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Target Groups (target + groups)
Selected AbstractsIdentifying target groups for the prevention of anxiety disorders in the general populationACTA PSYCHIATRICA SCANDINAVICA, Issue 1 2010N. M. Batelaan Batelaan NM, Smit F, de Graaf R, van Balkom AJLM, Vollebergh WAM, Beekman ATF. Identifying target groups for the prevention of anxiety disorders in the general population. Objective:, To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary. Recent studies have shown that prevention is effective. To maximize the health gain and minimize the effort, preventive strategies should focus on high-risk groups. Method:, Using data from a large prospective national survey, high-risk groups were selected for i) the prevention of first ever (n = 4437) and ii) either first-ever or recurrent incident anxiety disorders (n = 4886). Indices used were: exposure rate, odds ratio, population attributable fraction and number needed to be treated. Risk indicators included sociodemographic, psychological and illness-related factors. Results:, Recognition of a few patient characteristics enables efficient identification of high-risk groups: (subthreshold) panic attacks; an affective disorder; a history of depressed mood; a prior anxiety disorder; chronic somatic illnesses and low mastery. Conclusion:, Preventive efforts should be undertaken in the selected high-risk groups. [source] International Diabetes Federation: a consensus on Type 2 diabetes preventionDIABETIC MEDICINE, Issue 5 2007K. G. M. M. Alberti Abstract Aims, Early intervention and avoidance or delay of progression to Type 2 diabetes is of enormous benefit to patients in terms of increasing life expectancy and quality of life, and potentially in economic terms for society and health-care payers. To address the growing impact of Type 2 diabetes the International Diabetes Federation (IDF) Taskforce on Prevention and Epidemiology convened a consensus workshop in 2006. The primary goal of the workshop and this document was the prevention of Type 2 diabetes in both the developed and developing world. A second aim was to reduce the risk of cardiovascular disease in people who are identified as being at a higher risk of Type 2 diabetes. The IDF plan for prevention of Type 2 diabetes is based on controlling modifiable risk factors and can be divided into two target groups: ,,People at high risk of developing Type 2 diabetes ,,The entire population. Conclusions, In planning national measures for the prevention of Type 2 diabetes, both groups should be targeted simultaneously with lifestyle modification the primary goal through a stepwise approach. In addition, it is important that all activities are tailored to the specific local situation. Further information on the prevention of diabetes can be found on the IDF website: http://www.idf.org/prevention. [source] The quantitative risk of violent crime and criminal offending: a case-control study among the offspring of recidivistic Finnish homicide offendersACTA PSYCHIATRICA SCANDINAVICA, Issue 2002A. Putkonen Objective: To study if later risk of violent offending and criminality among high-risk children can be estimated quantitatively on the basis of parental crimes. Method:, The criminal and prison records of the offspring (N=11) of homicide recidivists (N=36) were compared with data from controls (N=220) who were matched for sex, domicile of birth and date of birth and death. Results:, The risk (odds ratio) was increased up to 24-fold for violent crimes (P=0.01), and up to 17-fold for criminality (P=0.0008) among the offspring of homicide recidivists. Conclusion:, The quantitative risk of a child for later violent offending and criminality can be estimated on the basis of parental homicide recidivism. This kind of method could be used to choose target groups for early preventive interventions, and to study the effectiveness of prevention. [source] Can distribution models help refine inventory-based estimates of conservation priority?DIVERSITY AND DISTRIBUTIONS, Issue 4 2010A case study in the Eastern Arc forests of Tanzania, Kenya Abstract Aim, Data shortages mean that conservation priorities can be highly sensitive to historical patterns of exploration. Here, we investigate the potential of regionally focussed species distribution models to elucidate fine-scale patterns of richness, rarity and endemism. Location, Eastern Arc Mountains, Tanzania and Kenya. Methods, Generalized additive models and land cover data are used to estimate the distributions of 452 forest plant taxa (trees, lianas, shrubs and herbs). Presence records from a newly compiled database are regressed against environmental variables in a stepwise multimodel. Estimates of occurrence in forest patches are collated across target groups and analysed alongside inventory-based estimates of conservation priority. Results, Predicted richness is higher than observed richness, with the biggest disparities in regions that have had the least research. North Pare and Nguu in particular are predicted to be more important than the inventory data suggest. Environmental conditions in parts of Nguru could support as many range-restricted and endemic taxa as Uluguru, although realized niches are subject to unknown colonization histories. Concentrations of rare plants are especially high in the Usambaras, a pattern mediated in models by moisture indices, whilst overall richness is better explained by temperature gradients. Tree data dominate the botanical inventory; we find that priorities based on other growth forms might favour the mountains in a different order. Main conclusions, Distribution models can provide conservation planning with high-resolution estimates of richness in well-researched areas, and predictive estimates of conservation importance elsewhere. Spatial and taxonomic biases in the data are essential considerations, as is the spatial scale used for models. We caution that predictive estimates are most uncertain for the species of highest conservation concern, and advocate using models and targeted field assessments iteratively to refine our understanding of which areas should be prioritised for conservation. [source] Using the internet to research hidden populations of illicit drug users: a reviewADDICTION, Issue 9 2010Peter G. Miller ABSTRACT Aims To review the current research of hidden populations of illicit drugs users using web-based methods and discuss major advantages and disadvantages. Methods Systematic review of 16 databases, including PubMed, PsycINFO (EBSCOhost), CSA Sociological Abstracts, Expanded Academic ASAP and Google Scholar. Findings Substances researched were most commonly ,party/club drugs' (such as ecstasy) and cannabis. All of the studies reviewed concluded that the internet is a useful tool for reaching hidden populations, but is likely to impose some bias in samples. Advantages include: access to previously under-researched target groups; speed; international applications; increased ease of data entry; and improved confidentiality for respondents. The major disadvantage is a lack of representativeness of samples. Conclusions Internet research is successful at accessing hidden populations of illicit drugs users, when appropriately targeted and provides unprecedented opportunities for research across a wide range of topics within the addictions field. Findings are unlikely to be generalisable to the general public, but appropriate for describing target populations. [source] Diagnosis and detection of host-specific forms of Fusarium oxysporum,EPPO BULLETIN, Issue 3-4 2000R. P. Baayen Diagnosis and detection of host-specific forms of Fusarium oxysporum are traditionally based on the combination of diagnostic symptoms on the host with the presence of the fungus in the affected tissues. The classical approach is becoming increasingly problematic because more than one forma specialis may occur on a given host, along with non-pathogenic strains which are common soil and rhizosphere inhabitants. Neither formae speciales nor pathogenic races within formae speciales can be distinguished morphologically. Although united by joint pathogenicity to a given host, strains belonging to the same forma specialis need not be phylogenetically related. Development of diagnostics for host-specific groups in F. oxysporum requires monophyletic target groups. Recent studies on gene-genealogy and AFLP-based phylogenies show that the majority of formae speciales in F. oxysporum are polyphyletic (unnatural) and do not offer any prospects for the development of molecular diagnostics. In contrast, highly specific PCR primers have been developed for formae speciales (or races) that consist of a single clonal lineage, and for monophyletic groups of lineages within a forma specialis. Among others, specific PCR primers have thus been developed for F. oxysporum f. sp. basilici, specific races in F. oxysporum ff. spp. dianthi and gladioli, and for the EPPO A2 (EU II/A1) quarantine fungus F. oxysporum f. sp. albedinis which can reliably replace conventional isolation and pathogenicity testing procedures. [source] Alcohol screening and brief intervention: dissemination strategies for medical practice and public healthADDICTION, Issue 5 2000Thomas F. Babor This paper introduces the concept of risky drinking and considers the potential of alcohol screening and brief intervention (SBI) to reduce alcohol-related problems in medical practice and in organized systems of health care. The research evidence behind this approach is reviewed. Potential strategies for the dissemination of SBI to systems of health care are then discussed within the context of a public health model of clinical preventive services. There is an emerging consensus that SBI should be promoted in general healthcare settings, but further research is needed to determine the best ways to achieve widespread dissemination. In an attempt to provide an integrative model that is relevant to SBI, dissemination strategies are discussed for three target groups: (1) individual patients and practitioners; (2) health care settings and health systems; and (3) the communities and the general population. Dissemination strategies are considered from the fields of social change, social science, commercial marketing and education in terms of their potential for translating SBI innovations into routine clinical practice. One overarching strategy implicit in the approaches reviewed in this article is to embed alcohol SBI in the more general context of preventive health services, the utility of which is becoming increasingly recognized as a critical supplement to more traditional clinical medicine. [source] Hidden profiles and the consensualization of social stereotypes: how information distribution affects stereotype content and sharednessEUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 6 2003Olivier Klein We examined the impact of the distribution of information regarding social groups on the formation of shared stereotypes within triads in two studies. Three-person groups discussed which of three groups (A, B, and C) was the most able and the most sociable. In Study 1, some of the information about these three groups was available to all group members (shared) whereas the remainder was distributed among group members (unique). Based on the total profile, there was more evidence of group A being sociable and of group B being able than of A being able and B sociable. In Study 1 (n,=,58), sampling was manipulated as ,representative' (information in line with the overall differences was shared) or ,unrepresentative' (only information contradicting these differences was shared). In a third condition, all items of information were shared. Emerging stereotypes were directly influenced by sampling of information independently of the discussion. As well as this, the discussion consensualized initial stereotypes. In Study 2 (n,=,52), sampling was always unrepresentative and we manipulated the labels associated with the target groups in such a way that the stereotype associated with the label was either inconsistent or consistent with the overall differences between the target groups. In the inconsistent condition, participants were more likely to discuss information that violated stereotypical expectations, and to be less influenced by sampling as a result of discussion. Altogether, these findings suggest that information sampling directly affects the consensualization of social stereotypes. Copyright © 2003 John Wiley & Sons, Ltd. [source] The effect of a major event on stereotyping: terrorist attacks in Israel and Israeli adolescents' perceptions of Palestinians, Jordanians and ArabsEUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 3 2001Daniel Bar-Tal This study examines the effect of a major event (terrorist attacks) on the stereotypic perceptions, attitudes and affects of 119 Israeli adolescents (56 males and 63 females of 5th and 8th grades) toward three target groups: (a) Palestinians, who still have conflictive relations with the Israelis (Palestinian extremists carried out the attacks), (b) Jordanians, who have peaceful relations with the Israelis and (c) Arabs, in general, who are considered a subcategory including Arabs of all nations. The questionnaires were administered to the same adolescents three times: during a relatively peaceful spell in Israeli,Palestinian relations; one day following two terrorist attacks, and three months thereafter. In the last administration adolescents' need for closure was also measured. Adolescents' perceptions, attitudes and affect toward the three target group were differentiated,relating to Palestinians most negatively and to Jordanians most positively. Also, following the terrorist attacks, stereotypic perceptions and attitudes changed in a negative direction, in relation to all the three groups; again with expressed differentiation among the three groups. In the third measurement, some measures remained negative, but some changed to be more positive. Only few effects of age were detected and several significant correlation with need for closure were found. These results indicate that stereotypes and attitudes toward outgroups are context-dependent, influenced by events; thus they serve as ,a seismograph' to the quality of intergroup relations at any given time. Copyright © 2001 John Wiley & Sons, Ltd. [source] Biophysical characterization of the interaction of high-density lipoprotein (HDL) with endotoxinsFEBS JOURNAL, Issue 23 2002Klaus Brandenburg The interaction of bacterial endotoxins [lipopolysaccharide (LPS) and the ,endotoxic principle' lipid A], with high-density lipoprotein (HDL) from serum was investigated with a variety of physical techniques and biological assays. HDL exhibited an increase in the gel to liquid crystalline phase transition temperature Tc and a rigidification of the acyl chains of the endotoxins as measured by Fourier-transform infrared spectroscopy and differential scanning calorimetry. The functional groups of the endotoxins interacting with HDL are the phosphates and the diglucosamine backbone. The finding of phosphates as target groups is in accordance to measurements of the electrophoretic mobility showing that the zeta potential decreases from ,50 to ,60 mV to ,20 mV at binding saturation. The importance of the sugar backbone as further target structure is in accordance with the remaining negative potential and competition experiments with polymyxin B (PMB) and phase transition data of the system PMB/dephosphorylated LPS. Furthermore, endotoxin binding to HDL influences the secondary structure of the latter manifesting in a change from a mixed ,-helical/,-sheet structure to a predominantly ,-helical structure. The aggregate structure of the lipid A moiety of the endotoxins as determined by small-angle X-ray scattering shows a change of a unilamellar/inverted cubic into a multilamellar structure in the presence of HDL. Fluorescence resonance energy transfer data indicate an intercalation of pure HDL, and of [LPS],[HDL] complexes into phospholipid liposomes. Furthermore, HDL may enhance the lipopolysaccharide-binding protein-induced intercalation of LPS into phospholipid liposomes. Parallel to these observations, the LPS-induced cytokine production of human mononuclear cells and the reactivity in the Limulus test are strongly reduced by the addition of HDL. These data allow to develop a model of the [endotoxin]/[HDL] interaction. [source] DOES DIVERSITY IN URBAN SPACE ENHANCE INTERGROUP CONTACT AND TOLERANCE?GEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 1 2009Terje Wessel ABSTRACT. Contemporary urban theory has started to question the elevation of diversity as a panacea for enduring urban problems , segregation, prejudice and intergroup hostility. This critique coincides with an opposite tendency within classic contact theory and research. The latter tradition has developed an increasing enthusiasm for face-to-face interaction. The contact hypothesis, which presupposes established contact, has received conclusive support independent of target groups and contact settings. Research on ,lived diversity', which includes both contact and lack of contact, offers two supplementary insights. It shows, on the one hand, that boundaries are inscribed in social spaces. Physical proximity between ethnic and social groups tends to have a minor effect on interaction. Interaction, on the other hand, is not essential to attitude formation. Both subfields within contact research have confirmed that urban space may act as a catalyst for tolerant attitudes. This observation corresponds with increasing recognition of affective states, such as empathy, anxiety and group threat. Contact research has therefore, in summary, transcended the scope of the contact hypothesis. It has expanded into the realm of urban theory, which foreshadows future collaboration between the two traditions. Some key points for such exchange are suggested at the end of the article. Future research should combine an open-ended approach to casual contact with a diversified conception of diversity and a richer conception of urban space. A move in this direction would leave substantial space for geographical research. [source] Evidence-based clinical policy: case report of a reproducible process to encourage understanding and evaluation of evidenceINTERNAL MEDICINE JOURNAL, Issue 7 2006G. Rikard-Bell Abstract We report within a case study a reproducible process to facilitate the explicit incorporation of evidence by a multidisciplinary group into clinical policy development. To support the decision-making of a multidisciplinary Intersectoral Advisory Group (IAG) convened by the Royal Australasian College of Physicians Health Policy Unit, a systematic review of randomized controlled trials about environmental tobacco smoke and smoking cessation interventions in paediatric settings was first undertaken. As reported in detail here, IAG members were then formally engaged in a transparent and replicable process to understand and interpret the synthesized evidence and to proffer their independent reactions regarding policy, practice and research. Our intention was to ensure that all IAG members were democratically engaged and made aware of the available evidence. As clinical policy must engage stakeholder representatives from diverse backgrounds, a process to equalize understanding of the evidence and ,democratize' judgment about its implications is needed. Future research must then examine the benefits of such explicit steps when guidelines, in turn, are implemented. We hypothesize that changes to future practice will be more likely if processes undertaken to develop guidelines are transparent to clinicians and other target groups. [source] Effects of reminiscence and life review on late-life depression: a meta-analysisINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 12 2003Ernst Bohlmeijer Abstract Aim To assess the effectiveness of reminiscence and life review on late-life depression across different target groups and treatment modalities. Method Twenty controlled outcome studies were retrieved from Psychlit, Medline and Dissertation Abstracts. For each study a standardised effect size, d, was calculated and a random-effects meta-analysis was conducted. Results An overall effect size of 0.84 (95% Confidence Intervals (CI)=0.31,1.37) was found, indicating a statistically and clinically significant effect of reminiscence and life review on depressive symptomatology in elderly people. This effect is comparable to the effects commonly found for pharmacotherapy and psychological treatments. The effect was larger in subjects with elevated depressive symptomatology (d=1.23) as compared to other subjects (d=0.37). Other characteristics of the subjects or interventions were not found to be related to increased or decreased effect sizes. Discussion Reminiscence and life review are potentially effective treatments for depressive symptoms in the elderly and may thus offer a valuable alternative to psychotherapy or pharmacotherapy. Especially in non-institutionalised elderly people,who often have untreated depression,it may prove to be an effective, safe and acceptable form of treatment. Randomized trials with sufficient statistical power are necessary to confirm the results of this study. Copyright © 2003 John Wiley & Sons, Ltd. [source] Balancing work and welfare: activation and flexicurity policies in The Netherlands, 1980,2000INTERNATIONAL JOURNAL OF SOCIAL WELFARE, Issue 1 2004Wim Van Oorschot As a result of the flexibilisation of labour and the trend towards the ,activating welfare state', social policies show an increasing interconnection of work and welfare issues. The Netherlands is no exception. It is generally believed that the Dutch welfare state is successfully activating its unemployed labour potential (often referred to as the ,Dutch Miracle'), and that flexible and part-time work is protected by adequate ,flexicurity'. This article critically reviews Dutch activation and flexicurity policies. It concludes that there is still more unemployment than the miracle-story suggests; that important target groups of activation policies have not profited from ,the miracle'; that part-time workers have sufficient social protection but that social security for flex-workers still needs major improvements, despite favourable adjustments of labour law. [source] Essentialism and attribution of monstrosity in racist discourse: Right-wing internet postings about Africans and JewsJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 6 2009Peter Holtz Abstract We investigated a total of 4997 postings on an extreme right-wing Internet discussion board with regard to the groups and themes mentioned. The most frequently mentioned target groups were Africans, Jews, Muslims, Poles, and Turks; the most prominent themes and contexts were conspiracy, criminality, exploitation, threats to German identity, infiltration, mind control and harassment, procreation, rape, and sex. We analysed in detail postings about Africans/Blacks and Jews, that is target groups that were the most clearly connected to particular themes. The analysis reveals that extreme right-wing discourse essentializes the target groups of Jews and Africans/Blacks and ascribes them immutable group-specific attributes that effectively make them ,natural kinds'. The group of Jews appears as a kind of their own with super-human powers and influence. Africans and Blacks are despised, firstly because their essential characteristics prohibit them to be categorically mixed with Germans (i.e. to become German by nationality) due to their incompatible essence, and secondly when they procreate with Whites. Such procreation produces ,bastards' that are met with disgust. We argue that essentialist thinking about social and ethnic groups explains a good part of their rejection by right-wing followers. Copyright © 2009 John Wiley & Sons, Ltd. [source] Material Flows in a Social Context: A Vietnamese Case Study Combining the Materials Flow Analysis and Action-in-Context FrameworksJOURNAL OF INDUSTRIAL ECOLOGY, Issue 1 2007Marieke HOBBES Summary Materials flow analysis (MFA) is one of the central achievements of industrial ecology. One direction in which one can move MFA beyond mere accounting is by putting the material flows in their social context. This "socially extended MFA" may be carried out at various levels of aggregation. In this article, specific material flows will be linked to concrete actors and mechanisms that cause these flows,using the action-in-context (AiC) framework, which contains, inter alia, both proximate and indirect actors and factors. The case study site is of Tat hamlet in Vietnam, set in a landscape of paddy fields on valley floors surrounded by steep, previously forested slopes. Out of the aggregate MFA of Tat, the study focuses on material flows associated with basic needs and sustainability. The most important actors causing these material flows are farming households, politicians, traders, and agribusiness firms,of which local politicians turned out to be pivotal. The study shows the value of combining MFA with actor-based social analysis. MFA achieves the balanced quantification of the physical system, thus helping to pinpoint key processes. Actor-based analysis adds the causal understanding of what drives these key processes, leading to improved scenarios of the future and the effective identification of target groups and instruments for policy making. [source] Explaining the profitability of foreign banks in ShanghaiMANAGERIAL AND DECISION ECONOMICS, Issue 1 2003M.K. Leung This paper uses survival analysis to examine the factors determining the time taken for branches of foreign banks in Shanghai, China to make a positive rate of return after entering that market. Particular attributes of banks including the parent bank's size, early entry and the number of branches the bank has in China are found to reduce time to profitability. Market conditions in Shanghai, captured by levels of foreign direct investment and Eurodollar interest rates, are also found to have significant effects. A number of managerial implications are drawn from the analysis in light of the greater access to the Chinese banking markets following China's accession to the WTO. To ensure long-term profitability in Shanghai, the foreign bank needs to contain costs and risks in the new markets, formulate an effective market penetration strategy, identify appropriate customer target groups, attract businesses from firms of different countries, seek early entry and undertake more fee-income generating businesses. Copyright © 2003 John Wiley & Sons, Ltd. [source] Role of dietary lignans in the reduction of breast cancer riskMOLECULAR NUTRITION & FOOD RESEARCH (FORMERLY NAHRUNG/FOOD), Issue 7 2007Niina M. Saarinen Abstract Lignans are a large group of fiber-associated phenolic compounds widely distributed in edible plants. Some of the ingested plant lignans are converted by intestinal microbiota to enterolignans, enterodiol (END) and enterolactone (ENL), the latter of which has been thought to be the major biologically active lignan, and suggested to be associated with low risk of breast cancer. In line with this, administration of plant lignans which are further metabolized to ENL, or ENL as such, have been shown to inhibit or delay the growth of experimental mammary cancer. The mechanism of anticarcinogenic action of ENL is not yet fully understood, but there is intriguing evidence for ENL as a modulator of estrogen signaling. These findings have generated interest in the use of lignans as components of breast cancer risk reducing functional foods. Identification of target groups, who would benefit most, is of pivotal importance. Therefore, further identification and validation of relevant biomarkers, which can be used as indicators of lignan or ENL action and breast cancer risk reduction at different stages of the disease, are of importance. [source] Die reformierte Gründungsförderung für Arbeitslose , Chancen und RisikenPERSPEKTIVEN DER WIRTSCHAFTSPOLITIK, Issue 2 2009Marco Caliendo In 2003, the "start-up-subsidy" (Existenzgründungszuschuss) was added to the existing "bridging-allowance" (Überbrückungsgeld) and the two programs together led to a strong increase in the number of supported start-ups. In 2006 both instruments were merged to the "start-up allowance" (Gründungszuschuss). Since the bridging allowance has been evaluated as effective and efficient and the start-up-subsidy reached new target groups, the latest reform shows several shortcomings. First of all, an end of the start-up boom is to be expected with the newly attracted target groups not being reached anymore. Secondly, the design of the "start-up allowance" is suboptimal, where efficiency losses can be expected if participants aim at maximizing social transfers. First empirical evidence from data of 2007 supports most of these expectations. [source] Making People More Responsible: The Blair Governments' Programme for Changing Citizens' BehaviourPOLITICAL STUDIES, Issue 3 2010Perri A distinctive feature of the three Blair New Labour governments' domestic policy was the effort to change citizens' behaviour. Variously explained using such slogans as ,something for something', ,responsibility' and, in combating antisocial behaviour, ,respect', behaviour change was presented by the PM's Strategy Unit as an overarching strategic framework for policy. This included conditionality in welfare to work, health promotion campaigns, a ban on smoking in public places, measures to combat antisocial behaviour and enforce school discipline, home,school contracts, community cohesion and neighbourhood renewal programmes, measures to encourage car sharing and use of public transport, and others to promote domestic waste recycling. This article examines how far the two principal explanatory theories available predict that programme's characteristics. It uses a structured data set on the policy instruments, target groups and content of initiatives undertaken by eight central government spending departments. We find that indeed the strong (more coercive) tools are markedly concentrated on initiatives targeting the poor and low-income working strata. The expectations derived from the two theoretical traditions are not strongly supported. [source] IPOS Sutherland Memorial Lecture: psycho-oncology and health care researchPSYCHO-ONCOLOGY, Issue 6 2008Uwe KochArticle first published online: 2 MAY 200 Abstract Remarkable changes of health-care systems, increasing costs of health care and of social inequality in modern societies, an aging population and the increase of chronic illnesses such as cancer implicate various future challenges for the provision of health care. Health-care research aims to improve the effectiveness and efficiency of patient-oriented services involving the evaluation of innovative treatment approaches and settings. It deals with the patients' path through different areas of health-care systems in order to identify significant factors for the provision of quality assurance of structures and resources concerning treatments, processes and health outcomes. Health-care research focusses on three main topics that play an important role for quality management: (1) the admission to health-care services and assessment strategies including indication, utilization and specificity of settings and target groups; (2) the treatment process including the implementation, standardization and flexibility of services and dose-effect relationship of interventions; (3) health-care outcome including effectiveness and efficiency of interventions and services, the cost-benefit relationship and the transfer from research to health-care practice. Given the objectives of health-care research, the topics of health-care research in psychosocial care for cancer patients include the study of structural conditions of psycho-oncological services, the epidemiology of distress and mental disorders and the subjective need of psycho-oncological support in cancer patients, the improvement of psycho-oncological measures and assessment strategies in daily treatment, the study of psycho-oncological interventions under routine conditions, and quality assurance. Requirements of future health-care research and developments of psycho-oncology including aspects of orientation, strategies, health-care equity, and resources are discussed. Copyright © 2008 John Wiley & Sons, Ltd. [source] Early risk indicators of internalizing problems in late childhood: a 9-year longitudinal studyTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 7 2008Janka Ashford Background:, Longitudinal studies on risk indicators of internalizing problems in childhood are in short supply, but could be valuable to identify target groups for prevention. Methods:, Standardized assessments of 294 children's internalizing problems at the age of 2,3 years (parent report), 4,5 years (parent and teacher report) and 11 years (parent and teacher) were available in addition to risk indicators from the child, family and contextual domain. Results:, Low socioeconomic status, family psychopathology at child age 2,3, parenting stress at child age 4,5 years, and parents' reports of child internalizing problems at age 4,5 years were the strongest predictors of internalizing problems at the age of 11. If these early risk factors were effectively ameliorated through preventive interventions, up to 57% of internalizing cases at age 11 years could be avoided. Conclusions:, Predictors from as early as 2,5 years of age are relevant for identifying children at risk of internalizing problems in late childhood. The methodological approach used in this study can help to identify children who are most in need of preventive interventions and help to assess the potential health gain and efficiency of such interventions. [source] Implementing guidelines about colorectal cancer: A national survey of target groupsANZ JOURNAL OF SURGERY, Issue 3 2001Tom Reeve No abstract is available for this article. [source] Internet use for corporate environmental reporting: current challenges,technical benefits,practical guidanceBUSINESS STRATEGY AND THE ENVIRONMENT, Issue 3 2002Ralf Isenmann The huge opportunities of using the internet for corporate reporting are arranged in a comprehensive system of technical benefits. In order to give a tangible example and describe practical use thoroughly, the benefits are focused on environmental reporting but they can be transferred in major parts also to financial, social or sustainability reporting,seen as a currently emerging trend towards integrated financial, environmental and social reporting. In more detail, the system of internet-specific benefits is illustrated by four main categories: benefits concerning the underlying purposes of publishing reports, benefits concerning the entire reporting process, benefits concerning the report contents and benefits concerning the report design. In terms of corporate reporting, professional internet use will enhance the way in which companies give information, communicate and manage their business internally and externally, benefiting all members involved that are reporting companies, addressed key target groups and other stakeholders such as standard setting institutions and benchmarking organizations. Copyright © 2002 John Wiley & Sons, Ltd. and ERP Environment [source] Representative marketing-oriented study on implants in the Austrian population.CLINICAL ORAL IMPLANTS RESEARCH, Issue 5 2003Abstract: The number of dental implants inserted annually worldwide has been estimated to come close to a million. But the level of information available to patients about realistic, evidence-based treatment options by implants is often enough more than fragmentary, and what is disseminated by the media and the industry does not always reflect evidence-based empirical data. This survey of 1000 adults presented with 18 questions was designed to shed light on several points. These were (1) level of subjective patient information, (2) sources of information and prejudices, (3) future demand for implant treatment and target groups for patient information campaigns, and (4) potential misinformation, information deficits, discrepancies of information and how these come about. Of those questioned, 20% said unprompted that implants were a possibility to replace missing teeth. When prompted, 72% said that they knew about dental implants. Most of those questioned felt poorly informed about the options for replacing missing teeth and many knew less about implants than about other alternatives. The dentist was said to be the desired source of information, but 77% of those questioned reported that their dentists did not practice implant dentistry. More than 79% of those questioned did not know whether their dentist worked with implants. Forty-four percent thought that implants should only be placed by specially trained doctors. Sixty-one percent were of the opinion that dentists who provide implant dentistry were better qualified than their nonimplanting colleagues. Half of those questioned attributed implant failures to allergies and incompatibilities, the other half to poor medical care. Only 29% incriminated poor oral hygiene as a cause of implant failure. Future strategies should be geared to more professional public relations and patient information. Internationally operating qualified implant institutions could contribute much to balance discrepant information. Résumé Le nombre d'implants dentaires insérés annuellement dans le monde se chiffrerait à environ un million. Mais le niveau d'information disponible du patient en ce qui concerne les options de traitement basées sur l'évidence est souvent fragmentaire, et l'information dispensée par les média et l'industrie ne reflète pas toujours ces options. Cette enquête réalisée sur mille adultes ayant reçu un questionnaire de 18 questions a été effectuée afin de mettre en évidence certains points. Ces derniers étaient 1) le niveau de l'information subjective du patient, 2) les sources d'information et préjudices, 3) la demande future pour le traitement implantaire et les groupes cibles pour les campagnes d'information des patients, 4) les mauvaises informations potentielles, les déficits d'information, les désaccords de l'information et les causes de ces derniers. De ces personnes questionnées, 20% ont répondu spontanément que les implants étaient un moyen de remplacer les dents manquantes. Lorsqu'ils étaient interrogés, 72% ont répondu connaître les implants dentaires. La plupart de ces personnes se sentaient cependant peu informées sur les options de remplacement des dents manquantes et beaucoup d'entre-elles possédaient très peu d'information sur les implants par rapport aux autres possibilités existantes. Le dentiste semblait être la source préférentielle d'information mais 77 % des personnes questionnées ont rapporté que leur dentiste ne plaçait pas d'implant. Plus de 79% ne savaient pas si leur dentiste pratiquait l'implantologie. Quarante-quatre pour cent étaient persuadés que les implants ne pouvaient être placés que par des spécialistes. Soixante et un pour cent pensaient que les dentistes pratiquant de la dentisterie implantaire étaient plus qualifiés que les autres collègues. La moitié attribuait les échecs implantaires aux allergies et aux incompatiblités, l'autre moitié aux mauvais soins médicaux. Seul 29% incriminaient la mauvaise hygiène buccale comme une cause d'échec implantaire. Des stratégies futures devraient être orientées vers davantage de relations publiques professionnelles et d'informations du patient. Des institutions d'implants internationales pourraient grandement contribuer à changer cette mauvaise information. Zusammenfassung Eine repräsentative marketing-orientierte Studie über Implantate in der Bevölkerung von Oesterreich. Teil I: Stand der Information, Informationsquellen und Bedürfnis bezüglich Patienteninformation Die Anzahl weltweit gesetzter Implantate pro Jahr wird auf fast eine Million geschätzt. Aber die den Patienten zur Verfügung stehende Information über realistische, auf Evidenz basierende Behandlungsmöglichkeiten mit Implantaten ist mehr als lückenhaft. Was durch die Medien und durch die Industrie verbreitet wird, wiederspiegelt nicht immer auf Evidenz basierende empirische Daten. Diese Untersuchung an 1000 Erwachsenen, welchen 18 Fragen gestellt wurden, wurde entwickelt, um Licht auf verschiedene Punkte zu werfen. Die Punkte betrafen (1) Stand der subjektiven Patienteninformation; (2) Informationsquellen und Vorurteile; (3) zukünftiger Bedarf an Implantatbehandlungen und Zielgruppen für Propaganda zur Patienteninformation; (4) potentielle Fehlinformation, Informationsdefizite, Diskrepanzen in der Information und wie diese zustande kommen. Von den gefragten Individuen sagten ohne Vorinformation 20%, dass Implantate eine Varainte für den Ersatz von fehlenden Zähnen darstellen. Mit Vorinformation sagten 72%, dass sie von dentalen Implantaten Kenntnis haben. Die meisten der Befragten fühlten sich über die Möglichkeiten bezüglich Ersatz fehlender Zähne schlecht informiert und viele wussten weniger über Implantate als über andere Behandlungsvarianten. Es wurde gesagt, der Zahnarzt sei die gewünschte Informationsquelle, aber 77% der Befragten berichteten, dass ihr Zahnarzt keine Behandlungen mit Implantaten anbietet. Mehr als 79% der Befragten wussten nicht, ob ihr Zahnarzt mit Implantaten arbeitet. Vierundvierzig Prozent dachten, dass Implantate nur durch speziell ausgebildete Aerzte gesetzt werden sollten. Einundsechzig Prozent waren der Meinung, dass Zahnärzte, welche Implantatbehandlungen anbieten, besser qualifiziert sind als ihre nicht-implantierenden Kollegen. Die Hälfte der Befragten führten Implantatmisserfolge auf Allergien und Unverträglichkeiten zurück, die andere Hälfte auf schlechte medizinische Nachsorge. Nur 29% bezeichneten eine schlechte Mundhygiene als Ursache für Implantatmisserfolge. Zukünftige Studien sollten Richtung professioneller Publikums- und Patienteninformation gesteuert werden. International tätige qualifizierte Implantatinstitutionen könnten beträchtlich zum Ausgleich von widersprüchlichen Informationen beitragen. Resumen El número de implantes dentales insertados anualmente en todo el mundo se ha estimado cercano al millón. Pero el nivel de información disponible para los pacientes acerca de opciones de tratamiento reales con implantes basados en la evidencia es frecuentemente mas bien fragmentaria y lo que se disemina por los medios y la industria no siempre refleja los datos empíricos basados en la evidencia. Esta encuesta de 1000 adultos que presentaba 18 preguntas fue diseñada para dar luz en determinados puntos. Estos fueron (1) nivel subjetivo de información de los pacientes; (2) fuentes de información y prejuicios; (3) demanda futura para tratamiento de implantes y grupos diana para campañas de información; (4) desinformación potencial, déficit de información, discrepancias de información y como se generan. De aquellos a los que se preguntó, 20% dijeron espontáneamente que los implantes eran una posibilidad para reemplazar dientes ausentes. Cuando se les preguntó, 72% dijeron que sabían acerca de los implantes dentales. La mayoría de los encuestados se sentían pobremente informados acerca de las opciones para reemplazar dientes ausentes y muchos sabían menos acerca de los implantes que sobre otras alternativas. Se dijo que el dentista era la fuente de información mas deseada, pero 77% de los encuestados manifestó que sus dentistas no practicaban implantología. Mas del 79% de los encuestados no sabían si su dentista trabajaba con implantes. El 44% pensaba que los implantes debían ponerse solamente por doctores especialmente entrenados. El 61% eran de la opinión de que los dentistas que realizaban odontología de implantes estaban mejor cualificados que sus colegas que no lo hacían. La mitad de los encuestados atribuían los fracasos de los implantes a alergias e incompatibilidades, la otra mitad a pobres cuidados médicos. Solo el 29% incriminó a la pobre higiene oral como causa de fracaso de los implantes. La futura estrategia debe ser encaminada a unas relaciones públicas más profesionales y a más información del paciente. Las instituciones de implantes cualificadas que operan internacionalmente podrían contribuir a equilibrar la información discrepante. [source] | |||||||||||||||||||||||||