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- Daelman, Bo, et al.
(författare)
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Frailty and cognitive function in middle-aged and older adults with congenital heart disease
- 2024
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Ingår i: Journal of the American College of Cardiology. - : Elsevier. - 0735-1097 .- 1558-3597. ; 83:12, s. 1149-1159
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Tidskriftsartikel (refereegranskat)abstract
- Background: Life expectancy of patients with congenital heart disease (CHD) has increased rapidly, resulting in a growing and aging population. Recent studies have shown that older people with CHD have higher morbidity, health care use, and mortality. To maintain longevity and quality of life, understanding their evolving medical and psychosocial challenges is essential.Objectives: The authors describe the frailty and cognitive profile of middle-aged and older adults with CHD to identify predictor variables and to explore the relationship with hospital admissions and outpatient visits.Methods: Using a cross-sectional, multicentric design, we included 814 patients aged ≥40 years from 11 countries. Frailty phenotype was determined using the Fried method. Cognitive function was assessed by the Montreal Cognitive Assessment.Results: In this sample, 52.3% of patients were assessed as robust, 41.9% as prefrail, and 5.8% as frail; 38.8% had cognitive dysfunction. Multinomial regression showed that frailty was associated with older age, female sex, higher physiologic class, and comorbidities. Counterintuitively, patients with mild heart defects were more likely than those with complex lesions to be prefrail. Patients from middle-income countries displayed more prefrailty than those from higher-income countries. Logistic regression demonstrated that cognitive dysfunction was related to older age, comorbidities, and lower country-level income.Conclusions: Approximately one-half of included patients were (pre-)frail, and more than one-third experienced cognitive impairment. Frailty and cognitive dysfunction were identified in patients with mild CHD, indicating that these concerns extend beyond severe CHD. Assessing frailty and cognition routinely could offer valuable insights into this aging population.
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| 3. |
- Robertsson, Louise, et al.
(författare)
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The Seasonal Buzz : Knowledge Transfer in a Temporary Setting
- 2015
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Ingår i: Tourism Planning & Development. - : Taylor & Francis. - 2156-8316 .- 2156-8324. ; 12:3, s. 251-265
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Tidskriftsartikel (refereegranskat)abstract
- Much of the debate regarding how firms and places can stay competitive in a globalized economy is focused on innovative capabilities. Issues of knowledge creation, innovation and knowledge transfer within and between individuals and firms is a central field of research. Here, the local buzz is frequently mentioned as highly important for sustaining the innovation and knowledge-creation process among firms. Previous research has mainly focused on the effects of a local buzz situated at the place where the firm is located. In this article, we argue that there is a geographically displaced buzz that occurs on a temporary basis during leisure time, characterized by a heterogeneous composition of individuals. This can potentially boost the innovative capability of single firms and the destinations where it occurs. We term this the seasonal buzz. This paper discusses, empirically tests and analyses a possible seasonal buzz, based on a questionnaire survey targeting second-home owners at a ski resort in Sweden. Results support the assertion that there is a seasonal buzz, that new networks are created, and that the information exchanged is important for individuals in their professional life as well.
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