The Early Psychosis Intervention Clinic (EPIC) is a specialized treatment program for patients who are currently experiencing a psychotic episode or who have recieved a diagnosis of a psychotic disorder within the past year.
First episode psychosis (FEP) has been associated with structural brain changes, largely identified by volumetric analyses. Advances in neuroimaging processing have made it possible to measure geometric properties that may identify subtle structural changes not appreciated by a measure of volume alone. In this study we adopt complementary methods of assessing the structural integrity of grey matter in FEP patients and assess whether these relate to patient clinical and functional outcome at 3year follow-up. 1.5Tesla T1-weighted Magnetic Resonance (MR) images were acquired for 46 patients experiencing their first episode of psychosis and 46 healthy controls. Cerebral cortical thickness and local gyrification index (LGI) were investigated using FreeSurfer software. Volume and shape of the hippocampus, caudate and lateral ventricles were assessed using manual tracing and spherical harmonics applied for shape description. A cluster of cortical thinning was identified in FEP compared to controls; ...
The aim of the study is to develop, carry out, evaluate and measure the effects of a new patient education program for patients with Chronic Fatigue Syndrome (CFS)in primary healthcare.. In an randomized controlled trial design the effects of the patient education program on coping, physical functioning, fatigue, pain, acceptance, anxiety, depression, quality of life, self- efficacy, and illness perception will be compared with treatment as usual.. The results of the main project will lead to the elaboration of the final patient education program that can be implemented in primary health care, as well as development of a training program for future program-conductors. ...
Diagnostic assessment of alcohol-induced psychotic disorders and delirium followed the guidelines of DSM-IV: a diagnosis of primary psychotic disorder was given if there was no evidence of heavy substance use or withdrawal, or if the psychotic symptoms were established before heavy substance use, or if the symptoms persisted for more than a month during a substance-free period. Alcohol-induced psychotic disorder was diagnosed only if a primary psychotic disorder had been ruled out. In alcohol-induced psychotic disorder, prominent psychotic symptoms occurred during or shortly after periods of heavy alcohol use. During these periods the psychotic symptoms were in excess of those usually associated with alcohol intoxication or withdrawal with perceptual disturbances, and severe enough to warrant clinical attention. To improve reliability the psychotic symptoms had to last at least 1 day, which is the minimum duration of brief psychotic disorder. The minimum duration of psychotic symptoms in ...
Mention of the Early Intervention Program was notably absent from the Governors State of the State address. As I have alluded to in previous posts, this is an election year and it is not likely that Governor Cuomo wants to have a lot of chatter about how utterly incompetent his team was with the administration of such a program. The problems that have been seen in the Early Intervention Program dont fit the narrative of how great an Executive he is - and so it is all being ignored and swept under the rug and the best possible face is being placed on the data that spins its way into the newspapers. The Albany Times Union today mentioned that providers were grumbling and that there were just some initial snags. To state that there were only initial snags is akin to saying that the Affordable Care Act rollout had a few glitches. Seems like a familiar cover story ...
A survey was conducted of 15 early intervention programs in Region VI of the United States Public Health Service USPHS to determine when human immunodeficiency virus HIV - infected clients accessed care. Data were collected from 672 HIV-infected patients who received medical care between March 1991 and July 1993. Eighty-four percent were male,...
Objectives. This study examined socioeconomic differentials in risk of death from a number of specific causes in a large cohort of White men in the United States. Methods. For 300 685 White men screened for the multiple Risk Factors Intervention Trial between 1973 and 1975, data were collected on median income of White households in the zip...
BACKGROUND: Radiotherapy (RT) has become an important treatment modality in pediatric oncology, but its delivery to young children with cancer is challenging and general anesthesia is often needed. METHODS: To evaluate whether a psychoeducational intervention might reduce the need for anesthesia, 223 consecutive pediatric cancer patients receiving 4141 RT fractions during 244 RT courses between February 1989 and January 2006 were studied. Whereas in 154 RT courses corresponding with 2580 RT fractions patients received no psychoeducational intervention (group A), 90 RT courses respectively 1561 RT fractions were accomplished by using psychoeducational intervention (group B). This tailored psychoeducational intervention in group B included a play program and interactive support by a trained nurse according to age to get familiar with staff, equipment and procedure of radiotherapy. RESULTS: Group A did not differ significantly from group B in age at RT, gender, diagnosis, localization of RT and ...
Patients with schizophrenia have intact ability to experience emotion, but empirical evidence suggests that they fail to translate emotional salience into effortful behavior. Previous research in patients with chronic schizophrenia suggests that working memory is important in integrating emotion and behavior.. Dr. CHAN Raymond and his team from the Institute of Psychology of Chinese Academy of Sciences have examined emotion-behavior coupling in patients with first-episode schizophrenia. This work is based on a joint research-clinical programme of early psychosis intervention between Castle Peak Hospital in Hong Kong and Institute of Psychology. Dr. LUI Simon (a former doctoral graduate of Dr. Chan) is the person in-charge of the early psychosis programme.. Participants were 72 patients with first-episode schizophrenia and 61 healthy controls. All participants completed a sophistical behavioral paradigm which elicited their emotion using IAPS pictures and measured their effortful behavior for ...
TY - JOUR. T1 - Development and evaluation of patient information leaflet for diabetic foot ulcer patients. AU - Sekhar, M. Sonal. AU - Unnikrishnan, M. K.. AU - Vyas, Navya. AU - Rodrigues, Gabriel Sunil. PY - 2017. Y1 - 2017. N2 - Background: Patient education (PE) is as important as medical and surgical interventions in the management of diabetic foot ulcer (DFU). Patient information leaflets (PILs) are globally accepted patient counseling aids. Objectives: This study aimed at developing PILs for DFU patients and investigating its validation. Methods: The PILs were prepared based on different model leaflets available from various online resources, including "Patient UK". The PILs readability was evaluated by Flesch/ Flesch-Kincaid readability (FRE/FK-GL) method before user-testing (n = 34 DFU patients) by quasi-experimental methods in patients with DFU. Additionally, user-opinion on legibility and content of the PIL was also determined. Baker Able Leaflet Design (BALD) method was employed to ...
The study examined the effect of health education on knowledge and prevention of hepatitis infection among senior secondary school students in Ibadan North Local Government Area of Oyo State. The research design was pretest, post test, control group, quasi-experimental design. A total of 180 students were selected from SS1 and SS2 through Multistage sampling techniques. A self-structured questionnaire and instructional guide on health education and hepatitis B were constructed and used for the research. Five research hypotheses were formulated and tested. Data were analyzed using Descriptive statistics and Analysis of Covariance (ANCOVA) at 0.05 level of significance. Finding showed that there was a significant difference in the pre test and post test score of secondary school students following health education intervention, on the knowledge of hepatitis B (F(2,177) = 12.708, P ,.05, η2=.067).), causes of Hepatitis B (F(2,177) = 7.191, P ,.05, η2 =.039), mode of transmission of Hepatitis B ...
Purpose To evaluate the impact of Laduma, a health education intervention, on the knowledge, attitudes, beliefs and practices regarding sexually transmitted infections among secondary school learners in KwaZulu-Natal. Objectives The objectives of the study were to determine knowledge, attitudes, beliefs, perceptions and practices of secondary school learners regarding sexually transmitted infections at baseline and post-exposure to Laduma; assess intended behaviour change regarding sexually transmitted infections and condom use as well as the awareness of skills to achieve such behaviour; assess learners perceived vulnerability to sexually transmitted infections; assess comprehension, acceptability and appeal of the photonovella among learners and to assess whether learners can identify with the characters and situations in the photo-novella. Design This was an experimental study design. Setting Nineteen randomly selected secondary schools in the Midlands district of KwaZulu-Natal. Subjects ...
814-275-2426 Child with a Disability. A child with a disability means a child evaluated in accordance with IDEA §§ 3000.304 through 300.311 as having intellectual disability, a hearing impairment (including deafness), a speech or language impairment, a visual impairment (including blindness), a serious emotional disturbance (referred to in this part as "emotional disturbance"), an orthopedic impairment, autism, traumatic brain injury, an other health impairment, a specific learning disability, deaf- blindness, or multiple disabilities, and who, by reason thereof, needs special education and related services.. For children from 3 years to Kindergarten entrance, the Pennsylvania Department of Education Office of Child Development and Early Learning (OCDEL) operates the preschool early intervention program. OCDEL provides early intervention services through MAWAs (Mutually Agreed Upon Written Arrangements) typically with Intermediate Units or school districts. Legislative and regulatory guidance ...
The aim of the LIFELAX randomised controlled trial (diet and lifestyle vs. laxatives in the management of chronic constipation) is to develop and evaluate a cost effective intervention to promote diet and lifestyle in the treatment and management of chronic constipation for older people in Primary Care. Constipation affects the quality of life in around 20% of older people in the community. In the 65 years plus population, a significant proportion of men and women both living in institutions (81% and 75% respectively) and free living (30% and 37% respectively) use laxatives. Approximately £42 million is spent each year on prescribed laxatives in England in addition to laxatives purchased over the counter. Although bowel problems are often multifactorial, diet and lifestyle have an extremely important role in their management. This paper describes one aspect of the main study, the development and piloting of the Patient information leaflets (PILs). Following review of the literature and interviews with
Abstract A comprehensive study was undertaken in a rural community in the state of Morelos, Mexico to evaluate health education as an intervention measure against Taenia solium. An educational program was developed to promote recognition and knowledge of the transmission of the parasite and to improve hygienic behavior and sanitary conditions that foster transmission. The effects of educational intervention were evaluated by measuring changes in knowledge and practices and prevalence of human taeniasis and swine cysticercosis before and after the campaign. The health education strategy was implemented with the active participation of the population based on the information obtained from a sociologic study. A questionnaire was designed and used before, immediately after the intervention, and six months later. Statistically significant improvements occurred in knowledge of the parasite, its life cycle, and how it is acquired by humans; however, changes in behavior related to transmission were less
The Enhanced Services for the Hard-to-Employ (HtE) Demonstration and Evaluation Project was a 10-year study (taken on by the MDRC) that evaluated innovative strategies aimed at improving employment and other outcomes for groups who faced serious barriers to employment. The Enhanced Services for the Hard-to-Employ is the first comprehensive attempt to understand the diverse low-income population and to test interventions aimed at the most common barriers that are encountered in this populations employment. The HtE demonstration was designed to evaluate a variety of innovative ways to boost employment, reduce welfare receipt, and promote well-being in low-income populations. This study evaluated the effectiveness of the Enhanced Early Head Start (EHS) program on addressing the developmental needs of young children living in poverty by offering enhanced services aimed at proactively addressing the employment and educational needs of their parents. This program included the addition of on-site ...
Multimedia patient education provides videos on shoulder anatomy, shoulder arthroscopy, rotator cuff tears, elbow fracture, tennis elbow, knee arthroscopy, ACL reconstruction, achilles tendon repair and shoulder impingement surgical procedure
Foot notes on health article: 1 Gump, B. B., & Mathews, K. A. (2000). Are vacations good for your health? The 9-year mortality experience after the multiple risk factor intervention trial. Psychosomatic Medicine, 62, 608-612. 2 Eaker, E.D., Pinsky, J., Castelli, W. P. (1992). Myocardial infarction and coronary death among women: psychosocial predictors from a 20-year follow-up of women in the Framingham study. American Journal of Epidemiology, 135, 854-64. 3 Borins, M. (2000). Go away: just for the health of it. Wholistic Press. 7 Strauss-Blasche, G., Reithofer, B., Schobersberger, W., Ekmekcioglu, C., Marktl, W. (2005). Effect of vacation on health: moderating factors of vacation outcome. Journal of Travel Medicine, 12, 94-101. 25 Allerton, H. E. (2003) Not Funny Ha Ha Funny peculiar. T+D; Vol. 57 Issue 12, p87-88, 2p 26 YPartnership "National Travel Leisure Monitor ...
Early cardiovascular (CV) outcome trials of patients with hypertension used high-dose thiazide diuretic agents, often 100 mg of hydrochlorothiazide or 50 to 100 mg of chlorthalidone (1-4). Although these studies showed consistently greater CV risk reduction versus placebo, the MRFIT (Multiple Risk Factor Intervention Trial) study, which used both hydrochlorothiazide (HCTZ) and chlorthalidone, noted a greater reduction in CV events in the chlorthalidone arm, such that all participants were eventually transitioned to this agent. Retrospective analysis subsequently confirmed that there were fewer CV events in those treated with chlorthalidone (5). A recent analysis of smaller studies demonstrated that chlorthalidone is more potent than HCTZ, resulting in a larger antihypertensive effect, but also in more hypokalemia (6).. Further differences between agents comes from ambulatory blood pressure monitoring (ABPM) data showing that chlorthalidone has preserved antihypertensive effects beyond 24 h, ...
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Objective: This was to determine the prevalence of suicidal behaviours prior to and during the first year of treatment in a comprehensive early psychosis program (EPP) and to identify predictors of suicidal behaviour.. Method: In a cohort study of 238 subjects, patients were assessed at initial presentation to an EPP and 1 year later. Measures included a range of demographic variables, suicide attempts, depression, positive and negative symptoms, social functioning and substance misuse.. Results: Although 15.1% attempted suicide prior to program entry, only 2.9% made an attempt in the year after program entry and 0.4% completed suicide. No further attempts were seen in those with previous parasuicide. These rates are lower than other published rates for first-episode patients.. Conclusion: It is possible that specifically designed first-episode programs can reduce the suicidal behaviour in this high-risk population. The low prevalence of attempted suicide makes modeling predictors difficult. ...
When you select any Amazon item to buy from the Voices Education Project web site, and then check out at Amazon.com, a portion of your purchase price will be paid to Voices to support our work.. Courtney Angela Brkic is the author of Stillness: and Other Stories, a collection of short fiction about the recent wars in Croatia and Bosnia-Herzegovina, and of The Stone Fields, a memoir that intertwines her own familys Second World War history with the bloodshed of the 1990s. Her work has additionally appeared in Zoetrope, The New York Times, The Washington Post Magazine, Harpers & Queen, the Utne Reader, TriQuarterly Review, The Alaska Review, and National Geographic, among others. Her translations of Expressionist poet A. B. Simic have appeared in Modern Poetry in Translation and she has contributed work to the anthologies Stumbling and Raging: More Politically Inspired Fiction and A Thinking Fans Guide to the 2006 World Cup. ...
Early Intervention is a program that provides services to children from birth to age three (0 to 3) who have, or are at risk of having a developmental disability. Therapeutic Resources Early Intervention Program promotes family centeredness to facilitate the developmental progress of eligible children and to assist and empower families to meet their childs and their own needs. Therapeutic Resources is an approved provider of Early Intervention Home and Community Based Services in New York City. This program is funded and regulated by the New York State Department of Health and in New York City by the NYC Department of Mental Health, Mental Retardation and Alcoholism Services. All authorized services including service coordination, evaluations and therapy are at no direct cost to parents. ...
In 2005, the International Patient Decision Aids Standards Collaboration identified twelve quality dimensions to guide assessment of patient decision aids. One dimension-the delivery of patient decision aids on the Internet-is relevant when the Internet is used to provide some or all components of a patient decision aid. Building on the original background chapter, this paper provides an updated definition for this dimension, outlines a theoretical rationale, describes current evidence, and discusses emerging research areas. An international, multidisciplinary panel of authors examined the relevant theoretical literature and empirical evidence through 2012. The updated definition distinguishes Internet-delivery of patient decision aids from online health information and clinical practice guidelines. Theories in cognitive psychology, decision psychology, communication, and education support the value of Internet features for providing interactive information and deliberative support. Dissemination and
Objective: Patients with first-episode psychosis have a high prevalence of tobacco use. We aimed to examine the prevalence and course of tobacco use during early psychosis using meta-analysis.. Data Sources: Systematic search of MEDLINE (1948-2011), Embase (1947-2011), CINAHL (1984-2011), PsycINFO (1967-2011), and ISI Web of Science (1900-2011) using the search terms [psychosis OR schizophrenia] AND [tobacco OR smoking OR nicotine].. Study Selection: We located 10 studies reporting the age at initiation of daily tobacco use and the age at onset of psychosis, 31 studies reporting prevalence of tobacco use in patients with first-episode psychosis, 10 studies comparing smoking to age-/gender-matched controls, and 7 studies reporting prevalence of tobacco use at intervals after treatment.. Data Extraction: The following data were extracted: age at initiation of daily tobacco use and at onset of psychosis, the proportion of patients with first-episode psychosis who used tobacco, the proportion of the ...
Objectives: To discuss methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts.. Methods: The treatment fidelity framework provided by the National Institutes of Healths Behavioral Change Consortium includes five domains of treatment fidelity (Study Design, Training, Delivery, Receipt, and Enactment). A measure of treatment fidelity was previously developed and validated using these categories.. Results: Strategies for assessment, monitoring, and enhancing treatment fidelity within each of the five treatment fidelity domains are discussed. The previously created measure of treatment fidelity is updated to include additional items on selecting providers, additional confounders, theory testing, and multicultural considerations.. Conclusions: Implementation of a treatment fidelity plan may require extra staff time and costs. However, the economic and scientific costs of lack of attention to treatment fidelity are far greater than the costs ...
What are the aims of this leaflet?. This leaflet has been written to help you understand more about herpes simplex. It tells you what it is, what causes it, what can be done about it, and where you can find out more about it.. What is herpes simplex?. Herpes simplex is an infection of the skin with the herpes simplex virus. There are two types of herpes virus, called herpes simplex type 1 and herpes simplex type 2. Herpes infection is caught from another person through contact with mouth, eye or genital secretions or through direct contact with an active lesion. Herpes simplex type 1 usually infects the mouth or eye and herpes simplex type 2 usually infects the genital area. After the virus infects the person, whether it shows on the skin or not, it goes to local sensory nerves and lies hidden (dormant) until reactivation (recurrence of the herpes infection). Reactivation can occur after a few weeks or even years, when the virus travels to the skin supplied by the nerve and appears as a blister ...
What are the aims of this leaflet?. This leaflet has been written to help you understand more about alopecia areata. It will tell you what alopecia areata is, what causes it, what can be done about it, and where you can get more information about it.. What is alopecia areata?. Alopecia is a general term for hair loss. Alopecia areata is a common cause of non-scarring (does not cause scarring to the scalp) hair loss that can occur at any age. It usually causes small, coin-sized, round patches of baldness on the scalp, although hair elsewhere such as the beard, eyebrows, eyelashes, body and limbs can be affected. In some people larger areas are affected and occasionally it can involve the whole scalp (alopecia totalis) or even the entire body and scalp (alopecia universalis).. It is not possible to predict how much hair will be lost. Regrowth of hair in typical alopecia areata is usual over a period of months or sometimes years, but cannot be guaranteed. The chances of the hair regrowing are ...
In the United States a public service announcement(PSA) is defined by the Federal Communications Commission (FCC) in a formal and detailed manner. A PSA is "any announcement (including network) for which no charge is made and which promotes programs, activities, or services of federal, state, or local governments (e.g., recruiting, sale of bonds, etc.) or the programs, activities or services of non-profit organizations (e.g., United Way, Red Cross blood donations, etc.) and other announcements regarded as serving community interests, excluding time signals, routine weather announcements and promotional announcements." PSAs came into being with the entry of the United States into World War II. Radio broadcasters and advertising agencies offered their skills and facilities toward the war effort and established the War Advertising Council which became the official homefront propaganda arm of the Office of War Information. Print, outdoor advertising and especially radio became the carriers of such ...
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Objective: Functional recovery remains the primary goal following treatment of a psychotic disorder, especially after a first episode. Evidence regarding relative contributions of predictors of functional outcome, including symptoms and cognition, remains equivocal. The objective of the study was to determine the relative contribution of cognition, in particular verbal memory, and symptomatic remission to social and occupational functioning while controlling for established predictors of functioning in a large sample of patients presenting with a first episode of a schizophrenia spectrum or affective psychosis.. Method: Patients (aged 14-35 years) met DSM-IV criteria for a first episode of a schizophrenia spectrum or affective psychosis and had been admitted to the Prevention and Early Intervention Program for Psychoses, Montreal, Quebec, Canada, between 2003 and 2009 for treatment and follow-up for 2 years. Established predictors (duration of untreated psychosis, medication adherence, age at ...
A pre- and post-test comparison-group design was used to evaluate the effect of a community education program on community members willingness to abandon female genital mutilation/cutting (FGM/C) in rural areas of southern Senegal. Developed by TOSTAN (a Senegalese nongovernmental organization), the education program aimed to empower women through a broad range of educational and health-promoting activities. Our findings suggest that information from the program was diffused widely within the intervention villages, as indicated by improvements in knowledge about and critical attitudes toward FGM/C among women and men who had and had not participated in the program, without corresponding improvement in the comparison villages. The prevalence of FGM/C among daughters aged ten years and younger decreased significantly over time as reported by women who were directly and indirectly exposed to the program, but not among daughters in the comparison villages, suggesting that the program had an impact ...
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Health Education Research Advance Access published January 7, 2014 HEALTH EDUCATION RESEARCH 2014 Pages 1 12 Evaluation of a standardized patient education program for inpatient cardiac rehabilitation:
Large breasts cause neck and back pain, irritating grooves, cut in the skin of the shoulders by the pressure of brassiere straps, breast pain, and maceration and dermatoses in the inframammary region. From a psychological point of view, excessively large breasts can be troublesome focus of embarrassment for the teenager as well as the woman in her senior years. Unilateral hypertrophy with asymmetry heightens embarrassment. Thus, patients seek to reduce the size of their breasts.. In the human female, variant receptors were detected in epithelial cells in normal breast tissue, benign breast lesions, breast carcinoma tissue, and breast cancer cell lines2-11. The cause of the difference in breast development status is still unclear. Abnormalities at the tissue receptor level may be important in the pathophysiology of macromastia. This study aimed to make clear the difference in variant receptor levels between breast hypertrophy patients and macromastia ones by examining the receptor levels in ...
GUELPH, ON. , April 19, 2004. As the deadly West Nile virus continues to mount its assault on Canadian horses, Wyeth Animal Health, a division of Wyeth, has announced the expansion of the companys successful West Nile public education campaign. The 2004 campaign will involve new print ads, direct mailings and client education kits informing veterinarians and horse owners about the increasing West Nile threat and important prevention facts. The launch comes as Wyeths West Nile " Innovator™ vaccine marks its one-year anniversary offering Canada exclusive government-approved protection against the West Nile virus.. "Wyeth Animal Health is proud to lead the veterinary profession with innovative products such as West Nile - Innovator™ vaccine. From the beginning, we have taken a proactive approach in educating horse owners and veterinarians all across Canada about this deadly disease and the importance of prevention," said Robert McCarthy, Managing Director of Wyeth Animal Health.. Proven safe ...
PRIMARY OBJECTIVE:. I. Compare the efficacy of nurse-delivered WRITE Symptoms? and self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations (i.e., decreases in symptom severity, symptom-related distress, and symptom consequences as measured by the Symptom Representation Questionnaire [SRQ]) in patients with recurrent or persistent ovarian, fallopian tube, or primary peritoneal cancer.. SECONDARY OBJECTIVES:. I. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations in these patients at 4 weeks.. II. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom controllability in these patients at 4, 8, and 12 weeks.. III. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving indicators of ...
Pain is the most frequently used nursing diagnosis and consistently ranks high on the list of nursings patient care problems. A recommended intervention for improving pain outcomes is education for patients and families about pain and its management.The purpose of this study is to examine the effects of patient education on pain for total joint arthroplasty patients. This study is designed to determine the benefit of a pain management program on patients perceptions of the pain management program in an acute care facility.The Gate Control Theory will be used as the theoretical framework for this quasi-experimental study because it synthesizes the traditional pain theories and psychological aspects of pain. The sample will include 50 initial total hip and total knee arthroplasty patients from an accessiblepopulation of 115 in a 300-bed midwestern acute care facility over a six month period. The convenience sample will be alternately assigned to either the control or treatment group by ...
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Rob Wolf Bruce Neben Ryan Melton http://www.iepa.org.au  Dropping Schizophrenia subtypes    Adding Psychosis Risk Syndromes    Includes shared psychotic disorder Adds catatonia specifier Attenuated Psychotic Symptoms Syndrome Moving away from "prodrome". http://www.dsm5.org/Pages/Default.aspx  Aims  Rule out past and current psychosis  POPS (presence of psychotic symptoms at 6 on SOPS- scale of psychosis risk syndromes.  Rule in one or more of 3 types of At risk syndromes  BIPS (Brief Intermittent Psychotic State)  Attenuated Positive Symptom State (APSS)  Genetic Risk & Deterioration (GRD) Rate severity of current at risk syndromes.  Major changes   Rule out criteria emphasized  Emphasis on more objective GAF.    1 year RCT of 10 sites with 1268 individuals (China). Tx group received meds, family psychoeducation (not mfg), skills training, CBT. Outcomes:   Tx group lower drop out Tx group greater improvement in insight, social ...
Electronic cigarettes are simply that. The shape and form is similar to a regular nicotine cigarette and can be handled and used in the same form of lighting up a regular nicotine cigarette, however the device is healthy to the environment, family and friends in close proximity, and for the smoker as well. Electronic cigarettes like the ones sold by Bull Smoke simulate the act of smoking-the user is holding a "cigarette" in hand, and while the inhalation may taste of nicotine, a harmless mist is actually being released. While the electronic cigarette is fairly new to the market compared to other methods, it tends to reach out to users that want to feel something in hand, and those that want to feel the sensation of inhalation. The electronic cigarette also reaches out to those that are looking for a method of quitting that allows the user to work their way into the realm of comfortably leaving behind a nicotine addiction.. ...
Cotton, Sue, Lambert, Martin, Schimmelmann, Benno, Mackinnon, Andrew, Gleeson, John, Berk, Michael, Hides, Leanne, Chanen, Andrew, Scott, James, McGorry, Patrick and Conus, Philippe (2012). First episode schizophrenia and schizoaffective disorder: a psychiatric nosology. In: From neurobiology to public policy. Abstracts of the 8th International Conference on Early Psychosis: From Neurobiology to Public Policy. 8th International Conference on Early Psychosis: From Neurobiology to Public Policy, San Francisco, CA, USA, (53-53). 11-13 October 2012. doi:10.1111/j.1751-7893.2012.00394.x ...
Peripheral Arterial Disease (PAD) / Arteriosclerosis of the Extremities. Stages Of Diabetic Nephropathy 2017 association 1-800- DIABETES www.diabetes.org National Diabetes Education Program/NIH www other medications however are cures for diabetes: Macroamylasemia associated with ulcerative was associated with ulcerative colitis of Idiopathic pancreatitis associated with Learn about coverage for diabetes and pool risk insurance plans. Experience restaurant-quality Italian food at home with Bertolli pasta sauces frozen meals and olive oils.. Diabetes Hands Foundation Although the epidemic of obesity is well-known the costs are not - and in many cases are significantly greater than estimated even a few years ago. Impact of a community-based multiple risk factor intervention on cardiovascular risk in black families with a history of premature coronary disease. Packed with nutritious mushrooms bell peppers and eggplant one pound of beef stretches to feed a family of six. Can Marijuana Treat Diabetes? ...
A large number of service agencies work to support optimal child development, but many have specific age requirements (e.g., early intervention, preschool, or school age), or provide specific types of services (e.g., developmental, health, social welfare, or educational). Too often, vulnerable children are identified but do not meet strict criteria for services of the agencies contacted, leaving them without needed services. An example of a program that has reduced service gaps by integrating available services for children is Help Me Grow.¶ Help Me Grow serves as a centralized point of entry for both state- and community-based services where families of vulnerable children are matched to service agencies that offer the support they need (14). Through a single information line, vulnerable children who are likely to meet eligibility criteria are linked to one or more publicly funded early intervention services, preschool special education services, and interventions for children with special ...
American Indians (AI) and Alaska Natives (AN) of the United States (US), and First Nations (FN) peoples of Canada, experience higher rates of many chronic diseases. While the burden of specific health issues differs by group, an increasing prevalence of cardiovascular disease and type-2 diabetes exists. For Northern Plains AI tribes of the US, rates of type-2 diabetes have reached epidemic levels. Research is needed to understand and address complex chronic health concerns for these groups, including efforts to resolve the disparity between need for kidney donation and donation consent rates. This presentation will describe an essential approach to intervention studies that incorporates participatory research principles and builds trusted partnerships with AI/AN and FN communities. The presentation will focus on the process and the outcomes of behavioral intervention research designed to increase intent to serve as an organ or tissue donor for Northern Plains AI tribes. Related future research ...
To determine the percentage of infants screened for hearing loss, in receipt of a diagnostic audiologic evaluation, and enrolled in early intervention services, CDC analyzed 2009-2010 data from EHDI HSFS. Additional calculations were made to determine the percentage of infants screened before age 1 month, those who received a diagnostic evaluation before age 3 months, and enrolled in early intervention before age 6 months. Descriptive statistics for each year of data were generated using Microsoft Excel (Table 1). The percentage of infants screened for hearing loss was calculated by dividing the total number documented as screened for hearing loss by the total number of occurrent births in the same reporting year multiplied by 100. The percentage of infants screened before age 1 month was calculated by dividing the number screened before age 1 month by the total screened for hearing loss multiplied by 100. The percentage of infants diagnosed (i.e., hearing loss or no hearing loss) was calculated ...
Although there is a great need for continued research on the efficacy and cost-effectiveness of various physical activity interventions and ways to help people maintain behavior change, much progress has been made over the past decade. Studies of younger to middle-aged adults have demonstrated moderate effects overall, although stronger effects are evident for interventions that use behavior modification. Moreover, stronger effects are present for the adoption phase of physical activity, although few studies have examined longer-term maintenance.20,21 Recent and ongoing studies that focus on lifestyle physical activity in addition to or instead of structured, class-based activity will likely contribute to our understanding of the options available for assisting adults with physical activity behavior change. In studies of older adults, short-term efficacy has been demonstrated for behaviorally oriented approaches, although long-term maintenance has not been as strong. Although several enhanced ...
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This report describes the Mid-Term Evaluation of the Child Welfare and Protection Project being carried out in Romania by World Vision, Bethany Christian Services International, and Holt International Childrens Services, under contract with the United States Agency for International Development. The project is part of a national reform effort to modernize the Romanian child protection system. Project activities focus on placement prevention and family preservation, and on the deinstitutionalization of children. Project staff work with communities to develop local continuums of care that include early intervention programs, education and training, and clinically appropriate alternatives to institutional placement. A major goal of the project concerns the development of system capacity to encourage both long-term sustainability and program replication. The evaluation explored the degree to which the program established resembles the program described in the original plan; whether the outcomes are ...
Insufficient PA has been shown to cluster with other CVD risk factors including insufficient fruit and vegetable intake, overweight, increased serum cholesterol concentrations and elevated blood pressure. This paper describes the development of Working on Wellness (WOW), a worksite intervention program incorporating motivational interviewing by wellness specialists, targeting employees at risk. In addition, we describe the evaluation the effectiveness of the intervention among employees at increased risk for cardiovascular disease. The intervention mapping (IM) protocol was used in the planning and design of WOW. Focus group discussions and interviews with employees and managers identified the importance of addressing risk factors for CVD at the worksite. Based on the employees preference for individual counselling, and previous evidence of the effectiveness of this approach in the worksite setting, we decided to use motivational interviewing as part of the intervention strategy. Thus, as a cluster