Results of the home mechanical ventilation national program among adults in Chile between 2008 and 2017

Background Home mechanical ventilation (HMV) is a viable and effective strategy for patients with chronic respiratory failure (CRF). The Chilean Ministry of Health started a program for adults in 2008. Methods This study examined the following data from a prospective cohort of patients with CRF admitted to the national HMV program: characteristics, mode of admission, quality of life, time in the program and survival. Results A total of 1105 patients were included. The median age was 59 years (44–58). Women accounted for 58.1% of the sample. The average body mass index (BMI) was 34.9 (26–46) kg/m2. A total of 76.2% of patients started HMV in the stable chronic mode, while 23.8% initiated HMV in the acute mode. A total of 99 patients were transferred from the children's program. There were 1047 patients on non-invasive ventilation and 58 patients on invasive ventilation. The median baseline PaCO2 level was 58.2 (52–65) mmHg. The device usage time was 7.3 h/d (5.8–8.8), and the time in HMV was 21.6 (12.2–49.5) months. The diagnoses were COPD (35%), obesity hypoventilation syndrome (OHS; 23.9%), neuromuscular disease (NMD; 16.3%), non-cystic fibrosis bronchiectasis or tuberculosis (non-CF BC or TBC; 8.3%), scoliosis (5.9%) and amyotrophic lateral sclerosis (ALS; 5.24%). The baseline score on the Severe Respiratory Insufficiency questionnaire (SRI) was 47 (± 17.9) points and significantly improved over time. The lowest 1- and 3-year survival rates were observed in the ALS group, and the lowest 9-year survival rate was observed in the non-CF BC or TB and COPD groups. The best survival rates at 9 years were OHS, scoliosis and NMD. In 2017, there were 701 patients in the children's program and 722 in the adult´s program, with a prevalence of 10.4 per 100,000 inhabitants. Conclusion The most common diagnoses were COPD and OHS. The best survival was observed in patients with OHS, scoliosis and NMD. The SRI score improved significantly in the follow-up of patients with HMV. The prevalence of HMV was 10.4 per 100,000 inhabitants. Trial registration This study was approved by and registered at the ethics committee of North Metropolitan Health Service of Santiago, Chile (N° 018/2021).

Intervention Programs For Children of Substance Abusing Parents: Realist Review and Program Evaluation Study

Substance abuse is a pervasive issue affecting Canadian families, and a substantial number of children are impacted by alcohol or drug abusing parents. Children exposed to parental substance misuse are at increased risk for negative psychological, emotional, developmental, and behavioural outcomes, and a substantial proportion will go on to experience substance use issues later in life. Early intervention is key to providing support for these children and ultimately disrupting the family cycle of addiction. However, few family-based programs for children of substance abusing families are reported in the literature and information on program theory is lacking. A 2-study dissertation was conducted in order to address these gaps. First, a realist review study was undertaken to systematically review existing evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents. A systematic search of academic and grey literature uncovered over 30 documents spanning 7 different intervention programs. Data were extracted on contexts, mechanisms, and outcomes for each program. Four demi-regularities, or patterns of program functioning, were found to account for the effectiveness of programs included in this review: 1) opportunities for positive parent-child interactions, 2) supportive peer-to-peer relationships, 3) the power of knowledge, and 4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience. Second, a program evaluation of the Renascent Children’s Program was conducted in order to determine effective implementation and program outcomes for participating children and parents. A repeated measures, mixed methods design was used with 19 families (26 parents and 26 children) who enrolled in the program over a 16 month period. Results indicate that the Children’s Program yields significant improvements in child emotional and depressive symptoms, child conduct behaviours, parenting skills, parent emotion regulation, family functioning, and family communication. High levels of implementation fidelity were also found. These two dissertation studies shed light on theoretical process of family-based interventions for children of substance abusing parents and provide preliminary evidence of effectiveness of the Children’s Program.

Intervention Programs For Children of Substance Abusing Parents: Realist Review and Program Evaluation Study

Substance abuse is a pervasive issue affecting Canadian families, and a substantial number of children are impacted by alcohol or drug abusing parents. Children exposed to parental substance misuse are at increased risk for negative psychological, emotional, developmental, and behavioural outcomes, and a substantial proportion will go on to experience substance use issues later in life. Early intervention is key to providing support for these children and ultimately disrupting the family cycle of addiction. However, few family-based programs for children of substance abusing families are reported in the literature and information on program theory is lacking. A 2-study dissertation was conducted in order to address these gaps. First, a realist review study was undertaken to systematically review existing evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents. A systematic search of academic and grey literature uncovered over 30 documents spanning 7 different intervention programs. Data were extracted on contexts, mechanisms, and outcomes for each program. Four demi-regularities, or patterns of program functioning, were found to account for the effectiveness of programs included in this review: 1) opportunities for positive parent-child interactions, 2) supportive peer-to-peer relationships, 3) the power of knowledge, and 4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience. Second, a program evaluation of the Renascent Children’s Program was conducted in order to determine effective implementation and program outcomes for participating children and parents. A repeated measures, mixed methods design was used with 19 families (26 parents and 26 children) who enrolled in the program over a 16 month period. Results indicate that the Children’s Program yields significant improvements in child emotional and depressive symptoms, child conduct behaviours, parenting skills, parent emotion regulation, family functioning, and family communication. High levels of implementation fidelity were also found. These two dissertation studies shed light on theoretical process of family-based interventions for children of substance abusing parents and provide preliminary evidence of effectiveness of the Children’s Program.

Dekolonialt socialt arbete

The purpose of this article is to identify and analyze the conditions and strategies for creating a critical and decolonial social work in the urban periphery. IIn this article we explore Save the Children’s program ”On equal terms”, that during the past decade created a space for local mobilization in several areas in Sweden, with the purpose of resolving communal problems. The article identifies three elements as central for their critical social work: the empowerment of a new generation of social organizers grounded in the urban periphery; the forming of alliances for the purpose of developing new languages and strategies to address problems and solutions in alternative ways; and the construction of counter-publics through the appropriation of space for the establishment of citizen-driven meeting places. Through these strategies and conditions, a decolonial social work was formed. Inspired by theories of resistance and mobilization, we interpret the work of ”On equal terms” as an expression of the politics of public-making and border work that transcends the separation between activism and social work, giving space for new alternatives and horizons.

Реализация stem-образования детей дошкольного возраста через проектно-исследовательскую деятельность

This article is focused on the implementation of preschool children’s program for the development of ‘STREAM Education or Path to the Universe’. Different possibilities for educating a creative personality are revealed through the project research. In this article the authors’ program called ‘The Fixies’, a project-research activity for kids aged 4 to 5, is presented. The authors describe the experience of using this programme in the Chernihiv branch of Unikum Academy, the Institute of the Gifted Child National Academy of Pedagogical Sciences of Ukraine and in Chernihiv 42 kindergarten. The experience gained while organizing a STREAM laboratory, which provided opportunities to use the project-research activity in the kindergarten, is described in this article.

Constructively Managing Program-Related Conflict in Local Churches

Interpersonal conflict surrounding church programs is a major source of distress for both pastoral staff and lay members of evangelical churches. Such conflict, when destructive, may severely hinder the achievement of program objectives. However, conflict when managed constructively may lead to a more effective program and strengthened relationships. This empirical study seeks to understand the conditions under which program-related conflict in evangelical churches leads to detrimental outcomes and those which lead to constructive outcomes. In a role-playing, survey-based experiment of American church attenders (N = 276), participants’ satisfaction with conflict outcome was measured in a scenario with various outcomes concerning their program-related goal (maintaining the starting time of a mid-week children’s program) and their social goals (e.g., having a better relationship with the director of the children’s program, being affirmed in their Christian identity, and ensuring that decisions are made fairly). The study indicates that, in a conflict concerning a children’s program, church attenders who have a salient social goal achieved, but not their program-related goal, will be more satisfied than church attenders who have their program-related goal achieved but not a salient social goal.

Constructively Managing Program-related Conflict In Local Churches

Interpersonal conflict surrounding church programs is a major source of distress for both pastoral staff and lay members of evangelical churches. Such conflict, when destructive, may severely hinder the achievement of program objectives. However, conflict when managed constructively may lead to a more effective program and strengthened relationships. This empirical study seeks to understand the conditions under which program-related conflict in evangelical churches leads to detrimental outcomes and those which lead to constructive outcomes. In a role-playing, survey-based experiment of American church attenders ( N = 276), participants’ satisfaction with conflict outcome was measured in a scenario with various outcomes concerning their program-related goal (maintaining the starting time of a mid-week children’s program) and their social goals (e.g., having a better relationship with the director of the children’s program, being affirmed in their Christian identity, and ensuring that decisions are made fairly). The study indicates that, in a conflict concerning a children’s program, church attenders who have a salient social goal achieved, but not their program-related goal, will be more satisfied than church attenders who have their program-related goal achieved but not a salient social goal.

ETHICS IN CHILD PROGRAM IMPRESSIONS ON TELEVISION

Although nowadays the new media comes to exist in the society, the conventional media like television is still be a part of Indonesian society, especially is the areas that is untouched by the internet. Television still has its own audience. Television is obliged to perform its functions in providing information, educate, entertain, control and also as a social adhesive. Children as one of television audiences always get more attention because children are the next generation who are very easily influenced by this audiovisual media. Children are the easiest figure to imitate what they see on television. Ethics in children's program broadcasted in television is important to avoid the damage of children development in both psychologically and physically.

A Dance of Organized Chaos: Using a Village to Run a Children’s Program

I found myself laughing at the baffled faces of my library volunteers the first morning of our newly formed preschool reading time, Destination Library Tails.I warned them that we would have a lot of people show up. These two volunteers had jumped at the chance to head an ongoing preschool reading time—one that could take place in the morning for parents with small children and for homeschool families. I was thrilled to have someone in the community who cared enough to dedicate two days a month to providing this service, especially because it would be an ongoing program. I just needed them to trust me when I said a lot of kids would show up.