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  • 1
    Online-Ressource
    Online-Ressource
    SAGE Publications ; 2006
    In:  Journal of Early Intervention Vol. 29, No. 1 ( 2006-10), p. 32-47
    In: Journal of Early Intervention, SAGE Publications, Vol. 29, No. 1 ( 2006-10), p. 32-47
    Kurzfassung: The present study examined proximal variables in families of children prenatally exposed to cocaine and enrolled in a large-scale intervention program. Fifty-six high-risk families of children enrolled in the center-based (n = 30) or home-based (n = 26) intervention of the Linda Ray Intervention Program were interviewed. Four proximal variables were assessed: (a) quality of the caregiving environment, (b) family's regularity and predictability of daily routines, (c) caregiver's perception of the family's adequacy of resources, and (d) frequency and intensity of caregiver's experience with daily hassles. Results suggested that families of children enrolled in the center-based condition had more predictable daily routines than families of home-based participants. A family's adequacy of resources influenced the quality of the caregiving environment. Families with adequate resources were more likely to provide daily routines. Caregivers with fewer years of education were less able to establish and maintain daily routines which predicted, in part, a poorer caregiving environment.
    Materialart: Online-Ressource
    ISSN: 1053-8151 , 2154-3992
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2006
    ZDB Id: 2416414-8
    SSG: 5,2
    SSG: 5,3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    Online-Ressource
    Online-Ressource
    SAGE Publications ; 2005
    In:  Journal of Early Intervention Vol. 27, No. 4 ( 2005-07), p. 268-284
    In: Journal of Early Intervention, SAGE Publications, Vol. 27, No. 4 ( 2005-07), p. 268-284
    Kurzfassung: Prenatal cocaine exposure is an indicator for adverse developmental outcomes. To prevent developmental disabilities, an early intervention program for children birth to 3 years was developed that included three groups: center-based, home-based, and primary care comparison. The intervention was implemented across 10 years and data were collected on 342 children and families who were primarily urban, poor, and members of traditionally underrepresented groups. At 36 months of age, center and home-based intervention participants had more advanced cognitive and language abilities and fewer behavior problems than the primary care group participants. In addition, center-based participants had more advanced language abilities than home-based participants. The findings indicate that the early intervention impact is sustainable over time and has a positive effect on children at risk due to prenatal cocaine exposure.
    Materialart: Online-Ressource
    ISSN: 1053-8151 , 2154-3992
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2005
    ZDB Id: 2416414-8
    SSG: 5,2
    SSG: 5,3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
    In: European Stroke Journal, SAGE Publications, Vol. 4, No. 1 ( 2019-03), p. 55-64
    Kurzfassung: The relationship between different patterns of atrial fibrillation and early recurrence after an acute ischaemic stroke is unclear. Purpose In a prospective cohort study, we evaluated the rates of early ischaemic recurrence after an acute ischaemic stroke in patients with paroxysmal atrial fibrillation or sustained atrial fibrillation which included persistent and permanent atrial fibrillation. Methods In patients with acute ischaemic stroke, atrial fibrillation was categorised as paroxysmal atrial fibrillation or sustained atrial fibrillation. Ischaemic recurrences were the composite of ischaemic stroke, transient ischaemic attack and symptomatic systemic embolism occurring within 90 days from acute index stroke. Results A total of 2150 patients (1155 females, 53.7%) were enrolled: 930 (43.3%) had paroxysmal atrial fibrillation and 1220 (56.7%) sustained atrial fibrillation. During the 90-day follow-up, 111 ischaemic recurrences were observed in 107 patients: 31 in patients with paroxysmal atrial fibrillation (3.3%) and 76 with sustained atrial fibrillation (6.2%) (hazard ratio (HR) 1.86 (95% CI 1.24–2.81)). Patients with sustained atrial fibrillation were on average older, more likely to have diabetes mellitus, hypertension, history of stroke/ transient ischaemic attack, congestive heart failure, atrial enlargement, high baseline NIHSS-score and implanted pacemaker. After adjustment by Cox proportional hazard model, sustained atrial fibrillation was not associated with early ischaemic recurrences (adjusted HR 1.23 (95% CI 0.74–2.04)). Conclusions After acute ischaemic stroke, patients with sustained atrial fibrillation had a higher rate of early ischaemic recurrence than patients with paroxysmal atrial fibrillation. After adjustment for relevant risk factors, sustained atrial fibrillation was not associated with a significantly higher risk of recurrence, thus suggesting that the risk profile associated with atrial fibrillation, rather than its pattern, is determinant for recurrence.
    Materialart: Online-Ressource
    ISSN: 2396-9873 , 2396-9881
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2019
    ZDB Id: 2851287-X
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 4
    In: Substance Abuse, SAGE Publications, Vol. 39, No. 2 ( 2018-04), p. 199-205
    Kurzfassung: Despite high rates of chronic pain among their patients, opioid agonist treatment (OAT) counselors report an absence of training to manage chronic pain. Methods A multidisciplinary team developed a tailored training for counselors to screen and address chronic pain via a brief psychosocial intervention, and implemented it with 52 addiction counselors. Data on knowledge (9 true-false items) as well as attitudes, interest, and perceived ability (scored on 5-point Likert-type scales) were collected from counselors before (pre-test), after (post-test) training, and after 6 months (follow-up). Results Pre-test knowledge scores varied considerably. Compared to pre-test, mean counselor knowledge scores increased significantly post-training and at follow-up (p's. 〈 05). The training was associated with increases in positive attitudes toward the role of counselors in managing chronic pain, interest in assessing chronic pain, and counselor ability to assess as well as suggest appropriate interventions for pain (all p's 〈 .05). Perceived ability to assess chronic pain and suggest appropriate treatment interventions were higher at follow-up than at pre-test (p's 〈 .05). Conclusions Findings related to the initial evaluation of this training were promising, and future research is warranted to further examine the efficacy of training drug counselors on psychosocial interventions to manage chronic pain among OAT patients.
    Materialart: Online-Ressource
    ISSN: 0889-7077 , 1547-0164
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2018
    ZDB Id: 2018838-9
    SSG: 5,2
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 5
    In: Substance Abuse, SAGE Publications, Vol. 39, No. 2 ( 2018-04), p. 211-217
    Kurzfassung: Little is known about possible experiences of burnout among drug counselors in opioid treatment programs that are scaling up capacity to address the current opioid treatment gap. Methods Participants in this quality improvement study were 31 drug counselors employed by large opioid treatment programs whose treatment capacities were expanding. Experiences of burnout and approaches for managing and/or preventing burnout were examined using individual semi-structured interviews, which were audiotaped, transcribed, and systematically coded by a multidisciplinary team using grounded theory. Results Rates of reported burnout (in response to an open-ended question) were lower than expected, with approximately 26% of participants reporting burnout. Counselor descriptions of burnout included cognitive, affective, behavioral, and physiological symptoms; and job-related demands were identified as a frequent cause. Participants described both self-initiated (e.g., engaging in pleasurable activities, exercising, taking breaks during workday) and system-supported strategies for managing or preventing burnout (e.g., availing of supervision and paid time off). Counselors provided recommendations for system-level changes to attenuate counselor risk of burnout (e.g., increased staff-wide encounters, improved communication, accessible paid time off, and increased clinical supervision). Conclusions Findings suggest that drug counselor burnout is not inevitable, even in opioid treatment program settings whose treatment capacities are expanding. Organizations might benefit from routinely assessing counselor feedback about burnout and implementing feasible recommendations to attenuate burnout and promote work engagement.
    Materialart: Online-Ressource
    ISSN: 0889-7077 , 1547-0164
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2018
    ZDB Id: 2018838-9
    SSG: 5,2
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 6
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    SAGE Publications ; 2000
    In:  Foot & Ankle International Vol. 21, No. 7 ( 2000-07), p. 588-593
    In: Foot & Ankle International, SAGE Publications, Vol. 21, No. 7 ( 2000-07), p. 588-593
    Kurzfassung: Interphalangeal (IP) ulcerations of the great toe are frequently encountered in neuropathic diabetic feet. While total contact casting is usually effective as a first line treatment, recalcitrant ulcers continue to present substantial management challenges. The authors retrospectively reviewed the results of Keller arthroplasty employed to accelerate ulcer resolution with total contact casting in fourteen patients with neuropathic ulcers under the great toe interphalangeal (IP) joint that were resistant to casting alone. These data were compared to a group of similar patients whose ulcers were successfully treated by non-operative measures. No operative complications were observed, and all ulcers healed within twenty-four days with no recurrence documented at an average follow-up of 26 weeks. In cases of resistant great toe IP plantar ulcers associated with hallux rigidus that have failed casting trials, this treatment method can be effective.
    Materialart: Online-Ressource
    ISSN: 1071-1007 , 1944-7876
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2000
    ZDB Id: 2129503-7
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 7
    Online-Ressource
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    SAGE Publications ; 2018
    In:  Urban Education Vol. 53, No. 6 ( 2018-07), p. 744-773
    In: Urban Education, SAGE Publications, Vol. 53, No. 6 ( 2018-07), p. 744-773
    Kurzfassung: Awareness of the impact of education on health remains relatively low among the public, professionals, and policy makers. Virginia Commonwealth University’s Center on Society and Health sought to raise awareness among key decision makers about the impact of education on health outcomes through its Education and Health Initiative (EHI). EHI utilized four key strategies to raise awareness: user-oriented research, strategic communication, local and national stakeholder engagement, and policy outreach to decision makers. We review the research highlighted in four stages of EHI product releases, as well as the development, process, products, and key outcomes associated with this initiative.
    Materialart: Online-Ressource
    ISSN: 0042-0859 , 1552-8340
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2018
    ZDB Id: 2067136-2
    SSG: 5,3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 8
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    SAGE Publications ; 2021
    In:  Journal of Psychopharmacology Vol. 35, No. 11 ( 2021-11), p. 1386-1397
    In: Journal of Psychopharmacology, SAGE Publications, Vol. 35, No. 11 ( 2021-11), p. 1386-1397
    Kurzfassung: Prospective memory is a critical neurocognitive capacity that refers to the ability to execute delayed intentions. To date, few studies have investigated the effects of acute alcohol consumption on prospective memory, and important questions remain about the mechanisms that might underpin acute alcohol-induced prospective memory impairment. Aims: The current study sought to clarify the nature and magnitude of prospective memory difficulties following acute alcohol consumption and to test the degree to which any problems with prospective remembering might be a secondary consequence of broader cognitive impairment. This study also investigated whether there were potential sex differences. Methods: In all, 124 healthy adult social drinkers were assigned to either the alcohol ( n = 61) or placebo ( n = 63) condition. Participants were administered a dose of 0.6 g/kg alcohol or a matched placebo drink and then asked to complete a measure of prospective memory. A broader neurocognitive test battery was also administered. Results: Relative to the placebo condition, acute alcohol intoxication led to significant impairment on all prospective memory tasks, with effects mostly large in magnitude. These difficulties could not be explained by broader problems in retrospective memory, executive function or episodic future thinking. In addition, females recorded a higher blood alcohol concentration than males; however, no sex differences in prospective memory performance were identified following acute alcohol use. Conclusion: The results show that acutely, even a moderate dose of alcohol substantially impairs prospective memory function. These findings have potentially important implications for understanding many of the maladaptive behaviours associated with acute alcohol consumption.
    Materialart: Online-Ressource
    ISSN: 0269-8811 , 1461-7285
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2021
    ZDB Id: 2028926-1
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 9
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    SAGE Publications ; 2013
    In:  Rare Tumors Vol. 5, No. 1 ( 2013-05-02), p. 18-20
    In: Rare Tumors, SAGE Publications, Vol. 5, No. 1 ( 2013-05-02), p. 18-20
    Kurzfassung: A 57-year-old woman presented to her ophthalmologist because of rapid deterioration in vision. Dilated funduscopic examination of the right eye showed an elevated, yellow-orange choroidal mass temporal to the fovea; a complete retinal detachment was present in the left eye. The patient was referred to an oncologist. Computerized tomography of the brain, thorax, abdomen, and pelvis were obtained. They revealed an 11-mm mass in the right parietal lobe, a 30-mm mass in the left temporal lobe, 23-mm mass in the right kidney, and multiple nodules in both lungs. Supported by published experience with intravitreal bevacizumab for choroidal metastasis, the patient was injected into the vitreous through the pars plana of the left eye. The tumor mass did not show signs of regression and the visual acuity was unchanged. The patient suffered from end-state complications tumor metastasis and expired one month after the invitreal injection.
    Materialart: Online-Ressource
    ISSN: 2036-3613 , 2036-3613
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2013
    ZDB Id: 2514363-3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 10
    In: European Stroke Journal, SAGE Publications, Vol. 2, No. 1 ( 2017-03), p. 46-53
    Kurzfassung: Atrial fibrillation is an independent risk factor of thromboembolism. Women with atrial fibrillation are at a higher overall risk for stroke compared to men with atrial fibrillation. The aim of this study was to evaluate for sex differences in patients with acute stroke and atrial fibrillation, regarding risk factors, treatments received and outcomes. Methods Data were analyzed from the “Recurrence and Cerebral Bleeding in Patients with Acute Ischemic Stroke and Atrial Fibrillation” (RAF-study), a prospective, multicenter, international study including only patients with acute stroke and atrial fibrillation. Patients were followed up for 90 days. Disability was measured by the modified Rankin Scale (0–2 favorable outcome, 3–6 unfavorable outcome). Results Of the 1029 patients enrolled, 561 were women (54.5%) ( p  〈  0.001) and younger ( p  〈  0.001) compared to men. In patients with known atrial fibrillation, women were less likely to receive oral anticoagulants before index stroke ( p = 0.026) and were less likely to receive anticoagulants after stroke (71.3% versus 78.4%, p = 0.01). There was no observed sex difference regarding the time of starting anticoagulant therapy between the two groups (6.4 ± 11.7 days for men versus 6.5 ± 12.4 days for women, p = 0.902). Men presented with more severe strokes at onset (mean NIHSS 9.2 ± 6.9 versus 8.1 ± 7.5, p  〈  0.001). Within 90 days, 46 (8.2%) recurrent ischemic events (stroke/TIA/systemic embolism) and 19 (3.4%) symptomatic cerebral bleedings were found in women compared to 30 (6.4%) and 18 (3.8%) in men ( p = 0.28 and p = 0.74). At 90 days, 57.7% of women were disabled or deceased, compared to 41.1% of the men ( p  〈  0.001). Multivariate analysis did not confirm this significance. Conclusions Women with atrial fibrillation were less likely to receive oral anticoagulants prior to and after stroke compared to men with atrial fibrillation, and when stroke occurred, regardless of the fact that in our study women were younger and with less severe stroke, outcomes did not differ between the sexes.
    Materialart: Online-Ressource
    ISSN: 2396-9873 , 2396-9881
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2017
    ZDB Id: 2851287-X
    Standort Signatur Einschränkungen Verfügbarkeit
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