64 research outputs found
Kinship Structure and Political Authority: The Middle East and Central Asia
This is an offprint version of the article published in Comparative Studies in Society and History 28:334-55, made available by permission of the publisher. The version made available in Digital Common was supplied by the author.Publisher's Versiontru
Dementia care initiative in primary practice – study protocol of a cluster randomized trial on dementia management in a general practice setting
<p>Abstract</p> <p>Background</p> <p>Current guidelines for dementia care recommend the combination of drug therapy with non-pharmaceutical measures like counselling and social support. However, the scientific evidence concerning non-pharmaceutical interventions for dementia patients and their informal caregivers remains inconclusive. Targets of modern comprehensive dementia care are to enable patients to live at home as long and as independent as possible and to reduce the burden of caregivers. The objective of the study is to compare a complex intervention including caregiver support groups and counselling against usual care in terms of time to nursing home placement. In this paper the study protocol is described.</p> <p>Methods/Design</p> <p>The IDA (Initiative Demenzversorgung in der Allgemeinmedizin) project is designed as a three armed cluster-randomized trial where dementia patients and their informal caregivers are recruited by general practitioners. Patients in the study region of Middle Franconia, Germany, are included if they have mild or moderate dementia, are at least 65 years old, and are members of the German AOK (Allgemeine Ortskrankenkasse) sickness fund. In the control group patients receive regular treatment, whereas in the two intervention groups general practitioners participate in a training course in evidence based dementia treatment, recommend support groups and offer counseling to the family caregivers either beginning at baseline or after the 1-year follow-up. The study recruitment and follow-up took place from July 2005 to January 2009. 303 general practitioners were randomized of which 129 recruited a total of 390 patients. Time to nursing home admission within the two year intervention and follow-up period is the primary endpoint. Secondary endpoints are cognitive status, activities of daily living, burden of care giving as well as healthcare costs. For an economic analysis from the societal perspective, data are collected from caregivers as well as by the use of routine data from statutory health insurance and long-term care insurance.</p> <p>Discussion</p> <p>From a public health perspective, the IDA trial is expected to lead to evidence based results on the community effectiveness of non-pharmaceutical support measures for dementia patients and their caregivers in the primary care sector. For health policy makers it is necessary to make their decisions about financing new services based on strong knowledge about the acceptance of measures in the population and their cost-effectiveness.</p> <p>Trial registration</p> <p>ISRCTN68329593</p
Early Bronze Age copper production systems in the northern Arabah Valley: New insights from archaeomagnetic study of slag deposits in Jordan and Israel
A multicentre randomised controlled trial and economic evaluation of continuous positive airway pressure for the treatment of obstructive sleep apnoea syndrome in older people: PREDICT
CĂ©ramique islamique
Rosen-Ayalon Myriam. Céramique islamique. In: École pratique des hautes études. 4e section, sciences historiques et philologiques. Livret 2. Rapports sur les conférences des années 1981-1982 et 1982-1983. 1985. p. 71
On Suleiman's Sabils in Jerusalem
Donated by Klaus KreiserReprinted from in : The Darwin Press, New Jersey, 1988.; The Islamic World: From Classical to Modern Times (Essays in Honor of Bernard Lewis)
Conférence de Mme Myriam Rosen-Ayalon
Rosen-Ayalon Myriam. Conférence de Mme Myriam Rosen-Ayalon. In: École pratique des hautes études, Section des sciences religieuses. Annuaire. Tome 98, 1989-1990. 1989. pp. 225-229
Improving health outcomes: innovation, coverage, quality and adherence.
The Israeli health system has made considerable progress in reducing deaths amenable to medical care but has more to do. This commentary describes how progress in this area results from innovation, coverage, quality, and adherence to treatment. It describes what is being done in Israel and beyond to address each of these factors but concentrates on the often poorly recognised problem of adherence to treatment, describing the growing evidence that it is often sub-optimal and reviewing evidence on what can be done to improve it
Preliminary Functional MRI Neural Correlates of Executive Functioning and Empathy in Children with Obstructive Sleep Apnea
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