scholarly journals THE ASSISTED LIVING SETTING: CLINICAL CARE AND OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S235-S236
Author(s):  
Barbara Resnick
Keyword(s):  
Life Satisfaction ◽  
Assisted Living ◽  
Clinical Care ◽  
High Rate ◽  
Supportive Services ◽  
Skilled Nursing ◽  
Facility Level ◽  
Definition Of ◽  
The Individual ◽  
The Impact

Abstract Although the description of assisted living (AL) varies by state this term generally refers to residences that provide housing and supportive services, 24-hour supervision, and at least two meals a day to meet the individual needs of residents. Approximately 37% of residents in AL need help with three or more activities of daily living (ADLs), 42% have some cognitive impairment and 39% need skilled nursing services. Approximately 15 to 50% of older adults living in AL communities experience a fall over a 6 to 24 month period. The cause of these falls involves multiple factors at the resident and facility level. In addition to a high rate of falls there is a high rate of polypharmacy, using the polypharmacy definition of taking five or more medications daily. Polypharmacy results in negative outcomes such as falls and hospitalizations among AL residents. Along with high rates of falls and polypharmacy there is also a high incidence of pain among AL residents and concerns that some pain goes unreported and untreated. Pain, polypharmacy and falls can all influence life satisfaction along with other factors such as the environment itself. The purpose of this symposium is to describe the incidence and factors that influence falls, polypharmacy, pain and pain management and the impact of these care concerns, among others, on life satisfaction drawn from 508 residents from 54 nursing homes participating in the first two cohorts of the study testing the implementation of Function Focused Care for Assisted Living (FFC-AL-EIT).

MOBILE APPLICATION REMOVES SOCIETAL BARRIERS TO P4 MEDICINE

2017 ◽  
pp. 1-3
Author(s):  
J.-P. Michel
Keyword(s):  
Cognitive Abilities ◽  
Mobile Application ◽  
New Technologies ◽  
Global Evaluation ◽  
P4 Medicine ◽  
Fertile Ground ◽  
Definition Of ◽  
The Individual ◽  
The Impact

The overlap between one innovative paradigm (P4 medicine: predictive, personalized, participatory and preventive) and another (a new definition of “Healthy ageing”) is fertile ground for new technologies; a new mobile application (app) that could broaden our scientific knowledge of the ageing process and help us to better analyse the impact of possible interventions in slowing the ageing decline. A novel mobile application is here presented as a game including questions and tests will allow in 10 minutes the assessment of the following domains: robustness, flexibility (lower muscle strength), balance, mental and memory complaints, semantic memory and visual retention. This game is completed by specific measurements, which could allow establishing precise information on functional and cognitive abilities. A global evaluation precedes advice and different types of exercises. The repetition of the tests and measures will allow a long follow up of the individual performances which could be shared (on specific request) with family members and general practitioners.

Parenting and Family Support for Children with ADHD

1997 ◽  
Vol 22 (4) ◽  
pp. 15-23 ◽  
Author(s):  
Judith Sheridan ◽  
Sarah B. Dwyer ◽  
Matthew R. Sanders
Keyword(s):  
Family Support ◽  
Mood Disorders ◽  
Clinical Presentation ◽  
High Rate ◽  
Effective Management ◽  
Multilevel System ◽  
Stages Of Development ◽  
Children With Adhd ◽  
The Individual ◽  
The Impact

The objective of this paper is to examine the impact of ADHD on the functioning of families. A review of recent research indicated that the persistence of symptoms into adulthood and the high rate of comorbidity with behaviour, psychiatric and mood disorders, are major additional stressors for families. Although the clinical presentation, developmental manifestations and patterns of comorbidity have been refined, it is emphasised that effective management of this disorder requires access to interventions which are both multilevel and multimodal. A model of a multilevel system of intervention that can be tailored to the individual family's needs at different stages of development is presented.

Interleukin-10(IL-10)1082-A and Tumor Necrosis Factor(TNF)-Alpha 238/308A Genotypes Are Associated with Earlier (Younger Than 55) Onset of Multiple Myeloma.

Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 4869-4869
Author(s):  
Meral Beksac ◽  
Merih Kizil ◽  
Ender A. Soydan ◽  
Esin Serbest ◽  
Klara Dalva
Keyword(s):  
Age Of Onset ◽  
Interleukin 10 ◽  
Tnf Alpha ◽  
Nucleotide Polymorphisms ◽  
Promoter Gene ◽  
Age Of Diagnosis ◽  
Definition Of ◽  
The Individual ◽  
The Impact ◽  
Secretory Pattern

Abstract The individual differences among the polymorphic regions of the cytokine genes involved in the pathogenesis of myeloma have been investigated by various groups: Neben et al have found the TNF238 A allel to be associated with a higher serum level of TNF-alpha and with better response to Thalidomide. The IL 10-1082 G promoter gene genotype have been found to be associated with high secretory pattern and in increased frequency among myeloma patients compared to normal controls by Zheng et al. Van Ness et al have reported the IL-10-G genotype to be associated with shorter survival compared to IL-10-A allele carriers None of these groups have analyzed the impact of these genotypes on age of onset. With an aim to analyze the association between the frequencies of the cytokines known to be important in the pathogenesis of Myeloma, TNF-alpha, IL-6, IL-10 and the age of diagnosis, we have isolated DNA from peripheral blood of 59 patients. Patients with a median age of 56(28–83)M/F:35/24 diagnosed and treated in our center between 2002–2004 were analyzed. To determine the TNF 238 and 308(G/A), IL-6 174(G/C), IL-10 1082(G/A),819(T/C) and 592(A/C) bp polymorphic allele frequencies Cytokine Genotyping Kit (Pel-Freeze) and/or Cytgen (OneLambda) Genotyping Trays have been used. Evaluation of results were done as described in the worksheets. Interpretation and definition of phenotypes(low and high secretory patterns) were based on the previously published reports. 30 patients(50,8%) were younger than 56 (median=the cutoff:56). TNF-A homozygous alelle couldnot be observed among all patients. The frequencies of all alleles were: TNF-alfa308A, TNF-alfa238A, IL-10 1082 G 20%, 20%, 12% respectively. IL-6 -GG/GC alleles which have been linked with high secretory pattern constituted the majority of the patients(58/59). When TNFalfa-A were detected based on the 238 bp reactivity the association of low phenotype with elder age was remarkable(p=0.019). This finding wasnot valid for the 308 bp location. IL-10 phenotypes were more complicated with an accumulation in the intermediate level of secretion. The impact of TNF was varified with the separate evaluation of this group, based on their TNF-238/308 genotype, p=0.031). Conclusion: There is a trend towards younger age of onset in Myeloma. Genetic factors for susceptibility have not been defined yet. The new tools for detection of single nucleotide polymorphisms have a promising role in this field. In our prospective study we have found a predominance of low IL-10 secretory A genotype and the high secretory TNF-A genotype among patients younger than 56. To our knowledge this is the first report on such an association. Investigation of other genes in linkeage with TNF on the neighboring MHC region may be necessary for understanding myeloma pathogenesis. Age TNF 238 H/L TNF 308 H/L TNF 238,308 H/L IL-10 H/I/L IL-10 I,TNF H(238 or 308)/ IL-10 I,TNF L(238 or308) L:Low, H: High,I:Intermediate secretory, TNF238A:H, TNF238G:L, TNF308A:H, TNF308G:L, IL-10G: H ≤55 5 / 7 6 / 24 7 / 5 1 /16 / 13 5 / 2 >55 1 / 16 6 / 23 4 / 13 6 /13 / 8 1 / 6 N=29, p=0.019 N=59, p=0.948 N=29, p=0.057 N=57, p=0.085 N=14, p=0.031

scholarly journals Społeczeństwo i kultura jako definicyjny kontekst badań nad wpływem technologii na ponowoczesnego człowieka

2021 ◽  
Vol 65 (1) ◽  
pp. 197-211
Author(s):  
Paweł Piotr Nowak ◽  
Keyword(s):  
Social Relations ◽  
Service Sector ◽  
Social Inequalities ◽  
New Technology ◽  
Digital Transformation ◽  
Negative Consequences ◽  
Philosophy Of Dialogue ◽  
Definition Of ◽  
The Individual ◽  
The Impact

Based on an analysis of selected definitions of the terms used for society and culture, the author creates the sociological theoretical framework for the article. In conjunction with the characterized phenomenon of digital transformation, extensive and far-reaching conclusions are formulated on the impact of new technology for postmodernity. In relation to the scientific achievements of Buber and Tischner, the author deeply analyzes the assumptions of philosophy of dialogue. This allows the observation of a wide dimension in the relationship between the relational nature of social relations, the condition of the individual, the durability of the systems humans create, the technocratic direction of civilizational development and the consumerist attitude to reality in contemporary society of the 21st century. The author describes technological worship and presents the negative consequences of digital transformation processes. On the example of the service sector, the transition is presented as symbolic culture based on the relations and dialogue with technical and functional culture. The research method used in the article is a review of the scientific literature. In the study, the author set the goal of determining the impact of digital transformation on humans in the context of the definition of culture and society. As a result of the research, the author states that technological insight (i.e. looking at technology as a way of resolving all contemporary problems) has the danger of successively weakening man, and could lead to a deepening of social inequalities. The author also emphasizes the need to deepen research on the consequences of the digital transformation on society and culture and to develop models that can reduce the negative consequences of the change process.

scholarly journals TYPES OF INDIVIDUAL WOMEN EROTIC CODE

2018 ◽  
Keyword(s):  
Life Experience ◽  
Married Couples ◽  
Professional Activity ◽  
Self Reflection ◽  
Early Life Experience ◽  
New Material ◽  
Definition Of ◽  
The Individual ◽  
The Impact ◽  
First Time

The article is devoted to the current issue of sexuality. Significant expansion and development of psychologists’ professional activity necessitate creating of generalized classification of individuals and married couples’ behavioral erotic types. The destruction of self-reflection, self-perception and the difficulty of interpersonal understanding are due to the substitution of concepts. The study of sexual-psychological characteristics of behavioral patterns of women in erotic relationships is very important in this regard. The new material on the topic under study is generalized. Erotic imagination functions and erotic images impact on the process of forming a fixed erotic Image of a sexual partner in women are determined. The impact of early life experience (imprinting) influenced on the individual erotic code formation is determined. Several motivational schemes of sexual behavior are described. Authors submit the definition of «individual erotic code» for the first time. «Individual erotic code» is found out as the unified recording system of the individual model erotic behavior and her «ideal partner» reactions on this behavior. The types of women individual erotic code, based on the concept of archetypes (K.G. Jung, D. S. Bolen) study are defined. Types of individual erotic code were named after the ancient Greek goddesses: Artemis, Athena, Hestia, Hera, Demeter, Persephone, Aphrodite. The attention is focused on the deep analysis of individual women erotic code stages realization, such as, the genesis of erotic impulse, the tempting process, the sexual act behavior, the pregnancy, the caring of posterity. Materials of research can be used in the practical work of psychologists and psychotherapists which working both with married couples, as well as in individual work with the client.

scholarly journals Implementation and Outcomes of a Telehealth Neonatology Program in a Single Healthcare System

2021 ◽  
Vol 9 ◽  
Author(s):  
Lory J. Maddox ◽  
Jordan Albritton ◽  
Janice Morse ◽  
Gwen Latendresse ◽  
Paula Meek ◽  
...  
Keyword(s):  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Supplemental Oxygen ◽  
Care Quality ◽  
Newborn Intensive Care Unit ◽  
Facility Level ◽  
Intermountain Healthcare ◽  
The Individual ◽  
Clinical Records ◽  
The Impact

Background: Intermountain Healthcare, an early adopter and champion for newborn video-assisted resuscitation (VAR), identified a reduction in facility-level transfers and an estimated savings of $1. 2 million in potentially avoided transfers in a 2018 study. This study was conducted to increase understanding of VAR at the individual, newborn level.Study Aim: To compare transfers to a newborn intensive care unit (NICU), length of stay (LOS), and days of life on oxygen between newborns managed by neonatal VAR and those receiving standard care (SC).Methods: This retrospective, nonequivalent group study includes infants born in an Intermountain hospital between 2013 and 2017, 34 weeks gestation or greater, and requiring oxygen support in the first 15 minutes of life. Data came from billing and clinical records from Intermountain's enterprise data warehouse and chart reviews. We used logistic regression to estimate neonatal VAR's impact on transfers. Negative binomial regression estimated the impact on LOS and days of life on supplemental oxygen.Results: The VAR intervention was used in 46.2 percent of post-implementation cases and is associated with (1) a 12 percentage points reduction in the transfer rate, p = 0.02, (2) a reduction in spoke hospital (SH) LOS of 8.33 h (p < 0.01) for all transfers; (3) a reduction in SH LOS of 2.21 h (p < 0.01) for newborns transferred within 24 h; (4) a reduction in SH LOS of 17.85 h (p = 0.06) among non-transferred newborns; (5) a reduction in days of life on supplemental oxygen of 1.4 days (p = 0.08) among all transferred newborns, and (6) a reduction in days of life on supplemental oxygen of 0.41 days (p = 0.04) among non-transferred newborns.Conclusion: This study provides evidence that neonatal VAR improves care quality and increases local hospitals' capabilities to keep patients close to home. There is an ongoing demand for support to rural and community hospitals for urgent newborn resuscitations, and complex, mandatory NICU transfers. Efforts may be necessary to encourage neonatal VAR since the intervention was only used in 46.2 percent of this study's potential cases. Additional work is needed to understand the short- and long-term impacts of Neonatal VAR on health outcomes.

scholarly journals Criteria for Housing Design with Emphasis on Comparison between Traditional and Today Contemporary Iranian Architecture

2016 ◽  
Vol 9 (6) ◽  
pp. 182
Author(s):  
Tahereh Nasr
Keyword(s):  
Design Pattern ◽  
Field Method ◽  
Traditional Architecture ◽  
Housing Design ◽  
Residential Architecture ◽  
Definition Of ◽  
The Individual ◽  
The Right ◽  
House Design ◽  
The Impact

<p>Settling in the cities and the numerous efforts being made for massive supply of houses in a short time period, makes difficult the access to a pattern as appropriate for family life with increase in concentration in building construction, the individual and family borders, too, are neglected.</p><p>Though due to the extensiveness and complexity of the concept of housing, one cannot give a comprehensive, unique definition of it, but the housing, as a shelter, is regarded as the primary and basic needs of the family.</p><p>House as a place for relaxation and comfort and a shelter for removing tiredness has been a peace and security locality from a long time ago. House demand is one of the most essential human`s demands. According to Article 31 of fundamental law of Islamic Republic of Iran also, possessing a suitable house is considered as the right for every person and every Iranian family. House not only as a shelter, but also as a place for humans raise, has a great importance in the initial and most fundamental society union, namely family.</p><p>Identifying the identity and investigating the residential complexes in regard to the aesthetics implies the precise and conscious observing and noticing their beauties and or ugliness.</p><p>Main Questions in this paper are:</p><ul><li>What are the consequences of disregarding the identity of today's housing architecture, especially the architecture of the ancient towns?</li><li>Can the components of Iranian traditional architecture be applied in today contemporary residential architecture and be effective to create a sense of place?</li></ul><p>So the main purpose of this article is Pathology of Today Contemporary Iranian housing Architecture and Comparison with traditional Iranian architecture.</p><p>The method explored is a descriptive-analytical and field method to gather information and documents are available. The impact of known factors and variables in Iranian contemporary and traditional residential architecture has been evaluated and compared.</p><p>Accordingly, having some criteria for achieving a suitable house design pattern is essential in a way that makes it possible to understand all its visual embodiments and identify its identity.</p>This research also state the reasons for disability of today`s architecture and urban development against house problem and recommend some criteria for achieving a house design pattern after an overview of the definition of housing and examination of Iranian housing.

Frequency of Severe Attacks in Migraine Sufferers of the Gazel Cohort

Cephalalgia ◽  
1997 ◽  
Vol 17 (8) ◽  
pp. 863-866 ◽  
Author(s):  
P Michel ◽  
B Dubroca ◽  
JF Dartigues ◽  
A El Hasnaoui ◽  
Henry
Keyword(s):  
Treatment Strategies ◽  
Individual Variability ◽  
Measurement Tool ◽  
Severe Attack ◽  
Migraine Sufferer ◽  
Definition Of ◽  
The Individual ◽  
The Impact ◽  
Severe Migraine ◽  
Very High

The concept of severe migraine was raised to define migraineurs most in need of care and for use in clinical practice. We aimed to measure the frequency of severe attacks in a working sample of 276 migraine sufferers using a diary over a 3-month period. Migraine sufferers recorded each attack's clinical features, the degree of their disability, their use of drugs and the effectiveness of the drugs. Since the definition of severe attack is not standardized, we studied the impact of different definitions on the frequency. The frequency of severe attacks was 0.9% and appeared to be very sensitive to the definitions, ranging between 0.4 and 13%. In France, the extrapolated number of severe attacks is nearly one million out of a total of 115 million. In the migraineurs who had had at least one severe attack, the individual variability of intensity, duration or disability was very high, so the proportion of severe attacks in a given sufferer was low—between 15% and 50%. We conclude that the global concept of severe migraine is not relevant and should be split into two componentssevere attack and severe migraine sufferer. The goals are different, too. Regarding treatment, for example, the severe attack concept is more valid for acute treatment strategies, whereas the severe migraine sufferer concept should be preferred to determine the need for prophylactic treatment. Since much work is being done nowadays to define a rate treatment strategies, definition of the criteria of severe attack and validation of a measurement tool should be a priority.

scholarly journals How accurately can we measure the baryon acoustic oscillation feature?

2020 ◽  
Vol 498 (3) ◽  
pp. 3744-3757
Author(s):  
Rossana Ruggeri ◽  
Chris Blake
Keyword(s):  
Asymptotic Variance ◽  
Confidence Region ◽  
Acoustic Oscillation ◽  
Acoustic Oscillations ◽  
Noise Component ◽  
Posterior Probability Distribution ◽  
The Difference ◽  
Definition Of ◽  
The Individual ◽  
The Impact

ABSTRACT Baryon acoustic oscillations (BAOs) represent one of the cleanest probes of dark energy, allowing for tests of the cosmological model through the measurement of distance and expansion rate from a 3D galaxy distribution. The signal appears at large scales in the correlation function where linear theory applies, allowing for the construction of accurate models. However, due to the lower number of modes available at these scales, sample variance has a significant impact on the signal, and may sharpen or widen the underlying peak. Therefore, equivalent mock realizations of a galaxy survey present different errors in the position of the peak when uncertainties are estimated from the posterior probability distribution corresponding to the individual mocks. Hence, the posterior width, often quoted as the error in BAO survey measurements, is subject to sample noise. A different definition of the error is provided by the asymptotic variance of the maximum likelihood estimator, which involves the average over multiple realizations, and is not subject to sample noise. In this work, we reanalyse the main galaxy survey data available for BAO measurements and quantify the impact of the noise component on the error quoted for BAO measurements. We quantify the difference between three definitions of the error: the confidence region computed from a single posterior, the average of the variances of many realizations, and the Fisher matrix prediction assuming a Gaussian likelihood. We also explore the impact of a ‘detectability prior’ based on the significance of the BAO detection.

scholarly journals Considering the Differential Impact of Three Facets of Organizational Health Climate on Employees’ Well-Being

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Zandra M. Zweber ◽  
Robert A. Henning ◽  
Vicki J. Magley ◽  
Pouran Faghri
Keyword(s):  
Function Analysis ◽  
Well Being ◽  
Organizational Health ◽  
Employee Health ◽  
Individual Level ◽  
Two Samples ◽  
Multiple Levels ◽  
Definition Of ◽  
The Individual ◽  
The Impact

One potential way that healthy organizations can impact employee health is by promoting a climate for health within the organization. Using a definition of health climate that includes support for health from multiple levels within the organization, this study examines whether all three facets of health climate—the workgroup, supervisor, and organization—work together to contribute to employee well-being. Two samples are used in this study to examine health climate at the individual level and group level in order to provide a clearer picture of the impact of the three health climate facets.k-means cluster analysis was used on each sample to determine groups of individuals based on their levels of the three health climate facets. A discriminant function analysis was then run on each sample to determine if clusters differed on a function of employee well-being variables. Results provide evidence that having strength in all three of the facets is the most beneficial in terms of employee well-being at work. Findings from this study suggest that organizations must consider how health is treated within workgroups, how supervisors support employee health, and what the organization does to support employee health when promoting employee health.

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