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Transcatheter Aortic Valve Replacement program development: Recommendations for Best Practice

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS 2014年第6期84卷 859-867页

作者： Hawkey, Marian C. Lauck, Sandra B. Perpetua, Elizabeth M. Fowler, Jill Schnell, Susan Speight, Martina Lisby, Karen Holst Webb, John G. Leon, Martin B. Columbia Univ Med Ctr New York Presbyterian New York NY 10032 USA Univ British Columbia St Pauls Hosp Vancouver BC V5Z 1M9 Canada Univ Washington Med Ctr Seattle WA 98195 USA Cardiopulm Res Sci & Technol Inst Dallas TX USA Meridian Hlth Neptune NJ USA Stanford Univ Med Ctr Stanford CA 94305 USA Rigshosp DK-2100 Copenhagen Denmark

BackgroundTranscatheter aortic valve replacement (TAVR) is an increasingly available therapy for the management of aortic stenosis in higher risk populations. Beyond addressing the procedural challenges, centers must attend to the unique requirements of developing TAVR programs from referral to follow-up. AimThe aim of this article is to outline the recommendations for best practice for program development from centers with early and extensive experience. RecommendationsThe guideline-recommended Heart Team approach requires interdisciplinary agreements, delineation of roles and responsibilities, and the development of the role of the TAVR Coordinator. To support appropriate case selection, the screening and evaluation must be organized in a comprehensive clinic visit. In addition to the multimodality imaging tests, the assessment of functional status and frailty is pivotal to the eligibility decision. Throughout the TAVR trajectory, careful attention must be afforded to the integration of geriatric best practices. Pre-procedure care requires patient and family education to manage expectations and facilitate early discharge planning. Peri-procedural care planning, including equipment requirements, monitoring protocols, and emergency intervention agreements, contributes to procedural success. The aims of post-procedure care are to monitor the recovery, facilitate the rapid return to baseline status, and optimize length of stay. TAVR programs require data management strategies to facilitate and monitor program growth, support program evaluation, and meet the requirements for submission to national registries. ConclusionTAVR represents a paradigm shift in the management of structural heart disease. programmatic success and patient outcomes depend on the development of a comprehensive and collaborative program tailored to TAVR. (c) 2014 Wiley Periodicals, Inc.

关键词： aortic valve disease percutaneous intervention transcatheter valve replacement program development

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Philanthropy Funding for Neurosurgery Research and program development

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NEUROSURGERY 2013年第1期73卷 177-183页

作者： Zusman, Edie E. Heary, Robert F. Stroink, Ann R. Berger, Mitchel S. Popp, A. John Friedlander, Robert M. Martin, Neil A. Lonser, Russell R. Asthagiri, Ashok R. Sutter East Bay Neurosci Inst Castro Valley CA 94546 USA UMDNJ New Jersey Med Sch Newark NJ USA Cent Illinois Neurohealth Sci Bloomington IL USA Univ Calif San Francisco Dept Neurol Surg San Francisco CA USA Stanford Univ Sch Med Dept Neurosurg Stanford CA 94305 USA Univ Pittsburgh Dept Neurol Surg Pittsburgh PA 15260 USA Univ Calif Los Angeles Dept Neurol Surg Los Angeles CA USA NIH Bethesda MD 20892 USA

In times of fiscal and political uncertainty, philanthropy has become an increasingly important mechanism for building, maintaining, and expanding neurosurgical research programs. Although philanthropy has historically helped launch many hospital systems, scientists and clinicians have generally relied on government grants and industry investment to support research and program infrastructure. However, competition for funds from all sources has increased at the same time as the pipelines for those funds have eroded. Philanthropy can provide salary support to allow neurosurgeons to pursue research and, ultimately, advance the field to improve outcomes for patients. Funds raised can fill financial gaps to recruit and pay for needed research staff, equipment, and facilities. To foster charitable giving, institutions can develop both a culture and processes to promote and support philanthropy. Furthermore, it is essential to ensure that donor relationships are properly nurtured with ongoing stewardship. In addition to cultivating grateful patients, there are numerous creative models of fundraising for research that can be explored, including venture philanthropy, in which voluntary health organizations or individuals partner with academia and industry to invest in early-stage drug development and other innovations. Other approaches include formation of nonprofit foundations and partnerships with other entities to work jointly on shared development goals.

关键词： Donor Fundraising Philanthropy program development Research funding

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IPM program development for an invasive pest: coordination, outreach and evaluation

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PEST MANAGEMENT SCIENCE 2011年第11期67卷 1403-1410页

作者： Dreves, Amy J. Oregon State Univ Dept Crop & Soil Sci Corvallis OR 97331 USA

BACKGROUND: Spotted wing drosophila (SWD), Drosophila suzukii Matsumura, was found along the west coast of the United States, beginning in 2008 and 2009, infesting a wide variety of small and stone fruit crops. This pest is a serious economic threat, as noted in its native range (Asia), because it lays eggs within ripening fruit before harvest, leading to crop loss. The aim of this paper is to describe the process in order to create collaboration, communication routes and evaluation methods in response to a new invasive pest. RESULTS: Funding was secured and a program (SWD*IPM) was quickly developed to address social, economic and biological components. Communication routes were outlined, and a stakeholder advisory panel was established to guide program objectives. A central website was created to host up-to-date information. An online monitoring and mapping program for D. suzukii in Oregon fruit-growing regions illustrated the range, distribution and seasonal abundance of the pest. In addition, a program for backyard fruit growers was initiated to examine citizen scientists' roles in managing D. suzukii infestations in the urban setting. A monitoring kit, laminated educational cards, dry fly mounts and quick-time videos were some of the tools used to educate growers. First-year challenges for dealing with a new pest are discussed. CONCLUSION: The discovery and subsequent response to an exotic pest is information intensive and requires a well-planned, coordinated Extension and evaluation effort. (C) 2011 Society of Chemical Industry

关键词： Drosophila suzukii Extension evaluation integrated pest management program development invasive pest educational tools

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SOME PSYCHODYNAMIC CONSIDERATIONS IN program-development OF BOERUM-HILL - PSYCHIATRIC HALFWAY HOUSE

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COMMUNITY MENTAL HEALTH JOURNAL 1974年第4期10卷 395-401页

作者： EASTON, K BOERUM HILL HOME & VOCATIONAL REHABIL INST 50 NEVINS STBROOKLYNNY 11217

The experiences over the past 5 years of developing and working in Boerum Hill, a 260-bed psychiatric halfway house, provide the basis for this presentation. The paper addresses itself to a definition and discussion of psychiatric rehabilitation and notes the significance of temporariness of stay in a halfway house. The method of the establishment of a proper therapeutic community environment that will bring about a corrective living experience is described. Also, aspects of the significance of the physical plant, the size of the residence, the role of psychotropic medication, and the management and staff attitudes toward regression are discussed. Finally, the psychodynamics of personality change and the importance of high expectations in the rehabilitation effort are presented.

关键词： Public Health Health Psychology program development Psychotropic Medication High Expectation

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The Records Management Capacity Assessment System (RMCAS) as a tool for program development at the Turkish Red Crescent Society

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INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2009年第6期29卷 483-487页

作者： Kulcu, Ozgur Kulcu, Hande Uzun Hacettepe Univ Dept Informat Studies TR-06800 Cankaya Turkey

The evaluation of institutional condition is regarded as a crucial factor in creating effective and efficient records management systems. In addition, as part of program development Studies, national and international programs' best practices and guidelines need to be investigated. In this study, the Records Management Capacity Assessment System (RMCAS) is evaluated and some practical examples that could be used for developing records management programs are examined. The basic aim of this study is to identify records management practices and to provide an example to institutions that are in the stage of program development. The results of an RMCAS analysis of practices of the Turkish Red Crescent Society (TRCS) are also presented in this study. (C) 2009 Elsevier Ltd. All rights reserved.

关键词： Records management program development Capacity assessment Capacity analysis Records Management Capacity Assessment System (RMCAS) Turkish Red Crescent Society

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CONTINUING-EDUCATION NEEDS ASSESSMENT AND program-development - AN ALTERNATIVE APPROACH

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JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION 1983年第6期83卷 649-653页

作者： CHERNOFF, R SMUTZ, WD LINDSAY, CA KRISETHERTON, PM PENN STATE UNIV PLANNING STUDIES CONTINUING EDUC & NUTR PROGRAMUNIVERSITY PKPA 16802

Continuing education has become increasingly important to the professions, including dietetics. There is some concern, however, that continuing education programs too seldom focus on practice-related problems and do not have a large enough impact on daily practice. A research and development endeavor is in progress to create an alternative approach to continuing education programming. Utilizing a process called the Practice Audit Model, this approach brings practitioners (or their representatives) and educators together to develop continuing education programs that focus on learning needs identified through an empirical assessment of practitioner performance.

关键词： Education needs assessment Nutrition program development

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Cancer screening in HMOs: program development and evaluation

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AMERICAN JOURNAL OF PREVENTIVE MEDICINE 1998年第3期14卷 26-32页

作者： Mandelson, MT Thompson, RS Grp Hlth Cooperat Puget Sound Ctr Hlth Studies Seattle WA 98101 USA Grp Hlth Cooperat Puget Sound Dept Prevent Care Seattle WA 98101 USA

Introduction: In many clinical settings, effective cancer control is hampered by barriers related to the acute-care orientation of most medical practices. These include: prioritization of medical problems on the basis of urgency; a problem-oriented medical record that provides no ongoing documentation mechanism for cancer screening; conflicting guidelines; and no method for identifying and targeting persons who are eligible for screening. In contrast, HMOs are uniquely suited to deliver effective cancer control as they have already established many of the linkages required for successful primary and secondary prevention. Methods: This paper describes the principles of a population-based approach to cancer prevention and draws on the experience of Group Health Cooperative of Puget Sound, an HMO in western Washington with more than 20 years’ experience in prevention and centralized cancer screening. Methods for selecting and determining priorities among cancer prevention issues, components of successful screening programs, and measures of short- and long-term evaluation are discussed through examples of screening for breast, prostate, cervix, and colorectal cancers. Conclusions: HMOs have provided leadership in the integration of health services and the promotion of continuity of care. Using a population-based approach, cancer prevention programs may be supported by existing automated information services to reduce morbidity and mortality through early detection.

关键词： screening HMO guidelines prevention cancer program development evaluation mechanisms

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BEGINNING WITH LITERACY NEEDS: COMMUNITY COLLEGE program development THAT CONSIDERS INDIVIDUAL STUDENTS' CONTEXTS

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COMMUNITY COLLEGE JOURNAL OF RESEARCH AND PRACTICE 2007年第3期31卷 199-215页

作者： Juchniewicz, Melissa M. Dagostino, Lorraine Carifio, James Northern Essex Community Coll Haverhill MA 01830 USA Univ Massachusetts Lowell MA USA

As community college enrollments continue to rise, the role of the college in the community expands to keep pace. Yet, academic programs designed to meet the needs of an ever more diverse population often lag behind. Traditionally, college has been a place for students to open doors to diverse ideas;here, students bring diversity with them, along with a rich mix of cultures and experiences, to the mutual advantage of fellow students and teachers. Despite the challenge of addressing individual student needs, a focus on a strong literacy component can lead to a successful overall college experience, particularly if individual literacy needs are considered in program design.

关键词： Student Needs Literacy Literacy Education Models program Design program development College programs Community Colleges Two Year College Students Student Diversity

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Technology-based approaches to preventing youth violence: A formative evaluation of program development and implementation in four communities

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Youth Violence and Juvenile Justice 2007年第2期5卷 168-187页

作者： Mareschal, Patrice M. McKee, William L. Jackson, S. Eric Hanson, Katherine L. Center for Children and Childhood Studies Rutgers University Camden NJ United States University of North Texas Denton TX United States Office of Personnel Management's Eastern Development Center Shepherdstown WV United States

This study uses implementation research and case study methodologies to evaluate the Federal Mediation and Conciliation Service's Youth Initiative in four communities. In each location, information technology was used to involve stakeholders in developing solutions to the youth violence problem. The purpose of this article is to document the different approaches to program development and implementation across cases and provide feedback to policy makers and program stakeholders that can be used to make future improvements. The programs are assessed using the Centers for Disease Control and Prevention's Best Practices of Youth Violence Prevention, and feedback for improvement is provided. The biggest successes include assessing the nature and extent of youth violence in local communities, identifying those who would benefit from intervention, and deciding how to reach out to participants. Establishing clear goals proved to be the biggest challenge. © 2007 Sage Publications.

关键词： Formative evaluation Implementation program development Technology Youth violence prevention

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BEHAVIOR ANALYSIS OF RESIDENTIAL program-development

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RESEARCH IN developmentAL DISABILITIES 1992年第1期13卷 73-79页

作者： WETZEL, RJ INTERMT CTR HUMAN DEV SANTA FENM 87501 USA

When institutions are viewed not as locales but as forms of organizing and regulating human behavior, we see that we "deinstitutionalize" by changing the way we organize and regulate, not necessarily by moving people about. This paper examines residential program development as a process of designing and developing community learning environments. The paper asks "What are the essential behaviors of designing community environments?", that is, what do residential program developers do? Six essential dimensions of program development are identified, and each dimension is critiqued in terms of contemporary practices and needs for innovation. The paper concludes that behavior analysis can play an important role in changing the nature of human service organizations.

关键词： Behavior Change Behavioral Science Research Change Strategies Community programs Deinstitutionalization (of Disabled) developmental Disabilities program development Residential programs

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