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Search Results: 1 - 10 of 90 matches for " Mickey Kongerslev "
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Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)
Mickey Kongerslev, Paul Moran, Sune Bo, Erik Simonsen
BMC Psychiatry , 2012, DOI: 10.1186/1471-244x-12-94
Abstract: We adapted a rapid screen for the identification of PD in adults (Standardised Assessment of Personality – Abbreviated Scale; SAPAS) for use with adolescents and then carried out a study of the reliability and validity of the adapted instrument in a sample of 80 adolescent boys in secure institutions. Participants were administered the screen and shortly after an established diagnostic interview for DSM-IV PDs. Nine days later the screen was readministered.A score of 3 or more on the screening interview correctly identified the presence of DSM-IV PD in 86% of participants, yielding a sensitivity and specificity of 0.87 and 0.86 respectively. Internal consistency was modest but comparable to the original instrument. 9-days test-retest reliability for the total score was excellent. Convergent validity correlations with the total number of PD criteria were large.This study provides preliminary evidence of the validity, reliability, and usefulness of the screen in secure institutions for adolescent male offenders. It can be used in juvenile offender institutions with limited resources, as a brief, acceptable, staff-administered routine screen to identify individuals in need of further assessment of PD or by researchers conducting epidemiological surveys.Converging research has demonstrated that there is a disproportionately high prevalence of mental disorders in young offender samples [1,2], when compared with community youth [3] or adult prison populations [4]. Current estimates suggest that up to 75% of incarcerated juvenile offenders meet criteria for one or more mental disorders [5]. Such research findings, combined with reports of a high prevalence of undiagnosed and untreated physical disorders [6,7], high rates of suicide and suicide attempts [8], and elevated mortality rates associated with early death due to unnatural causes [9], have led the American Academy for Child and Adolescent Psychiatry [5], as well as other experts [10-13] to call for the development a
‘Third wave’ cognitive therapy versus mentalization-based therapy for major depressive disorder. A protocol for a randomised clinical trial
Janus Christian Jakobsen, Christian Gluud, Mickey Kongerslev, Kirsten Aaskov Larsen, Per S?rensen, Per Winkel, Theis Lange, Ulf S?gaard, Erik Simonsen
BMC Psychiatry , 2012, DOI: 10.1186/1471-244x-12-232
Abstract: We plan a randomised, parallel group, assessor-blinded superiority clinical trial. During two years we will include 84 consecutive adult participants diagnosed with major depressive disorder. The participants will be randomised to either ‘third wave‘ cognitive therapy versus mentalization-based therapy. The primary outcome will be the Hamilton Rating Scale for Depression at cessation of treatment at 18 weeks. Secondary outcomes will be the proportion of patients with remission, Symptom Checklist 90 Revised, Beck’s Depression Inventory, and The World Health Organisation-Five Well-being Index 1999.Interventions for depression have until now shown relatively small effects. Our trial results will provide knowledge about the effects of two modern psychotherapeutic interventions.ClinicalTrials: NCT01070134According to the WHO, major depressive disorder is the second largest healthcare problem worldwide in terms of disability caused by illness [1]. It afflicts an estimated 17% of individuals during their lifetimes at tremendous cost to the individual and society [2,3]. Roughly a third of all depressive disorders take a chronic course [4,5]. Approximately 15% of depressive patients will commit suicide over a 10 to 20 year period [6].Antidepressant medication remains the mainstay in the treatment of depression [7]. However, meta-analyses have shown that most antidepressants presumably only obtain a beneficial effect in severely depressed patients, and even this effect seems to be clinically small [8,9]. As the therapeutic benefits of antidepressants seem to be limited there is an urgent need to identify effective interventions for depression.Cognitive therapy is one of the most well-known and used psychotherapeutic techniques. Aaron T. Beck originally developed cognitive therapy for depression [10]. Beck believed that critical life events could accentuate hidden negative beliefs, which could generate negative automatic thoughts [10]. These negative thoughts could lead to sym
Meta-Analysis: The preferred method of choice for the assessment of distance learning quality factors
Mickey Shachar
International Review of Research in Open and Distance Learning , 2008,
Abstract: Current comparative research literature, although abundant in scope, is inconclusive in its findings, as to the quality and effectiveness of distance education versus face-to-face methods of delivery. Educational research produces contradictory results due to differences among studies in treatments, settings, measurement instruments, and research methods. The purpose of this paper is to advocate the use of a meta-analytic approach by researchers, in which they synthesize the singular results of these comparative studies, by introducing the reader to the concept, procedures, and issues underlying this method. This meta-analytic approach may be the best method appropriate for our ever-expanding and globalizing educational systems – in general, crossing over geographical boundaries with their multiple languages, and educational systems in particular. Furthermore, researchers are called to contribute to a common database of distance learning factors and variables, from which future researchers can share, glean, and extract data for their respective studies.
Breakfast at Milliways – The didactic challenges of bioethics
Mickey Gjerris
Dansk Universitetspaedagogisk Tidsskrift , 2006,
Abstract: This article discusses some of the main challenges in doing and teaching bioethics from the perspective of a teacher of the subject. The emphasis is put on the interconnectedness between the methodology of teaching and the general ethical outlook that the teaching seeks to promote. The article is mainly based on practical experiences – and just a twist of phenomenology.
Cold nuclear matter physics at forward rapidities from d+Au collisions in PHENIX
Mickey Chiu
Physics , 2011, DOI: 10.1088/0954-3899/38/12/124121
Abstract: We present measurements by the PHENIX experiment at RHIC of di-hadron pair production in \dAu collisions where the particles in the pair are varied across a wide range of pseudorapidity, out to $\eta = 3.8$. With di-hadrons, varying the $p_T$ and rapidity of the particles in the di-hadron pair allows studying any effects as a function of partonic $x$ in the nucleus. These di-hadron measurements might probe down to parton momentum fractions x $\sim$ $10^{-3}$ in the gold nucleus, where the interesting possibility of observing gluon saturation effects at RHIC is the greatest. Our measurements show that the correlated yield of back-to-back pairs in \dAu collisions is suppressed by up to an order of magnitude relative to \pp collisions, and increases with greater nuclear path thickness and with a selection for lower x in the Au nucleus.
Probing the Low-x Structure of the Nucleus with the PHENIX Detector
Mickey Chiu
Physics , 2012,
Abstract: One of the fundamental goals of the PHENIX experiment is to understand the structure of cold nuclear matter, since this serves as the initial state for heavy-ion collisions. Knowing the initial state is vital for interpreting measurements from heavy-ion collisions. Moreover, the structure of the cold nucleus by itself is interesting since it is a test-bed for our understanding of QCD. In particular there is the possibility of novel QCD effects such as gluon saturation at low-x in the nucleus. At RHIC we can probe the behavior of gluons at low-x by measuring the pair cross-section of di-hadrons from di-jets in d+Au collisions. Our results show a systematic decrease in the pair cross-section as one goes to smaller impact parameters of the nucleus, and also as one goes to lower Bjorken x. There is a possibility that these interesting effects come from gluon recombination at low x in the Au nucleus.
How much is not enough? Human resources requirements for primary health care: a case study from South Africa
Daviaud,Emmanuelle; Chopra,Mickey;
Bulletin of the World Health Organization , 2008, DOI: 10.1590/S0042-96862008000100014
Abstract: objective: to quantify staff requirements in primary health care facilities in south africa through an adaptation of the who workload indicator of staff needs tool. methods: we use a model to estimate staffing requirements at primary health care facilities. the model integrates several empirically-based assumptions including time and type of health worker required for each type of consultation, amount of management time required, amount of clinical support required and minimum staff requirements per type of facility. we also calculate the number of hiv-related consultations per district. the model incorporates type of facility, monthly travelling time for mobile clinics, opening hours per week, yearly activity and current staffing and calculates the expected staffing per category of staff per facility and compares it to the actual staffing. findings: across all the districts there is either an absence of doctors visiting clinics or too few doctors to cover the opening times of community health centres. overall the number of doctors is only 7% of the required amount. there is 94% of the required number of professional nurses but with wide variations between districts, with a few districts having excesses while most have shortages. the number of enrolled nurses is 60% of what it should be. there are 17% too few enrolled nurse assistants. across all districts there is wide variation in staffing levels between facilities leading to inefficient use of professional staff. conclusion: the application of an adapted who workload tool identified important human resource planning issues.
Implementing comprehensive and decentralised health systems
David Sanders,Mickey Chopra
International Journal of Integrated Care , 2001,
Abstract:
From Apartheid to Globalisation: Health and Social Change in South Africa
Chopra, Mickey,Sanders, David
Hygiea Internationalis : an Interdisciplinary Journal for the History of Public Health , 2004,
Abstract: South Africa is a society characterised by deep inequalities structured along racial, geographical and socio-economic lines. Since 1994 the new democratic government has instituted a number of large-scale policies and programmes with explicit pro-equity objectives. Although these have improved access to health care and other social resources for the poor, their equity impact has been constrained by a macro-economic policy context that has dictated fiscal restraint, and by an accompanying orientation that has privileged technical over developmental considerations. This article briefly analyses the above factors and policies and proposes an approach that focuses on equity in allocation of health resources in relation to need. It suggests that while measurement of such inequities is fundamental to pro-equity policies, the implementation of such policies requires, in addition to technically efficacious interventions, both advocacy initiatives, and communication with and involvement of affected communities in promotion of health equity.
Differences Between Traditional and Distance Education Academic Performances: A Meta-Analytic Approach
Mickey Shachar,Yoram Neumann
International Review of Research in Open and Distance Learning , 2003,
Abstract: This meta-analysis research estimated and compared the differences between the academic performance of students enrolled in distance education courses relative to those enrolled in traditional settings, as demonstrated by their final course grades/ scores within the 1990-2002 period.Eighty-six experimental and quasi-experimental studies met the established inclusion criteria for the meta-analysis (including data from over 15,000 participating students), and provided effect sizes, clearly demonstrating that: 1) in two thirds of the cases, students taking courses by distance education outperformed their student counterparts enrolled in traditionally instructed courses; 2) the overall effect size d+ was calculated as 0.37 standard deviation units (0.33 < 95% confidence interval < 0.40); and (3) this effect size of 0.37 indicates the mean percentile standing of the DE group is at the 65th percentile of the traditional group (mean defined as the 50th percentile).
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