2,935 research outputs found

    (Miss.) Barbara Reid to Mr. Meredith (Undated)

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    https://egrove.olemiss.edu/mercorr_pro/1662/thumbnail.jp

    Dimensions of Psychological Health for Retarded Adults in a Community Residence

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    The Residents’ Needs Questionnaire was developed to measure attitudes concerning the needs of retarded adults for Physical Existence, Psychological Existence, Submissive Relating, Dominant Relating, Shared Relating, and Environmental Mastery. Two measures, identification of the need and perception of the extent to which the need was actualized, were obtained for each of forty items. The questionnaire was administered to staff, residents, parents, and Advisory Committee members of the David Fisher Residence in Erbsville, Ontario. Results indicated that residents’ needs are identified differently by the four different subject groups, and that residents, staff, and Committee members perceive discrepancies between identified needs and actualized needs. Residents have growth needs (Shared Relating and Environmental Mastery) as well as deficiency needs. Growth needs are less adequately satisfied than deficiency needs

    Phonotaxis in crickets and robots

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    Journal ArticleOver the past decade, we have built and tested several robot models to investigate a particular biological behavior, the sound localizing (phonotaxis) ability of the cricket. This work has had several purposes. One is to develop robotic technology, such as novel sensors and control systems, by copying biology. However, the primary motivation is the "reverse"-to use the technology to develop understanding of biological systems-in particular, how neural circuits control sensorimotor behavior. This is effectively a new methodology for biological modeling, discussed in Webb (to appear). In this chapter, the aim is to provide a summary of the problems addressed and the key results to date. (More-detailed presentations of the biological background and the implementations can be found in Lund, Webb, and Hallam, 1997, 1998; Webb and Scutt, 2000; and Webb and Harrison, 2000.

    Managed Care at the Crossroads: Can Managed Care Organizations Survive Government Regulation?

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    Attorneys Brown and Hartung provide a comprehensive overview of the development and structural components of managed health care plans. The article discusses the state regulatory controls affecting managed care including Patient Protection Acts. Mandated benefit provisions, any willing provider laws, and consumer access provisions. The article considers liability problems facing managed care organizations, in particular liabilities which arise from utilization and medical review discussions as well as gag clauses and financial incentive arrangements. The authors also review relevant federal regulatory initiatives

    Coloured water

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    An interprofessional nurse-led mental health promotion intervention for older home care clients with depressive symptoms.

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    BackgroundDepressive symptoms in older home care clients are common but poorly recognized and treated, resulting in adverse health outcomes, premature institutionalization, and costly use of health services. The objectives of this study were to examine the feasibility and acceptability of a new six-month interprofessional (IP) nurse-led mental health promotion intervention, and to explore its effects on reducing depressive symptoms in older home care clients (≥ 70 years) using personal support services.MethodsA prospective one-group pre-test/post-test study design was used. The intervention was a six-month evidence-based depression care management strategy led by a registered nurse that used an IP approach. Of 142 eligible consenting participants, 98 (69%) completed the six-month and 87 (61%) completed the one-year follow-up. Outcomes included depressive symptoms, anxiety, health-related quality of life (HRQoL), and the costs of use of all types of health services at baseline and six-month and one-year follow-up. An interpretive descriptive design was used to explore clients', nurses', and personal support workers' perceptions about the intervention's appropriateness, benefits, and barriers and facilitators to implementation.ResultsOf the 142 participants, 56% had clinically significant depressive symptoms, with 38% having moderate to severe symptoms. The intervention was feasible and acceptable to older home care clients with depressive symptoms. It was effective in reducing depressive symptoms and improving HRQoL at six-month follow-up, with small additional improvements six months after the intervention. The intervention also reduced anxiety at one year follow-up. Significant reductions were observed in the use of hospitalization, ambulance services, and emergency room visits over the study period.ConclusionsOur findings provide initial evidence for the feasibility, acceptability, and sustained effects of the nurse-led mental health promotion intervention in improving client outcomes, reducing use of expensive health services, and improving clinical practice behaviours of home care providers. Future research should evaluate its efficacy using a randomized clinical trial design, in different settings, with an adequate sample of older home care recipients with depressive symptoms.Trial registrationClinicaltrials.gov identifier: NCT01407926
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