BACKGROUND Interventions relieving the burden of caregiving may postpone or prevent patient institutionalization. The objective of this study was to determine whether a family meetings intervention was superior to usual care in postponing nursing home placement of patients with dementia. METHODS A randomized multicenter trial was conducted among 192 patients with a clinical diagnosis of demen...

BACKGROUND Many nations routinely include health impact assessments (HIA) in public policy decisions. Institutionalization of HIA formally integrates health considerations into a governmental decision-making process. We describe an example of institutionalization in the United States through Alaska's early experience with institutionalization of HIA. LITERATURE REVIEW HIA arose from a series ...

This study assessed the antecedents of continued use of an education program to prevent passive smoking in infants. It consists of a booklet for parents and a manual for health professionals describing a five-step procedure for discussing passive smoking. A questionnaire was sent to 67 managers, 670 nurses, and 335 physicians working in well-baby clinics (response rate: 70%, 53%, 47% respective...

Complex organizations spend significant resources acquiring new processes and technologies . However, there is no assurance that organizational members will embrace these technologies once they are adopted . Organizational leaders have a strong incentive to ensure that new practices persist, and that technological changes become so routine as to be taken for granted : a process called instituti...

1 This work is partially funded by the European Commission EUREKA 2023/ITEA-ip00009 ’FAct based Maturity through Institutionalization Lessons-learned an Involved Exploitation of System-family engineering’ (FAMILIES). 2 PuLSE is a registered trademark of the Fraunhofer Institute for Experimental Software Engineering (IESE). PuLSE stands for Product Line Software Engineering; DSSA stands for Doma...

BACKGROUND Young children raised in institutions are exposed to extreme psychosocial deprivation that is associated with elevated risk for psychopathology and other adverse developmental outcomes. The prevalence of attention deficit hyperactivity disorder (ADHD) is particularly high in previously institutionalized children, yet the mechanisms underlying this association are poorly understood. W...

This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL) limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Resp...

Abstract The objective of this chapter is to give insight in marine governance challenges, illustrated by Arctic shipping. To do this, presents a theory as reflexive institutionalization, which the structural properties arrangements are (re)produced interactions between governmental actors, maritime sectors and civil society actors within conditions networked polity at sea. Based on an analysis...

this article, after explaining the concept of peace building in the framework of united nations peace operations, considers the challenges facing it. peace operations are a complex and inter-related set of activities which lack clear legal status in the united nations charter, but are accessible instruments for the maintenance of international peace and security. despite the fact that peace bui...