11 research outputs found
Kolping house, shelter for mothers with children, to prevent social exclusion
Bakalářská práce - Kolpingův dům, azylový dům pro matky s dětmi, jako prevence sociálního vyloučení, pojednává o společenském jevu - o sociálním vyloučení. Zvláště o jeho příčinách a problémech, které se k tomu vztahují. Sociální vyloučení se týká i osamocených rodičů a tato práce se zaměřuje převážně na tuto skupinu. Následující část práce je o úloze státních organizacích, které sociálně vyloučené osoby podporují finančně a prostřednictvím sociálních služeb zaměřených na prevenci. Praktická část práce je věnována Kolpingovu domu - azylovému domu pro matky s dětmi, kterým hrozí riziko sociálního vyloučení. Představuji zde cíle organizace, podmínky pobytu v Kolpingově domě a pro koho je pobyt v Kolpingově domě prioritně určen. Práce obsahuje popis sociální práce v Kolpingově domě, především informace o službě pod názvem videotrénink interakcí, kasuistiku neboli příběh typické klientky, se kterou jsem delší dobu v kontaktu, rozhovor se sociální pracovnicí Kolpingova domu a dotazník zjišťující spokojenost a kvalitu poskytovaných sociálních služeb v Kolpingově domě. Součást práce je osm příloh, např. aktuální seznam azylových domů pro matky s dětmi v České republice, týdenní program Kolpingova domu a představení ostatních projektů Kolpingova díla. Powered by TCPDF (www.tcpdf.org)Bachelor's thesis - Kolping house, shelter for mothers with children, to prevent social exclusion, deals with the social phenomenon - social exclusion. Especially on the causes and issues that relate to this. Social exclusion also applies to lonely parents and this work focuses mainly on this group. The following is part of the work on the role of state organizations that promote socially excluded persons through financial and social services aimed at prevention. Practical work is given Kolping house - the house of asylum for mothers with children, who risk social exclusion. I present here the objectives of the organization, the conditions of stay in Kolping house and who is resident in the house Kolpingově primarily intended. The work contains a description of social work in Kolping house, especially information about the service under the name video interaction guidance, the story - case study of typical clients with I have a longer time in contact, interview with social worker Kolping house, questionnaire and providing satisfaction and quality of social services in Kolping house. Part of the work are eight annexes, such as the current list of shelters house for mothers with children in the Czech Republic, a weekly program Kolpingova house and other projects Kolping work. Powered by TCPDF (www.tcpdf.org)JabokJabokProtestant Theological FacultyEvangelická teologická fakult
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified
The foundations of medieval ecclesiastical history: studies presented to David Smith
A collection of articles on medieval ecclesiastical history in honour of Professor David M. Smit
Encyclopedia of the Middle Ages
Consists of articles on all aspects of the period from the fifth to the fifteenth century, exploring art, architecture, religion, law, science, language, philosophy, and theology, as well as cultural, religious, intellectual, social and political history. With a focus on focus on Europe and Christendom, the Encyclopedia also covers the rise of Islam and people of other cultures with whom Europeans came into contact.https://place.asburyseminary.edu/limiteddigitalresources/1276/thumbnail.jp
From the Persecuting to the Protective State? Jewish Expulsions and Weather Shocks from 1100 to 1800
What factors caused the persecution of minorities in medieval and early modern Europe? We build a model that predicts that minority communities were more likely to be expropriated in the wake of negative income shocks. We then use panel data consisting of 785 city-level expulsions of Jews from 933 European cities between 1100 and 1800 to test the implications of the model. We use the variation in city-level temperature to test whether expulsions were associated with colder growing seasons. We find that a one standard deviation decrease in average growing season temperature in the fifteenth and sixteenth centuries was associated with a one to two percentage point increase in the likelihood that a Jewish community would be expelled. Drawing on our model and on additional historical evidence we argue that the rise of state capacity was one reason why this relationship between negative income shocks and expulsions weakened after 1600
Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study.
Background
Acute appendicitis is the most common surgical emergency in children. Differentiation of acute appendicitis from conditions that do not require operative management can be challenging in children. This study aimed to identify the optimum risk prediction model to stratify acute appendicitis risk in children.
Methods
We did a rapid review to identify acute appendicitis risk prediction models. A prospective, multicentre cohort study was then done to evaluate performance of these models. Children (aged 5\u201315 years) presenting with acute right iliac fossa pain in the UK and Ireland were included. For each model, score cutoff thresholds were systematically varied to identify the best achievable specificity while maintaining a failure rate (ie, proportion of patients identified as low risk who had acute appendicitis) less than 5%. The normal appendicectomy rate was the proportion of resected appendixes found to be normal on histopathological examination.
Findings
15 risk prediction models were identified that could be assessed. The cohort study enrolled 1827 children from 139 centres, of whom 630 (34\ub75%) underwent appendicectomy. The normal appendicectomy rate was 15\ub79% (100 of 630 patients). The Shera score was the best performing model, with an area under the curve of 0\ub784 (95% CI 0\ub782\u20130\ub786). Applying score cutoffs of 3 points or lower for children aged 5\u201310 years and girls aged 11\u201315 years, and 2 points or lower for boys aged 11\u201315 years, the failure rate was 3\ub73% (95% CI 2\ub70\u20135\ub72; 18 of 539 patients), specificity was 44\ub73% (95% CI 41\ub74\u201347\ub72; 521 of 1176), and positive predictive value was 41\ub74% (38\ub75\u201344\ub74; 463 of 1118). Positive predictive value for the Shera score with a cutoff of 6 points or lower (72\ub76%, 67\ub74\u201377\ub74) was similar to that of ultrasound scan (75\ub70%, 65\ub73\u201383\ub71).
Interpretation
The Shera score has the potential to identify a large group of children at low risk of acute appendicitis who could be considered for early discharge. Risk scoring does not identify children who should proceed directly to surgery. Medium-risk and high-risk children should undergo routine preoperative ultrasound imaging by operators trained to assess for acute appendicitis, and MRI or low-dose CT if uncertainty remains.
Funding
None