Scope and Severity Index: A Metric for Quantifying Nursing Home Survey Deficiency Number, Scope, and Severity Adjusted for the State-Related Measurement Bias

2012 ◽  
Vol 13 (2) ◽  
pp. 188.e7-188.e12 ◽  
Author(s):  
Evgeniya Antonova ◽  
David Zimmerman
Keyword(s):  
Nursing Home ◽  
Severity Index ◽  
The State ◽  
Measurement Bias

Spatial and temporal characteristics of wildfires in Mississippi, USA

2010 ◽  
Vol 19 (1) ◽  
pp. 14 ◽  
Author(s):  
Katarzyna Grala ◽  
William H. Cooke
Keyword(s):  
Palmer Drought Severity Index ◽  
Severity Index ◽  
The State ◽  
Anthropogenic Factors ◽  
Burned Area ◽  
Drought Severity ◽  
Temporal Characteristics ◽  
Wildfire Occurrence ◽  
Spatial And Temporal Characteristics ◽  
Drought Severity Index

Forests constitute a large percentage of the total land area in Mississippi and are a vital element of the state economy. Although wildfire occurrences have been considerably reduced since the 1920s, there are still ~4000 wildfires each year in Mississippi burning over 24 000 ha (60 000 acres). This study focusses on recent history and various characteristics of Mississippi wildfires to provide better understanding of spatial and temporal characteristics of wildfires in the state. Geographic information systems and Mississippi Forestry Commission wildfire occurrence data were used to examine relationships between climatic and anthropogenic factors, the incidence, burned area, wildfire cause, and socioeconomic factors. The analysis indicated that wildfires are more frequent in southern Mississippi, in counties covered mostly by pine forest, and are most prominent in the winter–spring season. Proximity to roads and cities were two anthropogenic factors that had the most statistically significant correlation with wildfire occurrence and size. In addition, the validity of the Palmer Drought Severity Index as a measure of fire activity was tested for climatic districts in Mississippi. Analysis indicated that drought influences fire numbers and size during summer and fall (autumn). The strongest relationship between the Palmer Drought Severity Index and burned area was found for the southern climatic districts for the summer–fall season.

The State of Nursing Home Information Technology Sophistication in Rural and Nonrural US Markets

2016 ◽  
Vol 33 (3) ◽  
pp. 266-274 ◽  
Author(s):  
Gregory L. Alexander ◽  
Richard W. Madsen ◽  
Erin L. Miller ◽  
Douglas S. Wakefield ◽  
Keely K. Wise ◽  
...  
Keyword(s):  
Information Technology ◽  
Nursing Home ◽  
The State

Development of Severity Index for Nursing Home Pneumonia

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 257A
Author(s):  
Jae Ho Chung ◽  
Chang Hoon Han
Keyword(s):  
Nursing Home ◽  
Severity Index

scholarly journals GAMBARAN RONGGA MULUT PADA LANSIA PEMAKAI GIGI TIRUAN SEBAGIAN LEPASAN DI PANTI WERDA KABUPATEN

e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Fransisca F. Watuna ◽  
Mona P. Wowor ◽  
Krista V. Siagian
Keyword(s):  
Nursing Home ◽  
Oral Cavity ◽  
Soft Tissues ◽  
The Elderly ◽  
Gingival Recession ◽  
The State ◽  
Cross Sectional ◽  
Denture Stomatitis ◽  
Artificial Teeth ◽  
Elderly Users

Abstract: Removable partial dentures can be an alternative treatment for tooth loss in the elderly. Users of removable partial dentures without good treatment can cause a variety of changes to the conditions of hard tissue and soft tissues of the oral cavity which is the first driveway for human digestive system. In addition, the use of removable partial dentures in the elderly are particularly susceptible to the occurrence of disorders of the oral cavity. The purpose of this study is to provide a picture of the oral cavity in elderly users of removable partial dentures in elderly nursing home in Minahasa. This is a descriptive cross sectional study. This study used a total sampling method, with respondents is a 30 elderly users of removable partial dentures in elderly nursing home in Minahasa. The results showed that the presence of ulcers as a result of artificial teeth in the upper jaw 66.67%, ulcers due to artificial teeth on the lower jaw 50%, 30% gingival redness, swelling of the gingiva 30%, 36.67% gingival bleeding, gingival recession at 46, 67%, 50% Denture stomatitis, angular celulitis 46.67%, Plaque 43.33%, 56.66% calculus, caries 93.33%. The research shows elderly users of removable partial dentures in elderly nursing home in Minahasa have a conditions change for hard and soft tissues of the oral cavity. Suggested the elderly to pay more attention to health and hygiene denture for more vigorous control the state of the denture and the state of the oral cavity in dentistry.Keywords: oral cavity condition, elderly, dental removable partial denturesAbstrak: Gigi tiruan sebagian lepasan dapat menjadi salah satu alternatif perawatan terhadap kehilangan gigi pada lansia. Pengguna gigi tiruan sebagian lepasan tanpa perawatan yang baik dapat menyebabkan berbagai perubahan terhadap kondisi jaringan keras dan jaringan lunak pada rongga mulut yang merupakan jalan masuk pertama sistem pencernaan manusia. Disamping itu, pemakaian gigi tiruan sebagian lepasan pada lansia sangat rentan terhadap kejadian kelainan – kelainan pada rongga mulut. Tujuan dari penelitian ini yaitu untuk memberikan gambaran keadaan rongga mulut pada lansia pemakai gigi tiruan sebagian lepasan di panti werda Kabupaten Minahasa. Penelitian ini merupakan penelitian deskriptif cross sectional. Penelitian ini menggunakan metode total sampling, dengan responden sebanyak 30 orang lansia pemakai gigi tiruan sebagian lepasan yang ada di panti werdha Kabupaten Minahasa. hasil penelitian menunjukan bahwa adanya Ulser akibat gigi tiruan pada rahang atas 66,67%, Ulser akibat gigi tiruan pada rahang bawah 50%, Kemerahan gingiva 30%, pembengkakan gingiva 30%, pendarahan pada gingiva 36,67%, Resesi pada gingiva 46,67%, Denture stomatitis 50%, angular celulitis 46,67%, Plak 43,33%, Kalkulus 56,66%, karies 93.33%, Kegoyangan 23,33%. Hasil penelitian menunjukan lansia pengguna gigi tiruan sebagian lepasan di panti werda Kabupaten Minahasa mengalami perubahan kondisi jaringan keras dan jaringan lunak pada rongga mulut. Disarankan para lansia untuk lebih memperhatikan kesehatan dan kebersihan gigi tiruan untuk lebih giat mengontrol keadaan gigi tiruan dan keadaan rongga mulut di dokter gigi.Kata Kunci: kondisi rongga mulut, lansia, gigi tiruan sebagian lepasan

scholarly journals Predictors of Mortality for Nursing Home-Acquired Pneumonia: A Systematic Review

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Naveen Dhawan ◽  
Naushira Pandya ◽  
Michael Khalili ◽  
Manuel Bautista ◽  
Anurag Duggal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Home ◽  
Pneumonia Severity Index ◽  
Final Analysis ◽  
Severity Index ◽  
Prognostic Indicator ◽  
Current Evidence ◽  
Reactive Protein ◽  
Weak Evidence ◽  
Combination Scheme

Background. Current risk stratification tools, primarily used for CAP, are suboptimal in predicting nursing home acquired pneumonia (NHAP) outcome and mortality. We conducted a systematic review to evaluate current evidence on the usefulness of proposed predictors of NHAP mortality.Methods. PubMed (MEDLINE), EMBASE, and CINAHL databases were searched for articles published in English between January 1978 and January 2014. The literature search elicited a total of 666 references; 580 were excluded and 20 articles met the inclusion criteria for the final analysis.Results. More studies supported the Pneumonia Severity Index (PSI) as a superior predictor of NHAP severity. Fewer studies suggested CURB-65 and SOAR (especially for the need of ICU care) as useful predictors for NHAP mortality. There is weak evidence for biomarkers like C-reactive protein and copeptin as prognostic tools.Conclusion. The evidence supports the use of PSI as the best available indicator while CURB-65 may be an alternative prognostic indicator for NHAP mortality. Overall, due to the paucity of information, biomarkers may not be as effective in this role. Larger prospective studies are needed to establish the most effective predictor(s) or combination scheme to help clinicians in decision-making related to NHAP mortality.

scholarly journals Informing Policy from Prices: An Overview of California Nursing Homes

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Karen El Hajj
Keyword(s):  
Regression Analysis ◽  
Nursing Home ◽  
Nursing Homes ◽  
The United States ◽  
The State ◽  
Health Policies ◽  
For Profit ◽  
Home Prices ◽  
The Us ◽  
Occupancy Rates

Introduction: The rising cost of healthcare along with the aging demographic requires the attention of policy makers. The United States’ nursing home industry is costly to older adults, requiring many to resort to government funded Medicare to offset these costs. This study aims to understand determinants of nursing home prices in the state of California. Variables included in the analysis are selected based on previous literature on the costs of nursing homes in the US. Methods: The data were analyzed using a multi-variable regression analysis. The analysis sample included 1,121 nursing homes across California, using facility level and governmental data that is publically available for the years of 2016-2017. Data collected included financial indicators (net income), ownership (for-profit, non-profit) represented as a dummy variable, occupancy rates, reimbursement rates (Medicare & Medicaid), staffing, quality and competition variables such as nursing homes per county. Results: The regression analysis indicated that ownership type (for-profit), competition and occupancy rates have a negative significant effect on nursing home prices. Whereas, reimbursement rates of both Medicare and Medicaid, home income and staffing levels have a positive significant effect, driving further nursing home prices. Conclusion: The study aimed to understand the relevant variables that influence nursing home prices in the state of Califronia. The regression analysis yielded significant results for various factors including reimbursement rates, occupancy rates and the number of nursing homes per county. However, a notable limitation to the study is the inability to generalize these factors to the rest of the US due to state specific health policies. Determinants such as reimbursement rates and nursing homes per county vary by governmental decisions, therefore, a comprehensive policy tool could be designed to alter nursing home costs through state health policies.

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