WorldWideScience

Sample records for programme edz studies

  1. EDZ programme, EDZ studies in ONKALO 2007- 2008

    Energy Technology Data Exchange (ETDEWEB)

    Mellanen, S. (ed.) (Genpro Solutions Oy, Helsinki (Finland)); Hellae, P. (Poeyry Environment Oy, Vantaa (Finland)); Loefman, J. (VTT Technical Research Centre of Finland, Espoo (Finland)) (and others)

    2008-03-15

    The report introduces viewpoints of EDZ (Excavation Damage Zone) in terms of long term safety, modelling and calculation results to assess the significance of EDZ within ONKALO and documentation of various experiments to develop characterization methods of EDZ. The programme had the objectives to develop a reliable and proven methodology for characterization of EDZ, to enhance management of rock excavation methods for better control of development of EDZ, and to assess the impact of EDZ as a flow path and possible passage of radionuclide migration. The EDZ along the ONKALO may impact the long term safety basically in two ways; by increasing the flow of surface and near surface waters to deeper depths and thus potentially disturbing the geochemical stability at the repository depth and by inducing changes in transport paths and properties. The impact of these changes was studied by means of numerical groundwater flow modeling using EPM (equivalent porous medium) and DFN (discrete fracture network) modelling methods. According to the modelling results, the excavation damaged zone along ONKALO causes only minor changes in groundwater flow rates at the repository depth, transport routes and transport resistance. From the long term safety perspective, the impact of EDZ in the vicinity of the deposition holes is more important and further studies should concentrate on that. The impact of EDZ needs to be assessed relative to other possible flow routes, e.g. connected, transmissive fractures providing fast flow paths and emerging connections to such flow paths through EDZ, other phenomena like spalling potentially increasing the hydraulic conductivity at the buffer/rock or backfill/rock interface, the properties of the tunnel backfill and on the achieved tightness of the interface of the rock and the backfill. Viability of different investigation techniques for the verification and characterization of EDZ as well as for Quality Control purposes was tested. Ground

  2. EDZ programme, EDZ studies in ONKALO 2007- 2008

    International Nuclear Information System (INIS)

    Mellanen, S.; Hellae, P.; Loefman, J.

    2009-03-01

    The report introduces viewpoints of EDZ (Excavation Damage Zone) in terms of long term safety, modelling and calculation results to assess the significance of EDZ within ONKALO and documentation of various experiments to develop characterization methods of EDZ. The programme had the objectives to develop a reliable and proven methodology for characterization of EDZ, to enhance management of rock excavation methods for better control of development of EDZ, and to assess the impact of EDZ as a flow path and possible passage of radionuclide migration. The EDZ along the ONKALO may impact the long term safety basically in two ways; by increasing the flow of surface and near surface waters to deeper depths and thus potentially disturbing the geochemical stability at the repository depth and by inducing changes in transport paths and properties. The impact of these changes was studied by means of numerical groundwater flow modeling using EPM (equivalent porous medium) and DFN (discrete fracture network) modelling methods. According to the modelling results, the excavation damaged zone along ONKALO causes only minor changes in groundwater flow rates at the repository depth, transport routes and transport resistance. From the long term safety perspective, the impact of EDZ in the vicinity of the deposition holes is more important and further studies should concentrate on that. The impact of EDZ needs to be assessed relative to other possible flow routes, e.g. connected, transmissive fractures providing fast flow paths and emerging connections to such flow paths through EDZ, other phenomena like spalling potentially increasing the hydraulic conductivity at the buffer/rock or backfill/rock interface, the properties of the tunnel backfill and on the achieved tightness of the interface of the rock and the backfill. Viability of different investigation techniques for the verification and characterization of EDZ as well as for Quality Control purposes was tested. Ground

  3. EDZ09 project and related EDZ studies in ONKALO 2008-2010

    International Nuclear Information System (INIS)

    Mellanen, S.; Lehtimaeki, T.; Heikkinen, E.; Mustonen, S.; Norokallio, J.

    2010-12-01

    The EDZ (Excavation Damaged Zone) is one of the issues in the evaluation of the long term safety concerning the underground rock surfaces of the final disposal facility. There have been various research and development tasks relating to the EDZ (among other items the EDZ300 Project) completed both before starting the excavation of the ONKALO underground facility and during the construction work. The EDZ09 Project was established to improve the drill and blast excavation method to control the EDZ and to verify the feasibility of Ground Penetrating Radar as a characterisation tool for the EDZ. The project was divided into two parts: Work Package (WP1), which managed the control of the excavation; and Work Package 2 (WP2), which concentrated on the geophysical tests. Long term safety issues were not included into EDZ09 Project. The project work was undertaken in a specific EDZ niche (Tutkimustila 3, ONK-TKU- 3620) with Work Package 1 being concerned with the research niche excavation and Work Package 2 with activities conducted in the niche. In Work Package 2 (WP2), a series of investigations under controlled conditions for EDZ assessment was conducted before and after the excavation. These measurements were performed in drillholes and on the tunnel surface. The investigations carried out before excavation of the EDZ-tunnel define the undisturbed, baseline conditions in the surrounding rock (behind the planned tunnel wall); and the investigations carried out after excavation of EDZ-tunnel define the conditions when the EDZ already exists. The induced change in the conditions before and after excavation indicate the EDZ. The results of measurements from tunnel surfaces and from drillholes were reviewed with petrophysical sample data taken and analysed from the same location. Baseline investigations included: (1) a reflection seismic single-hole survey in a drillhole parallel to the planned tunnel outside the tunnel contour; (2) seismic tomography between two drillholes

  4. EDZ09 project and related EDZ studies in ONKALO 2008-2010

    Energy Technology Data Exchange (ETDEWEB)

    Mellanen, S. [Genpro Solutions Oy, Helsinki (Finland); Lehtimaeki, T. [Svensk Kaernbraenslehantering AB, Stockholm (Sweden); Heikkinen, E. [Poeyry Finland Oy, Espoo (Finland) Water and Environment; Mustonen, S.; Norokallio, J.

    2010-12-15

    The EDZ (Excavation Damaged Zone) is one of the issues in the evaluation of the long term safety concerning the underground rock surfaces of the final disposal facility. There have been various research and development tasks relating to the EDZ (among other items the EDZ300 Project) completed both before starting the excavation of the ONKALO underground facility and during the construction work. The EDZ09 Project was established to improve the drill and blast excavation method to control the EDZ and to verify the feasibility of Ground Penetrating Radar as a characterisation tool for the EDZ. The project was divided into two parts: Work Package (WP1), which managed the control of the excavation; and Work Package 2 (WP2), which concentrated on the geophysical tests. Long term safety issues were not included into EDZ09 Project. The project work was undertaken in a specific EDZ niche (Tutkimustila 3, ONK-TKU- 3620) with Work Package 1 being concerned with the research niche excavation and Work Package 2 with activities conducted in the niche. In Work Package 2 (WP2), a series of investigations under controlled conditions for EDZ assessment was conducted before and after the excavation. These measurements were performed in drillholes and on the tunnel surface. The investigations carried out before excavation of the EDZ-tunnel define the undisturbed, baseline conditions in the surrounding rock (behind the planned tunnel wall); and the investigations carried out after excavation of EDZ-tunnel define the conditions when the EDZ already exists. The induced change in the conditions before and after excavation indicate the EDZ. The results of measurements from tunnel surfaces and from drillholes were reviewed with petrophysical sample data taken and analysed from the same location. Baseline investigations included: (1) a reflection seismic single-hole survey in a drillhole parallel to the planned tunnel outside the tunnel contour; (2) seismic tomography between two drillholes

  5. Drillings and associated drillhole measurements of the investigation holes in the EDZ tunnel at Chainage 3620

    International Nuclear Information System (INIS)

    Sacklen, N.; Hurmerinta, E.; Pekkanen, J.; Tarvainen, A.-M.; Toropainen, V.; Kosunen, P.

    2010-05-01

    The R and D programme called EDZ (Excavation Damaged Zone) programme was started in autumn 2007 according to TKS 2006 programme. To continue with EDZ programme development work the EDZ09 project was established in 2009. This report describes the R and D activities performed in the Work Package 2 'TOSI' (Verification) of EDZ09 project. The aim of the EDZ09 project was to develop the method for the verification of EDZ in different parts of the tunnel profile; to characterize the EDZ in the tunnel as well as in the shaft in order to demonstrate the applicability of the method; to complete the tasks in such a timetable that the results are available before ONKALO reaches the depth of - 420 m; to avoid unwanted changes in the bedrock around the access tunnel, which cannot be eliminated by sealing or other methods when applying the verification method or excavation techniques; to demonstrate the function of the method to be developed for verification of EDZ under construction conditions - the applicability of the method has to be demonstrated despite of changes in rock conditions and direction of underground spaces; to obtain information of EDZ in order to assess where the zone would be continuous/discontinuous; to determine the hydrological changes within the damaged zone. The experimental studies were carried out in Posiva's underground research facility, ONKALO, at the depth level c. -340 m at chainage 3620. Two parallel c. 50 m long pilot holes, ONK-PP199 and ONK-PP200, were drilled prior to the excavation of the investigation tunnel ONK-TKU-3620, the EDZ tunnel. ONK-PP199 was drilled inside and ONK-PP200 outside the EDZ tunnel profile. The purpose of the pilot holes was to acquire and adjust geological, geophysical, hydrogeological and rock mechanical knowledge prior to the excavation of the EDZ tunnel, and to define the baseline conditions close to the tunnel profile before excavation. Also, the pilot hole ONK-PP200, drilled outside the EDZ tunnel profile, was used

  6. Analysis of the characteristics of AE wave using boring core of sedimentary soft rock and study on the field measurement of AE for the evaluation of EDZ (Joint research)

    International Nuclear Information System (INIS)

    Aoki, Kenji; Mito, Yoshitada; Minami, Masayuki; Matsui, Hiroya; Niunoya, Sumio

    2007-09-01

    To understand the size and state of EDZ accurately is one of the key issues in the technological development for geological disposal of High-Level Radioactive Waste. As one of these evaluation technologies, AE which is measured directly and evaluates EDZ is paid to attention inside and outside the country, and the utility is reported for the crystalline rock. However, there are few cases to apply AE in sedimentary soft rocks to EDZ evaluation because of the difficulty to measure a few AE waves with small energy. In this study, the authors made a series of laboratory tests including tri-axial test using the stiff and servo-controlled testing machine in order to clarify the possibility to measure AE waves in Neogene siliceous rocks in Horonobe, Hokkaido, Japan (2005). The authors conducted the high stiffness tri-axial compression tests with AE measurements. And, the authors extracted an effective AE parameter to the evaluation of EDZ in the neogene (2005). The authors evaluated the mechanism of EDZ, which assumed from the result in occurrence of crack in the rock by measurement system and DEM analysis, by using the effective parameter (2006). In the EDZ examination which is planned since the second stage, the authors constructed a concept of the necessary measurement and evaluation system (2007). (author)

  7. Numerical study of the EDZ by a thermo-hydro-mechanical damage model dedicated to unsaturated geo-materials

    International Nuclear Information System (INIS)

    Arson, Chloe; Gatmiri, Behrouz

    2010-01-01

    Document available in extended abstract form only. The design of deep nuclear waste repositories requires the modelling of the effects of thermal loadings in the Excavation Damaged Zone (EDZ). The containers are to be stored in bentonite buffers surrounded by a geological massif. These two barriers are multi-phase porous media, in which coupled mechanical, capillary and thermal phenomena occur. The aim of this study is to develop a new damage model dedicated to non-isothermal unsaturated porous media, the 'THHMD' model. Contrary to almost all of the existing damage models dedicated to non dry media, it is formulated in independent stress state variables (net stress, suction and thermal stress). The damage variable is a second-order tensor, which gives a good approximation for the representation of anisotropic cracking in three dimensions. The behaviour laws stem from the combination of phenomenological and micromechanical principles. The total strain tensor is split into three components, each of which being conjugated to a stress state variable. The Helmholtz free energy is written as the sum of damaged elastic energies and residual-strain-potentials. The concept of effective stress, frequently used in Continuum Damaged Mechanics, is extended to the three stress state variables, by using the operator of Cordebois and Sidoroff. The damaged rigidities are computed by application of the Principle of Equivalent Elastic Energy (PEEE). The non-elastic strain components depend on the increment of damage, which is determined by an associative flow rule. Fracturing is also modelled in the transfer equations. The Representative Elementary Volume (REV) is assumed to be damaged by a microcrack network, among which liquid water and vapour flows are homogenized. A damaged intrinsic conductivity, which plays the role of an internal length parameter, is introduced. The influence of damage on air and heat flows is taken into account by means of porosity, which is also

  8. Characterizing and modelling the excavation damaged zone (EDZ) in crystalline rock in the context of radioactive waste disposal

    International Nuclear Information System (INIS)

    Hudson, J.A.; Backstrom, A.; Rutqvist, J.; Jing, L.; Backers, T.; Chijimatsu, M.; Christiansson, R.; Feng, X.-T.; Kobayashi, A.; Koyama, T.; Lee, H.-S.; Neretnieks, I.; Pan, P.Z.; Rinne, M.; Shen, B.-T.

    2008-01-01

    This paper describes current knowledge about the nature of and potential for thermo-hydro-mechanical-chemical modelling of the Excavation Damaged Zone (EDZ) around the excavations for an underground radioactive waste repository. In the first part of the paper, the disturbances associated with excavation are explained, together with reviews of Workshops that have been held on the subject. In the second part of the paper, the results of a DECOVALEX research programme on modelling the EDZ are presented. Four research teams used four different models to simulate the complete stress-strain curve for Avro granite from the Swedish Aespoe Hard Rock Laboratory. Subsequent research extended the work to computer simulation of the evolution of the repository using a 'wall block model' and a 'near-field model'. This included assessing the evolution of stress, failure and permeability and time dependent effects during repository evolution. As discussed, all the computer models are well suited to sensitivity studies for evaluating the influence of their respective supporting parameters on the complete stress-strain curve for rock and for modelling the EDZ

  9. Characterising and modelling the excavation damaged zone (EDZ) in crystalline rock in the context of radioactive waste disposal

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, J.A.; Backstrom, A.; Rutqvist, J.; Jing, L.; Backers, T.; Chijimatsu, M.; Christiansson, R.; Feng, X.-T.; Kobayashi, A.; Koyama, T.; Lee, H.-S.; Neretnieks, I.; Pan, P.Z.; Rinne, M.; Shen, B.-T.

    2008-10-01

    This paper describes current knowledge about the nature of and potential for thermo-hydro-mechanical-chemical modelling of the Excavation Damaged Zone (EDZ) around the excavations for an underground radioactive waste repository. In the first part of the paper, the disturbances associated with excavation are explained, together with reviews of Workshops that have been held on the subject. In the second part of the paper, the results of a DECOVALEX research programme on modelling the EDZ are presented. Four research teams used four different models to simulate the complete stress-strain curve for Avro granite from the Swedish Aespoe Hard Rock Laboratory. Subsequent research extended the work to computer simulation of the evolution of the repository using a 'wall block model' and a 'near-field model'. This included assessing the evolution of stress, failure and permeability and time dependent effects during repository evolution. As discussed, all the computer models are well suited to sensitivity studies for evaluating the influence of their respective supporting parameters on the complete stress-strain curve for rock and for modelling the EDZ.

  10. Grimsel test site. Excavation disturbed zone experiment (EDZ)

    International Nuclear Information System (INIS)

    Frieg, B.; Blaser, P. C.; Adams, J.; Dollinger, H.; Kuhlmann, U.; Lanyon, G. W.

    2012-07-01

    The ‘Excavation Disturbed Zone (EDZ) Experiment’ was conducted at the Grimsel Test Site (GTS) in the framework of safety analysis of deep geological repositories for radioactive wastes. It concentrated on investigating the hydraulic regime of the near-field of drilled tunnel sections under fully saturated conditions, with the aim of contributing to the development of methods for measuring and modelling axial water flow along tunnels and caverns. The studies focused on the mechanical and hydraulic properties of the rock mass in the direct vicinity of the tunnel wall. The EDZ is defined as the zone around the tunnel where excavation has altered the rock properties. The selected test location was a tunnel section where mechanical stressing of the rock and some breakouts had been observed. In-situ stress measurements were performed in order to record the actual stress redistribution in the tunnel near-field induced by excavation of the tunnel. A small stress increase and microfissures could be identified in the tunnel near-field. The stress measurements and the results of the geological mapping formed the basis for the rock mechanical modelling of the EDZ. Two different models of the development and geometry of the EDZ were used: (a) the regional 3D stress field modelling indicated that the topography has a significant influence on the primary stress field; a good agreement between the measured and calculated stresses in the GTS was achieved by applying an additional far-field tectonic stress component; (b) with the local 2D numerical disturbed zone modelling of the tunnel section itself, stress redistributions, possible plastifications and joint behaviour were investigated; all displacements of the rock matrix and the shear displacements of the discontinuities seem to be the result of the tunnel excavation; maximum shear deformations of 2 - 5 mm occur at the tunnel wall. Prior to the hydraulic test phase, the test location was decoupled from the normal GTS tunnel

  11. EDZ and permeability in clayey rocks

    International Nuclear Information System (INIS)

    Levasseur, Severine; Collin, Frederic; Charlier, Robert; Besuelle, Pierre; Chambon, Rene; Viggiani, Cino

    2010-01-01

    Document available in extended abstract form only. Deep geological layers are being considered as potential host rocks for the high level radioactivity waste disposals. During drilling in host rocks, an excavated damaged zone - EDZ is created. The fluid transmissivity may be modified in this damaged zone. This paper deals with the permeability evolution in relation with diffuse and/or localized crack propagation in the material. We mainly focus on argillaceous rocks and on some underground laboratories: Mol URL in Boom clay, Bure URL in Callovo-Oxfordian clay and Mont-Terri URL in Opalinus clay. First, observations of damage around galleries are summarized. Structure of damage in localized zone or in fracture has been observed at underground gallery scale within the excavation damaged zone (EDZ). The first challenge for a correct understanding of all the processes occurring within the EDZ is the characterization at the laboratory scale of the damage and localization processes. The observation of the initiation and propagation of the localized zones needs for advanced techniques. X-ray tomography is a non-destructive imaging technique that allows quantification of internal features of an object in 3D. If mechanical loading of a specimen is applied inside a X-ray CT apparatus, successive 3D images at different loading steps show the evolution of the specimen. However, in general volumetric strain in a shear band is small compared to the shear strain and, unfortunately, in tomographic images grey level is mainly sensitive to the local mass density field. Such a limitation has been recently overcome by complementing X-ray tomography with 3D Volumetric Digital Image Correlation (V-DIC) which allows the determination of the full strain tensor field. Then it is possible to further explore the progression of localized deformation in the specimen. The second challenge is the robust modelling of the strain localized process. In fact, modelling the damage process with finite

  12. Coupled THM processes in EDZ of crystalline rocks using an elasto-plastic cellular automaton

    Science.gov (United States)

    Pan, Peng-Zhi; Feng, Xia-Ting; Huang, Xiao-Hua; Cui, Qiang; Zhou, Hui

    2009-05-01

    This paper aims at a numerical study of coupled thermal, hydrological and mechanical processes in the excavation disturbed zones (EDZ) around nuclear waste emplacement drifts in fractured crystalline rocks. The study was conducted for two model domains close to an emplacement tunnel; (1) a near-field domain and (2) a smaller wall-block domain. Goodman element and weak element were used to represent the fractures in the rock mass and the rock matrix was represented as elasto-visco-plastic material. Mohr-Coulomb criterion and a non-associated plastic flow rule were adopted to consider the viscoplastic deformation in the EDZ. A relation between volumetric strain and permeability was established. Using a self-developed EPCA2D code, the elastic, elasto-plastic and creep analyses to study the evolution of stress and deformations, as well as failure and permeability evolution in the EDZ were conducted. Results indicate a strong impact of fractures, plastic deformation and time effects on the behavior of EDZ especially the evolution of permeability around the drift.

  13. Analysis of EDZ Development of Columnar Jointed Rock Mass in the Baihetan Diversion Tunnel

    Science.gov (United States)

    Hao, Xian-Jie; Feng, Xia-Ting; Yang, Cheng-Xiang; Jiang, Quan; Li, Shao-Jun

    2016-04-01

    Due to the time dependency of the crack propagation, columnar jointed rock masses exhibit marked time-dependent behaviour. In this study, in situ measurements, scanning electron microscope (SEM), back-analysis method and numerical simulations are presented to study the time-dependent development of the excavation damaged zone (EDZ) around underground diversion tunnels in a columnar jointed rock mass. Through in situ measurements of crack propagation and EDZ development, their extent is seen to have increased over time, despite the fact that the advancing face has passed. Similar to creep behaviour, the time-dependent EDZ development curve also consists of three stages: a deceleration stage, a stabilization stage, and an acceleration stage. A corresponding constitutive model of columnar jointed rock mass considering time-dependent behaviour is proposed. The time-dependent degradation coefficient of the roughness coefficient and residual friction angle in the Barton-Bandis strength criterion are taken into account. An intelligent back-analysis method is adopted to obtain the unknown time-dependent degradation coefficients for the proposed constitutive model. The numerical modelling results are in good agreement with the measured EDZ. Not only that, the failure pattern simulated by this time-dependent constitutive model is consistent with that observed in the scanning electron microscope (SEM) and in situ observation, indicating that this model could accurately simulate the failure pattern and time-dependent EDZ development of columnar joints. Moreover, the effects of the support system provided and the in situ stress on the time-dependent coefficients are studied. Finally, the long-term stability analysis of diversion tunnels excavated in columnar jointed rock masses is performed.

  14. FEBEX II Project Post-mortem analysis EDZ assessment

    International Nuclear Information System (INIS)

    Bazargan Sabet, B.; Shao, H.; Autio, J.; Elorza, F. J.

    2004-01-01

    variations in the propagation velocities of acoustic waves. A cylindrical block of granite 38.8 cm in diameter and 40 cm high has been analysed along 2D transversal sections in six radial directions. Different inverse tomographic strategies have been used to analyse the measured data, which shown no evidences of the existence of an EDZ in FEBEX gallery. However, a preferential direction in the wave propagation similar to the maximum compression direction of the stress tensor has appeared. As for in situ investigations, the hydraulic connectivity of the drift has been assessed at eleven locations in heated area, including granite matrix and lamprophyre dykes and at six locations in undisturbed zones. In the granite matrix area, pulse test using pressurised air with stepwise pressure increasing was conducted to determine gas entry pressure. In the fractured area, a gas constant flow rate injection test was conducted. Only two locations with higher permeability were detected; one in a natural fracture in the lamprophyre dyke and the other in the interface between lamprophyre and granite. Where numerical investigations are concerned, several analyses of the FEBEX in situ experiment were carried out to determine whether if the generation of a potential EDZ in the surrounding rock was possible or not. Stresses have been calculated by 1D full-coupled thermo-hydromechanical model and by 2D and 3D thermo-mechanical models. Results compared with the available data on compressive strength of the Grimsel granite show that in the worst-case studied, the state of stresses induced by the excavation and the heating phases remains far below the critical curve. (Author)

  15. FEBEX II Project Post-mortem analysis EDZ assessment

    Energy Technology Data Exchange (ETDEWEB)

    Bazargan Sabet, B.; Shao, H.; Autio, J.; Elorza, F. J.

    2004-07-01

    variations in the propagation velocities of acoustic waves. A cylindrical block of granite 38.8 cm in diameter and 40 cm high has been analysed along 2D transversal sections in six radial directions. Different inverse tomographic strategies have been used to analyse the measured data, which shown no evidences of the existence of an EDZ in FEBEX gallery. However, a preferential direction in the wave propagation similar to the maximum compression direction of the stress tensor has appeared. As for in situ investigations, the hydraulic connectivity of the drift has been assessed at eleven locations in heated area, including granite matrix and lamprophyre dykes and at six locations in undisturbed zones. In the granite matrix area, pulse test using pressurised air with stepwise pressure increasing was conducted to determine gas entry pressure. In the fractured area, a gas constant flow rate injection test was conducted. Only two locations with higher permeability were detected; one in a natural fracture in the lamprophyre dyke and the other in the interface between lamprophyre and granite. Where numerical investigations are concerned, several analyses of the FEBEX in situ experiment were carried out to determine whether if the generation of a potential EDZ in the surrounding rock was possible or not. Stresses have been calculated by 1D full-coupled thermo-hydromechanical model and by 2D and 3D thermo-mechanical models. Results compared with the available data on compressive strength of the Grimsel granite show that in the worst-case studied, the state of stresses induced by the excavation and the heating phases remains far below the critical curve. (Author)

  16. Continuum equivalent model for the fractured EDZ around underground galleries in clay-stone

    International Nuclear Information System (INIS)

    Pouya, A.; Bourgeois, E.; Larbi, B.; Poutrel, A.

    2010-01-01

    , parallel and equidistant fractures perpendicular to n, the vector normal to the local fractures surface. This behaviour has thus the axial symmetry around the axis n. We have studied this problem first for a linear elastic behaviour of the intact rock and of fractures and then extended it to more complex behaviours. In this case, the local elastic behaviour of the CEM is defined by a tensor which has the transversal isotropy around n. Because of the finite size of the studied domain, the assumption of uniform stress or uniform strain at the boundary leads to different CEM models called 1 and 2 in the following. To validate the 'homogenization' procedure, we compare the displacement and stress fields calculated around the galleries with two approaches: the first one uses a discrete model (with individual representation of the fractures) and the other one relies on the CEM model of the EDZ. Both models assume the same geometry with axial symmetry. In the first case, fractures are represented numerically by the Goodman (1966) 'joint elements' implemented in the finite element code CESAR, and in the second case, the special anisotropic and position depending elastic model (1) implemented in CESAR is used. The total displacement at the wall obtained by the first method and the two CEM models given by the procedure described above is shown. Except for the beginning of the gallery where boundary effects are dominant, CEM models give nearly the same displacements that the discontinuous model. The comparison between the stresses leads also to a good agreement between the results. This approach was extended to the elastoplastic behaviour of the rock and of the fractures with also taking into account the curvature of the fractures. A good agreement between the discontinuous and CEM models could be obtained for these cases also. This shows the possibility of replacing effectively in the numerical models the fractured EDZ by a CEM determined by homogenization

  17. Characterisation of the hydrodynamic properties within THE EDZ around drifts at level - 490 m of the Bure URL: a methodology for consistent interpretation of hydraulic tests

    International Nuclear Information System (INIS)

    Baechler, S.; Lavanchy, J.M.; Armand, G.; Cruchaudet, M.

    2010-01-01

    from the drift and outside of the EDZ. In conclusion, the new conceptual model demonstrated its capacity to better represent the evolution and extension of the EDZ for the borehole under study. Further consistency checks of the new model assumptions will be performed on both previous and future test series, in existing and upcoming boreholes. (authors)

  18. ONKALO EDZ-measurements using ground penetrating radar (GPR) method

    Energy Technology Data Exchange (ETDEWEB)

    Silvast, M.; Wiljanen, B. (Roadscanners Oy, Rovaniemi (Finland))

    2008-09-15

    This report presents pilot project results from various Ground Penetrating Radar (GPR) tests performed on bedrock in ONKALO, the research tunnel system being built for the final disposal of spent nuclear fuel (in Finland). In recent years the GPR technology for structure inspection has improved to faster systems and higher frequencies. Processing and interpretation software has been developed for better visualization of processed data. GPR is a powerful non-destructive testing method with major advantages such as fast measurement speed and continuous survey lines. The purpose of the tests was to determine the capacity of GPR in identifying the Excavation Damaged or Disturbed Zone (EDZ). Topics included comparison of different types of GPR systems and antennas in select locations in the tunnel system and data presentation. High quality GPR data was obtained from all systems that were used on surfaces without concrete or steel reinforcement. Data processed using Geo Doctor software, which enables integrated analysis of available datasets on a single screen, provided promising results. (orig.)

  19. ONKALO EDZ-measurements using ground penetrating radar (GPR) method

    International Nuclear Information System (INIS)

    Silvast, M.; Wiljanen, B.

    2008-09-01

    This report presents pilot project results from various Ground Penetrating Radar (GPR) tests performed on bedrock in ONKALO, the research tunnel system being built for the final disposal of spent nuclear fuel (in Finland). In recent years the GPR technology for structure inspection has improved to faster systems and higher frequencies. Processing and interpretation software has been developed for better visualization of processed data. GPR is a powerful non-destructive testing method with major advantages such as fast measurement speed and continuous survey lines. The purpose of the tests was to determine the capacity of GPR in identifying the Excavation Damaged or Disturbed Zone (EDZ). Topics included comparison of different types of GPR systems and antennas in select locations in the tunnel system and data presentation. High quality GPR data was obtained from all systems that were used on surfaces without concrete or steel reinforcement. Data processed using Geo Doctor software, which enables integrated analysis of available datasets on a single screen, provided promising results. (orig.)

  20. Healthcare study programmes in innovation

    OpenAIRE

    Mandysová, Petra; Hlaváčová, Klára; Kovářová, Veronika; Kylarová, Denisa

    2014-01-01

    The aim of the three-year project (registration number CZ.1.07/2.2.00/15.0357) was to innovate three out of the existing five study programs of the Faculty of Health Studies, University of Pardubice (FHS UPa) and to enhance the professional competence of the academic staff, which would lead to the modernization of teaching methods and incorporation of new, scientific knowledge in the educational activities. The project responded to the societal demand for highly qualified healthcare personnel...

  1. Programme

    OpenAIRE

    Hobday, E, fl. 1905, artist

    2003-01-01

    A photograph of an illustrated programme listing dances. The illustration shows a snake charmer playing to a snake while another man watches. Buildings and trees can be seen behind a wall in the distance. In the lower right-hand corner of the programme is the signature 'E. Hobday'. The programme is almost certainly related to the Punjab Ball, Lahore. It is placed next to the Punjab Ball Menu in the album and the Menu is also illustrated by 'E. Hobday'.

  2. Comparing flows to a tunnel for single porosity, double porosity and discrete fracture representations of the EDZ

    International Nuclear Information System (INIS)

    Hawkins, I.; Swift, B.; Hoch, A.; Wendling, J.

    2010-01-01

    Document available in extended abstract form only. Andra is studying the Callovo-Oxfordian mud-stones, located at a depth of approximately 500 m beneath the borders of the Meuse and the Haute-Marne Departements, in order to assess the feasibility of constructing a repository for radioactive waste in this low-permeability geological formation. The construction of a repository will lead to the formation of a zone adjacent to the repository (the Excavation Damaged Zone, or EDZ) in which the rock suffers mechanical damage. In the EDZ, fractures and cracks will develop, and therefore the hydraulic properties (including the permeability) will be different from those of the undamaged rock. There are some experimental data which, despite significant uncertainties, allow a conceptual model of the fractures to be defined. The objectives of this study were: - To develop a Discrete Fracture Network (DFN) model of the EDZ; - To derive effective properties for both single continuum and Multiple Interacting Continua (MINC) models from the DFN model; and - To use the various models to simulate desaturation of the rock during the operational phase of the repository, and subsequent re-saturation of a tunnel post-closure (a period of thousands of years). The approaches to modelling flow and transport in fractured systems fall into two rough classes: DFN models; and continuum models. DFN models account explicitly for the effects of individual fractures on fluid flow and solute transport, and usually do not consider the interaction between the fractures and the rock matrix. Continuum models may be single continuum, double continuum or MINC. Single continuum models are applicable when the interaction between the fractures and the rock matrix is sufficient to establish a local equilibrium. Double continuum models account for the two interacting systems (i.e. fractures and rock matrix) by conceptualising each as a continuum occupying the entire domain. An exchange function describes mass

  3. DECOVALEX-THMC Project. Task B. Understanding and characterizing the excavation disturbed zone (EDZ). Phase 2 Report

    International Nuclear Information System (INIS)

    Hudson, John A.; Lanru Jing; Antikainen, Juha; Backers, Tobias; Baeckstroem, Ann; Koyama, Tomofumi; Xiating Feng; Pengzhi Pan; Kobayashi, Akira; Rinne, Mikael; Baotang Shen

    2007-02-01

    The DECOVALEX-THMC project is an ongoing international co-operative project that was stared in 2004 to support the development of mathematical models of coupled Thermal (T), Hydrological (H), Mechanical (M) and Chemical (C) processes in geological media for siting potential nuclear fuel waste repositories. The general objective is to characterise and evaluate the coupled THMC processes in the near field and far field of a geological repository and to assess their impact on performance assessment: - during the three phases of repository development: excavation phase, operation phase and post-closure phase; - for three different rocks types: crystalline, argillaceous and tuff; - with specific focus on the issues of: Excavation Damaged Zone (EDZ), permanent property changes of rock masses, and glaciation and permafrost phenomena. The project involves a large number of research teams supported by radioactive waste management agencies or governmental regulatory bodies in Canada, China, Finland, France, Germany, Japan, Sweden and USA, who conducted advanced studies and numerical modelling of coupled THMC processes under five tasks. This report summarizes the work contributed to Phase 2 of Task B of the project, which took place during the period of March 2004 to May 2006. The Phase 2 work incorporated the use of a wide range of numerical models to simulate the failure of a number of intact rock core samples, from the APSE tunnel at Aespoe HRL, as tested in uniaxial compression and other loading conditions with the intention of establishing the common and code-specific features of the models. The core samples of the Aespoe diorite were treated with different initial mechanical and chemical conditions as dry samples, saturated with distilled water, formation water and saline water, with different durations of submersion, respectively, in order to observe the mechanical effects of saturation by different chemical fluids on the mechanical properties of the intact core

  4. DECOVALEX-THMC Project. Task B. Understanding and characterizing the excavation disturbed zone (EDZ). Phase 2 Report

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, John A. (ed.) [Swedish Nuclear Fuel and Waste Management Co., Stockholm (Sweden)]|[Rock Engineering Consultants (United Kingdom); Lanru Jing (ed.) [Royal Institute of Technology, Stockholm (Sweden); Antikainen, Juha [Helsinki University of Technology, Helsinki (Finland); Backers, Tobias [GeoFrames GmbH, (Germany); Baeckstroem, Ann [Swedish Nuclear Fuel and Waste Management Co., Stockholm (Sweden)]|[Bergbyggkonsult AB (Sweden); Koyama, Tomofumi [Swedish Nuclear Power Inspectorate, Stockholm (Sweden); Xiating Feng; Pengzhi Pan [Chinese Academy of Sciences (China); Kobayashi, Akira [Kyoto Univ. (Japan); Rinne, Mikael; Baotang Shen [Fracom Ltd. (Finland)

    2007-02-15

    The DECOVALEX-THMC project is an ongoing international co-operative project that was stared in 2004 to support the development of mathematical models of coupled Thermal (T), Hydrological (H), Mechanical (M) and Chemical (C) processes in geological media for siting potential nuclear fuel waste repositories. The general objective is to characterise and evaluate the coupled THMC processes in the near field and far field of a geological repository and to assess their impact on performance assessment: - during the three phases of repository development: excavation phase, operation phase and post-closure phase; - for three different rocks types: crystalline, argillaceous and tuff; - with specific focus on the issues of: Excavation Damaged Zone (EDZ), permanent property changes of rock masses, and glaciation and permafrost phenomena. The project involves a large number of research teams supported by radioactive waste management agencies or governmental regulatory bodies in Canada, China, Finland, France, Germany, Japan, Sweden and USA, who conducted advanced studies and numerical modelling of coupled THMC processes under five tasks. This report summarizes the work contributed to Phase 2 of Task B of the project, which took place during the period of March 2004 to May 2006. The Phase 2 work incorporated the use of a wide range of numerical models to simulate the failure of a number of intact rock core samples, from the APSE tunnel at Aespoe HRL, as tested in uniaxial compression and other loading conditions with the intention of establishing the common and code-specific features of the models. The core samples of the Aespoe diorite were treated with different initial mechanical and chemical conditions as dry samples, saturated with distilled water, formation water and saline water, with different durations of submersion, respectively, in order to observe the mechanical effects of saturation by different chemical fluids on the mechanical properties of the intact core

  5. Hydro-mechanical evolution of the EDZ as transport path for radionuclides and gas: insights from the Mont Terri rock laboratory (Switzerland)

    International Nuclear Information System (INIS)

    Paul Marschall, P.; Giger, S.; La Vassière De, R.

    2017-01-01

    The excavation damaged zone (EDZ) around the backfilled underground structures of a geological repository represents a release path for radionuclides, which needs to be addressed in the assessment of long-term safety. Additionally, the EDZ may form a highly efficient escape route for corrosion and degradation gases, thus limiting the gas overpressures in the backfilled repository structures. The efficiency of this release path depends not only on the shape and extent of the EDZ, but also on the self-sealing capacity of the host rock formation and the prevailing state conditions, such as in situ stresses and pore pressure. The hydro-mechanical and chemico-osmotic phenomena associated with the formation and temporal evolution of the EDZ are complex, thus precluding a detailed representation of the EDZ in conventional modelling tools for safety assessment. Therefore, simplified EDZ models, able to mimic the safety-relevant functional features of the EDZ in a traceable manner are required. In the framework of the Mont Terri Project, a versatile modelling approach has been developed for the simulation of flow and transport processes along the EDZ with the goal of capturing the evolution of hydraulic significance of the EDZ after closure of the backfilled underground structures. The approach draws on both empirical evidence and experimental data, collected in the niches and tunnels of the Mont Terri rock laboratory. The model was benchmarked with a data set from an in situ self-sealing experiment at the Mont Terri rock laboratory. This paper summarises the outcomes of the benchmark exercise that comprises relevant empirical evidence, experimental data bases and the conceptual framework for modelling the evolution of the hydraulic significance of the EDZ around a backfilled tunnel section during the entire re-saturation phase. (authors)

  6. Hydro-mechanical evolution of the EDZ as transport path for radionuclides and gas: insights from the Mont Terri rock laboratory (Switzerland)

    Energy Technology Data Exchange (ETDEWEB)

    Paul Marschall, P.; Giger, S. [National Cooperative for the Disposal of Radioactive Waste (NAGRA), Wettingen (Switzerland); La Vassière De, R. [Agence Nationale pour la Gestion des Déchets Radioactifs ANDRA, Meuse Haute-Marne, Center RD 960, Bure (France); and others

    2017-04-15

    The excavation damaged zone (EDZ) around the backfilled underground structures of a geological repository represents a release path for radionuclides, which needs to be addressed in the assessment of long-term safety. Additionally, the EDZ may form a highly efficient escape route for corrosion and degradation gases, thus limiting the gas overpressures in the backfilled repository structures. The efficiency of this release path depends not only on the shape and extent of the EDZ, but also on the self-sealing capacity of the host rock formation and the prevailing state conditions, such as in situ stresses and pore pressure. The hydro-mechanical and chemico-osmotic phenomena associated with the formation and temporal evolution of the EDZ are complex, thus precluding a detailed representation of the EDZ in conventional modelling tools for safety assessment. Therefore, simplified EDZ models, able to mimic the safety-relevant functional features of the EDZ in a traceable manner are required. In the framework of the Mont Terri Project, a versatile modelling approach has been developed for the simulation of flow and transport processes along the EDZ with the goal of capturing the evolution of hydraulic significance of the EDZ after closure of the backfilled underground structures. The approach draws on both empirical evidence and experimental data, collected in the niches and tunnels of the Mont Terri rock laboratory. The model was benchmarked with a data set from an in situ self-sealing experiment at the Mont Terri rock laboratory. This paper summarises the outcomes of the benchmark exercise that comprises relevant empirical evidence, experimental data bases and the conceptual framework for modelling the evolution of the hydraulic significance of the EDZ around a backfilled tunnel section during the entire re-saturation phase. (authors)

  7. Investigations on THM effects in buffer, EDZ and argillaceous host rock. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Jobmann, M.; Breustedt, M.; Li, S.; Polster, M.; Schirmer, S.

    2013-11-15

    In the Federal Republic of Germany the final disposal of heat-generating radioactive waste in clay formations is investigated as an alternative to the reference concept in a salt formation. The main concern when switching to a clay host rock is the high amount of heat released from the canisters into the clay rock over a long period of time. It is still an open question to what extent the host rock formation is affected by the released heat and if this is a threat to safety. The released heat from the canisters is a load on the whole barrier system, which consists of the geotechnical barriers (buffer and plugs) and the geological barrier. The temperature has a direct impact on the buffer, the excavative damaged zone (EDZ) and the surrounding host rock. The buffer has specific thermo-physical properties that significantly influence the temperature evolution in the near field so that a temperature load on the buffer is of special concern. Thus, with regard to thermal criteria, the buffer plays a significant role for the design of the emplacement fields. An open question is whether the use of admixtures could enhance the thermo-physical properties so that the heat release into the host rock would be more efficient. Due to the permanent heat release and the continuous emplacement of additional canisters, the in-situ stress state in the vicinity of the emplacement boreholes continuously varies during the operational period and beyond. It is an open question how the EDZ of emplacement boreholes evolves in the long term with regard to its fissure system and mainly its permeability. A closure of the EDZ and a corresponding decrease in its permeability are necessary to enhance the tightness of the barrier system, especially to avoid a preferential pathway through the EDZ around the openings. The host rock has specific properties that are necessary to ensure a safe enclosure of the waste. A change in the host rock temperature may change these properties irreversibly. This is

  8. Optimizing study design for multi-species avian monitoring programmes

    Science.gov (United States)

    Jamie S. Sanderlin; William M. Block; Joseph L. Ganey

    2014-01-01

    Many monitoring programmes are successful at monitoring common species, whereas rare species, which are often of highest conservation concern, may be detected infrequently. Study designs that increase the probability of detecting rare species at least once over the study period, while collecting adequate data on common species, strengthen programme ability to address...

  9. Characterisation and monitoring of the Excavation Disturbed Zone (EDZ) in fractured gneisses of the Roselend underground laboratory: permeability measurements, transport property changes and related radon bursts

    Science.gov (United States)

    Wassermann, Jérôme; Sabroux, Jean-Christophe; Richon, Patrick; Pontreau, Sébastien; Guillon, Sophie; Pili, Eric

    2010-05-01

    The Roselend tunnel was drilled in the fifties by blasting in the micashists, granites and gneisses of the Méraillet massif (French Alps). It is situated on the shore of the Roselend reservoir Lake near its dam. Several tectonic shear fractures related to the Alpine orogeny intersect the dead end tunnel (with length of 128 m and section about 2 m), indeed the fracture density varies from 0.45 to 1 fracture per meter along the tunnel (Dezayes and Villemin 2002). Some fractures are partially or totally filled with secondary minerals. The flow rates of percolating water through the fractured medium are seasonal dependent. Large fractures drain a large fluid volume unlike small ones that drain limited fluid volume (Patriarche et al. 2007). The Roselend underground laboratory allows the study of the geochemical and geophysical responses of a fractured rock mass to periodic sollicitations due to water level variations of the nearby Roselend reservoir Lake. The tunnel was instrumented in the nineties to understand the relationship between radon (Rn-222) concentration and water level variations of the Roselend reservoir Lake (Trique et al. 1999). In order to characterize the geometry and the extent of the EDZ, core drilling and permeability measurements through pneumatic testing are performed along the Roselend tunnel. Drilled core analysis consists of direct observations at a macroscopic scale of fractures (density of fractures from EDZ) and also at a microscopic scale via thin sections. Method of pressure build-up in wells (Jakubick and Franz 1993, Bossart et al. 2002) is used to determine permeability profile along each borehole and hence to precise the extent and geometry of the EDZ. A strong correlation is observed between permeability profiles and the density of fractures estimated from core analysis. The extent of the EDZ appears to be about one tunnel radius i.e. one meter around the tunnel corridor. Another experiment consisting of continuous differential

  10. Electrical tomography monitoring of the EDZ during the excavation of the gallery Ga08 in the Mont Terri URL

    International Nuclear Information System (INIS)

    Nicollin, Florence; Gibert, Dominique; Lesparre, Nolwenn; Nussbaum, Christophe

    2010-01-01

    Document available in extended abstract form only. In the Mont Terri Underground Rock Laboratory, the excavation of the new gallery Ga08 provided a unique opportunity to monitor the excavation damaged zone (EDZ) in the Opalinus clay, at time scales ranging from hours to months. The excavation of the gallery Ga08 has started from the northern end of the URL and has progressed towards the South, ending by the junction with the end of the gallery Ga04. Several geophysical and geochemical methods were performed from the end face of the gallery Ga04, to observe the evolution of the rock mass located in the so-called EZ-G08 section during the progress of the excavation. Thus, electrical resistivity measurements were performed, with electrodes placed both on the Ga04 face and in boreholes perpendicular to the face. These experiments revealed a strong anisotropy of the electrical resistivity of the rock mass, and they allowed to study the temporal evolution of the electrical resistivity in the EDZ. An array of more than 700 electrodes was installed on the rough face according to a square mesh with a mean side of 30 cm. On each line of the mesh, the electrodes were equally spaced every 15 cm. 4 horizontal boreholes, 8 m long and 56 mm in diameter, were equipped with lines of 64 electrodes equally spaced every 5 cm. Finally, 2 groups of 4 boreholes, 1 m long and spaced about 20 cm, were equipped with lines of 16 electrodes equally spaced every 5 cm. Using the electrode array of the face, Wenner profiles were acquired along both the horizontal and the vertical lines, highlighting a strong anisotropy of electrical resistivity since the values depend on the direction in which they are measured. In order to characterize this anisotropy, other measurements were done using the array of the face and the lines of the short boreholes, with the so-called square array configuration where the electrodes are located at the corners of squares with different orientations. On the face

  11. Productivity studies of the nuclear waste programme

    International Nuclear Information System (INIS)

    Lundberg, Haakan

    2002-08-01

    The Swedish Nuclear Inspectorate reviews and supplements the SKB proposal for cost estimations for the nuclear waste programme. These estimations are of great importance for the determination of annual fees to the Nuclear Waste Fund and guarantee amounts in accordance with the Financing Act. The majority of the Nuclear Waste Fund's assets are invested in real interest bonds, issued by the Swedish state. The average duration for the Nuclear Waste Fund investments was 12.8 years at the end of December 2001. From July 1, 2002 on the Nuclear waste Fund investments will consist of nominal and real bonds on the official market. The Fund is increased in line with the Consumer Price Index (KPI). If real costs within the nuclear waste programme increase at a faster rate than the KPI, there is a risk that the Nuclear Waste Fund will be 'under balanced'. SKI has developed a weighted index, the KBS-3-index, to compare the SKB cost re-estimate with. Productivity changes have however no impact on these indices. The KBS-3-index indicates that there might be a risk that the de facto, cost increases will exceed KPI. An improved productivity might however balance the cost escalations. Productivity is normally defined as production divided by the input of production factors. The production can be a quantity measurement or the value added. A common approach is calculation of the labour productivity. The productivity development within different industries in Sweden and in EU varies, and is not only positive. The so called DEA method is used for productivity and efficiency measurements in public and private operations. Efficiency evaluations based on known norms are not made with the DEA models. Instead the evaluation is performed in relation to an empirically based reference technology, a relative efficiency. A selection or an optimisation of output is difficult for the nuclear waste programme. It is not possible to change parts of the nuclear waste programme to something else

  12. Fisheries credit programmes and revolving loan funds: case studies

    National Research Council Canada - National Science Library

    Tietze, U; Merrikin, P

    1992-01-01

    ... programmes and revolving loan funds. In order to gain more information in this vital area, the Fishery Industries Division of FAO initiated a series of case studies in Asia, Africa, the Middle East, Latin America and the Caribbean...

  13. Hydrogeochemical and microbiological effects on fractures in the Excavation Damaged Zone (EDZ)

    Energy Technology Data Exchange (ETDEWEB)

    Laaksoharju, Marcus (Geopoint AB, Sollentuna (Sweden)); Gimeno, Maria; Auque, Luis F.; Gomez, Javier B.; Acero, Patricia (Univ. of Zaragoza, Earth Science Dept., Zaragoza (Spain)); Pedersen, Karsten (Microbial Analytics, Moelnlycke (Sweden))

    2009-01-15

    Due to the disturbances associated with the excavation, construction and closure of the repository for storage of spent nuclear fuel, the saturation state of the groundwaters at repository depth with respect to several mineral phases may change and mineral precipitation/dissolution reactions may take place. In addition, changing groundwater conditions may facilitate microbial growth on fracture walls. These processes are of importance since they may influence the stability and safety of the Excavation Damaged Zone (EDZ) because precipitation and microbial growth may seal the hydraulically conductive fractures caused by the repository construction. Different processes expected to occur in the EDZ during the open repository conditions and after repository closure have been evaluated based on data from Forsmark, Laxemar and Aespoe. Geochemical modelling by using PHREEQC was applied to simulate the following cases: - increase of temperature to 50 deg C and 100 deg C to simulate the thermal effects from spent nuclear fuel; - open repository conditions simulating atmospheric conditions (equilibrium with atmospheric partial pressures of CO{sub 2}(g) and O{sub 2}(g)); - mixing with deep saline water simulating up-coning; - mixing with shallow infiltration waters simulating down-coning; - mixing with different proportions of cement dissolution porewater. The effect of variable temperatures (up to 100 deg C) on most of the above modelled processes has also been assessed. A preliminary estimation of the effect of mineral precipitation on the hydraulic conductivity of the EDZ has been carried out. For most of the modelling cases, the estimated decrease of the hydraulic conductivity in ten years is smaller than 2%. Microbial evaluation was used to identify the potential for microbial calcite and iron hydroxide formation during various repository conditions. The most important groundwater parameters for microorganisms, are pH and carbonate, ferrous iron, methane and the

  14. Hydrogeochemical and microbiological effects on fractures in the Excavation Damaged Zone (EDZ)

    International Nuclear Information System (INIS)

    Laaksoharju, Marcus; Gimeno, Maria; Auque, Luis F.; Gomez, Javier B.; Acero, Patricia; Pedersen, Karsten

    2009-01-01

    Due to the disturbances associated with the excavation, construction and closure of the repository for storage of spent nuclear fuel, the saturation state of the groundwaters at repository depth with respect to several mineral phases may change and mineral precipitation/dissolution reactions may take place. In addition, changing groundwater conditions may facilitate microbial growth on fracture walls. These processes are of importance since they may influence the stability and safety of the Excavation Damaged Zone (EDZ) because precipitation and microbial growth may seal the hydraulically conductive fractures caused by the repository construction. Different processes expected to occur in the EDZ during the open repository conditions and after repository closure have been evaluated based on data from Forsmark, Laxemar and Aespoe. Geochemical modelling by using PHREEQC was applied to simulate the following cases: - increase of temperature to 50 deg C and 100 deg C to simulate the thermal effects from spent nuclear fuel; - open repository conditions simulating atmospheric conditions (equilibrium with atmospheric partial pressures of CO 2 (g) and O 2 (g)); - mixing with deep saline water simulating up-coning; - mixing with shallow infiltration waters simulating down-coning; - mixing with different proportions of cement dissolution porewater. The effect of variable temperatures (up to 100 deg C) on most of the above modelled processes has also been assessed. A preliminary estimation of the effect of mineral precipitation on the hydraulic conductivity of the EDZ has been carried out. For most of the modelling cases, the estimated decrease of the hydraulic conductivity in ten years is smaller than 2%. Microbial evaluation was used to identify the potential for microbial calcite and iron hydroxide formation during various repository conditions. The most important groundwater parameters for microorganisms, are pH and carbonate, ferrous iron, methane and the dissolved

  15. EZG08 project: acoustic experiments to monitor the EDZ during the gallery excavation process in the Mont Terri Underground Research Laboratory (Switzerland)

    International Nuclear Information System (INIS)

    Le Gonidec, Y.; Kergosien, B.; Schubnel, A.; Gueguen, Y.; Wassermann, J.; Gibert, D.; Sarout, J.; Nussbaum, C.

    2010-01-01

    Document available in extended abstract form only. In the Underground Research Laboratory (URL) at Mont Terri, a new gallery G08 was planned to be excavated in 2008 following an original process: the excavation process allowed to monitor the Excavation Damaged Zone (EDZ) from geophysical measurements designed and installed at the end of face of the EZ-G04 gallery during the excavation from the other side, i.e. the end face of the EZ-G08 gallery. The objectives of the project concern spatio-temporal changes of the EDZ: among the methodological developments adapted for the EZG08 project to provide complementary information, acoustic experiments have been prepared in horizontal boreholes to perform the continuous acoustic monitoring of the Excavation Damaged Zone (EDZ). The acoustic measurements, performed on acoustic arrays of several receivers, have been recorded during one month, following two main steps: - Active acoustic surveys: a source is introduced in a central borehole (BEZG5) allowing tomography experiments in the far field and in the near field, i.e. close to and far from BEZG5, respectively. - Acoustic emissions: during the excavation process, numerous acoustic emissions can be detected and associated to micro-seismic events due to rapid crack propagation, generated by the rock relaxation, or simply associated to the excavation process. From the tomography measurements, the acoustic wave velocity field can be estimated, with P and S-wave velocities roughly equal to 2500 m/s-3500 m/s, and 1500 m/s, respectively. The acoustic setup does not show variations of P-wave velocity during the campaign, but spatial variations which could be associated to anisotropic elastic properties of the rock with the maximum P-wave velocities close to the bedding plane. An original method based on a multifrequency approach puts in evidence a frequency dependence of the velocity, with a striking phenomena since the wave velocity decreases with increasing frequency. This effect

  16. QUALITY OF AN ACADEMIC STUDY PROGRAMME - EVALUATION MODEL

    Directory of Open Access Journals (Sweden)

    Mirna Macur

    2016-01-01

    Full Text Available Quality of an academic study programme is evaluated by many: employees (internal evaluation and by external evaluators: experts, agencies and organisations. Internal and external evaluation of an academic programme follow written structure that resembles on one of the quality models. We believe the quality models (mostly derived from EFQM excellence model don’t fit very well into non-profit activities, policies and programmes, because they are much more complex than environment, from which quality models derive from (for example assembly line. Quality of an academic study programme is very complex and understood differently by various stakeholders, so we present dimensional evaluation in the article. Dimensional evaluation, as opposed to component and holistic evaluation, is a form of analytical evaluation in which the quality of value of the evaluand is determined by looking at its performance on multiple dimensions of merit or evaluation criteria. First stakeholders of a study programme and their views, expectations and interests are presented, followed by evaluation criteria. They are both joined into the evaluation model revealing which evaluation criteria can and should be evaluated by which stakeholder. Main research questions are posed and research method for each dimension listed.

  17. Results and future programme of HTR's study

    International Nuclear Information System (INIS)

    Mursid Djokolelono; Soedyartomo Soentono

    1990-01-01

    Study on the application of HTRs for the enhanced oil recovery in the Duri oil field (Sumatra, Indonesia) was performed in 1986/1987. The economic and technological advantages over crude burning option were identified. Crude oil prices, HTR capital costs, discount rates and company's income structure represented dominant parameters. Further sensitivity calculations on important economic parameters were obtained to reflect the condition of 1988. This nuclear option was also incorporated in the energy planning study for the whole of Indonesia using the MARKAL model, and resulted in the conditions of its applicability. The scenarios chosen in this MARKAL study were high and low GDP growth rate, whereas the criteria chosen were the minimum cost with and without a predetermined policy of reduced domestic use of oil. In the high scenario the HTRs as well as the natural gas options could not compete against the low cost boilers with crude-oil fuel. But in the case of reduced domestic oil use the HTRs came out to supplement the crudeburning boilers starting in the sixth five year plan (1994-999), even earlier than the natural gas option. The authors further discuss the industrial environment, in relation to the regional development, the possible local participation, as well as the plan to materialize the merits of this novel application. (author)

  18. Results and future programme of HTR's study

    Energy Technology Data Exchange (ETDEWEB)

    Djokolelono, Mursid; Soentono, Soedyartomo [National Atomic Energy Agency (Indonesia)

    1990-07-01

    Study on the application of HTRs for the enhanced oil recovery in the Duri oil field (Sumatra, Indonesia) was performed in 1986/1987. The economic and technological advantages over crude burning option were identified. Crude oil prices, HTR capital costs, discount rates and company's income structure represented dominant parameters. Further sensitivity calculations on important economic parameters were obtained to reflect the condition of 1988. This nuclear option was also incorporated in the energy planning study for the whole of Indonesia using the MARKAL model, and resulted in the conditions of its applicability. The scenarios chosen in this MARKAL study were high and low GDP growth rate, whereas the criteria chosen were the minimum cost with and without a predetermined policy of reduced domestic use of oil. In the high scenario the HTRs as well as the natural gas options could not compete against the low cost boilers with crude-oil fuel. But in the case of reduced domestic oil use the HTRs came out to supplement the crudeburning boilers starting in the sixth five year plan (1994-999), even earlier than the natural gas option. The authors further discuss the industrial environment, in relation to the regional development, the possible local participation, as well as the plan to materialize the merits of this novel application. (author)

  19. Evaluation of the Start Programme: Case-Study Report

    Science.gov (United States)

    MacLeod, Shona; Sharp, Caroline; Weaving, Harriet; Smith, Robert; Wheater, Rebecca

    2014-01-01

    This report presents five case studies of long-term partnerships (over three years) between arts organisations and schools. The Start programme enables arts venues and schools to work together to offer disadvantaged young people opportunities to engage in creative activities that inspire them and enhance their experience of the arts. It is…

  20. Drop-out from parenting training programmes: a retrospective study ...

    African Journals Online (AJOL)

    Objective:Parent training programmes are a well-established treatment approach for children and adolescents with disruptive behaviour disorders. However, dropout from treatment is a common problem that confounds research on the efficacy of this approach, and wastes important mental health resources. This study ...

  1. Geophysical monitoring of the EDZ during a gallery excavation in the Opalinus clay of the Mont Terri URL: anomalies of noble gases and self-potential associated with fractures and fluid dynamics in a horizontal borehole

    International Nuclear Information System (INIS)

    Maineult, A.; Mahiouz, K.; Lesparre, N.; Thomas, B.; Lavielle, B.; Nussbaum, C.; Wieczorek, K.; Gibert, D.; Kergosien, B.; Nicollin, F.

    2012-01-01

    Document available in extended abstract form only. The research underground rock laboratory (URL) of Mont Terri (Switzerland) was established in 1996 in a Mesozoic clay-stone formation (Opalinus Clay). It is aimed at studying the hydro-mechanical, thermal, geochemical and geophysical behaviour of argillaceous formations in the context of radioactive waste disposal. The EZ-G experiments were designed to monitor the EDZ evolution. The EZ-G08 experiment started in September 2007 to study the EDZ changes at different time scales during the tunnelling of gallery Ga08 starting from the northern part of the URL toward the end-face of the gallery Ga04. Before the excavation process started, we characterized the petrology and the structural properties of the core of the horizontal, 12-m long borehole BEZ-G5 drilled in the end-face of gallery Ga04 (first 2 meters in the shaly facies, the rest in the sandy facies). We quantified its noble gas content for studying gas transport processes in rocks and connected fracture networks. Depletion in He can be observed in the EDZ and other noble gases can also increase as desaturation processes occur. Inflows of water occurred in the borehole few weeks after its drilling until the junction of galleries Ga08 and Ga04. Water amounts of few litres were commonly released in other boreholes in the URL. We recorded the natural electrical potentials (self-potentials - SP), in BEZ-G5. SP originate from the movement of fluid, the diffusion of concentration or temperature gradients, and are sensitive to any change occurring in them. Borehole BEZ-G5 was equipped with a specific device, on which custom-made electrodes were fixed every 15 cm. The signals showed coherent perturbations during the drilling operations in the boreholes BEZ-G12 and in the end-face of the gallery Ga04. Afterwards, an early, strong but rather smooth increase of a few tens of mV, followed by a very slow decrease of much smallest amplitude, can be observed in some signals

  2. Numerical modelling of the long-term evolution of EDZ. Development of material models, implementation in finite-element codes, and validation

    International Nuclear Information System (INIS)

    Pudewills, A.

    2005-11-01

    Construction of deep underground structures disturbs the initial stress field in the surrounding rock. This effect can generate microcracks and alter the hydromechanical properties of the rock salt around the excavations. For the long-term performance of an underground repository in rock salt, the evolution of the 'Excavation Disturbed Zone' (EDZ) and the hydromechanical behaviour of this zone represent important issues with respect to the integrity of the geological and technical barriers. Within the framework of the NF-PRO project, WP 4.4, attention focuses on the mathematical modelling of the development and evolution of the EDZ in the rock near a disposal drift due to its relevance on the integrity of the geological and technical barriers. To perform this task, finite-element codes containing a set of time- and temperature-dependent constitutive models have been improved. A new viscoplastic constitutive model for rock salt that can describe the damage of the rock has been implemented in the finite-element codes available. The model parameters were evaluated based on experimental results. Additionally, the long-term evolution of the EDZ around a gallery in a salt mine at about 700 m below the surface was analysed and the numerical results were compared with in-situ measurements. The calculated room closure, stress distribution and the increase of rock permeability in the EDZ were compared with in-situ data, thus providing confidence in the model used. (orig.)

  3. Human-centred automation programme: review of experiment related studies

    International Nuclear Information System (INIS)

    Grimstad, Tone; Andresen, Gisle; Skjerve, Ann Britt Miberg

    2000-04-01

    Twenty-three empirical studies concerning automation and performance have been reviewed. The purposes of the review are to support experimental studies in the Human-Centred Automation (HCA) programme and to develop a general theory on HCA. Each study was reviewed with regard to twelve study characteristics: domain, type of study, purpose, definition of automation, variables, theoretical basis, models of operator performance, methods applied, experimental design, outcome, stated scope of results, strengths and limitations. Seven of the studies involved domain experts, the rest used students as participants. The majority of the articles originated from the aviation domain: only the study conducted in HAMMLAB considered process control in power plants. In the experimental studies, the independent variable was level of automation, or reliability of automation, while the most common dependent variables were workload, situation awareness, complacency, trust, and criteria of performance, e.g., number of correct responses or response time. Although the studies highlight important aspects of human-automation interaction, it is still unclear how system performance is affected. Nevertheless, the fact that many factors seem to be involved is taken as support for the system-oriented approach of the HCA programme. In conclusion, the review provides valuable input both to the design of experiments and to the development of a general theory. (Author). refs

  4. DECOVALEX-THMC Project. Task C. Excavation Damaged Zone (EDZ) in argillaceous rock at Tournemire site (France). Report of Task C1

    Energy Technology Data Exchange (ETDEWEB)

    Rejeb, A. (comp.) [Inst. of Radioprotection and Nuclear Safety (France); Stephansson, O. (comp.) [GeoForschungsZentrum-Potsdam (Germany); Millard, A. [CEA/IRSN (France); Ziefle, G.; Kohlmeier, M.; Massmann, J.; Zielke, W. [ISEB/BGR (Germany); Uehara, S.; Kobayashi, A.; Chijimatsu, M.; Fujita, T. [KU/JAEA (Japan)

    2007-02-15

    The DECOVALEX-THMC project is an ongoing international co-operative project that was stared in 2004 to support the development of mathematical models of coupled Thermal (T), Hydrological (H), Mechanical (M) and Chemical (C) processes in geological media for siting potential nuclear fuel waste repositories. The general objective is to characterise and evaluate the coupled THMC processes in the near field and far field of a geological repository and to assess their impact on performance assessment: - during the three phases of repository development: excavation phase, operation phase and post-closure phase; - for three different rocks types: crystalline, argillaceous and tuff; - with specific focus on the issues of: Excavation Damaged Zone (EDZ), permanent property changes of rock masses, and glaciation and permafrost phenomena. This report describes the results of Task C1 of the project devoted to Excavation Damage Zone (EDZ) in argillaceous rock at the Tournemire site in France. The task is to develop adequate numerical models for interpretation of observed damaged zones around three different openings excavated at different time at the Tournemire site. The research teams are asked to model the evolution of the EDZ with time and to compare the results with measurements performed at the site. Three research teams are participating in this task: - CEA (Commissariat of Atomic Energy, France) and the IRSN (Institute of Radioprotection and Nuclear safety, France) ; - ISEB (Institute of Fluid Mechanics and Computer Applications in Civil Engineering, University of Hanover, Germany) supported by the BGR (Federal Institute for Geosciences and Natural Resources, Germany); - KU (Department of Urban and Environmental Engineering, Kyoto University, Japan) supported by the JAEA (Japan Atomic Energy Agency, Japan). This report presents a description and definition of Task C including a geological description of the site, the geomechanical characterisation of the argillaceous

  5. Cross-cultural exchange: How students can frustrate the aims of study abroad programmes

    Science.gov (United States)

    Barnes, Leslie R.

    1982-09-01

    Readily accepting that study abroad programmes may have as many differing forms and aims as there are participating institutions, and that by no means all programmes include academic content in their goals, I would nevertheless maintain: 1. that a sociological perspective is as necessary as the hitherto predominantly psychological approach in obtaining a balanced assessment of study abroad programmes;

  6. Designing and Developing a Programme-Focused Assessment Strategy: A Case Study

    Science.gov (United States)

    Brunton, James; Brown, Mark; Costello, Eamon; Walsh, Elaine

    2016-01-01

    This case study describes the process that the Humanities Programme Team, in Dublin City University's Open Education Unit, has undertaken with regard to developing a systematic, programme-focused assessment strategy. It charts the development of an Assessment Matrix that facilitated the enhancement of programme coherence in the context of a…

  7. Postgraduate Work-Based Learning Programmes in English Higher Education: Exploring Case Studies of Organizational Practice

    Science.gov (United States)

    Smith, Paul; Preece, David

    2009-01-01

    The first part of the paper outlines and discusses the nature of work-based learning (WBL) and WBL programmes, and the overall direction of government strategy towards WBL programmes in Higher Education (HE) in England, with particular reference to postgraduate programmes, policy documents, and the WBL literature. Drawing upon case study research,…

  8. Study protocol for the Cities Changing Diabetes programme

    DEFF Research Database (Denmark)

    Napier, A David; Nolan, John J; Bagger, Malene

    2017-01-01

    and management are improving, complications remain common, and diabetes is among the leading causes of vision loss, amputation, neuropathy and renal and cardiovascular disease worldwide. We present a research protocol for exploring the drivers of type 2 diabetes and its complications in urban settings through...... the Cities Changing Diabetes (CCD) partnership programme. METHODS AND ANALYSIS: A global study protocol is implemented in eight collaborating CCD partner cities. In each city, academic institutions, municipal representatives and local stakeholders collaborate to set research priorities and plan...... Assessment explores the urban context in vulnerability to type 2 diabetes and identifies social factors and cultural determinants relevant to health, well-being and diabetes. ETHICS AND DISSEMINATION: The protocol steers the collection of primary and secondary data across the study sites. Research ethics...

  9. Comparative study of teaching content in teacher education programmes in Canada, Denmark, Finland and Singapore

    DEFF Research Database (Denmark)

    Rasmussen, Jens; Bayer, Martin

    2014-01-01

    of professional knowledge within the Danish teacher education programmes, which is not true of the programmes in the Top-3 countries and (2) the programmes in Canada and Singapore more frequently employ literature combining research-based knowledge with practical guidance and experiences, while the programmes......This article presents the results of a comparative study of the content in selected teacher education programmes for primary and lower secondary teachers in Canada, Denmark, Finland and Singapore. First and foremost, the study is a comparison between teacher education programmes in, on the one hand....... The study does not offer proof of any clear difference between the Danish teacher education programmes and those found in the top-performing countries. Two main findings are: (1) philosophically based professional knowledge, much of which is normative in character, forms an extensive part of the body...

  10. The possibility of establishing a doctoral programme in archive studies

    Directory of Open Access Journals (Sweden)

    Waldemar Chorążyczewski

    2013-03-01

    Full Text Available Doctor studies have been included into formalised education system as a third cycle studies. In the light of ministerial regulations, the archive studies doctoral program ought to encompass classes on archives, methodology of sciences, didactics of higher education studies, the social role of an academic, conducting student internship. Does this mean, that a doctoral seminar in archive studies is excessive? On the contrary, the seminar seems to be the best place to bequeath knowledge and skills on methodology and the proper attitude of a scholar, in awareness of his or her role in the society.By these standards, the seminar should be understood not solely as a place to forge doctoral theses, but also as a site on which to conduct discussion with one's academic authorities and advisors and guest experts; it also should be the key class, taking up the most of the timetable. The validity of preparing an archivist for the role of a university teacher has been questioned.Both the profile of the doctor courses and observation of their effectiveness has led us to believe informal seminar to be the better way of doctoral education for archive students. Perhaps though, the kind of steps, that must be taken if doctor course on archive studies was to be created, is worth considering. Is there a chance, and, is it worth striving for the archive studies to be an independent department? It would not only mean opening doctor programmes, but also the right confer a PhD degree in Humanities, on the subject of archive studies, and not history, as it has hitherto been done. The archive studies have definite research subject, range and methodology. What is noticeable is a kind of archival sensitivity, that allows for all the users and all the purposes for using the resources to be on equal rights. Archive studies have matured, and it is ready to become an independent academic discipline. Thereby, it can be expected, that at last, it's maturity will be put to good

  11. A prospective study to evaluate a new residential community reintegration programme for severe chronic brain injury: the Brain Integration Programme.

    Science.gov (United States)

    Geurtsen, G J; Martina, J D; Van Heugten, C M; Geurts, A C H

    2008-07-01

    To assess the effectiveness of a residential community reintegration programme for participants with chronic sequelae of severe acquired brain injury that hamper community functioning. Prospective cohort study. Twenty-four participants with acquired brain injury (traumatic n = 18; stroke n = 3, tumour n = 2, encephalitis n = 1). Participants had impaired illness awareness, alcohol and drug problems and/or behavioural problems. A skills-oriented programme with modules related to independent living, work, social and emotional well-being. The Community Integration Questionnaire, CES-Depression, EuroQOL, Employability Rating Scale, living situation and work status were scored at the start (T0), end of treatment (T1) and 1-year follow-up (T2). Significant effects on the majority of outcome measures were present at T1. Employability significantly improved at T2 and living independently rose from 42% to over 70%. Participants working increased from 38% to 58% and the hours of work per week increased from 8 to 15. The Brain Integration Programme led to a sustained reduction in experienced problems and improved community integration. It is concluded that even participants with complex problems due to severe brain injury who got stuck in life could improve their social participation and emotional well-being through a residential community reintegration programme.

  12. Characterisation of the hydraulic properties within the EDZ around drifts at level -490 m of the Meuse/Haute-Marne URL: A methodology for consistent interpretation of hydraulic tests

    Science.gov (United States)

    Baechler, S.; Lavanchy, J. M.; Armand, G.; Cruchaudet, M.

    In order to investigate potential changes of the hydraulic properties of the EDZ over time in the Meuse/Haute-Marne underground research laboratory (URL), several hydraulic tests campaigns have been carried out between 2005 and 2008 in dedicated boreholes. After several test series, inconsistencies were noticed in the results, indicating, in particular cases, erratic, inexplicable property changes over time and spatial contrasts. It was therefore difficult to determine reliably potential trends of the EDZ hydraulic properties. It appeared necessary to re-evaluate both the interpretation concepts and assumptions applied to the numerical analyses of test data on the EDZ, trying to better constrain the flow model and the parameter variables. In order to improve the understanding of the geometrical, geomechanical and hydraulic properties of the EDZ, independent information from other investigation methods has been used to critically revise the conceptual model and formation parameters. In particular, results from a diffusion experiment and ultrasonic measurements allowed constraining the extent of the mechanical damaged zone around the borehole (BDZ). Storativity parameters were fitted due to their expected variability. Indeed, high storativity values can be presumed under the unsaturated conditions of the EDZ. The results of the reanalyses, performed with the numerical borehole simulator MULTISIM, demonstrated the good quality and consistency of the revised conceptual model with constrained BDZ and variable storativity. Overall the new simulation results obtained from selected test series are now very consistent. The revised conceptual model demonstrated its capacity to better represent the evolution and extension of the EDZ around a drift in Meuse/Haute-Marne URL. Further consistency checks are proposed to confirm the new model assumptions and the estimates of the single phase flow model in the EDZ.

  13. Characterisation of the hydraulic properties within the EDZ around drifts at level -490 m of the Meuse/Haute-Marne URL: A methodology for consistent interpretation of hydraulic tests

    International Nuclear Information System (INIS)

    Baechler, S.; Lavanchy, J. M.; Armand, G.; Cruchaudet, M.

    2011-01-01

    In order to investigate potential changes of the hydraulic properties of the EDZ over time in the Meuse/Haute-Marne underground research laboratory (URL), several hydraulic tests campaigns have been carried out between 2005 and 2008 in dedicated boreholes. After several test series, inconsistencies were noticed in the results, indicating, in particular cases, erratic, inexplicable property changes over time and spatial contrasts. It was therefore difficult to determine reliably potential trends of the EDZ hydraulic properties. It appeared necessary to re-evaluate both the interpretation concepts and assumptions applied to the numerical analyses of test data on the EDZ, trying to better constrain the flow model and the parameter variables. In order to improve the understanding of the geometrical, geomechanical and hydraulic properties of the EDZ, independent information from other investigation methods has been used to critically revise the conceptual model and formation parameters. In particular, results from a diffusion experiment and ultrasonic measurements allowed constraining the extent of the mechanical damaged zone around the borehole (BDZ). Storativity parameters were fitted due to their expected variability. Indeed, high storativity values can be presumed under the unsaturated conditions of the EDZ. The results of the reanalyses, performed with the numerical borehole simulator MULTISIM, demonstrated the good quality and consistency of the revised conceptual model with constrained BDZ and variable storativity. Overall the new simulation results obtained from selected test series are now very consistent. The revised conceptual model demonstrated its capacity to better represent the evolution and extension of the EDZ around a drift in Meuse/Haute-Marne URL. Further consistency checks are proposed to confirm the new model assumptions and the estimates of the single phase flow model in the EDZ. (authors)

  14. Spectroscopy as a major programme in ASDEX - a discussion study

    International Nuclear Information System (INIS)

    Fussmann, G.

    1986-03-01

    This report deals with the objectives and possibilities of a spectroscopy programme in ASDEX and provides some basic information on the relevant processes of atomic physics in tokamaks. The spectroscopic analogies found in observation of astrophysical objects are also briefly treated. In addition, the possibilities for conducting investigations in alternative high-Z ion sources are discussed. A first proposal for an appropriate programme is then formulated. (orig.)

  15. Programme of studies. Vol. 3: Energy. Pt. 2

    International Nuclear Information System (INIS)

    1995-01-01

    This volume contains the reports on studies carried out by different institutions. Their titles are: 1. Overall economic impact of strategies for cutting down emissions, 2. Analysis of obstacles to, and steps towards, the realization of CO 2 emission reduction targets, 3. Future regulatory framework, especially for line-transmitted energy, in support of climate protection targets, 4. Conceptual study for a further-education and market introduction programme ''Efficient and economical use of electricity'', 5. Perspectives and consequences of the completion of the internal European market, especially the stepwise establishment of a European power market, and of international conventions (in particular with a view to climate protection) for a policy aiming to reduce greenhouse gas emissions, 6. Concept for, and valuation of, economic relations with developing countries, the Commonwealth of independent states (CIS), and eastern Europe with the aim of cutting down greenhouse gases, as well as population projections for united Germany to the year 2100 - with special regard to migrations. (orig.) [de

  16. Meeting Teacher Expectations in a DL Professional Development Programme--A Case Study for Sustained Applied Competence as Programme Outcome

    Science.gov (United States)

    Kruger, Cornè Gerda; Van Rensburg, Ona Janse; De Witt, Marike W.

    2016-01-01

    Meeting teacher expectations for a professional development programme (PDP) is expected to strengthen sustainable applied competence as programme outcome since teachers will be more motivated to apply the programme content in practice. A revised distance learning (DL) programme was augmented by a practical component comprising a work-integrated…

  17. Disease management programmes for patients with coronary heart disease--an empirical study of German programmes.

    Science.gov (United States)

    Gapp, Oliver; Schweikert, Bernd; Meisinger, Christa; Holle, Rolf

    2008-12-01

    To evaluate healthcare and outcomes of disease management programmes (DMPs) for patients with coronary heart disease (CHD) in primary care, and to assess selection of enrollment for these programmes. A cross-sectional survey of 2330 statutorily insured patients with a history of acute myocardial infarction (AMI) was performed in 2006 by the population-based KORA Myocardial Infarction Register from the region of Augsburg, Germany. Patients enrolled in DMP-CHDs receive evidence-based care, with patients not enrolled receiving standard care. To control for selection bias, a propensity score approach was used. Main factors influencing DMP participation were age (OR 0.98, 95% CI 0.96-0.99), diabetes (OR 1.56, CI 1.25-1.95) and time since last heart attack (OR 0.98, CI 0.95-0.99). Significantly more patients enrolled in DMP-CHDs stated that they received medical counselling for smoking (OR 3.77, CI 1.07-13.34), nutrition (OR 2.15, 1.69-2.74) and for physical activity (OR 2.58, 1.99-3.35). Furthermore, prescription of statins (OR 1.58, CI 1.24-2.00), antiplatelets (OR 1.96, CI 1.43-2.69) and beta-blockers (not significant) were higher in the DMP group. With respect to outcomes, we did not see relevant differences in quality of life and body mass index, and only a minor reduction in smoking. Enrollment into DMPs for CHD exhibits systematic selection effects. Participants tend to experience--at least on a short to medium term and for AMI patients--better quality of healthcare services. However, since DMP-CHDs were initiated only 2 years ago, we were unable to identify significant improvements in health outcomes. Only the reduction in smoking provides a first indication of better quality outcomes following DMP-CHD. Thus, policy-makers must provide appropriate incentives to sickness funds and physicians in order to ensure initiation and continuation of high quality DMPs.

  18. Medical engineering at Cardiff University. Part 2: Postgraduate programmes of study.

    Science.gov (United States)

    Theobald, P; O'Doherty, D M; Holt, C A; Evans, S L; Jones, M D

    2009-05-01

    The Medical Engineering team within the School of Engineering, Cardiff University, delivers two postgraduate programmes of study. Established over 10 years ago, the part-time MSc programmes in Orthopaedic Engineering and Clinical Engineering offer the opportunity of further study while remaining within full-time employment. Both programmes deliver 120 taught credits over two academic years via a series of residential weekends, with successful completion enabling the student to undertake and then defend a 60-credit research dissertation. Fulfilling a specific role on the career pathway for both student cohorts, the strength of each programme is indicated by the consistent number of applicants.

  19. Impact of social responsibility programmes in stakeholder satisfaction: an empirical study of Portuguese managers' perceptions

    OpenAIRE

    Fonseca, L.; Ramos, A.; Rosa, A.; Sampaio, P.

    2012-01-01

    This study investigates the relationship between social responsibility programmes of organizations and stakeholder satisfaction. Based on stakeholder theory, an online survey was administered to managers of Portuguese organizations with certified management systems. The findings suggest that stakeholder satisfaction is indeed increased with a social responsibility programme, as suggested by Freeman’s stakeholder theory. The components of social responsibility programmes that we discussed in t...

  20. Methodology for Assessing the Degree of Internationalization of Business Academic Study Programmes

    OpenAIRE

    Dan-Cristian Dabija; Cătălin Postelnicu; Nicolae Al. Pop

    2014-01-01

    The purpose of this paper is to develop a methodology for assessing the degree of internationalization of undergraduate, Master’s and doctoral business programmes with the aid of complex indicators designed to capture the vast array of characteristics displayed by these programmes and contribute to their promotion in the international academic competition. The methodology should include both general indicators applicable to any study programme and some indicators that are specifically develop...

  1. Tobacco control programmes for universities: a feasibility study.

    Science.gov (United States)

    Willcox, M L

    1997-03-01

    University may be a good time for smoking cessation, because younger, lighter smokers are more successful at stopping. An initial survey of 4141 students at Cambridge and Anglia Polytechnic universities identified the prevalence of smoking; questionnaires were given to smokers asking about desire to stop. Some respondents were invited to a discussion, but very few came. Those wanting to quit were sent a second questionnaire about what help they wanted. On National No Smoking Day, 101 students were interviewed about "stop smoking' advertisements, and those wanting to stop smoking were offered different forms of help. Lastly, student union welfare officers at 54 universities in the United Kingdom were interviewed over the telephone, about what motivation and support they provide for students to stop smoking, and what more they would consider providing. Prevalence of smoking varied according to university, subject studied and sex. Desire to quit varied with subject studied, duration of habit and amount smoked. Some "stop smoking' TV adverts were widely remembered, but their motivational impact remains unclear. Most of those wanting to stop found it difficult, but few requested help unless approached directly. Only books were widely used, and innovative ones seemed most popular. Few student unions provided effective encouragement or help for students to stop smoking. Most said they would consider doing more. There is a need for smoking cessation programmes at universities. More research is needed on ways of motivating those who do not want to stop. "Direct marketing' of books seems the best way of reaching those who want to stop. The effectiveness of different books needs to be evaluated. There is great potential for improving the quality, quantity and availability of cessation aids through student unions.

  2. The influence of programme of study in the use of library by ...

    African Journals Online (AJOL)

    Adequate use of university libraries is essential for students offering different programmes in order to achieve their academic pursuits. This paper, therefore, assessed the extent to which the programme of study influences the undergraduate students' use of Federal University libraries in Nigeria. The study also investigated ...

  3. Evaluating the Impact of an Environmental Education Programme: An Empirical Study in Mexico

    Science.gov (United States)

    Ruiz-Mallen, Isabel; Barraza, Laura; Bodenhorn, Barbara; Reyes-Garcia, Victoria

    2009-01-01

    This study draws on information from 11 in-depth interviews, two focus groups and 72 written questionnaires to evaluate an extra-curricular environmental education programme on forestry designed for preparatory school students from a small rural community in Mexico. Specifically, the study assessed the impact of the programme on the ecological…

  4. Research capacity building in midwifery: Case study of an Australian Graduate Midwifery Research Intern Programme.

    Science.gov (United States)

    Hauck, Yvonne L; Lewis, Lucy; Bayes, Sara; Keyes, Louise

    2015-09-01

    Having the research capacity to identify problems, create new knowledge and most importantly translate this knowledge into practice is essential within health care. Midwifery, as well as other health professions in Australia, is challenged in building its research capacity to contribute evidence to inform clinical practice. The aim of this project was to evaluate an innovative Graduate Midwifery Research Intern Programme offered at a tertiary obstetric hospital in Western Australia, to determine what was working well and how the programme could be improved. A case study approach was used to gain feedback from graduate midwives within a Graduate Research Intern (GRI) Programme. In addition outcomes were compiled of all projects the GRI midwives contributed to. Six GRI midwives participated in a survey comprising of four open ended questions to provide feedback about the programme. Findings confirm that the GRI programme increased the graduates understanding of how research works, its capacity to define a problem, generate new knowledge and inform clinical practice. The GRI midwives' feedback suggested the programme opened their thinking to future study and gave them enhanced insight into women's experiences around childbirth. To grow our knowledge as a professional group, midwives must develop and promote programmes to build our pool of research capable midwives. By sharing our programme evaluation we hope to entice other clinical settings to consider the value in replicating such a programme within their context. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  5. The central role of national programme management for the achievement of malaria elimination: a cross case-study analysis of nine malaria programmes.

    Science.gov (United States)

    Smith Gueye, Cara; Newby, Gretchen; Tulloch, Jim; Slutsker, Laurence; Tanner, Marcel; Gosling, Roland D

    2016-09-22

    A malaria eradication goal has been proposed, at the same time as a new global strategy and implementation framework. Countries are considering the strategies and tools that will enable progress towards malaria goals. The eliminating malaria case-study series reports were reviewed to identify successful programme management components using a cross-case study analytic approach. Nine out of ten case-study reports were included in the analysis (Bhutan, Cape Verde, Malaysia, Mauritius, Namibia, Philippines, Sri Lanka, Turkey, Turkmenistan). A conceptual framework for malaria elimination programme management was developed and data were extracted and synthesized. Findings were reviewed at a consultative workshop, which led to a revision of the framework and further data extraction and synthesis. Success factors of implementation, programme choices and changes, and enabling factors were distilled. Decentralized programmes enhanced engagement in malaria elimination by sub-national units and communities. Integration of the malaria programme into other health services was also common. Decentralization and integration were often challenging due to the skill and experience levels of newly tasked staff. Accountability for programme impact was not clarified for most programmes. Motivation of work force was a key factor in maintaining programme quality but there were few clear, detailed strategies provided. Different incentive schemes targeted various stakeholders. Training and supervision, although not well described, were prioritized by most programmes. Multi-sectoral collaboration helped some programmes share information, build strategies and interventions and achieve a higher quality of implementation. In most cases programme action was spurred by malaria outbreaks or a new elimination goal with strong leadership. Some programmes showed high capacity for flexibility through introduction of new strategies and tools. Several case-studies described methods for monitoring

  6. Tourism and Management Study Programme through Blended Learning: Development and Results

    Science.gov (United States)

    Simonova, Ivana

    2018-01-01

    This paper introduces and discusses a tourism and management study programme at the Faculty of Informatics and Management (FIM), University of Hradec Králové. It begins with description of the programme, along with a summary of its history and is considered in the light of changes in accreditation requirements. Students' interest in the programme…

  7. Coming to Know about the Body in Human Movement Studies Programmes

    Science.gov (United States)

    Varea, Valeria; Tinning, Richard

    2016-01-01

    This paper explores how a group of undergraduate Human Movement Studies (HMS) students learnt to know about the body during their four-year academic programme at an Australian university. When students begin an undergraduate programme in HMS they bring with them particular constructions, ideas and beliefs about their own bodies and about the body…

  8. Online Delivery of Programmes: A case study of IGNOU

    Directory of Open Access Journals (Sweden)

    Ramesh Sharma

    2001-01-01

    Full Text Available Online education is the most exciting segment in the Indian IT space. A host of e-education sites continue to enter the market with focused offerings, linking up students and teachers, almost on a daily basis. This is happening because the new medium seeks to supplement – not replace – traditional teaching-learning methodologies. Keeping in view the global and in country/domestic market changes, India has to play a vital role in terms of software exports, skilled manpower support, and online education. With India currently in the midst of a "dotcom" wave, Indira Ghandi National Open University (IGNOU has taken the initiative in launching online in January 2000 two of its educational computer programmes. In July 2000 it launched twenty capsule courses (each comprising three courses in different specialization areas of management [http://www.ignou.com/index.htm]. Each of these capsules addresses one specific functional or specialization area, one basic course pertaining to that specialization and a project course. The Bachelor of Information Technology and Advanced Diploma in Information Technology programmes are offered through a Virtual Campus Initiative (VCI. Management Programme capsule courses are offered through Project MEIDS (Management Education through Interactive Delivery Systems.

  9. Comparative study of teaching content in teacher education programmes in Canada, Denmark, Finland and Singapore

    DEFF Research Database (Denmark)

    Rasmussen, Jens; Bayer, Martin

    2012-01-01

    This article presents the results of a comparative study of the content in teacher education programmes for primary and lower secondary teachers (years 1-9(10)) in Canada, Denmark, Finland and Singapore. First and foremost, the study is a comparison between teacher education programmes in......, mathematics, and science. The study does not offer proof of any clear difference between the Danish teacher education programmes and those found in the topperforming countries; differences can be found in certain areas, in other areas there are greater differences between the four individual countries. Three...

  10. Methodology for Assessing the Degree of Internationalization of Business Academic Study Programmes

    Directory of Open Access Journals (Sweden)

    Dan-Cristian Dabija

    2014-08-01

    Full Text Available The purpose of this paper is to develop a methodology for assessing the degree of internationalization of undergraduate, Master’s and doctoral business programmes with the aid of complex indicators designed to capture the vast array of characteristics displayed by these programmes and contribute to their promotion in the international academic competition. The methodology should include both general indicators applicable to any study programme and some indicators that are specifically developed for business study programmes. No consensus exists in the internationalization literature and practice over the actual scope and the indicators to be considered in the implementation of such a study. Researchers rather propose methods for assessing and prioritizing universities and/or faculties and lay down a lot of criteria according to which rankings are developed. These rankings are mainly focused on the level of internationalization of socioeconomic and engineering study programmes. Being aware of the limits of theory and practice, the authors develop a scoring model that measures the degree of internationalization of business education curricula according to stringent criteria. The research originality lies in the attempt to describe the avenues of a new methodology for measuring and assessing realistically the economic study programmes so that these may be better positioned on the educational market and become more attractive to the future candidates. Based on a synergistic approach to indicators, the model may contribute to creating competitive advantage in relation to other programmes from the same university or from partner institutions.

  11. Hydraulic homogenization of a clayey porous rock with 3D statistical and deterministic discontinuities: application to THE 'EDZ' at the Bure Callovo-Oxfordian URL

    International Nuclear Information System (INIS)

    Ababou, R.; Canamon, I.; Poutrel, A.

    2010-01-01

    Document available in extended abstract form only. The present work, carried out in the Underground Research Laboratory at Bure operated by Andra, focuses on the hydraulic homogenization (up-scaling) of the Excavated Damaged Zone (EDZ) around a cylindrical excavation, taking into account the specific structure of the micro-fissures and of the larger fractures induced by the excavation, as well as the permeability of the intact rock (the Callovo-Oxfordian clay-stone, 130 m thick, and located between 400 m and 600 m depth at this site). Two types of discontinuities are distinguished: (1) a statistically isotropic network of micro-fissures, and (2) a quasi-periodic set of complex shaped, curved fractures (chevron pattern). Hydraulic up-scaling are expressed in terms of effective macro-permeability tensors, and they are compared, in the final stage of this work, against in situ data, including permeability profiles along boreholes. We firstly consider a 3D stretch of a cylindrical gallery with: (i) section length L = 20 m; (ii) drift diameter = 4 m; (iii) thickness of the annular EDZ around the drift = 4 m. The domain of investigation is a 3D rectangular box of size 20 x 13 x 13 m, which encloses the drift and its EDZ. The transverse scales correspond to those of the experimental drifts and EDZ observed at the URL site. - Statistical network of micro-fissures (randomly oriented plane discs). The micro-fissures and small fractures are modeled as statistical plane discs, with randomly isotropic orientations, and radially decreasing density and diameters away from the drift wall. - Deterministic set of curved fractures ('herringbone' or 'chevron' pattern).The extensive shear fractures ('chevrons') are modeled as a periodic set of mathematical surfaces (generalized elliptical conoids) analogous to those observed in the Bure drifts The method adopted here for hydraulic homogenization of a 3D porous fractured rock is based on a &apos

  12. 3D-Flow processor for a programmable Level-1 trigger (feasibility study)

    International Nuclear Information System (INIS)

    Crosetto, D.

    1992-10-01

    A feasibility study has been made to use the 3D-Flow processor in a pipelined programmable parallel processing architecture to identify particles such as electrons, jets, muons, etc., in high-energy physics experiments

  13. Experiences of instructors delivering the Mental Health First Aid training programme: a descriptive qualitative study.

    Science.gov (United States)

    Terry, J

    2010-09-01

    Mental health literacy among the public is often poor, and although people frequently encounter others experiencing mental distress in their workplace, families and communities, they may be ill-equipped to provide appropriate support. 'Mental Health First Aid' (MHFA), a 12-h mental health promotion programme seeks to address this, training people in the knowledge and skills needed to engage with someone experiencing mental health problems. Research relating to the MHFA programme has centred on course attendees, with a paucity of research surrounding the delivery of basic mental health training programmes. Understanding experiences of instructors delivering such programmes is key to the success of future delivery. This study sought to identify the views and experiences of instructors delivering the MHFA programme in Wales. Fourteen MHFA instructors participated in semi-structured audio-recorded interviews, with the transcripts analysed to identify key themes. This paper explores two of the identified themes namely prerequisite skills and support required by instructors. The study highlighted that because of the ensuing emotional labour experienced by instructors, universal mental health training programmes must put in place a clear infrastructure to train, support and monitor those delivering them, for programme roll-out to be effective.

  14. Digital mammography in a screening programme and its implications for pathology: a comparative study.

    LENUS (Irish Health Repository)

    Feeley, Linda

    2011-03-01

    Most studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.

  15. The role of intermediaries in delivering an occupational health and safety programme designed for small business - a case study of an insurance incentive programme in the agriculture sector

    DEFF Research Database (Denmark)

    Olsen, Kirsten Bendix; Hasle, Peter

    2015-01-01

    to the transformation and dissemination of a national OHS programme for small business that built on an Insurance incentive scheme – the New Zealand Workplace Safety Discount scheme. It is a case study of this scheme implementation in the agriculture sector. Data was collected from scheme documentation and semi......-structured interviews with the scheme owner, representatives from intermediary groups and the targeted small businesses. The interviews were tape recorded, transcribed and thematically analysed in relation to the scheme’s programme theory. The intermediaries introduced new programme mechanisms and recruitment...

  16. Conduct of a meta review of programme evaluations : a case study of the SEARCH Program

    OpenAIRE

    Dickson, Rumona; Tight, Malcolm; Saunders, Murray

    2012-01-01

    This thesis presents a retrospective case study that critically examines the evaluations that were undertaken as part of a continuing professional development (CPD) programme for health care professionals. The case is the SEARCH Program, an innovative CPD programme, which was designed to promote the implementation of evidence based practice (EBP) within the existing health care system in Alberta, Canada. Two approaches from the ‘using’ branch of Alkin and Chrisite’s evaluation theory tree are...

  17. Geophysical monitoring of the EDZ during a gallery excavation in the Opalinus clay of the Mont Terri URL: design and principles of specific in situ experimental setups

    International Nuclear Information System (INIS)

    Gibert, D.; Maineult, A.; Kergosien, B.; Le Gonidec, Y.; Nicollin, F.; Sarout, J.; Wassermann, J.

    2012-01-01

    Document available in extended abstract form only. At the Mont Terri Underground Rock Laboratory, the gallery Ga08 was excavated in August 2008 to join the end-face of the pre-existing gallery Ga04. The Excavation Damaged Zone (EDZ) induced during the gallery construction was monitored from the instrumented face of Ga04. The EZ-G08 experiments required original acquisition setups, specifically designed to be installed in small boreholes and to ensure long term measurements. Different geophysical methods have been experimented for the EZ-G08 project and specific design of the experiments were required in order to coordinate multiple and simultaneous acquisitions, including acoustic emission (AE) acquisition setup (16 acoustic receivers), manufacturing of a combined electrical (256 electrodes) and acoustic tomography setup (64 receivers) to be introduced in horizontal boreholes with small diameters (56 mm), design of an acoustic source, design and manufacturing of a combined electrical tomography (64 lead electrodes) and self-potential measurements (64 un-polarizable electrodes). Other arrays of electrodes have also been placed at the end-face of Ga04 (715 inox electrodes and an array of 16 un-polarizable electrodes). The self-potential (SP) monitoring took place in the borehole BEZ-G5 equipped in mid- February 2008 with a specific device on which custom-made electrodes were fixed. To avoid polarisation effect and guaranty a satisfactorily signal-to-noise ratio, SP was measured with 64 un-polarizable electrodes, with an offset of 15 cm made of a metallic wire in chemical equilibrium with a surrounding solution containing a salt of the same metal. The electrical contact between the solution and the natural medium is ensured by a porous material. The electrodes were mounted upward on a half-cylinder fixed onto an inflatable pipe and introduced in BEZ-G5. The internal pipe was inflated to ensure a good electrical contact between the electrodes and the borehole wall. The

  18. Adapting a generic coping skills programme for adolescents with type 1 diabetes: a qualitative study.

    Science.gov (United States)

    Serlachius, A; Northam, E; Frydenberg, E; Cameron, F

    2012-04-01

    Few qualitative studies have examined the views of adolescents with type 1 diabetes mellitus (T1DM) regarding psychosocial programme development and content. We conducted focus groups with 13 adolescents with T1DM to explore stressors and gain feedback on adapting a generic coping skills programme. The following prevalent stressors were identified: parental/adolescent conflict, balancing self-management and daily life, and health concerns. Prevalent views on programme adaptation included enhancing social support and adding diabetes-specific information and skills. Based on these data, the programme was adapted to address stressors and support self-management, thus better meeting the needs of, and appeal to, adolescents with T1DM.

  19. A pilot study evaluating a support programme for parents of young people with suicidal behaviour

    Directory of Open Access Journals (Sweden)

    Crowley Sinead

    2009-07-01

    Full Text Available Abstract Background Deliberate self harm (DSH is a major public health concern and has increased among young people in Ireland. While DSH is undoubtedly the result of interacting factors, studies have identified an association between DSH and family dysfunction as well as the protective role of positive family relationships. Following a focus group meeting held to identify the needs of parents and carers of young people with DSH, a support programme (SPACE was developed. The aims of the current study are to evaluate the effectiveness of the SPACE programme in decreasing parental psychological distress, reducing parental report of young peoples' difficulties, increasing parental satisfaction and increasing parents' ratings of their own defined challenges and goals. Methods Participants were recruited from a Mental Health Service within a paediatric hospital, Community Child and Adolescent Mental Health Teams and family support services. All services were located within the greater Dublin area in Ireland. Forty-six parents of children who had engaged in or expressed thoughts of self harm attended the programme and participated in the evaluation study. The programme ran once a week over an 8-week period and included topics such as information on self harm in young people, parenting adolescents, communication and parental self-care. Seventy percent (N = 32 of the original sample at Time 1 completed measures at Time 2 (directly following the programme and 37% (N = 17 of the original sample at Time 1 completed them at Time 3 (6 months following the programme. A repeated measures design was used to identify changes in parental wellbeing after attendance at the programme as well as changes in parental reports of their children's difficulties. Results Participants had lower levels of psychological distress, increased parental satisfaction, lower ratings of their own defined challenges and higher ratings of their goals directly after the programme. These

  20. A pilot study evaluating a support programme for parents of young people with suicidal behaviour.

    LENUS (Irish Health Repository)

    Power, Lorna

    2009-01-01

    ABSTRACT: BACKGROUND: Deliberate self harm (DSH) is a major public health concern and has increased among young people in Ireland. While DSH is undoubtedly the result of interacting factors, studies have identified an association between DSH and family dysfunction as well as the protective role of positive family relationships. Following a focus group meeting held to identify the needs of parents and carers of young people with DSH, a support programme (SPACE) was developed. The aims of the current study are to evaluate the effectiveness of the SPACE programme in decreasing parental psychological distress, reducing parental report of young peoples\\' difficulties, increasing parental satisfaction and increasing parents\\' ratings of their own defined challenges and goals. METHODS: Participants were recruited from a Mental Health Service within a paediatric hospital, Community Child and Adolescent Mental Health Teams and family support services. All services were located within the greater Dublin area in Ireland. Forty-six parents of children who had engaged in or expressed thoughts of self harm attended the programme and participated in the evaluation study. The programme ran once a week over an 8-week period and included topics such as information on self harm in young people, parenting adolescents, communication and parental self-care. Seventy percent (N = 32) of the original sample at Time 1 completed measures at Time 2 (directly following the programme) and 37% (N = 17) of the original sample at Time 1 completed them at Time 3 (6 months following the programme).A repeated measures design was used to identify changes in parental wellbeing after attendance at the programme as well as changes in parental reports of their children\\'s difficulties. RESULTS: Participants had lower levels of psychological distress, increased parental satisfaction, lower ratings of their own defined challenges and higher ratings of their goals directly after the programme. These

  1. Programmable CCD imaging system for synchrotron radiation studies

    International Nuclear Information System (INIS)

    Rodricks, B.; Brizard, C.

    1992-01-01

    A real-time imaging system for x-ray detection has been developed. The CAMAC-based system has a Charge Coupled Device (CCD) as its active detection element. The electronics consist of a CAMAC-crate-based dedicated microprocessor coupled to arbitrary waveform generators, programmable timing, and ADC modules. The hardware flexibility achievable through this system enables one to use virtually any commercially available CCD. A dedicated CAMAC-based display driver allows for real-time imaging on a high-resolution color monitor. An optional front end consisting of a fiber-optic taper and a focusing optical lens system coupled to a phosphor screen allows for large area imaging. Further, programming flexibility, in which the detector can be used in different read-out modes, enables it to be exploited for time-resolved experiments. In one mode, sections of the CCD can be read-out with millisecond time-resolution and, in another, the use of the CCD as a storage device is exploited resulting in microsecond time-resolution. Three different CCDs with radically different read-out timings and waveforms have been tested: the TI 4849, a 39Ox584 pixel array; TC 215, a 1024x1O24 pixel array; and the TH 7883, a 576x384 pixel array. The TC 215 and TI 4849 are single-phase CCDs manufactured by Texas Instruments, and the TH 7883 is a four-phase device manufactured by Thomson-CSF. The CCD characterized for uniformity, charge transfer efficiency (CTE), linearity, and sensitivity is the TC215

  2. Service impact of a national clinical leadership development programme: findings from a qualitative study.

    Science.gov (United States)

    Fealy, Gerard M; McNamara, Martin S; Casey, Mary; O'Connor, Tom; Patton, Declan; Doyle, Louise; Quinlan, Christina

    2015-04-01

    The study reported here was part of a larger study, which evaluated a national clinical leadership development programme with reference to resources, participant experiences, participant outcomes and service impact. The aim of the present study was to evaluate the programme's service impact. Clinical leadership development develops competencies that are expressed in context. The outcomes of clinical leadership development occur at individual, departmental and organisational levels. The methods used to evaluate the service impact were focus groups, group interviews and individual interviews. Seventy participants provided data in 18 separate qualitative data collection events. The data contained numerous accounts of service development activities, initiated by programme participants, which improved service and/or improved the culture of the work setting. Clinical leadership development programmes that incorporate a deliberate service impact element can result in identifiable positive service outcomes. The nuanced relationship between leader development and service development warrants further investigation. This study demonstrates that clinical leadership development can impact on service in distinct and identifiable ways. Clinical leadership development programmes should focus on the setting in which the leadership competencies will be demonstrated. © 2013 John Wiley & Sons Ltd.

  3. Feasibility studies of safety assessment methods for programmable automation systems. Final report of the AVV project

    International Nuclear Information System (INIS)

    Haapanen, P.; Maskuniitty, M.; Pulkkinen, U.; Heikkinen, J.; Korhonen, J.; Tuulari, E.

    1995-10-01

    Feasibility studies of two different groups of methodologies for safety assessment of programmable automation systems has been executed at the Technical Research Centre of Finland (VTT). The studies concerned the dynamic testing methods and the fault tree (FT) and failure mode and effects analysis (FMEA) methods. In order to get real experience in the application of these methods, an experimental testing of two realistic pilot systems were executed and a FT/FMEA analysis of a programmable safety function accomplished. The purpose of the studies was not to assess the object systems, but to get experience in the application of methods and assess their potentials and development needs. (46 refs., 21 figs.)

  4. Effectiveness of a regional self-study perinatal education programme: a successful adaptation in Yucatan, Mexico.

    Science.gov (United States)

    Osorno, Lorenzo R; Campos, Miriam C; Cook, Lynn J; Vela, Gabriela R; Dávila, Jorge R

    2006-08-01

    To evaluate the effectiveness of the Perinatal Continuing Education Programme (PCEP) in a Latin American country. We carried out a study within secondary and tertiary care, and rural Mexican Institute of Social Security (IMSS) hospitals on the Yucatan Peninsula. Participants were doctors, nurses and nursing assistants working with pregnant women and newborns at each hospital. The PCEP was translated into Spanish and then implemented between January 1998 and December 2001. Two nurses at each hospital were trained to co-ordinate the programme and the personnel were invited to participate. Participation involved purchasing the self-teaching books, study outside work hours and participation in skills demonstration and practice sessions. Evaluation included the percentage of personnel who participated in and those who completed the programme, an opinion survey of the programme, level of pre- and post-intervention knowledge, and the quality of neonatal care according to expert-recommended routines. Results were analysed with chi-square and Student's t-tests. A total of 65.3% of the 1421 people in the study population began the programme and 72% of those completed it. Improvement was observed in 14 of 23 (Pevaluated neonatal care practices. Participants rated the written material as very clear and useful in daily practice. The PCEP is an effective strategy for improving the level of knowledge and perinatal care in all regional hospitals on the Yucatan Peninsula, Mexico. This initial application of the PCEP in a Spanish-speaking country was successful.

  5. Therapeutic patient education in heart failure: do studies provide sufficient information about the educational programme?

    Science.gov (United States)

    Albano, Maria Grazia; Jourdain, Patrick; De Andrade, Vincent; Domenke, Aukse; Desnos, Michel; d'Ivernois, Jean-François

    2014-05-01

    Therapeutic patient education programmes on heart failure have been widely proposed for many years for heart failure patients, but their efficiency remains questionable, partly because most articles lack a precise programme description, which makes comparative analysis of the studies difficult. To analyse the degree of precision in describing therapeutic patient education programmes in recent randomized controlled trials. Three major recent recommendations on therapeutic patient education in heart failure inspired us to compile a list of 23 relevant items that an 'ideal' description of a therapeutic patient education programme should contain. To discover the extent to which recent studies into therapeutic patient education in heart failure included these items, we analysed 19 randomized controlled trials among 448 articles published in this field from 2005 to 2012. The major elements required to describe a therapeutic patient education programme were present, but some other very important pieces of information were missing in most of the studies we analysed: the patient's educational needs, health literacy, projects, expectations regarding therapeutic patient education and psychosocial status; the educational methodology used; outcomes evaluation; and follow-up strategies. Research into how therapeutic patient education can help heart failure patients will be improved if more precise descriptions of patients, educational methodology and evaluation protocols are given by authors, ideally in a standardized format. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  6. Evaluation of the Undergraduate Physics Programme at Indira Gandhi National Open University: A Case Study

    Directory of Open Access Journals (Sweden)

    Arundhati Mishra

    2009-12-01

    Full Text Available The undergraduate science programme was launched at the Indira Gandhi National Open University (IGNOU in 1991-92 with an enrolment of 1,210 students. The programme was well received, and enrolments increased over the years. However, the success rates have not kept pace with enrolment.In this paper, the authors report the results of an evaluation of the undergraduate Physics programme at IGNOU. The evaluation, the first of its type for this programme, adapted the major tenets of the CIPP model. The findings are based on the responses from a randomly chosen sample of 509 learners across India. The methods employed for the study include records, document, and database analysis, surveys, and case studies.Although the University has enhanced access to higher science education, the attrition rate is high (73%, and the success rate is low. The authors recommend that the University review and reorient its strategies for providing good quality, learner-centred higher education in science subjects. The programme should address the concerns of the learners about the effectiveness of the student support systems, the difficulty level, and the learner-friendliness of study materials with the goal of achieving long-term sustainability while maintaining parity with the conventional system. The need for improving the presentation of the courses and simplifying the mathematical details is emphasised.

  7. Stakeholders' Cooperation in the Study Programme Quality Assurance: Theory and Practice in Lithuania

    Science.gov (United States)

    Pileicikiene, Nora

    2011-01-01

    The cooperation of various stakeholders' groups is a prerequisite to develop and realise high-quality study programmes, i.e. during studies to develop skills that are relevant to the labour market and social life. In order to achieve effective stakeholders' cooperation, it is necessary to identify stakeholder's groups relevant to a study programme…

  8. The effect of a short integrated study skills programme for first-year

    NARCIS (Netherlands)

    Stegers-Jager, K.M.; Cohen-Schotanus, J.; Themmen, A.P.

    2012-01-01

    Background: There is a need for outcome-based studies on strategies for supporting at-risk medical students that use long-term follow-up and contemporaneous controls. AIM: To measure the effect of a short integrated study skills programme (SSP) on the study progress of at-risk medical students.

  9. Integrating ICT in Kenyan Secondary Schools: An Exploratory Case Study of a Professional Development Programme

    Science.gov (United States)

    Tondeur, Jo; Krug, Don; Bill, Mike; Smulders, Maaike; Zhu, Chang

    2015-01-01

    This study explores the introduction of Information and Communication Technology (ICT) in Kenyan secondary schools. Specifically, it is a case study of four schools with no previous access to ICT. The professional development programme from which data for this study were drawn was designed to support teachers learning to integrate ICT in the…

  10. Evaluation of physical activity programmes for elderly people - a descriptive study using the EFQM' criteria

    Directory of Open Access Journals (Sweden)

    Santos Rute

    2011-02-01

    Full Text Available Abstract Background In the past years, there has been a growing concern in designing physical activity (PA programmes for elderly people, because evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Quality is an important issue when designing a PA programme for older people. Some studies support the Excellence Model of the European Foundation for Quality Management (EFQM as an operational framework for evaluating the quality of an organization. Within this context, the aim of this study was to characterize the quality management models of the PA programmes developed by Portuguese Local Administration to enhance quality of life for elderly people, according to the criteria of the EFQM Excellence Model. Methods A methodological triangulation was conducted in 26 PA programmes using questionnaire surveys, semi-structured interviews and document analysis. We used standard approaches to the statistical analysis of data including frequencies and percentages for the categorical data. Results Results showed that Processes (65,38%, Leadership (61,03%, Customer results (58,46 and People (51,28% had high percentage occurrences of quality practices. In contrast, Partnerships and resources (45,77%, People results (41,03%, Policy and strategy (37,91%, Key performance results (19,23% and Society results (19,23% had lower percentage occurrences. Conclusions Our findings suggest that although there are some good practices in PA programmes, there are still relevant areas that require improvement.

  11. Investigating the Effectiveness of a Study Skills Training Programme

    Science.gov (United States)

    Sikhwari, T. D.; Pillay, J.

    2012-01-01

    Various studies have shown that the school system in South Africa is continually producing learners who are inadequately prepared for higher education studies, particularly schools in disadvantaged environments. The University of Venda (UNIVEN) is situated in an educationally disadvantaged environment. Most of the students who enroll at this…

  12. Study findings on evaluation of integrated family planning programme performance.

    Science.gov (United States)

    1980-01-01

    In 1976 the United Nations's Economic and Social Commission for Asia and the Pacific launched a comparative study on integrated family planning programs in a number of countries in the region. In November 1979 the study directors from the participating countries meet in Bangkok to discuss the current status of the studies in their countries. The Korean and Malaysian studies were completed, the Bangladesh study was in the data collecting phase, and the Pakistani research design phase was completed. The meeting participants focused their attention on the findings and policy implications of the 2 completed studies and also discussed a number of theorectical and methodological issues which grew out of their research experience. The Malaysian study indicated that group structure, financial resources, and the frequency and quality of worker-client contact were the most significant variables determining program effectiveness. In the Korean Study, leadership, financial resources, and the frequency and quality of contact between agencies were the key variables in determining program effectiveness. In the Malaysian study there was a positive correlation between maternal and child health service performance measures and family planning service performance measures. This finding supported the contention that these 2 types of service provision are not in conflict with each other but instead serve to reinforce each other. Policy implications of the Korean study were 1) family planning should be an integral part of all community activities; 2) family planning workers should be adequately supported by financial and supply allocations; and 3) adequate record keeping and information exchange procedures should be incorporated in the programs.

  13. Roles, tasks and educational functions of postgraduate programme directors: a qualitative study.

    Science.gov (United States)

    Frydén, Hanna; Ponzer, Sari; Heikkilä, Kristiina; Kihlström, Lars; Nordquist, Jonas

    2015-10-01

    A programme director is often required to organise postgraduate medical education. This leadership role can include educational as well as managerial duties. Only a few published studies have explored programme directors' own perceptions of their role. There is a need to explore the use of theoretical frameworks to improve the understanding of educational roles. To explore programme directors' own perceptions of their role in terms of tasks and functions, and to relate these roles to the theoretical framework developed by Bolman and Deal. Semi-structured interviews were conducted with 17 programme directors between February and August 2013. The data were subjected to content analysis using a deductive approach. The various roles and tasks included by participants in their perceptions of their work could be categorised within the framework of functions described by Bolman and Deal. These included: structuring the education (structural function); supporting individuals and handling relations (human resource function); negotiating between different interests (political function); and influencing the culture at the departmental level (symbolic function). The functions most often emphasised by participants were the structural and human resource functions. Some tasks involved several functions which varied over time. Programme directors' own perceptions of their roles, tasks and functions varied widely. The theoretical framework of Bolman and Deal might be helpful when explaining and developing these roles. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. The environmental energy sector programme. Poland: Feasibility study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    The Danish Ministry of Energy has granted financial aid to the preparation of a feasibility study necessary for the procurement of a financial solution to the modernisation of the combined heat and power plant in the city of Zielona Gora.The overall objectives of the Feasibility Study are to: establish new efficient power capacity in the south-west region of Poland, increase the energy efficiency, reduce the impact on the environment, utilise the local natural gas available which cannot be used in the national gas grid and reduce the costs of energy supply.The specific objective of this feasibility study is to obtain the best possible financing of the erection of a new CPH plant in Zielona Gora. The plant shall be designed to utilise the local resources of natural gas and to supply heat to the district heating grid in accordance with long-term planning strategies. (EHS)

  15. Separating civil and military nuclear programmes in the UK and France; a feasibility study

    International Nuclear Information System (INIS)

    Hart, David

    1987-01-01

    In recent years there has been considerable concern shown by the general public and the trade unions over the connection between the civil and military nuclear programmes. This paper is the result of research to determine the feasibility of separating the two in the UK and France. The result of the study is that it is technically and economically feasible to adopt a policy of separation. The costs are not overwhelming, rather the difficulty lies in assessing the intangible benefits of such a programme, and in overcoming any political impediments to its adoption. The major political fear is that adopting a separation programme would put that nation at a disadvantage with respect to other nuclear weapon states. (author)

  16. Study of radiological risk in breast cancer screening programme at Comunidad Valenciana

    International Nuclear Information System (INIS)

    Villaescusa, J.I.; Leon, A.; Verdu, G.; Cuevas, M.D.; Salas, M.D.

    2001-01-01

    It is demonstrated that screening mammography programmes reduce breast cancer mortality considerably. Nevertheless, radiology techniques have an intrinsic risk being the most important late somatic effect the induction of cancer. This study is made in order to evaluate the risk produced into the population by the Cimadon Valenciana Breast Screening Programme. All the calculations are carried out for two risk models, UNSCEAR 94 and NRPB 93. On the one hand, screening series detriment are investigated as a function of doses delivered and other parameters related to population structure and X-ray equipment. And on the other hand, radiation induced cancer probability for a woman who starts at 45 years and remains into the programme until 65 years old is calculated as a function of mammography unit's doses and average compression breast thickness. (author)

  17. Study on predictors of health outcome in patients attending hypertension intervention programme in Malaysia.

    OpenAIRE

    Wahab, Rasidah Abd.

    2008-01-01

    The aim of this study is to explore predictor of health outcomes among Malaysian hypertensive patients attending a standard hypertension intervention programme. Among the psychological predictors studied are illness perception, health locus of control, and self-efficacy. Quality of life, anxiety and depression and demographic variables are among the predictors included in the study. Two series of studies were conducted to answer the research question formulated for each study. Study 1 aims to...

  18. The environmental energy sector programme. Poland: Appendices to feasibility study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    The appendices contain Energy Law, Act of 10 April 1997 and also more specific details from the feasibility study for the procurement of a financial solution to the modernisation of the combined heat and power plant in the city of Zielona Gora, Poland. (EHS)

  19. Withdrawing low risk women from cervical screening programmes: mathematical modelling study.

    Science.gov (United States)

    Sherlaw-Johnson, C; Gallivan, S; Jenkins, D

    1999-02-06

    To evaluate the impact of policies for removing women before the recommended age of 64 from screening programmes for cervical cancer in the United Kingdom. A mathematical model of the clinical course of precancerous lesions which accounts for the influence of infection with the human papillomavirus, the effects of screening on the progression of disease, and the accuracy of the testing procedures. Two policies are compared: one in which women are withdrawn from the programme if their current smear is negative and they have a recent history of regular, negative results and one in which women are withdrawn if their current smear test is negative and a simultaneous test is negative for exposure to high risk types of human papillomavirus. United Kingdom cervical screening programme. The incidence of invasive cervical cancer and the use of resources. Early withdrawal of selected women from the programme is predicted to give rise to resource savings of up to 25% for smear tests and 18% for colposcopies when withdrawal occurs from age 50, the youngest age considered in the study. An increase in the incidence of invasive cervical cancer, by up to 2 cases/100 000 women each year is predicted. Testing for human papillomavirus infection to determine which women should be withdrawn from the programme makes little difference to outcome. This model systematically analyses the consequences of screening options using available data and the clinical course of precancerous lesions. If further audit studies confirm the model's forecasts, a policy of early withdrawal might be considered. This would be likely to release substantial resources which could be channelled into other aspects of health care or may be more effectively used within the cervical screening programme to counteract the possible increase in cancer incidence that early withdrawal might bring.

  20. Bangladesh. National Studies. Asia-Pacific Programme of Education for All.

    Science.gov (United States)

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This study examines the work of the Asia-Pacific Programme of Education for All (APPEAL) since its 1987 inception. Efforts to assess educational achievement at the local, regional, and national levels in Bangladesh are examined with a view to achieving universal primary education; eradicating illiteracy; and providing continuing education in…

  1. Chinese Students' Perceptions of the Teaching in an Australian Accounting Programme--An Exploratory Study

    Science.gov (United States)

    Wong, Grace; Cooper, Barry J.; Dellaportas, Steven

    2015-01-01

    This exploratory study is designed to elicit and understand the views of Mainland Chinese students concerning their learning experience in an Australian accounting education programme. The article contributes to the literature by investigating the issues and implications associated with international students' perceptions of teaching, as little…

  2. High School Music Programmes as Potential Sites for Communities of Practice--A Canadian Study

    Science.gov (United States)

    Countryman, June

    2009-01-01

    My exploration of the nature of the high school music experience was undertaken with 33 young adults who had graduated from high school one to six years previous to the data collection. All of these participants had been involved in their school music programmes and 30 had not continued formal music study following graduation. One might predict…

  3. India. National Studies. Asia-Pacific Programme of Education for All.

    Science.gov (United States)

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This study examines the work of the Asia-Pacific Programme of Education for All (APPEAL) since its 1987 inception. Efforts to assess educational achievement at the local, regional, and national levels in India are examined with a view to achieving universal primary education (UPE); eradicating illiteracy; and providing continuing education in…

  4. Studying Computer Science in a Multidisciplinary Degree Programme: Freshman Students' Orientation, Knowledge, and Background

    Science.gov (United States)

    Kautz, Karlheinz; Kofoed, Uffe

    2004-01-01

    Teachers at universities are facing an increasing disparity in students' prior IT knowledge and, at the same time, experience a growing disengagement of the students with regard to involvement in study activities. As computer science teachers in a joint programme in computer science and business administration, we made a number of similar…

  5. Cultural Capital Theory: A Study of Children Enrolled in Rural and Urban Head Start Programmes

    Science.gov (United States)

    Bojczyk, Kathryn E.; Rogers-Haverback, Heather; Pae, Hye; Davis, Anna E.; Mason, Rihana S.

    2015-01-01

    Children from different backgrounds have disparate access to cultural capital, which may influence their academic success. The purpose of this study was to examine the links between family background, home literacy experiences, and emergent literacy skills among preschoolers enrolled in Head Start programmes. The background characteristics studied…

  6. Study of the Factors Responsible for the Dropouts from the BSc Programme of Indira Gandhi National Open University

    Directory of Open Access Journals (Sweden)

    Bharat Inder Fozdar

    2006-12-01

    Full Text Available This paper presents a report on students who decided to drop out of the BSc programme offered by Indira Gandhi National Open University (IGNOU. This study was designed to determine the reasons leading to students’ decisions to withdraw from the programme. Identified in this study are nine major reasons for dropouts. Results of this study lead to several suggestions for improving current instructional and delivery strategies of IGNOU’s BSc Programme. Following such suggestions could help to reduce students’ dropout rate for this particular programme through implementation of timely interventions at different critical stages of their learning journey.

  7. Creating a blended learning module in an online master study programme in oncology.

    Science.gov (United States)

    Mayer, Benjamin; Ring, Christina; Muche, Rainer; Rothenbacher, Dietrich; Schmidt-Strassburger, Uta

    2015-01-01

    The medical faculty of Ulm University has launched the postgraduate master online study programme Advanced Oncology (AO) in 2010. We describe the challenges in developing an e-learning module using the example of a medical biometry course, focusing the implementation of the course material and our single-loop learning experience after the first students have finished and evaluated the lecture. Programme participants are qualified medical doctors and researchers in biomedical areas related to the field of oncology. The study programme provides the majority of lectures online via didactic videos accompanied by one-week attendance seminars. Supplementary learning materials include review articles, supportive reading material, multiple choice questions, and exercises for each unit. Lecture evaluations based on specific questions concerning learning environment and information learned, each measured on a five-point Likert scale. Lecture videos were implemented following the classical triad of the didactic process, using oncological examples from practice to teach. The online tutorial support offered to students was hardly used, thus we enhanced faculty presence during the face-to-face seminars. Lecture evaluations improved after revising the learning material on the basis of the first AO student cohort's comments. Developing and implementing an online study programme is challenging with respect of maximizing the information students learn due to limited opportunities for personal contact between lecturers and students. A more direct interaction of lecturers and students in a blended learning setting outperforms a mere web-based contact in terms of learning advantage and students' satisfaction, especially for complex methodological content.

  8. Assessing quality of a worksite health promotion programme from participants’ views: findings from a qualitative study in Malaysia

    Science.gov (United States)

    Liau, Siow‐Yen; Hassali, Mohamed‐Azmi A.; Shafie, Asrul A.; Ibrahim, Mohamed‐Izham M.

    2014-01-01

    Abstract Background  An assessment of the process and outcomes of a health promotion programme is necessary for the continuous improvement of a programme. Objective  To explore the participants’ perceptions of the quality and effectiveness of the ‘Love Your Heart Programme’. Design  A qualitative study using semi‐structured interviews with a purposive sample of participants of the ‘Love Your Heart’ programme. Interviews were based on an interview guide that grouped questions into four main subgroups: structure, process, immediate outcomes and impact. The interviews were audio‐recorded, transcribed verbatim and analysed using the principles of grounded theory. Results  A total of 17 interviews were conducted. The participants were satisfied with the structural aspects of the programme. Different opinions arose regarding the ideal frequency and duration of the programme. The content of the seminars was thought to be too general. There was also a lack of interest in the ‘Road to a Healthy Heart’ booklet. All of the respondents had positive opinions about the communication skills and attitude of the health educator. The potential advantages and disadvantages of participating in the programme were discussed. Finally, the respondents expressed their satisfaction with the programme and the impact it had on them. Discussion and conclusions  In general, the participants who were interviewed held the programme, and the health educator conducted the programme in high regard. The suggestions that were received can be used to further improve the acceptability and feasibility of the programme. PMID:22050457

  9. Determinants of timely completion : the impact of Bachelor's degree programme characteristics and student motivation on study progress

    NARCIS (Netherlands)

    Suhre, Cor J. M.; Jansen, Ellen P. W. A.; Torenbeek, M.

    2013-01-01

    Timely completion of university degree programmes is a topic of growing concern to higher education institutions and their students. This paper reports on a study about the impact of degree programme characteristics and student motivation on study progress. The setting for the study is a Dutch law

  10. English-Medium Programmes at Austrian Business Faculties: A Status Quo Survey on National Trends and a Case Study on Programme Design and Delivery

    Science.gov (United States)

    Unterberger, Barbara

    2012-01-01

    Internationalisation processes have accelerated the implementation of English-medium programmes (EMPs) across European higher education institutions. The field of business and management studies has been particularly affected by this trend (Wachter & Maiworm 2008: 46) with numerous new EMPs introduced each year. This paper presents key…

  11. Undergraduate medical education programme renewal: a longitudinal context, input, process and product evaluation study.

    Science.gov (United States)

    Mirzazadeh, Azim; Gandomkar, Roghayeh; Hejri, Sara Mortaz; Hassanzadeh, Gholamreza; Koochak, Hamid Emadi; Golestani, Abolfazl; Jafarian, Ali; Jalili, Mohammad; Nayeri, Fatemeh; Saleh, Narges; Shahi, Farhad; Razavi, Seyed Hasan Emami

    2016-02-01

    The purpose of this study was to utilize the Context, Input, Process and Product (CIPP) evaluation model as a comprehensive framework to guide initiating, planning, implementing and evaluating a revised undergraduate medical education programme. The eight-year longitudinal evaluation study consisted of four phases compatible with the four components of the CIPP model. In the first phase, we explored the strengths and weaknesses of the traditional programme as well as contextual needs, assets, and resources. For the second phase, we proposed a model for the programme considering contextual features. During the process phase, we provided formative information for revisions and adjustments. Finally, in the fourth phase, we evaluated the outcomes of the new undergraduate medical education programme in the basic sciences phase. Information was collected from different sources such as medical students, faculty members, administrators, and graduates, using various qualitative and quantitative methods including focus groups, questionnaires, and performance measures. The CIPP model has the potential to guide policy makers to systematically collect evaluation data and to manage stakeholders' reactions at each stage of the reform in order to make informed decisions. However, the model may result in evaluation burden and fail to address some unplanned evaluation questions.

  12. Nutrition Education in Australian Midwifery Programmes: A Mixed-Methods Study

    Directory of Open Access Journals (Sweden)

    Jamila Arrish

    2016-01-01

    Full Text Available Little research has explored how nutrition content in midwifery education prepares midwives to provide prenatal nutrition advice. This study examined the nature and extent of nutrition education provided in Australian midwifery programmes. A mixed-methods approach was used, incorporating an online survey and telephone interviews. The survey analysis included 23 course coordinators representing 24 of 50 accredited midwifery programmes in 2012. Overall, the coordinators considered nutrition in midwifery curricula and the midwife’s role as important. All programmes included nutrition content; however, eleven had only 5 to <10 hours allocated to nutrition, while two had a designated unit. Various topics were covered. Dietitians/other nutrition experts were rarely involved in teaching or reviewing the nutrition content. Interviews with seven coordinators revealed that nutrition education tended to be problem-oriented and at times based on various assumptions. Nutrition content was not informed by professional or theoretical models. The development of nutrition assessment skills or practical training for midwifery students in providing nutrition advice was lacking. As nutrition is essential for maternal and foetal health, nutrition education in midwifery programmes needs to be reviewed and minimum requirements should be included to improve midwives’ effectiveness in this area. This may require collaboration between nutrition experts and midwifery bodies.

  13. Dissemination of solar photovoltaics: a study on the government programme to promote solar lantern in India

    Energy Technology Data Exchange (ETDEWEB)

    Velayudhan, S.K. [Administrative Staff College of India, Hyderabad (India)

    2003-11-01

    The study examines the reasons for the limited dissemination of solar lanterns in India. It uses ''diffusion of innovation'' framework to examine the dissemination process. The impact of the characteristics of solar lantern on dissemination and also the communication within the community about the product are examined. To understand the influence of the characteristics of solar lantern on dissemination and the information source used by adopters, a survey of 188 users across 15 locations is carried out. The study shows that the benefits promoted by the government programme for disseminating solar lantern are not the reasons for purchase in most cases. The results suggest that the emphasis on subsidy by the support programme shifts the focus to the cost of the solar lantern than its benefits. Contrary to expectation there is no significant difference in the profile of early and late adopters. The subsidy for solar lanterns and the targets set for government officials are the possible influence on the observed profile for adopter categories. The early majority who can afford the solar lantern and take up the innovation on its merits are expected to disseminate the innovation. The programme on the contrary not only fails to identify and promote to the early adopters, but focus on the disadvantaged groups. There are therefore no champions for the innovation and an absence of word-of-mouth communication. The information source is restricted to government agencies, while the potential user looks for evaluative information on the product from existing users. The application of ''diffusion of innovation'' framework to understand the dissemination process of solar lantern suggests reworking the support programmes designed to promote solar lanterns. The lessons can be extended to programmes designed for dissemination of other solar photovoltaic products. (author)

  14. Dissemination of solar photovoltaics: a study on the government programme to promote solar lantern in India

    International Nuclear Information System (INIS)

    Velayudhan, S.K.

    2003-01-01

    The study examines the reasons for the limited dissemination of solar lanterns in India. It uses 'diffusion of innovation' framework to examine the dissemination process. The impact of the characteristics of solar lantern on dissemination and also the communication within the community about the product are examined. To understand the influence of the characteristics of solar lantern on dissemination and the information source used by adopters, a survey of 188 users across 15 locations is carried out. The study shows that the benefits promoted by the government programme for disseminating solar lantern are not the reasons for purchase in most cases. The results suggest that the emphasis on subsidy by the support programme shifts the focus to the cost of the solar lantern than its benefits. Contrary to expectation there is no significant difference in the profile of early and late adopters. The subsidy for solar lanterns and the targets set for government officials are the possible influence on the observed profile for adopter categories. The early majority who can afford the solar lantern and take up the innovation on its merits are expected to disseminate the innovation. The programme on the contrary not only fails to identify and promote to the early adopters, but focus on the disadvantaged groups. There are therefore no champions for the innovation and an absence of word-of-mouth communication. The information source is restricted to government agencies, while the potential user looks for evaluative information on the product from existing users. The application of 'diffusion of innovation' framework to understand the dissemination process of solar lantern suggests reworking the support programmes designed to promote solar lanterns. The lessons can be extended to programmes designed for dissemination of other solar photovoltaic products

  15. Patients' experiences of a multidisciplinary team-led community case management programme: a qualitative study.

    Science.gov (United States)

    Gowing, Alice; Dickinson, Claire; Gorman, Tom; Robinson, Louise; Duncan, Rachel

    2016-09-09

    To explore the views and experiences of patients on the care they have received while enrolled on the Northumberland High Risk Patient Programme (NHRPP). This programme involved case finding of frail patients using a multidisciplinary team (MDT)-led community case management programme, and support of patients through care planning and regular reviews using primary, community, secondary and social care professionals. A qualitative study using semistructured interviews, which were digitally recorded, transcribed and subject to thematic analysis. Community patients receiving primary care in the county of Northumberland, England. 23 participants took part, of which 16 were patients enrolled on the NHRPP, and 7 carers. GP practices were selected purposively by size, deprivation and location, and patients identified and invited by General Practitioners to participate. 4 main themes emerged from the data: awareness and understanding of the NHRPP, confidence in the primary healthcare team, limitations of home care and the active role of being a patient. Despite having a low level of awareness of the details of the NHRPP, participants did think that its broad aim made sense. Participants discussed their high level of satisfaction with their care and access to team members. However, some limitations of alternatives to hospital care were identified, including the need to consider psychological as well as medical needs, the importance of overnight care and the needs of those without informal carers. Finally, participants discussed the active nature of being a patient under the NHRPP if they were to contribute fully to planning and managing their own care. This study has identified that a programme of MDT-led case management was generally very well received by patients and their families. However, a number of factors were identified that could improve the implementation of the programme and further research needs to be undertaken to address these. Published by the BMJ

  16. Teacher Experiences of Delivering an Obesity Prevention Programme (The WAVES Study Intervention) in a Primary School Setting

    Science.gov (United States)

    Griffin, Tania L; Clarke, Joanne L; Lancashire, Emma R; Pallan, Miranda J; Passmore, Sandra; Adab, Peymane

    2015-01-01

    Objective: There has been a wealth of childhood obesity prevention studies in school-based settings. However, few have investigated the experiences of school staff charged with delivery of such programmes. This study aimed to elicit teachers' experiences of delivering a childhood obesity prevention programme for children aged 6-7 years. Design:…

  17. A scoping study for an environmental impact field programme in tidal current energy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This report summarises the results of a study to identify the environmental impacts of tidal current energy with the aim of prioritising research. The background to the study is traced, and the interaction between tidal current energy technology and the marine environment, the modeling of the consequences of the environmental interactions, the quantification of the environmental impacts of key environmental interactions, and the formulation of a programme of research are discussed. Recommendations are given and research needs are highlighted.

  18. Teaching of reading to school beginners : a study of reading programmes in primary one in Uganda

    OpenAIRE

    Kemizano, Rosert

    2007-01-01

    Abstract The study examines reading programmes with the reference to the teaching/learning of reading to school beginners. The teaching of reading at the early stages is important because it is the quality of the experiences that children get that affect or lay the foundation for reading development (Chall, 1996).Therefore, the phenomenon, “teaching of reading to school beginners” studied is of great importance. The theoretical background used includes reading and its importance, Languag...

  19. The use of reflective diaries in end of life training programmes: a study exploring the impact of self-reflection on the participants in a volunteer training programme.

    Science.gov (United States)

    Germain, Alison; Nolan, Kate; Doyle, Rita; Mason, Stephen; Gambles, Maureen; Chen, Hong; Smeding, Ruthmarijke; Ellershaw, John

    2016-03-05

    A training programme was developed and delivered to a cohort of volunteers who were preparing for a unique role to provide companionship to dying patients in the acute hospital setting. This comprehensive programme aimed to provide an opportunity for participants to fully understand the nature and responsibilities of the role, whilst also allowing sufficient time to assess the qualities and competencies of participants for their ongoing volunteering role. Participants completed reflective diaries throughout the training course to record their ongoing thoughts and feelings. The purpose of this paper is to present a phenomenological analysis of these entries to understand participants' experiences, perceptions and motivations. The wider study was structured into three phases. Phase 1 was the delivery of a 12 week, bespoke training programme; Phase 2 involved a 26 week pilot implementation of the Care of the Dying Volunteer Service and Phase 3 was the research evaluation of the training and implementation which would inform the further development of the training programme. Self-reflection is a common component of End of Life training programmes and volunteers in this study completed a reflective diary after participation in each of the training sessions. A thematic analysis was undertaken to explore and understand the participants' experience, perceptions and motivations in relation to their participation in the training. All 19 volunteers completed the reflective diaries. From a potential 228 diary entries over the 12 week training programme, 178 diary entries were submitted (78 %). The following key themes were identified: Dying Alone and the importance of being present, Personal loss and the reconstruction of meaning, Self-Awareness and Personal growth, Self-preservation and Coping strategies and group unity/cohesion. The participants in this study demonstrated that they were able to use the diaries as an appropriate medium for reflection. Their reflections were

  20. Konference Nineteenth-Century Programme Music, Centro Studi Opera Omnia Luigi Boccherini, Lucca 25.-27. listopadu 2016

    Czech Academy of Sciences Publication Activity Database

    Myslivcová, Eva; Zapletal, Miloš

    2016-01-01

    Roč. 53, č. 4 (2016), s. 419-420 ISSN 0018-7003. [Nineteenth-Century Programme Music . Lucca, 25.11.2016-27.11.2016] Institutional support: RVO:68378076 Keywords : Programme Music * Nineteenth-Century Music Subject RIV: AL - Art, Architecture, Cultural Heritage OBOR OECD: Performing arts studies ( Music ology, Theater science, Dramaturgy)

  1. "Crazy? So what!": A School Programme to Promote Mental Health and Reduce Stigma--Results of a Pilot Study

    Science.gov (United States)

    Conrad, Ines; Dietrich, Sandra; Heider, Dirk; Blume, Anne; Angermeyer, Matthias C.; Riedel-Heller, Steffi

    2009-01-01

    Purpose: The purpose of this paper is to evaluate the health-promoting and stigma-reducing effect of the German school-based programme "Crazy? So what!". Design/methodology/approach: A quasi-experimental longitudinal control-study was carried out with assessments one week prior to the school programme, immediately after it and three…

  2. Re-Imagining School Health in Education and Health Programmes: A Study across Selected Municipal Schools in Delhi

    Science.gov (United States)

    Deshpande, Mita; Baru, Rama V.; Nundy, Madhurima

    2014-01-01

    The idea of school health is re-imagined with an emphasis on the need for children's health programmes to be rooted in an understanding of the social context. Such programmes must address health, nutrition and education in a comprehensive manner. The article details findings and insights emerging from a qualitative study conducted in municipal…

  3. Impact of Social Responsibility Programmes in Stakeholder Satisfaction: An Empirical Study of Portuguese Managers’ Perceptions

    OpenAIRE

    Fonseca, Luis; Ramos, Amílcar; Rosa, Álvaro; Braga, Ana Cristina; Sampaio, Paulo

    2012-01-01

    Investigação no âmbito do Projeto de Doutoramento(PhD), especialidade de Gestão Global, Estratégia e Desenvolvimento Empresarial (ISCTE-IUL - 2012, classificação de “Aprovado com Muito Bom”). This study investigates the relationship between social responsibility programmes of organizations and stakeholder satisfaction. Based on stakeholder theory, an online survey was administered to managers of Portuguese organizations with certified management systems. The findings suggest that sta...

  4. Qualitative study of peer workers within the 'Partners in Recovery' programme in regional Australia.

    Science.gov (United States)

    Hurley, John; Cashin, Andrew; Mills, Jem; Hutchinson, Marie; Kozlowski, Desiree; Graham, Iain

    2018-02-01

    In Australia and internationally, Peer Workers are increasingly being incorporated into the mental health workforce. Underpinning this trend is the conviction that the inclusion of workers with lived experience in overcoming mental health challenges is central to transforming service delivery. Given there are few identified Australian studies into the experiences of Peer Workers, this paper reports findings from qualitative interviews conducted in a Partners In Recovery programme in one regional area in Australia. The interviews formed part of a larger mixed-method study evaluating Peer Worker roles in the programme. Thematic analysis of interview transcripts with Peer Workers and other staff employed in the programme (n = 22) was undertaken. Central to the five themes that emerged was the concept of lived experience expertise in overcoming mental health challenges. The themes were: (i) role variance, (ii) the challenges and opportunities for Peer Worker, (iii) the processes Peer Workers employed as they attempted to shape an identify and language, (iv) the inconsistencies and challenges of employing lived experience as a defining feature of the peer worker role, and (v) the nature of trust arising from lived experience relationships. From this study, it is evident that the Peer Worker role remains underdeveloped. The difficulties experienced by Peer Workers in establishing a homogenous identity and role is not unique. The process and lack of clarity around role identity revealed from the narratives, parallels the experiences of Mental Health Nursing. © 2016 Australian College of Mental Health Nurses Inc.

  5. Note On Research Design For The Study Of Community Participation In Health Care Programmes

    Directory of Open Access Journals (Sweden)

    Rifkin Susan B

    1986-01-01

    Full Text Available After describing types of research designs for the study of community participation in health care programmes, this paper examines one methodology, the quantitative methodology, the quantitative methodology, in detail. It presents some of the major attractions and limitations of this approach. The attractions include the need for evaluation of success and failure and of cost effectiveness of programmes. The limitations include the inability of the approach to deal with definitions and interventions that cannot be quantitified and the difficulty of identifying casual relationship between interventions and outcomes. These characteristics are illustrated by a case by a medical school in Asia. Research design, research developments and research outcomes are described and analysed. The paper concludes that an alternative analysis which examines the linkages between participation and health improvements would be more useful as it would allow the political, social and economic dimensions of community participation to be examined.

  6. A study to assess the effectiveness of planned exercise programme in patients with schizophrenia

    Directory of Open Access Journals (Sweden)

    Bineeta Nath

    2015-01-01

    Full Text Available Background: Psychotic disorders are some of the most severe, chronic, and intractable psychiatric disorders. Schizophrenia is a common and unsolved mental health problem in the world today. Negative symptoms are those symptoms that tend to reflect diminution or loss of normal functions like apathy, anhedonia, alogia, avolition, affective flattening, or social isolation. Exercise is useful for the reduction of some of the negative symptoms of schizophrenia, depression, and anxiety, and also to reduce auditory hallucinations and improve sleep patterns, self-esteem, and general behaviour in people living with schizophrenia. Aim of the study was to assess the effectiveness of planned exercise programme in negative symptoms among patients with schizophrenia. Methodology: A quasi experimental research design was used for this study. Total 60 samples were assigned into two groups with 30 in control group and 30 in experimental group. The data was collected by using structured socio-demographic proforma, Positive and Negative Syndrome Scale, and Scale for Assessment of Negative symptoms. Result: There was a statistically significant difference in pre and post test scores in both control and experimental groups. But statistically significant difference in post test mean scores on negative symptoms between control and experimental groups indicated effectiveness of planned exercise programme along with medical and nursing care. Conclusion: The findings concluded that planned exercise programme with routine medical and nursing care was effective in reduction of negative symptoms in schizophrenia patients.

  7. On PAR: A feasibility study of the Promoting Adult Resilience programme with mental health nurses.

    Science.gov (United States)

    Foster, Kim; Shochet, Ian; Wurfl, Astrid; Roche, Michael; Maybery, Darryl; Shakespeare-Finch, Jane; Furness, Trentham

    2018-02-27

    Mental health settings are recognized as complex, unpredictable environments, and challenging interpersonal situations are common for nurses in acute adult mental health services. Occupational stressors include verbal aggression and physical assault and are correlated with poor physical and mental health outcomes for nurses. There is a clear need for proactive approaches that address the negative impacts of stressors on the mental health nursing workforce. Resilience interventions are a preventive approach to strengthening skills for addressing workplace stress, improving health and well-being, and preventing adverse outcomes associated with occupational stressors. The aim of this study was to evaluate the feasibility of a workplace resilience education programme for nurses in high-acuity adult mental health settings. The outcomes were measured using a single-group pretest post-test design with follow-up at 3 months postintervention. The feasibility and acceptability of the programme were identified with descriptors of mental health, well-being, resilience, facilitator fidelity checklists, and participant satisfaction questionnaires. The programme was found to be feasible for nurses working in high-acuity inpatient settings. There were significant changes to mental health, well-being, and workplace resilience. The programme was delivered with fidelity by facilitators and accepted with high levels of satisfaction by participants. The study findings indicated that nurses can benefit from resilience education that equips them with cognitive, emotion regulation, and relational skills, in conjunction with available external supports and resources, to address workplace challenges. There is a need for comprehensive organizational approaches that include individual, work unit, and organizational-level strategies to support staff well-being. © 2018 Australian College of Mental Health Nurses Inc.

  8. Testing a Dutch web-based tailored lifestyle programme among adults: a study protocol

    Directory of Open Access Journals (Sweden)

    van Osch Liesbeth ADM

    2011-02-01

    Full Text Available Abstract Background Smoking, high alcohol consumption, unhealthy eating habits and physical inactivity often lead to (chronic diseases, such as cardiovascular diseases and cancer. Tailored online interventions have been proven to be effective in changing health behaviours. The aim of this study is to test and compare the effectiveness of two different tailoring strategies for changing lifestyle compared to a control group using a multiple health behaviour web-based approach. Methods In our Internet-based tailored programme, the five lifestyle behaviours of smoking, alcohol intake, fruit consumption, vegetable consumption, and physical activity are addressed. This randomized controlled trial, conducted among Dutch adults, includes two experimental groups (i.e., a sequential behaviour tailoring condition and a simultaneous behaviour tailoring condition and a control group. People in the sequential behaviour tailoring condition obtain feedback on whether their lifestyle behaviours meet the Dutch recommendations. Using a step-by-step approach, they are stimulated to continue with a computer tailored module to change only one unhealthy behaviour first. In the course of the study, they can proceed to change a second behaviour. People in the simultaneous behaviour tailoring condition receive computer tailored feedback about all their unhealthy behaviours during their first visit as a stimulation to change all unhealthy behaviours. The experimental groups can re-visit the website and can then receive ipsative feedback (i.e., current scores are compared to previous scores in order to give feedback about potential changes. The (difference in effectiveness of the different versions of the programme will be tested and compared to a control group, in which respondents only receive a short health risk appraisal. Programme evaluations will assess satisfaction with and appreciation and personal relevance of the intervention among the respondents. Finally

  9. Development of a competency mapping tool for undergraduate professional degree programmes, using mechanical engineering as a case study

    Science.gov (United States)

    Holmes, David W.; Sheehan, Madoc; Birks, Melanie; Smithson, John

    2018-01-01

    Mapping the curriculum of a professional degree to the associated competency standard ensures graduates have the competence to perform as professionals. Existing approaches to competence mapping vary greatly in depth, complexity, and effectiveness, and a standardised approach remains elusive. This paper describes a new mapping software tool that streamlines and standardises the competency mapping process. The available analytics facilitate ongoing programme review, management, and accreditation. The complete mapping and analysis of an Australian mechanical engineering degree programme is described as a case study. Each subject is mapped by evaluating the amount and depth of competence development present. Combining subject results then enables highly detailed programme level analysis. The mapping process is designed to be administratively light, with aspects of professional development embedded in the software. The effective competence mapping described in this paper enables quantification of learning within a professional degree programme, and provides a mechanism for holistic programme improvement.

  10. Child, Teacher and Parent Perceptions of the FRIENDS Classroom-Based Universal Anxiety Prevention Programme: A Qualitative Study.

    Science.gov (United States)

    Skryabina, Elena; Morris, Joanna; Byrne, Danielle; Harkin, Nicola; Rook, Sarah; Stallard, Paul

    2016-01-01

    School-based mental health prevention programmes can be effective but their adoption within schools will depend on their social acceptability. We report a qualitative evaluation summarising the views of children (115), parents (20) and school staff (47) about a universal school-based anxiety prevention programme FRIENDS. This study was conducted as part of a large scale randomised controlled trial ( n  = 1362) involving 40 schools in the UK providing primary education to children aged 7-11. Reported overall experience of the programme was very positive, with all three major components of the cognitive behaviour therapy programme (emotional, cognitive, and behavioural) being accepted well and understood by children. The programme was considered to be enjoyable and valuable in teaching children important skills, particularly emotional regulation and coping. Children provided examples of using the skills learned during FRIENDS to manage their emotions and solve problems. However, teachers were concerned that the programme overlapped with the current school curriculum, required additional time and almost half were unable to identify any tangible changes in the children's behaviour. Whilst this paper provides evidence to support the social validity of the FRIENDS anxiety prevention programme, the concerns raised by teachers question the longer-term sustainability of the programme.

  11. Identifying effective pathways in a successful continuous quality improvement programme: the GEDAPS study.

    Science.gov (United States)

    Bodicoat, Danielle H; Mundet, Xavier; Gray, Laura J; Cos, Xavier; Davies, Melanie J; Khunti, Kamlesh; Cano, Juan-Franciso

    2014-12-01

    Continuous quality improvement programmes often target several aspects of care, some of which may be more effective meaning that resources could be focussed on these. The objective was to identify the effective and ineffective aspects of a successful continuous quality improvement programme for individuals with type 2 diabetes in primary care. Data were from a series of cross-sectional studies (GEDAPS) in primary care, Catalonia, Spain, in 55 centres (2239 participants) in 1993, and 92 centres (5819 participants) in 2002. A structural equation modelling approach was used. The intervention was associated with improved microvascular outcomes through microalbuminuria and funduscopy screening, which had a direct effect on microvascular outcomes, and through attending 2-4 nurse visits and having ≥1 blood pressure measurement, which acted through reducing systolic blood pressure. The intervention was associated with improved macrovascular outcomes through blood pressure measurement and attending 2-4 nurse visits (through systolic blood pressure) and having ≥3 education topics, ≥1 HbA1c measurement and adequate medication (through HbA1c). Cholesterol measurement, weight measurement and foot examination did not contribute towards the effectiveness of the intervention. The pathways through which a continuous quality improvement programme appeared to act to reduce microvascular and macrovascular complications were driven by reductions in systolic blood pressure and HbA1c, which were attained through changes in nurse and education visits, measurement and medication. This suggests that these factors are potential areas on which future quality improvement programmes should focus. © 2014 John Wiley & Sons, Ltd.

  12. A physiotherapy-directed occupational health programme for Austrian school teachers: a cluster randomised pilot study.

    Science.gov (United States)

    Figl-Hertlein, A; Horsak, B; Dean, E; Schöny, W; Stamm, T

    2014-03-01

    Although physiotherapists have long advocated workplace health, school teachers have not traditionally been a focus of study by these professionals. However, classroom teaching contributes to a range of occupational health issues related to general health as well as ergonomics that can be prevented or addressed by physiotherapists. To undertake a pilot study to explore the potential effects of a physiotherapy-directed occupational health programme individualised for school teachers, develop study methodology and gather preliminary data to establish a 'proof of concept' to inform future studies. Cluster randomised pilot study using a convenience sample. Eight Austrian regional secondary schools. Schools and their teachers were recruited and allocated to an intervention group (IG, n=26 teachers) or a control group (CG, n=43 teachers). Teachers were eligible to participate if they reported no health issues that compromised their classroom responsibilities. The IG participated in an individualised physiotherapy-directed occupational health programme (six 30-minute sessions) related to ergonomics and stress management conducted over a 5-month semester. The CG had a pseudo-intervention of one oral education session. Primary outcomes included scores from the physical and mental components and health transition item of the Short-Form-36 Health Survey questionnaire (SF-36), and emotional well-being and resistance to stress items from the work-related behaviour and experience patterns questionnaire. Data were collected before and after one semester. The primary outcome measure, the SF-36 physical component score, showed a reduction in the CG and no change in the IG, meaning that the CG deteriorated over the study semester while the IG did not show any change. A physiotherapy-directed occupational health programme may prevent deterioration of physical health of school teachers in one semester (proof of concept). This pilot study provided valuable information to inform the

  13. Programme for repository host rock characterisation in the ONKALO (ReRoC)

    International Nuclear Information System (INIS)

    Aalto, P.; Aaltonen, I.; Kemppainen, K.

    2009-04-01

    The excavation of the ONKALO is now entering the deep bedrock regime, where the ambient rock conditions are representative of those to be found in the vicinity of future deposition tunnels and deposition holes. It is proposed to study the properties of the rock under these conditions using specially-excavated rock rooms, investigation niches or stations and characterisation holes. This report provides an overview of these plans, which are designed to obtain the relevant site-specific knowledge. This report summarises the outstanding issues of the site modelling that are driving the deep rock investigations. It also lists the main long-term safety needs from the site characterisation and presents a short description of the data needs raised by the RSC (Rock Suitability Criteria) programme. The report presents the general characterisation programme of the ONKALO access tunnel. It includes geological mapping in the tunnel and the shafts and investigations in pilot, probe and characterisation hole. It also presents a programme for the pre-grouting hole studies in the shafts. The main aim of the report is to present the experimental studies that are to be carried out in the niches and studies that will be carried out below hydrogeological zone HZ20 at different locations in the tunnel, in order to obtain information on rock properties that are comparable to the rock at the disposal depth. This document provides a detailed discussion of the following experiments: (1) the sulphate reduction experiment at a depth of between 300-350 m to investigate the production, presence and effects of sulphide in the groundwater; (2) the hydrogeological interference experiment at tunnel chainage 3620 or 3748 for a detailed characterisation of connected fracture networks in the rock mass, representative of those in the near field of the deposition holes; (3) the rock matrix diffusion experiment(s) below chainage 4000 to determine the bedrock's essential retention properties for

  14. A study of the National Physical Laboratory microdosimetry research programme in collaboration with the University of Leeds

    International Nuclear Information System (INIS)

    Menzel, H.G.

    1987-11-01

    A study of the present programme of work carried out by the National Physical Laboratory and the University of Leeds, has been carried out. The study is based on the use of the tissue-equivalent proportional counter in microdosimetic techniques in radiation protection for monoenergetic neutrons or reference radionuclide neutron sources. This report comments on the programme as a whole and provides recommendations for future research work, taking into account the research programmes carried out at other institutions. It also attempts to summarise the present state of knowledge and experience associated with the application of this technique to radiation fields met in routine radiation protection. (author)

  15. Mechanisms of change of a novel weight loss programme provided by a third sector organisation: a qualitative interview study.

    Science.gov (United States)

    McMahon, Naoimh E; Visram, Shelina; Connell, Louise A

    2016-05-10

    There is a need for theory-driven studies that explore the underlying mechanisms of change of complex weight loss programmes. Such studies will contribute to the existing evidence-base on how these programmes work and thus inform the future development and evaluation of tailored, effective interventions to tackle overweight and obesity. This study explored the mechanisms by which a novel weight loss programme triggered change amongst participants. The programme, delivered by a third sector organisation, addressed both diet and physical activity. Over a 26 week period participants engaged in three weekly sessions (education and exercise in a large group, exercise in a small group and a one-to-one education and exercise session). Novel aspects included the intensity and duration of the programme, a competitive selection process, milestone physical challenges (e.g. working up to a 5 K and 10 K walk/run during the programme), alumni support (face-to-face and online) and family attendance at exercise sessions. Data were collected through interviews with programme providers (n = 2) and focus groups with participants (n = 12). Discussions were audio-recorded, transcribed and analysed using NVivo10. Published behaviour change frameworks and behaviour change technique taxonomies were used to guide the coding process. Clients' interactions with components of the weight loss programme brought about a change in their commitment, knowledge, beliefs about capabilities and social and environmental contexts. Intervention components that generated these changes included the competitive selection process, group and online support, family involvement and overcoming milestone challenges over the 26 week programme. The mechanisms by which these components triggered change differed between participants. There is an urgent need to establish robust interventions that can support people who are overweight and obese to achieve a healthy weight and maintain this change. Third

  16. Mechanisms of change of a novel weight loss programme provided by a third sector organisation: a qualitative interview study

    Directory of Open Access Journals (Sweden)

    Naoimh E. McMahon

    2016-05-01

    Full Text Available Abstract Background There is a need for theory-driven studies that explore the underlying mechanisms of change of complex weight loss programmes. Such studies will contribute to the existing evidence-base on how these programmes work and thus inform the future development and evaluation of tailored, effective interventions to tackle overweight and obesity. This study explored the mechanisms by which a novel weight loss programme triggered change amongst participants. The programme, delivered by a third sector organisation, addressed both diet and physical activity. Over a 26 week period participants engaged in three weekly sessions (education and exercise in a large group, exercise in a small group and a one-to-one education and exercise session. Novel aspects included the intensity and duration of the programme, a competitive selection process, milestone physical challenges (e.g. working up to a 5 K and 10 K walk/run during the programme, alumni support (face-to-face and online and family attendance at exercise sessions. Methods Data were collected through interviews with programme providers (n = 2 and focus groups with participants (n = 12. Discussions were audio-recorded, transcribed and analysed using NVivo10. Published behaviour change frameworks and behaviour change technique taxonomies were used to guide the coding process. Results Clients’ interactions with components of the weight loss programme brought about a change in their commitment, knowledge, beliefs about capabilities and social and environmental contexts. Intervention components that generated these changes included the competitive selection process, group and online support, family involvement and overcoming milestone challenges over the 26 week programme. The mechanisms by which these components triggered change differed between participants. Conclusions There is an urgent need to establish robust interventions that can support people who are overweight and

  17. Characterization of textural and hydric heterogeneities in argillaceous geo-materials using induced polarization method: application to the excavation damaged zone (EDZ) of the Tournemire experimental station

    International Nuclear Information System (INIS)

    Okay, Gonca

    2011-01-01

    This Ph-D thesis investigates the potential of clay rocks for deep geological disposal of radioactive waste. Underground excavations are responsible in their vicinity a region, where the clay-rock is damaged or disturbed. This region must to be characterized to ensure the safety of repositories. The extension of the excavation damaged zone (EDZ) and its evolution over time have been investigated thought electrical resistivity and induced polarization methods from three galleries belonging to the French Institute of Radioprotection and Nuclear Safety (IRSN)'s experimental underground research laboratory of Tournemire (Aveyron, France). Time domain induced polarisation indicates the presence of mineralization (e.g., especially pyrite) located in the structural discontinuities such as tectonic fractures (mm-cm), tectonic fault (m) and calcareous nodules (cm). Combined electrical resistivity and Induced Polarization methods show the possibility to delineate textural changes associated to desaturation of the clay-rock induced by the ventilation of galleries. The impact of the desaturation is particularly observed on the gallery's walls. In addition, Spectral Induced Polarization (SIP) tomography results can be used to discriminate the responses of the de-saturated zones from the fractured zones. We have performed laboratory experiments (in the range 1.4 mHz - 12 kHz) using saturated unconsolidated sand-clay mixtures. The results illustrate that the amplitude of polarization is strongly affected by the surface properties of these mixtures (e.g., cation exchange capacity, specific surface area) and by the volumetric clay content. However, the amplitude of polarization is independent of the concentration of electrolyte. The SIP response is also strongly sensitive to the mineralogy of the clays. (author)

  18. Effects of a multidisciplinary group rehabilitation programme on participation of the visually impaired elderly : a pilot study

    NARCIS (Netherlands)

    Alma, Manna A.; Groothoff, Johan W.; Melis-Dankers, Bart J. M.; Post, Marcel W. M.; Suurmeijer, Theo P. B. M.; van der Mei, Sijrike F.

    2012-01-01

    Purpose: To pilot test the newly developed multidisciplinary group rehabilitation programme Visually Impaired elderly Persons Participating (VIPP). Method: A single group pretest-posttest design pilot study included 29 visually impaired persons (>= 55 years). The intervention (20 weekly meetings)

  19. Do children's health resources differ according to preschool physical activity programmes and parental behaviour? A mixed methods study.

    Science.gov (United States)

    Sterdt, Elena; Pape, Natalie; Kramer, Silke; Liersch, Sebastian; Urban, Michael; Werning, Rolf; Walter, Ulla

    2014-02-26

    Preschool can have positive effects on the development of a healthy lifestyle. The present study analysed to what extent different conditions, structures and behavioural models in preschool and family-children's central social microsystems-can lead to differences in children's health resources. Using a cross-sectional mixed methods approach, contrast analyses of "preschools with systematic physical activity programmes" versus "preschools without physical activity programmes" were conducted to assess the extent to which children's physical activity, quality of life and social behaviour differ between preschools with systematic and preschools without physical activity programmes. Differences in children's physical activity according to parental behaviour were likewise assessed. Data on child-related outcomes and parent-related factors were collected via parent questionnaires and child interviews. A qualitative focused ethnographic study was performed to obtain deeper insight into the quantitative survey data. Two hundred and twenty seven (227) children were interviewed at 21 preschools with systematic physical activity programmes, and 190 at 25 preschools without physical activity programmes. There was no significant difference in children's physical activity levels between the two preschool types (p = 0.709). However, the qualitative data showed differences in the design and quality of programmes to promote children's physical activity. Data triangulation revealed a strong influence of parental behaviour. The triangulation of methods provided comprehensive insight into the nature and extent of physical activity programmes in preschools and made it possible to capture the associations between systematic physical activity promotion and children's health resources in a differential manner.

  20. SR-Site Pre-modelling: Sensitivity studies of hydrogeological model variants for the Laxemar site using CONNECTFLOW

    Energy Technology Data Exchange (ETDEWEB)

    Joyce, Steven; Hoek, Jaap; Hartley, Lee (Serco (United Kingdom)); Marsic, Niko (Kemakta Konsult AB, Stockholm (Sweden))

    2010-12-15

    This study investigated a number of potential model variants of the SR-Can hydrogeological models of the temperate period and the sensitivity of the performance measures to the chosen parameters. This will help to guide the choice of potential variants for the SR-Site project and provide an input to design premises for the underground construction of the repository. It was found that variation of tunnel backfill properties in the tunnels had a significant effect on performance measures, but in the central area, ramps and shafts it had a lesser effect for those property values chosen. Variation of tunnel EDZ properties only had minor effects on performance measures. The presence of a crown space in the deposition tunnels had a significant effect on the tunnel performance measures and a lesser effect on the rock and EDZ performance measures. The presence of a deposition hole EDZ and spalling also had an effect on the performance measures.

  1. Effectiveness of a universal school-based programme for preventing depression in Chinese adolescents: a quasi-experimental pilot study.

    Science.gov (United States)

    Wong, Paul W C; Fu, King-Wa; Chan, Kim Y K; Chan, Wincy S C; Liu, Patricia M Y; Law, Yik-Wa; Yip, Paul S F

    2012-12-15

    Evidence of the effectiveness, rather than efficacy, of universal school-based programmes for preventing depression among adolescents is limited. This study examined the effectiveness of a universal depression prevention programme, "The Little Prince is Depressed" (LPD), which adopted the cognitive-behavioural model and aimed to reduce depressive symptoms and enhance protective factors of depression among secondary school students in Hong Kong. A quasi-experimental design was adopted for this pilot study. Thirteen classes were assigned to the intervention or control conditions according to the deliberation of the programme administrator of the four participating schools. Implementation was carried out in two phases, with a professional-led first phase and teacher-led programme second phase. LPD consisted of a 12-week school-based face-to-face programme with psycho-educational lessons and homework assignments. Students completed the programme generally showed positive development in help-seeking attitudes and self-esteem. For students who had more depressive symptoms at pre-assessment, the programme was found to be significant in enhancing cognitive-restructuring skills and support-seeking behaviours. The programme was not, however, found to be statistically significant in reducing depressive symptoms of the participants over the study period. A small sample size, a high attrition rate, and a short follow-up time frame. The LPD programme was successful in building resilience of the students in general and enhancing the cognitive-behavioural skills of students with depressive symptoms. While we did not find sufficient evidence for concluding that the LPD was effective in reducing depressive symptoms, we believe that these results highlight the challenges of implementing evidence-based practices generated from highly controlled environments in real-life settings. Copyright © 2012 Elsevier B.V. All rights reserved.

  2. Reflection on key competencies for lifelong learning: A structural analysis of teachers' study programmes in the Republic of Croatia

    Directory of Open Access Journals (Sweden)

    Matilda Karamatić Brčić

    2014-08-01

    Full Text Available Educating teachers on the initial level of the teachers' studies programmes' compulsory and elective courses allows these educators to acquire the competencies they need to transmit and teach the same information to children. In the realm of contemporary educational practices, acquiring competency in teaching work is part of a process of lifelong learning. This paper will analyse the structure of Croatian teachers' studies programmes, focusing on the name of the course and the teaching workload of the same, with an emphasis on the concept of key competencies for lifelong learning according to the European Framework of Reference. In this paper, compulsory and elective courses were classified according to the following competencies for lifelong learning: communication in the mother tongue, communication in foreign languages, mathematical competencies, basic competencies in science and technology, and digital competency. The results reveal that there are no statistically significant differences among Croatian teachers' studies programmes in terms of teaching workload, taking into account how competent the teacher is considered to be; there are statistically significant differences among the Croatian teachers' studies programmes in the possible teaching workload for elective courses because of teacher's perceived competency level. Despite the fact that all of the teachers' studies programmes bestow the same title upon graduates, the analysis of access to teacher studies in the  Republic of Croatia shows that the screening criteria are different in study programmes at different universities.

  3. Effect of horticultural therapy on wellbeing among dementia day care programme participants: A mixed-methods study (Innovative Practice).

    Science.gov (United States)

    Hall, Jodi; Mitchell, Gary; Webber, Catherine; Johnson, Karen

    2016-04-11

    Fourteen people attending an adult day programme were recruited to a structured horticultural therapy programme which took place over 10 weeks. The effects were assessed using Dementia Care Mapping and questionnaires completed by family carers. High levels of wellbeing were observed while the participants were engaged in horticultural therapy, and these were sustained once the programme was completed. This study adds to the growing evidence on the benefits of horticultural therapy for people with dementia who have enjoyed gardening in the past. © The Author(s) 2016.

  4. Natural history of breast cancers detected in the Swedish mammography screening programme: a cohort study

    DEFF Research Database (Denmark)

    Zahl, Per-Henrik; Gøtzsche, Peter C; Mæhlen, Jan

    2011-01-01

    The natural history of screen-detected breast cancers is not well understood. A previous analysis of the incidence change during the introduction of the Norwegian screening programme in the late 1990s suggested that the natural history of many screen-detected invasive breast cancers is to regress...... spontaneously but the study was possibly confounded by use of hormone replacement therapy in the population. We did a similar analysis of data collected during an earlier period when few women were exposed to hormone replacement therapy....

  5. The impact of a faculty development programme for health professions educators in sub-Saharan Africa: an archival study.

    Science.gov (United States)

    Frantz, José M; Bezuidenhout, Juanita; Burch, Vanessa C; Mthembu, Sindi; Rowe, Michael; Tan, Christina; Van Wyk, Jacqueline; Van Heerden, Ben

    2015-03-03

    In 2008 the sub-Saharan FAIMER Regional Institute launched a faculty development programme aimed at enhancing the academic and research capacity of health professions educators working in sub-Saharan Africa. This two-year programme, a combination of residential and distance learning activities, focuses on developing the leadership, project management and programme evaluation skills of participants as well as teaching the key principles of health professions education-curriculum design, teaching and learning and assessment. Participants also gain first-hand research experience by designing and conducting an education innovation project in their home institutions. This study was conducted to determine the perceptions of participants regarding the personal and professional impact of the SAFRI programme. A retrospective document review, which included data about fellows who completed the programme between 2008 and 2011, was performed. Data included fellows' descriptions of their expectations, reflections on achievements and information shared on an online discussion forum. Data were analysed using Kirkpatrick's evaluation framework. Participants (n=61) came from 10 African countries and included a wide range of health professions educators. Five key themes about the impact of the SAFRI programme were identified: (1) belonging to a community of practice, (2) personal development, (3) professional development, (4) capacity development, and (5) tools/strategies for project management and/or advancement. The SAFRI programme has a positive developmental impact on both participants and their respective institutions.

  6. Quality of care in patients with psoriasis: an initial clinical study of an international disease management programme.

    Science.gov (United States)

    de Korte, J; Van Onselen, J; Kownacki, S; Sprangers, M A G; Bos, J D

    2005-01-01

    Patients with psoriasis have to cope with their disease for many years or even throughout their entire life. To provide optimal care, a disease management programme was developed. This programme consisted of disease education, disease management training, and psychological support, together with topical treatment. To test a disease management programme in dermatological practice, to assess patients' satisfaction with this programme, and adherence to topical treatment. Additionally, disease severity and quality of life were assessed. An initial clinical investigation was conducted in 10 European treatment centres. A total of 330 patients were included. Patient satisfaction, adherence, disease severity and quality of life were measured with study-specific and standardized self-report questionnaires. Patients reported a high degree of satisfaction with the programme, and a high degree of adherence to topical treatment. Disease severity and quality of life significantly improved. The programme was well received by the participating professionals. The disease management programme was found to be a useful tool in the management of psoriasis, providing patients with relief from the burden of psoriasis in everyday life. A full-scale evaluation is recommended.

  7. Transmutation studies in France, R and D programme on fuels and targets

    International Nuclear Information System (INIS)

    Boidron, M.; Chauvin, N.; Garnier, J.C.; PIllon, S.; Vambenepe, G.

    2001-01-01

    For the management of high level and long-lived radioactive waste, a large and continuous research and development effort is carried out in France, to provide a wide range of scientific and technical alternatives along three lines, partitioning and transmutation, disposal in deep geological formations and long term interim surface or subsurface storage. For the line one, and in close link with the partitioning studies, research is carried out to evaluate the transmutation potential of long-lived waste in appropriate reactors configurations (scenarios) relying on current technologies as well as innovative reactors. Performed to evaluate the theoretical feasibility of the Pu consumption and waste transmutation from the point of view of the reactor cores physics to reach the equilibrium of the material fluxes (i.e. consumption = production) and of the isotopic compositions of the fuels, these studies insure the 'scientific' part of the transmutation feasibility. For the technological part of the feasibility of waste transmutation in reactors, a large programme on fuel development is underway. This includes solutions based on the advanced concepts for plutonium fuels in PWR and the development of specific fuels and targets for transmutation in fast reactors in the critical or sub-critical state. For the waste transmutation in fast reactors, an important programme has been launched to develop specific fuels and targets with experiments at various stages of preparation in different experimental reactors including Phenix. Composite fuels as well as particle fuels are considered. This programme is presented and recent results concerning the preparation of the experiments, the characterisation of the compounds properties, the thermal and mechanical modelling and the behaviour of U free fuels are given. (author)

  8. Evaluation of a nurse-led social rehabilitation programme for neurological patients and carers: an action research study.

    Science.gov (United States)

    Portillo, Mari Carmen; Corchón, Silvia; López-Dicastillo, Olga; Cowley, Sarah

    2009-02-01

    Very few neurological rehabilitation programmes have successfully dealt with patients' and relatives' social needs. Furthermore, the nurses' contribution in those programmes is poor or unclear. To determine the rationale, effectiveness and adequacy of a nurse-led social rehabilitation programme implemented with neurological patients and their carers. In this action research study Hart and Bond's experimental and professionalizing typologies were applied through Lewinian cycles. A social rehabilitation programme was planned, based on the results of an in-depth baseline assessment of the context and individual needs. The programme focused on increasing the level of acceptance/adaptation of the disease through verbal and written education, easing the discharge planning, and offering social choices based on the social assessment of individual needs and possibilities at home. Two neurological wards of a hospital in Spain. The programme evaluation included 27 nurses, and two groups of patients and relatives (control group=18 patients and 19 relatives, intervention group=17 patients and 16 relatives). The two groups of patients and relatives were compared before and after discharge to determine the effectiveness of the programme. Socio-demographic forms, semi-structured interviews, participant observations, and validated scales to measure activities of daily living and social life were used, and data were analysed using content (QSR Nudist Vivo, v.2.0) and statistical (SPSS v. 13.0) analyses. The new programme resulted in social care being integrated in daily practice and developed knowledge about social rehabilitation. This had a positive impact on nurses' attitudes. Patients and relatives had more realistic expectations and positive attitudes towards social life, and developed a wider variety of choices for social changes. Better adaptation, and more coping skills and satisfaction were achieved. This rehabilitation programme was feasible and effective. Patients and

  9. Addressing the social determinants of health: a case study from the Mitanin (community health worker) programme in India.

    Science.gov (United States)

    Nandi, Sulakshana; Schneider, Helen

    2014-09-01

    The Mitanin Programme, a government community health worker (CHW) programme, was started in Chhattisgarh State of India in 2002. The CHWs (Mitanins) have consistently adopted roles that go beyond health programme-specific interventions to embrace community mobilization and action on local priorities. The aim of this research was to document how and why the Mitanins have been able to act on the social determinants of health, describing the catalysts and processes involved and the enabling programmatic and organizational factors. A qualitative comparative case study of successful action by Mitanin was conducted in two 'blocks', purposefully selected as positive exemplars in two districts of Chhattisgarh. One case focused on malnutrition and the other on gender-based violence. Data collection involved 17 in-depth interviews and 10 group interviews with the full range of stakeholders in both blocks, including community members and programme team. Thematic analysis was done using a broad conceptual framework that was further refined. Action on social determinants involved raising awareness on rights, mobilizing women's collectives, revitalizing local political structures and social action targeting both the community and government service providers. Through these processes, the Mitanins developed identities as agents of change and advocates for the community, both with respect to local cultural and gender norms and in ensuring accountability of service providers. The factors underpinning successful action on social determinants were identified as the significance of the original intent and vision of the programme, and how this was carried through into all aspects of programme design, the role of the Mitanins and their identification with village women, ongoing training and support, and the relative autonomy of the programme. Although the results are not narrowly generalizable and do not necessarily represent the situation of the Mitanin Programme as a whole, the

  10. Soft System Methodology as a Tool to Understand Issues of Governmental Affordable Housing Programme of India: A Case Study Approach

    Science.gov (United States)

    Ghosh, Sukanya; Roy, Souvanic; Sanyal, Manas Kumar

    2016-09-01

    With the help of a case study, the article has explored current practices of implementation of governmental affordable housing programme for urban poor in a slum of India. This work shows that the issues associated with the problems of governmental affordable housing programme has to be addressed to with a suitable methodology as complexities are not only dealing with quantitative data but qualitative data also. The Hard System Methodologies (HSM), which is conventionally applied to address the issues, deals with real and known problems which can be directly solved. Since most of the issues of affordable housing programme as found in the case study are subjective and complex in nature, Soft System Methodology (SSM) has been tried for better representation from subjective points of views. The article explored drawing of Rich Picture as an SSM approach for better understanding and analysing complex issues and constraints of affordable housing programme so that further exploration of the issues is possible.

  11. Missed opportunities in the evaluation of public health interventions: a case study of physical activity programmes

    Directory of Open Access Journals (Sweden)

    Sarah Hanson

    2017-08-01

    Full Text Available Abstract Background Evidence-based approaches are requisite in evaluating public health programmes. Nowhere are they more necessary than physical activity interventions where evidence of effectiveness is often poor, especially within hard to reach groups. Our study reports on the quality of the evaluation of a government funded walking programme in five ‘Walking Cities’ in England. Cities were required to undertake a simple but robust evaluation using the Standard Evaluation Framework (SEF for physical activity interventions to enable high quality, consistent evaluation. Our aim was not to evaluate the outcomes of this programme but to evaluate whether the evaluation process had been effective in generating new and reliable evidence on intervention design and what had worked in ‘real world’ circumstances. Methods Funding applications and final reports produced by the funder and the five walking cities were obtained. These totalled 16 documents which were systematically analysed against the 52 criteria in the SEF. Data were cross checked between the documents at the bid and reporting stage with reference to the SEF guidance notes. Results Generally, the SEF reporting requirements were not followed well. The rationale for the interventions was badly described, the target population was not precisely specified, and neither was the method of recruitment. Demographics of individual participants, including socio-economic status were reported poorly, despite being a key criterion for funding. Conclusions Our study of the evaluations demonstrated a missed opportunity to confidently establish what worked and what did not work in walking programmes with particular populations. This limited the potential for evidence synthesis and to highlight innovative practice warranting further investigation. Our findings suggest a mandate for evaluability assessment. Used at the planning stage this may have ensured the development of realistic objectives and

  12. Study Programme On Contemporary Cultures In Colima, Mexico. Shortcuts And Long Ways Round To Plenitude

    Directory of Open Access Journals (Sweden)

    Jesús Galindo Cáceres

    2010-01-01

    Full Text Available El texto presenta la historia aparentemente irrepetible del Programa de Estudios sobre las Culturas Contemporáneas de Colima, México. El autor presenta a lo largo de seis distintos apartados un relato que relaciona elementos de trayectorias individuales, grupales y colectivas, con una historia de la ciencia social en México a lo largo de más de tres décadas. El Programa Cultura fue posible por una combinación de accidentes y visiones luminosas. Emergió en el medio con menos condiciones posibles para un proyecto de altos estudios, desde ahí creció, se desarrolló, llegó a su plenitud, y después decayó y se fue retrayendo a la inercia de la vida institucional universitaria común. Esta es la historia de un programa de investigación ejemplar, una historia para ser conocida, disfrutada, y divulgada. This work describes the seemingly unrepeatable story of the Study Programme on Contemporary Cultures in Colima, Mexico. In six sections, the author describes the relation between individual, group and collective paths in a Mexican social science narrative spanning more than three decades. The Programa Cultura [Culture Programme] was made possible thanks to a combination of coincidences and brilliant visions. Despite the precarious conditions for conducting a top research project, It came into being, developed, and reached its plenitude, before flagging and falling victim of the inertia of everyday institutional life at university. This is the story of an exemplary research programme, a story that should be known, enjoyed and disseminated.

  13. Time spent studying on a pre-registration nursing programme module: an exploratory study and implications for regulation.

    Science.gov (United States)

    Snelling, Paul C; Lipscomb, Martin; Lockyer, Lesley; Yates, Sue; Young, Pat

    2010-11-01

    European Union (EU) regulations require that university programmes are of specified duration. Additional EU regulations apply specifically to university based nurse education, enacted in the UK by the Nursing and Midwifery Council (NMC). However, little is known about how much time student nurses spend on their studies. In this exploratory study, students undertaking a single module in the pre-registration diploma programme at an English university were asked to keep a log of learning activity for the duration of the module. Twenty-six students completed the log. These students achieved higher grades and attended more lectures than the average for the module. The mean study time was 128.4 h against a regulatory assumption that the module should take 200 h. More than half of the 26 students undertook paid work during the module run, though this work was not associated with poorer performance. Problems in regulation for course duration are discussed and it is suggested that undertaking a 4600 h course in 3 years is problematic. More research is required so that patterns of study can be better understood and student centred programmes meeting regulatory requirements developed. Copyright © 2010 Elsevier Ltd. All rights reserved.

  14. Criticality accidents in solution (CRAC and SILENE programmes) and complementary studies of accidents; radiation dosimetry in human organism during the CRAC programme

    International Nuclear Information System (INIS)

    Barbry, M.; Dousset, M.

    C.R.A.C. (CRiticality occurring ACcidentally) programme is intended to study experimentally the development of a criticality accident as it could occur when handling solutions of fissile material as well as the radiological consequences of such an accident. The fissile matter solutions have been chosen (a) for practical considerations of use and (b) because the probability of an accident occurring seems greater with this type of environment, as the known accidents have shown. The programme is twofold: study of accident physics: form of the evolution (peak, plateau, oscillations, boil up of solutions) the most probable maximum power, minimal power, flux and radiation spectra emitted, freed energy, associated effects, radiolysis, constraints, etc., study of radiological consequences: area dosimetry, individual dosimetry, radiobiological studies, etc. Additional criticality Accident experiments have been and continue to be made on the SILENE reactor in the following principal domains: determination of the emission rate of gaseous fission products and aerosols, area dosimetry and health dosimetry in the presence of shields around the core to vary the neutron and gamma components of the radiation field. Improvement in the knowledge of certain particular aspects of the power excursion, radiolysis gas and pressure wave, experiments of the ''boiling'' type [fr

  15. Effectiveness of a tinnitus management programme: a 2-year follow-up study

    Directory of Open Access Journals (Sweden)

    Sørensen Jan

    2009-06-01

    Full Text Available Abstract Background Tinnitus impairs the possibility of leading a normal life in 0.5–1% of the population. While neither medical nor surgical treatment appears effective, counselling may offer some relief. An intervention combining counselling and hearing devices is offered to clients referred to the Centre for Help Aids and Communication (CHC in southern Denmark. The aims of this exploratory study were to examine i the characteristics of CHC's clients and their tinnitus, ii the effectiveness of the treatment, and iii whether particular client groups benefit more than others. Methods One hundred new clients presenting with tinnitus completed the Tinnitus Handicap Inventory (THI three times – before their first consultation, after one month and after 1–2 years. The scores were tested for significant differences over time using tests for paired data. Logistic regression was used to examine factors associated with a clinically important difference (i.e. THI score improvement of at least 20 points. Results At final follow-up, total THI score was significantly lower than baseline, i.e. 29.8 (CI 25.5–34.2 vs. 37.2 (CI 33.1–37.2, p Conclusion The tinnitus management programme appeared to provide significant benefit to many clients at a relatively low cost. It would be useful to conduct a randomised controlled study comparing the current programme with alternative forms of combination counselling/sound therapy approaches.

  16. Technology Programme

    Energy Technology Data Exchange (ETDEWEB)

    Batistoni, Paola; De Marco, Francesco; Pieroni, Leonardo [ed.

    2005-07-01

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

  17. Technology Programme

    International Nuclear Information System (INIS)

    Batistoni, Paola; De Marco, Francesco; Pieroni, Leonardo

    2005-01-01

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

  18. A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly

    DEFF Research Database (Denmark)

    Prescott, Eva; Meindersma, Esther P; van der Velde, Astrid E

    2016-01-01

    of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability. METHODS AND RESULTS: The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who...... on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR). OBJECTIVE: The aim...... and sustainability. CONCLUSION: The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR....

  19. Motor programme activating therapy influences adaptive brain functions in multiple sclerosis: clinical and MRI study.

    Science.gov (United States)

    Rasova, Kamila; Prochazkova, Marie; Tintera, Jaroslav; Ibrahim, Ibrahim; Zimova, Denisa; Stetkarova, Ivana

    2015-03-01

    There is still little scientific evidence for the efficacy of neurofacilitation approaches and their possible influence on brain plasticity and adaptability. In this study, the outcome of a new kind of neurofacilitation approach, motor programme activating therapy (MPAT), was evaluated on the basis of a set of clinical functions and with MRI. Eighteen patients were examined four times with standardized clinical tests and diffusion tensor imaging to monitor changes without therapy, immediately after therapy and 1 month after therapy. Moreover, the strength of effective connectivity was analysed before and after therapy. Patients underwent a 1-h session of MPAT twice a week for 2 months. The data were analysed by nonparametric tests of association and were subsequently statistically evaluated. The therapy led to significant improvement in clinical functions, significant increment of fractional anisotropy and significant decrement of mean diffusivity, and decrement of effective connectivity at supplementary motor areas was observed immediately after the therapy. Changes in clinical functions and diffusion tensor images persisted 1 month after completing the programme. No statistically significant changes in clinical functions and no differences in MRI-diffusion tensor images were observed without physiotherapy. Positive immediate and long-term effects of MPAT on clinical and brain functions, as well as brain microstructure, were confirmed.

  20. Isotope studies on plant productivity. Results of a co-ordinated research programme

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

    In order to explore this approach, a Co-ordinated Research Programme (CRP) on the Use of Isotope Studies for Increasing and Stabilizing Plant Productivity in Low Phosphate and Semi-arid and Sub-humid Soils of the Tropics and Sub-tropics was initiated in October 1989 and complete in October 1994. Almost half of the work carried out under this programme concentrated on water use efficiency and the rest on phosphate use efficiency. Egypt, Morocco and Tunisia focused on wheat; Nigeria and Sierra Leone on cowpea; Kenya, Sudan and the United Republic of Tanzania on nitrogen fixing trees such as Prosopis, Acacia and Gliricidia; and Viet Nam on rice. Experiments conducted in the field showed that there is a wealth of genetic diversity among the genotypes/provenances of crop and tree species in their capacity for uptake and use of phosphorus and water from soils limited in resources. Several elite genotypes/provenances were identified which are highly efficient in water or phosphate use. In a few cases, the high water use efficiency (or the high phosphorus use efficiency) feature was seen in the same genotype where the grain yield was also high. Morphological parameters responsible for making some genotypes superior in their capacity to use phosphorus or water have also been investigated. It is our hope that the findings reported in this publication will help agricultural scientists in the Member States, particularly in Africa, in their quest of finding solutions to problems of food security. Refs, figs, tabs.

  1. Isotope studies on plant productivity. Results of a co-ordinated research programme

    International Nuclear Information System (INIS)

    1996-07-01

    In order to explore this approach, a Co-ordinated Research Programme (CRP) on the Use of Isotope Studies for Increasing and Stabilizing Plant Productivity in Low Phosphate and Semi-arid and Sub-humid Soils of the Tropics and Sub-tropics was initiated in October 1989 and complete in October 1994. Almost half of the work carried out under this programme concentrated on water use efficiency and the rest on phosphate use efficiency. Egypt, Morocco and Tunisia focused on wheat; Nigeria and Sierra Leone on cowpea; Kenya, Sudan and the United Republic of Tanzania on nitrogen fixing trees such as Prosopis, Acacia and Gliricidia; and Viet Nam on rice. Experiments conducted in the field showed that there is a wealth of genetic diversity among the genotypes/provenances of crop and tree species in their capacity for uptake and use of phosphorus and water from soils limited in resources. Several elite genotypes/provenances were identified which are highly efficient in water or phosphate use. In a few cases, the high water use efficiency (or the high phosphorus use efficiency) feature was seen in the same genotype where the grain yield was also high. Morphological parameters responsible for making some genotypes superior in their capacity to use phosphorus or water have also been investigated. It is our hope that the findings reported in this publication will help agricultural scientists in the Member States, particularly in Africa, in their quest of finding solutions to problems of food security. Refs, figs, tabs

  2. Implementing a Health and Wellbeing Programme for Children in Early Childhood: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Karen Munday

    2017-09-01

    Full Text Available In New Zealand, there is a high prevalence of childhood poverty and food insecurity, which can impact a family’s ability to provide high quality, nutrient dense foods for their children. In an attempt to increase the quality of the food consumed by children attending a decile two (low socio-economic kindergarten and to address food insecurity issues, an educational health and wellness initiative, in conjunction with a free lunch programme, was introduced. The impact of the lunches and the effectiveness of the programme were evaluated. Baseline and end-intervention 24-h modified dietary recall questionnaire data and a vegetable- and fruit-specific food frequency questionnaire (FFQ were collected. A follow-up FFQ was administered six months after the end of the intervention. The nutrient composition of the foods recorded in the 24-h recall questionnaires were analysed using FoodWorks8™. Whilst no significant differences were observed with the intakes of individual nutrients, there was a significant decrease in the consumption of ultra-processed snack foods (p = 0.015. The results of the follow-up FFQ, including the comments collected from the parents, suggested that the intervention had a longer-term positive impact on not only the children involved in the study but also on their whānau (wider family members

  3. Being normal, not vulnerable: case study of a 2-day residential programme for young adults with cancer.

    Science.gov (United States)

    Martins, Ana; Taylor, Rachel M; Morgan, Sue; Fern, Lorna A

    2017-07-13

    To identify and describe the outcomes and facilitating processes of participation at 'Find Your Sense of Tumour' (FYSOT), a 2-day residential programme/conference for young people with cancer, from the perspective of professionals attending and patient representatives. Case study. Observation of the 'Find Your Sense of Tumour' over 18s residential programme and face-to-face interviews in hospital and phone interviews. Twenty-six participants - 19 professionals from hospitals across the UK who accompanied young people to FYSOT; 3 programme organisers; and 4 young people from the programme steering committee. Participant observation and semistructured interviews. This process evaluation of an educational, social and peer-to-peer support residential weekend for young people with cancer identified key outcomes for young people - positive attitudes (increased sociability, confidence), belonging (feeling accepted, understood), recreation (trying new activities, having fun) and increased knowledge (balance between educational talks and interactions with other young people); and three overarching facilitating processes - being with other young people, the professionals accompanying young people to the event for support and guidance, and the conference/intentional programming. Being in a safe, relaxed and fun environment with other young people facilitates the development of peer support networks and increases young people's confidence and knowledge. Although the focus of the residential programme is on young people, interviewees acknowledge the impact of attending on professionals' motivation, learning and changes in practice. This study has extended our understanding of the role of residential programmes by identifying outcomes and facilitating mechanisms. We have shown that residential programmes have an important role in providing participants with social, emotional and informational support, as well as play an important role in redefining normality. Longitudinal

  4. Objectives and limitations of scientific studies with reference to the Swedish R ampersand D programme 1992 for handling and final disposal of nuclear waste

    International Nuclear Information System (INIS)

    Sjoeblom, R.; Dverstorp, B.; Wingefors, S.

    1994-01-01

    The Swedish Nuclear Power Inspectorate (SKI) has recently concluded its evaluation of the Swedish programme for the development of a system for the management of nuclear waste. The programme was compiled and issued by the Swedish Nuclear Fuel and Waste Management Company (SKB). In this process of programme formulation and review, considerable attention has been paid to the question of how scientific studies should be directed and performed in order to provide the support needed in the programme

  5. Study programme on safety for environmental radioactivity during the period from 1986 to 1990

    International Nuclear Information System (INIS)

    1986-01-01

    The study programme is divided into four topics. The first topic is a study on environmental doses, which was designed to identify levels of radioactivity, and characteristics and behavior of radiation sources in the ambient air, and to elucidate population dose estimates. The second topic concerning biological effects of radiation focusses on the elucidation for mechanism whereby radiation acts on the living body, for effects of low dose radiation using experimental animals, and for radiation effects on the human body using epidemiological approaches. The aim of the third topic is to study incorporation of alpha radiators, including transuranic elements, and tritium in the human body. The last topic is the safety evaluation, for which it is required to establish methods of evaluating human risk of environmental radiation and to prepare data base. An outline of these topics is given. (Namekawa, K.)

  6. Radioecological studies tied to the French nuclear power station programme: aims, nature and mode of execution

    International Nuclear Information System (INIS)

    Delile, G.

    1980-01-01

    Under present French practice, assessing the effects of radioactive discharges due to the various likely accident situations comes under 'L'Analyse de Surete Nucleaire' (Nuclear Safety Analysis). The assessment of radioactive discharges relating to normal working comes within the framework of radioecologic studies. Radioecology studies are undertkaen for every power station project. They consist in: - studying what is to be done with radioelements discharged as liquids or gases, - estimating their impact on the populations in the areas of influence of the power station and checking that this impact is permissible, - establishing a surveillance measuring programme for checking against the predictions made and, if required, determining the modifications to be made to the facilities or to their method of operation [fr

  7. Nurse- and peer-led self-management programme for patients with an implantable cardioverter defibrillator; a feasibility study

    Directory of Open Access Journals (Sweden)

    van Eijk Jacques

    2007-09-01

    Full Text Available Abstract Background The prevalence of cardiovascular disease is increasing. Improved treatment options increase survival after an acute myocardial infarction or sudden cardiac arrest, although patients often have difficulty adjusting and regaining control in daily life. In particular, patients who received an implantable cardioverter defibrillator (ICD experience physical and psychological problems. Interventions to enhance perceived control and acceptance of the device are therefore necessary. This paper describes a small-scale study to explore the feasibility and the possible benefits of a structured nurse- and peer-led self-management programme ('Chronic Disease Self-Management Program' – CDSMP among ICD patients. Methods Ten male ICD patients (mean age = 65.5 years participated in a group programme, consisting of six sessions, led by a team consisting of a nurse specialist and a patient with cardiovascular disease. Programme feasibility was evaluated among patients and leaders by measuring performance of the intervention according to protocol, attendance and adherence of the participating ICD patients, and patients' and leaders' opinions about the programme. In addition, before and directly after attending the intervention, programme benefits (e.g. perceived control, symptoms of anxiety and depression, and quality of life were assessed. Results The programme was conducted largely according to protocol. Eight patients attended at least four sessions, and adherence ranged from good to very good. On average, the patients reported to have benefited very much from the programme, which they gave an overall report mark of 8.4. The leaders considered the programme feasible as well. Furthermore, improvements were identified for general self-efficacy expectancies, symptoms of anxiety, physical functioning, social functioning, role limitations due to physical problems, and pain. Conclusion This study suggests that a self-management programme led by a

  8. Study of Ethical Values and Practices in Academic Programmes at a Higher Learning Institution

    Science.gov (United States)

    Narayanasamy, Kogilah; Shetty, M. V.

    The study on ethical values in academic programmes has attracted the attention of many researchers throughout the world especially in view of its important role today. Many academic programmes today focus on how to make profit both for the individual and the organization and on how to increase the firm`s market share and shareholders value and in the process may compromise on their ethical values and have unethical practices. Thus, this study is undertaken to evaluate the extent of integration of ethical values in the academic programmes of the higher learning operating institution involved with post graduate and higher level programs. The impact of demographics and race of the lecturer and students have been separately ascertained. The sample has been taken from one college, rated to be high in ethical values and practices, a sample of 120 students and 31 lecturers from a leading college (reputed for ethical values) have been collated and analyzed for validation of the objectives. The explanation on ethics has been done to a large extent in the study. The study also indicates the number of higher learning institutions to indicate the extent of impact if these issues are appropriately addressed. Government policy in this regard also needs to be reviewed and improved to avoid deterioration of ethical values and practices in the dynamic market place of today. This study review that, the level at which lecturers at the institutions have high ethical values and do incorporate it in their lectures and discussions in the classroom. The impact of demographic factors on the ethical values and practice of the lecturers have useful insights for academic staff recruitment and staff training. On the other hand, students` ethical values and behavior is a cause for concern to everyone as these future pillars of the nation have been found to have their ethical values and practices at low levels. The implications for the college management as to consider further emphasis on the

  9. Study protocol: using the Q-STEPS to assess and improve the quality of physical activity programmes for the elderly.

    Science.gov (United States)

    Marques, Ana I; Rosa, Maria J; Amorim, Marlene; Soares, Pedro; Oliveira-Tavares, António; Santos, Rute; Mota, Jorge; Carvalho, Joana

    2012-07-09

    Aging is one of the most important and obvious phenomenon observed in our society. In the past years, there has been a growing concern in designing physical activity (PA) programmes for elderly people, because evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Accordingly, a growing body of literature points to the importance of a sound approach to planning and evaluation in order to improve the quality of PA programmes. However, while numerous PA programmes have been designed for the elderly in recent years, their evaluation has been scarce. Quality management processes and tools provide a practical way for organisations to assess, identify and shed light on the areas requiring improvement. The Quality Self-assessment Tool for Exercise Programmes for Seniors (Q-STEPS) seems to provide a framework tailored to evaluate PA programmes for the elderly. The primary purpose of this study is 1) to determine feasibility, acceptability and usability of the Q-STEPS. Secondary purposes of the study are: 2) to examine the quality of the PA programmes for elderly people developed by the Portuguese Local Administration over a three-year period of self-assessments in terms of: a) Enabler domains (Leadership, Policy and Strategy, People, Partnership and Resources, Processes); b) Result domains (Customer Results, People Results, Society Results and Key Performance Results); 3) to estimate the association between the use of Q-STEPS and some indicators relating to the elderly participants, during the three self-assessments, such as: attendance rates, physical fitness, health-related quality of life and the elderly's perceived quality of the programme. The study will be conducted in PA programmes for elderly adults from mainland Portuguese municipalities over a three-year period. The project will adopt a participative quality improvement approach that features annual learning cycles of: 1) self-assessment with the Q

  10. Programmes of measures under the water framework directive – a comparative case study

    DEFF Research Database (Denmark)

    Baaner, Lasse

    2011-01-01

    The water framework directive requires programmes of measures composed by the Member States, in order to achieve its environmental objectives. This article examines three programmes of measures for river basins in Denmark, Sweden, and Norway, with a focus on the differences in how the programmes...... direct the authorities’ activities with regard to water management. It concludes that there are major differences in the precision of the measures, the range of legal instruments used, and in the focus on active and direct management of the aquatic environment. The Danish programme seems to facilitate...

  11. Estimating the Cost-Effectiveness of HIV Prevention Programmes in Vietnam, 2006-2010: A Modelling Study.

    Directory of Open Access Journals (Sweden)

    Quang Duy Pham

    Full Text Available Vietnam has been largely reliant on international support in its HIV response. Over 2006-2010, a total of US$480 million was invested in its HIV programmes, more than 70% of which came from international sources. This study investigates the potential epidemiological impacts of these programmes and their cost-effectiveness.We conducted a data synthesis of HIV programming, spending, epidemiological, and clinical outcomes. Counterfactual scenarios were defined based on assumed programme coverage and behaviours had the programmes not been implemented. An epidemiological model, calibrated to reflect the actual epidemiological trends, was used to estimate plausible ranges of programme impacts. The model was then used to estimate the costs per averted infection, death, and disability adjusted life-year (DALY.Based on observed prevalence reductions amongst most population groups, and plausible counterfactuals, modelling suggested that antiretroviral therapy (ART and prevention programmes over 2006-2010 have averted an estimated 50,600 [95% uncertainty bound: 36,300-68,900] new infections and 42,600 [36,100-54,100] deaths, resulting in 401,600 [312,200-496,300] fewer DALYs across all population groups. HIV programmes in Vietnam have cost an estimated US$1,972 [1,447-2,747], US$2,344 [1,843-2,765], and US$248 [201-319] for each averted infection, death, and DALY, respectively.Our evaluation suggests that HIV programmes in Vietnam have most likely had benefits that are cost-effective. ART and direct HIV prevention were the most cost-effective interventions in reducing HIV disease burden.

  12. Estimating the Cost-Effectiveness of HIV Prevention Programmes in Vietnam, 2006-2010: A Modelling Study

    Science.gov (United States)

    Pham, Quang Duy; Wilson, David P.; Kerr, Cliff C.; Shattock, Andrew J.; Do, Hoa Mai; Duong, Anh Thuy; Nguyen, Long Thanh; Zhang, Lei

    2015-01-01

    Introduction Vietnam has been largely reliant on international support in its HIV response. Over 2006-2010, a total of US$480 million was invested in its HIV programmes, more than 70% of which came from international sources. This study investigates the potential epidemiological impacts of these programmes and their cost-effectiveness. Methods We conducted a data synthesis of HIV programming, spending, epidemiological, and clinical outcomes. Counterfactual scenarios were defined based on assumed programme coverage and behaviours had the programmes not been implemented. An epidemiological model, calibrated to reflect the actual epidemiological trends, was used to estimate plausible ranges of programme impacts. The model was then used to estimate the costs per averted infection, death, and disability adjusted life-year (DALY). Results Based on observed prevalence reductions amongst most population groups, and plausible counterfactuals, modelling suggested that antiretroviral therapy (ART) and prevention programmes over 2006-2010 have averted an estimated 50,600 [95% uncertainty bound: 36,300–68,900] new infections and 42,600 [36,100–54,100] deaths, resulting in 401,600 [312,200–496,300] fewer DALYs across all population groups. HIV programmes in Vietnam have cost an estimated US$1,972 [1,447–2,747], US$2,344 [1,843–2,765], and US$248 [201–319] for each averted infection, death, and DALY, respectively. Conclusions Our evaluation suggests that HIV programmes in Vietnam have most likely had benefits that are cost-effective. ART and direct HIV prevention were the most cost-effective interventions in reducing HIV disease burden. PMID:26196290

  13. Transition to blended learning: experiences from the first year of our blended learning Bachelor of Nursing Studies programme.

    Science.gov (United States)

    Sweeney, Mary-Rose; Kirwan, Anne; Kelly, Mary; Corbally, Melissa; O Neill, Sandra; Kirwan, Mary; Hourican, Susan; Matthews, Anne; Hussey, Pamela

    2016-10-01

    The School of Nursing at Dublin City University offered a new blended learning Bachelor of Nursing Studies programme in the academic year 2011. To document the experiences of the academic team making the transition from a face-to-face classroom-delivered programme to the new blended learning format. Academics who delivered the programme were asked to describe their experiences of developing the new programme via two focus groups. Five dominant themes were identified: Staff Readiness; Student Readiness; Programme Delivery and Student Engagement; Assessment of Module Learning Outcomes and Feedback; and Reflecting on the First Year and Thinking of the Future. Face-to-face tutorials were identified as very important to both academics and students. Reservations about whether migrating the programme to an online format encouraged students to engage in additional practices of plagiarism were expressed by some. Student ability/readiness to engage with technology-enhanced learning was an important determinant of their own success academically. In the field of nursing blended learning is a relatively new and emerging field which will require huge cultural shifts for staff and students alike.

  14. Die meting van neurolinguistiese programmering se verteenwoordigende stelsels: 'n Eksploratiewe studie

    Directory of Open Access Journals (Sweden)

    P. C. Bester

    2000-06-01

    Opsomming 'n Oorsig van die Sielkunde-literatuur wys daarop dat verskeie outeurs saamstem oor die bestaan van Neurolinguistiese Programmering (NLP se verteenwoordigende stelsels. Tot onlangs toe is geen studie oor die bestaan van n omvattende meetinstrument vir NLP se verteenwoordigende stelsels in die literatuur gerapporteer nie. Die hoofdoel van die onderhawige studie was om vas te stel of dit wenslik is om NLP se verteenwoordigende stelsels met 'n omvattende normatiewe vraelys te meet. Drie konstrukte is voorveronderstel en 'n "Vraelys oor Sensoriese Modaliteite", bestaande uit 84 items, is gekonstrueer. Hierdie vraelys is afgeneem op studente (N=338 van drie verskillende tersiere instellings. hTweede faktorontleding op die 18 subtellings van n eerste faktorontleding, het twee faktore opgelewer wat nie die drie verteenwoordigende stelsels suiwer weergee nie. Die implikasies van hierdie bevindinge word bespreek.

  15. Linked symptom monitoring and depression treatment programmes for specialist cancer services: protocol for a mixed-methods implementation study

    Science.gov (United States)

    Walker, Jane; Burke, Katy; Sevdalis, Nick; Richardson, Alison; Mulick, Amy; Frost, Chris; Sharpe, Michael

    2017-01-01

    Introduction There is growing awareness that cancer services need to address patients’ well-being as well as treating their cancer. We developed systematic approaches to (1) monitoring patients’ symptoms including depression using a ‘Symptom Monitoring Service’ and (2) providing treatment for those with major depression using a programme called ‘Depression Care for People with Cancer’. Used together, these two programmes were found to be highly effective and cost-effective in clinical trials. The overall aims of this project are to: (1) study the process of introducing these programmes into routine clinical care in a large cancer service, (2) identify the challenges associated with implementation and how these are overcome, (3) determine their effectiveness in a routine non-research setting and (4) describe patients’ and clinicians’ experience of the programmes. Methods and analysis This is a mixed-methods longitudinal implementation study. We will study the process of implementation in three phases (April 2016–December 2018): ‘Pre-implementation’ (setting up of the new programmes), ‘Early Implementation’ (implementation of the programmes in a small number of clinics) and ‘Implementation and Maintenance’ (implementation in the majority of clinics). We will use the following methods of data collection: (1) contemporaneous logs of the implementation process, (2) interviews with healthcare professionals and managers, (3) interviews with patients and (4) routinely collected clinical data. Ethics and dissemination The study has been reviewed by a joint committee of Oxford University Hospitals National Health Service Foundation Trust Research and Development Department and the University of Oxford’s Clinical Trials and Research Governance Department and judged to be service evaluation, not requiring ethics committee approval. The findings of this study will guide the scaling up implementation of the programmes across the UK and will enable

  16. Linked symptom monitoring and depression treatment programmes for specialist cancer services: protocol for a mixed-methods implementation study.

    Science.gov (United States)

    Wanat, Marta; Walker, Jane; Burke, Katy; Sevdalis, Nick; Richardson, Alison; Mulick, Amy; Frost, Chris; Sharpe, Michael

    2017-07-02

    There is growing awareness that cancer services need to address patients' well-being as well as treating their cancer. We developed systematic approaches to (1) monitoring patients' symptoms including depression using a 'Symptom Monitoring Service' and (2) providing treatment for those with major depression using a programme called 'Depression Care for People with Cancer'. Used together, these two programmes were found to be highly effective and cost-effective in clinical trials. The overall aims of this project are to: (1) study the process of introducing these programmes into routine clinical care in a large cancer service, (2) identify the challenges associated with implementation and how these are overcome, (3) determine their effectiveness in a routine non-research setting and (4) describe patients' and clinicians' experience of the programmes. This is a mixed-methods longitudinal implementation study. We will study the process of implementation in three phases (April 2016-December 2018): 'Pre-implementation' (setting up of the new programmes), 'Early Implementation' (implementation of the programmes in a small number of clinics) and 'Implementation and Maintenance' (implementation in the majority of clinics). We will use the following methods of data collection: (1) contemporaneous logs of the implementation process, (2) interviews with healthcare professionals and managers, (3) interviews with patients and (4) routinely collected clinical data. The study has been reviewed by a joint committee of Oxford University Hospitals National Health Service Foundation Trust Research and Development Department and the University of Oxford's Clinical Trials and Research Governance Department and judged to be service evaluation, not requiring ethics committee approval. The findings of this study will guide the scaling up implementation of the programmes across the UK and will enable us to construct an implementation toolkit. We will disseminate our findings in

  17. Scoping the impact of the national child measurement programme feedback on the child obesity pathway: study protocol

    Directory of Open Access Journals (Sweden)

    Falconer Catherine

    2012-09-01

    Full Text Available Abstract Background The National Child Measurement Programme was established to measure the height and weight of children at primary school in England and provides parents with feedback about their child’s weight status. In this study we will evaluate the impact of the National Child Measurement Programme feedback on parental risk perceptions of overweight, lifestyle behaviour and health service use. Methods The study will be a prospective cohort study of parents of children enrolled in the National Child Measurement Programme and key service providers from 5 primary care trusts (administrative bodies responsible for providing primary and secondary care services. We will conduct baseline questionnaires, followed by provision of weight feedback and 3 follow up questionnaires over the course of a year. Questionnaires will measure change in parental risk perception of overweight, health behaviours and health service use. Qualitative interviews will be used to identify barriers and facilitators to change. This study will produce preliminary data on National Health Service costs associated with weight feedback and determine which feedback approach (letter and letter plus telephone is more effective. Discussion This study will provide the first large scale evaluation of the National Child Measurement Programme feedback. Findings from this evaluation will inform future planning of the National Child Measurement Programme.

  18. Socio-ethical education in nanotechnology engineering programmes: a case study in Malaysia.

    Science.gov (United States)

    Balakrishnan, Balamuralithara; Er, Pek Hoon; Visvanathan, Punita

    2013-09-01

    The unique properties of nanotechnology have made nanotechnology education and its related subjects increasingly important not only for students but for mankind at large. This particular technology brings educators to work together to prepare and produce competent engineers and scientists for this field. One of the key challenges in nanotechnology engineering is to produce graduate students who are not only competent in technical knowledge but possess the necessary attitude and awareness toward the social and ethical issues related to nanotechnology. In this paper, a research model has been developed to assess Malaysian nanotechnology engineering students' attitudes and whether their perspectives have attained the necessary objectives of ethical education throughout their programme of study. The findings from this investigation show that socio ethical education has a strong influence on the students' knowledge, skills and attitudes pertaining to socio ethical issues related to nanotechnology.

  19. The National Singing Programme for Primary Schools in England: An Initial Baseline Study

    Science.gov (United States)

    Welch, G. F.; Himonides, E.; Papageorgi, I.; Saunders, J.; Rinta, T.; Stewart, C.; Preti, C.; Lani, J.; Vraka, M.; Hill, J.

    2009-01-01

    The "Sing Up" National Singing Programme for primary schools in England was launched in November 2007 under the UK government's "Music Manifesto". "Sing Up" is a four-year programme whose overall aim is to raise the status of singing and increase opportunities for children throughout the country to enjoy singing as…

  20. Study of compliance with a new, targeted antenatal D immunization prevention programme in Denmark

    DEFF Research Database (Denmark)

    Damkjaer, M B; Perslev, A; Clausen, F B

    2012-01-01

    A targeted routine antenatal anti-D prophylaxis programme was implemented in Denmark where anti-D immunoglobulin is given based on the result from noninvasive antenatal screening for fetal RHD. Our objective was to evaluate compliance with this new programme right after its initiation. Materials and...

  1. Coping Successfully with Dyslexia: An Initial Study of an Inclusive School-Based Resilience Programme

    Science.gov (United States)

    Firth, Nola; Frydenberg, Erica; Steeg, Charlotte; Bond, Lyndal

    2013-01-01

    A dyslexia coping programme entitled "Success and Dyslexia" was implemented in two primary schools within a whole-class coping programme and whole-school dyslexia professional development context. One hundred and two year 6 students, 23 of whom had dyslexia, undertook surveys pretest, post-test and at 1-year follow-up. Effectiveness of…

  2. The Determinants of International Student Mobility Flows: An Empirical Study on the Erasmus Programme

    Science.gov (United States)

    Rodriguez Gonzalez, Carlos; Bustillo Mesanza, Ricardo; Mariel, Petr

    2011-01-01

    The Erasmus Programme for higher education students is supposed to play an important socio-economic role within Europe. Erasmus student mobility flows have reached a relevant level of two million since 1987, boosted in recent years by the enlargement of the programme to eastern countries. Thereafter, it seems that flows have staggered. In this…

  3. Acceptability of a reflective e-portfolio instituted in an orthodontic specialist programme: a pilot study.

    Science.gov (United States)

    Tonni, I; Oliver, R G

    2013-08-01

    The purpose of the study was to highlight students' and mentors' acceptability of a reflective e-portfolio instituted in a postgraduate orthodontic programme in the UK. A reflective e-portfolio was developed on the basis of principles provided by a literature search and was piloted for 2 months with six students and seven mentors. At the end of the experience, mentors' and students' acceptability of the e-portfolio with a reflective component was studied using questionnaires. The data were analysed using basic quantitative and qualitative methods. Students' response highlighted acceptability issues related to each aspect of the e-portfolio derived from the literature: relevance of the e-portfolio reflective part; time required for the process; support and mentoring; the implementation method; and the electronic medium. Mentors showed a more positive attitude towards the e-portfolio, expressing only some concerns about the time involved in using it. Furthermore, the analysis of the data highlighted some other acceptability matters: the specificity of the e-portfolio, the communication amongst students and the relationship between students and mentors. The future successful implementation of the reflective e-portfolio will depend on the productive management of the acceptability issues identified by students and mentors, in particular:(i)the specificity of the e-portfolio that would avoid its overlapping with other part of the programme;(ii)the increasing communication amongst students to improve their knowledge of the reflective writing process; and (iii)the development of a relationship between students and mentors helping to create the appropriate environment for reflection. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. Study of Patient Information after percutaneous Coronary Intervention (SPICI): should prevention programmes become more effective?

    Science.gov (United States)

    Perk, Joep; Hambraeus, Kristina; Burell, Gunilla; Carlsson, Roland; Johansson, Pelle; Lisspers, Jan

    2015-03-22

    This cross-sectional observational study was designed to evaluate the uptake and outcome of patient education after percutaneous coronary intervention (PCI). A questionnaire containing 41 items was handed out to consecutive patients from randomly selected Swedish hospitals after PCI. Questions concerned the patient's attribution of the cause of the cardiac event, perception of the information provided by physicians and nurses, and a self-assessment of changes in lifestyle post PCI regarding tobacco, physical activity, food habits and stress. Replies were obtained from 1,073 patients (reply rate 67%). Non-modifiable risk factors (age, heredity) were attributed a higher rate as the cause of disease compared to modifiable factors (smoking, physical activity, food habits). Most patients (67%) perceived they were cured, and 38% perceived from the given information that there was no need to change their habits. A mere 27% reported that they still had cardiovascular disease and needed behavioural change. After PCI, 16% continued to use tobacco; half of these were offered smoking cessation support. In spite of an 80% referral rate to cardiac rehabilitation, one out of two patients did not enrol. Fewer than half were regularly physically active. Nutritional counselling was provided to 71%, but only 40% changed food habits. Stress management programmes were rarely provided. Current preventive practice scarcely meets the challenge posed by the progress in modern invasive cardiology. The Study of Patient Information after percutaneous Coronary Intervention (SPICI) motivates an in-depth revision and adaptation of cardiac rehabilitation programmes in order to improve patient understanding of the disease, and to support greater compliance with a cardioprotective lifestyle.

  5. Cluster randomized evaluation of Adolescent Girls Empowerment Programme (AGEP: study protocol

    Directory of Open Access Journals (Sweden)

    Paul C. Hewett

    2017-05-01

    Full Text Available Abstract Background Adolescents in less developed countries such as Zambia often face multi-faceted challenges for achieving successful transitions through adolescence to early adulthood. The literature has noted the need to introduce interventions during this period, particularly for adolescent girls, with the perspective that such investments have significant economic, social and health returns to society. The Adolescent Girls Empowerment Programme (AGEP was an intervention designed as a catalyst for change for adolescent girls through themselves, to their family and community. Methods/design AGEP was a multi-sectoral intervention targeting over 10,000 vulnerable adolescent girls ages 10–19 in rural and urban areas, in four of the ten provinces of Zambia. At the core of AGEP were mentor-led, weekly girls’ group meetings of 20 to 30 adolescent girls participating over two years. Three curricula ― sexual and reproductive health and lifeskills, financial literacy, and nutrition ― guided the meetings. An engaging and participatory pedagogical approach was used. Two additional program components, a health voucher and a bank account, were offered to some girls to provide direct mechanisms to improve access to health and financial services. Embedded within AGEP was a rigorous multi-arm randomised cluster trial with randomization to different combinations of programme arms. The study was powered to assess the impact across a set of key longer-term outcomes, including early marriage and first birth, contraceptive use, educational attainment and acquisition of HIV and HSV-2. Baseline behavioural surveys and biological specimen collection were initiated in 2013. Impact was evaluated immediately after the program ended in 2015 and will be evaluated again after two additional years of follow-up in 2017. The primary analysis is intent-to-treat. Qualitative data are being collected in 2013, 2015 and 2017 to inform the programme implementation and the

  6. A BLUEPRINT FOR IMPLEMENTING GRAND CHALLENGE SCHOLARS’ PROGRAMME: A CASE STUDY OF TAYLOR’S UNIVERSITY

    Directory of Open Access Journals (Sweden)

    MUSHTAK AL-ATABI

    2013-04-01

    Full Text Available The National Academy for Engineering announced 14 Grand Challenges for the 21st Century engineers to address in order to ensure a sustainable future for the generations to come. These grand challenges are in four broad areas, namely, energy and environment, health, security and learning and computation. This paper reports on a Grand Challenges Scholars’ Programme that is developed to prepare the engineering students to be able to address the grand challenges using the CDIO framework and focusing on five components; research experience, interdisciplinary curriculum, entrepreneurship, global dimension and service learning. The programme is voluntary and the candidates are expected to commit additional learning time. The programme was launched with 16 participants who are expected to graduate in 2016. A preliminary assessment of the programs shows that the participants found the programme useful in developing an array of CDIO skills. The School intends to continue offering this programme with the intention of integrating it with a holistic education approach.

  7. Investigation on the anisotropic mechanical behaviour of the Callovo-Oxfordian clay rock within the framework of ANDRA/GRS cooperation programme. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Chun-Liang [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS), Koeln (Germany); Armand, Gilles; Conil, Nathalie [French Agence Nationale Pour la Gestion de Dechets Radioactifs (ANDRA), Chatenay-Malabry (France)

    2015-01-15

    An underground repository for disposal of radioactive waste is planned to be constructed in the sedimentary Callovo-Oxfordian argillaceous formation (COX) in France /AND 05/. The clay rock exhibits inherent anisotropy with bedding structure, which leads to directional dependences of the rock properties (e.g. mineralogical, physical, mechanical, hydraulic, thermal, etc.) with respect to the bedding planes. For the design of the repository and the assessment of its safety during the operation and post-closure phases it is necessary to characterise and predict the anisotropic properties and processes in the host rock, particularly in the excavation damaged zone (EDZ) near the openings. Within the framework of the bilateral cooperation agreement between the French National Radioactive Waste Management Agency (ANDRA) and the German Federal Ministry of Economics and Technology (BMWi), concerning the research activities in the Meuse/Haute-Marne Underground Research Laboratory (MHM-URL), a joint research programme was initiated by ANDRA and GRS in 2013 to investigate mechanical anisotropy of the COX clay rock for the purpose of precise characterization, better understanding and reliable prediction of the development of EDZ around the repository. This programme was funded by ANDRA under contract number 059844 and performed by GRS during the time period of November 2013 to December 2014. GRS gratefully acknowledges the financial support from and the fruitful cooperation with ANDRA.

  8. Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study.

    Science.gov (United States)

    Wong, Eliza L Y; Woo, Jean; Cheung, Annie W L; Yeung, Pui-Yi

    2011-04-01

    The study was undertaken to estimate the uptake rate of a fall prevention programme among older fallers and explore related factors. Fall injuries are a major cause nationally of the loss of independence in old age, but they are preventable. Acceptance of fall prevention programmes is therefore important to reduce the risk of falling. Patients aged ≥60 attending the Department of Accident & Emergency of a regional hospital in Hong Kong between 2006 and 2007 were recruited. The study included a baseline interview, focus group interview and a cross-sectional 1-year follow-up telephone survey to assess uptake and its related factors. A total 68% of 1194 older people attended the fall programme. Factors associated with programme participation included the perception of fall as being preventable [OR=3.47, 95% CI (1.59-7.56)] or recoverable [OR=1.73, 95% CI (1.06-2.82)], a safe outside environment; absence of chronic illness, and ability to walk without aids. Old-age people, those living in old-age homes and of lower education level were less likely to join the programme. Older people with the selected characteristics were less likely to attend the fall prevention programme, thus were less likely to benefit from them. Support from family/carers may be an important element in participation. In a nursing context, in primary care practice, all of these factors should be taken into account in any future development of a fall prevention programme in Hong Kong of this nature. © 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd.

  9. Critical interactions between Global Fund-supported programmes and health systems: a case study in Papua New Guinea.

    Science.gov (United States)

    Rudge, James W; Phuanakoonon, Suparat; Nema, K Henry; Mounier-Jack, Sandra; Coker, Richard

    2010-11-01

    In Papua New Guinea, investment by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has played an important role in scaling up the response to HIV and tuberculosis (TB). As part of a series of case studies on how Global Fund-supported programmes interact with national health systems, we assessed the nature and extent of integration of the Global Fund portfolios within the national HIV and TB programmes, the integration of the HIV and TB programmes within the general health system, and system-wide effects of Global Fund support in Papua New Guinea. The study relied on a literature review and 30 interviews with key stakeholders using the Systemic Rapid Assessment Toolkit and thematic analysis. Global Fund-supported activities were found to be largely integrated, or at least coordinated, with the national HIV and TB programmes. However, this has reinforced the vertical nature of these programmes with respect to the general health system, with parallel systems established to meet the demands of programme scale-up and the performance-based nature of Global Fund investment in the weak health system context of Papua New Guinea. The more parallel functions include monitoring and evaluation, and procurement and supply chain systems, while human resources and infrastructure for service delivery are increasingly integrated at more local levels. Positive synergies of Global Fund support include engagement of civil-society partners, and a reliable supply of high-quality drugs which may have increased patient confidence in the health system. However, the severely limited and overburdened pool of human resources has been skewed towards the three diseases, both at management and service delivery levels. There is also concern surrounding the sustainability of the disease programmes, given their dependence on donors. Increasing Global Fund attention towards health system strengthening was viewed positively, but should acknowledge that system changes are slow

  10. Long-term effectiveness of a back education programme in elementary schoolchildren: an 8-year follow-up study.

    Science.gov (United States)

    Dolphens, Mieke; Cagnie, Barbara; Danneels, Lieven; De Clercq, Dirk; De Bourdeaudhuij, Ilse; Cardon, Greet

    2011-12-01

    The purpose of this study was to investigate the long-term effectiveness of a spine care education programme conducted in 9- to 11-year-old schoolchildren. The study sample included 96 intervention subjects and 98 controls (9- to 11-year-olds at baseline). Intervention consisted of a 6-week school-based back education programme (predominantly biomechanically oriented) and was implemented by a physical therapist. Self-reported outcomes on back care knowledge, spinal care behaviour, self-efficacy towards favourable back care behaviour, prevalence of back and neck pain during the week and fear-avoidance beliefs were evaluated by the use of questionnaires. Post-tests were performed within 1 week after programme completion, after 1 year and after 8 years. Whereas the educational back care programme resulted in increased back care knowledge up to adulthood (P cognitive aspect of back care up to adulthood, yet not in changing actual behaviour or self-efficacy. The current study does not provide evidence that educational back care programmes have any impact on spinal pain in adulthood. The true long-term impact of school-based spinal health interventions on clinically relevant outcome measures merits further attention.

  11. Evaluation of a multidisciplinary rehabilitation programme for elderly patients with hip fracture: A prospective cohort study

    Directory of Open Access Journals (Sweden)

    Wing-Hoi Cheung

    2017-12-01

    Full Text Available Objective: To investigate the effectiveness and cost of an 18-month multi-disciplinary Comprehensive Fragility Fracture Management Program (CFFMP for fragility hip fracture patients. Design: Prospective cohort study. Patients: Elderly patients with hip fracture were recruited at their first postoperative follow-up in 2 district hospitals. The intervention group comprised patients from the hospital undergoing CFFMP, and the control group comprised patients from another hospital undergoing conventional care. CFFMP provided geri-orthopaedic co-management, physician consultations, group-exercise and vibration-therapy. Timed-up-and-go test (TUG, Elderly Mobility Scale (EMS, Berg Balance Scale (BBS and fall risk screening (FS were used to assess functional performance. Incidences of falls and secondary fractures, the cost of the programme and related healthcare resources were recorded. Results: A total of 76 patients were included in the intervention group (mean age 77.9 years ((standard deviation; SD 6.1 and 77 in the control group (79.9 (SD 7.2, respectively. The re-fracture rate in the control group (10.39% was significantly higher than in the intervention group (1.32% (p = 0.034. The intervention group improved significantly in TUG, EMS and FS after a 1-year programme. The overall healthcare costs per patient in the intervention and control groups were US$22,450 and US$25,313, respectively. Conclusion: Multi-disciplinary CFFMP is effective, with reduced overall cost, reduced length of hospital stay and reduced secondary fracture rate. The rehabilitation community service favours rehabilitation and improved quality of life of hip fracture patients.

  12. Practicums as part of study programmes in library and information studies

    Directory of Open Access Journals (Sweden)

    Primož Južnič

    2016-11-01

    Full Text Available In Library and Information Science (LIS courses, practicums serve as a specific bond between theory on the one hand and practical work and the profession on the other. In seeking to prepare graduates for the profession and for professional work, LIS programmes use practicums as a model to enhance the library school curriculum. During the traditional LIS practicum, one already makes use of the many advantages online tools provide, building online portfolios or keeping student work diaries online while undertaking the practical part of one’s practicum. This enables easy and constant communication among all three stakeholders: host institutions, educational institutions, and students. Whilst it is important to engage actively with industry to provide students with opportunities to participate in ‘experiential learning’ and in building practical skills and knowledge, it is also important to ensure this is done in a systematic manner, and with a genuine desire on the part of the employers for a collaborative partnership. Striking similarities regarding practicums and placements between geographically distant countries such as Australia and Slovenia, and the opinions and attitudes that all three stakeholders – students, host institutions and educational institutions – share, indicates that traditional practicums, undertaken in a physical workplace, are still a key component of an LIS education.In Library and Information Science (LIS courses, practicums serve as a specific bond between theory onthe one hand and practical work and the profession on the other. In seeking to prepare graduates for theprofession and for professional work, LIS programmes use practicums as a model to enhance the libraryschool curriculum. During the traditional LIS practicum, one already makes use of the many advantagesonline tools provide, building online portfolios or keeping student work diaries online while undertakingthe practical part of one’s practicum. This

  13. Using smartphones and tablets in higher education contexts: an exploratory study within a teacher education programme

    Directory of Open Access Journals (Sweden)

    Parmigiani Davide

    2016-06-01

    Full Text Available This study aimed to analyse and explore the potential opportunities offered by mobile devices to improve the higher education scenario. In particular, the study was conducted within a teacher education programme. The students attended a course called Educational Technology, which focussed on the use of mobile devices (smartphones and tablets inside and outside the classroom. We examined the impact of mobile learning on students’ university activities and the changes in the organisation of their studying activity, their learning strategies and their interaction/cooperation levels. After the course, we administered a questionnaire that highlighted some findings concerning the differences between smartphones and tablets in supporting these aspects. We found that both types of devices improved the interaction/collaboration among students and the search for information, which was useful for studying. However, the organisation of studying and the learning strategies were supported only by tablets and for specific aspects of learning. This exploratory research suggests, on the one hand, some possible solutions to improve the quality of university activities, and on the other, it underlines some difficulties that will be analysed more thoroughly in further studies.

  14. Exploring the Dimensions of Brand Reputation in Higher Education--A Case Study of a Finnish Master's Degree Programme

    Science.gov (United States)

    Suomi, Kati

    2014-01-01

    This exploratory study examines the dimensions that are relevant to brand reputation, particularly in the context of master's degree programmes. The data analysis is based on Vidaver-Cohen's "Business school quality dimensions and reputational attributes". The qualitative data for the case study comprise a student questionnaire and…

  15. "You Have to Be a Bit Brave": Barriers to Scottish Student-Teachers' Participation in Study-Abroad Programmes

    Science.gov (United States)

    Santoro, Ninetta; Sosu, Edward; Fassetta, Giovanna

    2016-01-01

    This article reports on a study that examined Scottish student teachers' attitudes to study-abroad and the reasons underpinning their reluctance to participate in these programmes. Data collection comprised a mixed-methods approach consisting of a survey of 318 student-teachers in one Scottish university followed by semi-structured interviews with…

  16. Characterization of textural and hydric heterogeneities in argillaceous geo-materials using induced polarization method: application to the excavation damaged zone (EDZ) of the Tournemire experimental station; Caracterisation des heterogeneites texturales et hydriques des geomateriaux argileux par la methode de Polarisation Provoquee: Application a l'EDZ de la station experimentale de Tournemire

    Energy Technology Data Exchange (ETDEWEB)

    Okay, Gonca

    2011-03-25

    This Ph-D thesis investigates the potential of clay rocks for deep geological disposal of radioactive waste. Underground excavations are responsible in their vicinity a region, where the clay-rock is damaged or disturbed. This region must to be characterized to ensure the safety of repositories. The extension of the excavation damaged zone (EDZ) and its evolution over time have been investigated thought electrical resistivity and induced polarization methods from three galleries belonging to the French Institute of Radioprotection and Nuclear Safety (IRSN)'s experimental underground research laboratory of Tournemire (Aveyron, France). Time domain induced polarisation indicates the presence of mineralization (e.g., especially pyrite) located in the structural discontinuities such as tectonic fractures (mm-cm), tectonic fault (m) and calcareous nodules (cm). Combined electrical resistivity and Induced Polarization methods show the possibility to delineate textural changes associated to desaturation of the clay-rock induced by the ventilation of galleries. The impact of the desaturation is particularly observed on the gallery's walls. In addition, Spectral Induced Polarization (SIP) tomography results can be used to discriminate the responses of the de-saturated zones from the fractured zones. We have performed laboratory experiments (in the range 1.4 mHz - 12 kHz) using saturated unconsolidated sand-clay mixtures. The results illustrate that the amplitude of polarization is strongly affected by the surface properties of these mixtures (e.g., cation exchange capacity, specific surface area) and by the volumetric clay content. However, the amplitude of polarization is independent of the concentration of electrolyte. The SIP response is also strongly sensitive to the mineralogy of the clays. (author)

  17. Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain.

    Science.gov (United States)

    Smith, Benjamin E; Hendrick, Paul; Bateman, Marcus; Moffatt, Fiona; Rathleff, Michael Skovdal; Selfe, James; Smith, Toby O; Logan, Pip

    2018-01-01

    Patellofemoral pain (PFP) is one of the most common forms of knee pain in adults under the age of 40, with a prevalence of 23% in the general population. The long-term prognosis is poor, with only one third of people pain-free 1 year after diagnosis. The biomedical model of pain in relation to persistent PFP has recently been called into question. It has been suggested that interventions for chronic musculoskeletal conditions should consider alternative mechanisms of action, beyond muscles and joints. Modern treatment therapies should consider desensitising strategies, with exercises that target movements and activities patients find fearful and painful. High-quality research on exercise prescription in relation to pain mechanisms, not directed at specific tissue pathology, and dose response clearly warrants further investigation. Our primary aim is to establish the feasibility and acceptability of conducting a definitive RCT which will evaluate the clinical and cost-effectiveness of a loaded self-managed exercise programme for people with patellofemoral pain. This is a single-centred, multiphase, sequential, mixed-methods trial that will evaluate the feasibility of running a definitive large-scale randomised controlled trial of a loaded self-managed exercise programme versus usual physiotherapy. Initially, 8-10 participants with a minimum 3-month history of PFP will be recruited from an NHS physiotherapy waiting list and interviewed. Participants will be invited to discuss perceived barriers and facilitators to exercise engagement, and the meaning and impact of PFP. Then, 60 participants will be recruited in the same manner for the main phase of the feasibility trial. A web-based service will randomise patients to a loaded self-managed exercise programme or usual physiotherapy. The loaded self-managed exercise programme is aimed at addressing lower limb knee and hip weakness and is positioned within a framework of reducing fear/avoidance with an emphasis on self

  18. A study to analyze IAEA planning of 2004-2005 programme and to establish cooperation directions with the IAEA

    Energy Technology Data Exchange (ETDEWEB)

    Oh, K. B.; Lee, K. S.; Lee, B. W.; Ko, H. S.; Ryu, J. S.; Lee, T. J.; Kim, M. R

    2003-07-01

    The objective of this study is to utilize the IAEA effectively through reflecting Korea's opinion fully for the planning of the Agency's 2004{approx}2005 Programme. This study first analyzed the current status of the IAEA Programme and Budget and reviewed the issues relevant to Korea. Second, this study assessed the IAEA 2004{approx}2005 Programme and drew up Korea's opinion for it. The official document including the opinions was submitted to the Secretariat. In reviewing the Programme, this study considered the strengths of Korea related to the Programme. Also some projects and CRPs, which can be lead by Korea, were proposed. The IAEA 2004{approx}2005 Programme reflected well the technical and social changes and its structure seems to be proper. The budget was proposed to be increased over 10%, violating the zero-real growth principle. This seems to be inevitable considering the increase of safeguards activities. However, there should be prepared some measures to avoid rapid increase of the burdens of the Member States. In the process of the planning of the IAEA 2004{approx}2005 Programme, the following points should be emphasized. First, SMR activities should be given a high priority considering the high interests of developing countries and be set up as a separate project as in the 2002{approx}2003 Programme. Second, more budget should be allocated for Project A.4.04(Support for demonstration of nuclear seawater desalination), considering the highest priority of the project in Program A. Third, it's better to change the title of Subprogram C.3 to 'Nuclear knowledge Preservation' to stick to the original rationale of the subprogram. There is a need for further activities such as establishing and implementing the concept of international nuclear school based on the result of the feasibility study done in 2002{approx}2003. Fourth, further activities needs to be added to the Project D.2.03 for the efficient conversion to high density

  19. A study to analyze IAEA planning of 2004-2005 programme and to establish cooperation directions with the IAEA

    International Nuclear Information System (INIS)

    Oh, K. B.; Lee, K. S.; Lee, B. W.; Ko, H. S.; Ryu, J. S.; Lee, T. J.; Kim, M. R.

    2003-07-01

    The objective of this study is to utilize the IAEA effectively through reflecting Korea's opinion fully for the planning of the Agency's 2004∼2005 Programme. This study first analyzed the current status of the IAEA Programme and Budget and reviewed the issues relevant to Korea. Second, this study assessed the IAEA 2004∼2005 Programme and drew up Korea's opinion for it. The official document including the opinions was submitted to the Secretariat. In reviewing the Programme, this study considered the strengths of Korea related to the Programme. Also some projects and CRPs, which can be lead by Korea, were proposed. The IAEA 2004∼2005 Programme reflected well the technical and social changes and its structure seems to be proper. The budget was proposed to be increased over 10%, violating the zero-real growth principle. This seems to be inevitable considering the increase of safeguards activities. However, there should be prepared some measures to avoid rapid increase of the burdens of the Member States. In the process of the planning of the IAEA 2004∼2005 Programme, the following points should be emphasized. First, SMR activities should be given a high priority considering the high interests of developing countries and be set up as a separate project as in the 2002∼2003 Programme. Second, more budget should be allocated for Project A.4.04(Support for demonstration of nuclear seawater desalination), considering the highest priority of the project in Program A. Third, it's better to change the title of Subprogram C.3 to 'Nuclear knowledge Preservation' to stick to the original rationale of the subprogram. There is a need for further activities such as establishing and implementing the concept of international nuclear school based on the result of the feasibility study done in 2002∼2003. Fourth, further activities needs to be added to the Project D.2.03 for the efficient conversion to high density, low enriched uranium in Member States; for instance, review

  20. Industry sponsored youth smoking prevention programme in Malaysia: a case study in duplicity

    OpenAIRE

    Assunta, M; Chapman, S

    2004-01-01

    Objective: To review tobacco company strategies of using youth smoking prevention programmes to counteract the Malaysian government's tobacco control legislation and efforts in conducting research on youth to market to them.

  1. The important role of food composition in policies and programmes for better public health: A South African case study.

    Science.gov (United States)

    Schönfeldt, Hettie C; Hall, Nicolette; Pretorius, B

    2018-01-01

    Most governments have committed to the set of Sustainable Development Goals established by the United Nations (UN) to be achieved by 2030. Subsequently the governments have drafted, or are in process of drafting, policies and programmes which aim to answer to these global requests. South Africa provides a unique case study: despite economic growth, undernutrition has not improved when compared to other industrialised nations, while at the same time, diet-related non-communicable diseases and obesity have exponentially increased. Access to healthy food is a constitutional right of all South Africans, and towards increasing food security and improving population health, various policies, programmes and regulations have been developed and implemented by the government to rectify the situation. The paper presents an overview of food composition within these public health policies, programmes and regulations and unpacks the important role of accurate food composition data. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Comparison of two school-based programmes for health behaviour change: the Belo Horizonte Heart Study randomized trial.

    Science.gov (United States)

    Ribeiro, Robespierre Q C; Alves, Luciana

    2014-06-01

    To assess the efficacy of two school-based programmes to promote students' willingness to engage in lifestyle changes related to eating habits and physical activity behaviours. Elementary school-based health promotion intervention, designed as a multicomponent experimental study, based on a behavioural epidemiological model. Nine intervention and eight comparative public and private elementary schools. The goal was to determine the impact on the longitudinally assessed outcomes of two programmes that addressed healthy nutrition and active living in a cohort of 2038 children. The evaluations used pre-intervention and follow-up student surveys that were based on the Transtheoretical Model of the stages of behaviour change. In the intervention group, there were significant (P motivated teachers. The comparison group did not show significant differences between the pre- and post-intervention times for any of the stages of behaviour. The intervention programme encouraged the students to make healthy lifestyle choices related to eating habits and physical activity behaviours.

  3. Energy and environment at a crossroads - perspectives from the social studies of the SAMRAM research programme

    International Nuclear Information System (INIS)

    Roevik, Arne Oe.

    2001-01-01

    Leading abstract. The research programme SAMRAM was carried out by the Research Council of Norway in 1996-2000. The present book contains twelve articles based on the results of the programme. The articles are grouped in three main sections: (1) The energy markets - environmental effects, innovation and consumption, (2) Energy and environmental policy - international relations and national instruments, (3) Instruments of the energy- and environmental policy - motivation and behaviour

  4. A childhood obesity prevention programme in Barcelona (POIBA Project): Study protocol of the intervention

    Science.gov (United States)

    Sánchez-Martínez, Francesca; Juárez, Olga; Serral, Gemma; Valmayor, Sara; Puigpinós, Rosa; Pasarín, María Isabel; Díez, Élia; Ariza, Carles

    2018-01-01

    Background Childhood obesity preventive interventions should promote a healthy diet and physical activity at home and school. This study aims to describe a school-based childhood obesity preventive programme (POIBA Project) targeting 8-to-12- year-olds. Design and methods Evaluation study of a school-based intervention with a pre-post quasi-experimental design and a comparison group. Schools from disadvantaged neighbourhoods are oversampled. The intervention consists of 9 sessions, including 58 activities of a total duration between 9 and 13 hours, and the booster intervention of 2 sessions with 8 activities lasting 3 or 4 hours. They are multilevel (individual, family and school) and multicomponent (classroom, physical activity and family). Data are collected through anthropometric measurements, physical fitness tests and lifestyle surveys before and after the intervention and the booster intervention. In the intervention group, families complete two questionnaires about their children’s eating habits and physical activity. The outcome variable is the cumulative incidence rate of obesity, obtained from body mass index values and body fat assessed by triceps skinfold thickness. The independent variables are socio-demographic, contextual, eating habits, food frequency, intensity of physical activity and use of new technologies. Expected impact for public health It is essential to implement preventive interventions at early ages and to follow its effects over time. Interventions involving diet and physical activity are the most common, being the most effective setting the school. The POIBA Project intervenes in both the school and family setting and focuses on the most disadvantaged groups, in which obesity is most pronounced and difficult to prevent. Significance for public health Overweight and obesity are a major public health concern that predispose affected individuals to the development of chronic diseases. Of importance, obesity is more common among

  5. [Preliminary results of a community fall prevention programme: Precan study (falls prevention in La Ribera)].

    Science.gov (United States)

    Pérez-Ros, Pilar; Martínez-Arnau, Francisco; Tormos Miñana, Immaculada; López Aracil, Aranzazu; Oltra Sanchis, M Carmen; Pechene Mera, Leidy E; Tarazona-Santabalbina, Francisco José

    2014-01-01

    To evaluate the results of a fall prevention programme designed to be applied to the elderly living in the community. The sample consisted of 249 participants ≥70 years of age, who were randomly assigned to one of three groups. The monthly intervention group (GIM): instructions on fall prevention and healthy exercises to improve physical function and balance at beginning of the study, and a monthly theoretical and practical refresher session. The quarterly intervention group (GIT), with the same beginning intervention and a refresher session every three months. The control group (GC), the same beginning intervention but no refresher sessions. The mean age of the sample was 74.47 years (SD 5.33), with 64% women. The incidence of falls was reduced from 0.64 per patient year in the previous year to 0.39 in the post-intervention year in GIM, from 0.49 to 0.47 in GIT, and in the GC it remained at 0.47 before and twelve months after, but with no significant differences in the reduction between groups (P=.062). At the end of the study there was a decrease in Rizzo scale of 0.72 points (95% CI: 0.57-0.88, Pfalls. Further studies are required to continue research into the incidence of falls in the elderly living in the community. Copyright © 2013 SEGG. Published by Elsevier Espana. All rights reserved.

  6. A Case Study on Cyber-security Program for the Programmable Logic Controller of Modern NPPs

    International Nuclear Information System (INIS)

    Song, S. H.; Lee, M. S.; Kim, T. H.; Park, C. H.; Park, S. P.; Kim, H. S.

    2014-01-01

    As instrumentation and control (I and C) systems for modern Nuclear Power Plants (NPPs) have been digitalized to cope with their growing complexity, the cyber-security has become an important issue. To protect the I and C systems adequately from cyber threats, such as Stuxnet that attacked Iran's nuclear facilities, regulations of many countries require a cyber-security program covering all the life cycle phases of the system development, from the concept to the retirement. This paper presents a case study of cyber-security program that has been performed during the development of the programmable logic controller (PLC) for modern NPPs of Korea. In the case study, a cyber-security plan, including technical, management, and operational controls, was established through a security risk assessment. Cyber-security activities, such as development of security functions and periodic inspections, were conducted according to the plan: the security functions were applied to the PLC as the technical controls, and periodic inspections and audits were held to check the security of the development environment, as the management and operational controls. A final penetration test was conducted to inspect all the security problems that had been issued during the development. The case study has shown that the systematic cyber-security program detected and removed the vulnerabilities of the target system, which could not be found otherwise, enhancing the cyber-security of the system

  7. A Case Study on Cyber-security Program for the Programmable Logic Controller of Modern NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Song, S. H. [Korea University, Seoul (Korea, Republic of); Lee, M. S.; Kim, T. H. [Formal Work Inc., Seoul (Korea, Republic of); Park, C. H. [LINE Corp., Tokyo (Japan); Park, S. P. [Ahnlab Inc., Seoul (Korea, Republic of); Kim, H. S. [Sejong University, Seoul (Korea, Republic of)

    2014-08-15

    As instrumentation and control (I and C) systems for modern Nuclear Power Plants (NPPs) have been digitalized to cope with their growing complexity, the cyber-security has become an important issue. To protect the I and C systems adequately from cyber threats, such as Stuxnet that attacked Iran's nuclear facilities, regulations of many countries require a cyber-security program covering all the life cycle phases of the system development, from the concept to the retirement. This paper presents a case study of cyber-security program that has been performed during the development of the programmable logic controller (PLC) for modern NPPs of Korea. In the case study, a cyber-security plan, including technical, management, and operational controls, was established through a security risk assessment. Cyber-security activities, such as development of security functions and periodic inspections, were conducted according to the plan: the security functions were applied to the PLC as the technical controls, and periodic inspections and audits were held to check the security of the development environment, as the management and operational controls. A final penetration test was conducted to inspect all the security problems that had been issued during the development. The case study has shown that the systematic cyber-security program detected and removed the vulnerabilities of the target system, which could not be found otherwise, enhancing the cyber-security of the system.

  8. Multivariant strategy study for the use of plutonium in a nuclear programme: the case of the large and small country

    International Nuclear Information System (INIS)

    Dievoet, J. van; Kunsch, P.; Verraver, J.

    1982-01-01

    The results of a multicriteria study into the desirability of introducing a plutonium using FBR programme into two fictitious countries, one large and one small, are presented. The strategy discussed concerns only base load electrical energy production with both fossil and nuclear fuels. A number of independent social, economic and political objectives need to be considered in the choice of power plant programme. These include the price of fuel, the safety of fuel supply, the balance of services, the new investments needed and the impact of new technology. (U.K.)

  9. The impact on sleep of a multidisciplinary cognitive behavioural pain management programme: a pilot study.

    Science.gov (United States)

    Cunningham, Jennifer M; Blake, Catherine; Power, Camillus K; O'Keeffe, Declan; Kelly, Valerie; Horan, Sheila; Spencer, Orla; Fullen, Brona M

    2011-01-10

    Reduced sleep quality is a common complaint among patients with chronic pain, with 50-80% of patients reporting sleep disturbance. Improvements in pain and quality of life measures have been achieved using a multidisciplinary cognitive behavioural therapy pain management programme (CBT-PMP) that aims to recondition attitudes to pain, and improve patients' self-management of their condition. Despite its high prevalence in patients with chronic pain, there is very limited objective evidence for the effect of this intervention on sleep quality. The primary research objective is to investigate the short-term effect of a multidisciplinary CBT-PMP on subjective (measured by Pittsburg Sleep Quality Index) and objective sleep quality (measured by Actigraphy) in patients with chronic pain by comparison with a control group. The secondary objectives will investigate changes in function and mood, and then explore the relationship between objective and subjective sleep quality and physical and psychological outcome measures. Patients who fulfil the inclusion criteria for attendance on the multidisciplinary CBT-PMP in the Adelaide and Meath Hospital, Tallaght, Dublin and are currently listed on the PMP waiting list will be invited to participate in this pilot study. Potential patients will be screened for sleep disturbance [determined by the Pittsburgh Sleep Quality Index (PSQI)]. Those patients with a sleep disturbance (PSQI >5) will be assigned to either the intervention group (immediate treatment), or control group (deferred treatment, i.e. the PMP they are listed for is more than six months away) based on where they appear on the waiting list. Baseline measures of sleep, function, and mood will be obtained using a combination of self-report questionnaires (the Hospital Anxiety and Depression Scale, the Short Form 36 health survey, the Pittsburgh Sleep Quality Index, the Tampa Scale for Kinesiophobia), and functional outcome measures. Sleep will be measured for seven days

  10. Development of a programmable CCD detector for imaging, real time studies and other synchrotron radiation applications

    International Nuclear Information System (INIS)

    Brizard, C.

    1991-01-01

    A new CCD detector has been developed. The working of CCD and programmable detector is detailed in this thesis. The flexibility of the system allows the use of CCDs from different manufactures. The vacuum chamber of the detector is made of a beryllium window for experiments using X-radiation or of a quartz window coupled to a focusing optic system. Its temporal resolution is 2 microseconds with a X-radiation imaging. Images with a high spatial resolution have been obtained with the focusing system having a set of optical lenses and filters. The first X-ray diffraction experiments in the range of milliseconds and microseconds for the study of semiconductor heterostructures have been performed at X16 beam line at NSLS (National Synchrotron Light Source) with the detector illuminated by X-rays. For the first time, a X-ray beam, horizontally focused has been used to record a X-ray diffraction spectra on a 2-D detector. Finally, a X-ray diffraction method has been used to study the first steps of the crystallisation of Fe 8 0B 2 0 amorphous metallic alloy at X6 beam line at NSLS

  11. Epidemiological study of brucellosis in eight Greek villages using a Computerised Mapping Programme

    International Nuclear Information System (INIS)

    Hadjichristodoulou, Ch.; Papatheodorou, Ch.; Soteriades, E.; Panagakos, G.; Kastritis, I.; Goutziana, G.; Charvalos, E.; Tselentis, Y.

    1999-01-01

    A Computerised Mapping Programme (CMP) was created step by step to cover all the needs of a cross sectional population survey conducted in eight villages of Fokida, a rural area of central Greece. The maps of Greece (boundary) and the topographical maps of the eight villages were created using the CMP. A volunteer sample of 1121 out of 2607 inhabitants of the study area participated in the population survey. The participants were tested for brucellosis using serological tests (ELISA and Rose Bengal) and the intradermal reaction test. A questionnaire was used to obtain information concerning the risk factors for brucellosis. The risk factors found through statistical analysis were occupation (RR: 5.81, p < 0.00001), consumption of raw milk (RR: 1.98, p < 0.001) and unpasteurized fresh cheese (RR: 2.13, p < 0.01). The same factors were indicated by the CMP. The CMP also indicated manure-contaminated playgrounds in residential yards as a potential risk factor for children. The origin and dissemination were delineated using time-space association display. The CMP proved to be a useful tool in this epidemiological study

  12. Using evaluability assessment to assess local community development health programmes: a Scottish case-study

    Directory of Open Access Journals (Sweden)

    Melissa Belford

    2017-04-01

    Full Text Available Abstract Background Evaluation of the potential effectiveness of a programme’s objectives (health or otherwise is important in demonstrating how programmes work. However, evaluations are expensive and can focus on unrealistic outcomes not grounded in strong theory, especially where there is pressure to show effectiveness. The aim of this research was to demonstrate that the evaluability assessment (a cost-effective pre-evaluation tool that primarily gives quick, constructive feedback can be used to help develop programme and outcome objectives to improve programmes while they run and to assist in producing more effective evaluations. This was done using the example of a community development programme aiming to improve health and reduce health inequalities in its target population. Methods The setting was Glasgow, Scotland, UK and focused on the Health Issues in the Community programme. Data were collected from documents and nine individual stakeholder interviews. Thematic analysis and a realist approach were used to analyse both datasets and, in conjunction with a workshop with stakeholders, produce a logic model of the programme theory and related evaluation options to explore further. Results Five main themes emerged from the analysis: History; Framework; Structure and Delivery of the Course; Theory of Action; and Barriers to Delivery and Successful Outcomes. These themes aided in drafting the logic model which revealed they key programme activities (e.g. facilitating group learning and 23 potential outcomes. The majority of these outcomes (16 were deemed to be short-term outcomes (more easily measured within the timeframe of an individual being involved in the programme e.g. increased self-esteem or awareness of individual/community health. The remaining 6 outcomes were deemed longer-term and included outcomes such as increased social capital and individual mental health and wellbeing. Conclusions We have shown that the evaluability

  13. Parental Concerns Regarding a Centre-Based Early Intervention Programme for Down Syndrome in Malaysia: A Case Study

    Science.gov (United States)

    Kunagaratnam, Nagasangari; Loh, Sau Cheong

    2010-01-01

    This qualitative study provides information on the concerns faced by parents having children with Down syndrome in a centre-based Early Intervention Programme in Malaysia and how they coped with these concerns. Semi-structured interviews were conducted with a total of five parents and two special educators. The interview and observation findings…

  14. The effect of a multimodal fast-track programme on outcomes in laparoscopic liver surgery : a multicentre pilot study

    NARCIS (Netherlands)

    Stoot, Jan H.; van Dam, Ronald M.; Busch, Olivier R.; van Hillegersberg, Richard; De Boer, Marieke; Damink, Steven W. M. Olde; Bemelmans, Marc H.; Dejong, Cornelis H. C.

    Objectives: This study was conducted to evaluate the added value of an enhanced recovery after surgery (ERAS) programme in laparoscopic liver resections for solid tumours. Methods: Patients undergoing laparoscopic liver resection between July 2005 and July 2008 were included. Indications for

  15. Development of Health Education Learning Module in Bac.TSE-LDPE Programme in TTI: Needs Analysis Study

    Science.gov (United States)

    Ujang, Alijah; Alias, Norlidah; Siraj, Saedah

    2015-01-01

    This study is to explore the need to develop learning modules of health education for trainee teachers in the Bachelor Of Teaching (Hons)(Special Education-Learning Disabilities For Primary Education) Programme (Bac.TSE-LDPE) in the Teacher Training Institute (TTI). The questionnaire uses the Likert scale with the close ended questions analysed by…

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

    NARCIS (Netherlands)

    Zwijsen, S.A.; Smalbrugge, M.; Zuidema, S.U.; Koopmans, R.T.C.M.; Bosmans, J.E.; Tulder, M.W. van; Eefsting, J.A.; Gerritsen, D.L.; Pot, A.M.

    2011-01-01

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

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

    NARCIS (Netherlands)

    Zwijsen, S.A.; Smalbrugge, M.; Zuidema, S.U.; Koopmans, R.T.C.M.; Bosmans, J.E.; van Tulder, M.W.; Eefsting, J.A.; Gerritsen, D.L.; Pot, A.M.

    2011-01-01

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

  18. Challenges in Academic Reading and Overcoming Strategies in Taught Master Programmes: A Case Study of International Graduate Students in Malaysia

    Science.gov (United States)

    Singh, Manjet Kaur Mehar

    2014-01-01

    This article focuses on research into academic reading practices of international graduate students in taught Master programmes in a Malaysian university. The purpose of the study was to examine the challenges faced in the academic reading practices as well as the strategies employed to overcome the challenges in the academic reading practices.…

  19. Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya

    Directory of Open Access Journals (Sweden)

    Marsh Vicki

    2010-07-01

    Full Text Available Abstract Background The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs. Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. Methods The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. Results The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a “resource team”, supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to

  20. Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya.

    Science.gov (United States)

    Abuya, Timothy; Amin, Abdinasir; Molyneux, Sassy; Akhwale, Willis; Marsh, Vicki; Gilson, Lucy

    2010-07-02

    The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs). Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a "resource team", supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to implementation difficulties. For effective scaling up of PMR

  1. Quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study.

    Science.gov (United States)

    Van Grootven, Bastiaan; McNicoll, Lynn; Mendelson, Daniel A; Friedman, Susan M; Fagard, Katleen; Milisen, Koen; Flamaing, Johan; Deschodt, Mieke

    2018-03-16

    To find consensus on appropriate and feasible structure, process and outcome indicators for the evaluation of in-hospital geriatric co-management programmes. An international two-round Delphi study based on a systematic literature review (searching databases, reference lists, prospective citations and trial registers). Western Europe and the USA. Thirty-three people with at least 2 years of clinical experience in geriatric co-management were recruited. Twenty-eight experts (16 from the USA and 12 from Europe) participated in both Delphi rounds (85% response rate). Participants rated the indicators on a nine-point scale for their (1) appropriateness and (2) feasibility to use the indicator for the evaluation of geriatric co-management programmes. Indicators were considered appropriate and feasible based on a median score of seven or higher. Consensus was based on the level of agreement using the RAND/UCLA Appropriateness Method. In the first round containing 37 indicators, there was consensus on 14 indicators. In the second round containing 44 indicators, there was consensus on 31 indicators (structure=8, process=7, outcome=16). Experts indicated that co-management should start within 24 hours of hospital admission using defined criteria for selecting appropriate patients. Programmes should focus on the prevention and management of geriatric syndromes and complications. Key areas for comprehensive geriatric assessment included cognition/delirium, functionality/mobility, falls, pain, medication and pressure ulcers. Key outcomes for evaluating the programme included length of stay, time to surgery and the incidence of complications. The indicators can be used to assess the performance of geriatric co-management programmes and identify areas for improvement. Furthermore, the indicators can be used to monitor the implementation and effect of these programmes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All

  2. Pre-Service Teachers’ Beliefs about Foreign Language Learning: A Study of Three Different Teacher Training Study Programmes in Slovenia

    Directory of Open Access Journals (Sweden)

    Darija Skubic

    2017-12-01

    Full Text Available It has been determined that beliefs about language learning are significant for the learning and teaching process, and that learners may differ in their beliefs towards learning a new language. Similarly, student-teachers of different subjects may differ in their beliefs about language learning. The main aim of this study was thus to investigate pre-service preschool teachers’, primary school teachers’, and special education teachers’ beliefs about foreign language learning in Slovenia. Three different areas were researched more closely: beliefs about foreign language aptitude, beliefs about the nature of learning and beliefs about foreign language motivations and expectations. The BALLI questionnaire was used to gather data, with responses provided by170 first-year students. The results show that despite attending different teacher training study programmes, students do not differ significantly in their beliefs about language learning; however, in comparison to other studies, the results imply that learners from different cultures see language learning differently.

  3. Study protocol for the Cities Changing Diabetes programme: a global mixed-methods approach.

    Science.gov (United States)

    Napier, A David; Nolan, John J; Bagger, Malene; Hesseldal, Louise; Volkmann, Anna-Maria

    2017-11-08

    Urban living has been shown to affect health in various ways. As the world is becoming more urbanised and almost two-thirds of people with diabetes now live in cities, research into the relationship between urban living, health and diabetes is key to improving the lives of many. The majority of people with diabetes have type 2 diabetes, a subset linked to overweight and obesity, decreased physical activity and unhealthy diets. Diabetes has significant consequences for those living with the condition as well as their families, relationships and wider society. Although care and management are improving, complications remain common, and diabetes is among the leading causes of vision loss, amputation, neuropathy and renal and cardiovascular disease worldwide. We present a research protocol for exploring the drivers of type 2 diabetes and its complications in urban settings through the Cities Changing Diabetes (CCD) partnership programme. A global study protocol is implemented in eight collaborating CCD partner cities. In each city, academic institutions, municipal representatives and local stakeholders collaborate to set research priorities and plan implementation of findings. Local academic teams execute the study following the global study protocol presented here. A quantitative Rule of Halves analysis obtains measures of the magnitude of the diabetes burden, the diagnosis rates in each city and the outcomes of care. A qualitative Diabetes Vulnerability Assessment explores the urban context in vulnerability to type 2 diabetes and identifies social factors and cultural determinants relevant to health, well-being and diabetes. The protocol steers the collection of primary and secondary data across the study sites. Research ethics board approval has been sought and obtained in each site. Findings from each of the local studies as well as the result from combined multisite (global) analyses will be reported in a series of core scientific journal papers. © Article author

  4. Rural electrification programme with solar energy in remote region - a case study in an island

    Energy Technology Data Exchange (ETDEWEB)

    Chakrabarti, Snigdha; Chakrabarti, Subhendu [Indian Statistical Inst., Economic Research Unit, Kolkata (India)

    2002-01-01

    In the programme of total electrification, centralized supply of power generated by conventional methods using exhaustible resources is proving to be uneconomic and, more importantly, unmanageable so far as supply to rural areas, particularly remote places, are concerned. On the other hand, the decentralized approach based on supply of power produced with renewable energy resources available locally is, for various reasons, gradually being recognized as a viable alternative for such remote places. The present paper attempts to examine, from a broad-based socio-economic and environmental point of view, the feasibility of decentralized solar photovoltaic (SPV) system as a source of power compared to that from conventional sources in a remotely located island. The study, based on a sample survey, conducted in an island called 'Sagar Dweep' in West Bengal, India, shows that within a short spell of time of four years, there have been noticeable improvements and significant impact on education, trade and commerce, entertainment, health etc. as a result of supply of power from SPV power plants. Productivity level of some agricultural activities as well as women's participation in different economic activities (at night) other than household work have shown definite signs of betterment. The SPV system is also superior to other conventional systems on consideration of its environmental effects. Thus, on the whole, there seems to be a strong case for the locally installed SPV system in spite of its current unfavourable position in respect of the direct cost of production. (Author)

  5. Price-structure of electricity and district-heating. A background study for energy conservation programme

    International Nuclear Information System (INIS)

    1994-01-01

    The present report deals with the pricing and price-structure of electricity and district-heating with their effects on energy saving. It constitutes part of the groundwork for the new Government Energy Conservation Programme. The report describes principles for the pricing of electricity and district-heating in Finland, and gives some examples of tariffs in foreign countries, which are interesting from the point of view of energy saving. Different utilities apply quite similar pricing principles but there are big differences in price levels between the utilities. The difference in consumer prices can be almost 100 % in the case of electricity and over 150 % as concerns district-heating. The change in retail prices in the last ten years has not had a big general impact on the consumption of electricity or on energy saving. On the other hand, when the price increases of individual utilities are studied, the impact on energy saving at least in the short term can be seen. It seems that an increase of the fixed charges in relation to energy rates has been as a general trend after 1990. To promote energy saving the changing energy rates should be given special emphasis in determining electricity and district-heating tariffs. The opening of the electricity market means that the electricity suppliers face a new situation also when pricing their products. Customers and their expectations will play an increasingly role. (orig.)

  6. PROFESSIONALS BACK TO SCHOOL - AN ENGINEERING OUTREACH PROGRAMME: A CASE STUDY IN MALAYSIA

    Directory of Open Access Journals (Sweden)

    BALAMURALITHARA BALAKRISHNAN

    2017-10-01

    Full Text Available The introduction of engineering education in K-12 classrooms opens up a number of opportunities for STEM learning to support the acquisition of knowledge and skills related to science and mathematics subjects. Several initiatives, including outreach programmes, have been carried out to promote engineering subjects and professions. To supplement the existing Malaysian curricula, an outreach programme seems a viable solution to help improve the understanding and awareness of the importance of engineering among students. In this regard, an engineering outreach program called Professionals Back to School was carried out involving a group of 40 students with the participation of several engineering practitioners. Later all the participants were interviewed to elicit feedback on the programme. The findings of the interview showed that all the participants agreed that the outreach programme was beneficial, and a majority found it to be motivational. Given these positive findings, engineering outreach programmes are highly recommended to Malaysian secondary schools to help create interest among schoolchildren in STEM education and professions.

  7. [Factors Influencing Participation in Financial Incentive Programmes of Health Insurance Funds. Results of the Study 'German Health Update'].

    Science.gov (United States)

    Jordan, S; von der Lippe, E; Starker, A; Hoebel, J; Franke, A

    2015-11-01

    The statutory health insurance can offer their insured incentive programmes that will motivate for healthy behaviour through a financial or material reward. This study will show results about what factors influence financial incentive programme participation (BPT) including all sorts of statutory health insurance funds and taking into account gender differences. For the cross-sectional analysis, data were used from 15,858 participants in the study 'Germany Health Update' (GEDA) from 2009, who were insured in the statutory health insurance. The selection of potential influencing variables for a BPT is based on the "Behavioural Model for Health Service Use" of Andersen. Accordingly, various factors were included in logistic regression models, which were calculated separately by gender: predisposing factors (age, education, social support, and health awareness), enabling factors (income, statutory health insurance fund, and family physician), and need factors (smoking, fruit and vegetable consumption, sports, body mass index, and general health status). In consideration of all factors, for both sexes, BPT is associated with age, health awareness, education, use of a family physician, smoking, and sports activities. In addition, income, body mass index, and diet are significant in women and social support and kind of statutory health insurance fund in men. It is found that predisposing, enabling and need factors are relevant. Financial incentive programmes reach population groups with greatest need less than those groups who already have a health-conscious behaviour, who receive a reward for this. In longitudinal studies, further research on financial incentive programmes should investigate the existence of deadweight effects and whether incentive programmes can contribute to the reduction of the inequity in health. © Georg Thieme Verlag KG Stuttgart · New York.

  8. The CEA/DRN innovative R and D programme: significant studies on passive systems

    International Nuclear Information System (INIS)

    Fiorini, G.L.; Magistris, F. de; Dumaz, P.; Gautier, G.M.; Pignatel, J.F.; Richard, P.

    1999-01-01

    The work on passive systems is an essential item of the R and D programme for future reactors; it is structured following four main guidelines: Research, and validation of innovative solutions for the safety functions achievement; An enlarged assessment of the performances of passive systems; Extension of the data base and of the tools qualification range; Assessment of new plant operation modes. After a recalling on the general framework, the paper describes, following these guidelines, the status of the art of the main corresponding programmes within CEA/DRN. (author)

  9. A study on implementation of dynamic safety system in programmable logic controller for pressurized water reactor

    International Nuclear Information System (INIS)

    Kim, Ung Soo

    1997-02-01

    The dynamic safety system (DSS) is a computer based reactor protection system that has dynamic self-testing feature and fail-safe nature inherently. The inherent dynamic self-testing feature and fail-safe design provide a high level of reliability and low spurious trip rate. We can also reduce the time and human efforts to maintain the system by virtue of those features. Therefore, the application of the DSS to PWR has many advantages. The DSS has been applied only to advanced gas-cooled reactor (AGR) in the UK. In order to apply the DSS for PWR, the DSS has to be modified because there exist many differences between PWR and AGR for which the DSS was tested and installed. These differences are trip algorithms, monitored parameters, trip logics, and other conditions. In this study, the DSS algorithm is modified for PWR first. The modified DSS has several new features : 1) The modified DSS tests and processes time-dependent parameters, while the original DSS does not. 2) It has flexibility for handling several types of voting logic but the original DSS handles the only one type of voting - 2 out of 4 coincidence logic. Then, in this study, the modified DSS is implemented in programmable logic controller (PLC) using the ladder logic. Finally, the modified DSS is tested in two ways in this work : 1) The manual test is performed using direct input through the human computer interface (HCI) system. 2) The scenario based test is performed using input from the FISA-2/WS simulator. From the test results, it is shown that the modified DSS operates correctly in all conditions

  10. Integrated planning of laboratory, in-situ, modelling and natural analogue studies in the Swiss radioactive waste management programme

    International Nuclear Information System (INIS)

    McKinley, I.G.; Zuidema, P.

    2001-01-01

    After more than 25 years of development, the Swiss radioactive waste management programme has a well established disposal strategy supported by an integrated R and D infrastructure. The process of implementation of repository projects is constrained by political factors, but a dynamic R and D programme is strongly guided by periodic integrated performance assessments and includes: Experimental studies in conventional and ''hot'' laboratories; Projects in underground test facilities and field test sites; Model development verification and validation; Natural and archaeological analogue projects. R and D in the Swiss national programme focuses on filling remaining gaps in system understanding, enhancing confidence via validation and demonstration projects, system optimisation and maintaining state of the art technical capacity in key areas. Increasingly, such work is carried out in collaboration with partner national waste management organisations. In addition, The National Cooperative for the Disposal of Radioactive Waste (Nagra) provides support services to developing programmes - which allows Nagra to widen its range of experience while providing attractive access to a knowledge base accumulated at a cost of over 750 M CHF. (author)

  11. Home-based balance training programme using Wii Fit with balance board for Parkinsons's disease: a pilot study.

    Science.gov (United States)

    Esculier, Jean-Francois; Vaudrin, Joanie; Bériault, Patrick; Gagnon, Karine; Tremblay, Louis E

    2012-02-01

    To evaluate the effects of a home-based balance training programme using visual feedback (Nintendo Wii Fit game with balance board) on balance and functional abilities in subjects with Parkinson's disease, and to compare the effects with a group of paired healthy subjects. Ten subjects with moderate Parkinson's disease and 8 healthy elderly subjects. Subjects participated in a 6-week home-based balance training programme using Nintendo Wii Fit and balance board. Baseline measures were taken before training for the Sit-to-Stand test (STST), Timed-Up-and-Go (TUG), Tinetti Performance Oriented Mobility Assessment (POMA), 10-m walk test, Community Balance and Mobility assessment (CBM), Activities-specific Balance and Confidence scale (ABC), unipodal stance duration, and a force platform. All measurements were taken again after 3 and 6 weeks of training. The Parkinson's disease group significantly improved their results in TUG, STST, unipodal stance, 10-m walk test, CBM, POMA and force platform at the end of the 6-week training programme. The healthy subjects group significantly improved in TUG, STST, unipodal stance and CBM. This pilot study suggests that a home-based balance programme using Wii Fit with balance board could improve static and dynamic balance, mobility and functional abilities of people affected by Parkinson's disease.

  12. Feasibility and effects of a physical exercise programme in adults with myotonic dystrophy type 1: a randomized controlled pilot study.

    Science.gov (United States)

    Kierkegaard, Marie; Harms-Ringdahl, Karin; Edström, Lars; Widén Holmqvist, Lotta; Tollbäck, Anna

    2011-07-01

    To investigate the feasibility and effects of a physical exercise programme on functioning and health-related quality of life in adults with myotonic dystrophy type 1. A randomized controlled trial. Thirty-five adults with myotonic dystrophy type 1. After stratification for level of functioning, study participants were assigned by lot to either a training group or a control group. Training-group participants attended a 60-minute comprehensive group-training programme, Friskis&Svettis® Open Doors, twice a week for 14 weeks. The six-minute walk test was the primary outcome measure and the timed-stands test, the timed up-and-go test, the Epworth sleepiness scale and the Short Form-36 health survey were secondary outcome measures. Intention-to-treat analyses revealed no significant differences in any outcome measures, except for an increased between-group difference after intervention in the Short Form-36 mental health subscale and a decrease in the vitality subscale for the control group. The programme was well tolerated and many training-group participants perceived subjective changes for the better. No negative effects were reported. The Friskis&Svettis® Open Doors programme was feasible for adults with myotonic dystrophy type 1 who had been screened for cardiac involvement, had distal or mild-to-moderate proximal muscle impairment, and no severe cognitive impairments. No beneficial or detrimental effects were evident.

  13. A parenting programme to prevent abuse of adolescents in South Africa: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Cluver, Lucie; Meinck, Franziska; Shenderovich, Yulia; Ward, Catherine L; Romero, Rocio Herrero; Redfern, Alice; Lombard, Carl; Doubt, Jenny; Steinert, Janina; Catanho, Ricardo; Wittesaele, Camille; De Stone, Sachin; Salah, Nasteha; Mpimpilashe, Phelisa; Lachman, Jamie; Loening, Heidi; Gardner, Frances; Blanc, Daphnee; Nocuza, Mzuvekile; Lechowicz, Meryn

    2016-07-19

    An estimated one billion children experience child abuse each year, with the highest rates in low- and middle-income countries. The Sinovuyo Teen programme is part of Parenting for Lifelong Health, a WHO/UNICEF initiative to develop and test violence-prevention programmes for implementation in low-resource contexts. The objectives of this parenting support programme are to prevent the abuse of adolescents, improve parenting and reduce adolescent behavioural problems. This trial aims to evaluate the effectiveness of Sinovuyo Teen compared to an attention-control group of a water hygiene programme. This is a pragmatic cluster randomised controlled trial, with stratified randomisation of 37 settlements (rural and peri-urban) with 40 study clusters in the Eastern Cape of South Africa. Settlements receive either a 14-session parenting support programme or a 1-day water hygiene programme. The primary outcomes are child abuse and parenting practices, and secondary outcomes include adolescent behavioural problems, mental health and social support. Concurrent process evaluation and qualitative research are conducted. Outcomes are reported by both primary caregivers and adolescents. Brief follow-up measures are collected immediately after the intervention, and full follow-up measures collected at 3-8 months post-intervention. A 15-24-month follow-up is planned, but this will depend on the financial and practical feasibility given delays related to high levels of ongoing civil and political violence in the research sites. This is the first known trial of a parenting programme to prevent abuse of adolescents in a low- or middle-income country. The study will also examine potential mediating pathways and moderating factors. Pan-African Clinical Trials Registry PACTR201507001119966. Registered on 27 April 2015. It can be found by searching for the key word 'Sinovuyo' on their website or via the following link: http://www.pactr.org/ATMWeb/appmanager/atm

  14. Do Children’s Health Resources Differ According to Preschool Physical Activity Programmes and Parental Behaviour? A Mixed Methods Study

    Directory of Open Access Journals (Sweden)

    Elena Sterdt

    2014-02-01

    Full Text Available Preschool can have positive effects on the development of a healthy lifestyle. The present study analysed to what extent different conditions, structures and behavioural models in preschool and family—children’s central social microsystems—can lead to differences in children’s health resources. Using a cross-sectional mixed methods approach, contrast analyses of “preschools with systematic physical activity programmes” versus “preschools without physical activity programmes” were conducted to assess the extent to which children’s physical activity, quality of life and social behaviour differ between preschools with systematic and preschools without physical activity programmes. Differences in children’s physical activity according to parental behaviour were likewise assessed. Data on child-related outcomes and parent-related factors were collected via parent questionnaires and child interviews. A qualitative focused ethnographic study was performed to obtain deeper insight into the quantitative survey data. Two hundred and twenty seven (227 children were interviewed at 21 preschools with systematic physical activity programmes, and 190 at 25 preschools without physical activity programmes. There was no significant difference in children’s physical activity levels between the two preschool types (p = 0.709. However, the qualitative data showed differences in the design and quality of programmes to promote children’s physical activity. Data triangulation revealed a strong influence of parental behaviour. The triangulation of methods provided comprehensive insight into the nature and extent of physical activity programmes in preschools and made it possible to capture the associations between systematic physical activity promotion and children’s health resources in a differential manner.

  15. The Romance and the Reality between Pre-Service Teachers' Beliefs about the Potential Benefits of a Short-Term Study Abroad Programme and Their Practices

    Science.gov (United States)

    Tam, Angela Choi Fung

    2016-01-01

    This qualitative study aimed to explore Hong Kong pre-service teachers' beliefs about the potential benefits of a short-term study abroad programme and their practices. Pre- and post-programme semi-structured interviews and reflective journals were employed to collect data. The findings suggest that the transformation of beliefs into practices…

  16. An implementation study of two evidence-based exercise and health education programmes for older adults with osteoarthritis of the knee and hip

    NARCIS (Netherlands)

    Jong, O.R.W de; Hopman-Rock, M.; Tak, E.C.M.P.; Klazinga, N.S.

    2004-01-01

    Implementation studies are recommended to assess the feasibility and effectiveness in real-life of programmes which have been tested in randomized controlled trials (RCTs). We report on an implementation study of two evidence-based exercise and health education programmes for older adults with

  17. South African southern ocean research programme

    CSIR Research Space (South Africa)

    SASCAR

    1987-01-01

    Full Text Available This document describes the South African National Antarctic Research Programme's (SANARP) physical, chemical and biological Southern Ocean research programme. The programme has three main components: ecological studies of the Prince Edward Islands...

  18. Fusion technology programme

    International Nuclear Information System (INIS)

    Finken, D.

    1984-04-01

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

  19. The impact on sleep of a multidisciplinary cognitive behavioural pain management programme: a pilot study

    Directory of Open Access Journals (Sweden)

    Horan Sheila

    2011-01-01

    Full Text Available Abstract Background Reduced sleep quality is a common complaint among patients with chronic pain, with 50-80% of patients reporting sleep disturbance. Improvements in pain and quality of life measures have been achieved using a multidisciplinary cognitive behavioural therapy pain management programme (CBT-PMP that aims to recondition attitudes to pain, and improve patients' self-management of their condition. Despite its high prevalence in patients with chronic pain, there is very limited objective evidence for the effect of this intervention on sleep quality. The primary research objective is to investigate the short-term effect of a multidisciplinary CBT-PMP on subjective (measured by Pittsburg Sleep Quality Index and objective sleep quality (measured by Actigraphy in patients with chronic pain by comparison with a control group. The secondary objectives will investigate changes in function and mood, and then explore the relationship between objective and subjective sleep quality and physical and psychological outcome measures. Methods/Design Patients who fulfil the inclusion criteria for attendance on the multidisciplinary CBT-PMP in the Adelaide and Meath Hospital, Tallaght, Dublin and are currently listed on the PMP waiting list will be invited to participate in this pilot study. Potential patients will be screened for sleep disturbance [determined by the Pittsburgh Sleep Quality Index (PSQI]. Those patients with a sleep disturbance (PSQI >5 will be assigned to either the intervention group (immediate treatment, or control group (deferred treatment, i.e. the PMP they are listed for is more than six months away based on where they appear on the waiting list. Baseline measures of sleep, function, and mood will be obtained using a combination of self-report questionnaires (the Hospital Anxiety and Depression Scale, the Short Form 36 health survey, the Pittsburgh Sleep Quality Index, the Tampa Scale for Kinesiophobia, and functional outcome

  20. Optimization of internal contamination monitoring programmes by studying uncertainties linked to dosimetric assessment

    International Nuclear Information System (INIS)

    Davesne, Estelle

    2010-01-01

    To optimise the protection of workers against ionizing radiations, the International Commission on Radiological Protection recommends the use of dose constraint and limits. To verify the compliance of the means of protection with these values when a risk of internal contamination exists, monitoring programmes formed of periodic bioassay measurements are performed. However, uncertainty in the dose evaluation arises from the variability of the activity measurement and from the incomplete knowledge of the exposure conditions. This uncertainty was taken into account by means of classical, Bayesian and possibilist statistics. The developed methodology was applied to the evaluation of the potential exposure during nuclear fuel preparation or mining; and to the analysis of the monitoring programme of workers purifying plutonium in AREVA NC La Hague reprocessing plant. From the measurement decision threshold, the minimum dose detectable (MDD) by the programme with a given confidence level can be calculated through the software OPSCI. It is shown to be a useful support in the optimisation of monitoring programmes when seeking a compromise between their sensitivity and their costs. (author)

  1. University Lawyers: A Study of Legal Risk, Risk Management and Role in Work Integrated Learning Programmes

    Science.gov (United States)

    Cameron, Craig; Klopper, Christopher

    2015-01-01

    Work integrated learning (WIL) is in growing demand by multiple stakeholders within the higher education sector in Australia. There are significant and distinct legal risks to universities associated with WIL programmes. University lawyers, along with WIL administrators and university management, are responsible for managing legal risk. This…

  2. Industry sponsored youth smoking prevention programme in Malaysia: a case study in duplicity.

    Science.gov (United States)

    Assunta, M; Chapman, S

    2004-12-01

    To review tobacco company strategies of using youth smoking prevention programmes to counteract the Malaysian government's tobacco control legislation and efforts in conducting research on youth to market to them. Systematic keyword and opportunistic website searches of formerly private internal industry documents. Search terms included Malay, cmtm, jaycees, YAS, and direct marketing; 195 relevant documents were identified for this paper. Industry internal documents reveal that youth anti-smoking programmes were launched to offset the government's tobacco control legislation. The programme was seen as a strategy to lobby key politicians and bureaucrats for support in preventing the passage of legislation. However, the industry continued to conduct research on youth, targeted them in marketing, and considered the teenage market vital for its survival. Promotional activities targeting youth were also carried out such as sports, notably football and motor racing, and entertainment events and cash prizes. Small, affordable packs of cigarettes were crucial to reach new smokers. The tobacco industry in Malaysia engaged in duplicitous conduct in regard to youth. By buying into the youth smoking issue it sought to move higher on the moral playing field and strengthen its relationship with government, while at the same time continuing to market to youth. There is no evidence that industry youth smoking prevention programmes were effective in reducing smoking; however, they were effective in diluting the government's tobacco control legislation.

  3. Natural history of breast cancers detected in the Swedish mammography screening programme: a cohort study

    DEFF Research Database (Denmark)

    Zahl, Per-Henrik; Gøtzsche, Peter C; Mæhlen, Jan

    2011-01-01

    The natural history of screen-detected breast cancers is not well understood. A previous analysis of the incidence change during the introduction of the Norwegian screening programme in the late 1990s suggested that the natural history of many screen-detected invasive breast cancers is to regress...

  4. Addressing Plagiarism in Online Programmes at a Health Sciences University: A Case Study

    Science.gov (United States)

    Ewing, Helen; Anast, Ade; Roehling, Tamara

    2016-01-01

    Plagiarism continues to be a concern for all educational institutions. To build a solid foundation for high academic standards and best practices at a graduate university, aspects of plagiarism were reviewed to develop better management processes for reducing plagiarism. Specifically, the prevalence of plagiarism and software programmes for…

  5. Precursors of developmental dyslexia: an overview of the longitudinal Dutch Dyslexia Programme study

    NARCIS (Netherlands)

    van der Leij, A.; van Bergen, E.; van Zuijen, T.; de Jong, P.; Maurits, N.; Maassen, B.

    2013-01-01

    Converging evidence suggests that developmental dyslexia is a neurobiological disorder, characterized by deficits in the auditory, visual, and linguistic domains. In the longitudinal project of the Dutch Dyslexia Programme, 180 children with a familial risk of dyslexia (FR) and a comparison group of

  6. Productivity assessments in small ruminant improvement programmes : a case study of the West African dwarf goat

    NARCIS (Netherlands)

    Bosman, H.G.

    1995-01-01

    Livestock production in the tropics is characterised by a high degree of variability in terms of composition, setting and aims. A good understanding of these characteristics is a prerequisite for the planning of a successful improvement programme. A frequently used criterion to assess the

  7. CDIO Projects In DTU’s B.Eng. In Electronics Study Programme

    DEFF Research Database (Denmark)

    Kjærgaard, Claus; Brauer, Peter; Andersen, Jens Christian

    2011-01-01

    the paper is meant as an inspiration to others working on implementing cross disciplinary projects in their curriculum. In the B.Eng. in Electronics programme each of the first 4 semester contains a cross disciplinary project, two of these are CDIO Design Build courses which are placed in the 1st and 4th...

  8. Attending the breast screening programme after breast cancer treatment: a population-based study

    NARCIS (Netherlands)

    de Munck, L.; Kwast, A.; Reiding, D.; de Bock, G.H.; Otter, R.; Willemse, P.H.B.; Siesling, Sabine

    2013-01-01

    Introduction: In the Netherlands, breast cancer patients are treated and followed at least 5 years after diagnosis. Furthermore, all women aged 50-74 are invited biennially for mammography by the nationwide screening programme. The relation between the outpatient follow-up (follow-up visits in the

  9. Talent Management Programmes at British, American and Canadian Universities: Comparative Study

    Science.gov (United States)

    Boichenko, Maryna

    2015-01-01

    The article deals with the peculiarities of talent management programmes implementation at the top British, American and Canadian universities. The essence of the main concepts of research--talent and talent management--has been revealed. Talent management is referred to as the systematic attraction, identification, development, engagement,…

  10. Incorporating cardiopulmonary resuscitation training into a cardiac rehabilitation programme: A feasibility study.

    Science.gov (United States)

    Cartledge, Susie; Finn, Judith; Bray, Janet E; Case, Rosalind; Barker, Lauren; Missen, Diane; Shaw, James; Stub, Dion

    2018-02-01

    Patients with a cardiac history are at future risk of cardiac events, including out-of-hospital cardiac arrest. Targeting cardiopulmonary resuscitation (CPR) training to family members of cardiac patients has long been advocated, but is an area in need of contemporary research evidence. An environment yet to be investigated for targeted training is cardiac rehabilitation. To evaluate the feasibility of providing CPR training in a cardiac rehabilitation programme among patients, their family members and staff. A prospective before and after study design was used. CPR training was delivered using video self-instruction CPR training kits, facilitated by a cardiac nurse. Data was collected pre-training, post-training and at one month. Cardiac patient participation rates in CPR classes were high ( n = 56, 72.7% of eligible patients) with a further 27 family members attending training. Patients were predominantly male (60.2%), family members were predominantly female (81.5%), both with a mean age of 65 years. Confidence to perform CPR and willingness to use skills significantly increased post-training (both ptraining participants demonstrated a mean compression rate of 112 beats/min and a mean depth of 48 mm. Training reach was doubled as participants shared the video self-instruction kit with a further 87 people. Patients, family members and cardiac rehabilitation staff had positive feedback about the training. We demonstrated that cardiac rehabilitation is an effective and feasible environment to provide CPR training. Using video self-instruction CPR training kits enabled further training reach to the target population.

  11. Determinants of facility delivery after implementation of safer mother programme in Nepal: a prospective cohort study.

    Science.gov (United States)

    Karkee, Rajendra; Binns, Colin W; Lee, Andy H

    2013-10-20

    There are several barriers for pregnant women to deliver in a health care facility. This prospective cohort study investigated factors affecting facility delivery and reasons for unplanned place of delivery after implementation of the safer mother programme in Nepal. Baseline interviews using a validated questionnaire were conducted on a sample of 700 pregnant women representative of the Kaski district in central Nepal. Follow-up interviews of the cohort were then conducted within 45 days postpartum. Stepwise logistic regression analysis was performed to determine factors associated with the facility delivery outcome. Of the 644 pregnant women whose delivery location had been identified, 547 (85%) gave birth in a health care facility. Women were more likely to deliver in a health facility if they were educated especially with higher secondary or above qualification (adjusted odds ratio (OR) 12.39, 95% confidence interval (CI) 5.09 to 30.17), attended 4 or more antenatal care visits (OR 2.15, 95% CI 1.25 to 3.69), and lived within 30 minutes to the facility (OR 11.61, 95% CI 5.77 to 24.04). For the 97 women who delivered at home, 72 (74.2%) were unplanned, mainly due to quick precipitation of labour making it impossible to reach a health facility. It appeared that facility delivery occurs more frequent among educated women and those who live nearby, even though maternity services are now freely available in Nepal. Because of the difficult terrain and transportation problem in rural areas, interventions that make maternity service physically accessible during antenatal period are needed to increase the utilisation of health facility for child birth.

  12. Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study.

    Science.gov (United States)

    Rasmussen, Mette; Fernández, Esteve; Tønnesen, Hanne

    2017-02-27

    We compared the effectiveness of the Gold Standard Programme (a comprehensive smoking cessation intervention commonly used in Denmark) with other face-to-face smoking cessation programmes in Denmark after implementation in real life, and we identified factors associated with successful quitting. Prospective cohort study. A total of 423 smoking cessation clinics from different settings reported data from 2001 to 2013. In total, 82 515 patients were registered. Smokers ≥15 years old and attending a programme with planned follow-up were included. Smokers who did not want further contact, who intentionally were not followed up or who lacked information about the intervention they received were excluded. A total of 46 287 smokers were included. Various real-life smoking cessation interventions were identified and compared: The Gold Standard Programme, Come & Quit, crash courses, health promotion counselling (brief intervention) and other interventions. Self-reported continuous abstinence for 6 months. Overall, 33% (11 184) were continuously abstinent after 6 months; this value was 24% when non-respondents were considered smokers. The follow-up rate was 74%. Women were less likely to remain abstinent, OR 0.83 (CI 0.79 to 0.87). Short interventions were more effective among men. After adjusting for confounders, the Gold Standard Programme was the only intervention with significant results across sex, increasing the odds of abstinence by 69% for men and 31% for women. In particular, compliance, and to a lesser degree, mild smoking, older age and not being disadvantaged were associated with positive outcomes for both sexes. Compliance increased the odds of abstinence more than 3.5-fold. Over time, Danish smoking cessation interventions have been effective in real life. Compliance is the main predictor of successful quitting. Interestingly, short programmes seem to have relatively strong effects among men, but the absolute numbers are very small. Only the

  13. South African teachers’ conceptualisations of gradient: A study of historically disadvantaged teachers in an Advanced Certificate in Education programme

    OpenAIRE

    Vimolan Mudaly; Deborah Moore-Russo

    2011-01-01

    This study looked at how a group of South African secondary school mathematics teachers regarded the concept of gradient (slope). Results are reported from nine free-response items on a paper-and-pencil test administered to practising teachers who were pursuing qualifications to teach Grades 10–12 mathematics through an Advanced Certificate in Education (ACE) programme. The findings suggest that teachers’ understanding of gradient varies greatly. A number of teachers in the study demonstrated...

  14. Crispv programme

    International Nuclear Information System (INIS)

    Marinkovicj, N.

    CRISPV (Criticality and Spectrum code) is a multigroup neutron spectrum code for homogeneous reactor cores and is actually a somewhat modified version of the original CRISP programme. It is a combination of DATAPREP-II and BIGG-II programmes. It is assumed that the reactor cell is a cylindrical fuel rod in the light or heavy water moderator. DATEPREP-II CODE forms the multigroup data for homogeneous reactor and prepares the input parameters for the BIGG-II code. It has its own nuclear data library on a separate tape in binary mode. BIGG-II code is a multigroup neutron spectrum and criticality code for a homogenized medium. It has as well its own separate data library. In the CRISPV programme the overlay structure enables automatic handling of data calculated in the DATAPREP-II programme and needed in the BIGG-II core. Both programmes are written in FORTRAN for CDC 3600. Using the programme is very efficient and simple

  15. Evaluation of Corporate Social Responsibility Programme by Application of Balanced Scorecard: A Case Study of Fiat Automobiles’ Cooperárvore Programme

    Directory of Open Access Journals (Sweden)

    Osvaldo Maurício de Oliveira

    2016-05-01

    Full Text Available This article sets out to assess Cooperárvore, FIAT Automobiles’ labour corporative project within its “Árvore da Vida” Corporate Social Responsibility Programme, in the city of Betim, in the State of Minas Gerais. This is a descriptive case study whose overall aim is to measure the scope of the automaker’s social actions promoting the development of Jardim Teresópolis neighbourhood, by way of job and income generation, reduction of social vulnerability and economic and human development. Its specific objective is to present an evaluation and monitoring pattern of a social responsibility project by application of the Balanced Scorecard tool (BSC, in order to allow for improving management and inspire other corporate social initiatives. In the theoretical framework, the importance of corporate social responsibility has been studied in sustainable development, as well as concepts and models of evaluation of social projects. The survey was conducted based on documents related to Árvore da Vida and on interviews involving the programme’s managers and beneficiaries, in a qualitative perspective. From data analysis, positive results with significant advances in the beneficiaries and community development can be noticed. However, at some points it can be seen that the cooperative is not yet able to sustain itself, mainly due to its market limitations, depending on financial contributions and participation of the current sponsor in its management. This requires the management team to adopt some strategic definitions in order to implement short and medium term solutions to broaden the cooperative market to ensure their autonomy and sustainability.

  16. Aespoe Hard Rock Laboratory. Studies of factors that affect and controls the Excavation Damaged/Disturbed Zone

    International Nuclear Information System (INIS)

    Jonsson, Martin; Baeckstroem, Ann; Quanhong Feng; Berglund, Johan; Johansson, Malin; Mas Ivars, Diego; Olsson, Mats

    2009-05-01

    measurements indicate that the EDZ was larger in the left than in the right tunnel wall. This observation could partly be explained when studying the calculated stress situation around the tunnel, which shows that pre-existing fractures in the vicinity of the left tunnel wall induced zones of higher compressive and tensile stress which then can increase the damage initiated by the blasting. When studying the results from the numerical simulations, it was concluded that fractures in the study area generate heterogeneous stress redistribution around the excavation at different tunnel sections. The uneven as-built geometry of the tunnel generated from blasting also contributes to the heterogeneous stress redistribution close to the contour. These variations in stresses are local and differ strongly between nearby sections, which could induce local fracturing and asymmetry in the EDZ. This shows that the extent and damage of the EDZ is highly local and influenced in a broader scale by the local geometry of natural fractures, and in the small scale by the local stress concentration on the tunnel perimeter. This study also indicates the importance of high precision contour control during drilling of the blast holes as a measure to minimize the EDZ. Tools for a controlled modelling and verification of the mechanical behaviour of the EDZ exist. In this study, the modelling of the stresses developed in the tunnel walls were divided into one model containing the fractures, without the geometry of the tunnel wall and one with the geometry of the tunnel wall which was lacking the geometry of the fractures. These two geometries should be combined in the same model in a future work, to provide a possibility to assess their combined effect on the stress situation around the tunnel

  17. Aespoe Hard Rock Laboratory. Studies of factors that affect and controls the Excavation Damaged/Disturbed Zone

    Energy Technology Data Exchange (ETDEWEB)

    Jonsson, Martin; Baeckstroem, Ann; Quanhong Feng (AaF - Berg och Maetteknik, Stockholm (Sweden)); Berglund, Johan (Vattenfall Power Consultant, Stockholm (Sweden)); Johansson, Malin; Mas Ivars, Diego (Itasca Geomekanik AB, Solna (Sweden)); Olsson, Mats (SweBefo, Stockholm (Sweden))

    2009-07-15

    measurements indicate that the EDZ was larger in the left than in the right tunnel wall. This observation could partly be explained when studying the calculated stress situation around the tunnel, which shows that pre-existing fractures in the vicinity of the left tunnel wall induced zones of higher compressive and tensile stress which then can increase the damage initiated by the blasting. When studying the results from the numerical simulations, it was concluded that fractures in the study area generate heterogeneous stress redistribution around the excavation at different tunnel sections. The uneven as-built geometry of the tunnel generated from blasting also contributes to the heterogeneous stress redistribution close to the contour. These variations in stresses are local and differ strongly between nearby sections, which could induce local fracturing and asymmetry in the EDZ. This shows that the extent and damage of the EDZ is highly local and influenced in a broader scale by the local geometry of natural fractures, and in the small scale by the local stress concentration on the tunnel perimeter. This study also indicates the importance of high precision contour control during drilling of the blast holes as a measure to minimize the EDZ. Tools for a controlled modelling and verification of the mechanical behaviour of the EDZ exist. In this study, the modelling of the stresses developed in the tunnel walls were divided into one model containing the fractures, without the geometry of the tunnel wall and one with the geometry of the tunnel wall which was lacking the geometry of the fractures. These two geometries should be combined in the same model in a future work, to provide a possibility to assess their combined effect on the stress situation around the tunnel

  18. PISC II: parametric studies. The purpose of the PISC II parametric studies programme

    International Nuclear Information System (INIS)

    Crutzen, S.

    1989-09-01

    The results of the PISC I round robin test of the ASME type procedure showed a very large dispersion. The amplitude of response of all defects varied very much among the teams from the 27 laboratories considered for the evaluation of results. Scatter on detection and sizing in PISC I was such that discussions started on the reasons for such a phenomenon when exactly the same procedure was used by all teams. The observation of two teams' results (JRC Ispra and ENEL Piacenza, Italy) induced the NDE Ispra laboratories to insist on the possible importance of equipment characteristics. All PISC members insisted on specific studies of the influence of defect characteristics as well as the role of cladding. These three chapters were the leading PIS laboratory exercises called Parametric Studies

  19. The Effects and Costs of a Group-Based Education Programme for Self-Management of Patients with Type 2 Diabetes. A Community-Based Study

    Science.gov (United States)

    Molsted, Stig; Tribler, Jane; Poulsen, Peter B.; Snorgaard, Ole

    2012-01-01

    The worldwide epidemic of Type 2 diabetes necessitates evidence-based self-management education programmes. The purpose of this study was to investigate the effects and costs of an empowerment-based structured diabetes self-management education programme in an unselected group of patients with Type 2 diabetes. Seven hundred and two patients…

  20. Evaluation of an intervention programme addressing ability to perform activities of daily living among persons with chronic conditions: study protocol for a feasibility trial (ABLE)

    DEFF Research Database (Denmark)

    Guidetti, Susanne; Nielsen, Kristina Tomra; von Bülow, Cecilie

    2018-01-01

    version of the ABLE intervention programme was developed. Methods and analysis This feasibility study examine the perceived value and acceptability of the ABLE programme by evaluating the fidelity, reach, dose and potential outcomes using a pretest and post-test design involving 30 persons living...

  1. Outline of facility for studying high level radioactive materials (CPF) and study programmes

    International Nuclear Information System (INIS)

    Sakamoto, Motoi

    1983-01-01

    The Chemical Processing Facility for studying high level radioactive materials in Tokai Works of Power Reactor and Nuclear Fuel Development Corp. is a facility for fundamental studies centering around hot cells, necessary for the development of fuel recycle techniques for fast breeder reactors, an important point of nuclear fuel cycle, and of the techniques for processing and disposing high level radioactive liquid wastes. The operation of the facility was started in 1982, for both the system A (the test of fuel recycle for fast breeder reactors) and the system B (the test of vitrification of high level liquid wastes). In this report, the outline of the facility, the contents of testings and the reflection of the results are described. For the fuel recycle test, the hot test of the spent fuel pins of JOYO MK-1 core was started, and now the uranium and plutonium extraction test is underway. The scheduled tests are fuel solubility, the confirmation of residual properties in fuel melting, the confirmation of extracting conditions, the electrolytic reduction of plutonium, off-gas behaviour and the test of material reliability. For the test of vitrification of high level liquid wastes, the fundamental test on the solidifying techniques for the actual high level wastes eluted from the Tokai reprocessing plant has been started, and the following tests are programmed: Assessment of the properties of actual liquid wastes, denitration and concentration test, vitrification test, off-gas treatment test, the test of evaluating solidified wastes, and the test of storing solidified wastes. These test results are programmed to be reflected to the safety deliberation and the demonstration operation of a vitrification pilot plant. (Wakatsuki, Y.)

  2. Age in antiretroviral therapy programmes in South Africa: a multi-centre observational cohort study

    Science.gov (United States)

    Cornell, Morna; Johnson, Leigh F; Schomaker, Michael; Tanser, Frank; Maskew, Mhairi; Wood, Robin; Prozesky, Hans; Giddy, Janet; Stinson, Kathryn; Egger, Matthias; Boulle, Andrew; Myer, Landon

    2015-01-01

    Background As access to antiretroviral therapy (ART) expands, increasing numbers of older patients will start treatment and require specialised long-term care. However the impact of age in ART programs in resource-constrained settings is poorly understood. South Africa has the second largest population of older (≥50 years) people in sub-Saharan Africa. The HIV epidemic is also ageing rapidly and the country has one of the highest HIV population prevalences worldwide. This study explored the effect of age on mortality on ART in South Africa and whether this effect was mediated by baseline immunologic status. Methods IeDEA-SA is a regional collaboration which combines routine observational data from large ART programmes across Southern Africa. This study was a retrospective cohort analysis of adults starting ART from 2004-2013 in six large South African cohorts: two primary care clinics, three hospitals and a large rural cohort. The primary outcome was mortality; secondary outcomes were loss to follow-up (LTF), immunologic and virologic responses. Patients' vital status was ascertained through linkage to the National Population Register. Inverse probability weighting was used to correct mortality for LTF. Mortality was estimated using Cox's proportional hazards and competing risks regression. The interaction between baseline CD4+ cell count and age was tested. Immunologic responses were graphed by age and duration on ART. Findings 83 566 patients were followed for 174 640 patient-years. Patients were predominantly female, especially in the younger age groups: 81% (18 819/23 258) of patients 16-29 years and 66% (12 812/19 372) of those aged 30-34. Mortality increased with age in a dose response, mediated by baseline immunologic status. Patients with CD4 counts <50 cells/μL were a particularly high risk group, comprising 14% of all older patients starting ART. The percentage of older patients enrolling increased with successive calendar years from 6% (290/4 999) in

  3. Field population studies of the Oriental fruit fly Bactrocera dorsalis (Hendel) for the SIT programme in Thailand

    International Nuclear Information System (INIS)

    Keawchoung, P.; Limohpasmanee, V.; Dokmaihom, R.; AImyim, A.; Meecheepsom, S.

    2000-01-01

    Pakchong district is a large area in the Nakornrajchasima province in Thailand which produces many kinds of tropical fruits. As fruit flies are serious pests in fruit plantations in the area, the Department of Agriculture Extension has tried to control them by using the sterile insect technique (SIT) with complementary technology from the Office of Atomic Energy for Peace (OAEP). In order to obtain data required to plan the SIT programme to eradicate the fruit flies, subsequent field population studies were conducted

  4. Modelling of the mammographic exposure conditions for radiological detriment study in the Valencian Breast Cancer Screening Programme

    International Nuclear Information System (INIS)

    Ferrer, S.; Ramos, M.; Villaescusa, J. I.; Verdu, G.; Salas, M. D.; Cuevas, M. D.

    2005-01-01

    Breast screening programmes are the best weapon to fight against breast cancer. Nevertheless, despite the benefits, this practice supposes a radiological risk that cannot be forgotten. In order to calculate breast glandular doses, different MCNP-4C2 models have been developed, simulating the exposure conditions. Radiological detriments have been transported from the population under study in the UNSCEAR 2000 to the Valencian Community, obtaining the detection-induced cancer ratio (DICR) for this population. (authors)

  5. Health consequences of the US Deferred Action for Childhood Arrivals (DACA) immigration programme: a quasi-experimental study

    OpenAIRE

    Atheendar S Venkataramani, DrMD; Sachin J Shah, MD; Rourke O'Brien, PhD; Ichiro Kawachi, ProfPhD; Alexander C Tsai, MD

    2017-01-01

    Summary: Background: The effects of changes in immigration policy on health outcomes among undocumented immigrants are not well known. We aimed to examine the physical and mental health effects of the Deferred Action for Childhood Arrivals (DACA) programme, a 2012 US immigration policy that provided renewable work permits and freedom from deportation for a large number of undocumented immigrants. Methods: We did a retrospective, quasi-experimental study using nationally representative, repea...

  6. Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study.

    Science.gov (United States)

    Hunt, Kate; Gray, Cindy M; Maclean, Alice; Smillie, Susan; Bunn, Christopher; Wyke, Sally

    2014-01-21

    The prevalence of obesity in men in the UK is amongst the highest in Europe but men are less likely than women to use existing weight loss programmes. Developing weight management programmes which are appealing and acceptable to men is a public health priority. Football Fans in Training (FFIT), a men-only weight management programme delivered to groups of men at top professional football clubs, encourages men to lose weight by working with, not against, cultural ideals of masculinity. To inform further development of interventions in football club settings, the current study explored who is attracted to FFIT and why overweight/obese men choose to take part. A mixed-methods study analysing baseline data on 747 men aged 35-65 years with BMI ≥ 28 kg/m2 who were participants in a randomised controlled trial of FFIT, and data from 13 focus group discussions with 63 men who had attended the programme. Objectively-measured mean body mass index was 35.3 kg/m2 (sd 4.9). Overall over 90% of participants were at very high or extremely high risk of future ill-health. Around three-quarters of participants in all age groups were at 'very high' risk of type 2 diabetes, hypertension and cardiovascular disease (72%, 73% and 80% of men aged 35-44, 45-54 and 55-64 years respectively). A further 21%, 16% and 13% were at 'extremely high' risk. Qualitative data revealed that the powerful 'draw' of the football club attracted men otherwise reluctant to attend existing weight management programmes. The location and style of delivery of early FFIT sessions fostered team spirit; men appreciated being with others 'like them' and the opportunity to undertake weight management in circumstances that enhanced physical and symbolic proximity to something they valued highly, the football club. The delivery of a weight management intervention via professional football clubs attracted men at high risk of ill-health. The setting enabled men to join a weight management programme in

  7. Effectiveness of the nursing programme 'Coping with itch': a randomized controlled study in adults with chronic pruritic skin disease.

    Science.gov (United States)

    van Os-Medendorp, H; Ros, W J G; Eland-de Kok, P C M; Kennedy, C; Thio, B H; van der Schuur-van der Zande, A; Grypdonck, M H F; Bruijnzeel-Koomen, C A F M

    2007-06-01

    The nursing programme 'Coping with Itch' aims at reducing itch and at helping patients with chronic pruritic skin diseases cope with itch. The programme consists of educational and cognitive behavioural interventions. Dermatology nurses carry out the programme, which supplements standard medical treatment given by a dermatologist, in individual sessions at a nurse clinic organized by the dermatology outpatient department. To evaluate the effectiveness of the nursing programme 'Coping with Itch' in patients with chronic pruritic skin diseases. A randomized controlled study was carried out. Patients with chronic pruritic skin diseases were randomly assigned to the intervention group or the control group. The intervention group received standard care from a dermatologist and nursing care according to the programme 'Coping with Itch' for a mean of 2.9 visits. The control group received usual care from a dermatologist. Data collection took place at baseline, at 3 months (t1) and at 9 months (t2) after baseline. Most visits to the nurse clinic took place during the first 3 months of the study. Main outcome measures were the frequency and intensity of itching and scratching, itch-related coping, and skin-related and general psychosocial morbidity. Secondary outcome measures were the number of visits to the dermatologist and the use of medication and ointments. Mann-Whitney tests and analyses of covariance were used to analyse differences between the two groups. Data on 29 patients in the intervention group and 36 patients in the control group were used in the analyses. A trend to significance (P = 0.07) was shown in the difference between the two groups in the frequency of itching and scratching at t1. A significant difference (P = 0.04) was shown between the two groups in catastrophizing and helpless itch-related coping at t1. No significant differences were revealed at t2 between the groups. Patients in the intervention group visited the dermatologist significantly less

  8. The 'Hothaps' programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies.

    Science.gov (United States)

    Kjellstrom, Tord; Gabrysch, Sabine; Lemke, Bruno; Dear, Keith

    2009-11-11

    The 'high occupational temperature health and productivity suppression' programme (Hothaps) is a multi-centre health research and prevention programme aimed at quantifying the extent to which working people are affected by, or adapt to, heat exposure while working, and how global heating during climate change may increase such effects. The programme will produce essential new evidence for local, national and global assessment of negative impacts of climate change that have largely been overlooked. It will also identify and evaluate preventive interventions in different social and economic settings.Hothaps includes studies in any part of the world where hourly heat exposure exceeds physiological stress limits that may affect workers. This usually happens at temperatures above 25 degrees C, depending on humidity, wind movement and heat radiation. Working people in low and middle-income tropical countries are particularly vulnerable, because many of them are involved in heavy physical work, either outdoors in strong sunlight or indoors without effective cooling. If high work intensity is maintained in workplaces with high heat exposure, serious health effects can occur, including heat stroke and death.Depending on the type of occupation, the required work intensity, and the level of heat stress, working people have to slow down their work in order to reduce internal body heat production and the risk of heat stroke. Thus, unless preventive interventions are used to reduce the heat stress on workers, their individual health and productivity will be affected and economic output per work hour will be reduced. Heat also influences other daily physical activities, unrelated to work, in all age groups. Poorer people without access to household or workplace cooling devices are most likely to be affected.The Hothaps programme includes a pilot study, heat monitoring of selected workplaces, qualitative studies of perceived heat impacts and preventative interventions

  9. Expert Programmer versus Parallelizing Compiler: A Comparative Study of Two Approaches for Distributed Shared Memory

    Directory of Open Access Journals (Sweden)

    M. F. P. O'Boyle

    1996-01-01

    Full Text Available This article critically examines current parallel programming practice and optimizing compiler development. The general strategies employed by compiler and programmer to optimize a Fortran program are described, and then illustrated for a specific case by applying them to a well-known scientific program, TRED2, using the KSR-1 as the target architecture. Extensive measurement is applied to the resulting versions of the program, which are compared with a version produced by a commercial optimizing compiler, KAP. The compiler strategy significantly outperforms KAP and does not fall far short of the performance achieved by the programmer. Following the experimental section each approach is critiqued by the other. Perceived flaws, advantages, and common ground are outlined, with an eye to improving both schemes.

  10. Maintaining Unity - relatives in older patients' fast-track treatment programmes. A grounded theory study.

    Science.gov (United States)

    Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

    2014-12-01

    To generate a substantive grounded theory of relatives' pattern of behaviour in older patients' fast-track treatment programmes during total hip or knee replacement. Fast-track treatment programmes are designed to make total hip and knee replacements more efficient through recovery improvements. The support of relatives during older patients' trajectory is important. However, knowledge is needed on the relatives' pattern of behaviour to strengthen their involvement in fast-track treatment programmes. We used a Glaserian grounded theory approach based on a systematic generation of theory from data to explain the latent pattern of behaviour of relatives. Data were collected from 2010-2011 in orthopaedic wards at two Danish university hospitals and consisted of 14 non-participant observations, 14 postobservational interviews and five interviews. Seven relatives of patients over 70 years of age participated. The constant comparative method was the guiding principle for simultaneous data collection, data analysis and coding, while theoretically sampling and writing memos. Maintaining Unity emerged as the relatives' pattern of behaviour through which they resolved their main concern: preventing the patients from feeling alone. The relatives resolved their main concern through three interchangeable behavioural modes: Protecting Mode, by providing loving and respectful support; Substituting Mode, with practical and cognitive support; and an Adapting Mode, by trying to fit in with the patients' and health professionals' requirements. The substantive theory of Maintaining Unity offers knowledge of relatives' strong desire to provide compassionate and loving support for the older patients during fast-track treatment programmes. © 2014 John Wiley & Sons Ltd.

  11. Leadership and management for an effective radiation protection programme: A study on open cast diamond mining in Lesotho

    International Nuclear Information System (INIS)

    Thetha, Pakeng

    2016-04-01

    Leadership and Management system commitment to safety is recognised as a fundamental component of an organisation's safety culture. This study focuses on how organisations can integrate leadership and management in achieving an effective radiation protection programme (RPP), in Lesotho's diamond mining industry. The study made a comparative analysis of relevant studies made on similar open pit mines and industries around the world. The findings suggest that, leaders and managers should ensure that prior radiological assessment is done in order to streamline the radiation protection programme to satisfy the needs of the individual mining companies thus making it more effective. Furthermore there is a need to ensure that leadership and management are integrated at every level of the organization in the implementation of the RPP. Lesotho Diamond Mining industry has no radiation protection programme in place thus its effectiveness could not be assessed. Leaders and managers should be involved at all levels of the organization from site specific radiological evaluation, design, funding, training and implementation of the RPP. Senior managers, supervisors and workers have the responsibility to ensure the protection of those occupationally exposed the public, the environment and future generations by implementing the RPP effectively and efficiently. (au)

  12. Evaluation of a cooking skills programme in parents of young children--a longitudinal study.

    Science.gov (United States)

    Garcia, Ada L; Vargas, Elisa; Lam, Po S; Shennan, David B; Smith, Fiona; Parrett, Alison

    2014-05-01

    To evaluate longitudinally the effectiveness of a cooking programme on self-reported confidence about cooking skills and food consumption patterns in parents of young children. An evaluation of cooking programmes delivered by National Health Service (NHS) community food workers using a single group pre-test/post-test repeated measures design. A shortened version of a validated questionnaire at baseline, post intervention and 1-year follow-up determined confidence in cooking using basic ingredients, following a simple recipe, tasting new foods, preparing and cooking new foods on consumption of ready meals, vegetables and fruit. Deprived communities in Ayrshire and Arran, Scotland. Parents of nursery age children, 97 % were female and cooking increased significantly from baseline to post intervention (P recipe and preparing and cooking new foods. Improved food consumption patterns were reported from baseline to post intervention (ready-meal consumption reduced from 2-4 times/week to 1 time/week, P cooking programmes appeared to improve cooking confidence and food consumption patterns in the target group and some of these changes were retained after 1 year.

  13. Coping successfully with dyslexia: an initial study of an inclusive school-based resilience programme.

    Science.gov (United States)

    Firth, Nola; Frydenberg, Erica; Steeg, Charlotte; Bond, Lyndal

    2013-05-01

    A dyslexia coping programme entitled Success and Dyslexia was implemented in two primary schools within a whole-class coping programme and whole-school dyslexia professional development context. One hundred and two year 6 students, 23 of whom had dyslexia, undertook surveys pretest, post-test and at 1-year follow-up. Effectiveness of the coping programme and maintenance of effects for the students after transition to secondary school were investigated. Inclusion of contrast group data in the follow-up year suggested significant positive changes at first and second follow-ups in locus of control and nonproductive coping may also be associated with increase in age. Most trends were in the expected direction, especially for students with dyslexia. At follow-up, students with dyslexia reported similar perceived control and adaptive coping to students without dyslexia rather than a decrease in these areas as is usually the case. A larger sample and an ongoing control group are needed to confirm these results. Copyright © 2013 John Wiley & Sons, Ltd.

  14. Dimensions of lay health worker programmes: results of a scoping study and production of a descriptive framework.

    Science.gov (United States)

    South, Jane; Meah, Angela; Bagnall, Anne-Marie; Jones, Rebecca

    2013-03-01

    Approaches that engage and support lay health workers in the delivery of health improvement activities have been widely applied across different health issues and populations. The lack of a common terminology, inconsistency in the use of role descriptors and poor indexing of lay health worker roles are all barriers to the development of a shared evidence base for lay health worker interventions. The aim of the paper is to report results from a scoping study of approaches to involve lay people in public health roles and to present a framework for categorisation of the different dimensions of lay health worker programmes. Our scoping study comprised a systematic scoping review to map the literature on lay health worker interventions and to identify role dimensions and common models. The review, which was limited to interventions relevant to UK public health priorities, covered a total of 224 publications. The scoping study also drew on experiential evidence from UK practice. Research-based and practice-based evidence confirmed the variety of role descriptors in use and the complexity of role dimensions. Five common models that define the primary role of the lay health worker were identified from the literature. A framework was later developed that grouped features of lay health worker programmes into four dimensions: intervention, role, professional support/service and the community. More account needs to be taken of the variations that occur between lay health worker programmes. This framework, with the mapping of key categories of difference, may enable better description of lay health worker programmes, which will in turn assist in building a shared evidence base. More research is needed to examine the transferability of the framework within different contexts.

  15. Stages of change: A qualitative study on the implementation of a perinatal audit programme in South Africa

    Directory of Open Access Journals (Sweden)

    Pattinson Robert C

    2011-09-01

    Full Text Available Abstract Background Audit and feedback is an established strategy for improving maternal, neonatal and child health. The Perinatal Problem Identification Programme (PPIP, implemented in South African public hospitals in the late 1990s, measures perinatal mortality rates and identifies avoidable factors associated with each death. The aim of this study was to elucidate the processes involved in the implementation and sustainability of this programme. Methods Clinicians' experiences of the implementation and maintenance of PPIP were explored qualitatively in two workshop sessions. An analytical framework comprising six stages of change, divided into three phases, was used: pre-implementation (create awareness, commit to implementation; implementation (prepare to implement, implement and institutionalisation (integrate into routine practice, sustain new practices. Results Four essential factors emerged as important for the successful implementation and sustainability of an audit system throughout the different stages of change: 1 drivers (agents of change and team work, 2 clinical outreach visits and supervisory activities, 3 institutional perinatal review and feedback meetings, and 4 communication and networking between health system levels, health care facilities and different role-players. During the pre-implementation phase high perinatal mortality rates highlighted the problem and indicated the need to implement an audit programme (stage 1. Commitment to implementing the programme was achieved by obtaining buy-in from management, administration and health care practitioners (stage 2. Preparations in the implementation phase included the procurement and installation of software and training in its use (stage 3. Implementation began with the collection of data, followed by feedback at perinatal review meetings (stage 4. The institutionalisation phase was reached when the results of the audit were integrated into routine practice (stage 5 and

  16. Relatives in older patients' fast-track treatment programme during total hip or knee replacement. A grounded theory study

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher

    and considerate support in concern for the patients; Substituting mode, with practical and cognitive support; and Adapting mode, by trying to fit in with the patients’ and health professionals’ requirements. Study II: 16 patients aged 70 to 94 were included and data was collected through 15 non......The aim of this Ph.D.-dissertation was to generate grounded theories of relatives, patients, and health professionals’ pattern of behaviour, respectively, in relation to the relatives of older patients’ fast-track treatment programmes during total hip or knee replacement. The dissertation includes...... to the older patients’ self-determination of being autonomous and how they adapt and are perceived in the health professionals’ environment. This may be useful to the health professionals in orthopaedic fast-track treatment programmes and their future collaboration with older patients and their relatives....

  17. ‘’: A qualitative study of a creative arts leisure programme for family caregivers of people with dementia

    Directory of Open Access Journals (Sweden)

    Lorinda Pienaar

    2015-04-01

    Full Text Available This study explored the meanings of participating in a 5-week creative arts leisure programme designed for family caregivers of people with dementia, using interpretative phenomenological analysis. Eight carers attended and four who met the eligibility criteria agreed to be interviewed. Participants experienced the arts group as providing a sense of freedom and respite, strengthening identity through promoting achievement, offering social support through a collective focus on art- and craft-making and increasing resilience for coping with caring. Some found the 5-week programme too short. Benefits were linked to the security of knowing that loved ones with dementia were close by, being well cared for. Further research is needed into the long-term benefits of creative arts groups for promoting carer well-being.

  18. Implementing large-scale programmes to optimise the health workforce in low- and middle-income settings: a multicountry case study synthesis.

    Science.gov (United States)

    Gopinathan, Unni; Lewin, Simon; Glenton, Claire

    2014-12-01

    To identify factors affecting the implementation of large-scale programmes to optimise the health workforce in low- and middle-income countries. We conducted a multicountry case study synthesis. Eligible programmes were identified through consultation with experts and using Internet searches. Programmes were selected purposively to match the inclusion criteria. Programme documents were gathered via Google Scholar and PubMed and from key informants. The SURE Framework - a comprehensive list of factors that may influence the implementation of health system interventions - was used to organise the data. Thematic analysis was used to identify the key issues that emerged from the case studies. Programmes from Brazil, Ethiopia, India, Iran, Malawi, Venezuela and Zimbabwe were selected. Key system-level factors affecting the implementation of the programmes were related to health worker training and continuing education, management and programme support structures, the organisation and delivery of services, community participation, and the sociopolitical environment. Existing weaknesses in health systems may undermine the implementation of large-scale programmes to optimise the health workforce. Changes in the roles and responsibilities of cadres may also, in turn, impact the health system throughout. © 2014 John Wiley & Sons Ltd.

  19. Development and evaluation of a dietary self-management programme for older adults with low literacy and heart disease: pilot study of feasibility and acceptability.

    Science.gov (United States)

    Shao, Jung-Hua; Chen, Su-Hui

    2016-12-01

    To develop a dietary self-management programme for salt-, fluid-, fat- and cholesterol-intake behaviours for older adults with low literacy and heart disease and evaluate the feasibility and acceptability of the programme. Eating behaviours such as fluid, salt, fat and cholesterol intake are an important factor related to heart disease outcomes. People with low literacy have difficulty following recommended health behaviours, but limited research has investigated intervention programmes for this population. Programme development and pilot testing its feasibility and acceptability. Recommendations were also collected from participants and the research assistant for future large-scale interventions. The study had two phases. Phase I consisted of programme development based on previous qualitative findings, a systematic review of the literature, clinical practice experience and expert opinion. In Phase II, we pilot tested the programme from January - June 2014 in a convenience sample of 10 older adults with low literacy, heart disease and recruited from a medical centre in northern Taiwan. Pilot testing showed that our programme was feasible and acceptable to older adults with low literacy and heart disease. Moreover, the final version of the programme was revised based on participants' and the research assistant's recommendations. Our study results suggest that with guidance and assistance, older adults with low literacy and heart disease can be motivated to take action for their health and are empowered by learning how to self-manage their heart-healthy eating behaviours. © 2016 John Wiley & Sons Ltd.

  20. Protocol of Taste and See: A Feasibility Study of a Church-Based, Healthy, Intuitive Eating Programme

    Directory of Open Access Journals (Sweden)

    Deborah Lycett

    2016-04-01

    Full Text Available Obesity treatment remains a high global priority. Evidence suggests holistic approaches, which include a religious element, are promising. Most research is from the USA, but recent evidence suggests a need within the UK population. The aim of this study is to explore the feasibility of running and evaluating a Christian-based, healthy, intuitive-eating programme, in a UK church. This is the protocol of a mixed-methods single-group feasibility study of a ten-week programme. The programme focuses on breaking the “diet and weight regain” cycle using principles from intuitive eating uniquely combined with biblical principles of love, freedom, responsibility, forgiveness, and spiritual need. We will recruit at least ten adult participants who are obese, overweight, or of a healthy weight with problematic eating behaviours. Participants can be from any faith or none. Robust measures of physical, psychological and spiritual outcomes will be used. Results are not yet available. Findings will be used to design a cluster-randomised controlled trial to test efficacy through many churches. If weight reduces by a small amount, there will be substantial benefits to public health. With a strong association between obesity and mental-ill health, a holistic intervention is particularly important. Using churches addresses religious and spiritual health, and uses existing social structures and a voluntary workforce that are sustainable and cost-effective.

  1. Professionals learning together with patients: An exploratory study of a collaborative learning Fellowship programme for healthcare improvement.

    Science.gov (United States)

    Myron, Rowan; French, Catherine; Sullivan, Paul; Sathyamoorthy, Ganesh; Barlow, James; Pomeroy, Linda

    2018-05-01

    Improving the quality of healthcare involves collaboration between many different stakeholders. Collaborative learning theory suggests that teaching different professional groups alongside each other may enable them to develop skills in how to collaborate effectively, but there is little literature on how this works in practice. Further, though it is recognised that patients play a fundamental role in quality improvement, there are few examples of where they learn together with professionals. To contribute to addressing this gap, we review a collaborative fellowship in Northwest London, designed to build capacity to improve healthcare, which enabled patients and professionals to learn together. Using the lens of collaborative learning, we conducted an exploratory study of six cohorts of the year long programme (71 participants). Data were collected using open text responses from an online survey (n = 31) and semi-structured interviews (n = 34) and analysed using an inductive open coding approach. The collaborative design of the Fellowship, which included bringing multiple perspectives to discussions of real world problems, was valued by participants who reflected on the safe, egalitarian space created by the programme. Participants (healthcare professionals and patients) found this way of learning initially challenging yet ultimately productive. Despite the pedagogical and practical challenges of developing a collaborative programme, this study indicates that opening up previously restricted learning opportunities as widely as possible, to include patients and carers, is an effective mechanism to develop collaborative skills for quality improvement.

  2. School nurses' attitudes towards and experiences of the Swedish school-based HPV vaccination programme - A repeated cross sectional study.

    Science.gov (United States)

    Grandahl, Maria; Larsson, Margareta; Tydén, Tanja; Stenhammar, Christina

    2017-01-01

    The aim was to investigate school nurses' attitudes towards, and experiences of vaccination against human papillomavirus (HPV), and compare the results with a similar study three years earlier. School nurses (n = 736) from all counties in Sweden completed a questionnaire in spring 2016, four years after the implementation of the national HPV vaccination programme, and three years after the previous survey. Overall, the school nurses had more favourable attitudes towards the HPV vaccination programme compared to the study in 2013 (p = 0.015). More than half of the nurses (n = 415, 56%) strongly agreed that boys should also be offered the vaccine (pHPV in order to inform and to answer questions about the vaccine from the girls or from the parents. More than half of the nurses (n = 409, 56%) reported that they needed more education about HPV. Almost all nurses (n = 659, 90%) had been contacted by parents with questions about the vaccine, and most questions were related to vaccine safety. School nurses have a more favourable attitude towards the vaccination programme against HPV compared to three years earlier, although almost all nurses had been contacted by parents with diverse questions and concerns. The nurses believed that they needed more education about HPV. Thus, it is essential to provide ongoing education and training for school nurses who are key healthcare professionals for providing information about HPV and HPV vaccination to parents and to pupils.

  3. School nurses' attitudes towards and experiences of the Swedish school-based HPV vaccination programme - A repeated cross sectional study.

    Directory of Open Access Journals (Sweden)

    Maria Grandahl

    Full Text Available The aim was to investigate school nurses' attitudes towards, and experiences of vaccination against human papillomavirus (HPV, and compare the results with a similar study three years earlier. School nurses (n = 736 from all counties in Sweden completed a questionnaire in spring 2016, four years after the implementation of the national HPV vaccination programme, and three years after the previous survey. Overall, the school nurses had more favourable attitudes towards the HPV vaccination programme compared to the study in 2013 (p = 0.015. More than half of the nurses (n = 415, 56% strongly agreed that boys should also be offered the vaccine (p<0.001. There were no differences in school nurses' perceived knowledge about HPV in order to inform and to answer questions about the vaccine from the girls or from the parents. More than half of the nurses (n = 409, 56% reported that they needed more education about HPV. Almost all nurses (n = 659, 90% had been contacted by parents with questions about the vaccine, and most questions were related to vaccine safety. School nurses have a more favourable attitude towards the vaccination programme against HPV compared to three years earlier, although almost all nurses had been contacted by parents with diverse questions and concerns. The nurses believed that they needed more education about HPV. Thus, it is essential to provide ongoing education and training for school nurses who are key healthcare professionals for providing information about HPV and HPV vaccination to parents and to pupils.

  4. Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder: an economic modelling study.

    Science.gov (United States)

    Sampaio, Filipa; Barendregt, Jan J; Feldman, Inna; Lee, Yong Yi; Sawyer, Michael G; Dadds, Mark R; Scott, James G; Mihalopoulos, Cathrine

    2017-12-29

    Parenting programmes are the recommended treatments of conduct disorders (CD) in children, but little is known about their longer term cost-effectiveness. This study aimed to evaluate the population cost-effectiveness of one of the most researched evidence-based parenting programmes, the Triple P-Positive Parenting Programme, delivered in a group and individual format, for the treatment of CD in children. A population-based multiple cohort decision analytic model was developed to estimate the cost per disability-adjusted life year (DALY) averted of Triple P compared with a 'no intervention' scenario, using a health sector perspective. The model targeted a cohort of 5-9-year-old children with CD in Australia currently seeking treatment, and followed them until they reached adulthood (i.e., 18 years). Multivariate probabilistic and univariate sensitivity analyses were conducted to incorporate uncertainty in the model parameters. Triple P was cost-effective compared to no intervention at a threshold of AU$50,000 per DALY averted when delivered in a group format [incremental cost-effectiveness ratio (ICER) = $1013 per DALY averted; 95% uncertainty interval (UI) 471-1956] and in an individual format (ICER = $20,498 per DALY averted; 95% UI 11,146-39,470). Evidence-based parenting programmes, such as the Triple P, for the treatment of CD among children appear to represent good value for money, when delivered in a group or an individual face-to-face format, with the group format being the most cost-effective option. The current model can be used for economic evaluations of other interventions targeting CD and in other settings.

  5. Health protection: communicable disease, public health and infection control educational programmes--a case study from the UK.

    Science.gov (United States)

    El-Ansari, W; Privett, S

    2005-04-01

    The health protection (HP) landscape is changing. Issues related to infectious diseases in the context of global health are receiving the attention of world leaders and policy makers. In the UK, the national health policies resonate with such transformations, presenting a range of opportunities and challenges. The opportunities include the formation of a new national organisation dedicated to protecting the people's health and reducing the impact of infectious disease, the Health Protection Agency. The opportunities also include the opening of non-medical specialists's pathways in public health. The challenges represent the limited number of centres offering infection control education; the hospital focus and bias of the courses; new, resurgent and emerging infections; globalisation and travel; bacterial resistance; vaccine safety and coverage; bioterrorism; global response capacity; and visa restrictions. Within this context, this paper presents a case study of a HP educational programme at a British university in the south of England. It outlines the course design and philosophy, participants, recruitment, aims, descriptions and learning outcomes. A range of teething problems associated with the initiation and running of such programmes is considered. These include aspects related to the university, features associated with the modules, characteristics of the students, and other interconnected larger scale international issues. Some suggestions for the way forward are presented. Collectively, attention to the suggested measures can ensure that the processes that teaching programmes embrace to refine their content and delivery will equip tomorrow's professionals with the requisite HP knowledge and skills.

  6. Early Detection of Breast Cancer and Barrier to Screening Programmes amongst Thai Migrant Women in Australia: A Qualitative Study

    Science.gov (United States)

    Suwankhong, Dusanee; Liamputtong, Pranee

    2018-04-27

    Background: Breast cancer screening programme is seen as the best practice to detect breast cancer early. However, there are circumstances that can prevent immigrant women from attending screening programmes. Little is known about Thai migrants and the barriers to their seeking breast cancer screening when living in a new homeland. This paper aimed to discuss the barriers to attending screening services among Thai migrant women living in Australia. Methods: This study adopted qualitative approach. Semi-structured in-depth interviewing and drawing methods were employed as data collection technique with 25 Thai migrant women who had not experienced breast cancer and were living in Metropolitan Melbourne, Australia. Thematic analysis method was employed to analyse the data. Results: Basing on the Health Belief Model, most Thai migrant women did not perceive that they were at risk of breast cancer. Despite seeing a breast cancer screening programme as important, the women rarely paid attention to breast cancer screening and used the mammography services provided by the Australian health care system. The barriers included the location of the services, unfamiliar patterns of health care provision, and language difficulties. Conclusions: There are many barriers that that they encountered in Australia that prevent Thai migrant women living in Melbourne Australia to pay attention to mammographic screening service provided by Australia health system. Our findings suggest that health services and interventions need to be designed more sensitive to the needs and socio-cultural context of migrant women in general and Thai migrant women in particular. Creative Commons Attribution License

  7. Evaluation of the COPING parent online universal programme: study protocol for a pilot randomised controlled trial.

    Science.gov (United States)

    Owen, Dawn Adele; Griffith, Nia; Hutchings, Judy

    2017-04-26

    Bangor University, Brigantia Building, College Road, Bangor, LL57 2AS, UK INTRODUCTION: The COPING parent online universal programme is a web-based parenting intervention for parents of children aged 3-8 years with an interest in positive parenting. The programme focuses on strengthening parent-child relationships and encouraging positive child behaviour. This trial will evaluate whether the intervention is effective in increasing the use of positive parenting strategies outlined in the programme using parent report and blind observation measures. This is a pilot randomised controlled trial with intervention and wait-list control conditions. The intervention is a 10-week online parenting programme to promote positive parent-child relations by teaching core social learning theory principles that encourage positive child behaviour, primarily through the use of praise and rewards. Health visitors and school nurses will circulate a recruitment poster to parents of children aged 3-8 years on their current caseloads. Recruitment posters will also be distributed via local primary schools and nurseries. Parents recruited to the trial will be randomised on a 2:1 ratio to intervention or wait-list control conditions (stratified according to child gender and age). The primary outcome measure is positive parenting as measured by a behavioural observation of parent-child interactions using the Dyadic Parent-Child Interaction Coding System. Secondary outcomes include parent report of child behaviour, and self-reported parental sense of competence, parenting behaviour and parental mental health. Data will be collected at baseline and 3 months later (postintervention) for all participants and 6 months postbaseline for the intervention group only. Analysis of covariance will be the main statistical method used. The trial has received ethical approval from the NHS Betsi Cadwaladr University Health Board Ethics Committee (REC) and the School of Psychology, Bangor University REC (15

  8. Age in antiretroviral therapy programmes in South Africa: a retrospective, multicentre, observational cohort study.

    Science.gov (United States)

    Cornell, Morna; Johnson, Leigh F; Schomaker, Michael; Tanser, Frank; Maskew, Mhairi; Wood, Robin; Prozesky, Hans; Giddy, Janet; Stinson, Kathryn; Egger, Matthias; Boulle, Andrew; Myer, Landon

    2015-09-01

    As access to antiretroviral therapy (ART) expands, increasing numbers of older patients will start treatment and need specialised long-term care. However, the effect of age in ART programmes in resource-constrained settings is poorly understood. The HIV epidemic is ageing rapidly and South Africa has one of the highest HIV population prevalences worldwide. We explored the effect of age on mortality of patients on ART in South Africa and whether this effect is mediated by baseline immunological status. In this retrospective cohort analysis, we studied HIV-positive patients aged 16-80 years who started ART for the first time in six large South African cohorts of the International Epidemiologic Databases to Evaluate AIDS-Southern Africa collaboration, in KwaZulu-Natal, Gauteng, and Western Cape (two primary care clinics, three hospitals, and a large rural cohort). The primary outcome was mortality. We ascertained patients' vital status through linkage to the National Population Register. We used inverse probability weighting to correct mortality for loss to follow-up. We estimated mortality using Cox's proportional hazards and competing risks regression. We tested the interaction between baseline CD4 cell count and age. Between Jan 1, 2004, and Dec 31, 2013, 84,078 eligible adults started ART. Of these, we followed up 83,566 patients for 174,640 patient-years. 8% (1817 of 23,258) of patients aged 16-29 years died compared with 19% (93 of 492) of patients aged 65 years or older. The age adjusted mortality hazard ratio was 2·52 (95% CI 2·01-3·17) for people aged 65 years or older compared with those 16-29 years of age. In patients starting ART with a CD4 count of less than 50 cells per μL, the adjusted mortality hazard ratio was 2·52 (2·04-3·11) for people aged 50 years or older compared with those 16-39 years old. Mortality was highest in patients with CD4 counts of less than 50 cells per μL, and 15% (1103 of 7295) of all patients aged 50 years or older

  9. Monitoring programme

    International Nuclear Information System (INIS)

    1994-06-01

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

  10. Greek Teachers Programme 2015

    CERN Multimedia

    Hoch, Michael

    2015-01-01

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

  11. Health literacy among Danish university students enrolled in health-related study programmes.

    Science.gov (United States)

    Elsborg, Lea; Krossdal, Fie; Kayser, Lars

    2017-12-01

    It is important to address people's health literacy when providing health care. Health professionals should be aware of, and have insight into, people's health literacy when they provide health services. Health professionals need to be health literate themselves. We examined the level of health literacy in students in Denmark attending one of four full university programmes related to health and investigated how their health literacy was associated with their sociodemographic background. The health literacy level of the students was measured using the multi-dimensional Health Literacy Questionnaire (HLQ) supplemented with sociodemographic questions. The questionnaire was administrated through the students' Facebook groups. The students were enrolled in courses on health informatics, medicine, molecular biomedicine or public health. Out of a total of 7663 students, 630 responded to the questionnaire. No sex difference was found although female students scored higher than male students in domain 4 (social support for health). Students attending the public health programme tended to score higher and those attending molecular biomedicine tended to score lower in the HLQ. There was a positive correlation between HLQ scores and the educational level of the students' parents. If one of their parents was employed in the health care sector, the HLQ score tended to be higher in domains 1 and 4. Students who had been hospitalized also tended to score higher in domains 1, 5 and 6. Students' health literacy relates to their personal background and educational path. This may be of importance when planning curricula and educational activities, including cross-disciplinary courses.

  12. Automated Software Acceleration in Programmable Logic for an Efficient NFFT Algorithm Implementation: A Case Study.

    Science.gov (United States)

    Rodríguez, Manuel; Magdaleno, Eduardo; Pérez, Fernando; García, Cristhian

    2017-03-28

    Non-equispaced Fast Fourier transform (NFFT) is a very important algorithm in several technological and scientific areas such as synthetic aperture radar, computational photography, medical imaging, telecommunications, seismic analysis and so on. However, its computation complexity is high. In this paper, we describe an efficient NFFT implementation with a hardware coprocessor using an All-Programmable System-on-Chip (APSoC). This is a hybrid device that employs an Advanced RISC Machine (ARM) as Processing System with Programmable Logic for high-performance digital signal processing through parallelism and pipeline techniques. The algorithm has been coded in C language with pragma directives to optimize the architecture of the system. We have used the very novel Software Develop System-on-Chip (SDSoC) evelopment tool that simplifies the interface and partitioning between hardware and software. This provides shorter development cycles and iterative improvements by exploring several architectures of the global system. The computational results shows that hardware acceleration significantly outperformed the software based implementation.

  13. Meeting of the 7. session of the scientific advisory committee of the world climate impact studies programme, Mauritius, 9-11 January 1990

    International Nuclear Information System (INIS)

    1990-01-01

    A brief outline of ongoing projects implemented by UNEP as part of the current phase of the World Climate Impact Studies Programme (WCIP) is given. The projects are classified under several main headings: (i) Greenhouse gas/climate change issue; (ii) Coordination of national climate programmes; (iii) Methodology of climate impact assessment. Following the agreement with Delft Laboratories and the publication of the UNEP supported study of areas vulnerable to sea level rise, a site specific study of sea level rise impacts was being considered for development. However, the project would become the responsibility of the UNEP Oceans and Coastal Areas Programme Activity Centre (OCA/PAC). Overview of sea level rise, the inventory of climate impact studies, newsletter, methodology of climate impact assessment were other topics discussed at the seventh session of the Scientific Advisory Committee of the World Climate Impact Studies Programme, Mauritius, 9-11 January 1990

  14. The CORE Service Improvement Programme for mental health crisis resolution teams: study protocol for a cluster-randomised controlled trial.

    Science.gov (United States)

    Lloyd-Evans, Brynmor; Fullarton, Kate; Lamb, Danielle; Johnston, Elaine; Onyett, Steve; Osborn, David; Ambler, Gareth; Marston, Louise; Hunter, Rachael; Mason, Oliver; Henderson, Claire; Goater, Nicky; Sullivan, Sarah A; Kelly, Kathleen; Gray, Richard; Nolan, Fiona; Pilling, Stephen; Bond, Gary; Johnson, Sonia

    2016-03-22

    As an alternative to hospital admission, crisis resolution teams (CRTs) provide intensive home treatment to people experiencing mental health crises. Trial evidence supports the effectiveness of the CRT model, but research suggests that the anticipated reductions in inpatient admissions and increased user satisfaction with acute care have been less than hoped for following the scaling up of CRTs nationally in England, as mandated by the National Health Service (NHS) Plan in 2000. The organisation and service delivery of the CRTs vary substantially. This may reflect the lack of a fully specified CRT model and the resources to enhance team model fidelity and to improve service quality. We will evaluate the impact of a CRT service improvement programme over a 1-year period on the service users' experiences of care, service use, staff well-being, and team model fidelity. Twenty-five CRTs from eight NHS Trusts across England will be recruited to this cluster-randomised trial: 15 CRTs will be randomised to receive the service improvement programme over a 1-year period, and ten CRTs will not receive the programme. Data will be collected from 15 service users and all clinical staff from each participating CRT at baseline and at the end of the intervention. Service use data will be collected from the services' electronic records systems for two 6-month periods: the period preceding and the period during months 7-12 of the intervention. The study's primary outcome is service user satisfaction with CRT care, measured using a client satisfaction questionnaire. Secondary outcomes include the following: perceived continuity of care, hospital admission rates and bed use, rates of readmission to acute care following CRT support, staff morale, job satisfaction, and general health. The adherence of the services to a model of best practice will be assessed at baseline and follow-up. Outcomes will be compared between the intervention and control teams, adjusting for baseline

  15. DECOVALEX-THMC Project. Task D. Long-Term Permeability/Porosity Changes in the EDZ and Near Field due to THM and THC Processes in Volcanic and Crystalline-Bentonite Systems. Phase 1 Report

    International Nuclear Information System (INIS)

    Birkholzer, J.; Rutqvist, J.; Sonnenthal, E.; Barr, D.

    2007-02-01

    The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. Three multi-year project stages of DECOVALEX have been completed in the past decade, mainly focusing on coupled thermal-hydrological-mechanical processes. Currently, a fourth three-year project stage of DECOVALEX is under way, referred to as DECOVALEX-THMC. THMC stands for Thermal, Hydrological, Mechanical, and Chemical processes. The new project stage aims at expanding the traditional geomechanical scope of the previous DECOVALEX project stages by incorporating geochemical processes important for repository performance. The U.S. Department of Energy (DOE) leads Task D of the new DECOVALEX phase, entitled 'Long-term Permeability/Porosity Changes in the EDZ and Near Field due to THC and THM Processes for Volcanic and Crystalline-Bentonite Systems.' In its leadership role for Task D, DOE coordinates and sets the direction for the cooperative research activities of the international research teams engaged in Task D. The research program developed for Task D of DECOVALEX-THMC involves geomechanical and geochemical research areas. THM and THC processes may lead to changes in hydrological properties that are important for performance because the flow processes in the vicinity of emplacement tunnels will be altered from their initial state. Some of these changes can be permanent (irreversible), in which case they persist after the thermal conditions have returned to ambient; i.e., they will affect the entire regulatory compliance period. Geochemical processes also affect the water and gas chemistry close to the waste packages, which are relevant for waste package corrosion, buffer stability, and radionuclide transport. Research teams participating in Task D evaluate long-term THM and THC processes in two generic geologic

  16. DECOVALEX-THMC Project. Task D. Long-Term Permeability/Porosity Changes in the EDZ and Near Field due to THM and THC Processes in Volcanic and Crystalline-Bentonite Systems. Phase 1 Report

    Energy Technology Data Exchange (ETDEWEB)

    Birkholzer, J.; Rutqvist, J.; Sonnenthal, E. [Lawrence Berkeley National Laboratory, CA (United States); Barr, D. [Office of Repository Development, DOE (United States)

    2007-02-15

    The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. Three multi-year project stages of DECOVALEX have been completed in the past decade, mainly focusing on coupled thermal-hydrological-mechanical processes. Currently, a fourth three-year project stage of DECOVALEX is under way, referred to as DECOVALEX-THMC. THMC stands for Thermal, Hydrological, Mechanical, and Chemical processes. The new project stage aims at expanding the traditional geomechanical scope of the previous DECOVALEX project stages by incorporating geochemical processes important for repository performance. The U.S. Department of Energy (DOE) leads Task D of the new DECOVALEX phase, entitled 'Long-term Permeability/Porosity Changes in the EDZ and Near Field due to THC and THM Processes for Volcanic and Crystalline-Bentonite Systems.' In its leadership role for Task D, DOE coordinates and sets the direction for the cooperative research activities of the international research teams engaged in Task D. The research program developed for Task D of DECOVALEX-THMC involves geomechanical and geochemical research areas. THM and THC processes may lead to changes in hydrological properties that are important for performance because the flow processes in the vicinity of emplacement tunnels will be altered from their initial state. Some of these changes can be permanent (irreversible), in which case they persist after the thermal conditions have returned to ambient; i.e., they will affect the entire regulatory compliance period. Geochemical processes also affect the water and gas chemistry close to the waste packages, which are relevant for waste package corrosion, buffer stability, and radionuclide transport. Research teams participating in Task D evaluate long-term THM and THC processes in two generic geologic

  17. Mechanical massage and mental training programmes affect employees' anxiety, stress susceptibility and detachment-a randomised explorative pilot study.

    Science.gov (United States)

    Muller, Jasmin; Handlin, Linda; Harlén, Mikael; Lindmark, Ulrika; Ekström, Anette

    2015-09-02

    Working people's reduced ability to recover has been proposed as a key factor behind the increase in stress-related health problems. One not yet evidence-based preventive method designed to help employees keep healthy and be less stressed is an armchair with built-in mechanical massage and mental training programmes, This study aimed to evaluate possible effects on employees' experience of levels of "Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability" when using mechanical massage and mental training programmes, both separately and in combination, during working hours. Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to the mental training programmes, n=19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n=19), iii) Mental training (sitting in the armchair and listening to the mental training programmes only, n=19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to the mental training programmes, n=19), v) Control (not sitting in the armchair at all, n=17). In order to discover how the employees felt about their own health they were asked to respond to statements from the "Swedish Scale of Personality" (SSP), immediately before the randomisation, after four weeks and after eight weeks (end-of-study). There were no significant differences between the five study groups for any of the traits studied ("Somatic Trait Anxiety", "Psychic Trait Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability") at any of the occasions. However, the massage group showed a significant decrease in the subscale "Somatic Trait Anxiety" (p=0.032), during the entire study period. Significant decreases in the same subscale were also observed in the pause group between start and week eight (p=0.040) as well as between week four and week

  18. Experimental and numerical study of the British Experimental Rotor Programme blade

    Science.gov (United States)

    Brocklehurst, Alan; Duque, Earl P. N.

    1990-01-01

    Wind-tunnel tests on the British Experimental Rotor Programme (BERP) tip are described, and the results are compared with computational fluid dynamics (CFD) results. The test model was molded using the Lynx-BERP blade tooling to provide a semispan, cantilever wing comprising the outboard 30 percent of the rotor blade. The tests included both surface-pressure measurements and flow visualization to obtain detailed information of the flow over the BERP tip for a range of angles of attack. It was observed that, outboard of the notch, favorable pressure gradients exist which ensure attached flow, and that the tip vortex also remains stable to large angles of attack. On the rotor, these features yield a very gradual break in control loads when the retreating-blade limit is eventually reached. Computational and experimental results were generally found to be in good agreement.

  19. Dietary Preference of Gammarus pulex and Asellus aquaticus during a Laboratory Breeding Programme for Ecotoxicological Studies

    Directory of Open Access Journals (Sweden)

    M. C. Bloor

    2011-01-01

    Full Text Available An investigation was undertaken to establish if Gammarus pulex and Asellus aquaticus preferred a diet of unconditioned, artificially or naturally conditioned alder leaves (Alnus glutinosa. Standardised, 24 hour ex situ feeding assays were undertaken with both species to determine their food preference. The results showed that A. aquaticus ate more leaf material compared to G. pulex (Z 23.909, P 0.001 when exposed to all three test variables. Also, both G. pulex and A. aquaticus demonstrated a preference for naturally conditioned leaves compared to the other two variables, with unconditioned leaves proving the least popular food option for both macroinvertebrates (Z 18.803, <0.001. However, both species ate varying amounts of all the leaf treatments (Z 136.399, <0.001. Subsequently, the author outlined a feeding methodology for natural alder leaf conditioning that could be used during a laboratory breeding programme.

  20. Integration of natural analogue studies within a national confidence-building programme

    Energy Technology Data Exchange (ETDEWEB)

    Tsuboya, T. [Radioactive Waste Management Funding and Research Centre (RWMC), No. 15 Mori Bldg., 2-8-10 Toranomon, Minato-ku, Tokyo 105-0001 (Japan)]. E-mail: tsuboya@rwmc.or.jp; McKinley, I.G. [National Cooperative for the Disposal of Radioactive Waste (Nagra), Hardstrasse 73, 5430 Wettingen (Switzerland)]. E-mail: ian.mackinley@nagra.ch

    2004-07-01

    It is now commonly recognised that public acceptance is one of the key factors influencing the feasibility of nuclear waste repositories - or indeed, any major industrial or technical developments. The general antipathy against anything 'radioactive' is further compounded by the difficulty of developing a simple, transparent safety case for a facility deep underground that clearly shows that there is no health risk at any time in the future. Natural analogues have great potential as communication tools within such a safety case. The analogue programme must, however, be embedded in an integrated communication strategy that identifies the key concerns of different critical groups and identifies the most appropriate way to address them. Some of the important characteristics of such a strategy include: demonstration of high levels of competence, openness and honesty of involved organisations (both regulators and implementers); ensuring consistency of policy, procedures and utilisation of technical arguments; recognition of the importance of reacting to feedback from all involved parties. (author)

  1. A European collaboration research programme to study and test large scale base isolated structures

    International Nuclear Information System (INIS)

    Renda, V.; Verzeletti, G.; Papa, L.

    1995-01-01

    The improvement of the technology of innovative anti-seismic mechanisms, as those for base isolation and energy dissipation, needs of testing capability for large scale models of structures integrated with these mechanisms. These kind experimental tests are of primary importance for the validation of design rules and the setting up of an advanced earthquake engineering for civil constructions of relevant interest. The Joint Research Centre of the European Commission offers the European Laboratory for Structural Assessment located at Ispra - Italy, as a focal point for an international european collaboration research programme to test large scale models of structure making use of innovative anti-seismic mechanisms. A collaboration contract, opened to other future contributions, has been signed with the national italian working group on seismic isolation (Gruppo di Lavoro sull's Isolamento Sismico GLIS) which includes the national research centre ENEA, the national electricity board ENEL, the industrial research centre ISMES and producer of isolators ALGA. (author). 3 figs

  2. Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients

    Science.gov (United States)

    Maniam, Radha; Subramanian, Pathmawathi; Singh, Surindar Kaur Surat; Lim, Soo Kun; Chinna, Karuthan; Rosli, Roshaslina

    2014-01-01

    INTRODUCTION Fatigue and quality of sleep are the main factors that contribute to a poor quality of life among patients on long-term haemodialysis. Studies have also emphasised the importance of exercise for improving the wellbeing of dialysis patients. This study aimed to determine the effectiveness of a predialysis low-to-moderate-intensity exercise programme for reducing fatigue and improving sleep disorders among long-term haemodialysis patients. METHODS In this quasi-experimental study, an exercise programme was conducted three times a week for 12 weeks before long-term haemodialysis patients underwent dialysis at two centres. The patients were categorised into either the exercise group (n = 28) or control group (n = 27). The latter was asked to maintain their current lifestyles. Assessments of fatigue and sleep disorder levels were performed for both groups using self-reported questionnaires at baseline and after intervention. The patients’ perception of the exercise programme was also determined using self-reported questionnaires. RESULTS Paired sample t-test indicated improvements in fatigue level in the exercise group (mean fatigue score: post-treatment 40.5 ± 7.9 vs. pre-treatment 30.0 ± 10.9). Improvements in sleep disorders were also observed in the exercise group (mean score: post-treatment 7.6 ± 3.3 vs. pre-treatment 10.1 ± 3.8). However, sleep quality deteriorated in the control group (mean score: post-treatment 10.7 ± 2.9 vs. pre-treatment 9.3 ± 2.9). CONCLUSION Simple low-to-moderate-intensity exercise is effective for improving fatigue, sleep disorders and the overall quality of life among haemodialysis patients. PMID:25273932

  3. Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design

    Directory of Open Access Journals (Sweden)

    Jolly Kate

    2009-06-01

    Full Text Available Abstract Background The National Institute of Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the utility of a Self Determination Theory (SDT-based exercise referral consultation. Methods/Design Design: An exploratory cluster randomised controlled trial comparing standard provision exercise on prescription with a Self Determination Theory-based (SDT exercise on prescription intervention. Participants: 347 people referred to the Birmingham Exercise on Prescription scheme between November 2007 and July 2008. The 13 exercise on prescription sites in Birmingham were randomised to current practice (n = 7 or to the SDT-based intervention (n = 6. Outcomes measured at 3 and 6-months: Minutes of moderate or vigorous physical activity per week assessed using the 7-day Physical Activity Recall; physical health: blood pressure and weight; health status measured using the Dartmouth CO-OP charts; anxiety and depression measured by the Hospital Anxiety and Depression Scale and vitality measured by the subjective vitality score; motivation and processes of change: perceptions of autonomy support from the advisor, satisfaction of the needs for competence, autonomy, and relatedness via physical activity, and motivational regulations for exercise. Discussion This trial will determine whether an exercise referral programme based on Self Determination Theory increases physical activity and other health outcomes compared to a standard programme and will test the underlying SDT-based process model (perceived autonomy support, need satisfaction, motivation regulations, outcomes via structural equation modelling. Trial registration The trial is registered as Current Controlled trials ISRCTN07682833.

  4. Proposal for a coordination research programme (CRP) of the International Atomic Energy Agency (IAEA) on stable isotope tracer techniques for studies on protein-energy interactions

    International Nuclear Information System (INIS)

    Shetty, P.; James, W.P.T.

    1993-01-01

    This Report provides a rationale and justification for the initiation of a Coordinated Research programme to support studies using stable isotopic tracer techniques to address priority areas of human protein-energy interactions with special emphasis on the problems of human nutrition in developing countries. The Report suggests a modus for establishing such a practically oriented Coordinated Research Programme under the aegis of the International Atomic Energy Agency with concrete suggestions for its organization and the identification of probable participants in such a programme. The likely sources of additional funding to sustain such an activity viable for a period of 4 to 5 years are also indicated. 8 refs

  5. DECOVALEX-THMC Task D: Long-Term Permeability/Porosity Changes in the EDZ and Near Field due to THM and THC Processes in Volcanic and Crystalline-Bentonite Systems, Status Report October 2005

    International Nuclear Information System (INIS)

    Birkholzer, J.; Rutqvist, J.; Sonnenthal, E.; Barr, D.

    2005-01-01

    The DECOVALEX project is an international cooperative project initiated by SKI, the Swedish Nuclear Power Inspectorate, with participation of about 10 international organizations. The name DECOVALEX stands for DEvelopment of COupled models and their VALidation against Experiments. The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. Three multi-year project stages of DECOVALEX have been completed in the past decade, mainly focusing on coupled thermal-hydrological-mechanical processes. Currently, a fourth three-year project stage of DECOVALEX is under way, referred to as DECOVALEX-THMC. THMC stands for Thermal, Hydrological, Mechanical, and Chemical processes. The new project stage aims at expanding the traditional geomechanical scope of the previous DECOVALEX project stages by incorporating geochemical processes important for repository performance. The U.S. Department of Energy (DOE) leads Task D of the new DECOVALEX phase, entitled ''Long-term Permeability/Porosity Changes in the EDZ and Near Field due to THC and THM Processes for Volcanic and Crystalline-Bentonite Systems''. In its leadership role for Task D, DOE coordinates and sets the direction for the cooperative research activities of the international research teams engaged in Task D

  6. Multiple sclerosis patients' experiences in relation to the impact of the kinect virtual home-exercise programme: a qualitative study.

    Science.gov (United States)

    Palacios-Ceña, Domingo; Ortiz-Gutierrez, Rosa M; Buesa-Estellez, Almudena; Galán-Del-Río, Fernando; Cachon Perez, José M; Martínez-Piedrola, Rosa; Velarde-Garcia, Juan F; Cano-DE-LA-Cuerda, Roberto

    2016-06-01

    Neurorehabilitation programs are among the most popular therapies aimed at reducing the disabilities that result from multiple sclerosis. Video games have recently gained importance in the rehabilitation of patients with motor neurological dysfunctions. Currently, the studies describing the perspective of patients with multiple sclerosis who have participated in rehabilitation programmes via home-based video games are almost inexistent. The aim of this paper was to explore the experiences of multiple sclerosis patients who performed a virtual home-exercise programme using Kinect. A qualitative research enquiry was conducted as part of a study that examined postural control and balance after a 10-week Kinect home-exercise programme in adults with multiple sclerosis. Patients were recruited from a Neurology Unit of a University Hospital. The inclusion criteria were: subjects aged between 20 and 60 years, diagnosed with multiple sclerosis for over 2 years based on the McDonald Criteria; with an EDSS score ranging from 3 to 5. Purposeful sampling method was implemented. The data collection consisted of unstructured interviews, using open questions, and thematic analysis was conducted. Guidelines for conducting qualitative studies established by the Consolidated Criteria for Reporting Qualitative Research were followed. Twenty-four patients with a mean age of 36.69 were included. Four main themes emerged from the data: 1) regaining previous capacity and abilities. The patients described how, after the treatment with Kinect they felt more independent; 2) sharing the disease. The patients sharing the experience of living with MS with their family, thanks to the use of Kinect; 3) adapting to the new treatment. This refers to how the use of the videogame console incorporated novelties to their rehabilitation programme; and 4) comparing oneself. This refers to the appearance of factors that motivate the patient during KVHEP. The patients' experiences gathered in this study

  7. An evaluation of the parents under pressure programme: a study protocol for an RCT into its clinical and cost effectiveness.

    Science.gov (United States)

    Barlow, Jane; Sembi, Sukhdev; Gardner, Frances; Macdonald, Geraldine; Petrou, Stavros; Parsons, Helen; Harnett, Paul; Dawe, Sharon

    2013-07-11

    Many babies in the UK are born to drug-dependent parents, and dependence on psychoactive drugs during the postnatal period is associated with high rates of child maltreatment, with around a quarter of these children being subject to a child protection plan. Parents who are dependent on psychoactive drugs are at risk of a wide range of parenting problems, and studies have found reduced sensitivity and responsiveness to both the infant's physical and emotional needs. The poor outcomes that are associated with such drug dependency appear to be linked to the multiple difficulties experienced by such parents.An increase in understanding about the crucial importance of early relationships for infant well-being has led to a focus on the development and delivery of services that are aimed at supporting parenting and parent-infant interactions. The Parents under Pressure (PuP) programme is aimed at supporting parents who are dependent on psychoactive drugs or alcohol by providing them with methods of managing their emotional regulation, and of supporting their new baby's development. An evaluation of the PuP programme in Australia with parents on methadone maintenance of children aged 3 to 8 years found significant reductions in child abuse potential, rigid parenting attitudes and child behaviour problems. The study comprises a multicentre randomised controlled trial using a mixed-methods approach to data collection and analysis in order to identify which families are most able to benefit from this intervention.The study is being conducted in six family centres across the UK, and targets primary caregivers of children less than 2.5 years of age who are substance dependent. Consenting participants are randomly allocated to either the 20-week PuP programme or to standard care.The primary outcome is child abuse potential, and secondary outcomes include substance use, parental mental health and emotional regulation, parenting stress, and infant/toddler socio

  8. Impact of a fatigue management in work programme on meeting work demands of individuals with rheumatic diseases: A pilot study.

    Science.gov (United States)

    McCormack, Róisín C; O'Shea, Finbar; Doran, Michele; Connolly, Deirdre

    2018-03-25

    Work disability and job loss are serious consequences of rheumatic diseases (RDs), and fatigue is a symptom of RDs commonly reported to have an impact on work performance. A FAtigue ManagEment in Work (FAME-W) programme was developed to facilitate the self-management of fatigue in work. The present pilot study explored if FAME-W could facilitate individuals with RDs to manage fatigue in work and improve their ability to meet work demands. Twenty-seven individuals with a variety of rheumatic diagnoses completed a 4-week, 2-h occupational therapy-led self-management programme. Each week focused on fatigue-related topics, including fatigue and activity management, pain management and joint protection, mental well-being, effective communication with employers and work colleagues, and employment legislation. Individual workplace ergonomic assessments were also offered. Study measures (work function, fatigue, pain, mood and self-efficacy) were completed prior to starting FAME-W, immediately post-intervention and 12 weeks post-intervention. Participants (56% male) had a mean age of 43 years. No significant improvements were observed immediately post-programme. However, at the 12-week follow-up, significant improvements were reported in meeting work demands (scheduling [p = 0.046], output [p = 0.002], physical [p = 0.003], mental [p = 0.016]), fatigue [p = 0.001], pain [p = 0.01], anxiety [p = 0.001], depression [p physical: p = 0.005; symptoms: p = 0.010; affect: p = 0.010; social: p = 0.001). Significant improvements were reported in participants' ability to meet various demands of their work 3 months post-FAME-W. These findings suggest that FAME-W has the potential to assist individuals with RDs to meet the demands of their work, although further research is required to test the effectiveness of this intervention. Copyright © 2018 John Wiley & Sons, Ltd.

  9. Putting newborn hearing screening on the political agenda in Belgium: local initiatives toward a community programme - a qualitative study.

    Science.gov (United States)

    Vos, Bénédicte; Lagasse, Raphaël; Levêque, Alain

    2014-07-01

    The Kingdon model, based on the convergence of three streams (problem, policy, and politics) and the opening of a policy window, analyses the process by which a health issue is placed on the political agenda. We used this model to document the political agenda-setting process of the newborn hearing screening programme in Belgium. A qualitative study based on a document review and on semi-directed interviews was carried out. The interviews were conducted with nine people who had played a role in putting the issue in question on the political agenda, and the documents reviewed included scientific literature and internal reports and publications from the newborn hearing screening programme. The thematic analysis of the data collected was carried out on the basis of the Kingdon model's three streams. The political agenda-setting of this screening programme was based on many factors. The problem stream included factors external to the context under study, such as the technological developments and the contribution of the scientific literature which led to the recommendation to provide newborn hearing screening. The two other streams (policy and politics) covered factors internal to the Belgian context. The fact that it was locally feasible with financial support, the network of doctors convinced of the need for newborn hearing screening, the drafting of various proposals, and the search for financing were all part of the policy stream. The Belgian political context and the policy opportunities concerning preventive medicine were identified as significant factors in the third stream. When these three streams converged, a policy window opened, allowing newborn hearing screening onto the political agenda and enabling the policy decision for its introduction. The advantage of applying the Kingdon model in our approach was the ability to demonstrate the political agenda-setting process, using the three streams. This made it possible to identify the many factors involved in

  10. A Feasibility Study of Taste & See: A Church Based Programme to Develop a Healthy Relationship with Food

    Directory of Open Access Journals (Sweden)

    Riya Patel

    2017-02-01

    Full Text Available Holistic approaches which include a religious element are a promising intervention within obesity, but have not been explored in the UK. Objective: To conduct a feasibility study of a three-month, Christian-based intuitive-eating programme in a church. Methods: A total of 18 adults participated. Ethical approval was granted by Coventry University Ethics Committee. Participant and facilitator experience was investigated qualitatively. Results showed participants accepted the programme and engaged well with its spiritual component. Lay facilitators managed to adequately run the programme, although some difficulties identified training needs. Clinical, psychological and spiritual measures were analysed using intention to treat; baseline observation carried forward to input missing data. Mental well-being, anxiety, depression, quality of life, pain/discomfort uncontrolled-eating, emotional-eating, cognitive-restrained-eating, intuitive-eating and Body Mass Index (BMI improved significantly post-intervention. There were improvements in spiritual well-being, and reductions in energy, fat and saturated fat intake. Between the end of the intervention and a six-month follow-up, there were no statistically significant changes. However, the extent that weight and BMI returned to baseline levels meant that the reduction from baseline was no longer significant or clinically important. Mean changes in other variables, including uncontrolled eating, emotional eating, mental well-being and anxiety remained statistically improved from baseline. At six-month follow-up, improvements in intuitive eating were fully sustained at this time point and total fat, saturated fat and sugar intake had reduced further even though these values did not reach statistical significance. Conclusion: It is feasible to recruit to, deliver and evaluate Taste & See in a UK church, with lay volunteers. Clinical outcomes were positive, but a larger, controlled study is needed.

  11. Marathon Kids UK: study design and protocol for a mixed methods evaluation of a school-based running programme

    Science.gov (United States)

    Routen, Ash C; Harris, Jo P; Cale, Lorraine A; Gorely, Trish; Sherar, Lauren B

    2018-01-01

    Introduction Schools are promising settings for physical activity promotion; however, they are complex and adaptive systems that can influence the quality of programme implementation. This paper presents an evaluation of a school-based running programme (Marathon Kids). The aims of this study are (1) to identify the processes by which schools implement the programme, (2) identify and explain the contextual factors affecting implementation and explications of effectiveness and (3) examine the relationship between the level of implementation and perceived outcomes. Methods Using a realist evaluation framework, a mixed method single-group before-and-after design, strengthened by multiple interim measurements, will be used. Year 5 (9–10 years old) pupils and their teachers will be recruited from six state-funded primary schools in Leicestershire, UK. Data will be collected once prior to implementation, at five discrete time points during implementation and twice following implementation. A weekly implementation log will also be used. At time point 1 (TP1) (September 2016), data on school environment, teacher and pupil characteristics will be collected. At TP1 and TP6 (July 2017), accelerometry, pupil self-reported physical activity and psychosocial data (eg, social support and intention to be active) will be collected. At TP2, TP3 and TP5 (January, March and June 2017), observations will be conducted. At TP2 and TP5, there will be teacher interviews and pupil focus groups. Follow-up teacher interviews will be conducted at TP7 and TP8 (October 2017 and March 2018) and pupil focus group at TP8. In addition, synthesised member checking will be conducted (June 2018) with a mixed sample of schools. Ethics and dissemination Ethical approval for this study was obtained through Loughborough University Human Participants Ethics Subcommittee (R16-P032 & R16-P116). Findings will be disseminated via print, online media and dissemination events as well as practitioner and

  12. The use of programme planning and social marketing models by a state public health agency: a case study.

    Science.gov (United States)

    Kohr, J M; Strack, R W; Newton-Ward, M; Cooke, C H

    2008-03-01

    To investigate the use of planning models and social marketing planning principles within a state's central public health agency as a means for informing improved planning practices. Qualitative semi-structured interviews were conducted with 30 key programme planners in selected division branches, and a quantitative survey was distributed to 63 individuals responsible for programme planning in 12 programme-related branches. Employees who have an appreciation of and support for structured programme planning and social marketing may be considered the 'low hanging fruit' or 'early adopters'. On the other hand, employees that do not support or understand either of the two concepts have other barriers to using social marketing when planning programmes. A framework describing the observed factors involved in programme planning on an individual, interpersonal and organizational level is presented. Understanding the individual and structural barriers and facilitators of structured programme planning and social marketing is critical to increase the planning capacity within public health agencies.

  13. Introducing Acceptance and Commitment Therapy to a physiotherapy-led pain rehabilitation programme: an Action Research study.

    Science.gov (United States)

    Barker, Karen L; Heelas, Leila; Toye, Francine

    2016-02-01

    Recent developments in pain rehabilitation emphasise the importance of promoting psychological flexibility. Acceptance and Commitment Therapy (ACT) is one approach that has been shown to be effective for the treatment of chronic musculoskeletal pain. However, studies have shown that introducing innovative approaches such as ACT into established health care can cause some anxiety for professional groups. We used Action Research to evaluate the implementation of ACT to a physiotherapy-led pain rehabilitation programme. All staff in the pain service were invited to participate. Participants took part in focus groups, engaged in reflective sessions/meetings and completed reflective diaries. The analysis was undertaken by an experienced qualitative researcher using constant comparison. Participants reviewed emerging themes and validated the findings. Four key themes emerged from the study: (a) the need to see pain as an embodied, rather than dualistic, experience; (b) the need for a more therapeutic construction of 'acceptance'; (c) value-based goals as profound motivation for positive change; and (d) it's quite a long way from physiotherapy. Integral to a therapeutic definition of acceptance was the challenge of moving away from 'fixing' towards 'sitting with'. Participants described this as uncomfortable because it did not fit their biomedical training. This article describes how Action Research methodology was used in the introduction of ACT to a physiotherapy-led pain rehabilitation programme. The innovation of this study is that it helps us to understand the potential barriers and facilitators to embedding an ACT philosophy within a physiotherapy setting.

  14. Standardised method for reporting exercise programmes: protocol for a modified Delphi study.

    Science.gov (United States)

    Slade, Susan C; Dionne, Clermont E; Underwood, Martin; Buchbinder, Rachelle

    2014-12-30

    Exercise is integral to health across the lifespan and important for people with chronic health conditions. A systematic review of exercise trials for chronic conditions reported suboptimal descriptions of the evaluated interventions and concluded that this hinders interpretation and replication. The aim of this project is to develop a standardised method for reporting essential exercise programme details being evaluated in clinical trials. A modified Delphi technique will be used to gain consensus among international exercise experts. We will use three sequential rounds of anonymous online questionnaires to refine a standardised checklist. A draft checklist of potentially relevant items was developed based on the results of a systematic review of exercise systematic reviews. An international panel of experts was identified by exercise systematic review authorship, established international profile in exercise research and practice and by peer referral. In round 1, the international panel of experts will be asked to rate the importance of each draft item and provide additional suggestions for revisions or new items. Consensus will be considered reached if at least 70% of the panel strongly agree/disagree that an item should be included or excluded. Where agreement is not reached or there are suggestions for altered or new items, these will be taken to round 2 together with an aggregated summary of round 1 responses. Following the second round, a ranking of item importance will be made to rationalise the number of items. The final template will be distributed to panel members for approval. Ethics approval was received from The Cabrini Institute Ethics Committee, Melbourne, Australia (HREC 02-07-04-14). We plan to use a stepwise process to develop and refine a standardised and internationally agreed template for explicit reporting of exercise programmes. The template will be generalisable across all types of exercise interventions. The findings will be disseminated

  15. Experiences of participating in return-to-work group programmes for people with musculoskeletal disorders: A focus group study.

    Science.gov (United States)

    Hamnes, Bente; Rønningen, Aud; Skarbø, Åse

    2017-09-01

    The present study aimed to explore the experiences of individuals with musculoskeletal disorders (MSDs) who had participated in return-to-work group programmes (RTW-GPs) and to assess whether the programmes had had an impact on their work disability. Three focus group interviews and one individual interview were conducted involving 17 women (mean age = 47) with MSDs who had completed RTW-GPs. All interviews were audio-recorded, transcribed verbatim and analysed using thematic analyses. Participant experiences were categorised into three main themes: changed way of thinking, the importance of being able to work, and a changed lifestyle. The respondents said that participation in the RTW-GPs had enabled them to shift their focus from problems to opportunities. They had become more aware of strategies to enhance their energy levels and continue working. Several participants had reduced their work hours to achieve a better balance between work and daily life. Many participants had also changed their lifestyle habits, which had led to weight reduction, more energy and less pain. The study participants had attained a heightened awareness of what they could do to continue working. Many participants had introduced changes in their daily lives, with consequences for employment, social life and lifestyle. The findings suggest that RTW-GPs can help people with MSDs to remain in employment and prevent absenteeism. Copyright © 2017 John Wiley & Sons, Ltd.

  16. Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study.

    Science.gov (United States)

    Langhammer, B; Stanghelle, J K

    2000-08-01

    To examine whether two different physiotherapy regimes caused any differences in outcome in rehabilitation after acute stroke. A double-blind study of patients with acute first-ever stroke. Sixty-one patients were consecutively included, block randomized into two groups, and stratified according to gender and hemiplegic site. Group 1 (33 patients) and group 2 (28 patients) had physiotherapy according to Motor Relearning Programme (MRP) and Bobath, respectively. The supplemental treatment did not differ in the two groups. The Motor Assessment Scale (MAS), the Sødring Motor Evaluation Scale (SMES), the Barthel ADL Index and the Nottingham Health Profile (NHP) were used. The following parameters were also registered: length of stay in the hospital, use of assistive devices for mobility, and the patient's accommodation after discharge from the hospital. Patients treated according to MRP stayed fewer days in hospital than those treated according to Bobath (mean 21 days versus 34 days, p = 0.008). Both groups improved in MAS and SMES, but the improvement in motor function was significantly better in the MRP group. The two groups improved in Barthel ADL Index without significant differences between the groups. However, women treated by MRP improved more in ADL than women treated by Bobath. There were no differences between the groups in the life quality test (NHP), use of assistive devices or accommodation after discharge from the hospital. The present study indicates that physiotherapy treatment using the MRP is preferable to that using the Bobath programme in the acute rehabilitation of stroke patients.

  17. Students' experiences of learning in relation to didactic strategies during the first year of a nursing programme: a qualitative study.

    Science.gov (United States)

    Westin, Lars; Sundler, Annelie J; Berglund, Mia

    2015-03-17

    In university undergraduate nursing programmes, didactic strategies that enable students to learn nursing skills, solve problems and develop reflective and critical thinking and practice are needed. The aim of this study was to explore how different didactic strategies support nursing students' experiences of learning during the first year of a reconstructed nursing curriculum. This study employed a qualitative approach. The data were gathered through written narratives that were analysed using qualitative content analysis. Nursing students' experiences of learning through different didactic strategies, were evident in the text. These perspectives were organised into the following themes: To focus on the patient perspective and paying more attention to others, Learning from discussions and reflections on one's own learning, Training for the professional role and becoming more courage, and Gaining insights into nursing and increasing one's self-awareness. The education increased the students' self-awareness, which helped them to pay greater attention to patients and their relative. During the learning process, the students became more courageous, reflected and discovered their shortcomings. Stated didactic strategies supported a broad base of knowledge on nursing and the professional role of nurses. Educators are challenged to strengthen meaningful learning in nursing and to facilitate the progression of nursing programmes.

  18. Plagiarism: a case study of quality improvement in a taught postgraduate programme.

    Science.gov (United States)

    Marshall, Tom; Taylor, Beck; Hothersall, Ellie; Pérez-Martín, Leticia

    2011-01-01

    Plagiarism is a common issue in education. Software can detect plagiarism but little is known about prevention. To identify ways to reduce the incidence of plagiarism in a postgraduate programme. From 2006, all student assignments were monitored using plagiarism detection software (Turn It In) to produce percentage text matches for each assignment. In 2007, students were advised software was being used, and that plagiarism would result in penalties. In 2008, students attending a key module took part in an additional interactive seminar on plagiarism. A separate cohort of students did not attend the seminar, allowing comparison between attendees and non-attendees. Between 2006 and 2007, mean percentage text match values were consistent with a stable process, indicating advice and warnings were ineffective. Control chart analysis revealed that between 2007 and 2008, mean percentage text match changes showed a reduced text match in all nine modules, where students attended the interactive seminar, but none where students did not. This indicated that the interactive seminar had an effect. In 2008, there were no occurrences of plagiarism. Improvements were maintained in 2009. Advice and warnings against plagiarism were ineffective but a subsequent interactive seminar was effective at reducing plagiarism.

  19. An experimental study of a museum-based, science PD programme's impact on teachers and their students

    Science.gov (United States)

    Aaron Price, C.; Chiu, A.

    2018-06-01

    We present results of an experimental study of an urban, museum-based science teacher PD programme. A total of 125 teachers and 1676 of their students in grades 4-8 were tested at the beginning and end of the school year in which the PD programme took place. Teachers and students were assessed on subject content knowledge and attitudes towards science, along with teacher classroom behaviour. Subject content questions were mostly taken from standardised state tests and literature, with an 'Explain:' prompt added to some items. Teachers in the treatment group showed a 7% gain in subject content knowledge over the control group. Students of teachers in the treatment group showed a 4% gain in subject content knowledge over the control group on multiple-choice items and an 11% gain on the constructed response items. There was no overall change in science attitudes of teachers or students over the control groups but we did find differences in teachers' reported self-efficacy and teaching anxiety levels, plus PD teachers reported doing more student-centered science teaching activities than the control group. All teachers came into the PD with high initial excitement, perhaps reflecting its context within an informal learning environment.

  20. Narrowing the Gender Gap:Empowering Women through Literacy Programmes: Case Studies from the UNESCO Effective Literacy and Numeracy Practices Database (LitBase) http://www.unesco.org/uil/litbase/. 2nd Edition

    Science.gov (United States)

    Hanemann, Ulrike, Ed.

    2015-01-01

    UIL has published a second edition of a collection of case studies of promising literacy programmes that seek to empower women. "Narrowing the Gender Gap: Empowering Women through Literacy Programmes" (originally published in 2013 as "Literacy Programmes with a Focus on Women to Reduce Gender Disparities") responds to the…

  1. The French-German initiative for Chernobyl. Programme 3 study of the health effects

    International Nuclear Information System (INIS)

    Becker, S.; Kellerer, A.; Pott-Born, R.; Gagniere, B.; Mansoux, H.; Rutschkowsky, N.; Valenty, M.; Calmont, I.; Brun-Yaba, Ch.; Verger, P.; Franc, B.; Robert-Gnansia, E.; Briend, A.

    2006-03-01

    The results of the French-German Initiative Health Effects project, conducted over a period of four years, were presented to the international authorities at a congress held in October 2004 in Kiev and are summarised below. Thyroid cancer increase in children and young adults seems clearly related to exposure at young ages in 1986. For the other cancers sites, the observed results do not add any decisive elements that would make it possible to quantify the impact of post-Chernobyl irradiation: the trend observed in time is similar in both exposed and non-exposed areas in most situations. These observations do not exclude the fact that an increase of leukaemia may exist for those exposed as children; it may be too low to be detectable in a statistically significant way. Similarly, the higher rate of congenital malformations observed during recent years cannot be attributed to radiation, because the same trend over time is observed both in contaminated and non-contaminated areas in Belarus. Reliable and up-to-date knowledge has been collected in a H.E.D.A.C. database, it should facilitate communication concerning the health impact of the Chernobyl accident. The main results published at national or international level, will be made available to the public and the international scientific community via modern distribution methods and will contribute to the development of a necessary cohesion between international research programmes and work carried out locally. Contact the web site: www.fgi.icc.gov.ua For detailed information, final reports are available: contact with mentioned investigators is proposed (see authors of final reports) or contact scientific coordinator M. Tirmarche at I.R.S.N. (France) D. Bazyka at R.C.R.M., Kiev in charge of the database and communication of scientific results at Chernobyl Center

  2. Precursors of developmental dyslexia: an overview of the longitudinal Dutch Dyslexia Programme study.

    Science.gov (United States)

    van der Leij, Aryan; van Bergen, Elsje; van Zuijen, Titia; de Jong, Peter; Maurits, Natasha; Maassen, Ben

    2013-11-01

    Converging evidence suggests that developmental dyslexia is a neurobiological disorder, characterized by deficits in the auditory, visual, and linguistic domains. In the longitudinal project of the Dutch Dyslexia Programme, 180 children with a familial risk of dyslexia (FR) and a comparison group of 120 children without FR (noFR) were followed from the age of 2 months up to 9 years. Children were assessed on (1) auditory, speech, and visual event-related potentials every half year between 2 and 41 months; (2) expressive and receptive language, motor development, behaviour problems, and home-literacy environment by questionnaires at the age of 2 and 3; (3) speech-language and cognitive development from 47 months onwards; and (4) preliteracy and subskills of reading, and reading development during kindergarten and Grades 2 and 3. With regard to precursors of reading disability, first analyses showed specific differences between FR and noFR children in neurophysiological, cognitive, and early language measures. Once reading tests administered from age 7 to 9 years were available, the children were divided into three groups: FR children with and without dyslexia, and controls. Analyses of the differences between reading groups yielded distinct profiles and developmental trajectories. On early speech and visual processing, and several cognitive measures, performance of the non-dyslexic FR group differed from the dyslexic FR group and controls, indicating continuity of the influence of familial risk. Parental reading and rapid naming skills appeared to indicate their offspring's degree of familial risk. Furthermore, on rapid naming and nonverbal IQ, the non-dyslexic FR group performed similarly to the controls, suggesting protective factors. There are indications of differences between the FR and control groups, irrespective of reading outcome. These results contribute to the distinction between the deficits correlated to dyslexia as a manifest reading disorder

  3. The French-German initiative for Chernobyl. Programme 3 study of the health effects

    Energy Technology Data Exchange (ETDEWEB)

    Becker, S.; Kellerer, A.; Pott-Born, R. [Munich Univ., Radiobiological Institute (Germany); Gagniere, B. [CIRE Ouest, 35 - Rennes (France); Mansoux, H.; Rutschkowsky, N.; Valenty, M.; Calmont, I.; Brun-Yaba, Ch. [Institut de Radioprotection et de Surete Nucleaire, 92 - Fontenay-aux-Roses (France); Verger, P. [ORS PACA, 13 - Marseille (France); Franc, B. [Hopital Ambroise-Pare, 92 - Boulogne (France); Robert-Gnansia, E. [European Instituteof Genomutations, 69 - Lyon (France); Briend, A. [Scientific and Technical Institute of Nutrition and Alimentation/CNAM, 75 - Paris (France)

    2006-03-15

    The results of the French-German Initiative Health Effects project, conducted over a period of four years, were presented to the international authorities at a congress held in October 2004 in Kiev and are summarised below. Thyroid cancer increase in children and young adults seems clearly related to exposure at young ages in 1986. For the other cancers sites, the observed results do not add any decisive elements that would make it possible to quantify the impact of post-Chernobyl irradiation: the trend observed in time is similar in both exposed and non-exposed areas in most situations. These observations do not exclude the fact that an increase of leukaemia may exist for those exposed as children; it may be too low to be detectable in a statistically significant way. Similarly, the higher rate of congenital malformations observed during recent years cannot be attributed to radiation, because the same trend over time is observed both in contaminated and non-contaminated areas in Belarus. Reliable and up-to-date knowledge has been collected in a H.E.D.A.C. database, it should facilitate communication concerning the health impact of the Chernobyl accident. The main results published at national or international level, will be made available to the public and the international scientific community via modern distribution methods and will contribute to the development of a necessary cohesion between international research programmes and work carried out locally. Contact the web site: www.fgi.icc.gov.ua For detailed information, final reports are available: contact with mentioned investigators is proposed (see authors of final reports) or contact scientific coordinator M. Tirmarche at I.R.S.N. (France) D. Bazyka at R.C.R.M., Kiev in charge of the database and communication of scientific results at Chernobyl Center.

  4. The personal value of being part of a Tropical Health Education Trust (THET) links programme to develop a palliative care degree programme in Sub Saharan Africa: a descriptive study of the views of volunteer UK health care professionals.

    Science.gov (United States)

    Jack, B A; Kirton, J A; Downing, J; Frame, K

    2015-12-14

    There is a global need to expand palliative care services to reach the increasing number requiring end of life care. In developing countries where the incidences of cancer are rising there is an urgent need to develop the palliative care workforce. This paper reports on a UK Department for international development (DFID) initiative funded through the Tropical Health Education Trust (THET) where palliative care staff, both clinical and academic, volunteered to help to develop, support and deliver a degree in palliative care in sub-Saharan Africa. The objective of the study was to explore the personal impact on the health care professionals of being part of this initiative. An evaluation approach using a confidential electronic survey containing quantitative and qualitative questions was distributed to all 17 volunteers on the programme, three months after completion of the first cohort. Data were analysed using descriptive statistics and content thematic analysis. Ethical review deemed the study to be service evaluation. 82 % (14) responded and several themes emerged from the data including the positive impact on teaching and educational skills; clinical practice and finally personal development. Using a score of 1-10 (1-no impact, 10 maximum impact) 'Lifestyle choices - life work balance' (rating 7.83) had the most impact. This approach to supporting the development of palliative care in Sub-Saharan Africa through skill sharing in supporting the delivery of a degree programme in palliative care was successful in terms of delivery of the degree programme, material development and mentorship of local staff. Additionally, this study shows it provided a range of positive impacts on the volunteer health care professionals from the UK. Professional impacts including increased management skills, and being better prepared to undertake a senior role. However it is the personal impact including lifestyle choices which the volunteers reported as the highest impact

  5. Postgraduate programme in tissue banking

    International Nuclear Information System (INIS)

    Yongyudh Vajaradul

    1999-01-01

    In 1992 in the Project Formulation Meeting of IAEA, the masters degree programme was proposed by Dr. Youngyudh Vajaradul, Thailand to upgrade the personnel of tissue bank and the person who had been working and involving in tissue banking. After The Bangkok Biomaterial Center proposed the degree programme and presented to Mahidol University, this programme was accepted by Ministry of University Affairs in 1998 and the masters degree programme under the name of 'Masters of Science in Biomaterial for Implantation' will be started in April 1999. IAEA will support the fellowship candidates from the region to study in masters degree programme. The programme includes 6 months of course work in Bangkok that is 12 credits and 24 is for the dissertation work which would be done in any country. The time of validity is 5 years

  6. A parenting programme to prevent abuse of adolescents in South Africa: study protocol for a randomized controlled trial

    OpenAIRE

    Cluver, L; Meinck, F; Shenderovich, Y; Ward, CL; Herrero Romero, R; Lombard, C; Doubt, JS; Steinert, J; Catanho, R; Wittesaele, C; DeStone, S; Salah, N; Mpimilashe, P; Lachman, J; Loening, H

    2016-01-01

    Background An estimated one billion children experience child abuse each year, with the highest rates in low- and middle-income countries. The Sinovuyo Teen programme is part of Parenting for Lifelong Health, a WHO/UNICEF initiative to develop and test violence-prevention programmes for implementation in low-resource contexts. The objectives of this parenting support programme are to prevent the abuse of adolescents, improve parenting and reduce adolescent behavioural problems. This trial aim...

  7. A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke.

    Science.gov (United States)

    Sit, Janet W H; Yip, Vera Y B; Ko, Stanley K K; Gun, Amy P C; Lee, Judy S H

    2007-02-01

    The aim of this study was to determine the effectiveness of a community-based stroke prevention programme in (1) improving knowledge about stroke; (2) improving self-health-monitoring practice; (3) maintaining behavioural changes when adopting a healthy lifestyle for stroke prevention. People with minor stroke (or transient ischaemic attack) tend to under-estimate the long-term impact of this on their health. The challenge for nurses is to prevent subsequent strokes by finding ways to promote and sustain appropriate behaviours. Educational intervention is of paramount importance in equipping those at risk with relevant knowledge and self-care strategies for secondary stroke prevention. This study adopted a quasi-experimental design. One hundred and ninety subjects were recruited, of whom 147 (77 in the intervention group and 70 in the control group) completed the study. Data were obtained at three time points: baseline (T0); one week after (T1) and three months after (T2) the intervention. The intervention programme consisted of eight weekly two-hour sessions, with the aims of improving the participants' awareness of their own health signals and of actively involving them in self-care management of their own health for secondary stroke prevention. Significant positive changes were found among participants of the intervention group in the knowledge on stroke warning signs (P lifestyle modification of dietary habits (reduction in salted food intake, P = 0.004). No significant improvement was found in walking exercise participation in the intervention group, yet a significant decrease was detected among the control group. This study found a three-month-sustained effect of positive changes in knowledge and skill from participants who undertook a nurse-led community-based stroke prevention programme. Effective educational intervention by professional nurses helped clients integrate their learned knowledge into their real-life practice. This empowering, that is, the

  8. Ten years of clinical experience in the use of fixed-pressure versus programmable valves: a retrospective study of 159 patients.

    Science.gov (United States)

    Mpakopoulou, Maria; Brotis, Alexandros G; Gatos, Haralampos; Paterakis, Konstantinos; Fountas, Kostas N

    2012-01-01

    The aim of this study was to present our 10-year experience with the use of fixed-pressure and programmable valves in the treatment of adult patients requiring cerebrospinal fluid (CSF) diversion. Patients (n = 159; 89 male and 70 female) suffering from hydrocephalus of various causes underwent CSF shunt implantation. Forty fixed-pressure and 119 programmable valves were initially implanted. The observed revision rate was 40% in patients with fixed-pressure valves. In 20% of these patients, a revision due to valve mechanism malfunction was undertaken, and the initial valve was replaced with a programmable one. The revision rate in the adjustable-pressure valve subgroup was 20%. The infection rate for the fixed-pressure and programmable valve subgroups were 3%, and 1.7%, respectively. Similarly, subdural fluid collections were noticed in 17% and 4% of patients with fixed-pressure valves and programmable valves, respectively. The revision and over-drainage rates were significantly lower when using programmable valves, and thus, this type of valve is preferred whenever CSF has to be diverted.

  9. Self-Access Language Learning Programme: The Case of the English Language Voluntary Intensive Independent Catch-up Study

    Directory of Open Access Journals (Sweden)

    Salomi Papadima-Sophocleous

    2013-06-01

    Full Text Available This study investigated whether and to what extent an English Language Voluntary Intensive Independent Catch-up Study (ELVIICS, a Self-Access Language Learning (SALL programme, was effective in helping first-year Greek-Cypriot students fill in the gaps in their English language learning and come closer to the required language competence level of the Common European Framework of Reference (CEFR B1 level. It also examined students’ perceptions of such learning. The students followed the ELVIICS at their own pace, time and space until they felt they had reached the aimed level. Analysis of the achievement test results revealed that students’ language competence improved and reached the required level. Additional quantitative data also revealed that students felt ELVIICS also helped them improve their self-confidence, computer skills and autonomous learning. Moreover, students claimed that ELVIICS assisted them in getting through and successfully completing their compulsory course.

  10. South African teachers’ conceptualisations of gradient: A study of historically disadvantaged teachers in an Advanced Certificate in Education programme

    Directory of Open Access Journals (Sweden)

    Vimolan Mudaly

    2011-09-01

    Full Text Available This study looked at how a group of South African secondary school mathematics teachers regarded the concept of gradient (slope. Results are reported from nine free-response items on a paper-and-pencil test administered to practising teachers who were pursuing qualifications to teach Grades 10–12 mathematics through an Advanced Certificate in Education (ACE programme. The findings suggest that teachers’ understanding of gradient varies greatly. A number of teachers in the study demonstrated very little to no understanding of this important concept, whilst others demonstrated a strong understanding of gradient and were able to conceptualise it in many different ways. Implications for teacher professional development are considered.

  11. Philosophical skepticism not relativism is the problem with the Strong Programme in Science Studies and with Educational Constructivism

    Science.gov (United States)

    Papayannakos, Dimitris P.

    2008-06-01

    The structure of David’s Bloor argument for the Strong Programme (SP) in Science Studies is criticized from the philosophical perspective of anti-skeptical, scientific realism. The paper transforms the common criticism of SP—that the symmetry principle of SP implies an untenable form of cognitive relativism—into the clear philosophical issue of naturalism versus Platonism. It is also argued that the concrete patterns of SP’s interest-explanations and its sociological definition of knowledge involve philosophical skepticism. It is claimed, then, that the most problematic elements of SP reside primarily in philosophical skepticism. It is also claimed that this sort of criticism can be directed against other more radical, versions of constructivism in science and science education studies.

  12. Safety Priorities and Underestimations in Recreational Scuba Diving Operations: A European Study Supporting the Implementation of New Risk Management Programmes

    Directory of Open Access Journals (Sweden)

    Serena Lucrezi

    2018-03-01

    Full Text Available Introduction: Scuba diving is an important marine tourism sector, but requires proper safety standards to reduce the risks and increase accessibility to its market. To achieve safety goals, safety awareness and positive safety attitudes in recreational scuba diving operations are essential. However, there is no published research exclusively focusing on scuba divers’ and dive centres’ perceptions toward safety. This study assessed safety perceptions in recreational scuba diving operations, with the aim to inform and enhance safety and risk management programmes within the scuba diving tourism industry.Materials and Methods: Two structured questionnaire surveys were prepared by the organisation Divers Alert Network and administered online to scuba diving operators in Italy and scuba divers in Europe, using a mixture of convenience and snowball sampling. Questions in the survey included experience and safety offered at the dive centre; the buddy system; equipment and accessories for safe diving activities; safety issues in the certification of new scuba divers; incidents/accidents; and attitudes toward safety.Results: 91 scuba diving centres and 3,766 scuba divers participated in the study. Scuba divers gave importance to safety and the responsiveness of service providers, here represented by the dive centres. However, they underestimated the importance of a personal emergency action/assistance plan and, partly, of the buddy system alongside other safety procedures. Scuba divers agreed that some risks, such as those associated with running out of gas, deserve attention. Dive centres gave importance to aspects such as training and emergency action/assistance plans. However, they were limitedly involved in safety campaigning. Dive centres’ perceptions of safety in part aligned with those of scuba divers, with some exceptions.Conclusion: Greater responsibility is required in raising awareness and educating scuba divers, through participation in

  13. Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol.

    Science.gov (United States)

    Lemmens, Karin M M; Rutten-Van Mölken, Maureen P M H; Cramm, Jane M; Huijsman, Robbert; Bal, Roland A; Nieboer, Anna P

    2011-01-10

    Disease management programmes (DMPs) have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unclear. In this article we propose a protocol to evaluate a range of current DMPs by capturing them in a single conceptual framework, employing comparable structure, process, and outcome measures, and combining qualitative and quantitative research methods. To assess DMP effectiveness a practical clinical trial will be conducted. Twenty-two disease management experiments will be studied in various Dutch regions consisting of a variety of collaborations between organisations and/or professionals. Patient cohorts include those with cardiovascular diseases, chronic obstructive pulmonary disease, diabetes, stroke, depression, psychotic diseases, and eating disorders. Our methodological approach combines qualitative and quantitative research methods to enable a comprehensive evaluation of complex programmes. Process indicators will be collected from health care providers' data registries and measured via physician and staff questionnaires. Patient questionnaires include health care experiences, health care utilisation, and quality of life. Qualitative data will be gathered by means of interviews and document analysis for an in depth description of project interventions and the contexts in which DMPs are embedded, and an ethnographic process evaluation in five DMPs. Such a design will provide insight into ongoing DMPs and demonstrate which elements of the intervention are potentially (cost)-effective for which patient populations. It will also enable sound comparison of the results of the different programmes. The study will lead to a better understanding of (1) the mechanisms of disease management, (2) the feasibility, and cost-effectiveness of a disease management

  14. A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol

    Science.gov (United States)

    2012-01-01

    Background Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an effective intervention to stimulate youngsters not to start smoking, and increase their knowledge about the adverse effects of smoking and their attitudes and self-efficacy regarding non-smoking. Methods & design This paper describes the development and evaluation protocol of a web-based out-of-school smoking prevention programme for primary school children (age 10-13 years) entitled ‘Fun without Smokes’. It is a transformation of a postal mailed intervention to a web-based intervention. Besides this transformation the effects of prompts will be examined. This web-based intervention will be evaluated in a 2-year cluster randomised controlled trial (c-RCT) with three study arms. An intervention and intervention + prompt condition will be evaluated for effects on smoking behaviour, compared with a no information control condition. Information about pupils’ smoking status and other factors related to smoking will be obtained using a web-based questionnaire. After completing the questionnaire pupils in both intervention conditions will receive three computer-tailored feedback letters in their personal e-mail box. Attitudes, social influences and self-efficacy expectations will be the content of these personalised feedback letters. Pupils in the intervention + prompt condition will - in addition to the personalised feedback letters - receive e-mail and SMS messages prompting them to revisit the ‘Fun without Smokes’ website. The main outcome measures will be ever smoking and the utilisation of the ‘Fun without Smokes’ website. Measurements will be carried out at baseline, 12 months and 24 months of follow-up. Discussion The present study

  15. A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol

    Directory of Open Access Journals (Sweden)

    Cremers Henricus-Paul

    2012-06-01

    Full Text Available Abstract Background Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an effective intervention to stimulate youngsters not to start smoking, and increase their knowledge about the adverse effects of smoking and their attitudes and self-efficacy regarding non-smoking. Methods & design This paper describes the development and evaluation protocol of a web-based out-of-school smoking prevention programme for primary school children (age 10-13 years entitled ‘Fun without Smokes’. It is a transformation of a postal mailed intervention to a web-based intervention. Besides this transformation the effects of prompts will be examined. This web-based intervention will be evaluated in a 2-year cluster randomised controlled trial (c-RCT with three study arms. An intervention and intervention + prompt condition will be evaluated for effects on smoking behaviour, compared with a no information control condition. Information about pupils’ smoking status and other factors related to smoking will be obtained using a web-based questionnaire. After completing the questionnaire pupils in both intervention conditions will receive three computer-tailored feedback letters in their personal e-mail box. Attitudes, social influences and self-efficacy expectations will be the content of these personalised feedback letters. Pupils in the intervention + prompt condition will - in addition to the personalised feedback letters - receive e-mail and SMS messages prompting them to revisit the ‘Fun without Smokes’ website. The main outcome measures will be ever smoking and the utilisation of the ‘Fun without Smokes’ website. Measurements will be carried out at baseline, 12 months and 24 months of follow

  16. Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol

    Science.gov (United States)

    2011-01-01

    Background Disease management programmes (DMPs) have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unclear. In this article we propose a protocol to evaluate a range of current DMPs by capturing them in a single conceptual framework, employing comparable structure, process, and outcome measures, and combining qualitative and quantitative research methods. Methods To assess DMP effectiveness a practical clinical trial will be conducted. Twenty-two disease management experiments will be studied in various Dutch regions consisting of a variety of collaborations between organisations and/or professionals. Patient cohorts include those with cardiovascular diseases, chronic obstructive pulmonary disease, diabetes, stroke, depression, psychotic diseases, and eating disorders. Our methodological approach combines qualitative and quantitative research methods to enable a comprehensive evaluation of complex programmes. Process indicators will be collected from health care providers' data registries and measured via physician and staff questionnaires. Patient questionnaires include health care experiences, health care utilisation, and quality of life. Qualitative data will be gathered by means of interviews and document analysis for an in depth description of project interventions and the contexts in which DMPs are embedded, and an ethnographic process evaluation in five DMPs. Such a design will provide insight into ongoing DMPs and demonstrate which elements of the intervention are potentially (cost)-effective for which patient populations. It will also enable sound comparison of the results of the different programmes. Discussion The study will lead to a better understanding of (1) the mechanisms of disease management, (2) the feasibility, and cost

  17. Safety Priorities and Underestimations in Recreational Scuba Diving Operations: A European Study Supporting the Implementation of New Risk Management Programmes

    Science.gov (United States)

    Lucrezi, Serena; Egi, Salih Murat; Pieri, Massimo; Burman, Francois; Ozyigit, Tamer; Cialoni, Danilo; Thomas, Guy; Marroni, Alessandro; Saayman, Melville

    2018-01-01

    Introduction: Scuba diving is an important marine tourism sector, but requires proper safety standards to reduce the risks and increase accessibility to its market. To achieve safety goals, safety awareness and positive safety attitudes in recreational scuba diving operations are essential. However, there is no published research exclusively focusing on scuba divers’ and dive centres’ perceptions toward safety. This study assessed safety perceptions in recreational scuba diving operations, with the aim to inform and enhance safety and risk management programmes within the scuba diving tourism industry. Materials and Methods: Two structured questionnaire surveys were prepared by the organisation Divers Alert Network and administered online to scuba diving operators in Italy and scuba divers in Europe, using a mixture of convenience and snowball sampling. Questions in the survey included experience and safety offered at the dive centre; the buddy system; equipment and accessories for safe diving activities; safety issues in the certification of new scuba divers; incidents/accidents; and attitudes toward safety. Results: 91 scuba diving centres and 3,766 scuba divers participated in the study. Scuba divers gave importance to safety and the responsiveness of service providers, here represented by the dive centres. However, they underestimated the importance of a personal emergency action/assistance plan and, partly, of the buddy system alongside other safety procedures. Scuba divers agreed that some risks, such as those associated with running out of gas, deserve attention. Dive centres gave importance to aspects such as training and emergency action/assistance plans. However, they were limitedly involved in safety campaigning. Dive centres’ perceptions of safety in part aligned with those of scuba divers, with some exceptions. Conclusion: Greater responsibility is required in raising awareness and educating scuba divers, through participation in prevention

  18. Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol

    Directory of Open Access Journals (Sweden)

    Bal Roland A

    2011-01-01

    Full Text Available Abstract Background Disease management programmes (DMPs have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unclear. In this article we propose a protocol to evaluate a range of current DMPs by capturing them in a single conceptual framework, employing comparable structure, process, and outcome measures, and combining qualitative and quantitative research methods. Methods To assess DMP effectiveness a practical clinical trial will be conducted. Twenty-two disease management experiments will be studied in various Dutch regions consisting of a variety of collaborations between organisations and/or professionals. Patient cohorts include those with cardiovascular diseases, chronic obstructive pulmonary disease, diabetes, stroke, depression, psychotic diseases, and eating disorders. Our methodological approach combines qualitative and quantitative research methods to enable a comprehensive evaluation of complex programmes. Process indicators will be collected from health care providers' data registries and measured via physician and staff questionnaires. Patient questionnaires include health care experiences, health care utilisation, and quality of life. Qualitative data will be gathered by means of interviews and document analysis for an in depth description of project interventions and the contexts in which DMPs are embedded, and an ethnographic process evaluation in five DMPs. Such a design will provide insight into ongoing DMPs and demonstrate which elements of the intervention are potentially (cost-effective for which patient populations. It will also enable sound comparison of the results of the different programmes. Discussion The study will lead to a better understanding of (1 the mechanisms of disease management, (2 the

  19. Safety Priorities and Underestimations in Recreational Scuba Diving Operations: A European Study Supporting the Implementation of New Risk Management Programmes.

    Science.gov (United States)

    Lucrezi, Serena; Egi, Salih Murat; Pieri, Massimo; Burman, Francois; Ozyigit, Tamer; Cialoni, Danilo; Thomas, Guy; Marroni, Alessandro; Saayman, Melville

    2018-01-01

    Introduction: Scuba diving is an important marine tourism sector, but requires proper safety standards to reduce the risks and increase accessibility to its market. To achieve safety goals, safety awareness and positive safety attitudes in recreational scuba diving operations are essential. However, there is no published research exclusively focusing on scuba divers' and dive centres' perceptions toward safety. This study assessed safety perceptions in recreational scuba diving operations, with the aim to inform and enhance safety and risk management programmes within the scuba diving tourism industry. Materials and Methods: Two structured questionnaire surveys were prepared by the organisation Divers Alert Network and administered online to scuba diving operators in Italy and scuba divers in Europe, using a mixture of convenience and snowball sampling. Questions in the survey included experience and safety offered at the dive centre; the buddy system; equipment and accessories for safe diving activities; safety issues in the certification of new scuba divers; incidents/accidents; and attitudes toward safety. Results: 91 scuba diving centres and 3,766 scuba divers participated in the study. Scuba divers gave importance to safety and the responsiveness of service providers, here represented by the dive centres. However, they underestimated the importance of a personal emergency action/assistance plan and, partly, of the buddy system alongside other safety procedures. Scuba divers agreed that some risks, such as those associated with running out of gas, deserve attention. Dive centres gave importance to aspects such as training and emergency action/assistance plans. However, they were limitedly involved in safety campaigning. Dive centres' perceptions of safety in part aligned with those of scuba divers, with some exceptions. Conclusion: Greater responsibility is required in raising awareness and educating scuba divers, through participation in prevention campaigns

  20. ISOLDE PROGRAMME

    CERN Multimedia

    Fedosseev, V; Herfurth, F; Scheidenberger, C; Geppert, C; Gorges, C; Ratajczyk, T; Wiederhold, J C; Vogel, S; Munch, M K; Nieminen, P; Pakarinen, J J A; Lecesne, N; Bouzomita, H; Grinyer, J; Marques moreno, F M; Parlog, M; Blank, B A; Pedroza, J; Ghetta, V; Lozeva, R; Zacarias, S M; Guillemaud mueller, D S; Cottereau, E; Cheikh mhamed, M; Tusseau nenez, S; Tungate, G; Walker, P M; Smith, A G; Fitzpatrick, C; Dominik, W M; Karny, M; Ciemny, A A; Nyman, G H; Thies, R M A; Lindberg, S K G; Langouche, G F; Velten, P; Araujo escalona, V I; Boudreau, M; Domnanich, K A; Richter, D; Lutter, R J; Javaji, A; Engel, R Y; Wiehr, S; Nacher gonzalez, E; Jungclaus, A; Ribeiro jimenez, G; Marroquin alonso, I; Cal gonzalez, J; Paziy, V; Salsac, M; Murphy, C; Podolyak, Z F; Bajoga, A D; Butler, P; Pritchard, A; Colosimo, S J; Steer, A N; Fox, S P; Wadsworth, B A; Truesdale, V L; Al monthery, M; Bracco, A; Guttormsen, M S; Badea, M N; Calinescu, S; Ujeniuc, S; Cederkall, J A; Zemlyanoy, S; Donets, E D; Golovkov, M; Schweitzer, D K; Vranicar, A; Harrichunder, S; Ncube, M; Nannini, A; Strisovska, J; Wolf, E; Gerten, R F; Lehnert, J; Rainovski, G I; Pospisil, S; Datta pramanik, U; Benzoni, G; Fedorov, D; Maier, F M; Bonanni, A; Pfeiffer, B; Griesel, T; Wehner, L W; Mikkelsen, M; Recchia, F; Lenzi, S M; Smith, J F; Kelly, C M; Acosta sanchez, L A; Chavez lomeli, E R; De melo bandeira tavares, P M; Vieira, J M; Martins da silva, M A; Lima lopes, A M; Lopes leal, T J; Mader, J; Kessler, P; Laurent, B G; Schweikhard, L C; Marx, G H; Kulczycka, E; Komorowska, M; Da silva, M F; Goncalves marques, C P; Baptista peres, M A; Welander, J E; Reiter, P; Miller, C; Martin sanchez-cano, D; Wiens, A; Blazhev, A A; Braun, N; Cappellazzo, M V; Birkenbach, B; Gerst, R; Dannhoff, M F; Sithole, M J; Bilgier, B; Nardelli, S; Araujo mendes, C M; Agramunt ros, J; Valencia marin, E; Pantea, E; Hessberger, F P; Leduc, A J; Mitsuoka, S; Carbonari, A W; Buchegger, F J; Garzon camacho, A; Dapo, H; Papka, P; Stachura, M K; Stora, T; Marsh, B A; Thiboud, J A; Heylen, H; Antalic, S; Stahl, C; Bauer, C; Thurauf, M; Maass, B; Sturm, S; Boehm, C; Wolf, N R; Ways, M; Steinsberger, T P; Riisager, K; Ruotsalainen, P A; Bastin, B; Duval, F T; Penessot, G; Flechard, X D; Desrues, P; Giovinazzo, J; Kurtukian nieto, T; Ascher, P E L; Roccia, S; Matea, I; Croizet, H A G; Bonnin, C M; Morfouace, P; Smith, A J; Guin, R; Banerjee, D; Gunnlaugsson, H P; Ohtsubo, T; Zhukov, M V; Tengborn, E A; Welker, A; Giannopoulos, E; Dessagne, P; Juscamaita vivanco, Y; Da costa pereira, L M; Hustings, J; Yu, H; Kruecken, R; Nowak, A K; Jankowski, M; Cano ott, D; Galve lahoz, P; Murphy, A S J; Shand, C M; Jones, G D; Herzberg, R; Ikin, P; Revill, J P; Everett, C; Napoli, D R; Scarel, G; Larsen, A; Tornyi, T G; Pascu, S G; Stroe, L; Toma, S; Jansson, K; Dronjak fahlander, M; Krupko, S; Hurst, A M; Veskovic, M; Nikolov, J; Masenda, H; Sibanda, W N; Rocchini, M; Klimo, J; Deicher, M; Wichert, T; Kronenberg, J; Helmke, A; Meliani, Z; Ivanov, V S; Green, B L; Keatings, J M; Kuti, I; Halasz, Z; Henry, M O; Bras de sequeira amaral, V; Espirito santo, F; Da silva, D J; Rosendahl, S; Vianden, R J; Speidel, K; Agarwal, I; Faul, T; Kownacki, J M; Martins correia, J G; Lorenz, K; Costa miranda, S M; Granadeiro costa, A R; Zyabkin, D; Kotthaus, T; Pfeiffer, M; Gironi, L; Jensen, A; Romstedt, F; Constantino silva furtado, I; Heredia cardona, J A; Jordan martin, M D; Montaner piza, A; Zacate, M O; Plewinski, F; Mesli, A; Akakpo, E H; Pichard, A; Hergemoller, F; Neu, W; Fallis starhunter, J P; Voulot, D; Mrazek, J; Ugryumov, V; Savreux, R P; Kojouharov, I M; Kern, R O; Papst, O; Fitting, J; Lauer, M; Kirsebom, O S; Jensen, K L; Jokinen, A; Rahkila, P J; Hager, U D K; Konki, J P; Dubois, M; Orr, N A; Fabian, X; Huikari, J E; Goigoux, T; Magron, C; Zakari, A A; Maietta, M; Bachelet, C E M; Roussiere, B; Li, R; Canavan, R L; Lorfing, C; Foster, R M; Gislason, H P; Shayestehaminzadeh, S; Qi, B; Mukai, M; Watanabe, Y; Willmann, L; Kurcewicz, W; Wimmer, K; Meisel, Z P; Dorvaux, O; Nowacki, F; Koudriavtsev, I; Lievens, P; Delaure, B J P; Neyens, G; Ceruti, S; Bunka, M; Vermeulen, C; Umbricht, C A; De boer, J; Podadera aliseda, I; Alcorta moreno, M; Pesudo fortes, V; Zielinska, M; Korten, W; Wang, C H; Lotay, G J; Mason, P; Rice, S J; Regan, P H; Willenegger, L M; Andreev, A; Yavuzkanat, N; Hass, M; Kumar, V; Valiente dobon, J J; Crespo campo, L; Zamfir, N - V; Deleanu, D; Clisu, C; Jeppesen, H B; Wu, C; Pain, S D; Stracener, D W; Wuosmaa, A H; Szilner, S; Colovic, P; Matousek, V; Venhart, M; Birova, M; Li, X; Stuchbery, A E; Lellep, G M; Chakraborty, S; Leoni, S; Chupp, T; Yilmaz, C; Severin, G; Garcia ramos, J E; Newton, M E; Hadinia, B; Mc glynn, E; Monteiro de sena silvares de carvalho, I; Friedag, P; Figuera, P; Koos, V; Meot, V H; Pauwels, D B; Jancso, A; Srebrny, J; Alves, E J; David bosne, E; Bengtsson, L; Kalkuehler, M; Albers, M; Bharuth-ram, K; Akkus, B; Hemmingsen, L B S; Pedersen, J T; Dos santos redondo, L M; Rubio barroso, B; Algora, A; Kozlov, V; Mavela, D L; Mokhles gerami, A; Keeley, N; Bernardo da silva, E; Unzueta solozabal, I; Schell, J; Szybowicz, M; Yang, X; Plavec, J; Lassen, J; Johnston, K; Coquard, L; Bloch, T P; Bonig, E S; Stegmann, R; Ignatov, A; Paschalis, S; Fernandez martinez, G; Schilling, M; Habermann, T; Von hahn, R; Minaya ramirez, E E; Moore, I D; Wang, Y; Saastamoinen, A J; Grahn, T; Herzan, A; Stolze, S M; Clement, E; Dijon, A; Shornikov, A; Lienard, E; Gibelin, J D; Pain, C; Canchel, G; Simpson, G S; Latrasse, L P; Huang, W; Forest, D H; Billowes, J; Flanagan, K; Strashnov, I; Binnersley, C L; Sanchez poncela, M; Simpson, J; Morrall, P S; Grant, A F; Charisopoulos, S; Lagogiannis, A; Bhattacharya, C; Olafsson, S; Stepaniuk, M; Tornqvist, H T; Heinz, A M; White iv, E R; Courtin, S; Marechal, F; Da silva fenta, A E; De lemos lima, T A; Stryjczyk, M; Dockx, K; Haller, S; Rizzi, M; Reichert, S B; Bonn, J; Thirolf, P G; Garcia rios, A R; Gugliermina, V M; Cubero campos, M A; Sanchez tembleque, V; Benito garcia, J; Senoville, M; Mountford, D J; Gelletly, W; Alharbi, T S T; Wilson, E; Rigby, S V; Andreoiu, C; Paul, E S; Harkness, L J; Judson, D S; Wraith, C; Van esbroeck, K; Wadsworth, R; Cubiss, J G; Harding, R D; Vaintraub, S; Mandal, S K; Scarpa, D; Hoff, P; Syed naeemul, H; Borcea, R; Balabanski, D L; Marginean, R; Rotaru, F; Rudolph, D; Fahlander, C H; Chudoba, V; Kay, B P; Soic, N; Naidoo, D; Veselsky, M; Kliman, J; Raisanen, J A; Dietrich, M; Maung maung than, M M T; Reed, M W; Danchev, M T; Ray, J; Roy, M; Hammen, M; Capponi, L; Veghne csatlos, M M; Fryar, J; Mirzadeh vaghefi, S P; Trindade pereira, A M; De pinho oliveira, G N; Bakenecker, A; Tramm, C; Germic, V; Morel, P A; Kowalczyk, M; Matejska-minda, M; Wolinska-cichocka, M; Ringvall moberg, A; Mantovan, R; Fransen, C H; Radeck, F; Schneiders, D W; Steinbach, T; Vibenholt, J E; Magnussen, M J; Stevnhoved, H M; Comas lijachev, V; Dasenbrock-gammon, N M; Perkowski, J; O'neill, G G; Matveev, Y; Wegner, M; Liu, Z; Perez alvarez, T; Cerato, L; Radchenko, V; Molholt, T E; Tabares giraldo, J A; Srnka, D; Dlouhy, Z; Beck, D; Werner, V R; Homm, I; Eliseev, S; Blaum, K; Probst, M B; Kaiser, C J; Martin, J A; Refsgaard, J; Peura, P J; Greenlees, P T; Auranen, K; Delahaye, P; Traykov, E K; Perez loureiro, D; Mery, A A; Couratin, C; Tsekhanovich, I; Lunney, D; Gaulard, C V; Mottram, A D; Cullen, D M; Das, S K; Van de walle, J; Mazzocchi, C; Jonson, B N G; Woehr, A; Lesher, S R; Zuber, K T; Filippin, L; De witte, H J; Van den bergh, P A M; Raabe, R; Dirkx, D; Parnefjord gustafsson, F O A; Dunlop, R A; Tarasava, K; Gernhaeuser, R A; Weinzierl, W; Berger, C; Wendt, K; Achtzehn, T; Gottwald, T; Schug, M; Rossel, R E; Dominguez reyes, R R; Fraile prieto, L M; Briz monago, J A; Koester, U H; Bunce, M R; Bowry, M D; Nakhostin, M; Shearman, R; Cresswell, J R; Joss, D T; Gredley, A; Groombridge, D; Laird, A M; Aslanoglou, X; Siem, S; Weterings, J A; Renstrom, T; Szpak, B T; Luczkowski, M J; Ghita, D; Bezbakh, A; Soltz, R A; Bollmann, J; Bhattacharya, P; Roy, S; Rahaman, M A; Wlodarski, T; Carvalho soares, J; Barzakh, A; Schertz, F; Froemmgen, N E; Liberati, V; Foy, B E; Baptista barbosa, M; Weinheimer, C P; Zboril, M; Simon, R E; Popescu, L A; Czosnyka, T; Miranda jana, P A; Leimbach, D; Naskrecki, R; Plociennik, W A; Ruchowska, E E; Chiara, C J; Walters, W; Eberth, J H; Thomas, T; Thole, P; Queiser, M T; Lo bianco, G; D'amico, F; Muller, S; Sanchez alarcon, R M; Tain enriquez, J L; Orrigo, S E A; Orlandi, R; Masango, S; Plazaola muguruza, F C; Lepareur, N G; Fiebig, J M; Ceylan, N; Wildner, E; Kowalska, M; Malbrunot, S; Garcia ruiz, R F; Pallada, S; Slezak, M; Roeckl, E; Schrieder, G H; Ilieva, S K; Koenig, K L; Amoretti, M A; Lommen, J M; Fynbo, H O U; Weyer, G O P; Koldste, G T; Madsboll, K; Jensen, J H; Nieminen, A M; Reponen, M; Villari, A; Thomas, J; Saint-laurent, M; Sorlin, O H; Carniol, B; Pereira lopez, J; Grevy, S; Plaisir, C; Marie-jeanne, M J; Georgiev, G P; Etile, A M; Le blanc, F M; Verney, D; Stefan, G I; Assie, M; Suzuki, D; Guillot, J; Vazquez rodriguez, L; Campbell, P; Deacon, A N; Ware, T; Flueras, A; Xie, L; Banerjee, K; Piersa, M; Galaviz redondo, D; Johansson, H T; Schwarz, S; Toysa, A S; Aumont, J; Van duppen, P L E; Atanasov, D; Zadvornaya, A; Renaud, M A; Xu, Z; Garrett, P E; Rapisarda, E; Reber, J A; Mattolat, C F; Raeder, S; Habs, D; Vidal, M; Perez liva, M; Calvo portela, P; Ulla pedrera, F J; Wood, R T; Lalkovski, S; Page, R; Petri, M; Barton, C J; Nichols, A J; Vermeulen, M J; Bloor, D M; Henderson, J; Wilson, G L; De angelis, G; Buerger, A; Modamio hoybjor, V; Klintefjord, M L; Ingeberg, V W; Fornal, B A; Marginean, R; Sava, T; Kusoglu, A; Suvaila, R; Lica, R; Costache, C; Mihai, R; Ionescu, A; Baeck, T M; Hoffman, C R; Sedlak, M; Koskelo, O K; Kyaw myat, K M; Gladnishki, K A; Ganguly, B; Goncalves marques, J; Cardoso, S; Seliverstov, M; Niessen, B D; Gutt, L E; Chapman, R; Spagnoletti, P N; Lopes, C; De oliveira amorim, C; Batista lopes, C M; Araujo, J; Schielke, S J; Daugas, J R; Gaudefroy, L; Chevrier, R; Szunyogh, D M; Napiorkowski, P J; Wrzosek-lipska, K; Wahl, U; Catarino, N; Pereira carvalho alves de sequeira, M; Hess, H E; Holler, A; Bettermann, L; Geibel, K; Taprogge, J; Lewandowski, L T N; Manchado de sola, F; Cakirli mutlu, R B; Das gupta, S; Thulstrup, P W; Heinz, U; Nogwanya, T; Neidherr, D M; Morales lopez, A I; Gumenyuk, O; Peaker, A R; Wakabayashi, Y; Abrahams, K J; Martin montes, E J; Mach, H A; Souza ribeiro junior, I; He, J; Chalil, A; Xing, R; Dos santos augusto, R M; Giles, T J; Dorsival, A; Trujillo hernandez, J S; Kalaninova, Z; Andel, B; Venos, D; Kraemer, J; Saha, S; Neugart, R; Eronen, T O; Kreim, K D; Heck, M K; Goncharov, M; Karthein, J; Julin, R J; Eleon, C; Achouri, N L; Grinyer, G F; Fontbonne, C M; Alfaurt, P; Lynch, K M; Wilkins, S G; Brown, A R; Imai, N; Pomorski, M J; Janiak, L; Nilsson, T; Stroke, H H; Stanja, J; Dangelser, E; Heenen, P; Godefroid, M; Mallion, S N; Gins, W A M; Stegemann, S T; Koszorus, A; Mcnulty, J F; Lin, P; Ohlert, C M; Schwerdtfeger, W; Tengblad, O; Becerril reyes, A D; Perea martinez, A; Martinez perez, M C; Margerin, V; Rudigier, M; Alexander, T D; Patel, Z V; Hammond, N; Wearing, F; Patel, A; Jenkins, D G; Corradi, L; Galtarossa, F; Debernardi, A; Giacoppo, F; Tveten, G M; Malatji, K L; Krolas, W A; Stanoiu, M A; Rickert, E U; Ter-akopian, G; Cline, D; Riihimaeki, I A; Simon, K D; Wagner, F E; Turker, M; Neef, M H; Coombes, B J; Jakubek, J; Vagena, E; Bottoni, S; Nishimura, K; Correia, J; Rodrigues valdrez, C J; Molkanov, P; Adhikari, R; Ostrowski, A N; Hallmann, O; Scheck, M; Wady, P T; Lane, J; Krasznahorkay, A J; Kunne sohler, D; Meaney, A J; Hochschulz, F; Roig, O; Behan, C C; Kargoll, S; Kemnitz, S; Carvalho teixeira, R C; Redondo cubero, A; Tallarida, G; Kaczarowski, R; Finke, F; Linnemann, A; Altenkirch, R; Saed-samii, N; Ansari, S H; Dlamini, W B; Adoons, V N; Ronning, C R; Wiedeking, M; Herlert, A J; Mehl, C V; Judge, S M; Gaertner, D; Divinskyi, S; Karabasov, M O; Zagoraios, G; Boztosun, I; Van zyl, J J; Catherall, R; Lettry, J; Wenander, F J C; Zakoucky, D; Catchen, G L; Noertershaeuser, W; Kroell, T; Leske, J; Shubina, D; Murray, I M; Pancin, J; Delaunay, F; Poincheval, J J L; Audirac, L L; Gerbaux, M T; Aouadi, M; Sole, P G P; Fallot, M P; Onillon, A; Duchemin, C; Formento cavaier, R; Audi, G; Boukhari, A; Lau, C; Martin, J A; Barre, N H; Berry, T A; Procter, T J; Bladen, L K; Axiotis, M; Muto, S; Jeong, S C; Hirayama, Y; Korgul, A B; Minamisono, K; Bingham, C R; Aprahamian, A; Bucher, B M; Severijns, N; Huyse, M L; Ferrer garcia, R; Verlinde, M N S; Romano, N; Maugeri, E A; Klupp, S C; Dehn, M H; Heinke, R M; Naubereit, P; Maira vidal, A; Vedia fernandez, M V; Ibanez garcia, P B; Bruyneel, B J E; Materna, T; Hadynska-klek, K; Al-dahan, N; Alazemi, N; Carroll, R J; Babcock, C; Patronis, N; Eleme, Z; Dhal, A; Sahin, E; Goergen, A; Maj, A; Bednarczyk, P A; Borcea, C; Negoita, F; Suliman, G; Marginean, N M; Sotty, C O; Negret, A L; Nae, S A; Nita, C; Golubev, P I; Knyazev, A; Jost, C U; Petrik, K; Vaeyrynen, S A; Dracoulis, G D; Uher, J; Fernandez dominguez, B; Chakraborty, P; Avigo, R; Falahat, S; Lekovic, F; Dorrer, H J; Mengoni, D; Derkx, X; Angus, L J; Sandhu, K S; Gregor, E; Kelly, N A; Byrne, D J; Haas, H; Lourenco, A A; Sousa pereira, S M; Sousa, J B; De melo mendonca, T M; Tavares de sousa, C; Guerreiro dos santos oliveira custodio, L M; Da rocha rodrigues, P M; Yamaguchi, T; Thompson, P C; Rosenbusch, M; Wienholtz, F; Fischer, P; Iwanicki, J S; Rusek, K M; Hanstorp, D; Vetter, U; Wolak, J M; Park, S H; Warr, N V; Doornenbal, P C; Imig, A; Seidlitz, M; Moschner, K; Vogt, A; Kaya, L; Martel bravo, I; Orduz, A K; Serot, O; Majola, S N; Litvinov, Y; Bommert, M; Hensel, S; Markevich, V; Nishio, K; Ota, S; Matos, I; Zenkevich, A; Picado sandi, E; Forstner, O; Hu, B; Ntshangase, S S; Sanchez-segovia, J

    2002-01-01

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

  1. Childhood obesity management shifting from health care system to school system: intervention study of school-based weight management programme.

    Science.gov (United States)

    Lee, Albert; Ho, Mandy; Keung, Vera M W; Kwong, Amy C M

    2014-11-03

    Home and school environments conducive for unhealthy eating and physical inactivity are precursors of obesity. The aim of this study is evaluation of the effectiveness of a multi-component school-based weight management programme for overweight and obese primary school children via a home-school joint venture. This study made use of variety of behavioural modification strategies integrating into the Health Promoting School approach to promote healthy lifestyles. The participants were overweight and obese students aged between 8 and 12 from six participating schools. The interventions involved students attending ten 75 minutes after-school sessions and one 3-hour week-end session of practical interactive and fun activities on healthy eating and exercise, and meal plan together with parents and printed tailor-made management advices. Parents received an introductory seminar with 2 sets of specially designed exercise for their overweight children. The tools to measure bodyweight and fat percentage and standing height were bio-impedance body fat scale and a portable stadiometer. Self-administered questionnaire was used to measure knowledge, attitudes and behaviours. McNemar test was utilized to compare the proportions of behaviour changes within the same group to assess for the trends of changes. BMI z-score and body fat percentage of intervention participants at baseline, 4 month and 8 month were compared pair-wisely using tests of within subject contrasts in repeated measures ANOVA to assess for programme sustainability. Those students in the intervention group reduced their BMI z-score (-0.21, 95% CI -0.34 to -0.07, P = 0.003) and body fat (-2.67%, 95% CI -5.12 to -0.22, P = 0.033) compared to wait list control group with statistical significant, and the intervention group also had a significant reduction in BMI z-score (-0.06, 95% CI -0.11, -0.007, P = 0.028) and body fat (-1.71%, 95% CI, -3.44 to 0.02, P = 0.052) after a 4 month maintenance period. Improvement of

  2. The impact of consumer involvement in research: an evaluation of consumer involvement in the London Primary Care Studies Programme.

    Science.gov (United States)

    Wyatt, Katrina; Carter, Mary; Mahtani, Vinita; Barnard, Angela; Hawton, Annie; Britten, Nicky

    2008-06-01

    The value of consumer involvement in health services research is widely recognized. While there is a growing body of evidence about the principles of good consumer involvement, there is little research about the effect that involvement can have on the research. This evaluation assessed the level and impact of consumer involvement in the London Primary Care Studies Programme (LPCSP), all of whose individual projects had to demonstrate substantial involvement as a condition of funding. To evaluate consumer involvement in the LPSCP and understand what impact consumers had on the research process and outcomes. A multi-method case study approach was undertaken, using survey techniques, interviews, focus groups, observation and scrutiny of written documents. The overall data set comprised 61 questionnaires, 44 semi-structured interviews, 2 focus groups and 15 hours of observation of meetings. Eleven primary care-based research projects which together made up the LPCSP. An in-depth description of consumer involvement in the Programme was produced. Nine projects had consumers as co-applicants, four projects had been completed before the evaluation began and one was still ongoing at the time of the evaluation. Of the eight projects which have produced final reports, all met their aims and objectives. Consumers had had an additional impact in the research, in the initial design of the study, in recruitment of the research subjects, in developing data collection tools, in collecting the data, in analysis and disseminating the findings. Consumer involvement in National Health Service research is a relatively recent policy development and while there is an increasing amount of literature about how and why consumers should be involved in research, there is less evidence about the impact of such involvement. This evaluation provides evidence about the impact that consumers have not only on the research process but also on the outcomes of the research.

  3. Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users' and health professionals' perceptions.

    Science.gov (United States)

    Solberg, Hilde Strøm; Steinsbekk, Aslak; Solbjør, Marit; Granbo, Randi; Garåsen, Helge

    2014-11-08

    Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management. At present, research results provide no consensus on what would be the best way to develop support programmes into new settings. The aim of the present study was therefore to explore users' and health professionals' perceptions of what would be the vital elements in a self - management support programme applicable in primary health care, how to account for them, and why. Four qualitative, semi-structured focus group interviews were conducted in Central Norway. The informants possessed experience in development, provision, or participation in a self-management support programme. Data was analysed by the Systematic Text Condensation method. The results showed an overall positive expectation to the potential benefits of development of a self-management support programme in primary health care. Despite somewhat different arguments and perspectives, the users and the health professionals had a joint agreement on core characteristics; a self-management support programme in primary health care should therefore be generic, not disease specific, and delivered in a group- based format. A special focus should be on the everyday- life of the participants. The most challenging aspect was a present lack of competence and experience among health professionals to moderate self-management support programmes. The development and design of a relevant and applicable self-management support programme in primary health care should balance the interests of the users with the possibilities and constraints within each municipality. It would be vital to benefit from the closeness of the patients' every-day life situations. The user informants' perception of a self-management support programme as a supplement to regular medical treatment represented an expanded understanding of the self-management support concept. An exploring

  4. The European Programme Manager

    DEFF Research Database (Denmark)

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

    The publication is a result of a cooperation between organisations in six European countries with the aim to develop a common European education for programme managers. It contains of a description of the different elements of the education together with a number of case-studies from the counties...

  5. Efficacy of a compulsory homework programme for increasing physical activity and healthy eating in children: the healthy homework pilot study

    Directory of Open Access Journals (Sweden)

    Duncan Scott

    2011-11-01

    Full Text Available Abstract Background Most physical activity and nutrition interventions in children focus on the school setting; however, evidence suggests that children are less active and have greater access to unhealthy food at home. The aim of this pilot study was to examine the efficacy of a compulsory homework programme for increasing physical activity and healthy eating in children. Methods The six-week 'Healthy Homework' programme and complementary teaching resource was developed under the guidance of an intersectoral steering group. Eight senior classes (year levels 5-6 from two diverse Auckland primary schools were randomly assigned into intervention and control groups. A total of 97 children (57 intervention, 40 control aged 9-11 years participated in the evaluation of the intervention. Daily step counts were monitored immediately before and after the intervention using sealed multiday memory pedometers. Screen time, sports participation, active transport to and from school, and the consumption of fruits, vegetables, unhealthy foods and drinks were recorded concurrently in a 4-day food and activity diary. Results Healthy Homework resulted in a significant intervention effect of 2,830 steps.day-1 (95% CI: 560, 5,300, P = 0.013. This effect was consistent between sexes, schools, and day types (weekdays and weekend days. In addition, significant intervention effects were observed for vegetable consumption (0.83 servings.day-1, 95% CI: 0.24, 1.43, P = 0.007 and unhealthy food consumption (-0.56 servings.day-1, 95% CI: -1.05, -0.07, P = 0.027 on weekends but not weekdays, with no interactions with sex or school. Effects for all other variables were not statistically significant regardless of day type. Conclusions Compulsory health-related homework appears to be an effective approach for increasing physical activity and improving vegetable and unhealthy food consumption in children. Further research in a larger study is required to confirm these initial

  6. Can urban regeneration programmes assist coping and recovery for people with mental illness? Suggestions from a qualitative case study.

    Science.gov (United States)

    Whitley, Rob; Prince, Martin

    2006-03-01

    Researchers and policy-makers are increasingly recognizing that urban socio-environmental conditions can affect the development and course of numerous health problems. The aim of this paper is to investigate the impact an urban regeneration programme can have on everyday functioning, coping and recovery for people with a mental illness. We were also interested in discerning which component parts of the regeneration are the most important in positively affecting people with mental illness. These questions were explored through an in-depth qualitative case study of the Gospel Oak neighbourhood in London, which recently underwent an intensive urban regeneration programme. Interviews and focus groups were conducted with residents living with a mental illness (n = 16). Relevant participant observation was also conducted. Participants reported that interventions that improved community safety were by far the most important in affecting everyday coping and functioning. Interventions that improved the quantity and quality of shared community facilities had a positive, but milder effect on mental health. Component parts that appeared to have little effect included environmental landscaping and greater community involvement in decision-making processes. Most participants reported that their mental illness was a consequence of severe insults over the life-span, for example childhood neglect or family breakdown. Thus, the regeneration was seen as something that could assist coping, but not something that could significantly contribute to complete recovery. Our results thus suggest that urban regeneration can have a mild impact on people with mental illness, but this appears to be outweighed by life-span experience of severe individual-level risk factors. That said, some of our findings converge with other studies indicating that community safety and community facilities can play a role in positively affecting mental health. Further ethnographic and epidemiological research is

  7. A study of whether automated Diabetic Retinopathy Image Assessment could replace manual grading steps in the English National Screening Programme.

    Science.gov (United States)

    Kapetanakis, Venediktos V; Rudnicka, Alicja R; Liew, Gerald; Owen, Christopher G; Lee, Aaron; Louw, Vern; Bolter, Louis; Anderson, John; Egan, Catherine; Salas-Vega, Sebastian; Rudisill, Caroline; Taylor, Paul; Tufail, Adnan

    2015-09-01

    Diabetic retinopathy screening in England involves labour intensive manual grading of digital retinal images. We present the plan for an observational retrospective study of whether automated systems could replace one or more steps of human grading. Patients aged 12 or older who attended the Diabetes Eye Screening programme, Homerton University Hospital (London) between 1 June 2012 and 4 November 2013 had macular and disc-centred retinal images taken. All screening episodes were manually graded and will additionally be graded by three automated systems. Each system will process all screening episodes, and screening performance (sensitivity, false positive rate, likelihood ratios) and diagnostic accuracy (95% confidence intervals of screening performance measures) will be quantified. A sub-set of gradings will be validated by an approved Reading Centre. Additional analyses will explore the effect of altering thresholds for disease detection within each automated system on screening performance. 2,782/20,258 diabetes patients were referred to ophthalmologists for further examination. Prevalence of maculopathy (M1), pre-proliferative retinopathy (R2), and proliferative retinopathy (R3) were 7.9%, 3.1% and 1.2%, respectively; 4749 (23%) patients were diagnosed with background retinopathy (R1); 1.5% were considered ungradable by human graders. Retinopathy prevalence was similar to other English diabetic screening programmes, so findings should be generalizable. The study population size will allow the detection of differences in screening performance between the human and automated grading systems as small as 2%. The project will compare performance and economic costs of manual versus automated systems. © The Author(s) 2015.

  8. Effect of nationwide injury prevention programme on serious spinal injuries in New Zealand rugby union: ecological study.

    Science.gov (United States)

    Quarrie, Kenneth L; Gianotti, Simon M; Hopkins, Will G; Hume, Patria A

    2007-06-02

    To investigate the effect of RugbySmart, a nationwide educational injury prevention programme, on the frequency of spinal cord injuries. Ecological study. New Zealand rugby union. Population at risk of injury comprised all New Zealand rugby union players. From 2001, all New Zealand rugby coaches and referees have been required to complete RugbySmart, which focuses on educating rugby participants about physical conditioning, injury management, and safe techniques in the contact phases of rugby. Numbers of all spinal injuries due to participation in rugby union resulting in permanent disablement in 1976-2005, grouped into five year periods; observed compared with predicted number of spinal injuries in 2001-5. Eight spinal injuries occurred in 2001-5, whereas the predicted number was 18.9 (relative rate=0.46, 95% confidence interval 0.19 to 1.14). Only one spinal injury resulted from scrums over the period; the predicted number was 9.0 (relative rate=0.11, 0.02 to 0.74). Corresponding observed and predicted rates for spinal injuries resulting from other phases of play (tackle, ruck, and maul) were 7 and 9.0 (relative rate=0.83, 0.29 to 2.36). The introduction of the RugbySmart programme coincided with a reduction in the rate of disabling spinal injuries arising from scrums in rugby union. This study exemplifies the benefit of educational initiatives in injury prevention and the need for comprehensive injury surveillance systems for evaluating injury prevention initiatives in sport.

  9. The effect of a multifaceted evidence-based practice programme for nurses on knowledge, skills, attitudes, and perceived barriers: A cohort study.

    Science.gov (United States)

    van der Goot, Wieke E; Keers, Joost C; Kuipers, Ruud; Nieweg, Roos M B; de Groot, Martijn

    2018-04-01

    The Dutch professional nursing standard of 2012 stipulates that Dutch nursing practices are to be evidence-based. Not all practicing nurses can satisfy these requirements, therefore, an educational programme about Evidence-Based Practice (EBP) was developed for a Dutch teaching hospital. The aim of this study was to measure the effects of a six month in-house EBP programme on knowledge, skills, attitudes, and perceived barriers of nurses (four European Credits equals two US Credit Hours). A multiple-cohort study was conducted with a pre-post-test design. In the period of 2011-2015, a total of 58 nurses (9 cohorts) followed the programme. Baseline and follow-up assessments consisted of three questionnaires each: the Dutch Modified Fresno, the two subscales of the McColl questionnaire, and the BARRIER scale to assess knowledge and skills, attitudes, and perceived barriers, respectively. Fifty nurses completed both assessments. The results demonstrated that actual knowledge and skills significantly increased by approximately 40%. Self-perceived knowledge increased significantly, while attitudes towards EBP remained (moderately) positive. Perceived barriers did not notably change except for the Research subscale which received many "no opinion" responses prior to the programme but fewer afterwards. Our multifaceted in-house EBP programme led to a significant improvement of approximately 40% in EBP knowledge and skills of participating nurses. Most nurses who followed the EBP programme are currently applying their knowledge and skills in practice. Managerial support and allocated time for EBP are important facilitators for its implementation. Furthermore, to maintain and expand nurses' EBP knowledge and skills and translate them into practice, follow-up interventions, such as journal clubs, may well be beneficial. Based on the positive results of our programme, we will implement it throughout the hospital with an emphasis on training more groups of nurses. Copyright

  10. Interactions between microfinance programmes and non-economic empowerment of women associated with intimate partner violence in Bangladesh: a cross-sectional study

    Science.gov (United States)

    Dalal, Koustuv; Dahlström, Örjan; Timpka, Toomas

    2013-01-01

    Objective This study aims to examine the associations between microfinance programme membership and intimate partner violence (IPV) in different socioeconomic strata of a nationally representative sample of women in Bangladesh. Methods The cross-sectional study was based on a nationally representative interview survey of 11 178 ever-married women of reproductive age (15–49 years). A total of 4465 women who answered the IPV-related questions were analysed separately using χ2 tests and Cramer's V as a measure of effect size to identify the differences in proportions of exposure to IPV with regard to microfinance programme membership, and demographic variables and interactions between microfinance programme membership and factors related to non-economic empowerment were considered. Results Only 39% of women were members of microfinance programmes. The prevalence of a history of IPV was 48% for moderate physical violence, 16% for severe physical violence and 16% for sexual violence. For women with secondary or higher education, and women at the two wealthiest levels of the wealth index, microfinance programme membership increased the exposure to IPV two and three times, respectively. The least educated and poorest groups showed no change in exposure to IPV associated with microfinance programmes. The educated women who were more equal with their spouses in their family relationships by participating in decision-making increased their exposure to IPV by membership in microfinance programmes. Conclusions Microfinance plans are associated with an increased exposure to IPV among educated and empowered women in Bangladesh. Microfinance firms should consider providing information about the associations between microfinance and IPV to the women belonging to the risk groups. PMID:24319278

  11. "Don't wait for them to come to you, you go to them". A qualitative study of recruitment approaches in community based walking programmes in the UK.

    Science.gov (United States)

    Matthews, Anne; Brennan, Graham; Kelly, Paul; McAdam, Chloe; Mutrie, Nanette; Foster, Charles

    2012-08-10

    This study aimed to examine the experiences of walking promotion professionals on the range and effectiveness of recruitment strategies used within community based walking programmes within the United Kingdom. Two researchers recruited and conducted semi-structured interviews with managers and project co-ordinators of community based walking programmes, across the UK, using a purposive sampling frame. Twenty eight interviews were conducted, with community projects targeting participants by age, physical activity status, socio-demographic characteristics (i.e. ethnic group) or by health status. Three case studies were also conducted with programmes aiming to recruit priority groups and also demonstrating innovative recruitment methods. Data analysis adopted an approach using analytic induction. Two types of programmes were identified: those with explicit health aims and those without. Programme aims which required targeting of specific groups adopted more specific recruitment methods. The selection of recruitment method was dependent on the respondent's awareness of 'what works' and the resource capacity at their disposal. Word of mouth was perceived to be the most effective means of recruitment but using this approach took time and effort to build relationships with target groups, usually through a third party. Perceived effectiveness of recruitment was assessed by number of participants rather than numbers of the right participants. Some programmes, particularly those targeting younger adult participants, recruited using new social communication media. Where adopted, social marketing recruitment strategies tended to promote the 'social' rather than the 'health' benefits of walking. Effective walking programme recruitment seems to require trained, strategic, labour intensive, word-of-mouth communication, often in partnerships, in order to understand needs and develop trust and motivation within disengaged sedentary communities. Walking promotion professionals

  12. ADS National Programmes: China

    International Nuclear Information System (INIS)

    2015-01-01

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

  13. A qualitative study of patients' experiences of participating in SPACE for COPD: a Self-management Programme of Activity, Coping and Education.

    Science.gov (United States)

    Apps, Lindsay D; Harrison, Samantha L; Mitchell, Katy E; Williams, Johanna E A; Hudson, Nicky; Singh, Sally J

    2017-10-01

    The aim of this study was to understand experiences of participation in a supported self-management programme for chronic obstructive pulmonary disease (COPD). There is a wealth of clinical trials examining the outcomes of self-management interventions for individuals with COPD, but current understanding regarding patients' perspectives of such complex interventions is limited. Further insight may help to tailor self-management interventions and maximise patient engagement. Semi-structured interviews were conducted with individuals participating in a self-management programme, SPACE for COPD. Interviews took place at 6 weeks and 6 months following the programme. Data were analysed at each time point using inductive thematic analysis, and subsequently re-examined together. 40 interviews were undertaken and four themes emerged from the analysis: perceptions of the programme; lifestyle changes; social support; and disrupting factors and barriers to maintaining routines. SPACE for COPD was acceptable to participants in this study. The importance of education and social support was emphasised at both time points studied, but there were challenges such as comorbidities, ill health of family members and limited maintenance of exercise behaviours over the longer term. Further consideration of the role of carers and partners may help to improve adherence to self-management programmes once healthcare professional support has stopped.

  14. Two cross-sectional studies in south India assessing the effect of an HIV prevention programme for female sex workers on reducing syphilis among their clients.

    Science.gov (United States)

    Rajaram, Subramanian Potty; Banandur, Pradeep; Thammattoor, Usha K; Thomas, Tinku; Mainkar, Mandar K; Paranjape, Ramesh; Adhikary, Rajatashurva; Duchesne, Thierry; Ramesh, Banadakoppa M; Isac, Shajy; Moses, Stephen; Alary, Michel

    2014-11-01

    To assess the impact of the Avahan HIV prevention programme for female sex workers (FSWs) in south India on reducing syphilis prevalence among their clients, by comparing rates of syphilis over time as reported in two large-scale surveys of FSWs' clients. A random-effect multilevel logistic regression analysis was performed using syphilis as the dependent variable, with individual independent variables (from the two survey rounds) at level 1 and the district-level programme (from the Avahan computerised monitoring and information system) and contextual variables (from Indian government datasets) at level 2. Programme variables included their 2006 value and their difference in value between 2008 and 2006, as well as the interaction between the latter and the study round. The analysis also controlled for baseline syphilis prevalence and its interaction with the study round. Syphilis decreased significantly among FSWs' clients, from 4.8% (round 1) to 2.6% (round 2), p<0.001. The OR of the interaction term between the difference in programme coverage of FSWs and the round was 0.98 (p=0.023), suggesting that increased coverage was associated with a reduced incidence of syphilis. This study suggests that the Avahan intervention programme among FSWs reduced syphilis rates among their clients. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  15. Evaluation of the Effectiveness of a First Aid Health Volunteers' Training Programme Using Kirkpatrick's Model: A Pilot Study

    Science.gov (United States)

    Vizeshfar, Fatemeh; Momennasab, Marzieh; Yektatalab, Shahrzad; Iman, Mohamad Taghi

    2018-01-01

    Objective: This study aimed to evaluate the effectiveness of a health volunteers' complementary training programme on first aid. Design: Quasi-experimental study. Setting: A comprehensive health centre in the southwest of Iran. Method: The study was conducted in the second half of 2015 with all 25 health volunteers in the Qamar Bani Hashem…

  16. Study of the Factors Affecting the Mathematics Achievement of Turkish Students According to Data from the Programme for International Student Assessment (PISA) 2012

    Science.gov (United States)

    Güzeller, Cem Oktay; Eser, Mehmet Taha; Aksu, Gökhan

    2016-01-01

    This study attempts to determine the factors affecting the mathematics achievement of students in Turkey based on data from the Programme for International Student Assessment 2012 and the correct classification ratio of the established model. The study used mathematics achievement as a dependent variable while sex, having a study room, preparation…

  17. The impact of mass deworming programmes on schooling and economic development: an appraisal of long-term studies

    Science.gov (United States)

    Jullien, Sophie; Sinclair, David; Garner, Paul

    2016-01-01

    Abstract Background: Documents from advocacy and fund-raising organizations for child mass deworming programmes in low- and middle-income countries cite unpublished economic studies claiming long-term effects on health, schooling and economic development. Methods: To summarize and appraise these studies, we searched for and included all long-term follow-up studies based on cluster-randomized trials included in a 2015 Cochrane review on deworming. We used Cochrane methods to assess risk of bias, and appraised the credibility of the main findings. Where necessary we contacted study authors for clarifications. Results: We identified three studies (Baird 2016, Ozier 2016 and Croke 2014) evaluating effects more than 9 years after cluster-randomized trials in Kenya and Uganda. Baird and Croke evaluate short additional exposures to deworming programmes in settings where all children were dewormed multiple times. Ozier evaluates potential spin-off effects to infants living in areas with school-based deworming. None of the studies used pre-planned protocols nor blinded the analysis to treatment allocation. Baird 2016 has been presented online in six iterations. The work is at high risk of reporting bias and selective reporting, and there are substantive changes between versions. The main cited effects on secondary school attendance and job sector allocation are from post hoc subgroup analyses, which the study was not powered to assess. The study did not find any evidence of effect on nutritional status, cognitive tests or school grades achieved, but these are not reported in the abstracts. Ozier 2016 has been presented online in four iterations, without substantive differences between versions. Higher cognitive test scores were associated with deworming, but the appropriate analysis was underpowered to reliably detect these effects. The size of the stated effect seems inconsistent with the short and indirect nature of the exposure to deworming, and a causal pathway for this

  18. Impact of antimicrobial stewardship programme on hospitalized patients at the intensive care unit: a prospective audit and feedback study.

    Science.gov (United States)

    Khdour, Maher R; Hallak, Hussein O; Aldeyab, Mamoon A; Nasif, Mowaffaq A; Khalili, Aliaa M; Dallashi, Ahamad A; Khofash, Mohammad B; Scott, Michael G

    2018-04-01

    Inappropriate use of antibiotics is one of the most important factors contributing to the emergence of drug resistant pathogens. The purpose of this study was to measure the clinical impact of antimicrobial stewardship programme (ASP) interventions on hospitalized patients at the Intensive care unit at Palestinian Medical Complex. A prospective audit with intervention and feedback by ASP team within 48-72 h of antibiotic administration began in September 2015. Four months of pre-ASP data were compared with 4 months of post-ASP data. Data collected included clinical and demographic data; use of antimicrobials measured by defined daily doses, duration of therapy, length of stay, readmission and all-cause mortality. Overall, 176 interventions were made the ASP team with an average acceptance rate of 78.4%. The most accepted interventions were dose optimization (87.0%) followed by de-escalation based on culture results with an acceptance rate of 84.4%. ASP interventions significantly reduces antimicrobial use by 24.3% (87.3 defined daily doses/100 beds vs. 66.1 defined daily doses/100 beds P < 0.001). The median (interquartile range) of length of stay was significantly reduced post ASP [11 (3-21) vs. 7 (4-19) days; P < 0.01]. Also, the median (interquartile range) of duration of therapy was significantly reduced post-ASP [8 (5-12) days vs. 5 (3-9); P = 0.01]. There was no significant difference in overall 30-day mortality or readmission between the pre-ASP and post-ASP groups (26.9% vs. 23.9%; P = 0.1) and (26.1% vs. 24.6%; P = 0.54) respectively. Our prospective audit and feedback programme was associated with positive impact on antimicrobial use, duration of therapy and length of stay. © 2017 The British Pharmacological Society.

  19. Technology programme

    International Nuclear Information System (INIS)

    2007-01-01

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

  20. The liberal arts and nursing programme at the University of Maine, 1939-1956. A study of leadership behaviours and organisational structure.

    Science.gov (United States)

    Hart, V

    2001-01-01

    The trend for nursing programmes affiliated with universities in the US began in 1909 but did not gain momentum until the 1960s with the demise of hospital schools of nursing. During the period of time covered in this study, beginning in the 1930s, a hybrid of the present day university-based nursing programme began to appear. These 'cooperative' programmes often sandwiched traditional hospital experience between years of university course work and involved a five-year commitment on the part of students. In 1939 a liberal arts and nursing programme was established at the University of Maine. It continued to operate until 1956 and then ceased to exist. In this descriptive historical study the author investigates why this particular programme was initiated, of what it consisted, and why it had failed. Primary sources accessed included original correspondence, curriculum descriptions, faculty and students reports, and administrative policies. Leadership and organisational behaviour theory was utilised as well as identification of the historical nursing backdrop. Oral history was also utilised for the purpose of verification of written data. Analysis of the data suggests implications for nursing educators and administrators, as well as telling a story of the power of nursing when viewed in the context of constituency groups in a sociopolitical model of organisations. This paper was first presented at the History of Nursing Millennium Conference in Edinburgh in July 2000.

  1. Fusion technology programme

    International Nuclear Information System (INIS)

    Finken, D.

    1985-10-01

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

  2. The effects and costs of a group-based education programme for self-management of patients with Type 2 diabetes. A community-based study

    DEFF Research Database (Denmark)

    Mølsted, Stig; Tribler, Jane; Poulsen, Peter B.

    2012-01-01

    The worldwide epidemic of Type 2 diabetes necessitates evidence-based self-management education programmes. The purpose of this study was to investigate the effects and costs of an empowerment-based structured diabetes self-management education programme in an unselected group of patients with Type...... training in its use. Glycemic control (HbA1c) was found to improve from 7.34 ± 1.34 to 6.88 ± 1.09%, P ... pressure, female waist circumference, lipid profile, quality of life, physical activity and the patients' knowledge of diabetes whilst the number of visits to GPs declined. This study supports the use of an empowerment vision as a basis for an interdisciplinary group-based education programme...

  3. Voluntary agreements, implementation and efficiency. Swedish country study report. Covering the EKO-Energi programme. With case studies in pulp and paper and heavy vehicle manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Kaagstroem, Jonas; Aastrand, Kerstin; Helby, Peter

    2000-03-01

    The VAIE research project is concerned with voluntary agreements for improvement of industrial energy efficiency in five European countries. This national report deals with the Swedish EKO-Energi agreements. It includes case studies in pulp and paper and heavy vehicle manufacturing. The first chapter presents the principal aspects of the Swedish EKO-Energi programme, explains the selection of companies for case studies, and summarises the results of the national study. The chapter shows the EKO-Energi programme to be directed at a fairly exclusive part of Swedish industry, namely environmental front-runners striving for EMAS or ISO 14001 certification. It provides them with paid energy audits and with marketing support. It requires them to establish an energy management system, i.e. to include energy efficiency issues in their certification process. The agreements are 'soft' in the sense that they address mainly organisational issues, are based much on trust in the companies own dedication to improvement, and are very informal in the monitoring. On the balance, the EKO-Energi programme would seem to be a small, but reasonably effective programme, contributing particularly to such organisational developments as are important for long-term trends in industrial energy efficiency. The second chapter provides a brief introduction to the whole VAIE project and outlines the methodology of the study, explained in more detail in a separate report. The third chapter describes the progress of the EKO-Energi programme from policy formulation to implementation, and assesses a number of hypotheses concerning this process. Support is found for the hypotheses (a) that voluntary agreements tend to exclude the influence of third parties, (b) that they tend to continue the logic of previous policies, and (c) that expected short term energy savings tend to be very close to the baseline scenario. The fourth chapter describes how agreements with individual companies are made

  4. Heart failure programmes in countries with a primary care-based health care system. Are additional trials necessary? Design of the DEAL-HF study

    NARCIS (Netherlands)

    de la Porte, PWFBA; Lok, DJA; van Wijngaarden, J; Cornel, JH; Pruijsers-Lamers, D; van Veldhuisen, DJ; Hoes, AW

    Background: Several randomised studies of heart failure (HF) management programmes in the United States, Australia and Europe have shown a considerable reduction in hospitalisation rates for HE In this article, a comprehensive review of these studies will be provided and their applicability to

  5. "If There Is a Job Description I Don't Think I've Read One": A Case Study of Programme Leadership in a UK Pre-1992 University

    Science.gov (United States)

    Mitchell, Rafael

    2015-01-01

    This paper reports on an exploratory study of the role of programme leaders (PLs) in a pre-1992 university, based on interviews with PLs (7) and a survey of taught Masters students (54) in a single school. The study elicits PLs' activities, most of which might be categorised as managerial and administrative, with leadership required…

  6. "Mind the Gap": An Empirical Study of the Gap between Intention and Actual Usage of Corporate E-Learning Programmes in the Financial Industry

    Science.gov (United States)

    Luor, Tainyi; Hu, Changya; Lu, His-Peng

    2009-01-01

    While numerous previous studies have focused on the use of some corporate e-learning programmes (CELP), little is known about the difference between users' pre-installation reactions to CELP and user's post-installation reactions to CELP. This study narrows the above gap with two investigations into a financial company's CELP. In the…

  7. The Effectiveness and Sustainability of a Universal School-Based Programme for Preventing Depression in Chinese Adolescents: A Follow-Up Study Using Quasi-Experimental Design.

    Directory of Open Access Journals (Sweden)

    Eliza S Y Lai

    Full Text Available A pilot study about the effectiveness of a universal school-based programme, "The Little Prince is Depressed", for preventing depression in Chinese adolescents in Hong Kong was conducted and reported previously. This study used a larger sample to examine the effectiveness and sustainability of the programme.This study used quasi-experimental design. Twelve schools enrolled in "The Little Prince is Depressed" programme either as an intervention or a control condition. The intervention schools carried out the 12-session programme in two phases: the professional-led first phase and the teacher-led second phase. All participants were required to complete a questionnaire at three time points measuring their (1 depressive, anxiety, and stress levels; (2 knowledge of mental health; (3 attitudes towards mental illness; (4 perceived social support; and (5 help-seeking behaviours.A total of 3,391 students participated in the study. The level of depressive symptoms did not reduce significantly at post-intervention; however, a delayed effect was observed at follow-up assessment for the participants of the teacher-led group in reducing anxiety and stress levels. Also, the knowledge of mental health and attitudes towards mental illness of the intervention-group participants significantly improved at post-test, and the outcomes were maintained at 4 to 5 months after the intervention in both the professional-led and the teacher-led conditions (p<.05. A preference among schoolchildren for whom to seek help from was identified.The universal depression prevention programme was effective in enhancing knowledge of mental health and promoting a more positive attitude towards mental illness among adolescents in Hong Kong. In particular, the teacher-led group showed better outcomes than the professional-led group in reducing students' anxiety and stress at follow-up period. The programme can achieve sustainability in schools if teachers are provided with adequate

  8. Who is accessing public-sector anti-retroviral treatment in the Free State, South Africa? An exploratory study of the first three years of programme implementation

    Directory of Open Access Journals (Sweden)

    Booysen Frederik

    2010-07-01

    Full Text Available Abstract Background Although South Africa has the largest public-sector anti-retroviral treatment (ART programme in the world, anti-retroviral coverage in adults was only 40.2% in 2008. However, longitudinal studies of who is accessing the South African public-sector ART programme are scarce. This study therefore had one main research question: who is accessing public-sector ART in the Free State Province, South Africa? The study aimed to extend the current literature by investigating, in a quantitative manner and using a longitudinal study design, the participants enrolled in the public-sector ART programme in the period 2004-2006 in the Free State Province of South Africa. Methods Differences in the demographic (age, sex, population group and marital status socio-economic (education, income, neo-material indicators, geographic (travel costs, relocation for ART, and medical characteristics (CD4, viral load, time since first diagnosis, treatment status among 912 patients enrolled in the Free State public-sector ART programme between 2004 and 2006 were assessed with one-way analysis of variance, Bonferroni post-hoc analysis, and cross tabulations with the chi square test. Results The patients accessing treatment tended to be female (71.1% and unemployed (83.4%. However, although relatively poor, those most likely to access ART services were not the most impoverished patients. The proportion of female patients increased (P P P P P Conclusions Our analysis showed significant changes in the demographic, socio-economic, geographic, and medical characteristics of the patients during the first three years of the programme. Knowledge of the characteristics of these patients can assist policy makers in developing measures to retain them in care. The information reported here can also be usefully applied to target patient groups that are currently not reached in the implementation of the ART programme.

  9. The European Union and UN Millennium Development Goals in Nigeria: A Study of the Micro Projects Programmes (MPPs in the Niger Delta Region

    Directory of Open Access Journals (Sweden)

    Nnamdi O. Nwaodu

    2016-12-01

    Full Text Available The present Cotonou Accord was signed by the EU, 77, African Caribbean and Pacific (ACP countries towards halving poverty as prescribed by the UN Declaration by 2015. The EU's interventionin the rural communities of the oil producing states of Nigeria (Niger Delta clearly shows her commitment towards the above stated global drive for the eradication of poverty especially in the Third World. Bringing about the establishment of the Micro ProjectProgrammes (MPP3, MPP6 and MPP9 for the nine states of the region between 1999 and 2012 and expended over €210 million on the programmes. Four years after theimplementation of the programmes, arising questions include: to what extent did the EU-MPPs achieve the set goals of poverty reduction in the region? And how sustainable are the achievements of the programmes? Using ex post facto research design, it was found out that amidst numerous challenges the MPPs actually reduced the level of poverty in the region through the provision of over 20,000 micro projects to more than 4000 rural communities in the nine states it covered. It therefore recommended that similar programmes be initiated by all other international development agencies as to speed up the reduction of poverty in the UN targeted areas though behind the originally target period of 2015. The study contends that an effective administrative institutional framework of the EU- MPPs should serve as model to other development agencies not only in Nigeria but across the developing economies of the world.

  10. Interference of GSM mobile phones with communication between Cardiac Rhythm Management devices and programmers: A combined in vivo and in vitro study.

    Science.gov (United States)

    Huang, Dong; Dong, Zhi-Feng; Chen, Yan; Wang, Fa-Bin; Wei, Zhi; Zhao, Wen-Bin; Li, Shuai; Liu, Ming-Ya; Zhu, Wei; Wei, Meng; Li, Jing-Bo

    2015-07-01

    To investigate interference, and how to avoid it, by high-frequency electromagnetic fields (EMFs) of Global System for Mobile Communications (GSM) mobile phone with communication between cardiac rhythm management devices (CRMs) and programmers, a combined in vivo and in vitro testing was conducted. During in vivo testing, GSM mobile phones interfered with CRM-programmer communication in 33 of 65 subjects tested (50.8%). Losing ventricle sensing was representative in this study. In terms of clinical symptoms, only 4 subjects (0.6%) felt dizzy during testing. CRM-programmer communication recovered upon termination of mobile phone communication. During in vitro testing, electromagnetic interference by high-frequency (700-950 MHz) EMFs reproducibly occurred in duplicate testing in 18 of 20 CRMs (90%). During each interference, the pacing pulse signal on the programmer would suddenly disappear while the synchronous signal was normal on the amplifier-oscilloscope. Simulation analysis showed that interference by radiofrequency emitting devices with CRM-programmer communication may be attributed to factors including materials, excitation source distance, and implant depth. Results suggested that patients implanted with CRMs should not be restricted from using GSM mobile phones; however, CRMs should be kept away from high-frequency EMFs of GSM mobile phone during programming. © 2015 Wiley Periodicals, Inc.

  11. Quality of Life Enhancement Programme for Individuals with Mood Disorder: A Randomized Controlled Pilot Study

    Directory of Open Access Journals (Sweden)

    Yun-Ling Chen

    2015-06-01

    Conclusion: The participants who received the 8-week QOLEP demonstrated significant improvement in the level of depression. Studies with a sample size of at least 104 participants are recommended in the future.

  12. System Operations Studies for Automated Guideway Transit Systems : Discrete Event Simulation Model Programmer's Manual

    Science.gov (United States)

    1982-07-01

    In order to examine specific automated guideway transit (AGT) developments and concepts, UMTA undertook a program of studies and technology investigations called Automated Guideway Transit Technology (AGTT) Program. The objectives of one segment of t...

  13. Continuous Improvement Implementation in the Nottingham University Hospitals NHS Trust: A Case Study of a Continuous Improvement Programme & Project

    OpenAIRE

    Velzen, Jeena

    2012-01-01

    This paper aims at identifying the extent to which the Nottingham University Hospitals NHS Trust has fulfilled literature requirements for successful continuous improvement as exemplified by its Better for You programme and chemotherapy service improvement project. Both the theory and ideals of the continuous improvement programme, along with the actualization of these philosophies and methodologies in the context of the particular project,were compared against a framework for the enabling...

  14. [Effects of a programme of aquatic Ai Chi exercise in patients with fibromyalgia. A pilot study].

    Science.gov (United States)

    Perez-De la Cruz, Sagrario; Lambeck, Johan

    2015-01-16

    Fibromyalgia is rheumathological disease a combination of physical, psychological and social limitations. The aim of the present study is to determinate the benefits of Ai Chi program on quality of life, depression and pain. An experimental study was performed with 20 fibromyalgia patients two different cities. Outcome measures were functional capacity (Fibromyalgia Impact Questionnaire), pain (Visual Analogue Scale) and quality of life (Short Form-36). Measures were performed at baseline and after ten weeks post-intervention. After ten weeks of treatment, the results showed significant reduction (p physical and mental health in patients with fibromyalgia.

  15. Safety studies on oxide fuel elements for the fast neutron programme

    International Nuclear Information System (INIS)

    Ollier, H.; Truffert, J.

    1976-01-01

    Studies leading to the definition of a fuel element and instructions for its use overlap with safety studies to the extent that they must guarantee, for nominal running conditions, a failure rate consistent with the working rules of the Station. Given the present state of knowledge on the causes and kinetics of damage affecting the cladding, it is mainly dealt with the principles of this research. The advantages of applying statistical computing methods to the two factors which govern the lifetime of the pins: their working conditions and quality, are demonstrated [fr

  16. Evaluation of the 'Ladder to the Moon, Culture Change Studio Engagement Programme' staff training: Two quasi-experimental case studies.

    Science.gov (United States)

    Guzmán, Azucena; Wenborn, Jennifer; Swinson, Tom; Orrell, Martin

    2017-09-01

    To evaluate the impact of the CCSEP on care home staff in two care settings for older people in one nursing home and one residential home. Care homes provide personal care and accommodation for older people. The English Dementia Strategy aims to improve the quality of service provision for people with dementia. This includes specific mention of improving the quality of life in care homes and as such includes objectives related to developing the workforce knowledge and skills. The Ladder to the Moon Culture Change Studio Engagement Programme (CCSEP) is a staff training approach based on the Positive Psychology framework that uses theatre- and film-based activities. This study used a wait-list controlled design. However, the data analysis plan was amended to reflect difficulties in data collection, and a quasi-experimental case study approach was consequently utilised. Outcome measures for staff attitudes and beliefs were as follows: Sense of Competence in Dementia Care Staff; Approaches to Dementia Questionnaire; Job Satisfaction Index; Brief Learning Transfer System Inventory; and Scale of Positive and Negative Experience. The Quality of Interaction Schedule (QUIS) was used to observe changes in staff-resident interaction. Fifty staff in two care homes completed the questionnaires and forty-one undertook formal CCSEP training. In Home A (nursing home), there was no significant change in any of the measures. In Home B (residential home), the QUIS showed an increase in positive interactions post intervention; a significant increase in the Building Relationship subscale of Sense of Competence; and a significant increase in staff sense of hopefulness towards people with dementia. The Brief Learning Transfer System Inventory showed a significant decrease post-intervention. The intervention did not significantly affect the happiness or job satisfaction of care home staff. The results of this study provide tentative evidence about the efficacy of this staff training

  17. A five-day inpatient EMDR treatment programme for PTSD: pilot study

    NARCIS (Netherlands)

    Zepeda Méndez, Mayaris; Nijdam, Mirjam J.; ter Heide, F. Jackie June; van der Aa, Niels; Olff, Miranda

    2018-01-01

    Conclusions: The majority of patients in our pilot study experienced symptom reduction consistent with reliable changes in this five-day inpatient treatment with EMDR and yoga. Randomized controlled trials - with longer follow up periods - are needed to properly determine efficacy and efficiency of

  18. R and D programme on radioactive waste disposal into geological formations (study of a clay formation)

    International Nuclear Information System (INIS)

    Centre d'Etude de l'Energie Nucleaire, Mol

    1987-01-01

    This report deals with the R and D activities performed by the Belgian Nuclear Research Establishment (SCK/CEN) and its subcontractors concerning the disposal of high-level and long-life conditioned wastes in a deep clay formation, the Boom clay. The studies reported concern equally experimental as theoretical work spread over the following research issues: geochemical characterization of the Boom clay, modelling of radionuclide migration in the clay environment, irradiation effects and corrosion behaviour of candidate canister materials in the Boom clay, geomechanical, construction, backfilling and sealing studies related to underground facilities, regional hydrological investigations of the Mol site and safety and risk analysis. The geomechanical and construction-related studies are to a large extent focused on in situ research, performed along the construction of the underground Hades laboratory. The corrosion studies are also dealing with the preparation of in situ experiments in the same underground laboratory. These various research issues are meant to contribute to the assessment of the technical feasibility and safety of the geological disposal in an argillaceous host formation

  19. Beyond Specialist Programmes: A Study of the Needs of Offenders with Intellectual Disability Requiring Psychiatric Attention

    Science.gov (United States)

    Glaser, W.; Florio, D.

    2004-01-01

    Despite the increased prevalence of psychiatric disorder amongst offenders with an intellectual disability (ID), there is very little known about the characteristics and needs of those with dual disability. A study of admissions to a new community forensic dual disability clinic during the first 10 months of its operation. Typically, the offenders…

  20. Diploma of Higher Studies in Oceanography. Red Sea & Gulf of Aden Programme (PERSGA).

    Science.gov (United States)

    Arab Organization for Education and Science, Cairo (Egypt).

    This document presents four courses for the diploma of higher studies in oceanography conducted by the Department of Oceanography, Faculty of Science, University of Alexandria, Egypt. These courses are organized by the Arab League Educational, Cultural and Scientific Organization (ALECSO). Each course is designed to be taught in one academic year…

  1. The Development of a Tutor Programme in a University Hall of Residence--A Case Study.

    Science.gov (United States)

    Beasley, V. J.

    The tutor system within a university hall of residence at Flinders University of South Australia and a method of inquiry used to study the system are examined. Interviews with residence hall tutors revealed four concerns: the need for guidelines, the nature of academic tutoring, pastoral care and its implications, and communication channels within…

  2. A Study of the Philippine Values Education Programme (1986-1993).

    Science.gov (United States)

    Quisumbing, Lourdes R.

    This study explores the Philippine experience in values development. The primary goal of providing values education at all three levels of the school system in the Philippines is the development of a person committed to building a free, democratic, peaceful, and progressive nation. The program hopes to develop Filipinos who possess the following…

  3. Should I stay or should I go? A systematic review of factors that influence healthcare students' decisions around study abroad programmes.

    Science.gov (United States)

    Brown, Mary; Boateng, Edward Appiah; Evans, Catrin

    2016-04-01

    Study abroad programmes have been shown to have significant benefits for participating healthcare students such as promoting cultural awareness and understanding of different healthcare settings, policies and practices. Healthcare students are encouraged to undertake elective or Erasmus placements overseas to enhance personal and professional development and to broaden horizons through lived cultural experience. However, there is a relatively low uptake of such opportunities amongst this student group. This systematic review aimed to explore factors that influence healthcare students' decision making around study abroad opportunities within undergraduate training programmes. A systematic review was undertaken utilising a narrative synthesis approach. A comprehensive literature search was conducted on MEDLINE, CINAHL, EMBASE, PsycINFO, ASSIA, and ERIC databases. Key institutions were contacted for grey literature. Studies that reported on factors that influence healthcare students' decisions regarding study abroad programmes were included in the review. Ten studies were identified for inclusion (5 qualitative studies, 5 surveys), indicating a paucity of research in this area. Data synthesis indicates that factors that influence healthcare students' decisions to participate in study abroad programmes are similar across different geographic locations and different professional groups. Factors that support decisions to study overseas include having sufficient information about study abroad programmes, especially early in an academic programme, having an interest in other cultures/countries and having academic staff and family as positive role models who motivate them to study abroad. Key barriers are cost and language issues. Language remains a significant barrier even when generous bursaries are available, as with the Erasmus scheme, when students are not proficient with the language spoken in host countries. Students tend to prefer destinations where language is not

  4. Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study.

    Science.gov (United States)

    Schmidt, Anders S; Lauridsen, Kasper G; Adelborg, Kasper; Løfgren, Bo

    2016-06-01

    This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 81%. Hospital BLS course duration was [median (interquartile range)] 2.3 (1.5-2.5) h, whereas ALS course duration was 4.0 (2.5-8.0) h. Implementation of ERC 2010 guidelines on BLS is limited in Danish hospitals 2 years after guideline publication, whereas the majority of hospitals adhere to the ALS algorithm. CPR training differs among hospitals.

  5. Aesthetic aspects in meaning making - an explorative study of dance education in a PETE programme

    Directory of Open Access Journals (Sweden)

    Suzanne Lundvall

    2010-12-01

    Full Text Available The article focuses on how aesthetic aspects of experience are involved in meaning making within an educational setting of body movement practice. The study explores stories of how physical education student teachers feel when participating in a dance lesson, with attention given to aesthetic aspects of embodied experiences in relation to meaning making. The study draws on Dewey’s theory of experimental learning. Aesthetic experience is defined as the feeling of wholeness or fulfilment in the transaction taking place. The categorical analysis of content, inspired by pragmatic epistemology analyses, uses the operational concepts of gaps, encounters, and relations. Three categories of stories emerge linked by the resemblance of positive or negative feelings expressed. The aesthetic experiences seem to inform the students of the purpose of what is undertaken, how to value the experience, and how the meaning of the embodied experience is perceived.

  6. A multi-national study of reading and tracing skills in novice programmers

    DEFF Research Database (Denmark)

    Lindholm Nielsen, Morten; Lister, Raymond; Adams, Elisabeth Shaw

    2004-01-01

    A study by a ITiCSE 2001 working group ("the McCracken Group") established that many students do not know how to program at the conclusion of their introductory courses. A popular explanation for this incapacity is that the students lack the ability to problem-solve. That is, they lack the ability...... tasks, such as tracing (or "desk checking") through code. This ITiCSE 2004 working group studied the alternative explanation, by testing students from seven countries, in two ways. First, students were tested on their ability to predict the outcome of executing a short piece of code. Second, students...... of skills that are a prerequisite for problem-solving....

  7. Research within the coordinated programme on the use of isotopes in rice production studies

    International Nuclear Information System (INIS)

    Subbiah, B.V.

    1974-01-01

    Studies from 1970 to 1974 are described. Seven field experiments (1970,1971) were divided into wet season experiments (IARI, New Delhi) and dry season experiments at Hyderabad, where the effect of selected water management practices on fertilizer-N utilization by high yielding rice (IR-22) from urea and from ammonium sulfate were investigated. Urea-N was utilized more efficiently. Drainage treatment proved superior to continuous flooding. The effect of basal application and top dressing of fertilizer-N on various physiological stages of growth was studied from 1971 to 1972, and the effect of time and method of application from 1972 to 1973. The rate of uptake of fertilizer-N and its distribution in the rice plant were analyzed from 1973 to 1974. Nitrogen 15 was used. Results are tabulated but not summarized

  8. Understanding of photosynthesis among students of biology and non-biology programmes of study

    OpenAIRE

    Lekan, Erika

    2016-01-01

    Photosynthesis is one of the most important processes on Earth, thus knowing at least its basic principles is essential. In Slovenia, the students become acquainted with these principles in the fifth form of elementary school. Due to the complexity of the photosynthesis process, the students hold misconceptions about it since the very beginning of the learning process. Due to several factors and reasons, these misconceptions persist throughout the secondary school and university studies. ...

  9. Evaluation of the theory-based Quality Improvement in Physical Therapy (QUIP) programme: a one-group, pre-test post-test pilot study.

    Science.gov (United States)

    Rutten, Geert M; Harting, Janneke; Bartholomew, L Kay; Schlief, Angelique; Oostendorp, Rob A B; de Vries, Nanne K

    2013-05-25

    Guideline adherence in physical therapy is far from optimal, which has consequences for the effectiveness and efficiency of physical therapy care. Programmes to enhance guideline adherence have, so far, been relatively ineffective. We systematically developed a theory-based Quality Improvement in Physical Therapy (QUIP) programme aimed at the individual performance level (practicing physiotherapists; PTs) and the practice organization level (practice quality manager; PQM). The aim of the study was to pilot test the multilevel QUIP programme's effectiveness and the fidelity, acceptability and feasibility of its implementation. A one-group, pre-test, post-test pilot study (N = 8 practices; N = 32 PTs, 8 of whom were also PQMs) done between September and December 2009. Guideline adherence was measured using clinical vignettes that addressed 12 quality indicators reflecting the guidelines' main recommendations. Determinants of adherence were measured using quantitative methods (questionnaires). Delivery of the programme and management changes were assessed using qualitative methods (observations, group interviews, and document analyses). Changes in adherence and determinants were tested in the paired samples T-tests and expressed in effect sizes (Cohen's d). Overall adherence did not change (3.1%; p = .138). Adherence to three quality indicators improved (8%, 24%, 43%; .000 ≤ p ≤ .023). Adherence to one quality indicator decreased (-15.7%; p = .004). Scores on various determinants of individual performance improved and favourable changes at practice organizational level were observed. Improvements were associated with the programme's multilevel approach, collective goal setting, and the application of self-regulation; unfavourable findings with programme deficits. The one-group pre-test post-test design limits the internal validity of the study, the self-selected sample its external validity. The QUIP programme has the potential to change physical

  10. Overview of the Vercors Programme Devoted to Safety Studies on Irradiated PWR Fuel

    International Nuclear Information System (INIS)

    Tourasse, M.; Andre, B.; Ducros, G.; Maro, D.

    1996-01-01

    The first objective of the Heva-Vercors Program is to improve the data of fission product release and behaviour after an extensive fuel temperature increase and loss of integrity of the fuel elements that occur in case of severe PWR accident. The program is co-funded by the French Nuclear Protection and Safety Institute (IPSN) and Electricite de France (EDF). The experiments are conducted in a shielded cell of the French Grenoble Nuclear Centre. For these tests, industrial fuel from French PWR reactor plants is used. In order to rebuild the short lived fission product inventory, a reirradiation is performed in the experimental Siloe reactor, prior to the test. Eight tests have been conducted in the frame of the Heva Program up to 2370 K in the 1983-1988 period. The main outcomes of these studies were linked to the volatile fission product release. This program has been extended by the Vercors one with higher fuel temperature (2600 K) and improved instrumentation: gamma spectrometry, emission tomography, metallography, scanning electron microscopy, energy dispersive X-ray analysis, X-ray diffraction are some of the experimental techniques used for on line and post test characterization. The knowledge of the behavior of low volatile fission product has been significantly improved with the six Vercors tests. The results of the Vercors 4 test (38 GWd/t(U), 2570 K, reducing atmosphere) are presented here as an example. The key parameters are exhibited. The next step of these studies will use the Vercors HT loop that is planned to be operational at the beginning of 1996 to reach fuel melting temperature. The first aim of these future tests is to study the behaviour of non volatile and transuranic elements. An even more sophisticated instrumentation is implemented to reach the goal. The use of MOX fuel, the interaction between fission product aerosols and structural materials (Ag-In-Cd) and the fuel granulometry effect will be the next steps of the experimental program

  11. TO STUDY THE ADOLESCENT ATTITUDE AND RELEVANCE TO FAMILY LIFE EDUCATION PROGRAMME

    Directory of Open Access Journals (Sweden)

    Preeti

    2015-06-01

    Full Text Available Family life education is a comprehensive program to educate the growing children, regarding the various aspects of living in a society and interacting with other individuals at different levels and in different ways along with imparting age appropriate knowledge of biological and sexual development. Lack of awareness, ignorance, or inappropriate knowledge among youth made us take up this study. Sexual knowledge is sought from peers and magazines, menstrual hygiene, masturbation issues are never dealt by health authorities, educators or parents. Risk taking behavior, substance abuse, violence are very common in teens these problems are to highlighted. And interactive sessions are needed to enhance the learning experience.

  12. Co-ordinated research programme on isotope-aided studies of the bioavailability of iron and zinc from human diets

    International Nuclear Information System (INIS)

    1992-01-01

    Nutritional deficiencies of essential micronutrients (particularly of iron, but also of zinc and selenium) are known to affect hundreds of millions of people throughout the world, mainly in developing countries. Such deficiencies can lead to significant deficits in mental development, growth, work performance, immune competence and other biological parameters. In many of the population groups that are affected, the deficiencies are thought to be due not to an absolute lack of the element in the diet but rather to is poor bioavailability. Much work has already been done on this subject, particularly in some developed countries and particularly with respect to iron. However, there is still appears to be a need for more research on factors affecting bioavailability and the means to improve it by simple dietary modification and fortification using food products of the kind that may be locally available in developing countries. Isotope techniques potentially have a large role to play in studies of the bioavailability of iron and other trace elements. To support work in this area, the IAEA initiated a Co-ordinated Research Programme (CRP) at the end of 1990 on ''Isotope-Aided Studies of the Bioavailability of Iron and Zinc from Human Diets''. The first Research Co-ordination Meeting (RCM) of participants in this CRP is the subject of the present report. Refs, figs and tabs

  13. Studies of osteoporosis within the Debrecen regional osteoporosis programme (DROP) in Hungary using isotope-related techniques

    International Nuclear Information System (INIS)

    Balogh, A.

    1998-01-01

    The aim of the research carried out within the above CRP was the first year of a four-year period devoted to measuring bone density in the lumbar spine and the femoral neck in 15-50 year old normal subjects, and studying the bone composition of selected bone biopsy and autopsy specimens. These activities were planned in conformity with the guidelines issued for this coordinated research programme. The bone densitometry results appear to be slightly lower than a typical European standard, e.g. used by Lunar as population reference database originating from Germany. Further number of measurements will make it possible to establish our own regional database for comparison. This will be especially useful for the population stratus below 20 years of age. Additionally, the Questionnaires fulfil similar task giving a chance to take regional Hungarian data on the variables included in the questionnaires. There is obviously a delay of some components of the research plan. However it seems realistic to fulfil the task if we continue to catch up by the end of the 4 year research plan. Also, some of the imbalance of the detailed work will be rectified during the next and subsequent study years

  14. Barriers to participation in a hospital-based falls assessment clinic programme: an interview study with older people

    DEFF Research Database (Denmark)

    Evron, L.; Schultz-Larsen, K.; Fristrup, T.

    2009-01-01

    Aims: To gain new knowledge about barriers to participation in hospital-based falls assessment. Methods: Semi-structured interviews with 20 older people referred to falls assessment at a hospital-based clinic were conducted. A convenience sample of 10 refusers and 10 accepters was collected. Thos...... the findings of this study to a public health message, we have to consider moving the focus of falls prevention strategies from disease control to the domain of health promotion in order to engage older adults in preventive healthcare Udgivelsesdato: 2009/9......Aims: To gain new knowledge about barriers to participation in hospital-based falls assessment. Methods: Semi-structured interviews with 20 older people referred to falls assessment at a hospital-based clinic were conducted. A convenience sample of 10 refusers and 10 accepters was collected. Those...... system taking over their life. Conclusions: This study indicates that older at-risk patients acknowledge their falls problem, but refuse to participate in hospital-based assessment programmes because they expect to lose their authority and to be caught up in the healthcare system. In order to transform...

  15. Barriers to participation in a hospital-based falls assessment clinic programme: an interview study with older people

    DEFF Research Database (Denmark)

    Evron, Lotte; Schultz-Larsen, Kirsten; Fristrup, Tine

    2009-01-01

    Aims: To gain new knowledge about barriers to participation in hospital-based falls assessment. Methods: Semi-structured interviews with 20 older people referred to falls assessment at a hospital-based clinic were conducted. A convenience sample of 10 refusers and 10 accepters was collected. Thos...... the findings of this study to a public health message, we have to consider moving the focus of falls prevention strategies from disease control to the domain of health promotion in order to engage older adults in preventive healthcare.......Aims: To gain new knowledge about barriers to participation in hospital-based falls assessment. Methods: Semi-structured interviews with 20 older people referred to falls assessment at a hospital-based clinic were conducted. A convenience sample of 10 refusers and 10 accepters was collected. Those...... system taking over their life. Conclusions: This study indicates that older at-risk patients acknowledge their falls problem, but refuse to participate in hospital-based assessment programmes because they expect to lose their authority and to be caught up in the healthcare system. In order to transform...

  16. Characteristics of autism spectrum disorder in anorexia nervosa: A naturalistic study in an inpatient treatment programme.

    Science.gov (United States)

    Tchanturia, Kate; Adamson, James; Leppanen, Jenni; Westwood, Heather

    2017-11-01

    Previous research has demonstrated links between anorexia nervosa and autism spectrum disorder however, few studies have examined the possible impact of symptoms of autism spectrum disorder on clinical outcomes in anorexia nervosa. The aim of this study was to examine the association between symptoms of autism spectrum disorder and eating disorders, and other psychopathology during the course of inpatient treatment in individuals with anorexia nervosa. Participants with anorexia nervosa (n = 171) completed questionnaires exploring eating disorder psychopathology, symptoms of depression and anxiety, and everyday functioning at both admission and discharge. Characteristics associated with autism spectrum disorder were assessed using the Autism Spectrum Quotient, short version. Autism spectrum disorder symptoms were significantly positively correlated with eating disorder psychopathology, work and social functioning, and symptoms of depression and anxiety, but not with body mass index. Autism Spectrum Quotient, short version scores remained relatively stable from admission to discharge but there was a small, significant reduction in scores. There was no interaction between time and Autism Spectrum Quotient, short version scores on clinical symptom change. In anorexia nervosa, autism spectrum disorder symptoms appear to be associated with a more severe clinical presentation on admission to inpatient care. Autism spectrum disorder symptoms as assessed by self-report measures may be exacerbated by other mental health psychopathology, which warrants further investigation.

  17. High-intensity interval training programme for obese youth (HIP4YOUTH): A pilot feasibility study.

    Science.gov (United States)

    Lee, SoJung; Spector, Jenna; Reilly, Stephanie

    2017-09-01

    Recently, there has been growing interest in high-intensity interval training (HIT) as a strategy to improve health. In this pilot study, we examined the feasibility of a 4-week low-volume HIT and its effects on cardiorespiratory fitness (CRF), blood pressure (BP) and enjoyment in overweight and obese youth. Twelve adolescents (body mass index (BMI): 34.8 ± 3.9 kg · m ‒ 2 , 14.9 ± 1.5 years) participated in 12 sessions of HIT (10 × 60 s cycling bouts eliciting ~90% maximal heart rate, interspersed with 90 s recovery, 30 min/session, 3 sessions/week) over ~4 weeks. All the participants completed the study and exercise attendance averaged 92%. Despite no changes in body weight and total fat, HIT resulted in significant (P HIT and more than half of the participants (58%) reported that HIT is a more enjoyable form of exercise compared to other types of exercises. Low-volume HIT is a useful strategy to promote exercise participation and improve cardiovascular health in overweight and obese youth.

  18. Overview of the Vercors Programme Devoted to Safety Studies on Irradiated PWR Fuel

    Energy Technology Data Exchange (ETDEWEB)

    Tourasse, M.; Andre, B.; Ducros, G. [CEA Centre d`Etudes de Grenoble, 38 (France). Dept. de Thermohydraulique et de Physique; Maro, D. [CEA Centre d`Etudes de Fontenay-aux-Roses, 92 (France). Inst. de Protection et de Surete Nucleaire

    1996-12-31

    The first objective of the Heva-Vercors Program is to improve the data of fission product release and behaviour after an extensive fuel temperature increase and loss of integrity of the fuel elements that occur in case of severe PWR accident. The program is co-funded by the French Nuclear Protection and Safety Institute (IPSN) and Electricite de France (EDF). The experiments are conducted in a shielded cell of the French Grenoble Nuclear Centre. For these tests, industrial fuel from French PWR reactor plants is used. In order to rebuild the short lived fission product inventory, a reirradiation is performed in the experimental Siloe reactor, prior to the test. Eight tests have been conducted in the frame of the Heva Program up to 2370 K in the 1983-1988 period. The main outcomes of these studies were linked to the volatile fission product release. This program has been extended by the Vercors one with higher fuel temperature (2600 K) and improved instrumentation: gamma spectrometry, emission tomography, metallography, scanning electron microscopy, energy dispersive X-ray analysis, X-ray diffraction are some of the experimental techniques used for on line and post test characterization. The knowledge of the behavior of low volatile fission product has been significantly improved with the six Vercors tests. The results of the Vercors 4 test (38 GWd/t(U), 2570 K, reducing atmosphere) are presented here as an example. The key parameters are exhibited. The next step of these studies will use the Vercors HT loop that is planned to be operational at the beginning of 1996 to reach fuel melting temperature. The first aim of these future tests is to study the behaviour of non volatile and transuranic elements. An even more sophisticated instrumentation is implemented to reach the goal. The use of MOX fuel, the interaction between fission product aerosols and structural materials (Ag-In-Cd) and the fuel granulometry effect will be the next steps of the experimental program

  19. Report of studies programme of CME (Energy World Committee) from 1992 to 1995

    International Nuclear Information System (INIS)

    Bergougnoux, J.

    1995-01-01

    Here is a forecasting in the energy area for the world. The increasing energy demand for developing countries, the situation of Eastern Europe going to a market economy are such factors which give some ideas how the demand in energy can evolve. The low prices of energy do not oblige to look after an efficiency of energy, the important needs for developing countries can make forget the environment problem with greenhouse effect, the increasing of energy demand for transport in developed and developing countries will make the demand grow up. The incertitudes about nuclear power future do not help to have ideas. All these questions and incertitudes make clear that the market cannot answer itself to solve all problems: financing, efficiency, transport, long term studies and rural energy development in developing countries are such priority themes

  20. Small hydro project in Wohlen, Bern - Preliminary study; Programm Kleinwasserkraftwerke. KWKW Hofenmuehle, Wohlen BE - Vorstudie

    Energy Technology Data Exchange (ETDEWEB)

    Fritschi, M.; Spescha, P.

    2008-11-15

    This report for the Swiss Federal Office of Energy (SFOE) presents the preliminary project study for the refurbishment of an existing small hydropower installation in Wohlen, Bern, Switzerland. The installation is in the Hofenmuehle, a listed mill complex dating from the first half of the nineteenth century. The headrace channel has already been refurbished by a community service group. The high level of financial effort and the idealism of the owner families are noted. The existing installations are described in detail. The refurbishment of the technical equipment and the associated work such as water-flow measurements are discussed. Cost estimates and environmental aspects are presented and discussed as are the financing of the refurbishment work and the cost-covering remuneration for the power produced. A possible increase in the power produced and the associated water-usage concession are discussed.

  1. Overview of the Vercors programme devoted to safety studies on irradiated PWR fuel

    International Nuclear Information System (INIS)

    Tourasse, M.; Andre, B.; Ducros, G.; Maro, D.

    1996-01-01

    The first objective of the Heva-Vercors Program is to improve the data base of fission product release and behaviour after an extensive fuel temperature increase and loss of integrity of the fuel elements that occur in case of severe PWR accident. The program is co-funded by the French Nuclear Protection and Safety Institute (IPSN) and Electricite de France (EdF). The experiments are conducted in a shielded cell of the French Grenoble Nuclear Centre. For these tests, industrial fuel from French PWR reactor plants is used. In order to rebuild the short lived fission product inventory, a reirradiation is performed in the experimental Siloe reactor, prior to the test. Eight tests have been conducted in the frame of the Heva Program up to 2370 K in the 1983-1988 period. The main outcomes of these studies were linked to the volatile fission product release. This program has been extended by the Vercors one with higher fuel temperature (2600 K) and improved instrumentation : gamma spectrometry, emission tomography, metallography, scanning electron microscopy, energy dispersive X-ray analysis, X-ray diffraction are some of the experimental techniques used for on-line and post-test characterization. The knowledge of the behaviour of low volatile fission product has been significantly improved with the six Vercors tests. The results of the Vercors 4 test (38 GWd/t(U), 2570 K, reducing atmosphere) are presented here as an example. The key parameters are exhibited. The next step of these studies will use the Vercors HT loop that is planned to be operational at the beginning of 1996 to reach fuel melting temperature. (author)

  2. The Effectiveness and Sustainability of a Universal School-Based Programme for Preventing Depression in Chinese Adolescents: A Follow-Up Study Using Quasi-Experimental Design.

    Science.gov (United States)

    Lai, Eliza S Y; Kwok, Chi-Leung; Wong, Paul W C; Fu, King-Wa; Law, Yik-Wa; Yip, Paul S F

    2016-01-01

    A pilot study about the effectiveness of a universal school-based programme, "The Little Prince is Depressed", for preventing depression in Chinese adolescents in Hong Kong was conducted and reported previously. This study used a larger sample to examine the effectiveness and sustainability of the programme. This study used quasi-experimental design. Twelve schools enrolled in "The Little Prince is Depressed" programme either as an intervention or a control condition. The intervention schools carried out the 12-session programme in two phases: the professional-led first phase and the teacher-led second phase. All participants were required to complete a questionnaire at three time points measuring their (1) depressive, anxiety, and stress levels; (2) knowledge of mental health; (3) attitudes towards mental illness; (4) perceived social support; and (5) help-seeking behaviours. A total of 3,391 students participated in the study. The level of depressive symptoms did not reduce significantly at post-intervention; however, a delayed effect was observed at follow-up assessment for the participants of the teacher-led group in reducing anxiety and stress levels. Also, the knowledge of mental health and attitudes towards mental illness of the intervention-group participants significantly improved at post-test, and the outcomes were maintained at 4 to 5 months after the intervention in both the professional-led and the teacher-led conditions (psustainability in schools if teachers are provided with adequate support.

  3. Prospective study of a community reintegration programme for patients with acquired chronic brain injury: effects on caregivers' emotional burden and family functioning

    NARCIS (Netherlands)

    Geurtsen, Gert J.; van Heugten, Caroline M.; Meijer, Ron; Martina, Juan D.; Geurts, Alexander C. H.

    2011-01-01

    Objective: To examine the effects of a residential community reintegration programme for patients with psychosocial problems due to acquired chronic brain injury on caregivers' emotional burden and family functioning. Design: A prospective cohort study with waiting list control and 1-year follow-up.

  4. The Role of Team Climate in Improving the Quality of Chronic Care Delivery: A Longitudinal Study among Professionals Working with Chronically Ill Adolescents in Transitional Care Programmes

    NARCIS (Netherlands)

    J.M. Cramm (Jane); M.M.H. Strating (Mathilde); A.P. Nieboer (Anna)

    2014-01-01

    markdownabstractAbstract Objectives:This study aimed to (1) evaluate the effectiveness of implementing transition programmes inimproving the quality of chronic care delivery and(2) identify the predictive role of (changes in) teamclimate on the quality of chronic care delivery over time.

  5. Effectiveness of the 'Home-but not Alone' mobile health application educational programme on parental outcomes: a randomized controlled trial, study protocol.

    Science.gov (United States)

    Shorey, Shefaly; Ng, Yvonne Peng Mei; Danbjørg, Dorthe Boe; Dennis, Cindy-Lee; Morelius, Evalotte

    2017-01-01

    The aim of this study was to describe a study protocol that evaluates the effectiveness of the 'Home-but not Alone' educational programme delivered via a mobile health application in improving parenting outcomes. The development in mobile-based technology gives us the opportunity to develop an accessible educational programme that can be potentially beneficial to new parents. However, there is a scarcity of theory-based educational programmes that have incorporated technology such as a mobile health application in the early postpartum period. A randomized controlled trial with a two-group pre-test and post-test design. The data will be collected from 118 couples. Eligible parents will be randomly allocated to either a control group (receiving routine care) or an intervention group (routine care plus access to the 'Home-but not Alone' mobile health application. Outcome measures comprise of parenting self-efficacy, social support, parenting satisfaction and postnatal depression. Data will be collected at the baseline (on the day of discharge) and at four weeks postpartum. This will be an empirical study that evaluates a theory-based educational programme delivered via an innovative mobile health application on parental outcomes. Results from this study will enhance parenting self-efficacy, social support and parenting satisfaction, which may then reduce parental risks of postnatal depression. © 2016 John Wiley & Sons Ltd.

  6. COPE-ICD: A randomised clinical trial studying the effects and meaning of a comprehensive rehabilitation programme for ICD recipients -design, intervention and population

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Svendsen, Jesper H; Zwisler, Ann-Dorthe

    2011-01-01

    Growing evidence exists that living with an ICD can lead to fear and avoidance behaviour including the avoidance of physical activity. It has been suggested that psychological stress can increase the risk of shock and predict death. Small studies have indicated a beneficial effect arising from ex...... exercise training and psychological intervention, therefore a large-scale rehabilitation programme was set up....

  7. Effect of the Dutch school-based education programme ‘Taste Lessons’ on behavioural determinants of taste acceptance and healthy eating: a quasi-experimental study

    NARCIS (Netherlands)

    Battjes-Fries, M.C.E.; Haveman-Nies, A.; Renes, R.J.; Meester, H.J.; Veer, van 't P.

    2015-01-01

    Objective To assess the effect of the Dutch school-based education programme ‘Taste Lessons’ on children’s behavioural determinants towards tasting unfamiliar foods and eating healthy and a variety of foods. Design In a quasi-experimental study design, data on behavioural determinants were collected

  8. "I Am Different from Other Women in the World": The Experiences of Saudi Arabian Women Studying Online in International Master Programmes

    Science.gov (United States)

    Szilagyi, Annamaria

    2015-01-01

    This paper presents findings from a qualitative study that investigated seven female Saudi Arabian students of the University of Liverpool's online Masters programmes. Qualitative, first-person research methods and hermeneutic phenomenology were chosen for the analysis and interpretation of transcripts (Langeveld, 1983; van Manen, 1997; Creswell,…

  9. English Language Proficiency Tests and Academic Achievement: A Study on the Malaysian University English Test as a Predictor of Technical Programme Undergraduates Academic Achievement

    Science.gov (United States)

    Rahmat, Nurhazlini; Min, Lau Sing; Sungif, Nur Atiqah Md.; Yusup, Farah Nabillah Mior

    2015-01-01

    In the Malaysian education system, English has always played an important role. In acknowledging its importance, Malaysian University English Test (MUET) has been introduced to enable continued emphasis on this role. MUET has been made compulsory for those who wish to pursue a first degree programme in local universities. This study aims to…

  10. Prevalence of malnutrition among HIV-infected children in Central and West-African HIV-care programmes supported by the Growing Up Programme in 2011: a cross-sectional study.

    Science.gov (United States)

    Jesson, Julie; Masson, David; Adonon, Arsène; Tran, Caroline; Habarugira, Capitoline; Zio, Réjane; Nicimpaye, Léoncie; Desmonde, Sophie; Serurakuba, Goreth; Kwayep, Rosine; Sare, Edith; Konate, Tiefing; Nimaga, Abdoulaye; Saina, Philemon; Kpade, Akossiwa; Bassuka, Andrée; Gougouyor, Gustave; Leroy, Valériane

    2015-05-26

    The burden of malnutrition among HIV-infected children is not well described in sub-Saharan Africa, even though it is an important problem to take into account to guarantee appropriate healthcare for these children. We assessed the prevalence of malnutrition and its associated factors among HIV-infected children in HIV care programmes in Central and West-Africa. A cross-sectional study was conducted from September to December 2011 among the active files of HIV-infected children aged 2-19 years old, enrolled in HIV-care programmes supported by the Sidaction Growing Up Programme in Benin, Burundi, Cameroon, Côte d'Ivoire, Mali, Chad and Togo. Socio-demographics characteristics, anthropometric, clinical data, and nutritional support were collected. Anthropometric indicators, expressed in Z-scores, were used to define malnutrition: Height-for-age (HAZ), Weight-for-Height (WHZ) for children children ≥5 years. Three types of malnutrition were defined: acute malnutrition (WHZ/BAZ malnutrition (HAZ malnutrition (WHZ/BAZ malnutrition. Overall, 1350 HIV-infected children were included; their median age was 10 years (interquartile range [IQR]: 7-13 years), 49 % were girls. 80 % were on antiretroviral treatment (ART), for a median time of 36 months. The prevalence of malnutrition was 42 % (95 % confidence interval [95% CI]: 40-44 %) with acute, chronic and mixed malnutrition at 9 % (95% CI: 6-12 %), 26 % (95% CI: 23-28 %), and 7 % (95% CI: 5-10 %), respectively. Among those malnourished, more than half of children didn't receive any nutritional support at the time of the survey. Acute malnutrition was associated with male gender, severe immunodeficiency, and the absence of ART; chronic malnutrition with male gender and age (malnutrition with male gender, age (malnutrition. The prevalence of malnutrition in HIV-infected children even on ART remains high in HIV care programmes. Anthropometric measurements and appropriate nutritional care of malnourished HIV

  11. IMPACT OF SELECTED RURAL DEVELOPMENT PROGRAMMES ...

    African Journals Online (AJOL)

    Administrator

    development programmes in Ikwuano Local Government Area of Abia State, Nigeria. The area under study was .... The programme was later replaced by Family support Programme (FSP). FSP was almost the same with BLP ..... Assessed 15/12/05 2005. FOS. Federal Office of Statistics National Consumers Survey. 1985/86 ...

  12. Scaling up family medicine training in Gezira, Sudan - a 2-year in-service master programme using modern information and communication technology: a survey study.

    Science.gov (United States)

    Mohamed, Khalid G; Hunskaar, Steinar; Abdelrahman, Samira Hamid; Malik, Elfatih M

    2014-01-21

    In 2010 the Gezira Family Medicine Project (GFMP) was initiated in Gezira state, Sudan, designed as an in-service training model. The project is a collaboration project between the University of Gezira, which aims to provide a 2-year master's programme in family medicine for practicing doctors, and the Ministry of Health, which facilitates service provision and funds the training programme. This paper presents the programme, the teaching environment, and the first batch of candidates enrolled. In this study a self-administered questionnaire was used to collect baseline data at the start of the project from doctors who joined the programme. A checklist was also used to assess the health centres where they work. A total of 188 out of 207 doctors responded (91%), while data were gathered from all 158 health centres (100%) staffed by the programme candidates. The Gezira model of in-service family medicine training has succeeded in recruiting 207 candidates in its first batch, providing health services in 158 centres, of which 84 had never been served by a doctor before. The curriculum is community oriented. The mean age of doctors was 32.5 years, 57% were males, and 32% were graduates from the University of Gezira. Respondents stated high confidence in practicing some skills such as asthma management and post-abortion uterine evacuation. They were least confident in other skills such as managing depression or inserting an intrauterine device. The majority of health centres was poorly equipped for management of noncommunicable diseases, as only 10% had an electrocardiography machine (ECG), 5% had spirometer, and 1% had a defibrillator. The Gezira model has responded to local health system needs. Use of modern information and communication technology is used to facilitate both health service provision and training. The GFMP represents an example of a large-volume scaling-up programme of family medicine in Africa.

  13. Scaling up family medicine training in Gezira, Sudan – a 2-year in-service master programme using modern information and communication technology: a survey study

    Science.gov (United States)

    2014-01-01

    Background In 2010 the Gezira Family Medicine Project (GFMP) was initiated in Gezira state, Sudan, designed as an in-service training model. The project is a collaboration project between the University of Gezira, which aims to provide a 2-year master’s programme in family medicine for practicing doctors, and the Ministry of Health, which facilitates service provision and funds the training programme. This paper presents the programme, the teaching environment, and the first batch of candidates enrolled. Methods In this study a self-administered questionnaire was used to collect baseline data at the start of the project from doctors who joined the programme. A checklist was also used to assess the health centres where they work. A total of 188 out of 207 doctors responded (91%), while data were gathered from all 158 health centres (100%) staffed by the programme candidates. Results The Gezira model of in-service family medicine training has succeeded in recruiting 207 candidates in its first batch, providing health services in 158 centres, of which 84 had never been served by a doctor before. The curriculum is community oriented. The mean age of doctors was 32.5 years, 57% were males, and 32% were graduates from the University of Gezira. Respondents stated high confidence in practicing some skills such as asthma management and post-abortion uterine evacuation. They were least confident in other skills such as managing depression or inserting an intrauterine device. The majority of health centres was poorly equipped for management of noncommunicable diseases, as only 10% had an electrocardiography machine (ECG), 5% had spirometer, and 1% had a defibrillator. Conclusions The Gezira model has responded to local health system needs. Use of modern information and communication technology is used to facilitate both health service provision and training. The GFMP represents an example of a large-volume scaling-up programme of family medicine in Africa. PMID:24443978

  14. The French-German initiative for Chernobyl. Programme 2 study of the radio-ecological consequences

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-03-15

    The data compiled and processed within the framework of the French-German Initiative represent the so far most comprehensive collection of electronic data that has ever been put together on the topic of the 'Study of the radioecological consequences of the Chernobyl accident'.The R.E.D.A.C. database system provides a powerful tool for the reconstruction of the dispersion of radionuclides through ecosystems and food chains and for the interpretation and prediction of their long-term behaviour. This allows the development of effective countermeasures to minimise risks to human health and improve the overall environmental situation. R.E.D.A.C. can also be used for the development and verification of realistic radioecology models. As the data were acquired under realistic conditions, the results can be used directly for model calculations in emergencies. This allows concrete planning, e. g. in connection with the securing of waste, its disposal, and the ecological restoration of waste disposal sites. The data also allow a reconstruction of the radioecological situation in the past, an analysis of the current situation, and predictions of future developments of the accident consequences on a large as well as on a small scale. (N.C.)

  15. The French-German initiative for Chernobyl. Programme 2 study of the radio-ecological consequences

    International Nuclear Information System (INIS)

    2006-03-01

    The data compiled and processed within the framework of the French-German Initiative represent the so far most comprehensive collection of electronic data that has ever been put together on the topic of the 'Study of the radioecological consequences of the Chernobyl accident'.The R.E.D.A.C. database system provides a powerful tool for the reconstruction of the dispersion of radionuclides through ecosystems and food chains and for the interpretation and prediction of their long-term behaviour. This allows the development of effective countermeasures to minimise risks to human health and improve the overall environmental situation. R.E.D.A.C. can also be used for the development and verification of realistic radioecology models. As the data were acquired under realistic conditions, the results can be used directly for model calculations in emergencies. This allows concrete planning, e. g. in connection with the securing of waste, its disposal, and the ecological restoration of waste disposal sites. The data also allow a reconstruction of the radioecological situation in the past, an analysis of the current situation, and predictions of future developments of the accident consequences on a large as well as on a small scale. (N.C.)

  16. The Sports Challenge international programme for identified 'at risk' children and adolescents: a Singapore study.

    Science.gov (United States)

    Tester, G J; Watkins, G G; Rouse, I

    1999-01-01

    The current world wide phenomena of youth suicide which became a major issue for countries in the early nineties, is still growing exponentially. The Sports Challenge program was initiated in 1992 in Western Australia to identify 'at risk' children and adolescents who display: a low sense of basic trust, a sense of shame and doubt, a sense of inferiority and a sense of identity confusion with common characteristics of low self esteem. The subsequent program is based on a strong statistical paradigm encompassing current and historical information with reliable and objective evaluation measures. To this end, since 1992, Sports Challenge has been recognised as a 'World Best Practice' in redressing the issue of 'at risk' children and adolescents. The program now operates in over 150 schools and communities throughout Australia and 24 schools and Detention Centres in Singapore. This paper will allow a window into the development of the program and the successful transfer of the project into Singapore. The Singapore study which began in 1996 has revealed the success of the Sports Challenge program cross culturally with improvement in self esteem and self concept of 'at risk' groups in the range of 18% to 44%.

  17. The Mizunami underground research laboratory in Japan - programme for study of the deep geological environment

    International Nuclear Information System (INIS)

    Sakuma, Hideki; Sugihara, Kozo; Koide, Kaoru; Mikake, Shinichiro

    1998-01-01

    This paper is an overview of the PNC's Mizunami Underground Research Laboratory project in Mizunami City, central Japan. The Mizunami Underground Research Laboratory now will succeed the Kamaishi Mine as the main facility for the geoscientific study of the crystalline environment. The site will never be considered as a site for a repository. The surface-based investigations, planned to continue for some 5 years commenced in the autumn 1997. The construction of the facility to the depth of 1000 m is currently planned to: Develop comprehensive investigation techniques for geological environment; Acquire data on the deep geological environment and to; Develop a range of engineering techniques for deep underground application. Besides PNC research, the facility will also be used to promote deeper understanding of earthquakes, to perform experiments under micro-gravity conditions etc. The geology of the site is shortly as follows: The sedimentary overburden some 20 - 100 m in thickness is of age 2 - 20 million years. The basement granite is approx. 70 million years. A reverse fault is crosscutting the site. The identified fault offers interesting possibilities for important research. Part of the work during the surface-based investigations, is to drill and test deep boreholes to a planned depth up to 2000 m. Based on the investigations, predictions will be made what geological environment will be encountered during the Construction Phase. Also the effect of construction will be predicted. Methodology for evaluation of predictions will be established

  18. The Dutch 'Focus on Strength' intervention study protocol: programme design and production, implementation and evaluation plan.

    Science.gov (United States)

    Ten Hoor, G A; Kok, G; Rutten, G M; Ruiter, R A C; Kremers, S P J; Schols, A M J W; Plasqui, G

    2016-06-10

    Overweight youngsters are better in absolute strength exercises than their normal-weight counterparts; a physiological phenomenon with promising psychological impact. In this paper we describe the study protocol of the Dutch, school-based program 'Focus on Strength' that aims to improve body composition of 11-13 year old students, and with that to ultimately improve their quality of life. The development of this intervention is based on the Intervention Mapping (IM) protocol, which starts from a needs assessment, uses theory and empirical research to develop a detailed intervention plan, and anticipates program implementation and evaluation. This novel intervention targets first year students in preparatory secondary vocational education (11-13 years of age). Teachers are the program implementers. One part of the intervention involves a 30 % increase of strength exercises in the physical education lessons. The other part is based on Motivational Interviewing, promoting autonomous motivation of students to become more physically active outside school. Performance and change objectives are described for both teachers and students. The effectiveness of the intervention will be tested in a Randomized Controlled Trial in 9 Dutch high schools. Intervention Mapping is a useful framework for program planning a school-based program to improve body composition and motivation to exercise in 11-13 year old adolescents by a "Focus on Strength". NTR5676 , registered 8 February 2016 (retrospectively registered).

  19. Latin American dose survey results in mammography studies under IAEA programme: radiological protection of patients in medical exposures (TSA3)

    International Nuclear Information System (INIS)

    Mora, Patricia; Blanco, Susana; Khoury, Helen; Leyton, Fernando; Cardenas, Juan; Defaz, Maria Yolanda; Garay, Fernando; Telon, Flaviano; Garcia Aguilar, Juan; Roas, Norma; Gamarra, Mirtha; Blanco, Daniel; Quintero, Ana Rosa; Nader, Alejandro

    2015-01-01

    Latin American countries (Argentina, Brazil, Chile, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Paraguay, Uruguay and Venezuela) working under the International Atomic Energy Agency (IAEA) Technical Cooperation Programme: TSA3 Radiological Protection of Patients in Medical Exposures have joined efforts in the optimisation of radiation protection in mammography practice. Through surveys of patient doses, the region has a unique database of diagnostic reference levels for analogue and digital equipment that will direct future optimisation activities towards the early detection of breast cancer among asymptomatic women. During RLA9/057 (2007-09) 24 institutions participated with analogue equipment in a dose survey. Regional training on methodology and measurement equipment was addressed in May 2007. The mean glandular dose (DG) was estimated using the incident kerma in air and relevant conversion coefficients for both projections craneo caudal and mediolateral oblique (CC and MLO). For Phase 2, RLA9/067 (2010-11), it was decided to include also digital systems in order to see their impact in future dose optimisation activities. Any new country that joined the project received training in the activities through IAEA expert missions. Twenty-nine new institutions participated (9 analogue and 20 digital equipment). A total of 2262 patient doses were collected during this study and from them D G (mGy) for both projections were estimated for each institution and country. Regional results (75 percentile in mGy) show for CC and MLO views, respectively: RLA9/057 (analogue) 2.63 and 3.17; RLA/067: 2.57 and 3.15 (analogue) and 2.69 and 2.90 (digital). Regarding only digital equipment for CC and MLO, respectively, computed radiography systems showed 2.59 and 2.78 and direct digital radiography (DDR) systems 2.78 and 3.04. Based on the IAEA Basic Safety Standard (BSS) reference dose (3 mGy), it can be observed that there is enough room to start

  20. Latin American dose survey results in mammography studies under IAEA programme: radiological protection of patients in medical exposures (TSA3).

    Science.gov (United States)

    Mora, Patricia; Blanco, Susana; Khoury, Helen; Leyton, Fernando; Cárdenas, Juan; Defaz, María Yolanda; Garay, Fernando; Telón, Flaviano; Aguilar, Juan Garcia; Roas, Norma; Gamarra, Mirtha; Blanco, Daniel; Quintero, Ana Rosa; Nader, Alejandro

    2015-03-01

    Latin American countries (Argentina, Brazil, Chile, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Paraguay, Uruguay and Venezuela) working under the International Atomic Energy Agency (IAEA) Technical Cooperation Programme: TSA3 Radiological Protection of Patients in Medical Exposures have joined efforts in the optimisation of radiation protection in mammography practice. Through surveys of patient doses, the region has a unique database of diagnostic reference levels for analogue and digital equipment that will direct future optimisation activities towards the early detection of breast cancer among asymptomatic women. During RLA9/057 (2007-09) 24 institutions participated with analogue equipment in a dose survey. Regional training on methodology and measurement equipment was addressed in May 2007. The mean glandular dose (DG) was estimated using the incident kerma in air and relevant conversion coefficients for both projections craneo caudal and mediolateral oblique (CC and MLO). For Phase 2, RLA9/067 (2010-11), it was decided to include also digital systems in order to see their impact in future dose optimisation activities. Any new country that joined the project received training in the activities through IAEA expert missions. Twenty-nine new institutions participated (9 analogue and 20 digital equipment). A total of 2262 patient doses were collected during this study and from them D(G) (mGy) for both projections were estimated for each institution and country. Regional results (75 percentile in mGy) show for CC and MLO views, respectively: RLA9/057 (analogue) 2.63 and 3.17; RLA/067: 2.57 and 3.15 (analogue) and 2.69 and 2.90 (digital). Regarding only digital equipment for CC and MLO, respectively, computed radiography systems showed 2.59 and 2.78 and direct digital radiography (DDR) systems 2.78 and 3.04. Based on the IAEA Basic Safety Standard (BSS) reference dose (3 mGy), it can be observed that there is enough room to start

  1. Effectiveness of rotavirus pentavalent vaccine under a universal immunization programme in Israel, 2011-2015: a case-control study.

    Science.gov (United States)

    Muhsen, K; Anis, E; Rubinstein, U; Kassem, E; Goren, S; Shulman, L M; Ephros, M; Cohen, D

    2018-01-01

    The use of rotavirus pentavalent vaccine (RotaTeq ® ) as a sole vaccine within rotavirus universal immunization programmes remains limited. We examined the effectiveness of RotaTeq in preventing rotavirus gastroenteritis (RVGE) hospitalization in Israel, after the introduction of universal immunization against the disease. A test-negative case-control study included age-eligible children for universal RotaTeq immunization (aged 2-59 months, born in 2011-2015). Cases (n = 98) were patients who tested positive for rotavirus by immunochromatography; those who tested negative (n = 628) comprised the control group. Information on rotavirus immunization history was obtained through linkage with a national immunization registry. Vaccination status was compared between cases and controls, adjusted odds ratios (aORs) were obtained from logistic regression models, and vaccine effectiveness calculated as (1 - aOR)*100. Immunization with RotaTeq was less frequent in RVGE cases (73.5%) than in controls (90.1%), p < 0.001; this association persisted after controlling for potential confounders. Effectiveness of the complete vaccine series was estimated at 77% (95% confidence interval (CI): 49-90) in children aged 6-59 months, and 86% (95% CI: 65-94) in children aged 6-23 months; whereas for the incomplete series, the respective estimates were 72% (95% CI: 28-89) and 75% (95% CI: 30-91). Vaccine effectiveness was estimated at 79% (95% CI: 45-92) against G1P[8]-associated RVGE hospitalizations and 69% (95% CI: 11-89) against other genotype-RVGE hospitalizations. High effectiveness of RotaTeq as the sole rotavirus vaccine in a universal immunization programme was demonstrated in a high-income country. Although partial vaccination conferred protection, completing the vaccine series is warranted to maximize the benefit. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  2. Overview of the IAEA programme on fertigation studies in the mediterranean region

    International Nuclear Information System (INIS)

    Moutonnet, P.

    2001-01-01

    Water is a scarce resource in Mediterranean Countries. The optimal water requirement per capita is estimated to be around 1,700 m''3/year; however, in many countries in West Asia, the available water was less than 500 m''3/capita/year. The situation will deteriorate further during the next two decades as populations increase. Agriculture is the biggest user with about 80% of the renewable water resources used for irrigation. Traditional methods such as furrow, surface irrigations are highly inefficient: with only one-third of the applied water being transpired by the crops. Clearly, there is great need for improving the irrigation management. Recognising the potential use of nuclear techniques in fertigation studies, the IAEA implemented a Regional Technical-Cooperation Project during the period 1995-1998 with eight participating countries from Europe and the Middle East: Cyprus, Iran, Jordan, Lebanon, Saudi Arabia, Syria, Turkey, and United Arab Emirates. The main objective was to establish water balance and fertigation practices, using nuclear technique such as the soil moisture neutron probe and ''1''5N-labelled fertilizers, with a view to improving crop production in arid and semi-arid zones. The objectives of this project are to compare the conventional fertilization method with N-fertigation, in 1) evaluating the recovery of N-fertilizer applied, 2) evaluating water use efficiency and estimate crop water requirements, 3) evaluating potential nitrate pollution. Results clearly showed the efficiency of fertigation in terms of water use, N fertilizer recovery and crop yields: fertigation is a very efficient technique for conserving both water and N fertilizer and increasing crop production. On average: 1) 42% of irrigation water saved under drip irrigation, 2) 42% increase in yield for fertigation compared with traditional fertilizer and water management practices, 3) 79% increase for irrigation water use efficiency based on crop yield

  3. Fusion technology programme

    International Nuclear Information System (INIS)

    Finken, D.

    1984-10-01

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

  4. Application of a web-based cognitive-behavioural therapy programme for the treatment of selective mutism in Singapore: a case series study.

    Science.gov (United States)

    Ooi, Yoon Phaik; Raja, Malini; Sung, Sharon Cohan; Fung, Daniel S S; Koh, Jessie B K

    2012-07-01

    Selective mutism (SM) is characterised by limited or a lack of speech in selected social settings. Recent reviews suggest that cognitive-behavioural therapy (CBT) is an effective and promising treatment approach for SM. However, there is still a lack of studies documenting the applicability of CBT for SM in diverse populations. The goal of the present study was to examine the use of a web-based CBT programme ('Meeky Mouse') among Singaporean children diagnosed with SM. Five children with SM (one boy and four girls aged 6-11 years) participated in the 14-week 'Meeky Mouse' programme, in addition to being prescribed with an unchanged dosage of fluoxetine 10-20 mg daily. The progress made by the children throughout the course of the programme was documented by the therapist. Post treatment, four out of the five children demonstrated improvements in the frequency of speech during therapy sessions at home, in school and at other social situations. Findings from the present study provide support for the use of a web-based CBT programme in improving speech and decreasing the severity of SM among affected children.

  5. 'The Anglo-Saxon disease': a pilot study of the barriers to and facilitators of the use of randomised controlled trials of social programmes in an international context.

    Science.gov (United States)

    Roberts, Helen; Petticrew, Mark; Liabo, Kristin; Macintyre, Sally

    2012-11-01

    There appears to be considerable variation between different national jurisdictions and between different sectors of public policy in the use of evidence and particularly the use of randomised controlled trials (RCTs) to evaluate non-healthcare sector programmes. As part of a wider study attempting to identify RCTs of public policy sector programmes and the reasons for variation between countries and sectors in their use, we carried out a pilot study which interviewed 10 policy makers and researchers in six countries to elicit views on barriers to and facilitators of the use of RCTs for social programmes. While in common with earlier studies, those interviewed expressed a need for unambiguous findings, timely results and significant effect sizes, users could, in fact, be ambivalent about robust methods and robust answers about what works, does not work or makes no difference, particularly where investment or a policy announcement was planned. Different national and policy sector cultures varied in their use of and support for RCTs. In order to maximise the use of robust evaluations of public programmes across the world it would be useful to examine, systematically, cross-national and cross-sectoral variations in the use of different methods including RCTs and barriers to and facilitators of their use. Sound research methods, whatever their scientific value, are no guarantee that findings will be useful or used. 'Stories' have been shown to influence policy; those advocating the use of RCTs may need to provide convincing narratives to avoid repetition about their value.

  6. Co-ordinated research programme on the use of nuclear and nuclear-related techniques in the study of environmental pollution associated with solid wastes

    International Nuclear Information System (INIS)

    1988-01-01

    A co-ordinated research programme on the use of nuclear and nuclear-related techniques in the study of environmental pollution associated with solid wastes was started by the Agency in December 1987 and now comprises nineteen participants from seventeen countries. Topics of interest in this programme include studies of atmospheric aerosols, coal fly ash, incinerator ash, sewage sludge and a variety of other environmental specimens contaminated with solid wastes. The analytical techniques being used in this programme include neutron activation analysis (NAA), particle induced X-ray emission (PIXE) and energy-dispersive X-ray fluorescence (ED-XRF). This report summarizes the discussions that took place during the first research co-ordination meeting. Working papers presented by the participants are included as annexes. The main outcome of the meeting was agreement to include a ''core'' programme comprising studies of (1) aerosols collected from areas of low and high pollution, (2) coal fly ash composition, and (3) leaching of toxic elements from coal fly ash

  7. Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial.

    Science.gov (United States)

    Pastora-Bernal, Jose-Manuel; Martín-Valero, Rocío; Barón-López, Francisco Javier; García-Gómez, Oscar

    2017-02-23

    Shoulder pain is common in society, with high prevalence in the general population. Shoulder impingement syndrome (SIS) is the most frequent cause. Patients suffer pain, muscle weakness and loss of movement in the affected joint. Initial treatment is predominantly conservative. The surgical option has high success rates and is often used when conservative strategy fails. Traditional physiotherapy and post-operative exercises are needed for the recovery of joint range, muscle strength, stability and functionality. Telerehabilitation programmes have shown positive results in some orthopaedic conditions after surgery. Customized telerehabilitation intervention programmes should be developed to recover shoulder function after SIS surgery. The objective of this study is to evaluate the feasibility and effectiveness of a telerehabilitation intervention compared with usual care in patients after subacromial decompression surgery. We will compare an intervention group receiving videoconferences and a telerehabilitation programme to a control group receiving traditional physiotherapy intervention in a single-blind, randomized controlled non-inferiority trial study design. Through this study, we will further develop our preliminary data set and practical experience with the telerehabilitation programmes to evaluate their effectiveness and compare this with traditional intervention. We will also explore patient satisfaction and cost-effectiveness. Patient enrolment is ongoing. ClinicalTrials.gov, NCT02909920 . 14 September 2016.

  8. National programme: Finland

    International Nuclear Information System (INIS)

    Forsten, J.

    1986-01-01

    Finland's programmes in the field of reactor pressure components are presented in this paper. The following information on each of these programmes is given: the brief description of the programme; the programme's schedule and duration; the name of the project manager

  9. Population-based study of chlamydial and gonococcal infections among women in Shenzhen, China: Implications for programme planning.

    Science.gov (United States)

    Luo, Zhen-Zhou; Li, Wu; Wu, Qiu-Hong; Zhang, Li; Tian, Li-Shan; Liu, Lan-Lan; Ding, Yi; Yuan, Jun; Chen, Zhong-Wei; Lan, Li-Na; Wu, Xiao-Bing; Cai, Yu-Mao; Hong, Fu-Chang; Feng, Tie-Jian; Zhang, Min; Chen, Xiang-Sheng

    2018-01-01

    This study was aimed to estimate the prevalences of chlamydia (CT) and gonococcal (NG) infections and explore risk factors associated with the CT infection among women in Shenzhen, China. We collected socio-demographic and clinical data from women (aged 20-60) and determined positivity of CT or NG by nucleic acid amplification test (NAAT) with self-collected urine specimens. We estimated prevalence of CT and NG and determined risk factors associated with CT infection. Among 9,207 participants, 4.12% (95% confidence interval [CI], 3.71%-4.53%) tested positive for CT and 0.17% (95% CIs, 0.09%-0.25%) for NG. Factors significantly associated with CT infection included being an ethnic minority (ethnicity other than Han China) (Adjusted odds ratio [AOR], 1.9; 95% CI, 1.2-3.0), using methods other than condom for contraception (AOR, 1.5; 95% CI, 1.2-1.8), having a history of adverse pregnancy outcomes (AOR, 1.4; 95% CI, 1.1-1.8), and experiencing reproductive tract symptoms in the past three months (AOR, 1.3; 95% CI, 1.0-1.7). we found that CT infection is prevalent among women in Shenzhen, China and associated with both demographic and behavioral factors. A comprehensive CT screening, surveillance and treatment programme targeting this population is warranted.

  10. A maize root tip system to study DNA replication programmes in somatic and endocycling nuclei during plant development.

    Science.gov (United States)

    Bass, Hank W; Wear, Emily E; Lee, Tae-Jin; Hoffman, Gregg G; Gumber, Hardeep K; Allen, George C; Thompson, William F; Hanley-Bowdoin, Linda

    2014-06-01

    The progress of nuclear DNA replication is complex in both time and space, and may reflect several levels of chromatin structure and 3-dimensional organization within the nucleus. To understand the relationship between DNA replication and developmental programmes, it is important to examine replication and nuclear substructure in different developmental contexts including natural cell-cycle progressions in situ. Plant meristems offer an ideal opportunity to analyse such processes in the context of normal growth of an organism. Our current understanding of large-scale chromosomal DNA replication has been limited by the lack of appropriate tools to visualize DNA replication with high resolution at defined points within S phase. In this perspective, we discuss a promising new system that can be used to visualize DNA replication in isolated maize (Zea mays L.) root tip nuclei after in planta pulse labelling with the thymidine analogue, 5-ethynyl-2'-deoxyuridine (EdU). Mixed populations of EdU-labelled nuclei are then separated by flow cytometry into sequential stages of S phase and examined directly using 3-dimensional deconvolution microscopy to characterize spatial patterns of plant DNA replication. Combining spatiotemporal analyses with studies of replication and epigenetic inheritance at the molecular level enables an integrated experimental approach to problems of mitotic inheritance and cellular differentiation. © The Author 2014. Published by Oxford University Press on behalf of the Society for Experimental Biology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  11. A randomized-controlled trial focusing on socio-economic status for promoting vegetable intake among adults using a web-based nutrition intervention programme: study protocol

    Directory of Open Access Journals (Sweden)

    Saki Nakamura

    2017-01-01

    . Discussion The fact that this study is an RCT with an established control group is a strong advantage. Information and communications technology is not limited by time or place. If we could show this web-based nutrition education programmes has a positive effect, it may be an appropriate tool for reaching individuals in lower socio-economic state. Trial registration Current Controlled Trials UMIN-ICDR UMIN 000019376 (Registered October 16, 2015.

  12. Introduction of a breast cancer care programme including ultra short hospital stay in 4 early adopter centres: framework for an implementation study.

    Science.gov (United States)

    de Kok, Mascha; Frotscher, Caroline N A; van der Weijden, Trudy; Kessels, Alfons G H; Dirksen, Carmen D; van de Velde, Cornelis J H; Roukema, Jan A; Bell, Antoine V R J; van der Ent, Fred W; von Meyenfeldt, Maarten F

    2007-07-02

    Whereas ultra-short stay (day care or 24 hour hospitalisation) following breast cancer surgery was introduced in the US and Canada in the 1990s, it is not yet common practice in Europe. This paper describes the design of the MaDO study, which involves the implementation of ultra short stay admission for patients after breast cancer surgery, and evaluates whether the targets of the implementation strategy are reached. The ultra short stay programme and the applied implementation strategy will be evaluated from the economic perspective. The MaDO study is a pre-post-controlled multi-centre study, that is performed in four hospitals in the Netherlands. It includes a pre and post measuring period of six months each with six months of implementation in between in at least 40 patients per hospital per measurement period. Primary outcome measure is the percentage of patients treated in ultra short stay. Secondary endpoints are the percentage of patients treated according to protocol, degree of involvement of home care nursing, quality of care from the patient's perspective, cost-effectiveness of the ultra short stay programme and cost-effectiveness of the implementation strategy. Quality of care will be measured by the QUOTE-breast cancer instrument, cost-effectiveness of the ultra short stay programme will be measured by means of the EuroQol (administered at four time-points) and a cost book for patients. Cost-effectiveness analysis will be performed from a societal perspective. Cost-effectiveness of the implementation strategy will be measured by determination of the costs of implementation activities. This study will reveal barriers and facilitators for implementation of the ultra short stay programme. Moreover, the results of the study will provide information about the cost-effectiveness of the ultra short stay programme and the implementation strategy. Current Controlled Trials ISRCTN77253391.

  13. A theory evaluation of an induction programme

    Directory of Open Access Journals (Sweden)

    Kenrick Hendricks

    2012-07-01

    Full Text Available Orientation: An induction programme is commonly used to help new employees understand their job within the organisation. Research purpose: The main aim of this study was to examine whether or not the programme theory of an induction programme was plausible and would lead to the intended outcomes as described by the programme manager. Motivation for the study: Induction training is one of the most common training programmes in an organisation. However, there is little research to evaluate whether or not the activities of an induction programme will lead to the intended outcomes of such a programme. Research design, approach and method: This theory evaluation used a descriptive design. One hundred and thirteen employees of a media company completed a ten-item, five-point Likert scale which measured their perceptions of the programme’s outcome, identification with the organisation and intentions to stay with the organisation. Main findings: From this theory evaluation it was apparent that an induction programme based on an implausible programme theory could be problematic. An implausible programme theory affects the design of the programme activities and unsuitable activities may not deliver the desired outcomes. Practical/managerial implications: The intention of the evaluation is to guide human resource managers through a process of replacing an implausible programme theory with one that is plausible, and which ensures better alignment of programme activities and outcomes. Contribution/value-add: The evaluators showed how a plausible programme theory could improve programme design. This redesigned induction programme may lead to benefits, such as staff retention and company identification, rather than the vague assumption that it has been conforming to a legal obligation.

  14. The Effectiveness and Sustainability of a Universal School-Based Programme for Preventing Depression in Chinese Adolescents: A Follow-Up Study Using Quasi-Experimental Design

    Science.gov (United States)

    Lai, Eliza S. Y.; Kwok, Chi-Leung; Wong, Paul W. C.; Fu, King-Wa; Law, Yik-Wa; Yip, Paul S. F.

    2016-01-01

    Background A pilot study about the effectiveness of a universal school-based programme, “The Little Prince is Depressed”, for preventing depression in Chinese adolescents in Hong Kong was conducted and reported previously. This study used a larger sample to examine the effectiveness and sustainability of the programme. Methods This study used quasi-experimental design. Twelve schools enrolled in “The Little Prince is Depressed” programme either as an intervention or a control condition. The intervention schools carried out the 12-session programme in two phases: the professional-led first phase and the teacher-led second phase. All participants were required to complete a questionnaire at three time points measuring their (1) depressive, anxiety, and stress levels; (2) knowledge of mental health; (3) attitudes towards mental illness; (4) perceived social support; and (5) help-seeking behaviours. Results A total of 3,391 students participated in the study. The level of depressive symptoms did not reduce significantly at post-intervention; however, a delayed effect was observed at follow-up assessment for the participants of the teacher-led group in reducing anxiety and stress levels. Also, the knowledge of mental health and attitudes towards mental illness of the intervention-group participants significantly improved at post-test, and the outcomes were maintained at 4 to 5 months after the intervention in both the professional-led and the teacher-led conditions (pmental health and promoting a more positive attitude towards mental illness among adolescents in Hong Kong. In particular, the teacher-led group showed better outcomes than the professional-led group in reducing students’ anxiety and stress at follow-up period. The programme can achieve sustainability in schools if teachers are provided with adequate support. PMID:26921275

  15. Spouses’ involvement in older patients’ fast-track programmes during total hip replacement using case management intervention. A study protocol of the SICAM-trial

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Kristensson, Jimmie

    2015-01-01

    Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part in their tr......Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part...... in their treatment and rehabilitation. Spouses of older patients can often provide valued practical and emotional support, reducing stress, pain and length of stay – yet they are seldom invited to participate in a supporting role. Design A two-group quasi-experimental design with pre-test and repeated post...... and subsequently include the intervention group to avoid contamination of the control group. A case manager will be recruited to perform the case management intervention. Data will be collected from both groups at baseline, 2 weeks and 3 months after surgery. Outcome measures for patients include: functional...

  16. Effectiveness of a workplace training programme in improving social, communication and emotional skills for adults with autism and intellectual disability in Hong Kong--a pilot study.

    Science.gov (United States)

    Liu, Karen P Y; Wong, Denys; Chung, Anthony C Y; Kwok, Natalie; Lam, Madeleine K Y; Yuen, Cheri M C; Arblaster, Karen; Kwan, Aldous C S

    2013-12-01

    This pilot study explored the effectiveness of workplace training programme that aimed to enhance the work-related behaviours in individuals with autism and intellectual disabilities. Fourteen participants with autism and mild to moderate intellectual disability (mean age = 24.6 years) were recruited. The workplace training programme included practices in work context and group educational sessions. A pre-test-post-test design was used with the Work Personality Profile, the Scale of Independent Behaviour Revised and the Observational Emotional Inventory Revised to evaluate the targeted behaviours. Improvement in social and communication skills specific to the workplace was achieved. For emotional control, participants became less confused and had a better self-concept. However, improvement in other general emotional behaviours, such as impulse control, was limited. The results indicated that a structured workplace training programme aimed at improving social, communication and emotional behaviours can be helpful for people with autism and intellectual disability. Further study with a larger sample size and a control group is recommended. The development of specific programme to cater for the emotional control needs at workplace for people with autism is also suggested. Copyright © 2013 John Wiley & Sons, Ltd.

  17. Critique of a language enrichment programme for Grade 4 ESL learners with limited English proficiency: a pilot study

    Directory of Open Access Journals (Sweden)

    Mirna Neli

    2008-05-01

    Full Text Available Some Grade 4 educators have expressed feelings of ineptitude regarding the support of ESL (English Second Language learners with limited English proficiency as they do not know how to support these learners effectively. Their litany emphasises ESL educators' need for supportive and preventive intervention. A Story-based Language Enrichment Programme (SLEP was compiled to suit the needs of educators teaching Grade 4 ESL learners with limited English proficiency. The programme was designed to maintain or improve the English proficiency of ESL learners. An intervention research method was followed to test the efficacy of SLEP. Forty teachers implemented SLEP over a six-week period. Thirty-nine teachers provided constructive feedback at the end of this period. Between 92% and 100% of the participants rated SLEP positively. Rural participants suggested some refinements to the programme. The overall conclusion was that SLEP makes a useful contribution to ESL practice.

  18. Stage progression and need for renal replacement therapy in a renal protection programme in Colombia. A cohort study.

    Science.gov (United States)

    Yepes Delgado, Carlos Enrique; Pérez Dávila, Sara; Montoya Jaramillo, Marcela; Orrego Orozco, Beatriz Elena

    Due to the global burden represented by chronic kidney disease (CKD), the World Health Organization encouraged the implementation of renal protection programmes (RPP) to affect its incidence through prevention and control measures. To assess the effectiveness of a Colombian RPP in terms of its effect on the stage progression of CKD and the need for renal replacement therapy (RRT). An analytical study that monitored 2cohorts of patients diagnosed with CKD. The study compares the behaviour of clinical and renal impairment indicators from patients exposed to a RPP with that of patients following conventional treatment (CT). The population of both intervention groups was considered when determining the sample size. The incidence rate was calculated as well as patient survival (Kaplan Meier). In addition, a multivariate analysis (Cox) was used to calculate the influence that exposure to the RPP had on the outcomes of the patients following the RPP and those following CT. The patients exposed to the RPP took longer to advance to the next CKD stage and require RRT. The incidence rate for progression is higher for the patients following CT (0.050, IC 95%: 0.040-0.064) compared to those in the RPP (0.034, IC 95%: 0.030-0.039). The ratio of incidence rates was 1.480 (IC 95% 1.21-1.90). The hazard of progression was lower for the RPP (HR: 0.855, IC 95%: 0.74- 0.98), as was the hazard of requiring RRT (HR: 0.797, IC 95%: 0.606-1.049). The RPP is a secondary prevention strategy against CKD which has an effect on the stage progression of CKD and the need for RRT. Early patient detection has a positive effect on the outcomes studied. Copyright © 2017 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  19. Costs and longer-term savings of parenting programmes for the prevention of persistent conduct disorder: a modelling study

    Directory of Open Access Journals (Sweden)

    Beecham Jennifer

    2011-10-01

    Full Text Available Abstract Background Conduct disorders are the most common psychiatric disorders in children and may persist into adulthood in about 50% of cases. The costs to society are high and impact many public sector agencies. Parenting programmes have been shown to positively affect child behaviour, but little is known about their potential long-term cost-effectiveness. We therefore estimate the costs of and longer-term savings from evidence-based parenting programmes for the prevention of persistent conduct disorder. Methods A decision-analytic Markov model compares two scenarios: 1 a 5-year old with clinical conduct disorder receives an evidence-based parenting programme; 2 the same 5-year old does not receive the programme. Cost-savings analysis is performed by comparing the probability that conduct disorder persists over time in each scenario, adopting both a public sector and a societal perspective. If the intervention is successful in reducing persistent conduct disorder, cost savings may arise from reduced use of health services, education support, social care, voluntary agencies and from crimes averted. Results Results strongly suggest that parenting programmes reduce the chance that conduct disorder persists into adulthood and are cost-saving to the public sector within 5-8 years under base case conditions. Total savings to society over 25 years are estimated at £16,435 per family, which compares with an intervention cost in the range of £952-£2,078 (2008/09 prices. Conclusions Effective implementation of evidence-based parenting programmes is likely to yield cost savings to the public sector and society. More research is needed to address evidence gaps regarding the current level of provision, longer-term effectiveness and questions of implementation, engagement and equity.

  20. The acceptability, feasibility and impact of a lay health counsellor delivered health promoting schools programme in India: a case study evaluation

    Directory of Open Access Journals (Sweden)

    Rajaraman Divya

    2012-05-01

    Full Text Available Abstract Background Studies in resource-limited settings have shown that there are constraints to the use of teachers, peers or health professionals to deliver school health promotion interventions. School health programmes delivered by trained lay health counsellors could offer a cost-effective alternative. This paper presents a case study of a multi-component school health promotion intervention in India that was delivered by lay school health counsellors, who possessed neither formal educational nor health provider qualifications. Methods The intervention was based on the WHO’s Health Promoting Schools framework, and included health screening camps; an anonymous letter box for student questions and complaints; classroom-based life skills training; and, individual psycho-social and academic counselling for students. The intervention was delivered by a lay school health counsellor who had attained a minimum of a high school education. The counsellor was trained over four weeks and received structured supervision from health professionals working for the implementing NGO. The evaluation design was a mixed methods case study. Quantitative process indicators were collected to assess the extent to which the programme was delivered as planned (feasibility, the uptake of services (acceptability, and the number of students who received corrective health treatment (evidence of impact. Semi-structured interviews were conducted over two years with 108 stakeholders, and were analysed to identify barriers and facilitators for the programme (feasibility, evaluate acceptability, and gather evidence of positive or negative effects of the programme. Results Feasibility was established by the high reported coverage of all the targeted activities by the school health counsellor. Acceptability was indicated by a growing number of submissions to the students’ anonymous letter-box; more students self-referring for counselling services over time; and, the

  1. The acceptability, feasibility and impact of a lay health counsellor delivered health promoting schools programme in India: a case study evaluation.

    Science.gov (United States)

    Rajaraman, Divya; Travasso, Sandra; Chatterjee, Achira; Bhat, Bhargav; Andrew, Gracy; Parab, Suraj; Patel, Vikram

    2012-05-25

    Studies in resource-limited settings have shown that there are constraints to the use of teachers, peers or health professionals to deliver school health promotion interventions. School health programmes delivered by trained lay health counsellors could offer a cost-effective alternative. This paper presents a case study of a multi-component school health promotion intervention in India that was delivered by lay school health counsellors, who possessed neither formal educational nor health provider qualifications. The intervention was based on the WHO's Health Promoting Schools framework, and included health screening camps; an anonymous letter box for student questions and complaints; classroom-based life skills training; and, individual psycho-social and academic counselling for students. The intervention was delivered by a lay school health counsellor who had attained a minimum of a high school education. The counsellor was trained over four weeks and received structured supervision from health professionals working for the implementing NGO. The evaluation design was a mixed methods case study. Quantitative process indicators were collected to assess the extent to which the programme was delivered as planned (feasibility), the uptake of services (acceptability), and the number of students who received corrective health treatment (evidence of impact). Semi-structured interviews were conducted over two years with 108 stakeholders, and were analysed to identify barriers and facilitators for the programme (feasibility), evaluate acceptability, and gather evidence of positive or negative effects of the programme. Feasibility was established by the high reported coverage of all the targeted activities by the school health counsellor. Acceptability was indicated by a growing number of submissions to the students' anonymous letter-box; more students self-referring for counselling services over time; and, the perceived need for the programme, as expressed by principals

  2. Communication in mental health nursing - Bachelor Students' appraisal of a blended learning training programme - an exploratory study.

    Science.gov (United States)

    Furnes, Merete; Kvaal, Kari Sofie; Høye, Sevald

    2018-01-01

    It is important that mental health nursing students at Bachelor level obtain effective communication skills. Many students dread the fact that in the mental health field they will encounter patients and relatives with various backgrounds and personalities. Large classes and limited teaching resources in nursing education are challenging. To prepare students for mental health nursing practice, a communication skills course based on the blended learning method was developed and carried out at two different campuses.The aim of the study is to explore Bachelor nursing students' appraisal of blended learning methods for enhancing communication skills in mental health nursing. This study employed an exploratory design. Teaching and information materials were available on the learning management system (LMS). Videotaped role play training was carried out in the Simulation Department. Data were collected after the course by means of a questionnaire with closed and open-ended questions. The response rate was 59.2%. Quantitative data were analysed using the Statistical package for the Social Sciences (SPSS) and the Kruskal Wallis test, while qualitative data were analysed by content analysis based on Graneheim and Lundman's approach. No impact of background variables was observed. Students appreciated teachers' participation in role play and immediate feedback was considered especially important for learning outcomes. The students perceived that their communication skills and knowledge had improved after completing the blended learning programme. According to the nursing students, blended learning is an appropriate method for improving communication skills in preparation for mental health nursing. Blended learning makes it possible to build flexible courses with limited resources.

  3. The current and potential health benefits of the National Health Service Health Check cardiovascular disease prevention programme in England: A microsimulation study.

    Science.gov (United States)

    Mytton, Oliver T; Jackson, Christopher; Steinacher, Arno; Goodman, Anna; Langenberg, Claudia; Griffin, Simon; Wareham, Nick; Woodcock, James

    2018-03-01

    The National Health Service (NHS) Health Check programme was introduced in 2009 in England to systematically assess all adults in midlife for cardiovascular disease risk factors. However, its current benefit and impact on health inequalities are unknown. It is also unclear whether feasible changes in how it is delivered could result in increased benefits. It is one of the first such programmes in the world. We sought to estimate the health benefits and effect on inequalities of the current NHS Health Check programme and the impact of making feasible changes to its implementation. We developed a microsimulation model to estimate the health benefits (incident ischaemic heart disease, stroke, dementia, and lung cancer) of the NHS Health Check programme in England. We simulated a population of adults in England aged 40-45 years and followed until age 100 years, using data from the Health Survey of England (2009-2012) and the English Longitudinal Study of Aging (1998-2012), to simulate changes in risk factors for simulated individuals over time. We used recent programme data to describe uptake of NHS Health Checks and of 4 associated interventions (statin medication, antihypertensive medication, smoking cessation, and weight management). Estimates of treatment efficacy and adherence were based on trial data. We estimated the benefits of the current NHS Health Check programme compared to a healthcare system without systematic health checks. This counterfactual scenario models the detection and treatment of risk factors that occur within 'routine' primary care. We also explored the impact of making feasible changes to implementation of the programme concerning eligibility, uptake of NHS Health Checks, and uptake of treatments offered through the programme. We estimate that the NHS Health Check programme prevents 390 (95% credible interval 290 to 500) premature deaths before 80 years of age and results in an additional 1,370 (95% credible interval 1,100 to 1,690) people

  4. A pilot effectiveness study of the Enhancing Parenting Skills (EPaS) 2014 programme for parents of children with behaviour problems: study protocol for a randomised controlled trial

    OpenAIRE

    Williams, Margiad Elen; Hutchings, Judy

    2015-01-01

    Background The Enhancing Parenting Skills (EPaS) 2014 programme is a home-based, health visitor-delivered parenting support programme for parents of children with identified behaviour problems. This trial aims to evaluate the effectiveness of the EPaS 2014 programme compared to a waiting-list treatment as usual control group. Methods/Design This is a pragmatic, multicentre randomised controlled trial. Sixty health visitors will each be asked to identify two families that have a child scoring ...

  5. The role of team climate in improving the quality of chronic care delivery: a longitudinal study among professionals working with chronically ill adolescents in transitional care programmes.

    Science.gov (United States)

    Cramm, Jane M; Strating, Mathilde M H; Nieboer, Anna P

    2014-05-22

    This study aimed to (1) evaluate the effectiveness of implementing transition programmes in improving the quality of chronic care delivery and (2) identify the predictive role of (changes in) team climate on the quality of chronic care delivery over time. This longitudinal study was undertaken with professionals working in hospitals and rehabilitation units that participated in the transition programme 'On Your Own Feet Ahead!' in the Netherlands. A total of 145/180 respondents (80.6%) filled in the questionnaire at the beginning of the programme (T1), and 101/173 respondents (58.4%) did so 1 year later at the end of the programme (T2). A total of 90 (52%) respondents filled in the questionnaire at both time points. Two-tailed, paired t tests were used to investigate improvements over time and multilevel analyses to investigate the predictive role of (changes in) team climate on the quality of chronic care delivery. Transition programme. Quality of chronic care delivery measured with the Assessment of Chronic Illness Care Short version (ACIC-S). The overall ACIC-S score at T1 was 5.90, indicating basic or intermediate support for chronic care delivery. The mean ACIC-S score at T2 significantly improved to 6.70, indicating advanced support for chronic care. After adjusting for the quality of chronic care delivery at T1 and significant respondents' characteristics, multilevel regression analyses showed that team climate at T1 (pteam climate (pteam climate to enhance the quality of chronic care delivery to chronically ill adolescents. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. The development of an intervention programme to reduce whole-body vibration exposure at work induced by a change in behaviour: a study protocol

    Science.gov (United States)

    Tiemessen, Ivo JH; Hulshof, Carel TJ; Frings-Dresen, Monique HW

    2007-01-01

    Background Whole body vibration (WBV) exposure at work is common and studies found evidence that this exposure might cause low back pain (LBP). A recent review concluded there is a lack of evidence of effective strategies to reduce WBV exposure. Most research in this field is focussed on the technical implications, although changing behaviour towards WBV exposure might be promising as well. Therefore, we developed an intervention programme to reduce WBV exposure in a population of drivers with the emphasis on a change in behaviour of driver and employer. The hypothesis is that an effective reduction in WBV exposure, in time, will lead to a reduction in LBP as WBV exposure is a proxy for an increased risk of LBP. Methods/Design The intervention programme was developed specifically for the drivers of vibrating vehicles and their employers. The intervention programme will be based on the most important determinants of WBV exposure as track conditions, driving speed, quality of the seat, etc. By increasing knowledge and skills towards changing these determinants, the attitude, social influence and self-efficacy (ASE) of both drivers and employers will be affected having an effect on the level of exposure. We used the well-known ASE model to develop an intervention programme aiming at a change or the intention to change behaviour towards WBV exposure. The developed programme consists of: individual health surveillance, an information brochure, an informative presentation and a report of the performed field measurements. Discussion The study protocol described is advantageous as the intervention program actively tries to change behaviour towards WBV exposure. The near future will show if this intervention program is effective by showing a decrease in WBV exposure. PMID:18005400

  7. The development of an intervention programme to reduce whole-body vibration exposure at work induced by a change in behaviour: a study protocol

    Directory of Open Access Journals (Sweden)

    Frings-Dresen Monique HW

    2007-11-01

    Full Text Available Abstract Background Whole body vibration (WBV exposure at work is common and studies found evidence that this exposure might cause low back pain (LBP. A recent review concluded there is a lack of evidence of effective strategies to reduce WBV exposure. Most research in this field is focussed on the technical implications, although changing behaviour towards WBV exposure might be promising as well. Therefore, we developed an intervention programme to reduce WBV exposure in a population of drivers with the emphasis on a change in behaviour of driver and employer. The hypothesis is that an effective reduction in WBV exposure, in time, will lead to a reduction in LBP as WBV exposure is a proxy for an increased risk of LBP. Methods/Design The intervention programme was developed specifically for the drivers of vibrating vehicles and their employers. The intervention programme will be based on the most important determinants of WBV exposure as track conditions, driving speed, quality of the seat, etc. By increasing knowledge and skills towards changing these determinants, the attitude, social influence and self-efficacy (ASE of both drivers and employers will be affected having an effect on the level of exposure. We used the well-known ASE model to develop an intervention programme aiming at a change or the intention to change behaviour towards WBV exposure. The developed programme consists of: individual health surveillance, an information brochure, an informative presentation and a report of the performed field measurements. Discussion The study protocol described is advantageous as the intervention program actively tries to change behaviour towards WBV exposure. The near future will show if this intervention program is effective by showing a decrease in WBV exposure.

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

    Directory of Open Access Journals (Sweden)

    Samantha Fien

    2016-05-01

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

  9. Analyzing the effect of Akoben programme on the environmental performance of mining in Ghana: A case study of a gold mining company

    Directory of Open Access Journals (Sweden)

    Serwaa Akoto Bawua

    Full Text Available This study assessed the impact of Ghana's Environmental Protection Agency (EPA Akoben programme, a rating and disclosure tool which seeks to promote better environmental performance in the mining and manufacturing industries in Ghana. Using a case study approach, the Akoben audit report card for a mining company was analyzed over a three-year period (2009–2011 based on 7-criteria – legal requirements, hazardous on-site waste management, toxic emissions management, environmental monitoring and reporting, best practice environmental management, complaint management, and corporate social responsibility. Key stakeholders' perceptions of the programme's suitability were solicited from the Ghana Chamber of Mines, EPA, and the mining company. Findings revealed that overall environmental performance over the three-year period under review was poor (2009 – 56.6%; 2010 – 65.6%; 2011 – 59.1% with none of the years meeting the expected minimum limit, with the exception of legal requirements and corporate social responsibilities; the company failed in all other criteria. Specifically, both toxic and non-toxic waste emission discharges were major concerns as toxic parameters, such as for Arsenic, pH and Cyanide, were exceeded. Environmental monitoring and reporting was also a problem for the company. Stakeholders identified inadequate publicity, an absence of legal backing, and a lack of incentives for outstanding performances as the main weaknesses of the programme. Despite this, the stakeholders acknowledge the fact that the Akoben programme has improved the environmental performance of the mining companies because it puts their operations in check, although more can yet be achieved with regards environmental sustainability with this programme, if adequate measures including legal backing are put in place to ensure its continuity. Keywords: Akoben, Environmental, Ghana, Mining, Performance, Rating

  10. Training Social Competence in Engineering Education: Necessary, Possible or Not Even Desirable? An Explorative Study from a Surveying Education Programme

    Science.gov (United States)

    Emilsson, U. Melin; Lilje, B.

    2008-01-01

    The aim of this paper is to discuss whether "social competence" is necessary for engineers to contribute to sustainable development and if it is, how to teach communication, group-processes and leadership in technical environments like engineering education programmes. The article reflects on a pedagogical project carried out in the…

  11. Which Master of Business Administration (MBA)? Factors Influencing Prospective Students' Choice of MBA Programme--An Empirical Study

    Science.gov (United States)

    Blackburn, Greg

    2011-01-01

    Factors which influence students' selection of a Master of Business Administration programme are identified and the variation in their relative importance across the student population investigated. This research also identifies the features of a university which attracts students, as well as examining the students' perceptions of the management…

  12. Is There "Space" for International Baccalaureate? A Case Study Exploring Space and the Adoption of the IB Middle Year Programme

    Science.gov (United States)

    Monreal, Timothy

    2016-01-01

    Henri Lefebvre (1991) wrote, "[representational] space is alive: it speaks" (p. 42). This article explores how we might "listen" to space in education by examining the role of space in one school's decision to adopt the International Baccalaureate's Middle Years Programme [IB MYP]. It builds upon recent scholarship that applies…

  13. The effect of a clinical pharmacist-led training programme on intravenous medication errors : a controlled before and after study

    NARCIS (Netherlands)

    Nguyen, Huong; Pham, Hong-Tham; Vo, Dang-Khoa; Nguyen, Tuan-Dung; van den Heuvel, Edwin R.; Haaijer-Ruskamp, Flora M.; Taxis, Katja

    Background Little is known about interventions to reduce intravenous medication administration errors in hospitals, especially in low-and middle-income countries. Objective To assess the effect of a clinical pharmacist-led training programme on clinically relevant errors during intravenous

  14. Researching the Effectiveness of a Science Professional Learning Programme Using a Proposed Curriculum Framework for Schools: A Case Study

    Science.gov (United States)

    Paige, Kathryn; Zeegers, Yvonne; Lloyd, David; Roetman, Philip

    2016-01-01

    This paper reports on an action research-based professional learning programme (PLP) in which early career teachers volunteered to identify and then research an aspect of their science teaching practice. The PLP was facilitated by academics from the School of Education and the Barbara Hardy Institute at the University of South Australia. The…

  15. Identifying Students' Intercultural Communicative Competence at the Beginning of Their Placement: Towards the Enhancement of Study Abroad Programmes

    Science.gov (United States)

    Gutiérrez Almarza, G.; Durán Martínez, R.; Beltrán Llavador, F.

    2015-01-01

    A pre-placement questionnaire was completed by a cohort of 30 students participating in the Erasmus exchange programmes from the University of Salamanca, placed in British universities, and by a group of 25 Nottingham Trent University students hosted by diverse Spanish universities. The questionnaire was then analysed with the aim of providing a…

  16. Effectiveness of an online SUpport PRogramme (SUPR) for older hearing aid users: study protocol for a cluster randomised controlled trial.

    Science.gov (United States)

    Meijerink, Janine Fj; Pronk, Marieke; Paulissen, Bernadette; Witte, Birgit I; Wouden, Bregje van der; Jansen, Vera; Kramer, Sophia E

    2017-06-20

    An educational SUpport PRogramme called SUPR has been developed for hearing aid users (HAUs) and their communication partners (CPs) offering care beyond hearing aid fitting. SUPR teaches its users communication strategies, hearing aid handling skills and personal adjustment to hearing impairment. Using a cluster randomised controlled trial design, 70 Dutch hearing aid dispenser practices were randomised into hearing aid fitting (care as usual, 34 practices) and hearing aid fitting including SUPR (36 practices). The aim was to recruit a total of 569 older (aged 50+ years) first-time (n=258) and experienced (n=311) HAUs and their CPs. SUPR consists of a Practical Support Booklet and online material offered via email over a period of 6-7 months. The booklet provides practical information on hearing aids, advice on communication strategies and home exercises. The online material consists of educational videos on hearing aid functionality and usage, communication strategies and peer testimonials. Finally, noncommittal email contact with the dispenser is offered. Every HAU is asked to assign a CP who is advised to be involved intensively. Effect measurements for HAUs and their CPs will occur at baseline and at 6, 12 and 18 months follow-up via online questionnaires. The primary outcomes for HAUs will be the use of communication strategies as measured by the subscales of the Communication Profile for the Hearing Impaired. A process evaluation will be performed. The study was approved by the Dutch Institutional Review Board of the VU Medical University Center Amsterdam. This intervention could contribute to lowering the hearing impairment burden in our ageing society. The results will be disseminated through peer-reviewed publications and scientific conferences. ISRCTN77340339; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly

  17. A multi-cohort study of polymorphisms in the GH/IGF axis and physical capability: the HALCyon programme.

    Directory of Open Access Journals (Sweden)

    Tamuno Alfred

    Full Text Available Low muscle mass and function have been associated with poorer indicators of physical capability in older people, which are in-turn associated with increased mortality rates. The growth hormone/insulin-like growth factor (GH/IGF axis is involved in muscle function and genetic variants in genes in the axis may influence measures of physical capability.As part of the Healthy Ageing across the Life Course (HALCyon programme, men and women from seven UK cohorts aged between 52 and 90 years old were genotyped for six polymorphisms: rs35767 (IGF1, rs7127900 (IGF2, rs2854744 (IGFBP3, rs2943641 (IRS1, rs2665802 (GH1 and the exon-3 deletion of GHR. The polymorphisms have previously been robustly associated with age-related traits or are potentially functional. Meta-analysis was used to pool within-study genotypic effects of the associations between the polymorphisms and four measures of physical capability: grip strength, timed walk or get up and go, chair rises and standing balance.Few important associations were observed among the several tests. We found evidence that rs2665802 in GH1 was associated with inability to balance for 5 s (pooled odds ratio per minor allele = 0.90, 95% CI: 0.82-0.98, p-value = 0.01, n = 10,748, after adjusting for age and sex. We found no evidence for other associations between the polymorphisms and physical capability traits.Our findings do not provide evidence for a substantial influence of these common polymorphisms in the GH/IGF axis on objectively measured physical capability levels in older adults.

  18. A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial.

    Science.gov (United States)

    Prescott, Eva; Meindersma, Esther P; van der Velde, Astrid E; Gonzalez-Juanatey, Jose R; Iliou, Marie Christine; Ardissino, Diego; Zoccai, Giuseppe Biondi; Zeymer, Uwe; Prins, Leonie F; Van't Hof, Arnoud Wj; Wilhelm, Matthias; de Kluiver, Ed P

    2016-10-01

    Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes. The European study on effectiveness and sustainability of current cardiac rehabilitation programmes in the elderly (EU-CaRE) project consists of an observational study and an open prospective, investigator-initiated multicentre randomised controlled trial (RCT) involving mobile telemonitoring guided CR (mCR). The aim of EU-CaRE is to map the efficiency of current CR of the elderly in Europe, and to investigate whether mCR is an effective alternative in terms of efficacy, adherence and sustainability. The EU-CaRE study includes patients aged 65 years or older with ischaemic heart disease or who have undergone heart valve surgery. A total of 1760 patients participating in existing CR programmes in eight regions of Europe will be included. Of patients declining regular CR, 238 will be included in the RCT and randomised in two study arms. The experimental group (mCR) will receive a personalised home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO 2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy and sustainability. The study will provide important information to improve CR in the elderly. The EU-CaRE RCT is the first European multicentre study of mCR as an alternative for elderly patients not attending usual CR. © The European Society of Cardiology 2016.

  19. Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study.

    Science.gov (United States)

    Burtscher, Doris; Burza, Sakib

    2015-12-01

    Since 2009, Médecins Sans Frontières has implemented a community management of acute malnutrition (CMAM) programme in rural Biraul block, Bihar State, India that has admitted over 10 000 severely malnourished children but has struggled with poor coverage and default rates. With the aim of improving programme outcomes we undertook a qualitative study to understand community perceptions of childhood undernutrition, the CMAM programme and how these affected health-seeking behaviour. Semi-structured and narrative interviews were undertaken with families of severely malnourished children, non-undernourished children and traditional and allopathic health-care workers. Analysis of transcripts was by qualitative content analysis. Biraul, Bihar State, India, 2010. One hundred and fifty people were interviewed in individual or group discussions during fifty-eight interviews. Undernutrition was not viewed as a disease; instead, local disease concepts were identified that described the clinical spectrum of undernutrition. These concepts informed perception, so caregivers were unlikely to consult health workers if children were 'only skinny'. Hindu and Muslim priests and other traditional health practitioners were more regularly consulted and perceived as easier to access than allopathic health facilities. Senior family members and village elders had significant influence on the health-seeking behaviour of parents of severely malnourished children. The results reaffirm how health education and CMAM programmes should encompass local disease concepts, beliefs and motivations to improve awareness that undernutrition is a disease and one that can be treated. CMAM is well accepted by the community; however, programmes must do better to engage communities, including traditional healers, to enable development of a holistic approach within existing social structures.

  20. Evaluation of nurses’ changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care: a qualitative study

    Science.gov (United States)

    Roets-Merken, Lieve M; Vernooij-Dassen, Myrra J F J; Zuidema, Sytse U; Dees, Marianne K; Hermsen, Pieter G J M; Kempen, Gertrudis I J M; Graff, Maud J L