Download or read book The Rand UCLA Appropriateness Method User s Manual written by Kathryn Fitch and published by Rand Corporation. This book was released on 2001 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.

Download or read book The North American Mosaic written by Commission for Environmental Cooperation (Montréal, Québec). Secretariat and published by . This book was released on 2001 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The North American Mosaic has four overarching features. First, it is, to the extent feasible, based on comparable information on the status and trends of major indicators of the state of the environment in Canada,Mexico, and the United States. Second, the report confirms that these three countries together make up an incredibly complex, dynamic, and interconnected ecosystem in which humans play a dominant and decisive role. Third, the report raises important and sometimes disquieting questions concerning the sustainability of some current trends. Finally, the report is a reminder that our economic, social, and physical well-being are utterly dependent on the life-sustaining services provided by nature. This report emphasizes the importance of developing mutually compatible economic, social, and environmental goals and policies across the three-country region.

Download or read book Borders across Healthcare written by Nina Sahraoui and published by Berghahn Books. This book was released on 2020-06-11 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining which actors determine undocumented migrants’ access to healthcare on the ground, this volume looks at what happens in the daily interactions between administrative personnel, healthcare professionals and migrant patients in healthcare institutions across Europe. Borders across Healthcare explores contemporary moral economies of the healthcare-migration nexus. The volume documents the many ways in which borders come to disrupt healthcare settings and illuminates how judgements of a health-related deservingness become increasingly important, producing hierarchies that undermine a universal right to healthcare.

Download or read book Societal Adaptation to Climate Variability and Change written by Sally M. Kane and published by Springer Science & Business Media. This book was released on 2000-05-31 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt: Changes in climate and climate variability have an effect on people's behaviour around the world, and public institutions have an important part to play in influencing our ability to respond to and plan for climate risk. We may be able to reduce climate risk by seeking to mitigate the threat on the one hand, and by adapting to a changed climate on the other. Another theme of the book is the integrated role of adaptation and mitigation in framing issues and performing analyses. Adaptation costs fall most heavily on the poor and special attention needs to be paid to adaptation by the poorest populations. An integrating framework is also presented to provide the context for an expansive typology of terms to apply to adaptation. The 12 papers collected here use methods from a variety of disciplines and focus on different time frames for decision making, from short term to the very long term. Readership: Technically trained readers familiar with the policy issues surrounding climate change and interested in learning the scientific underpinnings of issues related to societal adaptation.

Download or read book Mini Nutritional Assessment MNA written by Bruno J. Vellas and published by Karger Medical and Scientific Publishers. This book was released on 1999 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Download or read book Randomised Controlled Trials written by Alejandro R. Jadad and published by Wiley-Blackwell. This book was released on 1998 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: The contributors to this study present a balanced view of the strengths and weaknesses of randomised controlled trials in the medical setting. They cover all the essential issues without using statistics.

Download or read book Investigaci n en sistemas de salud written by Instituto Nacional de Salud Pública (Mexico) and published by . This book was released on 2011 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Criminal Justice 2000 written by and published by . This book was released on 2000 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Light Bearers written by Richard W. Schwarz and published by . This book was released on 2000 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Hidden Hunger written by H.K. Biesalski and published by Karger Medical and Scientific Publishers. This book was released on 2016-05-24 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malnutrition caused by deficiencies of vitamins and minerals - also called hidden hunger - impairs both the intellectual and physical development of a child. Due to the absence of clinical symptoms and assessments, no intervention can be staged. The tragedy is that this, in turn, decreases the child’s chance to escape from poverty. This book looks at malnutrition in high-income countries, the nutrition transition and nutritional deficiencies in low-income countries, consequences of hidden hunger, and interventions to improve nutrition security. Written by leading experts in the field, it clearly stresses that national governments and international organizations must make malnutrition one of their top priorities in order to provide children with optimal conditions for a healthy future.

Download or read book Jos Rangel Cant written by Carlos Montalvo Larralde and published by . This book was released on 1995 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Motherhood Social Policies and Women s Activism in Latin America written by Alejandra Ramm and published by Springer. This book was released on 2019-07-10 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a critical resource for understanding the relationship between gender, social policy and women’s activism in Latin America, with specific reference to Chile. Latin America’s mother-centered kinship system makes it an ideal field in which to study motherhood and maternalism—the ways in which motherhood becomes a public policy issue. As maternalism embraces and enhances gender differences, it has been criticized for deepening gender inequalities. Yet invoking motherhood continues to offer an effective strategy for advancing women’s living conditions and rights, and for women themselves to be present in the public sphere. In analyzing these important relationships, the contributors to this volume discuss maternal health, sexual and reproductive rights, labor programs, paid employment, women miners’ unionization, housing policies, environmental suffering, and LGBTQ intimate partner violence.

Download or read book Assessment of Addictive Behaviors Second Edition written by Dennis M. Donovan and published by Guilford Publications. This book was released on 2013-10-15 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive clinical resource and text is grounded in cutting-edge knowledge about the biopsychosocial processes involved in addictive behaviors. Presented are research-based, eminently practical strategies for assessing the treatment needs and ongoing clinical outcomes of individuals who have problems with substance use and nonchemical addictions. From leading contributors, the book shows how to weave assessment through the entire process of care, from the initial screening to intervention, relapse prevention, and posttreatment monitoring.

Download or read book FUNDAMENTAL CRITICAL CARE SUPPORT SIXTH EDITION written by Keith Killu and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book An Introduction to the History of Mexican Law written by Guillermo Floris Margadant S. and published by . This book was released on 1983 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessing Correctional Rehabilitation written by Francis T. Cullen and published by Createspace Independent Pub. This book was released on 2012-07-17 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: A theme that has persisted throughout the history of American corrections is that efforts should be made to reform offenders. In particular, at the beginning of the 1900s, the rehabilitative ideal was enthusiastically trumpeted and helped to direct the renovation of the correctional system (e.g., implementation of indeterminate sentencing, parole, probation, a separate juvenile justice system). For the next seven decades, offender treatment reigned as the dominant correctional philosophy. Then, in the early 1970s, rehabilitation suffered a precipitous reversal of fortune. The larger disruptions in American society in this era prompted a general critique of the “state run” criminal justice system. Rehabilitation was blamed by liberals for allowing the state to act coercively against offenders, and was blamed by conservatives for allowing the state to act leniently toward offenders. In this context, the death knell of rehabilitation was seemingly sounded by Robert Martinson's (1974b) influential “nothing works” essay, which reported that few treatment programs reduced recidivism. This review of evaluation studies gave legitimacy to the antitreatment sentiments of the day; it ostensibly “proved” what everyone “already knew”: Rehabilitation did not work. In the subsequent quarter century, a growing revisionist movement has questioned Martinson's portrayal of the empirical status of the effectiveness of treatment interventions. Through painstaking literature reviews, these revisionist scholars have shown that many correctional treatment programs are effective in decreasing recidivism. More recently, they have undertaken more sophisticated quantitative syntheses of an increasing body of evaluation studies through a technique called “meta-analysis.” These meta-analyses reveal that across evaluation studies, the recidivism rate is, on average, 10 percentage points lower for the treatment group than for the control group. However, this research has also suggested that some correctional interventions have no effect on offender criminality (e.g., punishment-oriented programs), while others achieve substantial reductions in recidivism (i.e., approximately 25 percent). This variation in program success has led to a search for those “principles” that distinguish effective treatment interventions from ineffective ones. There is theoretical and empirical support for the conclusion that the rehabilitation programs that achieve the greatest reductions in recidivism use cognitive-behavioral treatments, target known predictors of crime for change, and intervene mainly with high-risk offenders. “Multisystemic treatment” is a concrete example of an effective program that largely conforms to these principles. In the time ahead, it would appear prudent that correctional policy and practice be “evidence based.” Knowledgeable about the extant research, policymakers would embrace the view that rehabilitation programs, informed by the principles of effective intervention, can “work” to reduce recidivism and thus can help foster public safety. By reaffirming rehabilitation, they would also be pursuing a policy that is consistent with public opinion research showing that Americans continue to believe that offender treatment should be an integral goal of the correctional system.

Download or read book Nutrigenetics written by Dolores Corella and published by MDPI. This book was released on 2018-07-10 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a printed edition of the Special Issue "Nutrigenetics" that was published in Nutrients