An intervention study to prevent relapse in patients with schizophrenia

Purpose: To determine whether the use of relapse prevention plans (RPPs) in nursing practice is an effective intervention in reducing relapse rates among patients with schizophrenia. Design and Methods: Experimental design. Patients with schizophrenia (or a related psychotic disorder) and nurses from three mental health organizations were randomly assigned to either an experimental (RPP) or control condition (care as usual). The primary outcome measure was the psychotic relapses in the research groups. Results: The relapse rates in the experimental and control groups after 1-year follow-up were 12.5% and 26.2%, respectively (p=.12, ns). The relative risk of a relapse in the experimental versus the control group was 0.48(ns). Conclusions: In this study no statistically significant effects of the intervention were found. Effectiveness research in this area should be continued with larger sample sizes and longer follow-up periods

Long-term wind resource assessment for small and medium-scale turbines using operational forecast data and measure-correlate-predict

Output from a state-of-the-art, 4 km resolution, operational forecast model (UK4) was investigated as a source of long-term historical reference data for wind resource assessment. The data were used to implement measure-correlate-predict (MCP) approaches at 37 sites throughout the United Kingdom (UK). The monthly and hourly linear correlation between the UK4-predicted and observed wind speeds indicates that UK4 is capable of representing the wind climate better than the nearby meteorological stations considered. Linear MCP algorithms were implemented at the same sites using reference data from UK4 and nearby meteorological stations to predict the long-term (10-year) wind resource. To obtain robust error statistics, MCP algorithms were applied using onsite measurement periods of 1-12 months initiated at 120 different starting months throughout an 11 year data record. Using linear regression MCP over 12 months, the average percentage errors in the long-term predicted mean wind speed and power density were 3.0% and 7.6% respectively, using UK4, and 2.8% and 7.9% respectively, using nearby meteorological stations. The results indicate that UK4 is highly competitive with nearby meteorological observations as an MCP reference data source. UK4 was also shown to systematically improve MCP predictions at coastal sites due to better representation of local diurnal effects

Understanding preventive behaviors among mid-Western African-American men: a pilot qualitative study of prostate screening

http://dx.doi.org/10.1016/j.jomh.2011.03.00

Causes of genome instability: the effect of low dose chemical exposures in modern society.

Genome instability is a prerequisite for the development of cancer. It occurs when genome maintenance systems fail to safeguard the genome's integrity, whether as a consequence of inherited defects or induced via exposure to environmental agents (chemicals, biological agents and radiation). Thus, genome instability can be defined as an enhanced tendency for the genome to acquire mutations; ranging from changes to the nucleotide sequence to chromosomal gain, rearrangements or loss. This review raises the hypothesis that in addition to known human carcinogens, exposure to low dose of other chemicals present in our modern society could contribute to carcinogenesis by indirectly affecting genome stability. The selected chemicals with their mechanisms of action proposed to indirectly contribute to genome instability are: heavy metals (DNA repair, epigenetic modification, DNA damage signaling, telomere length), acrylamide (DNA repair, chromosome segregation), bisphenol A (epigenetic modification, DNA damage signaling, mitochondrial function, chromosome segregation), benomyl (chromosome segregation), quinones (epigenetic modification) and nano-sized particles (epigenetic pathways, mitochondrial function, chromosome segregation, telomere length). The purpose of this review is to describe the crucial aspects of genome instability, to outline the ways in which environmental chemicals can affect this cancer hallmark and to identify candidate chemicals for further study. The overall aim is to make scientists aware of the increasing need to unravel the underlying mechanisms via which chemicals at low doses can induce genome instability and thus promote carcinogenesis

The training and education of hyperbaric unit personnel Report of a working party of the British Hyperbaric Association

Available from British Library Document Supply Centre- DSC:m03/24913 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

The UK meat & poultry products report volume 1 Fresh meat and poultry

SIGLEGBUnited Kingdo

Adoption '82 The Association of Directors of Social Services guide to personal social services legislation

3.25LD:83/15046(Adoption) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Operations management teaching on European MBA programmes

A comprehensive review of the literature established that several investigations have been made of operations management teaching in the USA, whereas almost nothing has been published on European teaching. Therefore, an exploratory investigation was made of operations management teaching on the MBA courses of ten leading European business schools. The results show that course content is similar across schools, but there are large variations on three dimensions: the time allocated by schools to the subject; the balance between operations strategy and tools and techniques in teaching; and the level of emphasis given to service operations. The results also indicate the emerging importance of integrating operations management with other subjects in the MBA curriculum and the key challenge facing faculty - the need to raise the perceived importance of operations management. The comparison of courses will be of interest to all operations management faculty who teach core courses and particularly those who are looking for ideas on how to re-design courses