BACKGROUND Repeated epidemiological surveys show no decline in depression although uptake of treatments has grown. Universal depression prevention interventions are effective in schools but untested rigorously in adulthood. Selective prevention programmes have poor uptake. Universal interventions may be more acceptable during routine healthcare contacts for example antenatally. One study within...

Introduction: The PRISMA France pilot project is ongoing since 2006. This project aims to implement an integrated services delivery (ISD) for elderly people, based on the PRISMA methodology. The experimentation is coupled with an implementation study to identify factors that facilitate and hinder the implementation. The fragmentation of public authorities represents one of the first barriers id...

BACKGROUND Narrative Reflective Practice (NRP) is a process that helps medical students become better listeners and physicians. We hypothesized that NRP would enhance students' performance on multiple-choice question exams (MCQs), on objective structured clinical examinations (OSCEs), and on subjective clinical evaluations (SCEs). METHODS The MCQs, OSCEs and SCEs test scores from 139 third ye...

Treatment of drinking water at the household level is one of the most effective preventive interventions against diarrhea, a leading cause of illness and death among children in developing countries. A pilot project in two districts in Rwanda aimed to increase use of Sûr'Eau, a chlorine solution for drinking water treatment, through a partnership between community-based health insurance schemes...

The purpose of the pilot project is to develop a methodology for: operationally specifying clergy and chaplain interventions at a level of detail that will enable replication by other clergy and chaplains; developing consensus definitions of the constructs and terminology used in describing pastoral and spiritual care interventions; establishing the infrastructure of procedures for managing the...

One of the ongoing challenges in the field of Learning Design is how to most effectively support educators in the development of innovative e-learning through the adoption and adaptation of learning design templates. This paper reflects on experiences from two recent higher education projects in teacher training and medical education, and considers the advantages and disadvantages of templates ...

OBJECTIVE To demonstrate the effectiveness of the commercial introduction of red palm oil (RPO) as a source of vitamin A (VA) for mothers and children in a non-consuming area, as a dietary diversification strategy. DESIGN A pre-post intervention design (no control area) was used to assess changes in VA intake and status over a 24-month pilot project. SETTING AND SUBJECTS The pilot project i...

Highway construction projects are one of the most important construction projects in the world. Therefore predicting the time of these kinds of projects is important. Basically highway projects are including few activities which are repeating along the horizontal direction. One of the best methods for scheduling these types of projects is linear scheduling method. The repetitive nature of the h...

urban large-scale projects have always been a controversial topic of debates. these projects are time- and money-consuming and the rejection or approve of their functionality is based on political intentions. in the last hundred years, each of them costed billions of dollars from private or public budgeting, used technical and human resources. these risky-complex creatures are built to fulfill ...