scholarly journals Patterns of Court Monitoring of Guardianship Practice in Iowa

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 103-103
Author(s):  
Tami Swenson
Keyword(s):  
Best Practice ◽  
Medical Condition ◽  
Research Literature ◽  
Health Conditions ◽  
Online Database ◽  
Case Histories ◽  
The Past ◽  
Data Elements ◽  
Care Decision ◽  
Systematic Random Sample

Abstract Guardianship, as a best practice, should provide persons with medical incapacity support for better medical care decision making, but the examination of health outcomes for those under guardianship has a dearth of evidence in practice and within the research literature. This study addresses this gap by using the publicly-available Iowa Courts online database to collect data elements useful for the investigation of the process of guardianship practice. A systematic random sample using the 99 counties within Iowa as strata was extracted for all open guardianship cases. Most of the sampled cases (96%) had private appointed guardians. Approximately 28% had case histories over 10 years, 26% 5 to 10 years, 12% 3 to 5 years, 22% 1 to 2 years, and 12% were open cases for fewer than 12 months. Court monitoring of medical conditions varied with annual, biannual, triennial, or 5 year requirements. Delinquencies in filing required medical condition documentation was common and over half of all cases had at least one delinquency in their case history and 33% had a filing delinquency within the past 2 years. Local judicial courts vary in the amount of supervision they provide guardians, and the findings from this research provide needed research to inform guardianship practices as demand increases for these services with the demographic imperative of an aging population and increasing prevalence of dementia-related health conditions.

Anxiety Disorders’ Effect on College and University Students’ Mental Health: A Common and Growing Concern

2020 ◽  
Vol 9 (2) ◽  
pp. 82-90
Author(s):  
Matthew J. Pesko
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
University Students ◽  
Best Practice ◽  
Epidemiological Studies ◽  
Student Population ◽  
Adult Student ◽  
College And University ◽  
The Past ◽  
Mental Health Settings

Anxiety disorders are commonly experienced by college and university students and should be routinely assessed in mental health settings. Epidemiological studies suggest that the burden of these illnesses has greatly expanded even over the past decade. Factors that contribute to the experience of an anxiety disorder in a young adult student population are considered herein. The best practice for evaluation and treatment of these disorders is presented based on the review of available literature in this field. Special attention is paid to the concept of resilience as it pertains to anxiety disorders in the student population.

Performance Management Transformation

2020 ◽  
Keyword(s):  
Organizational Performance ◽  
Performance Management ◽  
High Performance ◽  
Best Practice ◽  
Call To Action ◽  
Daily Work ◽  
The Past ◽  
Great Debate ◽  
The Subject ◽  
New Research

No other talent process has been the subject of such great debate and emotion as performance management (PM). For decades, different strategies have been tried to improve PM processes, yielding an endless cycle of reform to capture the next “flavor-of-the-day” PM trend. The past 5 years, however, have brought novel thinking that is different from past trends. Companies are reducing their formal processes, driving performance-based cultures, and embedding effective PM behavior into daily work rather than relying on annual reviews to drive these. Through case studies provided from leading organizations, this book illustrates the range of PM processes that companies are using today. These show a shift away from adopting someone else’s best practice; instead, companies are designing bespoke PM processes that fit their specific strategy, climate, and needs. Leading PM thought leaders offer their views about the state of PM today, what we have learned and where we need to focus future efforts, including provocative new research that shows what matters most in driving high performance. This book is a call to action for talent management professionals to go beyond traditional best practice and provide thought leadership in designing PM processes and systems that will enhance both individual and organizational performance.

scholarly journals Fluctuating Asymmetry and Developmental Instability, a Guide to Best Practice

Symmetry ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 9
Author(s):  
John H. Graham
Keyword(s):  
Measurement Error ◽  
Best Practices ◽  
Environmental Stress ◽  
Fluctuating Asymmetry ◽  
Best Practice ◽  
Developmental Instability ◽  
The Past ◽  
Size Scaling ◽  
Research Designs

Best practices in studies of developmental instability, as measured by fluctuating asymmetry, have developed over the past 60 years. Unfortunately, they are haphazardly applied in many of the papers submitted for review. Most often, research designs suffer from lack of randomization, inadequate replication, poor attention to size scaling, lack of attention to measurement error, and unrecognized mixtures of additive and multiplicative errors. Here, I summarize a set of best practices, especially in studies that examine the effects of environmental stress on fluctuating asymmetry.

scholarly journals The 2020 Portrait of American Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 681-681
Author(s):  
Regina Shih
Keyword(s):  
Family Member ◽  
Family Caregivers ◽  
Care Recipient ◽  
Health Conditions ◽  
Complex Care ◽  
The Past ◽  
Care Recipients ◽  
The Us ◽  
National Alliance

Abstract The prevalence of caregiving for an adult or child with special needs has increased significantly in the past five years (from 18.2% to over 21.3%), driven by an increase in the prevalence of caring for a family member or friend aged 50 and older. At the same time, care recipients have greater health and functional needs that necessitate care from others in comparison to 2015. These new 2020 data from the Caregiving in the US Survey by the National Alliance for Caregiving suggests that not only are more American adults taking on the role of caregiver, but they are doing so for increasingly complex care situations. This paper addresses the prevalence of caregiving including the demographics of family caregivers, relationship between the caregiver and the care recipient, health conditions of the care recipient, and living situations of care recipients and their caregivers.

Different Types of Auricular Keloids and Treatment by Intralesional Cryosurgery: Best Practice for Obtaining Long-Lasting Clinical Results

Dermatology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Yaron Har-Shai ◽  
Lior Har-Shai ◽  
Viktor A. Zouboulis ◽  
Christos C. Zouboulis
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Recurrence Rate ◽  
Best Practice ◽  
Clinical Results ◽  
Psychosocial Impact ◽  
Aesthetic Outcome ◽  
The Past ◽  
Different Types

<b><i>Background:</i></b> Auricular keloids belong to the most perplexing medical conditions, which have significant psychosocial impact on the patient’s body image and quality of life. <b><i>Summary:</i></b> The article is purposed to provide dermatologists and plastic surgeons with the best proven practice using intralesional cryosurgery for the treatment of the different auricular keloid types in order to obtain superior clinical results by minimizing the probability of recurrence. In the past 20 years, the authors have developed novel procedures in order to increase the effectiveness of intralesional cryosurgery on auricular keloids, including hydrodissection, warm gauze technique, and excision of dangling skin. Long-lasting clinical results with a low recurrence rate and a satisfactory aesthetic outcome are achieved with no deformation of the ear framework.

CPT-based liquefaction case histories compiled from three earthquakes in Canterbury, New Zealand

2021 ◽  
pp. 875529302199636
Author(s):  
Mertcan Geyin ◽  
Brett W Maurer ◽  
Brendon A Bradley ◽  
Russell A Green ◽  
Sjoerd van Ballegooy
Keyword(s):  
New Zealand ◽  
Case History ◽  
Prediction Models ◽  
Free Field ◽  
Case Histories ◽  
Cone Penetration ◽  
History Data ◽  
The Past ◽  
Surface Manifestation ◽  
The Many

Earthquakes occurring over the past decade in the Canterbury region of New Zealand have resulted in liquefaction case-history data of unprecedented quantity. This provides the profession with a unique opportunity to advance the prediction of liquefaction occurrence and consequences. Toward that end, this article presents a curated dataset containing ∼15,000 cone-penetration-test-based liquefaction case histories compiled from three earthquakes in Canterbury. The compiled, post-processed data are presented in a dense array structure, allowing researchers to easily access and analyze a wealth of information pertinent to free-field liquefaction response (i.e. triggering and surface manifestation). Research opportunities using these data include, but are not limited to, the training or testing of new and existing liquefaction-prediction models. The many methods used to obtain and process the case-history data are detailed herein, as is the structure of the compiled digital file. Finally, recommendations for analyzing the data are outlined, including nuances and limitations that users should carefully consider.

scholarly journals The Role of Research in Guiding Treatment for Women’s Health: A Qualitative Study of Traditional Chinese Medicine Acupuncturists

2021 ◽  
Vol 18 (2) ◽  
pp. 834
Author(s):  
Mike Armour ◽  
Debra Betts ◽  
Kate Roberts ◽  
Susanne Armour ◽  
Caroline A. Smith
Keyword(s):  
Clinical Practice ◽  
Women’S Health ◽  
Women's Health ◽  
Clinical Decision ◽  
Health Conditions ◽  
Case Histories ◽  
Research Literacy ◽  
The Right ◽  
Practice Methods

Background: Surveys of acupuncture practitioners worldwide have shown an increase in the use of acupuncture to treat women’s health conditions over the last ten years. Published studies have explored the effectiveness of acupuncture for various conditions such as period pain, fertility, and labor induction. However, it is unclear what role, if any, peer-reviewed research plays in guiding practice. Methods: Acupuncturists with a significant women’s health caseload were interviewed online in three small groups to explore factors that contribute to acupuncturists’ clinical decision made around treatment approaches and research. Results: Eleven practitioners participated in the focus groups. The overarching theme that emerged was one of ‘Not mainstream but a stream.’ This captured two themes relating to acupuncture as a distinct practice: ‘working with what you’ve got’ as well as ‘finding the right lens’, illustrating practitioners’ perception of research needing to be more relevant to clinical practice. Conclusions: Acupuncture practitioners treating women’s health conditions reported a disconnect between their clinical practice and the design of clinical trials, predominantly due to what they perceived as a lack of individualization of treatment. Case histories were popular as a learning tool and could be used to support increasing research literacy.

Adaptive Evolution in Rapid Assessments: A 25-Year Perspective

2019 ◽  
Vol 35 (2) ◽  
pp. 77-81
Author(s):  
Paula Corabian ◽  
Bing Guo ◽  
Carmen Moga ◽  
N. Ann Scott
Keyword(s):  
Best Practice ◽  
Health Technology ◽  
Developmental Changes ◽  
Symbiotic Relationship ◽  
Health Ministry ◽  
The Past ◽  
Healthcare Environment ◽  
Dynamic Relationship ◽  
Alberta Health ◽  
Over Time

AbstractObjectivesThis article retrospectively examines the evolution of rapid assessments (RAs) produced by the Health Technology Assessment (HTA) Program at the Institute of Health Economics over its 25-year relationship with a single requester, the Alberta Health Ministry (AHM).MethodsThe number, types, and methodological attributes of RAs produced over the past 25 years were reviewed. The reasons for developmental changes in RA processes and products over time were charted to document the push–pull tension between AHM needs and the HTA Program's drive to meet those needs while responding to changing methodological benchmarks.ResultsThe review demonstrated the dynamic relationship required for HTA researchers to meet requester needs while adhering to good HTA practice. The longstanding symbiotic relationship between the HTA Program and the AHM initially led to increased diversity in RA types, followed by controlled extinction of the less fit (useful) “transition species.” Adaptations in RA methodology were mainly driven by changes in best practice standards, requester needs, the healthcare environment, and staff expertise and technology.ConclusionsRAs are a useful component of HTA programs. To remain relevant and useful, RAs need to evolve according to need within the constraints of HTA best practice.

Corruption and anti-corruption local discourses and international practices in post-socialist Romania

Human Affairs ◽  
2013 ◽  
Vol 23 (2) ◽  
Author(s):  
Filippo Zerilli
Keyword(s):  
Cultural History ◽  
Research Literature ◽  
The European Union ◽  
The Past ◽  
Research Fields ◽  
Nation States ◽  
National Heritage ◽  
New Research ◽  
Local Discourses ◽  
The Cold War

AbstractIn the past two decades academic and research literature on “corruption” has flourished. During the same period organizations and initiatives fighting against corruption have also significantly expanded, turning “anti-corruption” into a new research subject. However, despite a few exceptions there is a division of labor between scholars who study corruption itself and those who study the global anti-corruption industry. Juxtaposing corruption’s local discourses and anti-corruption international practices, this article is an attempt to bring together these two intertwined research dimensions and explore how an ethnographic approach might contribute to framing them together. Firstly, it describes how corruption in Romania is often conceptualized and explained in terms of national heritage, something related to old and recent cultural history, including traditional folklore. Secondly, it explores how anti-corruption works in practice, focusing on international legal cooperation projects monitoring the progress and shortcomings both prior to and post Romania’s accession to the European Union. Finally, revealing the articulations of these two apparently unrelated research fields, the article argues that corruption’s local explanations and the circular logic of auditing observed within the anti-corruption industry share a common developmental ideology mirroring the crypto-colonialist structure of power relations and dependency among European nation-states emerging out of the Cold War.

A High Prevalence of Affective Disorder Discovered in a ‘Schizophrenia Clinic’

1977 ◽  
Vol 22 (4) ◽  
pp. 181-183 ◽  
Author(s):  
Morton S. Rapp ◽  
Peggy Edwards
Keyword(s):  
Affective Disorder ◽  
Affective Disorders ◽  
Correct Diagnosis ◽  
Lithium Carbonate ◽  
Case Histories ◽  
Clinical Notes ◽  
The Past ◽  
High Prevalence ◽  
Incorrect Diagnosis

Fifty outpatients in a ‘schizophrenia clinic’ were examined, and sixteen were found to be suffering from periodic affective disorders. Nine of these were given lithium carbonate, and eight responded well. Case histories illustrate three separate reasons for incorrect diagnosis. Examination of extensive old clinical notes of five of these patients suggests that the problems of diagnosis which have been described in the literature in the past, continue to represent obstacles to correct diagnosis. Suggestions for improvement are offered.

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