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BackgroundHospital patient registries provide substantial longitudinal data sets describing the clinical and medical health statuses of inpatients and their pharmacological prescriptions. Despite the multiple advantages of routinely collecting multidimensional longitudinal data, those data sets are rarely suitable for advanced statistical analysis and they require customization and synthesis. ObjectiveThe aim of this study was to describe the methods used to transform and synthesize a raw, multidimensional, hospital patient registry data set into an exploitable database for the further investigation of risk profiles and predictive and survival health outcomes among polymorbid, polymedicated, older inpatients in relation to their medicine prescriptions at hospital discharge. MethodsA raw, multidimensional data set from a public hospital was extracted from the hospital registry in a CSV (.csv) file and imported into the R statistical package for cleaning, customization, and synthesis. Patients fulfilling the criteria for inclusion were home-dwelling, polymedicated, older adults with multiple chronic conditions aged ≥65 who became hospitalized. The patient data set covered 140 variables from 20,422 hospitalizations of polymedicated, home-dwelling older adults from 2015 to 2018. Each variable, according to type, was explored and computed to describe distributions, missing values, and associations. Different clustering methods, expert opinion, recoding, and missing-value techniques were used to customize and synthesize these multidimensional data sets. ResultsSociodemographic data showed no missing values. Average age, hospital length of stay, and frequency of hospitalization were computed. Discharge details were recoded and summarized. Clinical data were cleaned up and best practices for managing missing values were applied. Seven clusters of medical diagnoses, surgical interventions, somatic, cognitive, and medicines data were extracted using empirical and statistical best practices, with each presenting the health status of the patients included in it as accurately as possible. Medical, comorbidity, and drug data were recoded and summarized. ConclusionsA cleaner, better-structured data set was obtained, combining empirical and best-practice statistical approaches. The overall strategy delivered an exploitable, population-based database suitable for an advanced analysis of the descriptive, predictive, and survival statistics relating to polymedicated, home-dwelling older adults admitted as inpatients. More research is needed to develop best practices for customizing and synthesizing large, multidimensional, population-based registries. International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2019-030030

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Since Voas and Crockett (2005), a consensus has emerged in the sociology of religions on the fact that secularization is largely due to a cohort effect. That is, each birth cohort is less religious than the previous one. We use data from the Swiss Household Panel (SHP), a multi-thematic survey based on a random sample representative of the general population since 1999, to understand what is the cohort effect in Switzerland on three indicators of religiosity: religious affiliation, frequency of religious service attendance, and personal prayer, taking into account the socio-demographic characteristics of individuals, which could interfere with cohort, period, or age effects. A first general observation can be drawn from the SHP: for the three religious indicators, a cohort effect is a key factor in explaining the decline of religiosity. Each birth cohort is less religious on all three indicators, that is, younger individuals are less affiliated, practice less often, and pray less than the older cohort. More subtly, we also observe an effect of age or life cycle, especially on the practice, and a period effect on the religious disaffiliation of individuals. Each birth cohort shows a more religious profile of individuals at the start of the cohort than at the end. There is, therefore, an initial movement of distancing from religion by birth cohorts, but this is further accentuated by a period effect for disaffiliation and sometimes accelerated and, at other times, slightly contained by a life-cycle effect. [ABSTRACT FROM AUTHOR]

This article examines the emergence, in the Swiss context, of a new category of ecologically oriented 'spiritual' activists. The authors look at empirical studies conducted internationally on the link between religion and environmentalism and argue that 'spiritually oriented activists' are rarely investigated in quantitative studies. The authors then examine the ndings of a case study of local milieus in two Swiss cities and nationwide data collected as part of the Swiss Household Panel (SHP). They close the gap between results coming from case studies, on the one hand, and representative studies, on the other, by introducing the variable of spirituality into quantitative research. The results suggest that an ecological milieu is emerging comprised of people who are located politically on the left, do not self-identify as religious, but nonetheless practice meditation and have holistic feelings. The forms of spirituality practiced by these ecologists are 'subtle' in the sense of being adaptable, located in the background, and supportive of sustainability. [ABSTRACT FROM AUTHOR]

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Introduction Optimal medication management is one of the basic conditions necessary for home-dwelling older adults living with multiple chronic conditions (OAMCC) to be able to remain at home and preserve their quality of life. Currently, the reasons for such high numbers of emergency department visits and the very significant rate of hospitalisations for OAMCC, due to medication-related problems (MRPs), is poorly explored. This study aims to reveal the current state of the medication management practices of polymedicated, home-dwelling OAMCC and to make proposals for improving clinical and medication pathways through an innovative and integrated model for supporting medication management and preventing adverse health outcomes. Methods and analysis A mixed-methods study will address the medication management of polymedicated, home-dwelling OAMCC. Its explanatory sequential design will involve two major phases conducted sequentially over time. The quantitative phase will consist of retrospectively exploiting the last 5 years of electronic patient records from a local hospital (N ≈ 50 000) in order to identify the different profiles—made up of patient-related, medication-related and environment-related factors—of the polymedicated, home-dwelling OAMCC at risk of hospitalisation, emergency department visits, hospital readmission (notably for MRPs), institutionalisation or early death. The qualitative study will involve: (a) obtaining and understanding the medication management practices and experiences of the identified profiles extracted from the hospital data of OAMCC who will be interviewed at home (N ≈ 30); (b) collecting and analysing the perspectives of the formal and informal caregivers involved in medication management at home in order to cross-reference perspectives about this important dimension of care at home. Finally, the mixed-methods findings will enable the development of an innovative, integrated model of medication management based on the Agency for Clinical Innovation framework and Bodenheimer and Sinsky’s quadruple aim. Ethics and dissemination Ethical approval has been obtained from the Human Research Ethics Committee of the Canton Vaud (2018-02196). Findings will be disseminated in peer-reviewed journals, professional conferences and other knowledge transfer activities with primary healthcare providers, hospital care units, informal caregivers’ and patients’ associations. [ABSTRACT FROM AUTHOR]

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Collecting data on households and individuals since 1999, the Swiss Household Panel (SHP) is an ongoing, unique, large-­-scale, nationally representative, longitudinal study in Switzerland (N=7,383 households and N=12,119 persons interviewed in 2014). The data of the SHP provide a rich source of information to study social change in Switzerland over a significant period on a wide variety of topics. The SHP aims to provide both continuity and innovation in measurement and data collection, with the combination of retrospective and prospective longitudinal data in the most recent refreshment sample as one notable example of such an innovation. This paper provides an overview of the SHP - focusing on its origin, aims, design, content, data collection and adjustments, possibilities for cross-­-national comparisons, data use and accomplishments. [ABSTRACT FROM AUTHOR]

Copyright of Swiss Journal of Sociology / Schweizerische Zeitschrift für Soziologie is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In Switzerland, residential independence under the age of 30 usually results in a decrease of the income at disposal. Nevertheless, both, financial management capability and satisfaction with the financial situation remain stable. The latter even increases for those youth coming from low-income households. Following Elder's life course theory (1998), we explain these results in terms of the effects of context, temporality, "linked lives," and individual capacities to apply an order of priorities on economic acts. [ABSTRACT FROM AUTHOR]

Studies of the gender division of housework show that women spend more time on domestic tasks than men, and that the gender gap widens following entry into union and the birth of children. But what happens after a relationship ends? Do women spend less time on housework if they no longer have a man to look after? And are men obliged to devote more time to such tasks? Using individual data from eleven successive waves of the Swiss Household Panel, Boris WERNLI and Caroline HENCHOZ analyse changes in the amount of time devoted to basic household tasks (washing, cooking, cleaning) by men and women in the year following the end of a conjugal relationship. For comparable characteristics, women whose partnership has ended spend less time on housework, refl ecting a certain reversibility of the effect of union formation. By contrast, union dissolution does not have such a clear impact on men's investment in housework, which increases only for the pivot generations (persons born between 1935 and 1954) and among men in the younger generations who go from family life to living alone. [ABSTRACT FROM AUTHOR]

Copyright of Swiss Journal of Sociology / Schweizerische Zeitschrift für Soziologie is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of BMS: Bulletin de Méthodologie Sociologique (l'Association Internationale de Méthodologie Sociologique (AIMS)) is the property of l'Association Internationale de Methodologie Sociologique (AIMS) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Swiss Political Science Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Swiss Journal of Sociology / Schweizerische Zeitschrift für Soziologie is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)