Impact of nutrition and physical activity on outcomes of hospital-acquired pneumonia.

Frailty is an important risk factor for adverse health-related outcomes. It is classified into several phenotypes according to nutritional state and physical activity. In this context, we investigated whether frailty phenotypes were related to clinical outcome of hospital-acquired pneumonia (HAP). During the study period, a total of 526 patients were screened for HAP and 480 of whom were analyzed. The patients were divided into four groups according to physical inactivity and malnutrition: nutritional frailty (Geriatric Nutritional Risk Index [GNRI] < 82 and Clinical Frailty Scale [CFS] ≥ 4), malnutrition (GNRI < 82 and CFS < 4), physical frailty (GNRI ≥ 82 and CFS ≥ 4), and normal (GNRI ≥ 82 and CFS < 4). Among the phenotypes, physical frailty without malnutrition was the most common (39.4%), followed by nutritional frailty (30.2%), normal (20.6%), and malnutrition (9.8%). There was a significant difference in hospital survival and home discharge among the four phenotypes (p = 0.009), and the nutritional frailty group had the poorest in-hospital survival and home discharge (64.8% and 34.6%, respectively). In conclusion, there were differences in clinical outcomes according to the four phenotypes of HAP. Assessment of frailty phenotypes during hospitalization may improve outcomes through adequate nutrition and rehabilitation treatment of patients with HAP.

Who is the "She" in the Pandemic "She-Cession"? Variation in COVID-19 Labor Market Outcomes by Gender and Family Status.

The sharp decline in employment after the COVID-19 lockdown was not uniformly felt across demographic groups. Utilizing the 2017 to 2020 monthly Current Population Survey and using a difference-in-difference design, we investigate the varying impacts of COVID-19 on at-work status among the prime-working-age population, accounting for typical seasonal fluctuations in employment. The target population is grouped by gender, marital status, parenthood, and level of education. Our results uncover complex variations by gender, marital status, and children's age. Contrary to popular belief, married women without school-aged children did not experience a relative decline in employment compared to married fathers. A majority of disadvantages in employment that married women experienced are accounted for by controlling for typical seasonal fluctuations. The women whose employment was most distinctively adversely affected by COVID-19 during 2020 were less-educated never-married childless women and never-married mothers. Less-educated men who were not currently married also experienced a disadvantage in employment relative to equally educated married fathers. These findings imply that, during the pandemic recession, marriage offered a form of within-family insurance that we call the "added caregiver effect." The further implications of these findings are discussed.

COVID-19 and the Decline in Asian American Employment. LID - 100563

The unemployment rate has sharply increased as a result of the lockdown associated with the spread of COVID-19. The negative effect of the lockdown is more conspicuous among the less-educated workers than the highly-educated workers. Because Asian Americans are more likely to have a bachelor or higher degree than any other racial group, they are expected to be relatively immune to the drop in employment unless the detrimental impact of the lockdown is severer for Asian Americans. Exploiting the panel aspect of the Current Population Survey – Merged Outgoing Rotation Group, we examine the changes in At-work status before and after the lockdown and between the lockdown and months of the reopening. The empirical results uncover that Asian Americans are more negatively affected by the lockdown than any other racial group, net of education, immigration status, and other covariates. Surprisingly, the negative impact of the lockdown is entirely concentrated on less-educated Asian Americans. Regardless of gender, less-educated Asian Americans are substantially more likely to lose employment than equally educated Whites and are not more likely to regain employment during the reopening months. Other less-educated racial minorities do not experience more reduction in At-work status than Whites, net of covariates. Highly-educated Asian Americans’ employment is equally affected by the lockdown with equally educated Whites. FAU - Kim, Andrew Taeho

COVID-19 and the decline in Asian American employment.

The unemployment rate has sharply increased as a result of the lockdown associated with the spread of COVID-19. The negative effect of the lockdown is more conspicuous among the less-educated workers than the highly-educated workers. Because Asian Americans are more likely to have a bachelor or higher degree than any other racial group, they are expected to be relatively immune to the drop in employment unless the detrimental impact of the lockdown is severer for Asian Americans. Exploiting the panel aspect of the Current Population Survey - Merged Outgoing Rotation Group, we examine the changes in At-work status before and after the lockdown and between the lockdown and months of the reopening. The empirical results uncover that Asian Americans are more negatively affected by the lockdown than any other racial group, net of education, immigration status, and other covariates. Surprisingly, the negative impact of the lockdown is entirely concentrated on less-educated Asian Americans. Regardless of gender, less-educated Asian Americans are substantially more likely to lose employment than equally educated Whites and are not more likely to regain employment during the reopening months. Other less-educated racial minorities do not experience more reduction in At-work status than Whites, net of covariates. Highly-educated Asian Americans' employment is equally affected by the lockdown with equally educated Whites.