Facing climate injustices: Community trust-building for climate services through arts and sciences narrative co-production.

The goal of this paper is to analyze how and with what results place-based climate service co-production may be enacted within a community for whom climate change is not a locally salient concern. Aiming to initiate a climate-centered dialogue, a hybrid team of scientists and artists collected local narratives within the Kerourien neighbourhood, in the city of Brest in Brittany, France. Kerourien is a place known for its stigmatizing crime, poverty, marginalization and state of disrepair.

Functional status and mortality at month and year in nonagenarians hospitalized due to acute medical illness.

Objectives: To analyze risk factors associated with short and long-term mortality in nonagenarians hospitalized due to acute medical conditions.

Design, Setting, And Participants: Prospective study of all patients aged 90 years or older admitted in a geriatric unit during 2009 due to medical acute illness. Baseline variables were collected at admission (sex, cause of admission, Charlson index, serum albumin, functional, and mental status), functional loss at admission (as the difference between Barthel index(BI) 2 weeks before admission and BI at admission), and functional loss at discharge(as the difference between BI 2 weeks before admission and BI at discharge).

Protected areas in the Atlantic facing the hazards of micro-plastic pollution: first diagnosis of three islands in the Canary Current.

Coastal zones and the biosphere as a whole show signs of cumulative degradation due to the use and disposal of plastics. To better understand the manifestation of plastic pollution in the Atlantic Ocean, we partnered with local communities to determine the concentrations of micro-plastics in 125 beaches on three islands in the Canary Current: Lanzarote, La Graciosa, and Fuerteventura. We found that, in spite of being located in highly-protected natural areas, all beaches in our study area are exceedingly vulnerable to micro-plastic pollution, with pollution levels reaching concentrations greater than 100 g of plastic in 1l of sediment.

[The interrater reliability of four common comorbidity indexes used in elderly patients].

Objective: To report on the interrater reliability of four common comorbidity indexes used in the hospitalised elderly: Charlson Index (CI), Geriatric Cumulative Illness Rating Scale (CIRS-G), Index of Co-existent Disease (CoD) and Kaplan-Feinstein Index (KFI).

Method: Four trained observers, independently reviewed the same 40 medical charts of hospitalised geriatric patients. Scores for the four indexes were calculated, along with the intraclass correlations coefficient (ICC) (quantitative index: CI and CIRS-G) and Kappa coefficient (qualitative index: CoD and KFI).

[Efficiency of acute geriatric units: a meta-analysis of controlled studies].

Objective: After analysing the effectiveness in the reduction in the incidence of functional impairment and a higher probability of returning home between elderly patients hospitalised due to an acute medical illness cared for in acute geriatric units (AGU) compared to conventional care units, we propose to assess the efficiency of this care.

Material And Methods: A systematic review and meta-analysis was made of controlled studies (randomised, no randomised and case-control) that compared care in UGA with care in conventional hospital units of patients of 65 years and over with an acute medical illness. Studies on administrative data bases, those that evaluated care of a single disease, and those that assessed units with care in the acute and sub-acute phase were excluded.

Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis.

Objective: To assess the effectiveness of acute geriatric units compared with conventional care units in adults aged 65 or more admitted to hospital for acute medical disorders.

Design: Systematic review and meta-analysis.

Data Sources: Medline, Embase, and the Cochrane Library up to 31 August 2008, and references from published literature.

Recovery of functional impairment after acute illness and mortality: one-year follow-up study.

Background: Functional status in older people is a dynamic situation, which makes it necessary to evaluate functional capacity at different times to determinate their prognostic value.

Objective: To examine the association between functional status (baseline and change after acute illness) and mortality and functional changes at 1 year.

Methods: Hospital-based prospective longitudinal cohort study of all patients over 65 years old, admitted for multidisciplinary treatment of functional impairment after acute illness in a medium-stay unit (post-acute geriatric unit) of a teaching hospital ascribed to the Spanish National Health Service from Spain during 15 consecutive months.

Reduction of functional deterioration during hospitalization in an acute geriatric unit.

The purpose of this study was to compare the incidence of functional deterioration of elderly patients hospitalized in acute care geriatric units compared to that in a conventional care unit. We performed a prospective controlled study over 9 months of patients above 65 years old with acute medical pathology. Upon discharge, we compared the degree of functional deterioration using the Katz index compared to the basal level before admission of both groups.

[Functional gain and length of hospital stay at a medium-stay geriatric care unit at the Central Red Cross Hospital in Madrid, Spain].

Background: The medium-stay or convalescent care geriatric units were defined by the Spanish National Health Institute in 1996 as being the level of geriatric hospital care aimed at recovering those functions, activities or sequelae having undergone changes as a result of different prior processes. This study is aimed at evaluating the characteristics of patients related to functional gain and stay in medium-stay geriatric units.

Methods: A study was made of all those patients admitted throughout the May 2000-December 2001 period.