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Results for “Pilot Projects”

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PubMed1997

[Assessment of the hygiene level of swine trucks after cleansing and after disinfection using 2 microbiological techniques. Hygiene of swine trucks improved in pilot project].

In a field study the hygiene level of trucks for the transport of pigs was measured. In total, on 56 times the hygiene level of a truck has been measured with two different methods, one microbiological method and one bioluminescence technique. During the field study 1.913 hygiene samples were taken. The average hygiene-level after cleaning and disinfection improved. The improvement was based on education and advisory about hygiene which immediately could be used by the truck-drivers. The fact that the results of hygiene measuring was shown directly was also a stimulation to the drivers; they improved their cleaning and disinfection job. The use of detergents by cleaning trucks is not required, although it contributes to a better hygiene-level. The introduction of plastic materials in stead of wood also improved the overall-hygiene in the transportation of animals.

Animals↗

PubMedDate not supplied

[The problem of the aged person living alone: a methodological proposal for a pilot project of the aged person's and university student's cohabitation].

The objective of the present study was to evaluate the outcome of a promotion program for the cohabitation between healthy living-alone-old person and university student. The study aimed to highlight the benefits of both the parts in terms of psyco-physical behaviour of the old subject and of logistic and financial support for the student. The survey was carried out between 1998 and 2000 on voluntary couples of old person-university student living in Padua. The study quantified the level of satisfaction of the material needs of the both parts and it also showed the affective relationship established between the old people and the young subjects.

Activities of Daily Living↗

PubMed1954

A pilot project of residual-insecticide spraying to control malaria transmitted by the Anopheles punctulatus group in Netherlands New Guinea.

The authors report on preliminary observations carried out in three experimental houses in Netherlands New Guinea, the object of which was to determine whether residual spraying with insecticides might be expected to give good results in the control of malaria transmitted by mosquitos of the Anopheles punctulatus group and by A. karwari. One house was sprayed with DDT, another with dieldrin, and the third was left unsprayed. From the kills recorded of mosquitos entering these houses at night it is apparent that good results can be anticipated with both insecticides, although dieldrin is the more effective.Observations made at the same time on the behaviour of these mosquitos indicate that they have greater contact with the inside walls of houses than was previously thought.

Animals↗

PubMed1980

Patient access to hospital records: a pilot project.

The results of granting hospitalized psychiatric patients the right of access to their current hospital record were investigated. Thirty-nine percent of the patients granted that right utilized it. No statistically significant difference between the patients granted this right and those not granted the right of access were detected in the measures of the effectiveness of the treatment program, the patient's attitude towards hospital or its staff, or the actual content of the record. Patients availing themselves of the right of access, however, did have a greater awareness of the treatment program and the content and purpose of the record, although in the main these differences were not statistically significant. Staff were comfortable with open charting and felt it could be used as a therapeutic tool.

Adult↗

PubMed2004

Can mainstream services learn from male only sexual health pilot projects?

Over the past decade a number of community based sexual health projects aimed solely at young men have proved to be very successful at attracting young men into genitourinary medicine services. These projects are often short term funded and under evaluated so it isn't clear exactly how successful they are and why this might be so. These projects should be carefully evaluated and examined to elicit factors, either unique or common in nature, which could be utilised by mainstream sexual health services wishing to develop work with young men. There are many barriers to this happening in mainstream services, some being resource and time problems and others to do with values of staff and lack of quality training. The article looks at practical ways that working with men and the skills and confidence of staff can be improved in mainstream settings while recognising that much of what needs to be done to support the needs of young men must take place in the planning and commissioning stage of services.

Age Factors↗

PubMed1990

Multimodality therapy for advanced and recurrent vulvar squamous cell carcinoma. A pilot project.

From 1985 to 1989 eight women with advanced or recurrent vulvar carcinoma were treated at the Women's Cancer Center of the University of Minnesota Hospital and Clinic. Each received a combination of 5-fluorouracil, mitomycin C and cisplatin during radiotherapy. Five of the eight women who underwent posttreatment radical vulvectomy had acceptable operative morbidity. Six patients experienced a complete clinical response. Of them, one had microscopic residual disease in the surgical specimen. One patient with recurrent vulvar carcinoma experienced progression of disease on therapy. One death was attributable to chemotherapy toxicity, and two patients died of intercurrent disease. The overall survival rate at 27 months was 33%. This multimodality approach to the treatment of advanced vulvar carcinoma should be considered when designing a therapeutic approach to treating extensive or resistant vulvar carcinoma.

Aged↗

PubMedDate not supplied

[Results of a deafness screening program for infants: a pilot project].

This article describes a screening program for hearing loss among infants. The program, designed according to ASHA recommendations, was implemented in a public health district of the province of Quebec. In the first stage of the program all infants born between April 1, 1990 and March 30, 1992 were assessed for risk factors for deafness. In the second stage, those infants considered at risk were given an audiological examination at six months of age. There were 3,944 births during the study period and of these, 8.4% of the infants had at least one risk factor for hearing impairment, the most frequent of which was a family history of hearing impairment at an early age, followed by: hyperbilirubinemia, admission to a high risk neonatal unit, consumption of ototoxic medications, anatomical malformations, perinatal infections and insufficient birthweight. Of the infants at risk, 54.2% were given the audiological examination at six months and one case of deafness was diagnosed.

Deafness↗

PubMed1988

A curriculum in palliative care for internal medicine housestaff: a pilot project.

Despite dramatic growth in the number of hospice programs over the past 15 years, palliative care skills and principles receive minimal attention in medical schools and residency training programs. Northwestern University Medical School and Northwestern Memorial Hospital have developed a program in palliative care education for internal medicine housestaff. Residents, working with a multidisciplinary team of hospice staff, have primary responsibility for the care of terminally ill patients in the home. An inpatient unit is available for acute care when needed. A formal lecture series on symptom management, accompanied by a bibliography and defined learning objectives, provides a guide to the clinical experience. Participating residents also attend seminars focusing on physicians' coping skills and attitudes toward death and dying. Evaluation of the program in its first year shows a definite perception of educational benefit by residents, and enthusiasm for continued involvement in palliative care.

Curriculum↗

PubMed2006

Examining the nurse practitioner role in long-term care: evaluation of a pilot project in Canada.

This study examined the nurse practitioner (NP) role in three long-term care facilities in Ontario, Canada, to identify factors that facilitate or impede the implementation of this role. Facility staff were surveyed about their perceptions of the NP role, and the NP assigned to the facilities was interviewed. Findings indicated the NP had a positive impact on practice activities and staff assessment skills. Ratings of effectiveness and satisfaction with the role were high, although they varied by facility and the frequency of staff interaction with the NP. This study indicated NPs can significantly impact the primary care of residents in long-term care facilities. The NP role can be facilitated by clear delineation of the scope of practice, optimal NP to resident ratios, and organizational support.

Attitude of Health Personnel↗

PubMedDate not supplied

[The pilot project results of applications of the biolarvicide Bacillus sphaericus 2362 on mosquito breeding grounds of the town of Santa Cruz del Norte (La Habana Province)].

The effectiveness of the Bacillus sphaericus strain 2362 in liquid formulation, at a 10 ml/m2 dose, was tested in 157 breeding sites of Culex quinquefasciatus mosquitos, 2 breeding sites of Culex quinquefasciatus and Anopheles albimanus and 1 breeding site of Aedes taeniorhynchus, consisting of 1 river, 2 oxidation ponds, 1 pond, 4 dams, 2 microdams and 150 pits. The results reached with the application of 1800 1 of biolarvicide show its effectiveness. Within 24 hours of treatment, mortality rates were 100%, in a wide range of ecological conditions, its permanence up to 5 months in breeding sites without stream and innocuousness for other hydrobionts. DPGs in humans, having shown considerable reductions, confirm the advantages and potentialities of using this method under tropical conditions.

Aedes↗

PubMed2003

Using standardized patients to teach disease management skills to preclinical students: a pilot project.

BACKGROUND: Physician adherence to practice guidelines has been poor. Exposure to such guidelines is not a routine part of medical school curricula. PURPOSE: This study was designed to determine whether standardized patients could be used to teach preclinical students the skills to manage a patient with newly diagnosed diabetes mellitus. METHODS: Students were assigned a standardized patient with hyperglycemia. The students were given guidelines on the management of diabetes and told to manage the patient appropriately. Patients' charts were reviewed to determine if all cardiovascular risks were managed appropriately. RESULTS: Students successfully managed all cardiovascular risks according to published guidelines. Participants overwhelmingly believed this methodology was a valuable way to teach disease management. CONCLUSION: Second-year students can use practice guidelines to successfully manage patients with diabetes. The students' performance exceeded the standards of care found in the published literature. This problem-based approach may be an ideal way to teach disease management.

Adult↗

PubMed2006

Telemedicine for diabetes support in family doctors' practices: a pilot project.

A telemedicine support system for diabetes management was compared with standard monitoring of patients with diabetes. The telemedicine system was composed of two modules: a Patient Unit and a Medical Unit connected by the telecommunication network. The study involved 60 patients of family doctors' practices in the Lower Silesia Region who were diagnosed with diabetes. There was no significant difference in haemoglobin A(1c) between telemonitoring and the traditional group of diabetic patients during the survey. The patients' quality of life slightly improved in the telemonitoring (mean score 3.4) and the traditionally monitored group (mean score 3.2), but there was no significant difference between them. Most of the telemonitoring patients (75%) expressed the desire to continue with telemedicine support and nearly 60% of patients monitored with traditional methods wanted to be included in the telemedicine group. The system seems to be reliable, simple to use and friendly for the patients.

Blood Glucose Self-Monitoring↗

PubMed2000

Bill would establish pilot project for denturism in Kentucky.

HB 238 has been reported favorably to the floor of the House of Representatives by the Committee on Licensing and Occupations, but has not yet been acted upon by the full House. When asked whether he thought his legislation would be approved, Representative Burch said he thought the bill had a "50-50" chance of passing the Kentucky legislature this year. Sources within the Kentucky dental laboratory and dental communities disagree on the legislation's chances for passage. Some within the industry feel the legislation simply does not have enough votes to pass the General Assembly, primarily because of opposition from the Kentucky Dental Association. Others speculate that the bill has a better opportunity to be approved this year than it did in the previous years when it was introduced. The Kentucky General Assembly adjourns its session for the year 2000 on April 12, so there will be a quick answer to the question of whether HB 238 will be approved. The May issue of this column will provide details.

Dentists↗

PubMed1987

[Verbal interaction and heart rate in the course of the therapeutic process in a neurotic patient. A psychobiologic pilot project].

Whereas measurements of physiologic variables are widely used in investigations of psychosomatic illnesses, this proceeding is not an established strategy when dealing with the therapeutic process of neuroses which lack coarse bodily symptoms. Therefore, we investigate the heart rate response pattern and the verbal dialog during therapeutic sessions of a patient with an impulsive neurosis. Recordings are made before and after the obsessive symptoms improve. Changes are found in the heart rate response as well as in the verbal interaction between patient and therapist. While symptoms persist the patient's behavior alternates between patient and therapist. While symptoms persist the patient's behavior alternates between gross defense and a panic like disturbance. Concurrently the heart rate response shows an inconspicuous pattern interrupted by sudden heart rate increases. After the obsessive symptoms had ceased the patient has been better controlled in his behavior but is more tense. Compared to the previous state this is accompanied by more frequent and longer lasting periods of reduced heart rate variability and only moderate increases.

Adult↗

PubMedDate not supplied

Evaluation of therapeutic drug monitoring in a long-term care facility: a pilot project.

The need for a therapeutic drug monitoring service was evaluated in a 150-bed long-term care facility. Thirty blood samples from 28 residents (mean age 87.9 years) were assayed to determine trough drug concentrations. All subjects were examined to determine pharmacodynamic effect. Pharmacokinetic consultations were written for serum drug concentrations outside accepted ranges. Fifty percent (15 of 30) of serum drug levels measured were subtherapeutic; the remaining levels were in the normal therapeutic range. Based on this sample data, it could be concluded that a minimum of 32 percent and as many as 68 percent of serum drug levels would be subtherapeutic following drug analysis in similar nursing home populations. Of 12 consultations, recommendations for seven (58 percent) were accepted by the subject's primary care physicians. Four of the consultations (33 percent) resulted in dosage modifications. These results support the need for further study.

Aged↗

PubMed2001

Daughters and mothers exercising together (DAMET): a 12-week pilot project designed to improve physical self-perception and increase recreational physical activity.

This paper presents the results of a 12-week single-sex, family-based physical activity intervention grounded in Social Cognitive Theory. Mother/daughter pairs and triads (n = 20) attended physical activity and classroom sessions twice weekly. Physiological data (VO2peak, height, and weight), psychological data (physical self-perception profile subscale scores), information about physical activity participation (PAP, d x wk(-1)) and qualitative impressions (QI) of the program were collected pre- and post-intervention. PAP and QI were also collected 6-months after completing the intervention. Although no significant increases in physical activity were reported, significant improvements in perceived sport competence, physical condition, and strength and muscularity were reported over time. The social cognitive theory, as used to plan this physical activity intervention, offered a promising theoretical perspective for facilitating improved physical self-perception in adolescent girls and their mothers.

Adolescent↗

PubMed2000

Social network methods for endemic foci of syphilis: a pilot project.

BACKGROUND: Social network methods have improved our understanding of sexually transmitted disease transmission dynamics, and may be of use in routine field operations for partner notification. GOAL: To augment traditional syphilis-control activities with social network methods in an Atlanta area with high syphilis morbidity. STUDY DESIGN: Disease investigators conducted interviews, used network diagrams to prioritize their work, and relied on network connections for finding hard-to-reach persons. RESULTS: A total of 396 contacts were elicited from 48 infected and 50 uninfected persons. The cumulative prevalence of syphilis was 12.6%, and 24 persons infected with HIV were identified. Network methods disclosed a large, interconnected group (276 persons) characterized by high network centrality and the substantial presence of small, interactive subgroups (microstructures). CONCLUSION: The network approach is a feasible field technique, and can identify core groups involved in the intense transmission of syphilis. The targeted, network-based approach may be useful in attempts to eliminate syphilis.

Adult↗

PubMed1994

[Compliance and tolerance of new antitubercular short-term chemopreventive regimens in childhood--a pilot project].

Efficacy of preventive chemotherapy in tuberculosis-infected children depends to a great extend on medical compliance and drug tolerability. Two new short-course chemoprevention-regimes of tuberculosis--four months Rifampin (A) and two months Rifampin plus Pyrazinamide (B)--were compared with the well established regimen of six months Isoniacid (C). 150 children (mean age 3.6 years with Tb conversion) were randomly allocated to these three regimens. 13 patients were non-compliant, in terms of interview, urinary INH-test strips, urine colour and prescription frequency: 7 in group C and 3 in group A and B, respectively. Adverse effects were observed in 5 patients: 3 in group C and 1 in group A and B. 1 child (group B) developed tuberculosis two years after stopping short course chemoprevention. Good compliance (94%) as well as neglectable risks of adverse effects (2%) justify further controlled studies to evaluate the efficacy of short course chemoprevention in childhood.

Adolescent↗