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Search Results: 1 - 10 of 2787 matches for " Judith Gellatly "
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Developing guided self-help for depression using the Medical Research Council complex interventions framework: a description of the modelling phase and results of an exploratory randomised controlled trial
Karina Lovell, Peter Bower, David Richards, Michael Barkham, Bonnie Sibbald, Chris Roberts, Linda Davies, Anne Rogers, Judith Gellatly, Sue Hennessy
BMC Psychiatry , 2008, DOI: 10.1186/1471-244x-8-91
Abstract: A guided self-help intervention was developed following a modelling phase which involved a systematic review, meta synthesis and a consensus process. The intervention was then tested in an exploratory randomised controlled trial by examining (a) fidelity using analysis of taped guided self-help sessions (b) acceptability to patients and professionals through qualitative interviews (c) effectiveness through estimation of the intervention effect size.Fifty eight patients were recruited to the exploratory trial. Seven professionals and nine patients were interviewed, and 22 tapes of sessions analysed for fidelity. Generally, fidelity to the intervention protocol was high, and the professionals delivered the majority of the specific components (with the exception of the use of feedback). Acceptability to both professionals and patients was also high. The effect size of the intervention on outcomes was small, and in line with previous analyses showing the modest effect of guided self-help in primary care. However, the sample size was small and confidence intervals around the effectiveness estimate were wide.The general principles of the modelling phase adopted in this study are designed to draw on a range of evidence, potentially providing an intervention that is evidence-based, patient-centred and acceptable to professionals. However, the pilot outcome data did not suggest that the intervention developed was particularly effective. The advantages and disadvantages of the general methods used in the modelling phase are discussed, and possible reasons for the failure to demonstrate a larger effect in this particular case are outlined.Depression is a significant cause of personal distress, social disability and economic consequences for patients, families and wider society [1]. Cognitive behaviour therapy (CBT) is a crucial treatment for depression [2], but access to CBT is characterised by long waiting lists [3]. The adoption of a 'stepped care' system has been proposed t
Soil formation on Holocene moraines in the cirque de Troumouse, Pyrenees
Parkinson, Robert,Gellatly, Anne
Pirineos : Revista de Ecología de Monta?a , 1991,
Abstract: Factors affecting rates and degree of soil formation on Holocene moraines are discussed with reference to moraine sequences in the Cirque de Troumouse, French Pyrenees. In particular, the role of time, slope position and post-depositional history are evaluated for three moraines ranging in age from c. 5000 to c. 1000 yr BP. Soil profile development, as determined by visual criteria, indicates differences in soil development between moraines of different age as well as between soils developed on the same moraine but occupying different slope positions. Particle size analysis and soil chemical analyses confirm that microtopography exerts a strong control on the extent and rate of soil formation, and must therefore be considered when sampling and describing soil chronosequences on glacial moraines. [es] Se discuten los factores que afectan a las tasas y al grado de formación del suelo en morrenas Holocenas, con referencia a la secuencia de morrenas en el Circo de Troumouse, Pirineo francés. En particular, se evalúa el papel del tiempo, la posición de la pendiente y la historia postdeposicional para tres morrenas ordenadas en edad desde c. 5000 a c. 1000 a os BP. El desarrollo del perfil del suelo, determinado por criterios visuales, indica diferencias de desarrollo del suelo entre morrenas de diferente edad así como entre suelos desarrollados en la misma morrena, pero ocupando diferentes posiciones de la pendiente. Análisis granulométricos y químicos del suelo confirman que la microtopografía ejerce un fuerte control en la extensión y en la tasa de formación del suelo y, por tanto, deberla ser tenida en cuenta en los muéstreos y descripciones de las cronosecuencias del suelo en morrenas glaciares. [fr] On discute les facteurs qui affectent les taux et le degré de formation du sol en moraines Holocènes, avec référence à la séquence de moraines du Cirque de Troumouse, Pyrénées fran ais. En particulier, on évalue le r le du temps, la position de la pente et l'histoire postdépositionelle pour trois moraines ordonnées chronologiquement de c. 5000 à 1000 ans av. J.C.. Le développement du profil du sol, déterminé selon des critères visuels, ' signale des différences de développement du sol entre des moraines d'age différent de même qu'entre des sols formés dans la même moraine, mais qui occupent différentes positions de la pente. Des analyses granulométriques et chimiques du sol confirment que la microtopographie exerce une forte influence sur l'étendue et les taux de formation du sol et par conséquent, elle devrait entrer en ligne de compte dans les échantillonn
Rockfalls and glacier contraction: Cirque de Troumouse
Gellatly, Anne F.,Parkinson, Robert J.
Pirineos : Revista de Ecología de Monta?a , 1994,
Abstract: The incidence of rockfalls within the Cirque de Troumouse appears to have been triggered by ice wastage and the resultant geomorphological pattern of rockfall deposits affords an insight into the migration of headwall weathering zones. Observations of the rockfall deposits indicate clear geological controls which maybe directly related to the exposure of the headwall zone during phases of glacier wastage [es] Las caldas de piedras en el Circo de Troumouse parecen haber sido desencadenadas por la acción del hielo, y el modelo geomorfológico de depósitos de bloques resultante proporciona una idea sobre la migración de las zonas de meteorización en las paredes. Las observaciones de tales depósitos indican la existencia de claros controles geológicos que pueden relacionarse directamente con la exposición de la pared durante las fases de fusión glaciar. [fr] Les chutes des pierres dans le cirque de Troumouse paraissent avoir été déclenchées par l'action de la glace, et le modèle géomorphologique des dép ts de blocs résultant donne une idée de la migration des zones de météorisation dans les parois. Les observations de ces dép ts indiquent l'existence de contr les géologiques très clairs qui peuvent être directement liés à l'exposition de la paroi durant les phases de fusion glaciaire.
Retrospective Study of the Use of a Fractional Radio Frequency Ablative Device in the Treatment of Acne Vulgaris and Related Acne Scars  [PDF]
Judith Hellman
Journal of Cosmetics, Dermatological Sciences and Applications (JCDSA) , 2015, DOI: 10.4236/jcdsa.2015.54038
Abstract: Background: Acne vulgaris (AV) is a common disease that often results in disfiguring facial scarring that carries into adulthood. Here we report our experience with fractional radiofrequency (FRF) device in treatment of patients with acne and acne related scarring. Materials & Methods: We retrospectively reviewed the charts of all patients with acne scarring who completed a four treatment regimen in our clinic. Results: We identified eight patients who completed four treatments with median age of 20.5 years (range 17 - 41). All patients demonstrated significant improvement of acne lesions and acne scarring. Skin biopsies demonstrated reduction of scar depth and increased new collagen production, and repopulation of the scar tissue by elastic fibers and adnexal structures after the fourth treatment. Conclusion: FRF emerges as a safe and effective treatment modality for AV and acne related scars. Further randomized controlled studies are required to fully evaluate the magnitude of this positive effect and more basic science studies are needed in order to better characterize its mechanism of action on acne lesions.
Long Term Follow-Up Results of a Fractional Radio Frequency Ablative Treatment of Acne Vulgaris and Related Acne Scars  [PDF]
Judith Hellman
Journal of Cosmetics, Dermatological Sciences and Applications (JCDSA) , 2016, DOI: 10.4236/jcdsa.2016.63013
Abstract: Introduction: Acne vulgaris and acne scarring are prevalent conditions that can have a negative effect on a patient’s quality of life. Fractional radiofrequency technologies have been shown to be clinically safe and effective in managing acne scars through dermal remodeling without causing direct damage to the epidermis. In a recently published study, we presented our clinical and histological results in the treatment of patients with active acne and acne related scarring using a Fractional RF (FRF) device. In the current article we demonstrate long term follow-up results, up to two years post last fractional treatment. Methods: Four out of the eight patients who completed a four treatment regimen were invited for long term follow-up visit to document treatment results. In some cases, touch-up treatments were conducted to optimize clinical results. Results: Patients demonstrated significant improvement of acne lesions, acne scarring, pores and skin texture. Long term photos demonstrated that clinical improvement progressed with time. Conclusion: The current study further supports the previous findings that FRF is a safe and effective treatment modality for active acne and acne related scars. Treatment protocol can be customized according to patient needs and clinical results last for long term.
The Post-Modern Mind. A Reconsideration of John Ashbery’s “Self-Portrait in a Convex Mirror” (1975) from the Viewpoint of an Interdisciplinary History of Ideas  [PDF]
Roland Benedikter, Judith Hilber
Open Journal of Philosophy (OJPP) , 2012, DOI: 10.4236/ojpp.2012.21010
Abstract: This paper gives a short description of basic features of the dominating mindset in the Western world between the 1970s and today, often called “post-modern”, through a re-reading of John Ashbery’s poem “Self-Portrait in a Convex Mirror” (1975). In doing so, it applies the viewpoint of an interdisciplinary history of ideas. Since collective mindsets have become the most important contextual political factors, the implications are multiple.
Gender Differences and Leadership Styles in a Non Secular Setting  [PDF]
Judith Corbett Carter
Open Journal of Leadership (OJL) , 2012, DOI: 10.4236/ojl.2012.11001
Abstract: Women are increasingly taking on the role of religious leaders despite some institutional barriers. Do ef- fective female clergy lead differently than effective male clergy? The focus of this study was to examine gender differences in the context of non secular leadership. The Multifactor Leadership Questionnaire (MLQ) styles and NEO-Five Factor Inventory (FFI) was used to measure leadership and personal charac- teristics of female and male pastors. Limited findings indicate that female pastors were higher in Open- ness and Charisma than male pastors.
“I’ve Got the Pilot”: An Interpretation of Flight, a Film by John Gatins, Writer, and Robert Zemeckis, Director  [PDF]
Judith Ferster, Paul Weiser
Advances in Literary Study (ALS) , 2014, DOI: 10.4236/als.2014.23013
Abstract:

Robert Zemeckis’s recent film Flight, about a talented but flawed commercial airline pilot (played by Denzel Washington) is discussed on both the realistic and allegorical levels, showing the relationship between the contemporary plot and the fifteenth-century morality play, The Summoning of Everyman. Evidence for and against the different kinds of interpretation is identified and discussed. The film forces the main character to make a series of progressively more difficult and significant ethical decisions about drugs, alcohol, friends (true and false), lovers, and personal atonement that challenge him. The audience must make an interpretive decision between the possible levels of meaning.

Teachers Creating Effective Learning Experiences for Indigenous Learners  [PDF]
Lindsey Conner, Judith Bennetts
Creative Education (CE) , 2018, DOI: 10.4236/ce.2018.96074
Abstract: “Recently professional learning and development has turned a corner. Teachers as leaders of learning have realized that they can be agents of change within their classrooms by focusing on quite specific teaching changes to improve outcomes for their learners” (Conner, 2015: p. 7). This paper provides examples of how teachers were challenged to link changes in their practice to include good principles of indigenous pedagogies (through participating in cycles of teaching and inquiry), to changes in students’ outcomes, which has rarely been reported previously. Vignettes of changes teachers made to their teaching were gathered as they responded to reflections and support from mentors and used student achievement data as tools for inquiry. Teachers were provoked to be more aware of the importance of evidence-informed critical reflection on pedagogical development that was appropriate for indigenous students. We provide an overall analysis and vignette examples to illustrate the emerging themes which were: the development of positive professional relationships (mentor-teacher, teacher-teacher and teacher-student), developing pedagogical knowledge that was appropriate for indigenous students that was also informed by seeking student and whānau (family) voice or feedback to inform changes to teaching.
Illness and Medication Appraisals In People with HIVDeciding to Begin Antiretroviral Treatment  [PDF]
Judith Wrubel, Judith T. Moskowitz, Eunice Stephens, Mallory O. Johnson
Psychology (PSYCH) , 2011, DOI: 10.4236/psych.2011.22019
Abstract: Deciding to initiate antiretroviral treatment (ART) for HIV involves a number of factors, including how one thinks about disease (illness appraisals) and how one thinks about treatment (medication appraisals). We conducted semi-structured interviews with 20 adults who were deciding whether to begin ART, in which participants were asked to relate their experience of testing positive, their experience with medications other than ART, and their thoughts about ART. Digital recordings were transcribed for team-based narrative analysis. In response to HIV+ diagnosis, participants described the following appraisals: 1) HIV is a threat to mortality; 2) nonacceptance of the HIV diagnosis; 3) HIV is associated with stigma and rejection; and, 4) the HIV diagnosis meant betrayal by a cared for other. Medication appraisals included: 1) negative feelings about medications in general, 2) taking HIV medication would create a personal crisis; 3) the benefits of taking HIV medication would not outweigh the costs; 4) doubts whether they could adhere, and 5) taking medications would be stigmatizing. Illness and medication appraisals may represent barriers to initiating and adhering to treatment and should be taken into account in helping clients to cope with their diagnosis and manage their healthcare.
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