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Little Systematic Research (little + systematic_research)
Selected AbstractsThe cost effectiveness of specialised facilities for service users with persistent challenging behavioursHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2001Angela Hallam MSc Abstract Little systematic research relates specifically to the last people to leave a psychiatric hospital at the end of a closure programme. The long-running evaluation of the reprovision of services from Friern Hospital in North London allowed a special study to be made of such a group (67 people in all), whose range of problem behaviours made placement in community settings most difficult. The patients were relatively young, with a shorter length of stay than the remainder of the former long-stay hospital population. They were assessed three times: before leaving Friern, and one and 5 years after relocation. The social and clinical characteristics of each person were measured, and the full costs of their care calculated. The ,difficult-to-place' patients moved to four highly staffed rehabilitation facilities, where the total cost of their care was, on average, £1230 per week. There was no overall change in their psychiatric state over the 5 years after they left Friern Hospital although, in the longer-term, they gained skills in several areas of daily functioning. Most importantly, there was a fall of almost 50% in the number of challenging behaviours exhibited by the study group. At the five-year follow-up point, the cost of care had fallen, on average, by £170 per week, and 24 people had been able to move to more independent accommodation arrangements. Study participants had gained a new network of community service contacts, and used services provided by a greater variety of agencies. The indicators suggest that high expenditure on alternative care was justified retrospectively by overall long-term outcomes. An important policy lesson from the Friern Hospital reprovision study is that adequate funds should be reserved until the end of the closure programme to allow the investment of resources in provision for patients with the most severe problem behaviours. [source] All-cause mortality and fatal alcohol poisoning in Belarus, 1970,2005DRUG AND ALCOHOL REVIEW, Issue 5 2008YURY E. RAZVODOVSKY Abstract Introduction and Aims. Although alcohol appears to be an important contributor to the burden of disease in the countries of eastern Europe, little systematic research has been undertaken on its impact on mortality in the former Soviet republic of Belarus. There may be a number of factors underlying the particularly negative effect of alcohol on mortality in Belarus, including the pattern of drinking and use of surrogates. A solid body of research and empirical evidence suggests that hazardous patterns of alcohol consumption (binge drinking) lead to quicker and deeper intoxication, increasing the propensity for alcohol-related mortality. Design and Method. To estimate the aggregate level effect of binge drinking on the all-cause mortality rate, trends in the all-cause mortality and fatal alcohol poisoning rates (as a proxy for binge drinking) in Belarus from 1970 to 2005 were analysed employing AutoRegressive Integrated Moving Average (ARIMA) time,series analysis in order to assess a bivariate relationship between the two time,series. Results. The results of time,series analysis suggest a close relationship between all-cause mortality and fatal alcohol poisoning rates at the population level. Conclusions. This study supports the hypothesis that alcohol and all-cause mortality are connected closely in countries where the drinking culture is characterised by heavy drinking episodes and adds to the growing body of evidence that a substantial proportion of total mortality in Belarus is due to acute effects of binge drinking. [source] An intellectual capital perspective of competitive advantage in nonprofit organisationsINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 2 2008Eric Kong Very little systematic research has focused on applying the concept of intellectual capital (IC) within the nonprofit context; particularly in the highly competitive nonprofit environment. Based on a review of the existing literature, this paper firstly contributes to filling this gap by building an argument that IC can be utilised as a competitive tool in nonprofit organisations (NPOs). Secondly, an IC conceptual framework is proposed that explicitly links the attainment of competitive advantage with positive outcomes for NPOs. Finally, the paper discusses how the IC conceptual framework can be effectively utilised to foster competitive advantage in the nonprofit sector. Copyright © 2007 John Wiley & Sons, Ltd. [source] The Intra-National Struggle to Define "US": External Involvement as a Two-Way StreetINTERNATIONAL STUDIES QUARTERLY, Issue 3 2001Andrea Grove Three perspectives on the causes of communal conflict are visible in extant work: a focus on ancient hatreds, on leaders, or on the context that leaders "find" themselves in. Leaders therefore have all the power to mobilize people to fight (or not to) or leaders are driven by circumstantial opportunities or the primordial desires of the masses to resist peace or coexistence with historical enemies. Analysts who focus on leaders or context recognize that external actors affect internal conflicts, but little systematic research has explored the processes relating the domestic politics of nationalist mobilization to factors in the international arena. How does the international arena affect the competition among leaders? How do skillful leaders draw in external actors to lend credibility to their own views? This article asserts that leaders compete to frame identity and mission, and explores the degree to which international factors affect whose "definitions of the situation" are successful in precipitating mobilization shifts among potential followers. A unique finding of this longitudinal study of Northern Ireland is that the role played by international institutions and actors is affected by how domestic actors perceive, cultivate, and bring attention to the linkages between the two spheres. [source] Justice and local community change: Towards a substantive theory of justiceJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 6 2002Neil M. Drew Justice is a core principle in community psychology, yet has been the subject of relatively little systematic research. In the social psychological literature on the other hand there is a long tradition of research on justice in social life. In this article the potential benefits of integrating the social justice aspirations of community psychology and the conceptualizations of procedural and distributive justice from social psychology are discussed in the context of planned community change. The benefits of exploring justice in this way are illustrated with reference to a research project examining public perceptions of the fairness of roadside tree lopping. Although the issue may appear trivial, it was seen by the local residents as important. The results support the development, application, and utility of a social community psychology of justice to issues of community change. © 2002 Wiley Periodicals, Inc. [source] Physical and emotional development, appetite and body image in adolescents who failed to thrive as infantsTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 5 2006R.F. Drewett Background:, Previous studies suggest that failure to thrive in infancy may be associated with adverse sequelae in childhood. Although cognitive abilities have been extensively investigated, little systematic research is available on other aspects of development. Methods:, Eighty-nine children who failed to thrive as infants and 91 controls were followed up when twelve years old and examined using anthropometric measurement, self-ratings of appetite and body image, the Dutch Eating Behaviour Questionnaire, the Self-perception Profile for Children, The Revised Children's Manifest Anxiety Scale, the parent and child form of the Mood and Feelings Questionnaire and the parent and teacher's form of the Child Behavior Checklist. Results:, The children who failed to thrive were significantly shorter and lighter at twelve and had significantly lower BMIs, but they did not go into puberty any later. They were more likely to rate their appetite as lower than their best friend's, were generally more satisfied with their body shape, and had significantly lower restraint score on the Dutch Eating Behaviour Questionnaire. They were not significantly different from controls on any of the measures reflecting anxiety, depression or low self-esteem. Conclusions:, Failure to thrive in infancy is not associated with adverse emotional development in childhood. [source] Cryotherapy as the treatment modality of postcoital bleeding: A randomised clinical trial of efficacy and safetyAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 5 2009Grace Wing Shan KONG Background:, Postcoital bleeding is a common gynaecological problem that impacts on a woman's quality of life and sexual function. There is little systematic research into its management. Aims:, To assess the efficacy and side-effects of cryotherapy as treatment for postcoital bleeding. Methods:, A prospective randomised controlled trial was conducted in a tertiary referral hospital in Hong Kong. A total of 85 women who presented with postcoital bleeding were recruited, and randomised to cryotherapy or no treatment. The treatment group received cryotherapy with compressed carbon dioxide through a cryoprobe placed on the cervix, and controls had cryoprobe on the cervix without compressed carbon dioxide flow. All recruited women were followed up two weeks, three months and six months to review their symptoms and response to the treatment. Results:, The treatment group had a significantly better long-term cure rate and improvement rate. At six months, the cryotherapy group reported a cure rate of 72.1% while that in the control group the cure rate was 50.0% (P = 0.04). The number needed to treat was 5. The mean improvement rate of the cryotherapy group was 82.88% ± 35.87 but was only 61.62% ± 55.30 in the control group (P = 0.04). The results were more significant in women with the defined pathological cervix. Apart from the vaginal discharge at second week follow up in the treatment group, there was no statistical significant difference in side-effects and complications among two groups. Conclusion:, Our study demonstrated that cryotherapy is a safe and an effective treatment for postcoital bleeding. [source] | |||||||||||||