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52 records · Page 3Linked to original sources
PubMed2002

Mini-Mental State Examination, cognitive FIM instrument, and the Loewenstein Occupational Therapy Cognitive Assessment: relation to functional outcome of stroke patients.

OBJECTIVES: To compare 3 cognitive tests, used on admission, for predicting discharge functional outcome and to assess the efficacy of these tests in predicting functional outcome at discharge in stroke patients undergoing rehabilitation. DESIGN: Cohort study. SETTING: Geriatric rehabilitation department of a tertiary care hospital in Israel. PATIENTS: Sixty-six patients undergoing acute inpatient comprehensive rehabilitation after first clinical stroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASUREMENTS: Cognitive status was assessed with the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), the Mini-Mental State Examination (MMSE), and the cognitive subscale of the FIM instrument. The FIM motor subscale was used to assess functional outcome status. Functional gain was determined by the motor FIM gain (efficacy), and the relative (to potential) functional gain was determined by the Montebello Rehabilitation Factor Score. Efficiency was calculated by efficacy divided by the length of hospital stay. RESULTS: A significant increase in total FIM scores (34.8 points) occurred during rehabilitation mainly because of improvement in motor functioning (31.5 points). Significant improvement in global cognitive status was documented by all 3 tests. Intertest correlation coefficients ranged between.47 and.67. The LOTCA showed somewhat higher correlation coefficients with most of the parameters of functional motor outcomes. Correlation between the MMSE and FIM cognitive subscale and these outcome parameters were nearly identical. CONCLUSION: The LOTCA is slightly better than the MMSE and the FIM cognitive subscale in predicting functional status change after stroke rehabilitation but it is a time-consuming and exhausting instrument to use. The FIM cognitive subscale requires a better overall understanding of the patient's situation at time of administration and therefore is less convenient for the initial assessment. The similar correlation of all 3 tests with functional outcomes and the simplicity of administration of the MMSE suggests its use in the initial assessment of stroke patients.

Activities of Daily Living↗
PubMedDate not supplied

Changes in health risks among the participants in the United Auto Workers--General Motors LifeSteps Health Promotion Program.

PURPOSE: To examine health risk changes among participants of a multicomponent worksite health promotion program. DESIGN: A study using health risk changes among health risk appraisal (HRA) participants linked to program participation records. Baseline risk and participation in multiple programs were examined in relation to risk change in multivariate models. SETTING: Worksite health promotion programming sponsored by the United Auto Workers (UAW) and General Motors (GM). SUBJECTS: Active employees (12,984) who voluntarily participated in an HRA in each of two program years. INTERVENTION: The nationwide program was a mailed HRA and a 1-800 nurse line. A pilot program (implemented in two cities) added screening, wellness programs, a materials resource, and, for high risk participants, health coaching and vouchers for medical office visits. MEASURES: Using 13 selected health risk factors from the HRA, changes in overall health risks were measured as program outcomes in three ways: one-directional, net, and risk status change. RESULTS: A greater decrease in the number of health risks was observed with increased program participation. The decrease was significantly related to the number of baseline risk factors and eligibility for high risk programs. Associated with program participation, the number of people at low risk status increased from 70.1% to 71.3% at year 2 among nationwide participants and from 52.4% to 58.9% among pilot participants. CONCLUSIONS: Participation was associated with a significant impact on health risk. Baseline risk of participants and eligibility for high risk programs were necessary factors to control when measuring program effects on health risk changes.

Health Promotion↗
PubMed1994

[[Changes in marital status in Taiwan during the twentieth century]].

"This study describes...changes in marital status during [the twentieth] century, by analyzing each census result conducted during the time of Japanese occupation and after the war in Taiwan. Taking the age specific statistics, which include sex ratio, proportion...ever married, the widowed, and the divorced, as well as rates of divorce and remarriage, this study presents the marriage patterns in terms of formation, dissolution and reformation in Taiwan of this century." (SUMMARY IN ENG)

Age Factors↗
PubMed1984

Markov models of mobility.

The theoretical basis of a methodology that is designed for investigating population movements and can be used for economic planning purposes is outlined using Markovian models. "The object of analysis in these models is population change, which manifests itself in three main forms: natural changes, physical movement (migration), and mobility of a social or production type (shifts between branches or skill groups). These methods classify each person according to particular characteristics, which enable [the author] to break down the population into homogeneous nonintersecting groups."

Demography↗
PubMed1987

Patterns of household immigration into South Texas.

This article examines Mexican migration into South Texas in recent decades and focuses on changes in the characteristics of the migrants' households. An ethnographic approach is used in examining 56 permanent, immigrant households. "This article introduces a hypothesis for explaining the increase and permanency of household immigration." It is found that "immigration often leads to downward social mobility with respect to legal status of household members, type of employment, and property ownership. Of particular note is the transformation of the household from a single to a multiple worker unit, in response to agricultural labor demands and growing employment opportunities in the non-agricultural sector."

Agriculture↗
PubMedDate not supplied

[Migration and oil in Tabasco].

"At the beginning of the seventies, important economic investments aimed at developing and commercializing the newly discovered oilwells were made in the state of Tabasco [Mexico]. As a result of this, the distribution and the social growth of the population in this state changed. This paper analyses the general characteristics of these changes, particularly those related to migration.... Generally speaking, the most important migratory movements which took place in this state during the oil boom were from one municipality to another and not from other states to Tabasco, as was thought at first.... This paper also describes the direction of the migratory flows and provides information about the sex of the migrants and about their insertion within the sphere of employment." (SUMMARY IN ENG)

Americas↗
PubMed1989

[Fertility, employment, and migration. Differential fertility according to migration experience using census data].

Differential fertility in Italy by occupation is analyzed using census data. The author uses the own-children method to develop retrospective estimates of period fertility for women in 1976 and 1981. The occupational status categories used are "employed in the same sector, employed in a different sector, no longer employed, new employed, never employed. A strong relation appears between work status changes and fertility trends: the women who recently obtained a new job touch the lowest level of fertility, while those who left their job reach the highest level." The impact of migration and nuptiality is also considered. (SUMMARY IN ENG AND FRE)

Demography↗
PubMed1994

Human resources development and poverty alleviation: a study of 23 poor counties in China.

"In recent years, poverty has become a serious issue in the socioeconomic development of China. One of the most important features of poverty is 'poor population quality', a factor that also causes poverty. Human resources development (HRD) strategies have been used as a weapon against poverty in many developing countries; some have proven to be quite effective. This article, which researches the relationship between HRD indicators and poverty status, finds that enhancement of education levels, improvement of health status, the gaining of skills and experience, increasing time away from home and choosing suitable occupations, all can contribute greatly to the reduction and alleviation of poverty."

Asia↗
PubMed1988

Some peculiarities of the physiological validity of shift work schedules for the crews of floating oil drilling platforms.

Observations of the physiological status changes in the crews of floating oil drilling platforms during 7-day and 15-day shifts revealed that in subjects working the two shift schedules, the pattern of changes in the parameters of the central nervous system, circulation, muscle strength and endurance during the first 7 days corresponded to a physiological response to experienced challenge. In those working a 15-day schedule, the differences between the current and original status of the investigated physiological functions started to increase from day nine onwards, reaching a maximum on day fifteen. The alterations were most pronounced in subjects exposed predominantly to psychoemotional challenges during their labour. The evidence accumulated in the present study prompted the recommendation of a 7-day work-and-rest schedule as more reasonable physiologically for the crews of floating oil drilling platforms.

Adult↗