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At least 109 records · Page 6Linked to original sources
PubMed1998

Orthodontic auxiliaries--a pilot project.

AIM: To undertake a pilot study to determine a possible training programme for orthodontic auxiliaries. DESIGN AND SETTING: Trainee hygienists who had been accepted onto a 2-year programme were asked to attend the Bristol Dental School well before their course was due to begin in order to participate in a pilot orthodontic assistant auxiliary training programme. METHODS: A modular course of one month's duration was constructed based on the programme at the University of British Columbia. This aimed to teach skills such as impression taking, bond placement, debracketing, band cementation as well as core knowledge relevant to these procedures. RESULTS: At the end of the course all participants were judged to be performing the tasks they had been taught competently and safely. CONCLUSION: UK dental nurses can be trained to fill the role of an orthodontic auxiliary. It would appear that an introductory clinical skills course of one week followed by an orthodontic skills training of three weeks is sufficient for a qualified dental nurse of above average abilities such as typifies those who are currently applying for places on UK dental hygiene courses. It is estimated that a further period of nine months supervised training will be necessary for those who have successfully completed such a training to develop clinically useful speeds when delivering these skills.

Cementation↗
PubMed1996

Flexible sigmoidoscopy screening for colorectal cancer in average-risk subjects: a community-based pilot project.

OBJECTIVE: To test a pilot screening program for colorectal cancer. DESIGN: Subjects, chosen at random and recruited by mail, were examined by flexible sigmoidoscopy. PARTICIPANTS AND SETTING: Normal-risk, asymptomatic men and women aged 55-59 years recruited from the community, July to December, 1995. MAIN OUTCOME MEASURES: Number of polyps detected and cancers diagnosed, and compliance with screening. RESULTS: Letters of invitation were sent to 3500 subjects; of these, 2881 were eligible for inclusion in the study and 342 (12%) consented to participate. A further 3.5% of non-compliant subjects attended the screening program after a telephone survey assessing reasons for non-attendance. Common reasons for non-attendance were a lack of interest (30%) or a lack of time, mainly due to work commitments (28%). A third of subjects had polyps and 46% of these were adenomas. Three subjects were found to have adenocarcinoma: in two the cancer was confined to a polyp and treated with polypectomy, and one subject underwent anterior resection (overall prevalence of cancer, 0.9%). The median depth of insertion achieved with flexible sigmoidoscopy was 55 cm (range, 25-100 cm). Median pain level (on a scale of 0 = no pain to 10 = worst pain imaginable) was 2 (range, 0-8.5), and 99% of the subjects would have the test again if required. CONCLUSIONS: Flexible sigmoidoscopy was well tolerated and had an acceptable detection rate of adenomatous polyps and early cancer. Subject compliance emerged as a major issue which requires further evaluation to maximise participation in future programs.

Adenocarcinoma↗
PubMed2006

Grief and courage in a river town: a pilot project in the Aboriginal community of Kempsey, New South Wales.

OBJECTIVE: To describe a pilot project implemented in Kempsey, NSW, whereby a psychiatry registrar worked in a community-controlled Aboriginal medical service, Durri Aboriginal Corporation Medical Service, which provides mental health services for Aboriginal people. CONCLUSIONS: The Aboriginal Mental Health Workers and psychiatry registrar jointly managed a significant number of Aboriginal people, often with assistance from the local mental health service at Kempsey. The registrar gained insight into the local Aboriginal community and more culturally appropriate clinical methods, as well as some cultural factors that can influence the presentation and management of mental illnesses. The Aboriginal Mental Health Workers increased their clinical knowledge and confidence through working with the registrar.

Catchment Area, Health↗
PubMed2002

A model for government-community partnership in building sewage systems for urban areas: the experiences of the Orangi Pilot Project--Research and Training Institute (OPP-RTI), Karachi.

Over 20 years the Orangi Pilot Project has been working to understand the problems of Orangi, a district of Karachi largely characterised by high-density informal settlement, and enable its residents to develop and implement solutions. Sanitation was identified as the major problem and a sewerage system was built. From this work was developed the "internal-external" concept for sanitation, which has 4 levels: sanitary latrines in houses; underground sewer in lane; neighbourhood collector sewer; and trunk sewer and treatment plant. The first three components are "internal" and can be undertaken by low-income communities; the "external" fourth component has to be funded and carried out by government or similar agency. Successful and unsuccessful attempts elsewhere to replicate this model have both confirmed the effectiveness and practicality of such community-based action and shown the - largely organisational pitfalls that must be avoided.

Cities↗
PubMed1986

Training and activities of pharmacist prescribers in a California pilot project.

The training of pharmacists allowed to prescribe under protocol in California health manpower pilot projects (HMPPs) and the specific program at San Francisco General Hospital (SFGH) are described. From 1972 to 1983, several bills were passed allowing pharmacists to prescribe and administer drugs or devices in HMPPs under specified conditions. The main objective of the HMPPs was to train pharmacists to assist physicians and other providers in providing good follow-up care for chronically ill patients. Programs for pharmacists consisted of a training phase followed by an employment phase in which all primary care delivered by the pharmacists was performed under protocols and supervised by physicians. At SFGH ambulatory-care clinics beginning in early 1978, a pharmacist assisted by a licensed vocational nurse monitored patients receiving anticoagulant therapy. A cardiologist reviewed all the medical records at the end of each clinic period. Through July 1, 1983, 3,800 patients had been seen at the SFGH site; a total of 201,000 patients were seen by all HMPP pharmacists. Questionnaires answered by the supervising physicians and by patients indicated that pharmacists prescribed appropriately and were accepted in their roles as primary-care providers. Evaluations of the HMPPs at SFGH and at other sites indicate the success of and the need for these innovative programs.

Anticoagulants↗
PubMed2004

The Human Proteome Organization Plasma Proteome Project pilot phase: reference specimens, technology platform comparisons, and standardized data submissions and analyses.

A comprehensive, systematic characterization of cirolating proteins in health and disease will greatly facilitate development of biomarkers for prevention, diagnosis, and therapy of cancers and other diseases. The Human Proteome Organization Plasma Proteome Project pilot phase aims to (1) compare the advantages and limitations of many technology platforms; (2) contrast reference specimens of human plasma (ethylenediaminetetra acetic acid, heparin, citrate-anticoagulated) and serum, in terms of numbers of proteins identified and any interferences with various technology platforms; and (3) create a global knowledge base/data repository.

Biomarkers↗
PubMed1995

Mass screening for cervical cancer in Norway: evaluation of the pilot project.

The Norwegian Department of Health and Social Affairs initiated a national screening program for cervical cancer in 1990, with all women aged 25 to 70 years to be offered cervical screening every three years. During the first three years of the program (November 1991-October 1994), all spontaneous cervical cytology in Norway was recorded at the Norwegian Cancer Registry. In addition, women in the counties of Vestfold and Sør-Trøndelag were invited individually to be screened. The aim of the present study was principally to evaluate the organization aspects of a nationwide, population-based screening program for cervical cancer in Norway. Special attention was paid to the coverage, the attendance rate, and the cytologic findings in the two-county study area. A total of 1,581,379 Pap smears were recorded from November 1991 to October 1994. Most smears were taken from women under age 30 years (31.7 percent). About 25 percent of the women aged 25 to 29 years had more than one normal smear. In the study area, a coverage of about 71 percent in the age group 25 to 69 years was achieved. The pilot project also has shown that it is possible to recruit elderly women into screening. However, no difference was noted between the study and the reference area with regard to findings per smear of precursor lesions (CIN 3, modified SNOMED coding system). The experiences from three years of recording and the implementation of the pilot project have provided useful guidelines for the national screening which began in January 1995.

Adult↗
PubMed2005

The Behavior Education Support and Treatment (BEST) school intervention program: pilot project data examining schoolwide, targeted-school, and targeted-home approaches.

As part of a pilot project, four elementary schools were randomly assigned to receive one of four interventions: (a) a schoolwide intervention that incorporated universal and targeted treatment, (b) a targeted-school intervention delivered to individual students in regular and special education classrooms, (c) a targeted-home intervention delivered in home and regular classroom settings, and (d) a control condition that did not receive a designated intervention. Results showed that the behavior of disruptive children in all schools improved during the course of the year, with some evidence that interventions provided complementary effects. These findings support the continued use of behavioral interventions in elementary schools and argue for interventions that combine different methods of delivering interventions.

Achievement↗
PubMed1999

Dilatation and stenting for naso-lacrimal duct obstruction: a pilot project.

PURPOSE: Obstruction of the naso-lacrimal duct has traditionally been treated by dacryocystorhinostomy. This pilot project aimed to evaluate the use of stents as an alternative approach to the treatment of naso-lacrimal duct obstruction. METHODS: Six patients with naso-lacrimal duct obstruction underwent a pre-procedural dacryocystogram to confirm the site of obstruction. Under local anaesthesia, they subsequently underwent dilatation of the naso-lacrimal duct using a guide wire and a plastic dilator aided by fluoroscopy and digital subtraction imaging. The stent was then placed with its head in the lacrimal sac and tail protruding out of the naso-lacrimal duct into the inferior meatus. Dacryocystography was repeated to confirm patency. Patients were followed up for a minimum of 12 months. RESULTS: The procedure was successfully completed in four of the six patients. In one patient, we failed to negotiate the guide wire and in one, a false passage was created. All four successful cases were rendered asymptomatic and their lacrimal passages remained patent at 12 months. CONCLUSION: Naso-lacrimal duct dilatation and stenting is a viable alternative to conventional dacryocystorhinostomy in the treatment of naso-lacrimal duct obstruction and merits a larger trial.

Aged↗
PubMed2005

Out-of-hours emergency dental services--evaluation of the first year of a pilot project in Fife.

The Scottish Executive Health Department approved funding in 2001 for Fife NHS Board to pilot an integrated model of out-of-hours dental services based upon a dental nurse-led triage system during the evenings, weekends and some public holidays. After one year of the pilot project the activity was evaluated by analysing the triage database. Nearly 4,000 calls were received--Fridays and Saturdays were the most popular days to telephone which resulted in nearly half of all callers being referred to an emergency weekend clinic. Thirty-nine percent of callers received advice only or were advised to contact their own dentist during working hours. A further 12% who were not registered with a dentist (n=479) were offered a next-day appointment with a dentist in their area--around half of these callers subsequently attended for an appointment. Only two out of every 100 callers were deemed to require emergency out-of-hours attention and were referred to oral surgery staff in a local hospital.

After-Hours Care↗
PubMed2002

A pilot project to evaluate implementation of clinical guidelines.

With the global emphasis on quality care based on evidence, this pilot project aimed to examine changes in nursing practice following dissemination and implementation of clinical guidelines. The project implemented a fall prevention guideline in an acute care hospital. Fall preventive nursing practice of the hospital was compared before and after implementation of the guidelines. Results about the changes in nursing practice are discussed in terms of the methods and processes of dissemination and implementation, as well as the features of the guidelines.

Accidental Falls↗
PubMed2001

Paramecium genome survey: a pilot project.

A consortium of laboratories undertook a pilot sequencing project to gain insight into the genome of Paramecium. Plasmid-end sequencing of DNA fragments from the somatic nucleus together with similarity searches identified 722 potential protein-coding genes. High gene density and uniform small intron size make random sequencing of somatic chromosomes a cost-effective strategy for gene discovery in this organism.

Animals↗
PubMed1980

Health care in jails: an evaluation of the American Medical Association's pilot projects.

In 1975 the American Medical Association was awarded a grant by the Law Enforcement Assistance Administration to conduct pilot projects to improve the quality of health care in jails. The medical societies of six states were selected as subgrantees and projects were initiated in thirty jails. The evaluation of these projects involved both process and impact components. The principle criterion for the process evaluation was the success of jails in meeting the standard of health care for jails that were established by the AMA as part of the project. The principle criterion employed in the impact assessment was the extent of improvement in the early detection of inmates' health problems. The project was determined to be successful in both the process and the impact evaluation, although notable improvements in jail health care are still to be made.

American Medical Association↗
PubMed2005

A preventive pilot project addressing multiethnic tensions in the wake of the Iraq war.

This article describes a school-based preventive pilot project for recent immigrant children, designed to decrease anxiety and intergroup tensions associated with the Iraq war. Results suggest that clinicians should address the multiplicity of meanings associated with international events when planning a prevention program in multiethnic schools to help children to cope with the increasingly common gap between the ways traumatic events covered by the media are understood at home and at school.

Acculturation↗
PubMed1993

Prevention at school level. UNESCO and WHO: six pilot projects.

UNESCO (United Nations Educational, Scientific and Cultural Organization) and the World Health Organization (WHO) are jointly undertaking six pilot projects in Asia and the Pacific, Africa, Latin America and the Caribbean to develop innovative approaches for AIDS education in schools, with the long-term objective of integrating successful educational strategies into school curricula. The projects are being carried out through workshops for the production of educative materials and teacher training workshops. The overall goal is to help young people of school age behave responsibly, giving rightful importance to self-esteem and mutual respect. In line with the program's objective of focusing on technical leadership and support to help countries plan and implement effective AIDS control, plans are underway to organize regional training courses for decision makers on AIDS education in school.

Acquired Immunodeficiency Syndrome↗
PubMed1991

The Quick Response Team: a pilot project.

The Quick Response Team, consisting of physicians, nurses and social workers in an emergency room setting, conducted a five month pilot project whose overall goal was to eliminate unnecessary admissions to an acute care hospital. This paper reports on the three social work objectives of the program: high risk screening and direct intervention, including assessment, short-term counselling, information, and referral; follow-up services; and social work coverage to all units after hours. Over a 4 month period 11.6% of all patients in the emergency room were assessed by the social work staff and 24 non-acute admissions were deferred. The results of the study confirm the effectiveness of a social work presence in the emergency department in reducing non-acute admissions and in providing continuity of care for patients at high social risk.

Aftercare↗
PubMed1981

Staff support group on a cancer ward: a pilot project.

Despite strong evidence of high stress among oncology nursing staffs, few empirical intervention studies have been attempted. This study involved a pilot project to combine two anxiety-reducing aids--group support and the provision of pertinent information--into a single format for maximum stress reduction. Weekly groups producing both support and information lasted 8 months and covered a wide range of topics. Both unstructured and didactic sessions were used. Pre- and postquestionnaires were distributed to each participant to assess ward atmosphere, attitudes about cancer, and level of stress. Participants expressed great satisfaction with the project, but their enthusiasm was not supported by statistical evaluation. Various methodological and programmatic aspects that may account for the discrepancy between anecdotal and statistical results are discussed.

California↗