OBJECTIVES To determine the effect of multicomponent exercise on frailty and related adverse outcomes in residents of long‐term nursing homes (LTNHs). DESIGN A single‐blind randomized controlled trial. SETTING Ten LTNHs in Gipuzkoa, Spain. PARTICIPANTS The study sample comprised 112 men and women aged 70 years or older who scored 50 or higher on the Barthel Index, 20 or higher on the MEC‐35 test (an adapted and validated version of the Mini‐Mental State Examination in Spanish), and who were capable of standing up and walking independently for at least 10 m. INTERVENTION Subjects in the control group (CG) participated in routine activities. The intervention group (IG) participated in a 6‐month program of individualized and progressive multicomponent exercise at moderate intensity. MEASUREMENTS Frailty was assessed by four different scales at baseline and at 6 months. The Barthel Index was measured at baseline and at 12 months. Frailty‐related adverse outcomes were recorded from 12 months before to 12 months after starting the intervention. RESULTS A lower prevalence of frailty was observed in the IG compared with the CG according to Fried's frailty phenotype, Short Physical Performance Battery, and Tilburg Frailty Indicator after 6 months (p < .05). There was a decline in the CG on the Barthel Index after 12 months (p < .05), whereas score was maintained in the IG. Both groups experienced a similar number of falls before and after the intervention (p > .05), but during the 6‐month intervention period, fewer falls were observed in the IG than the CG (p < .05). Lower overall mortality was observed 12 months after starting the intervention for the IG than the CG (1 vs 6, respectively; p = .05). CONCLUSION Individualized and progressive multicomponent exercise at moderate intensity seems to be effective to prevent falls and reduce frailty and mortality.

Desarrollar un plan de atención específi co en pacientes con demencia avanzada institucionalizados, planifi cando los cuidados mediante el control sintomático, tomando decisiones con el cuidador principal, realizando un apoyo psicológico y espiritual. Método: Estudio descriptivo de periodo en el Centro Txara 1, desde el 1 de julio de 2014 hasta el 31 de diciembre de 2016, identifi cando a aquellos residentes con demencia avanzada y síndrome de declive. Se recoge trimestralmente el grado de control de síntomas (Symptom Management at the End-of-Life in Dementia) (SM-EOLD), utilizando la escala PAINAD para la valoración del dolor; el confort en el momento de la agonía se determina diariamente (The Comfort Assessment in Dying with Dementia) (CAD-EOLD), estableciendo con el cuidador principal la toma de decisiones basadas en los objetivos asistenciales paliativos. Tras el fallecimiento se realiza una encuesta de satisfacción al cuidador (Satisfaction with Care at the End-of-Life in Dementia) (SWC-EOLD) y contacto periódico con la pastoral para el apoyo espiritual.

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Mojokerto City has a creative industry that contains footwear since 1994 until now. This industry has been supported by the government with the establishment of an organization called Mojokerto City Footwear Employers Committee (KOMPAK). Through this service the craftsmen get information about what is needed, capital, and related to job training from local government.Based on the flow of information exchange, formed communications networks that form a special structure for the purpose of business development. This study aims to see the communication network formed from shoe footwear craftsmen who are incorporated in the organization in order to know the level of a healthy actor based on the level of centrality. To know the position of the perpetrator based on the level of centrality, the program needed UCINET 6 version 6.658. Through the UCINET program it can find out who is the most dominant and most profitable in its network. The results showed the communication network between craftsmen who centralized the existing meaning of the role of individuals as fellow craftsmen who are members of the KOMPAK organization. ABSTRAKKota Mojokerto memiliki industri kreatif yang berupa alas kaki sejak tahun 1994 sampai dengan sekarang. Industri ini sudah didukung oleh pemerintah dengan upaya pembentukan organisasi yang bernama Komite Pengusaha Alas Kaki Kota Mojokerto (KOMPAK). Melalui organisasi ini para pengrajin mendapatkan informasi mengenai kebutuhan pemasaran, permodalan, dan terkait pelatihan kerja dari pemerintah daerah. Berdasarkan arus pertukaran informasi sehingga terbentuklah jaringan komunikasi yang membentuk struktur tertentu untuk kegunaan pengembangan usaha. Penelitian ini bertujuan melihat jaringan komunikasi yang terbentuk dari para pengrajin alas kaki sepatu yang tergabung dalam organisasi agar dapat mengetahui level aktor yang berpengaruh berdasarkan level sentralitas. Untuk mengetahui posisi aktor berdasarkan level sentralitas, dibutuhkan program UCINET 6 versi 6.658. Melalui program UCINET maka dapat terlihat aktor mana yang paling dominan dan yang paling berpengaruh dalam jaringannya. Hasil penelitian menunjukkan jaringan komunikasi antar pengrajin yang memusat memberi arti bahwa ada peran dominan individu diantara sesama pengrajin yang tergabung dalam organisasi KOMPAK.

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