scholarly journals Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study

2012 ◽  
Vol 36 (4) ◽  
pp. 430 ◽  
Author(s):  
Natasha K. Brusco ◽  
Nicholas F. Taylor ◽  
Ilana Hornung ◽  
Shanandoah Schaffers ◽  
Anna Smith ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Care Program ◽  
Aged Care ◽  
The Other ◽  
Discharge Destination ◽  
Low Level ◽  
Transition Care ◽  
Care Assessment ◽  
High Level ◽  
Mobility Status

Objective. To investigate factors that predict discharge destination for patients making the transition from hospital to the community. Methods. Using a prospective cohort design, 696 patients from 11 Transition Care Programs were recruited. Baseline patient and program characteristics were considered for predicting discharge destination, functional status, and patient length of stay. Results. An increased physiotherapy staffing ratio in Transition Care Program was associated with an increased likelihood that a patient was discharged home, with an improved functional or mobility status, and after a shorter length of stay. The other factor that predicted discharge to home included having an Aged Care Assessment Service classification of low level care or home with a support package. An increased physiotherapy staffing level also reduced the likelihood of discharge to low level or high level care. The other factors that predicted discharge to low level care were having higher mobility status and older age; the other factor associated with increased likelihood of predicting discharge to high level care was having an Aged Care Assessment Service classification of high level care. Conclusions. Factors on admission that predicted discharge destination were program physiotherapy staffing ratios, Aged Care Assessment Service assessment, age and mobility status. What is known about the topic? In 2004/05 Australia introduced a program called the Transition Care Program (TCP), which targets older persons at the conclusion of an acute hospital episode who require more time and support in a non-acute setting to complete their restorative process and optimise their functional capacity. This program has a particular objective to prevent inappropriate admission to a residential aged care facility. To date, there are no published papers that report the factors that predict discharge destination for patients in the Transition Care Program. What does this paper add? This study provides evidence that program physiotherapy staffing ratios, Aged Care Assessment Service assessment, age and mobility status are predictive of an increased likelihood that a patient will be discharged home with an improved functional/mobility status, after a shorter length of stay. What are the implications for practitioners? Knowledge of factors that predict discharge destination may assist healthcare practitioners and health managers in managing TCP patients and planning services.

scholarly journals The distribution of health services for older people in Australia: where does transition care fit?

2009 ◽  
Vol 33 (4) ◽  
pp. 572 ◽  
Author(s):  
Lynne C Giles ◽  
Julie A Halbert ◽  
Maria Crotty ◽  
Ian D Cameron ◽  
Len C Gray
Keyword(s):  
Rural Communities ◽  
Older People ◽  
Rural Areas ◽  
Care Service ◽  
Care Program ◽  
Aged Care ◽  
Care Services ◽  
Transition Care ◽  
Care Assessment ◽  
Hospital Beds

Introduction: The purpose of this study was to describe the distribution of hospital and aged care services for older people, with a particular focus on transition care places, across Australia and to determine the relationships between the provision of these services. Methods: Aggregation of health and aged care service indicators by Aged Care Assessment Team (ACAT) region including: public and private acute and subacute (rehabilitation and geriatric evaluation and management) hospital beds, flexible and mainstream aged care places as at 30 June 2006. Results: There was marked variation in the distribution of acute and subacute hospital beds among the 79 ACAT regions. Aged care places were more evenly distributed. However, the distribution of transition care places was uneven. Rural areas had poorer provision of all beds. There was no evidence of coordination in the allocation of hospital and aged care services between the Commonwealth and state/territory governments. There was a weak relationship between the allocation of transition care places and the distribution of health and aged care services. Discussion: Overall, the distribution of services available to older persons is uneven across Australia. While the Transition Care Program is flexible and is providing rural communities with access to rehabilitation, it will not be adequate to address the increasing needs associated with the ageing of the Australian population. An integrated national plan for aged care and rehabilitation services should be considered.

scholarly journals Evaluation of Resistance Development in Bemisia tabaci Genn. (Homoptera: Aleyrodidae) in Cotton against Different Insecticides

Insects ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 996
Author(s):  
Muhammad Zaryab Khalid ◽  
Sohail Ahmed ◽  
Ibrahim Al-ashkar ◽  
Ayman EL Sabagh ◽  
Liyun Liu ◽  
...  
Keyword(s):  
Bemisia Tabaci ◽  
The Other ◽  
Resistance Development ◽  
Susceptible Population ◽  
Low Level ◽  
Development Of Resistance ◽  
Major Pest ◽  
Selection For ◽  
High Level ◽  
Very High

Cotton is a major crop of Pakistan, and Bemisia tabaci (Homoptera: Aleyrodidae) is a major pest of cotton. Due to the unwise and indiscriminate use of insecticides, resistance develops more readily in the whitefly. The present study was conducted to evaluate the resistance development in the whitefly against the different insecticides that are still in use. For this purpose, the whitefly population was selected with five concentrations of each insecticide, for five generations. At G1, compared with the laboratory susceptible population, a very low level of resistance was observed against bifenthrin, cypermethrin, acetamiprid, imidacloprid, thiamethoxam, nitenpyram, chlorfenapyr, and buprofezin with a resistance ratio of 3-fold, 2-fold, 1-fold, 4-fold, 3-fold, 3-fold, 3-fold, and 3-fold, respectively. However, the selection for five generations increased the resistance to a very high level against buprofezin (127-fold), and to a high level against imidacloprid (86-fold) compared with the laboratory susceptible population. While, a moderate level of resistance was observed against cypermethrin (34-fold), thiamethoxam (34-fold), nitenpyram (30-fold), chlorfenapyr (29-fold), and acetamiprid (21-fold). On the other hand, the resistance was low against bifenthrin (18-fold) after selection for five generations. A very low level of resistance against the field population of B. tabaci, at G1, showed that these insecticides are still effective, and thus can be used under the field conditions for the management of B. tabaci. However, the proper rotation of insecticides among different groups can help to reduce the development of resistance against insecticides.

scholarly journals Identifying the Association Between Older Adults' Characteristics and Their Health-Related Outcomes in a Transition Care Setting: A Retrospective Audit

2021 ◽  
Vol 9 ◽  
Author(s):  
Jo-Aine Hang ◽  
Jacqueline Francis-Coad ◽  
Chiara Naseri ◽  
Angela Jacques ◽  
Nicholas Waldron ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Care Service ◽  
Aged Care ◽  
Functional Improvement ◽  
Residential Aged Care ◽  
Discharge Destination ◽  
Transition Care ◽  
Retrospective Audit ◽  
Health Related

Introduction: Continued evaluation of Transition Care Programs (TCP) is essential to improving older adults' outcomes and can guide which older adults may benefit from undertaking TCP. The aim of this study was to audit a transition care service to identify the association between the characteristics of older adults undertaking a facility-based TCP and (i) discharge destination and (ii) functional improvement.Materials and methods: An audit (n = 169) of older adults aged 60 years and above who completed a facility-based TCP in Australia was conducted. Outcomes audited were performance of activities of daily living (ADL) measured using the Modified Barthel Index (MBI) and discharge destination. Data were analyzed using logistic regression and linear mixed modeling.Results: Older adults [mean age 84.2 (±8.3) years] had a median TCP stay of 38 days. Fifty-four older adults (32.0%) were discharged home, 20 (11.8%) were readmitted to hospital and 93 (55%) were admitted to permanent residential aged care. Having no cognitive impairment [OR = 0.41 (95% CI 0.18-0.93)], being independent with ADL at admission [OR = 0.41 (95% CI 0.16-1.00)] and a pre-planned team goal of home discharge [OR = 24.98 (95% CI 5.47-114.15)] was significantly associated with discharge home. Cases discharged home showed greater improvement in functional ability [MBI 21.3 points (95% CI 17.0-25.6)] compared to cases discharged to other destinations [MBI 9.6 points (95% CI 6.5-12.7)].Conclusion: Auditing a facility-based TCP identified that older adults who were independent in ADL and had good cognitive levels were more likely to be discharged home. Older adults with cognitive impairment also made clinically significant functional improvements.

Efficacy of a ciprofloxacin/amikacin combination against planktonic and biofilm cultures of susceptible and low-level resistant Pseudomonas aeruginosa

2019 ◽  
Vol 74 (11) ◽  
pp. 3252-3259 ◽  
Author(s):  
Anaïs Soares ◽  
Kévin Alexandre ◽  
Fabien Lamoureux ◽  
Ludovic Lemée ◽  
François Caron ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Bacterial Biofilm ◽  
The Other ◽  
Clinical Strain ◽  
Bacterial Reduction ◽  
Low Level ◽  
Mechanical Dispersion ◽  
Resistant Mutants ◽  
High Level

Abstract Background Eradicating bacterial biofilm without mechanical dispersion remains a challenge. Combination therapy has been suggested as a suitable strategy to eradicate biofilm. Objectives To evaluate the efficacy of a ciprofloxacin/amikacin combination in a model of in vitro Pseudomonas aeruginosa biofilm. Methods The antibacterial activity of ciprofloxacin and amikacin (alone, in combination and successively) was evaluated by planktonic and biofilm time–kill assays against five P. aeruginosa strains: PAO1, a WT clinical strain and three clinical strains overexpressing the efflux pumps MexAB-OprM (AB), MexXY-OprM (XY) and MexCD-OprJ (CD), respectively. Amikacin MIC was 16 mg/L for XY and ciprofloxacin MIC was 0.5 mg/L for CD. The other strains were fully susceptible to ciprofloxacin and amikacin. The numbers of total and resistant cells were determined. Results In planktonic cultures, regrowth of high-level resistant mutants was observed when CD was exposed to ciprofloxacin alone and XY to amikacin alone. Eradication was obtained with ciprofloxacin or amikacin in the other strains, or with the combination in XY and CD strains. In biofilm, bactericidal reduction after 8 h followed by a mean 4 log10 cfu/mL plateau in all strains and for all regimens was noticed. No regrowth of resistant mutants was observed whatever the antibiotic regimen. The bacterial reduction obtained with a second antibiotic used simultaneously or consecutively was not significant. Conclusions The ciprofloxacin/amikacin combination prevented the emergence of resistant mutants in low-level resistant strains in planktonic cultures. Biofilm persister cells were not eradicated, either with monotherapy or with the combination.

scholarly journals JSOX: A Justly Simple Objectization for XML

2014 ◽  
Author(s):  
Steven J. DeRose
Keyword(s):  
The Other ◽  
Low Level ◽  
Other Hand ◽  
High Level ◽  
Cross Language

XML can be as easy to work with as JSON. However, this has not been obvious until now. JSON is easy because it supports only datatypes that are already native to Javascript and uses the same syntax to access them (such as [1:10], ["x"], and “.” notation). XML, on the other hand, supports additional datatypes, and is most commonly handled via SAX or DOM, both of which are low-level and meant to be cross-language. Typical developers want high-level access that feels “native” in the language they are using. These shortcomings have little or nothing to do with XML, and can be remedied by a different API. Software that demonstrates this is presented and described. It uses Python's richer set of abstract datatypes (such as tuples and sets), and provides native Python style syntax with richer semantics than JSON or Javascript.

Categorization

2020 ◽  
pp. 27-37
Author(s):  
Stephen K. Reed
Keyword(s):  
Baby Boomers ◽  
The Other ◽  
Social Categories ◽  
Elbow Angle ◽  
Low Level ◽  
High Level ◽  
Selection Of

Categories reduce the complexity of the environment, are the means by which objects are identified, reduce the need for constant learning, allow for the selection of an appropriate action, and support the organization of objects and events. The most typical members of categories share attributes with the other members of the category. Prototypes are the central members. Hierarchies are composed of subordinate (desk lamp), basic (lamp), and superordinate (furniture) categories. Social categories such as “ baby boomers” classify people but may be associated with misleading stereotypes. Action categories include event boundaries that mark the transition between actions. They are organized into low-level (elbow angle) and high-level (pouring milk) actions.

Tingkat Kepemilikan Manajerial dan Nilai Perusahaan: Bukti Empiris pada Perusahaan Publik di Indonesia

2006 ◽  
Vol 1 (2) ◽  
pp. 135
Author(s):  
Henry Henry ◽  
Hamin Hamin
Keyword(s):  
Panel Data ◽  
Firm Value ◽  
Fixed Effects ◽  
Firm Heterogeneity ◽  
The Other ◽  
Managerial Ownership ◽  
Fixed Effects Model ◽  
Low Level ◽  
Other Hand ◽  
High Level

Initial analyses using panel data for none intercept model show a positive and significant effect of low level of managerial ownership on firm value ond negative and significant effect of high level of managerial ownership on firm value. This conclusion is dffirent when unobserved firm heterogeneity controlled using firm fixed effects model. Thefixed effects analyses suggest that managerial ownership doesn't have significant effect on firm value. The 2SLS analyses show that both managerial ownership and firm value are jointly endogenous. Managerial ownership has positively impacts on firm value, on higher firm value, on the other hand, inspires larger managerial ownershipKeywords: Managerial Ownership, Firm Yalue, Tobin's Q

Representations reclaimed

2010 ◽  
Vol 18 (2) ◽  
pp. 273-312 ◽  
Author(s):  
Joel Parthemore ◽  
Anthony F. Morse
Keyword(s):  
Mental Content ◽  
The Other ◽  
Conceptual Spaces ◽  
Low Level ◽  
Context Sensitive ◽  
High Level ◽  
The Relationship ◽  
Context Free ◽  
Content Of Experience

Understanding the relationship between concepts and experience seems necessary to specifying the content of experience, yet current theories of concepts do not seem up to the job. With Peter Gärdenfors’s conceptual spaces theory as a foundation and with enactivist philosophy as inspiration, we present a proposed extension to conceptual spaces theory and use it to outline a model of the emergence of concepts and experience. We conclude that neither is ultimately primary but each gives rise to the other: i.e., that they co-emerge. Such a model can then serve as the anchor to a theory of concepts more generally. Concepts are most naturally understood in symbolic and representational terms, while much of experience, in contrast, is non-symbolic and non-representational; yet the conflict between the two will, herein, be shown to be more apparent than real. The main contribution of this paper is to argue for, by means of this account of co-emergence, a continuum between “low-level” mental content that is more appropriately understood in highly context-sensitive and directly sensorimotor-based terms, and “high-level” mental content that is more appropriately understood in context-free and representational or symbolic terms. In doing so we conclude that the extreme positions of representationalism and anti-representationalism are fatally flawed.

scholarly journals Innovations in Aged Care: What are the first quality reports from the Transition Care Program in Australia telling us?

2008 ◽  
Vol 27 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Stacey Masters ◽  
Julie Halbert ◽  
Maria Crotty ◽  
Fiona Cheney
Keyword(s):  
Care Program ◽  
Aged Care ◽  
Transition Care ◽  
Quality Reports

scholarly journals The luminance misattribution in lightness perception

Psihologija ◽  
2010 ◽  
Vol 43 (1) ◽  
pp. 33-45 ◽  
Author(s):  
Alessandro Soranzo ◽  
Alessandra Galmonte ◽  
Tiziano Agostini
Keyword(s):  
Visual System ◽  
Luminance Contrast ◽  
The Other ◽  
Lightness Perception ◽  
Low Level ◽  
Dark Background ◽  
Transparent Surface ◽  
Framework Approach ◽  
Physically Identical ◽  
High Level

The Simultaneous Lightness Contrast is the condition whereby a grey patch on a dark background appears lighter than a physically identical patch on a light background. This is probably the most studied phenomenon in lightness perception. Although this phenomenon has been explained in terms of low-level mechanisms, convincing evidences supporting a high-level interpretation have been presented over the last decades. Two are the main highlevel interpretations. On one side, the layer approach claims that the visual system splits the luminance into separate overlapping layers, corresponding to separate physical contributions; whilst on the other side, the framework approach maintains that the visual system groups the luminance within a set of contiguous frameworks. One of the biggest weaknesses of the layer approach is that it cannot account properly for errors in lightness perception (Gilchrist, 2005 Current Biology, 15(9), 330-332). To extend the multiple layers interpretation to errors in lightness perception, in this study we show that the perceptual lightness difference among equal patches on different backgrounds increases even when the luminance contrast with their backgrounds shrinks. Specifically, it is shown that the perceptual lightness difference among equal patches on different backgrounds intensifies when a small-sized semi-transparent surface is interposed between the patches and the backgrounds. This result indicates that in these conditions the visual system besides decomposing the luminance into separate layers also becomes liable for a luminance misattribution. It is proposed that the photometric and geometric relationships among the luminance edges in the image might account for this misattribution.

Sign in / Sign up

Export Citation Format

Share Document