This paper investigates the characteristics of functionally derelict areas in Slovenia, criteria for their identification, typology and arguments for further monitoring, and regular updating of this ...new spatial and data layer. Both specifying the precise location and knowledge of characteristics of derelict areas, i.e. brownfields, are an important step towards sustainable planning and placement of activities. In 2017, we recorded 1081 functionally derelict areas in Slovenia in a total area of 3423 ha, with a prevalence of areas of industrial activities.
One of the key issues in the planning, construction and management of public service infrastructure is financing such infrastructure and ensuring its long-term reliability. For this purpose, it is ...necessary to establish effective asset management tools. The basis for the creation of such tools is relevant registers. In Slovenia, the technical register and fixed assets register of public service infrastructure both represent the same subject from different points of view, but they are usually not interconnected. Qualitative and quantitative analyses of both registers in 13 local communities in Slovenia were used to develop a decision model for the integration of the fixed assets register and the technical register of public service infrastructure. The proposed decision model will offer local communities one possible approach for connecting the technical register and fixed assets register of public service infrastructure. This will be the first step towards the establishment of effective asset management tools for managing public service infrastructure.
"Identifying Perinatal Depression and Anxiety brings together the very latest research and clinical practice on this topic from around the world in one valuable resource. Examines current screening ...and management models, particularly those in Australia, England and Wales, Scotland, and the United States. Discusses the evidence, accuracy, and limitations of screening methods in the context of challenges, policy issues, and questions that require further research. Up to date practical guidance of how to screen, assess, diagnose and manage is provided. Considers the importance of screening processes that involve infants and fathers, additional training for health professionals, pathways to care following screening, and the economics of screening. Offers forward-thinking synthesis and analysis of the current state of the field by leading international experts, with the goal of sketching out areas in need of future research"--Provided by publisher.
Developing and Delivering Practice-based Evidencepromotes a range of methodological approaches to complement traditional evidence-based practice in the field of psychological therapies. Represents ...the first UK text to offer a coherent and programmatic approach to expand traditional trials methodology in the field of psychological therapies by utilizing evidence gained by practitioners Includes contributions from UK and US scientist-practitioners who are leaders in their fieldFeatures content appropriate for practitioners working alone, in groups, and for psychological therapy services
The rapid growth in the use of mobile phone applications (apps) provides the opportunity to increase access to evidence-based mental health care.
Our goal was to systematically review the research ...evidence supporting the efficacy of mental health apps for mobile devices (such as smartphones and tablets) for all ages.
A comprehensive literature search (2008-2013) in MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, PsycINFO, PsycTESTS, Compendex, and Inspec was conducted. We included trials that examined the effects of mental health apps (for depression, anxiety, substance use, sleep disturbances, suicidal behavior, self-harm, psychotic disorders, eating disorders, stress, and gambling) delivered on mobile devices with a pre- to posttest design or compared with a control group. The control group could consist of wait list, treatment-as-usual, or another recognized treatment.
In total, 5464 abstracts were identified. Of those, 8 papers describing 5 apps targeting depression, anxiety, and substance abuse met the inclusion criteria. Four apps provided support from a mental health professional. Results showed significant reductions in depression, stress, and substance use. Within-group and between-group intention-to-treat effect sizes ranged from 0.29-2.28 and 0.01-0.48 at posttest and follow-up, respectively.
Mental health apps have the potential to be effective and may significantly improve treatment accessibility. However, the majority of apps that are currently available lack scientific evidence about their efficacy. The public needs to be educated on how to identify the few evidence-based mental health apps available in the public domain to date. Further rigorous research is required to develop and test evidence-based programs. Given the small number of studies and participants included in this review, the high risk of bias, and unknown efficacy of long-term follow-up, current findings should be interpreted with caution, pending replication. Two of the 5 evidence-based mental health apps are currently commercially available in app stores.
El artículo explora el significado del escándalo en la práctica sacramental. La tradición moral y canónica y la sistemática codicial ofrecen pruebas significativas de la influencia del concepto; sin ...embargo, deben enfrentarse a la ofuscación y la desviación en la mentalidad posmoderna. Descifrar los elementos constitutivos del scandalum pone de relieve la conexión intrínseca del daño social con la justicia, la objetividad del prejuicio y la influencia performativa de la conducta desviada. En el ámbito sacramental, la defensa de la conciencia y de la rectitud de los agentes viene impuesta por la propia sacralidad de la acción, promoviendo la participación plena, activa y consciente de todos. Por el contrario, la pérdida del influjo comunitario y solidario de la liturgia conduce a un protagonismo solipsista de los fieles y a una indebida privatización del culto. La continuidad y coherencia entre doctrina, disciplina y práctica parece ser la garantía más segura y fiable del patrimonio celebrativo y del bonum agere pastorale.
El desafio de la busqueda de las personas victimas de desaparicion forzada comprende usualmente el de la recuperacion de la identidad de los restos que logran ser hallados. Este trabajo releva la ...dimension juridica de la identificacion y su calidad de decision acerca de la prueba de un hecho, que puede ser analizada con las herramientas conceptuales de la teoria de la prueba juridica. Sobre esa base, se aborda la pregunta sobre el estandar de prueba aplicable y se ofrece un analisis basado en la experiencia chilena reciente, en la que se ha tendido a consolidar la prueba positiva de ADN como una suerte de golden standard, exclusivo y excluyente, para la identificacion. A menudo, sin embargo, ese resultado no se puede alcanzar por deterioro del ADN en las muestras de restos obtenidos, por la escasez de las muestras dada la practica de exhumaciones clandestinas o por falta de muestras de parientes para comparacion. El trabajo explora las preguntas que se abren entonces, tanto respecto de la posibilidad de que otra clase de pruebas forenses sean aceptables y suficientes como sobre el trato que se debe dar a los restos cuya identificacion no resulta actualmente posible.
Despite widespread scientific and popular interest in mindfulness-based interventions, questions regarding the empirical status of these treatments remain. We sought to examine the efficacy of ...mindfulness-based interventions for clinical populations on disorder-specific symptoms. To address the question of relative efficacy, we coded the strength of the comparison group into five categories: no treatment, minimal treatment, non-specific active control, specific active control, and evidence-based treatment. A total of 142 non-overlapping samples and 12,005 participants were included. At post-treatment, mindfulness-based interventions were superior to no treatment (d=0.55), minimal treatment (d=0.37), non-specific active controls (d=0.35), and specific active controls (d=0.23). Mindfulness conditions did not differ from evidence-based treatments (d=−0.004). At follow-up, mindfulness-based interventions were superior to no treatment conditions (d=0.50), non-specific active controls (d=0.52), and specific active controls (d=0.29). Mindfulness conditions did not differ from minimal treatment conditions (d=0.38) and evidence-based treatments (d=0.09). Effects on specific disorder subgroups showed the most consistent evidence in support of mindfulness for depression, pain conditions, smoking, and addictive disorders. Results support the notion that mindfulness-based interventions hold promise as evidence-based treatments.
•We examined the relative efficacy of mindfulness-based interventions on clinical symptoms of psychiatric disorders.•142 randomized clinical trials were included (N=12,005 participants). Control conditions were coded on a five-tier system.•At post-treatment, mindfulness interventions were equivalent to evidence-based treatments and superior to other comparisons.•At follow-up, mindfulness interventions were equivalent to minimal and evidence-based treatments and superior to others.•The most consistent evidence for mindfulness-based interventions was seen for depression, pain, smoking, and addictions.
When Archie Cochrane reproached the medical profession for not having critical summaries of all randomised controlled trials, about 14 reports of trials were being published per day. There are now 75 ...trials, and 11 systematic reviews of trials, per day and a plateau in growth has not yet been reached. Although trials, reviews, and health technology assessments have undoubtedly had major impacts, the staple of medical literature synthesis remains the non-systematic narrative review. Only a small minority of trial reports are being analysed in up-to-date systematic reviews. Given the constraints, Archie Cochrane's vision will not be achieved without some serious changes in course. To meet the needs of patients, clinicians, and policymakers, unnecessary trials need to be reduced, and systematic reviews need to be prioritised. Streamlining and innovation in methods of systematic reviewing are necessary to enable valid answers to be found for most patient questions. Finally, clinicians and patients require open access to these important resources.