Impact of Pulmonary Rehabilitation Services in Patients with Different Lung Diseases

Background: the effect of pulmonary rehabilitation (PR) services, beyond research contexts, on patients with lung diseases other than COPD requires further study. Objectives: to (i) assess the impact of a publicly funded PR on patients’ exercise capacity, self-efficacy, and health-related quality of life (HRQoL), and (ii) explore whether the effects vary across lung diseases. Methods: this retrospective pre–post study analyzed data from the Winnipeg Regional Health Authority PR program between 2016 and 2019. Results: 682 patients completed the full PR program. Pooled analyses found significant improvements in the patients’ exercise capacity (six-minute walk test (6MWT) (13.6%), fatigue (10.3%), and dyspnea (6.4%)), Self-Efficacy for Managing Chronic Disease 6-Item Scale (SEMCD6) (11.6%), and HRQoL (Clinical COPD Questionnaire (CCQ) (18.5%) and St George’s Respiratory Questionnaire (SGRQ) (10.9%)). The analyses conducted on sub-groups of patients with chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis, interstitial lung diseases (ILDs), other restrictive lung diseases (e.g., obesity, pleural effusion, etc.), lung cancer, and pulmonary hypertension (PH) indicated that, except for patients with PH, all the patients improved in the 6MWT. Fatigue decreased in patients with COPD, ILDs, and other restrictive lung diseases. Dyspnea decreased in patients with COPD, asthma, and lung cancer. SEMCD6 scores increased in COPD, ILDs and PH patients. CCQ scores decreased in all lung diseases, except lung cancer and PH. SGRQ scores only decreased in patients with COPD. Conclusion: PR services had a significant impact on patients with different lung diseases. Therefore, publicly funded PR should be available as a critical component in the management of patients with these diseases.

The Perceived Value of a Universal Early Learning Program: A Parent Perspective

Pan-Canadian efforts to support universal access to quality early childhood education and care (ECEC) for families are underway. Focusing on a universally available ECEC program in Nova Scotia, this study explored the impact of the perceived value of this publicly funded ECEC program on parental decisions for enrollment. A thematic analysis of data from focus groups and interviews (n = 42 families represented) from two separate, but related studies, revealed themes (Ease of access, Communication, Supporting familiarity with school and Early learning) which provide insight on the value that parents place on a universal ECEC program and may help to inform other jurisdictions.

Nationwide data on home care and care home residence: presentation of the Swedish Social Service Register, its content and coverage

Aims: All Swedish municipalities are legally obliged to provide publicly funded elder care to individuals in need. The Swedish Social Service Register collects data on such care. It is the only nationwide source of information on care home residency and use of home care but has rarely been used for research. This study aims to present the content and coverage of the Social Service Register and to provide guidance for researchers planning to use these data. Methods: For each month between 2013 and 2020, we examined which of Sweden’s 290 municipalities reported data to the Social Service Register. We calculated proportions of the population (restricted to ages 80–89 years to enable comparison) that were reported to the Social Service Register in each municipality and presented the types and amount of care recorded in the register. Results: The proportion of municipalities reporting to the Social Service Register increased from 82% to 98% during the study period but several municipalities reported fragmentarily and inconsistently, particularly during earlier years. Among municipalities reporting to the Social Service Register, 9% of the population aged 80–89 years resided in care homes and 19% received home care, but the registered amount and types of care varied substantially between municipalities and over time. Conclusions: The Swedish Social Service Register provides valuable data for research on aging and elder care utilisation, but data should be selected and vetted carefully, especially for earlier years. The amount and types of care may not always be comparable between geographical regions and different time periods. In recent years, however, the coverage of the Social Service Register is good.

All-inclusive LSP dictionaries and the Slovene–English Dictionary of Tourism

The chapter analyses some of the features of TURS, the Slovene LSP Dictionary of Tourism (Mikolič et al., 2011) against the terminographic guidelines from Slovene and international literature, and proposes improvements for its future updates. Arguments are based on the concept of the so-called all-inclusive dictionary (Fuertes-Olivera, 2011), which caters for a wide range of user groups and needs; the chapter argues it is necessary nowadays for all publicly-funded terminographic projects to be implemented applying the all-inclusive principle. This is because online terminological sources are widely available, and, thus, used by all user categories (hence dictionaries should cater to all of them). The chief focus of this chapter is the treatment of homonyms in TURS, particularly in relation to the implications that has for its bilingual aspect (the latter often being neglected in Slovene terminography).

Systematic synthesis and multi-criteria evaluation of transmission topologies for electric vehicles

The focus on the expansion of the electrification of vehicles becomes stronger. Thus, the development process of powertrains of those cars needs to be more dynamic to react to the new challenges. One way to accelerate the development is to automate predevelopment and evaluation at an early stage. An automated method to synthesize transmission topologies and pre-design gears for the generated topologies for electric vehicles is presented within this paper. The method contains two internal evaluations—one after the topology synthesis and the second after the initial design of the gears. The results of the method are gear ratios and gear data for the single transmission steps of each topology. The inputs and boundary conditions can be easily changed and fitted to specific requirements for all use-cases. Here, the process is explained, and the methods' results are validated using state-of-the-art passenger vehicle transmission. As for electric trucks, no state-of-the-art electric powertrains exist; the method is subsequently applied to find topologies for a heavy-duty truck. Extracts of the results are presented. The application for trucks is carried out within the publicly funded research project “Concept ELV2”. In general, the method is capable of synthesizing transmissions for any given vehicle and motor combination.

Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

Objective. To examine the associations between patient struggles, health, and weight management changes during the COVID-19 pandemic. Methods. 585 patients attending a publicly funded clinical weight management program responded to an electronic survey. Results. Over half of the patients reported worsened overall health, mental health, physical activity, or diet during the pandemic. Approximately 30% of patients lost ≥3% of their body weight and 21% gained ≥3% of their body weight between March and July of the pandemic. Reports of social isolation was associated with increased odds for weight loss in women (OR = 2.0, 1.2–3.3), while low motivation (OR = 1.9, 1.0–3.7), depression (OR = 2.5, 1.0–6.3), and struggles with carbohydrate intake (OR = 2.1, 1.0–4.3) were associated with weight gain. Cooking more at home/eating less take out was associated with increased likelihood of weight loss (OR = 2.1, 1.1–3.9) and lower odds for weight gain (OR = 0.2, 0.1 to 0.97). Working from home was not associated with weight loss or weight gain ( P > 0.6 ). Conclusion. The COVID-19 pandemic is associated with certain factors that may facilitate weight loss and other factors that promote weight gain. Thus, depending on the patient experience during the pandemic, prevention of weight gain may be more appropriate than weight loss.