Community exercise program for older adults recovering from hip fracture: a pilot study

Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 +/- 6.0 years; 24 women; 71 +/- 23 days post-hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity-strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post-hip fracture.     

Abstracts in French,German, and Spanish

Abstract List

Abstracts in French, German, and Spanish     

‘Closing the Gap’ in Indigenous life expectancies: what if we succeed?

In 2007–2008 the Council of Australian Governments agreed to six ambitious targets for addressing longstanding disparities between Indigenous and other Australians in health, education and employment outcomes. The ‘National Integrated Strategy for Closing the Gap on Indigenous Disadvantage’ (colloquially ‘Closing the Gap’) includes the goal of eliminating life expectancy gaps within a generation. This policy says nothing about what changes in the demographic structure of the population might be expected should there be even partial success towards this ambitious target. Information is required to analyse age and sex shifts for their effects on service demand and provision. In this study we apply cohort component projections modelling to the Northern Territory, the Australian jurisdiction with the largest Indigenous component in its population and the largest life expectancy gaps, to assess the demographic effects of closing the gap within a generation. Three scenarios are modelled: (1) No changes to Indigenous life expectancies from those estimated in 2010; (2) Complete success in closing the gap within a generation; and (3) A continuation of current forecasts about how Indigenous life expectancies will change into the future. Although closing the gap would only produce a small increase in the size of the next generation’s Indigenous population, over and above that projected with lower life expectancy scenarios, it would result in substantial changes in age compositions, with associated shifts in various demographic indices. These are pertinent to the planning and funding of core services into the future.     

Contents of Volume 70

Volume contents

Contents of Volume 70     

Relating the Central and the Local

Although a number of valuable models of central‐local relationships in the nonprofit sector have been developed, particularly in relation to federal structures, there has been a tendency to assume that in any given organizational relationship central‐local structures will follow one common pattern. We argue that wider strategies are available: central dependency along one dimension may run with greater local autonomy along another. Such mixed tight‐loose structures may be of considerable importance in the “boundaryless” organizational environment of the future.     

Factors Affecting Juvenile Court Decisions in Israel: A Multivariate Approach*

This paper investigates the factors influencing the disposition of cases in juvenile courts. The factors considered are the prior record of the offender, the nature of the offense, the recommendation of the probation officer, and the age of the offender. These four factors are essential components of the juvenile justice system and as such are perceived to be crucial for the understanding of the court's decision. A multivariate analysis of the data is undertaken using the method of log-linear analysis for hierarchical models. In contrast to other studies that have utilized the same method but with fewer variables, the model arrived at in the paper seems to be more accurate and suggests that while the offense and the prior criminal record are quite important factors, their influence on the disposition of cases is greatly bound by the age of the offender and the recommendation of the probation officer.     

CREDIT-SCORING MODELS AND THE CUT-OFF POINT—A SIMPLIFICATION

The article presents a simple method for establishing the optimal cut-off point on a credit-scoring index under a variety of conditions. A procedure for choosing an index from several candidates is also proposed, and the use of credit information in such an index is discussed.     

In the shadow of fortress Europe? Impacts of European migration governance on Slovenia,Croatia and Macedonia

ABSTRACT

This article analyses European integration's effects on migration and border security governance in Slovenia, Croatia and Macedonia in the context of ‘governed interdependence’. We show how transgovernmental networks comprising national and EU actors, plus a range of other participants, blur the distinction between the domestic and international to enable interactions between domestic and international policy elites that transmit EU priorities into national policy. Governments are shown to be ‘willing pupils’ and ‘policy takers’, adapting to EU policy as a pre-condition for membership. This strengthened rather than weakened central state actors, particularly interior ministries. Thus, in a quintessentially ‘national’ policy area, there has been a re-scaling and re-constitution of migration and border security policy. To support this analysis, social network analysis is used to outline the composition of governance networks and analyse interactions and power relations therein.