2,284 research outputs found
Local Church Week Pastor Andre Mitchell
No full textPastor Andre Mitchell, Pastor, Author, CEO, Deliverance Temple/Andre Mitchell Ministries, Muncie, IN, speaks on how connecting with other believers is important to your faith for Local Church Week
Pearl Andre, Political Activist and Author from Bismarck
No full textAn undated photograph of Pearl Andre, an author and political activist from Bismarck. She wrote the book Women on the Move about the Nonpartisan League in North Dakota in 1975.https://commons.und.edu/nd-politics-photos/1254/thumbnail.jp
Depression in primary care patients with coronary heart disease: baseline findings from the UPBEAT UK study
No full textBACKGROUND:\ud
An association between depression and coronary heart disease is now accepted but there has been little primary care research on this topic. The UPBEAT-UK studies are centred on a cohort of primary patients with coronary heart disease assessed every six months for up to four years. The aim of this research was to determine the prevalence and associations of depression in this cohort at baseline.\ud
METHOD:\ud
Participants with coronary heart disease were recruited from general practice registers and assessed for cardiac symptoms, depression, quality of life and social problems.\ud
RESULTS:\ud
803 people participated. 42% had a documented history of myocardial infarction, 54% a diagnosis of ischaemic heart disease or angina. 44% still experienced chest pain. 7% had an ICD-10 defined depressive disorder. Factors independently associated with this diagnosis were problems living alone (OR 5.49, 95% CI 2.11-13.30), problems carrying out usual activities (OR 3.71, 95% CI 1.93-7.14), experiencing chest pain (OR 3.27, 95% CI 1.58-6.76), other pains or discomfort (OR 3.39, 95% CI 1.42-8.10), younger age (OR 0.95 per year 95% CI 0.92-0.98).\ud
CONCLUSION:\ud
Problems living alone, chest pain and disability are important predictors of depression in this population
'Antidepressants unlimited'. Are antidepressants the best option for treating depression in general practice? Debating session WONCA 2004
No full textAntidepressants are among the worlds' most prescribed drugs. However, there are several controversies around their extensive use in primary care, and doubts about their effects, especially in children and older people. Psychological interventions are probably at least as effective as antidepressants, and are preferred by many patients. These issues were discussed at the debating sessions at WONCA 2004 in Amsterdam
Better Outcomes in Mental Health Care?
No full textAims The Australian Better Outcomes in Mental Health Care (BOiMHC) initiative strives to achieve better outcomes for people with mental health problems by providing general practitioners (GPs) with training, incentives for delivering structured, quality care, and access to specialists. The initiative has five components, including the Access to Allied Health Services component, which enables GPs to refer consumers to allied health professionals for psychological interventions, via 102 projects conducted through divisions of general practice. In order to assess whether the BOiMHC initiative is in fact achieving better outcomes, outcomes must be measured systematically. This paper explores the current nature and extent of outcome measurement in the Access to Allied Health Services projects. Methods A brief survey elicited information from divisions on the current and intended use of outcome measures in these projects. Results Responses were received from 92 projects (90%). Eighty of these (87%) currently use or intend to use an outcome measure, with the most common being the Kessler 10 (78%) and the Depression Anxiety Stress Scales (25%). GPs are involved in administering these measures at assessment and review, although there is a greater reliance on allied health professionals at review. There is considerable potential for aggregating outcome data nationally: in 78% of projects, outcome data are being provided to the division; in 71% outcome data can be linked to an individual consumer (through a unique identifier); and in 80% there is commitment to submitting outcome data to a purpose-designed dataset. Conclusions Outcome measurement provides a common metric against which to assess the effectiveness (and cost-effectiveness) of projects in terms of impacts for consumers. The time is ripe to introduce routine collation of outcome measures data into these projects, in order to showcase their achievements and provide lessons about their limitations. Implications for others implementing outcome measurement as part of primary mental healthcare reforms are discussed
The development and psychometric properties of a measure of clinicians’ attitudes to depression: the revised Depression Attitude Questionnaire (R-DAQ)
No full textBackground: Depression is a common mental disorder associated with substantial disability. It is inadequately recognised and managed, and clinicians’ attitudes to this condition and its treatment may play a part in this. Most research in this area has used the Depression Attitude Questionnaire (DAQ), but analyses have shown this measure to exhibit problems in psychometric properties and suitability for the health professionals and settings where depression recognition may occur.
Methods: We revised the DAQ using a pooled review of findings from studies using this measure, together with a Delphi study which sought the opinions of a panel of relevant experts based in the UK, USA, Australia, and European countries (n = 24) using 3 rounds of questioning to consider attitude dimensions, content, and item wording. After item generation, revision and consensus (agreement >70%) using the Delphi panel, the revised DAQ (R-DAQ) was tested with 1193 health care providers to determine its psychometric properties. Finally the test-retest reliability of the R-DAQ was examined with 38 participants.
Results: The 22-item R-DAQ scale showed good internal consistency: Cronbach’s alpha coefficient was 0.84; and satisfactory test-retest reliability: intraclass correlation coefficient was 0.62 (95% C.I. 0.37 to 0.78). Exploratory factor analysis favoured a three-factor structure (professional confidence, therapeutic optimism/pessimism, and a generalist perspective), which accounted for 45.3% of the variance.
Conclusions: The R-DAQ provides a revised tool for examining clinicians’ views and understanding of depression. It addresses important weaknesses in the original measure whilst retaining items and dimensions that appeared valid. This revised scale is likely to be useful in examining attitudes across the health professional workforce and beyond the confines of the UK, and may be valuable for the purpose of evaluating training that aims to address clinicians’ attitudes to depression. It incorporates key dimensions of attitudes with a modest number of items making it applicable to use in busy clinical settings
Andre Gide and the Negro, 1940
No full textBecause it is generally known that Andre Gide is one of France's most influential contemporary writers, there is no need to justify a study based on his works. Desirous of obtaining the opinion of an influential white author concerning Negroid people and learning his activities in their behalf, the writer of this thesis undertook the study, Andre Gide end the Negro. The value of such a study to the American Negro lies primarily in (1) a better acquaintance with and appreciation for one whose interest in darker people has resulted in a tangible contribution; (2) a knowledge of the condition of a people, who, though distant in territory, are kindred in race, and (3) a challenge for scholastic accomplishment. The method of procedure was a careful analysis of Voyage au Congo and Retour du Tchad supplemented by collateral readings. To secure information concerning Mr. Gide's official investigation in 1938 of the natives' educational facilities in Senegal, a letter was sent him. Despite the anxiety which must be his because of the present war in which his country is involved, the eminent author found time to respond. His reply is quoted on page thirty-one of this study. Grateful acknowledgment is hereby given both Mr. Gide for his amicable letter and Professor Cook, who made such a contact possible. The various factors for the evolution of Gide's interest in Negroid people are shown in Chapter I. Chapter II contains a discussion of the colonial abuses existing in French Equatorial Africa exposed by Gide and his efforts to eradicate these. Through Chapter III one learns the author's personal impression of the morale and intelligence of Negroid people. In Chapter IV an interpretation of Gide's literary art in Voyage au Gang and Retour du Tchad is presented. The results are summarized in the conclusion
Forholdet mellom fugler og vindmøller og andre lufthindringer. En litteraturoversikt
No full textNygård, T, Bevanger, K. & Reitan, O. 2008. Forholdet mellom fug-ler og vindmøller og andre lufthindringer. En litteraturoversikt. - NINA Rapport 413. 167 s.
Rapporten er en trykt versjon av en nettbasert referansedatabase om forholdet mellom fugl og flaggermus og vindmøller, kraftledninger, tårn, bygninger og andre lufthindringer. Den er en database som blir jevnilig oppdatert, og som er tilgjengelig over nettet via EndNote Web. Referansedatabasen inneholder i skrivende stund 1224 referanser til litteratur som omhandler denne problematikken. Databasen blir stadig utvidet etter hvert som ny litteratur blir tilgjengelig. Basen kan brukes som søkeverktøy mot andre litteraturdatabaser så som ISI Web of knowledge, Biosis og lignende, avhengig av brukertilgang. . I denne trykte utgaven er referansene sortert tematisk, deretter på trykkeår og forfatter. Basen har fått navnet ”Birdwind”. og oppdateres og administreres av NINA. Basen er ment som er verktøy som gjør det lettere å finne fram til relevant litteratur innenfor disse raskt voksende temaene. database, referanser, internett, EndNote web, fugl, flaggermus, vindmøller, vindkraft, kraftledninger, tårn, bygninger, gjerder, lufthindringer, radar, fugletrekk, kollisjoner, risiko, unnvikelse, økologiske effekter, avbøtende tiltak, litteratur, database, references, internet, EndNote Web, birds, bats, wind-farms, wind energy, turbines, utility structures, towers, buildings, fences, aerial obstacles, collisions, risk, radar, bird migration, avoidance, ecological effects, mitigation measures, literatureNygård, T., Bevanger, K. & Reitan, O. 2008. The relation between birds and wind turbines and other aerial obstacles. A literature survey. - NINA Report 413. 167 pp.
The report is a printed version of an internet-based reference database on the relation between birds and bats and aerial obstacles such as wind turbines, utility structures, towers and buildings. The database will be updated regularly, and is accessible via EndNote Web. At the date of printing it contains 1224 references on these topics. The database can also be used as a search engine for other databases such as ISI Web of knowledge, Biosis and others, depending on the access rights of the user.
In this printed version, the references are sorted by theme, thereafter by year of printing and author. The database is named “Birdwind”, and is administered and updated by NINA. The database is meant to be a tool that will make it easier to find relevant literature within these rapidly growing topics
Andre Gide: a study of the relationship between the author and his characters
No full textAndre Paul Guillame Gide was a controversial French writer. Some critics claimed he never wrote about anyone but himself; others denied that he used himself as a model for any but his first works. This paper is the result of a study to determine to what extent the characters of Andre Gide are autobiographical. The novel and novelle of Gide were chosen as a basis for this study because their characters are definite and their situations relatively clear. Each major character in these works was analyzed and his characteristics and actions noted in detail. Then a study was made of the author by reading his own autobiographical works and many biographies and studies of Gide. The characteristics and actions of Andre Gide were analyzed and noted. With the personalities of the author and his characters broken down into habits, characteristics and actions and organized, each character was again observed and his traits and attitudes matched with those of the author whenever this was possible. To avoid a confused jumble of characters, one book with its characters was studied at a time. [...]English, Department o
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