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At least 109 records · Page 6Linked to original sources

Regulatory requirements for clinical evaluation of antimicrobial agents.

Evaluation of antimicrobial agents in governed mainly by interaction between the pharmaceutical industry and regulatory authorities. The 1977 FDA guidelines have been setting the standards for more than a decade now. Basic principles of the 1977 guidelines remain valid, however changes in the definition of end-points of response, as measured by both clinical and microbiological criteria, have occurred. The new (draft) FDA guidelines and the 1989 guidelines of the British Society of Antimicrobial Chemotherapy are more consistent with contemporary concepts of treatment. In general, the differences in the requirements are minimal with a few exceptions, namely the requirements concerning blinding and assessment of clinical efficacy by site of infection and by organism in the FDA guidelines.

Anti-Infective Agents↗

Resource requirements for health care organizations.

Decisions regarding resource requirements are often based on single-factor decision rules. Although the use of such rules will simplify the decision process, these rules ignore the multiple consequences of each decision. Instead the health care administrator should base a decision on the mix of performance promised by a given resource decision.

Decision Making↗

Psychosocial assessment by phone for high-scoring patients taking the Edinburgh Postnatal Depression Scale: communication pathways and strategies.

The well-documented risks associated with perinatal depression provide a strong argument for universal screening. However, uncertainty about what to do with findings is a significant barrier to implementing screenings where obstetric care is provided. Based on experience with a comprehensive screening program, we describe a protocol for those critical communication pathways that encourage a dynamic phone exchange between a mental health caller and the patient who has scored in the high range on the Edinburgh Postnatal Depression Scale. In addition, we present guidelines for developing an action plan for addressing intervention needs and closing the feedback loop to the original administrators of the scale.

Adult↗

Planning and development issues in implementing community-based mental health services for the elderly.

The elderly constitute a growing segment of the nation's population, but they have received a disproportionately small percentage of mental health services. To meet the mental health needs of the elderly in Milwaukee, a geropsychiatry center was opened in 1980 under the direction of the author. The center's development was based on three underlying principles: an emphasis on a biopsychosocial approach to the problems of the elderly, organization of services along a continuum of needs, and close linkages between informal support networks and the formal service system. Functional assessments on biopsychosocial and cultural factors and therapeutically oriented case management services are major thrusts of the program. The center's services, considerations in the selection of staff, funding issues, and cases seen in the first 14 months of operation are described, along with a case study illustrating the center's intervention with elderly patients.

Aged↗

Improving access to care.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗

How many CT scanners do you need?

Ohio HSA has developed a systematic approach to determine the need for CT scanners, basing final decisions on population and incidence of disease.

Disease↗

AIDS education for health care professionals in an organizational or systems context.

Traditionally, health education for practicing health professionals, as well as members of the public, focuses on the individual and relies on changing personal behavior. However, health care for persons with acquired immunodeficiency syndrome (AIDS), and members of their families, mainly is delivered within health and human services organizations. Providing AIDS education for health care professionals in an organizational or systems context shifts the focus from the individual to the group and from changing a person's behavior to offering health care professionals opportunities for interaction. In an organizational or systems approach, they can address patient care issues collectively, share interdisciplinary knowledge, identify problems of common concern, plan coordinated and integrated responses, and provide mutual support. A strategy for planning AIDS education is proposed for key administrators, supervisors, and care providers, who are the gatekeepers, opinion makers, and role models of organizations. Addressing organizational, community, and health care delivery system issues as part of an education program provides a forum for defining problems and a basis for uniting professionals and developing solutions.

Acquired Immunodeficiency Syndrome↗

Increasing the health promotive capacity of human environments.

This article offers an integration of two different perspectives on health promotion research and practice: one emphasizing the concept of community capacity for health improvement and the other focusing on the notion of health supportive environments. These two approaches generally have emphasized different kinds of community assets for health promotion. Specifically, community capacity research has focused on the cultivation of human resources (e.g., collaborative coalitions, participatory decision-making, health education strategies) for health promotion, whereas environmentally oriented research has underscored the influence of material resources (e.g., the built environment, natural resources, technological infrastructure) on important health behaviors and outcomes. Combining these two streams of health promotion research yields a broader understanding of the health promotive capacity of human environments and suggests several "best process" guidelines for enhancing health promotion practice.

Community Health Planning↗

Arkansas fights fat: translating research into policy to combat childhood and adolescent obesity.

National recommendations to address the emerging obesity epidemic include increased awareness, individual interventions, and environmental changes. However, guidance for translating public health and clinical evidence into meaningful policies has been limited. Arkansas formulated and passed simple yet powerful legislation to combat childhood obesity through actions in public schools. Specific legislative requirements were straightforward. Importantly, the act included an independent mechanism to identify, examine, debate, and develop further action steps. Based on our experience, we present a framework for developing a cross-sector approach to translating science into policy and practice, and we offer this guide to other states facing similar health threats.

Adolescent↗