Aim: Advanced age and fragility often lead to dependence, making caregiver assistance necessary for performing the activities of daily living. Patients with diabetes are characterized by an elevated presence of comorb...Aim: Advanced age and fragility often lead to dependence, making caregiver assistance necessary for performing the activities of daily living. Patients with diabetes are characterized by an elevated presence of comorbidities and subsequent frailty—a relevant consideration when making decisions regarding treatment goals. Health professionals may overlook the caregiver experience when assessing the circumstances surrounding frail elderly patients with diabetes, but this factor can have a large impact on relevant caregiver and patient outcomes. Methods: An observational, retrospective study was carried out to assess the impact of improved management in diabetes on caregiver burden. We assessed patients’ performance of activities of daily living using the Barthel scale. Our primary outcome was caregiver burden, as assessed using the Zarit scale. Results: At baseline, 81.4% of the caregivers reported severe overburden (>55 points on the Zarit scale). At three months, the proportion of caregivers reporting this level of burden had dropped to 76.7% and remained stable at six months (77.1%). In contrast, 8.5% of the caregivers reported moderate overburden (47 to 55 points) at baseline, compared to 13.3% at three months and 12.5% at six. The proportion of caregivers reporting no overburden (Conclusions: Caregiver burden remained persistently high, decreasing only slightly after six months.展开更多
The objective of this work is to show the benefits of a new eco-systemic fishing gear installed in three bottom trawlers after one year using it. The study has been based on fuel consumption reduction for the three ve...The objective of this work is to show the benefits of a new eco-systemic fishing gear installed in three bottom trawlers after one year using it. The study has been based on fuel consumption reduction for the three vessels and the catch in two of them. The new system minimizes the impact of the fishing gear on the seabed, with a reduction on the tow resistance. This generates significant fuel savings that improves the economical result of the fishery, helping the ship owners in the return of investment first, then in the future viability of the operation. Apart of the evident savings due to the fuel consumption reduction, in the long term, the ship owner will notice also savings on maintenance, both because the winches are towing with less tension （longer life for warps, brakes and hydraulic system） and the engine is running at low rpm＇s （longer life of the engine and between breakdowns）. The new fishing gear does not require any modification on the way that the fisherman is working, only replacing and/or modifying some parts or components of the fishing gear. The implementation is easy and the adjustments required could be done in a couple of days.展开更多
文摘Aim: Advanced age and fragility often lead to dependence, making caregiver assistance necessary for performing the activities of daily living. Patients with diabetes are characterized by an elevated presence of comorbidities and subsequent frailty—a relevant consideration when making decisions regarding treatment goals. Health professionals may overlook the caregiver experience when assessing the circumstances surrounding frail elderly patients with diabetes, but this factor can have a large impact on relevant caregiver and patient outcomes. Methods: An observational, retrospective study was carried out to assess the impact of improved management in diabetes on caregiver burden. We assessed patients’ performance of activities of daily living using the Barthel scale. Our primary outcome was caregiver burden, as assessed using the Zarit scale. Results: At baseline, 81.4% of the caregivers reported severe overburden (>55 points on the Zarit scale). At three months, the proportion of caregivers reporting this level of burden had dropped to 76.7% and remained stable at six months (77.1%). In contrast, 8.5% of the caregivers reported moderate overburden (47 to 55 points) at baseline, compared to 13.3% at three months and 12.5% at six. The proportion of caregivers reporting no overburden (Conclusions: Caregiver burden remained persistently high, decreasing only slightly after six months.
文摘The objective of this work is to show the benefits of a new eco-systemic fishing gear installed in three bottom trawlers after one year using it. The study has been based on fuel consumption reduction for the three vessels and the catch in two of them. The new system minimizes the impact of the fishing gear on the seabed, with a reduction on the tow resistance. This generates significant fuel savings that improves the economical result of the fishery, helping the ship owners in the return of investment first, then in the future viability of the operation. Apart of the evident savings due to the fuel consumption reduction, in the long term, the ship owner will notice also savings on maintenance, both because the winches are towing with less tension （longer life for warps, brakes and hydraulic system） and the engine is running at low rpm＇s （longer life of the engine and between breakdowns）. The new fishing gear does not require any modification on the way that the fisherman is working, only replacing and/or modifying some parts or components of the fishing gear. The implementation is easy and the adjustments required could be done in a couple of days.
