Auswahl der wissenschaftlichen Literatur zum Thema „OSLC Client“

The National Institute for Alcohol and Drug Research (SIFA) has completed the first nationwide survey of drug abusers in treatment in Norway. Experiences from the study have contributed to the creation and initial implementation of a monitoring system for treatment demands and treatment measures in the country. This article presents the approach and methods used in the SIFA study. It provides an overview of the material and focusses on describing clients from long-term residential and outpatient treatment modalities. The results are presented within seven areas: socio-demographics, substance abuse, mental health and significant problems, risk behaviour, social functioning, social network, and biographical data on childhood/adolescence. These areas are analysed by the variables of gender, age, urban Oslo/outside Oslo clients, and client populations from residential/outpatient treatment. The authors reflect upon the prospects opened by such comprehensive documentation concerning preventive strategies, planning of treatment, and further research in Norway.

Maternal and Newborn Health is a priority as the main indicator in health. During the pregnancy period until the puerperium it is estimated that as many as 15% can experience life-threatening complications of the mother and baby. However, this death is considered to be prevented through the provision of comprehensive care that can be done with the One Student One Client (OSOC) approach, which is an activity that exists between low-risk pregnant women and midwife students during pregnancy up to 6 weeks post delivery. Objective: This study aims to assess the relationship of comprehensive midwifery care with the One Student One Client (OSOC) approach to birth outcomes (gestational age at delivery, prolonged labor and asphyxia) Method: This study is a retrospective cohort study, using secondary data from medical record documentation Results: Comprehensive midwifery care with the OSOC approach was associated with the occurrence of prolonged labor p value 0.046 (RR 95% CI; 3.2 (1.08-9.74), asphyxia with p value 0.037 (RR 95% CI; 2.57 1.12-6.50) Conclusion: The OSOC method can be used in comprehensive midwifery care for all mothers and babies from pregnancy up to 6 weeks post delivery in an effort to improve birth outcomes.

Background: Labor is an event and experience in a woman's life. After giving birth, a mother experiences a postpartum period or puerperal period that is a recovery period. Uncomfortable feeling can cause anxiety, especially in primiparous mothers. Therefore, not to have an impact rise in stress, even untill postpartum depression, a midwife as a spearhead of provider maternal health care must be able to reduce the anxiety which experiences of postpartum mothers, especially primiparous through assistance ‘OSOC’ methods. Objective: To determine the effect of the application of the OSOC assistance maternity service model toward anxiety among primiparous mothers in the postpartum period at Kendal District Health Center. Research Methods: Quantitative data analysis was used to assess the anxiety of postpartum primiparous mothers with the intervention group and the control group, a type of Quasi Experiment research with a non-equivalent control group design. The subjects of this research was divided into two groups, they were intervention groups and control groups. In the intervention group, it was given in the form of providing OSOC assistance in the postpartum period, while the control group was given conventional puerperal care. The research at Kendal District Health Center in May-October 2019. Results: There was a significant difference between anxiety in primiparous postpartum mothers with OSOC conventional assistance, and the magnitude of the effect of mentoring pregnant women with OSOC on anxiety by 7.804. Conclusions: There was a significant difference between anxiety in primiparous postpartum mothers with OSOC and conventional assistance.

Abstract Background The human amylase gene (AMY1) has a broad copy number (CN) variation that may associate with body mass index. Methods Deoxyribonucleic acid was extracted from urine (n = 74) and serum (n = 6) samples (Protein, Fiber and Metabolic Syndrome [ProFiMet] cohort), and buccal (n = 17) samples (Oral Starch Challenge [OSC] cohort), and assessed for AMY1 CN by droplet digital polymerase chain reaction. The association of AMY1 CN with comprehensive markers of metabolic status (ProFiMet cohort) were analyzed with Pearson’s correlation coefficient (CC). For the healthy, euglycemic OSC cohort, glycemic response to OSC was analyzed with independent sample t-tests (subgroups: high AMY1 CN 9–12, n = 10; low AMY1 CN 4–6, n = 7). Results There were significant inverse correlations of AMY1 CN with total visceral fat volume (CC -0.33; P = 0.004) and positive correlations of AMY1 CN with oral glucose insulin sensitivity score (derived from an oral glucose tolerance test, CC 0.26; P = 0.02), serum HDL-cholesterol (CC 0.325; P = 0.003), and serum adiponectin (CC 0.249; P = 0.026). Linear regression multivariate analysis (adiponectin as dependent variable), showed independent association of adiponectin with AMY1 CN (Beta = 0.29; P = 0.03). There were no significant associations between AMY1 CN and clamp-derived M-value, homeostasis model assessment of insulin resistance (IR), hepatic endogenous glucose production, fecal floral signature, or macronutrient dietary preference. Delta (mean) change in blood glucose concentration (fasting to 30-minutes post-OSC) was significantly greater in the high versus low AMY1 CN subgroups (mean 1.7 mmol/l [SEM 0.6] vs 0.9 mmol/l [SEM 0.9], respectively; P = 0.016). Conclusions High AMY1 CN associates with a favorable metabolic profile (lower visceral fat volume, higher serum adiponectin, enhanced glucose absorption following oral glucose, and OSC), but not with whole-body or hepatic IR.

Pengetahuan ibu tentang gizi balita memberikan kontribusi dalam perilaku ibu memberikan makanan pada balita. Sampai saat ini Indonesia masih mengalami masalah gizi ganda. Pemerintah Kabupaten Pringsewu membuat program kesehatan dengan melibatkan mahasiswa untuk penangan masalah kesehatan yang dikenal dengan One Student One Client (OSOC). Salah satu program OSOC adalah dengan memberikan edukasi konseling kepada ibu balita secara door to door ke rumah ibu. Tujuan pengabdian ini adalah untuk memfasilitasi mahasiswa dalam memberikan edukasi dan meningkatkan pengetahuan ibu tentang gizi balita. Metode yang diberikan menggunakan konseling dengan media buku KIA. Hasil pengabdian didapatkan pada akhir pengabdian seluruh ibu memiliki pengetahuan baik 100%. Peningkatan pengetahuan ini karena ibu balita didampingi secara intensif oleh mahasiswa bidan dalam memberikan konseling, ibu lebih fokus pada saat edukasi dan dapat menemukan solusi masalah gizi pada balita. Diharapkan program ini terus berlanjut dan dapat memfasilitasi mahasiswa dan masyarakat untuk mengentaskan masalah kesehatan.

ABSTRACTLyme disease in the United States is caused byBorrelia burgdorferisensu stricto, which is transmitted to mammals by infected ticks.Borreliaspirochetes differentially express immunogenic outer surface proteins (Osp). Our aim was to evaluate antibody responses to Osp antigens to aid the diagnosis of early infection and the management of Lyme disease. We analyzed antibody responses during the first 3 months after the experimental infection of dogs using a novel multiplex assay. Results were compared to those obtained with two commercial assays detecting C6 antigen. Multiplex analysis identified antibodies to OspC and C6 as early as 3 weeks postinfection (p.i.) and those to OspF by 5 weeks p.i. Antibodies to C6 and OspF increased throughout the study, while antibodies to OspC peaked between 7 and 11 weeks p.i. and declined thereafter. A short-term antibody response to OspA was observed in 3/8 experimentally infected dogs on day 21 p.i. Quant C6 enzyme-linked immunosorbent assay (ELISA) results matched multiplex results during the first 7 weeks p.i.; however, antibody levels subsequently declined by up to 29%. Immune responses then were analyzed in sera from 125 client-owned dogs and revealed high agreement between antibodies to OspF and C6 as robust markers for infection. Results from canine patient sera supported that OspC is an early infection marker and antibodies to OspC decline over time. The onset and decline of antibody responses toB. burgdorferiOsp antigens and C6 reflect their differential expression during infection. They provide valuable tools to determine the stage of infection, treatment outcomes, and vaccination status in dogs.

Background: There is little longitudinal research concerning the number and length of different inpatient and outpatient treatment episodes among drug abusers. Most studies follow clients through one or a few treatment episodes and over short time-periods only. Design: Two-hundred Norwegian drug abusers (31 % females, mean age 27.5 year), who consecutively applied for treatment at Phoenix House, Oslo, were personally followed up on average 5 years after the first evaluation. Material: The material consists of 139 drug abusers, 79 % of the original 200 (12 % deceased). Method: Both at first and second evaluation all were interviewed with a structured research interview schedule covering sociodemographic data, substance abuse, legal problems, social adjustment, personality disorder (MCMI), nervous symptoms (SCL-90) and all kinds of treatment received, both number and length of treatment episodes. Results: All except six persons had at least one inpatient treatment stay during the observation period. Average time was 17.6 months in inpatient treatment and 26.0 months in outpatient settings. This means that during 73 % of the observation time the subjects took part in some kind of treatment. Subjects with many inpatient stays had a shorter drug career before the first evaluation. Subjects with few and long inpatient stays were in a somewhat better situation at follow-up, while subjects with manyand short inpatient stays had more alcohol problems but shorter drug careers. Conclusion: Frequency or duration of treatment episodes is not related to client characteristics. It is not the availability of treatment that is lacking but rather treatment effects.

The objective of the research is to analyze the success story of the Salatiga City and Semarang City in the best three achievements and position in Human Development Index in the Central Java Province 2013-2015, what kinds of policy learned can be taken. The research uses qualitative model with several informants as sources of primary data. The data is taken by interviewing with some informants, such as: Local Government Health Service of Salatiga City and Semarang City, Local Government Educational Service of Salatiga City and Semarang City, Regional body for planning and development (Bappeda) of Salatiga City and Semarang City. Triangulation method is the best way to eliminate the fact contruction differences in the context of a certain study when collecting the data about the events and relationships of the various views. Through this technique the researchers also compared the findings with a variety of sources. The study found, firstly, in the health sector, Salatiga City have mainly program, that is improve and practice OSOC (One Student One Client) program, the program focuses in pregnant women with highly risk, OSOC program involve the local government, the obsgins doctor and student of university (especially health academy student), after recoding the pregnant women with highly risk and then become the student client. Meanwhile Semarang City improves and practice EMAS (Emerging Maternal and Neonatal Survival) program based on cooperation with USAID. As we know that the maternal and neonatal mortality is important aspect of Human Development Index. Secondly: in education sector, Salatiga City and Semarang City improve and practice Local Student Operational Aid (BOSDA) and Poor Student Aid for basic and junior school student, that program can increase the educational partisipation rate.

Maternal mortality rate (MMR) and infant mortality rate (IMR) are one of the main indicators of a country's health status. MMR in Semarang was increasing since 2013 (107.95 per 100,000 live birth) become (128.05 per 100,000 live birth) in 2015. Various efforts have been made to handle the increase in maternal mortality rate in Semarang, one of them is OSOC program to accompany pregnant women. However, its implementation has not run optimally and encounters several obstacles. The purpose of the research was to analyze the input, process, and output aspects of the One Student One Client Program to accompany pregnant women by Nursing Students in Semarang. This was qualitative research with descriptive explorative approach through in-depth interview and focus of group discussion. The main informants were; Head of Health Section of Central Java Provincial Health Office and triangulation informant; 2 Heads of Public health services and 2 nurses / midwife coordinator, 2 Head of study program, 2 field supervisors, 14 nursing students and 7 pregnant women / postpartum. Data processed and analysed by content analysis method. The result showed that the input aspect: which was human resources, had been sufficient, but insufficient in funds, infrastructure facilities only in the form of modules, the policy had not been written and there was no memorandum of understanding / MoU between the health office and educational institutions.

Cílem této práce je poskytnout snadný způsob, jak rozšířit analyzační nástroj o rozhraní splňující standard OSLC. Takové rozhraní umožňuje jednoduchou integraci nástrojů s jinými nástroji nebo systémy, umožňuje jejich vzdálené použití skrze webové služby a umožňuje je jednoduše propojit s databází pro databázové dotazy a pro perzistentní uložení dat. Toto je dosaženo návrhem a implementací OSLC adaptéru pomocí sady nástrojů Eclipse Lyo. Adaptér používá jako rozhraní doménu OSLC Automation a je dostatečně univerzální na to, aby skrze toto rozhraní pokryl funkcionalitu většiny analyzačních nástrojů za pomocí jejich stávajících rozhraní na příkazové řádce. Tato práce poskytuje úvod k OSLC, Eclipse Lyo a souvisejícím konceptům. Dále tato práce definuje požadavky a odlišnosti různých analyzačních nástrojů a diskutuje návrh adaptéru a faktory, které ovlivnily návrhová rozhodnutí. A nakonec prezentuje implementovaný adaptér a jeho vyhodnocení pomocí automatizované testovací sady a pomocí experimentů s řadou analyzačních nástrojů. Nejvýznamnější ukazatel hodnocení vytvořeného adaptéru je to, že už teď je používán v praxi pro přidání OSLC rozhraní k nástrojům ANaConDA, Perun, Spectra (všechny tři vyvíjené na VeriFIT) a HiLiTE (Honeywell).

Un piémont constitue la zone de transition entre une chaîne de montagnes et son bassin d'avant-pays. Tectonique et climat se partagent le contrôle de son évolution géomorphologique à toutes les échelles de temps. L'étude de l'exemple du piémont Nord du Tian Shan oriental (Nord-Ouest de la Chine) permet une description précise de ces influences, ainsi qu'une quantification des phénomènes majeurs observés. Le signal tectonique intervient sur le long terme, par le soulèvement actif de la chaîne qui induit un flux de matière vers le piémont, ainsi que par la migration de la déformation vers le bassin dzungar sous forme de plis d'avant-pays. Au contraire, le signal climatique se manifeste à court et moyen terme, suivant les grands cycles climatiques globaux plus ou moins nuancés à l'échelle régionale. En période glaciaire, le matériel érodé dans les bassins versants montagneux est difficilement exporté de la chaîne. Le transport est facilité à la transition vers l'interglaciaire, par l'augmentation brutale des flux d'eau qui provoque la mise en place dans le piémont de grands cônes alluviaux, abandonnés vers 12 \pm 2 ka BP. A partir de ce moment, les rivières s'encaissent profondément dans les cônes, à des taux d'incision moyens de 1 à 2.5~cm/an sur l'Holocène. Les terrasses d'abrasion abandonnées au cours de cette phase sont d'abord de largeurs plurikilométriques, puis les vallées se font de plus en plus étroites sans que les rivières ne cessent d'inciser. Nous modélisons l'évolution du profil d'une de ces rivières au cours de l'Holocène à partir de la théorie du transport de Bagnold, en cherchant à retrouver la décroissance des paléo-pentes du lit de la rivière observée à l'aide de la topographie actuelle des terrasses. Cette reconstruction nous mène à considérer que la largeur du lit varie peu, alors que sa sinuosité diminue pendant la progression de l'encaissement. Elle suggère en outre que le débit de la rivière a chuté d'un facteur 3 entre la mi-Holocène et l'actuel. Cette étude est complétée par l'exploitation de données de paléo-niveaux holocènes du lac exutoire du piémont. Des lignes de rivage repérées à plus de 50~m montrent en effet que le lac s'est étendu sur une surface triple de sa surface actuelle au début de l'Holocène. Le calcul de bilans hydrologiques pour les conditions actuelles et mi-holocènes atteste que les apports des rivières vers 6000~ans~BP étaient supérieurs d'un facteur 2.6 aux apports actuels. La synthèse de ces deux approches révéle que la région a connu pendant la première moitié de l'Holocène un climat beaucoup plus humide que l'actuel, dans une mesure jusqu'alors ignorée des reconstitutions paléoclimatiques.

This chapter describes empirical support for the ARC model from multiple randomized controlled trials. These trials describe the effects of ARC on organizational culture and climate, organizational priorities, clinicians’ work attitudes, clinicians’ evidence-based practice behaviors, and most importantly, client outcomes. Both the ARC model and the validity of the OSC measurement system are also supported by a number of non-experimental and quasi-experimental studies. Collectively, these studies describe linkages with OSC and related criteria using regional and nationwide samples that are fundamental to explaining the value of the ARC model. Much of this work is referenced throughout the book. In this chapter, the authors focus on the randomized controlled trials to support causal inferences about the effects of ARC, including impact on client outcomes, staff outcomes such as turnover and engagement, as well as impact on evidence-based practices. The evidence also highlights the implications for using ARC strategies in planned efforts to improve service effectiveness.

This chapter provides case examples from the authors’ work within human service organizations that illustrate the importance of addressing OSCs: including culture, climate, and worker attitudes. These examples of the influence of OSC provide the reader with an understanding of how social contexts affect human services quality and outcomes along with implications for improving them. The chapter explains the sensitivity of human service effectiveness to OSC and describes the social processes that explain its influence. Case examples are used to illustrate the influence of shared mindsets and worker attitudes within OSCs. These examples include the influence of shared beliefs, assumptions, and attitudes of service providers on client and staff relationships that affect services quality.

BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.