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PubMed1999

Projections from the lateral, basal, and accessory basal nuclei of the amygdala to the hippocampal formation in rat.

The amygdaloid complex and hippocampal formation mediate functions involving emotion and memory. To investigate the connections that regulate the interactions between these regions, we injected the anterograde tracer Phaseolus vulgaris-leucoagglutinin into various divisions of the lateral, basal, and accessory basal nuclei of the rat amygdala. The heaviest projection to the entorhinal cortex originates in the medial division of the lateral nucleus which innervates layer III of the ventral intermediate and dorsal intermediate subfields. In the basal nucleus, the heaviest projection arises in the parvicellular division and terminates in layer III of the amygdalo-entorhinal transitional subfield. In the accessory basal nucleus, the parvicellular division heavily innervates layer V of the ventral intermediate subfield. The most substantial projection to the hippocampus originates in the basal nucleus. The caudomedial portion of the parvicellular division projects heavily to the stratum oriens and stratum radiatum of CA3 and CA1. The accessory basal nucleus projects to the stratum lacunosum-moleculare of CA1. The subiculum receives a substantial input from the caudomedial parvicellular division. The parasubiculum receives dense projections from the caudal portion of the medial division of the lateral nucleus, the caudomedial parvicellular division of the basal nucleus, and the parvicellular division of the accessory basal nucleus. Our data show that select nuclear divisions of the amygdala project to the entorhinal cortex, hippocampus, subiculum, and parasubiculum in segregated rather than overlapping terminal fields. These data suggest that the amygdaloid complex is in a position to modulate different stages of information processing within the hippocampal formation.

Amygdala↗
PubMed1992

Forecast accuracy of Australian subnational population projections.

The authors assess demographic projections made over the last 20 years for Australia. "This paper first considers the role of accuracy amongst other objectives of projection activity. Accepting accuracy as a legitimate goal, we then assess the performance of 48 sets of population projections and forecasts for states and territories of Australia prepared since 1970. Projection accuracy is assessed by reference to length of forecast horizon, population size and rate of growth. We also examine the main sources of forecast error in selected projections for each state and compare the performance of past projections with alternatives based on simple extrapolation of contemporary population trends."

Australia↗
PubMed1981

The use of official sub-national population projections in England: Phase 1, central government departments and public utilities.

"The use made of the official population projections and the derivative household and labour supply projections has been investigated recently in England through a survey of user and potential user organizations. In view of the rather complex arrangements for producing the official projections, the paper begins by providing a summary of what projections are prepared and by whom.... The main part...presents an analysis of the results of the survey...concerned with who uses the projections, the factors influencing the use and value of projections and the demands for an extension of the current service."

Developed Countries↗
PubMed1998

Meta-analysis of studies assessing the efficacy of projective techniques in discriminating child sexual abuse.

OBJECTIVE: This meta-analysis of 12 studies assesses the efficacy of projective techniques to discriminate between sexually abused children and nonsexually abused children. METHOD: A literature search was conducted to identify published studies that used projective instruments with sexually abused children. Those studies that reported statistics that allowed for an effect size to be calculated, were then included in the meta-analysis. There were 12 studies that fit the criteria. The projectives reviewed include The Rorschach, The Hand Test, The Thematic Apperception Test (TAT), the Kinetic Family Drawings, Human Figure Drawings, Draw Your Favorite Kind of Day, The Rosebush: A Visualization Strategy, and The House-Tree-Person. RESULTS: The results of this analysis gave an over-all effect size of d = .81, which is a large effect. Six studies included only a norm group of nondistressed, nonabused children with the sexual abuse group. The average effect size was d = .87, which is impressive. Six studies did include a clinical group of distressed nonsexually abused subjects and the effect size lowered to d = .76, which is a medium to large effect. CONCLUSION: This indicates that projective instruments can discriminate distressed children from nondistressed subjects, quite well. In the studies that included a clinical group of distressed children who were not sexually abused, the lower effect size indicates that the instruments were less able to discriminate the type of distress. This meta-analysis gives evidence that projective techniques have the ability to discriminate between children who have been sexually abused and those who were not abused sexually. However, further research that is designed to include clinical groups of distressed children is needed in order to determine how well the projectives can discriminate the type of distress.

Adolescent↗
PubMed1997

Patient-oriented pharmacy on a special ward: results of a pilot project in Germany.

In Germany a pilot project in patient-oriented pharmacy has been started in the Berufsgenossenschaftliche Unfallklinik Ludwigshafen to demonstrate the efficiency of this modem way of practising pharmacy in hospital. A special ward of the orthopaedic department (spinal injuries, 25 beds) was chosen for this project. Since February 1st, 1994, the pharmacists have taken over the stock management on the ward and dispense oral drugs in unit-dose systems for each patient. The pharmacists participate also in ward rounds and check the patients' medication charts in order to support and inform the physicians. So the project is a combination of improved patient care and an advisory service in pharmaceutical questions for the medical staff. In the first year of this project, which is still ongoing (February 1994-January 1995), 123 patients were treated on the ward; the average duration of stay was about 77 days. During this first year the pharmacists registered 111 questions and events leading to pharmaceutical interventions. The most important results of the project are the improvement in drug safety and more effective drug use. Other positive results are: during the course of the project the cooperation between the medical and pharmaceutical staff has been improved and the drug management by the pharmacy has resulted in a 17 per cent reduction of medication costs in comparison to the year before. All these results clearly demonstrate the success of these first steps in patient-oriented pharmacy.

Germany↗
PubMed1998

Using the SARs to add policy value to household projections.

"Household projections are at the centre of the debate about future housing requirements in England. The Census of Population Sample of Anonymised Records offers actual and potential opportunities to ¿add value' to traditional projections. This article gives examples of such added value, including testing definitional sensitivity of projection outcomes, assisting further detailed disaggregation of projected components, assisting the matching of household projections to dwelling supply, and offering scope to explore via data linkage the relationships between household projections and ¿backlog' housing needs, affordability, dwelling size, and tenure."

Data Collection↗
PubMed1998

Operation Red Box: a pilot project of needle and syringe drop boxes for injection drug users in East Baltimore.

We assessed the acceptability and the use of a community-based needle and syringe disposal project designed to serve injection drug users. In June 1996, three surplus U.S. mail collection boxes were painted red and used as syringe and needle drop boxes in locations with high drug use in East Baltimore. Acceptance of the drop boxes was measured by focus groups of residents, drug users, and police, held before and after project implementation. Use was measured by weekly counts of needles recovered from the red boxes. A sample of all deposited needles was randomly chosen for needle washing and subsequent HIV antibody testing. Community impact was measured by systematic surveys of needles discarded on public sidewalks, in areas with and areas without drop boxes. Before implementation, members of focus groups expressed concerns that drop boxes could convey mixed messages to youth (e.g., seeming to condone drug use), might result in increased loitering, and could further community stigmatization. After project implementation, all focus groups expressed support of project expansion. In the first 10 months, 2971 needles were collected. Of 156 needles tested, 10.9% were positive for HIV antibody. Needle counts on the street showed no significant change in red box areas compared with control areas. In this pilot project, red boxes were accepted by the community and drug users. Police officers also used the boxes to dispose of confiscated needles. Although limited in the number of drop boxes and follow-up time, this pilot project shows promise as a community-based method of safe needle disposal.

Adolescent↗
PubMed2002

Measuring, monitoring, and verification of carbon benefits for forest-based projects.

Worldwide, there are many pilot forestry projects that are under some stage of implementation, and much experience has been gained from them with respect to measuring, monitoring, and accounting for their carbon benefits. Forestry projects have been shown to be easier to quantify and monitor than national inventories, partly because not all pools need measuring: a selective accounting system can be used that must include all pools expected to decrease and a choice of pools expected to increase as a result of the project. Only pools that are based on field measurements should be incorporated into the calculation of carbon benefits. Such a system allows for trade-offs between expected carbon benefits, costs, and desired precision, while maintaining the integrity of the net carbon benefits. Techniques and methods for accurately and precisely measuring individual carbon pools in forestry projects exist, are based on peer reviewed principles of forest inventory, soil sampling, and ecological surveys, and have been well tested in many part of the world. Experience with several forestry projects in tropical countries has shown that with the use of these techniques carbon stocks can readily be estimated to be within less than +/-10% of the mean. To date, there is little experience with measuring the changes in carbon stocks over time but, using the correct design and sufficient numbers of permanent plots, it is expected that precision levels will be maintained at less than +/-10% of the mean. Internal verification can be accomplished through use of quality assurance/quality control plans. External or third-party verification is still in its infancy, and would greatly benefit from international agreements in relation to protocols used for all aspects of project design and implementation.

Biomass↗
PubMed2003

Evaluation of the Florida coordinated school health program pilot schools project.

The Florida Department of Education, with CDC funding, designed the Florida Coordinated School Health Program Pilot Schools Project (PSP) to encourage innovative approaches to promote coordinated school health programs (CSHP) in Florida schools. Each of eight pilot schools received $15,000 in project funding, three years of technical assistance including on-site and off-site assistance, a project office resource center, mailings of resource materials, needs assessment and evaluation assistance, and three PSP Summer Institutes. Project evaluators created a context evaluation, approaching each school independently as a "case study" to measure the school's progress in meeting goals established at baseline. Data were collected using the How Healthy is Your School? needs assessment instrument, a School Health Portfolio constructed by each school team, a Pilot Schools Project Team Member Survey instrument, midcourse team interviews, final team interviews, and performance indicator data obtained from pilot and control schools. The PSP posed two fundamental questions: "Can financial resources, professional training, and technical assistance enable individual schools to create and sustain a coordinated school health program?" and "What outcomes reasonably can one expect from a coordinated school health program, assuming programs receive adequate support over time?" First, activities at the eight schools confirmed that a coordinated school health programs can be established and sustained. Program strength and sustainability depend on long-term resources, qualified personnel, and administrative support. Second, though coordinated school health programs may improve school performance indicators, the PSP yielded insufficient evidence to support that belief. Future projects should include robust measurement and evaluation designs, thereby producing conclusive evidence about the influence of a coordinated school health program on such outcomes.

Adolescent↗
PubMed1989

A cost-effectiveness evaluation of primary health care projects for the poor.

A cost-effectiveness analysis was conducted to determine the relative efficacy of nine primary health care projects serving low income persons in urban and rural areas of Texas. The projects were created as part of a government program to provide services in medically underserved areas of the state by contracting with local public and private providers. While they vary widely in terms of sponsoring organizations, service strategy, and scope of services, the projects share a similar goal of providing an array of basic medical and preventive care services to the poor. This study compares the average cost per encounter for diagnosis/treatment, emergency, family planning, and preventive health screening services provided by the various projects during the first year of operation. After adjusting for differences in input prices and patient volume, the cost differences are examined and related to organizational model and personnel mix. Those projects with the highest ratio of nonphysician to physician practitioners proved more cost-effective, as did those projects following the public clinic model of service delivery.

Community Health Centers↗
PubMed1989

Searching for projection in the Rorschach.

The issue of assumptions concerning projection and the Rorschach is discussed in relation to the Rorschach response process and the process of projection. Some data suggest that some minus answers may evolve because of projection, but the limited nature of the findings indicate that these types of projected answers will be difficult to identify in most cases. Findings concerning passive and aggressive movement responses, morbid content responses, and movement answers, coded using a new special score for positive cooperative interaction (COP) in human and animal movement responses, suggest that most projections will manifest in responses that depart from and/or embellish the stimulus field. Caution is recommended about attempting to interpret single answers tht appear to be projections, because most any might be the product of simple stimulus classification.

Adult↗
PubMed2005

Social projection to ingroups and outgroups: a review and meta-analysis.

Social projection is the tendency to expect similarities between oneself and others. A review of the literature and a meta-analysis reveal that projection is stronger when people make judgments about ingroups than when they make judgments about outgroups. Analysis of moderator variables further reveals that ingroup projection is stronger for laboratory groups than for real social categories. The mode of analysis (i.e., nomothetic vs. idiographic) and the order of judgments (i.e., self or group judged first) have no discernable effects. Outgroup projection is positive, but small in size. Together, these findings support the view that projection can serve as an egocentric heuristic for inductive reasoning. The greater strength of ingroup projection can contribute to ingroup-favoritism, perceptions of ingroup homogeneity, and cooperation with ingroup members.

Humans↗
PubMed1992

Design and conduct of a low-cost mammography screening project: experience of the American Cancer Society, Texas Division.

To improve compliance with recommendations for screening mammography, the American Cancer Society (ACS) Texas Division designed and conducted a media-promoted screening project in 1987. The project was planned during a 2-year period by a task force made up of physicians and lay members of ACS division committees. Radiology centers desiring to participate in the project were asked to submit information about the number of patients they could screen and their equipment, along with physics data, to a review committee. Of 306 facilities that responded, 266 (87%) passed the initial review. Thirteen facilities (4%) submitted images from two examinations using a dedicated mammography phantom, and 27 sites (9%) entered the project by agreeing to adhere to the project standards and guidelines without undergoing formal review. All facilities agreed to provide mammograms for $50 to women scheduling appointments during a 2-week media campaign in February 1987. The project generated 64,459 mammographic screening examinations. Our experience indicates that a media campaign can encourage women to have screening mammograms and that screening facilities will agree to screen a large number of women at reduced cost. This strategy, if widely applied, can improve compliance with mammographic screening recommendations and reduce breast cancer mortality.

Adult↗
PubMed1998

The projection questionnaire: design, use and utility.

UNLABELLED: Projection is a widespread mechanism of defence. It is an important issue in a number of anthropological researches. To estimate changes in intensity and flexibility of the projection a measuring instrument is unavoidable. MATERIAL: To standardise the questionnaire answers of 250 examinees were used. They were divided in two independent groups. Group 1 consisted of 125 patients treated at Clinic for Psychological Medicine and Group 2 of 125 students in the third year of the Medical Faculty in Zagreb. METHODS: To process the results a statistical package SPSS was used. A chi 2 test was employed and tables of contingency were made. A factor analysis of "The Projection Questionnaire" was employed and varimax rotation separated five factors which characteristic roots were greater than one. RESULTS: A new instrument for measuring the projection, "The Projection Questionnaire", is developed and standardised. A considerable use of the projection by normal population is confirmed.

Factor Analysis, Statistical↗
PubMed1997

Project administration departments improve information systems initiatives.

As integrated delivery systems evolve and grow, the information services organizations (ISOs) that serve them are increasingly called upon to undertake complex, high-cost, high-risk information systems projects. Because it is critical that such projects be managed efficiently and effectively, it is desirable to form a project administration department within the ISO to design and oversee a formal, consistent, and rigorous approach to project management. This department can assume responsibility for developing and implementing the processes, tools, functions, methodologies, and standards that ensure each project is performed consistently, on time, and within the established budget. The specific responsibilities of a project administration department will vary and evolve according to the needs of the healthcare system.

Communication↗
PubMedDate not supplied

A framework for improving quality. Using project study teams, Providence Health System tackles problem areas.

To identify issues for quality improvement and monitoring, an organization first articulates its service mission and objectives. The organization uses internal measurements and self-examination with external accountability and benchmarks to select a manageable number of projects for study. Supported by collected evidence, published data, and broad-based approval, projects focus on the process or outcomes of care, frequency of services, or patient populations. An accountable leader selects team members from the affected disciplines, who review evidence, agree on what and how to measure, determine implementation strategies, and develop an evaluation plan. The team meets established targets to track the project's progress and shares results with other teams. Providence Health System (PHS) his integrated its continuum of care through quality study groups (e.g., CORE) and improved communication systems. The Guideline Evaluation and Redesign (GEAR) projects compare PHS performance against outside standards, studying eight patient conditions (e.g., geriatric depression, hysterectomy) to decrease hospital days without compromising care. Each team is encouraged to develop guidelines for admission, discharge, and hospital care in their specialty areas. These projects are balanced between surgical and nonsurgical conditions and across clinical programs to engage different staffs. The PHS Population Health Improvement (PHI) teams used feasibility studies of eight patient populations to identify ways to improve quality of care based on internal and external evidence. The high-risk pregnancy team has redesigned staffing and implemented case management, and the Medicare and Medicaid projects have developed risk screens for new patient members.

Benchmarking↗
PubMed1987

Low-birth-weight rate reduced by the obstetrical access project.

Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project's scope of services for the Medi-Cal recipients on a statewide basis.

California↗
PubMed2000

Public library consumer health information pilot project: results of a National Library of Medicine evaluation.

In October 1998, the National Library of Medicine (NLM) launched a pilot project to learn about the role of public libraries in providing health information to the public and to generate information that would assist NLM and the National Network of Libraries of Medicine (NN/LM) in learning how best to work with public libraries in the future. Three regional medical libraries (RMLs), eight resource libraries, and forty-one public libraries or library systems from nine states and the District of Columbia were selected for participation. The pilot project included an evaluation component that was carried out in parallel with project implementation. The evaluation ran through September 1999. The results of the evaluation indicated that participating public librarians were enthusiastic about the training and information materials provided as part of the project and that many public libraries used the materials and conducted their own outreach to local communities and groups. Most libraries applied the modest funds to purchase additional Internet-accessible computers and/or upgrade their health-reference materials. However, few of the participating public libraries had health information centers (although health information was perceived as a top-ten or top-five topic of interest to patrons). Also, the project generated only minimal usage of NLM's consumer health database, known as MEDLINEplus, from the premises of the monitored libraries (patron usage from home or office locations was not tracked). The evaluation results suggested a balanced follow-up by NLM and the NN/LM, with a few carefully selected national activities, complemented by a package of targeted activities that, as of January 2000, are being planned, developed, or implemented. The results also highlighted the importance of building an evaluation component into projects like this one from the outset, to assure that objectives were met and that evaluative information was available on a timely basis, as was the case here.

Computers↗