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  • 1
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2007
    In:  Palliative and Supportive Care Vol. 5, No. 3 ( 2007-09), p. 219-226
    In: Palliative and Supportive Care, Cambridge University Press (CUP), Vol. 5, No. 3 ( 2007-09), p. 219-226
    Abstract: Objective: Completely compliant drug-taking behavior is associated with opioid therapy that is usually highly beneficial to the pain patient, whereas frequent and severe aberrant behavior is generally associated with therapy that is potentially harmful to the patient and borders on addiction. There is a large group of patients in the middle between these two extremes: those who display aberrant behaviors periodically, who may additionally have a mixed response to opioid therapy, the overall results of which are less than satisfying (often in the domain of functionality) to the clinician. We have used the term chemical coping to describe this vast middle ground and seek to begin a line of research starting with the development of a clinically useful tool to identify this subset of patients. Methods: A background review is provided to highlight the need for better understanding of chemical coping. In addition, the first steps in creating a chemical coping tool are discussed, including the results of focus group interviews to determine the clarity, understandability of the items, and to assure that they are not objectionable or offensive. A total of 15 patients and 15 professionals completed this phase of the project. Results: Both the professionals and patients reported that the items were generally clear and understandable. In addition, although the items cover potentially sensitive topics and some were designed with a provocative edge, the respondents had few requested changes. The researchers are moving forward with the next phase of research. Significance of results: The middle ground between compliant medication use and addiction, which we call chemical coping , is poorly understood and woefully underresearched. Despite this gap in our knowledge base, it is an often observed phenomenon. Creating a tool to identify these characteristics can lead to better treatment outcomes and earlier interventions to help improve compliance with medication regimens.
    Type of Medium: Online Resource
    ISSN: 1478-9515 , 1478-9523
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2007
    detail.hit.zdb_id: 2121158-9
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  • 2
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2018
    In:  Medical History Vol. 62, No. 2 ( 2018-04), p. 199-216
    In: Medical History, Cambridge University Press (CUP), Vol. 62, No. 2 ( 2018-04), p. 199-216
    Abstract: ‘Medicalisation’ of same sex relations is a phenomenon that reached its peak in the 1950s and 1960s. The rise of gay liberation produced a divisive political contest with the psychiatric profession and adherents of the orthodox ‘medical model’ in the United States and – to a lesser extent – in the United Kingdom. This socio-historical process occurred throughout the English-speaking world, but much less is known about its dynamics in smaller countries such as New Zealand where the historiography on this issue is very sparse. The methodology situates New Zealand within a transnational framework to explore the circulation of medical theories and the critical responses they were met with. The article is anchored around three key local moments in the 1970s to consider the changing terrain on which ideas about homosexuality and psychiatry were constantly rearranged during this decade. This power struggle took a number of twists and turns, and the drive toward medicalisation alternated with a new impetus to de-medicalise same-sex sexuality.
    Type of Medium: Online Resource
    ISSN: 0025-7273 , 2048-8343
    RVK:
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2018
    detail.hit.zdb_id: 2181926-9
    SSG: 5,21
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  • 3
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2018
    In:  The Canadian Entomologist Vol. 150, No. 4 ( 2018-08), p. 499-510
    In: The Canadian Entomologist, Cambridge University Press (CUP), Vol. 150, No. 4 ( 2018-08), p. 499-510
    Abstract: Une étude des parasitoïdes des œufs et des larves de l’arpenteuse de la pruche ( Lambdina fiscellaria (Guenée); Lepidoptera: Geometridae) a été entreprise pendant une infestation de ce ravageur au Labrador, Terre-Neuve-et-Labrador, Canada. Six espèces de parasitoïde ont été trouvées: Telenomus coloradensis Crawford et T. droozi Muesebeck (Hymenoptera: Platygastridae), Winthemia occidentis Reinhard et Blondelia eufitchiae (Townsend) (Diptera: Tachinidae), ainsi qu’une espèce de Phobocampe Förster et Mesochorus vittator (Zetterstedt) (Hymenoptera: Ichneumonidae). Aucune d’entre elles n’était nouvelle au Canada. Afin de mieux comprendre l’assemblage régional de parasitoïdes du Labrador, nous avons compilé toutes les espèces rapportées dans les publications au Canada, et examiné tous les spécimens conservés de la Collection nationale canadienne d’insectes, d’arachnides et de nématodes (Ottawa, Ontario, Canada). Cette liste complète aidera les chercheurs intéressés par les candidats potentiels pour le contrôle biologique de l’arpenteuse de la pruche.
    Type of Medium: Online Resource
    ISSN: 0008-347X , 1918-3240
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2018
    detail.hit.zdb_id: 2119167-0
    detail.hit.zdb_id: 2472093-8
    SSG: 12
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  • 4
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2017
    In:  Journal of Benefit-Cost Analysis Vol. 8, No. 1 ( 2017), p. 24-48
    In: Journal of Benefit-Cost Analysis, Cambridge University Press (CUP), Vol. 8, No. 1 ( 2017), p. 24-48
    Abstract: While much is known about dyslexia in school-age children and adolescents, less is known about its effects on quality of life in adults. Using data from the Connecticut Longitudinal Study, we provide the first estimates of the monetary value of improving reading, speaking, and cognitive skills to dyslexic and nondyslexic adults. Using a stated-preference survey, we find that dyslexic and nondyslexic individuals value improvements in their skills in reading speed, reading aloud, pronunciation, memory, and information retrieval at about the same rate. Because dyslexics have lower self-reported levels on these skills, their total willingness to pay to achieve a high level of skill is substantially greater than for nondyslexics. However, dyslexic individuals’ willingness to pay (averaging $3000 for an improvement in all skills simultaneously) is small compared with the difference in earnings between dyslexic and nondyslexic adults. We estimate that dyslexic individuals earn 15% less per year (about $8000) than nondyslexic individuals. Although improvements in reading, speaking, and cognitive skills in adulthood are unlikely to eliminate the earnings difference that reflects differences in educational attainment and other factors, stated-preference estimates of the value of cognitive skills may substantially underestimate the value derived from effects on lifetime earnings and health.
    Type of Medium: Online Resource
    ISSN: 2194-5888 , 2152-2812
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2573466-0
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  • 5
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 1993
    In:  Weed Technology Vol. 7, No. 3 ( 1993-09), p. 670-673
    In: Weed Technology, Cambridge University Press (CUP), Vol. 7, No. 3 ( 1993-09), p. 670-673
    Abstract: Downy brome serves as an alternative host for Russian wheat aphid (RWA) in winter wheat. In field studies, downy brome infestations of 5 and 39 plants per m 2 increased RWA-infested winter wheat tillers 1.4 to 2.8 times that seen in non-infested plots, respectively. RWA-infested winter wheat tillers were not reduced consistently by fertilization. Chlorpyrifos reduced the number of RWA-infested winter wheat tillers to 15 to 43% of untreated wheat. Insecticide efficacy was not influenced by downy brome infestation or by fertilizer either band- or broadcast-applied.
    Type of Medium: Online Resource
    ISSN: 0890-037X , 1550-2740
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1993
    detail.hit.zdb_id: 2119100-1
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  • 6
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2020
    In:  Journal of Radiotherapy in Practice Vol. 19, No. 1 ( 2020-03), p. 15-19
    In: Journal of Radiotherapy in Practice, Cambridge University Press (CUP), Vol. 19, No. 1 ( 2020-03), p. 15-19
    Abstract: The aim of this study was to explore the experiences of radiotherapy students on clinical placement, specifically focussing on the provision of well-being support from clinical supervisors. Materials and methods: Twenty-five students from the University of the West of England and City University of London completed an online evaluation survey relating to their experiences of placement, involving Likert scales and open-ended questions. Results: The quantitative results were generally positive; however, the qualitative findings were mixed. Three themes emerged: (1) provision of information and advice; (2) an open, inclusive and supportive working environment; and (3) a lack of communication, understanding, and consistency. Findings: Students’ experiences on placement differed greatly and appeared to relate to their specific interactions with different members of staff. It is suggested that additional training around providing well-being support to students may be of benefit to clinical supervisors.
    Type of Medium: Online Resource
    ISSN: 1460-3969 , 1467-1131
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2194408-8
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  • 7
    In: Infection Control & Hospital Epidemiology, Cambridge University Press (CUP), Vol. 37, No. 5 ( 2016-05), p. 497-504
    Abstract: Legislative actions and advanced technologies, particularly dissemination of safety-engineered devices, have aided in protecting healthcare personnel from occupational blood and body fluid exposures (BBFE). OBJECTIVE To investigate the trends in BBFE among healthcare personnel over 15 years and the impact of safety-engineered devices on the incidence of percutaneous injuries as well as features of injuries associated with these devices. METHODS Retrospective cohort study at University of North Carolina Hospitals, a tertiary care academic facility. Data on BBFE in healthcare personnel were extracted from Occupational Health Service records (2000–2014). Exposures associated with safety-engineered and conventional devices were compared. Generalized linear models were applied to measure the annual incidence rate difference by exposure type over time. RESULTS A total of 4,300 BBFE, including 3,318 percutaneous injuries (77%), were reported. The incidence rate for overall BBFE was significantly reduced during 2000–2014 (incidence rate difference, 1.72; P =.0003). The incidence rate for percutaneous injuries was also dramatically reduced during 2001–2006 (incidence rate difference, 1.37; P =.0079) but was less changed during 2006–2014. Percutaneous injuries associated with safety-engineered devices accounted for 27% of all BBFE. BBFE was most commonly due to injecting through skin, placing intravenous catheters, and blood drawing. CONCLUSIONS Our study revealed significant overall reduction in BBFE and percutaneous injuries likely due in part to the impact of safety-engineered devices but also identified that a considerable proportion of percutaneous injuries is now associated with these devices. Additional prevention strategies are needed to further reduce percutaneous injuries and improve design of safety-engineered devices. Infect Control Hosp Epidemiol 2016;37:497–504
    Type of Medium: Online Resource
    ISSN: 0899-823X , 1559-6834
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2016
    detail.hit.zdb_id: 2106319-9
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  • 8
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2023
    In:  Infection Control & Hospital Epidemiology Vol. 44, No. 9 ( 2023-09), p. 1481-1484
    In: Infection Control & Hospital Epidemiology, Cambridge University Press (CUP), Vol. 44, No. 9 ( 2023-09), p. 1481-1484
    Abstract: Face masks reduce disease transmission by protecting the wearer from inhaled pathogens and reducing the emission of infectious aerosols. Although methods quantifying efficiency for wearer protection are established, current methods for assessing face mask containment efficiency rely on measurement of a low concentration of aerosols emitted from an infected or noninfected individual. Methods: A small port enabled the introduction of 0.05 µm sodium chloride particles at a constant rate behind the mask worn by a study participant. A condensation particle counter monitored ambient particle numbers 60 cm in front of the participant over 3-minute periods of rest, speaking, and coughing. The containment efficiency (%) for each mask and procedure was calculated as follows: 100 × (1 − average ambient concentration with face covering worn/average ambient concentration with a sham face covering in place). The protection efficiency (%) was also measured using previously published methods. The probability of transmission (%) from infected to uninfected (a function of both the containment efficiency and the protection efficiency) was calculated as follows: {1 − (containment efficiency/100)}×{1 − (protection efficiency/100)}×100. Results: The average containment efficiencies for each mask over all procedures and repeated measures were 94.6%, 60.9%, 38.8%, and 43.2%, respectively, for the N95 mask, the KN95 mask, the procedure face mask, and the gaiter. The corresponding protection efficiencies for each mask were 99.0%, 63.7%, 45.3%, and 24.2%, respectively. For example, the transmission probability for 1 infected and 1 uninfected individual in close proximity was ∼14.2% for KN95 masks, compared to 36%–39% when only 1 individual wore a KN95 mask. Conclusion: Overall, we detected a good correlation between the protection and containment that a face covering afforded to a wearer.
    Type of Medium: Online Resource
    ISSN: 0899-823X , 1559-6834
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2106319-9
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  • 9
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2009
    In:  Behavioural and Cognitive Psychotherapy Vol. 37, No. 5 ( 2009-10), p. 571-583
    In: Behavioural and Cognitive Psychotherapy, Cambridge University Press (CUP), Vol. 37, No. 5 ( 2009-10), p. 571-583
    Abstract: Background: A theoretical and empirical base for CBT training and supervision has started to emerge. Increasingly sophisticated maps of CBT therapist competencies have recently been developed, and there is evidence that CBT training and supervision can produce enhancement of CBT skills. However, the evidence base suggesting which specific training techniques are most effective for the development of CBT competencies is lacking. Aims: This paper addresses the question: What training or supervision methods are perceived by experienced therapists to be most effective for training CBT competencies? Method: 120 experienced CBT therapists rated which training or supervision methods in their experience had been most effective in enhancing different types of therapy-relevant knowledge or skills. Results: In line with the main prediction, it was found that different training methods were perceived to be differentially effective. For instance, reading, lectures/talks and modelling were perceived to be most useful for the acquisition of declarative knowledge, while enactive learning strategies (role-play, self-experiential work), together with modelling and reflective practice, were perceived to be most effective in enhancing procedural skills. Self-experiential work and reflective practice were seen as particularly helpful in improving reflective capability and interpersonal skills. Conclusions: The study provides a framework for thinking about the acquisition and refinement of therapist skills that may help trainers, supervisors and clinicians target their learning objectives with the most effective training strategies.
    Type of Medium: Online Resource
    ISSN: 1352-4658 , 1469-1833
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2009
    detail.hit.zdb_id: 1499945-6
    SSG: 5,2
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