BACKGROUND The identification of an objective evaluation of frailty capable of predicting adverse outcomes in Alzheimer's disease is increasingly discussed. The purpose of this study was to investigate whether the Frailty Index (FI) predicts hospitalization, institutionalization, and mortality in Alzheimer's disease patients. METHODS A prospective multicenter cohort study (follow-up = 2 years...

Objectives: Determine predictors of hospitalization and institutionalization in Medicaid populations with Alzheimer’s Disease (AD). Methods: Data were obtained from the Centers for Medicare and Medicaid Services (CMS). Individuals enrolled in Florida, New Jersey, and New York Medicaid programs on January 1, 2004, remained in that program for 1 year and exposed to an AD medication were included....

This article attempts to shed new light on prevailing puzzles of spatial scales in multi-level, participatory governance as regards the democratic legitimacy and environmental effectiveness of governance systems. We focus on the governance re-scaling by the European Water Framework Directive, which introduced new governance scales (mandated river basin management) and demands consultation of ci...

Cohabiting unions increasingly involve children, either born during the union and/or from prior relationships (i.e., stepchildren). Drawing from arguments about the institutionalization of cohabitation and stepfamilies as well as the family systems perspective, this paper examines dissolution and marriage risks among women's cohabiting unions by stepfamily status, configuration (which partner h...

Three components of the Alzheimer's disease care equation are considered : impairment, felt burden, and the institutionalization decision. Measurement and the results of existing studies are compared with field data on the descriptive organization of the caregiving experience. It is suggested that measurement is an inappropriate language for depicting the experience, empirically distorting what...

This is an integrative review of the literature on the working processes of professionals staffing the Psychosocial Care Centers (CAPS), reflecting on service practices, in particular social reinsertion of service users from the bio-psychosocial perspective. The literature review aims to show how working processes are being developed by CAPS professionals, and the repercussions for service user...

In his New Science,1 Giambattista Vico provided us with four axioms, which if followed, could help prevent us from falsifying our knowledge of history and our understanding of ourselves.2 Although all four axioms are relevant, the last two-"the conceit of nations" and "the conceit of scholars"-are particularly important as reminders to American legal scholars who all too often fall prey to the ...

The paper gives an analytical synopsis of the problem of developing medical ethics in the early half of the 1990s in China, as perceived by Chinese scholars and medical professionals interested in medical ethics. The views captured and analyzed here were expressed in one of the two major journals on medical ethics in China: Chinese Medical Ethics. The economic reform unleashed profound changes ...