972 research outputs found

    Endothelial Dysfunction After Drug-Eluting Stent Was Never Predicted in Preclinical Studies

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    Arachnid-inspired kinesthesia for legged robots

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    Institute of Contemporary Law: The California Superior Court System

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    The Institute of Contemporary Law, having recently completed an investigation and analysis of the California grand jury, now turns its efforts to the area of the superior court system in California. Hoping to correlate the work of students, lawyers and judges in this area, the following article attempts a broad review of the function and operation of the superior court in California. The history of the court, its rules and operation, its jurisdiction and its various departments are the topics covered by the discussion below. The presentation here offered is mainly expository and informational, and, it is hoped, will provide both the scholar and the practitioner with a practical introduction to this subject

    Outcomes For Street Children and Youth Under Multidisciplinary Care in a Drop-In Centre in Tegucigalpa, Honduras

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    BACKGROUND: There is little evidence to describe the feasibility and outcomes of services for the care of street children and youth in low-income countries. AIMS: To describe the outcomes of a multidisciplinary case management approach delivered in a drop-in centre for street children and youth. METHODS: A longitudinal study of street children and youth followed in an urban drop-in centre. Four hundred (400) street children and youth received a multidisciplinary case management therapeutic package based on the community reinforcement approach. The main outcomes were changes in psychological distress, substance abuse and social situation scores. RESULTS: The median follow-up time for the cohort was 18 months. There were reductions in the levels of psychological distress (p = 0.0001) and substance abuse (p ≤ 0.0001) in the cohort as well as an improvement in the social situation of street children and youth (p = 0.0001). There was a main effect of gender (p < 0.001) and a significant interaction of gender over time (p < 0.001) on improvements in levels of psychological distress. Survival analysis showed that the probability of remaining on substances at 12 months was 0.76 (95% CI: 0.69-0.81) and 0.51 (95% CI: 0.42-0.59) at 24 months. At 12 months, fewer female patients remained using substances compared to male (p < 0.01). CONCLUSION: To be most effective, programmes and strategies for children and youth in street situations in developing countries should target both their health and social needs

    Sedentary work. Evidence on an emergent work health and safety issue

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    Safe Work Australia’s Emerging Issues Programme involves a 3-stage process to identify, prioritise and systematically consider emerging work health and safety (WHS) issues of national importance. The programme involves extensive consultation with all of Safe Work Australia’s tripartite stakeholders. As part of this programme Safe Work Australia commissioned a team of experts to examine the most recent evidence from Australia and overseas on sedentary work, its likely consequences and potential control options. The literature review was conducted by academics from Curtin University, the Baker IDI group and the University of Queensland

    Behavioural correlates of ocular accommodation and the autonomic nervous system

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    A multi-faceted intervention to implement guideline care and improve quality of care for older people who present to the emergency department with falls

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    <p>Abstract</p> <p>Background</p> <p>Guidelines recommend that older people should receive multi-factorial interventions following an injurious fall however there is limited evidence that this is routine practice. We aimed to improve the delivery of evidence based care to patients presenting to the Emergency Department (ED) following a fall.</p> <p>Methods</p> <p>A prospective before and after study was undertaken in the ED of a medium-sized hospital in Perth, Western Australia. Participants comprised 313 community-dwelling patients, aged 65 years and older, presenting to ED as a result of a fall. A multi-faceted strategy to change practice was implemented and included a referral pathway, audit and feedback and additional falls specialist staff. Key measures to show improvements comprised the proportion of patients reviewed by allied health, proportion of patients referred for guideline care, quality of care index, all determined by record extraction.</p> <p>Results</p> <p>Allied health staff increased the proportion of patients being reviewed from 62.7% in the before period to 89% after the intervention (P < 0.001). Before the intervention a referral for comprehensive guideline care occurred for only 6/177 (3.4%) of patients, afterwards for 28/136 (20.6%) (difference = 17.2%, 95% CI 11-23%). Average quality of care index (max score 100) increased from 18.6 (95% CI: 16.7-20.4) to 32.6 (28.6-36.6).</p> <p>Conclusions</p> <p>A multi-faceted change strategy was associated with an improvement in allied health in ED prioritizing the review of ED fallers as well as subsequent referral for comprehensive geriatric care. The processes of multi-disciplinary care also improved, indicating improved care received by the patient.</p

    Future states: design and science for sustainability

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    In 2017 CERN IdeaSquare collaborated with the Royal College of Art, London to explore how an interdisciplinary approach to innovation that combines science, technology, design and business might address the global sustainability challenges as embodied in the UN’s Sustainable Development Goals 2030. This collaboration examined how an interdisciplinary design led model of innovation that fuses design thinking with scientific discovery, could enable the innovative and potentially disruptive technologies from CERN to address the world’s most intractable challenges, and specifically the UN’s Sustainable Development Goals (SDG). In this paper we explore the nature of interdisciplinary innovation, recent trends in its approach, and describe the way this has been applied, through action research, to generate product service systems that address the UN’s SDGs
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