Improving health promotion through central rating of interventions: the need for Responsive Guidance.

In several countries, attempts are made to improve health promotion by centrally rating the effectiveness of health promotion interventions. The Dutch Effectiveness Rating System (ERS) for health promotion interventions is an improvement-oriented approach in which multi-disciplinary expert committees rate available health promotion interventions as 'theoretically sound', 'probably effective' or 'proven effective'. The aim of this study is to explore the functioning of the ERS and the perspective of researchers, policy-makers and practitioners regarding its contribution to improvement

Large Eddy Simulation of Side Flow Past a Generic Model of a High-Speed Train

Asset-based approaches have become popular in public health. As yet it is not known to what extent health and welfare professionals are able to identify and mobilise individual and community health assets. Therefore, the aim of this study was to understand professional's perceptions of health and health assets

Local professionals' perceptions of health assets in a low-SES Dutch neighbourhood: a qualitative study

BACKGROUND: Asset-based approaches have become popular in public health. As yet it is not known to what extent health and welfare professionals are able to identify and mobilise individual and community health assets. Therefore, the aim of this study was to understand professional's perceptions of health and health assets. METHODS: In a low-SES neighbourhood, 21 health and welfare professionals were interviewed about their definition of health and their perceptions of the residents' health status, assets available in the neighbourhood's environment, and the way residents use these assets. A Nominal Group Technique (NGT) session was conducted for member check. Verbatim transcripts of the semi-structured interviews were coded and analysed using Atlas.ti. RESULTS: The professionals used a broad health concept, emphasizing the social dimension of health as most important. They discussed the poor health of residents, mentioning multiple health problems and unmet health needs. They provided many examples of behaviour that they considered unhealthy, in particular unhealthy diet and lack of exercise. Professionals considered the green physical environment, as well as health and social services, including their own services, as important health enhancing factors, whereas social and economic factors were considered as major barriers for good health. Poor housing and litter in public space were considered as barriers as well. According to the professionals, residents underutilized neighbourhood health assets. They emphasised the impact of poverty on the residents and their health. Moreover, they felt that residents were lacking individual capabilities to lead a healthy life. Although committed to the wellbeing of the residents, some professionals seemed almost discouraged by the (perceived) situation. They looked for practical solutions by developing group-based approaches and supporting residents' self-organisation. CONCLUSIONS: Our study shows, firstly, that professionals in the priority district Slotermeer rated the health of the residents as poor and their health behaviour as inadequate. They considered poverty and lack of education as important causes of this situation. Secondly, the professionals tended to talk about barriers in the neighbourhood rather than about neighbourhood health assets. As such, it seems challenging to implement asset-based approaches. However, the professionals, based on their own experiences, did perceive the development of collective approaches as a promising direction for future community health development

Tarification à l'APDRG en Suisse : risques sur le financement des soins intensifs ?

L'objectif premier de l'étude est de tester l'homogénéité des APDRG dans l'optique du financement des séjours pouvant comprendre un passage en Soins Intensifs (SI). Le second objectif est d'identifier les facteurs pouvant influencer de manière significative la variabilité de la durée de séjour et des coûts et d'élaborer un modèle de prédiction du recours aux SI pouvant servir d'outil de contrôle administratif des établissements dotés de SI. L'étude est basée sur des données de patients hospitalisés au Centre Hospitalier Universitaire Vaudois (CHUV) entre le 01.01.2000 et le 31.12.2001 et regroupés dans 605 APDRG. [Extrait du résumé des auteurs, p. 355]]]> Diagnosis-Related Groups ; Intensive Care Units fre oai:serval.unil.ch:BIB_146B454EF876 2020-06-20T01:09:03Z openaire documents urnserval https://serval.unil.ch/notice/serval:BIB_146B454EF876 Individualizing psychotherapy research designs Kramer, U. info:eu-repo/semantics/article article Journal of Psychotherapy Integration info:eu-repo/semantics/altIdentifier/pissn/1053-0479 eng https://serval.unil.ch/resource/serval:BIB_146B454EF876.P002/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_146B454EF8768 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_146B454EF8768 info:eu-repo/semantics/openAccess All rights reserved https://serval.unil.ch/disclaimer application/pdf oai:serval.unil.ch:BIB_146B6C2C3FD4 2020-06-20T01:09:03Z https://serval.unil.ch/notice/serval:BIB_146B6C2C3FD4 Early prenatal diagnosis of cord entanglement in monoamniotic multiple pregnancies1 info:doi:10.1046/j.1469-0705.1999.13030181.x info:eu-repo/semantics/altIdentifier/doi/10.1046/j.1469-0705.1999.13030181.x info:eu-repo/semantics/altIdentifier/pmid/10204209 Arabin, B. Laurini, R. N. van, E. J. info:eu-repo/semantics/article article 1999 Ultrasound in Obstetrics and Gynecology, vol. 13, no. 3, pp. 181-186 info:eu-repo/semantics/altIdentifier/pissn/0960-7692 <![CDATA[OBJECTIVES: Cord entanglement is a severe complication in monoamniotic multiple pregnancies. Three cases were reviewed to determine how early ultrasound diagnosis might improve counselling and management. METHODS: In two monoamniotic twin and one dichorionic diamniotic triplet pregnancies, cord entanglement was detected between 10 and 18 gestational weeks by color Doppler and pulsed Doppler velocimetry. Pregnancies were followed up on a weekly basis with special observation of fetal behavior and use of color Doppler velocimetry. RESULTS: In Case 1, a monoamniotic twin pregnancy with cord entanglement close to the umbilical insertions was diagnosed at 10 weeks. Longitudinal follow-up showed intrauterine death of both twins at 15 weeks. In Case 2, entanglement of the umbilical cords of two monoamniotic triplets within a dichorionic diamniotic triplet pregnancy was diagnosed at 10 weeks. The pregnancy continued uneventfully until 35 weeks when cord entanglement was confirmed at Cesarean section. All triplets have since developed normally. In Case 3, monoamniotic twins were diagnosed at 18 weeks. Color Doppler detected side-by-side insertion of the umbilical cords and Doppler velocimetry suggested an entanglement at the chorionic plate. The pregnancy was complicated by polyhydramnios. Cesarean section at 36 weeks confirmed cord entanglement at the chorionic plate. Postnatal computer angiography and morphological examination of the placenta showed the presence of superficial artery-to-artery and vein-to-vein anastomoses and of deep arteriovenous shunts. The development of the twins was uneventful. CONCLUSIONS: Diagnosis of cord entanglement is feasible early in gestation. Future protocols are proposed to document the gestational age at detection, the location, and the Doppler flow patterns and to facilitate the assessment of short- and long-term developmen