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Sample records for interventions predice mejor

  1. Impredicative concurrent abstract predicates

    DEFF Research Database (Denmark)

    Svendsen, Kasper; Birkedal, Lars

    2014-01-01

    We present impredicative concurrent abstract predicates { iCAP { a program logic for modular reasoning about concurrent, higher- order, reentrant, imperative code. Building on earlier work, iCAP uses protocols to reason about shared mutable state. A key novel feature of iCAP is the ability to dene...

  2. Axiomatizing GSOS with Predicates

    Directory of Open Access Journals (Sweden)

    Luca Aceto

    2011-08-01

    Full Text Available In this paper, we introduce an extension of the GSOS rule format with predicates such as termination, convergence and divergence. For this format we generalize the technique proposed by Aceto, Bloom and Vaandrager for the automatic generation of ground-complete axiomatizations of bisimilarity over GSOS systems. Our procedure is implemented in a tool that receives SOS specifications as input and derives the corresponding axiomatizations automatically. This paves the way to checking strong bisimilarity over process terms by means of theorem-proving techniques.

  3. Dative experiencer predicates in Hungarian

    NARCIS (Netherlands)

    Rákosi, G.

    2006-01-01

    Dative experiencer predicates in Hungarian investigates the argument structure and the syntax of appeal to- and important-type predicates in Hungarian. Couched in terms of Reinhart’s (2000, 2002) Theta System, the thesis presents arguments for the need to resort to the lexicon in setting up

  4. Toward predicate approaches to modality

    CERN Document Server

    Stern, Johannes

    2016-01-01

    In this volume, the author investigates and argues for, a particular answer to the question: What is the right way to logically analyze modalities from natural language within formal languages? The answer is: by formalizing modal expressions in terms of predicates. But, as in the case of truth, the most intuitive modal principles lead to paradox once the modal notions are conceived as predicates. The book discusses the philosophical interpretation of these modal paradoxes and argues that any satisfactory approach to modality will have to face the paradoxes independently of the grammatical category of the modal notion. By systematizing modal principles with respect to their joint consistency and inconsistency, Stern provides an overview of the options and limitations of the predicate approach to modality that may serve as a useful starting point for future work on predicate approaches to modality. Stern also develops a general strategy for constructing philosophically attractive theories of modal notions conce...

  5. THE NOMINAL PREDICATE (ALBANIAN - ENGLISH)

    OpenAIRE

    Shkelqim Millaku

    2017-01-01

    The aim of this paper is to description the nominal of predicate between two languages (Albanian – English). The purpose of the following discussing is to show that some noun phrases, namely predicate nominal’s, do not seem to exhibit. What is considering the typical behavior of noun phrase? First, they do not seem to be assigned case. Second, they may not assign are roles in normal sense so that they are probably as Theta-marker arguments, unlike referential Noun Phrases.[1] In Albanian lang...

  6. Restricted Predicates for Hypothetical Datalog

    Directory of Open Access Journals (Sweden)

    Fernando Sáenz-Pérez

    2015-12-01

    Full Text Available Hypothetical Datalog is based on an intuitionistic semantics rather than on a classical logic semantics, and embedded implications are allowed in rule bodies. While the usual implication (i.e., the neck of a Horn clause stands for inferring facts, an embedded implication plays the role of assuming its premise for deriving its consequence. A former work introduced both a formal framework and a goal-oriented tabled implementation, allowing negation in rule bodies. While in that work positive assumptions for both facts and rules can occur in the premise, negative assumptions are not allowed. In this work, we cover this subject by introducing a new concept: a restricted predicate, which allows negative assumptions by pruning the usual semantics of a predicate. This new setting has been implemented in the deductive system DES.

  7. Observation Predicates in Flow Logic

    DEFF Research Database (Denmark)

    Nielson, Flemming; Nielson, Hanne Riis; Sun, Hongyan

    2003-01-01

    in such a way that the hard constraints are satisfi ed exactly when the observation predicates report no violations. The development is carried out in a large fragment of a first order logic with negation and also takes care of the transformations necessary in order to adhere to the stratification restrictions...... inherent in Alternation-free Least Fixed Point Logic and similar formalisms such as Datalog....

  8. Rationale and design of the PREDICE project: cost-effectiveness of type 2 diabetes prevention among high-risk Spanish individuals following lifestyle intervention in real-life primary care setting.

    Science.gov (United States)

    Costa, Bernardo; Cabré, Joan J; Sagarra, Ramon; Solà-Morales, Oriol; Barrio, Francisco; Piñol, Josep L; Cos, Xavier; Bolíbar, Bonaventura; Castell, Conxa; Kissimova-Skarbek, Katarzyna; Tuomilehto, Jaakko

    2011-08-04

    can be obtained at a reasonable cost-effectiveness ratio in real-life primary health care setting by an intensive lifestyle intervention. As far as we know, the DE-PLAN-CAT/PREDICE project represents the first assessment of long-term effectiveness and cost-effectiveness of a public healthcare strategy to prevent diabetes within a European primary care setting.

  9. The Grammar of Mental Predicates in Japanese.

    Science.gov (United States)

    Onishi, Masayuki

    1997-01-01

    Examines Japanese equivalents of the six mental predicates defined as semantic universals in Natural Semantic Metalanguage theory, with special attention to syntax and semantics of complementation types. It is shown that each primitive predicate has a specific set of syntactic frames for expressing primitive meaning and that extended meanings that…

  10. An Approach to the Nominal Predicates in English and Romanian

    Directory of Open Access Journals (Sweden)

    Nicoleta Florina Mincă

    2017-06-01

    Full Text Available The paper is meant to be an approach to the use of nominal predicates in English and Romanian. In English there are two kinds of nominal predicates: the nominal predicate proper, concerned with the state or quality of the subject, and the double/complex predicate, which is a rather widespread form in English. In Romanian nominal predicates can be split into two categories: the proper nominal predicate, made up of a predicative and the copula “a fi” and the verbal nominal predicate, made up of a predicative and a lexical and grammatical copula. The predicative achievement within the nominal predicate structure is often similar to the subject achievement.

  11. Relations as Plural-Predications in Plato

    OpenAIRE

    Scaltsas, Theodore

    2013-01-01

    Plato was the first philosopher to discover the metaphysical phenomenon of plural-subjects and plural-predication; e.g. you and I are two, but neither you, nor I are two. I argue that Plato devised an ontology for plural-predication through his Theory of Forms, namely, plural-partaking in a Form. Furthermore, I argue that Plato used plural-partaking to offer an ontology of related individuals without reifying relations. My contention is that Plato’s theory of plural-relatives has evaded detec...

  12. There is no such Thing as Predication

    Czech Academy of Sciences Publication Activity Database

    Peregrin, Jaroslav

    2011-01-01

    Roč. 40, č. 97 (2011), s. 29-51 ISSN 0010-5155 R&D Projects: GA ČR(CZ) GAP401/10/0146 Institutional support: RVO:67985955 Keywords : predication * inferential roles Subject RIV: AA - Philosophy ; Religion

  13. The first order fuzzy predicate logic (I)

    International Nuclear Information System (INIS)

    Sheng, Y.M.

    1986-01-01

    Some analysis tools of fuzzy measures, Sugeno's integrals, etc. are introduced into the semantic of the first order predicate logic to explain the concept of fuzzy quantifiers. The truth value of a fuzzy quantification proposition is represented by Sugeno's integral. With this framework, several important notions of formation rules, fuzzy valutions and fuzzy validity are discussed

  14. A note on extending decision algorithms by stable predicates

    Directory of Open Access Journals (Sweden)

    Alfredo Ferro

    1988-11-01

    Full Text Available A general mechanism to extend decision algorithms to deal with additional predicates is described. The only conditions imposed on the predicates is stability with respect to some transitive relations.

  15. A Graph Calculus for Predicate Logic

    Directory of Open Access Journals (Sweden)

    Paulo A. S. Veloso

    2013-03-01

    Full Text Available We introduce a refutation graph calculus for classical first-order predicate logic, which is an extension of previous ones for binary relations. One reduces logical consequence to establishing that a constructed graph has empty extension, i. e. it represents bottom. Our calculus establishes that a graph has empty extension by converting it to a normal form, which is expanded to other graphs until we can recognize conflicting situations (equivalent to a formula and its negation.

  16. From Concepts to Predicates within Constructivist Epistemology

    DEFF Research Database (Denmark)

    Badie, Farshad

    2017-01-01

    Constructivism is a philosophical approach that appears in a variety of guises, some of them pedagogical, some epistemological and some in complex combinations. This article is based on constructivist epistemology. More specifically, constructivist epistemology provides a ground for conceptual an...... analysis of humans’ concept constructions, conceptions and concept learning processes. It will focus on conceptual specification and logical description of a flow from concepts to predicates....

  17. Representational System Predicate Use and Convergence in Counseling: Gloria Revisited.

    Science.gov (United States)

    Mercier, Mary Ann; Johnson, Marilyn

    1984-01-01

    Analayzed transcripts of Three Approaches to Psychotherapy (Shostrom, 1966) for counselor and client representational system predicate use. Although different patterns of predicate use emerged, only limited support for Neurolinguistic Programming theory was found. The findings of different patterns of predicate use were related to convergence and…

  18. Predicative possession in Medieval Slavic Bible translations Predicative Possession in Early Biblical Slavic

    Directory of Open Access Journals (Sweden)

    Julia McAnallen

    2011-08-01

    Full Text Available Late Proto-Slavic (LPS had an inventory of three constructions for expressing predicative possession. Using the earliest Slavic Bible translations from Old Church Slavic (OCS, and to a lesser degree Old Czech, a number of conclusions can be drawn about the status of predicative possession for LPS. The verb iměti ‘have’ was the most frequent and least syntactically and semantically restricted predicative possessive construction (PPC. Existential PPCs with a dative possessor appear primarily with kinship relations, abstract possessums, and in a number of other fixed construction types; existential PPCs with the possessor in an u + genitive prepositional phrase primarily appear with concrete and countable possessums. Both existential PPCs call for an animate, most often pronominal, possessor. The u + genitive was the rarest type of PPC in LPS, though it had undoubtedly grammaticalized as a PPC.

  19. Justifying Objective Bayesianism on Predicate Languages

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    Jürgen Landes

    2015-04-01

    Full Text Available Objective Bayesianism says that the strengths of one’s beliefs ought to be probabilities, calibrated to physical probabilities insofar as one has evidence of them, and otherwise sufficiently equivocal. These norms of belief are often explicated using the maximum entropy principle. In this paper we investigate the extent to which one can provide a unified justification of the objective Bayesian norms in the case in which the background language is a first-order predicate language, with a view to applying the resulting formalism to inductive logic. We show that the maximum entropy principle can be motivated largely in terms of minimising worst-case expected loss.

  20. The Necessary Predication between State and Law

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    Daniel Nunes Pereira

    2017-02-01

    Full Text Available This study aims to demonstrate that the central idea of "rule of law" is per se redundant since there is a necessary and reciprocal predication between terms. It is based on the "State-Law" historical and philosophically founded (Westphalia, Bodin and Hobbes, phenomenologically (Schmitt’s Political Theology and normatively (Hans Kelsen’s Legal Positivism based. The rationale on the Sstate leading role suggests that State power must be complete to achieve its goals, which is given by normativity. It is clear that both, State and Law, have the same substance, "Sovereignty", whose implementation coincides with the human agency of cognitive reconfiguration of Politics by religious thought.

  1. Spatial Relation Predicates in Topographic Feature Semantics

    Science.gov (United States)

    Varanka, Dalia E.; Caro, Holly K.

    2013-01-01

    Topographic data are designed and widely used for base maps of diverse applications, yet the power of these information sources largely relies on the interpretive skills of map readers and relational database expert users once the data are in map or geographic information system (GIS) form. Advances in geospatial semantic technology offer data model alternatives for explicating concepts and articulating complex data queries and statements. To understand and enrich the vocabulary of topographic feature properties for semantic technology, English language spatial relation predicates were analyzed in three standard topographic feature glossaries. The analytical approach drew from disciplinary concepts in geography, linguistics, and information science. Five major classes of spatial relation predicates were identified from the analysis; representations for most of these are not widely available. The classes are: part-whole (which are commonly modeled throughout semantic and linked-data networks), geometric, processes, human intention, and spatial prepositions. These are commonly found in the ‘real world’ and support the environmental science basis for digital topographical mapping. The spatial relation concepts are based on sets of relation terms presented in this chapter, though these lists are not prescriptive or exhaustive. The results of this study make explicit the concepts forming a broad set of spatial relation expressions, which in turn form the basis for expanding the range of possible queries for topographical data analysis and mapping.

  2. Semantic role labeling for protein transport predicates

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    Martin James H

    2008-06-01

    Full Text Available Abstract Background Automatic semantic role labeling (SRL is a natural language processing (NLP technique that maps sentences to semantic representations. This technique has been widely studied in the recent years, but mostly with data in newswire domains. Here, we report on a SRL model for identifying the semantic roles of biomedical predicates describing protein transport in GeneRIFs – manually curated sentences focusing on gene functions. To avoid the computational cost of syntactic parsing, and because the boundaries of our protein transport roles often did not match up with syntactic phrase boundaries, we approached this problem with a word-chunking paradigm and trained support vector machine classifiers to classify words as being at the beginning, inside or outside of a protein transport role. Results We collected a set of 837 GeneRIFs describing movements of proteins between cellular components, whose predicates were annotated for the semantic roles AGENT, PATIENT, ORIGIN and DESTINATION. We trained these models with the features of previous word-chunking models, features adapted from phrase-chunking models, and features derived from an analysis of our data. Our models were able to label protein transport semantic roles with 87.6% precision and 79.0% recall when using manually annotated protein boundaries, and 87.0% precision and 74.5% recall when using automatically identified ones. Conclusion We successfully adapted the word-chunking classification paradigm to semantic role labeling, applying it to a new domain with predicates completely absent from any previous studies. By combining the traditional word and phrasal role labeling features with biomedical features like protein boundaries and MEDPOST part of speech tags, we were able to address the challenges posed by the new domain data and subsequently build robust models that achieved F-measures as high as 83.1. This system for extracting protein transport information from Gene

  3. AN EXPERIMENT WITH THE USE OF PREDICATE TRANSFORMERS IN UNITY

    NARCIS (Netherlands)

    DIJKSTRA, RM

    1995-01-01

    Recent work on UNITY is directed towards replacing the relations from UNITY logic by predicated transformers. In one of his Notes on UNITY. Jayadev Misra uses UNITY logic to prove a theorem about dynamic graphs. In this paper we use predicate transformers to prove the same theorem. We consider the

  4. Lecture Note on Discrete Mathematics: Predicates and Quantifiers

    DEFF Research Database (Denmark)

    Nordbjerg, Finn Ebertsen

    2016-01-01

    This lecture note supplements the treatment of predicates and quantifiers given in standard textbooks on Discrete Mathematics (e.g.: [1]) and introduces the notation used in this course. We will present central concepts that are important, when predicate logic is used for specification...

  5. Graph-Based Methods for Discovery Browsing with Semantic Predications

    DEFF Research Database (Denmark)

    Wilkowski, Bartlomiej; Fiszman, Marcelo; Miller, Christopher M

    2011-01-01

    . Poorly understood relationships may be explored through novel points of view, and potentially interesting relationships need not be known ahead of time. In a process of "cooperative reciprocity" the user iteratively focuses system output, thus controlling the large number of relationships often generated...... in literature-based discovery systems. The underlying technology exploits SemRep semantic predications represented as a graph of interconnected nodes (predication arguments) and edges (predicates). The system suggests paths in this graph, which represent chains of relationships. The methodology is illustrated...

  6. Automatic Predicate Argument Analysis of the Penn TreeBank

    National Research Council Canada - National Science Library

    Palmer, Martha; Rosenzweig, Joseph; Cotton, Scott

    2001-01-01

    ... had/presided over a meeting/conference with B There are several different lexical items that can be used to refer to the same type of event, and several different predicate argument patterns that can be...

  7. Temporal construals of bare predicates in Mandarin Chinese

    NARCIS (Netherlands)

    Sun, Hongyuan

    2014-01-01

    This dissertation contributes to the research on tense and eventualities across languages. It presents the first systematic investigation and detailed theoretical analysis of the temporal interpretations of sentences with bare (aspectually unmarked) predicates in Mandarin. Traditionally considered

  8. Matching therapists' predicates: an in vivo test of effectiveness.

    Science.gov (United States)

    Dowd, E T; Hingst, A G

    1983-08-01

    The theory of neurolinguistic programming predicts that a therapist's matching of a client's primary representational system, as expressed in the client's predicates, should result in increased therapist's rapport and social influence. This hypothesis was tested in an actual interview situation. Six relatively inexperienced therapists, two each in predicate matching, predicate mismatching, and predicate no-matching conditions, conducted a 30-min. interview with nine undergraduate student volunteers each, for a total of 54 subjects. After the appropriate interview condition was completed, subjects rated ther therapists on the Counselor Rating Form and the Counseling Evaluation Inventory. No significant differences among the three conditions on any of the measures were found. Results are compared with those of previous research on assessment and primary representational matching in analogue situations.

  9. Automated Predicate Abstraction for Real-Time Models

    Directory of Open Access Journals (Sweden)

    Bahareh Badban

    2009-11-01

    Full Text Available We present a technique designed to automatically compute predicate abstractions for dense real-timed models represented as networks of timed automata. We use the CIPM algorithm in our previous work which computes new invariants for timed automata control locations and prunes the model, to compute a predicate abstraction of the model. We do so by taking information regarding control locations and their newly computed invariants into account.

  10. Toward a unified analysis of terms and predications

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    1990-01-01

    Aristotle stated that movement or change "[...] pertain[s] exclusively to quality, quantity, and locality, each of which embraces contrasts" (Physics, V. II; see also Rijksbaron 1989). I will argue that operators as well as satellites, both in the term phrase and in the predication, can be charac...

  11. Le Predicat Adjectif en Esperanto (The Predicate Adjective in Esperanto)

    Science.gov (United States)

    Lo Jocomo, Francois

    1977-01-01

    A study of the predicate adjective in Esperanto based on the opposition established between the complementary classifications, monemes and words. Because morphological complications do not exist in Esperanto, study of the two classifications could proceed to the benefit of the study of other languages. (Text is in French.) (AMH)

  12. Predication and the Problem of Universals | Legg | Philosophical ...

    African Journals Online (AJOL)

    This paper contrasts the scholastic realisms of David Armstrong and Charles Peirce. It is argued that the so-called 'problem of universals' is not a problem in pure ontology (concerning whether universals exist) as Armstrong construes it to be. Rather, it extends to issues concerning which predicates should be applied where, ...

  13. Argument-predicate distance as a filter for enhancing precision in extracting predications on the genetic etiology of disease

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    Lang François-Michel

    2006-06-01

    Full Text Available Abstract Background Genomic functional information is valuable for biomedical research. However, such information frequently needs to be extracted from the scientific literature and structured in order to be exploited by automatic systems. Natural language processing is increasingly used for this purpose although it inherently involves errors. A postprocessing strategy that selects relations most likely to be correct is proposed and evaluated on the output of SemGen, a system that extracts semantic predications on the etiology of genetic diseases. Based on the number of intervening phrases between an argument and its predicate, we defined a heuristic strategy to filter the extracted semantic relations according to their likelihood of being correct. We also applied this strategy to relations identified with co-occurrence processing. Finally, we exploited postprocessed SemGen predications to investigate the genetic basis of Parkinson's disease. Results The filtering procedure for increased precision is based on the intuition that arguments which occur close to their predicate are easier to identify than those at a distance. For example, if gene-gene relations are filtered for arguments at a distance of 1 phrase from the predicate, precision increases from 41.95% (baseline to 70.75%. Since this proximity filtering is based on syntactic structure, applying it to the results of co-occurrence processing is useful, but not as effective as when applied to the output of natural language processing. In an effort to exploit SemGen predications on the etiology of disease after increasing precision with postprocessing, a gene list was derived from extracted information enhanced with postprocessing filtering and was automatically annotated with GFINDer, a Web application that dynamically retrieves functional and phenotypic information from structured biomolecular resources. Two of the genes in this list are likely relevant to Parkinson's disease but are not

  14. Proyectos de Calidad de Vida el Mejor Medio Para la Construcción de Mejores Seres Humanos.

    Directory of Open Access Journals (Sweden)

    Ricardo Lugo Robles

    2011-10-01

    Full Text Available En el presente texto se presentan consideraciones acerca de la Calidad de Vida y a su vez como es entendida en la asignatura “Aproximación a la Salud Colectiva”. Estas apreciaciones se correlacionan con la implementación de un Programa denominado “Escuela como centro promotor de  calidad de vida” propuesto por la asignatura en escuelas del municipio de Soacha- Cundinamarca. Se propone que desde la subjetividad que encierra la calidad de vida, se debe tener en cuenta que es posible encaminar los programas y proyectos para que contribuyan a la formación de personas “mejores”, esto es; más libres, y más responsables socialmente. Una mejor calidad de vida debe reflejarse en las habilidades del individuo para aprender y utilizar su entendimiento del mundo y así mejorar sus condiciones de vida y aportar de manera positiva a la sociedad.

  15. Towards a Formal Occurrence Logic based on Predicate Logic

    DEFF Research Database (Denmark)

    Badie, Farshad; Götzsche, Hans

    2015-01-01

    In this discussion we will concentrate on the main characteristics of an alternative kind of logic invented by Hans Götzsche: Occurrence Logic, which is not based on truth functionality. Our approach is based on temporal logic developed and elaborated by A. N. Prior. We will focus on characterising...... argumentation based on formal Occurrence Logic concerning events and occurrences, and illustrate the relations between Predicate Logic and Occurrence Logic. The relationships (and dependencies) is conducive to an approach that can analyse the occurrences of ”logical statements based on different logical...... principles” in different moments. We will also conclude that the elaborated Götzsche’s Occurrence Logic could be able to direct us to a truth-functional independent computer-based logic for analysing argumentation based on events and occurrences....

  16. Checking Consistency of C and Verilog using Predicate Abstraction and Induction

    National Research Council Canada - National Science Library

    Clarke, Edmund; Kroening, Daniel

    2004-01-01

    .... In contrast to existing tools that perform predicate abstraction, our approach is SAT-based and allows all ANSI-C and Verilog operators in the predicates. We report experimental results on an out-of-order RISC processor. We compare the performance of the new technique to Bounded Model Checking (BMC).

  17. Non-leftmost Unfolding in Partial Evaluation of Logic Programs with Impure Predicates

    DEFF Research Database (Denmark)

    Albert, Elvira; Puebla, German; Gallagher, John Patrick

    2006-01-01

    -leftmost unfolding steps can result in incorrect results since the independence of the computation rule no longer holds in the presence of impure predicates. Existing proposals allow non-leftmost unfolding steps, but at the cost of accuracy: bindings and failure are not propagated backwards to predicates which...

  18. Neurolinguistic Programming: The Impact of Imagery Tasks on Sensory Predicate Usage.

    Science.gov (United States)

    Graunke, Bruce; Roberts, T. Kevin

    1985-01-01

    Investigated the impact of varied imagining tasks on individuals' use of sensory predicates. Results demonstrated that subjects were able to vary their type of sensory predicates according to the task demands or situational context. Findings are incongruent with Bandler and Grinder's (1979) conceptualization of representational systems.…

  19. Mental Imagery as Revealed by Eye Movements and Spoken Predicates: A Test of Neurolinguistic Programming.

    Science.gov (United States)

    Elich, Matthew; And Others

    1985-01-01

    Tested Bandler and Grinder's proposal that eye movement direction and spoken predicates are indicative of sensory modality of imagery. Subjects reported images in the three modes, but no relation between imagery and eye movements or predicates was found. Visual images were most vivid and often reported. Most subjects rated themselves as visual,…

  20. Predicate Argument Structure Analysis for Use Case Description Modeling

    Science.gov (United States)

    Takeuchi, Hironori; Nakamura, Taiga; Yamaguchi, Takahira

    In a large software system development project, many documents are prepared and updated frequently. In such a situation, support is needed for looking through these documents easily to identify inconsistencies and to maintain traceability. In this research, we focus on the requirements documents such as use cases and consider how to create models from the use case descriptions in unformatted text. In the model construction, we propose a few semantic constraints based on the features of the use cases and use them for a predicate argument structure analysis to assign semantic labels to actors and actions. With this approach, we show that we can assign semantic labels without enhancing any existing general lexical resources such as case frame dictionaries and design a less language-dependent model construction architecture. By using the constructed model, we consider a system for quality analysis of the use cases and automated test case generation to keep the traceability between document sets. We evaluated the reuse of the existing use cases and generated test case steps automatically with the proposed prototype system from real-world use cases in the development of a system using a packaged application. Based on the evaluation, we show how to construct models with high precision from English and Japanese use case data. Also, we could generate good test cases for about 90% of the real use cases through the manual improvement of the descriptions based on the feedback from the quality analysis system.

  1. Parts of Speech in Non-typical Function: (Asymmetrical Encoding of Non-verbal Predicates in Erzya

    Directory of Open Access Journals (Sweden)

    Rigina Turunen

    2011-01-01

    Full Text Available Erzya non-verbal conjugation refers to symmetric paradigms in which non-verbal predicates behave morphosyntactically in a similar way to verbal predicates. Notably, though, non-verbal conjugational paradigms are asymmetric, which is seen as an outcome of paradigmatic neutralisation in less frequent/less typical contexts. For non-verbal predicates it is not obligatory to display the same amount of behavioural potential as it is for verbal predicates, and the lexical class of non-verbal predicate operates in such a way that adjectival predicates are more likely to be conjugated than nominals. Further, besides symmetric paradigms and constructions, in Erzya there are non-verbal predicate constructions which display a more overt structural encoding than do verbal ones, namely, copula constructions. Complexity in the domain of non-verbal predication in Erzya decreases the symmetry of the paradigms. Complexity increases in asymmetric constructions, as well as in paradigmatic neutralisation when non-verbal predicates cannot be inflected in all the tenses and moods occurring in verbal predication. The results would be the reverse if we were to measure complexity in terms of the morphological structure. The asymmetric features in non-verbal predication are motivated language-externally, because non-verbal predicates refer to states and occur less frequently as predicates than verbal categories. The symmetry of the paradigms and constructions is motivated language-internally: a grammatical system with fewer rules is economical.

  2. THE CREATION OF ANALYTICAL PREDICATION CONCEPT IN MULTILEVEL ORGANIZATION SYSTEM MANAGEMENT

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    O. M. Pisareva

    2013-01-01

    Full Text Available This article deals with analytical and forecasting methodology problems in the integrated business systems management. The theoretical framework of analytical predication concept in multilevel organization systems is presented.

  3. Semantic motivation for the denotational identity of arguments in predication structures

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    Viara Maldjieva

    2015-11-01

    Full Text Available Semantic motivation for the denotational identity of arguments in predication structures This text is an attempt at a preliminary outline of the factors that motivate the denotational identity of argument content in the predication structure as well as the consequences of this identity for the shape of the sentence expression which is a realization of such a structure. The first question this analysis attempts to answer concerns the structure of predicative concepts that constitute the predication structure with arguments of the identical content? The second question the cursory analysis done attempts to answer concerns the manner, in which the identity existing on the semantic structure level is signaled on the surface, in the formal structure.

  4. The Agreement between Conjoined Subjects and Predicate: Croatian Church Slavonic Corpus Analysis

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    Ana Kovačević

    2017-08-01

    Full Text Available The abundance of grammatical categories in Slavonic and their overlap are particularly evident in the agreement between conjoined subjects and predicate. When they are accompanied by agreement conditions, such as word order and animacy in Slavic languages, different agreement patterns, dependent also on concrete context and speaker, are to be expected. In this paper the study of the agreement between conjoined subjects and predicate is based on an analysis of the medieval Glagolitic Croatian Church Slavonic corpus. Number, gender, and person are grammatical categories, i. e., features of conjoined noun phrases and predicate agreement. The analysis includes noun phrases conjoined by coordinating and some non-coordinating conjunctions as well as noun phrases conjoined by a gradational ‛not only [. . .] but also’ structure. Comitative and reciprocal noun phrases are included as well. The research in the given corpus shows that the conjoined noun phrases with predicate agreement can be syntactic (predicate showing agreement with one conjunct or semantic (predicate showing agreement with all conjuncts. Syntactic agreement appears as the so-called contact agreement (predicate showing agreement with the closest conjunct and as distant agreement (predicate showing agreement with the most distant conjunct. Semantic agreement is applied mostly in accordance with G. G. Corbett’s resolution rules for Slavic languages. However, the analysis shows that some resolution rules for number should be revised due to dual number. Although absent from the majority of contemporary Slavic languages, it is precisely in historical Slavic idioms that dual number reveals its identity, highlighted in agreement study as well.

  5. Link predication based on matrix factorization by fusion of multi class organizations of the network

    OpenAIRE

    Jiao, Pengfei; Cai, Fei; Feng, Yiding; Wang, Wenjun

    2017-01-01

    Link predication aims at forecasting the latent or unobserved edges in the complex networks and has a wide range of applications in reality. Almost existing methods and models only take advantage of one class organization of the networks, which always lose important information hidden in other organizations of the network. In this paper, we propose a link predication framework which makes the best of the structure of networks in different level of organizations based on nonnegative matrix fac...

  6. EXPANSION OF TURBO PROLOGUE PROGRAMMING SYSTEM BY PREDICATES FOR LIST PROCESSING

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    A. T. Kovalkov

    2008-01-01

    Full Text Available Lists are considered as a main data structure in logic Turbo Prologue programming language. However the language does not contain in-set predicates (procedures for list processing. In order to facilitate a problem programming process where lists are used it is proposed to apply a Turbo Prologue version that has a set of predicates in the form of recursive rules for executing frequently repeated operations with lists such as unification of lists, italicization and deletion of some list elements, sorting-out, list reversing and many others. The modified version contains a reference to new input predicates. The proposed Turbo Prologue version is easily expanded by new rules. Usage of this version makes programmer’s work easier and promotes development of new programs where it is necessary to work with lists.

  7. Potential Risk Estimation Drowning Index for Children (PREDIC): a pilot study from Matlab, Bangladesh.

    Science.gov (United States)

    Borse, N N; Hyder, A A; Bishai, D; Baker, T; Arifeen, S E

    2011-11-01

    Childhood drowning is a major public health problem that has been neglected in many low- and middle-income countries. In Matlab, rural Bangladesh, more than 40% of child deaths aged 1-4 years are due to drowning. The main objective of this paper was to develop and evaluate a childhood drowning risk prediction index. A literature review was carried out to document risk factors identified for childhood drowning in Bangladesh. The Newacheck model for special health care needs for children was adapted and applied to construct a childhood drowning risk index called "Potential Risk Estimation Drowning Index for Children" (PREDIC). Finally, the proposed PREDIC Index was applied to childhood drowning deaths and compared with the comparison group from children living in Matlab, Bangladesh. This pilot study used t-tests and Receiver Operating Characteristic (ROC) curve to analyze the results. The PREDIC index was applied to 302 drowning deaths and 624 children 0-4 years old living in Matlab. The results of t-test indicate that the drowned children had a statistically (t=-8.58, p=0.0001) significant higher mean PREDIC score (6.01) than those in comparison group (5.26). Drowning cases had a PREDIC score of 6 or more for 68% of the children however, the comparison group had 43% of the children with score of 6 or more which was statistically significant (t=-7.36, p<0.001). The area under the curve for the Receiver Operating Characteristic curve was 0.662. Index score construction was scientifically plausible; and the index is relatively complete, fairly accurate, and practical. The risk index can help identify and target high risk children with drowning prevention programs. PREDIC index needs to be further tested for its accuracy, feasibility and effectiveness in drowning risk reduction in Bangladesh and other countries. Copyright © 2011 Elsevier Ltd. All rights reserved.

  8. Lexical development of noun and predicate comprehension and production in isiZulu.

    Science.gov (United States)

    Nicolas, Ramona Kunene; Ahmed, Saaliha

    2016-07-28

    This study seeks to investigate the development of noun and predicate comprehension and production in isiZulu-speaking children between the ages of 25 and 36 months. It compares lexical comprehension and production in isiZulu, using an Italian developed and validated vocabulary assessment tool: The Picture Naming Game (PiNG) developed by Bello, Giannantoni, Pettenati, Stefanini and Caselli (2012). The PiNG tool includes four subtests, one each for subnoun comprehension (NC), noun production (NP), predicate comprehension (PC), and predicate production (PP). Children are shown these lexical items and then asked to show comprehension and produce certain lexical items. After adaptation into the South African context, the adapted version of PiNG was used to directly assess the lexical development of isiZulu with the three main objectives to (1) test the efficiency of the adaptation of a vocabulary tool to measure isiZulu comprehension and production development, (2) test previous findings done in many cross-linguistic comparisons that have found that both comprehension and production performance increase with age for a lesser-studied language, and (3) present our findings around the comprehension and production of the linguistic categories of nouns and predicates. An analysis of the results reported in this study show an age effect throughout the entire sample. Across all the age groups, the comprehension of the noun and predicate subtests was better performed than the production of noun and predicate subtests. With regard to lexical items, the responses of children showed an influence of various factors, including the late acquisition of items, possible problems with stimuli presented to them, and the possible input received by the children from their home environment.

  9. Lexical development of noun and predicate comprehension and production in isiZulu

    Directory of Open Access Journals (Sweden)

    Ramona Kunene Nicolas

    2016-07-01

    Full Text Available This study seeks to investigate the development of noun and predicate comprehension and production in isiZulu-speaking children between the ages of 25 and 36 months. It compares lexical comprehension and production in isiZulu, using an Italian developed and validated vocabulary assessment tool: The Picture Naming Game (PiNG developed by Bello, Giannantoni, Pettenati, Stefanini and Caselli (2012. The PiNG tool includes four subtests, one each for subnoun comprehension (NC, noun production (NP, predicate comprehension (PC, and predicate production (PP. Children are shown these lexical items and then asked to show comprehension and produce certain lexical items. After adaptation into the South African context, the adapted version of PiNG was used to directly assess the lexical development of isiZulu with the three main objectives to (1 test the efficiency of the adaptation of a vocabulary tool to measure isiZulu comprehension and production development, (2 test previous findings done in many cross-linguistic comparisons that have found that both comprehension and production performance increase with age for a lesser-studied language, and (3 present our findings around the comprehension and production of the linguistic categories of nouns and predicates. An analysis of the results reported in this study show an age effect throughout the entire sample. Across all the age groups, the comprehension of the noun and predicate subtests was better performed than the production of noun and predicate subtests. With regard to lexical items, the responses of children showed an influence of various factors, including the late acquisition of items, possible problems with stimuli presented to them, and the possible input received by the children from their home environment.

  10. Mejoría mucosa endoscópica en pacientes con enfermedad inflamatoria intestinal

    OpenAIRE

    Veitia, Guillermo; Pernalete, Beatriz; La Cruz, María Alejandra; Rodríguez, María Josefina; Cachima, Lisbeth; Soto, José; Esquerre, Ivanova; Manuitt, Juan; Pérez, Guillermo

    2014-01-01

    La curación mucosa endoscópica en enfermedad inflamatoria intestinal se asocia con remisión clínica sostenida, reducción de hospitalizaciones y cirugía, pero lograrlo es difícil, según la literatura. Por ello evaluamos la mejoría mucosa endoscópica en nuestros pacientes. Objetivo: Evaluar la mejoría mucosa endoscópica en pacientes con enfermedad inflamatoria intestinal. Métodos: estudio multicéntrico, descriptivo, transversal. Incluyó 24 pacientes entre 17 y 73 años. Para evaluar respuesta a ...

  11. Development and evaluation of a biomedical search engine using a predicate-based vector space model.

    Science.gov (United States)

    Kwak, Myungjae; Leroy, Gondy; Martinez, Jesse D; Harwell, Jeffrey

    2013-10-01

    Although biomedical information available in articles and patents is increasing exponentially, we continue to rely on the same information retrieval methods and use very few keywords to search millions of documents. We are developing a fundamentally different approach for finding much more precise and complete information with a single query using predicates instead of keywords for both query and document representation. Predicates are triples that are more complex datastructures than keywords and contain more structured information. To make optimal use of them, we developed a new predicate-based vector space model and query-document similarity function with adjusted tf-idf and boost function. Using a test bed of 107,367 PubMed abstracts, we evaluated the first essential function: retrieving information. Cancer researchers provided 20 realistic queries, for which the top 15 abstracts were retrieved using a predicate-based (new) and keyword-based (baseline) approach. Each abstract was evaluated, double-blind, by cancer researchers on a 0-5 point scale to calculate precision (0 versus higher) and relevance (0-5 score). Precision was significantly higher (psearching than keywords, laying the foundation for rich and sophisticated information search. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. Kill the Song--Steal the Show: What Does Distinguish Predicative Metaphors from Decomposable Idioms?

    Science.gov (United States)

    Caillies, Stephanie; Declercq, Christelle

    2011-01-01

    This study examined the semantic processing difference between decomposable idioms and novel predicative metaphors. It was hypothesized that idiom comprehension results from the retrieval of a figurative meaning stored in memory, that metaphor comprehension requires a sense creation process and that this process difference affects the processing…

  13. Boolean-Like and Frequentistic Nonstandard Semantics for First-Order Predicate Calculus without Functions

    Czech Academy of Sciences Publication Activity Database

    Kramosil, Ivan

    2001-01-01

    Roč. 5, č. 1 (2001), s. 45-57 ISSN 1432-7643 R&D Projects: GA AV ČR IAA1030803 Institutional research plan: AV0Z1030915 Keywords : first-order predicate calculus * standard semantics * Boolean-like semantics * frequentistic semantics * completness theorems Subject RIV: BA - General Mathematics

  14. Cipient Predication : Unifying Double Object, Dative Experiencer and Existential/Presentational Constructions

    NARCIS (Netherlands)

    Brandt, P.M.

    2003-01-01

    The principal claim of this dissertation is that there is a unique structural core shared by Double Object, Dative Experiencer and Existential/Presentational constructions. This core is argued to take the form of a Cipient Predication structure, `cipient covering traditional notions like (affected)

  15. Las mejores prácticas de las organizaciones y los profesionales

    Directory of Open Access Journals (Sweden)

    Robert L. SCHALOCK

    2015-03-01

    Full Text Available Este artículo se centra en las prácticas basadas en la evidencia y, sobre esta base, hacemos una invitación a que busquemos entre todos cuáles son las mejores prácticas, quién es el profesional más adecuado y qué significa ser una organización eficaz y eficiente. Tanto los profesionales como las organizaciones ofrecen servicios y apoyos que contribuyen a mejorar el bienestar y el crecimiento personal de los usuarios. En el contexto de la discusión sobre las prácticas profesionales y de las organizaciones, indicaré que las mejores prácticas profesionales empiezan con el respeto hacia las personas, el cumplimiento de los estándares y las normas éticas y deontológicas, y la utilización de las prácticas basadas en la evidencia y de la evaluación del efecto y de los resultados conseguidos. Indicaré, asimismo, que las mejores prácticas de la organización empiezan con el compromiso de ser una entidad basada en valores y, a la vez, de ser eficaz y eficiente en la prestación de los servicios y apoyos. Este compromiso de la organización se refleja en el uso de las mejores prácticas, que consisten en la utilización de equipos de alto rendimiento, en el paradigma de los apoyos, en la evaluación de los resultados obtenidos y en la mejora continua de la calidad.Como se observa en la Figura 1, examinaremos cada uno de los componentes de las mejores prácticas profesionales y de las organizaciones. Además, indicaré que, a través de su acción recíproca, las mejores prácticas de los profesionales y de las organizaciones generan un entorno cultural que tiene un efecto directo, no solo en la mejora de los servicios y apoyos que la organización ofrece a los usuarios, sino también en el bienestar y crecimiento personal del personal de la organización, lo cual, a su vez, redunda en un aumento de su eficacia y eficiencia.

  16. Las culturas laborales de las 100 mejores empresas de Cartagena. Sector industria

    Directory of Open Access Journals (Sweden)

    Juan Antonio Morales

    2004-01-01

    Full Text Available La presente investigación se propone caracterizar, a partir de las culturas laborales, el perfil empresarial de las 100 mejores empresas del sector industria de Cartagena. El perfil empresarial es el punto de partida para determinar dónde se encuentran y hacia dónde deben dirigirse las compañías, y, a su vez, permite visualizar alternativas de estrategias salariales y/o compensacionales.

  17. Kill the song—steal the show: what does distinguish predicative metaphors from decomposable idioms?

    Science.gov (United States)

    Caillies, Stéphanie; Declercq, Christelle

    2011-06-01

    This study examined the semantic processing difference between decomposable idioms and novel predicative metaphors. It was hypothesized that idiom comprehension results from the retrieval of a figurative meaning stored in memory, that metaphor comprehension requires a sense creation process and that this process difference affects the processing time of idiomatic and metaphoric expressions. In the first experiment, participants read sentences containing decomposable idioms, predicative metaphors or control expressions and performed a lexical decision task on figurative targets presented 0, 350, and 500 ms, or 750 after reading. Results demonstrated that idiomatic expressions were processed sooner than metaphoric ones. In the second experiment, participants were asked to assess the meaningfulness of idiomatic, metaphoric and literal expressions after reading a verb prime that belongs to the target phrase (identity priming). The results showed that verb identity priming was stronger for idiomatic expressions than for metaphor ones, indicating different mental representations.

  18. PREDICATE OF ‘MANGAN’ IN SASAK LANGUAGE: A STUDY OF NATURAL SEMANTIC METALANGUAGE

    Directory of Open Access Journals (Sweden)

    Sarwadi

    2016-11-01

    Full Text Available The aim of this study were to know semantic meaning of predicate Ngajengan, Daharan, Ngelor, Mangan, Ngrodok (Eating, Kaken (Eating, Suap, Bejijit, (Eating Bekeruak (Eating, Ngerasak (Eating and Nyangklok (Eating. Besides that, to know the lexical meaning of each words and the function of words in every sentences especially the meaning of eating in Sasaknese language. The lexical meaning of Ngajengan, Daharan, Ngelor, Mangan, Ngrodok (Eating, Kaken (Eating, Suap, Bejijit, (Eating Bekeruak (Eating, Ngerasak (Eating and Nyangklok (Eating was doing something to eat but the differences of these words are usage in sentences. Besides that, the word usage based on the subject and object and there is predicate that need tool to state eat meals or food.

  19. EARLY IDENTIFICATION OF SOFTWARE DEFECTS USING OCL PREDICATES TO IMPROVE SOFTWARE QUALITY

    Directory of Open Access Journals (Sweden)

    A. JALILA

    2015-03-01

    Full Text Available Formal specification-based testing has been used widely to assess potential faults or prove their absence in a given system at the earliest. This research work has proposed an automated fault-based testing framework to test the specification of the system using Object Constraint Language (OCL. Accordingly, the possible faults in OCL specification of the system has been anticipated by mutating its method based on OCL predicate-based fault classes. Then, test cases are generated using Genetic Algorithm with simulated annealing technique. In this paper, a novel OCL-predicate based fitness function is defined to evaluate the generated test data. Finally, this paper presents the experimental results, which indicate that the proposed methodology provides more test coverage with the reduced test suite and test run. This results in cost-effective software development so as to improve software quality.

  20. Predicate Offences of Money Laundering and Anti Money Laundering Practices in Bangladesh Among South Asian Countries

    Directory of Open Access Journals (Sweden)

    Islam Mohammad Saiful

    2017-12-01

    Full Text Available The purpose of the study is to identify the main reasons of money laundering in Bangladesh among the twenty seven predicate offences of money laundering prescribed by Bangladesh Bank and position of Bangladesh among South Asian Countries regarding anti-money laundering practices. Besides, an anti-money laundering model has been developed to combat against money laundering as 14 percent bankers think that only existing know your customer form and transaction profile of banking sector are not enough to detect money laundering. To conduct the study, 91 bankers have been surveyed to take response through structured questionnaire regarding their opinion about the predicate offences of money laundering and sufficiency of existing KYC form of banking sector to detect money laundering. From the responses, factor analysis, test of hypothesis, correlation and regression analysis have been conducted using SPSS software. The study identifies that predicate offences of money laundering can be minimized mainly through scrutinizing the activities of local criminals with foreign network and strict anti-corruption measures through automation in National Board of Revenue, strict policy adoption of criminal detection and support from foreign experts. Besides, regression model shows that only six predicate offences of money laundering explains 87.2 percent of money laundering that should get more emphasize to combat against money laundering. From the comparative analysis, it has been found that Bangladesh in holding better position just after India among six South Asian Countries according to Basel AML Index score. This study provides a complete understanding of the position of Bangladesh in case of money laundering and anti-money laundering practices. The integration of four domains, i.e. AML model development, factor analysis, econometric analysis and comparative analysis of AML index will provide insights to managers and policy makers about the money laundering

  1. Link predication based on matrix factorization by fusion of multi class organizations of the network.

    Science.gov (United States)

    Jiao, Pengfei; Cai, Fei; Feng, Yiding; Wang, Wenjun

    2017-08-21

    Link predication aims at forecasting the latent or unobserved edges in the complex networks and has a wide range of applications in reality. Almost existing methods and models only take advantage of one class organization of the networks, which always lose important information hidden in other organizations of the network. In this paper, we propose a link predication framework which makes the best of the structure of networks in different level of organizations based on nonnegative matrix factorization, which is called NMF 3 here. We first map the observed network into another space by kernel functions, which could get the different order organizations. Then we combine the adjacency matrix of the network with one of other organizations, which makes us obtain the objective function of our framework for link predication based on the nonnegative matrix factorization. Third, we derive an iterative algorithm to optimize the objective function, which converges to a local optimum, and we propose a fast optimization strategy for large networks. Lastly, we test the proposed framework based on two kernel functions on a series of real world networks under different sizes of training set, and the experimental results show the feasibility, effectiveness, and competitiveness of the proposed framework.

  2. Metaphysical Modality, Modality of Predicate and the Theory of "Decisive Necessity”

    Directory of Open Access Journals (Sweden)

    L. Nabavi

    2010-01-01

    Full Text Available Aristotle in the Organon (1949: 9,30 a ,15-19 explicitly states that in a categorical syllogism when the minor premise is absolute (without modality operator and the major is necessary, the conclusion will be necessary too. This Aristotle's view has been the source of many conflicts and disputes in the history of logic. The famous logicians and historians of logic in the twentieth century as "Nicholas Rescher" and "Becker" believe that Aristotle's view is justifiable and defensible (at least compared to the first figure only if, the modality of major premise is considered as the property of predicate (modality de re. Today, we know very well that the modality of predicate is closely linked to Metaphysical and philosophical Modality. “Shihab al-Din al- Suhrawardi” in the theory of "Decisive (Battateh Necessity” by accepting this base, explicitly states that, in the beginning, the modality must be mentioned as a part of the predicate and then the modality of relation or copula is summarized and reduced to necessity. The modern formalization of the most important part of this theory is as follows: ("x (àAx É à Bx º ("x □ (àAx É à BxThis paper discusses the historical overview of the metaphysical modality firstly and then shows that the theory of "Decisive Necessity” is true and justified in a model of modal logic with equivalent accessibility relation and homogeneous possible world view (fixed domain.

  3. PREDICE score as a predictor of 90 days mortality in patients with heart failure

    Science.gov (United States)

    Purba, D. P. S.; Hasan, R.

    2018-03-01

    Hospitalization in chronic heart failure patients associated with high mortality and morbidity rate. The 90 days post-discharge period following hospitalization in heart failure patients is known as the vulnerable phase, it carries the high risk of poor outcomes. Identification of high-risk individuals by using prognostic evaluation was intended to do a closer follow up and more intensive to decreasing the morbidity and mortality rate of heart failure.To determine whether PREDICE score could predict mortality within 90 days in patients with heart failure, an observational cohort study in patients with heart failure who were hospitalized due to worsening chronic heart failure. Patients were in following-up for up to 90 days after initial evaluation with the primary endpoint is death.We found a difference of the significantstatistical between PREDICE score in survival and mortality group (p=0.001) of 84% (95% CI: 60.9% - 97.4%).In conclusion, PREDICE score has a good ability to predict mortality within 90 days in patients with heart failure.

  4. Finding-equal regression method and its application in predication of U resources

    International Nuclear Information System (INIS)

    Cao Huimo

    1995-03-01

    The commonly adopted deposit model method in mineral resources predication has two main part: one is model data that show up geological mineralization law for deposit, the other is statistics predication method that accords with characters of the data namely pretty regression method. This kind of regression method may be called finding-equal regression, which is made of the linear regression and distribution finding-equal method. Because distribution finding-equal method is a data pretreatment which accords with advanced mathematical precondition for the linear regression namely equal distribution theory, and this kind of data pretreatment is possible of realization. Therefore finding-equal regression not only can overcome nonlinear limitations, that are commonly occurred in traditional linear regression or other regression and always have no solution, but also can distinguish outliers and eliminate its weak influence, which would usually appeared when Robust regression possesses outlier in independent variables. Thus this newly finding-equal regression stands the best status in all kind of regression methods. Finally, two good examples of U resource quantitative predication are provided

  5. Predicate Structures, Gesture, and Simultaneity in the Representation of Action in British Sign Language: Evidence From Deaf Children and Adults

    Science.gov (United States)

    Cormier, Kearsy

    2013-01-01

    British Sign Language (BSL) signers use a variety of structures, such as constructed action (CA), depicting constructions (DCs), or lexical verbs, to represent action and other verbal meanings. This study examines the use of these verbal predicate structures and their gestural counterparts, both separately and simultaneously, in narratives by deaf children with various levels of exposure to BSL (ages 5;1 to 7;5) and deaf adult native BSL signers. Results reveal that all groups used the same types of predicative structures, including children with minimal BSL exposure. However, adults used CA, DCs, and/or lexical signs simultaneously more frequently than children. These results suggest that simultaneous use of CA with lexical and depicting predicates is more complex than the use of these predicate structures alone and thus may take deaf children more time to master. PMID:23670881

  6. Distorsión de la arquitectura mamaria: La mejor forma de enfrentarla

    OpenAIRE

    Pinochet Tejos, Miguel Ángel; Altamirano Salazar, Aleen Vanessa; Horvath Polos, Eleonora; Uchida Silva, Marcela; Silva Fuente-Alba, Claudio; Darrás Ismael, Carla

    2016-01-01

    Resumen: Objetivo. Determinar en qué método de imagen se logra visualizar y caracterizar mejor una distorsión de la arquitectura mamaria (DAM). Material y método. Estudio retrospectivo, aprobado por el Comité de Ética. Se seleccionaron los estudios mamográficos con diagnóstico de DAM en nuestro servicio entre agosto de 2015 y agosto de 2016. Se incluyeron casos estudiados con al menos 3 de las modalidades de imágenes disponibles en PACS: mamografía digital (2D), tomosíntesis (TS), ecografía (...

  7. Colombine y el cine mudo en España (La mejor film

    Directory of Open Access Journals (Sweden)

    Palomo, M.ª del Pilar

    2010-06-01

    Full Text Available To put into context the works of Colombine on cinema that are analyzed, the appearance of the first films projected in 1896 in Almeria, and the state of cinema in Madrid from 1901 to 1932: the union between cinema and theatre; the first film versions of Spanish plays; the interest towards this new art for theatrical actresses and vanguard writers... Two articles about Francesca Bertini written by Carmen de Burgos are analyzed as well as her novel La Mejor Film, written in 1918, which offers a testament into how films were made at that time.Como contexto de los trabajos de Colombine sobre el cine que se analizan se comenta la aparición de las primeras cintas proyectadas en 1896 en Almería, y la situación del cinematógrafo en Madrid de 1901 a 1932: la unión de cine y teatro; primeras versiones sobre obras literarias españolas; el interés hacia el nuevo arte de las actrices teatrales y de los escritores vanguardistas... Se analizan dos artículos de Carmen de Burgos sobre Francesca Bertini de 1916, y su novela La mejor film, de 1918, que ofrece los pormenores de una filmación en dicha fecha.

  8. PASBio: predicate-argument structures for event extraction in molecular biology

    Science.gov (United States)

    Wattarujeekrit, Tuangthong; Shah, Parantu K; Collier, Nigel

    2004-01-01

    Background The exploitation of information extraction (IE), a technology aiming to provide instances of structured representations from free-form text, has been rapidly growing within the molecular biology (MB) research community to keep track of the latest results reported in literature. IE systems have traditionally used shallow syntactic patterns for matching facts in sentences but such approaches appear inadequate to achieve high accuracy in MB event extraction due to complex sentence structure. A consensus in the IE community is emerging on the necessity for exploiting deeper knowledge structures such as through the relations between a verb and its arguments shown by predicate-argument structure (PAS). PAS is of interest as structures typically correspond to events of interest and their participating entities. For this to be realized within IE a key knowledge component is the definition of PAS frames. PAS frames for non-technical domains such as newswire are already being constructed in several projects such as PropBank, VerbNet, and FrameNet. Knowledge from PAS should enable more accurate applications in several areas where sentence understanding is required like machine translation and text summarization. In this article, we explore the need to adapt PAS for the MB domain and specify PAS frames to support IE, as well as outlining the major issues that require consideration in their construction. Results We introduce PASBio by extending a model based on PropBank to the MB domain. The hypothesis we explore is that PAS holds the key for understanding relationships describing the roles of genes and gene products in mediating their biological functions. We chose predicates describing gene expression, molecular interactions and signal transduction events with the aim of covering a number of research areas in MB. Analysis was performed on sentences containing a set of verbal predicates from MEDLINE and full text journals. Results confirm the necessity to analyze

  9. Logical Characterisation of Concept Transformations from Human into Machine relying on Predicate Logic

    DEFF Research Database (Denmark)

    Badie, Farshad

    2016-01-01

    Providing more human-like concept learning in machines has always been one of the most significant goals of machine learning paradigms and of human-machine interaction techniques. This article attempts to provide a logical specification of conceptual mappings from humans’ minds into machines......’ knowledge bases. I will focus on the representation of the mappings (transformations) relying on First-Order Predicate Logic. Additionally, the structure of concepts in the common ground between humans and machines will be analysed. It seems quite necessary to pay attention to the philosophy...

  10. Hacia la construcción social participada de un mejor vivir

    Directory of Open Access Journals (Sweden)

    Pedro Martín Gutiérrez

    2005-01-01

    Full Text Available Las transformaciones que el modelo social fordista-keynesiano ha experimentado en las últimas décadas, en los países del centro de la economía mundial, han supuesto la ruptura del pacto social que propició el Estado de bienestar y, consecuentemente, la pérdida de ciudadanía y derechos sociales vinculados a la condición de trabajador. Desde el paradigma emergente de la complejidad y sobre la base de diversas metodologías participativas, reflexivas y práxicas, se propone un método para construir nuevos espacios sociales auto-organizados, que recuperen de una manera dialógica un mejor vivir (interactivo y responsable, frente al bienestar (absoluto y pasivo.

  11. Convex polyhedral abstractions, specialisation and property-based predicate splitting in Horn clause verification

    DEFF Research Database (Denmark)

    Kafle, Bishoksan; Gallagher, John Patrick

    2014-01-01

    We present an approach to constrained Horn clause (CHC) verification combining three techniques: abstract interpretation over a domain of convex polyhedra, specialisation of the constraints in CHCs using abstract interpretation of query-answer transformed clauses, and refinement by splitting...... in conjunction with specialisation for propagating constraints it can frequently solve challenging verification problems. This is a contribution in itself, but refinement is needed when it fails, and the question of how to refine convex polyhedral analyses has not been studied much. We present a refinement...... technique based on interpolants derived from a counterexample trace; these are used to drive a property-based specialisation that splits predicates, leading in turn to more precise convex polyhedral analyses. The process of specialisation, analysis and splitting can be repeated, in a manner similar...

  12. BUENAS PRÁCTICAS, UNA SOLUCIÓN PARA UN MEJOR DESARROLLO DE SOFTWARE

    Directory of Open Access Journals (Sweden)

    Liliana del Carmen Ramírez-M

    2014-12-01

    Full Text Available Este articulo tiene como objetivo principal dar a conocer una serie de buenas prácticas planteadas para un mejor desarrollo de software, basadas en las metodologías agiles más representativas se han propuesto unos valores, unas características, unos roles, unas prácticas y un ciclo de vida para el desarrollo de un proyecto de software, con lo cual se busca abarcar todo el proceso desde que surge una necesidad por parte de un cliente, hasta el momento en se tiene la seguridad de que el cliente está totalmente satisfecho con el producto. Estas prácticas planteadas buscan comprometer al equipo de trabajo e integrarlo al proyecto de una manera beneficiosa para las personas participantes, ya que pueden estar desde el inicio hasta la fase final del proyecto cumpliendo un rol u otro específicamente, logrando con esto reducción de tiempo, costos y otros.

  13. On Kripke-style semantics for the provability logic of Gödel’s proof predicate with quantifiers on proofs

    NARCIS (Netherlands)

    Yavorskiy, R.

    Kripke-style semantics is suggested for the provability logic with quantifiers on proofs corresponding to the standard Gödel proof predicate. It is proved that the set of valid formulas is decidable. The arithmetical completeness is still an open issue.

  14. Symmetric and Asymmetric Patterns of Attraction Errors in Producing Subject-Predicate Agreement in Hebrew: An Issue of Morphological Structure

    Science.gov (United States)

    Deutsch, Avital; Dank, Maya

    2011-01-01

    A common characteristic of subject-predicate agreement errors (usually termed attraction errors) in complex noun phrases is an asymmetrical pattern of error distribution, depending on the inflectional state of the nouns comprising the complex noun phrase. That is, attraction is most likely to occur when the head noun is the morphologically…

  15. Por un futuro mejor: programa de promoción de la salud para Afrodescendientes

    Directory of Open Access Journals (Sweden)

    Vilma Florisa Velásquez Gutierrez

    2016-01-01

    Full Text Available Introducción: Las familias afrocolombianas se caracterizan por vivir en contextos de alta vulnerabilidad, que requieren su fortalecimiento con programas en promoción de la salud. Objetivo: Construir un programa de promoción de la salud, con familias afrocolombianas en situación de pobreza en Tumaco, año 2012. Materiales y Métodos: Investigación - Acción - Participativa, conformando un grupo y comisión de seguimiento, esto permitió la adaptación de la propuesta de Martí a través de cuatro etapas en el proceso. Resultados: El programa de Promoción de la Salud fue una construcción colectiva entre el grupo Investigación Acción Participación, la comisión de seguimiento y las familias, realizada en cuatro fases: Etapa 1: Inicio y preparación del campo. Etapa 2. Diagnóstico: Aproximación al universo de las familias afrocolombianas. Etapa 3. Construcción y aplicación de programa de promoción de la salud: “Del dicho al hecho superamos los trechos”. Etapa 4. Evaluación y proyección del programa: “Evaluando vamos terminando”. Discusión y Conclusiones: La construcción social del programa de promoción de la salud, así como el abordaje pedagógico y didáctico para el desarrollo del mismo, se desarrolló en función del contexto cultural, desde la perspectiva de la Investigación Acción Participación. El programa “Por un futuro mejor” permitió crear nuevos conocimientos a familias, líderes y profesionales de la salud a partir de la realidad e intercambio de saberes, con acciones dirigidas a fortalecer el amor propio, la comunicación, el entorno y la participación, con el fin de mejorar las condiciones de salud.  Cómo citar este artículo: Velásquez VF, López AL, Puerto AH, Cataño N, Muñoz AI. Por un futuro mejor: programa de promoción de la salud para Afrodescendientes. Rev Cuid. 2016; 7(1:1185-94. http://dx.doi.org/10.15649/cuidarte.v7i1.239

  16. An Insider Threat Neutralization Mitigation Model Predicated On Cognitive Dissonance (ITNMCD

    Directory of Open Access Journals (Sweden)

    Keshnee Padayachee

    2015-07-01

    Full Text Available The insider threat concern is a complex issue, as the problem domain intersects the social, technical and socio-technical dimensions. Consequently, counteracting the insider threat involves influencing the insider’s perceptions and behaviour in order to ensure compliance. When an individual’s actions and beliefs are incongruent, this induces a phenomenon known as cognitive dissonance. In order to reduce this dissonance, individuals are self-motivated either to change their behaviours or beliefs, or to rationalize their behaviour. Neutralization is a technique used by criminals to rationalize maleficence. In terms of the insider threat, it has been proposed that if the justifications for committing an offence are eliminated, then the insider is less likely to commit the offence. This process is known as neutralization mitigation. The research reported on here proposes that inducing cognitive dissonance may be a means of mitigating the neutralizations that the insider may use to justify maleficence. To integrate these concepts into a pragmatic implementable solution the Insider Threat Neutralization Mitigation model predicated on Cognitive Dissonance (ITNMCD is proposed. A proof-of-concept was developed and the model concept was evaluated using the design science method.

  17. Predication of skin temperature and thermal comfort under two-way transient environments.

    Science.gov (United States)

    Zhou, Xin; Xiong, Jing; Lian, Zhiwei

    2017-12-01

    In this study, three transient environmental conditions consisting of one high-temperature phase within two low-temperature phases were developed, thus creating a temperature rise followed by a temperature fall. Twenty-four subjects (including 12 males and 12 females) were recruited and they underwent all three test scenarios. Skin temperature on seven body parts were measured during the whole period of the experiment. Besides, thermal sensation was investigated at specific moments by questionnaires. Thermal sensation models including PMV model, Fiala model and the Chinese model were applied to predict subjects' thermal sensation with comparisons carried out among them. Results show that most predicated thermal sensation by Chinese model lies within the range of 0.5 scale of the observed sensation vote, and it agrees best with the observed thermal sensation in transient thermal environment than PMV and Fiala model. Further studies should be carried out to improve performance of Chinese model for temperature alterations between "very hot" to "hot" environment, for prediction error in the temperature-fall situation of C5 (37-32°C) was over 0.5 scale. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Integrated analyzing method for the progress event based on subjects and predicates in events

    International Nuclear Information System (INIS)

    Minowa, Hirotsugu; Munesawa, Yoshiomi

    2014-01-01

    It is expected to make use of the knowledge that was extracted by analyzing the mistakes of the past to prevent recurrence of accidents. Currently main analytic style is an analytic style that experts decipher deeply the accident cases, but cross-analysis has come to an end with extracting the common factors in the accident cases. We propose an integrated analyzing method for progress events to analyze among accidents in this study. Our method realized the integration of many accident cases by the integration connecting the common keyword called as 'Subject' or 'Predicate' that are extracted from each progress event in accident cases or near-miss cases. Our method can analyze and visualize the partial risk identification and the frequency to cause accidents and the risk assessment from the data integrated accident cases. The result of applying our method to PEC-SAFER accident cases identified 8 hazardous factors which can be caused from tank again, and visualized the high frequent factors that the first factor was damage of tank 26% and the second factor was the corrosion 21%, and visualized the high risks that the first risk was the damage 3.3 x 10 -2 [risk rank / year] and the second risk was the destroy 2.5 x 10 -2 [risk rank / year]. (author)

  19. [Clinical applications of dosing algorithm in the predication of warfarin maintenance dose].

    Science.gov (United States)

    Huang, Sheng-wen; Xiang, Dao-kang; An, Bang-quan; Li, Gui-fang; Huang, Ling; Wu, Hai-li

    2011-12-27

    To evaluate the feasibility of clinical application for genetic based dosing algorithm in the predication of warfarin maintenance dose in Chinese population. The clinical data were collected and blood samples harvested from a total of 126 patients undergoing heart valve replacement. The genotypes of VKORC1 and CYP2C9 were determined by melting curve analysis after PCR. They were divided randomly into the study and control groups. In the study group, the first three doses of warfarin were prescribed according to the predicted warfarin maintenance dose while warfarin was initiated at 2.5 mg/d in the control group. The warfarin doses were adjusted according to the measured international normalized ratio (INR) values. And all subjects were followed for 50 days after an initiation of warfarin therapy. At the end of a 50-day follow-up period, the proportions of the patients on a stable dose were 82.4% (42/51) and 62.5% (30/48) for the study and control groups respectively. The mean durations of reaching a stable dose of warfarin were (27.5 ± 1.8) and (34.7 ± 1.8) days and the median durations were (24.0 ± 1.7) and (33.0 ± 4.5) days in the study and control groups respectively. Significant differences existed in the durations of reaching a stable dose between the two groups (P = 0.012). Compared with the control group, the hazard ratio (HR) for the duration of reaching a stable dose was 1.786 in the study group (95%CI 1.088 - 2.875, P = 0.026). The predicted dosing algorithm incorporating genetic and non-genetic factors may shorten the duration of achieving efficiently a stable dose of warfarin. And the present study validates the feasibility of its clinical application.

  20. [Heinike Heinsoo. Mā ja pūd lēväd, meid eb lē : the subject and the predicate in Votic] / Johanna Laakso

    Index Scriptorium Estoniae

    Laakso, Johanna, 1962-

    2012-01-01

    Arvustus: Heinike Heinsoo. Mā ja pūd lēväd, meid eb lē : the subject and the predicate in Votic. Tallinn : Teaduste Akadeemia Kirjastus, 2010. (Linguistica Uralica. Supplementary series ; vol. 4)

  1. LHV predication models and LHV effect on the performance of CI engine running with biodiesel blends

    International Nuclear Information System (INIS)

    Tesfa, B.; Gu, F.; Mishra, R.; Ball, A.D.

    2013-01-01

    Highlights: • Lower heating values of neat biodiesel and its blends were measured experimentally. • Lower heating value prediction models were developed based on the density and viscosity values of the fuel. • The predication models were validated by measured values and previous models. • The prediction models were used to predict the lower heating value of 24 biodiesel feedstock types produced globally. • The effects of lower heating vale on brake specific fuel consumption and thermal efficiency were investigated. - Abstract: The heating value of fuel is one of its most important physical properties, and is used for the design and numerical simulation of combustion processes within internal combustion (IC) engines. Recently, there has been a significant increase in the use of dual fuel and blended fuels in compression ignition (CI) engines. Most of the blended fuels include biodiesel as one of the constituents and hence the objective of this study is to investigate the effect of biodiesel content to lower heating value (LHV) and to develop new LHV prediction models that correlate the LHV with biodiesel fraction, density and viscosity. Furthermore, this study also investigated the effects of the LHV on CI engines performance parameters experimentally. To achieve the above mentioned objectives density, viscosity and LHV of rapeseed oil biodiesel, corn oil biodiesel and waste oil biodiesel at different blend fraction values (B0, B5, B10, B20, B50, B75, and B100, where ‘B5’ denotes a blend of 5% biodiesel and 95% mineral diesel, etc.) were measured as per EN ISO 3675:1998, EN ISO 3104:1996 and DIN 51900 standards. The engine experimental work was conducted on a four-cylinder, four-stroke, direct injection (DI) and turbocharged diesel engine by using rapeseed oil and normal diesel blends. Based on the experimental results, models were developed which have the capability to predict the LHV corresponding to different fractions, densities and viscosities of

  2. Reminių lietuvių kalbos pagrindinių sakinio dalių perteikimas norvegų kalboje. Norwegian Equivalents to Lithuanian Rhemic Subject and Predicate

    Directory of Open Access Journals (Sweden)

    Aurelija Griškevičienė

    2008-01-01

    Full Text Available In Norwegian, like in other analytical languages, the distribution of information in terms of Functional Sentence Perspective (FSP is heavily constrained by the grammatically defined word order, whereas the main means of expression of FSP in written Lithuanian is the word order, which is grammatically unrestricted thus enabling to convey the new information by any sentence part. The aim of this article is to summarise and classify expressions of Norwegian equivalents to the rhemic subject and predicate in the Lithuanian language. The analysis resorts for illustrations to the short story “Gyvenimas po klevu” by Granauskas and its translation into Norwegian.The analysis shows, one of the best ways to shift the rhemic from the usual position at the begin­ning of a sentence in the Norwegian language is by applying the passive voice. The subject can equally be made rhemic by the cleft, presentative construction, the reduplication of a sentence part. The subject rhemisation can happen by replacing it with other sentence parts of the same meaning. To retain the rhemic subject in translation, not only can a word order be reshuffled, but even an extra sentence added to convey new information.In Norwegian, the predicate has a strictly defined second position. Therefore, the rhemic predicate is impossible to indicate by a word order. In Norwegian sentences where new information is presented through the predicate, the position of the predicate is considered rhemic, and no other means to express the rhemic predicated are employed. In translation, the rhemic predicate can be expressed through the nominalization, which facilitates the needed shift. As the empiric material demonstrates, the predicate replacement by any other sentence part is the most frequent way for the rhemisation of the predicate. It is also possible to make verb-for-verb replacement. In certain cases, extra themic elements, helping to shift the focus predicate.The use of lexical means

  3. Combining loop unrolling strategies and code predication to reduce the worst-case execution time of real-time software

    Directory of Open Access Journals (Sweden)

    Andreu Carminati

    2017-07-01

    Full Text Available Worst-case execution time (WCET is a parameter necessary to guarantee timing constraints on real-time systems. The higher the worst-case execution time of tasks, the higher will be the resource demand for the associated system. The goal of this paper is to propose a different way to perform loop unrolling on data-dependent loops using code predication targeting WCET reduction, because existing techniques only consider loops with fixed execution counts. We also combine our technique with existing unrolling approaches. Results showed that this combination can produce aggressive WCET reductions when compared with the original code.

  4. Attribute-Based Signcryption: Signer Privacy, Strong Unforgeability and IND-CCA Security in Adaptive-Predicates Model (Extended Version

    Directory of Open Access Journals (Sweden)

    Tapas Pandit

    2016-08-01

    Full Text Available Attribute-Based Signcryption (ABSC is a natural extension of Attribute-Based Encryption (ABE and Attribute-Based Signature (ABS, where one can have the message confidentiality and authenticity together. Since the signer privacy is captured in security of ABS, it is quite natural to expect that the signer privacy will also be preserved in ABSC. In this paper, first we propose an ABSC scheme which is weak existential unforgeable and IND-CCA secure in adaptive-predicates models and, achieves signer privacy. Then, by applying strongly unforgeable one-time signature (OTS, the above scheme is lifted to an ABSC scheme to attain strong existential unforgeability in adaptive-predicates model. Both the ABSC schemes are constructed on common setup, i.e the public parameters and key are same for both the encryption and signature modules. Our first construction is in the flavor of CtE&S paradigm, except one extra component that will be computed using both signature components and ciphertext components. The second proposed construction follows a new paradigm (extension of CtE&S , we call it “Commit then Encrypt and Sign then Sign” (CtE&S . The last signature is generated using a strong OTS scheme. Since, the non-repudiation is achieved by CtE&S paradigm, our systems also achieve the same.

  5. Los límites humanos: la evolución de las mejores marcas mundiales del atletismo

    OpenAIRE

    Etayo Gordejuela, José Javier

    2000-01-01

    Not available

    Las marcas en atletismo se han venido considerando como una muestra de los límites físicos del hombre. Desde los inicios del atletismo moderno se planteó la cuestión de cuáles serían los posibles límites en la evolución de los resultados, y todas las propuestas se vieron rápidamente rebasadas. Sin embargo un estudio en profundidad de las marcas obtenidas en los últimos veinte años, no sólo por el mejor atleta de cada momento, sino por el conjunto de los atleta...

  6. La mejor experiencia

    Directory of Open Access Journals (Sweden)

    Héctor Rojas Herazo

    1966-10-01

    Full Text Available He conocido personas obsesivamente apasionadas por toda clase de conocimiento científico - son eruditos, por ejemplo, en los sistemas de nutrición o en las más insospechadas enfermedades del trópico o en el anecdotario de remotísimas civilizaciones- que, sin embargo, no manifiestan el menor interés por el conocimiento directo e inmediato del hombre, del hombre con quien hablan, discuten y se saludan todos los días.

  7. La mejor escuela

    Directory of Open Access Journals (Sweden)

    Brigitte Baptiste

    2016-07-01

    Full Text Available En los años 80, cuando hice mi carrera de Biología en la U Javeriana, apenas empezaba a cambiar el enfoque académico de un currículo orientado a las Ciencias de la Salud. Los pocos estudiantes, rara vez más de 10 por semestre, compartíamos sedes, laboratorios y profesores con grupos gigantescos de estudiantes de nutrición o bacteriología, y nuestras preguntas e intereses acerca de la zoología o la botánica tenían muy pocas respuestas. Serían los profesores Giovanni Iafrancesco y Arturo Luna, junto con Darío Galindo Toro, Zoólogo de la Universidad Nacional de Colombia, quienes nos iniciarían en las ciencias naturales y nos abrirían el mundo riguroso y formativo de las publicaciones científicas, dentro de las cuales por supuesto, primaba Caldasia. Recuerdo en particular haber cargado todo un semestre, fotocopiado como correspondía, anotado, manchado y arrugado hasta su destrucción final, el artículo de Henry von Prahl y Gustavo Manjarrés acerca de los “Cangrejos Gecarcínidos de Colombia” (#66 de 1984, fresquito para cuando ejercí de monitor del curso de invertebrados y descubrí que podía comprar cangrejos en las pescaderías del centro de Bogotá para hacer un excelente ejercicio de laboratorio, guiado por el texto clásico de Barnes y lo más reciente del inventario nacional del grupo, reportado en Caldasia. La revista fue la puerta a la Ciencia, con mayúsculas y la que además pondría los nombres de los especialistas colombianos, la mayoría del Instituto de Ciencias Naturales, si no del INDERENA, al alcance de muchas generaciones que no teníamos ni el acceso a las publicaciones indexadas ni la cultura de consultarlas y no encontrábamos en la oferta de otras bibliotecas, salvo escasas excepciones, referentes a la biodiversidad colombiana. En conjunto con la memoria y generosidad del “mono” Hernández, a quien todos conoceríamos en algún momento de nuestras vidas, Caldasia era la biblioteca disponible y el paradigma de la investigación, donde todos aspirábamos publicar alguna vez.

  8. La Medicina Basada en la Evidencia: ¿mejoró la medicina que practicamos y enseñamos?

    Directory of Open Access Journals (Sweden)

    Luis Huicho

    2013-07-01

    Full Text Available En los últimos años la práctica y la enseñanza médica han incorporado en forma progresiva y creciente el concepto de medicina basada en la evidencia (MBE. La misma se define como la utilización de la mejor evidencia proveniente de la investigación clínica para la toma de decisiones en el manejo del paciente individual. Esta propuesta de cambio en la manera de practicar y enseñar la medicina clínica es, en parte, consecuencia del vertiginoso avance de la investigación científica, particularmente en las últimas décadas, aunque el costo creciente involucrado en la atención de los pacientes ha jugado también un rol importante en su desarrollo y consolidación. La MBE implica la integración de la preparación y experiencia del médico con la mejor evidencia clínica externa accesible, proveniente de la investigación sistemática, proporcionando una visión más crítica en la toma de decisiones clínicas, para ofrecer atención de calidad óptima al paciente, evitando errores en cada una de las diferentes etapas del proceso de diagnóstico y tratamiento. En ausencia de información recolectada sistemáticamente, no es fácil llegar a una conclusión sobre los efectos de la MBE en la práctica y la enseñanza de la medicina en nuestro medio. Sin duda contamos hoy con mayor evidencia científica, incluyendo aquella relacionada a los problemas de salud infantil, y también se ha producido un avance vertiginoso en la tecnología que nos permite acceder a dicha información en tiempo real, a la cabecera del paciente. Sin embargo, si deseamos de veras lograr una mejor medicina, basada en la ciencia y en el respeto a la salud como un derecho que nos asiste a todos, hay necesidad de romper definitivamente con el paradigma predominante de una medicina jerárquica, poco dada a la discusión y a la justificación de las decisiones clínicas, de aprovechar la mejora sustancial ocurrida en el acceso a la evidencia disponible, y de mostrar mayor

  9. Los límites humanos: la evolución de las mejores marcas mundiales del atletismo

    Directory of Open Access Journals (Sweden)

    Etayo Gordejuela, José Javier

    2000-02-01

    Full Text Available Not available

    Las marcas en atletismo se han venido considerando como una muestra de los límites físicos del hombre. Desde los inicios del atletismo moderno se planteó la cuestión de cuáles serían los posibles límites en la evolución de los resultados, y todas las propuestas se vieron rápidamente rebasadas. Sin embargo un estudio en profundidad de las marcas obtenidas en los últimos veinte años, no sólo por el mejor atleta de cada momento, sino por el conjunto de los atletas destacados, sugiere que en el caso de las pruebas masculinas se está llegando a una situación cercana a la estabilidad, cuando no al retroceso en determinadas especialidades. Las pruebas femeninas tienen en muchos casos todavía un largo recorrido, por ser de reciente implantación. En este trabajo se analizan las pruebas olímpicas, tanto masculinas como femeninas, en su evolución desde 1978, y se observa que en casi todos los casos se dibuja claramente una tendencia asintotica hacia unos límites ya cercanos.

  10. ¿Cómo lograr ser una de las mejores empresas para trabajar en Colombia? El caso de Laboratorios Wyeth

    Directory of Open Access Journals (Sweden)

    María del Pilar Ramírez Salazar

    2008-08-01

    Full Text Available Se encuentra en este artículo el exitoso proceso emprendedor que la compañía Laboratorios Wyeth Inc. (Sucursal en Colombia logró para ser reconocida por Great Place To Work Institute, como una de las mejores compañías para trabajar en Colombia. En tal sentido se contextualizan ambas compañías, quiénes son, qué hacen. Se describe la entrevista que miembros de la Vicerrectoría de Investigaciones de la universidad EAN realizaron a una funcionaria de Laboratorios Wyeth Inc., quien vivenció y participó activamente en todo el proceso de certificación. Al final del artículo se proponen algunas prácticas organizacionales tales como el diagnóstico frecuente del clima organizacional en las compañías, el fortalecimiento del capital relacional empresarial como herramienta fundamental de conformación de redes sociales y trabajo en equipo, una buena cultura de innovación, en la que se conformen grupos creativos y proactivos para la implementación de nuevos procesos y la búsqueda de lideres visionarios y comprometidos que son la clave para jalonar todo el proceso de certificación.

  11. Contact-induced change or dialectal relic in heritage American-Danish? The use of the indefinite article in copula clauses with person-identifying subject predicate

    DEFF Research Database (Denmark)

    Heegård, Jan

    2018-01-01

    The article analyses the use and non-use of the indefinite article in the identifying copula construction with bare noun as the subject predicate in American Danish. With a point of departure in the semantics associated with use and non-use of the indefinite article in Standard Danish and Danish ...

  12. Application of a Patient Derived Xenograft Model for Predicative Study of Uterine Fibroid Disease.

    Directory of Open Access Journals (Sweden)

    Martin Fritsch

    Full Text Available Human uterine fibroids, benign tumors derived from the smooth muscle layers of the uterus, impose a major health burden to up to 50% of premenopausal women in their daily life. To improve our understanding of this disease, we developed and characterized a patient-derived xenograft model by subcutaneous transplantation of pieces of human uterine fibroid tissue into three different strains of severe combined immunodeficient mice. Engrafted uterine fibroid tissue preserved the classical morphology with interwoven bundles of smooth muscle cells and an abundant deposition of collagenous matrix, similar to uterine fibroids in situ. The grafts expressed both estrogen receptor 1 and progesterone receptor. Additionally, both receptors were up-regulated by estrogen treatment. Growth of the fibroid grafts was dependent on 17β-estradiol and progesterone supplementation at levels similar to women with the disease and was studied for up to 60 days at maximum. Co-treatment with the antiprogestin mifepristone reduced graft growth (four independent donors, p<0.0001 two-sided t-test, as did treatment with the mTOR inhibitor rapamycin (three independent donors, p<0.0001 two-sided t-test. This in vivo animal model preserves the main histological and functional characteristics of human uterine fibroids, is amenable to intervention by pharmacological treatment, and can thus serve as an adequate model for the development of novel therapies.

  13. Critical point predication device

    International Nuclear Information System (INIS)

    Matsumura, Kazuhiko; Kariyama, Koji.

    1996-01-01

    An operation for predicting a critical point by using a existent reverse multiplication method has been complicated, and an effective multiplication factor could not be plotted directly to degrade the accuracy for the prediction. The present invention comprises a detector counting memory section for memorizing the counting sent from a power detector which monitors the reactor power, a reverse multiplication factor calculation section for calculating the reverse multiplication factor based on initial countings and current countings of the power detector, and a critical point prediction section for predicting the criticality by the reverse multiplication method relative to effective multiplication factors corresponding to the state of the reactor core previously determined depending on the cases. In addition, a reactor core characteristic calculation section is added for analyzing an effective multiplication factor depending on the state of the reactor core. Then, if the margin up to the criticality is reduced to lower than a predetermined value during critical operation, an alarm is generated to stop the critical operation when generation of a period of more than a predetermined value predicted by succeeding critical operation. With such procedures, forecasting for the critical point can be easily predicted upon critical operation to greatly mitigate an operator's burden and improve handling for the operation. (N.H.)

  14. EVALUACIÓN DEL MERCADO DE OPCIONES SOBRE TASAS DE CAMBIO: PERSPECTIVAS PARA UNA MEJOR UTILIZACIÓN

    Directory of Open Access Journals (Sweden)

    Iván Darío Ochoa

    2007-06-01

    en día en Colombia y cuáles son las perspectivas para una mejor utilización de este instrumento financiero que algunos autores consideran como un símbolo de los mercados financieros modernos.Colombia has to have a financial market that fits the needs of its increasingly internationalized economy. That means that a financial derivate market has to be developed. This includes a very deep options market in which forex options be widely dealt with in order to take advantage of the multiple benefits of this instrument specially for hedging purposes since the currency exchange risk is more and more threatening in a globalized world. Options are not very well known in Colombia and there is little information about them. They are only treaded in the over the counter (OTC market since there not exists an organized one. Of course, it is possible to contract tailor made options in the OTC market, which would not be the case in an organized market, but at the same time this implies more counterpart risk. Since the Colombian economy is getting more and more globalize and after adopting a floating exchange rate, the COP has experienced some appreciation that has risen up to 25%. This means considerable losses to the export sector. And also it should drive towards a culture more active in risk managing to hedge against foreign exchange volatility, which could avoid significant losses to the import/export sectors in the future. However, it has been identified that, in spite of the recent volatility of the peso/dollar exchange rate, there is little advance in developing such a culture. So this article focuses on the investigation done about the reasons why the mayor Colombian import/export companies had not progressed in forex hedging even though there is an increasing risk because of the mentioned volatility. Investigations carried out on those topics above said were complemented with the study of the variables that determine the market price of options allowed to conclude about

  15. Resiliencia del cuidador primario y mejoría clínica de personas con enfermedad mental en cuidado domiciliario

    Directory of Open Access Journals (Sweden)

    Yamileth Castaño-Mora

    2015-01-01

    Full Text Available El cuidador es la persona que asume la responsabilidad de cuidar al familiar enfermo. Estudios identifican la influencia que la condición de trastorno mental o física de un familiar, ejerce sobre la vida del cuidador. Propósito: Contribuir con la generación de conocimiento de Enfermería que permita la aplicación de propuestas de intervención dirigidas a la persona con trastorno mental y su cuidador, desde la promoción de la resiliencia. Pregunta de investigación : ¿Existe relación entre la resiliencia del cuidador primario y la mejoría clínica de la persona con trastorno mental? Objetivo: Establecer la relación entre la resiliencia del cuidador primario y la mejoría clínica evidenciada a través del número de reingresos hospitalarios de la persona con trastorno mental. Metodología: Estudio cuantitativo, descriptivo, corre - lacional y transversal. Hallazgos: El 79% de los adscritos al programa no presentaron reingresos hospitalarios y 50% de los cuidadores, mostraron elevado nivel de resiliencia, a partir de las características personales de confianza y confort consigo mismo. El cuidado se delega principalmente en mujeres adultas mayores, sin formación ni relevo respecto del rol; los cuidadores con mayor resiliencia valoran de forma positiva el estrés producto del cuidar. Conclusión: La mitad de los cuidadores participantes desarrollaron niveles elevados de resiliencia, no se encontró significancia en la relación de la resiliencia con la mejoría clínica, medida a través del número de reingresos hospitalarios de las personas con trastorno mental.

  16. Gestión de Costos en los Proyectos: un abordaje teórico desde las mejores prácticas del Project Management Institute

    OpenAIRE

    Oliveros Villegas, Miguel Ángel; Rincón de Parra, Haydeé

    2011-01-01

    La gestión de costos representa una de las áreas de conocimiento fundamentales en la gerencia de proyectos, la cual está compuesta por la estimación, el presupuesto y el control de los costos. Con el presente trabajo se tiene como propósito, previo un análisis bibliográfico, describir los procesos que integran la gestión de los costos en los proyectos desde la perspectiva de las mejores prácticas reconocidas por el Project Management Institute (traducido al español, Instituto d...

  17. Hacemos mejor ciencia que la ciencia misma. Las teorías de la conspiración como discurso académico

    OpenAIRE

    Hugo Antonio Pérez-Hernáiz

    2018-01-01

    A través del análisis de los textos de una revista digital dedicada a los sucesos del 11 de septiembre del 2001 en Nueva York, este trabajo estudia las imbricaciones y divergencias del discurso teórico conspirativo y las ciencias. Se presta particular atención a las ciencias sociales. En el trabajo se arguye que la teoría de la conspiración analizada es mejor entendida como una hipertrofia del discurso científico que como un discurso reñido o ajeno a la ciencia misma.

  18. Mejoría de la visión en una serie de pacientes con déficit visual de origen neurológico

    Directory of Open Access Journals (Sweden)

    Juan Camilo Suárez

    2014-04-01

    Full Text Available Antecedentes. Existe una gran frecuencia y prevalencia de lesiones, patologías y trastornos que afectan la función visual, generando frecuentemente, déficit y/o deterioro permanente y discapacidad visual. Entre las causas, las lesiones neurológicas visuales, trascienden la etiología oftalmológica y óptica clásica, y suponen un reto diagnostico, terapéutico y de rehabilitación. Objetivo. Mejorar (rehabilitar la función visual en personas con déficit de la vía visual por medio de un protocolo original de restricción monocular del mejor ojo y programa intensivo, controlado y estructurado de estimulación visual del ojo con visión más afectada. Método. Investigación cuasi-experimental en 10 pacientes con deterioro visual neurológico secundario a enfermedad vascular, inflamatoria o traumática. Cada paciente posee una evaluación basal de su condición visual, una intervención (restricción visual más programa de estimulación visual, y una evaluación final. La evaluación basal y final tiene medición de agudeza visual (AV, imagen funcional (RMf visual y perfil de funcionamiento visual. Investigación con aval del Comité de Ética de la Fundación Instituto Neurológico de Colombia. Resultados. Se encontró una mejoría global del 60% de los pacientes en AV cercana y lejana, con un valor p de significancia estadística. La comparación de medias de AV entre los pacientes antes y después de la intervención posee un valor p significativo: AV cercana valor P=0.0171 y AV lejana valor P=0.0099. Se obtuvieron cambios en el patrón de activación por RMf visual. Conclusiones. Hay indicios de mejoría (rehabilitación de la función visual, mediante cambios en AV y RMf visual, indicando posiblemente un proceso de rehabilitación visual en fase crónica de déficit visual neurológico.

  19. REPOSITORIO DIGITAL PARA UNA MEJOR GESTIÓN DE LA INFORMACIÓN CIENTÍFICA EN LA UNIVERSIDAD LAS TUNAS

    Directory of Open Access Journals (Sweden)

    Yunior Rodríguez Rodríguez

    2015-07-01

    Full Text Available El presente artículo aborda la importancia de la implementación de un repositorio digital para una mejor gestión de la información científica en la Universidad de Las Tunas, donde podamos socializar y consultar las tesis de grado, maestría y doctorado, resultados de proyectos de investigación, libros, revistas, manuscritos creados en nuestra Universidad e incluso digitalizar libros de única edición y de difícil acceso. Se ofrecen definiciones de varios autores así como los antecedentes de la gestión de información científica en nuestra universidad, además de las ventajas de su creación. También se muestra el diagnóstico y la estrategia para si implementación.

  20. Determinación de las mejores condiciones para la extracción de la lectina de raíz de haba (vicia faba

    Directory of Open Access Journals (Sweden)

    Y. De navarro

    2010-07-01

    Full Text Available Para la determinación de las mejores condiciones de extracción de la lectina de raíz de haba (LRH, se utilizaron iniciaimente raíces enteras y paredes celulares de raíces. De acuerdo con los resultados, se establecieron las condiciones experimentales para la preparación de paredes celulares por tres métodos. Se encontró que el Método I, en el cual se usó Sarkosyl 0.5%, KH2PO4 0.01 M pH 6.0 para la obtención de paredes celulares y luego se extrajo la lectina con buffer de citrato de sodio 0.1 M pH 4.2, es el más adecuado. El fraccionamiento se realizó por filtración por gel usando Sephadex G-25.

  1. Modelo de madurez para la valoración de las mejores prácticas de las PyMES manufactureras

    Directory of Open Access Journals (Sweden)

    Oscar Montaño-Arango

    2018-01-01

    Full Text Available En este trabajo se desarrolló un modelo para medir la aplicación de las mejores prácticas de un grupo de pequeñas empresas manufactureras del estado de Hidalgo. La metodología partió de una investigación con un enfoque mixto, donde el diseño planteado permitió desarrollar un diagnóstico y valorar 14 prácticas comunes en las PyMES en 4 niveles de madurez: vulnerable, estable, crecimiento y mejora continua. Se realizó un benchmarking con las prácticas, que permitieron posicionar a las empresas en 3 pilares: Estructura-Conocimiento-Aplicación, lo cual permitió conocer el estatus de cada empresa; de acuerdo a indicadores que proporcionan los puntos de debilidades, habilidades y sostenibilidad en su manejo.

  2. Un mejor posicionamiento para un mejor Bolt : concurso Effie Colombia

    OpenAIRE

    Carvajal, Martin; Jaramillo, Isabella; Pedraza, Carlos; Rodriguez, Natalia; Amezquita, Juan José

    2017-01-01

    En este trabajo, se realiza una estrategia de marketing y comunicación para el proyecto Chevrolet en el mercado colombiano, teniendo en cuenta la información suministrada por la empresa y la investigación externa. El trabajo muestra 5 etapas diferentes: Desafío Estratégico, Perspectivas y Objetivos; Idea creativa; Medición de resultados; Viabilidad; y material gráfico. El objetivo de este trabajo es proponer una estrategia de marketing integral para la llegada del nuevo Chevrolet Bolt al merc...

  3. “El mejor jugador”: investigación y juego en ‘El aura’ de Fabián Bielinsky

    Directory of Open Access Journals (Sweden)

    Wolfram Nitsch

    2016-09-01

    Full Text Available Si en el cine policial abundan las investigaciones, no se trata siempre de pesquisas retrospectivas, realizadas por comi­sarios, detectives o periodistas. En el subgénero de la película de asalto, predominan al contrario las pesquisas de los propios delincuentes, destinadas a preparar un crimen perfecto. Estas contra-investigaciones subrayan tanto el carácter disciplinario del asalto como su dimensión estética y lúdica. Sin embargo, con respecto a las categorías propuestas por Caillois, el juego vinculado a la preparación y a la perpetración del crimen no implica únicamente la simulación (mimicry y la competición (agôn, sino a veces también el azar (alea y el vértigo (ilinx que hacen perder el control a los asaltantes. Esta complicación del género se puede observar en El aura de Fabián Bielinsky. Aunque el protagonista es apodado con razón “el mejor jugador” en el ámbito del atraco planificado, su epilepsía lo expone a contingencias incalculables que lo asemejan a un tahúr.

  4. Síndrome de Prune Belly: cirugía para mejoría estética y reconstrucción abdominal

    Directory of Open Access Journals (Sweden)

    M.A. León-Hernández

    2015-06-01

    Full Text Available El Síndrome de Prune Belly (abdomen en ciruela pasa es una enfermedad congénita rara en la que, además de las manifestaciones genitourinarias, la pared abdominal se ve afectada en todos los pacientes en diferentes grados. Presentamos el caso de un varón con seguimiento de 15 años en el que se realizaron 2 cirugías de pared abdominal: la primera a la edad de 8 años con técnica de Montfort y la última 14 años después para corregir pliegues cutáneos y asimetría abdominal, realizando abdominoplastia con acceso de Grazer con el objetivo de colocar una malla de polipropileno para obtener mejor contención y a la vez mejorar la estética de la pared abdominal. No se presentaron complicaciones en ninguno de los 2 procedimientos y los resultados estéticos obtenidos fueron muy satisfactorios. Ofrecemos una alternativa quirúrgica para el tratamiento de aquellos casos en los que la primera cirugía no resuelve el defecto de pared y la anomalía estética abdominal.

  5. El AMMI y cluster en la selección de los mejores híbridos experimentales de maíz

    Directory of Open Access Journals (Sweden)

    Guillermo Casta\\u00F1\\u00F3n

    2000-01-01

    Full Text Available El AMMI y Cluster en la selección de los mejores híbridos experimentales de maiz. En un experimento de maíz repetido en cuatro ambientes, se aplicó el análisis de efectos principales aditivos e interacción multiplicativa (AMMI y el de taxonomía numérica o cluster, para estudiar si la estabilidad del rendimiento de grano (RG de los híbridos ensayados se asociaba con el agrupamiento de los híbridos hecho por el cluster. Las variables que tuvieron más peso en el agrupamiento fueron el RG, altura de la planta (AP,altura de mazorca ( AM y mazorca por planta (PRO, principalmente. De lo encontrado en este trabajo se puede establecer que el AMMI es efectivo en la estimación de la estabilidad de los híbridos experimentales evaluados y que junto con el cluster, pueden ser dos herramientas útiles para hacer una buena selección de material experimental con mayores posibilidades de éxito

  6. La Biblioteca Médica Nacional de Cuba tiene la primicia: curso Cochrane Library, aprendizaje con estrategias para obtener las mejores evidencias en salud

    Directory of Open Access Journals (Sweden)

    Sonia Santana Arroyo

    2015-10-01

    Full Text Available La Biblioteca Médica Nacional de Cuba ha puesto en marcha un programa de alfabetización informacional para adiestrar a sus usuarios y fomentar en ellos las habilidades necesarias para el uso de bases de datos, así como para fomentar el uso de estrategias de búsquedas bien diseñadas y validadas por los bibliotecarios especialistas en información. En el presente trabajo se describen contenidos y habilidades que se fomentan en el curso “Cochrane Library: La Medicina Basada en Evidencias”, cuyo objetivo es que el usuario domine esta base de datos y el concepto de medicina basada en evidencias para la toma de mejores decisiones en la atención médica. Durante el curso se introduce además el Modelo Big 6, como guía del pensamiento para resolver problemas de información que facilite la búsqueda y la organización de la información médica basada en evidencias. Igualmente, se capacita al estudiante para que diseñe productos informativos, como boletines electrónicos, que le permitan tanto presentar los resultados de búsquedas de información como promover información para el cuidado de la salud en el futuro

  7. Los mejores años de la educación en América Latina, 1950-1980

    Directory of Open Access Journals (Sweden)

    Andrés Donoso-Romo

    2014-01-01

    Full Text Available En este artículo se estudiarán los mejores años de la educación en América Latina (1950-1980, aquellos en que por primera vez gran parte de la población regional compartió una percepción favorable sobre la educación. En la primera parte se observará uno de los fenómenos más característicos del escenario educacional latinoamericano del período, el aumento explosivo de la cobertura educacional. En la segunda se analizará otra tendencia de gran relevancia en estas décadas, la seguidilla de reformas que afectaron a los sistemas educacionales. En la tercera se detallarán las principales críticas que se levantaron en contra de los sistemas escolares. Y en la última parte, a modo de conclusión, se reseñarán los antecedentes que hicieron que a fines de los setenta, y comienzos de los ochenta, cambiaran las claves generales de la educación en Latinoamérica.

  8. ¿Y si en lugar de hacer mucho, probamos a hacerlo mejor?: un cambio de enfoque en la gestión de las enfermedades profesionales

    Directory of Open Access Journals (Sweden)

    Clara Guillén Subirán

    Full Text Available Conclusiones: Es necesario, fortalecer su prevención en el marco de los Sistemas Nacionales de la Seguridad y Salud en el trabajo. Para abordar la gestión de las EEPP, hay que adoptar un enfoque más proactivo, donde la prevención de estas patologías sea un elemento esencial y desempeñemos un papel más relevante desde las fases más tempranas del proceso, apoyando los esfuerzos realizados para promover la salud de los trabajadores y prevenir sus enfermedades. Adoptar medidas preventivas resulta indispensable para favorecer una buena salud laboral, una sociedad más sana y un sistema de Seguridad Social más sostenible y eficaz. Anticiparse respondiendo mejor reduciría la incidencia de los daños derivados del trabajo y limitaría sin duda, la necesidad de recurrir a tratamientos médicos o de tramitar pensiones de invalidez. Los trabajadores que se mantienen sanos contribuyen a mantener la competitividad de las empresas. El sistema de Seguridad Social es una responsabilidad compartida y es importante que los trabajadores bajo su protección se comprometan adoptando estilos de vida saludable y aprovechando todas las oportunidades que la sociedad les brinda para mantenerse activos. Es por ello que, además de la promoción de la salud de los trabajadores y de la prevención de los riesgos laborales, un sistema proactivo y preventivo de gestión de las EEPP, implica actuaciones que apoyen si es posible, la reincorporación al trabajo de los trabajadores afectos de estas patologías.

  9. Conmemoración del medio siglo de una generación predestinada a vivir las mejores glorias de la Medicina.

    Directory of Open Access Journals (Sweden)

    Cesar Augusto Pantoja

    1989-09-01

    Full Text Available

    Señores de la Mesa Directiva, Antonio Ramírez Soto, Decano; Tiberio Guáqueta Gallardo y Agustín Pachón, organizadores del encuentro de Alumnos y Maestros; Señora Teresita, secretaria permanente de la Escuela del Parque de los Mártires; doctor Alvaro Vivas Trochez, gestor de la hospitalidad en esta histórica Mansión Colonial; Señores Profesores, Señoras y Señores:

    La cita que se cumple en el momento, la formula una generación que hace cuatro decenios emergió del aula predestinada a vivir las mejores glorias de la Medicina. De ahí el recalentamiento regocijante del compañerismo en medio de sorpresas y añoranzas; de ahí el interés que se despierta por conocer las bienandanzas; de ahí que se invite a la tribuna a un veterano, no sólo para comprobar la manera como los inviernos de la vida escarchan las sienes y llena de nieve la cabeza, sino también con la encomiendaimplícita de descorrer el velo de la Historia y en concisas frases de limitado espacio, discurrir sobre pocos de los muchos aconteceres científicos de antaño, pero que relucen en el curso de 50 años de labores en las faenas nobles de la Medicina. Es el punto central de mi vacilante intervención.

    Una nube oscura de melancolía en su curso desapacible, opaca temporalmente la celebración de esta tarde, ella es portadora de una lista penosa de profesores asistentes y compañeros de estudio desaparecidos, nos inclinamos, ante quienes muy a nuestro pesar, se han quedado tendidos en los campos por donde hemos transitado, vencidos por el cansancio del camino, mas al final de la ruta, todos juntos nos hemos de reunir frente al abismo insondable del misterio. Para aquellos se consagra nuestro fraternal respeto.

    El tiempo sigue su marcha y la serenidad retorna con su auxilio; séame permitido usar la alegoría en el relato de la forma como impresionó la fantasía, la cordial invitación de ustedes para que yo representara a mis colegas en esta

  10. Mindfulness Interventions.

    Science.gov (United States)

    Creswell, J David

    2017-01-03

    Mindfulness interventions aim to foster greater attention to and awareness of present moment experience. There has been a dramatic increase in randomized controlled trials (RCTs) of mindfulness interventions over the past two decades. This article evaluates the growing evidence of mindfulness intervention RCTs by reviewing and discussing (a) the effects of mindfulness interventions on health, cognitive, affective, and interpersonal outcomes; (b) evidence-based applications of mindfulness interventions to new settings and populations (e.g., the workplace, military, schools); (c) psychological and neurobiological mechanisms of mindfulness interventions; (d) mindfulness intervention dosing considerations; and (e) potential risks of mindfulness interventions. Methodologically rigorous RCTs have demonstrated that mindfulness interventions improve outcomes in multiple domains (e.g., chronic pain, depression relapse, addiction). Discussion focuses on opportunities and challenges for mindfulness intervention research and on community applications.

  11. Implementación de un sistema de gestión y mejores prácticas de seguridad y salud ocupacional en los proyectos mineros de ampliación

    OpenAIRE

    Pérez Chávez, Belisario Gerónimo; Pérez Chávez, Belisario Gerónimo

    2012-01-01

    La implementación de un sistema de gestión y de las mejores prácticas de seguridad y salud ocupacional de las empresas mineras de clase mundial en los proyectos mineros de ampliación ha logrado reducir considerablemente los accidentes, estos básicamente se sustentan en compromiso y liderazgo visible, comunicaciones abiertas, sinceras y oportunas, implementación de un programa de seguridad basado en el comportamiento, disciplinada administración del riesgo y del cambio, mejora continua, integr...

  12. Singapur - Una herramienta basada en tecnología semántica para capturar y diseminar el conocimiento sobre mejores prácticas en una organización

    OpenAIRE

    Apesteguía, Francisco

    2015-01-01

    En el contexto del desarrollo colaborativo de software, la falta de conocimiento acerca de lo que está realizando cada participante en la tarea compartida (workspace awareness) y de las prácticas de desarrollo adoptadas (mejores prácticas), tiene un impacto negativo tanto en el proceso de desarrollo como en la calidad del producto final. Las violaciones a las buenas prácticas se detectan mediante revisiones manuales que bien pueden no realizarse bajo ciertas situaciones o, en caso de que se l...

  13. Using Symmetric Predication of Endogenous Subgroups for Causal Inferences about Program Effects under Robust Assumptions: Part Two of a Method Note in Three Parts

    Science.gov (United States)

    Bell, Stephen H.; Peck, Laura R.

    2013-01-01

    To answer "what works?" questions about policy interventions based on an experimental design, Peck (2003) proposes to use baseline characteristics to symmetrically divide treatment and control group members into subgroups defined by endogenously determined postrandom assignment events. Symmetric prediction of these subgroups in both…

  14. Interventional ultrasound

    International Nuclear Information System (INIS)

    VanSonnenberg, E.

    1987-01-01

    This book contains 12 chapters and several case studies. Some of the chapter titles are: The Interplay of Ultrasound and Computed Tomography in the Planning and Execution of Interventional Procedures: Ulltrasound Guided Biopsy; Interventioal Genitourinary Sonography; Diagnosis and Treatment of Pericardial Effusion Using Ultrasonic Guidance; and New Ultrasound-Guided Interventional Procedures--Cholecystostomy, Pancreatography, Gastrostomy

  15. Dispositivo de seguridad para controlar mejor el tercer molar impactado durante exodoncia: Una nueva técnica Security device for a better control of impacted third molars during exodontia: A new technique

    Directory of Open Access Journals (Sweden)

    F. Hernández Altemir

    2005-04-01

    Full Text Available El desplazamiento accidental del tercer molar impactado es una complicación que ocurre de vez en cuando durante la exodoncia. La recuperación de estos dientes accidentalmente desplazados puede ser compleja debido a la mala visibilidad y el espacio limitado. Describimos una técnica fácil basada en un sistema de anclaje para controlar mejor los terceros molares impactados durante la exodoncia.Accidental displacement of impacted third molars is a complication that occasionally occurs during exodontia. The retrieval of these accidentally displaced third molars may be complex due to poor visibility and limited space. We describe an easy technique for a better control of impacted third molars during exodontia based on an anchoring system.

  16. Electroestimulación neuromuscular: una nueva opción terapéutica en la mejoría de la condición física de los pacientes en hemodiálisis

    Directory of Open Access Journals (Sweden)

    Anna Junqué Jiménez

    2014-12-01

    Full Text Available Introducción: Los pacientes en hemodiálisis se caracterizan por una progresiva pérdida muscular y deteriorada condición física. Recientemente, la electroestimulación neuromuscular resulta de gran interés como tratamiento coadyuvante del ejercicio físico en estos pacientes. No existen muchos estudios que avalen el papel de la electroestimulación en el paciente en hemodiálisis. Objetivos: Analizar el efecto de un programa de electroestimulación neuromuscular sobre la fuerza muscular, capacidad funcional y calidad de vida en nuestros pacientes en hemodiálisis. Material y métodos: Estudio prospectivo de 12 semanas de duración. 22 pacientes fueron incluidos. 62.8% hombres. Edad media 67.8 años y 35.6 meses de permanencia en hemodiálisis. Índex de Charlson medio: 9. Principales etiologías de la Insuficiencia renal crónica terminal: Hipertensión (13.6%, Diabetes Mellitus (27.3%, Glomerular (18.2%. Los pacientes incluidos realizaron un programa adaptativo de electroestimulación de ambos cuádriceps mediante el dispositivo Compex® Theta 500i. Analizamos: 1.-Datos musculares: Fuerza extensión máxima cuádricep y "Handgrip". 2.-Test funcionales: "Sit to stand to sit" y "Six-minutes Walking test". 3.- Síntomas en las extremidades inferiores: Cuestionario Electroestimulación. 4.- Grado satisfacción: Escala Valoración Subjetiva y. Escala Visual Analógica 5.-Calidad de vida: EuroQoL-5D. Resultados: Al finalizar el estudio, observamos una mejoría significativa (*p<0,05 de la fuerza máxima extensión del cuádriceps* (10.2 ± 6.7 vs 13.1 ± 8.1kg, Six minuters walking test* (9.5%, 290.5 vs 312.4m. En relación al grado de satisfacción observamos mediante una escala de valoración subjetiva una mejoría del 44% del estado general, un 72% de la condición física y un 80% de las molestias en miembros inferiores, así como la puntuación en el cuestionario de electrostimulación *(8.5 vs 5.8 sint/pac. El grado de satisfacción medio

  17. Social Interface Model: Theorizing Ecological Post-Delivery Processes for Intervention Effects.

    Science.gov (United States)

    Pettigrew, Jonathan; Segrott, Jeremy; Ray, Colter D; Littlecott, Hannah

    2018-01-03

    Successful prevention programs depend on a complex interplay among aspects of the intervention, the participant, the specific intervention setting, and the broader set of contexts with which a participant interacts. There is a need to theorize what happens as participants bring intervention ideas and behaviors into other life-contexts, and theory has not yet specified how social interactions about interventions may influence outcomes. To address this gap, we use an ecological perspective to develop the social interface model. This paper presents the key components of the model and its potential to aid the design and implementation of prevention interventions. The model is predicated on the idea that intervention message effectiveness depends not only on message aspects but also on the participants' adoption and adaptation of the message vis-à-vis their social ecology. The model depicts processes by which intervention messages are received and enacted by participants through social processes occurring within and between relevant microsystems. Mesosystem interfaces (negligible interface, transference, co-dependence, and interdependence) can facilitate or detract from intervention effects. The social interface model advances prevention science by theorizing that practitioners can create better quality interventions by planning for what occurs after interventions are delivered.

  18. Interventional neuroradiology

    International Nuclear Information System (INIS)

    Mehta, B.A.; Quint, D.J.; Sanders, W.P.; Patel, S.C.; Boulos, R.S.; Burke, T.H.

    1987-01-01

    This presentation reviews the authors' angiographic approach to interventional cases and demonstrates examples of procedures we have performed including preoperative embolizations (dural, arteriovenous malformations, meningioma, juvenile angiofibroma, gliosarcoma, glomus tympanicum, hemangiopericytoma, and spinal hemangioma), therapeutic interventions (balloon occlusion of cavernous-carotid and vertebral fistulas, intracranial and extracranial aneurysms, and angioplasty of vertebral, external carotid, and subclavian arteries), and pain management (alcohol injection of spine metastases). Potential and actual complications are reviewed

  19. Pediatric interventional radiology: vascular interventions

    International Nuclear Information System (INIS)

    Kandasamy, Devasenathipathy; Gamanagatti, Shivanand; Gupta, Arun Kumar

    2016-01-01

    Pediatric interventional radiology (PIR) comprises a range of minimally invasive diagnostic and therapeutic procedures that are performed using image guidance. PIR has emerged as an essential adjunct to various surgical and medical conditions. Over the years, technology has undergone dramatic and continuous evolution, making this speciality grow. In this review, the authors will discuss various vascular interventional procedures undertaken in pediatric patients. It is challenging for the interventional radiologist to accomplish a successful interventional procedure. There are many vascular interventional radiology procedures which are being performed and have changed the way the diseases are managed. Some of the procedures are life saving and have become the treatment of choice in those patients. The future is indeed bright for the practice and practitioners of pediatric vascular and non-vascular interventions. As more and more of the procedures that are currently being performed in adults get gradually adapted for use in the pediatric population, it may be possible to perform safe and successful interventions in many of the pediatric vascular lesions that are otherwise being referred for surgery. (author)

  20. Su mejor época: la violencia

    Directory of Open Access Journals (Sweden)

    Beatriz Caballero

    2003-01-01

    Full Text Available En el año 52 Laureano Gómez, presidente conservador, propone hacerle una reforma a la Constitución, y todo aquél que no la acate será considerado "traidor a la patria" (Son delitos de traición a la patria: "el menoscabo de la integridad nacional hostilidad militar, traición diplomática, instigación a la guerra, atentados contra hitos fronterizos, actos contrarios a la defensa de la Nación, entre otros". El Tiempo. jueves 22 de mayo de 2003. Papá escribió la siguiente nota para el periódico en 1953 cuando Laureano Gómez pretendió hacer una reforma de la Constitución y llamó traidores a la patria a aquellos colombianos que escribieran contra el gobierno desde el exterior como fue el caso suyo.

  1. Liderazgo Directivo: Claves para una Mejor Escuela

    OpenAIRE

    Anderson,Stephen

    2010-01-01

    El propósito de este trabajo es presentar los avances en el conocimiento acumulado respecto del liderazgo educativo a nivel de establecimientos educacionales. Se señala y describe la relevancia del liderazgo directivo en el desarrollo de cambios y mejoras educativas; las sendas de influencia; y las categorías de prácticas del liderazgo efectivo. Este trabajo propone cuatro desafíos para la implementación de prácticas: la concreción de acciones en contextos específicos, la descripción de la na...

  2. Cualquier tiempo futuro tiene que ser mejor

    Directory of Open Access Journals (Sweden)

    Paquita Armas Fonseca

    2015-01-01

    Full Text Available Cuba tiene un importante movimiento caricaturista, conocido y laureado en los diversos lugares del mundo. No es el caso de la historieta que, a pesar de contar con muy buenos dibujantes, el desarrollo dramatúrgico no está a la altura de la imagen por lo que se ha visto limitada en su desarrollo. El guión es el talón de Aquiles del cómic cubano que no ha evolucionado como se hermana la caricatura. Es con la animación que el cómic cubano ha trascendido sus fronteras. Se trata de un movimiento vivo que ha saltado los más increíbles obstáculos.

  3. Aplicación del método de selección del mejor subconjunto en problemas de optimización mediante simulación

    Directory of Open Access Journals (Sweden)

    Sergio Daniel Ochoa Buitrago

    2014-04-01

    Full Text Available Dentro del proceso de optimización vía simulación (OvS se utilizan procedimientos de búsqueda y exploración del espacio solución, así como etapas de costeo y depuración, con el fin de obtener una alternativa que optimice el desempeño del sistema en cuestión. La obtención de un conjunto de soluciones muy buenas enriquece el proceso de toma de decisión, ya que permite evaluar alternativas a la luz de la experiencia y situaciones puntuales del sistema. En este trabajo se desarrolló una aplicación que permite obtener un subconjunto de alternativas que apoyen el proceso de toma de decisión en la mejora de un sistema.La aplicación se desarrolló a partir de análisis de sensibilidad del método de selección frente a tamaños de muestra y parámetros iniciales, así como el efecto de inclusión de técnicas como Common Random Numbers (CRN. El método de selección empleado (Selección del mejor subconjunto - BSS se comparó con otro de similares características (Selección del mejor - NSGS, obteniendo resultados favorables en desempeño y robustez. Como resultado de la metodología propuesta, en el subconjunto final se encontró la mejor solución explorada bajo un parámetro de riesgo definido, así como una serie de alternativas competentes para la maximización del desempeño del sistema. There are many algorithms and methods used in order to optimize systems using simulation procedures. These methods involve local search algorithms and solution space exploration methods, and additional costing stages. The main objective of these procedures is to obtain the best configuration in order to maximize the system performance. However, solutions must be analyzed through expertise and criteria of decision makers, and obtaining a set of possible solutions instead of only one is more valuable. An entire methodology was developed based on sensitivity analysis of input parameters and sample sizes in order to obtain a subset of very good

  4. Aplicación del método de selección del mejor subconjunto en problemas de optimización mediante simulación

    Directory of Open Access Journals (Sweden)

    Sergio Daniel Ochoa Buitrago

    2014-04-01

    Full Text Available Dentro del proceso de optimización vía simulación (OvS se utilizan procedimientos de búsqueda y exploración del espacio solución, así como etapas de costeo y depuración, con el fin de obtener una alternativa que optimice el desempeño del sistema en cuestión. La obtención de un conjunto de soluciones muy buenas enriquece el proceso de toma de decisión, ya que permite evaluar alternativas a la luz de la experiencia y situaciones puntuales del sistema. En este trabajo se desarrolló una aplicación que permite obtener un subconjunto de alternativas que apoyen el proceso de toma de decisión en la mejora de un sistema.La aplicación se desarrolló a partir de análisis de sensibilidad del método de selección frente a tamaños de muestra y parámetros iniciales, así como el efecto de inclusión de técnicas como Common Random Numbers (CRN. El método de selección empleado (Selección del mejor subconjunto - BSS se comparó con otro de similares características (Selección del mejor - NSGS, obteniendo resultados favorables en desempeño y robustez. Como resultado de la metodología propuesta, en el subconjunto final se encontró la mejor solución explorada bajo un parámetro de riesgo definido, así como una serie de alternativas competentes para la maximización del desempeño del sistema. There are many algorithms and methods used in order to optimize systems using simulation procedures. These methods involve local search algorithms and solution space exploration methods, and additional costing stages. The main objective of these procedures is to obtain the best configuration in order to maximize the system performance. However, solutions must be analyzed through expertise and criteria of decision makers, and obtaining a set of possible solutions instead of only one is more valuable. An entire methodology was developed based on sensitivity analysis of input parameters and sample sizes in order to obtain a subset of very good

  5. Costo efectividad del tratamiento de denervación renal vs. mejor tratamiento médico estándar disponible en el control de la hipertensión resistente en Colombia

    Directory of Open Access Journals (Sweden)

    Juan E. Valencia

    2014-06-01

    Full Text Available Objetivo: Mediante la adaptación a Colombia del modelo realizado por BresMed y previo análisis de transferibilidad, se realizó un análisis de costo-efectividad del tratamiento de denervación renal vs. mejor tratamiento estándar en el control de la hipertensión resistente y los eventos cardiovasculares relacionados. Métodos: Se construyó un modelo de Markov con 32 estados de salud y siete resultados finales: accidente cerebrovascular, infarto del miocardio, enfermedad coronaria, falla cardiaca, enfermedad renal crónica terminal, mortalidad cardiovascular y muerte. Se consideró un horizonte de toda la vida, la perspectiva desde el pagador y una tasa de descuento del 3%. Para el cálculo de las probabilidades de sufrir eventos se utilizaron las ecuaciones de riesgo de Framingham y las efectividades se tomaron del estudio clínico SYMPLICITY HTN-2. Los costos se extrajeron del entorno local y las tasas de mortalidad del Observatorio global de salud de la Organización Mundial de la Salud. Los resultados incluyeron los costos de cada alternativa de tratamiento, así como los años de vida ajustados a calidad ganados. Se realizaron análisis determinístico y probabilístico. Resultados: El tratamiento de denervación renal produjo 12,48 años de vida ajustados a calidad ganados a un costo de US $46.509 vs. 11,68 años de vida ajustados a calidad ganados del mejor tratamiento estándar a un costo de US $41.199, con un costo incremental por años de vida ajustados a calidad ganados de US $6.612. Tanto el análisis de sensibilidad univariado como el probabilístico, mostraron la robustez de los resultados. Conclusiones: El tratamiento de denervación renal, con un costo incremental por años de vida ajustados a calidad ganados de $6.612, muy por debajo de 1 PIB per cápita de Colombia, mostró ser altamente costo-efectivo.

  6. Las prácticas de enseñanza declaradas de los “mejores profesores” de la Universidad de Vigo. [The declared teaching practices of the “best teachers” at the University of Vigo

    Directory of Open Access Journals (Sweden)

    Pérez-Abellás, Adolfo

    2009-11-01

    Full Text Available The present article intends to identify, make visible, describe, and explain the teaching practices that the best teachers of the University of Vigo declare to carry out. To do so, the authors have developed a process of research that includes qualitative interviews. Before stating the main conclusions of our research, we wish to explain that the concern of this work was not to do an evaluation of the teaching practices, good or bad, of the University of Vigo professors, but to look for models of good teaching practices. The main conclusion is that, even among the best teachers, the majority of current teaching practices could be classified as the traditional model of teaching in which the teacher and content play a central role. This fact shouldn’t be surprising, nor should it cause us to diminish the importance of studying and making visible the teaching practices of good teachers, even if they are less innovative, as this is the best way to stimulate all teachers to improve their teaching practices.El objetivo del presente trabajo consiste en identificar, hacer visibles, describir y explicar las prácticas de enseñanza que declaran realizar los “mejores profesores” de la Universidad de Vigo. Para ello, planteamos un diseño cualitativo a través de la técnica de la entrevista. Antes de hacer mención de las principales conclusiones hemos de hacer constar que nos interesaba buscar referencias de “buenas prácticas”, no hacer una evaluación de las prácticas docentes, buenas o malas, del profesorado de la Universidad de Vigo. La principal conclusión es que incluso entre los “mejores profesores” predominan unas prácticas docentes que podrían encuadrarse, mayoritariamente, en el enfoque “tradicional de la enseñanza”, centrada en el profesor/contenido. No debería sorprender el hecho, ni tampoco llevarnos a relativizar el interés de la visibilización de las “buenas prácticas docentes” aunque estas sean poco

  7. Better integrated due to a German partner?: an analysis of differences in the integration of foreigners in intra- and inter-ethnic partnerships in Germany (¿Mejor integración por tener pareja alemana?: un análisis de las diferencias en la integración de los extranjeros en las parejas intra e interétnicas en Alemania)

    OpenAIRE

    Rother, Nina

    2008-01-01

    Resumen: Este estudio analiza las diferencias en la integración de extranjeros viviendo en intra e interétnicas parejas en Alemania. La teoría de la distancia social asume que los migrantes que forman parte de una pareja mixta estarán mejor integrados o, al menos, debería darse las mejores condiciones para una integración exitosa. Esta hipótesis es analizada a través de los primeros datos del Panel Alemán de Integración. El análisis realizado condujo al resultado central de que los participan...

  8. Empiricist Interventions

    DEFF Research Database (Denmark)

    Munk, Anders Kristian; Abrahamsson, Sebastian

    2012-01-01

    Recent papers by prominent scholars in science and technology studies (notably JohnLaw and Bruno Latour) have crystallized a fundamental disagreement about the scope and purpose of intervention in actor-network theory or what we here choose to bracket as empirical philosophy. While the precept of...... contending agendas as distinct options which map on to the positions of our two main interlocutors. In doing so, it becomes possible to compare their respective tactical implications as we work through two examples of what might constitute an empiricist intervention.......Recent papers by prominent scholars in science and technology studies (notably JohnLaw and Bruno Latour) have crystallized a fundamental disagreement about the scope and purpose of intervention in actor-network theory or what we here choose to bracket as empirical philosophy. While the precept...... by notions of due process and parliamentary procedure? In this paper we think about this disagreement as a question of research strategy (a normative discord about the desirable outcome of an intervention) in order to assess its implications for research tactics (a descriptive accord about the practical...

  9. Innovaciones, investigación y evidencias en educación médica: La colaboración EMBE (Educación Médica Basada en la mejor Evidencia

    Directory of Open Access Journals (Sweden)

    Ángel M. Centeno

    Full Text Available Aunque la educación ha constituido siempre un componente esencial de la profesión médica, su desarrollo explícito y específico sólo se ha iniciado en las últimas décadas. La investigación en educación médica está todavía en una etapa muy inicial de su desarrollo. Las intervenciones educativas son habitualmente complejas y de carácter cualitativo; resulta, por ello, difícil, aunque indispensable, obtener evidencias científicas que avalen tanto los diversos métodos educativos utilizados como los instrumentos de evaluación que se emplean en los diferentes niveles de la formación médica. A partir de la perspectiva y de las estrategias generadas por las metodologías de la medicina basada en la evidencia, ha surgido recientemente la Colaboración EMBE como una red internacional que tiene como objetivo prioritario recoger y promover el despliegue de la mejor evidencia de la cual se pueda disponer sobre el rigor y la calidad de los actuales y de los nuevos métodos educativos y evaluativos en el ámbito de la profesión médica, a fin de optimizar el uso de la extraordinaria inversión que realiza la sociedad en la formación de los profesionales en atención médica.

  10. Influencia de los factores de contingencia en el desarrollo del cuadro de mando integral y su asociación con un rendimiento mejor. El caso de las empresas españolas

    Directory of Open Access Journals (Sweden)

    Luis Pérez Granero

    2017-01-01

    Full Text Available En este trabajo se analiza la relación entre algunos factores de contingencia, el nivel de uso del cuadro de mando integral (CMI y el beneficio percibido gracias a su aplicación. El CMI es una herramienta capaz de ofrecer a los responsables de las organizaciones una visión completa de cómo a través de la integración de medidas financieras y no financieras se ejecuta la estrategia. Del análisis realizado sobre la base de los datos obtenidos de las sedes centrales de 61 empresas españolas de productos y servicios se deduce que el grado de formalización y estandarización en las empresas tiene una influencia directa y positiva en el desarrollo del CMI hacia niveles más integradores y orientados al valor añadido. Sin embargo, en relación con la influencia de otros factores examinados en esta investigación no se ha encontrado asociación significativa con un mayor desarrollo del CMI en las empresas españolas. Estos resultados contribuyen a complementar los presentados en trabajos previos (Braam y Nijssen, 2011; Cavalluzzo e Ittner, 2004. El documento también señala que el nivel de desarrollo del CMI se asocia con una mejor aplicación de los indicadores para evaluar actividades y mejorar el proceso decisorio. Finalmente, se plantean un conjunto de implicaciones relevantes para la gestión de las empresas.

  11. Innovaciones, investigación y evidencias en educación médica: La colaboración EMBE (Educación Médica Basada en la mejor Evidencia Innovations, research and evidences in medical education: The BEME Collaboration (Best Evidence Medical Education

    Directory of Open Access Journals (Sweden)

    Ángel M. Centeno

    2003-03-01

    Full Text Available Aunque la educación ha constituido siempre un componente esencial de la profesión médica, su desarrollo explícito y específico sólo se ha iniciado en las últimas décadas. La investigación en educación médica está todavía en una etapa muy inicial de su desarrollo. Las intervenciones educativas son habitualmente complejas y de carácter cualitativo; resulta, por ello, difícil, aunque indispensable, obtener evidencias científicas que avalen tanto los diversos métodos educativos utilizados como los instrumentos de evaluación que se emplean en los diferentes niveles de la formación médica. A partir de la perspectiva y de las estrategias generadas por las metodologías de la medicina basada en la evidencia, ha surgido recientemente la Colaboración EMBE como una red internacional que tiene como objetivo prioritario recoger y promover el despliegue de la mejor evidencia de la cual se pueda disponer sobre el rigor y la calidad de los actuales y de los nuevos métodos educativos y evaluativos en el ámbito de la profesión médica, a fin de optimizar el uso de la extraordinaria inversión que realiza la sociedad en la formación de los profesionales en atención médica.Although education has ever constituted an essential component of medical profession, its explicit and specific development has only recently started in the last few decades. Research on medical education is still in a very initial stage of development. Educational interventions usually are complex and of a qualitative nature; that’s why it is hard, even though essential, to obtain scientific evidences that underpin the various educational methods as well as the assessment tools which are used at different medical education levels. From the perspective and strategies generated by evidence based medicine methodologies, The BEME Collaboration has recently emerged as an international network whose priority objective is to collect and to promote the best evidence that may

  12. Interventional MRI

    Energy Technology Data Exchange (ETDEWEB)

    Harada, Junta; Dohi, Michiko; Yoshihiro, Akiko; Mogami, Takuji; Kuwada, Tomoko; Nakata, Norio [Jikei Univ., Chiba (Japan). Kashiwa Hospital

    2000-06-01

    Open type MR system and fast sequence is now available and MRI becomes a new modality for interventional Radiology, including biopsy, drainage operation, and monitoring for minimally invasive therapy. Experimental studies of temperature monitoring were performed under hot and cold status. Signal changes of porcine disc and meat under microwave and laser ablation were observed as low signal area by signal intensity method. Using proton chemical shift method, signal change by laser ablation was displaced color imaging and correlated with thermometric temperature measurement. The very T2 relaxation time of ice affords excellent contrast between ice and surrounding gelatin tissue allowing acute depiction of the extent of the iceball under MRI. (author)

  13. Omitted Arguments and Complexity of Predication

    Science.gov (United States)

    Port, Martin

    2010-01-01

    This work focuses on the licensing conditions and logical structure of understood-argument constructions, or complement-drop constructions, in English. There are two main types of such arguments: Indefinite Understood Arguments (IUA) and Definite Understood Arguments (DUA). IUA readings occur in such cases in "He ate, He cooked". In such cases,…

  14. RAPTOR: Ransomware Attack PredicTOR

    OpenAIRE

    Quinkert, Florian; Holz, Thorsten; Hossain, KSM Tozammel; Ferrara, Emilio; Lerman, Kristina

    2018-01-01

    Ransomware, a type of malicious software that encrypts a victim's files and only releases the cryptographic key once a ransom is paid, has emerged as a potentially devastating class of cybercrimes in the past few years. In this paper, we present RAPTOR, a promising line of defense against ransomware attacks. RAPTOR fingerprints attackers' operations to forecast ransomware activity. More specifically, our method learns features of malicious domains by looking at examples of domains involved in...

  15. A coronagraph for operational space weather predication

    Science.gov (United States)

    Middleton, Kevin F.

    2017-09-01

    Accurate prediction of the arrival of solar wind phenomena, in particular coronal mass ejections (CMEs), at Earth, and possibly elsewhere in the heliosphere, is becoming increasingly important given our ever-increasing reliance on technology. The potentially severe impact on human technological systems of such phenomena is termed space weather. A coronagraph is arguably the instrument that provides the earliest definitive evidence of CME eruption; from a vantage point on or near the Sun-Earth line, a coronagraph can provide near-definitive identification of an Earth-bound CME. Currently, prediction of CME arrival is critically dependent on ageing science coronagraphs whose design and operation were not optimized for space weather services. We describe the early stages of the conceptual design of SCOPE (the Solar Coronagraph for OPErations), optimized to support operational space weather services.

  16. Aortoiliac interventions

    International Nuclear Information System (INIS)

    Chatziioannou, A.

    2012-01-01

    Full text: Atheromatosis is a systemic disease that involves various vascular beds. The most known risk factors are smoking, diabetes mellitus, dyslipedemia, hypertension, advanced age, black gender and male sex. Occlusive aortoiliac disease is due to atheromatosis in the vast majority of cases and is a common distribution of that pathology. Historically aortoiliac occlusions were treated with surgery. Nowadays, the endovascular minimally invasive techniques have revolutionized the treatment of such lesions. The success rate is extremely high with a technical success of 96%. Long term (5 years) patency of the diseased vessel can be as high as 71%. These results combined to the advent of new materials and techniques have set the new standards for treating aortoiliac occlusive disease. The first TASC recommendations (TASC I) were recently revised (TASC II) and the new guidelines (TASC III) will be shortly published. On the other hand endovascular techniques are not always successful. Technical failure (inability to cross the lesion) is estimated to be approximately 5% in single short iliac occlusions and can rise up to 15- 20% in complex long or multiple occlusive lesions. Possible, although not very frequent, complications are dissection, rupture and distal embolization. In the case of total occlusions we can use different materials and techniques. For example in an acute or subacute total occlusion chemical (urokinase or rtPA), mechanical or aspiration thrombolysis can be implemented. These minimally invasive techniques are of the outmost importance if we consider that the majority of the patients are old with a high rate of cardiac and other co-morbidities and therefore cannot go into surgery. That is the reason why the risk of morbidity and mortality following open surgical intervention remains high (5 - 20%). In chronic lesions we can use rentry catheters, glidewires, laser or thrombolysis/thrombectomy (if the clot is not very 'old'). Nevertheless, it should

  17. Comparing Two Inquiry Professional Development Interventions in Science on Primary Students' Questioning and Other Inquiry Behaviours

    Science.gov (United States)

    Nichols, Kim; Burgh, Gilbert; Kennedy, Callie

    2017-02-01

    Developing students' skills to pose and respond to questions and actively engage in inquiry behaviours enables students to problem solve and critically engage with learning and society. The aim of this study was to analyse the impact of providing teachers with an intervention in inquiry pedagogy alongside inquiry science curriculum in comparison to an intervention in non-inquiry pedagogy alongside inquiry science curriculum on student questioning and other inquiry behaviours. Teacher participants in the comparison condition received training in four inquiry-based science units and in collaborative strategic reading. The experimental group, the community of inquiry (COI) condition, received training in facilitating a COI in addition to training in the same four inquiry-based science units. This study involved 227 students and 18 teachers in 9 primary schools across Brisbane, Australia. The teachers were randomly allocated by school to one of the two conditions. The study followed the students across years 6 and 7 and students' discourse during small group activities was recorded, transcribed and coded for verbal inquiry behaviours. In the second year of the study, students in the COI condition demonstrated a significantly higher frequency of procedural and substantive higher-order thinking questions and other inquiry behaviours than those in the comparison condition. Implementing a COI within an inquiry science curriculum develops students' questioning and science inquiry behaviours and allows teachers to foster inquiry skills predicated by the Australian Science Curriculum. Provision of inquiry science curriculum resources alone is not sufficient to promote the questioning and other verbal inquiry behaviours predicated by the Australian Science Curriculum.

  18. Paediatric Interventional Uroradiology

    International Nuclear Information System (INIS)

    Barnacle, Alex M.; Wilkinson, A. Graham; Roebuck, Derek J.

    2011-01-01

    Paediatric interventional uroradiology lies at the intersection of the disciplines of paediatric interventional radiology and paediatric endourology. Interdisciplinary collaboration has led to the development of new techniques and refinement of procedures adopted from adult practice. This article reviews the major procedures used in paediatric interventional uroradiology, with emphasis on nephrostomy, percutaneous nephrolithotomy, balloon-burst pyeloplasty, and antegrade ureteric stenting.

  19. Linguistic Norms at the Crossover: The Verbal Tenses and Modes, and the Structure of the Predicate in «Libro decimosexto» from Comentarios de erudición by Bartolomé Jiménez Patón

    Directory of Open Access Journals (Sweden)

    Juan Miguel Monterrubio Prieto

    2013-11-01

    Full Text Available This study examines verb modes and tenses as well as the predicate structure in «Libro decimosexto» of Bartolomé Jiménez Patón’s Comentarios de erudición in an effort to demonstrate how the text straddles the line between Medieval and Golden Age norms. Jiménez Patón, thus, combines traits already considered archaic at the time, due perhaps to his solid training in grammar and his linguistic awareness, with those modern solutions which, towards the end of the 1500’s, were forging the new Spanish language (that of the «plain style», which he championed, one that was gradually being refined in order to take its place as the language of culture.

  20. Interventional Radiology in Paediatrics.

    Science.gov (United States)

    Chippington, Samantha J; Goodwin, Susie J

    2015-01-01

    As in adult practice, there is a growing role for paediatric interventional radiology expertise in the management of paediatric pathologies. This review is targeted for clinicians who may refer their patients to paediatric interventional radiology services, or who are responsible for patients who are undergoing paediatric interventional radiology procedures. The article includes a brief overview of the indications for intervention, techniques involved and the commonest complications. Although some of the procedures described are most commonly performed in a tertiary paediatric centre, many are performed in most Children's hospitals.

  1. Interventional neuroradiology techniques in interventional radiology

    CERN Document Server

    Murphy, Kieran; Robertson, Fergus; Watkinson, Anthony

    2013-01-01

    This book provides accessible technique-specific information on interventional radiology procedures, in a format suitable for reference in the IR treatment room or as a carry-around guide. Offers step-by-step points, key point summaries and illustrations.

  2. ¿Los Mejores Perfumes Vienen en Envases Pequeños?: Potencial de las Intervenciones Breves en el Contexto Educativo/ The Best Perfumes Come in Small Packages? The Potential of Brief Interventions in the Educational Context/ São nos Menores Frascos que se Encontram os Melhores Perfumes? Potencial das Intervenções Breves no Contexto Educativo

    Directory of Open Access Journals (Sweden)

    MADELEINE BARRERA

    2015-10-01

    Full Text Available Recientemente se han desarrollado intervenciones escolares breves basadas en teorías motivacionales y de psicología social. Estas intervenciones, algunas de solamente 15 minutos, han obtenido resultados positivos a largo plazo sobre dominios como el desempeño académico y la convivencia escolar. Este artículo hace una revisión de sus objetivos, características, fundamentos teóricos, evaluaciones y condiciones necesarias para su diseño e implementación. En general, el objetivo de estas intervenciones breves es transformar creencias, pensamientos o sentimientos de un segmento particular de la población estudiantil, considerado en riesgo. Además, buscan romper círculos viciosos al intervenir en momentos específicos de procesos recursivos. Finalmente, esta revisión analiza sus alcances, implicaciones y limitaciones, y sugiere futuras investigaciones.

  3. Improving hepatitis B immunization among high-risk adolescents: a low-cost intervention on the Mexico-United States border Mejores prácticas de inmunización anti-hepatitis B para adolescentes en alto riesgo: intervención de bajo costo en la frontera mexicano-estadounidense

    Directory of Open Access Journals (Sweden)

    Kathleen M. O'Rourke

    2001-04-01

    Full Text Available Objective. To analyze factors associated with hepatitis B immunization adherence among adolescents attending a sexually transmitted disease (STD clinic in El Paso, a city in Texas that is on the border between Mexico and the United States of America. Methods. In this cohort study with 248 adolescents we obtained data on demographics and health beliefs through personal interviews and medical record abstraction. We monitored each of the individuals for 8 months to determine whether the adolescents received a first, second, and third dose of the hepatitis B vaccine. Results. Overall, 32% of the adolescents received the first immunization, 9% the second, and 2% the third. The strongest predictor of receiving either one or two doses was providing the vaccine at the STD clinic as opposed to referring adolescents to a separate vaccination clinic (relative risk (RR for receiving the first immunization = 7.3; RR for receiving the second immunization = 3.8. Several health beliefs were also associated with receiving vaccinations. Conclusions. The results of our study indicate that hepatitis B vaccination programs can be improved through such steps as providing vaccinations at a convenient site, educating adolescents about hepatitis B risk factors, and emphasizing the difficulty of treating hepatitis B infection.Objetivo. Analizar los factores asociados con el cumplimiento de la inmunización anti-hepatitis B entre adolescentes que acuden a una clínica para el tratamiento de las enfermedades de transmisión sexual (ETS en El Paso, ciudad de Texas en la frontera entre México y Estados Unidos de América. Métodos. En este estudio de cohorte que se realizó en 248 adolescentes, obtuvimos datos demográficos y sondeamos las creencias de los jóvenes en torno a la salud mediante entrevistas personales y datos extractados de expedientes clínicos. Se vigiló a cada persona durante 8 meses para determinar si los adolescentes recibían la primera, segunda o tercera dosis de la vacuna anti-hepatitis B. Resultados. En total, 32% de los adolescentes recibieron la primera dosis de vacuna, 9% la segunda y 2% la tercera. El factor de mayor valor predictivo en relación con haber recibido una o dos dosis de vacuna fue el haber proporcionado la vacuna en la clínica para ETS, en vez de haber remitido al adolescente a una clínica independiente para la vacunación (riesgo relativo [RR] de haber recibido la primera vacuna = 7,3; RR de haber recibido la segunda = 3,8. También se encontró una asociación entre diversas creencias en materia de salud y el haber sido vacunado. Conclusiones. Los resultados de nuestro estudio indican que los programas de vacunación contra la hepatitis B pueden mejorarse si la vacuna se aplica en un local de fácil acceso, si se instruye a los adolescentes sobre los factores de riesgo de contraer la hepatitis B y si se subrayan las dificultades que entraña el tratamiento de esta infección.

  4. cardiovascular disease intervention programme

    African Journals Online (AJOL)

    ... trial was conducted as part of a coronary risk factor intervention study in three rural ... habits, which was defined as the residual change in the intervention areas after ... finally to change behaviour in such a way that modified lifestyles would ...

  5. La prensa en El Salvador: tolerancia al mejor postor

    Directory of Open Access Journals (Sweden)

    Lic. Eric Lemus

    2003-01-01

    Full Text Available El periodismo salvadoreño en el año 2002 estuvo marcado por la presión política, empresarial y las agresiones a la prensa de parte de distintos actores. Una característica que parece afincarse en el trabajo de campo es el riesgo a reportear cualquier evento público. Sufrir el impacto de una bolsa con agua o un empellón puede suceder en cualquier evento público, desde una huelga de médicos hasta en una pelea de vendedores callejeros que protestan por su desalojo.¿La prensa salvadoreña sufre un problema de credibilidad o el respeto al derecho a informar no existe? Las encuestan todavía registran a los medios de comunicación, después de la Iglesia Católica, como uno de los sectores con mayor credibilidad en el país.

  6. [Parenting Information. Informacion Sobre Como Ser Padres Mejores.

    Science.gov (United States)

    Moreno, Steve

    These five booklets, containing information on how parenting can effect children's school achievement, are part of a series of 22 innovative booklets designed specifically to help parents understand and help their children learn. Booklet #1, "Parents--Teach Your Children to Learn [Before They Go to School]," defines intelligence and…

  7. LA BÚSQUEDA DE UNA SOCIEDAD MEJOR

    Directory of Open Access Journals (Sweden)

    Julio Silva Colmenares

    2008-07-01

    Full Text Available Para quienes creemos que la ciencia económica tiene una tarea superior a la mera medición de la producción, distribución y consumo de bienes y servicios y a la optimización en el uso de los recursos –lo que no niega la importancia de estas labores--, nos es grato encontrar propuestas como la presentada por el profesor Julián Sabogal Tamayo en el trabajo Desarrollo Humano Multidimensional. Atendiendo su amable invitación, quiero expresar algunas ideas alrededor de su «apuesta», como bien la denomina desde la Introducción, para cuya elaboración contó con la colaboración de profesores y estudiantes y el apoyo de las directivas de la Universidad de Nariño, claustro al cual se encuentra vinculado desde hace varios lustros. Como es natural, en muchos aspectos coincidiré con su «apuesta»; en otros, expresaré, con respeto académico, una manera diferente de ver la realidad, al tiempo que intentaré aportar un «granito de arena» a la temática. Sólo así avanza la ciencia. Me une a Julián una amistad también de varios lustros y su condición de miembro correspondiente de la Academia Colombiana de Ciencias Económicas, la más joven de las once que conforman el Colegio Máximo de Academias de Colombia, de la cual me honro en ser miembro de número y, en la actualidad, coordinador de la Comisión sobre Problemas del Desarrollo y Vicepresidente.

  8. LA BÚSQUEDA DE UNA SOCIEDAD MEJOR

    OpenAIRE

    Julio Silva Colmenares

    2008-01-01

    Para quienes creemos que la ciencia económica tiene una tarea superior a la mera medición de la producción, distribución y consumo de bienes y servicios y a la optimización en el uso de los recursos –lo que no niega la importancia de estas labores--, nos es grato encontrar propuestas como la presentada por el profesor Julián Sabogal Tamayo en el trabajo Desarrollo Humano Multidimensional. Atendiendo su amable invitación, quiero expresar algunas ideas alrededor de su «apuesta», como bien la de...

  9. Practical interventional radiology

    International Nuclear Information System (INIS)

    Lammer, J.; Schreyer, H.

    1991-01-01

    The book is intended as a practical guide and manual for interventional radiology applications. Main emphasis is placed on the performance of the various techniques, with explanations of the various steps to be taken, illustrated by drawings or pictures. Indications, contra-indications and clinical achievements are given in brief. There is one chapter each for the following techniques: angioplasty - intra-arterial fibrinolysis - vascular stents - neuroembolisation - embolisation of other vessels - biliary interventions - abscess drainage - nephrostomy and ureteral manipulations -percutaneous fine-needle biopsy - vena cava filters - interventional radiology in infants. (orig.)

  10. Guidelines for radiological interventions

    International Nuclear Information System (INIS)

    Kauffmann, G.W.

    1998-01-01

    The German Radiological Society, in cooperation with other German professional bodies, set up draft Guidelines for Radiological Interventions and submitted them to the professional community for discussion. The Guidelines are meant to assess the potential of radiological interventions as treatment alternatives to surgery or aggressive therapy such as chemotherapy. In fact, technical practicability on its own is insufficient to warrant intervention. The Guidelines are systematically compiled notions and recommendations whose aim it is to provide support to physicians and patients in choosing suitable medical care provisions (prevention, diagnosis, therapy, aftertreatment) in specific circumstances. A complete Czech translation of the Guidelines is given. (P.A.)

  11. Pursuing prosody interventions.

    Science.gov (United States)

    Hargrove, Patricia M

    2013-08-01

    This paper provides an overview of evidence-based prosodic intervention strategies to facilitate clinicians' inclusion of prosody in their therapeutic planning and to encourage researchers' interest in prosody as an area of specialization. Four current evidence-based prosodic interventions are reviewed and answers to some important clinical questions are proposed. Additionally, the future direction of prosodic intervention research is discussed in recommendations about issues that are of concern to clinicians. The paper ends with a call for participation in an online collaboration at the Clinical Prosody blog at clinicalprosody.wordpress.com.

  12. Reflexão sobre um modelo de sistema organizacional de cuidado de enfermagem centrado nas melhores práticas Reflexión acerca de un modelo de sistema organizacional de enfermería centrado en las mejores prácticas A reflection upon an organizational system model for nursing care centered on best practices

    Directory of Open Access Journals (Sweden)

    Silvana Silveira Kempfer

    2010-09-01

    Full Text Available Este artigo tem como objetivo refletir acerca das melhores práticas na enfermagem e estas, como perspectiva na sistematização do cuidado. A qualidade na enfermagem passa a ter evidência a partir das práticas administrativas instituídas por conta de seu desenvolvimento no decorrer da história. Os pensadores da área da administração influenciam sobremaneira a enfermagem, em sua atuação profissional e bases teóricas. É imperativo a enfermagem aproximar-se das melhores práticas, consideradas como uma forma não-linear de ver o mundo, onde a estruturação das suas ações é centrada na perspectiva complexa; sendo a utilização dos registros um caminho para o planejamento, organização e realização do cuidado; bem como a identificação profissional com as questões que transcendem o cuidado pessoal e aproximam-se de uma ética universal. As melhores práticas vinculam-se a responsabilidade social, a sustentabilidade e a ecologia, como essência das ações humanas para a condução das práticas de gestão.Este artículo tiene como objetivo reflexionar acerca de las mejores prácticas en enfermería y estas como perspectiva en la sistematización del cuidado. La cualidad en enfermería pasa a ser evidente a partir de las prácticas administrativas instituidas por cuenta de su desarrollo en el transcurso de la historia. Los pensadores del área de la administración influencian sobremanera a la enfermería, en su actuación profesional y bases teóricas. Es imperativo que la enfermería se aproxime a las mejores prácticas, consideradas como una manera no-lineal de ver el mundo, donde la estructuración de sus acciones está centrada en la perspectiva compleja; siendo la utilización de los registros un camino para la planificación, organización y realización del cuidado; bien como la identificación profesional con las cuestiones que sobrepasan el cuidado personal y se aproximan de una ética universal. Las mejores pr

  13. Guideline for Early Interventions

    National Research Council Canada - National Science Library

    Vries, de, Maaike

    2006-01-01

    .... During the last years, the demand for early interventions has been increasing. International literature has shown that the psychosocial effects of disaster and military deployment may last for years...

  14. Society of Interventional Radiology

    Science.gov (United States)

    ... Picture yourself in L.A. Register now SIR Essentials Purchase/register Search SIR's entire catalog for educational ... Quality Improvement Clinical practice MACRA Matters Health Policy, Economics, Coding Toolkits Society of Interventional Radiology 3975 Fair ...

  15. Proyectos de calidad de vida el mejor medio para la construcción de mejores seres humanos.

    OpenAIRE

    Lugo Robles, Ricardo

    2011-01-01

    En el presente texto se presentan consideraciones acerca de la Calidad de Vida y a su vez como es entendida en la asignatura “Aproximación a la Salud Colectiva”. Estas apreciaciones se correlacionan con la implementación de un Programa denominado “Escuela como centro promotor de  calidad de vida” propuesto por la asignatura en escuelas del municipio de Soacha- Cundinamarca. Se propone que desde la subjetividad que encierra la calidad de vida, se debe tener en cuenta que es posible encaminar l...

  16. Family intervention for schizophrenia.

    Science.gov (United States)

    Pharoah, F M; Mari, J J; Streiner, D

    2000-01-01

    It has been showed that people with schizophrenia from families that express high levels of criticism, hostility, or over involvement, have more frequent relapses than people with similar problems from families that tend to be less expressive of their emotions. Psychosocial interventions designed to reduce these levels of expressed emotions within families now exist for mental health workers. These interventions are proposed as adjuncts rather than alternatives to drug treatments, and their main purpose is to decrease the stress within the family and also the rate of relapse. To estimate the effects of family psychosocial interventions in community settings for the care of those with schizophrenia or schizophrenia-like conditions compared to standard care. Electronic searches of the Cochrane Library (Issue 2, 1998), the Cochrane Schizophrenia Group's Register (June 1998), EMBASE (1981-1995) and MEDLINE (1966-1995) were undertaken and supplemented with reference searching of the identified literature. Randomised or quasi-randomised studies were selected if they focused on families of people with schizophrenia or schizoaffective disorder and compared community-orientated family-based psychosocial intervention of more than five sessions to standard care. Data were reliably extracted, and, where appropriate and possible, summated. Peto odds ratios (OR), their 95% confidence intervals (CI) and number needed to treat (NNT) were estimated. The reviewers assume that people who died or dropped out had no improvement and tested the sensitivity of the final results to this assumption. Family intervention may decrease the frequency of relapse (one year OR 0.57 CI 0.4-0.8, NNT 6.5 CI 4-14). The trend over time of this main finding is towards the null and some small but negative studies may not have been identified by the search. Family intervention may decrease hospitalisation and encourage compliance with medication but data are few and equivocal. Family intervention does not

  17. Frailty Intervention Trial (FIT

    Directory of Open Access Journals (Sweden)

    Lockwood Keri

    2008-10-01

    Full Text Available Abstract Background Frailty is a term commonly used to describe the condition of an older person who has chronic health problems, has lost functional abilities and is likely to deteriorate further. However, despite its common use, only a small number of studies have attempted to define the syndrome of frailty and measure its prevalence. The criteria Fried and colleagues used to define the frailty syndrome will be used in this study (i.e. weight loss, fatigue, decreased grip strength, slow gait speed, and low physical activity. Previous studies have shown that clinical outcomes for frail older people can be improved using multi-factorial interventions such as comprehensive geriatric assessment, and single interventions such as exercise programs or nutritional supplementation, but no interventions have been developed to specifically reverse the syndrome of frailty. We have developed a multidisciplinary intervention that specifically targets frailty as defined by Fried et al. We aim to establish the effects of this intervention on frailty, mobility, hospitalisation and institutionalisation in frail older people. Methods and Design A single centre randomised controlled trial comparing a multidisciplinary intervention with usual care. The intervention will target identified characteristics of frailty, functional limitations, nutritional status, falls risk, psychological issues and management of chronic health conditions. Two hundred and thirty people aged 70 and over who meet the Fried definition of frailty will be recruited from clients of the aged care service of a metropolitan hospital. Participants will be followed for a 12-month period. Discussion This research is an important step in the examination of specifically targeted frailty interventions. This project will assess whether an intervention specifically targeting frailty can be implemented, and whether it is effective when compared to usual care. If successful, the study will establish a

  18. Refusal to medical interventions.

    Science.gov (United States)

    Palacios, G; Herreros, B; Pacho, E

    2014-10-01

    Refusal to medical interventions is the not acceptance, voluntary and free, of an indicated medical intervention. What the physician should do in case of refusal? It is understandable that the rejection of a validated medical intervention is difficult to accept by the responsible physician when raises the conflict protection of life versus freedom of choice. Therefore it is important to follow some steps to incorporate the most relevant aspects of the conflict. These steps include: 1) Give complete information to patients, informing on possible alternatives, 2) determine whether the patient can decide (age, competency and level of capacity), 3) to ascertain whether the decision is free, 4) analyze the decision with the patient, 5) to persuade, 6) if the patient kept in the rejection decision, consider conscientious objection, 7) take the decision based on the named criteria, 8) finally, if the rejection is accepted, offer available alternatives. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  19. Early Intervention in Psychosis

    Science.gov (United States)

    McGorry, Patrick D.

    2015-01-01

    Abstract Early intervention for potentially serious disorder is a fundamental feature of healthcare across the spectrum of physical illness. It has been a major factor in the reductions in morbidity and mortality that have been achieved in some of the non-communicable diseases, notably cancer and cardiovascular disease. Over the past two decades, an international collaborative effort has been mounted to build the evidence and the capacity for early intervention in the psychotic disorders, notably schizophrenia, where for so long deep pessimism had reigned. The origins and rapid development of early intervention in psychosis are described from a personal and Australian perspective. This uniquely evidence-informed, evidence-building and cost-effective reform provides a blueprint and launch pad to radically change the wider landscape of mental health care and dissolve many of the barriers that have constrained progress for so long. PMID:25919380

  20. Paediatric interventional radiology

    International Nuclear Information System (INIS)

    McLaren, Clare

    2014-01-01

    Paediatric interventional radiology (PIR) is a rapidly-growing subspecialty, which offers a wide range of procedures applicable to almost all areas of hospital paediatrics. There are many important differences between paediatric and adult practice in interventional radiology, including disease processes and treatment goals, anatomical considerations, periprocedural patient management, radiation exposure optimisation and legal aspects. The use of retrievable or absorbable interventional devices such as stents will probably become more widespread in PIR practice. Recent advances in the technology of imaging equipment have been accompanied by an increase in the complexity of the work done by the radiographer. These developments present challenges and opportunities related to training and maintenance of skills, staffing arrangements, and the potential for advanced practice. It is likely that specialisation in PIR will become a more common role for radiographers in the future

  1. Interventional uroradiology since ESWL

    International Nuclear Information System (INIS)

    Tegtmeyer, C.J.

    1988-01-01

    The extracorporeal shock wave lithotriptor is an excellent example of modern technology that is successfully applied to solve a medical problem. ESWL is rapidly becoming the standard method for treating patients with persistent urinary tract stones. The extracorporeal shock wave lithotriptor represents an enormous advance in the treatment of renal calculi, however, the machine is not infallible. Presently, a slightly more than 5% of the patients require additional interventional radiographic procedures to facilitate passage of their stones. The authors' data indicates that large stones (≥ 2.5 cm) are more likely to need interventional procedures. As more large stones are treated by ESWL, the need for interventional radiographic procedures will increase. This necessity has led to the development of new techniques, such as the lithocenosis catheter and waterpik procedure, to relieve the obstructed urinary tract by removal of the stone fragments

  2. An Electronic Asthma Self-Management Intervention for Young African American Adults.

    Science.gov (United States)

    Speck, Aimee L; Hess, Michael; Baptist, Alan P

    2016-01-01

    Health disparities are seen in many chronic conditions including asthma. Young African American adults represent a population at high risk for poor asthma outcomes due to both their minority status and the difficult transition from adolescence to adulthood. Recruitment and retention has been challenging in this demographic stratum, and traditional asthma education is often not feasible. The objective of this study was to develop and assess the feasibility of an electronic asthma self-management program for young African American adults. A total of 44 African American adults (age 18-30 years) with uncontrolled persistent asthma were enrolled in an asthma self-management program. The 6-week Breathe Michigan program (predicated on the social cognitive theory) was tailored specifically to the concerns and preferences of young African American adults. The entire program was completed electronically, without any specialized human support. At 2 weeks and 3 months after program completion, participants were contacted for follow-up. A total of 89% of enrolled subjects completed the 6-week intervention, and 77% were available for evaluation at 3 months. All subjects completing the 2-week postprogram survey reported that the program was helpful, and 97% would recommend it to others. Asthma control as measured by the Asthma Control Test improved from 16.1 to 19.3 (P young African American adults. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  3. Interventions in everyday lives

    DEFF Research Database (Denmark)

    Dreier, Ole

    2015-01-01

    The purpose of psychotherapy is to help clients address and overcome problems troubling them in their everyday lives. Therapy can therefore only work if clients include it in their ongoing lives to deal with their problems. Detailed, systematic research is needed on how clients do so...... clients change their everyday lives to overcome their troubles. They also highlight what it involves for clients to accomplish this. It is concluded that we need more research on how to understand intervention; on the interaction between interventions and clients’ conduct of their everyday life...

  4. Who needs intervention?

    DEFF Research Database (Denmark)

    Jørgensen, Line Dahl

    2015-01-01

    Who needs intervention? A phonological screening tool for children with cleft palate Children with cleft palate +/- cleft lip (CP) are at risk of speech and language delay. It is important to identify children with difficulties as early as possible in order to offer appropriate intervention. Conv....... Lieberman, M., & Lohmander, A. (2014). Observation is a valid way of assessing common variables in typical babbling and identifies infants who need further support. Acta Paediatrica, 103(12), 1251–1257. doi:10.1111/apa.12776...

  5. Angiography and interventional radiology

    International Nuclear Information System (INIS)

    Bundy, A.L.

    1988-01-01

    The decrease in angiographic procedures as a result of less invasive imaging modalities has been counterbalanced by the rise in interventional radiological techniques. Because the interventional radiologist behaves somewhat like a surgeon, his legal responsibilities also approach those of his surgical colleagues. The basic concerns of negligent malpractice are amplified by the issues of informed consent and vicarious liability. Also, damages resulting from these procedures are costly because of the severity of the injuries. The angiographer must become versed in medicolegal issues of this rapidly evolving specialty

  6. Interventional magnetic resonance imaging

    International Nuclear Information System (INIS)

    Debatin, J.F.; Adam, G.

    1998-01-01

    With the advent of open configuration MR imaging systems, the vision of MRI-based guidance, control, and monitoring of minimally invasive interventions has evolved from a hypothetical concept to a practical possibility. This book provides a comprehensive overview of the very exciting emerging field of interventional MRI. The international authorship provides firsthand experience of all relevant topics. This book will familiarize the reader with the basic principles underlying currently available hardware and software configurations. In addition, technical aspects of thermosensitive imaging, techniques for instrument visualization, and safety aspects are covered. Finally, the book emphasizes both existing and future clinical applications. (orig.)

  7. Anesthesia for interventional radiology

    International Nuclear Information System (INIS)

    van Sonnenberg, E.; Casola, G.; Varney, R.R.; D'Agostino, H.B.; Zornow, M.; Mazzie, W.

    1989-01-01

    We recognized that the complexity and surgical nature of many interventional radiology procedures dictate essential radiologic involvement into traditional anesthesiologic areas. They reviewed our experience with a variety of interventional procedures to document complications and problems related to anesthetic use (or misuse) and compile recommendations for rational monitoring and control for these procedures. In particular, the authors have studied complications of drug therapies and the treatment of these complications; use of complex anesthesia procedures (e.g., epidural anesthesia, succinylcholine blockage); reasons for choice of drugs (e.g., fentanyl vs meperidine vs morphine); and medico-legal aspects of radiologist performing traditional anesthesiology-type procedures

  8. The Weekend Intervention Program.

    Science.gov (United States)

    Siegal, Harvey A.

    The Weekend Intervention Program (WIP) at the Wright State University School of Medicine is described in this report. Designed to address severe health and social problems while supporting the university's academic mission, the program began with the goal of addressing the health and social problems of alcohol abusers. WIP is a 72-hour intensive…

  9. Sedoanalgesia in interventional radiology

    International Nuclear Information System (INIS)

    Linsenmaier, U.; Pfeifer, K.J.; Reiser, M.

    2002-01-01

    Purpose: Development of a save and effective protocol for analgosedation of patients undergoing painful interventional procedures. Material and Methods: In a prospective trial a consecutive series of 72 adult patients underwent analgosedation during painful interventions. A radiologist performed the analgosedation, the patients received a combination of a shortly effective piperidine derivative (Alfentanil [Rapifen trademark ]; 7.5-15 μg/kg body weight) and Benzodiazepine (midazolam [Dormicum trademark ]; 20 μg/kg body weight). After pre-procedure oxygenation patients were continuously monitored. Pain and discomfort were scored using an established visual-analog pain score (0-10). A control group (n=24) had received midazolam, pentazocine or fentanyl according to the study protocol. Results: All procedures could be carried out by an interventional radiologist and a nurse and/or technologist only. In 69/72 cases adequate analgosedation could be achieved. Injection of alfentanil was titrated, with a rapid onset and short acting effect of the analgesia. Patients reported an average pain score of 2.6 vs. 4.5 in the control group. Over 55% experienced no or mild pain (score 0-3), in the control group only 8% reached this level. Conclusion: A combination of shortly effective alfentanil and midazolam allows interventional radiologists to perform major procedures alone under effective analgosedation. This medication scheme is superior to the medication upon demand. (orig.) [de

  10. Work–Life Interventions

    Directory of Open Access Journals (Sweden)

    He Lu Calvin Ong

    2014-07-01

    Full Text Available Despite disparities in the conceptualization of work–life balance (WLB and work–life harmony (WLH in the literature, there remains no evidence till date to validate these differences. Furthermore, there are currently no insights that shed light on the relationship between work–life initiatives and key business strategies of contemporary organizations. Hence, the current study investigated the differences between the constructs of WLB and WLH using a cognitive dissonance approach and assessed the impact of work–life interventions, based on these approaches, on individual creativity at work. Hundred participants, age ranging from 18 to 32 years (M = 23.94, SD = 3.87, with at least 6 months of working experience were recruited. Using an online questionnaire, participants were randomly assigned into WLB (n = 55 or WLH (n = 45 conditions. Participants were tasked to complete pre- and post-intervention measures of individual creativity, as well as a manipulation check using a cognitive dissonance scale. Results showed that participants in the WLB condition elicit higher levels of cognitive dissonance compared with participants in the WLH condition. This indicates an implicit difference in the constructs of WLB and harmony. Second, findings also suggest that work–life interventions adopting a WLH approach will have a more positive impact on individuals’ creativity at work compared with interventions targeted at achieving balance. Research, practical, and cultural implications of the findings are discussed in the article.

  11. Early Intervention in Budapest.

    Science.gov (United States)

    Gallai, Maria; Katona, Ferenc; Balogh, Erzsebet; Schultheisz, Judit; Deveny, Anna; Borbely, Sjoukje

    2000-01-01

    This article presents five models of early intervention used in Budapest. Diagnostic and treatment methods used by the Pediatric Institute and the Conductive Education System are described, along with the Deveny Special Manual Technique and Gymnastic Method, the Gezenguz method and techniques used in the Early Developmental Center. (CR)

  12. Intervention as Workplace Learning

    Science.gov (United States)

    Elkjaer, Bente; Nickelsen, Niels Christian Mossfeldt

    2016-01-01

    Purpose: The purpose of this paper is to illustrate how workplace interventions may benefit from a simultaneous focus on individuals' learning and knowledge and on the situatedness of workplaces in the wider world of changing professional knowledge regimes. This is illustrated by the demand for evidence-based practice in health care.…

  13. Diagnostic and interventional radiology

    Energy Technology Data Exchange (ETDEWEB)

    Vogl, Thomas J. [Klinikum der Johann Wolfgang Goethe-Universitaet, Frankfurt am Main (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Reith, Wolfgang [Universitaetsklinikum des Saarlandes, Homburg/Saar (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie; Rummeny, Ernst J. (ed.) [Technische Univ. Muenchen Klinikum rechts der Isar, Muenchen (Germany). Inst. fuer Radiologie

    2016-08-01

    This exceptional book covers all aspects of diagnostic and interventional radiology within one volume, at a level appropriate for the specialist. From the basics through diagnosis to intervention: the reader will find a complete overview of all areas of radiology. The clear, uniform structure, with chapters organized according to organ system, facilitates the rapid retrieval of information. Features include: Presentation of the normal radiological anatomy Classification of the different imaging procedures according to their diagnostic relevance Imaging diagnosis with many reference images Precise description of the interventional options The inclusion of many instructive aids will be of particular value to novices in decision making: Important take home messages and summaries of key radiological findings smooth the path through the jungle of facts Numerous tables on differential diagnosis and typical findings in the most common diseases offer a rapid overview and orientation Diagnostic flow charts outline the sequence of diagnostic evaluation All standard procedures within the field of interventional radiology are presented in a clinically relevant and readily understandable way, with an abundance of illustrations. This is a textbook, atlas, and reference in one: with more than 2500 images for comparison with the reader's own findings. This comprehensive and totally up-to-date book provides a superb overview of everything that the radiology specialist of today needs to know.

  14. Cardiovascular and interventional radiology

    International Nuclear Information System (INIS)

    White, R.I. Jr.

    1985-01-01

    A symposium of eight short but complete papers giving an overview of interventional radiology is presented. Organized by Dr. William Casarella, this symposium is certainly the most current review of the subject available. This year's cardiovascular section is again heavily weighted toward interventional radiology. Abrams and Doubilet's article on the underutilization of angioplasty is important because it describes the cost effectiveness of this method. Most health planners, right or wrong, have complained about overutilization of diagnostic radiology procedures. In general, the opposite is true for interventional procedures - they are underutilized. If the authors draw the attention of their hospital administrators to these approaches and also produce the data on long-term follow-up for our medical colleagues, interventional radiology may realize its full potential. Articles on cardiac magnetic resonance imaging are beginning to appear and this technique seems to have great potential. An important article, which is the first prospective study comparing lung scintigraphy and pulmonary angiography in the diagnosis of pulmonary embolism, supports the increased use of pulmonary angiography. Finally, an article on complications of percutaneous biliary drainage provokes some discussion of its value for routine preoperative use

  15. Interventions for vaginismus.

    Science.gov (United States)

    Melnik, Tamara; Hawton, Keith; McGuire, Hugh

    2012-12-12

    Vaginismus is an involuntary contraction of the vaginal muscles which makes sexual intercourse difficult or impossible. It is one of the more common female psychosexual problems. Various therapeutic strategies for vaginismus, such as sex therapy and desensitisation, have been proposed, and uncontrolled case series appear promising. To assess the effects of different interventions for vaginismus. We searched the Cochrane Depression, Anxiety and Neurosis Group's Specialised Register (CCDANCTR-Studies and CCDANCTR-References) to August 2012. This register contains relevant randomised controlled trials from: The Cochrane Library (all years), EMBASE (1974 to date), MEDLINE (1950 to date) and PsycINFO (1967 to date). We searched reference lists and conference abstracts. We contacted experts in the field regarding unpublished material. Controlled trials comparing treatments for vaginismus with another treatment, a placebo treatment, treatment as usual or waiting list control. The review authors extracted data which we verified with the trial investigator where possible. Five studies were included, of which four with a total of 282 participants provided data. No meta-analysis was possible due to heterogeneity of comparisons within included studies as well as inadequate reporting of data. All studies were considered to be at either moderate or high risk of bias. The results of this systematic review indicate that there is no clinical or statistical difference between systematic desensitisation and any of the control interventions (either waiting list control, systematic desensitisation combined with group therapy or in vitro (with women under instruction by the therapist) desensitisation) for the treatment of vaginismus. The drop-out rates were higher in the waiting list groups. A clinically relevant effect of systematic desensitisation when compared with any of the control interventions cannot be ruled out. None of the included trials compared other behaviour therapies (e

  16. Improved community conditions in a brazilian slum: a significant consequence of its evaluation Mejoría de la situación de una comunidad brasileña de baja renta: expresiva consecuenciadesuevaluación Melhoria da situação de uma comunidade brasileira de baixa renda: expressiva conseqüência de sua avaliação

    Directory of Open Access Journals (Sweden)

    Thereza Penna Firme

    2007-06-01

    Full Text Available This paper describes the activities of a slum-improvement community Program and its concomitant evaluation, both conducted by a non-profit evaluation organization in Brazil, as well as their imminent consequences. The unique aspects of this experience were: (a recognizing the community's knowledge for detecting its own needs; (b selecting the best partnership to develop the activities and a competent team to conduct evaluation and metaevaluation; (c emphasis on community capacity building in evaluation, self-determination, and self-sustainability, and (d continuous feedback to partners, sponsors and the community. Some visible consequences of this evaluation were: (a an observed increase in the number of children in school, their performance and respect for moral values, (b reduced violence, sex abuse, child labor and drug consumption and (c a notable impact on the evaluating organization itself seen in their commitment to building an innovative methodology. Hopefully the betterment of the present situation is predictive of a dignified future opening up for the community.Este trabajo, conducido por una organización sin fines lucrativos, describe las actividades de un programa de desenvolvimiento social en comunidades de baja rienda, bien como, su concomitante evaluación y sus principales consecuencias. Los aspectos más originales de esta experiencia fueron: (a reconocimiento de la capacidad de la comunidad en detectar sus propias necesidades; (b selección de los mejores aparceros para realizar las acciones y de una equipe competente para conducir la evaluación y la meta-evaluación; (c énfasis en la capacitación de las comunidades para la evaluación, autodeterminación y autosustentabilidad; y aún, (d retorno de los resultados a los aparceros, patrocinadores y comunidad. Algunas de las consecuencias visibles de esta evaluación fueron: (a percepción del aumento del número de estudiantes, de la mejoría de su desempeño y

  17. Early intervention in psychosis

    DEFF Research Database (Denmark)

    Csillag, Claudio; Nordentoft, Merete; Mizuno, Masafumi

    2017-01-01

    AIM: Early intervention in psychosis (EIP) is a well-established approach with the intention of early detection and treatment of psychotic disorders. Its clinical and economic benefits are well documented. This paper presents basic aspects of EIP services, discusses challenges to their implementa......AIM: Early intervention in psychosis (EIP) is a well-established approach with the intention of early detection and treatment of psychotic disorders. Its clinical and economic benefits are well documented. This paper presents basic aspects of EIP services, discusses challenges...... benefits alone is not enough to promote implementation, as economic arguments and political and social pressure have shown to be important elements in efforts to achieve implementation. CONCLUSIONS: Users' narratives, close collaboration with community organizations and support from policy-makers and known...

  18. Interventional therapy of hyperthyroidism

    International Nuclear Information System (INIS)

    Liang Jun; Yang Shibin; Yue Yu; Chen Tingcong

    2001-01-01

    Objective: To evaluate clinical application of arterial embolotherapy on hyperthyroidism. Methods: 11 patients with hyperthyroidism were performed with thyroid superior and inferior arterial super-selective arteriography and interventional embolization by polyvinyl alcohol (PVA), gelfoam particles and wool coil. Results: The procedures were succeeded in 11 patients. After the embolotherapy, the thyroid function gradually returned to normal level in 10 patients. The symptom was not controlled satisfactorily in 1 patient, who underwent the right thyroid inferior arteries super selective arteriography and interventional embolization, and then the thyroid function gradually returned to normal level. No serious complications occurred in all patients. Conclusions: Arterial embolotherapy is a safe, simple, symptomless, reliable and very effective for treatment of hyperthyroidism

  19. Effectiveness of medical interventions.

    Science.gov (United States)

    Stegenga, Jacob

    2015-12-01

    To be effective, a medical intervention must improve one's health by targeting a disease. The concept of disease, though, is controversial. Among the leading accounts of disease-naturalism, normativism, hybridism, and eliminativism-I defend a version of hybridism. A hybrid account of disease holds that for a state to be a disease that state must both (i) have a constitutive causal basis and (ii) cause harm. The dual requirement of hybridism entails that a medical intervention, to be deemed effective, must target either the constitutive causal basis of a disease or the harms caused by the disease (or ideally both). This provides a theoretical underpinning to the two principle aims of medical treatment: care and cure. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Time-dependent interventions

    OpenAIRE

    Weil, Max Harry; Tang, Wanchun

    2003-01-01

    The contribution by Pepe and colleagues provides additional evidence that initial defibrillation is not necessarily the optimal intervention for victims of cardiac arrest and especially when cardiac arrest has been untreated for more than 3 min. Precordial compression therefore remains the mainstay of basic life support cardiopulmonary resuscitation after sudden death. It is increasingly apparent that neither epinephrine whether in conventional or high doses nor vasopressin improve ultimate s...

  1. Interventional vascular radiology

    International Nuclear Information System (INIS)

    Yune, H.Y.

    1984-01-01

    The papers published during this past year in the area of interventional vascular radiology presented some useful modifications and further experiences both in the area of thromboembolic therapy and in dilation and thrombolysis, but no new techniques. As an introductory subject, an excellent monograph reviewing the current spectrum of pharmacoangiography was presented in Radiographics. Although the presented material is primarily in diagnostic application of various pharmacologic agents used today to facilitate demonstration of certain diagnostic criteria of various disease processes, both vasodilatory and vasoconstrictive reaction to these agents are widely used in various therapeutic vascular procedures. This monograph should be reviewed by every angiographer whether or not he or she performs interventional procedures, and it would be very convenient to have this table available in the angiography suite. In a related subject, Bookstein and co-workers have written an excellent review concerning pharmacologic manipulations of various blood coagulative parameters during angiography. Understanding the proper method of manipulation of the bloodclotting factors during angiography, and especially during interventional angiography, is extremely important. Particularly, the method of manipulating the coagulation with the use of heparin and protamine and modification of the platelet activity by using aspirin and dipyridamole are succinctly reviewed. The systemic and selective thrombolytic activities of streptokianse are also discussed

  2. Phytotherapy management: a new intervention for nursing intervention classification.

    Science.gov (United States)

    Paloma, Echevarria; Ovidio, Céspedes; Jessica, Rojas; Francisca, Sánchez Ayllón; Isabel, Morales; Maravillas, Gimenez

    2014-01-01

    We present a new nurse intervention: "Phytotherapy Management," which has been accepted by the editorial board of the Nursing Interventions Classification for inclusion in the 7th edition of the Nursing Intervention Classification. This could have implications for nursing practice and research. Content analysis, extensive search in the literature.

  3. Biobehavioral Intervention for Cancer Stress: Conceptualization, Components, and Intervention Strategies

    Science.gov (United States)

    Andersen, Barbara L.; Golden-Kreutz, Deanna M.; Emery, Charles F.; Thiel, Debora L.

    2009-01-01

    Trials testing the efficacy of psychological interventions for cancer patients had their beginnings in the 1970s. Since then, hundreds of trials have found interventions to be generally efficacious. In this article, we describe an intervention grounded in a conceptual model that includes psychological, behavioral, and biological components. It is…

  4. Attention for pediatric interventional radiology

    International Nuclear Information System (INIS)

    Zhu Ming; Cheng Yongde

    2005-01-01

    Radiological interventions possess wide utilization in the diagnosis and treatment for pediatric patients. Pediatric interventional radiology is an important branch of interventional radiology and also an important branch of pediatric radiology. Pediatric interventional radiology has grown substantially over the last 30 years, radiologists closely cooperation with surgeons and other physicians providing a new horizon in the management of pediatric diseases in western countries. It includes pediatric cardiac interventional radiology, pediatric neuro-interventional radiology, pediatric vascular interventional radiology, pediatric nonvascular interventional radiology, pediatric tumor interventional radiology and others. In the United States, every children hospital which owns two hundred beds has to have special trained interventional radiologists in radiologic department installing with advanced digital subtraction angiographic equipment. Interventional therapeutic procedures and diagnostic angiography have been proceeding more and more for the congenital and acquired diseases of children. The promising results give use uprising and interventional therapy as an alternative or a replacement or supplement to surgical operation. Pediatric interventional radiology is rather underdeveloped in China with a few special pediatric interventional radiologist, lack of digital subtraction angiography equipment. Pediatric radiologists have no enough field for interventional procedures such as pediatric neuro-interventional radiology and pediatric vascular interventional radiology. In the contrary adult interventional radiologists do have better interventional jobs in China and Pediatric cardiologists also share the same trend. They perform angiocardiography for congenital heart diseases and treat congenital heart disease with interventional procedures including balloon dilation of valves and vessels, coil embolization of collaterals, patent ducts and other arterial fistulae

  5. The LPi and LPi/2 Propositional and Predicate Logics

    Czech Academy of Sciences Publication Activity Database

    Cintula, Petr

    2001-01-01

    Roč. 124, č. 3 (2001), s. 289-302 ISSN 0165-0114 Institutional research plan: AV0Z1030915 Keywords : fuzzy logic * product logic * Lukasiewicz logic Subject RIV: BA - General Mathematics Impact factor: 0.470, year: 2001

  6. Identification of the Predicator Variables of Candidate Teacher Teaching Motivations

    Science.gov (United States)

    Bozpolat, Ebru

    2016-01-01

    The purpose of this study was to determine whether the internal and external teaching motivations of 3rd and 4th year students of the Faculty of Education of Cumhuriyet University are predicted by the variables of gender, department, year level, conscious preference of department they are studying in, whether there is a teacher in their family,…

  7. Linear Model for Optimal Distributed Generation Size Predication

    Directory of Open Access Journals (Sweden)

    Ahmed Al Ameri

    2017-01-01

    Full Text Available This article presents a linear model predicting optimal size of Distributed Generation (DG that addresses the minimum power loss. This method is based fundamentally on strong coupling between active power and voltage angle as well as between reactive power and voltage magnitudes. This paper proposes simplified method to calculate the total power losses in electrical grid for different distributed generation sizes and locations. The method has been implemented and tested on several IEEE bus test systems. The results show that the proposed method is capable of predicting approximate optimal size of DG when compared with precision calculations. The method that linearizes a complex model showed a good result, which can actually reduce processing time required. The acceptable accuracy with less time and memory required can help the grid operator to assess power system integrated within large-scale distribution generation.

  8. Metaphysical Modality, Modality of Predicate and the Theory of

    Directory of Open Access Journals (Sweden)

    l nabavi

    2010-05-01

    This paper discusses the historical overview of the metaphysical modality firstly and then shows that the theory of "Decisive Necessity” is true and justified in a model of modal logic with equivalent accessibility relation and homogeneous possible world view (fixed domain.

  9. Predication of Crane Condition Parameters Based on SVM and AR

    International Nuclear Information System (INIS)

    Xu Xiuzhong; Hu Xiong; Zhou Congxiao

    2011-01-01

    Through statistic analysis of vibration signals of motor on the container crane hoisting mechanism in a port, the feature vectors with vibration are obtained. Through data preprocessing and training data, Training models of condition parameters based on support vector machine (SVM) are established. The testing data of condition monitoring parameters can be predicted by the training models. During training the models, the penalty parameter and kernel function of model are optimized by cross validation. In order to analysis the accurate of SVM model, autoregressive model is used to predict the trend of vibration. The research showed the predicted results of model using SVM are better than the results by autoregressive (AR) modeling.

  10. Herbaceous biomass predication from environmental and remote sensing indicators

    CSIR Research Space (South Africa)

    Dudeni-Tlhone, N

    2012-11-01

    Full Text Available Feeding patterns and distribution of herbivores animals are known to be influenced by quality and quantity of forage such as grass. Modelling indicators of grass quality and biomass are critical in understanding such patterns and for decision makers...

  11. Verification using Satisfiability Checking, Predicate Abstraction, and Craig Interpolation

    Science.gov (United States)

    2008-09-01

    297, 2007. 4.10.1 196 [48] Roberto Bruttomesso, Alessandro Cimatti, Anders Franzen, Alberto Grig- gio, Ziyad Hanna, Alexander Nadel, Amit Palti, and...using SAT based conflict analysis. In Formal Methods in Computer Aided Design, pages 33–51, 2002. 1.1, 7 [54] Alessandro Cimatti, Alberto Griggio, and...and D. Vroon. Automatic memory reductions for RTL-level verification. In ICCAD, 2006. 1.2.4, 6.2, 7 [108] Joao P. Marques-Silva and Karem A. Sakallah

  12. MRI in predication of early hemorrhagic transformation after acute stroke

    International Nuclear Information System (INIS)

    Guo Gang; Wu Renhua; Mikulis, D.J.

    2007-01-01

    Objective: To investigate the relationship among early parenchymal enhancement, post- gadolinium (Gd) hyperintense middle cerebral artery (HMCA), and subsequent hemorrhagic transformation (HT) in patients with hyperacute ischemic stroke. Methods: Twenty-four consecutive patients with ischemic stroke who underwent MRI within 6 h [(4.3±1.4) h] of symptom onset were retrospectively reviewed. All of these patients underwent at least one follow-up MRI or non-enhanced CT study at 2 to 7 days. Post-Gd T 1 WI were analyzed for parenchymal enhancement and hyperintense MCA. Gradient echo MRI and CT were used for assessment of HT. Results: Ten patients developed HT on follow-up imaging (hemorrhagic group). Early parenchymal enhancement was found in 6 patients with HT (P 1 WI after Gd-DTPA administration are independent predictors of subsequent HT. (authors)

  13. Predicate Transformers for Recursive Procedures with Local Variables

    NARCIS (Netherlands)

    Hesselink, Wim H.

    1999-01-01

    The weakest precondition semantics of recursive procedures with local variables are developed for an imperative language with demonic and angelic operators for unbounded nondeterminate choice. This does not require stacking of local variables. The formalism serves as a foundation for a proof rule

  14. Derived rules for predicative set theory: An application of sheaves

    NARCIS (Netherlands)

    van den Berg, B.; Moerdijk, I.

    2012-01-01

    We show how one may establish proof-theoretic results for constructive Zermelo–Fraenkel set theory, such as the compactness rule for Cantor space and the Bar Induction rule for Baire space, by constructing sheaf models and using their preservation properties.

  15. Predicating magnetorheological effect of magnetorheological elastomers under normal pressure

    International Nuclear Information System (INIS)

    Dong, X; Qi, M; Ma, N; Ou, J

    2013-01-01

    Magnetorheological elastomers (MREs) present reversible change in shear modulus in an applied magnetic field. For applications and tests of MREs, a normal pressure must be applied on the materials. However, little research paid attention on the effect of the normal pressure on properties of MREs. In this study, a theoretical model is established based on the effective permeability rule and the consideration of the normal pressure. The results indicate that the normal pressure have great influence on magnetic field-induced shear modulus. The shear modulus of MREs increases with increasing normal pressure, such dependence is more significant at high magnetic field levels.

  16. The skull of Wolfgang Amadeus Mozart predicates of his death.

    Science.gov (United States)

    Vlcek, E; Druga, R; Smahel, Z; Bigoni, L; Velemínská, J

    2006-01-01

    W. A. Mozart died due to the consequences of chronic epidural hematoma after sustaining a dull injury to his head, probably at an early age. Exacerbation of the process was repeated over a period of many years and manifested itself as pyrexial disease, meningeal irritation with intense headaches. After the attack subsided, the illness manifested itself again. After the last attack of the likely infected nidus, Mozart died on December 5, 1791. Historic data about the composer's behavior indicate development of a temporal syndrome or temporal epilepsy with typical clinical manifestations.

  17. Children's Comprehension of Plural Predicate Conjunction

    Science.gov (United States)

    Tieu, Lyn; Romoli, Jacopo; Poortman, Eva; Winter, Yoad; Crain, Stephen

    2018-01-01

    Previous developmental studies of conjunction have focused on the syntax of phrasal and sentential coordination (Lust, 1977; de Villiers, Tager-Flusberg & Hakuta, 1977; Bloom, Lahey, Hood, Lifter & Fiess, 1980, among others). The present study examined the flexibility of children's interpretation of conjunction. Specifically, when two…

  18. Interventions for preoperative smoking cessation

    DEFF Research Database (Denmark)

    Møller, A; Villebro, N

    2005-01-01

    Smokers have a substantially increased risk of intra- and postoperative complications. Preoperative smoking intervention may be effective in decreasing this incidence. The preoperative period may be a well chosen time to offer smoking cessation interventions due to increased patient motivation....

  19. Interventional radiology and undesirable effects

    International Nuclear Information System (INIS)

    Benderitter, M.

    2009-01-01

    As some procedures of interventional radiology are complex and long, doses received by patients can be high and cause undesired effects, notably on the skin or in underlying tissues (particularly in the brain as far as interventional neuroradiology is concerned and in lungs in the case of interventional cardiology). The author briefly discusses some deterministic effects in interventional radiology (influence of dose level, delay of appearance of effects, number of accidents). He briefly comments the diagnosis and treatment of severe radiological burns

  20. The Danish Alzheimer intervention study

    DEFF Research Database (Denmark)

    Waldemar, G; Waldorff, F B; Buss, D V

    2011-01-01

    Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline characteri......Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline...

  1. Psychosocial Intervention Model

    DEFF Research Database (Denmark)

    Singla, Rashmi

    2007-01-01

    The article is based on a research project drawing upon survey data (N=628) and qualitative interviews (N=60) of youth and their parents belonging to the five largest ethnic minority groups in Denmark i.e. Turkey, former Yugoslavia, Pakistan, Lebanon and Somalia, along with the experiences of psy.......K. as well as Nordic countries. Finally a model for psychosocial intervention is presented which directs attention to the issues of ageism, sexism as well as racism at personal, interpersonal and structural levels....

  2. Recommendations for intervention

    International Nuclear Information System (INIS)

    Touzet, R.; Descalzo, A.; Peralta, O.

    2013-01-01

    The objective of this work is set a 'radiological protection criteria' for patients and staff involved for the purpose of the doses involved are as low as reasonably achievable considering the limitations that each technique and its objectives. Establish criteria for injury prevention in the patient's skin for long exposures and intense when complications arise in the process. Set levels for some well Dimensional procedures. Establish procedures for patient dosimetry control and operator personnel. These criteria will be established by the interventional radiology team with participation of specialists in radiation protection, medical physics, dosimetry and X rays equipment specialists

  3. A best practice in education and support services for independent living of intellectually disabled youth and adults in Mexico La mejor práctica en servicios educativos y de apoyo para la vida independiente para jóvenes y adultos con discapacidad intelectual en México

    Directory of Open Access Journals (Sweden)

    Gregorio Katz

    2008-01-01

    Full Text Available This article describes a best practice in the field of intellectual disability, a program for independent living offered by the Center for Integral Training and Development (CADI per its abbreviation in Spanish for people with intellectual disability in Mexico. A detailed description of an effective program that fosters autonomy, social inclusion and high quality of life in people with intellectual disability is presented. The program encompasses four areas: a a therapeutic academic area that teaches applied living skills; b development of social skills; c development of vocational skills, and d skills for independent living. The program is divided into three levels: a initiation to independent living, where clients develop basic abilities for autonomy, b community integration and social independence, which provides clients with the skills necessary for social inclusion and economic independence, and c practical and psychological support, which offers counseling for resolving psychological issues and enables subjects to maintain their autonomy.Este artículo describe una "mejor práctica" en la capacitación para el logro de vida independiente, inclusión social y alta calidad de vida en personas con discapacidad intelectual. Se describe en detalle del programa ofrecido por el Centro de Capacitación y Desarrollo Integral (CADI, en México. Dicho programa tiene cuatro áreas: 1 área académico-terapéutica para el desarrollo de destrezas prácticas para la vida independiente; 2 área para el desarrollo personal y de habilidades sociales; 3 área para el desarrollo de habilidades laborales; y 4 área para el desarrollo de habilidades aplicadas a la vida independiente. El programa se divide en tres niveles: a iniciación a la vida independiente, donde se desarrollan las habilidades básicas necesarias para el logro de su autonomía; b integración comunitaria e independencia social que provee a los clientes las destrezas necesarias para su

  4. Protocolo en el tratamiento de lesiones causadas por ondas expansivas: impacto sobre el diagnóstico tardío y una mejor oportunidad de manejo en un hospital académico nivel III – IV de atención

    Directory of Open Access Journals (Sweden)

    Juan Sanjuán

    2016-12-01

    Full Text Available Introducción: Las lesiones producidas por ondas expansivas comprometen diferentes áreas anatómicas por su mecanismo de lesión y se traducen en traumatismos severos. En Colombia, las principales causas de estas lesiones las constituyen situaciones de guerra y ataques terroristas puesto que el país se ha visto inmerso en la violencia durante varios años. Material y Métodos: Debido a la severidad y el compromiso de áreas resultantes de ese tipo de eventos, se diseñó e implemento un protocolo de atención que se propuso realizar lo siguiente: 1 Aplicar la evaluación primaria y secundaria del paciente, según los lineamientos del Soporte Vital Avanzado en Trauma del Colegio Americano de Cirujanos. 2 Hacer la evaluación sistemática por áreas anatómicas por parte del departamento quirúrgico, orientándola hacia el examen de las lesiones descritas con mayor frecuencia. 3 Llevar a cabo posteriormente una valoración de las lesiones específicas de acuerdo con las especialidades relacionadas. Para identificar las lesiones más frecuentes, se realizó un análisis retrospectivo de los casos registrados en el Hospital Universitario de Neiva, centro de referencia para el suroccidente de Colombia. Resultados: Durante ese periodo, se atendieron 35 pacientes cuyas áreas anatómicas comprometidas más frecuentes fueron las extremidades inferiores (con un registro del 60% de los casos, el abdomen (54,3% y el tórax (42,9%. La mortalidad general del grupo fue de 9,1%. Después de la implementación, se demostró una mejoría en la oportunidad de evaluación por cirugía general y se identificaron 6 pacientes con diagnósticos tardíos, previos a la implementación del protocolo. Conclusión: Este estudio determinó que la implementación de una revisión secuencial y un protocolo sistemático permiten mejorar la tasa de diagnósticos tardíos optimizando la evaluación diagnostica y el abordaje terapéutico.

  5. Shopper marketing nutrition interventions.

    Science.gov (United States)

    Payne, Collin R; Niculescu, Mihai; Just, David R; Kelly, Michael P

    2014-09-01

    Grocery stores represent a context in which a majority of people's food purchases occur. Considering the nutrition quality of the population's food intake has dramatically decreased, understanding how to improve food choice in the grocery store is paramount to healthier living. In this work, we detail the type of financial resources from which shoppers could draw (i.e., personal income and benefits from government food assistance programs to low income populations) and explain how these financial resources are allocated in the grocery store (i.e., planned, unplanned, error). Subsequently, we identify a conceptual framework for shopper marketing nutrition interventions that targets unplanned fruit and vegetable purchases (i.e., slack, or willingness to spend minus list items). Targeting slack for fresh fruit and vegetable purchases allows retailers to benefit economically (i.e., fruit and vegetables are higher margin) and allows shoppers to improve their nutrition without increasing their budgets (i.e., budget neutrality). We also provide preliminary evidence of what in-store marketing of fresh fruits and vegetables could entail by modifying grocery carts and grocery floors to provide information of what is common, normal, or appropriate fruit and vegetable purchases. In each example, fresh fruit and vegetable purchases increased and evidence suggested shopper budget neutrality. To provide context for these results, we detail measurement tools that can be used to measure shopper behaviors, purchases, and consumption patterns. Finally, we address theoretical, practical, and policy implications of shopper marketing nutrition interventions. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Psychotherapeutic intervention by telephone

    Directory of Open Access Journals (Sweden)

    Erika Mozer

    2008-06-01

    Full Text Available Erika Mozer1,2, Bethany Franklin1,3, Jon Rose11Department of Veterans Affairs, Palo Alto Health Care System, Palo Alto, CA, USA; 2PGSP Stanford PsyD Consortium Palo Alto, CA, USA; 3Pacific Graduate School of Psychology Palo Alto, California, USAAbstract: Psychotherapy conducted over the telephone has received increasing amounts of empirical attention given practical advantages that side-step treatment barriers encountered in traditional office-based care. The utility and efficacy of telephone therapy appears generalizable across diverse clinical populations seeking care in community-based hospital settings. Treatment barriers common to older adults suggest that telephone therapy may be an efficient and effective mental health resource for this population. This paper describes empirical studies of telehealth interventions and case examples with psychotherapy conducted via telephone on the Spinal Cord Injury Unit of the Palo Alto Veterans’ Administration. Telephone therapy as appears to be a viable intervention with the aging population.Keywords: telehealth, rural mental health, psychotherapy, healthcare delivery, telecare

  7. Secondary Health Care: best practices in the health services network La atención secundaria en salud: mejores prácticas en la red de servicios A atenção secundária em saúde: melhores práticas na rede de serviços

    Directory of Open Access Journals (Sweden)

    Alacoque Lorenzini Erdmann

    2013-02-01

    Full Text Available OBJECTIVE: to understand the organization of health practices, based on the interactions at the secondary care level, and to analyze how the actions and services at this level of care contribute to the development of best practice in health. METHOD: a qualitative approach, based in Grounded Theory. Data was obtained from individual interviews, with managers, health care professionals and health service users making up the sample group representing the secondary level of healthcare. The theoretical model was formulated based on four categories, analyzed based in the elements of the network modeling of health care theoretical framework. RESULTS: The organization of health practices at a secondary level is in the process of consolidation and is contributing to the development of best practices in the locale studied. CONCLUSION: The broadening of access to consultations and specialized procedures, and the articulation of the network's points, are aspects of this level of care which are considered essential for care which is effective and integral. This study contributes to the analysis of health practices from the perspective of network modeling, based on the interactions between secondary care and the health system's other health facilities, which are shown as going through a process of consolidation in the locale studied.OBJETIVO: Comprender la organización de las prácticas de salud, desde las interacciones en el nivel de la atención secundaria y analizar cómo las acciones y servicios en este nivel han contribuido al desarrollo de mejores prácticas en salud. MÉTODO: Enfoque cualitativo, apoyado en la Teoría Fundamentada en los Datos. Se realizaron entrevistas con gestores, profesionales de salud y usuarios, que conforman el grupo muestral de la atención secundaria. RESULTADOS: Se formuló el modelo desde cuatro categorías, analizadas con base en los elementos del modelado de red de atención a la salud. La organización de las pr

  8. [Lifestyle interventions at work?].

    Science.gov (United States)

    Hulshof, Carel T J

    2013-01-01

    So far many worksite lifestyle or health promotion programmes have shown only moderate evidence of effectiveness and cost-effectiveness. However, participation in work is in itself an important determinant of health. For this reason ensuring of fitting work and sustained workability should be an aspect of health policy. Workers' health is not only determined by their working environment but also by health practices and lifestyle factors. Under certain preconditions (e.g. on a voluntary basis, confidentiality, integration with health protection) lifestyle interventions during work time can contribute to a healthier working population. As such programmes may result in financial and social benefits for employers, they should be partly responsible for paying the costs. From a societal perspective, governmental commitment to a preventive policy and the involvement of health and income insurance companies are also required.

  9. Angiography - interventional diagnostic applications

    International Nuclear Information System (INIS)

    Schild, H.

    1994-01-01

    The angiography system is very different from the other systems used in diagnostic radiology. The invasivity of angiography requires special, high standards in theoretical and practical training and experience both of beginners and experienced personnel. This textbook fully meets the demand for in-depth and exhaustive information, as it presents: - The fundamentals and techniques of angiography, the vascular anatomy, and many hints and tips of great help in practice. - A comprehensive survey of diagnostic problems and examination approaches, including neuro-angiography, with 221 reproductions of original angiographs, and additional schematic representations. - A special chapter devoted to indication and relevant techniques for the major vascular interventional examinations. - A great number of tables explain at a glance standard examination techniques, indications and diagnostic criteria. (orig./CB) [de

  10. REPRESENTACIÓN DE RELACIONES SEMÁNTICAS ENTRE PROBLEMAS Y OBJETIVOS MEDIANTE LÓGICA DE PREDICADOS REPRESENTAÇÃO DE RELACIONAMENTOS SEMÁNTICOS ENTRE PROBLEMAS E OBJETIVOS MEDIANTE LÓGICA DE PREDICADOS PREDICATE-LOGIC-BASED REPRESENTATION OF SEMANTIC RELATIONSHIPS BETWEEN GOALS AND PROBLEMS

    Directory of Open Access Journals (Sweden)

    Carlos Mario Zapata

    2011-06-01

    Full Text Available El mundo organizacional siempre tendrá objetivos que alcanzar y se encontrará en el camino obstáculos que dificultan su consecución. El primer paso para resolver problemas y establecer objetivos es identificarlos y representarlos, lo cual casi siempre se hace por medio del lenguaje natural, evidenciando la carencia de métodos formales para el planteamiento de sus enunciados. Por ello, en este artículo se proponen estructuras para expresar objetivos y problemas de manera que se facilite su análisis y se puedan establecer relaciones semánticas y de consistencia entre ellos, empleando lógica de predicados, ya que este mecanismo permite una traducción directa desde lenguaje natural hacia una representación formal de frases para constatar la veracidad o falsedad del enunciado.O mundo organizacional sempre terá objetivos que atingir e se encontrará no caminho obstáculos que dificultam sua consecução. O primeiro passo para resolver problemas e estabelecer objetivos é identificá-los e representá-los, o qual quase sempre se faz por meio da linguagem natural, evidenciando a carência de métodos formais para a proposta de seus enunciados. Por isso, neste artigo propõem-se estruturas para expressar objetivos e problemas, de maneira que se facilite sua análise e possam ser estabelecidos relacionamentos semânticos e de consistência entre eles, empregando lógica de predicados, já que este mecanismo permite uma tradução direta desde linguagem natural para uma representação formal de frases para constatar a veracidade ou falsidade do enunciado.Organizational world will always have goals to reach and obstacles to fight, in order to reach those goals. Identifying and representing goals and problems are previous stages in solving problems and establishing goals. These tasks are commonly made in natural language, and no formal methods are used on them. For this reason, in this paper we propose first-order-predicate-logic structures for

  11. Designing equitable workplace dietary interventions: perceptions of intervention deliverers.

    Science.gov (United States)

    Smith, Sarah A; Visram, Shelina; O'Malley, Claire; Summerbell, Carolyn; Araujo-Soares, Vera; Hillier-Brown, Frances; Lake, Amelia A

    2017-10-16

    Workplaces are a good setting for interventions that aim to support workers in achieving a healthier diet and body weight. However, little is known about the factors that impact on the feasibility and implementation of these interventions, and how these might vary by type of workplace and type of worker. The aim of this study was to explore the views of those involved in commissioning and delivering the Better Health at Work Award, an established and evidence-based workplace health improvement programme. One-to-one semi-structured interviews were conducted with 11 individuals in North East England who had some level of responsibility for delivering workplace dietary interventions. Interviews were transcribed verbatim and analysed using thematic framework analysis. A number of factors were felt to promote the feasibility and implementation of interventions. These included interventions that were cost-neutral (to employee and employer), unstructured, involved colleagues for support, took place at lunchtimes, and were well-advertised and communicated via a variety of media. Offering incentives, not necessarily monetary, was perceived to increase recruitment rates. Factors that militate against feasibility and implementation of interventions included worksites that were large in size and remote, working patterns including shifts and working outside of normal working hours that were not conducive to workers being able to access intervention sessions, workplaces without appropriate provision for healthy food on site, and a lack of support from management. Intervention deliverers perceived that workplace dietary interventions should be equally and easily accessible (in terms of cost and timing of sessions) for all staff, regardless of their job role. Additional effort should be taken to ensure those staff working outside normal working hours, and those working off-site, can easily engage with any intervention, to avoid the risk of intervention-generated inequalities (IGIs).

  12. Percutaneous intervention in obstructive

    International Nuclear Information System (INIS)

    Souftas, V.

    2012-01-01

    Percutaneous intervention procedures in obstructive uropathy include percutaneous nephrostomy tube placements, nephroureteral stents, percutaneous nephrostomy combined with ureteral embolization, percutaneous management of stone disease, suprapubic tube placements into the bladder, and perinephric/retroperitoneal urinomas/abscesses drainages. Percutaneous nephrostomy is performed to relieve urinary obstruction or divert the urinary stream away from the ureter or bladder. Patients are given preprocedure antibiotics. Percutaneous nephrostomies can be emergent cases because of risk of pyuria and sepsis from a stagnant urine collection. The procedure is performed using both ultrasound and fluoroscopy (or fluoroscopy alone using anatomic landmarks, or an internal radiopaque calculus, or delayed phase excretion of the contrast into the renal collecting system) under local anesthesia or conscious sedation. Ureteral stents are placed to bypass an obstructing stone or to stent across of an area of stricture or ureteral laceration. Stents may be placed by the urologist via a transurethral approach or by the interventional radiologist via a percutaneous approach. The decision as to method of stent placement is based upon the location and accessibility of the ureteral pathology. Ureteral embolization is performed in patients with unresectable tumors of the pelvis with long-standing nephrostomy tubes and distal urine leaks refractory to other treatments. Coils, gelfoam and liquid embolic materials can be used. Ureteral embolization for ureteral fistulas and incontinence is technically successful in 100% of the patients. Complications include bleeding, infection, ureteral or renal injury, and deployment (or movement) of the coils within the renal pelvis. Percutaneous management of stone disease, including renal, ureteral, and bladder stones requires close cooperation between the urologist and interventional radiologist, because of availability of sonographic lithotripsy

  13. Ethics of the humanitarian intervention

    Directory of Open Access Journals (Sweden)

    Savić Mile

    2009-01-01

    Full Text Available The main subject of this paper are the ethical aspects of humanitarian military intervention. Author shows the weaknesses and difficulties of consequentialistic and deontological justification of humanitarian intervention. He points to the impossibility of a coherent moral theory of humanitarian intervention and argues that the humanitarian interventions of the nineties of the 20th century do not compliance just war. In his opinion, they represent an attempt of the quasi moral masking the real politics which lead the most powerful states in order to protect their national interests. .

  14. Interventional chest procedures in pregnancy.

    LENUS (Irish Health Repository)

    Morgan, Ross K

    2012-02-01

    Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for which these interventions have a role are malignant and nonmalignant airway disease, pleural effusion, pneumothorax, and artificial airways. There are no data from well-designed prospective trials to guide recommendations for interventional pulmonary procedures in pregnancy. The recommendations provided in this article are based on critical review of reported case series, opinion from recognized experts, and personal observations.

  15. Interventional chest procedures in pregnancy.

    LENUS (Irish Health Repository)

    Morgan, Ross K

    2011-03-01

    Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for which these interventions have a role are malignant and nonmalignant airway disease, pleural effusion, pneumothorax, and artificial airways. There are no data from well-designed prospective trials to guide recommendations for interventional pulmonary procedures in pregnancy. The recommendations provided in this article are based on critical review of reported case series, opinion from recognized experts, and personal observations.

  16. En la población Canaria, la función de Framingham estima mejor el riesgo de mortalidad cardiovascular que la función SCORE Framingham function estimates the risk of cardio vascular mortality more effectively than SCORE function in the population of the Canary Islands (Spain

    Directory of Open Access Journals (Sweden)

    Antonio Cabrera de León

    2009-06-01

    Full Text Available Objetivos: Comparar la estimación de eventos cardiovasculares fatales con las funciones de Framingham y SCORE, además de explorar su capacidad para detectar el riesgo aportado por factores no incluidos en sus ecuaciones: sedentarismo, obesidad, perímetro abdominal, razón abdomen/estatura, razón abdomen/pelvis y consumo excesivo de alcohol. Métodos: Estudio transversal de 5.289 personas, de 30 a 69 años de edad, obtenidas por muestreo aleatorio en la población general de Canarias. Se calibraron las funciones de Framingham y SCORE, y se estimó su concordancia. Se obtuvo, para estas edades, la tasa poblacional de mortalidad cardiovascular y se confrontó con el riesgo predicho por las funciones. Resultados: En los hombres, la tasa de mortalidad por 100.000 habitantes fue de 67,4, en tanto que la estimación de Framingham, SCORE-Low y SCORE-High fue de 80, 140 y 270, respectivamente. En las mujeres, frente a una tasa de 19,3, la estimación fue de 30, 50 y 70, respectivamente. Ambas funciones detectaron el incremento del riesgo aportado por los factores estudiados, con la excepción, en las mujeres, del sedentarismo con SCORE y del consumo excesivo de alcohol con ambas funciones. En los hombres, tomando para Framingham los puntos de corte de >12%, >15% y >20%, la concordancia con SCORE-Low produjo una Kappa de 0,6, 0,7 y 0,5, respectivamente. Conclusiones: La función de Framingham estimó mejor las tasas de mortalidad que la función SCORE. Únicamente la función de Framingham detectó en ambos sexos el riesgo cardiovascular aportado por el sedentarismo. En Canarias recomendamos la aplicación de la función de Framingham calibrada.Introduction: To compare the performance of the Framingham and SCORE functions to estimate fatal cardiovascular events. In addition, we explored the ability of both functions to detect the risk contributed by factors not included in their equations: sedentariness, obesity, abdominal circumference, abdomen

  17. Intervention procedures for radionuclides

    International Nuclear Information System (INIS)

    Adelstein, S.J.

    1991-01-01

    As in the case of smoking and lung cancer, for large radionuclide releases, an ounce of prevention is worth a pound of cure. On the other hand, we feel compelled to do something sensible after an accident even if the principal benefit of intervention may be to comfort the population at risk. Of course, for populations near the site of an accident, evacuation should be considered, but it is unreasonable to apply this measure to distant populations, e.g., large segments of the European community could not be moved about as we observe the shifting of a radioactive cloud in response to changing winds. If the radionuclides are delivered as particulates, bringing people indoors and employing primitive air filters can temporarily reduce exposures, but these stratagems are not very effective against gaseous or volatile elements. What, then, can be done for populations downwind of a radioactive release whose air, water, and/or food supply are, or are about to become contaminated? 5 refs

  18. Wellness interventions for anesthesiologists.

    Science.gov (United States)

    Saadat, Haleh; Kain, Zeev N

    2018-06-01

    The review examines the different preventive measures that have been found to be useful to abolish or decrease the negative effects of burnout and increase resilience in anesthesiologists. Studies in anesthesiology cite autonomy, control of the work environment, professional relationships, leadership, and organizational justice as the most important factors in job satisfaction. Factors such as difficulty in balancing personal and professional life, poor attention to wellness, work alcoholism, and genetic factors increase an individual's susceptibility to burnout. Exposure to chronic or repeated stress instigates a spectrum of autonomic, endocrine, immunologic, and behavioral responses that activate the sympathetic-adrenal-medullary and hypothalamic-pituitary-adrenal axis. Investigating the difference in psychobiologic reactivity, as well as defining the psychological symptoms that are characteristic to individuals vulnerable to stress-induced illness, would enable scientists to better look into the modalities to eradicate the negative effects. Recent studies have shown that a combination of individual and structural changes in institutions can increase resilience in physicians. Burnout is a pathological syndrome that is triggered by constant levels of high stress. A combination of individual efforts as well as structural interventions can help to increase wellbeing in physicians.

  19. Implications for Therapeutic Intervention

    Directory of Open Access Journals (Sweden)

    A. L. Hof

    2001-01-01

    Full Text Available Patients with an upper motor neurone syndrome (CP suffer from many disabling primary symptoms: spasms, weakness, and loss of dexterity. These primary ‘neurogenic’ symptoms often lead to secondary disabilities, muscle contractures, and tertiary effects, bone deformations. A common symptom of CP is hypertonia, with. the consequence that the involved muscles remain in an excessively shortened length for most of the time. As a normal reaction of the muscle tissue, the number of sarcomeres is reduced and the muscle fibers shorten permanently: a contracture develops. A possible second type of contracture is that normal muscle lengthening along with bone growth is affected. Current treatments for the secondary effects include (1 reduction of muscle force, (2lengthening of the muscle fibers by serial plaster casts, and (3surgical lengthening of tendons or aponeurosis. The choice of treatment depends on the cause of the functional deficit. Bone tissue also adapts itself to abnormal forces, especially in the growth period. The hypertonias or contractures of CP so may give rise to bone malformations that interfere with function (e.g. femur endorotation or may reduce the action of muscles by changing the lever arm (e.g. ankle varus. Although prevention should always be preferred, a timely surgical intervention cannot always be avoided. The differences in treatment for the various groups require and justify an extensive laboratory investigation, including EMG recordings in gait, measurement of passive elastic properties, and long-term observation of the hypertonia.

  20. Interventions for actinic keratoses.

    Science.gov (United States)

    Gupta, Aditya K; Paquet, Maryse; Villanueva, Elmer; Brintnell, William

    2012-12-12

    Actinic keratoses are a skin disease caused by long-term sun exposure, and their lesions have the potential to develop into squamous cell carcinoma. Treatments for actinic keratoses are sought for cosmetic reasons, for the relief of associated symptoms, or for the prevention of skin cancer development. Detectable lesions are often associated with alteration of the surrounding skin (field) where subclinical lesions might be present. The interventions available for the treatment of actinic keratoses include individual lesion-based (e.g. cryotherapy) or field-directed (e.g. topical) treatments. These might vary in terms of efficacy, safety, and cosmetic outcomes. To assess the effects of topical, oral, mechanical, and chemical interventions for actinic keratosis. We searched the following databases up to March 2011: the Cochrane Skin Group Specialised Register, CENTRAL in The Cochrane Library, MEDLINE (from 2005), EMBASE (from 2010), and LILACS (from 1982). We also searched trials registers, conference proceedings, and grey literature sources. Randomised controlled trials (RCTs) comparing the treatment of actinic keratoses with either placebo, vehicle, or another active therapy. At least two authors independently abstracted data, which included adverse events, and assessed the quality of evidence. We performed meta-analysis to calculate a weighted treatment effect across trials, and we expressed the results as risk ratios (RR) and 95% confidence intervals (CI) for dichotomous outcomes (e.g. participant complete clearance rates), and mean difference (MD) and 95% CI for continuous outcomes (e.g. mean reduction in lesion counts). We included 83 RCTs in this review, with a total of 10,036 participants. The RCTs covered 18 topical treatments, 1 oral treatment, 2 mechanical interventions, and 3 chemical interventions, including photodynamic therapy (PDT). Most of the studies lacked descriptions of some methodological details, such as the generation of the randomisation

  1. Affirming independence: Exploring mechanisms underlying a values affirmation intervention for first-generation students.

    Science.gov (United States)

    Tibbetts, Yoi; Harackiewicz, Judith M; Canning, Elizabeth A; Boston, Jilana S; Priniski, Stacy J; Hyde, Janet S

    2016-05-01

    First-generation college students (students for whom neither parent has a 4-year college degree) earn lower grades and worry more about whether they belong in college, compared with continuing-generation students (who have at least 1 parent with a 4-year college degree). We conducted a longitudinal follow-up of participants from a study in which a values-affirmation intervention improved performance in a biology course for first-generation college students, and found that the treatment effect on grades persisted 3 years later. First-generation students in the treatment condition obtained a GPA that was, on average, .18 points higher than first-generation students in the control condition, 3 years after values affirmation was implemented (Study 1A). We explored mechanisms by testing whether the values-affirmation effects were predicated on first-generation students reflecting on interdependent values (thus affirming their values that are consistent with working-class culture) or independent values (thus affirming their values that are consistent with the culture of higher education). We found that when first-generation students wrote about their independence, they obtained higher grades (both in the semester in which values affirmation was implemented and in subsequent semesters) and felt less concerned about their background. In a separate laboratory experiment (Study 2) we manipulated the extent to which participants wrote about independence and found that encouraging first-generation students to write more about their independence improved their performance on a math test. These studies highlight the potential of having FG students focus on their own independence. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  2. Job Demands-Resources Interventions

    NARCIS (Netherlands)

    J. Van Wingerden (Jessica)

    2016-01-01

    markdownabstractThe main aim of this dissertation was to examine whether positive organizational interventions based on JD-R theory can enhance employees’ work engagement and performance. This thesis presented five empirical intervention studies from different perspectives; (a) a personal resources

  3. AAC Modeling Intervention Research Review

    Science.gov (United States)

    Sennott, Samuel C.; Light, Janice C.; McNaughton, David

    2016-01-01

    A systematic review of research on the effects of interventions that include communication partner modeling of aided augmentative and alternative communication (AAC) on the language acquisition of individuals with complex communication needs was conducted. Included studies incorporated AAC modeling as a primary component of the intervention,…

  4. Culinary Quality and foodbased interventions

    DEFF Research Database (Denmark)

    Røjel, Terkel

    -score, following a “Familystyle meal program”. Despite these results the overall effects on the nutritional status of the participants was not consistent. Discussion: A majority of the identified studies consisted of multicomponent and cross-disciplinary meal-time interventions. Thus few interventions solely...

  5. Interventional studies in nuclear medicine

    International Nuclear Information System (INIS)

    Saha, G.B.; Swanson, D.P.; Hladik, W.B. III

    1987-01-01

    Pharmacological interventions in nuclear medicine studies have been in practice for a long time. The triiodothyronine (T/sub 3/) suppression, Thyroid-stimulating hormone (TSH) stimulation, and perchlorate discharge tests are common examples of well-established diagnostic interventional studies. In recent years, pharmacologic and physiologic interventions in other nuclear medicine procedures have drawn considerable attention. The primary purpose of these interventions is to augment, complement or, more often, differentiate the information obtained from conventional nuclear medicine diagnostic studies. Pharmacologic interventions involve the administration of a specific drug before, during, or after the administration of radiopharmaceutical for a given study. The change in information due to intervention of the drug offers clues to differentiating various disease conditions. These changes can be brought about by physiologic interventions also, e.g., exercise in radionuclide ventriculography. In the latter interventions, the physiologic function of an organ is enhanced or decreased by physical maneuvers, and the changes observed can be used to differentiate various disease conditions

  6. Obesogenic environment – intervention opportunities

    Directory of Open Access Journals (Sweden)

    Mauro Fisberg

    2016-05-01

    Conclusion: Intervention opportunities are related to modifications in political, environmental, and individual settings. School and physical activities in the educational environment are intertwined with nutrition intervention in continuous education. A critical review of some different scenarios in Latin American countries is presented.

  7. Intervention principles: Theory and practice

    International Nuclear Information System (INIS)

    Jensen, P.H.; Crick, M.J.

    2000-01-01

    After the Chernobyl accident, it became clear that some clarification of the basic principles for intervention was necessary as well as more internationally recognised numerical guidance on intervention levels. There was in the former USSR and in Europe much confusion over, and lack of recognition of, the very different origins and purposes of dose limits for controlling deliberate increases in radiation exposure for practices and dose levels at which intervention is prompted to decrease existing radiation exposure. In the latest recommendations from ICRP in its Publication 60, a clear distinction is made between the radiation protection systems for a practice and for intervention. According to ICRP, the protective measures forming a program of intervention, which always have some disadvantages, should each be justified on their own merit in the sense that they should do more good than harm, and their form, scale, and duration should be optimised so as to do the most good. Intervention levels for protective actions can be established for many possible accident scenarios. For planning and preparedness purposes, a generic optimisation based on generic accident scenario calculations, should result in optimised generic intervention levels for each protective measure. The factors entering such an optimisation will on the benefit side include avertable doses and avertable risks as well as reassurance. On the harm side the factors include monetary costs, collective and individual risk for the action itself, social disruption and anxiety. More precise optimisation analyses based on real site and accident specific data can be carried out and result in specific intervention levels. It is desirable that values for easily measurable quantities such as dose rate and surface contamination density be developed as surrogates for intervention levels of avertable dose. However, it is important that these quantities should be used carefully and applied taking account of local

  8. The economics of interventional radiology

    International Nuclear Information System (INIS)

    Price, G.W.

    1988-01-01

    At a time when policy makers and regulators are scheming to reduce the costs and utilization of medical services, interventional radiology is poised for growth. Part of this potential for growth is based on wider acceptance of the procedures performed by interventional radiologists. A second factor in the growth potential is the relative value in cost of these procedures compared with alternative therapies. The author presents a discussion of the differences in the relative value of these procedures when performed by physicians of different specialties. This paper reviews the status of the economic climate in the health care delivery system and the role and potential growth of interventional radiology. This includes a review of current data on the utilization of interventional radiology procedures in the Medicare program. This overview includes a discussion of the initiatives of the federal government which directly impact interventional radiology

  9. Dietary intervention in acne

    Science.gov (United States)

    Melnik, Bodo

    2012-01-01

    The purpose of this paper is to highlight the endocrine signaling of Western diet, a fundamental environmental factor involved in the pathogenesis of epidemic acne. Western nutrition is characterized by high calorie uptake, high glycemic load, high fat and meat intake, as well as increased consumption of insulin- and IGF-1-level elevating dairy proteins. Metabolic signals of Western diet are sensed by the nutrient-sensitive kinase, mammalian target of rapamycin complex 1 (mTORC1), which integrates signals of cellular energy, growth factors (insulin, IGF-1) and protein-derived signals, predominantly leucine, provided in high amounts by milk proteins and meat. mTORC1 activates SREBP, the master transcription factor of lipogenesis. Leucine stimulates mTORC1-SREBP signaling and leucine is directly converted by sebocytes into fatty acids and sterols for sebaceous lipid synthesis. Over-activated mTORC1 increases androgen hormone secretion and most likely amplifies androgen-driven mTORC1 signaling of sebaceous follicles. Testosterone directly activates mTORC1. Future research should investigate the effects of isotretinoin on sebocyte mTORC1 activity. It is conceivable that isotretinoin may downregulate mTORC1 in sebocytes by upregulation of nuclear levels of FoxO1. The role of Western diet in acne can only be fully appreciated when all stimulatory inputs for maximal mTORC1 activation, i.e., glucose, insulin, IGF-1 and leucine, are adequately considered. Epidemic acne has to be recognized as an mTORC1-driven disease of civilization like obesity, type 2 diabetes, cancer and neurodegenerative diseases. These new insights into Western diet-mediated mTORC1-hyperactivity provide a rational basis for dietary intervention in acne by attenuating mTORC1 signaling by reducing (1) total energy intake, (2) hyperglycemic carbohydrates, (3) insulinotropic dairy proteins and (4) leucine-rich meat and dairy proteins. The necessary dietary changes are opposed to the evolution of

  10. Patient doses in interventional cardiology

    International Nuclear Information System (INIS)

    Carrera, F.; Ojeda, C.; Ruiz-Cruces, R.; Francisco Diaz, J.; Sanchez, A.; Tort, I.

    2001-01-01

    Cardiovascular diseases are the first cause of death in Spain. The most usual procedures in interventional cardiology are coronariography and PTCA. The first is a diagnostic technique, and the second one is interventional. Our goal has been to study procedures made during the first six months in the Interventional Cardiology Unit of the Juan Ramon Jimenez Hospital (Huelva-Spain), taking into account radiation protection issues. We have studied 178 patients; 145 of them underwent coronariography, and 33 of the patients had PTCA too. Every case was analyzed taking into account technical and dosimetric parameters. We show parameters values gathered: Diagnostic techniques (valvular and non-valvular patients), and interventional techniques (coronariography and PTCA in different or in the same intervention). Higher doses were obtained with valvular patients, although the number of frames was similar. Attending to therapeutic procedures, the highest values were gotten with the 'double' interventions. Interventional procedures exceed in 60% doses gotten in diagnostic studies: this is because of the number of series and number of frames per series. Similar values obtained by other authors have been gotten. (author)

  11. International Humanitarian intervention in Kosovo

    Directory of Open Access Journals (Sweden)

    Valmir Hylenaj

    2016-03-01

    Full Text Available Humanitarian intervention in Kosovo did not happen by any geopolitical interest, but simply by an entirely humanitarian character which is closely connected with democratic principles, human rights, and the lack of moral order. Except for damages, massacres and destruction by fire of very sophisticated military artillery, Serbian army and police have forced with violence more than thousands of Kosovo Albanians to leave their home (Pllana, 2010, 241. With humanitarian intervention, NATO had shown it was ready to defend universal human values as the fundamental principle of humanity (free life. Main purpose of this article is an analysis of the international human intervention in Kosovo

  12. Interventions for emergency contraception.

    Science.gov (United States)

    Shen, Jie; Che, Yan; Showell, Emily; Chen, Ke; Cheng, Linan

    2017-08-02

    Emergency contraception (EC) is using a drug or copper intrauterine device (Cu-IUD) to prevent pregnancy shortly after unprotected intercourse. Several interventions are available for EC. Information on the comparative effectiveness, safety and convenience of these methods is crucial for reproductive healthcare providers and the women they serve. This is an update of a review previously published in 2009 and 2012. To determine which EC method following unprotected intercourse is the most effective, safe and convenient to prevent pregnancy. In February 2017 we searched CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, Popline and PubMed, The Chinese biomedical databases and UNDP/UNFPA/WHO/World Bank Special Programme on Human Reproduction (HRP) emergency contraception database. We also searched ICTRP and ClinicalTrials.gov as well as contacting content experts and pharmaceutical companies, and searching reference lists of appropriate papers. Randomised controlled trials including women attending services for EC following a single act of unprotected intercourse were eligible. We used standard methodological procedures recommended by Cochrane. The primary review outcome was observed number of pregnancies. Side effects and changes of menses were secondary outcomes. We included 115 trials with 60,479 women in this review. The quality of the evidence for the primary outcome ranged from moderate to high, and for other outcomes ranged from very low to high. The main limitations were risk of bias (associated with poor reporting of methods), imprecision and inconsistency. Comparative effectiveness of different emergency contraceptive pills (ECP)Levonorgestrel was associated with fewer pregnancies than Yuzpe (estradiol-levonorgestrel combination) (RR 0.57, 95% CI 0.39 to 0.84, 6 RCTs, n = 4750, I 2 = 23%, high-quality evidence). This suggests that if the chance of pregnancy using Yuzpe is assumed to be 29 women per 1000, the chance of pregnancy using levonorgestrel would be between

  13. Personal Change and Intervention Style

    Science.gov (United States)

    Andrews, John D. W.

    1977-01-01

    Presents a theory of personal change and analyzes growth-producing interventions using examples from the film, "Three Approaches to Psychotherapy". Compares the styles of Carl Rogers, Frttz Perls, and Albert Ellis to illustrate the theory. (Editor/RK)

  14. Alternative food safety intervention technologies

    Science.gov (United States)

    Alternative nonthermal and thermal food safety interventions are gaining acceptance by the food processing industry and consumers. These technologies include high pressure processing, ultraviolet and pulsed light, ionizing radiation, pulsed and radiofrequency electric fields, cold atmospheric plasm...

  15. THE LIMITS OF POSITIVE INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    Gonzalo Hervás

    2017-01-01

    Full Text Available Positive interventions have been developed extensively in recent years and they have been tested and applied in very diverse settings. Despite the fact that most of the findings regarding their efficacy can be considered from positive to very positive, the possibility that, in some cases, positive interventions may have unexpected or even iatrogenic effects cannot be discarded. In this article, research from several sources is reviewed in order to inform decisions about what interventions might be inadequate for cases with specific characteristics or vulnerability traits. Finally, the importance of using positive interventions with caution and rigor even when working with individuals who do not have overt problems or psychological disorders is discussed.

  16. A COMPLICATED GRIEF INTERVENTION MODEL

    African Journals Online (AJOL)

    2010-07-29

    Jul 29, 2010 ... work approach to therapy) in an attempt to develop a model for complicated grief intervention ..... way feels right for them, thus making them equal partners with .... This question points out the benefits of success and affords the.

  17. Interventions for preoperative smoking cessation

    DEFF Research Database (Denmark)

    Thomsen, Thordis; Villebro, Nete; Møller, Ann Merete

    2014-01-01

    BACKGROUND: Smokers have a substantially increased risk of postoperative complications. Preoperative smoking intervention may be effective in decreasing this incidence, and surgery may constitute a unique opportunity for smoking cessation interventions. OBJECTIVES: The objectives of this review...... are to assess the effect of preoperative smoking intervention on smoking cessation at the time of surgery and 12 months postoperatively, and on the incidence of postoperative complications. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group Specialized Register in January 2014. SELECTION CRITERIA......: Randomized controlled trials that recruited people who smoked prior to surgery, offered a smoking cessation intervention, and measured preoperative and long-term abstinence from smoking or the incidence of postoperative complications or both outcomes. DATA COLLECTION AND ANALYSIS: The review authors...

  18. Therapeutic interventions in cerebral palsy.

    Science.gov (United States)

    Patel, Dilip R

    2005-11-01

    Various therapeutic interventions have been used in the management of children with cerebral palsy. Traditional physiotherapy and occupational therapy are widely used interventions and have been shown to be of benefit in the treatment of cerebral palsy. Evidence in support of the effectiveness of the neurodevelopmental treatment is equivocal at best. There is evidence to support the use and effectiveness of neuromuscular electrical stimulation in children with cerebral palsy. The effectiveness of many other interventions used in the treatment of cerebral palsy has not been clearly established based on well-controlled trials. These include: sensory integration, body-weight support treadmill training, conductive education, constraint-induced therapy, hyperbaric oxygen therapy, and the Vojta method. This article provides an overview of salient aspects of popular interventions used in the management of children with cerebral palsy.

  19. Interventional Management for Pelvic Pain.

    Science.gov (United States)

    Nagpal, Ameet S; Moody, Erika L

    2017-08-01

    Interventional procedures can be applied for diagnostic evaluation and treatment of the patient with pelvic pain, often once more conservative measures have failed to provide relief. This article reviews interventional management strategies for pelvic pain. We review superior and inferior hypogastric plexus blocks, ganglion impar blocks, transversus abdominis plane blocks, ilioinguinal, iliohypogastric and genitofemoral blocks, pudendal nerve blocks, and selective nerve root blocks. Additionally, we discuss trigger point injections, sacroiliac joint injections, and neuromodulation approaches. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Interventions for paracetamol (acetaminophen) overdoses

    DEFF Research Database (Denmark)

    Brok, J; Buckley, N; Gluud, C

    2002-01-01

    Self-poisoning with paracetamol (acetaminophen) is a common cause of hepatotoxicity in the Western World. Interventions for paracetamol poisoning encompass inhibition of absorption, removal from the vascular system, antidotes, and liver transplantation.......Self-poisoning with paracetamol (acetaminophen) is a common cause of hepatotoxicity in the Western World. Interventions for paracetamol poisoning encompass inhibition of absorption, removal from the vascular system, antidotes, and liver transplantation....

  1. The Ethics of Workplace Interventions

    DEFF Research Database (Denmark)

    Hasle, Peter; Limborg, Hans Jørgen

    2004-01-01

    A discussion of the ethical dilemmas confronting occupational health and safety professionals when they are involved in workplace interventions. Case stories from the Danish occupational health service are used as the emperical point of departure for paper.......A discussion of the ethical dilemmas confronting occupational health and safety professionals when they are involved in workplace interventions. Case stories from the Danish occupational health service are used as the emperical point of departure for paper....

  2. Robotics in percutaneous cardiovascular interventions.

    Science.gov (United States)

    Pourdjabbar, Ali; Ang, Lawrence; Behnamfar, Omid; Patel, Mitul P; Reeves, Ryan R; Campbell, Paul T; Madder, Ryan D; Mahmud, Ehtisham

    2017-11-01

    The fundamental technique of performing percutaneous cardiovascular (CV) interventions has remained unchanged and requires operators to wear heavy lead aprons to minimize exposure to ionizing radiation. Robotic technology is now being utilized in interventional cardiology partially as a direct result of the increasing appreciation of the long-term occupational hazards of the field. This review was undertaken to report the clinical outcomes of percutaneous robotic coronary and peripheral vascular interventions. Areas covered: A systematic literature review of percutaneous robotic CV interventions was undertaken. The safety and feasibility of percutaneous robotically-assisted CV interventions has been validated in simple to complex coronary disease, and iliofemoral disease. Studies have shown that robotically-assisted PCI significantly reduces operator exposure to harmful ionizing radiation without compromising procedural success or clinical efficacy. In addition to the operator benefits, robotically-assisted intervention has the potential for patient advantages by allowing more accurate lesion length measurement, precise stent placement and lower patient radiation exposure. However, further investigation is required to fully elucidate these potential benefits. Expert commentary: Incremental improvement in robotic technology and telecommunications would enable treatment of an even broader patient population, and potentially provide remote robotic PCI.

  3. Endovascular interventions for multiple trauma

    International Nuclear Information System (INIS)

    Kinstner, C.; Funovics, M.

    2014-01-01

    In recent years interventional radiology has significantly changed the management of injured patients with multiple trauma. Currently nearly all vessels can be reached within a reasonably short time with the help of specially preshaped catheters and guide wires to achieve bleeding control of arterial und venous bleeding. Whereas bleeding control formerly required extensive open surgery, current interventional methods allow temporary vessel occlusion (occlusion balloons), permanent embolization and stenting. In injured patients with multiple trauma preinterventional procedural planning is performed with the help of multidetector computed tomography whenever possible. Interventional radiology not only allows minimization of therapeutic trauma but also a considerably shorter treatment time. Interventional bleeding control has developed into a standard method in the management of vascular trauma of the chest and abdomen as well as in vascular injuries of the upper and lower extremities when open surgical access is associated with increased risk. Additionally, pelvic trauma, vascular trauma of the superior thoracic aperture and parenchymal arterial lacerations of organs that can be at least partially preserved are primarily managed by interventional methods. In an interdisciplinary setting interventional radiology provides a safe and efficient means of rapid bleeding control in nearly all vascular territories in addition to open surgical access. (orig.) [de

  4. Bringing parenting interventions back to the future: How randomized microtrials may benefit parenting intervention efficacy

    NARCIS (Netherlands)

    Leijten, P.; Dishion, T.J.; Thomaes, S.; Raaijmakers, M.A.J.; Orobio de Castro, B.; Matthys, W.

    2015-01-01

    A novel approach is needed to promote the efficacy of parenting interventions designed to improve children's mental health. The proposed approach bridges developmental and intervention science to test which intervention elements contribute to parenting intervention program efficacy. The approach

  5. Psychological interventions for cystic fibrosis.

    Science.gov (United States)

    Glasscoe, C A; Quittner, A L

    2003-01-01

    As survival estimates for cystic fibrosis (CF) steadily increase long-term management has become an important focus for intervention. Psychological interventions are largely concerned with emotional and social adjustments, adherence to treatment and quality of life, however no systematic review of such interventions has been undertaken for this disease. To describe the extent and quality of effectiveness studies utilising psychological interventions for CF and whether these interventions provide significant psychosocial and physical benefits in addition to standard care. Relevant trials were identified from searches of Ovid MEDLINE, the Cochrane trial registers for CF and Depression, Anxiety and Neurosis Groups and PsychINFO; unpublished trials were located through professional networks and Listserves. Most recent search: April 2003. This review included RCTs and quasi-randomised trials. Study participants were children and adults diagnosed with CF, and their immediate family members. Psychological interventions were from a broad range of modalities and outcomes were primarily psychosocial, although physical outcomes and cost effectiveness were also considered. Two reviewers independently selected relevant trials and assessed their methodological quality. For binary and continuous outcomes a pooled estimate of treatment effect was calculated for each outcome. This review is based on the findings of eight studies, representing data from a total of 358 participants. Studies fell into four conceptually similar groups: (1) gene pre-test education counselling for relatives of those with CF (one study); (2) biofeedback, massage and music therapy to assist physiotherapy (three studies); (3) behavioural intervention to improve dietary intake in children up to 12 years (three studies); and (4) self-administration of treatments to improve quality of life in adults (one study). Interventions were largely educational or behavioural, targeted at specific treatment concerns

  6. Occupational exposure in interventional radiology

    International Nuclear Information System (INIS)

    Oh, H.J.; Lee, K.Y.; Cha, S.H.; Kang, Y.K.; Kim, H.J.; Oh, H.J.

    2003-01-01

    This study was conducted to survey of radiation safety control and to measure occupational radiation exposure dose of staff in interventional radiology in Korea. Interventioanl radiology requires the operator and assisting personnel to remain close to the patient, and thus close to primary beams of radiation. Therefore exposure doses of these personnel are significant from a radiological protection point of view. We surveyed the status of radiation safety on interventional radiology of 72 hospitals. The result were that 119 radiation equipments are using in interventional radiology and 744 staffs are composed of 307 radiologists, 116 residents of radiology, 5 general physicians, 171 radiologic technologists and 145 nurses. 81.4% and 20.2 % of operating physicians are using neck collar protector and goggle respectively. The average radiation dose was measured 0.46±0.15 mSv/10 hours fluoroscopy inside examination room in radiation protection facilities. Occupational radiation exposure data on the staff were assessed in interventional radiology procedures from 8 interventional radiology equipments of 6 university hospitals. The dose measurements were made by placing a thermoluminesent dosimeter(TLD) on various body surface of operation and assistant staff during actual interventional radiology. The measured points were the corner of the eyes, neck(on the thyroid) , wrists, chest(outside and inside of the protector), and back. Average radiation equivalent dose of the corner of left eye and left wrist of operating physicians were 1.19 mSv(0.11∼4.13 mSv)/100 minutes fluoroscopy and 4.32 mSv(0.16∼11.0 mSv)/100 minutes fluoroscopy respectively. Average exposure dose may vary depending on the type of procedure, personal skills and the quality of equipment. These results will be contributed to prepare the guide line in interventional radiology in Korea

  7. Community interventions for cardiovascular disease.

    Science.gov (United States)

    Parker, Donna R; Assaf, Annlouise R

    2005-12-01

    Review of the community-based CVD intervention programs suggests that a number of components have been successful using varying methods and materials for CVD risk reduction. It should be noted, however, that in multi-intervention programs it is often difficult to determine which components of the intervention were responsible for the overall success of the study. The community-based approach to CVD prevention is generalizable, cost-effective (because of the use of mass communication methods), and has the potential for modifying the environment and influencing health policies. Based on the experiences and successes of a number of community projects, recommendations have been proposed for developing future programs. Although they are not totally comprehensive, it has been suggested that a community-based intervention program should consider the following recommendations: 1) An understanding of the community: the needs and priorities of the community should be assessed, and close collaboration with individuals from the community, including community leaders, opinion leaders, community health care providers, and community organizations from various sectors of the community, should be consulted. Efforts should be focused on underserved and vulnerable populations. 2) Inclusion of community activities: these activities should be integrated within the context of the community environment, including primary health care services, voluntary organizations, grocery stores, restaurants, work sites, schools, and local media. 3) Inclusion mass media messages: the mass media can provide information and reinforcement of the behavior change. 4) Develop cost-effective interventions to assure that the community is exposed to an effective dose of the intervention. 5) Work with community organizations to help change social and physical environments to make them more conducive to health and healthy life-styles changes. 6) Develop a reliable monitoring and evaluation system: monitor the

  8. Endovascular interventional magnetic resonance imaging

    International Nuclear Information System (INIS)

    Bartels, L W; Bakker, C J G

    2003-01-01

    Minimally invasive interventional radiological procedures, such as balloon angioplasty, stent placement or coiling of aneurysms, play an increasingly important role in the treatment of patients suffering from vascular disease. The non-destructive nature of magnetic resonance imaging (MRI), its ability to combine the acquisition of high quality anatomical images and functional information, such as blood flow velocities, perfusion and diffusion, together with its inherent three dimensionality and tomographic imaging capacities, have been advocated as advantages of using the MRI technique for guidance of endovascular radiological interventions. Within this light, endovascular interventional MRI has emerged as an interesting and promising new branch of interventional radiology. In this review article, the authors will give an overview of the most important issues related to this field. In this context, we will focus on the prerequisites for endovascular interventional MRI to come to maturity. In particular, the various approaches for device tracking that were proposed will be discussed and categorized. Furthermore, dedicated MRI systems, safety and compatibility issues and promising applications that could become clinical practice in the future will be discussed. (topical review)

  9. Diagnostic interventions in nuclear medicine

    International Nuclear Information System (INIS)

    Thrall, J.H.; Swanson, D.P.

    1989-01-01

    Diagnostic interventions in nuclear medicine may be defined as the coadministration of a nonradioactive drug or application of a physical stimulus or physiologic maneuver to enhance the diagnostic utility of a nuclear medicine test. The rationale for each interventional maneuver follows from the physiology or metabolism of the particular organ or organ system under evaluation. Diagnostic inference is drawn from the pattern of change in the biodistribution of the tracer in response to the intervention-induced change in metabolism or function. In current practice, the most commonly performed interventional maneuvers are aimed at studies of the heart, genitourinary system, hepatobiliary system, and gastrointestinal tract. The single most commonly performed interventional study in the United States is the stress Thallium-201 myocardial perfusion scan aimed at the diagnosis of coronary artery disease. The stress portion of the study is accomplished with dynamic leg exercise on a treadmill and is aimed at increasing myocardial oxygen demands. Areas of myocardium distal to hemodynamically significant lesions in the coronary arteries become ischemic at peak stress due to the inability of the stenotic vessel to respond to the oxygen demand/blood flow needs of the myocardium. Ischemic areas are readily recognized as photopenic defects on scans obtained immediately after exercise, with normalization upon delayed imaging. Diuresis renography is aimed at the differential diagnosis of hydroureteronephrosis. By challenging the urinary tract collecting structures with an augmented urine flow, dilated, unobstructed systems can be differentiated from systems with significant mechanical obstruction. 137 references

  10. Indicadores de calidad en cardiología. Principales indicadores para medir la calidad de los resultados (indicadores de resultados) y parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): Declaración de posicionamiento de consenso de SEC/SECTCV

    OpenAIRE

    López-Sendón, José; González-Juanatey, José Ramón; Pinto, Fausto; Cuenca Castillo, José; Badimón, Lina; Dalmau, Regina; González Torrecilla, Esteban; López-Mínguez, José Ramón; Maceira, Alicia M.; Pascual-Figal, Domingo; Pomar Moya-Prats, José Luis; Sionis, Alessandro; Zamorano, José Luis

    2015-01-01

    La práctica clínica cardiológica requiere una organización compleja que influya en los resultados globales y puede diferir sustancialmente entre distintos hospitales y comunidades. El objetivo de este documento de consenso es definir indicadores de calidad en cardiología, incluidos los indicadores para medir la calidad de los resultados (indicadores de resultados) y los parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). El d...

  11. Computational radiology for orthopaedic interventions

    CERN Document Server

    Li, Shuo

    2016-01-01

    This book provides a cohesive overview of the current technological advances in computational radiology, and their applications in orthopaedic interventions. Contributed by the leading researchers in the field, this volume covers not only basic computational radiology techniques such as statistical shape modeling, CT/MRI segmentation, augmented reality and micro-CT image processing, but also the applications of these techniques to various orthopaedic interventional tasks. Details about following important state-of-the-art development are featured: 3D preoperative planning and patient-specific instrumentation for surgical treatment of long-bone deformities, computer assisted diagnosis and planning of periacetabular osteotomy and femoroacetabular impingement, 2D-3D reconstruction-based planning of total hip arthroplasty, image fusion for  computer-assisted bone tumor surgery, intra-operative three-dimensional imaging in fracture treatment, augmented reality based orthopaedic interventions and education, medica...

  12. Interventions for preoperative smoking cessation

    DEFF Research Database (Denmark)

    Thomsen, Thordis; Villebro, N.; Møller, Ann Merete

    2010-01-01

    Background Smokers have a substantially increased risk of postoperative complications. Preoperative smoking intervention may be effective in decreasing this incidence, and surgery may constitute a unique opportunity for smoking cessation interventions. Objectives The objective of this review...... was to assess the effect of preoperative smoking intervention on smoking cessation at the time of surgery and 12 months postoperatively and on the incidence of postoperative complications. Search strategy The specialized register of the Cochrane Tobacco Addiction Group was searched using the free text...... and keywords (surgery) or (operation) or (anaesthesia) or (anesthesia). MEDLINE, EMBASE and CINAHL were also searched, combining tobacco- and surgery-related terms. Most recent search April 2010. Selection criteria Randomized controlled trials that recruited people who smoked prior to surgery, offered...

  13. Equipment standards for interventional cardiology

    International Nuclear Information System (INIS)

    Dowling, A.; Gallagher, A.; Walsh, C.; Malone, J.

    2005-01-01

    Interventional radiology has seen rapid growth in cardiology and represents an alternative to hazardous surgery. Recently there has been a substantial growth in the number of procedures being performed and interventional cardiology (IC) procedures are the most common interventional procedures in Europe. Advances in imaging technology have facilitated the development of increasingly complex radiological IC equipment. Currently, the technology is developing at a rate ahead of supporting research, equipment standards and a regulatory framework. International standards play a key role in the design, manufacture and performance of radiological IC equipment. A survey of 12 IC systems (15 imaging chains) was conducted in Irish hospitals. The aim of the study was to assess the imbalance between rapidly advancing technology and existing standards and to propose recommendations for new IC equipment standards. The results demonstrate the need for definitive equipment requirements and standardisation in the design, manufacture, acceptance and maintenance of IC equipment. (authors)

  14. Psychosocial Interventions in Depressive Disorders

    Directory of Open Access Journals (Sweden)

    Ceyda Basogul

    2015-03-01

    Full Text Available In the last ten years, improvements in effective psychosocial interventions in the prevention and treatment of depression are remarkable. The World Health Organization stated that major depression affects children, adults and the elderly and is the leading cause of approximately 12% of all disabilities around the World. Medical expenses, loss of workforce, suicide risk, the risk of relapse or recurrence are taken into account, depression is an issue that needs to be handled with utmost care for health care workers especially psychiatric nurses. The purpose of this literature review is to examine psychosocial interventions and effectiveness of these interventions for depressive disorders shows a gradual increase in prevalence in worlwide. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2015; 7(1: 1-15

  15. [Radiation protection in interventional radiology].

    Science.gov (United States)

    Adamus, R; Loose, R; Wucherer, M; Uder, M; Galster, M

    2016-03-01

    The application of ionizing radiation in medicine seems to be a safe procedure for patients as well as for occupational exposition to personnel. The developments in interventional radiology with fluoroscopy and dose-intensive interventions require intensified radiation protection. It is recommended that all available tools should be used for this purpose. Besides the options for instruments, x‑ray protection at the intervention table must be intensively practiced with lead aprons and mounted lead glass. A special focus on eye protection to prevent cataracts is also recommended. The development of cataracts might no longer be deterministic, as confirmed by new data; therefore, the International Commission on Radiological Protection (ICRP) has lowered the threshold dose value for eyes from 150 mSv/year to 20 mSv/year. Measurements show that the new values can be achieved by applying all X‑ray protection measures plus lead-containing eyeglasses.

  16. Impact of initial platelet count on baseline angiographic finding and end-points in ST-elevation myocardial infarction referred for primary percutaneous coronary intervention.

    Science.gov (United States)

    Kaplan, Sahin; Kaplan, Safiye Tuba; Kiris, Abdulkadir; Gedikli, Omer

    2014-01-01

    The baseline platelet count (BPC) in patients with acute ST elevation myocardial infarction (STEMI) may reflect the baseline anjiografic finding and may also predic long-term outcomes after primary percutaneous coronary intervention (PPCI). Available data for the value of BPC in patients with STEMI treated with PPCI are still questionable. Therefore, we sought to determine the prognostic value of BPC for baseline angiographic finding and the impact of BPC on clinical outcomes of patients treating with PPCI. Blood sample for BPC was obtained on admission in 140 consecutive patients undergoing PPCI. Patients were divided 2 groups that group-1 (104 patients): TIMI flow-grade 0 and group-2 (36 patients): TIMI flow-grade 1-3. Follow-up was performed at 1-9 months. Baseline demographics were comparable, but, BPC was significantly higher in group-1 comparing 2 (293.7±59.8x10(9)/L vs. 237.7±50.9x10(9)/L, pmeasuring of a BPC on admission may also provide further practical and therapeutic profits.

  17. Territorial hypothesis predicts the trade-off between reproductive opportunities and parental care in three species of damselfishes (Pomacentridae: Actinopterygii La hipótesis territorial predice la compensación entre las oportunidades reproductivas y el cuidado parental en tres especies de peces damisela (Pomacentridae: Actinopterygii

    Directory of Open Access Journals (Sweden)

    Eduardo Bessa

    2012-03-01

    Full Text Available Paternal care is rare in most animals, but common in fishes, including Pomacentridae. One way of explaining it is through the territorial hypothesis, which predicts that paternal care may evolve when caring for a territory with eggs will not cost more than territories without eggs. Here we describe the reproductive behavior of three pomacentrids from São Paulo, Brazil, and evaluate if the territorial hypothesis explains their behavioral variation through five predictions. We checked if females have multiple spawns (prediction 1, if they forage more (prediction 2 and if territory defence demands more when eggs are present (prediction 3. We also described how visible eggs are (prediction 4 and how available nesting sites are (prediction 5. Chromis multilineata differed from Abudefduf saxatilis and Stegastes fuscus by not guarding the eggs, spending less time with territoriality and fanning eggs; and more time feeding and foraging. Females of the three species are iteroparous. Females' A. saxatilis and S. fuscus foraged more than males, which spent the same amount of time in territorial defence before and after eggs were delivered. These two species also have very conspicuous egg clutches on clean rock surfaces defended by them. On the other hand, males and females of C. multilineata spent the same time foraging, while territoriality took more effort after eggs were present and it spawns cryptic eggs amid Sargassum, a common and disperse micro-environment in São Paulo rocky shores. Territorial hypothesis explains why paternal care by A. saxatilis and S. fuscus lasts longer than by C. multilineata.El cuidado paterno es raro en la mayoría de los animales, pero común en los peces, incluyendo los Pomacentridae. Una forma de explicar este fenómeno es la hipótesis territorial, que predice que el cuidado paterno puede evolucionar cuando la protección de un territorio con huevos no cuesta más que la de territorios sin huevos. Aquí se describe el

  18. Impact evaluation of infrastructure interventions

    DEFF Research Database (Denmark)

    Hansen, Henrik; Andersen, Ole Winckler; White, Howard

    2011-01-01

    in this volume. Understanding impact means understanding the context in which an intervention takes place and the channels through which the impact on outcomes is expected to occur. Such analysis typically requires mixing both quantitative and qualitative approaches. The analysis will also anticipate......The focus on results in development agencies has led to increased focus on impact evaluation to demonstrate the effectiveness of development programmes. A range of methods are available for counterfactual analysis of infrastructure interventions, as illustrated by the variety of papers...

  19. Improving evaluation of obstetric interventions

    NARCIS (Netherlands)

    van 't Hooft, J.

    2016-01-01

    In most pregnancies the synergy between mother and her unborn child is adequately balanced, resulting in the birth of the baby at the end of an uncomplicated pregnancy. Unfortunately, not all pregnancies and deliveries remain in such optimal balance. Many new and existing interventions can be

  20. Early Childhood Intervention in China

    Science.gov (United States)

    Zheng, Yuzhu; Maude, Susan P.; Brotherson, Mary Jane

    2015-01-01

    With rapid economic development and increasing awareness of the importance of early childhood intervention (ECI), China is re-examining its social and educational practices for young children with disabilities. This re-examination may have a significant impact on young children with disabilities in China. It may also set an example for other…

  1. Imaging in percutaneous musculoskeletal interventions

    International Nuclear Information System (INIS)

    Gangi, Afshin; Guth, Stephane; Guermazi, Ali

    2009-01-01

    This is one of the first books to deal specifically with imaging in percutaneous musculoskeletal interventions. The use of different imaging modalities during these procedures is well described. In the first chapter, the basic procedures and different guidance techniques are presented and discussed. The ensuing chapters describe in exhaustive detail the abilities and uses of imaging in guiding procedures ranging from biopsy and joint injection to management of pain and tumors. These procedures are extensively documented in adults as well as in the pediatric population. The third part of the book describes the different indications for vascular interventions in musculoskeletal lesions. The final chapter focuses on ultrasound-guided interventions, as they are more common and tend to be fashionable. The book is well illustrated with carefully chosen and technically excellent images. Each of the 18 chapters is written by an expert of international repute, making this book the most current and complete treatment of the subject available. It should be of great interest to interventional radiologists and also musculoskeletal and general radiologists. (orig.)

  2. Neighborhood Interventions to Reduce Violence

    Science.gov (United States)

    Michelle C. Kondo; Elena Andreyeva; Eugenia C. South; John M. MacDonald; Charles C. Branas

    2018-01-01

    Violence is a widespread problem that affects the physical, mental, and social health of individuals and communities. Violence comes with an immense economic cost to its victims and society at large. Although violence interventions have traditionally targeted individuals, changes to the built environment in places where violence occurs show promise as practical,...

  3. Exercise as a Counseling Intervention.

    Science.gov (United States)

    Okonski, Verna O.

    2003-01-01

    The focus of wellness counseling is to guide individuals to live a healthy life in which body, mind, and spirit are integrated in order to experience fulfillment and happiness. The purpose of this article is to provide counselors steps to follow when using exercise as a counseling intervention and to provide techniques that will encourage exercise…

  4. Music interventions for dental anxiety.

    Science.gov (United States)

    Bradt, J; Teague, A

    2018-04-01

    Anxiety is a significant issue in the dental care of adults and children. Dental anxiety often leads to avoidance of dental care which may result in significant deterioration of oral and dental health. Non-pharmacological anxiety management interventions such as music listening are increasingly used in dental care. Although efficacy for music's anxiolytic effects has been established for pre-operative anxiety, findings regarding the use of music listening for dental anxiety are inconclusive, especially for children. The use of music for passive distraction may not be adequate for children and highly anxious adults. Instead, interventions offered by a trained music therapist may be needed to optimize music's anxiolytic impact. Music therapy interventions are individualized to the patient's presenting needs and geared at enhancing patients' active engagement in the management of their anxiety. Interventions may include (i) active refocusing of attention, (ii) music-guided deep breathing, (iii) music-assisted relaxation, and (iv) music-guided imagery. In addition, music therapists can teach patients music-based anxiety management skills prior to dental treatments, offer them the opportunity to express emotions related to the upcoming procedure, and help them gain a sense of control and safety. Clinical guidelines for the use of music listening by dental practitioners are offered. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Diagnoses and interventions in podiatry.

    NARCIS (Netherlands)

    Zuijderduin, W.M.; Dekker, J.

    1996-01-01

    In the present study a quantitative description is given of diagnoses and interventions in podiatry. Data are used from a survey on podiatry practice in The Netherlands. Data have been recorded by 36 podiatrists on 897 patients. Information was gathered on patient characteristics, the medical

  6. PRODUCT INTERVENTION: A EUROPEAN PERSPECTIVE

    OpenAIRE

    Schaeken Willemaers, Gaëtane

    2013-01-01

    This article wishes to contribute to the debate on how to best regulate the European retail financial market. This article is a reflection on the recent emphasis put by the European regulator on product intervention to address the various risks facing the retail investor.

  7. Brain aging and therapeutic interventions

    DEFF Research Database (Denmark)

    This book brings together most up-to-date information on different aspects of brain aging and on the strategies for intervention and therapy of age-related brain disorders. It includes 18 chapters by leading researchers, and each chapter is a comprehensive and critical review of the topic...

  8. Towards Behaviorally Informed Public Interventions

    Directory of Open Access Journals (Sweden)

    Karol Olejniczak

    2015-06-01

    Full Text Available Purpose: This article informs readers about the theoretical and practical origins of the behaviorally informed interventions (BIPI, analyzes examples of the BIPI from different policy sectors and strategies they offer for policy and regulatory design, and discusses applications and implications of BIPI for public interventions Methodology: This paper is based on a review of literature, as well as an inspection of administrative practices in OECD countries. It encompasses a systematic analysis of scientific papers fromthe SCOPUS database and a query carried out at the library of George Washington University. Findings: The traditional approach to public policy research is based on rational choice theory. It offers limited support, because by assuming perfect rationality of policy decisions, it overlooks existence of systematic errors and biases of human decision-making. The authors argue that behaviorally informed public interventions (BIPI might contribute to improving the effectiveness of a number of public measures – regulation, projects, programs, and even entire policies. Practical implications: The behavioral approach allows decision-makers to better understand the decisions and behaviors of citizens, as well as to design more effective interventions with minimum effort by adapting the existing solutions to real decision mechanisms of citizens. Originality: By combining the concepts of traditional approach with the growing behavioral approach, the authors aim to propose a new theoretical framework (BIPI to be used as a tool for policy design, delivery and evaluation.

  9. Humanitarian Crises, Intervention and Security

    NARCIS (Netherlands)

    Heyse, Liesbet; Zwitter, Andrej; Wittek, Rafael; Herman, Joost

    2014-01-01

    This book presents a new framework of analysis to assess natural and man-made disasters and humanitarian crises, and the feasibility of interventions in these complex emergencies. The past half-century has witnessed a dramatic increase in such crises – such as in Haiti, Iraq and Sudan – and this

  10. [Quality assurance in interventional cardiology].

    Science.gov (United States)

    Gülker, H

    2009-10-01

    Quality assurance in clinical studies aiming at approval of pharmaceutical products is submitted to strict rules, controls and auditing regulations. Comparative instruments to ensure quality in diagnostic and therapeutic procedures are not available in interventional cardiology, likewise in other fields of cardiovascular medicine. Quality assurance simply consists of "quality registers" with basic data not externally controlled. Based on the experiences of clinical studies and their long history of standardization it is assumed that these data may be severely flawed thus being inappropriate to set standards for diagnostic and therapeutic strategies. The precondition for quality assurance are quality data. In invasive coronary angiography and intervention medical indications, the decision making process interventional versus surgical revascularization, technical performance and after - care are essential aspects affecting quality of diagnostics and therapy. Quality data are externally controlled data. To collect quality data an appropriate infrastructure is a necessary precondition which is not existent. For an appropriate infrastructure investments have to be done both to build up as well as to sustain the necessary preconditions. As long as there are no infrastructure and no investments there will be no "quality data". There exist simply registers of data which are not proved to be a basis for significant assurance and enhancement in quality in interventional coronary cardiology. Georg Thieme Verlag KG Stuttgart, New York.

  11. Reducing stillbirths: interventions during labour

    Science.gov (United States)

    Darmstadt, Gary L; Yakoob, Mohammad Yawar; Haws, Rachel A; Menezes, Esme V; Soomro, Tanya; Bhutta, Zulfiqar A

    2009-01-01

    Background Approximately one million stillbirths occur annually during labour; most of these stillbirths occur in low and middle-income countries and are associated with absent, inadequate, or delayed obstetric care. The low proportion of intrapartum stillbirths in high-income countries suggests that intrapartum stillbirths are largely preventable with quality intrapartum care, including prompt recognition and management of intrapartum complications. The evidence for impact of intrapartum interventions on stillbirth and perinatal mortality outcomes has not yet been systematically examined. Methods We undertook a systematic review of the published literature, searching PubMed and the Cochrane Library, of trials and reviews (N = 230) that reported stillbirth or perinatal mortality outcomes for eight interventions delivered during labour. Where eligible randomised controlled trials had been published after the most recent Cochrane review on any given intervention, we incorporated these new trial findings into a new meta-analysis with the Cochrane included studies. Results We found a paucity of studies reporting statistically significant evidence of impact on perinatal mortality, especially on stillbirths. Available evidence suggests that operative delivery, especially Caesarean section, contributes to decreased stillbirth rates. Induction of labour rather than expectant management in post-term pregnancies showed strong evidence of impact, though there was not enough evidence to suggest superior safety for the fetus of any given drug or drugs for induction of labour. Planned Caesarean section for term breech presentation has been shown in a large randomised trial to reduce stillbirths, but the feasibility and consequences of implementing this intervention routinely in low-/middle-income countries add caveats to recommending its use. Magnesium sulphate for pre-eclampsia and eclampsia is effective in preventing eclamptic seizures, but studies have not demonstrated impact

  12. Supporting Families through Early Intervention

    Directory of Open Access Journals (Sweden)

    Roy McConkey

    2003-09-01

    Full Text Available Internationally early intervention programmes for infants and preschoolers with disabilities have proved to be remarkably successful. In many countries, they began with teachers for visually impaired or hearing impaired children visiting the family home to teach parents how they could overcome the child's impairments. The logic of early intervention was inequitable. For example, the sooner children with visual impairments learnt to be independently mobile, then the greater their potential to learn and to kad an ordinary life. In time, this philosophy was extended to children with neurological and developmental delays, such as mental retardation, although success could be variable. In part, many different factors contributed to this variability: the form the interventions took, the extent of family involvement in the intervention and the lack of sensitivity of the measures used to assess a child's progress, to name but three. Perhaps the most extensive and intensive Early intervention schemes have been in the United States with their Head Start programmes. They were aimed at promoting the educational potential of preschoolers from deprived socio - economic backgrounds. Although the first phase of programmes had varying success, those in the second phase yielded impressive results which were mainly attributed to a greater focus on parental participation and links forged with the school system. Recently in developing countries, priority has been given to establishing early intervention as a means of creating new styles of family-based and community-based service in these countries in contrast to the hospital or institutional-services that were a legacy from a previous generation. Although formal evaluations are largely lacking, informal reports have been broadly enthusiastic. In sum, early intervention is no longer a new approach to developmental disabilities. It is an approach of proven effectiveness with children who have different impairments

  13. Early Intervention in Bipolar Disorder.

    Science.gov (United States)

    Vieta, Eduard; Salagre, Estela; Grande, Iria; Carvalho, André F; Fernandes, Brisa S; Berk, Michael; Birmaher, Boris; Tohen, Mauricio; Suppes, Trisha

    2018-05-01

    Bipolar disorder is a recurrent disorder that affects more than 1% of the world population and usually has its onset during youth. Its chronic course is associated with high rates of morbidity and mortality, making bipolar disorder one of the main causes of disability among young and working-age people. The implementation of early intervention strategies may help to change the outcome of the illness and avert potentially irreversible harm to patients with bipolar disorder, as early phases may be more responsive to treatment and may need less aggressive therapies. Early intervention in bipolar disorder is gaining momentum. Current evidence emerging from longitudinal studies indicates that parental early-onset bipolar disorder is the most consistent risk factor for bipolar disorder. Longitudinal studies also indicate that a full-blown manic episode is often preceded by a variety of prodromal symptoms, particularly subsyndromal manic symptoms, therefore supporting the existence of an at-risk state in bipolar disorder that could be targeted through early intervention. There are also identifiable risk factors that influence the course of bipolar disorder, some of them potentially modifiable. Valid biomarkers or diagnosis tools to help clinicians identify individuals at high risk of conversion to bipolar disorder are still lacking, although there are some promising early results. Pending more solid evidence on the best treatment strategy in early phases of bipolar disorder, physicians should carefully weigh the risks and benefits of each intervention. Further studies will provide the evidence needed to finish shaping the concept of early intervention. AJP AT 175 Remembering Our Past As We Envision Our Future April 1925: Interpretations of Manic-Depressive Phases Earl Bond and G.E. Partridge reviewed a number of patients with manic-depressive illness in search of a unifying endo-psychic conflict. They concluded that understanding either phase of illness was "elusive" and

  14. Interventions for paracetamol (acetaminophen) overdose.

    Science.gov (United States)

    Chiew, Angela L; Gluud, Christian; Brok, Jesper; Buckley, Nick A

    2018-02-23

    Paracetamol (acetaminophen) is the most widely used non-prescription analgesic in the world. Paracetamol is commonly taken in overdose either deliberately or unintentionally. In high-income countries, paracetamol toxicity is a common cause of acute liver injury. There are various interventions to treat paracetamol poisoning, depending on the clinical status of the person. These interventions include inhibiting the absorption of paracetamol from the gastrointestinal tract (decontamination), removal of paracetamol from the vascular system, and antidotes to prevent the formation of, or to detoxify, metabolites. To assess the benefits and harms of interventions for paracetamol overdosage irrespective of the cause of the overdose. We searched The Cochrane Hepato-Biliary Group Controlled Trials Register (January 2017), CENTRAL (2016, Issue 11), MEDLINE (1946 to January 2017), Embase (1974 to January 2017), and Science Citation Index Expanded (1900 to January 2017). We also searched the World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov database (US National Institute of Health) for any ongoing or completed trials (January 2017). We examined the reference lists of relevant papers identified by the search and other published reviews. Randomised clinical trials assessing benefits and harms of interventions in people who have ingested a paracetamol overdose. The interventions could have been gastric lavage, ipecacuanha, or activated charcoal, or various extracorporeal treatments, or antidotes. The interventions could have been compared with placebo, no intervention, or to each other in differing regimens. Two review authors independently extracted data from the included trials. We used fixed-effect and random-effects Peto odds ratios (OR) with 95% confidence intervals (CI) for analysis of the review outcomes. We used the Cochrane 'Risk of bias' tool to assess the risks of bias (i.e. systematic errors leading to overestimation of

  15. Radiological protection in interventional radiology

    International Nuclear Information System (INIS)

    Padovani, R.

    2001-01-01

    Interventional radiology (IR) reduces the need for many traditional interventions, particularly surgery, so reducing the discomfort and risk for patients compared with traditional systems. IR procedures are frequently performed by non-radiologist physicians, often without the proper radiological equipment and sufficient knowledge of radiation protection. Levels of doses to patients and staff in IR vary enormously. A poor correlation exists between patient and staff dose, and large variations of dose are reported for the same procedure. The occurrence of deterministic effects in patients is another peculiar aspect of IR owing to the potentially high skin doses of some procedures. The paper reviews the use of IR and the radiological protection of patients and staff, and examines the need for new standards for IR equipment and the training of personnel. (author)

  16. Interventions for paracetamol (acetaminophen) overdose

    DEFF Research Database (Denmark)

    Chiew, Angela L; Gluud, Christian; Brok, Jesper

    2018-01-01

    BACKGROUND: Paracetamol (acetaminophen) is the most widely used non-prescription analgesic in the world. Paracetamol is commonly taken in overdose either deliberately or unintentionally. In high-income countries, paracetamol toxicity is a common cause of acute liver injury. There are various...... of paracetamol. Acetylcysteine should be given to people at risk of toxicity including people presenting with liver failure. Further randomised clinical trials with low risk of bias and adequate number of participants are required to determine which regimen results in the fewest adverse effects with the best...... was abandoned due to low numbers recruited), assessing several different interventions in 700 participants. The variety of interventions studied included decontamination, extracorporeal measures, and antidotes to detoxify paracetamol's toxic metabolite; which included methionine, cysteamine, dimercaprol...

  17. Interventions for preoperative smoking cessation

    DEFF Research Database (Denmark)

    Thomsen, Thordis; Villebro, Nete; Møller, Ann Merete

    2010-01-01

    a smoking cessation intervention, and measured preoperative and long-term abstinence from smoking and/or the incidence of postoperative complications. Data collection and analysis The authors independently assessed studies to determine eligibility. Results were discussed between the authors. Main results...... Eight trials enrolling a total of 1156 people met the inclusion criteria. One of these did not report cessation as an outcome. Two trials initiated multisession face to face counselling at least 6 weeks before surgery whilst six used a brief intervention. Nicotine replacement therapy (NRT) was offered......; pooled RR 10.76 (95% confidence interval (CI) 4.55 to 25.46, two trials) and RR 1.41 (95% CI 1.22 to 1.63, five trials) respectively. Four trials evaluating the effect on long-term smoking cessation found a significant effect; pooled RR 1.61 (95% CI 1.12 to 2.33). However, when pooling intensive...

  18. Psychosocial interventions for premature ejaculation

    Directory of Open Access Journals (Sweden)

    Tamara Melnik

    Full Text Available BACKGROUND: Premature ejaculation (PE is a very common sexual dysfunction among patients, and with varying prevalence estimates ranging from 3% to 20%. Although psychological issues are present in most patients with premature PE, as a cause or as a consequence, research on the effects of psychological approaches for PE has in general not been controlled or randomised and is lacking in long-term follow up. OBJECTIVE: To assess the efficacy of psychosocial interventions for PE. CRITERIA FOR CONSIDERING STUDIES FOR THIS REVIEW: Trials were searched in computerized general and specialized databases, such as: MEDLINE by PubMed (1966 to 2010; PsycINFO (1974 to 2010; EMBASE (1980 to 2010; LILACS (1982 to 2010; the Cochrane Central Register of Controlled Trials (Cochrane Library, 2010; and by checking bibliographies, and contacting manufacturers and researchers. SELECTION CRITERIA: Randomised or quasi-randomised controlled trials evaluating psychosocial interventions compared with different psychosocial interventions, pharmacological interventions, waiting list, or no treatment for PE. DATA COLLECTION AND ANALYSIS: Information on patients, interventions, and outcomes was extracted by at least two independent reviewers using a standard form. The primary outcome measure for comparing the effects of psychosocial interventions to waiting list and standard medications was improvement in IELT (i.e., time from vaginal penetration to ejaculation. The secondary outcome was change in validated PE questionnaires. MAIN RESULTS: In one study behavioral therapy (BT was significantly better than waiting list for duration of intercourse (MD (mean difference 407.90 seconds, 95% CI 302.42 to 513.38, and couples' sexual satisfaction (MD -26.10, CI -50.48 to -1.72. BT was also significantly better for a new functional-sexological treatment (FS (MD 412.00 seconds, 95% CI 305.88 to 518.12, change over time in subjective perception of duration of intercourse (Women: MD 2

  19. Risk reduction: perioperative smoking intervention

    DEFF Research Database (Denmark)

    Møller, Ann; Tønnesen, Hanne

    2006-01-01

    Smoking is a well-known risk factor for perioperative complications. Smokers experience an increased incidence of respiratory complications during anaesthesia and an increased risk of postoperative cardiopulmonary complications, infections and impaired wound healing. Smokers have a greater risk...... of postoperative intensive care admission. Even passive smoking is associated with increased risk at operation. Preoperative smoking intervention 6-8 weeks before surgery can reduce the complications risk significantly. Four weeks of abstinence from smoking seems to improve wound healing. An intensive, individual...... approach to smoking intervention results in a significantly better postoperative outcome. Future research should focus upon the effect of a shorter period of preoperative smoking cessation. All smokers admitted for surgery should be informed of the increased risk, recommended preoperative smoking cessation...

  20. Coastal Hazards Impacts And Interventions

    Directory of Open Access Journals (Sweden)

    Rosanna D. Gonzales

    2017-10-01

    Full Text Available Communitys participation in the activities like the preparation and creation of historical timeline. resource and hazard mapping as well as vulnerability assessment matrix VAM are effective tools in determining hazards impacts and interventions of a certain locality. The most common hazards are typhoons saltwater intrusion floods and drought. Data were collected through focus group discussions FGDs from respondents along coastal areas. Findings revealed that natural calamities had great impact to livelihood properties and health. The damaged business operations fishing and agricultural livelihood led to loss of income likewise the sources of water were also contaminated. Planned interventions include launching of periodic education and awareness program creation of evacuation centers and relocation sites rescue centers installation of deep well water pumps and irrigation systems solid waste management drainage and sea walls construction canal rehabilitationdredging tree planting and alternative livelihood programs.

  1. Microdialysis technique and interventional radiology

    International Nuclear Information System (INIS)

    An Xiao; Xiao Xiangsheng

    2007-01-01

    Basic research in interventional radiology, including transcatheter artery perfusion especially, is progressing slowly due to lack of proper method. Microdialysis technique, a kind of accurate sampling technique in vivo, may help to solve the problem. Just as its name implies, microdialysis means tiny dialysis with advantages of authenticity, exactness and less error. Furthermore it has been applied widely and should be received with great attention and popularity. (authors)

  2. Intervention model in organizational climate

    OpenAIRE

    Cárdenas Niño, Lucila; Universidad Pedagógica y Tecnológica de Colombia, Facultad de Ciencias de la Salud, Escuela de Psicología, Hospital Antiguo, Carrera 10 No 16ª05; Arciniegas Rodríguez, Yuly Cristina; Universidad Pedagógica y Tecnológica de Colombia, Facultad de Ciencias de la Salud, Escuela de Psicología, Hospital Antiguo, Carrera 10 No 16ª05; Barrera Cárdenas, Mónica; Universidad Pedagógica y Tecnológica de Colombia, Facultad de Ciencias de la Salud, Escuela de Psicología, Hospital Antiguo, Carrera 10 No 16ª05

    2015-01-01

    The aim of this study was to assess whether the intervention model in organizational climate PMCO, was effective in the Hospital of Yopal, Colombia. The following five phases, proposed by the model, were implemented: 1) problem analysis, 2) awareness, 3) strategies design and planning, at the individual, intergroup, and organizational levels, 4) implementation of the strategy, and 5) process evaluation. A design composed of two groups, experimental and control, was chosen, analyzing whether t...

  3. Internet Interventions for Hearing Loss.

    Science.gov (United States)

    Thorén, Elisabet Sundewall; Öberg, Marie; Andersson, Gerhard; Lunner, Thomas

    2015-09-01

    The purpose of the two studies presented in this research forum article was to develop audiological rehabilitation programs for experienced hearing aid users and evaluate them in online versions. In this research forum article, the differences between the two studies are discussed. Two randomized controlled trials (RCTs) were performed evaluating the efficacy of online rehabilitation, including professional guidance by an audiologist. In each RCT, the effects of the online programs were compared with the effects measured in a control group. The results from the first RCT showed a significant increase in activity and participation for both groups with participants in the intervention group improving more than those in the control group. At the 6-month follow-up, after the study, the significant increase was maintained; however, amounts of increase in the two groups were no longer significantly different. The results from the second RCT showed significant increase in activity and participation for the intervention group, although the control group did not improve. The results from the RCTs provide evidence that the Internet can be used to deliver rehabilitation to hearing-aid users and that their problems are reduced by the intervention; however, the content of the online rehabilitation program requires further investigation.

  4. Interventions in Infrainguinal Bypass Grafts

    International Nuclear Information System (INIS)

    Mueller-Huelsbeck, S.; Order, B.-M.; Jahnke, T.

    2006-01-01

    The interventional radiologist plays an important role in the detection and prevention of infrainguinal bypass failure. Early detection and evaluation of flow-limiting lesions effectively preserve graft (venous bypass and polyester or expanded polytetrafluoroethylene bypass) patency by identifying stenoses before occlusion occurs. Delay in treatment of the at-risk graft may result in graft failure and a reduced chance of successful revascularization. For this reason, surveillance protocols form an important part of follow-up after infrainguinal bypass surgery. As well as having an understanding of the application of imaging techniques including ultrasound, MR angiography, CT angiography and digital subtraction angiography, the interventional radiologist should have detailed knowledge of the minimally invasive therapeutic options. Percutaneous transluminal angioplasty (PTA), or alternatively cutting balloon angioplasty, is the interventional treatment of choice in prevention of graft failure and occlusion. Further alternatives include metallic stent placement, fibrinolysis, and mechanical thrombectomy. Primary assisted patency rates following PTA can be up to 65% at 5 years. When the endovascular approach is unsuccessful, these therapeutic options are complemented by surgical procedures including vein patch revision, jump grafting, or placement of a new graft

  5. Interventions for heartburn in pregnancy.

    Science.gov (United States)

    Phupong, Vorapong; Hanprasertpong, Tharangrut

    2015-09-19

    Heartburn is one of the most common gastrointestinal symptoms in pregnant women. It can occur in all trimesters of pregnancy. The symptoms of heartburn in pregnancy may be frequent, severe and distressing, but serious complications are rare. Many interventions have been used for the treatment of heartburn in pregnancy. These interventions include advice on diet, lifestyle modification and medications. However, there has been no evidence-based recommendation for the treatment of heartburn in pregnancy. To assess the effects of interventions for relieving heartburn in pregnancy. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 June 2015), ClinicalTrials.gov (2 March 2015), Asian & Oceanic Congress of Obstetrics & Gynaecology (AOCOG) conference proceedings (20-23 October 2013, Centara Grand & Bangkok Convention Centre, Bangkok, Thailand), and reference lists of retrieved studies. Randomised controlled trials (RCTs) and quasi-RCTS of interventions for heartburn in pregnancy compared with another intervention, or placebo, or no intervention. Cluster-RCTs would have been eligible for inclusion but none were identified. We excluded studies available as abstracts only and those using a cross-over design.Interventions could include advice on diet, lifestyle modification and medications (such as antacids, sucralfate, histamine 2-receptor antagonists, promotility drugs and proton pump inhibitors (PPIs)). Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. We included nine RCTs involving 725 women. However, five trials did not contribute data. Four trials involving 358 women contributed data. Trials were generally at mixed risk of bias.We only identified data for three comparisons: pharmaceutical treatment versus placebo or no treatment; acupuncture versus no treatment and pharmacological intervention versus advice on dietary and lifestyle changes. Pharmaceutical treatment

  6. Image guided percutaneous splenic interventions

    International Nuclear Information System (INIS)

    Kang, Mandeep; Kalra, Naveen; Gulati, Madhu; Lal, Anupam; Kochhar, Rohit; Rajwanshi, Arvind

    2007-01-01

    Aim: The objective of this study is to evaluate the efficacy and safety of image-guided percutaneous splenic interventions as diagnostic or therapeutic procedures. Materials and methods: We performed a retrospective review of our interventional records from July 2001 to June 2006. Ninety-five image-guided percutaneous splenic interventions were performed after informed consent in 89 patients: 64 men and 25 women who ranged in age from 5 months to 71 years (mean, 38.4 years) under ultrasound (n = 93) or CT (n = 2) guidance. The procedures performed were fine needle aspiration biopsy of focal splenic lesions (n = 78) and aspiration (n = 10) or percutaneous catheter drainage of a splenic abscess (n = 7). Results: Splenic fine needle aspiration biopsy was successful in 62 (83.78%) of 74 patients with benign lesions diagnosed in 43 (58.1%) and malignancy in 19 (25.67%) patients. The most common pathologies included tuberculosis (26 patients, 35.13%) and lymphoma (14 patients, 18.91%). Therapeutic aspiration or pigtail catheter drainage was successful in all (100%) patients. There were no major complications. Conclusions: Image-guided splenic fine needle aspiration biopsy is a safe and accurate technique that can provide a definitive diagnosis in most patients with focal lesions in the spleen. This study also suggests that image-guided percutaneous aspiration or catheter drainage of splenic abscesses is a safe and effective alternative to surgery

  7. International harmonization of intervention levels

    International Nuclear Information System (INIS)

    Jensen, P.H.

    1994-05-01

    A summary is given on international guidance on intervention levels in circumstances in which remedial actions might be considered in nuclear accident situations. The nature and limitations of international work and their effect on the resulting guidance are discussed. The basic international principles recommended can be expressed in the following compressed form: (1) serious deterministic effects should be avoided by intervention, (2) each protective measure should be justified, i.e. do more good than harm, (3) the level at which the protective measures are to be introduced should be optimized, i.e. do most good, and (4) each protective measure should be optimized separately and independent of all other countermeasures. It is of great importance that decision makers inform the public of all aspects of their decisions in order to make the decisions transparent, especially when the interventions chosen are mainly for political or social reason rather than health protection grounds. Otherwise the public may be misled and the radiological protection community will be mistrusted. 17 refs., 6 tabs

  8. Adaptive intervention design in mobile health: Intervention design and development in the Cell Phone Intervention for You trial.

    Science.gov (United States)

    Lin, Pao-Hwa; Intille, Stephen; Bennett, Gary; Bosworth, Hayden B; Corsino, Leonor; Voils, Corrine; Grambow, Steven; Lazenka, Tony; Batch, Bryan C; Tyson, Crystal; Svetkey, Laura P

    2015-12-01

    The obesity epidemic has spread to young adults, and obesity is a significant risk factor for cardiovascular disease. The prominence and increasing functionality of mobile phones may provide an opportunity to deliver longitudinal and scalable weight management interventions in young adults. The aim of this article is to describe the design and development of the intervention tested in the Cell Phone Intervention for You study and to highlight the importance of adaptive intervention design that made it possible. The Cell Phone Intervention for You study was a National Heart, Lung, and Blood Institute-sponsored, controlled, 24-month randomized clinical trial comparing two active interventions to a usual-care control group. Participants were 365 overweight or obese (body mass index≥25 kg/m2) young adults. Both active interventions were designed based on social cognitive theory and incorporated techniques for behavioral self-management and motivational enhancement. Initial intervention development occurred during a 1-year formative phase utilizing focus groups and iterative, participatory design. During the intervention testing, adaptive intervention design, where an intervention is updated or extended throughout a trial while assuring the delivery of exactly the same intervention to each cohort, was employed. The adaptive intervention design strategy distributed technical work and allowed introduction of novel components in phases intended to help promote and sustain participant engagement. Adaptive intervention design was made possible by exploiting the mobile phone's remote data capabilities so that adoption of particular application components could be continuously monitored and components subsequently added or updated remotely. The cell phone intervention was delivered almost entirely via cell phone and was always-present, proactive, and interactive-providing passive and active reminders, frequent opportunities for knowledge dissemination, and multiple tools

  9. Specificity of the Best Possible Self intervention for increasing optimism: Comparison with a gratitude intervention

    OpenAIRE

    Peters, Madelon L; Meevissen, Yvo M. C; Hanssen, Marjolein M

    2013-01-01

    The present study compared the effects of a one week best possible self intervention and a one week gratitude intervention on life satisfaction and optimism. We hypothesized that both interventions would lead to similar increases in life satisfaction, but that only the best possible self intervention would increase optimism. The results partly confirmed the hypotheses: only the best possible self intervention led to increased optimism immediately after the intervention period, which further i...

  10. White Paper: Curriculum in Interventional Radiology.

    Science.gov (United States)

    Mahnken, Andreas H; Bücker, Arno; Hohl, Christian; Berlis, Ansgar

    2017-04-01

    Purpose  Scope and clinical importance of interventional radiology markedly evolved over the last decades. Consequently it was acknowledged as independent subspecialty by the "European Union of Medical Specialists" (UEMS). Based on radiological imaging techniques Interventional Radiology is an integral part of Radiology. Materials und Methods  In 2009 the German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a structured training in Interventional Radiology. In cooperation with the German Society of Neuroradiology (DGNR) this training was extended to also cover Interventional Neuroradiology in 2012. Tailored for this training in Interventional Radiology a structured curriculum was developed, covering the scope of this modular training. Results  The curriculum is based on the DeGIR/DGNR modular training concept in Interventional Radiology. There is also an European Curriculum and Syllabus for Interventional Radiology developed by the "Cardiovascular and Interventional Radiological Society of Europe" (CIRSE). The presented curriculum in Interventional Radiology is designed to provide a uniform base for the training in Interventional Radiology in Germany, based on the competencies obtained during residency. Conclusion  This curriculum can be used as a basis for training in Interventional Radiology by all training sites. Key Points: · Interventional Radiology is an integral part of clinical radiology. · The German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a curriculum in Interventional Radiology. · This curriculum is an integrative basis for the training in interventional. Citation Format · Mahnken AH, Bücker A, Hohl C et al. White Paper: Curriculum in Interventional Radiology. Fortschr Röntgenstr 2017; 189: 309 - 311. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Extremity doses to interventional radiologists

    International Nuclear Information System (INIS)

    Wihtby, M.; Martin, C. J.

    2002-01-01

    Radiologists performing interventional procedures are often required to stand close to the patient's side when carrying out manipulations under fluoroscopic control. This can result in their extremities receiving a high radiation dose, due to scattered radiation. These doses are sometimes high enough to warrant that the radiologist in question be designated a classified radiation worker. Classification in the UK is a result of any worker receiving or likely to receive in the course of their duties in excess of 3/10ths of any annual dose limit (500mSv to extremities, skin). The doses to the legs of radiologists have received less attention than those to the hands, however the doses may be high, due to the proximity of the legs and feet to scattered radiation. The legs can be exposed to a relatively high level of scattered radiation as the radiation in produced from scatter of the un attenuated beam from the bottom of the patient couch. The routine monitoring of extremity doses in interventional radiology is difficult due to several factors. Firstly a wide range of interventional procedures in undertaken in every radiology department, and these procedures require many different techniques, equipment and skills. This means that the position the radiologist adopts in relation to scattering medium and therefore their exposure, depends heavily on the type of procedure. As the hands which manipulate the catheters within the patient are often located close to the patients side and to the area under irradiation, the distribution of dose across the hands can be variable, with very high localised doses, making routine monitoring difficult. The purpose of this study was to determine the magnitude and distribution of dose to the hands and legs of interventional radiologists carrying out a wide range of both diagnostic and therapeutic interventional procedures. To ascertain the most effective method of monitoring the highest dose in accordance with the Basic safety standards

  12. Intervention: Help a Loved One Overcome Addiction

    Science.gov (United States)

    Intervention: Help a loved one overcome addiction An intervention can motivate someone to seek help for alcohol or drug misuse, compulsive eating, or ... successful. By Mayo Clinic Staff It's challenging to help a loved one struggling with any type of ...

  13. Latin American foreign exchange intervention - Updated

    OpenAIRE

    Da Silva, Sergio; Nunes, Mauricio

    2007-01-01

    We examine Latin American foreign exchange intervention in a framework where the exchange rate regime is endogenous and there exists an inefficient, equilibrium foreign exchange intervention bias. The model suggests that greater central bank independence is associated with lesser intervention in the foreign exchange market, and also with leaning-against-the-wind intervention. Both results are confirmed by data from 13 Latin American countries.

  14. Exercise interventions for smoking cessation.

    Science.gov (United States)

    Ussher, Michael H; Taylor, Adrian H; Faulkner, Guy E J

    2014-08-29

    Taking regular exercise may help people give up smoking by moderating nicotine withdrawal and cravings, and by helping to manage weight gain. To determine whether exercise-based interventions alone, or combined with a smoking cessation programme, are more effective than a smoking cessation intervention alone. We searched the Cochrane Tobacco Addiction Group Specialized Register in April 2014, and searched MEDLINE, EMBASE, PsycINFO, and CINAHL Plus in May 2014. We included randomized trials which compared an exercise programme alone, or an exercise programme as an adjunct to a cessation programme, with a cessation programme (which we considered the control in this review). Studies were required to recruit smokers or recent quitters and have a follow-up of six months or more. Studies that did not meet the full inclusion criteria because they only assessed the acute effects of exercise on smoking behaviour, or because the outcome was smoking reduction, are summarised but not formally included. We extracted data on study characteristics and smoking outcomes. Because of differences between studies in the characteristics of the interventions used we summarized the results narratively, making no attempt at meta-analysis. We assessed risk of selection and attrition bias using standard methodological procedures expected by The Cochrane Collaboration. We identified 20 trials with a total of 5,870 participants. The largest study was an internet trial with 2,318 participants, and eight trials had fewer than 30 people in each treatment arm. Studies varied in the timing and intensity of the smoking cessation and exercise programmes offered. Only one included study was judged to be at low risk of bias across all domains assessed. Four studies showed significantly higher abstinence rates in a physically active group versus a control group at end of treatment. One of these studies also showed a significant benefit for exercise versus control on abstinence at the three-month follow

  15. Bivalirudin in percutaneous coronary intervention

    Directory of Open Access Journals (Sweden)

    Sam J Lehman

    2006-12-01

    Full Text Available Sam J Lehman, Derek P ChewDepartment of Medicine, Flinders University, South Australia, AustraliaAbstract: Bivalirudin is a member of the direct thrombin inhibitor group of anticoagulants. It has been evaluated as an alternative to unfractionated and low-molecular-weight heparins in the settings of percutaneous coronary intervention (PCI and acute coronary syndrome (ACS. Results of clinical trials to date suggest bivalirudin is a viable alternative to the use of a heparin combined with a glycoprotein (GP IIb/IIIa inhibitor in these settings. Thrombin has a central role in coagulation and platelet activation in ACS and during PCI. Its direct inhibition is an attractive target for therapy in these settings. Bivalirudin is a 20 amino acid polypeptide hirudin analog. It displays bivalent and reversible binding to the thrombin molecule, inhibiting its action. Direct inhibition of thrombin with bivalirudin has theoretical pharmacokinetic and pharmacodynamic advantages over the indirect anticoagulants. A reduction in rates of bleeding without loss of anti-thrombotic efficacy has been a consistent finding across multiple clinical trials. There may be economic benefits to the use of bivalirudin if it permits a lower rate of use of the GP IIb/IIIa inhibitors. This article reviews the pharmacology of bivalirudin and clinical trial evidence to date. There are now data from multiple clinical trials and meta-analyses in the setting of ACS and PCI. Early results from the acute catheterization and urgent intervention strategy (ACUITY trial are discussed. Keywords: bivalirudin, direct thrombin inhibitor, acute coronary syndrome, percutaneous coronary intervention

  16. Nondirective counseling interventions with schizophrenics.

    Science.gov (United States)

    Gerwood, J B

    1993-12-01

    Counseling interventions with paranoid schizophrenics can be daunting. While chemical, directive, and behavioral controls often are considered important, nondirective counseling techniques used by the therapeutic staff may help schizophrenic patients explore their thoughts and feelings. Several nondirective concepts pioneered by Carl Rogers are examined. These methods, which represent basic concepts of the person-centered approach, are empathy, unconditional positive regard, and congruence. A brief illustration of an interaction with a patient diagnosed as paranoid schizophrenic is presented to suggest the effectiveness of Rogerian counseling.

  17. Early intervention for childhood overweight

    DEFF Research Database (Denmark)

    Larsen, Lone Marie; Hertel, Niels Thomas; Mølgaard, Christian

    2015-01-01

    , identified by International Obesity Task Force criteria, aged 5-9 years. INTERVENTION: Model 1 with health consultations in general practice during a two-year period or Model 2, an educational programme for the children and their families in addition to the health consultations. MAIN OUTCOME MEASURES: Change...... in body mass index (BMI) z-score in order to compare the results, independent of gender- and age-related changes over time. RESULTS: A total of 80 children were recruited with 35 and 45 children allocated to Model 1 and Model 2, respectively. No significant differences were found in the change in BMI z...

  18. Bias in clinical intervention research

    DEFF Research Database (Denmark)

    Gluud, Lise Lotte

    2006-01-01

    Research on bias in clinical trials may help identify some of the reasons why investigators sometimes reach the wrong conclusions about intervention effects. Several quality components for the assessment of bias control have been suggested, but although they seem intrinsically valid, empirical...... evidence is needed to evaluate their effects on the extent and direction of bias. This narrative review summarizes the findings of methodological studies on the influence of bias in clinical trials. A number of methodological studies suggest that lack of adequate randomization in published trial reports...

  19. Response to intervention in math

    CERN Document Server

    Riccomini, Paul J

    2010-01-01

    Boost academic achievement for all students in your mathematics classroom! This timely resource leads the way in applying RTI to mathematics instruction. The authors describe how the three tiers can be implemented in specific math areas and illustrate RTI procedures through case studies. Aligned with the NMAP final report and IES practice guide, this book includes: Intervention strategies for number sense, fractions, problem solving, and more Procedures for teaching math using systematic and explicit instruction for assessment, instructional planning, and evaluation Essential components to con

  20. Interventional therapy for neuropathic pain

    Directory of Open Access Journals (Sweden)

    YANG Yang

    2013-10-01

    Full Text Available Neuropathic pain (NP is a common clinical refractory pain for which there are limited methods to treat. In this article, based on typical diseases, such as postherpetic neuralgia (PHN, trigeminal neuralgia, complex regional pain syndrome (CRPS, lower back pain with radiculopathy and failed back surgery syndrome (FBSS, phantom pain, the general treatment principle and method for NP are expatiated. Interventional methods for NP, including intraspinal block, radiofrequeney rhizotomy of trigeminal neuralgia, selective nerve root block, spinal cord stimulation (SCS and motor cortex stimulation (MCS are introduced, especially their indications, complications and matters needing attention.

  1. Gratitude as a psychotherapeutic intervention.

    Science.gov (United States)

    Emmons, Robert A; Stern, Robin

    2013-08-01

    Gratitude practice can be a catalyzing and relational healing force, often untapped in clinical practice. In this article, we provide an overview of current thinking about gratitude's defining and beneficial properties, followed by a brief review of the research on mental health outcomes that result from gratitude practice. Following an analysis of our case study of the use of gratitude as a psychotherapeutic intervention, we present various self-strategies and techniques for consciously choosing and cultivating gratitude. We conclude by describing ways in which gratitude might be capitalized upon for beneficial outcomes in therapeutic settings. © 2013 Wiley Periodicals, Inc.

  2. Nonpathologizing trauma interventions in abnormal psychology courses.

    Science.gov (United States)

    Hoover, Stephanie M; Luchner, Andrew F; Pickett, Rachel F

    2016-01-01

    Because abnormal psychology courses presuppose a focus on pathological human functioning, nonpathologizing interventions within these classes are particularly powerful and can reach survivors, bystanders, and perpetrators. Interventions are needed to improve the social response to trauma on college campuses. By applying psychodynamic and feminist multicultural theory, instructors can deliver nonpathologizing interventions about trauma and trauma response within these classes. We recommend class-based interventions with the following aims: (a) intentionally using nonpathologizing language, (b) normalizing trauma responses, (c) subjectively defining trauma, (d) challenging secondary victimization, and (e) questioning the delineation of abnormal and normal. The recommendations promote implications for instructor self-reflection, therapy interventions, and future research.

  3. Guide for intervention levels in radiological accidents

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Tai; Khang, Byung Oui; Lee, Goan Yup; Han, Gee Yang [Korea Atomic Energy Resesrch Institute, Taejon (Korea, Republic of)

    2001-03-15

    Based on IAEA SS109 and ICRP63, intervention levels and action levels are derived using cost-benefit approach method. Intervention levels are optimized so that the net benefit from protective measures will be maximized. Evacuation, sheltering, relocation, permanent resettlement, administration of stable iodine and food restriction are included in protective measures. Intervention levels are calculated using site specific parameters in Korea. As a results of calculation, general intervention levels are similar to IAEA recommendation and action levels for food restriction are a little higher than IAEA recommendation and Japan guide. Guide on intervention levels in Korea is also suggested based on the calculated results.

  4. Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods

    Directory of Open Access Journals (Sweden)

    Joo Yun Lee, RN

    2015-06-01

    Conclusions: ICT is not yet actively used in the TTM-based nursing interventions. Stage-matched interventions and TTM concepts were shown to be in partial use also in the TTM-based interventions. Therefore, it is necessary to develop a variety of ways to use ICT in tailored nursing interventions and to use TTM frameworks and concepts.

  5. Handwriting development, competency, and intervention.

    Science.gov (United States)

    Feder, Katya P; Majnemer, Annette

    2007-04-01

    Failure to attain handwriting competency during the school-age years often has far-reaching negative effects on both academic success and self-esteem. This complex occupational task has many underlying component skills that may interfere with handwriting performance. Fine motor control, bilateral and visual-motor integration, motor planning, in-hand manipulation, proprioception, visual perception, sustained attention, and sensory awareness of the fingers are some of the component skills identified. Poor handwriting may be related to intrinsic factors, which refer to the child's actual handwriting capabilities, or extrinsic factors which are related to environmental or biomechanical components, or both. It is important that handwriting performance be evaluated using a valid, reliable, standardized tool combined with informal classroom observation and teacher consultation. Studies of handwriting remediation suggest that intervention is effective. There is evidence to indicate that handwriting difficulties do not resolve without intervention and affect between 10 and 30% of school-aged children. Despite the widespread use of computers, legible handwriting remains an important life skill that deserves greater attention from educators and health practitioners.

  6. [Community intervention during economic disasters].

    Science.gov (United States)

    de León, O A

    1991-03-01

    A political conflict forced banks to close down in Panama during March 1988. Thus, thousand of families were unable to meet their most basic needs during that lapse of time. This paper describes a community intervention program that was set up in the midst of such an economic disaster. That program emphasized mental health consultation techniques to help devising an effective organizational action as well as developing standards to determine needs, and a clear-cut two-way communication with the affected families. The incidence of emotional disorder was assessed with the Self Report Questionnaire, and crisis intervention was offered to any people who should apply for it. Cognitive responses, coping behaviors, and social supports were also assessed. Results showed that those individuals excluded from a full participation in their culture were much more likely to develop emotional disorders. Finding that affected people showed a scarce self-help behavior was interpreted as a feature of the transcultural transaction between affected people, and professionals.

  7. Patient dosimetry in interventional radiology

    International Nuclear Information System (INIS)

    Silva, Mauro Wilson O. da; Canevaro, Lucia V.; Rodrigues, Barbara Beatriz D.

    2009-01-01

    Mapping skin doses in interventional radiology is useful to determine the probability of a possible injury, to detect areas of overlapping field and to obtain a permanent register of the most exposed skin areas. A method for the evaluation of patient doses in interventional radiology procedures is the slow film, Kodak EDR2 (Extended Dose Range). Kodak EDR 2 film was calibrated in the range of 50 kVp to 120 kVp beam qualities. Its dose-response curve was plotted up to the saturation point of 1000 mGy. Dose responses are a function of facility dependent factors including processing conditions the density sampling, and exposure monitoring equipment. The distribution and the form of all the irradiation fields have been registered in the Kodak EDR 2 films. The Dosimetric analysis was performed in a sample of 37 patients submitted the procedures coronariography and angioplasty. The film has a threshold of saturation around 1 Gy, the applied methodology is efficient to quantify the doses and to identify the distribution of the fields. (author)

  8. Adolescent childbearing: consequences and interventions.

    Science.gov (United States)

    Ruedinger, Emily; Cox, Joanne E

    2012-08-01

    Adolescent childbearing in the United States continues to occur at high rates compared with other industrialized nations, despite a recent decline. Adolescent mothers and their offspring are at risk for negative outcomes. Recent literature exploring the consequences of teenage childbearing and interventions to ameliorate these consequences are presented. Negative consequences of adolescent childbearing can impact mothers and their offspring throughout the lifespan. These consequences are likely attributable to social and environmental factors rather than solely to maternal age. Increasing educational attainment, preventing repeat pregnancy and improving mother-child interactions can improve outcomes for mothers and their children. Home, community, school and clinic-based programs are all viable models of service delivery to this population. Connecting teen mothers with comprehensive services to meet their social, economic, health and educational needs can potentially improve long-term outcomes for both mothers and their offspring. Programs that deliver care to this population in culturally sensitive, developmentally appropriate ways have demonstrated success. Future investigation of parenting interventions with larger sample sizes and that assess multiple outcomes will allow comparison among programs. Explorations of the role of the father and coparenting are also directions for future research.

  9. Interventional radiology in pediatric oncology

    International Nuclear Information System (INIS)

    Hoffer, Fredric A.

    2005-01-01

    There are many radiological interventions necessary for pediatric oncology patients, some of which may be covered in other articles in this publication. I will discuss a number of interventions including percutaneous biopsy for solid tumor and hematological malignancy diagnosis or recurrence, for the diagnosis of graft versus host disease after stem cell or bone marrow transplantation, and for the diagnosis of complications of immunosuppression such as invasive pulmonary aspergillosis. In the past, tumor localization techniques have been necessary to biopsy or resect small lesions. However improved guidance techniques have allowed for more precise biopsy and the use of thermal ablation instead of excision for local tumor control. A percutaneously placed radio frequency, microwave, laser or cryogen probe can ablate the primary and metastatic tumors of the liver, lung, bone, kidney and other structures in children. This is an alternative treatment for the local control of tumors that may not be amenable to surgery, chemotherapy or radiotherapy. I will also describe how chemoembolization can be used to treat primary or metastatic tumors of the liver that have failed other therapies. This treatment delivers chemotherapy in the hepatic artery infused with emboli to increase the dwell time and concentration of the agents

  10. Web-based interventions in nursing.

    Science.gov (United States)

    Im, Eun-Ok; Chang, Sun Ju

    2013-02-01

    With recent advances in computer and Internet technologies and high funding priority on technological aspects of nursing research, researchers at the field level began to develop, use, and test various types of Web-based interventions. Despite high potential impacts of Web-based interventions, little is still known about Web-based interventions in nursing. In this article, to identify strengths and weaknesses of Web-based nursing interventions, a literature review was conducted using multiple databases with combined keywords of "online," "Internet" or "Web," "intervention," and "nursing." A total of 95 articles were retrieved through the databases and sorted by research topics. These articles were then analyzed to identify strengths and weaknesses of Web-based interventions in nursing. A strength of the Web-based interventions was their coverage of various content areas. In addition, many of them were theory-driven. They had advantages in their flexibility and comfort. They could provide consistency in interventions and require less cost in the intervention implementation. However, Web-based intervention studies had selected participants. They lacked controllability and had high dropouts. They required technical expertise and high development costs. Based on these findings, directions for future Web-based intervention research were provided.

  11. Deepening the reform of interventional radiology education and speeding up the development of interventional radiology

    International Nuclear Information System (INIS)

    Lu Chuan; Liu Linxiang; Cheng Yongde

    2010-01-01

    For recent years, although interventional radiology in China has achieved rapid development, it is still facing some rigorous challenges, such as the lack of personnel in interventional field and the flowing-away of certain patients who are definitely suitable for interventional therapy. This paper aims to discuss the reform of interventional radiology education for the undergraduates, postgraduates and clinical practitioners in the medical colleges in order to seek effective solutions to these issues the interventional radiology has confronted with. (authors)

  12. The Use of Intervention Mapping to Develop a Tailored Web-Based Intervention, Condom-HIM

    OpenAIRE

    Miranda, Joyal; C?t?, Jos?

    2017-01-01

    Background Many HIV (human immunodeficiency virus) prevention interventions are currently being implemented and evaluated, with little information published on their development. A framework highlighting the method of development of an intervention can be used by others wanting to replicate interventions or develop similar interventions to suit other contexts and settings. It provides researchers with a comprehensive development process of the intervention. Objective The objective of this pap...

  13. Interventions for suspected placenta praevia.

    Science.gov (United States)

    Neilson, J P

    2003-01-01

    Because placenta praevia is implanted unusually low in the uterus, it may cause major, and/or repeated, antepartum haemorrhage. The traditional policy of care of women with symptomatic placenta praevia includes prolonged stay in hospital and delivery by caesarean section. To assess the impact of any clinical intervention applied specifically because of a perceived likelihood that a pregnant woman might have placenta praevia. A comprehensive electronic search was performed to identify relevant literature. Searched databases included the Trials Register maintained by the Cochrane Pregnancy and Childbirth Group (August 2002), and the Cochrane Controlled Trials Register (The Cochrane Library, Issue 2, 2002). Any controlled clinical trial that has assessed the impact of an intervention in women diagnosed as having, or being likely to have, placenta praevia. Data were extracted, unblinded, by the author without consideration of results. Three trials were included, involving a total of 114 women. Both tested interventions (home versus hospitalisation and cervical cerclage versus no cerclage) were associated with reduced lengths of stay in hospital antenatally: weighted mean difference (WMD) respectively -18.50 days (95% confidence interval (CI) -26.83 to -10.17), -4.80 days (95% CI -6.37 to -3.23). Otherwise, there was little evidence of any clear advantage or disadvantage to a policy of home versus hospital care. The one woman who had a haemorrhage severe enough to require immediate transfusion and delivery was in the home care group. Cervical cerclage may reduce the risk of delivery before 34 weeks: relative risk (RR) 0.45 (95% CI 0.23 to 0.87), or the birth of a baby weighing less than two kilograms RR 0.34 (0.14 to 0.83) or having a low five minute Apgar score RR 0.19 (0.04 to 1.00). In general, these possible benefits were more evident in the trial of lower methodological quality. There are insufficient data from trials to recommend any change in clinical practice

  14. Vocational rehabilitation: a multidisciplinary intervention.

    Science.gov (United States)

    Gobelet, C; Luthi, F; Al-Khodairy, A T; Chamberlain, M A

    2007-09-15

    Vocational rehabilitation is by definition a multidisciplinary intervention in a process linked to the facilitation of return to work or to the prevention of loss of the work. Clinical staff in contact with a person who has lost his job (general practitioner, specialized physician) must promote vocational rehabilitation. Medical rehabilitation for those with disabilities, whether new or old, has to be followed without delay by vocational rehabilitation. It is even better if these two intertwined processes are overlapping. They involve many professionals including physiotherapists, occupational therapists, psychologists, vocational trainers, job counsellors, teachers, case-managers, job placement agencies. Vocational rehabilitation has a financial cost, borne by many state organizations (security, social system, social affairs) as well as by employers and private insurances, which are in case of accident, concerned by this process. However, the evidence suggests that this is recouped 2- to 10-fold as suggested by the British Society of Rehabilitation Medicine.

  15. Prioritising interventions against medication errors

    DEFF Research Database (Denmark)

    Lisby, Marianne; Pape-Larsen, Louise; Sørensen, Ann Lykkegaard

    errors are therefore needed. Development of definition: A definition of medication errors including an index of error types for each stage in the medication process was developed from existing terminology and through a modified Delphi-process in 2008. The Delphi panel consisted of 25 interdisciplinary......Abstract Authors: Lisby M, Larsen LP, Soerensen AL, Nielsen LP, Mainz J Title: Prioritising interventions against medication errors – the importance of a definition Objective: To develop and test a restricted definition of medication errors across health care settings in Denmark Methods: Medication...... errors constitute a major quality and safety problem in modern healthcare. However, far from all are clinically important. The prevalence of medication errors ranges from 2-75% indicating a global problem in defining and measuring these [1]. New cut-of levels focusing the clinical impact of medication...

  16. Left main percutaneous coronary intervention.

    Science.gov (United States)

    Teirstein, Paul S; Price, Matthew J

    2012-10-23

    The introduction of drug-eluting stents and advances in catheter techniques have led to increasing acceptance of percutaneous coronary intervention (PCI) as a viable alternative to coronary artery bypass graft (CABG) for unprotected left main disease. Current guidelines state that it is reasonable to consider unprotected left main PCI in patients with low to intermediate anatomic complexity who are at increased surgical risk. Data from randomized trials involving patients who are candidates for either treatment strategy provide novel insight into the relative safety and efficacy of PCI for this lesion subset. Herein, we review the current data comparing PCI with CABG for left main disease, summarize recent guideline recommendations, and provide an update on technical considerations that may optimize clinical outcomes in left main PCI. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Interventional radiology in pain treatment

    International Nuclear Information System (INIS)

    Kastler, B.

    2007-01-01

    Disease whether it is acute, chronic, or at end stage, is all too regularly accompanied by pain. Pain is often difficult to control, in malignant disease in particular, even by using appropriate medications. Anesthesiologists and pain therapists have developed new invasive therapies including nerve block, sympatholysis, and neurolysis useful for both diagnosis and pain management. To insure the efficiency and safety of these procedures, and furthermore for elaborate techniques such as vertebroplasty, cementoplasty, and radio frequency bone ablation, imaging guidance becomes mandatory. This state-of-the-art book describes the techniques elaborated by interventional radiologists in the treatment and palliation of a variety of benign and malignant painful conditions. Each chapter written by an expert in the field concentrates on a particular aspect of pain management, with emphasis on practical issues. This book will serve as an invaluable source of information for the radiologist willing to learn about new pain therapy techniques aimed at optimizing or replacing more invasive traditional methods. (orig.)

  18. Early intervention services in psychosis

    DEFF Research Database (Denmark)

    Csillag, Claudio; Nordentoft, Merete; Mizuno, Masafumi

    2016-01-01

    AIM: Early intervention (EI) in psychosis is a comprehensive and evidence-based approach aimed at detection and treatment of psychotic symptoms in their early stages. This paper presents core features and noteworthy aspects of the evidence basis and limitations of EI, the importance of programme ....... Wider dissemination of EI services will probably benefit from better integration of potential funders, promotion of joint targets and shared financial or budgetary incentives....... overcome these difficulties. CONCLUSIONS: Funding for mental health in general and for EI services appears low relative to need. One key argument for better funding for EI can be found in its favourable cost-effectiveness, but not all stakeholders beyond mental health administrators are aware of this...

  19. Interventional embolization for refractory hyperthyroidism

    International Nuclear Information System (INIS)

    Jiang Guomin; Zhang Yunping; Chen Yaxian; Zhao Jinwei; Yang Weihuai; Chen Jinluo

    2001-01-01

    Objective: To evaluate the clinical effects of the thyroid artery embolization for refractory hyperthyroidism. Methods: Super selective catheterization and interventional embolization of thyroid superior and inferior arteries were performed with PVA microspheres and Gelfoam particles. Changes of function and size of thyroid were investigated after embolization. Results: The procedures were succeeded in all 21 patients. Followed up by 3-12 months, serum level of thyroid hormones dropped significantly (median FT 3 from 17.1 pmol/L to 7.44 pmol/L, median FT 4 from 51.1 pmol/L to 23.3 pmol/L, P< 0.01). The size of thyroid glands decreased remarkably. Symptoms of hyperthyroidism were controlled in 4 patients and were effectively controlled through low dose antithyroid medication in 17 patients. No serious complications occurred. Conclusions: Thyroid artery embolization is a new safe and effective method for refractory hyperthyroidism

  20. Cognitive Benefits of Exercise Intervention.

    Science.gov (United States)

    Archer, T; Ricci, S; Massoni, F; Ricci, L; Rapp-Ricciardi, M

    2016-01-01

    Exercise, as a potent epigenetic regulator, implies the potential to counteract pathophysiological processes and alterations in most cardiovascular/respiratory cells and tissues not withstanding a paucity of understanding the underlying molecular mechanisms and doseresponse relationships. In the present account, the assets accruing from physical exercise and its influence upon executive functioning are examined. Under conditions of neuropsychiatric and neurologic ill-health, age-related deterioration of functional and biomarker indicators during healthy and disordered trajectories, neuroimmune and affective unbalance, and epigenetic pressures, exercise offers a large harvest of augmentations in health and well-being. Both animal models and human studies support the premise of manifest gains from regular exercise within several domains, besides cognitive function and mood, notably as the agency of a noninvasive, readily available therapeutic intervention.

  1. The interventional radiology business plan.

    Science.gov (United States)

    Beheshti, Michael V; Meek, Mary E; Kaufman, John A

    2012-09-01

    Strategic planning and business planning are processes commonly employed by organizations that exist in competitive environments. Although it is difficult to prove a causal relationship between formal strategic/business planning and positive organizational performance, there is broad agreement that formal strategic and business plans are components of successful organizations. The various elements of strategic plans and business plans are not common in the vernacular of practicing physicians. As health care becomes more competitive, familiarity with these tools may grow in importance. Herein we provide an overview of formal strategic and business planning, and offer a roadmap for an interventional radiology-specific plan that may be useful for organizations confronting competitive and financial threats. Copyright © 2012 SIR. Published by Elsevier Inc. All rights reserved.

  2. Obesogenic environment – intervention opportunities

    Directory of Open Access Journals (Sweden)

    Mauro Fisberg

    2016-05-01

    Full Text Available Objectives: To evaluate environmental obesogenic-related factors, such as physical activity in neighborhoods and schools, nutritional behavior, and intervention programs. Sources: Critical analysis of literature with personal point of view from infant obesity experts and political advisors for public intervention. Data synthesis: Although obesity is a public health problem affecting several age groups, it is among children and adolescents that it plays a more important role, due to treatment complexity, high likelihood of persistence into adulthood, and association with other non-transmissible diseases while still in early age. Environment is a main component of the genesis and outcomes in the near future or long term. Modification of intake with high-density food, meal skipping, and high intake of saturated fat, sugar, and salt, associated to high levels of sedentarism are main causes of obesity. Conclusion: Intervention opportunities are related to modifications in political, environmental, and individual settings. School and physical activities in the educational environment are intertwined with nutrition intervention in continuous education. A critical review of some different scenarios in Latin American countries is presented. Resumo: Objetivos: Avaliar os fatores relacionados ao ambiente obesogênico, como atividade física nos bairros e nas escolas, comportamento nutricional e programas de intervenção. Fontes: Análise crítica da literatura com ponto de vista de especialistas em obesidade infantil e conselheiros políticos de intervenções públicas. Resumo dos dados: Embora a obesidade seja um problema de saúde pública que afeta diversas faixas etárias, é entre crianças e adolescentes que ela desempenha um papel mais importante devido à complexidade do tratamento, à alta probabilidade de persistência na vida adulta e à associação com outras doenças não transmissíveis com início precoce. O ambiente é um componente

  3. Women in interventional cardiology: The French experience.

    Science.gov (United States)

    Vautrin, E; Marlière, S; Bellemain-Appaix, A; Gilard, M; Manzo-Silberman, S

    2016-12-01

    Exploring the discrepancy in sex-ratio among interventional cardiologists by analysing the population of the female interventionalist. Despite an increase number of women who graduate from medical school in France during the last generation today, women represent only 24% of all cardiologists and 3% are interventional cardiologists. To face this international gender-based issue of interventional cardiology, committees were established in US (WIN) and recently within the EAPCI: the Women EAPCI chaired by Drs Mehilli and Mauri. In France, the Intervention'Elles committee emerged in order to participate in this concern. As a first initiative, the Intervention'Elles group launched an e-survey to obtain information on the population of French female interventional cardiologists, focused on demography, work patterns, maternity and radiation exposure. Mean age is 40 years old (±7,4), 68% are working in large volume center, 28% have also structural interventional activity. Only 40% have left arm coverage. Despite 80% of French female interventional cardiologists wear personal dosimeters only 45% of them have a dosimetry feedback. Interestingly, even if 54% of women have children (mean: 1.9±1) 28% of them report that childbearing had interfered with their career plan. This questionnaire identifies for the first time the women population in interventional cardiology in France and highlights some of the issues encountered in more detail. This first descriptive step would help to develop strategies for attaining gender equality in interventional cardiology. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  4. Suicide intervention training evaluation: a preliminary report.

    Science.gov (United States)

    Tierney, R J

    1994-01-01

    To date, very little work has been done on evaluating training in suicide intervention. This study developed and piloted a comprehensive method for evaluating suicide intervention training by applying three studies of immediate training effects on (a) suicide intervention abilities, (b) attitudes to suicide and suicide intervention, and (c) knowledge about suicide. The focus of the evaluation was a broadly used 2-day suicide intervention training program. Changes in suicide intervention abilities were measured by the Suicide Intervention Response Inventory (SIRI) and by performance in simulated suicide intervention situations, scored with the Suicide Intervention Protocol (SIP). Subjects consisted of 19 workshop participants in a pre-post condition and 17 participants in a post-test only condition. Results indicated significant increases in skills in suicide intervention situations. No significant effects were noted on the SIRI. Results from the attitudes and knowledge studies were very preliminary. They are reported here so that others may become aware of the methodology being used and the status of evaluation of the target program. Implications for further research are discussed.

  5. The Use of Intervention Mapping to Develop a Tailored Web-Based Intervention, Condom-HIM.

    Science.gov (United States)

    Miranda, Joyal; Côté, José

    2017-04-19

    Many HIV (human immunodeficiency virus) prevention interventions are currently being implemented and evaluated, with little information published on their development. A framework highlighting the method of development of an intervention can be used by others wanting to replicate interventions or develop similar interventions to suit other contexts and settings. It provides researchers with a comprehensive development process of the intervention. The objective of this paper was to describe how a systematic approach, intervention mapping, was used to develop a tailored Web-based intervention to increase condom use among HIV-positive men who have sex with men. The intervention was developed in consultation with a multidisciplinary team composed of academic researchers, community members, Web designers, and the target population. Intervention mapping involved a systematic process of 6 steps: (1) needs assessment; (2) identification of proximal intervention objectives; (3) selection of theory-based intervention methods and practical strategies; (4) development of intervention components and materials; (5) adoption, implementation, and maintenance; and (6) evaluation planning. The application of intervention mapping resulted in the development of a tailored Web-based intervention for HIV-positive men who have sex with men, called Condom-HIM. Using intervention mapping as a systematic process to develop interventions is a feasible approach that specifically integrates the use of theory and empirical findings. Outlining the process used to develop a particular intervention provides clarification on the conceptual use of experimental interventions in addition to potentially identifying reasons for intervention failures. ©Joyal Miranda, José Côté. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 19.04.2017.

  6. Adaptive Intervention Design in Mobile Health: Intervention Design and Development in the Cell Phone Intervention for You (CITY) Trial

    Science.gov (United States)

    Lin, Pao-Hwa; Intille, Stephen; Bennett, Gary; Bosworth, Hayden B; Corsino, Leonor; Voils, Corrine; Grambow, Steven; Lazenka, Tony; Batch, Bryan C; Tyson, Crystal; Svetkey, Laura P

    2015-01-01

    Background/Aims The obesity epidemic has spread to young adults, and obesity is a significant risk factor for cardiovascular disease. The prominence and increasing functionality of mobile phones may provide an opportunity to deliver longitudinal and scalable weight management interventions in young adults. The aim of this manuscript is to describe the design and development of the intervention tested in the Cell Phone Intervention for You (CITY) study and to highlight the importance of adaptive intervention design (AID) that made it possible. The CITY study was an NHLBI-sponsored, controlled 24-month randomized clinical trial (RCT) comparing two active interventions to a usual-care control group. Participants were 365 overweight or obese (BMI ≥ 25 kg/m2) young adults. Methods Both active interventions were designed based on social cognitive theory and incorporated techniques for behavioral self-management and motivational enhancement. Initial intervention development occurred during a 1-year formative phase utilizing focus groups and iterative, participatory design. During the intervention testing, AID, where an intervention is updated or extended throughout a trial while assuring the delivery of exactly the same intervention to each cohort, was employed. The AID strategy distributed technical work and allowed introduction of novel components in phases intended to help promote and sustain participant engagement. AID was made possible by exploiting the mobile phone's remote data capabilities so that adoption of particular application components could be continuously monitored and components subsequently added or updated remotely. Results The cellphone intervention was delivered almost entirely via cell phone and was always-present, proactive, and interactive – providing passive and active reminders, frequent opportunities for knowledge dissemination, and multiple tools for self-tracking and receiving tailored feedback. The intervention changed over two years to

  7. Mieux comprendre le transfert de connaissances en SST : propositions pour une typologie des guides de prévention Better Understanding Knowledge Transfer in Occupational Health and Safety: Proposals for a Prevention Guide Typology Comprender mejor la transferencia de conocimientos en salud y seguridad en el trabajo. Proposiciones para una tipología de las guías de prevención

    Directory of Open Access Journals (Sweden)

    Isabelle Faurie

    2013-05-01

    dinámica de prevención: una función operativa para las guías de acción, una función de gestión para las guías de mediación, una función de innovación para las guías de promoción y finalmente una función de reglamentación para las guías de información. La discusión precisa la importancia de esta clasificación en el diseño de herramientas de prevención mejor adaptadas.

  8. The IDEFICS Community-Oriented Intervention Programme

    DEFF Research Database (Denmark)

    De Henauw, Stefaan; Verbestel, Vera; Mårild, Staffan

    2011-01-01

    to develop new pathways for sustainable health-promoting communities. Against this background, the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study developed and implemented innovative community-oriented intervention programmes for obesity....... The sphere of action encompassed both children and their (grand) parents, schools, local public authorities and influential stakeholders in the community. All materials for the interventions were centrally developed and culturally adapted. Results: So far, the following has been achieved: focus group...... research, literature review and expert consultations were done in an early phase as a basis for the development of the intervention modules. The intervention mapping protocol was followed as guide for structuring the intervention research. The overall intervention programme's duration was 2 years...

  9. School-based interventions to address bullying

    Directory of Open Access Journals (Sweden)

    Peter K. Smith

    2016-10-01

    Full Text Available Following some background studies on the nature of school bullying, its prevalence, and the negative consequences it can have, this article reviews the history of anti-bullying interventions over the last 30 years. It considers several major programmes in detail, such as the Olweus Bullying Prevention Program, KiVa, Steps to Respect, and Friendly Schools. The nature and evaluation of the interventions is discussed, followed by a review of meta-analyses of the programmes effectiveness. Issues considered are the effect at different ages; components of interventions; work with peers; disciplinary methods, non-punitive and restorative approaches; challenges regarding cyberbullying; the role of parents; the role of teachers and teacher training; set menu versus à la carte approaches; sustainability of interventions and societal context. Conclusions show that interventions have had some success, with traditional bullying. However, further progress is needed in strengthening theoretical underpinnings to interventions, and in tackling cyberbullying.

  10. Tracing Early Interventions on Childhood Overweight

    DEFF Research Database (Denmark)

    Ditlevsen, Kia

    This thesis presents results from a qualitative research project on early interventions to counter childhood obesity in Denmark. Overall, it was found that these interventions in families with preschool children were rarely performed. One barrier to the interventions is the structural setting...... in families with a non-western ethnic minority background and with low socioeconomic status. In families who participated in interventions, other social problems and a sense of insecurity caused by precarious living conditions of different kinds influenced the parents’ readiness to restrict children in order...... in the Danish health care system, which was found to be insufficient to initiate and facilitate early interventions. In addition, cultural stereotypes were found to affect the health care practitioners who are performing early interventions, and this can create reluctance to address overweight problems...

  11. [Clinical use of interventional MR imaging].

    Science.gov (United States)

    Kahn, Thomas; Schulz, Thomas; Moche, Michael; Prothmann, Sascha; Schneider, Jens-Peter

    2003-01-01

    The integration of diagnostic and therapeutic procedures by MRI is based on the combination of excellent morphologic and functional imaging. The spectrum of MR-guided interventions includes biopsies, thermal ablation procedures, vascular applications, and intraoperative MRI. In all these applications, different scientific groups have obtained convincing results in basic developments as well as in clinical use. Interventional MRI (iMRI) is expected to attain an important role in interventional radiology, minimal invasive therapy, and monitoring of surgical procedures.

  12. Interventional techniques in medicine and radioprotection

    International Nuclear Information System (INIS)

    Le Guen, B.; Bar, O.; Benderitter, M.; Bourguignon, M.; Chevillard, S.; Gauron, Ch.; Lallemand, J.; Lombard, J.; Maccia, C.; Sapoval, M.; Bernier, M.O.; Pirard, Ph.; Jacob, S.; Donadille, L.; Aubert, B.; Clairand, I.; Mozziconacci, J.G.; Brot, A.M.; Jarrige, V.; Huet, Ch.; Marchal, C.; Martin, M.; Bar, O.; Degrange, J.P.; Livarek, B.; Menechal, Ph.; Sapoval, M.; Pellerin, O.

    2009-01-01

    This document gathers the slides of the available presentations given during this conference day. Nineteen presentations are assembled in the document and deal with: 1 - Interventional radiology: why is it developing? (M. Sapoval); 2 - exposure particularities in interventional radiology (O. Bar); 3 - doses received by organs in interventional cardiology (C. Maccia); 4 - Patients exposure: description of cumulated exposure of patients treated in interventional cardiology (M.O. Bernier); 5 - 2004 inquiry to dermatologists about post-interventional radiology radio-dermatitis (P. Pirard); 6 - exposure and risks to operators (S. Jacob); 7 - dosimetric evaluation techniques and results about interventional imaging operators' extremities (L. Donadille and F. Merat); 8 - bibliographic study of doses received by operators with non-protected organs (B. Aubert); 9 - ORAMED European project: optimization of operational dosimeter uses in interventional radiology (I. Clairand); 10 - reference levels and dosimetric evaluation of patients (C. Maccia); 11 - optimization in coronary angioplasty (J.G. Mozziconacci, A.M. Brot and V. Jarrige); 12 - dosimetry in medical over-exposure situation (C. Huet); 13 - significant radioprotection events in interventional radiology declared to the Nuclear Safety Authority (ASN) - status and experience feedback (C. Marchal); 14 - interventional radiology and unwanted effects (M. Benderitter); 15 - global analyses and new exposure indicators in human epidermis cells (M. Martin); 16 - radioprotection regulations and training (O. Bar); 17 - zoning and workplace analysis in interventional cardiology (J.P. Degrange); 18 - guide of good clinical practices: example of interventional cardiology (B. Livarek); 19 - how to encourage the radioprotection optimization in interventional radiology: the ASN's point of view (P. Menechal). (J.S.)

  13. A Positive Psychology Intervention With Emerging Adults

    OpenAIRE

    Sophie Leontopoulou

    2015-01-01

    This study assessed the impact of a positive psychology intervention in a sample of 40 young men (35%) and women (65%) aged 18-30 years. Participants were 1st and 4th year undergraduate University students, postgraduate students and working youths. The study examined the effects of a battery of interventions commonly used in positive psychology interventions, including a video and three exercises (i.e. expressing gratitude, best possible selves, goal setting) on character strengths, hope, gra...

  14. Nursing burnout interventions: what is being done?

    Science.gov (United States)

    Henry, Barbara J

    2014-04-01

    Many studies have documented high prevalence of burnout and compassion fatigue in oncology nurses. Burnout has detrimental effects on nurses, patients, and healthcare organizations. However, burnout interventions have been shown to improve the physical and mental health of nurses, patient satisfaction, and the organizational bottom line by reducing associated costs of burnout. Although treatment centers may prevent and correct burnout in oncology nurses by providing various interventions, few articles focus on those interventions. This article compiles and describes interventions that will serve as a reference to nurses and healthcare organization leaders interested in implementing similar programs.

  15. Randomized, interventional, prospective, comparative study to ...

    African Journals Online (AJOL)

    Randomized, interventional, prospective, comparative study to evaluate the antihypertensive efficacy and tolerability of ramipril versus telmisartan in stage 1 hypertensive patients with diabetes mellitus.

  16. Documenting pharmacist interventions on an intranet.

    Science.gov (United States)

    Simonian, Armen I

    2003-01-15

    The process of developing and implementing an intranet Web site for clinical intervention documentation is described. An inpatient pharmacy department initiated an organizationwide effort to improve documentation of interventions by pharmacists at its seven hospitals to achieve real-time capture of meaningful benchmarking data. Standardization of intervention types would allow the health system to contrast and compare medication use, process improvement, and patient care initiatives among its hospitals. After completing a needs assessment and reviewing current methodologies, a computerized tracking tool was developed in-house and integrated with the organization's intranet. Representatives from all hospitals agreed on content and functionality requirements for the Web site. The site was completed and activated in February 2002. Before this Web site was established, the most documented intervention types were Renal Adjustment and Clarify Dose, with a daily average of four and three, respectively. After site activation, daily averages for Renal Adjustment remained unchanged, but Clarify Dose is now documented nine times per day. Drug Information and i.v.-to-p.o. intervention types, which previously averaged less than one intervention per day, are now documented an average of four times daily. Approximately 91% of staff pharmacists are using this site. Future plans for this site include enhanced accessibility to the site with wireless personal digital assistants. The design and implementation of an intranet Web site to document pharmacists' interventions doubled the rate of intervention documentation and standardized the intervention types among hospitals in the health system.

  17. Neuropsychological intervention in the acute phase

    DEFF Research Database (Denmark)

    Norup, Anne; Siert, Lars; Mortensen, Erik Lykke

    2013-01-01

    This pilot study investigated the effects of acute neuropsychological intervention for relatives of patients with severe brain injury. Participants were enrolled in an intervention group comprising 39 relatives, and a control group comprising 47 relatives. The intervention consisted of supportive.......0100.30), but also significantly lower Role Emotional scores (= 2.12 = 0.043, = 0.40). In the sub-acute setting, an analysis of covariance model showed a borderline significant difference between the intervention and the control group on the anxiety scale (= 0.066 = 0.59). Any effects of the acute neuropsychological...

  18. More are awaiting for craniofacial intervention

    International Nuclear Information System (INIS)

    Fan Xindong

    2006-01-01

    The scale of craniofacial intervention lies between the fields of neuro-intervention and peripheral interventional for the main purpose to investigate, diagnose and treat the disease entities originating from or supplied by the external carotid arterial system. Patients are usually refered to the oral and maxillofacial surgery, plastic surgery and otolaryngeal surgery. Craniofacial intervention includes mainly the diagnosis and treatment with adjuvant embolization of high-flow vascular diseases, intra-arterial chemotherapy of malignant tumors, embolization of epistaxis, etc. At present, there is no consensus with regard to the diagnosis and treatment of some craniofacial diseases, therefore further investigation and discussion are needed. (authors)

  19. Interventional and intravascular MR angiography

    International Nuclear Information System (INIS)

    Ladd, M.E.; Debatin, J.F.

    2000-01-01

    Magnetic resonance imaging (MRI) has a number of characteristics which make it attractive for guidance of intravascular therapeutic procedures, including high soft tissue contrast, imaging in any arbitrary oblique plane, lack of ionizing radiation, and the ability to provide functional information, such as flow velocity and volume per unit time. For MR guidance of vascular interventions to be safe, catheters and guidewires must be visualized relative to the vascular system and surrounding tissues. A number of approaches for making instruments visible in an MR environment are presented, including both passive and active techniques. Passive techniques depend on contrast agents or susceptibility artifacts, whereas active techniques, including MR tracking, MR profiling, and active field inhomogeneity, use some form of electrical coil built into the instrument. The potential for obtaining high-resolution images of the vessel wall using coils built into a catheter is also discussed. These images provide the capability to distinguish and identify various plaque components. The additional capabilities of MRI could potentially open up new applications beyond those currently performed under X-ray fluoroscopic guidance. (orig.) [de

  20. Radiation doses in interventional neuroradiology

    International Nuclear Information System (INIS)

    Theodorakou, C.; Butler, P.; Horrocks, J.A.

    2001-01-01

    Patient radiation doses during interventional radiology (IR) procedures may reach the thresholds for radiation-induced skin and eye lens injuries. This study investigates the radiation doses received by patients undergoing cerebral embolization. Measurements were conducted using thermoluminescent dosimeters. Radiotherapy verification films were used in order to visualise the radiation field. For each procedure the fluoroscopic and digital dose-area product, the fluoroscopic time, the total number of acquired images and entrance-skin dose calculated by the angiographic unit were recorded. In this paper, the skin, eye and thyroid glands doses on a sample of patients are presented. From a preliminary study of 13 patients having undergone cerebral embolization, it was deduced that six of them have received a dose above 1 Gy. Detailed dose data from patients undergoing IR procedures will be collected in the future with the aim of developing a model to allow estimation of the dose prior to the procedure as well as to look at techniques of dose reduction. (author)

  1. Coaching: an effective leadership intervention.

    Science.gov (United States)

    Karsten, Margo A

    2010-03-01

    Organizations are transitioning from a management industrial era to a humanistic era. This transition will require a different set of leadership competencies. Competencies that reflect relationships, connections with employees, and having the skill to unleash the human capability at all levels of an organization are essential. Similar to when a sports team needs a different play book to be successful, leaders need a new play book. Coaches within the sports team are the ones who assist players in learning how to adapt to a different set of rules. They teach the players how to show up differently and how to implement different plays, with the overall goal of being a successful team. New competencies are being required to reflect a humanistic approach to leadership. It is critical that organizations offer coaching as an intervention to all levels of leadership. This actual case study demonstrates that coaching not only assisted leaders in learning a new way of leading but also improved overall organizational effectiveness. The results that have been accomplished through the use of implementing a 360-degree feedback system, with coaching, reaped overall organization improvement. Copyright 2010 Elsevier Inc. All rights reserved.

  2. Treatment of Neck Pain: Noninvasive Interventions

    Science.gov (United States)

    Carragee, Eugene J.; van der Velde, Gabrielle; Carroll, Linda J.; Nordin, Margareta; Guzman, Jaime; Peloso, Paul M.; Holm, Lena W.; Côté, Pierre; Hogg-Johnson, Sheilah; Cassidy, J. David; Haldeman, Scott

    2008-01-01

    Study Design. Best evidence synthesis. Objective. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for neck pain and its associated disorders. Summary of Background Data. No comprehensive systematic literature reviews have been published on interventions for neck pain and its associated disorders in the past decade. Methods. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for neck pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other neck pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other neck pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with neck pain; this was also true of therapies which include educational interventions

  3. Radiofrequency (thermal) ablation versus no intervention or other interventions for hepatocellular carcinoma

    DEFF Research Database (Denmark)

    Weis, Sebastian; Franke, Annegret; Mössner, Joachim

    2013-01-01

    Hepatocellular carcinoma is the fifth most common cancer worldwide. Percutaneous interventional therapies, such as radiofrequency (thermal) ablation (RFA), have been developed for early hepatocellular carcinoma. RFA competes with other interventional techniques such as percutaneous ethanol...

  4. The development of an adolescent smoking cessation intervention--an Intervention Mapping approach to planning.

    Science.gov (United States)

    Dalum, Peter; Schaalma, Herman; Kok, Gerjo

    2012-02-01

    The objective of this project was to develop a theory- and evidence-based adolescent smoking cessation intervention using both new and existing materials. We used the Intervention Mapping framework for planning health promotion programmes. Based on a needs assessment, we identified important and changeable determinants of cessation behaviour, specified change objectives for the intervention programme, selected theoretical change methods for accomplishing intervention objectives and finally operationalized change methods into practical intervention strategies. We found that guided practice, modelling, self-monitoring, coping planning, consciousness raising, dramatic relief and decisional balance were suitable methods for adolescent smoking cessation. We selected behavioural journalism, guided practice and Motivational Interviewing as strategies in our intervention. Intervention Mapping helped us to develop as systematic adolescent smoking cessation intervention with a clear link between behavioural goals, theoretical methods, practical strategies and materials and with a strong focus on implementation and recruitment. This paper does not present evaluation data.

  5. Hungry for an intervention? : Adolescents' ratings of acceptability of eating-related intervention strategies

    NARCIS (Netherlands)

    Stok, F Marijn; de Ridder, Denise T D; de Vet, Emely; Nureeva, Liliya; Luszczynska, Aleksandra; Wardle, Jane; Gaspar, Tania; de Wit, John B F

    2016-01-01

    BACKGROUND: Effective interventions promoting healthier eating behavior among adolescents are urgently needed. One factor that has been shown to impact effectiveness is whether the target population accepts the intervention. While previous research has assessed adults' acceptance of eating-related

  6. Hungry for an intervention? Adolescents' ratings of acceptability of eating-related intervention strategies

    NARCIS (Netherlands)

    Stok, F.M.; Ridder, de D.T.D.; Vet, de Emely; Nureeva, Liliya; Luszczynska, Aleksandra; Wardle, Jane; Gaspar, Tania; Wit, de J.B.F.

    2016-01-01

    Background: Effective interventions promoting healthier eating behavior among adolescents are urgently needed. One factor that has been shown to impact effectiveness is whether the target population accepts the intervention. While previous research has assessed adults' acceptance of

  7. Aprender de lo mejor: nuevos modelos para un desarrollo y cooperación adecuados

    Directory of Open Access Journals (Sweden)

    You, Nicholas

    2000-02-01

    Full Text Available The habitat II Conference -The City Summit-held in Istanbul (Turkey in June 1996 adopted the Habitat Agenda -a Global Plan of Action to improve living conditions on a sustainable basis for all people in a rapidly urbanising world -, The Conference broke new gro und on two fronts: (1 in brokering partnerships between governments at all levels and all major groups of civil society; and (2 in recognising the critical contribution of cities and civic society in achieving the twin goals of shelter for all and sustainable human settlements. Cities are already becoming as important if not more important than nations as front-line actors in global trade and investment. As centres of production and consumption, they are the engines of economic growth and development. They are also centres of excellence in education, research and development, the application of new technologies, the loci of cultural expression and social vitality. Cities, however, are also plagued by social, economic and environmental problems. Crime, poverty, unemployment, congestion, waste and the degradation of the natural environment are some of the most visible signs of these problems. The Habitat Agenda recognises that these problems are rapidly becoming universal and that they cannot be effectively addressed by governments, cities, communities or the private sector alone. They require partnerships to harness the human, technical and financial resources to devise and implement innovative solutions. They also require a systematic effort for the sharing of knowledge and experiences, expertise and technologies.La Conferencia Hábitat II -La Cumbre Urbana-, que tuvo lugar en Estambul (Turquía en junio de 1996, adopto la Agenda Hábitat -un Plan de Acción Global para mejorar las condiciones de habitabilidad sostenible en un mundo de rápido desarrollo urbanístico-. La Conferencia abrió dos nuevos frentes: (1 fomentar la colaboración entre los gobiernos a todos los niveles y los grupos mas relevantes de la sociedad civil; y (2 reconocer la contribución significativa de las ciudades y de la sociedad civil con el fin de poder alcanzar el doble objetivo de vivienda para todos y de sostenibilidad de los asentamientos humanos. Actualmente las ciudades empiezan a tener tanta importancia o más que las propias naciones en el ámbito del comercio global y las inversiones. Consideradas como centros de producción y consumo son el motor del crecimiento económico y del desarrollo. También puede considerárselas como lugares privilegiados para la educación e investigación, así como para la posibilidad de poder aplicar nuevas tecnologías, además de ser eje central de la expresión cultural y de la vitalidad social. Sin embargo, las ciudades son también un foco de problemas sociales, económicos y de medio ambiente. El crimen, la pobreza, el desempleo, la congestión, la devastación y degradación del entorno natural, son varios de los signos mas visibles de estos problemas, La Agenda Hábitat reconoce que los problemas se transforman rápidamente en universales y no pueden ser atajados individualmente y con eficacia por gobiernos, ciudades, comunidades o sectores privados. Requieren, por contra, de la unión de todos con el fin de aprovechar los recursos humanos, tecnológicos y financieros para concebir y aplicar soluciones innovadoras. Asimismo, se requiere un esfuerzo sistemático para intercambiar conocimientos y experiencias, competencias y tecnologías.

  8. No el abogado, “mejor el doctor”. La imagen social del profesional en Derecho

    Directory of Open Access Journals (Sweden)

    Mauricio Rojas

    2010-03-01

    Full Text Available Las profesiones tienen unas imágenes y hacen parte de las representaciones sociales. Este artículo muestra los resultados de la investigación sobre el valor social de la profesión y del profesional del derecho, aplicada en población general. De los resultados se destaca la desvalorización social de temas cruciales en el ejercicio de la profesión: ética, solidaridad, honestidad y humildad, situación ambivalente pues los profesionales del derecho gozan de un gran prestigio en cuanto al éxito exaltado y el ropaje como abogados, señalados como elementos esenciales en el ejercicio profesional y que constituyen un entramado natural de significados que dan cuenta de la ostentación del poder de la profesión sobre el control de la vida de las personas. Este estudio mostró, además, la importancia de la calidad de la formación universitaria para el ejercicio de la profesión, y el reto de trabajar por una formación más eficaz y consecuente con las situaciones sociales y personales que debe enfrentar el profesional en el complejo y competido mercado laboral.

  9. Garantías independientes y cartas de patrocinio: las mejores alternativas para el comercio internacional.

    Directory of Open Access Journals (Sweden)

    Diego Fernando García Vásquez

    2006-06-01

    Full Text Available La contratación mercantil se desarrolla con preponderancia en el contexto internacional. Ello impone a los agentes contratantes la obligación de constituir mecanismos de garantía eficaces, que les brinden certeza sobre le ejecución de sus derechos de garantía, sin depender para dichas ejecuciones de la incertidumbre y costos que entraña debatir los derechos al interior de un proceso judicial. De igual manera, los establecimientos de crédito precisan de la constitución a su favor de mecanismos de garantía idóneos para conceder crédito a los grupos económicos. Las garantías independientes y las cartas de patrocinio son mecanismos de garantía que satisfacen las necesidades de eficacia y eficiencia que demanda el tráfico mercantil internacional en la constitución de garantías para sus relaciones contractuales, las primeras porque basta el requerimiento del beneficiario para hacer exigible la obligación del garante, y las segundas por la confianza que las matrices generan al mercado financiero para conceder créditos a sus filiales.

  10. Garantías independientes y cartas de patrocinio: las mejores alternativas para el comercio internacional.

    Directory of Open Access Journals (Sweden)

    Diego Fernando García Vásquez

    2006-01-01

    Full Text Available La contratación mercantil se desarrolla con preponderancia en el contexto internacional. Ello impone a los agentes contratantes la obligación de constituir mecanismos de garantía eficaces, que les brinden certeza sobre le ejecución de sus derechos de garantía, sin depender para dichas ejecuciones de la incertidumbre y costos que entraña debatir los derechos al interior de un proceso judicial. De igual manera, los establecimientos de crédito precisan de la constitución a su favor de mecanismos de garantía idóneos para conceder crédito a los grupos económicos. Las garantías independientes y las cartas de patrocinio son mecanismos de garantía que satisfacen las necesidades de eficacia y eficiencia que demanda el tráfico mercantil internacional en la constitución de garantías para sus relaciones contractuales, las primeras porque basta el requerimiento del beneficiario para hacer exigible la obligación del garante, y las segundas por la confianza que las matrices generan al mercado financiero para conceder créditos a sus filiales.

  11. Herramientas de análisis para un mejor entendimiento de los nacionalismos y las naciones

    Directory of Open Access Journals (Sweden)

    Jose Santiago

    2015-11-01

    Full Text Available Mi propósito con este escrito es profundizar en diversas herramientas de análisis que permiten a las ciencias sociales una comprensión más adecuada de los nacionalismos y las naciones. Para ello se retoman diversas propuestas de Alfonso Pérez-Agote, cuya obra ha devenido uno de los principales referentes de la ciencia social española en este campo. En primer lugar, se presenta el marco discursivo en el que las ciencias sociales han dado cuenta de las naciones y los nacionalismos. A continuación, tomo partido en algunos de los principales debates sobre estos objetos de estudio que han tenido lugar en las últimas décadas, sirviéndome para ello de las aportaciones de Pérez-Agote. El recorrido, que nos adentrará en cuestiones como la definición de la nación, las perspectivas fenomenológica y genética, los mecanismos de reproducción de la idea de nación y el concepto de fronteras, concluye con una aportación sobre la centralidad de los “objetos” en la conformación de comunidades nacionales.

  12. Feminicidio y derecho penal: herramientas para su mejor aplicación

    Directory of Open Access Journals (Sweden)

    Jhoanna Caterine Prieto Moreno

    2012-01-01

    Full Text Available El numeral 11 del artículo 104 del Código Penal colombiano introdujo como causal de agravación del homicidio aquella acción que se comete contra una mujer en razón a su condición de género, pero que ello no llega a ser suficiente en razón al desconocimiento que se tiene por parte del aparato jurisdiccional penal para su debida aplicación, en razón a que no se tiene claridad sobre las motivaciones que llevaron al victimario a cometer dicho homicidio (feminicidio.

  13. ESTRATEGIAS PARA HACER EL MEJOR USO DE LA PROTEINA EN RACIONES PARA VACAS LECHERAS

    Science.gov (United States)

    Dairy cows utilize feed CP with greater efficiency than other ruminants, but still excrete about 2 to 3 times more N in manure than they secrete in milk. This increases milk production costs plus environmental N pollution. Optimizing microbial protein formation in the rumen is the most effective way...

  14. LO MEJOR Y LO PEOR DE LAS REDES DE IGUALES: JUEGO, CONFLICTO Y VIOLENCIA

    Directory of Open Access Journals (Sweden)

    Rosario Ortega Ruiz

    2002-01-01

    Full Text Available Partiendo del concepto de redes propuesto por el profesor Castells como modelo social de la emergente era de la globalización, se ha elaborado, en este artículo, una reflexión sobre la estructura social de participación de los iguales. Se analizan, de forma articulada, los juegos infantiles, los conflictos y los posibles fenómenos de violencia como las distintas caras que los iguales pueden ofrecer dependiendo de los formatos que, en sus redes sociales de participación, adoptan la comunicación, la experiencia y el poder. Ello nos permite aproximarnos al complejo fenómeno de la agresividad injustificada, la prepotencia, el abuso y los malos tratos como una deformación cruelmente inmoral de la reciprocidad y el igualitarismo participativo que se debería esperar en las redes sociales de los compañeros y compañeras escolares.

  15. “El espacio público es donde se representa mejor una sociedad”

    Directory of Open Access Journals (Sweden)

    Santiago Cirugeda [entrevistado

    2011-12-01

    Full Text Available El consejo de redacción de Encrucijadas entrevista al arquitecto Santiago Cirugeda discutiendo acerca del problema de la vivienda y el papel de la ciudadanía en el diseño, gestión y uso de los espacios públicos y la ciudad.

  16. El Word de Microsoft su importancia y mejor utilización

    Directory of Open Access Journals (Sweden)

    Francisco Ficarra

    2015-01-01

    Full Text Available Considera que el editor de textos Word 2000 de Microsoft, es una herramienta indispensable para el trabajo de todo comunicador del siglo XXI. Explica los principales pormenores de la interfaz del Word 2000, cómo beneficiarse del comando AYUDA para resolver las dificultades, cómo dar uniformidad a un documento creado a partir de otros y cómo se crea un estilo propio de plantilla de documento. Da cuenta de la evolución del procesador de textos y de manera didáctica va mostrando la interfaz del Word 2000.

  17. Mejor accesibilidad a los seguros de salud para jubilados estadunidenses residentes en México

    OpenAIRE

    Warner, David C.; Jahnke, Lauren R.

    2001-01-01

    Many retirees from the United States of America have limited health insurance coverage while living in Mexico. Medicare and Medicaid benefits are not portable to other countries and Medigap (private insurance that supplements Medicare) is very limited. This causes economic and medical hardships and serves as a barrier to retirement to Mexico. Increasing numbers of U.S. retirees will be interested in moving to Mexico in the future because of the climate, the culture, and the lower cost of livi...

  18. Más niños sanos por una mejor comunicación

    Directory of Open Access Journals (Sweden)

    Adolfo Negrotto

    2015-01-01

    Full Text Available Vamos a describir un proyecto de planificación de la comunicación al servicio de una causa muy concreta: educar para combatir la desnutrición infantil. Quien llevó a cabo este proyecto fue la Escuela Superior de Periodismo y Comunicación de la Universidad Nacional de La Plata (Argentina. Quienes se beneficiaron del proyecto fueron los niños de hasta seis años de los barrios Independencia y El Parque, de la localidad de Chilecito, provincia La Rioja, Argentina. La población total de esos barrios era de cinco mil personas.

  19. ¿Con humor se explica y se aprende una lengua mejor?

    Directory of Open Access Journals (Sweden)

    Ricard Morant

    2010-11-01

    Full Text Available Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} En el siguiente artículo nos proponemos reflexionar sobre la importancia del humor como estrategia didáctica. Para plantear si “el enseñar contento y el aprender con alegría” pueden aumentar la eficacia en el proceso de enseñanza-aprendizaje presentaremos en el primer apartado las ideas de partida, mostraremos cómo a pesar de las múltiples ventajas que puede aportar el humor a las aulas, se omite su empleo por la existencia de ciertos prejuicios y temores. Seguidamente, y a modo de ejemplo, expondremos, un tema, el tabú lingüístico, en clave de humor con el propósito de acabar planteando si el género humorístico beneficia o perjudica la práctica docente al hablar sobre una lengua o al tratar de enseñarla.

  20. El mejor campo del mundo: Francesc Mitjans y el proyecto del Estadio del Futbol Club Barcelona

    OpenAIRE

    Prieto López, Juan Ignacio

    2015-01-01

    Los estadios deportivos se convirtieron, a comienzos del siglo XX, en grandes aglutinadores de la masa social y los equipos en referentes de la identidad nacional o local. Los años cincuenta fueron un momento clave en la construcción de grandes equipamientos deportivos, como el mítico Maracaná de Río de Janeiro inaugurado en 1950 o el nuevo Estadio de Chamartín inaugurado en 1947 y ampliado nuevamente en 1954. Estos estadios se convirtieron en los referentes inmediatos del proy...

  1. Pharmacological Interventions for Students with ADD.

    Science.gov (United States)

    Austin, Vance L.

    2003-01-01

    A review of the research on pharmacological interventions for students with attention deficit disorder finds that psychostimulants such as methylphenidate (Ritalin) are effective in improving focus and impulse control, but should be used in conjunction with psychosocial and behavioral interventions. Comprehensive medical screenings and guidelines…

  2. Rethinking Intervention: Changing the Cultures of Schooling

    Science.gov (United States)

    Daniels, Harry

    2006-01-01

    In this paper I will discuss intervention in the culture of schools as part of a range of responses to the concerns expressed, the difficulties caused by and the dissatisfaction and unhappiness experienced by pupils with social, emotional and behavioural difficulties. I will discuss such intervention at the levels of staff relations and…

  3. Enhancing reporting of behavior change intervention evaluations

    NARCIS (Netherlands)

    Abraham, C.; Johnson, B.T.; de Bruin, M.; Luszczynska, A.

    2014-01-01

    Many behavior change interventions for the prevention and treatment of HIV have been evaluated, but suboptimal reporting of evaluations hinders the accumulation of evidence and the replication of interventions. In this article, we address 4 practices contributing to this problem. First, detailed

  4. Biodiversity and Tourism : Impacts and Interventions

    NARCIS (Netherlands)

    Duim, van der V.R.; Caalders, J.D.A.D.

    2002-01-01

    This paper sets a framework for intervention in the relationship between biodiversity and tourism against the background of the Convention on Biological Diversity. It is argued that intervention cannot and should not only be based on considerations of measurable impacts of tourism on biodiversity

  5. Responsiveness to intervention in children with dyslexia

    NARCIS (Netherlands)

    Tilanus, E.A.T.; Segers, P.C.J.; Verhoeven, L.T.W.

    2016-01-01

    We examined the responsiveness to a 12-week phonics intervention in 54 s-grade Dutch children with dyslexia, and compared their reading and spelling gains to a control group of 61 typical readers. The intervention aimed to train grapheme–phoneme correspondences (GPCs), and word reading and spelling

  6. News in early intervention in autism.

    Science.gov (United States)

    Geoffray, Marie-Maude; Thevenet, Marion; Georgieff, Nicolas

    2016-09-01

    Autism Spectrum Disorder (ASD) is a complex neurodevelopmental trouble which prevents the child from socio-communicative interaction, and learning from his environment. Non-medical early intervention attempts to improve prognosis. We will review the main current hypothesis, intervention models and scientific supports about early intervention. We conducted a search of the literature published on Medline between 2010 and 2015 related to intervention models provided to children with ASD aged less than 3 years. Data were extracted from systematic reviews and recent randomized controlled trials with moderate to high GRADE quality of evidence. Early intervention refers to brain plasticity theory. With the epidemiological studies of infant "at risk" there is an attempt to intervene earlier before full syndrome is present. Interventions tend to follow more on a developmental hierarchy of socio-communicative skills and to focus on the dyadic relation between the child and the caregivers to improve the core autistic symptoms. Over the last 6 years, there's been news and fine-tuned ways about early intervention, and more and more systematic evaluation. However, there are only few interventions which were evaluated in trial with a strong GRADE recommendation and all of them have methodological concerns. It is important to be cautious in recommendations for mental health politic, even if it is important to improve access to services for all children and their families, hence finance and design rigorous project in research.

  7. Public Health Interventions for School Nursing Practice

    Science.gov (United States)

    Schaffer, Marjorie A.; Anderson, Linda J. W.; Rising, Shannon

    2016-01-01

    School nurses (SNs) use public health nursing knowledge and skills to provide nursing services to school populations. The Public Health Intervention Wheel is a practice framework that can be used to explain and guide public health nursing interventions. SNs who were also members of the National Association of School Nurses completed an electronic…

  8. Early identification and intervention in cerebral palsy

    DEFF Research Database (Denmark)

    Herskind, Anna; Greisen, Gorm; Nielsen, Jens Bo

    2015-01-01

    Infants with possible cerebral palsy (CP) are commonly assumed to benefit from early diagnosis and early intervention, but substantial evidence for this is lacking. There is no consensus in the literature on a definition of 'early', but this review focuses on interventions initiated within...

  9. Attribution Theory and Crisis Intervention Therapy.

    Science.gov (United States)

    Skilbeck, William M.

    It was proposed that existing therapeutic procedures may influence attributions about emotional states. Therefore an attributional analysis of crisis intervention, a model of community-based, short-term consultation, was presented. This analysis suggested that crisis intervention provides attributionally-relevant information about both the source…

  10. The future of transcatheter mitral valve interventions

    DEFF Research Database (Denmark)

    Maisano, Francesco; Alfieri, Ottavio; Banai, Shmuel

    2015-01-01

    of transcatheter mitral valve interventions will be. The purpose of the present report is to review the current state-of-the-art of mitral valve intervention, and to identify the potential future scenarios, which might benefit most from the transcatheter repair and replacement devices under development....

  11. Personality Plasticity, Healthy Aging, and Interventions

    Science.gov (United States)

    Mroczek, Daniel K.

    2014-01-01

    This commentary on the special section on conscientiousness and healthy aging focuses on several topics brought up in this collection of articles. One is the promise of personality interventions. Despite skepticism on the part of some, such interventions may ultimately prove successful. This is in part because of similarities between personality…

  12. 19 CFR 210.19 - Intervention.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Intervention. 210.19 Section 210.19 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Motions § 210.19 Intervention. Any person desiring to intervene in an...

  13. Pharmacological interventions for improved colonic anastomotic healing

    DEFF Research Database (Denmark)

    Oines, Mari Nanna; Krarup, Peter-Martin; Jorgensen, Lars Nannestad

    2014-01-01

    with the primary purpose of promoting healing of anastomoses made in the colon or rectum under uncomplicated conditions. We excluded studies on adverse events from interventions, nutritional interventions or in situ physical supporting biomaterials. The primary outcome was biomechanical strength or AL. We...

  14. ADHD in the Classroom: Effective Intervention Strategies

    Science.gov (United States)

    DuPaul, George J.; Weyandt, Lisa L.; Janusis, Grace M.

    2011-01-01

    School-related difficulties are commonly associated with attention deficit hyperactivity disorder (ADHD). This article describes effective school-based intervention strategies including behavioral interventions, modifications to academic instruction, and home-school communication programs. One overlooked aspect of treatment of children with ADHD…

  15. Ergonomics intervention in manual handling of oxygen

    Directory of Open Access Journals (Sweden)

    M Motamedzadeh

    2013-05-01

    Conclusion: With the implementation of ergonomic intervention is casting unit, the risk of exposure to musculoskeletal disorders caused by manual handling of oxygen cylinders was eliminated and safety of employees against the risk of explosion of the cylinders in comparison with before the intervention was improved.

  16. Adapting Behavioral Interventions for Social Media Delivery

    Science.gov (United States)

    Waring, Molly E; May, Christine N; Ding, Eric Y; Kunz, Werner H; Hayes, Rashelle; Oleski, Jessica L

    2016-01-01

    Patients are increasingly using online social networks (ie, social media) to connect with other patients and health care professionals—a trend called peer-to-peer health care. Because online social networks provide a means for health care professionals to communicate with patients, and for patients to communicate with each other, an opportunity exists to use social media as a modality to deliver behavioral interventions. Social media-delivered behavioral interventions have the potential to reduce the expense of behavioral interventions by eliminating visits, as well as increase our access to patients by becoming embedded in their social media feeds. Trials of online social network-delivered behavioral interventions have shown promise, but much is unknown about intervention development and methodology. In this paper, we discuss the process by which investigators can translate behavioral interventions for social media delivery. We present a model that describes the steps and decision points in this process, including the necessary training and reporting requirements. We also discuss issues pertinent to social media-delivered interventions, including cost, scalability, and privacy. Finally, we identify areas of research that are needed to optimize this emerging behavioral intervention modality. PMID:26825969

  17. The EHDI and Early Intervention Connection

    Science.gov (United States)

    Nelson, Lauri; Bradham, Tamala S.; Houston, K. Todd

    2011-01-01

    State coordinators of early hearing detection and intervention (EHDI) programs completed a strengths, weaknesses, opportunities, and threats, or SWOT, analysis that examined 12 areas within state EHDI programs. For the early intervention focus question, 48 coordinators listed 273 items, and themes were identified within each SWOT category. A…

  18. Language learning interventions | Kilfoil | Journal for Language ...

    African Journals Online (AJOL)

    The results for that intervention show that the hypothesis was correct and students need more time and structure if they are to improve their language competence sufficiently. Keywords: language learning interventions, English for specific purposes, language competence, fossilization. Journal for Language Teaching Vol.

  19. Public health interventions: evaluating the economic evaluations

    Directory of Open Access Journals (Sweden)

    Martin Forster

    2013-10-01

    Full Text Available Recent years have witnessed much progress in the incorporation of economic considerations into the evaluation of public health interventions. In England, the Centre for Public Health Excellence within the National Institute for Health and Care Excellence works to develop guidance for preventing illness and assessing which public health interventions are most effective and provide best value for money...

  20. Radiation exposure in CT-guided interventions

    Energy Technology Data Exchange (ETDEWEB)

    Kloeckner, Roman, E-mail: Roman.Kloeckner@unimedizin-mainz.de [Department of Diagnostic and Interventional Radiology, Johannes Gutenberg-University, Langenbeckstraße 1, 55131 Mainz (Germany); Santos, Daniel Pinto dos; Schneider, Jens [Department of Diagnostic and Interventional Radiology, Johannes Gutenberg-University, Langenbeckstraße 1, 55131 Mainz (Germany); Kara, Levent [Department of Radiology, Inselspital Bern, Freiburgstraße 18, 3010 Bern (Switzerland); Dueber, Christoph; Pitton, Michael B. [Department of Diagnostic and Interventional Radiology, Johannes Gutenberg-University, Langenbeckstraße 1, 55131 Mainz (Germany)

    2013-12-01

    Purpose: To investigate radiation exposure in computed tomography (CT)-guided interventions, to establish reference levels for exposure, and to discuss strategies for dose reduction. Materials and methods: We analyzed 1576 consecutive CT-guided procedures in 1284 patients performed over 4.5 years, including drainage placements; biopsies of different organs; radiofrequency and microwave ablations (RFA/MWA) of liver, bone, and lung tumors; pain blockages, and vertebroplasties. Data were analyzed with respect to scanner settings, overall radiation doses, and individual doses of planning CT series, CT intervention, and control CT series. Results: Eighy-five percent of the total radiation dose was applied during the pre- and post-interventional CT series, leaving only 15% applied by the CT-guided intervention itself. Single slice acquisition was associated with lower doses than continuous CT-fluoroscopy (37 mGy cm vs. 153 mGy cm, p < 0.001). The third quartile of radiation doses varied considerably for different interventions. The highest doses were observed in complex interventions like RFA/MWA of the liver, followed by vertebroplasty and RFA/MWA of the lung. Conclusions: This paper suggests preliminary reference levels for various intervention types and discusses strategies for dose reduction. A multicenter registry of radiation exposure including a broader spectrum of scanners and intervention types is needed to develop definitive reference levels.

  1. Attention Deficit Hyperactivity Disorder Intervention: Strategies ...

    African Journals Online (AJOL)

    The need for teachers' intervention strategies has been extensively discussed in this paper with a view of developing an intervention programme in other to promote care and support for the pupils who manifest symptoms of ADHD. It is recommended among other things that teachers' knowledge should be enhanced to ...

  2. Estimating the Costs of Preventive Interventions

    Science.gov (United States)

    Foster, E. Michael; Porter, Michele M.; Ayers, Tim S.; Kaplan, Debra L.; Sandler, Irwin

    2007-01-01

    The goal of this article is to improve the practice and reporting of cost estimates of prevention programs. It reviews the steps in estimating the costs of an intervention and the principles that should guide estimation. The authors then review prior efforts to estimate intervention costs using a sample of well-known but diverse studies. Finally,…

  3. Adapting Behavioral Interventions for Social Media Delivery.

    Science.gov (United States)

    Pagoto, Sherry; Waring, Molly E; May, Christine N; Ding, Eric Y; Kunz, Werner H; Hayes, Rashelle; Oleski, Jessica L

    2016-01-29

    Patients are increasingly using online social networks (ie, social media) to connect with other patients and health care professionals--a trend called peer-to-peer health care. Because online social networks provide a means for health care professionals to communicate with patients, and for patients to communicate with each other, an opportunity exists to use social media as a modality to deliver behavioral interventions. Social media-delivered behavioral interventions have the potential to reduce the expense of behavioral interventions by eliminating visits, as well as increase our access to patients by becoming embedded in their social media feeds. Trials of online social network-delivered behavioral interventions have shown promise, but much is unknown about intervention development and methodology. In this paper, we discuss the process by which investigators can translate behavioral interventions for social media delivery. We present a model that describes the steps and decision points in this process, including the necessary training and reporting requirements. We also discuss issues pertinent to social media-delivered interventions, including cost, scalability, and privacy. Finally, we identify areas of research that are needed to optimize this emerging behavioral intervention modality.

  4. Internet interventions for depressive disorders: an overview

    NARCIS (Netherlands)

    Cuijpers, P.; Riper, H.

    2014-01-01

    Research on psychotherapeutic internet interventions started in the late 1990s and since then a considerable number of trials have shown that these interventions are effective in the treatment of depression. There is also no reason to assume that they are less effective than face-to-face treatments.

  5. Beauty and Hope: A Moral Beauty Intervention

    Science.gov (United States)

    Diessner, Rhett; Rust, Teri; Solom, Rebecca C.; Frost, Nellie; Parsons, Lucas

    2006-01-01

    Pedagogical intervention regarding engagement with natural, artistic and moral beauty can lead to an increase in trait hope. In a quasi-experimental design with college students the intervention group showed significantly higher gain scores on trait hope than did the comparison group; the effect size was moderate. The experimental group also…

  6. The Dutch Intervention and Implementation Law. A personal intervention

    International Nuclear Information System (INIS)

    Aarts, V.P.

    2004-01-01

    The Electricity Act 1998 and the Gas Act have been changed drastically through the so-called I+I Act (Intervention and Implementation Act) of 1 July 2004. One of the changes is related to the way in which rules are set in connection with regulated third party access to the electricity and gas networks. Under the Electricity Act 1998 these rules ('codes') have traditionally been set by DTE, the energy market regulator, with the involvement of the joint network operators and market representative organisations. Pursuant to the I+I Act the DTe will have to set similar rules for regulated access to the gas networks. In addition, the I+I Act requires that the Minister of Economic affairs adopts regulations in ministerial decrees. The DTe rules must comply with these decrees. This effectively adds a regulatory layer to the existing regulatory framework for electricity and gas network rTPA. The decrees are subject to prior Parliamentary approval. After a brief overview of legal history, this contribution criticizes the introduction of an extra regulatory layer. The I+I Act has failed to specify the subjects which the ministerial decrees should address and to what extent they should contain specific norms. This results in a situation where it is effectively up to the minister to decide where and to what extent the DTe and energy market players will be made subject to superior norms. While hardly creating additional value, the new regulatory set-up threatens to cause legal uncertainty and procedural ambiguities and it provides an added platform for lobby groups to canvass their wish lists. Concluding remarks set out that the I+I Act has equipped the minister and the DTe with new powers and enhanced the ministers' accountability to Parliament, but that it has failed to mark out the norms which the legislator deems essential to the welt-functioning of the energy markets. A comprehensive approach to the respective roles of legislator, policy maker and regulator in setting

  7. An Assessment of Intervention Fidelity in Published Social Work Intervention Research Studies

    Science.gov (United States)

    Corley, Nicole A.; Kim, Irang

    2016-01-01

    Objectives: Intervention fidelity is a critical strategy to help advance the usefulness and integrity of social work research. This study assessed the extent to which a selected sample of published social work intervention researchers reported its intervention protocols. Methods: Six core social work journals were reviewed in this analysis. The…

  8. Science, Social Work, and Intervention Research: The Case of "Critical Time Intervention"

    Science.gov (United States)

    Jenson, Jeffrey M.

    2014-01-01

    Intervention research is an important, yet often neglected, focus of social work scholars and investigators. The purpose of this article is to review significant milestones and recent advances in intervention research. Methodological and analytical developments in intervention research are discussed in the context of science and social work.…

  9. Music-based interventions in neurological rehabilitation.

    Science.gov (United States)

    Sihvonen, Aleksi J; Särkämö, Teppo; Leo, Vera; Tervaniemi, Mari; Altenmüller, Eckart; Soinila, Seppo

    2017-08-01

    During the past ten years, an increasing number of controlled studies have assessed the potential rehabilitative effects of music-based interventions, such as music listening, singing, or playing an instrument, in several neurological diseases. Although the number of studies and extent of available evidence is greatest in stroke and dementia, there is also evidence for the effects of music-based interventions on supporting cognition, motor function, or emotional wellbeing in people with Parkinson's disease, epilepsy, or multiple sclerosis. Music-based interventions can affect divergent functions such as motor performance, speech, or cognition in these patient groups. However, the psychological effects and neurobiological mechanisms underlying the effects of music interventions are likely to share common neural systems for reward, arousal, affect regulation, learning, and activity-driven plasticity. Although further controlled studies are needed to establish the efficacy of music in neurological recovery, music-based interventions are emerging as promising rehabilitation strategies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Neuropsychological intervention in the acute phase

    DEFF Research Database (Denmark)

    Norup, Anne; Siert, Lars; Mortensen, Erik Lykke

    2013-01-01

    This pilot study investigated the effects of acute neuropsychological intervention for relatives of patients with severe brain injury. Participants were enrolled in an intervention group comprising 39 relatives, and a control group comprising 47 relatives. The intervention consisted of supportive......-acute rehabilitation. Outcome measures included selected scales from the Symptom Checklist Revised 90 (SCL-90-R), the Short Form 36 (SF-36), and a visual analogue quality of life scale. The intervention group showed a significant decrease in anxiety scores from the acute to the sub-acute setting (= 2.70 = 0.......0100.30), but also significantly lower Role Emotional scores (= 2.12 = 0.043, = 0.40). In the sub-acute setting, an analysis of covariance model showed a borderline significant difference between the intervention and the control group on the anxiety scale (= 0.066 = 0.59). Any effects of the acute neuropsychological...

  11. What Does Competence Entail in Interventional Radiology?

    International Nuclear Information System (INIS)

    Ahmed, Kamran; Keeling, Aoife N.; Khan, Reenam S.; Ashrafian, Hutan; Arora, Sonal; Nagpal, Kamal; Burrill, Joshua; Darzi, Ara; Athanasiou, Thanos; Hamady, Mohamad

    2010-01-01

    Interventional radiology is a relatively new speciality and may be referred to as 'image-guided surgery without a scalpel.' Training and accreditation bodies regard interventional radiology training as being 'different' from general radiology because of the additional need for dexterity and clinical acumen. Due to the multidimensional role of an interventional radiologist, a practitioner in this discipline must have a number of the competencies of anesthetists, surgeons, and radiologists. The attributes required of an interventional radiologist are akin to those required of a surgeon. This paper gives an overview of the skills required to be a competent interventional radiologist along with a succinct introduction to methods of assessment of technical and non-technical skills.

  12. Parents' Evaluation of the IDEFICS Intervention

    DEFF Research Database (Denmark)

    Nicholls, Stuart G.; Pohlabeln, Hermann; De Bourdeaudhuij, Ilse

    2015-01-01

    Introduction: From April 2008 to August 2010 the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) intervention aimed to encourage healthier diets, higher physical activity levels and lower stress levels among European children and th...... the results represent a broad endorsement of the IDEFICS intervention, they also suggest the importance of vigilance concerning the psychological effects of obesity interventions on overweight and obese children....... positive difference, but also more likely to report that the intervention had had negative effects. Parents of overweight and obese children were more likely to report negative effects - above all, that 'the intervention had made their child feel as if he/she was "fat" or "overweight." Conclusion: While...

  13. An Educational–Vocational Intervention

    Directory of Open Access Journals (Sweden)

    Kalervo Friberg

    2013-07-01

    Full Text Available Changes in student-affective entry characteristics were examined in an educational−vocational intervention at Finnish comprehensive school. The conceptual framework constructed from attitudes as learned dispositions (Fishbein & Ajzen, 1975 and self-determination (Deci & Ryan, 1985 was tested in a longitudinal study. A person-based survey questionnaire was designed, piloted, and validated. Spearman−Brown reliability was calculated. In the first observation, 669 (Time One Cohort, and in the second, 649 (Time Two Cohort subjects (girls and boys of mean ages of 14.5 and 16.0 years took the Web-based survey. The tested hypotheses were (a variables of self-determination, self-regulation, and intrinsic and extrinsic motivation would emerge as attitudinal domains in work−life orientation; (b the experiences during the implementation of a work−life orientation program would decrease the effects of seventh-grade student background factors at the end of the program in the ninth grade, and (c work−life orientation would be effective and have efficacy in changing student attitudes in relation to further education and occupations. Three factors emerged in the Maximum Likelihood Factor Analysis. The factors Independence, Self-Direction, and Flexibility were used as the dependents in repeated measures in a general linear model. The factor means were subjected to a paired samples t test. There was development toward stronger Independence and Flexibility in the case of both genders. The boys had gained the girls’ seventh-grade lead at the end of the program. Self-Direction did not show any changes. Empirical findings tentatively supported the program’s efficacy in changing entry characteristics.

  14. ALARA and planning of interventions

    Energy Technology Data Exchange (ETDEWEB)

    Rocaboy, A. [Electricite de France, Avoine (France)

    1995-03-01

    The implementation of ALARA programs implies integration of radiation protection criterion at all stages of outage management. Within the framework of its ALARA policy, Electricide de France (EDF) has given an incentive to all of its nuclear power plants to develop {open_quotes}good practices{close_quotes} in this domain, and to exchange their experience by the way of a national feed back file. Among the developments in the field of outage organization, some plants have focused on the planning stage of activities because of its influence on the radiological conditions of interventions and on the good succession of tasks within the radiological controlled areas. This paper presents the experience of Chinon nuclear power plant. At Chinon, we are pursuing this goal through careful outage planning. We want the ALARA program during outages to be part of the overall maintenance task planning. This planning includes the provision of the availability of every safety-related component, and of the variations of water levels in hthereactor and steam generators to take advantage of the shield created by the water. We have developed a computerized data base with the exact position of all the components in the reactor building in order to avoid unnecessary interactions between different tasks performed in the same room. A common language between Operation and Maintenance had been established over the past years, using {open_quotes}Milestones and Corridors{close_quotes}. A real time dose rate counting system enables the Radiation Protection (RP) Department to do an accurate and efficient follow up during the outage for all the {open_quotes}ALARA{close_quotes} maintenance tasks.

  15. Pharmacological interventions for acute pancreatitis.

    Science.gov (United States)

    Moggia, Elisabetta; Koti, Rahul; Belgaumkar, Ajay P; Fazio, Federico; Pereira, Stephen P; Davidson, Brian R; Gurusamy, Kurinchi Selvan

    2017-04-21

    In people with acute pancreatitis, it is unclear what the role should be for medical treatment as an addition to supportive care such as fluid and electrolyte balance and organ support in people with organ failure. To assess the effects of different pharmacological interventions in people with acute pancreatitis. We searched the Cochrane Central Register of Controlled Trials (CENTRAL, 2016, Issue 9), MEDLINE, Embase, Science Citation Index Expanded, and trial registers to October 2016 to identify randomised controlled trials (RCTs). We also searched the references of included trials to identify further trials. We considered only RCTs performed in people with acute pancreatitis, irrespective of aetiology, severity, presence of infection, language, blinding, or publication status for inclusion in the review. Two review authors independently identified trials and extracted data. We did not perform a network meta-analysis as planned because of the lack of information on potential effect modifiers and differences of type of participants included in the different comparisons, when information was available. We calculated the odds ratio (OR) with 95% confidence intervals (CIs) for the binary outcomes and rate ratios with 95% CIs for count outcomes using a fixed-effect model and random-effects model. We included 84 RCTs with 8234 participants in this review. Six trials (N = 658) did not report any of the outcomes of interest for this review. The remaining 78 trials excluded 210 participants after randomisation. Thus, a total of 7366 participants in 78 trials contributed to one or more outcomes for this review. The treatments assessed in these 78 trials included antibiotics, antioxidants, aprotinin, atropine, calcitonin, cimetidine, EDTA (ethylenediaminetetraacetic acid), gabexate, glucagon, iniprol, lexipafant, NSAIDs (non-steroidal anti-inflammatory drugs), octreotide, oxyphenonium, probiotics, activated protein C, somatostatin, somatostatin plus omeprazole, somatostatin

  16. Proposals for regulating future humanitarian interventions

    Directory of Open Access Journals (Sweden)

    Raičević Nebojša

    2014-01-01

    Full Text Available Although the legality of approved humanitarian intervention is undisputable in the positive international law, this legal institute should be further regulated in order to remove certain legal ambiguity and difficulties in its application. The future regulation of humanitarian intervention may be carried out in one of the three ways: by adopting a special international treaty, by entering amendments in the UN Charter, or by embarking on the factual revision of the UN Charter. Due to the limiting effects of Article 103 of the UN Charter as well as the problematic status of UN member states which would not ratify the international agreements on humanitarian intervention, the regulation of future humanitarian intervention seems to be the least likely option. Formal revision of the UN Charter is not a viable option either because, thus far, the major world powers have been against introducing any substantial changes to this treaty. For this reason, the factual revision of the UN Charter is currently the most appropriate way of regulating future humanitarian interventions. When it comes to substantive rules governing humanitarian intervention, it is necessary to focus on the problem of humanitarian intervention decision-making as well as on the conditions and criteria for the approval and carrying out a humanitarian intervention. The UN Security Council must retain the right to decide on approving such an intervention but it is also necessary to establish an independent expert body whose task would be to determine the presence of serious and mass violations of human rights in a specific country and notify the Security Council about such occurrences. The specification of conditions and criteria for undertaking a humanitarian intervention should strengthen its legitimacy and prevent unreasonable disruption of states' territorial integrity and political independence.

  17. Social media interventions to prevent HIV: A review of interventions and methodological considerations.

    Science.gov (United States)

    Tso, Lai Sze; Tang, Weiming; Li, Haochu; Yan, H Yanna; Tucker, Joseph D

    2016-06-01

    Persistent new HIV infections and risky behaviors underscore the need for enhanced HIV prevention. Social media interventions may promote safe sexual behaviors, increase HIV testing uptake, and promote safe injection behaviors. This review discusses how social media interventions tap into the wisdom of crowds through crowdsourcing, build peer-mentored communities, and deliver interventions through social networks. Social media HIV prevention interventions are constrained by ethical issues, low social media usage among some key populations, and implementation issues. Comprehensive measurement of social media interventions to prevent HIV is necessary, but requires further development of metrics.

  18. Intervention quality is not routinely assessed in Cochrane systematic reviews of radiation therapy interventions.

    Science.gov (United States)

    Abdul Rahim, Mohamad R; James, Melissa L; Hickey, Brigid E

    2017-10-01

    The aim of this study was to maximise the benefits from clinical trials involving technological interventions such as radiation therapy. High compliance to the quality assurance protocols is crucial. We assessed whether the quality of radiation therapy intervention was evaluated in Cochrane systematic reviews. We searched 416 published Cochrane systematic reviews and identified 67 Cochrane systematic reviews that investigated radiation therapy or radiotherapy as an intervention. For each systematic review, either quality assurance or quality control for the intervention was identified by a description of such processes in the published systematic reviews. Of the 67 Cochrane systematic reviews studied, only two mentioned quality assurance or quality control. Our findings revealed that 65 of 67 (97%) Cochrane systematic reviews of radiation therapy interventions failed to consider the quality of the intervention. We suggest that advice about the evaluation of intervention quality be added to author support materials. © 2017 The Royal Australian and New Zealand College of Radiologists.

  19. The current practices of intervention with batterers

    Directory of Open Access Journals (Sweden)

    Olga Cunha

    2014-03-01

    Full Text Available Background Since the 70s there was a proliferation of intervention programs for batterers; however the results remain controversial. Objectives This study aims to analyse the literature published between the years of 2000 and 2013 about the effectiveness of the intervention with batterers. Methods A review of papers about intervention with batterers published during this period (2000-2013 was conducted. Social sciences databases were checked. Papers about programs for a specific public or programs with a broad intervention focus, and with female and homosexual offenders were excluded. Results Thirty-six studies that described 37 intervention programs fulfilled the inclusion criteria. In general, the analysed programs adopted a group format (70.3% and a cognitive-behavioural (56.8% or psychoeducational (18.9% intervention model (32.4% assumed to adopt a Duluth model. Concerning the effectiveness, results showed success rates of 39.4%-97%, dropout rates of 10%-58% and recidivism rates of 0%-65.9%. Discussion The effectiveness of intervention with batterers remains controversial, which seems to be due to the different methodologies used in the studies. Despite the inconsistencies, programs for perpetrators are an important way to reduce intimate partner violence recidivism.

  20. Interventional Cardiology for Congenital Heart Disease.

    Science.gov (United States)

    Kenny, Damien

    2018-05-01

    Congenital heart interventions are now replacing surgical palliation and correction in an evolving number of congenital heart defects. Right ventricular outflow tract and ductus arteriosus stenting have demonstrated favorable outcomes compared to surgical systemic to pulmonary artery shunting, and it is likely surgical pulmonary valve replacement will become an uncommon procedure within the next decade, mirroring current practices in the treatment of atrial septal defects. Challenges remain, including the lack of device design focused on smaller infants and the inevitable consequences of somatic growth. Increasing parental and physician expectancy has inevitably lead to higher risk interventions on smaller infants and appreciation of the consequences of these interventions on departmental outcome data needs to be considered. Registry data evaluating congenital heart interventions remain less robust than surgical registries, leading to a lack of insight into the longer-term consequences of our interventions. Increasing collaboration with surgical colleagues has not been met with necessary development of dedicated equipment for hybrid interventions aimed at minimizing the longer-term consequences of scar to the heart. Therefore, great challenges remain to ensure children and adults with congenital heart disease continue to benefit from an exponential growth in minimally invasive interventions and technology. This can only be achieved through a concerted collaborative approach from physicians, industry, academia and regulatory bodies supporting great innovators to continue the philosophy of thinking beyond the limits that has been the foundation of our specialty for the past 50 years. Copyright © 2018. The Korean Society of Cardiology.

  1. Intervention program efficacy for spelling difficulties.

    Science.gov (United States)

    Sampaio, Maria Nobre; Capellini, Simone Aparecida

    2014-01-01

    To develop an intervention procedure for spelling difficulties and to verify the effectiveness of the intervention program in students with lower spelling performance. We developed an intervention program for spelling difficulties, according to the semiology of the errors. The program consisted of three modules totaling 16 sessions. The study included 40 students of the third to fifth grade of public elementary education of the city of Marilia (SP), of both genders, in aged of eight to 12 years old, being distributed in the following groups: GI (20 students with lower spelling performance) and GII (20 students with higher spelling performance). In situation of pre and post-testing, all groups were submitted to the Pro-Orthography. The results statistically analyzed showed that, in general, all groups had average of right that has higher in post-testing, reducing the types of errors second semiologycal classification, mainly related to natural spelling errors. However, the results also showed that the groups submitted to the intervention program showed better performance on spelling tests in relation to not submitted. The intervention program developed was effective once the groups submitted showed better performance on spelling tests in relation to not submitted. Therefore, the intervention program can help professionals in the Health and Education to minimize the problems related to spelling, giving students an intervention that is effective for the development of the spelling knowledge.

  2. Effectiveness of Evidence-Based Asthma Interventions.

    Science.gov (United States)

    Kennedy, Suzanne; Bailey, Ryan; Jaffee, Katy; Markus, Anne; Gerstein, Maya; Stevens, David M; Lesch, Julie Kennedy; Malveaux, Floyd J; Mitchell, Herman

    2017-06-01

    Researchers often struggle with the gap between efficacy and effectiveness in clinical research. To bridge this gap, the Community Healthcare for Asthma Management and Prevention of Symptoms (CHAMPS) study adapted an efficacious, randomized controlled trial that resulted in evidence-based asthma interventions in community health centers. Children (aged 5-12 years; N = 590) with moderate to severe asthma were enrolled from 3 intervention and 3 geographically/capacity-matched control sites in high-risk, low-income communities located in Arizona, Michigan, and Puerto Rico. The asthma intervention was tailored to the participant's allergen sensitivity and exposure, and it comprised 4 visits over the course of 1 year. Study visits were documented and monitored prospectively via electronic data capture. Asthma symptoms and health care utilization were evaluated at baseline, and at 6 and 12 months. A total of 314 intervention children and 276 control children were enrolled in the study. Allergen sensitivity testing (96%) and home environmental assessments (89%) were performed on the majority of intervention children. Overall study activity completion (eg, intervention visits, clinical assessments) was 70%. Overall and individual site participant symptom days in the previous 4 weeks were significantly reduced compared with control findings (control, change of -2.28; intervention, change of -3.27; difference, -0.99; P asthma in these high-need populations. Copyright © 2017 by the American Academy of Pediatrics.

  3. Family Intervention in First-Episode Psychosis

    Directory of Open Access Journals (Sweden)

    Anvar Sadath

    2015-11-01

    Full Text Available Family interventions have produced benefits on clinical and family outcomes in long standing psychosis. However, little is known about the efficacy of such interventions in the early stages of psychosis. This article reviews published research over the last two decades on family intervention in first-episode psychosis. Electronic databases, such as PubMed, PsycINFO, and ScienceDirect, have been systematically searched. In addition, an exhaustive Internet search was also carried out using Google and Google Scholar to identify the potential studies that evaluated family interventions in first-episode psychosis. We have identified seven reports of five randomized controlled trials (RCTs and five non-randomized and uncontrolled studies of family intervention. Our review on 12 reports of family intervention studies has shown mixed effects on outcomes in first-episode psychosis. Most of the reports showed no added benefits or very short-term benefits on primary clinical or family outcome variables. There is a dearth of family intervention studies in first-episode psychosis. More RCTs are needed to reach reliable conclusions.

  4. Developing an intervention to overcome procrastination.

    Science.gov (United States)

    Otermin-Cristeta, Solange; Hautzinger, Martin

    2018-01-01

    The main goal of this study was the development of a reliable intervention to overcome general procrastination orientated to college students, designed to be used in practical clinical work. The workshops involved six meetings based on behavioral and cognitive techniques, paradox intervention, and psychoeducation. 175 students participated voluntarily. Their procrastination levels were measured in a pretest, post-test, and a 3-month follow-up. After the first interview, the participants were randomly divided into three groups (Intervention A, Intervention B, and a control group with no intervention). There was a significant improvement after the intervention. After 3 months, the average score was still significantly lower than in the pretest, whereas the score of the control group remained unchanged. The participants in Workshop A scored significantly lower in the post-test than the ones in Workshop B. After 3 months, the participants in Workshop B scored significantly lower in the follow up. So both interventions resulted to be effective in reducing procrastination sustainably.

  5. E-health interventions for suicide prevention.

    Science.gov (United States)

    Christensen, Helen; Batterham, Philip J; O'Dea, Bridianne

    2014-08-12

    Many people at risk of suicide do not seek help before an attempt, and do not remain connected to health services following an attempt. E-health interventions are now being considered as a means to identify at-risk individuals, offer self-help through web interventions or to deliver proactive interventions in response to individuals' posts on social media. In this article, we examine research studies which focus on these three aspects of suicide and the internet: the use of online screening for suicide, the effectiveness of e-health interventions aimed to manage suicidal thoughts, and newer studies which aim to proactively intervene when individuals at risk of suicide are identified by their social media postings. We conclude that online screening may have a role, although there is a need for additional robust controlled research to establish whether suicide screening can effectively reduce suicide-related outcomes, and in what settings online screening might be most effective. The effectiveness of Internet interventions may be increased if these interventions are designed to specifically target suicidal thoughts, rather than associated conditions such as depression. The evidence for the use of intervention practices using social media is possible, although validity, feasibility and implementation remains highly uncertain.

  6. Quasi experimental designs in pharmacist intervention research.

    Science.gov (United States)

    Krass, Ines

    2016-06-01

    Background In the field of pharmacist intervention research it is often difficult to conform to the rigorous requirements of the "true experimental" models, especially the requirement of randomization. When randomization is not feasible, a practice based researcher can choose from a range of "quasi-experimental designs" i.e., non-randomised and at time non controlled. Objective The aim of this article was to provide an overview of quasi-experimental designs, discuss their strengths and weaknesses and to investigate their application in pharmacist intervention research over the previous decade. Results In the literature quasi experimental studies may be classified into five broad categories: quasi-experimental design without control groups; quasi-experimental design that use control groups with no pre-test; quasi-experimental design that use control groups and pre-tests; interrupted time series and stepped wedge designs. Quasi-experimental study design has consistently featured in the evolution of pharmacist intervention research. The most commonly applied of all quasi experimental designs in the practice based research literature are the one group pre-post-test design and the non-equivalent control group design i.e., (untreated control group with dependent pre-tests and post-tests) and have been used to test the impact of pharmacist interventions in general medications management as well as in specific disease states. Conclusion Quasi experimental studies have a role to play as proof of concept, in the pilot phases of interventions when testing different intervention components, especially in complex interventions. They serve to develop an understanding of possible intervention effects: while in isolation they yield weak evidence of clinical efficacy, taken collectively, they help build a body of evidence in support of the value of pharmacist interventions across different practice settings and countries. However, when a traditional RCT is not feasible for

  7. Early psychosocial intervention in Alzheimer's disease

    DEFF Research Database (Denmark)

    Søgaard, Rikke; Sørensen, Jan; Waldorff, Frans B

    2014-01-01

    in five Danish districts. PARTICIPANTS: 330 community-dwelling patients and their primary caregivers. INTERVENTION: Psychosocial counselling and support lasting 8-12 months after diagnosis and follow-up at 3, 6, 12 and 36 months in the intervention group or follow-up only in the control group. MAIN...... and the caregiver before aggregation for the main analysis. RESULTS: None of the observed cost and QALY measures were significantly different between the intervention and control groups, although a tendency was noted for psychosocial care leading to cost increases with informal care that was not outweighed...

  8. Individual dosemeter with ionization chamber for intervention

    International Nuclear Information System (INIS)

    Prigent, M.

    1982-01-01

    The altogether intervention ratemeter-dosemeter is a device for work condition control and for dosimetry of intervention gang in hostile medium. A portable irradiation marker with ionization chamber either carried by staff, either put at the work post, delivers an information function of the surrounding irradiation field in which moves the intervention staff. The information is processed so as the absorbed dose rate and the absorbed dose are given simultaneously. The connection between the marker and the process device is made by a cable (up to 100m) or by radio link [fr

  9. Creation of a mobile intervention group

    International Nuclear Information System (INIS)

    Cerre, P.; Mestre, E.

    1961-01-01

    This document presents the different missions and equipment of the Mobile Intervention Group which is supposed to intervene on a site of accident involving radioactive products. The authors indicate the various missions inside and outside a nuclear centre, the vehicles (with a laboratory, a decontamination set, an intervention vehicle for four persons, a liaison vehicle), the intervention equipment, the control and sampling equipment (samplers, counters), the analysis equipment, and the personnel (engineer, chemist, electronics technician, drivers, decontamination agents, sampling agents). They describe the alert procedure and the successive operations

  10. Understanding implementation and change in complex interventions

    DEFF Research Database (Denmark)

    Agergaard, Sine; Dankers, Silke; Munk, Mette

    2018-01-01

    and experiences of social inclusion in the PE context using a multi-method approach integrating quantitative and qualitative approaches. The multi-method approach allowed an integration of the findings with regard to the implementation as well as the effect of the intervention. First of all, standardized...... questionnaires provided a manipulation check of the delivery of the intervention, while qualitative observations and interviews identified the diversity in pupils’ reactions thereto. Secondly, quantitative findings on the effect of the intervention were related to qualitative findings pointing to ambiguities...

  11. Risk Premium and Central Bank Intervention

    OpenAIRE

    Pinar Ozlu

    2006-01-01

    This study examines the relation between the risk premium and central bank intervention. Forward rates are calculated for the Turkish Lira-USD exchange market and then the effect of central bank intervention on the risk premium is estimated. Using high quality daily intervention data from the Central Bank of Turkey as well as implied forward rates, an MA (21)-GARCH (1,1) model is estimated. Both purchases and sales of US dollars by the Central Bank of Turkey appear to have no effect on the si...

  12. Zoning and workstation analysis in interventional cardiology

    International Nuclear Information System (INIS)

    Degrange, J.P.

    2009-01-01

    As interventional cardiology can induce high doses not only for patients but also for the personnel, the delimitation of regulated areas (or zoning) and workstation analysis (dosimetry) are very important in terms of radioprotection. This paper briefly recalls methods and tools for the different steps to perform zoning and workstation analysis. It outlines the peculiarities of interventional cardiology, presents methods and tools adapted to interventional cardiology, and then discusses the same issues but for workstation analysis. It also outlines specific problems which can be met, and their possible adapted solutions

  13. Health Behaviuor Interventions In Developing Countries

    African Journals Online (AJOL)

    health promotion interventions specifically focusing on developing countries would ... example from Kenya and Brazil of web-based education on adolescents' ... Master of Public Health, College of Medicine, University of Malawi. Reviewed by: ...

  14. The Breast Health Intervention Evaluation Study

    National Research Council Canada - National Science Library

    Blumenthal, Daniel

    1997-01-01

    The Breast Health Intervention Evaluation (BRIE) Study will evaluate the relative effectiveness of three different approaches to breast health messages--a fear appeal, a positive affect appeal, and an affectively neutral, cognitive appeal...

  15. The 'Cancer Home-Life Intervention'

    DEFF Research Database (Denmark)

    Pilegaard, Marc Sampedro; la Cour, Karen; Gregersen Oestergaard, Lisa

    2018-01-01

    , occupational therapy-based and adaptive programme for people with advanced cancer targeting the performance of their prioritised everyday activities. SETTING/PARTICIPANTS: Home-living adults diagnosed with advanced cancer experiencing functional limitations were recruited from two Danish hospitals. They were......BACKGROUND: People with advanced cancer face difficulties with their everyday activities at home that may reduce their health-related quality of life. To address these difficulties, we developed the 'Cancer Home-Life Intervention'. AIM: To evaluate the efficacy of the 'Cancer Home Life......-Intervention' compared with usual care with regard to patients' performance of, and participation in, everyday activities, and their health-related quality of life. DESIGN AND INTERVENTION: A randomised controlled trial ( ClinicalTrials.gov NCT02356627). The 'Cancer Home-Life Intervention' is a brief, tailored...

  16. Endovascular image-guided interventions (EIGIs)

    International Nuclear Information System (INIS)

    Rudin, Stephen; Bednarek, Daniel R.; Hoffmann, Kenneth R.

    2008-01-01

    Minimally invasive interventions are rapidly replacing invasive surgical procedures for the most prevalent human disease conditions. X-ray image-guided interventions carried out using the insertion and navigation of catheters through the vasculature are increasing in number and sophistication. In this article, we offer our vision for the future of this dynamic field of endovascular image-guided interventions in the form of predictions about (1) improvements in high-resolution detectors for more accurate guidance, (2) the implementation of high-resolution region of interest computed tomography for evaluation and planning, (3) the implementation of dose tracking systems to control patient radiation risk, (4) the development of increasingly sophisticated interventional devices, (5) the use of quantitative treatment planning with patient-specific computer fluid dynamic simulations, and (6) the new expanding role of the medical physicist. We discuss how we envision our predictions will come to fruition and result in the universal goal of improved patient care.

  17. Transforming beginner teacher mentoring interventions for social ...

    African Journals Online (AJOL)

    Transforming beginner teacher mentoring interventions for social reform. ... for developing scholarship of teaching, as it is aligned with the role of scholar and ... Keywords: Action research; learning styles; mentoring practice; professional ...

  18. The Environmental Impact on Occupational Therapy Interventions.

    Science.gov (United States)

    Skubik-Peplaski, Camille Louise; Howell, Dana; Hunter, Elizabeth

    2016-01-01

    The purpose of this study was to investigate how the environment influenced the intervention choices occupational therapists made for patients recovering from a stroke in an inpatient rehabilitation hospital. Three occupational therapists were observed providing intervention for six patients over a 16-month period. Treatment spaces included a therapy gym, gym with kitchen combination, and a home-like space. Furniture was added to the therapy gym to be more home-like midway through the study. Observations included therapist selection of treatment location and interventions, and observational data of the environment and interactions among therapists and patients. This study found that inpatient rehabilitation environments did influence interventions. The occupational therapists provided therapy in the standard therapy gym environment most often, whether it was enhanced to be more home-like or not, and predominately used preparatory methods.

  19. Intervention Analysis of Nigeria's Foreign Exchange Rate ...

    African Journals Online (AJOL)

    ADOWIE PERE

    to 2014:12 were used and a number of statistical tools are employed to verify this hypothesis. A useful approach is to ..... Conclusion: We have applied the intervention analysis to model ... Nigerian Journal of Economic and Social studies, Vol.

  20. Modelling household responses to energy efficiency interventions ...

    African Journals Online (AJOL)

    2010-11-01

    Nov 1, 2010 ... to interventions aimed at reducing energy consumption (specifically the use of .... 4 A system dynamics model of electricity consumption ...... to base comparisons on overly detailed quantitative predictions of behaviour.

  1. DAIRY PRODUCTION: A NUTRITION INTERVENTION IN A ...

    African Journals Online (AJOL)

    DAIRY PRODUCTION: A NUTRITION INTERVENTION IN A SUGARCANE GROWING AREA IN WESTERN KENYA. ... African Journal of Food, Agriculture, Nutrition and Development ... The influence of dairy production and a select number of household characteristics on the children's nutritional status was evaluated.

  2. On the Actual Risk of Bystander Intervention

    DEFF Research Database (Denmark)

    Liebst, Lasse Suonperä; Heinskou, Marie Bruvik; Ejbye-Ernst, Peter

    2018-01-01

    Objectives: Bystander studies have rarely considered the victimization risk associated with intervention into violent, dangerous emergencies. To address this gap, we aim to identify factors that influence bystanders’ risk of being physically victimized. Methods: We observed bystander behavior fro...

  3. Foundations of intervention research in instrumental practice

    Directory of Open Access Journals (Sweden)

    Johannes Lunde Hatfield

    2016-01-01

    Full Text Available The goals of the present study are to evaluate, implement, and adapt psychological skills used in the realm of sports into music performance. This research project also aims to build foundations on how to implement future interventions to guide music students on how to optimize practice toward performance. A two-month psychological skills intervention was provided to two students from the national music academy’s bachelor program in music performance to better understand how to adapt and construct psychological skills training programs for performing music students. The program evaluated multiple intervention tools including the use of questionnaires, performance profiling, iPads, electronic practice logs, recording the perceived value of individual and combined work, as well as the effectiveness of different communication forms. Perceived effects of the intervention were collected through semi-structured interviews, observations, and logs.

  4. Interventions to promote healthy eating habits

    DEFF Research Database (Denmark)

    Traill, W. B.; Shankar, B.; Branbila-Macias, J.

    2010-01-01

    Although in several EU Member States many public interventions have been running for the prevention and/or management of obesity and other nutritionrelated health conditions, few have yet been formally evaluated. The multidisciplinary team of the EATWELL project will gather benchmark data...... on healthy eating interventions in EU Member States and review existing information on the effectiveness of interventions using a three-stage procedure (i) Assessment of the intervention's impact on consumer attitudes, consumer behaviour and diets; (ii) The impact of the change in diets on obesity and health...... and (iii) The value attached by society to these changes, measured in life years gained, cost savings and quality-adjusted life years. Where evaluations have been inadequate, EATWELL will gather secondary data and analyse them with a multidisciplinary approach incorporating models from the psychology...

  5. Social Work Intervention Focused on Transitions

    Science.gov (United States)

    2016-12-19

    Study Focus: 30-day Rehospitalizations Among At-risk Older Adults Randomized to a Social Work-driven Care Transitions Intervention; Heart Disease; Diabetes; Hypertension; Cancer; Depression; Asthma; Chronic Heart Failure; Chronic Obstructive Pulmonary Disease; Stroke

  6. Maintenance interventions in overweight or obese children

    NARCIS (Netherlands)

    Heijden, van der L.B.; Feskens, E.J.M.; Janse, A.J.

    2018-01-01

    Childhood obesity is associated with significant health consequences. Although several intervention programmes for children result in weight loss or stabilization in the short-term, preventing relapse after treatment remains an important challenge. This systematic review summarizes the evidence

  7. January 2014 pulmonary journal club: interventional guidelines

    Directory of Open Access Journals (Sweden)

    Mathew M

    2014-01-01

    Full Text Available No abstract available. Article truncated after 150 words. A few years ago a colleague and I were discussing the shape of healthcare in the USA. One of the comments that was made was "that despite the high costs within our system, that at least there was some standardization in the treatment of certain diseases, for example, receiving Aspirin for an acute myocardial infarction". Guidelines exist to ensure that for certain conditions a standard of care is practiced. When guidelines start to become a measuring stick for what is now considered best practice…..then it our responsibility to ensure that guidelines are rooted on high quality evidence. This paper reviewed the validity of guidelines published and practiced by several of the interventional medical societies including the American Association for Bronchology and Interventional Pulmonology (AABIP, American Society of Diagnostic and Interventional Nephrology (ASDIN, American Society For Gastrointestinal Endoscopy (ASGE and the Society for Cardiovascular Angiography and Interventions (SCAI. A total of ...

  8. Modified crisis intervention for personality disorder.

    Science.gov (United States)

    Rudnick, A

    1998-01-01

    This study proposes that the goal of crisis intervention for persons with personality disorders should be to return them to their pre-crisis level of functioning, even though this is maladaptive. This is contrasted with standard crisis intervention, which aims to return normal or neurotic persons to their pre-crisis normal or neurotic functioning, usually by means of few and short-term therapeutic encounters. The modification proposed costs more time and resources in persons with personality disorders in crisis and fits the intervention to the personality type. This is illustrated by the case of Eve, a patient in crisis, whose pre-crisis functioning was maladaptive because of a dependent personality disorder. The goal of (modified) crisis intervention in this case was to return the patient to her dependent lifestyle, by means of pharmacotherapy combined with intensive supportive psychotherapy during 3-4 months of partial (day) hospitalization. The special nature of crisis in personality disorders is discussed.

  9. Immediate field of intervention: undergraduate college Preparation ...

    Indian Academy of Sciences (India)

    ... field of intervention: undergraduate college Preparation: at research institutes and universities The challenge: to transform the disciplines themselves Make them relevant and responsive. First step: create innovative interactions across the higher education spectrum, between Research Institute-University-College.

  10. Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping.

    Science.gov (United States)

    Norris, Shane A; Ho, Julius Cheah Chee; Rashed, Aswir Abd; Vinding, Vibeke; Skau, Jutta K H; Biesma, Regien; Aagaard-Hansen, Jens; Hanson, Mark; Matzen, Priya

    2016-11-17

    Malaysia is experiencing a nutrition transition with burgeoning obesity, particularly in women, and a growing prevalence of non-communicable disease. These health burdens have severe implications not only for adult health but also across generations. Pre-conception health promotion could address the intergenerational risk of metabolic disease. This paper describes the development of the "Jom Mama" intervention using Intervention Mapping (IM). The Jom Mama intervention aims to improve the health of young adult couples in Malaysia prior to conception. IM comprises of five steps prior to the last one, which involves the evaluation of the intervention. We used the five steps to develop the Jom Mama intervention. Both the process and evidence is documented providing the rationale to the selection of the key objectives of the intervention: (i) increasing healthy dietary practice; (ii) increasing physical activity levels, (iii) reducing sedentary activity; and (iv) improving social support to offset stressful lifestyles. From the IM process, Jom Mama will be health-system centred approach that uniquely combines both community health promoters and an electronic-health platform to deliver the complex intervention. IM is an iterative process that systematically gathers "best" evidence, selects appropriate theories of behaviour change, and facilitates formative research so as to develop a complex intervention. Though the IM process is time consuming, complex, and costly, it has enriched the Jom Mama intervention with a number of notable advantages: (i) intervention fashioned on formative work with stakeholders and in the target group; (ii) intervention combines research evidence with theory; (iii) intervention acknowledges multiple dynamics of influence; and (iv) intervention is embedded within health service priorities in Malaysia for greater scale-up possibility.

  11. Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping

    Directory of Open Access Journals (Sweden)

    Shane A. Norris

    2016-11-01

    Full Text Available Abstract Background Malaysia is experiencing a nutrition transition with burgeoning obesity, particularly in women, and a growing prevalence of non-communicable disease. These health burdens have severe implications not only for adult health but also across generations. Pre-conception health promotion could address the intergenerational risk of metabolic disease. This paper describes the development of the “Jom Mama” intervention using Intervention Mapping (IM. The Jom Mama intervention aims to improve the health of young adult couples in Malaysia prior to conception. Methods IM comprises of five steps prior to the last one, which involves the evaluation of the intervention. We used the five steps to develop the Jom Mama intervention. Results Both the process and evidence is documented providing the rationale to the selection of the key objectives of the intervention: (i increasing healthy dietary practice; (ii increasing physical activity levels, (iii reducing sedentary activity; and (iv improving social support to offset stressful lifestyles. From the IM process, Jom Mama will be health-system centred approach that uniquely combines both community health promoters and an electronic-health platform to deliver the complex intervention. Conclusion IM is an iterative process that systematically gathers “best” evidence, selects appropriate theories of behaviour change, and facilitates formative research so as to develop a complex intervention. Though the IM process is time consuming, complex, and costly, it has enriched the Jom Mama intervention with a number of notable advantages: (i intervention fashioned on formative work with stakeholders and in the target group; (ii intervention combines research evidence with theory; (iii intervention acknowledges multiple dynamics of influence; and (iv intervention is embedded within health service priorities in Malaysia for greater scale-up possibility.

  12. Application of Intervention Mapping to the Development of a Complex Physical Therapist Intervention.

    Science.gov (United States)

    Jones, Taryn M; Dear, Blake F; Hush, Julia M; Titov, Nickolai; Dean, Catherine M

    2016-12-01

    Physical therapist interventions, such as those designed to change physical activity behavior, are often complex and multifaceted. In order to facilitate rigorous evaluation and implementation of these complex interventions into clinical practice, the development process must be comprehensive, systematic, and transparent, with a sound theoretical basis. Intervention Mapping is designed to guide an iterative and problem-focused approach to the development of complex interventions. The purpose of this case report is to demonstrate the application of an Intervention Mapping approach to the development of a complex physical therapist intervention, a remote self-management program aimed at increasing physical activity after acquired brain injury. Intervention Mapping consists of 6 steps to guide the development of complex interventions: (1) needs assessment; (2) identification of outcomes, performance objectives, and change objectives; (3) selection of theory-based intervention methods and practical applications; (4) organization of methods and applications into an intervention program; (5) creation of an implementation plan; and (6) generation of an evaluation plan. The rationale and detailed description of this process are presented using an example of the development of a novel and complex physical therapist intervention, myMoves-a program designed to help individuals with an acquired brain injury to change their physical activity behavior. The Intervention Mapping framework may be useful in the development of complex physical therapist interventions, ensuring the development is comprehensive, systematic, and thorough, with a sound theoretical basis. This process facilitates translation into clinical practice and allows for greater confidence and transparency when the program efficacy is investigated. © 2016 American Physical Therapy Association.

  13. Interventions for preventing voice disorders in adults.

    Science.gov (United States)

    Ruotsalainen, J H; Sellman, J; Lehto, L; Jauhiainen, M; Verbeek, J H

    2007-10-17

    Poor voice quality due to a voice disorder can lead to a reduced quality of life. In occupations where voice use is substantial it can lead to periods of absence from work. To evaluate the effectiveness of interventions to prevent voice disorders in adults. We searched MEDLINE (PubMed, 1950 to 2006), EMBASE (1974 to 2006), CENTRAL (The Cochrane Library, Issue 2 2006), CINAHL (1983 to 2006), PsychINFO (1967 to 2006), Science Citation Index (1986 to 2006) and the Occupational Health databases OSH-ROM (to 2006). The date of the last search was 05/04/06. Randomised controlled clinical trials (RCTs) of interventions evaluating the effectiveness of treatments to prevent voice disorders in adults. For work-directed interventions interrupted time series and prospective cohort studies were also eligible. Two authors independently extracted data and assessed trial quality. Meta-analysis was performed where appropriate. We identified two randomised controlled trials including a total of 53 participants in intervention groups and 43 controls. One study was conducted with teachers and the other with student teachers. Both trials were poor quality. Interventions were grouped into 1) direct voice training, 2) indirect voice training and 3) direct and indirect voice training combined.1) Direct voice training: One study did not find a significant decrease of the Voice Handicap Index for direct voice training compared to no intervention.2) Indirect voice training: One study did not find a significant decrease of the Voice Handicap Index for indirect voice training when compared to no intervention.3) Direct and indirect voice training combined: One study did not find a decrease of the Voice Handicap Index for direct and indirect voice training combined when compared to no intervention. The same study did however find an improvement in maximum phonation time (Mean Difference -3.18 sec; 95 % CI -4.43 to -1.93) for direct and indirect voice training combined when compared to no

  14. Interventions to promote cycling: systematic review.

    Science.gov (United States)

    Yang, Lin; Sahlqvist, Shannon; McMinn, Alison; Griffin, Simon J; Ogilvie, David

    2010-10-18

    To determine what interventions are effective in promoting cycling, the size of the effects of interventions, and evidence of any associated benefits on overall physical activity or anthropometric measures. Systematic review. Published and unpublished reports in any language identified by searching 13 electronic databases, websites, reference lists, and existing systematic reviews, and papers identified by experts in the field. Review methods Controlled "before and after" experimental or observational studies of the effect of any type of intervention on cycling behaviour measured at either individual or population level. Twenty five studies (of which two were randomised controlled trials) from seven countries were included. Six studies examined interventions aimed specifically at promoting cycling, of which four (an intensive individual intervention in obese women, high quality improvements to a cycle route network, and two multifaceted cycle promotion initiatives at town or city level) were found to be associated with increases in cycling. Those studies that evaluated interventions at population level reported net increases of up to 3.4 percentage points in the population prevalence of cycling or the proportion of trips made by bicycle. Sixteen studies assessing individualised marketing of "environmentally friendly" modes of transport to interested households reported modest but consistent net effects equating to an average of eight additional cycling trips per person per year in the local population. Other interventions that targeted travel behaviour in general were not associated with a clear increase in cycling. Only two studies assessed effects of interventions on physical activity; one reported a positive shift in the population distribution of overall physical activity during the intervention. Community-wide promotional activities and improving infrastructure for cycling have the potential to increase cycling by modest amounts, but further controlled

  15. Psychological interventions and health: critical connections

    OpenAIRE

    Belar, Cynthia D.

    2000-01-01

    The objective of the study was to discuss critical connections between psychological interventions and health can at various levels: the individual/family, the community/worksite, the health care system, and the general population itself. Psychologists have developed interventions that have positively impacted health in the areas of prevention and health promotion, recovery from illness, management of physical symptoms, stressful medical procedures, adherence and health care systems design. S...

  16. Minimum intervention dentistry: periodontics and implant dentistry.

    Science.gov (United States)

    Darby, I B; Ngo, L

    2013-06-01

    This article will look at the role of minimum intervention dentistry in the management of periodontal disease. It will discuss the role of appropriate assessment, treatment and risk factors/indicators. In addition, the role of the patient and early intervention in the continuing care of dental implants will be discussed as well as the management of peri-implant disease. © 2013 Australian Dental Association.

  17. Educational intervention for liver transplantation candidates

    OpenAIRE

    Mendes,Karina Dal Sasso; Silva Junior,Orlando de Castro e; Ziviani,Luciana da Costa; Rossin,Fabiana Murad; Zago,Márcia Maria Fontão; Galvão,Cristina Maria

    2013-01-01

    OBJECTIVE: The objective in this study was to analyze candidates' knowledge on the liver transplantation process before and after putting in practice an educational intervention. METHOD: A quasi-experimental, one-group pretest-posttest research design was adopted. The final sample included 15 subjects. Research data were collected between January and March 2010 in three phases, which were: pretest, implementation of the educational intervention (two meetings) and posttest. RESULTS: The result...

  18. Behavioral interventions for insomnia: Theory and practice

    OpenAIRE

    Sharma, Mahendra P.; Andrade, Chittaranjan

    2012-01-01

    Insomnia is a general clinical term that refers to a difficulty in initiating or maintaining sleep. Insomnia is widely prevalent in the general population, especially in the elderly and in those with medical and psychiatric disorders. Hypnotic drug treatments of insomnia are effective but are associated with potential disadvantages. This article presents an overview of behavioral interventions for insomnia. Behavioral interventions for insomnia include relaxation training, stimulus control th...

  19. Cognitive intervention with elite performers: reversal theory.

    OpenAIRE

    Kerr, J H

    1987-01-01

    Noticeable in the literature associated with the application of psychology to the area of sport and sports performance in particular has been the increasing frequency of references to the use of cognitive intervention in the sports context. Currently utilised in clinical psychology and behavioural medicine, and receiving increasing attention in sports psychology, are a number of intervention techniques primarily oriented towards altering the individual's level of arousal. These techniques, wh...

  20. Drug and Alcohol Studies (Volume 5: Interventions)

    OpenAIRE

    MacGregor, S; Thom, B

    2014-01-01

    VOLUME FIVE: INTERVENTIONS Natural Recovery from Alcohol Problems Harald Klingemann School-Based Programmes to Prevent Alcohol, Tobacco and Other Drug Use Gilbert Botvin and Kenneth Griffin Community Prevention of Alcohol Problems Harold Holder Can Screening and Brief Intervention Lead to Population-Level Reductions in Alcohol-Related Harm? Nick Heather Sharpening the Focus of Alcohol Policy from Aggregate Consumption to Harm and Risk Reduction Tim Stockwell et al A Review of the Efficacy and...

  1. Glove Perforations During Interventional Radiological Procedures

    International Nuclear Information System (INIS)

    Leena, R. V.; Shyamkumar, N. K.

    2010-01-01

    Intact surgical gloves are essential to avoid contact with blood and other body fluids. The objective of this study was to estimate the incidence of glove perforations during interventional radiological procedures. In this study, a total of 758 gloves used in 94 interventional radiological procedures were examined for perforations. Eleven perforations were encountered, only one of which was of occult type. No significant difference in the frequency of glove perforation was found between the categories with varying time duration.

  2. Clinical applications of virtual navigation bronchial intervention.

    Science.gov (United States)

    Kajiwara, Naohiro; Maehara, Sachio; Maeda, Junichi; Hagiwara, Masaru; Okano, Tetsuya; Kakihana, Masatoshi; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko

    2018-01-01

    In patients with bronchial tumors, we frequently consider endoscopic treatment as the first treatment of choice. All computed tomography (CT) must satisfy several conditions necessary to analyze images by Synapse Vincent. To select safer and more precise approaches for patients with bronchial tumors, we determined the indications and efficacy of virtual navigation intervention for the treatment of bronchial tumors. We examined the efficacy of virtual navigation bronchial intervention for the treatment of bronchial tumors located at a variety of sites in the tracheobronchial tree using a high-speed 3-dimensional (3D) image analysis system, Synapse Vincent. Constructed images can be utilized to decide on the simulation and interventional strategy as well as for navigation during interventional manipulation in two cases. Synapse Vincent was used to determine the optimal planning of virtual navigation bronchial intervention. Moreover, this system can detect tumor location and alsodepict surrounding tissues, quickly, accurately, and safely. The feasibility and safety of Synapse Vincent in performing useful preoperative simulation and navigation of surgical procedures can lead to safer, more precise, and less invasion for the patient, and makes it easy to construct an image, depending on the purpose, in 5-10 minutes using Synapse Vincent. Moreover, if the lesion is in the parenchyma or sub-bronchial lumen, it helps to perform simulation with virtual skeletal subtraction to estimate potential lesion movement. By using virtual navigation system for simulation, bronchial intervention was performed with no complications safely and precisely. Preoperative simulation using virtual navigation bronchial intervention reduces the surgeon's stress levels, particularly when highly skilled techniques are needed to operate on lesions. This task, including both preoperative simulation and intraoperative navigation, leads to greater safety and precision. These technological instruments

  3. In defense of prenatal genetic interventions.

    Science.gov (United States)

    Murphy, Timothy F

    2014-09-01

    Jürgen Habermas has argued against prenatal genetic interventions used to influence traits on the grounds that only biogenetic contingency in the conception of children preserves the conditions that make the presumption of moral equality possible. This argument fails for a number of reasons. The contingency that Habermas points to as the condition of moral equality is an artifact of evolutionary contingency and not inviolable in itself. Moreover, as a precedent for genetic interventions, parents and society already affect children's traits, which is to say there is moral precedent for influencing the traits of descendants. A veil-of-ignorance methodology can also be used to justify prenatal interventions through its method of advance consent and its preservation of the contingency of human identities in a moral sense. In any case, the selection of children's traits does not undermine the prospects of authoring a life since their future remains just as contingent morally as if no trait had been selected. Ironically, the prospect of preserving human beings as they are--to counteract genetic drift--might even require interventions to preserve the ability to author a life in a moral sense. In light of these analyses, Habermas' concerns about prenatal genetic interventions cannot succeed as objections to their practice as a matter of principle; the merits of these interventions must be evaluated individually. © 2012 John Wiley & Sons Ltd.

  4. Crisis interventions in online psychological counseling

    Directory of Open Access Journals (Sweden)

    Juliana Amaral Medeiros da Silva

    2015-12-01

    Full Text Available Introduction: The world's population is often assailed by crises of various orders. Disasters caused by nature and by humans themselves also impact on people's mental health. Psychological crises, such as suicide attempts, represent a growing problem in mental health. When faced with such scenarios, specific strategies of crisis intervention are both appropriate and necessary. Objective: To conduct a systematic review of the literature dealing with online psychological crisis intervention, describing and discussing their operational design, specific characteristics and applications. Method: A systematic review of literature indexed on the PubMed, PsycINFO, and SciELO databases identified by searches conducted from January to June of 2014. Results: The searches identified 17 empirical studies about online crisis interventions which were reviewed. Three crisis contexts emerged: 1 disasters, 2 risk/prevention of suicide, and 3 trauma. Eleven different intervention programs were described and the predominant treatment approach was cognitive behavioral therapy. The results showed that research into online psychological crisis intervention has been conducted in several different countries, especially the Netherlands and Australia, and that the users of these tools benefit from them. Conclusion: Online crisis interventions have been developed and researched in many countries around the world. In Brazil, there is still a lack of investment and research in this area.

  5. Recent advances in pediatric interventional cardiology.

    Science.gov (United States)

    Kim, Seong-Ho

    2017-08-01

    During the last 10 years, there have been major technological achievements in pediatric interventional cardiology. In addition, there have been several advances in cardiac imaging, especially in 3-dimensional imaging of echocardiography, computed tomography, magnetic resonance imaging, and cineangiography. Therefore, more types of congenital heart diseases can be treated in the cardiac catheter laboratory today than ever before. Furthermore, lesions previously considered resistant to interventional therapies can now be managed with high success rates. The hybrid approach has enabled the overcoming of limitations inherent to percutaneous access, expanding the application of endovascular therapies as adjunct to surgical interventions to improve patient outcomes and minimize invasiveness. Percutaneous pulmonary valve implantation has become a successful alternative therapy. However, most of the current recommendations about pediatric cardiac interventions (including class I recommendations) refer to off-label use of devices, because it is difficult to study the safety and efficacy of catheterization and transcatheter therapy in pediatric cardiac patients. This difficulty arises from the challenge of identifying a control population and the relatively small number of pediatric patients with congenital heart disease. Nevertheless, the pediatric interventional cardiology community has continued to develop less invasive solutions for congenital heart defects to minimize the need for open heart surgery and optimize overall outcomes. In this review, various interventional procedures in patients with congenital heart disease are explored.

  6. Training in Radiation Protection for Interventional Radiology

    Energy Technology Data Exchange (ETDEWEB)

    Vano, E.; Guibelalde, E.

    2002-07-01

    Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

  7. Workplace physical activity interventions: a systematic review.

    Science.gov (United States)

    To, Quyen G; Chen, Ted T L; Magnussen, Costan G; To, Kien G

    2013-01-01

    To assess the effectiveness of workplace interventions in improving physical activity. EBSCO research database (and all subdatabases). Articles were published from 2000 to 2010 in English, had appropriate designs, and measured employees' physical activity, energy consumption, and/or body mass index (BMI) as primary outcomes. Articles that did not meet the inclusion criteria were excluded. Data extracted included study design, study population, duration, intervention activities, outcomes, and results. Data were synthesized into one table. Results of each relevant outcome including p values were combined. Twelve (60%) of 20 selected interventions reported an improvement in physical activity level, steps, or BMI, and there was one slowed step reduction in the intervention group. Among these, 10 were less than 6 months in duration; 9 used pedometers; 6 applied Internet-based approaches; and 5 included activities targeting social and environmental levels. Seven of 8 interventions with pre-posttest and quasi-experimental controlled design showed improvement on at least one outcome. However, 7 of 12 randomized controlled trials (RCTs) did not prove effective in any outcome. Interventions that had less rigorous research designs, used pedometers, applied Internet-based approaches, and included activities at social and environmental levels were more likely to report being effective than those without these characteristics.

  8. Telephone interventions for adherence to colpocytological examination

    Directory of Open Access Journals (Sweden)

    Thais Marques Lima

    Full Text Available ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283 with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001, with greater adherence of women participating in the behavioral group (66.8%. Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

  9. Legal Permissibility of Unilateral Humanitarian Interventions

    Directory of Open Access Journals (Sweden)

    Petra Perisic

    2013-03-01

    Full Text Available The paper explores the status of unilateral humanitarian interventions in international law. The United Nations Charter prohibits the use of force, except in case of self-defense and the collective action authorized by the Security Council. The question is whether the non-existence of unilateral humanitarian intervention among these exceptions means that they are not in conformity with the Charter and if so, whether the right to such interventions exists as the part of customary law. The issue has become even more controversial after the adoption of the “responsibility to protect” principle. Findings of legal scholars on this issue differ significantly. This paper analyzes and interprets the Charter provisions in order to answer the question of compatibility of humanitarian interventions with the Charter and examines the state practice in order to conclude whether the customary law rule allowing the humanitarian intervention exists. The conclusion of the paper is that there is no evidence to support the contentions that interventions without the Security Council authorization are permissible, although there are elements which point to the possibility of the creation of customary law allowing them.

  10. Training in Radiation Protection for Interventional Radiology

    International Nuclear Information System (INIS)

    Vano, E.; Guibelalde, E.

    2002-01-01

    Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

  11. Biocontrol interventions for inactivation of foodborne pathogens on produce

    Science.gov (United States)

    Post-harvest interventions for control of foodborne pathogens on minimally processed foods are crucial for food safety. Biocontrol interventions have the primary objective of developing novel antagonists in combinations with physical and chemical interventions to inactivate pathogenic microbes. Ther...

  12. Opportunity of interventional radiology: advantages and application of interventional technique in biological target therapy

    International Nuclear Information System (INIS)

    Teng Gaojun; Lu Qin

    2007-01-01

    Interventional techniques not only provide opportunity of treatment for many diseases, but also alter the traditional therapeutic pattern. With the new century of wide application of biological therapies, interventional technique also shows extensive roles. The current biological therapy, including gene therapy, cell transplantation therapy, immunobiologic molecule therapy containing cell factors, tumor antibody or vaccine, recombined proteins, radioactive-particles and targeting materials therapy, can be locally administrated by interventional techniques. The combination of targeting biological therapies and high-targeted interventional technique holds advantages of minimal invasion, accurate delivery, vigorous local effect, and less systemic adverse reactions. Authors believe that the biological therapy may arise a great opportunity for interventional radiology, therefore interventional colleagues should grasp firmly and promptly for the development and extension in this field. (authors)

  13. Storytelling in community intervention research: lessons learned from the walk your heart to health intervention.

    Science.gov (United States)

    LeBron, Alana M; Schulz, Amy J; Bernal, Cristina; Gamboa, Cindy; Wright, Conja; Sand, Sharon; Valerio, Melissa; Caver, Deanna

    2014-01-01

    Contextually and culturally congruent interventions are urgently needed to reduce racial, ethnic, and socioeconomic inequities in physical activity and cardiovascular disease. To examine a community-based participatory research (CBPR) process that incorporated storytelling into a physical activity intervention, and consider implications for reducing health inequities. We used a CBPR process to incorporate storytelling in an existing walking group intervention. Stories conveyed social support and problem-solving intervention themes designed to maintain increases in physical activity over time, and were adapted to the walking group context, group dynamics, challenges, and traditions. After describing of the CBPR process used to adapt stories to walking group sites, we discuss challenges and lessons learned regarding the adaptation and implementation of stories to convey key intervention themes. A CBPR approach to incorporating storytelling to convey intervention themes offers an innovative and flexible strategy to promote health toward the elimination of health inequities.

  14. Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions.

    OpenAIRE

    Brug, Hans; Oenema, Anke; Ferreira, Isabel

    2005-01-01

    Abstract Background The present paper intends to contribute to the debate on the usefulness and barriers in applying theories in diet and physical activity behavior-change interventions. Discussion Since behavior theory is a reflection of the compiled evidence of behavior research, theory is the only foothold we have for the development of behavioral nutrition and physical activity interventions. Application of theory should improve the effectiveness of interventions. However, some of the the...

  15. The role of intervention mapping in designing disease prevention interventions: A systematic review of the literature.

    Science.gov (United States)

    Garba, Rayyan M; Gadanya, Muktar A

    2017-01-01

    To assess the role of Intervention Mapping (IM) in designing disease prevention interventions worldwide. Systematic search and review of the relevant literature-peer-reviewed and grey-was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Only five of the twenty two included studies reviewed were RCTs that compared intervention using IM protocol with placebo intervention, and provided the outcomes in terms of percentage increase in the uptake of disease-prevention programmes, and only one of the five studies provided an effect measure in the form of relative risk (RR = 1.59, 95% CI = 1.08-2.34, p = 0.02). Of the five RCTs, three were rated as strong evidences, one as a medium evidence and one as a weak evidence, and they all reported statistically significant difference between the two study groups, with disease prevention interventions that have used the intervention mapping approach generally reported significant increases in the uptake of disease-prevention interventions, ranging from 9% to 28.5% (0.0001 ≤ p ≤ 0.02), On the other hand, all the 22 studies have successfully identified the determinants of the uptake of disease prevention interventions that is essential to the success of disease prevention programmes. Intervention Mapping has been successfully used to plan, implement and evaluate interventions that showed significant increase in uptake of disease prevention programmes. This study has provided a good understanding of the role of intervention mapping in designing disease prevention interventions, and a good foundation upon which subsequent reviews can be guided.

  16. Interventions for preventing obesity in children.

    Science.gov (United States)

    Summerbell, C D; Waters, E; Edmunds, L D; Kelly, S; Brown, T; Campbell, K J

    2005-07-20

    Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Two reviewers independently extracted data and assessed study quality. Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were family-based interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies focused on physical activity alone. Of these, a multi-media approach appeared to be effective in preventing obesity. Two studies focused on nutrition education alone, but neither were effective in preventing obesity. Four of the twelve short-term studies focused on interventions to increase physical activity levels, and two of these studies resulted in minor reductions in overweight status in favour of the intervention. The other eight studies combined advice on diet and physical activity, but none had a significant impact. The studies were heterogeneous in terms of study design

  17. Educational intervention for collecting sputum for tuberculosis: a quasi-experimental study.

    Science.gov (United States)

    Sicsú, Amélia Nunes; Salem, Julia Ignez; Fujimoto, Luciana Botinelly Mendonça; Gonzales, Roxana Isabel Cardozo; Cardoso, Maria do Socorro de Lucena; Palha, Pedro Fredemir

    2016-06-07

    to evaluate the quality of the sputum sample before and after the Nursing guidance to patients. this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years. The educational intervention consisted of individualized guidance on the collection of sputum sample, which was based on the guidelines of the Ministry of Health of Brazil and on the explanatory folder delivery. in this study participated 138 patients with suspected pulmonary tuberculosis. The results showed significant increase of the samples with purulent particles, volume greater than 5 mL and increased rate of patients diagnosed with tuberculosis, after the educational intervention. it was shown that after the educational intervention, it was observed sputum samples with better quality, with satisfactory aspect and volume for the effectiveness of the bacilloscopic examination. avaliar a qualidade da amostra de escarro antes e após as orientações de Enfermagem ao paciente. estudo com delineamento de pesquisa quase experimental, do tipo grupo único, antes e depois, não randomizado. Participaram do estudo pacientes com suspeita de tuberculose pulmonar, sintomáticos respiratórios por mais de três semanas, maiores de 18 anos, de ambos os sexos e sem antecedente de tuberculose nos últimos dois anos. A intervenção educativa consistiu em orientações individualizadas sobre a coleta da amostra de escarro, fundamentadas nas diretrizes do Ministério da Saúde do Brasil e na entrega de folder explicativo. participaram 138 pacientes com suspeita de tuberculose pulmonar. Os resultados evidenciaram importante acréscimo das amostras com partículas purulentas, volume maior que 5mL e aumento na taxa de pacientes diagnosticados com tuberculose, após a

  18. Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development

    Directory of Open Access Journals (Sweden)

    Jeff C. Huffman

    2015-01-01

    Full Text Available Most patients with type 2 diabetes (T2D have suboptimal adherence to recommended diet, physical activity, and/or medication. Current approaches to improve health behaviors in T2D have been variably effective, and successful interventions are often complex and intensive. It is therefore vital to develop interventions that are simple, well-accepted, and applicable to a wide range of patients who suffer from T2D. One approach may be to boost positive psychological states, such as positive affect or optimism, as these constructs have been prospectively and independently linked to improvements in health behaviors. Positive psychology (PP interventions, which utilize systematic exercises to increase optimism, well-being, and positive affect, consistently increase positive states and are easily delivered to patients with chronic illnesses. However, to our knowledge, PP interventions have not been formally tested in T2D. In this paper, we review a theoretical model for the use of PP interventions to target health behaviors in T2D, describe the structure and content of a PP intervention for T2D patients, and describe baseline data from a single-arm proof-of-concept (N=15 intervention study in T2D patients with or without depression. We also discuss how PP interventions could be combined with motivational interviewing (MI interventions to provide a blended psychological-behavioral approach.

  19. Analysis of Foreign Exchange Interventions by Intervention Agent with an Artificial Market Approach

    Science.gov (United States)

    Matsui, Hiroki; Tojo, Satoshi

    We propose a multi-agent system which learns intervention policies and evaluates the effect of interventions in an artificial foreign exchange market. Izumi et al. had presented a system called AGEDASI TOF to simulate artificial market, together with a support system for the government to decide foreign exchange policies. However, the system needed to fix the amount of governmental intervention prior to the simulation, and was not realistic. In addition, the interventions in the system did not affect supply and demand of currencies; thus we could not discuss the effect of intervention correctly. First, we improve the system so as to make much of the weights of influential factors. Thereafter, we introduce an intervention agent that has the role of the central bank to stabilize the market. We could show that the agent learned the effective intervention policies through the reinforcement learning, and that the exchange rate converged to a certain extent in the expected range. We could also estimate the amount of intervention, showing the efficacy of signaling. In this model, in order to investigate the aliasing of the perception of the intervention agent, we introduced a pseudo-agent who was supposed to be able to observe all the behaviors of dealer agents; with this super-agent, we discussed the adequate granularity for a market state description.

  20. Using the intervention mapping protocol to develop a maintenance programme for the SLIMMER diabetes prevention intervention.

    Science.gov (United States)

    Elsman, Ellen B M; Leerlooijer, Joanne N; Ter Beek, Josien; Duijzer, Geerke; Jansen, Sophia C; Hiddink, Gerrit J; Feskens, Edith J M; Haveman-Nies, Annemien

    2014-10-27

    Although lifestyle interventions have shown to be effective in reducing the risk for type 2 diabetes mellitus, maintenance of achieved results is difficult, as participants often experience relapse after the intervention has ended. This paper describes the systematic development of a maintenance programme for the extensive SLIMMER intervention, an existing diabetes prevention intervention for high-risk individuals, implemented in a real-life setting in the Netherlands. The maintenance programme was developed using the Intervention Mapping protocol. Programme development was informed by a literature study supplemented by various focus group discussions and feedback from implementers of the extensive SLIMMER intervention. The maintenance programme was designed to sustain a healthy diet and physical activity pattern by targeting knowledge, attitudes, subjective norms and perceived behavioural control of the SLIMMER participants. Practical applications were clustered into nine programme components, including sports clinics at local sports clubs, a concluding meeting with the physiotherapist and dietician, and a return session with the physiotherapist, dietician and physical activity group. Manuals were developed for the implementers and included a detailed time table and step-by-step instructions on how to implement the maintenance programme. The Intervention Mapping protocol provided a useful framework to systematically plan a maintenance programme for the extensive SLIMMER intervention. The study showed that planning a maintenance programme can build on existing implementation structures of the extensive programme. Future research is needed to determine to what extent the maintenance programme contributes to sustained effects in participants of lifestyle interventions.

  1. Intervention Mapping as a framework for developing an intervention at the worksite for older construction workers.

    Science.gov (United States)

    Oude Hengel, Karen M; Joling, Catelijne I; Proper, Karin I; van der Molen, Henk F; Bongers, Paulien M

    2011-01-01

    The purpose of this study was to apply the Intervention Mapping approach as a framework in the development of a worksite intervention to improve the work ability of construction workers. Development of an intervention by using the Intervention Mapping approach. Construction worksite. Construction workers aged 45 years and older. According to the principles of Intervention Mapping, evidence from the literature was combined with data collected from stakeholders (e.g., construction workers, managers, providers). The Intervention Mapping approach resulted in an intervention with the following components: (1) two individual visits of a physical therapist to lower the physical workload, (2) a Rest-Break tool to improve the balance between work and recovery, and (3) two empowerment training sessions to increase the range of influence at the worksite. Application of Intervention Mapping in the development of a worksite prevention program was useful in the construction industry to obtain a positive attitude and commitment. Stakeholders could give input regarding the program components as well as provide specific leads for the practical intervention strategy. Moreover, it also gives insight in the current theoretical and empirical knowledge in the field of improving the work ability of older workers in the construction industry.

  2. Interventions for increasing uptake in screening programmes

    Directory of Open Access Journals (Sweden)

    Droste, Sigrid

    2006-08-01

    Full Text Available Introduction: Opportunities for the early detection of disease are not sufficiently being taken advantage of. Specific interventions could increase the uptake of prevention programmes. A comprehensive analysis of effectiveness and cost-effectiveness of these interventions with reference to Germany is still needed. Objectives: This report aimed to describe and assess interventions to increase uptake in primary and secondary prevention and to explore the assessment of their cost-effectiveness. Methods: 29 scientific databases were systematically searched in a wide strategy. Additional references were located from bibliographies. All published systematic reviews and primary studies were assessed for inclusion without language restrictions. Teams of two reviewers identified the literature, extracted data and assessed the quality of the publications independently. Results: Four HTA reports and 22 systematic reviews were identified for the medical evaluation covering a variety of interventions. The economic evaluation was based on two HTA-reports, one meta-analysis and 15 studies. The evidence was consistent for the effectiveness of invitations and reminders aimed at users, and for prompts aimed at health care professionals. These interventions were the most commonly analysed. (Financial Incentives for users and professionals were identified in a small number of studies. Limited evidence was available for cost-effectiveness showing incremental costs for follow-up reminders and invitations by telephone. Evidence for ethical, social and legal aspects pointed to needs in vulnerable populations. Discussion: The material was heterogeneous regarding interventions used, study populations and settings. The majority of references originated from the United States and focused on secondary prevention. Approaching all target groups by invitations and reminders was recommended to increase uptake in prevention programmes in general. Conclusions: Further research

  3. Community interventions for dietary improvement in Ghana.

    Science.gov (United States)

    Marquis, Grace S; Colecraft, Esi K

    2014-12-01

    Background. Low caregiver income and poor nutrition knowledge and skills are important barriers to achieving optimal child feeding in rural Ghana. An integrated microcredit and nutrition education intervention was implemented to address these barriers. Using a quasi-experimental design, 134 caregivers of children 2 to 5 years of age in six intervention communities were enrolled into self-selected savings and loan groups. They received small individual loans over four 16-week cycles to support their income-generating activities. Nutrition and entrepreneurial education was provided during weekly loan repayment meetings. Another 261 caregivers in six comparison communities did not receive the intervention. Data on household sociodemographic and economic characteristics, perception of income-generating activity profits, and children's consumption of animal-source foods in the previous week were collected at baseline and at four additional time points. Differences according to group (intervention vs. control) and time (baseline vs. endline) were analyzed with chi-square and Student's t-tests. The intervention and comparison groups did not differ by caregivers' age and formal education; few (35) had previous experience with microcredit loans. At endline, more intervention than comparison caregivers perceived that their business profits had increased (59% vs. 23%, p < .001). In contrast to comparison children, after 16 months of intervention children consumed more livestock meat (p =.001), organ meat (p = .04), eggs (p = .001), and milk and milk products (p < .0001) in the previous week in comparison with baseline. Integrated food-centered strategies can improve children's diets, which will enhance their nutritional status, health, and cognitive outcomes.

  4. Online alcohol interventions: a systematic review.

    Science.gov (United States)

    White, Angela; Kavanagh, David; Stallman, Helen; Klein, Britt; Kay-Lambkin, Frances; Proudfoot, Judy; Drennan, Judy; Connor, Jason; Baker, Amanda; Hines, Emily; Young, Ross

    2010-12-19

    There has been a significant increase in the availability of online programs for alcohol problems. A systematic review of the research evidence underpinning these programs is timely. Our objective was to review the efficacy of online interventions for alcohol misuse. Systematic searches of Medline, PsycINFO, Web of Science, and Scopus were conducted for English abstracts (excluding dissertations) published from 1998 onward. Search terms were: (1) Internet, Web*; (2) online, computer*; (3) alcohol*; and (4) E\\effect*, trial*, random* (where * denotes a wildcard). Forward and backward searches from identified papers were also conducted. Articles were included if (1) the primary intervention was delivered and accessed via the Internet, (2) the intervention focused on moderating or stopping alcohol consumption, and (3) the study was a randomized controlled trial of an alcohol-related screen, assessment, or intervention. The literature search initially yielded 31 randomized controlled trials (RCTs), 17 of which met inclusion criteria. Of these 17 studies, 12 (70.6%) were conducted with university students, and 11 (64.7%) specifically focused on at-risk, heavy, or binge drinkers. Sample sizes ranged from 40 to 3216 (median 261), with 12 (70.6%) studies predominantly involving brief personalized feedback interventions. Using published data, effect sizes could be extracted from 8 of the 17 studies. In relation to alcohol units per week or month and based on 5 RCTs where a measure of alcohol units per week or month could be extracted, differential effect sizes to posttreatment ranged from 0.02 to 0.81 (mean 0.42, median 0.54). Pre-post effect sizes for brief personalized feedback interventions ranged from 0.02 to 0.81, and in 2 multi-session modularized interventions, a pre-post effect size of 0.56 was obtained in both. Pre-post differential effect sizes for peak blood alcohol concentrations (BAC) ranged from 0.22 to 0.88, with a mean effect size of 0.66. The available

  5. Safety of Conscious Sedation In Interventional Radiology

    International Nuclear Information System (INIS)

    Arepally, Aravind; Oechsle, Denise; Kirkwood, Sharon; Savader, Scott J.

    2001-01-01

    Purpose: To identify rates of adverse events associated with the use of conscious sedation in interventional radiology.Methods: In a 5-month period, prospective data were collected on patients undergoing conscious sedation for interventional radiology procedures (n = 594). Adverse events were categorized as respiratory, sedative, or major adverse events. Respiratory adverse events were those that required oral airway placement, ambu bag, or jaw thrust. Sedation adverse events were unresponsiveness, oxygen saturation less than 90%, use of flumazenil/naloxone, or agitation. Major adverse events were hypotension, intubation, CPR, or cardiac arrest. The frequency of adverse events for the five most common radiology procedures were determined.Results: The five most common procedures (total n = 541) were biliary tube placement/exchange (n = 182), tunneled catheter placement (n 135), diagnostic arteriography (n = 125), vascular interventions (n = 52), and other catheter insertions (n = 46). Rates for respiratory, sedation, and major adverse events were 4.7%, 4.2%, and 2.0%, respectively. The most frequent major adverse event was hypotension (2.0%). Biliary procedures had the highest rate of total adverse events (p < .05) and respiratory adverse events (p < .05).Conclusion: The frequency of adverse events is low with the use of conscious sedation during interventional procedures. The highest rates occurred during biliary interventions

  6. Responsiveness to Intervention in Children with Dyslexia.

    Science.gov (United States)

    Tilanus, Elisabeth A T; Segers, Eliane; Verhoeven, Ludo

    2016-08-01

    We examined the responsiveness to a 12-week phonics intervention in 54 s-grade Dutch children with dyslexia, and compared their reading and spelling gains to a control group of 61 typical readers. The intervention aimed to train grapheme-phoneme correspondences (GPCs), and word reading and spelling by using phonics instruction. We examined the accuracy and efficiency of grapheme-phoneme correspondences, decoding words and pseudowords, as well as the accuracy of spelling words before and after the intervention. Moreover, responsiveness to intervention was examined by studying to what extent scores at posttest could directly or indirectly be predicted from precursor measures. Results showed that the children with dyslexia were significantly behind in all reading and spelling measures at pretest. During the intervention, the children with dyslexia made more progress on GPC, (pseudo)word decoding accuracy and efficiency, and spelling accuracy than the typical reading group. Furthermore, we found a direct effect of the precursor measures rapid automatized naming, verbal working memory and phoneme deletion on the dyslexic children's progress in GPC speed, and indirect effects of rapid automatized naming and phoneme deletion on word and pseudoword efficiency and word decoding accuracy via the scores at pretest. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  7. Driver behavior following an automatic steering intervention.

    Science.gov (United States)

    Fricke, Nicola; Griesche, Stefan; Schieben, Anna; Hesse, Tobias; Baumann, Martin

    2015-10-01

    The study investigated driver behavior toward an automatic steering intervention of a collision mitigation system. Forty participants were tested in a driving simulator and confronted with an inevitable collision. They performed a naïve drive and afterwards a repeated exposure in which they were told to hold the steering wheel loosely. In a third drive they experienced a false alarm situation. Data on driving behavior, i.e. steering and braking behavior as well as subjective data was assessed in the scenarios. Results showed that most participants held on to the steering wheel strongly or counter-steered during the system intervention during the first encounter. Moreover, subjective data collected after the first drive showed that the majority of drivers was not aware of the system intervention. Data from the repeated drive in which participants were instructed to hold the steering wheel loosely, led to significantly more participants holding the steering wheel loosely and thus complying with the instruction. This study seems to imply that without knowledge and information of the system about an upcoming intervention, the most prevalent driving behavior is a strong reaction with the steering wheel similar to an automatic steering reflex which decreases the system's effectiveness. Results of the second drive show some potential for countermeasures, such as informing drivers shortly before a system intervention in order to prevent inhibiting reactions. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Mind-body interventions during pregnancy.

    Science.gov (United States)

    Beddoe, Amy E; Lee, Kathryn A

    2008-01-01

    To examine published evidence on the effectiveness of mind-body interventions during pregnancy on perceived stress, mood, and perinatal outcomes. Computerized searches of PubMed, Cinahl, PsycINFO, and the Cochrane Library. Twelve out of 64 published intervention studies between 1980 and February 2007 of healthy, adult pregnant women met criteria for review. Studies were categorized by type of mind-body modality used. Progressive muscle relaxation was the most common intervention. Other studies used a multimodal psychoeducation approach or a yoga and meditation intervention. The research contained methodological problems, primarily absence of a randomized control group or failure to adequately control confounding variables. Nonetheless, there was modest evidence for the efficacy of mind-body modalities during pregnancy. Treatment group outcomes included higher birthweight, shorter length of labor, fewer instrument-assisted births, and reduced perceived stress and anxiety. There is evidence that pregnant women have health benefits from mind-body therapies used in conjunction with conventional prenatal care. Further research is necessary to build on these studies in order to predict characteristics of subgroups that might benefit from mind-body practices and examine cost effectiveness of these interventions on perinatal outcomes.

  9. Computerized management of plant intervention tasks

    International Nuclear Information System (INIS)

    Quoidbach, G.

    2004-01-01

    The main objective of the 'Computerized Management of Plant Intervention Tasks' is to help the staff of a nuclear or a conventional power plant or of any other complex industrial facility (chemical industries, refineries, and so on) in planning, organizing, and carrying out any (preventive or corrective) maintenance task. This 'Computerized Management of Plant Intervention Tasks' is organized around a data base of all plant components in the facility that might be subjected to maintenance or tagout. It allows to manage, by means of intelligent and configurable 'mail service', the course of the intervention requests as well as various treatments of those requests, in a safe and efficient way, adapted to each particular organization. The concept of 'Computerized Management' of plant intervention tasks was developed by BELGATOM in 1983 for the Belgian nuclear power plants of ELECTRABEL. A first implementation of this concept was made at that time for the Doel NPP under the name POPIT (Programming Of Plant Intervention Tasks). In 1988, it was decided to proceed to a functional upgrade of the application, using advanced software and hardware techniques and products, and to realize a second implementation in the Tihange NPP under the name ACM (Application Consignation Maintenance). (author)

  10. Multidisciplinary intervention for childhood feeding difficulties.

    Science.gov (United States)

    Marshall, Jeanne; Hill, Rebecca J; Ware, Robert S; Ziviani, Jenny; Dodrill, Pamela

    2015-05-01

    The aim of the study was to determine whether operant conditioning (OC) or systematic desensitization (SysD) intervention resulted in more improvements in dietary variety/intake, and more reductions in difficult mealtime behaviors. Children 2 to 6 years with autism spectrum disorder or with a nonmedically complex history were recruited. Feeding difficulties were confirmed based on clinical assessment. Participants were randomized to receive 10 OC or SysD sessions (parents could opt for intervention once per week, or intensively within a week). Immersive parent education was delivered across both arms. A 3-month review was provided to measure outcomes postintervention. In total, 68 participants (87%) completed the study. There were no significant differences in outcome measures between the OC and SysD intervention groups from baseline to 3-month review. When the data were combined across both groups, however, significant improvements in primary outcome measures were observed (P education, these 2 intervention approaches are effective. Further research is required in exploring these interventions across other subgroups, and examining outcomes for longer periods.

  11. Speech and language intervention in bilinguals

    Directory of Open Access Journals (Sweden)

    Eliane Ramos

    2011-12-01

    Full Text Available Increasingly, speech and language pathologists (SLPs around the world are faced with the unique set of issues presented by their bilingual clients. Some professional associations in different countries have presented recommendations when assessing and treating bilingual populations. In children, most of the studies have focused on intervention for language and phonology/ articulation impairments and very few focus on stuttering. In general, studies of language intervention tend to agree that intervention in the first language (L1 either increase performance on L2 or does not hinder it. In bilingual adults, monolingual versus bilingual intervention is especially relevant in cases of aphasia; dysarthria in bilinguals has been barely approached. Most studies of cross-linguistic effects in bilingual aphasics have focused on lexical retrieval training. It has been noted that even though a majority of studies have disclosed a cross-linguistic generalization from one language to the other, some methodological weaknesses are evident. It is concluded that even though speech and language intervention in bilinguals represents a most important clinical area in speech language pathology, much more research using larger samples and controlling for potentially confounding variables is evidently required.

  12. Do working environment interventions reach shift workers?

    Science.gov (United States)

    Nabe-Nielsen, Kirsten; Jørgensen, Marie Birk; Garde, Anne Helene; Clausen, Thomas

    2016-01-01

    Shift workers are exposed to more physical and psychosocial stressors in the working environment as compared to day workers. Despite the need for targeted prevention, it is likely that workplace interventions less frequently reach shift workers. The aim was therefore to investigate whether the reach of workplace interventions varied between shift workers and day workers and whether such differences could be explained by the quality of leadership exhibited at different times of the day. We used questionnaire data from 5361 female care workers in the Danish eldercare sector. The questions concerned usual working hours, quality of leadership, and self-reported implementation of workplace activities aimed at stress reduction, reorganization of the working hours, and participation in improvements of working procedures or qualifications. Compared with day workers, shift workers were less likely to be reached by workplace interventions. For example, night workers less frequently reported that they had got more flexibility (OR 0.5; 95 % CI 0.3-0.7) or that they had participated in improvements of the working procedures (OR 0.6; 95 % CI 0.5-0.8). Quality of leadership to some extent explained the lack of reach of interventions especially among fixed evening workers. In the light of the evidence of shift workers' stressful working conditions, we suggest that future studies focus on the generalizability of results of the present study and on how to reach this group and meet their needs when designing and implementing workplace interventions.

  13. Internet-based interventions for smoking cessation.

    Science.gov (United States)

    Civljak, Marta; Stead, Lindsay F; Hartmann-Boyce, Jamie; Sheikh, Aziz; Car, Josip

    2013-07-10

    The Internet is now an indispensable part of daily life for the majority of people in many parts of the world. It offers an additional means of effecting changes to behaviour such as smoking. To determine the effectiveness of Internet-based interventions for smoking cessation. We searched the Cochrane Tobacco Addiction Group Specialized Register. There were no restrictions placed on language of publication or publication date. The most recent search was conducted in April 2013. We included randomized and quasi-randomized trials. Participants were people who smoked, with no exclusions based on age, gender, ethnicity, language or health status. Any type of Internet intervention was eligible. The comparison condition could be a no-intervention control, a different Internet intervention, or a non-Internet intervention. Two authors independently assessed and extracted data. Methodological and study quality details were extracted using a standardized form. We extracted smoking cessation outcomes of six months follow-up or more, reporting short-term outcomes where longer-term outcomes were not available. We reported study effects as a risk ratio (RR) with a 95% confidence interval (CI). Clinical and statistical heterogeneity limited our ability to pool studies. This updated review includes a total of 28 studies with over 45,000 participants. Some Internet programmes were intensive and included multiple outreach contacts with participants, whilst others relied on participants to initiate and maintain use.Fifteen trials compared an Internet intervention to a non-Internet-based smoking cessation intervention or to a no-intervention control. Ten of these recruited adults, one recruited young adult university students and two recruited adolescents. Seven of the trials in adults had follow-up at six months or longer and compared an Internet intervention to usual care or printed self help. In a post hoc subgroup analysis, pooled results from three trials that compared

  14. Interventions for preventing unintended pregnancies among adolescents.

    Science.gov (United States)

    Oringanje, Chioma; Meremikwu, Martin M; Eko, Hokehe; Esu, Ekpereonne; Meremikwu, Anne; Ehiri, John E

    2016-02-03

    Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle- and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. To assess the effects of primary prevention interventions (school-based, community/home-based, clinic-based, and faith-based) on unintended pregnancies among adolescents. We searched all relevant studies regardless of language or publication status up to November 2015. We searched the Cochrane Fertility Regulation Group Specialised trial register, The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2015 Issue 11), MEDLINE, EMBASE, LILACS, Social Science Citation Index and Science Citation Index, Dissertations Abstracts Online, The Gray Literature Network, HealthStar, PsycINFO, CINAHL and POPLINE and the reference lists of articles. We included both individual and cluster randomised controlled trials (RCTs) evaluating any interventions that aimed to increase knowledge and attitudes relating to risk of unintended pregnancies, promote delay in the initiation of sexual intercourse and encourage consistent use of birth control methods to reduce unintended pregnancies in adolescents aged 10 years to 19 years. Two authors independently assessed trial eligibility and risk of bias, and extracted data. Where appropriate, binary outcomes were pooled using a random-effects model with a 95% confidence interval (Cl). Where appropriate, we combined data in meta-analyses and assessed the quality of the evidence using the GRADE approach. We included 53 RCTs that enrolled 105,368 adolescents. Participants were ethnically diverse. Eighteen studies randomised individuals, 32

  15. Interventions to prevent injuries in construction workers.

    Science.gov (United States)

    van der Molen, Henk F; Basnet, Prativa; Hoonakker, Peter Lt; Lehtola, Marika M; Lappalainen, Jorma; Frings-Dresen, Monique Hw; Haslam, Roger; Verbeek, Jos H

    2018-02-05

    Construction workers are frequently exposed to various types of injury-inducing hazards. There are a number of injury prevention interventions, yet their effectiveness is uncertain. To assess the effects of interventions for preventing injuries in construction workers. We searched the Cochrane Injuries Group's specialised register, CENTRAL (issue 3), MEDLINE, Embase and PsycINFO up to April 2017. The searches were not restricted by language or publication status. We also handsearched the reference lists of relevant papers and reviews. Randomised controlled trials, controlled before-after (CBA) studies and interrupted time-series (ITS) of all types of interventions for preventing fatal and non-fatal injuries among workers at construction sites. Two review authors independently selected studies, extracted data and assessed their risk of bias. For ITS studies, we re-analysed the studies and used an initial effect, measured as the change in injury rate in the year after the intervention, as well as a sustained effect, measured as the change in time trend before and after the intervention. Seventeen studies (14 ITS and 3 CBA studies) met the inclusion criteria in this updated version of the review. The ITS studies evaluated the effects of: introducing or changing regulations that laid down safety and health requirements for the construction sites (nine studies), a safety campaign (two studies), a drug-free workplace programme (one study), a training programme (one study), and safety inspections (one study) on fatal and non-fatal occupational injuries. One CBA study evaluated the introduction of occupational health services such as risk assessment and health surveillance, one evaluated a training programme and one evaluated the effect of a subsidy for upgrading to safer scaffoldings. The overall risk of bias of most of the included studies was high, as it was uncertain for the ITS studies whether the intervention was independent from other changes and thus could be

  16. A School-Based Mindfulness Intervention for Urban Youth: Exploring Moderators of Intervention Effects

    Science.gov (United States)

    Gould, Laura Feagans; Dariotis, Jacinda K.; Mendelson, Tamar; Greenberg, Mark. T.

    2012-01-01

    This study examines gender, grade-level, and baseline depressive symptoms as potential moderators of a school-based mindfulness intervention's impact on the self-regulatory outcomes of urban youth. Ninety-seven participants from four urban public schools were randomly assigned to an intervention or wait-list control condition. Fourth and fifth…

  17. Intervention Integrity in the Low Countries: Interventions Targeting Social-Emotional Behaviors in the School

    Science.gov (United States)

    Taal, Margot; Ekels, Elles; van der Valk, Cindel; van der Molen, Maurits

    2017-01-01

    The current study presents a review of intervention studies conducted in the Low Countries (i.e., The Netherlands and Flanders) focusing on social-emotional behaviors in the school. The primary purpose of this review was to assess whether studies included an operational definition of the intervention under study and reported data on the…

  18. Effects of a 3-year intervention: The Copenhagen School Child Intervention Study

    DEFF Research Database (Denmark)

    Bugge, Anna; El-Naaman, Bianca; Dencker, Magnus

    2012-01-01

    INTRODUCTION: This study assessed short and long term effects of a 3-year controlled school-based physical activity (PA) intervention on fatness, cardiorespiratory fitness (VO2peak) and cardiovascular disease (CVD) risk factors in children. METHODS: The study involved 18 schools (10 intervention...

  19. Effects of delayed psychosocial interventions versus early psychosocial interventions for women with early stage breast cancer

    NARCIS (Netherlands)

    Vos, Petra J.; Visser, Adriaan P.; Garssen, Bert; Duivenvoorden, Hugo J.; de Haes, Hanneke C. J. M.

    2006-01-01

    The importance of psychosocial counselling after a diagnosis of cancer has been acknowledged and many intervention studies have been carried out, with the aim to find out which types of intervention are most effective in enhancing quality of life in cancer patients. A factor which could be part of

  20. Developing and Modeling Complex Social Interventions: Introducing the Connecting People Intervention

    Science.gov (United States)

    Webber, Martin; Reidy, Hannah; Ansari, David; Stevens, Martin; Morris, David

    2016-01-01

    Objectives: Modeling the processes involved in complex social interventions is important in social work practice, as it facilitates their implementation and translation into different contexts. This article reports the process of developing and modeling the connecting people intervention (CPI), a model of practice that supports people with mental…

  1. Development of the Social Network-Based Intervention "Powerful Together with Diabetes" Using Intervention Mapping.

    Science.gov (United States)

    Vissenberg, Charlotte; Nierkens, Vera; Uitewaal, Paul J M; Middelkoop, Barend J C; Nijpels, Giel; Stronks, Karien

    2017-01-01

    This article describes the development of the social network-based intervention Powerful Together with Diabetes which aims to improve diabetes self-management (DSM) among patients with type 2 diabetes living in socioeconomically deprived neighborhoods by stimulating social support for DSM and diminishing social influences hindering DSM (e.g., peer pressure and social norms). The intervention was specifically developed for patients with Dutch, Turkish, Moroccan, and Surinamese backgrounds. The intervention was developed according to Intervention Mapping. This article describes the first four steps of Intervention Mapping: (1) the needs assessment; (2) development of performance and change objectives; (3) selection of theory-based methods and strategies; and (4) the translation of these into an organized program. These four steps resulted in Powerful Together with Diabetes , a 10-month group-based intervention consisting of 24 meetings, 6 meetings for significant others, and 2 meetings for participants and their spouses. The IM method resulted in a tailored approach with a specific focus on the social networks of its participants. This article concludes that the IM method helped our planning team to tailor the intervention to the needs of our target population and facilitated our evaluation design. However, in hindsight, the intervention could have been improved by investing more in participatory planning and community involvement.

  2. EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part IV - EUS-guided interventions

    DEFF Research Database (Denmark)

    Jenssen, C; Hocke, M; Fusaroli, P

    2016-01-01

    The fourth part of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Guidelines on Interventional Ultrasound describes general aspects of endoscopic ultrasound-guided diagnostic and therapeutic interventions and assesses the evidence for endoscopic ultrasound-gu...

  3. Contrasting Causal Effects of Workplace Interventions.

    Science.gov (United States)

    Izano, Monika A; Brown, Daniel M; Neophytou, Andreas M; Garcia, Erika; Eisen, Ellen A

    2018-07-01

    Occupational exposure guidelines are ideally based on estimated effects of static interventions that assign constant exposure over a working lifetime. Static effects are difficult to estimate when follow-up extends beyond employment because their identifiability requires additional assumptions. Effects of dynamic interventions that assign exposure while at work, allowing subjects to leave and become unexposed thereafter, are more easily identifiable but result in different estimates. Given the practical implications of exposure limits, we explored the drivers of the differences between static and dynamic interventions in a simulation study where workers could terminate employment because of an intermediate adverse health event that functions as a time-varying confounder. The two effect estimates became more similar with increasing strength of the health event and outcome relationship and with increasing time between health event and employment termination. Estimates were most dissimilar when the intermediate health event occurred early in employment, providing an effective screening mechanism.

  4. Placebo interventions for all clinical conditions

    DEFF Research Database (Denmark)

    Hróbjartsson, Asbjørn; Gøtzsche, Peter C

    2010-01-01

    Placebo interventions are often claimed to substantially improve patient-reported and observer-reported outcomes in many clinical conditions, but most reports on effects of placebos are based on studies that have not randomised patients to placebo or no treatment. Two previous versions of this re...... of this review from 2001 and 2004 found that placebo interventions in general did not have clinically important effects, but that there were possible beneficial effects on patient-reported outcomes, especially pain. Since then several relevant trials have been published.......Placebo interventions are often claimed to substantially improve patient-reported and observer-reported outcomes in many clinical conditions, but most reports on effects of placebos are based on studies that have not randomised patients to placebo or no treatment. Two previous versions...

  5. Biologic interventions for fatigue in rheumatoid arthritis

    DEFF Research Database (Denmark)

    Almeida, Celia; Choy, Ernest H S; Hewlett, Sarah

    2016-01-01

    BACKGROUND: Fatigue is a common and potentially distressing symptom for patients with rheumatoid arthritis (RA), with no accepted evidence-based management guidelines. Evidence suggests that biologic interventions improve symptoms and signs in RA as well as reducing joint damage. OBJECTIVES......: To evaluate the effect of biologic interventions on fatigue in rheumatoid arthritis. SEARCH METHODS: We searched the following electronic databases up to 1 April 2014: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Current Controlled Trials...... and contacted key authors. SELECTION CRITERIA: We included randomised controlled trials if they evaluated a biologic intervention in people with rheumatoid arthritis and had self reported fatigue as an outcome measure. DATA COLLECTION AND ANALYSIS: Two reviewers selected relevant trials, assessed methodological...

  6. Soapbox: Class matters in parenting interventions.

    Science.gov (United States)

    Zilberstein, Karen

    2016-07-01

    Class and income level influence parenting styles and values, yet are rarely discussed in treatment approaches and parenting interventions with families. In this soapbox article, I argue that discrepancies in outcome, retention, and participation could be fruitfully addressed through a fuller understanding of the needs, realities, and parenting goals of families struggling with financial disadvantage. I compare and contrast ethnographic studies of parenting in low socioeconomic environments with the types of strategies and interventions commonly advanced in parent training programs and suggest that clinicians must become more aware of the cultural and socioeconomic overtones of those interventions in determining whether, how, and when to use them with families. © The Author(s) 2016.

  7. Behavioral interventions for insomnia: Theory and practice.

    Science.gov (United States)

    Sharma, Mahendra P; Andrade, Chittaranjan

    2012-10-01

    Insomnia is a general clinical term that refers to a difficulty in initiating or maintaining sleep. Insomnia is widely prevalent in the general population, especially in the elderly and in those with medical and psychiatric disorders. Hypnotic drug treatments of insomnia are effective but are associated with potential disadvantages. This article presents an overview of behavioral interventions for insomnia. Behavioral interventions for insomnia include relaxation training, stimulus control therapy, sleep restriction therapy, sleep hygiene, paradoxical intention therapy, cognitive restructuring, and other approaches. These are briefly explained. Research indicates that behavioral interventions are efficacious, effective, and likely cost-effective treatments for insomnia that yield reliable, robust, and long-term benefits in adults of all ages. Detailed guidance is provided for the practical management of patients with insomnia.

  8. Computer-Tailored Intervention for Juvenile Offenders

    Science.gov (United States)

    LEVESQUE, DEBORAH A.; JOHNSON, JANET L.; WELCH, CAROL A.; PROCHASKA, JANICE M.; FERNANDEZ, ANNE C.

    2012-01-01

    Studies assessing the efficacy of juvenile justice interventions show small effects on recidivism and other outcomes. This paper describes the development of a prototype of a multimedia computer-tailored intervention (“Rise Above Your Situation”or RAYS) that relies on an evidence-based model of behavior change, the Transtheoretical Model, and expert system technology to deliver assessments, feedback, printed reports, and counselor reports with intervention ideas. In a feasibility test involving 60 system-involved youths and their counselors, evaluations of the program were favorable: 91.7% of youths agreed that the program could help them make positive changes, and 86.7% agreed that the program could give their counselor helpful information about them. PMID:23264754

  9. "Pastoral crisis intervention": toward a definition.

    Science.gov (United States)

    Everly, G S

    2000-01-01

    The pastoral community represents a large and often untapped resource in times of crisis. It possesses a unique aggregation of characteristics that makes it uniquely valuable amidst the turmoil of a psychological crisis. In critical incidents such as terrorism, mass disasters, violence, the loss of loved ones, and any events wherein human actions result in injury, destruction, and/or death, the pastoral community may possess especially powerful restorative attributes. Unfortunately, heretofore, there has existed no generally recognized and accepted manner in which the healing factors inherent in pastoral care have been functionally integrated with the well-formulated principles of crisis intervention. This paper represents an initial effort to elucidate how the principles of pastoral care may be functionally integrated with those of crisis intervention. The amalgam shall heretofore be referred to as "pastoral crisis intervention" and is defined herein.

  10. Deterministic effects of interventional radiology procedures

    International Nuclear Information System (INIS)

    Shope, Thomas B.

    1997-01-01

    The purpose of this paper is to describe deterministic radiation injuries reported to the Food and Drug Administration (FDA) that resulted from therapeutic, interventional procedures performed under fluoroscopic guidance, and to investigate the procedure or equipment-related factors that may have contributed to the injury. Reports submitted to the FDA under both mandatory and voluntary reporting requirements which described radiation-induced skin injuries from fluoroscopy were investigated. Serious skin injuries, including moist desquamation and tissues necrosis, have occurred since 1992. These injuries have resulted from a variety of interventional procedures which have required extended periods of fluoroscopy compared to typical diagnostic procedures. Facilities conducting therapeutic interventional procedures need to be aware of the potential for patient radiation injury and take appropriate steps to limit the potential for injury. (author)

  11. [Intervention of Schizophrenia From the Community Model].

    Science.gov (United States)

    Taborda Zapata, Eliana María; Montoya González, Laura Elisa; Gómez Sierra, Natalia María; Arteaga Morales, Laura María; Correa Rico, Oscar Andrés

    2016-01-01

    Schizophrenia is a complex disease for which pharmacological management is an insufficient therapeutic measure to ensure adaptation to the community and restoring the quality of life of the patient, with a multidimensional management and community interventions being necessary. Case report. This case report illustrates a multidisciplinary treatment response, based on a community care model for mental health from Envigado, Colombia. The management of schizophrenia requires multimodal interventions that include community screening, psychoeducation of individuals, their families and society, addressing different areas of operation that allow adaptation of the subject to his social environment. A integrated intervention that can be provided on a Community scale, with the implementation of policies that allow it to be applied. Copyright © 2015 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  12. Exposure of Medical Staff during Interventional Procedures

    International Nuclear Information System (INIS)

    Osvay, M.; Turak, O.

    2013-01-01

    The medical staff during interventional procedures receives significant doses on their hands, or parts of their body not covered with protective shielding equipment, as they are close to X-rays field. It can be stated, that interventional radiology and cardiology have one of the highest doses among the X-ray diagnostic procedures. The radiologist use X-ray machine directly in the interventional procedures. The occupational dose is measured only by one Kodak film badge worn under the lead apron for the estimation of the effective dose in Hungary. Our lecture presents the results of dose measurements on eye lens, hands, knees using LiF thermoluminescent dosemeters on the medical staff of two Hungarian hospitals. Results suggest that wearing only one film badge (or other dosemeter system) under the lead apron does not provide proper information on the real occupational dose of medical staff.(author)

  13. Use of Theory in Behavior Change Interventions.

    Science.gov (United States)

    Bluethmann, Shirley M; Bartholomew, L Kay; Murphy, Caitlin C; Vernon, Sally W

    2017-04-01

    Theory use may enhance effectiveness of behavioral interventions, yet critics question whether theory-based interventions have been sufficiently scrutinized. This study applied a framework to evaluate theory use in physical activity interventions for breast cancer survivors. The aims were to (1) evaluate theory application intensity and (2) assess the association between extensiveness of theory use and intervention effectiveness. Studies were previously identified through a systematic search, including only randomized controlled trials published from 2005 to 2013, that addressed physical activity behavior change and studied survivors who were theory items from Michie and Prestwich's coding framework were selected to calculate theory intensity scores. Studies were classified into three subgroups based on extensiveness of theory use (Level 1 = sparse; Level 2 = moderate; and Level 3 = extensive). Fourteen randomized controlled trials met search criteria. Most trials used the transtheoretical model ( n = 5) or social cognitive theory ( n = 3). For extensiveness of theory use, 5 studies were classified as Level 1, 4 as Level 2, and 5 as Level 3. Studies in the extensive group (Level 3) had the largest overall effect size ( g = 0.76). Effects were more modest in Level 1 and 2 groups with overall effect sizes of g = 0.28 and g = 0.36, respectively. Theory use is often viewed as essential to behavior change, but theory application varies widely. In this study, there was some evidence to suggest that extensiveness of theory use enhanced intervention effectiveness. However, there is more to learn about how theory can improve interventions for breast cancer survivors.

  14. Reference Dose Rates for Fluoroscopy Guided Interventions

    International Nuclear Information System (INIS)

    Geleijns, J.; Broerse, J.J.; Hummel, W.A.; Schalij, M.J.; Schultze Kool, L.J.; Teeuwisse, W.; Zoetelief, J.

    1998-01-01

    The wide diversity of fluoroscopy guided interventions which have become available in recent years has improved patient care. They are being performed in increasing numbers, particularly at departments of cardiology and radiology. Some procedures are very complex and require extended fluoroscopy times, i.e. longer than 30 min, and radiation exposure of patient and medical staff is in some cases rather high. The occurrence of radiation-induced skin injuries on patients has shown that radiation protection for fluoroscopy guided interventions should not only be focused on stochastic effects, i.e. tumour induction and hereditary risks, but also on potential deterministic effects. Reference dose levels are introduced by the Council of the European Communities as an instrument to achieve optimisation of radiation protection in radiology. Reference levels in conventional diagnostic radiology are usually expressed as entrance skin dose or dose-area product. It is not possible to define a standard procedure for complex interventions due to the large inter-patient variations with regard to the complexity of specific interventional procedures. Consequently, it is not realistic to establish a reference skin dose or dose-area product for complex fluoroscopy guided interventions. As an alternative, reference values for fluoroscopy guided interventions can be expressed as the entrance dose rates on a homogeneous phantom and on the image intensifier. A protocol has been developed and applied during a nationwide survey of fluoroscopic dose rate during catheter ablations. From this survey reference entrance dose rates of respectively 30 mGy.min -1 on a polymethylmethacrylate (PMMA) phantom with a thickness of 21 cm, and of 0.8 μGy.s -1 on the image intensifier have been derived. (author)

  15. Rehabilitation interventions in multiple sclerosis: an overview.

    Science.gov (United States)

    Beer, Serafin; Khan, Fary; Kesselring, Jürg

    2012-09-01

    Multiple sclerosis is a complex, heterogeneous disease associated with long-term disability. Despite the availability of advanced disease-modifying and symptomatic therapies that may decrease activity and progression of disease and alleviate complaints to a certain extent, there is still a need for comprehensive rehabilitation interventions in order to reduce sequels and symptoms of the disease on personal activities and social participation to achieve the highest possible independence and the best quality of life. Timing and setting of rehabilitation interventions should be selected individually depending on disease phase, functional deficits, personal requirements, as well as specific goals. In addition, limitations and disease-specific characteristics that may influence rehabilitation outcome should be noted. Rehabilitation interventions should be considered early for maintaining functional capacity and reducing risk for losing important abilities or independence. Due to gradual failure of adaptive compensatory mechanisms along the course of disease, benefits of rehabilitation interventions are generally higher in earlier phases of MS. Inpatient and outpatient multidisciplinary rehabilitation has been shown to be beneficial in improving disability, participation and quality of life despite progression of the disease. Good evidence exists for different specific interventions improving physical and cognitive performance. Other important issues responsible for beneficial effects of comprehensive rehabilitation in MS include education, instruction, and information of patients and caregivers. Comprehensive assessment of health domains in MS patients using standardized framework and common language for describing the impact of disease at different levels, using International Classification of Functioning, Disability and Health (ICF) core sets may increase the knowledge of needs of these patients for more efficient and adapted rehabilitation interventions meeting these

  16. New era of the relationship between Chinese interventional radiology sub-society and journal of interventional radiology

    International Nuclear Information System (INIS)

    Li Linsun

    2009-01-01

    The past decades have witnessed interventional radiology in China to go from a very initial clinical practice to an important medical player in modern medicine. Recently, a friendly collaboration has been successfully established between the Chinese Interventional Radiology Sub-society and the Journal of Interventional Radiology. The Chinese Interventional Radiology Sub-society will take the full responsibility for the academic governance of the Journal of Interventional Radiology and the Journal of Interventional Radiology will formally become the sole interventional academic periodical of the Chinese Interventional Radiology Sub-society in China. This collaboration will surely make Chinese interventional radiology to initiate a new era,promote the further development of interventional radiology at home and enable the Journal of Interventional Radiology to step into the international medical circle. (authors)

  17. ВТОРИННІ ПРЕДИКАТИ З АДВЕРБІАЛЬНИМ ЗНАЧЕННЯМ У ВЧЕННІ С. СМАЛЬ-СТОЦЬКОГО ТА ЇХ СУЧАСНІ РЕЦЕПЦІЇ / SECONDARY PREDICATES WITH ADVERBIAL SEMANTICS IN THE TEACHINGS OF S. SMAL-STOTSKY AND MODERN RECEPTION

    Directory of Open Access Journals (Sweden)

    Олена КУЛЬБАБСЬКА

    2016-12-01

    Full Text Available Кульбабская Е. Вторичные предикаты с адвербиальной семантикой в учении С. Смаль-Стоцкого и их современные рецепции. В статье описаны конструкции с пропозитивным потенциалом, которые в простом неэлементарном предложении реализованы многочисленными семантическими и морфологическими вариантами, репрезентируют побочную ситуацию, увеличивают информационный объём высказывания. Особое внимание сконцентрировано на предложноименных конструкциях, способных выражать различные оттенки семантики, в том числе адвербиальной. Определена роль в теории сокращенных предложений С. Смаль-Стоцкого и Ф. Гартнера в современных научных парадигмах. Ключевые слова: грамматика, вторичная предикация, неэлементарное про стое пр ед ло жение, втори чна я пропозиция, вторичные семантико - синтаксические отношения, адвербиальные предикатные синтаксемы, предложноименные комплексы, функции. Kulbabska Olena. Secondary predicates with adverbial semantics in the teachings of S. Smal-Stotsky and modern reception. The article reveals the scientific foundations of „Rus Language Grammar” by Stepan Smal-Stotsky and Fedir Gartner, emphasizes the topicality of vfny views of Stepan Smal-Stotsky, a scholar-patriot, his extremely important role in the

  18. Reducing stigma and discrimination: Candidate interventions

    Directory of Open Access Journals (Sweden)

    Kassam Aliya

    2008-04-01

    Full Text Available Abstract This paper proposes that stigma in relation to people with mental illness can be understood as a combination of problems of knowledge (ignorance, attitudes (prejudice and behaviour (discrimination. From a literature review, a series of candidate interventions are identified which may be effective in reducing stigmatisation and discrimination at the following levels: individuals with mental illness and their family members; the workplace; and local, national and international. The strongest evidence for effective interventions at present is for (i direct social contact with people with mental illness at the individual level, and (ii social marketing at the population level.

  19. Psychological interventions for antisocial personality disorder.

    Science.gov (United States)

    Gibbon, Simon; Duggan, Conor; Stoffers, Jutta; Huband, Nick; Völlm, Birgit A; Ferriter, Michael; Lieb, Klaus

    2010-06-16

    Antisocial personality disorder (AsPD) is associated with a wide range of disturbance including persistent rule-breaking, criminality, substance use, unemployment, homelessness and relationship difficulties. To evaluate the potential beneficial and adverse effects of psychological interventions for people with AsPD. Our search included CENTRAL Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, ASSIA, BIOSIS and COPAC. Prospective, controlled trials in which participants with AsPD were randomly allocated to a psychological intervention and a control condition (either treatment as usual, waiting list or no treatment). Three authors independently selected studies. Two authors independently extracted data. We calculated mean differences, with odds ratios for dichotomous data. Eleven studies involving 471 participants with AsPD met the inclusion criteria, although data were available from only five studies involving 276 participants with AsPD. Only two studies focused solely on an AsPD sample. Eleven different psychological interventions were examined. Only two studies reported on reconviction, and only one on aggression. Compared to the control condition, cognitive behaviour therapy (CBT) plus standard maintenance was superior for outpatients with cocaine dependence in one study, but CBT plus treatment as usual was not superior for male outpatients with recent verbal/physical violence in another. Contingency management plus standard maintenance was superior for drug misuse for outpatients with cocaine dependence in one study but not in another, possibly because of differences in the behavioural intervention. However, contingency management was superior in social functioning and counselling session attendance in the latter. A multi-component intervention utilising motivational interviewing principles, the 'Driving Whilst Intoxicated program', plus incarceration was superior to incarceration alone for imprisoned drink-driving offenders. Results suggest

  20. PREVIEW Behavior Modification Intervention Toolbox (PREMIT)

    DEFF Research Database (Denmark)

    Kahlert, Daniela; Unyi-Reicherz, Annelie; Stratton, Gareth

    2016-01-01

    and feasible to evaluate. PREMIT is part of an intervention trial, which aims to prevent the onset of type-2 diabetes in pre-diabetics in eight clinical centers across the world by guiding them in changing their physical activity and dietary behavior through a group counseling approach. METHODS: The program...... development took five progressive steps, in line with the Public Health Action Cycle: (1) Summing-up the intervention goal(s), target group and the setting, (2) uncovering the generative psychological mechanisms, (3) identifying behavior change techniques and tools, (4) preparing for evaluation and (5...