Resilience effects on frailty and outcomes in rehabilitation geriatrics
AUSTRALASIAN JOURNAL ON AGEING
Authors: Kohler, Sabrina; Yates, Paul; Rametta, Robert; Poulter, Matthew; Vogrin, Sara
Abstract
Objective To assess relationships between resilience, frailty and outcomes in geriatric rehabilitation inpatients. Methods Eighty-nine inpatients had Brief Resilience Scale (BRS) and frailty index (FI-CGA) completed. Pearson's or Spearman's correlation was used to determine correlation between BRS, FI-CGA and covariates. Multivariate logistic regression was used to determine associations between resilience, frailty and covariates with functional independence measure gain, length of stay (LOS) > 21 days, mortality and discharge care requirements. Results There was a negative correlation between BRS and premorbid FI-CGA (r = -.31, P = .03) and admission FI-CGA (r = -.26, P = .01) and between BRS and Mini-Mental State Examination score (rho = -0.26, P = .02). BRS was not associated with observed outcomes. Premorbid FI-CGA was associated with inpatient mortality, and greater increase in FI-CGA during acute stay was associated with greater LOS. All patients who died were frail (FI-CGA > 0.25). Conclusion Resilience and frailty were inversely related. Frailty was an independent predictor of rehabilitation LOS and mortality.
A critical genre analysis of MD&A discourse in corporate annual reports
DISCOURSE & COMMUNICATION
Authors: Qian, Yubin
Abstract
Based on the texts of 'Management Discussion and Analysis on Financial Status and Business' (MD&A) collected from 118 American corporate annual reports, this study investigated how the professional discourse is realized from the dimensions of text, genre, professional practice and professional culture, according to the framework of the Critical Genre Analysis (CGA) theory. It was found that (1) In the text dimension, lexicon features regarding vocabulary volume, vocabulary highlighting, readability and sentiment are unique to MD & As; (2) the genre of MD&As corresponds to a rhetorical structure of 3 moves and 10 steps; (3) the professional practice of MD&As is represented by three types of interdiscursivity, that is, shifting, mixing and embedding; (4) the professional culture of MD&As is embodied through identity enculturation, human-oriented value, cooperation awareness and self-serving manner. The results of this study help to better understand the realization of professional discourse and expand the application of CGA in professional practice. The findings presented herein are expected to enhance interdisciplinary research that relates language with corporate performance.