Two source units in group guidance for the senior high school

Thesis (M.A.)--Boston University, 1949. This item was digitized by the Internet Archive

War Narratives: Framing Our Understanding of the War on Terror

Unlike past American wars, the current war on terror has not been associated with a centrally proffered narrative providing some guidance and orientation for those administering government services under state-of-war conditions. War is as much a cultural endeavor as it is a military undertaking, and the absence of a clear sensemaking narrative was detected in this study of public administrators from three agencies with varying proximity to the conflict. Q-methodology was used to explore the way individuals processed the war narratives put forth by the Bush administration and reported in the media immediately following the September 11 attacks. Though no distinct state-of-war narratives were found among the public administrators in this study, there are clear indications that latent narratives reflecting local political and organizational task environments have emerged

Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: results of an international multi-centre study

Introduction: Increased mortality has been demonstrated in older adults with coronavirus disease 2019 (COVID-19), but the effect of frailty has been unclear. Methods: This multi-centre cohort study involved patients aged 18 years and older hospitalised with COVID-19, using routinely collected data. We used Cox regression analysis to assess the impact of age, frailty and delirium on the risk of inpatient mortality, adjusting for sex, illness severity, inflammation and co-morbidities. We used ordinal logistic regression analysis to assess the impact of age, Clinical Frailty Scale (CFS) and delirium on risk of increased care requirements on discharge, adjusting for the same variables. Results: Data from 5,711 patients from 55 hospitals in 12 countries were included (median age 74, interquartile range [IQR] 54–83; 55.2% male). The risk of death increased independently with increasing age (>80 versus 18–49: hazard ratio [HR] 3.57, confidence interval [CI] 2.54–5.02), frailty (CFS 8 versus 1–3: HR 3.03, CI 2.29–4.00) inflammation, renal disease, cardiovascular disease and cancer, but not delirium. Age, frailty (CFS 7 versus 1–3: odds ratio 7.00, CI 5.27–9.32), delirium, dementia and mental health diagnoses were all associated with increased risk of higher care needs on discharge. The likelihood of adverse outcomes increased across all grades of CFS from 4 to 9. Conclusion: Age and frailty are independently associated with adverse outcomes in COVID-19. Risk of increased care needs was also increased in survivors of COVID-19 with frailty or older age.</p