Behavior of Stationary Population Identity in Two-Dimensions: Age and Proportion of Population Truncated in Follow-up

Author(s):  
Arni S.R. Srinivasa Rao ◽  
James R. Carey
2015 ◽  
Vol 3 (1) ◽  
pp. 81-102 ◽  
Author(s):  
Ana Shetach ◽  
Ohad Marcus

Purpose – The purpose of this paper is to determine the managerial capabilities that are required of medical and nursing managers, in a Christian-affiliated hospital in Israel, in order to promote the job satisfaction of their subordinates. Design/methodology/approach – Data were gathered via questionnaires, administered to 107 doctors and nurses of a small Christian-affiliated hospital in Israel, regarding the job satisfaction of the respondents, and their evaluation of the managerial capabilities of their medical and nursing superiors. Correlations and regressions were carried out on the data. Findings – Overall managerial capabilities of medical and nursing managers were shown to be significantly related to how their subordinates felt about their teams and about their work. The results suggest differences between nurses and doctors. When analyzed for the two dimensions of managerial capabilities and the two dimensions of job satisfaction, the results were significant for the nurses, but not significant for the doctors. When tested for Christians vs non-Christians, the results for the nurses were the same as in the sample as a whole; whereas for the doctors, there were differences between the two religious groups. Research limitations/implications – The sample is small and culturally specific, thus limiting the generalization potential of this study. Practical implications – Findings of this research may have practical implications regarding hospitals’ recruitment, promotion, instruction and follow-up policies. Originality/value – This study sheds light on the issue of hospital management and leadership within a specific cultural-religious setting, which has not been previously investigated.


2006 ◽  
Vol 6 (3-4) ◽  
pp. 409-427 ◽  
Author(s):  
Paul Harris ◽  
Rebekah Richert

AbstractTwo experiments were conducted to explore whether children, who have been exposed to the concept of the soul, differentiate the soul from the mind. In the first experiment, 4- to 12-year-old children were asked about whether a religious ritual affects the mind, the brain, or the soul. The majority of the children claimed that only the soul was different after baptism. In a follow-up study, 6- to 12-year-old children were tested more explicitly on what factors differentiate the soul from the mind and the brain. Children differentiated the soul from the mind and the brain along two dimensions: function and stability. In contrast to their responses about the mind and the brain, children did not claim that the soul was important for cognitive, non-cognitive, or biological functioning. Children consistently indicated that the mind and the brain change and grow over time. In contrast, children indicated that the soul is something that stays constant and is devoted to various, predominantly spiritual, functions.


Neurosurgery ◽  
2008 ◽  
Vol 62 (2) ◽  
pp. 326-335 ◽  
Author(s):  
Knut Stavem ◽  
Helge Bjørnæs ◽  
Iver A. Langmoen

Abstract OBJECTIVE We compared long-term seizure outcome and health-related quality of life (HRQoL) of patients who underwent epilepsy surgery and matched medically treated nonsurgical controls with intractable epilepsy. METHODS Medically treated controls were identified for patients operated on for epilepsy between January 1, 1949 and December 31, 1992. We used a matched cohort design, matching for age, sex, and seizure type. The analysis was based on 70 complete matching pairs. HRQoL was assessed with the Quality of Life in Epilepsy Inventory 89 questionnaire an average of 15 years after surgery. RESULTS Among surgery patients, 48% were seizure-free during the previous year compared with 19% of the controls (P = 0.0004). Fewer surgery patients used antiepileptic drugs (70%) than controls (93%). The odds of being seizure-free were higher for surgery patients in total and in subgroups divided according to length of follow-up. The mean HRQoL for surgery patients was higher in five of the 17 Quality of Life in Epilepsy Inventory 89 dimensions and worse in none. Among patients with more than 7 years of follow-up, HRQoL was better in three dimensions and worse in none. Among patients with 7 years of follow-up or less, HRQoL was better in two dimensions and worse in the language dimension of the Quality of Life in Epilepsy Inventory 89. CONCLUSION After an average of more than 15 years of follow-up, epilepsy surgery patients had fewer seizures, used less antiepileptic medication, and had better HRQoL in several dimensions of the Quality of Life in Epilepsy Inventory 89 instrument than matched medically treated controls with refractory epilepsy, although possibly at a slight disadvantage in the language dimension among those with 7 years of follow-up or less.


1995 ◽  
Vol 34 (04) ◽  
pp. 318-327 ◽  
Author(s):  
I. de Zegher ◽  
A. Venot ◽  
B. Séné ◽  
P. Pietri ◽  
B. Dahlberg ◽  
...  

Abstract:There exists little theoretical analysis how to represent knowledge on drugs required for computerized drug-prescription applications. A work package drug information modeling is described which was part of the European GPADE project. We describe the content and structure of a Drug Knowledge Base (DKB) designed to meet the requirements of decision-support systems in the domain of drug therapy, and to facilitate data transfer from various information sources. The definition of the DKB content is derived from the analysis of information requirements at the various stages of the process of the clinical usage of drugs (prescribing, administration, and follow-up). The DKB structure results from the classification of the various data items along two dimensions: (1) entities in the pharmaco-therapeutic domain for which information must be defined (the Pharmaco-Therapeutic Group, the Component, the Manufactured Preparation, and the Presentation), and (2) the validity score of the pharmaco-therapeutic information (international, national, or local).


Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Eoin Kelleher ◽  
Samuel Hawley ◽  
Antonella Delmestri ◽  
Nigel Arden ◽  
Irene Tracey ◽  
...  

Abstract Background/Aims  Population-based studies suggest an association between pain in elderly adults and cognitive impairment. However, the temporal relationship between chronic pain and cognitive decline is uncertain: most studies are cross-sectional or have short follow-up periods. Our aim was to examine the association between two pain phenotypes - bodily pain and multi-joint pain - in middle-life and cognitive impairment in later-life in a prospective cohort study with 23 years’ follow-up. We also set out to examine the association with mortality. In contrast to much previous work, this study has available a comprehensive depth of information on health and pain characteristics over a long follow-up period. Methods  Bodily pain and multi-joint pain at 3 timepoints between baseline and year 10 was measured in participants from the Chingford Women’s Study. Secondary analyses were performed on the two dimensions of bodily pain, pain intensity and interference. Multivariable logistic regression analysis was used to assess the association with cognition at year 23: the primary cognitive outcome was Mini-Mental State Examination (MMSE) score ≤28, with a secondary outcome of ≤ 26. Multivariable Cox regression analysis was used to evaluate the association between each pain exposure and all-cause mortality between years 10 and 23. Analyses were adjusted for education, socio-demographic factors, and modifiable risk factors for cognitive impairment including depression and analgesia use. Results  282 (28.1%) and 276 (27.5%) women were included in analyses for cognition and bodily pain and multi-joint pain respectively. Women with severe bodily pain showed a non-significant greater odds of MMSE ≤28 compared to those with no/mild bodily pain (OR 2.56, 95%CI 0.94-6.95, P = 0.07). Those with severe bodily pain had significantly greater odds of MMSE ≤26 (OR 7.31, 95%CI 2.11-25.36, P = 0.002). However, there was no association with multi-joint pain. Secondary analysis of the two dimensions of bodily pain demonstrated that pain interference displayed a stronger relationship with both MMSE thresholds compared to pain intensity. Women with severe bodily pain and repeated multi-joint pain each had higher crude all-cause mortality, but this was not statistically significant (log-rank test for trend, P = 0.11 & 0.068, respectively). Further adjustment left the association with both pain exposures and all-cause mortality entirely attenuated. Conclusion  After 13 years’ follow-up, severe bodily pain but not multi-joint pain in mid-life was associated with subsequent cognitive impairment, determined by MMSE ≤26. Women with severe bodily pain and multi-joint pain had higher crude all-cause mortality rate, but this was not statistically significant after adjustment. Pain interference displayed a stronger association with cognitive impairment; this may reflect the impact of pain on functional status. This study represents the first time the consequences of mid-life pain on later life cognition were examined. Chronic pain, which is largely untreated, may thus represent a modifiable cause of cognitive impairment. Disclosure  E. Kelleher: None. S. Hawley: None. A. Delmestri: None. N. Arden: None. I. Tracey: None. A. Soni: None.


1996 ◽  
Vol 1 (1) ◽  
pp. 31-50 ◽  
Author(s):  
Oğuz N. Babüroğlu ◽  
Seref Topkaya ◽  
Özgür Ates

The search conference has come to be regarded as a critical intervention strategy within interorganizational domains. Yet the existing literature focuses more on the search conference as an event and less on what happens after the event. This paper focuses on post-search conference strategies in interorganizational domains. Four follow-up strategies — abort, fizzle-out, sustain, and diffuse and dissipate — emerge in the assessment of two search conference-based interventions in two different industries in Turkey. The paper shows that these strategies are co-produced in two dimensions: dialogue conditions among the stakeholders in the domain and the leadership strength of the referent organization.


2018 ◽  
Vol 15 (1) ◽  
pp. 75-83 ◽  
Author(s):  
Paula Remoaldo ◽  
Maria de Fátima da Silva Vieira Martins ◽  
Juliana Patrícia Alves Faria ◽  
Paula Veiga

Background:Infertility has been considered as a serious public health problem. Nevertheless, it is still very difficult to assess the epidemiology of this individual and public health problem. On the other hand, promotion of access to infertility treatments must be treated as a priority to national and regional policies.Objective:The aim was to evaluate the perception of women concerning the barriers and access to infertility consultations.Methods:Socio cultural and economic access to infertility consultations is detached and three municipalities of the northwest of Portugal were chosen as an example of a peripheral country. A quantitative/qualitative study was done with 60 women.Results:Three dimensions were evaluated: geographic and structural and functional access, economic access and sociocultural access. The main barriers were mainly identified in the last two dimensions. The economic access was less well evaluated by women bearing the cost of treatment (medication, and concentration of costs in a short period) which is difficult to bear.Conclusion:This can justify a greater involvement of the Portuguese Government, by developing policies for the reimbursement of part of the costs. Also, some changes in structural and functional access must be done with special regard to the separation of the infertility consultations from the reproductive medicine section. The setting of the teams, with a follow-up by the same team of health professionals is also needed.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Kamran Akram ◽  
Gerald Kolodny

18-Fluorodeoxyglucose (FDG)-PET is capable to image active vascular inflammation. FDG uptake is seen frequently in the wall of abdominal aortic aneurysm (AAA) suggesting active areas of inflammation with unknown clinical significance. We hypothesized that focally increased FDG uptake in the AAA wall predicts accelerated AAA expansion. 20 patients who had a baseline oncologic PET/CT study and a follow-up PET/CT or CT study after 1 year were included. The AAA size in two dimensions and maximum standardized uptake value (maxSUV) in focally increased FDG uptake in the AAA wall on the baseline PET/CT and the AAA size on the follow-up study were recorded in similar position. A difference greater than 1 mm in size on repeated measurements in the largest dimension between the first and second study defined AAA progression. ROC curve analysis and t-test were used for statistical analysis. A p-value<0.05 defined statistical significance. 13/20 (65%) had an increase (G1), 7/20 (35%) had stable (G2) AAA size. Cardiovascular risk factors were similar between the groups (Male 53%, HTN 80%, Hypercholesterolemia 60%, DM 13%, Smoker 53%, CAD or CAD equivalent 100%, Statin use 53%). Mean AAA growth in G1 and G2 was 4.2 and 0.86 mm/year, respectively. Mean maxSUV in the AAA wall was significantly higher for G1 compared to G2 (2.88 vs. 2.03, p=0.0004). ROC analysis showed FDG uptake in the AAA wall to be an excellent test to predict AAA expansion as evidenced by an AUC=0.95. A maxSUV of 2.45 served as best cut-point to predict AAA expansion (sensitivity 92%, specificity 86%, p<0.001). The correlation between maxSUV and degree of AAA expansion was r=0.7 (p<0.001). After adjusting for all risk factors and statin use the maxSUV remained an independent predictor of AAA size progression (p=0.007). This is the first study to demonstrate that FDG uptake in the AAA wall significantly predicts the AAA size expansion. FDG-PET/CT may provide a mean to identify patients at high risk of AAA expansion and rupture.


2021 ◽  
Vol 8 (11) ◽  
pp. 3327
Author(s):  
Navdeep Kumar Singla ◽  
Ruby Bhatia ◽  
Renu Verma ◽  
Suresh Kumar Bhatia

Background: Fibroadenoma commonly present as painless breast lump in young girls. Nearly 10-15% regress spontaneously over the period of 6-60 months, rest are managed surgically. Centchroman (Saheli), a novel non-steroidal, selective anti-estrogen has been used for the treatment of mastalgia and its effectiveness in the treatment of fibroadenoma is being tested in the ongoing trials. Methods: A total of 60 patients between 15-35 years of age with painless lump breast of size 2 to 5 centimeters confirmed as fibroadenoma by fine needle aspiration cytology (FNAC) were included in the study. Detailed patient's characteristics, clinical history, physical examination (for size in 2 dimensions), ultrasound findings (for size in 3 dimensions) were assessed. All participants included in the study were given tablet Centchroman (Saheli) 30 mg thrice weekly orally for 3 months. Size of Fibroadenoma was reassessed clinically for size in two dimensions and ultrasonologically for size in three dimensions at 4 weeks and 3 months of starting of therapy.Results: Out of 60 patients, 18 patients (30%) had complete response, 40 patients (66.66%) showed a decrease in the size of fibroadenoma and only 2 patients (3.33%) had no response to this therapy. None showed an increase in size.Conclusions: It may prove to be the most effective modality for the treatment of small sized fibroadenoma breast especially in unmarried girls with minimal side effects. Ultrasonology may be relied upon for follow up measurements since it is more accurate in measuring the dimensions.


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