323,583 research outputs found
A pilot study to assess the feasibility and impact of a brief motivational intervention on problem drug and alcohol use in adult mental health inpatient units : study protocol for a randomized controlled trial
No full textBackground:
Substance misuse in those with severe mental health problems is common and associated with poor engagement in treatment and treatment outcomes. Up to 44% of those admitted into psychiatric inpatient facilities have coexisting substance-misuse problems. However, this is not routinely addressed as part of their treatment plan. A mental health admission may present a window of opportunity for inpatients to reevaluate the impact of their substance use. This study will aim to evaluate the effectiveness of a targeted brief motivational intervention in improving engagement in treatment and to assess how feasible and acceptable this intervention is to inpatients and staff as a routine intervention.
Methods/Design:
This randomized controlled trial will use concealed randomization; blind, independent assessment of outcome at 3 months; characterization of refusers and dropouts; and be analyzed according to the intention-to-treat principle. After baseline assessments, eligible participants will be randomized either to the Brief Integrated Motivational Intervention plus Treatment As Usual, or Treatment as Usual alone. Eligible participants will be those who are new admissions; >18 years; ICD-10 diagnosis of -schizophrenia or related disorder, bipolar affective disorder, recurrent depressive disorder, and DSM-IV diagnosis of substance abuse or dependence over the last 3 months. The primary outcome is engagement in treatment for substance misuse, and secondary outcomes include readiness to change substance misuse together with a cost-effectiveness analysis. Qualitative interviews with staff and participants will assess the acceptability of the intervention.
Discussion:
This pilot randomized trial will provide the first robust evidence base for inpatient care of people with severe mental health problems and co-morbid substance misuse and provide the groundwork for confirmatory trials to evaluate a potentially feasible, cost-effective, and easy-to-implement treatment option that may be readily integrated into standard inpatient and community-based care
Animaux et hommes dans Le Mondo Simbolico (1653) de Filippo Picinelli
No full textIl saggio analizza il "Mondo simbolico" di Filippo Picinelli con particolare attenzione alle figure animali del trattato. La simbologia degli animali, secondo la tradizione dei bestiari medievali, serve, infatti, per costruire un repertorio utile alla predicazione e alla elaborazione di compesse strategie oratorie
Referentes teóricos, filosóficos y políticos de las normas constitucionales y legales en materia de ordenamiento y planeación urbana, medio ambiente y servicios públicos domiciliarios en Colombia
No full textIP 1204-13-10624droit etatique en Colombie / Maria Mercedes Maldonado. --p. 7-1105. -- En: Etats et mondialisation:;strategies et roles / Lorena Parini. -- Francia : L'Harmattan,2001. --151p. ; 28 cm. -- ISBN: 2747515133. --;La discusion sobre la expansion del norte de Bogotá: una aproxiamacion desde el derecho / Maria Mercedes;Maldonado Copello. -- p. 35-76. -- En: Territorio y sociedad:Elcaso delPOT de la ciudad de Bogotá /;compilador Gerardo Ardila. -- Bogotá : Ministerio del medio ambiente, 2000. -- La descentralizacion en el;LIBRO(S): Reforma urbana y desarrollo terriotorial: experienciasy perspectiva de las leyes 9a de 1989 y 388;de 1997 / editora Maria Mercedes Maldonado -- Bogotá : AlcaldiaMayor de Bogotá ; LIncoln Institute of Land;Policy ; Universidad de los Andes, 2003. -- 394 p. ; 24 cm. --(Panamericana formas e impresos S.A.). -- ISBN:;958695112X. -- CAPITULO(S) EN LIBRO: Privatisation des servicesurbains domiciliaires et transformation du;'-- en: evaluacion de La descentralizacion Municipal en COLombia: Balancede una decada -- Bogotá :;Departamento Nacional de Planeacion, 2002 -- p. ; 28 cm. -'- isBN-8025400'- ARTICULO(S) en Revista: Using;Value capture to benefit the poor: the Usme project in Colombia/ Maria Mercedes Maldonado Copello and Martim;O. Smolka. -- En: Land lines : newsletter of the Lincoln Institute of LandPolicy. -- Vol. 15, no. 3;2000); p. 12-17.;sector agua potable y saneamiento basico / Maria MercedesMaldonado Copello, Gonzalo Vargas Forero -- 157-18
Referentes teóricos, filosóficos y políticos de las normas constitucionales y legales en materia de ordenamiento y planeación urbana, medio ambiente y servicios públicos domiciliarios en Colombia
No full textIP 1204-13-10624droit etatique en Colombie / Maria Mercedes Maldonado. --p. 7-1105. -- En: Etats et mondialisation:;strategies et roles / Lorena Parini. -- Francia : L'Harmattan,2001. --151p. ; 28 cm. -- ISBN: 2747515133. --;La discusion sobre la expansion del norte de Bogotá: una aproxiamacion desde el derecho / Maria Mercedes;Maldonado Copello. -- p. 35-76. -- En: Territorio y sociedad:Elcaso delPOT de la ciudad de Bogotá /;compilador Gerardo Ardila. -- Bogotá : Ministerio del medio ambiente, 2000. -- La descentralizacion en el;LIBRO(S): Reforma urbana y desarrollo terriotorial: experienciasy perspectiva de las leyes 9a de 1989 y 388;de 1997 / editora Maria Mercedes Maldonado -- Bogotá : AlcaldiaMayor de Bogotá ; LIncoln Institute of Land;Policy ; Universidad de los Andes, 2003. -- 394 p. ; 24 cm. --(Panamericana formas e impresos S.A.). -- ISBN:;958695112X. -- CAPITULO(S) EN LIBRO: Privatisation des servicesurbains domiciliaires et transformation du;'-- en: evaluacion de La descentralizacion Municipal en COLombia: Balancede una decada -- Bogotá :;Departamento Nacional de Planeacion, 2002 -- p. ; 28 cm. -'- isBN-8025400'- ARTICULO(S) en Revista: Using;Value capture to benefit the poor: the Usme project in Colombia/ Maria Mercedes Maldonado Copello and Martim;O. Smolka. -- En: Land lines : newsletter of the Lincoln Institute of LandPolicy. -- Vol. 15, no. 3;2000); p. 12-17.;sector agua potable y saneamiento basico / Maria MercedesMaldonado Copello, Gonzalo Vargas Forero -- 157-18
Assessment of Residual Life of Existing Fixed Offshore Platforms
No full textLife extension and platform re-use are in demand now, which creates a need for evaluation
methods able to ascertain the residual life of an existing platform, to be eventually operated in a
new installation site. A system approach, used by operators in different offshore areas, is presented in
this paper. Indeed, for existing platforms, it is permissible to have limited individual component failures,
provided the reserve strength against overall system failure remains acceptable. This system was used to
determine the life expectancy of a platform used in the Gulf of Mexico for ten years, which was to be
accordingly modified and installed on a new site off Congo. The analysis showed that a service life of ten
years was feasible without need for strengthening. Lessons learned from the specific analysis are outlined
in the conclusion, providing guidance for the definition of acceptable component failures depending on
the accepted risk level
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