Characteristics of long-term-care facility residents associated with receipt of influenza and pneumococcal vaccinations.
ABSTRACT Studies have found residency in long-term-care facilities (LTCFs) a risk factor for influenza and pneumonia and have demonstrated that vaccinations against these diseases reduce the risk of disease. However, rates are below Healthy People 2010 goals of 90% for LTCFs. During 1999-2002, a multi-state demonstration project was conducted in LTCFs to implement standing orders programs for immunizations.
Identify nursing home resident-specific characteristics associated with vaccination coverage at baseline.
Facility-level data were collected from self-reported surveys of selected nursing homes in 14 states and from the On-line Survey and Certification Reporting System. Resident-level data, including demographics and physical functioning, were obtained from the Centers for Medicare & Medicaid Services' Minimum Data Set; 2000-2001 vaccination status was obtained by chart review. Influenza vaccination status reflected a single season, whereas pneumococcal vaccination status reflected vaccination in the past. Multilevel analysis was used to control for facility-level variation.
Of 22,188 residents sampled in 249 LTCFs, complete data were obtained for 20,516 (92%). The average coverage for immunizations was 58.5% +/- 0.7% for influenza and 34.6% +/- 0.3% for pneumococcal. On bivariate analyses, residents with cognitive, psychiatric, or neurologic problems were more likely to be vaccinated; those with accidental injuries, unstable conditions, or cancer were less likely to receive either vaccine. On multilevel analysis, the strongest resident characteristics associated with receipt of immunizations, controlling facility variation, were cognitive deficits and psychiatric illness.
The variation in baseline vaccination coverage associated with LTCF resident characteristics supports the need for strategies to increase vaccination coverage in LTCFs.
Conference Paper: Multiple self-alignment MOS technology (MUSA/MOST)[Show abstract] [Hide abstract]
ABSTRACT: Multiple self-alignment MOS technology, MUSA/MOST, has been developed to achieve higher packing density and higher performance for Si MOSFETs. The minimum mask feature of 1.5 µm allows fabrication of a 0.5 µm channel length FET in an active device area as narrow as 3.5 µm. This significantly reduces parasitic capacitances and increases device packing density. Metal and metal-silicide can be employed to form the gate and source/drain electrodes, respectively, resulting in reduction of VLSI circuit wiring-delays. The fabricated ring oscillator with enhancement drivers and depletion loads of MUSA/MOSTs exhibited a propagation delay of 540 ps/stage under the 2 µm design rule.Electron Devices Meeting, 1984 International; 02/1984
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ABSTRACT: The field gradient along the MOSFET channel is included in the modeling of the gate-drain capacitance (C<sub>gd</sub>) by an induced capacitance approach. The new approach has been successfully implemented in surface-potential based model HiSIM (Hiroshima-university STARC IGFET Model) and is capable of reproducing measured effects, which are particularly significant for pocket-implant technology, accurately.Simulation of Semiconductor Processes and Devices, 2002. SISPAD 2002. International Conference on; 02/2002
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ABSTRACT: The wireless CDMA transmitting system using indirectly scattered light is effective for telemetry in a hospital. However, the deterioration of the system performance occurs due to multipath propagation. In this paper, in order to improve the signal deterioration, we introduce the RAKE receiver to the optical telemetry system and evaluate the performance of the system by computer simulations. The obtained results indicates that the proposed system can achieve a BER not exceeding 10<sup>-6</sup> in a data-transmitting rate of 300 kbit/s even in the worst case of 5 channel multiplexing with the near-far problem.Communications and Information Technology, 2004. ISCIT 2004. IEEE International Symposium on; 11/2004