The association of health literacy with adherence in older 2 adults, and its role in interventions: a systematic meta-review

Background: Low health literacy is a common problem among older adults. It is often suggested to be associated with poor adherence. This suggested association implies a need for effective adherence interventions in low health literate people. However, previous reviews show mixed results on the association between low health literacy and poor adherence. A systematic meta-review of systematic reviews was conducted to study the association between health literacy and adherence in adults above the age of 50. Evidence for the effectiveness of adherence interventions among adults in this older age group with low health literacy was also explored. Methods: Eight electronic databases (MEDLINE, ERIC, EMBASE, PsycINFO, CINAHL, DARE, the Cochrane Library, and Web of Knowledge) were searched using a variety of keywords regarding health literacy and adherence. Additionally, references of identified articles were checked. Systematic reviews were included if they assessed the association between health literacy and adherence or evaluated the effectiveness of interventions to improve adherence in adults with low health literacy. The AMSTAR tool was used to assess the quality of the included reviews. The selection procedure, data-extraction, and quality assessment were performed by two independent reviewers. Seventeen reviews were selected for inclusion. Results: Reviews varied widely in quality. Both reviews of high and low quality found only weak or mixed associations between health literacy and adherence among older adults. Reviews report on seven studies that assess the effectiveness of adherence interventions among low health literate older adults. The results suggest that some adherence interventions are effective for this group. The interventions described in the reviews focused mainly on education and on lowering the health literacy demands of adherence instructions. No conclusions could be drawn about which type of intervention could be most beneficial for this population. Conclusions: Evidence on the association between health literacy and adherence in older adults is relatively weak. Adherence interventions are potentially effective for the vulnerable population of older adults with low levels of health literacy, but the evidence on this topic is limited. Further research is needed on the association between health literacy and general health behavior, and on the effectiveness of interventions

Monitoring credit risk in the social economy sector by means of a binary goal programming model

The final publication is available at Springer via http://dx.doi.org/10.1007/s11628-012-0173-7Monitoring the credit risk of firms in the social economy sector presents a considerable challenge, since it is difficult to calculate ratings with traditional methods such as logit or discriminant analysis, due to the relatively small number of firms in the sector and the low default rate among cooperatives. This paper intro- duces a goal programming model to overcome such constraints and to successfully manage credit risk using economic and financial information, as well as expert advice. After introducing the model, its application to a set of Spanish cooperative societies is described.García García, F.; Guijarro Martínez, F.; Moya Clemente, I. (2013). Monitoring credit risk in the social economy sector by means of a binary goal programming model. Service Business. 7(3):483-495. doi:10.1007/s11628-012-0173-7S48349573Alfares H, Duffuaa S (2009) Assigning cardinal weights in multi-criteria decision making based on ordinal rankings. J Multicriteria Decis Anal 15:125–133Altman EI (1968) Financial ratios, discriminant analysis and the prediction of corporate bankruptcy. J Financ 23:589–609Altman EI, Hadelman RG, Narayanan P (1977) Zeta analysis: a new model to identify bankruptcy risk of corporations. J Bank Financ 1:29–54Andenmatten A (1995) Evaluation du risque de défaillance des emetteurs d’obligations: Une approche par l’aide multicritère á la décision. Presses Polytechniques et Univertitaires Romandes, LausanneBeaver WH (1966) Financial ratios as predictors of failure. J Account Res 4:71–111Boritz JE, Kennedey DB (1995) Effectiveness of neural network types for prediction of business failure. Expert Syst Appl 9:503–512Bottomley P, Doyle J, Green R (2000) Testing the reliability of weight elicitation methods: direct rating versus point allocation. J Mark Res 37:508–513Casey M, McGee V, Stinkey C (1986) Discriminating between reorganized and liquidated firms in bankruptcy. Account Rev 61:249–262Cruz S, Gonzalez T, Perez C (2010) Marketing capabilities, stakeholders’ satisfaction, and performance. Serv Bus 4:209–223Díaz M, Marcuello C (2010) Impacto económico de las cooperativas. La generación de empleo en las sociedades cooperativas y su relación con el PIB. CIRIEC 67:23–44Dimitras AI, Zopounidis C, Hurson C (1995) A multicriteria decision aid method for the assessment of business failure risk. Found Comput Decis Sci 20:99–112Dimitras AI, Slowinski R, Susmaga R, Zopounidis C (1999) Business failure prediction using rough sets. Eur J Oper Res 114:263–280Elmer PJ, Borowski DM (1988) An expert system approach to financial analysis: the case of S&L bankruptcy. Financ Manage 17:66–76Frydman H, Altman EI, Kao DL (1985) Introducing recursive partitioning for financial classification: the case of financial distress. J Financ 40:269–291García F, Guijarro F, Moya I (2008) La valoración de empresas agroalimentarias: una extensión de los modelos factoriales. Rev Estud Agro-Soc 217:155–181Gupta MC, Huefner RJ (1972) A cluster analysis study of financial ratios and industry characteristics. J Account Res 10:77–95Jensen RE (1971) A cluster analysis study of financial performance of selected firms. Account Rev 16:35–56Juliá J (2011) Social economy: a responsible people-oriented economy. Serv Bus 5:173–175Keasey K, Mcguinnes P, Short H (1990) Multilogit approach to predicting corporate failure: further analysis and the issue of signal consistency. Omega-Int J Manage S 18:85–94Li H, Adeli H, Sun J, Han JG (2011) Hybridizing principles of TOPSIS with case-based reasoning for business failure prediction. Comput Oper Res 38:409–419Luoma M, Laitinen EK (1991) Survival analysis as a tool for firm failure prediction. Omega-Int J Manage S 19:673–678March I, Yagüe RM (2009) Desempeño en empresas de economía social. Un modelo para su medición. CIRIEC 64:105–131Martin D (1977) Early warning of bank failure: a logit regression approach. J Bank Financ 1:249–276Mateos A, Marín M, Marí S, Seguí E (2011) Los modelos de predicción del fracaso empresarial y su aplicabilidad en cooperativas agrarias. CIRIEC 70:179–208McKee T (2000) Developing a bankruptcy prediction model via rough sets theory. Int J Intell Syst Account Finan Manage 9:159–173Messier WF, Hansen JV (1988) Inducing rules for expert system development: an example using default and bankruptcy data. Manage Sci 34:1403–1415Ohlson JA (1980) Financial ratios and the probabilistic prediction of bankruptcy. J Account Res 18:109–131Peel MJ (1987) Timeliness of private firm reports predicting corporate failure. Invest Anal J 83:23–27Saaty TL (1980) The analytic hierarchy process. McGraw-Hill, New YorkScapens RW, Ryan RJ, Flecher L (1981) Explaining corporate failure: a catastrophe theory approach. J Bus Finan Account 8:1–26Skogsvik R (1990) Current cost accounting ratios as predictors of business failures: the Swedish case. J Bus Finan Account 17:137–160Slowinski R, Zopounidis C (1995) Application of the rough set approach to evaluation of bankruptcy risk. Int J Intell Syst Account Finan Manage 4:24–41Vranas AS (1992) The significance of financial characteristics in predicting business failure: an analysis in the Greek context. Found Comput Decis Sci 17:257–275Westgaard S, Wijst N (2001) Default probabilities in a corporate bank portfolio: a logistic model approach. Eur J Oper Res 135:338–349Wilson RL, Sharda R (1994) Bankruptcy prediction using neuronal networks. Decis Support Syst 11:545–557Zavgren CV (1985) Assessing the vulnerability to failure of American industrial firms. A logistic analysis. J Bus Financ Account 12:19–45Zmijewski M (1984) Methodological issues related to the estimation of financial distress prediction models. Studies on Current Econometric Issues in Accounting Research. J Account Res 22:59–86Zopounidis C, Doumpos M (2002) Multicriteria classification and sorting methods: a literature review. Eur J Oper Res 138:229–24

The willingness of final year medical and dental students to perform bystander cardiopulmonary resuscitation in an Asian community

Background Despite the importance of early effective chest compressions to improve the chance of survival of an out-of-hospital cardiac arrest victim, it is still largely unknown how willing our Malaysian population is to perform bystander cardiopulmonary resuscitation (CPR). Aims We conducted a voluntary, anonymous self-administered questionnaire survey of a group of 164 final year medical students and 60 final year dental students to unravel their attitudes towards performing bystander CPR. Methods Using a 4-point Likert scale of “definitely yes,” “probably yes,” “probably no,” and “definitely no,” the students were asked to rate their willingness to perform bystander CPR under three categories: chest compressions with mouth-to-mouth ventilation (CC + MMV), chest compressions with mask-to-mouth ventilation (CC + PMV), and chest compressions only (CC). Under each category, the students were given ten hypothetical victim scenarios. Categorical data analysis was done using the McNemar test, chi-square test, and Fisher exact test where appropriate. For selected analysis, “definitely yes” and “probably yes” were recoded as a “positive response.” Results Generally, we found that only 51.4% of the medical and 45.5% of the dental students are willing to perform bystander CPR. When analyzed under different hypothetical scenarios, we found that, except for the scenario where the victim is their own family member, all other scenarios showed a dismally low rate of positive responses in the category of CC + MMV, but their willingness was significantly improved under the CC + PMV and CC categories. Conclusion This study shows that there are unique sociocultural factors that contribute to the reluctance of our students to perform CC + MMV. Keywords Cardiopulmonary resuscitation Mouth-to-mouth resuscitation Basic cardiac life support Asian communit

A study protocol of a randomised controlled trial incorporating a health economic analysis to investigate if additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes

Background Reducing patient length of stay is a high priority for health service providers. Preliminary information suggests additional Saturday rehabilitation services could reduce the time a patient stays in hospital by three days. This large trial will examine if providing additional physiotherapy and occupational therapy services on a Saturday reduces health care costs, and improves the health of hospital inpatients receiving rehabilitation compared to the usual Monday to Friday service. We will also investigate the cost effectiveness and patient outcomes of such a service. Methods/Design A randomised controlled trial will evaluate the effect of providing additional physiotherapy and occupational therapy for rehabilitation. Seven hundred and twelve patients receiving inpatient rehabilitation at two metropolitan sites will be randomly allocated to the intervention group or control group. The control group will receive usual care physiotherapy and occupational therapy from Monday to Friday while the intervention group will receive the same amount of rehabilitation as the control group Monday to Friday plus a full physiotherapy and occupational therapy service on Saturday. The primary outcomes will be patient length of stay, quality of life (EuroQol questionnaire), the Functional Independence Measure (FIM), and health utilization and cost data. Secondary outcomes will assess clinical outcomes relevant to the goals of therapy: the 10 metre walk test, the timed up and go test, the Personal Care Participation Assessment and Resource Tool (PC PART), and the modified motor assessment scale. Blinded assessors will assess outcomes at admission and discharge, and follow up data on quality of life, function and health care costs will be collected at 6 and 12 months after discharge. Between group differences will be analysed with analysis of covariance using baseline measures as the covariate. A health economic analysis will be carried out alongside the randomised controlled trial. Discussion This paper outlines the study protocol for the first fully powered randomised controlled trial incorporating a health economic analysis to establish if additional Saturday allied health services for rehabilitation inpatients reduces length of stay without compromising discharge outcomes. If successful, this trial will have substantial health benefits for the patients and for organizations delivering rehabilitation services

Review Article: When 'life itself' goes to work: Reviewing shifts in organizational life through the lens of biopower

This review article suggests the English publication of Foucault’s lectures on biopower, The Birth of Biopolitics (2008), might be useful for extending our understandings of how organizational power relations have changed over the last 20 years. Unlike disciplinary power, which constrains and delimits individuals, the concept of biopower emphasizes how our life abilities and extra-work qualities (bios or ‘life itself’) are now key objects of exploitation – particularly under neoliberalism. The term biocracy is introduced to analyse recent reports on workplace experiences symptomatic of biopower. Finally, the conceptual weaknesses of biopower for organizational theorizing are critically evaluated to help develop the idea for future scholarship

Long-Stay Psychiatric Patients: A Prospective Study Revealing Persistent Antipsychotic-Induced Movement Disorder

OBJECTIVE: The purpose of this study was to assess the frequency of persistent drug-induced movement disorders namely, tardive dyskinesia (TD), parkinsonism, akathisia and tardive dystonia in a representative sample of long-stay patients with chronic severe mental illness. METHOD: Naturalistic study of 209, mainly white, antipsychotic-treated patients, mostly diagnosed with psychotic disorder. Of this group, the same rater examined 194 patients at least two times over a 4-year period, with a mean follow-up time of 1.1 years, with validated scales for TD, parkinsonism, akathisia, and tardive dystonia. RESULTS: The frequencies of persistent movement disorders in the sample were 28.4% for TD, 56.2% for parkinsonism, 4.6% for akathisia and 5.7% for tardive dystonia. Two-thirds of the participants displayed at least one type of persistent movement disorder. CONCLUSIONS: Persistent movement disorder continues to be the norm for long-stay patients with chronic mental illness and long-term antipsychotic treatment. Measures are required to remedy this situation

Formal and Informal Financing Decisions of Small Businesses

This study investigates small businesses’ financing decisions. Drawing upon asymmetric information theory, institutional theory and relevant literature on cognitive financial constraints, human capital and social capital, we propose a theoretical framework in which financing determinants come from three dimensions: entrepreneurs’ individual factors, organisational (firm-level) factors and contextual (institutional) factors. We employ this model to distinguish four types of firms: (1) firms that use no external finance, (2) firms that use informal finance only, (3) firms that use formal finance only and (4) firms that use both formal and informal finance. An empirical test on Vietnamese small businesses shows that factors from all three dimensions are important in understanding small businesses’ financing decisions

The TESS-Keck Survey. XI. Mass Measurements for Four Transiting sub-Neptunes orbiting K dwarf TOI-1246

Multi-planet systems are valuable arenas for investigating exoplanet architectures and comparing planetary siblings. TOI-1246 is one such system, with a moderately bright K dwarf (V=11.6, K=9.9) and four transiting sub-Neptunes identified by TESS with orbital periods of 4.31 d, 5.90 d, 18.66 d, and 37.92 d. We collected 130 radial velocity observations with Keck/HIRES and TNG/HARPS-N to measure planet masses. We refit the 14 sectors of TESS photometry to refine planet radii (2.97±0.06 R⊕,2.47±0.08 R⊕,3.46±0.09 R⊕, 3.72±0.16 R⊕), and confirm the four planets. We find that TOI-1246 e is substantially more massive than the three inner planets (8.1±1.1M⊕, 8.8±1.2M⊕, 5.3±1.7M⊕, 14.8±2.3M⊕). The two outer planets, TOI-1246 d and TOI-1246 e, lie near to the 2:1 resonance (Pe/Pd=2.03) and exhibit transit timing variations. TOI-1246 is one of the brightest four-planet systems, making it amenable for continued observations. It is one of only six systems with measured masses and radii for all four transiting planets. The planet densities range from 0.70±0.24 to 3.21±0.44g/cm3, implying a range of bulk and atmospheric compositions. We also report a fifth planet candidate found in the RV data with a minimum mass of 25.6 ± 3.6 M⊕. This planet candidate is exterior to TOI-1246 e with a candidate period of 93.8 d, and we discuss the implications if it is confirmed to be planetary in nature