This provides information that is not usually part
of standard interventions, and is what potentially makes NET an especially efficient and efficacious therapeutic solution for traumatic stress.
Not exact matches
This argument, which seems more ideological than empirical, is based on
standard trade theory in which there is an implicit assumption that any
intervention will drive trade performance away from its optimum, so that the United States always gains from the further opening up
of its own market, even if trade partners don't reciprocate.
Theo So I assume you think that a society can not make laws and
standards based on precedents, is that not how most societies were developed without the need
of divine
intervention?
There would be no external
standards of what is right and wrong, just and unjust, moral and immoral, by which its results could be judged; there would be no guarantee that, even in the absence
of outside
intervention, globalization would be a benign process; and there would be no assurance that in a free society, left to itself, we could count on an evolution
of moral beliefs to generate values which would continue to underpin the market order.19
Under these circumstances it is not surprising that the world system produced through neo-liberal politics should be founded on hegemony, arrogance, military
intervention and the cynical manipulation
of double
standards.
NWHN also has a long history
of advocacy around the
standard of evidence necessary to prove that routine
interventions used during pregnancy and childbirth, including medications, are safe and effective.
It certainly is ironic that, while the gold
standard of medical research is the randomized controlled trial, which generally looks at the risks and benefits
of an
intervention on a population level, it is individual women who have to make the decisions — and individual women may not always find these kind
of data helpful.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care,
interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births
of 77 %, with 35 %
of women having a home birth.23 A review
of care for women at low risk
of complications has shown that continuity
of midwifery care is generally associated with lower
intervention rates than
standard maternity care.24 Variation in normal birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use
of epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
When women receive the message that they must meet a certain
standard (unmedicated childbirth, exclusive breastfeeding, co-sleeping, 24/7 baby wearing, etc.) in order to be a good mother or that things like childbirth
interventions, formula, and sleep training are actually harmful to their babies, it sets them up for exhaustion, isolation, and feelings
of failure.
The FACT is... more women DO die in hospital births (from things that could be prevented, or from unnecessary
interventions) than in home births, and that women were NOT «dying in droves» from home births back in the day... death during birth was fairly uncommon until women were forced into dirty birth centers with doctors knocking them out and delivering their babies without being held to any sanitation
standards because promiscuity was on the rise and we had to keep the «dirty women» separate from the rest
of the hospital.
midwives do not want to avoid all
intervention; they want to avoid UNNECESSARY and HARMFUL
intervention — which is the
standard of care in hospitals.
The methodological quality
of the studies was mixed and the components
of the
standard care
interventions and extra support
interventions varied a lot and were not always well described.
Methods: The Promotion
of Breastfeeding
Intervention Trial (PROBIT) randomized 31 Belarusian maternity hospitals and their affiliated polyclinics either to receive a breastfeeding promotion intervention modelled on the WHO / UNICEF Baby - Friendly Hospital Initiative or to continue the standard practices in effect at the time of ra
Intervention Trial (PROBIT) randomized 31 Belarusian maternity hospitals and their affiliated polyclinics either to receive a breastfeeding promotion
intervention modelled on the WHO / UNICEF Baby - Friendly Hospital Initiative or to continue the standard practices in effect at the time of ra
intervention modelled on the WHO / UNICEF Baby - Friendly Hospital Initiative or to continue the
standard practices in effect at the time
of randomization.
If you come to the hospital believing that every
intervention is going to undermine your labor (false), and that medical professional are not looking out for you and your babies» best interests (also false), you are fairly likely to have a shitty time because the normal, preventative - medicine - based
standard of care contradicts the idea that «trusting birth» is enough to produce good outcomes.
With the goal
of improved health outcomes for children through increased emotional engagement
of fathers, our research is anticipated to lead to new evidence - based
standards for
intervention.
Intervention Subjects were randomized to either a peer counselor who saw the mother weekly for 6 weeks or to
standard of care.
Frank et al. (41) evaluated a combination
of hospital - based
interventions (research discharge bags vs. research counseling) versus both (research bags + research counseling) versus
standard care (commercial discharge packs and limited breastfeeding counseling)-RRB- among predominantly minority women (65 % black, 19 % Hispanic).
Caulfield et al. (42) and Gross et al. (43) describe the results
of a WIC
intervention in which similar WIC clinics serving black women were randomized to offer enhanced breastfeeding services (PC vs. breastfeeding video / pamphlets in the waiting room vs. both
interventions combined vs.
standard WIC care).
Chapman et al. (6) evaluated the effectiveness
of an existing PC program (vs.
standard care), whereas Anderson et al. (25) evaluated the efficacy
of a more intensive
intervention promoting exclusive breastfeeding (vs.
standard care).
Intervention is helpful when there's a true emergency, but it should not be the
standard of care.
Five studies offered the
intervention in the context
of Baby Friendly accreditation
of the hospital, and are unlikely to be generalisable to settings where this
standard of care is not available to all women.
As noted above, included studies were very varied in setting, population group studied, content, timing and intensity
of the
intervention, whether it was proactively offered to women or available only if they asked for it, the
standard care available, staff training programmes, and the type and timing
of the outcomes measured.
A striking aspect
of this updated review is the heterogeneity
of the support
interventions, and the diversity
of settings and
of standard care.
Blinding «was not possible at the LGA (randomisation) or cluster levels; however, individual women in the LGAs were not aware
of the
intervention allocation — the intention was that any trial arm allocation was «
standard» care within the LGA during the
intervention period».
Intervention (n = 116): in addition to
standard care, mothers were invited to an outpatient visit in a primary care physician's office within 2 weeks
of the birth to see a primary care doctor who had received special breastfeeding education.
Intervention 1:
standard care plus 3 in - hospital professional breastfeeding support sessions,
of 30 — 45 min in duration
Randomized controlled clinical trial evaluating determinants
of successful breastfeeding: follow - up two months after comprehensive
intervention versus
standard care delivery
By working together through a myriad
of challenging scenarios, ELAC, Oxfam and their collaborators ultimately hope to create a handbook on humanitarian
intervention that will outline common moral dilemmas and ethical
standards for resolving them that can be applied by practitioners around the world.
Strict minimum water quality and environmental impact targets are set and
interventions of this kind, through periodically upgraded
standards, have improved services.
And yet opponents
of military
intervention demand very high evidential
standards for what has happened.
The House
of Representatives spokesman while addressing journalists in Abuja on Thursday said that the constituency projects funds, also known as zonal
intervention funds, were
standard international practice.
Nwodo also demanded urgent presidential
interventions on the Enugu Airport, reticulation
of the gas pipelines in the South - East and the
standard gauge plan for railway construction.
The team compared the effectiveness
of nudge - type strategies with more
standard policy
interventions, calculating the ratio between an
intervention's causal effect and its implementation cost.
The problem with many conflict
intervention programs is that they are often based on preconceptions about what should work for
standard groups
of people who are at odds, according to Saxe.
The current evidence base in respect
of chronic pain supports the use
of standard psychological
interventions, CBT in particular.
Dr. Frankel is currently directing or co-directing projects related to the ethical and policy implications
of human germ - line
interventions, the responsible use
of animals in biomedical and behavioral research, improving patient safety and reducing errors in health care, the ethical dimensions
of the Human Genome Diversity Project, the uses
of anonymity on the Internet, and intellectual property and ethical
standards for electronic publishing in science.
The current
standard of care, beyond the use
of fluoride as a preventive approach, is to target only the bacteria with antimicrobials, or to use surgical
interventions if the tooth decay has become too severe.
To get around that problem, this study used the Bradford Hill criteria: a
standard tool for assessing the impact
of broad - based public health
interventions where it is ethically not feasible or operationally impractical to conduct randomized controlled trials.
The study findings defy the conventional belief that the two treatment
interventions offer equal survival, and show the need to revisit some
standards of breast cancer practice in the modern era.
Children in the control group, who were receiving
standard community - based early
intervention, had an average monthly cost
of about $ 5,200 / child.
During the trial, all women received the
standard protocol — 4 - 6 visits with a nurse or community health worker during pregnancy and 6 - 12 visits up to two years postpartum — and about half
of the women also received the DOVE
intervention.
In addition, 30 %
of patients who received the palliative care
intervention reported discussing end -
of - life care preferences, as opposed to 14 %
of patients receiving
standard care alone.
Such comprehensive improvements would cost an estimated $ 96 billion, according to the model, but could reduce HIV incidence in the U.S. by 54 percent and the mortality rate by 64 percent, at a cost - effectiveness ratio
of $ 45,300 per quality - adjusted life year, or QALY, a
standard economic measure
of the value
of a medical
intervention.
The paper concludes that the work required to design
interventions that meet and contribute to current
standards of evidence should not be underestimated.
As a scientific
standard, future studies evaluating possible population - level health effects
of this
intervention (which, to be clear, was not the purpose
of the study by Kypri et al) should assess outcomes at the population level, ideally using instruments external to the study.
These include internet - based approaches to cognitive - behavioral therapy for depression, «telemental» health approaches enabling remote mental health visits, technology - based
interventions for substance abuse and accompanying disorders, and
standards for evaluating the quality
of smartphone applications designed for patients with schizophrenia.
A total
of 59 CLABSIs occurred during the 12 - month
standard care period, compared to 23 CLABSIs during the 12 - month
intervention period during which alcohol - impregnated disinfection caps were used on all central line access ports.
The study compared subjects receiving intensive lifestyle
intervention (ILI) to a comparison group receiving
standard diabetes mellitus support and education (DSE), measuring knee pain at the end
of one year and four years.
Manufactured under cGMP to the highest ISO 13485 and FDA
standards, the Icellator ® requires no human
intervention and provides yields
of stromal vascular fraction that are sufficiently pure to allow for intravenous infusion in an hour or less.
«Many common cancers, such as head and neck cancers, become untreatable despite the best medical
intervention and the highest
standard of care.