Search results for "OUTCOME"
showing 10 items of 5148 documents
Importance of Psychotherapy motivation in patients with somatization syndrome
2006
Abstract Low motivation for psychotherapy presents a special challenge to effective therapy in patients with multiple somatoform symptoms. As part of a controlled treatment study, the authors examined the extent to which patients’ initial level of psychotherapy motivation has an effect on long-term treatment outcome. After admission to a cognitive–behavioral treatment center, 161 inpatients with somatization syndrome were diagnosed using a structured clinical interview and completed measures of somatoform symptomatology, general psychopathology, and motivation for psychotherapy. To test the relationship between motivation and treatment outcome, the patients’ initial motivational characteris…
Endring i psykisk velvære etter gjennomført 12-trinnsbasert rusbehandling : en sammenligning av dag- og døgnbehandling
2014
Masteroppgave i psykisk helsearbeid ME504 Universitetet i Agder 2014 Background There has been an increasing focus on intensive outpatient treatment in drug rehabilitation. Through Government papers, the Norwegian authorities emphasize holistic and integrated services at the lowest effective level of care. And that the treatment of those with co-occurring substance abuse and mental disorders, which is defined out of dual diagnosis, must be strengthened. 12-step treatment is an internationally recognized therapy form treating alcoholism and substance abuse, but it is less focused on whether the treatment form contributes to improved mental health. Aims The study is based on 136 patients admi…
Enhancing Urban Brownfield Regeneration to Pursue Sustainable Community Outcomes through Dynamic Performance Governance
2019
This paper discusses the case of Puerto Madero (Buenos Aires, Argentina) to illustrate how the “Dynamic Performance Governance” framework is able to support policy networks to pursue sustainable community outcomes in urban brownfield regeneration. The case is an example of successful implementation of urban renewal carried out through a significant involvement of the private sector. It portrays a “financially-driven” governance mode which entails balancing the advantage of cash flow reinvestment for public services and infrastructure capacity development, with potential shortcomings in terms of social inclusion. Findings reveal two main trade-offs associated with policy design and implement…
A Comparative Analysis of Hospital Readmissions in France and the US
2015
International audience; Policymakers in the US and France are struggling to improve coordination among hospitals and other health care providers. A comparison of hospital readmission rates, and the factors that may explain them, can provide important insights about the French and US health care systems. In addition, it illustrates a methodological approach to comparative research: how an empirical inquiry along a single indicator can reveal broader issues about system-wide differences across health care systems and policy. Using data from three French regions, the article extends a previous national-level comparison indicating that rates of hospital readmission for the population aged 65+ a…
Climate Change, Uncertainty and Ethical Superstorms
2021
I argue that one of the most urgent tasks of geoethics is how to deal with climate change in a just and equitable way. At worst, our current path could lead to multi-metre sea-level rise, increases in storms and climate extremes, causing devastating social disruption and economic consequences. I present some alternatives on how to handle this alarming prospect, arguing that we cannot condense our decision-making on climate change into numerical calculations, but should instead make ethical judgements. The commonly used expected utility maximation can be considered a gamble on future generations’ expense for the benefit of the current ones. Thus, from a Rawlsian perspective, we will instead …
The Post-COVID-19 Functional Status scale: a tool to measure functional status over time after COVID-19
2020
Since the outbreak of the Coronavirus disease 2019 (COVID-19) pandemic, most attention has focused on containing transmission of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and addressing the surge of critically ill patients in acute care settings. Indeed, as of April 29th 2020, over 3 million confirmed cases have been accounted for globally [1]. In the coming weeks and months, emphasis will gradually involve also post-acute care of COVID-19 survivors. It is anticipated that COVID-19 may have a major impact on physical, cognitive, mental and social health status, also in patients with mild disease presentation [2]. Previous outbreaks of coronaviruses have been associate…
Retrograde in situ versus antegrade pulmonary preservation in clinical lung transplantation: a single-centre experience.
2014
OBJECTIVE Experimental and clinical studies have indicated a beneficial effect of retrograde lung preservation on post-transplant results. Accordingly, we conducted a non-randomized trial. METHODS A total of 209 consecutive recipients transplanted with low-potassium dextrane (LPD)-preserved lungs were eligible for analysis. Antegrade lung preservation (AP) was performed in 173 patients and retrograde in situ perfusion (RP) in 36 patients using low-potassium dextrane solution in all cases. The prostacycline was added to preservation solution. RESULTS The main donor, graft and recipient characteristics did not differ significantly between groups. There was a beneficial trend toward improved o…
Bidirectional Glenn and antegrade pulmonary blood flow: temporary or definitive palliation?
2008
Background We sought to investigate the role of the bidirectional Glenn with antegrade pulmonary blood flow in the surgical history of children with univentricular hearts. Methods A series of 246 patients, from three joint institutions, having univentricular heart with restricted but not critical pulmonary blood flow received a bidirectional cavopulmonary shunt with additional forward pulmonary blood flow. All patients have been studied according to their progression, or not, to Fontan operation. Two hundred and eight (84.5%) patients underwent bidirectional cavopulmonary anastomosis as primary palliation. Twenty patients (8.1%) with previous pulmonary artery banding were also enrolled in t…
Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial
2020
Background There is no proven specific pharmacological treatment for patients with the acute respiratory distress syndrome (ARDS). The efficacy of corticosteroids in ARDS remains controversial. We aimed to assess the effects of dexamethasone in ARDS, which might change pulmonary and systemic inflammation and result in a decrease in duration of mechanical ventilation and mortality. Methods We did a multicentre, randomised controlled trial in a network of 17 intensive care units (ICUs) in teaching hospitals across Spain in patients with established moderate-to-severe ARDS (defined by a ratio of partial pressure of arterial oxygen to the fraction of inspired oxygen of 200 mm Hg or less assesse…
Treatment with C1-esterase inhibitor concentrate in type I or II hereditary angioedema: a systematic literature review.
2013
Hereditary angioedema (HAE) due to C1 esterase inhibitor (HAE-C1-INH) deficiency is a rare genetic disorder presenting with recurrent episodes of skin swellings, abdominal pain attacks, and potentially fatal laryngeal edema. This study was designed to review the efficacy and safety of pasteurized, human, plasma-derived C1-INH concentrate for the treatment of patients with HAE-C1-INH. A systematic search of electronic databases up to December 2011 was performed without language or date restrictions. Two reviewers completed the study selection using predefined inclusion criteria, tabulated, and analyzed the data. The data were inappropriate for meta-analysis; thus, a qualitative synthesis was…