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1 – 4 of 4Emili Vela, Aina Plaza, Gerard Carot-Sans, Joan Carles Contel, Mercè Salvat-Plana, Marta Fabà, Andrea Giralt, Aida Ribera, Sebastià Santaeugènia and Jordi Piera-Jiménez
To assess the effectiveness of an integrated care program for post-acute care of stroke patients, the return home program (RHP program), deployed in Barcelona (North-East Spain…
Abstract
Purpose
To assess the effectiveness of an integrated care program for post-acute care of stroke patients, the return home program (RHP program), deployed in Barcelona (North-East Spain) between 2016 and 2017 in a context of health and social care information systems integration.
Design/methodology/approach
The RHP program was built around an electronic record that integrated health and social care information (with an agreement for coordinated access by all stakeholders) and an operational re-design of the care pathways, which started upon hospital admission instead of discharge. The health outcomes and resource use of the RHP program participants were compared with a population-based matched control group built from central healthcare records of routine care data.
Findings
The study included 92 stroke patients attended within the RHP program and the patients' matched controls. Patients in the intervention group received domiciliary care service, home rehabilitation, and telecare significantly earlier than the matched controls. Within the first two years after the stroke episode, recipients of the RHP program were less frequently institutionalized in a long-term care facility (5 vs 15%). The use of primary care services, non-emergency transport, and telecare services were more frequent in the RHP group.
Originality/value
The authors' analysis shows that an integrated care program can effectively promote and accelerate delivery of key domiciliary care services, reducing institutionalization of stroke patients in the mid-term. The integration of health and social care information allows not only a better coordination among professionals (thus avoiding redundant assessments) but also to monitor health and resource use outcomes of care delivery.
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Stefania Chiappini, Alessio Mosca, Andrea Miuli, Francesco Di Carlo, Giacomo d'Andrea, Alessandra Napolitano, Monica Santangelo, Corradina Esposito, Anna Rosazza, Elena Haefele, Gilberto Di Petta, Mauro Pettorruso, Stefano L. Sensi and Giovanni Martinotti
This paper aims to investigate the role of aripiprazole once monthly as a maintenance treatment in a sample of patients with schizophrenia comorbid with alcohol and substance use…
Abstract
Purpose
This paper aims to investigate the role of aripiprazole once monthly as a maintenance treatment in a sample of patients with schizophrenia comorbid with alcohol and substance use disorder (AUD/SUD).
Design/methodology/approach
A sample of 24 Italian adult patients has been recruited and treated with aripiprazole once monthly after clinical stabilization with oral aripiprazole during May 2021 and June 2022. Clinical evaluations have been performed at the baseline (T0) and after 12 (T1) and 24 (T2) weeks.
Findings
During the study period, an improvement of both the clinical condition and general health from baseline was observed, as well as a reduction of craving for alcohol/substances. However, from T0, the number of patients who continued with this study decreased at T1 (n = 8) and then at T2 (n = 4). No serious adverse events were reported, including changes in weight, lipid/glucose metabolism, electrocardiogram and extra-pyramidal side effects.
Originality/value
Although limited by the high number of drop outs, this observational real-world study provided insights into the use of aripiprazole once monthly among a sample of patients with schizophrenia and comorbid SUD/AUD. Further studies of longer duration and on a larger sample are needed.
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The purpose of this paper is to articulate an ontological anarchist approach for an engaged post-human politics and present insurrection training as a pragmatic tool for…
Abstract
Purpose
The purpose of this paper is to articulate an ontological anarchist approach for an engaged post-human politics and present insurrection training as a pragmatic tool for researchers to directly transform the world.
Design/methodology/approach
The paper analyses how post-humanism has been criticised for dissolving political agency. It shows that this is due to the way post-humanism has been framed as sensitising and including non-humans into liberal politics. Instead, the paper examines anarchist-influenced post-humanism and combines this with the notion of multiple ontologies and ontological interventions. The paper presents the notion of insurrection training as offering the possibility for researchers to become emotionally sensitised to ontological difference. A case study of the “Seeds of Hope East Timor Ploughshares action” (1996) is used to illustrate what insurrection training and ontological interventions look like in practice. Finally, the paper makes suggestions as to how post-human researchers can apply this approach in their everyday lives.
Findings
The paper suggests that beyond a liberal framing of post-humanism as inclusion, there is also an ontological anarchist post-humanism that can support transformative impacts in the world. This form of post-humanism offers specificity of intervention and reflexive training practices. Insurrection training can offer new possibilities for post-humanist researchers: experience ontological difference, de-trivialise the everyday, connect to social movements, make post-human politics “doable” and offer “direct” change.
Originality/value
The paper addresses discussions that claim post-humanism is disabling political change. Its contribution is to map an anarchist post-humanism and extend this with concepts of multiple ontologies. It proposes the notion of insurrection training which places attention on the role of the researcher as an active agent that needs to be sensitised to ontological difference to carry out interventions. A case study of direct action illustrates what ontological intervention and insurrection training look like in practice. The case study suggests that insurrection training is an everyday performative practice that integrates and negotiates the personal, material and political. Finally, the paper suggests how researchers can adopt such an approach in their everyday lives.
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Santosh Kumar, Manoj Kumar and Neeru Jindal
This paper aims to consolidate the results of various researchers focusing the different applications, so that this paper could become the torch bearer for the futuristic…
Abstract
Purpose
This paper aims to consolidate the results of various researchers focusing the different applications, so that this paper could become the torch bearer for the futuristic researchers working in the domain of cold gas dynamics spray coating.
Design/methodology/approach
A study on the cold spray coating is presented by summarizing the data present in literature. Important factors such as coating temperature, pressure, coating thickness, particle size, which affect the erosion-corrosion (E-C) resistance, physical and mechanical properties of boiler steel are stated. This paper also addresses the use of cold spray coating and compares it with other different thermal spray processes.
Findings
From the literature review, it was noticed that cold spray technology is best as compare to other thermal spray processes to reduce porosity, increase hardness, adhesion strength and retention in properties of feedstock powders.
Originality/value
Cold spray coating technology has a great potential in almost every field especially in restoration of surfaces, generation of complex surface, biomedical application, resist hot corrosion, wear, oxidation and erosion corrosion.
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