Background: The primary aim of this prognostic study was to identify baseline factors associated with physical health-related quality of life (HRQL) in patients after a femoral neck fracture. The secondary aims were to identify baseline factors associated with mental HRQL, hip function, and health utility.
Materials and methods: Patients who were enrolled in the Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH) trial completed the 12-item Short Form Health Survey (SF-12), Western Ontario and McMaster Universities Arthritis Index, and EuroQol 5-Dimension at regular intervals for 24 months. We conducted multilevel mixed models to identify factors potentially associated with HRQL.
Results: The following were associated with lower physical HRQL: older age; female gender; higher body mass index and sustaining a displaced fracture. Additional factors were associated with mental HRQL, hip function, and health utility.
Conclusion: The study identified several baseline factors associated with lower HRQL, hip function, and utility after a femoral neck fracture. These findings may be used by clinicians to inform treatment and outcomes.

Background: Role models often play a role when implementing guidelines in healthcare. However, little is known about how role models perform their respective roles, or about which factors may hamper or enhance their functioning. The aim of the present study was therefore to investigate how role models perform there role as a part of a multifaceted implementation strategy on the prevention of hand eczema, and to identify barriers and facilitators for the performing of their role. Methods: The role models were selected to become a role model and received a role model training. All role models worked at a hospital. In total, 19 role models, were interviewed. A topic list was used focussing on how the role models performed their role and what they experienced to be facilitators and barriers for their role. After coding the interviews, the codes were divided into themes. Results: This study shows that the main tasks perceived by the role models were to raise awareness, to transfer information, to interact with colleagues about hand eczema, to provide material, and to perform coordinating tasks. Barriers and facilitators were whether the role suited the participant, affinity with the topic, and risk perception. Conclusions: Most role models performed only the tasks they learned during their training. They mentioned a wide range of barriers and facilitators for the performing of their role. To enhance the functioning of the role models, a suggestion would be to select role models by taking into account prior coaching experience. Trial registration: Trial registration number: NTR2812 Keywords: Role models, Healthcare workers, Hand eczema, Implementation, Facilitators, Barriers

Background:
? Owen wrote this in the Craighlockhart War Hospital in Edinburgh
? Written in 1918, Owen captures the damage to men’s minds as a result of war. Owen’s aim is to shock, to describe the in stark detail the ghastly physical symptoms of mental torment.
? Similar to Dulce Et Decorum Est, Owen shows men in their prime become senile wrecks.
? It can be highly contrasted with the poem by Seigfriend Sasson, “repression of war experience”.
? Mental cases = It can be both personal and impersonal. Mental case can be referred to a person with a medical condition or the whole concept of mental conditions as a whole. For example, if you have a father who has a mental condition where he cannot remember you, you will know him for what he was before, thus the personal sense, but not what he is now, thus the impersonal sense.
They also don’t tell you what the mental case is even though there are many, indicating that it is rather impersonal.

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