A European study investigating patterns of transition from home care towards institutional dementia care: the protocol of a RightTimePlaceCare study

<p>Abstract</p> <p>Background</p> <p>Health care policies in many countries aim to enable people with dementia to live in their own homes as long as possible. However, at some point during the disease the needs of a significant number of people with dementia cannot be appropriately met at home and institutional care is required. Evidence as to best practice strategies enabling people with dementia to live at home as long as possible and also identifying the right time to trigger admission to a long-term nursing care facility is therefore urgently required. The current paper presents the rationale and methods of a study generating primary data for best-practice development in the transition from home towards institutional nursing care for people with dementia and their informal caregivers. The study has two main objectives: 1) investigate country-specific factors influencing institutionalization and 2) investigate the circumstances of people with dementia and their informal caregivers in eight European countries. Additionally, data for economic evaluation purposes are being collected.</p> <p>Methods/design</p> <p>This paper describes a prospective study, conducted in eight European countries (Estonia, Finland, France, Germany, Netherlands, Sweden, Spain, United Kingdom). A baseline assessment and follow-up measurement after 3 months will be performed. Two groups of people with dementia and their informal caregivers will be included: 1) newly admitted to institutional long-term nursing care facilities; and 2) receiving professional long-term home care, and being at risk for institutionalization. Data will be collected on outcomes for people with dementia (e.g. quality of life, quality of care), informal caregivers (e.g. caregiver burden, quality of life) and costs (e.g. resource utilization). Statistical analyses consist of descriptive and multivariate regression techniques and cross-country comparisons.</p> <p>Discussion</p> <p>The current study, which is part of a large European project 'RightTimePlaceCare', generates primary data on outcomes and costs of long-term nursing care for people with dementia and their informal caregivers, specifically focusing on the transition from home towards institutional care. Together with data collected in three other work packages, knowledge gathered in this study will be used to inform and empower patients, professionals, policy and related decision makers to manage and improve health and social dementia care services.</p

Mid-infrared spectroscopy of alkali feldspar samples for space application

Feldspars are major components of terrestrial planetary surfaces. For future space application and the setup of a comprehensive reference database, Na- and K-rich alkali feldspars, NaAlSi3O8 – KAlSi3O8, have been investigated by infrared reflectance spectroscopy. We related the feldspar spectra to the chemical composition and state of Al,Si order/disorder. The infrared measurements were analyzed with respect to band shifts and peak shapes using the autocorrelation function. Natural samples served as starting materials. Some samples were treated by the alkali exchange method to produce pure end-members, which were then heated to generate various states of Al,Si disorder. X-ray diffraction (XRD) methods served to determine the Al,Si distribution. Our autocorrelation allowed to differentiate between the compositional and the order/disorder influences seen in the spectra in the wavelength range between 7 μm up to 14 μm (1429 cm− 1 to 714 cm− 1). Space missions often analyze the surfaces of planetary bodies using remote sensing. Therefore, our results are essential to characterize and distinguish alkali feldspars on the surfaces of terrestrial planetary bodies like Mercury