2,504 research outputs found
Ambulatory assisted living fallers at greatest risk for head injury
No full textOBJECTIVES: To determine the relationship between head injuries sustained during each fall with various known high risk health and demographic factors predictive of falls.
DESIGN: Prospective cohort study conducted over 1 year
SETTING: Assisted living and skilled nursing units of a Continuing Care Retirement Community located in the northeastern United States.
PARTICIPANTS: Sixty nine OAs who fell.
MEASUREMENTS: Age, gender, diagnosis, high risk medication, functional, cognitive, ambulation/elimination status, mode of locomotion, fall related symptoms and the position of the fall, were analyzed using General Estimating Equations among elderly fallers with and without head injury.
RESULTS: A total of 173 falls (average of 2.9 times) were observed for 62 patients who had complete injury data. Injuries were recorded in 40.5% of falls, with 41.4% being head injuries. Head injuries were more likely to be hematomas than lacerations (66.7% vs. 14.7%) and among assisted living residents (p=0.04). Head injured patients were more likely to be walking at the time of the fall (69% vs. 36.1%) and less likely to have bowel incontinence (3.5% vs. 28.5%; p=0.04). None of the high risk diagnosis or medications associated with falls risk increased risk for head injury.
CONCLUSION: Those at greatest risk for head injury were ambulatory assisted living residents. None of the known clinical conditions predictive of risk to fall were predictive of head injury. For head injury prevention to be successful we need a closer examination of resident’s mobility, shoe-wear, health behavior with respect to ability to use assistive devices, and floor surface landing area. Future health policy implications include measures to ensure standard of care practices for head injured patients are in place.This is the peer reviewed version of the following article: Gray-Miceli, D. L., Ratcliffe, S. J. and Thomasson, A. (2013), Ambulatory Assisted Living Fallers at Greatest Risk for Head Injury. Journal of the American Geriatrics Society, 61: 1817–1819, which has been published in final form at https://dx.doi.org/10.1111/jgs.12467. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.Peer reviewe
Use of a comprehensive postfall assessment tool to prevent falls
No full textNursing research in fall prevention should not only identify etiologic risk factors to fall, but seek to identify underlying causes, whenever possible. Few studies have investigated the use of a comprehensive post fall assessment tool (PFAT) by nurses as an intervention for the prevention of recurrent falls, especially one that prompts nurses to consider all potential causes through a categorization scheme. This study tested use of a comprehensive PFAT as an intervention, prospectively, facility-wide for 1 year by RNs using a pre-post-test design. A 29.4% reduction in the fall rate (z=3.89; p <0.001), 27.6% decline in total falls experienced by all fallers (p<0.001) and a 34.0% decline for recurrent fallers (p = 0.025) from pre-intervention to intervention year was observed when trained nurses categorized falls according to perceived causes. These declines are likely due to consistent and rigorous use by trained nursing staff, prompting their critical examination of each fall.Peer reviewe
UTSim2 validation
No full textThe Center for NDE (CNDE) at Iowa State University has a long history of developing physics models for NDE and packaging these models into simulation tools which make the modeling capabilities accessible to CNDEs industrial sponsors. Recent work at CNDE has led to the development of a new ultrasonic simulation package, UTSim2, which aims to continue this tradition of supporting industrial application of CNDE models. In order to meet this goal, UTSim2 has been designed as an extensible software package which can support previously-developed physics models as well as future models yet to be developed. Initial work has focused on the implementation of a Gauss-Hermite beam model, a paraxial approximation, which is implemented as part of the Thompson-Gray measurement model. This paper will present recent validation results and include comparisons against both previously-validated model output and newly-performed experiments.This proceeding may be downloaded for personal use only. Any other use requires prior permission of the author and AIP Publishing. This proceeding appeared in Grandin, Robert, and Tim Gray. "UTSim2 validation." AIP Conference Proceedings, 1806, no. 1 (2017): 150007, and may be found at DOI: 10.1063/1.4974731. Posted with permission.</p
Nursing Home Registered Nurses' and Licensed Practical Nurses' Knowledge of Causes of Falls
No full textReducing falls in nursing homes (NHs) requires a knowledgeable nursing workforce. To test knowledge, 8 validated vignettes, representing multifactorial fall causes were administered to 47 nurses from 3 NHs. Although Licensed Practical Nurses (LPNs) scored higher than Registered Nurses in individual categories of falls, when we computed the average score of all 8 categories between groups of RNs’ versus LPNs’ we found RNs scored higher (F value =4.106; p<0.05) in identifying 8 causal reasons for older adults to fall.This is a non-final version of an article published ahead of print in Journal of Nursing Care Quality, October 7, 2015, and available at: https://dx.doi.org/10.1097/NCQ.0000000000000157Peer reviewe
The Moral Self in Eighteenth-Century Poetry: A Study in the Poetics of Gray, Goldsmith, Cowper and Yearsley
No full textThis thesis explores one aspect of the ‘inward turn’ that is a significant feature of English poetry in the later eighteenth century. It claims that a representative group of poets construct an authorial ‘self’ in which the personal pronoun ‘I’ becomes an authoritative guarantor of social and moral judgements. It suggests that this move was a response to Lockeian ideas of personal identity and economic individualism which were subsequently refined and developed by theoreticians such as David Hume and Adam Smith such that the ‘self’ was conceived not merely as the site of the sensorium but also the site of moral judgement.
It identifies Thomas Gray as the initiator of this development, arguing that his earlier poems, and particularly his Elegy, were revolutionary in their attempts to accommodate Locke’s ideas as a means of combating both the fissiparous nature of the literary market place and the hegemonic practices of the aristocratic class. The reception of the Elegy led Gray to believe he had failed, but his construction of the ‘swain’s’ dual identity who both judges and is judged was to resonate in the persona of Goldsmith’s narrator of The Deserted Village. Goldsmith’s essentially conservative outlook meant that this poem was fractured and it was not until Cowper’s The Task that a fully coherent realisation of Gray’s poetics was achieved.
The thesis finally considers Ann Yearsley’s work, arguing that her construction of a ‘self’ as narrator and social judge was fraught with difficulty both because of her position as a female labouring-class poet, and because of the repressive response to the French Revolution. The concluding chapter draws together the implications of the preceding chapters
Forecasting banknotes
No full textA central bank’s liquidity forecast is important in ensuring that it supplies the banking system’s need for central bank money. Banknote (or currency in circulation) demand is the largest and for some central banks the most variable component of the liquidity forecast. Accurate forecasting of banknotes is essential in ensuring an accurate liquidity forecast and in turn effective monetary policy implementation. This Handbook discusses these issues and outlines a structural time series state space (STSSS) model which is now used by central banks including the Bank of England and ECB to forecast banknotes (currency in circulation).Forecasting banknotes
Endocrine disrupting potential in freshwater ecosystems near agricultural areas on Prince Edward Island
No full textM. A. Gray, K. L. Teather, [et al].; Abstract in English and French.; "June 2000."; Includes bibliographical references (p.27-31).; Environmental protection report series.Source type: Print(0
Depression and Gender: The Expression and Experience of Melancholy in the Eighteenth Century
No full textThis thesis investigates the life and work of six eighteenth-century writers, two male and four female. It explores their experience of depression through their letters and other autobiographical material, and examines the ways in which they represent melancholy in their poetry and prose. The subject of Chapter Two is Thomas Gray, whose real life persona as the lonely intellectual is also identifiable in his poetry. The Scottish poet Robert Fergusson is studied in Chapter Three. Fergusson’s lively and vigorous mind was shattered in the months leading up to his death, during which time some of his writing became darkly nihilistic. Chapter Four looks at Anne Finch, Countess of Winchilsea, a lifelong depressive who often wrote about her feelings of despair in her poetry. Chapter Five explores Lady Mary Wortley Montagu. She was a courageous and controversial figure, but despite her resilience, on occasion in her letters she reveals her vulnerability and susceptibility to low spirits, a mood which is sometimes expressed in her creative writing. Sarah Scott, whose life and work have not yet been considered in relation to the subject of melancholy, is examined in Chapter Six. Her novel includes several low-spirited and depressed female characters who are continually seeking asylum from a hostile world. Chapter Seven analyses Charlotte Smith, a mother of twelve children whose unhappy marriage ended in separation. Smith wrote extensively about her depression in her letters, prefaces, poetry and novels.
This study shows that the women in particular use their writing on melancholy and depression to express their discontent with the confined way in which they are often expected to live out their lives
Buying a computer for your farm or ranch
No full textBulletin no. 758 Moscow, Idaho :University of Idaho, College of Agriculture, Cooperative Extension System, 1994-06-01. Author(s): Patterson, P. E.; Gray, C. W.; Davis, A
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