PREDICTING THE RISK OF LONG-TERM NURSING HOME ADMISSION OVER TIME: THE IMPACT OF NETWORK SIZE AND COMPOSITION

Abstract We examine variation in a rural variety of Acehnese spoken in Aceh Province, to better understand the impact of long-term contact with Indonesian and increasing urbanization. The Great Aceh variety is characterized by variable realization of word-final (t) as a dental vs. glottal stop. Analyses of over 2,000 tokens of this variable from a corpus of spontaneous speech from 35 speakers indicate that the variability is relatively stable among men, and among women of high mobility, measured in terms of education, occupation, and time spent outside Great Aceh. Women with low mobility produce the lowest rates of [t̪], and in this group we observe a higher rate of [t̪] by younger than older women, suggesting change over time. We thus find both stability – among those who have long enjoyed high levels of mobility – and change – among those most affected by recent social changes, namely low-mobility women.

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The impact of attending day care designed for home-dwelling people with dementia on nursing home admission: a 24-month controlled study

BMC Health Services Research ◽

10.1186/s12913-018-3686-5 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 7

Author(s):

Anne Marie Mork Rokstad ◽

Knut Engedal ◽

Øyvind Kirkevold ◽

Jūratė Šaltytė Benth ◽

Geir Selbæk

Keyword(s):

Nursing Home ◽

Day Care ◽

Nursing Home Admission ◽

Controlled Study ◽

People With Dementia ◽

The Impact

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THE IMPACT OF REGIONAL INEQUALITY ON MIGRATION TRENDS IN LATVIA

SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference ◽

10.17770/sie2021vol6.6210 ◽

2021 ◽

Vol 6 ◽

pp. 79-91

Author(s):

Anastasija Jeršova ◽

Iveta Mietule

Keyword(s):

Research Methods ◽

Synthesis Method ◽

Constructive Method ◽

Territorial Development ◽

Integral Index ◽

Index Method ◽

Regional Inequalities ◽

The Impact ◽

Over Time

The topic of current research and key findings are topical, taking into the consideration the territorial development tendencies of Latvia, which is characterized by the long-term regional inequalities and the tendencies of the migration of the population. The aim of the research is to analyse the impact of the regional inequalities on the migration tendencies of population in Latvia. The following research methods have been used in the research- logically constructive method, content analysis, monographic method, synthesis method, statistical analysis of interrelations, integral index method. Within the research, by using the selected research methods, authors have evaluated the influence of migration indicators-stimulators and indicators-de-stimulators on the migration trends in Latvia over time.

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Long Term Implications in Surgical Re-assisting (L.I.S.A. study) During Covid-19 Outbreak: A Retrospective Observational Study on a Rural Population.

10.21203/rs.3.rs-892548/v1 ◽

2021 ◽

Author(s):

Nicolò Fabbri ◽

Antonio Pesce ◽

Lisa Uccellatori ◽

Salvatore Greco ◽

Francesco D'Urbano ◽

...

Keyword(s):

Regression Analysis ◽

Operative Management ◽

Surgical Interventions ◽

Male Sex ◽

Non Operative Management ◽

The Impact ◽

Colorectal Resections ◽

Surgical Operations ◽

Over Time

Abstract BackgroundThe spread of the COVID-19 is having a worldwide impact on surgicaltreatment. Our aim was to investigate the impact of the pandemic in a rural hospital in a lowdensely populated area.MethodsWe investigated the volume and type of surgical operations during the pandemic(March 2020 - February 2021) versus pre-pandemic period (March 2019 - February 2020) aswell as during the first and second pandemic waves compared to the pre-pandemic period.We compared the volume and timing of emergency appendectomy and cholecystectomyduring the pandemic versus pre-pandemic period, the volume, timing and stages of electivegastric and colorectal resections for cancer during the pandemic versus the pre-pandemicperiod.ResultsIn the prepandemic versus pandemic period, 42 versus 24 appendectomies and 174versus 126 cholecystectomies (urgent and elective) were performed. Patients operated onbefore as opposed to during the pandemic were older (58 vs. 52 years old, p=0.006),including for cholecystectomy (73 vs. 66 years old, p=0.01) and appendectomy (43 vs. 30years old, p = 0.04).The logistic regression analysis with regard to cholecystectomy and appendectomy performedin emergency showed that male sex and age were both associated to gangrenous typehistology, both in pandemic and prepandemic period. Finally, we found a reduction in cancerstage I and IIA in pandemic versus prepandemic period, with no increase in the moreadvanced stages.Conclusionsthe reduction in services imposed by governments during the first months oftotal lock down did not justify the whole decrease in surgical interventions in the year of thepandemic. Data suggest that greater "non-operative management" for cases of appendicitisand acute cholecystitis does not lead to an increase in cases operated over time, nor to anincrease in the "gangrenous" pattern, which seems to depend on age advanced and malepopulation.

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Transitions in Technology Mediated Cardiac Rehabilitation and Self-management: A Qualitative Study using the Theoretical Domains Framework (Preprint)

10.2196/preprints.30428 ◽

2021 ◽

Author(s):

Shreya Tadas ◽

Claudette Pretorius ◽

Emma J. Foster ◽

Trish Gorely ◽

Stephen J. Leslie ◽

...

Keyword(s):

Cardiac Rehabilitation ◽

Behaviour Change ◽

Theoretical Domains Framework ◽

Self Management ◽

Normal Life ◽

Use Of Technology ◽

Holistic Understanding ◽

The Impact ◽

Over Time

BACKGROUND An acute cardiac incident is a life changing event, often necessitating surgery. While surgery has high success rates, rehabilitation, behaviour change, and self-care are critical to long-term health. Recent systematic reviews highlight the potential of technology in this area, but significant shortcomings are also identified, particularly in regard to patient experience. OBJECTIVE To improve future systems this paper explores the experiences of cardiac patients during key phases post-hospitalisation: recuperation, initial rehabilitation and long term self-management. The key objective is to provide a holistic understanding of behavioural factors that impact people across these phases, understand how experiences evolve over time, and provide user-centred recommendations to improve the design of cardiac rehabilitation and self-management technologies. METHODS Semi-structured interviews were conducted with people who attended rehabilitation programs following hospitalisation for an acute cardiac event. Interviews were developed and data is analysed via the Theoretical Domains Framework (TDF), a pragmatic framework that synthesizes prior theories of behaviour change. RESULTS Three phases that arise post-hospitalisation are examined: recuperation, rehabilitation, and long-term self-management. Through these phases we describe the impact of key factors and important changes that occur in patients’ experiences over time, including: a desire for and redefinition of normal life; the need for different types of formal and informal knowledge; the benefits of safe-zoning and connectedness; and the need to recognise capability. The use of the TDF allows us to show how factors that influence behaviour evolve over time and identify potential sources of tension. CONCLUSIONS The paper provides empirically grounded recommendations for the design of technology-mediated cardiac rehabilitation and self-management systems. Key recommendations include the use of technology to support a normal life; leveraging social influences to extend participants’ sense of normality; the use of technology to provide a safe zone; the need to support both emotional and physical wellbeing; and a focus on recognizing capability and providing recommendations that are positive and reinforce this capability.

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Social and Regional Factors Predict the Likelihood of Admission to a Nursing Home After Acute Hospital Stay in Elderly People with Chronic Health Conditions: A Multilevel Analysis Using Routinely Collected Hospital and Census Data in Switzerland.

10.21203/rs.3.rs-1108098/v1 ◽

2021 ◽

Author(s):

Nicole Bachmann ◽

Andrea Zumbrunn ◽

Lucy Bayer-Oglesby

Keyword(s):

Health Care ◽

Nursing Home ◽

Hospital Discharge ◽

Census Data ◽

Acute Hospital ◽

Living Alone ◽

Nursing Home Admission ◽

Chronic Health ◽

Regional Factors ◽

The Impact

Abstract Background: If hospitalisation becomes inevitable in the course of a chronic disease, discharge from acute hospital care in elderly individuals is often associated with temporary or persistent frailty, functional limitations and the need for help with daily activities. Thus, acute hospitalisation represents a particularly vulnerable phase of transient dependency on social support and health care. This study examines how social and regional inequality affect the decision for an institutionalisation after acute hospital discharge in Switzerland. Methods: The current analysis uses routinely collected inpatient data from all Swiss acute hospitals that was linked on the individual level with Swiss census data. The study sample included N=60,209 patients 75 years old and older living still at a private home and being hospitalised due to a chronic health condition in N=199 hospitals between 2010 and 2016. Random intercept multilevel logistic regression was used to assess the impact of social and regional factors on the odds of a nursing home admission after hospital discharge. Results: Results show that 7.8% of all patients were admitted directly to a nursing home after hospital discharge. We found significant effects of education level, insurance class, living alone and language regions on the odds of nursing home admission in a model adjusted for age, gender, nationality, health status, year of hospitalisation and hospital-level variance. The language regions moderated the effect of education and insurance class but not of living alone.Conclusion: Acute hospital discharge in elderly is a critical moment of transient dependency. Social and health care should work closely and coordinated together for a well-supported hospital discharge to avoid unnecessary institutionalisations of socially disadvantaged patients.

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The Price Impact of Lending Relationships

German Economic Review ◽

10.1111/geer.12057 ◽

2015 ◽

Vol 16 (3) ◽

pp. 367-389 ◽

Cited By ~ 10

Author(s):

Ingrid Stein

Keyword(s):

Strong Relationship ◽

Price Impact ◽

Bank Debt ◽

Relationship Strength ◽

Borrowing Costs ◽

Lending Relationships ◽

Relationship Length ◽

The Impact ◽

Over Time

Abstract This study analyzes the impact of bank relationships on a firm’s borrowing costs. We find that a firm’s borrowing costs decrease with relationship strength, proxied by the share of bank debt provided by the lender. Borrowing costs, however, rise with relationship length. While the increase over time is weak on average, bank-dependent borrowers face a substantial premium after several relationship years. Switching the lender initially leads to only a small price discount on average. However, the discount is considerable for borrowers that switch and had a strong relationship with their previous lender. Our results suggest that close lending relationships lead to benefits for the firm, but may also imply hold-up costs in the long term.

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