2,233 research outputs found

    Predictive Abilities of the Frailty Phenotype and the Swiss Frailty Network and Repository Frailty Index for Non-Home Discharge and Functional Decline in Hospitalized Geriatric Patients

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    Background: Frailty is increasingly applied as a measure to predict clinical outcomes, but data on the predictive abilities of frailty measures for non-home discharge and functional decline in acutely hospitalized geriatric patients are scarce. Objectives: The aim of this study was to investigate the predictive ability of the frailty phenotype and a frailty index currently validated as part of the ongoing Swiss Frailty Network and Repository Study based on clinical admission data for non-home discharge and functional decline in acutely hospitalized older patients. Design: Prospective cohort study. Setting and participants: Data were analyzed from 334 consecutive hospitalized patients of a tertiary acute care geriatric inpatient clinic admitted between August 2020 and March 2021. Measurements: We assessed frailty using 1) the frailty phenotype and 2) the Swiss Frailty Network and Repository Study (SFNR) frailty index based on routinely available clinical admission data. Predictive abilities of both frailty measures were analyzed for the clinical outcomes of non-home discharge and functional decline using multivariate logistic regression models and receiver operating characteristic curves (ROC). Results: Mean age was 82.8 (SD 7.2) years and 55.4% were women. Overall, 170 (53.1%) were frail based on the frailty phenotype and 220 (65.9%) based on the frailty index. Frail patients based on the frailty phenotype were more likely to be discharged non-home (55 (32.4%) vs. 26 (17.3%); adjusted OR 2.4 (95% CI, 1.4, 5.1)). Similarly, frail patients based on the frailty index were more likely to be discharged non-home compared to non-frail patients (76 (34.6%) vs. 9 (7.9%); adjusted OR, 5.5 (95% CI, 2.6, 11.5)). Both, the frailty phenotype and the frailty index were similarly associated with functional decline (adjusted OR 2.7 (95% CI, 1.5, 4.9); adjusted OR 2.8 (95% CI 1.4, 5.5)). ROC analyses showed best discriminatory accuracy for the frailty index for non-home discharge (area under the curve 0.76). Conclusions: Frailty using the SFNR-frailty index and the frailty phenotype is a promising measure for prediction of non-home discharge and functional decline in acutely hospitalized geriatric patients. Further study is needed to define the most valid frailty measure. Keywords: Frailty syndrome; aged; discharge planning; geriatrics; inpatients; predictive value of test

    Reality conditions for Ashtekar variables as Dirac constraints

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    We show that the reality conditions to be imposed on Ashtekar variables to recover real gravity can be implemented as second class constraints a la Dirac. Thus, counting gravitational degrees of freedom follows accordingly. Some constraints of the real theory turn out to be non-polynomial, regardless of the form, polynomial or non-polynomial, taken for the reality conditions. We comment upon the compatibility of our approach with the recently proposed Wick transform point of view, as well as on some alternatives for dealing with such second class constraints.Comment: 16 pages, plain LaTeX, submitted to Class. Quant. Grav. E-mail: [email protected]

    Drowning - a scientometric analysis and data acquisition of a constant global problem employing density equalizing mapping and scientometric benchmarking procedures

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    Background: Drowning is a constant global problem which claims proximately half a million victims worldwide each year, whereas the number of near-drowning victims is considerably higher. Public health strategies to reduce the burden of death are still limited. While research activities in the subject drowning grow constantly, yet there is no scientometric evaluation of the existing literature at the present time. Methods: The current study uses classical bibliometric tools and visualizing techniques such as density equalizing mapping to analyse and evaluate the scientific research in the field of drowning. The interpretation of the achieved results is also implemented in the context of the data collection of the WHO. Results: All studies related to drowning and listed in the ISI-Web of Science database since 1900 were identified using the search term "drowning". Implementing bibliometric methods, a constant increase in quantitative markers such as number of publications per state, publication language or collaborations as well as qualitative markers such as citations were observed for research in the field of drowning. The combination with density equalizing mapping exposed different global patterns for research productivity and the total number of drowning deaths and drowning rates respectively. Chart techniques were used to illustrate bi- and multilateral research cooperation. Conclusions: The present study provides the first scientometric approach that visualizes research activity on the subject of drowning. It can be assumed that the scientific approach to this topic will achieve even greater dimensions because of its continuing actuality

    Helping Farmers Access Farmland: New Jersey\u27s New Land Link Website

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    Access to land is a common obstacle for beginning farmers and established farmers seeking to expand their operations. Particularly in urban-influenced areas, leasing farmland is often more financially feasible than fee ownership. Locating available land or the right leasing situation, however, can be difficult. NJ Land Link (http://njlandlink.org) is a new interactive website created to improve access to farmland and farming opportunities in New Jersey. The website allows farmland owners to list characteristics of their properties and terms of availability (e.g., sale, lease). Individuals seeking farmland or farm work opportunities can post their farming goals, resource needs, and farming experience

    Reproducing reality. Recreating bonding defects observed in transparent poly(methyl methacrylate) museum objects and assessing defect formation

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    The most common method chosen by artists, designers, and craftsmen to realize artworks and objects with transparent poly(methyl methacrylate) (PMMA) is to bond pieces from premanufactured sheets using solvents or adhesives. This method is considered relatively easy to use, however achieving bonds that are both transparent and strong can be difficult. Artifacts from museum collections made by bonding transparent PMMA often exhibit a variety of bonding defects and failures not yet addressed in depth in the conservation literature. Therefore, an international project started with the aims of classifying these bonding issues and understand their causes. This paper presents the results of the first part of this project which included the following research activities: surveys of bonding defects in PMMA artworks and design objects in museum collections, a literature review of the most recommended materials and methods used to bond PMMA over time, the preparation of bonded PMMA mock-ups based on literature review, chemical characterization of the bonding materials, thermal ageing of mock-ups, and finally technical examinations of the PMMA bonded mock-ups. The main defects observed in the museum objects surveyed were successfully recreated in the lab and the causes of their formation were assessed

    Nature of the Low Field Transition in the Mixed State of High Temperature Superconductors

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    We have numerically studied the statics and dynamics of a model three-dimensional vortex lattice at low magnetic fields. For the statics we use a frustrated 3D XY model on a stacked triangular lattice. We model the dynamics as a coupled network of overdamped resistively-shunted Josephson junctions with Langevin noise. At low fields, there is a weakly first-order phase transition, at which the vortex lattice melts into a line liquid. Phase coherence parallel to the field persists until a sharp crossover, conceivably a phase transition, near Tâ„“>TmT_{\ell} > T_m which develops at the same temperature as an infinite vortex tangle. The calculated flux flow resistivity in various geometries near T=Tâ„“T=T_{\ell} closely resembles experiment. The local density of field induced vortices increases sharply near Tâ„“T_\ell, corresponding to the experimentally observed magnetization jump. We discuss the nature of a possible transition or crossover at Tâ„“T_\ell(B) which is distinct from flux lattice melting.Comment: Updated references. 46 pages including low quality 25 eps figures. Contact [email protected] or visit http://www.physics.ohio-state.edu:80/~ryu/ for better figures and additional movie files from simulations. To be published in Physical Review B1 01Jun9
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