir des sciences humaines dans la société. La surveillance de l’entretien des œuvres d’art publiques et les contradictions esthétiques et éthiques dans celui-ci sont discutées. The practical co-operation when apply...

  11. Genital infections and syndromic diagnosis among HIV-infected women in HIV care programmes in Kenya.

    Science.gov (United States)

    Djomand, Gaston; Gao, Hongjiang; Singa, Benson; Hornston, Sureyya; Bennett, Eddas; Odek, James; McClelland, R Scott; John-Stewart, Grace; Bock, Naomi

    2016-01-01

    Control of genital infections remains challenging in most regions. Despite advocacy by the World Health Organization for syndromic case management, there are limited data on the syndromic approach, especially in HIV care settings. This study compared the syndromic approach with laboratory diagnosis among women in HIV care in Kenya. A mobile team visited 39 large HIV care programmes in Kenya and enrolled participants using population-proportionate sampling. Participants provided behavioural and clinical data with genital and blood specimens for lab testing. Among 1063 women, 68.4% had been on antiretroviral therapy >1 year; 58.9% were using cotrimoxazole prophylaxis; 51 % had CD4+T-lymphocytes symptom. Clinical signs were found in 63% of women; and 30.8% had an aetiological diagnosis. Bacterial vaginosis (17.4%), vaginal candidiasis (10.6%) and trichomoniasis (10.5%) were the most common diagnoses. Using laboratory diagnoses as gold standard, sensitivity and positive predictive value of the syndromic diagnosis for vaginal discharge were 47.6% and 52.7%, respectively, indicating a substantial amount of overtreatment. A systematic physical examination increased by 9.3% the positive predictive value for genital ulcer disease. Women attending HIV care programmes in Kenya have high rates of vaginal infections. Syndromic diagnosis was a poor predictor of those infections. PMID:25614522

  12. The Action Programme Ambrosia in Germany – State of the art and future prospects

    OpenAIRE

    Starfinger, Uwe

    2012-01-01

    Common ragweed (Ambrosia artemisiifolia) originally from North America occurs as an alien species in several European countries. In Germany it has spread only recently. Because of its negative impact on agriculture and human health, further spread is undesired. At the Julius Kühn-Institute, Federal Research Centre for Cultivated Plants an “Interdisciplinary working group Ambrosia” has launched an Action Programme Ambrosia early in 2007 in order to prevent further spread of this alien plant. F...

  13. Artfulness

    DEFF Research Database (Denmark)

    Chemi, Tatiana

    2011-01-01

    a collage of previously published materials on Artfulness, in this journal targeted teachers for dysfunctional behaviour children.......a collage of previously published materials on Artfulness, in this journal targeted teachers for dysfunctional behaviour children....

  14. "That is why I stopped the ART": Patients' & providers' perspectives on barriers to and enablers of HIV treatment adherence in a South African workplace programme

    Directory of Open Access Journals (Sweden)

    Kielmann Karina

    2008-02-01

    Full Text Available Abstract Background As ART programmes in African settings expand beyond the pilot stages, adherence to treatment may become an increasing challenge. This qualitative study examines potential barriers to, and facilitators of, adherence to ART in a workplace programme in South Africa. Methods We conducted key informant interviews with 12 participants: six ART patients, five health service providers (HSPs and one human resources manager. Results The main reported barriers were denial of existence of HIV or of one's own positive status, use of traditional medicines, speaking a different language from the HSP, alcohol use, being away from home, perceived severity of side-effects, feeling better on treatment and long waiting times at the clinic. The key facilitators were social support, belief in the value of treatment, belief in the importance of one's own life to the survival of one's family, and the ability to fit ART into daily life schedules. Conclusion Given the reported uncertainty about the existence of HIV disease and the use of traditional medicines while on ART, despite a programme emphasising ART counselling, there is a need to find effective ways to support adherence to ART even if the individual does not accept biomedical concepts of HIV disease or decides to use traditional medicines. Additionally, providers should identify ways to minimize barriers in communication with patients with whom they have no common language. Finally, dissatisfaction with clinical services, due to long waiting times, should be addressed.

  15. [Physiotherapeutic care marketing research: current state-of-the art].

    Science.gov (United States)

    Babaskin, D V

    2011-01-01

    Successful introduction of modern technologies into the national health care systems strongly depends on the current pharmaceutical market situation. The present article is focused on the peculiarities of marketing research with special reference to physiotherapeutic services and commodities. Analysis of the structure and sequence of marketing research processes is described along with the methods applied for the purpose including their support by the use of Internet resources and technologies. PMID:21574299

  16. The development, implementation and evaluation of a transitional care programme to improve outcomes of frail older patients after hospitalisation

    DEFF Research Database (Denmark)

    Heim, Noor; Rolden, Herbert; van Fenema, Esther M;

    2016-01-01

    BACKGROUND: fragmented healthcare systems are poorly suited to treat the increasing number of older patients with multimorbidity. OBJECTIVE: to report on the development, implementation and evaluation of a regional transitional care programme, aimed at improving the recovery rate of frail...... hospitalised older patients. METHODS: the programme was drafted in co-creation with organisations representing older adults, care providers and knowledge institutes. Conducting an action research project, the incidence of adverse outcomes within 3 months after hospital admission, and long-term care expenses...... (LTCE) were compared between samples in 2010-11 (pre-programme) and 2012-13 (post-programme) in frail and non-frail patients. Hospitalised patients aged ≥70 years were included in four hospitals in the targeted region. RESULTS: developed innovations addressed (i) improved risk management; (ii) delivery...

  17. Home Care Providers to the Rescue: A Novel First-Responder Programme

    Science.gov (United States)

    Hansen, Steen M.; Brøndum, Stig; Thomas, Grethe; Rasmussen, Susanne R.; Kvist, Birgitte; Christensen, Anette; Lyng, Charlotte; Lindberg, Jan; Lauritsen, Torsten L. B.; Lippert, Freddy K.; Torp-Pedersen, Christian; Hansen, Poul A.

    2015-01-01

    Aim To describe the implementation of a novel first-responder programme in which home care providers equipped with automated external defibrillators (AEDs) were dispatched in parallel with existing emergency medical services in the event of a suspected out-of-hospital cardiac arrest (OHCA). Methods We evaluated a one-year prospective study that trained home care providers in performing cardiopulmonary resuscitation (CPR) and using an AED in cases of suspected OHCA. Data were collected from cardiac arrest case files, case files from each provider dispatch and a survey among dispatched providers. The study was conducted in a rural district in Denmark. Results Home care providers were dispatched to 28 of the 60 OHCAs that occurred in the study period. In ten cases the providers arrived before the ambulance service and subsequently performed CPR. AED analysis was executed in three cases and shock was delivered in one case. For 26 of the 28 cases, the cardiac arrest occurred in a private home. Ninety-five per cent of the providers who had been dispatched to a cardiac arrest reported feeling prepared for managing the initial resuscitation, including use of AED. Conclusion Home care providers are suited to act as first-responders in predominantly rural and residential districts. Future follow-up will allow further evaluation of home care provider arrivals and patient survival. PMID:26509532

  18. Grip on challenging behaviour: a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol

    Directory of Open Access Journals (Sweden)

    Eefsting Jan A

    2011-02-01

    Full Text Available Abstract Background Behavioural problems are common in nursing home residents with dementia and they often are burdensome for both residents and nursing staff. In this study, the effectiveness and cost-effectiveness of a new care programme for managing behavioural problems will be evaluated. Methods/Design The care programme is based on Dutch national guidelines. It will consist of four steps: detection, analysis, treatment and evaluation. A stepped wedge design will be used. A total of 14 dementia special care units will implement the care programme. The primary outcome is behavioural problems. Secondary outcomes will include quality of life, prescription rate of antipsychotics, use of physical restraints and workload and job satisfaction of nursing staff. The effect of the care programme will be estimated using multilevel linear regression analysis. An economic evaluation from a societal perspective will also be carried out. Discussion The care programme is expected to be cost-effective and effective in decreasing behavioural problems, workload of nursing staff and in increasing quality of life of residents. Trial registration The Netherlands National Trial Register (NTR. Trial number: NTR 2141

  19. Results of an outpatient multidisciplinary COPD rehabilitation programme obtained in two settings: primary and secondary health care

    DEFF Research Database (Denmark)

    Vest, Susanne; Moll, Lill; Petersen, Marelis; Buch, Tove Fedder; Bruun, Ditte Marie; Rask, Marie; Wester, Anette; Linneberg, Allan

    2011-01-01

    There is limited experience with implementation of chronic obstructive pulmonary disease (COPD) rehabilitation in primary care settings. We aimed to evaluate the implementation of a COPD rehabilitation programme in a primary care setting and compare the effects with those obtained in a secondary...

  20. Implementation and evaluation of a clinical data management programme in a primary care centre.

    LENUS (Irish Health Repository)

    Sweeney, J

    2014-11-01

    Electronic health records (EHR) support clinical management, administration, quality assurance, research, and service planning. The aim of this study was to evaluate a clinical data management programme to improve consistency, completeness and accuracy of EHR information in a large primary care centre with 10 General Practitioners (GPs). A Clinical Data Manager was appointed to implement a Data Management Strategy which involved coding consultations using ICPC-2 coding, tailored support and ongoing individualised feedback to clinicians. Over an eighteen month period there were improvements in engagement with and level of coding. Prior to implementation (August 2011) 4 of the 10 GPs engaged in regular coding and 69% of their consultation notes were coded. After 12 months, all 10 GPs and 6 nurses were ICPC-2 coding their consultations and monthly coding levels had increased to 98%. This structured Data Management Strategy provides a feasible sustainable way to improve information management in primary care.

  1. Doing it differently: youth leadership and the arts in a creative learning programme

    OpenAIRE

    Bragg, Sara; Manchester, Helen

    2011-01-01

    Notions of youth ‘leadership’, partnership or collaborating with young people as ‘service users’, are currently being endorsed and elaborated across a very broad spectrum of thinking, policymaking and provision. This paper argues that if we want to understand this phenomenon, we should not look in the first instance to young people as the prime source of commentary or agency: instead, we need to understand it as a way of ‘doing’ – in this instance - the arts or education differently. The pape...

  2. The art of professional development and caring in cancer nursing.

    Science.gov (United States)

    Wengström, Yvonne; Ekedahl, Marieanne

    2006-03-01

    The impetus for this qualitative study was the premise expressed by lay people that nursing terminally ill cancer patients must be depressing and difficult to cope with. Its focus was nurses' stress and coping strategies, both secular and religious. Data was collected using a narrative life-story approach, and then Lazaruz and Folkman's coping theory and Pargament's theory on the psychology of religion were used during the analysis of the data. Several factors were identified, related to the individual and group levels, that influence a nurse's identity and professional development. A person's life orientation was suggested as a first concept for developing a professional paradigm that includes caritas as a main orienting factor. Directed by the nurse's secular and religious orientation, competence develops, making it possible to understand, analyze, manage, and appreciate the significance of the professional work of caring. PMID:16451425

  3. Art

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    What is Art?Art is a way of interpreting the worldaround us and our place within it.We can seeart not only in paintings,but in sculpture(雕塑),buildings and even advertising.Traditionally(传统上,照惯例),artists werejudged more for their technical skill,but artnowhas an aesthetic(美学的,审美的)valueand/or emotional impact(冲动).Art doesn't

  4. The Swedish National Care Programme for Anal Carcinoma. Implementation and overall results

    International Nuclear Information System (INIS)

    The Swedish National Care Programme for Anal Carcinoma (SNCPAC) was instituted in order to create a uniform handling policy for anal cancer and thus to accrue a population-based material allowing unbiased analyses. This study evaluates the degree of implementation of the SNCPAC guidelines, and presents overall treatment results in a total of 356 patients with epidermoid cancer of the anus and the perianal region diagnosed in Sweden between 1985 and 1989. Primary treatment according to the guidelines was irradiation up to 40 Gy. Bleomycin was administered intramuscularly before the first 18 fractions. After a 3-week pause, radiotherapy was to be continued up to a dose of 60-64 Gy, if at least an almost complete response was achieved. Otherwise, the patient was recommended surgery within a week. The guidelines were applied in 90% of cases where such treatment was possible. The 5-year tumour-specific survival rate was 72%. The survival rate was more favourable in perianal tumours (90%) than in anal canal tumours (68%, p<0.01). The 5-year probability of having a preserved anus was 64% (anal canal/perianal 58%/91%, p<0.001). Bleomycin did not appear to have any effect on treatment results. The care programme has had a rapid and almost complete nation-wide penetration, and has created the desired uniformity allowing proper analyses. The treatment results also appear comparable with specialised referral centres. (orig.)

  5. The Role of Arts-Related Information and Communication Technology Use in Problem Solving and Achievement: Findings from the Programme for International Student Assessment

    Science.gov (United States)

    Liem, Gregory Arief D.; Martin, Andrew J.; Anderson, Michael; Gibson, Robyn; Sudmalis, David

    2014-01-01

    Drawing on the Programme for International Student Assessment 2003 data set comprising over 190,000 15-year-old students in 25 countries, the current study sought to examine the role of arts-related information and communication technology (ICT) use in students' problem-solving skill and science and mathematics achievement. Structural equation…

  6. IGRT/ART phantom with programmable independent rib cage and tumor motion

    Energy Technology Data Exchange (ETDEWEB)

    Haas, Olivier C. L., E-mail: o.haas@coventry.ac.uk [Control Theory and Applications Centre, Coventry University, Coventry CV1 2TL (United Kingdom); Mills, John A.; Land, Imke; Mulholl, Pete; Menary, Paul; Crichton, Robert; Wilson, Adrian; Sage, John [Department of Clinical Physics and Bioengineering, University Hospital, Coventry CV2 2DX (United Kingdom); Anna, Morenc [University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, LE1 5WW (United Kingdom); Depuydt, Tom [Radiotherapy, Medical Physics Group, University Hospital UZ Brussel, Laarbeeklaan 101 - 1090 Brussels (Belgium)

    2014-02-15

    Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within static lungs. Methods: The new rib cage design is described and its motion is evaluated using Vicon Nexus, a commercial 3D motion tracking system. CT studies at inhale and exhale position are used to study the effect of rib motion and tissue equivalence. Results: The 3D target positioning system and the rib cage have millimetre accuracy. Each axis of motion can reproduce given trajectories from files or individually programmed sinusoidal motion in terms of amplitude, period, and phase shift. The maximum rib motion ranges from 7 to 20 mm SI and from 0.3 to 3.7 mm AP with LR motion less than 1 mm. The repeatability between cycles is within 0.16 mm root mean square error. The agreement between CT electron and mass density for skin, ribcage, spine hard and inner bone as well as cartilage is within 3%. Conclusions: The MAESTRO phantom is a useful research tool that produces programmable 3D rib motions which can be synchronized with 3D internal target motion. The easily accessible static lungs enable the use of a wide range of inserts or can be filled with lung tissue equivalent and deformed using the target motion system.

  7. The National Accreditation Board for Hospital and Health Care Providers accreditation programme in India.

    Science.gov (United States)

    Gyani, Girdhar J; Krishnamurthy, B

    2014-01-01

    Quality in health care is important as it is directly linked with patient safety. Quality as we know is driven either by regulation or by market demand. Regulation in most developing countries has not been effective, as there is shortage of health care providers and governments have to be flexible. In such circumstances, quality has taken a back seat. Accreditation symbolizes the framework for quality governance of a hospital and is based on optimum standards. Not only is India establishing numerous state of the art hospitals, but they are also experiencing an increase in demand for quality as well as medical tourism. India launched its own accreditation system in 2006, conforming to standards accredited by ISQua. This article shows the journey to accreditation in India and describes the problems encountered by hospitals as well as the benefits it has generated for the industry and patients. PMID:24938026

  8. 2007 2008 ACADEMIC TRAINING PROGRAMME: Tevatron: The Cinderella Story or The Art Of Collider Commissioning

    CERN Multimedia

    2007-01-01

    LECTURE SERIES 01, 03, 04, 05 October 2007 Main Auditorium, bldg. 500 Tevatron: The Cinderella Story or The Art Of Collider Commissioning V. SHILTSEV / Fermi National Accelerator Laboraty, Batavia IL, USA The Tevatron Collider at Fermilab (Batavia, IL, USA) is the world’s highest energy particle collider at 1.8TeV c.m.e. The machine was a centerpiece of the US and world’s High Energy Physics for many years. Currently, the Tevatron is in the last years of its operation in so-called Run II which started 2001 and is tentatively scheduled to end in 2010. In this lecture series, we’ll try to learn from the exciting story of the Tevatron Collider Run II: the story of long preparations, great expectations, initial difficulties, years of "blood and sweat", continuous upgrades, exceeding its goals, high emotions, tune-up of accelerator organization for "combat fighting". The lectures will cover Introduction to the Tevatron, its history and Run II; "Plumbing"...

  9. ARTS

    DEFF Research Database (Denmark)

    Mahadevan, Shankar; Virk, Kashif M.; Madsen, Jan

    2007-01-01

    . We present an abstract system-level modelling and simulation framework (ARTS) which allows for cross-layer modelling and analysis covering the application layer, middleware layer, and hardware layer. ARTS allows MPSoC designers to explore and analyze the network performance under different traffic...... and load conditions, consequences of different task mappings to processors (software or hardware) including memory and power usage, and effects of RTOS selection, including scheduling, synchronization and resource allocation policies. We present the application and platform models of ARTS as well as...... their implementation in SystemC. We present the usage of the ARTS framework as seen from platform developers’ point of view, where new components may be created and integrated into the framework, and from application designers’ point of view, where existing components are used to explore possible...

  10. Synthetic biology and microbioreactor platforms for programmable production of biologics at the point-of-care

    Science.gov (United States)

    Perez-Pinera, Pablo; Han, Ningren; Cleto, Sara; Cao, Jicong; Purcell, Oliver; Shah, Kartik A.; Lee, Kevin; Ram, Rajeev; Lu, Timothy K.

    2016-01-01

    Current biopharmaceutical manufacturing systems are not compatible with portable or distributed production of biologics, as they typically require the development of single biologic-producing cell lines followed by their cultivation at very large scales. Therefore, it remains challenging to treat patients in short time frames, especially in remote locations with limited infrastructure. To overcome these barriers, we developed a platform using genetically engineered Pichia pastoris strains designed to secrete multiple proteins on programmable cues in an integrated, benchtop, millilitre-scale microfluidic device. We use this platform for rapid and switchable production of two biologics from a single yeast strain as specified by the operator. Our results demonstrate selectable and near-single-dose production of these biologics in system with analytical, purification and polishing technologies could lead to a small-scale, portable and fully integrated personal biomanufacturing platform that could advance disease treatment at point-of-care. PMID:27470089

  11. Health promotion through self-care and community participation: Elements of a proposed programme in the developing countries

    Directory of Open Access Journals (Sweden)

    Bhuyan Khanindra

    2004-04-01

    Full Text Available Abstract Background The concepts of health promotion, self-care and community participation emerged during 1970s, primarily out of concerns about the limitation of professional health system. Since then there have been rapid growth in these areas in the developed world, and there is evidence of effectiveness of such interventions. These areas are still in infancy in the developing countries. There is a window of opportunity for promoting self care and community participation for health promotion. Discussion A broad outline is proposed for designing a health promotion programme in developing countries, following key strategies of the Ottawa Charter for health promotion and principles of self care and community participation. Supportive policies may be framed. Self care clearinghouses may be set up at provincial level to co-ordinate the programme activities in consultation with district and national teams. Self care may be promoted in the schools and workplaces. For developing personal skills of individuals, self care information, generated through a participatory process, may be disseminated using a wide range of print and audio-visual tools and information technology based tools. One such potential tool may be a personally held self care manual and health record, to be designed jointly by the community and professionals. Its first part may contain basic self care information and the second part may contain outlines of different personally-held health records to be used to record important health and disease related events of an individual. Periodic monitoring and evaluation of the programme may be done. Studies from different parts of the world indicate the effectiveness and cost-effectiveness of self care interventions. The proposed outline has potential for health promotion and cost reduction of health services in the developing countries, and may be adapted in different situations. Summary Self care, community participation and health

  12. The Appreciative Pedagogy of Palliative Care: Arts-Based or Evidence-Based?

    OpenAIRE

    Lander, Dorothy A.; Graham-Pole, John R

    2006-01-01

    The authors integrate poetry and narrative into their self-study application of the research methodology known as Appreciative Inquiry (AI) focused on: (a) their personal and professional practice and development; (b) their teaching practice in universities and informal/popular education settings; and, (c) their educational research in the area of hospice and palliative care giving. AI is both an arts-based participatory philosophy of practice and a qualitative research methodology.

  13. Future scope of health care from art of healing to art of QOL; Health care no mirai kozu - iyashi no waza kara sokoku e -

    Energy Technology Data Exchange (ETDEWEB)

    Sakurai, Y. [Tokyo Women`s Medical Coll. (Japan)

    1997-07-05

    The all-inclusive health care is defined as a creation of good times, its 4 aspects, namely science and technology, socio-economics, ethics and service business are considered and the necessity of creating a feedforward type anticipative health system of future for a society of advanced age of the nation instead of the present feedback type medical treatment system relied upon the art of healing is described. And the current medical treatment which centers on the diagnosis of high technology is criticized by advocating a medical paradigm consisting of 6 steps from the precaution of zero order to that of infinite order aiming at prevention from worsening of the quality of life in which the health, precaution, medical treatment and welfare are unified. Then, it is explained that the medical treatment and welfare field is a growing industry that provides an employment of 3.48 to 4.80 millions with a market scale of 3.8 to 9.1 billions. Lastly, a health care park for the entire society, I.e. a daily sustained self-care field at home as well as at working place not merely limited in medical facilities is conceived and an idea of safeguarding the earth and the health of human beings through edutainment (education + entertainment) is proposed. 3 figs., 3 tabs.

  14. Grip on challenging behaviour : a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol

    NARCIS (Netherlands)

    Zwijsen, Sandra A; Smalbrugge, Martin; Zuidema, Sytse U; Koopmans, Raymond T C M; Bosmans, Judith E; van Tulder, Maurits W; Eefsting, Jan A; Gerritsen, Debby L; Pot, Anne-Margriet

    2011-01-01

    BACKGROUND: Behavioural problems are common in nursing home residents with dementia and they often are burdensome for both residents and nursing staff. In this study, the effectiveness and cost-effectiveness of a new care programme for managing behavioural problems will be evaluated. METHODS/DESIGN:

  15. Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme

    Directory of Open Access Journals (Sweden)

    Alba Sandra

    2007-06-01

    Full Text Available Abstract Background Prompt access to effective treatment is central in the fight against malaria. However, a variety of interlinked factors at household and health system level influence access to timely and appropriate treatment and care. Furthermore, access may be influenced by global and national health policies. As a consequence, many malaria episodes in highly endemic countries are not treated appropriately. Project The ACCESS Programme aims at understanding and improving access to prompt and effective malaria treatment and care in a rural Tanzanian setting. The programme's strategy is based on a set of integrated interventions, including social marketing for improved care seeking at community level as well as strengthening of quality of care at health facilities. This is complemented by a project that aims to improve the performance of drug stores. The interventions are accompanied by a comprehensive set of monitoring and evaluation activities measuring the programme's performance and (health impact. Baseline data demonstrated heterogeneity in the availability of malaria treatment, unavailability of medicines and treatment providers in certain areas as well as quality problems with regard to drugs and services. Conclusion The ACCESS Programme is a combination of multiple complementary interventions with a strong evaluation component. With this approach, ACCESS aims to contribute to the development of a more comprehensive access framework and to inform and support public health professionals and policy-makers in the delivery of improved health services.

  16. The ART approach using glass-ionomers in relation to global oral health care.

    Science.gov (United States)

    Frencken, Jo E

    2010-01-01

    Dental caries is the most prevalent non-communicable disease in the world. Its management in high-income countries over the last four decades has resulted in relatively low caries prevalence in child and adolescent populations. In low- and middle-income countries, caries management is virtually non-existent and this may lead to serious physical and mental complications, particularly in children. Toothache is predominantly treated by extracting the cavitated tooth. Absence of restorative oral care is partly due to the copying from high-income countries, of restorative treatment reliant on electrically driven equipment and often inappropriate for use in many low- and middle-income countries. Atraumatic Restorative Treatment (ART), which does not rely on electrically driven equipment, has yielded good results over the last two decades. ART uses hand instruments and high-viscosity glass-ionomers. Its introduction into public oral healthcare systems has been piloted in several countries. Initial short-term results show that the introduction of ART, using high-viscosity glass-ionomers, has increased the ratio of restorations to extractions. Moreover, the percentage of ART restorations in relation to the total number of restorations placed increased steeply after its introduction and has remained high. However, ART introduction faced a few barriers, the most important being high patient workloads and the absence of a constant supply of dental instruments and glass-ionomers. High-viscosity glass-ionomer has become an essential element in public oral healthcare systems, particularly in those operating inadequately. PMID:19804903

  17. Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas

    DEFF Research Database (Denmark)

    Duda, Stephany N; Farr, Amanda M; Lindegren, Mary Lou;

    2014-01-01

    and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide. METHODS: Staff from 128 sites in 41 countries...

  18. Neonatal Hearing Screening Programme (NHSP): At A Rural Based Tertiary Care Centre.

    Science.gov (United States)

    Sharma, Yojana; Mishra, Girish; Bhatt, Sushen H; Nimbalkar, Somashekhar

    2015-12-01

    Deafness is the most common curable childhood handicap. It is a well recognised fact that unidentified hearing impairment can adversely affect optimal speech and language development and therefore academic, social and emotional development. Universal neonatal hearing screening programmes are implemented in many developed countries. However it is still in its early stage in India. The incidence of hearing impairment in India is 1-6 per thousand newborns screened (Paediatrics 19:155-165, 1998; Indian J Paediatr 74(6):545-549, 2007; Status of Disability in India, pp 172-185 2000). To determine the incidence of permanent hearing loss of moderate to evere variety in neonates taking care in a tertiary care rural based hospital in Gujarat. It was a non randomised observational study done for duration of 3 years. All neonates born in Shri Krishna Hospital underwent screening using two stage protocols with DPOAE test and final confirmation done with BERA. Total 2534 neonates were screened out of them 52 failed and 2482 (97.94 %) neonates passed in the 1st DPOAE test with 2.05 % refer rate. Total 7 (2 per 1000) neonates were detected with hearing impairment. 10 % neonates had one or other high risk factor. Out of high risk neonates, 1.8 % were diagnosed with hearing impairment in high risk group. Overall the follow-up rate was 72.7 %. Hospital based universal hearing screening of new born before discharge is feasible at a rural based tertiary care centre. Non specialist staff is invaluable in achieving a satisfactory referral rate with two stage hearing screening protocol. However, more efficacious tracking and follow up system is needed to improve the follow up rate for diagnosis. PMID:26693457

  19. Non-cancer health effects of the Chernobyl accident and special health care programmes

    International Nuclear Information System (INIS)

    In September 2004, the Expert Group on Health of the Chernobyl Forum specifically focused on non-cancer diseases and mortality associated with the Chernobyl accident as well as on medical follow-up. The group considered the following topics: cataracts, cardiovascular disease, cytogenetic markers, immunological effects, reproductive effects and children's health, psychological and mental effects, mortality due to the accident, and medical programmes and medical monitoring. The issues of potential cataracts at low doses as well as follow-up of liquidators disease incidence and mortality should be continued. Cytogenetic effects may be used to assess doses above 0.2 Gy but are unlikely to be useful at lower doses. There is no clear evidence of radiation-related adverse clinical effects on the immune system of the general public or on hereditary or reproductive outcomes (particularly congenital malformations). Lifespan reduction and death rates of the general public are higher in both contaminated and clean areas than in other countries as is infant mortality, but these are not felt to be radiation related. Although the major potential radiation-related health effect is felt to be the cancer risk, screening programmes are not felt to be useful when absorbed doses are in the range of tens of mGy or lower. Psychological effects are real and represent the biggest public health impact of the accident. These will need continuing attention for the foreseeable future. While the paper is focused entirely on potential adverse effects of the accident, one should recognize the efforts of the Governments of Belarus, the Russian Federation and Ukraine to protect and take care of the affected populations. (author)

  20. A pilot training programme for health and social care professionals providing oncological and palliative care to lesbian, gay and bisexual patients in Ireland.

    LENUS (Irish Health Repository)

    Reygan, Finn C G

    2012-05-09

    OBJECTIVE: The international literature points to the specific cancer risks and palliative care needs of lesbian, gay and bisexual (LGB) populations. However, with the exception of a programme in the USA, there is a lack of training internationally for health and social care professionals providing oncological and palliative care to LGB patients. In Ireland, a training project funded by the Irish Cancer Society, the Irish Hospice Foundation and the Health Service Executive developed a training pilot programme for health and social care professionals providing oncological and palliative care to LGB patients. METHODS: Over 200 (N = 201) oncology and palliative care staff participated in 17 brief, 50-min trainings in pilot sites. Evaluation of the training included self-report questionnaires at the end of each training and an evaluation interview with one participant from each of the four sites. RESULTS: The majority of participants reported that they would recommend the training to their colleagues, were interested in further training in the area and found the training useful for their practice. They also reported becoming more familiar with LGB-related language and terminology, became more knowledgeable of LGB health issues and reported becoming more confident in providing care to LGB patients. CONCLUSIONS: Recommendations are that the training be made available across the health services in Ireland and included in postgraduate courses for trainee health and social care professionals. Copyright © 2012 John Wiley & Sons, Ltd.

  1. An evaluation of an interprofessional master's level programme in children's palliative care. Part 1 the students' evaluation of the programme.

    LENUS (Irish Health Repository)

    Nicholl, Honor

    2014-04-01

    In 2010\\/12 an innovative children\\'s palliative care interprofessional educational project funded by the Irish Hospice Foundation was undertaken in a University faculty (Trinity College Dublin). This initiative responded to international educational recommendations to meet the palliative care needs of children. The project involved the development and delivery of 3 standalone modules at Master\\'s level and a substantive research evaluation of the project to examine stakeholders and students perspectives to provide an insight into their experiences and to gather data for future developments. The research evaluation was conducted in two parts, part one sought students\\' evaluation and part two sought stakeholders\\

  2. The ACA training programme to improve communication between general practitioners and their palliative care patients: development and applicability

    Directory of Open Access Journals (Sweden)

    Slort Willemjan

    2012-06-01

    Full Text Available Abstract We describe the development of a new training programme on GP-patient communication in palliative care, and the applicability to GPs and GP Trainees. This ‘ACA training programme’ focuses on  A vailability of the GP for the patient,  C urrent issues that should be raised by the GP, and  A nticipating various scenarios. Evaluation results indicate the ACA training programme to be applicable to GPs and GP Trainees. The ACA checklist was appreciated by GPs as useful both in practice and as a learning tool, whereas GP Trainees mainly appreciated the list for use in practice.

  3. Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes

    Directory of Open Access Journals (Sweden)

    Nonhlanhla Nxumalo

    2013-01-01

    Full Text Available Introduction: In South Africa, there are renewed efforts to strengthen primary health care and community health worker (CHW programmes. This article examines three South African CHW programmes, a small local non-governmental organisation (NGO, a local satellite of a national NGO, and a government-initiated service, that provide a range of services from home-based care, childcare, and health promotion to assist clients in overcoming poverty-related barriers to health care. Methods: The comparative case studies, located in Eastern Cape and Gauteng, were investigated using qualitative methods. Thematic analysis was used to identify factors that constrain and enable outreach services to improve access to care. Results: The local satellite (of a national NGO, successful in addressing multi-dimensional barriers to care, provided CHWs with continuous training focused on the social determinants of ill-health, regular context-related supervision, and resources such as travel and cell-phone allowances. These workers engaged with, and linked their clients to, agencies in a wide range of sectors. Relationships with participatory structures at community level stimulated coordinated responses from service providers. In contrast, an absence of these elements curtailed the ability of CHWs in the small NGO and government-initiated service to provide effective outreach services or to improve access to care. Conclusion: Significant investment in resources, training, and support can enable CHWs to address barriers to care by negotiating with poorly functioning government services and community participation structures.

  4. Impact of the ‘Artful Moments’ Intervention on Persons with Dementia and Their Care Partners: a Pilot Study

    Science.gov (United States)

    Hazzan, Afeez Abiola; Humphrey, Janis; Kilgour-Walsh, Laurie; Moros, Katherine L.; Murray, Carmen; Stanners, Shannon; Montemuro, Maureen; Giangregorio, Aidan; Papaioannou, Alexandra

    2016-01-01

    Background Engaging with art can be valuable for persons living with dementia. ‘Artful Moments’ was a collaborative project undertaken by the Art Gallery of Hamilton and the Behavioural Health Program at Hamilton Health Sciences that sought to develop and implement a program of arts-based activities for persons in the middle-to-late stages of dementia who exhibit behavioural symptoms and for their accompanying care partners. Methods This pilot study employed a qualitative descriptive design. Eight participants were observed during multiple art sessions to evaluate their level of engagement in the program. Care partners also completed a questionnaire describing their experience. Qualitative content analysis was used to identify themes. Results For program participants, factors that promoted continued interest and engagement in art included: care partner involvement, group activities, opportunities to share opinions, validation of their personhood, and increased engagement over time. Care partners observed improvements in participants’ creativity, communication, relationship forming, and task accomplishment, and some reported reduced stress. Conclusions ‘Artful Moments’ promoted engagement and expression in persons in the middle-to-late stages of dementia, as well as having benefits for their care partners. Limitations of the study included a small convenience sample drawn from one hospital setting. PMID:27403209

  5. Information, Motivation, and Behavioral Skills for Early Pre-ART Engagement in HIV Care among Patients Entering Clinical Care in KwaZulu-Natal, South Africa

    Science.gov (United States)

    SMITH, Laramie R.; AMICO, K. Rivet; SHUPER, Paul A.; CHRISTIE, Sarah; FISHER, William A.; CORNMAN, Deborah H.; DOSHI, Monika; MacDONALD, Susan; PILLAY, Sandy; FISHER, Jeffrey D.

    2013-01-01

    Little is known regarding factors implicated in early engagement and retention in HIV-care among individuals not yet eligible for antiretroviral therapy (pre-ART) in sub-Saharan Africa. Identifying such factors is critical for supporting retention in pre-ART clinical care to ensure timely ART initiation and optimize long-term health outcomes. We assessed patients’ pre-ART HIV-care related information, motivation, and behavioral skills among newly diagnosed ART-ineligible patients initiating care in KwaZulu-Natal, South Africa. The survey was interviewer-administered to eligible patients who were 18 years of age or older, newly entering care (diagnosed within the last 6-months), and ineligible for ART (CD4 count >200 cells/mm3) in one of four primary care clinical sites. Self-reported information, motivation and behavioral skills specific to retention in pre-ART HIV-care were characterized by categorizing responses into those reflecting potential strengths and those reflective of potential deficits. Information, motivation, and behavioral skills deficits sufficiently prevalent in the overall sample (i.e., ≥30% prevalent) were identified as areas in need of specific attention through intervention efforts adapted to the clinic level. Gender-based differences were also evaluated. A total of 288 patients (75% female) completed structured interviews. Across the sample, 8 information, 8 motivation, and 8 behavioral skills deficit areas were identified as sufficiently prevalent to warrant specific targeted attention. Gender differences did not emerge. The deficits in pre-ART HIV-care related information, motivation and behavioral skills that were identified suggest that efforts to improve accurate information on immune function and HIV disease are needed, as is accurate information regarding HIV treatment and transmission risk prior to ART initiation. Additional efforts to facilitate the development of social support, including positive interactions with clinic staff

  6. Creatively caring: effects of arts-based encounters on hospice caregivers in South Africa.

    Science.gov (United States)

    Repar, Patricia Ann; Reid, Steve

    2014-05-01

    International literature and experience suggest that arts-based encounters can be effective in reducing stress and burnout in health care workers. Are these principles universal? Are they as applicable and effective in resource-constrained situations in Africa as in other parts of the world? We describe the impact of creative and arts-based encounters on a group of hospice caregivers at South Coast Hospice in KwaZulu Natal. An experienced facilitator built a caring and trusting relationship with the participants over a three month period through a variety of means, including a singing and songwriting intervention specifically designed to empower and give voice to the hospice caregivers, most of whom were Zulu women. We documented the process through several rounds of interviews, extensive field notes, and audio recordings. This article is a reflection on the experience and draws from the interviews, correspondence among researchers, field notes, and a performance piece written by the facilitator one year after completion of the study. We found that the songwriting and other creative activities of the engagement provided affirmation and acknowledgment of the caregivers as well as an opportunity to release stress, grief, and pain. They experienced changes in terms of hope and freedom both for themselves and their patients. The conceptual themes that emerged from the interviews with the caregivers were interpreted in terms of their inherent cultural assets, a release of agency, a sense of revelation, and transformation. The expressive arts can have a significantly beneficial effect on hospice workers and their patients, and clinical engagement can be enhanced through creative encounters, even in resource-constrained situations. If such creative processes were to be promoted among a wider group of health workers, daily routine work in health care could be not just a repetition of well-rehearsed utilitarian rituals but rather a series of creative and transformative

  7. Integrating palliative care within acute stroke services: developing a programme theory of patient and family needs, preferences and staff perspectives

    Directory of Open Access Journals (Sweden)

    Burton Christopher R

    2012-11-01

    Full Text Available Abstract Background Palliative care should be integrated early into the care trajectories of people with life threatening illness such as stroke. However published guidance focuses primarily on the end of life, and there is a gap in the evidence about how the palliative care needs of acute stroke patients and families should be addressed. Synthesising data across a programme of related studies, this paper presents an explanatory framework for the integration of palliative and acute stroke care. Methods Data from a survey (n=191 of patient-reported palliative care needs and interviews (n=53 exploring experiences with patients and family members were explored in group interviews with 29 staff from 3 United Kingdom stroke services. A realist approach to theory building was used, constructed around the mechanisms that characterise integration, their impacts, and mediating, contextual influences. Results The framework includes two cognitive mechanisms (the legitimacy of palliative care and individual capacity, and behavioural mechanisms (engaging with family; the timing of intervention; working with complexity; and the recognition of dying through which staff integrate palliative and stroke care. A range of clinical (whether patients are being ‘actively treated’, and prognostic uncertainty and service (leadership, specialty status and neurological focus factors appear to influence how palliative care needs are attended to. Conclusions Our framework is the first, empirical explanation of the integration of palliative and acute stroke care. The specification in the framework of factors that mediate integration can inform service development to improve the outcomes and experiences of patients and families.

  8. Efficacy of a physical exercise training programme COPD in primary care: study protocol of a randomized controlled trial

    OpenAIRE

    Fastenau, Annemieke; Muris, Jean W. M.; de Bie, Rob A; Hendriks, Erik J. M.; Asijee, Guus M; Beekman, Emmylou; Gosselink, Rik; van Schayck, Onno C P

    2014-01-01

    Background Chronic obstructive pulmonary disease (COPD) is recognized as a systemic illness with significant extra-pulmonary features, such as exercise intolerance and muscle weakness. Pulmonary rehabilitation has been shown to be very effective in counteracting these consequences in patients with more advanced COPD. However, limited data is available on the efficacy of a physical exercise training programme in patients with mild to moderate COPD in primary care. Furthermore, it is unknown if...

  9. Implementing the care programme for the last days of life in an acute geriatric hospital ward: a phase 2 mixed method study

    OpenAIRE

    Verhofstede, Rebecca; Smets, Tinne; Cohen, Joachim; Costantini, Massimo; Van Den Noortgate, Nele; Deliens, Luc

    2016-01-01

    Background: To improve the quality of end-of-life care in geriatric hospital wards we developed the Care Programme for the Last Days of Life. It consists of 1) the Care Guide for the Last Days of Life, 2) supportive documentation and 3) an implementation guide. The aim of this study is (1) to determine the feasibility of implementing the Care Programme for the Last Days of Life in the acute geriatric hospital setting and (2) to explore the health care professionals' perceptions of the effects...

  10. Interorganizational Collaboration in Transitional Care – A Study of a Post-Discharge Programme for Elderly Patients

    OpenAIRE

    Orvik, Arne; Nordhus, Gerd E. M.; Axelsson, Susanna Bihari; Axelsson, Runo

    2016-01-01

    Introduction and aim: This article reports a study of a post-discharge programme for elderly patients in Norway. It took place in an intermediate ward for transitional care and was based on collaboration between a municipality and a hospital, which was part of a health enterprise. The aim of the study was to analyse the collaboration and its possible effects on the quality of patient care, and the economic efficiency of the project for the organizations involved.Methodology: A mixed-methods a...

  11. Awareness among tertiary care doctors about Pharmacovigilance Programme of India: Do endocrinologists differ from others?

    Science.gov (United States)

    Sharma, Pramod Kumar; Singh, Surjit; Dhamija, Puneet

    2016-01-01

    Background and Objectives: Reporting adverse drug reactions (ADRs) associated with drug use is an important factor in patient safety. Majority of ADRs are preventable through improved prescribing and monitoring. Endocrinologists prescribe drugs with actions on almost all organs and for relatively longer durations. ADR are expected following the use of these drugs. Pharmacovigilance is the study of drug-related adverse effects aimed at protecting patients and public from drug-related harms. The concept of pharmacovigilance is relatively new in India, and this survey is an attempt to explore awareness among doctors of an establishing institution of national importance. Materials and Methods: The survey was conducted on faculty and resident doctors by administering a written structured questionnaire in a voluntary manner. The questionnaire contained questions meant to evaluate their awareness, understanding, and misconception about ADR reporting. Identity of the responder was kept confidential. Results: A total of 106 (faculty = 56; residents = 50) participated in survey. The most common cause cited for not reporting an ADR was “do not know how to report” by 64.15%. Majority of them (64%) had no information about the Pharmacovigilance Programme of India (PvPI), and only few (8.5%) had actually reported or published an ADR. Interpretation and Conclusions: ADRs are major public health problem that needs to be addressed at all levels of health care. High index of clinical suspicion are crucial for their timely detection and management. Various educational interventions have shown to improve medical professionals’ awareness, understanding about ADRs and in their reporting behavior. PvPI is an important initiative toward ensuring patient safety.

  12. Awareness among tertiary care doctors about Pharmacovigilance Programme of India: Do endocrinologists differ from others?

    Directory of Open Access Journals (Sweden)

    Pramod Kumar Sharma

    2016-01-01

    Full Text Available Background and Objectives: Reporting adverse drug reactions (ADRs associated with drug use is an important factor in patient safety. Majority of ADRs are preventable through improved prescribing and monitoring. Endocrinologists prescribe drugs with actions on almost all organs and for relatively longer durations. ADR are expected following the use of these drugs. Pharmacovigilance is the study of drug-related adverse effects aimed at protecting patients and public from drug-related harms. The concept of pharmacovigilance is relatively new in India, and this survey is an attempt to explore awareness among doctors of an establishing institution of national importance. Materials and Methods: The survey was conducted on faculty and resident doctors by administering a written structured questionnaire in a voluntary manner. The questionnaire contained questions meant to evaluate their awareness, understanding, and misconception about ADR reporting. Identity of the responder was kept confidential. Results: A total of 106 (faculty = 56; residents = 50 participated in survey. The most common cause cited for not reporting an ADR was “do not know how to report” by 64.15%. Majority of them (64% had no information about the Pharmacovigilance Programme of India (PvPI, and only few (8.5% had actually reported or published an ADR. Interpretation and Conclusions: ADRs are major public health problem that needs to be addressed at all levels of health care. High index of clinical suspicion are crucial for their timely detection and management. Various educational interventions have shown to improve medical professionals' awareness, understanding about ADRs and in their reporting behavior. PvPI is an important initiative toward ensuring patient safety.

  13. Round robin test programmes in the reliability of thick section ultrasonic inspections: state of the art report

    International Nuclear Information System (INIS)

    Inspection reliability is firstly defined and it is shown how difficult it is to be assessed as the influence of such factors as human performance, equipment malfunction and intrinsic technique capability are difficult to quantify. The manufacture of round robin test specimens is then considered: types of flaw, fabrication of test samples. The results of various round robin test programmes that have been carried out to determine both the capability and reliability of NDE to detect and size flaws in steel section for thick sections directly relevant to the requirements of the nuclear industry, are then reviewed and discussed: US Pressure Vessel research committee programme, PISC I Programme, the defect detection trials, and PISC II Programme

  14. Severe morbidity and mortality in untreated HIV-infected children in a paediatric care programme in Abidjan, Côte d'Ivoire, 2004-2009

    Directory of Open Access Journals (Sweden)

    Alioum Ahmadou

    2011-06-01

    Full Text Available Abstract Background Clinical evolution of HIV-infected children who have not yet initiated antiretroviral treatment (ART is poorly understood in Africa. We describe severe morbidity and mortality of untreated HIV-infected children. Methods All HIV-infected children enrolled from 2004-2009 in a prospective HIV programme in two health facilities in Abidjan, Côte d'Ivoire, were eligible from their time of inclusion. Risks of severe morbidity (the first clinical event leading to death or hospitalisation and mortality were documented retrospectively and estimated using cumulative incidence functions. Associations with baseline characteristics were assessed by competing risk regression models between outcomes and antiretroviral initiation. Results 405 children were included at a median age of 4.5 years; at baseline, 66.9% were receiving cotrimoxazole prophylaxis, and 27.7% met the 2006 WHO criteria for immunodeficiency by age. The risk of developing a severe morbid event was 14% (95%CI: 10.7 - 17.8 at 18 months; this risk was lower in children previously exposed to any prevention of mother-to-child-transmission (PMTCT intervention (adjusted subdistribution hazard ratio [sHR]: 0.16, 95% CI: 0.04 - 0.71 versus those without known exposure. Cumulative mortality reached 5.5% (95%CI: 3.5 - 8.1 at 18 months. Mortality was associated with immunodeficiency (sHR: 6.02, 95% CI: 1.28-28.42. Conclusions Having benefited from early access to care minimizes the severe morbidity risk for children who acquire HIV. Despite the receipt of cotrimoxazole prophylaxis, the risk of severe morbidity and mortality remains high in untreated HIV-infected children. Such evidence adds arguments to promote earlier access to ART in HIV-infected children in Africa and improve care interventions in a context where treatment is still not available to all.

  15. Clinical, Virologic, Immunologic Outcomes and Emerging HIV Drug Resistance Patterns in Children and Adolescents in Public ART Care in Zimbabwe.

    Directory of Open Access Journals (Sweden)

    A T Makadzange

    Full Text Available To determine immunologic, virologic outcomes and drug resistance among children and adolescents receiving care during routine programmatic implementation in a low-income country.A cross-sectional evaluation with collection of clinical and laboratory data for children (0-<10 years and adolescents (10-19 years attending a public ART program in Harare providing care for pediatric patients since 2004, was conducted. Longitudinal data for each participant was obtained from the clinic based medical record.Data from 599 children and adolescents was evaluated. The participants presented to care with low CD4 cell count and CD4%, median baseline CD4% was lower in adolescents compared with children (11.0% vs. 15.0%, p<0.0001. The median age at ART initiation was 8.0 years (IQR 3.0, 12.0; median time on ART was 2.9 years (IQR 1.7, 4.5. On ART, median CD4% improved for all age groups but remained below 25%. Older age (≥ 5 years at ART initiation was associated with severe stunting (HAZ <-2: 53.3% vs. 28.4%, p<0.0001. Virologic failure rate was 30.6% and associated with age at ART initiation. In children, nevirapine based ART regimen was associated with a 3-fold increased risk of failure (AOR: 3.5; 95% CI: 1.3, 9.1, p = 0.0180. Children (<10 y on ART for ≥4 years had higher failure rates than those on ART for <4 years (39.6% vs. 23.9%, p = 0.0239. In those initiating ART as adolescents, each additional year in age above 10 years at the time of ART initiation (AOR 0.4 95%CI: 0.1, 0.9, p = 0.0324, and each additional year on ART (AOR 0.4, 95%CI 0.2, 0.9, p = 0.0379 were associated with decreased risk of virologic failure. Drug resistance was evident in 67.6% of sequenced virus isolates.During routine programmatic implementation of HIV care for children and adolescents, delayed age at ART initiation has long-term implications on immunologic recovery, growth and virologic outcomes.

  16. OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: a randomized controlled trial

    OpenAIRE

    Garvey, Jess; Connolly, Deirdre; Boland, Fiona; Smith, Susan M

    2015-01-01

    Background We investigated the effectiveness of an occupational therapy led self-management support programme, OPTIMAL, designed to address the challenges of living with multiple chronic conditions or multimorbidity in a primary care setting. Methods Pragmatic feasibility randomised controlled trial including fifty participants with multimorbidity recruited from family practice and primary care settings. OPTIMAL is a six-week community-based programme, led by occupational therapy facilitators...

  17. Sustainability of healthcare innovations (SUSHI): long term effects of two implemented surgical care programmes (protocol)

    OpenAIRE

    Ament Stephanie M C; Gillissen Freek; Maessen José M C; Dirksen Carmen D; van der Weijden Trudy; von Meyenfeldt Maarten F

    2012-01-01

    Abstract Background Two healthcare innovations were successfully implemented using different implementation strategies. First, a Short Stay Programme for breast cancer surgery (MaDO) was implemented in four early adopter hospitals, using a hospital-tailored implementation strategy. Second, the Enhanced Recovery After Surgery (ERAS) programme for colonic surgery was implemented in 33 Dutch hospitals, using a generic breakthrough implementation strategy. Both strategies resulted in a shorter ho...

  18. Assessing the HIV Care Continuum in Latin America: progress in clinical retention, cART use and viral suppression

    Directory of Open Access Journals (Sweden)

    Peter F Rebeiro

    2016-04-01

    Full Text Available Introduction: We assessed trends in HIV Care Continuum outcomes associated with delayed disease progression and reduced transmission within a large Latin American cohort over a decade: clinical retention, combination antiretroviral therapy (cART use and viral suppression (VS. Methods: Adults from Caribbean, Central and South America network for HIV epidemiology clinical cohorts in seven countries contributed data between 2003 and 2012. Retention was defined as two or more HIV care visits annually, >90 days apart. cART was defined as prescription of three or more antiretroviral agents annually. VS was defined as HIV-1 RNA <200 copies/mL at last measurement annually. cART and VS denominators were subjects with at least one visit annually. Multivariable modified Poisson regression was used to assess temporal trends and examine associations between age, sex, HIV transmission mode, cohort, calendar year and time in care. Results: Among 18,799 individuals in retention analyses, 14,380 in cART analyses and 13,330 in VS analyses, differences existed between those meeting indicator definitions versus those not by most characteristics. Retention, cART and VS significantly improved from 2003 to 2012 (63 to 77%, 74 to 91% and 53 to 82%, respectively; p<0.05, each. Female sex (risk ratio (RR=0.97 vs. males and injection drug use as HIV transmission mode (RR=0.83 vs. male sexual contact with males (MSM were significantly associated with lower retention, but unrelated with cART or VS. MSM (RR=0.96 significantly decreased the probability of cART compared with heterosexual transmission. Conclusions: HIV Care Continuum outcomes improved over time in Latin America, though disparities for vulnerable groups remain. Efforts must be made to increase retention, cART and VS, while engaging in additional research to sustain progress in these settings.

  19. Community participation in primary health care projects of the Muldersdrift Health and Development Programme

    Directory of Open Access Journals (Sweden)

    M. Barker

    2007-09-01

    Full Text Available After numerous teething problems (1974-1994, the Department of Nursing Education of WITS University took responsibility for the Muldersdrift Health and Development Programme (MHDP. The nursing science students explored and implemented an empowerment approach to community participation. The students worked with MHDP health workers to improve health through community participation, in combination with primary health care (PHC activities and the involvement of a variety of community groups. As the PHC projects evolved overtime, the need arose to evaluate the level of community participation and how much community ownership was present over decision-making and resources. This led to the question “What was the level of community participation in PHC projects of the MHDP?” Based on the question the following objectives were set, i.e. i to evaluate the community participation in PHC initiatives; ii to provide the project partners with motivational affirmation on the level of community participation criteria thus far achieved; iii to indicate to participants the mechanisms that should still be implemented if they wanted to advance to higher levels of community participation; iv to evaluate the MHDP’s implementation of a people-centred approach to community participation in PHC; and v the evaluation of the level of community participation in PHC projects in the MHDP. An evaluative, descriptive, contextual and quantitative research design was used. Ethical standards were adhered to throughout the study. The MHDP had a study population of twentythree (N=23 PHC projects. A purposive sample of seven PHC initiatives was chosen according to specific selection criteria and evaluated according to the “Criteria to evaluate community participation in PHC projects” instrument (a quantitative tool. Structured group interviews were done with PHC projects’ executive committee members. The Joint Management Committee’s data was collected through mailed

  20. Evaluation of complex integrated care programmes: the approach in North West London

    OpenAIRE

    Greaves, Felix; Pappas, Yannis; Bardsley, Martin; Harris, Matthew; Curry, Natasha; Holder, Holly; Blunt, Ian; Soljak, Michael; Gunn, Laura; Majeed, Azeem; Car, Josip

    2013-01-01

    Background: Several local attempts to introduce integrated care in the English National Health Service have been tried, with limited success. The Northwest London Integrated Care Pilot attempts to improve the quality of care of the elderly and people with diabetes by providing a novel integration process across primary, secondary and social care organisations. It involves predictive risk modelling, care planning, multidisciplinary management of complex cases and an information technology tool...

  1. Impact of Antimicrobial Stewardship Programme on Carbapenem Resistance in Gram Negative Isolates in an Indian Tertiary Care Hospital

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    Namita Jaggi

    2012-01-01

    Full Text Available Problem statement: Increasing Antimicrobial resistance in the World is constantly becoming a Global threat and there is an urgent need to prevent its spread. Various studies of last decade have shown reduced trends of antimicrobial resistance in the pathogens as an outcome of the Antimicrobial Stewardship Programs. In view of this, the present four years’ study was carried out to analyse the impact of Antimicrobial Stewardship Programs on carbapenem resistance in Gram negative isolates in a Tertiary care hospital in India. It involved a retrospective analysis of carbapenem resistance in Gram negatives for one year (July 2007 to June 2008, followed by prospective evaluation of the impact of stewardship interventions on resistance patterns (July 2008 to Jun 2011. Approach: Our study was staged into four parts: (1 July 2007 to June 2008: Resistance patterns of Gram negative isolates-E.coli, Klebsiella, Pseudomonas and Acinetobacter baumannii towards carbapenems were studied. (2 July 2008: Phase I intervention programme Implementation of an antibiotic policy in the hospital. (3 July 2008 to June 2010: The Impact of Phase I intervention programme was assessed subsequently. (4 July 2010 to June 2011: Phase II intervention programme: Formation and effective functioning of the antimicrobial stewardship committee. Results: The percentage resistance towards carbapenems in E.coli, Klebsiella, Pseudomonas and A. baumannii from July 2007-June 2008 was 1.07, 13.1, 21.3 and 12.5% respectively. Phase I intervention programme was initiated in July 2008 and Phase II in July 2010 and a subsequent reduction of 4.03% was observed in the carbapenem resistant Pseudomonas in the last stage of study period following the interventions. However the resistance in the other Gram negatives (E. coli, Klebsiella and A. baumannii rose and then stabilized. Conclusion: An antimicrobial stewardship programme with sustained and multifaceted efforts is essential to control the

  2. The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

    Directory of Open Access Journals (Sweden)

    Brocklehurst Peter

    2011-02-01

    Full Text Available Abstract Background Infant mortality has shown a steady decline in recent years but a marked socioeconomic gradient persists. Antenatal care is generally thought to be an effective method of improving pregnancy outcomes, but the effectiveness of specific antenatal care programmes as a means of reducing infant mortality in socioeconomically disadvantaged and vulnerable groups of women has not been rigorously evaluated. Methods We conducted a systematic review, focusing on evidence from high income countries, to evaluate the effectiveness of alternative models of organising or delivering antenatal care to disadvantaged and vulnerable groups of women vs. standard antenatal care. We searched Medline, Embase, Cinahl, PsychINFO, HMIC, CENTRAL, DARE, MIDIRS and a number of online resources to identify relevant randomised and observational studies. We assessed effects on infant mortality and its major medical causes (preterm birth, congenital anomalies and sudden infant death syndrome (SIDS Results We identified 36 distinct eligible studies covering a wide range of interventions, including group antenatal care, clinic-based augmented care, teenage clinics, prenatal substance abuse programmes, home visiting programmes, maternal care coordination and nutritional programmes. Fifteen studies had adequate internal validity: of these, only one was considered to demonstrate a beneficial effect on an outcome of interest. Six interventions were considered 'promising'. Conclusions There was insufficient evidence of adequate quality to recommend routine implementation of any of the programmes as a means of reducing infant mortality in disadvantaged/vulnerable women. Several interventions merit further more rigorous evaluation.

  3. The Tingathe programme: a pilot intervention using community health workers to create a continuum of care in the prevention of mother to child transmission of HIV (PMTCT cascade of services in Malawi

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    Gordon E Schutze

    2012-07-01

    Full Text Available Introduction: Loss to follow-up is a major challenge in the prevention of mother to child transmission of HIV (PMTCT programme in Malawi with reported loss to follow-up of greater than 70%. Tingathe-PMTCT is a pilot intervention that utilizes dedicated community health workers (CHWs to create a complete continuum of care within the PMTCT cascade, improving service utilization and retention of mothers and infants. We describe the impact of the intervention on longitudinal care starting with diagnosis of the mother at antenatal care (ANC through final diagnosis of the infant. Methods: PMTCT service utilization, programme retention and outcomes were evaluated for pregnant women living with HIV and their exposed infants enrolled in the Tingathe-PMTCT programme between March 2009 and March 2011. Multivariate logistic regression was done to evaluate maternal factors associated with failure to complete the cascade. Results: Over 24 months, 1688 pregnant women living with HIV were enrolled. Median maternal age was 27 years (IQR, 23.8 to 30.8; 333 (19.7% were already on ART. Among the remaining women, 1328/1355 (98% received a CD4 test, with 1243/1328 (93.6% receiving results. Of the 499 eligible for ART, 363 (72.8% were successfully initiated. Prior to, delivery there were 93 (5.7% maternal/foetal deaths, 137 (8.1% women transferred/moved, 51 (3.0% were lost and 58 (3.4% refused ongoing PMTCT services. Of the 1318 live births to date, 1264 (95.9% of the mothers and 1285 (97.5% of the infants received ARV prophylaxis; 1064 (80.7% infants were tested for HIV by PCR and started on cotrimoxazole. Median age at PCR was 1.7 months (IQR, 1.5 to 2.5. Overall transmission at first PCR was 43/1047 (4.1%. Of the 43 infants with positive PCR results, 36 (83.7% were enrolled in ART clinic and 33 (76.7% were initiated on ART. Conclusions: Case management and support by dedicated CHWs can create a continuum of longitudinal care in the PMTCT cascade and result in

  4. Assessing the HIV Care Continuum in Latin America: progress in clinical retention, cART use and viral suppression

    OpenAIRE

    Rebeiro, Peter F.; Carina Cesar; Shepherd, Bryan E.; Raquel B De Boni; Cortés, Claudia P.; Fernanda Rodriguez; Pablo Belaunzarán-Zamudio; Pape, Jean W; Denis Padgett; Daniel Hoces; McGowan, Catherine C; Pedro Cahn

    2016-01-01

    Introduction: We assessed trends in HIV Care Continuum outcomes associated with delayed disease progression and reduced transmission within a large Latin American cohort over a decade: clinical retention, combination antiretroviral therapy (cART) use and viral suppression (VS). Methods: Adults from Caribbean, Central and South America network for HIV epidemiology clinical cohorts in seven countries contributed data between 2003 and 2012. Retention was defined as two or more HIV care visits an...

  5. The KwaZulu-Natal Child Eye Care Programme: Delivering refractive error services to primary school learners

    Directory of Open Access Journals (Sweden)

    Y. I. Mahraj

    2011-12-01

    Full Text Available Globally, over 300 million people are estimated to be visually impaired. Uncorrected refractive error is the primary cause of almost half of all visual impairment, resulting in the global economy losing $269 billion in productivity annually. There is a definitive level of urgency in the treatment of refractive error in children as uncorrected refractive error results in the failure of normal visual maturation, termed amblyopia, which cannot be corrected in adult life. In South Africa, the lack of appropriatechild eye care strategies has posed a serious problem to the visual health of children. In 2006, the International Centre for Eye Care Education (ICEE conducted a situational analysis of child eye care services in the province of KwaZulu-Natal (KZN. The findings of this analysis indicated a dire need for comprehensive services in the province. Stakeholders (the KwaZulu-Natal Department of Healthand the KwaZulu-Natal Department of Education were advised on the value of a short-term strategy as the underpinning of a long-term sustainable approach. This resulted in the formation of a trialliance to implement the KZN Child Eye Care Programme. Eighty (80 individuals who were previously volunteers for the KZN Department of Health were trained in vision screening. These vi-sion screeners screened 239 606 primary school children from February 2007 to May 2008. Seven percent (15 944 of the children failed the vision screening and were referred for optometric assessments. Of the 15 944 children that failed the vision screening, 10 707 children were examined by optometrists and 1083 were found to have a refractive error and were therefore supplied with spectacles. The study indicates that a short-term programme to address a backlog of services can reach many underserved children. This programme identified many challenges of implementing a vision screening programme such as poor uptake of refractive services by learners in the absence of an appropriate

  6. An interprofessional education programme for medical learners during a one-month palliative care rotation.

    Science.gov (United States)

    Stilos, Kalli; Daines, Patricia; Moore, Jennifer

    2016-04-01

    Interprofessional education in health care and in palliative care has been the focus of increasing attention in recent years. For health professionals to provide and deliver high-quality palliative care, collaboration and teamwork is required. Palliative care is the ideal service to introduce interprofessional teamwork to medical learners early on in their training. During a 1-month palliative care rotation in Ontario, Canada, medical learners completed a questionnaire seeking their feedback on the interprofessional team model. This article will highlight the results of the questionnaire, how the team promotes a culture of interprofessional collaborative practice, and the supportive structures that foster collaboration among professionals. PMID:27119406

  7. Assessing the HIV Care Continuum in Latin America: progress in clinical retention, cART use and viral suppression

    Science.gov (United States)

    Rebeiro, Peter F; Cesar, Carina; Shepherd, Bryan E; De Boni, Raquel B; Cortés, Claudia P; Rodriguez, Fernanda; Belaunzarán-Zamudio, Pablo; Pape, Jean W; Padgett, Denis; Hoces, Daniel; McGowan, Catherine C; Cahn, Pedro

    2016-01-01

    Introduction We assessed trends in HIV Care Continuum outcomes associated with delayed disease progression and reduced transmission within a large Latin American cohort over a decade: clinical retention, combination antiretroviral therapy (cART) use and viral suppression (VS). Methods Adults from Caribbean, Central and South America network for HIV epidemiology clinical cohorts in seven countries contributed data between 2003 and 2012. Retention was defined as two or more HIV care visits annually, >90 days apart. cART was defined as prescription of three or more antiretroviral agents annually. VS was defined as HIV-1 RNA drug use as HIV transmission mode (RR=0.83 vs. male sexual contact with males (MSM)) were significantly associated with lower retention, but unrelated with cART or VS. MSM (RR=0.96) significantly decreased the probability of cART compared with heterosexual transmission. Conclusions HIV Care Continuum outcomes improved over time in Latin America, though disparities for vulnerable groups remain. Efforts must be made to increase retention, cART and VS, while engaging in additional research to sustain progress in these settings. PMID:27065108

  8. Managing high-risk patients: the Mass General care management programme

    OpenAIRE

    Kodner, Dennis L.

    2015-01-01

    The Massachusetts General Care Management Program (Mass General CMP or CMP) was designed as a federally supported demonstration to test the impact of intensive, practice-based care management on high-cost Medicare fee-for-service (FFS) beneficiaries—primarily older persons—with multiple hospitalisations and multiple chronic conditions. The Massachusetts General Care Management Program operated over a 6-year period in two phases (3 years each). It started during the first phase at Massachusett...

  9. Coaching to Quality: Increasing Quality in Early Care and Education Programmes through Community-University Partnership

    Science.gov (United States)

    Gilbert, Jaesook Lee; Harte, Helene Arbouet

    2013-01-01

    This paper describes efforts to increase the quality in early care and education through targeted coaching. A collaborative including several community agencies and a university developed a framework of support for early care and education providers, using coaching as its foundational basis, called Coaching to Quality (CTQ). This paper provides a…

  10. Educational role of art history as a school subject area in programmes of formal education in Slovenia: the aspect of vzgoja, according to general European guidelines

    Directory of Open Access Journals (Sweden)

    Marjana Dolšina

    2015-09-01

    Full Text Available Programmes of formal education establish a systematic transfer of knowledge as well as universal values from one generation to another. By that, they ensure the survival of social structures, prevent radical disruptions in their continuity, and serve as basis for general development of a society. Their content and didactic arrangements include interweaving of two basic aspects: the cognitive one and the one related to vzgoja (i.e. upbringing, moral/value education etc.. The latter aims to achieve the ideals of a tolerant, just and lifelong learning society, but seems to be facing increasing challenges, mainly emerging from neoliberal capitalist mentality. Art history as a school subject area in elementary and secondary education may provide an insight beneath the surface of historical events. Thus, it helps develop a critical view towards them and consequently towards the present real-life situations, which contributes to ascending the taxonomic scale of conative educational goals.

  11. Drawing Involves Caring: Fostering Relationship Building through Art Therapy for Social Change

    Science.gov (United States)

    Potash, Jordan; Ho, Rainbow T. H.

    2011-01-01

    The art therapist's ability to foster the creative process in service of relationship can be a foundation for infusing a social change paradigm into existing practice. For clients affected by discrimination and stigma, art therapy can promote empathy and understanding of the societal forces involved. In this qualitative study, 46 people…

  12. The quality of health care in prison: results of a year's programme of semistructured inspections.

    OpenAIRE

    Reed, J.; Lyne, M

    1997-01-01

    OBJECTIVES: To assess, as part of wider inspections by HM Inspectorate of Prisons, the extent and quality of health care in prisons in England and Wales. DESIGN: Inspections based on a set of "expectations" derived mainly from existing healthcare quality standards published by the prison service and existing ethical guidelines; questionnaire survey of prisoners. SUBJECTS: 19 prisons in England and Wales, 1996-7. MAIN OUTCOME MEASURES: Appraisals of needs assessment and the commissioning and d...

  13. Retention in care outcomes for HIV pre-exposure prophylaxis implementation programmes among men who have sex with men in three US cities

    OpenAIRE

    Philip A Chan; Leandro Mena; Rupa Patel; Oldenburg, Catherine E.; Laura Beauchamps; PEREZ-BRUMER, Amaya G.; Sharon Parker; Mayer, Kenneth H.; Mimiaga, Matthew J.; Amy Nunn

    2016-01-01

    Introduction: Despite the efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV transmission, few studies have evaluated PrEP use and retention in care outcomes in real-world settings outside of clinical trials. Methods: Data were collected from PrEP clinical care programmes in three mid-size US cities: Providence, Rhode Island (RI); Jackson, Mississippi (MS); and St. Louis, Missouri (MO). We assessed the demographic and social characteristics of patients prescribed PrEP and documente...

  14. An exploration of the perceptions of caring held by students entering nursing programmes in the United Kingdom: A longitudinal qualitative study phase 1.

    Science.gov (United States)

    Phillips, Jill; Cooper, Karen; Rosser, Elizabeth; Scammell, Janet; Heaslip, Vanessa; White, Sara; Donaldson, Ian; Jack, Eleanor; Hemingway, Ann; Harding, Andrew

    2015-11-01

    In a climate of intense international scrutiny of healthcare and nursing in particular, there is an urgent need to identify, foster and support a caring disposition in student nurses worldwide. Yet relatively little is known about how core nursing values are shaped during education programmes and this warrants further investigation. This longitudinal study commencing in February 2013 examines the impact of an innovative nursing curriculum based on a humanising framework (Todres et al. 2009) and seeks to establish to what extent professional and core values are shaped over the duration of a three year nursing programme. This paper reports on Phase One which explores student nurses' personal values and beliefs around caring and nursing at the start of their programme. Undergraduate pre-registration nursing students from two discrete programmes (Advanced Diploma and BSc (Honours) Nursing with professional registration) were recruited to this study. Utilising individual semi-structured interviews, data collection commenced with February 2013 cohort (n = 12) and was repeated with February 2014 (n = 24) cohort. Findings from Phase One show that neophyte student nurses are enthusiastic about wanting to care and aspire to making a difference to patients and their families. This research promises to offer contributions to the debate around what caring means and in particular how it is understood by student nurses. Findings will benefit educators and students which will ultimately impact positively on those in receipt of healthcare. PMID:26049787

  15. Development of a training programme for home health care workers to promote preventive activities focused on a healthy lifestyle : an intervention mapping approach

    NARCIS (Netherlands)

    Walters, Maaike E.; Dijkstra, Arie; de Winter, Andrea F.; Reijneveld, Sijmen A.

    2015-01-01

    Background: Lifestyle is an important aspect in maintaining good health in older adults, and home health care (HHC) workers can play an important role in promoting a healthy lifestyle. However, there is limited evidence in the literature regarding how to develop an effective training programme to im

  16. Effectiveness of the palliative care ‘Availability, Current issues and Anticipation’ (ACA) communication training programme for general practitioners on patient outcomes: A controlled trial

    Science.gov (United States)

    Blankenstein, Annette H; Schweitzer, Bart PM; Knol, Dirk L; van der Horst, Henriëtte E; Aaronson, Neil K; Deliens, Luc

    2014-01-01

    Background: Although communicating effectively with patients receiving palliative care can be difficult, it may contribute to maintaining or enhancing patients’ quality of life. Little is known about the effect of training general practitioners in palliative care–specific communication. We hypothesized that palliative care patients of general practitioners exposed to the ‘Availability, Current issues and Anticipation’ communication training programme would report better outcomes than patients of control general practitioners. Aim: To evaluate the effectiveness of the Availability, Current issues and Anticipation training programme for general practitioners on patient-reported outcomes. Design: In a controlled trial, general practitioners followed the Availability, Current issues and Anticipation programme or were part of the control group. Patients receiving palliative care of participating general practitioners completed the Palliative Care Outcome Scale, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative, the Rest & Peace Scale, the Patient Satisfaction Questionnaire–III and the Availability, Current issues and Anticipation Scale, at baseline and 12 months follow-up. We analysed differences between groups using linear mixed models. Trial registration: ISRCTN56722368. Setting/participants: General practitioners who attended a 2-year Palliative Care Training Course in the Netherlands. Results: Questionnaire data were available for 145 patients (89 in intervention and 56 in control group). We found no significant differences over time between the intervention and control groups in any of the five outcome measures. Ceiling effects were observed for the Rest & Peace Scale, Patient Satisfaction Questionnaire–III and Availability, Current issues and Anticipation Scale. Conclusion: General practitioner participation in the Availability, Current issues and Anticipation training programme did not have

  17. Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country

    Science.gov (United States)

    2013-01-01

    Background Type 2 diabetes mellitus (DM2) is a disease with high prevalence and significant impact in terms of mortality and morbidity. The increased prevalence of the disease requires the implementation of new strategies to promote patient self-management. The Spanish Diabetes Self-Management Program (SDSMP) has proven to be effective in other settings. The objective of this study is to assess its effectiveness in terms of care for DM2 patients in primary care settings within the Basque Health Service – Osakidetza (Spain). Method/Design This is a randomised clinical trial in which patients diagnosed with DM2, 18–79 years of age, from four health regions within the Basque Health Service will be randomised into two groups: an intervention group, who will follow the SDSMP, and a control group, who will receive usual care in accordance with the clinical guidelines for DM2 and existing regulations in our region. The intervention consists of 2,5 hour-group sessions once a week for six weeks. The sessions cover target setting and problem solving techniques, promotion of physical exercise, basic knowledge of nutrition, proper use of medication, effective communication with relatives and health professionals, and basic knowledge about DM2 and its complications. This content is complemented by educational material: books, leaflets and CDs. The primary outcome measure will be the change in glycated haemoglobin (HbA1c), and secondary outcome measures will include changes in levels of physical activity and intake of fruit and vegetables, cardiovascular risk, quality of life, self-efficacy, number of consultations and drug prescriptions. The results will be analysed 6, 12 and 24 months after the intervention. Discussion If the intervention were to be effective, the programme should be spread to the entire diabetic population in the Basque Country and it could also be applied for other diseases. Trial registration ClinicalTrials.gov identifier NCT01642394 PMID:23718222

  18. POC CD4 Testing Improves Linkage to HIV Care and Timeliness of ART Initiation in a Public Health Approach: A Systematic Review and Meta-Analysis

    OpenAIRE

    Vojnov, Lara; Markby, Jessica; Boeke, Caroline; Harris, Lindsay; Ford, Nathan; Peter, Trevor

    2016-01-01

    Background CD4 cell count is an important test in HIV programs for baseline risk assessment, monitoring of ART where viral load is not available, and, in many settings, antiretroviral therapy (ART) initiation decisions. However, access to CD4 testing is limited, in part due to the centralized conventional laboratory network. Point of care (POC) CD4 testing has the potential to address some of the challenges of centralized CD4 testing and delays in delivery of timely testing and ART initiation...

  19. Setting the pace for VISION 2020 in Ghana: the case of Bawku Eye Care Programme

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    Michael Ekuoba Gyasi

    2006-09-01

    Full Text Available IntroductionGhana is a west African country bordered on the south by the Atlantic Ocean, and the north, east, and west by the Republics of Burkina Faso, Togo, and Ivory Coast respectively. It has a population of 20,771,382. Prevalence of blindness is estimated at one per cent. It currently has 52 ophthalmologists and 216 ophthalmic nurses (National Eye Care Secretariat, with nearly half of the ophthalmologists (19 located in the national capital and its environs. The health sector attracted 7.9 per cent of government budget in 2002 and 12.3 per cent in the 2006 budget. Currently there is a comprehensive national health insurance policy being implemented that covers most of the common eye operations done in the country.

  20. Building capacity for antiretroviral delivery in South Africa: A qualitative evaluation of the PALSA PLUS nurse training programme

    OpenAIRE

    English R; Mayers P; Fairall L; Lewin S.; Stein J; Bheekie A; Bateman E; Zwarenstein M

    2008-01-01

    Abstract Background South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART) delivery. The PALSA PLUS programme provides guidelines and training for primary health care (PHC) nurses in the management of adult lung diseases and HIV/AIDS, including ART. A process evaluation was undertaken to document the training, explore perceptions regarding the value of the training, and compare the PALS...

  1. Patient groups in art therapies: A case study of the health care field in Latvia

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    Vende K.

    2012-10-01

    Full Text Available The aim of the paper is to introduce the reader with an example of the arts therapies work in a children hospital in Latvia in order to describe art therapies work similarities and differences in three different specializations. Comparison will take place of patient groups in the work of art therapists in each specialization (art therapy, dance movement therapy and music therapy. The question of the research is: with which patient groups’ a specialist from a particular arts therapies specialization has worked within a year in VSIA BKUS children hospital “Gaiļezers” during the time period from 05.2009 to 05.2010?The results were gained by comparing patient groups at the age from 2,5 to 17 years in the children hospital and they showed that the art therapists and dance movement therapist most frequently were working with patients who have behaviour and emotional disorders. However music therapists are working more frequently with patients who have mental retardation.

  2. State of the art in telemedicine - concepts, management, monitoring and evaluation of the telemedicine programme in Alentejo (Portugal).

    Science.gov (United States)

    Oliveira, Tiago Cravo; Branquinho, Maria José; Gonçalves, Luís

    2012-01-01

    Alentejo - one of five Portuguese continental regions - faces major problems impacting the health and social system of the region. Here, the low population density, the low educational and income level as well as an aging population have to be mentioned. Faced with the task of ensuring equal access to healthcare for all its inhabitants, the regional health authorities created the telemedicine program. From 1998 until 2000, the program developed in an experimental fashion, with teleconsultations involving a number of providers: primary health care centers, regional hospitals, and central hospitals. Between 2000 and 2010, there were a total of 135,000 telemedicine acts including teleconsultations, teleradiology (computerised tomography and x-rays), ultrasound telemedicine and telepathology. Presently, the network comprises 20 health centers and 6 hospitals, covering 4 districts. The platform is composed of high resolution videoconferencing equipment, software with patients' clinical records, an image archive, and a number of peripherals, such as electronic dermatoscopes and phonendoscopes. Teleconsultations are provided by fifteen medical specialties, across 3 district hospitals, ranging from neurology to pediatric surgery. In 2008, health authorities started the telelearning program, initially using point to point videoconferencing, and by the end of 2010, 848 healthcare professionals, across 52 locations, had participated in remote learning sessions, covering topics from chronic wound treatment, to infection control, to medical error. As of 2011, point to multipoint telelearning is also in operation. This paper provides an overview of the telemedicine program in Alentejo, including both infrastructure and operations. Preliminary results of an ongoing evaluation of the impact of teleconsultations on key indicators of the regional healthcare system are also presented (including current utilization and plans for future expansion). This article builds on the experience

  3. Interventions to improve or facilitate linkage to or retention in pre-ART (HIV care and initiation of ART in low- and middle-income settings – a systematic review

    Directory of Open Access Journals (Sweden)

    Darshini Govindasamy

    2014-08-01

    Full Text Available Introduction: Several approaches have been taken to reduce pre-antiretroviral therapy (ART losses between HIV testing and ART initiation in low- and middle-income countries, but a systematic assessment of the evidence has not yet been undertaken. The aim of this systematic review is to assess the potential for interventions to improve or facilitate linkage to or retention in pre-ART care and initiation of ART in low- and middle-income settings. Methods: An electronic search was conducted on Medline, Embase, Global Health, Web of Science and conference databases to identify studies describing interventions aimed at improving linkage to or retention in pre-ART care or initiation of ART. Additional searches were conducted to identify on-going trials on this topic, and experts in the field were contacted. An assessment of the risk of bias was conducted. Interventions were categorized according to key domains in the existing literature. Results: A total of 11,129 potentially relevant citations were identified, of which 24 were eligible for inclusion, with the majority (n=21 from sub-Saharan Africa. In addition, 15 on-going trials were identified. The most common interventions described under key domains included: health system interventions (i.e. integration in the setting of antenatal care; patient convenience and accessibility (i.e. point-of-care CD4 count (POC testing with immediate results, home-based ART initiation; behaviour interventions and peer support (i.e. improved communication, patient referral and education and incentives (i.e. food support. Several interventions showed favourable outcomes: integration of care and peer supporters increased enrolment into HIV care, medical incentives increased pre-ART retention, POC CD4 testing and food incentives increased completion of ART eligibility screening and ART initiation. Most studies focused on the general adult patient population or pregnant women. The majority of published studies were

  4. Contribution of the education of the prospective fathers to the success of maternal health care programme.

    Directory of Open Access Journals (Sweden)

    Bhalerao V

    1984-01-01

    Full Text Available The role of involving prospective fathers in the care of pregnant women attending the Mother Craft Clinic of the Malavani Health Center in Bombay, India was evaluated. Beginning in October 1982, pregnant women attending the Clinic were requested to ask their husands to meet the resident medical officer of the center who was available on the premises of the Center on all days and evenings including the holidays. 1 of the medico-social workers explained to the women the reason and the need for their husbands coming and meeting the doctor at the Center. The outcome of the maternal health care program for the 270 women whose husbands were invited and came (Group 1 was compared with the outcome of the same program, under the same roof, for 405 women whose husbands could not be invited (Group 2. The husbands who attended the center were educated individually and in groups about their role in nutrition and health of their wives during pregnancy and their responsibility in subsequent child rearing. The physiology of pregnancy, complications of pregnancy, and the possible ways and means of preventing the complications were explained in detail. The husbands were also told to encourage their wives to attend the antenatal clinic of the center as often as possible. There was no difference in the socioeconomic, educational, cultural, and religious background of the 2 groups of women who were similar in parity distribution. The main difference between the 2 groups was a significantly lower perinatal mortality in Group 1. Only 60 of the 405 Group 2 women were considered eligible for postpartum sterilization (para 3 and higher. In contrast, 41 of the 270 Group 1 women were considered eligible for postpartum sterilization and 110 women accepted. The excess of those who accepted over those who were eligible came form the lower paras. This effort confirms that the involvement of prospective fathers is possible and pays good dividends even in an uneducated and low

  5. Mental health nurses can increase capability and capacity in primary care by educating practice nurses: an evaluation of an education programme in England.

    Science.gov (United States)

    Hardy, S A; Kingsnorth, R

    2015-05-01

    Most people with a mental health problem in England are cared for by clinicians in primary care who may have had little or no training in this area. Our aim was to develop an accessible education programme which was appropriate to the learning needs of this workforce. A survey of the mental health and well-being training needs and preferred learning methods of practice nurses was undertaken, then a programme of education was developed by a primary care mental health expert. Teaching was delivered by mental health nurses who were trained as educators. Both the practice nurses and mental health nurses felt their clinical practice would improve as a result of being involved in this programme. To sustain the learning, mental health nurses were supported by attending and then leading their own action learning sets. This model of education can be adapted and used by health organizations both nationally and internationally. Research is required to find out whether training practice nurses using this programme has an impact on patients. PMID:25858036

  6. The practice of physicians and nurses in the Brazilian Family Health Programme – evidences of change in the delivery health care model

    Science.gov (United States)

    Peres, Ellen M; Andrade, Ana M; Dal Poz, Mario R; Grande, Nuno R

    2006-01-01

    The article analyzes the practice of physicians and nurses working on the Family Health Programme (Programa de Saúde da Família or PSF, in Portuguese). A questionnaire was used to assess the evidences of assimilation of the new values and care principles proposed by the programme. The results showed that a great number of professionals seem to have incorporated the practice of home visits, health education actions and planning of the teams' work agenda to their routine labour activities. PMID:17107622

  7. The practice of physicians and nurses in the Brazilian Family Health Programme – evidences of change in the delivery health care model

    Directory of Open Access Journals (Sweden)

    Andrade Ana M

    2006-11-01

    Full Text Available Abstract The article analyzes the practice of physicians and nurses working on the Family Health Programme (Programa de Saúde da Família or PSF, in Portuguese. A questionnaire was used to assess the evidences of assimilation of the new values and care principles proposed by the programme. The results showed that a great number of professionals seem to have incorporated the practice of home visits, health education actions and planning of the teams' work agenda to their routine labour activities.

  8. The practice of physicians and nurses in the Brazilian Family Health Programme – evidences of change in the delivery health care model

    OpenAIRE

    Andrade Ana M; Dal Poz Mario R; Peres Ellen M; Grande Nuno R

    2006-01-01

    Abstract The article analyzes the practice of physicians and nurses working on the Family Health Programme (Programa de Saúde da Família or PSF, in Portuguese). A questionnaire was used to assess the evidences of assimilation of the new values and care principles proposed by the programme. The results showed that a great number of professionals seem to have incorporated the practice of home visits, health education actions and planning of the teams' work agenda to their routine labour activit...

  9. The practice of physicians and nurses in the Brazilian Family Health Programme - evidences of change in the delivery health care model.

    Science.gov (United States)

    Peres, Ellen M; Andrade, Ana M; Dal Poz, Mario R; Grande, Nuno R

    2006-01-01

    The article analyzes the practice of physicians and nurses working on the Family Health Programme (Programa de Saúde da Família or PSF, in Portuguese). A questionnaire was used to assess the evidences of assimilation of the new values and care principles proposed by the programme. The results showed that a great number of professionals seem to have incorporated the practice of home visits, health education actions and planning of the teams' work agenda to their routine labour activities. PMID:17107622

  10. Cost Effectiveness of Facility-Based Care, Home-Based Care and Mobile Clinics for Provision of Antiretroviral Therapy in Uganda

    OpenAIRE

    Babigumira, Joseph B; Sethi, Ajay K.; Smyth, Kathleen A.; Singer, Mendel E.

    2009-01-01

    Background: Stakeholders in HIV/AIDS care currently use different programmes for provision of antiretroviral therapy (ART) in Uganda. It is not known which of these represents the best value for money. Objective: To compare the cost effectiveness of home-based care (HBC), facility-based care (FBC) and mobile clinic care (MCC) for provision of ART in Uganda. Methods: Incremental cost-effectiveness analysis was performed using decision and Markov modeling of adult AIDS patients in WHO Clinical ...

  11. Patients’ demographic and clinical characteristics and level of care associated with lost to follow-up and mortality in adult patients on first-line ART in Nigerian hospitals

    Directory of Open Access Journals (Sweden)

    Solomon Odafe

    2012-09-01

    Full Text Available Introduction: Clinical outcome is an important determinant of programme success. This study aims to evaluate patients’ baseline characteristics as well as level of care associated with lost to follow-up (LTFU and mortality of patients on antiretroviral treatment (ART. Methods: Retrospective cohort study using routine service data of adult patients initiated on ART in 2007 in 10 selected hospitals in Nigeria. We captured data using an electronic medical record system and analyzed using Stata. Outcome measures were probability of being alive and retained in care at 12, 24 and 36 months on ART. Potential predictors associated with time to mortality and time to LTFU were assessed using competing risks regression models. Results: After 12 months on therapy, 85% of patients were alive and on ART. Survival decreased to 81.2% and 76.1% at 24 and 36 months, respectively. Median CD4 count for patients at ART start, 12, 18 and 24 months were 152 (interquartile range, IQR: 75 to 242, 312 (IQR: 194 to 450, 344 (IQR: 227 to 501 and 372 (IQR: 246 to 517 cells/µl, respectively. Competing risk regression showed that patients’ baseline characteristics significantly associated with LTFU were male (adjusted sub-hazard ratio, sHR=1.24 [95% CI: 1.08 to 1.42], ambulatory functional status (adjusted sHR=1.25 [95% CI: 1.01 to 1.54], World Health Organization (WHO clinical Stage II (adjusted sHR=1.31 [95% CI: 1.08 to 1.59] and care in a secondary site (adjusted sHR=0.76 [95% CI: 0.66 to 0.87]. Those associated with mortality include CD4 count <50 cells/µl (adjusted sHR=2.84 [95% CI: 1.20 to 6.71], WHO clinical Stage III (adjusted sHR=2.67 [95% CI: 1.26 to 5.65] and Stage IV (adjusted sHR=5.04 [95% CI: 1.93 to 13.16] and care in a secondary site (adjusted sHR=2.21 [95% CI: 1.30 to 3.77]. Conclusions: Mortality was associated with advanced HIV disease and care in secondary facilities. Earlier initiation of therapy and strengthening systems in secondary level

  12. Modern Art as Public Care: Alzheimer's and the Aesthetics of Universal Personhood.

    Science.gov (United States)

    Selberg, Scott

    2015-12-01

    This article is based on ethnographic research of the New York Museum of Modern Art's influential Alzheimer's access program, Meet Me at MoMA. The program belongs to an increasingly popular model of psychosocial treatment that promotes art as potentially therapeutic or beneficial to people experiencing symptoms of dementia as well as to their caregivers. Participant observation of the sessions and a series of interviews with museum staff and educators reveal broader assumptions about the relationship between modern art, dementia, and personhood. These assumptions indicate a museological investment in the capacity and perceived interiority of all participants. Ultimately, the program authorizes a narrative of universal personhood that harmonizes with the museum's longstanding focus on temporal and aesthetic modernism. PMID:25727196

  13. Cost-Effectiveness and Quality of Care of a Comprehensive ART Program in Malawi

    Science.gov (United States)

    Orlando, Stefano; Diamond, Samantha; Palombi, Leonardo; Sundaram, Maaya; Shear Zimmer, Lauren; Marazzi, Maria Cristina; Mancinelli, Sandro; Liotta, Giuseppe

    2016-01-01

    Abstract The aim of this study is to assess the cost-effectiveness of a holistic, comprehensive human immunodeficiency virus (HIV) treatment Program in Malawi. Comprehensive cost data for the year 2010 have been collected at 30 facilities from the public network of health centers providing antiretroviral treatment (ART) throughout the country; two of these facilities were operated by the Disease Relief through Excellent and Advanced Means (DREAM) program. The outcomes analysis was carried out over five years comparing two cohorts of patients on treatment: 1) 2387 patients who started ART in the two DREAM centers during 2008, 2) patients who started ART in Malawi in the same year under the Ministry of Health program. Assuming the 2010 cost as constant over the five years the cost-effective analysis was undertaken from a health sector and national perspective; a sensitivity analysis included two hypothesis of ART impact on patients’ income. The total cost per patient per year (PPPY) was $314.5 for the DREAM protocol and $188.8 for the other Malawi ART sites, with 737 disability adjusted life years (DALY) saved among the DREAM program patients compared with the others. The Incremental Cost-Effectiveness Ratio was $1640 per DALY saved; it ranged between $896–1268 for national and health sector perspective respectively. The cost per DALY saved remained under $2154 that is the AFR-E-WHO regional gross domestic product per capita threshold for a program to be considered very cost-effective. HIV/acquired immune deficiency syndrome comprehensive treatment program that joins ART with laboratory monitoring, treatment adherence reinforcing and Malnutrition control can be very cost-effective in the sub-Saharan African setting. PMID:27227921

  14. Training the powerful: issues that emerged during the evaluation of a communication skills training programme for senior cancer care professionals.

    Science.gov (United States)

    Bibila, S; Rabiee, F

    2014-07-01

    'Connected' is the name of the national advanced communication skills training programme developed in 2008 for cancer care professionals in the NHS. A 3-day training course combining didactic and experiential learning elements is run by two facilitators with course participants expected to engage fully in simulated consultations with trained actors. In 2011, and as a result of participant feedback on the length of the course and increasing pressures on budgets and clinical time, the Connected team developed and piloted an alternative 2-day training course. Before its roll-out in 2012, Birmingham City University was commissioned to evaluate the effectiveness and quality of the 2-day course vis-à-vis the 'traditional' 3-day one. This article is written by the two evaluators and it discusses some of the issues that emerged during the evaluation. We broadly grouped these issues into two overlapping categories: the mandatory nature of the course and the different professional background and seniority of participants. In our discussion we consider the implications these issues have for communication skills training policy and practice and put forward suggestions for further research. PMID:24373021

  15. A transpersonal approach to care: a qualitative study of performers' experiences with DooR to DooR, a hospital-based arts program.

    Science.gov (United States)

    Hurdle, Caitlin E; Quinlan, Margaret M

    2014-06-01

    The arts have a history of relaxing and calming patients in the hospital setting, yet research is limited on how arts may aid in the healing process. DooR to DooR was established to bring comfort, respite, and healing to hospitalized patients, family members, and health care staff. DooR to DooR is located in the University of North Carolina Hospitals at Chapel Hill, North Carolina; professional performing artists visit there, spending 5 to 10 minutes with each patient, family member, and health care staff. The purpose of this qualitative study is to understand performers' experiences and of how arts-based programs can facilitate improved patient outcomes in the hospitalized setting to help nurses better use the arts in their care of patients and families. Three overarching themes were identified: (a) the arts are therapeutic for all involved, (b) the arts transform the hospital environment, and (c) nurses and the other medical staff play an important role. The significance of this study for nursing practice is that the arts are a plausible intervention for the hospital because they may help improve patient outcomes by reducing pain and depression and by relieving stress among staff and family members. More research is needed to determine the level of arts-as-an-intervention knowledge among nurses. PMID:24176898

  16. Cost-utility of a walking programme for moderately depressed, obese, or overweight elderly women in primary care: a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Herrera Emilio

    2008-07-01

    Full Text Available Abstract Background There is a considerable public health burden due to physical inactivity, because it is a major independent risk factor for several diseases (e.g., type 2 diabetes, cardiovascular disease, moderate mood disorders neurotic diseases such as depression, etc.. This study assesses the cost utility of the adding a supervised walking programme to the standard "best primary care" for overweight, moderately obese, or moderately depressed elderly women. Methods One-hundred six participants were randomly assigned to an interventional group (n = 55 or a control group (n = 51. The intervention consisted of an invitation, from a general practitioner, to participate in a 6-month walking-based, supervised exercise program with three 50-minute sessions per week. The main outcome measures were the healthcare costs from the Health System perspective and quality adjusted life years (QALYs using EuroQol (EQ-5D. Results Of the patients invited to participate in the program, 79% were successfully recruited, and 86% of the participants in the exercise group completed the programme. Over 6 months, the mean treatment cost per patient in the exercise group was €41 more than "best care". The mean incremental QALY of intervention was 0.132 (95% CI: 0.104–0.286. Each extra QALY gained by the exercise programme relative to best care cost €311 (95% CI, €143–€394. The cost effectiveness acceptability curves showed a 90% probability that the addition of the walking programme is the best strategy if the ceiling of inversion is €350/QALY. Conclusion The invitation strategy and exercise programme resulted in a high rate of participation and is a feasible and cost-effective addition to best care. The programme is a cost-effective resource for helping patients to increase their physical activity, according to the recommendations of general practitioners. Moreover, the present study could help decision makers enhance the preventive role of primary care

  17. Psychological Care of Art education%美术教育的心理学关照

    Institute of Scientific and Technical Information of China (English)

    杨晓青

    2012-01-01

    The author gives us a general summary of different characteristics and features of Design,Animation and Plastic Arts(Painting,Sculpture and Printmaking) in art education.Besides,she also analyses psychological types and quality requirements in different professions and focuses on art education in the perspective of psychology.Hence,teachers could teach students in the process of their learning from the start of studentsˊs right choices of specialties,which will be of great beneficial to the art education.%笔者概括地梳理了美术教育中设计、动漫、造型艺术(绘画、雕塑、版画)三个不同专业的特征和要求,分析从事各专业所需的心理类型和素质要求,从心理学的角度关照美术教育,从指导学生正确选择专业开始,到全部学习过程的辅导,将会对美术专业的教学有所裨益。

  18. Community perceptions on malaria and care-seeking practices in endemic Indian settings: policy implications for the malaria control programme

    Directory of Open Access Journals (Sweden)

    Das Ashis

    2013-01-01

    Full Text Available Abstract Background The focus of India’s National Malaria Programme witnessed a paradigm shift recently from health facility to community-based approaches. The current thrust is on diagnosing and treating malaria by community health workers and prevention through free provision of long-lasting insecticidal nets. However, appropriate community awareness and practice are inevitable for the effectiveness of such efforts. In this context, the study assessed community perceptions and practice on malaria and similar febrile illnesses. This evidence base is intended to direct the roll-out of the new strategies and improve community acceptance and utilization of services. Methods A qualitative study involving 26 focus group discussions and 40 key informant interviews was conducted in two districts of Odisha State in India. The key points of discussion were centred on community perceptions and practice regarding malaria prevention and treatment. Thematic analysis of data was performed. Results The 272 respondents consisted of 50% females, three-quarter scheduled tribe community and 30% students. A half of them were literates. Malaria was reported to be the most common disease in their settings with multiple modes of transmission by the FGD participants. Adoption of prevention methods was seasonal with perceived mosquito density. The reported use of bed nets was low and the utilization was determined by seasonality, affordability, intoxication and alternate uses of nets. Although respondents were aware of malaria-related symptoms, care-seeking from traditional healers and unqualified providers was prevalent. The respondents expressed lack of trust in the community health workers due to frequent drug stock-outs. The major determinants of health care seeking were socio-cultural beliefs, age, gender, faith in the service provider, proximity, poverty, and perceived effectiveness of available services. Conclusion Apart from the socio-cultural and behavioural

  19. Implementing and managing self-management skills training within primary care organisations: a national survey of the expert patients programme within its pilot phase

    Directory of Open Access Journals (Sweden)

    Rogers Anne

    2006-02-01

    Full Text Available Abstract A key element of the United Kingdom (UK health policy reform in relation to chronic disease management is the introduction of a national programme seeking to promote self-care from within the National Health Service (NHS. The mainstay of the Expert Patients Programme (EPP is a six-week training course that provides the opportunity for anyone with a long-term condition to develop new skills to manage their condition better on a day-to-day basis. The course forms part of the NHS self-care support programme, is administered by Primary Care Trusts (PCTs and delivered by people who have personal experience of living with a long-term condition. The NHS' official Expert Patients Programme website presently states that, "Pilot EPP courses began at 26 NHS PCT sites across England in May 2002, and by May 2004 approximately 300 PCTs had either actively implemented pilot courses or had committed to joining. The majority of PCTs are now coming to the end of the pilot phase, with many implementing plans to make EPP sustainable for the long-term." The NHS website heralds the pilot "a success." A national, postal survey of PCT EPP Leads was undertaken in order to examine both the evolvement of EPP during its pilot stage and future plans for the programme. A questionnaire was sent out to the 299 PCTs known to have committed to the EPP pilot, and an excellent 100% response rate was obtained over a 3-month period (April-July 2005. One marker of success of the Expert Patients Programme implementation is the actual running of courses by the Primary Care Trusts. This paper explores the extent to which the implementation of the pilot can indeed be viewed as a "success," primarily in terms of the number of courses run, and considers the extent to which PCTs have carried out all that they were committed to do. Findings suggest that the more time an EPP Lead dedicates to the Programme, the more likely it is that EPP has run successfully in the past, and the more

  20. Global initiatives for improving hospital care for children: state of the art and future prospects

    OpenAIRE

    Campbell, Harry; Duke, Trevor; Weber, Martin; English, Mike; Carai, Susanne; Tamburlini, Giorgio

    2008-01-01

    Deficiencies in the quality of health care are major limiting factors to the achievement of the Millennium Development Goals for child and maternal health. Quality of patient care in hospitals is firmly on the agendas of Western countries, but has been slower to gain traction in developing countries, despite evidence that there is substantial scope for improvement, that hospitals have a major role in child survival and that inequities in quality may be as important as inequities in access. Th...

  1. Global initiatives for improving hospital care for children: State of the art and future prospects

    OpenAIRE

    Campbell, Harry; Duke, Trevor; Weber, Martin; English, Mike; Carai, Susanne; Tamburlini, Giorgio; Pediat Hosp Improvement Grp

    2008-01-01

    Deficiencies in the quality of health care are major limiting factors to the achievement of the Millennium Development Goals for child and maternal health. Quality of patient care in hospitals is firmly on the agendas of Western countries but has been slower to gain traction in developing countries, despite evidence that there is substantial scope for improvement, that hospitals have a major role in child survival, and that inequities in quality may be as important as inequities in access. Th...

  2. Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia

    OpenAIRE

    Tessema, Shewaye Belay; Adane, Mesafint Molla

    2015-01-01

    Background Client satisfaction is a vital component and main concern intertwined with strategic decisions in service provisions. To improve efficiency of services, eliciting the opinion of users about the available services and identifying factors associated with dissatisfaction is very critical. Thus, the main objective of this study was to assess the perceived levels of clients’ satisfaction with health services at ART clinic level in health centres of Tigray Region in Ethiopia. Methods Cro...

  3. Evaluation of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease - a randomised intervention study

    OpenAIRE

    Johansson, Anna; Adamson, Anita; Ejdeback, Jan; Edéll-Gustafsson, Ulla

    2014-01-01

    Aims and objectives. To evaluate the effectiveness of an individualised programme to promote self-care in sleep-activity in patients with coronary artery disease. Background. Recent scientific findings have shown that low physical exercise and stress interfere with coronary artery disease patients sleep quality and sleep efficiency independent of gender, age and co-morbidity. Design. A randomised pretest-post-test control design. Methods. Forty-seven patients who had undergone a coronary reva...

  4. Fall prediction and a high-intensity functional exercise programme to improve physical functions and to prevent falls among older people living in residential care facilities

    OpenAIRE

    Rosendahl, Erik

    2006-01-01

    Impairments in balance, mobility, and lower-limb strength are common in the growing population of older people and can lead to dramatic consequences for the individual, such as dependency in activities of daily living, admission to nursing home, falls, and fractures. The main purposes of this thesis were, among older people in residential care facilities, to validate a fall-risk assessment tool and to evaluate a high-intensity functional weight-bearing exercise pro-gramme regarding its applic...

  5. Cost-utility of a walking programme for moderately depressed, obese, or overweight elderly women in primary care: a randomised controlled trial

    OpenAIRE

    Herrera Emilio; Gonzalez-Guerrero Jose L; Reyes Maria C; Gusi Narcis; Garcia Jose M

    2008-01-01

    Abstract Background There is a considerable public health burden due to physical inactivity, because it is a major independent risk factor for several diseases (e.g., type 2 diabetes, cardiovascular disease, moderate mood disorders neurotic diseases such as depression, etc.). This study assesses the cost utility of the adding a supervised walking programme to the standard "best primary care" for overweight, moderately obese, or moderately depressed elderly women. Methods One-hundred six parti...

  6. Implementing an outreaching, preference-led stepped care intervention programme to reduce late life depressive symptoms: results of a mixed-methods study

    OpenAIRE

    Beljouw, I.M. van; Laurant, M.G.; Heerings, M.; Stek, M.L.; van Marwijk, H.W.; van Exel, E

    2014-01-01

    Background Depressive symptoms are highly prevalent in old age, but they remain mostly untreated. Several clinical trials have shown promising results in preventing or reducing depressive symptoms. However, it is not clear how robust these effects are in the real world of day-to-day care. Therefore, we have implemented the ‘Lust for Life’ programme, which significantly reduced depressive symptoms in community-dwelling older adults in the first three months after implementation. This mixed-met...

  7. The Social Context of Prevention of Mother to Child Transmission of HIV (PMTCT) in Uganda: Mothers’ and health care providers’ experiences and lessons for programme improvement

    OpenAIRE

    Rujumba, Joseph

    2012-01-01

    Introduction: The prevention of mother-to-child transmission of HIV (PMTCT) programme has been operational in Uganda since the year 2000, but its performance remains sub-optimal. The objective of this thesis is to increase understanding of the role of the social context in the delivery and utilization of PMTCT services, focusing on how pregnant women experience routine HIV counselling and testing as part of antenatal care, HIV status disclosure to partners and lessons leant by ...

  8. IDIOPATHIC THORACO SCOLIOSIS TREATMENT USING A COMBINATION OF DOCUMENTATION BASED CARE (DBC BACK ACTIVE RECONDITIONING PROGRAMME AND SCHROTH METHODS: A PROSPECTIVE CASE STUDY

    Directory of Open Access Journals (Sweden)

    Ganesan Kathiresan

    2013-10-01

    Full Text Available reconditioning programme and Schroth methods to lessen the curvature allied with idiopathic Thoracicscoliosis.ResearchDesign: Sampling-An 18 years old female, single case study,Setting-DBC Kuching Active rehabilitationcentre, Malaysia.Duration of the study-20 weeks,Outcome measures-A base line and follow-up outcomemeasures includes Borg pain scale, Functional Rating Index, Balance test, and Radiographic analysis.Interventions-Document Based Care (DBC Back active reconditioning programme and Schroth methodsConclusion-The combination of the Document Based Care (DBC Back active reconditioning programme andSchroth methods seemed to be effective at reducing a Thoracic dextroscoliosis by about 14° (50% andLumbarLevoscoliosis by about 7° (25%, Short form (SF-36 showed improvement inQuality of life,balance time on theBalance board improved to 52 seconds and Borg pain scale rated 8/10 at the onset of care, dropped to a 1/10after 20 weeks, in this single case study. The positive outcomes of this practice validate a policyof offeringconservative treatment as an alternative to Thoracic scoliosis patients, including those for whom surgery isdiscussed

  9. Programmable bio-nano-chip system: a flexible point-of-care platform for bioscience and clinical measurements.

    Science.gov (United States)

    McRae, Michael P; Simmons, Glennon W; Wong, Jorge; Shadfan, Basil; Gopalkrishnan, Sanjiv; Christodoulides, Nicolaos; McDevitt, John T

    2015-10-21

    The development of integrated instrumentation for universal bioassay systems serves as a key goal for the lab-on-a-chip community. The programmable bio-nano-chip (p-BNC) system is a versatile multiplexed and multiclass chemical- and bio-sensing system for bioscience and clinical measurements. The system is comprised of two main components, a disposable cartridge and a portable analyzer. The customizable single-use plastic cartridges, which now can be manufactured in high volumes using injection molding, are designed for analytical performance, ease of use, reproducibility, and low cost. These labcard devices implement high surface area nano-structured biomarker capture elements that enable high performance signaling and are index-matched to real-world biological specimens. This detection modality, along with the convenience of on-chip fluid storage in blisters and self-contained waste, represents a standard process to digitize biological signatures at the point-of-care. A companion portable analyzer prototype has been developed to integrate fluid motivation, optical detection, and automated data analysis, and it serves as the human interface for complete assay automation. In this report, we provide a systems-level perspective of the p-BNC universal biosensing platform with an emphasis on flow control, device integration, and automation. To demonstrate the flexibility of the p-BNC, we distinguish diseased and non-case patients across three significant disease applications: prostate cancer, ovarian cancer, and acute myocardial infarction. Progress towards developing a rapid 7 minute myoglobin assay is presented using the fully automated p-BNC system. PMID:26308851

  10. Unseen dimensions dialogues in art and science

    CERN Document Server

    2013-01-01

    The interface of art and science was explored by expert speakers and artists including Michael Hoch, founder of the CERN outreach programme, Art@CMS, in a week-long programme at the City of London Boys School in October

  11. The art of getting what you want for optimal patient care.

    Science.gov (United States)

    Davidhizar, R

    2000-01-01

    Getting your way is a mix of logical and emotional issues. It is important to establish rapport and meet a person emotionally before trying to sell an idea. It is essential to think an idea through clearly ahead of time and to present it clearly and logically. The possibility of resistance should be anticipated so that the presentation addresses potential areas of resistance. It is important to actively listen, to agree when possible, and to not appear too eager. Persuasion is both an art and science. When used skillfully, persuasive techniques are powerful tools of communication and productivity. PMID:11249247

  12. Feasibility and benefits of group-based exercise in residential aged care adults: a pilot study for the GrACE programme

    Science.gov (United States)

    Henwood, Timothy; Climstein, Mike; Keogh, Justin William Leslie

    2016-01-01

    The objective of the study was to examine the feasibility and benefits of a group resistance training exercise programme for improving muscle function in institutionalised older adults. A feasibility and acceptability study was designed for a residential aged care (RAC) facility, based on the Gold Coast, Australia. Thirty-seven adults, mean age 86.8 ± 6.1 years (30 females) living in a RAC facility. Participants were allocated into an exercise (n = 20) or control (n = 17) group. The exercise group, the Group Aged Care Exercise (GrACE) programme, performed 12 weeks of twice weekly resistance exercises. Feasibility was measured via recruitment rate, measurement (physiological and surveys) completion rate, loss-to-follow-up, exercise session adherence, adverse events, and ratings of burden and acceptability. Muscle function was assessed using gait speed, sit-to-stand and handgrip strength assessments. All intervention participants completed pre- and post-assessments, and the exercise intervention, with 85% (n = 17) of the group attending ≥ 18 of the 24 sessions and 15% (n = 3) attending all sessions. Acceptability was 100% with exercise participants, and staff who had been involved with the programme strongly agreed that the participants “Benefited from the programme.” There were no adverse events reported by any participants during the exercise sessions. When compared to the control group, the exercise group experienced significant improvements in gait speed (F(4.078) = 8.265, p = 0.007), sit to stand performance (F(3.24) = 11.033, p = 0.002) and handgrip strength (F(3.697) = 26.359, p < 0.001). Resistance training via the GrACE programme is feasible, safe and significantly improves gait speed, sit-to-stand performance and handgrip strength in RAC adults. PMID:27231652

  13. The Science And Art Of Delivery: Accelerating The Diffusion Of Health Care Innovation.

    Science.gov (United States)

    Parston, Greg; McQueen, Julie; Patel, Hannah; Keown, Oliver P; Fontana, Gianluca; Al Kuwari, Hanan; Al Kuwari, Hannan; Darzi, Ara

    2015-12-01

    There is a widely acknowledged time lag in health care between an invention or innovation and its widespread use across a health system. Much is known about the factors that can aid the uptake of innovations within discrete organizations. Less is known about what needs to be done to enable innovations to transform large systems of health care. This article describes the results of in-depth case studies aimed at assessing the role of key agents and agencies that facilitate the rapid adoption of innovations. The case studies-from Argentina, England, Nepal, Singapore, Sweden, the United States, and Zambia-represent widely varying health systems and economies. The implications of the findings for policy makers are discussed in terms of key factors within a phased approach for creating a climate for change, engaging and enabling the whole organization, and implementing and sustaining change. Purposeful and directed change management is needed to drive system transformation. PMID:26643638

  14. Dengue: Moving from Current Standard of Care to State-of-the-Art Treatment

    OpenAIRE

    Gan, Victor C

    2014-01-01

    Opinion statement Treatment of dengue remains supportive in the absence of targeted antiviral therapy or approved vaccines. Responsive fluid management is key to preventing progression to shock or other severe manifestations. The dynamic natural history of dengue infection and its influence on hemodynamic homeostasis needs to be carefully considered in the planning of individualized therapy. Though largely self-limiting, the sheer burden of dengue disease on the global population will result ...

  15. Implementing a Cancer Fast-track Programme between primary and specialised care in Catalonia (Spain): a mixed methods study

    OpenAIRE

    Prades, J.; Espinàs, J A; Font, R.; Argimon, J M; Borràs, J.M.

    2011-01-01

    BACKGROUND: The Cancer Fast-track Programme's aim was to reduce the time that elapsed between well-founded suspicion of breast, colorectal and lung cancer and the start of initial treatment in Catalonia (Spain). We sought to analyse its implementation and overall effectiveness. METHODS: A quantitative analysis of the programme was performed using data generated by the hospitals on the basis of seven fast-track monitoring indicators for the period 2006-2009. In addition, we conducted a qualita...

  16. Programmable Bio-nanochip Platform: A Point-of-Care Biosensor System with the Capacity To Learn.

    Science.gov (United States)

    McRae, Michael P; Simmons, Glennon; Wong, Jorge; McDevitt, John T

    2016-07-19

    The combination of point-of-care (POC) medical microdevices and machine learning has the potential transform the practice of medicine. In this area, scalable lab-on-a-chip (LOC) devices have many advantages over standard laboratory methods, including faster analysis, reduced cost, lower power consumption, and higher levels of integration and automation. Despite significant advances in LOC technologies over the years, several remaining obstacles are preventing clinical implementation and market penetration of these novel medical microdevices. Similarly, while machine learning has seen explosive growth in recent years and promises to shift the practice of medicine toward data-intensive and evidence-based decision making, its uptake has been hindered due to the lack of integration between clinical measurements and disease determinations. In this Account, we describe recent developments in the programmable bio-nanochip (p-BNC) system, a biosensor platform with the capacity for learning. The p-BNC is a "platform to digitize biology" in which small quantities of patient sample generate immunofluorescent signal on agarose bead sensors that is optically extracted and converted to antigen concentrations. The platform comprises disposable microfluidic cartridges, a portable analyzer, automated data analysis software, and intuitive mobile health interfaces. The single-use cartridges are fully integrated, self-contained microfluidic devices containing aqueous buffers conveniently embedded for POC use. A novel fluid delivery method was developed to provide accurate and repeatable flow rates via actuation of the cartridge's blister packs. A portable analyzer instrument was designed to integrate fluid delivery, optical detection, image analysis, and user interface, representing a universal system for acquiring, processing, and managing clinical data while overcoming many of the challenges facing the widespread clinical adoption of LOC technologies. We demonstrate the p

  17. Timely identification of palliative patients and anticipatory care planning by GPs: practical application of tools and a training programme

    OpenAIRE

    Thoonsen, Bregje; Groot, Marieke; Verhagen, Stans; van Weel, Chris; Vissers, Kris; Engels, Yvonne

    2016-01-01

    Background Palliative care is mainly restricted to terminal care. General practitioners (GPs) are not trained to early identify palliative patients with cancer, COPD or heart failure. With the help of the RADboud indicators for PAlliative Care needs (RADPAC), we trained GPs to identify patients’ needs and to make a proactive care plan. They were also able to join two role-plays where they discussed the patient’s future, and consulted a palliative care consultant to fine-tune the care plan. We...

  18. Can an alert in primary care electronic medical records increase participation in a population-based screening programme for colorectal cancer? COLO-ALERT, a randomised clinical trial

    International Nuclear Information System (INIS)

    Colorectal cancer is an important public health problem in Spain. Over the last decade, several regions have carried out screening programmes, but population participation rates remain below recommended European goals. Reminders on electronic medical records have been identified as a low-cost and high-reach strategy to increase participation. Further knowledge is needed about their effect in a population-based screening programme. The main aim of this study is to evaluate the effectiveness of an electronic reminder to promote the participation in a population-based colorectal cancer screening programme. Secondary aims are to learn population’s reasons for refusing to take part in the screening programme and to find out the health professionals’ opinion about the official programme implementation and on the new computerised tool. This is a parallel randomised trial with a cross-sectional second stage. Participants: all the invited subjects to participate in the public colorectal cancer screening programme that includes men and women aged between 50–69, allocated to the eleven primary care centres of the study and all their health professionals. The randomisation unit will be the primary care physician. The intervention will consist of activating an electronic reminder, in the patient’s electronic medical record, in order to promote colorectal cancer screening, during a synchronous medical appointment, throughout the year that the intervention takes place. A comparison of the screening rates will then take place, using the faecal occult blood test of the patients from the control and the intervention groups. We will also take a questionnaire to know the opinions of the health professionals. The main outcome is the screening status at the end of the study. Data will be analysed with an intention-to-treat approach. We expect that the introduction of specific reminders in electronic medical records, as a tool to facilitate and encourage direct referral by

  19. Evaluation of the quality of care of a multi-disciplinary risk factor assessment and management programme (RAMP for diabetic patients

    Directory of Open Access Journals (Sweden)

    Fung Colman SC

    2012-12-01

    Full Text Available Abstract Background Type 2 Diabetes Mellitus (DM is a common chronic disease associated with multiple clinical complications. Management guidelines have been established which recommend a risk-stratified approach to managing these patients in primary care. This study aims to evaluate the quality of care (QOC and effectiveness of a multi-disciplinary risk assessment and management programme (RAMP for type 2 diabetic patients attending government-funded primary care clinics in Hong Kong. The evaluation will be conducted using a structured and comprehensive evidence-based evaluation framework. Method/design For evaluation of the quality of care, a longitudinal study will be conducted using the Action Learning and Audit Spiral methodologies to measure whether the pre-set target standards for criteria related to the structure and process of care are achieved. Each participating clinic will be invited to complete a Structure of Care Questionnaire evaluating pre-defined indicators which reflect the setting in which care is delivered, while process of care will be evaluated against the pre-defined indicators in the evaluation framework. Effectiveness of the programme will be evaluated in terms of clinical outcomes, service utilization outcomes, and patient-reported outcomes. A cohort study will be conducted on all eligible diabetic patients who have enrolled into RAMP for more than one year to compare their clinical and public service utilization outcomes of RAMP participants and non-participants. Clinical outcome measures will include HbA1c, blood pressure (both systolic and diastolic, lipids (low-density lipoprotein cholesterol and future cardiovascular diseases risk prediction; and public health service utilization rate will include general and specialist outpatient, emergency department attendances, and hospital admissions annually within 5 years. For patient-reported outcomes, a total of 550 participants and another 550 non-participants will be

  20. Paediatric intensive care admissions for respiratory syncytial virus bronchiolitis in France: results of a retrospective survey and evaluation of the validity of a medical information system programme.

    Science.gov (United States)

    Soilly, A-L; Ferdynus, C; Desplanches, O; Grimaldi, M; Gouyon, J B

    2012-04-01

    The purpose of this study was to describe the characteristics of patients with bronchiolitis admitted to a paediatric intensive care unit (PICU), and to evaluate a national registry of hospitalizations (Programme de Médicalisation des Systèmes d'Information; PMSI) as a potential source of epidemiological data. Of the 49 French PICUs invited to take part in a retrospective survey of children aged PMSI data was good only for mechanical ventilation (0·63) and the death rate (0·86). PMID:21733254

  1. A arte do teatro Clown no cuidado às crianças hospitalizadas El arte del teatro Clown en el cuidado de niños hospitalizados The art of Clown theater in care for hospitalized children

    Directory of Open Access Journals (Sweden)

    Regina Aparecida Garcia de Lima

    2009-03-01

    ísticas como forma de comunicación, participación del binomio niño y acompañante y el clown como recurso terapéutico. Los resultados indicaron que esta experiencia se constituyó en una intervención concreta que valoriza el proceso de desarrollo infantil, ya que abre espacio para la fantasía, la risa, la alegría y la apropiación de lo cotidiano en el hospital; además es un ejemplo de ampliación del proceso diagnóstico y terapéutico con la incorporación de intervenciones que privilegian las necesidades afectivas, emocionales y culturales del niño y su familia, en la busca del cuidado sin traumas.Hospitalization can be a very traumatic experience for children and their family members. The purpose of this study was to explore the experience of using clown theater art in the care for hospitalized children, starting with an activity developed by undergraduate students in the healthcare area. Data were obtained by observing 20 children and 11 students, characters in the clown theater interacting in the pediatric clinic in a school hospital in the state of São Paulo. The empirical data were analyzed with the thematic content analysis, which were grouped around the following themes: artistic expressions as a form of communication, participation of the binomial child and accompanying partner, and the clown as a therapeutic resource. The results show that this experience was a concrete intervention, emphasizing the children's development process, since it opens up a space for fantasy, laughter, happiness and the appropriation of the hospital routine; it is an example of widening the diagnostic and therapeutic process with the incorporation of intervention focusing on the affective, emotional and cultural necessities of the child and the family, in the search for non-traumatic care.

  2. A profile of patients attending an Anti Retroviral Therapy (ART) centre at a tertiary care hospital in South India

    OpenAIRE

    Sanjeev Badiger

    2010-01-01

    In 2004, the Indian government began providing free antiretroviral therapy (ART) through established ART centers. Despite the fact that ART is provided free by the government, there are a large number of sero positive people who do not come forward to receive treatment. Non-adherence is further confounds efforts to offer effective treatment. This study reports the profile of patients who attend an ART centres in southern India.

  3. A Pragmatic Randomised, Controlled Trial of Intensive Care follow up programmes in improving Longer-term outcomes from critical illness. The PRACTICAL study

    Directory of Open Access Journals (Sweden)

    Ramsey Craig

    2007-07-01

    Full Text Available Abstract Background A number of intensive care (ICU patients experience significant problems with physical, psychological, and social functioning for some time after discharge from ICU. These problems have implications not just for patients, but impose a continuing financial burden for the National Health Service. To support recovery, a number of hospitals across the UK have developed Intensive Care follow-up clinics. However, there is a lack of evidence base to support these, and this study aims to test the hypothesis that intensive care follow up programmes are effective and cost-effective at improving physical and psychological quality of life in the year after intensive care discharge. Methods/Design This is a multi-centre, pragmatic, randomised controlled trial. Patients (n = 270 will be recruited prior to hospital discharge from three intensive care units in the UK, and randomised to one of two groups. The control group will receive standard in-hospital follow-up and the intervention group will participate in an ICU follow-up programme with clinic appointments 2–3 and 9 months after ICU discharge. The primary outcome measure is Health-related Quality of Life (HRQoL 12 months after ICU discharge as measured by the Short Form-36. Secondary measures include: HRQoL at six months; Quality-adjusted life years using EQ-5D; posttraumatic psychopathology as measured by Davidson Trauma Scale; and anxiety and depression using the Hospital Anxiety and Depression Scale at both six and twelve months after ICU discharge. Contacts with health services in the twelve months after ICU discharge will be measured as part of the economic analysis. Discussion The provision of intensive care follow-up clinics within the UK has developed in an ad hoc manner, is inconsistent in both the number of hospitals offering such a service or in the type of service offered. This study provides the opportunity to evaluate such services both in terms of patient benefit and

  4. Effects of Training Programme on HIV/AIDS Prevention among Primary Health Care Workers in Oyo State, Nigeria

    Science.gov (United States)

    Ajuwon, Ademola; Funmilayo, Fawole; Oladepo, Oladimeji; Osungbade, Kayode; Asuzu, Michael

    2008-01-01

    Purpose: The purpose of this paper is to train primary health care workers to be trainers and implementers of community-based AIDS prevention activities in Oyo State, Nigeria, by describing an evaluation of the project. Design/methodology/approach: A total of 148 primary health care workers recruited from the 33 local government areas (LGA) of the…

  5. Self-reported care activities in a home-based intervention programme for families with multiple problems

    NARCIS (Netherlands)

    Tausendfreund, Tim; Metselaar, Janneke; Conradie, Jelte; de Groot, Maria Helena; Schipaanboord, Nicolien; Knot-Dickscheit, Jana; Grietens, Hans; Knorth, Erik J.

    2015-01-01

    The purpose of this paper is to describe the development and application of the KIPP-list of care activities. The acronym KIPP stands for Knowledge and Insight into Primary Processes. The instrument is intended as a tool for family coaches to systematically report care activities conducted in the Du

  6. ART integration in oral health care systems in Latin American countries as perceived by directors of oral health

    Directory of Open Access Journals (Sweden)

    Oswaldo Ruiz

    2009-01-01

    Full Text Available The aim of this study was to carry out a situation analysis of: a prevalence of ART training courses; b integration of ART into the oral healthcare systems and; c strengths and weaknesses of ART integration, in Latin American countries. MATERIALS AND METHODS: A structured questionnaire, consisting of 18 questions, was emailed to directors of national or regional oral health departments of all Latin American countries and the USA. For two countries that had not responded after 4 weeks, the questionnaire was sent to the Dean of each local Dental School. The questions were related to ART training courses, integration of ART in the dental curriculum and the oral healthcare system, barriers to ART implementation in the public health system and recommendations for ART implementation in the services. Factor analysis was used to construct one factor in the barrier-related question. Means and percentages were calculated. RESULTS: The response rate, covering 55% of all Latin American countries, was 76%. An ART training course had been given in all Latin American countries that responded, with more than 2 having been conducted in 64.7% of the respondent countries. ART was implemented in public oral health services in 94.7 % of the countries, according to the respondents. In 15.8% of the countries, ART was applied throughout the country and in 68.4%, in some areas or regions of a country. ART had been used for more, or less, than three years in 42.1% and 47.4% of the countries, respectively. Evaluation and monitoring activities to determine the effectiveness of ART restorations and ART sealants had been carried out in 42.1% of the countries, while evaluation training courses had taken place in only 3 countries (15.8%. Respondents perceived the "increase in the number of treated patients" as the major benefit of ART implementation in public oral health services. The major perceived barrier factors to ART implementation were "operator opinion" and "high

  7. The National Institute of Health Research (NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC for Leicestershire, Northamptonshire and Rutland (LNR: a programme protocol

    Directory of Open Access Journals (Sweden)

    Brunskill Nigel

    2009-11-01

    Full Text Available Abstract Background In October 2008, the National Institute for Health Research launched nine new research projects to develop and investigate methods of translating research evidence into practice. Given the title Collaborations for Leadership in Applied Health Research and Care (CLAHRC, all involve collaboration between one or more universities and the local health service, but they are adopting different approaches to achieve translation. Methods The translation and implementation programme of this CLAHRC has been built around a pragmatic framework for undertaking research to address live concerns in the delivery of care, in partnership with the managers, practitioners, and patients of the provider organisations of the CLAHRC. Focused on long-term conditions, the constituent research themes are prevention, early detection, self-management, rehabilitation, and implementation. Individual studies have various designs, and include both randomised trials of new ways to deliver care and qualitative studies of, for example, means of identifying barriers to research translation. A mix of methods will be used to evaluate the CLAHRC as a whole, including use of public health indicators, social research methods, and health economics. Discussion This paper describes one of the nine collaborations, that of Leicestershire, Northamptonshire, and Rutland. Drawing a distinction between translation as an organising principle for healthcare providers and implementation as a discrete activity, this collaboration is built on a substantial programme of applied research intended to create both research generation and research use capacity in provider organisations. The collaboration in Leicestershire, Northamptonshire, and Rutland has potential to provide evidence on how partnerships between practitioners, patients, and researchers can improve the transfer of evidence into practice.

  8. Retention in care outcomes for HIV pre-exposure prophylaxis implementation programmes among men who have sex with men in three US cities

    Science.gov (United States)

    Chan, Philip A; Mena, Leandro; Patel, Rupa; Oldenburg, Catherine E; Beauchamps, Laura; Perez-Brumer, Amaya G; Parker, Sharon; Mayer, Kenneth H; Mimiaga, Matthew J; Nunn, Amy

    2016-01-01

    Introduction Despite the efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV transmission, few studies have evaluated PrEP use and retention in care outcomes in real-world settings outside of clinical trials. Methods Data were collected from PrEP clinical care programmes in three mid-size US cities: Providence, Rhode Island (RI); Jackson, Mississippi (MS); and St. Louis, Missouri (MO). We assessed the demographic and social characteristics of patients prescribed PrEP and documented their insurance and copayment experiences. We assessed retention in PrEP care at three and six months. Multivariate analyses were used to predict retention in care among men who have sex with men (MSM). HIV acquisition among the cohort was also assessed. Results A total of 267 (RI: 117; MS: 88; MO: 62) patients were prescribed PrEP; 81% filled prescriptions (RI: 73%; MS: 82%; MO: 94%; p<0.001). Patients in MS and MO were more commonly African American than in RI (72% and 26% vs. 7%, respectively), but less frequently Latino (2% and 3% vs. 24%, respectively). More patients reported living below the federal poverty line in MS (52%) compared to MO (23%) and RI (26%). Most patients were MSM (RI: 92%; MS: 88%; MO: 84%). The majority of MSM reported recent condomless anal sex (RI: 70%; MS: 65%; MO: 75%). Among 171 patients prescribed PrEP at least six months beforehand, 72% were retained in care at three months (RI: 68%; MS: 70%; MO: 87%; p=0.12) and 57% were retained in PrEP care at six months (RI: 53%: MS: 61%; MO: 63%; p=0.51). Insurance status and medication costs were not found to be significant barriers for obtaining PrEP. Three patients became infected with HIV during the six-month period after being prescribed PrEP (1.1%; 3/267), including one in RI (suspected acute HIV infection), one in MO (confirmed poor adherence) and one in MS (seroconverted just prior to initiation). Conclusions PrEP initiation and retention in care differed across these distinct settings. In contrast

  9. Referral from primary care to a physical activity programme: establishing long-term adherence? A randomized controlled trial. Rationale and study design

    Directory of Open Access Journals (Sweden)

    Puig-Ribera Anna

    2009-01-01

    Full Text Available Abstract Background Declining physical activity is associated with a rising burden of global disease. There is little evidence about effective ways to increase adherence to physical activity. Therefore, interventions are needed that produce sustained increases in adherence to physical activity and are cost-effective. The purpose is to assess the effectiveness of a primary care physical activity intervention in increasing adherence to physical activity in the general population seen in primary care. Method and design Randomized controlled trial with systematic random sampling. A total of 424 subjects of both sexes will participate; all will be over the age of 18 with a low level of physical activity (according to the International Physical Activity Questionnaire, IPAQ, self-employed and from 9 Primary Healthcare Centres (PHC. They will volunteer to participate in a physical activity programme during 3 months (24 sessions; 2 sessions a week, 60 minutes per session. Participants from each PHC will be randomly allocated to an intervention (IG and control group (CG. The following parameters will be assessed pre and post intervention in both groups: (1 health-related quality of life (SF-12, (2 physical activity stage of change (Prochaska's stages of change, (3 level of physical activity (IPAQ-short version, (4 change in perception of health (vignettes from the Cooperative World Organization of National Colleges, Academies, and Academic Associations of Family Physicians, COOP/WONCA, (5 level of social support for the physical activity practice (Social Support for Physical Activity Scale, SSPAS, and (6 control based on analysis (HDL, LDL and glycated haemoglobin. Participants' frequency of visits to the PHC will be registered over the six months before and after the programme. There will be a follow up in a face to face interview three, six and twelve months after the programme, with the reduced version of IPAQ, SF-12, SSPAS, and Prochaska's stages

  10. Uptake of HIV testing and outcomes within a Community-based Therapeutic Care (CTC programme to treat Severe Acute Malnutrition in Malawi: a descriptive study

    Directory of Open Access Journals (Sweden)

    Bahwere Paluku

    2008-07-01

    Full Text Available Abstract Background In Malawi and other high HIV prevalence countries, studies suggest that more than 30% of all severely malnourished children admitted to inpatient nutrition rehabilitation units are HIV-infected. However, clinical algorithms designed to diagnose paediatric HIV are neither sensitive nor specific in severely malnourished children. The present study was conducted to assess : i whether HIV testing can be integrated into Community-based Therapeutic Care (CTC; ii to determine if CTC can improve the identification of HIV infected children; and iii to assess the impact of CTC programmes on the rehabilitation of HIV-infected children with Severe Acute Malnutrition (SAM. Methods This community-based cohort study was conducted in Dowa District, Central Malawi, a rural area 50 km from the capital, Lilongwe. Caregivers and children admitted in the Dowa CTC programme were prospectively (Prospective Cohort = PC and retrospectively (Retrospective Cohort = RC admitted into the study and offered HIV testing and counseling. Basic medical care and community nutrition rehabilitation was provided for children with SAM. The outcomes of interest were uptake of HIV testing, and recovery, relapse, and growth rates of HIV-positive and uninfected children in the CTC programme. Student's t-test and analysis of variance were used to compare means and Kruskall Wallis tests were used to compare medians. Dichotomous variables were compared using Chi2 analyses and Fisher's exact test. Stepwise logistic regression with backward elimination was used to identify predictors of HIV infection (α = 0.05. Results 1273 and 735 children were enrolled in the RC and PC. For the RC, the average age (SD at CTC admission was 30.0 (17.2 months. For the PC, the average age at admission was 26.5 (13.7 months. Overall uptake of HIV testing was 60.7% for parents and 94% for children. HIV prevalence in severely malnourished children was 3%, much lower than anticipated. 59% of HIV

  11. Protocol for the Foot in Juvenile Idiopathic Arthritis trial (FiJIA: a randomised controlled trial of an integrated foot care programme for foot problems in JIA

    Directory of Open Access Journals (Sweden)

    Hendry Gordon J

    2009-06-01

    Full Text Available Abstract Background Foot and ankle problems are a common but relatively neglected manifestation of juvenile idiopathic arthritis. Studies of medical and non-medical interventions have shown that clinical outcome measures can be improved. However existing data has been drawn from small non-randomised clinical studies of single interventions that appear to under-represent the adult population suffering from juvenile idiopathic arthritis. To date, no evidence of combined therapies or integrated care for juvenile idiopathic arthritis patients with foot and ankle problems exists. Methods/design An exploratory phase II non-pharmacological randomised controlled trial where patients including young children, adolescents and adults with juvenile idiopathic arthritis and associated foot/ankle problems will be randomised to receive integrated podiatric care via a new foot care programme, or to receive standard podiatry care. Sixty patients (30 in each arm including children, adolescents and adults diagnosed with juvenile idiopathic arthritis who satisfy the inclusion and exclusion criteria will be recruited from 2 outpatient centres of paediatric and adult rheumatology respectively. Participants will be randomised by process of minimisation using the Minim software package. The primary outcome measure is the foot related impairment measured by the Juvenile Arthritis Disability Index questionnaire's impairment domain at 6 and 12 months, with secondary outcomes including disease activity score, foot deformity score, active/limited foot joint counts, spatio-temporal and plantar-pressure gait parameters, health related quality of life and semi-quantitative ultrasonography score for inflammatory foot lesions. The new foot care programme will comprise rapid assessment and investigation, targeted treatment, with detailed outcome assessment and follow-up at minimum intervals of 3 months. Data will be collected at baseline, 6 months and 12 months from baseline

  12. New graduate nurses in transition: A review of transition programmes and transition experiences within mental health care

    DEFF Research Database (Denmark)

    Tingleff, Ellen Boldrup; Alkier Gildberg, Frederik

    2014-01-01

    Research on experiences of transition into mental health-care roles seems sparse, but it is vital in order to produce a comprehensive understanding of the transition into mental health-care roles and to serve as a foundation for future research and development. The aim of the present study was to...... year 2000. The literature search was conducted using the following databases: CINAHL, Psychology and Behavioral Sciences Collection, PsycINFO, and Pubmed. Search results consisting of 14 articles were analysed using thematic analysis. Results from the analysis showed four overall themes: nursing...

  13. Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Lucassen PL

    2008-04-01

    Full Text Available Abstract Background Early diagnosis of dementia benefits both patient and caregiver. Nevertheless, dementia in primary care is currently under-diagnosed. Some educational interventions developed to improve dementia diagnosis and management were successful in increasing the number of dementia diagnoses and in changing attitudes and knowledge of health care staff. However, none of these interventions focussed on collaboration between GPs and nurses in dementia care. We developed an EASYcare-based Dementia Training Program (DTP aimed at stimulating collaboration in dementia primary care. We expect this program to increase the number of cognitive assessments and dementia diagnoses and to improve attitudes and knowledge of GPs and nurses. Methods The DTP is a complex educational intervention that consists of two workshops, a coaching program, access to an internet forum, and a Computerized Clinical Decision Support System on dementia diagnostics. One hundred duos of GPs and nurses will be recruited, from which 2/3 will be allocated to the intervention group and 1/3 to the control group. The effects of implementation of the DTP will be studied in a cluster-randomised controlled trial. Primary outcomes will be the number of cognitive assessments and dementia diagnoses in a period of 9 months following workshop participation. Secondary outcomes are measured on GP and nurse level: adherence to national guidelines for dementia, attitude, confidence and knowledge regarding dementia diagnosis and management; on patient level: number of emergency calls, visits and consultations and patient satisfaction; and on caregiver level: informal caregiver burden and satisfaction. Data will be collected from GPs' electronic medical records, self-registration forms and questionnaires. Statistical analysis will be performed using the MANOVA-method. Also, exploratory analyses will be performed, in order to gain insight into barriers and facilitators for implementation and

  14. Punch Card Programmable Microfluidics

    OpenAIRE

    George Korir; Manu Prakash

    2014-01-01

    Small volume fluid handling in single and multiphase microfluidics provides a promising strategy for efficient bio-chemical assays, low-cost point-of-care diagnostics and new approaches to scientific discoveries. However multiple barriers exist towards low-cost field deployment of programmable microfluidics. Incorporating multiple pumps, mixers and discrete valve based control of nanoliter fluids and droplets in an integrated, programmable manner without additional required external component...

  15. Artful creation

    DEFF Research Database (Denmark)

    Darsø, Lotte

    2013-01-01

    An introduction to the field of Arts-in-Business outlining 4 different approaches: 1) Art as decoration, 2) Art as intertainment, 3) Arts as instrumental, 4) Art as strategic......An introduction to the field of Arts-in-Business outlining 4 different approaches: 1) Art as decoration, 2) Art as intertainment, 3) Arts as instrumental, 4) Art as strategic...

  16. Microbicides Development Programme: Engaging the community in the standard of care debate in a vaginal microbicide trial in Mwanza, Tanzania

    Directory of Open Access Journals (Sweden)

    Soteli Selephina

    2009-10-01

    Full Text Available Abstract Background HIV prevention research in resource-limited countries is associated with a variety of ethical dilemmas. Key amongst these is the question of what constitutes an appropriate standard of health care (SoC for participants in HIV prevention trials. This paper describes a community-focused approach to develop a locally-appropriate SoC in the context of a phase III vaginal microbicide trial in Mwanza City, northwest Tanzania. Methods A mobile community-based sexual and reproductive health service for women working as informal food vendors or in traditional and modern bars, restaurants, hotels and guesthouses has been established in 10 city wards. Wards were divided into geographical clusters and community representatives elected at cluster and ward level. A city-level Community Advisory Committee (CAC with representatives from each ward has been established. Workshops and community meetings at ward and city-level have explored project-related concerns using tools adapted from participatory learning and action techniques e.g. chapati diagrams, pair-wise ranking. Secondary stakeholders representing local public-sector and non-governmental health and social care providers have formed a trial Stakeholders' Advisory Group (SAG, which includes two CAC representatives. Results Key recommendations from participatory community workshops, CAC and SAG meetings conducted in the first year of the trial relate to the quality and range of clinic services provided at study clinics as well as broader standard of care issues. Recommendations have included streamlining clinic services to reduce waiting times, expanding services to include the children and spouses of participants and providing care for common local conditions such as malaria. Participants, community representatives and stakeholders felt there was an ethical obligation to ensure effective access to antiretroviral drugs and to provide supportive community-based care for women identified

  17. Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes

    OpenAIRE

    incl Table of Contents, Complete supplement

    2013-01-01

    Background South Africa is experiencing a demographic and epidemiological transition with an increase in population aged 50 years and older and rising prevalence of non-communicable diseases. This, coupled with high HIV and tuberculosis prevalence, puts an already weak health service under greater strain. Objective To measure self-reported chronic health conditions and chronic disease risk factors, including smoking and alcohol use, and to establish their association with health care use in a...

  18. Integration of antenatal care services with health programmes in low– and middle–income countries: systematic review

    Science.gov (United States)

    de Jongh, Thyra E; Gurol–Urganci, Ipek; Allen, Elizabeth; Zhu, Nina Jiayue; Atun, Rifat

    2016-01-01

    Background Antenatal care (ANC) presents a potentially valuable platform for integrated delivery of additional health services for pregnant women–services that are vital to reduce the persistently high rates of maternal and neonatal mortality in low– and middle–income countries (LMICs). However, there is limited evidence on the impact of integrating health services with ANC to guide policy. This review assesses the impact of integration of postnatal and other health services with ANC on health services uptake and utilisation, health outcomes and user experience of care in LMICs. Methods Cochrane Library, MEDLINE, Embase, CINAHL Plus, POPLINE and Global Health were searched for studies that compared integrated models for delivery of postnatal and other health services with ANC to non–integrated models. Risk of bias of included studies was assessed using the Cochrane Effective Practice and Organisation of Care (EPOC) criteria and the Newcastle–Ottawa Scale, depending on the study design. Due to high heterogeneity no meta–analysis could be conducted. Results are presented narratively. Findings 12 studies were included in the review. Limited evidence, with moderate– to high–risk of bias, suggests that integrated service delivery results in improved uptake of essential health services for women, earlier initiation of treatment, and better health outcomes. Women also reported improved satisfaction with integrated services. Conclusions The reported evidence is largely based on non–randomised studies with poor generalizability, and therefore offers very limited policy guidance. More rigorously conducted and geographically diverse studies are needed to better ascertain and quantify the health and economic benefits of integrating health services with ANC.

  19. Mixed methods evaluation of a primary eye care training programme for primary health workers in Morogoro Tanzania

    OpenAIRE

    Mafwiri, Milka Madaha; Jolley, Emma; Hunter, Joanna; Gilbert, Clare Elizabeth; Schmidt, Elena

    2016-01-01

    Background There are 285 million people with visual impairment (VI) worldwide including 39 million who are blind; 15 % of those with VI live in Africa, and around 80 % of VI is preventable or treatable with the right equipment, information and skills. The scarcity of human resources for eye health, particularly in Sub-Saharan Africa, is a key challenge towards achieving this goal. Therefore training primary health workers (PHW) in providing eye-care services has been seen by some authors as a...

  20. Integrated care programme for older in-and out-patients at the University Hospital of Getafe

    OpenAIRE

    Sánchez Sánchez, Alberto

    2015-01-01

    The main goal of this Thesis is the analysis and design of a HIS for the improvement of the Integrated Care Program at HUG. Thus, the rationale of this Thesis is not the development of any industrial product but the validation of a concept. Concretely, this Thesis comprises the following objectives: 1. To carry out a comprehensive analysis of the environment at the Geriatrics Service. 2. To interact directly with users and engage them in the development of the HIS model. 3. To develo...

  1. Health effects of the Chernobyl accident and special health care programmes. Report of the UN Chernobyl Forum Expert Group 'Health'

    International Nuclear Information System (INIS)

    Twenty years have passed since the worst nuclear reactor accident in the world occurred at the Chernobyl nuclear power plant in Ukraine. The radioactive contamination which resulted from the explosion and fire in the first few days spread over large areas of neighbouring Belarus and the Russian Federation, with most of the fallout in Belarus. While national and local authorities did not immediately disclose the scale of the accident, the mitigation measures, such as distribution of potassium iodine pills, food restriction, and mass evacuation from areas where the radioactive contamination was greatest, undoubtedly reduced the health impact of the radiation exposure and saved many lives. The accident caused severe social and economic disruption and had significant environmental and health impact. This was aggravated by the political and economical changes in the three affected states related to the break-down of the Soviet Union. In the aftermath of the accident the international scientific and medical community collaborated closely with national experts dealing with health effects of the accident in the affected countries. There is a substantial body of international collaborative projects on the situation, which should lead to advancement in radiation sciences. However, considerable speculation and disinformation remains about the possible health impact of the accident for the millions of affected people. To address the health, environmental and socioeconomic consequences of the Chernobyl accident, the United Nations in 2003 launched an Inter-Agency initiative, the Chernobyl Forum. The Forum's Secretariat, led by the International Atomic Energy Agency (IAEA), the World Health Organization (WHO), the United Nations Development Programme (UNDP), and several other international organizations collaborated with the governments of the affected countries. The purpose of the Chernobyl Forum was to review the consequences of the accident, issue technical reports and, based

  2. Proceedings of the national seminar and awareness programme on applications of radioisotopes and radiation technology in industry and health care

    International Nuclear Information System (INIS)

    The National Seminar and Awareness Program on Applications of Radioisotopes and Radiation Technology in Industry and Health care is an important national event to learn about the challenges in the development and proliferation of application of radioisotopes and radiation technologies, and in appreciation of the role of these technologies to the benefit of public at large. This program endeavors to disseminate knowledge about lesser known and widely applied technologies and send the right message to the people for their greater acceptance. Applications of radioisotopes and radiation technology in industry such as oil, gas, chemical, petrochemical, steel, mining, paper, mineral and automobile and health care such as non-invasive diagnosis and treatment of a range of important and common conditions like cancer and cardiovascular diseases and radiation processed polymer containing hydrogel for use for bum dressing, and medical and agricultural products sterilization, have seen a significant growth in our country in the last fifty years. The indigenous capacity for the development and utilization of these technologies must be further strengthened. Papers relevant to INIS are indexed separately

  3. Up-Beat UK: A programme of research into the relationship between coronary heart disease and depression in primary care patients

    Directory of Open Access Journals (Sweden)

    Pariante Carmine M

    2011-05-01

    Full Text Available Abstract Background Coronary heart disease and depression are both common health problems and by 2020 will be the two leading causes of disability worldwide. Depression has been found to be more common in patients with coronary heart disease but the nature of this relationship is uncertain. In the United Kingdom general practitioners are now being remunerated for case-finding for depression in patients with coronary heart disease, however it is unclear how general practitioners should manage these patients. We aim to explore the relationship between coronary heart disease and depression in a primary care population and to develop an intervention for patients with coronary heart disease and depression. Methods/design This programme of research will consist of 4 inter-related studies. A 4 year prospective cohort study of primary care patients with coronary heart disease will be conducted to explore the relationship between coronary heart disease and depression. Within this, a nested case-control biological study will investigate genetic and blood-biomarkers as predictors of depression in this sample. Two qualitative studies, one of patients' perspectives of treatments for coronary heart disease and co-morbid depression and one of primary care professionals' views on the management of patients with coronary heart disease and depression will inform the development of an intervention for this patient group. A feasibility study for a randomised controlled trial will then be conducted. Discussion This study will provide information on the relationship between coronary heart disease and depression that will allow health services to determine the efficiency of case-finding for depression in this patient group. The results of the cohort study will also provide information on risk factors for depression. The study will provide evidence on the efficacy and feasibility of a joint patient and professional led intervention and data necessary to plan a

  4. The 2BFit study: is an unsupervised proprioceptive balance board training programme, given in addition to usual care, effective in preventing ankle sprain recurrences? Design of a Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    van Mechelen Willem

    2008-05-01

    Full Text Available Abstract Background There is strong evidence that athletes have a twofold risk for re-injury after a previous ankle sprain, especially during the first year post-injury. These ankle sprain recurrences could result in disability and lead to chronic pain or instability in 20 to 50% of these cases. When looking at the high rate of ankle sprain recurrences and the associated chronic results, ankle sprain recurrence prevention is important. Objective To evaluate the effect of a proprioceptive balance board training programme on ankle sprain recurrences, that was applied to individual athletes after rehabilitation and treatment by usual care. Methods/Design This study was designed as a randomized controlled trial with a follow-up of one year. Healthy individuals between 12 and 70 years of age, who were actively participating in sports and who had sustained a lateral ankle sprain up to two months prior to inclusion, were eligible for inclusion in the study. The intervention programme was compared to usual care. The intervention programme consisted of an eight-week proprioceptive training, which started after finishing usual care and from the moment that sports participation was again possible. Outcomes were assessed at baseline and every month for 12 months. The primary outcome of this study was the incidence of recurrent ankle injuries in both groups within one year after the initial sprain. Secondary outcomes were severity and etiology of re-injury and medical care. Cost-effectiveness was evaluated from a societal perspective. A process evaluation was conducted for the intervention programme. Discussion The 2BFit trial is the first randomized controlled trial to study the effect of a non-supervised home-based proprioceptive balance board training programme in addition to usual care, on the recurrence of ankle sprains in sports. Results of this study could possibly lead to changes in practical guidelines on the treatment of ankle sprains. Results will

  5. State-of-the-art of norm nuclide determination in samples from oil and gas production. Validation of potential standardization methods through an interlaboratory test programme

    International Nuclear Information System (INIS)

    Gas and oil companies frequently encounter build-up of Naturally Occurring Radioactive Material (NORM) in their production and processing facilities. In the Netherlands NORM is subject to strict national regulations and, consequently, installations have to be screened on a regular basis. The availability of accurate and reliable NORM sampling and analysis techniques is therefore essential. A number of years ago, the 'Nederlandse Aardolie Maatschappij B.V.' (NAM) actively initiated an investigation on analysis techniques for NORM samples from gas and oil companies. Within this framework, Shell Research Amsterdam organized a four-stage interlaboratory test programme in which representative samples of increasing complexity were analyzed by a number of Dutch institutes. Whereas a large spread in results was observed in the first stage, results in the last stage deviated less than ±10% from the values certified by an independent referee institute, even for complex sludge samples. It was found that in particular the use of different values for the γ-yields and branching ratios amongst the institutes was responsible for the initial spread. (author). 17 refs., 5 figs., 4 tabs

  6. The art of saving life : Interaction of the initial trauma care system from a cognitive science persepctive

    OpenAIRE

    Dahlbom, Gro

    2011-01-01

    Trauma care is the treatment of patients with injuries caused by external forces, for instance car crashes, assaults or fall accidents. These urgent patients typically arrive at the hospital’s Emergency Department, where they are treated by an interdisciplinary team of physicians and nurses, who collaborate to identify and address life-threatening injuries. In this thesis, the urgent phase of trauma care has been explored through observations of trauma calls and interviews with trauma care pr...

  7. POC CD4 Testing Improves Linkage to HIV Care and Timeliness of ART Initiation in a Public Health Approach: A Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Lara Vojnov

    Full Text Available CD4 cell count is an important test in HIV programs for baseline risk assessment, monitoring of ART where viral load is not available, and, in many settings, antiretroviral therapy (ART initiation decisions. However, access to CD4 testing is limited, in part due to the centralized conventional laboratory network. Point of care (POC CD4 testing has the potential to address some of the challenges of centralized CD4 testing and delays in delivery of timely testing and ART initiation. We conducted a systematic review and meta-analysis to identify the extent to which POC improves linkages to HIV care and timeliness of ART initiation.We searched two databases and four conference sites between January 2005 and April 2015 for studies reporting test turnaround times, proportion of results returned, and retention associated with the use of point-of-care CD4. Random effects models were used to estimate pooled risk ratios, pooled proportions, and 95% confidence intervals.We identified 30 eligible studies, most of which were completed in Africa. Test turnaround times were reduced with the use of POC CD4. The time from HIV diagnosis to CD4 test was reduced from 10.5 days with conventional laboratory-based testing to 0.1 days with POC CD4 testing. Retention along several steps of the treatment initiation cascade was significantly higher with POC CD4 testing, notably from HIV testing to CD4 testing, receipt of results, and pre-CD4 test retention (all p<0.001. Furthermore, retention between CD4 testing and ART initiation increased with POC CD4 testing compared to conventional laboratory-based testing (p = 0.01. We also carried out a non-systematic review of the literature observing that POC CD4 increased the projected life expectancy, was cost-effective, and acceptable.POC CD4 technologies reduce the time and increase patient retention along the testing and treatment cascade compared to conventional laboratory-based testing. POC CD4 is, therefore, a useful tool

  8. Contrasting predictors of poor antiretroviral therapy outcomes in two South African HIV programmes: a cohort study

    Directory of Open Access Journals (Sweden)

    Hamilton Robin

    2010-07-01

    Full Text Available Abstract Background Many national antiretroviral therapy (ART programmes encourage providers to identify and address baseline factors associated with poor treatment outcomes, including modifiable adherence-related behaviours, before initiating ART. However, evidence on such predictors is scarce, and providers judgement may often be inaccurate. To help address this evidence gap, this observational cohort study examined baseline factors potentially predictive of poor treatment outcomes in two ART programmes in South Africa, with a particular focus on determinants of adherence. Methods Treatment-naïve patients starting ART were enrolled from a community and a workplace ART programme. Potential baseline predictors associated with poor treatment outcomes (defined as viral load > 400 copies/ml or having discontinued treatment by six months were assessed using logistic regression. Exposure variables were organised for regression analysis using a hierarchical framework. Results 38/227 (17% of participants in the community had poor treatment outcomes compared to 47/117 (40% in the workplace. In the community, predictors of worse outcomes included: drinking more than 20 units of alcohol per week, having no prior experience of chronic medications, and consulting a traditional healer in the past year (adjusted odds ratio [aOR] 15.36, 95% CI 3.22-73.27; aOR 2.30, 95%CI 1.00-5.30; aOR 2.27, 95% CI 1.00-5.19 respectively. Being male and knowing someone on ART were associated with better outcomes (aOR 0.25, 95%CI 0.09-0.74; aOR 0.44, 95%CI 0.19-1.01 respectively. In the workplace, predictors of poor treatment outcomes included being uncertain about the health effects of ART and a traditional healer's ability to treat HIV (aOR 7.53, 95%CI 2.02-27.98; aOR 4.40, 95%CI 1.41-13.75 respectively. Longer pre-ART waiting time (2-12 weeks compared to Conclusion Baseline predictors of poor treatment outcomes were largely unique to each programme, likely reflecting

  9. Research in the field of health-care organizations: state-of-the-art and future directions.

    NARCIS (Netherlands)

    Hansen, J.; Schäfer, W.; Black, N.; Groenewegen, P.

    2010-01-01

    In this section of the workshop we will address current and future research priorities concerning the field of health care organization and service delivery. These form an intermediate level between the health care system at large and service provision in the interaction between patients and provide

  10. Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA Collaboration

    Directory of Open Access Journals (Sweden)

    Stephany N Duda

    2014-12-01

    Full Text Available Introduction: HIV care and treatment programmes worldwide are transforming as they push to deliver universal access to essential prevention, care and treatment services to persons living with HIV and their communities. The characteristics and capacity of these HIV programmes affect patient outcomes and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide. Methods: Staff from 128 sites in 41 countries participating in the International epidemiologic Databases to Evaluate AIDS completed a site survey from 2009 to 2010, including sites in the Asia-Pacific region (n=20, Latin America and the Caribbean (n=7, North America (n=7, Central Africa (n=12, East Africa (n=51, Southern Africa (n=16 and West Africa (n=15. We computed a measure of the comprehensiveness of care based on seven World Health Organization-recommended essential HIV services. Results: Most sites reported serving urban (61%; region range (rr: 33–100% and both adult and paediatric populations (77%; rr: 29–96%. Only 45% of HIV clinics that reported treating children had paediatricians on staff. As for the seven essential services, survey respondents reported that CD4+ cell count testing was available to all but one site, while tuberculosis (TB screening and community outreach services were available in 80 and 72%, respectively. The remaining four essential services – nutritional support (82%, combination antiretroviral therapy adherence support (88%, prevention of mother-to-child transmission (PMTCT (94% and other prevention and clinical management services (97% – were uniformly available. Approximately half (46% of sites reported offering all seven services. Newer sites and sites in settings with low rankings on the UN Human Development Index (HDI, especially those in the President's Emergency

  11. Initiation of antiretroviral therapy at rural primary health care clinics in KwaZulu Natal

    Directory of Open Access Journals (Sweden)

    Hilda Ganesen-Moothusamy

    2013-05-01

    Full Text Available South Africa bears the greatest burden of HIV infection globally with the most infected people living in KwaZulu-Natal (KZN. Decentralised medical care for HIV positive patients and antiretroviral therapy (ART delivery to primary health care facilities were proposed nationally to achieve adequate ART coverage for patients in need of treatment. This study described the HIV positive patients who accessed medical care and were initiated on ART at two existing government Primary Health Care (PHC clinics with no added donor support, in Ilembe, KZN. This was an observational descriptive study of ART initiation from 01 April 2008 to 30 April 2009. Data were collected from clinical records kept on site. HIV Testing and the pre-ART programmes which consisted of medical care prior to ART initiation are briefly described. Socio-economic, demographic and clinical characteristics of patients who were initiated on ART were sampled and described. A minority (2.95% of the study population tested for HIV of which 36.0%tested positive. Majority (60.0% of patients who joined the pre-ART programme care did not return. The ART sample consisted of 375 patients of whom 65.0%were women, 85.9%were unmarried, 61.6%were unemployed and 50.4%had a secondary level of education. Tuberculosis (TB prevalence and incidence at ART initiation were 22.1%and 14.7%respectively. The prevalence of Syphilis and Hepatitis B co-infections were 13.1%and 8.6 %respectively. Two thirds of female patients (66.4% received a Pap smear result of which the majority (62.3% were abnormal. Uptake for HIV testing followed by relevant CD4 testing was poor. High TB, Hepatitis B and Syphilis co-infection was noted amongst patients initiated on ART. Cervical cancer screening must be intensified. Although ART initiation with no added external resources was successful, record keeping was suboptimal.

  12. Field effect transistor nanobiosensors: State-of-the-art and key challenges as point of care testing devices

    OpenAIRE

    M. Molaie

    2016-01-01

    The existing health care systems focus on treating diseases rather than preventing them. Patients are generally not testedunless physiological symptoms are appeared. When they do get tested, the results often take several days and can beinconclusive if the disease is at an early stage. In order to facilitate the diagnostics process and make tests more readilyavailable for patients, the concept of “point of care testing” (POCT) has been brought up and developed in recent years.Field effect tra...

  13. Managing Complexity in Chronic Care: An overview of the VA State-of-the-Art (SOTA) Conference

    OpenAIRE

    Weiss, Kevin B.

    2007-01-01

    Introduction The aging of the population and the increasing prevalence of multiple chronic illnesses, along with multiplying options for clinical management, pose great challenges to both the Veterans Health Administration (VHA) and the broader US health care system. Developing effective and efficient health care for persons with complex and multiple medical conditions is a national priority. Therefore, research in this area is critically important. In 2006, the VHA Health Services Research a...

  14. Studying policy implementation using a macro, meso and micro frame analysis: the case of the Collaboration for Leadership in Applied Health Research & Care (CLAHRC programme nationally and in North West London

    Directory of Open Access Journals (Sweden)

    Caldwell Sarah EM

    2012-10-01

    Full Text Available Abstract Background The publication of Best research for best health in 2006 and the “ring-fencing” of health research funding in England marked the start of a period of change for health research governance and the structure of research funding in England. One response to bridging the ‘second translational gap’ between research knowledge and clinical practice was the establishment of nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs. The goal of this paper is to assess how national-level understanding of the aims and objectives of the CLAHRCs translated into local implementation and practice in North West London. Methods This study uses a variation of Goffman’s frame analysis to trace the development of the initial national CLAHRC policy to its implementation at three levels. Data collection and analysis were qualitative through interviews, document analysis and embedded research. Results Analysis at the macro (national policy, meso (national programme and micro (North West London levels shows a significant common understanding of the aims and objectives of the policy and programme. Local level implementation in North West London was also consistent with these. Conclusions The macro-meso-micro frame analysis is a useful way of studying the transition of a policy from high-level idea to programme in action. It could be used to identify differences at a local (micro level in the implementation of multi-site programmes that would help understand differences in programme effectiveness.

  15. Arte precolombino, arte moderno y arte latinoamericano

    OpenAIRE

    Gamboa Hinestrosa, Pablo

    2014-01-01

    ¿Cuál es la vigencia del arte precolombino? ¿Qué ha aportado ala corriente del arte universal? ¿Qué se deben mutuamente arte modernoy arte precolombino? Estos planteamientos nos sirven para establecerla vigencia del arte precolombino en Latinoamérica, buscandoantecedentes desde los tiempos de la Conquista hasta nuestros días.

  16. Daily Care

    Science.gov (United States)

    ... to Know Online Tools Enhancing Daily Life Daily Plan Activities Communication Food & Eating Music & Art Personal Care Incontinence Bathing ... Tweet Email | Print Create a Daily Routine Daily Plan Activities Communication Food/Eating Get Tips on Personal Care Bathing ...

  17. CREATIVE COLLISIONS: ARTS @CERN

    CERN Document Server

    CERN. Geneva

    2012-01-01

    In 2000, CERN hosted Signatures of the Invisible – one of the landmark initiatives in arts and science. In 2012, CERN is now initiating its own science/arts programme Collide@CERN in different arts disciplines. The first of these is in digital arts, and the international competition to find the winning artist is called the Prix Ars Electronica Collide@CERN. It was announced September 2011 at CERN’s first collaboration with an international arts festival – Ars Electronica in Linz. The competition attracted over 395 entries from 40 countries around the world. The winning artist, Julius Von Bismarck, will begin his two month residency here at CERN next month. Ariane Koek who leads on this initiative, discusses the residency programme, as well as the background about Art@CERN. History has shown that particle physics and the arts are great inspiration partners. The publication of the paper by Max Planck which gave birth to quantum mechanics as well as those by Einstein, heavily influenced some of the grea...

  18. UK’s National Programme for IT welcomes recommendation for a more sociotechnical approach to evaluation: a commentary on the Greenhalgh evaluation of the summary care record

    NARCIS (Netherlands)

    S. de Lusignan (Simon); J. Aarts (José)

    2008-01-01

    textabstractIntroduction. The UK is embarking on a major national programme for IT implemented through an agency called Connecting for Health (CfH). Generally, this programme is following a strategy which has been welcomed but whose implementation has been much criticised. One of the components of t

  19. art@CMS students' exhibition in Centre des Arts, ECOLINT

    CERN Multimedia

    CMS Communications Group; Geneva, Switzerland; Vaso Sideri

    2015-01-01

    This video documents the outcome of a science and art workshop with the participation of high-school students from the International School of Geneva (ECOLINT). The project was implemented in the framework of art@CMS, an education and outreach programme of the CMS experiment at CERN. In the video, the students present their artworks during the opening of their exhibition at the Centre des Arts of ECOLINT in Geneva.

  20. Origins: science inspires art

    CERN Multimedia

    CERN Bulletin

    2011-01-01

    From 8 December 2011 to 17 February 2012, Geneva University's physics faculty will be holding an exhibition called "L'Origine – un voyage entre la Science et l'Art". Thirty artists from Europe and Africa will be exhibiting their work.   The aim of the exhibition is to take the visitor on an imaginary journey to the origins of mankind and to show how science and art approach the same theme from different angles. The works on display will include pieces of Makonde art, a traditional art form native to Mozambique, created by artists of the Nairucu Arts centre. The cultural programme that will run alongside the exhibition will include lectures on contemporary scientific themes aimed at the general public. Visitors will also have the opportunity to discover "L’Origine", a book of poetry by Beatrice Bressan (Ed. Loreleo, Geneva, 2010), which was awarded the third prize in the “Poeti nella società&...

  1. About Art

    OpenAIRE

    Blich, Baruch

    2001-01-01

    In his article, "About Art," Baruch Blich investigates why is art -- and especially modern art -- so difficult to understand? Why do art objects raise questions as to their status? Why scrutinizing art involves semiotics, philosophy of language, linguistics, epistemology, ontology, and even metaphysics? Why art is interpreted by psychoanalysis as well as by behaviorism and psychology of perception? What anthropology and sociology have to do with art and why do we witness art debated in the co...

  2. Punch Card Programmable Microfluidics

    CERN Document Server

    Korir, George

    2014-01-01

    Small volume fluid handling in single and multiphase microfluidics provides a promising strategy for efficient bio-chemical assays, low-cost point-of-care diagnostics and new approaches to scientific discoveries. However multiple barriers exist towards low-cost field deployment of programmable microfluidics. Incorporating multiple pumps, mixers and discrete valve based control of nanoliter fluids and droplets in an integrated, programmable manner without additional required external components has remained elusive. Combining the idea of punch card programming with arbitrary fluid control, here we describe a self-contained, hand-crank powered, multiplex and robust programmable microfluidic platform. A paper tape encodes information as a series of punched holes. A mechanical reader/actuator reads these paper tapes and correspondingly executes a series of operations onto a microfluidic chip coupled to the platform in a plug-and-play fashion. Enabled by the complexity of codes that can be represented by a series ...

  3. The art of communication: strategies to improve efficiency, quality of care and patient safety in the emergency department

    International Nuclear Information System (INIS)

    The practice of pediatric emergency medicine (PEM) has been supported by wonderful advancements in diagnostic testing, particularly in medical imaging. One of the most remarkable has been CT, which has arguably become our most valuable diagnostic tool in the emergency department (ED). PEM specialists have grown increasingly aware of quality and safety concerns in the care of children in emergency medical settings, spurred in part by a rapid growth in ED utilization and significant overcrowding. In the midst of this comes the revelation that one of our most valued diagnostic tools might place our youngest patients at a significant risk for the development of fatal cancer. This article reinforces the fundamental importance of communication and teamwork as a means to promote patient care quality and safety in the ED, and it offers partnership strategies for PEM and pediatric radiology specialists to consider as they address these important concerns. (orig.)

  4. Assessing the efficacy of the healthy eating and lifestyle programme (HELP compared with enhanced standard care of the obese adolescent in the community: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Christie Deborah

    2011-11-01

    Full Text Available Abstract Background The childhood obesity epidemic is one of the foremost UK health priorities. Childhood obesity tracks into adult life and places individuals at considerable risk for diabetes, cardiovascular disease, liver disease and other morbidities. There is widespread need for paediatric lifestyle programmes as change may be easier to accomplish in childhood than later in life. Study Design/Method The study will evaluate the management of adolescent obesity by conducting a Medical Research Council complex intervention phase III efficacy randomised clinical trial of the Healthy Eating Lifestyle Programme within primary care. The study tests a community delivered multi-component intervention designed for adolescents developed from best practice as identified by National Institute for Health and Clinical Excellence. The hospital based pilot reduced body mass index and improved health-related quality of life. Subjects will be individually randomised to receiving either the Healthy Eating Lifestyle Programme (12 fortnightly family sessions or enhanced standard care. Baseline and follow up assessments will be undertaken blind to allocation status. A health economic evaluation is also being conducted. 200 obese young people (13-17 years, body mass index > 98th centile for age and sex will be recruited from primary care within the greater London area. The primary hypothesis is that a motivational and solution-focused family-based weight management programme delivered over 6 months is more efficacious in reducing body mass index in obese adolescents identified in the community than enhanced standard care. The primary outcome will be body mass index at the end of the intervention, adjusted for baseline body mass index, age and sex. The secondary hypothesis is that the Healthy Eating Lifestyle Programme is more efficacious in improving quality of life and psychological function and reducing waist circumference and cardiovascular risk factors in

  5. Field effect transistor nanobiosensors: State-of-the-art and key challenges as point of care testing devices

    Directory of Open Access Journals (Sweden)

    M. Molaie

    2016-04-01

    Full Text Available The existing health care systems focus on treating diseases rather than preventing them. Patients are generally not testedunless physiological symptoms are appeared. When they do get tested, the results often take several days and can beinconclusive if the disease is at an early stage. In order to facilitate the diagnostics process and make tests more readilyavailable for patients, the concept of “point of care testing” (POCT has been brought up and developed in recent years.Field effect transistors (FET using nanomaterial as a kind of biosensors have shown great characteristics for detectionof a wide range of biomolecules due to their label-free, real time and ultrasensitive properties. In this paper, first of all,the working principles of such devices and recent developments in fabrication methods and surface functionalization arestated, and then some current research trends in field-effect transistor nanobiosensors are highlighted. Eventually keyadvantages and challenges of FET-based nanobiosensors as POCT devices are discussed as well.

  6. Advertising, Art, and Arts Education: An Uneasy Association.

    Science.gov (United States)

    Barton, Laurie

    1988-01-01

    Criticizes basing public relations efforts in art education unquestioningly upon the practices found in corporate advertising. Urges judicious use of public relations in the arts when applicable. Stresses careful application as the key to survival for the arts in a world dominated by economic and technological priorities. (KO)

  7. Scale-up of a decentralized HIV treatment programme in rural KwaZulu-Natal, South Africa: does rapid expansion affect patient outcomes?

    Directory of Open Access Journals (Sweden)

    Portia C Mutevedzi

    2010-08-01

    Full Text Available OBJECTIVE: To describe the scale-up of a decentralized HIV treatment programme delivered through the primary health care system in rural KwaZulu-Natal, South Africa, and to assess trends in baseline characteristics and outcomes in the study population. METHODS: The programme started delivery of antiretroviral therapy (ART in October 2004. Information on all patients initiated on ART was captured in the programme database and follow-up status was updated monthly. All adult patients (> 16 years who initiated ART between October 2004 and September 2008 were included and stratified into 6-month groups. Clinical and sociodemographic characteristics were compared between the groups. Retention in care, mortality, loss to follow-up and virological outcomes were assessed at 12 months post-ART initiation. FINDINGS: A total of 5719 adults initiated on ART were included (67.9% female. Median baseline CD4+ lymphocyte count was 116 cells/μl (interquartile range, IQR: 53-173. There was an increase in the proportion of women who initiated ART while pregnant but no change in other baseline characteristics over time. Overall retention in care at 12 months was 84.0% (95% confidence interval, CI: 82.6-85.3; 10.9% died (95% CI: 9.8-12.0; 3.7% were lost to follow-up (95% CI: 3.0-4.4. Mortality was highest in the first 3 months after ART initiation: 30.1 deaths per 100 person-years (95% CI: 26.3-34.5. At 12 months 23.0% had a detectable viral load (> 25 copies/ml (95% CI: 19.5-25.5. CONCLUSION: Outcomes were not affected by rapid expansion of this decentralized HIV treatment programme. The relatively high rates of detectable viral load highlight the need for further efforts to improve the quality of services.

  8. Implementation of cervical cancer screening using visual inspection with acetic acid in rural Mozambique: successes and challenges using HIV care and treatment programme investments in Zambézia Province

    OpenAIRE

    Baptista, Alberto J; Mohsin Sidat; Troy D Moon; Sten H Vermund; Aventina Cordoso; Carla Silva-Matos

    2012-01-01

    Background: In order to maximize the benefits of HIV care and treatment investments in sub-Saharan Africa, programs can broaden to target other diseases amenable to screening and efficient management. We nested cervical cancer screening into family planning clinics at select sites also receiving PEPFAR support for antiretroviral therapy (ART) rollout. This was done using visual inspection with acetic acid (VIA) by maternal child health nurses. We report on achievements and obstacles in the fi...

  9. Art Imitating Art

    Directory of Open Access Journals (Sweden)

    Eric Brook

    2008-01-01

    Full Text Available Using as a contextual reference my experience of seeing the original and copy of Michelangelo's David in Florence, I briefly introduce how the Platonic legacy has affected that discourse. The Western preference in art and aesthetics is typically in favor of the original over the copy, despite whatever indiscernibility may exist between them. Since Arthur Danto has treated this phenomenon in his text The Transfiguration of the Commonplace, his relevant comments are considered and adapted for the purpose of working through how one understands the relationship between the original and copy in terms of a criterion for defining art.

  10. Monitoring programme

    International Nuclear Information System (INIS)

    Her Majesty's Inspectorate of Pollution's 1992 report on its programme of monitoring radioactive substances is presented. Site operators' returns are verified and the report provides independent data on the environmental impact of authorized disposal of radioactive wastes. Radiation doses which may have been received by members of the public, fall well below the International Commission for Radiological Protection's (ICRP) recommended annual doses. (UK)

  11. Financial obligations and economic barriers to antiretroviral therapy experienced by HIV-positive women who participated in a job-creation programme in northern Uganda.

    Science.gov (United States)

    Dovel, Kathryn; Thomson, Kallie

    2016-06-01

    Economic costs are commonly cited as barriers to women's use of antiretroviral therapy (ART) in sub-Saharan Africa; however, little is known about how changes in women's income influence economic barriers to care. We analysed in-depth interviews with 17 HIV-positive women who participated in a job-creation programme in northern Uganda and two key informant interviews with programme staff to examine lingering economic barriers to care experienced after programme enrolment. We found that participants continued to experience economic barriers even after receiving a steady income and improving their economic status. Two themes emerged: first, limited resources in health facilities (e.g. drug and staff shortages) led participants to view ART utilisation as a primarily economic endeavour where clients made informal payments for prompter service or sought treatment in private facilities where ART was readily available; second, increased economic status among participants increased expectations of economic reciprocity among participants' social networks. Financial obligations often manifested themselves in the form of caring for additional dependents, limiting the resources women could allocate toward their HIV treatment. When paired with limited resources in health facilities, increased financial obligations perpetuated the economic barriers experienced by participants. Job-creation programmes should consider how health institutions interact with participants' financial obligations to influence women's access to HIV services. PMID:26652011

  12. Health care providers′ acceptance of unsedated colonoscopy before and after a state-of-the-art lecture on the feasibility of the option

    Directory of Open Access Journals (Sweden)

    Felix W Leung

    2012-01-01

    Full Text Available Background/Aim: The impact of education on acceptance of unsedated colonoscopy by health care providers is unknown. To test the hypothesis that knowledge imparted by a lecture on unsedated colonoscopy is associated with its enhanced acceptance. Settings and Design: At the State-of-the-Art Lecture on "Unsedated colonoscopy: Is it feasible?" presented at the 8 th Pan-Arab Conference on Gastroenterology, February, 2011, Riyadh, Saudi Arabia, a questionnaire survey of the audience was undertaken. Materials and Methods: An expectation questionnaire was administered before and after the lecture. Attendees responded anonymously. Statistical analysis used: The responses of a convenient sample of 49 attendees who provided completed responses to the questionnaire both before and after the lecture were analyzed. Data are expressed as frequency counts and means±SEM. Repeated measures analysis of variance (ANOVA, ANOVA with contrasts and Chi-square analysis (Statview II Program for Macintosh computers were used to assess the data. A P value of <0.05 is considered significant. Results and Conclusions: The mean±SEM credibility score (maximum possible score=50 was 25.8 ± 1.8 before and 33.3 ± 2.1 after the lecture, with a significant improvement in mean score of 7.5 ± 1.3 (P=0.001, paired t test. Nineteen (39% respondents were not willing to consider unsedated colonoscopy for themselves before the lecture. This number decreased to 13 (27% after the lecture. Before the lecture only 4 (8% respondents were willing to consider unsedated colonoscopy for themselves. After the lecture this number increased to 8 (16%. The data suggest education of healthcare professionals regarding the feasibility of unsedated colonoscopy appears to enhance its acceptance as a credible patient care option at a Pan-Arab Gastroenterology Conference.

  13. Careとhospitalityとしてのart

    OpenAIRE

    上利, 博規

    2002-01-01

    Creation of works and appreciation or interpretation of them has been a major focus of modern art. But in this study I describe art as care and hospitality. First, I examine the difference of roles of art in two types of art therapy. Section II shows that care-type art therapy has its source in early Christian hospital-ity. Section III shows that from the viewpoint of absolute-unconditional hospitality of Derrida's theory art is concerned with the impossibility of care. We come to the conclus...

  14. AstroArts

    Science.gov (United States)

    De Paulis, D.

    2014-04-01

    AstroArts is the international, online cultural platform of Astronomers Without Borders (AWB). Cofounded in 2012 by visual artist Daniela de Paulis (IT/NL) and astronomer Thilina Heenatigala (Sri Lanka), AstroArts features creative works inspired by astronomy . AstroArts is an international initiative - lead by professionals working in different fields - and includes the 'guest artist of the month' and the Global Astronomy Month programmes. For the 'guest of the month', we feature one artist through a series of weekly blog posts and a Google Hangout on the last week of each month. The Hangout usually includes guests from several of the AWB ongoing programmes, together with the artist, in order to foster collaboration and interdisciplinary discussion. The 'guest of the month' programme is currently expanding to include a virtual residency initiative, which will allow one artist at the time to develop a project in collaboration with scientists affiliated with the AWB network. The projects developed as part of the virtual residency will foster global participation, making the most of online resources. Global Astronomy Month (GAM) is the most popular project of Astronomers Without Borders: founded in 2009 as a follow up of the International Year of Astronomy, GAM is a global platform for astronomy related events that take place every year in April. During GAM, AstroArts is widely featured through online panel discussions with artists and scientists, live film screenings and live performances, often especially designed for web streaming. More information on AstroArts can be found on: http://astronomerswithoutborders.org/news.htm

  15. Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial

    OpenAIRE

    Lucassen PL; van Eijken MIJ; Borm GF; van Achterberg T; Drašković I; Perry M; Vernooij-Dassen MJFJ; Olde Rikkert MGM

    2008-01-01

    Abstract Background Early diagnosis of dementia benefits both patient and caregiver. Nevertheless, dementia in primary care is currently under-diagnosed. Some educational interventions developed to improve dementia diagnosis and management were successful in increasing the number of dementia diagnoses and in changing attitudes and knowledge of health care staff. However, none of these interventions focussed on collaboration between GPs and nurses in dementia care. We developed an EASYcare-bas...

  16. Technology Programme

    International Nuclear Information System (INIS)

    The technology activities carried out by the Euratom-ENEA Association in the framework of the European Fusion Development Agreement concern the Next Step (International Thermonuclear Experimental Reactor - ITER), the Long-Term Programme (breeder blanket, materials, International Fusion Materials Irradiation Facility - IFMIF), Power Plant Conceptual Studies and Socio-Economic Studies. The Underlying Technology Programme was set up to complement the fusion activities as well to develop technologies with a wider range of interest. The Technology Programme mainly involves staff from the Frascati laboratories of the Fusion Technical and Scientific Unit and from the Brasimone laboratories of the Advanced Physics Technologies Unit. Other ENEA units also provide valuable contributions to the programme. ENEA is heavily engaged in component development/testing and in design and safety activities for the European Fusion Technology Programme. Although the work documented in the following covers a large range of topics that differ considerably because they concern the development of extremely complex systems, the high level of integration and coordination ensures the capability to cover the fusion system as a whole. In 2004 the most significant testing activities concerned the ITER primary beryllium-coated first wall. In the field of high-heat-flux components, an important achievement was the qualification of the process for depositing a copper liner on carbon fibre composite (CFC) hollow tiles. This new process, pre-brazed casting (PBC), allows the hot radial pressing (HRP) joining procedure to be used also for CFC-based armour monoblock divertor components. The PBC and HRP processes are candidates for the construction of the ITER divertor. In the materials field an important milestone was the commissioning of a new facility for chemical vapour infiltration/deposition, used for optimising silicon carbide composite (SiCf/SiC) components. Eight patents were deposited during 2004

  17. Technology Programme

    Energy Technology Data Exchange (ETDEWEB)

    Batistoni, Paola; De Marco, Francesco; Pieroni, Leonardo (ed.)

    2005-07-01

    The technology activities carried out by the Euratom-ENEA Association in the framework of the European Fusion Development Agreement concern the Next Step (International Thermonuclear Experimental Reactor - ITER), the Long-Term Programme (breeder blanket, materials, International Fusion Materials Irradiation Facility - IFMIF), Power Plant Conceptual Studies and Socio-Economic Studies. The Underlying Technology Programme was set up to complement the fusion activities as well to develop technologies with a wider range of interest. The Technology Programme mainly involves staff from the Frascati laboratories of the Fusion Technical and Scientific Unit and from the Brasimone laboratories of the Advanced Physics Technologies Unit. Other ENEA units also provide valuable contributions to the programme. ENEA is heavily engaged in component development/testing and in design and safety activities for the European Fusion Technology Programme. Although the work documented in the following covers a large range of topics that differ considerably because they concern the development of extremely complex systems, the high level of integration and coordination ensures the capability to cover the fusion system as a whole. In 2004 the most significant testing activities concerned the ITER primary beryllium-coated first wall. In the field of high-heat-flux components, an important achievement was the qualification of the process for depositing a copper liner on carbon fibre composite (CFC) hollow tiles. This new process, pre-brazed casting (PBC), allows the hot radial pressing (HRP) joining procedure to be used also for CFC-based armour monoblock divertor components. The PBC and HRP processes are candidates for the construction of the ITER divertor. In the materials field an important milestone was the commissioning of a new facility for chemical vapour infiltration/deposition, used for optimising silicon carbide composite (SiCf/SiC) components. Eight patents were deposited during 2004

  18. Humor in a Disruptive Pedagogy: Further Considerations for Art Educators

    Science.gov (United States)

    Klein, Sheri R.

    2013-01-01

    What's funny about art--and why should art educators care? Art historians, critics, and artists are now taking a closer look at art that generates a laugh. This has particular relevance for art educators who seek to direct student engagement in new and exciting areas and embrace artworks that generally fall outside of the art school…

  19. Relationship and trust as a vehicle to improved health outcomes: A qualitative study of a Primary Health Care Programme for Travellers

    OpenAIRE

    York, Matt; Stakem, Marcella

    2015-01-01

    Rapid changes in the control of health and social services have led to the increased adoption of narrow practice approaches driven by contemporary funding priorities, often running contrary to the wisdom, accumulated knowledge, experience, evidence and ethics of social and community development approaches. The Primary Healthcare Programme (PHCP) for Travellers has been developed nationally over the past two decades with the aim of improving the health of the Irish Traveller community. A par...

  20. Proposal for an Evidence-Based Physiotherapy Programme to Promote Health and Well-Being of Older People Living in Nursing and Residential Care

    OpenAIRE

    Qasem, Mohammad

    2013-01-01

    Government agenda in recent years has included recognition that more needs to be done to improve the quality of life of older people living in the UK. There are certain problems specific to this group which jeopardise their quality of life, including risk of falls. Falls are associated with significant risk of mortality and morbidity. Therefore it is in the interests of the individuals and wider society to reduce their incidence. This proposal describes an evidence-based therapy programme whi...

  1. Postgraduate Medical Ultrasound Programme: Have we Flipped?

    OpenAIRE

    Harrison, G; Harris, A

    2014-01-01

    In recent years due to technological advances, innovative curriculum design has been central to the developments within many health care education programmes. The Medical Ultrasound programme at City University London has been no exception. To enhance the face to face learning time within the part-time postgraduate programme a method of blended learning was developed, which involves on-line lectures and guided self-study, supported by interactive film viewing sessions, group discussions, simu...

  2. A new director for Arts@CERN

    CERN Multimedia

    CERN Bulletin

    2015-01-01

    On 2 March 2015, Mónica Bello will take the reins of the Arts@CERN programme. A few days before taking over the new job, the curator and art critic talked to the CERN Bulletin about her interest in arts and science, her motivations for the job, and her plans for the future of the programme.   Mónica Bello. “The exciting nature of CERN almost demands an artistic programme like Arts@CERN,” says Mónica, former artistic director of VIDA (one of the most important competitions in digital and new media arts worldwide), who has recently been appointed as the new director of the Arts@CERN programme. “The programme is unique as it provides the artist not only with resources, but also with interesting scientific topics and a natural way for the artists to become involved. Thanks to this programme, artists can come to CERN, bring their individuality, and really benefit from the sharing experience with scientists.” Mónica,...

  3. Car Art.

    Science.gov (United States)

    Meilach, Dona Z.

    2002-01-01

    Discusses car art and its appeal to boys and girls. Describes the popularity of customizing cars, focusing on this as a future career for students. Includes a list of project ideas that focuses on car art. (CMK)

  4. Street art

    OpenAIRE

    Mulcahy, Linda

    2014-01-01

    This film considers what collectors lose when they take street art away from the street. More generally, it looks at the challenges posed by street art and the way it encourages us to reclaim our city.

  5. Organisational Art

    DEFF Research Database (Denmark)

    Ferro-Thomsen, Martin

    the boundaries of the art institution ? and thereby expanding it without suspending it. The thesis takes its historical outset with ?Artist Placement Group? (formed in 1966), a British art group that developed an unprecedented framework for placing artists in organisational environments to circumvent......University of Copenhagen / Learning Lab Denmark. 2005 Kort beskrivelse: Organisational Art is a tentative title for an art form that works together with organisations to produce art. This is most often done together with non-artist members of the organisation and on-site in their social context. OA...... is characterised as socially engaged, conceptual, discursive, site-specific and contextual. Abstract: This investigation is about Organisational Art (OA), which is a tentative title for an art form that works together with organisations (companies, institutions, communities, governments and NGOs) to produce art...

  6. A Pragmatic Randomised, Controlled Trial of Intensive Care follow up programmes in improving Longer-term outcomes from critical illness. The PRACTICAL study

    OpenAIRE

    Ramsey Craig; Hernendez Rodolfo; Wilson Edward; Wildsmith J Anthony; Johnston Marie; Rattray Janice; Cuthbertson Brian H; Hull Alastair M; Norrie John; Campbell Marion

    2007-01-01

    Abstract Background A number of intensive care (ICU) patients experience significant problems with physical, psychological, and social functioning for some time after discharge from ICU. These problems have implications not just for patients, but impose a continuing financial burden for the National Health Service. To support recovery, a number of hospitals across the UK have developed Intensive Care follow-up clinics. However, there is a lack of evidence base to support these, and this study...

  7. Evaluation of the quality of care of a haemodialysis public-private partnership programme for patients with end-stage renal disease

    OpenAIRE

    Julie Y Chen; Wan, Eric Y. F.; Chan, Karina H. Y.; Anca K C Chan; Chan, Frank W.K.; Lam, Cindy L. K.

    2016-01-01

    Background Haemodialysis (HD) is one of the life-saving options for patients with end stage renal disease but demand for this treatment exceeds capacity in publicly funded hospitals. One novel approach to addressing this problem is through a shared-care model whereby government hospitals partner with qualified private HD service providers to increase the accessibility of HD for needy patients. The aim of this study is to evaluate and enhance the quality of care (QOC) provided in such a shared...

  8. ISOLDE PROGRAMME

    CERN Multimedia

    Fedosseev, V; Lynch, K M; Grob, L K; Herfurth, F; Scheidenberger, C; Geppert, C; Gorges, C; Ratajczyk, T; Vogel, S; Munch, M K; Nieminen, P; Pakarinen, J J A; Lecesne, N; Bouzomita, H; Grinyer, J; Marques moreno, F M; Parlog, M; Blank, B A; Pedroza, J; Ghetta, V; Guillemaud mueller, D S; Cottereau, E; Cheikh mhamed, M; Tusseau nenez, S; Tungate, G; Walker, P M; Smith, A G; Fitzpatrick, C; Dominik, W M; Karny, M; Ciemny, A A; Nyman, G H; Thies, R M A; Lindberg, S K G; Langouche, G F; Delaure, B J P; Mayet, P; Ory, G T; Kesteloot, N J K; Papuga, J; Dehairs, M H R; Callens, M; Domnanich, K A; Richter, D; Lutter, R J; Wiehr, S; Tengblad, O; Nacher gonzalez, E; Jungclaus, A; Ribeiro jimenez, G; Marroquin alonso, I; Cal gonzalez, J; Paziy, V; Salsac, M; Murphy, C; Podolyak, Z F; Bajoga, A D; Butler, P; Pritchard, A; Steer, A N; Fox, S P; Wadsworth, B A; Truesdale, V L; Al monthery, M; Hass, M; Guttormsen, M S; Badea, M N; Calinescu, S; Cederkall, J A; Zemlyanoy, S; Golovkov, M; Wu, C; Harrichunder, S; Ncube, M; Gerten, R F; Lehnert, J; Gladnishki, K A; Pospisil, S; Datta pramanik, U; Benzoni, G; Fedorov, D; Molkanov, P; Pfeiffer, B; Griesel, T; Wehner, L W; Mikkelsen, M; Recchia, F; Smith, J F; Kelly, C M; De melo bandeira tavares, P M; Vieira, J M; Martins da silva, M A; Lima lopes, A M; Mader, J; Kessler, P; Schweikhard, L C; Marx, G H; Kulczycka, E; Komorowska, M; Da silva, M F; Goncalves marques, C P; Baptista peres, M A; Welander, J E; Coeck, S; Ryssens, W A M; Knoops, G; Vanbuel, J; Reiter, P; Miller, C; Martin sanchez-cano, D; Wiens, A; Blazhev, A A; Braun, N; Cappellazzo, M V; Birkenbach, B; Gerst, R; Dannhoff, M F; Sithole, M J; Bilgier, B; Nardelli, S; Vetter, U; Araujo mendes, C M; Valencia marin, E; Pantea, E; Hessberger, F P; Leduc, A J; Mitsuoka, S; Carbonari, A W; Buchegger, F J; Garzon camacho, A; Stachura, M K; Stora, T; Marsh, B A; Thiboud, J A; Antalic, S; Stahl, C; Bauer, C; Thurauf, M; Maass, B; Sturm, S; Boehm, C; Wolf, N R; Ways, M; Riisager, K; Ruotsalainen, P A; Bastin, B; Duval, F T; Penessot, G; Flechard, X D; Desrues, P; Giovinazzo, J; Kurtukian nieto, T; Ascher, P E L; Roccia, S; Matea, I; Croizet, H A G; Bonnin, C M; Morfouace, P; Smith, A J; Guin, R; Banerjee, D; Ohtsubo, T; Zhukov, M V; Tengborn, E A; Dessagne, P; Juscamaita vivanco, Y; De rydt, M A E; Vermaelen, P; Monten, R; Yang, X; De coster, A; Kruecken, R; Muecher, D; Nowak, A K; Cano ott, D; Murphy, A S J; Shand, C M; Regan, P H; Jones, G D; Herzberg, R; Ikin, P; Davies, P J; Napoli, D R; Scarel, G; Larsen, A; Tornyi, T G; Pascu, S G; Stroe, L; Toma, S; Jansson, K; Dronjak fahlander, M; Krupko, S; Hurst, A M; Veskovic, M; Nikolov, J; Sibanda, W N; Rocchini, M; Deicher, M; Wichert, T; Wolf, E; Kronenberg, J; Helmke, A; Meliani, Z; Ivanov, V S; Kuti, I; Halasz, Z; Henry, M O; Bras de sequeira amaral, V; Espirito santo, F; Carvalho teixeira, R C; Rosendahl, S; Speidel, K; Agarwal, I; Faul, T; Kownacki, J M; Martins correia, J G; Lorenz, K; Costa miranda, S M; Granadeiro costa, A R; Keupers, M; Stukken, R; Wursten, E J; Kotthaus, T; Pfeiffer, M; Stegemann, S T; Gironi, L; Cakirli, R B; Jensen, A; Romstedt, F; Constantino silva furtado, I; Heredia cardona, J A; Jordan martin, M D; Montaner piza, A; Plewinski, F; Mesli, A; Pichard, A; Fallis starhunter, J P; Voulot, D; Mrazek, J; Ugryumov, V; Savreux, R P; Kojouharov, I M; Stegmann, R; Fitting, J; Lauer, M; Kirsebom, O S; Jensen, K L; Jokinen, A; Rahkila, P J; Hager, U D K; Dubois, M; Orr, N A; Fabian, X; Huikari, J E; Goigoux, T; Magron, C; Zakari, A A; Maietta, M; Bachelet, C E M; Roussiere, B; Li, R; Mertzimekis, T; Gislason, H P; Shayestehaminzadeh, S; Qi, B; Mukai, M; Watanabe, Y; Willmann, L; Kurcewicz, W; Wimmer, K; Meisel, Z P; Lievens, P; Neyens, G; Darby, I G; Descamps, B O; Bunka, M; Vermeulen, C; Podadera aliseda, I; Alcorta moreno, M; Pesudo fortes, V; Algora, A; Zielinska, M; Korten, W; Wang, C H; Lotay, G J; Mason, P; Rice, S J; Willenegger, L M; Judson, D S; Revill, J P; Andreev, A; Yavuzkanat, N; Kumar, V; Zamfir, N - V; Deleanu, D; Golubev, P I; Jeppesen, H B; Pain, S D; Stracener, D W; Matousek, V; Venhart, M; Birova, M; Li, X; Stuchbery, A E; Lellep, G M; Poves paredes, A; Chakraborty, S; Leoni, S; Chupp, T; Yilmaz, C; Severin, G; Garcia ramos, J E; Hadinia, B; Mc glynn, E; Monteiro de sena silvares de carvalho, I; Friedag, P; Koos, V; Meot, V H; Pauwels, D B; Jancso, A; Srebrny, J; Alves, E J; David bosne, E; Dexters, W M M; Velten, P; Kalkuehler, M; Albers, M; Bharuth-ram, K; Akkus, B; Hemmingsen, L B S; Pedersen, J T; Dos santos redondo, L M; Rubio barroso, B; Kozlov, V; Mokhles gerami, A; Bernardo da silva, E; Unzueta solozabal, I; Schell, J; Szybowicz, M; Lassen, J; Johnston, K; Miyazaki, A; Macko, M; Coquard, L; Bloch, T P; Bonig, E S; Ignatov, A

    2002-01-01

    The experiments aim at a broad exploration of the properties of atomic nuclei far away from the region of beta stability. Furthermore, the unique radioactive beams of over 60~elements produced at the on-line isotope separators ISOLDE-2 and ISOLDE-3 are used in a wide programme of atomic, solid state and surface physics. Around 300 scientists are involved in the project, coming from about 70 laboratories. \\\\ \\\\ The electromagnetic isotope separators are connected on-line with their production targets in the extracted 600 MeV proton or 910~MeV Helium-3 beam of the Synchro-Cyclotron. Secondary beams of radioactive isotopes are available at the facility in intensities of 10$^1

  9. Art, dance, and music therapy.

    Science.gov (United States)

    Pratt, Rosalie Rebollo

    2004-11-01

    Art, dance, and music therapy are a significant part of complementary medicine in the twenty-first century. These creative arts therapies contribute to all areas of health care and are present in treatments for most psychologic and physiologic illnesses. Although the current body of solid research is small compared with that of more traditional medical specialties, the arts therapies are now validating their research through more controlled experimental and descriptive studies. The arts therapies also contribute significantly to the humanization and comfort of modern health care institutions by relieving stress, anxiety, and pain of patients and caregivers. Arts therapies will greatly expand their role in the health care practices of this country in the twenty-first century. PMID:15458755

  10. Teaching design engineering in an interdisciplinary programme

    OpenAIRE

    Wits, Wessel; Homminga, Jasper; Endedijk, Maaike; Visscher, Klaasjan; Krab-Hüsken, Leonie; Berg, van den, S.J.P.L.; Wilhelm, Pascal

    2014-01-01

    ATLAS, the Academy of Technology and Liberal Arts & Sciences, is an interdisciplinary three-year Bachelor of Science honours programme for talented students that opened its doors in September 2013. This international programme uses the concept of project-led education to teach students to integrate both technical and social perspectives into a new engineering approach. It aims to educate the so-called ‘new engineer’: a generalist who can combine technological and societal approaches with desi...

  11. Improving Demand-oriented Quality Care in Family Planning--A Review of Practice and Experience in Family Planning Programme of Qianjiang, Hubei

    Institute of Scientific and Technical Information of China (English)

    Jia-yuan LIAO; Meng-ye PENG; Er-sheng GAO

    2003-01-01

    @@ With the mainstreaming being the demand from the people at reproductive age, we systematically analyzed the ideas and ways to implement quality care (QC) in family planning (FP) in Qianjiang, including advocating the conception of quality care, carrying out health education and counseling, strengthening capacity building of service system and reforming measurement of the evaluation and other aspects. The demand-oriented QC in FP has met personalized and verified demands from people of reproductive age satisfactorily, and kept the fertility rate at a lower level while uplifting satisfaction of the public. The demand-oriented QC in FP in Qianjiang county proved to be a successful and great worth practice.

  12. The friendly art of persuasion.

    Science.gov (United States)

    Davidhizar, R; Eshleman, J

    1999-12-01

    The ability to persuade is a critical skill for the health care professional in relating to employees, colleagues, and groups of individuals if health care objectives are to be promoted. However, persuasion is an art, which requires careful preplanning and deliberative actions if it is to be carried out successfully. Persuasion done in a friendly manner is more likely to be effective. This article provides techniques that will enable the health care professional to use persuasive methods most advantageously. PMID:10787627

  13. Implementing an outreaching, preference-led stepped care intervention programme to reduce late life depressive symptoms: results of a mixed-methods study

    NARCIS (Netherlands)

    Beljouw, I.M. van; Laurant, M.G.; Heerings, M.; Stek, M.L.; Marwijk, H.W. van; Exel, E. van

    2014-01-01

    BACKGROUND: Depressive symptoms are highly prevalent in old age, but they remain mostly untreated. Several clinical trials have shown promising results in preventing or reducing depressive symptoms. However, it is not clear how robust these effects are in the real world of day-to-day care. Therefore

  14. Implementing an outreaching, preference-led stepped care intervention programme to reduce late life depressive symptoms : results of a mixed-methods study

    NARCIS (Netherlands)

    van Beljouw, Ilse M J; Laurant, Miranda G H; Heerings, Marjolijn; Stek, Max L; van Marwijk, Harm W J; van Exel, Eric; Heerings, M.

    2014-01-01

    BACKGROUND: Depressive symptoms are highly prevalent in old age, but they remain mostly untreated. Several clinical trials have shown promising results in preventing or reducing depressive symptoms. However, it is not clear how robust these effects are in the real world of day-to-day care. Therefore

  15. Linkage to HIV care and antiretroviral therapy in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Katharina Kranzer

    Full Text Available BACKGROUND: Antiretroviral therapy (ART has been scaled-up rapidly in Africa. Programme reports typically focus on loss to follow-up and mortality among patients receiving ART. However, little is known about linkage and retention in care of individuals prior to starting ART. METHODOLOGY: Data on adult residents from a periurban community in Cape Town were collected at a primary care clinic and hospital. HIV testing registers, CD4 count results provided by the National Health Laboratory System and ART registers were linked. A random sample (n = 885 was drawn from adults testing HIV positive through antenatal care, sexual transmitted disease and voluntary testing and counseling services between January 2004 and March 2009. All adults (n = 103 testing HIV positive through TB services during the same time period were also included in the study. Linkage to HIV care was defined as attending for a CD4 count measurement within 6 months of HIV diagnosis. Linkage to ART care was defined as initiating ART within 6 months of HIV diagnosis in individuals with a CD4 count ≤200 cells/µl taken within 6 months of HIV diagnosis. FINDINGS: Only 62.6% of individuals attended for a CD4 count measurement within 6 months of testing HIV positive. Individuals testing through sexually transmitted infection services had the best (84.1% and individuals testing on their own initiative (53.5% the worst linkage to HIV care. One third of individuals with timely CD4 counts were eligible for ART and 66.7% of those were successfully linked to ART care. Linkage to ART care was highest among antenatal care clients. Among individuals not yet eligible for ART only 46.3% had a repeat CD4 count. Linkage to HIV care improved in patients tested in more recent calendar period. CONCLUSION: Linkage to HIV and ART care was low in this poor peri-urban community despite free services available within close proximity. More efforts are needed to link VCT scale-up to subsequent care.

  16. Technology programme

    International Nuclear Information System (INIS)

    The technology activities carried out by the EURATOM-ENEA Association concern the continuation of the European Fusion Development Agreement (EFDA) as well as the ITER activities coordinated by the ITER International Office and Fusion for Energy. Also included in the activities are design and RD under the Broader Approach Agreement between the EU and Japan. In order to better contribute to the programme a number of consortium agreements among the Associations are being signed. Collaboration with industries in view of their participation in the construction of ITER was further strengthened, mainly in the field of magnet and divertor components. The new European Test Blanket Facility at ENEA Brasimone was completed; the design of the ITER radial neutron camera was optimised and the performance achievable with the in-vessel viewing system was further assessed by experimental trials. Design activities for the JT-60SA magnet and power supply system as well as the design and experimental activities related to the target of the International Fusion Materials Irradiation Facility were continued. Significant work was done to define quality assurance for neutronics analyses. Mockups of the ITER pre-compression ring made in glass fibre epoxy were tested. The activities and results documented in the following illustrate ENEA's efforts to support fusion development

  17. Installation Art

    DEFF Research Database (Denmark)

    Petersen, Anne Ring

    Despite its large and growing popularity – to say nothing of its near-ubiquity in the world’s art scenes and international exhibitions of contemporary art –installation art remains a form whose artistic vocabulary and conceptual basis have rarely been subjected to thorough critical examination....... In Installation Art: Between Image and Stage, Anne Ring Petersen aims to change that. She begins by exploring how installation art developed into an interdisciplinary genre in the 1960s, and how its intertwining of the visual and the performative has acted as a catalyst for the generation of new artistic...... phenomena. It investigates how it became one of today’s most widely used art forms, increasingly expanding into consumer, popular and urban cultures, where installation’s often spectacular appearance ensures that it meets contemporary demands for sense-provoking and immersive cultural experiences. The main...

  18. Programme level implementation of malaria rapid diagnostic tests (RDTs) use: outcomes and cost of training health workers at lower level health care facilities in Uganda

    OpenAIRE

    Kyabayinze Daniel J; Asiimwe Caroline; Nakanjako Damalie; Nabakooza Jane; Bajabaite Moses; Strachan Clare; Tibenderana James K; Van Geetruyden Jean

    2012-01-01

    Abstract Background The training of health workers in the use of malaria rapid diagnostic tests (RDTs) is an important component of a wider strategy to improve parasite-based malaria diagnosis at lower level health care facilities (LLHFs) where microscopy is not readily available for all patients with suspected malaria. This study describes the process and cost of training to attain competence of lower level health workers to perform malaria RDTs in a public health system setting in eastern U...

  19. Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study

    OpenAIRE

    Bischoff, Alexander

    2016-01-01

    Background: In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO) nursing school and make recommendations for other similar initiatives.Design: This paper describes an auto-ethnographic case study design to identify th...

  20. Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study

    OpenAIRE

    Alexander Bischoff

    2016-01-01

    Background: In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO) nursing school and make recommendations for other similar initiatives. Design: This paper describes an auto-ethnographic case study design to identify t...

  1. Narrowing the gap between eye care needs and service provision: a model to dynamically regulate the flow of personnel through a multiple entry and exit training programme

    OpenAIRE

    Masnick Keith

    2009-01-01

    Abstract Background The purpose of this paper is to present a complex yet transparent, computable model to simulate the regulation of the flow of personnel through a previously described multiple-entry, multiple-exit eye care training scheme linked to the health workforce. This methodology should be a useful tool for the planner; it can address changes and feedbacks over time and be sensitive to any unexpected consequences of the interactions. The same model template can be applied to calcula...

  2. Reference programme

    DEFF Research Database (Denmark)

    Bendtsen, Lars; Birk, Steffen; Kasch, Helge; Aegidius, Karen; Sørensen, Per Schmidt; Thomsen, Lise Lykke; Poulsen, Lars; Rasmussen, Mary-Jette; Kruuse, Christina Rostrup; Jensen, Rigmor

    Danish Headache Society has set up a task force to develop a set of guidelines for the diagnosis, organisation and treatment of the most common types of headaches and for trigeminal neuralgia in Denmark. The guideline was published in Danish in 2010 and has been a great success. The Danish Headache...... and trigeminal neuralgia are largely in accordance with the European guidelines produced by the European Federation of Neurological Societies. The guideline provides a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as...... diagnosis and treatment of each of the major headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular problems regarding headache in children and headache in relation to female hormones and pregnancy are described....

  3. Art Markets

    NARCIS (Netherlands)

    P.A. Arora (Payal); F.R.R. Vermeylen (Filip)

    2013-01-01

    textabstractThe advent of digitization has had a profound impact on the art market and its institutions. In this chapter, we focus on the market for visual arts as it finds its expression in (among other) paintings, prints, drawings, photographs, sculpture and the like. These artistic disciplines cl

  4. The link between health care spending and health outcomes for the new English Primary Care Trusts

    OpenAIRE

    Stephen Martin; Nigel Rice; Peter C Smith

    2008-01-01

    English programme budgeting data have yielded major new insights into the link between health care spending and health outcomes. This paper updates two recent studies that have used programme budgeting data for 295 Primary Care Trusts (PCTs) in England to examine the link between spending and outcomes for several programmes of care. We use the same economic model employed in the two previous studies. It focuses on a decision maker who must allocate a fixed budget across programmes of care so ...

  5. Establishment and evaluation of a multi-system chain transitional care programme for postpartum pelvic floor training%产后盆底功能训练的延续护理模式构建及效果评价

    Institute of Scientific and Technical Information of China (English)

    霍然; 王惠珍; 石兰萍; 张巍颖; 吴震云; 陈学丽

    2014-01-01

    Objective To build a multi-system chain transitional care programme for postpartum pelvic floor training and test its effect.Methods By a prospective randomized controlled trial,the study group (n=60) received a multi-system chain transitional care programme which consisted of ward nurse,home visiting doctor,post-natal care clinic doctor,pelvic floor doctor and pelvic floor nurse.The control group(n=60) received routine care.The pelvic floor muscle strength,sexual function and patient satisfaction of baseline,on the 42th days,3rd months and 6th months were compared between two groups by short-term follow-up.Results There was no difference in baseline consisting of age,gestational weeks,birth weight and so on between groups.Participants in the study group had significantly better improvement and score in pelvic floor muscle strength,sexual thoughts,sexual arousal,sexual psychopathy and problems affecting sexual function.There was no difference in score of sexual pleasure and ejaculation time between two groups.Conclusions This study was an original effort to establish and evaluate a multi-system chain transitional care program for postpartum pelvic floor training.Results demonstrated that this transitional care was effective in improving pelvic floor function.%目的 构建产后盆底功能训练的延续护理模式并检验其效果.方法 采用前瞻性随机对照实验,延续护理60例接受病房责任护士-家庭访视医生-产后保健门诊医生-盆底诊疗中心医生-盆底诊疗中心护士构成的延续护理服务,对照组60例接受传统护理服务.随访和比较2组的基线情况,42 d、3个月和6个月盆底肌肌力、性功能和患者满意度.结果 2组在年龄、孕周、新生儿体质量等基线情况上比较差异无统计学意义.延续护理组在盆底肌肌力改善、性欲、性唤起、性心理和性行为异常症状上得分,以及患者满意度均优于对照组,差异有统计学意义.2组在性高潮和性

  6. Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control: A Cluster-Randomised Controlled Trial

    Directory of Open Access Journals (Sweden)

    Tim Johansson

    2016-01-01

    Full Text Available Aim. Testing the effectiveness of peer support additionally to a disease management programme (DMP for type 2 diabetes patients. Methods. Unblinded cluster-randomised controlled trial (RCT involving 49 general practices, province of Salzburg, Austria. All patients enrolled in the DMP were eligible, n=337 participated (intervention: 148 in 19 clusters; control: 189 in 20 clusters. The peer support intervention ran over 24 months and consisted of peer supporter recruitment and training, and group meetings weekly for physical exercise and monthly for discussion of diabetes related topics. Results. At two-year follow-up, adjusted analysis revealed a nonsignificant difference in HbA1c change of 0.14% (21.97 mmol/mol in favour of the intervention (95% CI −0.08 to 0.36%, p=0.22. Baseline values were 7.02 ± 1.25% in the intervention and 7.08 ± 1.25 in the control group. None of the secondary outcome measures showed significant differences except for improved quality of life (EQ-5D-VAS in controls (4.3 points on a scale of 100; 95% CI 0.08 to 8.53, p=0.046 compared to the intervention group. Conclusion. Our peer support intervention as an additional DMP component showed no significant effect on HbA1c and secondary outcome measures. Further RTCs with a longer follow-up are needed to reveal whether peer support will have clinically relevant effects. Trial Registration. This trial has been registered with Current Controlled Trials Ltd. (ISRCTN10291077.

  7. Using an SBAR - keeping it real! Demonstrating how improving safe care delivery has been incorporated into a top-up degree programme.

    Science.gov (United States)

    Whittingham, Katrina A; Oldroyd, Linda E

    2014-06-01

    Using a standard communication tool can enhance and provide focus, to ensure that communication is accurately recorded and understood (Marquis and Huston, 2009). The Situation, Background, Assessment and Recommendation (SBAR) approach is common place in healthcare situations today (Institute for Health Improvement, 2011), thus justifying the use of this contemporary way of communicating to structure this article. Patient safety, clinical effectiveness and person centred approaches to care, are top priorities in healthcare today. As nursing is in transition to an all degree profession, these dimensions of care should be integral to any "top-up" qualification. This paper discusses how this current clinical agenda was embedded into a top-up degree along with improvement methodology, in order to prepare newly graduated nurses for the world of modern healthcare. The module was developed and delivered in collaboration with clinical practice to maintain credibility and realism for the students. Based on Salmon's model of e-learning (Salmon, 2004), the completely online delivery meant that the students learning occurred whilst clinically based, allowing for theory and practice to interweave in a meaningful way, resulting in actual quality improvement. PMID:24559799

  8. National programme for prevention of burn injuries

    Directory of Open Access Journals (Sweden)

    Gupta J

    2010-10-01

    Full Text Available The estimated annual burn incidence in India is approximately 6-7 million per year. The high incidence is attributed to illiteracy, poverty and low level safety consciousness in the population. The situation becomes further grim due to the absence of organized burn care at primary and secondary health care level. But the silver lining is that 90% of burn injuries are preventable. An initiative at national level is need of the hour to reduce incidence so as to galvanize the available resources for more effective and standardized treatment delivery. The National Programme for Prevention of Burn Injuries is the endeavor in this line. The goal of National programme for prevention of burn injuries (NPPBI would be to ensure prevention and capacity building of infrastructure and manpower at all levels of health care delivery system in order to reduce incidence, provide timely and adequate treatment to burn patients to reduce mortality, complications and provide effective rehabilitation to the survivors. Another objective of the programme will be to establish a central burn registry. The programme will be launched in the current Five Year Plan in Medical colleges and their adjoining district hospitals in few states. Subsequently, in the next five year plan it will be rolled out in all the medical colleges and districts hospitals of the country so that burn care is provided as close to the site of accident as possible and patients need not to travel to big cities for burn care. The programme would essentially have three components i.e. Preventive programme, Burn injury management programme and Burn injury rehabilitation programme.

  9. ART 101 Tutorials /art101dotcom

    OpenAIRE

    yamini63

    2015-01-01

    ART 101 Entire Course   For more course tutorials visit www.uopart101.com   ART 101 Week 1 CheckPoint Visual Literacy ART 101 Week 1 Assignment Reading Art Practicing Iconography ART 101 Week 2 CheckPoint Art and Intention ART 101 Week 2 DQ 1 and DQ 2 ART 101 Week 3 CheckPoint Analytical and Expressive Line ART 101 Week 3 Assignment Formal Analysis of Art ART 101 Week 4 CheckPoint Design Movements ART 101 Week 4 DQ 1 and DQ 2 ART 1...

  10. Introduction of Syphilis Point-of-Care Tests, from Pilot Study to National Programme Implementation in Zambia: A Qualitative Study of Healthcare Workers' Perspectives on Testing, Training and Quality Assurance.

    Directory of Open Access Journals (Sweden)

    Éimhín M Ansbro

    Full Text Available Syphilis affects 1.4 million pregnant women globally each year. Maternal syphilis causes congenital syphilis in over half of affected pregnancies, leading to early foetal loss, pregnancy complications, stillbirth and neonatal death. Syphilis is under-diagnosed in pregnant women. Point-of-care rapid syphilis tests (RST allow for same-day treatment and address logistical barriers to testing encountered with standard Rapid Plasma Reagin testing. Recent literature emphasises successful introduction of new health technologies requires healthcare worker (HCW acceptance, effective training, quality monitoring and robust health systems. Following a successful pilot, the Zambian Ministry of Health (MoH adopted RST into policy, integrating them into prevention of mother-to-child transmission of HIV clinics in four underserved Zambian districts. We compare HCW experiences, including challenges encountered in scaling up from a highly supported NGO-led pilot to a large-scale MoH-led national programme. Questionnaires were administered through structured interviews of 16 HCWs in two pilot districts and 24 HCWs in two different rollout districts. Supplementary data were gathered via stakeholder interviews, clinic registers and supervisory visits. Using a conceptual framework adapted from health technology literature, we explored RST acceptance and usability. Quantitative data were analysed using descriptive statistics. Key themes in qualitative data were explored using template analysis. Overall, HCWs accepted RST as learnable, suitable, effective tools to improve antenatal services, which were usable in diverse clinical settings. Changes in training, supervision and quality monitoring models between pilot and rollout may have influenced rollout HCW acceptance and compromised testing quality. While quality monitoring was integrated into national policy and training, implementation was limited during rollout despite financial support and mentorship. We

  11. Introduction of Syphilis Point-of-Care Tests, from Pilot Study to National Programme Implementation in Zambia: A Qualitative Study of Healthcare Workers' Perspectives on Testing, Training and Quality Assurance.

    Science.gov (United States)

    Ansbro, Éimhín M; Gill, Michelle M; Reynolds, Joanna; Shelley, Katharine D; Strasser, Susan; Sripipatana, Tabitha; Tshaka Ncube, Alexander; Tembo Mumba, Grace; Terris-Prestholt, Fern; Peeling, Rosanna W; Mabey, David

    2015-01-01

    Syphilis affects 1.4 million pregnant women globally each year. Maternal syphilis causes congenital syphilis in over half of affected pregnancies, leading to early foetal loss, pregnancy complications, stillbirth and neonatal death. Syphilis is under-diagnosed in pregnant women. Point-of-care rapid syphilis tests (RST) allow for same-day treatment and address logistical barriers to testing encountered with standard Rapid Plasma Reagin testing. Recent literature emphasises successful introduction of new health technologies requires healthcare worker (HCW) acceptance, effective training, quality monitoring and robust health systems. Following a successful pilot, the Zambian Ministry of Health (MoH) adopted RST into policy, integrating them into prevention of mother-to-child transmission of HIV clinics in four underserved Zambian districts. We compare HCW experiences, including challenges encountered in scaling up from a highly supported NGO-led pilot to a large-scale MoH-led national programme. Questionnaires were administered through structured interviews of 16 HCWs in two pilot districts and 24 HCWs in two different rollout districts. Supplementary data were gathered via stakeholder interviews, clinic registers and supervisory visits. Using a conceptual framework adapted from health technology literature, we explored RST acceptance and usability. Quantitative data were analysed using descriptive statistics. Key themes in qualitative data were explored using template analysis. Overall, HCWs accepted RST as learnable, suitable, effective tools to improve antenatal services, which were usable in diverse clinical settings. Changes in training, supervision and quality monitoring models between pilot and rollout may have influenced rollout HCW acceptance and compromised testing quality. While quality monitoring was integrated into national policy and training, implementation was limited during rollout despite financial support and mentorship. We illustrate that new

  12. Programme level implementation of malaria rapid diagnostic tests (RDTs use: outcomes and cost of training health workers at lower level health care facilities in Uganda

    Directory of Open Access Journals (Sweden)

    Kyabayinze Daniel J

    2012-04-01

    Full Text Available Abstract Background The training of health workers in the use of malaria rapid diagnostic tests (RDTs is an important component of a wider strategy to improve parasite-based malaria diagnosis at lower level health care facilities (LLHFs where microscopy is not readily available for all patients with suspected malaria. This study describes the process and cost of training to attain competence of lower level health workers to perform malaria RDTs in a public health system setting in eastern Uganda. Methods Health workers from 21 health facilities in Uganda were given a one-day central training on the use of RDTs in malaria case management, including practical skills on how to perform read and interpret the test results. Successful trainees subsequently integrated the use of RDTs into their routine care for febrile patients at their LLHFs and transferred their acquired skills to colleagues (cascade training model. A cross-sectional evaluation of the health workers’ competence in performing RDTs was conducted six weeks following the training, incorporating observation, in-depth interviews with health workers and the review of health facility records relating to tests offered and antimalarial drug (AMD prescriptions pre and post training. The direct costs relating to the training processes were also documented. Results Overall, 135 health workers were trained including 63 (47% nursing assistants, a group of care providers without formal medical training. All trainees passed the post-training concordance test with ≥ 80% except 12 that required re-training. Six weeks after the one-day training, 51/64 (80% of the health workers accurately performed the critical steps in performing the RDT. The performance was similar among the 10 (16% participants who were peer-trained by their trained colleagues. Only 9 (14% did not draw the appropriate amount of blood using pipette. The average cost of the one-day training was US$ 101 (range $92-$112, with the

  13. Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study

    Directory of Open Access Journals (Sweden)

    Alexander Bischoff

    2016-05-01

    Full Text Available Background: In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO nursing school and make recommendations for other similar initiatives. Design: This paper describes an auto-ethnographic case study design to identify the key difficulties involved with establishing and implementing a new nursing school, and which factors helped the project achieve its goals. Results: Six themes emerged from the experiences that shaped the course of the project: 1 Motivation can be sustained if the rationale of the project is in line with its aims. Indeed, the project's primary health care focus was to strengthen the nursing workforce and build a public–private partnership with an FBO. All these were strengths, which helped in the midst of all the uncertainties. 2 Communication was an important and often underrated factor for all types of development projects. 3 Managing the unknown and 4 managing expectations characterised the project inception. Almost all themes had to do with 5 handling conflicts. With so many participants having their own agendas, tensions were unavoidable. A final theme was 6 the need to adjust to ever-changing targets. Conclusions: This retrospective auto-ethnographic manuscript serves as a small-scale case study, to illustrate how issues that can be generalised to other settings can be deconstructed to demonstrate how they influence health development projects in developing countries. From this narrative of experiences, key recommendations include the following: 1 Find the right ratio of stakeholders, participants, and agendas, and do not overload the project; 2 Be alert and communicate as much as possible with staff and do not ignore issues hoping they will solve

  14. Communication from the Commission to the Council and the European Parliament: progress report on the multiannual programme for the promotion of energy efficiency in the Community-SAVE II. Council Decision 96/737/EC Art.8.1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-17

    The SAVE II programme is dedicated to promoting the rational use of energy, focusing on the non-technological elements, helping to build the energy efficiency infrastructure and to improve policy analysis. The report provides a review of the activities and progress made since the approval of SAVE II, in five areas of action: studies and related actions aimed at implementing and completing Community measures such as the development of standards, studies on the effects of energy pricing on energy efficiency and studies helping to establish energy efficiency as a criterion within Community programmes; actions to accelerate energy efficiency investment and/or improving energy use patterns; measures to foster the exchange of experience; monitoring of energy efficiency progress in the Community and Member States; and specific actions at the regional and urban levels as well as improving the cohesion between Member States and regions in the field of energy efficiency. Annexes list funding for 1996 and 1997 and topics proposed for study in 1998.

  15. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics: Findings from the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Research Programme

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J; Sångren, H; Tjørnhøj-Thomsen, T; Blaabjerg, J; Hald, F; Andersen, A Nyboe; Rasmussen, P E

    2003-01-01

    services for both men and women was high infertility-related stress in the marital, personal and social domain. CONCLUSIONS: A supportive attitude from medical staff and the provision of both medical and psychosocial information and support should be integral aspects of medical care in fertility clinics......BACKGROUND: The aims were (i) to identify gender differences in motivations to seek assisted reproduction and gender differences in expectations about medical and psychosocial services and (ii) to examine factors that predict the perceived importance of, and intention to use, psychosocial services...... among infertile people. METHODS: We conducted an epidemiological study based on questionnaires among all new couples attending five fertility clinics with a response rate of 80.0% and a total of 2250 patients. RESULTS: The vast majority of both men and women considered a high level of medical...

  16. Using programme budgeting and marginal analysis (PBMA) to set priorities: reflections from a qualitative assessment in an English Primary Care Trust.

    Science.gov (United States)

    Goodwin, Elizabeth; Frew, Emma J

    2013-12-01

    In England from 2002 to 2013, Primary Care Trusts (PCTs) were responsible for commissioning healthcare for their local populations. The NHS has recently undergone rapid organisational change whereby clinicians have assumed responsibility for local commissioning decisions. This change in commissioning arrangements alongside the current financial pressures facing the NHS provides an impetus for considering the use of technical prioritisation methods to enable the identification of savings without having a detrimental effect on the health of the population. This paper reports on the design and implementation of a technical prioritisation method termed PBMA applied within NHS Plymouth, an English PCT responsible for commissioning services for a population of approximately 270,000. We evaluated the effectiveness of the process, the extent to which it was appropriate for local healthcare commissioning and whether it identified budget savings. Using qualitative research methodology, we found the process produced clear strategic and operational priorities for 2010/11, providing staff with focus and structure, and delivered a substantial planned reduction in hospital activity levels. Participants expressed satisfaction with the process. NHS Plymouth adhered to the PBMA process, although concerns were raised about the evidence for some priorities, decibel rationing, and a lack of robust challenge at priority-setting meetings. Further work is required to enhance participants' understanding of marginal analysis. Participants highlighted several external benefits, particularly in terms of cultural change, and felt the process should encompass the whole local health and social care community. This evaluation indicates that the prioritisation method was effective in producing priorities for NHS Plymouth, and that PBMA provides an appropriate method for allocating resources at a local level. In order for PBMA to identify savings, cultural and structural barriers to disinvestment

  17. ADS National Programmes: Japan

    International Nuclear Information System (INIS)

    In Japan, the research and development (R&D) activities on partitioning and transmutation (P&T) technology had been promoted under the OMEGA programme since 1988. The main institutes involved in these activities were the Japan Atomic Energy Research Institute (JAERI), the Japan Nuclear Cycle Development Institute (JNC), and the Central Research Institute of Electric Power Industry (CRIEPI). Among these institutes, JAERI had mainly conducted the R&D on ADS. In 1999 and 2000, the Atomic Energy Commission (AEC) of Japan implemented the check and review (C&R) on the P&T technology, and the ADS was considered as one of candidates for transmutation systems together with fast reactors. In 2005, JAERI and JNC were merged and the Japan Atomic Energy Agency (JAEA) was established. In JAEA, the R&D activities on both ADS and fast reactors have been continued. In August, 2008, the AEC of Japan launched the Technical Subcommittee on P&T Technology under the Advisory Committee on R&D, and conducted the discussion about the current state of the art concerning P&T technology in Japan and the future R&D programme. The Subcommittee issued the final report in April, 2009. The final report covered the impact of the P&T technology, the state of the art of the technology, evaluation on the progress of the R&D, and the recommendations of the future R&D. As the basic policy on the P&T technology, the report stated that the R&D should not aim at only the improvement of the P&T performance, but at the achievement of the requirements for whole performance of nuclear power generation. This means that the performance of the Double strata fuel cycle concept should be evaluated from viewpoints of safety, economy, environmental friendliness, saving resource, and non-proliferation of the first stratum as well as those of the second stratum. The Double strata concept, therefore, should be studied as a part of the whole nuclear system both in the transient phase of LWR to FBR and the equilibrium

  18. Balinese Art versus Global Art

    Directory of Open Access Journals (Sweden)

    Adrian Vickers

    2015-10-01

    Full Text Available AbstractThere are two reasons why “Balinese art” is not a global art form, firstbecause it became too closely subordinated to tourism between the 1950sand 1970s, and secondly because of confusion about how to classify“modern” and “traditional” Balinese art. The category of ‘modern’ artseems at first to be unproblematic, but looking at Balinese paintingfrom the 1930s to the present day shows that divisions into ‘traditional’,‘modern’ and ‘contemporary’ are anything but straight-forward. Indismantling the myth that modern Balinese art was a Western creation,this article also shows that Balinese art has a complicated relationship toIndonesian art, and that success as a modern or contemporary artist inBali depends on going outside the island.

  19. Arts Entrepreneurship

    DEFF Research Database (Denmark)

    Gartner, Bill

    2015-01-01

    Contribution to the opinion series “Perspectives” on arts entrepreneurship; how arts entrepreneurship is situated in relation to other disciplines or fields; what problems we are grappling with as scholars, practitioners, teachers, and artists; and what are the research questions we are attempting...... to answer individually or as a field. Under the headline “Perspectives on Arts Entrepreneurship, part 2”, are responses from: William B. Gartner, Professor of Entrepreneurship at Copenhagen Business School and California Lutheran University; Joseph Roberts, Director of the Coleman Fellows Program, Associate...

  20. Evaluation of patient care cascade for HIV-positive patients diagnosed in La Romana, Dominican Republic in 2011: a retrospective cohort study.

    Science.gov (United States)

    Bowman, Alex S; Lerebours, Leonel; Amesty, Silvia; de la Rosa, Milagros; Gil, Elizabeth; Halpern, Mina; Nicholas, Stephen; Lamb, Matthew R

    2016-04-01

    The Caribbean has the highest adult HIV prevalence in the world after sub-Saharan Africa (2011). One sub-population in the Dominican Republic is the migratory Batey community primarily comprised of Haitian immigrants with limited access to healthcare and HIV prevalence rates of between 3.0% and 9.0%, compared to 0.7% nationally. This retrospective cohort study describes the cumulative retention from diagnosis to virological suppression for newly-diagnosed HIV-infected adults presenting to the Clínica de Familia and its Batey programme in La Romana, during 2011. Of the patients diagnosed with HIV, 65% entered into care, 59% completed immunologic testing, 53% were eligible for antiretroviral therapy (ART) initiation, 36% initiated ART within three months of eligibility and 27% were retained in care. Seventeen per cent of those retained on ART with a 12-month viral load measure had undetectable viral load. Attrition primarily occurred before ART initiation. The Batey programme had a first step lost-to-follow-up of 88% compared to 20% at the clinic (p < 0.001). This retrospective study details the continuum of care and indicates where structural changes must occur to increase continuity between steps. The manuscript results are important to help implement programmes to enhance engagement and retention in HIV primary care. PMID:25941055

  1. Research gaps in neonatal HIV-related care

    Directory of Open Access Journals (Sweden)

    Mary-Ann Davies

    2015-04-01

    Full Text Available The South African prevention of mother to child transmission programme has made excellentprogress in reducing vertical HIV transmission, and paediatric antiretroviral therapyprogrammes have demonstrated good outcomes with increasing treatment initiation inyounger children and infants. However, both in South Africa and across sub-Saharan African,lack of boosted peri-partum prophylaxis for high-risk vertical transmission, loss to followup,and failure to initiate HIV-infected infants on antiretroviral therapy (ART before diseaseprogression are key remaining gaps in neonatal HIV-related care. In this issue of the Southern African Journal of HIV Medicine, experts provide valuable recommendations for addressingthese gaps. The present article highlights a number of areas where evidence is lacking toinform guidelines and programme development for optimal neonatal HIV-related care.

  2. Patient Experiences of Structured Heart Failure Programmes

    Directory of Open Access Journals (Sweden)

    Nuala E. Tully

    2010-01-01

    Full Text Available Objectives. Patient experiences of structured heart failure rehabilitation and their views on the important components of heart failure services were examined. Methods. Focus groups were conducted with fifteen participants (men, =12 attending one of two heart failure rehabilitation programmes. Sessions were guided by a semistructured interview schedule covering participants' experiences of the programme, maintenance, and GP role. Focus group transcripts were analysed qualitatively. Results. Participants indicated that rehabilitation programmes substantially met their needs. Supervised exercise sessions increased confidence to resume physical activity, while peer-group interaction and supportive medical staff improved morale. However, once the programme ended, some participants' self-care motivation lapsed, especially maintenance of an exercise routine. Patients doubted their GPs' ability to help them manage their condition. Conclusion. Structured rehabilitation programmes are effective in enabling patients to develop lifestyle skills to live with heart failure. However, postrehabilitation maintenance interventions are necessary to sustain patients' confidence in disease self-management.

  3. Requirements for laboratory animals in health programmes*

    OpenAIRE

    Held, J. R.

    1981-01-01

    Laboratory animals are essential for the successful execution of many health programmes. A wide variety of animal models is used in the worldwide efforts to improve the control of various diseases, and in the basic research needed to improve health care. Biomedical programmes require specially-bred animals reared under controlled conditions, with close attention given to such factors as physical environment, nutrition, microbiological status, and genetic background. The need for a regular sup...

  4. Arts Therapies and Progressive Illness: Nameless Dread

    OpenAIRE

    Waller, Diane E.

    2002-01-01

    Arts Therapies and Progressive Illness is a guide to the use of arts therapies in the treatment of patients with diseases such as Parkinson's and Alzheimer's. In the last few years arts therapies have been used in an increasingly wide range of applications with new groups of patients, such as patients in palliative care, or with learning disabilities - Diane Waller has been a driving force behind this expansion. This book covers treatment such as art therapy, dance movement therapy and mus...

  5. Art Therapy: An Underutilized, yet Effective Tool

    OpenAIRE

    Bitonte, Robert A.; Marisa Santo

    2014-01-01

    Art therapy has been recognized as beneficial and effective since first described by Adrian Hill in 1942. Even before this time, art therapy was utilized for moral reinforcement and psychoanalysis. Art therapy aids patients with, but not limited to, chronic illness, physical challenges, and cancer in both pediatric and adult scenarios. Although effective in patient care, the practice of art therapy is extremely underutilized, especially in suburban areas. While conducting our own study in nor...

  6. Narrowing the gap between eye care needs and service provision: a model to dynamically regulate the flow of personnel through a multiple entry and exit training programme

    Directory of Open Access Journals (Sweden)

    Masnick Keith

    2009-05-01

    Full Text Available Abstract Background The purpose of this paper is to present a complex yet transparent, computable model to simulate the regulation of the flow of personnel through a previously described multiple-entry, multiple-exit eye care training scheme linked to the health workforce. This methodology should be a useful tool for the planner; it can address changes and feedbacks over time and be sensitive to any unexpected consequences of the interactions. The same model template can be applied to calculate the finances associated with the personnel flow. Presentation of the hypothesis The worth of any model or set of concepts of human resources for health is considerably enhanced by actual field application. However, implementation involves the selection of one set of parameters and a large, long-term commitment of resources. A far less expensive and time-consuming, yet still effective, method of testing assumptions and ideas would be to simulate their application using a variety of possible inputs, structural configurations and/or desired outcomes. To that end, this paper presents a computable, dynamic model of personnel flows within a health system. Testing the hypothesis Some testing of the model has been demonstrated in a previous paper. However, the value of the model is that all stakeholders can enter their own data and parameter assumptions and readily review the outcomes. Implications of the hypothesis The complex yet easy-to-use model presented in this paper opens the debate on current and future policy to any stakeholder. A very wide range of scenarios can be considered and a selected option can be monitored and changed dynamically over time.

  7. The BGAN extension programme

    Science.gov (United States)

    Rivera, Juan J.; Trachtman, Eyal; Richharia, Madhavendra

    2005-11-01

    Mobile satellite telecommunications systems have undergone an enormous evolution in the last decades, with the interest in having advanced telecommunications services available on demand, anywhere and at any time, leading to incredible advances. The demand for braodband data is therefore rapidly gathering pace, but current solutions are finding it increasingly difficult to combine large bandwidth with ubiquitous coverage, reliability and portability. The BGAN (Broadband Global Area Network) system, designed to operate with the Inmarsat-4 satellites, provides breakthrough services that meet all of these requirements. It will enable broadband connection on the move, delivering all the key tools of the modern office. Recognising the great impact that Inmarsat's BGAN system will have on the European satellite communications industry, and the benefits that it will bring to a wide range of European industries, in 2003 ESA initiated the "BGAN Extension" project. Its primary goals are to provide the full range of BGAN services to truly mobile platforms, operating in aeronautical, vehicular and maritime environments, and to introduce a multicast service capability. The project is supported by the ARTES Programme which establishes a collaboration agreement between ESA, Inmarsat and a group of key industrial and academic institutions which includes EMS, Logica, Nera and the University of Surrey (UK).

  8. FPGAs for software programmers

    CERN Document Server

    Hannig, Frank; Ziener, Daniel

    2016-01-01

    This book makes powerful Field Programmable Gate Array (FPGA) and reconfigurable technology accessible to software engineers by covering different state-of-the-art high-level synthesis approaches (e.g., OpenCL and several C-to-gates compilers). It introduces FPGA technology, its programming model, and how various applications can be implemented on FPGAs without going through low-level hardware design phases. Readers will get a realistic sense for problems that are suited for FPGAs and how to implement them from a software designer’s point of view. The authors demonstrate that FPGAs and their programming model reflect the needs of stream processing problems much better than traditional CPU or GPU architectures, making them well-suited for a wide variety of systems, from embedded systems performing sensor processing to large setups for Big Data number crunching. This book serves as an invaluable tool for software designers and FPGA design engineers who are interested in high design productivity through behavi...

  9. Shadow art

    KAUST Repository

    Mitra, Niloy J.

    2009-01-01

    "To them, I said, the truth would be literally nothing but the shadows of the images." - Plato, The Republic Shadow art is a unique form of sculptural art where the 2D shadows cast by a 3D sculpture are essential for the artistic effect. We introduce computational tools for the creation of shadow art and propose a design process where the user can directly specify the desired shadows by providing a set of binary images and corresponding projection information. Since multiple shadow images often contradict each other, we present a geometric optimization that computes a 3D shadow volume whose shadows best approximate the provided input images. Our analysis shows that this optimization is essential for obtaining physically realizable 3D sculptures. The resulting shadow volume can then be modified with a set of interactive editing tools that automatically respect the often intricate shadow constraints. We demonstrate the potential of our system with a number of complex 3D shadow art sculptures that go beyond what is seen in contemporary art pieces. © 2009 ACM.

  10. Ghana's nuclear programme

    International Nuclear Information System (INIS)

    The Paper gives the purpose of Ghana's Nuclear Programme and describes some specific research activities and peaceful applications of atomic energy in agriculture, medicine and industry. A discussion of some of the problem facing the programme concludes the Paper. (author)

  11. Olympic Partner Programme

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ The Olympic Partner Programme (TOP) is an international Olympic marketing programme created by the International Olympic Committee (IOC),which includes the Organising Committees of the Games,the National Olympic Committees and the TOP Partners.

  12. Art Therapy

    DEFF Research Database (Denmark)

    Skov, Vibeke; Pedersen, Inge Nygaard

    2014-01-01

    Abstract Based on a Jungian approach, this article will introduce an integrative model to therapeutic change using art therapy methods as practical tools, with the aim of improving quality of life and in the prevention of depression. In a research study involving six participants, painting, clay...... work and drumming were used together with imagination and personal dialogues linked to the artwork. These art therapy processes attempted to combine the participant’s experience of inner and outer reality. The effect of gaining more knowledge about their inner reality using dreams and symbols......, was that participants gained a new understanding about their personal life. In addition, some participants were able to continue to use art therapy experiences as selfdevelopmental tools after the research study terminated. Jung’s description of the interactive relationship between the two living parts of the psyche...

  13. Utilidad de implantar un programa de atención a la disfagia en un Hospital de Media y Larga Estancia Usefulness of implementing a dysphagia care programme at an intermediate and long stay hospital

    Directory of Open Access Journals (Sweden)

    M. I. Ferrero López

    2009-10-01

    Full Text Available Objetivos: Describir en un Hospital de Media y Larga Estancia (HMLE los resultados iniciales tras la implantación de un programa de valoración e intervención sobre la disfagia y conocer que variables mostraban diferencias significativas entre los enfermos con y sin disfagia así detectados. Métodos: Estudio descriptivo retrospectivo de la valoración realizada a los pacientes con sospecha de disfagia y de la intervención posterior en los que esta se confirmó. Se usó para dicha valoración un método clínico estandarizado que utiliza diferentes viscosidades y volúmenes. Tras su confirmación se llevaron a cabo cuidados dietéticos, posturales y formativos. Se recogieron variables demográficas, clínicas y de laboratorio. Resultados: Se incluyó a 146 pacientes, describiéndose sus correspondientes valoraciones y las intervenciones en los 110 que presentaron disfagia. Esto representó una prevalencia de disfagia del 14,8% de los pacientes ingresados. En el análisis univariante entre los pacientes con y sin disfagia, los primeros presentan al ingreso mayor presencia de sonda de alimentación (p 0,011 y menor proporción de deterioro cognitivo leve (p 0,048; y al alta menor recuperación funcional (p Objectives: To describe the initial results of the implementation of a dysphagia assessment and intervention programme and to know which variables showed significant differences between patients with and without dysphagia detected by this way at an intermediate and long stay hospital. Methods: Descriptive and retrospective study on the assessment performed to patients suspected of having dysphagia and of the subsequent intervention done on those in whom it was confirmed. A standardized clinical method using different viscosities and volumes was used. After confirming the condition, different dietary, postural, and educational cares were undertaken. Demographical, clinical, and analytical variables were registered. Results: 146 patients were

  14. Response Art: The Art of the Art Therapist

    Science.gov (United States)

    Fish, Barbara J.

    2012-01-01

    Response art is artwork created by art therapists in response to material that arises in their therapy work. Art therapists use response art to contain difficult material, express and examine their experiences, and share their experiences with others. In this viewpoint, some of the varied uses of response art are discussed and illuminated with…

  15. The Winfrith DSN programme

    International Nuclear Information System (INIS)

    The programme, which is written in the Fortran language, solves the Carlson discrete Sn approximation to the Boltzmann transport equation in cylindrical geometry. This report describes the input and output facilities of the WINFRITH DSN programme and the associated editing programme WED. (author)

  16. Critical importance of long-term adherence to care in HIV infected patients in the cART era: new insights from Pneumocystis jirovecii pneumonia cases over 2004-2011 in the FHDH-ANRS CO4 cohort.

    Directory of Open Access Journals (Sweden)

    Blandine Denis

    Full Text Available OBJECTIVE: To describe characteristics and outcomes of HIV-infected patients with Pneumocystis jirovecii pneumonia (PCP over 2004-2011 in France, in particular in those previously enrolled (PE in the French Hospital Database on HIV (FHDH. METHODS: PE patients with an incident PCP were compared with patients with an inaugural PCP revealing HIV infection (reference. Adequate adherence to care was defined as a CD4 measurement at least every 6 months. Immune reconstitution (CD4≥200/mm3 and risk of death were studied using Kaplan-Meier estimates and multivariable Cox proportional hazards models. RESULTS: In a context of a decreasing incidence of PCP, 1259 HIV-infected patients had a PCP diagnosis, and 593 (47% were PE patients of whom 161 (27% have had a prior history of AIDS-defining clinical illness (prior ADI. Median time since enrolment was 8 years for PE patients; 74% had received cART. Median proportion of time with adequate adherence to care was 85% (IQR, 66-96 for all FHDH enrollees, but only 45% (IQR, 1-81 for PE patients during the 2 years before PCP. Median CD4 cell count (38/mm3 and HIV viral load (5.2 log10 copies/ml at PCP diagnosis did not differ between PE patients and the reference group. Three year mortality rate of 25% was observed for PE prior ADI group, higher than in PE non-prior ADI group (8% and the reference group (9% (p<0.0001. In the PE prior ADI group, poor prognosis remained even after adjustment for virological control and immune reconstitution (HR, 2.4 [95%CI, 1.5-3.7]. CONCLUSION: Almost 50% of PCP diagnoses in HIV-infected patients occurred presently in patients already in care, mainly with a previous cART prescription but with waning adherence to care. Having repeated ADI is contributing to the risk of death beyond its impact on immune reconstitution and viral suppression: special efforts must be undertaken to maintain those patients in care.

  17. A human rights-based approach to assess disadvantaged mothers' experiences with a nutrition supplementation programme provided at primary health care clinics. : A study from Cape Town, South Africa.

    OpenAIRE

    2009-01-01

    Summary A major health problem in South Africa is inadequate nutritional health among infants and young children which contributes to increased childhood morbidity and mortality. The health authorities in South Africa have implemented various health and nutrition programmes addressing this vulnerable group. However, so far there have been few evaluations of these programmes and hence the effectiveness and quality of the programmes are not certain. South Africa has, with its Bill of R...

  18. Art Lessons

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Art exhibitions in China are now an important way to engage with Africa THE African Museum at China’s Zhejiang Normal University(ZJNU) is the first of its kind on the Chinese mainland with the theme of African civilization.ZJNU is also the first Chinese university to set up a comprehensive institute of African studies.The museum was completed on

  19. Chicken Art

    Science.gov (United States)

    Bickett, Marianne

    2009-01-01

    In this article, the author describes how a visit from a flock of chickens provided inspiration for the children's chicken art. The gentle clucking of the hens, the rooster crowing, and the softness of the feathers all provided rich aural, tactile, visual, and emotional experiences. The experience affirms the importance and value of direct…

  20. Art, Paleolithic

    Czech Academy of Sciences Publication Activity Database

    Svoboda, Jiří

    Vol. 1. Great Barrington : Berkshire Poublishing Group LLC, 2005 - (McNeill, W.), s. 180-184 ISBN 0-9743091-0-9 Institutional research plan: CEZ:AV0Z80010507 Keywords : Paleolithic * art Subject RIV: AC - Archeology, Anthropology, Ethnology

  1. Balinese Art versus Global Art

    OpenAIRE

    Adrian Vickers

    2015-01-01

    AbstractThere are two reasons why “Balinese art” is not a global art form, firstbecause it became too closely subordinated to tourism between the 1950sand 1970s, and secondly because of confusion about how to classify“modern” and “traditional” Balinese art. The category of ‘modern’ artseems at first to be unproblematic, but looking at Balinese paintingfrom the 1930s to the present day shows that divisions into ‘traditional’,‘modern’ and ‘contemporary’ are anything but straight-forward. Indism...

  2. Art and Psychosis

    Directory of Open Access Journals (Sweden)

    Sarafis P.

    2010-01-01

    Full Text Available Aim: The interpretation of the special paint language of psychotics in order to understand of what he couldcommunicate and the way he shows his urge to build again reality, compose his ego again and to verify the fears andthreats that he feels. The purpose of this literature review is to investigate the ways that mental health nursing can useexpression through art therapeutically in order to lead to catharsis. Material-Method: a bibliographic review isattempted for the therapeutic implications and approaches of mental health nursing using art. The literature reviewwas carried out in a systematic way in electronic databases, but also through number of books and articles in Greekand international psychiatric and medical periodicals.Results: Art therapy offers a mirror to the feelings and thoughts.Giving format in sentiments through the image is a step towards achieving control over them. Art is a dialect of a greatvalue that could be used to transfer sometimes the unexespressed and to transmit vibrations and tragedies of thedepth of human life.Conclusions: This bibliographic review will lead mental health nurses to discover new ways ofcommunication and to enrich their capabilities to provide holistic, qualitative, individual care in mental patient. Arthelps person to find new solutions and gives life to the dead energy in order internal feelings and individualexperiences to be expressed to the outside world.

  3. A Survey of Software-Defined Networking: Past, Present, and Future of Programmable Networks

    OpenAIRE

    Astuto, Bruno Nunes; Mendonça, Marc; Nguyen, Xuan Nam; Obraczka, Katia; Turletti, Thierry

    2014-01-01

    The idea of programmable networks has recently re-gained considerable momentum due to the emergence of the Software-Defined Networking (SDN) paradigm. SDN, often referred to as a ''radical new idea in networking'', promises to dramatically simplify network management and enable innovation through network programmability. This paper surveys the state-of-the-art in programmable networks with an emphasis on SDN. We provide a historic perspective of programmable networks from early ideas to recen...

  4. Case mix, outcome and activity for patients with severe acute kidney injury during the first 24 hours after admission to an adult, general critical care unit: application of predictive models from a secondary analysis of the ICNARC Case Mix Programme Database

    OpenAIRE

    Kolhe, Nitin V; Stevens, Paul E.; Crowe, Alex V; Lipkin, Graham W.; Harrison, David A

    2008-01-01

    Introduction This study pools data from the UK Intensive Care National Audit and Research Center (ICNARC) Case Mix Programme (CMP) to evaluate the case mix, outcome and activity for 17,326 patients with severe acute kidney injury (AKI) occurring during the first 24 hours of admission to intensive care units (ICU). Methods Severe AKI admissions (defined as serum creatinine ≥300 μmol/l and/or urea ≥40 mmol/l during the first 24 hours) were extracted from the ICNARC CMP database of 276,326 admis...

  5. State of the art and perspectives of a after-care soil protection. Background information; Stand und Perspektiven des nachsorgenden Bodenschutzes. Hintergrund

    Energy Technology Data Exchange (ETDEWEB)

    Frauenstein, Joerg

    2010-03-15

    The purpose of the German Federal Soil Protection Act is a sustainable protection or re-establishment of the functions of the soil. Harmful changes of soils are to be avoided. Soils, contaminated sites as well as water pollutions are to be reorganized in such a way that the danger threshold permanently is remained under. The 'after-care soil protection' contains a graduated procedure. It covers the systematic work procedures acquisition, investigation and evaluation of suspected cases and surfaces suspicious to contaminated sites regarding to the potential of danger, the identification of the demand of redevelopment, the redevelopment of determined harmful changes of soil and contaminated sites as well as measures of the after-care after final acceptance of a remedial action.

  6. The Art of Selling Art

    OpenAIRE

    Poulsen, Nina

    2009-01-01

    Presenting empirical material from the making of the exhibition “This is Not Fiction” at the Milk Wall Gallery in the autumn 2007, I will in this paper introduce some of the themes and characteristics that are central to the notion of art and to the ethnographic study of it.

  7. An Art Centered Art Curriculum.

    Science.gov (United States)

    Irvine, Hope

    1984-01-01

    There are 10 approaches that teachers can use to sort out and present works of art to students, e.g., stylistic, topical, specific artist. Teachers should use all the approaches when developing a curriculum. An example of how a study of impressionism by secondary students might include these approaches is provided. (RM)

  8. Lajos Fülep: The task of Hungarian art history (1951’ [Lajos Fülep, ‘A magyar művészettörténelem föladata (1951,’ in Ernő Marosi ed., A magyar művészettörténet-írás programjai [Programmes of Hungarian art history writing], Budapest: Corvina, 1999, 283–305, edited by Árpád Tímár

    Directory of Open Access Journals (Sweden)

    Nóra Veszprémi

    2014-12-01

    Full Text Available The Hungarian art historian and theorist Lajos Fülep wrote his programmatic essay The Task of Hungarian Art History as his inaugural lecture given at the Hungarian Academy of Sciences in 1950. Starting from the provocative claim that the history of Hungarian art has not yet been written, the author distinguished ʽart in Hungary’ from ʽHungarian art.’ He argued that not all art created or found in Hungary could be designated as Hungarian art or included in its history, rejecting interwar art historians’ attempts to ʽappropriate’ art created by itinerant artists or other ethnic groups inhabiting the country. His essay called for new, fundamental research: an unbiased investigation of all art found in the historical territory of the country, so that subsequently Hungarian art could be identified within this greater whole. While rejecting appropriation, Fülep did not define Hungarian art by the ethnic origin of the makers; instead, he challenged art historians to prove the existence of clearly recognisable local traditions. This is the first English translation of a seminal text that has exerted a major influence on Hungarian art history writing. It is complemented by explanatory notes providing guidance for the non-Hungarian reader and is preceded by a short introduction which contains a biography of Fülep and a brief overview of his opinions on the question of national art.

  9. Supporting mothers: issues in a Community Mothers Programme

    OpenAIRE

    O'Connor, Pat

    2001-01-01

    peer-reviewed This article describes a community support programme which implicitly challenges the assumption that the existence of a partner and local kin obviates the need to support women when they come home from hospital with a new baby. Implicit in the programme is the idea that support by mothers, of mothers, validates the activity of child care and is one way of facilitating the child's development. This programme was successful in terms of its perceived impact on both the providers...

  10. Alive With Art

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Lovers of art who settle in Beijing have a wide set of options as local art museums featuring the best in home-grown and international art are trending right now.The National Art Museum of China and the CAFA (Central Academy of Fine Arts) Art Museum are two of the most important institutions available to feed the art itch.

  11. Rationale, design and conduct of a comprehensive evaluation of a primary care based intervention to improve the quality of life of osteoarthritis patients. The PraxArt-project: a cluster randomized controlled trial [ISRCTN87252339

    Directory of Open Access Journals (Sweden)

    Muth Christiane

    2005-07-01

    Full Text Available Abstract Background Osteoarthritis (OA has a high prevalence in primary care. Conservative, guideline orientated approaches aiming at improving pain treatment and increasing physical activity, have been proven to be effective in several contexts outside the primary care setting, as for instance the Arthritis Self management Programs (ASMPs. But it remains unclear if these comprehensive evidence based approaches can improve patients' quality of life if they are provided in a primary care setting. Methods/Design PraxArt is a cluster randomised controlled trial with GPs as the unit of randomisation. The aim of the study is to evaluate the impact of a comprehensive evidence based medical education of GPs on individual care and patients' quality of life. 75 GPs were randomised either to intervention group I or II or to a control group. Each GP will include 15 patients suffering from osteoarthritis according to the criteria of ACR. In intervention group I GPs will receive medical education and patient education leaflets including a physical exercise program. In intervention group II the same is provided, but in addition a practice nurse will be trained to monitor via monthly telephone calls adherence to GPs prescriptions and advices and ask about increasing pain and possible side effects of medication. In the control group no intervention will be applied at all. Main outcome measurement for patients' QoL is the GERMAN-AIMS2-SF questionnaire. In addition data about patients' satisfaction (using a modified EUROPEP-tool, medication, health care utilization, comorbidity, physical activity and depression (using PHQ-9 will be retrieved. Measurements (pre data collection will take place in months I-III, starting in June 2005. Post data collection will be performed after 6 months. Discussion Despite the high prevalence and increasing incidence, comprehensive and evidence based treatment approaches for OA in a primary care setting are neither established nor

  12. Streamlining tasks and roles to expand treatment and care for HIV: randomised controlled trial protocol

    Directory of Open Access Journals (Sweden)

    van Vuuren Cloete

    2008-04-01

    Full Text Available Abstract Background A major barrier to accessing free government-provided antiretroviral treatment (ART in South Africa is the shortage of suitably skilled health professionals. Current South African guidelines recommend that only doctors should prescribe ART, even though most primary care is provided by nurses. We have developed an effective method of educational outreach to primary care nurses in South Africa. Evidence is needed as to whether primary care nurses, with suitable training and managerial support, can initiate and continue to prescribe and monitor ART in the majority of ART-eligible adults. Methods/design This is a protocol for a pragmatic cluster randomised trial to evaluate the effectiveness of a complex intervention based on and supporting nurse-led antiretroviral treatment (ART for South African patients with HIV/AIDS, compared to current practice in which doctors are responsible for initiating ART and continuing prescribing. We will randomly allocate 31 primary care clinics in the Free State province to nurse-led or doctor-led ART. Two groups of patients aged 16 years and over will be included: a 7400 registering with the programme with CD4 counts of ≤ 350 cells/mL (mainly to evaluate treatment initiation and b 4900 already receiving ART (to evaluate ongoing treatment and monitoring. The primary outcomes will be time to death (in the first group and viral suppression (in the second group. Patients' survival, viral load and health status indicators will be measured at least 6-monthly for at least one year and up to 2 years, using an existing province-wide clinical database linked to the national death register. Trial registration Controlled Clinical Trials ISRCTN46836853

  13. The McCord-Christian medical Fellowship vocational training programme.

    Science.gov (United States)

    Reid, S J

    1999-07-01

    The first 3 years' experience of a vocational training programme for doctors based at McCord Hospital in Durban is described and reviewed. The stated aim of the programme is to equip doctors to 'serve the under-served according to the example of Christ' and to produce caring, competent and committed doctors for areas of need. PMID:10470314

  14. Art and Finance: Fine Art Derivatives

    Directory of Open Access Journals (Sweden)

    Francesco Strati

    2014-04-01

    Full Text Available This work is intended to introduce a new kind of asset, the so called art asset. This financial tool is an asset whose value is related to an art-work, and in particular to the artist reputation. It will be shown the evaluation of an art asset by using a particular kind of volatility, the α-hedging. This tool normalizes the prices volatility of the art-works of an artist (or an art-movement by a sentiment index referred to the Art Market. At last I shall show how the art assets’ values are related to an art-call option.

  15. En Note om Programmering

    DEFF Research Database (Denmark)

    Nørmark, Kurt

    2012-01-01

    Denne note er en introduktion til programmering. Formålet er at give dig et indblik i hvad programmering egentlig er for noget. Jeg vil vise at programmering kan foregå på forskellige måder, og at der er mange forskellige udfordringer forbundet med at programmere. Noten vil ikke knytte sig til et...... bestemt programmeringssprog. Noten vil kunne supplere et egentlig undervisningsmateriale, der støtter dig i en bestemt form for programmering i et udvalgt programmeringssprog....

  16. Finnish bioenergy research programme

    Energy Technology Data Exchange (ETDEWEB)

    Asplund, D. [VTT Energy, Jyvaeskylae (Finland)

    1996-12-31

    Finland is a leading country in the use of biofuels and has excellent opportunities to increase the use of biofuels by up to 25-30 %. The Finnish Government has set an objective for the promotion of bioenergy. The aim is to increase the use of bioenergy by about 25 % from the present level by 2005, and the increment corresponds to 1.5 million tonnes of oil equivalent (toe) per year. The R and D work has been considered as an important factor to achieve this ambitious goal. Energy research was organised into a series of research programmes in 1988 in accordance with the proposal of Finnish Energy Research Committee. The object of the research programmes is to enhance research activities and to bundle individual projects together into larger research packages. The common target of the Finnish energy research programmes is to proceed from basic and applied research to product development and pilot operation, and after that to the first commercial applications, e.g. demonstrations. As the organisation of energy research to programmes has led to good results, the Finnish Ministry of Trade and Industry decided to go on with this practice by launching new six-year programmes in 1993-1998. One of these programmes is the Bioenergy Research Programme and the co-ordination of this programme is carried out by VTT Energy. Besides VTT Energy the Finnish Forest Research Institute, Work Efficiency Institute, Metsaeteho and University of Joensuu are participating in the programme 7 refs.

  17. Estudio multicéntrico sobre la calidad asistencial percibida por los pacientes en programa de hemodiálisis de Tarragona Multicentric study of the care quality perceived by patients on haemodialysis programme in Tarragona

    Directory of Open Access Journals (Sweden)

    Esperança Anguera Guinovart

    2011-09-01

    Full Text Available Las nuevas tecnologías han optimizado el tratamiento renal sustitutivo, sin embargo, nuestro interés se centra en conocer la opinión del paciente sobre los cuidados que recibe en las Unidades de Hemodiálisis (HD, con el fin de mejorar la asistencia sanitaria. El objetivo del estudio es determinar la calidad asistencial percibida por el usuario en las Unidades de Hemodiálisis de la provincia de Tarragona. Se pretende encuestar a los pacientes de los centros de HD de la provincia de Tarragona con Insuficiencia Renal Crónica que deseen participar en el estudio. Se utiliza la encuesta SERVQHOS modificada y la escala Likert para determinar el Índice de Satisfacción del usuario. Hemos ponderado los resultados mediante dos métodos distintos: La correlación y la Ponderación del paciente para determinar cuál es más fiable. Se realiza el tratamiento informático de los datos con el programa informático SPSS-15 para Windows. Según los resultados obtenidos, la Satisfacción Global del Paciente es de 4.3 sobre 5 (muy satisfecho Alpha de Cronbach de 0.90. Los ítems del cuestionario que mayor importancia tienen para el paciente son (pNew technologies have optimized renal replacement therapy. However, our interest is focused on finding out the patient's opinion of the care received at Haemodialysis (HD Units, in order to improve the healthcare. The aim of the study is to determine the care quality perceived by the user in the Haemodialysis Units in the province of Tarragona. It is sought to survey patients of the HD centres in the province of Tarragona with Chronic Renal Insufficiency who wish to participate in the study. The modified SERVQHOS survey and the Likert scale are used to determine the user Satisfaction Index. We have weighted the results using two different methods: correlation and Weighting of the patient to determine which is more reliable. The data were processed using the SPSS-15 programme for Windows. According to the results

  18. Reliability evaluation programmable logic devices

    International Nuclear Information System (INIS)

    Programmable Logic Devices (PLD) are widely used as basic building modules in high integrity systems, considering their robust features such as gate density, performance, speed etc. PLDs are used to implement digital design such as bus interface logic, control logic, sequencing logic, glue logic etc. Due to semiconductor evolution, new PLDs with state-of-the-art features are arriving to the market. Since these devices are reliable as per the manufacturer's specification, they were used in the design of safety systems. But due to their reduced market life, the availability of performance data is limited. So evaluating the PLD before deploying in a safety system is very important. This paper presents a survey on the use of PLDs in the nuclear domain and the steps involved in the evaluation of PLD using Quantitative Accelerated Life Testing. (author)

  19. The Suffering of Arts Entrepreneurs: Will Fine Art Students Be Educated on How to Become Successfully Self-Employed?

    Science.gov (United States)

    Thom, Marco

    2015-01-01

    The aim of the study is to show whether, how and to what extent fine art students will be equipped with entrepreneurial skills and therefore be educated on how to make a living as a practicing artist. A comprehensive and comparative analysis of Fine Art degree programmes and extra-curricular training offerings at higher education institutions…

  20. SET-Routes programme

    CERN Multimedia

    CERN audiovisual service

    2009-01-01

    The SET-Routes programme, launched in 2007 with the goal of attracting girls and young women to careers in science, came to an end in April this year. The result of a collaboration between EMBL, EMBO and CERN, the programme established a network of "ambassadors", women scientists who went out to talk about their careers in science at schools and universities across Europe.

  1. Art Therapy Teaching as Performance Art

    Science.gov (United States)

    Moon, Bruce L.

    2012-01-01

    This viewpoint asserts that art therapy education is a form of performance art. By designing class sessions as performance artworks, art therapy educators can help their students become more fully immersed in their studies. This view also can be extended to conceptualizing each semester--and the entire art therapy curriculum--as a complex and…

  2. Fusion technology programme

    International Nuclear Information System (INIS)

    KfK participates to the Fusion Technology Programme of the European Community. Most of the work in progress addresses the Next European Torus (NET) and the long term technology aspects as defined in the 82/86 programme. A minor part serves to preparation of future contributions and to design studies on fusion concepts in a wider perspective. The Fusion Technology Programme of Euratom covers mainly aspects of nuclear engineering. Plasma engineering, heating, refueling and vacuum technology are at present part of the Physics Programme. In view of NET, integration of the different areas of work will be mandatory. KfK is therefore prepared to address technical aspects beyond the actual scope of the physics experiments. The technology tasks are reported project wise under title and code of the Euratom programme. Most of the projects described here are shared with other European fusion laboratories as indicated in the table annexed to this report. (orig./GG)

  3. Building capacity for antiretroviral delivery in South Africa: A qualitative evaluation of the PALSA PLUS nurse training programme

    Directory of Open Access Journals (Sweden)

    English R

    2008-11-01

    Full Text Available Abstract Background South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART delivery. The PALSA PLUS programme provides guidelines and training for primary health care (PHC nurses in the management of adult lung diseases and HIV/AIDS, including ART. A process evaluation was undertaken to document the training, explore perceptions regarding the value of the training, and compare the PALSA PLUS training approach (used at intervention sites with the provincial training model. The evaluation was conducted alongside a randomized controlled trial measuring the effects of the PALSA PLUS nurse-training (Trial reference number ISRCTN24820584. Methods Qualitative methods were utilized, including participant observation of training sessions, focus group discussions and interviews. Data were analyzed thematically. Results Nurse uptake of PALSA PLUS training, with regard not only to ART specific components but also lung health, was high. The ongoing on-site training of all PHC nurses, as opposed to the once-off centralized training provided for ART nurses only at non-intervention clinics, enhanced nurses' experience of support for their work by allowing, not only for ongoing experiential learning, supervision and emotional support, but also for the ongoing managerial review of all those infrastructural and system-level changes required to facilitate health provider behaviour change and guideline implementation. The training of all PHC nurses in PALSA PLUS guideline use, as opposed to ART nurses only, was also perceived to better facilitate the integration of AIDS care within the clinic context. Conclusion PALSA PLUS training successfully engaged all PHC nurses in a comprehensive approach to a range of illnesses affecting both HIV positive and negative patients. PHC nurse-training for integrated systems-based interventions should be prioritized on the ART

  4. Towards art content in original graphic arts

    OpenAIRE

    Grdina, Sonja

    2011-01-01

    Contemporary Graphic art defines numerous graphic art techniques; from classical original graphic art techniques to the new media techniques. The new media reproduction and communication capacity influences contemporary art works in such way that more attention is on non-artistic content, while artistic content with its visual efficiency becomes less important. Reproductibility is one of the non-artistic contents which plays a key role in original graphic arts, where it is a means of making o...

  5. From interventions to interactions: Science Museum Arts Projects’ history and the challenges of interpreting art in the Science Museum

    OpenAIRE

    Hannah Redler

    2009-01-01

    Hannah Redler’s paper examines the 13 year history of Science Museum, London’s contemporary art programme and explores how changing cultural conditions and the changing function of museums are making the questions raised by bringing art into the Science Museum context increasingly significant. It looks at how Science Museum Arts Projects started as a quirky, experimental sideline aimed at shaking up the Museum and its visitors’ assumptions, but has now become a fundamental means by which the ...

  6. Recent state report: Groundwater programmes of variable density

    International Nuclear Information System (INIS)

    This report summarises basic facts and data that may be helpful in decisions about the development of a groundwater programme for the calculation of saline groundwater movements. Generally accepted requirements of a rapid groundwater programme for the assessment of flow mechanisms above salt domes are defined. It also describes the possibilities offered by similar programmes already in progress on a national and international basis and discusses state-of-the-art numerical methods and hardware in respect of speed and efficiency of the relevant computer programmes. The availability of a rapid groundwater programme would make it possible for model calculations in connection with long-term safety analyses to take account of the influence of salinity on groundwater movements in extended and complex model regions. (orig./DG)

  7. Factors associated with antiretroviral treatment initiation amongst HIV-positive individuals linked to care within a universal test and treat programme: early findings of the ANRS 12249 TasP trial in rural South Africa.

    Science.gov (United States)

    Boyer, Sylvie; Iwuji, Collins; Gosset, Andréa; Protopopescu, Camelia; Okesola, Nonhlanhla; Plazy, Mélanie; Spire, Bruno; Orne-Gliemann, Joanna; McGrath, Nuala; Pillay, Deenan; Dabis, François; Larmarange, Joseph

    2016-01-01

    Prompt uptake of antiretroviral treatment (ART) is essential to ensure the success of universal test and treat (UTT) strategies to prevent HIV transmission in high-prevalence settings. We describe ART initiation rates and associated factors within an ongoing UTT cluster-randomized trial in rural South Africa. HIV-positive individuals were offered immediate ART in the intervention arm vs. national guidelines recommended initiation (CD4≤350 cells/mm(3)) in the control arm. We used data collected up to July 2015 among the ART-eligible individuals linked to TasP clinics before January 2015. ART initiation rates at one (M1), three (M3) and six months (M6) from baseline visit were described by cluster and CD4 count strata (cells/mm(3)) and other eligibility criteria: ≤100; 100-200; 200-350; CD4>350 with WHO stage 3/4 or pregnancy; CD4>350 without WHO stage 3/4 or pregnancy. A Cox model accounting for covariate effect changes over time was used to assess factors associated with ART initiation. The 514 participants had a median [interquartile range] follow-up duration of 1.08 [0.69; 2.07] months until ART initiation or last visit. ART initiation rates at M1 varied substantially (36.9% in the group CD4>350 without WHO stage 3/4 or pregnancy, and 55.2-71.8% in the three groups with CD4≤350) but less at M6 (from 85.3% in the first group to 96.1-98.3% in the three other groups). Factors associated with lower ART initiation at M1 were a higher CD4 count and attending clinics with both high patient load and higher cluster HIV prevalence. After M1, having a regular partner was the only factor associated with higher likelihood of ART initiation. These findings suggest good ART uptake within a UTT setting, even among individuals with high CD4 count. However, inadequate staffing and healthcare professional practices could result in prioritizing ART initiation in patients with the lowest CD4 counts. PMID:27421051

  8. Implementation of cervical cancer screening using visual inspection with acetic acid in rural Mozambique: successes and challenges using HIV care and treatment programme investments in Zambézia Province

    Directory of Open Access Journals (Sweden)

    Alberto J Baptista

    2012-06-01

    Full Text Available Background: In order to maximize the benefits of HIV care and treatment investments in sub-Saharan Africa, programs can broaden to target other diseases amenable to screening and efficient management. We nested cervical cancer screening into family planning clinics at select sites also receiving PEPFAR support for antiretroviral therapy (ART rollout. This was done using visual inspection with acetic acid (VIA by maternal child health nurses. We report on achievements and obstacles in the first year of the program in rural Mozambique. Methods: VIA was taught to clinic nurses and hospital physicians, with a regular clinical feedback loop for quality evaluation and retraining. Cryotherapy using carbon dioxide as the refrigerant was provided at clinics; loop electrosurgical excision procedure (LEEP and surgery were provided at the provincial hospital for serious cases. No pathology services were available. Results: Nurses screened 4651 women using VIA in Zambézia Province in year one of the program, more than double the Ministry of Health service target. VIA was judged positive for squamous intraepithelial lesions in 8% (n=380 of the women (9% if age ≥30 years (n=3154 and 7% if age <30 years (n=1497; p=0.02. Of the 380 VIA-positive women, 4% (n=16 had lesions (0.3% of 4651 total screened requiring referral to Quelimane Provincial Hospital. Fourteen (88% of these 16 women were seen at the hospital, but records were inadequate to judge outcomes. Of women screened, 2714 (58% either had knowledge of their HIV status prior to VIA or were subsequently sent for HIV testing, of which 583 (21% were HIV positive. Conclusions: Screening and clinical services were successfully provided on a large scale for the first time ever in these rural clinics. However, health manpower shortages, equipment problems, poor paper record systems and a limited ability to follow-up patients inhibited the quality of the cervical cancer screening services. Using prior HIV

  9. The European Fusion Programme

    International Nuclear Information System (INIS)

    The European Fusion Programme is coordinated by Euratom and represents a long term cooperative project of Member States of the European Communities in the field of fusion, designed to lead to the joint construction of prototypes. The main lines of the programme proposed for 1982 to 1986 are: (1) the continuation of a strong effort on tokamaks with emphasis on JET construction, operation and upgrading, (2) conceptual design of NET and development of the related technology, and (3) further work on two alternative magnetic confinement systems. The current status and future plans for this programme are discussed in the paper. (author)

  10. Finnish Research Programme on Nuclear Waste Management (KYT). Framework Programme for 2002-2005

    International Nuclear Information System (INIS)

    The new Finnish research programme on nuclear waste management (KYT) will be conducted in 2002 - 2005. This framework programme describes the starting point, the basic aims and the organisation of the research programme. The starting point of the KYT programme is derived from the present state and future challenges of Finnish nuclear waste management. The research programme is funded mainly by the Ministry of Trade and Industry (KTM), the Radiation and Nuclear Safety Authority (STUK), Posiva Oy, Fortum Oyj, Teollisuuden Voima Oy (TVO), and the National Technology Agency (Tekes). As both regulators and implementors are involved, the research programme concentrates on neutral research topics that must be studied in any case. Methods and tools for experimental and theoretical studies fall in this category. State of the art -reviews on relevant topics also create national know-how. Topics that directly belong to licensing activities of nuclear waste management are excluded from the research programme. KYT carries out technical studies that increase national know-how in the area of nuclear waste management. The aim is to maintain and develop basic expertise needed in the operations derived from the national nuclear waste management plan. The studies have been divided into strategic studies and studies enhancing the long-term safety of spent nuclear fuel disposal. Strategic studies support the overall feasibility of Finnish nuclear waste management. These studies include basic options and overall safety principles related to nuclear fuel cycle and nuclear waste management. In addition, general cost estimates as well as general safety considerations related to transportations, low- and medium level wastes, and decommissioning are included in strategic studies. Studies supporting the long-term safety of spent fuel disposal include issues related to performance assessment methodology, release of radionuclides from the repository, behaviour of bedrock and groundwater

  11. Network virtualization and programmability

    OpenAIRE

    Colle, Didier; Jooris, Bart; Gurzi, Pasquale; Pickavet, Mario; Demeester, Piet

    2010-01-01

    We present network virtualization (building virtual or logical networks over a physical infrastructure) and network programmability (allowing the network operator to at least control the network but more fundamentally to define its behavior) concepts.

  12. Elukestva õppe programm : Erasmus+

    Index Scriptorium Estoniae

    2014-01-01

    Erasmus+ programm liidab senised koostööprogrammid „Euroopa elukestva õppe programm“, „Euroopa Noored“ ning Euroopa komisjoni rahvusvahelised kõrgharidusprogrammid. Elukestva õppe programmi 2013 kokkuvõte

  13. Fellows, Associates & Students Programmes

    CERN Document Server

    2005-01-01

    The present document reviews the CERN Fellows, Associates and Students Programmes emphasizing the developments since 2000, when the previous review was presented to the Scientific Policy Committee, Finance Committee and Council (CERN/2325), and makes proposals for the coming five years. In summary, it is proposed to â?¢ Simplify the payment scheme for the Paid Scientific Associates Programme, which will no longer depend on candidateâ??s home support and age; â?¢ Broaden the scope of the Fellowship Programme, in order to facilitate the recruitment of young graduates in computing and engineering. Age-related eligibility conditions and payment levels will be replaced with experience-based criteria; â?¢ Modify subsistence rates for the Doctoral and Technical Student Programme in order to harmonize CERNâ??s payment levels with those offered by other research establishments. This document is presented for discussion and recommendation by the Scientific Policy Committee and approval by the Council. Additiona...

  14. Greek Teachers Programme 2015

    CERN Multimedia

    Hoch, Michael

    2015-01-01

    The 3rd edition of this year's Greek Teachers Programme was co-organized by CERN Education Group and the Hellenic Physical Society and took place from 8 to 12 November 2015. The programme targets physics high-school teachers from all over Greece. It aims to help teachers inspire the next generation of scientists and engineers by motivating their students to understand and appreciate how science works at the world's largest physics laboratory, whereby increasing their interest in pursuing studies in STEM fields in secondary and post-secondary education. 33 teachers took part in this programme which comprised lectures by Greek members of the CERN scientific community, with visits to experimental facilities, hands-on activities and dedicated sessions on effective and creative ways through which participants may bring physics, particle physics and CERN closer to their school classroom. In 2015, more than 100 teachers took part in the three editions of the Greek Teachers Programme.

  15. Prescrição do dia: infusão de alegria. Utilizando a arte como instrumento na assistência à criança hospitalizada Prescripción del día: infusión de alegría, utilizando el arte como instrumento, en la asistencia al niño hospitalizado Prescription for the day: infusion of joy. Using art as an instrument for the care of hospitalized children

    Directory of Open Access Journals (Sweden)

    Giovana Müler Françani

    1998-12-01

    Full Text Available O objetivo deste trabalho é relatar a experiência de um grupo de alunas do Curso de Graduação em Enfermagem da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo que utiliza a arte (aspectos do teatro Clown como recurso auxiliar da enfermagem na assistência à criança hospitalizada. Baseado no trabalho realizado pelo grupo "Doutores da Alegria" e nos conhecimentos teóricos das disciplinas de Psicologia e Enfermagem Pediátrica e Neonatal estas alunas criaram a Companhia do Riso que procura resgatar o riso da criança/família hospitalizada. A partir desta experiência pode-se observar algumas transformações no dia-a-dia: o espaço hospitalar tornou-se mais informal e descontraído, o riso pode ser ouvido com maior freqüência e objetos, sons, movimentos, cores, espaços e personagens podem se tornar brinquedos.El objetivo de este trabajo es relatar la experiencia de un grupo de alumnos de curso de pregrado de Enfermería de la Escuela de Enfermería de Ribeirão Preto de la Universidad de San Pablo, que utiliza el arte (aspectos del teatro Clon, como recurso auxiliar de Enfermería en la asistencia al niño hospitalizado. Basado en el trabajo realizado por el grupo "Doctores de la alegría" y en los conocimientos teóricos de las disciplinas de Sicología y Enfermería Pediátrica y Neonatal, estas alumnas crearon la compañía de la risa, que procura rescatar la risa de los niños y su familia en el hospital. A partir de esta experiencia se puede observar algunas transformaciones en el diario vivir: El espacio hospitalario se tornó más informal y sin ambiente pesado, la risas pueden ser oídas con mayor frecuencia, sonidos, movimientos, colores, espacios y personas pueden transformarse en juguetes.The purpose of this study is to report on the experiment of a group of undergraduate students from the University of São Paulo at Ribeirão Preto College of Nursing, who use art (some aspects of the Clown Theatre as a

  16. Cook it! Fun, fast food for less: community nutrition education programme

    OpenAIRE

    Public Health Agency

    2011-01-01

    This training manual was produced to support the Cook it! programme, which was specially developed for use in Northern Ireland. The Cook it! programme is delivered in the community by trained facilitators and can be used with a wide range of groups, including young/single parents, young people leaving residential care, offenders during rehabilitation programmes, older people in sheltered accomodation etc.The manual contains all the information needed to deliver Cook it! programmes in the comm...

  17. Art: What Matters?

    Science.gov (United States)

    Friend, Nicholas

    2005-01-01

    Is art merely an adjunct to the serious business of life? Is there a secret ingredient that makes some art more worthwhile than other art? Does art have something to offer that makes its pursuit or purchase worthwhile, or is it simply an outlet for spare capital? Does art really matter at all? (Contains 5 figures.)

  18. The Art of Teaching.

    Science.gov (United States)

    Learning, 1996

    1996-01-01

    Discusses the benefits of integrating the arts into education to help students learn more and better. The paper looks at advantages to including music, visual arts, dance, and theater arts in the classroom, explaining the part that arts play in assessment. Resources for integrated arts activities are included. (SM)

  19. The Gold Standard Programme

    DEFF Research Database (Denmark)

    Neumann, Tim; Rasmussen, Mette; Ghith, Nermin;

    2013-01-01

    To evaluate the real-life effect of an evidence-based Gold Standard Programme (GSP) for smoking cessation interventions in disadvantaged patients and to identify modifiable factors that consistently produce the highest abstinence rates.......To evaluate the real-life effect of an evidence-based Gold Standard Programme (GSP) for smoking cessation interventions in disadvantaged patients and to identify modifiable factors that consistently produce the highest abstinence rates....

  20. Stay Safe Programme

    OpenAIRE

    MacIntyre, Deirdre; Carr, Alan.

    1999-01-01

    Objective. This child abuse prevention study aimed to evaluate the effectiveness of the Stay Safe Programme in training unscreened 7 and 10 year old children in personal safety skills. Subsidiary aims were to evaluate the programme's impact on children's self-esteem and parents' and teachers' knowledge and attitudes of relevance to child abuse and protection. Method. Changes in safety knowledge and skills and self-esteem of 339 children who participated in the Stay Safe Program...

  1. Improvisation and the art of holistic nursing.

    Science.gov (United States)

    Hanley, Mary Anne; Fenton, Mary V

    2013-10-01

    The art of improvisation is an essential component of responding on the front lines of caring. Improvisation expresses the nurse's capacity to perceive the changing patterns of patients and their environments in ways that foster creative and innovative approaches to meeting healthcare needs. Many holistic nurses across the country are working on the front lines of caring, improvising and implementing projects to create change within their communities. This article examines improvisation within the context of the art and science of nursing, and proposes that improvisation reflects qualities within holistic nursing that are essential in contemporary health care. PMID:24575514

  2. A telecare programme for self-management of COPD exacerbations and promotion of an active lifestyle

    NARCIS (Netherlands)

    Tabak, Monique; Brusse-Keizer, Marjolein; Ommeren, Clara; Kotte, Hayke; Weltevreden, Paul; Hermens, Hermie; Vollenbroek-Hutten, Miriam

    2013-01-01

    Objective: The Condition Coach (CoCo) is a technology-supported care programme for self-management of COPD exacerbations and for promotion of an active lifestyle. The objective is to investigate the added value of the telecare programme in terms of clinical changes compared to usual care, and in add

  3. Positive spill-over effects of ART scale up on wider health systems development: evidence from Ethiopia and Malawi

    Directory of Open Access Journals (Sweden)

    Rasschaert Freya

    2011-07-01

    Full Text Available Abstract Background Global health initiatives have enabled the scale up of antiretroviral treatment (ART over recent years. The impact of HIV-specific funds and programmes on non-HIV-related health services and health systems in genera has been debated extensively. Drawing on evidence from Malawi and Ethiopia, this article analyses the effects of ART scale-up interventions on human resources policies, service delivery and general health outcomes, and explores how synergies can be maximized. Methods Data from Malawi and Ethiopia were compiled between 2004 and 2009 and between 2005 and 2009, respectively. We developed a conceptual health systems framework for the analysis. We used the major changes in human resources policies as an entry point to explore the wider health systems changes. Results In both countries, the need for an HIV response triggered an overhaul of human resources policies. As a result, the health workforce at health facility and community level was reinforced. The impact of this human resources trend was felt beyond the scale up of ART services; it also contributed to an overall increase in functional health facilities providing curative, mother and child health, and ART services. In addition to a significant increase in ART coverage, we observed a remarkable rise in user rates of non-HIV health services and an improvement in overall health outcomes. Conclusions Interventions aimed at the expansion of ART services and improvement of long-term retention of patients in ART care can have positive spill-over effects on the health system. The responses of Malawi and Ethiopia to their human resources crises was exceptional in many respects, and some of the lessons learnt can be useful in other contexts. The case studies show the feasibility of obtaining improved health outcomes beyond HIV through scaled-up ART interventions when these are part of a long-term, system-wide health plan supported by all decision makers and funders.

  4. Predictors of mortality among HIV-infected patients initiating anti retroviral therapy at a tertiary care hospital in Eastern India

    Institute of Scientific and Technical Information of China (English)

    Ananya Bhowmik; Subhasis Bhandari; Rajyasree De; Subhasish Kamal Guha

    2012-01-01

    Objective: To assess early mortality and identify its predictors among the ART naive HIV-infected patients initiating anti retroviral therapy (ART) available free of cost at the ART Centres.Methods: A retrospective cohort analysis of routinely collected programme data was done for assessing mortality of all ART naive adult patients who received first-line ART at a government tertiary care hospital in eastern India during 1st March 2009 and 28th February 2010. Bivariate and multiple regression analyses of the baseline demographic, clinical and laboratory records using SPSS 15.0 were done to identify independent predictors of mortality. Results: The mortality rate at one year was estimated to be 7.66 (95% CI 5.84-9.83) deaths/100 patient-years and more than 50% of the deaths occurred during first three months of ART initiation with a median time interval of 73 days. Tuberculosis was the major cause of death. ART naive patients with baseline serum albumin <3.5 mg/dL were eight (OR 7.9; 95% CI: 3.8-16.5) at risk of death than those with higher serum albumin levels and patients with CD4 count <100 cells/μL were two times (OR 2.2;95% CI: 1.1-4.4) at risk of death compared to higher CD4 counts. Conclusions: Risk of mortality is increased when ART is initiated at advanced stages of immunosuppression denoted by low serum albumin levels and CD4 cell counts. This highlights the importance of early detection of HIV infection, early management of opportunistic infections including tuberculosis and timely initiation of the antiretroviral drugs in the resource-limited countries, now available free in the Indian national ART programme.

  5. Artful Teaching: Integrating the Arts for Understanding across the Curriculum K-8

    Science.gov (United States)

    Donahue, David M., Ed.; Stuart, Jennifer, Ed.

    2010-01-01

    The authors in this volume share exemplary arts-integration practices across the K-8 curriculum. Rather than providing formulas or scripts to be followed, they carefully describe how the arts provide an entry point for gaining insight into why and how students learn. The book includes rich and lively examples of public school teachers integrating…

  6. Empathy among students in engineering programmes

    Science.gov (United States)

    Rasoal, Chato; Danielsson, Henrik; Jungert, Tomas

    2012-10-01

    Engineers face challenges when they are to manage project groups and be leaders for organisations because such positions demand skills in social competence and empathy. Previous studies have shown that engineers have low degrees of social competence skills. In this study, the level of empathy as measured by the four subscales of the Interpersonal Reactivity Index, perspective taking, fantasy, empathic distress and empathic concern, among engineering students was compared to students in health care profession programmes. Participants were undergraduate students at Linköping University, 365 students from four different health care profession programmes and 115 students from two different engineering programmes. When the empathy measures were corrected for effects of sex, engineering students from one of the programmes had lower empathy than psychology and social worker students on the fantasy and perspective-taking subscales. These results raise questions regarding opportunities for engineering students to develop their empathic abilities. It is important that engineering students acquire both theoretical and practical knowledge and skills regarding empathy.

  7. The Brazilian nuclear power manpower development programme

    International Nuclear Information System (INIS)

    Since the early stages of decision making, manpower availability has been recognized to be a key factor for the implementation of Brazil's nuclear power programme. Though care has been given to securing an industrial base and financial resources, the consequences of a lack of sufficient qualified manpower could be critical for the success of the whole programme. The broad scope of the Brazilian nuclear power programme which, as a main concept, aimed at establishing in the country a complete fuel cycle industry together with the construction of nuclear power plants, added another burden to the already complex task of providing appropriate human resources when advanced technologies are introduced in a developing country. Thus, not only the work-force required for nuclear power plant operation but also that needed for plant design, component manufacture, fuel cycle plant design and operation, had to be made available in number and qualification in accordance with the standards of the nuclear industry. The feasibility of the Brazilian programme depended on a complete transfer of technology, essentially achieved through personnel training. Again, the process of manpower preparation for an efficient know-how transfer required careful planning, and the great difficulty in its implementation was the lack of reliable experience at the time. (author)

  8. Temporality and permanence in Romanian public art

    Directory of Open Access Journals (Sweden)

    Maria-Judit Balko

    2015-09-01

    Full Text Available This paper analyzes the relationship between permanent monuments and temporary art projects, as temporality is one of the strategies employed by Romanian artists to counterbalance the support that the Romanian state has shown only towards monuments and memorials dedicated to affirming its value. The complex nature of public art requires a careful consideration of the different dimensions this practice employs, and for that the Western debate on this matter can be a reference point in understanding Romanian public art. We will be looking at possible aspects of the functions of these two main directions in Romanian public art, as they stand methodically one in opposition to the other, in connection with the texts of Piotr Piotrowski (Art and Democracy in Post-communist Europe, 2012 and Boris Groys (Art Power, 2008.

  9. Screening of newborns for congenital hypothyroidism. Guidance for developing programmes

    International Nuclear Information System (INIS)

    Congenital hypothyroidism is a condition that, if left untreated, can cause lifelong human suffering as a result of severe mental retardation and deficiency of growth. With the involvement of the IAEA, screening programmes to detect congenital hypothyroidism in newborn infants have been introduced successfully in a large number of countries. The cornerstone of these programmes is accurate and reliable screening methods involving isotope techniques and simple medical treatment. The suffering - and heavy social and economic burden - caused by congenital hypothyroidism prompted many countries to institute a formalized screening programme directed at newborns, just as a vaccination programme has become an integral part of child health care. In many other countries however, this type of formalized service has not yet been established. For these countries, the implementation of a neonatal screening programme will bring about a considerable improvement in child health care. It is hoped that the guidance in this publication will be especially useful to the signatories of the United Nations Convention on the Rights of the Child. Several factors that prevail in a country - the climate, political environment, economic development, level of health care and the transportation system - have an influence on the overall operational systems, design and implementation of a screening programme. As such, the design of such a programme will differ greatly from country to country. Nevertheless, neonatal screening programmes have many elements in common. This book draws on the IAEA's experience in this area over more than a decade, and on the results of a regional technical cooperation programme on neonatal screening for congenital hypothyroidism in East Asia (IAEA Project RAS6032). This publication provides guidance aimed specifically at implementing and sustaining programmes for the screening of newborn infants

  10. Art of A.R.T.

    OpenAIRE

    Furse, Anna F. D.

    2003-01-01

    "Art of A.R.T." investigates the artistic and aesthetic potential of Assisted Reproduction Technology (A.R.T.) from a personal perspective. In so doing, she highlights the cultural tendency to marginalise sub-fertile women and describes the difficulties and prejudices women are confronted with when undergoing a fertilisation treatment. Furse complements her unusual theoretical and practical exploration of A.R.T. with a presentation of her current performance piece Yerma's Eggs and the impact ...

  11. Evaluation of the PhunkyFoods Programme. Final Report

    Science.gov (United States)

    Teeman, David; Reed, Frances; Bielby, Gill; Scott, Emma; Sims, David

    2008-01-01

    The PhunkyFoods Programme (PFP), launched in 2005 by Purely Nutrition, teaches primary children key messages related to healthy eating and physical exercise in a light hearted and fun manner through art, drama, music, play and practical experience with food. It aims to enhance pupil performance, increase concentration, and improve behaviour,…

  12. The Tunisian standards and labelling programme

    International Nuclear Information System (INIS)

    Tunisia has recently implemented a standards and labelling programme for household appliances and other energy using equipment. This programme, which is the fruit of six years labour supported by the Global Environmental Facility (GEF) and executed by l'Agence Nationale pour la Maitrise de l'Energie (ANME), led to the issue of energy labelling and minimum energy efficiency standards regulations for refrigerators in 2004. This paper reports on the design and implementation of the programme that not only serves as a role model for how such programmes can be conducted in developing countries, but also matches or exceeds the design and implementation of similar programmes in developed countries. Findings are presented on the following elements: consumer research used to design the Tunisian energy label, the establishment and accreditation of national test facilities, the energy performance certification, verification and compliance process, the development of refrigerator energy efficiency and labelling criteria, public communications and outreach strategy projected programme impacts Results are also presented from a detailed and sophisticated refrigerator techno-economic energy engineering analysis that provided much of the analytical basis for the choice of labelling and efficiency standards thresholds. As a result of its careful design and implementation it is forecast that by 2030 the programme will have saved 3.4 Mt of CO2 emissions at a cost to the GEF of just 20 USc/tonne. The cost of conserved electricity for Tunisian consumers is projected to be less than 1 USc/kWh, which compares very favourably with the current tariff of 7.4 USc/kWh

  13. Planning environmental sanitation programmes in emergencies.

    Science.gov (United States)

    Harvey, Peter A; Reed, Robert A

    2005-06-01

    Environmental sanitation programmes are vital for tackling environmental-related disease and ensuring human dignity in emergency situations. If they are to have maximum impact they must be planned in a rapid but systematic manner. An appropriate planning process comprises five key stages: rapid assessment and priority setting; outline programme design; immediate action; detailed programme design; and implementation. The assessment should be based on carefully selected data, which are analysed via comparison with suitable minimum objectives. How the intervention should be prioritised is determined through objective ranking of different environmental sanitation sector needs. Next, a programme design outline is produced to identify immediate and longer-term intervention activities and to guarantee that apposite resources are made available. Immediate action is taken to meet acute emergency needs while the detailed programme design takes shape. This entails in-depth consultation with the affected community and comprehensive planning of activities and resource requirements. Implementation can then begin, which should involve pertinent management and monitoring strategies. PMID:15910646

  14. National ART Success Rates

    Science.gov (United States)

    ... ART and Birth Defects ART and Autism 2013 Assisted Reproductive Technology National Summary Report Recommend on Facebook Tweet Share ... live-birth rate? [PDF - 1.37MB] Section 2: ART Cycles using fresh nondonor eggs or embryos What ...

  15. Medical Art Therapy

    OpenAIRE

    Aydın, Birgül

    2012-01-01

    Art therapy is a form of expressive therapy that uses art materials. Art therapy combines traditional psychotherapeutic theories and techniques with an understanding of the psychological aspects of the creative process, especially the affective properties of the different art materials. Medical art therapy has been defined as the clinical application of art expression and imagery with individuals who are physically ill, experiencing physical trauma or undergoing invasive or aggressive medical...

  16. Museo de Arte. Viena

    Directory of Open Access Journals (Sweden)

    Schwanzer, Karl

    1965-07-01

    Full Text Available This museum is meant to house XXth century art exhibits. There is one building, with two floor levels, where the exhibitions are held. A furtherbuilding, running at right angles to the first one, contains the offices, a lecture hall with seating accommodation for 116 people, a reading room, vestibule and cloakroom. There are three patios, surrounding the museum. These serve to show to the public various sculptures, and the general arrangement of these outdoor spaces is carefully planned to show the exhibits to the best possible advantage. The metallic structure is painted red, and is in strong contrast with the greenness of the surrounding vegetation. In this case, the resulting colour balance has proved most successful.Este museo está destinado a albergar obras de arte del siglo XX. Consta de un cuerpo de edificio con dos plantas dedicadas a exposición; y de otro cuerpo, perpendicular al anterior, con una planta que aloja las oficinas, una sala de conferencias para 116 personas, cine, sala de lectura, guardarropas y vestíbulo. Los tres patios que rodean el edificio de exposiciones han sido proyectados de modo que permiten al visitante contemplar adecuadamente las esculturas que en los mismos figuran. El color rojo que se ha dado a la estructura metálica—vista—contrasta con el verde de las masas de árboles y césped del parque circundante, con lo que se ha logrado una feliz armonía.

  17. ADS National Programmes: France

    International Nuclear Information System (INIS)

    Studies related to nuclear reactors and radioactive waste started at the French National Centre for Scientific research, CNRS, as a result of the French law on radioactive waste that was published in 1991. They were initially organized around the programme PACE (Physique pour l’Aval du Cycle Electronucléaire = physics of the back end of the nuclear fuel cycle), which became PACEN (Physique pour l’Aval du Cycle et production d’Energie Nucléaire = Physics of the back end of the nuclear fuel cycle and production of nuclear energy) in 2006. Research on accelerator driven systems was from the beginning part of this programme. This research is mainly funded by the National Institute for Nuclear end Particle Physics (IN2P3) of CNRS and within the EURATOM European programmes (FP5, 6 and 7). The programme took place in several stages, and covered various scientific fields, benefitting from expertise of CNRS in the field. More specifically, it aimed and still aims to: – Test and verify the feasibility and design of the ADS concept, in terms of neutronics, physics of materials, design of the accelerator and tests of its prototypical components that have been built (or are at present under construction); – Measure and-or improve nuclear data related to radioactive waste transmutation. Today, most of the activities in support to ADS development carried out by CNRS focus on accelerator developments, GUINEVERE (Generator of Uninterrupted Intense NEutron at the lead VEnus REactor) experiment, ADS core studies, deployment scenarios and nuclear data measurements. The CEA R&D programmes on ADS are mainly focused on the European project EUROTRANS of the 6th Framework programme (2005–2010) and continued in the FREYA project of the 7th Framework Programme

  18. ADS National Programmes: Germany

    International Nuclear Information System (INIS)

    The German R&D programme for ADS development is related to the partitioning and transmutation of spent fuel. This programme is implemented mainly by the three national research centres belonging to the Helmholtz Association, i.e. Karlsruhe Institute of Technology (KIT), Forschungszentrum Jülich (FZJ) in cooperation with the Technical University of Aachen (RWTH Aachen) and the Helmholtz Zentrum Dresden Rossendorf (HZDR). The main purpose of this R&D programme is the prospect to manage the high level radioactive waste such as to reduce the burden on a final repository. P&T does not eliminate the need for a final repository whatever the strategy, but it allows the reduction of the radio-toxicity associated with radioactive waste, the increase of the repository capacity as a consequence of the reduction of masses to be stored and their associated residual heat load. Different fuel cycle scenarios to implement P&T can be envisaged. These scenarios have been evaluated to identify the impact of P&T on the characteristics, number and deployment pace of the installations of the fuel cycle (reprocessing, fuel fabrication, storage etc). Almost all activities conducted in the R&D programme are embedded in European and international projects and initiatives. In the following more details on the relevant components of the R&D programme are summarized

  19. Changing clinical needs of people living with AIDS and receiving home based care in Malawi - the Bangwe Home Based Care Project 2003-2008 - a descriptive study

    Directory of Open Access Journals (Sweden)

    Gondwe Norton

    2010-06-01

    Full Text Available Abstract Background Home based care (HBC has been an important component of the response to the AIDS epidemic in Africa, and particularly so before antiretroviral therapy (ART became available. Has HBC become unnecessary now that ART is available in many African countries? One way to investigate this is to assess the changing need for comprehensive HBC as an ART programme becomes available. The Bangwe HBC programme in Malawi has been collecting data since 2003 before ART became available in 2005/6. Has the introduction of ART changed the clinical needs for HBC? Methods Information obtained at initial assessment and follow up visits of patients receiving HBC were combined to assess case severity, survival and the response to treatment. This information was used to assess trends in mortality and the incidence, duration and severity of common symptoms over a six year period in a defined urban population in Malawi. Results 1266 patients, of whom 1190 were followed up and of whom 652 (55% died, were studied. 282 (25% patients died within two months of being first seen with an improvement between 2003-2005 and 2006-2008 of reduced mortality from 28% to 20%. 341 (27% patients were unable to care for themselves on first assessment and 675 (53% had stage 4 AIDS disease. Most patients had a mix of symptoms at presentation. Self care increased somewhat over the six years although case severity as measured by WHO staging and nutritional status did not. 350 patients were on ART either started before or after initial assessment. There were significant barriers to accessing ART with 156 (51% of 304 stage 3 or 4 patients first assessed in 2007 or 2008 not receiving ART. Over the six year period new HBC cases reduced by 8% and follow up visits increased by 9% a year. Between 4 and 5 people sought HBC for the first time each week from an urban health centre catchment of 100,000, which required 37.3 follow up visits each week. Conclusions Since the availability of

  20. Primary care. The art of gentle persuasion.

    Science.gov (United States)

    Royce, B

    2000-02-10

    GPs are crucial to the success of the government's NHS reforms. But there are few obvious incentives for GPs to act as managers. GPs will be under pressure to economise on prescribing and referrals but will face conflicting demands from patients. Many GPs believe the government will rush them into a salaried service if they do not co-operate with the current reforms. PMID:11184407

  1. External Mobility Programme

    CERN Document Server

    HR Department

    2007-01-01

    Every year, a significant number of highly-skilled staff members leave the Organization and offer their talents on the European job market. CERN is launching a programme aiming to help staff members to whom the Organization cannot offer an indefinite contract in the transition towards their next employment. The programme, which is based on the establishment of a number of partnerships with potential employers in the private sector, will run on a voluntary basis. Staff members who have received confirmation that they will not be offered an indefinite contract and who are interested in availing themselves of the opportunities offered by the programme, are invited to enrol by following the procedure described at: https://ert.cern.ch/browse_intranet/wd_pds?p_web_page_id=5841 Applications will be processed in the strictest confidence by the Human Resources Department and eligible profiles will then be made available to partner companies for recruitment purposes. Any subsequent ...

  2. The French nuclear programme

    International Nuclear Information System (INIS)

    EDF has long been interested in the use of nuclear energy for thermal power generation. After a period of apprenticeship and experiments, EDF launched a major PWR plant programme so as to reduce France's energy dependence and master generation costs. This programme, based on standardization, has achieved the desired results. It must now be adapted to suit the needs of the 21st century. For this programme, all those involved (Governmental authorities, EDF, manufacturers) were mobilized to an unprecedented extent and rigorous working methods were imposed. Experience feedback has been used to make improvements both to the installations themselves and to procedures. Results have proved satisfactory as regards nuclear safety but vigilance must be maintained. Public opinion on nuclear power is reserved we are sentenced to achieving a 'fault-free' track record, all the while mastering costs, so as to ensure the continuing use of nuclear energy. (author)

  3. Willingness to pay for telecare programmes to support independent living: results from a contingent valuation study.

    Science.gov (United States)

    Callan, Aoife; O'Shea, Eamon

    2015-01-01

    An ageing population provokes an economic interest in the resource allocation questions posed by long-term care and critically, the development of sustainable community-based health and social care models that support independent living. This paper explores Irish citizens preferences and willingness to pay (WTP) for a range of community-based care programmes, including different telecare programmes that support older people to continue living at home. The paper reports on a cross-sectional multi-good contingent valuation survey conducted between April and September 2009 with three representative samples of the Irish population (N = 1214) to identify rankings and preferences for different community care programmes including: family care programme, a state-provided care programme and three different telecare programmes. The survey design permits the identification of strength, direction and relative preferences of different forms of community care provision. We also investigate convergent validity between ranking and willingness to pay results. We find that while people place significant value on formal state care provision and on telecare programmes, willingness to pay (WTP) estimates continue to highlight the importance of family care, which remains the strongest preference of the Irish population for the provision of community-based care for older people in the country. Respondents weakened their ranking preferences in the WTP exercise. However, both the direction of ranking and WTP estimates confirm the importance of family care. While all telecare programmes generated some economic value, telecare associated with social connection had much stronger support than telecare used to support physical or cognitive care needs. This paper offers unique information on societal values for different forms of community care provision, and in particular, the direction of preferences for technology-based approaches. PMID:25461866

  4. CONSIDERAŢII TEORETICE ŞI PRACTICE CU PRIVIRE LA INFRACŢIUNILE CARE ADUC ATINGERE UNOR RELAŢII DE CONVIEŢUIRE SOCIALĂ (art.220-222 CP RM

    Directory of Open Access Journals (Sweden)

    Sergiu BRÎNZA

    2016-03-01

    Full Text Available Scopul acestei cercetări ştiinţifice constă în stabilirea conţinutului juridic al infracţiunilor prevăzute la art.220-222 CP RM. Printre altele, se argumentează că, spre deosebire de infracţiunile specificate la art.165 şi 206 CP RM, proxe­netismul presupune că victima îşi dă acordul în mod nealterat, voinţa ei de a se prostitua aparţinându-i în totalitate, în mod liber. Se demonstrează de ce nu este posibil concursul ideal dintre determinarea la prostituţie şi constrângerea la prostituţie. Se arată că încadrarea faptei conform art.221 CP RM exclude aplicarea suplimentară a art.197 CP RM sau a art.104 din Codul contravenţional. Se ajunge la concluzia că aplicarea răspunderii în baza art.222 CP RM exclude calificarea suplimentară conform art.186-188, 190-192, 197 CP RM sau art.104 ori 105 din Codul contravenţional. Nu în ultimul rând, se stabileşte că aplicarea violenţei sau ameninţarea cu aplicarea violenţei depăşeşte cadrul infracţiunii specificate la art.222 CP RM. Deci, necesită calificare de sine stătătoare în baza art.151, 152 sau 155 CP RM ori art.78 din Codul contravenţional. THEORETICAL AND PRACTICAL CONSIDERATIONS WITH REGARD TO THE OFFENCES THAT PREJUDICES SOME FORMS OF SOCIAL COHABITATION (art.220-222 PC RMThe purpose of this scientific research is to establish the legal content of the offences referred to at art.220-222PCRM.Among other things, it is argued that, unlike the offences specified at art.165 and 206 PC RM, pimping implies that the victim consents unalterably, that the will to prostitute belongs to her fully, without any constraints. It is demonstrated that the ideal competition between the acts of persuasion to prostitution and coercion to prostitution is impossible. It is shown that classifying the act under art.221 PC RM immediately excludes the additional application of art.197 PC RM or art.104 of the Contravention Code. It is concluded that the application of penal

  5. Funktionell Programmering : En framtidsprognos

    OpenAIRE

    Holmer, Mattias

    2011-01-01

    Trenden inom systemutveckling och programutveckling går mot ett mer användande av multi programmeringsparadigmer. Funktionell programmering har fått mer uppmärksamhet på senare tid och utvecklingen tycks över lag gå än mer åt det deklarativa hållet där programmeraren fokuserar mer på vad som skall utföras och inte lika mycket på hur. Under en tid har det objektorienterade paradigmet varit dominerande, kommer det vara så i framtiden? Funktionell programmering skiljer sig från imperativ program...

  6. A programmer's geometry

    CERN Document Server

    Bowyer, Adrian

    1983-01-01

    A Programmer's Geometry provides a guide in programming geometric shapes. The book presents formulas and examples of computer representation and coding of geometry. Each of the nine chapters of the text deals with the representation and solution of a specific geometrical problem, such as areas, vectors, and volumes. The last chapter provides a brief discussion on generating image through a computer. The codes presented in the book are written in FORTRAN 77. The text will be of great use to programmers who are working on projects that involve geometric calculations.

  7. Computer mathematics for programmers

    CERN Document Server

    Abney, Darrell H; Sibrel, Donald W

    1985-01-01

    Computer Mathematics for Programmers presents the Mathematics that is essential to the computer programmer.The book is comprised of 10 chapters. The first chapter introduces several computer number systems. Chapter 2 shows how to perform arithmetic operations using the number systems introduced in Chapter 1. The third chapter covers the way numbers are stored in computers, how the computer performs arithmetic on real numbers and integers, and how round-off errors are generated in computer programs. Chapter 4 details the use of algorithms and flowcharting as problem-solving tools for computer p

  8. Cost effectiveness of an outpatient multidisciplinary pulmonary rehabilitation programme

    OpenAIRE

    Griffiths, T; Phillips, C.; Davies, S; Burr, M; Campbell, I.

    2001-01-01

    BACKGROUND—Pulmonary rehabilitation programmes improve the health of patients disabled by lung disease but their cost effectiveness is unproved. We undertook a cost/utility analysis in conjunction with a randomised controlled clinical trial of pulmonary rehabilitation versus standard care.
METHODS—Two hundred patients, mainly with chronic obstructive pulmonary disease, were randomly assigned to either an 18 visit, 6 week rehabilitation programme or standard medical manage...

  9. Effectiveness of a denture hygiene intervention programme among institutionalized elders

    OpenAIRE

    Au, Kar-yan; Cheung, Hiu-ching; Chung, Sze-man; Lai, Chi-fung; Leung, Ki-ki; Leung, Yat-fung; Ng, Yuk-chun; Wah, Yat-shing, Jonathan; Wong, Chun-lung

    2015-01-01

    Objectives: To evaluate the effectiveness of a denture hygiene intervention programme in terms of improving denture cleanliness and denture stomatitis. Methods: Residents at seven elderly care homes were invited to participate in a denture hygiene programme. Clinical assessment of denture stomatitis was undertaken and denture cleanliness assessed: (i) qualitatively by the Denture Cleanliness Index ratings and (ii) quantitatively by planimetric assessments of plaque coverage from digital im...

  10. Chernobyl five years after. WHO to spearhead international programme

    International Nuclear Information System (INIS)

    In April 1990, an agreement was signed between the WHO and the USSR Ministry of Health to set up a long-term international programme to assist the populations affected by the Chernobyl accident, as well as to increase the body of scientific knowledge about radiation effects. The programme will deal with monitoring and treatment of the affected populations and will carefully examine emergency prevention issues. Funding will come primarily from voluntary contributions from WHO Member States

  11. ART 100 Courses Tutorial / indigohelp

    OpenAIRE

    thanu

    2015-01-01

    ART 100 Week 1 Individual Assignment Experience the Art (2 Papers)   ART 100 Week 1 concept   ART 100 Week 2 concept   ART 100 Week 2 Individual Assignment How the Visual Arts Communicate (Option A Paper)   ART 100 Week 2 Individual Assignment How the Visual Arts Communicate (Option B Paper)   ART 100 Week 3 Individual Assignment The performing Art and Inspiration (2 Papers)   ART 100 Week 4 Individual Assignment Sy...

  12. ART 125 Courses Tutorial / indigohelp

    OpenAIRE

    thanu

    2015-01-01

    ART 125 Week 1 Individual Assignment Pop Culture and the Arts Paper ART 125 Week 2 Individual Assignment Trends Paper ART 125 Week 3 Individual Assignment Globalization of Art and Pop Culture ART 125 Week 3 Learning Team Assignment Ethical Issues in Art and Popular Culture Outline ART 125 Week 4 Individual Assignment Print Art and Advertising Paper ART 125 Week 5 Individual Assignment Electronic Media Effects Paper ART 125 Week 5 Learning Team Assignment Ethical Issues...

  13. Arts Education Beyond Art : Teaching Art in Times of Change

    NARCIS (Netherlands)

    van Heusden, Bernard; Gielen, Pascal

    2015-01-01

    People and societies thrive on a versatile and imaginative awareness. Yet the critical debate on arts education is still too often about the qualities of artefacts and technical skills, and tends to neglect issues such as the critical function of the arts in society, artistic cognition and cognitive

  14. Taking the Arts Seriously

    DEFF Research Database (Denmark)

    Chemi, Tatiana

    what makes art special in an anthropologic and evolutionary biologic point of view. Cases on the emerging field of arts-in-business in Denmark.......what makes art special in an anthropologic and evolutionary biologic point of view. Cases on the emerging field of arts-in-business in Denmark....

  15. Art Therapy Verses Psychotherapy

    Science.gov (United States)

    Del Giacco, Maureen

    2009-01-01

    The purpose of my paper is to identify the difference between psychotherapy and art therapy. Then to introduce a technique within the field of art therapy that is relevant to neuro-plasticity Del Giacco Neuro Art Therapy. The paper identifies the importance of the amygdala and the hippocampus within the role of art therapy. Supporting…

  16. Children as Art Teachers

    Science.gov (United States)

    Szekely, George

    2011-01-01

    A goal of art learning is always independence, for everyone to become their own art teacher. Teaching for artistic independence can never start too early. As art teachers, children acquire confidence in their art, and in coming to school as artists. Children should be considered artists in residence and visiting artists in schools. It makes sense…

  17. Art and Religion

    Science.gov (United States)

    Shusterman, Richard

    2008-01-01

    Since the nineteenth century's interest in "art for art's sake," many thinkers have argued that art would supplant traditional religion as the spiritual locus of the increasingly secular society of Western modernity. If art can capture the sort of spirituality, idealism, and expressive community of traditional religions but without being ensnared…

  18. When Art & Finance Collide

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Fine art and big finance are proving a profitable combination in China but questions of authenticity need to be addressed CHINA’S art market is on fire.As sales and prices break records,a new force has appeared in the market - organized art finance in the form of art trust funds and artwork exchanges.

  19. A community-based health education programme for bio-environmental control of malaria through folk theatre (Kalajatha in rural India

    Directory of Open Access Journals (Sweden)

    Tiwari Satyanarayan

    2006-12-01

    Full Text Available Abstract Background Health education is an important component in disease control programme. Kalajatha is a popular, traditional art form of folk theatre depicting various life processes of a local socio-cultural setting. It is an effective medium of mass communication in the Indian sub-continent especially in rural areas. Using this medium, an operational feasibility health education programme was carried out for malaria control. Methods In December 2001, the Kalajatha events were performed in the evening hours for two weeks in a malaria-affected district in Karnataka State, south India. Thirty local artists including ten governmental and non-governmental organizations actively participated. Impact of this programme was assessed after two months on exposed vs. non-exposed respondents. Results The exposed respondents had significant increase in knowledge and change in attitude about malaria and its control strategies, especially on bio-environmental measures (p Conclusion This study was carried out under the primary health care system involving the local community and various potential partners. Kalajatha conveyed the important messages on malaria control and prevention to the rural community. Similar methods of communication in the health education programme should be intensified with suitable modifications to reach all sectors, if malaria needs to be controlled.

  20. ARTS BETA testing report

    Science.gov (United States)

    Mccune, M. C.

    1981-01-01

    The advanced real time system (ARTS) was tested utilizing existing commercial system hardware and software which has been operating under advanced operating system (AOS) for several years in a multitasking, multiprocessing, and multiple computer environment. Experiences with ARTS in terms of compatibility with AOS, ease of transmission between AOS and ARTS, and functional areas of ARTS which were tested are discussed. Relative and absolute performance of ARTS versus AOS as measured in the system environment are also presented.

  1. Mexican medfly programme

    International Nuclear Information System (INIS)

    This film tells the story of the fight against and final extinction of the Mediterranean fruit-fly (Ceratitis capitata) in Mexico. By producing billions of high quality sterile flies in the Medfly reproduction and sterilization laboratory in the province of Chiapas and releasing them over infested areas, the Moscamed Programme succeeded in eradicating this pest from Mexico in 1982

  2. Kulturalistische Unternehmensethik : ein Programm

    OpenAIRE

    Hanekamp, Gerd

    2001-01-01

    "Das Programm einer kulturalistischen Unternehmensethik wird vorgestellt. Es gründet auf einem philosophischen Ansatz, der sich als instrumentalistisch, kontextualistisch, transsubjektivistisch und individualistisch charakterisieren lässt. Hinsichtlich der ethischen Grundlagen werden starke Thesen durch den Rekurs auf eine kontextualistisch-normative Anthropologie vermieden." (Autorenreferat)

  3. Air Quality Monitoring Programme

    DEFF Research Database (Denmark)

    Kemp, K.; Palmgren, F.

    The Danish Air Quality Monitoring Programme (LMP IV) has been revised in accordance with the Framework Directive and the first three daughter directives of SO2, NOx/NO2, PM10, lead, benzene, CO and ozone. PM10 samplers are under installation and the installation will be completed during 2002...

  4. En model for programmer

    DEFF Research Database (Denmark)

    Christensen, Henrik Bærbak

    Dette undervisningsmateriale beskriver en model for, hvordan programmer er opbygget. Materialet er skrevet til brug i det gymnasiale forsøgsfag Informationsteknologi. Seneste version af dette undervisningsmateriale kan findes på http:// www.imhotep.dk. Tak til Elisabeth Husum for en kritisk...

  5. SET-Routes programme

    CERN Multimedia

    Marietta Schupp, EMBL Photolab

    2008-01-01

    Dr Sabine Hentze, specialist in human genetics, giving an Insight Lecture entitled "Human Genetics – Diagnostics, Indications and Ethical Issues" on 23 September 2008 at EMBL Heidelberg. Activities in a achool in Budapest during a visit of Angela Bekesi, Ambassadors for the SET-Routes programme.

  6. Turkey's Basic Education Programme

    OpenAIRE

    A. Remzi Sezgin

    2000-01-01

    In August 1997, the Government of Turkey greatly increased its efforts to implement eight-year obligatory education, through parliamentary approval of Law No. 4306 for Basic Education. The law mobilises significant resources for a major investment in school facilities through earmarked taxes, establishes a timetable for the Basic Education Programme and streamlines procedures to allow for swift action and implementation.

  7. Fast reactor programme

    International Nuclear Information System (INIS)

    This progress report summarises the fast reactor research carried out at the Netherlands Energy Research Centre during the year 1981. The neutron and fission product cross sections of various isotopes have been evaluated. In the fuel performance programme, some preliminary results are given and irradiation facilities described. Creep experiments on various stainless steel components are reported

  8. Fusion technology programme

    International Nuclear Information System (INIS)

    KfK is involved in the European Fusion Programme predominantly in the NET and Fusion Technology part. The following fields of activity are covered: Studies for NET, alternative confinement concepts, and needs and issues of integral testing. Research on structural materials. Development of superconducting magnets. Gyrotron development (part of the Physics Programme). Nuclear technology (breeding materials, blanket design, tritium technology, safety and environmental aspects of fusion, remote maintenance). Reported here are status and results of work under contracts with the CEC within the NET and Technology Programme. The aim of the major part of this R and D work is the support of NET, some areas (e.g. materials, safety and environmental impact, blanket design) have a wider scope and address problems of a demonstration reactor. In the current working period, several new proposals have been elaborated to be implemented into the 85/89 Euratom Fusion Programme. New KfK contributions relate to materials research (dual beam and fast reactor irradiations, ferritic steels), to blanket engineering (MHD-effects) and to safety studies (e.g. magnet safety). (orig./GG)

  9. The Productive Programmer

    CERN Document Server

    Ford, Neal

    2009-01-01

    Anyone who develops software for a living needs a proven way to produce it better, faster, and cheaper. The Productive Programmer offers critical timesaving and productivity tools that you can adopt right away, no matter what platform you use. Master developer Neal Ford details ten valuable practices that will help you elude common traps, improve your code, and become more valuable to your team.

  10. The European Programme Manager

    DEFF Research Database (Denmark)

    Larson, Anne; Bergman, E.; Ehlers, S.;

    The publication is a result of a cooperation between organisations in six European countries with the aim to develop a common European education for programme managers. It contains of a description of the different elements of the education together with a number of case-studies from the counties...... involved in the cooperation (Finland, Denmark, Portugal, Iceland, United Kingdom and Austria)....

  11. Benchmarking HIV health care

    DEFF Research Database (Denmark)

    Podlekareva, Daria; Reekie, Joanne; Mocroft, Amanda;

    2012-01-01

    ABSTRACT: BACKGROUND: State-of-the-art care involving the utilisation of multiple health care interventions is the basis for an optimal long-term clinical prognosis for HIV-patients. We evaluated health care for HIV-patients based on four key indicators. METHODS: Four indicators of health care were...... to North, patients from other regions had significantly lower odds of virological response; the difference was most pronounced for East and Argentina (adjusted OR 0.16[95%CI 0.11-0.23, p care utilization...

  12. ADS National Programmes: China

    International Nuclear Information System (INIS)

    In China the conceptual study of an ADS concept which lasted for about five years ended in 1999. As one project of the National Basic Research Programme of China (973 Programme) in energy domain, which is sponsored by the China Ministry of Science and Technology (MOST), a five year programme of fundamental research of ADS physics and related technology was launched in 2000 and passed national review at the end of 2005. From 2007, another five year 973 Programme Key Technology Research of Accelerator Driven Subcritical System for Nuclear waste Transmutation started. The research activities were focused on HPPA physics and technology, reactor physics of external source driven subcritical assembly, nuclear data base and material study. For HPPA, a high current injector consisting of an ECR ion source, LEBT and an RFQ accelerating structure of 3.5 MeV has been built and were being improved. In reactor physics study, a series of neutron multiplication experimental study has been carrying out. The VENUS I facility has been constructed as the basic experimental platform for neutronics study in ADS blanket. VENUS I a zero power subcritical neutron multiplying assembly driven by external neutron produced by a pulsed neutron generator or 252Cf neutron source. The theoretical, experimental and simulation studies on nuclear data, material properties and nuclear fuel circulation related to ADS are carried out in order to provide the database for ADS system analysis. China Institute of Atomic Energy (CIAE), Institute of High Energy Physics (IHEP) and other Chinese institutes carried out the MOST project together. Besides CIAE, China Academy of Science (CAS) pays more and more attention to Advanced Nuclear Fuel Cycles (ANFC). A large programme of ANFC, including ADS and Th based nuclear fuel cycle, has been launched by CAS

  13. From transmission to transition: lessons learnt from the Thai paediatric antiretroviral programme.

    Directory of Open Access Journals (Sweden)

    Olivia Tulloch

    Full Text Available BACKGROUND: The Thai HIV programme is a leader in the public health approach to HIV treatment. Starting at transmission of HIV and ending with transition to adult services this paper assesses the paediatric HIV treatment continuum from three perspectives: service-user, provider and policy maker, to understand what works well and why. METHODS: A qualitative research design was used to assess and triangulate the stakeholder perspectives. Semi-structured interviews were conducted with ART service-users (n = 35, policy actors (n = 20; telephone interviews with prior caregivers of orphans (n = 10; and three focus group discussions with service-providers (hospital staff and volunteers from a district, provincial and a university hospital. FINDINGS: Children accessing HIV care were often orphaned, cared for by elderly relatives and experiencing multiple vulnerabilities. Services were divided into three stages, 1. Diagnosis and linkage: Despite strong policies there were supply and demand-side gaps in the prevention of mother-to-child transmission 'cascade' preventing early diagnosis and/or treatment. 2. Maintenance on ART - Children did well on treatment; caregivers took adherence seriously and valued the quality of services. Drug resistance, adherence and psychosocial issues were important concerns from all perspectives. 3. Adolescents and transition: Adolescent service-users faced greater complexity in their physical and emotional lives for which providers lacked skills; transition from the security of paediatric clinic was a daunting prospect. Dedicated healthcare providers felt they struggled to deliver services that met service-users' diverse needs at all stages. Child- and adolescent-specific elements of HIV policy were considered low priority. CONCLUSIONS: Using the notion of the continuum of care a number of strengths and weaknesses were identified. Features of paediatric services need to evolve alongside the changing needs of service users

  14. ART 125 Courses/snaptutorial

    OpenAIRE

    charles

    2015-01-01

    ­For more classes visits www.snaptutorial.com           ART 125 Week 1 Individual Assignment Pop Culture and the Arts Paper ART 125 Week 2 Individual Assignment Trends Paper ART 125 Week 3 Individual Assignment Globalization of Art and Pop Culture ART 125 Week 3 Learning Team Assignment Ethical Issues in Art and Popular Culture Outline ART 125 Week 4 Individual Assignment Print Art and Advertising Paper ART 125 Week ...

  15. Mammographic screening programmes in Europe

    DEFF Research Database (Denmark)

    Giordano, Livia; von Karsa, Lawrence; Tomatis, Mariano; Majek, Ondrej; de Wolf, Chris; Lancucki, Lesz; Hofvind, Solveig; Nyström, Lennarth; Segnan, Nereo; Ponti, Antonio; Van Hal, G; Martens, P; Májek, O; Danes, J; von Euler-Chelpin, My Catarina; Aasmaa, A; Anttila, A; Becker, N; Péntek, Z; Budai, A; Mádai, S; Fitzpatrick, P; Mooney, T; Zappa, M; Ventura, L; Scharpantgen, A; Hofvind, S; Seroczynski, P; Morais, A; Rodrigues, V; Bento, M J; Gomes de Carvalho, J; Natal, C; Prieto, M; Sánchez-Contador Escudero, C; Zubizarreta Alberti, R; Fernández Llanes, S B; Ascunce, N; Ederra Sanza, M; Sarriugarte Irigoien, G; Salas Trejo, D; Ibáñez Cabanell, J; Wiege, M; Ohlsson, G; Törnberg, S; Korzeniewska, M; de Wolf, C; Fracheboud, J; Patnick J, J; Lancucki, L; Ducarroz, S; Suonio, E

    To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe.......To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe....

  16. Teaching Programming to Liberal Arts Students

    DEFF Research Database (Denmark)

    Andersen, Peter Bøgh; Bennedsen, Jens; Brandorff, Steffen;

    2003-01-01

    In this paper we present a new learning environment to be used in an introductory programming course for studentsthat are non-majors in computer science, more precisely formultimedia students with a liberal arts background. Media-oriented programming adds new requirements to thecraft of programming...... (e.g. aesthetic and communicative).We argue that multimedia students with a liberal arts background need programming competences because programmability is the defining characteristic of the computer medium.We compare programming with the creation of traditionalmedia products and identify two...... environment for an introductory programmingcourse for multimedia students.We have designed a learning environment called Lingoland with the new skills of media programming in mind thathopefully can help alleviate the problems we have experiencedin teaching programming to liberal arts students....

  17. Donor transplant programme

    International Nuclear Information System (INIS)

    The transplantation of organs and tissues from one human to another human has become an essential and well established form of therapy for many types of organ and tissue failure. In Malaysia, kidney, cornea and bone marrow transplantation are well established. Recently, liver, bone and heart transplanation have been performed. Unfortunately, because of the lack of cadaveric organ donation, only a limited number of solid organ transplantation have been performed. The cadaveric organ donor rate in Malaysia is low at less than one per million population. The first tissue transplanted in Malaysia was the cornea which was performed in the early 1970s. At that time and even now the majority of corneas came from Sri Lanka. The first kidney transplant was performed in 1975 from a live related donor. The majority of the 629 kidney transplants done at Hospital Kuala Lumpur to date have been from live related donors. Only 35 were from cadaver donors. Similarly, the liver transplantation programme which started in 1995 are from live related donors. A more concerted effort has been made recently to increase the awareness of the public and the health professionals on organ and tissue donation. This national effort to promote organ and tissue donation seems to have gathered momentum in 1997 with the first heart transplant successfully performed at the National Heart Institute. The rate of cadaveric donors has also increased from a previous average of I to 2 per year to 6 per year in the last one year. These developments are most encouraging and may signal the coming of age of our transplantati on programme. The Ministry of Health in conjunction with various institutions, organizations and professional groups, have taken a number of proactive measures to facilitate the development of the cadaveric organ donation programme. Efforts to increase public awareness and to overcome the negative cultural attitude towards organ donation have been intensified. Equally important are efforts

  18. IAEA occupational radiation protection programme: current status

    International Nuclear Information System (INIS)

    As stated in Art.III.A.6 of its Statute, the International Atomic Energy Agency (commonly referred to as the Agency) is authorized to establish or adopt, in consultation and, where appropriate, in collaboration with the competent organs of the United Nations and with the specialized agencies concerned, standards of safety for protection of health and minimization of danger to life and property (including such standards for labour conditions), and to provide for the application of these standards to its own operation as well as to the operations making use of materials, services, equipment, facilities, and information made available by the Agency or at its request or under its control or supervision. The Agency s Occupational Radiation Protection Programme aims at harmonizing infrastructures for the control of radiation exposure of workers and for optimizing radiation protection in situation s of exposures due to external radiation and intakes of radionuclides from both artificial and natural sources of radiation. Under its regular and technical cooperation programmes, the Agency has been assigning high priority to both the establishment of safety standards for labour conditions and for the application of these standards through, Interalia, direct assistance under its technical cooperation (TC) programme, the rendering of services, the promotion of education and training, the fostering of information exchange and the coordination of research and development. The purpose of this paper is to present the current status and future IAEA activities in support of occupational radiation protection. (authors)

  19. The Origins of Art

    OpenAIRE

    Aleksandre P. Lobodanov

    2015-01-01

    The origins of artistic activities or rather art, and in recent decades the processing and consolidation of a new field in art history, art semiotics, are grouped together in the semiotic systems of applied and non-applied arts.In this paper, in particular, an analysis is made of the non-applied arts, in which non-verbal signs are used to express the form of human thought.The discussion focuses on the origins of non-applied arts, the image-forming process, the psychology of perception, the pe...

  20. The INTEGRAL Core Observing Programme

    DEFF Research Database (Denmark)

    Winkler, C.; Gehrels, N.; Lund, Niels; Schonfelder, V.; Ubertini, P.

    The Core Programme of the INTEGRAL mission is defined as the portion of the scientific programme covering the guaranteed time observations for the INTEGRAL Science Working Team. This paper describes the current status of the Core Programme preparations and summarizes the key elements of the...

  1. A arte de partejar: experiência de cuidado das parteiras tradicionais de Envira/AM El arte de los partos: experiencia en atención de las parteras tradicionales de Envira/AM The art of attend the birth: experience in care of traditional midwives at Envira/AM

    Directory of Open Access Journals (Sweden)

    Keyla Cristiane do Nascimento

    2009-06-01

    la medida en que afectan a muchas mujeres, estableciendo como multiplicadores concretos del conocimiento.This is a explorative-descriptive study with a qualitative character, that portrait the traditional midwives of Envira, city of the state of Amazonas, where 80% of the childbirths are made by them. The objective is to characterize the experience of care when they help to give birth, these midwives. 29 midwives took part of the study. The data were colleted from recorded interviews. The information were analyzed in accordance with analysis of content. Six categories were highlighted: Envira midwives - who are they: occupation when attending the birth; attend the birth - how much wor th this “gift”; problems faced by midwives; problems frequently found by the midwives in the gestation/childbirth; and relationship with the health service. The conclusion says that there is a long way to go in reversing the tables of diseases, poverty and abandonment. A way in which the trained midwives will play an important role affecting many women, setting up as concrete multipliers of knowledge.

  2. Fusion technology programme

    International Nuclear Information System (INIS)

    The KfK-Association has continued work on 17 R and D contracts of the Fusion Technology Programme. An effort of 94 manyears per year is at present contributed by 10 KfK departments, covering all aereas defined in the Fusion Technology Programme. The dominant part of the work is directed towards the need of the NET design or supporting experiments. Some additional effort addresses long term technological issues and system studies relevant to DEMO or confinement schemes alternative to tokamaks. Direct contribution to the NET team has increased by augmentation of NET study contracts and delegation of personnel, three KfK delegates being at present members of the NET team. In reverse, specifications and design guidelines worked out by NET have started to have an impact on the current R and D-work in the laboratory. (orig./GG)

  3. Bioergia Research Programme

    Energy Technology Data Exchange (ETDEWEB)

    Asplund, D.

    1997-12-31

    The main objectives of Finland`s Bioenergia Research Programme are (1) To develop new methods of producing biofuels which can compete with imported fuels, demonstrating the most promising production methods through pilot schemes, (2) To develop and demonstrate 3 - 4 new pieces of equipment or methods connected with handling and using bioenergy, (3) To produce basic information on conversion techniques and evaluate the quality, usability and environmental impacts of the products as well as the overall economy of the entire production chain and to create 2-3 conversion methods for follow-up development by industry. The principle research areas are (1) Development of production technology for wood-derived fuels, (2) Peat production, (3) The use of bioenergy and (4) Biomass conversion. This conference paper discusses the results obtained so far and reviews in some detail the activities of the programme. 3 figs., 3 tabs.

  4. Bioergia Research Programme

    International Nuclear Information System (INIS)

    The main objectives of Finland's Bioenergia Research Programme are (1) To develop new methods of producing biofuels which can compete with imported fuels, demonstrating the most promising production methods through pilot schemes, (2) To develop and demonstrate 3 - 4 new pieces of equipment or methods connected with handling and using bioenergy, (3) To produce basic information on conversion techniques and evaluate the quality, usability and environmental impacts of the products as well as the overall economy of the entire production chain and to create 2-3 conversion methods for follow-up development by industry. The principle research areas are (1) Development of production technology for wood-derived fuels, (2) Peat production, (3) The use of bioenergy and (4) Biomass conversion. This conference paper discusses the results obtained so far and reviews in some detail the activities of the programme. 3 figs., 3 tabs

  5. Pharmacovigilance programme of India

    Directory of Open Access Journals (Sweden)

    Kalaiselvan Vivekanandan

    2012-01-01

    Full Text Available The monitoring and reporting of adverse drug reactions (ADRs through pharmacovigilance is vital to patient safety and rational prescribing. In India, Central Drugs Standard Control Organization (CDSCO initiated Pharmacovigilance Programme of India (PvPI to report ADRs through ADRs monitoring centres in India. Indian Pharmacopoeia Commission (IPC is functioning as National Coordination Centre (NCC for PvPI. The ADRs are reported to NCC through VigiFlow by various centres are evaluated and committed to Uppsala Monitoring Centre, Sweden. The potential benefit of the PvPI is aimed to reducing or eliminating a harm of medicine. Continuous efforts of the healthcare professionals and the patients are expected to make this as one of the most successful and effective programmes. The present article updates the status and future plan of PvPI.

  6. Substance abuse and batterer programmes in California, USA: factors associated with treatment outcomes.

    Science.gov (United States)

    Timko, Christine; Valenstein, Helen; Stuart, Gregory L; Moos, Rudolf H

    2015-11-01

    The association between substance abuse and intimate partner violence is quite robust. A promising area to improve treatment for the dual problems of substance abuse and violence perpetration is the identification of client characteristics and organisational and programme factors as predictors of health outcomes. Therefore, we examined associations of client, organisational and programme factors with outcomes in community health settings. Directors of 241 substance use disorder programmes (SUDPs) and 235 batterer intervention programmes (BIPs) reported outcomes of programme completion and substance use and violence perpetration rates at discharge; data collection and processing were completed in 2012. SUDPs having more female, non-white, younger, uneducated, unemployed and lower income clients reported lower completion rates. In SUDPs, private, for-profit programmes reported higher completion rates than public or private, non-profit programmes. SUDPs with lower proportions of their budgets from government sources, and higher proportions from client fees, reported better outcomes. Larger SUDPs had poorer programme completion and higher substance use rates. Completion rates in SUDPs were higher when clients could obtain substance- and violence-related help at one location, and programmes integrated violence-prevention contracting into care. In BIPs, few client, organisational and programme factors were associated with outcomes, but the significant factors associated with programme completion were consistent with those for SUDPs. Publicly owned and larger programmes, and SUDPs lacking staff to integrate violence-related treatment, may be at risk of poorer client outcomes, but could learn from programmes that perform well to yield better outcomes. PMID:25470658

  7. Programme budget 1981

    International Nuclear Information System (INIS)

    There are 11 main fields of KfK R + D activities which are connected with one or more of the research goals of a) assurance of nuclear fuel supply, b) nuclear waste management, c) safety of nuclear facilities, d) basic research and research on new technologies. The scientific and technical tasks connected with these goals in 1981 and on a medium-term basis as well as the financial requirements are presented in the programme budget. (orig.)

  8. The Italian hydrogen programme

    International Nuclear Information System (INIS)

    Hydrogen could become an important option in the new millennium. It provides the potential for a sustainable energy system as it can be used to meet most energy needs without harming the environment. In fact, hydrogen has the potential for contributing to the reduction of climate-changing emissions and other air pollutants as it exhibits clean combustion with no carbon or sulphur oxide emissions and very low nitrogen oxide emissions. Furthermore, it is capable of direct conversion to electricity in systems such as fuel cells without generating pollution. However, widespread use of hydrogen is not feasible today because of economic and technological barriers. In Italy, there is an ongoing national programme to facilitate the introduction of hydrogen as an energy carrier. This programme aims to promote, in an organic frame, a series of actions regarding the whole hydrogen cycle. It foresees the development of technologies in the areas of production, storage, transport and utilisation. Research addresses the development of technologies for separation and sequestration of CO2, The programme is shared by public organisations (research institutions and universities) and national industry (oil companies, electric and gas utilities and research institutions). Hydrogen can be used as a fuel, with significant advantages, both for electric energy generation/ co-generation (thermo-dynamic cycles and fuel cells) and transportation (internal combustion engine and fuel cells). One focus of research will be the development of fuel cell technologies. Fuel cells possess all necessary characteristics to be a key technology in a future economy based on hydrogen. During the initial phase of the project, hydrogen will be derived from fossil sources (natural gas), and in the second phase it will be generated from renewable electricity or nuclear energy. The presentation will provide a review of the hydrogen programme and highlight future goals. (author)

  9. Multilateral Interoperability Programme

    OpenAIRE

    Burita, L.

    2009-01-01

    The Multilateral Interoperability Programme (MIP) is a voluntary and independent activity in NATO environment by the participating nations and organizations. The MIP concept is based on data exchange in form of common exchange data model to achieve the international interoperability in command and control information systems (C2IS) of the tactical units. The article describes the basis of the MIP organizations, structure, planning and testing processes. The core of the MIP solution is the Inf...

  10. Neural Programmer-Interpreters

    OpenAIRE

    Reed, Scott; De Freitas, Nando

    2015-01-01

    We propose the neural programmer-interpreter (NPI): a recurrent and compositional neural network that learns to represent and execute programs. NPI has three learnable components: a task-agnostic recurrent core, a persistent key-value program memory, and domain-specific encoders that enable a single NPI to operate in multiple perceptually diverse environments with distinct affordances. By learning to compose lower-level programs to express higher-level programs, NPI reduces sample complexity ...

  11. The Mathematica programmer

    CERN Document Server

    Maeder, Roman E

    1994-01-01

    The Mathematica Programmer covers the fundamental programming paradigms and applications of programming languages. This book is organized into two parts encompassing 10 chapters. Part 1 begins with an overview of the programming paradigms. This part also treats abstract data types, polymorphism and message passing, object-oriented programming, and relational databases. Part 2 looks into the practical aspects of programming languages, including in lists and power series, fractal curves, and minimal surfaces.This book will prove useful to mathematicians and computer scientists.

  12. Voltage-programmable liquid optical interface

    Science.gov (United States)

    Brown, C. V.; Wells, G. G.; Newton, M. I.; McHale, G.

    2009-07-01

    Recently, there has been intense interest in photonic devices based on microfluidics, including displays and refractive tunable microlenses and optical beamsteerers that work using the principle of electrowetting. Here, we report a novel approach to optical devices in which static wrinkles are produced at the surface of a thin film of oil as a result of dielectrophoretic forces. We have demonstrated this voltage-programmable surface wrinkling effect in periodic devices with pitch lengths of between 20 and 240 µm and with response times of less than 40 µs. By a careful choice of oils, it is possible to optimize either for high-amplitude sinusoidal wrinkles at micrometre-scale pitches or more complex non-sinusoidal profiles with higher Fourier components at longer pitches. This opens up the possibility of developing rapidly responsive voltage-programmable, polarization-insensitive transmission and reflection diffraction devices and arbitrary surface profile optical devices.

  13. Frequently Asked Questions (Palliative Care: Conversations Matter)

    Science.gov (United States)

    ... chaplains, and counselors. Support may involve art and music therapists, home health aides, nutritionists, and respite care ... getpalliativecare.org Pediatric Supportive Care for Children with Cancer (National Cancer Institute webpage) http://www.cancer.gov/ ...

  14. ADS National Programmes: Italy

    International Nuclear Information System (INIS)

    Following a preliminary design developed in 1998, based on the Energy Amplifier concept proposed by CERN, a first configuration of a lead-bismuth Eutectic cooled Experimental ADS (LBE-XADS) was worked out in the period 1999–2001, under the aegis of MURST, by a group of Italian organizations led by Ansado Nucleare, with the aim of assessing the feasibility of a small sized (80 MWth) ADS. At the end of 1997 a joint effort of ENEA (National Agency for New Technology, Energy and the Environment) and INFN (National Institute for Nuclear Physics) led to the approval of a national programme by MURST (Minister for University and Scientific and Technological Research) named TRASCO (TRAsmutazione SCOrie) aiming at the study of physics and technologies needed to design an ADS for radioactive waste transmutation. The programme consisted of research subprogrammes on accelerator, neutronics, thermalhydraulics analysis, beam window technology, and material technology and compatibility with Pb and Pb-Bi. At now, most of the activities in support to the ADS development carried out at national level are part of EU-funded Projects. These activities are complemented by the programme agreement (AdP -Accordo di programma), signed between ENEA and the Ministry of Economic Development, which provides in general a range of activities aimed at the development of sustainable nuclear fission systems. Several universities and the national industry are involved, besides ENEA, in the activities

  15. Programmable matter by folding

    Science.gov (United States)

    Hawkes, E.; An, B.; Benbernou, N. M.; Tanaka, H.; Kim, S.; Demaine, E. D.; Rus, D.; Wood, R. J.

    2010-01-01

    Programmable matter is a material whose properties can be programmed to achieve specific shapes or stiffnesses upon command. This concept requires constituent elements to interact and rearrange intelligently in order to meet the goal. This paper considers achieving programmable sheets that can form themselves in different shapes autonomously by folding. Past approaches to creating transforming machines have been limited by the small feature sizes, the large number of components, and the associated complexity of communication among the units. We seek to mitigate these difficulties through the unique concept of self-folding origami with universal crease patterns. This approach exploits a single sheet composed of interconnected triangular sections. The sheet is able to fold into a set of predetermined shapes using embedded actuation. To implement this self-folding origami concept, we have developed a scalable end-to-end planning and fabrication process. Given a set of desired objects, the system computes an optimized design for a single sheet and multiple controllers to achieve each of the desired objects. The material, called programmable matter by folding, is an example of a system capable of achieving multiple shapes for multiple functions. PMID:20616049

  16. Programmable Quantitative DNA Nanothermometers.

    Science.gov (United States)

    Gareau, David; Desrosiers, Arnaud; Vallée-Bélisle, Alexis

    2016-07-13

    Developing molecules, switches, probes or nanomaterials that are able to respond to specific temperature changes should prove of utility for several applications in nanotechnology. Here, we describe bioinspired strategies to design DNA thermoswitches with programmable linear response ranges that can provide either a precise ultrasensitive response over a desired, small temperature interval (±0.05 °C) or an extended linear response over a wide temperature range (e.g., from 25 to 90 °C). Using structural modifications or inexpensive DNA stabilizers, we show that we can tune the transition midpoints of DNA thermometers from 30 to 85 °C. Using multimeric switch architectures, we are able to create ultrasensitive thermometers that display large quantitative fluorescence gains within small temperature variation (e.g., > 700% over 10 °C). Using a combination of thermoswitches of different stabilities or a mix of stabilizers of various strengths, we can create extended thermometers that respond linearly up to 50 °C in temperature range. Here, we demonstrate the reversibility, robustness, and efficiency of these programmable DNA thermometers by monitoring temperature change inside individual wells during polymerase chain reactions. We discuss the potential applications of these programmable DNA thermoswitches in various nanotechnology fields including cell imaging, nanofluidics, nanomedecine, nanoelectronics, nanomaterial, and synthetic biology. PMID:27058370

  17. A new video programme

    CERN Multimedia

    CERN video productions

    2011-01-01

    "What's new @ CERN?", a new monthly video programme, will be broadcast on the Monday of every month on webcast.cern.ch. Aimed at the general public, the programme will cover the latest CERN news, with guests and explanatory features. Tune in on Monday 3 October at 4 pm (CET) to see the programme in English, and then at 4:20 pm (CET) for the French version.   var flash_video_player=get_video_player_path(); insert_player_for_external('Video/Public/Movies/2011/CERN-MOVIE-2011-129/CERN-MOVIE-2011-129-0753-kbps-640x360-25-fps-audio-64-kbps-44-kHz-stereo', 'mms://mediastream.cern.ch/MediaArchive/Video/Public/Movies/2011/CERN-MOVIE-2011-129/CERN-MOVIE-2011-129-Multirate-200-to-753-kbps-640x360-25-fps.wmv', 'false', 480, 360, 'https://mediastream.cern.ch/MediaArchive/Video/Public/Movies/2011/CERN-MOVIE-2011-129/CERN-MOVIE-2011-129-posterframe-640x360-at-10-percent.jpg', '1383406', true, 'Video/Public/Movies/2011/CERN-MOVIE-2011-129/CERN-MOVIE-2011-129-0600-kbps-maxH-360-25-fps-...

  18. Restoring State Control Over Forest Resources Through Administrative Procedures: Evidence From a Community Forestry Programme in Central Java, Indonesia

    Directory of Open Access Journals (Sweden)

    Ahmad Maryudi

    2012-01-01

    Full Text Available In recent years, community forestry has emerged as a means to reform power constellations with regard to forest governance. Through community forestry, the central state promised to devolve several forest rights to local communities and encouraged them to get involved in decision making processes and the implementation of forest activities. However, experience in some countries indicates that the implementation of community forestry programmes is rarely followed by genuine power devolution to local forest users. Instead, these programmes may even serve as a means to retain or restore the central state’s control over forests. Using a case study of a community forestry programme implemented in Java, Indonesia, by a state forest company, this paper argues that the implementation of community forestry is also driven by the state’s interests to regain control over the forests. Research in eight villages in Central Java province reveals that the community forestry programmes are carefully structured according to numerous administrative procedures and estab- lish a mode of control through a bureaucratic design. ----- In den letzten Jahren hat sich community forestry als Mittel zur Reform von Machtkonstellationen in Bezug auf die Verwaltung von Wäldern herausgebildet. Der Zentralstaat versprach durch community forestry bestimmte Waldrechte an lokale Communities abzugeben und ermutigte sie, sich an Entscheidungsprozessen und der Implementierung von Forstaktivitäten zu beteiligen. Erfahrungen in einigen Ländern zeigen jedoch, dass die Implementierung von community forestry-Programmen selten mit einem tatsächlichen Machttransfer an lokale ForstnutzerInnen einhergeht, sondern diese Programme sogar als Mittel zur Rückgewinnung von zentralstaatlicher Kontrolle über Wälder dienen können. Anhand eines Fallbeispiels eines community forestry-Programms, das in Java, Indonesien, von einem staatlichen Forstunternehmen implementiert wird, argumentiere ich

  19. Art therapy: an underutilized, yet effective tool

    Directory of Open Access Journals (Sweden)

    Robert A. Bitonte

    2014-03-01

    Full Text Available Art therapy has been recognized as beneficial and effective since first described by Adrian Hill in 1942. Even before this time, art therapy was utilized for moral reinforcement and psychoanalysis. Art therapy aids patients with, but not limited to, chronic illness, physical challenges, and cancer in both pediatric and adult scenarios. Although effective in patient care, the practice of art therapy is extremely underutilized, especially in suburban areas. While conducting our own study in northeastern Ohio, USA, we found that only one out of the five inpatient institutions in the suburban area of Mahoning County, Ohio, that we contacted provided continuous art therapy to it’s patients. In the metropolitan area of Cuyahoga County, Ohio, only eight of the twenty-two inpatient institutions in the area provided art therapy. There could be many reasons as to why art therapy is not frequently used in these areas, and medical institutions in general. The cause of this could be the amount of research done on the practice. Although difficult to conduct formal research on such a broad field, the American Art Therapy Association has succeeded in doing such, with studies showing improvement of the patient groups emotionally and mentally in many case types.

  20. MUF architecture /art London

    DEFF Research Database (Denmark)

    Svenningsen Kajita, Heidi

    2009-01-01

    Om MUF architecture samt interview med Liza Fior og Katherine Clarke, partnere i muf architecture/art......Om MUF architecture samt interview med Liza Fior og Katherine Clarke, partnere i muf architecture/art...

  1. Nordic (Art) Photography

    DEFF Research Database (Denmark)

    Sandbye, Mette

    2013-01-01

    A description of the rise of the role of photography on the Scandinavian art scene the last 25 years......A description of the rise of the role of photography on the Scandinavian art scene the last 25 years...

  2. Art Taipei, 2007

    Institute of Scientific and Technical Information of China (English)

    Jade; Franklin

    2007-01-01

    ■The boom of Chinese contemporary art in recent years has been greatly assisted by the purchasing power of Taiwanese collectors. They constitute the largest art buyers in the Asian market and without them the scene would look

  3. Fine Arts Database (FAD)

    Data.gov (United States)

    General Services Administration — The Fine Arts Database records information on federally owned art in the control of the GSA; this includes the location, current condition and information on artists.

  4. Artfulness i Vejle

    DEFF Research Database (Denmark)

    Chemi, Tatiana

    2011-01-01

    this is the closing report, summing up findings from different qualitative case studies on the workings of the arts in learning. The background ethnographic research followed several arts-project in Danish public schools.......this is the closing report, summing up findings from different qualitative case studies on the workings of the arts in learning. The background ethnographic research followed several arts-project in Danish public schools....

  5. Gombrich, Art and Psychoanalysis

    OpenAIRE

    Stefano Ferrari

    2014-01-01

    Ernst H. Gombrich has always shown particular attention to the psychology of art as psychology of representation (and enjoyment) of art. In addition, through his friendship with Ernst Kris, who had been a respected art historian in the staff of the Kunsthisthoriches Museum in Vienna before becoming an important psychoanalyst, Gombrich devoted some fundamental essays on the contribution of psychoanalysis to the study of art.The main novelty and the most original feature of his contribution to ...

  6. ART GALLERY IN LHASA

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Art galleries have emerged on the streets of Lhasa since the reform and opening up of China.The earliest ones were Art Gallery of Tibetan Exhibition Hall and Art Gallery of Potala Palace 20 years before.For 20 years as one fell,another rose until now,tens of art galleries of various sizes and centred around the Barkor Street are attracting enormous numbers of tourists from both home and abroad.

  7. Uporabnost teorij etike v zdravstveni negi: Application of ethical theories in nursing care:

    OpenAIRE

    Šmitek, Jana

    2004-01-01

    Two ethical theories are in more detail explained in the article: deontology as principle based ethics and ethics of care as a theory related to fundamental value of nursing caring. Joan Tronto's presentation of care and ethics of care is exposed as well as it's direct relation to nursing care. Theauthor exposes the need for ethics of care theory to be implemented into nursing educational programmes and also into educational programmes of other health care professionals.

  8. Social Action Art Therapy

    Science.gov (United States)

    Golub, Deborah

    2005-01-01

    This paper explores intersections among art, action, and community. It describes sociopolitical aspects of the author's art therapy work with survivors of repressive regimes living in Brazil, China, and Denmark and considers ways that unique historical and social processes influenced her conceptualization and practice of social action art therapy.

  9. Transpersonal Art Therapy Education.

    Science.gov (United States)

    Franklin, Michael; Farrelly-Hansen, Mimi; Marek, Bernie; Swan-Foster, Nora; Wallingford, Sue

    2000-01-01

    Addresses the task of training future art therapists through a unique branch of transpersonal psychology referred to as "contemplative education." Discusses contemplative practices, such as meditation, and their relationship to creating art. Offers a definition of transpersonal art therapy as well as a literature review. (Contains 80 references.)…

  10. Teaching with Public Art

    Science.gov (United States)

    Argiro, Carol

    2004-01-01

    "Public art" is a broad term that refers to art in public spaces and includes architecture, landscape, and urban design. Public art makes public spaces more beautiful, encourages us to pause and interact with our environment, or reminds us of important people and events. Just as often, public sculptures become such a part of our everyday…

  11. Arts Opportunity Gap

    Science.gov (United States)

    Principal, 2012

    2012-01-01

    The increasing focus on arts education during the past few years has brought much-needed attention to the benefits it affords to students of all ages. Past research has proved time and again that the arts support teaching and learning in numerous ways, and recommendations abound that schools should find ways to integrate the arts in classrooms.…

  12. Ancient Art Form Revisited

    Institute of Scientific and Technical Information of China (English)

    Liu Jian

    2011-01-01

    @@ A CHINESE New Year painting exhibition has offered thousands of art lovers a traditional folk art feast in Beijing this past January and February.With the theme of "Door Gods," over 300 works of art were on display, representing various styles in China's different regions.

  13. Arts and Technology

    DEFF Research Database (Denmark)

    This book constitutes the thoroughly refereed post-conference proceedings of the Second International Conference on Arts and Technology, ArtsIT 2011, which was held in December 2011 in Esbjerg, Denmark. The 19 revised full papers and the two poster papers cover various topics such as Interaction...... and Art, Music and Performance, and Digital Technology....

  14. Estimated use of abacavir among adults and children enrolled in public sector antiretroviral therapy programmes in Gauteng, South Africa

    Directory of Open Access Journals (Sweden)

    D Evans

    2012-09-01

    Full Text Available In South Africa, abacavir (ABC is currently recommended as part of first- and second-line antiretroviral therapy (ART for HIV-positive paediatric patients. Concerns about overprescribing of the drug, particularly to adults, led to an analysis of ABC use in public sector ART programmes. We investigated current prescription of the drug to adults and children accessing ART in 4 public sector programmes across Gauteng Province, South Africa. ABC was almost exclusively prescribed to children initiating ART and adults requiring regimen changes due to drug toxicities. Patterns of ABC use among HIV-positive paediatric patients followed national ART treatment guidelines on the application of the drug. Although ABC is commonly used in the private sector for adults, the current national ART treatment guidelines for adults and adolescents should include ABC as an alternative to standard first- or second-line ART.

  15. Psychopathological Art and the Use of Art in Psychiatric Treatment

    Directory of Open Access Journals (Sweden)

    Latife UTAŞ AKHAN

    2012-01-01

    helps the patient escape from the environment instead of making him better. The art therapist therefore has to be very careful within the therapeutic approach and keep a delicate balance between intervention and staying quiet.

  16. Research in New Strategies in Conservation of Contemporary Art

    NARCIS (Netherlands)

    S. Stigter

    2013-01-01

    New Strategies in Conservation of Contemporary Art is a collaborative, interdisciplinary research programme of Maastricht University (UM), the University of Amsterdam (UvA) and the Cultural Heritage Agency of the Netherlands (RCE). It is partly funded by the Netherlands Organization for Scientific R

  17. Art Priori = Art Priori / Kristel Jakobson

    Index Scriptorium Estoniae

    Jakobson, Kristel, 1983-

    2015-01-01

    Restoran Art Priori Tallinna vanalinnas Olevimägi 7. Sisekujunduse autor Kristel Jakobson (Haka Disain). Eesti Sisearhitektide Liidu aastapreemia 2014/2015 parima restorani eest. Lühidalt Kristel Jakobsonist

  18. Emerging regulatory challenges facing the Indian rural electrification programme

    International Nuclear Information System (INIS)

    The purpose of this paper is to present and analyse the regulatory issues emerging from the newly launched programme of rural electricity access in India. We focus on two broad areas, namely regulatory issues related to the organisation/structuring of the activities and issues related to subsidy and tariffs. The paper looks into the alternative organisational arrangements being used by the programme and identifies problem areas through a responsibility mapping. The tariff principle being followed by the programme is then analysed considering the alternative organisational forms and issues related to such pricing policies are identified. Possible alternative pricing options are then suggested. The paper finds that while the franchisee model is an innovative idea, it raises issues that the regulators should be concerned with. The programme has so far relied on the simplest franchisee model because of its ease of implementation but a transition to more complex alternatives would require careful considerations. (author)

  19. Improving regional universal newborn hearing screening programmes in Italy.

    Science.gov (United States)

    Molini, E; Cristi, M C; Lapenna, R; Calzolaro, L; Muzzi, E; Ciciriello, E; Della Volpe, A; Orzan, E; Ricci, G

    2016-02-01

    The Universal Newborn Hearing Screening (UNHS) programme aims at achieving early detection of hearing impairment. Subsequent diagnosis and intervention should follow promptly. Within the framework of the Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for early Identification, Intervention and Care of Hearing Impaired Children", the limitations and strengths of current UNHS programs in Italy have been analysed by a group of professionals working in tertiary centres involved in regional UNHS programmes, using SWOT analysis and a subsequent TOWS matrix. Coverage and lost-to-follow up rates are issues related to UNHS programmes. Recommendations to improve the effectiveness of the UNHS programme have been identified. The need for homogeneous policies, high-quality information and dissemination of knowledge for operators and families of hearing-impaired children emerged from the discussion. PMID:27054385

  20. Emerging regulatory challenges facing the Indian rural electrification programme

    International Nuclear Information System (INIS)

    The purpose of this paper is to present and analyse the regulatory issues emerging from the newly launched programme of rural electricity access in India. We focus on two broad areas, namely regulatory issues related to the organisation/structuring of the activities and issues related to subsidy and tariffs. The paper looks into the alternative organisational arrangements being used by the programme and identifies problem areas through a responsibility mapping. The tariff principle being followed by the programme is then analysed considering the alternative organisational forms and issues related to such pricing policies are identified. Possible alternative pricing options are then suggested. The paper finds that while the franchisee model is an innovative idea, it raises issues that the regulators should be concerned with. The programme has so far relied on the simplest franchisee model because of its ease of implementation but a transition to more complex alternatives would require careful considerations

  1. Zen and the Art of Evaluation.

    Science.gov (United States)

    Marshall, Gail

    1993-01-01

    Shows how guidelines from Robert Pirsig's "Zen and the Art of Motorcycle Maintenance" can be used to evaluate computer-based projects in the schools. Guidelines include caring about the project, viewing it from the perspective of the specialist and the common person, and being systematic in approach. (KRN)

  2. [Quality of health care].

    Science.gov (United States)

    Medina, J L; De Melo, P C

    2000-01-01

    Quality assurance is a relatively recent concern but already plays a major role in health care management and provision. Quality involves the definition of a comprehensive programme tailored by realistic and effective objectives and norms that include the structured review of procedures (namely clinical audits) and the use of up-to-date protocols. The involvement and motivation of health professionals, together with an adequate internal and external communication strategy, play a key role in the planning and application of these programmes. The use of programmed assessment, based on a solid knowledge of current practice, should have practical implications, optimising procedures in order to improve the quality of care. This commitment towards quality in health care should go far beyond governmental policy and should have clear support from health professionals. PMID:11234496

  3. CASINDO Programme Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    Van der Linden, N.; Smekens, K.; Bole-Rentel, T.; Saidi, R. [Unit ECN Policy Studies, Energy research Centre of the Netherlands ECN, Petten (Netherlands); Wijnker, M. [Eindhoven University of Technology TUE, Eindhoven (Netherlands); Kamphuis, E. [ETC Netherlands, Leusden (Netherlands); Winarno, Oetomo Tri [Institute of Technology, Bandung (Indonesia); Permana, Iman [Technical Education Development Centre, Bandung (Indonesia)

    2012-06-15

    The overall objective of the CASINDO programme is to establish a self-sustaining and self-developing structure at both the national and regional level to build and strengthen human capacity to enable the provinces of North Sumatra, Yogyakarta, Central Java, West Nusa Tenggara and Papua to formulate sound policies for renewable energy and energy efficiency and to develop and implement sustainable energy projects. CASINDO stands for Capacity development and strenghtening for energy policy formulation adn implementation of sustainable energy projects in Indonesia.

  4. Accident prevention programme

    International Nuclear Information System (INIS)

    This study by the Steel Industry Safety and Health Commission was made within the context of the application by undertakings of the principles of accident and disease prevention previously adopted by the said Commission. It puts forward recommendations for the effective and gradual implementation of a programme of action on occupational health and safety in the various departments of an undertaking and in the undertaking as a whole. The methods proposed in this study are likely to be of interest to all undertakings in the metallurgical industry and other industrial sectors

  5. Fusion technology programme

    International Nuclear Information System (INIS)

    In the current Fusion Technology Programme of the European Community the KfK association is working at present on 16 R and D contracts. Most of the work is strongly oriented towards the Next European Torus. Direct support to NET is given by three KfK delegates being member of the NET study group. In addition to the R and D contracts the association is working on 11 NET study contracts. Though KfK contributes to all areas defined in fusion technology, the main emphasis is put on superconducting magnet and breeding blanket development. Other important fields are tritium technology, materials research, and remote handling. (orig./GG)

  6. Multilateral Interoperability Programme

    Directory of Open Access Journals (Sweden)

    L. Burita

    2009-12-01

    Full Text Available The Multilateral Interoperability Programme (MIP is a voluntary and independent activity in NATO environment by the participating nations and organizations. The MIP concept is based on data exchange in form of common exchange data model to achieve the international interoperability in command and control information systems (C2IS of the tactical units. The article describes the basis of the MIP organizations, structure, planning and testing processes. The core of the MIP solution is the Information Exchange Data Model (IEDM. The Czech Armed Forces (CAF MIP process implementation is mentioned. The MIP example is a part of university education process.

  7. Research and training programmes

    Directory of Open Access Journals (Sweden)

    Daksha Patel

    2007-03-01

    Full Text Available Research is defined in the Oxford English Dictionary as “a systematic investigation and study of materials and sources in order to establish facts and reach new conclusions.”Research is embedded in the curricula of most postgraduate training programmes; students are expected to complete some form of original work towards a dissertation. This often evokes a range of reactions: “What is the purpose of this exercise? Why do I have to do research when I just want to do a job? Shouldn’t research rather be left to experts? I can’t do the course; I have no research background!”

  8. Research and training programmes

    OpenAIRE

    Daksha Patel

    2007-01-01

    Research is defined in the Oxford English Dictionary as “a systematic investigation and study of materials and sources in order to establish facts and reach new conclusions.”Research is embedded in the curricula of most postgraduate training programmes; students are expected to complete some form of original work towards a dissertation. This often evokes a range of reactions: “What is the purpose of this exercise? Why do I have to do research when I just want to do a job? Shouldn’t research r...

  9. Programmable ferroelectric tunnel memristor

    OpenAIRE

    Andy eQuindeau; Dietrich eHesse; Marin eAlexe

    2014-01-01

    We report an analogously programmable memristor based on genuine electronic resistive switching combining ferroelectric switching and electron tunneling. The tunnel current through an 8 unit cell thick epitaxial Pb(Zr[0.2]Ti[0.8])O[3] film sandwiched between La[0.7]Sr[0.3]MnO[3] and cobalt electrodes obeys the Kolmogorov-Avrami-Ishibashi model for bidimensional growth with a characteristic switching time in the order of 10^-7 seconds. The analytical description of switching kinetics allows us...

  10. The community programme revisited

    OpenAIRE

    Anne Gray

    1999-01-01

    This paper examines the lessons for the New Deal era of some older strands in UK and European labour market measures; the Community Programme of the 1980s and the experience of “entreprises d'insertion in France, Spain and the Netherlands. It considers whether the institutional infrastructure of the New Deal is appropriate for the realisation of "intermediate labour marketsâ€. This raises some further questions; whether ILMs are about creating employment or merely redistributing it, and whe...

  11. Progress in Programmable Logic

    Directory of Open Access Journals (Sweden)

    Jozef Cuntala

    2004-01-01

    Full Text Available Programmable logic devices (PLD are situated on important place among microelectronic components thanks to the continuing technological development of semiconductor components, due to new architectures and new approaches to digital systems design. Software design of various complicated digital systems becomes advantageous article of many firms. The Department of Electronics and Electrotechnology pays pemanent attention to mentioned components in application field. The collective of authors wants in this article point out on possibilities of design of digital system using the PLD. The paper plan contains the following basic parts: Technological aspects that influence development of configurable logic devices, Methodology od design and implementation and Flexibility of PLD interface.

  12. A programmable Fortran preprocessor

    Energy Technology Data Exchange (ETDEWEB)

    Rosing, M.

    1995-06-01

    A programmable Fortran preprocessor is described. It allows users to define compile time operations that can examine and modify the source tree before it is compiled with a traditional compiler. This intermediate step allows the definition of routines and operations that adapt to the context in which they are used. Context sensitive operations increase the flexibility of abstractions that can be built without degrading efficiency, as compared to using traditional run time based abstractions such as libraries or objects. The preprocessor is described briefly along with an example of how it is used to add CMFortran array operations to Fortran77. Other preprocessors that have been implemented are also briefly described.

  13. Programme Biology - Health protection

    International Nuclear Information System (INIS)

    The scientific results for 1975, of the five-year Biology-Health Protection programme adopted in 1971, are presented in two volumes. In volume one, Research in Radiation Protection are developed exclusively, including the following topics: measurement and interpretation of radiation (dosimetry); transfer of radioactive nuclides in the constituents of the environment; hereditary effects of radiation; short-term effects (acute irradiation syndrome and its treatment); long-term effects and toxicology of radioactive elements. In volume, two Research on applications in Agriculture and Medicine are developed. It includes: mutagenesis; soil-plant relations; radiation analysis; food conservation; cell culture; radioentomology. Research on applications in Medicine include: Nuclear Medicine and Neutron Dosimetry

  14. From interventions to interactions: Science Museum Arts Projects’ history and the challenges of interpreting art in the Science Museum

    Directory of Open Access Journals (Sweden)

    Hannah Redler

    2009-06-01

    Full Text Available Hannah Redler’s paper examines the 13 year history of Science Museum, London’s contemporary art programme and explores how changing cultural conditions and the changing function of museums are making the questions raised by bringing art into the Science Museum context increasingly significant. It looks at how Science Museum Arts Projects started as a quirky, experimental sideline aimed at shaking up the Museum and its visitors’ assumptions, but has now become a fundamental means by which the Science Museum chooses to represent the impact of science, medicine, engineering and technology on peoples’ everyday lives.

  15. The Origins of Art

    Directory of Open Access Journals (Sweden)

    Aleksandre P. Lobodanov

    2015-12-01

    Full Text Available The origins of artistic activities or rather art, and in recent decades the processing and consolidation of a new field in art history, art semiotics, are grouped together in the semiotic systems of applied and non-applied arts.In this paper, in particular, an analysis is made of the non-applied arts, in which non-verbal signs are used to express the form of human thought.The discussion focuses on the origins of non-applied arts, the image-forming process, the psychology of perception, the perception of sound and reproduction of sounds, the development of music and the development of dance in their entirety, as an expression of the inner condition that influences the body through movement: it thus provides a valuable contribution to the study of the non-applied arts.

  16. The art of scent

    DEFF Research Database (Denmark)

    Stenslund, Anette

    2016-01-01

    At the Museum of Art and Design in New York the The Art of Scent (1889–2012) exhibition announced its declared aim of bringing to the forefront of the arts what has long been considered the fallen angel of the senses: it would inscribe scent into fine art through a display characterised by its ex...... situ superiority detached from everyday culture in situ. The exhibition would thus give cause to sketch in a phenomenology of the art of scent that opts for greater inclusion of visitors’ experienced noses. Unfolding within the framework of Martin Heidegger’s critique of aesthetics and the advocacy of...... art, this paper argues that scent that is not of high culture may yet, phenomenologically speaking, be considered great art....

  17. Studying policy implementation using a macro, meso and micro frame analysis: the case of the Collaboration for Leadership in Applied Health Research & Care (CLAHRC) programme nationally and in North West London.

    OpenAIRE

    Caldwell Sarah EM; Mays Nicholas

    2012-01-01

    Abstract Background The publication of Best research for best health in 2006 and the “ring-fencing” of health research funding in England marked the start of a period of change for health research governance and the structure of research funding in England. One response to bridging the ‘second translational gap’ between research knowledge and clinical practice was the establishment of nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). The goal of this paper is t...

  18. The Return of the Body: Performance Art and Art Education.

    Science.gov (United States)

    Green, Gaye Leigh

    1999-01-01

    Explains that performance art incorporates different artistic forms, emphasizes the process of art over the product, and blurs the line between life and art. Discusses the history of performance art, highlights the Performance Art, Culture, and Pedagogy Symposium, and provides examples of how to use performance art in the classroom. (CMK)

  19. Art-Based Learning Strategies in Art Therapy Graduate Education

    Science.gov (United States)

    Deaver, Sarah P.

    2012-01-01

    This mixed methods research study examined the use of art-based teaching methods in master's level art therapy graduate education in North America. A survey of program directors yielded information regarding in which courses and how frequently art-based methods (individual in-class art making, dyad or group art making, student art projects as…

  20. Art in Story: Teaching Art History to Elementary School Children.

    Science.gov (United States)

    Saccardi, Marianne

    Integrated art history and language arts activities are presented in this curriculum guide. The art history content is chronologically organized by units: (1) "Art of the Ancient World"; (2) "Arts of the East and Africa"; (3) "Art of the Middle Ages and the Renaissance"; (4) "Five European Masters"; (5) "Impressionism and Post-Impressionism"; (6)…

  1. Network-Embedded Management and Applications Understanding Programmable Networking Infrastructure

    CERN Document Server

    Wolter, Ralf

    2013-01-01

    Despite the explosion of networking services and applications in the past decades, the basic technological underpinnings of the Internet have remained largely unchanged. At its heart are special-purpose appliances that connect us to the digital world, commonly known as switches and routers. Now, however, the traditional framework is being increasingly challenged by new methods that are jostling for a position in the next-generation Internet. The concept of a network that is becoming more programmable is one of the aspects that are taking center stage. This opens new possibilities to embed software applications inside the network itself and to manage networks and communications services with unprecedented ease and efficiency. In this edited volume, distinguished experts take the reader on a tour of different facets of programmable network infrastructure and application exploit it. Presenting the state of the art in network embedded management and applications and programmable network infrastructure, the book c...

  2. Effects of ageing on US university research programmes

    International Nuclear Information System (INIS)

    The history of University Research Reactor (URR) programmes in the United States is analyzed from the 1954 Atoms for Peace program until today. Of the 72 URRs commissioned only 34 remain in operation. The ageing process has had a minimal impact on physical structures and components. The greater impact of ageing has been on the programmes conducted at URRs. After initial construction with substantial federal support, a severe lack of funding existed for normal operating expenses, conducting active research programmes, and maintaining facilities in a state-of-the-art condition. Some facilities funded improvements by selling services to purchase new equipment and support the staff. Improvements also resulted form a recent $4 million federal upgrade program. Efforts are underway to establish a rational program of support to equip the network of URRs as contemporary research centers more committed to their educational and research missions and less driven by the need to perform service work to support their existence. (orig.)

  3. Improving stroke care for patients at Cavan hospital [poster

    LENUS (Irish Health Repository)

    Murugasu, G Dr.

    2013-07-01

    Under the Quality and Continuing Care Directorate (QCCD) in stroke care Cavan General Hospital was identified as a hospital that received a large number of stroke and TIA patients. A programme was established to improve services to this population.

  4. ADS National Programmes: Belgium

    International Nuclear Information System (INIS)

    The Belgian activities in the field of Accelerator Driven Systems (ADS) are mainly related to the MYRRHA project development. MYRRHA is an accelerator driven, multi purpose fast neutron spectrum facility for R&D, cooled by a lead-bismuth eutectic. SCK•CEN has started the MYRRHA project as a national programme with several national & international bilateral collaboration agreements; the project has now evolved as an European integrated project in the frame of the IPEUROTRANS (European Commission, Sixth Framework Programme). The MYRRHA ‘Draft-2’ predesign file (completed in the early 2005) has been proposed to the partners as a basis for the XT-ADS machine. After a detailed investigation of potential alternatives, the MYRRHA concept (for the subcritical core, the primary coolant system, the accommodation of experimental rigs, the reactor vessel and the spallation target) has been kept with some modifications to achieve the XT-ADS objectives. The most recent version of the XT-ADS design was presented in the 2007 TWG meeting

  5. Fast reactor programme

    International Nuclear Information System (INIS)

    This progress report summarizes the fast reactor research carried out by ECN during the period covering the year 1980. This research is mainly concerned with the cores of sodium-cooled breeders, in particular the SNR-300, and its related safety aspects. It comprises six items: A programme to determine relevant nuclear data of fission- and corrosion-products; A fuel performance programme comprising in-pile cladding failure experiments and a study of the consequences of loss-of-cooling and overpower; Basic research on fuel; Investigation of the changes in the mechanical properties of austenitic stainless steel DIN 1.4948 due to fast neutron doses, this material has been used in the manufacture of the reactor vessel and its internal components; Study of aerosols which could be formed at the time of a fast reactor accident and their progressive behaviour on leaking through cracks in the concrete containment; Studies on heat transfer in a sodium-cooled fast reactor core. As fast breeders operate at high power densities, an accurate knowledge of the heat transfer phenomena under single-phase and two-phase conditions is sought. (Auth.)

  6. Reactor Physics Programme

    International Nuclear Information System (INIS)

    The Reactor Physics and Department of SCK-CEN offers expertise in various areas of reactor physics, in particular in neutronics calculations, reactor dosimetry, reactor operation, reactor safety and control and non-destructive analysis on reactor fuel. This expertise is applied within the Reactor Physics and MYRRHA Research Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 reactor dosimetry, and the preparation and interpretation of irradiation experiments. Progress and achievements in 1999 in the following areas are reported on: (1) investigations on the use of military plutonium in commercial power reactors; (2) neutron and gamma calculations performed for BR-2 and for other reactors; (3) the updating of neutron and gamma cross-section libraries; (4) the implementation of reactor codes; (6) the management of the UNIX workstations; and (6) fuel cycle studies

  7. Accelerator programme at CAT

    International Nuclear Information System (INIS)

    The Accelerator Programme at the Centre for Advanced Technology (CAT), Indore, has very broad based concept under which all types of accelerators are to be taken up for design and fabrication. This centre will be housing a wide variety of accelerators to serve as a common facility for the universities, national laboratories in addition to laboratories under the Department of Atomic Energy. In the first phase of the programme, a series of electron accelerators are designed and fabricated. They are synchrotron radiation sources of 450 MeV (INDUS-I) and of 2 GeV (INDUS-II), microtron upto energy of 20 MeV, linear accelerator upto 20 MeV, and DC Accelerator for industrial irradiation upto 750 KeV and 20 KW. A proton accelerator of 300 MeV with 20 MeV linac injector is also designed. CAT is also developing a strong base for support technologies like ultra high vacuum, radio frequency and microwaves, DC pulsed and superconducting magnets, power supplies and controls etc. These technologies are very useful for other industrial applications also. To develop user groups to utilise INDUS-II synchrotron radiation source, a batch production of rotating Anode X-ray generators with power supplies has been initiated. So also, the sputter ion pumps, electron guns, turbo molecular pumps are brought into batch production. (author)

  8. PREPARATION FOR RETIREMENT PROGRAMME

    CERN Multimedia

    Human Resources Division

    2001-01-01

    27 March 2001 from 2.00 p.m. to 5.30 p.m. 28 March 2001 from 2.00 p.m. to 5.30 p.m. 29 March 2001 from 2.00 p.m. to 5.30 p.m. 30 March 2001 from 2.00 p.m. to 4.45 p.m. Auditorium (Main Building) After the success of the preparation seminars held in recent years, it has been decided that the programme should continue. The forthcoming seminar has been prepared in close collaboration with the CERN Pensioners' Association. The programme will be organised over several half-day sessions. Once again this year, a special session will be devoted to the 10th revision of the Swiss state pension scheme, the 'AVS' (Assurance-Vieillesse et Survivants), and the consequences for international civil servants. A talk will be given by Mrs Danièle Siebold, Director of the Caisse Cantonale Genevoise de Compensation, aimed mainly at those residing in or intending to move to Switzerland, or who worked in Switzerland before joining CERN. To enable Mrs Siebold to respond to your concerns as effectively as possible, please ...

  9. Nuclear programme in Indonesia

    International Nuclear Information System (INIS)

    Implementation of the energy policy covers several aspects such as issuance of regulations, standards, energy pricing incentives and disincentives, and the application of appropriate technologies. The policies and implementation of the technologies can fully be supported by the use of nuclear technology, especially toward the now popular issue concerning the environment. In view of these policies and the need to implement these policies. i.e. for the diversification of energy and environmental concern, the Department of Mines and Energy has established an Indonesian Energy Coordination Board (BAKOREN). This board has realised the importance of considering nuclear as a source of energy, which has led to a decision in September 1989, for The National Atomic Energy Agency (BATAN) to conduct a feasibility study to introduce nuclear power plants in Indonesia. The establishment of an authority for the construction and operation of Nuclear Power Plants in Indonesia, which is primarily related to the safe and efficient operation of nuclear power plants, must also be prepared. This authority is still under considerations by the Indonesian Government. In implementing the Indonesia Nuclear Programme, it is important that cooperation exists among countries of the world, Korea, in this respect, as learning from experiences of other countries are very necessary to plan for a successful Nuclear Programme

  10. Relations between metaphysics and art? ¿Relaciones entre metafisica y arte?

    OpenAIRE

    Vélez León, Paulo

    2013-01-01

    International audience In this paper we intend to make visible a possible relationship between metaphysics and art, from the presuppose, in absolute terms they are the same, so that what you say is true of the metaphysical arts. However, the distinction between metaphysics and art is not feasible to show the world, especially in an artistic event such as a concert or show, but because the distinctions of the world. Try to address this issue since the concept of Sorge (cure, care) and metap...

  11. Medical Art Therapy

    Directory of Open Access Journals (Sweden)

    Birgul Aydin

    2012-03-01

    Full Text Available Art therapy is a form of expressive therapy that uses art materials. Art therapy combines traditional psychotherapeutic theories and techniques with an understanding of the psychological aspects of the creative process, especially the affective properties of the different art materials. Medical art therapy has been defined as the clinical application of art expression and imagery with individuals who are physically ill, experiencing physical trauma or undergoing invasive or aggressive medical procedures such as surgery or chemotherapy and is considered as a form of complementary or integrative medicine. Several studies have shown that patients with physical illness benefit from medical art therapy in different aspects. Unlike other therapies, art therapy can take the patients away from their illness for a while by means of creative activities during sessions, can make them forget the illness or lost abilities. Art therapy leads to re-experiencing normality and personal power even with short creative activity sessions. In this article definition, influence and necessity of medical art therapy are briefly reviewed.

  12. REVIEW OF FOCUSSED ANTENATAL CARE

    Directory of Open Access Journals (Sweden)

    Sreelatha

    2015-09-01

    Full Text Available INTRODUCTION: Antenatal care is a comprehensive antepartum programme which involves a coordinated approach to medical care , continuous risk assessment , and psychological support that optimally begins before conception and extends throughout the postpartum period and int erconceptional period . [1] One of major responsibility of obstetrician providing antenatal care is to identify high risk factors based on past history, examination and investigation results. The objective of antenatal care therefore is to assure that every wanted pregnancy results in the delivery of a healthy baby without impairing the mothers health . [2] In a 1914 study by Williams antenatal care reduced fetal mortality by 40%

  13. CAMAC modular programmable function generator

    International Nuclear Information System (INIS)

    A CAMAC modular programmable function generator has been developed. The device contains a 1024 word by 12-bit memory, a 12-bit digital-to-analog converter with a 600 ns settling time, an 18-bit programmable frequency register, and two programmable trigger output registers. The trigger registers can produce programmed output logic transitions at various (binary) points in the output function curve, and are used to synchronize various other data acquisition devices with the function curve

  14. Post-graduate art therapy training in Israel: personal and professional transformation through dynamic artwork-based experiential transformative courses

    OpenAIRE

    Honig, Ofira

    2014-01-01

    Art therapy training programmes around the world feature a unique type of course based on dynamic art-work experience and conducted in the context of a core student group. The course is usually called an 'experiential group course'. There is world-wide practical recognition in the professional art therapy literature of the need for dynamic experiential artwork-based courses in art therapy training. What is new is that Israeli lecturers have extended this 'experiential group course' into what ...

  15. Art Toys in the contemporary art scene

    Directory of Open Access Journals (Sweden)

    Laura Sernissi

    2014-03-01

    Full Text Available The Art Toys phenomenon, better known as Art Toy Movement, was born in China in the mid-nineties and quickly spread out to the rest of the world. The toys are an artistic production of serial sculpture, made by handcrafts or on an industrial scale. There are several types of toys, such as custom toys and canvas toys, synonyms of designer toys, although they are often defined according to the constituent material, such as vinyl toys (plastic and plush toys (fabric. Art toys are the heirs of an already pop-surrealist and neo-pop circuit, which since the eighties of the twentieth century has pervaded the Japanese-American art scene, winking to the playful spirit of the avant-garde of the early century. Some psychoanalytic, pedagogical and anthropological studies about “play theories”, may also help us to understand and identify these heterogeneous products as real works of art and not simply as collectible toys.

  16. High-levels of acquired drug resistance in adult patients failing first-line antiretroviral therapy in a rural HIV treatment programme in KwaZulu-Natal, South Africa.

    Directory of Open Access Journals (Sweden)

    Justen Manasa

    Full Text Available OBJECTIVE: To determine the frequency and patterns of acquired antiretroviral drug resistance in a rural primary health care programme in South Africa. DESIGN: Cross-sectional study nested within HIV treatment programme. METHODS: Adult (≥ 18 years HIV-infected individuals initially treated with a first-line stavudine- or zidovudine-based antiretroviral therapy (ART regimen and with evidence of virological failure (one viral load >1000 copies/ml were enrolled from 17 rural primary health care clinics. Genotypic resistance testing was performed using the in-house SATuRN/Life Technologies system. Sequences were analysed and genotypic susceptibility scores (GSS for standard second-line regimens were calculated using the Stanford HIVDB 6.0.5 algorithms. RESULTS: A total of 222 adults were successfully genotyped for HIV drug resistance between December 2010 and March 2012. The most common regimens at time of genotype were stavudine, lamivudine and efavirenz (51%; and stavudine, lamivudine and nevirapine (24%. Median duration of ART was 42 months (interquartile range (IQR 32-53 and median duration of antiretroviral failure was 27 months (IQR 17-40. One hundred and ninety one (86% had at least one drug resistance mutation. For 34 individuals (15%, the GSS for the standard second-line regimen was <2, suggesting a significantly compromised regimen. In univariate analysis, individuals with a prior nucleoside reverse-transcriptase inhibitor (NRTI substitution were more likely to have a GSS <2 than those on the same NRTIs throughout (odds ratio (OR 5.70, 95% confidence interval (CI 2.60-12.49. CONCLUSIONS: There are high levels of drug resistance in adults with failure of first-line antiretroviral therapy in this rural primary health care programme. Standard second-line regimens could potentially have had reduced efficacy in about one in seven adults involved.

  17. The Impact of the Arts on Traveller Education; an Exploratory Study

    OpenAIRE

    Fagan, Bernadette, [Thesis

    2013-01-01

    The aim of this study was to explore the impact that the Arts, (that is the study of visual art, drama, music, dance, creative writing, film and video expression), have on the educational process within Irish Traveller Educational Centres whose students are widely recognised as the most highly marginalised group within Irish society (Ireland, 1995; MacGreil, 1996; Zappone, 2002). Art programmes appear to induce a ‘flow’ state, as identified by Csikszentmihalyi, that he defines as a state of o...

  18. Day care schemes and cash for-care at home

    DEFF Research Database (Denmark)

    Eydal, Gudny; Rostgaard, Tine

    2012-01-01

    The purpose of this chapter is to analyse and compare Nordic day-care policies, i.e. ECEC services as well as cash-for-care for children under school age. The chapter examines the legislative purpose behind the provision of the services and the cash benefits as well as the take-up rates. The review...... of day-care will also look at how the programmes are organised and funded, and at the quality indicators of the care provided. In this context, the Nordic countries will be compared with the EU average. The review of cash-for-care will assess the key elements of the programmes: the length of time...

  19. Martial Arts Club

    CERN Multimedia

    Martial Arts Club

    2010-01-01

    In July 2010, after five years of activity, the CERN Martial Arts held its first international Bujutsu seminar, gathering more than 40 participants from France, Switzerland, Sweden and Japan. The seminar was led by Master Shimazu Kenji, world-renowned martial arts expert based in Tokyo and headmaster of the Yagyu Shingan Ryu school, present in Europe specifically for the occasion. During nine days, participants got to discover the wide array of Bujutsu techniques and traditions of an ancestral martial art that finds its roots in the art and lives of Japanese samurais. Covering such varied subjects as self-defense techniques (Jujitsu), swordsmanship (Kenjutsu), through to healing techniques and etiquette, it encompasses all aspects of a way of life that still find echoes in today's modern Japanese society. The CERN Martial Arts club wishes to thank particularly the CERN Clubs Committee and its president Rachel Bray for their support in organizing this event. The CERN Martial Arts club, led by Sylvai...

  20. Art and Architectural Space

    DEFF Research Database (Denmark)

    Unterrainer, Walter

    2014-01-01

    and its content. The urban and spatial question goes far beyond museums and other buildings for art: how in democratic societies should public spaces be supported by art and how can public art support ´cityness´ and meaning versus spaces of consumerism. Famous but egocentric buildings with the main......art and architectural space museums and other exhibition spaces or how artists learn to love architects Over the last two decades, innumerable new museums, art galleries and other exhibition spaces have been built and opened all over the globe. The most extreme growth happened in China, where the...... number of museums went up from 300 by 1980 to estimated 3000 museums by 2015. In urban discourses, new museums and buildings for art have been considered as drivers for ´cultural sustainability´ of cities. The notion is diffuse and the reality is more an economic centred ´city branding´ to help the...

  1. Art, Technology and Nature

    DEFF Research Database (Denmark)

    Since 1900, the connections between art and technology with nature have become increasingly inextricable. Through a selection of innovative readings by international scholars, this book presents the first investigation of the intersections between art, technology and nature in post-medieval times....... Transdisciplinary in approach, this volume’s 14 essays explore art, technology and nature’s shifting constellations that are discernible at the micro level and as part of a larger chronological pattern. Included are subjects ranging from Renaissance wooden dolls, science in the Italian art academies, and artisanal...... Camilla Skovbjerg Paldam and Jacob Wamberg trace the Kantian heritage of radically separating art and technology, and inserting both at a distance to nature, suggesting this was a transient chapter in history. Thus, they argue, the present renegotiation between art, technology and nature is reminiscent...

  2. Becoming Care Helper

    DEFF Research Database (Denmark)

    Jensen, Anne Winther

    The paper discusses the shaping of students´ identity within a vocational education programme for elderly care in Denmark. The focus is on the correlation between identity construction within the theoretical periods and students´ experiences in the traineeships. In the school setting the future...... care helper is being constructed within the overall term ‘professional’, but students may meet differing ways of being care helper in the traineeships, and the paper points to an ongoing struggle about the definition of ‘being care helper’. The analysis of the identity issues mobilises the concepts...... ‘positioning’ and ‘storyline’, c.f. Bronwyn Davies, and the empirical material consists of interviews and observations in the theoretical periods and in the traineeships. The paper suggests that a shift from identity to subjectivity may help students to deal with the diversity of ‘care helpers’ and thereby...

  3. Arquitectura, arte funcional

    Directory of Open Access Journals (Sweden)

    Monjo Carrió, Juan

    1985-10-01

    Full Text Available The begining of this work is devoted to the analysis of the concepts of Art, Science and Technique and their historical evolution, distinguishing between "fine arts" and "technique arts". Following, Architect and Architecture terms are defined both conceptual and professionally, analysing as well its historical evolution and pointing out the interdependence between the architectural conception as "fine art" and the constructive technology as "technique art", finally reminding the necessary scientific base of this one (Construction Physics. Consequently, the need for architecture professionals of constructive technology knowledge, is also reminded. At last, the functional character of the Architecture (Architecture as a "functional art" is analysed, going over the three basic aspects of this functionality (Integrity-firmitas, Habitability-utilitas and Aesthetics-venustas.Se inicia el trabajo analizando los conceptos de Arte, Ciencia y Técnica y su evolución histórica, distinguiendo entre ¡as "bellas artes" y las "artes técnicas". A continuación se definen los conceptos de Arquitecto y Arquitectura, tanto conceptual como profesionalmente, analizando, asimismo, su evolución histórica y haciendo hincapié en la interdependencia entre la concepción arquitectónica como "bella arte" y la tecnología constructiva como "arte técnica", para terminar recordando la necesaria base científica de esta última (la Física de la Construcción. Como consecuencia, se recuerda la necesidad de los conocimientos de la tecnología constructiva en los arquitectos profesionales. Por último, se analiza el carácter funcional de la Arquitectura (Arquitectura como "arte funcional" y se hace un breve recorrido por los tres aspectos básicos de esa funcionalidad (Integridad-firmitas, Habitabilidad-utilitas y Estética-venustas.

  4. When Art & Finance Collide

    Institute of Scientific and Technical Information of China (English)

    Yu Lintao

    2011-01-01

    CHINA'S art market is on fire.As sales and prices break records,a new force has appeared in the market-organized art finance in the form of art trust funds and artwork exchanges.It was reported that the anonymous winner of the bid for the Song Dynasty calligraphy work Dizhuming by Huang Tingjian (1045-1105).which was sold for a staggering 436.

  5. ART AND BRAIN

    OpenAIRE

    Thomashoff, Hans-otto

    2012-01-01

    The different levels of influence on the brain´s construction of art are highlighted, starting from inborn and likely genetically determined stylistic features and leading to the traces of internalized earlier life experiences onto the art created, including the cultural environment. Art evolves in the biology of the brain parallel to the concepts we establish to define ourselves as persons. It is the interaction between the biological raw model and the perception of outer stimuli which leads...

  6. The ONTARGET trial programme

    DEFF Research Database (Denmark)

    Unger, Thomas; Kintscher, Ulrich; Kappert, Kai;

    2009-01-01

    The ONTARGET trial programme tested the effects of the angiotensin AT1 receptor blocker (ARB), telmisartan, alone or in combination with the angiotensin converting enzyme (ACE) inhibitor, ramipril, in more than 25.000 patients at high cardiovascular risk including diabetes on a combined endpoint....... Telmisartan thus proved to be the first and so far the only representative of the ARB class that can be used as an alternative to the "gold standard" ACE-inhibitor, ramipril, in patients at high cardiovascular risk with or without hypertension. © 2009 Bentham Science Publishers Ltd....... consisting of cardiovascular death, non-fatal stroke or myocardial infarction and hospitalisation for congestive heart failure. Patient selection and study procedures followed the previous HOPE trial. In the parallel TRANSCEND study, nearly 6.000 patients, all intolerant to ACE inhibition, were subjected...

  7. Country programme review Bangladesh

    International Nuclear Information System (INIS)

    A five-expert mission was organized from 21-26 August 1993 and this document reflects the findings and recommendations of the team. Intensive contacts with heads of institutions, scientists and decision making persons in various sectors in the country were co-ordinated by the Bangladesh Atomic Energy Commission. The terms of reference of the mission were: To assess the on-going TC projects; to assist the Bangladesh nationals to finalize the formulation of the new requests for 1995-96 TC programme and to establish priority areas with regard to the introduction of national projects involving accelerated technological transfer in order to catalyze national development plans in specific areas; to examine institutional framework suitable for the introduction of these priority nuclear techniques

  8. Photovoltaic programme - edition 2003

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This publication issued by the Swiss Federal Office of Energy's Photovoltaics (PV) Programme presents an overview (in English) of activities and projects in the photovoltaics research and pilot and demonstration area in Switzerland. Progress in the area of future solar cell technologies, modules and building integration, system technologies, planning and operating aids is summarised. Also, PV for applications in developing countries, thermo-photovoltaics and international co-operation are commented on. In the area of pilot and demonstration projects, component development, PV integration in sloping roofs, on flat roofs and noise barriers as well as further PV plant are looked at. Also, measurement campaigns, studies, statistics and further PV-related topics are summarised. This volume also presents the abstracts of reports made by the project managers of 73 research and pilot and demonstration projects in these areas for 2002.

  9. Programmable ferroelectric tunnel memristor

    Directory of Open Access Journals (Sweden)

    Andy eQuindeau

    2014-02-01

    Full Text Available We report an analogously programmable memristor based on genuine electronic resistive switching combining ferroelectric switching and electron tunneling. The tunnel current through an 8 unit cell thick epitaxial Pb(Zr[0.2]Ti[0.8]O[3] film sandwiched between La[0.7]Sr[0.3]MnO[3] and cobalt electrodes obeys the Kolmogorov-Avrami-Ishibashi model for bidimensional growth with a characteristic switching time in the order of 10^-7 seconds. The analytical description of switching kinetics allows us to develop a characteristic transfer function that has only one parameter viz. the characteristic switching time and fully predicts the resistive states of this type of memristor.

  10. Programmability of nanowire networks

    Science.gov (United States)

    Bellew, A. T.; Bell, A. P.; McCarthy, E. K.; Fairfield, J. A.; Boland, J. J.

    2014-07-01

    Electrical connectivity in networks of nanoscale junctions must be better understood if nanowire devices are to be scaled up from single wires to functional material systems. We show that the natural connectivity behaviour found in random nanowire networks presents a new paradigm for creating multi-functional, programmable materials. In devices made from networks of Ni/NiO core-shell nanowires at different length scales, we discover the emergence of distinct behavioural regimes when networks are electrically stressed. We show that a small network, with few nanowire-nanowire junctions, acts as a unipolar resistive switch, demonstrating very high ON/OFF current ratios (>105). However, large networks of nanowires distribute an applied bias across a large number of junctions, and thus respond not by switching but instead by evolving connectivity. We demonstrate that these emergent properties lead to fault-tolerant materials whose resistance may be tuned, and which are capable of adaptively reconfiguring under stress. By combining these two behavioural regimes, we demonstrate that the same nanowire network may be programmed to act both as a metallic interconnect, and a resistive switch device with high ON/OFF ratio. These results enable the fabrication of programmable, multi-functional materials from random nanowire networks.Electrical connectivity in networks of nanoscale junctions must be better understood if nanowire devices are to be scaled up from single wires to functional material systems. We show that the natural connectivity behaviour found in random nanowire networks presents a new paradigm for creating multi-functional, programmable materials. In devices made from networks of Ni/NiO core-shell nanowires at different length scales, we discover the emergence of distinct behavioural regimes when networks are electrically stressed. We show that a small network, with few nanowire-nanowire junctions, acts as a unipolar resistive switch, demonstrating very high ON

  11. INDUSTRIAL RISK Programme development

    International Nuclear Information System (INIS)

    INC-DTCI ICIS Rm. Valcea conducts basic and applied research among which there is the INDUSTRIAL RISK Programme that comprises studies of risk analysis and evaluation at objectives and activities in zones were risk factors are in operation, factors leading potentially to natural or technological disasters. The risk analysis and evaluation methodology proposed is a follow-up of the action plan for risk reduction in industry. The risk management refers to risk and its components assessment and identification of places where improvements are to be introduced. The risk analysis and evaluation model was developed for installations in chemical industry and are also applicable for the installations of heavy water production by H2O-H2S isotopic exchange. The risk studies supply information necessary in making decisions, aiming at preventing the operation incidence and reducing their consequences

  12. Multinational design approval programme

    International Nuclear Information System (INIS)

    The licensing of new nuclear power facilities is likely to pose many challenges to national regulatory organizations. The majority of nuclear power plants to be built around the world in the next 15 years will likely be limited to a small number of relatively standardized designs, purchased from a limited number of multinational corporations. Such standardization creates an opportunity to leverage the resources and knowledge of the national regulatory authorities who will be tasked with the review of the new reactor power plant designs. The Nuclear Regulatory Commission has developed an innovative proposal for a multinational design approval programme (MDAP). This paper describes the stages of the MDAP and the benefits that could be derived from its implementation. (author)

  13. Characteristics of Matisse art

    Institute of Scientific and Technical Information of China (English)

    葛环玉

    2012-01-01

      Henri Matisse, a rewritten history of modern art, is a deserved leader of Fauvism. Not subject to the limitations inherent color on color relationships, There is an decorative effect on the screen with Matisse. The u-nity of pure colors and lines, characters and background fusion in a decorative techniques. Matisse embarked on a far-reaching impact on 20th-century art, the avant-garde art of the road, the influence of his art and ideas to the younger generation is inestimable

  14. Computer Games and Art

    Directory of Open Access Journals (Sweden)

    Anton Sukhov

    2015-10-01

    Full Text Available This article devoted to the search of relevant sources (primary and secondary and characteristics of computer games that allow to include them in the field of art (such as the creation of artistic games, computer graphics, active interaction with other forms of art, signs of spiritual aesthetic act, own temporality of computer games, “aesthetic illusion”, interactivity. In general, modern computer games can be attributed to commercial art and popular culture (blockbuster games and to elite forms of contemporary media art (author’s games, visionary games.

  15. Art Meta-4

    DEFF Research Database (Denmark)

    Mehlsen, Camilla; Jensen, Hans Siggaard

    2003-01-01

    Managing through Variety: The European Style. 3rd European Academy of Management (EURAM) Conference , Milan (Italy). 2003 Short description: This paper focuses on the use of art metaphors in today?s world of management and organizational practice. Abstract: This paper focuses on the use of art...... metaphors in today?s world of management and organizational practice. It tells the story of how art has entered the organizational stage as a metaphorical role model and how art is a metaphor we live and manage by. The story is in particular concerned with artistic images of organizations that frame...

  16. Swiss breeder research programme

    International Nuclear Information System (INIS)

    A new initiative for a Swiss Fast Breeder Research Program has been started during 1991. This was partly the consequence of a vote in Fall 1990, when the Swiss public voted for maintaining nuclear reactors in operation, but also for a moratorium of 10 years, within which period no new reactor project should be proposed. On the other hand the Swiss government decided to keep the option 'atomic reactors' open and therefore it was essential to have programmes which guaranteed that the knowledge of reactor technology could be maintained in the industry and the relevant research organisations. There is also motivation to support a Swiss Breeder Research Program on the part of the utilities, the licensing authorities and the Paul Scherrer Institute (PSI). The utilities recognise the breeder reactor as an advanced reactor system which has to be developed further and might be a candidate, somewhere in the future, for electricity production. In so far they have great interest that a know-how base is maintained in our country, with easy access for technical questions and close attention to the development of this reactor type. The licensing authorities have a legitimate interest that an adequate knowledge of the breeder reactor type and its functions is kept at their disposal. PSI and the former EIR have had for many years a very successful basic research programme concerning breeder reactors, and were in close cooperation with EFR. The activities within this programme had to be terminated owing to limitations in personnel and financial resources. The new PSI research programme is based upon two main areas, reactor physics and reactor thermal hydraulics. In both areas relatively small but valuable basic research tasks, the results of which are of interest to the breeder community, will be carried out. The lack of support of the former Breeder Programme led to capacity problems and finally to a total termination. Therefore one of the problems which had to be solved first was

  17. School of the Arts seeks arts organizations and artists for participation in ArtsFusion 2008

    OpenAIRE

    Adams, Louise

    2008-01-01

    Virginia Tech School of the Arts announces ArtsFusion 2008, a weeklong celebration of the arts throughout the New River Valley scheduled for April 12 through April 19. ArtsFusion 2008 is seeking participation by arts organizations and artists both on campus and throughout the New River Valley working in music, film, theatre, dance, creative writing, and the visual arts.

  18. ATTITUDE SCALE DEVELOPMENT FOR VISUAL ARTS CLASS

    OpenAIRE

    ASLANTAŞ, SELMA

    2014-01-01

    The aim of this study is to develop a scale, to be used in primary school fourth grade Visual Arts Class. Our study group consists of 174 students, randomly selected from two different primary school in Ankara during 2009-2010 spring semester. An item pool of 3 items has been prepared, based on literature search and expert views. In order to determine the structural validity of the scale, exploratory and confirmatory factor analyses have been performed, through SPSS 20 programme and LISREL pr...

  19. Interactions of Art and Art Pedagogy : Theory and Practice

    OpenAIRE

    Klāsone, Inta

    2015-01-01

    The article raises the issue of the link between art and its variet expressions of form with pedegaogy of art. A number of important directions of scientific research in art pedagogy are highlighted on the basis of the scientific knowledge base in the world and Latvian Education Area, guidelines of National Strategic Guidance, trends in art and art education, and summary of survey data. Object of the research is the interaction process between art and art education for improvement of pedagogi...

  20. Influence Of Art System Of Environmental Art And Design

    Institute of Scientific and Technical Information of China (English)

    贾弱苗

    2015-01-01

    Environmental art design refers to the construction of indoor and outdoor space environment, integration design a practical way of art through art and design.Art system is the existence of a specific period of art ideas and knowledge systems, as well as artwork for the existence of production, dissemination, complete social mechanisms consumption evaluation. Environmental art design in its production to consumption process, restriction and help inseparable art system.

  1. Technology transfer trends in Indian space programme

    Science.gov (United States)

    Sridhara Murthi, K. R.; Shoba, T. S.

    2010-10-01

    Indian space programme, whose objectives involve acceleration of economic and social development through applications of space technology, has been engaged in the development of state-of-the-art satellite systems, launch vehicles and equipment necessary for applications. Even during the early phase of evolution of this Programme, deliberate policies have been adopted by the national space agency, namely, Indian Space Research Organisation (ISRO), to promote spin-off benefit from the technologies developed for the use of space projects. Consistently adhering to this policy, ISRO has transferred over 280 technologies till date, spanning a wide spectrum of disciplines. This has resulted in a fruitful two-way cooperation between a number of SMEs and the ISRO. In order to make the technology transfer process effective, ISRO has adopted a variety of functional and organizational policies that included awareness building measures, licensee selection methods, innovative contract systems, diverse transfer processes, post licencing services and feedback mechanisms. Besides analyzing these policies and their evolution, the paper discusses various models adopted for technology transfer and their impact on assessment. It also touches upon relevant issues relating to creating interface between public funded R&D and the private commercial enterprises. It suggests few models in which international cooperation could be pursued in this field.

  2. CAPRA physics and the CIRANO experimental programme

    International Nuclear Information System (INIS)

    The burning of plutonium and higher actinides is being effectively implemented in the French nuclear programme. The reasons for doing so are fairly straightforward: - to maximize energy production by utilizing the large quantities of energy stored in reprocessed plutonium, - to alleviate the environmental impact of the nuclear industry by reducing potentially toxic transuranic material stockpiles. Reduction of Pu stockpiles can be achieved by multiple recycling in LWR MOX fuels. However, numerous studies have already demonstrated that the degraded Pu isotopics of multi-recycled fuel make it difficult to consider more than two or three effective recycling steps in LWR's. On the other hand, ultimate disposition of degraded Pu can be performed in fast reactors, whose hard neutron spectrum permits fissioning of higher actinides. Consequently, various efforts at CEA have been undertaken to understand and optimize Pu burning capabilities in fast reactors: - studies have been performed to optimize the design of fast reactor cores for burning plutonium while retaining acceptable safety characteristics, - industrial scale demonstration of several options of the CAPRA programme (Accrued Consumption of Plutonium in Fast Reactors) is planned in the PHENIX and SUPERPHENIX reactors, - the development of state of the art neutronics codes and associated nuclear data libraries, started almost ten years ago, should soon come to fruition and allow accurate predictions of Pu-burning core neutronics, - experimental data are needed to support the physical validation of these codes and their associated libraries. (author) 1 fig., 2 tabs., 6 refs

  3. The effectiveness of Stepping stones Triple P: the design of a randomised controlled trial on a parenting programme regarding children with mild intellectual disability and psychosocial problems versus care as usual

    Directory of Open Access Journals (Sweden)

    Jansen Daniëlle EMC

    2011-08-01

    Full Text Available Abstract Background Children with an intellectual disability are at increased risk of psychosocial problems. This leads to serious restrictions in the daily functioning of the children and to parental stress. Stepping Stones Triple P aims to prevent severe behavioural, emotional and developmental problems in children with a (intellectual disability by enhancing parenting knowledge and skills, and the self-confidence of parents. This paper aims to describe the design of a study of the effectiveness of parenting counselling using Stepping Stones Triple P compared to Care as Usual. Methods/Design The effects of Stepping Stones Triple P will be studied in a Randomised Controlled Trial. Parents of children aged 5-12 years with an IQ of 50-85 will be recruited from schools. Prior to randomisation, parents complete a screening questionnaire about their child's psychosocial problems and their parenting skills. Subsequently, parents of children with increased levels of psychosocial problems (score on Strengths and Difficulties Questionnaire ≥ 14 will be invited to participate in the intervention study. After obtaining consent, parents will be randomised either to the experimental group (Stepping Stones Triple P or to Care as Usual. The primary outcome is a change in the child's psychosocial problems according to parents and teachers. The secondary outcome is a change in parenting skills. Data will be collected before the start of the intervention, immediately after the intervention, and six months after. Discussion This paper presents an outline of the background and design of a randomised controlled trial to investigate the effectiveness of Stepping Stones Triple P, which aims to decrease psychosocial problems in children with a mild intellectual disability. Stepping Stones Triple P seems promising, but evidence on its effectiveness for this population is still lacking. This study provides evidence about the effects of this intervention in a community

  4. An automatic bibliography indexing programme

    Directory of Open Access Journals (Sweden)

    J. W. Morris

    1974-12-01

    Full Text Available A relatively simple FORTRAN IV programme, designed for a small computer, for author and key-word indexes to bibliographic records is described, and examples of output are given. It is com­pared with some other systems. Suggested improvements to the programme are given.

  5. Women's attitudes towards a pre-conception healthy lifestyle programme.

    Science.gov (United States)

    Funk, K L; LeBlanc, E S; Vesco, K K; Stevens, V J

    2015-04-01

    Nearly half of US women begin pregnancy overweight or obese and more than half of overweight or obese pregnant women experience excessive gestational weight gain. Recent lifestyle intervention programmes have helped women avoid excessive weight gain during pregnancy, but helping women lose weight before pregnancy may be a more effective way to improve pregnancy outcomes. This study assessed women's attitudes towards pre-conception diet and weight management interventions. An anonymous survey was conducted in patients waiting in a health maintenance organization's obstetrics and primary care waiting rooms. It focused on attitudes towards participating in a pre-conception, lifestyle change programme. Eighty percent of the 126 women surveyed were pregnant or considering pregnancy within 5 years. Of the 126 respondents, 60 (48%) were overweight or obese. Of these, 96% rated healthy diet and healthy weight before pregnancy as very important or important and 77% favoured a healthy lifestyle programme (diet, weight management and physical activity) before becoming pregnant. Likewise, overweight or obese women reported being likely or highly likely to participate in specific intervention programme aspects such as keeping phone appointments (77%), using a programme website (70%) and keeping food and exercise records (63%). Survey results show that women in this population believe that adopting a healthy lifestyle and losing weight are important before pregnancy and that they are enthusiastic about programmes that will help them achieve those goals in preparation for pregnancy. PMID:25735259

  6. Radiation and nuclear safety included in the environmental health programme

    International Nuclear Information System (INIS)

    Finland is currently preparing a national environmental health programme, the objective of which is to chart the main environmental health problems in Finland, to identify means for securing a healthy environment, and to draw up a practical action programme for preventing and rectifying problems pertaining to environmental health. Radiation and nuclear safety form an essential part of preventive health care. The action programme is based on decisions and programmes approved at the WHO Conference on the Environment and Health, held in Helsinki in June 1994. In addition to the state of the Finnish environment and the health of the Finnish population, the programme addresses the relevant international issues, in particular in areas adjacent to Finland. The Committee on Environmental Health is expected to complete its work by the end of the year. A wide range of representatives from various branches of administration have contributed to the preparation of the programme. Besides physical, biological and chemical factors, the environmental factors affecting health also include the physical environment and the psychological, social and aesthetic features of the environment. Similarly, environmental factors that have an impact on the health of present or future generations, on the essential preconditions of life and on the quality of life are investigated. The serious risk to nature caused by human actions is also considered as a potential risk to human health. (orig.)

  7. Wearable Arts of Japan: Seattle Art Museum.

    Science.gov (United States)

    Loudon, Sarah

    1996-01-01

    Presents four lesson plans centered around artworks involving Japanese clothing. Instructional materials include color plates of a 19th century print showing women's clothing, two beautifully handcrafted coats, and a coverlet in kimono form. The lesson plans discuss Japanese clothing, art, society, and culture. (MJP)

  8. Art Literature and Theory of Art

    NARCIS (Netherlands)

    T. Weststeijn

    2013-01-01

    In contrast to theories of poetry or rhetoric, no complete ancient theory of the figurative arts survives. Renaissance authors wishing to underpin the "rebirth" of painting therefore had to resort to a variety of strategies to invent a new genre. Literary metaphors and fragments from artists’ biogra

  9. Mortality and loss to programme before antiretroviral therapy among HIV-infected children eligible for treatment in The Gambia, West Africa

    Directory of Open Access Journals (Sweden)

    Okomo Uduak

    2012-10-01

    Full Text Available Abstract Background HIV infection among children, particularly those under 24 months of age, is often rapidly progressive; as a result guidelines recommend earlier access to combination antiretroviral therapy (cART for HIV infected children. Losses to follow-up (LTFU and death in the interval between diagnosis and initiation of ART profoundly limit this strategy. This study explores correlates of LTFU and death prior to ART initiation among children. Methods The study is based on 337 HIV-infected children enrolled into care at an urban centre in The Gambia, including those alive and in care when antiretroviral therapy became available and those who enrolled later. Children were followed until they started ART, died, transferred to another facility, or were LTFU. Cox proportional hazards regression models were used to determine the hazard of death or LTFU according to the baseline characteristics of the children. Results Overall, 223 children were assessed as eligible for ART based on their clinical and/or immunological status among whom 73 (32.7% started treatment, 15 (6.7% requested transfer to another health facility, 105 (47.1% and 30 (13.5% were lost to follow-up and died respectively without starting ART. The median survival following eligibility for children who died without starting treatment was 2.8 months (IQR: 0.9 - 5.8 with over half (60% of all deaths occurring at home. ART-eligible children less than 2 years of age and those in WHO stage 3 or 4 were significantly more likely to be LTFU when compared with their respective comparison groups. The overall pre-treatment mortality rate was 25.7 per 100 child-years of follow-up (95% CI 19.9 - 36.8 and the loss to programme rate was 115.7 per 100 child-years of follow-up (95% CI 98.8 - 137. In the multivariable Cox proportional hazard model, significant independent predictors of loss to programme were being less than 2 years of age and WHO stage 3 or 4. The Adjusted Hazard Ratio

  10. COPE-ICD: Patient experience of participation in an ICD specific rehabilitation programme

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Pedersen, Birthe Dagmar; Svendsen, Jesper Hastrup;

    2012-01-01

    PURPOSE: Evaluating rehabilitation programmes from the patient's perspective is much needed, as the patients are the most important stakeholders in the health care system. A comprehensive rehabilitation programme, COPE-ICD programme, consists of exercise training and nursing consultations during...... transcribed. The analysis was inspired by Ricoeur's theory of interpretation, which consists of three levels: naive reading, structured analysis and critical interpretation and discussion. RESULTS: The overall concept was that participating in the COPE-ICD programme meant feeling inspired and secure through...... through reflection and professional dialogue, and they dealt with the risk of shock or death. CONCLUSION: Participating in an ICD-specific rehabilitation programme can make patients feel inspired and secure through individualized care. They discover that they have to rethink some of their strategies...

  11. Interdisciplinary Care Planning and the Written Care Plan in Nursing Homes: A Critical Review

    Science.gov (United States)

    Dellefield, Mary Ellen

    2006-01-01

    Purpose: This article is a critical review of the history, research evidence, and state-of-the-art technology in interdisciplinary care planning and the written plan of care in American nursing homes. Design and Methods: We reviewed educational and empirical literature. Results: Interdisciplinary care planning and the written care plan are…

  12. Pragmatics of Raw Art

    DEFF Research Database (Denmark)

    Wilson, Alexander

    2014-01-01

    In the last several decades, art has seen the dissolution of the old avant-garde critical grid. Gone are the days of absolutes and manifestos. The most varied styles have been absorbed into the postmodern pastiche, outsider artworks have been traded for large sums on the fine-art market, and a co...

  13. The Boutique Liberal Arts?

    Science.gov (United States)

    Cohen, Scott

    2014-01-01

    The structure of higher education today, in conjunction with those actively trying to devalue a liberal arts degree in the public sphere, has set the table for what seems like a completely rational solution: finding a "niche." Broadly speaking, colleges offering a liberal arts education identify their "niche market" in terms of…

  14. Experiencing affective interactive art

    NARCIS (Netherlands)

    Bialoskorski, Leticia S.S.; Westerink, Joyce H.D.M.; Broek, van den Egon L.

    2010-01-01

    The progress in the field of affective computing enables the realization of affective art. This paper describes the affective interactive art system Mood Swings, which interprets and visualizes affect expressed by a person. Mood Swings is founded on the integration of a framework for affective move

  15. Arte Brasileno Erudito y Arte Brasileno Popular. (Brazilian Fine Art and Brazilian Popular Art)

    Science.gov (United States)

    Valladares, Clarival Do Prado

    1969-01-01

    Class differences in Brazil explain the inequality between the art produced in the high strata of society and that originating in the economically inferior communities. Genuine expression of art degenerates for two reasons: the influence of modern industrial civilization and the tendency to satisfy the taste of the acquisitive group. (Author/MF)

  16. Migrating Art History

    DEFF Research Database (Denmark)

    Ørum, Tania

    2012-01-01

    Review of Hiroko Ikegami, The Great Migrator. Robert Rauschenberg and the Global Rise of American Art. Cambridge Mass., The MIT Press, 2010. 277 pages. ISBN 978-0-262-01425-0.......Review of Hiroko Ikegami, The Great Migrator. Robert Rauschenberg and the Global Rise of American Art. Cambridge Mass., The MIT Press, 2010. 277 pages. ISBN 978-0-262-01425-0....

  17. Facing Sound - Voicing Art

    DEFF Research Database (Denmark)

    Lønstrup, Ansa

    2013-01-01

    This article is based on examples of contemporary audiovisual art, with a special focus on the Tony Oursler exhibition Face to Face at Aarhus Art Museum ARoS in Denmark in March-July 2012. My investigation involves a combination of qualitative interviews with visitors, observations of the audience...

  18. Tangrams: Puzzles of Art

    Science.gov (United States)

    Fee, Brenda

    2009-01-01

    Challenging one's brain is the beginning of making great art. Tangrams are a great way to keep students thinking about their latest art project long after leaving the classroom. A tangram is a Chinese puzzle. The earliest known reference to tangrams appears in a Chinese book dated 1813, but the puzzles existed long before that date. The puzzle…

  19. Artfulness i skolen

    DEFF Research Database (Denmark)

    Chemi, Tatiana

    how many good arguments must the arts find to be looked at as worthwhile school subjects? This chapter finds its arguments within evolutionary biology and anthropology.......how many good arguments must the arts find to be looked at as worthwhile school subjects? This chapter finds its arguments within evolutionary biology and anthropology....

  20. Culinary Arts Profile.

    Science.gov (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This chart is intended for use in documenting the fact that a student participating in a culinary arts program has achieved the performance standards specified in the Missouri Competency Profile for culinary arts. The chart includes space for recording basic student and instructor information and the student's on-the-job training and work…