scholarly journals Effect of Eco Friendly Practices in Hospitality Industry

2020 ◽  
Vol 9 (1) ◽  
pp. 2719-2722
Keyword(s):  
Secondary Analysis ◽  
Environmental Practices ◽  
Development Partner ◽  
Government Purchases ◽  
Global Temperature Change ◽  
Construction Services ◽  
Tax Deduction ◽  
Term Objective

Recently, one of the biggest problem in world is greenhouse gas, because of still having problems, covering the global temperature change, and making the after the exhaustion of the gas, pollution, the prince of the powers of the partly strong, and for the promotion of funds to subsidize the consumption of the amount of waste. Hotels, such as the commercial trade, have a major impact on the environment. However, the hotel has the same proportion of mourning graduated development partner, ask whether to recommend a speech disability matters is very necessary to help Hoteliers green. The study measures the outlook in consumer activity. The case herein is has a fresh take on art with respect to the use of the construction of the exercises in Indian. The product is a quantitative method used, and a result in a structured manner to a secondary analysis expediency sampling was used. The study was conduct among cities of Delhi NCR. Fertilization will live only language to the behaviors and attitudes of consumers. Buyers of construction services that take advantage of specific environmental practices terribly chosen for their property. the operations of the types of study, uninitiated in the hotel, however, the quality of service they tend to belong to the cell which is offered to us. It was found that buyers were unwilling to pay more for the adoption of inexperienced practices. The construction trade will be necessary to create investment from an inexperienced trainees must be thought of as environmentally friendly. government purchases be an advantage to know the hotel recommends acting as a tax deduction. The study of the behavior on the client is to be measured, and, with a little experience, accessibility applications. Construction sector business model that immediately follows the consistent long-term objective of developing the proper hotels. It may be awkward, and urged for its operating practices are the most popular model.

scholarly journals The control program of red poultry mite (Dermanyssus gallinae), today

2019 ◽  
Vol 11 (2) ◽  
pp. 71-88
Author(s):  
Aleksandar Pavlićević ◽  
Radomir Ratajac ◽  
Igor Stojanov ◽  
Ivan Pavlovic
Keyword(s):  
Control Program ◽  
Dermanyssus Gallinae ◽  
Poultry Production ◽  
Short Term ◽  
Development Of Resistance ◽  
Efficient Suppression ◽  
Term Objective ◽  
Poultry Mite

Dermanyssus gallinae control has so far been predominantly based on acaricides (insecticides) and their efficacy has been decreasing in time due to the development of resistance. D. gallinae is a species that has developed resistance to all current acaricides. Considering this, we can assume that the new acaricide - fluralaner with its evident efficacy, but also with some downsides, will improve the situation in D. gallinae control in the short term. The control of red poultry mite population in intensive poultry production has had an unfavourable tendency for decades. In order for this trend to be stopped and reversed, certain measures must be taken to the control of this disease. It is necessary to eliminate toxicological risks; define the short-term objective (efficient suppression) and the long-term one (eradication); introduce the principles of biosecurity, prevention, and rational control; provide a professional application of formulations and increase the quality of monitoring. The D. gallinae program control integrates all the above specified elements into a whole. In our opinion, the currently used program currently used on farms, based on mechanical control and active influence on technological processes, has a bright future. This type of control can be combined with other efficient methods of mite suppression on farms.

P41. Long term objective higher visual functioning and vision-realted quality of life following eclampsia

2011 ◽  
Vol 1 (3-4) ◽  
pp. 292
Author(s):  
I.R. Postma ◽  
M.J. Wiegman ◽  
I. Ankersmit ◽  
N.M. Roos ◽  
G.G. Zeeman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Functioning ◽  
Term Objective

scholarly journals One-month recovery profile and prevalence and predictors of quality of recovery after painful day case surgery: Secondary analysis of a randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245774
Author(s):  
Björn Stessel ◽  
Maarten Hendrickx ◽  
Caroline Pelckmans ◽  
Gerrit De Wachter ◽  
Bart Appeltans ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Day Surgery ◽  
Treatment Groups ◽  
Quality Of Recovery ◽  
Recovery Profile ◽  
Type Of Surgery

Background/Objectives This study aimed to study one-month recovery profile and to identify predictors of Quality of Recovery (QOR) after painful day surgery and investigate the influence of pain therapy on QOR. Methods/Design This is a secondary analysis of a single-centre, randomised controlled trial of 200 patients undergoing ambulatory haemorrhoid surgery, arthroscopic shoulder or knee surgery, or inguinal hernia repair between January 2016 and March 2017. Primary endpoints were one-month recovery profile and prevalence of poor/good QOR measured by the Functional Recovery Index (FRI), the Global Surgical Recovery index and the EuroQol questionnaire at postoperative day (POD) 1 to 4, 7, 14 and 28. Multiple logistic regression analysis was performed to determine predictors of QOR at POD 7, 14, and 28. Differences in QOR between pain treatment groups were analysed using the Mann-Whitney U test. Results Four weeks after haemorrhoid surgery, inguinal hernia repair, arthroscopic knee and arthroscopic shoulder surgery, good QOR was present in 71%, 76%, 57% and 24% respectively. Poor QOR was present in 5%, 0%, 7% and 29%, respectively. At POD 7 and POD 28, predictors for poor/intermediate QOR were type of surgery and a high postoperative pain level at POD 4. Male gender was another predictor at POD 7. Female gender and having a paid job were also predictors at POD 28. Type of surgery and long term fear of surgery were predictors at POD 14. No significant differences in total FRI scores were found between the two different pain treatment groups. Conclusions The present study shows a procedure-specific variation in recovery profile in the 4-week period after painful day surgery. The best predictors for short-term (POD 7) and long-term (POD 28) poor/intermediate QOR were a high postoperative pain level at POD 4 and type of surgery. Different pain treatment regimens did not result in differences in recovery profile. Trial registration European Union Clinical Trials Register 2015-003987-35.

scholarly journals QUALITY OF LIFE AND PERCEIVED NEEDS AMONG OLDER ADULTS RECEIVING LONG-TERM SERVICES AND SUPPORTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S625-S625
Author(s):  
Eleanor Rivera ◽  
Karen Hirschman ◽  
Mary Naylor
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Therapy ◽  
Assisted Living ◽  
Secondary Analysis ◽  
Social Activities ◽  
Perceived Needs ◽  
Services And Supports

Abstract Long term services and supports (LTSS) are vital for older adults with physical and cognitive disabilities. LTSS can be provided in settings such as nursing homes, assisted living, or via community-based services. The aim of this study is to describe the perceived needs for older adults new to LTSS, examine whether those needs are met in the first three months of LTSS, and determine the relationship with quality of life (QoL). This secondary analysis included data from 470 older adults new to LTSS (average age: 81, 71% female, 51% white, 35% black, 20% Hispanic.) The main outcome of QoL was measured using a single item (“How would you rate your overall quality of life at the present time?”). Perceived needs included supportive equipment devices, transportation, physical therapy, and social activities. Analyses at baseline and three months included t-tests, ANOVAs and simple regression modeling. LTSS recipient reported needs at baseline were: 29% supportive equipment, 31% transportation, 20% physical therapy, and 25% social activities. Those who reported needs at baseline had a lower QoL than those who reported no needs (for all). At three months reported needs decreased by an average of 6% (range: 3%-10%). QoL ratings were associated with changes in physical therapy and social activities needs at three months. The implications of these results related to LTSS recipients’ QoL in the first three months of services, with emphasis on physical therapy and social activities needs, is an opportunity to be more person-centered in delivery of care.

Early NT-proBNP and MR-proANP associated with QoL 1 year after acutely decompensated heart failure: secondary analysis from the MOLITOR trial

2019 ◽  
Vol 13 (17) ◽  
pp. 1493-1507 ◽  
Author(s):  
Christine Zelenak ◽  
Mira-Lynn Chavanon ◽  
Elvis Tahirovic ◽  
Tobias Daniel Trippel ◽  
Verena Tscholl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Operating Characteristic ◽  
Secondary Analysis ◽  
Decompensated Heart Failure ◽  
Unique Identifier ◽  
Acutely Decompensated Heart Failure ◽  
Long Term Prognosis

Aim: Heart failure negatively impacts quality of life (QoL), which in turn contributes to an adverse long-term prognosis. We aimed at identifying biomarker trajectories after an episode of acutely decompensated heart failure (ADHF) that differ between patients showing average versus impaired QoL 1 year later, thus allowing to predict impaired QoL. Methods: Biomarkers were repeatedly measured throughout the year in 104 ADHF patients. QoL was assessed at discharge and 1 year after ADHF. Logistic regression and receiver operating characteristic analyses were used to identify predictors of impaired QoL while controlling psychosocial confounders. Results: MR-proANP predicted impaired physical and mental QoL. NT-proBNP measurements were important predictors for poor physical QoL. Conclusion: MR-proANP and NT-proBNP predict poor QoL after an epidode of ADHF. The trial is registered at http://clinicaltrials.gov as MOLITOR (IMpact of therapy optimisation On the Level of biomarkers in paTients with Acute and Decompensated ChrOnic HeaRt Failure) with unique identifier: NCT01501981.

Can the fistula arm be used to lift heavy items? Six-pound dumbbells versus handgrip exercise in a 6-month follow-up secondary analysis of a randomized controlled trial

2019 ◽  
Vol 21 (5) ◽  
pp. 602-608
Author(s):  
Ya-wen Mo ◽  
Li Song ◽  
Jing-ya Huang ◽  
Chun-yan Sun ◽  
Li-fang Zhou ◽  
...  
Keyword(s):  
Adverse Events ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Primary Patency ◽  
Arteriovenous Fistulas ◽  
Significant Difference ◽  
Long Term Follow Up

Introduction: Patients with arteriovenous fistulas are advised to avoid carrying heavy objects draped over the fistula arm. Awareness gradually leads to overprotection and a reduction in the use of the fistula arm. However, restricting motion in the fistula arm leads to decreased quality of life and diminished muscle strength. The current safety recommendations regarding lifting heavy items with the fistula arm are primarily based on experience. Few studies have provided evidence clarifying the scope of safe activity and the influence of load bearing on the continued patency of arteriovenous fistulas. Methods: This prospective observation was based on a long-term follow-up study in which 86 hemodialysis recipients with arteriovenous fistulas were randomized into either a dumbbell group or a handgrip group. The dumbbell group exercised with 6-lb dumbbells, while the handgrip group squeezed rubber balls. Postintervention primary patency and adverse events at the 6-month follow-up were analyzed. Results: No significant difference in postintervention primary patency was observed between the dumbbell group and the handgrip group at 6 months (97.4% vs 95.0%). There were two participants with high-flow fistulas in the dumbbell group and three in the handgrip group, with no significant difference between the two groups (5.3% vs 7.5%). In both groups, there were no other adverse events reported regarding cardiac failure, aneurysm, puncture site hematoma, or hemorrhage. Conclusion: Hemodialysis patients can safely use their fistula arm to lift objects weighing less than 6 lb, which encourages increased motion and helps preserve the functionality of the fistula arm.

scholarly journals Prospective evaluation of biomarkers for prediction of quality of life in community-acquired pneumonia

2016 ◽  
Vol 54 (11) ◽  
Author(s):  
Manuela Nickler ◽  
Daniela Schaffner ◽  
Mirjam Christ-Crain ◽  
Manuel Ottiger ◽  
Robert Thomann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
White Blood Cells ◽  
Secondary Analysis ◽  
Multicenter Trial ◽  
Community Acquired Pneumonia ◽  
Reactive Protein ◽  
Short And Long Term ◽  
Anxiety Depression

AbstractBackground:Most clinical research investigated prognostic biomarkers for their ability to predict cardiovascular events or mortality. It is unknown whether biomarkers allow prediction of quality of life (QoL) after survival of the acute event. Herein, we investigated the prognostic potential of well-established inflammatory/cardiovascular blood biomarkers including white blood cells (WBC), C-reactive protein (CRP), procalcitonin (PCT), pro-adrenomedullin (proADM) and pro-atrial natriuretic peptide (proANP) in regard to a decline in QoL in a well-defined cohort of patients with community-acquired pneumonia (CAP).Methods:Within this secondary analysis including 753 patients with a final inpatient diagnosis of CAP from a multicenter trial, we investigated associations between admission biomarker levels and decline in QoL assessed by the EQ-5D health questionnaire from admission to day 30 and after 6 years.Results:Admission proADM and proANP levels significantly predicted decline of the weighted EQ-5D index after 30 days (n=753) with adjusted odds ratios (ORs) of 2.0 ([95% CI 1.1–3.8]; p=0.027) and 3.7 ([95% CI 2.2–6.0]; p<0.001). Results for 6-year outcomes (n=349) were similar with ORs of 3.3 ([95% CI 1.3–8.3]; p=0.012) and 6.2 ([95% CI 2.7–14.2]; p<0.001). The markers were associated with most of the different QoL dimensions including mobility, self-care, and usual activities, but not pain/discomfort and to a lesser degree anxiety/depression and the visual analogue scale (VAS). Initial WBC, PCT and CRP values did not well predict QoL at any time point.Conclusions:ProADM and proANP accurately predict short- and long-term decline in QoL across most dimensions in CAP patients. It will be interesting to reveal underlying physiopathology in future studies.

scholarly journals Poor oral function is associated with loss of independence or death in functionally independent older adults

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253559
Author(s):  
Yusuke Nagamine ◽  
Tsukasa Kamitani ◽  
Hajime Yamazaki ◽  
Yusuke Ogawa ◽  
Shunichi Fukuhara ◽  
...  
Keyword(s):  
Older Adults ◽  
Secondary Analysis ◽  
Proportional Hazard ◽  
Term Care ◽  
Oral Function ◽  
Proportional Hazard Models ◽  
Cox Proportional Hazard ◽  
Cox Proportional Hazard Models

Aim To clarify the association of poor oral function with loss of independence (LOI) or death in functionally independent older adults in the community. Methods We conducted a secondary analysis of data from a prospective cohort study in two municipalities in Japan. We included participants who were older than 65 years of age and had no certification in long-term care at baseline. Poor oral function was evaluated by the Kihon Checklist. Among participants with poor oral function, they were further classified by the degree of quality of life (QOL) impairment due to dysphagia. Main outcome is LOI or death from all cause. The hazard ratio (HR) and 95% confidence of intervals (CIs) were estimated by Cox proportional hazard models adjusted for potential confounders. Results Of 1,272 participants, 150 participants (11.8%) had poor oral function. The overall incidence of LOI or death was 10.0% in the participants with poor oral function, while 3.3% in the participants without. Participants with poor oral function were more likely to develop LOI or death than those without (crude HR = 3.17 [95% CIs 1.74–5.78], adjusted HR = 2.30 [95% CIs 1.22–4.36]). 10 participants (0.79%) were classified as poor oral function with QOL impairment, and were more likely to develop LOI or death than those without poor oral function (crude HR = 7.45 [95% CIs 1.80–30.91], adjusted HR = 8.49 [95% CIs 1.88–38.34]). Conclusions Poor oral function was associated with higher risk of LOI or death in functionally independent older adults in the community.

scholarly journals Clinical phenotypes in adult patients with bronchiectasis

2016 ◽  
Vol 47 (4) ◽  
pp. 1113-1122 ◽  
Author(s):  
Stefano Aliberti ◽  
Sara Lonni ◽  
Simone Dore ◽  
Melissa J. McDonnell ◽  
Pieter C. Goeminne ◽  
...  
Keyword(s):  
Chronic Infection ◽  
Secondary Analysis ◽  
Stable State ◽  
Principal Component ◽  
Myeloperoxidase Activity ◽  
Clinical Phenotypes ◽  
History Of

Bronchiectasis is a heterogeneous disease. This study aimed at identifying discrete groups of patients with different clinical and biological characteristics and long-term outcomes.This was a secondary analysis of five European databases of prospectively enrolled adult outpatients with bronchiectasis. Principal component and cluster analyses were performed using demographics, comorbidities, and clinical, radiological, functional and microbiological variables collected during the stable state. Exacerbations, hospitalisations and mortality during a 3-year follow-up were recorded. Clusters were externally validated in an independent cohort of patients with bronchiectasis, also investigating inflammatory markers in sputum.Among 1145 patients (median age 66 years; 40% male), four clusters were identified driven by the presence of chronic infection withPseudomonas aeruginosaor other pathogens and daily sputum: “Pseudomonas” (16%), “Other chronic infection” (24%), “Daily sputum” (33%) and “Dry bronchiectasis” (27%). Patients in the four clusters showed significant differences in terms of quality of life, exacerbations, hospitalisations and mortality during follow-up. In the validation cohort, free neutrophil elastase activity, myeloperoxidase activity and interleukin-1β levels in sputum were significantly different among the clusters.Identification of four clinical phenotypes in bronchiectasis could favour focused treatments in future interventional studies designed to alter the natural history of the disease.

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