Academic literature on the topic 'Primary (Preventative)'
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Journal articles on the topic "Primary (Preventative)"
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Floreani, Annarosa. "Preventative therapy in primary biliary cirrhosis." Clinics in Liver Disease 7, no. 4 (November 2003): 911–21. http://dx.doi.org/10.1016/s1089-3261(03)00094-1.
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Piché, Lyne, Jeffrey Mathesius, Patrick Lussier, and Anton Schweighofer. "Preventative Services for Sexual Offenders." Sexual Abuse 30, no. 1 (February 15, 2016): 63–81. http://dx.doi.org/10.1177/1079063216630749.
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The role of primary prevention of sexual offences is an understudied area. The current study examined a sample ( N = 100) of men charged or convicted of a sexual offence to determine their interest in interventions that could be offered prior to offending, reasons for not seeking out interventions in the past, and demographic information including onset of deviant sexual fantasy and interests. The majority indicated that preventative interventions, including individual and group treatment, would have been beneficial, but inaccessibility of interventions and fear of arrest prevented them from seeking services. The findings suggest that men who progress to committing a sexual offence are interested in preventative interventions but require information regarding availability of accessible support and the development of primary prevention structures to fulfill society’s desire to prevent sexual offending.
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Artha, Ketut Ary Diana, Ketut Suarjana, and Pande Putu Januraga. "The provision of promotive and preventative healthcare services by private primary care physicians in the era of the national health insurance program." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 140. http://dx.doi.org/10.15562/phpma.v5i2.29.
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Background and purpose: In addition to their duties in addressing the curative and rehabilitative needs of the community, private primary care physicians (PCP) play an important role in providing promotive and preventative healthcare services. This study aims to determine the behaviours, enabling and inhibiting factors involved with the provision of promotive and preventative services by PCP in the era of national health insurance (JKN) implementation.Methods: This research is a mix method study using a combination of quantitative and qualitative approaches. Quantitative surveys were conducted with all PCPs already in working collaboration with the Social Security Administering Agency (BPJS) in the Denpasar City area (61 people). Data analysis techniques used descriptive techniques in order to explore the kinds of promotion and preventative services provided by PCPs. Qualitative research was conducted through in-depth interviews of 8 informants selected by purposive sampling and analyzed thematically to discover the enabling and inhibiting factors of the provision of promotive and preventative services by PCPs.Results: The results showed that 91.8% of PCPs did perform promotive and preventative services in their practice site. PCPs who did not carry out promotive and preventative services demonstrate perceptions, beliefs and motivations categorized as low and weak as well as attitudes that do not support the implementation of such services. Enabling factors of promotion and preventative services by PCPs, include among others, quality of facilities and infrastructure, the receipt of awards from BPJS and capitation systems that benefit physicians financially. Inhibiting factors include a low willingness of the patient to carry out doctor's advice, limitations in the PCPs work time and limited funds to perform preventative/promotive services.Conclusions: Promotive and preventative services are not being optimally carried out by PCPs in Denpasar. This is due to the low willingness of the patients, the limited time of the doctor, and the limited allocated funds for promotive and preventative services and low capitation.
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Dieterle, Michael G., Krishna Rao, and Vincent B. Young. "Novel therapies and preventative strategies for primary and recurrentClostridium difficileinfections." Annals of the New York Academy of Sciences 1435, no. 1 (September 21, 2018): 110–38. http://dx.doi.org/10.1111/nyas.13958.
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Seidl Johnson, Anna C., Stephen A. Jordan, and Amanda J. Gevens. "Efficacy of Organic and Conventional Fungicides and Impact of Application Timing on Control of Tomato Late Blight Caused by US-22, US-23, and US-24 Isolates of Phytophthora infestans." Plant Disease 99, no. 5 (May 2015): 641–47. http://dx.doi.org/10.1094/pdis-04-14-0427-re.
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Late blight, caused by Phytophthora infestans, is one of the most economically important diseases of potato and tomato worldwide. Repeated preventative application of fungicides is the primary means of control on susceptible solanaceous host crops. For organic production, fungicide choices are limited, and little efficacy data on noncopper options is available on which to base control recommendations. Twelve fungicides, including organic and conventional selections, were evaluated for both preventative and postinfection control of a single infection cycle of late blight caused by isolates representing three recently identified P. infestans clonal lineages (US-22, US-23, and US-24) using a detached tomato leaf assay. A subset of the most effective fungicides was also tested for preventative control of a single infection cycle of late blight caused by an isolate of US-23 on potted whole tomato plants under laboratory conditions. Fungicide applications made 2 days after inoculation failed to significantly control late blight on detached leaves in all treatments, with the exception of Bravo Ultrex (US-23 only) and Phostrol (US-22 only). Preventative fungicide applications of Bravo Ultrex, Ridomil Gold SL, Revus, Zonix, and low and high rates of EF400 significantly controlled late blight caused by US-22, -23, and -24 isolates. Additionally, preventative application of Phostrol significantly controlled late blight caused by the US-22 isolate; and Phostrol, low rate of Mycostat, and high rate of Champ significantly controlled late blight caused by the US-23 isolate. Late blight caused by the US-24 isolate was significantly reduced compared with US-22 and US-23 isolates for all fungicide treatments applied after inoculation, as well as for all preventative fungicide treatments, with the exception of Bravo, Ridomil, and Revus. In whole-potted-plant assays with the US-23 isolate, late blight was significantly controlled by preventative application of Bravo Ultrex, Ridomil Gold SL, and high rate of EF400; disease was not significantly controlled by Zonix, low rate of EF400, Phostrol, or low and high rates of Champ. Based on these results, it is anticipated that currently available fungicides with suitability to conventional and organic systems can effectively control late blight caused by new clonal lineages of P. infestans when applied preventatively and that late blight caused by the US-24 clonal lineage may require less fungicide use than US-22 or US-23 to mitigate disease.
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Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Preventative and early intervention diabetes-related foot care practices in primary care." Australian Journal of Primary Health 26, no. 2 (2020): 161. http://dx.doi.org/10.1071/py19183.
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The aim of this study was to identify current preventative and early intervention diabetes-related foot care practices among Australian primary care healthcare professionals. A survey was developed to obtain information about preventative and early intervention foot care actions, priorities of care, access and referral to expert multidisciplinary foot care teams and adherence to best-practice diabetes-related foot care recommendations. The survey was distributed to GPs and Credentialled Diabetes Educators (CDEs). Surveys were completed by 10 GPs and 84 CDEs. Only 45% of all respondents reported removing the shoes and socks of their patients with diabetes at a consultation. Eighty-one percent of participants reported having access to specialist multidisciplinary foot care teams. Those in urban settings were significantly more likely to report access than those in rural areas (P=0.04). Median scores indicated that participants did not often utilise specialist teams to refer patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy. Only 16% of participants reported having access to specialist foot care telehealth services; patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy were rarely referred to these services. This study is the first Australian study to elicit information about preventative and early intervention diabetes-related foot care practices by GPs and CDEs working in Australian primary care. In the presence of acute diabetes-related foot complications, primary healthcare practitioners are not always adhering to best practice foot care recommendations. Further studies are required to understand the reasons for this and ensure evidence-based best practice foot care delivery to people with diabetes.
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Koon, William, Ali Rowhani-Rahbar, and Linda Quan. "The ocean lifeguard drowning prevention paradigm: how and where do lifeguards intervene in the drowning process?" Injury Prevention 24, no. 4 (October 10, 2017): 296–99. http://dx.doi.org/10.1136/injuryprev-2017-042468.
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Drowning is a global health problem that can be addressed with multiple strategies including utilisation of lifeguards in recreational swim areas. However, few studies have described lifeguard prevention activities. We conducted a retrospective analysis using lifeguard activity data collected in real time with a Computer-Aided-Dispatch (CAD) system to characterise the nature of lifeguard primary and secondary drowning prevention at a popular ocean beach in California. Preventative actions constituted the majority (232 065/423 071; 54.8%) of lifeguard activities, while rescues represented 1.9%. Most preventative actions and rescues occurred during summer months, weekends and afternoons. Statistically significant geographical clusters of preventative actions were identified all over the beach, while rescue clusters were primarily restricted to two sites. Using the most reliable and valid collection system to date, these data show spatial and temporal patterns for ocean lifeguard provision of primary prevention as well as secondary drowning prevention (rescue).
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Primiero, Clare A., Tatiane Yanes, Anna Finnane, H. Peter Soyer, and Aideen M. McInerney-Leo. "A Systematic Review on the Impact of Genetic Testing for Familial Melanoma I: Primary and Secondary Preventative Behaviours." Dermatology 237, no. 5 (2021): 806–15. http://dx.doi.org/10.1159/000513919.
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<b><i>Background:</i></b> Increasing availability of panel testing for known high-penetrance familial melanoma genes has made it possible to improve risk awareness in those at greatest risk. Prior to wider implementation, the role of genetic testing in preventing melanoma, through influencing primary and secondary preventative behaviours, requires clarification. <b><i>Methods:</i></b> Database searches of PubMed, Embase, CINAHL, PsycINFO and the Cochrane Library were conducted for studies describing preventative behaviour outcomes in response to genetic testing for melanoma risk. Publications describing original research of any study type were screened for eligibility. <b><i>Results:</i></b> Eighteen publications describing 11 unique studies were reviewed. Outcomes assessed are based on health behaviour recommendations for those at increased risk: adherence to sun-protective behaviour (SPB); clinical skin examinations (CSE); skin self-examinations (SSE); and family discussion of risk. Overall, modest increases in adherence to primary prevention strategies of SPB were observed following genetic testing. Importantly, there were no net decreases in SPB found amongst non-carriers. For secondary preventative behaviour outcomes, including CSE and SSE, increases in post-test intentions and long-term adherence were reported across several subgroups in approximately half of the studies. While this increase reached significance in mutation carriers in some studies, one study reported a significant decline in annual CSE adherence of non-mutation carriers. <b><i>Conclusions:</i></b> Evidence reviewed suggests that genetic testing has a modestly positive impact on preventative behaviour in high-risk individuals. Furthermore, improvements are observed regardless of mutation carrier status, although greater adherence is found in carriers. While additional studies of more diverse cohorts would be needed to inform clinical recommendations, the findings are encouraging and suggest that genetic testing for melanoma has a positive impact on preventative behaviours.
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Kieliszek, Agata, Chitra Venugopal, Blessing Bassey-Archibong, Fred Lam, Sheila Singh, and Nikoo Aghaei. "STEM-01. TARGETING BRAIN METASTASIS-INITIATING CELLS: A PREVENTATIVE APPROACH." Neuro-Oncology 22, Supplement_2 (November 2020): ii196. http://dx.doi.org/10.1093/neuonc/noaa215.818.
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Abstract BACKGROUND The incidence of brain metastases (BM) is tenfold higher than primary brain tumors. BM commonly originate from primary lung, breast, and melanoma tumors with a 90% mortality rate within one year of diagnosis. Current standard of care for BM includes surgical resection with concurrent chemoradiation, but does not extend median survival past 16 months, posing a large unmet need to identify novel therapies against BM. METHODS From a large in-house biobank of patient-derived BM cell lines, the Singh Lab has generated murine orthotopic patient-derived xenograft (PDX) models of lung, breast, and melanoma BM that recapitulate the stages of BM progression as seen in humans. Using these three PDX models, we identified a population of “pre-metastatic” brain metastasis-initiating cells (BMICs) that are newly arrived in the brain but have yet to form detectable tumors. Pre-metastatic BMICs are not detectable in human patients but are important therapeutic targets with the potential to prevent BM in at-risk patients. RESULTS RNA sequencing of pre-metastatic BMICs from all three PDX primary tumor models with subsequent Connectivity Map analysis identified novel compounds that have the potential of killing all three types of BMICs. In particular, we identified two compounds that have selective killing of BMICs in vitro from all three primary tumor cohorts while sparing non-cancerous cells. We further characterized their ability to inhibit the self-renewal and proliferative properties of BMICs. Ongoing in vivo work will investigate the compounds’ preclinical utilities in preventing BM. CONCLUSION Identification of novel small molecules that target BMICs could prevent the formation of BM completely and dramatically improve the prognosis of at-risk cancer patients.
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Linville, Deanna, Erin Cobb, Tracy Lenee-Bluhm, Gabriela López-Zerón, Jeff M. Gau, and Eric Stice. "Effectiveness of an eating disorder preventative intervention in primary care medical settings." Behaviour Research and Therapy 75 (December 2015): 32–39. http://dx.doi.org/10.1016/j.brat.2015.10.004.
Full textDissertations / Theses on the topic "Primary (Preventative)"
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Saeidi, Saeideh. "Managing binge eating in a primary health care setting : a preventative approach." Thesis, Leeds Beckett University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.340557.
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Grinberg, Austin M., and Austin M. Grinberg. "Implementation of a Brief Preventative Couples Intervention in a Primary Care Setting." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625559.
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Healthy romantic relationships are associated with a multitude of positive physical and mental health outcomes. Conversely, low relationship quality and relationship dissolution are associated with risk for poor health outcomes. Accordingly, numerous studies investigate ways to preserve healthy relationships through the use of preventative relationship education interventions, many of which improve relationship outcomes. However, evidence for the efficacy and effectiveness of these interventions is somewhat mixed, and promising interventions often fail to reach at-risk populations due to high participant burden. There is a movement within clinical psychology to create easily accessible, targeted therapy protocols in order to increase the broad availability of these evidence-based interventions. The current study aimed to replicate and extend the Marriage Hack (MH), a brief, evidence-based preventative relationship intervention designed to stabilize the natural decline in relationship quality over time. This study addressed four specific aims designed to: 1) examine the efficacy of the MH intervention using an abbreviated protocol; 2) extend the original MH intervention by investigating theory-based mechanisms of change and assessing individual health outcomes; 3) explore how theory-based mechanisms change over time; and, 4) evaluate the relationship between within-person and between-person variance in process variables and outcome measures. Seventy-eight (N = 78) couples were randomized to the 4-week MH protocol (n = 41) or control condition (n = 37). Results demonstrated men in the intervention group exhibited 1) greater improvements in relationship satisfaction and 2) decreases in both anxiety and depression compared to men in the control group. This study did not replicate the findings of the original MH for additional outcome variables and process variables for men or women. No support was found for mediating effects of additional theory-based mechanisms of change on outcome measures. However, exploratory intensive longitudinal analyses revealed noteworthy relationships between within-person and between-person variance in process variables and treatment outcomes. Research recommendations to further improve preventative relationship interventions and clinical implications of the current findings are discussed.
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Richardson, Joseph, and Amanda Stoltz. "Improving Resident Physician Understanding of Requirements for Well Child Examinations in an East Tennessee Family Medicine Primary Care Clinic." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/25.
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Well-Child Examinations are an integral part of monitoring growth and development for children. These visits allow for establishment of a therapeutic relationship between patient and caregiver, and provide opportunities to screen for underlying conditions while simultaneously following growth and development milestones. Well-child examinations provide opportunities for parents to voice concerns and help to identify those children at risk for delays or underlying medical conditions. When these conditions are identified early, they tend to have an improvement of outcomes. Since the core items to be included in wellness examinations vary by age, insurance provider, and risk factors, our aim is to measure and improve the knowledge and comprehension of examination components among a group of Family Medicine resident physicians that provide primary care to a pediatric population. Provider knowledge and understanding was measured by means of a set of multiple-choice questions prior to an educational session. A post-educational examination was then administered to assess recruitment and retention of information. There appeared to be an overall positive trend toward increased knowledge base following the education session, indicating and improvement of understanding and medical knowledge.
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Lebrun, Lydie Anne. "Access to primary and preventative health care among foreign-born adults in Canada and the United States." THE JOHNS HOPKINS UNIVERSITY, 2012. http://pqdtopen.proquest.com/#viewpdf?dispub=3463581.
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Kirkpatrick, Tara. "Just what the doctor ordered: reformation of the U.S. healthcare system through a dose of preventative and primary care." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/TKirkpatrick2008.pdf.
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Malmberg, Jessica L. "Preventative Behavioral Parent Training in a Primary Care Context: Initial Evaluation of a Universal Prevention Program for Disruptive Behavior Disorders." DigitalCommons@USU, 2013. https://digitalcommons.usu.edu/etd/1763.
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Externalizing behavior problems such as noncompliance, tantrums, and aggression constitutes the most frequently cited reason for referral of young children to mental health clinics. The treatment for conduct problems (CP) that possesses the greatest amount of empirical support is referred to as behavioral parent training (BPT). Yet available data suggest that after accounting for treatment failures and dropouts, only about one third of children receiving BPT benefit significantly. More recently, there has been a shift towards the development of early intervention and prevention models for treating children at-risk for developing CP. While many of these programs have been shown to be effective, they fail to address shortcomings of BPT such as the length of treatment and the context of service delivery. Furthermore, the majority of these programs continue to be classified as selective or indicated prevention programs, thereby targeting children once they have already begun showing elevated levels of disruptive behaviors. More recently, a preventative and abbreviated version of BPT, called preventative behavioral parent training (PBPT), has been developed to address the limitations inherent in BPT. A recent evaluation of PBPT has demonstrated its utility in reducing rates of noncompliance and tantruming in children at-risk for developing CP. This study sought to add to previous findings regarding PBPT by evaluating its effectiveness when disseminated as a universal prevention program within a primary care setting. More specifically, this study aimed to evaluate whether PBPT could be utilized to support parents in learning effective strategies for managing their young child's typical misbehaviors, thereby preventing the development of clinical levels of CP and strengthening the practices of all parents. Results demonstrated that PBPT yielded positive outcomes in regards to both child and parent outcome variables. Furthermore, program evaluation data revealed that the PBPT program was socially acceptable and the strategies discussed were both feasible and effective. Taken together, the current study provides preliminary evidence of the positive proximal impact of the PBPT program. Potential clinical implications of these findings and future directions for research are discussed.
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Tucker, Faye Bronwyn. "An assessment of the Isoniazid preventative therapy programme for children in a busy primary healthcare clinic in Nelson Mandela Bay, Eastern Cape Province." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15737.
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Introduction: Tuberculosis is the second leading cause of death from an infectious cause worldwide having claimed approximately 1.5 million lives in 2013. Estimates suggest that children account for about six percent of the total number of TB cases globally, however in South Africa this figure is much higher (15%). Young children are at particularly high risk of mortality and significant morbidity from TB. Despite clear evidence that Isoniazid preventative therapy (IPT) can reduce the risk of progression from TB infection to disease, IPT has been a poorly implemented component of national TB control programmes, especially in high TB-burden areas, including South Africa. This study aims to determine current practices regarding the identification and management of child contacts < 5 years in an area with an extremely high TB incidence rate where little background data exists on the topic. It will also assess the operational aspects of the TB control programme relating to the spread of TB to children. Methodology: A cross-sectional descriptive study was conducted using a retrospective review of clinic records from infectious index patients aged ≥15 years at West End clinic in the Nelson Mandela Bay health district in the Eastern Cape Province. A sample size of 246 child contacts (<5 years) was required to obtain a 95% confidence index with a 5% precision. This is based on 20% of eligible child contacts < 5years receiving IPT, as described by van Wyk, et al. (2010). 491 Index patient records were assessed in order to identify 261 child contacts < 5 years of age. Results: Contacts were generally well recorded with only 12.5% of index patient folders having no contacts documented although only 0.53 child contacts <5years were identified per index patient. A total of 261 child contacts < 5 years were identified and of these 184 (70.5%) were screened for TB. Two contacts were started on TB treatment and 108/184 (58.7%) were initiated on TB prevention therapy. For the remaining 74 (40.2%) children who were screened there was no documentation of further management. Adherence to IPT was extremely poor with only 4 (3.7%) children who started TB prevention completing the 24 week course. Female index patients were more likely to have contacts documented and to bring their contacts for screening. Contacts of index 16 patients who had previous TB were less likely to be screened and initiated on TB prevention therapy. The results of the assessment of programmatic factors relating to childhood TB control showed that patients were diagnosed and were rapidly initiated on treatment (median time of 5 days from sputum collection to commencement of treatment). It took a median of 4 days for children to be screened once the index patient had started treatment and a further 2 days (median) for child contacts < 5 years to be initiated on preventative therapy. Conclusion and recommendations: The results of this study are in keeping with those obtained in other settings with a high burden of TB. Although the documentation of contacts in this setting was relatively good, child contacts < 5 years were poorly identified and the fall-out of children at each step from identification to preventative treatment completion was still unacceptably high. Contacts of men and retreatment index patients are at particularly high risk of poor management. Recommendations are made for interventions at national and local level to improve contact management and the documentation thereof.
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Harrysson, Åsa, and Camilla Henriksson. "Distriktssköterskors erfarenheter av vad som underlättar och hindrar evidensbaserad vård av ben- och fotsår : En kvalitativ studie." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27105.
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Syfte: Syftet med studien var att beskriva distriktssköterskors erfarenheter av vad som underlättade och hindrade evidensbaserad vård av ben- och fotsår inom primärvården. Metod: En kvalitativ intervjustudie med semistrukturerade intervjuer genomfördes med åtta distriktssköterskor. Samtliga arbetade på hälsocentraler i södra Hälsingland. Intervjuerna transkriberades och analyserades med kvalitativ innehållsanalys. Som teoretisk referensram användes PARIHS modellen. Huvudresultat: I studien framkom olika faktorer som underlättar respektive hindrar distriktssköterskor inom primärvården att arbeta efter en rutin för ben- och fotsår. Det som underlättade var ett välfungerande teamarbete på arbetsplatsen, att rutinen var anpassad så att den var lätt att arbeta efter och att den fanns lättillgänglig i datasystemet, specifik kunskap om sårvård och ett engagemang för patienten och för ämnet sårvård samt att patienten behöver stöd och utbildning för att kunna medverka i vården. Det som hindrade var bristande förståelse och engagemang från chef och kollegor, svårigheter att motivera patienterna till att medverka till behandling samt att journalsystemet inte var anpassat efter ben- och fotsårsrutinen. Slutsats: I studien framkom olika faktorer som underlättade och hindrade distriktssköterskor att använda sig av evidensbaserad vård av ben- och fotsår i det dagliga arbetet. Det som påverkade distriktssköterskornas användning av rutinen var i störst utsträckning faktorer i omgivningen. För att underlätta för distriktssköterskor att kunna arbeta enligt evidensbaserad sårvård måste ansträngningar göras för att undanröja hinder. PARIHS modellen kan användas som stödjande verktyg före, under och efter implementeringsprocessen.Purpose: The purpose of the study was to describe district nurses' experiences of the facilitating and preventative factors that influence the use of evidence-based wound care in primary healthcare. Method : A qualitative interview study with semi-structured interviews was conducted with eight district nurses. All worked at health centers in southern Hälsingland. The interviews were transcribed and analyzed by qualitative content analysis. As a theoretical reference frame, the PARIHS model was used. Main outcome : The study revealed different factors that facilitate or prevent district nurses in primary healthcare to work for a routine for leg and foot ulcers. What facilitated was a well-functioning team work at the workplace, that the routine was adapted so that it was easy to work after and was easily accessible in the computer system, specific knowledge about wound care and commitment to the patient and on the subject of wound care and that the patient needs support and education to be able to participate in healthcare. What was prevented was insufficient understanding and commitment from the boss and colleagues, difficulty in motivating patients to participate in treatment and that the journal system was not adapted to the leg and foot routine. Conclusion : The study identified various factors which facilitated and prevented district nurses from using evidence-based care of leg and foot ulcers in their daily work. What influenced the use of the routine by district nurses was to the greatest extent factors in the environment. In order to facilitate district nurses to work according to evidence-based wound care, efforts must be made to eliminate obstacles. The PARIHS model can be used as a supporting tool before, during and after the implementation process.
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Fornstedt, Cecilia. "Medical Technology and eHealth for Prevention against LifestyleRelated Diseases : A survey of attitudes among health center personnel and patients prescribed with physical activity on prescription (PAP)." Thesis, KTH, Människa och Kommunikation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-210310.
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With an aging population that suffers from comorbidity, healthcare is facing grand challenges. In order to meet the demand, digitalization is thought to be an opportunity. Digitalization of curative care, such as diagnostics and treatment, have been initiated and is today used and appreciated. Preventative care, on the other hand, has not been included in the digital adaptions to the same extent and there are few scientific studies within the area. Nonetheless, a further proactive care that meets patients and healthcare personnel are of interest to several actors. The Swedish Government has a vision that Sweden, in 2025, will be world leading within eHealth. For that to be possible, digital preventative care have to support and complete the preventative work that is performed today. The present study has investigated the attitude towards Connected Medical Devices for Prevention (CMDfP) within the primary care. By a mixed-methodology including questionnaires, the opinions of 24 health center personnel and 17 patients prescribed with Physical Activity on Prescription (PAP) were collected and analyzed. The results show that health center personnel are willing to prescribe connected eHealth devices for prevention and patients are willing to use the devices prescribed. Additionally, among the respondents there is a belief that CMDfP could facilitate in order to increase the adherence to PAP without any major impact on the personnel's workload. By digitalizing preventative care, it is possible that people will be able to live healthier and therefore not require care to the same extent as today. Reasons to the possible results are that digital tools within curative care have been shown to generate positive outcomes to chronically ill patients that utilize home care. Additionally, studies of preventative care have generated positive outcomes to the health of the population in several countries. It is therefore likely that the combination, digital preventative care, would be rapidly relished. These thoughts align with the positive results on attitudes of this study. Before CMDfP could be prescribed to patients, pilot studies have to be performed and new work routines including reimbursement models, have to be established within healthcare. These are all areas of future work within medical engineering.Med en åldrande population som lider av samsjuklighet, står hälso- och sjukvården inför stora utmaningar. För att möta behovet är digitalisering en möjlighet. Digitalisering av åtgärdande vård, så som diagnostik och behandling, har redan påbörjats och är idag uppskattat. Preventiv vård har, å andra sidan, inte varit inkluderad i den digitala utvecklingen och därav saknas det vetenskapliga studier inom området. Dock är en mer proaktiv vård av stort intresse för flera aktörer. Sveriges regering har en vision att Sverige, år 2025, ska vara världsledande inom eHälsa. För att detta ska vara möjligt måste digital preventiv vård möta och komplettera det preventiva arbete som bedrivs idag. Denna studie har undersökt attityderna till Uppkopplade Medicinsktekniska Hjälpmedel för Prevention (UMHfP) bland primärvården. Genom en metod som inkluderat enkätundersökningar, inhämtades och analyserades attityden av 24 personer från personalen på vårdcentraler och 17 patienter med Fysisk Aktivitet på Recept (FaR). Resultaten visade att primärvårdspersonal är villiga att förskriva UMHfP och att patienter vill använda de hjälpmedlen som förskrivs. Dessutom har respondenterna tro att UMHfP kan underlätta att förbättra följsamheten till FaR utan att påverka personalens arbetsbörda nämnvärt. Genom att digitalisera den preventiva vården är det troligt att befolkningen kommer få ett hälsosammare leverne och därför inte behöva vård i samma utsträckning som idag. En anledning till detta är att digitala hjälpmedel för åtgärdande vård har visat sig vara positivt för kroniskt sjuka patienter som hemsjukvårdas. Dessutom har studier inom preventiv vård indikerat flera positiva konsekvenser för invånares hälsa världen över. Det är därför troligt att digitala hjälpmedel i kombination med preventivt arbete snabbt kommer bli uppskattat. Dessa spekulationer sammanfaller väl med det positiva resultatet från denna studie. Innan UMHfP kan förskrivas till patienter måste pilotstudier genomföras och nya arbetssätt inklusive betalningsmodeller måste införas i hälso- och sjukvården. Detta är kommande arbeten inom medicinsk teknik.
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Shah, Baiju Ramnik. "Differences between primary and specialist care in the utilization of preventative medications for diabetic patients in Ontario." 2005. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=370949&T=F.
Full textBooks on the topic "Primary (Preventative)"
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Rosano, Aldo, ed. Access to Primary Care and Preventative Health Services of Migrants. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-73630-3.
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Wilson, Karen. Primary exclusion: Case studies explore current perspectives and suggest preventative strategies. London: UEL, 1995.
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Senate, United States Congress. A bill to provide incentives to health care providers serving rural areas, to provide grants to county health departments providing preventative health services within rural areas, to establish State health service corps demonstration projects, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1993.
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Harris, Norman, Christine Nathe, and Franklin Garcia-Godoy. Primary Preventative Dentistry (2-Downloads). Pearson Education, Limited, 2013.
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Rosano, Aldo. Access to Primary Care and Preventative Health Services of Migrants. Springer, 2018.
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Shah, Baiju Ramnik. Differences between primary and specialist care in the utilization of preventative medications for diabetic patients in Ontario. 2005.
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NA. Primary Preventativ Dentistry& Diet& Nutri Pk. Addison Wesley Longman, 2004.
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Edun, Babatunde, Michelle K. Haas, Christopher Brendemuhl, Jason V. Baker, and Anthony C. Speights. Health Maintenance. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190493097.003.0012.
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The introduction of highly potent antiretroviral agents has transformed HIV from a disease with a once dismal prognosis to a manageable chronic medical condition. The primary care provider as well as the HIV care provider must focus on aspects of preventive medicine that improve the quality of life and life expectancy of the HIV-infected person. Accurate record-keeping is essential, and examples of HIV primary care flow sheets are presented in this chapter. In addition, tuberculosis screening indications and methods are reviewed. Regular preventative dental and gynecological care should be given. Reviewing the treatment of traditional cardiovascular risk factors with patients will be helpful in educating them and reducing the risk of cardiovascular disease.
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Iqbal, Muhammad Waqas, Ghalib Jibara, Michael E. Lipkin, and Glenn M. Preminger. Evaluation of stone formers. Edited by John Reynard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0014.
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Urolithiasis is among the most common urologic disorders with high incidence and recurrence rates. High environmental temperatures, prevalence of the Western diet, obesity, age, gender, and race are among the common risk factors associated with this disease. The primary goal of evaluating these patients is to provide a simple, economic, and effective workup, which yields information that is directly applicable to providing relevant medical preventative measures. The management of urolithiasis requires a relevant history, targeted physical exam, appropriate chemistry, urinary and stone analyses results, radiological imaging to accurately identify number, location, and size of stones, as well as a metabolic evaluation. All stone formers whether single or recurrent should have a basic evaluation to identify any factors that may predispose to recurrent stone formation. Comprehensive metabolic evaluations are offered to patients at increased risk of recurrence or morbidity from stone disease, or have difficult to treat stones.
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Fratiglioni, Laura, and Chengxuan Qiu. Epidemiology of dementia. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199644957.003.0031.
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This chapter deals with the occurrence, determinants and primary prevention of dementia. Dementia is one of the major causes of functional dependence, poor quality of life, institutionalisation and mortality among elderly people. The risk of dementia increases almost exponentially with advancing age. As the population ages, dementia poses a serious threat to public health and social welfare system of our society. Accumulating evidence suggests that cardiovascular risk factors significantly contribute to the development and expression of dementia. Thus, adequate management of vascular risk factors and related disorders can be one of the preventative strategies against cognitive ageing and dementia. In addition, psychosocial factors such as educational achievement, socially-integrated and mentally-stimulating lifestyles are critical for delaying the onset of dementia by increasing cognitive reserve. Taken together, maintaining vascular health and adopting a healthy cognitive lifestyle from a life-course perspective may be the most promising strategy to achieve late-life cognitive health.
Book chapters on the topic "Primary (Preventative)"
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Barton, Ellen C., and Thomas S. Roukis. "Preventative Measures Against Wound Healing Complications After Total Ankle Replacement." In Primary and Revision Total Ankle Replacement, 495–502. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69269-8_36.
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Bossi, Paolo, and Luigi Lorini. "Optimal Supportive Measures during Primary Treatment." In Critical Issues in Head and Neck Oncology, 221–30. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63234-2_15.
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AbstractSupportive care during curative treatment of head and neck cancer patients has different scopes: reducing the burden of acute toxicities and limiting the risk of developing late adverse effects; increasing the quality of life of the patients; allowing to perform optimal curative therapy, maintaining treatment dose intensity; preventing higher grade toxicities so to reduce also the costs associated with hospitalization, examinations, visits and use of drugs. At the same time, it is necessary to give uniformity in the supportive care protocols, as these preventive and therapeutic measures may influence the results of oncological treatments and their efficacy should be evaluated in a consistent manner. Several preventive and therapeutic interventions are available, particularly in the context of chemoradiotherapy, where the adverse events are more prominent. An accurate evaluation of the patient and a tailored approach with preventative indications and therapeutic interventions represent key factors. This approach could be easily identified within a “simultaneous care” strategy, as the optimal supportive measures are provided concurrently to the best therapeutic approach since the beginning of the treatment.
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Bonenberg, Agata. "Building as a Primary Means of Preventative Care. Postulate of Certification of Buildings Intended for Use by the Elderly in Multi-family Housing and Collective Housing." In Advances in Intelligent Systems and Computing, 3–11. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-20151-7_1.
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Wolf-Gould, Christopher, and Carolyn Wolf-Gould. "Primary and Preventative Care for Transgender Patients." In Comprehensive Care of the Transgender Patient, 114–30. Elsevier, 2020. http://dx.doi.org/10.1016/b978-0-323-49642-1.00012-0.
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Longridge, Nicholas, Pete Clarke, Raheel Aftab, and Tariq Ali. "Preventative and Paediatric Dentistry." In Oxford Assess and Progress: Clinical Dentistry, edited by Katharine Boursicot and David Sales. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198825173.003.0013.
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The child patient can be a challenging and daunting proposition for the junior dentist and dental student. Whilst children can be anxious, uncooperative, and unpredictable, they also present an extremely rewarding opportunity, which, if managed correctly, may go on to influence their healthcare experiences for the rest of their lives. Excellent behavioural management of the child patient (and their parents!) is fundamental to a successful clinical and patient- reported outcome. Aside from possible behavioural issues, paediatric patients may present with a series of unique clinical presentations that require additional skills and knowledge above and beyond those required for adult patients. Differences in the micro- and macro- structures of primary and permanent teeth, coupled with variations in eruption dates, lead to an evolving mixed dentition that can lead to some difficult diagnostic and treatment planning scenarios. Furthermore, dental anxiety and the preponderance for dento- alveolar trauma in children and young adults may exacerbate the patient management of an already complex situation. Prevention is central to paediatric dentistry. However, whilst significant progression has occurred in some areas, poor dietary habits and suboptimal oral hygiene regimes remain significant concerns for the profession, with large numbers of dental extractions still performed under general anaesthesia each year. Key topics include: ● Tooth anatomy and eruption patterns ● Abnormalities of structure and form ● Prevention and management of dental caries, including pulp therapy ● Dental trauma ● Dental extractions and space management ● Behavioural management ● Safeguarding ● Pharmacological management.
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Manning, Lisa, Man Yee Lam, and Thompson G. Robinson. "Primary and secondary prevention of stroke." In Oxford Textbook of Geriatric Medicine, 913–20. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198701590.003.0118.
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Stroke is one of the leading causes of mortality, morbidity, and disability worldwide. Stroke and transient ischaemic attack survivors are at risk of recurrent stroke, which is often more severe and disabling. Despite the success in acute treatment and rehabilitation of stroke, prevention remains the most effective way to reduce the global burden of the disease. Since preventative strategies have early effectiveness, prompt recognition of symptoms, specialist assessment and diagnosis, and initiation of these secondary prevention strategies are of utmost importance in stroke prevention. This chapter provides an overview of current primary and secondary stroke prevention strategies, highlighting the importance of rapid recognition, urgent specialist care, and evidence-based interventions, which are the cornerstones of effective management.
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Ben-Shlomo, Yoav. "Life course, exposure, and ageing populations." In Oxford Textbook of Neurologic and Neuropsychiatric Epidemiology, edited by Carol Brayne, Valery L. Feigin, Lenore J. Launer, and Giancarlo Logroscino, 21–28. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198749493.003.0003.
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The demographic changes experienced globally mean that the 21st century faces the challenge of caring for an ageing population. Without preventative measures, this will be further aggravated by the successes of medical technologies which continue to reduce case fatality and hence add to the multi-morbid nature of older populations. A life-course approach to ageing conceptualizes the different trajectories by which traits may decline before leading to clinical disease or disability. It highlights gaps in our current understanding of the drivers of such trajectories and periods where the timing of adverse exposures may have a disproportionate negative or positive impact on later life outcomes. This is illustrated with a wide variety of examples and applied to neurodegenerative disorders such as dementia. Future primary and secondary preventative measures must consider interventions across the whole of the life course.
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Martinez, Alexander, Joseph J. Pizzimenti, Drake W. Lem, and Pinakin Gunvant Davey. "Health Promotion for AMD and the Role of Nutrition." In Recent Advances and New Perspectives in Managing Macular Degeneration [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.103835.
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There is an increase in demand for health promotion and preventative medicine playing a vital role in managing chronic illnesses. Many of these conditions stem from a poor diet, sedentary lifestyle and smoking, all of which are risk factors for age-related macular degeneration (AMD). To combat chronic diseases, the root of the conditions may be addressed through the concept of health promotion. Health promotion thoroughly assesses how a population’s environmental, political, socioeconomic, behavioral, and cultural practices influence its health. This concept can be applied in a primary care setting which takes on a broader approach in treating and managing patients. Primary care providers need to be aware of the connections between common chronic illnesses and AMD. All primary care providers and eyecare specialists must be patients’ advocate and help improve their systemic and ocular prognosis.
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Barrett, Lucinda, and Bridget Atkins. "Case 43." In Oxford Case Histories in Infectious Diseases and Microbiology, edited by Bridget Atkins, 293–300. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198846482.003.0043.
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The number of joint replacements performed in resource-rich countries has increased significantly in the last few decades and has allowed a significant improvement in the quality of life for many patients. Despite preventative measures, a small fraction (around 1% for hip replacements) will become infected. These can present as acute or chronic infections. They can also occur at any time after the primary procedure. Late acute infections are usually via the haematogenous route and often present to the acute medical take or via infection services. A prompt, appropriate medical and surgical management strategy is important.
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Hughes, Dyfrig. "Health and economic impact of non-adherence to preventative cardiovascular medicines." In ESC CardioMed, edited by Lorenzo Mantovani, 3131–33. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198784906.003.0760.
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Suboptimal adherence to prescribed cardiovascular medicines is highly prevalent, associated with increased morbidity and mortality, and costly to manage. Adherence is defined by the three phases of initiation, implementation, and discontinuation. Up to one in six patients prescribed a statin do not initiate treatment and less than 60% of patients persist with therapy at 2 years. Even among patients who engage with the dosing regimen, about 10% of scheduled doses are missed on any given day. There is no evidence of significant differences in persistence across different classes of cardiovascular medicines, but persistence is worse in the context of primary prevention, compared with secondary prevention. The relative risk of development of cardiovascular disease in patients with good versus poor adherence is 0.85 and 0.81 for statins and antihypertensive medications, respectively. The consequences of variable dose implementation may be tempered by the use of drugs which are forgiving to variable dosing, that is, drugs whose pharmacological activity persists despite the occasional late or missed dose. The use of specific interventions that involve electronic reminders, pharmacist-led interventions, and healthcare professional education of patients may be an effective strategy to improve adherence to statins, and to achieve corresponding decreases in low-density lipoprotein cholesterol. Improving adherence to preventative cardiovascular medicines could result in savings of over £109 million (€126 million) per year in the United Kingdom alone, and could lead to a 35% reduction in the risk of all-cause mortality.
Conference papers on the topic "Primary (Preventative)"
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Han, Junyan, Katsuyuki Takeda, Masakazu Okamoto, Wanjiang Zeng, Yi Jia, Azzeddine Dakhama, and Erwin W. Gelfand. "Comparison Of The Preventative, Therapeutic, And Prophylactic Effects Of Anti-G And Anti-F RSV Glycoprotein Antibodies In The Response To Primary And Secondary RSV Infection." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a6206.
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Higgins, Kathryn B., Robert D. Harten, Noshir A. Langrana, and Alberto M. Cuitino. "Biomechanics of Vertebroplasty." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-32635.
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Osteoporosis is a skeletal disease characterized by low bone mass and deterioration of bone tissue. It affects 15–20 million women in the United States. Fractures of the vertebrae, wrist and hip are the most common. [1] In the spine, osteoporosis greatly affects the bone mass of the vertebral bodies (VB), the primary structures for transmitting loads in the spine. The VB is comprised of a shell of dense bone surrounding a more porous bony tissue called trabecular bone. Trabecular bone is a lattice-like network of trabeculae in the shape of plates or rods, depending on orientation and one’s age. When the weakened trabecular structure experiences a loss of height, acute back pain, spinal cord compression, and overall loss of mobility can ensue. A single fracture creates a region of high stress in the trabecular network, often leading to more fractures. In almost 20% of the cases one fracture in a VB may result in a secondary fracture within a one year period. [2] Many fractures go unnoticed. The high occurrence, frequent uncertainty of fracture, and gravity of subsequent injury indicate a need to improve the strength of osteoporotic vertebrae before damage can occur. It may be desirable to treat weakened bone prior to fracture. One candidate for prevention that is investigated in this study is vertebroplasty. Currently, the procedure is used to repair fractured VB by injecting acrylic bone cement into the affected level. A parametric finite element (FE) investigation and supporting experimental study was conducted to evaluate the usefulness of vertebroplasty as a preventative treatment.
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Siegel, Edward A., William M. Connor, David R. Forsyth, Manu Badlani, and Paula A. Grendys. "Alloy 600 Cracking Prevention and Mitigation." In 10th International Conference on Nuclear Engineering. ASMEDC, 2002. http://dx.doi.org/10.1115/icone10-22465.
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Primary Water Stress Corrosion Cracking (PWSCC) has created a concern for pressurized water reactors (PWRs) in recent years, causing cracking in Alloy 600 materials. The domestic nuclear industry is currently focusing on short-term plans directed towards the reactor vessel (RV) head, and in at least one case, the Alloy 600 weld joint between the RV and the Hot Leg piping. There are many additional locations within the reactor coolant pressure boundary (RCPB) that contain Alloy 600 base metal or weld metal that may be susceptible to PWSCC over time. The predictive models being used have a large uncertainty band on when cracking might occur at specific locations within the RCPB. An informal poll of metallurgists leads to a consensus that the question is WHEN the cracking will occur at these other locations, not IF cracking will occur. While the industry is reacting to the RV head issues, there is an opportunity to plan a preventive aging management program that will preclude, or at the very least, dramatically reduce the incidence of cracking at many of these other locations. The benefits of a preventative program are clear when compared to recent examples of unplanned outage extensions due to the unexpected discovery of Alloy 600 cracking. In this paper, these other locations are identified and ranked on a simple risk basis generically for PWRs. At each location, preventative or mitigative techniques are described along with some historical perspective on each. The mitigative techniques that are discussed in this paper include the following. Zinc addition, which inhibits crack initiation and slows crack growth throughout the RCPB, is the only mitigative technique that benefits all wetted Alloy 600 surfaces within the RCPB, and is not a location-specific technique. Zinc addition also provides dose reduction as a second important benefit. MSIP (Mechanical Stress Improvement Process) is a proven, permanent solution for piping weld joints and has been successfully applied to over 1300 joints in BWRs. The NRC has accepted MSIP after rigorous qualification testing and field experience that demonstrated the effectiveness of this technique. The upper head temperature reduction program is a method of lowering the RV head temperature and is already in effect at a number of plants. Alloy 600 PWSCC is very sensitive to temperature; and lower temperatures can be an effective way to extend the useful life of a head. Weld overlay or encapsulation is a technique for creating a nonstructural fluid barrier on the inner diameter (ID) of pipe weld joints and on the wetted Alloy 600 surfaces of a reactor head. The new barrier effectively stops the corrosion process from continuing by isolating the susceptible material from the corrosive environment. For reactor heads, this may be an alternative to head replacement or a repair/mitigation at a specific location where flaws are discovered. It is recommended that that all plants evaluate these mitigative techniques for inclusion in an overall Alloy 600 Program. Proactive implementation will diminish, and possibly preclude, the incidence of cracking at some specific locations during the subsequent operating life of the plant.
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Francis-LaCroix, Kyethann, Joel King, Laura Moonilal, and Reon Rauceo. "An Enhanced Approach to the Remediation of Scale Induced Formation Damage - Offshore Trinidad." In SPE Trinidad and Tobago Section Energy Resources Conference. SPE, 2021. http://dx.doi.org/10.2118/200903-ms.
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Abstract The remediation of flow assurance challenges in field's offshore Trinidad is a foci of oil and gas operators in Trinidad West Indies. These challenges are heightened by field maturity and the corresponding increase in water production. With this increased water influx, production chemistry and specific flow assurance challenges also arise. One of the primary challenges include the precipitation and deposition of inorganic mineral scales. Coupled with this, mineralogy data and core data studies indicated that the sands of some of the producing fields offshore Trinidad are highly susceptible to scale precipitation in the formation water (Holder, 1990). As such, measures are often implemented to assure the successful and economical flow of hydrocarbon stream from the reservoir to the point of sale. In this geographical area, stimulation acid treatments were typically deployed for remediation of formation damage of which scale precipitation was a main type. However, based on the previous production histories, the production gains following these acid treatments were short-lived. In addition, the accompanying financial loss is often compounded by other flow assurance challenges that were precursed by scale deposition. This paper will discuss the use of inhibitory squeeze application techniques as a preventative approach to formation damage resulting from scale precipitation. This application is the first of its kind performed in the Teak field. Thus, results obtained will highlight further opportunity to successfully stimulate other fields in this region prone to scale deposition. The results obtained from this application will be represented in the form of a comparative analysis. The production indices attained via the conventional means of scale remediation, will be compared with that achieved via the strategic placement of phosphonate-based chemistries. Additionally, methods employed to avert the challenges of squeeze treatments in offshore environments will also be discussed as well as lessons learned from this approach.
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Sumitra, Khemchad, Marty Fernau, Karn Thanomkiat, Joseph Ritcey, and Chadchai Tumtong. "The Modified Configuration of Wet Wash System in the Gulf of Thailand." In IADC/SPE Asia Pacific Drilling Technology Conference. SPE, 2021. http://dx.doi.org/10.2118/201036-ms.
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Abstract "Wet Wash" is a concept whereby cuttings are fluidized then sent to centrifuges to seperate the fluids from the cuttings. A modified configuration of this Wet Wash system improves fluids performance while minimizing environmental impact and optimizing operating costs. The original Wet Wash system, introduced in 2006, started at the shale shakers where big cuttings were removed by the scalping deck and diverted overboard. Only the small cuttings from the primary deck were fluidized and transported to a big bowl centrifuge. For the original system, the % Synthetic on Cuttings (SOC) for this process was always over 8.0%. The system was unable to lower the SOC due to concerns for the capability of the big bowl centrifuge to handle big cuttings. With a modified centrifuge unit, a more robust unit with a design change in feed nozzles being able to handle more torque, all cuttings from both scalping deck and primary deck are fluidized and transported to a big bowl centrifuge with no big cuttings diverted overboard. Utilizing the previous configuration of Wet Wash whereby cuttings from the scalper deck were diverted overboard, the % SOC was always over 8.0%. It was efficient in the removal of solids, but it was still yielding high SOC. In 2012 the use of Cuttings Dryers was introduced to further reduce % SOC. On Jack-up rigs, the Cuttings Dryer can operate in a normal manner, but on Tender Assisted rigs, where the cuttings are fluidized and pumped to the Dryer, there is a trade-off. High content of Low Gravity Solids (LGS) from the continual grinding of the solids to ultrafine particles that could not be removed by centrifuges had become an issue. High dilution rates were required to keep mud system under control due to excessive ultrafine solids. The Wet Wash system was re-visited for Tender Assisted rigs. With the modified configuration of Wet Wash system where no cuttings were diverted overboard, fluids performance was improved from reduction of ultrafine solids contamination in the mud system, resulting in less dilution rate and mud chemicals treatment. The % SOC was also lower than 8.0%. With proper Preventative Maintenance (PM) program in place, there was neither down time of the centrifuge nor report of excessive wear of equipment from handling big cuttings. The novelty of the modified Wet Wash configuration is in the ability to improve fluids performance and reduce environmental impact with the optimum operating cost.
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Corsiglia, Frederic Anthony, Hani Haidar, and Andrew Duncan Frost. "Risk Informed Work Selection." In Abu Dhabi International Petroleum Exhibition & Conference. SPE, 2021. http://dx.doi.org/10.2118/208015-ms.
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Abstract Asset integrity management is a life cycle concept typically initiated in the conceptual and detailed design phase of projects. Parallel with the development of equipment and system lists, the process of building maintenance job plans starts. Tools, such as criticality assessment, are used to identify the type of engineering deliverable from which the maintenance job plan is built. For a large majority of equipment and systems, original equipment manufacturer (OEM) recommended or fleet inspection, maintenance and testing (IMT) plans are adequate. For a smaller subset, more detailed plans leveraging risk-based inspection (RBI) and reliability-centered maintenance (RCM) concepts are developed building a regime of preventative maintenance focused on data collection in the commissioning and early operation of the facility. For an extremely limited subset of equipment, mostly machinery, but could include pipelines, electrical and product analyzers, the most detailed plans are developed which are highly specific to a particular equipment tag. Criticality assessment is commonly cited as a core process for prioritization of RBI/RCM plan development initially with spare parts inventories and work management later in the life cycle. International standards such as ISO 14224, Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment, provide a framework for asset hierarchy and taxonomy which will prove to be important during the operating phase of the life cycle where surveillance and corrective maintenance data will be leverage to optimize maintenance job plans. ISO 14224 refers to IEC 60812, Failure modes and effects analysis (FMEA and FMECA), for treatment of Failure Mode Effects and Criticality Assessment (FMECA). To a large extent, ISO 60812 leaves determination of the variables to drive criticality assessment up to the operator saying only that two or more variables should be used. Variables used commonly include consequence of failure, but also maintainability and complexity. Benchmarks for criticality assessment suggest about 10% of equipment merits identification as critical (reference needed). Criticality is important as a foundation to integrity management as work linked to primary function carries an inherited technical characteristic of the equipment and systems. Over time, additional equipment and systems will be added (or removed) from critical equipment lists through continuous improvement processes such as root cause failure analysis (RCFA). With the prioritization of developing maintenance plans through fleet and RBI/RCM processes and their resultant deliverables defined, the detailed plans are identified through collaboration of technical, maintenance and operations staff specialists. Fundamentally, the process involves identification of hazards which can result in impaired primary and secondary functionality, estimation of unmitigated risk, identification of work to mitigate risk, estimation of mitigated risk, calculation of benefit-to-cost and documenting the analysis into the system of record. Consistency in the processes can be assured through application of procedures and references that typically reference a risk matrix. As each hazard is reviewed, there may be multiple failures modes (e.g. hole, crack, rupture) which needs to be considered independently. Consequence assessment is performed for a range of Safety Health Environmental and Security (SHES) scenarios associated with the failure mode. Probability assessment for the scenarios is performed using the available design parameters. The combined consequence and probability form the initial unmitigated risk basis for the scenario. Inspection, maintenance and testing activities are selected by the collaborating specialists with focus of input from technical on probability mitigation, maintenance on cost and operations on benefit. The scenarios is then revisited to document the mitigated risk.
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Marchesi, Jenifer T., William J. McBrine, and Vincent Roy. "Extending Replacement Intervals of Elastomeric Components by Evaluating Samples Removed From Service." In ASME 2014 Pressure Vessels and Piping Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/pvp2014-28305.
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Elastomers play an essential role in pressure vessels as seals, hoses, gaskets, diaphragms, liners and other critical components [1]. Some polymeric materials used for non-pressure applications such as electric power cable insulation have received much attention with respect to the effects of aging and life management, but many critical elastomeric pressure vessel components such as seals have not. Performance of these seals depends upon the effects of both time- and event-dependent aging. Understanding and addressing aging and degradation are fundamental to effective preventative maintenance and life-cycle management programs. Proper management of elastomers is necessary for performance requirements and for cost containment. In one of the case studies presented synthetic seals in engines were quite costly to change on the suggested OEM maintenance schedule where replacement intervals were based on assumed operating conditions applicable to other industries. When the actual service for these engines is as emergency diesel generators (EDGs, e.g., in nuclear power plants) the use is primarily in stand-by mode, and the usage is far different than that of the manufacturer’s target application. In this investigation the assessment of pressure seal performance was based on situation-specific operation and environmental parameters. This resulted in much longer replacement intervals. In another case study alternate materials were identified which are expected to improve performance over the original material.
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Moreno Osuna, Sònia. "Avaluació ambiental estratègica: estudi del cas POUM de Besalú." In International Conference Virtual City and Territory. Barcelona: Centre de Política de Sòl i Valoracions, 2009. http://dx.doi.org/10.5821/ctv.7580.
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Segons la legislació vigent a Catalunya, cal fer un procés d’avaluació ambiental de plans i programes públics, com a eina de prevenció, que permeti integrar els aspectes ambientals en la presa de decisions. Els plans d’ordenació urbanística municipal queden inclosos com a plans públics i han de tenir en compte l’execució d’aquesta avaluació ambiental i, concretament, les actuacions i la documentació que exigeix la normativa vigent (article 7 de la Llei 9/2006, de 28 d’abril, sobre l’avaluació dels efectes de determinats plans i programes sobre el medi ambient).
El Pla d’ordenació urbanística municipal (en endavant, POUM) de Besalú, 2007, ha tingut, com a instrument d’avaluació ambiental, l’Informe de sostenibilitat ambiental (en endavant, ISA), el qual té per objectiu oferir un seguit de criteris sostenibles que serveixin de base per al desenvolupament urbanístic del municipi, basant-se en la integració dels principis de sostenibilitat establerts pel Decret 305/2006, la Llei estatal 9/2006, la Directiva 2001/42/CE i la nova Llei d’avaluació ambiental de plans i programes (AAPP) de Catalunya, aprovada pel Parlament de Catalunya el 15 d’abril de 2009.
La Llei d’urbanisme i el seu Reglament es pronuncien clarament a favor d’un desenvolupament urbanístic sostenible, sobre la base de la utilització racional del territori, per compatibilitzar el creixement i el dinamisme econòmic necessaris amb la cohesió social, el respecte al medi ambient i la qualitat de vida de les generacions actuals i futures.
Segons la Directiva 2001/42/CE, els elements ambientals de sostenibilitat que ha d’incorporar un Pla d’ordenació urbanística municipal s’han d’integrar des del primer moment en la presa de decisions que comporta la formulació del planejament. Per aquest motiu, és necessari fixar uns objectius ambientals, que són els següents:
* Diagnòstic ambiental del territori.
* Fixació d’objectius ambientals.
* Determinació d’indicadors del compliment dels objectius marcats.
* Incorporació dels objectius ambientals en les determinacions del planejament: d’ordenació, de normatives, de programació i de finançament.
* Validació del compliment dels objectius establerts.
* Mesures de desplegament i de seguiment.
Segons l’art. 3.1 del Decret legislatiu 1/2005, de 26 de juliol, d’urbanisme, s’entén per principi de sostenibilitat relacionat amb el planejament urbanístic: “El desenvolupament urbanístic sostenible es defineix com la utilització racional del territori i el medi ambient i comporta conjuminar les necessitats de creixement amb la preservació dels recursos naturals i dels valors paisatgístics, arqueològics, històrics i culturals, a fi de garantir la qualitat de vida de les generacions presents i futures”.
Aquest estudi de cas vol destacar la importància que va tenir l’anàlisi ambiental i l’avaluació de les característiques socioambientals més significatives dels nous sectors de creixement proposats i de les àrees objecte de modificació i/o transformació, així com les del seu context territorial immediat (mesura requerida al document de referència, emès per l’òrgan ambiental competent: “Oficina territorial d’avaluació ambiental estratègica de Girona”), per tal de justificar l’ordenació urbanística d’acord amb uns criteris urbanístics i socioambientals sostenibles. Strategic environmental evaluation: Case study, Urban Plan, POUM Besalú (Catalonia). According to the existing legislation in Catalonia it is necessary as a preventative method to carry out a process of environmental evaluation for planning and for public programmes which would allow for the integration of environment issues in the decision making processes. The urban town plans are considered to be public plans and therefore they must take into account this environmental evaluation. In particular they must consider the necessary actions as well as the specific documentation which the existing regulation requires (article 7 of the 9/2006 Regulation of 28 April relating to the effects of certain plans and programmes on the environment).
As an instrument for environmental evaluation, the Urban Town Plan (POUM) Besalú 2007, has done a report on environmental sustainability, (ISA). The objective of this report is to offer a series of sustainable criterion which serve as a basis for the town planning development, basing itself upon the integration of the sustainable principals established in: The 305/2006 Decree, the State Legislation 9/2006, the Directive 2001/42/CE and the blueprint of the Catalan Environmental Evaluation Legislation for Plans and Programmes (AAPP).
The urbanistic Legislation and its Regulations indicate to be clearly in favour of a sustainable urban development based upon the rational use of land in order to create compatibility between growth and the necessary economic dynamism together with social cohesion, respect towards the environment and the quality of life of the present and future generations.
According to the Directive 2001/42/CE, the sustainable environmental elements which ought to be incorporated into the Urban Town Plan need to be integrated from the beginning of the decision making process which is required in the establishing of the general layout plan. For this reason it is necessary to establish the following environmental objectives:
* Environmental diagnosis of the site.
* Establishment of environmental objectives.
* Setting up of pointers for compliance of the established objectives.
* Incorporation of environmental objectives in the setting up of town plans, regulations, programming and financing.
* Verification of compliance with established objectives.
* Deployment measures and follow up.
According to the Town Planning article 3.1 of the Legislative Decree 1/2005 dated 26 July, the concept of sustainability related to urban layout is understood as the following: ”Sustainable urban development is defined as the rational use of land and the environment and it involves the combination of the needs of expansion with the preservation of natural resources while taking into consideration landscape, arqueological, historic and cultural values with the intention of guaranteeing the quality of life of present and future generations.”
This case study wishes to highlight the importance of the environmental analysis and the evaluation of the most important social-environmental characteristics in the new sectors of proposed growth and in the areas subject to modification and/or transformation the same as those in the immediate territorial context(this measure is required in the reference Document emited by the appropriate environmental body “Girona Land strategic environmental evaluation Office”) in order to justify the urban plan in accordance with urbanistic and sustainable social-environmental criterion.
Reports on the topic "Primary (Preventative)"
1
Thompson, Joseph. How WASH Programming has Adapted to the COVID-19 Pandemic. Institute of Development Studies (IDS), December 2020. http://dx.doi.org/10.19088/slh.2021.001.
Full textAbstract:
Since first appearing at the end of 2019, the novel coronavirus disease (COVID-19) has spread at a pace and scale not seen before. On 11 March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. A rapid response was called for, and actors across the globe worked quickly to develop sets of preventative measures to contain the disease. One mode of transmission identified early on in the crisis was via surfaces and objects (fomites) (Howard et al. 2020). To combat this, hand hygiene was put forward as a key preventative measure and heralded as ‘the first line of defence against the disease’ (World Bank 2020). What followed was an unprecedented global focus on handwashing with soap. Health messages on how germs spread, the critical times at which hands should be washed, and methods for correct handwashing were shared (Centers for Disease Control and Prevention 2020). Political leaders around the world promoted handwashing and urged people to adopt the practice to protect against the coronavirus. The primary and secondary impacts of COVID-19 have affected people and industries in a variety of different ways. For the WASH sector, the centring of handwashing in the pandemic response has led to a sudden spike in hygiene activity. This SLH Rapid Topic Review takes stock of some of the cross-cutting challenges the sector has been facing during this period and explores the adaptations that have been made in response. It then looks forwards, thinking through what lies ahead for the sector, and considers the learning priorities for the next steps.
2
Thompson, Joseph. How WASH Programming has Adapted to the COVID-19 Pandemic. The Sanitation Learning Hub, Institute of Development Studies, December 2020. http://dx.doi.org/10.19088/slh.2021.0015.
Full textAbstract:
Since first appearing at the end of 2019, the novel coronavirus disease (COVID-19) has spread at a pace and scale not seen before. On 11 March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. A rapid response was called for, and actors across the globe worked quickly to develop sets of preventative measures to contain the disease. One mode of transmission identified early on in the crisis was via surfaces and objects (fomites) (Howard et al. 2020). To combat this, hand hygiene was put forward as a key preventative measure and heralded as ‘the first line of defence against the disease’ (World Bank 2020). What followed was an unprecedented global focus on handwashing with soap. Health messages on how germs spread, the critical times at which hands should be washed, and methods for correct handwashing were shared (Centers for Disease Control and Prevention 2020). Political leaders around the world promoted handwashing and urged people to adopt the practice to protect against the coronavirus. The primary and secondary impacts of COVID-19 have affected people and industries in a variety of different ways. For the WASH sector, the centring of handwashing in the pandemic response has led to a sudden spike in hygiene activity. This SLH Rapid Topic Review takes stock of some of the cross-cutting challenges the sector has been facing during this period and explores the adaptations that have been made in response. It then looks forwards, thinking through what lies ahead for the sector, and considers the learning priorities for the next steps.
3
Jones, Theresa, and Elisabeth Storer. Key Considerations: Adherence to COVID-19 Preventive Measures in Greater Kampala, Uganda. Institute of Development Studies (IDS), March 2022. http://dx.doi.org/10.19088/sshap.2022.005.
Full textAbstract:
This brief sets out key considerations for risk communications and community engagement (RCCE) to promote adherence to COVID-19 preventive measures in greater Kampala, Uganda. It looks at adherence to COVID-19 preventive measures, assesses the challenges to their adoption and outlines key considerations for partners working in RCCE and the wider COVID-19 emergency response. The brief responds to concern (as of March 2022) about COVID-19 transmission in informal urban areas in Uganda due to their high population density, limited sanitary infrastructure, and reported low uptake of vaccination. Ensuring effective communication and engagement with a series of preventative measures is essential in limiting the spread of COVID-19. The Ministry of Health and response partners have been proactive, however interventions and guidance for COVID-19 have taken limited account of social science research about the perceptions and practices related to COVID-19 regulations. This brief aims to address this gap so these data may be used to inform more effective and practicable guidance for vulnerable groups. This brief draws primarily on an analysis of existing scientific and grey literature. Additional primary data was collected through consultation with six social science and RCCE experts who focus on this geographical area. The brief was requested by UNICEF Uganda in consultation with the Uganda Ministry of Health (MoH) RCCE subcommittee and the RCCE technical working group for the Eastern and South Africa region (ESAR). It was developed for SSHAP by Theresa Jones (Anthrologica) and supported by Elizabeth Storer (London School of Economics), with contributions and reviews by colleagues at Anthrologica, the Institute of Development Studies (IDS), UNICEF ESARO and Uganda, Makerere University, the London School of Hygiene and Tropical Medicine (LSHTM), Dreamline Products and the IFRC.