... set of 21 generic functions and a collection of meta-functions containing the interdependencies between functions This schema facilitates explaining the design intentions of a complex engineering ... intermediate functions Additionally, more types of intermediate functionalities will be discussed in Section 4.1 of Chapter Besides supporting construction loads and maintaining stability of in- progress ... knowledge can aid construction engineers in developing IPPCM and conducting intermediate functions analysis The information integration framework developed in the present study not only integrates the...
... bladder function, is the resident continent, usually incontinent, occasionally incontinent, frequently incontinent, or virtually always incontinent? Are there problems with constipation, diarrhea, ... production causes shrinking of the uterus, thinning of vaginal mucosa, and diminished vaginal lubrication Despite these physical changes, interest and pleasure in sex continues for both sexes well into ... (grouped according to type of behavior) Aggressive Physically nonaggressive Verbally agitated Hiding/hoarding Hitting Kicking Grabbing Pushing Throwing things Biting Scratching Hurting oneself or...
... true situation of how effective nurses pay attention to nutritional problems among their patients Nutrition education of professionals The nutrition education of professionals in nursing homes ... variation in the prevalence of malnutrition of institutionalized elderly people In cognitively impaired elderly persons the prevalence of malnutrition was 15% (Guigoz, 2006) In Sweden one in two of ... in institutions in Finland was studied in 1999 using the MNA More than one four of those elderly individuals suffered from malnutrition and a further one in two were at risk (Rintala, 2000) In...
... Be yonD Doll aRs Beyond Dollars The True Impact of Long Term Caring Research findings on the circle of care and the impact on the many people within it Beyond Dollars each of us has defining ... downloading the Cost of Care application for iPhone and iPad devices A long term care situation can be triggered by a multitude of events One of families’ — indeed, the nation’s — biggest concerns ... learn they think before you begin expressing your thou Wait Be open That might mean counting silently to five, but it also mean letting them think on it and then continuing conversation several...
... properties of this instrument in mentioned study showed that the Iranian version of SF36 is a reliable and valid measure of health related quality of life among the general population It is including ... local, regional, and national levels in Iran In general, based on the findings of the present study we might conclude that HRQoL in participants, particularly residents in nursing home, was rather ... population in Iran To explain such findings one might argue that the most (62.30%) elderly participated in this study were without pensions and often their income does not adequately cover their living...
... tested for interaction with SOC using the corresponding interaction term in the general linear model We performed an exploratory examination of the interactions because we suggest, according to the ... strong correlations found indicate that changes in SOC are followed by changes in HRQOL, strengthening the SOC could be important In this situation, our findings may indicate the importance of investigating ... [52] Having a sense ofcontrol over situations such as going to bed, eating and care routines may contribute to the experience of manageability Meaningfulness means having the motivation and desire...
... palpation The complementary examination was performed if one of five key tests (back pain, painful inclination in the area of the lumbar spine, painful percussion in the area of the lumbar spine, ... because of back pain in the preceding 12 months This included treatment in a rehabilitation program or an individual consultation with the occupational physician Information on working conditions ... according to standardised coding instructions [22,23] • Pain intensity: Information was recorded on the intensity of the pain in the regions of the cervical and lumbar spines for the weeks preceding...
... from the control condition to the intervention condition during the study This is expected to increase the motivation of NH workers to participate in scientific research In conclusion, the care ... psychologist of each unit perform a diagnostic procedure including the use of chart information, caregiver interview, and examination of the resident (interview, physical examination) Diagnosis of major ... answering the questions: ‘How much money has to be invested additionally in the care program to gain one percentage point decrease in frequency of depression?’ and ‘How much money has to be invested...
... consensus has emerged emphasizing the implementation of de-escalation therapy or discontinuation of antibiotics once culture results and susceptibility findings are available Hitherto, the concept ... the cause of an infection Conversely, it could be argued that the lack of micro-organisms on Gram staining in nursing home patients suspected of having NHAP might suggest the presence of atypical ... placed in a sterile tube containing ml of 0.9% saline solution and vortexed for All three types of specimens were serially diluted in 0.9% sterile saline solution The specimens were then plated into...
... Length of Stay Medical Subject Headings Ministry of Health (Singapore) National University of Singapore National University of Singapore Institutional Review Board Principal component Principal ... Barthel Index Bayesian information criterion Bright Vision Hospital Confidence Interval Frailty Index Functional Independence Measure Frailty Scale Instrumental Activity of Daily Living International ... Madrid International Plan of Action on Ageing to address the challenge of “building a society for all ages”.[12] This international document offers a bold agenda of handling the ageing issue in the...
... effectively ending the injection of fuel Pilot Valve Type Solenoid Spill Valve Control Spring Coil Pilot Spring Main Spring Pilot Valve Main Valve Plunger Pressure Chamber Direct-Acting Solenoid ... injection) Coil non-energized valve open (end of injection) to Nozzle Plunger 3-1 Types of Solenoid Spill Valves The solenoid spill valve is directly related to the controlof the fuel injection volume ... correct the final injection quantity ECD-V3 (ROM) The data of an externally mounted ROM is used to correct the final injection quantity It realizes a higher precision level of correction than the...
... a connected chain of inductive reasoning, to trace it from the Prince of Colonna's bedroom at the Dacre Hotel, where it was lost, to the interior of this, the last of the six busts of Napoleon ... searched Six plaster casts of Napoleon were drying in the passage One of them was still soft In an instant Beppo, a skilful workman, made a small hole in the wet plaster, dropped in the pearl, and with ... two to one against the pearl being inside it There remained two busts, and it was obvious that he would go for the London one first I warned the inmates of the house, so as to avoid a second tragedy,...
... against the table, was beautifully defined The sewing-machine, of the hand type, leaves a similar mark, but only on the left arm, and on the side of it farthest from the thumb, instead of being ... and sallow-skinned, with a bland, insinuating manner, and a pair of wonderfully sharp and penetrating gray eyes He shot a questioning glance at each of us, placed his shiny top-hat upon the sideboard, ... what is really a very interesting study, Mr Windibank," Holmes continued "I think of writing another little monograph some of these days on the typewriter and its relation to crime It is a subject...
... the official police From time to time I heard some vague account of his doings: of his summons to Odessa in the case of the Trepoff murder, of his clearing up of the singular tragedy of the Atkinson ... specimen of the London slavey As to your practice, if a gentleman walks into my rooms smelling of iodoform, with a black mark of nitrate of silver upon his right forefinger, and a bulge on the ... Lothman von Saxe-Meningen, second daughter of the King of Scandinavia You may know the strict principles of her family She is herself the very soul of delicacy A shadow of a doubt as to my conduct...
... sperm in traditional descriptions, opting instead for a characterization that relies on a simple chemical process Changing characterizations of the process of fertilization thus created a new context ... the politics of fetal risks, and the problematic nature of the idea of individual causality in discussions of fetal harm Social constructions of maternity and paternity In Western industrial cultures, ... profound need to blame Public concern over crack babies contains all of the characteristics of a response to plague – fuelling the impulse of privileged populations to locate, target and contain...
... and vouching for things of which I knew nothing, and generally assisting in the secure tying up of Irene Adler, spinster, to Godfrey Norton, bachelor It was all done in an instant, and there ... could catch glimpses of him in the windows of the sitting-room, pacing up and down, talking excitedly, and waving his arms Of her I could see nothing Presently he emerged, looking even more flurried ... unpleasantness Do not join in it It will end in my being conveyed into the house Four or five minutes afterwards the sitting-room window will open You are to station yourself close to that open window." "Yes."...
... companion, looking at her with a questioning and rather startled gaze "Indeed! My mistress told me that you were likely to call She left this morning with her husband by the 5:15 train from Charing ... bring your Majesty's business to a more successful conclusion." "On the contrary, my dear sir," cried the King; "nothing could be more successful I know that her word is inviolate The photograph ... found it hard to think evil of such a dear, kind old clergyman But, you know, I have been trained as an actress myself Male costume is nothing new to me I often take advantage of the freedom which...
... Freemason, that he has been in China, and that he has done a considerable amount of writing lately, I can deduce nothing else." Mr Jabez Wilson started up in his chair, with his forefinger upon the ... could only have been done in China I have made a small study of tattoo marks and have even contributed to the literature of the subject That trick of staining the fishes' scales of a delicate pink ... entertaining one," remarked Holmes as his client paused and refreshed his memory with a huge pinch of snuff "Pray continue your very interesting statement." "There was nothing in the office but...
... rambling and inconsequential narrative, but, on the contrary he had listened with the greatest concentration of attention "Your own little income," he asked, "does it come out of the business?" ... the conduct complained of was that he had drifted into the habit of winding up every meal by taking out his false teeth and hurling them at his wife, which, you will allow, is not an action likely ... Depend upon it, there is nothing so unnatural as the commonplace." I smiled and shook my head "I can quite understand your thinking so." I said "Of course, in your position of unofficial adviser...
... effect of removing any traces of doubt which might have remained in the minds of the coroner's jury." "It was a confession," I ejaculated "No, for it was followed by a protestation of innocence." ... tricky thing," answered Holmes thoughtfully "It may seem to point very straight to one thing, but if you shift your own point of view a little, you may find it pointing in an equally uncompromising ... remained, it seems, upon terms of perfect equality, as they were frequently together McCarthy had one son, a lad of eighteen, and Turner had an only daughter of the same age, but neither of them...