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PubMed1999

The Very Important Partner program: integrating family and friends into the health care experience.

The hospital experience, especially in critical care units, can be perceived by patients and their family as unwelcoming, intimidating, and anxiety producing. Patients desire the presence of loved ones and family members and may commonly express feelings of helplessness and not feeling valued or important. The Very Important Partner (VIP) program integrates family and friends into the health care experience in order to create an environment that provides opportunities for patients and their loved ones to truly experience healing of the mind, body, and spirit. Patient satisfaction survey results and anecdotal comments demonstrate that the VIP program has a significantly positive effect on the perception of the overall hospital stay. The program is a simple, common sense approach to optimizing the overall healing of patients and family. The implementation of similar programs is recommended in hospitals nationwide.

Cardiovascular Diseases↗
PubMedDate not supplied

Covenant model of corporate compliance. "Corporate integrity" program meets mission, not just legal, requirements.

Catholic healthcare should establish comprehensive compliance strategies, beyond following Medicare reimbursement laws, that reflect mission and ethics. A covenant model of business ethics--rather than a self-interest emphasis on contracts--can help organizations develop a creed to focus on obligations and trust in their relationships. The corporate integrity program (CIP) of Mercy Health System Oklahoma promotes its mission and interests, educates and motivates its employees, provides assurance of systemwide commitment, and enforces CIP policies and procedures. Mercy's creed, based on its mission statement and core values, articulates responsibilities regarding patients and providers, business partners, society and the environment, and internal relationships. The CIP is carried out through an integrated network of committees, advocacy teams, and an expanded institutional review board. Two documents set standards for how Mercy conducts external affairs and clarify employee codes of conduct.

Catholicism↗
PubMed1988

Glucose intolerance as contributor to noncommunicable disease morbidity and mortality. WHO integrated program for community health in noncommunicable diseases.

The World Health Organization (WHO) has considerable evidence that several interrelated factors (e.g., smoking, hypertension, cholesterol, and obesity) contribute to total mortality. Data are presented documenting that glucose intolerance is also a risk factor for total mortality, as well as for cancer and cardiovascular morality. The Kaunas-Rotterdam Intervention Study, which documented glucose tolerance and mortality in a cohort of men, shows a linear increase in total mortality with increasing blood glucose levels. By use of multiple logistic regressions, glucose was shown to be a significant risk factor (c = .2534, t = 4.0) for total mortality. A paradigm is presented in which diabetes is placed as a disease and glucose intolerance as a risk factor within the total scheme for the development of noncommunicable diseases. The WHO action plan for integrated programs in noncommunicable diseases is discussed. The program expands on the experience gained by WHO investigators in community programs and proposes a cooperative effort globally in community-based programming.

Blood Glucose↗
PubMedDate not supplied

A sensory-integration program for blind campers.

An occupational therapy pilot program with emphasis on sensory integration was introduced into a six-week day camp for 18 blind children. The therapist screened and assessed the children through a number of tests that did not require sight. A treatment session was held five mornings each week that stressed individual therapy, and involved balance, movement, and body form concepts. The campers' performance improved in vestibular integration, in lessening of fear of movement, and, in some, in improved integration of reflexes. Plans have been made to continue the program in succeeding summers.

Adolescent↗
PubMed1988

Evaluation of the effectiveness of a structured breast-feeding promotion program integrated into a Maternal and Child Health service in Jerusalem.

A community program for promotion of breast-feeding integrated into the Maternal and Child Health (MCH) services is presented and evaluated, using two quasi-experimental designs, comparison groups and time trends. The program, which began in 1981, included guidance from the 7th month of pregnancy to 6 months post-delivery. An increase in the percentage of breast-feeding mothers and the duration of breast-feeding was noted in the post-intervention cohorts (1981-82 and 1985) compared with the preintervention cohorts (1979-81). The comparison of the breast-feeding pattern of the 1985 birth cohort from the MCH service exposed to the program with a similar group receiving routine MCH care indicated that the percentage of mothers breast-feeding fully or partially was consistently higher among the intervention group compared with the control group at 4, 13 and 26 weeks (P = 0.0045), and the mean duration of full breast-feeding was 9.3 weeks compared with 7.0 weeks (P = 0.028). The program had a greater effect on mothers with a lower educational standard, thus closing the gap in the breast-feeding pattern by educational level in the intervention group. The evaluation indicates that a structured breast-feeding promotion program is more effective than the routine guidance received in the MCH service.

Breast Feeding↗
PubMed1993

Autotransfusion program: integrated use of different techniques.

A successful autologous program should enroll all appropriate patients, conserve homologous blood and minimise the exposure to the risks of donor blood. A program of autotransfusion and proper use of blood has been implemented since 1980 with the objectives to include all eligible patients and to transfuse autologous blood only. The following strategies were adopted: critical review of transfusion indications; control of overtransfusion; avoidance of waste; systematic and integrated use of all autotransfusion techniques currently available. Results in 1992 in elective surgery: 98% enrollment, 75% blood conservation. Exposure to homologous blood was completely avoided in 53% of the cases.

Blood Loss, Surgical↗
PubMed1986

[Planned dairy herd health II. An integrated gynecological program].

Integrated gynaecological programmes play an extremely important role in total herd health control by ensuring the maintenance of optimal reproduction and production. The economic implications of reduced breeding efficiency manifest in, and are reflected by total lifetime milk production, the size of the calf drop, the availability of replacement animals and increased involuntary culling rate. Measured against production costs (feed, labour and veterinary expenses), lowered reproductive efficiency erodes the margin of profitability of the farming enterprise. Herd health programmes must be well planned, stringently implemented and regularly evaluated to ensure their effectiveness. To this end they must be based on simple and practical guidelines which can be adapted as required to cope with varied farming and management conditions. This paper outlines the setting of clear objectives, factors to consider during the introductory phasing in of an integrated gynaecological programme and details of each subsequent routine visit. Ideal objectives are presented and discussed in terms of the individual animal as well as the herd. Suggested figures for each parameter are given. The significance of oestrus observation is stressed as cardinal to the attainment of many of the set objectives. The significance of calf management as the nucleus of the production of a healthy heifer replacement herd is discussed. During the introductory phase, which can be a protracted period, the foundation for routine visits is laid. Herd structure is defined, facilities are evaluated, record systems are set up and the farmer is groomed as to his role in the successful implementation of the planned programme. The value of a control questionnaire is highlighted, and factors considered are set out. The method of the routine gynaecological programme is discussed in detail. The necessity for a standard examination list is set out and the various categories of cows to be examined on each routine visit is clearly outlined, with important factors relating to each being highlighted. Examples of the various forms used are given. Evaluation of the acquired data should be done immediately, and discussed with the farmer during the current visit. Findings can be compared with those of previous visits, analysed, and recommendations may be considered immediately in consultation with the farmer. Dairy farming is a highly complex farming enterprise involving large capital outlays, intensification of labour and astute management for optimal and economic production.(ABSTRACT TRUNCATED AT 400 WORDS)

Animal Husbandry↗
PubMed1989

[Influenza vaccination: evaluation of an integrated program in a basic urban health area].

We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 64.6%. This rate was higher in risk groups such as diabetes, heart disease and chronic airflow limitation. Rates of 74.9%, 81.8% and 94.11% were achieved in groups with two, three and four risk modifiers. The direct call was considered the most effective method of catchment. The major conclusion was that the attempted coverage rates were not achieved. We suggest that the "non-vaccinated" individual profile should be investigated and the motivation level of the health professionals should be improved to increase the yield of the influenza vaccination programs.

Aged↗
PubMed2004

[The IPT integrative program of psychological therapy for schizophrenia patients: new perspectives].

The integrated psychological treatment for schizophrenic patients IPT is composed by six modules that can be implemented either separately or in an articulated way. In that case, the treatment begins with a cognitive remediation phase which is followed by a social skills training phase. In the first phase, exercises specifically focalize on selective attention, memory, logical reasoning, perception and communication skills. The second phase of the program offers three other modules that train other skills: 1) social skills, 2) emotional management, 3) interpersonal problem solving. The IPT program belong to the so called second generation of social skills training programmes. It has been validated by numerous controlled studies, either in its complete form or in partial forms containing only one ore more of its sub-programmes. The results of these studies are globally positive. They show that IPT is an interesting therapeutic contribution for the rehabilitation practice with schizophrenic patients. A third generation of social skills training has been elaborated on the basis of the current IPT program. These new adjunctions to the IPT tend to favour the utilization in the real life of the competencies trained in the sessions, either by adding specific homeworks, in-vivo or booster sessions, or by designating new programmes directed to specific rehabilitation objectives, such as the integration in a apartment, the management of leisure times or the return to a workplace. These new programmes have been studied. They are promising and seem to be a useful complement to the original IPT.

Attention↗
PubMed1997

Academic associate program: integrating clinical emergency medicine research with undergraduate education.

An educational program that teaches undergraduate students about clinical research related to emergency medicine is described. The students work as research assistants within the ED, thus providing a departmental framework for the enrollment of patients in clinical studies. Volunteers interested in the program undergo a physical examination, vaccination history, and standard serologic testing, and sit through a formal blood and body fluid exposure course offered by the university prior to their clinical research participation. A didactic curriculum on clinical research concepts and course examinations is provided. Over the 4 years since the department established its departmental research goals and this educational program, the departmental publication rate has increased from 2 to 20 manuscripts. While there was only 1 faculty member with a research publication in 1992, there were 9 faculty with manuscripts accepted for publication in the first 6 months of 1996. Similarly, more nurses and ancillary staff have become involved in prospective clinical research. Much of this success is attributed to the novel use of resources through the academic associate program.

Allied Health Personnel↗
PubMed1996

Pilot test results comparing the All Stars program with seventh grade D.A.R.E.: program integrity and mediating variable analysis.

A pilot test of a new program, All Stars, was completed. Four variables known from prior research to mediate high-risk behaviors were measured: 1) personal commitment to avoid participating in high-risk behaviors, 2) ideals incongruent with high-risk behaviors, 3) bonding with prosocial institutions, and 4) conventional beliefs about social norms regarding high-risk behaviors. Compared to students who received the seventh grade D.A.R.E. program, students' who received the All Stars program had significantly better outcomes on each mediator. All Stars students also gave superior ratings to the program and their involvement in it.

Adolescent↗
PubMedDate not supplied

[Stomatological component in the integrated program of prevention of non-infectious chronic diseases in the Latvian S.S.R. 3. Elaboration of the primary prevention program for essential stomatological diseases].

The stomatological component draft of the integrated programme regarding the prophylaxis of non-infectious chronic diseases in the Latvian SSR is shown. Authors describe the aims and tasks, the criteria regarding the attainment of objects, the strategy, the levels of action, the basic methods, the contingent, the stomatological component, the stages of introduction of the established measures and the plans of scientific research to be carried out in the framework of the proposed draft.

Adolescent↗
PubMedDate not supplied

[Specifics of cognitive behavioral therapy in schizophrenia. Integrated program of psychological therapy].

According to the authors, information processing disorders contribute essentially to the vulnerability of the schizophrenic patient. Attentional/perceptual and cognitive disorders exert a pervasive influence on more complex levels of overt behavior in schizophrenia. Conversely, behavioral deficits influence cognitive functioning as well. Psychosocial rehabilitation of patients with schizophrenia must therefore address the impact of disordered attentional/perceptual and conceptual processes and their integrating organization on behavior as well as the effects of behavioral dysfunctions on cognition. The Integrated Psychological Treatment Program (IPT) for schizophrenic patients provides means of addressing these interactions. The designation "integrated" implies that the treatment is directed at cognitive disorders as well as behavioral/social deficits by using highly structured interventions, and is carried out with "reality-oriented" material. This treatment approach has been developed by Brenner and al., since 1976. The original IPT includes five subprograms: Cognitive Differentiation, Social Perception, Verbal Communication, Social Skills and Interpersonal Problem Solving. Patients first work on improving disordered basic cognitive functions in the Cognitive Differentiation subprogram. Exercises are directed at impairments in attentional/perceptual and conceptual processes. Mastery of this subprogram leads to the Social Perception subprogram, which aims at disturbances in processes of stimulus discrimination and interpretation on perceiving and assessing social interactions. The Verbal Communication subprogram follows successful completion of the previous subprograms and trains associative-semantic processes as well as basic skills necessary for conversation. In the Social Skills subprogram, interpersonal behaviors and self-instructions required for gaining instrumental and emotional aims are taught.(ABSTRACT TRUNCATED AT 250 WORDS)

Affective Symptoms↗
PubMedDate not supplied

A sustainable behavioral health program integrated with public health primary care.

The need for behavioral healthcare for the poor and indigent is well documented in rural North Carolina, and integrated behavioral healthcare--that is, mental health screening and treatment offered as part of primary care services--has proven a very effective and efficient method to improve patients' health. In 2000, the Buncombe County Health Center (BCHC) began a grant-funded program treating depressed patients in its public health clinics and school health programs. The Health Center used the opportunity to send a team to the Management Academy for Public Health to learn business principles that could be applied to the challenge of sustaining this program as part of its ongoing public health service delivery for the county. Using their business plan from the Management Academy, the BCHC sought funding from various stakeholders, and, through their support, was able to institute a fully integrated behavioral health program in 2004. The BCHC has now joined forces with other partners in the state to address statewide policy changes in support of such programs. These efforts are an example of how a community health center can apply entrepreneurial thinking and strategic business planning to improve healthcare and effect wide-ranging change.

Behavioral Medicine↗
PubMed2005

RAP, an integrated program for monitoring bioluminescence and analyzing circadian rhythms in real time.

To process the large number of circadian rhythmic bioluminescence data that we generated with specially developed, high-throughput monitoring apparatuses, we developed an integrated rhythm-analyzing program (RAP) with a user-friendly graphical interface. RAP does all of the following in real time: (i) displays the bioluminescence time course, (ii) records time-series data, (iii) analyzes the data, (iv) displays the analyzed results, (v) statistically evaluates the analyzed results, and (vi) provides printouts. Because RAP can import files, it can analyze not only bioluminescence data but also other data such as those obtained by DNA array experiments and by Northern and Western blot analyses. The program is a powerful tool for large-scale investigations of biological rhythmic phenomena in general.

Arabidopsis↗
PubMed1999

DnaSP version 3: an integrated program for molecular population genetics and molecular evolution analysis.

UNLABELLED: DnaSP is a Windows integrated software package for the analysis of the DNA polymorphism from nucleotide sequence data. DnaSP version 3 incorporates several methods for estimating the amount and pattern of DNA polymorphism and divergence, and for conducting neutrality tests. AVAILABILITY: For academic uses, DnaSP is available free of charge from: http://www.bio.ub.es/julio/DnaSP.html CONTACT: julio@porthos.bio.ub.es

Computer Simulation↗
PubMed1989

[Implementation of an integrated program of prevention of chronic nonspecific diseases in the Kaĭshiador region of the Lithuanian SSR].

An integrated prevention programme of chronic noncommunicable diseases (CND) was started by the Lithuanian SSR in 1983. Improvement of population's health status due to primary preventive activities aimed at prevention of risk factors' development and correction was defined as the basic long-term goal of the programme. Organizational aspects of the integrated programme carried out in the Kaishyador Region of the Lithuanian SSR were described. Some results obtained during the implementation of the programme on prevalence and correction of major CND risk factors were presented.

Adolescent↗