26 research outputs found
Selected Contemporary Challenges of Ageing Policy
Among the scholars trying to grasp the
nuances and trends of social policy, there are diverse perspectives,
resulting not only from the extensive knowledge of the authors on
the systematic approach to the issue of supporting older people but
also from the grounds of the represented social gerontology
schools. In the texts of Volume VII interesting are both distinct
and coherent elements presenting the role of local, regional and
global policies in the prism of the countries from which the
authors originate: the Czech Republic, Slovenia, Lithuania, Latvia,
Poland, Slovakia, Italy, Turkey, and the United States.
The chapters show a wealth of methodological approaches
to the perception of social policy and its tools. In the texts there
are issues related to the idea of active ageing, discrimination
against older people in the workplace, comparability of solutions
friendly to employment of older adults in the Czech Republic,
Poland, and Slovakia as well as focused on the importance of
educational forms (universities of the third age, senior clubs, folk
high schools, and other non-formal solutions) determining an
active life in old age.
This monograph also attempted to answer the question
regarding how to transfer the idea of intergenerational learning
into the realm of practice. This issue complements the chapter on
the implementation of intergenerational programs in institutions
providing long-term care support. The book also outlines a public
policy on ageing in the perspective of the changes over the last
few decades (Slovenia) and the case demonstrating solutions to
accelerate self-reliance as a key to active ageing (Turkey)
Epidemiology of intra-abdominal infection and sepsis in critically ill patients: âAbSeSâ, a multinational observational cohort study and ESICM Trials Group Project
Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock). Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis. Results: The cohort included 2621 patients. Setting of infection acquisition was community-acquired in 31.6%, early onset hospital-acquired in 25%, and late-onset hospital-acquired in 43.4% of patients. Overall prevalence of antimicrobial resistance was 26.3% and difficult-to-treat resistant Gram-negative bacteria 4.3%, with great variation according to geographic region. No difference in prevalence of antimicrobial resistance was observed according to setting of infection acquisition. Overall mortality was 29.1%. Independent risk factors for mortality included late-onset hospital-acquired infection, diffuse peritonitis, sepsis, septic shock, older age, malnutrition, liver failure, congestive heart failure, antimicrobial resistance (either methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase-producing Gram-negative bacteria, or carbapenem-resistant Gram-negative bacteria) and source control failure evidenced by either the need for surgical revision or persistent inflammation. Conclusion: This multinational, heterogeneous cohort of ICU patients with intra-abdominal infection revealed that setting of infection acquisition, anatomical disruption, and severity of disease expression are disease-specific phenotypic characteristics associated with outcome, irrespective of the type of infection. Antimicrobial resistance is equally common in community-acquired as in hospital-acquired infection
A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)
Meeting abstrac
Developing manufacturing control software: A survey and critique
The complexity and diversity of manufacturing software and the need to adapt this software to the frequent changes in the production requirements necessitate the use of a systematic approach to developing this software. The software life-cycle model (Royce, 1970) that consists of specifying the requirements of a software system, designing, implementing, testing, and evolving this software can be followed when developing large portions of manufacturing software. However, the presence of hardware devices in these systems and the high costs of acquiring and operating hardware devices further complicate the manufacturing software development process and require that the functionality of this software be extended to incorporate simulation and prototyping.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45542/1/10696_2005_Article_BF01328739.pd