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https://www.readbyqxmd.com/read/29237034/long-term-care-provision-and-the-well-being-of-spousal-caregivers-an-analysis-of-138-european-regions
#1
Melanie Wagner, Martina Brandt
Objectives: The individual burden of caring for one's relatives not only depends on care characteristics but is also related to contextual factors. The objective of this study is to determine whether regional formal long-term care provision is linked to the well-being of spousal caregivers introducing the concept of "control" as central pathway to explain this link. Method: We applied multilevel analysis using data from the Survey of Health, Ageing and Retirement in Europe (SHARE) from over 29,000 Europeans and 1,800 spousal caregivers located in 138 regions in 11 countries to analyze the effects of regional contexts on caregiver well-being...
December 11, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29232761/profile-of-ethnicity-living-arrangements-and-loneliness-amongst-older-adults-in-aotearoa-new-zealand-a-national-cross-sectional-study
#2
Hamish A Jamieson, Helen M Gibson, Rebecca Abey-Nesbit, Annabel Ahuriri-Driscoll, Sally Keeling, Philip J Schluter
OBJECTIVE: To explore the patterns of living arrangements, ethnicity and loneliness amongst older adults (aged 65+ years) living at home. METHODS: National interRAI-HC (International Residential Assessment Instrument-Home Care) assessments conducted between 1 September 2012 and 31 January 2016 were analysed. Analysis focused on the associations between loneliness and both ethnic groups and living arrangements. RESULTS: There were 71 859 eligible participants, with average age 82...
December 12, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29232085/use-of-paid-and-unpaid-personal-help-by-medicare-beneficiaries-needing-long-term-services-and-supports
#3
Amber Willink, Karen Davis, John Mulcahy, Jennifer L Wolff
Issue: Older adults who reside in communities, as opposed to nursing homes or other residential institutions, are largely dependent on family and unpaid caregivers for assistance with daily activities, like preparing meals or laundry, and self-care tasks like bathing or dressing. For low-income older adults, assistance with such activities, also known as long-term services and supports (LTSS), can also come from Medicaid. These sources of support will be increasingly inadequate as the population ages...
November 1, 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29230382/light-rail-leads-to-more-walking-around-station-areas
#4
Ruizhu Huang, Anne V Moudon, Chuan Zhou, Orion T Stewart, Brian E Saelens
Areas around Light Rail Transit (LRT) stations offer ideal conditions for Transit-Oriented Development (TOD). Relatively dense, mixed-use neighborhoods can have positive impacts on mobility, health, and perceptions of neighborhood safety among nearby residents, primarily through walking activity for both transit and other purposes. To examine how station areas may attract new activity, this study analyzed changes in walking around station areas among people living close to an LRT station before and after the opening of a new transit system...
September 2017: Journal of Transport & Health
https://www.readbyqxmd.com/read/29228937/do-objective-neighbourhood-characteristics-relate-to-residents-preferences-for-certain-sports-locations-a-cross-sectional-study-using-a-discrete-choice-modelling-approach
#5
Ineke Deelen, Marijke Jansen, Nico J Dogterom, Carlijn B M Kamphuis, Dick Ettema
BACKGROUND: The number of sports facilities, sports clubs, or city parks in a residential neighbourhood may affect the likelihood that people participate in sports and their preferences for a certain sports location. This study aimed to assess whether objective physical and socio-spatial neighbourhood characteristics relate to sports participation and preferences for sports locations. METHODS: Data from Dutch adults (N = 1201) on sports participation, their most-used sports location, and socio-demographic characteristics were collected using an online survey...
December 11, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29226464/place-of-death-in-the-snowy-monaro-region-of-new-south-wales-a-study-of-residents-who-died-of-a-condition-amenable-to-palliative-care
#6
Suzanne Rainsford, Nicholas J Glasgow, Rod D MacLeod, Teresa Neeman, Christine B Phillips, Robert B Wiles
OBJECTIVE: To describe the place of death of residents in a rural region of New South Wales. DESIGN: Cross-sectional quantitative study using death data collected from local funeral directors (in person and websites), residential aged-care facilities, one multipurpose heath service and obituary notices in the local media (newspapers/radio). SETTING: Snowy Monaro region (NSW Australia). PARTICIPANTS: Residents, with advanced frailty or one of 10 conditions amenable to palliative care, who died between 1 February 2015 and 31 May 2016...
December 11, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29222222/inguinoscrotal-herniation-of-a-caecal-adenocarcinoma
#7
Sachin Krishan Sharma
An 84-year-old man with multiple comorbidities presented from a residential care home with a 1-month history of asthenia and moderate abdominal pain. On examination, he was found to have an irreducible right-sided inguinoscrotal hernia. Subsequent blood tests revealed a significant anaemia (haemoglobin 48 g/L), for which he was transfused. A CT scan of the abdomen and pelvis revealed a large caecal tumour, herniating through the right inguinal canal into the scrotum. The patient underwent an elective open right hemicolectomy with inguinal hernia defect repair, from which he recovered well...
December 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29218799/structural-factors-associated-with-methamphetamine-smoking-among-female-sex-workers-in-tijuana-mexico
#8
Erin E Conners, Tommi L Gaines, Steffanie A Strathdee, Carlos Magis-Rodriguez, Kimberly C Brouwer
INTRODUCTION AND AIMS: Smoking methamphetamine is associated with increased risk of HIV among female sex workers (FSW). The structural context of substance use is an important shaper of individual behaviour; however, structural determinants of methamphetamine use among FSWs are largely unknown. We identified individual, structural and neighbourhood factors associated with smoking methamphetamine among FSWs in the border city of Tijuana, Baja California, Mexico. DESIGN AND METHODS: A prospective cohort of 301 FSWs sampled from indoor and outdoor sex work venues throughout Tijuana participated in quantitative surveys on behaviours and mapping of home and work neighbourhoods across three visits...
December 7, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/29214851/weight-and-veterans-environments-study-waves-i-and-ii-rationale-methods-and-cohort-characteristics
#9
Shannon N Zenk, Elizabeth Tarlov, Lisa M Powell, Coady Wing, Stephen A Matthews, Sandy Slater, Howard S Gordon, Michael Berbaum, Marian L Fitzgibbon
PURPOSE: To present the rationale, methods, and cohort characteristics for 2 complementary "big data" studies of residential environment contributions to body weight, metabolic risk, and weight management program participation and effectiveness. DESIGN: Retrospective cohort. SETTING: Continental United States. PARTICIPANTS: A total of 3 261 115 veterans who received Department of Veterans Affairs (VA) health care in 2009 to 2014, including 169 910 weight management program participants and a propensity score-derived comparison group...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29207473/the-cost-effectiveness-of-lowering-permissible-noise-levels-around-u-s-airports
#10
Boshen Jiao, Zafar Zafari, Brian Will, Kai Ruggeri, Shukai Li, Peter Muennig
Aircraft noise increases the risk of cardiovascular diseases and mental illness. The allowable limit for sound in the vicinity of an airport is 65 decibels (dB) averaged over a 24-h 'day and night' period (DNL) in the United States. We evaluate the trade-off between the cost and the health benefits of changing the regulatory DNL level from 65 dB to 55 dB using a Markov model. The study used LaGuardia Airport (LGA) as a case study. In compliance with 55 dB allowable limit of aircraft noise, sound insulation would be required for residential homes within the 55 dB to 65 dB DNL...
December 2, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29206159/energy-management-in-smart-cities-based-on-internet-of-things-peak-demand-reduction-and-energy-savings
#11
Chinmaya Mahapatra, Akshaya Kumar Moharana, Victor C M Leung
Around the globe, innovation with integrating information and communication technologies (ICT) with physical infrastructure is a top priority for governments in pursuing smart, green living to improve energy efficiency, protect the environment, improve the quality of life, and bolster economy competitiveness. Cities today faces multifarious challenges, among which energy efficiency of homes and residential dwellings is a key requirement. Achieving it successfully with the help of intelligent sensors and contextual systems would help build smart cities of the future...
December 5, 2017: Sensors
https://www.readbyqxmd.com/read/29191927/associations-between-residential-proximity-to-traffic-and-vascular-disease-in-a-cardiac-catheterization-cohort
#12
Cavin K Ward-Caviness, William E Kraus, Colette Blach, Carol S Haynes, Elaine Dowdy, Marie Lynn Miranda, Robert Devlin, David Diaz-Sanchez, Wayne E Cascio, Shaibal Mukerjee, Casson Stallings, Luther A Smith, Simon G Gregory, Svati H Shah, Lucas M Neas, Elizabeth R Hauser
OBJECTIVE: Exposure to mobile source emissions is nearly ubiquitous in developed nations and is associated with multiple adverse health outcomes. There is an ongoing need to understand the specificity of traffic exposure associations with vascular outcomes, particularly in individuals with cardiovascular disease. APPROACH AND RESULTS: We performed a cross-sectional study using 2124 individuals residing in North Carolina, United States, who received a cardiac catheterization at the Duke University Medical Center...
November 30, 2017: Arteriosclerosis, Thrombosis, and Vascular Biology
https://www.readbyqxmd.com/read/29181893/developing-inclusive-residential-care-for-older-lesbian-gay-bisexual-and-trans-lgbt-people-an-evaluation-of-the-care-home-challenge-action-research-project
#13
Trish Hafford-Letchfield, Paul Simpson, Paul B Willis, Kathryn Almack
There have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not easy to operationalise. This paper describes an action research initiative where six care homes belonging to a national care provider, collaborated to assess and develop their services with the support of local LGBT "Community Advisors" and academic partners...
November 27, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29173512/from-home-to-home-mapping-the-caregiver-journey-in-the-transition-from-home-care-into-residential-care
#14
Taylor Hainstock, Denise Cloutier, Margaret Penning
Family caregivers play a pivotal role in supporting the functional independence and quality of life of older relatives, often taking on a wide variety of care-related activities over the course of their caregiving journey. These activities help family members to remain in the community and age-in-place for as long as possible. However, when needs exceed family capacities to provide care, the older family member may need to transition from one care environment to another (e.g., home care to nursing home care), or one level of care to another (from less intense to more intensive services)...
December 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/29170865/deciding-upon-transition-to-residential-care-for-persons-living-with-dementia-why-do-iranian-family-caregivers-living-in-sweden-cease-caregiving-at-home
#15
Mahin Kiwi, Lars-Christer Hydén, Eleonor Antelius
Previous research has shown how filial piety is strong among people of Iranian background and that traditional Iranian culture result in most families' preferring to care for their elderly (and sick) family members at home. While acknowledging this, this article highlights what living in diaspora could mean in terms of cultural adaption and changing family values. By interviewing people with Iranian background living in Sweden (n = 20), whom all have been former primary caregivers to a relative living with dementia, we are able to show how the decision to cease caregiving at home is taken, and what underlying factors form the basis for such decision...
November 23, 2017: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/29168779/factors-effecting-the-total-volatile-organic-compound-tvoc-concentrations-in-slovak-households
#16
Ľudmila Mečiarová, Silvia Vilčeková, Eva Krídlová Burdová, Jozef Kiselák
Thirty five Slovak households were selected for an investigation of indoor environmental quality. Measuring of indoor air physical and chemical factors and a questionnaire survey was performed during May 2017. The range of permissible operative temperature was not met in 11% of objects. Relative humidity met the legislative requirements in all monitored homes. Concentrations of total volatile organic compounds (TVOCs) were significantly higher in the apartments than in the family houses. The average TVOC levels in the apartments and family houses were 519...
November 23, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29168307/optimising-residential-respite-care-in-nursing-homes-current-problems-and-solutions-for-a-better-future
#17
Melissa Willoughby, Joseph Elias Ibrahim, Noha Ferrah, Lyndal Bugeja
AIM: To examine whether residential respite care increases the risk of harm to older people and suggest directions for future research and policy. BACKGROUND: Respite care is a vital part of the aged care system that supports dependent older people and their caregivers to continue residing in the community. There is little research determining whether an older person experiences harm from residential respite. METHODS: This commentary considered conceptual research and existing empirical evidence to determine whether the risk of death was greater during residential respite care for older people...
November 23, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29165140/comparison-between-air-pollution-concentrations-measured-at-the-nearest-monitoring-station-to-the-delivery-hospital-and-those-measured-at-stations-nearest-the-residential-postal-code-regions-of-pregnant-women-in-fukuoka
#18
Takehiro Michikawa, Seiichi Morokuma, Hiroshi Nitta, Kiyoko Kato, Shin Yamazaki
BACKGROUND: Numerous earlier studies examining the association of air pollution with maternal and foetal health estimated maternal exposure to air pollutants based on the women's residential addresses. However, residential addresses, which are personally identifiable information, are not always obtainable. Since a majority of pregnant women reside near their delivery hospitals, the concentrations of air pollutants at the respective delivery hospitals may be surrogate markers of pollutant exposure at home...
June 13, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29161944/a-structured-process-description-of-a-pragmatic-implementation-project-improving-integrated-care-for-older-persons-in-residential-care-homes
#19
Antonius J Poot, Claudia S de Waard, Annet W Wind, Monique A A Caljouw, Jacobijn Gussekloo
Evaluation of the implementation of integrated care can differ from trial-based research due to complexity. Therefore, we examined whether a theory-based method for process description of implementation can contribute to improvement of evidence-based care. MOVIT, a Dutch project aimed at implementing integrated care for older vulnerable persons in residential care homes, was used as a case study. The project activities were defined according to implementation taxonomy and mapped in a matrix of theoretical levels and domains...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/29161632/ambient-air-pollution-adipokines-and-glucose-homeostasis-the-framingham-heart-study
#20
Wenyuan Li, Kirsten S Dorans, Elissa H Wilker, Mary B Rice, Itai Kloog, Joel D Schwartz, Petros Koutrakis, Brent A Coull, Diane R Gold, James B Meigs, Caroline S Fox, Murray A Mittleman
OBJECTIVE: To examine associations of proximity to major roadways, sustained exposure to fine particulate matter (PM2.5), and acute exposure to ambient air pollutants with adipokines and measures of glucose homeostasis among participants living in the northeastern United States. METHODS: We included 5958 participants from the Framingham Offspring cohort examination cycle 7 (1998-2001) and 8 (2005-2008) and Third Generation cohort examination cycle 1 (2002-2005) and 2 (2008-2011), who did not have type 2 diabetes at the time of examination visit...
November 18, 2017: Environment International
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