...The purpose of the article titled “ A Novel Early Intervention for Preschool Depression: finding from a Pilot Randomized Controlled Trial" by Luby was to test whether or not parent child interaction therapy emotion development (PCIT-ED) was a successful treatment than developmental and parenting intervention (DEPI) when dealing with preschool depression since previous studies did not pay particular attention to preschool children. PCIT is a treatment that focuses on enhancing a better developmental relationship and more nurturing parenting. Children between three and seven years old were used as the sample group to identify depression. The groups were tested by using the Preschool Feelings Checklist (PFC) at the community pediatricians’ office...
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...The following guidelines are intended only as a general educational resource for hospitals and clinicians, and are not intended to reflect or establish a standard of care or to replace individual clinician judgment and medical decision making for specific healthcare environments and patient situations. Guideline for the Use of Oxytocin December 2012 INTRODUCTION The benefits of labor induction and augmentation must be weighed against the potential maternal and fetal risks associated with this procedure (1). The induction or augmentation of labor may increase the likelihood of neonatal complications or result in unnecessary cesarean section. These risks may be necessary to assume in complicated pregnancies, in which prolongation of gestation presents further risk to the mother or fetus. Prior to initiating oxytocin, the patient should be counseled about the indications for the use of oxytocin, the methods of administration to be employed, and the risks of failure, cesarean delivery, or fetal compromise. A physician capable of performing cesarean section should be readily available during the induction or augmentation of labor (2). UNIT STRUCTURE Each hospital’s department of obstetrics should develop a standardized, single, universal written protocol for the use of oxytocin for labor induction or augmentation. Standardization of an oxytocin infusion protocol is recommended to reduce medication dosing error and improve patient assessment. Elements of a protocol should include (2):...
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...P., Hayes, A. F., Lunney, C. A., McFall, M., & Uddo, M. (2006). Longitudinal Analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 74(4), 707-713. doi:10.1037/0022-006X.74.4.707 Purpose: This study examined how change in posttraumatic stress disorder (PTSD) symptoms relates to change in quality of life. Hypothesis: quality of life improves following treatment for PTSD. Procedure: Vietnam veterans with chronic PTSD participated in a randomized trial of group psychotherapy. Subjects: 325 males Vietnam veterans with chronic PTSD. Results: Results indicate the importance of measuring quality of life in future investigations of PTSD treatment. Limitations: apply a more diverse and less impaired sample that showed greater average improvements in PTSD symptoms and quality of life. Future research: examine whether treatments designed to enhance quality of life could confer additional benefit to patients beyond the benefit resulting from PTSD...
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...CHECKLIST FOR NABH ASSESSMENTS Issue No. 1 Issue Date: 03/ 11 Page 1 of 53 NABH Assessment Checklist Introduction This checklist will facilitate cross functional audits throughout the hospital as NABH standards are applicable Vertically as well as Horizontally across the hospital and its various functions. The checklist has 2 components namely: i. Primary: Essentially pertaining to area specific point ii. Secondary: Common requirements for the area This checklist can be used for practical guidance. The assessor should not limit the assessment only to this checklist and can add more points based on their experience and observations. This will help out in updating this checklist and making it more comprehensive in the 2nd version Version 1 Issue Date: 17/05/11 Page 2 of 53 NABH Assessment Checklist CONTENTS Clinical Areas S. No Department/Area Page Number 1. Emergency and Ambulance 5 2. Out Patient Department 6 3. Wards 7 4. Specialized wards 11 5. Palliative Care 12 6. Dialysis Unit 13 7. Intensive Care, Neonatal/ Paediatric ICU and High Dependency Units 14 8. Operation Theatre 17 9. Recovery Room 19 10. Endoscopy 20 11. Rehabilitation 22 12. Imaging: X Ray/ USG/ CT Scan/ MRI 22 13. Nuclear Medicine 24 14. Cardiac Catheterization lab 25 15. Laboratory: Haematology/ Microbiology 16. ...
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...2015-2016 REQUEST FOR APPLICATIONS Susan G. Komen 5005 LBJ Freeway, Suite 250 Dallas, Texas 75244 Research Programs Help Desk: 1-866-921-9678 Questions: www.komen.org/researchhelpdesk Website: www.komen.org TABLE OF CONTENTS KEY DATES 3 KOMEN RESEARCH PROGRAM 3 GRADUATE TRAINING IN DISPATIRIES RESEARCH GRANTS 3 ELIGIBILITY REQUIREMENTS 4 FUNDING INFORMATION AND GRANT TERM 4 APPLICATION REQUIREMENTS 5 OPTIONAL COMPONENTS 7 PRE-APPLICATION REVIEW PROCESS 8 PRE-APPLICATION SUBMISSION INSTRUCTIONS 9 Administrative Requirements 9 Pre-Application Submission Deadline 9 Getting Started in proposalCENTRAL 9 Title Page 10 Download Templates & Instructions 10 Applicant/Principal Investigator (PI) 10 Institution & Contacts 10 Key Personnel 10 Non-Key Personnel 11 Narrative and Supporting Documents 11 Validate 15 Submit 15 FULL APPLICATION SUBMISSION Graduate Training in Disparities Research Grants, 2015-2016 Request for Applications 15 Page 2 of 15 KEY DATES Application System Opens: Pre-Application Due: Pre-Application Decision: Full Application Due: Award Notification: May 6, 2015 June 17, 2015, by 1 p.m., Eastern Standard Time September 16, 2015 November 9, 2015, by 1 p.m., Eastern Standard Time On or around April 15, 2016 KOMEN RESEARCH PROGRAM At Susan G. Komen®, we are committed to ending breast cancer forever by empowering people, energizing science to find the cures and ensuring quality care for all people, everywhere. Our Research...
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...Introduction Good morning! We have a very busy day ahead of us everyone. So let’s get settled so that we can begin our day. We are going to discuss your role in the criminal justice in depth this morning. Please pay careful attention. As you all know you play a very important role in our criminal justice system. Failing to do anything that is covered under our responsibilities can make or break a case. So we have to pay very close attention to detail. If you have any questions please wait until the end of the presentation. I will address them then. The first step prior to ANY other action is the investigation stage. Investigating all of the suspects believed to be involved. This includes gathering evidence at the scene of the crime. If this is a case of probable cause this means gathering any witnesses with reliable information and writing a search warrant request so that you may fully investigate the matter. I believe that the investigation is the most important element. Without that stage there is no way of being able to prove one way or the other what happened or occurred. If necessary you can also request a search warrant for the suspect’s property. Keep in mind that we have to secure the warrants in order for the evidence found in the process of a search to be admissible in court. This is also a way of protecting the suspect’s 4th Amendment rights. In order to invade one’s privacy there has to be probable cause. A search warrant is only issued by a magistrate, if that burden...
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...Skills Programme, Institute of Health Sciences, Oxford q Critical appraisal is the process of systematically examining research evidence to assess its validity, results and relevance before using it to inform a decision. q Critical appraisal is an essential part of evidence-based clinical practice that includes the process of systematically finding, appraising and acting on evidence of effectiveness. q Critical appraisal allows us to make sense of research evidence and thus begins to close the gap between research and practice. q Randomised controlled trials can minimise bias and use the most appropriate design for studying the effectiveness of a specific intervention or treatment. q Systematic reviews are particularly useful because they usually contain an explicit statement of the objectives, materials and methods, and should be conducted according to explicit and reproducible methodology. q Randomised controlled trials and systematic reviews are not automatically of good quality and should be appraised critically. www.evidence-based-medicine.co.uk Prescribing information is on page 8 1 What is critical appraisal What is critical appraisal? Critical appraisal is one step in the process of evidence-based clinical practice. Evidencebased clinical practice is ‘an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide the option which suits the patient best’.1 To determine what is the ‘best’...
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...Quality Data Collection HCS/588 February 13, 2012 Pam Crocker Quality Data Collection Quality is considered a vague concept that can be subjective and unscientific. However, quality can become a definitive concept by collecting and analyzing data. Centers for Medicare and Medicaid Services (CMS) evidence based measures defines quality of care. For example, administering aspirin for acute myocardial infarction patients, making sure that pneumonia patients receive antibiotics in a timely manner, and ensuring smoking cessation programs while hospitalized and at discharge. Senior leadership is responsible for defining quality for the organization. When the leadership team is familiar with using quality measures, the health care team can do the right thing for the customer and increase financial responsibility for the hospital (Dlugacz, 2006). In this paper the subject to explore is potential improvement for the BayCare organization, the data needed to monitor improvement, data collection tools, and two tools that measure and display the quality improvement data. Potential Areas of Improvement Three areas of potential improvement for the BayCare organization are falls, hand hygiene, and improving team member satisfaction. Although the team goals for each of these are within the goal target, areas for improvement still exist. Monitoring Improvement Monitoring improvement for each potential area requires collecting specific data collection. Hand hygiene requires quality...
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...Planning a wedding project Instructions 1. o 1 Finalize the wedding date and time. If the couple plan to get married in a church, contact the church secretary to confirm the wedding date and time. The secretary should also be able to give you pertinent information for a church wedding such as required legal documents and in some cases pre-marriage counseling with a priest. If the wedding will take place outside a church, contact the manager of that venue to confirm details. o 2 Make the guest list. The number of guests will determine how big or small your wedding will be, which in effect will determine your budget. o Sponsored Links ▪ Free Wedding Planner The easiest to use wedding planning tools and they are absolutely free! WeddingWire.com/MyPlanner o 3 Set the budget. Create a checklist of the projected wedding costs, including costs for the florist, caterer, event stylist, church rental, photographer, decorations, souvenirs, bridal dress, tuxedos, limousine rental, entertainment, etc. It is always to better to budget for extra, unforeseen costs so you don't come up short. o 4 Find an online wedding planning program or design your own to help you stay on track, stay within budget, and meet projected deadlines. Just keeping a detailed to-do list with budget details, deadlines and upcoming tasks can greatly reduce the stress involved in planning a wedding. o 5 Send save-the-date...
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...Planning a wedding project Instructions 1. o 1 Finalize the wedding date and time. If the couple plan to get married in a church, contact the church secretary to confirm the wedding date and time. The secretary should also be able to give you pertinent information for a church wedding such as required legal documents and in some cases pre-marriage counseling with a priest. If the wedding will take place outside a church, contact the manager of that venue to confirm details. o 2 Make the guest list. The number of guests will determine how big or small your wedding will be, which in effect will determine your budget. o Sponsored Links ▪ Free Wedding Planner The easiest to use wedding planning tools and they are absolutely free! WeddingWire.com/MyPlanner o 3 Set the budget. Create a checklist of the projected wedding costs, including costs for the florist, caterer, event stylist, church rental, photographer, decorations, souvenirs, bridal dress, tuxedos, limousine rental, entertainment, etc. It is always to better to budget for extra, unforeseen costs so you don't come up short. o 4 Find an online wedding planning program or design your own to help you stay on track, stay within budget, and meet projected deadlines. Just keeping a detailed to-do list with budget details, deadlines and upcoming tasks can greatly reduce the stress involved in planning a wedding. o 5 Send save-the-date...
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...Leader’s Book NAME INSERT YOUR NAME UNIT INSERT YOUR UNIT PHONE # INSERT YOUR NUMBER Creed of the Noncommissioned Officer Creed of the Noncommissioned Officer No one is more professional than I. I am a Noncommissioned Officer, a leader of soldiers. As a Noncommissioned Officer, I realize that I am a member of a time honored Corps, which is known as “The Backbone of the Army.” I am proud of the Corps of Noncommissioned officers and will at all times conduct myself so as to bring credit upon the Corps, the Military Service and my country regardless of the situation in which I find myself. I will not use my grade or position to attain pleasure, profit or personal safety. Competence is my watch-word. My two basic responsibilities will always be uppermost in my mindaccomplishment of my mission and the welfare of my soldiers. I will strive to remain tactically and technically proficient. I am aware of my role as a Noncommissioned Officer. I will fulfill my responsibilities inherent in that role. All soldiers are entitled to outstanding leadership; I will provide that leadership. I know my soldiers and I will always place their needs above my own. I will communicate with my soldiers and never leave them uninformed. I will be fair and impartial when recommending both punishment and rewards. Officers in my unit will have maximum time to accomplish their duties; they will not have to accomplish mine. I will earn their respect and confidence as well as those of...
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...Can essential fatty acid supplementation play a role in the treatment of Attention-Deficit Hyperactivity Disorder? For submission 22nd April 2006 Dissertation, 3rd Year ION Contents Abstract 3 1.0 Introduction 4 1.1 Prevalence 4 1.2 Diagnosis 4 DSM-IV Checklist for Diagnosing ADHD 6 Figure 1. DSM-IV Checklist for Diagnosing ADHD 6 1.3 Associated Conditions 7 1.4 Prognosis 7 1.5 Aetiology 7 1.5.1 Genetics 8 1.5.2 Environmental Influences 8 1.5.3 Essential Fatty Acids 8 1.5.4 Food Sensitivities 9 1.5.5 Heavy Metal Toxicity 9 1.5.6 Nutrient deficiencies 9 1.5.7 Pregnancy/birth trauma 10 1.5.8 Hypoglycaemia 10 1.5.9 Digestive 10 1.5.10 Thyroid 11 1.6 Clinical Management 11 1.7 Understanding the Role of Essential Fatty Acids 12 1.7.1 What are Essential Fatty Acids? 12 Figure 2. Major Food Sources of Essential Fatty Acids 12 Figure 3. Omega-3 and Omega-6 metabolic pathways 13 1.7.2 Essential Fatty Acids and Brain Function 13 1.7.3 Physical Signs of Fatty Acid Deficiency 14 2.0 Literature Review 15 2.1 DHA Supplementation 15 2.2 Combined DHA, EPA, GLA Supplementation 18 2.3 Combined EPA, DHA, ALA Supplementation 19 2.4 ALA Supplementation 22 2.5 Summary of studies reviewed 23 Figure 4. Summary of Studies Reviewed 23 3.0 Discussion 24 3.1 Future Research 27 4.0 Conclusion 28 5.0 Nutritional Strategy 29 5.1 Benchmarking 29 5.2 Dietary Strategy 29 5.3 Lifestyle Strategy 29 5.4 General Supplement programme...
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...conducted. By critically appraising a piece of research work, we can draw a conclusion on whether the research undertaken is trustworthy and relevant or not. The application of the CASP checklist for randomized controlled trials as a framework will be important in the systematic and critical appraisal of any article. Therefore, I will evaluate the article ‘Evaluation of a Belly Board immobilization device for rectal cancer patients receiving pre-operative chemoradiation’ by Gaya et al. (2014). The appraisal will not only show the strengths, but also the weaknesses in several parts of the article. Title The title of the article for appraisal is ‘Evaluation of a Belly Board immobilization device for rectal cancer patients receiving pre-operative chemoradiation’. This article was written by Gaya et al... The article was published by the Cambridge University Press in volume 13 of the Journal of Radiotherapy in Practice, from pages 403 to 409. The title is self-explanatory, in that it has shown the purpose of the research, which is to evaluate a belly board immobilization device for patients who are suffering from rectal cancer and are receiving pre-operative chemoradiation. With such a title in place, there is specificity in place. However, the title failed to show the setting in which the research trial was done. The reader is left to imagine the area of study or to go ahead and read the whole research in order to identify the area. A Summary and Critical Appraisal of Research Purpose...
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...First Things First An opening check list is a great place to start. Remember that airline pilots are required to use a checklist before they take off! Here are items you should have on your opening checklist. Add additional items that would be appropriate for your own business. Do I have a one-year cash flow projection prepared to insure there will be ongoing liquidity? Do I have the necessary e-commerce tools in place? Are all insurance policies in force? If I plan to sell on credit terms, is my credit rating policy in place to avoid taking on customers with poor credit ratings? (The last thing you need is to have customers who don't pay on time, and good customers will respect you for this policy). Is my business plan complete and in written format? Does it include pre-opening, first year and long-range planning? It will play a key role in securing investors and will help uncover any weaknesses in the planning process. Have I taken the time to gain practical job experience and learn the basics of my business by first working in the business for someone else? (This is probably the best way to discover if you have made a choice that will be not only successful, but also satisfying to you.) Have I budgeted adequately for prototypes, research, sampling and trials? Have I successfully test-marketed my product or service? Was the response positive? (If not, you need to re-design, re-work and re-test.) Have I focused on selling...
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...i) Upon Julie’s arrest, she would first be taken to the custody sergeant, whose job it is to ensure that her initial detention is authorised, then the officer who arrested her would give brief details for the reason for her arrest. Then the custody sergeant will ask Julie questions such as her date of birth, or her height or address, by law Julie can refuse to answer these questions, but giving false details could result in obstructing a police officer. After this her rights will be detailed by the custody officer, these are the right to inform someone of her detention, the right to free legal aid before answering any questions, and the right to consult the code of practice. Julie would then be asked to sign a form confirming she has been read these rights. After the above steps have taken place, Julie would be searched to ensure that she is not carrying or concealing weaponry. This search would be carried out by an officer of the same sex, and would consist of a simple pat down; it is unlikely that Julie would be searched more thoroughly given the situation. The police could potentially ask to retain some clothes if it is felt that by retaining said clothes, it would provide evidence to the case, if this were the case, Julie must be provided alternate clothing. This incident is an example of an either way offence, as it could be trailed in the magistrate’s court, or the crown court, as a result of this, the police would have authority to conduct a search of Julie’s address or...
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