Background Heart failure （HF） is a physically and socially debilitating disease that carries the burden of hospital re-admission and mortality. As an aging society, Hong Kong urgently needs to find ways to reduce th...Background Heart failure （HF） is a physically and socially debilitating disease that carries the burden of hospital re-admission and mortality. As an aging society, Hong Kong urgently needs to find ways to reduce the hospital readmission of HF patients. This study evaluates the effects of a nurse-led HF clinic on the hospital readmission and mortality rates among older HF patients in Hong Kong. Methods This study is a retrospective data analysis that compares HF patient in a nurse-led HF clinic in Hong Kong compared with HF patients who did not attend the clinic. The nurses of this clinic provide education on lifestyle modification and symptom monitoring, as well as titrate the medications and measure biochemical markers by following established protocols. This analysis used the socio-demographic and clinical data of HF patients who were aged 〉 65 years old and stayed in the clinic over a six-month period. Results The data of a total of 78 HF patients were included in this data analysis. The mean age of the patients was 77.38 ± 6.80 years. Approximately half of the HF patients were male （51.3%）, almost half were smokers （46.2%）, and the majority received 〈 six years of formal education. Most of the HF patients （87.2%） belonged to classes II and III of the New York Heart Association Functional Classification, with a mean ejection fraction of 47.15± 20.31 mL. The HF patients who attended the clinic （n = 38, 75.13 ± 5.89 years） were significantly younger than those who did not attend the clinic （n = 40, 79.53 ± 6.96 years） （P = 0.04）, and had lower recorded blood pressure. No other statistically significant difference existed between the socio-demographic and clinical characteristics of the two groups. The HF patients who did not attend the nurse-led HF clinic demonstrated a significantly higher risk of hospital readmission [odd ratio （OR）： 7.40; P 〈 0.01] than those who attended after adjusting for the effect of age and blood pressure. In addition, HF patients who attended the clinic had lower mortality （n = 4） than those who did not attend （n = 14）. However, such a difference did not reach statistical significance when the effects of age and blood pressure were adjusted. A signifi- cant reduction in systolic blood pressure IF （2, 94） = 3.39, P = 0.04] and diastolic blood pressure [F （2, 94） = 8.48, P 〈 0.01] was observed among the HF patients who attended the clinic during the six-month period. Conclusions The finding of this study suggests the important role of nurse-led HF clinics in reducing healthcare burden and improving patient outcomes among HF patients in Hong Kong.展开更多
Japan is facing a demographic challenge of a falling birthrate coupled with an aging society that is already adversely affecting the economy. The situation is only expected to worsen as the working-age population cont...Japan is facing a demographic challenge of a falling birthrate coupled with an aging society that is already adversely affecting the economy. The situation is only expected to worsen as the working-age population continues to decrease. Well aware of this situation, businesses and offices are seeking ways to enhance the intellectual productivity of their workers. This paper explores environmental elements of work spaces that might stimulate intellectual activity. Using a CAD （AutoCAD） miniature garden program, subjects were asked to design a project room that is optimized for creative work using a certain number of elements--11 types of walls, 14 types of floors, 4 types of scenery, 3 types of furniture and 3 types of plantings--but the subjects were free to position and arrange these elements any way they want. The subjects were then interviewed using the evaluation grid method. Based on the results, we created an evaluation structure diagram by analyzing key words and phrases emphasized by subjects in the interviews. The overall evaluation structure represents a summary overview of all 30 subjects who participated in the experiment. This approach captures all the key elements of the office environment that might be used to stimulate intellectual activity of employees.展开更多
This paper analyzes the current situation of the aging population and low fertility rate.lt is found that the aging process is accelerated, the population growth potential is decreased, and the elderly dependency rati...This paper analyzes the current situation of the aging population and low fertility rate.lt is found that the aging process is accelerated, the population growth potential is decreased, and the elderly dependency ratio is higher.Secondly, this paper mainly analyzes the impact of the new two-child policy on family pension security from three aspects： population policy, family support and social security.There are two aspects of the effects, the positive effects are：improve fertility, reduce elderly dependency ratio, relieve population aging,enhance the family development： the negative effects are： tremendous pressure on public resources, further inequality in birth right, heavy economic pressure on the family.At last. this paper puts forward the constructive countermeasures against the problems of the policy and the was out of the family old-age security.展开更多
With the accelerated development of population aging, the pressure to pay for the future pension fund in our country is increasing. Affected by many factors, such as investment limits, inflation and interest rate cut,...With the accelerated development of population aging, the pressure to pay for the future pension fund in our country is increasing. Affected by many factors, such as investment limits, inflation and interest rate cut, the rate of return on investment is very low. The introduction of the new policy allows the basic pension fund to enter the capital market, which is of great significance to improve the rate of return on investment, ease the pressure of capital gap, and promote the healthy development of the capital market. This paper makes a deep analysis of the rationality of the basic endowment insurance fund entering the market, and then puts forward some suggestions to avoid the risk of the pension market.展开更多
In this paper, it explained the process of demographic aging in Republic of Macedonia. There is relevant information for the gradually process of aging. At the end of the text, there are few charts. Macedonia gained i...In this paper, it explained the process of demographic aging in Republic of Macedonia. There is relevant information for the gradually process of aging. At the end of the text, there are few charts. Macedonia gained independence in 1991, in the course of transition from planned to market economy, many socio-economic parameters changed： Demography become evident that fertility rate dropped significantly. In the previous 20 years, number of infants born decreased somewhat 5-6 times compared to 1980. Number of divorce grew rapidly. Also, in the Republic of Macedonia, there followed a parallel process of immigration to western countries, especially western Europe, USA and Australia as well as other countries from the developed world. This migration happened as a result of mainly economic reasons, i.e., countries in which Macedonians migrate have much higher real incomes when compared with Macedonia, and comparatively much higher living standard. One also can find reason for migration in political reasons also, and family reunification. Low fertility is associated with low income and unemployment. People in Macedonia had suffered greatly in transition times with high unemployment, low wages, and corruption, which largely derogated their chances of better future and career and contributed to the demographic aging and low fertility rates.展开更多
文摘Background Heart failure （HF） is a physically and socially debilitating disease that carries the burden of hospital re-admission and mortality. As an aging society, Hong Kong urgently needs to find ways to reduce the hospital readmission of HF patients. This study evaluates the effects of a nurse-led HF clinic on the hospital readmission and mortality rates among older HF patients in Hong Kong. Methods This study is a retrospective data analysis that compares HF patient in a nurse-led HF clinic in Hong Kong compared with HF patients who did not attend the clinic. The nurses of this clinic provide education on lifestyle modification and symptom monitoring, as well as titrate the medications and measure biochemical markers by following established protocols. This analysis used the socio-demographic and clinical data of HF patients who were aged 〉 65 years old and stayed in the clinic over a six-month period. Results The data of a total of 78 HF patients were included in this data analysis. The mean age of the patients was 77.38 ± 6.80 years. Approximately half of the HF patients were male （51.3%）, almost half were smokers （46.2%）, and the majority received 〈 six years of formal education. Most of the HF patients （87.2%） belonged to classes II and III of the New York Heart Association Functional Classification, with a mean ejection fraction of 47.15± 20.31 mL. The HF patients who attended the clinic （n = 38, 75.13 ± 5.89 years） were significantly younger than those who did not attend the clinic （n = 40, 79.53 ± 6.96 years） （P = 0.04）, and had lower recorded blood pressure. No other statistically significant difference existed between the socio-demographic and clinical characteristics of the two groups. The HF patients who did not attend the nurse-led HF clinic demonstrated a significantly higher risk of hospital readmission [odd ratio （OR）： 7.40; P 〈 0.01] than those who attended after adjusting for the effect of age and blood pressure. In addition, HF patients who attended the clinic had lower mortality （n = 4） than those who did not attend （n = 14）. However, such a difference did not reach statistical significance when the effects of age and blood pressure were adjusted. A signifi- cant reduction in systolic blood pressure IF （2, 94） = 3.39, P = 0.04] and diastolic blood pressure [F （2, 94） = 8.48, P 〈 0.01] was observed among the HF patients who attended the clinic during the six-month period. Conclusions The finding of this study suggests the important role of nurse-led HF clinics in reducing healthcare burden and improving patient outcomes among HF patients in Hong Kong.
文摘Japan is facing a demographic challenge of a falling birthrate coupled with an aging society that is already adversely affecting the economy. The situation is only expected to worsen as the working-age population continues to decrease. Well aware of this situation, businesses and offices are seeking ways to enhance the intellectual productivity of their workers. This paper explores environmental elements of work spaces that might stimulate intellectual activity. Using a CAD （AutoCAD） miniature garden program, subjects were asked to design a project room that is optimized for creative work using a certain number of elements--11 types of walls, 14 types of floors, 4 types of scenery, 3 types of furniture and 3 types of plantings--but the subjects were free to position and arrange these elements any way they want. The subjects were then interviewed using the evaluation grid method. Based on the results, we created an evaluation structure diagram by analyzing key words and phrases emphasized by subjects in the interviews. The overall evaluation structure represents a summary overview of all 30 subjects who participated in the experiment. This approach captures all the key elements of the office environment that might be used to stimulate intellectual activity of employees.
文摘This paper analyzes the current situation of the aging population and low fertility rate.lt is found that the aging process is accelerated, the population growth potential is decreased, and the elderly dependency ratio is higher.Secondly, this paper mainly analyzes the impact of the new two-child policy on family pension security from three aspects： population policy, family support and social security.There are two aspects of the effects, the positive effects are：improve fertility, reduce elderly dependency ratio, relieve population aging,enhance the family development： the negative effects are： tremendous pressure on public resources, further inequality in birth right, heavy economic pressure on the family.At last. this paper puts forward the constructive countermeasures against the problems of the policy and the was out of the family old-age security.
文摘With the accelerated development of population aging, the pressure to pay for the future pension fund in our country is increasing. Affected by many factors, such as investment limits, inflation and interest rate cut, the rate of return on investment is very low. The introduction of the new policy allows the basic pension fund to enter the capital market, which is of great significance to improve the rate of return on investment, ease the pressure of capital gap, and promote the healthy development of the capital market. This paper makes a deep analysis of the rationality of the basic endowment insurance fund entering the market, and then puts forward some suggestions to avoid the risk of the pension market.
文摘In this paper, it explained the process of demographic aging in Republic of Macedonia. There is relevant information for the gradually process of aging. At the end of the text, there are few charts. Macedonia gained independence in 1991, in the course of transition from planned to market economy, many socio-economic parameters changed： Demography become evident that fertility rate dropped significantly. In the previous 20 years, number of infants born decreased somewhat 5-6 times compared to 1980. Number of divorce grew rapidly. Also, in the Republic of Macedonia, there followed a parallel process of immigration to western countries, especially western Europe, USA and Australia as well as other countries from the developed world. This migration happened as a result of mainly economic reasons, i.e., countries in which Macedonians migrate have much higher real incomes when compared with Macedonia, and comparatively much higher living standard. One also can find reason for migration in political reasons also, and family reunification. Low fertility is associated with low income and unemployment. People in Macedonia had suffered greatly in transition times with high unemployment, low wages, and corruption, which largely derogated their chances of better future and career and contributed to the demographic aging and low fertility rates.
