A study conducted in New Zealand and published in BMCGeriatr finds that in community dwelling older adults, cognitive impairment is the most common condition, but cancer has the highest mortality risk albeit decreases with age.
reflects that older Māori and Pacific peoples are more likely to die at any given age than older Non-Māori/non-Pacific Peoples. This may be reflections of higher morbidity burden and differential access to health and support services across the lifespan.
Older people have the right to accessible and appropriate support services. This study emphasises that this does not necessarily happen equally in New Zealand. We reiterate the importance of looking at ethnic groups separately to identify whether access to assessment is equitable and see mortality risk factors that may otherwise be hidden by the majority group, non-Māori and non-Pacific individuals in the cohort.
Our study has many strengths including a large standardised dataset that covers a large array of clinical, social, and other domains. The data collected is on a national level, and assessments are conducted using trained assessors. However, there are also some limitations.
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Wirelessly Powered Drug-Free and Anti-Infective Smart Bandage for Chronic Wound CareWe present a wirelessly powered ultraviolet-C (UVC) radiation-based disinfecting bandage for sterilization and treatment in chronic wound care and management. The bandage contains embedded low-power UV light-emitting diodes (LEDs) in the 265 to 285 nm range with the light emission controlled via a microcontroller. An inductive coil is seamlessly concealed in the fabric bandage and coupled with a rectifier circuit to enable 6.78 MHz wireless power transfer (WPT). The maximum WPT efficiency of the coils is 83% in free space and 75% on the body at a coupling distance of 4.5 cm. Measurements show that the UVC LEDs are emitting radiant power of about 0.6 mW and 6.8 mW with and without fabric bandage, respectively, when wirelessly powered. The ability of the bandage to inactivate microorganisms was examined in a laboratory which shows that the system can effectively eradicate Gram-negative bacteria, Pseudoalteromonas sp. D41 strain, on surfaces in six hours. The proposed smart bandage system is low-cost, battery-free, flexible and can be easily mounted on the human body and, therefore, shows great promise for the treatment of persistent infections in chronic wound care.
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Effectiveness and cost effectiveness of palliative care interventions in people with chronic heart failure and their caregivers: a systematic review - BMC Palliative CareBackground Chronic heart failure is a common condition, and its prevalence is expected to rise significantly over the next two decades. Research demonstrates the increasing multidimensional needs of patients and caregivers. However, access to palliative care services for this population has remained poor. This systematic review was to provide an evidence synthesis of the effectiveness and cost-effectiveness of palliative care interventions for people with chronic heart failure and their caregivers. Methods Relevant publications were identified via electronic searches of MEDLINE, Embase, PsychInfo, CINAHL, CENTRAL and HMIC from inception to June 2019. Grey literature databases, reference list, and citations of key review articles were also searched. Quality was assessed using the Revised Cochrane Risk of Bias Tool. Results Of the 2083 records, 18 studies were identified including 17 having randomised controlled trial (RCT) designs and one mixed methods study with an RCT component. There was significant heterogeneity in study settings, control groups, interventions delivered, and outcome measures used. The most commonly assessed outcome measures were functional status (n = 9), psychological symptoms (n = 9), disease-specific quality of life (n = 9), and physical symptom control (n = 8). The outcome measures with the greatest evidence for benefit included general and disease-specific quality of life, psychological symptom control, satisfaction with care, physical symptom control, medical utilisation, and caregiver burden. Moreover, the methodological quality of these studies was mixed, with only four having an overall low risk of bias and the remaining studies either demonstrating high risk of bias (n = 10) or showing some concerns (n = 4) due to small sample sizes and poor retention. Only two studies reported on economic costs. Both found statistically significant results showing the intervention group to be more cost effective than the control group, but the quality
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