RESUMEN
130 hospital-discharged elderly patients received our comprehensive assessment by using a Chinese Minimum Data Set-Home Care (MDS-HC). Our case manager developed and implemented care plans with reference to the computer-generated Clients Assessment Protocols. Results showed that the MDS-HC was sensitive to identify elderly persons' holistic needs, and helpful in formulating all-inclusive care plans.
Asunto(s)
Manejo de Caso/organización & administración , Anciano Frágil , Servicios de Atención de Salud a Domicilio/organización & administración , Evaluación de Resultado en la Atención de Salud , Anciano , Evaluación Geriátrica , Necesidades y Demandas de Servicios de Salud , Servicios de Salud para Ancianos/organización & administración , Salud Holística , Hong Kong , Humanos , Formulación de Políticas , RehabilitaciónRESUMEN
The aim of the present work was to determine the effect of giving increasing doses of supplements of beta-carotene on serum retinoic acid levels in rabbits. Four groups of 7-week-old female rabbits were fed for 9 weeks on a pelleted diet containing 1.72 mg vitamin A as retinyl acetate/kg and including control gelatin beadlets devoid of beta-carotene or 1, 2 or 4 mg beta-carotene/kg body-weight per d. Serum was collected at 3, 6 and 9 weeks after the beginning of the experiment and the concentration of all-trans retinoic acid was determined by a gradient reverse-phase high-performance liquid chromatography system following a double-phase extraction. The average concentration of retinoic acid in serum of the combined control and 1 mg beta-carotene/kg groups was 3.80, 3.06 and 2.40 nM at 3, 6 and 9 weeks respectively. The concentrations of retinoic acid in serum of the combined 2 and 4 mg beta-carotene/kg groups were 4.80 nM (P less than 0.05), 3.76 nM (not significant) and 4.90 nM (P less than 0.005) at 3, 6 and 9 weeks respectively. A SAS (SAS Institute Inc., 1985) general linear model repeated-measures analysis of variance revealed that the effects of treatment (P less than 0.01), time (P less than 0.05) and treatment x time interaction (P less than 0.05) were statistically significant. It is concluded that giving beta-carotene is associated with higher concentrations of all-trans retinoic acid in the serum of rabbits than in those receiving no beta-carotene.