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https://www.readbyqxmd.com/read/29677382/resident-to-resident-mistreatment-evaluation-of-a-staff-training-program-in-the-reduction-of-falls-and-injuries
#1
Jeanne A Teresi, Mildred Ramírez, Terry Fulmer, Julie Ellis, Stephanie Silver, Jian Kong, Joseph P Eimicke, Gabriel Boratgis, Rhoda Meador, Mark S Lachs, Karl Pillemer
Resident-to-resident elder mistreatment (R-REM) occurs frequently in long-term services and support settings. The purpose of the current study was to evaluate the effect of a R-REM training program for nursing and other frontline staff on resident falls and injuries in a cluster randomized trial of units within four nursing homes. Interview and observational data from a sample of 1,201 residents (n = 600 and n = 601 in the usual care and intervention groups, respectively) and staff were collected at baseline and 6 and 12 months...
April 19, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29677309/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-community-dwelling-adults-us-preventive-services-task-force-recommendation-statement
#2
David C Grossman, Susan J Curry, Douglas K Owens, Michael J Barry, Aaron B Caughey, Karina W Davidson, Chyke A Doubeni, John W Epling, Alex R Kemper, Alex H Krist, Martha Kubik, Seth Landefeld, Carol M Mangione, Michael Silverstein, Melissa A Simon, Chien-Wen Tseng
Importance: Because of the aging population, osteoporotic fractures are an increasingly important cause of morbidity and mortality in the United States. Approximately 2 million osteoporotic fractures occurred in the United States in 2005, and annual incidence is projected to increase to more than 3 million fractures by 2025. Within 1 year of experiencing a hip fracture, many patients are unable to walk independently, more than half require assistance with activities of daily living, and 20% to 30% of patients will die...
April 17, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29677284/preventing-fractures-and-falls-a-limited-role-for-calcium-and-vitamin-d-supplements
#3
Heike A Bischoff-Ferrari, Shalender Bhasin, JoAnn E Manson
No abstract text is available yet for this article.
April 17, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29676630/international-approach-to-environmental-and-lung-health-a-perspective-from-the-fogarty-international-center
#4
Roger I Glass, Joshua P Rosenthal
The global burden of lung disease is substantial, accounting for an estimated 7.5 million deaths per year, approximately 14% of annual deaths worldwide. The prime illnesses include, in descending order, chronic obstructive pulmonary disease, lung cancer, tuberculosis, acute respiratory infections, asthma, and interstitial lung fibrosis. Key risk factors include smoking, both indoor and outdoor air pollution, and occupational exposures. Although the distribution of both the diseases and the risk factors varies greatly by age, geography, and setting, the greatest burden falls on populations living in low- and middle-income countries...
April 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29676488/a-falls-case-summary-application-of-the-public-health-nursing-intervention-wheel
#5
Patricia Leahy-Warren, Mary Rose Day, Lloyd Philpott, Kari Glavin, Edith Roth Gjevjon, Anne Kjersti Myhrene Steffenak, Live S Nordhagen, Hilde Egge, Elizabeth Healy, Helen Mulcahy
BACKGROUND: The Public Health Intervention Wheel (PHIW) is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Each intervention and practice level contributes to improving population health. Public health nurses (PHNs) provide care at the three levels of practice. Prevention of falls is a public health issue and the majority of falls happen at home. Therefore, prevention and management of falls in the community could benefit from a public health systems approach by PHNs underpinned by the PHIW...
April 20, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29675851/fall-prevention-in-central-coast-community-pharmacies
#6
G M Stuart, H L Kale
ISSUE ADDRESSED: Fall injuries among people aged 65 years and over (older people) cause substantial health decline and cost to the health system. In 2009 in New South Wales 25.6% of older people fell in the previous year, and 10.7% (32,000) were hospitalised. Pharmacists are trusted professionals, who interact extensively with older people and have potential to augment fall prevention in pharmacies. This brief report describes how professional development improved pharmacist's knowledge and confidence in fall prevention, encouraged implementation of fall prevention plans, and facilitated provision of brief fall prevention interventions for older clients, after identification of fall risk...
April 19, 2018: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/29675749/evaluation-of-severe-and-fatal-injuries-in-extreme-and-contact-sports-an-international-multicenter-analysis
#7
Christian D Weber, Klemens Horst, Anthony R Nguyen, Rolf Lefering, Hans-Christoph Pape, Frank Hildebrand
PURPOSE: The participation in extreme and contact sports has grown internationally, despite the significant risk for major and multiple injuries. We conducted this multicenter study to evaluate sport-specific injury patterns and mechanisms, to characterize individuals at risk and to identify possible approaches for prevention. METHODS: We compared demographic data, severity and patterns of injuries; and the pre- and in-hospital management from an international population-based prospective trauma database (TraumaRegister DGU®)...
April 19, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29674287/self-perceived-gait-stability-modulates-the-effect-of-daily-life-gait-quality-on-prospective-falls-in-older-adults
#8
R H A Weijer, M J M Hoozemans, J H van Dieën, M Pijnappels
BACKGROUND: Quality of gait during daily life activities and perceived gait stability are both independent risk factors for future falls in older adults. RESEARCH QUESTION: We investigated whether perceived gait stability modulates the association between gait quality and falling in older adults. METHODS: In this prospective cohort study, we used one-week daily-life trunk acceleration data of 272 adults over 65 years of age. Sample entropy (SE) of the 3D acceleration signals was calculated to quantify daily life gait quality...
April 4, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29673837/movements-of-older-adults-during-exergaming-interventions-that-are-associated-with-the-systems-framework-for-postural-control-a-systematic-review
#9
REVIEW
Robin Tahmosybayat, Katherine Baker, Alan Godfrey, Nick Caplan, Gill Barry
One in three older adults fall annually, in part due to impairments in the physiological systems that make up the postural control (PC) system. Exercise, particularly balance training, helps to prevent deterioration and even to improve outcomes in the PC system. Exergaming (exercise-gaming) is interactive computer gaming whereby an individual moves the body in response to onscreen cues in a playful format. Exergaming is an alternative method to standard practice for improving PC outcomes, which has been shown to reduce the risk of falling...
May 2018: Maturitas
https://www.readbyqxmd.com/read/29672983/rural-urban-variation-in-injury-related-hospitalisation-health-outcomes-and-treatment-cost-in-new-south-wales
#10
Rebecca J Mitchell, Tony Lower
OBJECTIVE: To compare differences in injury characteristics, health outcomes and treatment costs between urban and rural residents who were hospitalised following an injury. DESIGN: A retrospective examination of injury-linked hospitalisation and mortality data in New South Wales from 1 January 2010 to 30 June 2014. PARTICIPANTS: Urban (496 325) and rural (213 139) residents who were hospitalised following an injury. MAIN OUTCOME MEASURES: Demographic and injury characteristics, injury severity, hospital length of stay, 28-day hospital readmission, 90-day mortality and treatment cost...
April 19, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29672558/the-effects-of-unexpected-mechanical-perturbations-during-treadmill-walking-on-spatiotemporal-gait-parameters-and-the-dynamic-stability-measures-by-which-to-quantify-postural-response
#11
Forough Madehkhaksar, Jochen Klenk, Kim Sczuka, Katharina Gordt, Itshak Melzer, Michael Schwenk
Most falls occur after a loss of balance following an unexpected perturbation such as a slip or a trip. Greater understanding of how humans control and maintain stability during perturbed walking may help to develop appropriate fall prevention programs. The aim of this study was to examine changes in spatiotemporal gait and stability parameters in response to sudden mechanical perturbations in medio-lateral (ML) and anterior-posterior (AP) direction during treadmill walking. Moreover, we aimed to evaluate which parameters are most representative to quantify postural recovery responses...
2018: PloS One
https://www.readbyqxmd.com/read/29672234/transgender-college-students-academic-resilience-and-striving-to-cope-in-the-face-of-marginalized-health
#12
Jenna B Messman, Leigh A Leslie
OBJECTIVE: To examine health behavior and outcome disparities between transgender, female, and male participants in a national sample of US college students. Participants and Method Summary: Analyses utilized secondary data from 32,964 undergraduate and graduate students responding to the Fall 2013 American College Health Association-National College Health Assessment; 65.8% were female, 0.4% were transgender, 67.9% were white, and 90.4% were heterosexual. RESULTS: Transgender students reported more mental health diagnoses, trauma, and suicidality; experienced more violence and less safety, reported more sex partners and sexually transmitted infections (STIs); higher rates of illicit and non-prescription substance use and binge drinking use while engaging in less harm reduction behavior; and reported more barriers to academic success...
April 19, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29670476/the-effect-of-tai-chi-exercise-on-the-risk-and-fear-of-falling-in-older-adults-a-randomized-clinical-trial
#13
Hamed Mortazavi, Mahbubeh Tabatabaeichehr, Ali Golestani, Mohammad Reza Armat, Mohammad Reza Yousefi
Background: Falling and fear of falling are among the most common problems of the elderly, which can cause illness, isolation, dependency and reduced quality of life in elderly. Exercise is recommended to prevent falling injuries in the elderly. Aim: This study aimed to examine the effect of Tai Chi exercise on the risk and fear of falling in older adults. Materials and Methods: In this randomized clinical trial, a total of 60 male and female elderly were randomly divided into two groups: Tai Chi exercise and control (daily activities) groups...
March 2018: Materia Socio-medica
https://www.readbyqxmd.com/read/29670343/effect-of-6-month-community-based-exercise-interventions-on-gait-and-functional-fitness-of-an-older-population-a-quasi-experimental-study
#14
Fátima Ramalho, Rita Santos-Rocha, Marco Branco, Vera Moniz-Pereira, Helô-Isa André, António P Veloso, Filomena Carnide
Background: Gait ability in older adults has been associated with independent living, increased survival rates, fall prevention, and quality of life. There are inconsistent findings regarding the effects of exercise interventions in the maintenance of gait parameters. Objectives: The aim of the study was to analyze the effects of a community-based periodized exercise intervention on the improvement of gait parameters and functional fitness in an older adult group compared with a non-periodized program...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29668943/management-of-blueberry-maggot-with-high-temperatures
#15
Charles Vincent, Pierre Lemoyne, Jean Lafond
High temperatures were investigated to manage blueberry maggot (Rhagoletis mendax Curran; Diptera: Tephritidae) in field and postharvest situations. To estimate lethal combinations of high temperatures/duration of exposure, blueberry maggot pupae were immersed in water at various temperatures during either 1 or 30 s in the laboratory. Treatments such as 70°C (1 s) or 55°C (30 s) caused 100% mortality of blueberry maggot pupae. In a lowbush blueberry field, soil temperatures at 0, 1, 2, 3, 4, and 5 cm depth were measured with thermocouples following the passage of a flamethrower attached to a tractor in the fall...
April 13, 2018: Journal of Economic Entomology
https://www.readbyqxmd.com/read/29668783/incidence-of-falls-and-preventive-actions-in-a-university-hospital
#16
Melissa de Freitas Luzia, Talita Portela Cassola, Lyliam Midori Suzuki, Vera Lucia Mendes Dias, Leandro Barbosa de Pinho, Amália de Fátima Lucena
Objective Describing the incidence of falls and its relation with preventive actions developed in a Brazilian university hospital. Method A retrospective longitudinal study. Hospitalized adult patients in the clinical, surgical, psychiatric and emergency units who suffered a fall in the institution, and who had the event notified in the period from January 2011 to December 2015 were included in the study. The data were collected from the institution's management information system and analyzed in the SPSS statistical program...
2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29666919/prevalence-of-vitamin-d-insufficiency-and-evidence-for-disease-prevention-in-the-older-population
#17
REVIEW
Julia Kühn, Paula Trotz, Gabriele I Stangl
The prevalence of vitamin D insufficiency, usually assessed by the analysis of circulating 25-hydroxyvitamin D (25[OH])D), is very high in the aging German population. An important factor that reduces endogenous vitamin D synthesis in older persons is physical inactivity or care-dependency that limits the time spent outside. Additionally, it has been suggested that the age-dependent decline in the glomerular filtration rate is associated with a reduced production of bioactive calcitriol. As this phenomenon is not detectable by the assessment of 25(OH)D, it is necessary to analyze the level of parathyroid hormone as a marker of calcitriol function...
April 17, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29666666/early-factors-associated-with-the-development-of-chronic-pain-in-trauma-patients
#18
Raoul Daoust, Jean Paquet, Lynne Moore, Marcel Émond, Sophie Gosselin, Gilles Lavigne, Manon Choinière, Aline Boulanger, Jean-Marc Mac-Thiong, Jean-Marc Chauny
Objective: To identify factors, available at the time of trauma admission, associated with the development of chronic pain to allow testing of preventive approaches. Methods: In a retrospective observational cohort study, we included all patients ≥ 18 years old admitted for injury in 57 adult trauma centers in the province of Quebec (Canada) between 2004 and 2014. Chronic pain was defined as follows: treated in a chronic pain clinic, diagnosed with chronic pain, or received at least 2 prescriptions of chronic pain medications 3 to 12 months postinjury...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29666603/long-term-factors-associated-with-falls-and-fractures-poststroke
#19
Emma J Foster, Raphae S Barlas, Joao H Bettencourt-Silva, Allan B Clark, Anthony K Metcalf, Kristian M Bowles, John F Potter, Phyo K Myint
Background: Risk factors for poststroke falls and fractures remain poorly understood. This study aimed to evaluate which factors increased risk of these events after stroke. Methods: Data from 7,267 hospitalized stroke patients were acquired from the Norfolk and Norwich University Hospital Stroke Register from 2003-2015. The impacts of multiple patient level and stroke characteristics and comorbidities on post-discharge falls and fractures were assessed. Univariate and multivariable models were constructed, adjusting for multiple confounders, using binary logistic regression for short-term analysis (up to 1-year post-discharge) and Cox-proportional hazard models for longer term analysis (1-3, 3-5, and 0-10 years follow-up)...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29666129/preventing-emergency-department-ed-visits-and-hospitalisations-of-older-adults-with-cognitive-impairment-compared-with-the-general-senior-population-what-do-we-know-about-avoidable-incidents-results-from-a-scoping-review
#20
Mireille Gagnon-Roy, Benyahia Hami, Mélissa Généreux, Nathalie Veillette, Marie-Josée Sirois, Mary Egan, Véronique Provencher
OBJECTIVES: Older cognitively impaired adults present a higher risk of hospitalisation and mortality following a visit to the emergency department (ED). Better understanding of avoidable incidents is needed to prevent them and the associated ED presentations in community-dwelling adults. This study aimed to synthetise the actual knowledge concerning these incidents leading this population to ED presentation, as well as possible preventive measures to reduce them. DESIGN: A scoping review was performed according to the Arksey and O'Malley framework...
April 17, 2018: BMJ Open
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