17,967 research outputs found
John Ed Cook Interview - Part 1 (Wayne County)
No full textAn interview with John Ed Cook of Monticello, Kentucky by Robert M. Rennick on the origin and history of place names and communities of Wayne County, Kentucky
O fundo do mar
No full textMagalhães & Moniz exercen ca. 1875-1900SignaturizadoAntepNa port: obra illustrada con 93 gravura
O telephone
No full textSignaturizadoMagalhães & Moniz exercen ca. 1875-1900Na port.: obra illustrada com 141 gravura
John Ed Cook Interview - Part 2 (Wayne County)
No full textAn interview with John Ed Cook of Monticello, Kentucky by Robert M. Rennick on the origin and history of place names and communities of Wayne County, Kentucky
Título: Historias e exemplos de thema tradicional e fórma litteraria
No full textEn la p. VI figura la obra: "Historia da litteratura portugueza" (1871 a 1881)Na p. VI figura a obra: "Historia da litteratura portugueza" (1871 a 1881)Contiene: v. I: Contos de fadas, casos e facecias -- v. II: Historias e exemplos de thema tradicional e fórma litterariav. I: Contos de fadas, casos e facecias -- v. II: Historias e exemplos de thema tradicional e fórma litterari
REMCARE: reminiscence groups for people with dementia and their family caregivers - effectiveness and cost-effectiveness pragmatic multicentre randomised trial
No full textOBJECTIVES:
The aim of the REMiniscence groups for people with dementia and their family CAREgivers (REMCARE) study was to assess the effectiveness and cost-effectiveness of joint reminiscence groups for people with dementia and their family caregivers as compared with usual care.
DESIGN:
A multicentre, pragmatic randomised controlled trial with two parallel arms - an intervention group and a usual-care control group - was carried out. A restricted dynamic method of randomisation was used with an overall allocation ratio of 1 : 1, restricted to ensure intervention groups of a viable size. Assessments, blind to treatment allocation, were carried out at baseline, 3 months and 10 months (primary end point).
SETTING:
Most participants were recruited through NHS Memory Clinics and Community Mental Health Teams for older people. Assessments were usually carried out in the person's home, and treatment groups were held in a variety of community settings.
PARTICIPANTS:
A total of 488 individuals (mean age 77.5 years) with mild to moderate dementia (meeting Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition criteria), who were initially living in the community, and who had a relative or other caregiver maintaining regular contact, who could act as an informant and was willing and able to participate in the intervention, were recruited to the study. Most carers were spouses (71%). A total of 350 dyads completed the study.
INTERVENTIONS:
The intervention consisted of joint reminiscence groups held weekly for 12 consecutive weeks, followed by monthly maintenance sessions for a further 7 months. The sessions followed a treatment manual, and were led by two trained facilitators in each centre, supported by a number of volunteers. Up to 12 dyads were invited to attend each group.
MAIN OUTCOME MEASURES:
The primary outcome measures were self-reported quality of life for the person with dementia and psychological distress for the carer [General Health Questionnaire-28 item version (GHQ-28)]. Secondary outcome measures included autobiographical memory and activities of daily living for the person with dementia, carer stress for the carer and mood, relationship quality and service use and costs for both parties.
RESULTS:
The intention-to-treat analysis identified no differences in outcome between the intervention and control conditions on primary or secondary outcomes [self-reported quality of life in Alzheimer's disease: mean difference 0.07, standard error (SE) 0.65; F = 0.48; p = 0.53]. Carers of people with dementia allocated to the reminiscence intervention reported a significant increase in anxiety on a subscale of the GHQ-28 at the 10-month end point (mean difference 1.25, SE 0.5; F = 8.28; p = 0.04). Compliance analyses suggested some benefits for people with dementia who attended more reminiscence sessions; however, carers attending more groups showed increased caregiving stress. Use of health- and social-care services was modest, with no significant difference in service use between conditions. Owing to negligible difference in quality-adjusted life-year gains (derived from European Quality of Life-5 Dimensions) between the conditions the planned full economic analysis was curtailed.
CONCLUSIONS:
This trial does not provide support for the effectiveness or cost-effectiveness of joint reminiscence groups for people with dementia and their carers. Although there may be some beneficial effects for people with dementia who attend sessions as planned, this must be viewed in the context of raised anxiety and stress in their carers. The reasons for these discrepant outcomes need to be explored further, and may necessitate reappraisal of the movement towards joint interventions.
TRIAL REGISTRATION:
Current Controlled Trials ISRCTN42430123.
FUNDING:
This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 16, No. 48. See the HTA programme website for further project information
Where Participatory Approaches Meet Pragmatism in Funded (Health) Research: The Challenge of Finding Meaningful Spaces
No full textThe term participatory research is now widely used as a way of categorising research that has moved beyond researching "on" to researching "with" participants. This paper draws attention to some confusions that lie behind such categorisation and the potential impact of those confusions on qualitative participatory research in practice. It illuminates some of the negative effects of "fitting in" to spaces devised by other types of research and highlights the importance of forging spaces for presenting participatory research designs that suit a discursive approach and that allow the quality and impact of such research to be recognised. The main contention is that the adoption of a variety of approaches and purposes is part of the strength of participatory research but that to date the paradigm has not been sufficiently articulated. Clarifying the unifying features of the participatory paradigm and shaping appropriate ways for critique could support the embedding of participatory research into research environments, funding schemes and administration in a way that better reflects the nature and purpose of authentic involvement
Elementos de geographia economica : (agricola, industrial e commercial)
No full textLas XII primeras p. del v. I, pag. en romano
Ed. C. Smith & Bro. Undertakers.
No full textTrade card for Ed. C. Smith & Bro. Undertakers.Date obtained from http://www.pbs.org/opb/historydetectives/feature/trade-cards/ Recto: [imprinted] Ed. C. Smith & Bro. Undertakers. Ed. C. Smith. G. D. Smith. Open All Night, Telephone, No. 52. 425 Main Street. Dallas, Texas. Dallas Lith. Co
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