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Own Initiative (own + initiative)
Selected AbstractsBurnout intervention among Dutch dentists: long-term effectsEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 6 2001Hans Te Brake The aim of the present study was to determine the long-term effects of a burnout-intervention program among Dutch dentists using a longitudinal design. Using the Maslach Burnout Inventory (Dutch version: MBI-NL), at the initial measurement in 1997 a ,burnout risk group' (n=171) was identified. This group received feedback on their scores and was invited to participate in an intervention program. Of the total group, 19 dentists participated in an intervention program. After the end of the intervention program, 92 dentists (the 19 participants and a control group) responded to a post-intervention survey in 1998. These dentists were approached once more 1 yr later, and this time 78 dentists (84.8%) returned a questionnaire. While demonstrating an improvement on all subscales of the MBI-NL at the first post-test, results show that the program participants showed a relapse at the second post-test. Controls who took action on their own initiative, on the other hand, reported a beneficial effect in the long run. Finally, controls that did not take any preventive action showed little or no progress. Possible causes for these findings are discussed, including the influence of coping style, perceived control, confounding factors, demand characteristics, and the necessity of post-intervention follow-up. [source] Effectiveness of routine follow-up of patients treated for T1,2N0 oral squamous cell carcinomas of the floor of mouth and tongueHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 1 2006Matthias Adrianus Wilhelmus Merkx MD Abstract Background. The duration of follow-up after treatment for head and neck cancer, the depth of the routine visits, and the diagnostic tools used are determined on the basis of common acceptance rather than evidence-based practice. Patients with early-stage tumors are more likely to benefit from follow-up programs, because they have the best chance for a second curative treatment after recurrence. The purpose of this study was to determine the benefit of our 10-year follow-up program in patients with stage I and II squamous cell carcinoma (SCC) of the floor of mouth and tongue. Methods. In a longitudinal cohort study involving 102 patients who were treated with curative intent for a pT1,2N0M0 SCC of the floor of mouth and tongue from 1989,1998 with a minimum follow-up of 5 years, we evaluated the effect of routine follow-up. Results. During the follow-up (mean, 61 months; SD, 4 months), 10 patients had a recurrence, and 20 patients had a second primary tumor. No regional lymph node recurrences in the neck were detected. Location, T classification of the primary tumor, choice of therapy, or measure of tumor-free margins in the resection did not significantly affect the occurrence of a secondary event (p , .1). The secondary event was discovered during a patient-initiated visit for complaints in 14 patients and was found during routine follow-up visits in 16 patients. Only seven second primary tumors were detected after 60 months, four on routine follow-up and three on a self-initiated visit. The mean disease-free survival time after treatment of the secondary event was 72 months (SD, 17 months) in the "own initiative" group and 65 months (SD, 13 months) in the routine follow-up group; this difference was not statistically significant (p = .3). Conclusions. The effectiveness of a 10-year routine follow-up, even in patients with early-stage oral SCC, is very limited. These visits on routine basis can be stopped after 5 years. © 2005 Wiley Periodicals, Inc. Head Neck27: XXX,XXX, 2005 [source] Reconsidering off-task: a comparative study of PDA-mediated activities in four classroomsJOURNAL OF COMPUTER ASSISTED LEARNING, Issue 3 2010L. Mifsud Abstract Mobile technology is ubiquitous and diverse and permeates many aspects of daily life at home, during leisure activities, and in public spaces. The study presented here is of two sixth grade classes in Michigan, USA and two seventh grade classes in Norway. The students and the teachers in these four classrooms were equipped with mobile technologies (PDAs). We found that the students' PDA-mediated actions in the classroom were not exclusively used for the tasks and activities set by the teacher, but that the students also used the PDAs on their own initiative , so-called ,off-task' activities. We analyze the findings by reconsidering off-task activities from a sociocultural perspective. [source] Life Cycle Cost Disclosure, Consumer Behavior, and Business ImplicationsJOURNAL OF INDUSTRIAL ECOLOGY, Issue 1 2010Evidence From an Online Field Experiment Summary Comprehensive assessments of final consumption have identified "housing" as a major contributor to total environmental impacts. Within this category, electrical-energy-using products are important. Do consumers opt for more energy-efficient household appliances if they are provided with life cycle cost (LCC),that is, the sum of purchase price and operating cost estimated over the life span of the appliance? And what consequences does LCC disclosure have for business? Physical energy figures shown on appliance labels may be cognitively demanding for consumers, whereas monetary information promises to simplify the decision problem. Despite the rising interest in monetary cost disclosure, its effectiveness relative to physical cost disclosure has not been rigorously evaluated. This research approached the question of effectiveness with an online field experiment for washing machines. Customers of a commercially operating online shop were randomly assigned to two groups. The control group was provided with regular product price information; the treatment group received additional LCC information. A total of 2,065 clicks were recorded and analyzed with multiple regression that controlled for several product characteristics. The evidence suggests that LCC disclosure decreases the mean specific energy use of chosen washing machines by 0.8% (p < 0.01) and their mean specific water use by 0.7% (p < 0.05). As to business implications, LCC disclosure had no effect on the indicator of retail volume, which makes it unattractive for retailers to provide LCC on their own initiative. [source] Awareness and attitude toward prenatal diagnosis of chromosomal abnormalities in patients with no access to legal termination of pregnancyPRENATAL DIAGNOSIS, Issue 10 2006E. Gadow Abstract Objective To analyze variables affecting couples' decision making about prenatal cytogenetic diagnosis in patients with no access to legal termination of pregnancy (TOP). Methods Patients undergoing invasive prenatal diagnosis were anonymously surveyed after counseling and before the procedure. The questionnaire enquired about sociodemographic features, medical history, knowledge of and attitudes toward genetic testing and TOP. Results Two genetic units distributed 372 questionnaires. Mean maternal age was 36 ± 4 years. Access to prenatal genetic counseling was mainly patient's own initiative, or ,self-referral'. Most self-referred patients (87%) considered that ,receiving accurate information' was the main issue. Eighty-one per cent of all couples knew that TOP because of fetal anomalies was not legal. In case of a serious anomaly, 68.2% of patients would contemplate TOP, in spite of the risk of being exposed to an unsafe abortion. Conclusions In many countries, prenatal genetic testing is offered, but TOP is not available. In the present study, although most of the couples who decided to undergo prenatal genetic testing were aware of this, they still chose to perform prenatal diagnosis. The main reason given was to obtain reliable information about fetal condition. Finally, if a fetal chromosomal abnormality were detected, most of them would consider TOP. Copyright © 2006 John Wiley & Sons, Ltd. [source] Ways of seeing environmental change: Participatory research engagement in Yunnan, China, with ethnic minority Hani participantsASIA PACIFIC VIEWPOINT, Issue 2 2010John McKinnon Abstract In this article, I reflect on a participatory learning and action (PLA) and participatory geographic information system (PGIS) project undertaken in two adjacent Hani villages in southern Yunnan, China. After a lengthy process to gain research authorisations, Hani villagers worked with a group of visiting researchers (Hani, Han Chinese and New Zealanders) to articulate local visions of land-use change and environmental challenges. PLA exercises produced a diverse range of hand-made and PGIS products over a 10-week period. As villagers became more accustomed to the ,outsider team', methods , both designed and spontaneous , diversified. Afterwards, based on the results and acting on their own initiative, local leaders backed by popular support moved quickly to reassert traditional and ritually prescribed Hani conservation measures. Nevertheless, these endogenously driven solutions were not necessarily universally beneficial. In describing the complexities encountered in implementing a participatory framework and the ambiguities of the outcomes engendered, I argue that privileging local coherence and celebrating such participatory approaches should not be done at the expense of ignoring the intricacies of on-going contradictory behaviours in a rapidly changing arena. Yet, in China, where authorities often remain suspicious of those seeking to undertake long-term fieldwork, especially among ethnic minorities, PLA offers a potential route forward. [source] | ||||||||||