Institutionalization: The caring for individuals in institutions and their adaptation to routines characteristic of the institutional environment, and/or their loss of adaptation to life outside the institution.Child, Institutionalized: A child who is receiving long-term in-patient services or who resides in an institutional setting.Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Deinstitutionalization: The practice of caring for individuals in the community, rather than in an institutional environment with resultant effects on the individual, the individual's family, the community, and the health care system.Orphanages: Institutions for the housing and care of orphans, foundlings, and abandoned children. They have existed as such since the medieval period but the heading is applicable to such usage also in modern parlance.Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Health Impact Assessment: Combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Hospitals, Chronic Disease: Hospitals which provide care to patients with long-term illnesses.Colonialism: The aggregate of various economic, political, and social policies by which an imperial power maintains or extends its control over other areas or peoples. It includes the practice of or belief in acquiring and retaining colonies. The emphasis is less on its identity as an ideological political system than on its designation in a period of history. (Webster, 3d ed; from Dr. J. Cassedy, NLM History of Medicine Division)Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.RomaniaPsychosocial Deprivation: The absence of appropriate stimuli in the physical or social environment which are necessary for the emotional, social, and intellectual development of the individual.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Commitment of Mentally Ill: Legal process required for the institutionalization of a patient with severe mental problems.Delirium: A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Dementia: An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Constitution and Bylaws: The fundamental principles and laws adopted by an organization for the regulation and governing of its affairs.Behavioral Symptoms: Observable manifestations of impaired psychological functioning.BelgiumAdoption: Voluntary acceptance of a child of other parents to be as one's own child, usually with legal confirmation.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Cognition Disorders: Disturbances in mental processes related to learning, thinking, reasoning, and judgment.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Geriatrics: The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Alzheimer Disease: A degenerative disease of the BRAIN characterized by the insidious onset of DEMENTIA. Impairment of MEMORY, judgment, attention span, and problem solving skills are followed by severe APRAXIAS and a global loss of cognitive abilities. The condition primarily occurs after age 60, and is marked pathologically by severe cortical atrophy and the triad of SENILE PLAQUES; NEUROFIBRILLARY TANGLES; and NEUROPIL THREADS. (From Adams et al., Principles of Neurology, 6th ed, pp1049-57)Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Hospitalization: The confinement of a patient in a hospital.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Psychiatric Status Rating Scales: Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.

*  The Institutionalization of Europe - Hardcover - Alec Stone Sweet; Wayne Sandholtz; Neil Fligstein - Oxford University Press

You are here: Home Page , Social Sciences , Economics , International Economics , The Institutionalization of Europe ... The Institutionalization of Europe. Edited by Alec Stone Sweet, Wayne Sandholtz, and Neil Fligstein. ... The Institutionalization of Europe. Edited by Alec Stone Sweet, Wayne Sandholtz, and Neil Fligstein. ... The Institutionalization of Europe. Edited by Alec Stone Sweet, Wayne Sandholtz, and Neil Fligstein. ...
https://global.oup.com/academic/product/the-institutionalization-of-europe-9780199247950?cc=us&lang=en&%0D%0Atab=reviews

*  Paul Hornschemeier's Forlorn Funnies | News and Headlice: Evidence for Future Institutionalization

I've also attempted to have a feed of Twitter updates as well as your (should you be so inclined) responses on the right hand side of this blog. It's sluggish right now at best, but hopefully I'll figure out what the bug is and fix it if possible ...
forlornfunnies.blogspot.com/2009/02/evidence-for-future-institutionalizatio.html

*  institutionalization - oi

The process of becoming dependent upon an institution for care and social support or of placing someone in such a facility. Also, the process of an attitude or behavior being perpetuated in an organization, as in institutional racism. ...
oxfordindex.oup.com/view/10.1093/oi/authority.20110803100005363

*  Institutionalization of Export Promotion in India: An Empirical Study - NMIMS MANAGEMENT REVIEW

Institutionalization of Export Promotion in India: An Empirical Study. Posted on. April 5, 2014. December 31, 2016. Sivakumar ...
management-review.nmims.edu/2014/04/institutionalization-of-export-promotion-in-india-an-empirical-study/

*  Medi-Cal Planning: Options & Ethics - CANHR

... and to create a united voice for long term care reform and humane alternatives to institutionalization. ...
canhr.org/publications/newsletters/NetNews/Feature_Article/NN_2003Q3.html

*  Ideas behind China's modern state. Conservatism and dynamism in the contemporary celebration of Halloween: institutionalization...

Conservatism and dynamism in the contemporary celebration of Halloween: institutionalization, commercialization, gentrification ... Conservatism and dynamism in the contemporary celebration of Halloween: institutionalization, commercialization, gentrification ...
readabstracts.com/Regional-focus-area-studies/Ideas-behind-Chinas-modern-state-Conservatism-and-dynamism-in-the-contemporary-celebration-of-Hallow.html

*  The Social Construction of Sex Trafficking: Ideology and Institutionalization of a Moral Crusade by Ronald Weitzer :: SSRN

The Social Construction of Sex Trafficking: Ideology and Institutionalization of a Moral Crusade. Politics & Society, Vol. 35, ... The analysis documents the increasing endorsement and institutionalization of crusade ideology in U.S. government policy and ... Weitzer, Ronald, The Social Construction of Sex Trafficking: Ideology and Institutionalization of a Moral Crusade (July 3, 2011 ...
https://papers.ssrn.com/sol3/papers.cfm?abstract_id=1877986

*  Definitions of institutionalization - OneLook Dictionary Search

Institutionalization: Harvey Financial [home, info] *institutionalization: Legal dictionary [home, info] *Institutionalization ... Phrases that include institutionalization: de institutionalization Words similar to institutionalization: institutionalize, ... institutionalization: Collins English Dictionary [home, info] *Institutionalization, institutionalization: Wordnik [home, info ... Institutionalization: MoneyGlossary.com [home, info] *institutionalization: INVESTORWORDS [home, info] *Institutionalization: ...
https://onelook.com/?w=institutionalization

*  Institutionalization Of Place Marketing (Case Of Representative Russian Region)

Downloadable! In recent years the special attention is paid to territorial marketing, it is defined by one of instruments of social and economic development and increase in capacity of the territory, and the marketing paradigm gains more and more wide circulation. However there aren't many examples of the strategic oriented and complete approach in this area, the special programs and marketing strategies. The experience of any subject which generalization promotes an increment of knowledge and promotes search of new perspective ways of development is of great importance for researchers and practitioners. The Volgograd region is rather developed and, at the same time, quite representative region from the point of view of the marketing strategy which analysis of experience allows to allocate the typical mistakes and widespread problems of integration of the principles of territorial marketing to the system of regional strategic management. Developing the marketing strategy of the Volgograd region and its
https://ideas.repec.org/a/mje/mjejnl/v9y2013i4p77-86.html

*  Institutionalization of UX 2nd edition | 9780321884817 | VitalSource

Buy or Rent Institutionalization of UX as an eTextbook and get instant access. With VitalSource, you can save up to 80% ... Institutionalization of UX 2nd Edition by Eric Schaffer and Publisher Addison-Wesley Professional PTG. Save up to 80% by ...
https://vitalsource.com/products/institutionalization-of-ux-eric-schaffer-v9780133123814

*  Project EXCEL: Challenges, victories and the future through institutionalization

When children go to college on Saturday. Flack, Jerry; Friedberg, Janet // Teaching Pre K-8;Mar96, Vol. 27 Issue 6, p44 Presents the Saturday visits of first graders at the University of Colorado at Colorado Spring for Super Saturday, an enrichment program for kids. Goal of Super Saturday; How young people begin to think of the campus as their university; Categories of the courses; Thinking skills, visual arts... ...
connection.ebscohost.com/c/articles/9502235020/project-excel-challenges-victories-future-through-institutionalization

*  Institutionalization of Authority and the Naming of Jesus | WipfandStock.com

Institutionalization of Authority and the Naming of Jesus [Yolanda Dreyer] is 20% off every day at WipfandStock.com. This book ...
wipfandstock.com/institutionalization-of-authority-and-the-naming-of-jesus.html

*  Schaffer E. Institutionalization of usability: a step-by-step guide :: ????????? ?????????? ?????????????? ???? ?????? ...

Institutionalization of usability: a step-by-step guide. ?? : Schaffer E. ???????? : At one time, computer hardware was the key ... Institutionalization of Usability shows how to make user-centered design and development a routine practice within an ...
lib.mexmat.ru/books/3923

*  A bill to increase alternatives to institutionalization for senior citizens. (1978; 95th Congress S. 3143) - GovTrack.us

"S. 3143 - 95th Congress: A bill to increase alternatives to institutionalization for senior citizens." www.GovTrack.us. 1978. ... 2017). S. 3143 - 95th Congress: A bill to increase alternatives to institutionalization for senior citizens. Retrieved from ... S. 3143 (95th): A bill to increase alternatives to institutionalization for senior citizens.. ...
https://govtrack.us/congress/bills/95/s3143

*  De-institutionalization and Community Living in Australia, Norway, Holland and Japan

... Hirano, Catharin and Boregren Matsui, ... De-institutionalization and Community Living in Australia, Norway, Holland and Japan}, year = {2009}, } ...
https://lup.lub.lu.se/search/publication/1622996

*  Regionalization and Institutionalization : Dimensions of Multi-level Party System Change in India - heiDOK

Regionalization and Institutionalization : Dimensions of Multi-level Party System Change in India ... In some regions of India, the phenomena of de-institutionalization and regionalization of politics are closely tied together, ... The dissertation analyzes two important aspects of party politics in India today, regionalization and institutionalization. ... parties disappear as fast as they arose and that independents are an important factor in party system non-institutionalization ...
archiv.ub.uni-heidelberg.de/volltextserver/10636/

*  Older persons with dementia at risk for institutionalization in eight European countries: a cross-sectional study on the...

Older persons with dementia at risk for institutionalization in eight European countries: a cross-sectional study on the ... Little is known about the perceptions of informal caregivers and healthcare professionals prior to institutionalization. ... Healthcare professionals reported why they clinically judged persons with dementia at risk for institutionalization. Informal ... Agreement between healthcare professionals and informal caregivers on potential reasons for institutionalization was low-to- ...
onlinelibrary.wiley.com/doi/10.1111/jan.12493/full

*  Institutionalization - Mevlüt Büyükhelvacıgil - %26 İndirim - Kitap > arkadas.com...

Institutionalization, Mevlüt Büyükhelvacıgil, %26 İndirim, Kitap
arkadas.com.tr/kitap/institutionalization/9786056155420

*  Institutionalization or wither away? : Twenty-five years of environmental policy integration under shifting governance models...

Institutionalization or wither away?: Twenty-five years of environmental policy integration under shifting governance models in ... the institutionalization of EPI appears to be stronger in the energy sector. In the agricultural sector, the current reform of ...
umu.diva-portal.org/smash/record.jsf?pid=diva2:872993

*  PPT - Technology Assessment(TA) in Japan: Experiences and Future Prospects for Institutionalization PowerPoint Presentation -...

Tatsujiro Suzuki, Go Yoshizawa, Hideaki Shiroyama I2TA (Innovation and Institutionalization of Technology Assessment in Japan) ... Technology Assessment(TA) in Japan: Experiences and Future Prospects for Institutionalization - PowerPoint PPT Presentation. ... Objective of the Project Prospects for Institutionalization *To review and analyze the past and current practice of technology ... Lessons/Experiences from Pilot TA Projects Prospects for Institutionalization *Agenda Setting is probably the most difficult ...
slideserve.com/venus/technology-assessment-ta-in-japan-experiences-and-future-prospects-for-institutionalization

*  Party system institutionalization and the quality of democracy in Eastern Europe

... CASAL BÉRTOA, Fernando ... Title: Party system institutionalization and the quality of democracy in Eastern Europe ...
cadmus.eui.eu/handle/1814/42327

*  British Library EThOS: From the 'Poor Brigade' to the 'Gesuati' : power and institutionalization in the medieval church 1350...

During this period, Poor Brigade underwent a process of 'institutionalization' at the hands of the Church hierarchy. One of the ... From the 'Poor Brigade' to the 'Gesuati' : power and institutionalization in the medieval church 1350-1470 ...
ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.634818

*  British Library EThOS: The dialectics of the sacred : institutionalization, power and transformation of Padre Pio's charisma at...

The dialectics of the sacred : institutionalization, power and transformation of Padre Pio's charisma at the shrine of Santa ...
ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.611668

Home of the future: The home of the future, similar to the office of the future, is a concept that has been popular to explore since the early 20th century, or perhaps earlier. There have been many exhibits, such as at World's Fairs and theme parks, purporting to show how future homes will look and work, as well as standalone model "homes of the future" sponsored by builders, developers, or technology companies.UNICEF Tap Project: The UNICEF Tap Project is a nationwide campaign that provides children in impoverished nations with access to safe, clean water. The campaign culminates during World Water Week, celebrating the United Nations’ World Water Day, March 22.Porter-Leath: Porter-Leath, formerly known as the Children's Bureau, is a non-profit organization based in Memphis, Tennessee that serves children and families in the area. Porter-Leath was founded in 1850 as an orphanage and has since grown to six program service areas.World Heart Federation: The World Heart Federation (WHF) is a nongovernmental organization based in Geneva, Switzerland. The World Heart Federation is committed to uniting its members and leads the global fight against heart disease and stroke, with a focus on low-and middle-income countries.Frailty syndrome: Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing, and it has been recognized for centuries.Fort Grey TB HospitalFrance–Niger relations: France–Niger relations refer to foreign relations between France and the Niger. Their relations are based on a long shared history and the more than sixty year rule of Niger by French colonial empire beginning with the French conquest in 1898.Hinduism in Romania: There is relatively little history of active practice of Hinduism in Romania, although many prominent Romanian thinkers have had an interest in Hindu thought, and since the Romanian Revolution of 1989 there have been some converts.Bristol Activities of Daily Living Scale: The Bristol Activities of Daily Living Scale (BADLS) is a 20-item questionnaire designed to measure the ability of someone with dementia to carry out daily activities such as dressing, preparing food and using transport.Involuntary commitment: Involuntary commitment or civil commitment is a legal process through which an individual with symptoms of severe mental illness is court-ordered into treatment in a psychiatric hospital (inpatient) or in the community (outpatient).Emergence deliriumFamilial British dementia: Familial British dementia is a form of dementia. It was first reported by Cecil Charles Worster-Drought in 1933 and is therefore also known as Worster-Drought syndrome.Meridian of Antwerp: The meridan of Antwerp is one of several prime meridians that have been used for geographic referencing. It is running through the city of Antwerp, in Flanders, Belgium, and forming the 0° longitude upon which some Belgian maps were based.Closed adoptionPostoperative cognitive dysfunction: Postoperative cognitive dysfunction (POCD) is a short-term decline in cognitive function (especially in memory and executive functions) that may last from a few days to a few weeks after surgery. In rare cases, this disorder may persist for several months after major surgery.British Geriatrics Society: The British Geriatrics Society (BGS) is the professional body of specialists in the health care of older people in the United Kingdom. Membership is drawn from doctors, nurses, allied health professionals, scientists and others practicing geriatric medicine and with a particular interest in the care of older people and the promotion of better health in old age.Age adjustment: In epidemiology and demography, age adjustment, also called age standardization, is a technique used to allow populations to be compared when the age profiles of the populations are quite different.List of kanji by stroke count: This Kanji index method groups together the kanji that are written with the same number of strokes. Currently, there are 2,186 individual kanji listed.Multiple disabilitiesAlzheimer's Disease Neuroimaging Initiative: Alzheimer’s Disease Neuroimaging Initiative (ADNI) is a worldwide project that provides reliable clinical data for the research of pathology principle, prevention and treatment of Alzheimer’s disease (AD). Multiple research groups contribute their findings of the biological markers to the understanding of the progression of Alzheimer’s disease in the human brain.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.Self-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.

(1/302) Outcomes of routine testing of liver enzymes in institutionalized geriatric patients.

This study sought to identify any benefit of routine liver function tests (LFTs) in chronically ill, geriatric patients and to assess which patients require evaluation for abnormal LFT levels. A retrospective chart review was carried out on 268 consecutive patients (M:F = 1.2, mean age 77 years, range 61-98 years) presenting for acute care from a long-term care facility. All were without jaundice, right upper quadrant pain, pruritus, bruising, or signs of chronic liver disease. The degree of LFT abnormality (aspartate aminotransferase, alanine aminotransferase, total bilirubin, or alkaline phosphatase) during admission was compared to the clinical diagnosis at the time of discharge. The most common diagnoses were pneumonia, urinary tract infection, and peripheral or coronary disease in 186 (60%). Thirty-seven patients (14%) had elevated LFT levels on admission. The levels normalized within 2 days in 26 of these patients, 25 of whom had a history of vascular disease (96%). Of the 11 remaining patients, 4 had coexistent vascular disease (36%), and 5 had LFT levels twice normal (none with vascular disease) and underwent abdominal ultrasound. One patient had a common bile duct stone successfully extracted. Enzyme abnormalities were due to hepatitis B or medication use in 10 of 11 patients. No patient had liver biopsy. All but one of the 268 patients were discharged without further evaluation. Over one year of follow up, no patient returned for a liver-related problem. Based on these findings, only those patients with LFT levels that are twice normal and which do not normalize within 2 days warrant further evaluation. Transient LFT abnormalities may be due to decreased liver perfusion.  (+info)

(2/302) Profile of disability in elderly people: estimates from a longitudinal population study.

OBJECTIVES: To provide estimates of the numbers of cognitively impaired and physically disabled elderly people in England and Wales, subdivided by a range of sociodemographic, dependency, care receipt, and survival variables, to support debates on the form and funding of health and welfare programmes. DESIGN: Interviews at baseline and 2 year follow up plus data on resource use extracted from records for those with disability. SUBJECTS: 10 377 people aged 65 years and over in Cambridgeshire, Newcastle, Nottingham, and Oxford. All estimates weighted to population of England and Wales in 1996. RESULTS: 11% of men and 19% of women aged 65 and over were disabled, totalling 1.3 million people; 38% of these were aged 85 or over and a similar percentage were cognitively impaired. Overall, more than 80% of elderly disabled people needed help on at least a daily basis. Over a third of people with limitations to daily activity living in private households were wholly or partly dependent on formal services for help. 63% of disabled elderly people used acute hospitals during the 2 year follow up, 43% as inpatients. 53% of those with cognitive impairment and limitations to daily activity were living in institutions. CONCLUSIONS: Very elderly people and those with cognitive impairment make up a large proportion of those in need of long term care. A large proportion of even the most disabled elderly people currently live outside institutions and depend on formal services as well as informal care givers. Disabled elderly people use acute hospitals extensively, underlining the interrelations between acute and long term care.  (+info)

(3/302) The prognosis of falls in elderly people living at home.

BACKGROUND: there are few longitudinal studies of the prognosis of falling at home. OBJECTIVE: to determine outcomes in older people who fall once and more than once. DESIGN: longitudinal prospective cohort study. SETTING: primary care in the UK. SUBJECTS: 1815 subjects over 75 who had a standardized and validated health check. METHOD: annual interviews over 4 years. Practice records were used to establish death and admission to institutions. RESULTS: risk of death was increased at 1 year [odds ratio (OR) 2.6, 95% confidence interval (CI) 1.4-4.7] and 3 years (OR 1.9, 95% CI 1.2-3.0) for recurrent fallers but not single fallers (OR 0.9, 95% CI 0.5-1.6 at 1 year; OR 0.97, 95% CI 0.7-1.4 at 3 years). Risk of admission to long-term care over 1 year was markedly increased both for single fallers (OR 3.8, 95% CI 1.8-8.3) and recurrent fallers (OR 4.5, 95% CI 1.7-12). Functional decline was not related to faller status, the latter being very variable from one year to the next. CONCLUSIONS: the stronger relationship between falling and admission to long-term care rather than mortality supports the hypothesis that the perceived risks for those who fall only once are exaggerated.  (+info)

(4/302) Residential status and risk of hip fracture.

OBJECTIVE: to examine the association between residential status and risk of hip fracture in older people. DESIGN: population-based case-control study. SETTING: Auckland, New Zealand. SUBJECTS: a random sample of all individuals > or = 60 years, hospitalized with a fracture of the proximal femur between July 1991 and February 1994. Controls were age and gender frequency-matched to the cases, randomly selected from a random sample of general practitioners. MAIN OUTCOME MEASURES: radiographically-confirmed fracture of the proximal femur. Fractures sustained as a result of major trauma, such as in a motor vehicle crash, and those associated with pre-existing pathological conditions were excluded. RESULTS: individuals living in institutions were almost four times more likely to sustain a hip fracture [age- and gender-adjusted odds ratio (OR)=3.8; 95% confidence interval (CI): 3.0-4.8] than those living in private homes. After adjustment for potential confounding factors, the risk of hip fracture associated with living in an institution remained significantly increased (P< 0.0001), although the magnitude of the risk was somewhat diminished (OR=2.2; 95% (CI: 1.5-3.5). CONCLUSIONS: living in an institution is associated with an increased risk of hip fracture in older people. Specific factors that place these individuals at increased risk need to be identified, in order to develop intervention strategies.  (+info)

(5/302) Validity and reliability of the Medical Outcomes Study Short Form-20 questionnaire as a measure of quality of life in elderly people living at home.

BACKGROUND: the Medical Outcomes Study Short Form-20 (SF-20) questionnaire is recommended for health-related quality of life research, but there is little information on its utility in older people. We assessed the validity, reliability and feasibility of using the SF-20 in an elderly community-dwelling population. METHODS: the SF-20 was administered to a stratified, random sample of 333 elderly subjects. FINDINGS: assessment of content validity revealed that important domains were lacking, while others appeared to be inappropriately combined. Using Spearman correlation coefficients, the SF-20 had acceptable convergent and discriminant validity. A principal components analysis provided evidence for internal consistency for some of the subscales. Evidence for test-retest reliability was good. INTERPRETATION: while the reliability and feasibility of the SF-20 appear satisfactory, concerns about validity and responsiveness should temper enthusiasm for its use with elderly people living at home.  (+info)

(6/302) Amoebiasis among institutionalized psychiatric patients in Taiwan.

Although information on amoebiasis among institutionalized psychiatric patients is available, reports on the relationship between behaviour and this infection are not abundant. From July 1995 to June 1996, stool and blood samples were collected from 565 patients in three psychiatric hospitals of North Taiwan. Stool samples were examined using the direct smear and formalin-ethyl acetate sedimentation techniques as well as ProSpecT Entamoeba histolytica Microplate Assay kit. Blood samples were examined by the Amebiasis Serology Microwell ELISA kit. Among these patients, 14 (2.5%) harboured one or two species of intestinal parasites. There were 6 (1.1%) E. histolytica/E. dispar cyst passers: 5 positive in stool ELISA test and 2 with antibodies against E. histolytica. Among demographic factors, type of psychiatric disorder and disability, only a significant sexual difference in seropositivity of E. histolytica was observed. These findings indicate that the infected patients acquired the infections before they entered the hospitals.  (+info)

(7/302) Multifaceted shared care intervention for late life depression in residential care: randomised controlled trial.

OBJECTIVE: To evaluate the effectiveness of a population based, multifaceted shared care intervention for late life depression in residential care. DESIGN: Randomised controlled trial, with control and intervention groups studied one after the other and blind follow up after 9.5 months. SETTING: Population of residential facility in Sydney living in self care units and hostels. PARTICIPANTS: 220 depressed residents aged >/=65 without severe cognitive impairment. INTERVENTION: The shared care intervention included: (a) multidisciplinary consultation and collaboration, (b) training of general practitioners and carers in detection and management of depression, and (c) depression related health education and activity programmes for residents. The control group received routine care. MAIN OUTCOME MEASURE: Geriatric depression scale. RESULTS: Intention to treat analysis was used. There was significantly more movement to "less depressed" levels of depression at follow up in the intervention than control group (Mantel-Haenszel stratification test, P=0.0125). Multiple linear regression analysis found a significant intervention effect after controlling for possible confounders, with the intervention group showing an average improvement of 1.87 points on the geriatric depression scale compared with the control group (95% confidence interval 0.76 to 2.97, P=0.0011). CONCLUSIONS: The outcome of depression among elderly people in residential care can be improved by multidisciplinary collaboration, by enhancing the clinical skills of general practitioners and care staff, and by providing depression related health education and activity programmes for residents.  (+info)

(8/302) Transmission of a multidrug-resistant Mycobacterium tuberculosis strain resembling "strain W" among noninstitutionalized, human immunodeficiency virus-seronegative patients.

Since 1990, several outbreaks of multidrug-resistant tuberculosis (MDR-TB) have been described among institutionalized patients infected with human immunodeficiency virus (HIV). We describe a community MDR-TB outbreak among HIV-seronegative patients in Cape Town, South Africa. Isolates were characterized by restriction fragment length polymorphism (RFLP) analysis and dot-blot hybridization analysis of mutations conferring resistance for isoniazid, rifampin, streptomycin, and ethambutol. All isolates were identical on RFLP analysis. In 2 patients, RFLP analysis showed exogenous reinfection during or after treatment for drug-susceptible TB. Mutation analysis confirmed the genotypic identity of the isolates. The infecting strain was genotypically related to strain W, which is responsible for the majority of MDR-TB outbreaks in New York City. Transmission of MDR-TB is thus not limited to HIV-seropositive patients in an institutional setting but occurs within a community.  (+info)



party


  • The dissertation analyzes two important aspects of party politics in India today, regionalization and institutionalization. (uni-heidelberg.de)
  • In some regions of India, the phenomena of de-institutionalization and regionalization of politics are closely tied together, while in others the regionalization of politics has by and large contributed to a new equilibrium of party competition which includes regional as well as national political forces. (uni-heidelberg.de)
  • This necessitates a more complex model of understanding party system change over time and across States in India which is more attuned to such regional variation, and which is aware of the fact that most parties disappear as fast as they arose and that independents are an important factor in party system non-institutionalization in some regions. (uni-heidelberg.de)

shows


  • Institutionalization of Usability shows how to make user-centered design and development a routine practice within an enterprise. (mexmat.ru)

Japan


  • To review and analyze the past and current practice of technology assessment(TA), and identify the barriers of institutionalization of TA in Japan. (slideserve.com)
  • To propose innovative approaches to, as well as techniques for, the TA that is appropriate for the 21st century and a recommendation for their institutionalization in Japan. (slideserve.com)

important


  • Healthcare professionals may have an important role in facilitating informal caregivers' decision-making regarding institutionalization. (wiley.com)