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Possible Interventions (possible + intervention)
Selected AbstractsEnantioselective Addition of Amines to Ketenes Catalyzed by a Planar-Chiral Derivative of PPY: Possible Intervention of Chiral Broensted-Acid Catalysis.CHEMINFORM, Issue 5 2003Brian L. Hodous Abstract For Abstract see ChemInform Abstract in Full Text. [source] Overview and Perspectives of Employment in People with EpilepsyEPILEPSIA, Issue 2005Hanneke M. De Boer Summary:, Even though it is now the viewpoint of the majority of professionals working in epilepsy care that most people with epilepsy should and can perform on the labor market as does anybody else, research tells a different story. Most figures concerning employment rates of people with epilepsy indicate that they do not perform as well on the labor market as others do. Although both research figures and research groups vary, generally unemployment rates are higher for people with epilepsy than for the general population. Early studies showed that the situation for people with epilepsy was rather grim. Later studies showed similar outcomes. Unemployment rates vary between groups and countries. Research shows that being employed is an important ingredient of the quality of life of people with epilepsy. The World Health Organization also recognizes the importance of employment as a part of social health, and therefore, improving the quality of life. It is important to know the perspectives on the labor market for people with epilepsy and what the possible problems are. I describe a Dutch research project and give an overview of the findings concerning the employment and consequent employability of people with epilepsy and questions pertaining to employment and epilepsy. Possible interventions [i.e., public education and employment programs for people with epilepsy with the aim to improve the (re)integration of people with epilepsy into the labor market, thus improving the quality of life of (potential) employees with epilepsy], are described extensively. [source] Green chemistry procedure for the synthesis of cyclic ketals from 2-adamantanone as potential cosmetic odourantsINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 5 2002M. T. Genta Synopsis Some cyclic ketals derived from 2-adamantanone were obtained in excellent yields by microwave activation under solvent-free conditions, as a ,green chemistry' procedure. A number of experiments were performed to evaluate the most efficient catalytic conditions. The best results were obtained using a simple heterogeneous mixture of reagents and p -toluenesulphonic acid as the catalyst, without any solvent or support. The data are reported and compared with those obtained by other microwave-mediated syntheses or by classical method. In order to check the possible intervention of non-thermal microwave effects, the best experiment in ,dry media' was carried out with considerable lower yield by conventional heating, in a thermostated oil bath, under the same conditions as under microwaves (time, temperature and vessel). All the synthesized compounds were tested for their olfactive character and for a potential cosmetic use. The odour evaluation is reported. Résumé Des acétals cycliques dérivés de la 2-adamantanone ont été obtenus sous irradiation microonde sans solvant avec d'excellents rendements selon un procédé de ,chimie verte'. Un certain nombre d'experiences ont été réalisées pour optimiser les conditions de réaction. Les résultats obtenus par simple mélange hétérogène des réactifs et de l'acide p -toluènesulphonique 10% (p/p) comme catalyseur ont été décrits et comparés avec ceux obtenus avec les autres procédés, sous irradiation microonde ou par chauffage traditionnel. Dans le but de mettre en évidence l'éventuelle intervention d'effets spécifiques (non-purement thermiques) des microondes, la meilleure réaction obtenue en ,milieu sec' a été effectuée, avec des rendements nettement plus faibles, dans les mêmes conditions (temps et température), par chauffage classique. Les propriétés olfactives de tous les produits obtenus ont été déterminées pour évaluer une possible utilization cosmétique. [source] Structured reminiscence: an intervention to decrease depression and increase self-transcendence in older womenJOURNAL OF CLINICAL NURSING, Issue 2 2006Cynthia Kellam Stinson MSN Aims/objectives., The purpose of this study was to assess the effect of group reminiscing on depression and self-transcendence of older women residing in an assisted living facility in southeast Texas. There were two major objectives for this study. One objective was to determine if depression decreased in older women after structured reminiscence group sessions held twice weekly for a six-week period. A second objective was to determine if self-transcendence increased after structured reminiscence group sessions held twice weekly for a six-week period. Background., Reminiscence has been studied to determine its impact on a variety of conditions including but not limited to depression, self-esteem, fatigue, isolation, socialization, well-being, language acquisition and cognitive functioning. This review of research specifically focused on reminiscence, depression, self-transcendence and older people. Design/methods., Two groups were assessed at baseline, three and six weeks to answer the research questions. A sample of 24 women between the ages of 72 and 96 years were randomly assigned to either a reminiscence (experimental) group or the activity (control) group of the facility. Pearson's r was used to determine the magnitude of the relationship between subjects' responses on the Geriatric Depression Scale and the Self-Transcendence Scale. A mixed design analysis of variance (anova) was used to determine if there was a difference between the experimental and control groups on scores of the Geriatric Depression Scale and the Self-Transcendence Scale at baseline, three and six weeks. Conclusions., Data revealed a non-significant decrease in depression and increase in self-transcendence in the reminiscence group at the completion of six weeks, indicating a trend toward a positive result with reminiscence group sessions. The study also revealed an inverse relationship between depression and self-transcendence. These findings underscore the importance of screening older people for depression. Relevance to clinical practice., One of the primary modalities used for the treatment of depression in elderly women is medication. Antidepressant medications lead to harmful side effects without alleviating the underlying depression. For these reasons, there is a need to research alternative therapies for treatment of depression in the older female. Reminiscence offers a possible intervention for treatment of depression in older women. [source] Suicide after hospitalization in the elderly: a population based study of suicides in Northern Finland between 1988,2003INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 2 2008Kaisa Karvonen Abstract Objective Elderly people commit suicide more often than people under the age of 65. An elevated risk is also attached to depression and other axis I psychiatric disorders. However, little is known about the preferred suicide method, effect of primary psychiatric diagnosis, and length of time between discharge from psychiatric hospitalization and suicide. The lack of information is most apparent in the oldest old (individuals over 75 years). Methods On the basis of forensic examinations, data on suicide rates were separately examined for the 50,64, 65,74 and over 75 year-olds (Total n,=,564) with regard to suicide method, history of psychiatric hospitalization and primary diagnoses gathered from the Finnish Hospital Discharge Register. Study population consisted of all suicides committed between 1988 and 2003 in the province of Oulu in Northern Finland. Results Of the oldest old, females had more frequent hospitalizations than males in connection with psychiatric disorders (61% vs 23%), of which depression was the most common (39% vs 14%). In this age group, 42% committed suicide within 3 months after being discharged from hospital and 83% used a violent method. Both elderly males and females were less often under the influence of alcohol, but used more often violent methods than middle-aged persons. Conclusions Suicide rates within the first 3 months following discharge from hospital in the 65,74 and the over 75 year olds were substantial and should influence post-hospitalization treatment strategies. To reduce the risk of suicides in elderly patients discharged from hospital, close post-hospitalization supervision combined with proper psychoactive medication and psychotherapy, are possible interventions. Copyright © 2007 John Wiley & Sons, Ltd. [source] A Computerized Nursing Process Support System in BrazilINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2003Maria da Graça Oliveira Crossetti BACKGROUND Hospital de Clinicas de Porto Alegre introduced the nursing process model as the basis for nursing practice at the hospital more than 20 years ago. A computerized nursing order system based on nursing diagnoses was introduced. The strategies used in the development of the system included establishment of Nursing Diagnosis Work Groups in 1998; systematic analysis of nursing processes based on the work of existing studies, the NANDA taxonomy in 1999; development and implementation of a data collection instrument to analyze the nursing diagnosis process; training of all nursing staff during 1999,2000; meetings between analysts and nursing staff to articulate the nursing process needs the system would be required to support; pilot implementation of the computerized nursing process system in the ICU in February 2000; and hospital-wide implementation in December 2000. The system supports nursing diagnoses and orders. It was developed in-house by the information systems group at the hospital and is implemented as an Oracle database accessed in client server mode over a Windows NT-based Ethernet network. The system is part of the hospital's larger clinical information management system. MAIN CONTENT POINTS The patient care module includes medical orders and nursing orders. On entering the nursing orders module, the user selects a patient and the system presents a list all current orders completed and pending. These orders can be examined, updated, and reprinted, and new daily nursing orders can also be input at this time. The "new order" screen provides the user with any previous orders to ensure consistency in nursing care. New nursing orders are prepared based on the patient history, physical exam, and daily evaluations. Required interventions are identified based on changes in the patient's "basic human needs." This process can be realized through two distinct paths through the nursing care module: one associated with diagnoses and the other with signs and symptoms. A nurse with more clinical experience and knowledge of diagnostic reasoning will opt to develop orders based on diagnoses. After the diagnosis and associated etiology is input, the system generates a list of possible interventions for selection. The duration and frequency of the intervention can then be specified and the order individualized to a patient's particular needs. Less experienced nurses and students will develop nursing orders based on a patient's signs and symptoms. The system generates a list of diagnoses, etiology, and associated basic human needs in response to the signs and symptoms input. The nurse selects the appropriate diagnoses and etiology and the system generates the list of nursing intervention options. Nurses following either path are required to confirm their orders. They then have the option of developing other orders for the same patient until all that patient's basic human needs have been addressed. The orders can be printed but also remain in the system for nursing staff to implement. CONCLUSIONS The application of systematic, evidence-based methods in nursing care results in improved quality of service that conforms to individual patients' basic human needs. [source] Factors Associated with Home Versus Institutional Death Among Cancer Patients in ConnecticutJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2001William T. Gallo PhD OBJECTIVE: To assess the relationships between home death and a set of demographic, disease-related, and health-resource factors among individuals who died of cancer. DESIGN: Prospective cohort study. SETTING: All adult deaths from cancer in Connecticut during 1994. PARTICIPANTS: Six thousand eight hundred and thirteen individuals who met all of the following criteria: died of a cancer-related cause in 1994, had previously been diagnosed with cancer in Connecticut, and were age 18 and older at the time of death. MEASUREMENT: Site of death. RESULTS: Twenty-nine percent of the study sample died at home, 42% died in a hospital, 17% died in a nursing home, and 11% died in an inpatient hospice facility. Multivariate analysis indicated that demographic characteristics (being married, female, white, and residing in a higher income area), disease-related factors (type of cancer, longer survival postdiagnosis), and health-resource factors (greater availability of hospice providers, less availability of hospital beds) were associated with dying at home rather than in a hospital or inpatient hospice. CONCLUSIONS: The implications of this study for clinical practice and health planning are considerable. The findings identify groups (men, unmarried individuals, and those living in lower income areas) at higher risk for institutionalized death,groups that may be targeted for possible interventions to promote home death when home death is preferred by patients and their families. Further, the findings suggest that site of death is influenced by available health-system resources. Thus, if home death is to be supported, the relative availability of hospital beds and hospice providers may be an effective policy tool for promoting home death. J Am Geriatr Soc 49:771,777, 2001. [source] Economic analysis of Campylobacter control in the dutch broiler meat chainAGRIBUSINESS : AN INTERNATIONAL JOURNAL, Issue 2 2007Marie-Josée J. Mangen The goal of the CARMA (Campylobacter risk management and assessment) project was to advise the Dutch government on the effectiveness and efficiency of interventions aimed at reducing campylobacteriosis cases in the Netherlands. The burden of disease, expressed in Disability-Adjusted Life Years (DALYs) and the corresponding cost-of-illness, were estimated using data from epidemiological studies. With the help of a risk assessment model, the reduction in the incidence of Campylobacter infections due to a set of possible interventions in the broiler meat (chicken) chain was modeled. Separately, costs related to the implementation of these interventions in the broiler meat chain were estimated. For each intervention to be modeled, the net costs of an intervention,additional costs in the broiler meat chain minus reduced cost-of-illness,were related to the reduced burden of disease. This resulted in a cost-utility ratio, expressing the relative efficiency of several policy options to reduce Campylobacter infections. [EconLit Citations: Q180, I180] © 2007 Wiley Periodicals, Inc. Agribusiness 23: 173,192, 2007. [source] Substance Flow Analysis of Mercury Intentionally Used in Products in the United StatesJOURNAL OF INDUSTRIAL ECOLOGY, Issue 3 2007Alexis Cain Mercury-containing products release mercury (Hg) throughout their lifecycles, frequently in ways that are difficult to measure directly. Therefore, there are considerable uncertainties about the magnitude of mercury releases associated with products, about which products and which release pathways contribute the most to mercury releases, and about the likely impact on mercury releases of various possible interventions in the mercury content of products or in the management of mercury-containing wastes. This article presents an effort to use substance flow analysis to develop improved estimates of the environmental releases caused by mercury-containing products and to provide policy-makers with a better understanding of opportunities for reducing releases of mercury caused by products. [source] Prevention of elderly fallsNURSING & HEALTH SCIENCES, Issue 2 2004Akihiro Fujii Falling is a leading cause of morbidity and immobil-ity in people over 65 years of age in Japan. Many researchers have studied the relationship of physical decline and falls in older adults. However, only a few studies have focused on describing the Japanese living environment and lifestyle as potential risk factors for falls. The purpose of this study is to describe situational factors contributing to falls among community dwelling elderly people in Japan. After analyzing traditional Japanese housing characteristics and daily living behaviors of older Japanese adults, possible interventions to reduce situational fall risk factors are discussed. The results from this study are important as they suggest strategies to prevent falls in community dwelling elderly in Japan as well as providing a foundation for future cross-cultural research. [source] Using health information technology to improve drug monitoring: a systematic reviewPHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 12 2009Geoffrey L. Hayward MD Abstract Purpose To conduct a systematic review of current evidence regarding the use of health information technology (HIT) interventions to improve drug monitoring in ambulatory care. Methods We searched PubMed, CINAHL, the Cochrane Library, and other computerized databases from 1 January 1998 to 30 June 2008 using the key words "drug monitoring," "medical records systems, computerized," "ambulatory care," and "outpatients." We manually reviewed reference lists of articles identified through computer searches and asked experts in the field to review our search strategy and results for completeness. Results Seven relevant studies were identified. Four of these studies assessed real-time interventions that used alerts to physicians at the time of medication ordering to ensure adequate monitoring, only one of which showed an improvement in monitoring. Of three studies using HIT outside the physician encounter, two suggested some improvement in monitoring rates. Methodological limitations were apparent in all studies identified. Conclusions Few studies have assessed the effectiveness of HIT interventions to improve drug monitoring, and among them, there is no clear consensus regarding the most consistently effective approaches to reducing drug monitoring errors. There is a clear need for well designed randomized trials to evaluate possible interventions to reduce drug monitoring errors. Such studies should incorporate health outcomes and detailed cost analyses to further characterize the feasibility of successful interventions. Copyright © 2009 John Wiley & Sons, Ltd. [source] | ||||||||||