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Profile of elderly fallers presenting to accident and emergency department and its implications to health care planning for the elderly.January 2009 (has links)
Yeung, Pui Yee. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves 131-145). / Abstract and some appendixes also in Chinese. / ABSTRACT --- p.i / ABSTRACT (in Chinese) --- p.iii / DECLARATION OF ORIGINALITY --- p.iv / ACKNOWLEDGEMENTS --- p.v / RESEARCH-RELATED PRESENTATIONS AND AWARD --- p.vi / TABLE OF CONTENTS --- p.vii / LIST OF ABBREVIATIONS --- p.xi / LIST OF FIGURES --- p.xii / LIST OF TABLES --- p.xiii / Chapter CHAPTER 1 --- INTRODUCTION --- p.1 / Chapter CHAPTER 2 --- LITERATURE REVIEW --- p.3 / Chapter 2.1 --- Incidence and prevalence of falls in older people --- p.4 / Chapter 2.1.1 --- Incidence and prevalence in western countries --- p.4 / Chapter 2.1.2 --- Incidence and prevalence in Hong Kong --- p.4 / Chapter 2.2 --- Causes and risk factors for falls --- p.5 / Chapter 2.2.1 --- Causes for falls --- p.5 / Chapter 2.2.2 --- Risk factors for falls --- p.6 / Chapter 2.3 --- Consequences of falls --- p.7 / Chapter 2.3.1 --- Individual perspective --- p.7 / Chapter 2.3.2 --- Impact on health service and society --- p.9 / Chapter 2.4 --- Intervention and prevention strategies --- p.10 / Chapter 2.4.1 --- Effective interventions and preventive approaches --- p.10 / Chapter 2.4.2 --- Areas of uncertainty for interventions and prevention approaches --- p.19 / Chapter 2.5 --- Existing efforts in intervention and prevention --- p.20 / Chapter 2.5.1 --- Worldwide levels and collaborations among various countries --- p.20 / Chapter 2.5.2 --- Current services for falls prevention in Hong Kong --- p.23 / Chapter 2.6 --- Criteria contributing to successful intervention and risks modification --- p.27 / Chapter 2.6.1 --- Identification of elderly fallers at Accident & Emergency Department --- p.28 / Chapter 2.6.2 --- Selection of the proved effective programme to those likely to benefit --- p.29 / Chapter 2.6.3 --- Uptake and adherence of the target fallers to the selected programmes --- p.30 / Chapter 2.7 --- Current gaps in study of services for elderly fallers in Hong Kong --- p.31 / Chapter CHAPTER 3 --- METHODOLOGY --- p.32 / Chapter 3.1 --- Research objectives --- p.33 / Chapter 3.2 --- Operational definition of falls --- p.33 / Chapter 3.3 --- Study design --- p.34 / Chapter 3.3.1 --- Diagrammatic illustration of the study design --- p.35 / Chapter 3.3.2 --- "Subjects, assessors and setting" --- p.37 / Chapter 3.3.3 --- Sources of data collection --- p.38 / Chapter 3.3.4 --- Questionnaire and assessment instruments --- p.39 / Chapter 3.3.5 --- Referrals and interventions --- p.49 / Chapter 3.4 --- Plan of data analysis --- p.52 / Chapter CHAPTER 4 --- RESULT --- p.55 / Chapter 4.1 --- Progression of elderly fallers --- p.56 / Chapter 4.2 --- Characteristics of all elderly fallers presented to A&E --- p.58 / Chapter 4.2.1 --- Demographics --- p.58 / Chapter 4.2.2 --- Rate of hip fracture --- p.58 / Chapter 4.2.3 --- Seasonal variation for occurrence of falls --- p.58 / Chapter 4.2.4 --- Subsequent one-year mortality --- p.59 / Chapter 4.2.5 --- Subsequent one-year occurrence of falls with presentation to A&E --- p.59 / Chapter 4.2.6 --- Subsequent one-year hospitalization and length of stay --- p.59 / Chapter 4.3 --- Profile of elderly fallers who received comprehensive falls assessment --- p.63 / Chapter 4.3.1 --- Demographics --- p.63 / Chapter 4.3.2 --- "Circumstances, consequences and past history of falls" --- p.67 / Chapter 4.3.3 --- Health and functional profile --- p.75 / Chapter 4.4 --- Uptake of interventions or referrals by elderly fallers --- p.89 / Chapter 4.4.1 --- Uptake rate of various interventions or referrals --- p.89 / Chapter 4.4.2 --- Reasons for refusing interventions or referrals --- p.89 / Chapter 4.5 --- Comparison between recurrent fallers and non-recurrent fallers --- p.91 / Chapter 4.5.1 --- Co-morbidity between recurrent fallers and non-recurrent fallers --- p.91 / Chapter 4.5.2 --- Functional profile between recurrent fallers and non-recurrent fallers --- p.91 / Chapter 4.6 --- Comparison between injurious falls and non-injurious falls --- p.93 / Chapter 4.6.1 --- Co-morbidity between fallers with resultant injury and fallers without injury --- p.93 / Chapter 4.6.2 --- Functional profile between fallers with resultant injury and fallers without injury --- p.93 / Chapter 4.7 --- Comparison of the profiles between the elderly fallers and the general older population in Hong Kong --- p.95 / Chapter 4.7.1 --- Comparison in demographics --- p.95 / Chapter 4.7.2 --- Comparison in self-perceived health --- p.95 / Chapter 4.7.3 --- Comparison in lifestyle factors --- p.95 / Chapter 4.7.4 --- Comparison in BMI --- p.96 / Chapter 4.7.5 --- Comparison in morbidity --- p.96 / Chapter 4.7.6 --- Comparison in number of disease --- p.97 / Chapter 4.7.7 --- Comparison in medication use --- p.97 / Chapter 4.8 --- Comparison between fallers attended and those who did not attend the falls assessment clinic in terms of the subsequent one-year results --- p.102 / Chapter 4.8.1 --- Comparison in subsequent one-year mortality --- p.102 / Chapter 4.8.2 --- Comparison in subsequent one-year recurrent falls with presentation to A&E --- p.102 / Chapter 4.8.3 --- Comparison in subsequent one-year hospitalization and LOS --- p.103 / Chapter 4.9 --- Validation of a simple screening tool adopted from the Mr. Os (Hong Kong) study by the result of this study --- p.106 / Chapter CHAPTER --- 5 DISCUSSION --- p.108 / Chapter 5.1 --- Profile of elderly fallers presenting to A&E and its implications to health care planning for the elderly --- p.110 / Chapter 5.1.1 --- Profile of fallers in terms of subsequent one-year results --- p.110 / Chapter 5.1.2 --- Profile of fallers compared with general older population --- p.111 / Chapter 5.1.3 --- Implications on health care planning for the elderly --- p.113 / Chapter 5.2 --- Acceptability of various interventions and referrals by fallers and its implications to health care planning for the elderly --- p.116 / Chapter 5.2.1 --- Uptake rates for various interventions and referrals --- p.116 / Chapter 5.2.2 --- Views towards various interventions and referrals by fallers --- p.117 / Chapter 5.2.3 --- Implications on health care planning for the elderly --- p.117 / Chapter 5.3 --- Discussion of other findings --- p.120 / Chapter 5.3.1 --- Seasonal variation in occurrence of falls --- p.120 / Chapter 5.3.2 --- "Circumstances, consequences and past history of falls" --- p.122 / Chapter 5.3.3 --- Comparison between recurrent fallers and non-recurrent fallers in terms of co-morbidity and functional profile --- p.123 / Chapter 5.3.4 --- Comparison between fallers with resultant injury and fallers without injury in terms of co-morbidity and functional profile --- p.123 / Chapter 5.3.5 --- Comparison between fallers attended and those who did not attend the falls assessment clinicin terms of subsequent one-year results --- p.124 / Chapter 5.3.6 --- Usefulness of the risk profile of recurrent falling adopted from Mr. Os (Hong Kong) Studyin screening the fallers with high risk of falling --- p.125 / Chapter 5.4 --- Limitations --- p.126 / Chapter 5.5 --- Recommendations for further research --- p.128 / Chapter CHAPTER 6 --- CONCLUSION --- p.129 / REFERENCES --- p.131 / APPENDICES / Appendix 1 Assessment Form used in Falls Assessment Clinic --- p.146 / Appendix 2a Scale for Subjective Socioeconomic Status -English version --- p.151 / Appendix 2b Scale for Subjective Socioeconomic Status -Chinese version --- p.152 / Appendix 3a Simple Physical Activity Questionnaire -English version --- p.153 / Appendix 3b Simple Physical Activity Questionnaire -Chinese version --- p.155 / Appendix 4 Modified Barthel Index --- p.157 / Appendix 5 Rating Form for Impairment in IADL --- p.159 / Appendix 6 Mini-Mental State Examination -Cantonese version (CMMSE) --- p.160 / Appendix 7 Geriatric Depression Scale - Four-item short form (GDS-4) --- p.162 / Appendix 8 Berg Balance Scale - short form (BBS short form) --- p.163
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Evaulation of business and management training for private businesses in Ho Chi Minh City, VietnamPhan, Anh T. January 2008 (has links)
The process of economic innovation in Vietnam since the late 1980s presented its human resources in the private sector with constant challenges in terms of continuous improvement for operating effectiveness and efficiency. The challenges have been met by substantial investment of resources in business and management training. Returns from this training, however, have not received due attention. The study sets out to examine the reality of acquiring and utilising business and management training in local private businesses in Ho Chi Minh City, the country’s economic centre. In doing so, the study is expected to provide a better understanding of the characteristics of business and management training in Vietnam, and how this human resources development activity assists private businesses in a transitional economy. Based on Kirkpatrick’s evaluation framework, findings of the study revealed not only different approaches to business and management training but also the limited effects of the training on the trainees and private companies. Knowledgemania, or training for the sake of pursuing knowledge, was still very prevalent among the group of ‘Oriental’ companies whilst a more practical approach towards training aimed at meeting explicit business objectives was adopted by companies exposed to Western management practices. The research revealed that among the factors facilitating or hindering learning transfer within the case study companies, the ability to manage the training process and cultural values were the most influential. The research study also introduced two refined frameworks for training evaluation, aimed at small family and larger private businesses respectively. These refined frameworks incorporate not only the spirit of simplicity and practicality of Kirkpatrick’s framework but also relevant contextual factors. These frameworks are, therefore, able to serve as evaluation tools to reveal both training outcomes and spot the opportunities to further improve management of training. The experience and process of developing the frameworks gained in this research may assist future researchers when undertaking training evaluation in other business contexts.
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Análise de dados categóricos e aplicações /Netto, Jôira Conceição dos Santos January 2019 (has links)
Orientador: Selene Maria Coelho Loibel / Resumo: Esta dissertação tem como foco a análise de dados categóricos, uma parte integrante da Análise Multivariada que interpreta a informação que está contida em dados discretos provenientes de contagens de eventos, possuindo características de nidas pela combinação das categorias de duas ou mais variáveis. A análise de dados categóricos é de grande importância dentro da Estatística pois tem aplicabilidade em variadas áreas do conhecimento. Os dados utilizados, foram coletados através de um question ário aplicado aos alunos de cinco Escolas Técnicas Estaduais (Etec) que nalizaram os cursos técnicos em 2018 e 2019. A pesquisa teve como objetivo obter dados locais e analisar se os alunos pretendem trabalhar ou continuar estudando na mesma área do curso que estão concluindo, se os alunos estão satisfeitos com os cursos que estão fazendo, se pretendem voltar para Etec e fazer outro curso complementar, entre outros questionamentos. Devido à natureza dos dados obtidos, as técnicas de análise de dados categóricos são adequadas e devem ser aplicadas para modelar e fazer inferências sobre os aspectos de interesse. Esta análise pode levar a resultados que serão de grande utilidade para essas Etecs. / Abstract: This dissertation focuses on the Categorical Data Analysis, an integral part of the Multivariate Analysis, which interprets embedded information in discrete data resulting from event counts, having characteristics de ned by combinations of categories from two or more variables. The categorical data analysis is of considerable importance within Statistics since it has a wide applicability in several areas of knowledge. The data set used was collected through a questionnaire applied to students from ve Public Technical Schools (Etec) that nished the technical courses in 2018 and 2019. The research aims to gather local data and analyze whether students intend to work or continue studying in the same eld of the technical course they are completing, whether students are satis ed with the courses they are attending, whether they want to go back to Etec and take another complementary course, among other questions. Due to the nature of the data obtained, categorized data analysis techniques are adequate and should be applied to model and make inferences about the aspects of interest. This analysis can be leaded to outcomes that will be very useful to these Etecs. / Mestre
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Quelques applications des fonctions orthogonales en probabilité et statistiquesBlacher, René 26 October 1990 (has links) (PDF)
On poursuit l'étude des coefficients de corrélation d'ordre supérieur. On obtient la loi asymptotique des coefficients de corrélation empiriques. On en déduit un test hilbertien d'indépendance. De plus, on exprime les polynômes d'Hermite sous forme de moments. On en déduit la loi de la somme de n vecteurs aléatoires et la loi de leurs formes quadratiques.
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Application de l'optimisation combinatoire à certains modèles de verres de spins : complexité et simulationsBarahona, Fancisco 07 November 1980 (has links) (PDF)
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C-optimal Designs for Parameter Testing with Survival Data under Bivariate Copula ModelsYeh, Chia-Min 31 July 2007 (has links)
Current status data are usually obtained with a failure time variable T which is diffcult observed but can be determined to lie below or above a random monitoring time or inspection time t. In this work we consider bivariate current status data ${t,delta_1,delta_2}$ and assume we have some prior information of the bivariate failure time variables T1 and T2. Our main goal is to find an optimal inspection time for testing the relationship between T1 and T2.
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Behavioral factors influencing individual investors´ decision-making and performance. : A survey at the Ho Chi Minh Stock ExchangePhuoc Luong, Le, Thi Thu Ha, Doan January 2011 (has links)
Although finance has been studied for thousands years, behavioral finance which considers the human behaviors in finance is a quite new area. Behavioral finance theories, which are based on the psychology, attempt to understand how emotions and cognitive errors influence individual investors’ behaviors (investors mentioned in this study are refered to individual investors). The main objective of this study is exploring the behavioral factors influencing individual investors’ decisions at the Ho Chi Minh Stock Exchange. Furthermore, the relations between these factors and investment performance are also examined. As there are limited studies about behavioral finance in Vietnam, this study is expected to contribute significantly to the development of this field in Vietnam. The study begins with the existing theories in behavioral finance, based on which, hypotheses are proposed. Then, these hypotheses are tested through the questionnaires distributed to individual investors at the Ho Chi Minh Stock Exchange. The collected data are analyzed by using SPSS and AMOS soft wares. Semi-structured interviews with some managers of the Ho Chi Minh Stock Exchange are conducted to have deeper understanding of these behaviors. The result shows that there are five behavioral factors affecting the investment decisions of individual investors at the Ho Chi Minh Stock Exchange: Herding, Market, Prospect, Overconfidence-gamble’s fallacy, and Anchoring-ability bias. Most of these factors have moderate impacts whereas Market factor has high influence. This study also tries to find out the correlation between these behavioral factors and investment performance. Among the behavioral factors mentioned above, only three factors are found to influence the Investment Performance: Herding (including buying and selling; choice of trading stocks; volume of trading stocks; speed of herding), Prospect (including loss aversion, regret aversion, and mental accounting), and Heuristic (including overconfidence and gamble’s fallacy). The heuristic behaviors are found to have the highest positive impact on the investment performance while the herding behaviors are reported to influence positively the investment performance at the lower level. In contrast, the prospect behaviors give the negative impact on the investment performance.
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Detecting Disguised Missing DataBelen, Rahime 01 February 2009 (has links) (PDF)
In some applications, explicit codes are provided for missing data such as NA (not available) however many applications do not provide such explicit codes and valid or invalid data codes are recorded as legitimate data values. Such missing values are known as disguised missing data. Disguised missing data may affect the quality of data analysis negatively, for example the results of discovered association rules in KDD-Cup-98 data sets have clearly shown the need of applying data quality management prior to analysis. In this thesis, to tackle the problem of disguised missing data, we analyzed embedded unbiased sample heuristic (EUSH), demonstrated the methods drawbacks and proposed a new methodology based on Chi Square Two Sample Test. The proposed method does not require any domain background knowledge and compares favorably with EUSH.
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The Study of Load Characteristics in Taipower and Its Effect on Power System OperationKang, Meei-Song 06 July 2001 (has links)
Based on the load survey study, a stratified sampling method is proposed to select the proper size of customers so that the load patterns derived can represent the load behavior of whole customer population. In this study there are 1315 customers out of Taipower customers over various service classes are selected for the installation of intelligent meters in the field to measure the power consumption within every 15 minutes. The bad data detection is performed to identify the abnormal power consumption by executing the Chi-square test. The standardized daily load pattern of each customer class has been derived with the mean per-unit method of customer load. The billing data are retrieved from the customer information system and applied to derive the customer daily load pattern by considering the customer load patterns. According to the total power consumption by all customers within the same class and considering the corresponding daily load pattern, the daily load profile of the customer class is then determined. By aggregating the load profiles of all customer classes, the daily load composition and load model of each service district can therefore be solved. By the same manner, the daily load pattern of whole Taipower system can be derived and it can be used to support the proper design of tariff structure according to the respective contribution of system power demand by each customer class.
To investigate the overloading of distribution main transformers during the summer season, the correlations analysis of customer power consumption and temperature is performed. The effect of temperature change to the power consumption of each customer class is solved by multiple regression analysis with 95% confidential level. Based on the temperature sensitivity and the corresponding load composition, the load change due to temperature rise for various customer classes can be estimated. To demonstrate the impact of temperature change to distribution system operation, considering the temperature sensitivity of power consumption and load composition solves the power demand at each load bus. By updating the bus load demand due to temperature change, the feeder loading and power loss is therefore derived. To resolve the over loading problem of distribution feeders and main transformers during the summer season, a temperature adaptive switching operation has been proposed to perform the proper load transfer among the feeders/main transformers.
In this dissertation, the effect of temperature change to the time varying characteristics of load buses and power transmission in Taipower is investigated. The dc circuit model of Taipower system and the temperature effect of customer power consumption are considered in the stochastic load flow analysis. With the temperature rise, the power demand of northern buses is increased dramatically and more power has to be transmitted from the southern region. The large voltage angle difference is significantly various between system buses during the summer peak period. It is suggested that the safety margin assessment of system operation has to be executed by considering the temperature effect to the bus loading of power systems.
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A Case Study of Tzu-Chi Foundation As a Logic of Collective Action ProblemTu, Jan-Ping 22 August 2003 (has links)
Mancur Olson states that individual, after reasonable evaluation, takes the action of free ride. The main factor of free ride lies in the goal of collective actions --- collective goods. And the non-excludability in collective goods enables consumers to benefit without sharing costs.
Based on the framework of Olson¡¦s and Russell Hardin¡¦s theories of reaching the goal of collective actions, along with the theory of political entrepreneurs, this study surveys the collective actions of Tzu-Chi Foundation, in hope of depicting its factors and strategies for overcoming difficulties in collective actions.
This study gives an analysis of Tzu-Chi Foundation in terms of collective actions, concluding that its selective incentives are Master Cheng Yen¡¦s unconditional love, cause & effect cycle and pursuit of pop culture.
Successful marketing and computerized fund-raise tactics make people more willing to invest time and money in promoting Tzu-Chi Foundation. Few entrepreneurs are willing to bear the costs even without cooperation from other members, as they are satisfied with the collective goods provided by the group, just as Hardin states.
Furthermore, one of the solutions to collective actions of free ride is to rely on organization operating by political entrepreneurs. Master Cheng Yen successfully plays the role of entrepreneur leader, adopting strategies like keeping equidistance from each political party, developing constant sense of mission within the organization, exercising mild leadership and management strategies, consolidating the Foundation with religious prospect, recruiting elites and making good use of talents...etc. Multiplied by her female leader impact on Taiwan, these factors combined are the key points of Tzu-Chi Foundation¡¦s success.
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