The child protection case conference: Juggling rights, risks and responsibilities

1995 ◽  
Vol 20 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Dorothy Scott ◽  
Jo Lindsay ◽  
Alun Jackson
Keyword(s):  
Pilot Study ◽  
Direct Observation ◽  
Child Protection ◽  
Case Conference ◽  
Interaction Data ◽  
Professional Interaction ◽  
Case Conferences ◽  
Before And After ◽  
Case Assessment

This pilot study of child protection case conferences in a region of Melbourne highlights the dynamics of inter-organisational and inter–professional interaction. Data from direct observation of a small number of case conferences and focussed interviews with participants before and after each case conference, in addition to an interviewer administered questionnaire with professionals from agencies regularly participating in case conferences was analysed using manual and computerised methods. The findings relate to: parental attendance; interagency and interprofessional dynamics: case assessment focus; and worker anxiety about conflict. The management of conflict, the tension between the different purposes of case conferences, and the importance of the quality of leadership in case conferences, are discussed.

scholarly journals Testicular cancer: a longitudinal pilot study on stress response symptoms and quality of life in couples before and after chemotherapy

2006 ◽  
Vol 15 (3) ◽  
pp. 279-286 ◽  
Author(s):  
Marrit A. Tuinman ◽  
Harald J. Hoekstra ◽  
Dirk Th. Sleijfer ◽  
Joke Fleer ◽  
Damon J. Vidrine ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stress Response ◽  
Pilot Study ◽  
Testicular Cancer ◽  
Before And After

scholarly journals Psychometric properties of the Lithuanian version of Sleep Apnea Quality of Life Index (a pilot study)

Medicina ◽  
2008 ◽  
Vol 44 (4) ◽  
pp. 296 ◽  
Author(s):  
Tomas Balsevičius ◽  
Virgilijus Uloza ◽  
Raimundas Sakalauskas ◽  
Skaidrius Miliauskas ◽  
Regina Rėklaitienė ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Pilot Study ◽  
Tissue Ablation ◽  
Life Index ◽  
Obstructive Sleep ◽  
Before And After ◽  
Quality Of Life Index

Objective. To arrange and test for its psychometric properties Lithuanian version of Sleep Apnea Quality of Life Index and assess quality of life among snoring and obstructive sleep apnea patients before and after the treatment. Material and methods. Cross-cultural adaptation of Lithuanian version of Calgary Sleep Apnea Quality of Life Index was accomplished according to generally accepted methodology. In total, 36 (29 males and 7 females) patients (mean age, 41.1±9.7 years) suffering from socially disturbing snoring and obstructive sleep apnea were included into the study. All patients underwent complete full-night polysomnography (mean apnea/hypopnea index, 12.7±11.2) and were treated with two sessions of radiofrequency tissue ablation at the palatal and tong base (if it was necessary) levels. Lithuanian version of the Calgary Sleep Apnea Quality of Life Index was presented before the treatment with radiofrequency tissue ablation and in the period of 2 to 3 months after the treatment. Thirty-five patients repeated the same questionnaire after three weeks to assess the reliability of scores. Results. The Cronbach’s α coefficients of internal reliability were above the standard (0.7 for groups) in all subdomains and domains. Test-retest correlation coefficients for each domain (ranged from 0.92 to 0.94) were statistically significant (P<0.0001). Lithuanian version of the questionnaire was found to be responsive to clinical change. A statistically significant difference in the mean Sleep Apnea Quality of Life Index scores in the study group patients before and after the surgery was found in all daily functioning subdomains and social interactions domains. Conclusions. Overall, the results of the present pilot study demonstrate that the Lithuanian version of Sleep Apnea Quality of Life Index is applicable for clinical purposes.

scholarly journals RETRACTED ARTICLE: Stromal vascular fraction cells for the treatment of critical limb ischemia: a pilot study

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Adas Darinskas ◽  
Mindaugas Paskevicius ◽  
Gintaras Apanavicius ◽  
Gintaris Vilkevicius ◽  
Liutauras Labanauskas ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Cell Therapy ◽  
Critical Limb Ischemia ◽  
Stromal Vascular Fraction ◽  
Limb Ischemia ◽  
Digital Subtraction ◽  
Before And After

Abstract Background Cell-based therapy is being explored as an alternative treatment option for critical limb ischemia (CLI), a disease associated with high amputation and mortality rates and poor quality of life. However, therapeutic potential of uncultured adipose-derived stromal vascular fraction (SVF) cells has not been evaluated as a possible treatment. In this pilot study, we investigated the efficacy of multiple injections of autologous uncultured adipose-derived SVF cells to treat patients with CLI. Methods This study included 15 patients, from 35 to 77 years old, with rest pain and ulceration. SVF cells were injected once or twice in the ischemic limb along the arteries. Digital subtraction angiography was performed before and after cell therapy. The clinical follow up was carried out for the subsequent 12 months after the beginning of the treatment. Results Multiple intramuscular SVF cell injections caused no complications during the follow-up period. Clinical improvement occurred in 86.7% of patients. Two patients required major amputation, and the amputation sites healed completely. The rest of patients achieved a complete ulcer healing, pain relief, improved ankle-brachial pressure index and claudication walking distance, and had ameliorated their quality of life. Digital subtraction angiography performed before and after SVF cell therapy showed formation of numerous vascular collateral networks across affected arteries. Conclusion Results of this pilot study demonstrate that the multiple intramuscular SVF cell injections stimulate regeneration of injured tissue and are effective alternative to achieve therapeutic angiogenesis in CLI patients who are not eligible for conventional treatment. Trial registration number at ISRCTN registry, ISRCTN13001382. Retrospectively registered at 26/04/2017.

scholarly journals Efficacy of peloidotherapy in unilateral plantar fasciitis: A pilot study

2021 ◽  
Vol 67 (4) ◽  
pp. 473-481
Author(s):  
Fatih Karaarslan ◽  
Banu Ordahan
Keyword(s):  
Pilot Study ◽  
Achilles Tendon ◽  
Functional Status ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Control Group ◽  
Study Group ◽  
Before And After ◽  
Stretching Exercises

Objectives: The aim of this study was to investigate the efficacy of peloidotherapy on pain, functional status, and quality of life (QoL) in patients with unilateral plantar fasciitis (PF). Patients and methods: This prospective, observational pilot study included a total of 80 patients (13 males, 67 females; mean age: 47.7±9.9 years; range, 28 to 68 years) with a diagnosis of unilateral PF between April 2018 and October 2018. The patients were divided into two equal groups. The study group (n=40) received peloidotherapy (five days per week for two weeks, total of 10 sessions) + Achilles tendon and plantar fascia stretching exercises (self-stretching for two weeks twice per day for 30 sec, 10 repeats) + heel cup treatment. The control group (n=40) received Achilles tendon and plantar fascia stretching exercises + heel cup treatment. The patients were evaluated before and after treatment using the Visual Analog Scale-pain (VAS-pain), Foot and Ankle Outcome Scores (FAOS), and Heel Tenderness Index (HTI). Results: The study group showed statistically significant improvements for all parameters after treatment compared to baseline (p<0.05). Control group showed statistically significant improvements in the VAS-pain, HTI, and FAOS-QoL subscales after treatment compared to baseline (p<0.05). The study group had a better improvement in the VAS-pain, FAOS-pain, and FAOS-work daily life subscales than the control group (p<0.05). Conclusion: These results indicate that peloidotherapy may be effective in reducing pain and improving functional status and QoL for patients with unilateral PF.

scholarly journals Evaluation of the quality of life before and after rehabilitation with dental implants: a pilot study

2021 ◽  
Vol 53 (sup1) ◽  
pp. S44-S44
Author(s):  
Tiago Pereira Troles ◽  
Catarina Godinho ◽  
Luís Proença ◽  
Pedro Rodrigues ◽  
José João Mendes
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Dental Implants ◽  
Before And After

scholarly journals Effect of Navajivana Rasa with Pathyashadangam Kashaya Ghanasatwa in Classical Migraine - An Open Label Single Arm Pilot Study

2021 ◽  
pp. 28-32
Author(s):  
Rohith.M.R ◽  
S.Thara Lakshmi ◽  
Kusumam Joseph
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Study Drug ◽  
Primary Headache ◽  
Open Label ◽  
Common Cause ◽  
Episodic Headache ◽  
Before And After

Migraine is the second most common cause of primary headache and as per GBD 2015; migraine was ranked third highest cause of disability worldwide. Migraine with aura is an episodic headache associated with certain features such as sensitivity to light, sound or movement; nausea, vomiting and various fully reversible neurological symptoms. The aim of study was to assess the effect of Navajivana rasa with Pathyashadangam kashaya ghanasatwa in Classical Migraine. The formulations were combined and made into a dispensable form of hard gelatin capsules. Selected participants were given with two 500mg capsules twice daily after food for 2 months and were observed during 1 month of follow up. Symptomatic features were assessed before treatment, after 2 months of medication & after follow up. The MIDAS score for the assessment of disability was assessed before and after 3 months of study period. The results showed that, the study drug was effective in relieving the sign & symptoms of classical migraine and in improving the quality of life.

scholarly journals The effects of playing the COSMA cognitive games in dementia

2021 ◽  
Vol 8 (1) ◽  
pp. 45-58
Author(s):  
Kartheka Bojan ◽  
Thanos G. Stavropoulos ◽  
Ioulietta Lazarou ◽  
Spiros Nikolopoulos ◽  
Ioannis Kompatsiaris ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Pilot Study ◽  
Positive Emotions ◽  
Well Being ◽  
Pharmacological Intervention ◽  
Nice Guidelines ◽  
Early Dementia ◽  
Before And After ◽  
The Uk

Brain Training games are increasingly gaining attention as a non-pharmacological intervention to promote well-being and quality of life in people living with dementia.  Herein we present the COSMA software and a pilot study to evaluate its impact on the emotions of people in the spectrum of dementia. The software was created in accordance to the UK National Institute for Health and Care Excellence (NICE) guidelines as a ‘brain-stimulating’ software for use by people with cognitive impairment i.e., mild cognitive impairment (MCI) and early dementia. The pilot study aims to investigate whether the current COSMA game designs have an impact on emotions in people with MCI and early dementia. The emotional evaluation before and after playing COSMA games was carried out using the Positive and Negative Affect Schedule (PANAS). Our findings demonstrated a small, but significant increase in positive emotions (MCI: p= 0.041; early dementia: p= 0.042) and decrease in negative emotions (MCI: p= 0.001; early dementia: p< 0.001). These preliminary results showed that people with MCI and early dementia experienced positive emotions while playing the COSMA games, suggesting that people with cognitive impairment may benefit from using the COSMA software regularly.

Case conferences as interventions dealing with the challenging behavior of people with dementia in nursing homes: a systematic review

2012 ◽  
Vol 24 (12) ◽  
pp. 1891-1903 ◽  
Author(s):  
Sven Reuther ◽  
Martin Nikolaus Dichter ◽  
Ines Buscher ◽  
Horst Christian Vollmar ◽  
Daniela Holle ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Challenging Behavior ◽  
Intervention Studies ◽  
Challenging Behaviors ◽  
Cochrane Library ◽  
Case Conference ◽  
Positive Effects ◽  
People With Dementia ◽  
Case Conferences

ABSTRACTBackground: Challenging behaviors such as aggression, screaming, and apathy are often encountered when caring for people with dementia in nursing homes. In this context, a case conference is often recommended for healthcare professionals as an effective instrument to improve the quality of care. However, the subject case conference has not had great consideration in scientific literature. The aim of this review is to describe the effects of case conferences on people with dementia and challenging behavior and the staff in nursing homes.Methods: A search of intervention studies in nursing homes in the German or English language was performed in the following databases: Medline, Cinahl, PsycINFO, Cochrane library, Embase, and Google Scholar. The selection and the methodological quality of the studies were assessed independently by two authors. The results were summarized and compared based on categories such as study quality or outcomes.Results: Seven of 432 studies were included in the review. A total of four of seven studies showed a reduction in the challenging behavior of people with dementia, and five showed an influence on the competence, attitudes, and job satisfaction of the staff. However, due to the middle-range quality of several studies, the methodological heterogeneity and differences in the interventions, the results must be interpreted with caution.Conclusions: In summary, little evidence exists for the positive effects of case conferences in the care of people with dementia. This review highlights the need for methodologically well-designed intervention studies to provide conclusive evidence of the effects of case conferences.

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