2,079 research outputs found
Ethnicity, socioeconomic status, and attainment of clinical practice guideline standards in dialysis patients in the United Kingdom
Background and objectives: the role of socioeconomic status (SES) and its contribution to ethnic differences in standards attainment among dialysis patients is not known.Design, setting, participants, & measurements: we examined associations between area- level SES (Townsend index) and ethnicity (white, black, South Asian) and standards attainment in 14,117 incident dialysis patients (1997–2004) in the UK.Results: deprived patients were less likely to achieve hemoglobin (Hb) ? 10g/dl (trend P < 0.001) but not after controlling for patient and center characteristics (trend P = 0.1). There was no association with hemodialysis dose and parathyroid hormone (PTH) standard but deprived patients had better attainment of phosphate (PO4) <5.6 mg/dl, calcium (Ca) and Calcium-phosphate (CaPO4) standard (e.g., most deprived versus least deprived adjusted odds ratio [OR] 1.25, 95% confidence intervals [CI] 1.12, 1.38). There was no association with SES using a lower limit for PO4 (3.5 – 5.5 mg/dl). Compared with Whites, Blacks had lower attainment of Hb (adjusted OR 0.57, 95% CI 0.45, 0.71) and PTH standards (adjusted OR 0.27, 95% CI 0.22, 0.33) but better attainment of PO4 and CaPO4, while South Asians experienced better or comparable outcomes for most standards except Ca and PTH.Conclusions: there was no evidence of socioeconomic inequity in standards attainment or a consistent pattern of inequity by ethnic group. The lower attainment of some standards in ethnic minorities may reflect biologic differences rather than ethnicity-related inequity of car
Visit by His Excellency Mr Yoav Ben Tzur, Minister of Labor, Israel
Visit by His Excellency Mr Yoav Ben Tzur, Minister of Labor, Israe
Hyperproperty-Preserving Register Specifications
Reasoning about hyperproperties of concurrent implementations, such as the guarantees these implementations provide to randomized client programs, has been a long-standing challenge. Standard linearizability enables the use of atomic specifications for reasoning about standard properties, but not about hyperproperties. A stronger correctness criterion, called strong linearizability, enables such reasoning, but is rarely achievable, leaving various useful implementations with no means for reasoning about their hyperproperties. In this paper, we focus on registers and devise non-atomic specifications that capture a wide-range of well-studied register implementations and enable reasoning about their hyperproperties. First, we consider the class of write strong-linearizable implementations, a recently proposed useful weakening of strong linearizability, which allows more implementations, such as the well-studied single-writer ABD distributed implementation. We introduce a simple shared-memory register specification that can be used for reasoning about hyperproperties of programs that use write strongly-linearizable implementations. Second, we introduce a new linearizability class, which we call decisive linearizability, that is weaker than write strong-linearizability and includes multi-writer ABD, and develop a second shared-memory register specification for reasoning about hyperproperties of programs that use register implementations of this class. These results shed light on the hyperproperties guaranteed when simulating shared memory in a crash-resilient message-passing system
Supplementary_material_v2 - Trends in multimorbidity, complex multimorbidity and multiple functional limitations in the ageing population of England, 2002–2015
Supplementary_material_v2 for Trends in multimorbidity, complex multimorbidity and multiple functional limitations in the ageing population of England, 2002–2015 by Leo Singer, Mark Green, Francisco Rowe, Yoav Ben-Shlomo, Hill Kulu and Karyn Morrissey in Journal of Comorbidity</p
Supplemental Material - Interrupted time series evaluation of the impact of a dementia wellbeing service on avoidable hospital admissions for people with dementia in Bristol, England
Supplemental Material for Interrupted time series evaluation of the impact of a dementia wellbeing service on avoidable hospital admissions for people with dementia in Bristol, England by Tim Jones, Maria Theresa Redaniel and Yoav Ben-Shlomo in Journal of Health Services Research & Policy</p
The 'centre effect' in nephrology: What do differences between nephrology centres tell us about clinical performance in patient management?
Improving the quality of care provided by nephrology centres to patients with kidney disease requires a clear understanding of how to compare performance after adjustment for case mix, combined with a detailed understanding of the structure and processes that are associated with the achievement of good clinical results. In this review, we discuss how to measure quality of care (using process or outcome measures), how to take case mix into account, how best to display comparisons between nephrology centres, and how to study the causes of real variations in quality between centres. This is a narrative review; we include examples from other fields in which the centre effect has been studied, including education. <br/
Data for: Varves in the Dead Sea sedimentary record
XRF intensity measurements of selected exemplary laminated sediments blocks of the Dead Sea sedimentary record
How likely are older people to take up different falls prevention activities?
Objective: To determine the extent to which older people are willing to engage in different falls preventionactivities, and how this may vary in different sectors of the older population.Methods: A survey sent to patients aged over 54 in ten general practices in the Southampton, Bristol andManchester areas of the UK in 2006 yielded 5,440 respondents. The survey assessed willingness to attendclasses of strength and balance training (SBT), carry out SBT at home, or accept support to reduce homehazards. Participants were asked their gender, age, education, home tenure, ethnic group, and how often theyhad fallen during the past year.Results. Over 60% of the sample would consider doing SBT at home and 36.4% said they would definitelydo SBT at home. Only 22.6% would definitely attend group sessions and 41.1% would definitely not attend.Older age, recent falls and lower socioeconomic status were associated with a greater willingness to carry outSBT at home (but not in classes) and accept help with home hazards.Conclusions: Health promotion programmes should give prominence to home-based performance of SBTas a method of encouraging the entire older population to engage in falls prevention, including those mostin need.<br/
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