325 research outputs found
User need and resource allocation in public long-term care. The use of disability and impairment instruments: Application on a large Norwegian municipality
Get PDFSummary:
In the coming decades, the European countries will witness great demographic changes.
Within the next 25 years, the number of people aged 80 years or older will double. The
elderly’s overall use of resources will increase considerably. Disability is the most
important cause of the amount of care needed. The overall aim of this thesis is to assess
the relationship between factors describing disability and impairment and the use of
long-term care services both in a nursing home setting and at home.
Since 2006, all Norwegian municipalities have been required to assess user needs using
a standardised national registration system (IPLOS) that contains variables describing
physical disability and cognitive impairment. This is the only instrument used across all
Norwegian municipalities. Here, we utilised the same variables as those used in the
national registration system and combined them with detailed time studies with
recipients in the municipality of Trondheim.
Our findings from study 3 show that the Norwegian instrument had difficulties in
differentiating the need of the least disabled elderly individuals. However, this is a wellknown
problem of disability instruments due to the trade-off between administrative
burden and an “ideal” instrument. Introducing new variables to close these gaps should
be considered.
In study 1, we found that the amount of individual care received depends on both
individual disability and differences between nursing homes. Approximately ¼ of
individual differences could be explained by differences between nursing homes.
Furthermore, we found that within a financial reimbursement model with no adjustment
for case-mix, the amount of care that patients receive depends not only on the patients’
own needs but also on the needs of all the other residents. Thus, if one lives with less
disabled patients, one receives more care than an individual who lives with more
heavily disabled patients.
In study 2, we found that home-dwelling elderly’s public use of care could largely be
explained by disability and cognitive impairment. IPLOS seems to explain use of public
care to the same extent as other indices. Those with comorbidity received 21 percent
more public care than others. Those living alone received more public care than those
living with others. Cohabiting women received approximately 30 percent less care than
those living alone, while cohabiting men received approximately 50 percent less care.
Furthermore, we found that behaviour is the most important predictor of the amount of
public care for intellectually disabled persons but that help in performing everyday
activities is also important for these persons, as it is for elderly individuals. Care from
relatives or other private care is complementary and does not affect the amount of
public care. Thus care from relatives or others act as a substitute for public care for
home-dwelling elderly while it is complementary to public care for intellectually
disabled persons.
The results from this study could be used in overall administrative planning of public
long-term care. The municipality of Trondheim has changed its reimbursement model
for nursing homes and home-dwelling elderly since these results were found.
Furthermore, the municipality is now changing its reimbursement system for
intellectually disabled persons according to the results of this study.Oppsummering (Norwegian summary):
Europeiske land står overfor store demografiske endringer. Antall eldre over 80 år vil
dobles i løpet av de neste 25 årene og sterkest vil veksten bli etter 2020. Samfunnets
ressursinnsats til eldre med hjelpebehov kommer til å øke kraftig. Vi vet videre at
funksjonsnivå er den viktigste predikatoren for eldre sitt hjelpebehov. Hovedmålet med
denne studien var å undersøke sammenhengen mellom individuelle variasjoner i
funksjonsnivå og offentlig ressursinnsats. Både for de som mottar heldøgns tjenester
som for eksempel sykehjemstjenester, og hjemmeboende som mottar punkthjelp.
I 2006 ble det innført et nasjonalt system i Norge (IPLOS) som innehar en
funksjonsevaluering. Instrumentet brukes i alle norske kommuner og for alle personer
som mottar offentlige pleie og omsorgstjenester. I denne studien har vi brukt de
funksjonsvariablene som brukes i IPLOS. Studien har sett på mottakere av tjenester i
Trondheim kommune.
Funnene fra studie 3 viser at det norske instrumentet har problemer med å predikere
forskjeller i hjelpebehov hos de friskeste eldre. Det må hele tiden gjøres avveininger
mellom ideell utforming og administrativ ressursbruk. Og de fleste instrumenter har
problemer med å predikere hjelpebehov langs deler av kontinuumet fra helt frisk til fult
hjelpebehov. Likevel er vurderingen at det norske systemet burde hatt flere variabler
som kunne bidratt til en bedre predikering av hjelpebehov hos de friskeste eldre.
I studie 1 fant vi at forskjeller i mengde hjelp den enkelte pasient mottar på sykehjem
kan forklares både ut fra individuelle forskjeller i funksjonsnivå og forskjeller mellom
sykehjem. Totalt kan ¼ av individuelle forskjeller forklares med ulik praksis mellom
sykehjemmene. Videre fant vi at i en situasjon hvor alle pasienter budsjetteres med
samme beløp så vil hjelpen den enkelte pasient mottar ikke bare avhenge av den enkelte
pasients funksjonsnivå, men også funksjonsnivå til alle andre pasienter på samme
sykehjem. Det vil si; bor du sammen med friskere pasienter så mottar du mer hjelp enn
dersom du bor sammen med sykere pasienter, gitt at du har samme funksjonsnivå i
begge tilfeller.
I studie 2 fant vi at offentlig ressursbruk til hjemmeboende eldre i stor grad kan
forklares med funksjonsnivå. Her ser IPLOS ut til å kunne forklare ressursbruk på lik
linje med andre brukte instrumenter. Videre fant vi at de med mer komplekse
sykdomsbilder (målt med comorbiditet) mottar 21 prosent mer offentlig hjelp enn andre.
Aleneboende eldre mottar mer offentlig hjelp enn de som bor sammen med noen.
Kvinner med samboere mottar omtrent 30 prosent mindre hjelp enn aleneboende, mens
menn med samboere mottar omtrent 50 prosent mindre hjelp enn aleneboende. Videre
fant vi at for personer med psykisk utviklingshemming er adferd den viktigste
predikatoren for offentlig ressursbruk, men hjelp til dagligdagse aktiviteter er også
viktig for denne gruppen. Hjelp fra pårørende eller andre bistandspersoner kommer i
tillegg til og ikke som erstatning for offentlig hjelp. Pårørende sin innsats slår dermed
ulikt ut i offentlig ressursbruk for eldre hjemmeboende enn for psykisk
utviklingshemmede.
Resultatene fra denne studien kan brukes i planlegging av tjenester til eldre og psykisk
utviklingshemmede personer. Trondheim kommune har etter denne studien endret sine
budsjetteringssystemer på sykehjem og for hjemmeboende eldre, og er i gang med å
endre sine budsjetteringssystemer for psykisk utviklingshemmede
Helge S. Kragh, Conceptions of Cosmos [Book Review]
No full textHelge S. Kragh, historian of science and prolific author of books (and a member of the editorial board
of this journal), has given us nothing less than a thorough history of cosmology, from biblical myths to
the present view of accelerated expansion. It’s a noble thing to try, and even if it isn’t always perfectly
accurate, Conceptions of Cosmos makes a real contribution to the literature
I remember life as an Estonian at Seabrook
No full textIn this "I remember" memoir, Helge Kangur recalls her Estonian upbringing at Seabrook. She realizes now how fortunate she was to grow up in such a diverse community. The Seabrook Educational and Cultural Center has been soliciting current and past residents of Seabrook Farms for an "I remember" project. Residents are asked to create narratives regarding their experiences at Seabrook Farms. These memories help preserve the history and multi-cultural heritage of Seabrook Farms
An intellectual-disability-associated mutation of the transcriptional regulator NACC1 impairs glutamatergic neurotransmission
Get PDFAdvances in genome sequencing technologies have favored the identification of rare de novo mutations linked to neurological disorders in humans. Recently, a de novo autosomal dominant mutation in NACC1 was identified (NM_052876.3: c.892C > T, NP_443108.1; p.Arg298Trp), associated with severe neurological symptoms including intellectual disability, microcephaly, and epilepsy. As NACC1 had never before been associated with neurological diseases, we investigated how this mutation might lead to altered brain function. We examined neurotransmission in autaptic glutamatergic mouse neurons expressing the murine homolog of the human mutant NACC1, i.e., Nacc1-R284W. We observed that expression of Nacc1-R284W impaired glutamatergic neurotransmission in a cell-autonomous manner, likely through a dominant negative mechanism. Furthermore, by screening for Nacc1 interaction targets in the brain, we identified SynGAP1, GluK2A, and several SUMO E3 ligases as novel Nacc1 interaction partners. At a biochemical level, Nacc1-R284W exhibited reduced binding to SynGAP1 and GluK2A, and also showed greatly increased SUMOylation. Ablating the SUMOylation of Nacc1-R284W partially restored its interaction with SynGAP1 but did not restore binding to GluK2A. Overall, these data indicate a role for Nacc1 in regulating glutamatergic neurotransmission, which is substantially impaired by the expression of a disease-associated Nacc1 mutant. This study provides the first functional insights into potential deficits in neuronal function in patients expressing the de novo mutant NACC1 protein
Renaissancen og middelalderen som periodiseringsbegreber:et essay
No full textThe essay discusses the traditional and the occasionally exaggerated use of periodisations in general historical studies. The terms 'the Middle Ages' and 'the Renaissance' have had very long and complicated histories of their own. Of the two terms "the Middle Ages", which was originally a pejorative expression, has appeared to be the strongest of the two, whereas the term 'the Renaissance' has had a much more chaotic history in historiography. During the last 150 years of historical writing and thinking it has gone from the highest success (due to Burchardt 1861) to the deepest downfall (around 1930). The author argues for the preservation of the term 'the Renaissance' for three reasons: (1) The period of the Renaissance coincides with the emergence of the modern, strong power state (from the 14th and 15th centuries onwards) in contrast to the medieval, decentralized, feudal political system, (2) the break-through of the secularisation of science, the humanities, culture and art (during the 15th and 16th centuries), and not in the least (3) the new consciousness of history (the here and now concept!), which arose in Italy in the 15th century, and which broke the millennial, traditional Christian explanation of the course of history
User need and resource allocation in public long-term care. The use of disability and impairment instruments: Application on a large Norwegian municipality
No full textSummary:
In the coming decades, the European countries will witness great demographic changes.
Within the next 25 years, the number of people aged 80 years or older will double. The
elderly’s overall use of resources will increase considerably. Disability is the most
important cause of the amount of care needed. The overall aim of this thesis is to assess
the relationship between factors describing disability and impairment and the use of
long-term care services both in a nursing home setting and at home.
Since 2006, all Norwegian municipalities have been required to assess user needs using
a standardised national registration system (IPLOS) that contains variables describing
physical disability and cognitive impairment. This is the only instrument used across all
Norwegian municipalities. Here, we utilised the same variables as those used in the
national registration system and combined them with detailed time studies with
recipients in the municipality of Trondheim.
Our findings from study 3 show that the Norwegian instrument had difficulties in
differentiating the need of the least disabled elderly individuals. However, this is a wellknown
problem of disability instruments due to the trade-off between administrative
burden and an “ideal” instrument. Introducing new variables to close these gaps should
be considered.
In study 1, we found that the amount of individual care received depends on both
individual disability and differences between nursing homes. Approximately ¼ of
individual differences could be explained by differences between nursing homes.
Furthermore, we found that within a financial reimbursement model with no adjustment
for case-mix, the amount of care that patients receive depends not only on the patients’
own needs but also on the needs of all the other residents. Thus, if one lives with less
disabled patients, one receives more care than an individual who lives with more
heavily disabled patients.
In study 2, we found that home-dwelling elderly’s public use of care could largely be
explained by disability and cognitive impairment. IPLOS seems to explain use of public
care to the same extent as other indices. Those with comorbidity received 21 percent
more public care than others. Those living alone received more public care than those
living with others. Cohabiting women received approximately 30 percent less care than
those living alone, while cohabiting men received approximately 50 percent less care.
Furthermore, we found that behaviour is the most important predictor of the amount of
public care for intellectually disabled persons but that help in performing everyday
activities is also important for these persons, as it is for elderly individuals. Care from
relatives or other private care is complementary and does not affect the amount of
public care. Thus care from relatives or others act as a substitute for public care for
home-dwelling elderly while it is complementary to public care for intellectually
disabled persons.
The results from this study could be used in overall administrative planning of public
long-term care. The municipality of Trondheim has changed its reimbursement model
for nursing homes and home-dwelling elderly since these results were found.
Furthermore, the municipality is now changing its reimbursement system for
intellectually disabled persons according to the results of this study
Fitness-AQA Dataset
No full textLargest Fine-grained Exercise Action Quality Assessment Dataset.
Dataset available from the following webpage: https://github.com/ParitoshParmar/Fitness-AQA.
If you find our work useful, please consider citing our ECCV 2022 conference paper that can be found at:
https://link.springer.com/chapter/10.1007/978-3-031-19839-7_7
or
https://arxiv.org/abs/2202.14019
Bibtex file:
@article{parmar2022domain,
title={Domain Knowledge-Informed Self-Supervised Representations for Workout Form Assessment},
author={Parmar, Paritosh and Gharat, Amol and Rhodin, Helge},
journal={arXiv preprint arXiv:2202.14019},
year={2022}
}Only available for non-commercial purposes. Users agree to terms and conditions of usage
Kirsti Aasen: Alle mine kilder
Get PDFKirsti Aasen: A ll M y Springs. Gyldendal Norsk Forlag, Oslo 1986.Reviewed by Helge Baden NielsenThe title of the book are the first words of one of Grundtvig’s hymns. The reviewer sees this essay collection by a Norwegian woman minister first and foremost as an expression of the new interest in Grundtvig in Norway, as was proved by the establishment in 1983 of a special Norwegian branch of the Grundtvig Society. According to Kirsti Aasen this takes its origin in the liberation, under Grundtvig’s inspiration, from the pietistic view of Christianity in Norway. In her own case she discovered that Christianity could easily be combined with love of the Norwegian countryside and the life of the people. The author was born in .sterdalen, studied theology at Oslo University, and is now rector of a parish in Oslo
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The Rise and Development of Contemporary European Big Band Writing: An Analysis of Composers Peter Herbolzheimer, George Gruntz, Kenny Wheeler, Helge Sunde, and Florian Ross
No full textIt has been argued that a distinctive European big band sound began to emerge in the second half of the 20th century and has continued to develop over the following decades. As of this writing, however, only one book – in German – attempts to address the idea of a contemporary European big band approach, and no known publications are extant in the English language that specifically analyze works solely of contemporary European big band composers. With this in mind, this essay explores the music, compositions, and arranging styles of the following influential contemporary European composers: Peter Herbolzheimer, George Gruntz, Kenny Wheeler, Helge Sunde, and Florian Ross. The author identifies specific techniques, compositional trends, and influences that make these writers unique to the European continent. These findings are then applied in the creation of three extended jazz compositions totaling approximately 35 minutes in length and the author enumerates how these techniques and concepts were incorporated.</p
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