252,740 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
William J. Gray Bama-Bell II Floating Point Mathematical Interpretative System for USS 80 System (student manual), MSS.4013
No full textAbstract: Student computer programming manual for the Bama-Bell II programming language for the Univac Solid State 80 computer system.Scope and Content Note: The collection contains the student computer programming manual for the Bama-Bell II programming language for the Univac Solid State 80 computer system, written by William J. Gray, a University of Alabama graduate and then faculty member.Biographical/Historical Note: William J. Gray, son of Robert Homer and Rosa Lee Gray, was born on January 14, 1933, in Randolph County, Alabama. He grew up in Blount County, Alabama, and attended Howard College in Birmingham before serving in the U.S. Army at Redstone Arsenal in Huntsville while also attending college part-time. Upon leaving the service he enrolled at the University of Alabama in 1961. Gray received his bachelor's degree in 1961, his master's degree in 1962, and his PhD in mathematics in 1965. After receiving his doctorate, he joined the faculty of the Mathematics Department at the University of Alabama, where he served for thirty-nine years.He and his wife Liz had one son and one daughter: Lloyd and Pat. Gray died on August 4, 2005, in Northport, Alabama
tenuiloba
No full textClematis columbiana (Nutt.) Torr. & A. Gray var. tenuiloba (A. Gray) J. Pringlerock clematisClematis tenuilobaSweetgrass Hills, East Butte: Iron Creek, common on limestone soil from Iron Creek to Devil & Chimneylimestone soilCommo
Existence and stability of multiple spot solutions for the Gray-Scott model in R^2$
No full textExistence and Stability of Multiple Spot Solutions for the Gray-Scott Model in In this paper, we rigorously
prove the existence and stability of multiple spot patterns for the Gray-Scott system in a two dimensional domain
which are far from
spatial homogeneity.
The Green's function and its derivatives
together with two nonlocal eigenvalue problems
both play a major role in the analysis.
We establish a threshold behavior for stability:
If a certain inequality for the parameters holds
then we get stability, otherwise we get instability of multiple spot solutions.
The exact asymptotics of the critical thresholds are obtained
Business Papers (MS 80-0003)
No full textLetter from J. Will Gray to J. N. Sherrill discussing the J. A. Kemp Estate and Mrs. Kempner's interest in blocks 54, 58, 59, 60, 61, and 62. Gray goes on to ask for the deeds for these transactions
Phenomenology of Black Spirit with Biko Mandela Gray and Ryan J. Johnson
No full textOverview & Shownotes
We’re reframing the philosophical canon today with Biko Mandela Gray and Ryan J. Johnson. Their new book, Phenomenology of Black Spirit, puts major Black thinkers in conversation with the work of the philosopher Hegel.
For the episode transcript, download a copy or read it below.
Contact us at [email protected] Links to people and ideas mentioned in the show Biko Mandela Gray Ryan J. Johnson Phenomenology of Black Spirit Ethics and phenomenology Ronald Judy, Sentient Flesh: Thinking in Disorder, Poiēsis in Black More on Ella Baker Credits
Thanks to Evelyn Brosius for our logo. Music featured in the show:
“Single Still” by Blue Dot Sessions
“Cran Ras” by Blue Dot Session
Letter from Edward W. Gray to Mr. Simmons. Note from J. B. Caldwell to S. B. Simmons
No full textLetter from Edward W. Gray to Mr. Simmons, concerning NFA dues. Note from J. B. Caldwell to S. B. Simmons, concerning NFA dues
[Report to Chief J. E. Curry, by an unknown author #1]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
[Report to Chief J. E. Curry, by an unknown author #2]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
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